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Showing 8 results for Covid-19
Shahrzad Baratpour, Zahra Dasht Bozorgi, Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study aimed to examine the effect of well-being therapy on hope, distress tolerance and death anxiety in people with cardiovascular disease after getting a coronavirus disease 2019 (COVID-19).
Background. Cardiovascular patients rescued from COVID-19 face go through many psychological health issues regarding hope, distress tolerance and death anxiety. Well-being therapy has been known as one of the methods based on positive psychological approach that may have a positive effect on psychological health of these patients.
Method. This study was a semi-experimental study with pretest-posttest design with control group. The statistical population was cardiovascular patients rescued from COVID-19 living in Ahvaz city, Iran, in year 2020, from which 40 people were recruited by convenience sampling method and randomly allocated two experimental and control group. The experimental group received well-being therapy for 10 sessions of 90 minutes duration (two sessions per week) and the control group was placed on the waiting list for training. Research tools were the hope scale, distress tolerance questionnaire and death anxiety scale. Data were analyzed in SPSS-19 using Chi-square test, independent t-test and multivariate analysis of covariance.
Findings. The groups did not differ significantly in terms of gender, marital status, age, education and duration of illness. Also, before intervention, there was no statistically significant difference between the groups in terms of mean scores of hope, distress tolerance and death anxiety. After intervention, statistically significant difference was found between experimental and control group in the mean scores of all three dependent variables, meaning that well-being therapy improved hope (F=114.497, P≤0.0001) and distress tolerance (F=165.032, P≤0.0001), and decreased death anxiety (F=101.408, P≤0.0001) in people with cardiovascular disease after getting a COVID-19.
Conclusion. Regarding the effect of well-being therapy on improving hope and distress tolerance and decreasing death anxiety people with cardiovascular disease after getting a COVID-19, it is recommended that therapists and health professionals apply well-being therapy to improve hope and distress tolerance and decrease death anxiety in people with cardiovascular disease after getting a COVID-19.
Behzad Aria, Mohammad Parastesh, Mohammadreza Sadeghian Shahi , Farahnaz Ayatizadeh Tafti, Leyli Khavari Khorasani, Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This review discusses the exercise training that appear to be effective in cardiovascular patients with Covid-19.
Background. Nowadays, cardiovascular diseases are the pivotal leading causes of death in the world. Given the change of the human lifestyle into a sedentary one, the number of people with cardiovascular disease is rising dramatically. Recently, Covid-19 disease has endangered people's health in many countries and put a lot of pressure on their health care system. It also has had a significant impact on the global economy. The main features of this disease are high transmission rates and mortality. Although the prime cause of death from Covid-19 is respiratory failure, some patients experience severe cardiovascular problems such as congestive heart failure. Although drugs and therapeutic interventions have improved considerably, it is still challenges in prevention and rehabilitation for these diseases, especially in people with Covid-19, and the search for new strategies continues. Cardiac rehabilitation is a set of medical procedures and exercise training that aim to improve the mental status, physical function and overall increase the quality of life. One of the most important parts of cardiac rehabilitation is prescribing exercise.
Method. The keywords “Cardiovascular disease”, “Covid-19”, “Rehabilitation”, and “Exercise training” were searched out in databases, Science Direct, PubMed, Cochrane, Medline, CINAHL, SID, Iran Doc, and Magiran. Out of articles, 210 articles that were more relevant to the research topic were selected. After reviewing the studies thoroughly, 12 studies that were in line with the purpose of the study were selected and reviewed.
Findings. Exercise training prescribed for cardiovascular patients has prescribed over the years ranges from prescribing one type of exercise for all to prescribing exercise for each patient individually based on risk factors, age, and functional status. Continuous aerobic exercise, periodic aerobic exercise, and strength training have been used in most studies. Less intensity should be used when prescribing these exercises to cardiovascular patients with Covid-19.
Conclusion. In general, considering the beneficial effects of rehabilitation training in cardiovascular patients, it seems that a rehabilitation program based on appropriate exercise training can be effective in reducing the complications and mortality of cardiovascular patients with Covid-19. But more studies are needed to get more information.
Mehdi Shamali-Ahmadabadi, Leila Issa-Nejad, Ali-Akbar Vaezi, Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The present study was performed to examine the effect of virtual reality therapy training on Covid-19 anxiety in patients with hypertension in Corona pandemic.
Background. In addition to numerous physical problems, Covid-19 has had many psychological consequences such as stress and anxiety, especially in the community of chronic patients, including patients with hypertension. Therefore, appropriate interventions to reduce Covid-19 anxiety in patients with hypertension are essential.
Method. The present study was a quasi-experimental with a pretest-posttest design and a control group. The statistical population of the study consisted of all patients with hypertension referred to Ardakan Heart Clinic, Yazd, Iran. Using the available sampling method and according to the inclusion and exclusion criteria, 60 people were selected and randomly allocated to experimental (n=30) and control (n=30) group. Both groups completed the Alipour’s et al. (1398) Covid-19 questionnaire in the pre-test and post-test stages. The experimental group received the training in 6 sessions of one hour duration. Then, both groups completed the research questionnaires again in the post-test stage. Data were analyzed in SPSS version 26 using descriptive and inferential statistics.
Findings. After intervention, there was a statistically significant difference between the experimental and control group in terms of the mean scores of Covid-19 anxiety (P≤0.0001, F=110.807), psychological dimension of Covid-19 anxiety (P≤0.0001, F=78.30), and the physical dimension of Covid-19 anxiety (P≤0.0001, F=94.27).
Conclusion. Implementing virtual education intervention program with the content of reality therapy can reduce anxiety and its psychological and physical dimensions in people with hypertension.
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.
Esmaeil Mohammadnejad, Faezeh Samadi, Ali Karimi Rozveh, Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. This review discusses the studies that have investigated the effect of cardiac rehabilitation programs on people with Covid-19.
Background. It has been previously revealed the profits of cardiac rehabilitation for patients who suffer from cardiovascular diseases. With the occurrence of the covid-19 pandemic, many have suffered from cardiovascular complications due to the coronavirus infection. Despite the application of many medications and therapeutic interventions to control the side effects, many are still experiencing the secondary complications of the disease, specifically the cardiovascular complications, and the search for an effective solution continues. The use of cardiac rehabilitation for these patients may be effective.
Method. A broad search was conducted in scientific databases and search engines such as Science Direct, PubMed, Cochrane, Medline, SID, Scopus, CINAHL, OVID, Iran Doc, and Magiran with the keyboards “Covid-19”, “post covid-19 period”, “cardiac rehabilitation” and “rehabilitation” in both English and Persian language journals published between 2000 and 2022. After a comprehensive review, nine studies that met the purpose of this study were selected.
Findings. Cardiac rehabilitation programs decrease complications, mortality, and readmission of people with Covid-19, and modify the signs, physical and cardiovascular functions, and the quality of life in these patients.
Conclusion. For finer efficacy of cardiac rehabilitation programs, designating a program suited for the patient's condition, schedule adherence, and evaluation of the findings should be considered. It seems that cardiac rehabilitation programs can be beneficial for people with Covid-19 in reducing complications and mortality rates. More studies are needed for more information.
Parisa Bozorgzad, Maryam Ehsani, Mohammadreza Zarei, Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. This paper aims to investigate barriers and opportunities of the virtual visiting in intensive care unit during Covid-19 pandemic.
Background. Face-to-face visits of hospitalized patients in intensive care units reduce separation anxiety and stress caused by hospitalization, as well as increase the feeling of comfort and safety in patients. In addition, it is the key to patient/family-centered care. However, the Covid-19 pandemic and its related restrictions ruled out the possibility of using the family's potential and providing patient/family-centered care. Virtual visiting has been proposed as a solution to remove the family's distance from the patient.
Method. This review was conducted by searching out databases, Web of Science, Scopus, PubMed, Magiran, SID and Cochrane with the keywords, Covid-19, Video calls, Family-patient center care, Intensive care unit, and Virtual visiting without time limitation. The inclusion criteria were the publication of the article in Persian or English language and the availability of the full text of the articles. In total, 45 articles were found, most of which focused on virtual appointments and virtual patient visits by physicians. After removing irrelevant papers, and the cases without full text, 29 articles were evaluated in terms of quality. Finally, 10 articles were evaluated in terms of subject, and the purpose related to the present study.
Findings. During Covid-91 pandemic, virtual visits were done in intensive care units in most medical centers using cell phones and tablets through social networks facilities. In all cases, families and health care providers were satisfied with this communication method, but they considered it was not a suitable substitute for face-to-face meetings. They believed that this method combined with face-to-face meetings would be more effective. Lack of regular and systematic planning, ambiguities in the duties of health care providers in the field of holding virtual visiting, lack of access to the internet at a suitable speed, and the complexity of working with smartphones for some families, were barriers of this method.
Conclusion. Virtual visiting provides a form of presence for families who are far away from their patients. Via this method, not only one but also all the family members can visit the patient. Although this method did not affect the stress and anxiety of the family and patients, but it was able to create a positive experience for them during hospitalization in intensive care units. Moreover, by involving the family in treatment process and informing them opens the ways to reach the patient/family-centered care in intensive care units.
Shiva Khaleghparast, Leyla Abdolkarimi, Monireh Kamali, Hamidreza Pouraliakbar, Masoumeh Rostami, Neda Shirkhanloo, Hamidreza Pasha, Fahimeh Farrokhzadeh, Samaneh Karimian, Saeideh Mazloomzadeh, Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. This study examines the relationship of COVID-19 infection with demographic characteristics of the staff at Rajaie Cardiovascular Institute during the first six months of the epidemic.
Background. The COVID-19 virus was first identified in December 2019 in China and then rapidly spread to other countries. One of the challenges that arose during the COVID-19 pandemic was human resource management. This led managers to prioritize protecting and managing employee health and safety.
Method. This descriptive-analytical study was conducted on the staff of the Rajaei Cardiovascular Institute who were infected with COVID-19 between February and September 22, 2020. Demographic characteristics and clinical variables of the patients were collected using clinical records, interviews with the infected individuals, and phone calls. Data analysis was performed using SPSS software version 22.
Findings. Over six months, 448 individuals with a mean age of 38.86 years contracted COVID-19. Among them, 280 individuals (62.5 percent) were female. A total of 155 employees (67.1 percent) developed symptoms of the disease within one to five days after contact with an infected person. Additionally, 206 employees (48.4 percent) used all three protective measures—masks, gloves, and social distancing. Contact with an infected individual was observed as the most common method of disease transmission. The most common symptoms among the infected were myalgia, weakness, and fever, with only 3.5 percent requiring hospitalization.
Conclusion. Most patients, despite following health and personal protection guidelines, contracted COVID-19. Therefore, it seems that in addition to adhering to health guidelines, vaccination is also an important necessity to prevent the spread of COVID-19. Other factors, such as changes in virus strains and people's failure in following health protocols, also contribute to the spread of the disease.
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.
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