Evidence Based Care
Volume:4 Issue: 1, 2014

Anxiety reduction in patients with myocardial infarction (MI) is essential due to severe complications. The current methods of treatments are primarily medical، while effective and safe treatments which accord with cultural and religious beliefs appear to have higher performance.

survey the effect of Quran on the anxiety of patients with MI admitted to CCU.

The present clinical-trial study was performed by randomized block design on 68 patients with MI which were assigned into two groups: experimental (33) and control (35). The experimental group listened to Quran twice daily for two days. Control group received no intervention. At baseline and in the end of each study، anxiety level of both groups was measured. Data were collected by reliable and valid Spielberger anxiety questionnaire and analyzed using chi-square، independent t-test، Repeated Measures and analysis of covariance.

Groups were significantly different regarding familiarity with quran (p=0. 003) and insurance status (p=0. 005)، whereas other background factors were similar between two groups. At baseline، the mean anxiety in both groups was not significantly different. In terms of anxiety، a statistical difference was observed between groups after intervention in all four occasions (first occasion: experimental 31. 9±7. 1، control 40. 8±13. 2، second occasion: experimental 29. 7±7. 3، control 40. 6±13. 5، third occasion: experimental 28. 8±6. 9، control 39. 5±13. 9، and forth occasion: experimental 28. 3±7. 5، control 38. 7±13. 9) (P<0. 05). In the experimental group، a statistically significant reduction was reported in level of anxiety over time (p=0. 000); whereas this reduction wasn not significant in control group.

The level of anxiety in paitents with myocardial infarction could be decresed by listening to Quran.

High-intensity interval training is a new training method that has been less explored in patients.

The purpose of this study was to compare the effect of eight weeks of interval training with continuous training on changes in HRR and lipid profile in cardiac patients post-coronary artery bypass graft.

In this clinical study، 30 cardiac patients of Tehran Heart Centerthat hadundergone CABG surgery were randomly divided into two groups، interval and continuous training. The protocols included 4rep × 4 min at 90-95% for interval group، and 60-80 minutes at 70-85% peak HR for continuous group. HRmax، HRR at 1، 2 and 3 min following Bruce test was assessed before and after the training program. The collected data were analyzed using SPSS software version 16 and ANOVA test (p<0. 05).

HRR at 1 & 2 minute was reduced more in both interval and continuous groups than that of before the training program (p<0. 05). The HHR reduction at 1&2 minutes was more significant in the interval group than the continuous group after exercise stress test (p<0. 05). The changes in HRR at 3 min in both groups were not significant compared to that of before the training program (p=0. 1).

Both high-intensity interval training and moderate-intensity continuous training improve HRR and lipid profile in cardiac patients after coronary artery bypass. Interval training is more effective on HHR reduction than continuous training.

The increasing need and demand for professional nurses and enhance the quality of professional services is a key issue that has led to professional practice in health systems. The aim of this study was to explore the standards of nursing professionalism based on facultie's points of view. Qualitative design in this study was content analysis with purposive sampling. Data were derived from 28 instructors of Bushehr University of Medical Sciences who had over 3 years of work experience and they desired to participate in the study. Data collection was conducted three FGD and 12 individual interviews. The data were analyzed based on steps of conventional content analysis. Data analysis resulted in development offour major themes and eight sub-themes. The main themes included promoting empowerment, ethics and professional commitment, resources and structure, and correction of social status. Sub-themes included individual abilities and professionalism, human values and professional ethics, educational and organizational structure and resources as well as internal and external factors. Attention to education and continuous evaluation of nursing skills and knowledge, position of nursing in health care system and social status of nursing have essential roles in the empowering and enhancing of nursing professionalism.

Pregnancy is a memorable event; but when unwanted، it causes harmful effects on families health specially mothers and their growing babies. This study aims to understand the causes of unwanted pregnancies. This qualitative study was conducted in the cities of Ahwaz and Behbahan. Using a purposeful sampling، data were collected from 27 women with direct or indirect experiences of unintended pregnancy. Participants were purposefully selected and sampling was continued until data saturation. Data were gathered through unstructured in-depth interviews. Analysis was done using thematic analysis method. For this purpose، interviews were recorded، transcribed word by word and analyzed concurrently using constant comparison analysis. Reliability and transferability were approved to ensure the rigor of the study. Three main themes were emerged from the data analyses، including: not being happy in their marriage، lack of readiness and perceived inability of having a baby، and the number and characteristics of previous children. The findings provide evidence for women`s experiences of the causes of unintended pregnancy، allowing researchers and policy makers to implement context-based interventions and approaches for vulnerable groups to promote their health. Therefore، qualitative research into men''s experiences of the unintended pregnancy of their wives is suggested.

Pressures arising from premature infant care specially hospitalized infant can affect infant''s quality of life and health by causing long term destructive effects on family''s psychological and physical health.

To investigate the effect of family participation on mother''s general health and length of hospitalization of premature neonate.

In this clinical trial 60 primiparous women and their premature infants hospitalized in neonatal intensive care units، were randomly allocated to family participation and control groups. In the experimental group، empowering family in order to particiapte in the infant fundamental care was implemented in the «teaching» and «indepededant practice» phases. Control group received routin care. Mother''s general health was measured using Goldberg General Health questionnaire. Data were analyzed by independent t-test and Mann Whitney test using SPSS version 11/5 was done.

There was a significant difference between experimental group (21/18±8/95) and control group (35/38±12/99) in terms of Mother''s General Health (p<0/01). There was no significant difference in average length of stay between two groups.

Family participation in caring of premature infants may increase mothers'' general health and can be suggested as a practical method for increasing mother''s general health.

Due to high prevalence of coronary artery disorders and increasing need for surgical interventions، especially angioplastic surgery، it is expected that the quality of life increases to an acceptable level with this surgery; although studies have shown an unremarkable development in this regard. To determine the effect of continuous care model on the post-angioplasty patient’s quality of life. This clinical trial study was performed in Bou Ali Sina hospital of Qazvin in 2012 on 93 candidates of angioplasty، which were divided into two groups entitled experiment and control with random allocations. Continuous care model was applied on the experiment group for period of two months. For data collection، demographic checklist and “MacNew quality of life” questionnaire in three stages were used. Data were analyzed with paired t-test، chi-square and repeated measure ANOVA. In the experiment group، the average score of the quality of life before the intervention was 126 ± 3. 1، while it was 132 ± 3. 05 after one month، and 147 ± 2. 6 after two months. The same scores for the control group were114 ±3. 7، 104 ± 3. 6 and 110 ± 3. 8، respectively. The average score in physical، emotional and social domains of the quality of life showed significant difference in the experience group (p<0. 001). The results confirmed the positive effect of applying continuous care model on the score of post-angioplasty patients’ quality of life.

Although intravenous injection is nowadays one of the common invasive procedures in medical care، but like any other procedure، it has a lot of side effects. Phlebitis is the most common complication and one of the therapeutic aims is to prevent it.

The aim of this study was to compair the effect of Clobetasol with Nitroglycerin ointment on the prevention of superficial IV Catheter induced phlebitis.

This clinical trial study was conducted on 144 patients admitted in men surgery ward in Arak Valiasr hospital in 1392. Patients were randomly allocated into three groups: Group A (Clobetasol)، Group B (NTG) and Group C (Control). Severity of phlebitis was measured using the standard visual rating scale. In intervention groups، after venipuncture، ointment were administered on the distal portion of IVcatheter and the area was dressed. The venipuncture area was assessed 24، 48 and 72 (hrs) after venipuncture. Data were analyzed by chi-square، Fisher''s exact and Kruskal-Wallis statistical tests and using spss19.

There was no significant difference among three groups in terms of severity of catheter induced phlebitis in the first and second measurements. In the third measurement there was a significant difference among intervention and control groups (P < 0/007) and the severity of catheter induced phlebitis was reduced more in NTG group comparing Clobetasol group.

The use of Nitroglycerin in prevention of superficial، IVcatheter induced phlebitis is more effective than Clobetasol. It is suggested that Nitroglycerin can be administered to prevent phlebitis in patients who need to have IVcatheter for a long time (over 48 hours).

Colonoscopy is a safe and routinely-performed diagnostic and screening procedure for different colorectal diseases. The diagnostic and screening colonoscopy for is different for colon diseases. In order for colonoscopy، colon cleansing is required to prepare a detailed view into the intestinal lumen. This is a case report study of a patient with multiple pyogenic liver abscesses following colonoscopy (unprep). After studying hospital records of patient in GI section of Imam Reza Hospital and searching the websites، pubmed، Scopus، and Medline، we found no earlier reports of liver abscess after colonoscopy. A diabetic patient suffered from fever، abdominal pain and drowsiness following unprepared full colonoscopy with biopsy. In laboratory tests leukocytosis with a shift to left and coagulopathy were reported. CT scan showed multiple pyogenic liver abscesses. The patient received broad-spectrum intravenous antibiotics and hydration، but after 96 hours، the patient did not respond to supportive treatment and died due to septic shock. Methicillin-resistant staphylococcus aureus was reported in blood culture. Although colonoscopy is a convenient and relatively safe diagnostic procedure، doctors should always consider rare complications of colonoscopy، especially in patients with risk factors such as diabetes mellitus، immunodeficiency and malignancies of the liver and liver transplantation. In addition، complete colonoscopy and other diagnostic procedures such as biopsy or polypectomy in patients with inadequate bowel preparation for colonoscopy should be avoided.