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Showing 33 results for Education
Shabnam Zafari, Behshid Ghadrdoost, Zahra Hanifi, Shiva Khaleghparast-Athari,
Volume 1, Issue 1 (6-2012)
Abstract
Aim The aim of this study was to evaluate the effect of face-to-face education on knowledge, attitude, and believes of acute coronary syndrome patients about heart disease and their reaction to symptoms. Background Coronary artery disease is known as an important health issue. Mortality results from myocardial infarction are highly dependent on time interval between symptoms presentation and reperfusion intervention. Reperfusion leads to the best results, especially if started within the first 60 minutes after beginning the manifestations. Many studies have been conducted to examine strategies for decreasing delay time, but education through media has not received enough attention. Method In this clinical trial, 300 patients referred to Shahid Radjaee Cardiovascular Hospital and diagnosed as acute coronary syndrome were randomly allocated to receive either education and counseling as intervention (n=150) or regular education (control group, n=50). The inclusion criteria were: not having serious complicated co-morbidity such as psychiatric disorder, renal insufficiency, malignancies or neurologic disorders and speaking and comprehending Pesian. Data collection instruments were demographic form and Rapid Early Action for Coronary Treatment (REACT). Data were collected before intervention and one and three months after the beginning of intervention. The data were analyzed by SPSS. Findings The study findings showed high rate of reporting risk factors in both groups. Most patients of both groups had referred to cardiologist. In experimental group, knowledge, attitude and belief scores increased significantly, one and three months after the beginning of the intervention. Between group comparisons showed a statistically significant difference between two groups in terms of knowledge, attitude and belief scores (P≤0.0001). Conclusion Face-to-face education and counseling improves knowledge, attitude and believes of the patients about acute coronary syndrome, thereby, may reduces delay in treatment. Improvement of patients’ knowledge is the basic step for symptom management of the acute coronary syndrome.
Esmat Ataee, Majid Haghjoo, Asghar Dalvandi, Hooman Bakhshandeh,
Volume 1, Issue 4 (3-2013)
Abstract
Abstract Aim. The aim of this study was to examine the effect of self-care education on quality of life in patients following pacemaker implantation. Background. One of the most common causes of death after myocardial infarction is arrhythmia resistant to treatment. This type of arrhythmia can be managed by pacemaker. The quality of life after pacemaker implantation is usually low, and self-care education may be a method to address this issue. Method. In a randomized clinical trial study, 80 patients, candidate for permanent pacemaker implantation at Rajaie Cardiovascular, Medical and Research Center, were recruited to either control or experimental group through the blocked randomization. Data were collected using demographic form and the MacNew health-related quality of life questionnaire. The experimental group patients, in accompany with one first-degree relative, received one session of self-care education on the preimplantation day. The content of this 30 minutes session was "how to use educational footage and pamphlets, and also, a face-to-face education. At the end of the session, the patients were given an "educational package". Following implantation, the experimental group patients were contacted once a week for one-month period. The data were analyzed by SPSS, version 15, using inferential statistics. Results. There were no statistically significant difference between the experimental and control groups in the mean scores of emotional, physical, and social aspects of quality of life and overall quality of life, before self-care education however, after intervention, a statistically significant difference was found in all these variables between experimental and control groups (P=0.004). Conclusion. Self-care education could have an effect on the quality of life of patients after permanent pacemaker implantation.
Esmat Ataei, Asghar Dalvandi, Akbar Nikpajouh,
Volume 2, Issue 3 (12-2013)
Abstract
Abstract Aim.The aim of this study was to determine the effect of patient teaching on self-care behaviors with media clips in patients with permanent pacemaker. Background. One of the most common causes of death after myocardial infarction is arrhythmia. One of the methods to control the arrhythmia resistant to treatment is implantation of pacemaker. The studies that have been done on patients with electrical devices show that most of patients don’t have any information about how to take care of their device and need more education for self-care. Method. This randomized clinical trial was conducted on 80 patients scheduled to receive permanent pacemakers at Rajaie Cardiovascular, Medical and Research Center in 2012. The patients were recruited to either control or intervention group through block randomization method. Data were collected using demographic checklist. The intervention group patients together with one of their close family members received one session of self-care education on the pre-implantation day. The session was 30 minutes long and contained the use of educational media clip. At the end of the session, the patients were given an “educational package”. Following implantation, the intervention group were contacted weekly for a one-month period. Finally, the variables were compared between the two groups via independent t-test, chi-square test, repeated variance analysis, and using SPSS version 15. Findings. There were no statistically significant differences between the intervention and control groups (P=0.106) however, after intervention, a meaningful difference was observed in all these variables in the intervention group (P<0.0001). Conclusion. The results of this study showed that education of self-care behaviors with media clip could have an impact on the self-care of post-pacemaker implantation patients and we recommend this method to improve patient’s knowledge and self-care behaviors and minimize the number of re-hospitalization in these patients.
Tahereh Najafi Ghezeljeh, Maryam Shahidi,
Volume 3, Issue 1 (6-2014)
Abstract
Abstract Aim.The aim of this paper is to review studies related to self-care education and quality of life improvement in patients with hypertension. Background. Hypertension is one of the greatest health problems in the world and also, one of the major risk factors for cardiovascular disease. One of the main aims of health care is improving quality of life. Self-care education can improve the quality of life. Due to the need for recognizing trend of studies related to self-care education and quality of life in patients with hypertension, conducting literature review in this field is necessary. Method. This article reviews the studies published during the recent 15 years regarding self-care education and quality of life in patients with hypertension that were searched out through scientific databases, including Science Direct, PubMed, Cochrane, Medline, SID, Scopus, CINAHL, OVID, Iran Doc, and Magiranby the keywords “self-care educational program”, “quality of life”, and “hypertensive patients” and their Persian equivalents. Result. The literature review revealed that few studies have examined the effectiveness of training programs on the quality of life in patients with hypertension. Results showed that patients with hypertension have low quality of life. In some studies, different educational methods were used in an attempt to improve the clinical outcomes of patients and some of these self-care educational programs had positive effects on the quality of life. Conclusion. The quality of life in patients with hypertension is low. Therefore, because of the importance of quality of life improvement and due to the limitations of the studies, it is essential to conduct further research to investigate the effect of self-care educational program on quality of life in patients with hypertension.
Touraj Babaee, Roghaye Sadeghi, Hooman Bakhshandeh,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract Aim.The purpose of this study was to examine the effect of patient education on postoperative pain perception in patient undergoing Coronary Artery Bypass Graft (CABG). Background.Pain is a common complication after CABG surgery. Non-pharmacological methods are more favorable than pharmacological agents. Method.In this quasi-experimental study, 72 patients who were scheduled for elective CABG surgery were randomized to experimental (n=36) and control group (n=36). Experimental group received educational intervention about pain control, one day before surgery (20-30 minutes duration), while control group received no intervention. Following transferring to the ICU and 2 hours after extubation, patients’ pain intensity wasmeasured by Johnson’s numerical scale. The measurements wererepeated twice withanintervalof threehours. The type and dosage of pain medication administered during ICU stay were recorded. To analyse the data, descriptive(mean and standard deviation, frequency distribution and percentage) and analytical statistics (Chi-square and Mann-Whitneytest) were used. Findings.There was no statistically significant difference between two groups in terms of demographic characteristics. Two hours after extubation, there were no statistically significant difference between experimental and control group in the intensity of pain (P=0.313). Pain intensity was significantly lower in experimental group than control group, 5 hours (P=0.015) and 8 hours (P=0.006) after surgery. The results also showedthat the amount ofanalgesics used to relieve post-operativepain was significantly lower in experimental group than control group (P=0.046). Conclusion.Patient education about pain control may have positive effects on postoperative pain in patients undergoing CABG surgery. This intervention could serve as an effective strategy for nurses to improve pain management among these patients.
Mohammad-Ziae Totonchi, Rasoul Azarfarin, Hoda Jorfi,
Volume 3, Issue 4 (3-2015)
Abstract
Aim. This study aimed to evaluate the effect of preoperative cardiac surgery nursing care education on anx-iety, quality of sleep, fasting time and cardiac medication usage in cardiac surgery patients.
Background. Cardiac surgery is one of the most important therapeutic approaches in patients with heart diseases. According to previous studies it is necessary to reduce the anxiety level and improve the quality of sleep the night before surgery, fasting according to standard protocols and continuing usage of cardiac medications.
Method. This study was a quasi-experimental trial in which patients were studied in two groups (before-training group and after-training group). One hundred cardiac surgery patients were selected based on in-clusion criteria as before-training group and evaluated in terms of anxiety level, quality of sleep, fasting time and cardiac medication usage in the night before surgery. Sampling lasted for 42 days. Then, all of the surgical nurses were trained individually for a week, and given pamphlets. Their educational content in-cluded the latest fasting protocols, non-pharmacological methods of reducing anxiety and improving quality of sleep and emphasizing on the importance of cardiac medication usage in the night before surgery. Then, another 100 patients were evaluated as the after-training group. Sampling from this group lasted for 38 days. The tools included demographic sheet and Spielberger anxiety questionnaire. Data were analyzed with SPSS software.
Findings. The findings of this study showed a statistically significant difference in anxiety level between before-training group and after-training group (P<0.0001). Also, there was a significant statistical differ-ence in quality of sleep between two groups (P=0.004). But, there was not a statistically significant differ-ence in fasting hours and cardiac medication usage between two groups.
Conclusion. According to the findings, educating preoperative cardiac surgery nursing care decreased anxi-ety level and improved quality of sleep in after-training group. But this intervention neither decreased fast-ing hours nor increased continuing cardiac medication usage in after-training group.
Nikoo Niknafs, Jila Mirlashari, Parichehr Talori, Naser Bahrani,
Volume 4, Issue 1 (6-2015)
Abstract
Aim. This study aimed at examining the effect of nursing care training program on outcomes of mechanically- ventilated infants.
Background. Mechanical ventilation in infants is considered as an invasive procedures with complications such as bronchopulmonary dysplasia, lung bleeding, obstruction or removal of the endotracheal tube, which are almost all preventable. Nurse have responsibility to avoid these complications.
Method. This study was a randomized clinical trial (outcome-based). The study included all infants undergoing mechanical ventilation in the neonatal intensive care unit of Comprehensive Women's hospital in Tehran. Nurses were trained over one month at bedside by the clinical instructor. Data on ventilator complications were collected of 120 cases from patients' medical records, before and after intervention. The data were analyzed by SPSS version 21.
Findings: A statistical significant decrease was seen in most outcomes. The incidence of bronchopulmonary dysplasia declined from 35% to 18%, re-intubation decreased from 57% to 33%, pulmonary hemorrhage declined from 32% to 13%, and pneumothorax changed from 55% to 35%. Duration of mechanical ventilation and length of stay also decreased significantly after intervention. No statistically significant decrease was observed in retinopathy of prematurity and death.
Conclusion. Educational program, especially by the coach, is effective on most outcomes of the infants under mechanical ventilation. Taking into account the workload of nurses and problems with attending in educational classes outside of the ward, it is recommended to hold education at bedside for nurses to improve quality of education.
Tahereh Najafi-Ghezeljeh, Maryam Shahidi, Shahrzad Ghiasvandian, Hamid Haghani,
Volume 4, Issue 1 (6-2015)
Abstract
Aim. This study was aimed to assess the effect of self-care educational program on quality of life in patients with hypertension.
Background. Hypertension is a major health problem due to complications and high mortality rate. It causes problems in the ability of patients for self-care and affect their quality of life.
Method. This clinical trial study with control group was conducted in Mahmud-Abad Hospital affiliated to Mazandaran University of Medical Sciences. In this study, 70 patients who met the inclusion criteria were selected through convenience sampling and to prevent information contamination, they were allocated to groups according to whether they refer to hospital even or odd days. Before and three months after intervention, data were collected by quality of life questionnaire SF-36 in both groups. Patients in control group received routine education. Patients in intervention group participated in three face to face self-care education sessions (each session lasted 20 minutes) and received educational package including instruction booklet and CD. Data were analyzed by using Independent t-test, Paired t test, Chi-square test, and Fisher’s exact test through SPSS version 21.
Findings. The results showed that before intervention, there was not a statistically significant difference between two groups regarding quality of life, but after 3 months there was a statistically significant difference (P<0.0001). Also, in the intervention group, there were statistically significant differences regarding the total score of quality of life and all related dimensions, before and three months after education (P<0.0001).
Conclusion. Self-care education can improve quality of life among patients with hypertension. It is recommended that health care providers, particularly nurses, implement these educational programs for improving the quality of life of patients with hypertension.
Farhad Kamrani, Somayeh Nikkhah, Fariba Borhani, Mohammad Jalali, Sudeh Shahsavari, Kianoosh Nirumand-Zandi,
Volume 4, Issue 3 (12-2015)
Abstract
Aim. The aim of this study was to determine the effect of patient education and nurse-led telephone follow-up (telenursing) on adherence to treatment in patients with acute coronary syndrome admitted to cardiac care units hospitals affiliated to Alborz University of Medical Sciences.
Background. Increasing adherence to treatment is essential in patients with acute coronary syndrome to reduce readmissions and improve the recovery, but only patient education does not guarantee the adherence to treatment and it is necessary to follow-up patients after discharge.
Method. This randomized clinical trial study was conducted on patients with acute coronary syndrome admitted to the selected hospitals of Karaj, Iran, in 2014. In this study, 90 patients were selected purposively and randomly allocated in three groups of education (n=30), education/ telephone follow-up (n=30), and control (n=30). Data collection instrument was questionnaire. Data were gathered at baseline and 12 weeks after the intervention. Patients in educational groups (education, and education/ telephone follow-up groups) were trained before discharge using educational pamphlets. Telephone follow-up were implemented for education/ telephone follow-up group for 3 months; twice a week in the first six weeks and weekly in the second six weeks. The data was analyzed by descriptive and inferential statistics in SPSS version16.
Results. After intervention, there was a statistically significant difference between the groups in terms of adherence to treatment (P=0.001). Participants in the education/ telephone follow-up group and education group experienced more improvement in adherence to treatment than the control group.
Conclusion. Both patient education and education/ telephone follow-up have effect on improvement of adherence to treatment, but education/ telephone follow-up results in more improvement in adherence in comparison to education. It is recommended to implement education/ telephone follow-up for patients with acute coronary syndrome.
Esmat Kardan Barzoki, Hooman Bakhshandeh, Akbar Nikpajouh, Elham Elahi, Majid Haghjoo,
Volume 4, Issue 4 (3-2016)
Abstract
Abstract
Aim.The aim of this study was to compare the effect of education through lecture and multimedia methods on knowledge, attitude, and performance of cardiac care nurses about temporary pacemaker care.
Background.Cardiac dysrhythmias are among the most common cardiovascular disorders. Temporary pacemaker insertion is a treatment or prevention method for cardiac dysrhythmia. Nurses are the main group to provide the care for patients with temporary pacemaker, so it is necessary to educate them in an effective and efficient way.
Method.This was an experimental study conducted in 2015 on 52 cardiac care nurses working in ShaheedRajaei cardiovascular center. All 52 nurses were randomly divided in 2 groups of education through lecture and multimedia. The level of nurses' knowledge, attitude and performance was evaluated before and three weeks after education and the effect of education was examined using Mann-Whitney and Wilcoxon Signed Ranks Test through SPSS version 22.
Findings.Before intervention, the median and interquartile range of knowledge levels for lecture and mul-timedia groups were 12.5 (10-14) and 11 (9-12), respectively, and after that, they increased to 17 (15- 19) and 17 (13- 19). The median and interquartile range of performance levels for lecture and multimedia groups changed from 29 (26- 30) and 30 (26- 31) to 34 (32- 35) and 34 (32- 35), respectively. The knowledge and performance levels increased in both methods. But there was no statistically significant difference between these two methods. Before intervention, the median and interquartile range of attitude levels for lecture and multimedia groups were 62.5 (60-64) and 64 (63-66) and after that, they changed to 64 (60-64) and 63 (61-64), showing that intervention has no effect on attitude level in any of these two groups.
Conclusion.There is no difference between the effectiveness of education through two methods of lecture and multimedia software on cardiac care nurses' knowledge, attitude and performance. In the other words, multimedia software method is as effective as lecture method. Education using multimedia software can be considered as a proper method for increasing demand in staff education. Proper infrastructure and optimal training programs are prerequisites to effectiveness of education through multimedia software method.
Fatemeh Jahanshahi, Noshin Abbasi-Abyaneh, Ebrahim Ebrahimi-Abyaneh,
Volume 5, Issue 2 (9-2016)
Abstract
Abstract
Aim. This study was conducted with the aim of
determining the effect of peer education on quality of life in people with
heart failure.
Background. Heart failure is one of the most common
chronic diseases and is associated with decreased quality of the patients'
life. Considering the positive role of education in improving the quality of
life, it is important to find a suitable learning method to improve the quality
of life of these patients.
Method. In this quasi-experimental study, 60 heart
failure patients were selected using convenience sampling method during 2016.
Four peer to peer training sessions were conducted during one month. A Persian
translation of the Ferrans and Powers’ quality of life questionnaire was used for evaluating
the quality of life of the patients, before and one month after the
intervention. Descriptive and inferential statistics were used to analyze the
data.
Findings. The mean score of the quality of life in heart
failure patients was 134.5±2.4 before the intervention and 163.2±8.7, one month
after intervention. Paired t-test showed that peer education had a
statistically significant effect on quality of life in people with heart
failure patients (P≤00001).
Conclusion. Peer education can improve and enhance the
quality of life of heart failure patients.
Normal
0
false
false
false
EN-US
X-NONE
AR-SA
Mohammadreza Jani, Mohammadreza Razm-Ara, Mojgan Safapoor, Soheila Miralijani, Fatemeh Miri,
Volume 5, Issue 4 (3-2017)
Abstract
Abstract
Aim. This study was conducted to determine the effect of education on quality of life in people with unstable angina in Qa'en, Iran.
Background. Cardiovascular diseases are the most prevalent and important cause of death all over the world, which affect the patients' quality of life. These diseases create many problems for patients and a lot of cost for the society.
Methods. This study was an experimental study with pretest-posttest design and control group which was conducted on 60 patients in the cardiac care unit Shohada hospital located in the city Qaen, Iran in 2015. The recruited patients were divided randomly into control and intervention group. During 3-6 sessions of face-to-face training (1-2 sessions per day) lasting between 15-20 minutes, screenshots (in PowerPoint software) were used and the participants questions were abswered. The quality of life of the patients in both groups were measured at two stages, before education (for intervention group) and one month later. The instruments were demographic and quality of life questionnaires (SF36). Data were analyzed in SPSS, version 20.
Findings. There were a statistically significant difference between the groups in terms of the mean scores of quality of life in the following dimensions: general health (p=0.02), physical function (p=0.003), role limitation due to physical health (p=0.05), energy fatigue (p=0.01), emotional well-being (0.004), pain (p=0.007), and total quality of life (p=0.02) .
Conclusion. Education can be a useful method for improving quality of life in people with unstable angina patients.
Nasim Naderi, Jaleh Mohammad-Aliha, Yasaman Khalili, Pari Karami,
Volume 5, Issue 4 (3-2017)
Abstract
Abstract
Aim.This study was conducted to investigate the level of nurses’ knowledge, attitude and practice about self-care education in people with heart failure.
Background.Heart failure is one of the most common chronic diseases and the leading cause of death in the world and also, a major cause of hospital readmission, especiallyin elderly patients. Self-care education is an essential componentof care for people with heart failure. Nurses are the first providers ofself-careeducation for patients and must have a thorough knowledge, a positive attitude and skillfull practice in the field of self-care education.
Method. In this descriptive-analytical study, 174 nurses with at least one year working experience in the CCU, post CCU and medical wards of ShahidRajaie Cardiovascular and Research Center, completed a four-part questionnaire including demographics information, and knowledge, attitude and practice about self-care education in people with heart failure. Data were analyzed using descriptive and inferential statistics in SPSS, version 22.
Findings. The majority of nurses (70.1 percent) had an average knowledge score. The knowledge level of nurses were significantly related with level of education and working experience. Also, 67.8 percent of the participants had a good practice of self-care education about heart failure and their practice was significantly related with experiencing in-service education. More than 90 percent of nurses reported positive attitude towards self-care education about heart failure and their attitude was significantly related with level of education, in-service education and work schedule.
Conclusion. The knowledge of nurses was at average level. It is recommended to plan in-service education in order to promote nurses’ level of knowledge about self-care education about heart failure.
Farshid Heidari-Beni, Zohreh Ahmadi-Tameh, Amir Tabatabaee, Esmaeil Mohammadnejad, Ayeshe Haji-Esmaeelpour,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. This study was performed with the aim of determining the effect of peer education on self-efficacy in people with heart failure.
Background. Heart failure is a clinical syndrome which may have negative effects on self-efficacy. Given the positive role of education in improving self-efficacy, probing a suitable educational method to improve the self-efficacy of these patients is important.
Method. In this clinical trial study, 60 people with heart failure were recruited and randomly allocated to experimental (n=30) and control group (n=30). After preparing the peer group, four peer to peer training sessions were conducted during one month. Persian translation the self-efficacy questionnaire was used for data collection, which was completed by both groups, before, just and one month after the intervention. Data were analyzed in SPSS, version 21 and P values less than 0.05 were considered significant.
Findings. No statistically significant difference was observed between groups in overall self-efficacy score before the intervention. The mean score of self-efficacy, immediately after the intervention was 50.3±7.21 and24.9 ±1.7, in the experimental and control group, respectively, and a statistically significant difference was seen between the mean scores of the groups (P≤0001). The mean score of self-efficacy, one month after the intervention was 48.8±1.2 and 23.4±4.6, in the experimental and control group, respectively and paired t-tests showed a statistically significant difference between the mean scores of the groups (P≤0001)
Conclusion. Based on this study, Peer education intervention can be a beneficial educative-supportive approach and enhance the self-efficacy life of heart failure patients. Therefore, using this method is recommended in patients with heart failure patients.
Shiva Khaleghparast, Mahnaz Mayel Afshar, Majid Maleki, Nasim Naderi, Behrooz Ghanbari, Hosseini Shirin ,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. The aim of this study was to determine the effect of the implementation of clinical surveillance model on the amount of education provided to cardiac patients.
Background. Clinical supervision is a relationship between nurse and observer that promotes the development of nursing professional skills.
Method. This is a quasi-experimental before-after study without control group. The stratified sampling method was used to recruit 300 patients based on inclusion and exclusion criteria. The researcher used the data-gathering form to record teachings provided to patients by nurses and also, the rate of their registration in the medical record. Clinical surveillance model included planning, monthly meetings with health education volunteers, classified teaching, daily clinical supervision, follow-up, identifying the weaknesses of nurses in providing training to cardiac patients and corrective actions in a regular and continuous basis for one year. After the intervention, teachings provided to patients by nurses and also, the rate of their registration in the medical record were re-evaluated. Data were analyzed using descriptive and inferential statistics in SPSS version 19.
Findings. After intervention, the amount of teaching provided by nurses at the time of admission, during hospitalization and at the time of discharge was significantly increased (P<0.001). The findings also showed that the patients were more satisfied with the received teaching after intervention (P<0.001).
Conclusion. Continuous and regular monitoring has a significant role in the amount of education provided to patients by nurses. It is recommended to plan management and supervisory programs to be implemented for nurses involved in patient education.
Reza Joharifard, Sajad Sabokkhiz,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. The purpose of this study was to examine the effect of mindfulness-based cognitive therapy education on self-criticism and fear of failure in people with heart disease
Background. Cardiovascular disease is already considered as the most common serious illness in advanced countries. Self-criticism and fear of failure may have a negative effect on physical health and cause heart disease.
Method. In this experimental pretest posttest study with control group, the study population consisted of all people with heart disease referred to Mostafa Khomeini Hospital, located in Behbahan, Iran. Thirty patients with heart disease were recruited through consecutive sampling based on inclusion criteria and were allocated to either experimental (n=15) or control (n=15) group. The data collection tools included self-criticality test, fear of failure questionnaire. The practical guide for cognitive therapy based on mind-awareness was used to guide the intervention. Data were analyzed in SPSS 18 using descriptive and inferential statistics.
Findings. The findings of this study showed that mindfulness-based cognitive therapy education reduced fear of failure (P≤0.0001, F=22.53) and self-criticism (P≤0.0001, F=22.23) in experimental group relative to control group.
Conclusion. Mindfulness-based cognitive therapy education can be considered as an effective way for reducing self-criticism and fear of failure in people with heart disease.
Nahideh Rahimi, Ahmad Amin, Behshid Ghadrdoost,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. This study was aimed to examine the effect of intravenous diuretic therapy hospitalization of people with heart failure patients.
Background. Heart failure is a progressive disease with a long term hospital admission; while having a standardized protocol can lead to a reduction in hospital costs and adverse effects of hospitalized days.
Method. This clinical trial (without control group) was conducted on 111 heart failure patients who received intravenous diuretic therapy (in 6 hours sessions) for at least one year in heart failure ward. This treatment was performed once a week in the first month, once in two weeks in the second to sixth month and once in month in the 7th to 12th month. During the treatment, patients were given training on nutrition, drug regimen and lifestyle modification. Outcomes included urine output, weight loss, hypokalemia, worsening of renal function, hospitalization and mortality rate.
Findings. The mean age of patients was 58.88±16.33. The minimum dose of prescribed diuretics was 20 mg and the maximum dose was 200 mg. Mean of urine output and weight loss were 1890±1101 ml and 3.04±5.91 kg, respectively. Transient worsening of renal function and hypokalemia occurred in 15 and 20 patients, respectively. During one year period, 31 patients (27.4%) need to be hospitalized.
Conclusion. Short courses of intravenous diuretic therapy in people with heart failure are a safe and effective method that may provide an alternative to hospitalization.
Nasrin Bahramnejad, Mr Meysam Nematikhah,
Volume 6, Issue 2 (9-2017)
Abstract
Abstract
Aim. This study aimed to examine the effect of participation-based education program on nurses' knowledge and practice of critical care nurses about central venous catheter care in intensive care units in teaching hospitals of Zanjan University of Medical Sciences, Iran.
Background. Improving the quality care of central venous catheters requires the promotion of nurses’ knowledge of standard guidelines and manuals of catheter care and also the knowledge of latest findings in this field.
Method. In this quasi-experimental study with pretest-posttest design, 46 nurses working in intense care unit of two teaching hospitals (Ayatollah Mousavi and Vali-e-Asr hospital) were recruited into experimental group (n=28) and control group (n=18). Before intervention, nurses' knowledge and performance regarding central venous catheter care were measured by the questionnaire developed by Labio et al. in 2008 and a researcher-made observational checklist. Then, educational intervention based on participation was implemented for the experimental group for 1 month, and routine intervention (taking part in one session lecture) was also carried out for the control group. Three months after intervention, nurses' knowledge and performance were measured again through questionnaire and checklist by the co-researcher. Data were analyzed by SPSS (version 16) utilizing Chi-square, Fisher, ANOVA, and independent t-test and paired-sample t- test.
Findings. After intervention, there was a statistically significant difference between experimental and control group in mean change of knowledge score (experimental group, 2.82 against control group, 1.67)(p=0.004) and performance score (experimental group, 11.69 against control group, 10.85) (p≤0.0001) about central venous catheter care.
Conclusion. Educational intervention based on participation is more effective than the other conventional retraining programs in improving the nurses' knowledge and performance about central venous catheter care. It is suggested to apply participation-based education program for in-service training.
Shahram Bakhshi-Hajikhajeloo, Sadraddin Sattari,
Volume 6, Issue 3 (12-2017)
Abstract
Abstract
Aim. The aim of this study was to evaluate the effectiveness of the cardiopulmonary cerebral resuscitation (CPCR) workshop for nurses in the clinical atmosphere of critical care wards of Ardabil Social Security Hospital based on Kirkpatrick model.
Background. Evaluating the effectiveness of training courses to determine the extent to which the objectives of the training course are realized is necessary.
Method. In this descriptive survey, accessible population included 65 critical care nurses and nursing managers of the hospital under study out of which 56 people were selected based on stratified random sampling using Morgan-Krejcie sample table. Data were collected using a questionnaire and its validity was confirmed by the views of the experts. The reliability of the questionnaire was 0.99 (Cronbach's alpha). Data were analyzed by descriptive and inferential statistics.
Findings. The mean score of the effectiveness of the CPCR workshop in clinical atmosphere from the perspective of critical care nurses and nurse managers was 3.89 out of 5 in the level of “reaction”. Moreover, the mean score of the effectiveness of “learning” level and “behavior” level were reported 3.97 and 4.02 out of 5, respectively. In the level of the “results” the mean score of the effectiveness was reported as 4.57. The total average of effectiveness of training in CPCR workshop was 4.11 out of 5.
Conclusion. The result of the study showed that CPCR workshop was evaluated as an effective program based on the Kirkpatrick model.
Mina Khanjari, Farhad Kamrani, Tahereh Nasr-Abadi,
Volume 6, Issue 4 (3-2018)
Abstract
Abstract
Aim. This study aimed to investigate the effects of a Turkish, family-oriented multimedia application on adherence to therapeutic regimen in people with recent myocardial infarction.
Background. Using native language in education of people experiencing myocardial infarction may have an effect on their adherence to therapeutic regimen.
Method. This study is a clinical trial. The research was conducted in Post-CCU wards of Zanjan hospitals in 2016. In this study, 80 patient with myocardial infarction were randomly allocated to experimental (n=40) and control (n=40) group during a 6 month period. Data collection tools consisted of demographic form and a questionnaire measuring adherence to therapeutic regimen in domains diet, physical activity, and medication. Data were analyzed in SPSS V.20 by statistical tests (Chi-square, Mann-Whitney and T-Test.
Findings. Comparison of the groups indicated a statistical significant difference between the mean score change of adherence to medication regimen of experimental and control group (3.52±0.2 versus 2.79±0.73) (P≤0.0001), adherence to diet (3.91±0.3 versus 3.63±0.6) (P≤0.0001), and adherence to physical activity (3.57±0.4 versus 3.11±0.7) (P≤0.0001).
Conclusion. Family-centered family education through multimedia application (in Turkish) is effective on patients’ adherence to therapeutic regimen and in turn, may reduces the costs and complications.
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