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ABSTRACT: Introduction & Objective: Pain, rather than any other problems, would persuade people to pursue remedy and treatment. Muscular injections are among pain producing factors. This technique of prescription can be followed by some complications from which pain is the most prevalent one. This study was performed to compare the pain severity caused by muscular injection of Tramadole in Z and Bulb methods. Materials & Methods: This is a clinical trial study in which 90 women who referred to the emergency ward of Shahid Beheshti hospital in Yasooj in 2006 were randomly selected. Data collection instrument was questionnaire. The pain severity was evaluated by visual scale. Data were analyzed by descriptive statistical method, independent T and chi square test using SPSS software. Results: Mean of pain severity in bulb method was 2.84±1.242 and in Z method was 4.56±1.659. The independent T test indicated that the differences in pain severity in two injection methods were statistically significant (p=0.036). No significant differences were found between age, educational level, job, marriatal status, number of previous injections and BMI of samples between two groups. Conclusion: Bulb method injection induces less pain in comparison with Z method therefore it is an ideal method for muscular injections. As such, health care workers, especially nurses, can, through this method, minimize the patients’ pain, which is one of the most important injection complaints.

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Introduction & Objective: Depression is a prevalent psychiatrical disease and among the most disabling psychiatrical health problems in various societies. It has been estimated that, till the year 2020, depression will be the second prevalent disease after cardio-vascular disease and will include 15% of the human diseases. This study was carried out to determine the effect of hydroalcoholic extract of Mentha piperita (complement treatment) on patient's depression severity. Materials and Methods: This is a triple blind random clinical trial research carried out on depressed patients referred to the Shahid Mofateh Clinic of Yasouj city during 2007-2008. The patient's depression severity was evaluated by Beck questionnaire and they were divided into 5 groups as random allocation and each group consisted of 24 persons. Then, Hydroalcoholic extract of Mentha piperita was given to four groups at the rate of 10.0mg, 50.0mg, 100.0mg and 200.0mg respectively per day and the fifth group received placebo. The treatment was continued for a period of two months. After this period, again the depression rates of patients were evaluated with the help of same questionnaire and were compared with the rates before the intervention. Collected data were analyzed with the help of descriptive tests, ҳ² statistical test, one way variance analyzed and variance with repeated measurements. Results: The results of the study indicated that the highest anti depression effect was seen in those patients who received 100.0mg and 200.0mg of the extract and the lowest rate allocated to the groups of 50.0mg, placebo group and 10.0mg respectively. Statistical analysis using repeated measurements confirmed the difference at the level of 0.1 between the mean of depression rate of the five research groups before and after intervention (p=0.078). Conclusion: Based on the results of the current study, spearmint juice at the rate of 100.0mg and 200.0mg can be used as supplement in treatment of depressed patients. However, more studies are needed to find out the proper dose of the extract.

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Introduction & Objective: Multiple sclerosis (MS) is a type of progressing and degenerating disease of myelin membrane of nervous cells in the Central Nervous System (CNS) which could cause the incidence of many signs and complications in patients. The disease could affect different aspects of an individual’s life and disturb his/her normal life. This study was carried out in order to survey the effect of yoga exercise on general health status (GHS) and sense of life in patients with multiple sclerosis. Materials & Methods: This research was a clinical trial study carried out at Yasouj University of Medical Sciences on 60 female patients with multiple sclerosis from Kohgiloyeh and Boyerahmad province in 2009.The data collecting tool consisted was MSQoL-54 questionnaire contained demographic information of patients. Patients were randomly divided into two control and case groups (30 persons in each group). Then, the general health status (GHS) and sense of life of the subjects were evaluated. Yoga therapy was done in the case group for three months and each month included eight sessions of 1-1.5 hours while no intervention was carried out on the control group. One month after Yoga therapy, the general health status (GHS) and sense of life for both groups were evaluated and compared with each other. Collected data were analyzed using descriptive tests, statistical independent t-test and paired t-test by the SPSS software. Results: The mean age of samples was 31.6±8.0 with the range of 18-45 years. Forty two (70%) of the subjects were married and 18 (30%) were single. Forty four (73.3%) had high school education and 16 (26.6%) had a university degree. Regarding occupation, most of them (63.3%) were housewives. Results of the study showed that after Yoga therapy, the mean rate of general health status (GHS) and sense of life as a whole had significant statistical difference between two groups (P<0.05). Conclusion: Yoga has improved the general health status (GHS) and sense of life of multiple sclerosis patients in our study. Considering the less cost, feasibility and rapid learning of Yoga techniques, the training of doing such exercise to patients with multiple sclerosis is recommended.

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Background & aim: In recent decades, the use of media education to control the problems of patients with chronic diseases has been taken into consideration by medical staff, but few studies have been done on their effectiveness in improving the quality of sleep in patients with bronchial asthma. The aim of this study was to determine the effect of film-based education on sleep quality in patients with bronchial asthma.

 

Methods: The present study was a quasi-experimental study and all of the patients with bronchial asthma referred to the Asthma clinic of Boroujen were included in this study. Fifty one patients who were eligible for inclusion in the study were selected by non probability sampling method. The samples were assigned to randomly assigned blocks between the two test and control groups. For patients in the test group, patient education was performed through a 15-minute video clip by computer, DVD player and mobile phone, but patients in the control group only received routine care. The Pittsburgh Sleep Quality Index questionnaire was used to collect data one week before intervention and one month after intervention. The collected data were analyzed by descriptive statistics and t-test, Chi-square, Mann-Whitney and Wilcoxon tests.

 

Results: There was no significant difference before the intervention, in the overall score of sleep quality and its dimensions in the two groups (p = 0.66). There was a significant difference between the two groups after the intervention in the general score of sleep quality and the dimensions of sleep quality, sleep disturbances and sleep latency (p = 0.001) However, there was no significant difference in the use of sleep apnea, sleep duration, adequacy of sleep and daily dysfunction in the test and control groups.

 

Conclusion: The movie-based instruction has been able to improve the quality of sleep in patients with bronchial asthma. Considering the ease of implementation of this educational method, suggesting other researches to evaluate its effect on other patients with chronic diseases, it should be considered as a method of patient education for self-care at home.

 

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Abstract

Background & Aim: Pulmonary rehabilitation is an important part of the care of patients with respiratory diseases. Although there is enough evidences indicated that the various pulmonary rehabilitation techniques are useful, but less comparative studies about the effectiveness of these techniques has been conducted. The purpose of this study was to compare the effect of chest physiotherapy with and without respiratory exercises on the patients′ ability with chronic obstructive pulmonary disease to perform activities of daily living (ADL).

 

Methods: This study is a randomized clinical trial. The study population included patients with COPD who admitted to the internal wards of hospitals affiliated to Yasuj University of Medical Sciences, 2015. Fifty one patients were selected through convenience sampling method, but randomly assigned among three groups of chest physiotherapy, respiratory exercises training and chest physiotherapy with respiratory exercises training. Interventions were performed for fourteen days, three times a day for patients. Data were gathered through questionnaire of the activities daily of life at three times before intervention, one and two weeks after the intervention. The collected data were analyzed using SPSS software using descriptive and inferential statistics such as Kruskal Wallis and Friedman with 95% confidence interval and significance level less than 0.05.

 

Results: The total mean of ADL in chest physiotherapy group before intervention was 43.6 ± 10.1, which increased to 57.1 ± 11.3 and 66.8 ± 8.8, one and two weeks after the intervention, respectively. The average total score of ADL for patients in respiratory exercises training group was 41.1 ± 7.7, 55.1 ± 6.9, and 65 ± 5.9 at three measuring times, respectively. In the group of chest physiotherapy combined with breathing exercises, the mean of ADL increased from 36.6 ± 4.5 (before intervention) to 54.3 ± 4.2 (second time) and to 65.7 ± 3.5 (third time). Although within group comparison for the mean difference in three measurement times indicated an increased ADL after interventions compared with before the intervention in three groups (P = 0.001), however, no statistical significant difference was observed in the effect of three interventions (P = 0.3).

 

Conclusion: The effect of chest physiotherapy combined with respiratory exercises training was the same on the patients′ ability with COPD for performing ADL in comparison with the effect of each one.

 

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Background & aim: The success of universities and higher education institutions in achieving their educational goals and expectations requires improving and ensuring the quality of education. The purpose of the present study was to determine and describe the quality components of educational performance of faculty members.
 
Methods: The present qualitative descriptive exploratory study was carried out in 2018-2019 and used purposeful sampling method. Data were collected through in-depth semi-structured and face-to-face interviews. Key participants of the study were faculty members of Yasuj University of Medical Sciences, 18 of whom were selected by purposeful sampling method and considering maximum difference between samples in terms of differences in faculty of work, field of study and academic rank. Initially, two general questions about the components of quality of educational performance were asked to start the interview and the process was continued based on the participants' responses. Each interview lasted between one hour and thirty minutes to two hours on average, and the place of interview was the faculty room. Interviews continued until theoretical saturation. Interviews were analyzed by step-by-step thematic analysis based on Brown and Clark's six-step method. 
 
Results: In the present study, 18 faculty members of Yasuj University of Medical Sciences were interviewed. Five participants (27.8%) were female and 13(72.2%) were male. From the scientific position, 4(22.2%) were professors, 9(50%) were associate professors, 3(16.7%) were assistant professors and 2(11.1%) were instructors. Also 47 items were extracted from the basic themes, then reduced to 14 organizer themes based on their content similarity and composition. Finally, these themes were put into four domains (inclusive themes) of educational evaluation, educational planning, educational features and educational strategies and the qualitative model of these factors was designed.
 
Conclusion: The educational performance of the faculty is a multidimensional concept whose quality depends on all aspects and the relationship between them. Since the educational performance of faculty members also depends on the type of academic disciplines, this study may be a further study to evaluate the educational quality of faculty members in other disciplines.