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Showing 5 results for Mehran
Jaleh Mohammad Aliha, Nayerreh Behroozi, Hamid Peyrovi, Abbas Mehran,
Volume 2, Issue 2 (9-2013)
Abstract
Abstract Aim. The aim of this study was to examine the effect of foot reflexology massage on incisional pain in thoraco-abdominal surgery patients admitted to surgery intensive care unit. Background. Although the most commonly used method of pain relief is pharmacologic, the medications prescribed excessively for severe and chronic pain in patients have side effects and non-pharmacological methods of pain relief may be useful. Method. In this quasi-experimental study, 102 patients within the age range of 25 to 50 years without any other surgical complication, and normal feet which have undergone thoraco-abdomical surgery were enrolled. They were randomly allocated into 3 equal groups: massage group, pseudo-massage group and control group. The pain was measured Visual Analogue Scale (VAS) before, right after, 10 minute and 24 hours after the treatment. Other data was extracted from medical records. The information was analyzed by SPSS using appropriate statistical tests. Findings. According to the findings, there were no statistically significant difference between the groups in terms of age sex marital status educational levels underlying diseases and type, duration and severity of the surgery. The pain score was not significantly different between groups before and right after the intervention. However, 10 minutes and 24 hours after the intervention, pain score was lower in the massage group. The use of pharmacological analgesics had also reduced in the massage group. Conclusion. Foot reflexology was effective on incisional pain after thoraco-abdominal surgery. Nurses can use this intervention to improve patient comfort and decrease pain medications administration in thease patients.
Fatemeh Habibzadeh, Masoomeh Imanipour, Jaleh Mohammad Aliha, Abbas Mehran,
Volume 3, Issue 3 (12-2014)
Abstract
Aim. The aim of this study was to investigate the effect of applying checklist on intra-hospital transport of intensive care patients.
Background. Intra-hospital transport of intensive care patients who are at risk of cardiovascular and respiratory instability can lead to physical harm and death. Therefore, prevention through increasing awareness staff about the dangers is a necessity.
Method. A quasi-experimental before-after design was used to conduct the study. At first, in a hospital affiliated to Tehran University of Medical Sciences, the quality of 50 cases of intra-hospital transport observed using a checklist during day shifts. Then, intra-hospital transport checklist was given to critical care nurses to be used in cases of patient transport. One month later, the quality of 50 cases of intra-hospital transport observed using a checklist during day shifts. The data were analyzed by SPSS version 21.
Findings. The results showed a statistically significant difference between the mean score of the quality of intra-hospital transport, before and after intervention (49.26±9.87 against 54.95±10.27) (P=0.006).
Conclusion. Applying checklist improves intra-hospital transport of intensive care patients. It is recommended to use this checklist for intra-hospital transport of intensive care patients to increase patient safety and reduce the complications of in-hospital transport .
Nasim Mehranfard, Jaleh Mohammad Aliha, Mojdeh Navidhamidi, Anushirvan Kazemnejad, Kiarash Saatchi,
Volume 3, Issue 3 (12-2014)
Abstract
Aim. The purpose of this study was to examine the effect of acupressure on anxiety in patients under mechanical ventilation.
Background. Mechanical ventilation is a frequently used technological modality for patients in Intensive Care Unit (ICU), and this treatment has potential to produce a variety of unpleasant stress and physiological and psychological complications. Anxiety is one of the most common mental reactions in patients under mechanical ventilation. Acupressure as a non-pharmacological approach may improve anxiety in these patients without side effects.
Method. This was a randomized block experimental study in which 164 ventilated patients with stable hemodynamics and GCS≥9 who had study criteria were randomly allocated into experimental or control group. Patients in the experimental group received two sessions/day of acupressure along with routine care for two consecutive days, but patients in the control group received only routine care. The anxiety was measured with Faces Anxiety Scale (FAS), before, right after, and one hour following every acupressure session. The data were analyzed by SPSS software using descriptive and inferential statistics.
Findings. Baseline anxiety level was high in most of patients. Anxiety in the experimental group decreased significantly (p=0.032) when compared with control group, over time. Anxiety was significantly different between groups, right after intervention in every session of acupressure (p<0.0001). In the experimental group, time-dependent changes of anxiety was statistically significant (p<0.0001) and anxiety was significantly different before and right after intervention in every session of acupressure (p<0.0001). The amount of change in anxiety was not significantly different between sessions.
Conclusion. Acupressure therapy could reduce anxiety significantly in patients with mechanical ventilation. Critical care nurses can use this non-pharmacological approach to reduce anxiety in patients under mechanical ventilation.
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.
Abbas Ebadi, Afzal Shamsi, Fariborz Mehrani,
Volume 6, Issue 3 (12-2017)
Abstract
Abstract
Aim. The aim of this study was to compare the quality of life in military and non-military people with and without hypertension.
Background. Hypertension is one of the most important causes of chronic disability in the world that its progressive course may affects various aspects of quality of life.
Method. This was a cross-sectional study with a descriptive comparative design in which 200 men with hypertension (100 military and 100 non-military) and 200 men without hypertension (100 military and 100 non-military) were recruited to the study by convenience sampling method in Tehran. Data were collected by short form (SF36) quality of life questionnaire and demographic form.
Findings. The mean score of quality of life in the group of people without hypertension (military people, 82.20±12.72; non-military people, 84.83±8.01) were significantly higher than the group with hypertension (military people, 76.72±16.60; non-military people, 68.58±17.77)
Conclusions. Quality of life in military and non-military men with hypertension is lower than the military and non-military men without hypertension. It is necessary to pay more attention to people with hypertension for promoting their quality of life.
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