ABSTRACT
Children with cerebral palsy need permanent care and attention in various stages of growth and development. The parents experience problems in taking care of these children and making them independent. This study was conducted to explore these experiences. This qualitative study was conducted in 2011-2012 using content analysis. Purposeful sampling was used to recruit 19 parents of children with cerebral palsy referred to rehabilitation centers in Tehran. The data were gathered using in-depth and semi-structured interviews and were analyzed inductively. Data analysis results revealed three original categories including "life with hardness" "being in ambiguity" and "need to be supported" and several subcategories including "physical strain" "psycho-emotional strain" financial burden" "restriction in social activities" "facing with anonymous" "lack of having an advisor" "need to get help from professionals and specialists" "need to have emotional- spiritual support" and "need to have help in caring the child". Parents in permanent care of children with cerebral palsy face with new and various situations consistently and experience difficulty and bewilderment because of insufficient family and social support. Further studies are needed to explore the support process of caregiver parents of these children
ABSTRACT
Nowadays, myocardial infarction is the second factor of the deaths after accidents and cancers in the world. The coronary artery diseases are stressful for patients. This research was performed to determine the influence of discharge planning on anxiety levels in acute myocardial infarction patients. This quasi-experimental study was performed on 60 patients with acute myocardial infarction at CCU [30 patients in each test and control groups]. The patients in the test group were received both routine intervention in their ward and designed discharge planning program based on the nursing process for 5 educational sessions at the hospital and followed up for 4- weeks in their homes; while, patients in the control group were received only routine intervention in their ward. The anxiety levels in myocardial infarction patients at the beginning of the hospitalization and one month after their discharge was measured by Spill Berger questionnaire. The independent t-test results showed that there is not a significant difference in the situational and total anxiety average scores of the patients in the test and control group before discharge planning. After applying discharge planning, there was a significant difference in the situational and total anxiety average scores of the patients in the test and control group [P<0.05]. Applying discharge planning for the patients with myocardial infarction resulted to decreasing their anxiety levels. Therefore, it suggests that the program of discharge planning to be used as a public plan based on an effective non-drug treatment and inexpensive method for reducing anxiety in patients who are suffering from acute myocardial infarction throughout the country