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Showing 4 results for Zakeri Moghadam
Masumeh Zakeri Moghadam , Somayeh Sadeghi, Shahrzad Ghyasvandian, Anoshirvan Kazemnejad,
Volume 2, Issue 3 (12-2013)
Abstract
Abstract Aim. The purpose of this study was to determine the effect of comprehensive-care program on patient satisfaction in patients with minor and moderate trauma (accident, fall and other types of trauma) in emergency department. Background. Assessment of patient satisfaction is one of the most important indicators of measuring quality of care. Patient satisfaction of nursing services is declining it can be caused by increased awareness of patients about their rights and health care services which leads to an increase in patient expectations of health care services. Comprehensive care program is one of the ways to increase patient satisfaction. Method. This clinical trial study was conducted with 104 patients, 52 in each control and experimental groups. The experimental group received comprehensive-care program from the moment of entering emergency department to the discharge of emergency department and the control group received the usual nursing care. After implementing comprehensive-care program and at the end of the patient stay, the patient satisfaction in two groups was measured using a modified form of satisfaction questionnaire. The data analysis was done by SPSS software, version 22 using descriptive and inferential statistics. Findings. The mean score of the total satisfaction was 32.02 (relatively appropriate) and 45.6 (appropriate) after intervention in control and experimental groups, respectively. There was a statistical significant difference between the mean score of total satisfaction of the groups after intervention (p<0.001). Conclusion. Implementing comprehensive-care program increases the rate of the patient satisfaction. Therefore, it is recommended to managers and staff of the health care centers and educational centers to apply comprehensive care program.
Masoumeh Zakeri Moghadam, Nesa Mousavi Malek, Maryam Esmaeeli, Anoushiravan Kazem Nejad,
Volume 4, Issue 4 (3-2016)
Abstract
Abstract Aim. The purpose of the present study was to examine the effect of supportive educational intervention on quality of sleep before coronary artery bypass grafting surgery. Background. Patients who are waiting for surgery, experience high levels of stress and anxiety due to invasive nature of the procedure. This experience may influence their sleep quality. Disturbed sleep could lead to worsening the disease condition and reduces the process of recovery. Using non-pharmacological methods such as Benson muscle relaxation, deep breathing and guided imagery could be safe and useful for solving patients’ sleep problems before surgery. Method. The present study was a quasi-experimental clinical trial in which 160 patients undergoing coronary artery bypass grafting surgery who hospitalized in cardiac surgery wards and cardiac intensive care units of selected hospitals of Tehran University of Medical Science were recruited and divided into two experimental (n=80) and control (n=80) group. Demographic data questionnaire was given to the patients at the first day of hospital admission. The control group received routine care. The intervention group received routine care and supportive educational intervention for at least two days between 4 and 6 p.m. All of the patients filled Groningen sleep quality scale in the day of surgery. Data analyzed by SPSS version 16. Findings. Before surgery, the mean score of sleep quality was 4.6±5.50 in intervention group and 10.76±1.27 in control group. There was a statistically significant difference between the experimental and control group in terms of sleep quality as the experimental group reported higher quality sleep than control group (P<0.0001). Conclusion. Implementation of non-pharmacological methods such as relaxation, deep breathing, and guided imagery could be a good alternative method for hypnotic and sedative drugs. This could be one of the nursing interventions before coronary artery bypass grafting surgery as a safe, available and useful method.
Marzieh Rezaei, Shahrzad Ghiasvandian, Masoumeh Zakeri Moghadam,
Volume 7, Issue 1 (6-2018)
Abstract
Abstract
Aim. This study aimed to compare physicians’ and nurses' perceptions of futile care.
Background. Futile medical care is the provision of medical care or treatment to a patient when there is no reasonable hope or chance of a benefit. Determination of perceptions of futility is crucial to reduction of situations leading to futility and end-of-life decision-makings.
Method. The present study is a descriptive-comparative cross-sectional study in which 114 nurses and 57 physicians working in intensive care units of selective teaching hospitals of Shiraz University of Medical Sciences were recruited by convenience sampling method based on the inclusion criteria. The data collection instrument was a researcher-made questionnaire of futile care perception whose validity and reliability was assessed by experts, test-retest and Cronbach's Alpha methods. The Data were analyzed using descriptive and analytical statistics in SPSS software version 16.
Findings. The mean score of physicians’ and nurses’ perceptions of futile care was 77.29±13.79. The mean score of nurses’ perception was 78.46±14.4, turned out to be higher than that of physicians (74.91±12.3). The highest level of consistency between the two groups was related to the item "ineffective communication" and “disregarding the members in the decision-making process by the ICU attending physician”. As for "stressfulness of futile medical care", nurses experienced higher stress levels and there was a statistically significant difference between the two groups in this regard.
Conclusion. The agreement on the most important factors affecting the perception of futility indicates consistency between physicians’ and nurses’ perceptions of futile care. The high perception scores in both groups, and the stressful nature of futile medical care require necessary training mechanisms needed to deal with such situations.
Banafsheh Ghorbani, Masoumeh Zakeri Moghadam, Khatereh Seylani, Nima Pourgholamamiji, Maryam Mousavi, Parisa Gholamreza Mehni,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to review nursing care of invasive and non-invasive hemodynamic monitoring innovations focusing on cardiovascular monitoring.
Background. In the management of critically ill patients, the priority is to optimize and monitor hemodynamics, especially the cardiovascular system. Comprehensive hemodynamic assessment of patients, along with other clinical information, enables physicians and nurses to make informed decisions about treatment and care of patients. Due to the importance of hemodynamic monitoring in intensive care units and the cause of hemodynamic instability and response to treatment, as well as the increasing advances in science and technology in the development of new devices, familiarity with hemodynamic monitoring equipment and knowledge of how new methods work can be helpful in this regard.
Method. This review study was carried out in 2018 by searching the databases and search engines (Google Scholar, OVID, Up-to-date, Springer, Scopus, CINAHL, Cochran, Web of Science, Magiran, SID, PubMed) using the keyword “Pulse counter”, “invasive and non-invasive hemodynamic monitoring”, “cardiac output” and their Persian equivalent. A total of 65 unrestricted articles were found, out of which 15 duplicate and 10 full-text articles were excluded, and eventually 40 articles were included in the study.
Findings. In recent years, hemodynamic monitoring has evolved from invasive to less invasive and non-invasive systems and from intermittent to continuous. Nurses' role in hemodynamic monitoring of patients is very important.
Conclusion. Nurse's knowledge of these innovations, nursing care training in hemodynamic monitoring of patients, as well as prevention and management of complications, can have a significant impact on nurses' knowledge as well as enhancing the quality care and patients’ quality of life.
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