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Showing 10 results for Peyrovi
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.
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.
Nayerreh Raiesdana, Hamid Peyrovi, Neda Mehrdad,
Volume 2, Issue 3 (12-2013)
Abstract
Abstract Aim.The aim of this study was to describe and interpret the life experience with heart transplantation. Part of the findings was about spiritual development of heart transplant recipients which is reported in this article. Background.Heart transplantation is one the recent medical innovations that leads to increase in recipients’ life expectancy and quality of life however, these people will face some problems and need to have supported resources. Method.This study was a qualitative study with phenomenology approach. Participants were 11 heart transplant recipients in Iran.The data was collected through semi-structured interview and analyzed with Dickelmann, Allen and Tanner method. Findings.One of the main concepts of this study was approaching to God including "trust to God", "belief in destiny", "further belief in God", and "restricted religious rituals" which indicates the spiritual development. Conclusion.Heart transplant recipients experience high level of spiritual and religious status which help them to overcome hopelessness, unpredicted problems and heart transplant consequences by trusting God.
Masoomeh Imanipour, Hamid Peyrovi,
Volume 2, Issue 4 (3-2014)
Abstract
Abstract Aim.The purpose of this study was to evaluate nursing students’ skills in cardiopulmonary resuscitation (CPR) in their critical care master course. Background.CPR is a common procedure in intensive care settings and the nurses have an important role in this regard. To consider the aim of training critical care nursing students, and increasing quality of care in intensive care settings, the evaluation of students’ skills in CPR is essential to determine defects and plan for improvement. Method. In this descriptive study, nursing students’ performance was evaluated at the end of educational period of their critical care course using objective structured clinical examination (OSCE). The OSCE included five core skills in CPR: airway management, arterial blood gas (ABG) interpretation, basic life support, electrocardiography (ECG) interpretation and assessment of the level of consciousness. Findings. The study population consisted of 17 nursing students in the 4th semester of their critical care master course. The results showed the majority of students (64.7%) had moderate performance to do CPR skills. The best performance was related to assessment of the level of consciousness (52.9%). Basic life support (41.2%), airway management (35.3%) and ECG interpretation (11.8%) ranked as the next best skills, respectively. The worse performance was related to ABG interpretation with 0% pass score. Conclusion. According to the findings, the performance of the nursing students in CPR is moderate, globally and cognitive skills are lower than psychomotor skills. Problem-based educational strategies and encouragement of active thinking are suggested for improving cognitive skills and more practice to improve all competencies up to desirable level.
Zahra Hosseini, Hamid Peyrovi, Mahmud-Reza Gohari, Aliya Saberi,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract
Aim. The study was conducted to examine the effect of passive range of motion exercises on motor function of patients in acute phase of stroke.
Background. Stroke is one of the most common cerebrovascular disorders. Continuous repetitive exercises in the first six month of stroke may restore significant part of sensory-motor function.
Method. In a randomized controlled trial, the patients with moderate or sever ischemic stroke who experienced hemiparesis or hemiplegia were recruited. Motor function level of defected limb was assessed based on “modified ashworth scale” and motor strength scoring tool. Patients in experimental group (n=37) received passive range of motion exercises, within the 48h of onset of stroke, 6-8 times with 30-45 minutes duration. Patients in control group (n=24) received conventional care. The groups were compared one month after intervention. Findings. The most recovery was found in upper extremity strength after first month (3.45) relative to basic assessment (2.36). In experimental group, motor strength of upper and lower extremity improved, one month after intervention (P<0.0001). The results showed recovery in motor strength just in upper extremity of control group, after one month (P=0.012). Intervention had no effect on muscle tone. Conclusion. According to more positive changes in motor function of experimental group after one month, it is suggested to apply the intervention for this group of patients.
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.
Hamid Peyrovi, Mona Alinejad-Naeini, Ahmad Amin,
Volume 4, Issue 3 (12-2015)
Abstract
Aim. The aim of this review was to introduce cardiac cachexia for health care team, especially nurses. Acquaintance of health care providers with cardiac cachexia may lead them to pay more attention to this phenomenon when taking care of heart failure patients with cardiac cachexia.
Background. Heart failure is a systemic condition starting with heart dysfunction followed by dysfunction of most body organs including cardiovascular, musculoskeletal, renal, neuroendocrine, immune, haemostatic, and inflammatory systems. Heart failure is already considered as a multisystem disease which can lead to such morbidities as anemia, insulin resistance, autonomic nervous system imbalance, and cardiac cachexia. Despite the importance of cachexia phenomenon in people with heart failure, it seems that it is not sufficiently considered by health care providers in the treatment and care program.
Method. In this paper, a review was conducted on the studies published between 1999-2016 about cardiac cachexia. The studies were searched out through scientific databases, including PubMed and Science Direct by the keywords heart failure and cachexia. The search resulted in 493 papers out of which 41 paper were considered in this review.
Findings. In the last two decades, many attempts have been made to determine a unified definition of the cachexia. An anabolic/ catabolic imbalance with the dominance of catabolism which is the result of a combination of immunologic, metabolic, and neuroendocrine processes has been considered as pathophysiology of cardiac cachexia. In the early period after development of chronic heart failure, most of these processes are activated to protect heart and circulatory system from damage and also, to compensate for decreased cardiac muscle performance. Mechanisms of cachexia development are multiple, and it is necessary for treatment to consider several mechanisms simultaneously. Therapeutic management is based on prevention, exercise, nutrition, and drugs.
Conclusion. Cardiac cachexia as a complication of chronic heart failure has adverse effects on patients’ quality of life and outcomes. The success of strategies for prevention or treatment of cardiac cachexia greatly depends on patients adherence to therapeutic regimen; multidimensional nature of strategies makes it necessary to be implemented in a comprehensive and right way.
Hamid Peyrovi,
Volume 7, Issue 4 (3-2019)
Abstract
Abstract
Aim. This study was conducted to investigate palliative care in people with heart failure.
Background. Heart failure as a syndrome of cardiac dysfunction has a variety of pathophysiology. Progress in knowledge related to heart failure has led to improvement in survival, but the incidence and prevalence of the syndrome is incremental. Cure of the disease is rarely possible and as a chronic disease it can significantly affect the patient, family and health care system. Providing care for patients with heart failure is a complex phenomenon and as the disease progresses to the late stages, palliative care takes a larger part of the caring.
Method. In this review study, scientific databases and search engines such as SID, Scopus, PubMed, and Web of Science were searched for to find articles published from the beginning of 2000 to 2017. The keywords used for the search included heart failure, palliative care and their Persian equivalent. Papers in Persian and English that were available on the common theme of heart failure and palliative care were reviewed.
Findings. A total of 36 English and one Persian article were reviewed. The definitions of palliative care, views on palliative care, palliative care drugs, types of palliative care providers, palliative care models, palliative care delivery to family caregivers, and the future of palliative care were the topics covered in the reviewed articles.
Conclusion. Palliative care for people with heart failure should be considered in line with the treatment plan of these patients. Special attention should be payed to development of specialty palliative care and long-term planning for primary palliative care
Fatemeh Aryani, Marhamat Farahaninia, Hamd Peyrovi, Mahbobeh Rasooli,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to determine the relationship of family members’ health literacy and performance in face of myocardial infarction.
Background. Myocardial infarction is one of the most important causes of death and disability in developed and developing countries. Proper performance of patients' attendance in early hours of myocardial infarction event plays an important role in reducing mortality and morbidity. Health literacy is also known as one of the major determinants of understanding information about health.
Method. In this descriptive-correlational study, 286 family members of patients experiencing myocardial infarction that witnessed the vent were recruited in the study by convenience sampling method and based on inclusion criteria of reading and writing literacy and age over 18 years old. Data were collected using a demographic form, Iranian adult health literacy questionnaire (HELIA) and the questionnaire performance during myocardial infarction. Data were analyzed in SPSS version 22 using descriptive statistics (frequency distribution, mean, standard deviation) and inferential statistics (mean comparison, correlation and regression tests).
Findings. Health literacy mean score (61.49±21.05) showed an adequate level. “Assessment skills” and “decision making and application of health information” had, respectively, the lowest (52.68±25.30) and the highest (68.07±19.87) mean score among health literacy dimensions. There was a statistically significant relationship of health literacy with age, education and medical profession in the family (P≤0.0001). Only 17.98 percent of the participants had a good level of performance (Scores 6.8 to 10). The history of myocardial infarction in patient and the duration of the patient transition from the onset of pain to arrival to the hospital showed a statistically significant relationship with performance, meaning that family members of patients with a history of myocardial infarction were able to transfer their patient to the hospital in less than half an hour (P≤0.0001). A statistically significant relationship was found between health literacy and performance; those with higher level of health literacy had better performance. Of the health literacy domains, only understanding had a significant relationship with performance (P=0.004).
Conclusion. Although the mean score of health literacy was adequate, the participants hadn't good performance. Therefore, improving the performance of community and family members by health service providers including nurses, mass media, practitioners, and health promotion planners for educational interventions is recommended. Proper planning to increase specific health literacy can prevent adverse outcomes in this area.
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.
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