Background:Advances in coronary artery surgery have reduced morbidity, mortality, and rates of graft occlusion. Discharge programs are important services for the continuity of treatment and must encompass physical, psychological, and social aspects of individual patient care. This study aimed at investigating the effect of planned discharge training and counseling on the problems experienced by patients undergoing coronary artery bypass graft (CABG) surgery.Materials and Methods:A semi-experimental study was performed on 100 patients undergoing CABG surgery in the surgery department. During a period of 9 months from January to September 2013, the patients in the intervention group were provided with adequate discharge training and counseling with a booklet before surgery and counseling until 6 weeks after discharge, while the control group patients received only routine clinical procedures, i.e. prescribing medicine, controlling vital signs, and wound dressing. The data were analyzed using Statistical Package for the Social Sciences (SPSS) 23. Frequency and distribution were used to describe the data, and paired sample t-test, variance analysis, Fisher's exact test, and Chi-squared tests were also used.Results:The reported problems for both groups had a descending pattern during the three follow-ups. However, this pattern had a greater slope in the intervention group compared to the control one. As a result of these education programs, problems were fewer in the intervention group than in the control group (P < 0.05).Conclusions:Discharge training and counseling given to the intervention group had a positive impact on decreasing the problems that the patients had. Therefore, the institutions may be recommended to support multidisciplinary patient training and counseling activities using the methods described in this study.
Background and Purpose: Cancer is associated with significant changes in the lifestyle of patients. Spiritual well-being has been shown to be an inherent element of health, quality of life, increased survival rate, and enhanced adaptability of cancer patients with the disease. This study aimed to evaluate the spiritual health of cancer patients and their nurses. Methods: This descriptive, correlational, cross-sectional study was conducted on 60 hospitalized cancer patients and 60 nurses in the hospitals affiliated to Urmia University of Medical Sciences, Iran during March-October 2014. Participants were selected via accident sampling, and data were collected using the Spiritual Well-being Scale (SWBS). Data analysis was performed in SPSS version 16 using descriptive statistics, Chi-square and T-test. Results: In cancer patients, mean scores of religious, existential and spiritual well-being were 52±2.32, 46±1.23 and 99±3.73, respectively. In the studied nurses, these scores were 29±4.43, 40±1.17 and 70±4.02, respectively. A significant difference was observed between the scores of spiritual well-being between cancer patients and nurses (P=0.001). Conclusion: According to the results of this study, spiritual well-being largely contributes to the mental health of cancer patients. Therefore, higher spiritual well-being of nurses could enhance the spiritual health of cancer patients as well.
Background and Objectives:Internal evaluation is a dynamic and continuous process, which has a high effectiveness and improves the quantity and quality of the group's education system due to the participation of all members of the group. The purpose of this study was internal evaluation of the Department of Nursing of Qom University of Medical Sciences in 2018.Methods: This descriptive cross-sectional study was conducted in order to internal evaluation of the Department of Nursing of the school of Nursing and Midwifery of Qom University of Medical Sciences in 2018. Students, graduates, faculty members, and head of Department of Nursing, and dean and deputy of education and research of the faculty, were selected by census sampling method. A questionnaire approved by the Center for Studies of Qom University of Medical Sciences, was used during the first 6 months of the year 2018. Data analysis was carried out using descriptive statistics methods. Results:In this study, the score percentage obtained by the Department of Nursing in 9 factors of internal evaluation was 89.78% for management and organization, 88.88% for mission and goals of education, 84.7% for faculty member, 79.6% for educational group, 79.86% for educational curriculum, 72.5% for assessment and evaluation, 69.34% for students, 68.76% for graduates, and 67.29% for physical space. Conclusion:According to the results of this study, the highest score was related to the management and organization and the lowest score was for graduates and physical space.
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