ABSTRACT
Introduction: The pain caused by cancer affected by 50 to 90 percent of patients with cancer and anxiety caused by these diseases and cancer treatment increases the need for supporting patients, Therefore their coping strategies adopted by patients in adapt is important roles. The aim of this study was to determine the relationship between pain catastrophizing, pain-related anxiety, social support and coping strategies of pain in patients with cancer
Methods: Type of cross - sectional study was correlational. A total of 110 cancer patients referred to 5[th] Azar Hospital [2013] were recruited Convenience sampling into the study. Questionnaire pain catastrophizing, pain anxiety, pain, social support and coping strategies were used. Data were collected and analyzed using SPSS16 software and doing descriptive and inferential statistics, and considering levels of significance [P<0.05]
Results: The results showed that Mean and standard deviation of Pain Catastrophizing in patients [23.9 +/- 8.8], pain-related anxiety [35.7 +/- 18.4], coping strategies [107.9 +/- 38.8], social support [151.1 +/- 15.8]. The Pearson correlation test, showed is significant differences between pain catastrophizing [P=0.00, R=-0.46], pain-related anxiety [P=0/00, R=-0/47], coping strategies [P=0/00, R=0/46] with social support
Conclusions: The results showed that significant differences are between pain catastrophizing pain-related anxiety, coping strategies and social support patients with cancer. Therefore, developing a comprehensive care program for patients cancer with Strengthen coping strategies, Increase social support In order to reduce the level of anxiety and pain catastrophizing is recommended
ABSTRACT
Introduction: According to technology progress towards and growth in medical sciences on cardio-pulmonary resuscitation, nursing human-forces training and education in emergency department seem to be necessary. Therefore, the present study was conducted on of retraining program competency based planning for nurses practice on cardio-pulmonary resuscitation in emergency department
Method: This study is semi-experimental type, sampling non-random, carried out on case [15 nurse] and control [15 nurse] groups in training hospital dependent to Golestan University of Medical Sciences. Data gathered by using of nurse practice observational Questionnaire on cardio-pulmonary resuscitation. Re-training program competency based was planning and implemented based on re-training planning principles as well as competency-based training [CBT] basic steps on cardio-pulmonary resuscitation of case group. Data were gathered from two steps including the previous step and 4-month following experiment on case and control groups separately and analyzed in SPSS16 software using descriptive statistics [Frequency, mean, standard deviation] and inferential statistics [Mann-Whitney, Chi-square, Wilcoxon]
Results: Chi-square statistical test showed that no significant differences were found in terms of demographic variables such as age, sex, job experience, between two groups [P>0.05]. Mann-Whitney test was revealed that nurses performance dimensions on cardio-pulmonary resuscitation was found to be different between two groups [P<0.05]. Also, Mann-Whitney test, showed significant differences between total nurses performance scores on cardio-pulmonary resuscitation between two groups following 4-months duration [P<0.05]
Conclusion: Findings these study to revealed, applying re-training program competency based is effective on the nurses practice on cardio-pulmonary resuscitation and advancement about 40 percent up to the nurses practice emergency department. So it is suggested that re-training program competency based to be applied as nursing human-forces training in emergency department
ABSTRACT
Non-steroidal anti-inflammatory drugs [NSAIDs] are the most common drugs prescribed for controlling and post root canal treatment pain. During the last decade, a new generation of NSAIDs has been introduced such as Celecoxib and Gelofen with less gastrointestinal side effects and more analgesic effect. No studies have been performed to compare Celecoxib and Gelofen with other NSAIDs considering the reduction of post-endodontic pain; therefore, this study was designed. In this randomized double blind clinical trial study, 90 patients were divided into 3 groups and underwent root canal therapy. Celecoxib, Gelofen, or placebo was randomized prescribed to the patients 1 hour before treatment. The intensity of pain was recorded using visual analog scale [VAS] at 4, 8, 12, 24, 48 hours after completion of root canal treatment. The data were analyzed by means of repeated measurements, multiple comparisons and one way ANOVA tests using SPSS software. P<0.05 was considered as the level of significance. The results showed significant difference between Celecoxib and Gelofen in comparison with placebo at 8 and 12 hours after initiation of treatment. There was no significant difference among three groups at 4, 24, and 48 hours after initiation of treatment [P>0.05]. According to the results, use of Gelofen or Celecoxib before treatment reduces post-endodontic pain. These drugs can be prescribed before initiation of treatment as the effective agents for reduction of post-endodontic pain