فصلنامه آنستزیولوژی و مراقبتهای ویژه ایران
سال چهل و چهارم شماره 4 (پیاپی 116، زمستان 1400)

he aim of this study was to investigate the effect of coping therapy on the regulation of cortisol in women with stress in interpersonal relationships. The research method was semi-experimental with pre-test, post-test, and follow-up design. The statistical population included women with stress in interpersonal relationships and having adolescent children studying in District 2 of Qom. For this purpose, 100 of these individuals answered the Maccabin Life Stress Questionnaire, by available sampling. Among these people, 34 people who showed the highest level of stress were selected and randomly assigned to two groups of 17 people. Cortisol levels in both groups were taken in three stages by venous blood sample after 12 hours of fasting, from 7:45 to 8 am, and evaluated by Momobind kit with ELISA method. Inclusion criteria was age of 25 to 50 years and marriage status; Exclusion criteria was education less than tenth grade or more than diploma, no history of physical and mental illnesses that interfere with research, corticosteroids, diseases such as lupus, heart disease, etc. The experimental group was exposed to 14 sessions of coping therapy and the experimental group was exposed to 14 sessions of neutral intervention in the field of medical education and health. The results were extracted by MANCOVA statistical method by SPSS-26 and showed that therapeutic response reduced cortisol. As a result, this treatment can be used to regulate the cortisol hormone in women exposed to stress.

Due to the prevalence of Covid-19 in the world, as well as the deterioration of the patient's condition, increased damping and hospitalization in the intensive care unit, patient and companion satisfaction with the services provided becomes more important. Therefore, the present study was conducted to determine the family satisfaction of patients with Covid-19 hospitalized in the intensive care units of Razi Hospital in Ahvaz in 1401.

This study was a descriptive-analytical study. The study population included all family members of patients with Covid-19 admitted to the intensive care unit of Razi Hospital in Ahvaz who were included in the census by 100 people. In order to collect data, a standard questionnaire of family satisfaction of patients admitted to Highland Intensive Care Unit was used. The data of the questionnaires collected by SPSS software version 22 were analyzed at a significance level of less than 0.05.

Patients' family satisfaction was 79.74 ±13.26 and above average. The mean scores in the two areas of satisfaction including care measures and meeting information needs and participation in the decision-making process were 48.99 ±4.94 and 30.75 ± 5.08, respectively. There was a significant difference between the scope of life-based care measures with the patient (P<0.05). But there was no significant difference between the scope of meeting information needs and participation in the decision-making process based on life with the patient (P>0.05). Satisfaction was higher in companions who did not live with the patient and statistically, total satisfaction based on life with the patient showed a significant difference (P<0.05).

The level of satisfaction of the patient's family and the patient admitted to the intensive care unit requires more attention of health care providers to their needs.

The economic issues and problems associated with the health sector have always been the focus of attention in terms of the significant share they make of the GDP. Intensive care units, and especially ICUs, are among the most expensive in the hospital sector, and nurses, as the most important person involved in the use of resources in these units, play a key role in cost control and effectiveness of care. The purpose of this study was to determine the knowledge, attitude and performance of ICU nurses in relation to health economics. Materials &

After determining the population, the sample size was determined using Morgan table then ICU nurses randomly selected from different hospitals and shifts. Data were collected using a questionnaire validated by Heydari et al. In 2015. The researcher manually delivered the questionnaires to the nurses in different shifts and collected those 48 hours later. The coded data were then entered into the statistical software (SPSS, version 25) and analyzed with descriptive and analytical statistics.

Attitudes toward health economics were optimal among ICU nurses (85%), but nurses' awareness and performance were suboptimal (65% and 62%, respectively). Average awareness score in the field of health economics was 4.57± 2.16 (range: 0-16), Average attitude score was 55± 6.90 (range: 0-72) and Average performance score was 27.35± 7.21 (range: 0-44).

ICU nurses have a good attitude towards health economics, but their level of awareness and performance in this field should be improved. Due to the low level of awareness and performance of ICU nurses in the field of health economics, it is recommended to hold in-service classes and workshops in this field.

Since kinesiophobia may be effective on rehabilitation after cruciate ligament reconstruction surgery and the contribution of its effect has not been estimated in Iranian studies, the main aim of this study is to determine the prevalence of kinesiophobia before surgery, 3 and 12 months after surgery in candidate patients. Surgery to reconstruct the cruciate ligament. The secondary objective is to analyze the predictability of kinesiophobia before surgery and its relationship with pain and ability to move 3 months after surgery.

This cross-sectional (prospective) descriptive study was conducted during 2019 and 2020 with the participation of 125 patients after cruciate ligament reconstruction surgery. Each participant completed demographic information tools, Tampa fear of moving and KOOS patient-centered questionnaire. Data were analyzed with t-test, chi-square and multivariate regression.

The variables of high body mass index 2.26 times, time interval between injury and surgery 1.96 times, pain intensity before surgery 5.59 times and functional status 8.11 times increase the risk of kinesiophobia.

kinesiophobia was seen in one third of the participants of this study; Factors such as obesity, increased duration of injury until surgery, high pain intensity before surgery and unfavorable functional status after surgery were predictive factors of kinesiophobia

The occurrence of nausea and vomiting early after surgery (within the first two hours after surgery) increases the risk of nausea and vomiting three times during the first 24 hours after surgery and five times during the first 48 hours after surgery. Therefore, knowing the occurrence of this complication as well as its risk factors can be effective in preventive and therapeutic planning; Therefore, the purpose of this study is to determine early nausea and vomiting and its risk factors after orthopedic surgeries.

This cross-sectional descriptive study was conducted during the period of 1400 in Shahada and Imam Reza hospitals of Tabriz University of Medical Sciences with the participation of 1250 patients candidates for orthopedic surgeries. The risk factors of nausea and vomiting after surgery were recorded for all patients and the risk factors of early nausea and vomiting were determined.

old age, high weight, high body mass index, male gender, general anesthesia method, higher ASA class, emergency surgery method, previous history of nausea and vomiting, history of motion sickness, lack of prophylactic prescription of anti-nausea medication, incidence of nausea and vomiting In recovery, morphine prescription at the end of surgery, opioid prescription in the recovery unit and the length of recovery in patients with early nausea and vomiting are significantly different between the two groups.

Out of every 4 patients who are candidates for orthopedic surgery, one patient suffers from nausea and vomiting early after surgery, the risk factors of which were identified in this study.

Since the prevention of hypotension following spinal anesthesia in women candidates for caesarean section is more important than other surgeries, accurate and comprehensive information in this field is necessary and essential. Therefore, the present study was conducted with the aim of preventive effects of ondansetron on blood pressure drop following spinal anesthesia in women candidates for elective cesarean section.

This study is a systematic review and meta-analysis by searching the keywords hypotension, spinal anesthesia, ondansetron, prevention, cesarean delivery in PubMed, Google Scholar, Cochrane, Scopus, Web of Science, EMBASE and CINAHL databases. Iran and SID were done.

9 clinical trial articles with the participation of 1506 women were included in this meta-analysis; The results indicated that the preventive administration of ondansetron before the start of spinal anesthesia significantly reduces the prevalence of hypotension following spinal anesthesia (RR=0.51, 0.35-0.76, 95%CI- P =0.0008 ) so that in 24% of the patients in the ondansetron group and in 49% of the patients in the control group, blood pressure drop occurred after spinal anesthesia.

Prophylactic administration of ondansetron before spinal anesthesia in women candidates for elective caesarean section leads to a decrease in the incidence of hypotension following spinal anesthesia.