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Showing 36 results for Heart Failure
Jamaleddin Begjani,
Volume 1, Issue 4 (3-2013)
Abstract
Abstract Aim. The aim of this review study is to introduce the cardiac resynchronization therapy through biventricular pacing in treatment of heart failure. Background. More than 22 million peoples worldwide suffer from congestive heart failure (CHF). As a result of the lack of synchronized contraction, both within and between the ventricles, blood moves through the heart and body at a slower rate. Heart failure impacts on almost all aspects of the quality of life of patients, particularly on mobility. Despite treatment advances such as lifestyle changes, medication and heart surgery, up to %40 of patients with CHF suffer an arrhythmia that further reduces the heart’s ability to beat properly. Cardiac Resynchronization Therapy (CRT) is a new, adjunctive and effective therapy that can relieve CHF symptoms by improving the synchronization of the heart’s contractions. Findings. According to the studies, after BVP, heart contractility, and left ventricular ejection fraction and stroke volume increase, the incidence of cardiac arrhythmias decreases and some aspects of quality of life such as exercise tolerance improves. Conclusion. Cardiac resynchronization therapy (CRT) along with other medical options can be safely performed and can relieve CHF symptoms by improving the coordination of the heart’s contractions.
Tahereh Najafi Ghezeljeh1, Hossein Salehzadeh, Forough Rafii, Hamid Haghani,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract
Aim. This study aimed to examine the effect of music intervention on anxiety in patients with heart failure.
Background. Anxiety as a psychological problem can increase heart rate, respiration rate and blood pressure all of which have an advert effect on heart in patients with cardiovascular disease, particularly patients with heart failure.
Method. This controlled clinical trial study was conducted in Doctor Shariati Hospital affiliated to Tehran University of Medical Sciences. In this study, in each group (control, and music intervention), 25 hospitalized patients with heart failure were recruited through convenience sampling. Then, patients were allocated to groups by simple randomization. Data were collected by demographic characteristic form and Spiel Berger anxiety assessment questionnaire. In music group, music including two of the three types of classical, gentle and Iranian traditional music was played for 20 minutes after meeting for 3 sequential days by a tape recorder and headphone. Before and 15 minutes after intervention, patients' anxiety was measured and compared. Data was analyzed by using independent t-test, Paired t-test, Fisher’s exact test through SPSS.
Findings. There was a statistically significant difference between control and music intervention groups regarding anxiety score. Also, there was a statistically significant difference, before and after music intervention in anxiety score of patients with heart failure (p<0.0001). Conclusion. The findings indicated that music intervention significantly reduces anxiety in patients with heart failure. Because of the importance of anxiety reduction in patients with heart failure, it is proposed that music intervention be used in the care of these patients.
Seyede-Maryam Shafiee-Darabi, Hamidreza Khankeh, Masoud Fallahi-Khoshknab, Pourya-Reza Soltani,
Volume 3, Issue 4 (3-2015)
Abstract
Aim. This study was conducted to examine the effect of acupressure on severity of pain and fatigue in patients with chronic heart failure.
Background. Patients with chronic heart failure experience high levels of pain and fatigue. Acupressure is a simple, inexpensive and non-invasive method which may reduce the pain and fatigue in patients with chronic heart failure.
Method. In this single blind randomized clinical trial, 72 patients with chronic heart failure were recruited. Subjects were equally divided into two groups of experimental and placebo, by random allocation method. Then visual analogue scale and fatigue severity scale was used to evaluate the severity of pain and fatigue in each group. The members of experimental group were under acupressure in KI3 , GV20 and CV6 point for 3 minutes bilaterally. In addition, the participants were instructed to perform acupressure in same point three times a day for four weeks. Subjects in placebo group were trained to touch the points. Four weeks after intervention, the severity of pain and fatigue was measured in both groups. The data were analyzed by SPSS.
Findings. The study findings showed no statistically significant difference between the groups in terms of demographics, and severity of pain (p=1.000) and severity of fatigue (p=0.285) before intervention. After four weeks of intervention, a statistically significant relief on severity of pain (p=0.006) and fatigue (p≤ 0.0001) was seen in experimental group compared with placebo group .
Conclusion. Acupressure can be effective in decreasing severity of pain and fatigue in people with chronic heart failure.
Masume Zakerimoghadam, Ali Sadeghi-Akbari, Mohammad-Ali Cheraghi, Anoushirvan Kazemnejad,
Volume 4, Issue 1 (6-2015)
Abstract
Aim. This study aimed at investigating the effect of education based on illness perception on self-care behaviors of patients with heart failure.
Background. Heart failure is the final outcome of most cardiovascular diseases, reducing patients’ self-care behaviors as a chronic condition. Changing illness perception of patients with heart failure about the disease is a way to improve the self-care behaviors in these patients.
Method. An experimental design was used to conduct the study. Seventy and six patients with heart failure who admitted to hospitals affiliated to Tehran University of Medical Sciences and were eligible to participate in the study was recruited in 2014 and were randomly divided into intervention and control group. The intervention group attended in three educational sessions and received cell phone follow-up for 8 weeks. The control group received conventional treatment. The self-care behaviors was compared in both groups before, and eight weeks after the intervention. The data were analyzed by SPSS-16 software.
Findings. There was no statistical significant difference between demographic variables of two groups. Self-care behaviors in the intervention group increased after the intervention when compared with the control group (p<0.0001). In the experimental group, the mean score of self-care behaviors after the intervention was significantly higher than mean score before intervention (p<0.0001).
Conclusion. The results showed that education based on illness perception affects self-care behaviors in patients with heart failure. It is suggested as an effective method to promote the self-care behaviors in these patients.
Behzad Saki,
Volume 4, Issue 2 (9-2015)
Abstract
Heart failure is one of the major causes of mortality in developed countries. Usually before heart failure, remodeling occurs to adapt to myocardial wall stress changes or pressure caused by external stimuli. Cardiac remodeling encompass many of the changes associated with the development of heart failure, like genome expression changes, and cellular, molecular and interstitial changes, that causes a change in size, shape and function of the heart after damage. Cardiac remodeling shows the capacity of heart to response and adaptation to a variety of stimuli. The ultimate goal of cardiac remodeling is adaptation to and properly reducing the increased wall stress, and maintaining or even increasing cardiac function. In general, cardiac remodeling is divided into two categories: physiological and pathological, each have different causes and consequences.
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.
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.
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.
Fatemeh Jahanshahi, Noshin Abbasi-Abyaneh, Ebrahim Ebrahimi-Abyaneh,
Volume 5, Issue 2 (9-2016)
Abstract
Abstract
Aim. This study was conducted with the aim of
determining the effect of peer education on quality of life in people with
heart failure.
Background. Heart failure is one of the most common
chronic diseases and is associated with decreased quality of the patients'
life. Considering the positive role of education in improving the quality of
life, it is important to find a suitable learning method to improve the quality
of life of these patients.
Method. In this quasi-experimental study, 60 heart
failure patients were selected using convenience sampling method during 2016.
Four peer to peer training sessions were conducted during one month. A Persian
translation of the Ferrans and Powers’ quality of life questionnaire was used for evaluating
the quality of life of the patients, before and one month after the
intervention. Descriptive and inferential statistics were used to analyze the
data.
Findings. The mean score of the quality of life in heart
failure patients was 134.5±2.4 before the intervention and 163.2±8.7, one month
after intervention. Paired t-test showed that peer education had a
statistically significant effect on quality of life in people with heart
failure patients (P≤00001).
Conclusion. Peer education can improve and enhance the
quality of life of heart failure patients.
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Nasim Naderi, Jaleh Mohammad-Aliha, Yasaman Khalili, Pari Karami,
Volume 5, Issue 4 (3-2017)
Abstract
Abstract
Aim.This study was conducted to investigate the level of nurses’ knowledge, attitude and practice about self-care education in people with heart failure.
Background.Heart failure is one of the most common chronic diseases and the leading cause of death in the world and also, a major cause of hospital readmission, especiallyin elderly patients. Self-care education is an essential componentof care for people with heart failure. Nurses are the first providers ofself-careeducation for patients and must have a thorough knowledge, a positive attitude and skillfull practice in the field of self-care education.
Method. In this descriptive-analytical study, 174 nurses with at least one year working experience in the CCU, post CCU and medical wards of ShahidRajaie Cardiovascular and Research Center, completed a four-part questionnaire including demographics information, and knowledge, attitude and practice about self-care education in people with heart failure. Data were analyzed using descriptive and inferential statistics in SPSS, version 22.
Findings. The majority of nurses (70.1 percent) had an average knowledge score. The knowledge level of nurses were significantly related with level of education and working experience. Also, 67.8 percent of the participants had a good practice of self-care education about heart failure and their practice was significantly related with experiencing in-service education. More than 90 percent of nurses reported positive attitude towards self-care education about heart failure and their attitude was significantly related with level of education, in-service education and work schedule.
Conclusion. The knowledge of nurses was at average level. It is recommended to plan in-service education in order to promote nurses’ level of knowledge about self-care education about heart failure.
Sima Babaei, Saba Boroumand,
Volume 5, Issue 4 (3-2017)
Abstract
Abstract
Aim.This study aimed to determine the relationship between lifestyle and cardiac self efficacy among people with heart failure.
Background. As a common disease, heart failure is a major cause of death and disability in the world. In the treatment of heart failure patients, there is a special emphasis on lifestyle modification. In order to improve the lifestyle of patients with heart failure, cognitive-behavioural factors such as cardiac self-efficacy can be considered.
Method. This descriptive correlational study was conducted on 227 patients with heart failure referred to cardiology clinics of hospitals affiliated to Isfahan University of Medical Sciences. The data gathering tool consisted of three sections: demographic form, Sullivan's cardiac self efficacy questionnaire and health-promoting lifestyle profile. The data were analysed in SPSS, version 16.
Findings.The mean score of cardiac self-efficacy was 58.45±25.92 and the mean score of total lifestyle was reported 54.45±16.27. A statistically significant direct relationship was found between the mean score of total lifestyle and the mean score of cardiac self-efficacy (r=0.463, p≤0.0001). The Pearson correlation coefficients showed a direct correlation between the scores of all dimensions of lifestyle and score of cardiac self-efficacy (In all cases, p≤0.0001).
Conclusion: There is a positive and significant correlation between lifestyle and cardiac self efficacy of patients with heart failure.
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.
Nahid Mohamadi, Narges Kheirollahi, Somayeh Haghighat, Ghodratoallah Roshanaie,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim.This study aimed to examine the relationship between adaptability and quality of life in people whit heart failure.
Background.Heart failure has a chronic debilitating process that can be very influential on quality of life. The main outcome of heart failure is disability and limitation in doing family, social and occupational roles. One of the determinants of health and prevention of exacerbations in heart failure patients is adaptability with the disease.
Method.This Correlationalstudy was conducted on 200 people referring to Ekbatan Hospital located in Hamadan, Iran. Data were collected by demographic questionnaire, Bell Adjustment inventory, and Mac New Quality of Life Questionnaire. Data were analyzed in SPSS version 19 using descriptive and analytical statistics.
Findings.The mean age of the sample was 63.68±12.07 years. The meanscore ofadaptabilityand quality of life were76.16±6.81 and 126.85±20.45, respectively. There wasno statisticallysignificant relationshipofadaptabilityscore anddomains of quality of life ,except for the sexual domain of quality of life.
Conclusion. In people with chronic heart failure, an increase in adaptability may enhance the sexual quality of life.
Nahideh Rahimi, Ahmad Amin, Behshid Ghadrdoost,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. This study was aimed to examine the effect of intravenous diuretic therapy hospitalization of people with heart failure patients.
Background. Heart failure is a progressive disease with a long term hospital admission; while having a standardized protocol can lead to a reduction in hospital costs and adverse effects of hospitalized days.
Method. This clinical trial (without control group) was conducted on 111 heart failure patients who received intravenous diuretic therapy (in 6 hours sessions) for at least one year in heart failure ward. This treatment was performed once a week in the first month, once in two weeks in the second to sixth month and once in month in the 7th to 12th month. During the treatment, patients were given training on nutrition, drug regimen and lifestyle modification. Outcomes included urine output, weight loss, hypokalemia, worsening of renal function, hospitalization and mortality rate.
Findings. The mean age of patients was 58.88±16.33. The minimum dose of prescribed diuretics was 20 mg and the maximum dose was 200 mg. Mean of urine output and weight loss were 1890±1101 ml and 3.04±5.91 kg, respectively. Transient worsening of renal function and hypokalemia occurred in 15 and 20 patients, respectively. During one year period, 31 patients (27.4%) need to be hospitalized.
Conclusion. Short courses of intravenous diuretic therapy in people with heart failure are a safe and effective method that may provide an alternative to hospitalization.
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.
Azam Shahbaz, Masumeh Hemmati-Maslakpak,
Volume 6, Issue 2 (9-2017)
Abstract
Abstract
Aim. This study aimed to determine the relationship between self-care behaviors and readmission in people with heart failure.
Background. People with heart failure are frequently hospitalized due to worsening symptoms. Admission to hospital reduces quality of life of patients, also imposes large costs for them. To control this disease, adherence to self-care behaviors is important.
Method. In this descriptive analytical study, 245 heart failure patients with the history of readmission were recruited with convenience sampling method from Taleghani and Syedalshohada teaching hospitals of Urmia, in 2016. Data collection tool included self-care heart failure Index. Data were analyzed by descriptive and inferential statistics using SPSS.
Findings. Self-care mean score in participants was 45.59±7.6 and most patients had a moderate level of self-care behaviors. Pearson correlation coefficient showed a reverse statistically significant correlation between self-care score with the number of hospitalization (r=-223, p≤0.0001).
Conclusion. Self-care behaviors of the majority of patients was not favorable in terms of quality and there was a reverse correlation between self-care behaviors and readmission, It is suggested further investigating the factors affecting self-care behaviors and taking actions to deal with these factors.
Banafsheh Ghorbani, Parvaneh Asgari, Fatemeh Bahramnezhad,
Volume 6, Issue 4 (3-2018)
Abstract
Abstract
Aim. The purpose of this study was to review the nursing care and education of patients with Ventricular Assist Device (VAD).
Background. Heart failure is one of the most important noncommunicable diseases. There are many pharmacological and non-pharmacological approaches for treatment of heart failure. These treatments have contributed to the survival of people with this disease. Nursing care of patients with VADs can prolongs patient’s quality of life and survival.
Method. This review study was conducted in 2018 using the keywords heart failure, intraventricular assist devise, cardiovascular disease, survival rate, complications of heart failure and nursing care, by searching in the search engines/ databases Google Scholar, OVID, Up-to-date, Springer, PubMed, SID, MagIran, Web of Sciences, Cochrane Library, CINHAL, and Scopus without time limit. A total of 63 articles were found related to the subject under study, out of which, 10 duplicate articles were omitted from the list and 4 articles were excluded because they were not available; this way, 49 papers were included in the study.
Findings. The role of the nurse in teaching patients with VADs is very important. Patient education can be a help for improving quality of life and increasing patient’s survival.
Conclusion. Familiarity with the new approaches to manage heart failure is very important for nurses. VADs have complications such as infection, bleeding, and arrhythmias; recognition, prevention and management of these complications can improve patient’s quality of life and survival.
Nila Amigh, Ali Zahedmehr, Ahmad Amin, Hooman Bakhsandeh,
Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. This study aimed to investigate the effect of clinical follow-up by a nurse on improving self-care behaviors in people with heart failure.
Background. People with heart failure are frequently hospitalized. One of the main reasons for hospitalization of these patients is the individual's inability to perform self-care behaviors. One of the ways that can help to improve self-care is clinical follow-up of these patients by nurses.
Method. This study was a randomized clinical trial which was conducted between October 2015 to May 2016 in Cardiovascular Medical and Research Center in Tehran. Eighty patients were recruited from the patients hospitalized in cardiac intensive care units and randomly assigned to control and experimental groups. Patients in experimental group received clinical follow-up by a nurse every two weeks by phone or in person. The control group received routine follow-up after discharge. Self-care behaviors were assessed by the checklist before intervention and three month after intervention. The data were analyzed in SPSS using descriptive and inferential statistics.
Findings. The mean score of self-care behaviors, before intervention was 2.64±1.62 in control group and 2.02±1.62 in the experimental group, and there was no statistically significant difference between groups. After intervention, the mean score of self-care behaviors in control and experimental group were 2.38±2.50 and 0.93±7.82, respectively and a statistically significant difference was found between the groups (p≤0.0001).
Conclusion: Clinical follow-up by a nurse can improves self-care behaviors in people with heart failure and help to lessen the burden.
Nasim Naderi, Yasaman Khalili, Ali Ansarifar, Behshid Ghadrdost, Afsaneh Bakhshi,
Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. The purpose of this study was to determine the effect of supportive interventions on resiliency components and quality of life among family caregivers of people with advanced heart failure.
Background. Advanced heart failure is a costly, progressive and chronic disease that reduces resilience and quality of life among family caregivers.
Method. In a randomized clinical trial study that was conducted as a before-after design with control group and follow-up one month after intervention. One hundred family caregivers of people with advanced heart failure, admitted to Shahid Rajaie Cardiovascular and Medical Research Center, were randomly assigned into experimental and control group. The family support interventions package included participation in group training workshops for 6 sessions (2 sessions/week in three consecutive weeks) for the experimental group. Resilience Scale (Connor-Davidson) and Quality of Life (SF-36) questionnaire were used to collect the data, before, after and one month after intervention. Data were analyzed in statistical software SPSS 23 using statistical tests related to the distribution of variables including Chi-square, Fisher, Wilcoxon and Mann-Whitney test, and independent and paired t-test.
Findings. At baseline, the mean score of resilience and the overall score of quality of life showed no statistically significant difference between the groups. After intervention, there was a statistically significant difference in terms of the mean score of resilience between the experimental (64.06±11) and control (48.34±16.23) group (P<0.05). Also, the overall score of quality of life after intervention was statistically significant between the experimental (70±12.91) and control (50.82±17.73) group (P<0.05). The results of paired t-test showed that one month after the end of the intervention, in the experimental group, the mean score of resilience (63.08 ± 10.15) and the overall score of quality of life (69.82±12.70) remained constant, indicating the sustainability of the effect of interventions after one month (P>0.05).
Conclusion. As part of a holistic program, the results of this study can be a guide to setting up a centralized unit for the education and support of family caregivers of people with chronic heart disease, a unit in which, in addition to social support and mental health education, their needs in terms of knowledge of the disease and participation in the care of their patients would be met.
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