Background: Provision of education to a person with myocardial infarction and an active family member, who takes care of the patient can prevent or delay the onset of the disease. Telephone tracking is a very useful and inexpensive way to assess the patients’ needs and help them with their care problems. This clinical trial (interventional) protocol was conducted over the impact of family-based multimedia education based on the telephone tracking (tele-nursing) to improve the quality of life and self-efficacy in patients with myocardial infarction. Methods: Two phases are identified to design this study; the first phase includes designing a curriculum by investigating various studies and the panel of experts’ opinions. This phase will be conducted in the form of multimedia training and telephone contact. Multimedia training (including audio, video, image, and animation) over the patients’ lifestyle, nutrition, and care will be conducted through a one-day workshop in 2-3 hours for patients and one of their active family members. The active family member is defined as the primary caregiver, who spends more time with the patient. The educational course will be conducted at a coordinated date and time in the ward where the patients are hospitalized. The researcher will make telephone calls as the educational intervention and continue the follow-ups once a week for one month. The second phase of the intervention will contain a pre/post-test design along with application of Minnesota quality of life and Scherer general self-efficacy standard questionnaires in the intervention (with training) and control (without training) groups. The target participants will include all patients (and their active family members) admitted to CCUs of hospitals affiliated to Shahrekord University of Medical Sciences. Discussion: The present study provides useful data for designing a family-based multimedia educational intervention using the telephone-tracking method (tele-nursing) to improve the quality of life and self-efficacy in patients with myocardial infarction. It can also reduce their medical and treatment costs. The strategies of this program could be important and cost effective, and therefore we hope that the success of such a program is a step forward in improving cardiovascular patient’s health status. Highlights Family-based multimedia educational (tele-nursing) to improve the quality of life and self-efficacy in patients with myocardial infarction. Family-based multimedia educational (tele-nursing) can also reduce their medical and treatment costs. The program is a step forward in improving cardiovascular patient’s health status.

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Background: Thalassemia is the most common hereditary disease. The presence of many physical and psychological problems can affect the quality of life of patients with thalassemia. The present study aimed at evaluating the effect of educational counseling program on the quality of life of thalassemia patients in city of Neyshabur in 2016. Methods: This semi-experimental study, which was conducted using pretest and posttest method, was done on 20 thalassemia patients, who referred to thalassemia clinic and were treated with educational counseling intervention. The participants were assigned into 5-member groups and received 5 sessions of training. After the sessions, 2 phone consultations were provided to the participants with a one-week gap, and the participants' questions were answered. Sf-36 Quality of Life Questionnaire was completed before and 1 month after the intervention, and data were analyzed by independent t test, Pearson correlation coefficient, Spearman, Mann-Whitney, ANOVA, Kruskal-Wallis, and Wilcoxon tests using SPSS software Version 16.

Objective: Anxiety is one of the most common problems of patients before surgery. This study aims to compare the effects of Progressive Muscle Relaxation (PMR) technique and aromatherapy with rosemary oil on preoperative anxiety in candidates for general surgery.The aim of this study was to determine the effect of progressive muscle relaxation technique and aromatherapy with rosemary on preoperative anxiety in candidates for general surgery. This study aimed to determine the effect of progressive muscle relaxation techniques and aromatherapy with rose on preoperative anxiety in patients undergoing general surgery was performed. Anxiety is one of the most common problems of patients before surgery. Anxiety is one of the most common disorders in patients prior to surgery Methods: In this clinical trial, participants were 90 patients who were candidates for general surgery referred to Ayatollah Kashani Hospital in Shahrekord, Iran in 2018. After obtaining informed written consent from them, they were randomly divided into three groups: PMR (n=30), aromatherapy (n=30) and control (n=30). The intervention was performed one hour before the surgery. Data collection tools were a demographic form and the Depression, Anxiety and Stress Scale - 21 Items. Collected data were analyzed using chi-square test, paired t-test, and one-way analysis of variance in SPSS v.21 software.In both groups, the intervention was performed by the patient one hour before the operation. In both groups an hour before the operation was performed by the patient. Data collection tools included demographic characteristics questionnaire, 21-item DASS anxiety scale. Data collection tools included demographic questionnaires anxiety scale survey had 21 questions DASS. In this clinical trial, 90 patients who were candidates for general surgery referred to Ayatollah Kashani Hospital in Shahrekord in 1398 were randomly divided into three groups: relaxation (30), aromatherapy (30) and control (30). In this clinical trial, 90 patients undergoing general surgery hospital Ayatollah Kashani In 1398 randomly into three groups: relaxation (30), aromatherapy (30) and control (30) were divided. In both groups, relaxation and aromatherapy techniques were performed by the patient one hour before the operation. In both groups, relaxation techniques and aromatherapy one hour before surgery was performed by the patient. Data were analyzed using SPSS software version 21. Data using SPSS version 21 was analyzed. Data collection tools included demographic characteristics questionnaire, 21-item DASS Anxiety Scale (DASS 21). Data collection tools included demographic questionnaires anxiety scale survey had 21 questions DASS. In both groups, relaxation and aromatherapy techniques were performed by the patient one hour before the operation. In both groups, relaxation techniques and aromatherapy one hour before surgery was performed by the patient. Results: Mean pre-intervention anxiety score was 16.97±2.77 and 16.80±2.66 in the PMR and aromatherapy groups, respectively (P˃0.05), which decreased to 16.03±2.54 and 15.03±2.88 after the intervention (P<0.05). There was no statistically significant difference between the two groups in terms of anxiety and the two methods were not superior to each other. But after the intervention, this difference became significant (P<0.05). But after this difference was significant (P<0.05). The results showed that the mean scores of anxiety before the intervention between the three groups were not statistically significant (P>0.05). Results showed that the mean score of anxiety before the intervention showed no significant difference between the three groups (P<0.05). Also, there was no statistically significant difference between the two groups in terms of the studied variable and the two methods of progressive muscle relaxation and aromatherapy were not superior to each other. Also compared between the two groups there was no significant difference variable and progressive muscle relaxation and aromatherapy superior to each other did not. Conclusion: PMR and aromatherapy with rosemary oil can be used in clinics to reduce the level of anxiety in patients before general surgery. According to the results of the study, it can be suggested that relaxation and aromatherapy be used to reduce the level of anxiety of patients before general surgery in the clinic. According to the results, it can be suggested that the relaxation and aromatherapy to reduce the level of public anxiety before surgery was clinical.

Objective: Anxiety and stress are among the most common mental problems in patients before surgery. This study aims to determine the effect of aromatherapy with rosemary essential oil on preoperative anxiety, stress, depression and physiological parameters in candidates for general surgery. Methods: In this clinical trial, 60 candidates for general surgery at Ayatollah Kashani Hospital in Shahrekord, Iran in 2019 were randomly divided into two groups of aromatherapy (n=30) and control (n=30). In the aromatherapy group, on the day of surgery, one hour before going to the operating room, three drops of 10% rose essential oil were poured on a tissue and pinned to the patients’ pillows, and they were asked to smell it for 20 minutes. There was no intervention in the control group. Data collection tools were a demographic form, the 21-item depression anxiety stress scale, and vital signs checklist. Data were analyzed in SPSS software, version 21 using chi-square test and paired t-test. Results: Before the intervention, the mean scores of anxiety, stress, and depression in the aromatherapy group were 16.80, 17.77, and 16.27, respectively, where the difference in these three variables was not significant (P>0.05). After the intervention, their mean scores were 15.03, 15.57, and 15.83, respectively, where the difference in these variables was significant (P<0.05). There was a significant difference in these variables between the two groups (P<0.05). Conclusion: Aromatherapy with rosemary essential oil can reduce anxiety, stress, depression and improve some physiological indicators of patients before general surgery. Therefore, it is recommended to use it along with modern medicine.