Journal of Critical Care Nursing
Year:2019 | Volume:12 | Issue:2|Papers Count:7

The process of patient admission to Intensive Care Unit is a potentially stressful reality and event; a situation in which pain and physical disorders induced by illness are associated with secondary emotional fluctuations in fear of diagnostic-therapeutic measures, sleep deprivation, and inactivity [1]. On the other hand, the patient's separation from his/her relatives, which occurs at the time of admission to the ICU, exacerbates his or her pain. For this reason, experts believe that in addition to receiving care from the treatment team, ICU patient needs the reassurance, comfort and support that only family and relatives can provide [2]. Accordingly, patients are not considered just as patients, but also as cares and partners of the treatment team, especially at the time of decision making. Therefore, the shift towards a family-centered care reflects the change in the nature of traditional roles and as one of the crucial components in enhancing quality of care and optimizing outcomes of the ICU. . .

Background and aim: Many patients have trouble sleeping after heart surgeries. The aim of this study was to investigate the effect of the Holy Quran Voice on improving the quality of patients' sleep after cardiac surgery. Methods: This randomized clinical trial was conducted from December to March 2012 on 108 patients undergoing elective open heart surgery in the Golestan Hospital of Ahvaz. The data collection tools included demographic data, clinical variables and the Richard Campbell Sleep Questionnaire. In the intervention group, the sound of the Holy Quran was broadcasted twice a day each lasting for 10 minutes. The sleep quality was assessed every day. Results: Due to the lack of sphericity, the Greenhouse-Geisser correction showed that the use of the Holy Quran voice was effective on the sleep quality of the patients (F = 12. 451 and P <0. 001). Conclusion: According to the findings of this study, the use of the Holy Quran voice increased the quality of sleep after cardiac surgery.

Background and aim: Ventilator-associated pneumonia (VAP) is a common and very serious problem which its early diagnosis and treatment can save the lives of patients. The purpose of the present study was to determine the gold standard for the diagnosis of VAP in centers without the possibility of conducting bronchoscopy. Methods: In this cross-sectional study, 85 patients hospitalized in the Intensive Care Unit (ICU) of Besat Hospital in Hamadan whom met the inclusion criteria were recruited. The sensitivity and specificity of components and the two criteria of the Clinical Pulmonary Infection Score (CPIS) (pulmonary infiltration, body temperature, white blood cell count, tracheal and blood cultures, and arterial partial fraction of oxygen) and the Serum Procalcitonin Level (SPCL) higher than 0. 5ng/ml were calculated as the gold standard. Results: According to the findings of this study, 72. 94% of the patients were male with an age average of 46. 94 ± 18. 91 years. The frequency of VAP diagnosis was 75. 3% by using CPIS, and 56. 47% by using SPCL. Considering the combination of the two mentioned criteria as the golden standard, the sensitivity and specificity of the CPIS criteria in the diagnosis of VAP was 97. 7% and 95. 1%, respectively. The Youden test index was calculated to be 0. 889. Conclusion: To conclude, findings reveal that the introduced golden standard in this study is a reliable method for the diagnosis of VAP in centers without the possibility of performing bronchoscopy.

Background and aim: Professional self-concept is an individual’ s perception of self as a professional person which affects his/her thinking, role development and professional functions. Among various professions, some need higher levels of selfconcept. The nursing profession has been considered to have a special status in this regard. Therefore, the present study was conducted to determine professional self-concept in nurses working in the Intensive Care Units (ICU) in the selected university hospitals of Tehran in 2018-19. Methods: This study was a descriptive-analytical study which was performed on 540 nurses working in the ICU of selected university hospitals in Tehran. Sampling was done randomly. The instruments used in this study included the Demographic Information Questionnaire and the Quinn Professional Self-concept Questionnaire. Results: The mean score of professional self-concept was 218/36± 29/91. The highest and the lowest scores were respectively related to the dimensions of knowledge and leadership with the mean of 43/22± 4/76 and 17/23± 5/93. Pearson's correlation coefficient between all dimensions of professional self-concept was calculated. The significance level for all dimensions was 0. 001. As a result, a significant relationship exists between these dimensions. Conclusion: Although the ICU nurses gained relatively high scores in professional self-concept, especially in the knowledge dimension, however it was far from ideal. Also, these nurses gained the lowest scores in the leadership dimension which reveals the weakness of nurses in this context. To conclude, it seems more than necessary to train nurses in this field in order to increase their professional self-concept.

Background and aim: Ethics is an inseparable part of nursing duties body and one of the most important factors influencing human behavior. In fact, ethics can be considered as one of the main factors in promoting respect of patient' rights. Purpose: The purpose of this study was to investigate the ethical intelligence of nurses working in general and intensive care units in Tehran's selected military hospital. Methods: This descriptive-analytical study was performed from July until November 2018. The study was conducted on 120 out of 1, 200 nurses working in the hospital who were selected based on the Morgan sample size table and allocated to the general and intensive care units, 40 of which were in the intensive care unit and 80 in the internal and surgical units. Ethical intelligence of the samples was measured using the Lenik and Kiel moral intelligence questionnaire and then analyzed using SPSS 20 software. Results: The inclusion criteria were at least one year of job experience, at least a bachelor's degree in nursing and aged 22 to 50 years. The samples consisted of 56 females and 64 males, of which 107 were married and 13 single, 12 had a master's degree and 108 bachelor's degree. The mean and standard deviation of nurses' moral intelligence was 75. 25 (SD=8. 47) and in general wards was 73. 26 (SD=9. 87) and in intensive care unit nurses was 77. 25 (SD=7. 07). The highest level among the four criteria of nurses' moral intelligence was honesty in the general and intensive care units with a mean of 79. 62 (SD=11. 22) which in the general unit 79. 00 (SD=10. 32) and in intensive care unit 80. 25 (SD=12. 12). The results showed that 77. 5% of nurses were in good and higher level of moral intelligence. Conclusion: The results indicate the importance and place of ethical teaching in nursing. The nurse's attitude towards the patient, herself and her job can promote this profession. Therefore, today acquiring ethical knowledge and the ability to cultivate nurses' moral intelligence is one of the essentials in this profession. It is recommended to provide appropriate ethics training for nurses in the form of in-service courses. due to the difference in the nurses moral intelligence in the general and intensive care units, which indicates hospital managers pay more attention to the intensive care units, so managers need to have the same sensitivity and attention to general units as to intensive care units.

Background and Aim: Diagnostic methods, including coronary angiography, are a stressful experience for patients undergoing angiography that can cause anxiety in these patients. Educating and raising patients' awareness is one of these methods. The aim of this study was to evaluate the effectiveness of mobile-based education on anxiety of patients undergoing coronary angiography. Methods: study was performed in Golestan teaching hospital in Ahwaz in 2018. One type of clinical trial was easy with non-probability sampling. 94 patients who were candidates for coronary angiography were divided into two groups of intervention and control using a 4-block design. In addition to demographic information, the patients in the control group received the training content via mobile software and the patients in the treatment group received routine hospital education Spielberger state-trait anxiety inventory was completed by the researcher in both groups. The data were then analyzed using SPSS software. Results: According to the results of analysis of variance with repeated measures of time interaction effect and independent t-test, the two groups had no significant difference in the level of anxiety before the intervention and were almost the same. After intervention in the control group, the mean score increased in each phase, but in the experimental group the mean score of anxiety decreased in each phase. Conclusion: The use of mobile-based teaching method was effective in reducing anxiety in patients undergoing coronary angiography.

Background and aim: any change in health situation will affect the role of the nurse. Since the adherence to treatment in hemodialysis patients plays a significant role and Failure to comply with it may have dangerous side effects and even death, so nurse as one of the pillars of treatment can reduce such Complications with his/her educational role in hemodialysis patients. This study aimed to assess the effect of utilization of Continuous care model on adherence to treatment. Methods: This study is a clinical trial with a purposive ambling technique, After selection according to inclusion criteria, 98 hemodialysis patients from baqiatolah and chamran hospital were Randomly divided into two experimental and control group, three months of continuous care intervention on the experimental group was conducted And by the end of each month adherence to treatment status of patients in both groups was evaluated and compared with the Kim exclusive questionnaire of adherence to treatment. Result: adherence to treatment trend of changein the intervention group was increase inguinal three stages of evaluation which this difference was statistically significant (P=0/0001). Conclusions: Due to the significant increase in adherence to treatment after applying continuous care model, teaching the self-care skills to this group of patients and also other chronic diseases is recommended.