Iranian Journal Of Medical - Surgical Nursing
Volume:6 Issue: 2, Sep 2017

Cardiovascular diseases are known as the first cause of death and disability throughout the world. Evidence suggests that lifestyle is a determining factor in prognosis, progression, and recurrence of this group of disease. Therefore, it is important to consider modification of lifestyle. This study aimed to determine the effect of continuous care model on lifestyle of the patients with myocardial infarction.

This quasi-experimental study was performed on the patients with myocardial infarction referring to two hospitals in Jahrom, Iran during 2014-2015. Seventy patients were selected through convenience sampling method and were randomly assigned to the two groups of intervention and control. For the intervention group, continuous care program was performed as four stages of familiarization, sensitization, follow-up, and evaluation during six group sessions of 30-60 min for three months. The data were collected by demographic data form and Walker and Pender Health Promoting Lifestyle questionnaire before and one week after the intervention. The data were analysed by Chi-square and independent t-test using SPSS 19.

After execution of continuous care model, the mean of total lifestyle score in intervention group increased from 126.6±16.36 to 181.1±25.2. This difference was statistically significant between the two groups (P<0.001).

According to the results of present study, applying continuous care model could modify the life style. Therefore, this model is recommended as a valuable intervention for improving the lifestyle among patients with myocardial infarction.

Coping with life-threatening illnesses such as cancer leads to the comprehension of its positive outcomes along with its negative consequences. However, the exact relationship between these positive and negative outcomes in female patients with breast cancer is unknown. Therefore, this study aimed to determine the relationship between post-traumatic stress disorder and growth (PTSD and PTG) in women with breast cancer referred to Chemotherapy Ward of Ali Ibn Abi Talib Hospital in Zahedan, Iran, 2017.

This correlational study was conducted on 136 patients with breast cancer referred to the Chemotherapy Ward of Ali Ibn Abi Talib Hospital in 2017. The samples were selected through the convenience sampling method during 3 months. Data were collected using Post-traumatic Growth Inventory and PTSD Checklist. Data analysis was performed in SPSS, version 21 using descriptive statistics, Pearson’s correlation coefficient test, and linear regression.

According to the results of Pearson’s correlation coefficient, there was a significant and indirect correlation between PTG and PTSD and its dimensions (r=-0.34). Moreover, a significant and indirect relationship was observed between PTG and all dimensions of PTSD. Regarding the results of linear regression, PTSD and its dimensions determined only 16% of PTG (P=0.001).

Considering the fact that the variable of PTSD and its dimensions is a predictor of PTG in patients with breast cancer, it is recommended to pay more attention to PTSD in order to increase the PTG in these patients.

Myocardial infarction is one of the most common types of cardiac diseases. Considering the necessity of self-care in these patients, continuous care model can be an appropriate framework for sensitizing patients to accept and continue health behaviors. Therefore, this study aimed to determine the effect of home-based continuous care model on the quality of life of patients with myocardial infarction.

A semi-experimental study was conducted among MI patients who were admitted to the cardiac care units (CCUs) of Ali ibn Abi Talib and Khatamolanbia teaching hospitals in Zahedan, Iran. Sixty patients were selected through the convenience sampling method, and then they were randomly allocated to two groups of intervention and control (n=30 each). The continuous care model was implemented in four stages of orientation, sensitization, control, and evaluation over a course of five 30 to 45-minute group sessions and through phone calls (a total of four phone calls, one per week). On the other hand, subjects of the control groups received the routine care. Data were collected using a demographic characteristics checklist and the Quality of Life after Myocardial Infarction questionnaire (QLMI) designed by McNew. The questionnaire was filled out at the three stages of before and after the sensitization and after the third stage of the continuous model. Data analysis was performed in SPSS, version 20, using independent t-test, Chi-square test, and repeated measures analysis of variance (ANOVA).

We found no significant difference between the intervention and control groups regarding age, marital status, level of education, occupational status, and duration of disease diagnosis. However, the mean scores of emotional aspect (P=0.03), physical aspect (P=0.02), social aspect (P=0.01), and the total score (0.01) of quality of life significantly increased in the intervention group at the end of the sensitization stage. On the other hand, repeated measures ANOVA reflected significant changes in the quality of life score over time (P<0.001). Moreover, a significant difference was noted in the mean total score of quality of life after the sensitization stage based on time and group (P=0.01).

According to our results, the home-based continuous care model could change the quality of life of MI patients. Therefore, to promote the quality of life of MI patients, we recommend incorporating this model as a community-based approach in the health system.

Pain management in children is one of their rights and a treatment priority. This issue is considered as one of the accreditation standards in hospitals. Therefore, it is necessary to anticipate enhancement of pain management quality in hospital plans. This participatory action research (PAR) aimed to improve pain management in children under surgery.

This qualitative study was performed as a PAR. Steps of action research, including problem defining, planning, execution, and evaluation were assessed for pain management in children. The research was completed in department of pediatrics surgery, and operation room of a selected teaching hospital in Isfahan, Iran. Participants were managers, nurses, doctors, mothers, researchers, and personnel of department of pediatrics surgery and the operation room. Purposive sampling was performed until data saturation. The data were collected through participatory observation, interview, meetings, and referring to the documents of children under operation. The data were analyzed by content analysis and discussed according to lewin’s change theory.

Findings of the present study demonstrated that pain management involves three areas of assessment, intervention, and pain evaluation. These subjects manifested as six themes, namely “necessity of understanding pain management”, “change painfulness”, “continuity of pain screening and recording”, “evaluating mothers”, “change struggles”, and “progression in training programs”.

According to the results of this study, continuous management and evaluations of pain in children after surgeries seems to be necessary. It is recommended that specific training programs and specific post-operation protocols be prepared for children.

Patients with thalassemia major are faced with many physical and physiological problems, reducing the adaptation level of this population. Given the fact that the use of nursing theories, especially the adaptation model developed by Roy, play an effective role in turning incompatible behaviors into adaptive ones, this study aimed to determine the effect of Roy adaptation model on physiological adaptation in patients with thalassemia major.

This quasi-experimental study was conducted on 80 patients with thalassemia major, who referred to one of the hospitals of Zahedan, Iran, in 2015. The study population was selected through convenience sampling technique, and then randomly assigned into the intervention and control groups. The intervention group was subjected to three 60-minute sessions of care plan based on Roy adaptation model. Data collection was carried out using demographic characteristic form and Roy adaptation model assessment form before and two months after the intervention. The data were analyzed in SPSS software (version 22) using Chi-square test, as well as independent and paired t-tests.

According to the results, the mean scores of physiological adaptation in the intervention and control groups were 89.53±13.8 and 88.73±13.4, respectively, before the intervention. However, these mean scores increased to 100.1±15.2 and changed to 88.68±12.6 in the intervention (P<0.001) and control (P=0.79) groups after the intervention, respectively. There was a significant difference between the study groups in terms of the mean adaptation score (P=0.001).

As the findings of this study indicated, the care plan based on Roy adaptation model could promote the level of physiological adaptation of patients. Therefore, this model can be used to improve the physiological adaptation of the patients with thalassemia major