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Showing 224 results for : Research
Farzaneh Mehrvarz, Shiva Khaleghparast, Majid Maleki, Dr. Ali Zahedmehr, Saeideh Mazloomzadeh, Bahram Mohebbi,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. This study aimed to examine the effect of education about anti-platelet drugs consumption through telephone follow-up on medication adherence in patients with coronary angioplasty.
Background. Regarding the necessity of proper use of antiplatelet drugs after coronary angioplasty, adherence to treatment is of great importance, and it is considered as one of the major concerns.
Method. This quasi-experimental study was conducted on 392 patients with percutaneous coronary intervention. The patients were divided into two experimental (telephone fallow-up) and control (without telephone fallow-up) group for one year. Adherence to treatment was assessed using the Morisky Medication Adherence Scale before and after percutaneous coronary intervention. Data were analyzed using t-test, chi-square and linear regression model in SPSS software.
Findings. The mean age of patients was 61.71±10.28 years in the experimental group and 60.72±11.14 years in the control group. Changes in the mean score of medication adherence was 53.09±1.37 in the experimental group and 18.09±1.30 in the control group, indicating a statistically significant increase in medication adherence in the experimental group compared with the control group (P=0.001). Non-use of anticoagulants in the experimental group increased until the end of the sixth month of telephone follow-up and then, decreased until the end of the twelfth month of follow-up.
Conclusion. Since changes in the mean score of adherence to medication in the experimental and control groups was significant, it is recommended that follow-up interventions in patients be continued continuously for at least one year.
Meysam Ghaedrahamt, Sima Zohari Anboohi, Fariba Borhani, Bahareh Gholami Chaboki,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. This study aimed to address whether spiritual intelligence was correlated with self-efficacy in patients with acute coronary syndrome (ACS).
Background. Patients experiencing acute coronary syndrome (ACS) are often required to enhance their empowerment skills to manage their signs and symptoms in an effective manner. In this sense, self-efficacy has been considered as a useful factor to develop self-care practices and minimize the risks of coronary artery disease (CAD).
Method. Using a descriptive-correlational research design, a total number of 136 patients admitted to cardiac care units (CCUs) of the hospitals affiliated to Shahid Beheshti University of Medical Sciences, Tehran, Iran, were selected through the convenience sampling. The data were further collected via the demographic characteristics information questionnaire, King’s Spiritual Intelligence Self-Report Inventory (SISRI, 2008), and the Cardiac Self-Efficacy Questionnaire (CSEQ) developed by Sullivan et al. (1998), and then analyzed using the SPSS version 22.
Findings. Most patients in this study (61.8 percent) were male, married (69.1 percent) with a mean age of 58.85. Moreover, the score of spiritual intelligence was 47.18. The patients received a mean score of 13.72 in the “critical existential thinking” subscale and a mean score of 10.19 in the “personal meaning production” subscale. The mean scores for the “transcendental awareness” and “conscious state expansion” subscales were also 9.70 and 9.47, respectively (p=0.01).
Conclusion. It was concluded that higher levels of spiritual intelligence could improve self-efficacy in patients affected with ACS; therefore, adopting strategies to boost this type of intelligence could augment resilience in such individuals.
Narges Shojaei Kalatebali, Aliakbar Samari, Mahdi Akbarzadeh,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. This study was conducted to examine the effect of couple therapy with well-being therapy method on depression, marital life quality, optimism and social well-being in patients with cardiovascular disease.
Background. Patients with cardiovascular disease experience many problems in their marital life and health, and one of the effective methods for improving the characteristics of marital life and their health is possibly the couple therapy with well-being therapy method.
Method. This study was a semi-experimental pretest- posttest study with control group. The study population was patients with cardiovascular disease referred to Javad Al-Aeme Cardiovascular Hospital in Mashhad city, Iran, in 2021. Thirty patients and their couples were recruited by purposive sampling method based on inclusion criteria and allocated to experimental (n=15 couples) and control (n=15 couples) group by simple random sampling. The experimental group received 8 sessions of 90-minute duration (two sessions per week) couple therapy with well-being therapy method and during this period the control group did not receive any intervention. Data were collected through the self-reported questionnaires of depression, marital life quality, optimism and social well-being and analyzed by Chi-square, independent t-test and multivariate analysis of covariance in SPSS-19 software.
Findings. The findings showed that the experimental and control groups were not significantly different in terms of education, gender, age and duration of cardiovascular disease. Before intervention, there was no statistically significant difference between groups in terms of the mean scores of depression, marital life quality, optimism and social well-being, but after intervention, a statistically significant difference was groups between experimental and control group in the mean scores of all four variables (P≤0.0001). The couple therapy with well-being therapy method led to reduced depression (F=192.046, P≤0.0001) and increased marital life quality (F=329.770, P≤0.0001), optimism (F=230.267, P≤0.0001) and social well-being (F=359.558, P≤0.0001) in patients with cardiovascular disease.
Conclusion. The results of this study indicated the effect of couple therapy with well-being therapy method on reducing depression and increasing marital life quality, optimism and social well-being in patients with cardiovascular disease. Health professionals and therapists can use this method to improve the characteristics of marital life and those related to health.
Mohammad Javad Alamzadeh Ansari, Fidan Shabani, Mahmood Sheikh Fathollahi, Maryam Rezaei,
Volume 10, Issue 1 (3-2021)
Abstract
ABSTRACT
Aim. The aim of this study was to investigate the effect of education by Teach Back method and group education on self-efficacy of patients with myocardial infarction.
Background. Cardiovascular diseases are among the leading causes of death worldwide. Effective education of patients requires the use of educational methods whose effectiveness have been identified.
Methods. The present study was a clinical trial conducted at Rajaie Cardiovascular Medical and Research Center in Tehran during 2020 and 2021. Sampling was performed continuously until 105 people were completed. Patients were randomly divided into three groups of 35, including group (Teach Back, group training, and Control), based on blocking randomization (size=6). The training sessions were conducted in two one hour sessions for two consecutive days. The control group received routine ward training. Data were collected using demographic information form and Sullivan Cardiac Self-Efficacy Questionnaire that completed before training by patients and two weeks after training by telephone by the researcher. Finally, data on 93 patients admitted to cardiac care unit were analyzed using SPSS software version 24.
Findings. Groups were homogenous in terms of demographic characteristics and disease history. The mean and standard deviation of self-efficacy score before training was 8.03±1.84 in teach back group, 7.58±2.16 in the group training and 6.90±1.40 in the control group. One-way analysis of variance showed that the mean score of self-efficacy before the intervention in the study groups was not statistically different, but two weeks after training, the mean and standard deviation of self-efficacy score was 51.6±7.85 in the teach back training, 45.77±8.39 in the group training group, and 23.16±9.13 in the control group. Increase in self-efficacy mean score in patients under teach back training was significantly higher than patients under group training and control group (P≤0.0001), and in patients under group training was significantly higher than patients in control group (P≤0.0001).
Conclusion. Teach Back training and group training increase the self-efficacy of patients with myocardial infarction. Due to the role of nurses in patient education, this educational methods can be used.
Mehdi Shamali-Ahmadabadi, Leila Issa-Nejad, Ali-Akbar Vaezi,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The present study was performed to examine the effect of virtual reality therapy training on Covid-19 anxiety in patients with hypertension in Corona pandemic.
Background. In addition to numerous physical problems, Covid-19 has had many psychological consequences such as stress and anxiety, especially in the community of chronic patients, including patients with hypertension. Therefore, appropriate interventions to reduce Covid-19 anxiety in patients with hypertension are essential.
Method. The present study was a quasi-experimental with a pretest-posttest design and a control group. The statistical population of the study consisted of all patients with hypertension referred to Ardakan Heart Clinic, Yazd, Iran. Using the available sampling method and according to the inclusion and exclusion criteria, 60 people were selected and randomly allocated to experimental (n=30) and control (n=30) group. Both groups completed the Alipour’s et al. (1398) Covid-19 questionnaire in the pre-test and post-test stages. The experimental group received the training in 6 sessions of one hour duration. Then, both groups completed the research questionnaires again in the post-test stage. Data were analyzed in SPSS version 26 using descriptive and inferential statistics.
Findings. After intervention, there was a statistically significant difference between the experimental and control group in terms of the mean scores of Covid-19 anxiety (P≤0.0001, F=110.807), psychological dimension of Covid-19 anxiety (P≤0.0001, F=78.30), and the physical dimension of Covid-19 anxiety (P≤0.0001, F=94.27).
Conclusion. Implementing virtual education intervention program with the content of reality therapy can reduce anxiety and its psychological and physical dimensions in people with hypertension.
Sayed Ehsan Kazemeini, Tahereh Ranjbaripour, Atefeh Nezhadmohammad Nameghi, Sheida Sodagar, Parisa Peyvandi,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to compare the effect of mindfulness-based cognitive therapy and acceptance and commitment therapy on sleep quality and health promoting lifestyle behaviors in patients with heart failure.
Background. Consequences of heart failure create problems with sleep quality and lifestyle that affect the course of the disease. Mindfulness-based cognitive therapy and acceptance and commitment therapy are some of the potential effective interventions on those.
Method. The present study was a quasi-experimental with a pretest-posttest design and a control group with quarterly follow-up. The sample size was 45 people which were purposefully selected and then randomly assigned to two experimental groups (n=30) and one control group (n=15). Data were collected in three stages using the Sleep Quality Index Pittsburgh of Boyce et al. (1989) and the Health-Promoting Lifestyle Questionnaire of Walker et al. (1987). Mindfulness-based cognitive therapy and acceptance and commitment therapy for experimental groups were performed and data analysis was performed in SPSS-25 software through analysis of covariance.
Findings. Both acceptance and commitment therapy and mindfulness-based cognitive therapy in post-test and follow-up (F=181.224, P≤0.0001) and (F=62.315, P≤0.0001), improved sleep quality and health-promoting lifestyle behaviors when compared to the control group. Despite the effect of both interventions, the superiority of acceptance and commitment therapy (P< 0.001) on health promoting lifestyle was found. There was no statistically significant difference between two interventions (P=0.967) in terms of improving sleep quality.
Conclusion. According to the results, both interventions were effective on sleep quality and health-promoting lifestyle behaviors, especially acceptance and commitment therapy was more effective on health-promoting lifestyle behaviors, so, in medical settings it can be used along with medical treatments for patients with heart failure.
Soheila Salmanian, Sheida Jabalameli, Maryam Moghimian, Fariba Arjmandi,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. This study was conducted to examine the effect of mentalization-based therapy and emotion-regulated therapy based on the Gross process model on psychological well-being and quality of work-life of nurses in intensive care units.
Background. Improving nurses' well-being and satisfaction with their quality of work-life improves the nurse-patient relationship and hospitals' performance from an organizational point of view. It is necessary to provide psychological therapeutic interventions to this crucial group of health care providers.
Method. This study was an experimental study (pre-test post-test with control group) in which 45 nurses working in intensive care units of selected Tehran hospitals, Iran, were selected by the convenience sampling method, and assigned to two intervention groups and one control group (15 nurses in each group). Reef's short-term psychological well-being and Walton's 32-item quality of work-life were used to measure dependent variables of the study. Then, mentalization-based therapy group received intervention in 8 sessions of 90 minutes as one session per week; and the treatment group based on emotion regulated therapy based on the Gross process model received the intervention in 8 sessions of 90 minutes, one session per week based on the protocol. No intervention was implemented for the control group. Data were analyzed using descriptive and inferential statistics in SPSS software.
Findings. Before the intervention, there were the highest scores for quality of work-life in the control group. At the end of the study and after the intervention, the scores of quality of work-life increased in all three groups, and no statistical significant difference was found between the groups. Before the intervention, the highest scores for psychological well-being was observed in the mentalization-based therapy group. (85.86±6.56), and after the intervention, although the psychological well-being scores of both interventions groups were higher than that of control group, but this diferrence was not statistically significant.
Conclusion. Based on the findings of this study, it seems that training sessions of mentalization-based therapy and emotion-regulated therapy based on the Gross process model improve the quality of work-life in nurses working in intensive care units, but the improvement was not statistically significant.
Zahra Dashtbozorgi , Khadijeh Moghadam, Fatemeh Moghadam,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to evaluate the effect of stress-based mindfulness therapy on psychological well-being and Covid-19 anxiety in people with cardiovascular disease in Karaj, Iran.
Background. During the Covid-19 pandemic, people with cardiovascular disease have had many problems in the field of psychological health including anxiety. One of the effective modalities to manage anxiety is mindfulness therapy that potentially reduces stress and may affects psychological well-being.
Method. This was a quasi-experimental pretest-posttest study with a control group. The statistical population of the study included all women with cardiovascular disease in Karaj, Iran. Thirty people of the target population were selected by convenience sampling and randomly assigned to experimental and control group (15 people in each group). The research instruments included psychological well-being questionnaire (1989) and Corona anxiety questionnaire. Data were analyzed using descriptive and inferential statistics (multivariate and univariate analysis of covariance) in SPSS software version 19.
Findings The results showed the effect of stress-based mindfulness on psychological well-being and Corona anxiety in women with cardiovascular disease (p≤0.0001). The intervention explained 43% of the variance of psychological well-being and 24% of the Corona anxiety.
Conclusion. Considering the effectiveness of stress-based mindfulness therapy on psychological well-being and Corona anxiety in people with cardiovascular disease, it is suggested to apply this treatment method in psychological clinics and health centers to improve mental health.
Maryam Bagholi Kermani, Mohsen Golparvar, Hamid Athashpour, Masoumeh Sadeghi,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to compare the effect of integrative behavioral couple therapy, narrative couple therapy, and couple schema therapy on affective capital and depression among people with coronary artery disease.
Background. Coronary artery disease is one of the heart diseases that can cause problems for couples.
Method. This was a semi-experimental study with a pretest and posttest design and control group. The statistical population consisted of people with coronary artery disease and their spouses out of which 64 couples were selected by purposive sampling method and randomly assigned to three experimental groups and a control group (16 couples in each group). Affective Capital Questionnaire and Depression Inventory of Beck was used to assess dependent variables in two stages. The three intervention groups were each treated for 8 sessions of 90 minutes and the control group did not receive any treatment. The data were analyzed in SPSS by descriptive and inferential statistics.
Findings. In terms of affective capital, there was a statistically significant difference of integrative behavioral couple therapy, narrative couple therapy and couple schema therapy with the control group (p≤0.001), and of integrative behavioral couple therapy with narrative couple therapy and couple schema therapy (p≤0.001). For depression, there was a statistically significant difference of the three intervention groups with the control group, and of integrated behavioral couple therapy and couple schema therapy with couple narrative therapy (p<0.05).
Conclusion. According to the results, integrative behavioral couple therapy, couple schema therapy and narrative couple therapy are effective in increasing affective capital and reducing depression in people with coronary artery disease and their spouses. It is recommended that these three interventions be used for these patients and their spouses in cardiovascular disease centers.
Mitra Hasanehzadeh Kiani, Zahra Dashtbozorgi, Marjan Alizadeh,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. This study was conducted to compare the effect of positivism education and health promoting lifestyle education on psychological well-being and health anxiety in people with cardiovascular disease.
Background. People with cardiovascular disease have problems in the terms of psychological well-being and health anxiety and positivism education and health promoting lifestyle education are likely to be effective in improving psychological well-being and health anxiety.
Method: The present study was a semi-experimental study with pre-test and post-test design with a control group. The study population consisted of people with cardiovascular disease who referred to Golestan Hospital of Ahvaz city, Iran, in 2021. Sixty people were recruited by purposive sampling method based on inclusion criteria and randomly assigned to three equal groups. Experimental groups separately underwent 8 sessions of 90-minute duration by positivism education and health promoting lifestyle education, respectively, and during this time the control group did not receive any intervention. Data were collected by the demographic information form, short form health anxiety inventory and psychological well-being revisited questionnaire, and were analyzed by Chi-square, univariate analysis of variance, multivariate analysis of covariance and Bonferroni post-hoc test in SPSS-19 software.
Findings. The findings showed that the experimental and control groups did not significantly differ in terms of gender, education level, age and duration of cardiovascular disease. Both methods of positivism education and health promoting lifestyle education were effective in improving psychological well-being and health anxiety in people with cardiovascular disease (P≤0.0001), but there was no statistically significant difference between the intervention methods in improving psychological well-being and health anxiety.
Conclusion. The effect of both methods of positivism education and health promoting lifestyle education on improving psychological well-being and health anxiety was confirmed and there was no significant difference between these methods in improving psychological well-being and health anxiety. Therefore, health professionals and therapists can use both methods to improve health-related characteristics.
Sara Lotfian, Fatemeh Kermani, Dr Pardis Moradnejad, Haleh Dadgostar, Maryam Talebi,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. This study was conducted to compare the prevalence of neck pain and disability among nurses in intensive care and general wards.
Background. Nursing is known as one of the ten occupations that are associated with musculoskeletal complications. In has been reported that neck and shoulder disorder are more common among nurses with high physical workload than those with low physical workload. So far, few studies have been performed on neck problems in nurses working at intensive care unit.
Method. In this cross-sectional descriptive-comparative study, 40 nurses from intensive care units and 40 nurses from general wards of Rasool Akram hospital, Tehran, Iran, were selected by convenience sampling method. Data collection in both groups was done through completing a checklist of demographic characteristics, Neck Disability Index (NDI) and Neck Pain and Disability Scale (NDPS) questionnaires by participants. The data was analyzed in SPSS version 22 using descriptive and inferential statistics.
Findings. The prevalence of neck pain and disability (measured by NDI and NPDS) in all nurses was 77.5 percent and 60 percent, respectively; 90 percent and 70 percent in nurses working at the intensive care units, and 65 percent and 50 percent in nurses working at general wards. The difference in scores measured by NDI was statistically significant between nurses working at the intensive care units and those working at general wards (P=0.014).
Conclusion. The prevalence of neck pain was significantly high in nurses, which could be due to their high workload that requires appropriate preventive measures and reduction of their physical workload.
Shohreh Kolagri, Mahdi Zahedi, Asemeh Izadpanah, Baqer Pahlavanzadeh,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The present study was conducted to determine the factors affecting the survival of myocardial infarction (MI) patients hospitalized in the cardiac care unite (CCU) at the 5-year period (2013-2018).
Background. By knowing the factors affecting survival, it is possible to focus more on prevention and treatment protocols.
Method. This is a retrospective cohort study investigating the data from the records of 277 patients with acute myocardial infarction (MI) hospitalized in the CCU ward of Shahid Sayad Shirazi Teaching and Medical Hospital affiliated to Golestan University of Medical Sciences, Iran, over a 5-year period from 2013 to 2018. The convenience sampling method was used, and the inclusion criteria encompassed those with diagnosed MI based on the report of cardiologist, disease history, signs in electrocardiogram (ECG), and cardiac enzyme marker tests. The instrument used for data collection included a list of clinical information, laboratory parameters, and demographic information. The data were analyzed in SPSS-16, using descriptive and inferential statistics.
Findings. This study revealed that 187 patients (67. percent) were males, and the mean age of expired patients was significantly higher than the recovered ones (P=0.002). Moreover, the mean cholesterol and blood sugar values in the expired patients were significantly higher than the recovered ones (P=0.033, P=0.015, respectively). Correspondingly, there were a statistically significant differences in the mean value of hemoglobin and red blood cells between the two groups (P=0.002, P=0.047, respectively). MI patients who didn’t use drugs, cigarettes, and water pipe and had no systemic diseases were more likely to survive compared to those with a history of addiction and systemic diseases (P=0.04, P=0.029). Finally, the survival graph showed that 50 percent of the patients were alive until the 11th day of hospitalization (median survival time, 11 days).
Conclusion. Determining the factors affecting the survival rate of patients after MI can be the focus of prevention and screening programs for high-risk groups of patients with acute myocardial infarction. Hence, increasing the survival of patients with acute MI requires health policymakers to take comprehensive actions at prevention levels.
Golriz Mohammadi, Ahmad Karbalaei Mohammad Migooni, Saied Malihialzakerini, Maryam Kalhornia Golkar,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The present study aimed to compare the effect of schema therapy and dialectical behavior therapy on lifestyle of women with coronary artery heart disease.
Background. Given that an unhealthy lifestyle is one of the main determinants of early onset of coronary heart disease in adulthood and its resulting mortality, the need for therapeutic interventions in this group of patients seems necessary.
Method. This experimental study (pre-test-post-test with control group and follow-up) was conducted on women with coronary heart disease in Tehran in 2019-2020. A total of 45 female patients were selected by available sampling method and randomly allocated to two experimental group and one control group (15 people in each group). Experimental and control groups were assessed during the pre-test, post-test and one-month follow-up stages by Lali et al. (2012) lifestyle questionnaire. Eight sessions of group schema therapy (for one experimental group) and eight sessions of group dialectical behavior therapy (for another experimental group) were held (two sessions per week for 4 weeks). The data were analyzed using repeated measures analysis of variance in SPSS V.23.
Findings. Both interventions were effective in promoting lifestyle in women with coronary heart disease (p≤0.0001). Also, group dialectical behavior therapy had a greater effect on lifestyle promotion in women with coronary heart disease compared with group schema therapy (p≤0.0001).
Conclusion. Training of the use of group dialectical behavior therapy is recommended as an effective intervention method for improving lifestyle of women with coronary heart disease.
Nahid Ramak, Kiana Ghasemnezhad, Elahe Ghasempour, Zeinab Sadeghkhani, Eshaqh Sam Khanian, Farshid Bibak, Alireza Sangani,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of functional analytical psychotherapy on treatment adherence and self-care behaviors in female patients with acute myocardial infarction.
Background. The severity of cardiovascular disease is affected by cognitive and behavioral function in people experiencing acute myocardial infarction. Therefore, with effective and modern treatments for this problem, effective results could be expected.
Method. The research method was quasi-experimental pre-test post-test and follow-up design with control group. A sample of 30 women with a history of acute myocardial infarction who had been admitted to Seyed Al-Shohada Heart Hospital in Urmia, Iran, in 2021, were selected based on inclusion and exclusion criteria and randomly assigned to experimental (N=15) and control (N=15) group. Tsai et al. (2010) Functional Analytical Psychotherapy Package was implemented for experimental group in 10 sessions of 45 minutes duration. Before and after the sessions, and also, 3 months after intervention, both members of experimental and control groups completed Treatment Adherence Questionnaire and Self-Care Behavior Questionnaire as pre-test, post-test and follow-up measurements. Data were analyzed using mixed model analysis of covariance in SPSS Version 18.
Findings. The results showed that there was a statistically significant difference between experimental and control groups in term of the means of treatment adherence and self-care behaviors in pre-test, post-test and follow-up. Functional analytical psychotherapy had a greater effect on improving self-care behaviors (0.912) than treatment adherence (0.897) in female patients with acute myocardial infarction (P≥0.0001).
Conclusion. These results emphasize the effect of functional analytical psychotherapy in cognitive and behavioral domains in the treatment of female patients with acute myocardial infarction.
Elham Irani, Saeed Moosavipour, Marzieh Sadat Sajadinezhad,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of cognitive-behavioral therapy on depression, anxiety, and stress in patients after coronary artery bypass graft surgery.
Background. Coronary artery bypass graft surgery, like other surgeries, is stressful for the patient, and depression, anxiety, and stress are common important disorders in these patients. In this regard, one of the effective psychotherapy methods to reduce negative psychological factors and prevent recurrence of the disease is cognitive-behavioral therapy.
Method. The design of the present study was quasi-experimental with a pretest-posttest design with a control group. The statistical population of the study included all patients after coronary artery bypass graft surgery in selected AJA hospital in Tehran, Iran. Based on convenience sampling, 30 people were selected and randomly allocated to experimental (n=15) and control (n=15) group. They responded to the Depression, Anxiety and Stress Questionnaire (DASS-21) and underwent 15 sessions of psychotherapy. The experimental and control group were homogeneous in terms of age, education, as well as duration of hospital stay and absence of other chronic diseases. The univariate analysis of covariance was performed using SPSS-23.
Findings. The results showed that depression, anxiety and stress of the experimental group significantly reduced in the post-test compared to those of control group.
Conclusion. In addition to medical interventions, cognitive-behavioral therapy can also be used for patients after coronary artery bypass graft surgery to reduce depression, anxiety and stress and prevent recurrence of the disease. Special attention can also be paid to the psychological factors that cause or exacerbate cardiovascular disease.
Masoumeh Aghaei, Zahra Razaghi, Masoomeh Imanipour,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to determine the attitudes of intensive care unit nurses towards communicating with unconscious or conscious intubated patients unable to speak.
Background. Communication is one of the most important tools in patient care and is more important in intensive care units because many patients are unable to communicate verbally due to illness or treatment.
Methods. This descriptive cross-sectional study was conducted on 174 nurses working in intensive care units. They were selected by convenience sampling method. Data were collected by a researcher-made questionnaire through self-report. This questionnaire had two sections of views on communication with unconscious or conscious intubated patients unable to talk and factors related to non-communication with these patients which was completed either in paper or electronic form. The data were analyzed in SPSS version 26 using descriptive statistics and Pearson correlation.
Findings. The results showed that the majority of the studied units (94.3 percent) had a positive attitude towards communicating with patients with speech disabilities admitted to intensive care units. It was also found that large number of patients, nurse's reluctance to work in intensive care units, loading of unprofessional tasks, psychological fatigue, and no mastery in communicative skills are more associated with communicating with this group of patients.
Conclusion. According to the positive attitude of nurses towards communicating with unconscious or conscious intubated patients unable to speak, this positive attitude can be used to improve nurses' communication performance. In addition, it is necessary to improve the quality and quantity of communication with patients with speech problems through management measures to control some factors related to communicating with patients with speech impediments.
Fateme Izadi, Yasaman Khalili, Shiva Khaleghparast, Sepide Taghavi,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The aim of this study was to investigate the relationship of health literacy, knowledge of heart failure and social support with adherence to medical treatment in patients with heart failure.
Background. Despite significant advances in the treatment of heart failure, the prognosis in these patients is poor. Factors influencing the prognosis include comorbidities, disease severity, age and sex differences, inadequate health literacy, poor adherence to medication, poor knowledge, and poor social support.
Method. The present study was a cross-sectional descriptive correlational study that was performed on 300 patients referred to the clinic of Rajaie Cardiovascular Medical and Research Center. Sampling method was convenience. The study tools included questionnaires completed by the researcher or patient: demographic form (personal, economic and social information), Health Literacy Questionnaire, Dutch Heart Failure Knowledge Scale, Multidimensial Scale of Perceived Social Support and Morisky Medication Adherence Scale. Data were analyzed in SPSS software version 22 using descriptive and inferential statistics.
Findings. Median (interquartile range) age of the samples was 55 (41-65) years, and 172 (57.33%) were male and 128 (42.66%) were female. In this study, there was a statistically significant relationship of health literacy (P=0.029, r=0.13) and knowledge of heart failure (P=0.02, r=0.13) with adherence to medical treatment. But there was no significant correlation between social support and adherence to medical treatment.
Conclusion. The results of this study showed the relationship of health literacy and knowledge of heart failure with adherence to medical treatment. We can improve patient’s adherence to treatment by increasing the level of their knowledge related to heart failure and health literacy toward the disease
Marzee Eskandari Hesari, Faezeh Sahbaeiroy, Jamile Mohatshami, Maryam Moradian,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The aim of this study was to design and examine the psychometrics of post-traumatic stress disorder tool for children undergoing heart surgery
Background. Heart disease is one of the most important health issues and traumatic events that cause great harm to children, one of which is the experience of surgery. Therefore, we need a standard tool to assess post-traumatic stress disorder in children.
Method. In this methodological study, researchers compiled a questionnaire for measuring post-traumatic stress disorder in children undergoing heart surgery. The questionnaire was provided to 10 experts to examine the validity. In the next step, 40 items, revised by experts, were examined for construct validity and reliability based on the responses of 200 children 12-18 years old to questionnaire. The data were analyzed in SPSS version 24 and LISREL version 10.
Findings. After preparing the draft, the questionnaire was given to 10 experts to determine face and content validity. For face validity, the impact score of the items was computed and due to similar meaning of some items they were merged. In order to determine the content validity, two indexes of content validity ratio (CVR) and content validity index (CVI) were considered. According to Lauche's table, items with a content validity ratio less than 0.62 were excluded (7 items), items with a content validity ratio greater than 0.79 were accepted, and items with a content validity ratio between 0.70 and 0.79 were revised. In the construct validity stage, to ensure the sufficient sample size, the Kaiser-Meier-Elkin (KMO) test was performed and the results of Bartlett's Sphericity test were significant (P≤0.0001). Finally, exploratory factor analysis was performed with Varimax rotation on 40 items, and 7 items with a factor loading of less than 0.4 were removed, and in the end, 33 items remained. To determine the reliability of the questionnaire using the internal consistency method, Cronbach's alpha of the questions were computed and it was above 0.80 for all items. The test-retest results confirmed the significant relationship between the pre-test and post-test scores in 7 factors of the questionnaire (P≤0.0001).
Conclusion. In order to achieve more accurate results in research, it is necessary to use valid and reliable tools. The results of this study showed the strength of the factor structure and acceptable reliability of the post-traumatic stress tool for children undergoing heart surgery. The tool designed in this study is valid and reliable and can be used to determine post-traumatic stress in children undergoing heart surgery.
Helia Saremi, Sedigheh Khanjari, Shima Haghani, Seyed Mohammad Mahdavi,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The present study was conducted with the aim of determining the quality of life (QoL) and spiritual health of parents of children after heart transplant in Iran.
Background. The child and his family enter a new phase of life after a heart transplant. Assessing the QoL and spiritual health of parents can determine the psychological and health consequences for children and their families.
Method. This was a descriptive cross-sectional study on 102 pairs of parents of children after heart transplantation in the hospitals Rajaie Cardiovascular Medical and Research Center in Tehran, Imam Khomeini Hospital in Tehran, and Razavi Hospital in Mashhad, using the consensus sampling method from November 2020 to June 2021. The questionnaires used in this study included the World Health Organization Quality of Life– BREF (WHOQOL-BREF) and Spiritual Well-being Scale. Data were collected in the forms of face-to-face and network communication (WhatsApp and Telegram). Data were analyzed using SPSS version 22 using descriptive and inferential statistics.
Findings. The mean score of QoL for mothers and fathers was 57.35±12.42 and 57.93±12.22, respectively. Also, the mean score of spiritual health for mothers and fathers was 90.68 ± 07.13 and 88.76 ± 12.78, respectively, which were considered as the average level. In general, these results may have been affected by the Covid-19 pandemic. Parents' QoL had no statistically significant relationship with demographic variables of them and their children. Mothers' spiritual health had a statistically significant relationship with their education (P=0.034), employment status (P=0.002) and age (P=0.024). Regarding fathers, the spiritual health showed a statistically significant relationship with the child's gender (P=0.016) and the waiting time for transplantation (P=0.023).
Conclusion. No difference was observed between fathers and mothers of the children after heart transplant in terms of the variables of QoL and spiritual health. This can indicate the same pressure on both mother and father to take care of the child, especially in critical situations such as the Covid-19 pandemic. In this situation, the support of these families by nurses and health workers to follow up their child's treatment, making an appointment to visit or to better understand their conditions in case of problems is of particular importance. More studies are needed to clarify the situation of these children and their families.
Sara Lotfian, Hasan Arian, Rasool Azarfarin, Hooman Bakhshandeh, Pardis Moradnejad,
Volume 11, Issue 1 (3-2022)
Abstract
ABSTRACT
Aim. The aim of the present study was to examine the effect of early mobilization protocol on the strength of diaphragmatic muscle and other inspiratory muscles after open heart surgery.
Background. Early mobilization is recommended as a safe protocol after open heart surgery to decrease hospital stay and post-op respiratory complications; however, our knowledge about its effect on improving respiratory muscles strength is limited.
Methods. This is a randomized single-blinded clinical trial conducted on 80 consecutive patients who underwent coronary artery bypass surgery and/or valvular surgery that were randomly assigned to experimental group (postoperative early mobilization) and control group (routine physiotherapy). On the day before surgery and the day before leaving intensive care unit (ICU), two scores were measured for assessing diaphragmatic muscle strength: maximum inspiratory pressure (PI max) and Strength index (S index). Hemodynamic parameters were also measured and compared.
Findings. According to both PI max and S index, diaphragmatic muscle strength decreased from 77.28 to 59.53 cmH2O in patients after surgery, but the changes in the experimental group was less than the control group, which indicates a significant improvement in the strength of the diaphragm muscle in the experimental group (p≤0.0001). Hemodynamic changes after surgery (lower blood pressure and increased heart rate) occurred in both groups without any significant clinical effect.
Conclusion. Early mobilization after cardiac surgery has positive effect on the strength of diaphragmatic muscle and is also safe as shown to have no adverse effect on hemodynamic parameters.
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