Background: The family caregivers of patients undergoing hemodialysis are faced with multiple physical, psychological, social, economic, and spiritual problems that increase their care burden. The present study was conducted to determine the effects of a family-based training program on the care burden of family caregivers of patients undergoing hemodialysis. Materials and Methods: The present controlled, randomized, clinical trial was conducted on 70 caregivers of patients undergoing hemodialysis in Ali Asghar and Zahray-e Marzieh hospitals in Isfahan, Iran, in 2017. After conducting convenient sampling, 70 participants were randomly assigned into 2 groups (35 in each group). The experimental group received the family-based training program and the control group received usual care plan. Data were collected using the Zarit Burden Scale before, immediately after, and 1 month after the intervention and were then analyzed by independent t -test, Chi-square, and Analysis of Covariance (ANCOVA) repeated measure. Results: The results showed that both groups were homogeneous in terms of their demographic data and showed no significant differences. The main effect of group was significant, indicating a significant decrease in care burden in the experimental group after the intervention ( F 1,67 = 1089, p < 0.001). However, the interaction of time and group was not significant, indicating insignificant difference in burden 1 month after intervention ( p > 0.05). Conclusions: Since the family-based training program successfully reduced the burden of care immediately after intervention, similar family-based training programs are recommended to be designed and developed. However, insignificant time effect suggests further researches of long time effects of such program.
Infant’s health care management at home was an important challenge for the families. Therefore, the policymakers provided a program as an extension to the care plan to implement at home and examine families’ attitudes toward the program. Examination of the parents’ attitude was a coincidence with COVID-19 pandemic in this study, a descriptive-analytical cross-sectional study that was conducted on 385 parents with infants less than 2 months old in the health centers of Isfahan—Iran. The samples were selected by stratified random sampling method. Data gathering was done through a researcher-made Likert questionnaire, which had 30 items and 3 domains including individual-cultural, educational-supportive, and environmental domains. The data were analyzed through the descriptive and analytical statistic. The results of the study revealed a mean score of 104.12 ± 11.69 on family attitude and their positive view toward the infant home-based care program. Also, the highest score was related to the individual-cultural domain 36.95 ± 4.44, educational-supportive 34.88 ± 5.04 and environmental domains 32.29 ± 3.98, respectively. In addition, a significant relationship was found between the mean score of the family attitude and age, the number of children, education, and place of care ( P < .05). Based on the results of the study, the attitude of family toward infant home-based care is positive, and the challenges of parents in caring their infants at home can be reduced as the program is implemented.
The Galois lattice is a graphic method of representing knowledge structures. The first basic purpose in this paper is to introduce a new class of Galois lattices, called graded Galois lattices. As a direct result, one can obtain the notion of graded closed itemsets (sets of items), to extend the definition of closed itemsets. Our second important goal in this paper, is related to set a constructive method, computing the graded formal concepts and graded closed itemsets. We mean by a constructive method, a method that builds up a complete solution from scratch by sequentially adding components to a partial solution until the solution is complete. Besides of computational aspects, our methods in this paper are based on the strong results obtained by special mappings in the realm of domain theory. To reach the fertilized consequences and constructive algorithms, we need to push the study to the structures of Banach lattices.
BACKGROUND: Family caregivers of hemodialysis patients experience various physical, psychological, social, economic, and spiritual problems that reduce their quality of life. The present study aimed to determine the effect of a family-centered education program on the quality of life of family caregivers of patients undergoing hemodialysis. MATERIALS AND METHODS: This was a randomized controlled trial that was performed on 70 caregivers of patients undergoing hemodialysis in the medical centers of Hazrate Ali Asghar and Hazrate Zahraye Marzieh in Isfahan. Caregivers were randomly divided into experimental and control groups, and the experimental group received an eight-session family-centered education program. Data were collected using the Quality of Life Scale (QOLS)-short form immediately after and 1 month after the intervention. Data analysis was performed using the Statistical Package for the Social Sciences (SPSS) software version 18 and analysis of variance and covariance. RESULTS: The results showed that both experimental and control groups were homogeneous in terms of demographic information and there was no significant difference between them in this regard. Analysis of data on quality of life and its four domains showed that the mean scores of quality of life (P = 0.089) and its four domains including physical health (P = 0.367), mental health (P = 0.429), community relations (P = 0.132), and environmental health (P = 0.232) increased significantly immediately after and 1 month after the intervention (P < 0.001 in all cases). CONCLUSION: Educational programs can improve the quality of life of family caregivers of hemodialysis patients. Therefore, it is recommended that programs be developed and evaluated in various studies in the future.
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