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Abstract

Aim. The aim of this study was the assessment of respecting the patient’s privacy in cardiac care units.

Background. Increasing number of people with cardiovascular disease calls for increasing the number of Cardiac Care Units (CCU). The invasive and noninvasive procedures in these units can threaten patient’s privacy.

Method. This descriptive analytic study was conducted on 300 patients admitted to cardiac care units of Tehran›s selected hospitals. The patients were selected by convenient sampling method. Data were collected using a questionnaire consisted of two parts, demographics and privacy questionnaire. The data were analyzed by SPSS software.

Findings. Based on the findings, 50.7% of the sample were Female. Mean age was 61.5=+11.95 year. Mean scores for respecting privacy dimensions ranged from 68.86% for physical privacy to 80.27% for social privacy. There was a statistically significant association of respecting patients privacy with age, sex, marital status, education and history of hospitalization.

Conclusion. Patient s privacy was respected in CCUs, but patient’s privacy is not still respected perfectly. CCU managers should pay more attention to this subject.

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Abstract

Aim.The purpose of this study was to examine the effect of white noise on the anxiety of patients in the Cardiac Care Unit (CCU).

Background. Many patients with cardiovascular disease suffer from some degree of anxiety after admission to CCU. Anxiety adversely affects patients' recovery.

Method.This was a quasi-experimental study conducted in ShaheedRajaei Cardiovascular Center, Tehran in 2014. Ninety patients admittedto the cardiac care unit were recruited in the study based on convenience sampling and divided into experimental and control group (45 patients in each group). Anxiety was measured in both groups for 2 consecutive days by DASS-21 questionnaire. In the experimental group, white noise with an intensity of 50 to 60 decibels was played for 30 minutes. Data were analyzed by SPSS , version 17, using independent t-test, paired t-test and chi-square test.

Findings. In control group, the difference between mean scores of anxiety, before and after intervention was not statistically significant (5.17±3.90 and 4.73±3.77, respectively p=0.08). In the experimental group, the difference between mean scores of anxiety, before and after intervention was statistically significant (5.38±3.87 and 4.58±3.71, respectively p=0.01). 

Conclusion.The white noise can reduce the anxiety of patients admitted to CCU. This method can be used as a simple and low-cost non-pharmacological intervention for these patients.

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Aim. This study examined the effect of white noise on depression of patients in the Cardiac Care Unit (CCU).

Background. Many patients with cardiovascular disease are susceptible to experience depression after admission in Cardiac Care Unit (CCU). Depression can influence patients' recovery.

Method. This was a quasi-experimental study conducted in Shaheed Rajaei Cardiovascular Center, Tehran in 2014. Ninety patients admitted to the cardiac care unit were recruited in the study based on convenience sampling and divided into experimental and control group (45 patients in each group). Depression was measured for 3 consecutive days by depression subscale of DASS-21 questionnaire. In the experimental group, white noise with an intensity of 50 to 60 decibels was played for 30 minutes. Data were analyzed by SPSS , version 17, using independent t-test, paired t-test and chi-square test.

Findings. In control group, no statically significant difference was observed between mean scores of depression, before and after intervention (4.12±4.35 and 3.52±3.74, respectively; p=0.05). In the experimental group, the difference between mean scores of depression, before and after intervention was statistically significant (4.81±4.47 and 3.93±4.48, respectively; p=0.02).

Conclusion. According to the findings, white noise can leads to a significant reduction in depression. This intervention can be used as a simple and low-cost non-pharmacological care for these patients.

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Abstract

Aim.The aim of this study was to compare the effect of education through lecture and multimedia methods on knowledge, attitude, and performance of cardiac care nurses about temporary pacemaker care.

Background.Cardiac dysrhythmias are among the most common cardiovascular disorders. Temporary pacemaker insertion is a treatment or prevention method for cardiac dysrhythmia. Nurses are the main group to provide the care for patients with temporary pacemaker, so it is necessary to educate them in an effective and efficient way.

Method.This was an experimental study conducted in 2015 on 52 cardiac care nurses working in ShaheedRajaei cardiovascular center. All 52 nurses were randomly divided in 2 groups of education through lecture and multimedia. The level of nurses' knowledge, attitude and performance was evaluated before and three weeks after education and the effect of education was examined using Mann-Whitney and Wilcoxon Signed Ranks Test through SPSS version 22.

Findings.Before intervention, the median and interquartile range of knowledge levels for lecture and mul-timedia groups were 12.5 (10-14) and 11 (9-12), respectively, and after that, they increased to 17 (15- 19) and 17 (13- 19). The median and interquartile range of performance levels for lecture and multimedia groups changed from 29 (26- 30) and 30 (26- 31) to 34 (32- 35) and 34 (32- 35), respectively. The knowledge and performance levels increased in both methods. But there was no statistically significant difference between these two methods. Before intervention, the median and interquartile range of attitude levels for lecture and multimedia groups were 62.5 (60-64) and 64 (63-66) and after that, they changed to 64 (60-64) and 63 (61-64), showing that intervention has no effect on attitude level in any of these two groups.

Conclusion.There is no difference between the effectiveness of education through two methods of lecture and multimedia software on cardiac care nurses' knowledge, attitude and performance. In the other words, multimedia software method is as effective as lecture method. Education using multimedia software can be considered as a proper method for increasing demand in staff education. Proper infrastructure and optimal training programs are prerequisites to effectiveness of education through multimedia software method.

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Abstract
Aim. This study aimed to assess knowledge and practice of nurses about nursing care before and after cardiac catheterization
Background. The most common cause of death in most countries around the world is cardiovascular disease. Coronary angiography is an invasive procedure that is used to diagnose and/or treatment of coronary artery disease. Considering complications of cardiac catheterization, nursing care is of great importance in preventing and identifying complications. Standards are the least acceptable, expected and achievable levels of performance based on which it is possible to evaluate performance. Nurses and health care providers should work according to standard protocols.
Method. This descriptive analytical study was conducted on 65 nurses who were selected by census sampling method and based on inclusion criteria from cardiac catheterization wards of selected hospitals in Tehran, Iran. Data were collected by a questionnaire and a checklist prepared in accordance with the standards provided by the Ministry of Health and the Iranian Nursing Organization. The data were analyzed in SPSS version 21 using descriptive and inferential statistics.
Findings. Most of participants were female (63 percent). The mean score of knowledge about nursing care before and after angiography were 10.95±1.30 and 15.23±1.88, respectively. The mean score of performance about nursing care before and after angiography were 26.16±2.92 and 25.77±4.78, respectively; according to these findings the knowledge and practice of nurses about nursing care before and after angiography were evaluated as good. There was no statistically significant difference between female and male nurses in terms of knowledge and practice. Also, no statistically significant relationship was found between the knowledge and practice, before and after angiography.
Conclusion. Although most nurses had good scores of knowledge and practice about nursing care before and after angiography, but due to lack of some principles of care in their performance, further studies is recommended. Also, it is necessary for managers to provide nurses with care protocols.

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