|
|
|
 |
Search published articles |
 |
|
Showing 4 results for Rezaei
Zhra Yousefi, Kobra Rahzani, Korosh Rezaei, Kianoosh Hoseini,
Volume 4, Issue 3 (12-2015)
Abstract
Aim. This study was conducted to examine the effect of deep and slow breathing on pain and pain outcomes during arterial sheath removal after undergoing coronary angioplasty.
Background. During the last 30 years, coronary angioplasty has been the most common method for management of coronary artery stenosis. Lack of control or treatment of the pain caused by arterial sheath removal may have some consequences, most notably increased heart rate and blood pressure in patients.
Method. This is a clinical trial study conducted on 60 patients undergoing coronary angioplasty, hospitalized between April and August 2015 in the catheterization laboratory of Shariati hospital, Tehran, Iran. Patients were divided into two groups using random number table. The intervention was slow, deep breathing techniques by inhale and exhale ratio of 4 to 6. Data were analyzed using SPSS.
Findings. Immediately and 5 minutes after sheath removal, the average pain score in the intervention group was significantly lower rather than control group (P<0.05). There was no statistically significant difference between groups in terms of blood pressure and heart rate average. The average number of vasovagal attack was significantly different between the groups. The average number of vascular complications was not significantly different between intervention and control group.
Conclusion. The use of slow and deep breathing and relaxation technique is effective on pain management and the incidence of vasovagal attacks after arterial sheath removal, and can be used as an easy and safe method to decrease patients’ discontent caused by pain.
Mahin Nomali, Kian Alipasandi, Ramin Mohammadrezaei, Masumeh Zakerimoghadam,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. The aim of this literature review was to investigate the effect of self-monitoring program on outcomes of heart failure (HF).
Background. Heart Failure is a chronic and progressive disease with an increasing prevalence. Self-monitoring program may help to recognize decompensated HF symptoms and taking proper and early action. However, its potential for improvement of HF outcomes has remained unknown.
Method. In this narrative review, databases such as PubMed, Scopus, Web of science, Embase, and Cochrane library was used for data collection. Searching out was conducted on 27 Feb, 2017 for published articles between 1961- 2017 by the keywords "self-monitoring", "heart failure", "outcome", and their English synonyms without language limitation. Inclusion criteria were content similarity to subject under study, clinical trial study design, and self-monitoring of weight and recording it in a diary by patient with HF.
Findings. Out of 13924 retrieved articles, titles and abstracts of 8384 papers were screened for inclusion criteria. Full- text of 20 related paper were downloaded. Finally, data related to 12 papers published between 1998 to 2014 were reviewed. Outcomes of self-monitoring program included HF- related hospitalization and Emergency Department (ED) visit, mortality, self-care, quality of life and other outcomes such as disease knowledge, phone call to health care provider, Ejection Fraction (EF), HF NYHA function class, Brain Natriuretic Peptide (BNP), and care cost.
Conclusion. Self-monitoring program has led to improve in HF outcomes. Therefore, giving weight and other symptoms self-monitoring diary beside self-care education will be recommended in order to increase patient’s engagement in his/her care.
Marzieh Rezaei, Shahrzad Ghiasvandian, Masoumeh Zakeri Moghadam,
Volume 7, Issue 1 (6-2018)
Abstract
Abstract
Aim. This study aimed to compare physicians’ and nurses' perceptions of futile care.
Background. Futile medical care is the provision of medical care or treatment to a patient when there is no reasonable hope or chance of a benefit. Determination of perceptions of futility is crucial to reduction of situations leading to futility and end-of-life decision-makings.
Method. The present study is a descriptive-comparative cross-sectional study in which 114 nurses and 57 physicians working in intensive care units of selective teaching hospitals of Shiraz University of Medical Sciences were recruited by convenience sampling method based on the inclusion criteria. The data collection instrument was a researcher-made questionnaire of futile care perception whose validity and reliability was assessed by experts, test-retest and Cronbach's Alpha methods. The Data were analyzed using descriptive and analytical statistics in SPSS software version 16.
Findings. The mean score of physicians’ and nurses’ perceptions of futile care was 77.29±13.79. The mean score of nurses’ perception was 78.46±14.4, turned out to be higher than that of physicians (74.91±12.3). The highest level of consistency between the two groups was related to the item "ineffective communication" and “disregarding the members in the decision-making process by the ICU attending physician”. As for "stressfulness of futile medical care", nurses experienced higher stress levels and there was a statistically significant difference between the two groups in this regard.
Conclusion. The agreement on the most important factors affecting the perception of futility indicates consistency between physicians’ and nurses’ perceptions of futile care. The high perception scores in both groups, and the stressful nature of futile medical care require necessary training mechanisms needed to deal with such situations.
Mohammad Javad Alamzadeh Ansari, Fidan Shabani, Mahmood Sheikh Fathollahi, Maryam Rezaei,
Volume 10, Issue 1 (3-2021)
Abstract
ABSTRACT
Aim. The aim of this study was to investigate the effect of education by Teach Back method and group education on self-efficacy of patients with myocardial infarction.
Background. Cardiovascular diseases are among the leading causes of death worldwide. Effective education of patients requires the use of educational methods whose effectiveness have been identified.
Methods. The present study was a clinical trial conducted at Rajaie Cardiovascular Medical and Research Center in Tehran during 2020 and 2021. Sampling was performed continuously until 105 people were completed. Patients were randomly divided into three groups of 35, including group (Teach Back, group training, and Control), based on blocking randomization (size=6). The training sessions were conducted in two one hour sessions for two consecutive days. The control group received routine ward training. Data were collected using demographic information form and Sullivan Cardiac Self-Efficacy Questionnaire that completed before training by patients and two weeks after training by telephone by the researcher. Finally, data on 93 patients admitted to cardiac care unit were analyzed using SPSS software version 24.
Findings. Groups were homogenous in terms of demographic characteristics and disease history. The mean and standard deviation of self-efficacy score before training was 8.03±1.84 in teach back group, 7.58±2.16 in the group training and 6.90±1.40 in the control group. One-way analysis of variance showed that the mean score of self-efficacy before the intervention in the study groups was not statistically different, but two weeks after training, the mean and standard deviation of self-efficacy score was 51.6±7.85 in the teach back training, 45.77±8.39 in the group training group, and 23.16±9.13 in the control group. Increase in self-efficacy mean score in patients under teach back training was significantly higher than patients under group training and control group (P≤0.0001), and in patients under group training was significantly higher than patients in control group (P≤0.0001).
Conclusion. Teach Back training and group training increase the self-efficacy of patients with myocardial infarction. Due to the role of nurses in patient education, this educational methods can be used.
|
|
