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Korshid Mobasseri, Rahim Khodayari-Zarnaq,
Volume 5, Issue 3 (12-2016)
Abstract
Abstract
Aim. The aim of this study was to compare quality of life (QoL) before and after angioplasty in people with coronary artery disease.
Background. The quality of life among people with CAD who undergo angioplasty treatment is of great interest because of the increasing number of patients receiving this treatment modality.
Method. In this descriptive analytical study, 473 patients with CAD admitted to all teaching hospitals of medical sciences universities located in Tehran were recruited through stratified random sampling over the years 2015-16.Quality of life in patients was measured before angioplasty, and one month and three months after angioplasty using SF-36 questionnaire. Reliability of this questionnaire has been reported in previous studies as 0.77-0.90 (Cronbach's alpha coefficient). Data were analyzed by Wilcoxon, Mann-Whitney and Kruskal-Wallis tests in SPSS version 23.
Findings. The results showed that angioplasty has increased the mean score of quality of life in total and also, in all dimensions, one and three months after surgery (P≤0.0001). The relationship of quality of life with all demographic variables (age, marital status, occupation, education level, place of residence, conditions of residence and type of insurance) was statistically significant except for gender.
Conclusion. The angioplasty is well able to improve the quality of life in different dimensions in the short term.Angioplasty can be recommended as a procedure with strong and positive effect on the health conditions and quality of life in people with CAD.
Ahmad Valikhani, Majdoddin Fathi, Mohsen Salary Salageghe, Farhad Khormaee,
Volume 5, Issue 3 (12-2016)
Abstract
Abstract
Aim. The present study aimed to examine the suicide ideation and intensity and dimensions of pain in people with cardiovascular disease compared with healthy people.
Background. A few researches have done in relation to the suicide ideation and the amount of pain and dimensions of pain.
Method. The research design was descriptive-comparative. Sample size consisted of 182 people including people with cardiovascular disease (n=91) and healthy people (n=91). The participants were recruited by convenience sampling from Emam Reza Clinic in Shiraz, Iran within a three-month period. Participants completed demographic form, and pain and suicide ideation questionnaires. Data were analyzed by analysis of covariance (ANCOVA) and multivariate analysis of covariance (MANCOVA) in SPSS version 21.
Findings. People with cardiovascular disease reported more suicide ideation and experienced more pain than healthy people. Moreover, people with cardiovascular disease had higher scores in all three dimensions of pain (sensational-physical, emotional-affective, and cognitive). The result of ANCOVA showed that after controlling pain variable, statistical significant difference between groups’ suicide ideation was removed .
Conclusion. It can be concluded that people with cardiovascular disease suffer from suicide ideation and emotional and cognitive pain along with physical pain. Pain also plays an important role in the incidence of suicide ideation in people with cardiovascular disease.
Rasool Heshmati, Fereshteh Ghorbani,
Volume 5, Issue 3 (12-2016)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of Mindfulness Based Stress Reduction (MBSR) on physical functioning and Health Related Quality Of Life in people with Coronary Artery Disease (CAD).
Background. According to the studies, CAD can affects physical functioning and HRQOL. Developing and examining psychological therapeutic models for improving quality of life and physical functioning would be appropriate.
Method. In this randomized clinical trial study with control group, 30 people with CAD were selected from coronary care unit of Abbasi Hospital of Mian-E-doab city, Iran, by convenience sampling and assigned randomly to experimental and control group. Data were collected by Seattle Angina Questionnaire (SAQ) for measuring for assessing health related quality of life and SF-36 for measuring physical functioning. The experimental group received mindfulness-based stress reduction program in eight 2.5 hours sessions, weekly. The control group did not receive any intervention.
Findings. The results showed that after controlling the pre-test effect, mindfulness-based stress reduction had a statistically significant effect on physical functioning and health related quality of life and their dimensions.
Conclusion. It can be concluded that mindfulness-based stress reduction influences physical functioning and health related quality of life by modulating biological and psychological processes.
Sedigheh Khodabandeh-Shahraki, Sima Babaei,
Volume 5, Issue 4 (3-2017)
Abstract
Abstract
Aim. This study investigated electrocardiogram changes among coal-Mine workers in Kerman, Iran.
Background. Chronic lung diseases such as pneumoconiosis, which cause air flow limitation are common among coal miners. Pneumoconiosis may results in heart disease and changes in the electrocardiogram. Due to the impact of pulmonary function on cardiovascular status, this index may show the risk of cardiovascular diseases in coal miners.
Method. This retrospective cohort study was conducted among 90 coal-mine workers in kerman as case group and 74 workers in the same mines who were not in contact with coal as controls between 2009-2013. The groups were matched in terms of age and work history. The inclusion criteria included age range of 30-45 years and work experience of at least 15 years. Individuals with a history of smoking, diabetes, obesity with a body mass index over 24, cardiac medications that caused ECG disorders and a history of systolic blood pressure above 120 mmHg were excluded from the study.
Findings. The mean age of the workers was between 32 and 46 with an average of 34.61 years. There was no statistically significant difference between groups in terms of age, weight and work history. Comparing electrocardiogram changes between the groups showed a statistically significant difference in the mean intervals of PR, QRS and QT in the leads D I, D II, and D III, with p≤0.0001, p≤0.01, and p≤0.001, respectively. ST segment interval was not significantly different between the groups.
Conclusion. Long term exposure to the coal may create electrocardiogram changes.
Nasim Naderi, Jaleh Mohammad-Aliha, Yasaman Khalili, Pari Karami,
Volume 5, Issue 4 (3-2017)
Abstract
Abstract
Aim.This study was conducted to investigate the level of nurses’ knowledge, attitude and practice about self-care education in people with heart failure.
Background.Heart failure is one of the most common chronic diseases and the leading cause of death in the world and also, a major cause of hospital readmission, especiallyin elderly patients. Self-care education is an essential componentof care for people with heart failure. Nurses are the first providers ofself-careeducation for patients and must have a thorough knowledge, a positive attitude and skillfull practice in the field of self-care education.
Method. In this descriptive-analytical study, 174 nurses with at least one year working experience in the CCU, post CCU and medical wards of ShahidRajaie Cardiovascular and Research Center, completed a four-part questionnaire including demographics information, and knowledge, attitude and practice about self-care education in people with heart failure. Data were analyzed using descriptive and inferential statistics in SPSS, version 22.
Findings. The majority of nurses (70.1 percent) had an average knowledge score. The knowledge level of nurses were significantly related with level of education and working experience. Also, 67.8 percent of the participants had a good practice of self-care education about heart failure and their practice was significantly related with experiencing in-service education. More than 90 percent of nurses reported positive attitude towards self-care education about heart failure and their attitude was significantly related with level of education, in-service education and work schedule.
Conclusion. The knowledge of nurses was at average level. It is recommended to plan in-service education in order to promote nurses’ level of knowledge about self-care education about heart failure.
Faezeh Soltani, Meysam Chahqui, Mansoor Arab, Seyed-Fakhraldin Hosseini, Fatima Dabbagh,
Volume 5, Issue 4 (3-2017)
Abstract
Abstract
Aim. This research aims to investigate the effects of spiritual care on pain in patients undergoing coronary artery bypass grafting (CABG) surgery.
Background. Pain as a significant problem in patients undergoing CABG requires nursing care. Because of side effects from opioids, it is important to use non-pharmacological approaches such as spiritual care to control pain in these patients.
Method. This clinical trial was performed on 70 patients after CABG. Data collection tools included a demographic questionnaire, and McGill Pain questionnaire. The patients were randomly assigned into two groups of experimental and control. Spiritual care program in the experimental group included supportive presence, supporting patient’s rituals, and using supportive systems for 3 days. Pain levels were measured before and after intervention for both groups. The control group did not receive any intervention. Data were analyzed in SPSS version 20.
Findings. There was no statistically significant difference between the two groups in terms of in demographic characteristics. Before intervention, no statistically significant difference was found between the pain scores of the groups, however, after the intervention, pain scores were significantly lower in the experimental group than in the control group. There was also a statistically significant difference between the pain scores of the experiment group before and after the intervention. Such a difference was not found in the control group.
Conclusion. Spiritual care program reduced pain in patients undergoing CABG. With regard to the results of the present study, it is suggested that nurses include religious-spiritual care in nursing care plan as a helpful way to control pain in these patients.
Masoumeh Zakerimoghadam, Saiedeh Bahrampouri , Zahra Abbasi Dolatabadi,
Volume 5, Issue 4 (3-2017)
Abstract
Abstract
Aim. This literature review investigates the role of ECMO in the management of pulmonary barotrauma in people with decompression sickness (DCS).
Background. As a result of change in the atmospheric pressure in sea depth, divers may experience life threatening conditions such as barotrauma in vital organs including the lungs. Delivering 100% oxygen is the immediate treatment in these situations. A modern technology for oxygen therapy and supporting vital organs in heart and lung failure is extracorporeal membrane oxygenation (ECMO).
Method. This review was conducted by searching out databases UpToDate, Google scholar, Elsevier, SID and Magiran between 1995-2016 by the following keywords: diver, diving, decompression sickness, decompression syndrome, lung injuries, respiratory disorders, pulmonary barotrauma, treatment, and ECMO, and their Persian equivalents.
Findings. Oxygen administration and prevention of severe complications caused by accumulation of nitrogen bubbles in the body is an important treatment in this DCS. Oxygenation by nasal cannula in early stage and hyperbaric oxygenation in sever conditions are common treatments. ECMO can remove nitrogen bubbles of the blood and body and decrease concentration of nitrogen in the blood, and furthermore, improves oxygenation.
Conclusion. To rescue and prevent death in DCS victims, it is required to consider appropriate measures by minimum side effects. To do so, veno-venous ECMO can be a safe technique. The studies conducted in this field are limited; therefore more studies about ECMO usage in DCS must be conducted.
Sima Babaei, Saba Boroumand,
Volume 5, Issue 4 (3-2017)
Abstract
Abstract
Aim.This study aimed to determine the relationship between lifestyle and cardiac self efficacy among people with heart failure.
Background. As a common disease, heart failure is a major cause of death and disability in the world. In the treatment of heart failure patients, there is a special emphasis on lifestyle modification. In order to improve the lifestyle of patients with heart failure, cognitive-behavioural factors such as cardiac self-efficacy can be considered.
Method. This descriptive correlational study was conducted on 227 patients with heart failure referred to cardiology clinics of hospitals affiliated to Isfahan University of Medical Sciences. The data gathering tool consisted of three sections: demographic form, Sullivan's cardiac self efficacy questionnaire and health-promoting lifestyle profile. The data were analysed in SPSS, version 16.
Findings.The mean score of cardiac self-efficacy was 58.45±25.92 and the mean score of total lifestyle was reported 54.45±16.27. A statistically significant direct relationship was found between the mean score of total lifestyle and the mean score of cardiac self-efficacy (r=0.463, p≤0.0001). The Pearson correlation coefficients showed a direct correlation between the scores of all dimensions of lifestyle and score of cardiac self-efficacy (In all cases, p≤0.0001).
Conclusion: There is a positive and significant correlation between lifestyle and cardiac self efficacy of patients with heart failure.
Ali Hosseinsabet,
Volume 5, Issue 4 (3-2017)
Abstract
Abstract
Aim. This review study was conducted to identify perspective of nurses’ role in echocardiography.
Background. Joining nurses to the echocardiography team in 1980s led to advancement and broadcasting of echocardiography. Taking care of the patient is of nurses duties, so preparing the patient before diagnostic modalities such as trans-esophageal echocardiography and stress echocardiography are among their duties. There is an increasing tendency by nurses to have more roles in echocardiography.
Method. This review was conducted by searching out databases PubMed and Scopus by the keywords “nurse”, “echocardiography” and “cardiac ultrasound” and related articles published up to July 2017 were considered.
Findings. Nowadays, nurses perform their roles in the field of echocardiography in critical care wards, outpatient ward and at the time of screening for cardiovascular diseases.
Conclusion. Short courses of echocardiography with focus of point are valid and possible. It provides the possibility of best patients’ care.
Khadije Noori, Akbar Nikpajouh, Yasaman Khalili, Hamid Sharif Nia, Ali Ansarifar,
Volume 5, Issue 4 (3-2017)
Abstract
Abstract
Aim.The aim of this study was to compare clinical manifestations of ACS in middle-aged and elderly people who were hospitalized in ShahidRajai Cardiovascular Medical and Research Center in 2016 .
Background. ACS is one of the most important health challenges in the world. The most important diagnostic marker of ACS is the clinical symptoms, but the symptoms of the disease are different among middle-aged and elderly people.
Method. This study was a cross-sectional study. The sample consisted of 384 patients with ACS admitted to ShahidRajai Cardiovascular Medical and Research Center in 2016. Data collection tools included demographics form, a questionnaire for recording signs and symptoms of ACS and the pain questionnaire. Data were analyzed in SPSS 18.
Findings. The most common symptom was chest pain in both groups. Typical symptoms between the two groups showed no statistically significant difference. Of non-typical symptoms, hiccup was reported more in middle-age group than the elderly group (P=0.001). In terms of the location of the pain, left arm in the elderly was higher than the middle-aged group (P=0.001). The quality of pain in both groups was not significantly different.
Conclusion. Chest pain is the most common symptom in both middle-aged and elderly people. Among the non-typical symptoms, only hiccups in the middle-aged people are more common than the elderly people. Health care providers should pay more attention to the initial assessment.
Farshid Heidari-Beni, Zohreh Ahmadi-Tameh, Amir Tabatabaee, Esmaeil Mohammadnejad, Ayeshe Haji-Esmaeelpour,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. This study was performed with the aim of determining the effect of peer education on self-efficacy in people with heart failure.
Background. Heart failure is a clinical syndrome which may have negative effects on self-efficacy. Given the positive role of education in improving self-efficacy, probing a suitable educational method to improve the self-efficacy of these patients is important.
Method. In this clinical trial study, 60 people with heart failure were recruited and randomly allocated to experimental (n=30) and control group (n=30). After preparing the peer group, four peer to peer training sessions were conducted during one month. Persian translation the self-efficacy questionnaire was used for data collection, which was completed by both groups, before, just and one month after the intervention. Data were analyzed in SPSS, version 21 and P values less than 0.05 were considered significant.
Findings. No statistically significant difference was observed between groups in overall self-efficacy score before the intervention. The mean score of self-efficacy, immediately after the intervention was 50.3±7.21 and24.9 ±1.7, in the experimental and control group, respectively, and a statistically significant difference was seen between the mean scores of the groups (P≤0001). The mean score of self-efficacy, one month after the intervention was 48.8±1.2 and 23.4±4.6, in the experimental and control group, respectively and paired t-tests showed a statistically significant difference between the mean scores of the groups (P≤0001)
Conclusion. Based on this study, Peer education intervention can be a beneficial educative-supportive approach and enhance the self-efficacy life of heart failure patients. Therefore, using this method is recommended in patients with heart failure patients.
Nahid Mohamadi, Narges Kheirollahi, Somayeh Haghighat, Ghodratoallah Roshanaie,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim.This study aimed to examine the relationship between adaptability and quality of life in people whit heart failure.
Background.Heart failure has a chronic debilitating process that can be very influential on quality of life. The main outcome of heart failure is disability and limitation in doing family, social and occupational roles. One of the determinants of health and prevention of exacerbations in heart failure patients is adaptability with the disease.
Method.This Correlationalstudy was conducted on 200 people referring to Ekbatan Hospital located in Hamadan, Iran. Data were collected by demographic questionnaire, Bell Adjustment inventory, and Mac New Quality of Life Questionnaire. Data were analyzed in SPSS version 19 using descriptive and analytical statistics.
Findings.The mean age of the sample was 63.68±12.07 years. The meanscore ofadaptabilityand quality of life were76.16±6.81 and 126.85±20.45, respectively. There wasno statisticallysignificant relationshipofadaptabilityscore anddomains of quality of life ,except for the sexual domain of quality of life.
Conclusion. In people with chronic heart failure, an increase in adaptability may enhance the sexual quality of life.
Reza Joharifard, Sajad Sabokkhiz,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. The purpose of this study was to examine the effect of mindfulness-based cognitive therapy education on self-criticism and fear of failure in people with heart disease
Background. Cardiovascular disease is already considered as the most common serious illness in advanced countries. Self-criticism and fear of failure may have a negative effect on physical health and cause heart disease.
Method. In this experimental pretest posttest study with control group, the study population consisted of all people with heart disease referred to Mostafa Khomeini Hospital, located in Behbahan, Iran. Thirty patients with heart disease were recruited through consecutive sampling based on inclusion criteria and were allocated to either experimental (n=15) or control (n=15) group. The data collection tools included self-criticality test, fear of failure questionnaire. The practical guide for cognitive therapy based on mind-awareness was used to guide the intervention. Data were analyzed in SPSS 18 using descriptive and inferential statistics.
Findings. The findings of this study showed that mindfulness-based cognitive therapy education reduced fear of failure (P≤0.0001, F=22.53) and self-criticism (P≤0.0001, F=22.23) in experimental group relative to control group.
Conclusion. Mindfulness-based cognitive therapy education can be considered as an effective way for reducing self-criticism and fear of failure in people with heart disease.
Sahar Keivanloo, Fatemeh Ghonoodi, Fatemeh Bahramnezhad, Elham Navab,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. This review study was conducted to review the relationship between cardiovascular disease and vascular dementia in the elderly.
Background. The aging of the world population has increased dramatically. Chronic diseases related to aging, such as dementia, vascular and cardiovascular disease also have increased as a major health problem with a large impact on community health and family.
Method. The studies published between 2000 and 2017 were searched for in databases and search engines Google scholar, Pumped, Science Direct, Magiran, IranMedex, and SID by the keywords dementia, cardiovascular disease, hypertension, heart failure, cognitive impairment, elderly, older adult, and atrial fibrillation and their Persian meanings.
Findings. The factors such as high blood pressure, coronary artery disease, atrial fibrillation, heart failure and atherosclerosis are considered as the main causes of vascular dementia, especially in the elderly.
Conclusion. In the elderly, cardiovascular disorders, especially those with chronic nature have a considerable effect on cognitive performance impairment and vascular dementia.
Nahideh Rahimi, Ahmad Amin, Behshid Ghadrdoost,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. This study was aimed to examine the effect of intravenous diuretic therapy hospitalization of people with heart failure patients.
Background. Heart failure is a progressive disease with a long term hospital admission; while having a standardized protocol can lead to a reduction in hospital costs and adverse effects of hospitalized days.
Method. This clinical trial (without control group) was conducted on 111 heart failure patients who received intravenous diuretic therapy (in 6 hours sessions) for at least one year in heart failure ward. This treatment was performed once a week in the first month, once in two weeks in the second to sixth month and once in month in the 7th to 12th month. During the treatment, patients were given training on nutrition, drug regimen and lifestyle modification. Outcomes included urine output, weight loss, hypokalemia, worsening of renal function, hospitalization and mortality rate.
Findings. The mean age of patients was 58.88±16.33. The minimum dose of prescribed diuretics was 20 mg and the maximum dose was 200 mg. Mean of urine output and weight loss were 1890±1101 ml and 3.04±5.91 kg, respectively. Transient worsening of renal function and hypokalemia occurred in 15 and 20 patients, respectively. During one year period, 31 patients (27.4%) need to be hospitalized.
Conclusion. Short courses of intravenous diuretic therapy in people with heart failure are a safe and effective method that may provide an alternative to hospitalization.
Mahin Nomali, Kian Alipasandi, Ramin Mohammadrezaei, Masumeh Zakerimoghadam,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. The aim of this literature review was to investigate the effect of self-monitoring program on outcomes of heart failure (HF).
Background. Heart Failure is a chronic and progressive disease with an increasing prevalence. Self-monitoring program may help to recognize decompensated HF symptoms and taking proper and early action. However, its potential for improvement of HF outcomes has remained unknown.
Method. In this narrative review, databases such as PubMed, Scopus, Web of science, Embase, and Cochrane library was used for data collection. Searching out was conducted on 27 Feb, 2017 for published articles between 1961- 2017 by the keywords "self-monitoring", "heart failure", "outcome", and their English synonyms without language limitation. Inclusion criteria were content similarity to subject under study, clinical trial study design, and self-monitoring of weight and recording it in a diary by patient with HF.
Findings. Out of 13924 retrieved articles, titles and abstracts of 8384 papers were screened for inclusion criteria. Full- text of 20 related paper were downloaded. Finally, data related to 12 papers published between 1998 to 2014 were reviewed. Outcomes of self-monitoring program included HF- related hospitalization and Emergency Department (ED) visit, mortality, self-care, quality of life and other outcomes such as disease knowledge, phone call to health care provider, Ejection Fraction (EF), HF NYHA function class, Brain Natriuretic Peptide (BNP), and care cost.
Conclusion. Self-monitoring program has led to improve in HF outcomes. Therefore, giving weight and other symptoms self-monitoring diary beside self-care education will be recommended in order to increase patient’s engagement in his/her care.
Nasrin Bahramnejad, Mr Meysam Nematikhah,
Volume 6, Issue 2 (9-2017)
Abstract
Abstract
Aim. This study aimed to examine the effect of participation-based education program on nurses' knowledge and practice of critical care nurses about central venous catheter care in intensive care units in teaching hospitals of Zanjan University of Medical Sciences, Iran.
Background. Improving the quality care of central venous catheters requires the promotion of nurses’ knowledge of standard guidelines and manuals of catheter care and also the knowledge of latest findings in this field.
Method. In this quasi-experimental study with pretest-posttest design, 46 nurses working in intense care unit of two teaching hospitals (Ayatollah Mousavi and Vali-e-Asr hospital) were recruited into experimental group (n=28) and control group (n=18). Before intervention, nurses' knowledge and performance regarding central venous catheter care were measured by the questionnaire developed by Labio et al. in 2008 and a researcher-made observational checklist. Then, educational intervention based on participation was implemented for the experimental group for 1 month, and routine intervention (taking part in one session lecture) was also carried out for the control group. Three months after intervention, nurses' knowledge and performance were measured again through questionnaire and checklist by the co-researcher. Data were analyzed by SPSS (version 16) utilizing Chi-square, Fisher, ANOVA, and independent t-test and paired-sample t- test.
Findings. After intervention, there was a statistically significant difference between experimental and control group in mean change of knowledge score (experimental group, 2.82 against control group, 1.67)(p=0.004) and performance score (experimental group, 11.69 against control group, 10.85) (p≤0.0001) about central venous catheter care.
Conclusion. Educational intervention based on participation is more effective than the other conventional retraining programs in improving the nurses' knowledge and performance about central venous catheter care. It is suggested to apply participation-based education program for in-service training.
Mardanian-Dehkordi Leila , Ladan Naseh, Monireh Babashahi,
Volume 6, Issue 2 (9-2017)
Abstract
Abstract
Aim. The purpose of this study was to determine the knowledge and attitude of Isfahan people about prevention of cardiovascular disease.
Background. Cardiovascular disease is the main cause of death and disability in all societies. Lack of knowledge about risk factors of heart disease is associated with unhealthy lifestyle and increasing progression of cardiovascular disease.
Method. This descriptive analytical study was conducted in 2016 on 384 people of Isfahan, located in the centre of Iran. Data was collected by a researcher-made questionnaire with three parts of personal information, awareness and attitude questions about prevention of cardiovascular disease. The data were analyzed in SPSS 16 using descriptive and inferential statistics.
Findings. Participants had good knowledge of the prevention of cardiovascular disease (with the knowledge mean score of 13.11±1.94 of the maximum score 14). Also, people's attitudes towards cardiovascular disease prevention were positive (with the mean score of 30.6±4.05 of maximum score of 40). There was not a statistically significant difference between the score of knowledge in terms of age, sex, marital status and family history of heart disease, but knowledge about prevention of heart disease was associated with the previously received training and educational level. There was not a statistically significant difference between the score of attitude in terms of demographic characteristics.
Conclusion. The knowledge and attitude about prevention of heart disease among Isfahan people was good and associated with the previously received training. So, providing educational programs about risk factors of cardiovascular disease may improve knowledge of and attitude towards heart disease and play an important role in improving lifestyle and prevention of cardiovascular diseases.
Rasoul Heshmati,
Volume 6, Issue 2 (9-2017)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of Mindfulness-Based Stress Reduction (MBSR) on depression and anxiety in people with coronary artery disease (CAD) treated with coronary artery bypass graft (CABG) surgery.
Background. Depression and anxiety are common in people with CAD treated with CABG. Therefore, it is important to investigate if effective therapeutic models can influence the negative emotions of these patients.
Method. The research method was single-subject and the statistical population of this study included all people with coronary artery disease who referred to Shahid Madani Hospital in Tabriz, Iran, during the second six months of the year 2016 for rehabilitation after surgery. The study sample consisted of four available people with CAD who received eight sessions of MBSR training by the researcher. The subjects were assessed before and after receiving the MBSR training by Beck Depression Inventory, and Beck anxiety Inventory. The data were analyzed through recovery percentage, percent of non-overlapping data (PND), standardized mean difference (SMD) and visual analysis of the charts.
Findings. The findings showed that MBSR training reduced anxiety and depression in people with CAD following treatment with CABG.
Conclusion. Based on these findings, it be can concluded that MBSR is an effective treatment for management of negative emotions of people with CAD treated with CABG.
Azam Shahbaz, Masumeh Hemmati-Maslakpak,
Volume 6, Issue 2 (9-2017)
Abstract
Abstract
Aim. This study aimed to determine the relationship between self-care behaviors and readmission in people with heart failure.
Background. People with heart failure are frequently hospitalized due to worsening symptoms. Admission to hospital reduces quality of life of patients, also imposes large costs for them. To control this disease, adherence to self-care behaviors is important.
Method. In this descriptive analytical study, 245 heart failure patients with the history of readmission were recruited with convenience sampling method from Taleghani and Syedalshohada teaching hospitals of Urmia, in 2016. Data collection tool included self-care heart failure Index. Data were analyzed by descriptive and inferential statistics using SPSS.
Findings. Self-care mean score in participants was 45.59±7.6 and most patients had a moderate level of self-care behaviors. Pearson correlation coefficient showed a reverse statistically significant correlation between self-care score with the number of hospitalization (r=-223, p≤0.0001).
Conclusion. Self-care behaviors of the majority of patients was not favorable in terms of quality and there was a reverse correlation between self-care behaviors and readmission, It is suggested further investigating the factors affecting self-care behaviors and taking actions to deal with these factors.
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