Shahram Ala, Ebrahim Salehifar, Vahide Chalaki,
Volume 25, Issue 129 (10-2015)
Abstract
Background and purpose: Albumin colloid is an expensive drug that is used unnecessarily in many cases.The purpose of this study was to review the rational use of human albumin in a teaching hospital.
Materials and methods: This retrospective study was conducted in Razi Hospital in Qaemshahr, Iran 2011. Demographic and clinical data was recorded and the appropriateness of albumin use was determined according to ASHP protocol.
Results: There were 100 patients receiving albumin and in 14% the serum albumin was not measured before or during the treatment. The median administration of albumin was 60 gr per patient. The reasons for starting human albumin were reduced serum albumin (56%), reduced blood volume (18%), and sepsis infection (9%). The use of albumin was appropriate in 63% of the patients.
Conclusion: The irrational use of albumin imposed 146 million Rials additional cost. Treatment according to standard guidelines could promote rational use of medicines and cause more saving in health costs.
Mohammad Reza ّfayyazi Bordbar, Nasrin Chalaki Nia, Farah Alizadeh Jouimandi, Delshad Noghabi, Seyedeh Tayebeh Hoseini, Fatemeh Moharari, Azita Keshavarz, Mahdi Ebrahimi,
Volume 31, Issue 198 (7-2021)
Abstract
Background and purpose: Coronavirus 2019 (COVID-19) is an infectious disease with a death rate of 1-5%. The aim of this study was to determine the relationship between spiritual health and the effects of grief from the loss of loved one due to COVID-19.
Materials and methods: This cross-sectional study was performed in 312 family members of the deceased COVID-19 patients in Mashhad, Iran, April-September 2020. Non-randomized sampling was performed and data were collected online using the Grief Experience Questionnaire (GEQ-34) and the Spiritual Well Being Scale. Data were analyzed using descriptive tests and Pearson correlation coefficient.
Results: According to findings, the highest score in dimensions of grief experience was found for the dimension of stigma (3.89±0.54), followed by the attempt to justify and cope with the absence of the deceased person (3.49±0.43), and judgment of the person or others about the cause of death (3.23±0.37). The highest relationship between spiritual health and reducing the effects of grief was seen in the dimensions of embarrassment and shame (r= -0.593), guilt (r= -0.566), and abandonment (r= -0.535).
Conclusion: Abnormal grief in the family of deceased COVID-19 patients is common which could have a negative impact on physical, mental, social, and functional health. So, social support and strengthening spiritual health are needed to reduce the effects of grief in bereaved survivors.
