فصلنامه پرستاری قلب و عروق
سال پنجم شماره 2 (پیاپی 18، تابستان 1395)

Aim. This study aimed to determine the relationship of spiritual experiences with the life expectancy and death anxiety in patients undergoing coronary artery bypass grafting (CABG).
Background. The patients undergoing CABG experience a critical situation that requires taking into account such factors as life expectancy, spiritual experience, and death anxiety. During taking care of these patients, nurses must consider these experiences and their relationship.
Method. In this descriptive-analytic study, 150 patients undergoing coronary artery bypass surgery in hospitals located in Kerman city, Iran, were recruited within an 8 months period in 2015. Data were collected using a questionnaire including demographic data, Templer Death Anxiety Scale, Adult Hope Scale and the Scale of Daily Spiritual Experiences (DSES). Data were analyzed in SPSS version 20 using Pearson correlation test, Independent T-test, ANOVA and multiple linear regression.
Findings. There was a statistically significant negative correlation of daily spiritual experiences with death anxiety (p=0.004) and death anxiety with life expectancy (p≤0.0001). There was also a statistically significant positive correlation between spiritual experiences and life expectancy (p≤0.0001). Multiple linear regression analysis showed that age and life expectancy predicted 61 percent of changes related to spiritual experiences.
Conclusion. The findings suggest that paying attention to spiritual experiences of patients may increase life expectancy and reduce the death anxiety. It is suggested to include supporting, facilitating and attending to the spiritual needs of patients in nursing care plans for these patients.

Aim. The aim of this study was to investigate the sexual satisfaction in patients with acute coronary syndrome.
Background. Sexual relationship is a multidimensional phenomenon which is affected by many psychological, individual and social factors. Satisfaction of sexual relationship leads to the strength of the family.
Method. In this descriptive-analytical cross-sectional study, 254 patients with acute coronary syndrome admitted to the coronary angiography ward in Shahid Beheshti hospital in Kashan, Iran, were recruited by convenience sampling in 2014. Data collection was done using the demographic and clinical data questionnaire and Larson's sexual satisfaction questionnaire. Data were analyzed in SPSS version 13 using descriptive and inferential statistics.
Findings. The mean score of sexual satisfaction was 101.7±15.3. The mean score of sexual satisfaction for men and women were 104.53±9.8, and 98.94±18.9, respectively (P=0.04). The results of linear regression showed that the relationship between sexual satisfaction and gender by taking other confounding variables was statistically significant (P=0.026). A history of diabetes (p=0.048), smoking (p=0.001) and hypertension (p=0.001) were affecting this relationship.
Conclusion. The level of sexual satisfaction in patients with acute coronary syndrome was high. The satisfaction in men were more than women. Also, a history of diabetes, hypertension and smoking in patients with acute coronary syndrome affected sexual satisfaction. Nurses should consider sexual needs of female patients with acute coronary syndrome, and also, that of acute coronary syndrome patient with a history of diabetes, hypertension and smoking.

Aim. The present study aimed to examine Critical care nurses’ participation in clinical decision making with physicians.
Background. Regarding to the extent of the responsibilities and scope of nursing science and the need for making accurate and sensitive decisions, nurses should be able to judge on clinical solemn occasions and make decisions to save the patient’s life in complex situations.
Method. In this cross-sectional study, 110 critical care nurses working in intensive care units of health care centers in Rasht, Iran, were recruited using census sampling method. The data were collected using the questionnaire “participation in clinical decision making” (PDAQ) and demographic form. Data were analyzed in SPSS using descriptive and inferential statistics.
Findings. The results showed that the majority of critical care nurses were being participated in clinical decisionmaking.
Conclusion. Work experience, marital status, desire to continue work in intensive care unit, and managerial role contributed to greater participation of critical care nurses in clinical decision making with physicians.

Aim. The aim of this study was to examine the effect of music therapy on ventilation criteria in mechanically ventilated patients in the intensive care unit.
Background. Complications made by mechanical ventilation are so much and considerable. Improvement of ventilation criteria is one of the factors that facilitatesweaning from mechanical ventilation.
Method. This randomized controlled trial was conducted in intensive care units of a teaching hospital affiliated to Iran University of Medical Sciences¡ Tehran¡ Iran. Seventy patients were recruited based on inclusion criteria and randomly allocated to experimental (n=35) and control (n=35) groups. For experimental group¡ relaxing music therapy was played with headphone for 30 minutes¡ once in the morning and once in the afternoon for one day. For control group¡ headphone was used without music for 30 minutes¡ once in the morning and once in the afternoon for one day. In both groups¡ ventilation criteria of respiratory rate¡ peak airway pressure and arterial saturation of oxygen (SaO2) were recorded in four intervals. Data analysis was performed in SPSS version 18 using statistical test.
Findings. Comparing of trends of ventilation criteria in experimental group showed that music therapy significantly reduced the mean respiratory rate (p= 0.0001)¡ while in the control group¡ the mean respiratory rate slightly increased with time. In experimental group¡ the mean airway pressure reduced significantly within 30 minutes (17.30±3.65) compared with the time zero (19.68±3.64) (p=0.001). In the control group¡ the mean airway pressure increased slightly. The amount of spo2 did not differ significantly between experimental and control group (P=0.051).
Conclusion. Implementing music therapy in mechanically ventilated patients admitted to intensive care unit can reduce respiratory rate and maximum airway pressure. These could reduce the work of breathing and facilitate weaning the patient from ventilators.

Aim. This study was conducted with the aim of determining the effect of peer education on quality of life in people with heart failure.
Background. Heart failure is one of the most common chronic diseases and is associated with decreased quality of the patient's life. Considering the positive role of education in improving the quality of life, it is important to find a suitable learning method to improve the quality of life of these patients.
Method. In this quasi-experimental study, 60 heart failure patients were selected using convenience sampling method during 2016. Four peer to peer training sessions were conducted during one month. A Persian translation of the Ferrans and Powers’ quality of life questionnaire was used for evaluating the quality of life of the patients, before and one month after the intervention. Descriptive and inferential statistics were used to analyze the data.
Findings. The mean score of the quality of life in heart failure patients was 134.5±2.4 before the intervention and 163.2±8.7, one month after intervention. Paired t-test showed that peer education had a statistically significant effect on quality of life in people with heart failure patients (P≤00001).
Conclusion. Peer education can improve and enhance the quality of life of heart failure patients.

Aim. The aim of this study was to examine the effect of early mobilization on hemodynamic parameters in patients undergoing coronary artery bypass graft (CABG) surgery.
Background. CABG is one of the most common surgeries that can increase quality of life and reduce mortality in most cases. It seems that early mobilization of patients from bed may reduce complications after surgery. The most important concern regarding early mobilization is the possible effect on hemodynamic parameters based on which this important intervention is neglected.
Method. In a clinical trial with 100 patients who were candidate for CABG. The patients were randomly assigned to experimental and control group. The experimental group were mobilized from bed in the first, second and third day after surgery. The control group received the hospital routine treatments and mobilization was done in the third day after the operation. The effect of early mobilization on hemodynamic parameters were compare between the groups. Other treatment programs were the same for both group. Data were analyzed in SPSS version 18 and using independent t-test, Chi-square and ANOVA statistical testes.
Findings. There was no statistically significant difference between groups regarding demographic variables and underlying diseases. In the experimental group, blood pressure was higher in the second and third days compared with that control group. Chest tube drainage on the third day were 495±241 ml for experimental group and 556±285 ml for the control group, and no statistically significant difference was found between the groups in terms of chest tube drainage. None of the patients showed any complication during the mobilization.
Conclusion. The experimental group experienced a minimal increase in blood pressure, but it was not clinically significant. The results of this study indicate that early mobilization from bed in patients undergoing coronary artery bypass graft is a safe and applicable intervention, and don’t increase bleeding and acute hemodynamic changes.

Aim. This article reviews the effects of Hirudo Medicinalis in coagulopathies and cardiovascular diseases.
Background. Hirudo Medicinalis is one of the conventional treatment methods in folk medicine in many countries of the world and is today paid more attention to. The use of this therapy is increasing considerably but no much effort has been done to explain about the effectiveness and mechanisms of action.
Method. In this review, databases and search engines such as PubMed, Google Scholar and SID were searched out for literature published between 1989 and 2016, using the English keywords "Hirudo medicinalis/Leech therapy, mechanism of action, cardiovascular disease, homeostasis, and anticoagulant, and their Persian equivalents, individually or in combination. In addition, Persian available books available were used.
Findings. Hirudo Medicinalis is used in the treatment of arterial hypertension, angina and myocardial infarction and has anticoagulant effects. The literature emphasizes on the role of nurses in the care of patients under this treatment.
Conclusion. According to studies, it seems that Hirudo Medicinalis can be used as a complementary medicine technique in the treatment and research of cardiovascular and coagulation disorders Normal 0 false false false EN-US X-NONE AR-SA

Aim. The aim of this study was to review studies about advantages and disadvantages of transradial and transfemoral coronary angiography. Transradial coronary angiography procedure is newer than transfemoral approach and inadequate knowledge and experience in this area needs to be considered for minimizing possible complications.
Background. An increasing trend of cardiovascular diseases is of great importance. Although any different methods have been suggested for diagnosing coronary artery diseases, but coronary angiography remains as the best diagnostic and therapeutic method. Transradial and transfemoral coronary angiography as two approaches for diagnosing coronary artery diaseses have their own advantages and disadvantages.
Method. In this review study, various databases such as Google Scholar, PubMed, AHA journal and Elsevier were searched out by Persian and English forms of the keywords “Transradial coronary angiography”, “Transfemoral coronary angiography”, “Nursing care in coronary angiography” and “complications of coronary angiography”.
Findings. The findings are presented as follows: Comparison of the advantages and disadvantages of both radial and femoral approach, nursing care in radial angiography procedures and comparing patients’ satisfaction of experiencing radial or femoral angiography.
Conclusion. If the preparation and care before, during and after coronary angiography is properly settled and there is trained staff and physicians, it is suggested to use transradial approach for coronary angiography because of its fewer side effects and greater convenience the patients have with.