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Nahid Aghdaii, Zahra-Sadat Navabi, Rasoul Azarfarin,
Volume 4, Issue 2 (9-2015)
Abstract
Aim. The aim of this study was to evaluate the effect of using “Pain Assessment Tool” by nurses on analgesics requirement and patient’s satisfaction after coronary bypass graft surgery.
Background. One of the main duties of caregivers in ICU is relieving patients’ pain. Using "Pain Assessment Tool" may have a positive effect on the choice of analgesics and dosage adjustment with patients’ requirements. More research is still needed.
Method. In a clinical trial, 153 hospitalized patients in the intensive care unit were selected randomly and were divided into two experimental (n=77) and Control group (n=76). The Pain Assessment Tool and pain management for 48 hours were implemented for conscious patients. Routine measures were taken into account for control group and the severity of pain and analgesic injection for experimental group were determined. In both groups, the amount of analgesics administered for pain relief, and patient satisfaction were recorded. Data were analyzed by SPSS version 16.
Findings. The use of Pain Assessment Tool increased the number of recipients of analgesic drugs and reduced their dosage over 48 hours in the experimental group. Also, the satisfaction of pain relief was higher in the experimental group than the control group (p<0.0001).
Conclusion. The findings of this study demonstrate the positive effect of Pain Assessment Tool on pain control, proper use of analgesics, prescribing the proper dose of analgesics based on patients’ pain and satisfaction improvement. The measurement of pain severity using Pain Assessment Tool, before and after analgesics administration is suggested.
Mohammadreza Heidari, Alireza Soltanpour2, Mohsen Naseri, Anooshirvan Kazemnezhad,
Volume 4, Issue 2 (9-2015)
Abstract
Aim. This study was conducted to determine the effect of Lemon Balm (Melissa Officinalis) on depression in patients after coronary artery bypass graft.
Background. Coronary artery bypass grafting (CABG) is the most common operation among patients with coronary artery disease. Many of these patients are faced with depression after cardiac surgery.
Method. In this randomized clinical trial, 80 patients undergoing coronary artery bypass graft were randomly assigned to treatment and placebo groups. Data collection tools included demographic and clinical sheet and the Hospital Anxiety and Depression Scale (HADS). Each patient randomly received either a capsule containing 500 mg lemon balm or a placebo, 3 times a day. After 7 days, depression in both groups was measured and compared. Data analysis was performed using SPSS (version 16).
Findings. After the intervention, herbal balm decreased depression more in intervention group compared with the placebo group (P=0.008).
Conclusion. According to findings , Lemon balm may reduce depression after coronary artery bypass graft.
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.
Dr Tahereh Najafi Ghezeljeh, Dr Hossein Salehzadeh, Dr Forough Rafii,
Volume 5, Issue 1 (6-2016)
Abstract
Aim. This study aimed to
compare the effects of Swedish massage and preferredmusic intervention on
anxiety in patients with chronic heart failure. Background. Anxiety can affect the
comfort and health of patients.One of the goals of nursing care is providing comfort
for patients. Use of complementary therapies including Swedish massage and
preferred music can be effective in improving anxiety. Method. This quasi-experimental
study with pre-test post-test design with control group was conducted in Doctor
Shariati Hospital of Tehran University of Medical Sciences. In this study, in
each group (control, Swedish massage and music intervention), 30 hospitalized
patients with chronic heart failure were recruitedthrough convenience sampling.
Then, patients were allocated to groups by simple randomization. Data were
collected by Spielberger anxiety assessment questionnaire. Swedish massage was
conducted daily for 20 minutes at evening for three consecutive days by using
almond oil. In music group, patient’s' preferred music including two of the
three types of classical, gentle and Iranian traditional music was played for
20 minutes at evening for 3 sequential days by a tape recorder and headphone.
Before and 15 minutes after intervention, patients' anxiety was measured and
compared. Data were analyzed in SPSS version 21 using ANOVA, Paired t test, Fisher’s exact test. Findings. The results showed
that patients' preferred music and Swedish massage significantly reduced
anxiety in patients with chronic heart failure, although Swedish massage
reduced anxiety of patients' with chronic heart failure more than music
intervention (p<0.0001) Conclusion. The findings indicated
that patients who received Swedish massage experienced lower levels of anxiety.
Regarding the importance of anxiety control in patients with heart disease, it
is proposed that Swedish massage can be used in the care of these patients and
it is preferred to the music intervention.
Amirhosein Abdi-Doorbashi, Mitra Zolfaghari, Azam Mahmoudi, Abbas Mehran,
Volume 5, Issue 1 (6-2016)
Abstract
Abstract
Aim. This study
aimed to examine the effect of application of Braden pressure ulcers risk
assessment tool on performance of critical care nurses.
Background. Pressure ulcer
is a common phenomenon in patients admitted to intensive care unit. The
management of pressure ulcers in these patients is a challenging task.
Therefore, pressure ulcer prediction tools are used when dealing with these
patients.
Method. This
quasi-experimental study was conducted in the intensive care units. The study
sample consisted 68 critical care nurses working inintensive care units of
selected hospitals of Tehran University of Medical Sciences in 2013. After
determining the sample size and obtaining permission from theethics committee
of Tehran University of Medical Sciences, the participants were recruited
through convenience sampling based on inclusion criteria. Critical care nurses
of two intensive care units of general hospitals of Tehran University of
Medical Sciences were selected as experimental and control group. In both
groups, after collecting demographic characteristics, their performance in the
management of patients who were at risk for pressure ulcers was evaluated by the
checklist whose validity and reliability was evaluated by the faculty members
of Tehran University of Medical Sciences. The data were analyzed by
descriptive and inferential statistics in SPSS version 19.
Findings. There was no
statistically significant difference between the groups in terms of demographic
characteristics. After the intervention, the mean score of nurses performance
in the experimental group was 66.21±0.47 and that of control group was
62.59±1.31 (p≤0.0001). After intervention, all nurses in the experimental group
had very good performance and nurses in the control group had good performance.
Conclusion. Using the
pressure ulcers risk assessment tool (Braden scale) increases the sensitivity
of critical care nurses to the risk of ulceration in the intensive care unit
patients and forces them to comply with the standard caring measures and
consequently, lead to prevention of bed sores. It is recommended to use this
tool in order to enhance the care management of patients prone to pressure sore.
Nasrin Daliri, Masoumeh Zakeri-Moghadam,
Volume 5, Issue 1 (6-2016)
Abstract
Abstract
Aim. This review examines
cardiovascular diseases as the most common disease of the elderly population,
and discusses about causes and methods of prevention, mitigation and treatment.
Background. Nowadays, with
increased level of health and life expectancy, the phenomenon of elderly and
increase in chronic diseases is a main issue. In modern societies, aging and diseases of this
period of life create a high cost for health care system.
Methods. This review was
conducted by searching out databases such as Google Scholar, Elsevier, PubMed,
PMC, and Springer for the time period of 2008 to 2016.
Findings. In addition to the
impact of aging on the body organs, especially the cardiovascular system, many factors including biological factors,
lifestyle, risk factors for heart disease, underlying disease, psychosocial
factors and personality factors, may influence the acuity of cardiovascular
diseases. During aging, many irreversible changes occurs in all body systems
including cardiovascular system. These changes cause hardness, thickening and
narrowing of the arteries. With the narrowing of the heart arteries and
increased blood pressure, the heart needs to work harder to pump the blood,
resulting in left ventricular hypertrophy. Impaired cell growth and
proliferation of fibrous tissue occurs as a result of the problem in production
of impulse and electrical conductivity of the heart. Increase in volume of the
left ventricle and blood vessel narrowing lead to ischemia of the heart. Early
heart disease with progression to irreversible heart failure results in
disability, exercise intolerance, and taking multiple medications in elderly,
and ultimately, death may occur. By understanding the mechanisms of aging and
cardiovascular disorders and modifying influential factors, the process of
development of cardiovascular disease can be slowed down and the complications
can be prevented.
Conclusion. Aging may lead to
irreversible cardiovascular disease with the ultimate result of chronic heart
failure. Compliance with lifestyle modification may prevent early occurrence of
this phenomenon and some of its complications such as disability and death.
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Mohsen Taghadosi, Leila Ghanbari-Afra, Monireh Ghanbari-Afra, Hamidreza Gilasi, ,
Volume 5, Issue 2 (9-2016)
Abstract
Abstract
Aim. The aim of this study
was to investigate the sexual satisfaction in patients with acute coronary
syndrome.
Background.
Sexual relationship is a multidimensional phenomenon which is affected by many
psychological, individual and social factors. Satisfaction of sexual relationship
leads to the strength of the family.
Method. In
this descriptive-analytical cross-sectional study, 254 patients with acute
coronary syndrome admitted to the coronary angiography ward in Shahid Beheshti
hospital in Kashan, Iran, were recruited by convenience sampling in 2014. Data
collection was done using the demographic and clinical data questionnaire and
Larson's sexual satisfaction questionnaire. Data were analyzed in SPSS version
13 using descriptive and inferential statistics.
Findings.
The mean score of sexual satisfaction was 101.7±15.3. The mean score of sexual
satisfaction for men and women were 104.53±9.8, and 98.94±18.9, respectively
(P=0.04). The results of linear regression showed that the relationship between
sexual satisfaction and gender by taking other confounding variables was statistically
significant (P=0.026). A history of diabetes (p=0.048), smoking (p=0.001) and
hypertension (p=0.001) were affecting this relationship.
Conclusion.
The level of sexual satisfaction in patients with acute coronary syndrome was
high. The satisfaction in men were more than women. Also, a history of
diabetes, hypertension and smoking in patients with acute coronary syndrome
affected sexual satisfaction. Nurses should consider sexual needs of female
patients with acute coronary syndrome, and also, that of acute coronary
syndrome patient with a history of diabetes, hypertension and smoking.
Saghi Ghafourian-Abadi, Farhad Kamrani,
Volume 5, Issue 2 (9-2016)
Abstract
Abstract
Aim.
The present study aimed to examine Critical care
nurses’ participation in clinical decision making with physicians.
Background.
Regarding to the extent of the responsibilities and
scope of nursing science and the need for making accurate and sensitive decisions,
nurses should be able to judge on clinical solemn occasions and make decisions
to save the patient’s life in complex situations.
Method.
In this cross-sectional study, 110 critical care
nurses working in intensive care units of health care centers in Rasht, Iran,
were recruited using census sampling method. The data were collected using the
questionnaire “participation in clinical decision making” (PDAQ) and
demographic form. Data were analyzed in SPSS using descriptive and inferential
statistics.
Findings.
The results showed that the majority of critical
care nurses were being participated in clinical decisionmaking.
Conclusion.
Work experience, marital status, desire to continue
work in intensive care unit, and managerial role contributed to greater
participation of critical care nurses in clinical decision making with
physicians.
Masoumeh Zakeri-Moghadam, Hosein Bahadori Far, Zahra Abbasi, Hamid Haghani,
Volume 5, Issue 2 (9-2016)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of music therapy on ventilation criteria in mechanically ventilated patients in the intensive care unit.
Background. Complications made by mechanical ventilation are so much and considerable. Improvement of ventilation criteria is one of the factors that facilitatesweaning from mechanical ventilation.
Method. This randomized controlled trial was conducted in intensive care units of a teaching hospital affiliated to Iran University of Medical Sciences, Tehran, Iran. Seventy patients were recruited based on inclusion criteria and randomly allocated to experimental (n=35) and control (n=35) groups. For experimental group, relaxing music therapy was played with headphone for 30 minutes, once in the morning and once in the afternoon for one day. For control group, headphone was used without music for 30 minutes, once in the morning and once in the afternoon for one day. In both groups, ventilation criteria of respiratory rate, peak airway pressure and arterial saturation of oxygen (SaO2) were recorded in four intervals. Data analysis was performed in SPSS version 18 using statistical test.
Findings. Comparing of trends of ventilation criteria in experimental group showed that music therapy significantly reduced the mean respiratory rate (p= 0.0001), while in the control group, the mean respiratory rate slightly increased with time. In experimental group, the mean airway pressure reduced significantly within 30 minutes (17.30±3.65) compared with the time zero (19.68±3.64) (p=0.001). In the control group, the mean airway pressure increased slightly. The amount of spo2 did not differ significantly between experimental and control group (P=0.051).
Conclusion. Implementing music therapy in mechanically ventilated patients admitted to intensive care unit can reduce respiratory rate and maximum airway pressure. These could reduce the work of breathing and facilitate weaning the patient from ventilators.
Jaleh Mohammad Aliha, Tahereh Najafi Ghezeljeh, Fatemeh Aghahosseini, Raheleh Rahmani,
Volume 5, Issue 3 (12-2016)
Abstract
Abstract
Aim. This study was conducted to examine the effect of combined inhalation of lavender oil, chamomile and Neroli oil on vital signs of patients with acute coronary syndrome.
Background. Increase in vital signs in patients with acute coronary syndrome worsens the disease and increases anxiety. The use of complementary medicine for better patient outcomes has been usually considered by the nurses due to the low complications and relatively low costs.
Method. This was a single-blinded, randomized clinical trial that carried out at the Emam Sajad Hospital in Shahryar, Tehran, Iran in 2016. After obtaining the approval from the Ethics Committee of Iran University of Medical Sciences, 75 patients aged 20 to 80 years who signed the informed consent were recruited and randomly allocated into three groups (control, placebo, and intervention groups) using block randomization design (25 subjects in each group). In the intervention group, patients were asked to strew 2 drops of the aroma on an eye pad, keep their hands at the distance of 5 cm from their nose and take deep breath 10 times. After this, the pad was placed beside the pillow of the patient until the next morning. In the placebo group, this process was carried out using distilled water and the control group received routine care. The patients’ vital signs were measured before intervention, one hour after and every four hours after intervention until the next morning. Data were analyzed in SPSS, version 22, using chi-square test, t-test and ANOVA.
Findings. Before intervention, there was no statistically significant difference between three groups in terms of demographic characteristics as well as pulse rate, respiratory rate, systolic and diastolic blood pressure. The results showed that the combination of three aromas decreased pulse rate, respiration rate, systolic and diastolic blood pressure in one, four, eight and twelve hours after the intervention in the aromatherapy group compared to the time before the intervention.
Conclusion. The use of aroma as a complementary method in patients with acute coronary syndrome could decrease their pulse rate, respiratory rate, systolic and diastolic blood pressure. Due to the low risk and suitable accessibility to these aromas, the results can be used by nurses in the critical care unit and patient caregivers to improve patients' vital signs.
Tahereh Najafi Ghezeljeh, Hojatollah Sedghian, Fatemeh Mohades Ardabili,
Volume 5, Issue 3 (12-2016)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of Benson relaxation technique on anxiety of critical care nurses.
Background. Anxiety is one of the important factors affecting nursing profession and the quality of care. Some complementary interventions such as Benson relaxation techniques may affects anxiety.
Method. This was an experimental study (pretest-posttest with control group design) in which 63 critical care nurses of Shahid Rajaie Cardiovascular, Medical and Research Center, Tehran in 2015. Stratified samples were selected based on ward and randomly allocated to to experimental and control group. Benson relaxation technique was implemented by experimental group for 20 minutes, twice a day, with at least six hours interval, and for a two weeks period. Data were collected through demographic questionnaire and Spielberger questionnaire. Data were analyzed in SPSS version 21 using Chi-square test, t-test, Fisher's exact test and repeated measures ANOVA.
Findings. In experimental group, the mean and standard deviation of anxiety, before the intervention and one and two weeks after intervention were 42.19±4.85, 43.67±7.55 and 42.12±6.12, respectively. A week after the intervention, the two groups had significant difference in terms of anxiety. The mean score of anxiety in the control group was more than nurses in the intervention group (P=0.011). Also, following application of Benson relaxation, anxiety intensity decreased in the intervention group as compared to baseline. In the control group, the mean score of anxiety increased overtime.
Conclusion. Implementation of Benson relaxation can reduce the anxiety of critical care nurses. This method is proposed as part of the nurses' anxiety reduction programs by managers and officials in medical centers.
Shiva Khaleghparast, Mahnaz Mayel Afshar, Majid Maleki, Nasim Naderi, Behrooz Ghanbari, Hosseini Shirin ,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. The aim of this study was to determine the effect of the implementation of clinical surveillance model on the amount of education provided to cardiac patients.
Background. Clinical supervision is a relationship between nurse and observer that promotes the development of nursing professional skills.
Method. This is a quasi-experimental before-after study without control group. The stratified sampling method was used to recruit 300 patients based on inclusion and exclusion criteria. The researcher used the data-gathering form to record teachings provided to patients by nurses and also, the rate of their registration in the medical record. Clinical surveillance model included planning, monthly meetings with health education volunteers, classified teaching, daily clinical supervision, follow-up, identifying the weaknesses of nurses in providing training to cardiac patients and corrective actions in a regular and continuous basis for one year. After the intervention, teachings provided to patients by nurses and also, the rate of their registration in the medical record were re-evaluated. Data were analyzed using descriptive and inferential statistics in SPSS version 19.
Findings. After intervention, the amount of teaching provided by nurses at the time of admission, during hospitalization and at the time of discharge was significantly increased (P<0.001). The findings also showed that the patients were more satisfied with the received teaching after intervention (P<0.001).
Conclusion. Continuous and regular monitoring has a significant role in the amount of education provided to patients by nurses. It is recommended to plan management and supervisory programs to be implemented for nurses involved in patient education.
Anolin Aslan, Roya Khorami, Jalal Rezaii, Mohammad Godarzi, Zahra Abbasi Dolatabadi,
Volume 6, Issue 2 (9-2017)
Abstract
Abstract
Aim. The purpose of this study is to review new achievements in prevention and treatment of venous thromboembolism (VTE) in orthopedic surgeries.
Background.
Method. This is a comprehensive review of literature published between 1998-2017 about prevention and treatment of VTE in orthopedic surgeries that was conducted through searching scientific databases and search engines Ovid, Science Direct, Medline, Google Scholar, and PubMed using the English and Persian forms of the words Apixaban, Dabigatran, Heparin, orthopedic procedures, venous thromboembolism, and Fondaparinux. In total, 35 English papers and 10 Persian papers were found, out of which 25 papers were included in the review.
Findings. The risk of VTE is increased considerably during orthopedic surgeries. It is associated with important morbidities and also can increase mortality rate. Without prophylaxis, there is a noticeably increased risk of both venous and pulmonary embolism. Choosing a prophylactic pharmacologic agent depends on its efficacy and safety and also, on the presence of comorbidities and patient preferences.
Conclusion. The features of primary preferred primary prophylactic method is easy management safety, effectiveness with limited or no need for laboratory observation, and cost effectiveness. The use of prophylactic anticoagulation in patient undergoing major orthopedic surgeries considerably reduces the risk of VTE, but does not completely exclude it.
Pouya Farokhnezhad Afshar, Parvin Ashkanirad, Sara Hosseini,
Volume 6, Issue 4 (3-2018)
Abstract
Abstract
Aim. This study aimed to evaluate the perceptions of nurses working in intensive care units about obstacles and supportive behaviors of end of life care.
Background. End of life care is an important part of nursing duties in intensive care units. Exploring supportive behaviors of end of life care from the perspective of nurses may lead to better understanding of supportive behaviors and obstacles of end of life care.
Method. This study was a descriptive cross-sectional study in which 160 staff nurses, working in intensive care units in Rajaei Cardiovascular Medical and Research Center, were recruited by random sampling in 2016. Data were collected using demographic form and the questionnaire “National Survey of Critical-Care Nurses Regarding End-of-Life Care” (NSCCNR-EOL) and analyzed in SPSS version 22 software using descriptive statistics.
Findings. The most important obstacle in end-of-life care was "family and friends who continually call the nurse wanting an update on the patient's". In the field of supportive care, "After the patient's death, having support staff compile all the necessary paper work for you" received the highest score.
Conclusion. Based on the findings, in critical care nurses views, appropriate training on end-of-life care and palliative care for staff, educating families about issues of death and dying, and the holistic care of patients and their families improve end-of-life care of dying patients.
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.
Mohsen Ziyaeifard , Ali Sadeghi, Rasool Ferasatkish , Mostafa Fatahi , Majid Basirat, Khadijeh Hashemi,
Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. This study was conducted to evaluate effect of bedside teaching on critical care nurses' performance in airway suctioning
Background. One of the most effective measures in patients undergoing mechanical ventilation is suctioning the trachea to prevent the accumulation of potentially infectious pulmonary secretions and to clear the airway which is carried out by critical care nurses. If suctioning cannot be correctly performed, some complications may occur.
Method. This was a quasi-experimental study in which the study sample consisted of 54 critical care nurses working in Rajaie Cardiovascular Medical and Research Center, Tehran, Iran. The nurses were recruited through convenience sampling based on inclusion criteria. Critical care nurses’ performance in airway suctioning were evaluated before and two weeks after intervention using a checklist. The intervention included bedside teaching of suction procedure.
Findings. Two weeks after intervention, the mean score of performance in airway suctioning increased significantly (P≤0.0001). Hand washing or using hand was recorded only for 16 nurses before intervention and for 35 nurses after intervention. Maintaining catheter sterility during suctioning was considered by 28 nurses before intervention, and by 40 nurses after intervention. Correct procedure documentation and recording secretion characteristics before and after intervention were carried out by 13 and 34 nurses, respectively. While activating suction during bringing the catheter out of endotracheal tube was done by 31 nurses before intervention, after intervention 41 nurses did so.
Conclusion. Bedside teaching of correct airway suctioning for critical care nurses enhance their performance in this procedure.
Mis Shirin Sheikhi, Mis Narges Sadeghi,
Volume 7, Issue 3 (12-2018)
Abstract
Absrtact
Aim. The aim of this study was to determine the relationship between critical care nurses’ occupational stress and their child anxiety in Shahid Rahimi Hospital in Khoramabad City, Iran, in 2017.
Background. Work-family conflict is the source of stress that most people, especially nurses experience and its consequences can also affect family members.
Method. This study is a cross-sectional analytical study in which all critical care nurses (n=150) in Shahid Rahimi Hospital in Khoramabad City, Iran, were recruited using census sampling method and based on inclusion criteria. To collect data, a demographic form, Spence Children’s Anxiety Scale (SCAS)-Parent Version, and Nurses Stress Scale were used. Data analysis was conducted SPSS 19 using descriptive and inferential statistics.
Findings. The average scores of nurses’ stress and child anxiety were 75.61±14.98 and 77.04±11.14, respectively. Pearson Correlation Coefficient showed the relationship between critical care nurses job stress and child anxiety (p=0.008, r=0.214).
Conclusion. Critical care nurses' job stress increases the anxiety of their children. Therefore, providing some programs for reducing nurses’ job stress is recommended.
Shirin Shirali, Zahra Dashtbozorgi,
Volume 7, Issue 4 (3-2019)
Abstract
Abstract
Aim. This study aimed to determine the effect of existential group therapy on distress tolerance, existential anxiety, meta-worry and health worry in elderly women with cardiovascular disease.
Background. Elderly women with cardiovascular disease have major problems in psychological health and one of the intervention methods for reducing psychological problems is existential group therapy.
Method. This study was a semi-experimental study with pre-test and post-test design with control group. In this study, 40 elderly women with cardiovascular disease referred to Mehr hospital of Ahvaz city in 2018, were selected by convenience sampling method and randomly divided into experimental and control group. Experimental group experienced 10 sessions of 60 minutes duration existential group therapy and the control group was placed on the waiting list for training. Research tools were the questionnaires distress tolerance, existential anxiety, meta-worry and health worry. Data were analyzed in SPSS software version 21 with using independent t-tests and multivariate analysis of covariance.
Findings. Before intervention, there was no statistically significant difference between the groups in distress tolerance, existential anxiety, meta-worry and health worry, but after intervention, a statistically significant difference was observed between groups in terms of all four variables (P≤0.0001). In the other words, the method of existential group therapy increased distress tolerance (F=52.158, P≤0.0001), and decreased existential anxiety (F=67.813, P≤0.0001), meta-worry (F=59.766, P≤0.0001) and health worry (F=60.475, P≤0.0001) in elderly women with cardiovascular disease.
Conclusion. The results indicated the effect of existential group therapy on increasing distress tolerance and decreasing existential anxiety, meta-worry and health worry in elderly women with cardiovascular disease. It is recommended that clinical psychologists and therapists use the method of existential group therapy along with other therapeutics methods for improving psychological health of elderly women with cardiovascular disease.
, ,
Volume 7, Issue 4 (3-2019)
Abstract
Abstract
Aim. This review study was conducted to explain the causes of prehospital delay in Iranian people experiencing myocardial infarction.
Background. While rapid diagnosis and treatment of myocardial infarction reduces mortality, improves heart function and most importantly, improves the patient's prognosis, studies show that some people experiencing the symptoms of myocardial infarction return to medical centers with delay.
Method. In this review study, SID database was used to search out articles published from 2001 to 2019. The keywords “acute myocardial infarction” and prehospital delay” was uysed to searching out the articles. Articles with accessible full text were reviewed in this study.
Findings. The review of articles related to the factors of prehospital delay in Iranian people experiencing acute myocardial infarction included expecting spontaneous recovery, attributing the disease to non-cardiovascular causes, unawareness of the symptoms of cardiovascular disease, not paying attention to the symptoms of the disease and taking medication arbitrarily, having an underlying disease such as diabetes, low level of pain in the onset, sex, old age, low education, low income, place of residence, insignificance of pain, being alone at the time of acute myocardial infarction, onset of symptoms from midnight to early morning, negative history of heart disease, and the gradual onset of symptoms.
Conclusion. The results of this review showed that the most important factors in prehospital delay of Iranian people experiencing myocardial infarction individual factors and misunderstanding of the disease. Health care team should work to improve public awareness of the signs and symptoms of cardiovascular disease.
Ali Hosseinzadeh, Mahnaz Varedi Kolahi, Esmaeil Mohammadnejad, Rasool Raznahan,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The present study aimed to determine the quality of end-of-life nursing care in the intensive care unit from the perspective of critical care nurses.
Background. Assessing the quality of nursing care is one of the most important strategies for nurse mangers to improve nursing care services and achieve high-quality nursing practice; it is crucial to assess this index on a regular basis.
Method. In this descriptive cross sectional-study, data were collected using modified quality of nursing care questionnaire. The questionnaire was adopted from the standardized Quality Patient Care Scale in psychosocial, physical, and communication dimensions. A convenient sampling method was used to recruit 191 registered nurses participated in the study within a 2-month period. The data were analyzed SPSS version 20 using descriptive and inferential statistics.
Findings. The mean score for quality of end-of-life nursing care was 83.62±8.62 in the psychosocial dimension, 85.36±7.74 in the communication dimension, and 92.23±10.88 in the physical dimension. Quality was reported to be favorable in the psychosocial dimension (62 percent), communication (50.3 percent) and physical dimension (81.7 percent), respectively. There was a statistically significant relationship between the quality of end-of-life nursing care and passing educational course.
Conclusion. The quality of end-of-life nursing care was good from the perspective of critical care nurses, but it was not as good as expected in some dimensions. The psychosocial aspect of end-of-life nursing care needs to be improved. Taking measures and planning educational programs to improve the appropriate therapeutic relationship between the nurse and the patient and paying attention to the psychological and social needs of patients as much as possible can be an effective step in improving the quality of end-of-life care.
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