[ effect of orientation tour with angiography procedure on anxiety and satisfaction of patients undergoing coronary angiography]

Recently, coronary angiography has become the largest interventional diagnostic test in cardiac patients worldwide having large effects on anxiety and satisfaction of patients in treatment and care. This study aimed to study the effect of orientation tour on anxiety and satisfaction of patient candidates for coronary angiography procedures. In this randomized control trial study, 148 patients were recruited by random allocation. Patients were divided into two groups with block randomization. Patients in Intervention group, in addition to routine training, orientation tour in the angiography unit was taken too. Anxiety was measured in all patients during admission, before surgery and discharge time; the satisfaction was measured in discharge time too. Collection instruments were according to demographic data, Spielberger state trait anxiety inventory and the Visual Analogue Scale. The Information was obtained by t-test, chi-square and repeated measured were analyzed by SPSS. After the orientation tour, anxiety scores significantly in the intervention group [39.5] compared with the control group [48.26] which decreased [P<0.001]. Anxiety scores at discharge decreased in the intervention group [33.24] compared with the control group [41.22] which was significant [P<0.001]. The mean patient satisfaction score at discharge in the intervention group [9.77] compared to control group [6.11] was statistically significance [P<0.001]. Orientation tour in patient candidates to angiography, reduces anxiety and increases satisfaction, therefore, use of this educational approach in patients undergoing coronary angiography is recommended

[ relationship between self-efficacy and breastfeeding, Tehran, Iran]

Breastfeeding is the most cost-effective, health-promoting, and disease-preventing activity that new mothers can perform. Many researches have focused on identifying factors that influence breastfeeding initiation and duration. An important and modifiable factor is the perceived self-efficacy of mothers for breast feedings. It refers to a mother's perceived ability to breastfeed her newborn; and is a dominant variable in the duration of breastfeeding. The purpose of this study was to assess the relationship between self-efficacy and breastfeeding. A descriptive, longitudinal, analytic approach was used in this study. The three-part questionnaire was administered to the eligible pregnant women [437 pregnant women] who were at least in 37 weeks of gestation and intended to breastfeed. They were then contacted again at one and four months postpartum to determine their infants' feeding level and method. The questionnaire was re-administered to the participants at that time. The results showed that 80.4 percent of participants had exclusive breastfeeding during one month. There was no significant relationship between antenatal breastfeeding self-efficacy and the breastfeeding. The self-efficacy was significantly related to breastfeeding outcomes at one month. Mothers with high self-efficacy were significantly more likely to breastfed their babies exclusively at one and four months postpartum than the mothers with low self-efficacy. Maternal breastfeeding self-efficacy is significantly related to breastfeeding duration and level. Measuring breastfeeding self-efficacy not only identifies high risk mothers, but also provides important information to health care providers in providing support to new mothers

[Quality of life in rheumatoid arthritis patients]

Rheumatoid arthritis is one of the most common chronic diseases with unknown causes and it is the most important cause of disability especially in adulthood that can have a considerable impact on patients' quality of life. This is a cross-sectional study. One hundred and ninety patients with rheumatoid arthritis referred to rheumatology clinic and rheumatology wards of Tehran university of Medical sciences' hospitals were randomly selected. The data were collected using a two-section questionnaire including demographic and disease characteristics, and quality of life questions. All analyzes were carried out using SPSS statistical software. The result showed that quality of life of%50 of patients was high and moderate and the other 50% had low quality of life. Approximately 50% of the patients reported that they have no problem in their physical, socio-economic, mental, sleep and rest, and general health regarding rheumatoid arthritis. There were significant relationships between age, marital status, employment, duration of the disease, physiotherapy, and family income with the quality of life. The results showed that quality of life in half of the patients [%50] was low. Determining the patients' quality of life result in designing proper programs and strategies for prevention and control of the disease that result in promoting quality of life