Journal of Multidisciplinary Care
Volume:1 Issue: 1, 2012

Caring for patients with dementia especially Alzheimer, is the most hardship, damaging and challenging of cares that caregivers expose to it. The lack of education about it increases the problems. The aim of this study was to evaluate the effect of group discussion and telephone counselling on perceived stress of women as caregivers of patient with Alzheimer disease. In this study, 150 women who had 18-60 years old as a close relative to elderly patient with Alzheimer and at least being direct caregivers for six months, with convenience method were selected and by blocking randomization were allocated to control and experimental groups. The experimental group was participated in the group discussion and telephone counselling. Post-test was carried out six weeks after the program. The instruments for data gathering were demographic items and perceived stress Questionnaire. Independent t-test, paired t-test, Chi-square and ANOVA test were used. The study findings showed that before group discussion and telephone counselling 50.7% of samples in intervention group and 57.3% of samples in control group had high level of stress. Our results demonstrated that after the intervention, the mean of perceived stress in experimental group was decreased from 28.38±8.62 to 22.45±5.55 (p≤0.001) which shows decrease of stress. In the control group mean was increased from 29.88±8.66 to 31.92± 6.31 (p=0.009) which shows increase of stress. There were significant relationship between perceived stress and the variables of education (p= 0.03), and economic status (p= 0.01). Caregiver women of patient elders with Alzheimer disease as the main resource of informal caregivers, experience high levels of stress that this problem treats health of women and their elderly. Group discussion and telephone counselling are effective to decrease perceived stress of women as caregivers of patient with Alzheimer disease. Thus, this method of education is suggested.

An ostomy and its underlying disease can significantly diminish patient’s quality of life. The aim of this study was to assess quality of life in stoma patients and describe challenges facing these patients. In this descriptive-analytic study, 84 patients with ostomy who reffered to selected educational centers of Tehran University of Medical Sciences and Iranian Ostomy Association (IOA) were selected using a convenience sampling. Data were collected using the City of Hope Quality of Life–Ostomy Questionnaire (COH-QOL). Data was analyzed by SPSS using descriptive and analytical statistics. The mean range of life quality scores for physical (71.5), psychological (6.52.1), social (62) and spiritual (6.62) domains and overall quality of life (6.61.6) was determined. Based on patients responses; the statements of constipation (MSD=9.1 2.1), ability to remember things (MSD=8.4 2.4), having enough privacy at home for doing ostomy care (MSD=9.31.8) and having sense a reason for being alive (MSD=8.22.7) had the highest score in physical, psycological, social and spiritual dimentions of quality of life, respectively. On the other hand, the statements of “Overall physical well-being (MSD=5.93.2), difficulty of adjustment with ostomy (MSD=3.22.8), create distress (MSDSD =1.11.9) from illness in family and meeting needs from group religious activities (MSD=4.84.3) had the lowest scores in these dimentions, respectively. Findings also indicated that there was a significant relationship between overall quality of life and age, financial status, stoma status (permanent or temporary) and stoma duration (P<0.05), While overall quality of life was not associated with gender, marital status, kind and resaon of ostomy (P>0.05). This study provided useful information about quality of life and its related factors in stoma patients, and challenges facing this group as well. Using this information can be helpful to design care training programs for patient and family.

Today, leukemia that is a most common neoplasm in childhood has turned to a chronic disease from fatal one. Therefore, focus on the problems of long-term treatment in families, especially mothers who are primary caregivers, has increased. Social support and hope in mothers may play an important role in enabling mothers to manage and exposure to maternal stress experience and compatibility with existing disease. In this study, it was investigated the relationship between social support and hope to be mothers of children with leukemia. In this descriptive-analytic study, 150 people were selected consecutively mothers who came to blood center of Ali Asghar Educational –Treatment Center in Tehran during three months. Data were analyzed using k2 test، independent t- test and one-way ANNOVA test. data were gathered using social support questionnaire of Northouse and Miller hope scale. participated in this study and The age mean of mothers was 33/37 and 97/3% of them got married. Almost (50. 7%) of participants had a high level of social support and (45/3%) of them, had a high level of hope. So, there is a positive significant relation between these two parameters (p≤ o. o5, r=443%). According to the results of this study and relationship between social support and hope and importance of these variables for mothers as the most care givers groups of a Child with leukemia, it is necessary to organize for education and to increase social support and as well to be hopeful from these women which are finally effective on quality of care a child with leukemia.

Print Infants are very sensitive group of society, so special attention is needed to take care of their physical and mental health. Some studies showed that massage therapy by parents can improve life quality for infants. The aim of this study was to compare the effect of massage with sunflower oil on infant's growth. This clinical trial was conducted on 120 infants who were 10-15 days old, full-term, single, exclusively breastfed infants and with no history of hospitalization. The infants were assigned randomly into three groups of sunflower oil massage, only massage and control. Mothers administered 15 minutes of massage to their infants twice per day for 28 days. Data collection was recorded. Weight and height of infants were measured at baseline, and at the end of the first, second, third, and fourth weeks of the study. Data were analyzed using the repeated measures ANOVA. The study showed that, the mean of weight and height in all groups had assembling trend in. All groups showed a significant assembling trend in weight and height (p>0.001). There was no significant difference in all groups at the end of second week (p>0.05). At the end of third and fourth week, sunflower oil massage group had significant difference with control group weight 4393.3± 714.8, 4114.9± 657.6 and height 52.96±1.14, 52.05± 1.15. The mean of weight and height had no significant difference in other groups. Infant massage with sunflower oil could be used as an easy, effective way to enhance infants’ growt.

Hospitalization is a stressful event for children and their families. Despite of global agreement about the importance of family participation in the care of hospitalized children, its meaning remains unclear that needs to be defined according to cultural and institutional characteristics. The current study has been carried out to investigate the effect of Nurse-parent Collaboration on parent's satisfaction of chronically-ill children in hospital setting. This quasi-experimental study was performed in Pediatric Medicine Center. During a three-month period, 30 mothers of hospitalized school-aged, chronically-ill children receiving routine care were selected as control group. Then, for a second three-month period, the Nurse-Parent collaboration was introduced in practice and 25 mothers of hospitalized school-aged, chronically-ill children receiving this new care model participated in the study as intervention group. Parent’s Satisfaction with care was also evaluated before leaving the hospital on the discharge day using the prepared questionnaire by researcher. Findings showed that satisfaction level of mothers in intervention group (X= 80.24) was significantly higher than those of control group (X=20.7, P=0.000). It is concluded that Nurse-Parent Collaboration Model designed culturally-appropriate for Iranian families is a suitable model to define nurse-parent interaction in the care of hospitalized chronically-ill children at hospital to increase mothers’ satisfaction with care at hospital.

The continued use of a contraceptive method is a reliable indicator. Intrauterine contraceptive device is very safe, highly effective reversible and inexpensive family planning method which its essential feature is their long duration of action. The aim of this study was determination of affecting factors in early IUD expulsion in women who referred to health centers in Shahrekord. This cross-sectional study was performed on 182 women who referred to health centers in Shahrekord for early discontinuation of the intrauterine device (IUD). Convenience sampling was done based on the target. The data were gathered via interview and questionnaire. The data were transferred to SPSS16 software and analyzed statistically using T-test, Chi–square, One-way ANOVA, and Pearson correlation. P-value less than 0.05 was considered significant. In this study, the most important cause of early IUD expulsion was bleeding (29.2%), desire for pregnancy (26.7%), displacement of IUD (14.9%), infection (11.8%), abdominal pain (7.5%) and menstruation disorder (5.6%) respectively. There was a significant relationship between counseling before IUD insertion with side effects and use duration of this device (P=0.001 and P=0.009). The cause of choosing IUD as a contraceptive method in 83.4 Percent from Not counseled samples was No need to remind and in 76/5 Percent of counseled was for long duration of action. In this study, the most common cause for IUD removal was its side effects, but tendency to pregnancy, was the second leading cause of premature removal for IUD as well. So, It is suggested with Consulting and proper selection of candidates and education about the effects Accessories and regular examinations and treatment as soon as possible for evaluation and treatment of complications of IUD continuation rates added.

Caring for patients with dementia especially Alzheimer, is the most hardship, damaging and challenging of cares that caregivers expose to it. The lack of education about it increases the problems. The aim of this study was to evaluate the effect of group discussion and telephone counselling on perceived stress of women as caregivers of patient with Alzheimer disease. In this study, 150 women who had 18-60 years old as a close relative to elderly patient with Alzheimer and at least being direct caregivers for six months, with convenience method were selected and by blocking randomization were allocated to control and experimental groups. The experimental group was participated in the group discussion and telephone counselling. Post-test was carried out six weeks after the program. The instruments for data gathering were demographic items and perceived stress Questionnaire. Independent t-test, paired t-test, Chi-square and ANOVA test were used. The study findings showed that before group discussion and telephone counselling 50.7% of samples in intervention group and 57.3% of samples in control group had high level of stress. Our results demonstrated that after the intervention, the mean of perceived stress in experimental group was decreased from 28.38±8.62 to 22.45±5.55 (p≤0.001) which shows decrease of stress. In the control group mean was increased from 29.88±8.66 to 31.92± 6.31 (p=0.009) which shows increase of stress. There were significant relationship between perceived stress and the variables of education (p= 0.03), and economic status (p= 0.01). Caregiver women of patient elders with Alzheimer disease as the main resource of informal caregivers, experience high levels of stress that this problem treats health of women and their elderly. Group discussion and telephone counselling are effective to decrease perceived stress of women as caregivers of patient with Alzheimer disease. Thus, this method of education is suggested.

One of the most important factors that affect the success of cardio pulmonary resuscitation (CPR) is the availability of expert CPR nurses that can immediately and correctly initiate and continue the CPR. The aim of this study was to evaluate the effect of CPR training on performance of nurses in some selected hospitals of Shahrekord University of medical Sciences in 2010. This study is a quasi-experimental study that consists of all the ICU, CCU. Emergency and labour nursing staff. After they participated in a CPR workshop, their performance was assessed using a checklist and compared with their performance before the workshop. Data were analyzed using SPSS software. 89.2% participants were female. The mean age of participants was 31.29±9.4 years. Before the study, the performance score of nurses in assessing patient’s consciousness was 81.8%±11.6% and the teamwork score was 81.53% ±11.4%. Both of these scores increased to 100% after the study. The score of using oxygen mask was 42.9%±7.8% that increased 56.25% ±8.3% after the study. In all hospitals, differences between the performance scores were statistically significant before and after the study(p<0.05). Participation of nursing staff in an educational workshop can increase their knowledge and skills about CPR. It seems that is necessary to focus on practical educational programs and team working to prepare nursing staff to involve in CPR actively and correctly.