Search published articles


Showing 2 results for Chronic
Clinical and epidemiological analysis of COVID-19 in End-Stage Renal Disease patients undergoing maintenance hemodialysis: A study from Golestan province
Samira Juibari, Anna Rashedi, Mohammad Mojerloo, Zeinab Mohammadi, Saeid Amirkhanlou,
Volume 12, Issue 4 (4-2024)
Abstract
Background: End-Stage Renal Disease (ESRD) patients under maintenance hemodialysis are at higher risk for COVID-19 and severe outcomes. This study aimed to investigate the association between ESRD patients who underwent maintenance hemodialysis at 5th Azar and Sayad Shirazi Hospital in Golestan Province in 2019 and their risk of acquiring and experiencing severe outcomes from COVID-19. Furthermore, this study aimed to provide insights into the epidemic status of COVID-19 in this specific population, contributing to better insight into the unique challenges faced by ESRD patients on hemodialysis during the pandemic.
Methods: This retrospective descriptive cross-sectional study was performed on patients who underwent maintenance hemodialysis. The diagnosis was made based on diagnostic criteria and COVID-19 PCR test. Medical information of all participants was collected. Medical information including clinical, laboratory, and radiological data as well as morbidity and mortality were collected and analyzed by experts. Statistical analysis was performed using SPSS version 21. Normality was evaluated using Shapiro-Wilk test and comparison between groups was analyzed using student T-test and Mann-Whitney U tests (P-Value < 0.05).
Results: The most prevalent radiological findings were ground glass opacities, observed in 46.7% of cases, followed by linear opacities, noted in 26.7% of cases. Most patients (86.6%) were discharged and four of them (13.4%) passed away. WBC, serum creatinine, and age were significantly associated with ESRD patients’ mortality (P-Value < 0.05). The patients who passed away were old and had higher levels of WBC and creatinine (P-Value > 0.05). No significant difference was observed between the age and BMI of passed away and discharged patients. None of the other laboratory parameters in the two groups of passed away and discharged patients with COVID-19 showed a significant difference (P-Value > 0.05).
Conclusion: ESRD patients who underwent hemodialysis due to their underlying problems and the crowded environment of dialysis wards more than the general population are at risk of getting COVID-19.

The impact of self-care education on self-esteem, self-care behavior, and blood glucose levels in people with type 2 diabetes mellitus and pre-diabetes attending rural health centers in Gorgan City in 2023
Kamal Mirkarimi , Najmeh Shahini , Abdolhalim Rajabi , Amir Hosein Izadyar ,
Volume 12, Issue 4 (4-2024)
Abstract
Background: Self-care is defined as a strategy to adapt the events and stresses of life, which improves health and includes special activities that alleviate the symptoms of the disease. This study aimed to investigate the impact of a self-care program on the self-esteem of patients with type 2 diabetes mellitus (T2DM) attending rural health centers in Gorgan City in 2023.
Methods: A quasi-experimental, pre-and post-test intervention study was conducted using a multistage sampling technique in patients with T2DM and prediabetes attending health centers in rural health centers of Gorgan City. An educational program was conducted on 68 patients divided into two groups of diabetes and pre-diabetes (34 patients in each group). Data were collected using a personal information checklist, standard self-care questionnaires, and the Coopersmith Self-Esteem Inventory. Follow-up was conducted two months after the intervention. The data were described using mean and standard deviation, and analyzed by Kolmogorov-Smirnov, Chi-square, Independent T-test, and Paired T-test.
Results: The mean age in the T2DM group was 58 ±7.26, and 60.29 ± 9.47 years in the pre-diabetes group. The mean fasting blood sugar levels in the T2DM and pre-diabetes groups after the intervention were 131.24 and 100.94, respectively, which showed a significant statistical difference (P-Value=0.02). The mean self-esteem scores in the T2DM and pre-diabetes groups after the intervention also showed a significant statistical difference (P-Value =0.006).
Conclusion: In the current study, the present intervention led to the improvement of self-esteem and self-care scores in people with T2DM and pre-diabetes.
 

Page 1 from 1     

© 2025 CC BY-NC 4.0 | Jorjani Biomedicine Journal

Designed & Developed by : Yektaweb