Jundishapur Journal of Chronic Disease Care
Volume:3 Issue: 2, Apr 2014

Migraine has a collection of symptoms characterized by recurrent and severe headaches. Complementary methods can reduce the use of analgesics and might be effective in reducing pain in patients waiting for analgesics. The purpose of this study was to determine the effect of wet-cupping on patients within 20 to 60 years of age diagnosed with migraine headaches. This study was carried out before and after clinical trial; the samples were 47 patients diagnosed with migraine headaches. Inclusion criteria consisted of a confirmed diagnosis of migraine and all the patients had to be 20 years old or above. The pain severity was evaluated twice; at the beginning and after 14 days following two sessions of wet cupping with an interval of 2 weeks. The visual pain scale was evaluated in the patients.Data were analyzed by paired t-test and Fisher''s exact test using SPSS, version 17, the acceptable criterion was chosen as below 0.05. The means for pain intensity at the beginning and the end of the study were significantly decreased (P=0.001). In most patients pain was intolerable before wet-cupping (averagely 7.79%), however, after the first (53.1%) and second (48.9%) sessions of wet-cupping, pain respectively lessened (3.15%). There was no statistically significant correlation between pain, educational level, marital status, or employment in the statistics from the beginning to the end of the study. The mean of pain reduction in women was more than in men, but the difference was not significant. Findings of the research indicates that using wet-cupping as a complementary method can influence the intensity of migraine pains. Due to the free count use of complementary medicine techniques, training competent qualified persons to provide services in traditional and complementary medicine is necessary. Yet further studies on larger number of patients are suggested by the results of this pilot study as the researchers commented.

Post partum psychosis is seen in women who have just given birth. This disorder has destructive effects on mother-child and couple relationships. The current study explores the frequency and risk factors of post partum psychosis during a 10 years period in Golestan Hospital in Ahvaz, Iran. The current study is a cross-sectional study. Study environment was psychiatric ward of Golestan hospital in Ahvaz. Sampling was done by census using patient’s medical records. Eleven cases were diagnosed with postpartum psychosis from 2002 to 2012. Inclusion criteria were: being married and being in reproductive age (15-35). The data were analyzed using descriptive statistics. The mean age of mothers was 22.09. 72.7% of the patients were residents of the city. 72.7% had vaginal delivery and 27.3% had cesarean-section. In 63.7% of cases, the onset of disorder was after first child birth and in 45.4% of women; the onset of this illness was three weeks after delivery. Most of women got married and had their first child at age less than 20. Most patients had medium economic situation. Discussion and This study showed that marriage age, low economic situation, newborn''s sex may be risk factors for postpartum psychosis. Further studies with larger sample size are needed to confirm these results.

Health promotion activities can improve both, physical and spiritual health. Due to the effect of these behaviors on the quality of life in patients with chronic diseases, the aim of this study was to investigate these behaviors in diabetic patients. This is a descriptive study of the state of health promotion and demographic affecting factors, in 152 patients with type 2 diabetes which by using a standard questionnaire HPLP2 – that it''s validity and reliability were approved-was done. The data were analyzed by using descriptive statistical tests. The average age was 57 years, 64% female, 36% male and 84/8 percent were married. Within the behaviors of health promotion, spiritual and developmental growth, and interpersonal relationships, respectively, with an average of 2/54 and 2/47 had the highest score, and physical activity and responsibility for health, respectively, with 1/78 and 2/3, had the lowest score, stress management and nutrition score were less than average. No statistically significant relationship between the practice of health promotion and gender, education, marital status, disease control methods was considered, but a statistically significant relationship with smoking status, job status and age of patients, was found (P<0/05). Health promotion life style behaviors of samples are undesirable. It seems that in order to change the lifestyle and health behaviors of diabetic patients, more training is needed.

Health promotion activities can improve both, physical and spiritual health. Due to the effect of these behaviors on the quality of life in patients with chronic diseases, the aim of this study was to investigate these behaviors in diabetic patients. This is a descriptive study of the state of health promotion and demographic affecting factors, in 152 patients with type 2 diabetes which by using a standard questionnaire HPLPΙΙ(Health Promoting Lifestyle Profile ΙΙ) – that it''s validity and reliability were approved-was done. The data were analyzed by using descriptive statistical tests. The average age was 57 years, 64% female, 36% male and 84.8 percent were married. Within the behaviors of health promotion, spiritual and developmental growth, and interpersonal relationships, respectively, with an average of 2.54 and 2.47 had the highest score, and physical activity and responsibility for health, respectively, with 1.78 and 2.3, had the lowest score, stress management and nutrition score were less than average. No statistically significant relationship between the practice of health promotion and gender, education, marital status, disease control methods was considered, but a statistically significant relationship with smoking status, job status and age of patients, was found (p<0.05). Health promotion life style behaviors of samples are undesirable. It seems that in order to change the lifestyle and health behaviors of diabetic patients, more training is needed.

Multiple sclerosis is a chronic and autoimmune disorder that imposes many direct and indirect costs on patients. Costs are affected by clinical and nonclinical factors. The aim of this study is to revise the impact of clinical and nonclinical factors on expenses of multiple sclerosis. This study is cross sectional in nature. In this study after considering the exclusion criteria, 332 patients were studied in Khuzestan Province in 2012. Data were gathered through questionnaire during a 3-month period. Data were analyzed by SPSS.18 through statistics tests: x^2, Coefficient correlation and ANOVA. The results showed that 70.5 percent of patients were female. Mean of disease duration was 3.3±2.1 year. 30 percent of patients had inpatient record in hospital. Clinical forms of patients were: 92.1 percent RR, 3.6 percent SP and 3.3 percent PP. approximately 21.1percent of costs were due to transportation services (Rial 607712 per patient per month) and 22 percent of costs were due to medications (Rial 631605 per patient per month) that the largest share was assigned to them. In this study, gender of the patients and disability stages had a substantial correlation. Findings of current study showed that clinical and nonclinical factors had impact on costs of Multiple Sclerosis.

Hysterectomy is one the most common non-obstetric surgery. The uterus is considered as one of the most important female reproductive organs that attribute exclusively the significant part of women’s self imagination and her own sexuality. Fear of losing attractiveness in women break please to hysterectomy surgery, although some of them are suffering from an illness for several years. As in our society there hasn’t been any research on women’s mental imagination whom undergone hysterectomy from her own body, so far. Therefore existing survey was designed and performed. A descriptive study was conducted on 50 women who had experienced hysterectomy surgery in Ganjavian Hospital, Dezfol district. This research is based on random sampling. The Body image scale (BSI) questionnaire and self-made demographic data questionnaire were used to collect data. Based on the results of the demographic data, the M±SD of age in women are 43.12 ± 41.4, 28 percent were illiterate, 30 percent elementary school, 18 percent primary level, 10 percent high school, 10 percent diploma degree, As well as 4 percent post graduate degree. In variable job view, 76 percent were house hold, 16 percent staff and 18 percent with private job. In economic perspective, 72 percent expressed that they have good economic condition. Their average delivery rates were 3.7 and the average length of marriage was 17.78. The M±SD on mental imagination in women undergone hysterectomy surgery were 7.12 ± 2.35 and this demonstrate that women From which demonstrated good mental image about themselves in post hysterectomy surgery period. According to results of this study the women had positive mental imagination after hysterectomy surgery and the surgery didn''t have negative effect on their subjective self images.

The human life span has different phases, the final stage of which is old age, is not itself a disease, but elderly people are more liable to chronic illnesses than young people. Many chronic diseases affect all aspects of the elderly life and this indicates the need for the continuous or periodic changes in the physical,occupational and social activities. This research aimed to study the elderly life experiences as potential conditions for reducing risk factors of chronic diseases. This study applied phenomenology method. The purposive sampling was conducted among those elderly came to the parks to spend their spare time and they interviewed deeply. The data was analyzed through Colaizzi method. The interviews were analyzed and the related concepts were extracted as the initial codes that were classified in to 5 themes including: leisure time, spending time, freshness, peace of mind and memories. Of primary concern are age-associated changes and the presence of multiple chronic diseases. Moreover, the healthy life style in an ageing period requires increasing the expertise and attention of all chairmen and planners especially in the public education field. This study showed that everydayactivities oftheelderlyisa strollinthe parktohelpthem to preventchronicdiseases.

Re-hospitalization is one of the challenges and basic problems among patients with severe mental disorders. Considering the limitations of the performed studies in Iran about the process and reasons of re-hospitalization in patients with severe mental disorders in the psychiatric ward, this qualitative study was conducted with the aim of “explore of the process of re-hospitalization in patients with severe and persistent mental disorders from the viewpoint of the nurses in psychiatric ward”. This qualitative study was conducted with the participation of 14 nurses working in the psychiatric hospitals of Ahvaz city (south Iran) in the years 2011-2012, who were selected via purposive sampling. Semi-structured interviews were used for data collection, which were continued until achieving data saturation and emerging themes. Inductive content analysis was used to analyze the data. The main concept that emerged from this study is “discontinuity of care process” that can be described in three sub-categories: 1-Drug disruption at home, 2- Family status as the relapse factor, and 3- Deficient therapeutic system. Each of these themes has subgroups, too. The process of caring for the patients with severe mental disorders, is a permanent, unit and holistic. Therefore, programming for follow-up patients into their families and social networks is essential factor in this process. It was revealed that treatment and care of the patients with chronic mental disorder could be very effective after release.