[Enactment of professional ethics standards compliance in patients and nurses prospective]

Introduction: the ethical standards compliance in nursing practice will lead to improve nursing services; therefore this must be regarded as main goal for hospitalized patients

Objective: the aim of study was to determine the professional ethics standards compliance in nursing practice from nurses and patients prospective in 2012

Methods: this is a descriptive comparative study that was conducted with partnership of 160 registered nurses were chosen by census and 504 hospitalized patients were selected by quota sampling from medical and surgical wards affiliated to training hospitals of the Medical Sciences Jahrom University. Study tool was a questionnaire list, 31 questions for nurses and 22 questions for patients. Data analysis performed using, SPSS 16, connected Chi-Square, correlation and Mann-Whitney tests

Results: according to the nurses' perspective 72% had responsible aspect and respectful patients care quality performance was 70%. However from patient's perspective 40% of nurses had responsible aspect, quality performance 45% and patients respect 69% to meet ethical standard. There was significant difference between nurses and patients perspective in sight of responsibility and quality care performance

Conclusion: the results showed that there is difference between patients and nurses' perspective about professional ethics standards compliance. To improve quality care performance education and training of ethical standards compliance is essential

Relationship between post-kidney transplantation antithymocyte globulin therapy and wound healing complications

Wound healing disorders are probably the most common post-transplantation surgical complications. It is thought that wound healing disturbance occurs due to antiproliferative effects of immunosuppressive drugs. On the other hand, success of transplantation is dependent on immunosuppressive therapies. Antihuman thymocyte globulin [ATG] has been widely used as induction therapy but the impact of this treatment on wound healing is not fully understood. To investigate wound healing complications after ATG therapy in renal transplant recipients. The medical records of 333 kidney transplant recipients were assessed for wound healing disorders. Among these patients, 92 received ATG and 5 doses of 1.5 mg/kg ATG along with the standard protocol of drugs. The mean age of patients was 38.9 years. Of 333 recipients, 92 [23.7%] received ATG; 21 [6.3%] developed wound healing complications. There was a significant relationship between ATG therapy and wound complications [p=0.034]. Also, women were more likely to develop wound healing disorders than men [p=0.002]. No statistical difference was observed between age and wound healing complication [p=0.28]. There was no significant difference between the mean duration of hospitalization between ATG and Non-ATG group [p=0.9]. ATG increases the risk of overall wound complications. It is needed to pay more attention to the patients treated with this immunosuppressant to avoid the risk of re-interventions, lessen the duration of hospitalization and decrease the impairment of graft function

Study of swiss-ball exercises effectiveness on improvement of balance and depression of patients with Parkinson disease

Parkinson s disease is a progressive and degenerative disease of the basal ganglia of the brain. Four major signs of this disease are: bradykinesia, tremor, rigidity and postural instability. Postural instability is the main cause of falling in these patients. Despite the importance of the role of the exercise therapy in reducing the secondary signs of akinesia in these patients, there is not enough evidence to express the effects of these exercises. The current study carried out to reveal that. In a Single -blinded, prospective and Quasi -experimental study 23 patients with Parkinson were chosen [age=67/43 +/- 7/75, height=169/74 +/- 8/44, weight=65/61 +/- 7/85] and were arranged to do exercise therapy with Swissball with the full supervision of the physical therapist for 12 sessions [one hour in each every session three sessions per week]. An evaluation was done before and after treatment and a follow up month later. To evaluate the balance of these patients Berg Balance Scale was used and beck depression questionnaire to assess the depression of these patients. The results were analysed by Spss software and paired t-test. A meaningful difference in balance evaluation was achieved between before the treatment and after the treatment [P=0.00]. A meaningful difference in balance evaluation was achieved between before the treatment and after one -month follow- up [P=0.00]. There was No meaningful difference between after the treatment and after one-month follow-up [P=0.141]. There was a meaningful difference in depression evaluation between before the treatment and after the treatment [P=0.00]. There was a meaningful difference in depression evaluation between before the treatment and after one -month follow- up [P=0.00]. There was No meaningful difference in depression evaluation between after the treatment and after one-month follow-up. [P=0.56]. With regard to the results of this study it might be concluded that Swissball exercises improve the balance and depression of patients with Parkinson in short term [one month]. It must be notified that of Exercises does not continue depression and balance problems due to progressive nature of the disease