S. Zabolypour , M. Alishapour , M. Behnammoghadam , R. Abbasi Larki , M. Zoladl , Volume 1, Issue 3 (Summer 2020)
Abstract
Aims: Hypertension is one of the common, chronic, and preventable diseases which lifestyle change is the most important strategy for its prevention and treatment. The aim of this study was to compare the effect of teach back and motivational interview on the blood pressure in hypertensive patients. Materials & Methods: In this clinical trial, 81 hypertensive patients in the health centers of Yasuj city in 2018 were selected by purposive sampling method and divided into two intervention groups and one control group through random block allocation (27 people in each group). For one intervention group, 3 teach back sessions were conducted, and for the other intervention group, 5 group motivational interview sessions were performed, while the control group received only the usual care. Systolic and diastolic blood pressure of samples were checked and recorded at the beginning of the study and two months after the intervention. Findings: In post-test, systolic and diastolic blood pressure in teach back group decreased compared to the control group, but this decrease was not significant (p>0.05), while systolic and diastolic blood pressure in the motivational interview group decreased significantly compared to the control group (p<0.05). The difference in systolic and diastolic blood pressure decreases in the motivational interview group was not significant compared to teach back group (p>0.05). Conclusion: There is no difference between the effect of motivational interview on blood pressure level compared to teach back, but only the effect of motivational interview on the above variable is confirmed.
S. Zabolypour, A. Afrasiabifar, S. Mohammadi, M. Farzannia, Volume 2, Issue 3 (Summer 2021)
Abstract
Aims: Sleep is one of the basic physiological needs of human beings, and sleep quality is an effective criterion on the quality of life of hemodialysis patients. Therefore, paying attention to sleep and its improvement should be a priority in nursing care. This study aimed to determine the effect of increasing the pumped blood volume delivered to dialyzer on sleep quality in hemodialysis patients. Materials & Methods: This semi-experimental study is a clinical trial carried out on 50 hemodialysis patients referred to the hospitals affiliated with Tehran University of Medical Sciences in 2011. Convenience sampling selected samples and randomly divided them into control and intervention groups through permuted block randomization. Data were collected by Pittsburgh Sleep Quality Index in the three stages before intervention and 2 and 4 weeks after intervention. The blood volume delivered to the dialyzer increased by 25ml in the first two weeks and 50ml in the second two weeks compared to before the intervention. Data were analyzed by SPSS 21 software using repeated measures ANOVA and Kruskal-Wallis test. Findings: The mean score of sleep quality in the intervention group before the intervention and two and four weeks after the intervention were 10.2±2.6, 8.8±3.4 and 6.9±2.9, respectively and in the control group were 11.4±2.8, 12.5±3.3, and 12.6±3.4, respectively. There was no significant difference in the total score of sleep quality and some of its dimensions between the intervention and control groups (p<0.05). Conclusion: Increasing blood volume delivered to the dialyzer has improved hemodialysis patients' sleep quality, and this improvement seems to be clinically significant.
