[Perspectives of patients and nurses on the reality of learning cardiac heart failure educational content]

While patient education promotes compliance to treatment and self-care ability, short hospital length of stay, anxiety, illness, and sleep disorders can interfere with this approach. It is not clear how realistic is to learn during the short hospitalization period, from nurses' and patients' perspectives. This study aimed to compare perspectives of patients and nurses on the reality of learning cardiac heart failure educational content in Shahid Rajaee heart hospital. In this cross-sectional study, two hundred and fifty one patients and 181 nurses were selected using convenience sampling. Data were collected using the reality part of CHFPLNI and were analyzed in SPSS-11. Most of the patients were male [82.4%]; most of the nurses were female [85.6%]. The mean ages of patients and nurses were 55.18 and 35.15, respectively. The mean hospitalization period was 4.26 days and the mean duration of heart failure was 10.70 years. The majority of nurses had not participated in advanced preparation courses. Patients and nurses had agreement on the reality of medication learning. Patients rated medication [P < 0.001], diet information [P < 0.001], other information [P < 0.001] and the total scale [P < 0.001] as more realistic than the nurses did. Female nurses [P=0.012] and nurses with advanced preparation [P < 0.001] perceived learning needs as more realistic than the other nurses. Regarding discordance between patients' and nurses' perspectives on the reality of learning, nurses may postpone to implement educational program. Patients' perspectives should be considered in the establishment of heart failure educational programs

effect of community-based distribution on appropriate choices and maintenance of using contraception methods in Hamedan

Uncontrolled incremental trend of population growth is the basic problem in developing countries. Establishing family planning programs at an extensive level in these countries increases economical, social, and cultural advantages and decreases maternal and fetal mortality. One of the methods of implementing these programs is community-based distribution. CBD can effectively deliver family planning services at home. CBD facilitates family access to family planning methods that culminate in appropriate choices and continuity of using contraception methods. The aim of this study is to examine the effect of community based distribution on appropriate choices and continuity of using contraception methods among Hamedan households. This study is part of a larger study conducted by controlled field trial design. Using a multi-staged method, the researchers chose 297 subjects and divided them into two groups, control [n=100] and experimental [n=197]. The setting of the study was Hamedan households covered by field workers. Data collection tools were two questionnaires, three checklists, and one referral card. To determine the scientific validity of the tools, the researchers used the content validity method. The scientific reliability of the tools was determined through conducting the retrial method in a random sample of ten subjects. The findings revealed that through delivering family planning services at home, appropriate choices and continuity of using contraception methods were increased [p=0/001]. According to the findings of the present study, CBD led to appropriate choices and continuity of using contraception methods. Therefore, application of this kind of services is recommended. Also, the study of the effect of delivering this kind of services at villages, deserted places, different tribes, and its economic aspects are recommended