Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0015672 (fatigue)
 51,768 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Background: Nowadays, some of the patients, such as the patients with tracheostomy are taken care of at home. The quality of life of these cases may decrease due to the appearance of changes, limitations caused by tracheostomy and improper care. Objectives: This research was performed in order to discover the effect of videotape for home instruction on the quality of life of tracheostomy cases. Patients and Procedure: A quasi-empirical research was carried out on 80 cases by a tracheotomy in Amir Elm Hospital and the Imam Khomeini Medical Center in Tehran. Patients were randomized into two teams of invasion and check through the randomized block design method. At the time of discharge and after a routine training from the clinical staff, the two groups completed a questionnaire regarding the demographic information and the sf-36 quality of life. Then, the intervention team was given a CD containing the routine training for patient care to watch at home. After two months, the participants completed the sf-36 questionnaires again, and the data were entered into SPSS version 20. The information was investigated by using the statistical tests. Findings: The statistical investigation demonstrated that the comparison between the two groups after the intervention in the overall quality of life (p = 0.003) and all the concepts included: the physical role (p = 0.02), the mental role (p = 0.01), energy and fatigue (p = 0.03), motion health (p = 0.005), social functioning (p = 0.06), disorder (p = 0. 001), common health percentage (p = 0.002) and physical functioning (p = 0.001) in the arbitration team, being higher than in the check one. Conclusion: Using the videotape education additionally to routine care has a significant effect on the improvement of the quality of life in these patients. Therefore, the use of this method is recommended as a complementary program for tracheostomy patients.
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PMID:Effect of videotape for home instruction on the quality of life of tracheostomy patients: a randomized clinical trial. 2831 46

Background: Chronic pain is commonly associated with anxiety and depression, making it more challenging to be managed. Psychological interventions are suggested for such complicated issues which are well evident in the United States and Europe. However, generalizing the evidence to Iranian population - as a Middle Eastern society - might be questionable. We aimed to synthesize our evidence on the effectiveness of these interventions among Iranian populations. Methods: This was a systematic review and meta-analysis. Persian and English literature were searched through Iran-doc, Elm-net, and PubMed until March 2019 using the following terms (or its Persian synonyms): chronic pain; persistent pain; chronic fatigue; fibromyalgia; neuropath*; LBP; irritable bowel; CFS; psycho*; cogniti*; acceptance; meaning; mindfulness; relaxation; biopsychosocial; rehabilitation; educat*. Eligible trials were randomized trials that evaluated the effectiveness of psychological interventions on Iranian adults with chronic pain. No setting restriction was considered. Risk of bias for each trial was assessed, and the random-effect model was used to pool summary effect across trials. Results: In all 30 eligible RCTs, the risk of bias for randomization was low except for one study. The pooled standardized mean difference (SMD) for depression and anxiety were 1.33 (95%CI: -1.42 to -0.68) and 1.25 (95% CI: -1.55 to -0.96), respectively. Conclusion: This study suggests that psychological interventions are highly effective in reducing depression and anxiety in Iranian patients with chronic pain, compared to what observed in the U.S. and European studies. However, there are still some methodological issues to be addressed. Future research should focus on high-quality trials with considerations on the methodological issues reported in the present study.
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PMID:Psychological interventions for depression and anxiety: a systematic review and meta-analysis of Iranian chronic pain trials. 3280 54