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Showing 16 results for Haghani
Nahid Salman-Yazdi, Iran Ghasemi, Asieh Salahshourian, Hamid Haghani,
Volume 1, Issue 1 (6-2012)
Abstract
Aim The aim of this study was to compare the quality of life amongst asthmatic boys and girls aged between 7-17 in Zanjan Background The quality of life in patients with chronic disorders is highly affected by the diseases, especially when such variables as gender and age interfere with the situation. Youngsters suffering from asthma face numerous physical, social and psychological problems. Method In a descriptive-comparative study, 290 asthmatic children aged between 7-17 "minimum after six month of the disease were selected by consecutive sampling method. Demographic information form and Asthma Quality of Life Questionnaire (AQLQ) were completed by parents. The data were analyzed by SPSS software using T test, Mann- Whitney U and analysis of variance. Findings The study findings showed the mean score quality of life was (50.56, SD=19.45) for girls and (36.02, SD=16.49) for boys. Statistical analysis showed a significant difference between the quality of life amongst asthmatic boys and girls (p=0.012). Conclusion The difference between the quality of life in asthmatic boys and girls should be considered when planning programs to enhance their quality of life. Thus, it is proposed the quality of life to be tested in both genders, in different ages with different chronic diseases.
Heshmatolah Heydari, Marhamat Farhaninia, Mohammadtaghi Safdari, Hamid Haghani,
Volume 1, Issue 3 (12-2012)
Abstract
Aim. The aim of this study was to determine the family members’ performance in confront with patient's heart attack and its relationship with their knowledge in this filed. Background. Heart attack is one of the most common, serious and fatal diseases. It is growing rapidly worldwide and is the most leading cause of mortality. The performance of people who deal with the heart attack patients in the early minutes, is important in prognosis of disease and his/her life and death . Method. This correlational descriptive study was conducted on 300 family members of patients with heart attacks who hospitalized in teaching hospitals of Iran University of Medical Sciences. Data were collected by a questionnaire and continuous sampling. Validity of questionnaire was confirmed by content validity and its reliability were confirmed by test-retest and by internal consistency ( 0.92). Findings. The findings showed that there was good level of knowledge, but poor performance of the subjects in confront with patient's heart attack. There was statisticaly significant correlations between performance and the knowledge (p=0.004), but no significant correlations between performance and the knowledge with level of education, age and gender. Conclusion. Despite of good level of knowledge in target community, none of them have good performance in the confront with heart attack patients therefore it is recommended to educate the public on how to deal with heart attack patients and to perform more studies in this field in order to offer appropriate strategies to promote the knowledge and performance of family members and individuals in society.
Sedighe Arefi, Masume Zakerimoghadam, Shahrzad Ghiasvandian, Hamid Haghani,
Volume 1, Issue 3 (12-2012)
Abstract
Aim. The aim of this study was to determine the effect of first phase cardiac rehabilitation programs on anxiety and depression in acute coronary syndrome (ACS) patients. Background. Anxiety and depression are psychological factors influencing the prognosis, recovery, and adherence to treatment in patients with ACS. Cardiac rehabilitation programs are an important part of the care plan is arranged for the majority of heart patients. Method. This clinical trial study was conducted on 88 ACS patients with regard to the inclusion criteria. The subjects were randomly divided to experimental (n=44) and control (n=44) groups. The experimental group participated in four educational sessions of cardiac rehabilitation program, which included familiarity with risk factors of heart disease, nutrition and drugs recommendations, stress and depression reduction methods and exercises training. Information booklet was given at the end of the sessions. Data were collected by demographic and diseaserelated questionnaires and Persian version of Hospital Anxiety Depression Score (HADS).The data were analyzed by SPSS software version 16.0 and descriptive and analytic statistical tests (Independent t-test and Chi-square and Fisher's exact test). Finding. The findings showed that there was no statistically significant relationship of demographic and disease-related information with anxiety and depression scores before study. There was significant statistical difference between two groups in the mean of anxiety and depression score after intervention (P_0.0001). Conclusion. According to the finding, the first phase cardiac rehabilitation programs is effective in reducing anxiety and depression in ACS patients Therefore, it can be an effective way to plan nursing care of patients with ACS.
Seyysed Moslem Mahdavi Shahri, Ahmad Ali Asadi Noghabi, Mitra Zolfaghari, Hamid Haghani,
Volume 2, Issue 4 (3-2014)
Abstract
Abstract Aim. The aim of this study was to evaluate nurses' views about visiting in coronary care unit (CCU). Background. Social support includes emotional and instrumental support provided by family and friends who visit the patient. Visiting is shown to be influential on patients' recovery. On the other hand, visiting time has been an issue of the medical staff, patients and visitors. Method.In this descriptive cross-sectional study, 140 nurses working in CCU participated in the study. Data were collected by the use of demographic questionnaire and "The Beliefs and Attitudes Toward Visitation in ICU Questionnaire" (BAVIQ). The data were analyzed by descriptive and inferential statistics using SPSS Version 19. Findings. Most nurses believed that visiting interferes with direct nursing care (65%), and causes nurses to spend more time in providing information to the patients’ families (82.8%). Most nurses (85%) did not desire to liberalize the visiting policy of their unit. Conclusion. The results of the study showed that CCU nurses have rather negative viewpoints toward visiting and open visiting policy that is in conflict with emotional needs of patients and their families.
Tahereh Najafi Ghezeljeh1, Hossein Salehzadeh, Forough Rafii, Hamid Haghani,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract
Aim. This study aimed to examine the effect of music intervention on anxiety in patients with heart failure.
Background. Anxiety as a psychological problem can increase heart rate, respiration rate and blood pressure all of which have an advert effect on heart in patients with cardiovascular disease, particularly patients with heart failure.
Method. This controlled clinical trial study was conducted in Doctor Shariati Hospital affiliated to Tehran University of Medical Sciences. In this study, in each group (control, and music intervention), 25 hospitalized patients with heart failure were recruited through convenience sampling. Then, patients were allocated to groups by simple randomization. Data were collected by demographic characteristic form and Spiel Berger anxiety assessment questionnaire. In music group, music including two of the three types of classical, gentle and Iranian traditional music was played for 20 minutes after meeting for 3 sequential days by a tape recorder and headphone. Before and 15 minutes after intervention, patients' anxiety was measured and compared. Data was analyzed by using independent t-test, Paired t-test, Fisher’s exact test through SPSS.
Findings. There was a statistically significant difference between control and music intervention groups regarding anxiety score. Also, there was a statistically significant difference, before and after music intervention in anxiety score of patients with heart failure (p<0.0001). Conclusion. The findings indicated that music intervention significantly reduces anxiety in patients with heart failure. Because of the importance of anxiety reduction in patients with heart failure, it is proposed that music intervention be used in the care of these patients.
Mohammad-Ali Cheraghi, Khadijeh Akbari, Fatemeh Bahramnezhad, Hamid Haghani,
Volume 3, Issue 4 (3-2015)
Abstract
Aim. This study was conducted to determine the effect of instrumental music on sleep in patients admitted to the coronary care unit (CCU).
Background. Poor quality sleep, as a distressing situation, can aggravate myocardial ischemia and infarction. The music as a cheap, and noninvasive approach with a slow rhythm, monotonous and repetitive, may have inducing-sleep or relaxation effect.
Method. The present study was a clinical trial conducted in 2014. The samples consisted of 72 patients with acute coronary syndrome admitted to coronary care unit of hospitals affiliated with Tehran University of Medical Sciences. They were selected using the simple random sampling method and divided into experimental (n=36) and control (n=36) group. The quality of sleep was measured in the beginning of hospitalization and three days after admision, and the quantity of sleep was measured all the three days using the Pittsburgh sleep quality index and the sleep log quantity indices in experimental and control group. The intervention was implemented in the form of playing instrumental music in headphones since the first night of hospitalization for a three-night time span (45 minutes a night) in the beginning of the patients’ sleep. Data were analyzed by SPSS software, version 16, using descriptive and inferential statistics (chi-square, fisher's exact test, independent samples T test).
Findings. According to the findings, the mean change in the sleep quality score, before and after intervention, and sleep quantity at the three nights of hospitalization were significantly different between experimental and control group (p<0.0001).
Conclusion. The instrumental music can be effective in improving patients’ sleep quality and quantity. Therefore, nurses can benefit from this non-pharmacological method in their daily care to improve their patients’ sleep.
Masume Zakerimoghadam, Somayeh Asgari, Esmail Shariat, Hamid Haghani,
Volume 3, Issue 4 (3-2015)
Abstract
Aim. The aim of this study was to evaluate the current and expected status of comfort from the point of view of hospitalized cardiac surgery patients.
Background. Providing comfort for the patient is one of the most important aspects of nursing that should be considered in all aspects of care as the top nursing care priority.
Method. This was a descriptive comparative cross-sectional study in which 292 patients undergoing cardiac surgery were recruited as study sample. Data collection tool was a demographic form and modified form of Kolcaba's comfort questionnaire evaluating the current and expected status of comfort. After that the reliability and validity of the questionnaire was confirmed, it was completed by interview, the second day after surgery. Data analysis was performed by SPSS, version 16.
Findings. The participants reported the best current status of comfort in psychospiritual (63.57 percent) and sociocultural (62.71 percent) domains of comfort, and rated physical domain of comfort as the lowest one(36.64 percent). Patients reported the comfort status in the environmental domain as moderate (54.78 percent). The most expectation of the patients were to be provided with comfort in psychospiritual (92.02 percent), environmental (91.14 percent) and physical (90.96 percent) domains, respectively, and the provision of comfort in sociocultural domain were least expected (88.16 percent). There was a statistically significant relationship of comfort with gender, age, education, occupation, place of residence, income, number of family members, physical activity and history of heart surgery, hypertension and hyperlipidemia.
Conclusion. Patients reported less comfort in the physical domain and the most expected domain of comfort was psycho-spiritual. It is recommended that nurses pay more attention to providing comfort in physical and psychospiritual domains.
Sahar Najafi, Hamid Peyrovi, Hamid Haghani,
Volume 3, Issue 4 (3-2015)
Abstract
Aim. This study aimed to examine the effect of intraoperative progress report on anxiety of family members of patients under cardiac catheterization.
Background. Diagnostic and therapeutic procedures for CAD produce considerable anxiety in family members of the patient. Simple and clear explanations about physical and emotional status of the patient may decrease family members’ anxiety.
Method. This quasi-experimental study was conducted on 90 family members (45 in control and 45 in experimental group) of patients referred to angiography department of Imam Khomeini Hospital, Tehran. Intraoperative progress report was implemented for experimental group. Data collection tools were demographic form and Spielberger questionnaire. The data were analyzed in SPSS version 17, using descriptive and inferential statistics.
Findings. Before intervention, there was no statistically significant difference between anxiety scores for experimental (57.64±6.52) and group (50.11±8.32). After intervention, anxiety score in experimental group (46.22±5.18) was significantly lower than that of control group (57.48±7.20) (P<0.0001). Within-group comparisons showed that changes in anxiety score was statistically significant in both groups, it is to be noted that changes in anxiety score in experimental group was decreasing, while for the control group was increasing.
Conclusion. According to the findings, intraoperative progress report during angiography in a simple and clear manner that is understandable for family members may decrease their anxiety. It is suggested to include this supportive intervention as part of nursing care delivered by nurses in angiography departments.
Tahereh Najafi-Ghezeljeh, Maryam Shahidi, Shahrzad Ghiasvandian, Hamid Haghani,
Volume 4, Issue 1 (6-2015)
Abstract
Aim. This study was aimed to assess the effect of self-care educational program on quality of life in patients with hypertension.
Background. Hypertension is a major health problem due to complications and high mortality rate. It causes problems in the ability of patients for self-care and affect their quality of life.
Method. This clinical trial study with control group was conducted in Mahmud-Abad Hospital affiliated to Mazandaran University of Medical Sciences. In this study, 70 patients who met the inclusion criteria were selected through convenience sampling and to prevent information contamination, they were allocated to groups according to whether they refer to hospital even or odd days. Before and three months after intervention, data were collected by quality of life questionnaire SF-36 in both groups. Patients in control group received routine education. Patients in intervention group participated in three face to face self-care education sessions (each session lasted 20 minutes) and received educational package including instruction booklet and CD. Data were analyzed by using Independent t-test, Paired t test, Chi-square test, and Fisher’s exact test through SPSS version 21.
Findings. The results showed that before intervention, there was not a statistically significant difference between two groups regarding quality of life, but after 3 months there was a statistically significant difference (P<0.0001). Also, in the intervention group, there were statistically significant differences regarding the total score of quality of life and all related dimensions, before and three months after education (P<0.0001).
Conclusion. Self-care education can improve quality of life among patients with hypertension. It is recommended that health care providers, particularly nurses, implement these educational programs for improving the quality of life of patients with hypertension.
Masoumeh Zakeri-Moghadam, Hosein Bahadori Far, Zahra Abbasi, Hamid Haghani,
Volume 5, Issue 2 (9-2016)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of music therapy on ventilation criteria in mechanically ventilated patients in the intensive care unit.
Background. Complications made by mechanical ventilation are so much and considerable. Improvement of ventilation criteria is one of the factors that facilitatesweaning from mechanical ventilation.
Method. This randomized controlled trial was conducted in intensive care units of a teaching hospital affiliated to Iran University of Medical Sciences, Tehran, Iran. Seventy patients were recruited based on inclusion criteria and randomly allocated to experimental (n=35) and control (n=35) groups. For experimental group, relaxing music therapy was played with headphone for 30 minutes, once in the morning and once in the afternoon for one day. For control group, headphone was used without music for 30 minutes, once in the morning and once in the afternoon for one day. In both groups, ventilation criteria of respiratory rate, peak airway pressure and arterial saturation of oxygen (SaO2) were recorded in four intervals. Data analysis was performed in SPSS version 18 using statistical test.
Findings. Comparing of trends of ventilation criteria in experimental group showed that music therapy significantly reduced the mean respiratory rate (p= 0.0001), while in the control group, the mean respiratory rate slightly increased with time. In experimental group, the mean airway pressure reduced significantly within 30 minutes (17.30±3.65) compared with the time zero (19.68±3.64) (p=0.001). In the control group, the mean airway pressure increased slightly. The amount of spo2 did not differ significantly between experimental and control group (P=0.051).
Conclusion. Implementing music therapy in mechanically ventilated patients admitted to intensive care unit can reduce respiratory rate and maximum airway pressure. These could reduce the work of breathing and facilitate weaning the patient from ventilators.
Zahra Ahmadi, Leila Bahmani, Marhamat Farahani Nia, Hamid Haghani,
Volume 7, Issue 1 (6-2018)
Abstract
Abstract
Aim. The purpose of this study was to determine the effect of teaching health-promoting behaviors on self-care behaviors in people with hypertension.
Background. Hypertension is one of the chronic diseases that causes serious complications on the organs of the body and requires self-care behaviors to be managed and controlled. Education increases self-care capacity in these patients and may help reducing complications and promote disease control.
Method. In this quasi-experimental study, 106 patients who referred to the clinic of Shahid Rahimi Hospital in Khorramabad, affiliated to Lorestan University of Medical Sciences, were recruited based on inclusion criteria and allocated to experimental (n=53) and control group (n=53). The experimental group received three training sessions of health-promoting behaviors in three consecutive weeks. The control group received only the routine treatments. Data were collected using a demographic form and self-care behaviors questionnaire, before and one month after intervention. Data were analyzed by SPSS version 22 using descriptive and inferential statistics.
Findings. The groups did not differ significantly in terms of demographic variables and disease characteristics. Before intervention, the mean score of self-care in the control and experimental group were 8.33±1.79 and 9.7 ±2.41, respectively, and there was a statistically significant difference between the groups (P=0.002). After intervention, the mean score of self-care in the control and experimental group were respectively reported as 8.43±1.84 and 14.46±2.13. Analysis of covariance showed that after intervention, the mean score of self-care in experimental group was significantly higher than that of control group (P≤0.0001).
Conclusion. Education improved self-care in people with hypertension. Providing education for people with hypertension can be effective in promoting their self-care behaviors.
Elnaz Yazdanparast, Malihe Davoudi, Marziye Safavinejad, Seyed Hasan Ghorbani, Sahar Nadimi, Bahare Rezvani Dehaghani,
Volume 7, Issue 3 (12-2018)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of teach back learning strategy on illness perception, nutritional knowledge and dietary adherence in people with hypertension.
Background. Because of the chronicity of hypertension and the importance of nutrition in hypertension control, illness perception and nutritional knowledge play an important role in adherence to nutritional regimen and disease control.
Method. The present study is a quasi-experimental study control group and pretest-posttest design. Based on random sampling, two health care centers in Ferdows were selected as the place for experimental and control group. Using a simple randomized method, of patients with hypertension, 35 individuals were recruited for each group. These people entered the study based on inclusion criteria and after that they signed the consent form. Before and after the intervention, illness perception, nutritional knowledge and dietary adherence were measured by self-report questionnaire and compared between the groups.
Findings. After intervention, the mean score of nutritional knowledge in experimental and control group was 48.17±5.21 and 41.16±0.51, respectively, and a statically significant difference was found between groups in terms of nutritional knowledge (P≤0.0001; t=9.56). After intervention, the mean score of illness perception in experimental and control group was 9.75±1.81 and 7.72±1.60, respectively, and there was a statically significant difference between groups in terms of illness perception (P≤0.0001; t=4.15). But no statically significant difference was found between experimental and control group in terms of dietary adherence (17.55±4.17 against 16.88±3.62).
Conclusion. Given the positive effects of teach back method and the special role of nurses in patient education, attention to this teaching method seems necessary. The use of this method of training is suggested as part of care process to reduce patients' clinical problems.
Tahereh Najafi Gezelje, Seyedeh Marziyeh Moosavi, Peyman Saberian, Shima Haghani,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The present study aims to determine the performance of “Tehran 115 medical emergency” dispatchers in providing services to patients with chest pain.
Background. Chest pain is one of the most common problems for which individuals call medical emergency services. The pace, accuracy, and integration of services by medical emergency dispatchers are highly important to decrease mortality and disability rates.
Method. A cross-sectional descriptive study was carried out on 397 voice records of 80 dispatchers in “Tehran 115 medical emergency services” about chest pain in January 2019. Data gathering was done using the Dispatcher Performance Assessment Checklist. All the obtained scores by the checklist were analyzed in SPSS (V.22).
Findings. All voice records demonstrated an acceptable performance of the dispatchers. The mean score of performance in consultation section was 18±2.66 ranged from 9 to 20. The mean score of performance in key questions section was 35.95±2.16 with a score range from 28 to 38. The total mean score of performance was 53.95±3.57 with a score range from 43 to 58. In addition, employment status (P=0.039) and work experience (P=0.020) were significantly related to dispatchers’ performance in terms of assessing chest pain.
Conclusion. Assessment according to the checklist items and provision of proper consultation services to the patients and patient companions by the 115 dispatchers resulted in a better and timely diagnosis, faster dispatch of ambulance, less damages sustained by heart patients, and prevention of death. The findings emphasized on the necessity of adhering to the questions algorithm and uniform work procedure by dispatchers nationwide. This should be an integral part of telephone triage. Observation of national standard prevents probable damages to patients due to wrong or personalized decision making.
Robabeh Khalili, Tahereh Najafi Ghezeljeh, Alireza Alizadeh Ghavidel, Hamid Haghani,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The purpose of this study was to examine the effect of Zero-balance (Z-Buf) ultrafiltration on arterial blood gases in patients undergoing coronary artery bypass graft surgery.
Background. Cardiopulmonary bypass can cause complications such as systemic inflammatory response syndrome, ischemic reperfusion injury, decreased cardiac output, and other related complications.
Method. This study was a randomized clinical trial study with control group. Seventy six patients undergoing coronary artery bypass grafting were selected through consecutive sampling method from early January 2016 to the end of June 2017. To allocate the participants into groups, randomized blocking method was used. Patients in the experimental group were connected to the cardiopulmonary bypass system and Zero-balance (Z-Buf) ultrafiltration. Arterial blood gases including BE, Pao2, Pco2, Tco2, PH, Lactate, and O2Sat were measured in the preoperative time, every half hour during the operation, immediately after the operation and 6 hours after transferring the patient to intensive care unit. The data were analyzed by descriptive and inferential statistics in SPSS Version 22.
Findings. The results showed that the changes in PCO2 in both groups were not statistically significant, but the changes in other arterial blood gas parameters (BE, Pao2, Tco2, PH, Lactate, O2Sat) were statistically significant in two groups (P<0.05). There were more changes in arterial blood gases in the control than the experimental group.
Conclusion. The use of Zero-balance ultrafiltration reduces changes in arterial blood gas parameters in patients with undergoing coronary artery bypass graft surgery. The use of this method by heart surgeons and perfusionists can reduces the incidence of clinical complications in these patients.
Payam Abbasi, Hamid Peyrovi, Seyed Habibollah Kavari, Hamid Haghani,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. This study was conducted to evaluate the readiness of intensive care units of hospitals affiliated to Iran University of Medical Sciences for the implementation of family-centered care in 2017.
Background. Patients in the intensive care unit often are not able to participate in therapeutic decisions, therefore, involving families in decision-making process, implementation and treatment processes, and meeting the their needs improves treatment outcomes and increases patient and family satisfaction. Family-centered care is one of the means of providing care that recognizes and respects the vital role of the family.
Method. This was a descriptive cross-sectional study in which all of the intensive care units in the hospitals of Iran University of Medical Sciences were studied in terms of their preparedness for family-centered care. Proportionate stratified sampling method was used to recruit nurses, and the physicians were recruited based on convenience sampling. In order to investigate the structure and facilities, through a census of all specialized departments of hospitals affiliated to Iran University of Medical Sciences, a checklist was filled out. Data were analyzed in SPSS software version 22 using descriptive and inferential statistics.
Findings. According to the results, 60.9% of nurses were opposed to implementing family-centered care and have a negative attitude, and 57.3% of physicians agreed to implement family-centered care. There was a statistically significant difference between the attitudes of nurses and doctors (p≤0.0001). Also, the overall scores obtained from hospitals affiliated to Iran University of Medical Sciences showed that the facilities and hospital structure were poor for implementing family-centered care.
Conclusion. Differences in the attitudes of nurses and physicians about family-based care showed the need for clarifying the concept of family-centered care. The implementation of family-centered care requires structural changes and extensive equipment in accordance with the standards.
Helia Saremi, Sedigheh Khanjari, Shima Haghani, Seyed Mohammad Mahdavi,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The present study was conducted with the aim of determining the quality of life (QoL) and spiritual health of parents of children after heart transplant in Iran.
Background. The child and his family enter a new phase of life after a heart transplant. Assessing the QoL and spiritual health of parents can determine the psychological and health consequences for children and their families.
Method. This was a descriptive cross-sectional study on 102 pairs of parents of children after heart transplantation in the hospitals Rajaie Cardiovascular Medical and Research Center in Tehran, Imam Khomeini Hospital in Tehran, and Razavi Hospital in Mashhad, using the consensus sampling method from November 2020 to June 2021. The questionnaires used in this study included the World Health Organization Quality of Life– BREF (WHOQOL-BREF) and Spiritual Well-being Scale. Data were collected in the forms of face-to-face and network communication (WhatsApp and Telegram). Data were analyzed using SPSS version 22 using descriptive and inferential statistics.
Findings. The mean score of QoL for mothers and fathers was 57.35±12.42 and 57.93±12.22, respectively. Also, the mean score of spiritual health for mothers and fathers was 90.68 ± 07.13 and 88.76 ± 12.78, respectively, which were considered as the average level. In general, these results may have been affected by the Covid-19 pandemic. Parents' QoL had no statistically significant relationship with demographic variables of them and their children. Mothers' spiritual health had a statistically significant relationship with their education (P=0.034), employment status (P=0.002) and age (P=0.024). Regarding fathers, the spiritual health showed a statistically significant relationship with the child's gender (P=0.016) and the waiting time for transplantation (P=0.023).
Conclusion. No difference was observed between fathers and mothers of the children after heart transplant in terms of the variables of QoL and spiritual health. This can indicate the same pressure on both mother and father to take care of the child, especially in critical situations such as the Covid-19 pandemic. In this situation, the support of these families by nurses and health workers to follow up their child's treatment, making an appointment to visit or to better understand their conditions in case of problems is of particular importance. More studies are needed to clarify the situation of these children and their families.
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