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Showing 13 results for Treatment
Zahra Poshtchaman, Maryam Jadid Milani, Foroozan Atashzadeh Shoorideh, Alireza Akbarzadeh Bagheban,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract Background. One of the most important aspects of care and follow-up after coronary artery bypass graft surgery is treatment adherence program. As the long term success of the surgery depends on the treatment of adherence plan. Aim. The purpose of this study was to evaluate the efficacy of phone and SMS follow-up care on patients' treatment adherence after coronary artery bypass graft. Method. This clinical trial was performed on patients undergoing coronary artery bypass graft surgery in the heart surgery unit in Tehran hospitals in 2014. In this study, 90 patients were selected purposively and allocated into telephone follow-up group (n=30), SMS follow-up group (n=30) and control group (n=30). Demographic and treatment adherence questionnaire were completed twice (before intervention and two months after the intervention). The telephone follow-up and SMS follow-up groups were given training and booklet before discharge. In telephone follow-up intervention, three calls a week was made for two months and the SMS follow-up group received text messages daily for two months. To analyze the data, Chi-square test, Fisher exact test, t-test and ANOVA, ANCOVA, and Bonferroni test were used. Findings. There was no statistically significant difference between the telephone follow-up and SMS follow-up groups in terms of treatment adherence scores, before and after intervention. A statistically significant difference was seen between telephone follow-up and control groups (p<0.0001), and SMS follow-up and control groups (p<0.0001) in terms of treatment adherence scores, before and after the intervention. Conclusion. Both SMS and telephone follow-up are effective to improve treatment adherence in patients after coronary artery bypass graft. It is suggested to use these interventions for patient following coronary artery bypass graft.
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.
Hamid Peyrovi, Mona Alinejad-Naeini, Ahmad Amin,
Volume 4, Issue 3 (12-2015)
Abstract
Aim. The aim of this review was to introduce cardiac cachexia for health care team, especially nurses. Acquaintance of health care providers with cardiac cachexia may lead them to pay more attention to this phenomenon when taking care of heart failure patients with cardiac cachexia.
Background. Heart failure is a systemic condition starting with heart dysfunction followed by dysfunction of most body organs including cardiovascular, musculoskeletal, renal, neuroendocrine, immune, haemostatic, and inflammatory systems. Heart failure is already considered as a multisystem disease which can lead to such morbidities as anemia, insulin resistance, autonomic nervous system imbalance, and cardiac cachexia. Despite the importance of cachexia phenomenon in people with heart failure, it seems that it is not sufficiently considered by health care providers in the treatment and care program.
Method. In this paper, a review was conducted on the studies published between 1999-2016 about cardiac cachexia. The studies were searched out through scientific databases, including PubMed and Science Direct by the keywords heart failure and cachexia. The search resulted in 493 papers out of which 41 paper were considered in this review.
Findings. In the last two decades, many attempts have been made to determine a unified definition of the cachexia. An anabolic/ catabolic imbalance with the dominance of catabolism which is the result of a combination of immunologic, metabolic, and neuroendocrine processes has been considered as pathophysiology of cardiac cachexia. In the early period after development of chronic heart failure, most of these processes are activated to protect heart and circulatory system from damage and also, to compensate for decreased cardiac muscle performance. Mechanisms of cachexia development are multiple, and it is necessary for treatment to consider several mechanisms simultaneously. Therapeutic management is based on prevention, exercise, nutrition, and drugs.
Conclusion. Cardiac cachexia as a complication of chronic heart failure has adverse effects on patients’ quality of life and outcomes. The success of strategies for prevention or treatment of cardiac cachexia greatly depends on patients adherence to therapeutic regimen; multidimensional nature of strategies makes it necessary to be implemented in a comprehensive and right way.
Banafsheh Ghorbani, Nasibeh Ashouri, Kianoush Saberi, Fatemeh Bahramnezhad, Shariat Esmail,
Volume 7, Issue 4 (3-2019)
Abstract
Abstract
Aim. The purpose of this study was to report a case of mitral valve thrombosis.
Background. Cardiac valve diseases are among the most important diseases, which is widespread despite many treatments. Among the wide range of treatments, replacement or repair of the valve are among the standard treatments. This treatment has many side effects that can be prevented by adhering to a proper diet. The present reports a rare case of mitral valve thrombosis.
Case Report. A 50-year-old female patient undergoes mitral valve replacement (mechanical) and tricuspid valve replacement (mechanical) dated 2018. After discharge, she was treated with 5 mg Warfarin and 80 mg ASA. She returned to the hospital due to progressive shortness of breath. A rare complication of mitral valve thrombosis was diagnosed.
Conclusion. Mitral mechanical valve thrombosis is a rare but dangerous complication. Although thrombosis is closely associated with anticoagulant drug use, this study and similar studies have shown that there is usually no clear relationship between INR and thrombosis.
Banafsheh Ghorbani, Fatemeh Bahramnezhad, Mohammad-Hossein Mandegar, Phd Zohrehsadat Mirmoghtadaie,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The purpose of this study was to review the importance of cardiac rehabilitation and physical activity training in the second phase of rehabilitation.
Background. Cardiac rehabilitation is defined as a comprehensive long-term program consisting of medical assessment, exercise program administration, correction of cardiovascular risk factors, training and counseling. Familiarizing nurses with the area of cardiac rehabilitation and providing necessary education to patients will have a significant effect on reducing complications and improving quality of life.
Method. This review study was carried out by library and internet searches in the years 2018-2019 using the keywords “coronary artery bypass graft surgery”, “adherence to treatment”, “cardiovascular disease”, “physical activity”, “exercises at home”, “cardiac rehabilitation” and their Persian equivalents. The search was carried out in databases, search engines PubMed, SID, MagIran, Web of Sciences, Cochrane Library, CINHAL, OVID, Google Scholar, Up-to-date, and Scopus without time limit. A total of 51 articles were found in relation to the subject under study, of which, 4 articles were excluded because of duplication and 10 articles were excluded because their full texts were not available. Finally, 37 articles were included in the study.
Findings. The role of the nurse in training cardiac patients for rehabilitation is of great importance. By educating patients about the principles of rehabilitation for prevention and management of complications, an important role can be played in improving the quality of life of patients and increasing their survival.
Conclusion. Nurses' acquaintance with the principles of cardiac rehabilitation is of particular importance. It is suggested that nurses consider rehabilitation education as one of the supportive therapeutic and preventive approaches and should always be familiar with the latest guidelines in this area.
Maryam Izanloo, Parisa Peyvandi, Ahmad Borjali, Mohammada Reza Sirafi, Yousef Mohsenzadeh,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of compassion-based therapy on adherence to treatment and components of type D personality in people with coronary heart disease in Alborz province, Iran.
Background. Coronary heart disease as a chronic disease is being considered as a psychosomatic disease that is affected by psychosocial factors as well as biological factors.
Method. The study method was quasi-experimental with pre-test post-test with control group and follow-up period. The statistical population of this study included people with coronary heart disease who referred to the cardiac ward of Rajaei hospital in Karaj, Iran, on an outpatient or inpatient basis in 2019. The sample consisted of 30 patients who were selected through convenience sampling and were randomly divided into experimental (N=15) and control (N=15) groups. The experimental group underwent compassion-focused therapy (CFT) weekly in 90-minute duration sessions for 8 weeks according to Gilbert's CFT protocol, and the control group was placed on a waiting list for training. Data were collected using questionnaires adherence to treatment and Denolt type D personality. Data were analyzed in SPSS software version 24 using mixed variance design.
Findings. After intervention, the mean score of adherence to treatment in experimental group (43.33±4.22) was statistically higher than that of the control group (34.60±4.33). After intervention, the mean score for type D personality in experimental group (26.73±4.94) was statistically lower than that of the control group (36.53±4.27). The main effect of time, the main effect of group, and group-by-time interaction for both adherence to treatment and type D personality was statistically significant, meaning that CFT influences these variables in people with coronary heart disease.
Conclusion. Programs that are performed in the form of psychological educational interventions along with medical interventions may decrease the severity of coronary heart disease, accelerate the healing process, and promote general health and long-term adaptation of these patients. Therapists and health professionals are advised to use compassion-focused therapy to improve the mental and physical health of people with coronary heart disease.
Bahareh Seraj, Fatemeh Alaee Alaee-Karahroudi, Tahereh Ashktorab, Maryam Moradian,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study aimed to investigate the effect of telenursing on adherence to treatment in adolescents undergoing cardiac surgery.
Background. Congenital Heart Disease (CHD) has a significant global prevalence and a large number of patients undergo cardiac surgery every year. Adherence to treatment is essential to achieve the expected outcomes of surgery.
Method. This study was a quasi-experimental before-after study with control groups that was conducted in the year 2020. A total of 70 adolescents referred to a university cardiovascular medical and research center in Tehran, Iran, were recruited based on the inclusion criteria and then, randomly assigned to experimental (n=35) and control (n=35) group. The experimental group received a telenursing services via WhatsApp messenger for one month. Modanloo's questionnaire of adherence to treatment was used to collect the data. Data were analyzed in SPSS V-20 using descriptive and inferential statistics.
Findings. There was no statistically significant difference between the experimental and control groups in terms of demographic variables. Before intervention, the mean score of adherence to treatment in the experimental and control groups was 71.67±6.97 and 71.77±7.89, respectively, which were not statistically different. After intervention, the mean score of adherence to treatment in the experimental and control group changed by 15.17 and -2.49, respectively, and the difference between the groups was found to be highly significant (P≤0.0001).
Conclusion. According to the findings, telenursing improved adherence to the treatment. Therefore, it is recommended to provide the ground to take the benefits of this approach through increasing public information and awareness and empowering the nursing staff.
Yeganeh Pasebani, Mohammad Javad Alemzade Ansari, Mohammad Hassan Ghaffari Nejad, Shiva Khaleghparast,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The aim of this study was to review studies that investigate the factors affecting adherence to treatment in people with cardiovascular disease.
Background. Adherence to treatment is a comprehensive term that is used to convey acceptance of treatment process and following professional advice by the patient to increase the quality of life. Given the importance of adhering to treatment plans and being aware that many people do not follow treatment plans, understanding the factors that lead to patients' effective adherence to the treatment regimen can lead to the development of strategies to increase patients' adherence to the therapeutic regimen.
Method. Articles published between years 2010-2020 were searched out in databases Science Direct, PubMed, Cochrane, Medline, SID, Scopus, CINAHL, OVID, Iran Doc and Magiran using the keywords adherence to treatment, cardiovascular diseases and their Persian Equivalents. Research articles in Persian and English focusing on the factors affecting the adherence to treatment in cardiovascular patients were selected for the study. In total, 167 articles were found in primary search by reviewing the title and abstract and in some cases after studying the full text of the articles; out of them, 11 were selected that were in accordance with the research purpose of this study.
Findings. The most effective methods for improving adherence to treatment were tele-nursing and educating colleagues on how to follow up patients. Also, recognizing differences between personal and psychological aspects of patients and adopting an appropriate method for each person to pursue treatment and increase adherence to the treatment regimen are very important known factors in the care of cardiovascular patients.
Conclusion. In general, the care and training provided and continuous follow-up by the health care professionals have the greatest impact on increasing adherence to the treatment regimen among patients.
Mr Hosein Mahmoudi, Mrs Asma Shojaee,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The purpose of this study was to explore and clarify the concept of adherence to treatment in people with heart failure.
Background. The concept of adherence to treatment, which determines the consequences of heart failure, is widely used in the literature. But this concept is very complex and needs a clear definition.
Method. In this study, the evolutionary approach of Rogers concept analysis was used. The main criteria for entry were texts published in English between 2004 and 2019. The data sources were the PubMed, Scopus, and EMBASE. A total of 73 articles were found out of which 37 articles were selected after omitting duplications, and after screening the studies based on Prism Diagram, 35 articles were studied.
Findings. After reviewing the studies, 5 words, adherence to medication, medication adherence, non-medication adherence or self-care recommendations, adherence to therapeutic guidelines, and non- adherence treatment were recognized as alternative terms, and two concepts, compliance and self-care were identified as the most important and the most common concepts related to adherence to treatment. Seven concepts were found as the features of the adherence to treatment (adaptability, being multidimensional and complex, participatory, dependent on demographic variables and underlying diseases, being conscious and dependent on education, measurable and predictive, and continuous and follow-up). Outcomes of the concept of adherence to treatment were directly related to the consequences of the concept.
Conclusion. Adherence to treatment is a complex, multidimensional, participatory, conscious, and measurable concept that depends on demographic variables that must be constantly monitored by the health care team. Adherence to treatment is evolving over time, both semantically and conceptually.
Nahid Ramak, Kiana Ghasemnezhad, Elahe Ghasempour, Zeinab Sadeghkhani, Eshaqh Sam Khanian, Farshid Bibak, Alireza Sangani,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of functional analytical psychotherapy on treatment adherence and self-care behaviors in female patients with acute myocardial infarction.
Background. The severity of cardiovascular disease is affected by cognitive and behavioral function in people experiencing acute myocardial infarction. Therefore, with effective and modern treatments for this problem, effective results could be expected.
Method. The research method was quasi-experimental pre-test post-test and follow-up design with control group. A sample of 30 women with a history of acute myocardial infarction who had been admitted to Seyed Al-Shohada Heart Hospital in Urmia, Iran, in 2021, were selected based on inclusion and exclusion criteria and randomly assigned to experimental (N=15) and control (N=15) group. Tsai et al. (2010) Functional Analytical Psychotherapy Package was implemented for experimental group in 10 sessions of 45 minutes duration. Before and after the sessions, and also, 3 months after intervention, both members of experimental and control groups completed Treatment Adherence Questionnaire and Self-Care Behavior Questionnaire as pre-test, post-test and follow-up measurements. Data were analyzed using mixed model analysis of covariance in SPSS Version 18.
Findings. The results showed that there was a statistically significant difference between experimental and control groups in term of the means of treatment adherence and self-care behaviors in pre-test, post-test and follow-up. Functional analytical psychotherapy had a greater effect on improving self-care behaviors (0.912) than treatment adherence (0.897) in female patients with acute myocardial infarction (P≥0.0001).
Conclusion. These results emphasize the effect of functional analytical psychotherapy in cognitive and behavioral domains in the treatment of female patients with acute myocardial infarction.
Fateme Izadi, Yasaman Khalili, Shiva Khaleghparast, Sepide Taghavi,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The aim of this study was to investigate the relationship of health literacy, knowledge of heart failure and social support with adherence to medical treatment in patients with heart failure.
Background. Despite significant advances in the treatment of heart failure, the prognosis in these patients is poor. Factors influencing the prognosis include comorbidities, disease severity, age and sex differences, inadequate health literacy, poor adherence to medication, poor knowledge, and poor social support.
Method. The present study was a cross-sectional descriptive correlational study that was performed on 300 patients referred to the clinic of Rajaie Cardiovascular Medical and Research Center. Sampling method was convenience. The study tools included questionnaires completed by the researcher or patient: demographic form (personal, economic and social information), Health Literacy Questionnaire, Dutch Heart Failure Knowledge Scale, Multidimensial Scale of Perceived Social Support and Morisky Medication Adherence Scale. Data were analyzed in SPSS software version 22 using descriptive and inferential statistics.
Findings. Median (interquartile range) age of the samples was 55 (41-65) years, and 172 (57.33%) were male and 128 (42.66%) were female. In this study, there was a statistically significant relationship of health literacy (P=0.029, r=0.13) and knowledge of heart failure (P=0.02, r=0.13) with adherence to medical treatment. But there was no significant correlation between social support and adherence to medical treatment.
Conclusion. The results of this study showed the relationship of health literacy and knowledge of heart failure with adherence to medical treatment. We can improve patient’s adherence to treatment by increasing the level of their knowledge related to heart failure and health literacy toward the disease
Zahra Karami, Beheshteh Tabarsi, Mrs Firouzeh Moeini,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The aim of the study was to examine the effect of lifestyle education using a mobile phone application on adherence to the treatment regimen in patients with hypertension.
Background. High blood pressure is the most important risk factor for cardiovascular diseases and mortality. Educational applications have provided an effective method for self-care and blood pressure control of patients.
Method. This research is a clinical trial study. The number of samples in control and experimental group was 60 people. In the experimental group, the training was conducted using the mobile application at least three times a week for two months and was followed up during the course through phone calls and virtual networks. In the control group, the usual training of the health center was provided. The degree of adherence to the treatment plan of the patients was measured by a researcher-made questionnaire, before and two weeks after the end of the intervention. Data analysis was done in SPSS version 21 using t-test, multivariate covariance analysis and post-hoc test.
Findings. Comparing the adherence to the treatment program between the two groups after the educational intervention, the mean and standard deviation of the scores of the control and experimental group was 337±22 and 441±20, respectively. There was a statistically significant difference between groups after the intervention in all variables including blood pressure, diet, physical activity, drug regimen, and other domains of compliance with the treatment program (p≤0.0001), which indicated the effectiveness of lifestyle training using a mobile phone application on blood pressure and adherence to the treatment plan.
Conclusion. The use of mobile phone application can be effective and useful for improving and controlling blood pressure among patients with hypertension. Nurses, as one of the most important members of the health care team, can have a direct impact on patients’ quality of life through educational interventions
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.
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