sima babaee

Coronary heart disease (CHD) is the leading cause of death from cardiovascular disorders. Over the past few decades, coronary angioplasty has become an effective procedure for the treatment of coronary artery disease. Patients undergoing angioplasty experience high levels of anxiety due to poor quality of care resulting from inadequate and unprincipled training of nurses. The aim of this study was to evaluate the effect of an educational program based on the James Brown model on the quality of nursing care during angioplasty.

The current quasi-experimental study (before and after method) investigated 24 nurses working in the angioplasty unit of chamran hospital in Isfahan in 2021. They were selected by the consensus sampling method. The nurses’ group was trained based on the James Brown model. The quality of angioplasty nursing care was measured before the intervention, 3 days and one month after the intervention Using a researcher-made checklist of the quality of angioplasty care. The data were analyzed by the SPSS 16 software at the significance level of p<0.05. Statistical tests such as paired t-test and repeated measure ANOVA were used to analyze the data.

 Based on the results, the mean scores of the nursing care quality equaled 42/52±6/04 before the intervention, 60/46±7/51 three days after the intervention, and 66/07±6/53 one month after the intervention. The results showed significant differences among the mean scores of the angioplasty nursing care quality before training by the James Brown model, as well as three days and one month after the training (p<0.001).

According to the results, The James Brown educational program enhanced the quality of angioplasty nursing care. Therefore, it is suggested that the nurses working in this unit receive specific angioplasty care training through the James Brown model.

Knowledge of the history and developments of a discipline paves the way for comprehension of what has happened before as well as understanding the contemporary phenomena and creating insight for the future; this way, it creates knowledge and leads to the creation and reconstruction of a discipline. Accordingly, understanding evolution from historical facet in nursing seems indispensable. Despite the fact that more than 50 years have passed since the establishment of schools and nursing education in Isfahan not much information is available and a very few studies have been done in this regard; in so doing, this study endeavors to examine the evolution of nursing education in Isfahan.

The is a qualitative research with historical survey that 12 in-depth interviews were conducted and 80 journals, booklets and old books, 350 historical and old photographs were examined. The codes obtained from the interviews as well as the items obtained from the texts were put together to develop the structure of the narrative, which shows the evolution of education in the nursing in Isfahan.

The obtained narratives were as follows: Higher School of Nursing from the years 1968 to 1976 and 1976 to 1982, educational complex of Isfahan belonging to the Ministry of Health and Welfare and the evolution of the Isfahan faculty of Nursing and Midwifery during and after the Islamic revolution.

Since nursing care and nursing education has grown rapidly in other countries, it seems that nursing education, especially in Isfahan as one of the metropolitan cities in Iran has many prospects in the future and can move towards promotion of professionalism and specialization.

Regarding to the increasing prevalence of heart failure and the significant role of attitude on compliance of treatment regimen,
the present study is designed to determine the relationship between attitude and compliance in heart failure patients in 2010
It was a descriptive cross-sectional study. The sample consisted of 90 patients with heart failure and referred to Isfahan University of medical sciences hospitals. Data was collected by attitude and compliance Questionnaires and analyzed using chi-square, independent t-test, Pearson correlation, Spearman by SPSS-PC (v. 18).
The overall score of attitude was 35.7±5.2 and total score of compliance was 25.2±3.9. The findings showed a direct relationship between attitude and compliance (p With regard to the significant correlation between attitude and compliance in this study, it is suggested that nurses design and execute appropriate interventions to promote these patients’ attitude, and in this way help to improve their compliance.

Muscular tension and relaxation are common among patients following CABG (Coronary artery bypass graft) surgery. The aim of this study was to determine the effectiveness of massage therapy on muscular tension and relaxation of patients after coronary artery bypass surgery. In this clinical trial study، 72 patients، who were underwent coronary artery bypass surgery in Isfahan Chamran Hospital were selected. Then، the patients were randomly assigned in two case and control groups. The patients of the case group (n= 36) received light pressure stroking massage، from 3 to 6 days after the surgery. The patients in control group received only the routine care. Variables muscular tension and relaxation before and after the intervention was recorded in 1، 2، 3 days by the use of the visual analogue scale. results showed that there was a significant differences in muscular tension levels before and after the intervention between case and control groups (p<0. 001). Also، a significant differences in relaxation levels before and after the intervention between case and control groups (p<0. 001). The use of light pressure stroking massage therapy can decrease muscular tension and increase relaxation of patients after coronary artery bypass surgery and due to low cost and simplicity of this method، it can perhaps be used as a complement to drug therapy and postoperative interventions used in these patients.

Aim. The aim of this study was to examine the effect of massage therapy on sleep quality of patients after coronary artery bypass surgery (CABG).Background. Poor sleep quality is common among patients following CABG and has been noticeable for more than 30 years.Method. In this quasi-experimental study, 72 patients, who had undergone CABG in Isfahan Chamran Hospital were were recruited. The patients were randomly assigned to the two experimental and control groups. The patients of the experimental group received light pressure stroking massage for 20 minutes in four sessions after the surgery. The patients in control group received only the routine care. The patients› sleep quality was measured before and after the intervention with St Mary›s Hospital Sleep Questionnaire. Data were analyzed by SPSS software, version 18 and descriptive and inferential statistical methods were used for data analysis.Findings. Mean scores for sleep quality before the intervention in the experimental and control groups were 22.5±3.6 and 22±3.8, respectively, and no statistically significant difference seen between them. After the intervention, there was a statistically significant difference between mean scores for sleep quality of the experimental and control groups (11.8±2.8 vs 15.5±4.7) (P<0.001).Conclusion. The use of massage therapy can promote sleep quality of patients after CABG and due to low cost and simplicity; it can be used as a complement to drug therapy and postoperative interventions implemented in these patients.

Diabetes is a major health problem, which has a wide prevalence in the world. There is no sign of its stopping, but it is increasing. Diabetes in children is three to four times more common than other childhood diseases. Diagnosis of diabetes for children causes emotional responses in parents and family members. Interventions for children with diabetes involve the family, child, and professionals including physicians, nurses, and nutritionist. Self-care is difficult without direct parents’ participation. According to studies, burden of diabetes for mothers is more than for fathers. This study aimed to explore mothers’ experience of children with diabetes. This is a qualitative content analysis. Study population was recruited through purposeful sampling. Elevenmothers who have a child with diabetes and referring to the “Glands and Metabolism Research Center” and “Al-Zahra Hospital” were selected. Participants were aged 28 to 42 years. Data gathering was done through deep interviews with participants in 2007 that was tape-recorded. Mean average of interviews was 45 minutes. Data analysis was done using conventional qualitative content analysis. Participants’ experience was classified in the two main concepts including reaction at the time of diagnosis and disease consequences for mothers. Mothers of children with diabetes expressed some reactions at the time of diagnosis, which was mainly due to lack of information, and lack of attention to their needs at the time of diagnosis, especially it was due to the sudden diagnosis and lack of enough opportunities for mothers to accept the disease. The disease causes some consequences for mothers that affect their lives. Therefore, it is necessary to consider the needs of families of children with diabetes and to provide support and sufficient information about their child’s illness for them.

Heart failure is one of the chronic heart diseases and a debilitating condition of increased prevalence in the elderly. One of the important and non‑pharmacological strategies for improving clinical outcomes in these patients is promotion of the self‑care. Background and social environment in which a patient is trying to control his disease is an important factor in the self‑care. The aim of this study was to evaluate the effects of family support intervention on the self‑care behaviors in patients with heart failure. This study was a randomized clinical trial conducted in university hospitals in Isfahan, Iran, in 2012. A total of 62 patients with heart failure were randomly assigned to experimental (n = 32) and control (n = 32) groups. Supportive intervention including three educational sessions with the delivery of educational booklet and follow‑up by telephone was performed for caregivers of patients in the experimental group. Data were collected using the questionnaire of self‑care behaviors, which was completed before and 1 month after the intervention in both the groups, and the questionnaires were analyzed using descriptive statistics and independent and paired t‑tests. The results indicate that after the intervention, self‑care behavior scores in the experimental group and control group were 47.2 and 28.4, respectively, and independent t‑test revealed that the difference was statistically significant. Family‑focused supportive interventions can be used as an effective method for improving the self‑care behaviors in patients with heart failure.

Breast cancer is one of the most frequent malignancies among Iranian women. These patients suffer from a wide range of physical and mental (depression, anxiety and stress) signs and symptoms during the diagnostic and therapeutic processes. Despite the improvement in survival rates due to advances in medical care, different types of psychosocial interventions are still growingly needed considering the increasing number of cancer patients with longer survival times. The objective of this study was to determine the effect of relaxation on depression, anxiety and stress in women who underwent mastectomy for breast cancer. This clinical trial was conducted during about 4.5 months in a referral chemotherapy clinic of a teaching hospital in Isfahan, Iran. The participants consisted of 48 breast cancer patients who were selected by simple random sampling. They were randomly assigned into two groups of control and case. The control group was treated only by usual medical therapy, whereas the case group was treated by combined medical-relaxation therapy. Data collection tools were the validated Depression, Anxiety and Stress Scale (DASS42) and a demographic questionnaire. Data were analyzed by SPSS using descriptive statistics, repeated measures analysis of variance (ANOVA), chi-square test and paired t-test. The baseline mean scores of depression, anxiety and stress were not significantly different between the case and control groups. However, the scores in the case group improved significantly after the treatment (p < 0.05). On the contrary, such improvement was not seen in the control group. Relaxation therapy can be effective in the improvement of depression, anxiety and stress. Therefore, it can be recommended as an effective care program in patients with malignant disorders.

Hypertension is one of the most crucial health problems and most common chronic disease in developed and underdeveloped countries, which is called silent killer. Usually diagnosis happens suddenly. Despite this fact that is a preventable and treatable condition but without treatment it leads to serious and life threatening complications (such as heart, kidney and brain destruction), and in most cases these complications result in disability. It can be prevented by, increas knowledge and awareness, chang attitude and practice. Prevention, plays significant role in controlling this disease. A cross-sectional, correlation-descriptive study was conducted in one stage, by one group. Two hundred thirty four (234) patients were recruited by random sampling among hypertensive patients referring to public health care centers in Khoor & Biabanak(an area in Isfahan Iran). Data gathering was carried out with a questionnaire. Data analysis was carried out SPSS software with descriptive and inferential statistics. Findings indicate that there is significant relationship between awareness and knowledge; awareness and attitude; awareness and practice. There is no significant relationship between knowledge and attitude; or knowledge and practice. In addition, there is significant relationship between attitude and practice. Although patients relatively had high awareness, knowledge, attitude and practice about their disease but still their hypertension was not under control. Several barriers are associated with uncontrolled hypertension particularly treatment-related barriers. Findings suggest further studies to determine new effective strategies to solve this problem.

Renal failure affects patients'' physical, psychological and social health. Various treatments prolong the life of these patients, but they face many physical, emotional, social and economical difficulties. This study aims to investigate and compare the problems of these patients undergoing hemodialysis (HD) and peritoneal dialysis (PD). This is a descriptive comparative study on 72 patients in two groups of hemodialysis (36 patients) and peritoneal dialysis (36 patients) referring to Al-Zahra and Noor hospitals in Isfahan. Data were collected using five questionnaires on sleeping disorders, depression, marital satisfaction, tiredness and readjustment with society. The questionnaires were completed either by the patients themselves or by interview and data were analyzed using independent t-test and chi square test. Demographic data were the same in both groups and diabetes and blood pressure were the most common causes of kidney failure in both groups. The mean scores of sleeping disorders and tiredness in hemodialysis group was higher than peritoneal dialysis group, but there was no significant difference between the mean scores of depression, social readjustment and marital satisfaction of two groups. Dialysis is a complicated problematic treatment, causing patients lots of tension and stress. The results of this study showed that hemodialysis and peritoneal dialysis patients have sleep disorders and tiredness, but the severity of tiredness and sleep disorder is higher in hemodialysis patients. Therefore, nurses should pay more attention to these patients and provide them more support and care.

Implantable defibrillator is one of the methods used in curing arrhythmias and preventing sudden cardiac death. Despite rescuing patients, applying this device can cause mentionable effects including increase the patient''s anxiety and fear to do normal physical activities again. In spite of these problems, there isn''t enough intervention in accommodating the patient with the device. This study focuses on determining effects of training program on quality of physical life in patients with ICD. This study is a semi- experimental study (before and after). About 45 patients with ICD were examined. The collecting data tools were Fran''s and Power''s quality of life questionnaire and interviewing method. For analyzing data the SPSS software, independent t and t- test were used. Assessing the data gave us an average score for life''s quality in two importance and satisfaction dimensions before and after training programs. Even t-test (p < 0.001) shows meaningful differences between the average score of quality of life before and after training courses. Considering the efficiency of these programs on patient''s quality of life, it is recommended that these programs become a part of nursing process and be continued.

Diabetes is a chronic disease affects many aspects of daily life. We need a bio-psychosocial approach topatients and their problems in diabetes management. Since patient''s beliefs about health and disease will guide selfmanagementmeasures, a holistic understanding toward subject is necessary. The aim of this study was to identify anddescribe the lived experiences of patients with diabetes in a qualitative study. A descriptive phenomenological framework used to guide the project of inquiry. Eleven volunteered patients(6 men, 5 women) were recruited by purposed sampling from ";Glands and Metabolism Research Center"; and ";Al-ZahraHospital"; of Isfahan in 2006. In-depth unstructured one to one interviews conducted and interview data were transcribedand analyzed for themes using collizi method. Five themes were identified including; ";Why I get";, ";Disease requirements";, ";Can I do";, ";Limitations";, ";Silentmotion towards death";. 3 first items belongs to participants'' perception about diseases etiology, treatment, and theirfeeling about their situation, respectively. ";Silent movement towards death"; and ";limitation"; pointed to the patients''belief about limitation in nutrition and having a healthy child and nature of disease. Based on findings, patients'' beliefs about their disease and health situation can affect health behaviors andself-management, and act as barriers and facilitators in patient behaviors. Findings suggest considering this factor in selfmanagementpreparing program.