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Showing 10 results for Amin
Hamid Peyrovi, Mona Alinejad-Naeini, Ahmad Amin,
Volume 4, Issue 3 (12-2015)
Abstract
Aim. The aim of this review was to introduce cardiac cachexia for health care team, especially nurses. Acquaintance of health care providers with cardiac cachexia may lead them to pay more attention to this phenomenon when taking care of heart failure patients with cardiac cachexia.
Background. Heart failure is a systemic condition starting with heart dysfunction followed by dysfunction of most body organs including cardiovascular, musculoskeletal, renal, neuroendocrine, immune, haemostatic, and inflammatory systems. Heart failure is already considered as a multisystem disease which can lead to such morbidities as anemia, insulin resistance, autonomic nervous system imbalance, and cardiac cachexia. Despite the importance of cachexia phenomenon in people with heart failure, it seems that it is not sufficiently considered by health care providers in the treatment and care program.
Method. In this paper, a review was conducted on the studies published between 1999-2016 about cardiac cachexia. The studies were searched out through scientific databases, including PubMed and Science Direct by the keywords heart failure and cachexia. The search resulted in 493 papers out of which 41 paper were considered in this review.
Findings. In the last two decades, many attempts have been made to determine a unified definition of the cachexia. An anabolic/ catabolic imbalance with the dominance of catabolism which is the result of a combination of immunologic, metabolic, and neuroendocrine processes has been considered as pathophysiology of cardiac cachexia. In the early period after development of chronic heart failure, most of these processes are activated to protect heart and circulatory system from damage and also, to compensate for decreased cardiac muscle performance. Mechanisms of cachexia development are multiple, and it is necessary for treatment to consider several mechanisms simultaneously. Therapeutic management is based on prevention, exercise, nutrition, and drugs.
Conclusion. Cardiac cachexia as a complication of chronic heart failure has adverse effects on patients’ quality of life and outcomes. The success of strategies for prevention or treatment of cardiac cachexia greatly depends on patients adherence to therapeutic regimen; multidimensional nature of strategies makes it necessary to be implemented in a comprehensive and right way.
Nahideh Rahimi, Ahmad Amin, Behshid Ghadrdoost,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. This study was aimed to examine the effect of intravenous diuretic therapy hospitalization of people with heart failure patients.
Background. Heart failure is a progressive disease with a long term hospital admission; while having a standardized protocol can lead to a reduction in hospital costs and adverse effects of hospitalized days.
Method. This clinical trial (without control group) was conducted on 111 heart failure patients who received intravenous diuretic therapy (in 6 hours sessions) for at least one year in heart failure ward. This treatment was performed once a week in the first month, once in two weeks in the second to sixth month and once in month in the 7th to 12th month. During the treatment, patients were given training on nutrition, drug regimen and lifestyle modification. Outcomes included urine output, weight loss, hypokalemia, worsening of renal function, hospitalization and mortality rate.
Findings. The mean age of patients was 58.88±16.33. The minimum dose of prescribed diuretics was 20 mg and the maximum dose was 200 mg. Mean of urine output and weight loss were 1890±1101 ml and 3.04±5.91 kg, respectively. Transient worsening of renal function and hypokalemia occurred in 15 and 20 patients, respectively. During one year period, 31 patients (27.4%) need to be hospitalized.
Conclusion. Short courses of intravenous diuretic therapy in people with heart failure are a safe and effective method that may provide an alternative to hospitalization.
Mahin Nomali, Kian Alipasandi, Ramin Mohammadrezaei, Masumeh Zakerimoghadam,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. The aim of this literature review was to investigate the effect of self-monitoring program on outcomes of heart failure (HF).
Background. Heart Failure is a chronic and progressive disease with an increasing prevalence. Self-monitoring program may help to recognize decompensated HF symptoms and taking proper and early action. However, its potential for improvement of HF outcomes has remained unknown.
Method. In this narrative review, databases such as PubMed, Scopus, Web of science, Embase, and Cochrane library was used for data collection. Searching out was conducted on 27 Feb, 2017 for published articles between 1961- 2017 by the keywords "self-monitoring", "heart failure", "outcome", and their English synonyms without language limitation. Inclusion criteria were content similarity to subject under study, clinical trial study design, and self-monitoring of weight and recording it in a diary by patient with HF.
Findings. Out of 13924 retrieved articles, titles and abstracts of 8384 papers were screened for inclusion criteria. Full- text of 20 related paper were downloaded. Finally, data related to 12 papers published between 1998 to 2014 were reviewed. Outcomes of self-monitoring program included HF- related hospitalization and Emergency Department (ED) visit, mortality, self-care, quality of life and other outcomes such as disease knowledge, phone call to health care provider, Ejection Fraction (EF), HF NYHA function class, Brain Natriuretic Peptide (BNP), and care cost.
Conclusion. Self-monitoring program has led to improve in HF outcomes. Therefore, giving weight and other symptoms self-monitoring diary beside self-care education will be recommended in order to increase patient’s engagement in his/her care.
Farzaneh Hasanzadeh, Zohreh Mohamadzadeh-Tabrizi, Shahram Amini, Javad Malekzadeh, Seyed Reza Mazloom, Zahra Parsaei-Mehr,
Volume 6, Issue 3 (12-2017)
Abstract
Aim. The aim of this study was to assess the causes of dysfunctional ventilatory weaning response after cardiac surgery
Background. One of the most important complications after cardiac surgery is the prolonged mechanical ventilation, because it is associated with the increase in mortality (30-40%). Extubation of endotracheal tube within the 6 hours post operation is considered as a gold standard improving heart function, increasing patients’ comfort, decreasing respiratory complication, and decreasing cost and hospitalization. The prolonged mechanical ventilation and dysfunctional ventilatory weaning response (DVWR) are the risk factors for cardiac surgery and controlling and preventing them is necessary.
Method. This was a descriptive cross-sectional study in which 80 patients admitted to Cardiac Surgery Department of Imam Reza Hospital in Mashhad were selected within a 4 months period by convenience sampling method. Patients with mechanical ventilation over 6 hours were recruited. Data were analyzed in SPSS software.
Findings. DVWR was significantly associated with smoking (p=0.03), and delayed recovery from anesthesia was the most common reason associating with DVWR (55.3%).
Conclusion. By controlling factors of the DVWR, we can reduce the duration of mechanical ventilation.
Nila Amigh, Ali Zahedmehr, Ahmad Amin, Hooman Bakhsandeh,
Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. This study aimed to investigate the effect of clinical follow-up by a nurse on improving self-care behaviors in people with heart failure.
Background. People with heart failure are frequently hospitalized. One of the main reasons for hospitalization of these patients is the individual's inability to perform self-care behaviors. One of the ways that can help to improve self-care is clinical follow-up of these patients by nurses.
Method. This study was a randomized clinical trial which was conducted between October 2015 to May 2016 in Cardiovascular Medical and Research Center in Tehran. Eighty patients were recruited from the patients hospitalized in cardiac intensive care units and randomly assigned to control and experimental groups. Patients in experimental group received clinical follow-up by a nurse every two weeks by phone or in person. The control group received routine follow-up after discharge. Self-care behaviors were assessed by the checklist before intervention and three month after intervention. The data were analyzed in SPSS using descriptive and inferential statistics.
Findings. The mean score of self-care behaviors, before intervention was 2.64±1.62 in control group and 2.02±1.62 in the experimental group, and there was no statistically significant difference between groups. After intervention, the mean score of self-care behaviors in control and experimental group were 2.38±2.50 and 0.93±7.82, respectively and a statistically significant difference was found between the groups (p≤0.0001).
Conclusion: Clinical follow-up by a nurse can improves self-care behaviors in people with heart failure and help to lessen the burden.
Masoomeh Imanipour , Amin Hosseini ,
Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. This paper aims to review the effect of Extracorporeal Membrane Oxygenation (ECMO) method on treatment of drug poisoning caused by calcium blockers and beta-blockers.
Background. A large proportion of cardiovascular drug poisoning is associated with calcium channel blockers and beta-blockers. Among the various and severe symptoms of poisoning with these drugs, treatment of resistant shock or acute respiratory distress is considered as a challenge. Extracorporeal membrane oxygenation can be used as one of the effective therapies for this type of poisoning.
Method. This study is a literature review that was conducted through searching out databases Web of Science, Scopus and PubMed with keywords "Extracorporeal membrane oxygenation", "ECMO", "Calcium channel blocker" and "Beta blocker" in the title, abstract, and keywords of the articles. The articles with focus on the effects of ECMO on treatment of poisoning caused by calcium blocker and beta-blocker drugs were selected and reviewed.
Findings. Twenty articles were included, in which 23 patients with beta-blocker or calcium blocker poisoning were reported to be treated with ECMO as an adjunct device. VA-ECMO and VV-ECMO were used in 22 and one of cases, respectively. In general, the use of ECMO has been completely successful in more than 90 percent of those patients who suffered from cardiovascular drug poisoning.
Conclusion. In view of the newness of ECMO and the lack of clinical trials in this subject, the results of reported case studies indicate a high success rate of this method in treatment of calcium and beta-blockers poisoning. It is recommended this treatment to be considered by healthcare team to treat beta-blocker or calcium blocker poisoning.
Monir Javer, Amin Rafiepoor, Mehrdad Sabet,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The aim of this study was to investigate the mediating role of perceived stress in the relationship between self-efficacy and quality of life in people with cardiovascular patients.
Background. Cardiovascular disease as a chronic and debilitating physical condition is one of the most common causes of death and can affect the quality of life. In this regard, it is necessary to identify variables related to quality of life in these patients.
Method. The present study was a descriptive-correlational study using structural equation modeling. The statistical population of the present study included all patients with cardiovascular disease referring to hospitals for cardiology and heart surgery, and cardiac rehabilitation centers in Tehran, Iran in 2019, of which 151 people were recruited based on inclusion criteria. Data collection tools included the Sullivan Cardiac Self-Efficacy Questionnaire, Cohen's Perceived Stress Questionnaire, and Quality of Life Scale (SF-36).
Findings. The results showed that negative perception of stress and positive perception of stress had a statistically significant negative and positive relationship with dimensions of quality of life, respectively. Self-efficacy had a statistically significant positive relationship with dimensions of quality of life. Perceived stress also mediated the relationship between self-efficacy and quality of life dimensions.
Conclusion. In planning necessary measures to improve the quality of life in people with cardiovascular patients, it would be helpful to develop programs to strengthen self-efficacy and reduce stress.
Sahar Avazpour, Amin Amini,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to compare the effect of two high intensity interval training (HIIT) protocol on plasma levels of adiponectin, leptin and hypertension in overweight nurses.
Background. Cardiovascular disease, as a chronic and debilitating physical condition, is one of the most common causes of death worldwide and can affect the health of individuals, especially nurses who are exposed to a variety of diseases and it is necessary to identify variables related to health in these group.
Method. This was a clinical trial in which 27 nurses (mean age 25.81±0.6 years, mean height 158.01±7.6 cm and mean weight 69.41±0.25 kg) were selected and randomly divided into three groups of high intensity interval training type 1 (8 seconds of fast running and 12 seconds of active recycling), high intensity interval training type 2 (40-meter sweep test with maximum speed), and control group. High intensity interval training type 1 was performed for four weeks, three sessions per week, each session lasted 6-9 minutes with more than 90% of maximum heart rate. High intensity interval training type 2 was performed for four weeks, three sessions per week, with more than 90% of the maximum heart rate. The control group did not participate in any training program.
Findings. The study showed that HIIT type 1 and type 2 had a statistically significant effect on reducing plasma leptin levels, systolic and diastolic blood pressure and increasing plasma adiponectin concentration in nurses. Both training methods improved health indicators (adiponectin, leptin and systolic and diastolic blood pressure), but HIIT type 1 training caused more control and regulation of these indicators compared with compared to HIIT type 2.
Conclusion. There is a significant difference between type 1 HIIT exercise, type 2 HIIT exercise and control in research variables (adiponectin, leptin and blood pressure) in nurses.
Jasem Allahyari, Farnaz Jahantigh, Benyamin Saadatifar, Javad Jafari, Mohammad Sadegh Sargolzaei,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. This literature review was conducted to investigate determinants of readmission among Iranian people with heart failure.
Background. Heart failure (HF) as a chronic progressive syndrome may reduce the quality of life and increase their treatment costs. The rate of readmission is relatively high in these patients, presenting a major health problem.
Method. In the present literature review, the literature on the topic were searched out in databases PubMed, Google Scholar, Web of Science, ProQuest, Magiran, SID, and IranMedex. The terms heart failure, congestive heart failure, readmission, rehospitalization, and Iran were searched without time limit. Literature search and evaluating the articles were independently conducted by two researchers, and all eligible studies were included in the review process.
Findings. Out of 601 studies found in the initial search, seven articles meeting the inclusion criteria entered the final phase of the study and were reviewed. According to these studies, the readmission rate varied from 10.9 to 40 percent. Some of the important factors affecting the readmission rate in patients with heart failure included age, gender, education, job status, underlying disease, disease stage, poor adherence to the therapeutic regimen, insurance coverage status, and place of residence.
Conclusion. Based on the results of the present study, the rate of readmission was high among Iranian patients with heart failure. It is recommended to consider interventions such as educational programs to improve patients’ awareness about this condition and their adherence to self-care activities.
Elham Nazari, Hooman Bakhshandeh Abkenar, Arash Karimi, Behzad Yousofi Yeganeh, Amin Namdari, Monireh Kamali,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. This study was conducted to examine the compliance of the administration of Carbapenems in patients undergoing open heart surgery with antibiotic monitoring guidelines of the Ministry of Health and Medical Education in Iran.
Background. Antibiotic resistance is a significant challenge for healthcare systems and can lead to increased costs, prolonged treatment duration, and higher mortality rates among hospitalized patients.
Methods. This cross-sectional descriptive study included 70 patients (35 women and 35 men) who underwent heart surgery between March 2021 and the end of August 2021 at Shahid Rajaei Heart Hospital in Tehran, Iran. Data were collected through direct patient interactions and reviewing patients' medical records and were analyzed using SPSS software version 26.
Findings. The data revealed that 81 percent of patients received appropriate Carbapenem prescriptions, while 19 percent received an incorrect prescription. The most prescribed antibiotic, with a frequency of 92.9 percent, was Meropenem, and the average number of antibiotics prescribed for each patient was 1.87. The highest rate of Carbapenem prescription was observed in patients with ventilator-induced pneumonia (55.7 percent) and those undergoing coronary artery bypass graft (CABG) surgery (45.7 percent). Approximately 55.7 percent of patients required dose adjustments 72 hours after receiving Carbapenem due to increased creatinine clearance, and 15.7 percent needed to discontinue the drug. The most common causative infection agents were Candida Albicans, Klebsiella Pneumoniae, and Staphylococcus Aureus, respectively.
Conclusion. Antibiotic management programs can limit the irrational use of antibiotics such as Carbapenems and help improve the treatment of infections by preventing the development of antibiotic resistance.
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