Jundishapur Journal of Chronic Disease Care
Volume:8 Issue: 2, Apr 2019

 Telenursing is considered as a part of telemedicine, and based on the definition, the nurses managing the health needs of the patients is all done by information and communications technology. We searched from SID, Magiran, Irandoc, as well as the international banks Web of Sciences, Scopus, PubMed, Science Direct, Cochrane, Embase, Online Library Wiley, Ebsco, CINHAL, and the Google Scholar search engines. Moreover, manual search was performed for more papers. All internal and external published articles were searched on all databases and reference sites. After searching 250 papers, including 178 English papers and 72 Persian papers, 15 papers that fully matched the subject remained, with eight being Persian papers and 7 English. From the 15 studies examined, one study had selected its patients from among the ones with a heart valve replacement surgery, seven studies had examined the effect of telenursing on diabetes control, and three cancer patients who targeted two patients with breast cancer and one patient with lung cancer. Among the studies examined, one study examined the effect of telenursing on self-confidence among patients with chronic lung blockage and one studied the effect of telenursing on self-efficacy in elderly with hypertension. All studies dealt with nursing interventions, such as training and empowerment as well as follow-up programs on the telephone or mobile and in one case, use of video call, with no medical care provided to the patients. Examining the studies shows that telenursing has been effective in changing the symptoms related to the patients’ health. Hence, telenursing technology can be used in clinical areas to enhance mental health and education as well as promote self-care behaviors. Telenursing is an effective method in nursing performances, such as educational, clinical, psychological, and economical aspects.

Breast cancer is a horrific event for many women, creating psychological and social challenges. Therefore, identifying the moderators of these challenges, including happiness, is of paramount importance. This study aimed to evaluate the happiness level in breast cancer patients referring to the hospitals in Ahvaz, Iran, in 2015 - 2016. This cross-sectional study was carried out on 118 breast cancer women who referred to the hospitals in Ahvaz. A non-probability consecutive sampling method was used to select the participants. The Oxford Happiness Questionnaire was used for data collection. The mean happiness score of the participants was 40.45 ± 16.20, and most participants (56.8%) had a moderate happiness level. There were no significant associations between demographic data and therapeutic characteristics and the happiness level of the subjects (P > 0.05). According to the results, the majority of the subjects had a moderate level of happiness. Given the importance of mental health of cancer patients in the whole treatment process, it is suggested that some concepts of positive psychology, including happiness, be evaluated and considered during the treatment process of these patients.

Hypertension is a health problem in all communities. Studies show an increasing number of people with this disorder and therefore, the number of people with this disease has been naturally increased. By confirming all problems and weaknesses of available therapies, there are raised psychological approaches of the third wave, including acceptance and commitment-based treatment that increases psychological flexibility and health-based behaviors of people through accepting and using awareness-based strategies along with commitment and behavioral change strategies. The present research aimed to evaluate the effectiveness of acceptance and commitment therapy (ACT) on hypertension and cognitive emotion regulation in hypertensive patients in Ahvaz. The present research project was a semi-experimental design with a pre-test and post-test design with control group. There were 30 individuals that were selected with the entry criteria; then, they were randomly divided into experiment and control groups using sampling method (every group included 15 people). The sampling was taken during six months. After taking the informed consent, the intervention group was treated in 12, 90 minute sessions using acceptance and commitment therapy. cognitive emotional regulation questionnaire (CERQ) and Alpine K2 standard mercury esfigmomanometro were used to measure blood pressure and regulate cognitive emotion. Data were analyzed using multivariate covariance (MANCOVA) method. The results indicate that there is a significant difference in hypertension and cognitive emotion regulation between the experimental and control groups in the post-test phase (P < 0.05).</p><p> As a relatively short-term, cost-effective, safe, and empirical approach, acceptance and commitment therapy can be helpful in improving hypertension and regulating cognitive emotion. In this treatment method, it helps the patient examine and weaken his previous ineffective methods in relation to his or her illness. Therefore, it is recommended to apply this therapeutic approach to treat hypertension and increase cognitive emotion regulation. Furthermore, it is proposed that health authorities of the country pay more attention to the disease in order to minimize its complications in society.

Osteoporosis, as an important public health problem, is associated with cigarette smoking. The present study aimed to evaluate the impact of 3 months supervised aerobic training program on C-terminal telopeptide of type 1 collagen (CTX) as a marker of bone resorption in male smokers. In this semi-experimental study, thirty-two sedentary adult male smokers (Winter 2016, Saveh, Iran) aged 42 ± 7 years were randomly assigned to exercise group (3 months aerobic training, 3 times/weekly at 60% - 75% of maximum heart rate, n = 16) or control group (no training, n = 16). Serum calcium, CTX and anthropometrical markers at before and after training were determined in exercise and control subjects. The statistical significance of the changes was evaluated by Student’s t-test. The changes less than 0.05 were considered statistically significant. A significant decrease was observed in anthropometrical markers by aerobic training in the exercise group (P < 0.05). No significant changes were observed for serum calcium (P = 0.126) and CTX (P = 0.835) after aerobic intervention compared with baseline levels. No significant changes were observed in all variables in the control group (P ≥ 0.05). These data suggest that aerobic training with mentioned details cannot improve bone resorption with emphasis on CTX in male smokers. To achieve a better conclusion, it is necessary to assess the indicative markers of both bone resorption and formation in response to exercise.

Non-alcoholic fatty liver disease (NFALD) is a disease associated with metabolic syndrome. The purpose of the present study is to investigate the effect of a resistance training course on interleukin-17 (IL-17) levels, 70 kDa thermal shock protein (HSP70), insulin resistance, serum levels of alanine aminotransferase (ALT), and aspartate aminotransferase (AST) in obese men with NFALD. In this semi-experimental study, 30 obese men with NFALD were selected through targeted sampling and they were randomly divided into one of two groups of intervention group (age = 41.28 ± 3.88 y, body mass index (BMI) = 33.92 ± 1.30 kg/m2) and control group (age = 42.90 ± 4.20 y, BMI = 32.86 ± 1.07 kg/m2). The training program included 12 weeks of resistive training and 3 training sessions per week. Before eating breakfast, blood samples were collected one day before the start of the training and 3 days after the last training session. The t-test was used for statistical analysis (P ≤ 0.05). After the training course, a significant decrease was observed in body weight compared with the control group (P = 0.016), BMI (P = 0.015), body fat percentage (P = 0.009), insulin resistance (P < 0.001), HSP70 (P = 0.001), IL-17 (P = 0.001), and serum levels of ALT (P = 0.004) and AST (P = 0.032). It seems that resistance training has an effective role in improving the liver function in patients with NFALD by reducing insulin resistance and the levels of inflammatory cytokines, this method of resistance training may be useful in the treatment of these patients.

Multiple sclerosis (MS) is a disabling neurological disorder, which in addition to neuro-motor disorders, accompanies a variety of symptoms, such as anxiety, asthenia, and reduced levels of problem-solving, and leads to a number of physical and mental disorders. This is while rumination is among psychological problems that can negatively affect MS patients’ mental health. Rumination is known as a permanent engagement in a thought or an issue and is categorized as a conscious thought focused on a specific topic. This study aimed at investigating the effectiveness of mindfulness-based stress reduction group therapy in rumination among MS patients. This quasi-experimental study was followed by a pretest, post-test, and follow-up design with a control group. The current study had a statistical population including all patients with MS, who referred to Sistan and Baluchestan MS Community from December 2016 to February 2017. Among them, 30 patients were selected as the sample using the convenience sampling method and were randomly assigned to a control group and an experimental group (each including 15 patients). Eight 60-minute sessions of mindfulness-based stress reduction group therapy were conducted on the experimental group. A post-test was carried out after completing all sessions and a follow-up was performed a month later. Yousefi rumination scale was used as the data collection tool. An analysis of covariance was applied to analyze the obtained data. The results indicated that mindfulness-based stress reduction group therapy reduced rumination in patients with MS in the post-test and follow-up (P < 0.05). Authorities are recommended to apply the mindfulness-based stress reduction group therapy to improve rumination among patients with chronic diseases.

Multiple sclerosis (MS) is a chronic and autoimmune disease, which the prevalence of it is increasing every day. This disease not only have destructive effects on people’s physical health but also influences their mental health. In this regard, special attention should be paid to this disease, its incidence factors, its therapeutic approaches, and reducing its detrimental effects. This study aimed to perform a comparative study of emotional regulation, quality of life, and resilience in patients with MS and healthy subjects. This correlational study followed by a causal-comparative design. The current study had a sample population consisting of 100 individuals (50 patients with MS and 50 healthy subjects) were selected using a convenient sampling method. To collect data, Ibanez et al. Emotional self-regulation inventory, Ware and Sherbourne quality of life questionnaire, and Connor and Davidson resilience scale were used. Data were analyzed using a Pearson correlation coefficient and a stepwise regression analysis. Regarding emotional regulation, quality of life, and resilience, the results of a MANOVA and a t-test showed that there were statistically significant differences between the patients with MS and healthy subjects (P < 0.05). Given the results which indicated the differences in emotional regulation, quality of life, and resilience between the MS patients and healthy subjects; paying attention to these aspects of MS patients’ lives and trying to improve them are highly recommended.

The quality of reporting the interventional studies is related to their usefulness. The reporting guidelines are effective tools in this field. The current study aimed at assessing the quality of reported experimental studies published in the Jundishapur Journal of Chronic Disease Care. In the current descriptive, cross sectional study, 66 randomized (RCT) and nonrandomized clinical trials were evaluated by CONSORT and TREND checklists. These articles were published from July 2012 to July 2018. The study identified 43 RCTs and 23 nonrandomized trials. The percentage of adherence to both checklists was more than 50% since 2014 but no article met all criteria of the CONSORT and TREND statements. The quality of reporting improved during the time, but it was not at the optimum level. It seems that placing a link for these guidelines is helpful, although the checklist link has already been placed on the home page of JJCDC since 2014. Therefore, persuading the authors and reviewer to benefit from them can be helpful.