iraj mohamadzadeh

For children and their families, the diagnosis of a chronic disease can come as a mental and psychological shock.
The present study was undertaken to compare the effect of nurse-led and peer-led training methods on the stress of mothers of children with chronic illness.
A two-group, pre-test and post-test design, clinical trial was conducted on sixty mothers of children with chronic diseases. Using a permuted-blocked randomized sampling method, the subjects were equally assigned into two groups of 30 to receive either peer-led or nurse-led training. All of the mothers in the two intervention groups were responded the parenting stress index within 48–72 h after the diagnosis and hospitalization of their child and then again after the end of the training program. The mothers in each intervention group were divided into small subgroups of 2–3 and each subgroup participated in three 30 min training sessions held either by a trained peer or by a nurse. Data analysis was performed using t-test, Chi-square test, Mann-Whitney, and paired t-test.
No statistically significant difference was observed between the stress scores of peer-led group (320.29 ± 44.38) and nurse-led group (319.60 ± 41.12) before the intervention. After the implementation of the intervention programs, a greater decrease was observed in the mean stress score of the nurse group (314.48 ± 19.67), as compared to the peer group (320.5 ± 22.92). However, the difference was not statistically significant (P > 0.05).
Peer- and nurse-led training methods did not yield much different results. Therefore, it is recommended to substitute peer-led training method for nurse-led training method, due to the nurse's huge workload.

Asthma is a chronic disease reduce the level of quality of life for children. The ultimate goal of Health science is increasing the quality of life. Therefore, this study aimed to investigate the effect of self-care program on quality of life of school-age children with asthma.
This study is a quasi-experimental study. The sample were calculated 60 (test group and control group). Samples were selected from Children's Hospital of Babol city. Self care program designed in 7 steps include: Assessment and Recognition, determine the level of behavior change based on a behavior change model, setting staging table for behavior changing, Scoping and planning, Preparation necessary requirements to run the program, run the program as a group and final self care evaluation in test group And after a month quality of life of the children in both groups was measured.
The mean score of self-care before the intervention and after the intervention are 107.23 and 127.3, standard deviation (SD) before the intervention and after the intervention are 14.48 and 11.94. Before the intervention, no significant difference was observed in self-care and quality of life of the experimental group s and control group(p>0/05), but this difference was statistically significant after the intervention(p The results of this study showed that self-care programs are effective to improve the quality of life of school-age children with asthma.