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Dr Mahnaz Khatiban, Dr Ali Beykmoradi, Fatemeh Najafi, Dr Ghodratollah Roshanaie, Zahra Pouresmaeil, Dr Alireza Ahmadi,
Volume 10, Issue 0 (Supplementary 2013)
Abstract

  Background and Objective: The Fatigue related to cancer is one of the common problems of both patients and care-givers. Nowadays, acupressure as a complementary medicine has become more common in patients with cancer for balancing and improving body energy. This study aimed to assess the effect of acupressure on the fatigue of patients with cancer.

  Material and Methods: This blinded- randomized clinical trial was conducted on 85 patients with cancer in hematology ward of Beheshti hospital of Hamadan. The subjects were located in three groups of intervention, sham and control. First, the fatigue level was measured by Brief Fatigue Inventory (BFI) as a baseline. Then, real acupressure in intervention group and unreal acupressure in sham group was performed for 10 days and only routine cares were given in control group. The fatigue amount was measured on the fifth and tenth days. The Data was analyzed by SPSS software version 16, using paired T- test and repeated measurements.

  

  Results: Acupressure was effective on the fatigue of patients with cancer (p<0.001). However, conducting unreal acupressure in sham group was effective as well (p<0.01), but the routine cares in control group was not effective and even in some cases led to increased fatigue.

  

  Conclusion: Acupressure can be used as a complementary therapy to decrease the fatigue in the patients with cancer considering its low cost, safety and simplicity.

 


Peiman Fereidouni Sarijeh , Ali Khatib , Soheileddin Salmani , Maryam Fransiz ,
Volume 22, Issue 2 (6-2025)
Abstract

Background: Family caregivers face a caregiving burden due to providing care to patients with mental illness. It is essential to employ appropriate strategies to reduce the caregiving burden and increase resilience. Telenursing, as an accessible and cost-effective strategy, enables continued support and education after discharge. This study was conducted with aim to evaluate the effect of education and telephone follow-up (telenursing) on care burden and resilience in caregivers of patients with bipolar disorder.
Methods: This quasi-experimental study was conducted from September 2024 to March 2025 at Razi Psychiatric Hospital, Tehran, Iran. A total of 60 caregivers of bipolar disorder patients were selected through convenience sampling. Participants were then randomly assigned to the intervention (n=30) and control (n=30) groups using a simple randomization method. The intervention group received eight group-based telenursing sessions (two sessions per week, 40–50 minutes each). The control group received only routine discharge education. Data were collected using the Caregiver Burden Scale and the Connor-Davidson Resilience Scale before and after the intervention. The data were analyzed using SPSS software (version 25) and independent and paired t-tests. P<0.05 was considered significant.
Results: After the intervention, the mean caregiving burden in the intervention group significantly decreased (28.03±16.72) compared to the control group (58.93 ± 12.18) (p<0.0001). Also, the mean resilience in the intervention group significantly increased (36.63 ± 1.86) compared to the control group (26.10±8.26) (p<0.0001). These results indicate the strong evidence for effectiveness of education and telenursing in reducing caregiving burden (p<0.0001) and increasing resilience of caregivers of bipolar patients (p<0.0001).
Conclusion: The results indicate that telenursing has a positive effect on reducing caregiving pressure and increasing the resilience in caregivers of patients with bipolar disorder. This type of support is useful for providing comprehensive care and maintaining the health of family caregivers.


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