EFFECTIVENESS OF DISCHARGING PLAN ON SELF-CARE BEHAVIORS OF PATIENTS AFTER CORONARY ARTERY BYPASS SURGERY

ABSTRACT This study aimed to determine the effectiveness of applying discharge on self-care reports among patients undergone to coronary artery bypass surgery. In this clinical trial study 80 patients who undergone coronary artery bypass surgery randomized in two control and experimental groups. The control group received only usual care and in the experimental group discharging plan administered including: 5 educational sessions-providing manual at discharge time and follow up with ten times phone contact with patients after discharge. The self-care questionnaire administered pre-post, 2 weeks and two months after an educational intervention among patients of both experimental and control groups. The Chi square statistic was used to compare background variables such as gender and marital status. The t-test was also used to compare continuous data eg.Age.Finally the repeated measure analysis of variance was used to compare self-care scores of the groups. The results showed there was not a significant difference between two groups before the intervention. But there was a significant difference in self-care behaviour reports between experimental and control group after the discharge plan intervention (P= 0/0001). Administration of discharging plan is an effective method for enhancement of self-carebehaviours in patients after coronary bypass surgery which suggesting as a potentially critical program to administer in the whole country. Keywords: Discharge Program, Self Care Behaviors, Coronary Bypass Surgery INTRODUCTION Regarding high prevalence of coronary artery diseases and consequently the coronary artery bypass graft, there are not deserved publish studies in number, andthe effects of releasing a program on self-care behaviours. Thus, administration of discharging plan is an effective method for enhancement of self-care behaviours in patients after coronary bypass surgery which suggesting as a potentially critical program to administer in the whole country. Heart diseases are one of the most important causes of death and disabilities in the worldwidewhich is associated with the physical, mental and self-care capabilities and imposes a heavy cost for patients, care givers and the societ

Assessment of the Relation between Students\' Gender and Their Scores on Selecting Confidence Choices in Confidence-Based Exams

Introduction: There are various ways such as confidence-based exams to eliminate lucky guesses on a multiple choice question test. In this study the relation between students’ gender and their score on selecting confidence choices in confidence based exams was assessed. Methods: This was a descriptive retrospective study. It was done on all of the medical students taking Biochemistry course during 2007-2010 in Kurdistan University of Medical Sciences. Data was extracted from files of end-semester confidence based course exams. Finally, the data were analyzed using SPSS and the specified software for confidence-based exam analysis. Results: Mean of the students' confidence level was higher in female students than male ones. Comparisons of confidence level mean in both genders were different and this difference was significant (p=0.047). Conclusion: Results of this study showed that female students answer to confidence based questions with higher confidence than male ones, and this can be because of the different psychological characteristics of the genders

Factors Affecting for Lifestyle Adoption in Patients with Myocardial Infarction

Abstract Background Epidemiological transition of acute and infectious diseases to non-communicable ones, aging population, together with rapid lifestyle changes all have given rise to prevalence rate of cardiovascular diseases (CVDs). Thus, it is of utmost importance to reflect on lifestyles especially in this period. The main purpose of this study was to assess lifestyle in patients affected with myocardial infarction (MI). Methods This cross-sectional study was examining health-related lifestyle behaviors in patients with MI in 2019. To this end, a total number of 176 patients were selected using purposive and convenience sampling methods. The research instrument was also the Health-Promoting Lifestyle Profile II (HPLP-II) as a standardized self-report questionnaire. To analyze the data, the IBM SPSS Statistics software (version 22) software and the generalized linear models were used. Moreover, the level of significance was set at 0.05 in this study. Results The results of Wilks’ lambda distribution revealed that the effect of gender on the linear combination of the dependent variable (i.e. lifestyle) was significant and 11.4% of changes in this variable had resulted from variation in gender. Besides, the results demonstrated that health responsibility scores in men were on average 2.703 lower than those obtained by women. This relationship was also significant and its effect size was by 3.3% (p = 0.016). Conclusions and recommendations: It was concluded that the concept of lifestyle can be an analysis tool to better understand differences between genders, as an effective variable in adopting a healthy lifestyle, especially in patients suffering from MI.</jats:p

Psychosocial needs of families of intensive care patients: Perceptions of nurses and families

Background: Admission to an intensive care unit (ICU) is not only stressful to the patients but the patients' family members. Families are believed not to receive their required attention because their needs are incorrectly and inaccurately evaluated by the health care team. Therefore, the present study aimed to examine the perceptions of ICU nurses and families regarding the psychosocial needs of families of intensive care patients. Materials and Methods: This descriptive-analytical study was conducted on a randomly selected population of 80 nurses and 80 family members of ICU patients. Data were collected using a two-part questionnaire containing sociodemographic characteristics and the Critical Care Family Need Inventory (CCFNI). Results: The rank order of the five most important CCFNI item needs identified by families were as follows: “To feel that the hospital personnel care about the patient”, “to be assured that the best care possible is being given to the patient”, “to have questions answered honestly”, “to know specific facts concerning patient's progress”, and “to be called at home about changes in the patient's condition.” The top five CCFNI item needs identified by nurses were in the following order: “To be assured that the best care possible is being given to the patient”, “to be told about transfer plans while they are being made”, “to feel that the hospital personnel care about the patient”, “to have questions answered honestly”, and “to know specific facts concerning patient's progress.” Conclusion: The present study showed there are similarities and dissimilarities between nurses and family members in their perceived importance of some family needs in the ICU. It can thus be inferred from our results that the participating nurses misestimated the needs of family members, attested by their wrong estimation of the most need statements

Physiological and psychosocial stressors among hemodialysis patients in educational hospitals of northern Iran

BACKGROUND AND AIMS: The hemodialysis (HD) patients are experiencing high biopsychosocial stress on all levels. Therefore, this study was designed to survey on physiologic and psychosocial stressors among HD patients in two educational hospitals of Northern Iran. MATERIALS AND METHODS: This cross-sectional study included 80 HD patients who were referred to Khomeini and Fatemeh Zahra hospitals in Mazandaran (Northern Iran) during the year 2011. Data were collected using a demographic information record sheet and Baldree Hemodialysis Stress Scale. FINDING: The following physiologic stressors were noted: Fatigue (51.25%), limited time and places for enjoyment (46.25%), and physical activation limitation (32.5%). Similarly the following psychosocial stressors were observed: Fistula (58.75%), limitation of drinking water (47.5%), low quality of life (47.5%), travelling difficulties to the dialysis center (45%), treatment cost (41.5%), and low life expectancy. The stress level was high in women who were married, younger, less dialysis vintage, and belonged to a low education level. CONCLUSION: This study reports that HD patients have with significant physical and psychosocial problems and they need education, family, and social supports

CYP1B1 Mutation Profile of Iranian Primary Congenital Glaucoma Patients and Associated Haplotypes

The mutation spectrum of CYP1B1 among 104 primary congenital glaucoma patients of the genetically heterogeneous Iranian population was investigated by sequencing. We also determined intragenic single nucleotide polymorphism (SNP) haplotypes associated with the mutations and compared these with haplotypes of other populations. Finally, the frequency distribution of the haplotypes was compared among primary congenital glaucoma patients with and without CYP1B1 mutations and normal controls. Genotype classification of six high-frequency SNPs was performed using the PHASE 2.0 software. CYP1B1 mutations in the Iranian patients were very heterogeneous. Nineteen nonconservative mutations associated with disease, and 10 variations not associated with disease were identified. Ten mutations and three variations not associated with disease were novel. The 13 novel variations make a notable contribution to the ∼70 known variations in the gene. CYP1B1 mutations were identified in 70% of the patients. The four most common mutations were G61E, R368H, R390H, and R469W, which together constituted 76.2% of the CYP1B1 mutated alleles found. Six unique core SNP haplotypes were identified, four of which were common to the patients with and without CYP1B1 mutations and controls studied. Three SNP blocks determined the haplotypes. Comparison of haplotypes with those of other populations suggests a common origin for many of the mutations