[Effect of continuous caring and educational intervention [home visit] on quality of life in the congestive heart failure patients]

Quality of life in congestive heart failure [CHF] patient's comrade with declines mortality, psychosocial, physical and social restriction due to inability effect of the disease. So, the aim of this study was the assessment effected continuous caring and educational intervention [home visit] on quality of life in the CHF patients. In a clinical trial study, a total of 110 patients were selected and accidentally were put in two groups [experimental and control]. Each group was equalized based on sex, age, education, living place, heart failure and ejection fraction. Then, experimental group was educated about heart failure disease, drugs being used, self care plan and life style that this educational plan followed by three home visits. In all of the patients, quality of life questionnaire [SF-36] was filled in two steps, in first study and sex months after discharge. Data were analyzed using independent and pair t-tests. Before intervention, the results indicated that there was no difference in two groups base on sex, age, education, living place, cardiac failure degree, ejection fraction and quality of life main score [P<0.05]. But after the intervention, quality of life main score in domains physical function, limitations in usual role activities because of physical health problems, vitality, social function, body pain and general health in intervention group were greater than control group [P<0.05]. Pair t-test was detected quality of life main score after six months was increased in the intervention group and decreased in the control group [P<0.05]. Our results show that, nursing intervention and education in congestive heart failure patient's base on need and life style improve physical status and quality of life of these patients

[Comparison of the effects of lecture and booklet methods on awareness and attention of parents of children with Thalassemia major]

Thalassemia is one of the most important genetic diseases in Iran. Warning of their parents about their children's disease prevents the related problems and reduces its complications. This study was aimed at comparing the influence of lecture and booklet methods on enhancement of awareness and attentions of parents of children with Thalassemia major. In this interventional study, a total of 90 parents of children with Thalassemia who referred to Hajar hospital for medical treatments, were selected using simple sampling and were randomly divided in three groups of 30 parents. The parents in lecture group attended for seasons of lecture for 30 min. each with 3 weeks interval. A booklet with the same contents as the lecture group was given to the booklet group without any intervention. A questionnaire was designed to gather some information about the disease from parents of all three groups. To determine the statistical relationships, student t-test, Spearman's correlation and of ANOVA tests were used. No significant differences were found among the three groups tested in terms of the mean age, gender, level of education, job, number of affected children, and age of the children. The results showed that the mean of knowledge before and after the education in the lecture group was 10.53 +/- 4.37 and 16.5 +/- 4.73 [P<0.05] and in the booklet group was 10.7 +/- 3.06 and 14.6 +/- 2.7 [P<0.05], respectively. There was no significant difference between lecture and booklet groups based education. After the education, the knowledge in the two groups was significantly more than that in control group [P<0.05]. The results showed that lecture and booklet methods have positive effects on increasing of the parent's knowledge about the disease. Thus, providing of the booklet for the parents, particularly in the region with high prevalence of the disease, is recommended