ABSTRACT
Cuffed central venous catheters [CCVC]. as preferred types of vascular access for hemodialysis have several complications [e.g. infection, thrombosis, embolism, bleeding and fractures]. This study aimed to describe the complications of CCVC. In this cross-sectional study, the incidence of complications associated with CCVC in patients referred to Kashan Akhavan dialysis center was evaluated during a six-month period between June 2013 to December 2013. The census sampling method was used and patients in each dialysis session were evaluated for all catheter-related complications using the checklist. Finally, a nephrologist approved the complications. From a total of 183 patients admitted to the Kashan Akhavan dialysis center during the six months, 43 patients were enrolled with permanent hemodialysis catheters. Catheter-related infection and thrombosis were common complications. The incidence rates of catheter-related infection and thrombosis were 1.87 and 1.5 per 1,000 daily catheter use, respectively. Catheter-related infection and thrombosis are two common complications among hemodialysis patients used a CCVC. Therefore, the necessary measures should be taken to reduce these complications
ABSTRACT
Despite the importance of patient satisfaction as an indicator of care quality, no data are available on the satisfaction of mothers whose children admitted to hospitals. This study aimed to evaluate the mothers' satisfaction of hospital care in the pediatric ward of Kashan Shahid Beheshti hospital. a descriptive study was conducted using the pediatric family satisfaction [PFS] questionnaire and through interviewing with 280 mothers during 2010-11. Data were analyzed using SPSS software and descriptive statistics. Mean maternal age of subjects was 28.04 years. Average age of admitted children was 2.4 years and the mean of hospital stay 4.97 days. The mothers were dissatisfied with doctors for not being available on time and their failure to notify the results of their child's tests. They were also dissatisfied with nurses for the lack of education about their child's treatment and also the lack of post-discharge care. The mothers were also dissatisfied with welfare services [e.g. providing an appropriate play room for children [71.4%]. Average satisfaction scores for the medical, nursing and welfare staff were 22.25 +/- 6.19, 29.05 +/- 6.88 and 26.68 +/- 6.93, respectively. A significant relationship was observed between the child's disease and the mother's satisfaction [P<0.0001]. Overall satisfaction with medical, nursing and welfare staff was low in pediatric ward of this hospital. doctors and nurses' attention to the quality of care can reduce the levels of dissatisfaction
Subject(s)
Humans , Female , Mothers , Hospital Departments , Health Care Surveys , Consumer Behavior , Surveys and QuestionnairesABSTRACT
Most of studies on quality of life in Iran have been conducted using SF36 questionnaire. Even though its efficiency has been demonstrated in different studies, but using shorter instruments with easier application, particularly for elders could be more suitable. The aim of present study was to assess and compare quality of life of patients with femoral neck fractures, measured by two questionnaires of SF36 and EQ5D. A cross-sectional study was conducted with 70 elders with femoral neck fracture. EQ5D and FS36 questionnaires were used to assess the general health related quality of life. Data were analyzed using statistical tests like Chi square, T-test, analysis of variance, Pearson and Spearman correlation coefficient. Totally, 70 elders with a mean age of 73.15 years [ranging in age from 60 to 90 years] were participated in the study. The mean score of quality of life was 43.58+/-15.76 measured by EQ5D and 35.15 +/- 12.50 for SF36. The Spearman correlation coefficient was 0.76[P=0.000]. Considering the results which showed quality of life scores measured by two instruments were correlated, it is suggested to use EQ5D in accessing quality of life of elders with femoral neck fractures, in view of being shorter and simpler. Meanwhile, the study revealed the low quality of life scores in elders with femoral neck fractures, which calls healthcare workers to plan for improving the situation