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Showing 3 results for Kamrani

Farhad Kamrani, Somayeh Nikkhah, Fariba Borhani, Mohammad Jalali, Sudeh Shahsavari, Kianoosh Nirumand-Zandi,
Volume 4, Issue 3 (12-2015)
Abstract

Aim. The aim of this study was to determine the effect of patient education and  nurse-led  telephone follow-up (telenursing) on adherence to treatment in patients with acute coronary syndrome admitted to cardiac care units hospitals affiliated to Alborz University of  Medical Sciences.

Background. Increasing adherence to treatment is essential in patients with acute coronary syndrome to reduce readmissions and improve the recovery, but only patient education does not guarantee the adherence to treatment and it is necessary to follow-up patients after discharge.

Method. This randomized clinical trial study was conducted on patients with acute coronary syndrome admitted to the selected hospitals of Karaj, Iran, in 2014. In this study, 90 patients were selected purposively and randomly allocated  in  three groups of education (n=30), education/ telephone follow-up (n=30), and control (n=30). Data collection instrument was questionnaire. Data were gathered at baseline and 12 weeks after the intervention. Patients in educational groups  (education, and education/ telephone follow-up groups) were trained before discharge using educational pamphlets. Telephone follow-up were implemented for education/ telephone follow-up group for 3 months; twice a week in the first six weeks and weekly in the second six weeks. The data was analyzed by descriptive and inferential statistics in SPSS version16.

Results. After intervention, there was a statistically significant difference between the groups in terms of adherence to treatment (P=0.001). Participants in the education/ telephone follow-up group and education group experienced more improvement in adherence to treatment than the control group.

Conclusion. Both patient education and education/ telephone follow-up have effect on improvement of adherence to treatment, but education/ telephone follow-up results in more improvement in adherence in comparison to education. It is recommended to implement education/ telephone follow-up for patients with acute coronary syndrome.


Saghi Ghafourian-Abadi, Farhad Kamrani,
Volume 5, Issue 2 (9-2016)
Abstract

Abstract

Aim. The present study aimed to examine Critical care nurses’ participation in clinical decision making with physicians.

Background. Regarding to the extent of the responsibilities and scope of nursing science and the need for making accurate and sensitive decisions, nurses should be able to judge on clinical solemn occasions and make decisions to save the patient’s life in complex situations.

Method. In this cross-sectional study, 110 critical care nurses working in intensive care units of health care centers in Rasht, Iran, were recruited using census sampling method. The data were collected using the questionnaire “participation in clinical decision making” (PDAQ) and demographic form. Data were analyzed in SPSS using descriptive and inferential statistics.

Findings. The results showed that the majority of critical care nurses were being participated in clinical decisionmaking.

Conclusion. Work experience, marital status, desire to continue work in intensive care unit, and managerial role contributed to greater participation of critical care nurses in clinical decision making with physicians.


Mina Khanjari, Farhad Kamrani, Tahereh Nasr-Abadi,
Volume 6, Issue 4 (3-2018)
Abstract

Abstract
Aim. This study aimed to investigate the effects of a Turkish, family-oriented multimedia application on adherence to therapeutic regimen in people with recent myocardial infarction.
Background. Using native language in education of people experiencing myocardial infarction may have an effect on their adherence to therapeutic regimen.
Method. This study is a clinical trial. The research was conducted in Post-CCU wards of Zanjan hospitals in 2016. In this study, 80 patient with myocardial infarction were randomly allocated to experimental  (n=40) and control (n=40) group during a 6 month period. Data collection tools consisted of demographic form and a questionnaire measuring adherence to therapeutic regimen in domains diet, physical activity, and medication. Data were analyzed in SPSS V.20 by statistical tests (Chi-square, Mann-Whitney and T-Test.
Findings. Comparison of the groups indicated a statistical significant difference between the mean score change of adherence to medication regimen of experimental and control group (3.52±0.2 versus 2.79±0.73) (P≤0.0001), adherence to diet (3.91±0.3 versus 3.63±0.6) (P≤0.0001), and adherence to physical activity (3.57±0.4 versus 3.11±0.7) (P≤0.0001).
Conclusion. Family-centered family education through multimedia application (in Turkish) is effective on patients’ adherence to therapeutic regimen and in turn, may reduces the costs and complications.


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فصلنامه پرستاری قلب و عروق Iranian Journal of Cardiovascular Nursing
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