[Survey of comparing discharge time nursing education with the education standards of diabetes type 2 patients in hospitals affiliated in Yazd University of medical sciences in 2015]

Introduction: Diabetes is the most common metabolic disorder in Iran. Due to the nature of the disease, the patient's cooperation in self care is very important. One of the most effective and affordable ways to empower patients is education, which, to be beneficial, must be provided in accordance with related standards. The current study was conducted to investigate accordance of time of discharge diabetic patients with the standards of education for diabetics Type 2 in hospitals, affiliated in Yazd University of Medical Sciences

Materials and Methods: At discharge, data on patient education provided by nurses to 385 diabetic patients, was documented using the "nursing diabetic patient education-discharge time check list" and were analyzed using descriptive statistics and SPSS 20

Results: Conformity rate of discharge nursing education in patients with Diabetes Type 2 with standards was 14.5%, which indicated a low quality of education. Conformity rate in the dimensions of "insulin therapy" was 34.7%, in "foot care education" was 6.75%, in "diet programs" was 1.8%, in "physical activity" was 0.1%, in "prevention of infection" was 1.8%, and in "oral antihyperglycaemics drugs" was 13.3%

Conclusion: Based on the poor compliance with the standards of education for diabetics Type 2 patients, application of nursing clinical guidelines during discharge for type 2 diabetic patients and clinical supervision by nursing managers for optimizing quality of care is recommended

[Effects of leukocyte-depletion filters on alluimunization derived reactions of platelet transfusion in acute leukemic patients]

Leukemia is the most common malignancy among adults and children which may develop several side affects such as anemia, infection and thrombocytopenia-related hemorrage. Many modalities have been suggested for prevention of Alluimunization and one of them is using of leukocytes free products. In fact, platelets could not solely stimulate immune reaction. This study is conducted at two hospials of "Shohada" and " Taleghani" to demonstrate the usefulness of such products. This research is a single- blinded clinical trial. All the patients had acute leukemia. In control group [24 subjects] we used a routin infusion set for transfusion and in experimental group [20 subjects] a biofilter was applied during the transfusion, platelet were counted one hour and 24 hr after transfusion. CCI formulate was used to represent a signs for Alluimunization. If CCI was less than 10x10 L/M[2] after transfusion or it became below 5-7x10 L/M[2] after 18-24 hr, the subject was considered alluimmune. After one hour, 21 cases out of 24 were alluimmuned in control group whereas in experimental group 13 cases from 20 patients became alluimmune. After 24 hours, 5 cases in control group and 5 ones in experiments were found to be Alluimmune. We did not prove any preventive properties from leukocyte-depletion filters in reducing the risk factors of Alluimunization amongs patients with acute leukemia

[Relationship between chemotherapy regimen and fatigue severity in patients with breast cancer at Shohada and Imam Hossein hospitals affiliated to Shaheed Beheshti university of medical sciences, 2003]

Background: Fatigue is one of the most common side effects of chemotherapy with a prevalence of 90% in patients with breast cancer undergoing chemeherapy. Althogh some reasons are suggested for it, the relationship between chemotherapy regimen and fatigue severity has not yet been thoroughly examined

Purpose: This correlational descriptive study was conducted to determine the relationship between chemotherapy regimen and fatigue severity in patients with breast cancer undergoing chemotherapy in Shohada and Imam Hossein Hospitals, affiliated to Shaheed Beheshti University of Medical Sciences

Method: Subjects included patients in stages I, II, and III of breast cancer with mean age of 42.3 +/- 9.19. Data were collected by a 3-part questionnaire [1.demographic characteristics; 2. disease and treatment characteristics and 3. fatigue rating scale]. Fatigue was measured by the fatigue scale over 3 times [before chemotherapy, and 48 hrs. after the first and second chemotherapy courses]. Data wer analyzed by SPSS software

Findings: Results indicated that the mean difference of fatigue was not significant before chemotherapy in two regimens [AC and CAF], but the mean difference of fatigue 48hrs, after the first and scecond chemothorapy courses was significant in the two regimens [AC: 28.77 +/- 1.1777 and CAF: 22.4 +/- 1.2]. In fact, fatigue severity in AC regimen is more than CAF regimen. In addition, there was a significant relationship between fatigue and menopause as well as BMI categories

Conclusion fatigue assessment is an important aspect in cancer nursing. Based on these findings, there was a relationship between fatigue severity and chemotherapy regimen. Therefore, nurses have to assess these patients completely to recognize potential factors in relation to fatigue and, finally, provide necessary nursing care