scholarly journals Rehabilitation in Survivors of COVID-19 (RE2SCUE): a nonrandomized, controlled, and open protocol

Author(s):  
Maria Cristine Campos ◽  
Tatyana Nery ◽  
Ana Cristina de Bem Alves ◽  
Ana Elisa Speck ◽  
Danielle Soares Rocha Vieira ◽  
...  

Objective: This study aimed to evaluate the effects of physical rehabilitation for adults with sequelae after COVID-19. Methods: This clinical, nonrandomized, controlled, and open study will examine 82 participants who have met the inclusion criteria and who will be divided into treatment and control groups according to participant preference. The intervention group will receive face-to-face care; the control group will receive remote educational guidance for 8 weeks, with pre-post evaluations. The primary outcomes are dyspnea, fatigue, and exercise capacity; the secondary outcomes are lung function, heart rate variability, handgrip strength, knee extensor strength and electrical activity, physical activity, functional limitation, cognitive function, depression and anxiety, and biochemical measures of hypoxia, inflammation, oxidative stress, blood glucose, and lactate blood tests. The survey will follow the Standard Protocol Items for Randomized Trials guidelines, and the results will be reported according to the Consolidated Standards of Reporting Trials guidelines. Effects will be assessed based on the intent-to-treat data collected. Analysis of covariance will be used for the initial and final evaluations, with a significance level of 5%. Results and Conclusions: The results will show the effectiveness of rehabilitation in adults with post-COVID-19 sequelae.

2021 ◽  
Vol 17 ◽  
Author(s):  
Seyedeh Zahra Masoumi ◽  
Khodayar Oshvandi ◽  
Masoumeh Rostami-Moez ◽  
Arezoo Shayan ◽  
Farideh Kazemi

Background: Infertility can cause low marital satisfaction. Marital satisfaction has an important effect on infertile couples’ health. Objective: This study aimed to assess the effect of relationship enrichment training on improving the marital satisfaction of infertile couples. Methods: This randomized clinical trial was conducted on 50 infertile couples in the infertility center of Fatemieh Hospital in Hamadan, Iran in 2018. Participants were matched for demographic characteristics and randomly assigned to intervention and control groups (each group had 25 couples). Informed consent was obtained from all participants. The Enrich Marital Satisfaction questionnaire and demographic information were used to collect data before the study and two months after the intervention. Two trained midwifery students taught only the intervention group the relationship enrichment topics in seven sessions (each session = 90 minutes). The data were analyzed by SPSS Statistics version 21 using analysis of covariance, independent t-test, chi-square, and Mann–Whitney. The significance level was set at p ≤ 0.05. Results: There was no significant difference in demographic and obstetric information between the two groups (p >0.05). The mean of marital satisfaction in the intervention group significantly increased among women and men from 151.00 ±28.61 to 154.88 ±22.62 and from 152.56 ±27.33 to 159.24 ±22.14, respectively, (p <0.001). Conversely, the mean of marital satisfaction decreased among women and men from 158.13 ±13.86 to 146.25 ±19.53 and from 164.25 ±17.00 to 153.17 ±27.50 in the control group (p=0.02). Conclusion: Relationship enrichment training can be effective in promoting the marital satisfaction of infertile couples. Registration number: The National Center for Strategic Research in medical education, No. 960185.


2021 ◽  
Vol 2 (1) ◽  
pp. 25
Author(s):  
Rina Maulidar ◽  
Nurjannah Nurjannah ◽  
Aulina Adamy ◽  
Iskandar Iskandar

Background: Tuberculosis (TB) is a global health problem, Indonesia had the second rank of the case in the world after India which is the fourth cause of death. Giving vitamin D together with anti-tuberculosis drugs can increase healing proses because vitamin D (anti-microbial immunomodulators) kills Mycobacterium tuberculosis.Objectives: This study aims to measure the effect of giving anti-tuberculosis drugs with vitamin D on changes in AFB in patients with pulmonary tuberculosis.Methods: This study was used a quasi-experiment design, pre-test and post-test control group was doing at 25th March – 25th July 2019. This research has been conducted in Pidie Regency. The intervention group (17 samples with tuberculosis drugs) was given Softgels vitamin D 5000 IU for 4 months, while the control group was only anti-tuberculosis drug therapy. The data were analyzed statistically using the Wilcoxon and Mann Whitney tests at a significance level of 95%.Results: Before the intervention, the BTA status of both the intervention and control group was similar (p= 0.061). After the intervention, there was a decrease in AFB interactions (p= 0.000). There was a decrease in the contribution of AFB in the control group before with after intervention (p= 0.000). There are those who support (p= 0.033) giving vitamin D the acceleration of pulmonary tuberculosis treatment. Conclusion: It is better to administer vitamin D to the successful treatment of pulmonary TB in patients undergoing anti-tuberculosis drug therapy.


2020 ◽  
Vol 7 (1) ◽  
pp. 39-54
Author(s):  
Hani Sutianingsih ◽  
Johanes C Mose ◽  
Farid Husin

Midwife has risks in their work, such as at first stage delivery care, they have risk of unnatural work posture, while in the second and third stage midwife experiences a body irregularity which can be seen in the spinal segment and postural instability. Unusual work postures continuously can cause musculoskeletal disorders (MSD). The etiology of musculoskeletal disorders is very complicated and controversial, so the lack of information can lead to more difficult risk management, but by detecting discomfort is very useful as an indicator of the risk of musculoskeletal disorders, thus minimizing the discomfort may contribute to reducing risk of musculoskeletal disorders, since both are known associated with exposure to the musculoskeletal system by biomechanical loads. The importance of the ergonomics aspect for the midwife to reduce the discomfort of the body in doing it’s work, is strongly supported by the appropriate facilities such as the BC-MK15 birth chair. This research is quasi experimental with simple random sampling, subject is divided into two groups, intervention and control (22 midwives each group) who work at Puskesmas Garuda, Puter and Ibrahim Adji Bandung. Discomfort scoring using Body Part Discomfort Scale (BPDS). Statistical test using Kolmogorov -Smirnov analysis to see the difference of discomfort between treatment and control group for each stage of delivery care, and Chi-Square test to see the effect between the two study groups also Mann-Whitney test  to see the discomfort diffrences between each group for the whole stage of delivery care (stage I-III). The significance level been decided for p <0.05 . The results showed that there was an effect of the use of the BC-MK15 birth chair to the midwife discomfort level  for each body part in every stage during delivery care, and there was a lower median rate of discomfort in the intervention group compare to the control group The conclusion was the use of BC-MK15 birth chairs can decrease midwife discomfort for every stage during delivery care in the intervention group compare to the control group.


2020 ◽  
Author(s):  
Mohammed Dauda Goni ◽  
Nyi Nyi Naing ◽  
Habsah Hasan ◽  
Nadiah Wan-Arfah ◽  
Zakuan Zainy Deris ◽  
...  

Abstract Background This study was aimed at demonstrating the impact of a health education intervention on reducing the incidence of influenza-like illnesses symptoms among Malaysian's Hajj pilgrims. MethodsThis study utilizes a quasi-experimental study in the evaluation of the impact of the intervention. Participants were recruited during Hajj orientation courses organized by private Hajj companies. Participants from two separate companies were recruited into an intervention group and control group respectively. The intervention group received a Health Belief Model (HBM) based smartphone health education intervention application while the control group received a normal Hajj guide intervention smartphone application before departure to Hajj. Data on the incidence of influenza-like illnesses (ILI) were collected from participants from two Hajj companies before and after returning from Hajj. Data analysis was conducted using SPSS with descriptive analysis, and analytical tests were conducted at 5% significance level. ResultsA total of 102 pilgrims completed the study in both intervention and control groups. The incidence of the symptoms of influenza-like illnesses (ILI) was statistically significant between the intervention and control groups (p = 0.049). The change in the level of knowledge and attitude among the intervention was statistically significant (p= 0.001, p = 0.029). ConclusionIn conclusion, the health education intervention has an impact on reducing the incidence of symptoms among Hajj pilgrims.


2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Saumya Suresh Vasudev ◽  
Shailaja Shastri

The present study aimed to examine the efficacy of Distance Reiki on Perceived Stress. 60 software professionals from a software firm situated at Bangalore who met the inclusion exclusion criteria were taken up for the study. Sample was divided into two groups – experimental and control group (30 in each group). The intervention was carried out for 21 days for the experimental group and the control group was not given any intervention. Both groups were assessed at two time intervals- pre and post assessment. The Perceived Stress Scale (PSS-14) and socio demographic checklist was used to assess the participants of both the groups. The obtained data were analysed using descriptive statistics and t-test to assess the significance level between the groups. Results of the study reveal that there is significant reduction in perceived stress from pre to post assessments in the intervention group.


2020 ◽  
pp. e001577
Author(s):  
Fereshteh Falah ◽  
S A Sajadi ◽  
A H Pishgooie

BackgroundHypertension is known as one of the most important non-communicable pervasive diseases.ObjectiveThe purpose of the present study was to determine the effect of a mobile-based educational app on the blood pressure (BP) of patients with hypertension.MethodsThis clinical trial was conducted on 66 military personnel who were definitively diagnosed with hypertension by a physician, and then assigned randomly into two groups as intervention (receiving mobile-based educational app) and control (receiving standard medical management but no app). Before the intervention, BP levels of both groups were measured with a calibrated sphygmomanometer. After 6 weeks, the BPs of both groups were remeasured using the same sphygmomanometer. Thereafter, descriptive and inferential statistics, including paired t-test, Mann-Whitney, Chi-square and Wilcoxon tests, were used. The data obtained were analysed using SPSS-21 software at a significance level of p<0.05.ResultsComparison of the intervention and control groups showed no statistically significant difference between the groups in systolic BP (p=0.479) and diastolic BP (p=0.851) in the pre-intervention phase, but after the intervention, systolic and diastolic BP levels were significantly lower in the intervention group than in the control group (p=0.0001).ConclusionThe results suggested that the mobile-based educational app had a significant effect on reducing BP in patients with hypertension. Therefore, using this app is recommended for those military personnel with hypertension.


2016 ◽  
Vol 12 (4) ◽  
pp. 195
Author(s):  
Lida Norouzi ◽  
Behnam Makvandi

<p>This study aimed to investigate the effect of Pilates on resiliency and psych-asthenia of the housewives in Tehran. The most common problems of the housewives included decreased resilience and uniform life that led to increased psych-asthenia. Using the knowledge of Contrology, measuring the effect of Pilates on resiliency and psych-asthenia of the housewives was considered. Quasi-experimental research design included the control groups (pre-test, post-test). The statistical population consisted of 40 housewives (20 in Pilates group and 20 in control group) that were selected using the available sampling by referring to a sports club in District 2, Tehran. Data were analyzed using analysis of variance and multivariate analysis of covariance, and the adjusted comparison was conducted at the significance level of 5%.The results showed that the adjusted mean of the scores of resiliency and psych-asthenia for the intervention group are significantly different (p&gt;5.0) and there is a significant difference between the mean scores of resiliency and psych-asthenia of the treatment and control groups. Pilates exercises increase resiliency and decrease psych-asthenia of the housewives. Thus, it is recommended that psychologists and psychiatrists consider Pilates as a supplementary treatment in their prescriptions.</p>


2020 ◽  
pp. 13-18

Background and Aim: Unresolved and dysfunctional marital conflicts are always accompanied by frustration and daily tensions, leading to ignoring the needs of the couples and declining the quality of their marital relationships. This study aimed to investigate the effectiveness of satisfactory marriage intervention on marital conflicts and marital frustration. Materials and Methods: The present research method was semi-experimental with pre-test, post-test design with a control group. The statistical population of this study consisted of all married men and women with a spouse of 25 years and older in Zanjan, of which 30 people were selected by available sampling method and randomly divided into two experimental and control groups. The data were obtained through Sanaei and Barati Marital Conflict Questionnaire and Kayser’s Marital Frustration Questionnaire and analyzed with descriptive statistics methods such as mean, standard deviation, and inferential statistics by multivariate analysis of covariance and Spss.22 Software. The Shapiro-Wilkes test was used to test the normality of the covariance analysis test, and the Loon test was used to investigate the homogeneity of the variances. Also, the significance level of the tests was considered to be 0.05. Results: The results indicated that satisfactory marriage intervention was effective in marital conflicts and marital frustration (p <0.001). Conclusion: It can be concluded that satisfactory marriage intervention was effective on marital conflicts and marital frustration. Therefore, satisfactory marriage education leads to reducing marital conflicts and marital frustration, which is used to improve the quality of life of couples.


2021 ◽  
Vol 7 (4) ◽  
pp. 255-262
Author(s):  
Nazanin Bagherzadeh Shirvan ◽  
◽  
Anahita Khodabakhshi-Koolaee ◽  

Background: Women with epilepsy face many physical and psychological problems due to their illness. Epilepsy affects women’s motherhood, parenting role, and quality of life. Thus, in addition to medical interventions, their recovery programs should also cover psychological therapies. Accordingly, this study aimed to examine the effectiveness of humor training on happiness and life satisfaction of female patients with epilepsy. Methods: This study was conducted using a quasi-experimental method with a pretest-posttest design and control group. The research population included all female patients who were members of the Iranian Epilepsy Association, Tehran, in 2020. The subjects were selected using convenience sampling. To this end, 30 women who met the inclusion criteria were randomly assigned into the intervention and control groups. The intervention group attended eight 2-hour humor training sessions and the control group did not receive any training. The Oxford Happiness Questionnaire and the Satisfaction with Life Scale (SWLS) were completed by the subjects before and after the intervention. The collected data were analyzed by one-way Analysis of Covariance (ANCOVA) using SPSS software (version 24). Results: According to the findings, the patients who received humor training reported significantly higher levels of happiness and life satisfaction compared to the control group. There was a significant difference between the pre-test and post-test mean scores of happiness (pre-test: 38.20±3.59; post-test: 45.27±4.18) (F=26.37; P=0.001) and also, there was a significant difference between the mean scores of pre-test and post-test of life satisfaction (pre-test: 13.01±6.16; post-test: 18.67±5.70) (F=30.07; P=0.001) in the intervention group. This difference was not significant in the control group (p>0.05). Conclusion: Humor training increased happiness and life satisfaction among women with epilepsy. This low-cost and easy-to-implement training is recommended to be used by psychologists and psychiatric nurses as a non-pharmacologic alternative along with other treatment options.


2017 ◽  
Vol 30 (1) ◽  
pp. 29-37
Author(s):  
Graciele Guimarães Pitelli Aroca ◽  
Larissa Granato Viana ◽  
Rafaela Ferreira de Araújo Costa ◽  
Dalilia Schmildt ◽  
Ligia de Sousa

Abstract Introduction: Adiposity is defined as the accumulation of energy reserves within the adipose tissue at specific body sites. Low-frequency electrical stimulation elicits lipolysis. When applied by insertion of needles into the dermis-hypodermis junction, it leads to a modification of the interstitial space, favoring metabolic changes and lipolysis. Objective: To investigate the effects of electrical stimulation on body fat localized to the abdomen and flanks. Methods: Randomized, controlled clinical trial consisted of two groups of women with body fat localized to the abdomen and flanks. The intervention group (IG) was made up of 9 women (± 24,77 years) who received ten sessions of electrical stimulation, whereas the control group (CG) was made up of 7 women (± 21,8 years) who did not receive electrical stimulation. Perimetric, adipometric and thermographic data were collected before and after the intervention. Data were analyzed using the Shapiro-Wilk test, t test, one-way ANOVA. The significance level was set at p < 0,05. Results: There were statistically significant differences between the intervention and control groups in the assessment immediately following intervention (IG: 33.08 ± 1.00; CG: 30.83 ± 1.5; p = 0.002), 15 minutes following intervention (IG: 33.05 ± 0.48; CG: 30.40± 1.24; p < 0.0001) and at the endpoint (IG: 32.22 ± 14.20; CG: 30.53 ± 1.34; p=0.005) for the thermographic data. For the anthropometric variables, there were no statistically significant differences before and after treatment. Conclusion: Electrical stimulation evokes a significant increase in the temperature of the subcutaneous tissue.


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