Showing 41 results for Therapy
Shiva.s Bassampour,
Volume 6, Issue 1 (4-2000)
Abstract
Nurses must know about effect and indication ofl.V-Fluid Therapy. Priciples of WMuid therapy consist of:Appropriate solutions and the rate of administration of fluid, types of parenteral solutions and the factors that indicate whether a solution is appropriate or not, definition of smolarity andm smolality and how to use the standard formula. Knowing a pateint's body fluid concentration , or fluid status, is one way to determine how I.Vsolutions will infuse in specific situations. Cellularmembrance are permeable, water will shift into a compartment with a higher concentration or osmolality. The appropriate rate to infuse a solution depends on severalfactors, including the paitent's condition and type of solution. Other specific considerations ofpatients include: weight, urinary output, laboratory values, kidney Junction, length of illness,
and assessment of skin turgor.
M Zolfaghari, M Hazrati,
Volume 7, Issue 1 (5-2001)
Abstract
This study was conducted to determine the effect of energy therapy Method on anxiety and incidence ofcardiacdysrhythmiainpatientsundercatheterization.Thenvestigated units consisted of 68 patients that were randomly assigned into 3 groups: 26 patients in case group, 21 patients in placebo group and 21 patients in control group . The case group underwent the course of study through energy therapy method for 10-15 minutes ,one hour before catheterization. Furthemore, placebo group received mimic energy therapy within the same period of time, i. e (the method was the same as energy therapy except in this method no energy was transferred, and the procedure was unreal and mimicking). Moreover the control group received no treatment.For collection of data, the questionare and observation checklist were used.
The anxiety of the patients was measured through speilberger anxiety -test, an hour before and during catheterization.The cardiac dysrhythmia and dysrhythmia during catheterization were recorded on an observation checklist.The results showed that energy therapy had a significant effect on the situational anxiety of the investigated units in case group and through energy therapy, their anxiety were reduced, (p=000)however, it had no considerable effect on the anxiety related to the characteristic of the individuals. In addition to the above, energy therapy could be effective in reducing the incidence of cardiac dysrhythmia such as: sinus tachycardia, (p=0.00005),V.T (p=0.005), PAC(p=0.001)and PVC.(p=0.01) The results also showed that energy therapy is a method reducing the anxiety of the patients in catheterization room, it could also be effective in reducing the complications such as cardiac dysrhythmia regarding to catheterization. Therefore, the investigation hypothesis was approved.
Sh. S Bassampoor,
Volume 8, Issue 1 (4-2002)
Abstract
The main therapeutic objective of emergency after acute myocardial infarction (MI) is limiting the infarcted area through the opening of occluded artery, decreasing demand of myocardial oxygen and preventing MI complications.When arterial wall is injured, the collagen tissue is exposed to platelet aggregation that leads to releasing adenosine 5 diphosphate and subsequent to it, platelet adhesion and formation of fibrin is occured. After a while fibrin activates directly the fibrinolytic system, then plasminogen activator is infused and it changes plasminogen into plasmin so that it makes fibrin to be digested.TPA is one of the most effective thromboclastic drugs. It is an enzyme that is produced through recombinant DNA. TPA is a type of fibrin that is infused in circulatory system and binds to fibrin in a thrombus and it converts the plasminogen to plasmin. It is prescribed for adults presenting the early signs of acute myocardial infarction.The recommended dose of TPA for the adults weighing more then 65 Kg is 100 mg. If the patient weighs less than 65 Kg, dosage is determined by a formula as the following: 1.25 mg TPA per Kg body weight.The primary period of prescribing TPA in patients suffering from MI is at the time of transferring them to the hospital or emergency ward. More over, treatment is carried on with effective dose of TPA for 3 hours.The fundamental nursing procedures for the patients receiving TPA consist of complete assessing the patient and obtaining basic information and history of the patient's health and disease.During the infusion of TPA, the patient's bleeding should be continually checked. The recovery signs after TPA infusion is indicated as dysrhythmia, due to reperfusion and it should not be taken into consideration as a negative sign. Some other recovery signs are relieving chest pain and reversing ST segment
F Rahimikian, Sh Golian, A Mehran, A Bashiri,
Volume 8, Issue 2 (5-2002)
Abstract
The present research is a descriptive - analytic study about the rate of use, reasons of use or refusal of Hormone Replacement Therapy in menopausal women referred to gynecology clinics in selected hospitals of Tehran University of Medical Sciences in the year 2001.
Samples of research included 400 women age between 40-65 years which selected on accidental basis and collected means was questionnaire which contain demographic characteristics (age, job and education), receiving information, information source, the reasons for use or refusal of Hormon Replacement Therapy.
Research findings showed that 8.75% of menopausal women used Hormone Replacement Therapy. Their reasons are as follow: 28.57% due to physician recommendation. 26.37% due to improvement of hot flash. 23.08% for prevention of osteoporosis 16.48% due to hysterectomy. 3.3% due to prevention of cardiovascular diseases. 2.2% because of improvement of sexual activities. The reasons for
non-useres are as follows: 46.96% having no information about such a method, 16.4% thinking about menopuae as a natural phenomenon and no need for treatment, 10.53% not-suffering from menopausal effects, 7.08% medical recommendation, 5.6% fear of hazardous effect leading to cancer.
In the present research, there is no significant relationship between age, job and the method of Hormone Replacement Therapy but have significant relationship between education rate and receiving information about the method of use.
Z Parsa-Yekta, M Zakeri Moghaddam, A Mehran, M Palizdar,
Volume 9, Issue 4 (2-2004)
Abstract
Introduction: To reduce the morbidity and mortality of cardiovascular diseases, patients are emphasized on following the exact prescription order of their antihypertensive and other cardio vascular medications.
Materials and Methods: The purpose of this study was to identify factors related to medication compliance in patients with coronary heart disease. A descriptive analytical study was designed and a total of 150 patients with coronary heart disease were chosen with convenience sampling among patients in one of the cardiovascular clinics affiliated to Tehran University of Medical Sciences. The instrument included a questionnaire for the demographic data, side effects of the drugs, physical condition, level of cognition and self-reporting of the patients about medication non-compliance A questionnaire which was about attitude evaluation A data evaluation form to calculate the rate of medication compliance Biophysiologic measurments and finally, available documents. The data were collected in two consecutive steps: at the first appointment, the questionnaires were filled. At the second appointment (1 month later) medication compliance rates which was based on counting of pills, were calculated.
Results: The data were analyzed with descriptive statistics, chi-square test, Fisher’ exact test and Tchoprof coefficient. Only 28% of the patients had met the drug regimens appropriately but 56% of them had a poor record. There was a meaningful relationship between the self – reporting of the patients and counting of the pills (p value<0.005). In addition, some factors such as age, education, occupation, teaching and its sources, duration of acquiring the cardiac disease, number of hospitalization and level of cognition of patients under investigation were assessed as effective elements to use the pills properly.
Conclusion: No meaningful relationship was found between sex, marital status, parenthood status, living arrangement, health insurance situation, health personnel availability, positive family history of cardiac disease, co-existence of another disease, difficulty in providing of the drugs, side effects of the drugs, physical condition and attitude and medication compliance. In conclusion, by providing some educational programs about drug regimens, based on the level of cognition, experiences, capabilities, and also the living style of the patients, medication compliance can be improved.
M Shaban, P Haj Amiry, A Mehran, S Kahrary,
Volume 10, Issue 1 (4-2004)
Abstract
Introduction: Massage of the limbs is a safe procedure that could have therapeutic effects and cause physical and psychological relaxation of patients in intensive care unit (ICU).
Materials and Methods: This survey is a quaziexperimental study that assessas immediate effects of foot massage on patient’s vital signs in a general ICU. After a pilot study, a sample size of 50 patients was chosen. A questionnaire about demographic data and a 3-table checklist for recording vital signs (heart rate, peripheral O2 saturation and mean arterial pressure) was used. The data gathered by interview and physiologic measurement. For every patient, vital signs were recorded every 1 minute interval for 5 minutes (after completing the demographic data). Then foot massage was applied for five minutes and during the massage patients’ vital signs recorded every minute. Immediately the patients’ vital sings were recorded every minute for five minutes. The mean of each parameter was calculated and compared the values at baseline, during massage, and after massage.
Results: The findings showed that there was a significant difference between mean heart rate, mean arterial pressure and mean spO2 before and during foot massage (p<0.0001). Difference between mean heart rate, mean spO2 and mean arterial pressure during and after foot massage was not significant but, deference of mean heart rate and mean arterial pressure before and after massage was significant (p< 0.0001). Difference of mean spO2 before and after massage was also significant (p<0.003).
Conclusion: According to the findings of this study, foot massage has a potential beneficial effect on patients vital signs and last at least for 5 minutes. This effect could be due to increasing relaxation which moderates the changes of vital signs, caused by stress.
M Geranmayeh , A Rezaeipour , H Haghani , E Akhoondzadeh ,
Volume 12, Issue 2 (6-2006)
Abstract
Background & Aim: The severe pain of labor is the important cause of fear and anxiety in pregnant women. This study has been performed to evaluate effect of education on midwives practice.
Methods & Materials: This is a quasi-experimental study. That was done 59 midwives in the labor wards of non-educational of Guilan University of Medical Sciences Hospital. Data gathered by a questioner, which its validity was done by panel of experts and reliability by test-retest. 59 midwives were chosen by quota sampling and participated in a one-day workshop. Pretest and post-test questioner completed before and after four months of education by all midwives. Data analyzed by descriptive and inferencing statistical methods with SPSS.
Results: The paired t-test results showed that midwives practice about pain relieving methods changed significantly after workshop (p<0.005). Analytical methods demonstrated that there was no significant difference between mean practice scores and demographic characteristics of midwives. Conclusion: This study showed that teaching through workshop can improve the use of pain-relieving methods by midwives in labor wards especially more simple and efficacious methods.
M Shaban , N Rasoolzadeh , A Mehran , F Moradalizadeh ,
Volume 12, Issue 3 (7-2006)
Abstract
Background & Aim: Pain is one of the important complication of chronic diseases such as cancer. Purpose of this study is to investigation of two non-pharmacological methods, progressive muscle relaxation and music, on pain relief in patients suffer from cancer.
Methods & Materials: This research is a intervention clinical trial which was done in a hospital affiliated to Tehran University of Medical Sciences. In this study, 100 cancerous patients that have inclusion criteria were selected by simple sampling method. The participants into two groups allocated, 50 patients in progressive muscle relaxation, and 50 patients in music group. Data collection tools were questionnaire, pain level recorded sheet, taps with headphone (is produced by Sony company) and music box including light music consist of classical, mild and Iranian traditional music. Questionnaire was designed in two parts, demographically characteristics and disease characteristics. Data were collected by interview and patient self report. After adequate education to two groups, asked them to perform that method 30minet per day until 3 days. Then, pain level, at previous 24 hours until 3 days were assessed and recorded in related sheet. Analysis of data were analyzed by SPSS software, inferential and descriptive statistics such as Mann Whitney, chi Square, Fisher’s exact test, and Friedman.
Results: The finding of research showed in both relaxation and music groups there were significant differences in pain level before and after intervention (p<.001). Also there were significant differences between two groups in pain level (p=0.016). It means that pain relief in relaxation group was more significant.
Conclusion: According to the findings of this research, although both progressive muscle relaxation and music are effective and decreasing of pain level but progressive muscle relaxation is more effective than music.
M Rezaei, N Seyedfatemi, F Hosseini,
Volume 14, Issue 4 (3-2009)
Abstract
Background & Aim: Spiritual well-being harmonizes several dimensions of human's life and is essential for coping with diseases. Chronic illnesses such as cancer cause crisis in physical, psychological, and spiritual dimensions of ones life. This study aimed to measure the spiritual well-being in cancer patients who undergo chemotherapy.
Methods & Materials: In this cross-sectional, descriptive-correlational study, Paloutzian & Ellison's Spiritual Well-being Self-report questionnaire was completed by 360 cancer patients. Patients were recruited using sequential sampling method. The inclusion criteria were being more than 20 years old, and being able to read and write. Data were analyzed using chi-square and Pearson tests in SPSS (version 11).
Results: The study findings revealed that the mean scores for spiritual well-being, religious well-being, and existential well-being were (98.35±14.36), (54.67±5.92), (43.67±10.01), respectively. Also, statistically significant relations were found between age, marital status, and educational levels with spiritual well-being (P<0.001).
Conclusion: Findings showed that the level of spiritual well-being was high in cancer patients. Moreover, as it is expected in Iranian culture, the level of religious well-being was more than existential well-being. There were significant relationships between spiritual well-being and personal characteristics. Hence, nurses should consider personal characteristics in their caring programs and choose a comprehensive and holistic approach toward their patients' care.
As Sadat Hoseini,
Volume 15, Issue 2 (10-2009)
Abstract
Background & Aim: Nausea and vomiting is one of the major side-effects of chemotherapy. Due to complex nature of its management, both medical and non-medical therapies are recommended. This study aimed to investigate the effect of music therapy on chemotherapy nausea and vomiting in children with malignancy.
Methods & Materials: In this quasi-experimental study, 30 children aged 8-12 who were under chemotherapy were recruited. After getting the current treatments, the children listened to a kind of music for 45 minutes at 6, 9, and 12 hours after the beginning of the chemotherapy. Nausea and vomiting was measured using both numerical and descriptive scales every 8 hours for 24 hours after beginning of the chemotherapy. Data were analyzed using Willcoxon and Mcnemar statistical tests in the SPSS, version 11.5.
Results: The rate of nausea was declined significantly at the 16th and 24th hours after music therapy. Assessment of nausea by descriptive scale showed a decline only at 24th hours after music therapy. The rate of vomiting did not show any significant difference between two stages.
Conclusion: Music therapy could decrease the amount of nausea in children with malignancy under chemotherapy however, it does not any effect on the rate of vomiting.
Shiva Sadat Bassampour, Fatemeh Bahramnezhad, Eisa Mohammadi, Mohammad Hassan Larizadeh, Shadan Pedram Razi, Hamid Haghani,
Volume 18, Issue 2 (6-2012)
Abstract
Background & Aim: Oral care and using mouthwash help to prevent stomatitis. The aim of this study was to investigate the effect of two mouth wash protocols on prevention of head and neck radiotherapy induced-stomatitis.
Methods & Materials: In this single blind clinical trial, 120 individual were recruited. The experiment group (N=40) gurgled with 3cc of Matrices mouthwash and the control group used water mouth wash. The participants were assessed using the WHO grading scale. Data were analyzed using the Fisher exact test and Mann-Whitney U test as appropriate.
Results: There was not significant differences between the experimental and control groups regarding stomatitis intensity in the first day (P=0.371). Tere were significant differences between the two groups regarding stomatitis intensity in days 7 and 14 (P<0.001).
Conclusion: Oral stomatitis is a common condition in patients with head and neck radiotherapy. It makes painful ulcers, dehydration, malnutrition, and potentially life-threatening infection. Matrica mouth wash could prevent and treat induced-radiotherapy ulcer stomatitis.
Roghiyeh Karimi, Fidan Shabani, Nahid Dehghan Nayeri, Khadijeh Zareii, Gholamreza Khalili, Mohammad Chehrazi,
Volume 18, Issue 2 (6-2012)
Abstract
Background & Aim: Premature infants undergo painful and stressful procedures during care and treatment. Nurses can help to reduce short- and long-term effects of pain caused by diagnostic and therapeutic procedures using various methods including music therapy. The aim of this study was to assess the effect of music therapy on physiological pain responses of premature infants during and after blood sampling.
Methods & Materials: This was an experimental study with crossover design conducted on 20 premature infants hospitalized in the intensive care unit of a hospital affiliated to the Tehran University of Medical Sciences for a five months period in 2010-11. Infants were randomly allocated in two groups of experiment and/or control. Each infant was considered as its own control. We assessed the physiological pain responses caused by blood sampling such as heart rate and oxygen saturation level. Infants in the experiment group listened to the Transitions music five minutes before until 10 minutes after the blood sampling. The responses were recorded and reviewed ten minutes before until ten minutes after the blood sampling in both groups and physiological changes were detected. Data were analyzed using ANOVA and Chi-square tests in the SAS and SPSS.
Results: Results showed significant difference in heart rate between the experiment and control groups during needle exit (P=0.022). There was also significant difference in heart rate between experiment and control group in the first 5 minutes of blood sampling (P=0.005).
Conclusion: Results showed that music therapy could reduce some physiological responses of pain during and after blood sampling. Music therapy can be used as a beneficial intervention following painful procedures such as blood sampling in the NICU.
Azime Izaadi, Javad Karimi, Mohsen Rahmani,
Volume 19, Issue 3 (12-2013)
Abstract
Background & Aim: Body image flexibility is defined as the capacity to experience the ongoing perceptions, sensations, feelings, thoughts, and beliefs associated with one's body fully and intentionally while pursuing chosen values. This study was aimed to translate Body Image flexibility Questionnaire (BI-AAQ ) into Persian language and assess the validity and reliability of the translated version as an instrument to measure body image resilience .
Methods & Materials: In this cross-sectional study, 354 students (130 males and 224 females) studying in an academic year (2012-2013) at Tehran University of Medical Sciences were selected through convenience sampling method . Students filled out demographic questionnaires, "body image flexibility questionnaires", "acceptance and action questionnaire edition 2", and "depression, anxiety and stress scale". For data analysis, IBM SPSS 21 and IBM SPSS Amos 21 software were used .
Results: The test-retest coefficient was 0.72. The correlation of the scale with the weight consent, psychological flexibility, stress, depression and anxiety was -0.54, 0.33, 0.33, 0.45, and 0.37, respectively which represented the concurrent validity of the scale. Confirmatory factor analysis results also showed that single-factor model of body image flexibility questionnaire has good fitting the Iran' community. Internal consistency reliability was estimated with Cronbach ’s alpha (α=0.87) .
Conclusion: Psychometric characteristics of the body image flexibility questionnaires showed that the questionnaire seems to be acceptable in Iranian society. It is a useful tool for research in the psychological and psychiatric clinics .
Mahnaz Bahrami, Seyed Reza Mazlom, Farzaneh Hasanzadeh, Kavian Ghandehari,
Volume 21, Issue 1 (6-2015)
Abstract
Background & Aim: Stroke is a major cause of disability. Developing new treatment approaches in order to improve and enhance post stroke recovery process is critical. The aim of this study was to determine the effect of mirror therapy on motion range of extremities of patients with stroke .
Methods & Materials: This semi-experimental study was conducted among 50 patients with stroke hospitalized in Emam Reza and Qaem hospitals in Mashhad during 2012 to 2013. Patients were randomly allocated into two control (25 patients) and mirror therapy (25 patients) groups. In the mirror therapy group, twenty 30–minute daily sessions were implemented in where patients practiced motion range of upper and lower extremities of healthy side in front of mirror and observed the mirror image. Motion range of upper and lower extremities was assessed at baseline, during the sessions and in the last session of the intervention using the goniometer. Data were analyzed using the t-test and repeated measure ANOVA .
Results: There were no significant differences in terms of ability of motion range at baseline. The total motion range did not improved significantly in the intervention group in comparison with the control group after the intervention (P>0.05) however, in some joints, the motion was improved (P<0.05) .
Conclusion: Mirror therapy, as a simple and inexpensive process can improve self-care of patients with stroke .
Mohammad Eghbali, Shokoh Varaei, Seyedeh Fatemeh Jalalinia, Mozhgan Aalam Samimi, Kiarash Sa’atchi, Mir Saeed Yekaninejad,
Volume 21, Issue 2 (9-2015)
Abstract
Background & Aim: Approximately 75% of patients with cancer experience acute nausea and vomiting (24 hours after chemotherapy). The aim of this study was to determine the effect of auricular acupressure in relieving acute nausea and vomiting among women with breast cancer receiving chemotherapy .
Methods & Materials: This study was a posttest only randomized clinical trial conducted on 48 women with breast cancer receiving chemotherapy in Imam Khomeini and Hazrat Rasoul Akram hospital. Before chemotherapy and after obtaining informed consent, the patients were randomly allocated into intervention and control groups. Intervention group received routine medications for controlling nausea and vomiting as well as auricular acupressure. Meanwhile, the control group received only the routine medications. The data were gathered using demographic and Morrow Standard questionnaire and were compared using statistical tests in the SPSS-21 .
Results: T he results showed that using auricular acupressure led to a decrease in the number and the intensity of nausea at acute phases (P=0.001). Acupressure application did not lead to any complications in the patients .
Conclusion: According to the results of this study, using auricular acupressure on Shenmen, Point zero, stomach, Brainstem, and cardia points can relieve nausea and vomiting at acute phase of chemotherapy. It is suggested that nurses use this pressure technique as a complementary treatment for relieving nausea and vomiting caused by chemotherapy.
Tahere Rahmani Fard, Seyed Mohammad Kalantarkousheh, Mahbobeh Faramarzi,
Volume 23, Issue 3 (10-2017)
Abstract
Background & Aim: Infertile women experience greater stress in their life and have lower quality of life compared to fertile women. The present study aimed to evaluate the effect of mindfulness-based cognitive psychotherapy (MBCT) on quality of life in infertile women.
Methods & Materials: In a randomized clinical trial (IRCT2017021132321N2) with the Solomon four-group design, 60 infertile women referred to Fatemeh Zahra Infertility Research Center in Babol in 2015, were randomly assigned into four groups (15 in the group of experiment with pretest, 15 in the group of experiment without pretest, 15 in the group of control with pretest, 15 in the group of control without pretest). A total of thirty participants in the experimental group received MBCT in eight group sessions (120 minutes, once a week). The control group received no intervention. Thirty participants at the beginning and sixty participants at the end of study completed the Quality of Life Questionnaire (WHOQOL-26). Data were analyzed by the SPSS software version 20 using univariate ANCOVA.
Results: The mindfulness-based cognitive psychotherapy improved the quality of life in both experimental groups. The mean scores for all the four domains of quality of life including, physical health, psychological health, social relationships, and environment significantly increased in both experimental groups compared to control groups (P<0.05).
Conclusion: The use of MBCT as a reliable method for promoting the quality of life of infertile women is recommended in infertility clinics.
Maryam Damghanian, Minoo Pakgohar, Mahmoud Tavousi, Nahid Dehghan Nayeri, Maryam Najafi, Roghieh Kharaghani, Barbara Broome , Zinat Ghanbari,
Volume 23, Issue 4 (1-2018)
Abstract
Background & Aim: Urinary incontinence is a common disorder in women. Pelvic floor muscle exercise is one of the effective treatment methods. Self-efficacy is considered an effective and strong predictor of willingness to perform and continue these exercises. In Iran, there is no appropriate tool for assessing self-efficacy. So this study was performed to determine the psychometric properties of the Broome scale in women with urinary incontinence.
Methods & Materials: A psychometric study of the Broome scale was conducted on women with urinary incontinence who referred to health centers affiliated to Tehran University of medical sciences in 2015.In this study, following processes were implemented: translation, back translation, face validity, content validity using CVR and CVI, reliability using Cronbach’s α coefficient, and construct validity using explanatory factor analysis.
Results: The face validity was confirmed through the modification of ambiguous items based on the patients’ views. Content validity (CVR= 0.8 and CVI= 0.8 to 0.9) and reliability (Cronbach’s α= 0.96) were also confirmed. Explanatory factor analysis showed two factors with eigen value more than 1 including pelvic floor exercise self-efficacy in usual and special situations. These factors explained 82.08 percent of the total variance.
Conclusion: The reliability and validity of the Broome scale were confirmed for using by Iranian women with urinary incontinence, and this scale can be used to measure these women's self-efficacy in performing pelvic floor exercises.
Fahimeh Sehhati Shafaei, Mojgan Mirghafourvand, Mina Hoseinzadeh,
Volume 24, Issue 3 (11-2018)
Abstract
Background & Aim: Women with cancer face many stresses. Social support can facilitate coping skills and improve active coping strategies. The purpose of this study was to assess perceived stress and its relationship with perceived social support in women undergoing chemotherapy for genital cancers.
Methods & Materials: This descriptive, correlational study was conducted from March to May 2016 on 151 patients undergoing chemotherapy for gynecologic cancers in oncology wards of Alzahra and Shahid Ghazi hospitals in Tabriz. The perceived stress scale (PSS) and perceived social support scale (PRQ-85-part2) were completed through interviews with patients. Data analysis was performed using the Pearson correlation test, one-way ANOVA and independent t-test.
Results: Mean (and standard deviation) total score of perceived stress for women was 42.26 (3.97) in the score range of 0-56. Mean (and standard deviation) total score of perceived social support for women was 127.55 (16.64) in the score range of 25-175. Based on the Pearson correlation test, no statistically significant correlation was observed between perceived stress and perceived social support (P=0.324, r=0.08).
Conclusion: The findings indicated that the perceived stress score for women with genital cancers was high. Nevertheless, no relationship was observed between perceived stress and perceived social support. Therefore, further studies are needed in this area.
Sadighe Sadeghian, Ali Mohammadpour, Masoumeh Salari,
Volume 25, Issue 1 (5-2019)
Abstract
Background & Aim: Increase in gastric residual volume and abdominal distention are important complications in patients with nasogastric tube feeding. This study aimed to determine the effect of local heat therapy on gastric residual volume and abdominal distention in patients with nasogastric tube feeding.
Methods & Materials: In this double-blind clinical trial, 64 patients with nasogastric tube feeding, were selected using the convenience sampling method according to the inclusion criteria and randomly assigned to either the experiment group or control group. For two groups, a hot pack was placed on the anterior abdominal region in two 23-minute sessions, about 1.5 hours after gavage. The temperature of the hot pack was 50°C for the experiment group and it was equal to the ambient temperature for the control group. The levels of patients’ abdominal distention and gastric residual volume were measured and compared half an hour before and 1.5 hours after gavage. Data collection tools were consisted of a demographic questionnaire and a data sheet for recording digestive function. Data were analyzed using the SPSS software version 16 through descriptive and inferential statistical tests. The p-value less than 0.05 was considered significant.
Results: According to the results, 46.9% of the patients were female and 53.1% were male. The age mean for the experiment and control groups were 12.5±72.5 and 15.3±7.8, respectively. There was no significant difference between the two groups in terms of demographic characteristics and disease-related information. Abdominal distention and gastric residual volume were similar in the two groups before the intervention, but significantly decreased in the experiment group after the intervention (P<0.05). However, there was no significant difference in the control group.
Conclusion: Local heat therapy reduces gastric residual volume and abdominal distention in patients with nasogastric tube feeding, and its application is suggested in further research.
Clinical trial registry: IRCT2015050822163N1
Razieh Karrabi, Maryam Farjamfar, Foroughossadat Mortazavi, Ali Mohammad Nazari, Shahrbanoo Goli,
Volume 25, Issue 1 (5-2019)
Abstract
Background & Aim: Pregnancy is one of the enjoyable and evolutionary aspects of women’s life, which is often associated with many stresses and concerns. Counseling is one of the most appropriate interventions to reduce concerns and increase the decision-making power of pregnant women. This study aimed to determine the effect of solution-focused group counseling on pregnant women’s worries.
Methods & Materials: A randomized clinical trial was conducted on 108 pregnant women with gestational age of 6 to 19 weeks and a score of worry ≥55, from May to September 2017 in health centers of Sabzevar University of Medical. The intervention group received a solution-focused counseling and the control group received routine prenatal care. Concerns of pregnant women were evaluated before, after, and two months after the intervention using the Farsi version of Cambridge Worry Scale. The data were analyzed using t-test, chi-square, and repeated measure analysis of variance through the SPSS software version 22. A P value less than 0.05 was considered statistically significant.
Results: The mean score of worry before the study was 58.9±5.9 for the intervention group and 58.8±4.37 for the control group, and no significant difference was observed. After the intervention, these values for the intervention group and the control group were 34.6±13.3 and 57.7±8.78, respectively. Two months after the study, these values were 31.1±10.1 and 54.6±10.9, respectively. The analysis of variance with repeated measurements showed that pregnant women’s concerns about childbirth, fetal health, maternal health, and family relationships were significantly reduced after the intervention and two months later (P<0.001). Women’s worries about socioeconomic issues were not significantly reduced after the intervention and two months later in comparison with the control group (P=0.563).
Conclusion: The solution-focused counseling is an effective way to reduce pregnant women’s concerns about maternal and fetal health, family relationships and childbirth. It can be used in conjunction with pregnancy care.
Clinical trial registry: IRCT20180123038485N1
