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Showing 232 results for : Research
Sahar Tavan, Nehleh Parandavar, Rasool Eslami Akbar, Mohsen Hojat, Mohammad Hashem Abdi,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. The purpose of this study was to examine the effect of wearing personal protective equipment against covid-19 during cardiopulmonary resuscitation on physiological measures and fatigue in student nurses.
Background. Exposure of health workers to respiratory secretions and droplets of patients causes many infections. The use of personal protective equipment by nurses, despite providing safety, is often described as uncomfortable.
Method. The current randomized controlled trial was conducted in practical nursing skills laboratory of nursing school affiliated to Jahrom University of Medical Sciences in 2022. Student nurses studying at eight semester were recruited in the study by census sampling method and randomly allocated to either experimental or control group. Intervention was wearing PPE during CPR for experimental group (n=20) compared to the control group (n=20) not wearing PPE. Physiological measures (pulse rate, blood pressure, oxygen saturation percentage, and temperature) and fatigue index was measured before and after intervention. Data were analyzed using descriptive and inferential statistics in SPSS version 21.
Findings. Before intervention, there was no statistically significant difference between groups in heart rate, average systolic and diastolic blood pressure, percentage of oxygen saturation, fever and fatigue. After intervention, the means of pulse rate (p≤0.0001), systolic blood pressure (p=0.035), temperature (p≤0.0001), and fatigue score (p≤0.0001) in experimental group were significantly higher than the control group. The mean percentage of oxygen saturation after the intervention was not significantly different between the groups.
Conclusion. The use of personal protective equipment during cardiopulmonary resuscitation can affect physiological measures including blood pressure, pulse rate, and temperature, and fatigue in student nurses. It is necessary to design personal protective equipment with minimal potential discomfort and the highest safety for healthcare providers.
Dr Mahsa Boozari Pour, Miss Zohreh Shahbazi, Dr Neda Sanaie, Dr Sepide Jafari Naeinie,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of telemonitoring on the compliance with self-care recommendations in patients with heart failure.
Background. Patients with heart failure need to strengthen their self-care behaviors in order to cope with the problems caused by the disease. This is despite the fact that most patients have poor compliance with self-care recommendations. In recent years, telemonitoring has been considered as an effective approach to increase patients compliance with self-care recommendations.
Method. This was a quasi-experimental study with an intervention group. The desired outcome was adherence to weekly self-reporting of three subjects: vital signs, questions related to experienced symptoms related to the disease and questions related to educational content. The statistical sample consisted of 68 people with heart failure referred to the heart failure clinic of selected hospitals in Tehran, Iran, who were selected by available methods and were trained and followed up for 8 weeks through messengers and phone calls.
Findings. Out of 68 patients, 7 patients were excluded, and the data of 61 patients was analyzed and reported as percentage of frequency. This method of intervention has received very good feedback from the participants such that the average response to questions related to weekly educational content was 91.9 percent, the average weekly self-reporting of vital signs was 86.4 percent, and the average weekly response to questions related to symptoms experienced related to the disease was 93 percent.
Conclusion. The results show that telemonitoring is effective in increasing the compliance with self-care recommendations in patients with heart failure.
Mahdi Hedayat, Maryam Moghimian, Raziyeh Amini,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. This study aimed to examine the effect of implementing a risk management program on pharmaceutical calculation skills of nurses in cardiac care units.
Background. Patient safety and the early detection of medication errors are indicators of the quality of care. Risk management, through a systems-based approach, is an important strategy for preventing medication errors and harm to patients.
Method. This was a semi-experimental study. The study population was staff nurses working in the cardiac care units of Milad Hospital in Isfahan. Sixty nurses working in cardiac care units were selected based on inclusion criteria using a convenience sampling method, and they were randomly assigned to experimental and control groups. The intervention group participated in a risk management program delivered in eight 2-hour sessions, two sessions per week. The control group received the hospital training program. Data collection instruments included demographic form and nurses’ pharmaceutical calculation skills questionnaire, which were completed at the beginning and two weeks after the study. Data were analyzed in SPSS 21.
Findings. Before the study, there were no statistical significant differences between the two groups in pharmaceutical calculation skills, interest, ability, need for training, ease of pharmaceutical calculation skills, and medication errors. The mean score of the pharmaceutical calculation skills was in the “good” level. After the study, in the intervention group the nurses’ pharmaceutical calculation skills, ease of calculations, and ability increased significantly (p≤0.0001), whereas there was no significant change in the control group. After the study, the difference in pharmaceutical calculation skills between the intervention and control groups was significant (p≤0.0001).
Conclusion. Implementation of the risk management program significantly enhances nurses’ pharmaceutical calculation skills and is suggested as a strategy for promoting safe medication administration by nurses and achieving high-quality nursing care.
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.
Mojgan Javedani Masroor, Elahe Ghaderi,
Volume 13, Issue 1 (3-2024)
Abstract
Abstract
Aim. This study evaluated the effects of prenatal substance abuse, predominantly Methamphetamine (MA) , on obstetric complications and neonatal health in an Iranian tertiary referral center.
Background. Methamphetamine abuse during pregnancy is a critical public health concern with significant implications for maternal and neonatal outcomes.
Method. A retrospective cohort study was conducted in 2021 at Shahid Akbar Abadi Hospital, Tehran. Three hundred and twenty two pregnant women were divided into a substance-using case group (n=98) and a non-using control group (n=224). Maternal and neonatal data were extracted from medical records and analyzed using statistical methods.
Findings. The case group was significantly older with lower education; MA was the predominant substance (75.5 percent). Major obstetric complications were significantly higher in the case group, including premature rupture of membranes (32.3 percent), gestational hypertension (20.4 percent), and preeclampsia (9.2 percent). Neonates in the case group experienced significantly higher rates of respiratory distress syndrome (49.0 percent), intrauterine growth restriction, and NICU admission (71.4 percent). Notably, head circumference was significantly reduced in the case group (P<0.001) despite comparable birth weights to controls, suggesting selective neurotoxic effects on brain development rather than global growth restriction.
Conclusion. Prenatal MA exposure is a significant predictor of hypertensive disorders and neonatal neurodevelopmental risk characterized by selective brain growth restriction. Given the substantial neonatal morbidity, comprehensive multidisciplinary care and universal screening for substance use are essential for optimizing outcomes in this vulnerable population.
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.
Alireza Saberi Aliabad , Zahra Alizadeh, Amirreza Rafiei Javazm, Alice Khachian , Masoud Roudbari, Mohammad Reza Zarei,
Volume 13, Issue 1 (3-2024)
Abstract
Abstract
Aim. This study was conducted to examine the effect of distance education based on health belief model on health literacy in people with heart failure.
Background. Inadequate health literacy is strongly associated with adverse clinical outcomes in people with heart failure. Although education of or developing educational material for patient and family members during and in the time of discharge is considered a principle step, it is not enough and the follow up care must be planned.
Method. In this clinical trial, 80 participants were randomly assigned to either experimental or control group. Balanced block randomization with a block size of two was used for allocation. The intervention group received structured education via the “Etaa”, an Iranian messaging application, nurse follow-ups, and routine care, whereas the control group received routine care only. Data were collected using the Heart Failure Health Literacy questionnaire, before the intervention, one month after the intervention, and three months post-intervention.
Findings. The results indicated that the mean health literacy scores in the experimental group were significantly higher than those in the control group (P≤0.0001), with a strong Cohen's d effect size of 2.8.
Conclusion. These findings suggest that educational interventions based on the health belief model can effectively enhance health literacy and adherence to treatment in people with heart failure.
Seyyedeh Zahra Hoseini, Hanieh Gholamnejad, Morteza Mohammadzadeh,
Volume 13, Issue 1 (3-2024)
Abstract
Abstract
Aim. The aim of this study was to examine the relationship of informational support and anxiety among family members of patients admitted to intensive care units (ICUs) in selected educational and medical centers in Hamadan city, Iran, in 2024.
Background. Families of ICU patients frequently experience high levels of anxiety, which may lead to physical and psychological complications. Research indicates that one of the most significant factors contributing to anxiety among family members is a lack of information and familiarity with the ICU environment.
Method. This was a descriptive-correlational study. A total of 191 family members of ICU patients in selected educational and medical centers in Hamadan were recruited using a convenience sampling method, based on predefined inclusion criteria. Data collection tools included a demographic information questionnaire, the Spielberger State-Trait Anxiety Inventory, and Informational Support questionnaire. Data were analyzed using SPSS version 16, applying both descriptive and inferential statistics.
Findings. The findings indicated that the mean anxiety score of participants was 45.7±6.62, with the majority falling within the moderate anxiety range. The mean score of informational support was 46.18±9.78. Pearson correlation test showed a statistically significant positive relationship between the level of informational support and anxiety (r=0.29, P=0.006). One-way ANOVA revealed a statistically significant association between education level and anxiety among family members (F=4.222, P=0.006). Furthermore, informational support was significantly associated with education level and employment status. No statistically significant associations were found between other demographic variables and either anxiety or informational support.
Conclusion. Anxiety among family members of ICU patients is common and typically of moderate severity. Contributing factors include the stressful environment, lack of awareness about the patient's condition, and educational background. Contrary to expectations, increased informational support from healthcare staff did not reduce anxiety and in some cases appeared to increase it, potentially due to the manner of information delivery and the psychological state of family members. These findings highlight the importance of considering demographic characteristics when designing psychological and informational interventions. Recommended strategies include open visitation, education, family involvement, and the presence of a psychologist.
Atefeh Mehrabi, Mohammad Ziae Totonchi Ghorbani, Mahmood Sheikh Fathollahi, Dr Amirali Soheili, Shiva Khaleghparast,
Volume 14, Issue 1 (3-2025)
Abstract
Abstract
Aim .The aim of this study was to assess the current status of death notification by healthcare staff to the families of deceased patients in the intensive care units of a specialized cardiovascular medical center in 2020.
Background. Delivering bad news, particularly death notification, is one of the most important and challenging responsibilities of healthcare providers in intensive care units (ICUs). This process has profound psychological and emotional impacts, not only on the patient, but also on their families. This study was conducted to evaluate the performance of the healthcare staff in delivering death news, identify existing strengths and weaknesses, and provide potential solutions for improving this process.
Method. This descriptive cross-sectional study used the SPIKES questionnaire to assess the communication skills of the healthcare staff in delivering death news. A total of 121 healthcare staff members from the intensive care units of the specialized cardiovascular medical center participated in the study, selected via census sampling. Data were analyzed using SPSS version 24, and a significance level of 0.05 was considered.
Findings. Of the 232 death notifications, 32.3 percent were delivered in person, and 67.7 percent were delivered by phone. The mean score obtained from the SPIKES questionnaire was 3.70±1.56, indicating an average performance in delivering death news. This result suggests that the performance of the healthcare staff in this regard is reasonably acceptable but still has room for improvement. The study also found that, in this center, the majority of death notifications were delivered by phone, which contradicts global standards that emphasize delivering death news in a private and in-person setting.
Conclusion. This study showed that healthcare staff in intensive care units need continuous training in communication skills and methods for delivering bad news to patients' families. Additionally, the results indicate the necessity of developing standardized protocols for death notification in healthcare settings. It is recommended that senior management pay special attention to this matter and develop precise protocols to improve the quality of this process and prevent the psychological harm caused by delivering death news to families.
Fatemeh Fakharzadeh Jahromi, Rasool Eslami Akbar,
Volume 14, Issue 1 (3-2025)
Abstract
Abstract
Aim. The aim of this study was to review and analyze the existing evidence regarding the methods, outcomes, and challenges of distance education in nursing for patients with Acute Coronary Syndrome (ACS).
Background. ACS is one of the leading causes of mortality and disability worldwide, and patients face challenges in treatment adherence, lifestyle modification, and psychological management of the disease after discharge. In recent years, nurse-led interventions, particularly utilizing telenursing and communication technologies, have been proposed as novel strategies to improve post-discharge care.
Method. This study was conducted as a systematic review of published research examining nurse-led distance education interventions in patients with ACS. For data collection, the data bases and search engines including PubMed, Scopus, ISI, Google Scholar, and the Iranian Scientific Information Database were searched out over the last ten years (2011 to 2026). The search strategy combined keywords including Distance Education, Nursing Care, Coronary Syndrome, Telenursing, Patient Education, Cardiac Care, Telehealth, and their Persian equivalents. Included studies were randomized controlled trials, quasi-experimental, observational, and qualitative studies. Data were extracted focusing on the type of intervention, follow-up duration, outcomes, and challenges, and were synthesized using thematic analysis. Among 35 identified articles, after removing duplicates (n=5) and irrelevant articles (n=15) through screening of abstracts, 15 articles were selected for final eligibility assessment, and ultimately 11 articles were included in the study. The quality of evidence was assessed using the PRISMA checklist.
Findings. Nurse-led distance education interventions, according to the objectives of the present study, could be categorized into themes including improvement of clinical outcomes and lifestyle modification, enhancement of self-care and self-efficacy, improvement of patient experience and satisfaction, diverse telenursing methods, and executive and procedural barriers and challenges. Furthermore, telenursing education was associated with reductions in cardiovascular risk factors, increased physical activity, improved medication adherence, enhanced self-efficacy, improved quality of life, and increased happiness in patients with ACS.
Conclusion. Telenursing education is considered an effective and feasible approach for improving care and outcomes in patients with ACS. It can lead to improved clinical outcomes and lifestyle modification, while enhancing patient self-care and self-efficacy and increasing their satisfaction. Developing structured and sustainable programs and conducting future research with long-term follow-ups can help strengthen the evidence, effectively integrate these interventions into clinical care, and address executive barriers and challenges.
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