RESUMO
In the last decades cancer has become one of the important causes of death in Iran .This study examined perspective of a group of Iranian health professionals, patients and patients' family members regarding their view on disclosure of cancer information at a university hospital in Tehran, Iran. The method of study was qualitative semi-structured focused group content analysis. Two group leaders [psychologist and psychiatrist] run the focus groups. Oncologists, nurses, patients and family members participated in separate focus groups. Five group sessions were held to sum up the participants views in four major topics related to disclosure of cancer information to patients and families. Most of physicians and nurses believed that disclosure of cancer diagnosis is a mistake. Family members think that it should be delivered gradually during stages of therapy based on patient's psychological state, but most of the patients consider truth telling as a patient right. All physicians, most of nurses and all the patients see the physician as a person responsible to break the diagnostic disclosure. All patients wanted the physicians to take the total control of decisionmaking process for their treatment. Iranian physicians and nurses hesitate to disclose cancer diagnosis compared to patients, who want to know the truth. Patients, nurses and physicians consider the physician to be the person responsible for delivering the information of cancer diagnosis .Development and implementation of a protocol based on Iranian culture is a necessity
RESUMO
In recent years, a number of studies have been done on patients with first-episode of psychosis. The importance of this issue is to improve outcome of the psychosis. Due to lack of similar research in Iran and differences in culture as well as in treatment program, investigation of demographic characteristics and treatment of patients with first-episode of psychosis could be useful in planning standard treatment. The objective of the present study is to survey the current situation of patients admitted to a psychiatric ward. This study was a descriptive study on recorded data. Files of patients hospitalized in the psychiatric ward of Taleghani Hospital from 1379 to 1384 with first episode of psychosis were selected. Data comprising of demographic characteristics, course of illness and treatment variables was documented on a pre-designed form. SPSS program using Chi-square and T-Test statistics were used to analyze the data. Subjects were 75 patients, [64% male, 34% female], with age range between 17 to 72 years, [mean=31.3, mode=21], and 46.7% were married. 33.3% had suicidal thoughts or history of attempted suicide. 24% reported substance abuse. Three prevalent diagnoses were, bipolar disorder [32%], other psychoses [29.3%] and schizophrenia [14.7%]. 80% of patients were prescribed classical anti-psychosis medication. Results showed significant differences in the demographic characteristics and treatment plans between this group of Iranian patients and published research. Based on observed data, development of appropriate protocols for optimal management seems necessary. Due to incomplete information in clinical files, prospective studies are recommended