Educational
Mostafa Rad; mojtaba rad
Volume 27, Issue 4 , November and December 2020, , Pages 578-584
Abstract
Introduction: Anxiety affects learning. It causes of many physical, and psychological problems. No qualitative study was seen in this matter.Therefore, the purpose of this study was to explain the students' experiences about the test anxiety and the anxious factors associated to the teacher.
Materials ...
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Introduction: Anxiety affects learning. It causes of many physical, and psychological problems. No qualitative study was seen in this matter.Therefore, the purpose of this study was to explain the students' experiences about the test anxiety and the anxious factors associated to the teacher.
Materials and Methods: This was a qualitative content analysis study, which was conducted in 2016. Participants were 25 students from Sabzevar University of Medical Sciences who had at least two semesters of study and participated in the final exam. The sampling method was initially goal oriented. The data were collected using a semi-structured interview with a presence in the field. Data analysis was carried out using conventional content analysis.
Results: 5 main categories and 14 sub-categories explored that main categories including the consequences and complication of test anxiety, teacher's teaching and evaluation strategy, teacher - student interaction strategy, the supportive role of teacher at the exam session, and learning self-management and control of anxiety were extracted from the data.
Conclusion: Using methods such as relaxation and resorting, the more recognition of teachers, the use of young faculty members from the experience of skilful teachers, the use of new educational methods, identifying sufficient references and asking questions from the same references, teacher’s attending in test session from the first to the end of the exam, and distributing the grade score during the term, are of the factors that can reduce student anxiety.
Nursing
Ali Saneipour; mojtaba rad; Yaser Tabaraei; Mostafa Rad
Volume 26, Issue 3 , September and October 2019, , Pages 373-381
Abstract
Background: Ischemic heart disease is the first cause of early death in the world. One of the main treatments for patients with acute coronary syndrome is the use of anticoagulants. The aim of this study, The aim of this study was to compare effect of two methods of intermittent intravenous injection ...
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Background: Ischemic heart disease is the first cause of early death in the world. One of the main treatments for patients with acute coronary syndrome is the use of anticoagulants. The aim of this study, The aim of this study was to compare effect of two methods of intermittent intravenous injection and continuous infusion on APTT in patients with ACS.Materials and Methods: clinical trial was performed on 60 patients selected by random sampling in Neishabour Hospital in 2018. To data gathering were used the demographic information questionnaire, and APTT checklist. The intravenous injection group received 2500 units heparin every 3 hours and infusion group was given 1000 units per hour and APTT was controlled. Data analysis was done using SPSS-16 software and sinifiant level was considered to be less than 0.05.Results: Mean APTT level in first stage was 40.8 ± 11.17 and 38.87 ± 8.86 in intermittent intravenous injection and continuous infusion groups respectively. In the 8th stage, mean APTT level in intravenous injection group was 55.03 ± 8.41 and in continuous infusion group was 55.7 ± 14.09. Independent t-test did not show a significant difference between the two groups (P> 0.05).Conclusion: Regarding to approximation of the results in two methods, alternate injection method can be used instead of continuous intravenous infusion. This method creates less constraints for the patient and reduces the burden on nurses due to don’t need setting pump syringe, serum heparin preparation, and alleviation of alarms.
Nursing
Zahra Estaji; Mojtaba Rad; Mohammad Hasan Rakhshani; mehdi miri
Volume 25, Issue 5 , November and December 2018, , Pages 723-729
Abstract
Background: It is important to maintain proper endotracheal tube cuff pressure during hospitalization in intensive care units (ICUs). Among variables affecting endotracheal tube cuff pressure (p.cuff) in patients is various nursing practices. So, this study assessed the effect of body position changes ...
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Background: It is important to maintain proper endotracheal tube cuff pressure during hospitalization in intensive care units (ICUs). Among variables affecting endotracheal tube cuff pressure (p.cuff) in patients is various nursing practices. So, this study assessed the effect of body position changes on p.cuff in patients hospitalized at the ICU. Materials and methods: In this clinical trial, mechanically ventilated patients with oral endotracheal tube hospitalized at the ICU were enrolled. The patients were selected using the purposive sampling method. A demographic data checklist and Richmond Agitation Sedation Scale were used to collect the data. p.cuff changes, after changing body position to the left and right at bed angles of 30° and 45°, were immediately measured and recorded. The data were analyzed using the SAS and SPSS 19 software packages along with descriptive statistical tests, chi-square test, independent t-test and ANOVA at the significance level of 0.05.Results: The results of this study showed no significant relationship between demographic variables and endotracheal tube cuff pressure changes. The results indicated a significant relationship between endotracheal tube cuff pressure at 30-degree bed angle and cuff pressure in the body position changes to the left (p = 0.004) and right (p = 0.00), as well as between 45° head of bed and cuff pressure in the body position changes to right (p = 0.012).Conclusion: The endotracheal tube cuff pressure was observed to change by changing the patient's position, change. Therefore, it is recommended to measure p.cuff and regulate it within the therapeutic range.
Mohammad Alinejad Moghaddam; MohammadHasan Rakhshani; Zahra Estaji; Mojtaba Rad
Volume 20, Issue 5 , March and April 2014, , Pages 747-756
Abstract
Introduction: Oral health care in patients with an endotracheal tube is one of the most important aspects of nursing care and nursing tasks in intensive care units. Mouth cleaning can reduce the amount of dental gingival, gum disease and the incidence of pneumonia associated with mechanical ventilation.
Purposes: ...
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Introduction: Oral health care in patients with an endotracheal tube is one of the most important aspects of nursing care and nursing tasks in intensive care units. Mouth cleaning can reduce the amount of dental gingival, gum disease and the incidence of pneumonia associated with mechanical ventilation.
Purposes: The purpose of this study is the comparison between the effect of chlorhexidine solution and toothbrush in the prevention of oral lesions in patients hospitalized in intensive care unit in Shaheed Beheshti Hospital of Sabzevar.
Materials and methods: This study is a clinical trial. The Research Society in this study is patients hospitalized with endotracheal tube from the arrival time in intensive care unit in 1392. In this study, 30 patients were selected with target-based approach. They were divided into two groups by permutation blocking method for oral care toothbrush and chlorhexidine. There were 15 patients in each group. Beck Oral Assessment Scale (BOAS) modified and MPS are used in order to collect information on demographics List of information from the checklist of oral health. Data are analyzed by R software, Kolmogorov–Smirnov test, Chi square test, and Fisher and multiple logistic regression at 95% confidence level.
Results: Patients toothbrush and chlorhexidine groups of characteristics like age, sex, and drugs were similar (p>0.05). The results show that the toothbrush and chlorhexidine are effective in preventing oral lesions, but in some cases, when the toothbrush was used, the oral health status of the patient was better (OR=1.52، p=0.0046).
Discussion and conclusion: The results indicated the use of toothbrushes and toothpaste is a significant effect in reducing oral lesions in comparison with chlorhexidine.
Mahnaz Seedoshohadee; Norodin Mohammadi; Mojtaba Rad; Hamid Haghani
Volume 20, Issue 5 , March and April 2014, , Pages 801-807
Abstract
Introduction: Delirium as a syndrome which is recognized by consciousness disorder and changing in cognition. Delirium patients after by-pass are a common neurological complication, which is a component of the cognitive disorder. A high percentage of these kinds of patients suffer from after surgery. ...
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Introduction: Delirium as a syndrome which is recognized by consciousness disorder and changing in cognition. Delirium patients after by-pass are a common neurological complication, which is a component of the cognitive disorder. A high percentage of these kinds of patients suffer from after surgery. Evaluation of risk factors (blood transfusions and the use of more than one unit CPB) after surgery can be a valuable step in order to highlight the importance of prevention and early detection of delirium. This study aimed to recognize some risk factors related to delirium in patient who had a by- pass operation.
Methods: This study is a cross - sectional. The number of participants was 370 patients who had a by-pass operation were studied by the continuous sampling method. Researcher referred to the selected clinical centers in Tehran to identify related patients to our study and then informed consents were obtained from all patients. Using the Delirium Screening Scale, we analyzed psychological condition of patients until they were discharged from the critical care unit daily. The personal information questioner was completed on the first day of analyzing the psychological condition. Then the gathered data was analyzed by the SPSS 16 statistical package.
Results: Our findings showed that there was no meaningful statistical relationship between the incidences of delirium with risk factors despite its being common among participants.
Conclusions: According to these factors it is not possible to predict incidence of delirium in patients after a by- pass operation. In other words, there is an equal chance of delirium incidences among all patients’ regardless of having or not having these factors; therefore the analyzed factors of this study cannot be used to predict the delirium incidence.
Mojtaba Rad; Javad Ganjlo; Abdol ghader Asarodi
Volume 20, Issue 2 , May and June 2013, , Pages 230-235
Abstract
Background and Purpose: Tracheostomy is a second selective approach to management the upper respiratory tract obstructions after intubation and used in patients who require long-term ventilation. This article reports a rare complication, entering the fractured tracheostomy tube into the left bronchus.
The ...
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Background and Purpose: Tracheostomy is a second selective approach to management the upper respiratory tract obstructions after intubation and used in patients who require long-term ventilation. This article reports a rare complication, entering the fractured tracheostomy tube into the left bronchus.
The Patient: A 74-year-old man with a large hematoma in the right frontal lobe, Craniotomy surgery and evacuated of hematoma was done. A Patient's metal tracheostomy tube fractured and entered into the left bronchus that is a rare complication. The ICU staff immediately recognized and ENT specialist removed the fractured tube with rigid bronchoscopy.
Conclusion: Fracturing of the Tracheostomy tube is one of the rare complications that need careful examination before the tubes used and applying the standard tracheostomy tube Should be considered.