|
|
|
 |
Search published articles |
 |
|
Showing 5 results for Mahmoudi
Pouya Farokhnezhad-Afshar, Zahra Khajali, Rasoul Azarfarin, Azam Mahmoudi,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract Aim.The purpose of this study was to examine the effect of white noise on the anxiety of patients in the Cardiac Care Unit (CCU). Background. Many patients with cardiovascular disease suffer from some degree of anxiety after admission to CCU. Anxiety adversely affects patients' recovery. Method.This was a quasi-experimental study conducted in ShaheedRajaei Cardiovascular Center, Tehran in 2014. Ninety patients admittedto the cardiac care unit were recruited in the study based on convenience sampling and divided into experimental and control group (45 patients in each group). Anxiety was measured in both groups for 2 consecutive days by DASS-21 questionnaire. In the experimental group, white noise with an intensity of 50 to 60 decibels was played for 30 minutes. Data were analyzed by SPSS , version 17, using independent t-test, paired t-test and chi-square test. Findings. In control group, the difference between mean scores of anxiety, before and after intervention was not statistically significant (5.17±3.90 and 4.73±3.77, respectively p=0.08). In the experimental group, the difference between mean scores of anxiety, before and after intervention was statistically significant (5.38±3.87 and 4.58±3.71, respectively p=0.01). Conclusion.The white noise can reduce the anxiety of patients admitted to CCU. This method can be used as a simple and low-cost non-pharmacological intervention for these patients.
Pouya Farokhnezhad-Afshar, Zahra Khajali, Rasoul Azarfarin, Azam Mahmoudi,
Volume 4, Issue 1 (6-2015)
Abstract
Aim. This study examined the effect of white noise on depression of patients in the Cardiac Care Unit (CCU).
Background. Many patients with cardiovascular disease are susceptible to experience depression after admission in Cardiac Care Unit (CCU). Depression can influence patients' recovery.
Method. This was a quasi-experimental study conducted in Shaheed Rajaei Cardiovascular Center, Tehran in 2014. Ninety patients admitted to the cardiac care unit were recruited in the study based on convenience sampling and divided into experimental and control group (45 patients in each group). Depression was measured for 3 consecutive days by depression subscale of DASS-21 questionnaire. In the experimental group, white noise with an intensity of 50 to 60 decibels was played for 30 minutes. Data were analyzed by SPSS , version 17, using independent t-test, paired t-test and chi-square test.
Findings. In control group, no statically significant difference was observed between mean scores of depression, before and after intervention (4.12±4.35 and 3.52±3.74, respectively; p=0.05). In the experimental group, the difference between mean scores of depression, before and after intervention was statistically significant (4.81±4.47 and 3.93±4.48, respectively; p=0.02).
Conclusion. According to the findings, white noise can leads to a significant reduction in depression. This intervention can be used as a simple and low-cost non-pharmacological care for these patients.
Amirhosein Abdi-Doorbashi, Mitra Zolfaghari, Azam Mahmoudi, Abbas Mehran,
Volume 5, Issue 1 (6-2016)
Abstract
Abstract
Aim. This study
aimed to examine the effect of application of Braden pressure ulcers risk
assessment tool on performance of critical care nurses.
Background. Pressure ulcer
is a common phenomenon in patients admitted to intensive care unit. The
management of pressure ulcers in these patients is a challenging task.
Therefore, pressure ulcer prediction tools are used when dealing with these
patients.
Method. This
quasi-experimental study was conducted in the intensive care units. The study
sample consisted 68 critical care nurses working inintensive care units of
selected hospitals of Tehran University of Medical Sciences in 2013. After
determining the sample size and obtaining permission from theethics committee
of Tehran University of Medical Sciences, the participants were recruited
through convenience sampling based on inclusion criteria. Critical care nurses
of two intensive care units of general hospitals of Tehran University of
Medical Sciences were selected as experimental and control group. In both
groups, after collecting demographic characteristics, their performance in the
management of patients who were at risk for pressure ulcers was evaluated by the
checklist whose validity and reliability was evaluated by the faculty members
of Tehran University of Medical Sciences. The data were analyzed by
descriptive and inferential statistics in SPSS version 19.
Findings. There was no
statistically significant difference between the groups in terms of demographic
characteristics. After the intervention, the mean score of nurses performance
in the experimental group was 66.21±0.47 and that of control group was
62.59±1.31 (p≤0.0001). After intervention, all nurses in the experimental group
had very good performance and nurses in the control group had good performance.
Conclusion. Using the
pressure ulcers risk assessment tool (Braden scale) increases the sensitivity
of critical care nurses to the risk of ulceration in the intensive care unit
patients and forces them to comply with the standard caring measures and
consequently, lead to prevention of bed sores. It is recommended to use this
tool in order to enhance the care management of patients prone to pressure sore.
Mohammad Najaflu, Seyed-Tayab Moradian, Seyed-Mohammadsaeid Ghiasi, Hosein Mahmoudi, Salman Barasteh,
Volume 5, Issue 2 (9-2016)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of early mobilization on hemodynamic parameters in patients undergoing coronary artery bypass graft (CABG) surgery.
Background. CABG is one of the most common surgeries that can increase quality of life and reduce mortality in most cases. It seems that early mobilization of patients from bed may reduce complications after surgery. The most important concern regarding early mobilization is the possible effect on hemodynamic parameters based on which this important intervention is neglected.
Method. In a clinical trial with 100 patients who were candidate for CABG. The patients were randomly assigned to experimental and control group. The experimental group were mobilized from bed in the first, second and third day after surgery. The control group received the hospital routine treatments and mobilization was done in the third day after the operation. The effect of early mobilization on hemodynamic parameters were compare between the groups. Other treatment programs were the same for both group. Data were analyzed in SPSS version 18 and using independent t-test, Chi-square and ANOVA statistical testes.
Findings. There was no statistically significant difference between groups regarding demographic variables and underlying diseases. In the experimental group, blood pressure was higher in the second and third days compared with that control group. Chest tube drainage on the third day were 495±241 ml for experimental group and 556±285 ml for the control group, and no statistically significant difference was found between the groups in terms of chest tube drainage. None of the patients showed any complication during the mobilization.
Conclusion. The experimental group experienced a minimal increase in blood pressure, but it was not clinically significant. The results of this study indicate that early mobilization from bed in patients undergoing coronary artery bypass graft is a safe and applicable intervention, and don’t increase bleeding and acute hemodynamic changes.
Mr Hosein Mahmoudi, Mrs Asma Shojaee,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The purpose of this study was to explore and clarify the concept of adherence to treatment in people with heart failure.
Background. The concept of adherence to treatment, which determines the consequences of heart failure, is widely used in the literature. But this concept is very complex and needs a clear definition.
Method. In this study, the evolutionary approach of Rogers concept analysis was used. The main criteria for entry were texts published in English between 2004 and 2019. The data sources were the PubMed, Scopus, and EMBASE. A total of 73 articles were found out of which 37 articles were selected after omitting duplications, and after screening the studies based on Prism Diagram, 35 articles were studied.
Findings. After reviewing the studies, 5 words, adherence to medication, medication adherence, non-medication adherence or self-care recommendations, adherence to therapeutic guidelines, and non- adherence treatment were recognized as alternative terms, and two concepts, compliance and self-care were identified as the most important and the most common concepts related to adherence to treatment. Seven concepts were found as the features of the adherence to treatment (adaptability, being multidimensional and complex, participatory, dependent on demographic variables and underlying diseases, being conscious and dependent on education, measurable and predictive, and continuous and follow-up). Outcomes of the concept of adherence to treatment were directly related to the consequences of the concept.
Conclusion. Adherence to treatment is a complex, multidimensional, participatory, conscious, and measurable concept that depends on demographic variables that must be constantly monitored by the health care team. Adherence to treatment is evolving over time, both semantically and conceptually.
|
|
