IntroductionIdentification of causes of hypertension on the basis of the perspectives and experiences of patients is the key to success in health plans of these patients. The aim of this study was to describe the experiences of life before becoming hypertensive patients.MethodsThis qualitative study was conducted during August 2015 to April 2016. Twenty-seven hypertensive patients referred to hospitals affiliated to Tehran University of Medical Sciences were selected based on purposive sampling, and semi-structured in-depth interviews were conducted with them. The data were analyzed by the content analysis method and using qualitative data analysis software MAXqda 2011.ResultsThree main categories were extracted from data analysis. Patients experienced factors such as negligence and neglect, life stress, lack of healthy lifestyles and abuse awareness, spirituality abandonee in the main category of “personal experience,” factors such as family conflicts, heredity, inappropriate nutritional and life style in the main category of “family life,” and also factors such as job stress, economic problems, urbanization, chemical agents during the war in the main category of “social life.”ConclusionsBased on the findings, patients before becoming hypertensive under the influence of their culture and beliefs had experienced many risk factors associated with hypertension. Comprehensive planning and appropriate to the cultural, social, and beliefs context about the prevention and correction of these factors is necessary.

Background Thalassemia major has become a public health problem worldwide, particularly in developing and poor countries, while the role of educating the family and community has not been considered enough in patients' care. Objectives This study examines the impact of partnership care model on mental health of patients with beta-thalassemia major. Materials and Methods This experimental study, with pretest and posttest design, was performed on patients with beta-thalassemia major in Jiroft city. 82 patients with beta-thalassemia major were allocated randomly into two groups of intervention (41 patients) and control (n = 41) groups. Mental health of the participants was measured using the standard questionnaire GHQ-28 before and after intervention in both groups. The intervention was applied to the intervention group for 6 months, based on the partnership care model. Results There were significant differences between the scores of mental health and its subscales between two groups after the intervention (P < 0.05). Conclusions The findings of the study revealed the efficacy and usefulness of partnership care model on mental health of patients with beta-thalassemia major; thus, implementation of this model is suggested for the improvement of mental health of patients with beta-thalassemia major.

Introduction: Trauma is the main cause of the disability of the active population in developing countries. In the meantime, hand injuries are one of the most common traumas in the world. These injuries affect the quality of life of patients.Objective: This study aimed to determine the trend of quality of life patients with traumatic hand injury". Material and Methods:This cross-sectional study was performed on patients with hand injuries in 2016. Samples were selected from 100 patients and through convenience sampling. The instruments used in this study included demographic information questionnaire, health-related quality of life questionnaire (SF36), and instrumental arm, shoulder and hand disability questionnaire (DASH-38). Data were analyzed by SPSS 22 and Kruskal Wallis statistical test. P<0.05 was considered as significant level.Results: Based on the results, the mean age of the units was 27.69 ± 7. 21 years. Kruskal Wallis statistical test showed that the scores of quality of life (42.21 ± 14.27, 3 months later, 58.10 ± 12.88 and 6 months following the surgery, 78.88 ± 8.25) were significantly increased over time (P = 0.000). Also, the handicapped hand score (65.34 ± 17.98, 3 months later, 36.44 ± 18.16, and 6.3 months after the surgery, 3.33 ± 1.29) decreased over time (P=0.000). Discussion and Conclusion:The results of this study showed that the quality of life in patients with a traumatic hand injury after the surgery was upward. However, the quality of life of these patients is low even after the surgery. Therefore, the given authorities are required to have a fundamental plan in this regard.

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Background: The term "outpatient surgery" has become a common procedure in most hospitals around the world. On other hand, Spinal aesthesia can mimic the outcome sought by the principle of outpatient surgeries since it takes a short time to recover and limits the need for post-operative pain medication Therefore, the objective of this study is to focus on finding a method to reduce the side effects that commonly accompany the procedure of spinal aesthesia and to avoid the possible hemodynamic changes that may occur. Methods: The method for the study will be a narrative review of various medical journals, conferences papers, and unpublished documents using the dual keywords, outpatient surgeries spinal aesthesia, and ambulatory aesthesia, we include in this research thirty-one original articles, fifty-three reviews articles, two books, three handbooks, and two guidelines searched in the deferent database (google scholar, Research gate, pub med, science direct). Results: Consideration should be given to the quality of patients who participate in outpatient concepts. Finally, in terms of cost, side effects, and patient satisfaction, the spinal aesthetic approach gives a favourable outcome since it covers post-operative time without the need for analgesia and reduces the percentage of postoperative nausea and vomiting, and reduces the time staying in the hospital. Conclusions: In conclusion, the study discovered that a major proportion of surgeries performed over our lifetimes are outpatient procedures. Therefore, Discharge criteria should be posed with one precise criterion. There is no standard protocol to serve these types of surgeries and patients. The only criteria found and practiced served general conditions for outpatients and inpatients. There have been several attempts to create a protocol that can meet the pleasing outcome of outpatient surgeries. Consequently, we need more research to cover this lack and serve the Genuine needs of a protocol to define the criteria and categories that concern the term outpatient and outpatient surgeries and lead to improving the quality of outpatient surgeries with fewer side effects and minimum hemodynamic changes.

Aim: This study aimed to evaluate and compare the effectiveness and safety of different methods of shivering control in patients with spinal anesthesia during cesarean delivery in Al-Abbas, Obstetrics and Gynecology (Imam Al-Hujjah), and Al Kafeel hospitals in Karbala. Methods: This cross-sectional study was conducted on pregnant women who have delivered from 2016 to 2022 in Karbala city. More than 90% of cesarean delivery in Karbala were conducted in 3 hospitals including Imam Al-Hujjah hospital, Al-Abbas, and Al Kafeel. Patients were selected by a simple random method and the sample size for each hospital was defined with the proportion to size method. The researcher-made checklist was used to collect the data and data were extracted from medical documents of patients. In case of huge missing data in medical documents, the patient was excluded from the study, and another patient was selected by the same method. Result: In this study, 755 patients were included to the study. The mean age of participants was 24.48 ± 4.56 years. The incidence of shivering was 21.59% in participants, which were 31.34% in participants who received no intervention, warmed cover, and fluid therapy; and 18.05% in participants who received tramadol, and pethidine, or clonidine.

Objective: Nurses experienced many psychological problems during the COVID-19 outbreak. Considering that spirituality can be a strong factor in controlling stressful situations, this study aims to investigate the effect of spiritual self-care education on the resilience of nurses working in intensive care units (ICUs) dedicated to patients with COVID-19 in Iran. Methods: This experimental study was conducted on 64 nurses working in ICUs dedicated to patients with COVID-19 in Ziaeian Hospital in Tehran, Iran in 2021 who were selected by a census method and then randomly (by coin toss) assigned to the intervention (n=32) and control (n=32) groups. The intervention group received the spiritual self-care education at 6 sessions of 45 minutes every other day. Data were collected using a demographic form and the Connor-Davidson resilience scale and entered in SPSS software, version 25 and analyzed using independent t-test, paired t-test, and chi-square test. The significant level was set at 0.05. Results: The Mean±SD score of resilience before the education in the intervention and control groups were 48.0±5.28 and 46.44±6.05, respectively. The difference was not statistically significant (P=0.275). After the education, the mean of resilience in the intervention and control groups were 74.65±3.35, 49.38±6.49 respectively. The difference was statistically significant (P<0.0001). Conclusion: It is suggested that spiritual self-care education should be provided to nurses in ICUs dedicated to patients with COVID-19 to improve their resilience and thus help them provide better services to patients.

Background: Health and lifestyle are very important considering the current coronavirus disease 2019 (COVID-19) pandemic. In the meantime, the lifestyle of nurses is of two-fold importance regarding their role in providing a wide range of services. Objectives: The present study aimed to determine and compare the lifestyle of nurses with and without COVID-19 working in hospitals affiliated with Tehran University of Medical Sciences, Tehran, Iran. Methods: This comparative study was performed on 500 nurses working in hospitals affiliated with Tehran University of Medical Sciences in 2021. The study population included 500 nurses with (n = 250) and without (n = 250) COVID-19 nurses. The used research methods complied with the STROBE checklist. The data were collected using a demographic information questionnaire and a cross-culturally adapted nurses’ lifestyle questionnaire. Data analysis was performed using SPSS software (version 25) and descriptive and inferential statistical tests. A P-value less than 0.05 was considered the significance level. Results: The mean age values of participants with and without COVID-19 were 33.9 ± 8.35 and 35.7 ± 7.02 years, respectively. The statistical t-test showed that the overall lifestyle score was significantly higher in nurses with COVID-19 (4.06 ± 0.39) than in nurses without COVID-19 (3.90 ± 0.43) (P = 0.010). The overall score of lifestyle subscales in the COVID-19 group was higher than the nonCOVID-19 group. In this regard, the highest subscale score was related to the competence dimension in both COVID-19 (4.69 ± 0.300) and nonCOVID-19 (4.57 ± 0.418) groups (P = 0.001). Conclusions: The lifestyle of COVID-19 nurses is better than nonCOVID-19 nurses. Accordingly, planning is necessary to improve the lifestyle of nurses during the COVID-19 pandemic, especially nurses without COVID-19.