Background:Cardiovascular diseases are the leading causes of death around the world. The coronary artery disease (CAD) is one of the most common diseases in this category, which can be the trigger to various psychosocial complications. We believe that inadequate attention has been paid to this issue.Objectives:The purpose of the present study was to explore the psychosocial complications of CAD from the Iranian patients’ perspective.Patients and Methods:A qualitative design based on the content analysis approach was used to collect the data and analyze the perspective of 18 Iranian patients suffered from CAD, chosen by a purposeful sampling strategy. Semi-structured interviews were held in order to collect the data. Sampling was continued until the data saturation. The data were analyzed using qualitative content analysis approach by MAXQUDA 2010 software.Results:This study revealed the theme of the patients’ challenges with CAD. This theme consisted of: "primary challenges," including doubting early diagnosis and treatment, and feeling being different from others; "psychological issues," including preoccupation, fear of death and surgical intervention, recurrence stress , anxiety and depression; "problems of life," including financial problems, work-related problems, and family-related problems; and "sociocultural issues," including change in perspective of people towards the patient, and cultural issues.Conclusions:Although the management of physical problems in patients with CAD is important, psychosocial effects of this disease is more important. Thus, health care personnel should pay ample attention to identify and resolve psychosocial problems of these patients. Results of this study can be used to empower these patients.

BACKGROUND: Inguinal hernia surgery is one of the most commonly performed surgeries with complications such as postoperative nausea and vomiting (PONV). AIM: This study aimed to evaluate the effect of acupressure at PC6 and REN 12 points on vomiting of patients undergoing inguinal hernia repair. MATERIAL AND METHODS: This is a double-blind, randomised clinical trial performed on 60 patients undergoing inguinal hernia repair. Using permutation blocks, patients were allocated in two groups (acupressure at PC6 and REN12 points). After the surgery and full patient consciousness, acupressure was applied on PC6 and REN 12 points separately in each group for 5 minutes; 2, 4 and 6 hours later, acupressure was repeated on those points. Two hours after each acupressure, frequency and severity of vomiting were determined. RESULTS: The results showed that there was no significant difference between the frequency of vomiting before the intervention and 2 hours after the intervention in the two intervention groups (P ≥ 0.05). Additionally, none of the two intervention groups experienced vomiting at 4, 6, and 8 hours after the intervention. CONCLUSION: It seems that acupressure at PC6 and REN 12 points are not effective in reducing the frequency and severity of vomiting in patients after inguinal hernia surgery.

El número de pacientes con cáncer está en aumento. Los cuidados paliativos tienen un papel importante en la mejora de la calidad de vida de estos pacientes. Con respecto al papel de los pares, este estudio tuvo como objetivo evaluar el efecto de la educación de cuidado de pares por parte de los pares en el manejo del dolor en pacientes con cáncer. En este ensayo clínico, 64 pacientes con cáncer fueron seleccionados como disponibles, divididos en grupos de control e intervención. El grupo de control recibió educación habitual y el grupo de intervención recibió un paquete educativo con contenido de manejo del dolor por parte de pares interesados, educados y calificados en términos de educación. El instrumento de investigación consistió en cuestionarios de manejo del dolor que se completaron antes y 3 y 6 semanas después de la intervención. Los datos fueron analizados por el software SPSS en el nivel significativo de 0.05. Los resultados mostraron que los dos grupos no eran significativamente diferentes en términos de edad, sexo, tipo de cáncer, tipo de tratamiento, antecedentes familiares, ocupación y educación, y eran homogéneos. Los resultados mostraron que el manejo del dolor (de 11.78 a 22.59) fue significativamente diferente en el grupo de intervención antes y tres y seis semanas después de la intervención (P <0.001). El efecto de la intervención de educación en cuidados paliativos por parte de los compañeros ha aumentado el nivel de manejo del dolor entre los pacientes con cáncer. Los hallazgos de este estudio mostraron que la educación en cuidados paliativos por parte de los compañeros afecta el nivel de manejo del dolor en pacientes con cáncer. Se recomienda obtener ayuda de colegas interesados ​​y educados en educación sobre el manejo del dolor para pacientes con cáncer.