RESUMO
Introduction: Family of chronic renal disease patients conducts various supportive interventions for their patients at home and outpatient centers such as dialysis ward in hospitals. Caregivers of these patients often spend a lot of time caring for them and withstand fatigue and burden. Timely recognition of these burdens in the caregivers, have played a decisive role in promoting mental health
Objective: This study aimed to determine the level of caregiver burden and its related factors in caregivers of hemodialysis patients referring to Razi hospital in Rasht city
Methods: In this cross-sectional study, 154 hemodialysis patients referred to the Razi Hospital in Rasht who was chosen by Sequential sampling method. Data were collected through interview by completing two questionnaire of Zarit caregiver burden and socio-demographic of patients and caregivers. Data were analyzed by using descriptive [mean and standard deviation] and inferential tests [binomial test]
Results: Mean and standard deviation deviation of caregiver burden was 50.75 +/- 14 and 74.7 % of the caregivers had severe caregiver burden. In addition, 46.1% of hemodialysis patients had very little vigor to doing things and 42.9% of them required a lot of care as reported
Conclusion: In attention to the need of hemodialysis patients to receive care from family, it is recommended to pay more attention to these caregivers regarding assessment of their burden and taking actions to reduce burden
RESUMO
Introduction: today self-management is one of the strategies for chronic disease control such as diabetes. Self-management activities are designed based on patients' active participation in control and management of chronic disease challenges and prevention of disease complications
Objective: this study aimed to examine the effect of diabetes self-management program on blood glucose and glycosylated hemoglobin among patients with type 2 diabetes
Methods: in this randomized, controlled trial, 80 patients with type 2 diabetes who referred to Rasht Diabetes Association participated. They were randomly assigned to two groups of intervention and control. Self-management program involved knowledge and understanding, problem-solving process, diet plan, walking and stress management which were taught to patients for three weeks and followed for two months. Data were gathered by demographic questionnaire and measurement of blood glucose and glycosylated hemoglobin before and eight weeks after the intervention. In addition patients' blood glucose level was monitored weekly. Data were analyzed by statistical tests such as Chi-square, Fisher's exact, Student-t, Paired-t tests and repeated measure ANOVA
Results: findings showed no significant differences in experimental and control group as regard to demographic, disease condition, drug use and blood glucose criteria. Blood glucose and glycosylated hemoglobin improved significantly in experiment group two months after the intervention. These changes were not seen in the control group. In addition a significant difference was shown between the two groups as regard to level of glycosylated hemoglobin after intervention [P<0/001]
Conclusion: in attention to findings, it can be concluded that self-management program promotes blood glucose and glycosylated hemoglobin levels in patients with type 2 diabetes. Therefore self-management promotion program can serve as guide in improvement of patient health