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Showing 10 results for Mohammadi
Seyed Tayeb Moradyan, Mansoure Farahani, Nooreddin Mohammadi, Roohangiz Jamshidi,
Volume 1, Issue 1 (6-2012)
Abstract
Aim The aim of this study was to evaluate the effect of planned breathing exercises on oxygenation in patients undergoing coronary artery bypass surgery.Background Pulmonary complications and impaired oxygenation are common after coronary artery bypass graft surgery and cause increased hospitalization and health care costs. Breathing exercises are applied commonly in managing coronary artery bypass graft (CABG) patients in many hospitals, but scientific evidence is not sufficient about the efficacy of this treatment.Method In a clinical trial , 100 patients undergoing CABG were randomly allocated to planned breathing exercises (n=50) and control group (n=50). The patients in experimental group received breathing exercises protocol (deep breathing, incentive spirometry and directed cough maneuvers) and the patients in control group received daily routine hospital physiotherapy. Other therapies were similar in two groups. Arterial blood gases were compared between groups before operation and the first, second and third postoperative day. The data were analyzed by SPSS Version 17 software using chi square, T test and analysis of variance.Findings The study findings showed no statistically significant difference between groups in terms of demographic data, history of chronic diseases, Pao2 and Sao2 before surgery and on the first and second day after surgery. On the third postoperative day, the mean score of SaO2 (95, SD=2.47 vs. 93.24, SD=16.3, p=0.003) and PaO2 (83.19, SD=16.23 vs. 72.66, SD=13.20, P≤0.001) were higher in the experimental group.Conclusion The patients receiving planned breathing exercises including deep-breathing exercises, incentive spirometry and directed cough maneuvers have better oxygenation after coronary artery bypass surgery.
Mohammadi Nooredin, Shohreh Parviz, Hamid Peyrovi,
Volume 1, Issue 1 (6-2012)
Abstract
Aim Background The purpose of this study was to measure the effect of endotracheal suctioning in-service education on the patients’ blood oxygen saturation and heart rate changes in intensive care unit.One of the basic steps in caring and maintaining the airway is endotracheal suctioning. If this procedure is not performed with proper technique, it will be associated with many complications.Method This study is an outcomes research performed in medical intensive care unit of Hazrate-Rasool Hospital in 2010. All nurses working in intensive care unit and all performed endotracheal suctioning cases in a period of two weeks before and after in-service education were selected as research sample.Findings Conclusion Therefore, it is necessary to provide in-service education programs in relation to nurses' attention to the hemodynamic changes and to minimize these changes, and thereby to protect life and safety in critically ill patients. The results showed mean arterial oxygen saturation decreased significantly (p =0.005) in the first and third minutes post-suctioning before conducting in-service education. Besides, the results showed the mean arterial oxygen saturation increased significantly (p≤0.001) in the first and third minutes post-suctioning after conducting in-service education. Also, mean heart rate increased significantly (p≤0.001) in the first and third minutes post-suctioning before conducting in-service education. The mean heart rate increased significantly (p≤0.001) in the first minute post-suctioning after conducting in-service education, but in third minute post-suctioning this difference was not significant.The research findings show significant changes in blood oxygen saturation and heart rate post-endotracheal suctioning. These changes are an important complication in critically ill patients and can be life-threatening particularly.
Ebrahim Fallah Taher Pazir, Sharareh Zeighami Mohammadi, Farzad Fahidy,
Volume 1, Issue 2 (9-2012)
Abstract
Aim. The aim of this study was to investigate percpectives of patients with cardiovascular disease about barriers and benefits of health promotion behaviors. Background. Based on Pender’s health promotion model, certain emotional behaviors such as perceived benefits and barriers have effect on changing health behaviors. Method. In a descriptive cross sectional study, 260 patients with cardiovascular disease were selected from exercise tolerant test ward of Shahriar social security hospital in 2009. In this study, sampling method was simple. Data were collected through interview. The instruments included demographic form, Benefits Assessment Scale and Barriers Assessment Scale. The data were analyzed by using SPSS software and descriptive statistics, T-test, ANOVA and Pearson coefficient correlation. Findings. The findings showed that mean score of perception of health promotion behaviors benefits was 41.14±3.82, and 83.7% of patients had high scores of perception about benefits of health promotion behaviors. There was statistically significant correlation of perception of benefits with education level (P=0.024) and job (P= 0.021). Mean score of perception of health promotion behaviors barriers was 26.81±6.31 and 66.3% of patients had moderate scores of perception about barriers of health promotion behaviors. Perception of barriers was significantly associated with gender (P=0.034) and marital status (P= 0.047).There was negative significant correlation between perception of benefits and perception of barriers (p=0.001). Conclusion. Regarding the results of this study, seems that increasing perception of patients with cardiovascular disease about benefits of health promotion behaviors is associated with decreased barriers of health promotion behaviors. Educational interventions by professional nurses for patients with cardiovascular disease may help the patients to adherence to health promotion behaviors.
Atefeh Allahbakhshian, Hadi Hasankhani, Eesa Mohammadi, Vahid Zamanzadeh, Samad Ghafari, ,
Volume 2, Issue 4 (3-2014)
Abstract
Abstract Aim.The aim of this study is to clarify the perception and experience of life in Iranian patients after angioplasty. Background.Regarding the high prevalence of coronary artery disease and increasing number of patients in Iran, and widespread use of medical procedures such as angioplasty for the treatment and due to multiple challenges during the post-treatment which affect different dimensions of lives of patients, an in-depth understanding of the experiences of patients plays a significant role in improving the quality of their lives. Method. Qualitative approach with content analysis method was used to conduct the study. Purposeful sampling was used to recruit 20 patients who had experienced angioplasty. Data were collected through semi-structured interviews. The interviews were analyzed using qualitative content analysis method. Findings. During the process of data analysis, four themes reflected the experience and dimensions of life in patients after angioplasty, which included “rebirth, another opportunity”, “revising lifestyle”, “deciding to modify lifestyle” and “the use of available social support resources”. Conclusion.The results of this study will enhance our understanding of patients' experiences and this, in turn, can guide health care system to support patient care and planning to promote care and unique counseling programs along with understanding of the real needs of the patients.
Seyyed Moslem Mahdavi-Shahri, Seyyedeh Fatemeh Haghdoost Oskouie, Nooredin Mohammadi,
Volume 2, Issue 4 (3-2014)
Abstract
Abstract Aim.The aim of this study was to review the physical and social environment monitoring of the intensive care unit and examine how it affects the physiological status of the patient and family needs. Background.Knowledge and skill in providing nursing care are the main factors affecting the recovery of patients in the intensive care unit (ICU). While a nurse or nursing unit can possess perfect critical care skills and knowledge, those are not the only factors that influence patient recovery. Including nursing skills in ICU is environmental monitoring and creating a pleasant environment with minimal stress. This monitoring includes control of light, sound, color, landscape, music and social support. Method.This review was conducted by searching electronic databases and hand searching of library resources. Finding articles and research projects was conducted by using keywords on the internet and relevant sites. Findings.Improvement of the environment in which care is provided not only helps in the healing process for patients, but also increases employee satisfaction and families affected. Environmental monitoring reduces stressful factors from ICU to rectify the effects of these wards for patients and also, reduces staff stress. Conclusion.The use of research findings is an important part of improving the quality of care for patients in intensive care units and their families. The ICU setting has the potential to afford patients the best possible opportunity to heal if key stress-reducing elements are incorporated into its physical design. Such elements may reduce noise, offer privacy, add full-spectrum lighting, and assimilate color. As well as considering the physical design, a critical program that integrates the family and other healing measures is essential to the milieu of a healing environment.
Roholla Hemmati, Ehsan Mohammadi, Ebrahim Salimi,
Volume 5, Issue 3 (12-2016)
Abstract
Abstract
Aim. This study aimed to review indications, benefits, limitations and procedure of continuous ST segment monitoring in critical care unites.
Background. Although the 12-lead electrocardiography is a standard and reliable tool to detecti ischemia in Acute Coronary Syndrome (ACS) patients, but it provides only a static snapshot. The American Heart Association (AHA) and American Association of Critical Care Nurses (AACCN) practice standards for ECG monitoring recommend continuous ischemia monitoring for all patients at risk of myocardial ischemia.
Method. This was a review study. International databases such as Proquest, CINAHL, PubMed, Scopus and one national database (SID) were searched out using the keywords; ST-segment Monitoring, Cardiac Monitoring and Acute Coronary Syndrome to find out materials published between years 2000 and 2015. About 189 citations were evaluated, out of which 15 citations were recruited in the final review.
Findings. Although continuous monitoring of ST segment has been introduced many years, but this technology is not widely used.Continuous monitoring of ST segment provides a frequent and dynamic assessment of changes associated with ischemia.Continuous ST segment monitoring as an effective method can be used to provide continuous and dynamic snapshot of ischemia, to evaluate response to reperfusion and anticoagulant therapy and also, can be used for prognostic or research purposes.
Conclusion. Despite some limitations, the use of continuous ST segment monitoring is recommended for patients with ACS, besides routine assessment.
Hosein Feizi, Hiwa Mohammadi, Ahmadreza Yazdannik, Mohsen Mir Mohammad Sadeghi, Pariya Zamani,
Volume 5, Issue 3 (12-2016)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of incentive spirometry and deep breathing exercises on arterial blood gas parameters after coronary artery bypass graft (CABG) surgery.
Background. After CABG, pulmonary complications and oxygenation disorders are common and play an important role in post-operative mortality and morbidity. The different methods are being used for improvement of pulmonary function and oxygenation after CABG.
Method. In this clinical trial study, 75 patients who were candidate for CABG surgery were recruited and randomly allocated to two intervention groups (incentive spirometry group and deep breathing exercise group) and control group. The groups were compared in terms of arterial blood gas parameters (PaO2, PaCO2 and SaO2) before surgery, and on the first day, the second day, and the third day after surgery.
Findings. The study findings showed that in the third postoperative day, there was a statistically significant difference between intervention groups and control group in terms of the mean of arterial blood gas parameters (PaO2, PaCO2 and SaO2).
Conclusion. Incentive spirometry and deep breathing exercise are both significantly effective on improvement of arterial blood gas parameters (PaO2, PaCO2 and SaO2).
Issa Mohammadi, Sheida Sodagar, Biyuk Tajeri, Akbar Atadokht, Maryam Bahrami Heidaji,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to compare the effect of mentalization-based therapy and supportive psychotherapy on object relations in people with coronary heart disease.
Background. Cardiovascular diseases are the main cause of disability and death in different countries of the world and despite the development of various treatments, it is still highly prevalent.
Method. This experimental study was conducted in the form of the pretest-posttest design with control group and follow-up stage. The statistical population consisted of all people with coronary heart disease who referred to Imam Khomeini Hospital in Ardabil during 2018. Of this statistical population, 60 people were selected through purposive sampling and according to inclusion criteria, and were randomly assigned to two experimental groups and one control group (20 people in each group). Finally, 55 people remained until the end of interventions and evaluations. The first experimental group received 12 sessions of mentalization-based therapy, the second experimental group received 10 sessions of supportive psychotherapy, while the control group did not receive any intervention. Bell Object Relations Questionnaire was used for data collection in three stages of pre-test, post-test and follow-up. Data were analyzed using repeated measures analysis of variance and LSD post-hoc test using SPSS statistical software (version 22).
Findings. After controlling the pre-test effects, a statistically significant difference was found between the post-test mean scores of the experimental groups (mentalization -based therapy: F=19.69, P≤0.0001; and supportive psychotherapy: F=28.86, P≤0.0001) and the control group (F=0.87, P<0.43) in terms of object relations and its components. Also, the effect of supportive psychotherapy on object relations of patients with coronary heart disease was higher than that of mentalization -based therapy (P<0.01).
Conclusion. The results of the present study provides the basis for using these interventions in people with coronary heart disease.
Golriz Mohammadi, Ahmad Karbalaei Mohammad Migooni, Saied Malihialzakerini, Maryam Kalhornia Golkar,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The present study aimed to compare the effect of schema therapy and dialectical behavior therapy on lifestyle of women with coronary artery heart disease.
Background. Given that an unhealthy lifestyle is one of the main determinants of early onset of coronary heart disease in adulthood and its resulting mortality, the need for therapeutic interventions in this group of patients seems necessary.
Method. This experimental study (pre-test-post-test with control group and follow-up) was conducted on women with coronary heart disease in Tehran in 2019-2020. A total of 45 female patients were selected by available sampling method and randomly allocated to two experimental group and one control group (15 people in each group). Experimental and control groups were assessed during the pre-test, post-test and one-month follow-up stages by Lali et al. (2012) lifestyle questionnaire. Eight sessions of group schema therapy (for one experimental group) and eight sessions of group dialectical behavior therapy (for another experimental group) were held (two sessions per week for 4 weeks). The data were analyzed using repeated measures analysis of variance in SPSS V.23.
Findings. Both interventions were effective in promoting lifestyle in women with coronary heart disease (p≤0.0001). Also, group dialectical behavior therapy had a greater effect on lifestyle promotion in women with coronary heart disease compared with group schema therapy (p≤0.0001).
Conclusion. Training of the use of group dialectical behavior therapy is recommended as an effective intervention method for improving lifestyle of women with coronary heart disease.
Mahin Roohani, Omid Omid Aghazadeh Godello, Mohammadreza Dinmohammadi, Asma Ghorbani, Seyede Fatemeh Gheiasi,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. This study aimed to investigate the effect of individual and group self-care training on self-care behaviors and readmission in patients with heart failure.
Background. Teaching patients with heart failure plays an important role in achieving favorable treatment outcome, management of disease complications and reduction in readmission.
Method. This semi-experimental study was conducted with a pre-test post-test design with a control group and follow-up on 75 patients with heart failure. In individual education group, educational intervention was done individually and in another experimental group, it was done in groups of 3-5 people in two sessions. In control group, routine training was delivered. Self-care behaviors were evaluated using the European Heart Failure Self-care Behavior Scale (EHFScBs) at the beginning, and 30 and 90 days after discharge. The frequency of readmission was evaluated 30, 60 and 90 days after discharge. Data analysis was done in SPSS version 21 using Chi-square and Kruskal-Wallis statistical tests.
Findings. Self-care behaviors in 30 and 90 days after the intervention showed a statistically significant difference between experimental and control groups (p=0.002 and p=0.027, respectively). Regarding the frequency of readmission, at the end of 30, 60 and 90 days after discharge, there was no statistically significant difference between groups.
Conclusion. Providing educational intervention (in individual and group forms) is recommended to improve self-care behaviors in patients with heart failure. The effect of these educational interventions on the frequency of readmission was not significant; therefore, it is suggested to conduct future studies with more samples and in a longer period of time.
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