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Showing 7 results for Chronic

Mr Alireza Shariati, Dr Mohammad Mojerloo, Mr Einolah Molaei, Mr Moslem Hesam, Mr Hamid Asayesh, Mr Hossein Nasiri, Dr Gholamreza Mahmodi,
Volume 7, Issue 2 (11-2010)
Abstract

  Background and Objective : Anemia is one of the most common complications of end stage renal diseases. Inadequate production of erythropoietin is the main cause of anemia in these patients, and iron deficiency is the other important factor. We designed this study to survey the prevalence of iron deficiency anemia in hemodialysis patients referred to hemodialysis ward of Panje Azar hospital in Gorgan, Iran.

  Material and Methods: The subjects of this descriptive and cross-sectional study were all 97 patients undergone permanent hemodialysis. Hemoglobin, Serum Iron, Ferritin, Transferrin saturation and Hemoglobin index were measured to assess iron deficiency anemia. We did data analysis by using chi square, fisher exact test and independent T test in spss 13 environment.

  Results: The prevalence of anemia and iron deficiency anemia were 57.6 and 31.1 percent, respectively. Tranferrin saturation in 29.16 percent of the patients is less than 20%. There was no significant correlation between signs of anemia and variables such as, duration of dialysis, causes of the disease and iron- deficiency anemia (p=0.06). But signs of anemia were significantly correlated (p<0.0001) with erythropoietin. In comparison with patients consumed iron orally, those who used injectable iron had higher serum iron, Hemoglobin and Transferrin saturation (p<0.001).

  Conclusion: Because of high frequency of iron- deficiency that may results in resistance to erythropoietin therapy and leads to inappropriate treatment of iron deficiency. We recommend first treating of ID to prevent from useless administering of erythropoietin.


Hamid Sharifnia, Nader Aghakhani, Roghieh Nazari, Batool Nahrir,
Volume 8, Issue 2 (2-2012)
Abstract

  Background and Objective: Growing trend of chronic kidney disorders in the world represents the increased problem imposing on patients and their family, and ultimately reduce the quality of their life. ­Thus, dialysis patients are trying to ­increase their quality of lives, in addition to looking for proper treatment. ­ This study was conducted to­ compare the quality of life in hemodialysis patients ( HD) and peritoneal dialysis.­(PD)­

  Materials and Methods: ­ This cross-sectional study was performed on 166 dialysis patients (130 HD and 36 PD patients ) in teaching hospitals of Urmia University of Medical Sciences. The instrument was standard SF-36 questionnaire including demographic part and 36 questions about quality of life. To analyze the data , we used descriptive statistic and independent T- test.

  Results: Most of the participants (n=97) are female and most of HD (43.8%) and PD (50%) patients are in 26-45 and 15-25 age bracket, respectively. The mean of QOL score in HD patients in physical function, role function and mental health sections is more than the mean of PD (P<0.05).

  Conclusion:­ According to the results of the present study, QOL in HD is better than that PD. Hence, recognition of level of QOL in chronic renal failure, and research about promoting ways of QOL is necessary to step practically forward increasing QOL.


Masoomeh Otaghi, Dr Parkhideh Hassani, Dr Mansooreh Zagharie Tafreshi, Dr Alireza Nikbakht Nasrabadi,
Volume 10, Issue 2 (10-2013)
Abstract

Background and objective: The rate of end-stage renal disorder (ESRD) in Iran, 12%, is more than the worldwide range. The people with Hemodialysis are greatly under physical, mental and social pressures that make the acceptance of Hemodialysis difficult. Since the acceptance can be the beginning point of adaptation, this study aimed to explore the challenge in acceptance of Hemodialysis.
Material and Methods: This grounded theory study was undertaken in the Hemodialysis wards of the hospitals affiliated with Shaheed Beheshti University of Medical Sciences in Tehran. The first samples were selected via purposive sampling and the later ones with theoretical sampling till data saturation (N=24).‌ Semi-structured interview, field notes and memos were used for data collection. The data was analyzed by using Strauss and Corbin method. Data rigor was confirmed by Lincoln and Goba criteria, considering ethical points. Results: The challenge in acceptance of Hemodialysis emerged the categories of acceptance (by force, experience, reasoning or social norms) and lack of acceptance (subjective or objective) of necessity of Hemodialysis as well as their related codes.
 Conclusion: The people on Hemodialysis encounter a challenge for acceptance of Hemodialysis. Education as well as personal, familial and social supports can resolve this challenge by changing lack of acceptance (subjective or objective) or acceptance by force to acceptance (by experience, reasoning or social norms).
Dr Mohammad Moujerloo, Einollah Molaie, Zahra Montazer, Dr Naser Behnampour, Alireza Shariati , Maryam Khari,
Volume 12, Issue 1 (4-2015)
Abstract

Background and Objective: Cool temperature dialysate has been recommended to improve hypotension during dialysis. Thus, we aimed to evaluate the effect of lowering the dialysate temperature on intradialytic hypotension (IDH) and some interventions in patients undergoing hemodialysis (HD). Material and Methods: This randomized controlled trial with a cross over design was conducted on 50 patients divided into two equal groups. Each group was dialyzed for two periods of 12 HD sessions, once with standard temperature (37°C) and in the next period with cool dialysate (35.5°C). Blood pressure and the related interventions were noted during each dialysis. The Data was analyzed using Chi-square, McNemar, Independent and Paired T Tests. 
Results: Overall, the frequency of hypotension in routine method was 18% and in cool dialysis was 5%. It means that hypotention in cool dialysis is significantly less than that of routin method (P<0.004). Furthermore, the mean of hypotension related interventions in both groups was also significant (P<0.001). 
Conclusion: Owing to the effect of cool dialysate temperature on stabilizing hemodynamic parameters, we recommend using this method during hemodialysis in hypotensive patients.

Zohreh Shahhosseini , Zeinab Hamzehgardeshi , Souri Soleimani ,
Volume 17, Issue 0 (4-2020)
Abstract

Background: Endometriosis refers to the presence of endometrial tissue (endocrine glands and stroma) outside of the uterine cavity. The prevalence of this disease is approximately 10% of women in the general population. Since there is no definitive treatment for endometriosis, medical and surgical treatment often reduces more symptoms and it prevents the progression of the disease while each of them encompasses a special side effect. CAM treatments (Complementary and Alternative Medicine) are non-pharmacologic interventions that reduce pain and mood disorder and also help to improve women's quality of life through mind and body interventions. The aim of this study was to address non-pharmacological interventions in endometriosis pain management.
Methods: This study was a review that for compile this article, at first search was done in Google Scholar database and more specifically in Persian databases such as Scientific Information Database (SID), Magiran, Iranmedex and English databases like PubMed, Springer, Scopus, Web of Science, Science Direct with key words such as endometriosis, chronic pelvic pain, hypnotisis, cognitive behavioral therapy and massage and articles related with the topic of this article were searched from 2000 to 2017. A total of 400 articles were searched that in abstract screening stage 122 articles were deleted due to being duplicate and 256 articles were deleted due to the lack of relevance with the objectives of the study and finally after reviewing the full text of articles, 22 articles were used for writing this study.
Results: The results of reviewing studies regarding the non-pharmacological treatments methods for endometriosis were organized in 6 main categories. 1. Moxibustion, a traditional Chinese medicine that involves of moxa at specific points of the body, 2. Medicinal herbs such as Astragalus, Ginkgo and Ginseng, 3. Massage therapy, 4. Psychological interventions such as cognitive-behavioral therapy, 5. Acupuncture, such as ear and body acupuncture, 6. Chinese Enema.
 Conclusions: It seems that non-pharmacological treatments reduce the pain score in patients with endometriosis. These treatments can be proposed as common methods to treat patients with painful conditions of reproductive system including endometriosis. However, further studies on this issue should be conducted with larger samples with specified pain conditions.
Hardianti Mukkadas, Wa Ode Salma, I Made cristian Bhinekada,
Volume 18, Issue 2 (7-2021)
Abstract

Background: Chronic energy deficiency (CED) can have serious health consequences in both the mother and the baby. The aim of this study was to determine factors associated with CED in pregnant women. 
Methods: This cross-sectional study was done on 115 pregnant women referred to two health centers in the Konawe District (Indonesia) in 2021. After determining the prevalence of CED, data on different demographic and socioeconomic characteristics including family income, nutritional status, adherence to Fe tablet consumption and food availability were collected using questionnaires. Relationship between the variables and prevalence of CED was assessed using the Chi-square test at significance of 0.05.
Results: The prevalence of CED was 36.5% among pregnant women. The prevalence of CED was significantly associated with family income (P=0.001), nutritional status (P=0.001), adherence to Fe tablet consumption (P=0.007) and food availability (P=0.002). The logistic regression test showed that family income had the strongest association with the prevalence of CED (OR=2.197; 95% CI: 1,248-3.868).
Conclusion: The prevalence of CED is higher in pregnant women with low income, poor nutritional status, and limited access to food and poor adherence to Fe tablet consumption. We suggest increasing food security at the family level by providing information to women in preconception stage through counseling, flip charts and posters.

Leila Rafiee-Vardanjani , Farahnaz Mohammadi-Shahboulaghi , Hamidreza Khankeh, Kain Norouzi-Tabrizi,
Volume 21, Issue 4 (12-2024)
Abstract

Background: Treatment adherence (AT) can enhance hemodialysis patients' quality of life and life expectancy. Nurses in the healthcare system can benefit from understanding this concept, its attributes, antecedents, and consequences. This study aims to clarify the concept of AT in hemodialysis patients.
Methods: A three-phase concept analysis was conducted utilizing a hybrid model. In the theoretical phase (first phase), a literature review was conducted using PubMed, Web of Science, ProQuest, EBSCO, Scopus, Google Scholar, SID, and Magiran search engines. In the fieldwork phase (second phase), semi-structured interviews were conducted with eight patients and nurses. The final analysis (third phase) combined the results from the previous phases.
Results: The characteristics of treatment adherence include being process-oriented, actively participating in therapy, being patient-centered, accepting responsibility for treatment, and being committed to the treatment process. To understand this concept, antecedents related to the patient, society, and the health care system must be considered. As a result of the emergence of this concept, patients' quality of life has been improved, and healthcare costs have been reduced.
Conclusion: This study provides insight into the characteristics of adherence to treatment and the factors that influence its proper implementation. This program will assist healthcare providers in better understanding this concept and improving their clinical practices for hemodialysis patients.

 


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