The effect of teaching the principles of self-care based on motion graphics on the quality of life and hope of people with covid-19 in home quarantine (preprint)

Introduction: Since the impact of motion graphics-based training on the quality of life and hope of covid-19 patients is indefinite, and due to the nature of covid-19 as an epidemic with many unknown dimensions and its impact on the quality of life and hope of covid-19 patients, this study was conducted to determine the effect of self-care training based on monography on the quality of life and hope of covid-19 patients during home quarantine. Materials and methods: This study was conducted as a one-way, blinded, randomized controlled clinical trial, during which, after designing a motion graphic including teaching the principles of self-care for people with covid-19 in home quarantine, 40 people with covid-19 met the inclusion criteria. The study included them by easy sampling and based on random block allocation into two equal groups of intervention (training using motion graphics) and control (training using pamphlets). The data collection tool was Snyder's standard quality of life (SF-36) and hope questionnaires, completed by the patients before and 14 days after the intervention. Descriptive statistical tests did data analysis (mean and standard deviation, frequency and frequency percentage) and analysis (paired t-test, t-test, Pearson and ANOVA) using SPSS software version 16. Results: The results of data analysis showed that in terms of demographic variables, there was no statistically significant difference between the intervention and control groups (P>0.05). Also, the average scores of the quality of life of the patients with covid-19 in home quarantine in the pre-and post-intervention stages in the intervention group were 41.72±15.20 and 69.22±13.81, respectively. In the control group, they were 37.00±11.69 and 42.16±11.70, respectively. Also, the average scores of hope before and after the intervention in the intervention group were 3.02±12.78 and 24.33±3.69, respectively, and in the control group, they were 10.94±3.40 and 20.33±5.57, respectively, and significantly, the average quality of life scores and the hope after the intervention in the intervention and control groups was higher than before the intervention (P<0.05) and there was also a significant difference between the average scores of the intervention group and the control group in the pre-intervention phase in the variables of quality of life and hope (P> 0.05) did not exist; However, there was a significant difference between the average scores of the intervention group and the control group in the post-intervention phase in terms of the quality-of-life variable (P<0.001) and the hope variable (P<0.05). Hence, the average scores of the quality of life and hope in the phase After the intervention were more in the intervention group Compared with the control groups. Conclusion: The results of this study showed that the use of motion graphics in teaching the principles of self-care to patients with Covid-19 during home quarantine led to the improvement of the quality of life and hope of patients, and it is possible to use this educational method in the conditions of the Covid-19 pandemic. 19, which medical centres are very crowded and nurses do not have enough time to educate patients with a mild type of covid-19 so that patients with knowledge of the principles of self-care and the course of the disease, hope for their recovery and have a better quality of life in Have a home quarantine period.

Risk factors of pulmonary complications in the patients with COVID-19: A case-control study (preprint)

Background Pneumothorax (PTX), pneumomediastinum (PM), and emphysema (EM) are complications of SARS-CoV-2 infections. Studying these situations' risk factors, complications, and prognosis is essential for early diagnosis during a pandemic. Methods We performed a case-control study of patients diagnosed with coronavirus pneumonia complicated with PTX, PM, and EM compared with patients without these complications to evaluate the risk factors for the incidence and prognosis of patients with pulmonary complications of COVID-19. We used parametric, non-parametric, and regression tests to analyze the data. Results We enrolled 162 patients (81 complicated, 81 uncomplicated). A past medical history of diabetes mellitus (DM), hyperlipidemia (HLP), lung disease, and ischemic heart disease (IHD) was not associated with PTX, PM, and EM in COVID 19 pneumonia (p-value > 0.05). The mortality rate was higher in the case group (69% vs. 15%). Among ventilator modes, 46.2% of intubated patients in the case group had synchronized intermittent mandatory ventilation (SIMV) for their ventilation. ESR, CRP, D-dimer, LDH, WBC, and troponin significantly increased, and lymphocytes decreased in complicated COVID compared to control groups (p-value < 0.05). Conclusion The nature of SARS-CoV-2 predisposes patients to PTX and other pulmonary complications. In practice, we could predict the complications and severity of COVID-19 pneumonia from some specific laboratory data.

The Effect of Auriculotherapy on Pulmonary Findings and Sleep Quality in Patients with Covid 19 (preprint)

Background: Auriculotherapy is a sub-branch of acupuncture and is an effective method in acute and chronic diseases. Aim: The aim of this study was to evaluate the effect of Auriculotherapy on pulmonary findings and sleep quality in patients with Covid 19. Methods: : The present study is a clinical trial study in which 70 hospitalized patients with Covid 19 with pulmonary findings and low sleep quality were randomly divided into intervention and control groups. Auriculotherapy was performed with electrical stimulation in one session and then Vakaria seed was placed in acupressure points and stimulated for one week (8 times a day for one minute each time). Data collection tools were checklist of pulmonary findings, Pittsburgh questionnaires and demographic characteristics. Results: : The results showed that there was no significant difference between the mean SPO2 score in the two groups before and after the intervention (P = 0.09). There was a statistically significant difference between the mean score of dyspnea (P = 0.003), cough (P <0.008) and overall score of sleep quality in the two groups before and after the intervention (P <0.001). Conclusion: The results of this study showed that Auriculotherapy is effective on pulmonary improvements and sleep quality in patients with Covid 19. Trial registration: IRCT, IRCT20180608040007N2. Registered 13 June 2020, https://en.irct.ir/trial/48218.