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Showing 6 results for Zarei
Saeed Siavoshi, Maryam Roshandel, Armin Zareiyan, Leyla Ettefagh,
Volume 1, Issue 3 (12-2012)
Abstract
Aim. The aim of this study was to evaluate the impact of cardiac rehabilitation on hemodynamic parameters in patients undergoing coronary artery bypass graft surgery (CABG). Background. Nowadays, CABG is common to treat complications of cardiovascular disease in many patients. Method. This clinical trial study was conducted on 50 patients after CABG. The patients were selected based on objective and with regard to the inclusion criteria. Rehabilitation program was conducted for 24 sessions. Data were collected by demographic questionnaire and hemodynamic parameters checklist at the beginning of rehabilitation, 12th session and 24th session of cardiac rehabilitation. The data were analyzed by using Chi-square, RMANOVA tests and SPSS software. Findings. The groups in terms of demographic variables were not significantly different with each other. The findings showed statistically significant differences in variables such as systolic blood pressure, pulse rate and arterial hemoglobin saturation. There were significant differences in these variables between the first and the last sessions (session 24), also between the first session and during the rehabilitation (session 12). There was a significant difference between the 12th and the end of rehabilitation (session 24) in the diastolic blood pressure (p=0.045), but no significant differences in other hemodynamic parameters were seen. Conclusion. The results indicate a relative improvement in some hemodynamic parameters with cardiac rehabilitation intervention therefore, it is necessary to pay more attention to the cardiac rehabilitation.
Zahrasadat Mosavisani, Seyd Amirhossein Pishgooie, Armin Zareiyan, Seyd Davood Tadrisi,
Volume 2, Issue 4 (3-2014)
Abstract
Abstract Aim.The aim of this study was to modify and validate FOUR coma scale. Background.Critically ill patients admitted to the intensive care unit (ICU) have fluctuating levels of consciousness. It is necessary to have a valid scale to provide an appropriate care of these patients. Presently, the Glasgow coma scale (GCS) is widely used but it has some problems. Recently, the FOUR coma scale proposed to determine the level of consciousness and it is gradually gaining wide acceptance. Method.This study is a methodological research. After translation and modification of FOUR com scale, the final version used for determining validity. For evaluating convergent construct validity, the original and modified FOUR scale compared with the APACHE II in 15 intensive care unit patients and using 40 critical care nurses by 104 pair-wise ratings. Findings.Correlation of original and modified FOUR Coma scales with APACHE II was 0.02 and -0.04, respectively. Regression of original and modified FOUR scales with APACHE II was 0.03 and 0.3, respectively. Conclusion.The FOUR scale doesn't have an item for those intubated patients who are not connected to ventilator. It seems that replacing new item in respiratory section of the scale could increase the validity of FOUR scale.
Zahra Nezam Abadi, Nasrin Jafari, Zahra Farsi, Armin Zareiyan,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract
Aim. This study assessed the knowledge of nurses about arterial blood gases interpretation in intensive care units of selected hospitals in Tehran.
Background. Measurement of arterial blood gases are widely used in intensive care units. The knowledge and mastery in interpretation of arterial blood gases is an essential skill for critical care nurses.
Method. This descriptive-analytical study was conducted on 117 nurses working in intensive care units at selected military hospitals in Tehran in 2013. Data were collected using a questionnaire consisted of 45 questions about personal and professional information, also in the domain of blood gases interpretation based on Bloom's classification of knowledge (judgment and evaluation phase). Data are analyzed by SPSS and descriptive and inferential statistics were presented.
Findings. Knowledge of intensive care unit (ICU) nurses was moderate to poor in arterial blood gas interpretation. A statistically significant difference was seen between the knowledge of the subjects in terms of some variables.
Conclusion. Given the importance of arterial blood gases interpretation in ICUs, it is necessary to pay attention to in-service and continuing education programs for nurses.
Fatemeh Mohaddes-Ardebili, Naeimeh Seyedfatemi, Fatemeh Maroofkhani, Mohammad Reza Zarei, Leila Mamashli, Mehri Bozorgnezhad,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to investigate the relationship between spiritual health and sleep quality in people with heart failure.
Background. The quality of sleep in patients with heart failure is unfavorable compared to healthy individuals. It is stated that in some societies, spirituality is related to mental health and sleep quality.
Method. In this descriptive correlational study, 207 people with heart failure, who were recruited in the study through convenience sampling method, were given demographic questionnaires, Pittsburgh sleep quality and Alison and Palutzian spiritual health questionnaires. Data were analyzed using descriptive and inferential statistics in SPSS V24.
Findings. The mean total score of sleep quality was 8.90±3.16; indicating that the sleep quality of people with heart failure was at an unfavorable level. The mean total score of spiritual health was 93.36±9.20; demonstrating that the level of spiritual health of the people with heart failure was moderately high. There was a statistically significant positive relationship between sleep quality and spiritual health (r=0.175, p=0.026).
Conclusion. People with heart failure who have higher spiritual health experience better sleep quality. It is recommended to pay attention to spiritual health as well as to the physical health of patients when planning caring programs for these people.
Parisa Bozorgzad, Maryam Ehsani, Mohammadreza Zarei,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. This paper aims to investigate barriers and opportunities of the virtual visiting in intensive care unit during Covid-19 pandemic.
Background. Face-to-face visits of hospitalized patients in intensive care units reduce separation anxiety and stress caused by hospitalization, as well as increase the feeling of comfort and safety in patients. In addition, it is the key to patient/family-centered care. However, the Covid-19 pandemic and its related restrictions ruled out the possibility of using the family's potential and providing patient/family-centered care. Virtual visiting has been proposed as a solution to remove the family's distance from the patient.
Method. This review was conducted by searching out databases, Web of Science, Scopus, PubMed, Magiran, SID and Cochrane with the keywords, Covid-19, Video calls, Family-patient center care, Intensive care unit, and Virtual visiting without time limitation. The inclusion criteria were the publication of the article in Persian or English language and the availability of the full text of the articles. In total, 45 articles were found, most of which focused on virtual appointments and virtual patient visits by physicians. After removing irrelevant papers, and the cases without full text, 29 articles were evaluated in terms of quality. Finally, 10 articles were evaluated in terms of subject, and the purpose related to the present study.
Findings. During Covid-91 pandemic, virtual visits were done in intensive care units in most medical centers using cell phones and tablets through social networks facilities. In all cases, families and health care providers were satisfied with this communication method, but they considered it was not a suitable substitute for face-to-face meetings. They believed that this method combined with face-to-face meetings would be more effective. Lack of regular and systematic planning, ambiguities in the duties of health care providers in the field of holding virtual visiting, lack of access to the internet at a suitable speed, and the complexity of working with smartphones for some families, were barriers of this method.
Conclusion. Virtual visiting provides a form of presence for families who are far away from their patients. Via this method, not only one but also all the family members can visit the patient. Although this method did not affect the stress and anxiety of the family and patients, but it was able to create a positive experience for them during hospitalization in intensive care units. Moreover, by involving the family in treatment process and informing them opens the ways to reach the patient/family-centered care in intensive care units.
Niloofar Ahmadi, Masood Rezaei, Mohammadreza Zarei, Shima Haghani , Fatemeh Rashidi, Mohammad Abbasi,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. This study aims to assess the impact of education based on the Pender’s health promotion model on quality of life and medication adherence in patients with implantable cardioverter defibrillator (ICD).
Background. Heart failure is a chronic condition in which the heart is unable to provide adequate circulation to meet the metabolic needs. One of the common complications of this disease is sudden cardiac death due to
arrhythmias. Implantable cardioverter defibrillators (ICDs) are recognized as an effective treatment for this issue, as they detect life-threatening arrhythmias and deliver electrical shocks to restore the heart's rhythm to a normal sinus rhythm. Despite the life-saving benefits of these devices, ICD shocks may have negative effects on patients' quality of life. Additionally, poor medication adherence remains a major challenge, leading to treatment failure, increased complications, and higher healthcare costs. Through the implementation of various educational models and health strategies, nurses can effectively influence patients' awareness, attitudes, and health behaviors. The Pender’s Health Promotion Model (HPM) is a framework that leverages individuals' experiences, emotions, perceptions, and
behaviors to improve health outcomes.
Method. This is a study protocol for a randomized clinical trial that will be conducted at Shahid Rajaei Cardiovascular Institute in Tehran. Patients with heart failure who undergo ICD implantation will be randomly assigned to the intervention and control group. Both groups will complete a demographic information form, the Minnesota Living with Heart Failure Questionnaire (MLHFQ), and the Morisky Medication Adherence Scale (MMAS-8). The intervention group, in addition to receiving the standard hospital educational program, will
participate in a 45-minute in-person session at discharge. This session will introduce the number and content of the educational sessions and emphasize the importance of continuous participation. Subsequently, five 30-minute virtual educational sessions will be conducted twice weekly, based on the Pender’s Health Promotion Model. Additionally,
weekly telephone follow-ups will be conducted for one month to monitor adherence to recommendations and address potential issues. The control group will receive only the standard hospital education program at discharge. At the end of the study, both groups will complete the MLHFQ and MMAS-8 questionnaires again to assess outcomes.
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