جستجوی مقالات مرتبط با کلیدواژه "cardiac care" در نشریات گروه "پزشکی"

Patient-centered care (PCC) is a valuable and logical concept in the nursing discipline. The aim of this study was to development and psychometrically evaluate a patient-centered care questionnaire in CICUs (PCC-CICUs).

This methodological study was performed in two phases. The first phase is the qualitative stage by grounded theory study in which, a literature review was carried out for tool development. The second phase includes a psychometric evaluation of the PCC-CICUs. The tool’s content validity was performed by skilled nurses in the field of patient-centered care. The reliability of the tool was assessed by Cronbach's alpha and its stability was measured by internal consistency and reliability. Exploratory factor analysis was used to determine the construct validity.

The PCC-CICUs was evaluated for validity and reliability. Exploratory factor analysis was used to assess the construct validity. The analysis led to the development of a tool with 28 items in four dimensions of patient and family empowerment, understanding the patient, skill and expertise, and respecting the patient and family, which accounted for 35.380% of the variance. Cronbach's alpha of the tool was 0.68. The test-retest method supported the stability of the instrument.

Patient-centered care questionnaire in cardiac intensive care units is a standard and accepted questionnaire to assess the amount of patient-centered care from the patients' point of view. Health care professionals can use the PCC-CICUs to assess their own and peers’ practice to detect potential areas for improvement in nursing care and help nurse managers with planning appropriate quality improvement programs.

Myocardial infarction (MI) is known to be a leading cause of death and disability in the world, which can harm the patient physically, socially, emotionally or psychologically. Anxiety as an adjunct to psychological disorders can also affect the lifestyle of the individual and increase the cost of treatment, recurrence and increase mortality. Regarding the importance of this disease and the effect of anxiety in its intensification process, the use of relaxation as an independent treatment can have desirable outcomes such as reducing stress. This study was carried out to determine the effect of Benson relaxation method on the anxiety level of patients with myocardial infarction admitted to CCU wards of educational and treatment center of Seyyed Shahada, Urmia, Iran. This experimental study was performed on 60 patients were randomly selected and divided into intervention and control groups. In the intervention group, Benson's relaxation technique was performed for each patient for 2 consecutive days and 2 times in the morning and evening and each session lasted 15 minutes (A total of 4 sessions) There was no intervention in the control group and this group of patients received routine care. The data gathering tool were demographic questionnaire and the Spielberger Standard Anxiety Scale Questionnaire. The questionnaires were completed before and after e intervention. To analyze the data, covariance analysis and paired t-test were used by using of SPSS-21 software. The mean of anxiety scores in the intervention group before and after the intervention were different, while in the control group, these scores did not differ significantly. There was a significant difference between the anxiety level of the two intervention and control groups after the implementation of the Benson relaxation method (p = 0.0001). Considering the positive effects of Benson's relaxation on reducing anxiety, easy and low cost utilization and the availability of this method, it is recommended to use this method to relieve anxiety problems in patients with myocardial infarction.

Cardiovascular disease is the most common in the world. One of the most common psychiatric disorders in these patients is sleep disorders, which leads to poor quality of life. The purpose of this study is to determine the importance of sleep quality and Nurses’ Role in improving the sleep quality of hospitalized patients in cardiac care unit.

This article is a narrative review that was conducted by searching English and Persian articles existed in scientific databases including Magi ran, SID, Science direct and PubMed within 2007 -2017.

sleep disorder is one of the most common problems in cardiac care unit. This disorder is characterized by symptoms such as difficultly in going to sleep, persistent sleep and waking, early awaking, lack of feeling well or combination of these symptoms. Sleep plays a major role in the heart performance and sleep deprivation causes to intensify anxiety and anger, irritability as well as increase heart rate and the demand for myocardial oxygen.

With regard to the existence of relationship between sleep disorders and heart diseases and on the other hand since one of the roles of nurses is to create peaceful atmosphere and relaxation for patients, it is necessary to study the patients’ sleep by the nurse and educate the methods for improving the sleep quality in patients suffering from cardiovascular or heart disease.

Sleep is an important factor in the mental and physical health of individuals. It is a vital need that influences mostly individual’s life quality and their activities during awakening. Lack of sleep has been addressed as a risk factor of coronary arteries diseases. Studies have reported on the relationship between sleep disorders and increased risk of coronary artery arteries diseases.
This study aimed to compare the effect of Sedamin capsule and inhalation of Lavender smell on sleep quality of patients at the cardiac care unit.
The present study is a randomized clinical trial carried out on 120 patients at the cardiac care unit of Aja hospital (522 Tabriz) during years 2016 and 2017. Patients were categorized to 3 Sedamin and lavender and control groups (without receiving placebo). First, sleep quality of each of the 3 groups was investigated one day after hospitalization by the sleep questionnaire of Petersburg. Then, intervention group 1 received Sedamin capsules for 14 days. Intervention group 2 inhaled lavender for 14 nights. Then, intervention group 3 received no intervention. After the intervention, sleep quality of the 3 groups was studied by a questionnaire at the end of the first and second week. SPSS22 was applied to analyze the data.
Results obtained from the Kruskal-Wallis test represented a significant difference between the 3 groups in terms of sleep quality on the first and second week of intervention (pDiscussion and This study showed that sedamin capsule and inhalation of lavender cause improvement in sleep quality of patients at the cardiac care unit. Therefore, it could be recommended as an effective and cost-efficient method to improve sleep quality.

Many elderly patients after admission to the cardiac care unit (CCU) are exposed to factors such as stress, which face them with changes in vital signs that these changes could adversely affect these patient's recovery. This study aimed to determine the effect of white noise on the vital signs of elderly patients in the CCU.

This is a quasi-experimental study in which 59 elderly patients in the cardiac intensive care unit of Shaheed Rajai Tehran Heart Center were studied. In this study, samples were selected through convenience sampling and randomly divided into two groups: experimental and control. Vital signs were measured in both groups for 3 consecutive days by charting vital signs. During this period, for the experimental group, white noise with an intensity of 50 to 60 decibels was played for 30 minutes during the day and the elderly patient's vital signs were recorded before and after the intervention, the control group did not have any intervention. Data were analyzed by SPSS, Version 18, by using independent t-test, paired t-test and Chi-square test.

In the present study, 27 elderly patients in the control group and 32 patients in the intervention group were examined. The findings showed that the white noise significantly reduced heart rate in the intervention group compared with the control group (P=0.02), but comparing other variables such as, systolic blood pressure (P=0.89) , diastolic blood pressure (P=0.73) and respiratory rate (P=0.07) did not show significant differences between the two groups.

According to the results of this study use of white noise can reduce heart rate of elderly patients admitted to the CCU.

Aim. The aim of this study was the assessment of respecting the patient’s privacy in cardiac care units.Background. Increasing number of people with cardiovascular disease calls for increasing the number of Cardiac Care Units (CCU). The invasive and noninvasive procedures in these units can threaten patient’s privacy.Method. This descriptive analytic study was conducted on 300 patients admitted to cardiac care units of Tehran›s selected hospitals. The patients were selected by convenient sampling method. Data were collected using a questionnaire consisted of two parts, demographics and privacy questionnaire. The data were analyzed by SPSS software.Findings. Based on the findings, 50.7% of the sample were Female. Mean age was 61.5=+11.95 year. Mean scores for respecting privacy dimensions ranged from 68.86% for physical privacy to 80.27% for social privacy. There was a statistically significant association of respecting patients privacy with age, sex, marital status, education and history of hospitalization.Conclusion. Patient s privacy was respected in CCUs, but patient’s privacy is not still respected perfectly. CCU managers should pay more attention to this subject.