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Showing 5 results for Outcome
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, Leila Kalhor,
Volume 4, Issue 3 (12-2015)
Abstract
Aim. The aim of this review was to determine the clinical outcomes of blood transfusion in patients undergoing coronary artery bypass graft surgery.
Background. Despite efforts to reduce the use of blood products in cardiac surgeries, its use is still high. Blood should be considered as a scarce source which can lead to some clinical outcomes.
Method. In this paper, a review was conducted on the studies published between 2002-2015. The studies were searched out through scientific databases, including PubMed and Science Direct by the keywords blood transfusion, adverse effects, clinical outcomes, coronary artery bypass graft surgery and their Persian equivalents.
Findings. The review of 15 studies revealed that survival rate 30 days and 1 year among patients received blood transfusion were significantly less than patients without blood transfusion. Mortality (short and long term) in patients with blood transfusion was significantly higher than patients without blood transfusion. Also, patients receiving blood transfusion had more complications including atrial fibrillation, infection, pneumonia and cerebral vascular accident as compared with patients without blood transfusion.
Conclusion. Blood Transfusion increases mortality, hospital stay and several various complications. It is essential that policy of limited blood transfusion to be considered against free blood transfusion.
Mahin Nomali, Kian Alipasandi, Ramin Mohammadrezaei, Masumeh Zakerimoghadam,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. The aim of this literature review was to investigate the effect of self-monitoring program on outcomes of heart failure (HF).
Background. Heart Failure is a chronic and progressive disease with an increasing prevalence. Self-monitoring program may help to recognize decompensated HF symptoms and taking proper and early action. However, its potential for improvement of HF outcomes has remained unknown.
Method. In this narrative review, databases such as PubMed, Scopus, Web of science, Embase, and Cochrane library was used for data collection. Searching out was conducted on 27 Feb, 2017 for published articles between 1961- 2017 by the keywords "self-monitoring", "heart failure", "outcome", and their English synonyms without language limitation. Inclusion criteria were content similarity to subject under study, clinical trial study design, and self-monitoring of weight and recording it in a diary by patient with HF.
Findings. Out of 13924 retrieved articles, titles and abstracts of 8384 papers were screened for inclusion criteria. Full- text of 20 related paper were downloaded. Finally, data related to 12 papers published between 1998 to 2014 were reviewed. Outcomes of self-monitoring program included HF- related hospitalization and Emergency Department (ED) visit, mortality, self-care, quality of life and other outcomes such as disease knowledge, phone call to health care provider, Ejection Fraction (EF), HF NYHA function class, Brain Natriuretic Peptide (BNP), and care cost.
Conclusion. Self-monitoring program has led to improve in HF outcomes. Therefore, giving weight and other symptoms self-monitoring diary beside self-care education will be recommended in order to increase patient’s engagement in his/her care.
Roya Khorrami Estakhri, Masoumeh Zakeri Moghaddam,
Volume 7, Issue 3 (12-2018)
Abstract
Abstract
Aim. The aim of this study was to identify the factors affecting the outcomes in people with heart failure.
Background. Heart failure is a complex clinical syndrome. Due to functional and structural problems occurs in the heart failure and its high prevalence and associated financial burden, it is considered a public health problem. Mortality rate and serious complications from the disease are on the rise. Decreased quality of life and frequent hospitalizations are among these complications.
Method. In this review study, a comprehensive search on scientific databases and search engines such as Science Direct, Ovid, PubMed, Google Scholar, Medline was conducted with the keywords heart failure, education, health literacy education, heart failure knowledge, self care, readmission, family support and heart failure outcomes for papers published between 2003 to 2018.
Findings. Heart failure is associated with many problems and several factors affect the patient. Focusing on previous studies on factors influencing the outcomes of heart failure, we can refer to patient health literacy, self-care, heart failure knowledge and patient family support. Education of affected patients has also influenced the outcomes of the disease and frequent hospitalization of patients.
Conclusion. Patient education based on health literacy has effect on heart failure outcomes.
Tahereh Alsadat Khoubbin Khoshnazar, Mohammad Abbasi,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The aim of this review study was to explain the consequences of pre-hospital delay in patients with acute myocardial infarction.
Background. Studies have shown that patients with acute myocardial infarction who refer to medical centers late, experience adverse mechanical and electrical consequences of acute myocardial infarction.
Method. In this review study, the keywords Outcome, Myocardial infarction, Delay, and Survival were used to search out the relevant papers published between 2000 and 2020, in databases, Up-to-date, Scopus, PubMed, Science Direct, Web of Science, SID, and Magiran. A total of 14 articles were reviewed.
Findings. The review of the articles showed the consequences of pre-hospital delay in patients with acute myocardial infarction as the following: acute heart failure, cardiac arrest, stroke, mortality, decreased cardiac ejection fraction, long-term hospitalization, decreased long-term survival, increased in-hospital mortality, and increased treatment costs.
Conclusion. Pre-hospital delay in patients with acute myocardial infarction is associated with complications and adverse consequences for patients. Health care team should educate patients and their families about the signs and symptoms of cardiovascular disease and the importance of timely treatment.
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