[Effect of group motivational interviewing on quality of life of patients with colorectal cancer and permanent ostomy]

Introduction: Ostomy patients are involved in physical, emotional, social and many other problems. The problems will disrupt the normal process of living and quality of life. These patients experience Lower quality of life according to their special problems. In this situation the proper training and appropriate interventions can effect on improving the quality of life of these patients. The goal of this study was Determination of the effects of group motivational interviewing and quality of life with a permanent ostomy

Methods: This study is a quasi-experimental study with two groups before and after sampling aimed based sampling on 70 patients with colorectal cancer and permanent ostomy was performed in Ostomy Association of Iran and Surgery clinic of Rasoul Akram Hospital in 2013. Intervention based on practical book of motivational interviewing was performed with a nurse [researcher], psychologist knowledgeable in Motivational interviewing [as a group facilitator] and ostomy nurse in two groups of 12 and a group of 11 patients. The data gathering tool in this study was Quality of Life Ostomy patients Questionnaire of Hope City that was measured before intervention and one month after. Data were analyzed using the software SPSS 20 and Tvsyqy paired t-test, t- test and then analyzed with Mann - Whitney U Test

Finding: The results of this study showed that the motivational interviewing significantly increases quality of life of the intervention group in post-test [mental health, [p<0/005], social health [p<0/008], spiritual well-being [p<0/003] and physical health [p<0/002]. also there is a significant difference between the intervention and control groups in components of self-esteem, psychological, social and spiritual health

Conclusion: the implementation of "motivational interviewing" makes a significant difference in the quality of life of patients with cancer of colon and permanent ostomy. So implementation of this procedure improves the quality of life of patients with ostomy

Dual addictions, parallel treatments: nicotine replacement therapy for patients receiving methadone treatment in the Islamic Republic of Iran

This parallel, randomized, open-ended clinical trial tested the impact of nicotine replacement pharmacotherapy during the course of methadone treatment among opiate abusers. A total of 424 men entered the study at 4 drug treatment centres in Tehran, Islamic Republic of Iran. The intervention group received a 6-week regimen of nicotine replacement pharmacotherapy at no charge. After 6 months, 211 persons [99.5%] in the control group continued to smoke and 1 person [0.5%] had quit. In the intervention group, 117 [55.1%] persons smoked, 15 [7.1%] persons had quit and 80 [37.7%] had reduced by more than 50% the number of cigarettes they smoked at the start of the study [P < 0.0001]. The findings suggest that the use of nicotine replacement pharmacology in tandem with methadone maintenance treatment can lead to dramatically improved efficacy for treatment of dual addictions

[ effect of a disaster nursing education program on nurses' preparedness for responding to probable natural disasters]

Nurses, as the pioneers of healthcare in societies, play an important role before, during, and after disasters. Enhancement of their professional skills for the purpose of helping the injured is one of the basic principles in health management in accidents and disasters. The aim of this study is to investigate the effects of a disaster nursing education program on the improvement of nurses' preparedness. It was a quasi-experimental, single group study. The sample including 113 nurses working in Razi psychiatric hospital were selected by census and asked to fill out the "preparedness for confronting disasters" questionnaire, which was developed by the authors. The preparedness program, which consisted of a one-day workshop on disaster management, top-table maneuver, and an operational maneuver, were performed for the participants. The preparedness of all participating nurses was measured one week and also one month after the program. Data were analyzed ANOVA for repeated measures by SPSS-PC [v.17]. Our results showed that the mean scores of knowledge, attitude, and performance improved from 5.55 to 19.88, from 66.18 to 72.41, and from 3.36 to 12.48, respectively in pretest and follow up measurements, which indicated a statistically significant difference [p<0.001]. In addition, the mean score for total preparedness was increased from 75.14 in pretest to 104.77 in follow up, which is statistically significant [p<0.001]. According to the findings in order to promote and maintain the preparedness of nursing staff, inclusion of disaster programs in their academic educational curriculum and as a continued educational program is recommended

Acupoint massage in improving sleep quality of older adults

Elderly people often suffer from disturbed sleep and Traditional Chinese acupressure is a noninvasive technique that employs pressure and massage to acupoints in order to stimulate the balance of life energy that promotes health and comfort. The purpose of present study was to determine the effectiveness of acupoints massage in elders experiencing sleep disturbances. In this quasi experimental study which was applied as single blind clinical trial, Pittsburgh Sleep Quality index [PSQI] questionnaire was used as a screening tool to select individuals with sleep disturbance by purpo'seful sampling. Then the individuals were assigned to three groups by balanced a randomized method [an acupressure group, a sham acupressure group and control group]. Each group had 30 subjects and gender ratio was equal in three groups. The same massage was used in the acupressure group and the sham acupressure group, whereas only conversation was employed in the control group. Time of interventions was limited to 15 min. One course of intervention lasted for 3 days per week. These interventions were carried out for 4 consecutive weeks. After intervention 77 persons completed the questionnaire. Repeated measure ANOVA, ANCOVA and Kruskal-Wallis tests were used for data analysis. The analysis of data post intervention showed significant differences in PSQI subscale scores of the subjective sleep quality [P=0.025], sleep duration [P=0.012], sleep efficiency [P=0.022], sleep disturbance [P=0.025], daily performance [P=0.033], sleep latency [P<0.001] and global PSQI scores [P<0.001] among three groups. POST HOC comparison showed significant differences in PSQI subscales scores and global PSQI scores in the acupressure group compared to control group [P<0.05]. Whereas, there was significant difference only in PSQI subscales scores of the sleep latency [P=0.006] and global PSQI scores [P=0.021] in the acupressure group compared to the sham acupressure group. Sleep log data showed significant decrease of awake time and improving the quality of sleep in acupressure group [P<0.001]. This study confirmed the effectiveness of acupressure in improving the quality of sleep of elderly people and offered a nonpharmacological therapy method for sleep-disturbed elderly people

[ mental health status of employees in Semnan University of Medical Sciences [1385]]

The main goal for every university is to educate professionals in order to improve the quality of well being of body and mind of the society's members. To approach this important issue, universities needs healthy employees to enable them to educate healthy, qualified, well trained, and sensitive individuals for societies. Therefore, investigation about the health situation of the employee has a prime importance. This study was carried out to evaluate the status of mental health of employees in the Semnan University of Medical Sciences. The present study was a descriptive-analytical and cross- sectional study. 414 employees of the Semnan University of Medical Ssciences were included in the study. Data were collected using a self-reporting questionnaire [GHQ-28]. Then, data were analyzed by SPSS software and also mean, standard deviation, absolute and relative frequency were determined. Statistical analysis was performed by Chi-square, Pearson and Spearman correlation coefficient at the level of 5% and logistic regression analysis. Totally, 28.6% of employees suffered from mental diseases. The most cases were observed among the employees who working in treatment setting [41%] and the least ones observed among the employees who working in office setting. The rate of mental disorders was greater in individuals aged 40-49 [29.3%], women [37.4%], undergraduates [40.7%], singles [60%], as well as the individual who working for 20 or more years [35.2%] in the university. Interpretation logistic regression showed that index of gender, the level of education, and occupation has a significant influence over mental disorder. The rate of mental disorder was 2.5 times more than those reported by WHO, but was similar with those reported in Iran. More investigations are needed for better understanding of the reasons for higher prevalence of mental disorder among women, undergraduates government employees and those individuals who working in treatment setting. The result of these studies can lead to find a solution for this problem

[Radiographic investigation of prostatic hyperplasia]

Radiographic changes of aprostatic enlargement in 25 cases which had caudal abdominal Radiography during the year 1989 had been investigated in relation to AGE.%68 of cases had hyperplasic prostate with the age - average of was 7.2 years [between 2 to 15 years]. From 17 cases with Radiographic signs of prostatic Hyperplasia, 10 cases had no clinical signs [%58.2] and 7 cases had clinical signs like constipation, urinary retention and hinlimb jameness. Lameness was the only clinical signs in one cases of prostatic hyperplasia