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Showing 3 results for Shabani
Meysam Shabani, Masoumeh Zakerimoghadam,
Volume 4, Issue 2 (9-2015)
Abstract
Aim. The aim of this study was to review studies about the cause and development of cardiovascular diseases among people with depression.
Background. Cardiovascular disease and depression are common and the research have shown the comorbidity of these two disorders.
Method. In this review study, different databases such as Google Scholar, PubMed, Springer, AHA journal, Biomed, Scope med, Elsevier, and WHO webpage were searched out by Persian and English forms of keywords like “depression and cardiovascular diseases”, “depression and endothelial system”, “depression and autonomic system”, “depression and inflammatory-immune system”, “depression and platelet activation”, “depression and hypothalamic-pituitary-adrenal (HPA) axis” and “depression in prenatal period”.
Findings. Suggested mechanisms of developing cardiovascular diseases by depression include dysfunction of hypothalamic-pituitary-adrenal axis, inflammatory-immune system, autonomic system, platelet activity, endothelial system and habit pattern changes (metabolic syndrome) and depression in prenatal period.
Conclusion. Findings show that HPA axis dysfunction provides the situation for autonomic system dysfunction. Forming of atheroma and thrombosis are faster in platelet dysfunction, endothelial system dysfunction and inflammatory-immune system dysfunction than the other destructive ways. On the other hand, as depression can cause inflammatory-immune system dysfunction, the process of endothelial system dysfunction can cause this too. No finding has been found about the relationship between severity of depression and development of cardiovascular diseases.
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.
Elnaz Pazoki, Fidan Shabani, Marzieh Mirtajaddini, Samira Chaibakhsh, Maryam Moradian, Hamideh Yousefi Mavi, Kambiz Mozaffari,
Volume 14, Issue 1 (3-2025)
Abstract
Abstract
Aim. This study aimed to investigate the relationship of physical activity and sleep quality in patients with heart failure at Rajaie Cardiovascular Medical and Research Institute.
Background. Sleep disorders are among the most common and distressing problems in patients with heart failure, leading to a reduced quality of life and exerting a substantial negative impact on their daily activities and overall well-being. Furthermore, disability and activity intolerance are highly prevalent in heart failure, resulting in chronic fatigue and profound alterations in patient’s lifestyle.
Method. In this descriptive-correlational study, 125 eligible patients attending the heart failure clinic of Rajaie Cardiovascular Medical and Research Institute were selected using consecutive sampling. Data were collected using three questionnaires: a demographic questionnaire, the Pittsburgh Sleep Quality Index (PSQI), and the International Physical Activity Questionnaire (IPAQ). Data were analyzed in SPSS using the Chi-square test and the Chi-square test for trend.
Findings. Overall, sleep quality was poor in 53.6 percent of patients and good in 46.4 percent. No statistically significant relationship was found between sleep quality and demographic variables. Regarding physical activity levels during the previous week, 47.2 percent of patients had light activity, 20.0 percent had moderate activity, and 32.8 percent had vigorous activity. Although no significant relationship was observed between physical activity levels and demographic variables, a significant association was noted between rheumatologic disorders and physical activity levels (P=0.011). Ultimately, no statistically significant relationship was found between physical activity levels and sleep quality in these patients. A significant relationship was found only between the subjective sleep quality subscale and physical activity levels, indicating that increased physical activity was associated with improved subjective sleep quality (P=0.024).
Conclusion. Sleep quality was poor in the majority of patients with heart failure, and their physical activity level was predominantly light. Overall, no significant relationship was detected between sleep quality and physical activity levels in this population. These findings can help healthcare professionals incorporate targeted strategies into care plans to address physical activity and improve sleep quality among heart failure patients.
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