[ comparative study on the myocardial infarction patients' quality of life and healthy people]

Nowadays, the incidence of Myocardial infarction is increasing day-to-day which in turn, it make s various functional, physical and emotional complications in daily living activities of patients after recovery of sever stages of disease. Consequently, the quality of life among these groups of patients is a main concern of all health care providers. Since, treatment results in medicine and nursing is depended on patients' points of view getting, this study was conducted to evaluate quality of life items between post myocardial infarction patients and peer healthy people in order to do necessary comparisons. Using a descriptive-analytic cross-sectional study, fifty post myocardial infarction patients after two months of recovery at 5-Azar hospital of Gorgan city, and fifty healthy people were adopted randomly with considering of matching criteria such as sex, age, social class, and educational level. Using SF-36 questionnaire, 8 items of quality of life were measured according to the respondents' perceptions. Data were analyzed statistically by using SPSS Version … according to parametric and nonparametric [Mann-Whitney U test]. Participants at each group consisted of 64 males and 36 females with a mean age of 57 year-of-old that the majority of them were low literacy, and the majority of women were housewife. The non-parametric analysis [Mann-Whitney U Test] indicated that seven items of quality of life such as Physical Functioning [PF], Role Physical [RP], General Health [GH], Vitality [VT], Social Functioning [SF], Role Emotional [RF], and Mental Health [MH] between these two groups of study were statistically significant [P<0.005]. In case, Bodily Pain [BP] was not significant statistically between two groups of study. The findings indicated despite of curing after myocardial infarction, there is a considerable decrease in the quality of life level of the patients which in turn call for effective follow-up and rehabilitative programs by all of the health care providers such as nurses and physicians

[To compare dialysis adequacy in patient's that referred to Golestan province hemodialysis centers]

Hemodialysis has been used as a replacement therapy in patients with end-stage renal failure for several decades. Insufficient and low efficient hemodialysis increases the mortality rate in the patients. The aim of this study to compare the dialysis adequacy in patient's that referred to Golestan province hemodialysis centers. In this descriptive-comparative study 389 patients that have been underling permanent hemodialysis in eight hemodialysis centers of Golestan province were selected as census sampling method. Demographic date form [7 questions] patient registered dates in dossier according to study purpose [12 questions] were used as date gathering tools. Blood samples obtained before and after hemodialysis. Before starting hemodialysis and five minutes after pump stopping, arterial Blood urea nitrogen [BUN] was measured and then KT/V was calculated according to Daugirdas II formula. Statistical tests such chi-square, one way ANOVA and post hoc Analysis with Scheffe' test were used for data analyses in SPSS 13 environment. Mean of KT/V and URR in the eight hemodialysis centers of Golestan province were 1.33 and 63.22% respectively. Kalaleh hemodialysis center had highest level of KT/V [Mean=1.59] and Aghala hemodialysis center had lowest level of KT/V [Mean=1.03] and this difference was statistically significant [P<0.05]. There was statistically significant correlation between KT/V and hemodialysis time, venous and arterial needle distance, venoarterial needle direction and blood flow rate [P<0.05]. The study showed that, hemodialysis efficacy in this province is near to standard and it could be improved with some considerations such as increasing in hemodialysis time, venous and arterial needle distance and needle distance