@article{ author = {}, title = {Editors speech}, abstract ={}, Keywords = {}, volume = {4}, Number = {1}, pages = {0-0}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-173-en.html}, eprint = {http://jccnursing.com/article-1-173-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {taghizadehkarati, keyvan and asadzandi, minoo and tadrisi, seyyed davvod and ebadi, abbass}, title = {Effect of Prayer on Severity of Patients Illness in Intensive Care Units}, abstract ={Introduction : Faith therapy is one of the treatments which connect the patients with power of the Holy God so that the patient seeks healing and cure. This study aimed “to determine the effect of prayer in reducing severity and intensity of the patients illness”. Methods : This was a two-group controlled clinical trial , purposive study with 70 subjects that was done in Intensive Care Units of Baqiatallah hospital in 2010. The patients with chronic obstructive pulmonary disease and with congestive heart failure investigated . The patients in the intervention group were studied with recorded prayer for 3 days used prayer attributed to Prophet Muhammad (PBUH). No intervention was applied in the control group. To evaluate the severity of the patients’ illness, SOFA (Sequential Organ Failure Assessment) scale and for statistical analysis, parametric and non-parametric test was used through software SPSS 15. Results : According to Mann-Whitney test, average difference of illness intensity of the patients between the first and the second day in the intervention group was -0.82± 92 (p>0.05) whereas between the first and the third day was -2.08±1.29 (p<; 0.001) and between the second and the third day was -1.25±0.91. Conclusion : Prayer therapy has a positive effect on reducing the severity of the patients illness.}, Keywords = {}, volume = {4}, Number = {1}, pages = {1-6}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-174-en.html}, eprint = {http://jccnursing.com/article-1-174-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {siavashvahabi, yadollah and tadrisi, seyyed davvod and ghayyem, sahnaz and ebadi, abbass and daneshmandi, mohammad and saghafinia, masoo}, title = {Comparing the Effect of Triage Education in Lecture and Multimedia Software on Nurses Learning}, abstract ={Introduction: Triage is the basis of disaster management and teaching triage skills to the nurses is of high importance in disaster and calamity planning. This study aimed “to compare the effectiveness of two teaching methods of lecture and multimedia software on nurses learning”. Methods: In a semi-experimental, two-group pretest-posttest study, ninety nurses of one of hospitals in Isfahan using random allocation method divided into two equal groups of education by lecture and by multimedia software in 2009. Learning of the nurses in cognitive and emotional areas was measured about triage using a researcher-made multiple choice test in three stages before, after and recall stage after the intervention. Thereafter, the data were analyzed using independent t-test and repeated measures analysis of variance and SPSS 15 software. Results: Learning rate of the nurses about triage increased in two methods (p< 0.001) but showed no significant difference between two groups (p>0.05). Significant difference wasn’t showed in mean total scores (cognitive and emotional areas) before the intervention in both groups (p>0.05), i.e. the two groups were homogeneous. But, at measurement of the second stage (posttest), mean total scores in the lecture group was higher than multimedia software group (p< 0.001). In addition, in the recall stage, there was no significant difference in mean total scores (cognitive and emotional areas) between the two groups (p>0.05) however, mean scores of recall stage in the multimedia software group was higher than lecture group. Conclusion: The results indicated the effectiveness of both lecture method and multimedia software method however considering to the characteristics of the virtual learning including comprehensive interest-based learning, cost-effective, efficacy, accessible, flexible, appropriate design, and comprehensiveness and extendable, this effective method is recommended.}, Keywords = {}, volume = {4}, Number = {1}, pages = {7-12}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-175-en.html}, eprint = {http://jccnursing.com/article-1-175-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {salari, amir and mohammadnejad, esmaeil and vanaki, zohreh and ahmadi, fazlollah}, title = {Effect of in-hospital Cardiopulmonary Cerebral Resuscitation Management on Resuscitation Outcomes}, abstract ={Introduction: Currently, a few percent of Cardiopulmonary Cerebral Resuscitation ( CPCR ) has been successful which would lead to prolonged survival of the patients. Hence, this study aimed to review the effect of managing in-hospital cardiopulmonary cerebral resuscitation on the resuscitation outcomes. Methods : This was a pre and post quasi-experimental study. In the pre-intervention phase, eighty patients were studied in a selected educational hospital in Tehran who underwent CPR, in terms of short and long term resuscitation outcomes in 2009. The CPCR management process was conducted for five months. After stabilization of this new system , the resuscitation outcomes again were reviewed by another eighty patients. For recording short and long term resuscitation outcomes was used standard Utstein form. The statistical analysis was done by SPSS 16 software and descriptive-analytical statistical. Results : The short term outcomes increased after the intervention from 18.8% (pre) to 31.3% (post) and the long term outcomes also were boosted from zero percent (pre) to 2.5% (post). Generally, after the intervention, 66.3% of the resuscitation were unsuccessful, 31.3% were successful in short term and 2.5% brought about the long term survival and the patients with moderate to good brain function discharged from the hospital. This result had a significant difference with the situation of pre intervention phase (p<; 0.05). Conclusion : Performing the CPR management process can be applied as a model for performance of the managers of health-treatment centers to increase survival rate of the patients after the CPR.}, Keywords = {}, volume = {4}, Number = {1}, pages = {13-22}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-176-en.html}, eprint = {http://jccnursing.com/article-1-176-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {aghababi, naser and hatami, javad and rostami, rez}, title = {The role of individual characteristics and judgment pattern in attitude toward euthanasia}, abstract ={Introduction: While euthanasia is the most controversial subject in end-of-life care field, there is very little available information about psychological correlations of attitude towards it particularly in Iran. The present study aimed “to assess the acceptance rate of euthanasia and evaluate the role of personality and religious variables in attitudes towards euthanasia”. Methods: This was a descriptive-analytical study on 233 students of Tehran University. The data collection tools included the following questionnaires: euthanasia acceptance, euthanasia attitude scale, five-factor personality models and religious orientation scale. Furthermore, the participants studied the "Trolley Scenario" and judged about it. The data were analyzed using software SPSS and descriptive and inferential statistics including frequency, t-test, correlation and regression. Results: The results indicated that 63.9% and 58.8% of the participants were opposed with active and passive euthanasia, respectively. The opposition rate with active euthanasia was more than the opposition rate with passive one (p<; 0.05). Sex and age of the participants had no association with acceptance of euthanasia and attitude towards it. Among the personality and religious variables, only the religious variables were associated (negatively) with attitude towards euthanasia. Besides, the judgment pattern of the pros and cons of euthanasia had not so much difference. Conclusion: According to the study findings, the majority of the Iranian students were opposed with euthanasia and their opposition with active euthanasia was more than that of the passive one. The role of religiosity in opposition with euthanasia was not affected by the personality factors. The findings of the present study in addition to emphasizing the difference of active and passive euthanasia, weakly supported the slippery slope argument.}, Keywords = {}, volume = {4}, Number = {1}, pages = {23-32}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-177-en.html}, eprint = {http://jccnursing.com/article-1-177-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {sharifnia, seyyed hamid and haghdoost, aliakbar and nazari, roghayeh and rezaii, rozita and saatsaz, soosan and seyyediandi, seyyed jalil}, title = {Difference in Clinical Symptoms of Myocardial Infarction between Men and Women}, abstract ={Introduction: While euthanasia is the most controversial subject in end-of-life care field, there is very little available information about psychological correlations of attitude towards it particularly in Iran. The present study aimed “to assess the acceptance rate of euthanasia and evaluate the role of personality and religious variables in attitudes towards euthanasia”. Methods: This was a descriptive-analytical study on 233 students of Tehran University. The data collection tools included the following questionnaires: euthanasia acceptance, euthanasia attitude scale, five-factor personality models and religious orientation scale. Furthermore, the participants studied the "Trolley Scenario" and judged about it. The data were analyzed using software SPSS and descriptive and inferential statistics including frequency, t-test, correlation and regression. Results: The results indicated that 63.9% and 58.8% of the participants were opposed with active and passive euthanasia, respectively. The opposition rate with active euthanasia was more than the opposition rate with passive one (p<; 0.05). Sex and age of the participants had no association with acceptance of euthanasia and attitude towards it. Among the personality and religious variables, only the religious variables were associated (negatively) with attitude towards euthanasia. Besides, the judgment pattern of the pros and cons of euthanasia had not so much difference. Conclusion: According to the study findings, the majority of the Iranian students were opposed with euthanasia and their opposition with active euthanasia was more than that of the passive one. The role of religiosity in opposition with euthanasia was not affected by the personality factors. The findings of the present study in addition to emphasizing the difference of active and passive euthanasia, weakly supported the slippery slope argument.}, Keywords = {Myocardial infarction, Gender, Clinical symptoms}, volume = {4}, Number = {1}, pages = {33-38}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-178-en.html}, eprint = {http://jccnursing.com/article-1-178-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {borimnejad, leili and mehrnosh, nasrin and seyyedfatemi, naimeh and haghghani, hami}, title = {Maternal Stressor Agents with Premature Infants in Neonatal Intensive Care Units}, abstract ={Introduction: Birth of a premature infant is associated with separation from family and hospitalization. Actually, parents would undergo a lot of stress. The present study aimed to determine stressor agents of the mothers with premature infants admitted to the Neonatal Intensive Care Units (NICUs). Methods: This was a descriptive study with 140 mothers with premature infants admitted to the NICUs of three educational medical centers affiliated to Tehran University of Medical Sciences using Parental Stressor Scale (PSS) Questionnaire of Miles and Funk (1998). The data analyzed using descriptive-analytical statistical method and SPSS 16 software. Results: Among the cases related to environmental stressor agents, the following items were reported as the most experienced stressor agents by mothers: breathing apparatus for infants (27.9%), the sudden sound of the monitor buzzer (25.7%) and cases related to appearance and behavior of the infant and special treatments such as stop breathing (70.7%), sudden skin discoloration of infant (55%) and cases related to parental-neonatal relationship such as separation from the infant (69.3%) and feeling helpless to protect the infant from pain and painful procedures (60.7%). Furthermore, the aspect of “appearance and behavior of the infant and special treatments” was more stressful in comparison with other stressor aspects. Conclusion: According to study findings, it is suggested to provide necessary preparations after the birth for parents (particularly mothers) with premature infants to face with the infants and make appropriate relation with them in NICUs.}, Keywords = {}, volume = {4}, Number = {1}, pages = {39-44}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-179-en.html}, eprint = {http://jccnursing.com/article-1-179-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {ranjbar, hadi and arab, mansoor and abbaszadeh, abbass and ranjbar, athareh}, title = {Affective Factors on Oral Care and its Documentation in Intensive Care Units}, abstract ={Introduction: Oral hygiene is one of the main tasks of Intensive Care Unit’s Nurses. This study aimed to determine the affecting factors of oral cares interventions and its documentation in Kerman University of Medical Sciences intensive care units. Methods: In this cross sectional study, all the nurses of intensive care units of Kerman University of Medical1 Sciences hospitals were surveyed and 131 responded. Oral cares questionnaires, underlying factors and nursing reports assessment check list were used to collect the data. Data were analyzed using descriptive and analytic statistics and PASW 18 software. Results: Oral rinse was the most frequent method (82.4%) and the most used solution was chlorhexidine (43.2%). Documentation of oral care was done by most of the nurses but the information about used methods and outcomes were not provided. There was a direct relation between intensive care work experience )r=0.332 p<; 0.05( and priority of the oral care (rho=0.349, p<; 0.001) with oral care quality. Viewing oral care as a difficult and unpleasant task had an indirect relation with oral care (p<; 0.05). Conclusion: There was need for education and informing nurses about importance of the oral care and evidence-based methods of oral care.}, Keywords = {Oral care, Intensive Cares Unit, Care documentation.}, volume = {4}, Number = {1}, pages = {45-52}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-180-en.html}, eprint = {http://jccnursing.com/article-1-180-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {nezamzadeh, maryam and mokhtarinori, jamileh and khademolhosseini, seyyed mohammad and ebadi, abbass}, title = {Quality of nursing evidence-based guidelines from the nurses’ view}, abstract ={Introduction: Evidence-based clinical guidelines are important tools in increasing the quality of nurses clinical practice. Hence, this study aimed to investigate the quality of evidence-based clinical guidelines from the nurses’ view. Methods: In this descriptive cross sectional study, 116 nurses were collected through census method from the intensive care units of one of the selected hospitals in Tehran in 2010. For data collection, a researcher-made questionnaire was applied. Face validity was examined by nurses and content validity by faculty members and the reliability of the test was confirmed by test retest as well as McNemar and Spearman tests (r=0.72). The data were analyzed by SPSS 17 statistical software using descriptive-analytical methods. Results: The only significant relationship was observed between marital status and the guideline quality score (p=0.04). % 53.4 of nurses expressed that the quality of guidelines was good % 39.7 moderate and %6.9 weak. Conclusion: Although guidelines quality was considered acceptable by almost half of the nurses, up-to-dating the existing guidelines and providing specific instructions is felt for guidelines implementation in each unit.}, Keywords = {}, volume = {4}, Number = {1}, pages = {53-58}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-181-en.html}, eprint = {http://jccnursing.com/article-1-181-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {pashaiisabet, fateme and nikbakhtnasrabadi, alireza and karamikabir, nahi}, title = {Life with hemodialysis unit: A phenomenological study}, abstract ={Aims: Better understanding of the meaning of life in hemodialysis patients can lead to understanding the needs and style of their care.Therfore the purpose of this study was to describe the life experiences of patients from living hemodialysis unit. Methods: In this study, one of the qualitative research methods as descriptive phenomenology approach Collaizzi was used. The data were gathered through a semi-structured interview with 10 hemodialysis patients of Ekbatan University Hospital of Hamadan and Shohadaye Yaft Abad Hospital of Tehran. The Interviews was performed about the experiences of patients about the living with hemodialysis Unit in 2010. Results : Four themes has been driven from the obtained results of this study which describe the structures of life experience of the hemodialysis patients with hemodialysis unit as fallow: hemodialysis as a irrefutable component of life, tensions of dialysis life, need to support and effective adaptation. Conclusion : The important life aspect of these patients was gradually moving from limitations toward the effective adoption against the inevitable process with all of its outcomes. Applying of the supportive sources in the patients for adaptability was different among the patients. These findings will give the nurses a new vision for real understanding of these patients and their more problems .}, Keywords = {Hemodialysis Unit, Life , Phenomenology }, volume = {4}, Number = {2}, pages = {59-66}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-182-en.html}, eprint = {http://jccnursing.com/article-1-182-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {tayyebi, ali and babahaji, malihe and sadeghisherme, mehdi and ebadi, abbass and eynollahi, behz}, title = {Study of the effect of Hatha Yoga exercises on stress, anxiety and depression among hemodialysis patients}, abstract ={Aims : Hemodialysis patients undergo high levels of psychological stress, anxiety and depression. Therefore, the present study has been conducted to determine the effect of Hatha yoga exercises on stress, anxiety and depression among these patients. Methods : The present research is a two-group semi-experimental controlled trial done in 2010, in which 31 hemodialysis patients were selected from Shahid Labbafinejad hospital as the control, and 31 condition-matched patients from Baqiyatallah hospital as the case group, and Hatha Yoga exercise was performed for the experimental group for an hour twice a week during two months, after primary training by the yoga instructor. Data-collecting instruments included demographic information forms and a specific questionnaire on stress, anxiety and depression, which were evaluated before and two months after the intervention. Data were analyzed by SPSS16 statistical software using descriptive statistics, T-test, Chi-square, Fisher test and paired t-test. Results : Analysis between the mean stress, anxiety and depression values of the study participants showed significant difference before and after the intervention in the case group (p<; 0.001). While this difference was not significant in the control group . Conclusion : Performing the low-cost, simple, and enlivening Hatha yoga exercise is accompanied by improving living conditions of hemodialysis patients, and a positive step can be taken toward improvement and prevention of the patients psychological problems as well as other chronic disorders through applying these practices.}, Keywords = {Hemodialysis, Hatha Yoga, Stress, Anxiety, Depression }, volume = {4}, Number = {2}, pages = {67-72}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-183-en.html}, eprint = {http://jccnursing.com/article-1-183-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {bahadori, mohammadkarim}, title = {Prioritization of Determinants influencing preparedness of Iranian Pre-hospital Emergency Services}, abstract ={Aims : Unintentional accidents are the second leading cause of mortality in Iran. With the annual rate of 28 thousand deaths, Iran is one of the countries holding the highest accident mortality rate in the world. The aim of the present study was to identify and prioritize parameters affecting pre-hospital emergency preparedness in Iran. Methods : The present research is a kind of descriptive study with a comparative and functional approach which was performed cross-sectionally on the first half of 2010. Studied countries in the comparative section included the United Stat of America, England, France, Germany, Malaysia, Italy, Norway, Netherlands, and Canada. The study population consisted of 30 cases of the country pre-hospital emergency experts, selected through available sampling method. Data were collected using a questionnaire and were analyzed by MATLAB, SPSS17 and Visio software and DEMATEL technique. Results : Determinants influential on pre-hospital emergency preparedness of Iran included organization, transportation, communication, accessibility, care model, manpower combination, regulation, and training. Rules and regulations with the coordinates of (1.36 and 2.18), and accessibility with the coordinates of (1.46 and 2.86) were identified as the most affecting and affected components respectively. Conclusion : To develop pre-hospital emergency system in Iran, legislating a professional emergency medical service, developing an independent organization of emergency medical services, as an observer and policy-making organization, and providing services based on one of Anglos or Francos models are necessary and highly required principles.}, Keywords = {Component, Pre-hospital emergency, Preparedness, Iran }, volume = {4}, Number = {2}, pages = {73-78}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-184-en.html}, eprint = {http://jccnursing.com/article-1-184-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {delpasand, mansoor and nasiripoor, amir ashkan and raiisi, pooran and shahabi, masoo}, title = {The relationship between emotional intelligence and occupational burnout among nurses in critical care units}, abstract ={Aims : Emotional intelligence is a set of non-cognitive skills that enhances individuals ability to successfully encounter environmental pressures especially occupational burnout. Therefore, the present study was conducted to determine the relationship between occupational burnout and emotional intelligence. Methods : The present research is a type of correlation studies, which was performed cross-sectionally and with stratified random sampling method on 150 nurses of social security hospitals in Tehran in 2009. For data collection, Maslachs Burnout and Shrinks emotional intelligence questionnaires were used. Data were collected through Likert scale method , and were analyzed using t-test as well as Pearson correlation with the significance level of 0.05 and SPSS 17 software. Results : There was a significant and inverse relationship between emotional intelligence and emotional exhaustion among nurses ( p=0.016 and r=−0.234 ). There was a direct significant correlation between emotional intelligence and personal accomplishment (p<; 0.001 and r=0.0441). No meaningful relationship was observed between emotional intelligence and depersonalization (p=0.124 and r=−0.150). Furthermore, a remarkable difference was found between males and females in terms of emotional intelligence (p=0.048). Conclusion : Having emotional intelligence can lead to decreased occupational burnout therefore, social security hospitals are recommended to attempt holding required training courses in order to reduce nurses occupational burnout.}, Keywords = {}, volume = {4}, Number = {2}, pages = {79-86}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-185-en.html}, eprint = {http://jccnursing.com/article-1-185-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {adibhajbagheri, mohsen and molavizade, narjes and masoodialavi, negi}, title = {Study of the quality of vascular access care among hemodialysis patients}, abstract ={Aims: Given the lack of study in the field of vascular access care for hemodialysis patients and its important role in longevity of vascular access , this study aimed to assess the quality of vascular access care among hemodialysis patients. Methods : This cross-sectional study was conducted on 85 patients undergoing hemodialysis in Ali-Asghar hospital of Isfahan in the second half of 2010. Data were collected using a demographic questionnaire and a checklist related to vascular access care techniques , and analyzed by t-test and descriptive statistics and SPSS17 software. Results : A total of 36 females and 49 males with an average of 46.44 months of hemodialysis were studied, among whom 25 patients underwent hemodialysis through subclavian catheters and 60 ones by arteriovenous fistula. The overall quality of care for vascular access site was moderate in 41.2% of cases. Selecting an inappropriately high speed for the apparatus at the beginning of dialysis, incomplete priming of the filter and the tubes, keeping open the outlet of arterial catheter while disconnecting the patient from the apparatus and needling of an aneurysm were the most common improper actions. Conclusion s: The overall quality of care for vascular access site has been in moderate level . Therefore , reinforcement of nursing continuing education programs and development of standard vascular access care protocols are recommended to improve care techniques.}, Keywords = {}, volume = {4}, Number = {2}, pages = {87-92}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-186-en.html}, eprint = {http://jccnursing.com/article-1-186-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {nazari, roghayye and hajiahmadi, mahmood and dadashzade, marizye and asgari, parvane}, title = {Study of hand hygiene behavior among nurses in Critical Care Units}, abstract ={Aims: The role of hands is well known as a leading cause of infection transmission in hospitals, and hands hygiene is the first step recommended for infection control. This study was conducted to evaluate hand hygiene behavior among critical care nurses. Methods : In this study in 2009, hands hygiene behavior was unobviously monitored in 159 hand-sanitizing situations among critical care units nurses, and their behavioral status as well as the patients profile and the performed procedure were recorded in a checklist designed based on national guidelines of disease control and protection. Data were analyzed by SPSS17 statistical software using descriptive analytical tests. Results : The observed nurses wore glove in 150 situations (94.3 percent) whereas, they attempted to sanitize their hands only in 27 positions (16.98 percent), from which alcohol was used in 20 cases (74 percent), and soap and water and plain water in other situations. Most cases of hand hygiene were following the contact with patients . There was a significant relationship between the glove types used by nurses and infection risk of the observed procedure with hands hygiene (p <; 0.05). Conclusion : The study findings indicate that percentage of situations in which nurses attempted to sanitize their hands has been much less than expected .}, Keywords = {}, volume = {4}, Number = {2}, pages = {93-96}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-187-en.html}, eprint = {http://jccnursing.com/article-1-187-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {ebadi, abbas and moradian, seyyed tayyeb and feyzi, fakhreddin and asiabi, mojtab}, title = {Comparison of the hospital anxiety and depression among patients with coronary artery disease based on proposed treatment}, abstract ={Aims : Anxiety and depression have a high prevalence rate in patients with coronary artery disease, leading to reduced treatment outcome in these patients. Therefore, the present study has been conduced to compare anxiety and depression among patients with coronary artery disease based on proposed treatment. Methods : Anxiety and depression were compared through a standardized hospital anxiety and depression questionnaire (HADS) in 300 patients, in need of drug therapy, percutaneous coronary angioplasty (PCI), or coronary artery bypass graft (CABG), admitted to male cardiac unit of internal medicine department of Jamaran hospital, Tehran, in 2010, for coronary angiography. Data were analyzed by SPSS17 statistical software using ANOVA, Kruskal-Wallis, and chi-square. Results : Incidence of depression was higher in patients candidate for CABG than the other two groups likewise, level of anxiety was more in those with PCI as well as CABG compare to drug treatment group (p<; 0.05). In total, 38 and 45.7 percent of patients underwent some degrees of depression and anxiety respectively. Conclusion: Regarding high prevalence of anxiety and depression among patients with coronary heart disease and its negative impact on treatment outcome, appropriate screening and therapeutic approaches have to be applied for this group of patients.}, Keywords = {Coronary artery disease, hospital anxiety and depression}, volume = {4}, Number = {2}, pages = {97-102}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-188-en.html}, eprint = {http://jccnursing.com/article-1-188-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {mollahadi, mohsen and sarhangi, foroogh and ebadi, abbass and tadrisi, seyyed davoo}, title = {Comparison Blood Cortisol Level in Infants with and without Pain in Neonatal Intensive Care Unit: A Preliminary Study}, abstract ={Aims: Neonatal pain and stress response are manifested in three behavioral, physiological and chemical forms . Chemical changes in the pain include secretion and release of hormones and substances such as cortisol, insulin, endorphins and catecholamines. The present study aimed to compare the cortisol level in term infants with and without pain. Methods: In this pilot study in 2010, 30 infants who were admitted to the neonatal intensive care unit in Baqiyatallah hospital, divided into two 15-participant groups, with and without pain groups. Thereafter, the blood cortisol level was measured during the painful procedure of blood sampling . Pain or lack of pain was determined through Neonatal Infant Pain Scale (NIPS). Analyzing the data was done by using Mann-Whitney U test and Spearman coefficient correlation and SPSS17 software. Results: Results indicated that cortisol level in both groups had no significant statistical difference (p>0.05) but, there was a significant and direct association between NIPS scores and cortisol level in all participants (p<; 0.05 r= 0.337). Conclusion: According to the obtained results, it seems that blood cortisol is not a reliable scale to evaluate the pain. However, it should be noted that, measuring the cortisol level and identifying its association and changes with pain, the time of blood sampling, attention to secretion rhythm of this hormone in 24 hours and infants’ age and their physica conditions should be highly considered.}, Keywords = {Cortisol, Pain, Infants, Stress }, volume = {4}, Number = {2}, pages = {103-108}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-189-en.html}, eprint = {http://jccnursing.com/article-1-189-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {}, title = {Cover Design}, abstract ={}, Keywords = {}, volume = {4}, Number = {3}, pages = {0-0}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-190-en.html}, eprint = {http://jccnursing.com/article-1-190-en.htm}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {azizifini, ismail and adibhajbaghery, mohsen and salahshoorianfard, asieh and khachian, alis}, title = {The effect of health-promotion strategies education on self-care self-efficacy in patients with bone marrow transplantation}, abstract ={Aims: Patients with blood cancer are encountering numerous problems following bone marrow transplantation which exert negative impact on self-care self efficacy. The present study has been conducted to determine the effect of health-promotion strategies on self-care self-efficacy among patients undergoing bone marrow transplantation.Methods: This before- after semi experimental study was performed among patients candidate for bone marrow transplantation in Shariati Hospital of Tehran in 2009. Sixty patients were randomly allocated into two groups of 30 participants each as experimental and control groups the former received education on health promotion strategies and the latter was treated according to the wards routine. Self efficacy was compared between the two groups before and thirty days after the intervention. Data were analyzed by SPSS11.5 statistical software using descriptive statistics, independent and paired t-test, covariance analysis and chi-square. Results: No significant difference was observed between the two groups in terms of demographic variables. The self-efficacy scale was increased in general comparison as well as adaptability, decision-making and stress reduction parameters in control with respect to the experimental group and also at post compared to pre-intervention in both groups (p<; 0.001). The mean self-efficacy scores was statistically different in all dimensions after in comparison with before the intervention (p<; 0.05). Conclusion: Education on health promotion strategies to bone marrow transplant patients can increase patients confidence in performing self-care processes and consequently brings more survival along with higher quality of life among this group.}, Keywords = {}, volume = {4}, Number = {3}, pages = {109-116}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-191-en.html}, eprint = {http://jccnursing.com/article-1-191-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {rafiee, hossein and iranmanesh, sedighe and sabzevari, sakine}, title = {Comparison of the endotracheal tube suctioning with and without normal saline solution on heart rate and oxygen saturation}, abstract ={Abstract Aims: Pre-suctioning normal saline instillation into the trachea is a traditional nursing intervention. In this line, the present study has been carried out to “evaluate the effect of endotracheal suctioning with and without normal saline solution on heart rate and oxygen saturation”. Methods : This semi-experimental study with crossover design was conducted on 50 trauma patients admitted to critical care unit of Shahid Bahonar Hospital of Kerman in 2010. For each patient, suctioning was performed once without and once with 5ml normal saline solution. Heart rate and oxygen saturation were measured and recorded at one, two and five minutes before and after suctioning by standard monitoring apparatus. Data were analyzed by SPSS17 statistical software using independent and paired t-tests. Results : Heart rate was increased in both groups after the suctioning however, it was slightly more in group receiving normal saline but not statistically significant. Negative changes in oxygen saturation were higher in saline group compared to the other (p<; 0.05). Conclusion : Normal saline instillation prior to suctioning will be accompanied by reduced oxygen saturation, and it is recommended that more suitable approaches, such as moisturizing the inhaled gas, be used for diluting secretions to minimize the related side effects.}, Keywords = {}, volume = {4}, Number = {3}, pages = {117-120}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-192-en.html}, eprint = {http://jccnursing.com/article-1-192-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {daneshmandi, mohammad and asgari, ali and tadrisi, seyyed davood and ebadi, abbas and mokhtarinori, jamileh}, title = {Study of the effect of self-aid and buddy-aid education using lecture and multimedia software package on the performance level of military personnel}, abstract ={Abstract Aims : Warriors education and complete domination over self-aid and buddy-aid is one the most effective approaches for enhancing their safety in military operations. The present study has been performed to “investigate the effect of self-aid and buddy-aid education using lecture and multimedia software package on performance level of military personnel”. Methods : In this semi-experimental study in 2010, sixty subjects from the selected military battalion of Tehran and Mashhad were investigated. Participants were randomly allocated into two groups of thirty each and were educated using lecture and multimedia software package. In the end, they were evaluated in terms of performance level through objective structured clinical examination. Data were analyzed by SPSS15 statistical software and nonparametric statistical tests. Results : At "vital signs monitoring," "carrying method of injured," "head bandage," "self-care and decontamination of biological attacks," stations, no significant difference was observed between the two groups (p>0.05) while, in "cardiac and pulmonary rehabilitation," "first-aid measures for eye burns," and "splinting" stations, the results indicated a statistical difference by Man-Whitney (P<; 0.001). In "bleeding monitoring" station, lecture-trained group showed more acceptable results compared to software-educated group (p<; 0.05). Conclusion : Regarding more effectiveness of multimedia software in some stations, especially CPR, and considering lecture-related limitations, expanding multimedia software application is recommended in self-aid and buddy-aid education.}, Keywords = {}, volume = {4}, Number = {3}, pages = {121-126}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-193-en.html}, eprint = {http://jccnursing.com/article-1-193-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {neyse, fateme and daneshmandi, mohammad and sadeghisharme, mahdi and ebadi, abbas}, title = {The effect of earplugs on sleep quality in patients with acute coronary syndrome}, abstract ={Abstract Aims: Sleep is one of the basic human needs and sleep deprivation causes numerous adverse effects on the human body and mind. Due to reduced sleep quality in patients with acute coronary syndrome, this study was carried out to " determine the effect of earplugs on sleep quality in patients with acute coronary syndrome. " Methods: In this two-group controlled clinical trial, sixty patients with acute coronary syndrome in the coronary care units of Baqiyatallah hospital in Tehran in 2010, were selected by purposeful sampling method and randomly allocated in two groups of case and control. In the case group, in the second night stay, the intervention of earplugs was done per night and by using the Petersburgs sleep quality questionnaire sleep quality was evaluated during and at the end of hospitalization. Then data were analyzed by paired T test, independ T test, Spearman and Pearsons correlation coefficient and SPSS 19 software. Results: Total sleep quality, score in case group was significantly decreased after intervention (6.3±2.1) than before intervention (10.3±6.3) (p<; 0.001). Also, total score of sleep quality after intervention in case group (6.3±2.1) has significant different compared to control group (9.1±4.8) (p<; 0.001). Conclusion: Using earplugs, as an economical and uncomplicated method, can improve sleep quality in patients with acute coronary syndrome in the coronary care units and can be used as an alternative method of treatment instead of drug therapy.}, Keywords = {}, volume = {4}, Number = {3}, pages = {127-134}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-194-en.html}, eprint = {http://jccnursing.com/article-1-194-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {mohammadi, ashraf and sarhanggi, forog and ebadi, abass and daneshmandi, mohammad and reiisifar, afsaneh and amiri, fatemeh}, title = {Relationship between psychological problems and quality of work life of Intensive Care Unit Nurses}, abstract ={Abstract Aims : Nurses as the major group of health service providers need to have the satisfactory quality of work life in order to give desirably care for the patients. The purpose of this research has been to study the “Relationship between psychological problems and quality of work life of intensive care unit nurses”. Methods : This cross-sectional study which is descriptive –correlation was accomplished on 143 nurses working in intensive care unit of Tehran hospitals in 2010. Data with using of three questionnaires including demographic characteristics, questionnaire of quality of work life based on Walton’s model and the standard questionnaire of DASS21 was gathered. The information was analyzed using SPSS16 software and Pearson correlation test and chi-square test. Results : There has been no correlation between quality of work life and stress (p=0.07) and depression (p=0.05), but there has been a weak inverse correlation with anxiety (p=0.002, r=-0/27). Conclusion : It is essential to consider nurses’ anxiety especially by directors due to anxiety impact on reduction of nurses’ quality of work life.}, Keywords = {}, volume = {4}, Number = {3}, pages = {135-140}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-195-en.html}, eprint = {http://jccnursing.com/article-1-195-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {nasiri, mahboobe and rahimiyan, behnaz and jahanshahi, mehri and hajiyan, karim and nikfar, jav}, title = {Stressors associated with hospitalization in the stressful cardiac care unit}, abstract ={Abstract Aims: Hospitalization, especially in intensive care unit, because of its specific conditions and characteristics can be stressful. The purpose of this study was to determine the stressors associated with hospitalization in the cardiac care unit patients. Methods : This cross-sectional study was conducted by convenience sampling method on 150 patients who were hospitalized in the cardiac care unit of Ramsar’s Imam Sajjad Hospital, in 2009. Data collection tools included personal details and the Valiser questionnaire. To analyze the gathered data, a parametric test was carried out and SPSS18 software was utilized. Results :. The highest physical stressful factor was insomnia which was a result of being connected to a monitor the main psychological stressor was the difficulty in saying prayers and requesting catheter and bedpan and finally the major environmental stressor was the voice of others’ talking. A significant relationship was observed between the psychological stressors scores and gender, employment status and educational level of patients (p<; 0.05). There was also a meaningful relationship between the physical stressors scores and employment status of patients and the number of hospitalized people in the past year (p<; 0.05). Conclusion : The findings can help nurses to identify stressors and toimprove the quality of nursing care.}, Keywords = {stressors, cardiac care unit, hospitalization}, volume = {4}, Number = {3}, pages = {141-148}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-196-en.html}, eprint = {http://jccnursing.com/article-1-196-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {raiisifar, afsane and tayyebi, ali and ebadi, abbas and najafi, soheyl and hashemi, saiid and asiyabi, mojtab}, title = {An investigation of Quality of life in Kidney Transplant Patients}, abstract ={Abstract Aimes: In renal replacement therapies, the goal is not only prolonging life and maintaining health, but also maintaining and improving the quality of life. This study seeks to "evaluate the quality of life of kidney transplant patients." Methods : This cross-sectional investigation, which was performed in 2009 in Tehran, studied 220 patients with kidney transplant and was conducted by the method of convenience sampling. Data collection tools include a demographic data collection form and a questionnaire which measured quality of life (SF-36). Data were analyzed log SPSS14 statistical software and descriptive and inferential statistical tests. Results : The mean quality of life in these patients was 60.6 ± 18.7, the highest and lowest scores respectively on the pain scale were 66.27 ± 28.84, and working limitations due to physical disabilities were 46.67 ± 36.91. A significant relation was found between the overall quality of life score and gender (p=0.001). However, no significant relation was observed between the overall quality of life score and other demographic variables (p>0.05). Conclusion : The patients’ average quality of life, in this study, was a bit more than medium. Regarding transplant expenses and psychological and financial pressures on patients and their families, it seems vital to recognize the difficulties and impediments that the patients confront in their lives.}, Keywords = {Kidney transplant, Quality of life, SF-36}, volume = {4}, Number = {3}, pages = {149-152}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-197-en.html}, eprint = {http://jccnursing.com/article-1-197-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {habibzade, hoseyn and khalkhali, hamidreza and ghaneii, rez}, title = {Study of the relationship between restless legs syndrome and sleep disturbance among patients in Critical Care Units}, abstract ={Abstract Aims : Restless Legs Syndrome is a movement disorder characterized by a compelling urge to move the legs during rest or inactivity . Patients often experience muscle twitching leading to sleep disturbance. Restless legs syndrome is more prevalent among patients in critical care units than ordinary people. Hence, the present study has been implemented to "investigate the correlation between restless legs syndrome and sleep disturbance." Methods : In this descriptive-analytic study in 2010, 30 patients admitted to critical care units of University of Medical Sciences affiliated hospitals of Urmia city were selected using available-sampling method. Data-collecting instruments were information-included questionnaires on demographic characteristics, screening as well as the intensity of restless legs syndrome, and sleep quality. Data were analyzed by SPSS16 statistical software and descriptive and inferential statistical tests. Results : 36.3% of patients in critical care units showed signs of restless legs syndrome. In groups with and without sleep disturbance, respectively 52.7% and 20% of participants were suffering from restless legs syndrome. The syndrome incidence was 4.45-fold higher in patients with than those without sleep disorder. Findings revealed that developing the mentioned syndrome is far more probable in people with compared to those without sleep disturbance. Conclusion : Given the high prevalence of restless legs syndrome and sleep disorder in critical care units patients, using the screening methods seems to be necessary for disorder identification and lifestyle alteration to reduce the associated risk factors among these patients.}, Keywords = {}, volume = {4}, Number = {3}, pages = {153-158}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-198-en.html}, eprint = {http://jccnursing.com/article-1-198-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2011} } @article{ author = {atashzadeshoorideh, foroozan and ashktorab, tahere and yaghmaei, faride}, title = {Responses of ICU Nurses to Moral Distress: A qualitative Study}, abstract ={Abstract Purposes of the study: Moral distress elicits some responses from nurses. Identifying these responses can lead into developing effective strategies which assist nurses with facing them. The present study tries to elicit responses of ICU nurses to moral distress. Methodology: This is a qualitative research with an analytical approach. The required data was gathered through deep and unstructural interviews (retrospective interviews). 13 individual interviews and two group interviews were conducted with clinical nurses working in ICUs of different cities in Iran. Samples were taken purposefully and data analysis was carried out by analyzing the qualitative content. Findings: A nalyzing the content, 3 central themes, 5 subthemes, and 28 categories were obtained. The main themes included "psychosomatic reactions", "spiritual reactions", and "coping methods” of nurses in response to moral distress in ICUs. Conclusion: the obtained results of this study asserted that facing moral distress, ICU nurses produce various reactions and adopt alternative coping methods, some of which are positive and some are not. Applying positive coping methods and preventing harmful outcomes, nursing administrators can help ICU nurses to reduce moral distress.}, Keywords = {Response, Nurses, Moral Distress, ICU, Content Analysis}, volume = {4}, Number = {4}, pages = {159-168}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-199-en.html}, eprint = {http://jccnursing.com/article-1-199-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {nezamzadeh, maryam and khademolhosseini, seyed mohammad and mokhtarinori, jamileh and ebadi, abbas}, title = {Design of guidelines evidence-based nursing care in patients with angina pectoris}, abstract ={AbstractIntroduction : Evidence-based clinical guidelines effectively guide medical teams and nurses to increase the quality of clinical work. Designing evidence-based guidelines in critical care units, especially in cardiac care unit is much more needed. Therefore, this study was conducted to design evidence-based nursing care guidelines for patients with angina pectoris. Methods : This descriptive-comparative study was conducted in two cardiac care units in Baqiyatallah Hospital in Tehran in 1390. First, the quality of 30 available care guidelines was investigated via a checklist designed by the researcher in three levels: good, average and poor. Then nursing care guidelines were designed based on Stetler model with an evidence-based approach and their quality was re-investigated. Finally, the collected data was analyzed by the help of descriptive statistics and using SPSS 17 software. Findings : Quality of 26.7 % of the available guidelines was found out to be poor and 73.3 % was proven to be average. After designing the guidelines, this number increased to 100 %. Finally, an eight evidence-based nursing care guideline was designed for patients with angina pectoris. Conclusion : Since the available guidelines are of low quality, designing evidence-based care guidelines can improve nursing care.}, Keywords = {}, volume = {4}, Number = {4}, pages = {169-176}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-200-en.html}, eprint = {http://jccnursing.com/article-1-200-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {farmanbar, rabiollah and afsharmohammadian, marziyeh and moghadamnia, mohammad taghi and kazemnejad, ehsan and salari, arsal}, title = {The Effect of Position Change and Bed-Rest Duration after Coronary Angiography on Vascular Complications}, abstract ={Abstract Aims : Improper positioning and excessive immobility has serious side effects on patients after angiography. The present study tries to determine the effects of position change and bed-rest duration on vascular complications after angiography. Methods: In a random clinical trial, 130 patients, who had undergone a coronary angiography via the femoral artery, were randomly assigned into a test and a control group (each group consisting 65 participants). The patients in the test group experienced position changes in four hours. For two hours, they rested with a sand bag in their bed. In the fourth hour, they were allowed to leave the bed. The patients in the control group received routine treatment. Vascular complications were investigated in both groups at regular intervals. The required samples were randomly taken from among patients of “Research and Education Center of Rasht” in two months, in 1389. The collected data was analyzed by applying descriptive and inferential statistics and also SPSS16 software. Results: In the test group, bleeding occurred in one of the patients in the fourth hour. It also happened for one of the patients of the control group immediately after coming to ward (p<; 0315). In the second hour, in the test group, hematoma occurred in one of the patients. It was also observed in one of the patients of the control group during the first and the second hour (p<; 0.315). In the fourth hour, two cases of hematoma were observed among the patients of the control group (p<; 0.154). The Fisher’s exact test proved no significant difference between the two groups. Conclusion: In accordance with the findings of this study, position change and early ambulation after angiography do not increase the risk of vascular complications, can bring patients some comfort, and result in their earlier discharge from hospitals.}, Keywords = {}, volume = {4}, Number = {4}, pages = {177-182}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-201-en.html}, eprint = {http://jccnursing.com/article-1-201-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {tayyebi, ali and babahaji, malihe and sadeghishermeh, mahdi and ebadi, abbas and eynollahi, behz}, title = {Effect of Hathayoga exercise on dialysis adequacy}, abstract ={Abstract Aims : Despite advances made in hemodialysis patients, especially in recent decades, adequacy of dialysis is less than the normal amount of the 1/2- 1/9 is. This study aimed to determine the effect of exercise Hathayoga adequacy in hemodialysis patients has been designed and implemented. Methods: The present study, the two groups are controlled in 31hemodialysis patients from shahid Labbafinejad hospital in the control group and 31 hemodialysis patients from the baqiatallah hospital participated in the test group and a modified Hatha Yoga exercises after initial training by yoga instructor, for one hour twice a week and two months in the group were. Adequacy of dialysis by Daugirdas II Formula before and after intervention Both groups were calculated with the help of statistical tests were analyzed Results: The results showed that adequacy of dialysis patients has increased significantly (p <; 0 / 001). Average kt / v before and after the intervention groups, respectively, 0/ 96 ±0 / 23 and 1 / 14 ± 0/ 22 (p <; 0 / 001) and the average score of kt / v in the control group, respectively1 / 3± 0 / 26 and 1/ 31 ± 0.2 5 (p = 0.09). Conclusion: Considering the significant increase of dialysis adequacy Hahta Yoga exercises recommended to teach simple skills such as this group of patients is.}, Keywords = {Hemodialysis , Hathayoga, Dialysis Adequacy }, volume = {4}, Number = {4}, pages = {183-190}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-202-en.html}, eprint = {http://jccnursing.com/article-1-202-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {rafieii, hossein and arab, mansoor and ranjbar, hadi and arab, nanaz and sepehri, gholamreza and amiri, masuo}, title = {The prevalence of potential drug interactions in Intensive Care Units}, abstract ={Abstract Aims: Drug interaction occurs when a drug affects the action of another. In this line, the present study has been conducted to determine the prevalence of potential drug interactions in critical care units. Methods: In the present retrospective study, the first twenty-four hour prescriptions of 371 patients admitted to intensive care unit of Shahid Bahonar hospital of Kerman were investigated in terms of the number and type of drug interaction in addition to other factors such as number of drugs, age, gender, length of ICU stay and number of prescribing doctors. In order to determine the number and type of drug interactions, a reference textbook of "Drug Interaction Facts" was used, and data analysis was performed by SPSS18 statistical software with respect to the study objectives using descriptive statistics, Pierson correlation test, independent t-test, and variance analysis. Results: In terms of the drugs received, 77 different drugs and, in total, 2091 cases of drug prescription were found with the average of 5.6 (±1.5) for each patient. Overall, 726 cases of drug interactions were observed among critical care unit patients in the first 24 hour of prescription. Delayed, moderate, and possible interactions were accounted for the most interactions found. The results are indicative of a significant correlation between the number of drug interactions and prescribed medications, age, gender, duration of hospitalizations and number of prescribing doctors. Conclusion: Due to possessing more risk factors of drug interactions, critical care unit patients are at higher risk of developing drug interaction which behooves the medical team to pay more attention to this issue.}, Keywords = {Intensive Care Unit, Drug interaction, Prevalence}, volume = {4}, Number = {4}, pages = {191-196}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-203-en.html}, eprint = {http://jccnursing.com/article-1-203-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {arab, mansoor and ranjbar, hadi and hosseienrezaee, hakimeh and khoshab, hadi}, title = {Assessment of the depression and anxiety in patients with acute coronary artery disease}, abstract ={Abstract: Aims: Depression and anxiety are the factors that increase death risk in the patients with heart disease. This study was done with the purpose of studying depression and anxiety rates in the patients with acute coronary artery disease. Methods: This cross-sectional study which is descriptive was conducted on 366patients in the CCU of heart and cardiology wards of Kerman University affiliated hospitals 48hours and 6days after admission in 2010. A questionnaire was used for gathering information on hospital anxiety and depression. The data was analyzed using T- test and variance analysis and SPSS17 software. Results: The mean score of anxiety was 10.12 ±3.49 and the mean score of depression was 10.10 ±2.69 after 48 hours of admission. After 6 days of admission, the mean score of anxiety was 10.17± 2.97 and the mean score of depression was 9.95±2.62. There was no meaningful discrepancy between the depression and anxiety scores in 48 hours and 6 days after the admission. Conclusion: Due to high amounts of depression and anxiety in patients with coronary artery disease and their remarkable impact on disease consequence, effective measures are needed in quick recognition and decreasing their impacts.}, Keywords = { Anxiety, Depression, Heart patients, Kerman. }, volume = {4}, Number = {4}, pages = {197-202}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-204-en.html}, eprint = {http://jccnursing.com/article-1-204-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {abootalebi, ghasem and vosooghi, nazila and mohammadnejad, esmaeil and namadi, maryam and akbarikaji, mohamm}, title = {Study of the self-care agency in patients with heart failure}, abstract ={Abstract Aims: patients who take self-care responsibility have been reported to be in less or no need of drug interventions. In this line, the present study was implemented to determine the self-care ability among patients with heart failure. Methods: The present descriptive cross-sectional study has been carried out on 72 patients with heart failure and at least 18 years of age admitted to Imam Khomeini hospital of Ardebil within the time interval of late May to late July, 2010. Data were collected by the European questionnaire of self-care behaviors and were analyzed by SPSS 17 statistical software and descriptive-statistical tests. Results: Self-care ability with the average of 41.18 (±6.26) was found to be in a moderate level. Statistical analysis showed significant relationship between heart failure, age, marital status, education, history of training, monthly income, development of other chronic disorders and profession with self-care agency (p< 0.05), and no significant correlation has been found between the place of residence and gender with self-care ability (p> 0.05). Conclusion: The results indicated moderate self-care ability among the study participants which is affected by basic influential factors including the level of patients health. Therefore, nurses are required to identify help-seekers need while performing nursing interventions and investigating self-care behaviors and design and implement planned training to promote self-care ability among patients.}, Keywords = {Heart failure, Patients, Self-care agency }, volume = {4}, Number = {4}, pages = {203-208}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-205-en.html}, eprint = {http://jccnursing.com/article-1-205-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {asadzandi, minoo and taghizadekarati, keivan and tadrisi, seyed davood and ebadi, abbas}, title = {Estimation of the mortality rate using the APACHE II standard disease severity scoring system in intensive care unit patients}, abstract ={Abstract Aims: Identification of priorities in intensive care units is a matter of high complexity due to dysfunction in patients vital organs such as blood, lung and kidney which often undergo rapid changes in the mentioned wards. Nurses should therefore be able to make decisions with respect to priorities to resolve this problem. In this regard, the present study was undertaken to investigate the efficacy of APACHE II instrument. Methods: In the present study in 2010, 70 patients of intensive care units with congestive heart failure and chronic obstructive pulmonary disease were evaluated, for whom the APACHE II scores were calculated. The research was conducted in a cross-sectional approach, in which patients death or survival was recorded. SPSS15 statistical software was applied for statistical analysis, and clinical parameters were investigated using descriptive-statistical tests. Results: The study findings showed significant difference between survivors and non-survivors with respectively 3.5 (±13.6) and 17 (±2.5) as the mean (±SD) APACHE II scores. Fifteen percent mortality rate was observed in patients with scores under 15, while it was 36% in those with scores ranging from 16 to 19, and almost 100% in participants obtaining 20 to 30 scores. Conclusion: The APACHE II scoring system has been successful in predicting the mortality rate in intensive care unit patients and it has been found to be higher than the standard level in all patients.}, Keywords = {APACHE II scoring system, Intensive Care Unit, Mortality}, volume = {4}, Number = {4}, pages = {209-214}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-206-en.html}, eprint = {http://jccnursing.com/article-1-206-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} }