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Showing 224 results for : Research
Mohammad Ali Besharat, Somayeh Ramesh, Hossein Nogh, Volume 6, Issue 4 (3-2018)
Abstract
Abstract
Aim. The purpose of the present study was to examine the predicting role of worry, anger rumination and social loneliness in to coronary artery disease.
Background. Adjustment to heart disease, as an stressful experience, is a difficult process and involves the patient in serious issues.
Method. A total of 327 people with coronary artery disease (138 women, 189 men) participated in this descriptive correlational study. Participants were asked to complete the Penn State Worry Questionnaire (PSWQ), Anger Rumination Scale (ARS), Social Loneliness Scale (SLS), and Adjustment to Illness Scale (AIS). Data were analyzed using Pearson correlation and stepwise regression.
Findings. Worry, anger rumination and social loneliness was found to have a statistically significant and negative correlation with adjustment to coronary artery disease; that is, with an increase in worry, anger rumination and social loneliness, the level of adjustment to coronary artery disease is reduced. According to Regression analysis, of the three analyzed variables, worry and social loneliness were predictors of adjustment to coronary artery disease, so that worry and worry with social loneliness predicted 35 and 41 percent of the variance of adjustment to coronary artery disease, respectively (p<0.01) .
Conclusion. Taking worry and social loneliness into consideration when planning preventive programs is a necessity. At an interventional level, together with the routine medical treatments, psychological interventions for worry and social loneliness has a great necessity as well.
Neda Azadehjo, Tahereh Nasrabadi, Sepideh Nasrollah, Volume 6, Issue 4 (3-2018)
Abstract
Abstract
Aim. The purpose of this study was to determine the relationship between compassion fatigue and moral sensitivity in nurses of critical care units of hospitals affiliated to Qazvin University of Medical Sciences.
Background. Nurses encounter conditions during taking care for clients that can lead to a type of fatigue called compassion fatigue. Ethical sensitivity as the basis of ethics in nursing can be helpful in reducing nursing care problems.
Method. This study was a cross-sectional descriptive-correlational study in which 200 nurses working in critical care units of hospitals affiliated to Qazvin University of Medical Sciences were recruited in the study through census sampling method and inclusion criteria. Demographic characteristic form, and the compassion fatigue questionnaire and moral sensitivity questionnaire was used for data collection. Data were analyzed in SPSS version 19 using descriptive and inferential statistics.
Findings. The mean score of moral sensitivity was 53.21±13.69 and the mean score of compassion fatigue was 25.55±4.66. Spearman correlation coefficients revealed that there was a statistically significant and reverse correlation between moral sensitivity and compassion fatigue among critical care nurses (r=0.171, p=0.015).
Conclusion. The moral sensitivity of critical care nurses is related to their compassion fatigue. Therefore, provision of a framework for strengthening the moral sensitivity of nurses could be effective in reducing this phenomenon.
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.
Shiva Khaleghparast, Mahnaz Mayelafshar, Zahra Hanifi, Leila Sari, Masoumeh Kalaei, Behrooz Ghanbari, Volume 7, Issue 1 (6-2018)
Abstract
Abstract
Aim. This study aimed to determine barriers to patient education from the perspective of patients, nurses and doctors.
Background. Patient education is one of the indicators of quality of heath care services. Patient education could lead to a reduction in the cost of health care and increase the quality of care and ultimately, help the patient to become independent and self-sufficient.
Method. A cross-sectional descriptive study was carried out. The research population included physicians, nurses and patients admitted to different wards of the Rajaee cardiovascular medical and research center. The sampling method was stratified random sampling for each population of the participants (patients, nurses and doctors). Data collection tool was a researcher-made questionnaire that measured the obstacles to patient education. The collected data were analyzed by SPSS software.
Findings. According to physicians, the most important barriers to education for patients was related to patients, and then related to physicians. From the viewpoint of nurses, the most important barriers to patient education were related to nurses. Patients evaluated themselves as the most important barrier to patient education, and then, the most important barriers were related to nurses from patients’ perspectives.
Conclusion. Regarding the importance of teaching to the patient, it is suggested that the managers take actions to increase the number of nursing staff, provide patients with educational brochures, allocate sufficient funds for patient education, supervise and encourage nurses and doctors, and prioritize training in daily tasks.
Rasul Azarfarin, Mohammadziae Totonchi, Masoomeh Rostami, Hooman Bakhshandeh, Fatemeh Servati, Fatemeh Kooshki, Volume 7, Issue 1 (6-2018)
Abstract
Abstract
Aim. The purpose of this study was to compare the effect of clinically-indicated replacement and routine replacement of peripheral venous catheters on catheter-related complications and satisfaction in patients undergoing cardiac surgery.
Background. The insertion of peripheral vein catheter is one of the most commonly used minimally invasive measures in hospitalized patients. Catheters can be maintained until they are working well.
Methods. A randomized controlled clinical trial was conducted in intensive care units of Rajaie Cardiovascular Medical and Research Center in 2017. After ethical Approval, 104 Patients were randomly allocated to either clinically-indicated replacement or routine replacement of peripheral venous catheters (every 96 hours) (52 Patients in each group). Data collection tools included demographic form, catheter placement data sheet and a researcher-made patients’ satisfaction questionnaire. Data were analyzed in SPSS using descriptive and inferential statistics.
Findings. There were no statistically significant difference in terms of the incidence of complications between the groups. Also, there were no statistically significant difference between the scores of satisfaction of the patients of the control and experimental group.
Conclusion. No evidence was found of superiority of routine replacement of peripheral venous catheters over clinically-indicated replacement. Caregivers may consider changing the protocol of catheter replacement from routine replacement to clinically-indicated replacement. This would protects patients from the unnecessary pain of routine replacement in the absence of clinical indications.
Zahra Ahmadi, Leila Bahmani, Marhamat Farahani Nia, Hamid Haghani, Volume 7, Issue 1 (6-2018)
Abstract
Abstract
Aim. The purpose of this study was to determine the effect of teaching health-promoting behaviors on self-care behaviors in people with hypertension.
Background. Hypertension is one of the chronic diseases that causes serious complications on the organs of the body and requires self-care behaviors to be managed and controlled. Education increases self-care capacity in these patients and may help reducing complications and promote disease control.
Method. In this quasi-experimental study, 106 patients who referred to the clinic of Shahid Rahimi Hospital in Khorramabad, affiliated to Lorestan University of Medical Sciences, were recruited based on inclusion criteria and allocated to experimental (n=53) and control group (n=53). The experimental group received three training sessions of health-promoting behaviors in three consecutive weeks. The control group received only the routine treatments. Data were collected using a demographic form and self-care behaviors questionnaire, before and one month after intervention. Data were analyzed by SPSS version 22 using descriptive and inferential statistics.
Findings. The groups did not differ significantly in terms of demographic variables and disease characteristics. Before intervention, the mean score of self-care in the control and experimental group were 8.33±1.79 and 9.7 ±2.41, respectively, and there was a statistically significant difference between the groups (P=0.002). After intervention, the mean score of self-care in the control and experimental group were respectively reported as 8.43±1.84 and 14.46±2.13. Analysis of covariance showed that after intervention, the mean score of self-care in experimental group was significantly higher than that of control group (P≤0.0001).
Conclusion. Education improved self-care in people with hypertension. Providing education for people with hypertension can be effective in promoting their self-care behaviors.
Maryam Mahdi Araghi , Kianoosh Zahrakar, Volume 7, Issue 1 (6-2018)
Abstract
Abstract
Aim. The purpose of this study was to compare the effect of “acceptance and commitment therapy” and “stress inoculation training” on stress symptoms in people with broken heart syndrome.
Background. Stress is considered to be the main driving force of broken heart syndrome, while broken heart syndrome also causes stress. It seems that training the patient for correct use of coping strategies during stressful events is effective in preventing recurrence.
Method. In this quasi-experimental pre-test post-test design with control group, 62 people referred to Tohid Hospital in Sanandaj during 2016-2017 and had been diagnosed as with broken heart syndrome were considered as accessible population, out of which 30 patients were recruited by convenience sampling method and randomly assigned to three groups. Research tool was the stress syndrome scales in Persian language. For intervention groups, the acceptance and commitment therapy and stress inoculation training interventions was conducted in weekly sessions. The questionnaire were filled out before intervention, after intervention and one month after intervention by the three groups. Data were analyzed in SPSS using descriptive and inferential statistics.
Findings. Compared with control group, acceptance and commitment therapy (F=87.65, P≤0.0001) and stress inoculation training (F=61.18, P≤0.0001) were effective in reducing stress symptoms and the effect of the acceptance and commitment therapy was remarkable. In addition to the stability of the effect of both interventions one month after intervention, the effect of acceptance and commitment therapy was found to be superior to stress inoculation training.
Conclusion. Both modalities; especially acceptance and commitment therapy, can be used as effective methods with wide applicability in preventing and reducing symptoms of stress and improving the status of people with broken heart syndrome.
Asma Vahidi, Ali Shaker Dioulagh, Volume 7, Issue 1 (6-2018)
Abstract
Abstract
Aim. The purpose of this study was to determine the role of caregiver burden, marital stress, and minfulness in predicting the level of psychosocial adjustment to illness in people with coronary artery disease.
Background. Cardiovascular disease and its consequences are not limited to the patient, but also have a great impact on the caregiver's life.
Method. This was a descriptive correlational study. The statistical population was all people with referred to the hospitals and medical centers of Urmia with diagnosis of coronary artery disease within the first half of the year. The sample consisted of 130 patients who were selected by convenience sampling method. Data were collected using the questionnaires caregiver burden, marital stress, Kentucky Mindfulness Skills and psychosocial adjustment to illness. Data were analyzed in SPSS by descriptive and inferential statistics.
Findings. The results showed that caregiver burden and marital stress had a statistically significant negative correlation with psychosocial adjustment. Among mindfulness subscales, only “describe” subscale had a statistically significant positive correlation with psychosocial adjustment to illness (P=0.04). The stepwise regression analysis showed that the research model was able to explain 57% of psychosocial adjustment to illness. These findings suggest that caregiver burden and marital stress play an important role in psychosocial adjustment of patients with disease.
Conclusion. It can be concluded that caregiver burden and marital stress play an important role in the primary and secondary prevention of coronary artery disease, and intervention based on the results of this study is recommended.
Nasim Naderi, Yasaman Khalili, Ali Ansarifar, Behshid Ghadrdost, Afsaneh Bakhshi, Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. The purpose of this study was to determine the effect of supportive interventions on resiliency components and quality of life among family caregivers of people with advanced heart failure.
Background. Advanced heart failure is a costly, progressive and chronic disease that reduces resilience and quality of life among family caregivers.
Method. In a randomized clinical trial study that was conducted as a before-after design with control group and follow-up one month after intervention. One hundred family caregivers of people with advanced heart failure, admitted to Shahid Rajaie Cardiovascular and Medical Research Center, were randomly assigned into experimental and control group. The family support interventions package included participation in group training workshops for 6 sessions (2 sessions/week in three consecutive weeks) for the experimental group. Resilience Scale (Connor-Davidson) and Quality of Life (SF-36) questionnaire were used to collect the data, before, after and one month after intervention. Data were analyzed in statistical software SPSS 23 using statistical tests related to the distribution of variables including Chi-square, Fisher, Wilcoxon and Mann-Whitney test, and independent and paired t-test.
Findings. At baseline, the mean score of resilience and the overall score of quality of life showed no statistically significant difference between the groups. After intervention, there was a statistically significant difference in terms of the mean score of resilience between the experimental (64.06±11) and control (48.34±16.23) group (P<0.05). Also, the overall score of quality of life after intervention was statistically significant between the experimental (70±12.91) and control (50.82±17.73) group (P<0.05). The results of paired t-test showed that one month after the end of the intervention, in the experimental group, the mean score of resilience (63.08 ± 10.15) and the overall score of quality of life (69.82±12.70) remained constant, indicating the sustainability of the effect of interventions after one month (P>0.05).
Conclusion. As part of a holistic program, the results of this study can be a guide to setting up a centralized unit for the education and support of family caregivers of people with chronic heart disease, a unit in which, in addition to social support and mental health education, their needs in terms of knowledge of the disease and participation in the care of their patients would be met.
Nila Amigh, Ali Zahedmehr, Ahmad Amin, Hooman Bakhsandeh, Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. This study aimed to investigate the effect of clinical follow-up by a nurse on improving self-care behaviors in people with heart failure.
Background. People with heart failure are frequently hospitalized. One of the main reasons for hospitalization of these patients is the individual's inability to perform self-care behaviors. One of the ways that can help to improve self-care is clinical follow-up of these patients by nurses.
Method. This study was a randomized clinical trial which was conducted between October 2015 to May 2016 in Cardiovascular Medical and Research Center in Tehran. Eighty patients were recruited from the patients hospitalized in cardiac intensive care units and randomly assigned to control and experimental groups. Patients in experimental group received clinical follow-up by a nurse every two weeks by phone or in person. The control group received routine follow-up after discharge. Self-care behaviors were assessed by the checklist before intervention and three month after intervention. The data were analyzed in SPSS using descriptive and inferential statistics.
Findings. The mean score of self-care behaviors, before intervention was 2.64±1.62 in control group and 2.02±1.62 in the experimental group, and there was no statistically significant difference between groups. After intervention, the mean score of self-care behaviors in control and experimental group were 2.38±2.50 and 0.93±7.82, respectively and a statistically significant difference was found between the groups (p≤0.0001).
Conclusion: Clinical follow-up by a nurse can improves self-care behaviors in people with heart failure and help to lessen the burden.
Asghar Khalifehzadeh-Esfahani, Zahra Moeini, Jafar Golshahi, Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. The present study was conducted to compare the effect of e-learning and lecture education on critical care nurses' performance about cardiovascular medication.
Background. The present time is known as the technology development time, and the educational institutions have undergone major changes. The complex learning process should not be limited to classroom and the use of e-learning can help to overcome some barriers of traditional methods of education in nursing.
Method. This quasi-experimental study was conducted on 70 nurses working in intensive care units of social security hospitals in Isfahan province in 2017. They were recruited to the study and allocated randomly to either lecture (n=35) or e-learning (n=35) group. Nurses’ performance was evaluated by the questionnaire of cardiovascular medication before and after the interventions, and the effect of two methods of e-learning and lecture training on nurses’ performance scores was compared.
Findings. Both lecture and e-learning methods had a statistically significant effect on nurses' medication performance (P≤0.0001). However, no statistical significant difference was observed between the two groups in terms of changes in nurses' medication performance.
Conclusion. E-learning can be a substitute for lecture education in-service-training of pharmacology topics for critical care nurses.
Mohammad Davarpanah, Tahereh Nasr-Abadi, Sepideh Nasrollah, Ebrahim Ebrahimi-Abyaneh, Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. This study aimed to assess knowledge and practice of nurses about nursing care before and after cardiac catheterization
Background. The most common cause of death in most countries around the world is cardiovascular disease. Coronary angiography is an invasive procedure that is used to diagnose and/or treatment of coronary artery disease. Considering complications of cardiac catheterization, nursing care is of great importance in preventing and identifying complications. Standards are the least acceptable, expected and achievable levels of performance based on which it is possible to evaluate performance. Nurses and health care providers should work according to standard protocols.
Method. This descriptive analytical study was conducted on 65 nurses who were selected by census sampling method and based on inclusion criteria from cardiac catheterization wards of selected hospitals in Tehran, Iran. Data were collected by a questionnaire and a checklist prepared in accordance with the standards provided by the Ministry of Health and the Iranian Nursing Organization. The data were analyzed in SPSS version 21 using descriptive and inferential statistics.
Findings. Most of participants were female (63 percent). The mean score of knowledge about nursing care before and after angiography were 10.95±1.30 and 15.23±1.88, respectively. The mean score of performance about nursing care before and after angiography were 26.16±2.92 and 25.77±4.78, respectively; according to these findings the knowledge and practice of nurses about nursing care before and after angiography were evaluated as good. There was no statistically significant difference between female and male nurses in terms of knowledge and practice. Also, no statistically significant relationship was found between the knowledge and practice, before and after angiography.
Conclusion. Although most nurses had good scores of knowledge and practice about nursing care before and after angiography, but due to lack of some principles of care in their performance, further studies is recommended. Also, it is necessary for managers to provide nurses with care protocols.
Mohsen Ziyaeifard , Ali Sadeghi, Rasool Ferasatkish , Mostafa Fatahi , Majid Basirat, Khadijeh Hashemi, Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. This study was conducted to evaluate effect of bedside teaching on critical care nurses' performance in airway suctioning
Background. One of the most effective measures in patients undergoing mechanical ventilation is suctioning the trachea to prevent the accumulation of potentially infectious pulmonary secretions and to clear the airway which is carried out by critical care nurses. If suctioning cannot be correctly performed, some complications may occur.
Method. This was a quasi-experimental study in which the study sample consisted of 54 critical care nurses working in Rajaie Cardiovascular Medical and Research Center, Tehran, Iran. The nurses were recruited through convenience sampling based on inclusion criteria. Critical care nurses’ performance in airway suctioning were evaluated before and two weeks after intervention using a checklist. The intervention included bedside teaching of suction procedure.
Findings. Two weeks after intervention, the mean score of performance in airway suctioning increased significantly (P≤0.0001). Hand washing or using hand was recorded only for 16 nurses before intervention and for 35 nurses after intervention. Maintaining catheter sterility during suctioning was considered by 28 nurses before intervention, and by 40 nurses after intervention. Correct procedure documentation and recording secretion characteristics before and after intervention were carried out by 13 and 34 nurses, respectively. While activating suction during bringing the catheter out of endotracheal tube was done by 31 nurses before intervention, after intervention 41 nurses did so.
Conclusion. Bedside teaching of correct airway suctioning for critical care nurses enhance their performance in this procedure.
Samira Rezvanirad, Ali Shaker Dioulagh, Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. This study was conducted to compare self-efficacy, life expectancy and death anxiety in people with and without heart disease.
Background. Cardiovascular diseases are the most common cause of mortality in many countries including Iran. This chronic disease may affects self-efficacy, life expectancy and death anxiety.
Method. The present study was a comparative study in which 75 people with heart admitted to Seyyed Al-Shohada hospitals, Urmia, Iran were compared with 75 individuals without heart disease in terms of self-efficacy, life expectancy and death anxiety. To collect the data, the Snyder Life Expectancy Questionnaire, General Sherer's Manual, and Thompson's Death Fear was used. Data were analyzed in SPSS software using descriptive and inferential statistics.
Findings. This study showed a statistically significant difference between people with and without heart disease in self-efficacy (51.36±9.11 against 66.30±10/60) (P≤0.0001) and life expectancy (39.66±8.78 against 46.12±6.87) (P≤0.0001). No statistical significant difference was found between the groups in terms of death anxiety.
Conclusion. It is recommended to take actions for improving self-efficacy and life expectancy in people with heart disease.
Mohamad Oraki, Masud Janbozorgi, Ahmad Alipor , Fateme Nequee, Volume 7, Issue 3 (12-2018)
Abstract
Abstract
Aim. This study was conducted to determine the effect of cognitive-behavioral rehabilitation based on stress immunization training on anxiety, stress and depression in patients with coronary artery bypass graft surgery.
Background. Stress, anxiety and depression that play an important role in coronary artery disorders, are being considered as a hindrance to recovery after CABG. Providing the patient with correct coping strategies with stress seems to be helpful in preventing the recurrence.
Method. The study was a quasi-experimental with control group with pretest-posttest design. The statistical population of this study included patients who had coronary artery bypass graft surgery and referred to the Rehabilitation center of Tehran Heart Hospital, Tehran, Iran. Thirty subjects were selected by continuous sampling method and randomly assigned into experimental and control group. The instruments for data collection were “Depression, Anxiety and Stress Scale” (DASS-21), which completed before and after the intervention. The experimental group was exposed to stress immunization training in 10 sessions of 90 minutes. To analyze the data, multivariate covariance analysis, and one-variable covariance analysis were used in SPSS software.
Findings. Stress immunization training significantly influenced the anxiety (p≤0.0001; F=0.39), stress (p≤0.0001; F=0.35), and depression (p≤0.0001; F=0.68) scores of the experimental group compared to the control group.
Conclusion. Stress immunization training plays an important role in reducing negative emotions (anxiety, stress and depression) in patients with coronary artery bypass graft surgery. It is recommended to use this intervention for patients undergoing CABG.
Shiva Khaleghparast, Sadegh Heydarpoor, Mahmud Salesi, Mohamadziae Totonchi, , Volume 7, Issue 3 (12-2018)
Abstract
Abstract
Aim. The purpose of this study was to examine the effect of peer education on the anxiety - of post Coronary Artery Bypass Graft patients and caregivers
Background. Patients undergoing coronary artery bypass surgery experience moderate to high anxiety, which has also been reported among their family members. Studies have shown that educating patients and their family caregivers has in many cases reduced their anxiety. Peer education and research on the effect of peers is of great importance in promoting therapeutic and caring goals.
Method. This randomized clinical trial study was performed in year 2018 in surgery wards of Rajaee Cardiovascular Medical and Research center. In this study, 60 family caregivers of patients undergoing coronary artery bypass graft surgery and their respective patients were recruited at the time of discharge from intensive care unit and entering into the surgical ward. The subjects were randomly assigned to experimental and control group. Data collection tools included demographic information questionnaire and Spielberger's "State and trait anxiety" form. Initially, patients' family caregivers who were selected as peers were trained by the researcher in three stages. Before visiting the patients by family caregivers, their anxiety and also, patients' anxiety was measured in both groups. Thereafter, the patients’ family caregivers in the control group received routine training, and the patients' family caregivers in the experimental group received peer training in two sessions by their peers. In the third step, the anxiety of patients and their family caregivers in both groups were measured on the second and fifth days after intervention. The data were analyzed in SPSS 20 software.
Findings. Before intervention, the mean scores of anxiety in the experimental and control groups were not statistically different in both patients and their family caregivers, and the mean anxiety scores in both groups were moderate to high. After intervention, the mean score of anxiety in the experimental group was significantly lower than the control group (P≤0.0001). Also, in the second and fifth days after the intervention, there was a significant difference between the experimental and control groups in the mean score of anxiety of the patients and their family caregivers (P≤0.0001).
Conclusion. Peer education seems to reduce anxiety in patients and their family caregivers after discharge from ICU. It is suggested that peer education be used as effective and low cost education to reduce patient and family caregiver anxiety.
Elnaz Yazdanparast, Malihe Davoudi, Marziye Safavinejad, Seyed Hasan Ghorbani, Sahar Nadimi, Bahare Rezvani Dehaghani, Volume 7, Issue 3 (12-2018)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of teach back learning strategy on illness perception, nutritional knowledge and dietary adherence in people with hypertension.
Background. Because of the chronicity of hypertension and the importance of nutrition in hypertension control, illness perception and nutritional knowledge play an important role in adherence to nutritional regimen and disease control.
Method. The present study is a quasi-experimental study control group and pretest-posttest design. Based on random sampling, two health care centers in Ferdows were selected as the place for experimental and control group. Using a simple randomized method, of patients with hypertension, 35 individuals were recruited for each group. These people entered the study based on inclusion criteria and after that they signed the consent form. Before and after the intervention, illness perception, nutritional knowledge and dietary adherence were measured by self-report questionnaire and compared between the groups.
Findings. After intervention, the mean score of nutritional knowledge in experimental and control group was 48.17±5.21 and 41.16±0.51, respectively, and a statically significant difference was found between groups in terms of nutritional knowledge (P≤0.0001; t=9.56). After intervention, the mean score of illness perception in experimental and control group was 9.75±1.81 and 7.72±1.60, respectively, and there was a statically significant difference between groups in terms of illness perception (P≤0.0001; t=4.15). But no statically significant difference was found between experimental and control group in terms of dietary adherence (17.55±4.17 against 16.88±3.62).
Conclusion. Given the positive effects of teach back method and the special role of nurses in patient education, attention to this teaching method seems necessary. The use of this method of training is suggested as part of care process to reduce patients' clinical problems.
Mis Shirin Sheikhi, Mis Narges Sadeghi, Volume 7, Issue 3 (12-2018)
Abstract
Absrtact
Aim. The aim of this study was to determine the relationship between critical care nurses’ occupational stress and their child anxiety in Shahid Rahimi Hospital in Khoramabad City, Iran, in 2017.
Background. Work-family conflict is the source of stress that most people, especially nurses experience and its consequences can also affect family members.
Method. This study is a cross-sectional analytical study in which all critical care nurses (n=150) in Shahid Rahimi Hospital in Khoramabad City, Iran, were recruited using census sampling method and based on inclusion criteria. To collect data, a demographic form, Spence Children’s Anxiety Scale (SCAS)-Parent Version, and Nurses Stress Scale were used. Data analysis was conducted SPSS 19 using descriptive and inferential statistics.
Findings. The average scores of nurses’ stress and child anxiety were 75.61±14.98 and 77.04±11.14, respectively. Pearson Correlation Coefficient showed the relationship between critical care nurses job stress and child anxiety (p=0.008, r=0.214).
Conclusion. Critical care nurses' job stress increases the anxiety of their children. Therefore, providing some programs for reducing nurses’ job stress is recommended.
Shiva Eslamiankoupaie, Samaneh Parchebafieh , Mohammad Sahebalzamani, Shabnam Madadi , Volume 7, Issue 3 (12-2018)
Abstract
Abstract
Aim. The purpose of this study was to examine the effect of education based on Orem’s self-care model on emotional reactions in people with Implantable Cardioverter Defibrillator (ICD).
Background. ICD shock is unpredictable and associated with physical pain. After receiving shock, some patients find serious psychological problems such as anxiety, depression and stress. According to Orem, learning self-care activities can help a person to maintain health and well-being and increase the ability to adapt to illness.
Method. In this quasi-experimental study, 60 people with ICD who were admitted to Shahid Rajaie Cardiovascular Medical and Research Center in Tehran, were recruited. The data collection tool was a demographic form and DASS-21 questionnaire. The educational program based on Orem’s self-care model was performed in 3 sessions of 20-30 minutes based on individual self-care needs of the participants. Emotional responses were measured in two stages, before and one month after the end of intervention. Data were analyzed using SPSS software version 22.
Findings. Before intervention, the mean score for anxiety was 18.06±5.49 that decreased after intervention (11.26±3.49) (p≤0.0001). The mean score of depression was significantly decreased after intervention (10.78±3.91 against 16.28±5.96; (p≤0.0001). Before intervention, the mean score for stress was 23.58±6.17 that decreased after intervention (15.51±4.18) (p≤0.0001).
Conclusion. Application of Orem’s self-care model can be effective in reducing the intensity of emotional reactions in people with ICD. Nurses can play a role in reducing emotional reactions by implementing this model and assessing educational needs of patients.
Farzane Sedighi, Maasoumeh Barkhordari Sharifabad, Khadijeh Nasiriani, Hossein Fallahzadeh, Volume 7, Issue 3 (12-2018)
Abstract
Abstract
Aim. The purpose of this study was to examine the effect of bed angle on back pain, urinary retention and vascular complications after coronary angiography.
Background. To minimize the severity of low back pain and urine retention after angiography, modalities such as changing position, changing bed angle, and early out of bed have been used, but there is still controversy about the appropriate bed angle that reduces cardiovascular complications and at the same time provides patient comfort.
Method. This study was a randomized clinical trial conducted on 120 patients after angiography in cardiology and angiography wards of Shahid Sadoughi Hospital, Yazd, Iran, in 2018. A total of 120 patients who were candidates for angiography were randomly divided into control and experimental group. After angiography, for the control group, the bed angle was zero, and for the experimental group, the bed angle was set at 30 degrees, from entry to the ward for 4 hours. Data collection tools included demographic and clinical information questionnaire, numerical scale for measuring severity of pain, hematoma and hemorrhage recording form and urinary retention observation and recording form. Data analysis was performed in SPSS Version 20 using descriptive and inferential statistics.
Findings. The mean score of back pain in the experimental group, immediately and four hours after angiography was 0.166±0.767 and 0.216±55.0, respectively, which was lower than that of control group (0.233±0.615 and 0.433±0.927, respectively), but the difference was not statistically significant. Also, there was no statistically significant difference between groups in terms of urinary retention, immediately and 2 hours after angiography. There was no statistically significant difference between groups in terms of vascular complications (hematoma and hemorrhage).
Conclusion. The results of this study did not show any evidence that 30 degrees bed angle adjustment have any different effect on pain severity, urinary retention, and vascular complications of the zero degree bed angle. It is recommended that after angiography, the angle of the bed be set to zero or 30 degrees according to the patient's comfort and preference.
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