ORIGINAL_ARTICLE
Effect of recitation of Quran on the anxiety of patients with myocardial infarction
Background: Anxiety reduction in patients with myocardial infarction (MI) is essential due to severe complications. The current methods of treatments are primarily medical, while effective and safe treatments which accord with cultural and religious beliefs appear to have higher performance. Aim: survey the effect of Quran on the anxiety of patients with MI admitted to CCU. Methods: The present clinical-trial study was performed by randomized block design on 68 patients with MI which were assigned into two groups: experimental (33) and control (35). The experimental group listened to Quran twice daily for two days. Control group received no intervention. At baseline and in the end of each study, anxiety level of both groups was measured. Data were collected by reliable and valid Spielberger anxiety questionnaire and analyzed using chi-square, independent t-test, Repeated Measures and analysis of covariance. Results: Groups were significantly different regarding familiarity with quran (p=0.003) and insurance status (p=0.005), whereas other background factors were similar between two groups. At baseline, the mean anxiety in both groups was not significantly different. In terms of anxiety, a statistical difference was observed between groups after intervention in all four occasions (first occasion: experimental 31.9±7.1, control 40.8±13.2, second occasion: experimental 29.7±7.3, control 40.6±13.5, third occasion: experimental 28.8±6.9, control 39.5±13.9, and forth occasion: experimental 28.3±7.5, control 38.7±13.9) (P<0.05). In the experimental group, a statistically significant reduction was reported in level of anxiety over time (p=0.000); whereas this reduction wasn not significant in control group. Conclusion: The level of anxiety in paitents with myocardial infarction could be decresed by listening to Quran.
https://ebcj.mums.ac.ir/article_2272_2e83309bed5b608ea40c02b4abbf5716.pdf
2014-04-01
7
16
10.22038/ebcj.2014.2272
Anxiety
Myocardial infarction
Clinical trial
zahra
najafi
zahranajafi90@yahoo.com
1
Masters Student Critical Care Nursing, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
AUTHOR
Zahra
Tagharrobi
tagharrobi_z@yahoo.com
2
Instructor of Nursing, Department of Health- Management Nursing, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
LEAD_AUTHOR
mohammad sajjad
lotfi
sajjad.lotfi@yahoo.com
3
Masters Student geriatric nursing, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
AUTHOR
mohsen
taghadosi
taghadosi_1345@yahoo.com
4
Instructor of Nursing, Department of Medical Surgical Nursing, School of Nursing, Kashan University of Medical Sciences, Kashan, Iran
AUTHOR
khadijeh
sharifi
sharifi_kh@kaums.ac.ir
5
Instructor of Nursing, Department of Health- Management Nursing, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
AUTHOR
alireza
farrokhian
farrokhian.ar@gmail.com
6
Assistant Professor of Cardiology, School of Medicine, Kashan University of Medical Sciences, Kashan, Iran
AUTHOR
1. Lopes Jde L, Nogueira-Martins LA, Goncalves MA, de Barros AL. Comparing Levels of Anxiety During Bed and Shower Baths in Patients with Acute Myocardial Infarction. Rev Lat Am Enfermagem 2010; 18(2): 217-23.
1
2. Januzzi Jr JL, Stern TA, Pasternak RC, DeSanctis RW. The Anfluence of Anxiety and Depression on Outcomes of Patients with Coronary Artery Disease. Arch Intern Med 2000; 160(13): 1913.
2
3. Lane D, Carroll D, Lip GYH. Anxiety, Depression, and Prognosis After Myocardial Infarction: Is There a Causal Association? J Am Coll Cardiol 2003; 42(10): 1808-10.
3
4. Bally K, Campbell D, Chesnick K, Tranmer JE. Effects of Patient-Controlled Music Therapy During Coronary Angiography on Procedural Pain and Anxiety Distress Syndrome. Crit Care Nurse 2003; 23(2): 50-8.
4
5. Afzali S, Masoudi R, Etemadifar S, Moradi M, Moghaddasi J. The Effect of Progressive Muscle Relaxation Program (PMR) on Anxiety of Patients Undergoing Coronary Heart Angiography. J Shahrekord Univ Med Sci 2009; 11(3): 77-84. (Persian)
5
6. De Jong MJ, Moser DK, An K, Chung ML. Anxiety Is Not Manifested By Elevated Heart Rate And Blood Pressure in Acutely Ill Cardiac Patients. Eur J Cardiovasc Nurs 2004; 3(3): 247-53.
6
7. An K, De Jong MJ, Riegel BJ, McKinley S, Garvin BJ, Doering LV, et al. A Cross-sectional Examination of Changes in Anxiety Early After Acute Myocardial Infarction. Heart & lung 2004; 33(2): 75-82.
7
8. Mirzaei F, Keshtgar S, Kaviani M, Rajaeifard A. The Effect of Lavender Essence Smelling During Labor on Cortisol and Serotonin Plasma Levels and Anxiety Reduction in Nulliparous Women. J Kerman Univ Med Sci 2009; 16(3): 245-54. (Persian)
8
9. Mirbagher ajorpaz N, Ranjbar N. The Influence of the Holy Quran on Maternal Anxiety Before Caesarean Section: Randomized Clinical Trial. J of Med Sci Qom 2010; 4(1): 15-9. (Persian)
9
10. Roohy G, Rahmany A, Abdollahy A, GhR M. The Effect of Music on Anxiety Level of Patients and Some of Physiological Responses Before Abdominal Surgery. J Gorgan Univ Med Sci 2005; 7(1): 75-8. (Persian)
10
11. Weeks BP, Nilsson U. Music Interventions in Patients During Coronary Angiographic Procedures: a Randomized Controlled Study of the Effect on Patients' Anxiety and Well-Being. Eur J Cardiovasc Nurs 2011; 10(2): 88-93.
11
12. Majidi S. Recitation Effect of Holy Quran on Anxiety of Patients Before Undergoing Coronary Artery Angiography. J of Med Sci Gilan 2004; 13(49): 61-7. (Persian)
12
13. Tajvidi M, Meemarian R, Mohammady E. The Effect of Quran on Patient’s Anxiety Before Open Heart Surgery. J of Daneshvar 2003; 8(32): 55-60. (Persian)
13
14. Heidari M, Shahbazi S. Effect of Quran and Music on Anxiety in Patients During Endoscopy. Knowledge & Health J. 2013; 8(2): 67-70. (Persian)
14
15. Nilsson U, Lindell L, Eriksson A, Kellerth T. The Effect of Music Intervention in Relation to Gender During Coronary Angiographic Procedures: a Randomized Clinical Trial. Eur J of Cardiovasc Nurs 2009; 8(3): 200-6.
15
16. Hashemzadeh A, Garooci Farshi M, Halabianloo G, Maleki Rad A. The Study of Effectiveness of Relaxation and Distraction Techniques Training in Anxiety Reduction in Cardiac Patients. Arak Med Univ J 2011; 14(56): 97-105. (Persian)
16
17. Bassampoor S. The Effect of Relaxation Techniques on Anxiety of Patients with Myocardial Infarction. J. of Qazvin Univ of Med Sci 2005; 9: 1-2. (Persian)
17
18. Tel H. The Effect of Individualized Education on The Transfer Anxiety of Patients with Myocardial Infarction And Their Families. Heart & lung 2006; 35(2): 101-7.
18
19. Sharif F, Shoul A, Janati M, Kojuri J, Zare N. The Effect of Cardiac Rehabilitation on Anxiety and Depression in Patients Undergoing Cardiac Bypass Graft Surgery in Iran. BMC cardiovascular disorders 2012; 12(1): 8-13.
19
20. Atari M, Sajedi P, Heydari S. Evaluation of Koran Voices Effect on Anxiety and Vital Signs of Patients in Preinduction Stage. Teb Va Tazkieh 2000; 37(91): 91-4. (Persian)
20
21. Saadi Shahrodi M. Quran Recitation Song in Terms of Philosophy and Mysticism. qabasat 2002; 7(1): 134-14. (Persian)
21
22. Zarani E. Introduction to Quran Miracle of Sound. Andisheh Sadegh. 2004; 5(1): 76-83 (Persian).
22
23. Mirbagher Ajorpaz N, Aghajani M, Shahshahani M. The Effects of Music and Holy Quran on Patient’s Anxiety and Vital Signs Before Abdominal Surgery. J. of Evidence-based Care 2011; 1(1): 63-76. (Persian)
23
24. Jadidi A, Farahaninia M, Janmohammadi S, Haghani H. The Relationship Between Spiritual Well-Being and Quality of Life Among Elderly People Residing in Kahrizak Senior House. Iran J. of Nursing 2011; 24(72): 48-56. (Persian)
24
ORIGINAL_ARTICLE
Effect of Eight Weeks of High-Intensity Interval Training and Moderate-Intensity Continuous Training on HRR at 1, 2 and 3 minutes and Lipid Profile in Cardiac Patients Post-Coronary Artery Bypass Graft
Background: High-intensity interval training is a new training method that has been less explored in patients.
Aim: The purpose of this study was to compare the effect of eight weeks of interval training with continuous training on changes in HRR and lipid profile in cardiac patients post-coronary artery bypass graft.
Methods: In this clinical study, 30 cardiac patients of Tehran Heart Centerthat hadundergone CABG surgery were randomly divided into two groups, interval and continuous training. The protocols included 4rep × 4 min at 90-95% for interval group, and 60-80 minutes at 70-85% peak HR for continuous group. HRmax, HRR at 1, 2 and 3 min following Bruce test was assessed before and after the training program. The collected data were analyzed using SPSS software version 16 and ANOVA test (p<0.05).
Results: HRR at 1 & 2 minute was reduced more in both interval and continuous groups than that of before the training program (p<0.05). The HHR reduction at 1&2 minutes was more significant in the interval group than the continuous group after exercise stress test (p<0.05). The changes in HRR at 3 min in both groups were not significant compared to that of before the training program (p=0.1).
Conclusion: Both high-intensity interval training and moderate-intensity continuous training improve HRR and lipid profile in cardiac patients after coronary artery bypass. Interval training is more effective on HHR reduction than continuous training.
https://ebcj.mums.ac.ir/article_2271_7cc2895129fbadee7850e192f207ac11.pdf
2014-04-01
17
26
10.22038/ebcj.2014.2271
Interval training
HHR
lipid profile
Cardiac patients Post- CABG
Abbas Ali
Gaeini
aagaeini@ut.ac.ir
1
Professor of Exercise Physiology, School of Physical Education, University of Tehran, Tehran, Iran
AUTHOR
Sadegh
satarifard
satarifard@ut.ac.ir
2
PhD Student of Exercise Physiology, School of Physical Education, University of Tehran, Tehran, Iran
LEAD_AUTHOR
Mohammad Reza
Kordi
3
Associated Professor of Exercise Physiology, School of Physical Education, University of Tehran, Tehran, Iran
AUTHOR
Ali
Heidary
satarifard@yahoo.com
4
MSc of Exercise Physiology, School of Physical Education, University of Tehran, Tehran, Iran
AUTHOR
World Health Organisation. The World Health Report: Cardiovascular Disease. Report of the Director-General. WHO 2008; Geneva
1
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Lahiri MK, Kannankeril PJ, Goldberger JJ. Assessment of Autonomic Function in Cardiovascular Disease: Physiological Basis and Prognostic Implications. J Am Coll Cardiol. 2008 May 6; 51(18):1725-33.
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Cole CR, Blackstone EH, Pashkow FJ, Snader CE, Lauer MS. Heart-Rate Recovery Immediately after Exercise as a Predictor of Mortality. N Engl J Med. 1999; 341(18): 1351-7.
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Imai K, Sato H, Hori M, Kusuoka H, Ozaki H, Yokoyama H, Takeda H, Inoue M, Kamada T. Vagally Mediated Heart Rate Recovery after Exercise is Accelerated in Athletes but Blunted in Patients with Chronic Heart Failure. J Am Coll Cardiol 1994; 24: 1529 –35.
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Trevizani GA, Benchimol-Barbosa PR, Nadal J. Effects of Age and Aerobic Fitness on Heart Rate Recovery in Adult Men. Arq Bras Cardiol. 2012; 99(3): 802-10.
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Myers J, Hadley D, Oswald U, Bruner K, Kottman W, Hsu L, et al. Effects of Exercise Training on Heart Rate Recovery in Patients with Chronic Heart Failure. Am Heart J. 2007; 153(6): 1056-63.
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Carnethon MR, Jacobs DR Jr, Sidney S, Sternfeld B, Gidding SS, Shoushtari C, et al. A Longitudinal Study of Physical Activity and Heart Rate Recovery: CARDIA, 1987-93. Med Sci Sports Exerc. 2005; 37(4): 606-12.
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Niemela MJ, Airaksinen KEJ, Tahvanainen KUO, Linnaluoto MK, Takkunen T. Effect of Coronary Artery Bypass Grafting on Cardiac Parasympathetic Nervous Function. Eur Heart J. 1992; 13: 932–5.
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Ghroubi S, Elleuch W, Abid L, Abdenadher M, Kammoun S, Elleuch MH. Effects of a Low Intensity Dynamic-Resistance Training Protocol Using an Isokinetic Dynamometer on Muscular Strength and Aerobic Capacity after Coronary Artery Bypass Grafting. Ann Phys Rehabil Med 2013; 56(2): 85-101
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Stewart KJ, Badenhop D, Brubaker PH, Keteyian SJ, King M. Cardiac Rehabilitation Following Percutaneous Revascularization, Teart Transplant, Heart Valve Surgery, and for Chronic Heart Failure. Chest 2003; 123(6): 2104-11.
11
Currie KD, Rosen LM, Millar PJ, McKelvie RS, Macdonald MJ. Heart Rate Recovery and Heart Rate Variability are Unchanged in Patients with Coronary Artery Disease Following 12 Weeks of High-Intensity Interval and Moderate-Intensity Endurance Exercise Training. Appl Physiol Nutr Metab. 2013; 38(6): 644-50.
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Voulgari C, Pagoni S, Vinik A, Poirier P. Exercise Improves Cardiac Autonomic Function in Obesity and Diabetes. Metabolism. 2013; 62(5): 609-21.
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Streuber SD, Amsterdam EA, Stebbins CL. Heart Rate Recovery in Heart Failure Patients after a 12-Week Cardiac Rehabilitation Program. Am J Cardiol. 2006 (1); 97(5): 694-8.
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Warburton DE, McKenzie DC, Haykowsky MJ, Taylor A, Shoemaker P, Ignaszewski AP & Chan SY. Effectiveness of High-Intensity Interval Training for the Rehabilitation of Patients with Coronary Artery Disease. Am J Cardiol 2005; 95: 1080-4.
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Wisloff U, Stoylen A, Loennechen JP, Bruvold M, Rognmo O, Haram PM, et al. Superior Cardiovascular effect of Aerobic Interval Training Versus Moderate Continuous Training in Heart Failure Patients: A Randomized Study. Circulation 2007; 115: 3086-94.
16
Moholdt TT, Amundsen BH, Rustad LA, Wahba A, Løvø KT, Gullikstad LR, et al. Aerobic Interval Training Versus Continuous Moderate Exercise after Coronary Artery Bypass Surgery: a Randomized Study of Cardiovascular Effects and Quality of Life. Am Heart J 2009; 158(6):1031-7.
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Sato S, Takahashi M, Makita S. Changes in Heart Rate Recovery (T30) on Cardiac Rehabilitation in Patients after Coronary Artery Bypass Surgery. Jpn J Phys Fitness Sports Med 2002; 51: 275-82.
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Gayda M, Bourassa MG, Tardif JC, Fortier A, Juneau M, Nigam A. Heart Rate Recovery after Exercise and Long-Term Prognosis in Patients with Coronary Artery Disease. Can J Cardiol. 2012; 28(2): 201-7.
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Sato S, Makita S, Majima M. Additional Physical Activity during Cardiac Rehabilitation Leads to an Improved Heart Rate Recovery in Male Patients after Coronary Artery Bypass Grafting. Circ J. 2005; 69(1): 69-71.
20
Billman GE, Kukielka M. Effect of Endurance Exercise Training on Heart Rate Onset and Heart Rate Recovery Responses to Submaximal Exercise in Animals Susceptible to Ventricular Fibrillation. J Appl Physiol 2007; 102: 231-40.
21
Hautala AJ, Kiviniemi AM, Tulppo MP. Individual Responsesto Aerobic Exercise: the Role of the Autonomic Nervous System. Neurosci Biobehav Rev 2009; 33: 107–15.
22
Nishime EO, Cole CR, Blackstone EH, Pashkow FJ, Lauer MS. Heart Rate Recovery and Treadmill Exercise Score as Predictors of Mortality in Patients Referred for Exercise ECG. JAMA 2000; 284: 1392-8.
23
Bilsel T, Terzi S, Akbulut T, Sayar N, Hobikoglu G, Yesilcimen K. Abnormal Heart Rate Recovery Immediately after Cardiopulmonary Exercise Testing in Heart Failure Patients. Int Heart J. 2006; 47(3): 431-40.
24
Cole C, Foody J, Blackstone E, Lauer M. Heart Rate Recovery after Submaximal Exercise Testing as a Predictor of Mortality in a Cardiovascularly Healthy Cohort. Ann Intern Med 2000; 132: 552–5.
25
Iellamo F, Legramante JM, Massaro M, Raimondi G, Galante A. Effects of a Residential Exercise Training on Baroreflex Sensitivity and Heart Rate Variability in Patients with Coronary Artery Disease: A Randomized, Controlled Study. Circulation 2000; 102: 2588-92.
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Nagashima J, Musha H, Takada H, Takagi K, Mita T, Mochida T et al. Three-Month Exercise and Weight Loss ProgramI Heart Rate Recovery in Obese Persons along with Cardiopulmonary Function. J Cardiol. 2010; 56(1): 79-84.
29
Fu TC, Wang CH, Lin PS, Hsu CC, Cherng WJ, Huang SC, Liu MH, et al. Aerobic Interval Training Improves Oxygen Uptake Efficiency by Enhancing Cerebral and Muscular Hemodynamics in Patients with Heart Failure. Int J Cardiol 2013; 167(1): 41-50
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Iellamo F, Manzi V, Caminiti G, Vitale C, Castagna C, Massaro M, Franchini A, Rosano G, Volterrani M. Matched Dose Interval and Continuous Exercise Training Induce Similar Cardiorespiratory and Metabolic Adaptations in Patients with Heart Failure. Int J Cardiol 2013; 167(6): 2561-5.
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32
Lenk K, Schur R, Linke A, Erbs S, Matsumoto Y, Adams V, Schuler G. Impact of Exercise Training on Myostatin Expression in the Myocardium and Skeletal Muscle in a Chronic Heart Failure Model. Eur J Heart Fail. 2009; 11(4): 342-8.
33
ORIGINAL_ARTICLE
The standards of professionalism in nursing: the nursing instructors’ experiences
Background: The increasing need and demand for professional nurses and enhance the quality of professional services is a key issue that has led to professional practice in health systems. Aim: The aim of this study was to explore the standards of nursing professionalism based on faculties' points of view. Methods: Qualitative design in this study was content analysis with purposive sampling. Data were derived from 28 instructors of Bushehr University of Medical Sciences who had over 3 years of work experience and they desired to participate in the study. Data collection was conducted three FGD and 12 individual interviews. The data were analyzed based on steps of conventional content analysis. Results: Data analysis resulted in development offour major themes and eight sub-themes. The main themes included promoting empowerment, ethics and professional commitment, resources and structure, and correction of social status. Sub-themes included individual abilities and professionalism, human values and professional ethics, educational and organizational structure and resources as well as internal and external factors. Conclusion: Attention to education and continuous evaluation of nursing skills and knowledge, position of nursing in health care system and social status of nursing have essential roles in the empowering and enhancing of nursing professionalism.
https://ebcj.mums.ac.ir/article_2392_858a7e6c14b96de05215a50ebb984aed.pdf
2014-04-01
27
40
10.22038/ebcj.2014.2392
Nursing
Content Analysis
Professionalism
Professional Competency
Professional Commitment
maryam
Ravani pour
mravan2002@yahoo.com
1
Associate Professor of Nursing, Department of Nursing, School of Nursing and Midwifery, Boushehr University of Medical Sciences, Boushehr, Iran
AUTHOR
Zohreh
vanaki
vanakiz@gmail.com
2
Associate Professor of Nursing, Department of Nursing, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
AUTHOR
lila
afsar
lafshar@gmail.com
3
Research administrator, School of Medical Education, Shahid Beheshti University of Medical Science, Thehran, Iran
AUTHOR
Azadeh
Azemian
aazemian@yahoo.com
4
Msc in Medical Education, School of Medical Education, Shahid Beheshti University of Medical Science, Thehran, Iran
LEAD_AUTHOR
1. Elahi, N., Alhani, F, Ahmadi, F,, Challenges to Effective Teaching, Reflection on Experience, and Perceived Nursing: A content Analysis. Journal of Qualitative Research in Health Sciences, 2012. 1(3): p. 229-39 (persian).
1
2. Heshmatinabavi, F., Vanaki, Z,, Effective Clinical Teachers: A Qualitative Study. Nursing Research, 2009. 4(12): p. 39-53 (persian).
2
3. Borhan, F., Alhani F., Mohmadi E., Abasszadeh A., Develop to Nursesing Qualified Professional Ethics, Needs and Challenges in Ethics Education. J Med Ethics Hist Med 2009. 2(2): p. 27-38 (persian).
3
4. American Association of Colleges of Nursing, The Essentials of Baccalaureate Education for Professional Nursing Practice. Erik, Clearinghouse, 1998.
4
5. Hickey, M., Baccalaureate Nursing Graduates' Perceptions of Their Clinical Instructional Experiences and Preparation for Practice. J Prof Nurs, 2010. 26(1): p. 35-41.
5
6. Mehmarian, R., Design and Evaluation of Nursing Clinical Competency Model( thesis PHD nursing),, in Medical school of Tarbiat modares. 2005, Tarbiat modares: Tehran. p. 34-86 (persian).
6
7. Masoudi, R., Afzali, M, Etemadifar, SH, Moghadasi, J,, Self Efficacy and The Role of Nursing and Midwifery Clinical Education Mrbyandanshkdh. Journal of Shahrekord University of Medical Sciences, 2005.(4)10: p. 96-104 (persian( .
7
8. Elo, S., Kyngas, H., The Qualitative Content Analysis Process. J ADV Nursing, 2008. 62(1): p. 107-15.
8
9. AdibHajbagheri M., Parvizi S., and Salali M., Quality Research in Nursing. Vol. 1, Tehran: Boushra.
9
10. Forman J. and Damschroder L., Qualitative Content Analysis.Empirical Research for Bioethics. 2008: Elsevier publishing.
10
11. Holloway I. and wheeler j., Qualitative Research for Nurses. 2002, Australia: Blackwell science.
11
12. Streubert HL. and Carpenter DR., Qualitative Research in Nursing. Fifth ed. 2011: Lippincott Williams & Wilkins.
12
13. Jafari Golestani N., Vanki Z., and Mehmarian R., Effective Strategy for Improving Novice Nurses' Clinical Competence: Nursing Mentors Organizing Committee. Iranian Journal of Medical Education, 2006. 7(2): p. 397-407 (persian).
13
14. VafaeiNajar, A., Abashizadeh A., Karimimovaseghi H., Ebrahimzadeh H.,, The Effect of Improving the Professional Competence of Nursing Managers Based on Performance on Nursing Productivity : A Case Study. Shahed University Journal of Research in Science, 2010. 18(94): p. 37-80 (persian).
14
15. Shamsaei F., Alhani F., and Cheraghi F., Teaching Critical Thinking in Nursing. J Med Educ, 2009. 10(3): p. 312-6 (persian).
15
16. Apker, J., Propp k., Ford W., Hofmeister N.,, Collaboration, Credibility, Compassion And Communication Skill Sets In Health Care Team Interactions. Professional Nursing, 2006. 22(30): p. 180-9.
16
17. Zamanzadeh V., Aminaei N., and Abdolahzadeh F., Professional Attitude Nurse Educators Iran, Journal of Nursing and Midwifery Tabriz, 2008. 15: p. 4-12 (persian(.
17
18. Azimilolati, H., Ashktrab T., Baghrinasami M., Bagerzadehdeldari R.,, Professional Association of Nurses inTeaching Hospitals: A Phenomenological Study. Journal of Mazandaran University of Medical Sciences, 2010. 21(85): p. 108-25 (persian).
18
19. Borhani F., Alhani F., and Abasszadeh A., Students' Perceived Barriers to Obtaining Professional Ethics: A Qualitative Study. Gamhay toseh in medical education, 2010. 8(1): p. 67-80 (persian).
19
20. Nasrabadi A., Lipson JG., and Emami A., Professional Nursing in Iran: An Overview of Its Historical and Sociocultural Framework. J Prof Nurs, 2004. 20(6): p. 396-402 (persian).
20
21. Habibzadeh H., Process in The Nursing Profession: A Professional Development Model Designed (Thesis PHD nursing), in Medical School of Tarbiat Mpdaress. 2009 (persian), Tarbiat Mpdaress: Tehran.
21
22. Sanjari, M., Zahedi F., Ahla M., paymani M., Parsapour A., Aramesh K.,et al., Nursing Code of Ethics. J Med Ethics Hist Med, (1)5. 2010: p. 17-28.
22
23. Borhani F., Abaszadeh A., and Mohsenpour M., Explain the Meaning of Moral Sensitivity in Nursing Students: A Qualitative Study. J Med Ethics Hist Med, 2010. 60(2): p. 93-115 (persian.(
23
24. Mirzabigi, G., Salemi S.,Sanjari M.,Shirazi F., Hidari Sh., Maleki S.,, Job Satisfaction of Iran Nurses. Journal of Nursing and Midwifery, Tehran University of Medical Sciences, 2008. 15(1): p. 49-59 (persian).
24
25. Adibhagbaghery M., Salsali M., and Ahmadi F., A Qualitative Study of Iranian Nurses' Understanding and Experiences of Professional Power. Jornal of Faez, 2004. 29: p. 9-19 (persian).
25
26. Nohi, S., Kohan S.,Haghdost A.,Nazari R.,, Application in Clinical Nursing Courses: Teachers 'and Students' Views of Mazandaran University of Medical Sciences. Journal of Nursing Iran,, 2006. 20(52): p. 1-10 (persian.(
26
27. Heshmatinabavi F., Vanaki Z., and Mohamadi A., Mechanisms for Participation in Clinical Education of Nurses Principals,Teacher's Nurses, and Nurses. Iranian Journal of Medical Education, 2011. 11(6): p. 554-68 (persian).
27
28. Fathyazar E., Valizadeh S., and Zamanzadeh V., Challenges of Nursing Students during Their Study: A Qualitative Study. Iranian Journal of Medical Education, 2005. 7(2): p. 95-103 (persian).
28
29. Malazem, Z., Mohamadhossini S., Karimi Z., Bagherzadeh GH.,, Occupational Stressors and Stressing Factors in The Square o-va Hospitals and Boyer-Ahmad Province. Journal Armaghane Danesh, 2002. 10(39): p. 95-103(persian).
29
30. Milisen, K., Busser, TD., kayaert, A., Abraham I., Casterle BD., , The Evolving Professional Nursing Self-Image of Students in Baccalaureate Program: Across-Sectional survey. Int J Nurs Stud, 2010. 47: p. 688-98.
30
31. Harvey VC. and Mcmurray NE, Students' Perceptions of Nursing: Their Relationship to Attrition. J nurs Educ, 1997. 36(8): p. 383-8.
31
ORIGINAL_ARTICLE
Exploration into causes of unwanted pregnancy: A qualitative study
Background: Pregnancy is a memorable event; but when unwanted, it causes harmful effects on families health specially mothers and their growing babies. Aim: This study aims to understand the causes of unwanted pregnancies. Methods: This qualitative study was conducted in the cities of Ahwaz and Behbahan. Using a purposeful sampling, data were collected from 27 women with direct or indirect experiences of unintended pregnancy. Participants were purposefully selected and sampling was continued until data saturation. Data were gathered through unstructured in-depth interviews. Analysis was done using thematic analysis method. For this purpose, interviews were recorded, transcribed word by word and analyzed concurrently using constant comparison analysis. Reliability and transferability were approved to ensure the rigor of the study. Results: Three main themes were emerged from the data analyses, including: not being happy in their marriage, lack of readiness and perceived inability of having a baby, and the number and characteristics of previous children. Conclusion: The findings provide evidence for women`s experiences of the causes of unintended pregnancy, allowing researchers and policy makers to implement context-based interventions and approaches for vulnerable groups to promote their health. Therefore, qualitative research into men's experiences of the unintended pregnancy of their wives is suggested.
https://ebcj.mums.ac.ir/article_2394_b250b4bbe36009e47f46e3b243554963.pdf
2014-04-01
41
52
10.22038/ebcj.2014.2394
Unintended pregnancy
Experiences
thematic analysis
Qualitative study
mitra
kheiriat
mkheiriyat@yahoo.com
1
MS in Health education, Social determinants of health research centre, School of health, Jundishapur University of Medical Sciences, Ahvaz, Iran
AUTHOR
Fereshteh
Zamani alavijeh
f_zamani@ajums.ac.ir
2
Assistant Professor of Health education, Department of Public Health, Social determinants of health research centre, School of Health, Jundishapur University of Medical Sciences, Ahvaz, Iran
LEAD_AUTHOR
marzieh
araban
araban62@gmail.com
3
Assistant Professor of Health education, Department of Public Health, Social determinants of health research centre, School of Health, Jundishapur University of Medical Sciences, Ahvaz, Iran
AUTHOR
Mortazavi F, Damghanian M., Motaghi Z, Shariati M. Womens Experiences of Unwanted Pregnancy. BEHBOOD. 2012; 15(6):492-503. (Persian)
1
Amani F, Bashiri J, Nahan Moghadam N, Tabrayi Y. Using logistic Regression Models to Examine the Determinants of Unwanted Pregnancy. Qom University of Medical Sciences.2011; 4(1)32-6. (Persian)
2
Ghadi Pasha M, Bashar Doost N, Ghodosi A, Samadi rad B, Nikian Y, Rohparvar R. Evaluation of Obstetricians and Gynecologists and Midwives Involved in Yazd Terms of Therapeutic Abortion legal Abortion and Crime (intentional). Journal - Yazd University of Medical Sciences martyr.2012; 19(2)141-7. (Persian)
3
Tavakoli M, Rafiei GH, Bakhshi H, Moosavi S.M, Shafiei N. Unwanted Pregnancy and Related Factors in 1995 in Rafsanjan. Journal Of Rafsanjan University Of Medical Sciences & Health Services 2001; 1:5-20.(Persian)
4
Mansoori A, Hoseini Sh, Dadgar S . Prevalence and Factors Associated with Unintended Pregnancies in Women of Mashhad. Journal of Medical Sciences Birjand.2008; 16(1)65-71.( Persian)
5
Naghavi M, Badakhsh MH. Evaluation of Unwanted Fertility in the South of Tehran. Journal of MedicaL Council of Iran 1997 ;14: 14-9.( Persian)
6
Poorheidari M, Souzani A, Razavi N .Prevalence and Factors Associated with Unintended Pregnancies in SHahrood City. Quarterly Payesh. 2005; 6(1)63-70. (Persian)
7
Levandowski BA, Kalilani-Phiri L, Kachale F, Awah P, Kangaude G, Mhango C. Investigating Social Consequences of Unwanted Pregnancy and Unsafe Abortion in Malawi: the Role of Stigma. Int J gynaecol obstet. 2012 Sep; 118 Suppl 2:S167-71.
8
Oskuyi F, Peyroyi H. Qualitative Research in Nursing. Tehran: Iran University of Medical Sciences; 2004.
9
Merghati -Khoei E, Zarei F, Taghdisi M, Rajati F, Rahmani A. Divorce From a Divorcee Woman's Perspectives: A Qualitative Study. Journal of qualitative Research in Health Sciences. 2013; 2 (3):234-47. (Persian)
10
Polit DF. Beck CT.Nursing Research: Principle and Methods. Lippincott Williams & Wilkins. Philadelphia. PA. USA. 7th ed. 2003; 305-8.
11
Poorasl M, Rostami F, Ivanbagha R, Torabi S. Prevalence of Unwanted Pregnancy and Multivariate Analysis of Its Correlates in Tabriz City, 2004. .Med Sci J Islam Azad Uni Tehran Med Branch, 2005; 15 (4):201-6. (Persian)
12
Streubert Speziale H.J, Carpenter Dona R., "Qualitative Research in Nursing: Advancing the Humanistic Imperative" 4th Ed, Lippincott Williams & Wilkins, 2006:133-51.
13
Chinichian M, Holakouei Naeini K, Rafiei Shirpak KH.Voluntary Abortion in Iran:a Qualitative Study, Payesh, 2007; 6(3):219-32. (Persian)
14
M Antonia Biggs, Heather Gould, Diana Greene Foster. Understanding why Women Seek Abortions in the US. BMC Womens Health. 2013 Jul 5; 13:29.
15
Finer LB,Frohwirth LF,Dauphinee LA,Singh S,Moore AM. Reasons U.S. Women Have Abortions: Quantitative and Qualitative Perspectives. Perspect Sex Reprod Health. 2005; 37(3):110-8.
16
Belton S, Whittaker A. Kathy Pan, sticks and pummelling: Techniques Used to Induce Abortion by Burmese Women on the Thai Border. Soc Sci Med. 2007 Oct; 65(7):1512-23.
17
Mattauer B, Peyrot D, Aussiloux MT. Repeated Requests for Termination of Pregnancy. Some Socio-cultural and Psychological Aspects, [Article in French]. Contracept Fertil Sex. 1984; 12(4):573-80.
18
Zamani Alavijeh F, Nouhjah S, Kheiriat M, Haghigh zadeh M H. Related Factors of Unwanted Pregnancy and Intention of Women to Continue or Terminate Pregnancy Based on Health Belief Model. Quarterly Payesh. 2012; 11(6):877-85. (Persian)
19
Saha R, Shrestha NS, Koirala B, Kandel P, Shrestha S. Patients Choice for Method of Early Abortion Among Comprehensive Abortion Care (CAC) Clients at Kathmandu Medical College Teaching Hospital (KMCTH). KUMJ. 2007 Jul-Sep;5(3):324-9.
20
ORIGINAL_ARTICLE
The Effect of Family Participation on Mother's General Health and Length of Hospitalization of Premature Neonate
Background: Pressures arising from premature infant care specially hospitalized infant can affect infant's quality of life and health by causing long term destructive effects on family's psychological and physical health. Aim:To investigate the effect of family participation on mother's general health and length of hospitalization of premature neonate. Methods: In this clinical trial 60 primiparous women and their premature infants hospitalized in neonatal intensive care units, were randomly allocated to family participation and control groups. In the experimental group, empowering family in order to particiapte in the infant fundamental care was implemented in the "teaching" and "indepededant practice"phases. Control group received routin care. Mother's general health was measured using Goldberg General Health questionnaire. Data were analyzed by independent t-test and Mann Whitney test using SPSS version 11/5 was done. Results: There was a significant difference between experimental group (21/18±8/95) and control group (35/38±12/99) in terms of Mother's General Health (p<0/01). There was no significant difference in average length of stay between two groups. Conclusion: Family participation in caring of premature infants may increase mothers' general health and can be suggested as a practical method for increasing mother's general health.
https://ebcj.mums.ac.ir/article_2420_4eb371de9d14376937fa6814e335c589.pdf
2014-04-01
53
60
10.22038/ebcj.2014.2420
family participation
Length of stay
General Health
premature neonate
Hamidreza
Behnam Vashani
behnamhr@mums.ac.ir
1
Instructor of Nursing, Department of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Zahra
Askari Hoseini
askarihz2@mums.ac.ir
2
MS in Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
LEAD_AUTHOR
Hasan
Boskabadi
boskabadih@mums.ac.ir
3
Associate professor of Neonatology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Akram
Rezaeian
rezaeiana@mums.ac.ir
4
Instructor of Nursing, Department of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Department of Mother and Child Health. Neonatal Medicine Subspecialty Training Period and on the Terms and Birth. Tehran: Ministry of Health Pub. 2009. (Persian)
1
Johnson S, Ring W, Anderson P, Marlow N. Randomized Trial of Parental Support for Families with Very Preterm Children: Outcome at 5 Years. Arch dis child. 2005 Sep;90(9):909-15.
2
Zelkowitz P, Papageorgiou A, Bardin C, Wang T. Persistent Maternal Anxiety Affects the Interaction between Mothers and their Very Low Birthweight Children at 24 Months. Early hum dev. 2009 Jan;85(1):51-8.
3
Nystrom K, Axelsson K. Mothers' Experience of Being Separated from their Newborns. J Obstet Gynecol Neonatal Nurs: JOGNN / NAACOG. 2002 May-Jun;31(3):275-82.
4
Dadsetan P, Ahmadi Azghandi A, Hasanabadi H. Parenting Stress and Public Health: Research on the Relationship of Parenting Stress the Public Health Nurse and Homemaker Mothers with Young Children. Journal of psychology developmental psychology 2006;7:171-84. (Persian)
5
Griffin T. Family-Centered Care in The NICU. J Perinat Neonatal Nurs. 2006 Jan-Mar;20(1):98-102.
6
Mok E, Leung SF. Nurses as Providers of Support for Mothers of Premature Infants. J Clin Nurs. 2006 Jun;15(6):726-34.
7
Gooding JS, Cooper LG, Blaine AI, Franck LS, Howse JL, Berns SD. Family Support and Family-Centered Care in the Neonatal Intensive Care Unit: Origins, Advances, Impact. Semin Perinatol. 2011 Feb;35(1):20-8.
8
Behnam Vashani HR, Abolfazli M, Boskabadi H. Effect of Non-Nutritive Sucking on Access Time to Independent Oral Feeding and Weight Gain in Preterm Infants. Evidence Based Care 2013;3(3):43-50. (Persian)
9
Noruzi A m, Fallah R. Infancy. 1st ed. Tehran: Andishe; 2011. (Persian)
10
Kligeman R. The Fetus and the Neonatal Infant. Tehran: Ghazijahani; 2011. (Persian)
11
Sheikh Bahaedinzadeh E. NICU Nursing. 1st ed. Tehran: Boshra; 1385. (Persian)
12
O'Brien K, Bracht M, Macdonell K, McBride T, Robson K, O'Leary L, et al. A Pilot Cohort Analytic Study of Family Integrated Care in a Canadian Neonatal Intensive Care Unit. BMC Pregnancy Childbirth. 2013 Jan 31;13 Suppl 1:S12.
13
Smith VC, Steelfisher GK, Salhi C, Shen LY. Coping with the Neonatal Intensive Care Unit experience: Parents' Strategies and Views of Staff Support. J Perinat Neonatal Nurs. 2012 Oct-Dec;26(4):343-52.
14
Bailey JJ, Sabbagh M, Loiselle CG, Boileau J, McVey L. Supporting Families in the ICU: A Descriptive Correlational Study of Informational Support, Anxiety, and Satisfaction with Care. Intensive Crit Care Nurs. 2010 Apr;26(2):114-22.
15
Ortenstrand A, Westrup B, Brostrom EB, Sarman I, Akerstrom S, Brune T, et al. The Stockholm Neonatal Family Centered Care Study: Effects on Length of Stay and Infant Morbidity. Pediatrics. 2010 Feb;125(2):e278-85.
16
Preyde M, Ardal F. Effectiveness of a Parent Buddy Program for Mothers of Very Preterm Infants in a Neonatal Intensive Care Unit. CMAJ. 2003 Apr 15;168(8):969-73.
17
Erdeve O, Arsan S, Yigit S, Armangil D, Atasay B, Korkmaz A. The Impact of Individual Room on Rehospitalization and Health Service Utilization in Preterms after Discharge. Acta Paediatr. 2008 Oct;97(10):1351-7.
18
Fathi Ashtiani A. Psychological Tests - Personality and Mental Health Evaluation. Tehran: Publication of Besat; 2010. (Persian)
19
Saatchi M, Kamrani K, AskarianM. Psychological Tests. Tehran: Publication Viraish; 2010 . (Persian)
20
Bhutta ZA, Khan I, Salat S, Raza F, Ara H. Reducing Length of Stay in Hospital for Very Low Birthweight Infants by Involving Mothers in a Stepdown Unit: An Experience from Karachi (Pakistan). BMJ (Clinical research ed). 2004 Nov 13;329(7475):1151-5.
21
Carvalho AE, Linhares MB, Padovani FH, Martinez FE. Anxiety and Depression in Mothers of Preterm Infants and Psychological Intervention during Hospitalization in Neonatal ICU. Span j psychol. 2009 May;12(1):161-70.
22
Meijssen D JM, Koldewijn K, VanBaar A, Kok J. Maternal Psychological Distress in the First Two Years after Very Preterm Birth and Early Intervention. Early Child Dev Care. 2011;181(1):1-11.
23
Zarbakhsh Bahari MR, Hoseinian S, Afrooz G, Hooman H. The Comparison of Many Biological Characteristics, Economical Conditions, General Health of Mothers with Low and Normal Birth Weight at Gilan Province. Journal of Faculty of Tehran University of Medical Sciences. 2012;5(5):67-78. (Persian)
24
Jafari S, Alaei F, Rasoli M. Zaeri F. The Effect of Growth Opportunities for Parents Program on the Anxiety and Stress of Mothers with Premature Infants Hospitalized in the Neonatal Intensive Care Unit. Journal of Institute of Health Sciences of Jehad Daneshgahi 2011;17(5):253-8.
25
ORIGINAL_ARTICLE
The effect of continuous care model on quality of life of patients after coronary angioplasty in Bou Ali Sina hospital
Background: Due to high prevalence of coronary artery disorders and increasing need for surgical interventions, especially angioplastic surgery, it is expected that the quality of life increases to an acceptable level with this surgery; although studies have shown an unremarkable development in this regard. Aim: To determine the effect of continuous care model on the post-angioplasty patient’s quality of life. Methods: This clinical trial study was performed in Bou Ali Sina hospital of Qazvin in 2012 on 93 candidates of angioplasty, which were divided into two groups entitled experiment and control with random allocations. Continuous care model was applied on the experiment group for period of two months. For data collection, demographic checklist and “MacNew quality of life” questionnaire in three stages were used .Data were analyzed with paired t-test, chi-square and repeated measure ANOVA. Results: In the experiment group, the average score of the quality of life before the intervention was 126 ± 3.1, while it was 132 ± 3.05 after one month, and 147 ± 2.6 after two months. The same scores for the control group were114 ±3.7, 104 ± 3.6 and 110 ± 3.8, respectively. The average score in physical, emotional and social domains of the quality of life showed significant difference in the experience group (p<0.001). Conclusion: The results confirmed the positive effect of applying continuous care model on the score of post-angioplasty patients’ quality of life.
https://ebcj.mums.ac.ir/article_2396_8d8dc1c90b625b7b278e39fde2c74079.pdf
2014-04-01
61
70
10.22038/ebcj.2014.2396
Model
Continuous Care
Quality of life
Coronary Angioplasty
MacNew
mohammad mahdi
Daei
mmdamir@yahoo.com
1
Assistant professor in Cardiovascular Medicine Department, School of medical, Qazvin University of Medical Sciences, Qazvin, Iran
AUTHOR
Reza
Zeighami
behsare@gmail.com
2
Assistant Professor of Nursing, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
AUTHOR
zahra
arjeini
z.arjeini@yahoo.com
3
Ms in critical care nursing, School of nursing and midwifery, Qazvin University of Medical sciences, Qazvin, Iran
LEAD_AUTHOR
Mahmood
Alipour Heidari
mahmood_alipour2001@yahoo.com
4
Assistant professor in Biostatistics Department, School of medical, Qazvin University of Medical Sciences, Qazvin, Iran
AUTHOR
Jamshidi N, Abbaszadeh A, NajafiKalyani M, the Effects of Video Education on Comfort and Tolerability of Patients Undergoing Coronary Angiography. Iranian Journal of Nursing Research 2010;5(16):38-44 (Persian)
1
HarissonTinsely Randolph. Harrisons Principles of Internal Medicine (Cardiovascular system) 2005.Translated by Mousavy M, Rahmany G and Salary A.Tehran: Samat. 2005:380
2
Hatmi ZN, Tahvildari S, Gafarzadeh-Motlag A and Sabouri-Kashani A. Prevalence of Coronary Artery Disease Risk Factors in Iran: A population based survey. BMC Cardiovasc Disord. 2007; 7: 32. Published online Oct 30, 2007. doi: 10.1186/1471-2261-7-32
3
http://behdasht.gov.ir/index.aspx?siteid=1&pageid=27467&newsview=16754&pro=nobak, Accessed Jul 9,2012
4
Ahmadi F.Design and evaluation of continuous care model in control of coronary arteryproblems. Ph.D Dissertation, TarbiatModares University 2002 (Persian).
5
Apostolakis E, Merkouris A, Pistolas D, Papagiannaki V, and Diakomopoulou E, Patiraki E. Quality of Life after Coronary Artery Bypasssurgery in Male Patients: 1 year follow up 2006.www.nursing.gr/cabg
6
Buffon A, liuzzo G, Biasussi LM, etal. Preprocedural Serum Level of C - reactive protein Predict Early Complications and Late Restenosis after Coronary Angioplasty. J Am collcardiol 1999;34:1512-21
7
L.Marino Paul٫The ICU Book٫Third edition 2007
8
Lukkarinen H. Quality of life in Coronary Artery Disease. Nursing Research 1998;48:337-42
9
The World Health Organization Quality of Life Assessment (WHOQoL). Development and General Psychometric Properties. Soc Sci Med Jun 1998;46(12):1569-85
10
Mi-Jeong K, Doo Soo J, Hyeon-Cheol G, Soo-Joong K, Kiyuk Ch, Hyo-Soo K, Seung-Jea T. Health-Related Quality-of-Life after Percutaneous Coronary Intervention in Patients with UA/NSTEMI and STEMI. the Korean Multicenter Registry http://dx.doi.org/10.3346/jkms .2013.28.6.848 • J Korean Med Sci 2013; 28
11
Sadeghi Sherme M, Razmjooei N, Ebadi A, Najafi Mehri S, Asadi-Lari M, Bozorgzad P.
12
Effect of Applying Continuous Care Model on Quality of Life of Patients after Coronary Artery Bypassgraft. Iranian Journal of Critical Care Nursing 2009; 2(1):1-6 (Persian)
13
Ghavami h, Ahmadi F, Meamarian R, Entezami h, FaghihZadeh S.
14
Effectiveness of Applying Continuous Care Model on Diabetic Patients Body Mass Index and Weight. Ofogh-e-danesh, Journal of Gonabad University of Medical Sciences And Health Services 2006; 12(2):10-5 (Persian)
15
SadeghiSherme M, AlaviZerang F, Ahmadi F, KarimiZarchi A, Babatabar H. D, Ebadi A. Effect of Applying Continuous Care Model on Quality of Life in Heart Failure Patients. Journal of Behavioral Sciences 2009;3 (1):3-4 (Persian)
16
Rahimi A. Effect of Follow-up Care Model on Quality of Life Hemodialysis Patients. [Master Thesis]. Tehran: Tarbiat Modarres University; 2005 (Persian).
17
Mehdizade S. Effect of Applying the Model to Followup Care on Quality of Life in Chemical Injured Patients with Obstructive Bronchiolitis [Master Thesis]. Tehran: Baqiyatallah University of Medical Sciences; 2008 (Persian).
18
Hofer S, Lim L, Guyatt G, Oldridge N. The MacNewheart Disease Health-Related Quality of Life Instrument. Health QualLife Outcom 2004;2(3) Available from: http://www.hqlo.com doi:10.1186/1477-7525-2-3
19
Jafari M. Validation of the Quality of Life MacNew Questionnaire for Cardiac Patients. [Dessetation]. Isfahan: Khorasgan University 2004 (Persian).
20
Daskapan A, Hofer S, Oldridge N, Alkan N, Muderrisoglu H, Tuzun E. The Validity and Reliability of the Turkish Version of the MacNew Heart Disease Questionnaire in Patients with Angina. J Evalu Clin Practice 2008;14(2):209-13
21
Bagheri H. Effects of Group Counseling Program Onquality of Life of Patients with Myocardial Infarction Referred to Clinics Affiliated to Tehran Medical Universities' Hospitals [Master Thesis]. Tehran: TarbiatModarres University 2001(Persian).
22
Asadi-Lari M, Javadi H, Melville M, Martin R, Oldridge N, Gray D. Adaptation of the MacNew Quality of Life Questionnaire after Myocardial Infarction in an Iranianpopulation. Health Qual Life Outcom 2003; 1:23 Availablefrom: http://www.hqlo.com.
23
Salar AR, Ahmadi F, FaghihZadeh S. Study of Effectiveness of Continuous Care Consultationon the Quality of Life of Elderly Clients. Tabibeshargh Journal 2004;5(4) (Persian)
24
Ahmadi F, Ghofranpour F, Abedi HA, Arefi SH, Faghih-zadeh S. The Effect of Continuous Consultation Care Model on Rehospitalization and Chest Pain in Patients with Coronary Artery Disease. The Journal of Qazvin Univ. of Med. Sci 2005;35 (Persian)
25
KhayamNekouei Z, Yousefy A, Manshaee Q. The Effect of Cognitive-Behavioral Therapy on the Improvement of Cardiac Patients' Life Quality. Iranian journal of Medical Education 2010; 10(2):148-54. (Persian)
26
Furuya RK, Mata LR, Veras VS, Appoloni AH, Dantas RA, Silveira RC, Rossi LA. Original Research: Telephone Follow-Up for Patients After Myocardial Revascularization: a Systematic Review. Am J Nurs 2013 May;113(5):28-31
27
Harkness K, Smith KM, Taraba L, Mackenzie CL, Gunn E, Arthur HM. Hamilton Health Sciences, Ontario, Canada. Effect of a Postoperative Telephone Intervention on Attendance at Intake for Cardiac Rehabilitation after Coronary Artery Bypass Graft Surgery Heart Lung.The Journal of Acute and Critical Care, 2005 May-Jun; 34(3):179-86
28
ORIGINAL_ARTICLE
Comparaing the effect of Nitroglycerin and Clobetazol Ointments on Prevention of Superficial Intravenous Catheter Induced Phlebitis
Background: Although intravenous injection is nowadays one of the common invasive procedures in medical care, but like any other procedure, it has a lot of side effects. Phlebitis is the most common complication and one of the therapeutic aims is to prevent it. Aim: The aim of this study was to compair the effect of Clobetasol with Nitroglycerin ointment on the prevention of superficial IV Catheter induced phlebitis. Methods: This clinical trial study was conducted on 144 patients admitted in men surgery ward in Arak Valiasr hospital in 1392. Patients were randomly allocated into three groups: Group A (Clobetasol), Group B (NTG) and Group C (Control). Severity of phlebitis was measured using the standard visual rating scale. In intervention groups, after venipuncture, ointment were administered on the distal portion of IVcatheter and the area was dressed. The venipuncture area was assessed 24, 48 and 72 (hrs) after venipuncture. Data were analyzed by chi-square, Fisher's exact and Kruskal-Wallis statistical tests and using spss19. Results: There was no significant difference among three groups in terms of severity of catheter induced phlebitis in the first and second measurements. In the third measurement there was a significant difference among intervention and control groups (P < 0/007) and the severity of catheter induced phlebitis was reduced more in NTG group comparing Clobetasol group. Conclusion: The use of Nitroglycerin in prevention of superficial, IVcatheter induced phlebitis is more effective than Clobetasol. It is suggested that Nitroglycerin can be administered to prevent phlebitis in patients who need to have IVcatheter for a long time (over 48 hours).
https://ebcj.mums.ac.ir/article_2421_5ff44b859f542d6aa09084540622caf5.pdf
2014-04-01
71
80
10.22038/ebcj.2014.2421
Clobetasol
IVcatheter
Nitroglycerin
Phlebitis
Hamid
Akbari
akbari.5008@yahoo.com
1
Postgraduate student, Master of critical nursing Sciences, Department of Nursing, School of Nursing and Midwifery, Lorestan University of medical sciences,Khoramabad, Iran
AUTHOR
Shahin
Raufi
shahinraoufi@lums.ac.ir
2
Instructor of nursing, Department of Nursing, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khoramabad, Iran
LEAD_AUTHOR
Davood
Hekmat po
hekmatpou@yahoo.com
3
Assistant Professor in nursing, Department of Nursing, School of Nursing and Midwifery, Arak University of Medical Sciences, Arak, Iran
AUTHOR
Khaterh
Anbari
dr.anbari@gmail.com
4
Assistant Professor in Community Medicine, School of Medicine, Lorestan University of Medical Sciences, Khoramabad, Iran
AUTHOR
1. Borzo S, Salavati M, Zandieh M, Zamanpour A. The Effect of Sterilegauze Bandage on Preventing of Phlebitisand local Infections due to Intravenous Catheter. JGUM.2003; 5(12):71-6 (Persian).
1
2. Sarani B, Ahmadi F, Dabiri S. Comparison of Alcohol, Betadineand Alcohol-Iodine in the Incidence of Complications Venous Catheter. JANM.2000:17(Persian).
2
3. RazaviM, etal. Assess of Superficial Thrombophlebitis from the use of Intravascular Devices and its Influencing Factors in Patients at Shariati Hospital. First National Congress of Public Health and Preventive Medicine. December of 2000 (Persian).
3
4. Hockenberry MJ. Wilson d .WS. Nursing Care of Infant and Children. 9th. St. Louis. Missouri: Mosby 2011.
4
5. Koh DB. Exploration of the Patterns of Microbial Colonization of Intravascular Devices in Severely Ill Patient .2011eprints.utas.edu.au/12482.
5
6. Behrman RE. Klieg man, RM. Jason, HB. Nelsons text book of Pediatrics .Philadelphia: WB. Saunders co, 2008.45 (18).
6
7. Foster L, Wallis m, Paterson B, Tames H .A Descriptive Study of Peripheral Intravenous Catheters in Patients Admitted to a Pediatric Unit in One Australian Hospital. JIN. 2002. 25)3(:159-67.
7
8. Hadaway L. JIN, 2012 .35(4):230-40.
8
9. Potter PA, Perry AG. Basic Nursing – A Critical Thinking Approach. 4th ed. Philadelphia: Mosby Company; 2004:856-81.
9
10. Taghinejad H, Asadizaker M, Tabesh H. (A Comparative Analysis of the Effects of Betadine and Alcohol as Sterilizers on the Complications of Intravenous Catheters. JIU M2005; 13(4): 10-6 (Persian).
10
11. DastgerdiM. Prevalence of Complications in Hospitalized patients by Intravenous Injection of Medical Sciences.MS Thesis.Tarbiat Modarres University, 1900:5-2 (Persian).
11
12. AslaniY.Asses of Phlebitis Caused by Intravenous Catheter in Internal and Surgical Patients Hospitalizedin Kashan and Hajar Hospitals. JSUM.1999; 3:44-8 (Persian).
12
13. GhadamiA. Comparison of Prevalence and Risk of Phlebitis in Patients with Intravascular Devices Interms of in Sertiontime 24, 48 ,72 and 96 hours.AMUJ 2000; 3(4):27-30 (Persian).
13
14. Tushida T (et al). The Effectiveness of a Nurse Initiated Intervention to Reduce Catheter-Associated Blood Stream Infections in an Urban Acute Hospital: an Intervention Study with Before and After Comparison. IJNS. 2007, pp: 44.
14
15. Webster J, Gillies D, O’Riordan E, Sherriff KL, Rickard CM. Gauze and Tape and Transparent Polyurethane Dressings for Central Venous Catheters (Review).2011: 4
15
16. Grady NP, Alexander M, Dellenger EP. Guidelines for the Prevention of Intravascular Catheter-Related Infections. MMWR. 2002; 51(RR10): 1-26.
16
17. Waitt C et al. Intravenous Therapy. Postgraduate Medical Journal.2004; 80(939):1-6.
17
18. Singhal AK et al. Recent Advances in Management of Intravascular Catheter Related Infections. IJMPO.2004; 26(1):31-40.
18
19. Rigdon Ro. Protocols for the Prevention of Intravascular Device – Related Infections. Critical Care Nursing. 2001; 24: 39-47.
19
20. Robert A. Heparin Sodium Versuse 0.9% Sodium Chloride Injection for Maintaining Patency of Indwelling Intermittent Infusion Devices. Clinical Pharmacy. 1988; 7: 439-43.
20
21. Khawaja HT, James J, Payne J. Survival of Peripheral Intravenous Infusion. BMJ. 1992;
21
304(18): 1053-4.
22
22. Callaghan S, CopnellB, jahson L. Comparison of Two Methods of Peripheral Intravenous Cannula Securement in the Pediatric Setting.JIN. July/August 2002. 20(4):256-64.
23
23. Bayati A. Asses of Predisposing Factors of Phlebitis in Children Receiving Intravenous Fluid in Hospitalized Covered by Tehran University. JAD. Winter1999 (Persian).
24
24. KaradagA, Gorgulu S. Devising an Intravenous Fluid Therapy Protocol and Compliance of Nurses with the Protocol. JIN2000; 23 (4): 232-8.
25
25. Roberts Gw, Holmes MD, Staugas RE, Day RA, Finlay CF, Pitcher A. Peripheral Intravenous line Survival and Phlebitis Prevention in Patients Receiving Intravenous Antibiotic: Heparin / Hydrocortisone Versus in Line Filters. AnnPharmacother1994; 28 (1):6-11.
26
26. Heker JF. Potential for Extending Survival of Peripheral Intravenous Infusions. Br Med J 1992; 304: 619-24.
27
27. Becherucci A, D Bagilet, J Marenghini, M Diab& H Biancardi: (Effect of Topical and Oral Diclofenac on Superficial Thrombophlebitis Caused on Superficial Thrombophlebitis Caused by Intravenous Infusion). Med Clin (Barc). 2000.114(10):371-3
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28. Bolander VB, Sornson, Luckman S. Basic Nuring a Psychophisiologic Approch. 3th edition. Philadelphia. WB.Saunders Co. 1994; 985-355.
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29. Katzung BG. Basic and Clinical Pharmacology. 11th ed. California Appelton&Lange; 2009:182 349.
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ORIGINAL_ARTICLE
Pyogenic Liver Abscess as a Fatal Complication of Colonoscopy: a case report
Background: Colonoscopy is a safe and routinely-performed diagnostic and screening procedure for different colorectal diseases. The diagnostic and screening colonoscopy for is different for colon diseases. In order for colonoscopy, colon cleansing is required to prepare a detailed view into the intestinal lumen. Aim: This is a case report study of a patient with multiple pyogenic liver abscesses following colonoscopy (unprep). Methods: After studying hospital records of patient in GI section of Imam Reza Hospital and searching the websites, pubmed, Scopus, and Medline, we found no earlier reports of liver abscess after colonoscopy. Results: A diabetic patient suffered from fever, abdominal pain and drowsiness following unprepared full colonoscopy with biopsy. In laboratory tests leukocytosis with a shift to left and coagulopathy were reported. CT scan showed multiple pyogenic liver abscesses. The patient received broad-spectrum intravenous antibiotics and hydration, but after 96 hours, the patient did not respond to supportive treatment and died due to septic shock. Methicillin-resistant staphylococcus aureus was reported in blood culture. Conclusion: Although colonoscopy is a convenient and relatively safe diagnostic procedure, doctors should always consider rare complications of colonoscopy, especially in patients with risk factors such as diabetes mellitus, immunodeficiency and malignancies of the liver and liver transplantation. In addition, complete colonoscopy and other diagnostic procedures such as biopsy or polypectomy in patients with inadequate bowel preparation for colonoscopy should be avoided.
https://ebcj.mums.ac.ir/article_2270_829f3d7a2a8b98fada41cd1d89ede7eb.pdf
2014-04-01
81
86
10.22038/ebcj.2014.2270
pyogenic liver abscess
Colonoscopy
Diabet mellitus
Mohammad Reza
Sheikhian
sheikhianmr2@mums.ac.ir
1
Assistant Professor of Gastroentrologists, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
LEAD_AUTHOR
Mahmoud Reza
Mohajer koohestani
2
Asistant of Internal Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Robabeh
Parhizi
fahp1@yahoo.com
3
Nurse, department of endoscopy, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
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