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Showing 6 results for Imanipour
Masoomeh Imanipour, Hamid Peyrovi,
Volume 2, Issue 4 (3-2014)
Abstract
Abstract Aim.The purpose of this study was to evaluate nursing students’ skills in cardiopulmonary resuscitation (CPR) in their critical care master course. Background.CPR is a common procedure in intensive care settings and the nurses have an important role in this regard. To consider the aim of training critical care nursing students, and increasing quality of care in intensive care settings, the evaluation of students’ skills in CPR is essential to determine defects and plan for improvement. Method. In this descriptive study, nursing students’ performance was evaluated at the end of educational period of their critical care course using objective structured clinical examination (OSCE). The OSCE included five core skills in CPR: airway management, arterial blood gas (ABG) interpretation, basic life support, electrocardiography (ECG) interpretation and assessment of the level of consciousness. Findings. The study population consisted of 17 nursing students in the 4th semester of their critical care master course. The results showed the majority of students (64.7%) had moderate performance to do CPR skills. The best performance was related to assessment of the level of consciousness (52.9%). Basic life support (41.2%), airway management (35.3%) and ECG interpretation (11.8%) ranked as the next best skills, respectively. The worse performance was related to ABG interpretation with 0% pass score. Conclusion. According to the findings, the performance of the nursing students in CPR is moderate, globally and cognitive skills are lower than psychomotor skills. Problem-based educational strategies and encouragement of active thinking are suggested for improving cognitive skills and more practice to improve all competencies up to desirable level.
Fatemeh Habibzadeh, Masoomeh Imanipour, Jaleh Mohammad Aliha, Abbas Mehran,
Volume 3, Issue 3 (12-2014)
Abstract
Aim. The aim of this study was to investigate the effect of applying checklist on intra-hospital transport of intensive care patients.
Background. Intra-hospital transport of intensive care patients who are at risk of cardiovascular and respiratory instability can lead to physical harm and death. Therefore, prevention through increasing awareness staff about the dangers is a necessity.
Method. A quasi-experimental before-after design was used to conduct the study. At first, in a hospital affiliated to Tehran University of Medical Sciences, the quality of 50 cases of intra-hospital transport observed using a checklist during day shifts. Then, intra-hospital transport checklist was given to critical care nurses to be used in cases of patient transport. One month later, the quality of 50 cases of intra-hospital transport observed using a checklist during day shifts. The data were analyzed by SPSS version 21.
Findings. The results showed a statistically significant difference between the mean score of the quality of intra-hospital transport, before and after intervention (49.26±9.87 against 54.95±10.27) (P=0.006).
Conclusion. Applying checklist improves intra-hospital transport of intensive care patients. It is recommended to use this checklist for intra-hospital transport of intensive care patients to increase patient safety and reduce the complications of in-hospital transport .
Seyede Halime Kamali, Masoomeh Imanipour,
Volume 5, Issue 3 (12-2016)
Abstract
Abstract
Aim. This study was designed to determine complications experienced by family members of patient admitted to intensive care units and to identify related factors.
Background. Family is the most fundamental social community and has a basic role in human health. An acute illness of a family member and admission in critical care unit is considered as a stressful event resulting in some problems and undesirable outcomes for other family members.
Method. This review study was done in a systematized manner and based on library literatures. To do this, the articles published on family of critical patients during 2004-2016, searched out in different Farsi and English databases using keywords of "patient's family", "critically ill patient", "and family need". After screening articles according to inclusion criteria, 20 related articles were reviewed and analyzed.
Findings. Admission of patients in critical care unit cause some negative reactions and complications in their family in the form of physical and psychosocial disorders. These undesirable outcomes are related to different reasons usually related to patient’s caring method and the manner of interaction with family members.
Conclusion. In general, following admission of one of family member in critical care unit, the family encounters a crisis, loses its functions and experiences some problems. Based on this, nurses, as the main pillar of care delivery system, should be responsible about patients’ family, pay attention to their needs and support the family though developing a family-center care plan.
Masoomeh Imanipour , Amin Hosseini ,
Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. This paper aims to review the effect of Extracorporeal Membrane Oxygenation (ECMO) method on treatment of drug poisoning caused by calcium blockers and beta-blockers.
Background. A large proportion of cardiovascular drug poisoning is associated with calcium channel blockers and beta-blockers. Among the various and severe symptoms of poisoning with these drugs, treatment of resistant shock or acute respiratory distress is considered as a challenge. Extracorporeal membrane oxygenation can be used as one of the effective therapies for this type of poisoning.
Method. This study is a literature review that was conducted through searching out databases Web of Science, Scopus and PubMed with keywords "Extracorporeal membrane oxygenation", "ECMO", "Calcium channel blocker" and "Beta blocker" in the title, abstract, and keywords of the articles. The articles with focus on the effects of ECMO on treatment of poisoning caused by calcium blocker and beta-blocker drugs were selected and reviewed.
Findings. Twenty articles were included, in which 23 patients with beta-blocker or calcium blocker poisoning were reported to be treated with ECMO as an adjunct device. VA-ECMO and VV-ECMO were used in 22 and one of cases, respectively. In general, the use of ECMO has been completely successful in more than 90 percent of those patients who suffered from cardiovascular drug poisoning.
Conclusion. In view of the newness of ECMO and the lack of clinical trials in this subject, the results of reported case studies indicate a high success rate of this method in treatment of calcium and beta-blockers poisoning. It is recommended this treatment to be considered by healthcare team to treat beta-blocker or calcium blocker poisoning.
Behnam Yari-Bajelani, Shiva Khaleghparast, Mohammad Imanipour, Ziae Totonchi, Ali Gholami, Sana Shahrabadi,
Volume 7, Issue 4 (3-2019)
Abstract
Abstract
Aim. This study aimed to examine the effect of open visiting hours on sleep quality, anxiety, and satisfaction of patients undergoing coronary artery bypass graft surgery (CABG).
Background. The importance of visiting patients after CABG has been emphasized in various studies, but there is insufficient evidence to confirm whether restricted /open visits may have more positive or negative effects than each other.
Method. In this clinical trial study, 60 post-CABG patients, admitted to Shahid Rajaei Cardiovascular, Medical and Research center, were randomly selected and divided into experimental (n=30) and control group (n=30). Patients in experimental group received an open visiting schedule (free visiting) and those in control group experienced a regular visiting schedule (restricted visiting). Anxiety was measured on the second and fourth days of hospitalization by the Spielberger Anxiety Inventory (STAI), sleep quality was measured by Richard Campbell and satisfaction was assessed through researcher-made questionnaire on the fourth day of hospitalization. Data were analyzed using independent t-test in SPSS-20 software.
Findings. There was a statistically significant difference between control and experimental groups in terms of anxiety mean score (43.97±6.76 against 35.90±4.31, respectively) (p≤0.0001). There was also a statistically significant difference between control and experimental groups in terms of mean score of patient satisfaction (46.13±7.15 vs 32.23±4.67, respectively) (p≤0.0001). A statistically significant difference was found between control and experimental groups in terms of sleep quality mean score (2.33±0.8 vs 3.33±0.75, respectively) (p≤0.0001).
Conclusion. Open visiting can reduces anxiety, and improves sleep quality and patients' satisfaction after CABG.
Masoumeh Aghaei, Zahra Razaghi, Masoomeh Imanipour,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to determine the attitudes of intensive care unit nurses towards communicating with unconscious or conscious intubated patients unable to speak.
Background. Communication is one of the most important tools in patient care and is more important in intensive care units because many patients are unable to communicate verbally due to illness or treatment.
Methods. This descriptive cross-sectional study was conducted on 174 nurses working in intensive care units. They were selected by convenience sampling method. Data were collected by a researcher-made questionnaire through self-report. This questionnaire had two sections of views on communication with unconscious or conscious intubated patients unable to talk and factors related to non-communication with these patients which was completed either in paper or electronic form. The data were analyzed in SPSS version 26 using descriptive statistics and Pearson correlation.
Findings. The results showed that the majority of the studied units (94.3 percent) had a positive attitude towards communicating with patients with speech disabilities admitted to intensive care units. It was also found that large number of patients, nurse's reluctance to work in intensive care units, loading of unprofessional tasks, psychological fatigue, and no mastery in communicative skills are more associated with communicating with this group of patients.
Conclusion. According to the positive attitude of nurses towards communicating with unconscious or conscious intubated patients unable to speak, this positive attitude can be used to improve nurses' communication performance. In addition, it is necessary to improve the quality and quantity of communication with patients with speech problems through management measures to control some factors related to communicating with patients with speech impediments.
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