@article{ 
author = {soltaninejad, maryam and arab, mansour and abaszadeh, abbas and borhani, fariba and karzari, zahr},  
title = {The effect of using self-help rehabilitation program on the life quality of the patients discharged from Intensive Care Units}, 
abstract ={Aims: Patients in intensive care units experience many physiological and psychological complications that their recovery sometimes takes several years. Life quality of intensive patients after discharge is lower than other internal and surgical patients and physical problems makes a person disable in doing daily activities. This study assesses the effect of using self-help rehabilitation program on the life quality of the patients discharged from Intensive Care Units. Methods: It was a clinical trial study which was done on ninety patients of internal-surgical intensive units of three hospitals in Kerman. This study was done by SIP68 life quality questionnaire with three physical, psychological and social areas and six dimensions in 2012. After patients’ discharged from intensive care unit, they were in a general ward in tow case and control groups, data were analyzed by using inferential, descriptive statistical tests and SPSS19 software. Results: The mean score of the life quality in all the dimensions in intervention group was improved statistically. The mean age of the participants was 37.2 (9.5). There was no relationship between none of the demographic factors and life quality. Conclusions: Since intervention had remarkable effect on improvement of the patients’ life quality after discharge, performing patient-centered methods is effective in this area.},  
Keywords = {},
volume = {7},
Number = {1}, 
pages = {1-6}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-271-en.html},  
eprint = {http://jccnursing.com/article-1-271-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {bagherinesami, masoumeh and heydarigorji, mohammad ali and rezaie, somayeh and pouresmail, zahra and yazdanichorati, jamshi},  
title = {The effect of acupressure on the quality of sleep in patients with acute coronary syndrome in Cardiac Care Unit}, 
abstract ={Aims: Many patients hospitalized in CCU experience reduced quality of sleep. One of the methods for treating sleep disorders is using complementary medicine such as acupressure. The purpose of this study is “investigating the effect of acupressure on the quality of sleep in patients with Acute Coronary Syndrome (ACS) in CCU”. Methods: This is a two-group double blind clinical trial study which was conducted on 60 patients with Acute Coronary Syndrome (ACS) in Mazandaran Heart Center in 2013. Samples were selected from statistical available population and were randomly assigned in two groups. The group of acupressure received bilateral acupoint massage from the second night of hospitalization for two minutes during three nights, in every point it was totally 18 minutes. Patients in the control group received massage on these points with the same technique and time with 1-1.5 cm distance from the main points. The quality of patients’ sleep was completed with SMHSQ hospital sleep questionnaire. Findings were analyzed by SPSS18 software and χ2 , independent t-test, RM-ANOVA statistical tests. Results: There was significant difference between sleep quality of the patients in acupressure group and control group which was also statistically significant (p &#60;; 0.05). Conclusions: This study showed that acupressure can have therapeutic effect in improving quality of sleep in ACS patients. Therefore this method can be taught to nurses who have an important role in the identification and elimination of patients’ sleep disorder and also it should be taught to the patients themselves and their companions .},  
Keywords = {},
volume = {7},
Number = {1}, 
pages = {7-14}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-272-en.html},  
eprint = {http://jccnursing.com/article-1-272-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {babajani, saeed and babatabar, hosein and ebadi, abbas and mahmoudi, hosein and nasiri, ebrahim},  
title = {The effect of foot reflexology massage on the level of pain during chest tube removal after open heart surgery}, 
abstract ={Aims: Pain due to the removal of the chest tube is one of the important complications after open heart surgery. In the case of inadequate pain management, sympathetic system is stimulated and can lead to irreversible complications. Studies showed the effect of reflexology massage on pain relief in other cases so this study had been done with the aim of “determining the effect of foot reflexology on the pain of the patients under open heart surgery during chest tube removal”. Methods: This randomized clinical study with control group was done in the hospitals covered by Baqiyatallah Medical Sciences University in 2013. Ninety samples were divided into three experimental, control and placebo-treated groups based on randomized allocation. Pain level was measured through Numerical Rating Scale (NRS) in all the three groups before intervention. In the experimental group center of the anterior one-third and in the placebo-treated group, Posterior one-third of the left foot was being massaged for ten minutes before chest tube removal. There was no measurement in the control group. After removal of the chest tube, the level of the pain was measured and documented immediately. Data were analyzed by SPSS18 software by the help of descriptive and inferential statistic s . Results: Difference in the mean of the quantitative variables including age, height, weight and level of the body and demographic qualitative variables of the patients including education status, occupation and marital status was not significant (p&#62;0.05). Expected increasing of the pain due to the chest pain tube removal was not significant in the experimental group (p=0.08), while placebo-treated and control groups had significant increase of the pain (p=0.001 and p=0.000 respectively). Conclusions: Foot reflexology massage is a useful nursing intervention in chest tube removal after open heart surgery. This intervention improves care level of the patients in the important recovery phase after open heart surgery with the least cost and without any complications.},  
Keywords = {reflexology massage, pain, chest tube, open heart surgery.},
volume = {7},
Number = {1}, 
pages = {15-22}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-273-en.html},  
eprint = {http://jccnursing.com/article-1-273-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {zamanibabgohari, khadijeh and mokhtarinori, jamileh and khademolhoseini, seyed mohammad and ebadi, abbas},  
title = {Effect of evidence-based nursing guidelines implementation on satisfaction of the patients hospitalized in cardiac care unit}, 
abstract ={Aims: Evidence-based nursing guidelines are important tools in increasing the quality of nurses’ clinical work. Assessment of patient’s satisfaction is one of the most important indicators of measuring quality of provided care to patients. This study has been done with the aim of determining the effect of evidence-based nursing guidelines implementation on satisfaction of the patients with acute coronary syndrome hospitalized in cardiac care unit (CCU). Methods: This two-group clinical trial study was carried out in Hazrat Fatima (SA) hospital in Kerman on 90 patients in 2014. Before and after implementation of guidelines education program, patients’ satisfaction rate was measured by patient’s satisfaction standard instrument (PSI) and data was evaluated by SPSS19 statistical software and by using mean and standard deviation descriptive statistics and t-test and chi-square inferential statistics. Results: Patients satisfaction before intervention, with mean score of 104.2(9) was in moderate level and after intervention, with mean score of 116.4(52) was in good level of satisfaction p=0.000. Conclusions: Evidence-based nursing guidelines implementation improved patients’ satisfaction regarding nursing care. Therefore it is suggested to the officials and managers of hospitals and educational centers of health-treatment services to put evidence-based nursing guidelines education in their agenda.},  
Keywords = {},
volume = {7},
Number = {1}, 
pages = {23-30}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-274-en.html},  
eprint = {http://jccnursing.com/article-1-274-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {shahkolahi, zahra and abdeyazdan, zahra and mehrabi, tayebe and hajiheidari, mahnoosh},  
title = {Supporting fathers of premature infants hospitalized in Neonatal Intensive Care Unit (NICU)}, 
abstract ={Aims: Prematurely birth of the infant and his/her hospitalization in NICU is something really unexpected for the parents. In most of the cases fathers are the first visitors of the infant in NICU and they are counted as the key person in supporting mother and infant. Lack of supporting father and shortage of his awareness increase his stress in this crisis and have some inappropriate short-term and long-term outcomes. The aim of this study was “assessing the effect of a designed program about the intervention of family support on the stress of the fathers of premature infants hospitalized in NICU”. Methods: In a two-group semi-experimental study which was done in 2013, fathers of fifty premature infants hospitalized in NICU of Shahid Beheshti hospital in Isfahan were chosen through convenient sampling and were divided into two control and experimental group. Family supporting program was a two-phase program. The first phase included two informational and one observational sections and the second group included supporting section. Parental stress measurement questionnaire in both of the groups was completed by the infant’s father in two before and after time of intervention. For analyzing information SPSS18 software and descriptive and inferential tests were used. Results: In the experimental group there was significant difference in the mean of scores before and after intervention in two subscales of “appearance and behavior of the infant and special treatments” and “the relationship of the parents with the infant and acceptance of parental roles” and the mean of total score, while this difference was not significant in control group in none of subscales of parental stress and total score. Before intervention, there was no significant difference between the two groups in terms of the mean score of parental stress in three subscales of parental stress and total score but after intervention in experimental group, the difference of the mean of the parental stress scores in two subscales of infant’s appearance and behavior and special treatments and the relationship of the parents with the infant and acceptance of parental roles and total score was significantly less than control group. Conclusions: Emotional-informational support program could decrease stress level of the fathers of premature infants hospitalized in NICU, so appropriate effort and policies can be valuable in paying more attention to the father and his partnership.},  
Keywords = {},
volume = {7},
Number = {1}, 
pages = {31-40}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-275-en.html},  
eprint = {http://jccnursing.com/article-1-275-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {mohseni, mina and khaleghdoostmohammadi, tahereh and kazemnejadleili, ehsan and adib, masoomeh},  
title = {Epidemiologic survey of trauma and associated factors in Guilan}, 
abstract ={Aims: By better understanding of trauma epidemiology and its confounding factors, appropriate strategies and programs including using preventive measures and organizing the delivery of services can be adjusted and quality of cares related to trauma can be improved. The aim of this study was “to determine trauma epidemiology and its associated “. Methods: In a cross-sectional study , 577 patients with traumatic damage who were transferred by pre hospital emergency to Out Patient and Emergency Department (OPD&#59;ED) of Poursina medical-educational center in Rasht were chosen by convenient sampling and by using a researcher-made record form in three shifts (morning, evening and night) in 2013. Data analysis was done by t-tests, one-way ANOVA and Chi-square. Results: The majority of samples (82.7%) suffered from traumatic damages due to car accidents and disturbance of this trauma in men was 3.5 times higher than women . The mean age of the people was 35.17 years old and the maximum age group was 20-29 years. (67.6%) were the blunt trauma. The main road was the place where trauma was mostly occurred in them (71.8%) and most accidents happened out of the cities (89.9%). Majority of crash cars were light vehicles (48.5%). Revised of trauma score (RTS) in majority of samples (76.6%) was 12 . (29.8%) and (28.1%) were respectively drivers and passengers . The maximum amount of the accident was at 5 p.m . There was significant relationship between mechanism of trauma and age (p&#60;; 0.02), RTS (p&#60;; 0.008), trauma`s place (p&#60;; 0.01) and position of victims at the scene (p&#60;; 0.00). Also there was significant relationship between type of trauma and age (p&#60;; 0.02), sex (p&#60;; 0.00), RTS (p&#60;; 0.00), trauma`s place (p&#60;; 0.006) and the position of the victims at the scene (p&#60;; 0.01). Conclusions: Traumatic damages can be reduced by recognizing trauma associated factors, improving road traffic, public education for paying more attention to traffic rules and other procedures for preventing injuries.},  
Keywords = {Trauma, Epidemiolog, Accident, Wound, Victim},
volume = {7},
Number = {1}, 
pages = {41-50}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-276-en.html},  
eprint = {http://jccnursing.com/article-1-276-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {falahinia, gholamhosein and zareian, ali and oshvandi, khodayar and farhanchi, afshin and moghimbeigi, abbas},  
title = {Comparing performance of the intensive care units based on the mortality rate and structural standards in educational hospitals}, 
abstract ={Aims: The aim of intensive care units of the hospitals is decreasing mortality rate and improving health of the society. This study was done with the aim of “studying and comparing the performance of intensive care units by determining mortality rate and finding its relationship with structural situation of these units”. Methods: This cross-sectional study was done during six months in 2011 in the intensive care units of educational hospitals in Hamadan. The study was done on 200 patients through convenient sampling in the intensive unit of Besat hospital and in two intensive care units of Shahid Beheshti hospital. Data collection tools included SAPS3 checklist that its validity and reliability were confirmed in different studies and a researcher-made structural standards checklist in three areas (human force, physical environment and medical equipment). The ratio of the actual death to the expected death (SMR: standardized mortality rate) was determined by SAPS3 and its relationship with the structural standard score was measured. For data analysis, Kruskal-Wallis, Mann-Whitney, chi-square and Spearman correlation coefficient and SPSS17 software were used. Results: Based on the SAPS3 scoring system, the ration of the actual death to the expected death (SMR) was more than one in all the units of the study which means weak performance in a way that SMR of Besat, Ghaem and Milad units were respectively 2.29, 1.38 and 1.56. Structural situation score of the units of the study were also less than 50% of the standard in a way that Besat, Ghaem and Milad units had respectively 48%, 45% and 41% of the structural standards scores. There was no significant relationship between structural standards scores of the units of the study and their SMR performance score (p=0.66). Conclusions: Performance score of all the three units was weak and regarding structural standards the mentioned units were less than moderate. It is necessary to try to improve structural standards and to decrease ratio of the actual death to the amount of death expected by managers, physicians, nurses and other staff of the intensive care units.},  
Keywords = {},
volume = {7},
Number = {1}, 
pages = {51-58}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-277-en.html},  
eprint = {http://jccnursing.com/article-1-277-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {biniaz, vajihe and tayebi, ali and sadeghishermeh, mahdi and ebadi, abbas and nemati, eghlim},  
title = {Prevalence of Functional Iron Deficiency (FID) Anemia in Patients Undergoing Hemodialysis}, 
abstract ={Aims : Anemia is one of the main problems in hemodialysis patients, which is caused by inadequate production of erythropoietin. Functional iron deficiency (FID) anemia is a kind of anemia, which lack of functional iron therein leads to resistance and inappropriate response to erythropoietin in hemodialysis patients. Since early diagnosis of this anemia before erythropoietin usage is important, this study was conducted “to determine p revalence of functional iron deficiency in hemodialysis patients”. Methods: In a cross–sectional design studied 184 patients with chronic kidney disease referred to hemodialysis units in Baqiyatallah and Chamran hospitals in Tehran. In order to data collecting were measured serum Hb, Hct and Ferritin levels plus to completing the demographic questionnaire. The χ2-test, T-test and ANOVA were used in this study. The data were analyzed via the SPSS18 software (version). The p value of 0.05 was considered as significance level. Results: The mean of serum levels of Hb and Hct was respectively 10.98±1.7 g/dl and 34.1±5.2%. Anemia was observed in 37%, hyperferritinemia in 80.4% and functional iron deficiency anemia in 41.1% of patients. Conclusions: Functional iron deficiency was observed in about half of hemodialysis patients and could cause resistance and inappropriate response to Erythropoetin in them. Therefore nurse awareness and his/her duly action in determining the status of iron stores prior to the administration of erythropoietin prevents from prescribing an expensive drug and imposing unnecessary costs to the patient and the health care system.},  
Keywords = {},
volume = {7},
Number = {1}, 
pages = {59-66}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-278-en.html},  
eprint = {http://jccnursing.com/article-1-278-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {oshvandi, khodayar and abdi, saed and karampourian, arezo and moghimbaghi, abbas and homayonfar, shahram},  
title = {The effect of foot massage on quality of sleep in ischemic heart disease patients hospitalized in CCU}, 
abstract ={Aims: Poor quality of sleep is the predictor of adverse outcomes in ischemic heart disease patients. Nursing measures have been important for improvement of quality of sleep in these patients and these measures are effective in reducing their mortality rate . The purpose of this study is determining “the effect of foot massage on quality of sleep in ischemic heart disease patients hospitalized in CCU”. Methods : It was a clinical trial study which was done in 2013. In this study 60 patients with ischemic heart disease were selected through convenient sampling and they were randomly divided in to two experimental (n=30 ) and control (n=30 ) groups. In experimental group, foot massage was performed 20 minutes for each patient in two consecutive nights and control group was under usual care. Data collection tools included demographic questionnaire and St. Marys Hospital Sleep Questionnaire (SMHSQ) . Data analysis was done by using descriptive and inferential statistical tests (chi-square, independent t-test, Paired t-test) through using SPSS16 software. Results: Results showed that there is a significant difference between the scores mean of quality of sleep before and after foot massage in experimental group (p=0.002) . But there was no significant difference between the scores mean of quality of sleep before and after receiving usual care in control group (p= 0.964). There was no significant difference between the scores mean of quality of sleep in the two experimental and control groups before foot massage (p=0.64). But there was significant difference after the intervention (p= 0.01). Conclusions: Foot massage improves sleep quality in heart patients and considering low cost, lack of complications and easy procedure of this method it is recommended for improvement of sleep quality in patients with ischemic heart disease .},  
Keywords = { Foot massage, sleep, ischemic heart disease},
volume = {7},
Number = {2}, 
pages = {66-73}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-279-en.html},  
eprint = {http://jccnursing.com/article-1-279-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {mohammadpur, ali and mohammadian, batol and basirimoghadam, mahdi and nematollahi, mahmoud rez},  
title = {The effect of local heat therapy on physiologic parameters of patients with acute coronary syndrome: a randomized controlled clinical trial}, 
abstract ={Aims: Acute Coronary Syndrome (ACS) is a common cardiovascular disease. In patients with this disease, symptom management is performed both pharmacologically and non-pharmacologically. One of the non-pharmacologic symptom management interventions is chest local heat therapy. The aim of this study was “to determine the effect of chest local heat therapy on physiologic parameters in patients with ACS”. Methods: We conducted this randomized double-blind placebo-controlled clinical trial in 2013—during six months in Cardiac Care Unit of 22 Bahman hospital in Gonabad, Iran. In this study, we randomly allocated 66 patients with ACS to two placebo and experimental groups. Patients in the experimental and control groups received chest local heat therapy by using a hot pack warmed to 50°C and 37°C respectively. Local heat therapy was administered for four 23-minute sessions in the anterior part of the chest. The levels of patients’ heart rate, respiratory rate, arterial blood pressure and blood oxygen saturation were measured both before and after the intervention. Data collection tools consisted of a demographic questionnaire and a data sheet for recording physiologic parameters. Data were analyzed by using SPSS 16 software and descriptive and inferential statistical tests. Results: There was no significant difference in the two groups before and after the intervention in terms of systolic and diastolic blood pressure as well as heart rate. However, in compare with before the intervention, systolic and diastolic blood pressure in the experimental group were decreased significantly (p&#60;; 0.05). Moreover, before the intervention, there was no significant difference in the two groups in terms of respiratory rate and oxygen saturation. However, after the intervention, respiratory rate in the experimental group in compare with before the intervention and placebo group were decreased significantly and oxygen saturation was increased significantly (p&#60;; 0.05). Conclusions: The study findings confirmed the effectiveness of local heat therapy in improving physiologic parameters in patients with ACS.},  
Keywords = {},
volume = {7},
Number = {2}, 
pages = {74-83}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-280-en.html},  
eprint = {http://jccnursing.com/article-1-280-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {sabour, bijan and mohammadi, ziba and omrani, hamidreza and rezaei, mansour},  
title = {A comparison of two methods of heparinizing hemodialysis set by continuous infusion and intermittent bolus effects on the rate of dialysis adequacy in hemodialysis patients}, 
abstract ={Aims: Hemodialysis is one of the main treatments for patients with chronic renal failure. If performed hemodialysis does not have necessary efficacy, the rate of patients’ mortality increases. One of the most important measures in this area is to prevent clot formation which can be achieved by using proper administration of anticoagulants (heparin). Therefore, present study aimed to comparison of two methods of heparinizing hemodialysis set effects on the rate of dialysis adequacy in hemodialysis patients . Methods: In a quasi-experimental study, 176 hemodialysis patients admitted in the dialysis centers of Kermanshah Medical Sciences University who had inclusion criteria were under the two methods of anticoagulation with heparin ( continuous infusion or intermittent bolus group) through convenient sampling method. In order to evaluate the adequacy of dialysis of Urea Reduction Ratio (URR) and KT/V were used. The study was conducted in before and after comparative form . Data collection tools include demographic and background features and the checklist of doing hemodialysis. Finally, data were analyzed by SPSS16 statistical software. Results: Results showed that comparing dialysis adequacy based on URR and KT/V mean in the two methods did not have statistical significant difference . Conclusions : Both continuous infusion and intermittent bolus have almost the same effect on dialysis adequacy.},  
Keywords = {},
volume = {7},
Number = {2}, 
pages = {84-91}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-281-en.html},  
eprint = {http://jccnursing.com/article-1-281-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {saeeditaheri, zahra and asadzandi, minoo and ebadi, abbas},  
title = {The effect of spiritual care based on Ghalbe Salim Model on the sleep quality of the patients with coronary artery disease}, 
abstract ={Aims : A person’s complete health depends on the balance between his existential dimensions . Spiritual care has been identified as the most important and helpful factor in achieving balance in health maintenance and disease resistance. Considering soothing role of sleep in complete health of human and its high importance for cardiac patients this study was carried out to determine the effect of spiritual care based on Ghalbe Salim Model on sleep quality in patients with coronary artery disease. Methods: In this two-group controlled clinical trial study, sixty patients with acute coronary syndrome in the coronary care units of Baqiyatallah hospital in Tehran in 2013 were selected by purposeful sampling method and they were randomly allocated in two experimental and control groups. By using Pittsburgh Sleep Quality questionnaire, patients sleep quality was measured on the first day after admission. In experimental group, spiritual care program was performed from the first day of admission to the time of discharge. After two months, sleep quality of the samples was measured. Data of the study were analyzed by using descriptive statistics (mean, standard deviation and frequency), inferential statistics (chi-square, paired and independent t-test, Mann-Whitney U, Wilcoxon) and SPSS18 software. Results: Total PSQI score in experimental group was decreased significantly after the intervention in compare with the time before the intervention (p=0.001). Total PSQI score of the experimental group after the intervention was significantly different in compare with the control group (p=0.001) Conclusions : Spiritual care based on Ghalbe Salim Model improved the sleep quality of patients. As a result, the achievement of peace and freedom from stress due to disease helped the patient’s psychological adaptation to the disease and also helps the patient’s current treatment status and health indirectly.},  
Keywords = {},
volume = {7},
Number = {2}, 
pages = {92-101}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-282-en.html},  
eprint = {http://jccnursing.com/article-1-282-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {sharyfy, azam and khatony, alireza and rezaey, mansour},  
title = {Is there a relationship between core body temperature and changes of endotracheal tube cuff pressure?}, 
abstract ={Aims: Many factors such as positive pressure ventilation, lack of coordination between patients and ventilator, suction, patient’s position and physiologic factors can influence endotracheal tube cuff pressure. The purpose of this study was to determine relationship between core body temperature and changes of endotracheal tube cuff pressure. Methods: This correlational descriptive analytical study was done in 2012 in Intensive Care Unit (ICU) of Imam Reza hospital in Kermanshah. In this study, 259 intubated patients recruited with convenient sampling method. Endotracheal tube cuff pressure and core body temperature were measured twice in 6-hour intervals. Data analysis was performed by using SPSS-16 software, descriptive and analytic statistic including Wilcoxon test and Spearman correlation coefficients . Results: In 65% of patients, cuff pressure was out of the standard range in its first measurement. At the second time, after correction of cuff pressure, it decreased to 20% of patients. There was significant difference between mean of core body temperature before and after correction (p≤0.001), but there was not statistically significant relationship between core body temperature and changes of endotracheal tube cuff pressure before and after the correction of cuff pressure. Conclusions: Results showed that there is no relationship between core body temperature and changes of endotracheal tube cuff pressure. However, regular monitoring of cuff pressure and core body temperature of patients hospitalized in Intensive Care Unit (ICU) is recommended and further investigations are suggested.},  
Keywords = {},
volume = {7},
Number = {2}, 
pages = {102-109}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-283-en.html},  
eprint = {http://jccnursing.com/article-1-283-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {sourilaki, abozar and zigheimat, farzaneh and ebadi, abbas and rahmatinajarkolaei, fatemeh},  
title = {Development and validation of the guidelines for preventing Nosocomial infections in the intensive care units: The evidence-based approach}, 
abstract ={Aims : Nosocomial infections are one of the most important problems in health care centers and intensive care unit patients. Developing evidence based guidelines for the prevention of nosocomial infections can have a great impact in reducing these infections. The aim of this study was to develop and validate the evidence based guidelines for prevention of nosocomial infections in the intensive care units. Methods : This developmental study method was performed in the intensive care unit. The quality of 32 guidelines was assessed with the valid and reliable check list. Then Evidence based new guidelines based on Stetler model were designed for prevention of nosocomial infections. The quality of designing guidelines was assessed with the same check List. Data analysis was performed using descriptive statistic and SPSS17. Results: The quality of 32 available guidelines was poor (84.37%) and the quality of 15.63% was moderate. Eighteen nosocomial infections preventive guidelines were designed that 100% of them had good quality. Conclusions : Given the importance prevention of nosocomial infections and since the quality of available guidelines are not good evidence-based guidelines can reduce the risk of infection in patients.},  
Keywords = {},
volume = {7},
Number = {2}, 
pages = {110-115}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-284-en.html},  
eprint = {http://jccnursing.com/article-1-284-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {taghipour, behzad and sharifnia, hamid and kaveh, hoda and heidaranlu, esmail and shahidifar, samaneh and emamizeydi, amir},  
title = {Clinical manifestations of myocardial infarction in diabetic and non-diabetic patients}, 
abstract ={Aims: Cardiovascular diseases are the main causes of death in diabetic patients so that acute myocardial infarction (AMI) symptoms differences in diabetic and Non-diabetic patients may influence diagnosis of the disease and the decision time for treatment and consequently disease outcomes. This study was conducted with the aim of investigating the differences of clinical manifestations between diabetic and non-diabetic patients with myocardial infarction. Methods: This cross–sectional study was done on 366 patients with acute myocardial infarction hospitalized in Cardiac Care Unit (CCU) in 2013. Demographic information form and symptoms check list were used and symptoms of acute myocardial infarction (AMI) were asked from the patients and the results were entered into the checklist. Results were analyzed through SPSS20 software, descriptive statistics methods and odds ratio. Results: Results showed that diabetes increases chance of dyspnea, weakness, fatigue, belching, tinnitus, anxiety and hiccup. From the other side being a diabetic patient increases the chance of pain related to AMI in the neck, left shoulder, and the left arm. Conclusions: Atypical symptoms, particularly in diabetic patient, may cause delay in patient’s referring and also decision making for the diagnosis and treatment by the medical team as well so staff of intensive units and the patients need more and specialized information regarding knowledge about AMI symptoms specifically by noticing diabetic disorder.},  
Keywords = {},
volume = {7},
Number = {2}, 
pages = {116-123}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-285-en.html},  
eprint = {http://jccnursing.com/article-1-285-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {taherikharame, zahra and heravikarimooi, majideh and rejeh, nahid and montazeri, ali and hajizadeh, ebrahim},  
title = {Quality of life in angina pectoris patients: Assessing with the Seattle Angina Questionnaire (SAQ)}, 
abstract ={Aims: Angina pectoris with impaired function in bearing activity reduces patients’ quality of life of the. Studying specific quality of life is an important measure in impact of disease, treatment and other variables affecting patients’ lives. The aim of this study was to determine different dimensions of the specific quality of life of the patients with angina pectoris and its related factors. Methods: In this study, 200 inpatients or outpatients with angina pectoris referring to two selected educational-treatment centers of Qum were selected via convenience sampling method in 2012. Seattle Angina Questionnaire (SAQ) and demographic Questionnaires were used as data collection tools. Data analysis was done in SPSS 16 software environment by using descriptive statistical, Pearson correlation coefficient, independent t-test, ANOVA and ANCOVA. Results: The highest and the lowest scores of life quality were related to the treatment satisfaction with mean and standard deviation of 66.34 ± 17.32, and mean and standard deviation of angina stability was 38.92 ± 24.02. There was significant difference between gender , occupation , marital status , number of hospitalizations, CCS classification, angina severity and type of treatment with dimensions of quality of life (p&#60;; 0.05). Conclusions: Quality of life of the patients with angina pectoris is not appropriate regarding angina stability and disease understanding. It seems necessary to pay more attention to nursing and treatment cares to enhance and improve the quality of life for these patients.},  
Keywords = {},
volume = {7},
Number = {2}, 
pages = {124-131}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-286-en.html},  
eprint = {http://jccnursing.com/article-1-286-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {nasiriani, khadijeh and dehqani, hamide and akbariroknabadi, mahdi},  
title = {Nursing Documentation Requirements in Coronary Care Unit}, 
abstract ={Aims : Considering the importance of correct documentation in taking care of the patients especially in Coronary Care Unit (CCU), this study aimed at explaining nursing documentation requirements in CCU for improving the reporting system. Methods: It’s a qualitative content analysis study, 15 qualified nurses and 15 qualified instructors from Iran were selected through purposeful and snowball sampling method in 2013. They explained documentation requirements in the CCU by using open-ended questionnaire. One note software was used for data analysis. Results: After data analysis, 22 subcategories from 5 main categories were emerged as documentation requirements in CCU: (1) health history, (2) health evaluation, (3) monitoring, (4) nursing interventions, and (5) nursing discharge notes. Conclusions: On admission information regarding health history, findings achieved from patient’s health assessment in different situations such as a. at the beginning of admission, b. at the beginning of every shift and c. Discharge time, also information achieved from patient’s monitoring during shift nursing interventions done for the patient and discharge time report are counted as nursing documentation requirements in (CCU).},  
Keywords = {},
volume = {7},
Number = {3}, 
pages = {132-141}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-287-en.html},  
eprint = {http://jccnursing.com/article-1-287-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {asadi, maryam and asadzandi, minoo and ebadi, abbas},  
title = {Effects of spiritual care based on Ghalb Salim nursing model in reducing anxiety of patients undergoing CABG surgery}, 
abstract ={Aims : Anxious is very common among patients undergoing Coronary Artery Bypass Graft (CABG) surgery and it has significant effect on recovery process and following up treatment. The most important factor regarding treatment of anxiety is faith and religious affiliations. This study is conducted to assess the impact of spiritual care based on a Ghalb-e Salim (good heart) model in reducing anxiety of patient’s candidate for CABG. Methods: In this clinical trial study, 60 patients candidate for CABG were selected in Baqiyatallah (AJ) hospital in Tehran in 2013. These patients had moderate and sever anxiety score and they were divided into two experimental and control groups. Spiritual care based on Ghalb-e Salim model was done through educational booklet and direct education during hospitalization in experimental group . Beck Anxiety questionnaire was completed by the patients in three stages during hospitalization, before surgery and before discharge information was analyzed by using SPSS20 software and descriptive and inferential statistical tests. Results: The preoperative anxiety in the experimental group was significantly reduced (9.8±3.5) it is while preoperative anxiety of patients had a significant increase in the control group (37.7±11.71). totally, based on independent t statistical test, anxiety was reduced after intervention (p=0.000) The Mann-Whitney test showed that there was no significant difference between the two groups in terms of anxiety levels on admission, but preoperative anxiety levels in the experimental group and the control group were respectively in the moderate (40 % ) and severe ( 80 % ) level ( p=0/001) Conclusions: Spiritual care based on Ghalb-e Salim model was taken from Islamic statements and they are effective for organizing spiritual cares in nursing and reducing anxiety of the patient’s candidates for cardiac surgery.},  
Keywords = {},
volume = {7},
Number = {3}, 
pages = {142-151}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-288-en.html},  
eprint = {http://jccnursing.com/article-1-288-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {akbaryandeheki, nadali and sanagoo, akram and amri, parviz and moghaddam, shahram and vakili, mohammad ali and nasiri, hossain and jouybari, leila mahasti},  
title = {Comparing the effect of using normal saline, N-acetyl cysteine and not using them in endotracheal tube suction on physiologic parameters and the amount of secretions in intubated patients under mechanical ventilation}, 
abstract ={Aims: Today a large number of patients hospitalized in Intensive Care Unit need mechanical ventilation via an artificial air way. Since these patients have endotracheal tube, endotracheal suctioning is necessary for increasing oxygenation, cleaning the airway and keeping it open . But this method consists of various side effects such as increased blood pressure and heart rate and respiratory rate, cyanosis, dizziness and increased intracranial pressure and hypoxia . This study aimed at comparing the effect of using normal saline serum, N-acetyl cysteine and not using them in endotracheal suctioning on physiologic parameters and the amount of secretions in intubated patients under mechanical ventilation. Material &#38; Methods: It was a controlled clinical trial study with random allocation that was performed on 54 intubated patients hospitalized in ICU of health educational centers of Babol Medical Sciences University in 2014. Endotracheal tube suctioning was performed for each patient once without saline, the second time with 3 ml of normal saline and the third time with 2 ml of N-acetyl cysteine. Blood pressure, Heart rate, Respiratory rate, Arterial oxygen saturation were measured and recorded before each stage of suctioning and two and five minutes after that. Amount of secretions was measured after each method of suctioning. Data were analyzed by SPSS16 statistical software, variance analysis with repeated measures, ANOVA and paired t statistical tests. Results: Blood pressure, Heart rate and Respiratory rate were increased after suction in all the three groups, but these changes were higher in the group that received normal saline. Average decrease of Arterial oxygen saturation was more in the method of receiving normal saline (p&#60;; 0.05). The amount of secretion was more ​​ in the method of receiving N-acetyl cysteine (p=0.004). Conclusions: Endotracheal tube suctioning by using normal saline had more adverse effects on post- suction physiological parameters in compare with the other two methods . Therefore, it is recommended to not use normal saline in endotracheal tube suctioning to the possible extent , and if removing secretions is required, endotracheal N_ acetyl cysteine ​​ should be used according to the patients condition .},  
Keywords = {},
volume = {7},
Number = {3}, 
pages = {152-159}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-289-en.html},  
eprint = {http://jccnursing.com/article-1-289-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {kohpayezadeh, jalil and mehrabi, homeira and ranjbar, hadi and shoghi, mahnaz and zeighamimohammadi, sharareh},  
title = {The effect of multi-media educational software on learning basic principles of Cardio-Pulmonary Resuscitation (CPR) in Nursing Students}, 
abstract ={Aims : Lack of facilities , experienced teachers and choosing appropriate teaching method have always been among the challenges of holding CPR courses . The aim of this study was determining “ the effect of multi- media educational software on learning basic principles of Cardio-Pulmonary Resuscitation (CPR) in nursing students”. Methods: This is a quasi- experimental study which was conducted in 2013 . The study population included 70 nursing students in fifth and sixth semester of Islamic Azad University of Karaj . The samples were divided into two lecture and practical training (35) and multi-media education and practical training (35) groups through blocked random method . Theoretical education of CPR basic principles was done by lecturing in the first group and by multi-media educational software in the second group . Practical training was done similarly in both groups through 2 sessions working on mannequins . After a week, written exam was taken from the both groups by using basic life support skills questionnaire and after two weeks, practical test was taken based on the standard checklist and also Objective Station Clinical Evaluation (OSCE) . Data was analyzed in SPSS 18 software by using independent t-test , chi- square and Mann-Whitney U . Results: The knowledge mean score in the intervention group (16.20±2.02) was significantly higher than the control group (12.57±2.60) (p&#60;; 0.001). In the scope of practice, there was no significant statistical difference between the two groups in the practical areas of patient’s assessment (p=0.056), opening the airway and respiration (p=0.13) and cardiac massage (p=0.36). Conclusions: The results of the present study indicated that providing content in the form of multimedia software can improve nursing students knowledge more than lecturing and simulation , but it is not effective in improving students psychomotor performance . Therefore, using objective methods and clinical education are recommended for improving CPR psychomotor skills.},  
Keywords = {},
volume = {7},
Number = {3}, 
pages = {160-167}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-290-en.html},  
eprint = {http://jccnursing.com/article-1-290-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {abollahzadeh, farahnaz and moghaddasian, sima and rahman, azad and shahmari, mehrab},  
title = {Effect of video education on knowledge and satisfaction of patients undergoing coronary angiography}, 
abstract ={Aims : Most of patients that refer for angiography do not have enough information about the procedure this lack of knowledge makes the patients dissatisfied . Accordingly the aim of this study was investigating the effect of video education based on patients’ native language on knowledge and satisfaction of patients hospitalized for coronary angiography . Methods: In This quasi experimental study , 160 patients were randomly assigned into two control (n=80) and experimental (n=80) groups. These patients were selected among all the patients who came for non-emergency coronary angiography for the first time in the Thoracic Department of Medical-Educational Center of Imam Khomeini in 2013 . For the experimental group, an educational film about the coronary angiography was presented. And for the control group, the routine actions of the ward were presented. The awareness level of the patients in both groups was measured after and before education by using a researcher-made awareness questionnaire. And the satisfaction level of the patients in both groups was measured after education by using a researcher-made satisfaction questionnaire. Data was analyzed by SPSS13 software with using chi-square test, independent t-test and paired t-test. Results: After the intervention, the mean of satisfaction in the experimental and control groups was respectively 41.20 and 23.95 and the mean of awareness was respectively 15.81 and 6.81 the experimental group in both dimensions (p =0 . 001) was better than the control group . Conclusions: Results of this study confirm the efficiency of video education based on patients’ native language in increasing knowledge and satisfaction of the patients candidate for coronary angiography. Therefore, the video education is recommended for educating these patients.},  
Keywords = {Education, Film, Knowledge, Satisfaction, Angiography},
volume = {7},
Number = {3}, 
pages = {168-175}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-291-en.html},  
eprint = {http://jccnursing.com/article-1-291-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {salehi, zahra and mokhtarinouri, jamileh and khademolhoseyni, seyyed mohamad and ebadi, abbas},  
title = {Designing and determining psychometric characteristics of satisfaction measurement questionnaire of the parents’ infants, hospitalized in Neonatal Intensive Care Unit}, 
abstract ={Aims : patient’s satisfaction has been attended as an important criterion for studying performed cares in recent decade. Achieving such aims should be based on using a valid tool and aboriginal culture. So this study had been done with the aim of designing and measuring validity and reliability of the tools for measuring parents’ satisfaction that have a hospitalized infant in Neonatal Intensive Care Unit (NICU) about hospital services. Methods : in this methodological study, firstly initial tools have been designed with 60 items according to literature review. Then content and face validity had been provided through quantitative and qualitative study (CVI and CVR) and construct validity had been done in this way that by doing exploratory factor analysis, 300 parents with hospitalized patients had been chosen during cluster sampling from chosen state hospitals of Tehran in 2013. Reliability had been assessed through internal consistency. Results: final questionnaire had been approved with 49 items in three areas of welfare services, nursing cares and medical cares. In the results of exploratory factor analysis, KMO sampling index was 0.945. Also Bartlett test of Sphericity with 12593.822 in the level of 0.0001 was significant. Reliability has been approved by α=0.96. Conclusions: considering that all validity and reliability indexes of the questionnaire are reported in an appropriate level, infants’ parents’ satisfaction questionnaire can be used as a valid and reliable questionnaire in measuring infants’ parents’ satisfaction, hospitalized in NICU.},  
Keywords = {},
volume = {7},
Number = {3}, 
pages = {176-183}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-292-en.html},  
eprint = {http://jccnursing.com/article-1-292-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {shahrokhi, zahra and rayyani, masoud and sabzevari, sakine and haghdoost, ali akbar},  
title = {Stressors and Coping strategies of dialysis patients}, 
abstract ={Aims: Considering the increasing rate of hemodialysis patients , different results of previous studies , human’s constant interaction with the environmental changes and living in today’s modern world, people are exposed to a barrage of constant changes and stressors . These changes in chronic renal failure patients comparing to healthy individuals are more and different . The type of coping strategies used by the people depend on several factors including personal experience , social support systems , personal beliefs , available resources and genetic background .The study aimed to “identifying the type of experienced stressors and coping strategies used by hemodialysis patients”. Mothods : In this descriptive correlational study, Hemodialysis Stressors Scale (HSS) and Jalowiec Coping Scale (JCS) were used to investigate stressors and coping strategies of 70 hemodialysis patients hospitalized in hospitals supervised by Medical Sciences University of Jiroft in 2013. Sampling was done through census sampling method. Data analysis was done by SPSS 20 software , the methods of descriptive and inferential statistics of chi-square type and Fishers exact test with 95 % Confidence Coefficient. Results: The majority of samples ( 48/6%) were from 41 to 60 years old and 60 % of them were male . 11/4 percent of them experienced physiological stressor and 88/6 percent experienced psychosocial stressors . Therefore psychosocial stressors were reported more bothering than physiologic stressors and patients experienced them more. Optimistic coping mechanism was the most common coping strategies used by the patients. The most frequent experienced physiological stressors included fatigue, limitations of fluids, limitations of food and arterial &#38; venous stick and the most frequent psychosocial stressors included limits on the time &#38; place for vacation, boredom, sleep disturbances and interference with job. There was statistically significant relationship between the percentage of experienced stressors in hemodialysis patients and their age (p=0/005). Conclusions: Since psychosocial stressors were reported more bothering than physiologic stressors by the participants, decreasing or balancing them seems so essential. Being familiar with the experienced stressors and the amount of usage and effectiveness of the used coping strategies can help to provide appropriate programs to facilitate adaptation and acquiring necessary skills for patients and their families.},  
Keywords = {},
volume = {7},
Number = {3}, 
pages = {184-193}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-293-en.html},  
eprint = {http://jccnursing.com/article-1-293-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {rahimi, abolfazl and taghipour, hamidreza and ebadi, abbas and pourebrahimi, moham},  
title = {Comparing patients’ quality of life before and after Coronary Artery Bypass Graft surgery (CABG)}, 
abstract ={Aims: Cardiovascular diseases is one of the main causes of mortality in the world. Coronary Heart Disease (CHD) is one of the cardiovascular diseases that influence patients’ quality of life. Evaluating quality of life of these patients is one of the components of treatment this study is done with the aim of comparing patients’ quality of life before and after CABG. Methods: This cross-sectional study was conducted on 90 patients candidate for CABG in Baqiatallah and Jamaran Heart hospitals of Tehran in 2013. Sampling was done among the patients who had the inclusion criteria through convenient sampling method. Collecting data was done before and two months after surgery MacNew specific Questionnaire of heart patients’ quality of life was used for this purpose. Paired t-test and SPSS17 software were used for statistical analysis. Results: The average score for quality of life before and two months after surgery was respectively 225.4 (24.88) and 168.6 (34.7). Also quality of life had significant decrease before surgery in compare with after surgery regarding emotional, physical and social dimensions (p&#60;; 0.001). Conclusions: Quality of life will be decreased in a short period of time due to surgical complications. Conducting longitudinal studies is recommended for more accurate assessment of this concept.},  
Keywords = {},
volume = {7},
Number = {3}, 
pages = {194-199}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-294-en.html},  
eprint = {http://jccnursing.com/article-1-294-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2014}  
}

@article{ 
author = {nategh, mohammad and heidari, mohammad reza and ebadi, abbas and kazemnejad, anooshirvan and babaeibeigi, mohammad ali},  
title = {Effect of lavender aromatherapy on hemodynamic indices among patients with acute coronary syndrome: a randomized clinical trial}, 
abstract ={Aims : Patients who are hospitalized in coronary care unit are at risk for hemodynamic instability secondary to anxiety and stress. Aromatherapy may have positive effects on hemodynamic status and can help reduce blood pressure and heart rate. The aim of this study was to investigate the effect of lavender aromatherapy on hemodynamic indices among patients with acute coronary syndrome. Methods : This single-blind randomized clinical trial was conducted on patients who had been hospitalized in the coronary care unit of Namazi hospital, Shiraz, Iran, in 2013. A sample of 110 patients with acute coronary syndrome was recruited. Patients were randomly allocated to either the experimental or the placebo groups. Patients in the experimental and placebo groups were respectively treated with lavender essence and almond oil drop aromas. Participants’ systolic and diastolic blood pressures as well as heart rate were measured seven times—before, during, and after the study intervention. For analyzing the data, statistical tests such as Chi-square, t test, and repeated measures analysis of variance were performed by using the SPSS16. Results : There was a downward trend of systolic and diastolic blood pressures and heart rate changes across the seven measurement time-points in both groups. However, there was no significant difference between the study groups regarding systolic blood pressure (P value = 0.586), diastolic blood pressure (P value = 0.557) and heart rate (P value = 0.846). Conclusion s: Given its positive effects on hemodynamic indices, aromatherapy can be used as an effective alternative therapy.},  
Keywords = {},
volume = {7},
Number = {4}, 
pages = {201-208}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-295-en.html},  
eprint = {http://jccnursing.com/article-1-295-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2015}  
}

@article{ 
author = {aghai, bahman and rejeh, nahid and heravi, majideh and ebadi, abbas and moradyan, tayeb and tadrissi, davood and mirsadeghi, amir},  
title = {The effect of nature-based sound therapy on shortening length of mechanical ventilation in Coronary Artery Bypass Graft surgery patients during the weaning from mechanical ventilation}, 
abstract ={Aims : Weaning from mechanical ventilation is a frequent nursing activity in Intensive Care Unit (ICU). Nature-based sound as a non-pharmacological method was effective in alleviating anxiety and agitation in patients undergoing mechanical ventilation. The aim of this study was to determine the effect of nature-based sound on shortening length of weaning from mechanical ventilation time in patients undergoing Coronary Artery Bypass Graft (CABG) surgery. Methods : This is a quasi-experimental study in which 120 patients undergoing CABG surgery had participated. These patients were undergoing weaning from mechanical ventilator they were randomly divided into two intervention and control groups of 60 subjects. The study was done in 2013. The intervention group listened to nature-based sounds through headphones, immediately after the first trigger, they listened to the sound at 20 min intervals until extubation. Data was collected until twenty three minutes after extubation too. Patients of the control group had headphones with no sound. Data collection tools included a demographic- medical questionnaire and a researcher-made data recording sheet. Data analysis was done through descriptive and inferential statistical methods including independent t-test, chi-square and Fishers exact test by using SPSS 16 software. Results : Findings showed that the intervention group had significantly lower length of mechanical ventilation time than the control group (P&#60;; 0.001). Conclusions : The results showed that nature-based sound as a non-pharmacological treatment can be effective in shortening length of weaning from mechanical ventilation time and it can be helpful in this process. Since it’s a safe, easy and inexpensive method and it has no complications, it can be used besides other non-pharmacological methods in shortening duration of patients’ weaning from mechanical ventilation in ICU.},  
Keywords = {},
volume = {7},
Number = {4}, 
pages = {209-214}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-296-en.html},  
eprint = {http://jccnursing.com/article-1-296-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2015}  
}

@article{ 
author = {hashemi, saeid and tayebi, ali and rahimi, abolfazl and einolahi, behz},  
title = {Examining the effect of continuous care model on adherence to dietary regimen among patients receiving hemodialysis}, 
abstract ={Aim s: Adherence to dietary regimens is essential to the success of hemodialysis whose absence is associated with significant health problems and complications for patients receiving hemodialysis. Besides educations, hemodialysis patients need a continuous care plan that improves their adherence knowledge, practice, and attitude. This study aimed at examining the effect of Continuous Care Model on hemodialysis patients’ dietary adherence. Methods : This randomized controlled trial was conducted on 98 patients who received hemodialysis in Baqiyatallah and Chamran hospitals, Tehran, Iran, in 2013. Subjects were recruited by using the purposive sampling technique and were randomly allocated to either the treatment or the control groups. Written and verbal educational materials about hemodialysis and dietary adherence were provided to patients in the treatment group. Then, the four-step continuous care plan was implemented. The steps included orientation, sensitization, control, and evaluation. Study participants were invited to fill the Dietary Adherence Questionnaire at four time points including before the intervention (T1) as well as one, two, and three months afterward (T2–T4). The Chi-square and the repeated measures analysis of variance test were performed by using the SPSS v. 18.0. Results : Most participants had poor dietary adherence. The Continuous Care Model significantly improved their dietary adherence scores—from 148.95±6.04 (T1) to 156.25±4.85 (T2), 177.08±3.63 (T3), and 184.37±3.38 (T4). There was a significant relationship between Continuous Care Model and dietary adherence (P value = 0.0001). Conclusion s: Educations and counseling services that are provided through the Continuous Care Model can improve hemodialysis patients’ dietary adherence. Using this model for enhancing hemodialysis patients’ dietary adherence and preventing non-adherence-related complications is recommended.},  
Keywords = {Continuous Care Model, Dietary adherence, Hemodialysis },
volume = {7},
Number = {4}, 
pages = {215-220}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-297-en.html},  
eprint = {http://jccnursing.com/article-1-297-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2015}  
}

@article{ 
author = {behnammoghadam, mohammad and behnammoghadam, aziz and salehian, tahmineh},  
title = {Efficacy of Eye Movement Desensitization and Reprocessing (EMDR) on depression in patients with Myocardial Infarction (MI) in a 12-month follow up}, 
abstract ={Aims : Depression following Myocardial Infarction (MI) is a common disorder with a negative effect on prognosis of cardiac patients. One of the therapeutic methods of depression in cardiac patients is cognitive-behavioral technique. The aim of the present study was to assess the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) on depression in patients with Myocardial Infarction (MI) in a 12-month follow up. Methods: It was a quasi-experimental study, which was performed on patients with MI in Qazvin in year 2013. 60 patients, who were suffering from MI were selected through convenient sampling and based on Beck’s depression questionnaire they were randomly divided into two experimental and control groups. EMDR therapeutic method was performed in three sessions in the experimental group. The control group received no intervention. Data collection on depressive symptoms was done before treatment, after treatment and in a 12-month follow up and they were analyzed by using descriptive statistics, repeated measures ANOVA, chi- square and SPSS 17 software. Results: Depressive symptoms mean in the experimental group before and after intervention and in a 12-month follow up was 27.26±6.41, 11.76±3.71 and 8.5±2.52 respectively repeated measures ANOVA showed significant statistical difference (p&#60;; 0.001). Depressive symptoms mean in the control group before and after intervention was 24.53(±5.81) and 31.66(±6.09) respectively, it showed significant difference by using paired t-test (p&#60;; 0.001). Conclusions: The EMDR is an efficient method for treating and reducing depression in patients with MI. Critical care nurses can use this new and effective method for treating depression.},  
Keywords = {},
volume = {7},
Number = {4}, 
pages = {221-226}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-298-en.html},  
eprint = {http://jccnursing.com/article-1-298-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2015}  
}

@article{ 
author = {hemmatiesmaeili, maliheh and heshmatinabavi, fatemeh and reihani, hamid rez},  
title = {Evaluation of violence of patients and their families against emergency nurses of Imam Reza Central Hospital in Mashhad}, 
abstract ={Aims: Patients and their families’ violence is mostly among the most dangerous occupational hazards, which has some consequences for the medical staff and influences quality of patients’ care and satisfaction directly or indirectly. The present study is done with the aim of determining the level of patients and their families’ violence against nurses. Methods: This cross - sectional study was performed through census method on 68 nursing staff working in Central Emergency of Imam Reza hospital in Mashhad in 2012. Data collection tools included a standard questionnaire designed by the collaboration of International Labor Organization, World Health Organization, International Society of Nurses and International Association of Public Service the questionnaire has been used after its adjustment with the social and environmental criteria. Data analysis was done through SPSS17 software and by using descriptive statistics and Pearson and Spearman correlation test. Results : All the nurses were exposed to verbal violence at least once during the last year (14.7 percent once, 16.2 percent always and 69.1 percent sometimes) and 22.1 percent of them had experienced physical violence during the last year. The most common cause of violence against nurses was patients relatives and most of the nurses have not taken any action against them. More than half of the nurses stated that they do not report the incident since they think it’s useless to report or talk about it they also stated that there was no specific action taken by the superior for identifying the cause of violence in the case of their reporting. In addition tracking the reported violence has most often been unsatisfactory. Conclusions: Despite high prevalence of violence against nurses of emergency departments, lack of reporting mechanisms and tracking violence and nurses’ avoidance of reporting violence, hidden aspects of this phenomenon are more than the obvious ones. Since most of the people working in emergency departments have reported that violence can’t be prevented, it is necessary to prevent destructive effects of this phenomenon influencing the quality of emergency cares by developing educational programs aimed at empowering nurses in managing violent incidents.},  
Keywords = {Workplace Violence, Nurse, Emergency Department},
volume = {7},
Number = {4}, 
pages = {227-236}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-299-en.html},  
eprint = {http://jccnursing.com/article-1-299-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2015}  
}

@article{ 
author = {basharpoor, sajjad and narimani, mohammad and atadokht, akbar},  
title = {The role of attachment styles in the prediction of posttraumatic stress disorder in emergency nurses}, 
abstract ={Aims: Evidences indicated that attachment styles are important in people’s adjustment with stressful situations. Therefore, this study has been carried out to assess the role of attachment styles in the prediction of Post-Traumatic Stress Disorder (PTSD) in emergency nurses. Methods: It was a descriptive-correlational study. The statistical population of this study was all the emergency nurses of Uroumieh hospitals in 2010. 100 people of the population were selected randomly for this study. All the participants were tested individually by Mississippi PTSD scale and attachment styles questionnaire at their work place. Data analysis was done by multivariate ANOVA tests and multiple regression analysis and SPSS17 software. Results: According to PTSD scale, twenty participants of the study were suffering from PTSD. Comparing their attachment styles with the healthy group (the group without PTSD) it was shown that the group with PTSD took higher scores in terms of fearful and dismissive attachment styles in compare with healthy group (without PTSD). The results of multi-regression analysis showed that 10 percent of the total variance of individuals in PTSD scale was explained by attachment styles. Conclusions: Attachment styles are important in determining susceptibility of hospital emergency nurses to PTSD},  
Keywords = {},
volume = {7},
Number = {4}, 
pages = {237-244}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-300-en.html},  
eprint = {http://jccnursing.com/article-1-300-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2015}  
}

@article{ 
author = {salehi, zahra and mokhtarinoori, jamileh and khademhoseini, mohammad and ebadi, abbas},  
title = {Survey of parents Satisfaction of infants admitted in the NICU}, 
abstract ={Aims: Despite the importance of patient satisfaction as an indicator of quality, updated information is not available on the satisfaction of parents of infants hospitalized in neonatal intensive care. The aim of this study was “to determine the degree of satisfaction of parents of infants hospitalized in the neonatal intensive care unit (NICU)”. Methods: In this cross-sectional study, parents of 300 infants admitted to the neonatal intensive care unit participated with cluster sampling of twelve elected government hospital in Tehran in 2012. Demographic data and data on parental satisfaction using valid and reliable researcher made questionnaire in three domains of welfare, medical and nursing services was measured with a likert scale ranged from 0-100. Data using descriptive statistics (mean, standard deviation) and inferential statistics (Pearson chi-square) were analyzed in SPSS19 software. Results : The mean satisfaction about the nursing care 63.6±14.5, medical care 54.05±11.9, welfare services 42.03±9.02 and the overall satisfaction 63.04±31.5. A significant relationship was observed between variables hospitals (p=0.0001), age (p=0.014), income (p=0.007), history of hospitalization (p=0.0001) and length of hospitalization (p=0.015) between total satisfaction. Conclusions : The relatively high level of parental satisfaction with the three domains of welfare, medical and nursing care services, can be a desirable indicator of the quality of services provided, and the it is necessary for more parental satisfy , the medical team has more cooperation and assistance together. Doctors and nurses also need to establish closer communication and more intimate with parents. To be considered special amenities and facilities to meet the other family members with newborns.},  
Keywords = {Parents&apos, satisfaction, Infants admitted, NICU },
volume = {7},
Number = {4}, 
pages = {245-252}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-301-en.html},  
eprint = {http://jccnursing.com/article-1-301-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2015}  
}

@article{ 
author = {tabanejad, zeinab and pazokian, marzieh and ebadi, abbas},  
title = {Examining the impact of liaison nurse role on patients’ clinical outcomes after intensive care unit discharge: a clinical trial}, 
abstract ={Aims : The liaison nurse role has been defined in many countries for improving the quality of nursing care delivery to patients who are transferred from intensive care units to general medical-surgical wards. The aim of this study was to examine the impact of ICU liaison nurse role on patients’ clinical outcomes after being discharged from intensive care unit. Methods : In this two-group controlled clinical trial, a convenience sample of 80 patients was drawn in 2014 from selected military hospitals located in Tehran. Patients were randomly allocated to either the control (40 patients) or the experimental groups (40 patients). After being transferred from intensive care unit to general wards, patients in the experimental group received care from a liaison nurse. A data sheet was used for collecting the study data. The validity of the sheet was confirmed by a panel of ten nursing faculties. The Gutmann coefficient of the scale was 0.868 which confirmed the acceptable reliability of the sheet. Study data were analyzed by using the SPSS19 and by conducting the Chi-square and independent-samples t tests. Results : Hemodynamic and laboratory parameters in the experimental group were not significantly different from the control group (p value &#62; 0.05). Conclusions : Conducting further studies for evaluating different aspects of liaison nurse role is recommended},  
Keywords = {},
volume = {7},
Number = {4}, 
pages = {253-258}, 
publisher = {دانشگاه علوم پزشکی بقیه الله (عج)},
url = {http://jccnursing.com/article-1-302-en.html},  
eprint = {http://jccnursing.com/article-1-302-en.pdf},  
journal = {Journal of Critical Care Nursing},  
issn = {2008-336X}, 
eissn = {2008-3084}, 
year = {2015}  
}

