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Atefeh Aliahmad, Seyed Javad Ghazi Mirsaeid, Hamideh Ehtesham,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study is assessment the status of altmerics of the articles in the Iranian Cardiovascular journals indexed in Scopus by using the PlumX during 2014-2016.
Background. With the change in the pattern of accessing to the electronic content of journals, new spaces for scientific and research evaluations have emerged in different ways. Plam Analytics strives to provide research metrics for all types of the research outputs.
Method. The purpose of this study is descriptive and applied in a descriptive study. The number of active Iranian cardiovascular journals in Scopus is based on the SCImago over a defined period include ARYA Atherosclerosis ، International Cardiovascular Research Journal, Journal of Tehran University Heart Center and Iranian Heart Journal , which had published 671 articles on the Scopus and all were included in the study.
Findings. The results showed that the number of usage of articles in journals of ARYA Atherosclerosis, Journal of Tehran University Heart Center and Iranian Heart Journal was zero and the rate of usage of articles published by International Cardiovascular Research Journal were 130 times. Results showed that the number of the capture of articles published by ARYA Atherosclerosis were 134 times, International Cardiovascular Research Journal were 347, Journal of Tehran University Heart Center was 195 and Iranian Heart Journal was 223. The results showed that the number of presence of articles published by the Iranian journals in the cardiovascular field indexed in Scopus on social networks and mention to these articles was zero. A total of 671 articles were cited 1030 times.
Conclusion. The results of this study showed that PlumX indices in the Iranian cardiovascular articles were very low and in some cases was zero.
Reza Ranjbaran, Mahnaz Aliakbari Dehkordi, Majid Saffarinia, Ahmad Alipour,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. This study aimed to determine the effect of health promoting lifestyle training on vitality, psychological well-being and blood pressure of women with cardiovascular disease.
Background. Women with cardiovascular disease have many problems in physical and mental health and one of the effective methods in this field is health promoting lifestyle training method.
Method. This was a quasi-experimental study with pretest-posttest and follow-up design with control group. The study population consisted of women with cardiovascular disease referred to Rajaie Cardiovascular Medical and Research Center in Tehran, Iran, in 2019. The sample consisted of 40 women who were selected by purposeful sampling method and randomly allocated into experimental and control group. The experimental group received eight 75-minute educational session (one session per week) on health promoting lifestyle and the control group placed on the waiting list for training. Data were collected using questionnaires vitality and psychological well-being and sphygmomanometer and were analyzed by Chi-square test, independent t-test, repeated measures and Bonferroni post-hoc test in SPSS Version 19.
Findings. In the pretest stage, there was no statically significant difference between the experimental and control group in terms of vitality, psychological well-being and blood pressure, but in the posttest and follow-up stages, there was found a statically significant difference in terms of all three variables of vitality, psychological well-being and blood pressure, meaning that health promoting lifestyle training method led to increase vitality and psychological well-being and decrease blood pressure of women with cardiovascular disease. This effect continued in follow-up stage.
Conclusion. The method of health promoting lifestyle training led to improve the vitality, psychological well-being and blood pressure of women with cardiovascular disease. It is recommended that health care providers use health promoting lifestyle training method along with other educational and therapeutic modalities to improve the health-related components.
Issa Mohammadi, Sheida Sodagar, Biyuk Tajeri, Akbar Atadokht, Maryam Bahrami Heidaji,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to compare the effect of mentalization-based therapy and supportive psychotherapy on object relations in people with coronary heart disease.
Background. Cardiovascular diseases are the main cause of disability and death in different countries of the world and despite the development of various treatments, it is still highly prevalent.
Method. This experimental study was conducted in the form of the pretest-posttest design with control group and follow-up stage. The statistical population consisted of all people with coronary heart disease who referred to Imam Khomeini Hospital in Ardabil during 2018. Of this statistical population, 60 people were selected through purposive sampling and according to inclusion criteria, and were randomly assigned to two experimental groups and one control group (20 people in each group). Finally, 55 people remained until the end of interventions and evaluations. The first experimental group received 12 sessions of mentalization-based therapy, the second experimental group received 10 sessions of supportive psychotherapy, while the control group did not receive any intervention. Bell Object Relations Questionnaire was used for data collection in three stages of pre-test, post-test and follow-up. Data were analyzed using repeated measures analysis of variance and LSD post-hoc test using SPSS statistical software (version 22).
Findings. After controlling the pre-test effects, a statistically significant difference was found between the post-test mean scores of the experimental groups (mentalization -based therapy: F=19.69, P≤0.0001; and supportive psychotherapy: F=28.86, P≤0.0001) and the control group (F=0.87, P<0.43) in terms of object relations and its components. Also, the effect of supportive psychotherapy on object relations of patients with coronary heart disease was higher than that of mentalization -based therapy (P<0.01).
Conclusion. The results of the present study provides the basis for using these interventions in people with coronary heart disease.
Maryam Izanloo, Parisa Peyvandi, Ahmad Borjali, Mohammada Reza Sirafi, Yousef Mohsenzadeh,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of compassion-based therapy on adherence to treatment and components of type D personality in people with coronary heart disease in Alborz province, Iran.
Background. Coronary heart disease as a chronic disease is being considered as a psychosomatic disease that is affected by psychosocial factors as well as biological factors.
Method. The study method was quasi-experimental with pre-test post-test with control group and follow-up period. The statistical population of this study included people with coronary heart disease who referred to the cardiac ward of Rajaei hospital in Karaj, Iran, on an outpatient or inpatient basis in 2019. The sample consisted of 30 patients who were selected through convenience sampling and were randomly divided into experimental (N=15) and control (N=15) groups. The experimental group underwent compassion-focused therapy (CFT) weekly in 90-minute duration sessions for 8 weeks according to Gilbert's CFT protocol, and the control group was placed on a waiting list for training. Data were collected using questionnaires adherence to treatment and Denolt type D personality. Data were analyzed in SPSS software version 24 using mixed variance design.
Findings. After intervention, the mean score of adherence to treatment in experimental group (43.33±4.22) was statistically higher than that of the control group (34.60±4.33). After intervention, the mean score for type D personality in experimental group (26.73±4.94) was statistically lower than that of the control group (36.53±4.27). The main effect of time, the main effect of group, and group-by-time interaction for both adherence to treatment and type D personality was statistically significant, meaning that CFT influences these variables in people with coronary heart disease.
Conclusion. Programs that are performed in the form of psychological educational interventions along with medical interventions may decrease the severity of coronary heart disease, accelerate the healing process, and promote general health and long-term adaptation of these patients. Therapists and health professionals are advised to use compassion-focused therapy to improve the mental and physical health of people with coronary heart disease.
Farzaneh Mehrvarz, Shiva Khaleghparast,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The present article aimed at reviewing the literature regarding factors causing arteriosclerosis.
Background. The origin of arteriosclerosis, which leads to the development of cardiovascular diseases, is quite complicated. The pathogens involved in arteriosclerosis include hemodynamic, thrombotic, carbohydrates, lipid, metabolic changes, and the inherent properties of the arterial wall. These physiological and biochemical properties finally give rise to the clinical symptoms in patients. Furthermore, environmental factors such as smoking, and changing lifestyle can aggravate these symptoms. The progression of arteriosclerosis and the increase in its severity depends on these risk factors as well as their continuation over time.
Method. The present research reviewed the literature published within the last 20 years concerning the factors causing arteriosclerosis. The articles were searched out using databases Science Direct, PubMed, Cochrane, Medline, SID, Scopus, Iran Doc, OVID, CINAHL, and Magiran and the keywords were Atherosclerosis, atherosclerosis, cardiovascular disease and their Persian equivalents.
Findings. The findings indicated that there have been considerable developments in identifying the factors causing Atherosclerosis, factors such as age, sex, hypertension, smoking, increase in the LDL level, decrease in the HDL and cholesterol level, which are effective in the development of atherosclerosis, and the metabolic factors (disorder of glucose metabolism), thrombogenic and homeostatic factors such as fibrinogen and inflammatory factors that can lead to cardiovascular diseases. Despite the various studies carried out in this regard, cardiovascular diseases are still the leading cause of death as reported by the World Health Organization and the methods for controlling and preventing these diseases have not yet been completely developed.
Conclusion. Taking into account the high mortality rate of cardiovascular diseases, besides identifying the risk factors leading to arteriosclerosis, there must be public education at every level in order to increase awareness, cause fundamental changes in people’s lifestyles, and increase patient self-care education.
Hamid Sharif Nia, Abbas Balouchi, Azar Jafari, Ameneh Yaghoobzadeh, Maryam Ziyari, Fereshteh Eidy, Amir Hossein Goudarzian, Mozhdeh Sarmadikia, Mahbubeh Janbaz, Mr Farhad Arefinia,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The present study was conducted to determine the relationship between seasonal changes and incidence of AMI in Sistan and Baluchestan province, Iran.
Background. Although various studies have been carried out to examine the relationship between seasonal changes and incidence of Acute Myocardial Infarction (AMI) in different parts of the world, many of them have limitations and there are many contradictions between their findings. Despite considerable prevalence of AMI in Sistan and Baluchestan Province, similar studies have not been conducted in this area.
Method. This cross-sectional study was done based on medical data of heart center of Sistan and Baluchestan Province from March 2015 to April 2016. In this study, census sampling was achieved of all the patients with AMI symptoms. Variables such as age, sex, marital status, birth date, physical symptoms, and past medical history; and also meteorological parameters such as minimum, maximum and average of temperature (Celsius), and wind direction were collected.
Findings. Except of mean rainfall, mean rate of other parameters had statistically significant differences during 12-month period of the study. Spearman correlation test showed a positive statistically significant correlation of incidence of AMI during one year with sunshine hours (r=0.685, p=0.014), and maximum daily temperature (r=0.626, p=0.030).
Conclusion. Finding revealed that raising temperature had direct relationship with incidence of AMI. The findings could be a foundation for governmental important health plans to control the incidence of AMI.
Hedieh Salehpour, Samaneh Parchebafieh, Mohammad Saheb Al-Zamani,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to evaluate the effect of cardiac rehabilitation training on patients' quality of life after coronary artery bypass grafting at Dr. Lavasani Hospital in Tehran.
Background. Coronary artery disease is the most common and serious chronic life-threatening disease. This disease affects many aspects of people's lives and reduces the quality of life. In many cases, coronary artery bypass graft surgery is needed to treat cardiac problems. Improving the quality of life is one of the important goals of participating in a cardiac rehabilitation program.
Method. In this one-group quasi-experimental study, 45 patients under coronary artery bypass graft surgery, hospitalized in Dr Lavasani Heart Hospital in Tehran, Iran, were selected by simple random sampling and were studied in a before-after design. Data collection tools included demographic questionnaire and Macnew Heart Disease Health-Related Quality of Life questionnaire. Cardiac rehabilitation training program was implemented in two sessions of 30 to 45 minutes with an interval of at least 24 hours at the time of hospitalization. Quality of life was measured in two stages, before the intervention and one month after the second training session. Data were analyzed in SPSS software version 25 using descriptive and inferential statistics.
Findings. The highest percentage of samples was male (57.8 percent), married (95.7 percent) and had primary education (47.8 percent). The mean age of women was 60.32±9.73 years, and the mean age of men was 60.50±12.60 years. After intervention, the mean quality of life score (128.71±4.95) increased significantly compared to the mean quality of life score before intervention (96.66±9.30) (p≤0.0001).
Conclusion. Cardiac rehabilitation in patients undergoing coronary artery bypass graft surgery can increase their quality of life. Nurses can play an important role in improving the quality of life of these patients through implementing cardiac rehabilitation training.
Mohsen Ziyaeifard, Rasool Ferasatkish, Nahid Aghdaii, Ali Sadeghi, Mehrdad Haghazali, Fatemeh Barati, Sudabeh Rafiee,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of protocol of weaning from mechanical ventilation on the gastrointestinal function in people undergoing CABG.
Background. The most common problems after cardiac surgery in the intensive care unit are change in vital signs, respiratory problems, unsuccessful separation from mechanical ventilation, and gastrointestinal problems. Due to the numerous effects that gastrointestinal problems have on the patient after cardiac surgery and also the economic burden that these complications impose on the patient and the health care system, choosing the best technique to prevent and control these problems is critical for the health care team.
Method. The present study was a randomized clinical trial conducted on 100 people undergoing CABG. They were allocated to control and experimental group based on permuted block randomization. The control group received routine way and experimental group received protocol of weaning. The groups were compared in terms of nausea and vomiting, the time of beginning oral diet, defecation and bowel sounds before weaning 2, 6, and 12 hours after weaning from mechanical ventilation. Data were analyzed In SPSS version 23 using chi-square, Mann–Whitney U and Fisher tests.
Findings. In experimental group, there was a faster onset of bowel sounds and movements and earlier beginning of oral diet.
Conclusion. Patients who were under the protocol of weaning from mechanical ventilation had better gastrointestinal functional status compared to those who were under routine weaning.
Nasibeh Janatifard, Fatemeh Salmani,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The purpose of this study was to determine the effect of early mobilization program on incidence of arrhythmias in patients after acute myocardial infarction in Imam Khomeini Hospital in Dehdasht, Iran.
Background. Acute myocardial infarction is one of the most common causes of disability and mortality in most countries. Rehabilitation and mobility management of these patients, immediately after admission to the cardiac care unit, can reduces complications and decreases their physical and cognitive function impairment.
Method. This was a clinical trial study, in which 60 patients with acute myocardial infarction, referred to Imam Khomeini Hospital in Dehdasht, Iran were selected by convenience sampling during the year 2019 and randomly assigned to experimental (n=30) and control (n=30) groups. In the experimental group, patients received an organized program in 8 stages, 18 hours after admission to the cardiac care unit, and in control group, the patients got out of bed 48 hours after admission based on the usual protocol. Patients were monitored before, during, and after getting out of bed for the number and type of arrhythmias. Data were analyzed by descriptive and inferential statistics in SPSS version 22.
Findings. There was a statistically significant difference between the experimental and control group in the number and type of arrhythmias, 48 hours and 51 hours after admission in the cardiac care unit. However, this difference was not statistically significant at 54 hours after admission to the cardiac care unit.
Conclusion. Early mobilization can reduce the number of arrhythmias in patients after myocardial infarction. Early mobilization can be included in the cardiac care unit rehabilitation program as a safe mathod. Therefore, it is recommended to use early mobilization program for patients with acute myocardial infarction in cardiac care unit on the first day of hospitalization.
Tahereh Najafi Gezelje, Seyedeh Marziyeh Moosavi, Peyman Saberian, Shima Haghani,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The present study aims to determine the performance of “Tehran 115 medical emergency” dispatchers in providing services to patients with chest pain.
Background. Chest pain is one of the most common problems for which individuals call medical emergency services. The pace, accuracy, and integration of services by medical emergency dispatchers are highly important to decrease mortality and disability rates.
Method. A cross-sectional descriptive study was carried out on 397 voice records of 80 dispatchers in “Tehran 115 medical emergency services” about chest pain in January 2019. Data gathering was done using the Dispatcher Performance Assessment Checklist. All the obtained scores by the checklist were analyzed in SPSS (V.22).
Findings. All voice records demonstrated an acceptable performance of the dispatchers. The mean score of performance in consultation section was 18±2.66 ranged from 9 to 20. The mean score of performance in key questions section was 35.95±2.16 with a score range from 28 to 38. The total mean score of performance was 53.95±3.57 with a score range from 43 to 58. In addition, employment status (P=0.039) and work experience (P=0.020) were significantly related to dispatchers’ performance in terms of assessing chest pain.
Conclusion. Assessment according to the checklist items and provision of proper consultation services to the patients and patient companions by the 115 dispatchers resulted in a better and timely diagnosis, faster dispatch of ambulance, less damages sustained by heart patients, and prevention of death. The findings emphasized on the necessity of adhering to the questions algorithm and uniform work procedure by dispatchers nationwide. This should be an integral part of telephone triage. Observation of national standard prevents probable damages to patients due to wrong or personalized decision making.
Robabeh Khalili, Tahereh Najafi Ghezeljeh, Alireza Alizadeh Ghavidel, Hamid Haghani,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The purpose of this study was to examine the effect of Zero-balance (Z-Buf) ultrafiltration on arterial blood gases in patients undergoing coronary artery bypass graft surgery.
Background. Cardiopulmonary bypass can cause complications such as systemic inflammatory response syndrome, ischemic reperfusion injury, decreased cardiac output, and other related complications.
Method. This study was a randomized clinical trial study with control group. Seventy six patients undergoing coronary artery bypass grafting were selected through consecutive sampling method from early January 2016 to the end of June 2017. To allocate the participants into groups, randomized blocking method was used. Patients in the experimental group were connected to the cardiopulmonary bypass system and Zero-balance (Z-Buf) ultrafiltration. Arterial blood gases including BE, Pao2, Pco2, Tco2, PH, Lactate, and O2Sat were measured in the preoperative time, every half hour during the operation, immediately after the operation and 6 hours after transferring the patient to intensive care unit. The data were analyzed by descriptive and inferential statistics in SPSS Version 22.
Findings. The results showed that the changes in PCO2 in both groups were not statistically significant, but the changes in other arterial blood gas parameters (BE, Pao2, Tco2, PH, Lactate, O2Sat) were statistically significant in two groups (P<0.05). There were more changes in arterial blood gases in the control than the experimental group.
Conclusion. The use of Zero-balance ultrafiltration reduces changes in arterial blood gas parameters in patients with undergoing coronary artery bypass graft surgery. The use of this method by heart surgeons and perfusionists can reduces the incidence of clinical complications in these patients.
Mojdeh Navidhamidi, Tahmine Salehi, Hadi Ranjbar, Fatemeh Alipoor,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. This study was conducted to examine the relationship of marital satisfaction and self-care behavior in people with chronic heart failure
Background. Chronic heart failure is one of the most important problems in public health and it would impose heavy costs on society and family. Self-care plays an important role in managing heart failure and can be influenced by social support. The patients receive the highest level of social support from their families.
Method. In this descriptive study, 251 patients were selected by convenience sampling method. The instruments were Enrich marital satisfaction questionnaire, and The European Heart Failure Self-care Behavior (EHFSCB). Collected data were analyzed in SPSS version 16 using descriptive and inferential statistics.
Findings. The results showed that 58.8 percent of participants were male, with a mean age of 59.66 years. The mean score of marital satisfaction was 145.6±41.98. Most participants (46.9 percent) had partial marital satisfaction. The mean score of self-care was 34.5±12.24 and most participants (41.2 percent) reported good self-care. There was a statistically significant negative correlation between the marital satisfaction and self-care scores.
Conclusion. Due to the positive effect of self-care behaviors on marital satisfaction and because most people with chronic heart failure have partial marital satisfaction, it is recommended to study factors influencing these components. It is suggested to support and teach patients and their families in order to improve marital satisfaction and promote self-care behaviors in these patients.
Fariba Nasiri Ziba, Farideh Mehrabani, Doctor Hamid Haqqani,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to examine the relationship between quality of life and hope in people with ischemic heart disease.
Background. The increase in the number of patients with ischemic heart disease in recent years and its psychological and physical consequences and complications necessitates investigating their quality of life and hope.
Method. In this descriptive-correlational study, 150 people with ischemic heart disease hospitalized in Shahid Rajaie Cardiovascular Medical and Research Center in Tehran, Iran, were investigated. Data collection tools were demographic information questionnaire, France and Powers quality of life questionnaire (1999) and Snyder hope scale (1991). Data were analyzed in SPSS using descriptive and inferential statistical.
Finding. The results of the present study showed that the quality of life in people with ischemic heart disease was at a good level (mean score 20.64±3). The level of hope in these patients was high (the mean score 40.33±5). There was a statistically significant relationship between hope and quality of life score (P≤0.0001, r=0.48).
Conclusion. Regarding the positive relationship of quality of life with hope in ischemic heart patients, nurses can be advised to pay attention to these aspects of life in this group of patients and incorporate into their routine care.
Fatemeh Mohaddes-Ardebili, Naeimeh Seyedfatemi, Fatemeh Maroofkhani, Mohammad Reza Zarei, Leila Mamashli, Mehri Bozorgnezhad,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to investigate the relationship between spiritual health and sleep quality in people with heart failure.
Background. The quality of sleep in patients with heart failure is unfavorable compared to healthy individuals. It is stated that in some societies, spirituality is related to mental health and sleep quality.
Method. In this descriptive correlational study, 207 people with heart failure, who were recruited in the study through convenience sampling method, were given demographic questionnaires, Pittsburgh sleep quality and Alison and Palutzian spiritual health questionnaires. Data were analyzed using descriptive and inferential statistics in SPSS V24.
Findings. The mean total score of sleep quality was 8.90±3.16; indicating that the sleep quality of people with heart failure was at an unfavorable level. The mean total score of spiritual health was 93.36±9.20; demonstrating that the level of spiritual health of the people with heart failure was moderately high. There was a statistically significant positive relationship between sleep quality and spiritual health (r=0.175, p=0.026).
Conclusion. People with heart failure who have higher spiritual health experience better sleep quality. It is recommended to pay attention to spiritual health as well as to the physical health of patients when planning caring programs for these people.
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.
Somayeh Esmaeilian, Shahab Papi, Soroor Sohrabi,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The present review study was conducted to investigate the effect of family-centered care education on outcomes of heart failure in Iranian patients.
Background. Heart failure is a complex clinical syndrome that poses a health problem due to its chronic, progressive, and irreversible nature.
Method. A comprehensive searching out scientific databases and search engines including Science Direct, Scopus, PubMed, Google Scholar, and Medline with the keywords heart failure and family-centered care education in both Persian and English language was done to find published studies between 2000 to 2020. Six articles were found based on inclusion criteria and reviewed to report their dominant findings.
Findings. Studies on the effect of family-centered care education on outcomes of heart failure in Iranian patients showed that this educational method has yield in effective results.
Conclusion. Family-centered care training improves and promotes self-care and quality of life in people with heart failure. Using this training program is recommended as an effective, cost-effective training method without the need for special equipment.
Payam Abbasi, Hamid Peyrovi, Seyed Habibollah Kavari, Hamid Haghani,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. This study was conducted to evaluate the readiness of intensive care units of hospitals affiliated to Iran University of Medical Sciences for the implementation of family-centered care in 2017.
Background. Patients in the intensive care unit often are not able to participate in therapeutic decisions, therefore, involving families in decision-making process, implementation and treatment processes, and meeting the their needs improves treatment outcomes and increases patient and family satisfaction. Family-centered care is one of the means of providing care that recognizes and respects the vital role of the family.
Method. This was a descriptive cross-sectional study in which all of the intensive care units in the hospitals of Iran University of Medical Sciences were studied in terms of their preparedness for family-centered care. Proportionate stratified sampling method was used to recruit nurses, and the physicians were recruited based on convenience sampling. In order to investigate the structure and facilities, through a census of all specialized departments of hospitals affiliated to Iran University of Medical Sciences, a checklist was filled out. Data were analyzed in SPSS software version 22 using descriptive and inferential statistics.
Findings. According to the results, 60.9% of nurses were opposed to implementing family-centered care and have a negative attitude, and 57.3% of physicians agreed to implement family-centered care. There was a statistically significant difference between the attitudes of nurses and doctors (p≤0.0001). Also, the overall scores obtained from hospitals affiliated to Iran University of Medical Sciences showed that the facilities and hospital structure were poor for implementing family-centered care.
Conclusion. Differences in the attitudes of nurses and physicians about family-based care showed the need for clarifying the concept of family-centered care. The implementation of family-centered care requires structural changes and extensive equipment in accordance with the standards.
Mehdi Ghanbari, Mohammad Iraj Bagheri Saveh, Daem Roshani, Kamal Salehi,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study was conducted to examine the effect of self-management program on major advers cardiac complications of coronary angioplasty in patients referred to Tohid Hospital in Sanandaj, Iran, in 2018.
Background. Coronary artery disease is the leading cause of death in people over 35 years of age in Iran. Coronary angioplasty is one of the most successful treatment techniques in people with coronary artery disease with some unwanted cardiac complications. Reducing these complications is one of the important goals of health care systems.
Method. This was a quasi-experimental study that was conducted on 101 people with coronary artery disease undergoing angioplasty. The samples were selected by convenience sampling method based on inclusion criteria, and then randomly assigned to the experimental (n=51) and control (n=50) group. Data collection tools included a demographic information questionnaire and a checklist of coronary angioplasty complications. The intervention was implemented in sessions of 45 to 60 minutes duration three times per week in the presence of a family member and a copy was handed in. This intervention was continued for six months in the experimental group. During intervention period, the patient’s condition and the implementation of the self-management program were followed up by phone. The control group received only routine care and the experimental group received both routine care and self-management program. Cardiac complications were assessed in the first, third and sixth months following intervention. Data were analyzed in SPSS version 21 using Chi-square, t-test and generalized estimation equations.
Findings. The groups were homogenous in terms of age, gender, marital status, level of education, place of residence, employment status, body mass index, number of children, history of hyperlipidemia, history of diabetes, history of hypertension, history of alcohol consumption, history of heart attack, and type of artery involved. Generalized estimation equations showed that after intervention, the rate of complications of target vessel revascularization (P=0.04), second coronary angioplasty, (P=0.005) and coronary artery bypass graft surgery (P=0.003) were significantly different between the control and experimental groups. However, there were no statistically significant difference between groups in terms of recurrent angina complications (P=0.066), myocardial infarction (P=0.069) and death (P=0.019).
Conclusion. The implementation of self-management program can reduce complications after coronary artery angioplasty. It is recommended for nurses to apply self-management programs and follow-up after discharge for this group of patients.
Shahrzad Baratpour, Zahra Dasht Bozorgi,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study aimed to examine the effect of well-being therapy on hope, distress tolerance and death anxiety in people with cardiovascular disease after getting a coronavirus disease 2019 (COVID-19).
Background. Cardiovascular patients rescued from COVID-19 face go through many psychological health issues regarding hope, distress tolerance and death anxiety. Well-being therapy has been known as one of the methods based on positive psychological approach that may have a positive effect on psychological health of these patients.
Method. This study was a semi-experimental study with pretest-posttest design with control group. The statistical population was cardiovascular patients rescued from COVID-19 living in Ahvaz city, Iran, in year 2020, from which 40 people were recruited by convenience sampling method and randomly allocated two experimental and control group. The experimental group received well-being therapy for 10 sessions of 90 minutes duration (two sessions per week) and the control group was placed on the waiting list for training. Research tools were the hope scale, distress tolerance questionnaire and death anxiety scale. Data were analyzed in SPSS-19 using Chi-square test, independent t-test and multivariate analysis of covariance.
Findings. The groups did not differ significantly in terms of gender, marital status, age, education and duration of illness. Also, before intervention, there was no statistically significant difference between the groups in terms of mean scores of hope, distress tolerance and death anxiety. After intervention, statistically significant difference was found between experimental and control group in the mean scores of all three dependent variables, meaning that well-being therapy improved hope (F=114.497, P≤0.0001) and distress tolerance (F=165.032, P≤0.0001), and decreased death anxiety (F=101.408, P≤0.0001) in people with cardiovascular disease after getting a COVID-19.
Conclusion. Regarding the effect of well-being therapy on improving hope and distress tolerance and decreasing death anxiety people with cardiovascular disease after getting a COVID-19, it is recommended that therapists and health professionals apply well-being therapy to improve hope and distress tolerance and decrease death anxiety in people with cardiovascular disease after getting a COVID-19.
Hediyeh Mesbahi, Fatihe Kerman Saravi, Farnoosh Khojasteh,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study was conducted to examine the effect of teach-back training on lifestyle of people with heart failure.
Background. Lifestyle is a determining factor in the development and progression of cardiovascular disease, so the patient's adherence to therapeutic regimen (medication, diet, and physical activity) guarantees a healthy lifestyle.
Method. This quasi-experimental study was conducted on 80 individual with heart failure who were admitted to the coronary care units (CCUs) and post coronary care units (PCCUs) of teaching hospitals affiliated to Zahedan University of Medical Sciences, Iran, in 2019. The patients were selected using the convenience sampling method and randomly placed into intervention and control groups. The tools used to collect the data included a demographic information form and Health-Promoting Lifestyle Profile II (HPLP II) questionnaire (HPLP2). The lifestyle questionnaire was completed by the participants in both groups in two stages, before and three months after the intervention. In the intervention group, lifestyle promotion training was performed individually using a teach-back method in 4 sessions, each lasting 30 to 60 minutes. Participants in control group received conventionally lifestyle promotion training. The data were analyzed using SPSS-22 software via the independent samples t-test, paired samples t-test, and chi-square test.
Findings. There was no statistically significant difference between groups in terms of demographic characteristics. Before intervention, no statistically significant difference was found between the mean score of total lifestyle, in the intervention and control group (110.82±48.93 and 103.38±37.23, respectively). (P=0.45). Three months after intervention, the mean score of total lifestyle in intervention group was significantly higher than that of control group (137.80±54.36 against 113.23±37.77) (p≤0.0001). After intervention, the mean score of domains of lifestyle in the intervention group (except for interpersonal communication domain) were significantly higher than that of control group.
Conclusion. The results of the present study showed that teach-back training promoted lifestyle and its domains (except for interpersonal communication domain) in people with heart failure. It is recommended that nurses use this training method to improve lifestyle in people with heart failure.
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