Introduction: Although the survival rate of infants born preterm has increased, the prevalence of developmental problems and motor disorders among this population of infants remains the same. This study investigated the effect of physical activity programs in and out of water on motor performance and neuromuscular development of infants born preterm and had induced immobility by mechanical ventilation. Methods: This study was carried out in Al-Zahra hospital, Tabriz. 76 premature infants were randomly assigned into four groups. One group received daily passive range of motion to all extremities based on the Moyer-Mileur protocol. Hydrotherapy group received exercises for shoulders and pelvic area in water every other day. A combination group received physical activity programs in and out of water on alternating days. Infants in a containment group were held in a fetal position. Duration of study was two weeks ‘from 32 through 33 weeks post menstrual age (PMA). Motor outcomes were measured by the Test of Infant Motor Performance. Neuromuscular developmental was assessed by New Ballard scale and leg recoil and Ankle dorsiflexion items from Dubowitz scale. Data were analyzed using SPSS version 13. Results: TIMP and neuromuscular scores improved in all groups. Motor performance did not differ between groups at 34 weeks PMA. Postural tone of leg recoil was significantly higher in physical activity groups post intervention. Conclusion: Physical activities and containment didn’t have different effects on motor performance in infants born preterm. Leg recoil of neuromuscular development items was affected by physical activity programs.
Due to the onset peak of COVID‐19, as well as a shortage of human resources, physical environment, protective and medical equipment in hospitals, many patients with mild to moderate symptoms of COVID‐19 are pushed to home care. This condition not only raises public health concerns but also causes a number of psychosocial problems. Therefore, this study intends to examine the psychosocial experiences of patients with COVID‐19 after passing the crisis stage. A qualitative study with a conventional content analysis method was used. Thirty participants were selected using purposeful sampling from Khoy Educational and Medical Centers from 20 March to 20 June 2020. In‐depth semi‐structured interviews were used to collect data. Data were analysed by continuous comparative analysis using MAXQDA 10 software. The concepts extracted from data analysis identified eight subthemes and three main themes. Social rejection theme includes three subthemes: ‘Insularity of the patient’, ‘Concealment’ and ‘patient as the life‐threatening center’. Lack of support theme consists of three subthemes including: ‘financial concerns’, ‘non‐response of the treatment team after discharge’ and ‘concerns about the persistent condition of the disease’. Efforts to gain mental peace theme has two subthemes: ‘recourse to spirituality’ and ‘strengthening hope’. According to the results of the present study, it is necessary to examine the psychological and social needs of patients. Also, by identifying high‐risk groups, supportive psychological networks such as telephone, internet and on‐site medical services to help patients, medical worker and others affected in overcoming psychological problems should be increased. Providing free service packages such as the Internet, free financial aid to damaged jobs and creating the necessary platforms for online shopping and payment services, as well as training on how to plan and practice rehabilitation at home for patients and family caregivers can be helpful.
Background Following the spread of Covid-19, many patients received home care services for recovery. The family is one of the informal caregivers who provide daily physical and psychological support to the patient, and they have the most contributions in the care of patients. Accordingly, this study explains the experiences of home caregivers in the families of patients with Covid-19. Methods This is a qualitative study with a hermeneutic phenomenological approach. Purposeful sampling was applied, and semi-structured interviews in the Center of Covid-19 Control in Khoy, Iran, were used to collect the information. Twenty-three family caregivers, who had already provided care for patients with Covid-19 at home, participated in the study. The themes emerged from interviews. The interviews were recorded and transcripted then analyzed using Dickelman’s interpretive phenomenological approach. Results 13 primary concepts, six sub-themes, and three main themes were extracted from the data analysis, including "Irrational fear of disease" with sub-themes: fear of getting infected and Indulging in strength of immune system, "Increasing the burden of care in caregivers" with sub-themes: lack of support and caregiver`s family challenges and "Self reinforcement" with sub-themes: highlighting positive features and turning to spirituality. Conclusion Understanding the complexities, experiences, and beliefs of family caregivers about living with a Covid-19 patient provides a comprehensive perception of the psychological and physical consequences of care. Executive decision-makers, health care personnel, and mental health professionals can also take the necessary strategies to support and manage home caregivers and interdisciplinary cooperation.
Background: Observance of patients’ rights and patient satisfaction with hospital services is one of the most influential factors contributing to the efficiency and quality of hospital services. Objectives: This study aimed to investigate the satisfaction of COVID-19 patients with patients’ bill of rights. Methods: This descriptive, correlational study was performed in 2021 in Iran. A total of 147 patients with COVID-19 and meeting the inclusion criteria were included in this study using the available sampling method. Two questionnaires of “observing patient’s bill of rights” and “La Monica Oberst Patient Satisfaction Scale (LOPSS)” were used to collect the required data. Statistical analysis was performed using SPSS version 20 software. Results: There was a positive and significant relationship between patients’ satisfaction and observing patient’s bill of rights (r = 0.7, P < 0.001). The mean satisfaction of COVID-19 patients was 214.19 ± 52.02, and the mean of patients’ bill of rights was 118.23 ± 20.5, which were desirable. There was a significant relationship between age and patient satisfaction (P < 0.05). A significant relationship was also detected between the income level, education level, and length of hospital stay with patients’ bill of rights (P < 0.05). Conclusions: In order to increase patient satisfaction and improve service provision, it was necessary to respect the patient’s rights. Therefore, it was recommended that effective strategies should be adopted in order to exercise the patients’ bill of rights when providing services to them.
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