effect of progressive muscle relaxation program [PMR] on anxiety of patients undergoing coronary heart angiography

Coronary heart disease is major cause of death in the world. One of the diagnostic tests for coronary patients is catheterization which leads to stress and anxiety in most patients. Progressive muscle relaxation program [PMR] is no drug interventions to reduce anxiety in patients. The main purpose of this study was to evaluate the effect of PMR on anxiety of patients undergoing for coronary artery angiography. This pre-post semi-experimental research was performed on 146 patients referred to the Shahid Rajaei heart hospital in Tehran for angiography. Progressive muscle relaxation program was prepared on a CD and was delivered to the patients. The anxiety was evaluated using a questionnaire before and after starting the program. Data were analyzed by using statistical tests, such as Chi-square and paired-t tests. No significant statistical relation was seen between age, marital status and history of disease with anxiety agents [P>0.05]. Demographic characteristics of patients showed a significant statistical relation between educational status, economic status and occupational status and history of admission to hospital with anxiety agents [P<0.05]. Paired-T test showed a significant relation between anxiety in coronary heart patients before and after starting PMR program [P<0.05]. Results of this study demonstrate a positive effect of PMR study on reducing anxiety in patients undergoing coronary heart angiography. Because of this positive effect of PMR, using this method is recommended to control anxiety in similar patients

[ influential factors on burnout among nurses working in private hospitals in Tehran]

Nursing burnout is a syndrome, causing negative self image, negative attitude toward job and disrupted communication with the clients, could lead to a severe decline of healthcare qualities. Healthcare sectors are among the most important fields of stable development in any human society, which need healthy, enthused and motivated practitioners. Nursing staffs in private sectors encounter with numerous problems and job stress in their working environments which can result their burnout. The aim of present study was to identify the influential factors on burnout in nurses of private hospitals in Tehran. The study was carried out using a descriptive-analytic method. 505 nurses were participated in the study from different private hospitals in Tehran including Toos, Pastor no, Laleh, Tehran clinic and Kasra hospitals. Data were gathered through the questionnaires containing demographic information, scale of nursing burnout's factors and Maslach nursing burnout. Data was analyzed using SPSS package. The participants reported their high emotional exhaustion [6.36%], high depersonalization [1.81%] and feeling low competent [23.63%]. The most important factor contributing in nurses' burnout in assessed private sectors was the inappropriateness between the income and the workload and its difficulties. Considering the results and the importance of nursing job, attempts to reduce nurses' problems such as financial, social and managerial problems is important. The authorities should support nurses by preparing an appropriate environmental, personnel and management conditions