Effectiveness of psycho-educational counseling on anxiety in preeclampsia / Eficácia do aconselhamento psicoeducacional sobre a ansiedade na pré-eclâmpsia

Abstract Introduction Preeclampsia is a serious complication during pregnancy that not only influences maternal and fetal physical health, but also has maternal mental health outcomes such as anxiety. Prenatal anxiety has negative short- and long-term effects on pre- and postpartum maternal mental health, delivery, and mental health in subsequent pregnancies. Objective To investigate the effectiveness of individual psycho-educational counseling on anxiety in pregnant women with preeclampsia. Methods This was a randomized, intervention-controlled study involving two governmental hospitals in the municipality of Sirjan, Kerman, from January 30 2017 to March 31 2017. A total of 44 pregnant women with preeclampsia were assessed. The women were randomized into two groups: control (n=22) and intervention (n=22). The intervention consisted of two sessions of individual psycho-educational counseling. The level of anxiety was measured using the Spielberger State-Trait Anxiety Inventory (STAI) as pretest before the first session and as posttest after the second session during the hospitalization period. Results There was a significant reduction in the anxiety level after the counselling sessions in the intervention group (p<0.005). In addition, there was a slight increase in the anxiety level in the control group after the study. Conclusion According to the results, psycho-educational counseling can significantly reduce the anxiety level in pregnant women with preeclampsia. Therefore, it is recommended that healthcare providers provide this type of therapeutic intervention for pregnant women after hospitalization, in order to reduce their anxiety level and its subsequent negative outcomes. Clinical trial registration: IRCT2017082029817N3.

Resumo Introdução A pré-eclâmpsia é uma complicação séria durante a gravidez que não apenas influencia a saúde física da mãe e do feto, mas também tem consequências para a saúde mental materna, por exemplo ansiedade. A ansiedade pré-natal tem efeitos negativos e de longo prazo sobre a saúde mental da mãe antes e após o parto, sobre o parto, assim como sobre a saúde mental em gestações subsequentes. Objetivo Investigar a eficácia do aconselhamento psicoeducacional individual com relação aos níveis de ansiedade em gestantes com pré-eclâmpsia. Métodos Este foi um estudo randomizado, controlado, que envolveu dois hospitais governamentais na cidade de Sirjan, Kerman, de 30 de janeiro de 2017 a 31 de março de 2017. Um total de 42 gestantes com pré-eclâmpsia foram avaliadas. As mulheres foram randomicamente divididas em dois grupos: controle (n=22) e intervenção (n=22). A intervenção consistiu de duas sessões de aconselhamento psicoeducacional individual. O nível de ansiedade foi medido usando-se o Spielberger State-Trait Anxiety Inventory (STAI) antes da primeira sessão (pré-teste) e após a segunda seção (pós-teste), durante o período de hospitalização. Resultados Houve uma redução significativa no nível de ansiedade após as sessões de aconselhamento no grupo intervenção (p<0,005). Além disso, houve um discreto aumento no nível de ansiedade no grupo controle após o estudo. Conclusão De acordo com os resultados deste estudo, o aconselhamento psicoeducacional pode reduzir de forma significativa o nível de ansiedade em gestantes com pré-eclâmpsia. Assim, recomenda-se que os profissionais de saúde ofereçam esse tipo de intervenção terapêutica para gestantes após a hospitalização, a fim de reduzir o nível de ansiedade e seus desfechos negativos. Registro do ensaio clínico: IRCT2017082029817N3.

Evaluation of Preventive Self-care Behaviors and Its Related Factors in Patients with Heart Failure.

Background: Self-care behaviors are the most important way to prevent frequent hospitalization, improve the quality of life, and reduce mortality in patients suffering from heart failure. Aims: To assess the preventive self-care behaviors and its associated factors in heart failure patients in Kerman teaching hospitals. Place and Duration of Study: South-East of Iran, Cardiology Clinics of Kerman teaching hospitals from August 2014 to January 2015. Methodology: This cross-sectional study evaluated preventive self-care behaviors in 150 patients suffering from heart failure by a valid and reliable questionnaire and checklist. Subjects were selected by simple random sampling among patients with heart failure from Cardiology Clinics of Kerman teaching hospitals. The Data was analyzed by using of SPSS, version 20. Results: Most (68.5%) of the subjects were moderate at complying with medication regimen (mean=54.41±8.41) and 78.3% were poor at non-medication regimen (mean=61.04±7.21). Control pulse was poor in the majority of them (91.5%). There was a significant relationship between total mean self-care score and age (p=0.05), marital status (p= 0.03), education (p=0.009), the number of hospitalization (p= 0.02), NYHA functional class (p= 0.002) and monthly income (p= 0.003). Conclusion: Due to poor self-care in patients suffering from heart failure and its relationship with some personal factors, it is better to plan for training these patients based on their needs.

[Evaluation of the efficacy of [the best prescription workshops] held for general physicians liable to continuous education in Kerman Medical Sciences University]

Background: Continuous medical education has been accepted throughout the world as one of the most efficient strategies for up-to dating physicians' knowledge and information

Objective: The aim of the present study was to evaluate the efficacy of three held workshops on The best prescription

Methods: Sample consisted of 82 general physicians participating in three held workshops on The best prescription. Data collection was done by a questionnaire consisting of two parts of demographic features and the assessment of prescription. The questionnaire administered before and after the workshops

Results: From all participants, 49% were female and 44% of subjects had been graduated from Kerman and 9.7% from Rafsanjan Medical Schools. Mean score before workshop was 5.95 +/- 1.4 with the minimum of zero and maximum of 9 and it increased to 7.62 +/- 1.95 with the minimum of zero and maximum of 10 after workshop. In whole there was a significant difference between the mean scores before and after the workshop [P<0.001], but in some respects there was no significant difference [P>0.05]

Conclusion: According to the findings, the held workshops on the best prescription have been efficient in increasing participants' level of information. Therefore continuous medical educational programs along with improving their quality is highly necessary