Showing 9 results for Biglarian
N Mirzaei , F Mohammadi Shahboulaghi , K Nourozi , A Biglarian , Gh Hosseiny ,
Volume 1, Issue 4 (summer 2015)
Abstract
Introduction: The chronic diseases such as knee osteoarthritis due to their progressive nature often influence all aspects of elders lives and make them decompensated. The most common symptom of this disease is pain that restricts the mobility of the sick. This study aims to evaluate the effect of self - management program on knee pain in older adults with osteoarthritis referred to Khoram abad orthopedic clinic in 1393. Methods: This research was a quasi-experimental two group before and after study conducted on 80 knee osteoarthritic people selected with convenience sampling method and randomly assigned to intervention (44) and control (44) groups. At first, the knee pain intensities were measured using visual analog scale. Then, the intervention group was offered the four week self-management program consisting of four 70 minute consultation sessions, teaching handout and telephone follow-ups. The intervention group practiced the self-management program about one month at their homes. Finally, the pain intensity in two groups were reassessed and compared. The collected data were analyzed using the SPSS version 18 software using x2 and independent T-test. Results: The results showed that the mean intensity of pain had no significant differences in two groups before the intervention but after intervention, the intensity rate of pain was significantly reduced in intervention group compared to control group (p<0/05). Also, findings indicated that there was a significant improvement in the mean intensity of pain after self-management program participation of intervention group (from 7/12±2/09 to 5/43±1/83 p<0/05), but the difference between the mean intensity of pain before and after intervention in the control group was not statistically significant (6/68 to 6/34 p>0/05). Conclusion: The results showed that the self-management plan caused symptomatic improvement and pain relief in the old people suffering from knee osteoarthritis. With a suitable diet and using pain relief methods along with exercise, this program increases the tolerance for exercise and mobility and relieving knee discomfort and pain.
Z Khesali , F Mohammadi Shahboulaghi , Hr Khanke , A Biglarian ,
Volume 2, Issue 2 (winter 2016)
Abstract
Introduction: Depression is the second leading cause of disability in elderlies only after physical causes that reduces social activities, impairs cognitive functioning and reduces quality of life. Today regular exercise is a well-established modality in modern medicine and it is the first line consideration in the field of lifestyle modification for prevention and management of chronic conditions. The aim of this study was to determine the effect of Tai Chi Chuan exercises on depression in elderly women.
Methods: This study was a quasi-experimental, pre-test, post-test with control group design. Sixty elderly retired women, members of national Iranian oil company, participated in the study based on eligibility criteria. Subjects were chosen through purposive sampling and assigned randomly to intervention and control groups. Intervention consisted of 24 sessions of Tai Chi Chuan for 8 weeks (3 times a week). Data collection instruments were a demographic questionnaire and Geriatric Depression Scale (GDS).The data were analyzed using inferential statistic tests (Fisher's exact test, chi square, t-test and paired t-test) in SPSS version 19 software.
Results: Before the intervention, the mean score of depression was 10/34 in experimental group and 10/38 in control group and this difference was not statistically significant (p = 0/668). After the intervention the mean score of depression reduced to 6/72 in experimental group and 10/09 in control group. Analysis of covariance confirmed that this significant reduction in depression levels was due to Tai Chi Chuan exercises (p< 0/001).
Conclusion: The results showed that Tai Chi Chuan exercise reduced depression levels in the elderly women. Therefore, it is suggested that Tai Chi Chuan as one form of safe and cost effective complementary medicine should be used more commonly for promoting mental health profile of the elders.
Abdollah Mosavi Ori , Narges Arsalani , Kian Nourozi , Akbar Biglarian ,
Volume 2, Issue 4 (summer 2016)
Abstract
Introduction: Patient transfer is one of the common nursing tasks which could protect patients from being injured and as well as nurses from adverse health issues such as musculoskeletal disorders, if it is carried out perfectly. The aim of this study was to evaluate the effect of patient transfer method training to nursing staff on its implementation.
Methods: In this pre and post quasi-experimental study, 20 nursing personnel of Khatam-Ol-Anbia Hospital were participated based on purposeful sampling method. The intervention included a three-day workshop in which the theory and practice of patient transfer method was trained and followed by group and individual performance of the participants. The patient transfer method scores were calculated before and after the workshop using patient transfer assessment instrument (PTAI) and finally data was analyzed by SPSS 19 software.
Results: Statistical analysis showed that the mean of patient transfer method increased (from 36.6 ± 16.4 to 89 ± 8.1), which was statistically significant (P < 0.001). In addition, before the intervention most of the participants’ patient transfer scores were poor in terms of ergonomics level, which improved to a good level after the intervention.
Conclusions: The results showed that the patient transfer method training from bed to wheelchair and vice versa can improve nurses’ skills. Therefore, training the correct (ergonomics) method which combines proper body postures and equipment can lead to better performance and prevent adverse health issues among nurses and increase patient safety as well.
Mina Karimi , Kian Nourozi Tabrizi , Farahnaz Mohamadi , Ali Akbar Biglarian ,
Volume 2, Issue 4 (summer 2016)
Abstract
Introduction: Fatigue is the most common symptom of multiple sclerosis and the most common complaint in elderlies, which reduces the quality of life. This study aimed to evaluate the effect of slow stroke back massage on fatigue in elderly patients with multiple sclerosis living in Kahrizak Charity Foundation in 2014.
Methods: This was a quasi-experimental study, with one group before and after. The population consisted of 18 elderly male and female residents in Kahrizak Charity Foundation. Available sampling was performed based on the inclusion criteria, and for each individual, slow stroke back massage was applied for 20 minutes, in even days during a four-week period. Questionnaires were provided for demographic information and a questionnaire was used to assess fatigue. Fatigue was measured three times; before the intervention, at the end of the sixth session, and at the end of the twelfth session. Data Analysis was performed by SPSS version 16, and the statistical tests of Shapiro-Wilkes, repeated ANOVA and Friedman, Wilcoxon and Bonferroni, and U-Mann Whitney were used.
Results: Of the study population, 55.6 % were female and 44.4% were male. The mean of age was 64.55. The mean scores of fatigue in pre- and post-tests were 50.2 and 44.3 respectively, and it was 40.5 at the end of the sixth session. The results of this study showed that fatigue had a significant difference before and after the intervention and slow stroke back massage was effective for reducing fatigue (P < 0.001).
Conclusions: Fatigue is highly prevalent in elderly patients with multiple sclerosis. The implementation of slow stroke back massage by caregivers and nurses, which is a tolerable and light intervention style for the elderlies, can be effective in reducing their fatigue.
Alireza Memari , Asghar Dalvandi , Farahnaz Mohammadi-Shahbolaghi , Masoud Fallahi-Khoshknab , Akbar Biglarian ,
Volume 3, Issue 1 (Autumn 2016)
Abstract
Introduction: Increasing rate of geriatric population and importance of maintaining and promoting their health in order to decrease complications and cost of care and treatment requires a focus on low cost and simple procedures with low complications. This study aimed to investigate impact of spiritual care on spiritual health of elderly residents at Kahrizak nursing home.
Methods: In this semi-experimental study with pre and posttests, 90 elderly residents of Kahrizak nursing home, which fulfilled the inclusion criteria participated in two groups; one case group and one control group, the samples of which were divided by randomized permuted block. The case group received 90 days of hope facilitation and active listening intervention. Data was gathered using a demographic test, Jarel spiritual well-being. The SPSS version 20 software was applied for analysis of data.
Results: Pretest average score of spiritual health reported in the case group was 33.50, and in the control group was 31.47, which showed no statistical differences (P = 0.074). After the intervention, in the intervention groups, the mean score increased to 7.12 for spiritual health that is statistically significant (P < 0.001), however in the control group, the mean score fell to 1.11 for spiritual health that was not statistically significant (P = 0.321). Co-variance analysis showed significant increase in spiritual health after the intervention (P < 0.001). Pretest average scores of mental health reported for the first case group was 41.37.
Conclusions: Results showed that spiritual care increased spiritual health of elderly residents of Kahrizak nursing home. Therefore, it is suggested for geriatric health care providers to use this safe and simple procedure to promote elderly spiritual health.
Nloufar Mirzaei, Farahnaz Mohammadi, Kian Nourozi, Akbar Biglarian,
Volume 3, Issue 4 (Summer 2017)
Abstract
Introduction: Knee osteoarthritis, owing to its progressive route, is often debilitating and affects the elderly’s life. We should be self-efficient to manage the disease problems. This study was conducted to investigate the effect of self-management training on the self-efficacy of elderly patients with knee osteoarthritis.
Methods: A quasi-experimental study was conducted on 88 elderly with knee osteoarthritis referred to the orthopedic clinic of Khoramabad City, Iran, in 2014. The subjects were allocated into the intervention and control groups based on the random blocks. First, the patients’ self-efficacy level was measured using the rheumatoid arthritis self-efficacy (RASE) questionnaire. Afterwards, the intervention group was trained for four weeks, one 70-minute session per week. After the training, the intervention group was given four weeks to implement the training program at home. Follow-up assessment after the intervention was conducted via telephone. Finally, the changes of the self-efficacy levels were evaluated and compared. The collected data were analyzed using the chi-square, independent t test and ANCOVA with the SPSS software version 18.
Results: The two groups showed no significant difference in terms of background variables. Also, the two groups were similar in terms of self-efficacy before the intervention. Moreover, the results showed a significant improvement in the mean of self-efficacy before (84.2 ± 7.28) and after (94.08 ± 10.08) the intervention in the intervention group (P < 0.05). However, the difference between the mean values of self-efficacy before (84.8 ± 6.44) and after (83.7 ± 8.68) the intervention was not significant in the control group (P > 0.05).
Conclusions: The results show that implementation of self-management training is effective in improving the self-efficacy of the elderly with knee osteoarthritis. Educations about pain control techniques, physical exercises, and diet can reduce knee pain in the subjects and improve their self-efficacy.
Nasrin Goodarzi , Farahnaz Mohammadi Shahboulaghi , Abolfazl Rahgoi, Akbar Biglarian ,
Volume 4, Issue 2 (winter 2018)
Abstract
Introduction: Increased incidence of dementia is one of the outcomes of old age. These patients, due to disruptions in cognition, behavior and performance, rely on other people, usually familial observers, for their personal tasks. Diversity and adversity of caring roles lead to mental problems for observers (depression, anxiety, and stress) and on the other hand, illness of a family member causes problems in family performance. Thus, evaluation of family performance could be a suitable predictor of mental health of a family.
Methods: This was a cross-sectional study. Overall, 150 familial caregivers of elderly patients with dementia, referring to the Alzheimer's association, participated in this analysis. Data were collected through the demographic questionnaire, McMaster family function, Beck depression, Zuong anxiety, and perceived stress questionnaire of observers, and the analysis was conducted by Pearson correlation coefficient test, analysis of variance, Scheffe post hoc test, multi-variate stepwise linear regression, and the SPSS software.
Results: Family functioning in study observers is impaired in all aspects except the problem and there is a significant negative correlation between all subscales of family performance and depression, anxiety, and stress of observers. Family performance is able to predict changes in depression, anxiety, and stress of familial observers of patients with dementia. Aspects of behavior control was able to explained 1.19% of the variance of anxiety and 9.19% of the variance of stress in caregivers, as well as aspects of behavior control, roles, and emotional companionship, and 3.45% of the variance of depression in caregivers were able to be explained.
Conclusions: Results of this study showed that family functioning is one of the most important factors affecting depression, anxiety and stress of familial observers. Thus, studying the dimensions of family functioning shows which aspects are affected by these disorders.
Mrs Seyyedeh Leila Jafari Pourzare , Dr Hamid Reza Khankeh , Dr Kian Nourozi Tabrizi, Dr Akbar Biglarian , Dr Saeid Farzaneh Far,
Volume 4, Issue 4 (Summer 2018)
Abstract
Introduction: Anxiety is one of the most common psychiatric disorders in patients with cancer, and is very important in nursing. This study aimed at determining multimedia orientation tour on anxiety of patients with thyroid cancer receiving iodine therapy at Imam Khomeini Hospital complex of Tehran, during year 2017.
Methods: This study was quasi-experimental, in which a pretest-posttest plan with a control group was used. All of the patients with thyroid cancer on iodine therapy, who referred to Imam Khomeini Hospital complex of Tehran in the first six months of 2017, were the statistical research community. Fifty patients were selected based on the inclusion criteria and purposive sampling method and randomly divided to two groups of experimental and control by using a table of random numbers. For the intervention group, the multimedia orientation tour was done through pamphlets and a video for 20 minutes. Patients filled Beck Spielberger's State Trait Anxiety Inventory (STAI) before and after the intervention. The SPSS statistical software SPSS 19 was used and chi-square, Fisher's exact test, and independent t-test and paired T were performed.
Results: Results showed no difference between the two groups of intervention and control regarding demographic characteristics. The mean anxiety score was 96.7 ± 6.92 in the intervention group, and 97.5 ± 3.66 in the control group before the intervention, which respectively reached 74.00 ± 8.84 and 96.3 ± 4.3 after implementation of the intervention, and this difference was significant in the intervention group (P ≤ 0.001).
Conclusions: According to the results, it could be said that the multimedia orientation tour is effective in reducing anxiety in patients with thyroid cancer on iodine therapy. Therefore, it can be applied as a simple, non-invasive, low-cost and effective tool for reducing anxiety in patients with thyroid cancer on iodine therapy.
Dr. Hamid Reza Khanke, Dr. Abolfazl Rahgoi, Dr. Akbar Biglarian, Ms. Samaneh Kavianpour,
Volume 9, Issue 3 (spring 2023)
Abstract
Introduction: The high prevalence of covid-19 and the occurrence of stress and anxiety reduce the quality of life in patients with covid-19, so remote nursing is considered important to improve the quality of life in these patients. The present study was conducted to investigate the effect of remote nursing on the level of anxiety and quality of life of patients with covid-19 discharged from Imam Khomeini Amol Hospital in 2021.
MethodS: This is a semi-experimental before-after study with a control group. The research population includes patients with covid-19 discharged from Imam Khomeini (RA) Amol Hospital. 64 patients with covid-19 were selected by the available method and randomly divided into two groups by quadruple block method. The data collection tools include demographic information, the Corona Disease Anxiety Scale questionnaire and the quality of life questionnaire. The intervention of the research was carried out in the form of providing a package of remote nursing services for one month during eight sessions, twice a week and each time for half an hour in the intervention group after discharge. After one month of training, the quality of life questionnaire and the Corona disease anxiety tool were completed again in the intervention group. After collecting the data, they were analysed by SPSS-25 statistical software and descriptive and analytical statistical tests.
Findings: The results of the paired t-test showed that the average anxiety score in the mental (p<0.001) and physical (p<0.001) areas in the intervention group decreased significantly after the intervention. Also, the average score of quality of life in physical health (p<0.001), mental health (p<0.001), social relations (p<0.001), environmental health (p<0.001) significantly increased in the intervention group after the intervention.
Conclusion: The results of this study showed that telenursing education can reduce the anxiety of corona patients and also increase the quality of life of these patients.
