Mosareza Tadayyonfar; Mehdi Amadani; Ali Tajabadi; Yaser Tabaraee; Hossein Khosrojerdi
Volume 23, Issue 1 , May and June 2016, , Pages 14-20
Abstract
Background & Objectives: Pain after surgery, especially in appendectomy, is one of the most common causes of patients’ dissatisfaction. Regarding common side effects of existing analgesics, the researchers decided to replace conventional medicine for overcoming postoperative pain in such patients. ...
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Background & Objectives: Pain after surgery, especially in appendectomy, is one of the most common causes of patients’ dissatisfaction. Regarding common side effects of existing analgesics, the researchers decided to replace conventional medicine for overcoming postoperative pain in such patients. Therefore, the aim of this study is to compare the pain relief effects of diclofenac and promethazine in patients with appendectomy. Materials & Methodes: This triple blind clinical trial was performed on 60 patients of 49 -15 years old undergoing appendectomy in Shahid Doctor Beheshti Hospital of Sabzevar in 2012. Participants were selected by convenience sampling and randomly divided into two 30-cases groups of control and intervention, respectively received diclofenac promethazine by muscle depth injection in Dursuglutyal muscle. According to the standard numeric pain scale, the pain was investigated in the first hours after treatment. Data were analyzed using the Pearson chi-square test and SPSS version 18, and the level of significance was selected as 0.05. Results: The difference of postoperative pain relief was significant (P=0/018) between the two groups at a half an hour. The average amount of pain in half an hour after injection of diclofenac and promethazine were 5.04± 2.26 and 3.96 ± 1.33, respectively. Also, the average amount of pain in one hour after injection of diclofenac and promethazine were 4.59 ± 5/31 and 3.30 ± 1.33, respectively. However, the differences were not statistically significant (P = 0.177). Conclusion: Promethazine is of greater analgesic efficacy than diclofenac. Therefore, a basic planing is recommended for the use of phenothiazines instead of highly morbid analgesics like non -steroidal anti-inflammatory drugs.
Mahtab Gholizadeh; Rahim Akrami; Mosareza Tadayonfar; Roya Akbarzadeh
Volume 22, Issue 6 , January and February 2016, , Pages 955-964
Abstract
Background & Objectives: Stroke is a debilitating and chronic disease. Caring of a patient with stroke can affect caregiver’s life dimensions, especially their quality of life. This study aimed to evaluate the effect of patient care education on caregivers’ quality of life of stroke patient.
Materials ...
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Background & Objectives: Stroke is a debilitating and chronic disease. Caring of a patient with stroke can affect caregiver’s life dimensions, especially their quality of life. This study aimed to evaluate the effect of patient care education on caregivers’ quality of life of stroke patient.
Materials & Methods: This randomized field trial was performed on 120stroke patients who were hospitalized in Vasei hospital in Sabzevar in 2014. Research units were randomly assigned to two groups: intervention group (n=60) and control group (n=60).Both groups completed SF-36 questionnaire before and one month after education. Data analyzed through chi-square, wilcoxon, paired t-test and independent t-test with STATAsoftware(V.12) with 5% significant level.
Results: The results revealed that, one month after education, scores of quality of life was significantly higher in intervention group than control group. The most differences were in General Health (p=1.000), Role ofPhysical(p=1.000) and Role of Emotion (1.000).
Conclusion: Teaching caring to caregivers of stroke patients leaded to enhancement of knowledge and skill in caring of patients and, finally, increased their quality of life. So,the importance of teaching care skills to caregivers by nurses must be paid more attention than before.
Mansoureh Fathani; Monavvar Afzal Aghaee; Mosareza Tadayyon far
Volume 22, Issue 5 , November and December 2015, , Pages 893-902
Abstract
Background& Objectives:Heart failure is a chronic and progressive disease, which causes serious challenges for patients and affects on the quality of their life. Education based on self-care needs results in their success on the self-care and positive impact on the quality of their life. This study ...
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Background& Objectives:Heart failure is a chronic and progressive disease, which causes serious challenges for patients and affects on the quality of their life. Education based on self-care needs results in their success on the self-care and positive impact on the quality of their life. This study was conducted to assess the effect of a self-care needs - based educational program on the quality of life in heart failure patients. Materials & Methods: Inthis experimental study, 120 patients with heart failure in Ghaem cardiac hospital of Mashhad in 2014 randomly selected and divided into two groups: control (n= 60) and intervention groups(n= 60).In intervention group training program based on self-care needs was performed, and thedata were collected using the SF-36 quality of life questionnaire at baseline and one month after the intervention, which was completed by both groups. To analyze the obtained data, the software spss (version=16) and statistical tests (Chi-Square, Mann WhitneyU, Independent T-Test,Paired T-Test and Wilcoxon) were used at 95 confidence interval percent. Results:The results showed that there wasn't any statistical significant difference in the mean score of quality of life between the two groups before the intervention. But after the intervention the values of mean and standard deviation of quality of life were obtained 63.62±3.93 and 72.62±3.51, respectively for control and intervention groups, andthere was a significant difference between the two groups, which indicated by statistical test of independent T-Test(p<0/001). Conclusions:Self careneeds-based training can improvethe quality of lifeof patients withheart failure.