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Showing 4 results for Congenital Heart Disease
Mona Alinejad-Naeini,
Volume 2, Issue 1 (6-2013)
Abstract
Abstract Aim. This paper reviews staff nurses roles in diagnosing and stabilizing neonates with congenital heart disease. Background. Nowadays, development in managing congenital heart defects has increased survival and quality of life among neonates suffering these defects. Many attempts has been made to detect neonatal congenital heart disease before or immediately after birth, but a large number of neonates with heart problems remain undiagnosed before developing severe signs and symptoms. Although mild forms of the disease may subside spontaneously, severe conditions needs prompt management. Method. In this literature review, papers published during the last 15 years, were searched out through search engines and data bases: Science Direct, Google Scholar, Ebsco, Pub Med, Ovid, Proquest by the keywords nursing care, congenital heart disease, neonatal, cardiac, and management. Findings.Twenty three English papers about diagnosis and stabilization of neonatal congenital heart disease and a textbook were selected. The findings are presented within four domains: 1) physical examination, 2) symptoms of disease, 3) management in delivery room and neonatal stabilization, and 4) communication with the parents. Conclusion. Nurses are the first health care members encounter neonates with congenital heart diseases. Early recognition and stabilization of congenital heart disease is the cornerstone of nursing care of neonates suffering this problem.
Bahareh Seraj, Fatemeh Alaee Alaee-Karahroudi, Tahereh Ashktorab, Maryam Moradian,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study aimed to investigate the effect of telenursing on adherence to treatment in adolescents undergoing cardiac surgery.
Background. Congenital Heart Disease (CHD) has a significant global prevalence and a large number of patients undergo cardiac surgery every year. Adherence to treatment is essential to achieve the expected outcomes of surgery.
Method. This study was a quasi-experimental before-after study with control groups that was conducted in the year 2020. A total of 70 adolescents referred to a university cardiovascular medical and research center in Tehran, Iran, were recruited based on the inclusion criteria and then, randomly assigned to experimental (n=35) and control (n=35) group. The experimental group received a telenursing services via WhatsApp messenger for one month. Modanloo's questionnaire of adherence to treatment was used to collect the data. Data were analyzed in SPSS V-20 using descriptive and inferential statistics.
Findings. There was no statistically significant difference between the experimental and control groups in terms of demographic variables. Before intervention, the mean score of adherence to treatment in the experimental and control groups was 71.67±6.97 and 71.77±7.89, respectively, which were not statistically different. After intervention, the mean score of adherence to treatment in the experimental and control group changed by 15.17 and -2.49, respectively, and the difference between the groups was found to be highly significant (P≤0.0001).
Conclusion. According to the findings, telenursing improved adherence to the treatment. Therefore, it is recommended to provide the ground to take the benefits of this approach through increasing public information and awareness and empowering the nursing staff.
Yeganeh Khaleghi, Fahimeh Sabeti,
Volume 14, Issue 1 (3-2025)
Abstract
Abstract
Aim. This study aimed to review Fontan circulation in children with single-ventricle anomalies, its associated complications, and to elucidate the role of nurses in the care and management of this condition.
Background. Fontan circulation represents the final stage of surgical palliation in many patients with single-ventricle anomalies in which systemic venous blood is directed to the pulmonary circulation without passing through right ventricle. Elevated systemic venous pressure and reduced cardiac output are the hallmarks of this physiology, predisposing patients to progressive multisystem complications.
Methods. This narrative review was conducted through a comprehensive literature search of studies published between 2007 and 2026. English-language databases, including PubMed, Scopus, Web of Science, and Google Scholar, were searched using the keywords Fontan circulation, Single ventricle physiology, Congenital heart disease, Clinical challenges, Cardiac and extracardiac complications, Nursing care, and Interdisciplinary care. Persian databases, including IranDoc, SID, and Magiran, were searched out using the equivalent Persian keywords.
Findings. A total of 24 articles met the inclusion criteria and were analyzed. The findings were categorized into the following themes: single-ventricle congenital heart anomalies, Fontan physiology, cardiac and extracardiac complications, growth and developmental disorders, cognitive and psychosocial outcomes, nursing care, and interdisciplinary management.
Conclusion. Fontan circulation is a complex lifelong condition that requires a comprehensive interdisciplinary approach extending beyond cardiac assessment alone. Nurses play a pivotal role in clinical monitoring, family education, promotion of self-management, psychosocial support, and coordination of care. Strengthening specialized nursing care may contribute substantially to improving quality of life and long-term outcomes in this patient population.
Zahra Jafari, Atefeh Shamsi,
Volume 14, Issue 1 (3-2025)
Abstract
Abstract
Aim. The aim of this review is to summarize the available evidence on the impact of different components of developmental care on physiological, nutritional, behavioral, and family outcomes of infants with heart disease and to identify the challenges of implementing this care in cardiac intensive care units.
Background. Congenital heart disease is the most common congenital anomaly in newborns, and affected infants, especially those undergoing open-heart surgery and prolonged hospitalization in the cardiac intensive care unit, are at significant risk of neurodevelopmental delays. Developmental care has been proposed as a family-centered approach to reduce environmental stress and support infant brain development in this high-risk population, but its implementation in neonatal cardiac unit remains challenging and limited.
Method. In this narrative review, 15 research and review articles published between 2016 and 2025 that directly addressed developmental care, neurobehavioral outcomes, and family involvement in infants with heart disease were screened and analyzed.
Findings. Findings were categorized into four main areas: 1) the role of developmental care in hemodynamic stability and reduction of mechanical ventilation duration, 2) the effectiveness of interventions on feeding patterns and weight gain, 3) the role of parental involvement and Kangaroo care in reducing stress and improving behavioral scores, and 4) barriers to implementing developmental care in cardiac intensive care units, including lack of training, resources, and competing clinical priorities.
Conclusion. The available evidence, although mainly derived from observational and qualitative studies with limited sample sizes, fairly uniformly supports the positive impact of developmental care on short-term outcomes in infants with heart disease. The development of standard clinical guidelines, training of nursing staff, and active family participation are among the main priorities for improving this care in the future.
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