@article{ author = {mahmoudi, hosein and mohammadi, eesa and ebadi, abbas}, title = {Experience of nurses from the emergency department management:A qualitative study}, abstract ={Aims: No hospital can be considered as an ideal treatment center without an active and fully functional emergency room. A significant part of this strong and high performance is related to emergency room management that is affected by contextual factors and conditions. This study was conducted to clarify nurses’ experience of emergency room management from nurses’ point of view. Methods: This study was carried out through a qualitative approach and content analysis method with conventional approach. Via purposeful sampling, 18 nurses during one year gave unstructured interviews in two teaching hospitals in Tehran. The gathered data were analyzed by using MAXQDA3 software. Results: The results of this study indicated that nurses experience of emergency room management lay in three main aspects: 1. Neglecting basic needs of human resources, 2. Neglecting development of human resource, 3. Basic and functional management challenges and deficiencies Conclusion: Considering the shortcomings and failures in emergency room management, managers should pay attention to nurses’ basic needs. They should support nurses, consider offers, improve education, and try to overcome challenges and shortcomings of management.}, Keywords = {}, volume = {5}, Number = {1}, pages = {1-10}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-207-en.html}, eprint = {http://jccnursing.com/article-1-207-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {mosazadeh, somaieh and khaleghdoostmohammadi, tahere and hasavari, farideh and kazemnejadlili, ehsan and dehnadi, anoush}, title = {Comparing the chance of occurrence of respiratory aspiration between two tube feeding methods of intermittent bolus and intermittent drip bag}, abstract ={Aims: Aspiration of stomach contents is a serious side effect in patients with a narrow tube which can be prevented otherwise may lead to death. There have been disputes over the safest feeding method. Therefore, this study seeks to identify the chance of occurrence of respiratory aspiration in two tube feeding methods of intermittent bolus and intermittent drip bag. Methods: In this quasi-experimental study, 72 patients in ICU and trauma ward who were fed through tube, investigating contextual variables and using gradual method, were divided into two groups of intermittent bolus and intermittent drip bag method and both groups were independently fed for 3 days. After that, both groups were surveyed and compared based on the level of aspiration occurrence. To collect the data, personal information, nutrition, and respiration form as well as form of information about the two feeding methods in the studied units were utilized. The studied units were selected among Training and Treatment Centers in Rasht in 2010. To analyze the data, descriptive and inferential statistics and SPSS16 software were used. Results: The respiratory aspiration occurrence level in intermittent bolus tube feeding methods was 5.6% whereas this amount in intermittent drip bag method was zero. Fisher exact test revealed that there was no significant relationship between these two groups (p=0.47). Conclusion: As there was no significant relationship in respiratory aspiration between the two groups, it concluded that intermittent bolus method can still be mentioned in books as a standard method which can decrease the risk of aspiration if it is used properly.}, Keywords = {}, volume = {5}, Number = {1}, pages = {11-16}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-208-en.html}, eprint = {http://jccnursing.com/article-1-208-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {farshi, masomeh and babatabardarzi, hosein and mokhtarinouri, jamileh and mahmoudi, hosei}, title = {Study of the effect of air evacuation and transport training using lecture method on nurses level of learning}, abstract ={Aims: As the members of the flight team, nurses should be familiar with the situation and proper transfer of patients, so that a safe transport can be arranged. Education and familiarization of nurses to enhance knowledge, performance, and attitude led us to conduct a research to investigate the effect of air transport and evacuation training using lecture method on nurses levels of knowledge, attitude and performance. Methods: In the present quasi-experimental study in 2011, 30 nurses working in one of the selected hospitals of Tehran were sampled using simple sampling and were trained in terms of air evacuation and transport using lecture method. The effect of education on knowledge, comprehension, and application levels in cognitive domain were evaluated before, immediately after, and one month following the training using a multiple choice researcher-designed questionnaire including thirty questions. The questionnaire validity was approved by the faculty members and the reliability by the Kuder-Richardson21 test (0.72). Data was analyzed by SPSS17 statistical software, chi square, and repeated-measures ANOVA test. Results: The mean (±standard deviation) score was respectively 4.17(±1.64), 7.67(±1.4), and 7.27(±1.9) before, immediately after, and 4 weeks following the training in terms of knowledge, 4.53(±1.2), 6.9(±1.9), and 5.7(±1.5) in terms of comprehension, and 3.3(±1.4), 6.53(±1.6), and 6.33(±1.6) in terms of application. The average total scores obtained was 12.03(±2.8), 21.1(±3.3), and 19.3(±4.01) before, immediately after, and 4 weeks following the education out of the total 30 scores. There was also a significant relationship in the learning process between all the three levels (p<; 0.001). Conclusion: The study results were indicative of the effects of education on learning levels, demonstrating the usefulness of air evacuation and transport training using lecture method however, it is suggested that new training strategies be evaluated in order to bring more effective education.}, Keywords = {}, volume = {5}, Number = {1}, pages = {17-22}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-209-en.html}, eprint = {http://jccnursing.com/article-1-209-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {saeedi, maryam and ashktorab, tahereh and saatchi, kiarash and zayeri, farid and amiraliakbari, sedighe}, title = {The Effect of Progressive Muscle Relaxation on Sleep Quality of Patients Undergoing Hemodialysis}, abstract ={Aims: Sleep disorder is common among patients with renal disease in its last phase. Progressive muscle relaxation is a method which has been designed to reduce tension and anxiety. The present study was carried out to determine the effect of progressive muscle relaxation on sleep quality of patients undergoing hemodialysis. Methods: This is a quasi-experimental study with one-group, before and after design. Using purposive sampling method, 39 patients were selected. These patients were being treated with maintenance hemodialysis in hospitals affiliated with Shahid Beheshti University of Medical Sciences in 2010. Sleep quality of samples was assessed by Pittsburgh Sleep Quality Index (PSQI). Progressive muscle relaxation was trained to patients in three sessions. They were also asked to do relaxation practice for a month, twice a day (once during the day and once before going to bed at night), and fill in the relaxation form after each practice. Afterwards, sleep quality of patients before and after relaxation were compared. To analyze the statistical data, paired t-test and wilcoxon test were used. Results: The mean of samples’ sleep quality total score after relaxation was significantly lower than before relaxation (p<; 0.001). The score of each sleep quality dimension (except for use of sleep medications) were significantly lower than before relaxation. Conclusion: According to the results of this study, progressive muscle relaxation has a favorable impact on sleep quality in patients undergoing hemodialysis and can be applied and trained as a useful method to improve sleep quality of patients in hemodialysis wards.}, Keywords = {}, volume = {5}, Number = {1}, pages = {23-28}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-210-en.html}, eprint = {http://jccnursing.com/article-1-210-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {sharifnia, seyyed hamid and hojjati, hamid and nazari, roghayeh and qorbani, mostafa and akhoondzade, golbahar}, title = {The effect of prayer on mental health of hemodialysis patients}, abstract ={Aims: Hemodialysis brings about difficulties in individuals’ mental health by causing disorder in the function and quality of life. Asking for religious help and prayer play a vital role in sickness acceptance and it causes positive treatment motivation through decreasing mental disorders. Among the important factors which lead to diseases, psychological problems as well as physical and social complications, one can mention to absurdity and uselessness as well as mental instability which is resulted from lack of spiritual dimension in peoples’ life. The present research aimed to review the effect of prayer on mental health of hemodialysis patients referring to Imam Reza Hospital of Amol City in 2009. Methods: This experimental study was conducted on 88 people under hemodialysis treatment (44 people as test group and 44 people as control group). The survey was done in Solomon desian. “Tavassol Prayer” was played periodically for the test group for 10 weeks in the mornings for 20 minutes. Then, mental health of both groups was evaluated by the spiritual health standard questionnaire of Palutzian & Ellison. The results were analyzed by descriptive and inferential statistics after entering data into statistical Software SPSS16. Results: The findings showed mental health for the test group was 103±3 as a high level and for the control group as 93±10 in an intermediate level. Two ways ANOVA test showed a significant correlation between mental health of the test and control groups both in pretest and posttest (p<; 0.01). In addition, this test also showed a significant correlation between the two groups who had only posttest (p<; 0.01). Conclusion: According to the results, it can be concluded that prayer is a suitable method to adapt with the disease. Because, not only it mitigates stress, but also, it improves health spirituality. Since, life approach of these patients is built on spirituality, it is necessary for physicians and nurses to know the key role of ideological beliefs in the patients’ life. Therefore, it is hoped that with the serious cooperation among the health team members in following the religious rituals, which are known as religious care today, we may see the effect of these cares and creation of peace feeling as well as rapid recovery in health condition of these patients.}, Keywords = {Prayer, Spiritual Health, Hemodialysis}, volume = {5}, Number = {1}, pages = {29-34}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-211-en.html}, eprint = {http://jccnursing.com/article-1-211-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {zeighamimohammadi, sharareh and shahparian, mandana and fahidi, farzad and fallah, ebrahim}, title = {Sexual Dysfunction in Men with Systolic Heart Failure and Associated Factors}, abstract ={Aims: Heart failure is a major risk factor for erectile dysfunction. This study seeks to investigate the incidence and factors associated with erectile dysfunction in patients with systolic heart failure. Methods: This is a cross sectional study that was conducted on 100 male patients with systolic heart failure in 2009. Convenience sampling was used to gather the required data. Data collection instruments included a demographic data form, IIEF-5 (The International Index of Erectile Function, a 5-item version), MLHFQ (Minnesota Living with Heart Failure), and CES-D (Center for Epidemiologic Studies Depression Scale). The data was analyzed by SPSS software and using descriptive statistics, t-test, ANOVA and Pearson correlation coefficient. Results: The findings indicated that the mean score of erectile dysfunction was 14.02±6.26 and 80% of male patients with systolic heart failure suffered from erectile dysfunction. There was a significant relationship between erectile dysfunction and age (p>0.001), education (p=0.019), occupation (p=0.002), hemoglobin level (p=0.003), left ventricular ejection fraction (p=0.030), cholesterol level (p=0.001), renal dysfunction (p=0.009), use of digoxin (p=0.014), angiotensin converting enzyme inhibitors (P<; 0.001), beta blocker (p=0.001), diuretics (p=0.035), depression (p<; 0.001), and quality of life (p<; 0.001). Conclusion: Erectile dysfunction is the most common problem in patients with systolic heart failure and is associated with age, medical conditions, co-morbidity, medicinal treatments and psychological disorders. In patients with heart failure, erectile dysfunction has a negative impact on quality of life.}, Keywords = {}, volume = {5}, Number = {1}, pages = {35-42}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-212-en.html}, eprint = {http://jccnursing.com/article-1-212-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {borhani, fariba and khoshab, hadi and abbaszadeh, abbas and rashidinejad, hamidreza and mohammadi, ees}, title = {Study of the effect of partnership care model on the quality of life in patients with heart failure}, abstract ={Aims: Heart failure is one of the most important and prevalent diseases, and still one of the major problems of health care systems in spite of the medical advances. Today, the promotion of the quality of life in heart failure patients is one of the objectives of the nursing care programs. In this line, the present study was conducted to evaluate the effect of partnership care model on the quality of life in patients with heart failure. Methods: In the present clinical trial in 2010, 90 patients with heart failure hospitalized in Kerman University of Medical Sciences affiliated coronary care units were selected using accessible-sampling method and were randomly divided into two groups of 45 participants each as the experimental and the control groups. To evaluate the quality of life as a dependent variable, the standard quality-of-life questionnaire for heart failure patients, including 22 questions on the three major dimensions of the quality of life (physical, mental and socioeconomic), was applied. The intervention was implemented during three months according to the partnership care model in the experimental group. Data were analyzed by SPSS18 software using descriptive statistics, independent and paired t-tests and the variance analysis. Results: There was a significant difference between the two groups in terms of the mean quality of life (from 60.11±10.7 to 35.43±8.6 in the experimental and 45.63±7.3 to 57.42±11.9 in the control group), as well as the associated dimensions including the physical, psychological, and socioeconomic aspects (p<; 0.05). Conclusion: The study findings demonstrated a significant improvement in the mean quality of life scores in all the three dimensions in the experimental compared to the control group the application of the mentioned model is, therefore, recommended for the care and treatment of patients with heart failure.}, Keywords = {}, volume = {5}, Number = {1}, pages = {43-48}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-213-en.html}, eprint = {http://jccnursing.com/article-1-213-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {tayyebi, ali and shasti, samaneh and ebadi, abbas and eynollahi, behzad and tadrisi, seyyed davoo}, title = {The relationship between blood pressure and dialysis adequacy in dialysis patients}, abstract ={Aims: Dialysis inadequacy is one of the determinant factors of disability and mortality rate in dialysis patients. Enhancing the quality of dialysis is really effective to improve prognosis. There are lots of factors determine dialysis adequacy. The aim of this study was to assess the relationship between blood pressure and dialysis adequacy. Methods: this cross-sectional study was performed on 100 patients admitted in hemodialysis ward of Besat hospital and Baqiatallah hospital in 1389.a researched-made questionnaire used gathering demographic data and blood pressure from patient’s records. KT/V formula was used to assess the adequacy of hemodialysis. URR common characteristic were also measured. Data was analyzed by parametric and nonparametric tests. Results: the mean age of samples was 62.21±13.7 years. The mean of KT/V and URR were 1.23±0.38 and 14±11.04 respectively. Paired t-test showed no significant differences between blood pressure and dialysis adequacy. Conclusion: in this study we showed no linear correlation between blood pressure and dialysis adequacy KT/V and URR, it’s needed to carry out main and perfect study with more samples.}, Keywords = {Blood pressure, Dialysis adequacy, Hemodialysis }, volume = {5}, Number = {1}, pages = {49-54}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-214-en.html}, eprint = {http://jccnursing.com/article-1-214-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} }