Sh. Zeighami Mohammedi, M.sc., P. Hushmand, M.sc., M.m. Kooshyar, M.d., ,
Volume 16, Issue 1 (5-2008)
Abstract
Introduction & Objective: Quality of life is a subjective and multi dimensional concept assessing physical ,social ,psychological and role function domains .cancer diagnosis and its therapy have a negative impact on quality of life .one type of cancer treatment is chemotherapy that administered to destroy cancer cells .the studies show that cancer treatment with side effect and toxicity that diminish quality of life. The purpose of this study was determine changes of quality of life in cancer patients before and after 3 cycle chemotherapy in selected hospitals of Tehran and shahid beheshty medical science university in 1380-81.
Materials & Methods: This is a descriptive –correlative study that utilized a purposeful sampling .one hundred twenty one out patients with cancer participated in this study data was collected by interview .the instruments used included: the sample selection and demographic data form, social support questionnaire, fatigue severity scale, piper fatigue scale and quality o life scale.
Results: The finding of t- test indicated that a significant different between mean of quality of life(P<0.001) before and after 3 cycle chemotherapy .significant different was found between means of physical function (p<0.003) role function(p<0.001), psychological (p=0.006) domains before and after 3 cycle chemotherapy, but significant different was not found between cognitive and social domains before and after 3 cycle chemotherapy.
Conclusion: Quality of life negatively affected during chemotherapy. The nurses by appropriate intervention and patient's education about self care intervention can help to reduce fatigue and side effects of chemotherapy and improve quality of life.
Sh. Zeighami Mohammedi, M.sc., P. Hushmand, M.sc., F. Jafari, M.sc.h. Esmaiely, Ph.d., M.m. Kooshyar, M.d., ,
Volume 16, Issue 2 (11-2008)
Abstract
Introduction & Objective: Anemia is common among patients with cancer, particularly among patients undergoing chemotherapy. Anemia leads to reduce survival following chemotherapy. The purpose of this study was to determine the relationship of anemia with severity of fatigue and quality of life in Cancer Patient Undergoing chemotherapy.
Materials & Methods: This is descriptive –correlative study that utilized a purposeful sampling one hundred twenty one out patients with cancer participated in this study. Data collected by interview, the instruments used included: the sample selection and demographic data form, Fatigue Severity Scale, and Quality of life Questionnaire (EORTC QLQ-C30). Hemoglobin level was reviewed from medical records. Grading of anemia based on hemoglobin level according to the National Cancer Institute classification.
Results: The findings indicated that prevalence of anemia in cancer patients undergoing chemotherapy was (63.6%).There were significant differences between mean score of severity of fatigue (p<0.001) and quality of life (p=0.003)in relation to hemoglobin level. Negative significant correlation between hemoglobin level and all dimensions of quality of life and severity of fatigue.
Conclusion: The severity of anemia is closely related to severity of fatigue and quality of life. During chemotherapy, decrease hemoglobin levels was associated with meaningful increase in fatigue and reduce dimensions of physical, role function, cognitional, social and overall quality of life.
M. Arash, M.sc., M. Shoghi, M.sc., M. Tajvidi, M.sc,
Volume 17, Issue 12 (11-2009)
Abstract
Introduction & Objective: Chronic diseases with its prolonged period and disabilities have significant effect on the patients’ quality of life at all ages. Asthma is one of these chronic diseases , With an inflammatory respiratory system accompanied with significant morbidity and , an important personal , social and economic impacts. This study aimed on assessment of quality of life in asthmatic patients of hospitalized at the educational hospitals of Karaj in Iran.
Materials & Methods: A cross – sectional study was conducted with 400 Asthmatic patients which were clients of the educational Karaj`s hospitals during 2008-2009. Samples were randomly selected and a questionnaire was used for data collection .The questionnaire consisted of two section demographic characteristics, and six aspects of quality of life in asthmatic patients (physical health, symptoms, daily activities, social, economic and emotional status ).
Results: The results showed that the major of patients(58.3%) stated a desirable quality of life . The assessment of relationship between quality of life and variables such as age (p=0.00 ) , gender from aspect of daily activities (p=0.019 ) , married status (p=0.00) , number of child (p = 0.00) , educational level (p= 0.00 ) , employed (p=0.008) , duration of disease (p=0.033) , hospitals admission (p=0.003) , severity of symptoms (p=0.00), previous Addiction from aspect of emotional status(p=0.004). .
Conclusion: The goal of treatment for chronic diseases are to diminish the burden on the patient and to prevent or slow down disease progression . It has been recommended to evaluate the treatment programs by periodically quality of life assessment in Asthmatic patients as a part of comprehensive care .
A. Ebadi, Ph.d., A. Shamsi, M.sc., A.a. Refahi, M.sc., Y. Saied, M.sc.,
Volume 20, Issue 1 (5-2012)
Abstract
Introduction & Objective:Hypertension is one of the important factors causing cardiovascular diseases. This is one of the effective factors in people’s quality of life. The aim of this study was to compare health related- quality of life in men with and without hypertension.
Materials & Methods:In this cross sectional-comparative study, 400 men (200 hypertensive men and 200 normotensive men) were selected by convenience sampling in Tehran and their quality of life was measured by standard short form (SF36). Data analysis was done by SPSS software 15 using statistical tests c2 and T-test exact test. P<0.05 denoted statistical significance.
Results:Mean age of participants in the hypertensive group was 44.83±8.48 and in the normal group was 4.44±5.50. The quality of life of normotensive control subjects (82.20 ± 10.72) was at higher level than hypertensive subjects (72.77 ± 17.60) (P <0.001).
Conclusion:The quality of life in hypertensive men is at lower level than healthy men. Therefore, early detection of the hypertensive patients and finding better treatments to improve their quality of life is required.
M. Arab, M.sc., A. Nassehi, M.sc., F. Borhani, Ph.d., A. Abas Zadeh, Ph.d., ,
Volume 20, Issue 2 (8-2012)
Abstract
Introduction & Objective: The quality of life in asthmatic patients is affected by different factors including lack of knowledge about the disease. This study was designed to investigate the effects of the compliance-based education model on asthmatic patient’s quality of life.
Materials & Methods: In this quasi-experimental study, 70 patients who had referred to Besat outpatient clinic in Kerman were selected as samples and randomly divided into experiment and control groups. Members of the experiment group took part in four sessions of group education, each lasted 2 hours while the control group received no intervention. Both groups of the patients, before and eight week safter the intervention, filled out the questionnaire of asthmatic patients’ quality of life designed by Marks et al in 1992. Data was analyzed by SPSS / 16 software.
Results: Before the intervention, the total mean scores of the quality of life in the experiment and control groups were 34/7 and 32/85 respectively. After the intervention the figures reached to 27/1 and 32/82 that was a statistically significant difference. Based on the results of this study, after the education the quality of life in the experiment group had improved significantly while there wasn’t seen such a difference in the control group. Also the mean score of the quality of life in the experiment group compared with the control group was significantly better (P<0/05).
Conclusion: The results of this study showed that educating asthmatic patients with compliance based model can improve the quality of their lives, therefore health care team specially the nurses can use this model while taking care of patients with asthma.
Keywords: Asthma Patients / Education / Educational Model / Quality of Life
M. Javadi, M.sc., M.j. Sepahvand, M.sc. Student, H. Mahmudi, Ph.d., ,
Volume 21, Issue 1 (5-2013)
Abstract
Background: Paying attention to mental health as an integral part of improving public health is growing worldwide. Nurses due to their special working conditions need to be more powerful in this field. Due to the positive effects of life skills training, this study was conducted to evaluate the impact of training these skills on nurses' quality of life.
Methods: In this quasi-experimental study 64 graduate nurses were randomly selected and then divided into control and case groups, each group contained 32 members. Life skills in 3 fields of self-awareness, communication and stress management were trained to the nurses. Training was done in 14 sessions which were held 3 times a week, every session lasted about 1/5 hours. Data gathering device was SF-36 questionnaire and data was analyzed by SPSS-18.
Results: The findings of this study indicated that life skills training causes significant improvement in the nurses' physical functioning, bodily pain, general health, vitality, social functioning, mental health, physical health and ultimately quality of life(p<0.0001). There wasnt seen any significant difference between the case and control groups in the realms of emotional and physical roles, respectively with (p=0.119) and (p=0.666).
Conclusion: Life skills training is effective in improving the quality of life of nurses so it can be considered as a useful measure in this field.
F. Sadeghi, M.sc., S. Kermanshahi, P.d., R. Memariyan, Ph.d.,
Volume 21, Issue 1 (5-2013)
Abstract
Background: Children with congenital heart disease after surgery require special discharge planning. This study was designed to determine the impact of discharge planning on the quality of life of these children.
Methods: In this quasi-experimental study,60 children with congenital heart disease who had referred to Rajaee Heart Hospital in Tehran, were selected by non-randomized sampling method and divided into case group and control groups. Data gathering tools were demographic questionnaire and pedsQol questionnaire for children with heart disease. for the case group, according to the nursing process model, discharge plan was designed in the hospital in five sessions in the fields of detecting training needs, providing emotional support and follow-up care. The plan was followed up at home with phone call for 4 weeks. The members of both groups filled the pedsQol questionnaire before the intervention and one and three months after the intervention.
Results: While before the intervention the mean scores of the quality of life of children in the both groups were the same, it was seen a significant difference in their score after the intervention (P<0.05).
Conclusion: Discharge planning designed according to the care needs of children & their parents improved the quality of life of children undergoing heart surgery.
Hamhdeh Mohaddesi, Fatemeh Bahadory, Hamidreza Khalkhali , Parisa Baghi,
Volume 21, Issue 4 (12-2013)
Abstract
Background: Women with high-risk pregnancies with problems in their personal life, family and social encounter that changes of pregnancy can have an impact on their quality of life, this study aimed to determine and compare the quality of life in patients at high and low risk pregnancies .
Methods: In this study two groups (50 patients in each group) of pregnant women as high-risk and low-risk pregnancies were selected non-random sampling method from patients, who were referred to Perinatology clinic of Motahhari Hospital in 2013. Personal satisfaction, quality of life questionnaires were completed for them in two-part (demographic and the short form sf-36). The data was analyzed with SPSS/win 18, and x2 test and t-test used with significant at p ≤ 0.05 .
Result: The mean score for most domains of quality of life in high risk pregnant women between low risk pregnancies is low. Albeit not statistically significant (p>0.05).
Conclusion: In contrast to other studies of low risk and high risk pregnancies that quality of life is significantly associated with lower score in high risk pregnancies, however, such a relationship was not observed in our study, perhaps because of their awareness of maternal care or special attention of midwives, doctors in perinatology center for education and the treatment of the mothers .
Masoud Khodaveisi, Fatemeh Ashtarani, Nahid Mohammadi, Ali Beikmoradi, Hossein Mahjub, Mehrdokht Mazdeh,
Volume 22, Issue 2 (8-2014)
Abstract
Background: Multiple sclerosis (MS) is the most common debilitating diseases of the central nervous system that is a chronic and prolonged and human quality of life is affected. Continuous care in this disease is remarkable. This study with aim of the effects of continuous care, on the quality of life patients with MS was performed.
Methods: this study is randomized clinical trial. The Participants were 72 patients with multiple sclerosis referred to Farshchian Hospital and Multiple Sclerosis Society of hamadan that were divided into two groups, intervention and control groups. The quality of life patients before and after the performance of continuous care model assessed by MSQoL-54 standard questionnaire. For the analysis of data from Chi-square test, paired t, and independent t-tests and repeated measures and SPSS 16 statistical software was used.
Result: Results of the repeated measures ANOVA to compare the quality of life patients in the intervention group, before one month and two months after continuous care model showed that the mean scores quality of life at the different stages measured, ha significant differences with each other (P<0.01). But in the control group, before one month and two months after continuous care model had not a significant difference. The results of repeated measures ANOVA to compare the quality of life in both intervention and control groups at each three times showed that, There is a significant difference in quality of life (P<0.01).
Conclusion: According to no exact treatment of chronic diseases, applying of effective care models such as continuous care model to improve the quality of life of these patients is effective.
Fatemeh Teimouri, Fatemeh Alhani, Anooshiravan Kazemnejad,
Volume 22, Issue 3 (10-2014)
Abstract
Background: Caring for children with asthma creates a lot of tension for the parents. The present study was therefore conducted to investigate the effect of the family-centered empowerment model on the quality of life in parents of children with asthma.
Methods: The present quasi-experimental study was conducted on 60 parents of children with asthma randomly divided into a case group and a control group. Seven sessions of training based on the empowerment model and after the assessment of the parents' needs were held for the case group over a period of four months. After the four months of training, the quality of life assessment instrument was once again completed by both the cases and the controls. Data were analyzed in SPSS/16 using statistical methods including the independent t-test, the paired t-test and Fisher's exact test.
Result: There were no significant differences in the mean scores of knowledge, self-efficacy, self-esteem and quality of life between the case group and the control group before the intervention however, the differences between the two groups became significant after the intervention (P<0.001). In addition, the study revealed a significant difference in the mean scores of knowledge, self-efficacy, self-esteem and quality of life in parents of the case group after the intervention and then four months later (P<0.001).
Conclusion: Due to the effectiveness of the family-centered empowerment model on the quality of life in parents of children with asthma, adopting this model is recommended in a larger scale.
Ali Alvandi Jam, Ali Afshari, Mehdi Talebi, Reza Abbasi,
Volume 22, Issue 4 (12-2014)
Abstract
Background: Sexual problems in dialysis patients, one of the most important factors are affecting quality of life for these individuals and their families. Recognize these problems and take necessary action to resolve them are effective step to improve quality of life in these patients. This study were determined to impact of sexual rehabilitation on sexual quality of life in patients undergoing hemodialysis. Methods: This is an experimental study of two groups, before and after that was performed on 40 patients undergoing hemodialysis. Using available methods for Sample selecting and randomly assigned to two control and case groups. Data gathering tools included demographic data, quality of sexual life for men and women's questionnaire. Interventions including: implementation of four-stage model of counseling that includes a four-stage 1-Permission 2-Limited Information 3-Specific suggestion 4- intensive therapy. Quality of sexual life both before, after intervention was measured and analyzed by SPSS software using chi-square statistical methods, Mann-Whitney, t independent variance with repeated measurements . Result: no significant difference were observed between mean total quality of sexual life before the intervention between the two groups (p>0.05) While after the intervention, significant differences were observed between the two groups in the average quality of sexual life (p<0.05). Conclusion: Sexual rehabilitation program is effective to improve the quality of life (sex) in dialysis patients. Therefore use of this Training and non-pharmacological method can be useful and as an effective method be used to solve sexual problems and empowering in dialysis patients.
Nasim Ashtari, Taghi Pourebrahim, Anahita Khodabakhshi Koolaee, Mr Abolghasem Khosh Konesh, Mahnaz Khatiban,
Volume 23, Issue 1 (5-2015)
Abstract
Background: Premenstrual syndrome can affect people’s resilience and quality of life. The aim of this study was to determine the impact of awareness group training of premenstrual syndrome on resilience and quality of life in the female high school students.
Methods: The present study was quasi-experimental with pre- and post-test with a control group. The study population was second grade high school girls randomly selected by cluster sampling from one class in two high schools in each of the 20 districts of Education Office in Tehran. Fifteen students with dysmenorrhea in each class were randomly assigned to the control or the experimental group. Students in the experimental group participated in 10 weekly 75-minute sessions of training. Data were collected at baseline and two months after the end of the sessions in the experimental group. The study tools were a demographic questionnaire, the diagnostic questionnaire of premenstrual syndrome (DQPS), Connor-Davidson resilience scale (CDRS), and 36-Item Short Form Survey Instrument (SF-36). Data were analyzed by t-test, paired t-test and Mann-Whitney in the SPSS version 16.0.
Results : There was no statistical difference between control and experimental groups in their demographic characteristics (P>0.05). At baseline, the groups matched for mean scores of PMS, resilience and quality of life (P>0.05). However, at the post-test, only the students in the experimental group had an improvement in their mean scores of PMS (P<0.001), resilience (P<0.01) and quality of life (P<0.01).
Conclusion: Training can enhance the mean scores of the adolescent’s PMS, resilience and quality of life.
, , , ,
Volume 23, Issue 2 (7-2015)
Abstract
Background: Multiple sclerosis is a progressive disease of the central nervous system, that for a reason a variety of symptoms can cause destructive effects on quality of life. The aim of this study was to determine the effect of applying Orem’s self-care model on mental aspect of quality of life in patients with multiple sclerosis .
Methods: In this quasi-experimental study, 74 patients with multiple sclerosis were selected by convenience sampling referred to the Hamadan MS Society office in 1393 and randomly divided into experimental and control groups. At first, demographic information and Multiple Sclerosis, Mental Quality of Life (MSMQOL-54) questionnaire were completed by experimental and control groups. 2-4 educational sessions for the experimental group were performed according to the patient needs. Two months after the self care performance by experimental group MSMQOL-54 questionnaires were completed by two groups. Data were analyzed by using Chi-Square, paired and independent t-tests.
Result: In the experimental group, the mean of all mental aspect QOL was 57.2±20.5 before and 67.5±15.3 after intervention, that showed statistically significant difference before and after intervention (P<0.001). In the control group there was no significant difference in mental aspect QOL between before and after intervention .
Conclusion: This study revealed that applying Orem’s Self-care Model could improve the mental aspect quality of life in patients with multiple sclerosis. It is recommended that this model be used to improve the mental aspect quality of life in these patients.
Fariba Farokhi, Fereshteh Narenji, Bahman Salehi, Fatemeh Mehrabi, Mohammad Rafiei,
Volume 23, Issue 4 (12-2015)
Abstract
Background: Educational interventions are alternative strategies for promoting health and come across better in menopause symptom. Menopause is a physiological change for a woman which occurs in life of all women. The purpose of this study was evaluated of skill life training on the quality of life in menopausal women in Arak city.
Methods: This was an semi experimental study.40 women inclusion criteria referring to retirement center and five clinics in Arak in 2015 were selected through normal sampling and were randomly divided into equal case (skill life training) and control groups (20 in each). Data was collected by means of a Menopause Quality of Life (MENQOL).The scores for quality of life level achieved before the counseling and a month after that were compared using menopause specific quality of life questionnaire(MENQOL).No intervention was done in control group. The data was analyzed SPSS/16.
Results: Comparison of the quality of life (p=0.01), vasomotor symptoms (p=0.01) and sexual health (p=0.008) between two groups before and one months after skill life training revealed a significant difference between them. But psychosocial aspect (p=0.14), physical wellbeing (p=0.06) were not significant difference.
Conclusion: Thus according to the results of the study recommitted applied some session of skill life training in menopausal women for improve of quality of life and vasomotor symptoms and sexual health in health intervention and health care in clinics.
Mohsen Salavati, Mahnaz Khatiban, Behnaz Moghadari Koosha, Alireza Soltanian,
Volume 25, Issue 1 (4-2017)
Abstract
Introduction: Patients with Myocardial infarction suffer from impaired daily functioning
and reduced quality of life. The aim of this study was to determine the effect of teach back
education on self-care behaviors and quality of life in patients with myocardial infarction
in 2015 in Hamadan.
Methods: In this quasi-experimental study, 70 Patients with myocardial infarction were
selected with random available sampling and randomly divided to control and case groups.
Three sessions, each for 45 minutes in 10 days, were performed for the case group. After
one month and after the last training session, Mc New questionnaires were completed by
both experimental and control groups. Data were analyzed with SPSS software (version
16) by descriptive statistics, independent-t and paired-t tests.
Results: In the case group, there was a significant difference between the mean scores of
quality of life. However, the difference was not significant in the control group. There were
significant differences between the mean scores of quality of life of case and control groups
after the intervention.
Conclusions: In the present study, teach back training method improved the quality of life
in patients with myocardial infarction. Considering its important role of nurses, they can
use these training methods to improve the quality of life for patients with heart problems.
Nayereh Baghcheghi, Tahereh Ashktorab, Naimeh Seyedfatemi, Ahmadreza Baghestani,
Volume 25, Issue 1 (4-2017)
Abstract
Introduction: Women living with husband on hemodialysis face multiple challenges which impact their quality of lives and coping styles. This study was performed to investigate the relationship of coping strategies with quality of life in women living with husband
on hemodialysis.
Methods: This was a correlational study. The convenience sample consisted of 212 women living with husband on hemodialysis who had come to hospitals of Shahid Beheshti University of Medical Sciences in 2016. Data were collected using the brief COPE and World
Health organization (WHO) quality of life. Pearson’s correlation coefficient and ANOVA by SPSS software (version 21) were conducted for data analysis.
Results: Psychological health of women was found the lowest among the other sub-scales of quality of life. Quality of life had a positive significant correlation with problem-oriented coping strategies (r = 0.71, P = 0.001) and a negative relationship with emotion focused
coping strategies (r = -0.53, P = 0.04). The results showed that religious (3.74 ± 0.57) and substance use (1.99 ± 0.7) as two coping strategies were the highest and lowest strategies used by women living with husband on hemodialysis. Conclusions: Coping strategies are influential in quality of life in women living with husband on hemodialysis. Psychology support programs are needed to help to frequent use of problem-focused coping and reduce emotion-focused coping strategies to improve overall quality of life.
Mr Shams-Aldine Shams, Mr Yaser Moradi, Mr Mohammad Reza Zaker,
Volume 25, Issue 2 (7-2017)
Abstract
Background: Self-care, play an important role in the care of chronic diseases. Adherences to self- care activities have an effect on the physical and psychological care of patients with diabetes. This study aimed to determine Effectiveness of self-care training on physical and mental health of diabetic patients was conducted.
Method: Before and after quasi-experimental study was performed on patients with diabetes were referred to the Diabetes Association Urmia Samples were selected by convenience and then randomly assigned to intervention (40) and control (40) groups. Collect data were used by the general quality of life questionnaire (SF 36) and demographic, before and after the intervention in both groups. The intervention groups received 8 sessions of training in self-care (PowerPoint, pamphlets, and booklets). Re-assessed was done three months after the intervention. And results were analyzed by SPSS software version 16, t-test and chi-square.
Results: total mean of quality of life before intervention, was (59/34±20/82) in Intervention group and (57/66±20/87) in control group (P=0/31). After intervention, total mean of quality of life was (73/18±18/18) in Intervention group and (60/05±20/72) in control group (P=0/001).
Conclusion: Diabetes self-care training to increase individual awareness about diabetes issues, improve physical and mental health as well as increase the quality and length of life of patients.
Mohammad Khavasi, Morteza Shamsizadeh, Shokoh Varaei, Masoud Rezaei, Saeideh Elhami, Daryadokht Masroor,
Volume 25, Issue 3 (10-2017)
Abstract
Background: Pay attention to the psychological aspects of diabetic patients is important and can be very useful in the process of treatment of them. Training is essential in these patients Peer education in facilitating and improving health and Create a Learning Atmosphere has many effects. This study was conducted to evaluate the effect of peer education on diabetes quality of life.
Methods: In this randomized control trial study, 70 diabetic patients who were in Firoozgar hospital in Tehran were recruited using the convenience sampling method. The patients were assigned randomly into two control and intervention groups. Patients in the intervention group were trained by peers during the two sessions, but the patients in the control group received only routine education. Data were collected by demographic and diabetes quality of life questionnaire. Patient’s qualities of life were measured before the education and 2 months after the intervention. Descriptive and inferential statistics were used to analyze data by SPSS.
Results: Mean diabetes quality of life in both groups had no statistically significant before peer education (P:0.3). Mean of quality of life score in diabetic patients in intervention group was significantly different from control group at two months after the intervention. (P<0.001).
.
Conclusion: Conclusion: According to the results of this study, it seems that peer education in diabetic patients is effective to increase quality of life in these patients. So it is recommended to educate patients by using this approach.
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