scholarly journals Evaluation of the Effect of Scheduled Family Appointments on Agitation of ICU Patients: A Quasi-experimental Study

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Esmaeell Shahriyari ◽  
Alireza Salar ◽  
Abolfazl Payandeh

Background: One of the main stressors for patients admitted to the intensive care unit (ICU) is being away from family members and severe appointment time limits. Currently, the treatment environment is made of family members and patients, and the presence of family members plays an important role in the patient’s health. Objective: This study aimed to determine the effect of scheduled family appointments on the agitation of ICU patients. Methods: This quasi-experimental study was performed on 70 patients admitted to the ICU of medical centers affiliated to Zahedan University of Medical Sciences, Iran, in 2020. The patients were selected using convenience sampling from among those who met the inclusion criteria. The selected patients were randomly assigned into two equal groups of control and intervention (n = 35 in each). The patients in the control group were visited via routine appointments. In contrast, the patients in the intervention group were visited both routinely and via scheduled appointments by a fixed member of the family for 20 minutes at 10-12 AM and 8-10 PM for three days. The data were collected using a demographic information form and Richmond Agitation Sedation Scale (RASS), which was completed by the researcher for each patient on the first day before and the third day after the intervention. The collected data were analyzed using IBM SPSS software (version 24) with the chi-square test, Fisher’s exact test, independent samples t-test, and Mann–Whitney U test. The significance level was considered less than 0.05. Results: The two groups were similar in terms of age, sex, level of consciousness, and history of hospitalization in the ICU and there was no statistically significant intergroup difference (P > 0.05). According to the results of Mann–Whitney U and chi-square tests, there was a significant difference between the groups in terms of agitation at the end of the study (P < 0.05). Conclusions: Scheduled appointments for ICU patients can reduce patients’ agitation without affecting nurses’ care activities. This accelerates the recovery process for patients. Hence, the appointment-based policy needs to be implemented in ICUs.

2021 ◽  
Vol 17 ◽  
Author(s):  
Seyedeh Zahra Masoumi ◽  
Khodayar Oshvandi ◽  
Masoumeh Rostami-Moez ◽  
Arezoo Shayan ◽  
Farideh Kazemi

Background: Infertility can cause low marital satisfaction. Marital satisfaction has an important effect on infertile couples’ health. Objective: This study aimed to assess the effect of relationship enrichment training on improving the marital satisfaction of infertile couples. Methods: This randomized clinical trial was conducted on 50 infertile couples in the infertility center of Fatemieh Hospital in Hamadan, Iran in 2018. Participants were matched for demographic characteristics and randomly assigned to intervention and control groups (each group had 25 couples). Informed consent was obtained from all participants. The Enrich Marital Satisfaction questionnaire and demographic information were used to collect data before the study and two months after the intervention. Two trained midwifery students taught only the intervention group the relationship enrichment topics in seven sessions (each session = 90 minutes). The data were analyzed by SPSS Statistics version 21 using analysis of covariance, independent t-test, chi-square, and Mann–Whitney. The significance level was set at p ≤ 0.05. Results: There was no significant difference in demographic and obstetric information between the two groups (p >0.05). The mean of marital satisfaction in the intervention group significantly increased among women and men from 151.00 ±28.61 to 154.88 ±22.62 and from 152.56 ±27.33 to 159.24 ±22.14, respectively, (p <0.001). Conversely, the mean of marital satisfaction decreased among women and men from 158.13 ±13.86 to 146.25 ±19.53 and from 164.25 ±17.00 to 153.17 ±27.50 in the control group (p=0.02). Conclusion: Relationship enrichment training can be effective in promoting the marital satisfaction of infertile couples. Registration number: The National Center for Strategic Research in medical education, No. 960185.


2020 ◽  
Author(s):  
Saeideh Shahsavari ◽  
Sakineh dadipoor ◽  
Mohtasham Ghaffari ◽  
Ali Safari-Moradabadi

Abstract Background: The aim of the present study was to assess readiness to become or stay physically active according to the Stages of Change Model.Methods: The present quasi-experimental study was conducted on 100 women working in the healthcare centres of Bandar Abbas, Iran. The sampling method is clustering in type. The subjects were assigned into two groups of intervention and control. The collected data were analysed by SPSS-16 software using descriptive and inferential statistics, including independent-sample t-test, paired-sample t-test and Chi-square test.Results: Before the educational intervention, 19 subjects (0.38%) from the intervention group showed to have regular physical activity (4-5 stages). This number changed to 29 (0.58%) and 25 (0.50%) after three months and six months of intervention. A statistically significant difference was found before the intervention and 3 and 6 months afterwards (P˂.001). In the control group, no statistically significant difference was found between the pre-intervention and post-intervention (three months (P=.351) and six months (P=.687).Conclusion: The educational intervention based on the stages of behaviour change model showed to be effective in promoting the physical activity of employed women. These findings may benefit health education researchers and practitioners who tend to develop innovative theory-based interventions and strategies to increase the level of physical activity in women.


2020 ◽  
Vol 10 (2) ◽  
pp. 119-129
Author(s):  
Halimah Wenny Yulina Astuti ◽  
Murti Agustin ◽  
Sri Padma Sari ◽  
Diyan Yuli Wijayanti ◽  
Widodo Sarjana ◽  
...  

Background: Hope has an essential role in the recovery journey for people with schizophrenia. Current studies showed that people with schizophrenia reported having low hope. There is growing evidence that mindfulness has favorable effects on mental health in populations with chronic illness, including people with schizophrenia. However, the studies evaluating effects of mindfulness on hope and recovery for people with schizophrenia are limited.Purpose: This study aimed to examine the effects of mindfulness on hope and recovery among people with schizophrenia.Methods: This quasi-experimental study was carried out on 54 patients with schizophrenia based on purposive sampling in a psychiatric hospital in Indonesia. The respondents were divided into two groups with 27 patients each in the intervention and the control group. The intervention group received 2-session mindfulness, while the control group received standard care. The data were collected using the demographic questionnaire, the Schizophrenia Hope Scale (SHS-9), and Recovery Assessment Scale (RAS), and analyzed using the Chi-Square and Mann-Whitney tests. Results: After mindfulness therapy, the intervention group showed a higher mean score of hope than the control group (14.30±2.50 and 9.04±2.15, respectively) as well as in the mean of recovery (86.78±4.00 and 73.56±6.04, respectively). There were significant differences in hope and recovery levels between the two groups with p-value <0.001.Conclusion: This study showed that mindfulness is an effective strategy to stimulate hope and recovery among people with schizophrenia. Nurses can apply mindfulness as one of the nursing interventions for helping the recovery process among this population. 


2020 ◽  

Background and Objective: Despite medical advances, patients with Myocardial Infarction do not fully recover and require rehabilitation and other treatment measures as well. One way to empower these patients is to promote self-efficacy. Therefore, the present study aimed to determine the effect of Tele-nursing on the self-efficacy of patients with myocardial infarction. Methods: This quasi-experimental study was conducted on 40 patients with Myocardial Infarction. The participants selected using the simple random sampling method. The patients were divided into two intervention and control groups of 20 participants. Routine training was given to both groups before discharge. The demographic data questionnaire and Sullivan’s cardiac self-efficacy questionnaire were then provided to each patient. In the intervention group, in addition to routine training, the telephone follow-up intervention was performed by the researcher within one month (once a week with an average call duration of 10 minutes). After one month, the self-efficacy questionnaire was provided to each of the study units again. Finally, after determining the normal distribution, the data were analyzed by chi-square, independent t-test, and ANCOVA tests, using SPSS v.25 software. Results: There was no statistically significant difference between the two groups in terms of demographic variables and disease characteristics. The mean score of self-efficacy before and after the intervention in the control group was 22.90 ± 3.93 and 33.35 ± 8.36, respectively, and in the intervention group, was 25.60 ± 6.90 and 47.45 ± 5.60, respectively. There was a statistically significant difference between the two groups after the intervention (p < 0.001). Conclusion: Telenursing can improve adherence to the treatment program and promote patients’ self-efficacy. Therefore, due to its reliability, availability, and low cost, this method can be used in patient care and follow-up.


2021 ◽  
Vol 2 (4) ◽  
pp. 1340-1345
Author(s):  
Sitti Mukarramah ◽  
Indriani ◽  
Zulaeha A. Amdadi

Family planning is a strategy to reduce maternal mortality, especially mothers with 4T conditions. Counseling plays an important role in achieving quality family planning services. A balanced counseling strategy (SKB) began to be developed and adapted for use in 2016, to strengthen postpartum family planning counseling services (KBPP). The purpose of this study was to determine the effect of the Family Planning Balanced Counseling Strategy (SKB-KB) on the choice of contraceptives at Kassi-Kassi Community Health Center Makassar City. The type of research used is Quasi Experimental (quasi-experimental). This study conducted an intervention in both groups by assessing before and after treatment / counseling. One group intervened with the SKB-KB method, while the other group intervened with the ABPK method. Data were analyzed using the chi square test with a significance level of p <0.05. The results showed that the SKB-KB method had an influence on the choice of contraceptives between the intervention group and the control group (p: 0.0008; α 0.05).


2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Vahideh Ganjali ◽  
Fatemeh Kiyani ◽  
Farshid Saeedinezhad ◽  
Pegah Sasanpoor ◽  
Hasan Askari

Background: Breast cancer is the most common on the list and the leading cause of cancer death in women worldwide. Although radiation therapy is a key component of cancer treatment, it causes several complications, including radiodermatitis. Objectives: The current study aimed to investigate the effect of preventive-care education on radiotherapy-induced dermatitis in patients with breast cancer. Methods: In this quasi-experimental study, 80 patients with breast cancer who were candidates for radiation therapy were selected by convenience sampling and randomly assigned to the groups of intervention and control. Data were collected using a demographic form and a scale for assessing skin complications developed by the Radiation Therapy Oncology Group (RTOG). Patients in the intervention group were trained individually in three 30-minute sessions on treatment methods, chemotherapy, and prevention as well as radiodermatitis care. While the control group received routine care. Data were analyzed in SPSS 22 using the Mann-Whitney test, chi-squared test, Fisher's exact test, independent t-test, and generalized estimation equation (GEE) at a significance level of < 0.05. Results: No statistically significant difference was found between the two groups concerning the marital status, smoking, education level, age, BMI, plasma albumin level, and disease stage. After providing the intervention, the prevalence of radiodermatitis grade 1 was 27.5 and 7.5% in the control and intervention groups, respectively. After six weeks, 30% and 10% of patients in the control group developed radiodermatitis grades 3 and 4, respectively, but only 7.5% of patients in the intervention group had radiodermatitis grade 3. The results of GEE indicated that over time, the probability of developing higher grades of radiodermatitis increases by 1.074. This probability was 1.355 higher in the control group than the intervention group (P value = 0.03). Conclusions: This study demonstrated the positive effect of the educational intervention on the severity of radiodermatitis in patients with breast cancer undergoing radiotherapy. Along with medication, implementing an educational program that teaches patients how to prevent radiodermatitis helps to reduce the incidence of radiodermatitis.


2020 ◽  
pp. e001577
Author(s):  
Fereshteh Falah ◽  
S A Sajadi ◽  
A H Pishgooie

BackgroundHypertension is known as one of the most important non-communicable pervasive diseases.ObjectiveThe purpose of the present study was to determine the effect of a mobile-based educational app on the blood pressure (BP) of patients with hypertension.MethodsThis clinical trial was conducted on 66 military personnel who were definitively diagnosed with hypertension by a physician, and then assigned randomly into two groups as intervention (receiving mobile-based educational app) and control (receiving standard medical management but no app). Before the intervention, BP levels of both groups were measured with a calibrated sphygmomanometer. After 6 weeks, the BPs of both groups were remeasured using the same sphygmomanometer. Thereafter, descriptive and inferential statistics, including paired t-test, Mann-Whitney, Chi-square and Wilcoxon tests, were used. The data obtained were analysed using SPSS-21 software at a significance level of p<0.05.ResultsComparison of the intervention and control groups showed no statistically significant difference between the groups in systolic BP (p=0.479) and diastolic BP (p=0.851) in the pre-intervention phase, but after the intervention, systolic and diastolic BP levels were significantly lower in the intervention group than in the control group (p=0.0001).ConclusionThe results suggested that the mobile-based educational app had a significant effect on reducing BP in patients with hypertension. Therefore, using this app is recommended for those military personnel with hypertension.


2016 ◽  
Vol 12 (4) ◽  
pp. 195
Author(s):  
Lida Norouzi ◽  
Behnam Makvandi

<p>This study aimed to investigate the effect of Pilates on resiliency and psych-asthenia of the housewives in Tehran. The most common problems of the housewives included decreased resilience and uniform life that led to increased psych-asthenia. Using the knowledge of Contrology, measuring the effect of Pilates on resiliency and psych-asthenia of the housewives was considered. Quasi-experimental research design included the control groups (pre-test, post-test). The statistical population consisted of 40 housewives (20 in Pilates group and 20 in control group) that were selected using the available sampling by referring to a sports club in District 2, Tehran. Data were analyzed using analysis of variance and multivariate analysis of covariance, and the adjusted comparison was conducted at the significance level of 5%.The results showed that the adjusted mean of the scores of resiliency and psych-asthenia for the intervention group are significantly different (p&gt;5.0) and there is a significant difference between the mean scores of resiliency and psych-asthenia of the treatment and control groups. Pilates exercises increase resiliency and decrease psych-asthenia of the housewives. Thus, it is recommended that psychologists and psychiatrists consider Pilates as a supplementary treatment in their prescriptions.</p>


2021 ◽  
Vol 24 (3) ◽  
Author(s):  
Norhan Naief Abd El Haliem ◽  
Jylan Elguindy ◽  
Amina A Zaki

Objective: the purpose of this study was to evaluate and compare, gross fracture, patient satisfaction, and marginal adaptation of anterior endocrowns restoring endodontically treated anterior teeth fabricated from IPS e.max press and CERASMART hybrid ceramics. Material and methods: A total of 24 patients were selected to receive an esthetic endocrowns for upper teeth in the esthetic zone (central incisor, lateral and canine).The 24 patients were divided into 2 groups (n=12 each), where Group (1): Control group: Teeth receiving IPS e.max press anterior endocrowns and Group (2): Intervention group: Tooth receiving CERASMART anterior endocrowns . After cementation all patients were recalled after 3, 6, 9, and 12 months. During each recall examination, USPHS criteria were adopted for clinical evaluation to score margin integrity and gross fracture. In addition, questionnaires were used to evaluate patients’ satisfaction and potential postoperative discomfort. Chi-square or Fisher’s Exact test were used to compare between qualitative variables in the two groups. Friedman’s test was used to study the changes by time within each group. The significance level was set at P ? 0.05. Results: Regarding gross fracture and marginal integrity, there was no statistically significant difference at any time interval between IPS e.max press and CERASMART endocrowns. All the patients were satisfied with their restorations till the end of the follow up period. Conclusions: CERASMART anterior endocrowns provided a promising treatment modality compared to ips press anterior endocrowns.


2021 ◽  
Author(s):  
Sudabeh Ahmadidarrehsima ◽  
Shideh Rafati ◽  
Mahnaz Jabalbarezi ◽  
Foozieh Rafati

Abstract Background and Aim: Improper administration of oxygen as an expensive drug has dangerous side effects. Nurses are responsible for performing this therapy and even prescribing it in emergencies. This study aimed to determine the effect of two methods of mastery learning and lectures on the oxygen therapy knowledge and practice of nurses in a teaching hospital in southern Iran.Materials and Methods: This quasi-experimental study was conducted on 50 nurses working in a teaching hospital in southern Iran. The participants were selected using convenience sampling and randomly divided into intervention and control groups. The members of the intervention group attended 4 oxygen therapy master learning sessions, while the members of the control group were trained using the lecture method for 4 sessions. The instruments used for data collection were a demographic information questionnaire and the researcher-made nurses’ oxygen therapy knowledge and practice inventories that were completed by the participants in both groups. The data were collected before the intervention and one week and three months after the intervention and analyzed using SPSS software with descriptive and inferential statistics.Results: The findings indicated that the nurses had poor oxygen therapy knowledge and practice before the intervention. Furthermore, there was no significant difference between the two groups in terms of the mean scores of oxygen therapy knowledge and practice before the intervention. It was also shown that oxygen therapy knowledge and practice were significantly improved one week and three months after the learning mastery intervention in the participants in the intervention group (P < 0.001). In contrast, only the oxygen therapy knowledge of the members of the control group showed a significant increase three months after the intervention compared to the pre-intervention stage (P = 0.04). Conclusion: The results of the present study showed that the mastery learning model is an effective model for improving and maintaining the nurses’ oxygen therapy knowledge and practice. Since nurses’ optimal practice improves the quality of care and increases patient safety, mastery learning can be used as an effective training technique to improve nurses’ oxygen therapy practice.


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