Raha Saleh Abadi; Farahnaz Mohammadi Shahboulaghi; Marjan Vejdani; Masoud Fallahi Khoshknab; Ahmad Delbari
Volume 24, Issue 6 , March and April 2018, , Pages 29-35
Abstract
Background & Objectives: Visual acuity has an important role in the elderly’s communication with the environment. Cataract is a major cause of reduced visual acuity in the elderly, which can be treated only through surgery. Like in any other surgery, the elderly who should undergo cataract ...
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Background & Objectives: Visual acuity has an important role in the elderly’s communication with the environment. Cataract is a major cause of reduced visual acuity in the elderly, which can be treated only through surgery. Like in any other surgery, the elderly who should undergo cataract surgery experience a lot of anxiety. Relaxation techniques are of the procedures that can lead to stress reduction and create comfort and relaxated people. Therefore, the present study was conducted to determine the effect of guided imagery on pre-operation anxiety and hemodynamic factors in the elderly undergoing cataract surgery.
Materials & Methods: The present randomized clinical trial recruited 50 elderly patients undergoing cataract surgery who met the inclusion criteria in the period of August to December 2014 through purposive sampling from patients at Vasei Hospital in Sabzevar, Iran, and randomly assigned them to the case and control groups. The control group received routine care and the case group received guided imagery using an audio file. Spielberger’s anxiety inventory and checklist of physiological changes were used to collect data. The data were analyzed using statistical tests by SPSS 16 software at a desirable significance level, independent t tests, chi-square test, fisher exact test and ANOVA.
Result: The mean of hemodynamic factors did not significantly differ in the two groups before intervention (p>0.05), but significantly reduced systole blood pressure (p<0.001), diastole blood pressure (p<0.01) and respiration (p<0.001).
Conclusion: Guided imagery can effectively reduce physiological responses of anxiety before surgery in the elderly. Hence, it is suggested that clinical nurses and nursing students use it for better nursing services.
Mohsen Koushan; Zeynab Mollashahi; Ahmad Delbari; Mohammad Hasan Rakhshani
Volume 21, Issue 4 , September and October 2014, , Pages 569-577
Abstract
Background: loneliness is one of the most widespread complaints of elders that has serious consequences on their mental health, so present study is done in Sabzevar to examaine the effects of group reminiscence on loneliness in elders.
Materials and Methods: the present experimental study is examined ...
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Background: loneliness is one of the most widespread complaints of elders that has serious consequences on their mental health, so present study is done in Sabzevar to examaine the effects of group reminiscence on loneliness in elders.
Materials and Methods: the present experimental study is examined 73 of male elders who visited sabzevar rehabilitation clinic of elders and retirement centers. These people was selected according to input criterions and devided to interval group (36 persons) and control group (37 persons) by random. To control the effect of pretest on post test results, every group was devided into two groups, one with pretest and the other without it. First of all, loneliness was held for interval groups (8 sessions, 1 session perweek for an hour), at the end loneliness was measured in all groups and data analyzed by spss 20. Loneliness was measured by standard lonliness questionnaire. Here the statistical testes was included analyzed of variance; ANOVA, analyzed of covariance; ANCOVA, Independent Samples Test, Paired Samples Test.
Results: the mean of loneliness after intervention in groups with pretest was: interval group: 10/15 ± 1/63, control group: 13/84± 3/30 Independent Samples Test shows meaningful difference. The mean of loneliness after intervention in groups without pretest was: interval group: 12±3/09, control group: 13/56 ± 3/92 Independent Samples Test shows meaningful difference.
Conclusion: according to the present study 8 session of group reminiscence had posetive effects on reducing loneliness in.
Mohammad Esmaeeli; Anoush Azarfar; Aghilollah Keykhosravi; Mahbobeh Nematshahi; Yalda Ravanshad; Ahmad Delbari; Effat SheykhBaheddin zadeh
Volume 20, Issue 5 , March and April 2014, , Pages 597-602
Abstract
Aims: Acute kidney injury (AKI) is characterized by a reversible increase in the blood concentration of creatinine and nitrogenous waste products and by the inability of the kidney to regulate fluid and electrolyte homeostasis appropriately.
Hyperuricemia is a feature of several pathologies and requires ...
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Aims: Acute kidney injury (AKI) is characterized by a reversible increase in the blood concentration of creatinine and nitrogenous waste products and by the inability of the kidney to regulate fluid and electrolyte homeostasis appropriately.
Hyperuricemia is a feature of several pathologies and requires an appropriate and often early treatment, owing to the severe consequences that it may cause. A rapid and massive raise of uric acid, mainly damage the kidney.. Rasburicase, compared to allopurinol, results in more rapid reduction of uric acid and prevent its accumulation in patients with hematologic malignancy with hyperuricemia and AKI.
Methods: We evaluated the efficacy of rasburicase (0.15 mg/kg) administered as single dose in 15 patient with AKI in sheikh hospital, Mashhad University of medical Sciences. Beside conventional therapy, infusion of Rasburicase in 50cc normal saline in30 minute intravenously was done and all adverse reaction was treated.
Before injection of Rasburicase and 1st, 3nd and 7rd day after it urea, creatinine, uric acid and urine output were determined and compared.
Results: Within first 24 hour, the levels of serum uric acid in all patients decreased dramatically. there was a significant improvement in estimated GFR and urine output. Urea and creatinine level decreased from Day 0 to Day 7 but there was no difference between creatinine before treatment and 1st day.
Conclusion: Rasburicase is effective for management of hyperuricemia and uremia in AKI Patients
Enayatollah Bakhshi; Ahmad Delbari; Maliheh Sabour; Ahmad Ali akbari kamrani; Hamidreza Yavari; Robab Sahhaf
Volume 20, Issue 1 , March and April 2013, , Pages 42-50
Abstract
Background: To identify the prevalence of polypharmacy (concurrent use of 5 or more medications) and the most frequent medications and medication groups used by the elderly residents of Kahrizak Charity Foundation (KCF). Materials and Methods: This is a descriptive cross-sectional study of 237 elderly ...
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Background: To identify the prevalence of polypharmacy (concurrent use of 5 or more medications) and the most frequent medications and medication groups used by the elderly residents of Kahrizak Charity Foundation (KCF). Materials and Methods: This is a descriptive cross-sectional study of 237 elderly residents of KCF (134 female), aged 60 or more, who have been taking care since the spring of 2010. A randomized cluster sampling was done. Polypharmacy was defined as concurrent use of 5 or more medications, prescribed or non-prescribed, excluding locally effective and "PRN" drugs. Classification of medication groups was based on the Anatomical Therapeutic Chemical (ATC) system. The SPSS software was applied for descriptive analysis.
Results: Mean number of drugs used for any resident was 5.10(±3.22). Prevalence of polypharmacy was 52.3%. The most frequent used medications among attendants were Calcium-Vit.D, Nitrocantin (Glyceryl Trinitrate), and Atenolol, and in polypharmacy group were Calcium-Vit.D, Nitrocantin, and Aspirin. The most frequent medication groups used by both, the attendants and polypharmacy groups, were Cardiovascular drugs, Nervous system drugs, and Alimentary/Metabolism drugs.
Results: The mean number of drugs used for any resident and prevalence of polypharmacy was high among the elderly residents of KCF. Conclusion: More pharmaco-epidemiological studies should be conducted to assess drug use status in Iranian elderly people, specially nursing homes residents, and guidelines should be presented for decreasing the incidence and prevalence of polypharmacy in this population.
Ahmad Delbari; Reza Salman-Roghani; Seyyed Shahabeddin Tabatabae
Volume 19, Issue 2 , May and June 2012, , Pages 96-108
Abstract
Stroke is one of the most common neurologic disorders with the highest mortality, morbidity, and loss of activity. Its crude annual incidence rate in Iran is 113-149 per 100,000 population. Due to the relatively young population of our country and their aging in the near future, the stroke incidence ...
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Stroke is one of the most common neurologic disorders with the highest mortality, morbidity, and loss of activity. Its crude annual incidence rate in Iran is 113-149 per 100,000 population. Due to the relatively young population of our country and their aging in the near future, the stroke incidence will rise significantly. Despite prominent advances in neuroscience and the existence of some effective medications for controlling stroke in the hyperacute phase, one of the most promising therapeutic approaches for these patients is rehabilitation. In this review, we try to outline the principles of stroke rehabilitation, new advances, our experiences, opportunities, and obstacles in Iran, hoping to improve the level of knowledge and quality of care for one of the most demanding and disabled segments of the population.
Said Ebn Said; Mahshid Forouhgan; Ahmadali Akbari Kamrani; Zia Ghaemmagham Farahani; Ahmad Delbari
Volume 19, Issue 1 , March and April 2012, , Pages 85-95
Abstract
Background: The burden of diseases in later life is high and the elderly are affected by multiple illnesses, frequently leading to hospitalization. The purpose of this study was to draw an overall picture of the clinical situation in elderly patients hospitalized for acute care.
Materials and methods: ...
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Background: The burden of diseases in later life is high and the elderly are affected by multiple illnesses, frequently leading to hospitalization. The purpose of this study was to draw an overall picture of the clinical situation in elderly patients hospitalized for acute care.
Materials and methods: This was a cross-sectional, descriptive study performed in a three-month period in 2010 in Ahvaz Petroleum Hospital. Two hundred consecutive elderly patients admitted to the hospital were assessed for medical history, BMI, CBC, blood chemistry, and ECG, and were tested by Geriatric Depression Scale, Abbreviated Mental Test Score, Activities of Daily Living, and Informant Questionnaire of Cognitive Decline in Elderly questionnaires.
Results: Mean age of patients was 71±8 years, and 67% were female. There was a history of depression in 9%, sleep disturbance in 70%, hearing problems in 23%, vision problems in 59%, memory impairment in 20%, overweight/obesity in 74%, cancer in 9%, and pain in 36% of patients. Ischemic ECG changes, abnormal Hb, positive CRP, and abnormal BUN/Creatinine ratio were seen in 30%, 34%, 20%, and 25% of patients, respectively. Forty-nine percent were on more than five drugs and 17% were ADL-dependent. Seventy-eight percent had normal GDS score. Abnormal AMTS scores suggestive of cognitive impairment were seen in 10%. Sixty-six percent were transferred to medical wards, while 34% were transferred to surgical wards.
Conclusion: The existence of multiple simultaneous disturbances in hospitalized elderly patients necessitates proper training of physicians and medical staff for acute care services in the field of geriatric medicine.