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Showing 26 results for Moghadam
Masume Zakerimoghadam, Somayeh Asgari, Esmail Shariat, Hamid Haghani,
Volume 3, Issue 4 (3-2015)
Abstract
Aim. The aim of this study was to evaluate the current and expected status of comfort from the point of view of hospitalized cardiac surgery patients.
Background. Providing comfort for the patient is one of the most important aspects of nursing that should be considered in all aspects of care as the top nursing care priority.
Method. This was a descriptive comparative cross-sectional study in which 292 patients undergoing cardiac surgery were recruited as study sample. Data collection tool was a demographic form and modified form of Kolcaba's comfort questionnaire evaluating the current and expected status of comfort. After that the reliability and validity of the questionnaire was confirmed, it was completed by interview, the second day after surgery. Data analysis was performed by SPSS, version 16.
Findings. The participants reported the best current status of comfort in psychospiritual (63.57 percent) and sociocultural (62.71 percent) domains of comfort, and rated physical domain of comfort as the lowest one(36.64 percent). Patients reported the comfort status in the environmental domain as moderate (54.78 percent). The most expectation of the patients were to be provided with comfort in psychospiritual (92.02 percent), environmental (91.14 percent) and physical (90.96 percent) domains, respectively, and the provision of comfort in sociocultural domain were least expected (88.16 percent). There was a statistically significant relationship of comfort with gender, age, education, occupation, place of residence, income, number of family members, physical activity and history of heart surgery, hypertension and hyperlipidemia.
Conclusion. Patients reported less comfort in the physical domain and the most expected domain of comfort was psycho-spiritual. It is recommended that nurses pay more attention to providing comfort in physical and psychospiritual domains.
Nasrin Daliri, Masoumeh Zakerimoghadam,
Volume 3, Issue 4 (3-2015)
Abstract
Background. Cardiovascular disease is one of the most common causes of morbidity and mortality around the world. The number of people with cardiovascular disease is increasing. This review article discusses the role of Vitamin D and Vitamin D deficiency complications in cardiovascular system.
Methods. This review article was conducted by searching out electronic databases as Google scholar, Elsevier, PupMed, PMC, and Springer to find articles published between 2007 and 2015. The keywords searched out were: “Cardiovascular disease AND Vit D”, “Vit D AND Hypertension”, “Vit D AND Heart”, “Vit D AND Atherosclerosis”, and “Vit D deficiency”.
Findings. The response of Vitamin D receptors in all tissues including cardiovascular system (in presence of sufficient amount of Vitamin D) can prevent from uncontrolled growth and proliferation of cells in cardiomyocytes and smooth muscle of vessels wall. This is done by specific gene control through 1/25 Dihydroxyvitamin D (active form of Vitamin D). These genes control proliferation and differentiation of cells resulting in prevention of cardiovascular tissue hypertrophy and vessel thickness. Studies revealed that Vitamin D deficiency can cause inadvertent complications in cardiovascular system but it isn’t completely clear that administration of vitamin D can be beneficial in treatment of cardiovascular disease.
Conclusion. It is essential that adequate levels of Vitamin D is provided and replaced in the body before complications happen.
Reza Zeighami, Zahra Abbas-Ali-Madadi, Jalil Azimian, Mohammad Behnam-Moghadam,
Volume 4, Issue 1 (6-2015)
Abstract
Aim. The purpose of this study was to review the effectiveness of new cardiac biomarkers.
Background. Cardiovascular diseases have been a heavy burden on the health system’s shoulders and caused about 30 percent of human's deaths annually. Irreversible myocardial injury occurs within around 15-20 minutes following the coronary artery occlusion. Therefore, early diagnosis of this problem is very important for the health care professionals to save patients’ lives. Nowadays, thanks to recognition of new biomarkers and using their characteristics, evaluating the short-term and long-term prognosis is possible.
Method. In this study, papers published within the time period 1980 to 2014, were considered. The papers were searched out by the keywords “cardiac biomarker”, “new cardiac markers”, “coronary diseases”, and “cardiovascular diseases” in Elsevier, Google Scholar, JAMA, Science Direct, Wiley, PubMed, and Iran Medex databases.
Findings. The results indicate that characteristic of each biomarker can play an important role to advance the goals of medicine and harm reduction in the cardiovascular patients. However, despite the high efficiency, routine usage of them is still unclear which indicates the need for further research in this field.
Conclusion. New biomarkers provide new insight about recognition of the causes of cardiovascular diseases, also their easy and rapid application with high sensitivity and predictive value will develop a dramatic change in the diagnosis and treatment of patients with cardiovascular diseases.
Masume Zakerimoghadam, Ali Sadeghi-Akbari, Mohammad-Ali Cheraghi, Anoushirvan Kazemnejad,
Volume 4, Issue 1 (6-2015)
Abstract
Aim. This study aimed at investigating the effect of education based on illness perception on self-care behaviors of patients with heart failure.
Background. Heart failure is the final outcome of most cardiovascular diseases, reducing patients’ self-care behaviors as a chronic condition. Changing illness perception of patients with heart failure about the disease is a way to improve the self-care behaviors in these patients.
Method. An experimental design was used to conduct the study. Seventy and six patients with heart failure who admitted to hospitals affiliated to Tehran University of Medical Sciences and were eligible to participate in the study was recruited in 2014 and were randomly divided into intervention and control group. The intervention group attended in three educational sessions and received cell phone follow-up for 8 weeks. The control group received conventional treatment. The self-care behaviors was compared in both groups before, and eight weeks after the intervention. The data were analyzed by SPSS-16 software.
Findings. There was no statistical significant difference between demographic variables of two groups. Self-care behaviors in the intervention group increased after the intervention when compared with the control group (p<0.0001). In the experimental group, the mean score of self-care behaviors after the intervention was significantly higher than mean score before intervention (p<0.0001).
Conclusion. The results showed that education based on illness perception affects self-care behaviors in patients with heart failure. It is suggested as an effective method to promote the self-care behaviors in these patients.
Meysam Shabani, Masoumeh Zakerimoghadam,
Volume 4, Issue 2 (9-2015)
Abstract
Aim. The aim of this study was to review studies about the cause and development of cardiovascular diseases among people with depression.
Background. Cardiovascular disease and depression are common and the research have shown the comorbidity of these two disorders.
Method. In this review study, different databases such as Google Scholar, PubMed, Springer, AHA journal, Biomed, Scope med, Elsevier, and WHO webpage were searched out by Persian and English forms of keywords like “depression and cardiovascular diseases”, “depression and endothelial system”, “depression and autonomic system”, “depression and inflammatory-immune system”, “depression and platelet activation”, “depression and hypothalamic-pituitary-adrenal (HPA) axis” and “depression in prenatal period”.
Findings. Suggested mechanisms of developing cardiovascular diseases by depression include dysfunction of hypothalamic-pituitary-adrenal axis, inflammatory-immune system, autonomic system, platelet activity, endothelial system and habit pattern changes (metabolic syndrome) and depression in prenatal period.
Conclusion. Findings show that HPA axis dysfunction provides the situation for autonomic system dysfunction. Forming of atheroma and thrombosis are faster in platelet dysfunction, endothelial system dysfunction and inflammatory-immune system dysfunction than the other destructive ways. On the other hand, as depression can cause inflammatory-immune system dysfunction, the process of endothelial system dysfunction can cause this too. No finding has been found about the relationship between severity of depression and development of cardiovascular diseases.
Rasoul Azarfarin, Ziae Totonchi, Zahra Arizavi, Manizheh Yousefi-Moghadam,
Volume 4, Issue 3 (12-2015)
Abstract
Aim. The aim of this study was to evaluate the effect of early mobility on respiratory parameters in patients after open heart surgery.
Background. Post-operative phase of open heart surgery is the most critical period during which many serious and fatal complication can occur. Early mobility can prevent such complications. The role of the critical care nurse is crucial in this regard.
Method. In a randomized clinical trial, 104 patients who were candidate for open heart surgery were randomly assigned to experimental (n=52) and control (n=52) group. Patients in control group received hospital routine treatments. Patients in experimental group were mobilized from the bed in the first, second and third day after surgery. Early mobility included change position, siting on the bed, legs dangling off the bed, sitting in the chair next to the bed, and walking). The effect of early mobilization on respiratory indices was examined. Data were analyzed in SPSS version 18 using independent t-test, Chi-square and one way ANOVA statistical testes.
Findings. There was no statistically significant difference between groups regarding demographic variables and underlying disease. Better lung function and arterial blood gases suitable changes were seen in the experimental group. Inspiratory capacity and arterial oxygen saturation was greater in the experimental than control group.
Conclusion. Early mobility after open heart surgery is a safe and effective intervention and can have a positive effect on the patient's respiratory indices reducing pulmonary complications following surgery.
Masoumeh Zakeri Moghadam, Nesa Mousavi Malek, Maryam Esmaeeli, Anoushiravan Kazem Nejad,
Volume 4, Issue 4 (3-2016)
Abstract
Abstract Aim. The purpose of the present study was to examine the effect of supportive educational intervention on quality of sleep before coronary artery bypass grafting surgery. Background. Patients who are waiting for surgery, experience high levels of stress and anxiety due to invasive nature of the procedure. This experience may influence their sleep quality. Disturbed sleep could lead to worsening the disease condition and reduces the process of recovery. Using non-pharmacological methods such as Benson muscle relaxation, deep breathing and guided imagery could be safe and useful for solving patients’ sleep problems before surgery. Method. The present study was a quasi-experimental clinical trial in which 160 patients undergoing coronary artery bypass grafting surgery who hospitalized in cardiac surgery wards and cardiac intensive care units of selected hospitals of Tehran University of Medical Science were recruited and divided into two experimental (n=80) and control (n=80) group. Demographic data questionnaire was given to the patients at the first day of hospital admission. The control group received routine care. The intervention group received routine care and supportive educational intervention for at least two days between 4 and 6 p.m. All of the patients filled Groningen sleep quality scale in the day of surgery. Data analyzed by SPSS version 16. Findings. Before surgery, the mean score of sleep quality was 4.6±5.50 in intervention group and 10.76±1.27 in control group. There was a statistically significant difference between the experimental and control group in terms of sleep quality as the experimental group reported higher quality sleep than control group (P<0.0001). Conclusion. Implementation of non-pharmacological methods such as relaxation, deep breathing, and guided imagery could be a good alternative method for hypnotic and sedative drugs. This could be one of the nursing interventions before coronary artery bypass grafting surgery as a safe, available and useful method.
Nasrin Daliri, Masoumeh Zakeri-Moghadam,
Volume 5, Issue 1 (6-2016)
Abstract
Abstract
Aim. This review examines
cardiovascular diseases as the most common disease of the elderly population,
and discusses about causes and methods of prevention, mitigation and treatment.
Background. Nowadays, with
increased level of health and life expectancy, the phenomenon of elderly and
increase in chronic diseases is a main issue. In modern societies, aging and diseases of this
period of life create a high cost for health care system.
Methods. This review was
conducted by searching out databases such as Google Scholar, Elsevier, PubMed,
PMC, and Springer for the time period of 2008 to 2016.
Findings. In addition to the
impact of aging on the body organs, especially the cardiovascular system, many factors including biological factors,
lifestyle, risk factors for heart disease, underlying disease, psychosocial
factors and personality factors, may influence the acuity of cardiovascular
diseases. During aging, many irreversible changes occurs in all body systems
including cardiovascular system. These changes cause hardness, thickening and
narrowing of the arteries. With the narrowing of the heart arteries and
increased blood pressure, the heart needs to work harder to pump the blood,
resulting in left ventricular hypertrophy. Impaired cell growth and
proliferation of fibrous tissue occurs as a result of the problem in production
of impulse and electrical conductivity of the heart. Increase in volume of the
left ventricle and blood vessel narrowing lead to ischemia of the heart. Early
heart disease with progression to irreversible heart failure results in
disability, exercise intolerance, and taking multiple medications in elderly,
and ultimately, death may occur. By understanding the mechanisms of aging and
cardiovascular disorders and modifying influential factors, the process of
development of cardiovascular disease can be slowed down and the complications
can be prevented.
Conclusion. Aging may lead to
irreversible cardiovascular disease with the ultimate result of chronic heart
failure. Compliance with lifestyle modification may prevent early occurrence of
this phenomenon and some of its complications such as disability and death.
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Masoumeh Zakeri-Moghadam, Hosein Bahadori Far, Zahra Abbasi, Hamid Haghani,
Volume 5, Issue 2 (9-2016)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of music therapy on ventilation criteria in mechanically ventilated patients in the intensive care unit.
Background. Complications made by mechanical ventilation are so much and considerable. Improvement of ventilation criteria is one of the factors that facilitatesweaning from mechanical ventilation.
Method. This randomized controlled trial was conducted in intensive care units of a teaching hospital affiliated to Iran University of Medical Sciences, Tehran, Iran. Seventy patients were recruited based on inclusion criteria and randomly allocated to experimental (n=35) and control (n=35) groups. For experimental group, relaxing music therapy was played with headphone for 30 minutes, once in the morning and once in the afternoon for one day. For control group, headphone was used without music for 30 minutes, once in the morning and once in the afternoon for one day. In both groups, ventilation criteria of respiratory rate, peak airway pressure and arterial saturation of oxygen (SaO2) were recorded in four intervals. Data analysis was performed in SPSS version 18 using statistical test.
Findings. Comparing of trends of ventilation criteria in experimental group showed that music therapy significantly reduced the mean respiratory rate (p= 0.0001), while in the control group, the mean respiratory rate slightly increased with time. In experimental group, the mean airway pressure reduced significantly within 30 minutes (17.30±3.65) compared with the time zero (19.68±3.64) (p=0.001). In the control group, the mean airway pressure increased slightly. The amount of spo2 did not differ significantly between experimental and control group (P=0.051).
Conclusion. Implementing music therapy in mechanically ventilated patients admitted to intensive care unit can reduce respiratory rate and maximum airway pressure. These could reduce the work of breathing and facilitate weaning the patient from ventilators.
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.
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.
Masomeh Fifaie, Afsaneh Kojaie-Bidgoli, Hasan Rajabi Moghadam, Mohammad-Sadegh Pourabbasi, Mojtaba Sehat,
Volume 6, Issue 2 (9-2017)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of changing position on back pain after cardiac catheterization.
Background. Prolonged bed rest after coronary angiography produces back pain.
Methods. This was a quasi-experimental study conducted on 98 patients who had been admitted for coronary angiography in Shahid Beheshti Hospital of Kashan, Iran, in the year 2014. Patients were randomly allocated to intervention and control group. In this study, data collection form consisted of three sections including demographic information, numerical pain scale, and bleeding and hematoma control checklist. Patients in the control group received routine care after coronary angiography including bed rest for 6 hours without movement of effected limb. However, patients’ position in the intervention group was intermittently changed during the first 6 hours after catheterization. Patients in the intervention and control group were assessed in terms of severity of pain, and bleeding and hematoma, immediately after moving to the ward, and then two, four and six hours after angiography. The data were analyzed in SPSS version 11.5 using descriptive and inferential statistics.
Findings. The result showed that there were statistically significant differences between the intervention and control group in terms of mean score of back pain immediately after moving to the ward (p≤0.0001), and 4 hours (p≤0.0001) and 6 hours (p≤0.0001) after angiography.
Conclusion. In this study, changing position of patients after angiography reduced back pain in patients without causing any complication like hematoma and bleeding; therefore, it can be concluded that applying this intervention could be considered as a convenient way to relieve back pain in patients after coronary angiography.
Masoumeh Zakerimoghadam, Neda Sanaie, Abbas Ebadi, Mahboubeh Shali ,
Volume 6, Issue 3 (12-2017)
Abstract
Abstract
Aim. The aim of this study was to analyze the concept of heart risk perception from healthcare staff perspective using hybrid method of concept analysis.
Background. In the discussion of behavior, awareness of risk factors for cardiovascular disease is very important in helping individuals to make informed decisions about continuing certain behaviors that increase the risk of the disease, but what matters more is the perception of a person at risk of a disease that affects his or her health functions.
Method. Hybrid model of concept analysis was used to clarify the meaning of perception of risk of heart disease. Three phases of a hybrid concept analysis include theoretical, fieldwork, and final analysis. In theoretical phase, different databases including PubMed, CINAHL, Science Direct, Google Scholar, SID and Magiran were searched for related articles published from 1990 to 2018). The search keywords were perception of risk; heart disease in titles and abstracts of the papers. In the fieldwork phase, semi-structured in -depth interviews were conducted with 18 nurses who were selected by purposive sampling. In next step, by combining the two previous stages the final analysis was performed.
Findings. The combination of theoretical and fieldwork findings resulted in definition of heart risk perception from healthcare staff perspective: “Understanding the risk of heart disease is a form of acquiring awareness of the risk of heart disease that is influenced by beliefs, values, culture and attitudes of individuals, and it stimulates learning and changing self-care behaviors for efficacy in promoting heart health and avoiding risk factors.”
Conclusion. The results of this study will help to clarify the concept of perception of risk of heart disease among healthcare system staff. This clarification may lead to offering comprehensive view and better understanding for use in the research and practice.
Marzieh Rezaei, Shahrzad Ghiasvandian, Masoumeh Zakeri Moghadam,
Volume 7, Issue 1 (6-2018)
Abstract
Abstract
Aim. This study aimed to compare physicians’ and nurses' perceptions of futile care.
Background. Futile medical care is the provision of medical care or treatment to a patient when there is no reasonable hope or chance of a benefit. Determination of perceptions of futility is crucial to reduction of situations leading to futility and end-of-life decision-makings.
Method. The present study is a descriptive-comparative cross-sectional study in which 114 nurses and 57 physicians working in intensive care units of selective teaching hospitals of Shiraz University of Medical Sciences were recruited by convenience sampling method based on the inclusion criteria. The data collection instrument was a researcher-made questionnaire of futile care perception whose validity and reliability was assessed by experts, test-retest and Cronbach's Alpha methods. The Data were analyzed using descriptive and analytical statistics in SPSS software version 16.
Findings. The mean score of physicians’ and nurses’ perceptions of futile care was 77.29±13.79. The mean score of nurses’ perception was 78.46±14.4, turned out to be higher than that of physicians (74.91±12.3). The highest level of consistency between the two groups was related to the item "ineffective communication" and “disregarding the members in the decision-making process by the ICU attending physician”. As for "stressfulness of futile medical care", nurses experienced higher stress levels and there was a statistically significant difference between the two groups in this regard.
Conclusion. The agreement on the most important factors affecting the perception of futility indicates consistency between physicians’ and nurses’ perceptions of futile care. The high perception scores in both groups, and the stressful nature of futile medical care require necessary training mechanisms needed to deal with such situations.
Faezeh Parchami, Khatereh Seylani, Masoumeh Zakerimoghadam,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this review was to investigate the role of Catecholamines in the pathogenesis of Takotsubo cardiomyopathy and related nursing care.
Background. Takotsubo cardiomyopathy is an acute syndrome characterized by acute reversible systolic dysfunction of the apical and middle segments of the left ventricle in the absence of significant coronary artery occlusion. It is believed that emotional and physical stressors are the main drivers for the disease. Despite many years of efforts to better understand this disorder, current knowledge is limited, but several authors have agreed on the relationship between Catecholamines and the development of this syndrome.
Method. This study was carried out by searching the databases and search engines (PubMed, Google Scholar, and Web of Science) to find full text articles published between 2014-2018 using the keywords "Broken heart syndrome", "Apical ballooning syndrome", "Takotsubo cardiomyopathy", "Stress-induced cardiomyopathy", “Catecholamines”, “Nursing” and “Nursing care”. Of 392 articles, 21 were included in the study.
Findings. Among the various hypotheses, Catecholamine-induced microvascular dysfunction is currently the most accepted hypothesis. Stressful stimuli can increase the activity of the Hypothalamus-Pituitary- Adrenal axis and release Catecholamine. If Catecholamines are the leading cause of Takotsubo cardiomyopathy, it is quite possible that prescribing exogenous Catecholamines cause this condition.
Conclusion. Although many studies have attributed some of the Catecholamine toxicity to the pathophysiology of Takotsubo cardiomyopathy, due to the potential impact on current treatment strategies, further study is required. Due to cardiovascular side effects, the use of Catecholamines for therapeutic purposes requires more evidence. Regarding the similarity of the symptoms of this syndrome with myocardial ischemia, nursing care in this type of cardiomyopathy is very important.
Banafsheh Ghorbani, Masoumeh Zakeri Moghadam, Khatereh Seylani, Nima Pourgholamamiji, Maryam Mousavi, Parisa Gholamreza Mehni,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to review nursing care of invasive and non-invasive hemodynamic monitoring innovations focusing on cardiovascular monitoring.
Background. In the management of critically ill patients, the priority is to optimize and monitor hemodynamics, especially the cardiovascular system. Comprehensive hemodynamic assessment of patients, along with other clinical information, enables physicians and nurses to make informed decisions about treatment and care of patients. Due to the importance of hemodynamic monitoring in intensive care units and the cause of hemodynamic instability and response to treatment, as well as the increasing advances in science and technology in the development of new devices, familiarity with hemodynamic monitoring equipment and knowledge of how new methods work can be helpful in this regard.
Method. This review study was carried out in 2018 by searching the databases and search engines (Google Scholar, OVID, Up-to-date, Springer, Scopus, CINAHL, Cochran, Web of Science, Magiran, SID, PubMed) using the keyword “Pulse counter”, “invasive and non-invasive hemodynamic monitoring”, “cardiac output” and their Persian equivalent. A total of 65 unrestricted articles were found, out of which 15 duplicate and 10 full-text articles were excluded, and eventually 40 articles were included in the study.
Findings. In recent years, hemodynamic monitoring has evolved from invasive to less invasive and non-invasive systems and from intermittent to continuous. Nurses' role in hemodynamic monitoring of patients is very important.
Conclusion. Nurse's knowledge of these innovations, nursing care training in hemodynamic monitoring of patients, as well as prevention and management of complications, can have a significant impact on nurses' knowledge as well as enhancing the quality care and patients’ quality of life.
Zeinab Ghasemzadeh Kuchi, Masoumeh Zakerimoghadam, Maryam Esmaeili,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The present study was conducted to examine the effect of an empowerment program on the life satisfaction of patients with coronary artery disease.
Background. Because of the chronic and progressive nature of coronary artery disease, patients suffer frequent problems and relapses. Heart disease is considered as one of the debilitating diseases, and as such adversely affects the patient's self-care, quality of life, and health status.
Method. In this randomized clinical trial, 84 people with coronary artery disease, admitted to post-CCU wards in Tehran's Center for Heart diseases, were recruited in 2017. The study subjects were selected based on inclusion criteria. After explaining the study objectives and obtaining written signed consents, patients were assigned to experimental and control groups by blocking random allocation. Both groups completed questionnaires for demographic data and disease history, and Life Engagement Test. The Magic Empowerment Program was performed for experimental group as three workshop sessions for three consecutive days. Intervention continued after patients' discharge from the hospital through phone calls once a week for eight weeks. The Life Engagement Test was completed by the researcher for both groups, data were analyzed in SPSS-16 using descriptive and inferential statistics.
Findings. The results showed no statistically significant difference between groups in terms of demographic variables and disease history. Before intervention, there was no statistically significant difference between the mean scores of life satisfaction of experimental and control group and the two groups were homogeneous. After intervention, a statistically significant difference was observed between the groups in mean score of Life Engagement (P≤0.0001). The mean score of life satisfaction in experimental group, before and after the intervention was statistically significant (P≤0.0001), while in the control group there was no statistically significant difference.
Conclusion. The empowerment program increased life satisfaction of patients with coronary artery disease. Nurses can benefit from the empowerment program to improve life satisfaction, which is one of the dimensions of psychosocial health, in these patients.
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.
Hamidreza Ghazizadeh, Masoumeh Zakerimoghadam,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to review the cardiovascular disorders and complications caused by COVID-19.
Background. Coronavirus (COVID-19) disease is a viral disease caused by the SARS-CoV-2 virus. The virus was first discovered in Wuhan, China, and was declared a global pandemic due to its widespread prevalence. So far, about 500 million cases of and 6 million deaths from the disease have been reported worldwide. SARS-CoV-2 mainly causes respiratory problems, and fever, cough, shortness of breath, myalgia, fatigue and diarrhea are common symptoms of the disease. COVID-19 also causes cardiovascular disorders, which due to the importance of the impact of these disorders on the health of people in the community, in this article, studies and research conducted in this field were reviewed.
Method. The keywords “Covid-19”, “Coronavirus”, and “Cardiovascular complication” were searched out in databases, Web of Science, Scopus, PubMed, and Google Scholar. Out of 84 articles that were found the more relevant ones to the research topic were selected. After reviewing the studies thoroughly, 33 papers that were in line with the purpose of the study were selected and reviewed.
Findings. Studies and findings have shown that COVID-19 can cause cardiovascular complications such as cardiac arrhythmias, acute coronary syndrome, acute myocardial injury, myocarditis and heart failure.
Conclusion. Given the prevalence of COVID-19 and its high prevalence worldwide, it is important to be familiar with the cardiovascular disorders caused by the disease and how to treat and manage these disorders.
Aziz Behnammoghadam, Armin Mahmoodi, Alireza Maredpour, Fatemeh Zadeh Bagheri, Naeem Abdi,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The aim of this study was to determine the effect of desensitization with eye movements and reprocessing on death anxiety in patients with myocardial infarction.
Background. Patients with myocardial infarction experience death anxiety and cognitive deficits, which delay return to work, reduce quality of life, and increase the risk of mortality.
Method. This randomized clinical trial study was conducted to investigate the effect of desensitization with eye movements and reprocessing on death anxiety in patients with myocardial infarction in 2021. A total of 60 patients were selected from medical centers of Yasuj city, Iran, by convenience sampling and randomly divided into intervention and control group based on blocking randomization. To collect the data, personal information questionnaire and Templer's death anxiety questionnaire were used. A pre-test was conducted for both groups, then six treatment sessions with EMDR method were implemented for the experimental group, and at the end, a post-test was conducted for both groups. The control group did not receive any intervention. The collected data were analyzed using descriptive and inferential statistics in SPSS version 18 software.
Findings. After adjusting the post-test scores by removing the pre-test effect, the intervention had a statistically significant effect on death anxiety (F=214.11, P≤0.0001, Partial η2=0.796). Also, to analyze the components of death anxiety, the results of the independent t-test showed that the mean pre-test-post-test difference scores of the variables, fear of death (P≤0.0001), fear of illness (P≤0.0001), thoughts related to death (P<0.05), and short life (P≤0.0001) in experimental group was significantly higher than the control group, and control group had no statistically significant difference in this regard.
Conclusion. The method of desensitization with eye movements and reprocessing can be used as a standard and effective treatment method in treating or reducing death anxiety in patients with myocardial infarction.
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