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Showing 106 results for : Applicable
Mohammad Montaseri, Dr. Fatemeh Bahramnezhad,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. This study was conducted with the aim of providing care solutions to manage the hemodynamic status of potential donors with brain death.
Background. Currently, organ transplantation is the treatment of choice for complete organ failure. The results of studies have shown that a significant percentage of potential donors with brain death organs are not usable for transplantation due to hemodynamic instability. Therefore, hemodynamic management in this category of donors plays an essential role in the donation process. Despite the studies, there are no strong evidences and recommendations about the management of hemodynamic stability of these patients. Therefore, in this review, evidence-based solutions have been tried to maintain the hemodynamic stability of these donors.
Method. In this review study, with library search and search in databases PubMed, Scopus, Web of Science, SID, and MagIran with the keywords organ donor management, brain death, hemodynamic care, organ donor, deceased donor, hemodynamic management, donation after neurological death, and cardiovascular management published in the period from 2009 to 2024. In addition, the Google Scholar search engine was also explored. A total of 20 articles were included in the literature review.
Findings. Maintaining proper organ perfusion and identifying clinical conditions that can be effectively treated are among the most important goals of hemodynamic management of these donors, and hemodynamic monitoring, serum therapy, use of cardiac drugs, and hormone therapy are among the most important. There are also studies that recommend serial echocardiography to identify reversible clinical conditions.
Conclusion. The high demand for organ transplantation, and despite the high number of brain deaths and sometimes consent for transplantation, only a small percentage of these people's organs are successfully transplanted. In order to preserve the transplanted organs, it is recommended to take proper and basic care of the patients with brain death. It is necessary for nurses, especially nurses in the intensive care unit, to be very careful in caring for patients with potential brain death.
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.
Laya Besharati, Mohammadreza Sabbaghi, Fatemeh Bahramnezhad,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. This study was conducted with the aim of identifying different educational approaches to self-care and their outcomes in elderly patients with hypertension.
Background. The increase in life expectancy and decrease in fertility rates have led to a growth in the elderly population worldwide. High blood pressure, one of the most common chronic diseases among the elderly, is on the rise. Engaging patients in self-care activities is considered as an effective way to control high blood pressure, requiring a shift in patient understanding, attitude, and education.
Method. This review was conducted using searching out the keywords, self-care, elderly, high blood pressure, hypertension, and patient education in databases, Web of Science, Scopus, SID, MagIran, PubMed, and Google Scholar from 2010 to 2024. Inclusion criteria consisted of articles published in Farsi and English with full-text availability, resulting in the evaluation of 14 articles.
Findings. The study revealed that education based on various approaches such as health belief, common sense, interactive and blended, Leventhal, multimedia, and virtual space had a positive and significant impact on blood pressure control. However, the specific approach with the most impact remains unclear, though studies suggest the health belief model has a greater influence.
Conclusion. Based on these findings, it is recommended that patient education is conducted based on educational approaches and self-learning models. This recommendation should be considered by hospital patient education units and nurses.
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.
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.
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