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Showing 14 results for Acute Coronary Syndrome
Shabnam Zafari, Behshid Ghadrdoost, Zahra Hanifi, Shiva Khaleghparast-Athari,
Volume 1, Issue 1 (6-2012)
Abstract
Aim The aim of this study was to evaluate the effect of face-to-face education on knowledge, attitude, and believes of acute coronary syndrome patients about heart disease and their reaction to symptoms. Background Coronary artery disease is known as an important health issue. Mortality results from myocardial infarction are highly dependent on time interval between symptoms presentation and reperfusion intervention. Reperfusion leads to the best results, especially if started within the first 60 minutes after beginning the manifestations. Many studies have been conducted to examine strategies for decreasing delay time, but education through media has not received enough attention. Method In this clinical trial, 300 patients referred to Shahid Radjaee Cardiovascular Hospital and diagnosed as acute coronary syndrome were randomly allocated to receive either education and counseling as intervention (n=150) or regular education (control group, n=50). The inclusion criteria were: not having serious complicated co-morbidity such as psychiatric disorder, renal insufficiency, malignancies or neurologic disorders and speaking and comprehending Pesian. Data collection instruments were demographic form and Rapid Early Action for Coronary Treatment (REACT). Data were collected before intervention and one and three months after the beginning of intervention. The data were analyzed by SPSS. Findings The study findings showed high rate of reporting risk factors in both groups. Most patients of both groups had referred to cardiologist. In experimental group, knowledge, attitude and belief scores increased significantly, one and three months after the beginning of the intervention. Between group comparisons showed a statistically significant difference between two groups in terms of knowledge, attitude and belief scores (P≤0.0001). Conclusion Face-to-face education and counseling improves knowledge, attitude and believes of the patients about acute coronary syndrome, thereby, may reduces delay in treatment. Improvement of patients’ knowledge is the basic step for symptom management of the acute coronary syndrome.
Mohammad-Ali Cheraghi, Khadijeh Akbari, Fatemeh Bahramnezhad, Hamid Haghani,
Volume 3, Issue 4 (3-2015)
Abstract
Aim. This study was conducted to determine the effect of instrumental music on sleep in patients admitted to the coronary care unit (CCU).
Background. Poor quality sleep, as a distressing situation, can aggravate myocardial ischemia and infarction. The music as a cheap, and noninvasive approach with a slow rhythm, monotonous and repetitive, may have inducing-sleep or relaxation effect.
Method. The present study was a clinical trial conducted in 2014. The samples consisted of 72 patients with acute coronary syndrome admitted to coronary care unit of hospitals affiliated with Tehran University of Medical Sciences. They were selected using the simple random sampling method and divided into experimental (n=36) and control (n=36) group. The quality of sleep was measured in the beginning of hospitalization and three days after admision, and the quantity of sleep was measured all the three days using the Pittsburgh sleep quality index and the sleep log quantity indices in experimental and control group. The intervention was implemented in the form of playing instrumental music in headphones since the first night of hospitalization for a three-night time span (45 minutes a night) in the beginning of the patients’ sleep. Data were analyzed by SPSS software, version 16, using descriptive and inferential statistics (chi-square, fisher's exact test, independent samples T test).
Findings. According to the findings, the mean change in the sleep quality score, before and after intervention, and sleep quantity at the three nights of hospitalization were significantly different between experimental and control group (p<0.0001).
Conclusion. The instrumental music can be effective in improving patients’ sleep quality and quantity. Therefore, nurses can benefit from this non-pharmacological method in their daily care to improve their patients’ sleep.
Safoura Dorri, Asghar Khalifehzadeh Esfahani, Sara Dorri,
Volume 4, Issue 1 (6-2015)
Abstract
Aim. The purpose of the present study was to investigate the effect of cardiac rehabilitation on quality of life and return to work in patients with Acute coronary syndrome (ACS).
Background. ACS is one of the major cardiovascular diseases that can affects the patients’ quality of life and return to work.
Method. This was a clinical trial study conducted on 50 patients with ACS admitted to the coronary care units of the selected hospital of Isfahan University of Medical Sciences in 2013-2014. The participants were randomly assigned to control (n=25) or experimental group (n=25). The experimental group received phase 1 and 2 cardiac rehabilitation program, however, the control group received usual care. The data was collected via demographic questionnaire and SF-36 quality of life questionnaire, before and one month after intervention. Return to work was estimated through questions and then was compared in both groups.
Findings. There was no statistically significant difference between experimental and control groups in terms of demographic variables and cardiovascular risk factors. After intervention, in the experimental group, the mean scores in all domains of quality of life increased significantly (p<0.0001). In the control group, the mean score of quality of life, before and after the intervention was not significantly different. A statistical significant difference was found between the experimental and control groups in all domains of quality of life, except for general health and social function, in favor of the experimental group. No statistically significant difference was found between the groups in terms of the duration of return to work.
Conclusion. The results of this study showed that cardiac rehabilitation program can improve the quality of life in patients with ACS.
Farhad Kamrani, Somayeh Nikkhah, Fariba Borhani, Mohammad Jalali, Sudeh Shahsavari, Kianoosh Nirumand-Zandi,
Volume 4, Issue 3 (12-2015)
Abstract
Aim. The aim of this study was to determine the effect of patient education and nurse-led telephone follow-up (telenursing) on adherence to treatment in patients with acute coronary syndrome admitted to cardiac care units hospitals affiliated to Alborz University of Medical Sciences.
Background. Increasing adherence to treatment is essential in patients with acute coronary syndrome to reduce readmissions and improve the recovery, but only patient education does not guarantee the adherence to treatment and it is necessary to follow-up patients after discharge.
Method. This randomized clinical trial study was conducted on patients with acute coronary syndrome admitted to the selected hospitals of Karaj, Iran, in 2014. In this study, 90 patients were selected purposively and randomly allocated in three groups of education (n=30), education/ telephone follow-up (n=30), and control (n=30). Data collection instrument was questionnaire. Data were gathered at baseline and 12 weeks after the intervention. Patients in educational groups (education, and education/ telephone follow-up groups) were trained before discharge using educational pamphlets. Telephone follow-up were implemented for education/ telephone follow-up group for 3 months; twice a week in the first six weeks and weekly in the second six weeks. The data was analyzed by descriptive and inferential statistics in SPSS version16.
Results. After intervention, there was a statistically significant difference between the groups in terms of adherence to treatment (P=0.001). Participants in the education/ telephone follow-up group and education group experienced more improvement in adherence to treatment than the control group.
Conclusion. Both patient education and education/ telephone follow-up have effect on improvement of adherence to treatment, but education/ telephone follow-up results in more improvement in adherence in comparison to education. It is recommended to implement education/ telephone follow-up for patients with acute coronary syndrome.
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.
Roholla Hemmati, Ehsan Mohammadi, Ebrahim Salimi,
Volume 5, Issue 3 (12-2016)
Abstract
Abstract
Aim. This study aimed to review indications, benefits, limitations and procedure of continuous ST segment monitoring in critical care unites.
Background. Although the 12-lead electrocardiography is a standard and reliable tool to detecti ischemia in Acute Coronary Syndrome (ACS) patients, but it provides only a static snapshot. The American Heart Association (AHA) and American Association of Critical Care Nurses (AACCN) practice standards for ECG monitoring recommend continuous ischemia monitoring for all patients at risk of myocardial ischemia.
Method. This was a review study. International databases such as Proquest, CINAHL, PubMed, Scopus and one national database (SID) were searched out using the keywords; ST-segment Monitoring, Cardiac Monitoring and Acute Coronary Syndrome to find out materials published between years 2000 and 2015. About 189 citations were evaluated, out of which 15 citations were recruited in the final review.
Findings. Although continuous monitoring of ST segment has been introduced many years, but this technology is not widely used.Continuous monitoring of ST segment provides a frequent and dynamic assessment of changes associated with ischemia.Continuous ST segment monitoring as an effective method can be used to provide continuous and dynamic snapshot of ischemia, to evaluate response to reperfusion and anticoagulant therapy and also, can be used for prognostic or research purposes.
Conclusion. Despite some limitations, the use of continuous ST segment monitoring is recommended for patients with ACS, besides routine assessment.
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.
Khadije Noori, Akbar Nikpajouh, Yasaman Khalili, Hamid Sharif Nia, Ali Ansarifar,
Volume 5, Issue 4 (3-2017)
Abstract
Abstract
Aim.The aim of this study was to compare clinical manifestations of ACS in middle-aged and elderly people who were hospitalized in ShahidRajai Cardiovascular Medical and Research Center in 2016 .
Background. ACS is one of the most important health challenges in the world. The most important diagnostic marker of ACS is the clinical symptoms, but the symptoms of the disease are different among middle-aged and elderly people.
Method. This study was a cross-sectional study. The sample consisted of 384 patients with ACS admitted to ShahidRajai Cardiovascular Medical and Research Center in 2016. Data collection tools included demographics form, a questionnaire for recording signs and symptoms of ACS and the pain questionnaire. Data were analyzed in SPSS 18.
Findings. The most common symptom was chest pain in both groups. Typical symptoms between the two groups showed no statistically significant difference. Of non-typical symptoms, hiccup was reported more in middle-age group than the elderly group (P=0.001). In terms of the location of the pain, left arm in the elderly was higher than the middle-aged group (P=0.001). The quality of pain in both groups was not significantly different.
Conclusion. Chest pain is the most common symptom in both middle-aged and elderly people. Among the non-typical symptoms, only hiccups in the middle-aged people are more common than the elderly people. Health care providers should pay more attention to the initial assessment.
Gheisar Salageghe, Mansoor Arab, Mohammadreza Aflatoniana,
Volume 6, Issue 3 (12-2017)
Abstract
Abstract
Aim. The aim of this study was to examine the relationship of quality of life with general self-efficacy and perceived social support among people with Acute Coronary Syndrome (ACS) hospitalized in cardiac care unit of teaching hospitals in Kerman, Iran.
Background. Quality of life is considered as one of the important health indicators and components that is influenced by several variables.
Method. The present study is a descriptive correlational research in which 150 people with ACS who admitted to cardiac care unit of teaching hospitals in Kerman, Iran, were recruited by convenience sampling method. The instruments for data collection included Perceived Social Support questionnaire, Quality of Life questionnaire and General Self-efficacy questionnaire. Data were analyzed using SPSS version 18.
Findings. The mean age of the participants was 56.74±11.63. The mean score of quality of life, self-efficacy and perceived social support were 84.82±12.32, 27.19±6.89, and 63.58±13.1, respectively. There was a statistically significant direct association of general self-efficacy and perceived social support with dimensions of quality of life.
Conclusion. General self-efficacy and perceived social support have great impact on quality of life in people with ACS. It is recommended to consider these concepts in taking care of these people.
Seyed Iman Sajadi, Rasool Tahvilian, Mahsa Shaali, Sima Babaei,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study was designed to investigate the association of obsessive-compulsive disorder with cardiac symptoms in people with acute coronary syndrome.
Background. The prevalence of cardiovascular disease and its morbidity and mortality has increased. The importance of psychological factors, especially anxiety disorders, in development of cardiovascular disease necessitates examining the relationship between obsessive-compulsive disorder and cardiac symptoms in people with acute coronary syndrome.
Method. This is a cross-sectional descriptive correlational study. The statistical population included all cases of acute coronary syndrome referred to the selected hospitals of Isfahan University of Medical Sciences, Isfahan, Iran. In this study, 193 people with acute coronary syndrome were selected based on convenience sampling method. Data were collected using demographic information-disease questionnaire and OCI-R (Obsessive-Compulsory Revised Inventory). Data were analyzed in SPSS version 18 using descriptive and inferential statistics.
Findings. The mean score of obsessive-compulsive disorder was not statistically significant between acute coronary syndrome patients with and without cardiac symptoms (29.64±20.00 vs 26.30±15.74, respectively). The mean score of obsessive-compulsive disorder in washing subtype was statistically significant between acute coronary syndrome patients with and without cardiac symptoms (6.82±4.12 vs 3.99±3.48, respectively) (P<0.05).
Conclusion. Obsessive-compulsive disorder is not associated with cardiac symptoms in people with acute coronary syndrome except for washing subtype that the mean score of this subtype is more in acute coronary syndrome patients with cardiac symptoms than those without cardiac symptoms.
Roghayyeh Ghanbarpour Jouybari, Fereshteh Araghian Mojarad, Seyyed Mahmoud Samadian Kiamohaleh, Hedayat Jafari,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The aim of this study was to review the effect of music as a non-invasive, non-pharmacological, inexpensive method with no side effects, on people with heart disease
Background. Heart disease is a common disease with considerable annual mortality. This review study investigates studies to bring a comprehensive view about the effect of music therapy on recovery of people with heart disease.
Method. This study was a narrative review in which studies in Persian and English language were searched out in databases/ search engines Magiran, SID, IranMedex, Pubmed, Scopus, and Google Scholar using the keywords music therapy, heart failure, acute coronary syndrome, hypertension, hypertension, heart surgery and open heart surgery. Inclusion criteria included articles being published in Persian or English language that examined the effect of music on recovery of people with heart disease. There was no time limit for articles under review. Exclusion criteria included articles that their full text were not accessible.
Findings. Out of 24 articles, the most of them (10 articles) examined the effect of music on hypertensive patients and on vital signs in heart patients (8 articles). The results showed that the effect of music on the recovery of heart patients included increasing the percentage of oxyhemoglobin saturation, relieving pain, reducing anxiety and depression, improving sleep quality and reducing fatigue. The music had no effect on mean arterial pressure and respiration. There were conflicting results regarding the effect of music on blood pressure and heart rate.
Conclusion. Considering the easy and cost-free application of this method, it is recommended that the health care team and especially nurses use this non-invasive method in the care of people with heart disease.
Meysam Ghaedrahamt, Sima Zohari Anboohi, Fariba Borhani, Bahareh Gholami Chaboki,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. This study aimed to address whether spiritual intelligence was correlated with self-efficacy in patients with acute coronary syndrome (ACS).
Background. Patients experiencing acute coronary syndrome (ACS) are often required to enhance their empowerment skills to manage their signs and symptoms in an effective manner. In this sense, self-efficacy has been considered as a useful factor to develop self-care practices and minimize the risks of coronary artery disease (CAD).
Method. Using a descriptive-correlational research design, a total number of 136 patients admitted to cardiac care units (CCUs) of the hospitals affiliated to Shahid Beheshti University of Medical Sciences, Tehran, Iran, were selected through the convenience sampling. The data were further collected via the demographic characteristics information questionnaire, King’s Spiritual Intelligence Self-Report Inventory (SISRI, 2008), and the Cardiac Self-Efficacy Questionnaire (CSEQ) developed by Sullivan et al. (1998), and then analyzed using the SPSS version 22.
Findings. Most patients in this study (61.8 percent) were male, married (69.1 percent) with a mean age of 58.85. Moreover, the score of spiritual intelligence was 47.18. The patients received a mean score of 13.72 in the “critical existential thinking” subscale and a mean score of 10.19 in the “personal meaning production” subscale. The mean scores for the “transcendental awareness” and “conscious state expansion” subscales were also 9.70 and 9.47, respectively (p=0.01).
Conclusion. It was concluded that higher levels of spiritual intelligence could improve self-efficacy in patients affected with ACS; therefore, adopting strategies to boost this type of intelligence could augment resilience in such individuals.
Amir Tabatabaee, Esmaeil Mohammadnejad, Ali Karimi, Zahra Salehi, Fatemeh Sadat Izadi-Avanji,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. This study was conducted with the aim of investigating the effect of family-centered self-care program based on home visits on adherence to physical activity of patients with acute coronary syndrome
Background. Coronary artery disease is one of the most common cardiovascular diseases. The importance of physical activity as an important factor in controlling and preventing the recurrence of the disease in these patients. Adherence to physical activity in patients with acute coronary syndrome (ACS) has a significant effect on preventing re-hospitalization and reducing complications.
Method. In this semi-experimental study conducted in 2021-2002, 72 people with ACS were randomly divided into experimental and control groups (32 people in each group). For the control group, routine interventions, and for the experimental group, family-centered self-care was delivered. Data collection tools were demographic questionnaire and Beck's physical activity level questionnaire.
Findings. Before intervention, there was no statistically significant difference between groups in the mean score of adherence to physical activity. Immediately after the intervention, the mean score in the experimental and control group was 6.31±2.01 and 5.98±1.21, respectively, indicating a statistical significant difference between groups. One and half month after the intervention, the mean score in the experimental and control group was 9.14±1.44 and 78±0.9, respectively, showing a statistical significant difference between groups.
Conclusion. Family-centered self-care in patients with acute coronary syndrome is effective on adherence to physical activity of these patients. Therefore, it is recommended to use this educational method as one of the effective and non-pharmacological methods for people with ACS in medical centers and at home to improve the quality of life among these patients.
Soheil Saeed, Neda Sanaie, Mahbobeh Abdolrahimi,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The present descriptive study was conducted with the aim of evaluating the knowledge and skill of pre-hospital emergency technicians in Neyshabour, Iran, in the management of patients with acute coronary syndrome.
Background. Pre-hospital emergency personnel who have sufficient knowledge and skill to diagnose, giving care and transfer of patients can increase the chance of survival and decrease the possibility of acute and chronic complications of the disease.
Method. In this descriptive cross-sectional study, 126 operational personnel working in the emergency medical center of Neyshabour City, Iran, were recruited by census sampling and participated in the study during a one year period in 2021. The data was collected using a researcher-made questionnaire including demographic information, knowledge level questionnaire, and a pre-hospital emergency personnel skill checklist measuring the management of patients with acute coronary syndrome. The data were analyzed in SPSS version 19 through descriptive statistics.
Findings. The overall knowledge score of the majority of participants in the management of patients with acute coronary syndrome was at a good level (58.7 percent); the highest knowledge score was reported in the interpretation of electrocardiography and the lowest knowledge score was in diagnosing the symptoms of acute coronary syndrome. Finally, the overall skill score of the majority of pre-hospital emergency technicians was at a good level (79.4 percent); the highest skill score was reported in the principles of cardiopulmonary resuscitation and the lowest skill score was in performing cardiac monitoring and detecting arrhythmias.
Conclusion. The majority of pre-hospital emergency technicians had an acceptable level of knowledge and skill in the field of managing patients with acute coronary syndrome, but some skills were far from the desired level. Therefore, due to the importance of strengthening the knowledge and skills of pre-hospital emergency personnel, as the first members of the emergency team dealing with cardiac patients, in the management of patients with acute coronary syndrome, regular training and awareness of updated guidelines are recommended.
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