[ effect of family-centered empowerment model on quality of life school age children with asthma]

Introduction: Asthma is a common chronic illness in children that effects patients' and their families' quality of life. The aim of this study was to determine the effect of family-centered Empowerment Model on quality of life of school aged children with asthma

Materials and Methods: This study was a quasi-experimental research on 172 children between 6 and12 years old, whom were referred to asthma clinic in Kerman Afzalipoor Hospital. For this purpose, in control and experimental group were selected based on convenience sampling. Data was gathered using [Pediatric Asthma Quality of Life Questionnaire] and was approved with content validity and reliability [?lpha=0.80]. The model has four stages [increase knowledge, self-empowerment, self-steam and evaluation] and was used in discussions, demonstrations and cooperative leanings with experimental group. The participants completed questionnaire before and after intervention. For data analysis SPSS/16 was used

Findings: Results showed that before intervention there was not any significant difference between two groups in quality of life scores. However, after intervention, quality of life scores in experimental and between two groups was different [p<0.05]

Conclusion: Findings showed that the designed model has improved quality of life in children [symptoms, activity limitation, and emotional function]. Hence, usage of this model is also suggested for other chronic illness

[Comparing view of physicians, nurses and patients in regard to related factors to sleep disorders of patients]

Many factors influence patients' sleep and recognizing them can help care givers to provide good care. The aim of this study was to compare view of physicians, nurses and patients in regard to factors relating to sleep disorders in patients. This descriptive-comparative study was conducted on 530 patients in medical surgical wards, nurses and physicians of those wards in Kerman Medical University Hospitals. Sampling was done on two stages of quota and consecutive. Data was gathered by "Related Factors of Patients' Sleep" questionnaire with 58 questions about environmental factors, individual-physical, individual-psychological, caring and behaviors before sleep was used. Content validity 0.96, Cronbach alpha 0.86 for questionnaire was confirmed. Data were analyzed by using SPSS/18 software, descriptive statistics, [frequency, mean, SD],independent T- test and ANOVA. Factors influencing sleep health in view of physicians, nurses and patients were not significant. The most prevalent environmental factor was reported as sleeping on hospital beds and changing the bed, pain as a physical factor, being worry about family and separation from them were as mental problems. The most prevalent habit before sleeping was, talking to others and the major sleep distraction for patients, was waking them up for routine nursing cares. Patients hospitalized in medical and surgical wards don't have good sleep due to several reasons. Nurses can help to improve patients sleep by solving some of these problems. They can arrange a quiet environment, and try to relive some of the physical concerns. In addition they can decrease patients' anxiety by communicating and talking with them. This provides a healthy sleep which ultimately leads to mental and physical health of the patients.

[The effect of preparatory face to face education to reduce depression and anxiety in open heart surgery adult patient in Shafa hospital in Kerman, 2008]

Introduction: Depression and anxiety are psychological problems after cardiac surgery and hospitalization. Patient education and giving information has important role in nursing care in reducing anxiety and depression. In different methods individual and face to face teaching is an effective method. The main purpose of this study was the preparatory face to face education to reduce depression and anxiety in open heart surgery patients

Methods: This was a quasi-experimental study on one-hundred and twenty patients dividing into two groups of sixty members, chosen at random and matched by age, sex, marital status employment status and type of surgery. The patients receiving information booklet and educational program were put in the experimental group and other patients were put in the control group only receiving normal education. The information was gathered by the standard questionnaire of Hospital Anxiety Depression Scale [HADS]. For data analysis in spite of mean and standard deviation, correlation, T, ANOVA with SPSS 14 were used

Results: According to the findings of the study the anxiety and depression in both groups were reduced after the surgery [P-value<0.0001]. But in experimental group was significantly less than control group. The anxiety scores before and after the surgery in experimental group was 11.63 and 6.68 and in control group was 13.3 and 9.6.For the depression the scores was 10.3and 5.85, and for the control group was 11.28, 9.16.According to the result of the study about the relationship between anxiety, depression and demographic variables, the amount of depression in women and addicted subjects were more than the rest of the group, furthermore jobless subjects had more anxiety [P<0.05]

Conclusion: The result of the study showed that undergoing heart surgery patients, experienced anxiety and depression that can negative effect on them. Despite of difference between pre and postoperative scores, in experimental group was significant. Furthermore education specially face to face educational program and giving information was very effective method in reducing their depression and anxiety. This teaching method for better interaction with client and its simply is useful for nurses. Also attention to female, addicted and jobless is recommended

[Study of quality of life in heart failure hospitalized patients in Kerman medical university hospital in 2008]

Introduction: Heart failure is a chronic and weakening disease. The physical restrictions and advanced symptoms which are derived from this disease cause the decrease quality of life. Since the promotion of quality of life plays a noteworthy role, assessment of quality of life in patients with heart failure, helps nurses to have more doctrinaire surveillances in health - care systems

Methods: This is a descriptive-analytic study that has been done on 200 hospitalized patients with heart failure in cardiac and C.C.U wards of Shafa and Afzalipour hospitals [located in Kerman] to study the quality of life in patients with heart failure. General and special standard tools of SF36 was used to assess the quality of life in patients with heart failure. Questionnaires were filled by researcher with interviewing patients. For data analysis Mann-whitney, Kruskal-wallis tests and regression by spss 13 were used

Results: The results indicated that women have formed 57.5 percents of affected patients. The average age of patients was 65.43 +/- 12.o2. In aspects of quality of life by means of SF36 tool the maximum and minimum point related to mental health and physical problems respectively. The patients who were younger than 60 years old and married had better quality of life. Women had the weaker quality of life in various aspects than men [P<0.05], and illiterate patients also had the lower quality of life. Studying the relation between attendant diseases and quality of life in patients showed that the patients with history of myocardial infarction, unstable angina, hypertension, diabetes mellitus, and respiratory diseases and also the patients who had CABG operation had the weaker quality of life. There was not any significant relationship between quality of life and history of cigarette smoking, opium addiction, renal diseased and stroke [P>0.05]

Conclusion: On the whole, the results of this study showed that the patients with heart failure haven't desired quality of life, thus, nurses who works for health service wards should try to obtain all essential basis for appropriate care and necessary possibilities for continuous supervisions, follow up, in order to prepare the conditions for patients to enjoy superior quality of life

[Comparison of signs and symptoms of myocardial infarction and unstable angina in male and female hospitalized patients in cornonary care units of Kerman medical university hospital, 2004-2005]

Coronary Artery Disease [CAD] is one of the most common causes of mortality and disability in the world. The results of some studies show that there are differences in signs and symptoms of CAD between male and female. This research was done to compare males and females for these signs and symptoms in 600 hospitalized patients in coronary care units of Kerman Medical University from December 2004 to July 2005. for data collection a questionnaire was used which was designed in five section: demographic characteristics, disease variables, pictures for determining the points of chest pain, Visual Analog Scale for determining the intensity of pain and measures taken by patients after the beginning the signs and symptoms. This questionnaire was completed by two nurses in different shifts by interviewing the patients. For data analysis T test, Chi 2 Fisher exact and Man-Whitney U were used. The results showed that the women were older than men [p<0.001]. Most women had unstable angina and men had myocardial infarction [P<0.05]. There were no significant difference between the chest pain in both genders but neck pain, back pain, fatigue, decrease of appetite, flushing, dizziness, tiredness, visual disturbances, suffocation feeling, palpitation and restlessness were experienced in women more than men [p<0.05]. Also dyspenea during the heart attack was seen in most women [44.7% vs 29.4%] but there was no significant difference between two genders for intensity of pain. This study showed that atypical signs and symptoms of unstable angina and myocardial infarction were seen in female more than male. Furthermore this may be followed by some problems in diagnosis and then delay in referring the patients to medical centers. On the other hand, health care workers may not pay enough attention to these atypical signs and symptoms, in women with normal ECG so they might not receive necessary services

Correlation between preoperative demographic and physiologic variables and extubation time after coronary artery bypass [CABG]

Heart disease is one of the most common disorders in the worldwide and Coronary Artery ByPass Graft [CABG] is importand surgical procedure in the patients. In this regard, one of the intervention is, extubation process in the patients. To recognize the related variables on duration of extubation and the expected time of quality nursing care, the aim of this study was to determine correlation of the variable and predicting extubation time to improve quality of nursing care. In other words, this study was conducted to determine any relationship between preoperative factors such as demographic and physiologic variables with extubation time after CABG. This study was a descriptive design; with census sampling method. The sample size was 150 patients who were undertaken CABG surgery. For data gathering, patients records were used and in some cases, when it was necessary to collect more information, the data were gathered from patients' discharge plan. The results showed that 72.6% of the subjects were males and the remaining were females. Mean and standard deviation of age were 56.6 [ +/- 9.93] years. Most of the subjects [76.7%] had stenosis in three vessels. With regard to the different study variables, the mean of extubation time was less than or equal 12 hours, in younger patients [<50 years] compared to the other age groups [P0.01]. Also Mann whitney U test showed that extubation time in balloon pump users were more than others [P<0.05] and the extubation time was longer than the other groups. Findings of this study, indicate that older age groups with using balloon pump need more attention in extubation, and early extubation can lead to early discharge and may decrease hospitalzation costs