|
|
|
 |
Search published articles |
 |
|
Showing 101 results for : Applicable
Rasool Farasatkish, Nasrin Shokrollahi, Hossein Zahednezhad,
Volume 4, Issue 3 (12-2015)
Abstract
Aim. The aim of this study was to evaluate the ethical sensitivity and its relationship with demographic characteristics in critical care nurses of Shahid Rajaee Heart Center in Tehran.
Background. Nurses are the largest group of service providers in the health care system, and must be aware of and sensitive to ethical issues related to their profession. Ethical sensitivity is the basis of ethics in nursing enabling nurses to take care of their patients effectively and ethically.
Method. In this descriptive-analytical study, 181 nurses working in the intensive care units of Shahid Rajaee Heart Center hospital were randomly selected. Data were collected through demographic questionnaire and standard questionnaire of the nurses’ moral sensitivity. Moral sensitivity has six aspects: respecting the patient independence, awareness of how to communicate with patients, professional knowledge, experiencing the ethical problems, using moral concepts in decision-making ethics, integrity and benevolence. The data were analyzed based on SPSS version 19, using descriptive and inferential statistics.
Findings. The mean score of nurses’ ethical sensitivity was 70.85±7.73 with the highest scores in the domain knowledge of how to communicate with patients and the lowest score was related to the domain the level of professional knowledge. Among the demographic variables, there was a statistically significant correlation of age, average weekly work hours, and years of working with ethically sensitive nurses; with the increase of age and experience, the moral sensitivity was also increased, while the ethical sensitivity decreased as a result of the increase of average weekly work hours.
Conclusion. Considering that moral sensitivity in this study was moderate, it is recommended that nurse managers standardize the weekly working hours of the nurses in intensive care units in order to increase the ethical sensitivity in nurses.
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.
Mahin Nomali, Dr Zahra Abbasi Dolatabadi, Dr Esmael Shariat,
Volume 4, Issue 4 (3-2016)
Abstract
Abstract Aim.The aim of this literature review was to study medical staff knowledge about cardiopulmonary resuscitation for pregnant women. Background.Cardiopulmonary resuscitation (CPR) in pregnancy is a rare event. Although rare, CPR during pregnancy is very important, because saves the life of the mother and fetus. Knowledge of medical staff and their formal training on CPR in pregnancy are such factors affecting the maternal and fetal outcomes. Knowing the state of medical staff knowledge in this area will help recognize the existing gaps and plan for improvement. Method.In this narrative review, databases such as Medline, Science direct, Ovid, Scopus, SID, Magiran and Barakat Knowledge Network System was used to data collection. Articles published between 2000-2016, were searched out by the keywords "cardiopulmonary resuscitation","pregnancy", "knowledge","medical Staff", both inPersian and English. Inclusion criteria was content similarity to subject under study. Findings. Out of 20 retrieved papers, 4 cross- sectional analytical articles published between 2008-2012 was selected and reviewed for describing the state of medical staff knowledge on CPR in pregnancy. The knowledge of medical staff was in poor level in different areas such as proper pregnant patient positioning during CPR, sequence of bag- mask ventilation and intubation, defibrillation (application during pregnancy, paddle placement location, energy and considerations), the use of drugs and therapeutic doses and cesarean section in within 4-5 minutes following CPR failure. Conclusion.The knowledge of medical staff about CPR in pregnancy is poor. Establishing continuous educational course to improve their knowledge is recommended.
Tahereh Najafi-Ghezeljeh, Kazem Akhondzadeh,
Volume 4, Issue 4 (3-2016)
Abstract
Abstract Aim. The aim of this paper is to review studies related to sodium restriction and adherence to this restriction in patients with heart failure. Background. In the last decade, there has been a dramatic increase in the prevalence and incidence of chronic heart failure. Non-pharmacological and non-surgical therapies in the management of chronic heart failure play an important role, and low sodium intake, by reducing fluid retention, improves symptoms and prevents worsening of the disease, but adherence to nutritional regimes is often less than adherence to medications. Method. We reviewed studies published over the recent 15 years regarding sodium restriction in patients with heart failure. These were searched out through scientific databases, including PubMed and Science Direct by the keywords adherence, chronic heart failure, low-sodium diet, sodium restriction, low salt diet and their Persian equivalents. Findings. In the reviewed studies, sodium intake assay and patient's adherence to sodium restriction were different. Although sodium restriction is known as the basic management of heart failure, butthere are not consensus about its usefulness. It was also found that there is no specific guidelines for sodium restriction in heart failure, and that a small percentage of patients follow sodium restriction. Few studies have been conducted regarding related factors of adherence to the sodium restriction diet in patients with heart failure. Also, non-pharmacological methods including education and counseling have not been successful in improving patients’ adherence. Conclusion. Further research with higher methodological quality, larger sample size and the use of appropriate and accurate approach to measure sodium intake is needed. To achieve a sodium restriction diet is possible, but difficult. Although, there is no consensus on the exact amount of the reduction of daily sodium intake, but seems that reduction in sodium intake can improve symptoms and quality of life in patients with heart failure. Theory-based and family-based interventions may be able to help improving patients’ adherence to sodium restriction diet, although more studies are essential to be conducted.
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.
Zahra Tazakori, Soodabeh Babaee, Mansooreh Karimolahi, Fatemeh Bayat, Leila Mohammad Taghizadeh Kashan,
Volume 5, Issue 1 (6-2016)
Abstract
Abstract
Aim. This study aimed to examine the
effect of damask rose on sleep
quality of patients undergoing angiography admitted to cardiac care unit.
Background. Sleep is one of the basic human
needs and determine the health and recovery. Most patients hospitalized in
cardiac care unit experience some degrees of sleep disorder.
Method. In this double-blind clinical trial,
90 patients were randomly allocated to experimental (n=45) and control (n=45)
group. Data collection instrument consisted of demographic data and St. Mary's
Hospital Sleep Questionnaire (SMHSQ). In experimental group, damask rose
extract was given by oral route, 15 drops every 8 hours. The patients in
control group received placebo by oral route, 15 drops every 8 hours. Data were
collected, before and after intervention and were analyzed in SPSS 16 using descriptive and
inferential statistic.
Findings. Both groups were homogeneous in
terms of demographic characteristics. There was no statistically significant
between groups in terms of sleep quality, but, a statistically significant
difference was found between sleep quality, before and after intervention, in
each group.
Conclusion. A significant difference before and
after treatment in both groups can show that any effort by the nursing staff
even drop placebo may have an effect on sleep quality. Damask rose extract was
not found to have a significant effect on quality of sleep in control group compared
with the control group. It is recommended to replicate the study with longer
duration of intervention and/ or changing the method of damask rose
administration.
Tahereh Najafi-Ghezeljeh, Leila Seifi,
Volume 5, Issue 1 (6-2016)
Abstract
Abstract Aim. The aim of this paper is to review studies related to
fatigue in patients with heart failure. Background. Fatigue is a subjective feeling and a multifactorial
phenomenon in patients with heart failure. Fatigue is an important symptom of
heart failure; however, lack of information exist regarding this phenomenon.
Also, fatigue is considered as a challenge by health care providers and
clinical guidelines have paid less attention to fatigue in these patients. Method. This article reviewed studies published regarding fatigue
in patients with heart failure. The studies were searched out through scientific
databases, including PubMed and Science Direct by the keywords fatigue,
predictors, related factors, heart failure and their Persian equivalents. Findings. The literature review revealed that the prevalence of
fatigue in patients with heart failure is high and different findings have been
reported regarding its severity in these patients. Fatigue and its increasing
trend during the disease progress is related to unsatisfactory quality of life
and clinical outcome. In various studies, multiple factors including the nature
of the illness and psychological factors particularly depression have been
reported as predictors of fatigue and its severity in patients with heart
failure. Few studies were conducted with the aim of evaluating the effect of
non-pharmacological intervention on management of fatigue in these patients. Conclusion. According to the high prevalence of fatigue in patients
with heart failure, it is essential to consider timely interventions by health
care providers, particularly nurses, for reducing it and improving patients’
well-being. Regarding the limitation of studies and importance of reducing
fatigue, it is necessary to conduct further research to evaluate the effect of
non-pharmacological interventions on symptom management (especially fatigue) in
these patients.
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.
Normal
0
false
false
false
EN-US
X-NONE
AR-SA
Somayeh Akhavan, Payam Abbasi,
Volume 5, Issue 2 (9-2016)
Abstract
Abstract
Aim. The aim of this study was to review studies about advantages and disadvantages of transradial and transfemoral coronary angiography. Transradial coronary angiography procedure is newer than transfemoral approach and inadequate knowledge and experience in this area needs to be considered for minimizing possible complications. Background. An increasing trend of cardiovascular diseases is of great importance. Although any different methods have been suggested for diagnosing coronary artery diseases, but coronary angiography remains as the best diagnostic and therapeutic method. Transradial and transfemoral coronary angiography as two approaches for diagnosing coronary artery diaseses have their own advantages and disadvantages. Method. In this review study, various databases such as Google Scholar, PubMed, AHA journal and Elsevier were searched out by Persian and English forms of the keywords “Transradial coronary angiography”, “Transfemoral coronary angiography”, “Nursing care in coronary angiography” and “complications of coronary angiography”. Findings. The findings are presented as follows: Comparison of the advantages and disadvantages of both radial and femoral approach, nursing care in radial angiography procedures and comparing patients’ satisfaction of experiencing radial or femoral angiography. Conclusion. If the preparation and care before, during and after coronary angiography is properly settled and there is trained staff and physicians, it is suggested to use transradial approach for coronary angiography because of its fewer side effects and greater convenience the patients have with.
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.
Masoumeh Zakerimoghadam, Saiedeh Bahrampouri , Zahra Abbasi Dolatabadi,
Volume 5, Issue 4 (3-2017)
Abstract
Abstract
Aim. This literature review investigates the role of ECMO in the management of pulmonary barotrauma in people with decompression sickness (DCS).
Background. As a result of change in the atmospheric pressure in sea depth, divers may experience life threatening conditions such as barotrauma in vital organs including the lungs. Delivering 100% oxygen is the immediate treatment in these situations. A modern technology for oxygen therapy and supporting vital organs in heart and lung failure is extracorporeal membrane oxygenation (ECMO).
Method. This review was conducted by searching out databases UpToDate, Google scholar, Elsevier, SID and Magiran between 1995-2016 by the following keywords: diver, diving, decompression sickness, decompression syndrome, lung injuries, respiratory disorders, pulmonary barotrauma, treatment, and ECMO, and their Persian equivalents.
Findings. Oxygen administration and prevention of severe complications caused by accumulation of nitrogen bubbles in the body is an important treatment in this DCS. Oxygenation by nasal cannula in early stage and hyperbaric oxygenation in sever conditions are common treatments. ECMO can remove nitrogen bubbles of the blood and body and decrease concentration of nitrogen in the blood, and furthermore, improves oxygenation.
Conclusion. To rescue and prevent death in DCS victims, it is required to consider appropriate measures by minimum side effects. To do so, veno-venous ECMO can be a safe technique. The studies conducted in this field are limited; therefore more studies about ECMO usage in DCS must be conducted.
Ali Hosseinsabet,
Volume 5, Issue 4 (3-2017)
Abstract
Abstract
Aim. This review study was conducted to identify perspective of nurses’ role in echocardiography.
Background. Joining nurses to the echocardiography team in 1980s led to advancement and broadcasting of echocardiography. Taking care of the patient is of nurses duties, so preparing the patient before diagnostic modalities such as trans-esophageal echocardiography and stress echocardiography are among their duties. There is an increasing tendency by nurses to have more roles in echocardiography.
Method. This review was conducted by searching out databases PubMed and Scopus by the keywords “nurse”, “echocardiography” and “cardiac ultrasound” and related articles published up to July 2017 were considered.
Findings. Nowadays, nurses perform their roles in the field of echocardiography in critical care wards, outpatient ward and at the time of screening for cardiovascular diseases.
Conclusion. Short courses of echocardiography with focus of point are valid and possible. It provides the possibility of best patients’ care.
Farshid Heidari-Beni, Zohreh Ahmadi-Tameh, Amir Tabatabaee, Esmaeil Mohammadnejad, Ayeshe Haji-Esmaeelpour,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. This study was performed with the aim of determining the effect of peer education on self-efficacy in people with heart failure.
Background. Heart failure is a clinical syndrome which may have negative effects on self-efficacy. Given the positive role of education in improving self-efficacy, probing a suitable educational method to improve the self-efficacy of these patients is important.
Method. In this clinical trial study, 60 people with heart failure were recruited and randomly allocated to experimental (n=30) and control group (n=30). After preparing the peer group, four peer to peer training sessions were conducted during one month. Persian translation the self-efficacy questionnaire was used for data collection, which was completed by both groups, before, just and one month after the intervention. Data were analyzed in SPSS, version 21 and P values less than 0.05 were considered significant.
Findings. No statistically significant difference was observed between groups in overall self-efficacy score before the intervention. The mean score of self-efficacy, immediately after the intervention was 50.3±7.21 and24.9 ±1.7, in the experimental and control group, respectively, and a statistically significant difference was seen between the mean scores of the groups (P≤0001). The mean score of self-efficacy, one month after the intervention was 48.8±1.2 and 23.4±4.6, in the experimental and control group, respectively and paired t-tests showed a statistically significant difference between the mean scores of the groups (P≤0001)
Conclusion. Based on this study, Peer education intervention can be a beneficial educative-supportive approach and enhance the self-efficacy life of heart failure patients. Therefore, using this method is recommended in patients with heart failure patients.
Sahar Keivanloo, Fatemeh Ghonoodi, Fatemeh Bahramnezhad, Elham Navab,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. This review study was conducted to review the relationship between cardiovascular disease and vascular dementia in the elderly.
Background. The aging of the world population has increased dramatically. Chronic diseases related to aging, such as dementia, vascular and cardiovascular disease also have increased as a major health problem with a large impact on community health and family.
Method. The studies published between 2000 and 2017 were searched for in databases and search engines Google scholar, Pumped, Science Direct, Magiran, IranMedex, and SID by the keywords dementia, cardiovascular disease, hypertension, heart failure, cognitive impairment, elderly, older adult, and atrial fibrillation and their Persian meanings.
Findings. The factors such as high blood pressure, coronary artery disease, atrial fibrillation, heart failure and atherosclerosis are considered as the main causes of vascular dementia, especially in the elderly.
Conclusion. In the elderly, cardiovascular disorders, especially those with chronic nature have a considerable effect on cognitive performance impairment and vascular dementia.
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.
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.
Zahrasadat Hoseini,
Volume 6, Issue 2 (9-2017)
Abstract
Abstract
Aim. This review aimed to explore the issue of cardiac arrhythmias in people with subarachnoid hemorrhage.
Background. Intracranial injuries may cause cardiac arrhythmia and structural changes. Between 25-90% of patients with subarachnoid hemorrhage experience cardiac arrhythmia. In case of inappropriate diagnosis, unnecessary workup and treatment may be done.
Method. The studies published between 2000 and 2017 were searched for in databases and search engines Google Scholar, Pumped, Science Direct, Magiran, and SID by the keywords electrocardiogram, arrhythmia, ECG abnormalities, intracranial hemorrhage, subarachnoid hemorrhage and their Persian equals.
Findings. Provoking the autoimmune system by stimulating the hypothalamus and increasing the circulating catecholamines in patients with cerebrovascular bleeding are two significant mechanisms responsible for cardiac arrhythmias and myocardial damage.
Conclusion. The timely diagnosis of electrocardiographic changes in patients with cerebral hemorrhage is one of the effective factors in determining the prognosis and deterioration of clinical status. It seems that taking the exact medical history, recording ECG at the time of patient admission, and diagnosing the cerebral hemorrhage, in particular subarachnoid hemorrhage, are necessary measures in the health care centers.
Shahram Bakhshi-Hajikhajeloo, Sadraddin Sattari,
Volume 6, Issue 3 (12-2017)
Abstract
Abstract
Aim. The aim of this study was to evaluate the effectiveness of the cardiopulmonary cerebral resuscitation (CPCR) workshop for nurses in the clinical atmosphere of critical care wards of Ardabil Social Security Hospital based on Kirkpatrick model.
Background. Evaluating the effectiveness of training courses to determine the extent to which the objectives of the training course are realized is necessary.
Method. In this descriptive survey, accessible population included 65 critical care nurses and nursing managers of the hospital under study out of which 56 people were selected based on stratified random sampling using Morgan-Krejcie sample table. Data were collected using a questionnaire and its validity was confirmed by the views of the experts. The reliability of the questionnaire was 0.99 (Cronbach's alpha). Data were analyzed by descriptive and inferential statistics.
Findings. The mean score of the effectiveness of the CPCR workshop in clinical atmosphere from the perspective of critical care nurses and nurse managers was 3.89 out of 5 in the level of “reaction”. Moreover, the mean score of the effectiveness of “learning” level and “behavior” level were reported 3.97 and 4.02 out of 5, respectively. In the level of the “results” the mean score of the effectiveness was reported as 4.57. The total average of effectiveness of training in CPCR workshop was 4.11 out of 5.
Conclusion. The result of the study showed that CPCR workshop was evaluated as an effective program based on the Kirkpatrick model.
Zeinab Hajaliakbari,
Volume 6, Issue 3 (12-2017)
Abstract
Abstract
Aim. This review study was designed to identify the benefits of cardiac rehabilitation and the factors affecting the participation of cardiac patients in cardiac rehabilitation programs.
Background. Cardiovascular diseases are the main cause of death and hospitalization in developed countries. Given that cardiac rehabilitation is as an important component of care for all patients with acute cardiac events, the knowledge of the benefits of cardiac rehabilitation for the prevention of secondary complications of these conditions may reinforce the patients to participate in cardiac rehabilitation programs.
Method. This study is a review of the papers related to cardiac rehabilitation searched out by databases PubMed, Scopus, Google Scholar and Persian articles published in this subject.
Findings. The evidence has shown that those who have participated in cardiac rehabilitation programs are less likely to experience death and morbidity. In general, cardiac rehabilitation can prevent deaths due to heart disease, reduces the possibility of surgery and angiography and reduces the need for hospitalization. Studies over the last 30 years indicate that participating in cardiac rehabilitation programs improve functional capacity, risk factors, quality of life related to health and reduce cardiovascular mortality.
Conclusion. Cardiac rehabilitation is beneficial for patients with cardiovascular disease. It leads to reduction of mortality and morbidity, need for cardiac surgery, and re-hospitalization, and increases functional capacity, and quality of life.
|
|
