فهرست مطالب azim azizi

Heart failure is one of the most common chronic, progressive and debilitating heart disorders that has a destructive effect on self-care and quality of life of these patients. This study was conducted with the aim of Comparing the effects of self-care education by two in-person and virtual methods on Self‐care and quality of life among patients with heart failure.

This three-group clinical trial study was conducted with the participation of 120 patients with heart failure in Farshchian Hospital at Hamadan.Demographic, self-care and quality of life questionnaires of heart failure patients were completed by self-report before the intervention. The control group received only the routine training of the clinic, the in-person education group received self-care training in 4 one-hour group sessions, one day apart., and the virtual group received the same amount of education in the form of educational clip, and two months after intervention, the questionnaires were completed.

The results showed that before the intervention, there was no statistically significant difference between the demographic variables, self-care and quality of life of the patients in the three groups (p > 0.05). After the intervention, no statistically significant difference was observed between the virtual and in-person education groups in terms of self-care and quality of life (p>0.05).

Both virtual and in-person education methods had the same effect on self-care and quality of life. If the conditions for in-person education are not available, virtual training can be substituted for it.

Patients with heart failure experience poor self-care and diminished quality of life (QOL). Enhancing the well-being of these patients necessitates the implementation of innovative educational methods. To determine the effects of education based on Leventhal's self-regulation model on self-care and QOL in patients with heart failure. This clinical trial was conducted with 100 patients hospitalized with heart failure at Farshchian Hospital in Hamadan, Iran. Subjects were selected using consecutive sampling and assigned to either an intervention group or a control group, using the randomized block permutation method. Prior to and two months after the intervention, patients completed the self-care questionnaire for heart failure patients and the Minnesota Quality of Life questionnaire. The control group received routine ward education, whereas the intervention group participated in an educational program based on the Leventhal model. Data were analyzed using the chi-square, Fisher's exact, paired t, and independent t tests. The two groups were homogeneous in their characteristics. The independent t-test showed no significant difference in mean baseline self-care and QOL scores between the intervention and control groups (P > 0.05). However, after the intervention, there was a significant difference (P < 0.05), with the intervention group showing an increase in self-care and QOL compared to the control group. Education based on Leventhal's self-regulation model resulted in improvement in self-care and QOL in patients with heart failure. It is recommended that this model be used in the education of patients with heart failure.

Peripheral neuropathy due to chemotherapy is one of the serious complications of chemotherapy and its negative effects on various aspects of patients' lives can not be denied. The aim of this study was to determine the quality of life of the elderly with peripheral neuropathy due to chemotherapy in selected educational and medical centers of Iran University of Medical Sciences in 2016.

The present study was a cross-sectional (descriptive) study. The study population was the elderly with chemotherapy-induced peripheral neuropathy referred to the educational and medical center of Iran University of Medical Sciences. 170 people were selected by continuous sampling method. Data collection tools included demographic characteristics form and Lipad quality of life questionnaire (LEIPAD) and research data were completed during 3 months (from September 1399 to November 1399). Data were analyzed using descriptive and inferential statistics using SPSS software version 16 at a significant level (P<0.05).

The average quality of life of the elderly based on the total score was 59.37 14 14.29 (high quality of life) and based on zero to one hundred was equal to 63.84 15 15.37. The highest score was related to the mental function dimension with a score of 86.06 19 18.19 and the lowest score was related to sexual function with a score of 9.5 18 18.11. The results showed that the quality of life of most elderly people was at a high level (81.8%). Quality of life of the elderly with gender (P=0.003), comorbidities (P=0.045), income adequacy (P=0.002), employment status (P<0.001) and duration of illness (P=0.019) had a statistically significant relationship. The results of linear regression showed that the variables of employment status (unemployed) (P=0.041), duration of illness (P=0.033) and comorbidities (P=0.030) significantly affected the quality of life of the elderly Has had an impact. Findings showed that 0.22% of changes in quality of life can be explained by independent variables.

Considering that the research samples were more than the young elderly group, ie between 60 and 74 years old, and were not very old and disabled, and a significant percentage of them were married and benefited from family support, far from It was not expected that their quality of life would not be overshadowed and assessed as desirable, despite facing a cancer crisis, chemotherapy intervention, and neuropathic symptoms. However, the quality of life in the sexual dimension was poorer, which requires counseling interventions and more attention from health planners.

To determine the effects of foot massage on pain severity during in unconscious trauma patients admitted to the intensive care unit (ICU). In this randomized clinical trial (RCT), 80 unconscious trauma patients admitted in the ICU of a hospital in an urban area of Iran were included using the convenience sampling method. They were randomly assigned to the intervention and control groups (n=40 in each group). In both groups, the intensity of pain was measured immediately, 10 minutes after the first change position and without any intervention before the change of position using the Critical Care Pain Observation Tool (CCPOT). In the intervention group, before the second position change, classic foot massage was performed for 20 minutes, but the control group received routine care. Pain was re-evaluated after the change position at desired times. The pain intensity was compared between the two study groups. The baseline characteristics were comparable between the two study groups and no difference was found. There was no statistically significant difference between the mean scores of pain after the change of position (immediately and ten minutes later) before the intervention in the groups (p=0.915 and 0.660, respectively). However, after the intervention, the pain intensity was significantly lower in the intervention groups compared to the control group (p<0.001). Foot massage decreases the pain intensity related to the change of position in unconscious trauma patients admitted in the ICU. Due to its simplicity and low cost, this method can be used along with analgesic drugs to reduce pain in patients. Clinical trial registry: IRCT2016121031327N1

Patients undergoing spinal column surgery, experience severe postoperative pain. One of the special methods of pain control is use of a patient-controlled analgesia (PCA) pump. Studies show that despite this pump, patients suffer from moderate to severe pain. Therefore, the teaching patients how to use the pump by nurses is essential. Therefore, the present study was conducted to determine the effect of patient education about patient-controlled analgesia pump preoperative on severity of pain, nausea and vomiting after spinal column surgery.

The present study was a randomized controlled trial during which 60 candidate patients of Spinal column surgery hospitalized in Shahid Fatemi hospital in Ardebil, were selected by accessible method and randomly assigned into two groups of 30 individuals, intervention and control group. Both groups received routine training in the use of the pump in the recovery department, but the intervention group received a 15-minute face-to-face intervention session using a sample of the PCA pump. Postoperative pain intensity, nausea, and vomiting in three times, 2, 4, 24 hours after surgery were assessed and compared. SPSS 16 was used to analyze the data.

The findings showed that there was a significant difference between the control and intervention groups regarding the severity of pain in times of 2, 4, and 24 hours postoperative (P<0.001). Pain severity in intervention group was decreased compared to control group. However, there was no significant difference in nausea and vomiting frequency between the two groups (P>0.05).

Training the use of patient-controlled analgesia pump before operation, without changing the severity of nausea and vomiting, reduces pain after spinal column surgery. Therefore, it is recommended that the way of using the pump, be taught before operation.

Pain is one of the common problems in burn patients. Inhalation aromatherapy is one of the nurses' methods for pain management. However, there is not much information available about the effect of these methods on pain in burn patients. This study aimed to evaluate the effect of inhalation aromatherapy with Lavender essence on the pain intensity in burn patients.   The present study was a single-blind, three-group clinical trial. The research population consisted of patients with burns in one of Hamadan hospitals. One hundred and twenty patients were selected using convenience sampling and randomly assigned into three groups of lavender, placebo and control groups. The intervention included inhalation of 10 drops of lavender extract in the examiation group, 10 drops of distilled water in the placebo group, for one hour before wound dressing, and routine care in the control group. Pain in patients was evaluated before, immediately after intervention (before dressing), and after dressing using a visual analogue scale. The data were analyzed using SPSS 21 and one-way and repeated measures ANOVA with significant level of P<0.05.   Demographic variables were similar in all three groups. There was a significant difference between the mean pain intensity in the groups after intervention (P<0.05), which was significant between the lavender group with placebo and control group (P<0.05). There was not a statistically significant difference between the control and placebo groups (P=0/443).   The use of lavender aroma can reduce short-term pain of burn patients. Therefore, the use of lavender aroma is recommended in short term pain by medical staff and nurses.

Nursing interventions have a direct impact on patients’ clinical status. Nurses should be aware of the dangers of intubation tube suction and have continuous training in this field. The aim of this study was to determine the effect of education standard suction with small group on nurses’ performance in intensive care unit. This was a quasi-experimental study which was conducted before and after intervention in 2017. The statistical population included 40 nurses working in the intensive care unit who were selected by convenience sampling. First, nurses’ performance in the suction process was evaluated by a standard checklist in an imperceptible way. Then, standard suction training was performed in three sessions of one hour using the small group discussion method. One month after training, nurses’ suction function was evaluated again and analyzed by SPSS16. The mean of standard suction score after training (64.4 ± 3.7) was significantly different from the pre-training (58.5 ± 3.5), which is statistically significant (t-test) (P>0/05). The results showed that nurses’ function in the area of suction needs more attention. In order to improve the clinical performance of nurses, the use of training in small groups is useful. Therefore, training courses in small groups should be offered in the form of in-service nursing courses

Newly graduated nurses experience many stressful situations during transition to practice. The provision of emotional support from more experienced nurses can ameliorate such work-related tension. Studies have not clearly specified the means through which such support could be most effectively provided; therefore the present study was conducted to explore the experiences of qualified nurses around the provision of emotional support to newly graduated nurses.
This qualitative study was conducted through semi-structured interviews with 18 qualified nurses. A purposive sampling approach was used for selection of participants. Interviews were transcribed verbatim and analyzed by the conventional content analysis method. The study took place from 2014-2015 in six teaching hospitals in the northwest of Iran.
Emotional supports emerged in four following main-categories: Assurance, creating a sense of relaxation and security, lifting spirits, and emotional belonging and involvement.
These results can help to establish an effective source of emotional support for newly graduated nurses. This can play an important role in reducing their stress and anxiety, in increasing their self-confidence and in forming a constructive relationship between them and qualified nurses.

Hypothermia is the most promising therapy care in infants with birth asphyxia. However, during cooling period brain temperature fluctuation will leads to cerebral edema and subsequently adverse effects on hemodynamic status and brain development. Therefore, this study was conducted to comparison of outcomes of hypothermia in tow cooling Methoead of total and head in nonates with asphyxia. Our Study was a desciptive comparative research, in which 50 infants with birth asphyxia were selected using convenient sampling method from a teaching hospital in Tabriz. These babies underwent head cooling up to target rectal of 34-35 °c temperature and total body cooling up to target rectal of 32.5-33.5 °c temperature. They remained in this temperature for 72 hours and then it was gradually increased during 8-12 h to 36.5 °c. During the cooling period possible of short-term side effects were observed and mortality was assessed. Data analyzed using SPSS v.17 and descriptive-analytical statistics. According to findings, the mean time to start cooling newborns in head cooling group was 5±1.6 hours and in total body cooling group was 4.5±1.8 hours after delivery during cooling temperature fluctuation in head cooling was about 0.37°c and in total body cooling was about 0.41°c. Meanwhile, in head cooling group, seizure with 19 persons (76%) and pulmonary hemorragia with 2 persons (8/%) and in total body cooling group seizure with 21 persons (84%) and pulmonary hemorragia with 3 persons (12/%), were respectively the most and the least common short time side effects. Hypothermia related complications did not differ significantly between the two groups (p<0.05). Findings showed that there is no significant difference between the two groups in short term complications of hypothermia and mortality rate in neonates with birth asphyxia Thus, hypothermia can be one of the most effective therapeutic approaches to increase survival rate and quality of life of infants with birth asphyxia.

Under sedation and over sedation cause several problems for critical care patients. There are no truly validated instruments for monitoring intensive care unit sedation. The purpose of this study was to determine the validity and reliability of Glasgow Coma Scale Modified by Palma and Cook in adult patients hospitalized in intensive care unit by untrained evaluators. The study is analytical. After translating the English version of (GCSC) into persian through international Quality of life assessment method, eight surveyors (principle investigator (PI), six nurses and one resident anesthesiologist), 70 patients hospitalized in Critical Care Unit were selected through purposeful sampling. PI and all investigators evaluated the patients independently and recorded a GCSC score. In addition, the PI marked a 10cm Visual Analog Scale and recorded Richmond sedation agitation score in order to determine of validity GCSC. Evaluators had not received training about Glasgow Coma Scale Modified by Palma and Cook. Interclass correlation coefficient between inter-rater in untrained group for Glasgow Coma Scale Modified by Palma and Cook showed 0.898 and the weighted kappa score for interrater agreement was 0.894with, P>0.001. Also positive and significant (P<0.001) correlations between GCSC score with visual analog scale (r=0.91), with Richmond sedation agitation scale (r=0.897) and with Glasgow Coma (r= 0.897) were observed. Validity and reliability of Glasgow Coma Scale Modified by Palma and Cook for assessing the level of sedation in adult patients hospitalized in intensive care can be approved even by untrained evaluators.