مقالات رزومه دکتر محمدرضا حیدری

Patients undergoing hemodialysis face various complications such as constipation, which affects their quality of life. This study was conducted with the aim of determining the effect of Cassia Fistula syrup on the quality of life of constipated patients undergoing hemodialysis.

The present study is a three-blind clinical trial that was conducted between July 2021 and April 2022 on hemodialysis patients in four hospitals affiliated with the Shahrekord University of Medical Sciences. In this clinical trial, 70 constipated patients undergoing hemodialysis were selected by the available method and after random allocation into two drug and placebo groups. For 30 days, the drug group received 10% Folus syrup (each 1 ml contains one-tenth of a gram of dried Folus fruit pulp) in the amount of 10 ml twice a day, and the placebo group received the same amount of placebo syrup. At the beginning of the study, demographic and clinical questionnaires were completed for all patients. Before and 30 days after the intervention, the quality-of-life questionnaire in patients with constipation was completed by the patients. Data analysis was done by SPSS version 22 software. A significance level of 0.05 was considered.

Before and after the intervention, the two groups were similar in terms of demographic variables. The results of the covariance test showed that according to the significance level of 0.05 and the non-significance of the P- value, in the total score of the quality of life questionnaire for patients with constipation (P = 0.251) in both drug and placebo groups means that the outcome variable (post-test) in the two groups, there was no statistically significant difference, The intervention did not affect the quality of life of the patients with constipation, and in other words, the placebo and drug groups had similar effects.

The use of Cassia Fistula syrup has not affected the quality of life of hemodialysis patients.

Knee osteoarthritis (KO) is one of the most common causes of pain, reduced function and disability in the elderly. Exercise is one of the methods suggested to manage the pain caused by KO. This study aims to determine the effectiveness of a home workout program on reducing  pain in the elderly with KO.

In this randomized controlled clinical trial conducted in March 2021 for three months, 70 older adults with KO were selected using a convenience sampling method and randomly assigned to exercise and control groups. The workout program was first implemented twice a day for 4 weeks in the clinic as a trial. Then, it was performed twice a day at home for another 4 weeks. Before and after the exercise, the patients were evaluated by the pain subscale of the Knee Injury and Osteoarthritis Outcome Score (KOOS). The collected data were analyzed in SPSS software, version 18 using independent t, paired t test, chi-square test, and Fisher’s exact test. The significance level was set at 0.05.

There was no statistically significant difference between the two groups in terms of demographic and clinical variables and in the mean pain score before the intervention (P=0.587). After the intervention, a significant reduction in pain intensity was reported in the exercise group (P= 0.009).

The home workout program is effective in reducing the pain of the elderly with KO. It is recommended to use it as a simple and cost-effective intervention to rehabilitate patients with KO along with other treatment methods.

Occupational stress reduces the efficiency, productivity and quality of work and affects the body, mind, behavior and job performance of a person. Having time management skills helps to prevent and control the consequences of occupational stress. This study aimed to determine the relationship between time management and occupational stress of critical care nurses.

This is a cross sectional study that was conducted on 350 nurses working in adult critical care units (CCU and ICU) of teaching hospitals in Tehran, 2022. Nurses were selected by multistage cluster sampling. The research data collection tool included the Condensed Nurses' Occupational Stress Scale (NOSS) and time management questionnaire.

In this study, 55.7% of nurses were women, and bachelor's education was the most frequent with 75.7%. In addition, 38% were between 30 and 39 years old and 58% were married. Time management of 45.4% of nurses was at a favorable level and 9.4% was at a very favorable level. None of the nurses had unfavorable time management. The mean and standard deviation of time management (based on 0 to 100) of nurses was 56.41 ± 19.67. The mean and standard deviation of occupational stress of nurses was 51.39 ± 10.77. Time management and its dimensions had a statistically significant negative correlation with occupational stress and its dimensions, that is, with increasing time management, occupational stress decreases (r = 0.638, p<001). The results of linear regression analysis showed that time management (adjustment of responsibilities and norms, management of requests and management of emotions) can explain 51% of nurses' occupational stress (p<0.05)

According to findings, the majority of nurses had good time management, and with increasing time management, job stress decreased.

Patients undergoing hemodialysis have various digestive problems such as constipation, which affects their quality of life. This study was conducted with the aim of determining the relationship between the severity of constipation and the quality of life of hemodialysis patients in Chaharmahal and Bakhtiari province.

This cross-sectional study was conducted on 200 hemodialysis patients as a census in four teaching hospitals affiliated to Shahrekord University of Medical Sciences in 2021. The research tools included the demographic and clinical characteristics form and laboratory variables, the Patient Assessment of Constipation Quality of Life (PAC-QOL) and the Constipation Assessment Scale (CAS).

The mean total quality of life of the patients was 38.93±31.213. The relationship between the four subscales of quality of life and the severity of constipation revealed that there is a statistically significant correlation between the quality of life and its subscales with the severity of constipation (p<0.001). There was also a statistically significant relationship between the quality of life and the variable of education and employment status (p<0.001). In addition, there was a statistically significant relationship between the subscale of concern and worry with weight (p=0.028) and between the subscale of satisfaction with hematocrit (p=0.043).

Based on the results of the present study, there is a significant relationship between the quality of life and the severity of constipation and the variables of education and employment status. Also, a significant relationship was observed between the subscale of concern and worry with weight and between the subscales of satisfaction with hematocrit.

Knee osteoarthritis is associated with problems such as poor sleep quality. Finding effective, low-complication, and cost-effective measures to improve the sleep quality of these patients seems necessary. The aim of this study was to determine a regular exercise program at home to improve the sleep quality of the elderly with osteoarthritis of the knee.

In this clinical trial study, 72 elderly patients referred to the orthopedic clinic of Allameh Bohlool Gonabadi Hospital in Gonabad were selected by convenience sampling and assigned into the intervention and control groups by block randomization method. The intervention group underwent an exercise program at home for one month after a face-to-face training course. The Pittsburgh Sleep Quality Index was completed by both groups before and 4 weeks after the intervention. In order to observe the ethical points for the control group, at the end of the study, the necessary trainings were given along with the pamphlet. Data were analyzed using SPSS software version 18 and descriptive and analytical statistical methods.

Before the intervention, all demographic variables were not statistically significant in the experimental and control groups. After the intervention, there was a significant difference between the two groups (total sleep quality score and other sleep quality subscales), except for two subscales of mental sleep quality and sleep disturbances (p <0.05).

The present study showed that doing exercise at home improves the sleep quality of the elderly with osteoarthritis of the knee.

Most critically ill patients admitted to intensive care units need to be transferred to perform diagnostic and therapeutic procedures. This transfer can be associated with adverse events such as disorders of various cardiovascular systems, respiration and nerves. The purpose of this study was to determine the incidence of adverse events related to physiological changes during transfer from Intensive Care Units (ICU) in Jahrom Pimanyani Hospital, Jahrom, Iran.

In this descriptive cross-sectional study, data on patient transfers from the ICU of a university hospital were collected from 9 February 2019 to 10 August 2019. Descriptive and analytical statistics indices were analyzed by SPSS software 22.

Out of 588 cases of transfer, 536 patients (91.2%) had adverse events. Actually, 351 (65.5%) of the adverse events were related to physiological changes in the body. The most common adverse events in cardiovascular, respiratory, gastrointestinal, and endocrine systems included an increase of heart rate(≥ 20)  by 15.9%, a 5% decrease in SPO2 for more than one minute by 32.5%, agitation by 15.1%; vomiting by 15.1% and hypoglycemia by 0.2%.  The most common adverse event was increased pain by 11.4%. The results of chi-square test showed that there was a significant relationship between gender and the incidence of adverse events (p-value = 0.035).

The results showed that the incidence of adverse events during the transfer is high, which can be due to lack of equipment needed during the transfer, illness of patients and also human errors due to inadequate training of the transfer team. It is recommended to help reduce the incidence of adverse events by standardizing the equipment needed during the transfer as well as giving necessary training to the transfer team. The existence of numerous and serious physiological deficiencies of patients in need of special care is indicative of numerous managerial and organizational problems that are in conflict with the safety of patients at risk.

Transfer of critically ill patients admitted to intensive care units mainly for the purpose of performing diagnostic and therapeutic procedures can be associated with adverse events. The purpose of this study was to determine the relationship between the incidence of adverse events and its associated risk factors during the transfer of ICU Patients.

 In this descriptive cross-sectional study, patient data were collected through a checklist of adverse events over a 6-month period. The data were analyzed by descriptive and analytical statistics using SPSS software (version 22).
 Results

 536 patients (91.2%) had adverse events. The incidence of patient-related, staff-related, and equipment-related adverse events was 65.5%, 73.3%, and 7.8%, respectively. The incidence of adverse events was higher in men than women (P= 0.035). The incidence of adverse events in stroke transfer (51.9%) was significantly higher than other methods (P<0.001). Incidence of adverse events in ICU was significantly higher than CCU (P= 0.001). There was a statistically significant correlation between the occurrence of adverse events and the presence of equipment such as oxygen cylinder (P<0.001), cardiac monitor (P=0.047), portable ventilator (P=0.004), pulse oximeter (P<0.001) and bedside railing (P<0.001).

 The results showed that the incidence of adverse events was high. Organizations must identify and actively address risks during the transition. The use of checklists and communication tools related to data transfer can improve the quality and safety of transfer.

Cardiac intensive care unit patients are at risk for mental disorders such as anxiety and depression. This study aimed to evaluate the effect of lavender aromatherapy on anxiety and depression in patients with acute coronary syndrome admitted to the cardiac intensive care units. Subjects and

This randomized clinical trial was conducted on patients with acute coronary syndrome admitted to the cardiac intensive care of Namazi Hospital in Shiraz in 2014. A total of 110 patients were randomly assigned to either the Aroma or the placebo group. Before and after the intervention, the anxiety and depression levels of the patients were measured. Data analyzed by descriptive and inferential statistics using SPSS version 16.

Patients receiving the aroma showed a significant reduction in depression (P-value = 0.01) and anxiety (P-value = 0.099) compared to placebo group. Also, the effect of size on depression and anxiety was 0.52 and 0.54 respectively, which indicates a high amount of effect.

Based on the findings, aromatherapy with lavender can reduce anxiety and depression in patients with acute coronary syndrome.

Pain is a common complication after heart surgery that can cause problems for the patient. This study aimed to investigate the effect of Holy Quran voice on pain and hemodynamic indices after cardiac surgery.

Subjects and Methods:

This single-blind randomized clinical trial was performed on heart surgery patients admitted to Golestan Hospital in Ahvaz in 2018. In the intervention group, after extubation, two times each day, for ten minutes, the voice of the Quran was broadcast. For the control group, the usual care was continued. Data collection tools consisted of demographic and clinical and visual analog scale (VAS) as well as hemodynamic indices including systolic blood pressure, diastolic blood pressure, and heart rate. Data were analyzed by SPSS software version 22 using Chi-square, independent t-test and repeated ANOVA test.

There was no significant difference between qualitative and quantitative variables between the two groups, so the two groups were similar. Repeated ANOVA test showed that the use of Holy Quran voice was effective in reducing the pain intensity of patients (P <0.001). Also, the results showed the positive effect of Holy Quran voice on systolic blood pressure (P <0.001) and no significant effect on diastolic pressure and heart rate.

The results of the study showed that the Holy Quran voice is effective in reducing pain and systolic blood pressure in patients after open-heart surgery. Therefore, this method can be used as non-invasive nursing care.

Anxiety and depression are common complications after heart surgery. This study aimed to determine the effect of Holy Quran Voice on anxiety and depression after cardiac surgery.

This randomized single-blind randomized clinical trial was performed on 108 open heart surgery patients admitted to Golestan Medical Center of Ahwaz in 2018 using randomized block sampling. In the intervention group, after extubation and gaining alertness, 2 times each day, for ten minutes, the Quran was broadcast. For the control group, the usual care was continued. Data were collected by demographic and clinical data and Hospital Anxiety and Depression Scale (HADS). Data were analyzed using SPSS V22 software using Chi-square, independent t-test, and Mann-Whitney test.

Comparison of changes in anxiety and depression scores in the two groups showed that the mean of anxiety reduction after intervention in the control group was 44.4 ± 2.06 and in the control group was 7.39 ± 2.22. According to the Mann-Whitney test, there was a significant difference between the means of anxiety in the two groups (P = 0.01). Also, the study of changes in depression level by Mann-Whitney test showed that there was no significant difference in the level of depression between the two groups (P = 0.421).

The results of the study showed the positive effects of music on reducing the anxiety of patients after open-heart surgery. Therefore, this method can be used as a cheap and non-invasive nursing care.

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.

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.

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).

According to the findings of this study, the use of the Holy Quran voice increased the quality of sleep after cardiac surgery.

Melissa officinalis is widely used to reduce anxiety. The purpose of this study was to evaluate the efficacy and safety of Melissa officinalis on anxiety using existing evidences.

Persian and English clinical trials were searched in international and Persian databases in December 2018. Extraction of data was done independently by two reviewers. The quality of the studies was observed using the Jadad scale.

A review of clinical trials performed on 395 participants showed that oral medicinal herbs in different patients have positive anti-anxiety effects.

There is enough supporting evidence for using Melissa officinalis to reduce anxiety.

Since cultural care is not included in nurses’ retraining and continuing education، clinical nurses should deal with the cultural needs of patients according to their own personal experiences. While measures to implement cultural interventions are unknown، the recognition of cultural factors influencing cultural care education is necessary to increase nurses'' ability to provide efficient care. The purpose of this study was to explore the context of the cultural care education in Iran.

Using a qualitative study، 23 clinical nurses with the experience of working in practice، were selected using purposive sampling. Semi-structured were held for data gathering. A content analysis approach was used to analyze the collected data.

During the data analysis the following themes were developed: “inadequate academic training”، and “inadequate retraining”.

It was believed that in course planning، how to provide care to patients with different cultures، was a hidden part of the bachelor’s degree nursing program. Nurses learnt how to communicate with others based on their own experiences and mostly in the workplace.