Journal of Education and Health Promotion

An investigation of the effects of therapeutic touch plan on acute chemotherapy‑induced nausea in women with breast cancer in Isfahan, Iran, 2012–2013

. Pegah Matourypour; . Zahra Zare; . Valiolah Mehrzad; . Amir Musarezaie; . Mojtaba Dehghan; . Zohre Vanaki

Volume 5, Issue 4 , August 2015, , Pages 1-6

Abstract

Introduction: Nausea is the worst and most prevalent chemotherapy‑induced complicationexperienced by 70–80% of patients despite mediation therapy. Reduction of nausea is one ... Read More

Does spiritual care program affect levels of depression in patients with Leukemia? A randomized clinical trial

. Amir Musarezaie; . Mahin Moeini; . Fariba Taleghani; . Tayebeh Mehrabi

Volume 4, Issue 4 , August 2014, , Pages 1-6

Abstract

Background: Although 25‑33% of patients with non‑hematological malignancies suffer fromdepression disorder, some studies have reported the rate among patients with leukemia ashigh ... Read More Background: Although 25‑33% of patients with non‑hematological malignancies suffer fromdepression disorder, some studies have reported the rate among patients with leukemia ashigh as 50%. Furthermore, based on studies chronic disease such as leukemia increases thepatients’ spiritual needs and may accelerate the patient problems. Therefore, spirituality hasa significant role in adapting to leukemia and coping with its consequent mental disorderssuch as depression. Owing to the spirituality aspect importance and contradictory results ofprevious research, this study was hence performed to determine the effects of a spiritual careprogram on depression of patients with leukemia. Materials and Methods: This randomizedclinical trial was conducted in specialized cancer treatment center affiliated to IsfahanUniversity of Medical Sciences (Isfahan, Iran). A total of 64 adult patients with leukemia wererandomly divided into experiment and control groups. The spiritual care program includingsupportive presence and support for religious rituals was implemented for 3 days. Depressionsub‑scale of 42‑item depression, anxiety and stress scale‑42 was completed before and afterthe intervention for both groups. Data was analyzed using ANCOVA, Mann‑Whitney U‑test,Chi‑square, in SPSS statistical software (version 18, SPSS Inc., Chicago, IL). Results: Afterthe intervention, mean score of depression was significantly lower in the experiment groupthan in the control group (P < 0.01). Comparison the mean score of depression in two groups,revealed the decrees in mean score of depression 11.09 (8.47) after spiritual care programthat it was significant (P < 0.001). Conclusion: Our spiritual care program could successfullydecrease depression level in patients with leukemia and nurses have to apply a holistic careapproach with emphasis on spiritual care to decrease depression, so paid attention to spiritualaspect of patients accompanying with physical aspects in therapy process is recommended.

Factors affecting quality of life and fatigue in patients with leukemia under chemotherapy

. Amir Musarezaie; . Firuz Khaledi; . Homayoon Naji Esfahani; . Tahere Momeni Ghaleghasemi

Volume 4, Issue 3 , June 2014, , Pages 1-6

Abstract

Background: The goal of treating chronic diseases, including hematologic malignancies, isto increase patients’ life span and to improve their capabilities as much as possible; ... Read More Background: The goal of treating chronic diseases, including hematologic malignancies, isto increase patients’ life span and to improve their capabilities as much as possible; so thatpatients could maintain an appropriate level of quality of life (QoL) and continue their lives. Moststudies performed to evaluate the treatment of various diseases were mostly focused on theincrease of life expectancy regardless of the QoL and treatment issues. Furthermore, fatigueis one of the most common and distressing side effects of cancer and treatments related to it,which can affect a patient’s QoL, and be followed by many problems. This study was designedand implemented with the aim to determine the factors affecting the QoL and fatigue in patientswith leukemia undergoing chemotherapy. Materials and Methods: This was a cross-sectionalcorrelation descriptive-analytical study. One hundred and fifteen patients with leukemia referredto Sayyed-Al-Shohada Hospital were enrolled in the study through convenient sampling method.To collect data, a three-part questionnaire was used: The first part was related to demographiccharacteristics and disease-related data and the second part was the fatigue check list andthe third part was the Short-Form 36 Health Survey (SF-36) related to QoL. The data wereanalyzed after collection and coding through Software SPSS version 18 and descriptive andanalytical statistics (analysis of variance test, independent t test, Pearson’s and Spearman’scorrelation coefficient) with 95% confidence interval. Results: The results showed that there wasa significant correlation between QoL in Physical Component Summary with gender (P = 0.03),educational level (P = 0.09), and marital status (P = 0.004), Also there was a significant correlationbetween QoL in Mental Component Summary with educational level (P = 0.01) and economicstatus (P = 0.02). Findings showed that there was a significant correlation between fatigueand marital status (P = 0.005). But statistically there was no significant correlation betweendemographic variables such as age, educational level, and employment status with patients’fatigue. Spearman correlation coefficient showed that there was a significant correlation betweenfatigues with pain (P = 0.005). Also findings revealed the statistically significant correlationbetween fatigues with economic status (P = 0.003). Conclusion: According to the presentresults, it seems that some demographicfactors affect QoL and significant relationshipexists between them. Fatigue in patientswith leukemia dramatically affects their QoL.Therefore, it is important for medical staff topay attention to demographics and fatiguein leukemic patients in order to improve theirQoL and help them to organize their activitiesto promote health and QoL.

Investigation of the SWB and its relation with demographic parameters in patients with breast cancer referred to an oncology hospital affiliated to the Isfahan university of medical sciences

. Amir Musarezaie; . Homayoon Naji-Esfahani; . Tahere Momeni-Ghale ghasemi; . Jahangir Karimian; . Amroallah Ebrahimi

Volume 3, Issue 7 , July 2013, , Pages 1-7

Abstract

Background: Spiritual well‑being is well‑recognized as a factor that affects cancer patients’quality of life, quality of care, and satisfaction. There is evidence that supports ... Read More Background: Spiritual well‑being is well‑recognized as a factor that affects cancer patients’quality of life, quality of care, and satisfaction. There is evidence that supports the fact thatpatients’ spiritual needs are associated with better quality of care, higher hospice utilization,and less aggressive care at the end of life. However, few studies have examined the Spiritualwell‑being (SWB) in cancer patients. Less is known about spirituality; furthermore, no publishedresearch about SWB and its relationship with demographic parameters in breast cancerpatients exists; this made us carry out this project. Materials and Methods: This cross‑sectionalstudy was a descriptive – analytical one, conducted on 297 breast cancer patients, witha simple sampling methodology. The data collection instrument included a questionnairecontaining two parts (demographic information and standard SWB Scale questionnaire). Thedata were analyzed with 95% confidence by SPSS18, using descriptive and analytic statistics.Results: According to the results of the present study, SWB of most of the study subjects (52.52%)was at a moderate level. Results showed that the average score for religious aspect of spiritualwell‑being (RWB) was 51.38 ± 8.17 for 60, average score for the existential aspect of spiritualwell‑being (EWB) was 42.47 ± 10.21 for 60, and the total score of SWB was 93.69 ± 10.04 for 120.Based on the study findings, there was a statistically significant correlation between the SWB andage (P = 0.03, r = 0.59), educational level (P = 0.04, r = −0.58), and marital status (P = 0.001), ofbreast cancer patients. Conclusion: According to the results of the present study, the SWB ofmost study subjects was at a moderate level. Furthermore, according to the results there was acorrelation between some important demographic parameters in women with breast cancer andSWB. Hence, it is necessary for the treatment team to assess and improve the SWB of patients;meanwhile the role of nurses is highlighted. In fact, the nurse is the first person who can recognizethe spiritual needs of a patient and even his/her family, and can be effective in meeting the spiritualneeds and improving their SWB. Therefore, it is strongly recommended that in patients with cancer,a holistic care plan, based on spiritual care, development, and education of patients be applied, asit is considered to improve their SWB.

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Author = . Amir Musarezaie

An investigation of the effects of therapeutic touch plan on acute chemotherapy‑induced nausea in women with breast cancer in Isfahan, Iran, 2012–2013

Abstract

Does spiritual care program affect levels of depression in patients with Leukemia? A randomized clinical trial

Abstract

Factors affecting quality of life and fatigue in patients with leukemia under chemotherapy

Abstract

Investigation of the SWB and its relation with demographic parameters in patients with breast cancer referred to an oncology hospital affiliated to the Isfahan university of medical sciences

Abstract