مجله دانشکده پرستاری ارتش
سال بیستم شماره 2 (پیاپی 39، زمستان 1399)

Pulmonary complications as one of the most common, important and costly complications after surgery play an important role in the incidence of disability and mortality of patients. The purpose of this Article is to review studies on the effects of the use of incentive spirometry in reducing pulmonary complications after surgery.

This systematic review by searching the keywords of pulmonary complications, spirometry, incentive spirometry and surgery in valid Persian databases Google Scholar, SID, IranDoc, Iran Medex and Magiran and searching English articles in the reputable English databases Web of Sciences, PubMed, ProQuest, Google Scholar, Science Direct and Scopus from 1997 to 2020 and A total of 844 articles were found. 14 articles were extracted from them. Inclusion criteria included originality, writing in Persian and English, and consistency with the purpose of the study, and exclusion criteria included not having access to the full version of the article.

In total, 6 articles confirmed the positive effects of incentive spirometry in reducing pulmonary complications, but 8 articles did not provide evidence of these positive effects.
Discussion and

Based on the results, it cannot be said with certainty that the use of this method can be effective in reducing pulmonary complications after surgery. Further studies under specific conditions are needed to achieve the goal and find common ground on the benefits of incentive spirometry.

Due to the increasing number of accidents and disasters in the world and the existence of nurses as the largest group responding to such accidents, their readiness to respond to accidents and disasters is very necessary and important. Therefore, the present study was conducted to investigate studies on effective methods in preparing nurses for accidents and disasters with emphasis on maneuver training.

In this review study, articles published between (2011-2020) were reviewed. In order to obtain relevant scientific documentation, electronic search in both Persian and English using Keywords (Maneuver, simulation, preparation, nurse and training methods) in Academic Database of Academic Jihad (SID), Magiran Database, Iranian Medical Science Database (Iran Medex), PubMed, Science Direct, Ovid, ProQuest and Google scholar. A total of 281 articles were found. 34 articles were extracted from them. Inclusion criteria included originality and research, writing in Persian and English and compatibility with the purpose of study, and exclusion criteria also included not having access to the full version of the article.

Studies have shown that paying attention to accidents and disasters and improving the preparedness of nurses and even other medical staff has a high priority that should be considered in all countries and from the student period. Training is an important and effective method for obtaining information and improving knowledge. Among the training methods, maneuvering and simulation in this field is very common and has been used for various purposes that promote knowledge, skills, competence and readiness of nurses to deal with accidents and disasters have been one of these important goals.

Discussion and Conclusion:

According to the results of studies and the effectiveness of using maneuvering and simulation training methods in improving the preparedness of medical staff, especially nurses, therefore, it is recommended to use this method to improve the preparedness and skills of nurses in the face of disasters.

Recent studies in the field of nursing show that nurse’s work at hospital is dangerous and stressful and psychological pressure arising from existing stressors in this profession can lead to illnesses and disorders that seriously endanger the wellbeing of nurses. Thus application of preventive and efficient methods to manage stress, seem necessary. One of these methods is Stress Inoculation Training.

This research is a review study based on library studies and searching in databases like Irandoc، Magiran and Google scholar between 2000 to 2019 about the impact of SIT application on stress reduction.

eighth cases from studied cases, showed a meaningful relation between SIT application and stress reduction and in just two cases, no meaningful relation was found.

Conclusion and discussion:

since Stress Inoculation Training program is an inexpensive, effective and secure method for stress reduction in most of the cases, its application is recommended for nurses’ effective work-related stress prevention and improving healthcare quality by controlling environmental conditions and enough intervening sessions.

Family caregivers are the national and vital resource for care. They are hidden patients who are exposed to various diseases due to the hardships of caring for a family member. Nurses play an important role in supporting these people. This study aimed to review the nursing interventions in reducing of burden of care in family caregiver whom have the chronic diseases.

In this narrative review, data collection was carried out through PubMed, Science Direct, Scopus, Google Scholar, Magiran, Iranmedex, SID databases according to use Persian keywords such as Nursing interventions, Caregiver Burden, family caregivers, chronic diseases and their synonyms keywords. Range of time for researching all of the articles was between 2009 and 2019.Finally, 22 articles were entered in this study.

The results of twenty two clinical trials and quasi-experimental studies indicate a decrease in the level or average score of burden of care in family caregivers through the use of nursing interventions including using participatory-based nursing interventions in support groups, supportive educational program, behavioral-cognitive interventions, follow-up care model, mindfulness, web-based health information provision, implementation of a care plan, family empowerment intervention, peer-based education.

Discussion and Conclusion:

According to the results of the present study, using of various supportive, palliative and educational nursing’s interventions due to reducing the burden of care in caregivers of patients with chronic diseases; therefore, depending on the circumstance and nature of chronic illnesses and the tendency of their caregivers, the above methods or a combination of these methods can be used to reduce burden on caregivers.

Cardiovascular problems are the first cause of global mortality. However, by providing timely and appropriate pre-hospital services, it is possible to save the lives of millions of people and prevent many disabilities. Therefore, choosing the best training methods to improve people’s knowledge and skills is necessary.

this article is a review article by using a regular search of internet resources in the databases of Elsevier, Pub Med, Google Scholar, Magiran, and Science Direct between 2010 and 2019, and library resources with keywords of cardiopulmonary resuscitation, education methods, and simulation.

Learning Psychomotor skills and increasing knowledge in the field of cardiopulmonary resuscitation is not possible except with proper training method and repeating training. Video playing, role-playing, lecturing, demonstration and using simulation methods are common methods of cardiopulmonary resuscitation teaching. Training in clinical skills learning center provides an opportunity for learners to use a variety of teaching aids, models and mannequins to enhance their clinical and communication skills in a calm and controlled environment.

Discussion and conclusion:

Each teaching method leads to learning, but the depth and sustainability of learning varies in different methods. Due to the fact that in practical and demonstration methods in simulated environments, the environment is close to reality and the learner assumes herself in that environment and can practice indefinitely with the least stress, learning can be more effective and more lasting

Cardiac Rehabilitation (CR) is one of the important strategies that can improve the quality of life of patients after coronary artery surgery. Many studies consider it necessary to implement a comprehensive postoperative rehabilitation program. The aim of this study was to determine the role of cardiac rehabilitation interventions after Coronary Artery Bypass Grafting (CABG).

This is a review study that is conducted based on online resources including (PubMed, Google Scholar, Magiran, and Sciences Direct), library resources and theses by using keyword cardiac rehabilitation, coronary artery bypass graft, coronary artery surgery and patient performed, between 2010 and 2020.

Numerous studies show that cardiac rehabilitation in patients after CABG reduces the rate of heart accidents, readmission, anxiety, depression, stress and mortality and improves lung function capacity, sleep quality and finally Increases the quality of life.

Discussion and Conclusion:

Cardiac rehabilitation is a valuable treatment for patients with a wide range of heart diseases and improves clinical outcomes. However, attendance at heart rehabilitation is still low and interventions should be developed to increase its use by the health care system by raising the awareness of clients and their families.

Communication is the process by which information is transmitted from person to person through symptoms, symptoms and behavior. Communication skills have long been recognized as an important part of medical and nursing care. Regarding the fact that effective communication forms the basis for the quality of care services, there have always been many debates. In this article, the strategies used in related articles in promoting nursing communication skills are discussed.

In this review article, published articles were reviewed between years (2009-2017). At this stage, the researcher reviewed the literature on referring to valid databases such as Medline, Science Direct, ProQuest Google, and IranMedex. Nurses, communication skills and their combination were searched for keyword search, communication keys, nurses and communication skills.

Several studies have shown that nurses are not well-informed in communicating with patients and patient entourage and other staff in the treatment, which causes a lot of problems in the treatment process. Therefore, the recommended patterns and strategies in these articles can be effective in solving this problem.

Discussion and Conclusion:

Communication skills are one of the basic principles of nursing profession. Therefore, by reviewing and summarizing the nurses’ problems in the field of communication skills, planning and proper training in this field can enhance communication skills of nurses.

Due to the importance of the crisis and the problems surrounding it, there is a need for an expert nurse, manager, practitioner and ethicist who can use his skills to treat patients and improve them. Therefore, in this review study, the importance and impact of education in achieving this has been investigated.

this article is a review article by using a regular search from library sources and valid electronic databases between 2010 and 2019, with keywords of education, nurse, crisis and nursing in crisis

The most areas in which a nurse should be trained in crisis are related to management, clinical, ethical and psychological. Due to the necessity and importance of these preparations, training must be done continuously by skilled and expert people in order to achieve appropriate results. Findings indicate that there is a direct relationship between education and nurse skills.

Discussion and Conclusion:

In order to increase readiness, we need to hold training courses and maneuvers so that individuals can reach their maximum performance and efficiency, and this will not be achieved unless government and public institutions are involved in its implementation. These trainings should be implemented on a large scale and periodically, and the role of universities, emergency services and the Red Crescent in the implementation of this program is much more prominent than other organs.