@article{ author = {Kaviani, Melika and Sharif-Nia, Hamid and Barzegari, Saeed and Nazari, Roghieh}, title = {Comparison of Pain Behaviors of Brain-Injured Patients Based on Clinical Characteristics: A Cross-Sectional Study}, abstract ={Background & aim: Most of the brain-injured patients hospitalized in the Intensive Care Unit (ICU) are not able to report their pain. In order to assess their pain, the CPOT-Neuro has been developed. Actually they may indicate different pain behaviors according to clinical conditions. Therefore, this study was conducted with the aim of comparing pain behaviors in brain-injured patients based on their clinical characteristics. Methods: This cross-sectional study was carried out on 132 brain-injured patients in Amol city, Iran who were enrolled in the study from December 2023 to March 2024. Data were collected using a demographic checklist and a Critical-Care Pain Observation Tool Neuro (CPOT-Neuro). Patients' behaviors were evaluated before, during and after change position (nociceptive procedure). Results: According to the frequency of pain behaviors observed during nociceptive procedure, a total of 105 patients indicated changes in facial expression, 13 patients in autonomic response, 88 patients in body movements, 46 patients in vocalization/ventilator tolerance and 31 patients indicated changes in muscle rigidity. By comparing the frequency of these behaviors during nociceptive procedure based on clinical characteristics, the chance of observing body movements during nociceptive procedure in non-traumatic patients was 60% lower than in traumatic patients (P<0.05). The probability of observing the autonomic response, vocalization/ ventilator tolerance and muscle rigidity during the nociceptive procedure decreased with the improvement of the level of consciousness (P<0.05). In addition, the chance of observing the autonomic response, body movements, vocalization/ ventilator tolerance and muscle rigidity during nociceptive procedure increased with the change in patients' sedation (P<0.05). The possibility of observing a change in muscle rigidity during nociceptive procedure in patients under mechanical ventilation was 74% lower than in patients without mechanical ventilation (P<0.05). Conclusion: This study showed that pain behaviors in brain-injured patients were different based on the type of brain-injury, the level of consciousness, the level of sedation and the way of breathing. These findings highlight consideration of clinical characteristics when evaluating and managing pain in these patients.}, Keywords = {Brain Injury, Pain, Behaviors, Pain Measurement, Intensive Care Units.}, volume = {17}, Number = {1}, pages = {1-8}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.17.1.1}, url = {http://jccnursing.com/article-1-770-en.html}, eprint = {http://jccnursing.com/article-1-770-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {Abadi, Ehsan and Rahmani, Ali and Abbaszadeh, Nasim}, title = {Correlation of D-dimer Level with Severity of COVID-19 Disease in Hospitalized Patients: A Cross-Sectional Study}, abstract ={Background & aim: D-dimer levels have been recognized as significant markers for assessing disease severity and mortality in patients with COVID-19. This research aims to examine the correlation between D-dimer levels and disease severity in hospitalized COVID-19 patients. Methods: Conducted over an eight-month period from March 2023 to January 2024, this cross-sectional study evaluated 231 confirmed COVID-19 patients admitted to Chamran Hospital. D-dimer levels, along with clinical and Para clinical data, were collected and analyzed. Disease severity was assessed through pulse oximetry and measurements of blood oxygen saturation (SpO2). Results: The present study was carried out on 134 males (58%) and 97 females (42%), with a mean age of 61 years. Elevated D-dimer levels were correlated with decreased SpO2 levels. Patients with SpO2 below 90% exhibited significantly higher mean D-dimer levels compared to those with SpO2 above 90% (2589 vs. 517 Nano grams per milliliter, P>0.001). Additionally, a moderate negative correlation was found between D-dimer levels and SpO2 (r=-0.624). Conclusion: The inverse correlation between D-dimer levels and SpO2, indicative of disease severity in COVID-19 patients, suggests that D-dimer levels can serve as a predictive biomarker in these patients.}, Keywords = {Coronavirus, D-Dimer, COVID-19, Prognostic Biomarker}, volume = {17}, Number = {1}, pages = {9-14}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.17.1.9}, url = {http://jccnursing.com/article-1-768-en.html}, eprint = {http://jccnursing.com/article-1-768-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {Joukar, Enayatalah and Tayebi, Ali and Einollahi, Behzad and Rahimi, Abolfazl and Tayebi, Mehdi}, title = {The Effect of using Easy Workout Kit on Hemodialysis Outcomes: An Interventional Study}, abstract ={Background & aim: Hemodialysis significantly alters the daily life and health of patients with kidney failure, impacting their quality of life and sleep. This study aimed to assess the impact of an easy exercise regimen on hemodialysis outcomes. Methods: This cross-sectional interventional study utilized a pre-post design involving 42 hemodialysis patients selected via census. Demographic data were recorded, and baseline assessments of quality of life and sleep quality were conducted using the Kidney Patients Quality of Life Questionnaire (KDQOL-SFTM) and the Richard Campbell Sleep Quality Questionnaire, respectively. Additional measures included KT/V and biochemical tests. Participants engaged in the Easy Workout program three times per week during dialysis sessions over a 12-week period, after which post-intervention assessments were conducted. Results: After the interventions, the sleep quality of the patients increased significantly (P<0.001). The adequacy of dialysis compared to before the intervention showed a statistically significant increase (P = 0.039). The general dimension and the specific dimension of the quality of life of the patients increased significantly after the interventions (P<0.001). Conclusion: Easy exercises during hemodialysis improve sleep quality, quality of life and dialysis adequacy of hemodialysis patients. It is suggested to use easy exercises to improve the health status of patients during hemodialysis.}, Keywords = {Easy Workout, Hemodialysis, Sleep Quality, Quality of Life, Dialysis Adequacy.}, volume = {17}, Number = {1}, pages = {15-24}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.17.1.15}, url = {http://jccnursing.com/article-1-764-en.html}, eprint = {http://jccnursing.com/article-1-764-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {MirEbarhimi, Mir Akbar and Moayed, Malihe sadat and Ebadi, Abbas and Saeed, Yaser}, title = {Person-Centered Care Approach in the Intensive Care Unit: A Systematic Review}, abstract ={Background & aim: Person-centered care is of great importance in nursing due to its wide application and increasing importance. Therefore, it is considered as a quality indicator in the health system. This review study was conducted with the aim of investigating the person-centered care approach. Methods: This article is a systematic review that targeted search without time limitation using the keywords person-centered care, nursing, intensive care unit and its English equivalent in the English language databases Web of Science, Scopus, PubMed and Persian SID, Iran Medex, Magiran and Google Scholar search engine. This search was conducted until March 2023. Results: Out of 67 initial studies, 14 studies were included in the final analysis. In most of the studies, four factors of individuality, kindness, respect and comfort were reported as the main dimensions of person-centered care in Intensive Care Units (ICUs). Heavy workload and lack of cooperation between nurses were introduced as the main obstacles to the implementation of person-centered care and high work experience as an effective factor in improving the quality of person-centered care in the special care department. The provision of suitable clinical spaces for the family was also reported as one of the effective factors in improving the quality of person-centered care. Conclusion: Person-centered care, as a new approach, has been investigated in various studies. Paying attention to the patient as a whole person, emphasizing the individual's personality, participation in decision-making processes, respecting the wishes of the patient and his family can be effective factors in providing person-centered care in the special care department. Limited studies have been conducted in the field of person-centered care in the ICU, which is suggested to be further investigated in future studies.}, Keywords = {Patient-Centered Care, Family-Centered Care, Person-Centered Care, Critical Care, Systematic Review.}, volume = {17}, Number = {1}, pages = {25-34}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.17.1.25}, url = {http://jccnursing.com/article-1-760-en.html}, eprint = {http://jccnursing.com/article-1-760-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {Aein, Mojtaba and Mahmoudi, Hosein and Latifi, Ali Mohammad and Jafari-Oori, Mehdi}, title = {Investigating the Effectiveness of Education on the Entrepreneurial Attitude and Intention of Nursing Students: A Semi-Experimental Study}, abstract ={Background & aim: In the field of nursing, there are many entrepreneurship and innovative opportunities, however, its education in nursing, especially nursing students, has been less. For this reason, the present study was conducted with the aim of determining the effectiveness of education on the attitude and entrepreneurial intention of nursing students. Methods: In this semi-experimental study, 102 nursing students were randomly divided into intervention and control groups. In order to collect data, a questionnaire that included a demographic section and a section to measure Linan and Chen's entrepreneurial intention and attitude, which was based on the planned behavior model, was used before and immediately after the intervention. The intervention was implemented as a one-month entrepreneurship training workshop for the intervention group. Data analysis was carried out with a significance level of 0.05. Results: Before the intervention, there was no significant difference between the control and intervention groups (P>0.05). However, after the intervention, except for the attitude variable (P>0.05), there was a significant difference in other variables in the intervention group (P<0.05). The mean scores of intention variables (P = 0.001) and behavioral control (P = 0.003) were significant, but for attitude (P = 0.16) and subjective norm (P = 0.052) was not significant. Conclusion: These findings show that entrepreneurship education can improve the intention and behavioral control of nursing students regarding entrepreneurship. This study can help administrators and educational planners in the field of entrepreneurship to design appropriate educational programs for the development of entrepreneurship in nursing students.}, Keywords = {Entrepreneurship Education, Nursing Students, Planned Behavior Model, Entrepreneurial Intention and Attitude.}, volume = {17}, Number = {1}, pages = {35-44}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.17.1.35}, url = {http://jccnursing.com/article-1-767-en.html}, eprint = {http://jccnursing.com/article-1-767-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {Aziznejhad, Ebrahim and Dadashzadeh, Abbas and Sarbakhsh, Parveen and Asghari, Elnaz and Jabbarzadeh, Faranak}, title = {The Presence of Women in Pre-Hospital Emergency Medical Services from the Perspective of the Staff: A Cross-Sectional Feasibility Study}, abstract ={Background & aim: Women have been present in pre-hospital emergency in most countries; but recently such a decision has been made in Iran. Therefore, it is necessary to examine the opinion of the employees regarding the feasibility of the presence of women in order to meet the needs of the service recipients. The present study was conducted with the aim of assessing the feasibility of women's presence in pre-hospital emergency missions from the staff's point of view. Methods: This research was a cross sectional study. The research community was the employees working in the emergency departments of the medical system in the East Azerbaijan province, Iran. Sampling was done by stratified random method and random sampling was done from all cities in proportion to the volume of each stratify on the entire population. Finally, 326 employees were included in the study. A researcher-made tool with three subscales was used to collect data. Results: According to the findings, the acceptance rate of women's presence in the pre-hospital emergency was high from the staff's point of view. However, the current conditions and facilities are considered to be not enough. In addition, according to the findings, having a strong spirit, crisis management in difficult and heartbreaking conditions, covering gender differences and being in harmony with cultural, religious and social principles were declared as the most important expectations of the employees from the role of women in the pre-hospital emergency system. Conclusion: Based on the findings, the staff consider the presence of women in the pre-hospital emergency as necessary, but first special facilities should be provided for their presence and reasonable expectations should be considered for them. Based on these findings, it is recommended that policymakers focus on the level of the society's culture, the conditions for hiring female personnel, adding specialized equipment, modifying and changing work rules, so that the presence of female personnel in the pre-hospital emergency system is possible.}, Keywords = {Ambulances, Emergencies, Emergency Medical Technicians, Women}, volume = {17}, Number = {1}, pages = {45-54}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.17.1.45}, url = {http://jccnursing.com/article-1-769-en.html}, eprint = {http://jccnursing.com/article-1-769-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {Masoudi, Saeideh and Abedini, Zahra and Khoramirad, Ashraf and Akhoundzadeh, Kobr}, title = {Risk Factors, Clinical Manifestations, and Para-Clinical Findings of Patients with ST-Elevation Myocardial Infarction: A Cross-Sectional Study}, abstract ={Background & aim: Despite significant advancements in the treatment of cardiovascular diseases, the prevalence of these diseases is on the rise in developing countries. Knowing the risk factors and other aspects related to these diseases can help to prevent the occurrence, and to also treat these patients faster and with a more efficient diagnosis. The present study aimed to investigate the risk factors, clinical manifestations and the para-clinical findings in patients with ST-segment elevation myocardial infarction in Shahid Beheshti Hospital, Qom, in 2022 and 2023. Methods: This cross sectional descriptive and analytical study was carried out using patients' files. The study included 208 patients with ST-segment elevation myocardial infarction referred to Shahid Beheshti Hospital, Qom. The data collection form included four sections: demographic variables, risk factors, clinical manifestations, and para-clinical findings. A P<0.05 was considered statistically significant in this study. Results: Most patients were male (78.4%) with a mean ± SD age of 58.05 ± 12.06. The most common clinical manifestation was chest pain (80.8%), and the most common risk factors were overweight and obesity, history of hypertension and smoking. Elevations in the levels of troponin and creatine phosphokinase as cardiac markers for myocardial infarction, and blood glucose and blood pressure were observed. The mean ± SD of the left ventricle ejection fraction was reported as 39.54 ± 10.05%. Conclusion: Understanding the higher incidence of myocardial infarction in men, and in the sixth decade of life, can help to identify the main target groups for comprehensive planning in the prevention and control of myocardial infarction. In addition, identifying overweight, obesity, hypertension, and smoking as the most common risk factors for heart attacks could play an important role to establish an efficient prevention program.}, Keywords = {Myocardial Infarction, Clinical Manifestations, Para-Clinical Evidence, Risk Factors.}, volume = {17}, Number = {1}, pages = {55-64}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.17.1.55}, url = {http://jccnursing.com/article-1-762-en.html}, eprint = {http://jccnursing.com/article-1-762-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} } @article{ author = {Ghanbari, Alireza and Sharif-Nia, Hamid and Mousazadeh, Noushin and Nazari, Roghieh}, title = {Development and Validation of a Scale for Assessing Factors Influencing Nurses\' Intention to Use a Manometer for Endotracheal Tube Cuff Pressure Monitoring}, abstract ={Background & aim: Effective management of endotracheal tube cuff pressure is crucial in preventing complications such as pneumonia and airway trauma. Despite recommendations for using a manometer to, cuff pressure monitoring, adherence remains suboptimal. Since intention is the most significant predictor of actual behavior, understanding the factors influencing it through a valid tool can help identify barriers and facilitators more accurately. Therefore, this study aimed to develop and psychometrically evaluate of a Scale for Assessing Factors Influencing Nurses' Intention to Use a Manometer for Endotracheal Tube Cuff Pressure Monitoring. Methods: This methodological study was conducted in 2024 on 186 nurses working in the Intensive Care Units (ICUs) of public hospitals in Amol, Iran. The tool was developed based on the Theory of Planned Behavior using the framework and examples provided by Ajzen, and the psychometric process followed Eccles' guidelines. First, the target behavior was defined. Then, an initial set of items was generated through a literature review and clinical experience of the researchers. The content and face validity of the tool were evaluated using both qualitative and quantitative approaches. The construct validity of the tool was assessed through exploratory factor analysis, and its internal consistency was examined using Cronbach's alpha and McDonald's omega coefficients. The test-retest method was used to assess stability. Results: During the item generation phase, 41 items were developed based on a review of relevant literature. After qualitative and quantitative assessments of face and content validity, the number of items was reduced to 25. Exploratory factor analysis indicated an acceptable fit for the data, with a Kaiser-Meyer-Olkin (KMO) sampling adequacy index of 0.853 and a significant Bartlett's test. Four factors with eigenvalues greater than one were identified, accounting for 22.50%, 10.95%, 9.30%, and 10.60% of the total variance, respectively (53.35% cumulatively). In the final stage, six items with factor loadings less than 0.3 were removed, resulting in 19 items categorized under four factors: "Positive Behavioral and Control Beliefs," "Normative Beliefs," "Perceived Control Beliefs Strength," and "Motivation to Comply. Cronbach’s alpha and McDonald’s omega coefficients ranged from 0.827 to 0.900, with ICC = 0.95. Conclusion: The tool demonstrated acceptable validity and reliability for assessing factors influencing the intention of ICU nurses to use manometers. Therefore, its application in future research could help identify additional barriers and facilitators in nurses' behavior, leading to the development of more effective training programs. It is also recommended that this tool be tested among different groups of nurses and in various hospital settings to further refine and improve it.}, Keywords = {Critical Care Nursing, Intention, Intratracheal Intubation, Psychometrics, Theory of Planned Behavior.}, volume = {17}, Number = {1}, pages = {65-75}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, doi = {10.30491/JCC.17.1.65}, url = {http://jccnursing.com/article-1-774-en.html}, eprint = {http://jccnursing.com/article-1-774-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2024} }