@article{ author = {mahmoudi, hosein and mohammadi, eesa and ebadi, abbas}, title = {Experience of nurses from the emergency department management:A qualitative study}, abstract ={Aims: No hospital can be considered as an ideal treatment center without an active and fully functional emergency room. A significant part of this strong and high performance is related to emergency room management that is affected by contextual factors and conditions. This study was conducted to clarify nurses’ experience of emergency room management from nurses’ point of view. Methods: This study was carried out through a qualitative approach and content analysis method with conventional approach. Via purposeful sampling, 18 nurses during one year gave unstructured interviews in two teaching hospitals in Tehran. The gathered data were analyzed by using MAXQDA3 software. Results: The results of this study indicated that nurses experience of emergency room management lay in three main aspects: 1. Neglecting basic needs of human resources, 2. Neglecting development of human resource, 3. Basic and functional management challenges and deficiencies Conclusion: Considering the shortcomings and failures in emergency room management, managers should pay attention to nurses’ basic needs. They should support nurses, consider offers, improve education, and try to overcome challenges and shortcomings of management.}, Keywords = {}, volume = {5}, Number = {1}, pages = {1-10}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-207-en.html}, eprint = {http://jccnursing.com/article-1-207-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {mosazadeh, somaieh and khaleghdoostmohammadi, tahere and hasavari, farideh and kazemnejadlili, ehsan and dehnadi, anoush}, title = {Comparing the chance of occurrence of respiratory aspiration between two tube feeding methods of intermittent bolus and intermittent drip bag}, abstract ={Aims: Aspiration of stomach contents is a serious side effect in patients with a narrow tube which can be prevented otherwise may lead to death. There have been disputes over the safest feeding method. Therefore, this study seeks to identify the chance of occurrence of respiratory aspiration in two tube feeding methods of intermittent bolus and intermittent drip bag. Methods: In this quasi-experimental study, 72 patients in ICU and trauma ward who were fed through tube, investigating contextual variables and using gradual method, were divided into two groups of intermittent bolus and intermittent drip bag method and both groups were independently fed for 3 days. After that, both groups were surveyed and compared based on the level of aspiration occurrence. To collect the data, personal information, nutrition, and respiration form as well as form of information about the two feeding methods in the studied units were utilized. The studied units were selected among Training and Treatment Centers in Rasht in 2010. To analyze the data, descriptive and inferential statistics and SPSS16 software were used. Results: The respiratory aspiration occurrence level in intermittent bolus tube feeding methods was 5.6% whereas this amount in intermittent drip bag method was zero. Fisher exact test revealed that there was no significant relationship between these two groups (p=0.47). Conclusion: As there was no significant relationship in respiratory aspiration between the two groups, it concluded that intermittent bolus method can still be mentioned in books as a standard method which can decrease the risk of aspiration if it is used properly.}, Keywords = {}, volume = {5}, Number = {1}, pages = {11-16}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-208-en.html}, eprint = {http://jccnursing.com/article-1-208-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {farshi, masomeh and babatabardarzi, hosein and mokhtarinouri, jamileh and mahmoudi, hosei}, title = {Study of the effect of air evacuation and transport training using lecture method on nurses level of learning}, abstract ={Aims: As the members of the flight team, nurses should be familiar with the situation and proper transfer of patients, so that a safe transport can be arranged. Education and familiarization of nurses to enhance knowledge, performance, and attitude led us to conduct a research to investigate the effect of air transport and evacuation training using lecture method on nurses levels of knowledge, attitude and performance. Methods: In the present quasi-experimental study in 2011, 30 nurses working in one of the selected hospitals of Tehran were sampled using simple sampling and were trained in terms of air evacuation and transport using lecture method. The effect of education on knowledge, comprehension, and application levels in cognitive domain were evaluated before, immediately after, and one month following the training using a multiple choice researcher-designed questionnaire including thirty questions. The questionnaire validity was approved by the faculty members and the reliability by the Kuder-Richardson21 test (0.72). Data was analyzed by SPSS17 statistical software, chi square, and repeated-measures ANOVA test. Results: The mean (±standard deviation) score was respectively 4.17(±1.64), 7.67(±1.4), and 7.27(±1.9) before, immediately after, and 4 weeks following the training in terms of knowledge, 4.53(±1.2), 6.9(±1.9), and 5.7(±1.5) in terms of comprehension, and 3.3(±1.4), 6.53(±1.6), and 6.33(±1.6) in terms of application. The average total scores obtained was 12.03(±2.8), 21.1(±3.3), and 19.3(±4.01) before, immediately after, and 4 weeks following the education out of the total 30 scores. There was also a significant relationship in the learning process between all the three levels (p<; 0.001). Conclusion: The study results were indicative of the effects of education on learning levels, demonstrating the usefulness of air evacuation and transport training using lecture method however, it is suggested that new training strategies be evaluated in order to bring more effective education.}, Keywords = {}, volume = {5}, Number = {1}, pages = {17-22}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-209-en.html}, eprint = {http://jccnursing.com/article-1-209-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {saeedi, maryam and ashktorab, tahereh and saatchi, kiarash and zayeri, farid and amiraliakbari, sedighe}, title = {The Effect of Progressive Muscle Relaxation on Sleep Quality of Patients Undergoing Hemodialysis}, abstract ={Aims: Sleep disorder is common among patients with renal disease in its last phase. Progressive muscle relaxation is a method which has been designed to reduce tension and anxiety. The present study was carried out to determine the effect of progressive muscle relaxation on sleep quality of patients undergoing hemodialysis. Methods: This is a quasi-experimental study with one-group, before and after design. Using purposive sampling method, 39 patients were selected. These patients were being treated with maintenance hemodialysis in hospitals affiliated with Shahid Beheshti University of Medical Sciences in 2010. Sleep quality of samples was assessed by Pittsburgh Sleep Quality Index (PSQI). Progressive muscle relaxation was trained to patients in three sessions. They were also asked to do relaxation practice for a month, twice a day (once during the day and once before going to bed at night), and fill in the relaxation form after each practice. Afterwards, sleep quality of patients before and after relaxation were compared. To analyze the statistical data, paired t-test and wilcoxon test were used. Results: The mean of samples’ sleep quality total score after relaxation was significantly lower than before relaxation (p<; 0.001). The score of each sleep quality dimension (except for use of sleep medications) were significantly lower than before relaxation. Conclusion: According to the results of this study, progressive muscle relaxation has a favorable impact on sleep quality in patients undergoing hemodialysis and can be applied and trained as a useful method to improve sleep quality of patients in hemodialysis wards.}, Keywords = {}, volume = {5}, Number = {1}, pages = {23-28}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-210-en.html}, eprint = {http://jccnursing.com/article-1-210-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {sharifnia, seyyed hamid and hojjati, hamid and nazari, roghayeh and qorbani, mostafa and akhoondzade, golbahar}, title = {The effect of prayer on mental health of hemodialysis patients}, abstract ={Aims: Hemodialysis brings about difficulties in individuals’ mental health by causing disorder in the function and quality of life. Asking for religious help and prayer play a vital role in sickness acceptance and it causes positive treatment motivation through decreasing mental disorders. Among the important factors which lead to diseases, psychological problems as well as physical and social complications, one can mention to absurdity and uselessness as well as mental instability which is resulted from lack of spiritual dimension in peoples’ life. The present research aimed to review the effect of prayer on mental health of hemodialysis patients referring to Imam Reza Hospital of Amol City in 2009. Methods: This experimental study was conducted on 88 people under hemodialysis treatment (44 people as test group and 44 people as control group). The survey was done in Solomon desian. “Tavassol Prayer” was played periodically for the test group for 10 weeks in the mornings for 20 minutes. Then, mental health of both groups was evaluated by the spiritual health standard questionnaire of Palutzian & Ellison. The results were analyzed by descriptive and inferential statistics after entering data into statistical Software SPSS16. Results: The findings showed mental health for the test group was 103±3 as a high level and for the control group as 93±10 in an intermediate level. Two ways ANOVA test showed a significant correlation between mental health of the test and control groups both in pretest and posttest (p<; 0.01). In addition, this test also showed a significant correlation between the two groups who had only posttest (p<; 0.01). Conclusion: According to the results, it can be concluded that prayer is a suitable method to adapt with the disease. Because, not only it mitigates stress, but also, it improves health spirituality. Since, life approach of these patients is built on spirituality, it is necessary for physicians and nurses to know the key role of ideological beliefs in the patients’ life. Therefore, it is hoped that with the serious cooperation among the health team members in following the religious rituals, which are known as religious care today, we may see the effect of these cares and creation of peace feeling as well as rapid recovery in health condition of these patients.}, Keywords = {Prayer, Spiritual Health, Hemodialysis}, volume = {5}, Number = {1}, pages = {29-34}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-211-en.html}, eprint = {http://jccnursing.com/article-1-211-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {zeighamimohammadi, sharareh and shahparian, mandana and fahidi, farzad and fallah, ebrahim}, title = {Sexual Dysfunction in Men with Systolic Heart Failure and Associated Factors}, abstract ={Aims: Heart failure is a major risk factor for erectile dysfunction. This study seeks to investigate the incidence and factors associated with erectile dysfunction in patients with systolic heart failure. Methods: This is a cross sectional study that was conducted on 100 male patients with systolic heart failure in 2009. Convenience sampling was used to gather the required data. Data collection instruments included a demographic data form, IIEF-5 (The International Index of Erectile Function, a 5-item version), MLHFQ (Minnesota Living with Heart Failure), and CES-D (Center for Epidemiologic Studies Depression Scale). The data was analyzed by SPSS software and using descriptive statistics, t-test, ANOVA and Pearson correlation coefficient. Results: The findings indicated that the mean score of erectile dysfunction was 14.02±6.26 and 80% of male patients with systolic heart failure suffered from erectile dysfunction. There was a significant relationship between erectile dysfunction and age (p>0.001), education (p=0.019), occupation (p=0.002), hemoglobin level (p=0.003), left ventricular ejection fraction (p=0.030), cholesterol level (p=0.001), renal dysfunction (p=0.009), use of digoxin (p=0.014), angiotensin converting enzyme inhibitors (P<; 0.001), beta blocker (p=0.001), diuretics (p=0.035), depression (p<; 0.001), and quality of life (p<; 0.001). Conclusion: Erectile dysfunction is the most common problem in patients with systolic heart failure and is associated with age, medical conditions, co-morbidity, medicinal treatments and psychological disorders. In patients with heart failure, erectile dysfunction has a negative impact on quality of life.}, Keywords = {}, volume = {5}, Number = {1}, pages = {35-42}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-212-en.html}, eprint = {http://jccnursing.com/article-1-212-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {borhani, fariba and khoshab, hadi and abbaszadeh, abbas and rashidinejad, hamidreza and mohammadi, ees}, title = {Study of the effect of partnership care model on the quality of life in patients with heart failure}, abstract ={Aims: Heart failure is one of the most important and prevalent diseases, and still one of the major problems of health care systems in spite of the medical advances. Today, the promotion of the quality of life in heart failure patients is one of the objectives of the nursing care programs. In this line, the present study was conducted to evaluate the effect of partnership care model on the quality of life in patients with heart failure. Methods: In the present clinical trial in 2010, 90 patients with heart failure hospitalized in Kerman University of Medical Sciences affiliated coronary care units were selected using accessible-sampling method and were randomly divided into two groups of 45 participants each as the experimental and the control groups. To evaluate the quality of life as a dependent variable, the standard quality-of-life questionnaire for heart failure patients, including 22 questions on the three major dimensions of the quality of life (physical, mental and socioeconomic), was applied. The intervention was implemented during three months according to the partnership care model in the experimental group. Data were analyzed by SPSS18 software using descriptive statistics, independent and paired t-tests and the variance analysis. Results: There was a significant difference between the two groups in terms of the mean quality of life (from 60.11±10.7 to 35.43±8.6 in the experimental and 45.63±7.3 to 57.42±11.9 in the control group), as well as the associated dimensions including the physical, psychological, and socioeconomic aspects (p<; 0.05). Conclusion: The study findings demonstrated a significant improvement in the mean quality of life scores in all the three dimensions in the experimental compared to the control group the application of the mentioned model is, therefore, recommended for the care and treatment of patients with heart failure.}, Keywords = {}, volume = {5}, Number = {1}, pages = {43-48}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-213-en.html}, eprint = {http://jccnursing.com/article-1-213-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {tayyebi, ali and shasti, samaneh and ebadi, abbas and eynollahi, behzad and tadrisi, seyyed davoo}, title = {The relationship between blood pressure and dialysis adequacy in dialysis patients}, abstract ={Aims: Dialysis inadequacy is one of the determinant factors of disability and mortality rate in dialysis patients. Enhancing the quality of dialysis is really effective to improve prognosis. There are lots of factors determine dialysis adequacy. The aim of this study was to assess the relationship between blood pressure and dialysis adequacy. Methods: this cross-sectional study was performed on 100 patients admitted in hemodialysis ward of Besat hospital and Baqiatallah hospital in 1389.a researched-made questionnaire used gathering demographic data and blood pressure from patient’s records. KT/V formula was used to assess the adequacy of hemodialysis. URR common characteristic were also measured. Data was analyzed by parametric and nonparametric tests. Results: the mean age of samples was 62.21±13.7 years. The mean of KT/V and URR were 1.23±0.38 and 14±11.04 respectively. Paired t-test showed no significant differences between blood pressure and dialysis adequacy. Conclusion: in this study we showed no linear correlation between blood pressure and dialysis adequacy KT/V and URR, it’s needed to carry out main and perfect study with more samples.}, Keywords = {Blood pressure, Dialysis adequacy, Hemodialysis }, volume = {5}, Number = {1}, pages = {49-54}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-214-en.html}, eprint = {http://jccnursing.com/article-1-214-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {tolabi, tahereh and vanaki, zohreh and memarian, robabeh and namdari, mehr}, title = {Quality of nursing documentations in CCU by hospital information system (HIS)}, abstract ={Aims: Nursing documentations describes quality of nursing care delivery. One of the development indicators of health care is the existence of hospital information systems (HISs). The aim of this study was evaluation of the quality of nursing records through an electronic information system in the CCU in one of the educational hospitals in Lorestan. Methods: This study is a participatory action research. It was done in order to enhance quality of nursing documentations through four phases. This study was done on 630 recorded nursing documentations in 70 files existed in electronic information system of the hospital by using census method in 2011. The data gathering tools was the observational checklist of recorded nursing cares included 127 items in functions of vital systems, general cares and patient education. Data analysis was done by descriptive statistics. Results : Change in vital signs, chest pain, disrhythmias, patient’s appetite, amount of infusion and transfusion and changes position of more than 70%, dedicated maximum frequency of the complete record. But the possible complications, nursing interventions, patients’ responses to these interventions after infusion and transfusion and teaching drug diets hadn’t been recorded in any of the nursing documentations completely. Respiratory disorders (34.3%), anxiety and restlessness (35.7%) had the lowest frequency of complete recording, in spite of their high importance in CCU. Conclusion: Using the HIS, in some cases, the quality of nursing documentations is in high level, but according to the existing facilities, the enhancement is possible. Furthermore, it is recommended to prepare ready nursing documentations forms, place the network on the electronic portable devices or on the patient’s bedside, remote access of health team and accomplish applied researches.}, Keywords = {}, volume = {5}, Number = {2}, pages = {53-62}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-215-en.html}, eprint = {http://jccnursing.com/article-1-215-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {norozikoshali, ali and hajiamini, zahra and ebadi, abbas}, title = {A comparison between the attitudes of nurses in Critical Care Units and other wards towards the nursing profession}, abstract ={Aims: According to the influence of professional attitudes on job satisfaction and improving of professional performance of nurses as a key member of the health teams, the present study has been conducted to compare the attitudes of the nurses working in the Critical Care Units (CCUs) and other wards. Methodology : This descriptive - analytic study was performed on 103 CCUs and 210 other wards nurses in hospital of Baqiyatallah (a.j.) and Jamaran cardiac hospital in early 2010. The subjects were selected through the systematic sampling method and investigated using a questionnaire on attitudes towards the nursing profession. The data was analyzed using SPSS15 software and descriptive statistic and chi square tests. Results : The study findings showed that 25.28% of CCUs nurses and 28.5% of and other wards nurses had negative or neutral attitudes towards their profession, and in spite of higher percentage of positive attitude among CCUs nurses, the difference was not statistically significant (p>0.05). Conclusion : In regard to this result that approximately ⅓ of the nurses in both groups, CCUs and other wards, had negative attitudes towards their profession, it is recommended to accomplish extensive practical researches to identify the causes and factors affecting nurses attitudes toward the profession and to pursue management measures in order to induce positive attitudes and finally nurses job satisfaction to enhance the quality of patient care.}, Keywords = {}, volume = {5}, Number = {2}, pages = {63-70}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-216-en.html}, eprint = {http://jccnursing.com/article-1-216-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {ansari, akram and masoudialavi, negin and adibhajbagheri, mohsen and afazel, mohammadrez}, title = {The gap between knowledge and practice in standard Endo-tracheal suctioning of ICU nurses, Shahid Beheshti Hospital}, abstract ={Aims: Endotracheal suctioning is a vital process to keep the airways open. The method of performing endotracheal suctioning has a great effect on its complications and effectiveness. This study was carried out with the aim of assessing gap between the knowledge and performance of nurses working in intensive care units (ICU) in tracheal suctioning. Methods: In this cross sectional study, knowledge and performance of 44 nurses working in three ICUs in Shahid Beheshti Hospital, Kashan, Iran, was analyzed in three areas of prior, during and post suctioning, using a 26 item questionnaire and check list in 2010. kruskalwallis test, spearman correlation coefficient and SPSS14 software were used for data analysis. Results: In the 8 items in question of prior suction the average score for knowledge and performance were 5.4 (±1.12) and 0.81 (±0.71) respectively and in the analysis of ten items during suction an average score of 7.7 (±1.09) and 4.6 (±0.75) were obtained for knowledge and performance respectively. In 8 items of post suction the average score of knowledge was 6.47 (±0.69) and that of performance was 3.86. In general, from 26 possible points, the average score of knowledge and performance were 19.59 and 8.75 respectively. The type of ICU and nurses working experience were not significantly related to their knowledge and performance. Conclusion: This study revealed that despite acceptable knowledge, nurses performance in endotracheal suctioning is poor. This shows that education alone is not sufficient for observance of the standards.}, Keywords = {}, volume = {5}, Number = {2}, pages = {71-76}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-217-en.html}, eprint = {http://jccnursing.com/article-1-217-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {pourmirzakalhori, reza and saboor, bijan and naderipour, arsalan and almasi, afshin and godarzi, afshin and mirzaee, maryam}, title = {Survey of the awareness level of nurses about last guidelines of cardiopulmonary resuscitation (CPR) in educational hospitals}, abstract ={Abstract Aims: Cardiopulmonary resuscitation (CPR) is the most important skill of clinical staff and it is necessary for them to be aware of its last changes. This study had been done to determine the awareness level of nurses of the last 2010 CPR guidelines. Methods : This descriptive cross-sectional study was conducted with 321 samples, which had been chosen with sample randomly method in Kermanshah’s hospitals in 2011. The tools for collecting data were a researcher made questionnaire with face and content and reliability of (r=%74). Data was analyzed by STATA-11 software and ANOVA, Tukay,Tamhane and Bonferoni tests. Results : Level of awareness was classified to: %20.2 excellent, %65.4 good, %14 moderate and %3 weak. There was no significant statistical correlation between level of awareness and age, work experience and graduate degree, but level of awareness was higher in nurses that had experience of passing CPR training, doing or observing it (p<; 0.001). The most score of awareness was related to external cardiac massage. Conclusion : It is suggested that to teach CPR according to guidelines of 2010 in nurses postgraduate training and to have more emphasis on electroshock therapy and Automatic External Defibrillation (AED), Laryngeal Mask Airway (LMA) and combitube intubations, reasons of termination and undoing of CPR interaoseus injection and induced hypothermia}, Keywords = {Awareness, nurse, cardiopulmonary resuscitation (CPR)}, volume = {5}, Number = {2}, pages = {77-86}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-218-en.html}, eprint = {http://jccnursing.com/article-1-218-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {cheraghi, mohammad ali and noghan, nesa and moghimbeigi, abbas and bikmoradi, ali}, title = {Analysis of intensive care nurses workplace violence}, abstract ={Aims: Effects of workplace violence in a way that it is one of the most important reasons for nurses leaving the profession as a nurse . Hence the present study , " the vision care nurses about violence at work " was done . Methods: A cross sectional study of descriptive-analytical kind was performed on ICU nurses of Educational and Therapeutical Centers of Hamedan in 2009. A random categorical sampling at the number of 170 samples was done. Data gathering tool was modified Minnesota Workplace violence Questionnaire which included 52 questions. Data was analyzed using SPSS 16 software and descriptive statistics. Results: Prevalence of violence was 74.1%, most common kinds of violence were verbal misbehavior, threatening, physical battery and sexual assault and the most violence was from patients and their company. The violence was most reported verbally and legal pursuit was little and the most common reason for that was nurses feeling that it is useless. Most of the nurses were dissatisfied with violence management in their institute. Conclusion: Despite high prevalence of violence, written reporting and legal pursuit of it was low. With educating the nurses, support from managers, surveillance on patients attendance in the unit, empowering the guarding unit and effective inter individual connection, it seems this violence can be reduced.}, Keywords = {Violence, Workplace, Intensive Care Nurse, Hospital}, volume = {5}, Number = {2}, pages = {87-94}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-219-en.html}, eprint = {http://jccnursing.com/article-1-219-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {tadrisi, seyyed davood and bahari, nasrin and ebadi, abass and madani, seyyed jalal}, title = {Validity and Reliability of Coma Scale (Four Score) in Adult Patient Hospitalized in Critical Care Units}, abstract ={Aims: in order to review and determine the level of orientation , a standard scale is needed that shows ability the best type level of orientation. According to that in Iran, there are so far no measures the level of orientation Four Score made native. The aim of this study was to confirm the validity and reliability of Four Score scale in adult patients hospitalized in critical care units of Iran. Methods: This study is methodological. After translating the English version of Four Score scale to Persian, 155 patients in two trained and untrained evaluators group (120 patients in trained evaluators group and 35 patients in untrained group ) hospitalized in critical care units of two hospitals of Tehran city were selected by no probable accessible purposeful sampling method. Six evaluators ( main researcher , four nurse and anesthesia resident) independently and at the same time evaluated the patients. Main researcher and other investigators recorded the level of orientation with Four Score and Glasgow Coma scores. Results: Inter-rater reliability for Four score was "excellent". Interclass correlation coefficient in trained and untrained group was (0.998, 0/993) and the weighted kappa score for inter-rater agreement was (0.981, 0/986). Validity tests showed a high correlation between Four Score with Glasgow Coma scale. (r=0.980, 0/925) (p<; 0.001) Conclusion: Validity and Reliability of Coma Scale (Four Score) are confirmed for assessing in Adult Patient Hospitalized in Critical Care Units in Iran.}, Keywords = {}, volume = {5}, Number = {2}, pages = {95-102}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-220-en.html}, eprint = {http://jccnursing.com/article-1-220-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {sedaghat, soheila and aghababaeian, hamidreza and taheri, norollah and sadeghimoghaddam, ali and maniey, mohammad and araghiahvazi, l}, title = {Study on the level of knowledge and performance of North Khuzestan medical emergency 115 personnel on pre-hospital triage}, abstract ={Abstract Introduction : Triage is one of the most important managerial and decision-making concepts in emergency. Triage brings the most benefit to the greatest number of patients. In this regard, the present study was conducted to determine the level of knowledge and performance of medical emergency staff on pre-hospital triage. Methods : This descriptive study was carried out on 144 subjects of medical emergency staff of North Khuzestan selected through simple random sampling data were collected using a researcher-made questionnaire, including five demographic questions, fifteen questions on triage knowledge, and nineteen questions on triage performance, the reliability of which was evaluated by re-test and Pearson correlation coefficient. Data were then analyzed by independent t-test, ANOVA and Pearson correlation analysis using SPSS18 statistical software. Results : The mean age of subjects and the years of experience was 31.32 ± 3.9 and 4.20 ± 2.68 years respectively. The mean triage knowledge score (5.69 ± 2.5 out of a total score of 15), as well as triage performance (5.78 ± 3.2 out of a total score of 19) were found to be in a poor level. Conclusion : Lack of knowledge and poor performance of medical emergency staff in terms of pre-hospital triage can be due to lack of a national guideline in the countrys medical emergency, and, hence, the authorities are recommended to make attempts to resolve this problem.}, Keywords = {}, volume = {5}, Number = {2}, pages = {103-108}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-221-en.html}, eprint = {http://jccnursing.com/article-1-221-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {salmani, fateme and irajpour, alireza and abdoli, samere and sadeghi, narim}, title = {How to Improve Nurses Tendency toward Employing Closed Suction Method?}, abstract ={Goals: Tracheal suction is a method to clean the airway from discharge. This method is used for patients with reduced level of consciousness and respiratory muscle weakness who are not able to cough and discharge their secretions. There exist two suction systems: open suction system [OSS) and closed suction system [CSS). This study aims to improve application of closed suction in intensive care unit. Methods: This study is an action research. 60 ICU nurses were selected through convenience sampling, 30 of whom were chosen by random sampling. The required data was gathered by the help of observation, interviews and the standard American Association of C ritical Care Nurses [AACN) questionnaires. The following steps were exactly taken in the present study: precise statement of the problem, gathering information, planning and goal setting, implementation, and evaluation. In the present study, using the questionnaire and interview, problems associated with closed suction were prioritized and solutions were found out through silent brain storming and participation of nursing staff. Affordable solutions were eventually taken. Results: The prevalence of preference for using closed suction before the study was 10.5% and 66.7% afterwards. The frequency of using the open suction method, according to the connectedness of closed suction to patients, was 60% before the intervention and 57.1% after that. No significant difference was observed between the mean score of suction before and after the intervention [p>0.05). Conclusion: Action research is a suitable way to change and improve nurses’ performance, since in this method, taking the advantage of the staff’s comments and involving them in the study makes it plausible to bring about changes faster. Additionally, the made decisions would be more stable and reliable among the nursing staff.}, Keywords = {Closed suction, ICU, Nurse}, volume = {5}, Number = {2}, pages = {109-116}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-222-en.html}, eprint = {http://jccnursing.com/article-1-222-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {asgari, mohammad reza and hoshmandmotlagh, nahid and soleimani, mohsen and ghorbani, raheb}, title = {The effect of transcutaneous electrical nerve stimulation on the pain intensity during insertion of vascular needles in hemodialysis patients}, abstract ={Aims : Although hemodialysis has an important role in prolonging the life expectancy of patients with chronic renal failure, the patients are facing further complications. Pain during insertion of vascular needles is the most high stress part of a hemodialysis treatment, so it is important to find ways to reduce pain in these patients. This study was conducted to determine the effect of transcutaneous electrical nerve stimulation ( TENS) on the pain intensity when the needles are inserted into vascular access for hemodialysis. Methods: A semi-experimental and double blind study was performed on 30 patients in hemodialysis ward of Semnan Fatemieh hospital. In this study, pain intensity during insertion of hemodialysis vascular needles was measured by a numerical pain scale in a one group by using TENS and TENS placebo. The pair T test was used to determine pain intensity mean difference in two conditions. Results: Overall, the results showed that the mean pain intensity was 3.3±2.13 and 3.56±2.16 in two conditions using TENS and TENS placebo, respectively. However, no significant difference was found between the mean pain intensity in two conditions statistically by using pair T test (p=0/55). 13/2 ± 3/3 Conclusion: Results showed that it cannot say, TENS is effective in reducing pain during insertion of vascular needles. The reason for this finding may be related to neuropathy and skin changes present at the insertion site of hemodialysis needles. It is recommended that nurses investigate the other methods for reducing pain in these patients.}, Keywords = {}, volume = {5}, Number = {3}, pages = {117-124}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-223-en.html}, eprint = {http://jccnursing.com/article-1-223-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {sourilakie, abouzar and bolhasani, masomeh and nobahar, monir and fakhrmovahedi, ali and mahmoudi, hosei}, title = {The effect of touch on the arterial blood oxygen saturation in agitated patients undergoing mechanical ventilation}, abstract ={Aims : Patients under mechanical ventilation suffer agitation and lack of forbearance due to different reasons, which bring about changes in arterial oxygen saturation. Thus medicinal treatments are often used, which exact various complications. A touch could be an influential physiologic, non-medicinal stimulus in this procedure. Therefore this study conducted to determine the effect of touch on the level of arterial oxygen saturation in agitated patients under mechanical ventilation. Methods : The present study is an Interventional study of an after-and-before design, which was conducted on 35 patients under mechanical ventilation, who were hospitalized in the intensive care unit (ICU). These patients aged from 35 to 60. Sampling was carried out based on simple sampling of patients hospitalized in general ICU at Day Hospital, Tehran. In the way that in the intervention group, the nurse touched the patient while standing by him/her. Then the level of arterial blood oxygen saturation was measured by pulse oximeter before and after intervention. The achieved results were assessed by using software SPSS-16 and statistical tests and a significant level of less than 0.05 was accepted. Results: According to the data analyzing, the difference of the changes in the arterial oxygen saturation level was significant before and after intervention (along with touch) (p<; 0.001) but while there wasn’t any touch, this difference wasn’t significant ( p= 0.071 Conclusion: Touch improves the respiratory status and raises the level of arterial oxygen saturation in patients under mechanical ventilation. Thus it is recommended non- medicinal measures such as touch be taken in order to improve the respiratory status of the patients under mechanical ventilation.}, Keywords = {}, volume = {5}, Number = {3}, pages = {125-132}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-224-en.html}, eprint = {http://jccnursing.com/article-1-224-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {mahdipourraberi, roghieyeh and nematollahi, monirosadat}, title = {The effect of the music listening and the intensive care unit visit program on the anxiety, stress and depression levels of the heart surgery patients candidates}, abstract ={Aims: Heart surgery is an invasive procedure which results in more anxiety, stress a nd some complication among the patients. Nurses should choose measures to reduce anxiety and stress for these patients. Studies have suggested that music can decrease anxiety in hospitalized patients. This study focused on the music listening and intensive care unit (ICU) visits effects for the control of anxiety, stress, and depression levels of patients who were candidates for heart surgeries. Methods: In a quasi-experimental, pretest-posttest design, 150 patients were randomly assigned to either control or experimental groups. Experimental groups received music listening or a visit of ICU program . Levels of variables measured before and after interventions, by using the Depression, Anxiety, and Stress Scale (DASS-21). Results: The sample was consisted of 57% males and 43% females. Before intervention there were no significance differences ( p>0.05 ) of the scores means of DAS-21. But, after interventions, the scores means of anxiety were 4.25 ± 2.60 (music group), 4.35 ± 2.91 (ICU visits), and 7.12 ± 3.45 (control group). Also the scores means of stress were 8.94 ± 3.28, 8.673 ± 3.57, and 13.59 ± 4.32, respectively. Additionally, the scores means of depression in the music group were 2.05 ± 1.87 and in the ICU visits group was 2.13 ± 1.28, meanwhile it was 3.27 ± 2.65 at the control group. Conclusions: Listening to music or ICU visits program may reduce the anxiety, stress, and depression level of patients who undergoing to the heart surgeries, therefore may be useful to use them as a nursing care intervention in the patients.}, Keywords = {}, volume = {5}, Number = {3}, pages = {133-138}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-225-en.html}, eprint = {http://jccnursing.com/article-1-225-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {motahedian, ellahe and movahedirad, saeid and hajizadeh, ebrahim and lak, marzieh}, title = {The effect of music therapy on postoperative pain intensity in patients under spinal anesthesia}, abstract ={Aims : Music as a non-pharmacological and inexpensive nursing intervention can be used easily as complementary technique and can be effective in reducing pain with other methods. The aim of this study was to investigate the effect of music therapy on postoperative pain intensity in patients under spinal anesthesia. Methods : In this semi-experimental study which has been done in 2011 in the operation room of Baqiyatallah and Khanevadeh hospital in Tehran, sixty male in ASA (American society of Anesthesiological) 1 between 18-44 years old undergoing urological and abdominal surgeries with spinal anethesia were studied. Patients were randomly divided into two groups of thirty persons. Patients in music group listened to Huan Sepastian Bakhs music about six minutes after induction of spinal anesthesia to the end by headphones. The control group did not receive any intervention. About three hours after surgery and before receiving any narcotic drugs, postoperative pain was measured and recorded by visual analog scale. Also consumption of narcotic drugs was recorded in the 24 hours after surgery. Results : Comparison of pain intensity after the operation has been done in two groups by using Manvitni test. Findings of the study showed that music group shows a significant decrease compared to the control group (p=0.005). Pethedine consumption had a significant difference after surgery in both groups (p=0.041). Conclusion : Hearing the music during surgery with spinal anesthesia can reduce postoperative pain. The researcher offers to use music as a complementary method in patients in order to reduce prospective pain.}, Keywords = {Music therapy, Spinal anesthesia, postoperative pain}, volume = {5}, Number = {3}, pages = {139-144}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-226-en.html}, eprint = {http://jccnursing.com/article-1-226-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {hemate, zeynab and alidosti, masoome and reisi, marziye}, title = {The relation between the quality of life and restless legs syndrome in patients undergoing hemodialysisis dialysis centers in ChaharMahal and Bakhtiari, 2011}, abstract ={Aims: The chronic renal failure and the subsequent hemodialysis and its consequent problems such as restless legs syndrome affect the individual’s quality of life through the changes they cause in his life style and health status. The present study was conducted to investigate the association between the quality of life and restless legs syndrome in hemodialysis patients. Materials and Methods : In this descriptive –analytical study, 171patients who were undergoing to hemodialysis at hospitals of ChaharMahal and Bakhtiariprovenance selected via census sampling. The subjects divided into two groups one suffering from the restless legs syndrome and the other without syndrome. Data was collected using WHO-QOL BREF quality of life questionnaire and restless legs syndrome questionnaire, then it was analyzed by the software SPSS 15 and independent statistical t-test. Findings : The findings revealed that 98(57.3%) out of 171 hemodialysis patients, who were studied, suffered from restless legs syndrome and 73(%42.7) subjects were without syndrome. The average age in the group suffering the syndrome was 59.27 ± 16.86 and in the group without syndrome was 55.20 ± 17.95.However the difference between the average age in both groups was not statistically significant (p= 0.131).The average quality of life in the group suffering the syndrome was 32.82 ± 8.53and in the group without the syndrome was 39 ± 14.57. This difference was statistically significant (p<; 0.05). Conclusion : regarding the result of the study, the average quality of life in hemodialysis patients is low. Patients suffering from restless legs syndrome also have lower quality of life. Therefore it is recommended that the quality of life of these patients be improved through taking}, Keywords = {hemodialysis, restless legs syndrome, quality of life}, volume = {5}, Number = {3}, pages = {145-150}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-227-en.html}, eprint = {http://jccnursing.com/article-1-227-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {rahimi, jaleh and baljani, esfandyar and zadgasem, zahr}, title = {Investigating the relationship between illness perception and quality of life in hemodialysis patients}, abstract ={Aims: According to the nature of their illness, dialysis patients should have a clear perception of it. Nurses can influence patients’ quality of life through perception-basedinterferences. The present study seeks to determine the relationship between illness perception and quality of life. Additionally, it tries to find out predictive variables of quality of life based on illness perception dimensions. Methods : 120 dialysis patients participated in this descriptive-correlation study in 2010-2011. The patients were admitted in Taleghani Hospital of Urmia. The required data was collected by the use of a demographic data questionnaire, a briefillness perception questionnaire (IPQ-B), andstandard quality of life questionnaire (SF-12).The data was analyzed using Pearson correlation test and stepwise regression analysis. Results : There was an inverse correlation between parameters of consequences, nature of illness, anxiety, emotional response and quality of life (p<; 0.05). Stepwise regression analysis showed that parameters of consequences, nature of illness and emotional response significantly participated in determining the quality of life variance. Conclusion : Based on the achieved results of the present study, nurses can improve the quality of life inhemodialysis patients through presenting proper training and consulting courses to patients and their families about treating options and nature of illnesses and also by having them participate in health improvement programs.}, Keywords = {}, volume = {5}, Number = {3}, pages = {151-158}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-228-en.html}, eprint = {http://jccnursing.com/article-1-228-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {hasankhani, hadi and abdollahzadeh, farahnaz and vahdatishams, samad and dehghannejad, javad and dadashzadeh, abbas}, title = {Educational needs of emergency nurses according to the emergency condition preparedness criteria in hospitals of Tabriz University of Medical Sciences 2011}, abstract ={Aims: Because of increased critical situation in the world, it is essential for all health care professionals, especially nurses, to be ready to manage emergency situations. T his study assessed the educational nee ds of nurses for critical situations preparedness on which , educational planning could be done . Methods: According to a d escriptive cross-sectional study design, emergency nurses (No. 140) in Tabriz’s educational hospitals selected. Emergency Preparedness Information Questionnaire (EPIQ) was used as a tools to assess preparedness of nurse parts. The questionnaire consisted of two parts. The part one, consisted of demographic profile questions and part 2, EPIQ, included of 44 questions in the eight subs-scales. Data analyzed by using SPSS ver. 17 software. Results: Data analysis showed 66.6% of samples were female . 44% of the nurses had no experience of s pecial training in crisis situations . The total score of emergency condition preparedness of sample was (2.30 ± 0.97) the lowest and highest scores of the subject was Reporting and Accessing Critical Resources subscale (2.03 ± 0.9) and Triage subscale (2.51 ± 0.7) respectivly. The mean scores of each items , in all eight sections (e xcept triage ), were moderate to low. Conclusion: According to the results , the emergency nurses are not prepared enough to respond appropriately in crisis situations . Therefore crisis situations trainings should be offered for the nurses as Continuing education. In addition, the development of crisis nursing courses in nursing post graduate departments is suggested.}, Keywords = {}, volume = {5}, Number = {3}, pages = {159-165}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-229-en.html}, eprint = {http://jccnursing.com/article-1-229-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {mortazavi, yousef and nasiri, ebrahim and babatabardarzi, hossein and mahmoudi, hosei}, title = {The survey of airways management equipments of emergency medical centers in Mazandaran Province}, abstract ={Aims: In the critical life threatening situations, efforts of the emergency centers personnel are to eliminate the threatening factors, to keep airways open and save the victim life. To achieve these aims, proper equipments such as instruments for opening and keeping airways open are important. The aim of this study was to survey the status of equipment which are used for airway management of victims in critical situations by personnel of Mazandaran emergent teams. Methods: By using a descriptive study design, Mazandaran province divided into three geographic zones included West, East and Center zone. Three cities randomly chosen from each zone. Emergency centers of these selected cities visited research team members and by using of a checklist, all airways management equipments such as endotracheal tubes, airways, and Ambu bag, a flexible reservoir bag connected by tubing and a non-rebreathing valve to a face mask or endotracheal tube which used for artificial ventilation, surveyed. Results: Data analysis indicated, there is some deficiency in the airways management equipments. There were no infants endotracheal tubes with internal diameter size of 3.5-2.5 mm in the 30% of centers. In the 95% of the centers there were adult endotracheal tubes with internal diameter size of 6-7.5 mm. There were Ambu bag and oropharynx airways in the 86% and 84% of centers respectively. There werent any nasopharynx airways. Only 84% of centers had proper endotrcheal suction equipments. CONCLUSION: It is necessary to revise the list of equipment and also to provide new devices or/and repair some the airways management equipments of emergency centers.}, Keywords = {}, volume = {5}, Number = {3}, pages = {166-171}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-230-en.html}, eprint = {http://jccnursing.com/article-1-230-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2012} } @article{ author = {malakouti, jamileh and jebraeili, mahnaz and valizadeh, sousan and babapour, jalil}, title = {Mothers’ experience of having a preterm infant in the Neonatal Intensive Care Unit, a Phenomenological Study}, abstract ={Aims : Understanding the experiences of mothers could be as a strategy for the physicians, nurses who are working in NICU and administrators in the care centers in order to provide supports for parents, particularly mothers and an effective step to improve the quality of nursing care of premature infants and their parents. Methods : In this study, one of the qualitative research methods as descriptive phenomenology was used with Colaizzi approach. Data were collected through semi-structured interviews with 20 mothers with experience of a preterm infant in intensive care unit of treatment- educational centers of children and Alzahra(s) of Tabriz to share these experiences in 2010. Results : Among all the results of this study 4 themes were emerged which indicated structure of mothers’ experiences of hospitalization of a preterm infant in NICU. Themes and subthemes of this study were as: Sense of Alienation, Lack of control, Caring and Depravation. Conclusion : According to the findings mothers were encountered with some positive and negative experiences. In this regard nurse’s practice was so effective to mothers’ ability and their partnership in taking care of the infant in order to form positive experiences and reduce the negative ones. Thus promoting some methods to support mothers’ feelings and to share caring of their babies seems to be necessary.}, Keywords = {}, volume = {5}, Number = {4}, pages = {172-181}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-231-en.html}, eprint = {http://jccnursing.com/article-1-231-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2013} } @article{ author = {homayouni, keynoosh and zaher, homa and borhani, fariba and abbaszadeh, abbas and motamedjahromi, mohadeseh}, title = {Effect of tactile touch on stress in patients with myocardial infarction}, abstract ={Aims: Nowadays, myocardial infarction is one of the cardiovascular life threatening diseases. After myocardial infarction, many patients experience psychological reactions such as stress . These emotional reactions can lead to increased treatment costs , mortality delay of recovery and cardiac ischemia progression .The present study was done with the aim of “studying the effect of tactile touch on stress level in patients with myocardial infarction”. . Methods: This quasi-experimental study was performed on 80 patients with myocardial infarction that were hospitalized for the first time in Zahra Heart Center in Shiraz during 2011 and 2012. Patients were randomly in two groups of intervention and control. For patients in the intervention group tactile touch was performed five days, it was half an hour every day. Questionnaires DASS-21 was used for data collection. Data were analyzed through SPSS version 15 and by using descriptive statistics and analytic statistical tests. Results: Stress in patients with myocardial infarction after tactile touch period had a significant decrease (p<; 0.001 ) compared with that before intervention . Also, after tactile touch , Significant difference between intervention and control group was observed (p<; 0.001 ) .This result reflects the positive impact of this method in reducing stress in these patients. Conclusion : Using tactile touch can be effective in reducing stress in patient with myocardial infarction. Training nurses in using this method can be effective in reducing these patients’ stress .}, Keywords = {Tactile touch, myocardial infarction, stress}, volume = {5}, Number = {4}, pages = {182-187}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-232-en.html}, eprint = {http://jccnursing.com/article-1-232-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2013} } @article{ author = {tayebi, ali and shasti, samaneh and tadrisi, seyed davood and sadeghishermeh, mahdi and einollahi, behz}, title = {The effect of infusion hypertonic glucose on dialysis adequacy in non diabetic hemodialysis patients}, abstract ={Abstract Aims: H emodialysis Patients suffer from many problems and complications during disease and their treatment.One of the most important and common problems is hypotension and dialysis adequacy.This study has been designed and implemented to determine the effect of hypertonic glucose on dialysis adequacy and blood pressure in non-diabetic dialysis patients. Methods: The present study was a quasi-experimental and single group study that 45 none-diabetic hemodialysis patients from the chosen hospitals were selected and hypertonic glucose infused patients for two weeks and three times a week, after two weeks durability, patients were assessed without manipulation for two weeks. In addition blood pressureand dialysis adequacy of the patients were measured in manipulation phase before and after each infusion of hypertonic glucose .Data collection tools included demographic information and dialysis adequacy was calculated by Daugirdasformula at the end of every stage in two study environments.then the data were analyzed by using SPSS 17 software and descriptive statistical tests (abundance- mean),inferential tests (paired t test, mane Whitney, Friedman, Kruskal-wallis and wilcoxon) Results: The results showed thatdialysis adequacyand also blood pressure of the patients had been increased significantly in manipulation phase ( p=0.001 ). Andanalysis of data between the gender (p=0.001) and vascular access ( p=0.001 ) showed significant differences ( p=0.001 ),but inother cases , there was no significant difference. Conclusion:results of this study showed thatinjection of hypertonic glucose increased dialysis adequacy in hemodialysis patients significantly and prevented hypotension.}, Keywords = {Dialysis Adequacy, Hemodialysis, Hypertonic Glucose}, volume = {5}, Number = {4}, pages = {188-195}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-233-en.html}, eprint = {http://jccnursing.com/article-1-233-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2013} } @article{ author = {khoshbagkt, maryam and baghaeilakeh, mojgan and hasavari, farideh and kazemnejadlili, ehsan and jahangirbolourchian, mahdi}, title = {Related factors of Body posture Ergonomic in intensive care units nurses during Work}, abstract ={Aim: Observing ergonomic principles during taking care of the patients by the nurses of ICU units can prevent many musculoskeletal damages. Regarding this, diagnosis of special related factors of every area can make it possible to have preventive effective program. The aim of this study was determining related factors of nurses’ Body posture Ergonomic during position changing of patients in intensive care units. Methods: In this analytic cross-sectional study all the nurses with determined characteristics of the study (n=91) had been assessed in intensive units of educational -therapeutic centers of Rasht in 2010 by census method and a 3-part tool including questionnaire of demographic factors, Knowledge and environmental factors that effect on Ergonomics during position changing. Data were collected by self-report method and observation and have been analyzed by inferential tests under SPSS software. Results: The findings showed that almost half of nurses had moderate knowledge about ergonomics science (49/4%) and did position changing under desirable environmental condition (45/1%). According to GEE model, single samples with normal BMI and less work experience in ICU (p<; 0, 0001) among demographic factors, lack of adjustability of beds “parts “and “height” in work environment and poor knowledge were related to undesirable ergonomic condition. Conclusion: The findings highlight necessitation of considering proper planning for controlling preventive related factors of ergonomic in ICU units during patients’ position changing such as knowledge deficit, using present technologies and maintaining appropriate BMI}, Keywords = {}, volume = {5}, Number = {4}, pages = {196-203}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-234-en.html}, eprint = {http://jccnursing.com/article-1-234-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2013} } @article{ author = {asadifard, farahnaz and zeighamimohamadi, sharareh and bahramibabaheydari, tur}, title = {Sexual function of women with Chronic Renal Failure Undergoing Hemodialysis and factors related to it}, abstract ={Aims : One of the important aspects of life quality is sexual function. Chronic renal failure and its treatments have effect on sexual function. The aim of this study was to investigate sexual function of women with chronic renal failure undergoing hemodialysis and factors related to it. Methods : In this cross sectional study, one hundred women with chronic renal failure undergoing hemodialysis at four dialysis units in Karaj were interviewed in 2011 and also their medical records were investigated. Sampling method was census sampling. The instruments used included: demographic data form, the (CES-D) center of epidemiologic studies of depression scale and Female Sexual Function Index (FSFI) and World Health Organization life quality (WHOQOL- BREF) questionnaire. Data was analyzed by SPSS software and using descriptive statistics, t-test, ANOVA and coefficient Pearson correlation. Results : The findings indicated that mean score of female sexual function index was 13.22 ± 8.58 (1.2-36 range) and 100% of women had score of female sexual function index lower than 28. Sexual desire decrease, 62% sexual arousal decrease, 52% vaginal lubrication decrease, 60% failure to orgasm, 33% sexual dissatisfaction and 54% dyspareunia were experienced. There were significant inverse correlation between score of female sexual function index undergoing hemodialysis with creatinine level (p=0.016), depression (p=0.016) and positive correlation with hemoglobin level (p=0.001) and total score of life quality (p=0.006). The presence of diabetes showed significant relationship with score of female sexual function (p=0.049). Conclusion : with regard to sexual dysfunction prevalence among women with chronic renal failure undergoing hemodialysis and negative impact on life quality, it seems that in order to provide holistic nursing care, assessment and planning for treating it, is necessary.}, Keywords = {}, volume = {5}, Number = {4}, pages = {204-214}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-235-en.html}, eprint = {http://jccnursing.com/article-1-235-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2013} } @article{ author = {saeid, yaser and javadi, mahrooz and sirtinir, masoud and mokhtarinoori, jamileh}, title = {Assessment and comparison of Emotional Intelligence of Nurses in General and Intensive Care Units}, abstract ={Objective: Professional nursing is recognised for having high working anxiety levels due to continuous interaction with patients, their family and colleagues in a high stress working environment. As a compilation of non cognitive skills and abilities, emotional intelligent could be helpful in controlling stress and increasing the individual’s productivity at work. Intensive Care Units’ employees experience higher stress levels as compared to General Units’. This study was conducted with the aim of comparing the emotional intelligence in general and Intensive Care Units. Methods: This descriptive sectional analytic study was conducted on 212 participants of who were randomly selected from the individuals employed in the specialized and General Units of selected military hospitals of the city of Tehran, in 2011. In order to assess the emotional intelligence, Bradberi and Greaves (2005) Emotional Intelligence Questionnaire including 28 questions and 5 levels was used. The data obtained from this study was analysed using SPSS 17. software application’s descriptive analysis and statistical test. Findings: The average emotional intelligence score for nurses 79.4 (±7.3) was calculated. The average relative frequency of emotional intelligence scores were categorized in five levels Excellent (10.4%), Good (38.2%), Required Assistance (42.5%), Requires Work (8.5%) and Warning (0.5%). The highest frequency of emotional intelligence among the nurses employed in General Units was observed in Good level (46.1%). The highest frequency of the level of emotional intelligence among the nurses employed in Intensive Care Units was observed in Requires Assistance level (47.2%). This difference between general and Intensive Care Units was statistically significant (p = 0.02).}, Keywords = {}, volume = {5}, Number = {4}, pages = {214-221}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-236-en.html}, eprint = {http://jccnursing.com/article-1-236-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2013} } @article{ author = {falahinia, gholamhosein and zareian, ali and oshvandi, khodayar and farhanchi, afshin and moghimbigi, abbas}, title = {Comparison of intensive care units Structural Standards}, abstract ={Abstract Aims a : Intensive care units are one of the most sensitive parts of each hospital codification of appropriate structural standards and its measurement improve the quality of services in those units. So this study had been done with the aim of “determining structural conditions of intensive care units” Methods : : This cross-sectional study had been designed for measuring structural standards of intensive care units in three areas of human force physical conditions and medical equipment in educational hospitals of Hamadan and comparing it with the last existing standards according to international guidelines and principles and accreditation standards of Iranian hospitals and it had been performed from April to September of 2011. Data were collected via completing assessing forms with direct observance of the researcher and they had been analyzed by using statistical tests, ANOVAs (variance analysis) and Spearman in SPSS (17) software. Results : All the three units of the study achieved less than 50% score of structural standards among the total 843 score that Besat intensive care unit 48% ( the mean score 406) ، Ghaem intensive care unit 45% ( the mean score 376 ) and Milad intensive care unit had 41% ( the mean score 346 ) of the standards. The most percent of the standard score was related to human force with (%58) and the least one was related to physical conditions and facilities with (%38). Conclusion : In intensive care units of the study, achieved scores in structural domination was less than appropriate standard level. Therefore it had been suggested that the executives consider achieving global standards specially promotion of structural standards that is guarantor of quality promotion and optimization performance of intensive care units.}, Keywords = {}, volume = {5}, Number = {4}, pages = {222-227}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-237-en.html}, eprint = {http://jccnursing.com/article-1-237-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2013} } @article{ author = {nayebloei, elahe and afarahani, mansoureh and khalesi, nasrin and hoseini, agh fatemeh and darabi, masuo}, title = {Assessing physical structure of Neonatal Intensive Care Unit from the perspective of nosocomial infection control}, abstract ={Aims: Nowadays nosocomial Infection control is one of the important management issues in neonatal intensive care unit that in this context, the NICU’s physical structure can improve infection control processes or interfere it. The aim of the present study is assessing physical environment of neonatal intensive care unit from the perspective of nosocomial infection control indicators. Methods: This study is a descriptive cross sectional study in 2011with statistical population of 11 neonatal intensive care units and research environment of all includes 10 public hospitals of Tehran Medical Sciences University. The study tools had been taken from the 7thand latest report of the “Recommended standards for the NICU design” proposed by consensus committee. The researchers completed check list by observation method and analyzed data by using descriptive statistic and spss software of version 14. Results: The findings of this study suggested that there have been observed lack of compliance with all the recommended standards in all the studied sections about air conditioning, features of NICU section levels, sink, neonates care space, isolated room and the features of contaminated instruments storage space, which are indicators of infection control. Conclusion: According to the existence conditions of the physical environment of NICU, it has been suggested to observe recommended standards of designing NICU in constructions that are building or are being renovated for providing suitable implementation in order to activate infection control programs.}, Keywords = {NICU, Physical structure,nosocomial infection control}, volume = {5}, Number = {4}, pages = {228-237}, publisher = {دانشگاه علوم پزشکی بقیه الله (عج)}, url = {http://jccnursing.com/article-1-238-en.html}, eprint = {http://jccnursing.com/article-1-238-en.pdf}, journal = {Journal of Critical Care Nursing}, issn = {2008-336X}, eissn = {2008-3084}, year = {2013} }