@article{ author = {sarhangif, فروغ and masoumim, معصومه and ebadia, عباس and seyyedmazharim, مرجان and rahmania, آزاد}, title = {Comparing the effect of lecture- and concept mapping based learning on cognitive learning levels}, abstract ={Aims: As the ultimate goal of professional nursing is to provide high quality care for patients in all fields (biological, psychological and social), nursing educators should use teaching methods that prevents superficial learning of students and improve meaningful and high level learning in them. The aim of this study was to compare the effect of lecture- and concept mapping based learning on cognitive learning levels of nursing students. Methods: In a quasi-experimental study with pre- and post-test method, 66 fifth semester nursing students in “Cardiovascular” course were selected by census method and randomly divided into two control and case groups. After performing pre-test, control and case groups received education using lecture and concept mapping, respectively, for 8 sessions during 2 months. Then, the post-test was taken and 4 weeks after, remind test was performed. For gathering data, a research-made educational improvement test consisted of two parts was used. Data was analyzed by repeated measurement ANOVA method and SPSS 15 software. Results: The procedure of total scores change (knowledge and learning level) was statistically significant in each of two methods (p<; 0.01). The procedure of knowledge scores change was not significant between two groups. But the procedure of scores change in meaningful learning level in case group was statistically significant (p<; 0.005). Conclusion: Concept mapping method is more effective to access meaningful learning and high levels of understanding than lecture method.}, Keywords = {}, volume = {3}, Number = {1}, pages = {1-2}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-140-en.html}, eprint = {http://jccnursing.com/article-1-140-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {mahmoudih, حسین and ebadia, عباس and salimish, seyed hossein and najafimehris, سهیل and mokhtarinoorij, جمیله and shokrollahif, فریدون}, title = {Effect of nurse communication with patients on axiety, depression and stress level of emergency ward patients}, abstract ={Aims: Nurse-patient interaction in health-treatment systems, especially emergent wards, is very important. This study investigated the effectiveness of nurse-patient communication in reducing emotional states (stress, anxiety and depression) in emergency department patients. Methods: This quasi-experimental study performed in one of the Tehran city hospitals’ emergency ward during June to December 2008. The study population were of all patients who were admitted at the emergency department and hospitalized for at least, 3 hours. Two study and control groups (each 150 patients) were selected by available sampling method. Study group patients were cared by nurses trained about how to communicate with patients. Control group nurses were not under such training. To collect data, demographic and 21-questioned depression, anxiety and stress scale questionnaire were used. Data was analyzed by using SPSS 13 software and chi square, Man-Whitney and independent T tests. Results: 20.7% of control patients had severe depression, 24.6% had severed anxiety and 41.3% had severe stress. In study group, 22.1% of patients had severe depression, 20.3% had severed anxiety and 35.6% had severe stress. Differences were not significant between two groups in any fields (p>0.05). Conclusion: In general, stress, anxiety and depression level is high in emergency patients. Implementation of "to communicate effectively with patients" protocol by nurses does not significantly reduce depression, stress and anxiety of patients.}, Keywords = {}, volume = {3}, Number = {1}, pages = {3-4}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-141-en.html}, eprint = {http://jccnursing.com/article-1-141-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {sadeghih, هاجر and azizzadehforuzim, منصوره and haghdoostaa, ali akbar and mohammadalizades, سکینه}, title = {Effect of implementing continuous care model on sleep quality of hemodialysis patients}, abstract ={Aims: Sleep disorder is associated with several physical, behavioral and psychological problems. There are some evidences on disturbance of sleep quality in hemodialysis patients. For this, the present study was to evaluate the effect of applying continuous care model on sleep quality of hemodialysis patients. Methods: This semi-experimental study was performed on hemodialysis patients of Goldis hospital of Shahin Shahr during 2008 and 2009. 43 patients selected by census sampling method as study samples. Data gathering was done by Pittsburg sleep quality questionnaire. The applied model contained four steps (orientation, sensitization, control and evaluation). Patients were divided into five groups and 4-6 training sessions during three weeks were held for each group. During the next 9 weeks, consultations for continuous sleep monitoring, control and evaluation were performed. Immediately after the intervention and one month later, questionnaires were filled out again. Data were analyzed through SPSS 15 and by using descriptive and analytic statistics. Results: According to that in Pittsburg questionnaire the less score shows the better situation, the mean score of sleep quality before the intervention (10.39±3.64) was significantly (p<; 0.0001) more than that before the intervention (5.54±2.87). Also, sufficient sleep was seen in 17.4% of patients before the intervention that was increased significantly (p=0.0001) to 55% after the intervention. Conclusion: Performing the continuous care model has positive effect on sleep quality of hemodialysis patients. Training nurses in using this model can affect the improvement of sleep quality of hemodialysis patients.}, Keywords = {Keywords, Continuous Care Model, Sleep Quality, Hemodialysis}, volume = {3}, Number = {1}, pages = {5-6}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-142-en.html}, eprint = {http://jccnursing.com/article-1-142-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {tayyebia, علی and salimish, seyed hossein and mahmoudih, حسین and tadrisisd, seyed davoo}, title = {Comparison of quality of life in haemodialysis and renal transplantation pateints}, abstract ={Aims: In renal replacement therapies, increaseing the life expectancy and keeping health is not the only goal, rather it involves keeping and increasing quality of life. The aim of this study was to measure and compare the quality of life in renal transplantation and haemodialysis patients . Methods: This descriptive-analytical study performed on renal transplantation and haemodialysis patients reffered to one of the Tehran city hospitals in 2008. 76 haemodialysis and renal transplantation patients were selected by purposeful sampling method. For data collection, demographic and SF-36 questionnaires were used. Data was analyzed by SPSS 15 software and paired T-test and ANOVA with repeated measures methods. Results: Economic, family and job satisfaction (1=very satisfied 5=very unsatisfied) for haemodialysis patients were 3.2 (relative satisfied), 2.34 (satisfied) and 1.36 (very satisfied) and for transplantation patients were 2.75 (relative satisfied), 2 (satisfied) and 3.10 (very satisfied), respectively. Two groups had significant differences in quality of life in general health (p=0.004) and physical health (p=0.01). Conclusion: Transplantation patients with higher score in quality of life in general health and physical health have better life than haemodialysis patients.}, Keywords = {}, volume = {3}, Number = {1}, pages = {7-8}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-143-en.html}, eprint = {http://jccnursing.com/article-1-143-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {modanloom, معصومه and seyyedfatemin, نعیمه and bastanif, فریده and peyrovih, حمید and behnampourn, ناصر and hesamm, مسلم and abdollahih, حبیب}, title = {Comparison of pain assessment by patients and triage nurses}, abstract ={Aims: Excellence in pain assessment is crucial for pain management. Pain is a subjective and individual phenomenon and patients assessment can be affected by their experiences. The purpose of this study was to compare the pain assessment of patients and triage nurses of emergency ward . Methods: This descriptive cross-sectional study performed on patients referred to 5-e-Azar hospital of Gorgan in 2007 and 16 nurses of triage area in emergency ward. 100 patients selected by purposive sampling method. Data was collected by a questionnaire of demographic information and numeric rating scale (NRS) of pain. At first, the triage nurse was rated the patients pain based on history taking. Separately, researchers asked patients to rate their pain intensity in triage. Gathered data were analyzed by using Wilcoxon and Spearman correlation coefficient in SPSS 16 software. Results: The minimum patients pain intensity score was 5. 90% of patients assessed their pain as severe. By increasing the estimate of patients from their pain, the nurses reported less pain and vice versa, when the patients estimated less pain, the nurses estimated it more. Patients average pain intensity score was 9.13±1.26 and triage nurses ratings were significantly lower (7.60±2.1 p<; 0.001). Conclusion: Estimation of patients and triage nurses from pain is inconsistent and in many cases, contrary to one another.}, Keywords = {Keywords, Pain‚ Nurse‚ Triage‚ Emergency, NRS}, volume = {3}, Number = {1}, pages = {9-10}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-144-en.html}, eprint = {http://jccnursing.com/article-1-144-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {ghazanfariz, زهرا and mohammadalizades, سکینه and azizzadeforouzim, منصوره and bahaeddinin, نرجس}, title = {Prevalence of coronary artery diseases risk factors in Kerman}, abstract ={Aims: Coronary artery diseases are the most common cause of mortality. Risk factors have role in increasing incidence of coronary artery disease that can contribute to geographical location, living habits, culture, etc. This study was to evaluate the risk factors of coronary artery disease in Kerman city. Methods: This cross-sectional study performed on 400 of the population above 20 years in Kerman in 1383 That were selected randomly. A researcher-made questionnaire and a check-list were used to collecting data. After measuring weight, height and blood pressure in the place where samples live, introducing letter was given to them measuring blood sugar, cholesterol and triglyceride and lifestyle data were recorded by interview. Data was analyzed by Chi square, T-paired and ANOVA. Results: The prevalence of hypercholesterolemia was 25.8%, hypertriglyceridemia was 14%, hyperglycemia was 7.8%, systolic hypertension was 23.8% and diastolic hypertension was 24%. The average body mass index was 26.6 ± 4/774 kg/m2. 46% of subjects had BMI above 27 kg/m2. The highest percentage of cholesterol, triglyceride and blood sugar were associated with age above 50 and married groups. Conclusion: Cholesterol, triglyceride and body mass index have significant positive correlation with all risk factors for coronary artery disease.}, Keywords = {Keywords, Risk Factors, Coronary Heart Diseases}, volume = {3}, Number = {1}, pages = {11-12}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-145-en.html}, eprint = {http://jccnursing.com/article-1-145-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {sajjadia, اعظم and farmahinifarahanib, بهناز and esmailpoorzanjanis, سیمین and dormaneshb, بنفشه and zarem, محمد}, title = {Effective factors on fatigue in patients with chronic renal failure undergoing hemodialysis}, abstract ={Aims: Fatigue is a common complaint and debilitating symptom in dialysis patients that has a considerable effect on quality of life and well being. The purpose of this study was measurement of fatigue and its related factors in patients with chronic renal failure receiving hemodialysis. Methods: This descriptive correlation study performed in one of the Medical Universities of Tehran in 2009. 56 hemodialysis patients were selected by simple achievable sampling method. Data was collected by fatigue severity scale (FSS) and personal information questionnaires included demographic, disease information and paraclinical findings. Data was analyzed by SPSS 14 software and paired T-test and ANOVA. Results: The fatigue score mean of the patients was 5.1. Women, widow and people without job reported higher fatigue. By reducing the level of education and income and increasing the age, dialysis history and risk of chronic renal failure the fatigue increased These differences were significant only in terms of gender, income and history of chronic renal failure. Mean of fatigue was insignificantly decreased in patients with hemoglobin equal to 12-14 gr/dl, systolic blood pressure >160 mmHg, urea <; 30 and creatinine 6-8 mgr∕dl. Conclusion: Most hemodialysis patients suffer from high scores of fatigue. In order to improve patient care and promote patients quality of life, nurses should identify fatigue, high risk patients and strategies for decrease it.}, Keywords = {Keywords, Fatigue, Renal Failure, Hemodialysis}, volume = {3}, Number = {1}, pages = {13-14}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-146-en.html}, eprint = {http://jccnursing.com/article-1-146-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {mottahediantabrizie, الهه and tadrisisd, seyed davood and mohammadyaria, آذر and ebadia, عباس and mirhashemis, صدیقه}, title = {Validity and reliability of Ramsy sedation scale in adult patients hospitalized in critical care units}, abstract ={Aims: In order to review and determine the level and amount of relaxation, a standard scale is needed. According to that in Iran, there is so far no measures of relaxation made native or they are just translated, the aim of this study was to confirm the validity and reliability of Ramsy sedation scale in adult patients hospitalized in critical care units of Iran. Methods: This study is methodological. After translating the English version of Ramsy scale to Persian, 120 patients hospitalized in critical care units of two hospitals of Tehran city were selected by non-probable accessible purposeful sampling method. Eight evaluators (Main researcher, six nurses and anesthesia resident) independently evaluated the patients by using Persian version of Ramsy scale. Patients evaluated at first by main researcher and then other investigators observed and independently recorded Glasgow modificated by Palma & Cook and Glasgow Coma scores for visual analog scale and a score for Ramsy scale . Results: Interclass correlation coefficient in trained group was 0.843 and the weighted kappa score for inter-rater agreement was 0.875 (p<; 0.001). Validity tests showed a high correlation (r=0.978) between Ramsy with visual analog scale and Glasgow Coma (r=0.772 p<; 0.001). Conclusion: Validity and reliability of Ramsy scale are confirmed for assessing sedation in adult patients hospitalized in critical care units in Iran.}, Keywords = {}, volume = {3}, Number = {1}, pages = {15-16}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-147-en.html}, eprint = {http://jccnursing.com/article-1-147-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {salaria, امیر and mohammadnejade, اسمعیل and vanakiz, زهره and ahmadif, فضل ا}, title = {Survival rate and outcomes of cardiopulmonary resuscitation}, abstract ={Aims: Restoring the vital functions of heart and lung and the efforts to establish circulation and respiration are among the most important measures of professional resuscitators in health centers. The aim of this study was to investigate the rate of survival and the outcomes of cardio pulmonary resuscitation in educational hospitals of Tehran. Methods: This cross-sectional longitudinal study was conducted during 5 months in 3 educational and university selected hospitals on 250 patients underwent cardiopulmonary resuscitation procedure. Data were collected with standard form of recording resuscitation cases in hospital (Utstein) including various variables such as age, sex, working shift, location of arrest, cause of arrest, initial cardiac rhythm, short and long term resuscitation outcomes. Data were analyzed with SPSS 14 statistical software and descriptive and inferential statistical tests (Chi-square and logistic regression). Results: 59.6% of participants were male and the average age of total sample was 57.17±21.10 years old. 64.4% of CPR attempt was unsuccessful and were led to patients’ death. 28.4% of cases were successful in Short-term. Only 7.2% of studied cases had long-term survival after resuscitation procedure and were discharged from hospital. Conclusion: More attention to the chain of survival and causes of success and failure of cardiopulmonary resuscitation and addressing the predictors of the success of cardiopulmonary resuscitation seem necessary.}, Keywords = {}, volume = {3}, Number = {2}, pages = {1-2}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-148-en.html}, eprint = {http://jccnursing.com/article-1-148-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {rafiif, فروغ and mohammadifakharf, فهیمه and jamshidiorakr, روح انگیز and inanloom, مهرنوش}, title = {Effect of jaw relaxation on pain intensity of burn dressing}, abstract ={Aims: The frequency of severe burn and the results of this injury in the form of death, mortality, illness and social and economical costs on society is an acceptable justification for special attention to the burn victims by health experts. This study was conducted to investigate the effect of jaw relaxation on dressing pain intensity of burn patients. Methods: This study was a randomized clinical trial. One hundred patients referred to Shahid Motahari Burn Center in Tehran within July to December, 2009 were selected by convenience sampling and were randomly assigned to either experimental or control groups using minimization method. The experimental group practiced jaw relaxation technique for 20 minutes before entering dressing room. Data were collected using Visual Analogue Scale (VAS) and analyzed by SPSS 17 and independent t-test. Results: The mean burn dressing’ pain intensity score in experimental group was 45.93±24.97 and in control group was 48.05±25.61.There were no significant difference between the pain intensity after dressing in both experimental and control groups (p=0.676). Conclusion: Regarding to ineffectiveness of jaw relaxation on burn dressing’s pain intensity, it is suggested that further relaxation practice sessions be held and continued in the dressing room and also the effect of this technique on residual, penetrating and procedural pain of burn patients be examined and compared.}, Keywords = {}, volume = {3}, Number = {2}, pages = {3-4}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-149-en.html}, eprint = {http://jccnursing.com/article-1-149-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {kouhestanihr, حمیدرضا and baghcheghin, نیره and rezayeek, کورش}, title = {Blood contaminated needle stick/sharp objects injuries and exposure to patients’ body fluids in medical emergencies students}, abstract ={Aims: Medical emergency students are subjected to the risk of occupational exposure to blood-borne viruses following needle stick/sharp object injuries (NSIs/Sis) and blood / body fluids exposures . The goal of this study was to determine the frequency and the features of contaminated NSIs/Sis and blood/body fluids exposures among emergency medical technicians students. Methods: This descriptive cross-sectional study was conducted in Arak University of Medical Sciences in 2009. 52 medical emergency students were participated in the study. Data collection tool was a bipartite researcher-made questionnaire. The first part was related to individual characteristics and demography and the second part was related to the frequency and causes of needle stick/sharp object injuries contaminated with blood and blood / body fluids exposures and the performance of students during injury incidence. Results: 32.7% and 13.46% of the subjects had experienced at least one contaminated NSI and blood / body fluids exposures in the last term, respectively. Only 41/17 % and 16/66 % of the students who had experienced NSIs and blood / body fluids reported all exposures, respectively. The most common procedure leading to these injuries was catheter insertion. The first measure taken by the most students following the injury was washing the injury location. Conclusion: The amount of NSIs and blood/body fluids exposure is high among medical emergency students and also the performance of some of them after incidence is not appropriate. More education programs should be planned and performed for medical emergency students in order to increase their awareness about prevention from these injuries and their resulting hazards and the subsequent actions and measures.}, Keywords = {}, volume = {3}, Number = {2}, pages = {5-6}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-150-en.html}, eprint = {http://jccnursing.com/article-1-150-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {zands, سلیمان and rafieim, محمد}, title = {Causes and duration of hospitalization and mortality rate in intensive care units in Central province}, abstract ={Aims: Since there are disagreements about the relationship between the duration of hospitalization and complications outbreak and the causes of mortality, this study was conducted to investigate the epidemiology of causes of hospitalization, complications and mortality of the hospitalized patients in the intensive care unit (ICU) of Central province’s hospitals. Methods: In this descriptive cross sectional study, 981 patients who were admitted in the Central provinces’ ICUs in 2008 were selected as the participants of the study. The patients’ neurologic, respiratory, hemodynamic conditions, vital signs and physical injuries were analyzed and recorded in the check list. At the time of patients’ release or death, the final analysis was done in terms of the symptoms and signs of the disease. Data were analyzed using SPSS 11 statistical software and logistic regression, probability ratio and chi square tests. Results: The most common cause of death was a cardiac arrhythmia (28 .1%). The most prevalent cause of hospitalization was accident (12.6%) and coma (12.1%). The dominant complication among the respiratory complications was infection in all ICUs. The average hospitalization duration of studied patients was 7 days. Conclusions: Accident and heart diseases were the most common causes of death in ICU.}, Keywords = {}, volume = {3}, Number = {2}, pages = {7-8}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-151-en.html}, eprint = {http://jccnursing.com/article-1-151-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {alavimajdh, حمید and yaghmayeef, فریده and nasresfahanim, مایده}, title = {Comparing the lilt voice of Koran with normal situation, silence, Arabic music and Iranian music on adequacy of dialysis}, abstract ={Aims: Improving the adequacy of dialysis is the main factor for reducing complications and mortality in dialysis patients. According to different researches, music affects physiologic factors. But there is not any research that reveals the effect of music on dialysis adequacy. This study was conducted to compare the effect of the voice of the Koran with normal sound, silent, Arabic and Iranian music on adequacy of dialysis. Methods: This clinical trial study was conducted by participation of all chronic renal failure final phase patients admitted in haemodialysis ward of Jahrom’s Motahari hospital in 2008. 68 patients were selected by purposive or goal-oriented method. Data were collected using Glak & Stark religious measuring questionnaire. Interventions were done in 5 stages. Normal situation, lilt or rhythmic voice of Koran (Yasin: 1-83), Iranian music (30 minute), Arabic music (30 minute) and silent situation. All variables affecting adequacy of dialysis in all intervention sessions were homogenized. Dialysis adequacy was compute by kt/v formula. Data were analyzed using Chi square, Paired T test and ANOVA test. Results: Means of dialysis adequacy calculated by 0.963 ± 0.757 kt/v, 51.6 ± 87.9 URR and 0.484 ± 0.121 PRU formulas. No significant difference was observed in 5 groups by ANOVA test (p>0.05). Normal situation had the best dialysis adequacy . Conclusion: No one of the situations had impact on dialysis adequacy although the calculated adequacy by kt/v formula in the Koran sound-using situation shows an improvement increase which is not significant.}, Keywords = {Keywords, Adequacy of Dialysis, Koran Voice, Haemodialysis}, volume = {3}, Number = {2}, pages = {9-10}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-152-en.html}, eprint = {http://jccnursing.com/article-1-152-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {hojjatih, حمید and tahern, نورا and akhondzadeg, گلبهار and heydarib, بهروز and sharifniash, seyed hami}, title = {Resorting to pray rate in hemodialysis patients of Golestan province}, abstract ={Aims: Religious beliefs are important factor in mental supporting of patients. In order to feel more comfort and gain a new power to move toward more accommodation with disease, one should rely on the power of God. Religious practices, prayer and benediction not only affect emotional states of individual but also his physical quality and sometimes within a few moments or a few days improve the physical illness. This study was conducted to evaluate the rate of resorting to God in hemodialysis patients. Methods: In this single-group single-phase descriptive cross-sectional study, 245 dialysis patients referred to the hemodialysis center of Golestan province were selected based on purposive or goal-oriented sampling method. Information was collected through prayer Meraviglia frequency questionnaire. Data were analyzed using SPSS16 and Friedman test and descriptive statistics Results: The rate of resorting to prayer was 173.9 ± 9.8%. 98.4% of subjects used prayer in a high level. The score of prayer frequency was 6.6 ± 95.2, previous experience pray was 64.9 ± 4.6 and the attitude of prayer was 31.8 ± 3.1. With respect to prayer frequency 44.5% of subjects constantly thanked God for his favor and 42% were also continuously demanded the help of Allah. Regarding previous prayer experience, 88% of patients in the past believed that “sometimes, God heals patients”. With regard to attitude, 40% of subjects agreed that God took care of them. Significant relationship between prays’ aspects was observed (p<; 0.01). Conclusion: Resorting to prayer in hemodialysis patients is at a high level.}, Keywords = {Keywords, Resort, Prayer, Hemodialysis Patients}, volume = {3}, Number = {2}, pages = {11-12}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-153-en.html}, eprint = {http://jccnursing.com/article-1-153-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {ranjbarh, هادی and jafaris, صدیقه and kamranif, فرهاد and alavimajdh, حمید and yaghmayeef, فریده and nasresfahanim, مایده}, title = {Effect of Chlorhexidine gluconate oral rinse on preventing of late onset ventilator associated pneumonia and it’s interaction with severity of illness}, abstract ={Aims: The respiratory-digestive mechanism colonization and aspiration of contaminated secretions to the lower respiratory tract are two main processes in creating pneumonia associating with artificial ventilation. This study was conducted to determine the effect of chlorhexidine gluconate 0.2% oral rinse in preventing from pneumonia associated with delayed artificial ventilation and its interactive effect with disease severity. Methods: In this clinical trial study, 80 patients newly admitted in the general intensive care unit (ICU) of Loqman-e-Hakim hospital were selected randomly and assigned in two groups. Patients of experimental and control groups received daily twice chlorhexidine oral rinse and normal saline oral rinse, respectively. Ventilator associated pneumonia was diagnosed by Modified Clinical Pulmonary Infection Score (MCPIS). Results: The overall incidence of late VAP was 16.25% (5 VS 25% in experimental and control groups, respectively). Fisher’s exact test showed a significant differences between two groups (p<; 0.05). Average score of illness severity in chlorhexidine group was 26.41 while in normal saline group was 23.95 that implied a significant statistical difference (p<; 0.001). Patients with higher severity of illness didn’t develop VAP in chlorhexidine group. Conclusion: Selective decontamination or cleaning of digestive tract with chlorhexidine oral rinse twice a day does not differ from normal saline in prevention of ventilator associated pneumonia, but can reduce the late onset of ventilator associated pneumonia and is effective in patients with more severe condition.}, Keywords = {}, volume = {3}, Number = {2}, pages = {13-14}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-154-en.html}, eprint = {http://jccnursing.com/article-1-154-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {mohammadhassanimr, mohammad reza and farahanib, بهناز and zohourar, علیرضا and panahiazarsh, شهناز}, title = {Self-care ability based on Orem’s theory in individuals with coronary artery disease}, abstract ={Aims: According to Orem’s definition, self care involves those learned behaviors that individuals perform in order to preserve or promote their life, health, well being and prevention or treatment of their disease. Self care can play an effective role in the management of individuals with chronic diseases including coronary artery disease. The aim of this study was to determine the self-care ability and the relationship between self-care ability and some variables in individuals with coronary artery disease. Methods: In this analytical- descriptive study, 307 individuals, 40 or older with coronary artery disease, referred to the military 502 hospital of Tehran between July and November in 2009, were selected through a goal-oriented or purposive sampling method. The data was collected through an interview by using the “self-care ability practice” and a “basic conditioning factors “questionnaire. Data were analyzed using SPSS 14 software and descriptive statistical methods and one-way ANOVA. Results: The self- care ability mean was 59.13 ±12.62 . Factors including sex, age, occupation, education and income level had not a significant relationship with self-care ability (p>0.05). Conclusion: Self-care ability of individuals with arterial coronary disorders is in moderate level and self-care ability and health are not affected by basic conditioning factors (socio demographic).}, Keywords = {}, volume = {3}, Number = {2}, pages = {15-16}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-155-en.html}, eprint = {http://jccnursing.com/article-1-155-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {moradi, effat and mokhtarinouri, jamileh and khademolhosseini, seyyed mohammad and ebadi, abbas and salari, mohammad mehdi}, title = {Effectiveness of medical nuclear care nursing training on levels of learning by multimedia software}, abstract ={Aims: Training is an important part of preparation process which is provided in various ways. This research was doneto examine the efficacy of nuclear nursing care training by multimedia software on cognitive learning levels.Methods: purposive sampling in year 2009.A Multiple choice researcher-designed questionnaire with 30 questions aboutthree levels of cognitive learning including knowledge, comprehension and application was prepared and the testwas done in three stages before, immediately after and 4 weeks after nuclear nursing care training by multimediasoftware. Scores were compared by repeated measure ANOVA test using SPSSMethods: purposive sampling in year 2009.A Multiple choice researcher-designed questionnaire with 30 questions aboutthree levels of cognitive learning including knowledge, comprehension and application was prepared and the testwas done in three stages before, immediately after and 4 weeks after nuclear nursing care training by multimediasoftware. Scores were compared by repeated measure ANOVA test using SPSSIn this quasi-experimental study, 30 nurses of one of hospitals in the country were selected by17.Conclusion: Results prove that multimedia software is effective therefore, nuclear nursing care training by.multimedia software can be a good alternative to other methodsIn this quasi-experimental study, 30 nurses of one of hospitals in the country were selected by17.Preparation of nurses plays an important role in nuclear events and reduces the nuclear consequences.}, Keywords = {}, volume = {3}, Number = {3}, pages = {0-0}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-156-en.html}, eprint = {http://jccnursing.com/article-1-156-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {ghazanfariz, زهرا and arabm, منصور and forouzim, منصوره and pourabolib, بتول}, title = {Knowledge level and education needs of thalassemic childerns parents of Kerman city}, abstract ={Amis: Tallasemic population is mainly young therefore , family plays a very important role in providing care for them. Considering the chronic nature of thalassemia, it is necessary for patients and their families to have addequate information on the disease proccess and related therapeutic measurements. This study was performed to determine the knowledge level and educationl needs of thalassemic patients’ parents. Methods: This descriptive study was performed on 300 thalassemic patients’ parents who reffered to Kerman special diseases center in year 1384. Data was collected based on a researcher-made questionnaire by interviewing with parents and was analyzed by SPSS 15 using frequency table, ANOVA, ُ student T tests and Spearman correlation coefficient. Results: The mean age of fathers was 42.02 ± 9 years and for mothers it was 35.9 ± 8.4 years. The mean score range of 20 items in need questionnaire was between 2.79 and 2.96 (from the maximum score of 4). Parents’ knowledge was under 50% considering all items and they gained 37% of the total score. There was a positie correlation between parents’ level of education and knowledge as well as their educational needs. Mothers’ educational needs were more than that of fathers. Conclusion: Thalassemic patients’ parents don’t have adequate information on the disease and need a high level of education.}, Keywords = {Keywords, Knowledge, Parents Education Need ,Thalassemia }, volume = {3}, Number = {3}, pages = {3-4}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-157-en.html}, eprint = {http://jccnursing.com/article-1-157-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {abdollahiaa, ali akbar and yazdikh, خدیجه and hosseinisa, seyyed abedin and khoddamh, حمیرا}, title = {Effect of stational education on students’ cardio-pulmonary resuscitation activity}, abstract ={Aims: Having comprehensive knowledge and skill of Cardio Pulmonary Resuscitation (CPR) is necessary for all medical staff nowadays. Use of simulation training is a good method for improving students’ clinical skills in resuscitation . This method develops participants’ skills and helps them learn about new equipment and procedures. This study was designed to examine the effect of station training on students’ skills in CPR. Methods : In t his interventional study data was gathered in two phases, before and after intervention. Units of study were 37 senior students of nursing and midwifery in faculty of Booyeh. Data was gathered in standard checklists by observing students’ performance in basic and advanced CPR in stations of Objective Station Clinical Evaluation (OSCE) before and after station training. Data was analyzed by SPSS 11.5 software using descriptive statistic indices and Wilcoxon non-parametric test. Results: Students’ performance in basic and advanced CPR demonstrates a significant difference before and after station training, considering their average information. Conclusion: Station training will enhance nursing and midwifery students’ knowledge of basic and advanced CPR, if taught correctly and practically.}, Keywords = {}, volume = {3}, Number = {3}, pages = {5-6}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-158-en.html}, eprint = {http://jccnursing.com/article-1-158-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {abbasidolatabadiz, زهرا and farahanib, بهناز and fesharakim, محمد and najafizadehk, کتایون}, title = {Effect of education about brain death and organ donation on attitude and knowledge of nursing students}, abstract ={Aims: Nowadays nurses are involved in cases of brain death and organ donation and they play a critical role confronting such cases. Data provided by nurses can increase organ donation rate if they have enough information on the subject. This study was designed to determine the effect of training about brain death and organ donation on nursing students’ attitude and knowledge. Methods: This quasi-experimental before-after study was performed on nursing students of selected universities of medical sciences in Tehran. Sample size was 147 (72 cases and 75 controls) who were selected with purposive sampling. Data was collected by a researcher-designed questionnaire including demography, attitude and knowledge questions. Its validity was determined by content validity method and its reliability by test/retest and Cronbach’s alpha . Data was analyzed by SPSS 15 using paired and independent T and Chi-square tests. Results: The attitude (p=0.18) and knowledge (p=0.71) of nursing students in two groups did not differ significantly before training . Education group students had a significant improvement in attitude (p=0.02) and knowledge (p=0.001) after training compared to the control group. Conclusion: Considering the effect of training on nursing students’ attitude towards brain death and organ donation , it seems necessary to make changes in nursing curriculum in Iran.}, Keywords = {}, volume = {3}, Number = {3}, pages = {7-8}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-159-en.html}, eprint = {http://jccnursing.com/article-1-159-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {allafjavadim, مهروز and parandeha, اکرم and ebadia, عباس and hajiaminiz, زهرا}, title = {Comparison of life quality between special care units and internal-surgical nurses}, abstract ={Aims: Different occupational environments affect the quality of life and occupational stress has serious effects on health and life quality . Paying attention to nurses’ health and quality of life and keeping them healthy is of great importance, first of all as a human being and then as people who are responsible for health of other society members. This study was performed to compare the quality of life in nurses of special care units and internal-surgical wards. Methods: This descriptive-cross sectional study was performed on 250 nurses working in special care units and internal-surgical wards in two of Tehran’s educational hospitals in 2008. Study units were selected by systematic random sampling. Data collection tools were demographic data questionnaire and SF-36 quality of life questionnaire. Data were analyzed using descriptive statistical indices and inferential non-parametric statistical tests including Chi square, Mann-Whitney, Kruskal Wallis and Spearman test by SPSS 15 software. Results: Mean scores of physical and mental health and total quality of life scores, showed significant difference between nurses of special care units and internal-surgical wards (p<; 0.05). There was a significant correlation between type of ward, economic, social and occupational satisfaction and quality of life (p<; 0.05). Conclusion: Regarding some inevitable stressful factors in nursing occupation and the necessity of preventing physical, mental and behavioral consequences of stress on nurses, measures should be taken in order to develop their occupational environment and quality of life. Also, teaching oppositional methods to nurses is suggested.}, Keywords = {}, volume = {3}, Number = {3}, pages = {9-10}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-160-en.html}, eprint = {http://jccnursing.com/article-1-160-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {hosseinrezaeih, حکیمه and ranjbarh, هادی and abbaszadeha, عباس}, title = {Heart wards’ nursing staff performance in caring of heart temporary and permanent pacemakers}, abstract ={Aims: Rhythm dysfunction is one of the important cardiovascular problems and pacemakers have been used increasingly during past decade. Complications and pacemakers’ dysfunction can be prevented by providing necessary information and nursing care to patients. This study was designed to examine nurses’ performance in giving care to patients with temporary and permanent pacemakers. Methods: This cross-sectional descriptive study was performed on nurses of Kerman University affiliated hospitals in 2007. Data was collected by a researcher-made questionnaire with 36 questions on nursing care (15 items on hospital care and 21 items on discharge time nursing care) after determining its Validity and reliability. Data was analyzed using descriptive statistics indices and Chi square, Pearson and mean comparison tests by SPSS 15. Results: The mean score of postoperative care was 23.30±6.27. The discharge time mean score was 44.66±14.30. Pearson test demonstrated significant relationship between postoperative and discharge time caring scores (r=0.577 p=0.0001). There was no relationship between postoperative and discharge time care scores with cardiac re-education courses. Conclusion: Considering nurses’ lack of information on patient education and the critical situation of these patients, establishing nursing re-education courses and adding courses with functional content to nursing curriculum are suggested.}, Keywords = {}, volume = {3}, Number = {3}, pages = {11-12}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-161-en.html}, eprint = {http://jccnursing.com/article-1-161-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {tayebia, علی and raiesifara, افسانه and ebadia, عباس and eynollahib, بهزاد and rafiyanz, زهرا and keyvanloof, فاطمه}, title = {Review the renal transplantation patients’ quality of life by using kidney transplantation questionnaire (KTQ-25)}, abstract ={Aims: Quality of Life (QOL) is a strong predictor of mortality for end stage renal disease patients. This has resulted in QOL becoming the most important measure by which to present the outcome of these patients. The aim of this study was to measure QOL in renal transplant patients in Tehran . Methods: This is a descriptive-analytic study which was performed on 220 renal transplant patients referred to transplantation and nephrology clinic of two Tehran city selected hospitals in year 2009. A demographic and a Kidney Transplant Questionnaire (KTQ-25) were used in order to collect data. The reliability of KTQ-25 was determined 0.93 by Cronbach Alpha method and the questionnaire was filled by patients. Data were analyzed by SPSS 16 and descriptive and analytic statistics. Results: The mean of QOL in this study was 4.9±1.27, the maximum score was obtained in appearance dimension and the minimum score was obtained in fear dimension. Relation between QOL score and gender (p<; 0.001), cause of End Stage Renal Disease (p=0.02), occupation (p=0.002) and economic satisfaction (p=0.02) was significant. Conclusion: Tehran city kidney transplant patients’ QOL level is moderate.}, Keywords = {}, volume = {3}, Number = {3}, pages = {13-14}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-162-en.html}, eprint = {http://jccnursing.com/article-1-162-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {amerioona, احمد and mesgarpouramirim, محمد and aminianabad, حسین}, title = {Rate of inequality in kidney transplantation services access in Iran}, abstract ={Aims: Having equal access to healthcare services is one of the basic rights of all people. Kidney transplant beds are one of the most important and valuable resources of healthcare system which their unequal allocation can cause irrecoverable complications in addition to emergency patients’ transportation. Present study was designed to evaluate the access to kidney transplantation services in different provinces of Iran. Methods: In this applied descriptive-analytical study, number of kidney transplant beds for each province in portion with province population in year 2006 was analyzed using Gini coefficient and Lorenz curve with Excel 2007 software. Results: The total number of kidney transplant beds in Iran was 295, which 163 (55%) of them were located in Tehran. Approximately, half of population, only has access to 20% of kidney transplant beds and the other half has access to 80%. Gini coefficient was 0.4 which demonstrated the non-equality. Conclusion: There isn’t equal accessibility to kidney transplant services in Iran due to unequal distribution of kidney transplant beds.}, Keywords = {}, volume = {3}, Number = {3}, pages = {15-16}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-163-en.html}, eprint = {http://jccnursing.com/article-1-163-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2010} } @article{ author = {}, title = {Contents}, abstract ={}, Keywords = {}, volume = {3}, Number = {4}, pages = {0-0}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-164-en.html}, eprint = {http://jccnursing.com/article-1-164-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {mr, asgari and e, mohammadi and m, fallahi khoshknab and mr, tamado}, title = {The perception of chronic renal failure patients from advocacy resources in adjustment with hemodialysis: A qualitative study}, abstract ={Introduction: To encounter with problems due to the disease and treatment, chronic renal failure (CRF) patients use advocacy various resources for adjustment. A few studies exist about this problem, especially in Iranian society hemodialysis patients. This study was performed to explain perception of CRF patients from advocacy resources in adjustment with hemodialysis. Methods: This study was conducted with qualitative research approach and content analysis method in 2009. The participants were 16 hemodialysis patients in hemodialysis ward of Semnan University of Medical Sciences hospitals. Purposive sampling began and continued up to data saturation. Unstructured interview was the main method for data collection. The data were analyzed using qualitative content analysis method and constant comparative method. Results: In content analysis process, finally 6 themes emerged that indicated nature and dimensions of patients’ perception from advocacy resources. These themes included 1.joining the family members, 2.informed trust and hopefulness to physician, 3.nurses’ empathy and responsible accountability, 4.to be encouraged with adjusted and transplanted patients, 5.feeling worthy with friends’ companionship, 6.assurance and satisfaction with advocacy organizations. Conclusion: These results can help the managers and planners of health field to facilitate the adjustment of the new patients so that in what fields and aims they must focus and plan.}, Keywords = {}, volume = {3}, Number = {4}, pages = {133-144}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-165-en.html}, eprint = {http://jccnursing.com/article-1-165-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {f., sarhangi and m., masoumy and a., ebadi and m, seyyed mazhari and a., rahmani and a., raisifar}, title = {Effect of Concept Mapping Teaching Method on Critical Thinking Skills of Nursing Students}, abstract ={Introduction: Improving critical thinking is one of the most important objectives in nursing education. This study was performed to investigate the effect of concept mapping on critical thinking skills of the nursing students. Methods: This quasi-experimental study was done with two groups design, and pre-test post-test method in 2009. 66 5th semester nursing students were selected through census method and randomly divided into two intervention and control groups. Control and intervention groups received education using lecture method and concept mapping, respectively, for 8 sessions during 2 months. The statistical analysis was done by software SPSS 15. Descriptive statistics, independent t-test, chi-square and ANOVA were used. Results: Performing concept mapping led to a significant increase in critical thinking skills scores in all domains except analysis domain (p=0.286) and deductive reasoning domain (p=0.104) in the intervention group in comparison with the control group. In spite of the significant increase in the mean score of critical thinking of the intervention group, comparing the mean difference of pre and post tests in the two groups (p=0.053), only analysis domain showed no significant difference. Conclusion : Using concept mapping in the education of nursing students may lead to develop critical thinking skills as one of the important duties of higher education.}, Keywords = {}, volume = {3}, Number = {4}, pages = {145-150}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-166-en.html}, eprint = {http://jccnursing.com/article-1-166-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {z., ghazanfari and g., foroghamari and m., mirhosseini}, title = {The nursing staff view about barriers of using pain relief methods}, abstract ={Introduction: Lack of pain relief in patients, particularly in patients undergoing artery transplant surgery, cause higher mortality and complications. This study aimed to identify the opinions of the nurses about barriers of using of pain relief methods. Methods: In this descriptive study was done with 211 samples by census method in Kerman hospitals in 2008. For collecting the data, a researcher made questionnaire was used which had two parts (the first part was about demographic characteristics and the second part included 31 questions about barriers in four domains: patient, nurse, institution and physician). Analyzing the data was done by non-parametric tests (Mann-Whitney and Kruskal Wallis). Results: In nurses’ view, most barriers mentioned in patient’s area were not considered as barrier. Among the barriers to nurses, the most effective barrier was nurse inadequate knowledge about methods of nonpharmacologic pain relief (91.7 percent). The most effective barrier in the organizational area was hard prevent regulations in the use of opium drugs (52.2 percent) and in the physician’s area, lack of physician willingness to use of pain relief methods were charged the highest barrier (65.9 percent). Conclusion: Identifying pain relief barriers would help in overcoming these barriers and besides revising the difficult regulations on the use of narcotic drugs, seems necessary. Keywords: Nursing staff, Barriers, Pain relief methods.}, Keywords = {Nursing staff, Barriers, Pain relief methods.}, volume = {3}, Number = {4}, pages = {153-156}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-167-en.html}, eprint = {http://jccnursing.com/article-1-167-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {sh, zeighami mohamadi and s, asgharzadeh haghighi and ar, nikbakht nasrabadi}, title = {The Study of Electrolyte Abnormalities and Renal Dysfunction on Elderly Patients with Systolic Heart Failure}, abstract ={Introduction : In patients with chronic heart failure, balance abnormalities of the serum sodium and potassium levels and renal dysfunction commonly occurs. This study aimed to determine the amount of electrolyte abnormalities and renal dysfunction in elderly patients with systolic heart failure. Methods : This was a descriptive-analytical study. The study population included all the hospitalized patients who diagnosed with heart failure. The 154 patients who had the inclusion criteria were selected using census method during 2003 to 2008. The data analyzed using descriptive-analytical statistical method. Results : The elderly patients had 34.4% creatinine level of more than 1.5 mg/dl, 16.2% hyponatermia and 9.1% hyperkalemia. Serum creatinine level was associated with hospitalization duration (p=0.002), sex (p=0.041), liver cirrhosis (p=0.004) and mortality (p=0.000). Serum potassium level was associated with creatinine level (p=0.35), systolic blood pressure (p=0.042), diastolic blood pressure (p=0.046), number of comorbidities (p=0.044), CVA (cerebrovascular accidents) (p=0.001), taking diuretics (p=0.006), and angiotensin converting enzyme inhibitors (ACEI) (p=0.041). Serum sodium level was associated with comorbidities (p=0.034). Conclusion : The present study showed that the clinical status of elderly patients with systolic heart failure was poor based on the hemodynamic status, electrolyte balance and renal condition.}, Keywords = {}, volume = {3}, Number = {4}, pages = {155-166}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-168-en.html}, eprint = {http://jccnursing.com/article-1-168-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {ah., mirhaghi and m., roudbari}, title = {A Survey on Knowledge Level of the Nurses about Hospital Triage}, abstract ={Introduction : Hospital triage is part of the emergency department structure which is done by emergency nurses. There is a little information about knowledge level of the nurses about triage. This study aimed to determine knowledge level of the nurses about hospital triage. Methods : This was the descriptive survey using simple random sampling. The researcher made questionnaire included 25 questions in three parts of demographic data, pure triage knowledge (15 questions) and triage decision making (10 questions). Seventy nurses of the emergency department participated in the study from all the hospitals of Sistan-Baluchestan province in 2009. The reliability of the questionnaire obtained 0.60 using test-retest. The data were analyzed using Kappa statistics, independent t-test, Pearson correlation coefficients through software SPSS15. Results : The response rate was equal to 68% (70 out of 102). The nurses had not enough knowledge about the hospital triage 39.94% of the responses to the knowledge level questions were correct. Only in 3 hospitals (out of 10), special nurses have been dedicated to triage. The nurses who had more than two years experience in emergency department had received a higher average score. The concordance rate of the nurses in triage decision making was average ( κ = 0.56). Conclusion : Low knowledge of the nurses about hospital triage could be due to lack of formal training courses and lack of obligation of the emergency departments on evidence-based decision making. Establishing academic courses for triage nursing and developing national triage scale is recommended.}, Keywords = {Knowledge, Triage, Nurses, Emergency ward.}, volume = {3}, Number = {4}, pages = {167-174}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-169-en.html}, eprint = {http://jccnursing.com/article-1-169-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {s, rabie siahkali and a., avazeh and f., eskandari and t, khaleghdoost mohammadi and s., mazloom and e., pary}, title = {A Survey on Psychological and Environmental Factors on Family Anxiety of the Hospitalized Patients in Intensive Care Units}, abstract ={Introduction : Anxiety has many devastating effects on the individuals, so this study aimed to determine anxiety level and psychological and environmental factors on anxiety of the family of the patients hospitalized in Intensive Care Units. Methods : This was a cross-sectional study conducted in 2007. 218 family members of 130 patients were selected in simple sampling method in meeting times of the Therapeutic Educational Centers . Collecting the data was done using two questionnaires: “standardized hospital anxiety and depression scale” and “researcher made”. The data were analyzed using chi-square test and logistic regression through software SPSS 15. Results : The odds ratio of anxiety outbreak in individuals who remarked that visiting behind the window affect their anxiety was 4.4 times more than that in the individuals who remarked visiting behind the window does not affect their anxiety (OR = 4.404). In addition, the odds ratio in cases with lack of face to face visiting, poor economic condition, family concerns on hospital costs and family member role changing were 3.550, 3.904, 2.501 and 4.308, respectively. Conclusion : Observing pipes and fittings, visiting behind the window, lack of face to face visiting, poor economic condition, family concerns about hospital costs and family member role changing were the effecting factors in increasing odds ratio of the families’ anxiety. Considering these factors and family-centered cares can significantly reduce anxiety level of the families.}, Keywords = {Anxiety, Patients’ families, Intensive Care Unit. }, volume = {3}, Number = {4}, pages = {177-182}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-170-en.html}, eprint = {http://jccnursing.com/article-1-170-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {m., akbari and a., shamsi}, title = {A Survey on Nursing Process Barriers from the nurses’ view of Intensive Care Units}, abstract ={Introduction: Lack of application of the nursing process can reduce the quality of care so this study aimed to diagnose the nursing process barriers from the view of the Intensive Care Units’ nurses. Methods : This cross-sectional descriptive study has been done on 63 nurses of Intensive Care Units that were chosen from selected hospitals in Tehran, based on cluster-random sampling method in 2010. The data gathered using a researcher made questionnaire and analyzed using descriptive-analytical statistical method. Results: The most important individual barriers from the view of nurses were lack of sufficient information about concept of the nursing process (79.4%) and lack of belief in doing the patient care according to the nursing process (74.6%) and inadequate learning about the nursing process in intensive care units (71.4%). In addition, the most important management barriers were lack of enough time for doing the nursing process due to excessive number of the patients (84.1%), lack of authorities support for implementation of the nursing process (76.2%) and submitting non-nursing duties to the nurses (76.2%). Conclusion: Health care authorities must help in promotion of the health care with employing sufficient nurses, educating them and providing necessary situations for nursing process.}, Keywords = {Nursing process, Nurses, Intensive units. }, volume = {3}, Number = {4}, pages = {181-186}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-171-en.html}, eprint = {http://jccnursing.com/article-1-171-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {a., shamsi and a., ebadi}, title = {Risk Factors of Cardiovascular Diseases in Elderly People}, abstract ={Introduction : Cardiovascular diseases are the major cause of mortality in women and men all over the world. This study aimed to evaluate the prevalence of cardiovascular diseases and associated risk factors in the elderly people. Methods: This descriptive study has been done on 382 elderly people in 2009. Samples were chosen from different regions of Tehran city by random-cluster sampling method . Data was collected by researcher made questionnaire and also measurement of the height and weight (body-mass index), blood pressure, blood lipids and fasting blood sugar. The data analyzed using descriptive-analytical statistical method and SPSS 17 software. Results: Risk factors of cardiac vascular diseases (and their prevalence) included obesity and overweight (48.1%), high triglyceride (37.2%), lack of exercise (36.4%), high cholesterol (32.2%), high systolic (%31.4) and diastolic (28.0%) blood pressure, cardiovascular diseases (27.3%), tobacco consumption (19.7%), high fasting blood sugar (14.7%), and positive family history (13.4%). Prevalence of different risk factors of cardiac vascular diseases was significantly higher in men than women (P<; 0.05) except fasting blood sugar, physical inactivity and lack of exercise. Conclusion: The results of the present study showed that the prevalence of risk factors for cardiac vascular diseases was high and higher in men than women. Therefore, educating individuals, control of risk factors and screening are suggested.}, Keywords = {}, volume = {3}, Number = {4}, pages = {189-194}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-172-en.html}, eprint = {http://jccnursing.com/article-1-172-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} }