Zahra Poshtchaman; Maryam Jadid Milani; Forozan Atashzadeh Shorideh; Alireza Akbarzadeh Baghban
Volume 22, Issue 4 , September and October 2015, , Pages 668-675
Abstract
Background and aims: The increasing of heart disease, high rate of hospitalization due to the disease and also the high cost of treatment and care, has caused that important challenge facing the health system in the present century. Therefore, heart disease prevention and successful treatment is essential ...
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Background and aims: The increasing of heart disease, high rate of hospitalization due to the disease and also the high cost of treatment and care, has caused that important challenge facing the health system in the present century. Therefore, heart disease prevention and successful treatment is essential This is possible only with the patients’ active involvement in treatment and to implement the recommendations of the health care team which this is mentioned as treatment adherence. The present study conducted to determine the status of treatment adherence in patients after coronary artery bypass graft in Tehran in 2014 Material and Methods: This cross-sectional study was conducted on 70 patients undergoing coronary artery bypass graft in Tehran. Needed data were collected via demographic checklist and treatment adherence questionnaire that were completed by patients in five days after coronary artery bypass surgery and before discharge. For data analysis, descriptive statistics, Pearson coloration and Chi square were used. Results: The mean score of treatment adherence was 59.36± 8.08. Among subscales, maximum score was for Combining treatment with life (68/06± 19/34) and minimum score was dedicated to planning in performance of treatment (44.52± 25.62). There was a significant correlation between all subscales of treatment adherence instrument (p=0/0001) except for concern to treatment and planning in performance of treatment and also participate in treatment with commitment to treatment that there was observed no significant relationship. Conclusion: The results showed that Treatment coordination with living conditions and social support from family and friends is associated with better adherence in patients undergoing coronary artery bypass graft. There is suggested that adherence to treatment consider as an educational program in nursing care of these patients.
Saeed Asgari; Farid Zareiy; Alireza Akbarzadeh Baghban; Mehdi Safari
Volume 18, Issue 3 , September and October 2011, , Pages 166-171
Abstract
Background and Purpose: Microbial، physical and chemical irritants may lead to dental pulp inflammation. For irreversible pulpitis، root canal therapy is the only option. In these situations، vital pulp therapy is usually uncomplicated and inexpensive. The main aim of the present study was comparing ...
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Background and Purpose: Microbial، physical and chemical irritants may lead to dental pulp inflammation. For irreversible pulpitis، root canal therapy is the only option. In these situations، vital pulp therapy is usually uncomplicated and inexpensive. The main aim of the present study was comparing three different treatments of dental pulp inflammation، including root canal therapy and pulpotomy. Since there were missing data in the 6 and 12 months follow-ups، the missing mechanism was considered in data analysis process. Methods and Materials: In this clinical trial، 615 patients were randomly allocated into three arms: RCT (n=203)، pulpotomy with CEM cement (n=205)، and with MTA (n=207). The presence of periapical lesion in the baseline، 6th and 12th month was assessed radiographically. After evaluating the mechanism of the missing data، weighted generalized estimating equations (WGEE) methodology was utilized for the analysis of data. To do this، the SAS software، version 9.1 was used. Results: The success rate of pulpotomy with MTA in 6 and 12 months follow-up was 96% and 95%، respectively. These rates were 92% and 93% for pulpotomy with CEM. Additionally، the success rate of root canal therapy was 78% and 82% in the above mentioned follow-up periods respectively، which indicate the significant superiority of pulpotomy with MTA and CEM over RCT (P