فهرست مطالب سیده رقیه حسینی

The principle of ‘Priority the corruption prevention on expediency attracting’ is one of Fiqhi principles which has been cited in various Fiqhi and Usuli issues, but not independently examined. With a descriptive-analytical approach, this study shows that although some contemporary thinkers have denied the implementation of this principle in legal issues, there are many reasons for its validity. The false imagination which says that the concept of this principle is the priority of absolute corruption on absolute expediency is the most important origination of denial of that principle. Since this principle is concerned with genus and nature of corruption and expediency, it is not inconsistent to give priority to one of the expediency’s items for another reason over corruption. With this explanation, it is clear that this principle come up under Aham (the most important) principle. In such a way, what is the most important one takes precedence in the conflict between corruption and expediency, and corruption prevention takes precedence in the case of equality.

Patients undergoing mechanical ventilation have verbal communication deficits due to endotracheal intubation. As there is s trend towards light sedation patterns nowadays, communicating is considered to be one of the major challenges for these mechanically ventilated patients. The purpose of this study was to describe the communication experiences of mechanically ventilated conscious patients in the intensive care units.

In this study, the phenomenological method was used to explain the experiences of conscious patients undergoing mechanical ventilation communication in the intensive care unit of Imam Khomeini Hospital in Urmia. For data collection, 10 participants who had at least 24 hours of mechanical ventilation consciousness in the intensive care unit were interviewed over a 6-month period in 2019-2018. The researchers used the Colaizzi method to analyze the data and in order to facilitate the classification of the primary codes, the MAXQDA version 10 software was used.

From the primary codes, the two main themes of "psychological suffering" and "resilience" were formed. The main themes of psychological suffering included the sub-themes of "fear of deprivation" and "being ignored by others" and the main theme of resilience included the sub-themes of "understanding the role of care providers and family" and also the "use appropriate alternatives".

Mechanically ventilated conscious patients are in an effort to increase communication, and when health providers continue to communicate with these patients, a sense of hope, increased levels of self-esteem and controlling conditions is developed in patients.

Mechanical ventilation devices are widely used to treat patients who are in critical conditions. Although the use of mechanical ventilation devices has unique advantages for the patient، but on the other hand، it creates a variety of problems، including the inability to verbal communication and anxiety. This study intends to investigate the impact of using communication boards to reduce the anxiety of conscious patients undergoing mechanical ventilation hospitalized in the intensive care unit. In this Quasi-experimental Study، 30 conscious patients undergoing mechanical ventilation hospitalized in the intensive care unit were enrolled consecutively، and they were randomly assigned to intervention and control groups. The control group (15 patients) was using routine methods for communication while in the intervention group (15 patients)، the communication board was given to patients to communicate. Completing Sigmund Hospital Anxiety and Depression Questionnaire was performed 24، and 72 hours after intubation for both groups. Significance level of statistical tests was considered 5%. The case study of two groups was homogenous in terms of age and sex. Statistical analysis of anxiety scores showed that after the intervention there were significant differences between intervention and control groups (p=0/003). Statistical results showed that anxiety decreased in both groups over time، but it decreased significantly in the intervention group than the control group (p=0/000). The use of a communication board in conscious patients undergoing mechanical ventilation can reduce anxiety.