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Showing 26 results for Nursing
Somaye Tajaldini, Fatihe Kermansaravi,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. The present study was conducted with the aim of reviewing the effect of telenursing in the care of patients with heart failure.
Background. Heart failure is one of the most common cardiovascular diseases, which is presented as a progressive and debilitating disorder. The prevalence of this disease is increasing due to the increasing age of the population, recent advances in the treatment of myocardial infarction, congenital diseases and the decline in mortality. In Iran, approximately one percent of all people over 40 years old have heart failure. The prevalence of this disease doubles with every decade of life and reaches about 10 percent in people over 70 years old. Studies have shown that specialized disease management programs for chronic heart failure (CHF) improve survival and quality of life and reduce health care utilization. Telenursing is one of the existing models.
Method. The present study is a narrative review. The researchers searched out the databases and search engines PubMed, Scopus, Web of Science, SID, Magiran, and Google Scholar using the keywords, care, chronic heart failure, nurse, telenursing and their Persian equivalent. After checking out the title and abstract of the articles found using the Joanna Briggs Institute (JBI) tool, the researchers reviewed 10 articles in this study.
Findings. Telenursing reduces hospitalization due to heart failure, reduces mortality and improves quality of life in patients with heart failure and improves education and follow-up after discharge. It also improves disease outcomes and reduces health costs.
Conclusion. The importance of paying attention to telenursing is recommended to policy makers and decision makers in the health system.
Sahar Tavan, Nehleh Parandavar, Rasool Eslami Akbar, Mohsen Hojat, Mohammad Hashem Abdi,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. The purpose of this study was to examine the effect of wearing personal protective equipment against covid-19 during cardiopulmonary resuscitation on physiological measures and fatigue in student nurses.
Background. Exposure of health workers to respiratory secretions and droplets of patients causes many infections. The use of personal protective equipment by nurses, despite providing safety, is often described as uncomfortable.
Method. The current randomized controlled trial was conducted in practical nursing skills laboratory of nursing school affiliated to Jahrom University of Medical Sciences in 2022. Student nurses studying at eight semester were recruited in the study by census sampling method and randomly allocated to either experimental or control group. Intervention was wearing PPE during CPR for experimental group (n=20) compared to the control group (n=20) not wearing PPE. Physiological measures (pulse rate, blood pressure, oxygen saturation percentage, and temperature) and fatigue index was measured before and after intervention. Data were analyzed using descriptive and inferential statistics in SPSS version 21.
Findings. Before intervention, there was no statistically significant difference between groups in heart rate, average systolic and diastolic blood pressure, percentage of oxygen saturation, fever and fatigue. After intervention, the means of pulse rate (p≤0.0001), systolic blood pressure (p=0.035), temperature (p≤0.0001), and fatigue score (p≤0.0001) in experimental group were significantly higher than the control group. The mean percentage of oxygen saturation after the intervention was not significantly different between the groups.
Conclusion. The use of personal protective equipment during cardiopulmonary resuscitation can affect physiological measures including blood pressure, pulse rate, and temperature, and fatigue in student nurses. It is necessary to design personal protective equipment with minimal potential discomfort and the highest safety for healthcare providers.
Niloofar Ahmadi, Masood Rezaei, Mohammadreza Zarei, Shima Haghani , Fatemeh Rashidi, Mohammad Abbasi,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. This study aims to assess the impact of education based on the Pender’s health promotion model on quality of life and medication adherence in patients with implantable cardioverter defibrillator (ICD).
Background. Heart failure is a chronic condition in which the heart is unable to provide adequate circulation to meet the metabolic needs. One of the common complications of this disease is sudden cardiac death due to
arrhythmias. Implantable cardioverter defibrillators (ICDs) are recognized as an effective treatment for this issue, as they detect life-threatening arrhythmias and deliver electrical shocks to restore the heart's rhythm to a normal sinus rhythm. Despite the life-saving benefits of these devices, ICD shocks may have negative effects on patients' quality of life. Additionally, poor medication adherence remains a major challenge, leading to treatment failure, increased complications, and higher healthcare costs. Through the implementation of various educational models and health strategies, nurses can effectively influence patients' awareness, attitudes, and health behaviors. The Pender’s Health Promotion Model (HPM) is a framework that leverages individuals' experiences, emotions, perceptions, and
behaviors to improve health outcomes.
Method. This is a study protocol for a randomized clinical trial that will be conducted at Shahid Rajaei Cardiovascular Institute in Tehran. Patients with heart failure who undergo ICD implantation will be randomly assigned to the intervention and control group. Both groups will complete a demographic information form, the Minnesota Living with Heart Failure Questionnaire (MLHFQ), and the Morisky Medication Adherence Scale (MMAS-8). The intervention group, in addition to receiving the standard hospital educational program, will
participate in a 45-minute in-person session at discharge. This session will introduce the number and content of the educational sessions and emphasize the importance of continuous participation. Subsequently, five 30-minute virtual educational sessions will be conducted twice weekly, based on the Pender’s Health Promotion Model. Additionally,
weekly telephone follow-ups will be conducted for one month to monitor adherence to recommendations and address potential issues. The control group will receive only the standard hospital education program at discharge. At the end of the study, both groups will complete the MLHFQ and MMAS-8 questionnaires again to assess outcomes.
Sara Hakimzadeh, Hamid Peyrovi, Seyedeh Esmat Hosseini , Hamid Haghani,
Volume 13, Issue 1 (3-2024)
Abstract
Abstract
Aim. This study aimed to examine the relationship between satisfaction with nursing care and readiness for discharge among elderly patients after cardiac surgery at Shahid Rajaee Cardiovascular Medical and Research Center, Tehran, Iran.
Background. Satisfaction with nursing care and readiness for hospital discharge are essential indicators of healthcare quality. With the growing elderly population and increasing prevalence of cardiovascular diseases, assessing these variables in cardiac surgery patients is of great importance.
Method. In this descriptive-correlational cross-sectional study, 300 elderly patients undergoing cardiac surgery were enrolled using convenience sampling. Data were collected using a demographic questionnaire, the Newcastle Satisfaction with Nursing Scale (NSNS), and the Readiness for Hospital Discharge Scale (RHDS). Data were analyzed using SPSS version 26 with descriptive statistics, Pearson correlation, and multiple regression analysis.
Findings. The mean satisfaction score was 53.22±8.4, and the mean discharge readiness score was 6.1±1.7. There was a statistically significant positive correlation between satisfaction with nursing care and discharge readiness (r=0.46, p≤0.0001). Gender and education level were associated with satisfaction, while income level was associated with discharge readiness.
Conclusion. The findings indicated that patient satisfaction with nursing care is positively related to discharge readiness. Enhancing discharge education, nurse–patient communication, and nursing care quality can improve readiness for discharge among elderly cardiac surgery patients.
Samaneh Shahidifar, Rana Haddadi,
Volume 14, Issue 1 (3-2025)
Abstract
Abstract
Aim. This systematic review aimed to investigate the role of nurses in using artificial intelligence to monitor medication use and therapeutic behaviors in patients with cardiovascular disease.
Background. With the increasing complexity of cardiac care and cardiac patient medication regimens, the use of artificial intelligence as a clinical decision support tool, especially in the nursing profession, has become increasingly important. This technology can play an effective role in monitoring cardiac medication use, reducing medication errors, and improving patient treatment behaviors.
Method. This study was conducted as a systematic review. Electronic databases including CINAHL, Medline, Google Scholar, Web of Science, Scopus, and SID were searched for relevant articles published between 2020 and 2025. Studies meeting predefined inclusion and exclusion criteria were selected, and their quality was assessed using the Joanna Briggs Institute appraisal tools. A total of 17 articles were included in the final analysis.
Findings. The results suggest that AI-based systems, including machine learning algorithms, neural networks, and risk prediction models, can help improve cardiac safety, monitor vital signs, and increase patient compliance with prescribed treatments. However, challenges were identified, such as nurses' resistance to technology, ethical concerns, threats to professional identity, lack of infrastructure, and issues related to data security and privacy.
Conclusion. Artificial intelligence demonstrates substantial potential to enhance nursing care quality, patient safety, and medication monitoring. Nevertheless, successful integration requires a human-centered approach, targeted education for nurses, organizational support, and preservation of clinical judgment.
Fatemeh Fakharzadeh Jahromi, Rasool Eslami Akbar,
Volume 14, Issue 1 (3-2025)
Abstract
Abstract
Aim. The aim of this study was to review and analyze the existing evidence regarding the methods, outcomes, and challenges of distance education in nursing for patients with Acute Coronary Syndrome (ACS).
Background. ACS is one of the leading causes of mortality and disability worldwide, and patients face challenges in treatment adherence, lifestyle modification, and psychological management of the disease after discharge. In recent years, nurse-led interventions, particularly utilizing telenursing and communication technologies, have been proposed as novel strategies to improve post-discharge care.
Method. This study was conducted as a systematic review of published research examining nurse-led distance education interventions in patients with ACS. For data collection, the data bases and search engines including PubMed, Scopus, ISI, Google Scholar, and the Iranian Scientific Information Database were searched out over the last ten years (2011 to 2026). The search strategy combined keywords including Distance Education, Nursing Care, Coronary Syndrome, Telenursing, Patient Education, Cardiac Care, Telehealth, and their Persian equivalents. Included studies were randomized controlled trials, quasi-experimental, observational, and qualitative studies. Data were extracted focusing on the type of intervention, follow-up duration, outcomes, and challenges, and were synthesized using thematic analysis. Among 35 identified articles, after removing duplicates (n=5) and irrelevant articles (n=15) through screening of abstracts, 15 articles were selected for final eligibility assessment, and ultimately 11 articles were included in the study. The quality of evidence was assessed using the PRISMA checklist.
Findings. Nurse-led distance education interventions, according to the objectives of the present study, could be categorized into themes including improvement of clinical outcomes and lifestyle modification, enhancement of self-care and self-efficacy, improvement of patient experience and satisfaction, diverse telenursing methods, and executive and procedural barriers and challenges. Furthermore, telenursing education was associated with reductions in cardiovascular risk factors, increased physical activity, improved medication adherence, enhanced self-efficacy, improved quality of life, and increased happiness in patients with ACS.
Conclusion. Telenursing education is considered an effective and feasible approach for improving care and outcomes in patients with ACS. It can lead to improved clinical outcomes and lifestyle modification, while enhancing patient self-care and self-efficacy and increasing their satisfaction. Developing structured and sustainable programs and conducting future research with long-term follow-ups can help strengthen the evidence, effectively integrate these interventions into clinical care, and address executive barriers and challenges.
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