ABSTRACT
It has been noted that the myocardial infarction is an increasing episode in Islamic Republic of Iran and there are many procedures and methods which can help to reduce the number of death from this ongoing event. The aim of this study was to determine the survival rate in those patients who have had acute myocardial infarction and its association with different variables. This descriptive analytic study evaluates 111 cases of acute myocardial infarction admitted in Yasuj Imam Sajjad hospital during the year 2004 and 2005. Data were collected using a questionnaire which was completed through direct interviewing by trained personnel. The data were analyzed by standard statistical tests using SPSS software. The mean age of patients was 57 +/- 12 years. The mean time of having access to physician after MI was 4 +/- 2.2 hours. The mean time of reaching hospital after physician order was 5 +/- 4.9 hours. The mean time of hospitalization was 4 +/- 1.67 days. Considering the past history of these patients revealed that 31 percent were smokers, 16 percent had the history of previous ischemic heart disease, 63 percent had hypertension, 8 percent had diabetes mellitus, 95 percent had clip I, 95 percent had no previous block, 82 percent had Ml with Q wave. The survival rate in our study was found to be 0.91 in the first 10 hours, 0.847 in the first day, 0.829 in the first 28 days, 0.820 in the first third months, 0.792 in the first six months and 0.771 in the first 10 months of disease. The mortality rate during the first month among the patients with heart failure turned out to be higher than that of the other similar studies performed in other parts of the country; however, the annual survival rate proved to be less. The most important causes of survival after the stroke are being single, smoking, fatness and angina pain
ABSTRACT
Self-esteem is an important factor in mental health that affects human functions, especially job performance. The number of nurses with low self-esteem is increasing and this is mostly due to role conflict. Only few studies have been done on this issue. This study was done in order to evaluate the effects of a course of assertiveness on self- esteem of female nursing students in Bushehr [1380]. A total of 80 students were recruited and were given preliminary questionnaires. The 22 students that got lower scores were then chosen as the samples. Using a simple random method, the samples were matched, and then divided into 2 equal groups, a case and a control group. A pretest and a course on assertiveness and a post test were given to the case group while the control group was only given a pretest and a post test. Tools used for this study were the Cooper Smith Self-esteem scale and the independent T and paired T test, respectively. Pretest results on self-esteem for the case group showed a mean score of 59.45, [SD= 10.25]. After training, post-test results improved to 75.90, [SD=9.49, p<0.001]. In the control group, no significant change was noted on the pretest and posttest scores. However, there was a significant correlation between financial status of the students' family and self-esteem in the case group. A course of assertiveness may have an important impact on promotion of self-esteem of female nursing students. The researchers suggest more study to be done in this field especially on other group of nurses