Showing 13 results for Shariati
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.
Mr Einollah Molaei, Mr Mohammad Jafar Aghakhani, Mr Ali Akbar Abdollahi, Mr Alireza Shariati, Dr Ramin Taj Bakhsh,
Volume 7, Issue 2 (11-2010)
Abstract
Background and Objective : Recirculation rate is essential for the quality of Hemodialysis . Since the treatment of patients is based on the Dialysis Adequacy, the evaluation of recirculation is especially important. This study was performed with the aim of measuring arteriovenous fistula recirculation and its relationship with some factors in Hemodialysis patients.
Material and Methods: In this Descriptive-Analytical study, all Hemodialysis patients (n=100), in Panje Azar Hospital of Gorgan, whose vessels were accessed by arteriovenous Fistula was studied in the summer of 2009. In order to determine recirculation rate ، we used urea based classic method. The cut point of recirculation was considered 10%. The variables studied are Fistula longevity ، direction of needle insertion ، the space between needles and the place of needles fistula and KUF filteration. Data were analyzed by using descriptive statistics and logistic regression test (odds ratio and ci reported) in the SPSS software.
Results: Patients were male (53) and female (47) with the mean age of 50.93± 17.23. The mean year of Dialysis history was 4.04 ± 5.04. Fifteen percent of patients had recirculation. Average access recirculation of all patients was 0.067 ± 0.118. Recirculation rate had significant relationship (P <0.05) with direction of two Arterial-Venous needle and the place of the two needles ، which may have been higher.
Conclusion: Considering the results of this study, we conclude that emphasis should be applied on instructing correct needle insertion in order to decrease recirculation
Mr Ali Abbasi, Mr Hamid Asayesh, Mr Hossein Rahmani, Mr Alireza Shariati, Mr Seyyed Abedin Hosseini, Mr Ghanbar Rouhi, Mr Einollah Molaie,
Volume 8, Issue 1 (10-2011)
Abstract
Background and Objective: Caregivers of chronic renal failure are faced with Hemodialysis related problems and coping with caring responsibilities.The Caregiver Burden is The negative effect of living with these patients. The aim of this study was to determine The Burden on Cargivers from Hemodialysis Patients and related factors.
Material and Methods: In this descriptive and analytical study, 120 Caregivers of chronic renal failure patients treated by Hemodialysis Gorgon's Panje Hospital were selected via census method . The construment was a demographics chek list and Caregiver Burden scale. We did Data analysis by spss software with, independent T-test, oneway, pearson and spearman test
(p< 0.05).
Results: The majority of Caregivers (74.2%) have severe Burden. There is a direct significant correlation between total Burden and the duration,of discase and revers significant correlation between total Burden and the ability to perform patients daily life activities (p< 0.05). The caregivers with a disease endure the heavier Burden (p< 0.05). The caregivers with poor economic condition and Caregivers of with high dependenc y patients bear more Burdens
(p< 0.05).
Conclusion: According to the findings, because of high Burden on Caregivers, we recommend that designing some plans to be designed to for improve the coping strategies and control of the factors affected on Caregiver Burden to promote their health .
Mr Hamid Asayesh, Mr Moslem Hesam, Mr Mostafa Ghorbani, Mr Alireza Shariati, Mr Hossein Nasiri,
Volume 8, Issue 1 (10-2011)
Abstract
Background and Objective : Because of special life condition, martyrs and veterans students have unique status in comparison with other university students. The aim of this study was determination of relationship of perceived social support, mental health, and life satisfaction in martyrs and veterans students of state universities in Gorgan,Iran.
Material and Methods: In this descriptive and analytical study, 102 martyrs and veterans students were selected via census sampling. Demographic data sheet, perceived social support scale, general health questionnaire (GHQ-12) and satisfaction with life scale were used. Descriptive statistics, liner regression analysis, spearman correlation coefficient and Mann-Whitney test in spss 16 software environment were used for data analysis(P<0.05).
Results: According to GHQ-12, 21.4 percent of participants have unfavorite mental health (score less than 14). Findings show perceived social support is correlated with 23 percent of mental health changes (P=0.032) and 42 percent of life satisfaction changes (P=0.000). There is no significant relationship between perceived social support from friends and significant others and mental health and life satisfaction (P>0.05). There is significant correlation between mental health and life satisfaction (r= -0.534, P=0.000).
Conclusion: According to our findings, availability of perceived social support from family leads to promotion of mental health and life satisfaction of students.
Saied Ghari, Einollah Molaie, Dr Mohammad Mojerloo, Naser Behnampour, Alireza Shariati, Mohammad Jafar Aghakhani, Maryam Khari, Robabeh Salehi,
Volume 9, Issue 2 (1-2013)
Abstract
Background and objective : Low blood pressure and Muscle cramps are common complications of Hemodialysis. One approach that has recently been proposed to prevent this complication is the combination of sodium and ultrafiltration. The purpose of this study was to investigate the effect of of sodium and ultrafiltration profile on some of the common complications during Hemodialysis.
Material and Methods: In this crossover clinical trial study, 22 Hemodialysis patients referred to Panje-Azar Hospital in 2012 were divided randomly into two groups. For each group, two treatment protocols were conducted, six hemodialysis sessions. The intervention protocol was a linear sodium dialysate and linear ultrafiltration. In routine Protocol, both sodium dialysate and ultrafiltration were considered constant. Using chi-square test and relative risk, the data was analyzed (P<0.05).
Results: The mean age is 54.73 ± 11.21 year and 59.1% of them are females. The incidence of hypotension and muscle cramps in the experimental protocol procedure is significantly decreased compared with that of control group (P<0.05), but the incidence of headache and vomiting is not significant (P<0.05).
Conclusion: Because sodium and ultrafiltration profile is simple and cost-free and reduces the incidence of complications during dialysis, we recommend using sodium and UF profile instead of routine one.
Dr Gholamreza Mahmoodi, Leila Rafiee Vardanjani, Neda Parvin, Einollah Mollaie, Naser Behnampour, Alireza Shariati, Dr Saied Mardani,
Volume 10, Issue 0 (Supplementary 2013)
Abstract
Background and Objective: Treatment adherence has an essential role in improving quality of life, survival, decreasing cost and side effects of treatment in patients underwent hemodialysis. This study aimed to determine the effect of individual multi-stage care on the treatment adherence in hemodialysis' patients, ShahrekordHajar hospital.
Material and Methods: This clinical trial was conducted on 66 Hemodialysis patients in 2013. They were randomly allocated into two equal groups of intervention and control. The instrument was the end-stage renal disease adherence questionnaire (ESRD-AQ). The patients in intervention group were participated in 8-session individual care program for one hour in addition to routine treatment. The data was analyzed using Mann–Whitney , Wilcoxon and Spearman (P<0.05). Level.
Results: The study indicated a significant difference between two groups in all dimensions of treatment adherence except dietary and food adherence. Adherence to treatment was better in intervention group (P<0.05). Furthermore, there was a significant correlation between adherence treatment and age of patients (P<0.05, r=0.245).
Conclusion: based on the findings, multi-stage care is effective on different aspects of treatment adherence.
Dr Mohammad Mojerloo, Alireza Shariati, Hamid Asayesh, Dr Hamid Reza Joshaghani, Moslem Hesam, Hossein Nasiri, Mahdis Shariati, Maryam Safarian,
Volume 10, Issue 0 (Supplementary 2013)
Abstract
Background and Objective: anemia is one of the main problems of chronic renal failure patients undergone Hemodialysis and erythropoietin is not effective for these patients. Since Vitamin C deficiency in Hemodialysis patients is common, this study was performed to compare the effect of intravenous and oral ascorbic acid consumption on anemia in Hemodialysis patients.
Material and Methods: this clinical trial was conducted on 75 patients, selected via convenience sampling and including criteria (hemoglobin, 11mg/dl ferritin, 100ug/L transferring saturation, < 20%). The subjects were randomly assigned to three equal groups of control , oral ascorbic acid (POAA) and intravenous ascorbic acid (IVAA) After each every-other-day dialysis performed for eight weeks, the patients of IVAA group were given 300mg intravenous vitamin C and the ones of POAA group given 500mg vitamin C orally. The Plasma iron with chemical method, total iron-binding capacity (TIBC) and ferritin level with indirect method, hemoglobin with cell counter and transferring saturation (TSAT) with related formula were measured. Using a checklist, the data of demographic, laboratory results and side effects were recorded and analyzed by SPSS-13, using ANOVA and scheffe post-hoc test (p≤ 0.05).
Results: the baseline hemoglobin, serum iron, ferritin, TIBC and TSAT in three groups were not different significantly. After intervention, the hemoglobin level of IVAA group( 20.1g/dl ) and in POAA group (0.99g/dl) were increased compared to control group(P>0.001). the mean of hemoglobin in IVAA was significantly more than POAA (P>0.05).
Conclusion: based on the results, the use of oral and intravenous vitamin C can be effective in the anemia caused by iron deficiency, especially vitamin C injection that is more beneficial.
Einollah Mollaie, Saied Ghari, Dr Mohammad Mojerloo, Naser Behnampour, Alireza Shariati, Mohammad Jafar Aghakhani, Seyyed Yaghoob Jafari, Maryam Khari, Robabeh Salehi,
Volume 10, Issue 2 (10-2013)
Abstract
Background and objective: Hypotension and Muscle cramp are the common complications of Hemodialysis. One approach that has recently been proposed to prevent this complication is the change in the concentration of sodium and ultrafiltration. The purpose of this study was to investigate the influence of sodium dialysate variation and ultrafiltration in preventing hypotension and muscle cramp during hemodialysis process.
Material and Methods: In this clinical trial study, 44 Hemodialysis patients were divided randomly into four groups. For each group, four treatment protocols (six-session Hemodialysis) were conducted. Protocol A: Sodium dialysate and ultrafiltration were constant. Protocol II: sodium was linear and ultrafiltration was constant. Protocol III: Sodium and ultrafiltration were linear. Protocol IV (routine): Sodium and ultrafiltration were constant. Using Chi-Square and relative risk, the data was analyzed (P<0.05).
Results: The incidence of hypotension, at the end of the fourth hour of dialysis in Protocol 3, was significantly decreased compared to that of routine method (P<0.05), while at the end of first, second and third hour, this difference was not significant. Muscle cramp in the routine method was more than other protocols (P=0.034). The relative risk of muscle cramp in the routine method was 2.08 times of protocol I, 1.09 of Protocol II, 2.08 of protocol III.
Conclusion: Sodium and ultrafiltration profile is simple and cost-free, and it reduces the incidence of hypotension and muscle cramp during dialysis. Thus, we recommend using sodium and UF profile instead of routine protocol to reduce these effects.
Hossein Rahmani Anaraki , Mehri Farhange Ranjbar , Ali Kavosi, Hossein Nasiri, Ali Reza Shariati,
Volume 11, Issue 2 (11-2014)
Abstract
Background and Objective: Heparin Products are used largely due to the positive effects of the treatment. Since bruising and pain are thier unpleasant consequences following injection, we aimed at determining the effect of local cold on occurrence of pain and bruising at the injection site of subcutaneous enoxaparin sodium.
Material and Methods: This experimental study was conducted on 36 patients allocated randomly to case and control groups in Panje Azar teaching center in Groan, 2012. In control group, routine subcutaneous injection of enoxaparin ,without local cold, in 10 seconds was performed while in case group , local cold was applied for five minutes before routine subcutaneous injection. The data was collected via a researcher-made check-list consisting of demographic part and the section for recording the extent of bruising and pain intensity. The Extent of bruising was measured by using clear flexible ruler within 24-48-72 hours and pain intensity by visual analog scale (VAS) immediately after injection. Data was analyzed by SPSS- 16 using descriptive and inferential statistics.
Results: Results indicated that the mean of pain intensity in control (3.86±2.75) and case group (3.05±1.71) was not significantly different (P=0.148) and it is true for the extent of bruising in 24- 48-72 hours, no significant difference between two groups.
Conclusion: Regarding the results, cold application before injection is not effective in reducing pain intensity and the size of the bruising.
Alireza Shariati , Hosein Rahmani Anaraki , Mohammad Parvareshmasoud, Moslem Hesam, Hamid Asayesh, Dr Seyed Mojtaba Mousavi, Dr Gholamreza Mahmoodi,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Burnout has negative effects on nurses' health, and also onpatients’ satisfaction and safety. This study was conducted to determine the relationship between Burnout and nurses' job characteristics in teaching and therapeutic hospitals affiliated to Golestan university of medical sciences.
Material and Methods: In this descriptive-analytical study, 206 nurses who engaged in the teaching and therapeutic centers of Golestan university of medical sciences were selected via random sampling. The data was collected by demographic data sheet and Copenhagen burnout questionnaire and analyzed by descriptive statistical, logistic Regression.
Results: The mean age was 34.66±7.38 and 68% of the participants were female. Overall, 34% of the nurses had burnout. The prevalence of personal, work-related and client-related burnout was 33.5%, 41.3% and 22.3%, respectively. Age, job experience and type of employment were the risk factors of personal, work and client-related burnout. Being supervisor, working in the psychiatric ward and having private job, were the causes of increased personal burnout.
Conclusion: In line with the increase of age and job experience increasing, the officials should pay more attention to burnout, and in some ward of the hospitals and job positions, they need considering a unique career planning.
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.
Abouzar Mehboudi, Dr Mahnaz Modanloo, Alireza Shariati, Dr Naser Behnampour, Dr Gholamreza Bardestani, Dr Hamid Basiri, Sepide Mehboudi,
Volume 12, Issue 3 (Supplementary 2016)
Abstract
Background and Objective: Patients under hemodialysis are faced with many stressors and psychological problems such as sleep disorder and anxiety. These problems could be a threat to their health and be significant clinically. Thus, we aimed to determine the relationship between anxiety and sleep quality in hemodialysis patients.
Material and Methods: This descriptive-analytic study was conducted on 74 hemodialysis patients in Hefdahe Shahrivar hospital of Borazjan city, 2014. The data was collected by Pittsburgh Sleep Quality Index (PSQI) and State-Trait Anxiety Inventory (STAI), and analyzed by t-test, ANOVA and correlation Coefficient using SPSS.
Results: Most of the patients (89.2%) had the average anxiety and 63.3% of them had low sleeping quality. The average of patients’ anxiety and sleeping quality were 49±6.5 and 11.7±2/4, respectively. The correlation coefficient between anxiety and sleeping quality was 0.515 (p=0.001), pointing out an acceptable correlation. Along with the increase of anxiety, the dimension of the subjective sleep quality, delay in falling asleep, the sleep disturbances were affected and ended up low sleeping quality. There was no significant correlation between the anxiety and sleeping quality and daily dysfunction.
Conclusion: Given the acceptable correlation between anxiety and sleep quality, there is a direct relation between anxiety and sleep quality of the patients.
Raheleh Babazadeh, Syeed Abbas Mosavi, Khadigeh Mirzaii Najmabadi, Mohhamad Shariati,
Volume 17, Issue 0 (Supplementary 2020)
Abstract
Background: Because of the importance of adolescence, the priority of reproductive health in the world is adolescent reproductive health. What distinguishes this age from other phases of life is the emergence of fertility. Sexual ability, especially among this age group, is a matter of great significance. In fact, today's adolescents, like their peers at all times, are sexually active, with the difference that they are exposed to more sexual stimuli comparing to the past. Moreover, through promoting views about pro-individuality, freedom, opposite-sex friendship, and even establishing advanced relationships are encouraged more than ever. Hence, adolescents face unique reproductive health challenges. The purpose of this study was to discover the views of mothers of adolescent girls about sexual education for adolescent girls.
Methods: In this qualitative study, data were collected through 4 focus group discussions with 26 mothers who had at least one adolescent girl between the ages of 14 -19, not married, living with parents, and attending public schools of Mashhad in 2016. The sampling method, given that the interviews were conducted at the adolescent girls' school, was designed to purposely select schools in a way that encompassed all three high, low, and medium economic and social situations of city dwellers. The number of participants in the focus group sessions ranged from 6 to 8 and the duration of each session was between 60 to 90 minutes. All focus groups were recorded using two digital recorders and field notes with the consent of the interviewees. Having been transcribed, the data were coded and categorized using the conventional content analysis method with the Grunheim and Lundman approach and using MAXQDA10 software.
Results: Data were collected in four main categories: Self-study over time- Sexual education is a moral deviation factor- The need to increase mothers' sexual literacy- and School and family participation
Conclusions: Most participants` mothers emphasized the need for adolescent girls' sexual education and believed that this should be done with the participation of schools and families. However, they disagreed with the exact time of initiation into teaching. Some of the mothers believed that the best time for initiation to teaching is the time of marriage, and others, considering the prevailing conditions in the community, especially easy access to Internet, surmise that the sexual education should begin during adolescence and before marriage, however, they though that pre-marriage sexual education should initiate according to certain criteria, in this regard, they emphasized the school's involvement which, in turn, needs the government appropriate policies.
