Journal of Critical Care Nursing
Year:2010 | Volume:2 | Issue:4|Papers Count:12

Aim and Background: Sexual subjects are an important part of human health and should be addressed in numerous Sexual consoling needs of myocardial infarction (MI) patients are frequently overlooked by nurses Objective: this study is cross sectional analytic one with aim of study of attitude of coronary nurse toward sex education and their knowledge toward sexual activity in MI patient and their husband in 2007. Method and materials: in this cross sectional and analytic study 300 nurses of cardiac wards of KMU hospitals in 2007 were participated. Data were collected using two researchers - made questionnaire to ass attitude and knowledge of nurses. Data were analyzed by SPSS 11.5 soft ware and using t - test and ANOVA.Finding: results of this study regarding to the knowledge of nurses showed that, total Mean (SD) score of knowledge was 11.26 (6.4), and nurses got 54 percent of total score of knowledge. The mean (SD) of attitude score was 68 (10.9). And the total score of attitude was 76 percent. The correlation between total score of knowledge and attitude was positive and significant. (r=0.66, p=0.0001).Conclusion: regarding the results, knowledge of nurses in this area was not enough, but the attitude of them was optimal so we can increase the knowledge of nurses with planning of educational courses and they can help the patient in this area.

Purpose: Primary prevention has remained one of the most important ways to reduce the burden of injuries, but is increasingly recognized that many deaths and much long-term disability can also be prevented through strengthening trauma and emergency care. The purpose of this study was to survey of Iran prehospital performance.Materials & Methods: In this cross- sectional descriptive study, we studied 15 experts of emergency medical and incident management. Data gathering done by using interview, especial form and survey of documents. Data analysis conducted by Spss and One Note.Results: Response time in whole of country, except to tehran city was 8 minute in urban and 14 minute in suburban, generic coverage 33%, number of ambulance numbers of ambulance are 3.19: 100000, dispatch coverage 80%, percent of early aids pervasives 58% and care model were mixed model.Conclusions: Iran prehospital is tolerable but has distance from desirable and standard situation.

Objective: The aim was to comparison anxiety, stress and depression in hemodialysis and kidney transplantation Iranian patients.Materials and Methods: A descriptive- comparative study design was used. The sample consisted of 147 hemodialysis patient and 146 kidney transplantation patient who selected according to purposeful sampling. Questionnaire as a self report tools, DASS21, was used for data collection.Result: The mean age of hemodialysis and kidney transplantation patient was 53.13 years (51.7% men & 48.3% women) and 39.36 years (63.7% men& 36.3% women) respectively. More than fifty percentage of hemodialysis patients presented anxiety (63.9%), depression (60.5%) and stress (51.7%) in everyday life. Meanwhile, in kidney transplantation group they were (48.6%), (39%) and (38.4%) respectively. Data analysis showed that the mean score of anxiety and depression in hemodialysis group was significant more than kidney transplantation group, but there was not any significant deference about stress score.Conclusions: The result supports the view that there is a decreased score for anxiety and depression in two group patient. However, it is necessary to investigate for correlation between two group and these variables.

Purpose: The Aim of Study Was Determine the Validity and Reliability of Ramsy Scale in Adult Patient Hospitalized In Critical Care Unit in Iran.Materials & Methods: This Study Is Methodological Research .After Translate English Version Of (Ramsy) To Persian Version By International Quality Of Life Assessment Method, Eight Observers (Principle Investigator(PI), Six Nurses And One Resident Anesthesia) 120 Patients Hospitalized In Critical Care Unit By Non Probability, Convenience, Accessible And Purposeful Sampling Was Selected. Patients by PI Evaluated and All Investigators Observed and Independently Recorded A Ramsy and Glasgow Coma Scores. In Addition the PI Marked a 10cm Visual Analog Scale and Recorded Richmond Sedation Agitation Score In Order To Determine Of Validity Ramsy.Results: Inter-Rater Reliability For Ramsy Score Was Excellent. Interclass Correlation Coefficient In Trained Group Showed 0.843 And The Weighted Kappa Score For Inter-Rater Agreement Was 0.875 with P>0.001 Indicating Very Good Agreement. In Validity Testing, Ramsy Correlated Highly (Spearman's respectively r=0.978) With Visual Analog Scale and With Glasgow Coma (r=0.772, P<0.001) was Confirmed Validity.Conclusions: According To These Findings, The Ramsy Was Confirmed As A Valid And Reliable Tool For Assessing Sedation In The Adult Patient Hospitalized In Critical Care Unit In Iran. In Finally Recommended, The Implementation Of The Ramsy Should Improve The Quality Of Sedation Management In Critically Ill Patient, Facilitate Communication Between Nurse And Medical Staff With Regard To The Effectiveness Of Sedation Regimens, And Also Assist With The Development Of Optimal Sedation And Analgesia Guidelines For ICU Patients

Background: One of the major areas illness and psychological problems and physical symptoms and social sense of vanity, idleness and mental insecurity after the loss of spiritual people is originates. So when the spiritual health risk to seriously goes down, the person feeling alone, like mental disorders, depression and loss of meaning in life is Objective: The study of a descriptive study that solidarity frequency relationship in order to pray with spiritual health in hemodialysis patients referred to hospitals in emam reza amol city in 1388 was done.Methods: The study sample study of 85 people had the condition. That the sampling was done based on purpose. Information through prayer Mravyglya frequency questionnaire (2002), and spiritual health Pvlvtzyn and Ellison (1989) were collected. Then after entering spss16 by statistical software statistics (tables, charts, mean and standard deviation) and inferential statistics (Cruz Wallis and Spearman correlation coefficients and Nva, Tukey's) analysis was.Results: The highest 96% rate of subjects in the high frequency of prayer. Dimensions pray that the highest percentage of 87% attitude, 85% and 96% experience prayer rituals of prayer were a high level. Spiritual health in the highest level of 75% was high. The period between prayer relationship spiritual health means dont found. (r=0.3) frequently pray with other results between marrage (r=0.4) spiritual health age (r<0.01) showed a significant relationship.Conclusion: According to the dominant religious culture and beliefs, the Iranian people expect religious influences as a compatibility Knb dies. Therefore, it is necessary that the box of health care patients after the patients had spiritual and religious are. Enforcement with religious today as a religious care is considered. Control the effect of such care and creating relax and we will expedite the recovery in patients.

Introduction and purpose: CRF characterized by impaired renal function, which is progressive and irreversible. Most of this patient will need kidney transplantation and / or permanent hemodialysis (HD) finally. Treatment of CRF with HD has many economical and psychologic problems for patients and society. The present cross-sectional study was carried out to investigate the causes of CRF in hemodialysis patients in Abadan.Material and methods: In this study, all 59 patients under HD were evaluated in Abadan Shahid Beheshty hospital. Required data including age, gender, age of first HD session, causes of CRF and dialysis - related variable were collected in a questionnaire from patient’s file and interview as needed.Result: In this study 59 cases including 29 female (49.2%) and 30 male (50.8%) were studied. The mean average of patient was 51.48 years and mean age at first dialysis session was 49.37 years. Results showed that the most common cause of CRF in this region were hypertension (40.4%), diabetes mellitus (28.1%), Infections (12.3%), congenital abnormalities (10.5%) and obstructions (8.8%). Other causes including: glomerulonephritis (3.5%) and lupus (1.8).Conclusion: The most cause of ESRD in this region was hypertension (40.4%), and also in this study diabetes mellitus (28.1%) and Infections (12.3%) were second and third cause of ESRD.

Introduction: Although, many advances in managements of heart disease, especially in myocardial infarction, still, many persons suffer from congestive heart failure after myocardial infarction and combat with congestive heart failure till death. Nowadays, different management methods uses for increasing quality of life in these patients; as: drug therapy, heart transplantation and internal & external devices. These methods are very expensive for patients and hospitals. Research in genetic science, tissue engineering and cell therapy enhances desire of save patients and answer many questions in our mind. Nurses have a crucial role in heart diseases management. Although; development in basic science and cell therapy, they should determine their situations in vector of these revolution and demonstrate their role playing effective in this scene. Goal of this study is demonstrate of stem cell role in heart disease management.Method & material: This paper is a Review article that researcher used of 40 references from IRAN, TILAND, AMERICAN, CHINA, KOREA, UNITED KINGDOM, AND IRLAND. This article after discus about history of stem cell, kind of stem cell, sources of stem cell and stem cell usage; demonstrate new methods in heart disease management. At the end; illustrate several clinical trials completely and conclude according to nursing role in this methods.Result: All research and clinical trial reveal that 4-6 month after stem cell replacement, left ventricular ejection fraction increased between 7-9 percent, end systolic volume decreased, circulation and angiogenesis enhanced in infarction area. More over all, in case control prospective research evidence usage of this method. Do not see any tumor and dangerous arrhythmia. Whatever was done main change in cure methods, but positive role and place of nursing in health and medical system revolution is more stable than before.

Purpose: The aim of this study is the effect of family - center empowerment model on the life style of the myocardial infarction patients.Materials & Methods: The present study was a clinical trial that fulfilled after cluster randomized sampling, each subject (seventy patients and seventy active member patient's family) were randomly assigned to experimental or control group. For experimental group, family - center empowerment model implement with four dimensional that including: Perceived threat (Severity & sensivity), Self - efficacy, Educational partnership and Evaluation; and for control group do usual care. The research tools involve the questionnaires of Demographic, Lifestyle and four empowerment dimensional.Results: The results of Fisher and Chi - square tests showed that from view demographic data there were no significant difference between two groups experimental and control (P>0.05). In lifestyle dimension, the upshots of independent t - test, signed and U - Mann Whitney tests revealed that before the intervention, both of two groups were equivalent (P>0.05), but after the intervention, except physical healthy mode (P>0.05), all of modes have deeply been significant difference (P<0.0001).Conclusions: The results of this study appear that family - center empowerment model for myocardial infarction patients is practically feasible, is associated with improvement and or lifestyle modification patients and his or her family.