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Showing 3 results for Yousefi
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.
Rasoul Azarfarin, Ziae Totonchi, Zahra Arizavi, Manizheh Yousefi-Moghadam,
Volume 4, Issue 3 (12-2015)
Abstract
Aim. The aim of this study was to evaluate the effect of early mobility on respiratory parameters in patients after open heart surgery.
Background. Post-operative phase of open heart surgery is the most critical period during which many serious and fatal complication can occur. Early mobility can prevent such complications. The role of the critical care nurse is crucial in this regard.
Method. In a randomized clinical trial, 104 patients who were candidate for open heart surgery were randomly assigned to experimental (n=52) and control (n=52) group. Patients in control group received hospital routine treatments. Patients in experimental group were mobilized from the bed in the first, second and third day after surgery. Early mobility included change position, siting on the bed, legs dangling off the bed, sitting in the chair next to the bed, and walking). The effect of early mobilization on respiratory indices was examined. Data were analyzed in SPSS version 18 using independent t-test, Chi-square and one way ANOVA statistical testes.
Findings. There was no statistically significant difference between groups regarding demographic variables and underlying disease. Better lung function and arterial blood gases suitable changes were seen in the experimental group. Inspiratory capacity and arterial oxygen saturation was greater in the experimental than control group.
Conclusion. Early mobility after open heart surgery is a safe and effective intervention and can have a positive effect on the patient's respiratory indices reducing pulmonary complications following surgery.
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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