|
|
|
 |
Search published articles |
 |
|
Showing 5 results for Ghanbari
Naser Abbasi, Mohammad Taghi Moghaddamnia, Atefeh Ghanbari Khaneghah, Rahim Alizadeh, Ehsan Kazemnezhad Leili,
Volume 4, Issue 4 (3-2016)
Abstract
Abstract Aim. The purpose of this study was to determine factors influencing the time interval from the onset of clinical symptoms to thrombolytic infusion in patients with acute myocardial infarction Background.Acute myocardial infarction is one of the most common causes of death and disability all over the world including Iran. The major cause of myocardial infarction, is the clot of blood in the coronary atherosclerotic plaques. Immediate administration of thrombolytic therapy in these patients can be life-saving. Method. This study was a cross-sectional descriptive-analytical study in which 98 patients with acute myocardial infarction hospitalized in selected Rasht therapeutic centers were recruited by convenience sampling in 2014.Data collection instrument included demographic information form and researcher-made questionnaire to obtain patients' clinical, situational and cognitive factors. Data were collected through patients medical records and interview. Data were analyzed in SPSS version 21 using non-parametric Mann-Whitney and Kruskal Wallis tests and P<0.05 was considered as significant. Findings. The mean time interval from the onset of symptoms to the beginning of thrombolytic infusion was 247.2±182.4 minutes.In this study, the most pre-hospital delay was related to making decision for care seeking and in-hospital delay time was the least one. The patients had delay in referring to the hospital mainly due to the following: negative history of previous heart disease) p=0.001), lack of awareness about the signs and symptoms of the disease )p<0.0001), female gender) p=0.026 ,(an underlying diabetes )p= 0.001),low levels of education (p=0.003), low income )p=0.044),mild pain )p=0.001), and self-medication )p=0.003).The main cause for delay was related to the lack of awareness of the symptoms and ignorance of their importance. Conclusion. The time interval from the onset of symptoms to thrombolytic infusion in patients with acute myocardial infarction was not satisfactory. It is necessary to provide required training programs for increasing the individuals’ awareness about the symptoms of the disease and the importance of treatment with thrombolytic drugs, as soon as possible, in order to minimize the time delay, thereby, increasing the efficiency of treatment, and ultimately reducing the mortality and disability of patients.
Mohsen Taghadosi, Leila Ghanbari-Afra, Monireh Ghanbari-Afra, Hamidreza Gilasi, ,
Volume 5, Issue 2 (9-2016)
Abstract
Abstract
Aim. The aim of this study
was to investigate the sexual satisfaction in patients with acute coronary
syndrome.
Background.
Sexual relationship is a multidimensional phenomenon which is affected by many
psychological, individual and social factors. Satisfaction of sexual relationship
leads to the strength of the family.
Method. In
this descriptive-analytical cross-sectional study, 254 patients with acute
coronary syndrome admitted to the coronary angiography ward in Shahid Beheshti
hospital in Kashan, Iran, were recruited by convenience sampling in 2014. Data
collection was done using the demographic and clinical data questionnaire and
Larson's sexual satisfaction questionnaire. Data were analyzed in SPSS version
13 using descriptive and inferential statistics.
Findings.
The mean score of sexual satisfaction was 101.7±15.3. The mean score of sexual
satisfaction for men and women were 104.53±9.8, and 98.94±18.9, respectively
(P=0.04). The results of linear regression showed that the relationship between
sexual satisfaction and gender by taking other confounding variables was statistically
significant (P=0.026). A history of diabetes (p=0.048), smoking (p=0.001) and
hypertension (p=0.001) were affecting this relationship.
Conclusion.
The level of sexual satisfaction in patients with acute coronary syndrome was
high. The satisfaction in men were more than women. Also, a history of
diabetes, hypertension and smoking in patients with acute coronary syndrome
affected sexual satisfaction. Nurses should consider sexual needs of female
patients with acute coronary syndrome, and also, that of acute coronary
syndrome patient with a history of diabetes, hypertension and smoking.
Shiva Khaleghparast, Mahnaz Mayel Afshar, Majid Maleki, Nasim Naderi, Behrooz Ghanbari, Hosseini Shirin ,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. The aim of this study was to determine the effect of the implementation of clinical surveillance model on the amount of education provided to cardiac patients.
Background. Clinical supervision is a relationship between nurse and observer that promotes the development of nursing professional skills.
Method. This is a quasi-experimental before-after study without control group. The stratified sampling method was used to recruit 300 patients based on inclusion and exclusion criteria. The researcher used the data-gathering form to record teachings provided to patients by nurses and also, the rate of their registration in the medical record. Clinical surveillance model included planning, monthly meetings with health education volunteers, classified teaching, daily clinical supervision, follow-up, identifying the weaknesses of nurses in providing training to cardiac patients and corrective actions in a regular and continuous basis for one year. After the intervention, teachings provided to patients by nurses and also, the rate of their registration in the medical record were re-evaluated. Data were analyzed using descriptive and inferential statistics in SPSS version 19.
Findings. After intervention, the amount of teaching provided by nurses at the time of admission, during hospitalization and at the time of discharge was significantly increased (P<0.001). The findings also showed that the patients were more satisfied with the received teaching after intervention (P<0.001).
Conclusion. Continuous and regular monitoring has a significant role in the amount of education provided to patients by nurses. It is recommended to plan management and supervisory programs to be implemented for nurses involved in patient education.
Shiva Khaleghparast, Mahnaz Mayelafshar, Zahra Hanifi, Leila Sari, Masoumeh Kalaei, Behrooz Ghanbari,
Volume 7, Issue 1 (6-2018)
Abstract
Abstract
Aim. This study aimed to determine barriers to patient education from the perspective of patients, nurses and doctors.
Background. Patient education is one of the indicators of quality of heath care services. Patient education could lead to a reduction in the cost of health care and increase the quality of care and ultimately, help the patient to become independent and self-sufficient.
Method. A cross-sectional descriptive study was carried out. The research population included physicians, nurses and patients admitted to different wards of the Rajaee cardiovascular medical and research center. The sampling method was stratified random sampling for each population of the participants (patients, nurses and doctors). Data collection tool was a researcher-made questionnaire that measured the obstacles to patient education. The collected data were analyzed by SPSS software.
Findings. According to physicians, the most important barriers to education for patients was related to patients, and then related to physicians. From the viewpoint of nurses, the most important barriers to patient education were related to nurses. Patients evaluated themselves as the most important barrier to patient education, and then, the most important barriers were related to nurses from patients’ perspectives.
Conclusion. Regarding the importance of teaching to the patient, it is suggested that the managers take actions to increase the number of nursing staff, provide patients with educational brochures, allocate sufficient funds for patient education, supervise and encourage nurses and doctors, and prioritize training in daily tasks.
Mehdi Ghanbari, Mohammad Iraj Bagheri Saveh, Daem Roshani, Kamal Salehi,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study was conducted to examine the effect of self-management program on major advers cardiac complications of coronary angioplasty in patients referred to Tohid Hospital in Sanandaj, Iran, in 2018.
Background. Coronary artery disease is the leading cause of death in people over 35 years of age in Iran. Coronary angioplasty is one of the most successful treatment techniques in people with coronary artery disease with some unwanted cardiac complications. Reducing these complications is one of the important goals of health care systems.
Method. This was a quasi-experimental study that was conducted on 101 people with coronary artery disease undergoing angioplasty. The samples were selected by convenience sampling method based on inclusion criteria, and then randomly assigned to the experimental (n=51) and control (n=50) group. Data collection tools included a demographic information questionnaire and a checklist of coronary angioplasty complications. The intervention was implemented in sessions of 45 to 60 minutes duration three times per week in the presence of a family member and a copy was handed in. This intervention was continued for six months in the experimental group. During intervention period, the patient’s condition and the implementation of the self-management program were followed up by phone. The control group received only routine care and the experimental group received both routine care and self-management program. Cardiac complications were assessed in the first, third and sixth months following intervention. Data were analyzed in SPSS version 21 using Chi-square, t-test and generalized estimation equations.
Findings. The groups were homogenous in terms of age, gender, marital status, level of education, place of residence, employment status, body mass index, number of children, history of hyperlipidemia, history of diabetes, history of hypertension, history of alcohol consumption, history of heart attack, and type of artery involved. Generalized estimation equations showed that after intervention, the rate of complications of target vessel revascularization (P=0.04), second coronary angioplasty, (P=0.005) and coronary artery bypass graft surgery (P=0.003) were significantly different between the control and experimental groups. However, there were no statistically significant difference between groups in terms of recurrent angina complications (P=0.066), myocardial infarction (P=0.069) and death (P=0.019).
Conclusion. The implementation of self-management program can reduce complications after coronary artery angioplasty. It is recommended for nurses to apply self-management programs and follow-up after discharge for this group of patients.
|
|
