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Masoomeh Sherafati, Elham Navab, Khatereh Seylani,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. In this review article، the role of nurses in managing patients with STEMI who are undergoing primary PCI will be reviewed.
Background. Acute myocardial infarction is the most severe type of coronary artery disease that occurs due to the blockage of the coronary arteries of the heart. Considering the priority of treating patients with STEMI with primary PCI procedure is a priority.
Method. In this review study، literature search with the keywords Primary PCI، Nursing process، CAD، and STEMI was searched out in the electronic databases Google Scholar، Scopus، Cochrane library، PubMed، IranDoc، Magiran، and SID، from 2018 to 2024، in English and Persian language. In total، out of 120 retrieved articles، 21 were reviewed and analyzed.
Findings. ST segment elevation acute myocardial infarction (STEMI) is one of the critical and acute manifestations of CVD. The main treatment of the disease is reestablishing myocardial perfusion with percutaneous coronary intervention or thrombolytic therapy; and coronary angioplasty (PCI) is the preferred method of reperfusion. In line with the successful implementation of the treatment protocol، the cooperation of the medical staff is necessary and the empowerment of nurses regarding emergency nursing and triage of cardiac patients، nursing care before، during and after PCI، the correct implementation of the treatment protocol، prevention of complications، and also the training of patients in the field self-care methods and lifestyle modification، secondary prevention and medication adherence are important.
Conclusion. Nursing measures are very important in managing the treatment of patients with myocardial infarction and reducing complications and mortality، and the knowledge and practice of nurses should be updated to improve the quality of nursing care and increasing patient safety.
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.
Samaneh Nik-Chehreh, Mona Alinejad Naeini,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. The purpose of this review article is to introduce the phenomenon of patent ductus arteriosus (PDA) to health care providers of the neonatal intensive care unit, particularly nurses working in the neonatal intensive care unit.
Background. The patent ductus arteriosus is among the developmental diseases of the heart. The ductus arteriosus is the pathway that connects the left pulmonary artery to the descending aorta during fetal life. This duct closes in neonates within a few minutes to a few days after birth. Familiarity with this phenomenon may help health care providers in taking care of babies experiencing this condition. The transition from intrauterine to extrauterine life requires coordinated and complex biochemical, physiological, and anatomical changes that takes an extended period of time in premature infants and those with congenital conditions. Rapid and timely assessment and intervention by the health care team can help at this vital stage of life.
Method. This literature review was conducted through a systematic and targeted search of articles and texts published from 2008 to 2024 in PubMed/, Web of Science, Google Scholar, and Scopus using the keywords Patent ductus arteriosus, Infant, Nursing care, Treatment, and their Persian equivalents.
Findings. Twelve articles and one book were found and the findings were organized as definition and pathophysiology of patent ductus arteriosus, diagnoses. treatment options, and nursing care.
Conclusion. The transition of the fetus from the womb to extrauterine life is one of the dynamic and vital adaptations in the life of neonates, especially premature neonates. With comprehensive monitoring and skillful clinical assessment, patent ductus arteriosus in neonates can be better managed.
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.
Yaser Saeid, Abbas Ebadi, Hosein Mohammadi Roshan, Seyed Mohammad Saeid Ghiasi, Mohamad Hasan Kalantar, Seyed Tayeb Moradian,
Volume 13, Issue 1 (3-2024)
Abstract
Abstract
Aim. The present study was conducted with the aim of investigating the incidence of complications after cardiac surgery in the period from the patient's admission to the ward to three days thereafter at Jamaran Heart Hospital in 2022-2023.
Background. Regarding the selected and proposed treatments for cardiovascular diseases, every year a large number of patients undergo heart and coronary artery bypass graft surgery and valve repair or replacement. According to the surgical procedure, there are many cardiac and non-cardiac complications for these patients.
Method. The present study was a cross-sectional descriptive study that was conducted between 2022 and 2023 in Jamaran Heart Hospital in Tehran, Iran. In this study, 254 patients who were candidates for heart surgery were recruited using convenience sampling method. Data were collected using demographic characteristics form, checklist for short-term complications after open heart surgery, and numerical pain scale. The time period of data collection was from the moment the patient entered the intensive care unit to the time of transfer to the ward (three days). The data were analyzed in SPSS version 22 using descriptive statistics.
Findings. Most of patients underwent valve surgery or combined valve and coronary artery graft surgery (68.1 percent). Most of patients were male (62.3 percent), and had a history of high blood pressure (60.5 percent). The mean of age and ejection fraction at discharge was 60.4 years and 48.4 percent, respectively. On the third day after surgery, the incidence of complications was as follows: atelectasis, 18.9 percent; pleural effusion, 15 percent; and pneumothorax, 2.8 percent. The highest average pain score was 3.74 when using incentive spirometry and 4.54 when coughing. Regarding arrhythmia, the highest rate was related to sinus tachycardia (12.6 percent) and atrial fibrillation (9.6 percent).
Conclusion. Goal-directed planning is necessary to manage complications after open heart surgery. Conducting more studies with the aim of investigating etiology and appropriate management of risk factors is also suggested.
Alireza Moradi, Jafar Hassani, Mahmoud Borjali, , Bayane , Abdollah Zadeh,
Volume 13, Issue 1 (3-2024)
Abstract
Abstract
Aim. The aim of the present study was to predict adjustment to the disease in patients with cardiovascular disease based on psychological well-being with the moderating role of health beliefs.
Introduction. Health beliefs are directly related to an individual's adaptation and behavior, and the outcome of this adaptation affects the patient's perception of disability and quality of life. Effective assessment and understanding of illness involves understanding the individual's ability to demonstrate adaptive behaviors and estimating their success in regulating symptoms of the disease, and subsequently, seeking psychological well-being.
Method. This was a descriptive correlational study. Three hundred patients with cardiovascular disease referring to Martyr Dr. Qolipour Medical Center in Bukan, Iran were recruited by purposive sampling. To collect the data, Health Beliefs Questionnaire, Psychosocial Adjustment to Illness Scale, and Psychological Well-being scale were used. Inclusion criteria included cardiovascular disease, having at least a high school education, no acute physical illness other than cardiovascular disease, no acute mental illness, and willingness to participate in the study.
Findings. According to the results, in patients with cardiovascular disease, adjustment to the disease had a statistically significant positive relationship with psychological well-being and health beliefs (P≤0.01). Psychological well-being and health beliefs had the ability to predict adaptation to the disease, and health beliefs had a moderating role in the relationship between psychological well-being and adjustment to the disease.
Conclusion. In general, it can be concluded that in patients with cardiovascular disease, psychological well-being and health beliefs predict adjustment to the disease, and health beliefs can moderate the relationship between psychological well-being and adjustment to the disease.
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.
Ehsan Khalilipur , Reza Kiani , Mehdi Daliri Rezagholi Gheshlaghi , Mona Yadollahi, Hamideh Khesali, Raheleh Kaviani, Azadeh Afzalnia, Farzad Kamali, Maryam Hajimolaali, Sara Tayyebi Hasanpour,
Volume 13, Issue 1 (3-2024)
Abstract
Abstract
Aim. This research aimed to identify and analyze the factors affecting resilience in nurses working in Intensive Care Units (ICUs) in Iran.
Background. Resilience is defined as the ability of individuals to resist, adapt, and recover from shocks and stresses while maintaining their functions. This concept is influenced by individual characteristics such as hope, optimism, and coping strategies, as well as social and environmental factors like social support, community cohesion, and effective governance, which play a key role in shaping resilience.
Methodology. In this review study, the keywords resilience, nurses, and intensive care unit, along with their English equivalents, were used. The Persian databases utilized included SID, MagIran, IranMedex, and the database of scientific journals of medical universities in the country. International databases included PubMed, Scopus, and Web of Science, and the Google Scholar search engine was also used. Ultimately, 20 articles were evaluated in the study.
Findings. Resilience in ICU nurses is a vital construction influenced by various factors. To improve nurses' resilience, interventions should be comprehensive, targeting both individual and organizational factors.
Conclusion. Regular assessment of nurses' resilience levels and monitoring the effectiveness of interventions through continuous qualitative and quantitative research are essential to ensure that strategies adapt to the changing needs of this critical group of healthcare personnel. This approach will not only improve the mental health of nurses but also directly lead to an enhancement in the quality of healthcare and the sustainability of the nursing workforce in the future.
Farzaneh Farzadnia,
Volume 13, Issue 1 (3-2024)
Abstract
Abstract
Aim. This review aimed to identify and analyze lifestyle factors influencing the prevention of cardiovascular diseases (CVD) in older adults, and to evaluate the combined effects of diet, physical activity, smoking avoidance, and body mass index (BMI) control.
Background. Cardiovascular diseases are a leading cause of morbidity and mortality in older adults. Lifestyle modifications, including dietary habits, exercise, and smoking cessation, are effective and low-cost preventive interventions. Understanding the impact of these factors individually and synergistically can guide public health and clinical strategies.
Methodology. A systematic review was conducted based on PRISMA 2020 guidelines. Studies published between 2015 and 2025 on CVD prevention in adults aged ≥60 were searched out from Persian and international databases (SID, MagIran, IranMedex, PubMed, Scopus, Web of Science). Eligible studies included original research (cross-sectional, cohort, and clinical trials) in Persian or English. Data extraction and quality assessment were performed systematically, and 22 studies met the inclusion criteria for final analysis.
Findings. Evidence indicates that a healthy diet, including Mediterranean or plant-based patterns, regular physical activity ≥150 minutes per week, smoking avoidance, and BMI control, collectively reduce cardiovascular risk factors and the incidence of CVD. Adherence to healthy dietary patterns decreased BMI, LDL-C, triglycerides, and HbA1c. Regular exercise demonstrated synergistic benefits with diet and smoking cessation, lowering the risk of myocardial infarction, stroke, and other cardiovascular events. Lifestyle interventions in pre-diabetic or metabolically at-risk populations slowed the progression of metabolic disorders and reduced the incidence of type 2 diabetes.
Conclusion. Promoting and adhering to a healthy lifestyle in older adults is an effective strategy for both primary and secondary prevention of cardiovascular diseases. Comprehensive, multidimensional lifestyle programs not only improve individual health but also reduce the societal and economic burden of CVD and enhance quality of life in the aging population.
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