Introduction: Because of the chronic nature of Heart Failure (HF), low Quality of Life (QoL) and poor self-care are prevalent among patients with HF. Thus, the aim of this study was to evaluate the effect of illness perception correction- based educational program on QoL,and self- care in patients with HF. Methods: In this randomized controlled trial, 78 eligible patients were included in the study from Rajaei Heart Center (Tehran, Iran) and randomly assigned into intervention and control group with 1:1 allocation ratio. The intervention was a combination of illness perception correction- based education program (30- minute sessions over 3 consecutive days) and 10-minute phone calls made once a week in the course of 8 weeks. The control group received usual care. The primary outcome was quality of life and secondary outcomes were self- care and illness- perception which were measured at baseline and at the end of the study. SPSS version 13 was used for the analysis. Results: Out of 76 eligible patients, 70 patients with HF finished the study. Although the mean of quality of life, self-care, and illness perception were not different at baseline, QoL (45.2 (8.3) VS 66.8 (15.4); P<0.001), self-care (18.5 (4.5) VS 37.1 (7.2); P<0.001), and illness- perception (183.6 (8.4) VS 151.2 (24.5); P<0.001) improved following the program in the intervention group in comparison to the control group. Conclusion: According to the study findings, this program can be applied by nurses for patients with HF as a discharge plan in order to improve their QoL, self-care, and their illness perception.
Depression is the most prevalent psychiatric disorder and has received more attention due to its adverse outcomes, including suicide and a severe decrease in social and individual functioning. To this end, the present study examined the effect of movement therapy and progressive muscle relaxation on the depression rate in depressed patients. In the present interventional study, 60 patients diagnosed with major depression and hospitalized at Moradi Hospital's psychiatric ward in Rafsanjan in 2020, with an age of at least 20 years, were randomly divided into two groups: the intervention group and the control group. The subjects in the intervention group attended 30 sessions of 30–45 mins, with the researcher performing a movement therapy program followed by 15 to 20 minutes of progressive muscle relaxation. The Beck Depression Inventory was used to measure the degree of depression along with clinical pre-and post-intervention interviews. The mean depression scores were 37.26±7.70 and 36.93±8.166 for the participants in the intervention group and control group before the intervention, indicating no statistically significant intergroup difference (P=0.871). The mean depression scores after the intervention for the subjects in the intervention group and control group were 8.01±5.22 and 22.96±9.43, respectively. The results showed a statistically significant difference between the groups (P=0.001), with a greater decrease in depression scores in the intervention group compared to the control group. According to the present research, movement therapy and progressive muscle relaxation interventions effectively reduced depression in patients.
Article InfoBackground: Jaundice is one of the most common diseases of the infancy period. It could be caused by different factors, including infections such as the urinary tract. The present study aims to evaluate the prevalence and causes of urinary tract infection in newborns.
Materials and Methods:The present work is a cross-sectional study conducted on 100 newborns with jaundice hospitalized at the neonatal ward of the Pasteur Hospital of Bam or referred to its outpatient clinic. Participants were selected through convenient sampling. Besides the routine tests for jaundice, a urine sample was also taken from the newborns for culturing and evaluating urinary tract infection. After collecting the data, they were analyzed using the chi-square and t-tests. Results: According to the results, 41 (41%) of the newborns were girls, and 59 of them (59%) were boys. The prevalence of urinary tract infection among newborns with jaundice was 27%. The most common cause of infection was Escherichia Coli, and the rate of infection was lower among newborns breastfed compared to those fed by infant formula (p<0/05). Conclusions: The most common risk factors for neonatal jaundice were prematurity, blood type incompatibilities, delivery problems, and decreased breastfeeding. Given that one of the most important causes of long-term jaundice is a urinary tract infection, it may appear before other symptoms.
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