Pub Date : 2020-10-01DOI: 10.22038/EBCJ.2020.51306.2366
Azam Zirak Aliabadi, Z. Mirhosseini, Sedighe Rastaghi, M. Rad
Background: Restless legs syndrome (RLS) is prevalent among patients undergoing hemodialysis. This research suggests that cold dialysis solution and stretching exercises are effective approaches reducing RLS; however, they should be adopted according to the patient’s condition. Aim: This study aimed to compare cold dialysate with stretching exercises on RLS severity in patients undergoing hemodialysis. Method: This two-group randomized clinical trial was conducted on 44 hemodialysis patients with RLS. One group received cold dialysis (35.5°C) and the other group performed stretching exercises in two hemodialysis centers in Sabzevar, Razavi Khorasan Province, Iran, in 2019. The severity of RLS was measured in both groups using the IRLS scale at the baseline and end of each week for 6 weeks. The data were analyzed in SPSS (version 21) using repeated measures ANOVA and Friedman’s test. Results: The mean age of participants in cold dialysis and stretching exercise groups were 54.5±13.6 and 54.5±10.8 years, respectively. The Friedman test results showed a significant reduction in the severity of RLS in both groups (P=0.001). Moreover, the repeated measures ANOVA results revealed that the time effect was significant (P=0.001). However, group effect (P=0.09) and interaction between time and group (P=0.25) were not significantly different. Implications for Practice: Both methods of cold dialysate and stretching exercises decreased RLS severity; therefore, they can be suggested to nurses as effective strategies. Due to the limited sample size, studies with larger sample sizes are recommended.
{"title":"Comparison of the Effect of Cold Dialysate versus Stretching Exercises on Severity of Restless Legs Syndrome in Patients Undergoing Hemodialysis: A Randomized Controlled Trial","authors":"Azam Zirak Aliabadi, Z. Mirhosseini, Sedighe Rastaghi, M. Rad","doi":"10.22038/EBCJ.2020.51306.2366","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.51306.2366","url":null,"abstract":"Background: Restless legs syndrome (RLS) is prevalent among patients undergoing hemodialysis. This research suggests that cold dialysis solution and stretching exercises are effective approaches reducing RLS; however, they should be adopted according to the patient’s condition. Aim: This study aimed to compare cold dialysate with stretching exercises on RLS severity in patients undergoing hemodialysis. Method: This two-group randomized clinical trial was conducted on 44 hemodialysis patients with RLS. One group received cold dialysis (35.5°C) and the other group performed stretching exercises in two hemodialysis centers in Sabzevar, Razavi Khorasan Province, Iran, in 2019. The severity of RLS was measured in both groups using the IRLS scale at the baseline and end of each week for 6 weeks. The data were analyzed in SPSS (version 21) using repeated measures ANOVA and Friedman’s test. Results: The mean age of participants in cold dialysis and stretching exercise groups were 54.5±13.6 and 54.5±10.8 years, respectively. The Friedman test results showed a significant reduction in the severity of RLS in both groups (P=0.001). Moreover, the repeated measures ANOVA results revealed that the time effect was significant (P=0.001). However, group effect (P=0.09) and interaction between time and group (P=0.25) were not significantly different. Implications for Practice: Both methods of cold dialysate and stretching exercises decreased RLS severity; therefore, they can be suggested to nurses as effective strategies. Due to the limited sample size, studies with larger sample sizes are recommended.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"7 1","pages":"15-22"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87840694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-10-01DOI: 10.22038/EBCJ.2020.47919.2293
Samane Sefatbaqa, Seyedeh Roqayeh JafarianAmiri, A. Zabihi, Parisa Pourdad, A. Arzani
Background: Critically ill neonates receiving blood products are at risk of transfusion-related complications. The quality of nursing care in this regard can be enhanced through continuous evaluations. Aim: This study aimed to assess the performance of nurses in a neonatal intensive care unit (NICU) regarding the transfusion of blood and blood products. Method: This descriptive cross-sectional study was carried out on the nurses working in an NICU in Tehran, Iran, during 2017. The performance of nurses was investigated for 550 blood transfusion procedures by structured observation through a researcher-made checklist with 40 items in three steps. The data were analyzed using SPSS software (version 22) using descriptive statistics and a generalized estimating equation. Results: The highest frequency (66.2%; n=365) of transfusions was observed for fresh frozen plasma. In the pre-transfusion phase, no case out of 550 transfusion procedures, ensuring the openness of the vein with normal saline injections run (100%), the carriage of blood products from the blood bank to the ward by the box Specific (76.2%), assess blood and blood products sensitivity (34.1%) and control of blood tests for blood count and coagulation factors (20.5%). In the transfusion phase, slow shaking the blood bag during injection (68.6%) and venous line washing with saline solution (45%) were not according to guidelines. After the transfusion phase, the volume of infused products, blood types, post-transfusion reactions and vital signs, and status of product labeling were recorded in 100% of the nursing reports. Implications for Practice: The performance of nurses was poor in many cases during the transfusion stage which can affect the health of the neonates. Therefore, it is recommended to provide continuous and persistent training for the staff.
{"title":"Performance of Nurses in Neonatal Intensive Care Unit Regarding Transfusion of Blood and Blood Products","authors":"Samane Sefatbaqa, Seyedeh Roqayeh JafarianAmiri, A. Zabihi, Parisa Pourdad, A. Arzani","doi":"10.22038/EBCJ.2020.47919.2293","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.47919.2293","url":null,"abstract":"Background: Critically ill neonates receiving blood products are at risk of transfusion-related complications. The quality of nursing care in this regard can be enhanced through continuous evaluations. Aim: This study aimed to assess the performance of nurses in a neonatal intensive care unit (NICU) regarding the transfusion of blood and blood products. Method: This descriptive cross-sectional study was carried out on the nurses working in an NICU in Tehran, Iran, during 2017. The performance of nurses was investigated for 550 blood transfusion procedures by structured observation through a researcher-made checklist with 40 items in three steps. The data were analyzed using SPSS software (version 22) using descriptive statistics and a generalized estimating equation. Results: The highest frequency (66.2%; n=365) of transfusions was observed for fresh frozen plasma. In the pre-transfusion phase, no case out of 550 transfusion procedures, ensuring the openness of the vein with normal saline injections run (100%), the carriage of blood products from the blood bank to the ward by the box Specific (76.2%), assess blood and blood products sensitivity (34.1%) and control of blood tests for blood count and coagulation factors (20.5%). In the transfusion phase, slow shaking the blood bag during injection (68.6%) and venous line washing with saline solution (45%) were not according to guidelines. After the transfusion phase, the volume of infused products, blood types, post-transfusion reactions and vital signs, and status of product labeling were recorded in 100% of the nursing reports. Implications for Practice: The performance of nurses was poor in many cases during the transfusion stage which can affect the health of the neonates. Therefore, it is recommended to provide continuous and persistent training for the staff.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"794 1","pages":"7-14"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85448181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-10-01DOI: 10.22038/EBCJ.2021.52120.2384
G. Khademi, Marzieh Ghorbani, S. Jafari, R. Shojaeian, Majid Sezavar Dokht Farogh, H. Boskabadi, A. Rezaeian
Background: Neonates have limited reserves of energy. In esophageal atresia (EA) repair surgery, there were concerns about feeding initiation due to the location of the surgery. Aim: To determine the effect of early enteral feeding on feeding tolerance and the duration of hospital stayin neonates with esophageal atresia. Method: In this randomized clinical trial, 48 neonates who underwent type-C esophageal atresia surgery at Dr. Sheikh (a subspecialty centers in eastern Iran), July 2015 - November 2017 were randomly divided into the intervention and control groups. In the intervention group, 48 hours after surgery, feeding was initiated once the absence of anastomotic leakage was confirmed by a chest X-ray. The control group received routine feeding from the fifth day after surgery. Feeding tolerance and length of hospital stay (LOS) were compared. Data were analyzed in SPSS-16 using Fisher's exact and Independent sample T tests. Results: The mean weight before intervention was 2550.1±523.4 grams in control and 2540.6±856.0 grams in intervention groups. Results revealed no significant differences between the intervention and control groups in the frequency of feeding volume tolerance (P=0.48). The mean duration of NGT feeding , time to achieve complete oral feeding and LOS were significantly lower in the intervention group (P<0.05). Implications for Practice: In EA repair surgery early enteral feeding improved feeding tolerance and decreased LOS. So the approach to feeding after EA repair surgery is recommended to be reviewed, and considering patient’s condition, can be started earlier even from 48th hours after surgery.
{"title":"Early Enteral Feeding in Neonates Undergoing Esophageal Atresia Repair Surgery","authors":"G. Khademi, Marzieh Ghorbani, S. Jafari, R. Shojaeian, Majid Sezavar Dokht Farogh, H. Boskabadi, A. Rezaeian","doi":"10.22038/EBCJ.2021.52120.2384","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.52120.2384","url":null,"abstract":"Background: Neonates have limited reserves of energy. In esophageal atresia (EA) repair surgery, there were concerns about feeding initiation due to the location of the surgery. \u0000Aim: To determine the effect of early enteral feeding on feeding tolerance and the duration of hospital stayin neonates with esophageal atresia. \u0000Method: In this randomized clinical trial, 48 neonates who underwent type-C esophageal atresia surgery at Dr. Sheikh (a subspecialty centers in eastern Iran), July 2015 - November 2017 were randomly divided into the intervention and control groups. In the intervention group, 48 hours after surgery, feeding was initiated once the absence of anastomotic leakage was confirmed by a chest X-ray. The control group received routine feeding from the fifth day after surgery. Feeding tolerance and length of hospital stay (LOS) were compared. Data were analyzed in SPSS-16 using Fisher's exact and Independent sample T tests. \u0000Results: The mean weight before intervention was 2550.1±523.4 grams in control and 2540.6±856.0 grams in intervention groups. Results revealed no significant differences between the intervention and control groups in the frequency of feeding volume tolerance (P=0.48). The mean duration of NGT feeding , time to achieve complete oral feeding and LOS were significantly lower in the intervention group (P<0.05). \u0000Implications for Practice: In EA repair surgery early enteral feeding improved feeding tolerance and decreased LOS. So the approach to feeding after EA repair surgery is recommended to be reviewed, and considering patient’s condition, can be started earlier even from 48th hours after surgery.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"30 1","pages":"33-41"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85137806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-10-01DOI: 10.22038/EBCJ.2021.53363.2408
Abolfazl Akbari Shaker, T. Pourghaznein, Jamshid Jamali, Fatemeh Esmaelzadeh
Background: Caring for a disabled elderly person causes physical and emotional problems and social isolation for family caregivers, thereby reducing their resilience. Online social networks could provide social support and effect on resilience. Aim: This study aimed to investigate the effect of sharing experiences in the online support group on the resilience of family caregivers of the disabled elderly. Method: This randomized clinical trial was conducted on 58 family caregivers of the disabled elderly in Mashhad, Iran. The participants were selected using convenience sampling and assigned to intervention and control groups using the permuted-block randomization technique. The participants in the intervention group shared their experiences of the problems faced by them due to caring for the disabled elderly for six weeks in an online support group with other caregivers. The data were collected using a demographic characteristics form, the World Health Organization Disability Assessment Schedule, and the Connor-Davidson Resilience Scale before and after the intervention. Finally, the data were analyzed in SPSS software (version 24). Results: The participants in the intervention group reported a significantly higher level of resilience at the end of the intervention, compared to the control group (P˂0.05). Implications for Practice: The creation of an online support group for caregivers is a low-cost measure and does not require advanced clinical facilities. Furthermore, nurses can implement interventions to improve caregivers’ resilience. Moreover, an increase in resilience can improve caregiving abilities while caring for disabled elderly.
{"title":"Effect of Sharing Experiences in an Online Support Group on the Resilience of Family Caregivers of the Disabled Elderly","authors":"Abolfazl Akbari Shaker, T. Pourghaznein, Jamshid Jamali, Fatemeh Esmaelzadeh","doi":"10.22038/EBCJ.2021.53363.2408","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.53363.2408","url":null,"abstract":"Background: Caring for a disabled elderly person causes physical and emotional problems and social isolation for family caregivers, thereby reducing their resilience. Online social networks could provide social support and effect on resilience. Aim: This study aimed to investigate the effect of sharing experiences in the online support group on the resilience of family caregivers of the disabled elderly. Method: This randomized clinical trial was conducted on 58 family caregivers of the disabled elderly in Mashhad, Iran. The participants were selected using convenience sampling and assigned to intervention and control groups using the permuted-block randomization technique. The participants in the intervention group shared their experiences of the problems faced by them due to caring for the disabled elderly for six weeks in an online support group with other caregivers. The data were collected using a demographic characteristics form, the World Health Organization Disability Assessment Schedule, and the Connor-Davidson Resilience Scale before and after the intervention. Finally, the data were analyzed in SPSS software (version 24). Results: The participants in the intervention group reported a significantly higher level of resilience at the end of the intervention, compared to the control group (P˂0.05). Implications for Practice: The creation of an online support group for caregivers is a low-cost measure and does not require advanced clinical facilities. Furthermore, nurses can implement interventions to improve caregivers’ resilience. Moreover, an increase in resilience can improve caregiving abilities while caring for disabled elderly.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"45 1","pages":"50-58"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77633297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-10-01DOI: 10.22038/EBCJ.2020.51871.2378
Inke Malahayati, Lenny Nainggolan
Postpartum adaptation failure can cause a mild psychological disorder in the type of postpartum blues. Various aromatherapy has been tested to treat postpartum blues. This study aimed to compare the effectiveness of aromatherapy using bergamot with lavender oils in postpartum blues. This non-randomized quasi-experimental controlled trial study with a pretest and posttest design was performed on 40 women after cesarean section (C-section) using consecutive sampling. The Edinburgh Postnatal Depression Scale (EPDS) questionnaire was used for the diagnosis of postpartum blues. The participants were given seven drops of aromatherapy oils via a handkerchief inhaled with ten deep breaths for 14 days and then placed next to a pillow. The EPDS scores were measured twice (at the baseline and after 7 days). The data were analyzed using SPSS software (version 21) and the Mann-Whitney U and Wilcoxon tests. The mean EPDS scores before the intervention were 11.4±0.9 and 11.1±1.2 in the bergamot and lavender groups, respectively. The mean EPDS scores on the 7th day of the intervention were 8.8±3.1 and 5.3±2.2 in the bergamot and lavender groups, respectively (P=0.003). Aromatherapy is recommended within the 3rd to 5th day following C-section.
{"title":"Effect of Aromatherapy Using Bergamot and Lavender Oils on Postpartum Blues","authors":"Inke Malahayati, Lenny Nainggolan","doi":"10.22038/EBCJ.2020.51871.2378","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.51871.2378","url":null,"abstract":"Postpartum adaptation failure can cause a mild psychological disorder in the type of postpartum blues. Various aromatherapy has been tested to treat postpartum blues. This study aimed to compare the effectiveness of aromatherapy using bergamot with lavender oils in postpartum blues. This non-randomized quasi-experimental controlled trial study with a pretest and posttest design was performed on 40 women after cesarean section (C-section) using consecutive sampling. The Edinburgh Postnatal Depression Scale (EPDS) questionnaire was used for the diagnosis of postpartum blues. The participants were given seven drops of aromatherapy oils via a handkerchief inhaled with ten deep breaths for 14 days and then placed next to a pillow. The EPDS scores were measured twice (at the baseline and after 7 days). The data were analyzed using SPSS software (version 21) and the Mann-Whitney U and Wilcoxon tests. The mean EPDS scores before the intervention were 11.4±0.9 and 11.1±1.2 in the bergamot and lavender groups, respectively. The mean EPDS scores on the 7th day of the intervention were 8.8±3.1 and 5.3±2.2 in the bergamot and lavender groups, respectively (P=0.003). Aromatherapy is recommended within the 3rd to 5th day following C-section.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"74 1","pages":"59-63"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86729537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-01DOI: 10.22038/EBCJ.2020.45991.2258
Fahimeh Hashemi, S. Mazlom, S. Vaghee, A. Bagheri-Moghaddam
Receiving the news of a loved one’s death can cause extreme anxiety reactions. Breaking death news according to the setting, patient perception, invitation, knowledge, empathy, and strategy (SPIKES) protocol could be effective in alleviating this anxiety. This study aimed to determine the effect of using the SPIKES protocol for delivering the news of patient mortality to the deceased’s family members on their anxiety symptoms. This non-randomized controlled intervention study was carried out on the 60 families of the patients who died in Imam Reza Hospital of Mashhad, Iran. The subjects (i.e., next of kin or close family members) were divided into two groups of 30 cases. In the control group, the nurse conveyed the news of death using her routine method. In the intervention group, this task was performed according to the SPIKES protocol. After delivering the news, the nurse assessed the level of anxiety in the recipient of the news by filling out an inventory of visual symptoms of anxiety. The Mann-Whitney U test showed that the mean anxiety score in the intervention group (31.2±11.7) was significantly lower than that of the control group (63.4±18.1) (p <0.001). Since the findings revealed that the SPIKES protocol reduced the level of anxiety in the recipients of bad news, it is essential to apply this protocol in nurse education and training courses in Iran.
{"title":"Effect of Using SPIKES Protocol for Delivering Death News to Patient Family Members on Their Anxiety Symptoms","authors":"Fahimeh Hashemi, S. Mazlom, S. Vaghee, A. Bagheri-Moghaddam","doi":"10.22038/EBCJ.2020.45991.2258","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.45991.2258","url":null,"abstract":"Receiving the news of a loved one’s death can cause extreme anxiety reactions. Breaking death news according to the setting, patient perception, invitation, knowledge, empathy, and strategy (SPIKES) protocol could be effective in alleviating this anxiety. This study aimed to determine the effect of using the SPIKES protocol for delivering the news of patient mortality to the deceased’s family members on their anxiety symptoms. This non-randomized controlled intervention study was carried out on the 60 families of the patients who died in Imam Reza Hospital of Mashhad, Iran. The subjects (i.e., next of kin or close family members) were divided into two groups of 30 cases. In the control group, the nurse conveyed the news of death using her routine method. In the intervention group, this task was performed according to the SPIKES protocol. After delivering the news, the nurse assessed the level of anxiety in the recipient of the news by filling out an inventory of visual symptoms of anxiety. The Mann-Whitney U test showed that the mean anxiety score in the intervention group (31.2±11.7) was significantly lower than that of the control group (63.4±18.1) (p <0.001). Since the findings revealed that the SPIKES protocol reduced the level of anxiety in the recipients of bad news, it is essential to apply this protocol in nurse education and training courses in Iran.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"38 1","pages":"74-79"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87089613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-01DOI: 10.22038/EBCJ.2020.47330.2284
Sahar Dabaghi, M. Zandi, A. Aabaszadeh, A. Ebadi
Background: Patients are meticulous supervisors of their self-care. Their perceptions and experiences play a significant role in their awareness of the overt and covert problems in the healthcare settings. However, few studies have focused on the exact details of the nature of safety experienced only by the patients. Aim: This study aimed to carry out the conventional content analysis of patients’ feelings of safety during hospitalization. Method: This qualitative study was conducted on a total of 31 patients hospitalized in various wards of hospitals affiliated to Shahid Beheshti University of Medical Sciences in Tehran, Iran, using purposive sampling in 2019. The data, obtained through semi-structured interviews, were analyzed by conventional content analysis using Graneheim and Lundman’s approach (2004) with MAXQDA software (version 2010). Results: Finally, data analysis resulted in the establishment of three main categories, namely feeling of insecurity, insolvency, and seeking safety and security. Implications for Practice: The obtained results of the present study can be helpful in designing a patient-based care program focusing on patient safety. The healthcare team can improve patient care through the consideration of factors contributing to the feeling of safety in patients.
{"title":"A Content Analysis of Patient Perception of Feeling Safe during Hospitalization","authors":"Sahar Dabaghi, M. Zandi, A. Aabaszadeh, A. Ebadi","doi":"10.22038/EBCJ.2020.47330.2284","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.47330.2284","url":null,"abstract":"Background: Patients are meticulous supervisors of their self-care. Their perceptions and experiences play a significant role in their awareness of the overt and covert problems in the healthcare settings. However, few studies have focused on the exact details of the nature of safety experienced only by the patients. \u0000Aim: This study aimed to carry out the conventional content analysis of patients’ feelings of safety during hospitalization. \u0000Method: This qualitative study was conducted on a total of 31 patients hospitalized in various wards of hospitals affiliated to Shahid Beheshti University of Medical Sciences in Tehran, Iran, using purposive sampling in 2019. The data, obtained through semi-structured interviews, were analyzed by conventional content analysis using Graneheim and Lundman’s approach (2004) with MAXQDA software (version 2010). \u0000Results: Finally, data analysis resulted in the establishment of three main categories, namely feeling of insecurity, insolvency, and seeking safety and security. \u0000Implications for Practice: The obtained results of the present study can be helpful in designing a patient-based care program focusing on patient safety. The healthcare team can improve patient care through the consideration of factors contributing to the feeling of safety in patients.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"46 1","pages":"37-47"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83336638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-01DOI: 10.22038/EBCJ.2020.50043.2348
Hossein Kakhki Jaghargh, M. Bagheri, N. Aghebati, H. Esmaily
Background: Fatigue is one of the outcomes of reduced dialysis adequacy (DA) in patients undergoing hemodialysis (HD). Accordingly, increased blood flow velocity (BFV) can be one of the strategies to enhance DA and reduce fatigue. Aim: This study aimed to determine the effect of increased BFV on fatigue in HD patients. Method: This two-group randomized clinical trial was conducted on 74 HD patients attending 17-Shahrivar Hospital and Shafa Dialysis Center, Mashhad, Iran, during 2018. The intervention group was subjected to 25 and 50 rounds, which were added to the mean value calculated for dialysis machine velocity. Considering the control group, the rounds of the machine were set as those mean of the first two sessions. Fatigue was measured using the standardized Multidimensional Fatigue Inventory. The blood urea nitrogen (BUN) level and DA were analyzed after the 1st, 8th, and 14th sessions. The data were analyzed in SPSS software (version 16) through independent t-test, repeated measures analysis of variance (ANOVA), Mann-Whitney U test, and Chi-square test. Results: The mean ages of the control and intervention groups were 57.16±13.81 and 55.86±13.56 years, respectively. The results of repeated measures ANOVA showed that fatigue in the intervention group had significantly dropped during HD sessions, compared to the control group. Moreover, these patients obtained better DA (P˂0.001). Implications for Practice: Increased BFV of the dialysis machine leads to improved DA, BUN removal, and reduced fatigue in HD patients, which can be recommended to nurses as an effective strategy.
{"title":"Effect of Increased Blood Flow Velocity on Fatigue in Hemodialysis Patients","authors":"Hossein Kakhki Jaghargh, M. Bagheri, N. Aghebati, H. Esmaily","doi":"10.22038/EBCJ.2020.50043.2348","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.50043.2348","url":null,"abstract":"Background: Fatigue is one of the outcomes of reduced dialysis adequacy (DA) in patients undergoing hemodialysis (HD). Accordingly, increased blood flow velocity (BFV) can be one of the strategies to enhance DA and reduce fatigue. Aim: This study aimed to determine the effect of increased BFV on fatigue in HD patients. Method: This two-group randomized clinical trial was conducted on 74 HD patients attending 17-Shahrivar Hospital and Shafa Dialysis Center, Mashhad, Iran, during 2018. The intervention group was subjected to 25 and 50 rounds, which were added to the mean value calculated for dialysis machine velocity. Considering the control group, the rounds of the machine were set as those mean of the first two sessions. Fatigue was measured using the standardized Multidimensional Fatigue Inventory. The blood urea nitrogen (BUN) level and DA were analyzed after the 1st, 8th, and 14th sessions. The data were analyzed in SPSS software (version 16) through independent t-test, repeated measures analysis of variance (ANOVA), Mann-Whitney U test, and Chi-square test. Results: The mean ages of the control and intervention groups were 57.16±13.81 and 55.86±13.56 years, respectively. The results of repeated measures ANOVA showed that fatigue in the intervention group had significantly dropped during HD sessions, compared to the control group. Moreover, these patients obtained better DA (P˂0.001). Implications for Practice: Increased BFV of the dialysis machine leads to improved DA, BUN removal, and reduced fatigue in HD patients, which can be recommended to nurses as an effective strategy.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"93 1","pages":"48-57"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84184015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-01DOI: 10.22038/EBCJ.2020.46983.2280
G. Sadeghi, N. Zare, S. Amini, S. Mazlom
Background: Multimedia learning can be recommended for cardiopulmonary rehabilitation to reduce respiratory complications following open-heart surgery (OHS). Furthermore, flipped learning may reinforce the effects of education via further feedback. Aim: This study aimed to compare the effects of flipped teaching versus multimedia-based teaching on postoperative physical activity in patients undergoing OHS. Method: This controlled randomized clinical trial was conducted on a total of 60 patients admitted to an intensive care unit and a cardiac-surgical ward in northeastern Iran in 2019. In the multimedia learning group, a tutorial video was displayed three times a day at different stages, namely preoperation, 1-2 days after the surgery, and 2-3 days postsurgery. The flipped learning group was also subjected to the same tutorial with the potential to be displayed on smartphones. Then, the 6-Clicks instrument was completed to assess the basic mobility function. The data were analyzed in the IBM SPSS Statistics software (version 25) using the Mann-Whitney U and Friedman tests. Results: The groups were homogenous in terms of demographic characteristics. The mean duration of physical activity was not significantly different in the study groups at the preoperative stage (P=0.87), 2 days postoperation (P=0.09), and 5-6 days after surgery (P=0.10). Based on the inter-group comparison, the mean score of physical activity was significantly different between the groups receiving flipped (P<0.001) and multimedia (P<0.001) learning. Implications for Practice: The same as multimedia learning, flipped learning is able to improve physical activity in patients following OHS.
背景:多媒体学习可以推荐用于心肺康复，以减少心内直视手术(OHS)后的呼吸并发症。此外，翻转学习可以通过进一步的反馈来加强教育的效果。目的:本研究旨在比较翻转教学与多媒体教学对OHS患者术后身体活动的影响。方法:本对照随机临床试验对2019年在伊朗东北部重症监护病房和心外科病房住院的60例患者进行研究。多媒体学习组在术前、术后1-2天、术后2-3天的不同阶段，每天播放3次教学视频。翻转学习组也接受了同样的教程，并有可能在智能手机上显示。然后，完成6-Clicks仪器评估基本活动功能。数据在IBM SPSS统计软件(版本25)中使用Mann-Whitney U和Friedman检验进行分析。结果:两组在人口学特征上具有同质性。各组患者在术前(P=0.87)、术后2 d (P=0.09)、术后5 ~ 6 d (P=0.10)的平均体力活动时间差异无统计学意义。经组间比较，翻转学习组和多媒体学习组的体育活动平均分差异有统计学意义(P<0.001)。对实践的启示:与多媒体学习一样，翻转学习能够改善OHS患者的身体活动。
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Pub Date : 2020-07-01DOI: 10.22038/EBCJ.2020.44754.2211
S. Kazemian, Narges Zarei, Masoumeh Esmaeily
Background: Strengthening the coping resources as an instruction for anxiety-regulation may affect the emotion-regulation of families. Regarding the significant role of families in health of these patients, it seems that interference in strengthening coping resources affects their emotion-regulation. Aim: This study aimed to determine the effect of strengthening family coping resources on the emotion-regulation of schizophrenic patients' caregivers. Method: This quasi-experimental research was conducted on families with hospitalized schizophrenic patients in one of the most prominent psychiatric centers in the Northeast of Iran in 2018. The participants were assigned to intervention (n=29) and control (n=31) groups. A short revised form of Emotion-Regulation Questionnaire was utilized as data collection tool. The intervention based on strengthening family coping resources (SFCR) was administered in three modules and 15 group sessions (groups of 6-8 individuals) according to the instructions of the multi-family model of Kisser et al. On the other hand, the controls received routine cares in hospital wards.The data were analyzed in SPSS software version (16) using independent and paired t-tests. Results: The groups were homogenous in terms of demographic characteristics. The result of independent t-test demonstrated a significant difference in the mean score of revaluation (P=0.001) and suppression (p=0.001) in the intervention group, compared to the control group, after the intervention. Implications for Practice: This intervention can guide clinicians on how to implement a family-centered care program to reduce the burden of caring schizophrenic patients through gaining family support in the efficient care of these patients.
{"title":"Effect of Strengthening Family Coping Resources on Emotion Regulation of Family Caregivers of Patients with Schizophrenia","authors":"S. Kazemian, Narges Zarei, Masoumeh Esmaeily","doi":"10.22038/EBCJ.2020.44754.2211","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.44754.2211","url":null,"abstract":"Background: Strengthening the coping resources as an instruction for anxiety-regulation may affect the emotion-regulation of families. Regarding the significant role of families in health of these patients, it seems that interference in strengthening coping resources affects their emotion-regulation. Aim: This study aimed to determine the effect of strengthening family coping resources on the emotion-regulation of schizophrenic patients' caregivers. Method: This quasi-experimental research was conducted on families with hospitalized schizophrenic patients in one of the most prominent psychiatric centers in the Northeast of Iran in 2018. The participants were assigned to intervention (n=29) and control (n=31) groups. A short revised form of Emotion-Regulation Questionnaire was utilized as data collection tool. The intervention based on strengthening family coping resources (SFCR) was administered in three modules and 15 group sessions (groups of 6-8 individuals) according to the instructions of the multi-family model of Kisser et al. On the other hand, the controls received routine cares in hospital wards.The data were analyzed in SPSS software version (16) using independent and paired t-tests. Results: The groups were homogenous in terms of demographic characteristics. The result of independent t-test demonstrated a significant difference in the mean score of revaluation (P=0.001) and suppression (p=0.001) in the intervention group, compared to the control group, after the intervention. Implications for Practice: This intervention can guide clinicians on how to implement a family-centered care program to reduce the burden of caring schizophrenic patients through gaining family support in the efficient care of these patients.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"151 3 1","pages":"7-17"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89423015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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