جستجوی مقالات مرتبط با کلیدواژه « بیماران عروق کرونر » در نشریات گروه « پزشکی »

Although progress has been made in the treatment of cardiac patients in the last two decades, the prevalence of coronary heart disease is on the rise. Also, factors such as social stress, conflict and hostile behavior can lead to abnormal coronary artery contractions, increased coronary artery occlusion, malignant heart rate abnormalities, and consequently, cardiac failure. Therefore, the purpose of this study was to investigate the effect of non-prescriptive CBT, tone and musical therapy in the resilience of coronary artery disease patients.

In this research, a pseudo-experimental design was used with experimental and control groups. The statistical population of the study included all patients with coronary artery disease who were hospitalized in Imam Ali Hospital in Kermanshah in 2017-2018. Sampling in this study was carried out in two stages. A sample of 50 eligible individuals was selected. The data gathering tool was the Conor and Davidson self-report questionnaire. The data were analyzed using MANOVA and MANCOVA in SPSS20 software.

The results of the study showed that the three therapeutic methods had a favorable effect on the patients' vibration, but CBT treatments had a more favorable effect on patients' resilience. After CBT, relaxation had the greatest impact on patient's resilience.

The effectiveness of Cognitive-Behavioral Therapy in increasing the resilience of coronary artery disease patients is more than music therapy and behavioral relaxation.

Increased length of hospital stay can lead to increase costs for both hospitals and patients, and additionally could lead to delayed patient’s recovery and rehabilitation time. Based on the shortage of medical facilities, staff, lack of equipments and increasing health care costs, length of stay optimizing and its affecting factors is especially essential. The aim of this study was to investigate factors affecting Length of stay in Amir-al-momenin Hospital of Zabol University of medical sciences.
This descriptive-analytical and cross-sectional study was conducted in 2014. Subjects were inpatients’ medical records (349 cases) which were selected by randomized sampling. The data were obtained through a researcher- made questioner with 19 questions. T-test, and One-way ANOVA were used for the analysis.
The results showed that of 349 patients, 70.4% of the patients were males, and 29.6% of the patients were females. The type of admission of 280 patients was elective. Average length of stay of these patients was 6/30 days less than ambulance patients. There was a significant relationship between average length of stay and discharge status (recovery, Partial recovery and death) (p According to the findings of this study, for achieving the aim of better allocation of resources and hospital beds and optimizing productivity of the existing beds, it is recommended to take measures to reduce the hospitalization of patients specially elderly patients through development of home care and nursing homes.

One of the best ways of managing the cardiovascular diseases (CVDs) is taking the educational needs of the patients’ family into consideration. An effective education about cardiovascular diseases can promote the health systems. Therefore, the aim of this study was to determine the educational needs of the patients’ family regarding CVDs. This cross-sectional study was conducted in hospitals of Zabol city. The convenience sampling method was used to select 150 samples from the patients’ family members. The data were gathered by a valid and reliable questionnaire and analyzed by SPSS (version 17). The most important educational needs of the family were training the family members on essential points during the patient's discharge (99.3%), on how to control blood pressure (96%), and how to use antihypertensive drugs (96%). There was a significant relationship between educational needs of the family members and their sex (P<0.05). Arranging an effective educational program about CVDs for the patients’ families is an essential need for helping patients in order to manage the process of diseases.

Today, Fuzzy expert systems have helped physicians in cases of uncertainty in medical decision making for prescribing drugs. Narrowing of coronary heart and reduction in heart blood flow are important causes of coronary heart disease (CHD). Control of blood lipid level is a routine treatment in CHD patients. But damage to liver is a common side effect of lipid lowering drug medication. Measurement of plasma Alanine aminotransferase level is considered as a marker of liver damage. The aim of this study was to determination of optimal dose of atorvastatin using Fuzzy expert system. in this study, Fuzzy expert system based on drug dose determination was chosen for prescribing atorvastatin dose as a lipid lowering drug that sets with demographic information of patients. Here, optimum dose is defined as a dose that decreases plasma LDL with the least side effects. In our model, decrease in LDL, Cholesterol and LDL/ HDL blood ratio consider as positive consequence and increase in plasma ALT as the side effect of this drug. output of our model is compared double blindly with prescription of many different randomly chosen expert physicians in the same practical case and the physician decision shows %65 similarity with our model. Practically, this percent of similarity between model and practical results was considered to be sufficient to approve this model. This result showed that the quality of this fuzzy models output is close to clinically approved decision. Thus this model can be considered as an applicable decision making model for physician and pharmaceutical industries about dosing of this drug in a similar situation.

Exercise training has assumed a major role in cardiac rehabilitation, mostly because of its positive effects on myocardial perfusion in patient with coronary artery disease. Improvement of peripheral vascular system and myocardial contractile function have been suggested as potential adaptations. The purpose of this study was to determine the effect of concurrent training on hemodynamic responses in patients with coronary artery disease. In this interventional and experimental study twenty four patient (50-75 years old) with coronary artery disease were selected by sample of convenience and through a directive goal oriented sampling and were randomly divided to two subgroups, experimental (n=12) and control (n=12) groups. The experimental group participated in 3 months concurrent training, 3 times/week for 60 to 80 minute at 70% to 85% of MHR and 40% to 60% of 1RM. Investigation variables were assessed at baseline and at the end of the protocol by the impedance cardiography method. Data were analyzed by T test. A significant training effect was documented by an decrease in heart rate and blood pressure at rest. Stroke volume (SV) increased from 60±8 to 81±13 ml/beats, Stroke index (SI) increased from 33±4 to 44±6 ml/beat/m2, Cardiac output (CO) increased from 4±1 to 5±1 l/min and Cardiac index (CI) increased from 2±0.5 to 3±0.5 l/min/m2 (P<0.05). Systemic vascular resistance (SVR) decreased from 1782±361 to 1540±294 dynes/sec/cm5 and Systemic vascular resistance index (SVRI) decreased from 3212±662 to 2751±558 dynes/sec/m2/cm5 (P<0.05). We conclude that concurrent training may improve myocardial hemodynamic responses in some patients with CAD.

Due to the scarcity at health facilities, personnel, equipments, and progressive increase in health services costs, improving the length of stay (LOS) in hospitals, and factors affecting the LOS becomes much important. Bed occupancy, longer and unnecessary LOS is a waste of resource, and increase if OPP. This study carried out aimed to determine whether there is a relationship between LOS and type of admission, demographic characteristics of patients and physicians. This is a descriptive-analytic study. The sample- size includes 350 documents of coronary artery patients undergone bypass surgery in Madani hospital (Tabriz), patient's information gathered by check lists, and physicians related information by direct interview. There were 70. 4% men and 29. 6% women 261 patients with elective admissions, whose mean LOS were 5. 38 days less than of emergency room admissions. We found a meaningful relation between patients, LOS and type of admission (p<. 001). Also there was a meaningful relation between patients LOS and patients situation at the time of discharge (p<. 01). Our findings indicate that there was a reverse relation between number of surgery operations per surgeon and patient's LOS and between patients LOS and surgeon professional work (job) out of hospital (p<. 01). Patients document show that average Los is 15. 58 days, this is not compatible with the LOS calculated using time formula: 10. 72 days. What surgeon believes as to be patients LOS is 5 days less than what actually happens. Considering our findings for elderly the LOS should be reduced and thereby home ô°û 9 /؛ يپ°û 52 / پü‎³ 5831 care and community care must be taken in to account. On time diagnosis and hospitalization and as well as contracting with nonacademic surgeons is recommend.