Somayyeh Nayyeri; Mehdi Golafrooz; Hajar Sadeghi; Sara Amini; Laya Zarrabi; Mohammad hasan Rakhshani
Volume 22, Issue 3 , May and June 2015, , Pages 289-299
Abstract
Background and purpose: Heart failure is a common and life-threatening situation. These patients have poor sleep quality. One of the possible ways of improving sleep qualityis based on self-care education in the nursing model, thus this study was aimed at assessing the effects of the partnership care ...
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Background and purpose: Heart failure is a common and life-threatening situation. These patients have poor sleep quality. One of the possible ways of improving sleep qualityis based on self-care education in the nursing model, thus this study was aimed at assessing the effects of the partnership care model on sleep quality among patients with heart failure.
Materials and Methods: An experimental study (randomized controlled trials) was performed on 102 patients with chronic stable heart failure among whom reffered to Vasei hospital of Sabzevar in 2014. Patients were randomly assigned into two groups. The Pittsburgh Sleep Quality Scale was used as a criterion.Interventionand implementation of the partnership care model in one of the test groups were kept running for three months. Obtained data were analyzied based on descriptive and inferential statistical methods (chi-square, Mann-Whitney U, analysis of covariance & Multilevel Logistic Regression) with SPSS (Version 11.5) & SAS (Version 9.1) Softwares with 95% of confidence (95% CI).
Results: The results showed that there wasn't any statistical significant difference in the mean score of sleep quality between the two groups before the intervention. But after the intervention the values of mean and standard deviation of sleep quality were obtained 9.02±4.03 & 4.43±2.89, respectively. There was a significant difference between the two groups in sleep scores obtained by statistical test of Mann-Whitney U (p=0.001).
Conclusion: Implementation of the partnership care model is effective in increasing the quality of sleep among patients with heart failure. Therefor the implementation of the partnership care model among patients with choronic disease is suggested.
Loya Zarrabi; AliReza Asadi; Fereshteh Ghorat; Seyyed Abdollah Banihashem; Mohammad Gharavi; MohammadTaghi Shakeri
Volume 19, Issue 2 , May and June 2012, , Pages 173-180
Abstract
Aim and scope: In recent years, the need to decrease pain and anxiety in patients with acute leukemia during invasive diagnostic and therapeutic measures has been emphasized. This study was performed with the aim of evaluating pain and discomfort caused by bone marrow aspiration under general anesthesia ...
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Aim and scope: In recent years, the need to decrease pain and anxiety in patients with acute leukemia during invasive diagnostic and therapeutic measures has been emphasized. This study was performed with the aim of evaluating pain and discomfort caused by bone marrow aspiration under general anesthesia compared with local anesthesia. Materials and methods: This cohort study was performed on 239 patients with acute leukemia under 18 years of age admitted to Dr. Sheikh Hospital in Mashhad during two years. Children undergoing bone marrow aspiration with either general anesthesia with propofol or local anesthesia with lidocaine were compared in terms of pain intensity (Visual Analogue Scale), resistance to procedure, and the fear and anxiety during aspiration. Results were evaluated with SPSS software version 16 using t test and chi-squared test. Results: Among the 135 patients who were under general anesthesia, 20.1% showed a slight resistance to apply the anesthesia mask. The least amounts of pain, fear, and anxiety were reported. Among the 104 patients under local anesthesia, 80.2% had physical resistance, 44.4% had severe and very severe pain, and 86.1% showed intense fear and anxiety. In the general anesthesia group, physical resistance (p=0.01), pain (p=0.01), and fear and anxiety (p