|
|
|
 |
Search published articles |
 |
|
Mohammadreza Heidari, Reza Norooz Zadeh, Mohammad Abbasi,
Volume 2, Issue 2 (9-2013)
Abstract
Abstract Aim. The purpose of this paper is to introduce the herbal medicines used for cardiovascular diseases and patient education about these drugs. Method. This study was a systematic review of herbal medicines used for cardiovascular diseases. Herbal medicines were extracted from databases PubMed, Science Direct, and Highwire (Website of Stanford University) using search keywords Herbal, Hyperlipidemia, Heart failure, Cardiovascular and Hypertension. To describe the effective herbal ingredients, side effects, interactions, and patient education, a nursing book on herbs (Kostka et al, 2005) and the Comprehensive Atlas of Medicinal Plants (Stephen et al, 2004) were used. Findings. Herbal drugs used for cardiovascular diseases in Iran consist of Antum, Alicom, Diuretic, Olea-crat, Crataegus Microphylla and Cratagus. Conclusion. Some of cardiovascular diseases can be controlled by herbal drugs. Patient teaching about precaution, interaction and avoidance of arbitrary use of drugs are important.
Zahra Abbasi Dolat Abadi, Seyed Hesam Seyedin, Seyed Mohamad Reza Hosseini, Golrokh Atighechian, Majid Pour-Sheikhian, Marjan Delkhosh,
Volume 2, Issue 2 (9-2013)
Abstract
Abstract Aim. The purpose of this paper is to describe different types of primary triage methods that are common and applicable in disaster scene in order to familiarize medical team personnel with these methods. Background. Disaster occurrence is rising all over the world. Primary assessment, treatment and transfer of victims to the medical centers which are away from the disaster scene is important considerations for first responder teams in response phase of disaster management cycle. In this regard, triage is an efficient tool for mass casualty management for which different strategies have been recommended in various countries. Method. In this review, published articles from 1995 to August 2013 were searched in Ovid, Science Direct, Google Scholar and PubMed data bases by using the keywords Triage, On-scene and Disaster. Findings. Based on search strategy, 50 English articles were found. Finally, 6 commonly adults triage methods and 2 pediatric triage methods were chosen to be described in this paper. Conclusion. Regarding the sudden nature of disaster and creating chaos following them, it is necessary for medical team members to apply the appropriate tools for managing mass casualties in attention to limited resources and the large number of victims. In order to perform proper triage method and reduce the amount of error in this procedure, it is necessary to educate correct practices of applicable triage methods to medical team members, Red Crescent workers and volunteers.
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.
Esmat Ataei, Asghar Dalvandi, Akbar Nikpajouh,
Volume 2, Issue 3 (12-2013)
Abstract
Abstract Aim.The aim of this study was to determine the effect of patient teaching on self-care behaviors with media clips in patients with permanent pacemaker. Background. One of the most common causes of death after myocardial infarction is arrhythmia. One of the methods to control the arrhythmia resistant to treatment is implantation of pacemaker. The studies that have been done on patients with electrical devices show that most of patients don’t have any information about how to take care of their device and need more education for self-care. Method. This randomized clinical trial was conducted on 80 patients scheduled to receive permanent pacemakers at Rajaie Cardiovascular, Medical and Research Center in 2012. The patients were recruited to either control or intervention group through block randomization method. Data were collected using demographic checklist. The intervention group patients together with one of their close family members received one session of self-care education on the pre-implantation day. The session was 30 minutes long and contained the use of educational media clip. At the end of the session, the patients were given an “educational package”. Following implantation, the intervention group were contacted weekly for a one-month period. Finally, the variables were compared between the two groups via independent t-test, chi-square test, repeated variance analysis, and using SPSS version 15. Findings. There were no statistically significant differences between the intervention and control groups (P=0.106) however, after intervention, a meaningful difference was observed in all these variables in the intervention group (P<0.0001). Conclusion. The results of this study showed that education of self-care behaviors with media clip could have an impact on the self-care of post-pacemaker implantation patients and we recommend this method to improve patient’s knowledge and self-care behaviors and minimize the number of re-hospitalization in these patients.
Mohammad Hoseini, Farhad Rahmani-Nia, Nader Samami, Rastegar Hoseini,
Volume 2, Issue 3 (12-2013)
Abstract
Abstract Aim.The purpose of this study was to assess the relationship of nutrition knowledge and physical activity level with total cholesterol, high-density lipoprotein (HDL-C) and low-density lipoprotein (LDL-C) in men with myocardial infarction (MI). Background. Myocardial infarction is the most common cardiovascular disease and considered as the main cause of mortality in the world including Iran. The studies show modification of unhealthy lifestyle is a preventive method in cardiovascular diseases.Nutrition knowledge and physical activity are important factors in reducing serum lipid levels and prevention of cardiovascular disease, particularly myocardial infarction. Modification and promotion of nutrition knowledge and physical activity levels in individuals with history of cardiovascular disease may reduce the risk of myocardial infarction. Method. This is a quasi-experimental study in which 150 men from Milad Hospital in Tehran (mean age of 58.01 with standard deviation of 3.58 years, mean weight of 80.8 with standard deviation of 13.18 Kg, and mean height 174.24 cm with standard deviation 6.43 cm) were selected by Morgan table to fill two questionnaires of nutrition knowledge (Wardle 1999) and of physical activity level. After 12 hours fasting, HDL-C, LDL-C and total cholesterol levels were measured in all subjects. The data was analyzed in the significance level of 0.05. Findings. The findings showed that there was a statistically significant correlation of nutrition knowledge and physical activity level with LDL-C and total cholesterol in adult men with MI, but no significant correlation with HDL-C was found. Conclusion. According to the results, with promoting nutrition knowledge and physical activity level in men with MI, the risk of cardiovascular diseases (especially myocardial infarction) can be controlled.
Nayerreh Raiesdana, Hamid Peyrovi, Neda Mehrdad,
Volume 2, Issue 3 (12-2013)
Abstract
Abstract Aim.The aim of this study was to describe and interpret the life experience with heart transplantation. Part of the findings was about spiritual development of heart transplant recipients which is reported in this article. Background.Heart transplantation is one the recent medical innovations that leads to increase in recipients’ life expectancy and quality of life however, these people will face some problems and need to have supported resources. Method.This study was a qualitative study with phenomenology approach. Participants were 11 heart transplant recipients in Iran.The data was collected through semi-structured interview and analyzed with Dickelmann, Allen and Tanner method. Findings.One of the main concepts of this study was approaching to God including "trust to God", "belief in destiny", "further belief in God", and "restricted religious rituals" which indicates the spiritual development. Conclusion.Heart transplant recipients experience high level of spiritual and religious status which help them to overcome hopelessness, unpredicted problems and heart transplant consequences by trusting God.
Seyysed Moslem Mahdavi Shahri, Ahmad Ali Asadi Noghabi, Mitra Zolfaghari, Hamid Haghani,
Volume 2, Issue 4 (3-2014)
Abstract
Abstract Aim. The aim of this study was to evaluate nurses' views about visiting in coronary care unit (CCU). Background. Social support includes emotional and instrumental support provided by family and friends who visit the patient. Visiting is shown to be influential on patients' recovery. On the other hand, visiting time has been an issue of the medical staff, patients and visitors. Method.In this descriptive cross-sectional study, 140 nurses working in CCU participated in the study. Data were collected by the use of demographic questionnaire and "The Beliefs and Attitudes Toward Visitation in ICU Questionnaire" (BAVIQ). The data were analyzed by descriptive and inferential statistics using SPSS Version 19. Findings. Most nurses believed that visiting interferes with direct nursing care (65%), and causes nurses to spend more time in providing information to the patients’ families (82.8%). Most nurses (85%) did not desire to liberalize the visiting policy of their unit. Conclusion. The results of the study showed that CCU nurses have rather negative viewpoints toward visiting and open visiting policy that is in conflict with emotional needs of patients and their families.
Ali Farhadi, Yazdan Movahedi, Kolsoum Kariminajad, Masume Movahedi,
Volume 2, Issue 4 (3-2014)
Abstract
Abstract Aim. This study examines the effect of mindfulness-based cognitive therapy on depression in male patients with coronary artery disease. Background. After heart events such as acute myocardial infarction, the patient experiences psychological distress. Approximately 65 percent of anxiety symptoms predict poor quality of life reduce return to work and increase risk of mortality. Method.This is an experimental study with two groups and three stages. Forty male patients with coronary artery disease were randomly allocated to either control or trial group after they had been detected as having a "Beck depression inventory" score of one standard deviation higher than the mean score. The mean score of depression was also evaluated in both groups, immediately and two months after the intervention experimental group. The data were analyzed by SPSS Version 19 and covariance analysis. Findings.The results showed a statistically significant difference between groups in terms of depression score, immediately and two months after intervention in experimental group (P<0.0001). Conclusion.Based on the effect of mindfulness-based cognitive therapy on reducing depression in patients with coronary artery disease, it is suggested to implement this method for these patients.
Atefeh Allahbakhshian, Hadi Hasankhani, Eesa Mohammadi, Vahid Zamanzadeh, Samad Ghafari, ,
Volume 2, Issue 4 (3-2014)
Abstract
Abstract Aim.The aim of this study is to clarify the perception and experience of life in Iranian patients after angioplasty. Background.Regarding the high prevalence of coronary artery disease and increasing number of patients in Iran, and widespread use of medical procedures such as angioplasty for the treatment and due to multiple challenges during the post-treatment which affect different dimensions of lives of patients, an in-depth understanding of the experiences of patients plays a significant role in improving the quality of their lives. Method. Qualitative approach with content analysis method was used to conduct the study. Purposeful sampling was used to recruit 20 patients who had experienced angioplasty. Data were collected through semi-structured interviews. The interviews were analyzed using qualitative content analysis method. Findings. During the process of data analysis, four themes reflected the experience and dimensions of life in patients after angioplasty, which included “rebirth, another opportunity”, “revising lifestyle”, “deciding to modify lifestyle” and “the use of available social support resources”. Conclusion.The results of this study will enhance our understanding of patients' experiences and this, in turn, can guide health care system to support patient care and planning to promote care and unique counseling programs along with understanding of the real needs of the patients.
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 Poshtchaman, Maryam Jadid Milani, Foroozan Atashzadeh Shoorideh, Alireza Akbarzadeh Bagheban,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract Background. One of the most important aspects of care and follow-up after coronary artery bypass graft surgery is treatment adherence program. As the long term success of the surgery depends on the treatment of adherence plan. Aim. The purpose of this study was to evaluate the efficacy of phone and SMS follow-up care on patients' treatment adherence after coronary artery bypass graft. Method. This clinical trial was performed on patients undergoing coronary artery bypass graft surgery in the heart surgery unit in Tehran hospitals in 2014. In this study, 90 patients were selected purposively and allocated into telephone follow-up group (n=30), SMS follow-up group (n=30) and control group (n=30). Demographic and treatment adherence questionnaire were completed twice (before intervention and two months after the intervention). The telephone follow-up and SMS follow-up groups were given training and booklet before discharge. In telephone follow-up intervention, three calls a week was made for two months and the SMS follow-up group received text messages daily for two months. To analyze the data, Chi-square test, Fisher exact test, t-test and ANOVA, ANCOVA, and Bonferroni test were used. Findings. There was no statistically significant difference between the telephone follow-up and SMS follow-up groups in terms of treatment adherence scores, before and after intervention. A statistically significant difference was seen between telephone follow-up and control groups (p<0.0001), and SMS follow-up and control groups (p<0.0001) in terms of treatment adherence scores, before and after the intervention. Conclusion. Both SMS and telephone follow-up are effective to improve treatment adherence in patients after coronary artery bypass graft. It is suggested to use these interventions for patient following coronary artery bypass graft.
Touraj Babaee, Roghaye Sadeghi, Hooman Bakhshandeh,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract Aim.The purpose of this study was to examine the effect of patient education on postoperative pain perception in patient undergoing Coronary Artery Bypass Graft (CABG). Background.Pain is a common complication after CABG surgery. Non-pharmacological methods are more favorable than pharmacological agents. Method.In this quasi-experimental study, 72 patients who were scheduled for elective CABG surgery were randomized to experimental (n=36) and control group (n=36). Experimental group received educational intervention about pain control, one day before surgery (20-30 minutes duration), while control group received no intervention. Following transferring to the ICU and 2 hours after extubation, patients’ pain intensity wasmeasured by Johnson’s numerical scale. The measurements wererepeated twice withanintervalof threehours. The type and dosage of pain medication administered during ICU stay were recorded. To analyse the data, descriptive(mean and standard deviation, frequency distribution and percentage) and analytical statistics (Chi-square and Mann-Whitneytest) were used. Findings.There was no statistically significant difference between two groups in terms of demographic characteristics. Two hours after extubation, there were no statistically significant difference between experimental and control group in the intensity of pain (P=0.313). Pain intensity was significantly lower in experimental group than control group, 5 hours (P=0.015) and 8 hours (P=0.006) after surgery. The results also showedthat the amount ofanalgesics used to relieve post-operativepain was significantly lower in experimental group than control group (P=0.046). Conclusion.Patient education about pain control may have positive effects on postoperative pain in patients undergoing CABG surgery. This intervention could serve as an effective strategy for nurses to improve pain management among these patients.
Pouya Farokhnezhad-Afshar, Zahra Khajali, Rasoul Azarfarin, Azam Mahmoudi,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract Aim.The purpose of this study was to examine the effect of white noise on the anxiety of patients in the Cardiac Care Unit (CCU). Background. Many patients with cardiovascular disease suffer from some degree of anxiety after admission to CCU. Anxiety adversely affects patients' recovery. Method.This was a quasi-experimental study conducted in ShaheedRajaei Cardiovascular Center, Tehran in 2014. Ninety patients admittedto the cardiac care unit were recruited in the study based on convenience sampling and divided into experimental and control group (45 patients in each group). Anxiety was measured in both groups for 2 consecutive days by DASS-21 questionnaire. In the experimental group, white noise with an intensity of 50 to 60 decibels was played for 30 minutes. Data were analyzed by SPSS , version 17, using independent t-test, paired t-test and chi-square test. Findings. In control group, the difference between mean scores of anxiety, before and after intervention was not statistically significant (5.17±3.90 and 4.73±3.77, respectively p=0.08). In the experimental group, the difference between mean scores of anxiety, before and after intervention was statistically significant (5.38±3.87 and 4.58±3.71, respectively p=0.01). Conclusion.The white noise can reduce the anxiety of patients admitted to CCU. This method can be used as a simple and low-cost non-pharmacological intervention for these patients.
Fatemeh Bahramnezhad, Elham Navab, Mojdeh Navid Hamidi, Nasrin Mehrnezhad,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract Aim.This review study was done with the purpose of exploring the role of diabetes role in the development of atherosclerosis. Background.The process of accumulation of fat in the blood vessels is called atherosclerosis. The most important risk factors and aggravating condition of atherosclerosis are the accumulation of carbohydrates and diabetes. Method.In this study, we reviewed the electronic and manual searches of databases such as Medline, Embase, Springer, Blackwell Synergy, Elsevier, Scopus, Cochran Library and the databases SID, Iran Medex and Magiran within the time period of 2005 -2015. Findings.The most common cause of death in patients with diabetes is coronary artery disease. Because nitric oxide production is higher in diabetic patients, the process of atherosclerosis occurs more rapidly and coagulation cascade disorder leads to the platelet adhesion, so, diabetic people, especially women, are more prone to atherosclerosis and coronary artery disease. Conclusion.Nurses can modify several risk factors for atherosclerosis in these patients through education and follow-up, thereby, improving quality of life in these patients.
Zahra Nezam Abadi, Nasrin Jafari, Zahra Farsi, Armin Zareiyan,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract
Aim. This study assessed the knowledge of nurses about arterial blood gases interpretation in intensive care units of selected hospitals in Tehran.
Background. Measurement of arterial blood gases are widely used in intensive care units. The knowledge and mastery in interpretation of arterial blood gases is an essential skill for critical care nurses.
Method. This descriptive-analytical study was conducted on 117 nurses working in intensive care units at selected military hospitals in Tehran in 2013. Data were collected using a questionnaire consisted of 45 questions about personal and professional information, also in the domain of blood gases interpretation based on Bloom's classification of knowledge (judgment and evaluation phase). Data are analyzed by SPSS and descriptive and inferential statistics were presented.
Findings. Knowledge of intensive care unit (ICU) nurses was moderate to poor in arterial blood gas interpretation. A statistically significant difference was seen between the knowledge of the subjects in terms of some variables.
Conclusion. Given the importance of arterial blood gases interpretation in ICUs, it is necessary to pay attention to in-service and continuing education programs for nurses.
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.
Tahereh Najafi Ghezeljeh1, Hossein Salehzadeh, Forough Rafii, Hamid Haghani,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract
Aim. This study aimed to examine the effect of music intervention on anxiety in patients with heart failure.
Background. Anxiety as a psychological problem can increase heart rate, respiration rate and blood pressure all of which have an advert effect on heart in patients with cardiovascular disease, particularly patients with heart failure.
Method. This controlled clinical trial study was conducted in Doctor Shariati Hospital affiliated to Tehran University of Medical Sciences. In this study, in each group (control, and music intervention), 25 hospitalized patients with heart failure were recruited through convenience sampling. Then, patients were allocated to groups by simple randomization. Data were collected by demographic characteristic form and Spiel Berger anxiety assessment questionnaire. In music group, music including two of the three types of classical, gentle and Iranian traditional music was played for 20 minutes after meeting for 3 sequential days by a tape recorder and headphone. Before and 15 minutes after intervention, patients' anxiety was measured and compared. Data was analyzed by using independent t-test, Paired t-test, Fisher’s exact test through SPSS.
Findings. There was a statistically significant difference between control and music intervention groups regarding anxiety score. Also, there was a statistically significant difference, before and after music intervention in anxiety score of patients with heart failure (p<0.0001). Conclusion. The findings indicated that music intervention significantly reduces anxiety in patients with heart failure. Because of the importance of anxiety reduction in patients with heart failure, it is proposed that music intervention be used in the care of these patients.
Seyyed Moslem Mahdavi Shahri, Zahra Khalili, Ali Sadrollahi, Banafsheh Saadati,
Volume 3, Issue 3 (12-2014)
Abstract
Abstract Aim. The aim of this study was to determine the prevalence of risk factors of cardiovascular diseases (CVD) in elderly of Kashan. Background.The Iranian elderly population is rapidly growing. It is estimated that more than 10 percent of country population would be elderly in the forthcoming twenty years. Structural and physiological changes occurring in the elderly’s cardiovascular system are associated with a higher incidence of CVD in the elderly. Coronary heart disease is the most common cause of death in the elderly. Method.This cross-sectional study was conducted on 500 people over 60 years old in Kashan city, Iran, in 2014. Subjects were randomly selected from10healthcare centers of Kashan. A questionnaire was used to collect data including demographics, underlying diseases and risk factors for CVD. The data analyzed using descriptive statistics through SPSS 11.5. Findings.The prevalence of risk factors for CVD was high among elderly people. Conclusion. Teaching individuals, controlling risk factors and screening are suggested. It is also recommended that elderly people increase physical activities and cease smoking.
|
|
