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Showing 20 results for Training
Abbas-Ali Gaini, Ali Nazari, Arezoo Tabrizi, Abolfazl Farahani,
Volume 1, Issue 4 (3-2013)
Abstract
Abstract Aim. The purpose of this study was to determine the effect of -8week aerobic training on serum levels of high sensitivity C-reactive protein (hs-CRP) in high school male students with different Body Mass Indexes (BMI). Background. The low-grade chronic inflammation, which is characterized by increased levels of inflammatory markers in blood (such as CRP, Interleukin 6) is a strong risk factor for some chronic diseases. The hs-CRP is the most sensitive marker of inflammation and independent predicator of cardiovascular diseases and increase in hs-CRP levels are associated with obesity and cardiovascular diseases. The effect of aerobic training on hs-CRP of adolescents with different BMIs needs further investigation. Method. In this quasi-experimental study, 24 healthy and non-athlete boys (mean age, 16.33 and standard deviation, 0.47 years) were divided into three groups "thin, normal, and overweight or obese" according to their BMI. The training program included -8week (three sessions per week) progressive aerobic running at intensities of %75-60 of maximal heart rate. To determine changes in hs-CRP levels, the blood samples were collected before and after training program in the identical conditions. Findings. Training program had no significant effect on hs-CRP levels in all groups. There was a statistically significant difference in hs-CRP levels between obese group and the other two groups in esponse to training program, both before and after intervention. Conclusion. Eight-week aerobic training did not have a significant effect on hs-CRP of the subjects, likely due to insufficient intensity and duration of exercise training and low baseline hs-CRP levels. Decreased hs-CRP levels in obese group, compared with other groups, was likely due to the obesity status and higher baseline hs-CRP levels.
, , , ,
Volume 2, Issue 1 (6-2013)
Abstract
Abstract Aim.The aim of this study was to compare the eight weeks of combined and aerobic training on body composition and strength in cardiac patient post- coronary artery bypass graft. Background. Cardiac rehabilitation improves fitness and clinical status in cardiac patients after coronary artery bypass. Methods. In this randomized clinical trial, 20 cardiac patients under CABG surgery in Tehran Heart Center were randomly divided into two groups, combined and aerobic training. The protocols of combined group included two movements of the upper limbs (Pectoralis Major and Deltoid muscles) and two movements of the lower limbs (quadriceps and Hamstring muscles) by 3 sets/10Rep and aerobic group with 60-85 minute exercises at 70-85% peak HR in three sessions per week for 8 weeks. Functional capacity (VO2peak), strength, body weight, BF percentage and WHR were assessed before and after the training protocol. The collected data were analyzed using the Independent and Paired t-tests. Findings. There was an elevation of functional capacity following, combined (p<0.05) and aerobic (p=0.027) training with a significant further increase in the combined group (p=0.016). The strength increased significantly after combined training (p<0.05). The BF percentage with no significant difference between two groups, decreased significantly following the both training protocols (p<0.05). Conclusion. Combined aerobic-resistance training and aerobic training to improve functional capacity in Post CABG cardiac disease.However, Combined aerobic and resistance training is more effective than aerobic training in improving the functional capacity (cardiovascular fitness) and strength.
Sirvan Atashak,
Volume 2, Issue 3 (12-2013)
Abstract
Abstract Aim.The aim of this study was to assess the effects of concurrent aerobic-resistance training on Hs-CRP and body composition in sedentary middle-age men. Background. Cardiovascular diseases (CVD) are the primary cause of death and disability in both men and women worldwide. Moreover, it has been shown that high sensitivity- C-reactive protein (Hs-CRP), as a marker for future cardiovascular events, has an inverse relationship with physical fitness in sedentary individuals. However, it is suggested that lifestyle modifications such as regular physical activity have therapeutic and protective effects against CVD. Method.Thirty sedentary middle- aged men (aged 30–50 years) voluntarily participated in this research and assigned in one of experimental (n=15) and control (n=15) groups. Participants in experimental group performed the progressive concurrent training, three days a week for eight weeks. At baseline and after 8 weeks, venous blood samples were obtained to measure Hs-CRP concentration. Moreover, body composition and anthropometric indices (weight, body mass index, waist circumference, waist to hip ratio, body fat percentage) were measured. Data were analyzed by using paired and independent t-tests. Findings. After 8 weeks of concurrent training, a significant decrease was seen in serum Hs-CRP in the experimental group compared to control group (p<0.05). Moreover, the concurrent training induced a significant decrease in body weight, body fat percentage, body mass index, and waist to hip ratio (p<0.05), while these parameters remained unchanged in the control group. Conclusion. According to this study, 8-week concurrent exercise training resulted in beneficial improvement in body composition and HS-CRP. Accordingly, it can be concluded that they can be effective therapeutic methods to reduce cardiovascular risk factors in sedentary middle-age men.
Seyed Ziaeddin Dakei, Ahmad Hemmat Far, Kamal Azizbeigi,
Volume 3, Issue 1 (6-2014)
Abstract
Abstract
Aim.The aim of this study was to examine
the effect of heart rehabilitation by resistance and endurance training on
functional capacity and quality of life in male patients with myocardial
infarction.
Background.Half of all people who have a heart
attack will survive, but they might end up with a weakened heart and loss of
functional capacity. It is necessary for nurses to gain essential knowledge to
improve the patient’s quality of life and functional capacity.
Method. In this experimental study, 24 male
patients with a history of myocardial infarction were recruited and randomly
allocated to the endurance training group (n=8), resistance training group
(n=8), and control group (n=8). Exercise training was implemented for 50-60
minutes at three sessions in weeks for eight weeks. Endurance training was
implemented at 60-85% maximum heart rate on treadmill, while resistance
training was implemented at 40-70% one repetition (RM) in three sets with leg
press, calf elevation, and leg cruel exercises. Before and after intervention,
functional capacity was assessed with modified Bruce test and quality of life
was evaluated with SF-36 questionnaire for all groups under study.
Findings.The results showed that there was a
statistically significant difference in functional capacity of resistance
(P=0.002) and endurance (P=0.03) training group with control group. However,
there was not significant difference in quality of life between endurance and
resistance training groups.
Conclusion.Resistance and endurance training can
improve functional capacity in male patients with a history of myocardial
infarction. However, resistance training is more effective than endurance
training in improving the functional capacity and quality of life.
Zahra Asadi, Maryam Esmaeilinasab, Nahid Yaghobi, Ali Ansarifar,
Volume 3, Issue 1 (6-2014)
Abstract
Abstract Aim.The aim of this study was to compare the effect of written, figurative and written-figurative training package of myocardial perfusion imaging (MPI) on patients’ cooperation in the nuclear medicine department of Rajaie Heart Hospital. Background.Coronary artery disease (CAD) is one of the most common causes of deathall over the world and MPI is a well-known diagnostic method for CAD. However, not knowing about the procedure makes the patients anxious and reduces their cooperationand causes personnel of the department to experience fatigue and workload. Method.A quasi-experimental design was used to conduct the study. One hundred patients, referred to the nuclear medicine department of Rajaie Heart Hospital, Tehran, Iran, were randomly assigned in four groups (25 in the control group, 25 in written training group, 25 in figurative training group, and 25 in combined training group). Two questionnaires were provided including demographics, and a researcher-made questionnaire for evaluation of patients’cooperation. Kruskal-Wallis test and Mann-Whitney U post hoc test were used for data analysis. Findings.A statistically significant difference was seen between cooperation level of the control group and the other three groups. Figurative training package was the most effective training package. Conclusion.Explaining the procedure to the patients before myocardial perfusion imaging is a significant action to improve their cooperation, leading to less time waste and better results.
Sima Hashemy, Sina Valiei, Mohammad Kazem Ariaie Nejhad, Bahram Ariaenezhad,
Volume 3, Issue 1 (6-2014)
Abstract
Abstract Aim. The aim of this study was to determine the effect of training cardiopulmonary cerebral resuscitation management on knowledge of nurses working in maternity wards of Ganjavian Hospital, Dezful, Iran, in 2013. Background.Cardiaopulmonary cerebral arrest is one of the most dangerous situations that threats the life and requires immediate and appropriate action to survive and protect life and prevent irreparable/irrecoverable complications of the body vital organs. Method.This is a quasi-experimental pretest-posttest study in which 40 nurses employed in maternal wards of Ganjavian Hospital in Dezful were recruited. The tool used in this study was a researcher-made questionnaire including 20 questions to determine the knowledge of nurses about cardiopulmonary cerebral resuscitation management. After the content validity and reliability of the questionnaire was confirmed, it was distributed among and completed by the participants, before and after intervention. Training workshop was conducted in the form of lecture and practical training on manikin, 8 hours per day for 2 days in both basic and advanced level. The data were analyzed using SPSS 17. Findings. Maximum and minimum scores of pretest were 13 and 5, respectively, with a mean of 9.90 and standard deviation 7.9. Maximum and minimum scores of post-test were 15 and 8, respectively with a mean of 11.25 and standard deviation 1.6. There was a statistically significant difference between scores of nurses’ knowledge, before and after training (P<0.0001) Conclusion.The findings provide strong evidence, supporting the important role of holding continuous in-service training courses of cardiopulmonary cerebral resuscitation to improve scientific qualification of the nurses. It is recommended to put more emphasis on resuscitation management process and standardization of the efforts of resuscitation team during emergency events.
Zahra Hosseini, Hamid Peyrovi, Mahmud-Reza Gohari, Aliya Saberi,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract
Aim. The study was conducted to examine the effect of passive range of motion exercises on motor function of patients in acute phase of stroke.
Background. Stroke is one of the most common cerebrovascular disorders. Continuous repetitive exercises in the first six month of stroke may restore significant part of sensory-motor function.
Method. In a randomized controlled trial, the patients with moderate or sever ischemic stroke who experienced hemiparesis or hemiplegia were recruited. Motor function level of defected limb was assessed based on “modified ashworth scale” and motor strength scoring tool. Patients in experimental group (n=37) received passive range of motion exercises, within the 48h of onset of stroke, 6-8 times with 30-45 minutes duration. Patients in control group (n=24) received conventional care. The groups were compared one month after intervention. Findings. The most recovery was found in upper extremity strength after first month (3.45) relative to basic assessment (2.36). In experimental group, motor strength of upper and lower extremity improved, one month after intervention (P<0.0001). The results showed recovery in motor strength just in upper extremity of control group, after one month (P=0.012). Intervention had no effect on muscle tone. Conclusion. According to more positive changes in motor function of experimental group after one month, it is suggested to apply the intervention for this group of patients.
Behzad Saki, Khosro Ebrahim, Amirhosein Abedi-Yekta, Leila Salehifard, Adeleh Malekipoor, Mohammad Hasabi,
Volume 3, Issue 4 (3-2015)
Abstract
Aim. The aim of this study was to investigate the effect of the eight-week concurrent training on quality of life in patients with myocardial infarction.
Background. Myocardial infarction is a major cause of mortality around the world. Myocardial infarction affects patient's quality of life significantly, and it is important to find modalities to reduce harmful effects of the disease.
Method. A randomized clinical trial was conducted. Thirty patients referred to Taleghani hospital, located in Tehran, Iran were recruited and randomly assigned to either experimental (n=15) or control group (n=15). Patients in experimental group trained three times a week for eight weeks in cardiac rehabilitation department of Taleghani hospital. Quality of life was evaluated before and after training by SF-36 questionnaire. In order to analyze the data, SPSS version 18 was used.
Findings. The results showed that when compared with control group, the quality of life in experimental group has increased significantly.
Conclusion. According to the findings, it seems that eight weeks of concurrent training can improve quality of life in patients with myocardial infarction.
Zahra Ahmadi, Leila Bahmani, Marhamat Farahani Nia, Hamid Haghani,
Volume 7, Issue 1 (6-2018)
Abstract
Abstract
Aim. The purpose of this study was to determine the effect of teaching health-promoting behaviors on self-care behaviors in people with hypertension.
Background. Hypertension is one of the chronic diseases that causes serious complications on the organs of the body and requires self-care behaviors to be managed and controlled. Education increases self-care capacity in these patients and may help reducing complications and promote disease control.
Method. In this quasi-experimental study, 106 patients who referred to the clinic of Shahid Rahimi Hospital in Khorramabad, affiliated to Lorestan University of Medical Sciences, were recruited based on inclusion criteria and allocated to experimental (n=53) and control group (n=53). The experimental group received three training sessions of health-promoting behaviors in three consecutive weeks. The control group received only the routine treatments. Data were collected using a demographic form and self-care behaviors questionnaire, before and one month after intervention. Data were analyzed by SPSS version 22 using descriptive and inferential statistics.
Findings. The groups did not differ significantly in terms of demographic variables and disease characteristics. Before intervention, the mean score of self-care in the control and experimental group were 8.33±1.79 and 9.7 ±2.41, respectively, and there was a statistically significant difference between the groups (P=0.002). After intervention, the mean score of self-care in the control and experimental group were respectively reported as 8.43±1.84 and 14.46±2.13. Analysis of covariance showed that after intervention, the mean score of self-care in experimental group was significantly higher than that of control group (P≤0.0001).
Conclusion. Education improved self-care in people with hypertension. Providing education for people with hypertension can be effective in promoting their self-care behaviors.
Maryam Mahdi Araghi , Kianoosh Zahrakar,
Volume 7, Issue 1 (6-2018)
Abstract
Abstract
Aim. The purpose of this study was to compare the effect of “acceptance and commitment therapy” and “stress inoculation training” on stress symptoms in people with broken heart syndrome.
Background. Stress is considered to be the main driving force of broken heart syndrome, while broken heart syndrome also causes stress. It seems that training the patient for correct use of coping strategies during stressful events is effective in preventing recurrence.
Method. In this quasi-experimental pre-test post-test design with control group, 62 people referred to Tohid Hospital in Sanandaj during 2016-2017 and had been diagnosed as with broken heart syndrome were considered as accessible population, out of which 30 patients were recruited by convenience sampling method and randomly assigned to three groups. Research tool was the stress syndrome scales in Persian language. For intervention groups, the acceptance and commitment therapy and stress inoculation training interventions was conducted in weekly sessions. The questionnaire were filled out before intervention, after intervention and one month after intervention by the three groups. Data were analyzed in SPSS using descriptive and inferential statistics.
Findings. Compared with control group, acceptance and commitment therapy (F=87.65, P≤0.0001) and stress inoculation training (F=61.18, P≤0.0001) were effective in reducing stress symptoms and the effect of the acceptance and commitment therapy was remarkable. In addition to the stability of the effect of both interventions one month after intervention, the effect of acceptance and commitment therapy was found to be superior to stress inoculation training.
Conclusion. Both modalities; especially acceptance and commitment therapy, can be used as effective methods with wide applicability in preventing and reducing symptoms of stress and improving the status of people with broken heart syndrome.
Asghar Khalifehzadeh-Esfahani, Zahra Moeini, Jafar Golshahi,
Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. The present study was conducted to compare the effect of e-learning and lecture education on critical care nurses' performance about cardiovascular medication.
Background. The present time is known as the technology development time, and the educational institutions have undergone major changes. The complex learning process should not be limited to classroom and the use of e-learning can help to overcome some barriers of traditional methods of education in nursing.
Method. This quasi-experimental study was conducted on 70 nurses working in intensive care units of social security hospitals in Isfahan province in 2017. They were recruited to the study and allocated randomly to either lecture (n=35) or e-learning (n=35) group. Nurses’ performance was evaluated by the questionnaire of cardiovascular medication before and after the interventions, and the effect of two methods of e-learning and lecture training on nurses’ performance scores was compared.
Findings. Both lecture and e-learning methods had a statistically significant effect on nurses' medication performance (P≤0.0001). However, no statistical significant difference was observed between the two groups in terms of changes in nurses' medication performance.
Conclusion. E-learning can be a substitute for lecture education in-service-training of pharmacology topics for critical care nurses.
Mohamad Oraki, Masud Janbozorgi, Ahmad Alipor , Fateme Nequee,
Volume 7, Issue 3 (12-2018)
Abstract
Abstract
Aim. This study was conducted to determine the effect of cognitive-behavioral rehabilitation based on stress immunization training on anxiety, stress and depression in patients with coronary artery bypass graft surgery.
Background. Stress, anxiety and depression that play an important role in coronary artery disorders, are being considered as a hindrance to recovery after CABG. Providing the patient with correct coping strategies with stress seems to be helpful in preventing the recurrence.
Method. The study was a quasi-experimental with control group with pretest-posttest design. The statistical population of this study included patients who had coronary artery bypass graft surgery and referred to the Rehabilitation center of Tehran Heart Hospital, Tehran, Iran. Thirty subjects were selected by continuous sampling method and randomly assigned into experimental and control group. The instruments for data collection were “Depression, Anxiety and Stress Scale” (DASS-21), which completed before and after the intervention. The experimental group was exposed to stress immunization training in 10 sessions of 90 minutes. To analyze the data, multivariate covariance analysis, and one-variable covariance analysis were used in SPSS software.
Findings. Stress immunization training significantly influenced the anxiety (p≤0.0001; F=0.39), stress (p≤0.0001; F=0.35), and depression (p≤0.0001; F=0.68) scores of the experimental group compared to the control group.
Conclusion. Stress immunization training plays an important role in reducing negative emotions (anxiety, stress and depression) in patients with coronary artery bypass graft surgery. It is recommended to use this intervention for patients undergoing CABG.
Zahra Eskandari, Forouzan Akrami,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. This study aimed to review educational techniques in neonatal resuscitation training for nurses with focus on improving knowledge and skill.
Background. Successful management of neonatal resuscitation is associated with knowledge and skill applied in golden time. Neonatal resuscitation training can help nurses for choosing right steps and practice skillfully. In neonatal nursing, neonatal resuscitation teaching methods is very important for knowledge improvement and sustainable enhancement in skill with the final goal of neonatal surveillance.
Method. This literature review was conducted with searching out data bases and search engines (Google Scholar, SID, Scopus, Cochrane, PubMed, Magiran, CINAHL, and Web of Science) with the keywords neonatal resuscitation training, nurse, knowledge, skill and their Persian equivalent. Overall, 48 articles published within the last 10 years were identified, out of which, 13 articles were omitted because of not having access to their full text and 35 articles were reviewed.
Findings. The method of neonatal resuscitation training has shifted from traditional self-learning by reading the book and watching slides to learning by training on manikins. It has been changed to simulating such real situations for decision making and right techniques even by soft wares on smartphones too.
Conclusion. In choosing the methods of teaching neonatal cardiopulmonary resuscitation to nurses, those methods would be more effective that can increase how to apply knowledge as well as transferring knowledge. New educational methods allow nurses to increase neonatal cardiopulmonary resuscitation skills to maintain survival of this vulnerable group.
Fateme Nequee, Mohamad Oraki, Masood Janbozorgi, Ahmad Alipoor,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study was conducted to compare the effect of multidimensional spiritual therapy and stress inoculation training (SIT) on physiological and psychological coordination of heart rate variability (HRV) and depression in patients after coronary artery bypass graft (CABG) surgery.
Background. Depression and other emotional disorders play an important role in reducing the physiological and psychological coordination of heart rate in patients after coronary artery bypass graft (CABG) surgery. Depression and other emotional disorders prevent the person from recovering from the pathologic condition. It seems that preparing the patient for proper coping techniques is helpful in improving emotional disorders and preventing recurrence of disease.
Method. This was a clinical trial with two experimental and one control group. The study population included patients after CABG in Tehran Cardiac Research Center, Tehran, Iran. Thirty patients were randomly selected and assigned into three groups. The instrument of this study was the DASS-21 scale and the evaluation of physiological and psychological coordination of heart rate, which was measured before the intervention and at the end of the 10th session in groups. The first experimental group was exposed to the Meichenbaum stress inoculation training for 10 sessions of 90-minute duration, and the second experimental group received multidimensional spiritual therapy. Data were analyzed using Multivariate analysis of covariance in SPSS.
Findings. Multivariate analysis of covariance showed that SIT and multidimensional spiritual therapy interventions both have a statistically significant effect in reducing depression in one-month and three-month follow-up, compared to the control group, but their effects on reducing depression was significantly different (-2.200, P=0.002). However, no statistically significant difference was observed between experimental groups in terms of changes in physiological and psychological coordination (-0.00133, P=0.1).
Conclusion. SIT intervention seems to be less effective than multidimensional spiritual therapy in reducing depression, but its effect on changes in physiological and psychological coordination is the same as multidimensional spiritual therapy.
Sara Adimi, Dr Mohammad Ali Azarbayj Ani, Nasim Naderi, Azin Alizadehasl,
Volume 9, Issue 1 (3-2020)
Abstract
Aim. The present study was conducted to compare the effect of high-intensity interval training (HIIT) and moderate-intensity continuous training (MIT) (with and without blood flow restriction) on quality of life in cardiotoxic women after breast cancer treatment.
Background. Today, breast cancer is very common and cardiotoxicity is one of the most important non-avoidable complications after chemotherapy, which has a significant impact on patients’ quality of life. Using aerobic exercise training, with and without blood flow restriction, may improve quality of life of cancer survivors experiencing symptoms of cardiotoxicity. Restricting blood flow is already one of the methods used to enhance the effects of exercise training. On the other hand, previous studies show that different types of physical exercise have different physiological and psychological effects.
Methods. In this randomized clinical trial, 20 patients with cardiotoxicity after treatment for breast cancer were randomly divided into four groups including High-Intensity Interval Training (HIIT), Moderate Intensity Continuous Training (MIT), HIIT with Restricted Blood Flow (HIIT+BFR), and MIT with BFR (MIT+BFR). Interventions were applied for 12 weeks and three sessions per week. Patients in all groups completed the IHF-QoL quality of life questionnaire before and after 12 weeks of intervention.
Findings. The results of the present study showed that HIIT as well as the aerobic exercise with limited blood flow affects the quality of life of cardiotoxic patients. Quality of life scores in the HIIT+BFR group was significantly higher than that of the other groups. According to the scoring method in the questionnaire, increasing the individual score in each of the four areas of the questionnaire indicates a decrease in symptoms that disrupt the quality of life.
Conclusion. It seems that HIIT with BFR is a better way to deal with the symptoms that disrupt the quality of life, compared to HIIT without BFR, and also MIT (with and without restricting blood flow).
Behzad Aria, Mohammad Parastesh, Mohammadreza Sadeghian Shahi , Farahnaz Ayatizadeh Tafti, Leyli Khavari Khorasani,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This review discusses the exercise training that appear to be effective in cardiovascular patients with Covid-19.
Background. Nowadays, cardiovascular diseases are the pivotal leading causes of death in the world. Given the change of the human lifestyle into a sedentary one, the number of people with cardiovascular disease is rising dramatically. Recently, Covid-19 disease has endangered people's health in many countries and put a lot of pressure on their health care system. It also has had a significant impact on the global economy. The main features of this disease are high transmission rates and mortality. Although the prime cause of death from Covid-19 is respiratory failure, some patients experience severe cardiovascular problems such as congestive heart failure. Although drugs and therapeutic interventions have improved considerably, it is still challenges in prevention and rehabilitation for these diseases, especially in people with Covid-19, and the search for new strategies continues. Cardiac rehabilitation is a set of medical procedures and exercise training that aim to improve the mental status, physical function and overall increase the quality of life. One of the most important parts of cardiac rehabilitation is prescribing exercise.
Method. The keywords “Cardiovascular disease”, “Covid-19”, “Rehabilitation”, and “Exercise training” were searched out in databases, Science Direct, PubMed, Cochrane, Medline, CINAHL, SID, Iran Doc, and Magiran. Out of articles, 210 articles that were more relevant to the research topic were selected. After reviewing the studies thoroughly, 12 studies that were in line with the purpose of the study were selected and reviewed.
Findings. Exercise training prescribed for cardiovascular patients has prescribed over the years ranges from prescribing one type of exercise for all to prescribing exercise for each patient individually based on risk factors, age, and functional status. Continuous aerobic exercise, periodic aerobic exercise, and strength training have been used in most studies. Less intensity should be used when prescribing these exercises to cardiovascular patients with Covid-19.
Conclusion. In general, considering the beneficial effects of rehabilitation training in cardiovascular patients, it seems that a rehabilitation program based on appropriate exercise training can be effective in reducing the complications and mortality of cardiovascular patients with Covid-19. But more studies are needed to get more information.
Mohammad Javad Alamzadeh Ansari, Fidan Shabani, Mahmood Sheikh Fathollahi, Maryam Rezaei,
Volume 10, Issue 1 (3-2021)
Abstract
ABSTRACT
Aim. The aim of this study was to investigate the effect of education by Teach Back method and group education on self-efficacy of patients with myocardial infarction.
Background. Cardiovascular diseases are among the leading causes of death worldwide. Effective education of patients requires the use of educational methods whose effectiveness have been identified.
Methods. The present study was a clinical trial conducted at Rajaie Cardiovascular Medical and Research Center in Tehran during 2020 and 2021. Sampling was performed continuously until 105 people were completed. Patients were randomly divided into three groups of 35, including group (Teach Back, group training, and Control), based on blocking randomization (size=6). The training sessions were conducted in two one hour sessions for two consecutive days. The control group received routine ward training. Data were collected using demographic information form and Sullivan Cardiac Self-Efficacy Questionnaire that completed before training by patients and two weeks after training by telephone by the researcher. Finally, data on 93 patients admitted to cardiac care unit were analyzed using SPSS software version 24.
Findings. Groups were homogenous in terms of demographic characteristics and disease history. The mean and standard deviation of self-efficacy score before training was 8.03±1.84 in teach back group, 7.58±2.16 in the group training and 6.90±1.40 in the control group. One-way analysis of variance showed that the mean score of self-efficacy before the intervention in the study groups was not statistically different, but two weeks after training, the mean and standard deviation of self-efficacy score was 51.6±7.85 in the teach back training, 45.77±8.39 in the group training group, and 23.16±9.13 in the control group. Increase in self-efficacy mean score in patients under teach back training was significantly higher than patients under group training and control group (P≤0.0001), and in patients under group training was significantly higher than patients in control group (P≤0.0001).
Conclusion. Teach Back training and group training increase the self-efficacy of patients with myocardial infarction. Due to the role of nurses in patient education, this educational methods can be used.
Sahar Avazpour, Amin Amini,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to compare the effect of two high intensity interval training (HIIT) protocol on plasma levels of adiponectin, leptin and hypertension in overweight nurses.
Background. Cardiovascular disease, as a chronic and debilitating physical condition, is one of the most common causes of death worldwide and can affect the health of individuals, especially nurses who are exposed to a variety of diseases and it is necessary to identify variables related to health in these group.
Method. This was a clinical trial in which 27 nurses (mean age 25.81±0.6 years, mean height 158.01±7.6 cm and mean weight 69.41±0.25 kg) were selected and randomly divided into three groups of high intensity interval training type 1 (8 seconds of fast running and 12 seconds of active recycling), high intensity interval training type 2 (40-meter sweep test with maximum speed), and control group. High intensity interval training type 1 was performed for four weeks, three sessions per week, each session lasted 6-9 minutes with more than 90% of maximum heart rate. High intensity interval training type 2 was performed for four weeks, three sessions per week, with more than 90% of the maximum heart rate. The control group did not participate in any training program.
Findings. The study showed that HIIT type 1 and type 2 had a statistically significant effect on reducing plasma leptin levels, systolic and diastolic blood pressure and increasing plasma adiponectin concentration in nurses. Both training methods improved health indicators (adiponectin, leptin and systolic and diastolic blood pressure), but HIIT type 1 training caused more control and regulation of these indicators compared with compared to HIIT type 2.
Conclusion. There is a significant difference between type 1 HIIT exercise, type 2 HIIT exercise and control in research variables (adiponectin, leptin and blood pressure) in nurses.
Shirin Madadkar Dehkordi,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The present study was conducted with the aim of examining the effect of multimedia education with the Leventhal model approach based on follow-up on understanding of patients with atrial fibrillation.
Background. One of the basic tools in changing the patient's perception of the disease is the existence of an educational program using modern teaching methods.
Methods. In this semi-experimental study, 48 patients with atrial fibrillation were randomly divided into intervention (24 people) and control (24 people) group in Kashani Shahrekord Hospital in 2022. In the intervention group, two virtual training sessions were held for patients through multimedia software (sound, video, image and animation) under the title of 4-hour training workshop on the date and time coordinated with the help of Adobe Connect program. There was no intervention in the control group. After the workshop, disease perception were measured using disease perception questionnaire. Data analysis was done using independent t and paired t tests in SPSS version 21.
Findings. There was no statistically significant difference in the mean score of disease perception between the two intervention and control group before the study, and the two groups were homogeneous. However, after implementation of the intervention, the mean score of disease perception was significantly difference between the groups (p≤0.0001).
Conclusion. Based on the results of the present study, patients with atrial fibrillation gained a better understanding of their disease after the educational intervention. Therefore, it is recommended to carry out educational interventions to improve the understanding of patients with atrial fibrillation.
Akram Sharifi, Forouzan Rostami, Kamiyan Khazaei,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. The purpose of this study was to investigate the effect of mindfulness training on Corona anxiety in patients with Covid-19 and underlying cardiovascular disease in Imam Ali Hospital, Amol, Iran.
Background. Since its outbreak, the corona virus has shown that it defeats more people with underlying diseases and puts them at risk of death than those who have a healthy body.
Method. This was a quasi-experimental study with control group. The accecible population of this research was all corona patients with a history of cardiovascular disease in Imam Ali Hospital, Amol, Iran, in 2021-2022. Sampling was done from the patients admitted to the hospital based on convenience sampling method. To collect information, the Corona Virus Anxiety Questionnaire developed by Alipour et al. (2018) was used. Mindfulness training based on Kabat-Zinn (2005) educational plan was implemented in experimental group in 8 sessions of 2-hour duration per week.
Findings. The results of multivariate covariance analysis showed that mindfulness training has an effect on reducing anxiety of Corona in patients with Covid-19 and underlying cardiovascular disease to the extent of 0.87 (p≤0.001). Univariate covariance analysis showed that mindfulness training has an effect on reducing the mental symptoms of Corona anxiety in patients with Covid-19 and underlying cardiovascular disease to the extent of 0.83 (p≤0.001). Also, mindfulness training has an effect on reducing physical symptoms of Corona anxiety in patients with Covid-19 and underlying cardiovascular disease by 0.79 (p≤0.001).
Conclusion. Mindfulness exercises can enable patients with Covid-19 and underlying cardiovascular disease to pause and reflect a little before responding, and these pauses provide them with an opportunity. It allows them to get rid of judgment in many situations that can lead to anger, fear and anxiety. This will provide conditions that patients, even in the worst and acute state of their illness, are more likely to be able to maintain their mental peace and thereby, reduce the physical signs and symptoms of anxiety.
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