ABSTRACT
Background: This study has been conducted to investigate the effect of family-centered support program on satisfaction of the family members of patients in intensive care unit. Hospitalization of patient in intensive care unit causes crisis in family. It is very important to pay attention to the role of patient's family in support and care of patients in intensive care unit, to pay attention to fulfillment of the family's needs in order to increase their satisfaction
Methods: This study was a quasi-experimental study with control group. Seventy six family members of the patients hospitalized in medical and surgical intensive care units were recruited through purposeful sampling method and were divided in two groups [control and trial with 38 people in each groups]. In the control group, action was taken according to routine way of the unit and in trial group, intervention was conducted within three days in three dimensions of support, information and reassurance. In the fourth day, satisfaction was measured using Family Satisfaction Intensive Care Unit questionnaire
Results: Mean and standard deviation of the satisfaction with care in the control and trial groups were 37.78[18.36] and 69.26[8.39], respectively, mean and standard deviation of satisfaction in information and decision-making domains were 25.65[17.48] and 61.84[12.21] and total satisfaction score were 32.73[16.92] and 66.17[9.07], respectively. These scores indicated significant increase of satisfaction after intervention [P<0.001]
Conclusion: This research showed that information, emotional support and reassurance of the family of patients in intensive care unit has considerable effect on increase of their satisfaction. It is suggested to educate intensive care nurses and other health care personnel about psychosocial and behavioral skills to support family members during hospitalization of their patients in intensive care unit
ABSTRACT
Objective[s]: Family Physician" program has been launched since 2005 as a fundamental health plan in Iran. In spite of valuable information gathered through vital horoscope, only a few studies have been done in order to evaluate the performance of this program. So this research has been carried out to assess the impact of this program on heath indicators
Methods and Results: The research involved collecting data about 11 main health indicators extracted from the official annual report of the deputy for health from 2001 to 2006 and analyzing them through t- paired test in SPSS. Statistical analysis shows that the changes in 6 main indicators during these years including infant mortality rate [IMR], crude birth rate, under-5 mortality rate [U5MR], neonatal mortality rate [NMR], maternal mortality rate [MMR], and percentage of deliveries attended by unskilled persons were significant [P<0.05] and all of the above indicators have decreased during these years . Although other 5 indicators such as crude death rate [CDR], general fertility rate, percentage of deliveries in hospitals ,percentage of family planning coverage and still birth rate had an appropriate improvement during these years, their changes were not statistically significant [P>0.05]
Conclusion: Findings indicates that there is an acceptable improvement in many of the health indicators since starting this program. But this does not mean that the other factors that might have affect on these indicators should not be considered
ABSTRACT
Mortality data are a cornerstone of epidemiological research and health plan. Unfortunately they dose not completed coincident to international standards; so due to important of issue and had not any research for precision and accuracy of death certification data in this region, this study was done in death certification data in inpatient Kashan Shahid Beheshti hospital. An applied cross-sectional research on death certification data in inpatient Kashan Shahid Beheshti hospital with 4 checklist [face and content validity] included precision and accuracy of general identification data and precision and accuracy of causes of death data was done, after that data were grouped in table and analyzed with descriptive statistics. 301 death certification [60%] and 389 [77.5%] had precision and accuracy in view of general identification and 291 [62.3%] adults and 18 [51.4%] prenatal had precision and 328 [70.3%] adult and 19 [54.3%] prenatal had accuracy. 88 [17.5%] of general identification and 83 [17.8%] adult and 15 [42.9%] prenatal did not have completed, 309 [66.2%] adult and 21 [60%] prenatal had a correct sequence. More education for physicians for produce higher quality data and more emphasis for enough knowledge of illness and study of the medical record carefully, perform autopsy for necessary cases establishment of Medical Legal Department in hospital were recommended