Family based care program on the health status of hemiplegic patients with stroke: A Randomized Control Trial

2018 ◽  
Author(s):  
Arsalan Naderipor ◽  
Hadith Faramarzi ◽  
Amir Jalali ◽  
Nader Salari ◽  
Jahangir Rezaei
Keyword(s):  
Health Status ◽  
Statistical Tests ◽  
Intervention Group ◽  
Care Program ◽  
Routine Care ◽  
Control Group ◽  
Care Providers ◽  
The Mean ◽  
The Difference ◽  
Family Based

Abstract Background: Stroke is a chronic disease requiring continuous and prolonged rehabilitation. A family-based care program can be an effective approach to rehabilitate these patients. This study aimed to determine the effect of family-based care program on the health status of hemiplegic patients with stroke. Methods: In this clinical trial, 40 hemiplegic stroke patients were randomly selected as available and divided into two intervention and control groups. The patients care providers in the intervention group received the home-based care program in addition to routine care at the time of discharge, for four consecutive sessions of 50 to 60 min. This program then was performed by carers at home for four weeks. The patients in the control group received routine care during the discharge. The health status of patients in both groups was evaluated by health status questionnaire before beginning the program, and then one month after the end of the program. Data were analyzed using appropriate statistical tests in SPSS V.21. Results: The results indicated that the difference between the mean scores of the health status of the two groups was not significant before the intervention; however, it was significant after the intervention (P< 0.05). Moreover, the mean scores after the intervention group were significantly higher than the pre-intervention, and the difference was not significant in the control group. Conclusion: Providing home care training programs to family members and contributing them to patient care programs can increase self-care of the patients and improve their health status. Keywords: Stroke; Hemiplegia; Nursing care; Family base care Trial registration number and date of registration: IRCT2015070214333n38, 2015-08-28

scholarly journals The effects of family based care program on the health status of hemiplegic patients with stroke: A Randomized Control Trial

2020 ◽  
Author(s):  
Arsalan Naderipor ◽  
Hadith Faramarzi ◽  
Amir Jalali ◽  
Nader Salari ◽  
Jahangir Rezaei
Keyword(s):  
Health Status ◽  
Care Program ◽  
Routine Care ◽  
Control Group ◽  
Care Providers ◽  
Care Givers ◽  
Home Based ◽  
The Mean ◽  
The Difference ◽  
Family Based

Abstract Background Stroke is a chronic disease requiring continuous and prolonged rehabilitation. A family-based care program can be an effective approach to rehabilitate the patients. This study aimed at determining the effects of family-based care program on the health status of hemiplegic patients with stroke. Methods In this clinical trial, 40 hemiplegic stroke patients were randomly selected through convenience sampling and allocated to experiment and control groups. The patients’ care providers in the experiment group received the home-based care program for four consecutive sessions (50-60min) in addition to the routine care at the time of discharge. The trainings were then performed by care givers at home for four weeks. The patients in the control group received routine cares during the discharge. The health status of patients in the both groups was evaluated using a health status questionnaire before and one months after implementing the program. The collected data was analyzed using SPSS V.21. Results The results indicated that the difference between the mean scores of the health status of the two groups was not significant before the experiment; however, it was significant after the experiment (P< 0.05). The mean scores after the experiment were significantly higher in the experiment group compared to those of the pre-intervention; this difference was not significant in the control group. Conclusion Providing home care education programs to family members and allowing them to contribute to patient care programs can increase self-care of the patients and improve their health status.

scholarly journals Effect of Spiritual Care on Death Anxiety and Self-esteem in Patients With Multiple Sclerosis

2021 ◽  
Vol 31 (4) ◽  
pp. 245-253
Author(s):  
Ali Akbari ◽  
◽  
Efat Sadeghian ◽  
Khodayar Oshvandi ◽  
Naser Kamyari ◽  
...  
Keyword(s):  
Spiritual Care ◽  
Death Anxiety ◽  
Intervention Group ◽  
Care Program ◽  
Self Esteem ◽  
Control Group ◽  
The Mean ◽  
The Difference ◽  
And Control ◽  
Interventional Group

Introduction: Death anxiety and low self-esteem are major problems in patients with Multiple Sclerosis (MS). Spiritual interventions, along with other nursing interventions, can restore the balance between body and soul. Objective: This study aimed to determine the effect of the spiritual care program on death anxiety and self-esteem in MS patients. Materials and Methods: In this clinical trial, 60 patients with MS were randomly assigned into the intervention (n=30) and control (n=30) groups. The intervention group received spiritual care program in four sessions. Templer death anxiety and Rosenberg self-esteem scale were completed by samples before and after the intervention. Data analysis was performed using the independent t test, Chi-square, and Fisher exact tests. The significance level is considered less than 0.05. Results: The Mean±SD ages of the intervention and control group samples were 32.8±6.39 and 35.1±8.35 years, respectively. The Mean±SD scores of death anxiety in the control group 12.27±0.85 and the intervention group 11.8±0.88 before the intervention were not significantly different. After the intervention, the difference between the Mean±SD scores of the control group 12.10±0.61 and the interventional group 8.13±0.71 was statistically significant (P=0.001). The Mean±SD scores of self-esteem in the control group 14.63±1.51 and the interventional group 15.5±1.5 before the intervention were not significantly different. The difference between the Mean±SD scores of self-esteem in the control group 14.67±1.9 and the interventional group 18.03±1.85 was significant after the intervention (P=0.001). The results of ANCOVA demonstrated a significant difference between the control and intervention groups in terms of death anxiety (F=6.41, P=0.014, partial Eta2=0.101) and self-esteem (F=13.079, P=0.001, partial Eta2=0.187) of MS patients. Conclusion: Since spiritual care intervention in patients with MS reduced their death anxiety and increased their self-esteem, this simple and low-cost care program can be recommended for those suffering from this disease.

The effect of ear acupressure medicine at the “Shen Men” point on the nausea and vomiting during pregnancy

2021 ◽  
Vol 15 (5) ◽  
pp. 1774-1779
Author(s):  
Sanaz Nehbandani ◽  
Hajar Salehi ◽  
Khadije Rezaie Keikhaie ◽  
Hossein Rashki Ghalenow ◽  
Fatemeh Mirzaie ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Gestational Age ◽  
Intervention Group ◽  
Nausea And Vomiting ◽  
Control Group ◽  
Health Clinics ◽  
Significant Difference ◽  
Quasi Experimental ◽  
The Mean ◽  
The Difference

Introduction & Objective: Nausea and vomiting during pregnancy is one of the most common gastrointestinal disorders that more than 85% of pregnant women experience. However, controlling and treating this complication is still one of the most important issues in antenatal care. Therefore, the aim of this study was to investigate the effect of ear acupressure at Shen Men point on relieving nausea, vomiting and retching during pregnancy. Materials and Methods: In this quasi-experimental study, 100 pregnant women with a gestational age of less than 16 weeks attending the health clinics of Zabol city during 2019-2020 were studied in two control and intervention groups (n = 50 in each group). The samples in the intervention group were trained to apply pressure on their ears’ Shen Men point with the thumb for three minutes three times a day (morning, noon, and night), for a duration of one month. At the end of second and fourth weeks, the data were collected using the Rhodes index form and then, were analyzed by SPSS software version 22. Results: According to the results, there was no significant difference between the two groups in terms of age, gestational age, occupation and education. The difference in the mean scores of nausea, vomiting and retching was not statistically significant between the control and intervention groups before the study. But four weeks after the study, a significant difference was observed in the mean scores of vomiting, nausea and retching between the two groups, so that the mean scores of vomiting, nausea and retching were significantly lower in the intervention group than in the control group. Conclusion: The ear acupressure medicine at the Shen men point can be used as a non-invasive, safe and inexpensive method to relieve nausea, vomiting and retching during pregnancy. Keywords: Acupressure medicine, Shen Men, Vomiting, Pregnancy, Nausea, Retching, Rhodosis

Tranexamic Acid Effectiveness on the Amount of Bleeding during Surgery and Surgeon’s Satisfaction in Intertrochanteric Fracture Fixation: A Randomized Clinical Trial

2020 ◽  
Author(s):  
Morteza Saeb ◽  
Ali Mousapour ◽  
Alireza Shafiee ◽  
Seyyed Saeed Khabiri ◽  
Roya Safari-Faramani ◽  
...  
Keyword(s):  
Placebo Group ◽  
Blood Loss ◽  
Tranexamic Acid ◽  
Intertrochanteric Fracture ◽  
Intervention Group ◽  
Postoperative Blood Loss ◽  
Control Group ◽  
The Mean ◽  
The Difference ◽  
Fracture Surgery

Background: The purpose of this study was to evaluate the effect of intravenous tranexamic acid (TXA) on the blood loss volume during surgery and surgeon's satisfaction in intertrochanteric fracture surgery. Methods: A total of 62 patients with intertrochanteric fracture were involved in the study and accidentally categorized into two groups. In the control or first group, patients were medicated with placebo (age: 69.2 ± 6.1 years old) and in the second group or intervention, they received 1 g injection of TXA (age: 69.7 ± 6.4 years old). Intraoperative bleeding was measured by the amount of blood in the suction bottle and amount of gauze utilized and postoperative blood loss was measured by the amount of blood in the drain 48 hours after surgery. Also, hemoglobin (Hb) levels were compared before and after surgery. In the end, the surgeon’s satisfaction was measured by Likert scale. Results: The difference in the amount of intra-operative bleeding was significant between the groups (P < 0.050). The mean number of utilized gauze in the intervention group was meaningfully less than the placebo group (P < 0.050). The mean Hb in the control group was considerably inferior to the intervention group (P < 0.050). The respect of patients in need of transfusion in the placebo group was outstandingly superior to the intervention group (P < 0.005). Surgeon satisfaction in the intervention group was considerably greater than the control group (P < 0.050). Conclusion: The use of intravenous TXA during intertrochanteric fracture surgery can reduce hemorrhage during surgery, reduce the need for blood products, and finally improve the surgeon’s satisfaction.

scholarly journals The Effect of Emotional Disclosure by Writing on the Depression of Hemodialysis Patients in Iran: A Randomized Clinical Trial

2021 ◽  
Vol 10 (4) ◽  
pp. 223-229
Author(s):  
Fereshteh Khaleghi ◽  
Batool Pouraboli ◽  
Leila Abadian ◽  
Mahlegha Dehghan ◽  
Sakineh Miri
Keyword(s):  
Clinical Trial ◽  
Intervention Group ◽  
Psychological Problem ◽  
Routine Care ◽  
Depression Score ◽  
Emotional Disclosure ◽  
T Test ◽  
Control Group ◽  
Depression Anxiety Stress Scale ◽  
The Difference

Introduction: Depression is the most common psychological problem in patients with renal failure, and it can lead to mortality in severe cases. Effective interventions are required to promote mental health in patients on hemodialysis with various types of mental disorders. The current study aimed to evaluate the effect of emotional disclosure by writing on depression of patients on hemodialysis in Iran. Methods: This clinical trial study was carried out on 140 patients undergoing hemodialysis in hemodialysis centers of Kerman. Patients were randomly assigned into two groups of intervention and control after signing the written consent forms and completing the Depression Anxiety Stress Scale (DASS 21). The intervention group was requested to write daily the deepest emotions and intrusive thoughts within 15 to 20 minutes in four consecutive days. The control group received routine care. Then, the questionnaire was recompleted two weeks later. Finally, the data were analyzed by SPSS (version 13) using independent t-test and paired t-test. Results: The mean depression score was either moderate or high. While depression scores seemed to decrease in the intervention group after the intervention, the depression scores continued to rise following the intervention in the control group. The difference in depression scores was statistically significant between the two groups before and after the intervention. Conclusion: Emotional disclosure by writing can be effective on the level of depression in patients on hemodialysis.Simus adi omnimodipsa sam fugita dolenistiae inveles est doluptat.

scholarly journals The Effect of Cognitive-emotional Intervention on Psychological Distress in Mothers of Children with Cancer

2021 ◽  
Vol 9 (4) ◽  
Author(s):  
Arsalan Latifi ◽  
Farshid Saeedinezhad ◽  
Asadollah Keikhaei ◽  
Ghasem Miri Aliabad
Keyword(s):  
Psychological Distress ◽  
Statistical Tests ◽  
Intervention Group ◽  
Control Group ◽  
Negative Consequences ◽  
Children With Cancer ◽  
Chi Square ◽  
Psychological Distress Scale ◽  
The Mean ◽  
Distress Scale

Background: It is important to address the problems of parents of children with cancer to reduce the negative consequences, especially in mothers as primary caregivers. Objectives: The present study aimed to determine the effect of cognitive-emotional intervention on the psychological distress of mothers of children with cancer in the chemotherapy ward. Methods: This randomized clinical trial was conducted on 100 mothers of children with cancer who presented to the chemotherapy ward of the hospitals affiliated to Zahedan University of Medical Sciences in 2018. The eligible mothers were chosen conveniently and then randomly assigned to intervention and control groups. Mothers in the intervention group received five sessions of cognitive-emotional intervention, two sessions per week. Each session took about 60 to 90 minutes on average per group. Before and sixteen weeks after the end of the intervention, data were collected using the Kessler Psychological Distress scale (K-10). The data were analyzed using SPSS 21 utilizing statistical tests, including independent and paired t-tests, Chi-square, and covariance analysis. Results: Although there was no difference in the mean score of psychological distress before the intervention (P = 0.5), but the results showed that the mean score of psychological distress of mothers of children with cancer after cognitive-emotional intervention was significantly lower in the intervention group (6.16 ± 3.40) than the control group (16.84 ± 6.67) (P = 0.001). Conclusions: Cognitive-emotional intervention had a significant positive effect on reducing psychological distress in mothers of children with cancer. Such interventions are recommended for parents, especially mothers in the chemotherapy ward.

scholarly journals EFFECT OF MULTI MICRONUTRIENT SUPPLEMENTATION ON HEMOGLOBIN LEVELS IN PREGNANT WOMEN WITH ANEMIA

2017 ◽  
Vol 3 (6) ◽  
pp. 677-685
Author(s):  
Rati Purnama Sari ◽  
Noor Pramono ◽  
Sri Wahyuni ◽  
Muchlis Achsan Udji Sofro ◽  
Melyana Nurul Widyawati
Keyword(s):  
Pregnant Women ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
Micronutrient Supplementation ◽  
Before And After ◽  
Post Test ◽  
The Mean ◽  
Randomized Control ◽  
The Difference

Background: The coverage of 90 Fe tablets in Semarang in 2015 was 26.619 of 29.490 pregnant women (97%) but the incidence of anemia in pregnant women was still quite high. One important factor which influences the levels of hemoglobin is multi micronutrient.Objective: This study aims to analyze the changes in hemoglobin levels with multi micronutrient supplementation in pregnant women with anemia.Methods: A Quasy experimental study with randomized control group pre-post test design. The study samples were 40 pregnant women with gestational age of 20 ± 1 weeks divided into two groups, the intervention group (multi micronutrient supplementation) and the control group (Fe supplementation) for 6 weeks. The study was conducted from November 2016 to January 2017. The levels of hemoglobin were measured using cyanmethohemoglobin. Paired t test and independent t test were used for data analyses.Results: The mean increase in hemoglobin levels after multi micronutrient supplementation was 1.545 (1.292) g/dl, whereas the mean increase in hemoglobin levels after Fe supplementation was 0.757 (0.742) g/dl. The difference in hemoglobin levels before and after multi micronutrient supplementation was significantly different (p=0.049). Cohen’s d effect size test showed value of 0.748.Conclusion: Multi micronutrient supplementation could improve hemoglobin levels. Increase in the levels of hemoglobin with multi micronutrient supplementation was higher than Fe supplementation. 

scholarly journals Patient Discomfort and Resident Confidence After Knee Intra-articular Injection Simulation Training: A Randomized Control Trial Study

2018 ◽  
Vol 11 ◽  
pp. 117954411878290 ◽  
Author(s):  
Adae O Amoako ◽  
George GA Pujalte ◽  
Neha Kaushik ◽  
Timothy Riley
Keyword(s):  
Primary Care ◽  
Simulation Training ◽  
Intervention Group ◽  
Primary Care Providers ◽  
Comfort Level ◽  
Control Group ◽  
P Value ◽  
Care Providers ◽  
Patient Discomfort ◽  
The Mean

Teaching primary care providers how to perform musculoskeletal procedures has become increasingly important as more and more patients with orthopedic conditions present in primary care clinics. This study aims to evaluate whether targeted simulation model training in residency can increase residents’ comfort level in performing intra-articular knee injections and decrease the pain of the procedure, as reported by patients injected. Residents were randomized into intervention and control groups. The comfort level of the residents as well as the pain levels from the procedures, as reported by patients, was recorded. The mean comfort level for the intervention group was 1.2, compared with that in the control group, which was 2.13; P value was .047. The mean pain level in the intervention group was 1.8, whereas in the control group was 3.63; P value was .156. Simulation training may boost residents’ comfort level, but not necessarily decrease patient discomfort during intra-articular knee injections.

scholarly journals Design and Implementation of Educational Interventions to Empower Female Students to Prevent Osteoporosis

2019 ◽  
Author(s):  
Nader Sharifi ◽  
Farangis Sharifi
Keyword(s):  
Controlled Trial ◽  
Intervention Group ◽  
Educational Interventions ◽  
Female Students ◽  
Control Group ◽  
Significant Difference ◽  
Prevention Of Osteoporosis ◽  
The Mean ◽  
The Difference ◽  
Mean Variance

  Introduction: Osteoporosis is a chronic disease which influences the life of people considerably, especially the women. Most women are not aware that osteoporosis is preventable. Although there is a higher risk of osteoporosis in postmenopausal women, but bone loss can begin at the age of 35. This research was conducted to design and implement educational interventions to empower female students to prevent osteoporosis. Methods: This interventional study was a controlled trial. This study was conducted on female students of Shahrekord Islamic Azad University. A two-stage stratified random sampling was used for recruiting samples. The sample size was set at 150 (75 interventions and 75 controls). A demographic questionnaire and a self-made questionnaire of self-empowerment for the prevention of osteoporosis were used to collect information. Data were collected before the intervention and three months after the intervention. The educational intervention was conducted in two months with eight education sessions. For statistical analyses, the SPSS software version 23 was used. Results: The mean age of the intervention group was 20.69 ± 2.24, and the control group was 20.29 ± 2.04, besides, there was no significant difference between the two groups (P= 0.26). The test indicates a significant difference in mean variance of the intervention group compared to mean variance of the control group in knowledge (P< 0.001), attitude (P< 0.001) and self-efficacy (P= 0.006). The difference in mean variance of the intervention group compared to the mean variance of the control group was not significant in life skills (P= 0.23). Conclusion: The results generally reflect the effect of educational interventions in improving the abilities of female students to prevent osteoporosis. It is suggested to design and implement educational programs to empower women to prevent osteoporosis.   Keywords: Osteoporosis, Preventive, Knowledge, Attitude

scholarly journals The Effectiveness of Husbands' ‌Awareness of Menopausal Complications on Physical Psychological Experiences of Postmenopausal Women

2021 ◽  
Vol 31 (3) ◽  
pp. 155-164
Author(s):  
Sedigheh Shariat Moghani ◽  
◽  
Mahdieh Ebrahimzadeh ◽  
Ali Safari ◽  
Jamshid Jamali ◽  
...  
Keyword(s):  
Postmenopausal Women ◽  
Intervention Program ◽  
Psychological Symptoms ◽  
Intervention Group ◽  
Routine Care ◽  
T Test ◽  
Analysis Of Covariance ◽  
Control Group ◽  
The Mean ◽  
Psychological Experiences

Introduction: ‏ Women are subject to extensive changes during menopause. ‏Life crises such as menopause can affect women's health and is a turning point in their lives. ‏The husbands are the most important and closest people who can support their wives in this evolutionary crisis with their correct understanding of the situation. ‏Objective: ‏This study aimed to determine the effectiveness of husbands' ‏awareness of the physical and psychological experiences of postmenopausal women. Materials and Methods: ‏This randomized clinical trial study was performed on ‎150 ‏married postmenopausal women in Kashmar City, Iran, in ‎2019. ‏The husbands of the intervention group received ‎three ‏sessions ‎(60 ‏minutes) ‏of the menopause training program with one-week intervals. ‏The spouses of both groups received routine care at the health center. ‏The questionnaire of psychological and physical experiences of postmenopausal women and measuring men's awareness of menopause in both groups was completed before the intervention and one month after the intervention. ‏The collected data were analyzed using descriptive statistics and inferential statistics of the Chi-square, ‏paired t test, ‏independent t test, and analysis of covariance. Results: ‏The mean ±SD age of women in the intervention group was ‎51.13 ±2.68 ‏years, and their mean ±SD menopausal age was ‎49.09 ±2.60 years. ‏The mean ±SD score of menopausal experiences before the intervention was ‎144.99 ±38.09 ‏in the intervention group and ‎143.47 ±28.48 ‏in the control group and ‎105.53 (35.41) ‏in the intervention group, and ‎118.82 (82.21) ‏in the control group. ‏The statistical test showed that the mean score of menopausal experiences and the range of adaptation after the intervention and also between the two groups have statistically significant differences with each other (P ‎= 0.001). Conclusion: ‏Menopause has adverse physical and psychological symptoms. ‏An intervention program to increase the awareness of men during menopause reduces negative menopausal experiences in women.

Sign in / Sign up

Export Citation Format

Share Document