scholarly journals Effect of an educational rehabilitation program on prevention of falls after stroke

2020 ◽  
Vol 10 (11) ◽  
pp. 31
Author(s):  
Esmat Sayed Abd-Almageed ◽  
Asmaa Sayed Abd-Almageed ◽  
Marwa Ali Almasry ◽  
Heba Mohamed Fahmy ◽  
Ghaydaa A. Shehata

Objective: Fall is common in patient with stroke. The aim of the study was to evaluate the effect of an educational rehabilitation program on prevention of falls after stroke.Methods: Quasi-experimental design was utilized. Setting: Neurology Department and Outpatient Clinics at Neurology, Psychiatry and Neurosurgery Hospital at Assiut University. Sample: Sixty adult patients diagnosed with stroke. Patients were equally divided into two equal groups (study and control) 30 patients each. Tools: Tool I-Patient assessment sheet. Tool II-Morse Fall Scale.Results: A statistically significant improvement of circumstances and consequences of falls and decreasing the injuries due to fall (p < .01) among the study group in comparison to the control group ones where, study group showed a decrease in the number of falling episodes (2.07 ± 0.78 vs. 5.4 ± 1.73), an improve in their ability to get up independent (83% vs. 23.3%), no need for medical attention (3.3% vs. 66.7%), and no restriction to their activities after falling (0.0% vs. 56.7%).Conclusions: The educational rehabilitation program had a statistically significant effect on the improvement of circumstances and consequences of falls and decreasing the injuries due to fall among the study group than among the control group. Recommendation: Simple illustrated educational booklets should be available for stroke patients. Replication of this study on a larger sample with extending the follow-up period to 6 months is suggested.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Michał Waszczykowski ◽  
Bożena Dziankowska-Bartkowiak ◽  
Michał Podgórski ◽  
Jarosław Fabiś ◽  
Arleta Waszczykowska

AbstractThe aim of this study was to estimate the long-term results of complex and supervised rehabilitation of the hands in systemic sclerosis (SSc) patients. Fifty-one patients were enrolled in this study: 27 patients (study group) were treated with a 4-week complex, supervised rehabilitation protocol. The control group of 24 patients was prescribed a home exercise program alone. Both groups were evaluated at baseline and after 1-, 3-, 6-, and 12-months of follow-up with the Disability of the Arm, Shoulder and Hand Questionnaire (DAHS) as the primary outcome, pain (VAS—visual analog scale), Cochin Hand Function Scale (CHFS), Health Assessment Questionnaire Disability Index (HAQ-DI), Scleroderma-HAQ (SHAQ), range of motion (d-FTP—delta finger to palm, Kapandji finger opposition test) and hand grip and pinch as the secondary outcomes. Only the study group showed significant improvements in the DASH, VAS, CHFS and SHAQ after 1, 3 and 6 months of follow-up (P = 0.0001). Additionally, moderate correlations between the DASH, CHFS and SHAQ (R = 0.7203; R = 0.6788; P = 0.0001) were found. Complex, supervised rehabilitation improves hand and overall function in SSc patients up to 6 months after the treatment but not in the long term. The regular repetition of this rehabilitation program should be recommended every 3–6 months to maintain better hand and overall function.


2021 ◽  
Vol 18 (4) ◽  
Author(s):  
Razieh Eatesamipour ◽  
Khadigeh Ramazanzade Moghadam ◽  
Borzo Amirpor

Background: Since COVID-19 is a new disease with devastating effects worldwide, its emergence and spread aroused confusion, anxiety, and fear among the public. Objectives: The present study aimed to evaluate the effectiveness of paradox therapy on the COVID-19 anxiety in adult population in Jahrom, Iran. Methods: This research was a quasi-experimental study with a pretest-posttest design and a two-month follow-up. The research population encompassed all individuals willing to participate in the present study who were residing in Jahrom during 2020-2021. According to the COVID-19 Anxiety Scale, 30 participants with high levels of COVID-19 anxiety were selected using the convenience sampling method and were randomly assigned to experimental (n = 15) and control (n = 15) groups. The experimental group received eight sessions of paradox therapy; however, the control group remained on the waiting list. The research tools included structured clinical interviews and the COVID-19 Anxiety Scale. Finally, the collected data were analyzed using Friedman’s statistical method. Results: The results showed that paradox therapy was effective in decreasing COVID-19 anxiety (P = 0.001) and its psychological (P = 0.001) and physical (P = 0.002) symptoms, and the scores of the COVID-19-induced psychological and physical symptoms in the posttest phase were significantly lower in the intervention group than the control group (P < 0.001). The decrease was noticed in the follow-up phase as well. Conclusions: According to the results, paradox therapy can effectively reduce anxiety and its psychological and physical symptoms due to COVID-19.


2020 ◽  
Vol 10 (3) ◽  
pp. 1
Author(s):  
Meryem Vural-Batık

The aim of this research is to investigate the effect of the Dealing with Homophobia Psycho-Education Program on homophobia levels of psychological counselor candidates. This research was conducted with a mixed model and utilized quantitative and qualitative methods. 2 (experimental and control groups) x 3 (pre-test, post-test, follow-up) research design which is a type of quasi-experimental design was used and content analysis was applied to the data obtained via interviews. The study was conducted with a total of 24 psychological counselor candidates, 12 in the experimental group and, 12 in the control group. The Homophobia Scale was used to determine the homophobia levels of psychological counselor candidates. The Dealing with Homophobia Psycho-Education Program was developed by the researcher. In order to determine the effectiveness of the program, The Two-Way Analysis of Variance with Repeated Measures was used. As a result of the research, it was determined that the Dealing with Homophobia Psycho-Education Program is effective in decreasing the levels of homophobia of the psychological counselor candidates. Also, according to the participant&#39;s views, it was determined that the psycho-education program was effective in decreasing homophobia and caused changes in attitudes. The importance and necessity of using the program on psychological counselor education are discussed.


2018 ◽  
Vol 7 (2) ◽  
pp. 123
Author(s):  
Shymaa Helmy Ahmed Abd Alaleam ◽  
Zeinab Abd El-Latif Mohammad ◽  
Mohammed Hossam El-dien ◽  
Sahra Zaki Azer

Background: Essential hypertension is the most common cardiovascular disease (CVD), affecting about one billion individuals worldwide.Aim of the study: was to evaluate the effect of nursing teaching program on knowledge and self-management behaviors for patients with essential hypertension. Study design; quasi-experimental research design was utilized to conduct this study.Setting: The study was conducted in the internal medicine department and outpatient clinics at Assiut University Hospital.Sample: Sixty adult patients of both sexes divided equally into 2 groups study and control group (thirty for each). Tools; four tools were used for data collection; Patients, assessment sheet, Hypertension Knowledge-Level Scale (HK-LS), Hypertension Self-Management Be-havior Questionnaire (HSMBQ)” and Nursing Teaching Program. Results; the majority of the study and control groups were female (83.3%, 66.7%), married (80.0%, 86.7%), illiterate (66.7%, 60.0), and house wives (83.3%, 63.3%).Conclusion: Nursing teaching program was effective in improving patients’ knowledge and self-management behaviors. Recommenda-tions; educational program should be planned and offered to patients on regular basis. Simple booklets should be available for patients to provide them with simple explanation about the disease. 


2019 ◽  
Vol 3 (2) ◽  
pp. 1-13
Author(s):  
Dian Juliarti Bantam ◽  
Arief Fahmie ◽  
Emi Zulaifah

This reserach examined the effect of Odoo Human Capital Training (OHCT) to improve ERP-Efficacy of psychology students. The reasearch is an intervention to improve efficacy about ERP softwares. This research used classroom action research (CAR) method of quasi experimental type with nonequivalent control group with pretest and posttest design. The participants were 35 students, with 18 students assigned to experimental group and 17 students to control group. The experimental group was trained for 4-5 hours each day within two days. The ERP-Efficacy was mesured by the ERP-Efficacy Questionnaire (ERPEQ) using 3 aspect from Compeau dan Higgins (1995). The aspect are ERP magnitude, ERP strength, and ERP generalizability. The data were analyzed by using anava mixed design. The result showed there was a significant difference of ERP-Efficacy between experimental and control group for pretest, posttest and follow up observations, with a value of F = 37.25 and p = 0.000 (p0.05). These hypothesis of this research that the effect of OHCT can improve the ERP-Efficacy among psychology students were accepted.


2018 ◽  
Vol 8 (1) ◽  
pp. 01-06
Author(s):  
Leli Mulyati

Patients who got stroke should be took rehabilitation program. Furthermore, theability for life reorganization to reach optimal health level. Especially for neurologic function afterstroke attacked, for preventing disability and gain quality of their life. Nursing intervention atacute phase is important to establish for supporting reorganization of patient functions. One ofthat interventions is training the patient to do structured early mobilization. Aims of this study isto identified influenced of early mobilization against functional state of patient who got stroke.This was a descriptive study, a quasi experimental study. There were two group of study, dividedto intervention group and control group. The samples of this study were stroke patient at StrokeUnit in M.Yunus Hospital of Bengkulu with total amount 64 respondents, wich picked by consecutivesampling. Measurement of functional status using the NIHSS score, which was measuredon admission to hospital and the time the patientat discharge. The results showed an averageNIHSS scores of stroke patients on admission is 11.56, SD 5.58 (moderate stroke). Meanwhile,the average NIHSS score when out of the hospital was 8.89, SD 7.6 (moderatestroke).Mean score for improved NIHSS patient who done structured training of mobilization is4.87, SD 4.42 and score for patient who didn’t do training is 0.313, SD 4.46. After statistic testshowed that p value = 0.000 < alpha. It’s mean that there were significantly differences betweenNIHSS score for the patient who got structured early mobilization and who didn’t. Structuredearly mobilization must be establish, and it’s need collaboration from patient and family.


2021 ◽  
Vol 156 (Supplement_1) ◽  
pp. S55-S56
Author(s):  
N Yanchenko ◽  
A A George ◽  
E A Montgomery

Abstract Introduction/Objective Women with female reproductive system involvement by GISTs have an unfavorable outcome. We explored the possibility that the more aggressive behavior of GYN-GIST is related to a specific genetic alteration. Our objective was to study such tumors in a cohort of women in search of actionable genes for evolving targeted therapy. Methods/Case Report The pathology databases (2004-2020) of the participating institutions were searched for GIST with histologically proven GYN-GIST (study group). The control group consisted of women known to have high risk GIST without genital tract involvement. Patients for whom genetic testing of their GISTs and follow-up information were available were included in the study. Results (if a Case Study enter NA) Of 1082 patients with GIST, eight patients fulfilled the study group criteria. Primary sites for both groups were as follows: 5 small bowel, 1 colon, 1 rectum, 1 stomach. The mean follow-up period was 86 and 77 months (study and control, respectively, p=0.34). Favorable outcomes (disease free, stable disease) were seen in 2 and 5 women (study and Control, respectively). Unfavorable outcomes (death, progression on treatment) were seen in 6 and 3 women (study and control, respectively, p&lt;0.05). All patients had initial KIT mutation (exons 11 or 9). In addition, 4 patients from the study group (of 5 tested) had alteration in TP53. One patient without TP53 alterations is disease free. None of the neoplasms from 8 patients tested in the control group had TP53 alterations; fatal outcomes in this group were related to superimposed KIT exon 17 mutation. Conclusion Alterations in TP53 (linked to the poor outcome in a host of tumors) may be related to adverse outcome in patients GYN-GIST patients and may be a potential focus as targeted therapy evolves in those patients.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nurullah Okumuş ◽  
Neşe Demirtürk ◽  
Rıza Aytaç Çetinkaya ◽  
Rahmet Güner ◽  
İsmail Yaşar Avcı ◽  
...  

Abstract Background and objectives An effective treatment option is not yet available for SARS-CoV2, which causes the COVID-19 pandemic and whose effects are felt more and more every day. Ivermectin is among the drugs whose effectiveness in treatment has been investigated. In this study; it was aimed to investigate the presence of gene mutations that alter ivermectin metabolism and cause toxic effects in patients with severe COVID-19 pneumonia, and to evaluate the effectiveness and safety of ivermectin use in the treatment of patients without mutation. Materials and methods Patients with severe COVID19 pneumonia were included in the study, which was planned as a prospective, randomized, controlled, single-blind phase 3 study. Two groups, the study group and the control group, took part in the study. Ivermectin 200 mcg/kg/day for 5 days in the form of a solution prepared for enteral use added to the reference treatment protocol -hydroxychloroquine + favipiravir + azithromycin- of patients included in the study group. Patients in the control group were given only reference treatment with 3 other drugs without ivermectin. The presence of mutations was investigated by performing sequence analysis in the mdr1/abcab1 gene with the Sanger method in patients included in the study group according to randomization. Patients with mutations were excluded from the study and ivermectin treatment was not continued. Patients were followed for 5 days after treatment. At the end of the treatment and follow-up period, clinical response and changes in laboratory parameters were evaluated. Results A total of 66 patients, 36 in the study group and 30 in the control group were included in the study. Mutations affecting ivermectin metabolism was detected in genetic tests of six (16.7%) patients in the study group and they were excluded from the study. At the end of the 5-day follow-up period, the rate of clinical improvement was 73.3% (22/30) in the study group and was 53.3% (16/30) in the control group (p = 0.10). At the end of the study, mortality developed in 6 patients (20%) in the study group and in 9 (30%) patients in the control group (p = 0.37). At the end of the follow-up period, the average peripheral capillary oxygen saturation (SpO2) values of the study and control groups were found to be 93.5 and 93.0%, respectively. Partial pressure of oxygen (PaO2)/FiO2 ratios were determined as 236.3 ± 85.7 and 220.8 ± 127.3 in the study and control groups, respectively. While the blood lymphocyte count was higher in the study group compared to the control group (1698 ± 1438 and 1256 ± 710, respectively) at the end of the follow-up period (p = 0.24); reduction in serum C-reactive protein (CRP), ferritin and D-dimer levels was more pronounced in the study group (p = 0.02, p = 0.005 and p = 0.03, respectively). Conclusions According to the findings obtained, ivermectin can provide an increase in clinical recovery, improvement in prognostic laboratory parameters and a decrease in mortality rates even when used in patients with severe COVID-19. Consequently, ivermectin should be considered as an alternative drug that can be used in the treatment of COVID-19 disease or as an additional option to existing protocols.


2015 ◽  
Vol 9 (4) ◽  
pp. 59-64 ◽  
Author(s):  
Seyed Adnan Hosseini ◽  
Mirmahmoud Mirnasab ◽  
Hossein Salimy ◽  
Masumeh Zangiabadi

The purpose of this study was to determine the effect of assertiveness skills(AS)training on reduction of Emotional victimization in Sanandaj high school female students in iran (Academic year of 2013-14). Thus, 50 students (25 experimental, 25 control) were selected using random clustering sampling. This study was a quasi-experimental design with pretest, posttest and control group. Data was collected using Iranian form of bullying victimization scale. In an assertiveness skills training program, experimental group attended at eight 90-min sessions (one session per week), but control group never attended at any session. Data was examined using ANCOVA in SPSS. The results in  both experimental and follow-up stagesshowed that there was a significant diffrences between pretest and posttest inexperimental group. The findings were suggested that an assertiveness skillstraining program decreased students’ Emotional victimization as an effective intervention.DOI: http://dx.doi.org/10.3126/ijls.v9i4.12679


2020 ◽  
Vol 15 (5) ◽  
pp. 1053-1064
Author(s):  
Erhan Öztürk ◽  
Ajda Aylin Can

This study aims to explore the effect of music education on the acquisition of social values by preschool children. In this study, a quasi-experimental pattern model with the pretest–posttest control group is employed. The Preschool Social Values Scale is used for collecting the data. The participants of this study are 26 preschool children (the experimental and control groups contain 13 children each). Whilst the experimental group underwent 30 minutes of music training twice a week for 10 weeks, the control group pursued their preschool education. Music education with the experimental group consists of activities, where students are active and experience music. Songs containing social values were taught to children in the unity of play music and movement. At the end of the study, the scores related to the social values of the experimental group improved as compared to that of the control group. No meaningful difference was detected between the posttest and follow-up test social values’ scores.          Keywords: Music education, social values, preschool education, value education.


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