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Showing 224 results for : Research
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.
Bahareh Seraj, Fatemeh Alaee Alaee-Karahroudi, Tahereh Ashktorab, Maryam Moradian,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study aimed to investigate the effect of telenursing on adherence to treatment in adolescents undergoing cardiac surgery.
Background. Congenital Heart Disease (CHD) has a significant global prevalence and a large number of patients undergo cardiac surgery every year. Adherence to treatment is essential to achieve the expected outcomes of surgery.
Method. This study was a quasi-experimental before-after study with control groups that was conducted in the year 2020. A total of 70 adolescents referred to a university cardiovascular medical and research center in Tehran, Iran, were recruited based on the inclusion criteria and then, randomly assigned to experimental (n=35) and control (n=35) group. The experimental group received a telenursing services via WhatsApp messenger for one month. Modanloo's questionnaire of adherence to treatment was used to collect the data. Data were analyzed in SPSS V-20 using descriptive and inferential statistics.
Findings. There was no statistically significant difference between the experimental and control groups in terms of demographic variables. Before intervention, the mean score of adherence to treatment in the experimental and control groups was 71.67±6.97 and 71.77±7.89, respectively, which were not statistically different. After intervention, the mean score of adherence to treatment in the experimental and control group changed by 15.17 and -2.49, respectively, and the difference between the groups was found to be highly significant (P≤0.0001).
Conclusion. According to the findings, telenursing improved adherence to the treatment. Therefore, it is recommended to provide the ground to take the benefits of this approach through increasing public information and awareness and empowering the nursing staff.
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.
Fatemeh Heidari Sabet, Hasan Mirza-Hosseini, Nader Monirpour,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The purpose of this study was to examine the health promoting behavior model based on spiritual health, social support and mental capital in people with cardiovascular disease.
Background. Cardiovascular disease affects various aspects of life, including physical, emotional, social and functional health, and one of the factors that affect the quality of life of people with cardiovascular disease is the health promoting behaviors.
Method. In this correlational study, path analysis model was used to examine hypotheses. The statistical population of this study consisted of all people with cardiovascular disease referred to medical centers in Qom in year 2020, out of which 200 people were selected by convenience sampling. Research measurement tools included Lutz Psychological Capital Questionnaire (2007), Zimet et al. Multidimensional Perceived Social Support Scale (1998), Palutzian et al. (1983) Spiritual Health Questionnaire and Walker et al. (1987) Health Promoting Behaviors Questionnaire. Data analysis was performed in AMOS.22 and SPSS.22 software using Pearson correlation method and path analysis model with.
Findings. The results showed that spiritual health (β=0.21, P<0.002) and social support (β= 0.17, P<0.013) had an effect on mental capital. Psychological capital also played a mediating role in the relationship between spiritual health and social support with health promoting behavior (RMSEA=0.067, AGFI=0.98).
Conclusion. It could be concluded that spiritual health, social support and psychological capital play an important role in health promoting behavior of people with cardiovascular disease. Therefore, in developing therapeutic programs for these patients, it is better to emphasize and pay attention to familial, psychological, religious, social and health factors.
Fateme Nequee, Mohamad Oraki, Masood Janbozorgi, Ahmad Alipoor,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study was conducted to compare the effect of multidimensional spiritual therapy and stress inoculation training (SIT) on physiological and psychological coordination of heart rate variability (HRV) and depression in patients after coronary artery bypass graft (CABG) surgery.
Background. Depression and other emotional disorders play an important role in reducing the physiological and psychological coordination of heart rate in patients after coronary artery bypass graft (CABG) surgery. Depression and other emotional disorders prevent the person from recovering from the pathologic condition. It seems that preparing the patient for proper coping techniques is helpful in improving emotional disorders and preventing recurrence of disease.
Method. This was a clinical trial with two experimental and one control group. The study population included patients after CABG in Tehran Cardiac Research Center, Tehran, Iran. Thirty patients were randomly selected and assigned into three groups. The instrument of this study was the DASS-21 scale and the evaluation of physiological and psychological coordination of heart rate, which was measured before the intervention and at the end of the 10th session in groups. The first experimental group was exposed to the Meichenbaum stress inoculation training for 10 sessions of 90-minute duration, and the second experimental group received multidimensional spiritual therapy. Data were analyzed using Multivariate analysis of covariance in SPSS.
Findings. Multivariate analysis of covariance showed that SIT and multidimensional spiritual therapy interventions both have a statistically significant effect in reducing depression in one-month and three-month follow-up, compared to the control group, but their effects on reducing depression was significantly different (-2.200, P=0.002). However, no statistically significant difference was observed between experimental groups in terms of changes in physiological and psychological coordination (-0.00133, P=0.1).
Conclusion. SIT intervention seems to be less effective than multidimensional spiritual therapy in reducing depression, but its effect on changes in physiological and psychological coordination is the same as multidimensional spiritual therapy.
Anolin Aslan, Maryam Esmaeili,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study aimed to examine the effects of preoperative preparation of patients and family caregivers on outcomes after coronary artery bypass graft surgery (CABG).
Background. Preoperative preparation can improve patients’ experience of surgery and hospitalization. However, there is limited data about how preoperative preparation affects postoperative outcomes following CABG.
Method. This non-randomized clinical trial was conducted on ninety pairs of patient/ caregiver in the time period from July to November 2018. The participants were purposively selected and non-randomly allocated to either control or experimental group. The intervention was performed one day after admission and the day before CABG in the form of an educational video, an intensive care unit tour, and an educational booklet. In both groups, on the third day after surgery, patients' delirium was assessed in the ICU and family caregivers were asked to complete a family satisfaction questionnaire. Patients and their family caregivers in both groups completed a hospital anxiety and depression questionnaire (HADS) on the first and seventh days after surgery and before discharge. Data were analyzed in SPSS version 16.0 using descriptive and inferential statistics.
Findings. After intervention, the mean score of patients’ anxiety and depression in the intervention group was significantly less than the control group (P=0.03). After intervention, the mean score of anxiety and depression among family caregivers in the control and experimental groups were not significantly different (P=0.11). Family caregivers’ satisfaction of experimental group was significantly higher than the control group in both healthcare providers’ performance dimension (P=0.01) and comfort dimension (P=0.027). Moreover, the groups did not significantly differ from each other regarding delirium incidence (P=0.6) and length of stay in the intensive care unit (P=0.21).
Conclusion. Considering that the preparation of the patient and family caregiver on the day before CABG can reduce patients' anxiety and depression and increase the satisfaction of the family caregiver, it is recommended to use this intervention for patients and family caregivers before CABG.
Monir Javer, Amin Rafiepoor, Mehrdad Sabet,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The aim of this study was to investigate the mediating role of perceived stress in the relationship between self-efficacy and quality of life in people with cardiovascular patients.
Background. Cardiovascular disease as a chronic and debilitating physical condition is one of the most common causes of death and can affect the quality of life. In this regard, it is necessary to identify variables related to quality of life in these patients.
Method. The present study was a descriptive-correlational study using structural equation modeling. The statistical population of the present study included all patients with cardiovascular disease referring to hospitals for cardiology and heart surgery, and cardiac rehabilitation centers in Tehran, Iran in 2019, of which 151 people were recruited based on inclusion criteria. Data collection tools included the Sullivan Cardiac Self-Efficacy Questionnaire, Cohen's Perceived Stress Questionnaire, and Quality of Life Scale (SF-36).
Findings. The results showed that negative perception of stress and positive perception of stress had a statistically significant negative and positive relationship with dimensions of quality of life, respectively. Self-efficacy had a statistically significant positive relationship with dimensions of quality of life. Perceived stress also mediated the relationship between self-efficacy and quality of life dimensions.
Conclusion. In planning necessary measures to improve the quality of life in people with cardiovascular patients, it would be helpful to develop programs to strengthen self-efficacy and reduce stress.
Seyed Iman Sajadi, Rasool Tahvilian, Mahsa Shaali, Sima Babaei,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study was designed to investigate the association of obsessive-compulsive disorder with cardiac symptoms in people with acute coronary syndrome.
Background. The prevalence of cardiovascular disease and its morbidity and mortality has increased. The importance of psychological factors, especially anxiety disorders, in development of cardiovascular disease necessitates examining the relationship between obsessive-compulsive disorder and cardiac symptoms in people with acute coronary syndrome.
Method. This is a cross-sectional descriptive correlational study. The statistical population included all cases of acute coronary syndrome referred to the selected hospitals of Isfahan University of Medical Sciences, Isfahan, Iran. In this study, 193 people with acute coronary syndrome were selected based on convenience sampling method. Data were collected using demographic information-disease questionnaire and OCI-R (Obsessive-Compulsory Revised Inventory). Data were analyzed in SPSS version 18 using descriptive and inferential statistics.
Findings. The mean score of obsessive-compulsive disorder was not statistically significant between acute coronary syndrome patients with and without cardiac symptoms (29.64±20.00 vs 26.30±15.74, respectively). The mean score of obsessive-compulsive disorder in washing subtype was statistically significant between acute coronary syndrome patients with and without cardiac symptoms (6.82±4.12 vs 3.99±3.48, respectively) (P<0.05).
Conclusion. Obsessive-compulsive disorder is not associated with cardiac symptoms in people with acute coronary syndrome except for washing subtype that the mean score of this subtype is more in acute coronary syndrome patients with cardiac symptoms than those without cardiac symptoms.
Ensieh Ghatee, Narges Sadeghi, Mehrdad Azarbarzin,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The aim of this study was to compare hope and anxiety between adolescents with a parent with chronic heart disease and adolescents with a parent with type 2 diabetes.
Background. Chronic illness in parents is associated with developing problems such as decreased hope and anxiety for children.
Method. The present study was a descriptive cross-sectional comparative study in which 120 adolescents either with a parent with chronic heart failure or with a parent with diabetes type 2 were recruited by convenience sampling. Schneider's hope scale and Beck anxiety questionnaire were used to collect the data. Data were analyzed using descriptive and inferential statistics in SPSS software version 24.
Findings. The total hope score in adolescents with parents with chronic heart failure and adolescents with parents with type 2 diabetes was respectively 28.70±5.01 and 31.40±4.20. Sixty percent of adolescents with a parent with chronic heart disease had the lowest anxiety level, 25 percent experience mild anxiety, 10 percent reported moderate anxiety, and 5 percent experience severe anxiety. Ninety and five percent of adolescents with parents with diabetes showed the lowest anxiety, 3.3 percent experienced mild anxiety and 1.7 percent reported moderate anxiety.
Conclusion. Adolescents with a parent with chronic heart disease have significantly higher levels of anxiety than adolescents with a parent with diabetes type 2, and there is a significant difference between their overall hope score. Because anxiety and hope can affect all aspects of a person's life, therefore, the implementation of educational and behavioral interventions to improve anxiety and hope is recommended.
Vida Mohamdiheris, Ali Shakerdolag, Ali Khademi, Ali Zeynali, Naser Safai,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of acceptance and commitment therapy on chronic pain, resilience and self-care in women with coronary artery disease.
Background. Women with cardiovascular disease have many problems in the field of physical and mental health and one of the effective methods to manage these problems is treatment based on acceptance and commitment.
Method. The study was conducted based on a quasi-experimental pretest-posttest with a control group design. The statistical population included all women with coronary artery disease who referred to Tabriz Heart Hospital within six months in late 2019 and early 2020. After reviewing the clinical interview, women were selected to enter the study based on inclusion criteria and randomly assigned to experimental (n=15) and control group (n=15). Data were collected using the Van Korf et al. Chronic Pain Scale, the Connor and Davidson Resilience Questionnaire, and the Rigel et al. Self-Care Scale. Data were analyzed by multivariate analysis of covariance in SPSS version 19.
Findings. The results showed that acceptance and commitment therapy had a statistically significant effect on chronic pain, resilience and self-care of women with coronary artery disease. Acceptance and commitment therapy reduces chronic pain and improves and increases resilience and self-care in women with coronary artery disease.
Conclusion. Acceptance and commitment therapy improved resilience and self-care and reduced chronic pain in women with coronary artery disease. It is recommended that therapists and health professionals use acceptance and commitment therapy along with other educational and therapeutic methods to improve health-related characteristics.
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Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study was conducted to examine the relationship between magnesium blood levels and postoperative bleeding in patients undergoing elective Coronary Artery Bypass Grafting (CABG) Surgery.
Background. Decline in Serum magnesium following cardiac surgery is an important issue and postoperative bleeding is among concerns associated with postoperative care in open heart surgery. It seems that coagulation disorders related to magnesium are dose-related.
Method. In this descriptive correlational study, 120 patients undergoing CABG surgery using cardiopulmonary bypass machine were enrolled. All the patients were similar regarding the process of anesthesia and surgery. After surgery, when transferring to the intensive care unit, a blood sample was obtained from patient and sent to the laboratory to measure the magnesium blood levels. The amount of blood drainage in chest bottle of patient was recorded. The data were analyzed in SPSS version 20 using descriptive and inferential statistics.
Findings. There was a statistically significant inverse correlation between magnesium blood levels and postoperative blood drainage (r=-0.17, P=0.046). There was also a statistically significant correlation of Prothrombin Time (PT) and Partial Thromboplastin Time (PTT).
Conclusion. Magnesium blood level is influential on blood drainage in postoperative period as well as antiarrhythmic effect. It seems there is no concern about increasing blood drainage following infusing magnesium for patients under CABG surgery.
Sara Adimi, Dr Mohammad Ali Azarbayj Ani, Nasim Naderi, Azin Alizadehasl,
Volume 9, Issue 1 (3-2020)
Abstract
Aim. The present study was conducted to compare the effect of high-intensity interval training (HIIT) and moderate-intensity continuous training (MIT) (with and without blood flow restriction) on quality of life in cardiotoxic women after breast cancer treatment.
Background. Today, breast cancer is very common and cardiotoxicity is one of the most important non-avoidable complications after chemotherapy, which has a significant impact on patients’ quality of life. Using aerobic exercise training, with and without blood flow restriction, may improve quality of life of cancer survivors experiencing symptoms of cardiotoxicity. Restricting blood flow is already one of the methods used to enhance the effects of exercise training. On the other hand, previous studies show that different types of physical exercise have different physiological and psychological effects.
Methods. In this randomized clinical trial, 20 patients with cardiotoxicity after treatment for breast cancer were randomly divided into four groups including High-Intensity Interval Training (HIIT), Moderate Intensity Continuous Training (MIT), HIIT with Restricted Blood Flow (HIIT+BFR), and MIT with BFR (MIT+BFR). Interventions were applied for 12 weeks and three sessions per week. Patients in all groups completed the IHF-QoL quality of life questionnaire before and after 12 weeks of intervention.
Findings. The results of the present study showed that HIIT as well as the aerobic exercise with limited blood flow affects the quality of life of cardiotoxic patients. Quality of life scores in the HIIT+BFR group was significantly higher than that of the other groups. According to the scoring method in the questionnaire, increasing the individual score in each of the four areas of the questionnaire indicates a decrease in symptoms that disrupt the quality of life.
Conclusion. It seems that HIIT with BFR is a better way to deal with the symptoms that disrupt the quality of life, compared to HIIT without BFR, and also MIT (with and without restricting blood flow).
Fateme Falamarzi, Shiva Khaleghparast, Mohammad Zia Totonchi , Mahmood Sheikh Fathollahi,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study was conducted to examine the effect of using Burn weaning checklist on the duration of mechanical ventilation and hemodynamic criteria in patients undergoing adult open heart surgery.
Background. Mechanical ventilation is an adjunct or alternative to spontaneous breathing. Due to the proximity of the circulatory and pulmonary systems, the balance of the mechanical ventilation system and the human cardiovascular system is complex, and its weaning must be planned.
Method. This randomized clinical trial study was performed on 80 patients admitted for open heart cardiopulmonary bypass surgery. After random assignment, in the control group, the weaning process was performed according to the routines by a physician, and in the experimental group, the weaning was performed by a Burn checklist by a physician and a nurse. Hemodynamic criteria (first and second hours upon arrival, first and second hours during weaning, first and second hours after weaning) and duration of mechanical ventilation were recorded and compared between experimental and control group. Data were analyzed in SPSS software version 22 using two-way repeated measures ANOVA.
Findings. The mean intubation duration in the experimental group (7.50±1.86 hours) was significantly less than the control group (11.30±3.39 hours) (P≤0.0001). The interaction between group and time for variables diastolic blood pressure (P=0.002), pulse pressure (P=0.003) and heart rate (P≤0.0001) was statistically significant.
Conclusion. The use of the Burn assessment checklist reduces the duration of weaning process in patients after adult open heart surgery. It also helps balancing hemodynamic criteria.
Mohamadreza Abedi, Zahra Ghaemmaghami, Shiva Khaleghparast Athari, Yasaman Khalili,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This Study aimed to examine the effect of social networking education on blood glucose control and post-surgical infections after open heart surgery in diabetic patients.
Background. Cardiovascular surgery is one of the most common surgeries that is performed with the aim of increasing survival and improving the quality of life in diabetic patients.
Method. This randomized clinical trial study was conducted on 120 diabetic patients (age range 18-60 years) who underwent open heart surgery at Shahid Rajaei Cardiovascular Research and Research Center. The participants were randomly divided into experimental (n=60) and control group (n=60). In the experimental group, posts were delivered to patients with educational content (such as nutrition education, blood sugar self-monitoring, and ...) on a daily basis for three months on the WhatsApp social network. Data were collected by a checklist consisting of three parts: demographic characteristics, fasting blood sugar (FBS) and glycosylated hemoglobin (HbA1c) of patients before and 3 months after the intervention.
Findings. In both experimental and control group, 55 percent were male and 45percent were female. The percent of patients with postoperative wound infection in the experimental and control groups was 5.0 and 3.3, respectively. After intervention, in the experimental group, the FBS and Hb1Ac median was significantly reduced compared to before the intervention (p<0.001). The levels of FBS and Hb1Ac before and after the intervention did not differ significantly between the experimental and control group.
Conclusion. There was no different between groups in terms of blood sugar control and wound infections after open heart surgery. Due to the easy access, lack of time and space limitations of using social networks, further studies with longer follow-up are recommended.
Mohammad Dalili, Leila Kamalzadeh, Elham Rezanejad, Mahmood Sheikhfathollahi, Amirfarjam Fazelifar,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study was conducted to assess family follow-up for children with implantable defibrillators and the role of nurse in patient/ family education
Background. Implantable defibrillators are devices with the capability of rhythm detection and anti-arrhythmia therapy. The proper functioning of these devices highly depends on regular interrogation, analysis, and programming.
Method. This descriptive comparative study was conducted based on the hospital information system (HIS) of Rajaie Cardiovascular Medical and Research Center. All children under 15 years of age, for whom the defibrillator device had been implanted or followed by the first author, from 2009 to 2020, were included. Continuation of follow-up was compared according to age, gender, underlying disease, area of residence, and type of family education. Data were analyzed in SPSS-24 using descriptive and inferential statistics.
Findings. Sixty-seven implantations had been done for 61 patients. The mean and standard deviation of patients’ age was 9.58±3.72 years (aged 1 to 15 years). The rate of follow-up continuation was significantly reduced during the follow-up period. Ninety-four percent of patients had been visited for the first post-implantation appointment; this rate decreased to 43.6 percent for the 5th year post-implantation visit (p≤0.0001). Follow-up continuation was 71.13 percent with old-type family education compared to 89.64 percent with the new-type one (p=0.002).
Conclusion. Considering the high-risk situation, follow-up continuing is less than those desired for children with defibrillator devices. Family education by interactive methods plays an important role in encouraging the families to regular follow-up.
Zeinab Ghasemzadeh Kuchi, Masoumeh Zakerimoghadam, Maryam Esmaeili,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The present study was conducted to examine the effect of an empowerment program on the life satisfaction of patients with coronary artery disease.
Background. Because of the chronic and progressive nature of coronary artery disease, patients suffer frequent problems and relapses. Heart disease is considered as one of the debilitating diseases, and as such adversely affects the patient's self-care, quality of life, and health status.
Method. In this randomized clinical trial, 84 people with coronary artery disease, admitted to post-CCU wards in Tehran's Center for Heart diseases, were recruited in 2017. The study subjects were selected based on inclusion criteria. After explaining the study objectives and obtaining written signed consents, patients were assigned to experimental and control groups by blocking random allocation. Both groups completed questionnaires for demographic data and disease history, and Life Engagement Test. The Magic Empowerment Program was performed for experimental group as three workshop sessions for three consecutive days. Intervention continued after patients' discharge from the hospital through phone calls once a week for eight weeks. The Life Engagement Test was completed by the researcher for both groups, data were analyzed in SPSS-16 using descriptive and inferential statistics.
Findings. The results showed no statistically significant difference between groups in terms of demographic variables and disease history. Before intervention, there was no statistically significant difference between the mean scores of life satisfaction of experimental and control group and the two groups were homogeneous. After intervention, a statistically significant difference was observed between the groups in mean score of Life Engagement (P≤0.0001). The mean score of life satisfaction in experimental group, before and after the intervention was statistically significant (P≤0.0001), while in the control group there was no statistically significant difference.
Conclusion. The empowerment program increased life satisfaction of patients with coronary artery disease. Nurses can benefit from the empowerment program to improve life satisfaction, which is one of the dimensions of psychosocial health, in these patients.
Negar Akbari Zargar, Seyyed Seyed Abbas Haghayegh, Saeed Jahanian, Sheida Jabalameli,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to compare the effectiveness of acceptance-based therapy and emotion-based cognitive therapy on psychological well-being of patients with cardiac arrhythmia.
Background. The study of heart disease has long been noted by psychological factors because an individual with cardiac arrhythmias may suffer from mental well-being.
Method. This was a quasi-experimental study and to collect the data, a pre-test-post-test design with two experimental and one control group was used. The statistical population of the study consisted of all cardiac arrhythmia patients of Amirabad Heart Hospital in Tehran, out of which 60 people were selected by convenience sampling method and randomly divided into two experimental groups (20 people in each group) and one control group (20). The tools used in the present study included mental well-being (Reef, 1995), which were used in two stages of pre-test and post-test.
Findings. According to the findings, the mean score of psychological well-being in both experimental groups (acceptance-based therapy and emotion-based cognitive therapy) increased in the post-test stage compared to the pre-test, and these interventions increased the score of psychological well-being components in patients with heart arrhythmia compared to control group.
Conclusion. Clinicians can use these interventions (acceptance-based therapy and emotion-based cognitive therapy) in patients with cardiac arrhythmias to promote psychological well-being and recovery.
Masoumeh Darvishi-Lord, Mohammad -Ali Besharat, Ali Zahed-Mehr, Hojjatollah Farahani,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to determine the moderating role of affective temperament in the relationship between biomarkers (troponin, white blood cell count, and neutrophil to lymphocyte ratio) and the severity of coronary artery disease.
Background. Coronary artery disease is the leading cause of death among adults worldwide and is considered as an inflammatory disease. Recent studies, in addition to biological factors, have focused on the role of psychological factors in the incidence and severity of this disease.
Method. In this study, 200 patients (145 males, 55 females) with coronary artery disease admitted to Shahid Rajaei Hospital in Tehran in 2018-2019 were selected by continuous sampling. Participants were asked to complete the positive and negative affectivity scale (Besharat, 2014). Also, the number of biomarkers was assessed through blood tests and the number of involved vessels was assessed through angiography and diagnosis by a specialist physician.
Findings. The results of hierarchical multiple regression showed that in the first step, 62 percent of the variance of coronary artery disease was predicted by biomarkers, and by entering the interaction between predictor variables (severity of coronary artery disease) and moderating variables (positive affectivity and negative affectivity), explanation of variance of the coronary artery disease increased by 9 percent and reached to 71 percent.
Conclusion. Based on the findings of the study, affective temperament affects the relationship between biomarkers and the severity of coronary artery disease, and therefore, as a psychological factor, could plays an important role in preventing coronary artery disease and decrease the number of deaths and the annual cost of this disease.
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