فهرست مطالب mohammad goudarzi rad

Auditory stimulation is a treatment method for sensory deprivation of comatose patients, which helps wake up the patient by activating the choroid plexuses in the brain.

This study aims to determine the effect of auditory stimulation with occupational noise on the consciousness level of comatose patients with traumatic brain injury (TBI).

This clinical trial was conducted on 50 comatose patients with TBI hospitalized in intensive care units of one of the hospitals in Qom City, Iran. They were randomly assigned to two groups of control (n=25) and intervention (n=25) using the block randomization method. The intervention group received auditory stimulation with occupational voice for 10 days in the morning and evening shifts, each for 15-20 minutes. The consciousness level of patients was evaluated before and after stimulation using the Glasgow Coma Scale (GCS). The obtained data were analyzed using descriptive statistics, the Chi-square test, the independent t test, and the generalized estimating equations model.

The Mean±SD ages of the patients were 35.92±14.68 years in the intervention group and 33.32±13.74 years in the control group. No significant difference was observed between the two groups regarding demographic or disease-related variables. The Mean±SD scores of GCS before the stimulation were 5.28±1.81 in the control group and 5.12±1.90 in the intervention group. This difference was not statistically significant. The Mean±SD scores of GCS after the stimulation were 6.60±3.25 in the control group and 8.80±4.05 in the intervention group. This difference was statistically significant (P=0.038). The level of consciousness in the intervention group increased more than in the control group in the 10th day of study.

Auditory stimulation with occupational noise can increase the consciousness level of comatose patients with TBI. Auditory stimulation can raise the consciousness level of these patients hospitalized in intensive care units.

Coronary artery disease (CAD) is a life‑threatening condition that causes physical and psychological disorders and decreases patients’ quality of life (QoL). Performing proper educational self‑care program may lead to higher QoL in these patients. This study was performed to investigate the effectiveness of a self‑care educational program on QoL in patients with CAD.

This semi‑experimental study was performed on 60 patients with CAD referred to the cardiac rehabilitation (CR) center of Vali Asr hospital in Qom, Iran, in 2018–2019. Patients were divided into control and intervention groups by randomized sampling. The self‑care educational program was provided through lectures and booklet. Data collection was done using the “demographic and clinical data questionnaire,” and “Seattle Angina questionnaire.” Questionnaires were completed in both groups, before and at least 1 month after education. Analysis of the obtained data was performed using SPSS software (version 25), central indexes, Mann–Whitney test, and Wilcoxon test.

No significant differences were observed between the two groups for demographics characteristics and quality of life before the intervention. Before the self‑care program, the mean score of the QoL in the intervention and control group were 56.14 ± 9.75 and 58.46 ± 11.71, respectively. After that, the mean score of the QoL in the intervention and control group were 59.25 ± 10.56 and 59.7 ± 13.33, respectively. The statistical analysis showed significant differences in the mean scores of QoL in the intervention group before and after the intervention (P < 0.05). However, no statistically significant differences were seen in the control group before and after the study (P > 0.05).

The self‑care educational program improved the QoL in patients with CAD. Therefore, lectures and educational booklets should be considered by CR nurses.

Coronavirus syndrome has now become a global challenge. Meanwhile, nurses are under great psychological pressure due to their presence in the front line of treatment. Therefore, this study was conducted to investigate psychological disorders in nurses facing patients with Covid-19 in 2020.

In this cross-sectional descriptive study, 275 nurses working in hospitals receiving infected covid-19 patients were randomly assigned to complete the study and completed the demographic checklist and PTSD and Depression and Anxiety Questionnaires (DASS-21).

The mean and standard deviation of post-traumatic stress disorder in the present study was 17.46 ± 5.42 and 23.5% of the subjects had post-traumatic stress disorder. Also, the mean and standard deviation of depression was 14.83 ± 4.59 The mean and standard deviation of their anxiety was 13.72 ±   4.38.

This study has shown that with the onset and spread of coronavirus disease, the nurses has experienced a lot of stress and anxiety. Lack of sufficient knowledge about the disease, fear of contracting the disease and transmission of the disease to other family members, as well as opposition from family members were among the reasons for anxiety.

Sexual activity is a multi-faceted construct that is influenced by multiple variables, including individual, social, and psychological factors. Sex education can facilitate the reduction of disease complications, especially in patients suffering from ischemic heart disease. Regarding this, the present research aimed at examining the impact of a self-care education program on sexual function in ischemic heart disease patients.

The present semi-experimental research was conducted on 60 patients afflicted with ischemic heart disease, in the Vali Asr Hospital in Qom, Iran, in 2017. The study population was assigned into two groups of control and intervention by the simple random sampling technique. The patients were subjected to self-care education via CDs. the data were collected by means of the Arizona Sexual Experiences Scale, as well as demographic and clinical form. The two research groups filled out the questionnaires prior to and a minimum of one month following the training. Data analysis was performed by Wilcoxon test, central tendency, and Mann-Whitney U test.

According to the results, the patients in the intervention and control groups had the mean ages of 58.1±5.8 and 57.66±4.5, respectively. There was a statistically significant difference in the sexual function of the intervention group after the educational intervention, compared to that before the intervention (P<0.05). However, no such difference was observed in the control group between the two study stages (P>0.05).

As the findings indicated, sexual training programs could result in the improvement of sexual function in patients suffering from ischemic heart disease. Accordingly, nurses are recommended to consider such educational interventions for patients with this heart condition.