Tuba Erdem Sultanoğlu; Hasan Sultanoğlu
Abstract
Background: Overcrowding of emergency departments (EDs), which are not suitable places to treat chronic pain and are responsible for managing acute disorders, leads to prolonged waiting times, delays in treating conditions requiring rapid intervention, patient dissatisfaction, and chaos and exhaustion ...
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Background: Overcrowding of emergency departments (EDs), which are not suitable places to treat chronic pain and are responsible for managing acute disorders, leads to prolonged waiting times, delays in treating conditions requiring rapid intervention, patient dissatisfaction, and chaos and exhaustion in the ED.Objectives: Examine the characteristics of patients who presented to the ED with non-malignant chronic pain to determine the frequency of use and factors that caused ED use.Methods: This cross-sectional study was conducted in an ED. Three hundred ninety-two patients with chronic pain were included.Results: The mean age of the patients was 48.1 ± 15.3 years, 62.2% were female, and 37.8% were male. Of the patients, 59.2% were married, 42.6% had elementary school education, and 56.1% were unemployed. The most common cause of ED admission was low back pain (LBP), the 32.7% used non-steroidal anti-inflammatory drugs, 16.3% used opioid analgesics, 15.8% used anticonvulsants, 13.2% used anticonvulsants antidepressant drugs, 22% did not use any medication. The reasons for presenting to the ED for chronic pain were 13.3% for medication prescription, 74.5% for receiving analgesics, and 12.2% for a diagnosis. The mean Patient Health Questionnaire-9 (PHQ-9) scale score of the participants was 12.82 ± 3.98, which indicated moderate depressive symptoms. The mean Generalized Anxiety Disorder-7 scale score was 9.84 ± 3.23, which indicated mild generalized anxiety disorder.Conclusion: Instead of trying to suppress pain, emphasis should be put on preventing overcrowding in EDs, which are intended to manage acute conditions rather than chronic pai
Shahriar Mali; Nahid Khajehmougahi; Somaye Hajatnia; Aida Farsham; Elham Hasibi; Reza Bidaki
Abstract
Background: Recently, some studies have investigated type D personality as a critical factor in developing depression and reducing the quality of life.Objectives: This study aimed to compare depression and quality of life after coronary artery bypass graft surgery in patients with and without type D ...
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Background: Recently, some studies have investigated type D personality as a critical factor in developing depression and reducing the quality of life.Objectives: This study aimed to compare depression and quality of life after coronary artery bypass graft surgery in patients with and without type D personalities.Methods: Sixty-nine participants who underwent coronary artery bypass grafting at Imam Khomeini hospital, Ahvaz, Iran, referred to the cardiac surgery clinic for their first visit (1 to 1.5 months after surgery) were included in the study. All participants completed the World Health Organization Quality of Life questionnaire, type D personality scale, and Beck’s Depression Inventory. Finally, depression and quality of life were compared in two groups with and without type D personalities using ANOVA and correlation tests.Results: The two groups were significantly different in depression and quality of life scores after coronary artery bypass graft surgery. Depression and quality of life impairment were higher in participants with type D personality. There was no significant relationship between depression and quality of life with age, gender, and occupation in participants with type D personality.Conclusion: Depression and quality of life were higher in patients with type D personality after coronary artery bypass graft surgery than patients without type D personality. Episodic screening of these patients can prevent future somatic and psychological problems.
Zohreh Naderi; Zarin Dadkhah; Ali Karimi; Razieh Hashemi; Maryam Aghaee; Abbas Tavallaii; Mohsen Saberi Isfeedvajani
Abstract
Background: Abnormal uterine bleeding (AUB) is a major health problem for many women. Homeopathy is one of the treatments for this disease. Objectives: This study was performed to evaluate the efficacy of homeopathic Ipecacuanha (Ipecac) in the treatment of bleeding, pain, and in the quality of life ...
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Background: Abnormal uterine bleeding (AUB) is a major health problem for many women. Homeopathy is one of the treatments for this disease. Objectives: This study was performed to evaluate the efficacy of homeopathic Ipecacuanha (Ipecac) in the treatment of bleeding, pain, and in the quality of life in patients with AUB compared to the control group. Methods: This double blind randomized clinical trial study was performed on women aged 35-55 years with AUB in Tehran, Iran during the years 2017-2018. In this study, patients were assigned to first group: 25 patients with routine treatment (mefenamic acid capsule) + homeopathic “Ipecac” and second group: 25 patients with mefenamic acid + placebo. Pictorial Blood Loss Assessment Chart (PBAC) score, Visual Analogue Scale (VAS) questionnaire, and General Health Questionnaire (GHQ) were utilized to assess bleeding, pain, and quality of life, respectively. Results: This study was performed on 50 women with AUB. In this study, the two groups were similar in demographic characteristics. The results showed that despite the relative improvement in PBAC score, duration of bleeding, and depression score in the homeopathic treatment group, this decrease was not statistically significant. The homeopathic treatment group compared to the control group showed more improvement in pain score, physical symptoms, anxiety and insomnia, social dysfunction, and mental health. Conclusion: Considering the efficacy of homeopathic “Ipecac” in reducing pain and increasing the quality of life of women with AUB in this study, it can be suggested in AUB without the complication of this treatment.
Marzieh Pazokian; Maryam Esmaeili
Abstract
Background: Quality of life (QOL) is a powerful phrase that reflects maintaining health and well-being in different societies and cultures, reflecting the positive and negative aspects of people’s lives. Patients with liver cirrhosis (LC) have an undesirable QOL, and this has become one of the ...
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Background: Quality of life (QOL) is a powerful phrase that reflects maintaining health and well-being in different societies and cultures, reflecting the positive and negative aspects of people’s lives. Patients with liver cirrhosis (LC) have an undesirable QOL, and this has become one of the most important causes of mortality in the world. Objective: This review article aimed to summarize the results of previous studies on health-related QOL in patients with LC to determine their problems and needs. Methods: This review was conducted using Cochran’s seven-step model. This paper is the result of research on QOL in patients with LC through searches conducted in Google Scholar, PubMed, and Science Direct using the keywords liver cirrhosis, chronic liver disease, quality of life, health-related quality of life, and self-care for articles published between 2012-2018. Ultimately, 11 articles were obtained and analyzed. Results: The results of this review showed that the QOL in patients with LC is poor and is lower than in other populations. Many factors, such as age, gender, and education, influence QOL and should be addressed in order to solve the challenges and problems faced by these patients. Increasing awareness and education are the most important issues for LC patients. Conclusion: QOL in patients with LC is affected by many factors. The lack of awareness about the disease and its complications is considered the biggest problem for these patients. To improve the QOL and care of these patients, nursing care guidelines, awareness raising, and education about the disease and its complications, treatment, and new treatments are needed.
Fariba Aaraji; Masoud Nosratabadi; Mohammadjavad Hoseinpourfard
Abstract
Background: Complementary medicine claims that biofeedback affects the reduction of blood glycemia. Objective: The current study aimed to determine the effects of biofeedback on decreasing blood glucose levels and tension and increasing the quality of life in diabetic patients. Methods: The current retrospective ...
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Background: Complementary medicine claims that biofeedback affects the reduction of blood glycemia. Objective: The current study aimed to determine the effects of biofeedback on decreasing blood glucose levels and tension and increasing the quality of life in diabetic patients. Methods: The current retrospective evidence-based study used pretest-posttest accidental sampling to select a group of 30 diabetic patients admitted to Glenview Clinic in the Aghdasiyeh region, Tehran, Iran, as the sample. Participants were divided into two 15-membered groups, the experiment and the control groups, matched by age and gender. Data gathering tools included the Quality of Life questionnaire in diabetic patients by Thomas et al, the Perceived Tension Index by Cohen et al, a glucometer, and the fasting blood glucose test. Data was analyzed using analysis of covariance (ANCOVA). Results: The results showed that biofeedback training was effective in decreasing blood glucose levels in diabetic patients. Conclusion: Biofeedback can reduce tension and improve the quality of life of diabetic patients; thus, it could be used as a complementary service in healthcare centers.
Maryam Javadian KutanaeeI; Azra Sadeghi; Donya Sheibani Tehrani
Volume 1, Issue 4 , November 2016, , Pages 114-120
Abstract
Background: Breast cancer is one of the most common cancers in women. Objective: This study was performed to determine the symptoms of menopause and quality of life in women with and without breast cancer. Methods: This descriptive-analytical and cross-sectional study was performed in hospitals ...
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Background: Breast cancer is one of the most common cancers in women. Objective: This study was performed to determine the symptoms of menopause and quality of life in women with and without breast cancer. Methods: This descriptive-analytical and cross-sectional study was performed in hospitals of Babol, Mazandaran province, Iran, in two groups of women with and without breast cancer. The study population included all women with menopausal symptoms who were divided into two groups containing 100 women apiece. A checklist containing menopausal symptoms was collected from these two groups and the standard questionnaire EORTC-QLQ-C30 was utilized to assess the quality of life in the case group and the standard questionnaire SF-36 was used in the control case. Data were analyzed by SPSS software. Results: Depression and insomnia were significantly higher in the case group and control group, respectively (p <0.05), but other symptoms of menopause were not significantly different in the two groups (P>0.05). In the case group, the overall quality of lifewas assessed as good in 36.3% of patients. Also, the quality of life in the control group had the lowest score relevant to the item Neshat with an average of 55.6 and the highest score related to the item of social performance with an average of 73.25. Conclusion: According to the results, the symptoms of menopause in women with breast cancer were not much different from women without breast cancer. Meanwhile, the quality of life of women with a history of cancer was good.