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Showing 13 results for بهنام پور

Saied Ghari, Einollah Molaie, Dr Mohammad Mojerloo, Naser Behnampour, Alireza Shariati, Mohammad Jafar Aghakhani, Maryam Khari, Robabeh Salehi,
Volume 9, Issue 2 (1-2013)
Abstract

  Background and objective : Low blood pressure and Muscle cramps are common complications of Hemodialysis. One approach that has recently been proposed to prevent this complication is the combination of sodium and ultrafiltration. The purpose of this study was to investigate the effect of of sodium and ultrafiltration profile on some of the common complications during Hemodialysis.

  Material and Methods: In this crossover clinical trial study, 22 Hemodialysis patients referred to Panje-­Azar Hospital in 2012 were divided randomly into two groups. For each group, two treatment protocols were conducted, six hemodialysis sessions. The intervention protocol was a linear sodium dialysate and linear ultrafiltration. In routine Protocol, both sodium dialysate and ultrafiltration were considered constant. Using chi-square test and relative risk, the data was analyzed (P<0.05).

  Results: The mean age is 54.73 ± 11.21 year and 59.1% of them are females. The incidence of hypotension and muscle cramps in the experimental protocol procedure is significantly decreased compared with that of control group (P<0.05), but the incidence of headache and vomiting is not significant (P<0.05).

  Conclusion: Because sodium and ultrafiltration profile is simple and cost-free and reduces the incidence of complications during dialysis, we recommend using sodium and UF profile instead of routine one.


Ali Akbar Abdollahi, Shahzad Mehranfard, Naser Behnampour, Dr Abdolmohammad Kordnejad,
Volume 9, Issue 2 (1-2013)
Abstract

  Background and Objective: Cardiac angiography, which is widely used in Iran, is a diagnostic and therapeutic procedure for cardiac diseases. The patients suffer from back pain due to complete bed rest after angiography. Thus, this study aimed at determining the correlated factors with the severity of back pain after cardiac angiography in Dr. Ganjavian Hospital of Dezful­, 2011.

  Material and Methods: In this correlational study, 140 candidates of cardiac angiography were selected via convenience sampling. We used a checklist to collect the data about age, sex, body mass index(BMI), smoking, high blood pressure, diabetes and duration of angiography, which are the influential factors of the severity of back pain. Then, the severity of back pain was measured at first, second, fourth and sixth hour after angiography, using a numerical scale of pain assessment.­­To analyze the data, we used descriptive statistic, Mann Whitney and Spearman correlation.

  Results: ­The subjects are males (N=67), females (N=64) and smokers (­12%). The mean age is 55.7±7.7, and body mass index is 27.6±3.07. None of them has history of back pain and previous angiography. Based on Spearman, there is no significance correlation between back pain of 1, 2, 4, and 6 hours after angiography and factors such as age, BMI and duration of angiography. Man Whitney test indicates a statistical significance between gender and severity of pain in the first hour (Z=-2.17) and sixth hour (Z=-2.4) after angiography, whereas there is no statistical significance in the second, fourth and fifth hour after angiography.­ As well, there is no significant correlation between back pain and variables such as smoking, diabetes and hypertension.

  Conclusion: The findings showthat the nurses by being aware of related factors to back pain severity can try to reduce the pain and promote the patients’ convenience.


Dr Gholamreza Mahmoodi, Leila Rafiee Vardanjani, Neda Parvin, Einollah Mollaie, Naser Behnampour, Alireza Shariati, Dr Saied Mardani,
Volume 10, Issue 0 (Supplementary 2013)
Abstract

  Background and Objective: Treatment adherence has an essential role in improving quality of life, survival, decreasing cost and side effects of treatment in patients underwent hemodialysis. This study aimed to determine the effect of individual multi-stage care on the treatment adherence in hemodialysis' patients, ShahrekordHajar hospital.

  

  Material and Methods: This clinical trial was conducted on 66 Hemodialysis patients in 2013. They were randomly allocated into two equal groups of intervention and control. The instrument was the end-stage renal disease adherence questionnaire (ESRD-AQ). The patients in intervention group were participated in 8-session individual care program for one hour in addition to routine treatment. The data was analyzed using Mann–Whitney , Wilcoxon and Spearman (P<0.05). Level.

  

  Results: The study indicated a significant difference between two groups in all dimensions of treatment adherence except dietary and food adherence. Adherence to treatment was better in intervention group (P<0.05). Furthermore, there was a significant correlation between adherence treatment and age of patients (P<0.05, r=0.245).

  

  Conclusion: based on the findings, multi-stage care is effective on different aspects of treatment adherence.

 


Hossein Rahmani Anaraki, Mehri Farhan Ranjbar, Ali Akbar Abdollahi, Naser Behnampour,
Volume 10, Issue 1 (4-2013)
Abstract

  Background and Objective: Injection of subcutaneous low molecular weight heparin often causes some local reactions such as ­bruising, hematoma­, and pain, directly related to inappropriate injection method­. This study aimed at determining the effect of injection duration of­ Subcutaneous Enoxaparin Sodium on the size of bruising and the severity of injection pain.

  Material and Methods: This experimental study was conducted on 36 patients medicated by subcutaneous Enoxaparin Sodium (60mg). ­­They were randomly divided into two groups.­ The first group received routine method of subcutaneous anoxaparine injection (10 second duration injection technique) and in the second group in addition to routine method, ­“10 second waits” before removing needle was performed. Data collection was carried out by using a researcher-made check-list consisting of a section for demographic data and a section to record the extent o f bruising and pain intensity.­ The Extent of bruising was measured by using a clear flexible ruler within 24, ­ 48 and 72 hours and pain intensity by visual analog scale (VAS) ,immediately after injection­.­­We analyzed the Data by independent T test and Chi square.

  Results: ­ The ­Results indicate ­­that­ the mean ­of pain intensity in second group (­3.05 ± 1.71­)­ is less than first group (­3.86 ± 2.75­)­.­There is no significant difference between two groups for the extent of bruising in 24, ­ 48 and 72 hours (P>0.05).

  Conclusion: with regard to ­pain intensity and the size­ of the bruising, the two groups are not significantly different.


Einollah Mollaie, Saied Ghari, Dr Mohammad Mojerloo, Naser Behnampour, Alireza Shariati, Mohammad Jafar Aghakhani, Seyyed Yaghoob Jafari, Maryam Khari, Robabeh Salehi,
Volume 10, Issue 2 (10-2013)
Abstract

Background and objective: Hypotension and Muscle cramp are the common complications of Hemodialysis. One approach that has recently been proposed to prevent this complication is the change in the concentration of sodium and ultrafiltration. The purpose of this study was to investigate the influence of sodium dialysate variation and ultrafiltration in preventing hypotension and muscle cramp during hemodialysis process.
Material and Methods: In this clinical trial study, 44 Hemodialysis patients were divided randomly into four groups. For each group, four treatment protocols (six-session Hemodialysis) were conducted. Protocol A: Sodium dialysate and ultrafiltration were constant. Protocol II: sodium was linear and ultrafiltration was constant. Protocol III: Sodium and ultrafiltration were linear. Protocol IV (routine): Sodium and ultrafiltration were constant. Using Chi-Square and relative risk, the data was analyzed (P<0.05).
Results: The incidence of hypotension, at the end of the fourth hour of dialysis in Protocol 3, was significantly decreased compared to that of routine method (P<0.05), while at the end of first, second and third hour, this difference was not significant. Muscle cramp in the routine method was more than other protocols (P=0.034). The relative risk of muscle cramp in the routine method was 2.08 times of protocol I, 1.09 of Protocol II, 2.08 of protocol III.
Conclusion: Sodium and ultrafiltration profile is simple and cost-free, and it reduces the incidence of hypotension and muscle cramp during dialysis. Thus, we recommend using sodium and UF profile instead of routine protocol to reduce these effects.

Ali Akbar Abdollahi, Seyyed Abedin Hosseini, Dr Aref Salehi, Gholamreza Vaghari, Naser Behnampour,
Volume 10, Issue 2 (10-2013)
Abstract

Background and objective: Cardiovascular disease is the leading problem of the elders. It is progressive disorder that is initiated in childhood and its clinical demonstration is revealed after middle-‌aged period. This study aimed to determine the relationship between coronary artery disease- related risk-factors and aging.
 Material and Methods: This‌ ‌descriptive‌-‌analytical study was conducted on all 772 elders referring to Kosar Angiography Center in Golestan province, 2008-‌2009. The subjects were divided into coronary disorder group and normal group. The risk factors including age, gender, body mass index (BMI), blood pressure, diabetes mellitus, smoking and drug addiction were assessed. The data was analyzed by SPSS‌-16, using Mann-Whitney and T-test.
Results: Most of the subjects were between 65 to‌ 75 years. Of the three main vessels, the most involved one‌ was circumflex (31.5%). ‌The factors such as gender and systolic hypertension were significantly different in two groups. Furthermore, the Risk ratio in the patients with ‌systolic hypertension (1.13 times) and the ones with diastolic hypertension (1.11 times) was more than normal group. Conclusion: Gender and systolic hypertension in the elders with CAD are the main and predisposing factors. Therefore, if we control hypertension, it may be possible to prevent from the CAD progress.

Hashem Heshmati, Rasoul Asnashari, Samane Khajavi, Dr Abdurrahman Charkazi, Dr Anahita Babak, Seyed Ghadir Hosseini, Dr Nasser Behnampour,
Volume 11, Issue 1 (5-2014)
Abstract

Background and Objective: Because of high growth of elderly population and the role of life style in their problems, we aimed to investigate the elders’life style in Kashmar. 
Material and Methods: This descriptive study was conducted on 267 of over- 60- older people, who were covered by Kashmar health centers, selected by multi-stage sampling. We collected the data, using a valid and reliable questionnaire, via interview and analyzed them by SPSS 18 version using Chi- Square, ANOVA, independent t test, and correlation coefficient. 
Results: The Mean age of the elderly was 69.03±0.38. The life style was moderate in 180 (67.4%) and desirable in 87 (32.6%) of them. There was significant relationship between life style and the variables such as age, marital status and education level (P<0.001). In addition, there was significant negative relationship between age and preventive behavior (p<0.001 r=-0.453), physical activity (p<0.001 r=-0.226), tension (p<0.001 r= -0.252) and social relation (p<0.001 r=-0.311). 
Conclusion: A high percentage of elderly hasn't desirable life style therefore, we recommend appropriate measures, especially educational intervention for promoting elders’ life style.

Einollah Molaie, Zahra Royani, Dr Mohammad Moujerloo, Dr Naser Behnampour, Javad Golage, Maryam Khari,
Volume 11, Issue 1 (5-2014)
Abstract

Background and Objective: Fatigue is one of the most common side effect in hemodialysis patients. This study aimed to assess the factors associated with fatigue in hemodialysis patients, such as demographic variables, anxiety, depression and quality of sleep. 
Material and Methods: This descriptive-analytic study was conducted on 58 eligible, randomly selected patients of 165 hemodialysis patients referred to Panje Azar Hospital in Gorgan. The instruments were a demographic checklist, Fatigue Severity Scale, Beck Anxiety Inventory, and the Beck Depression Inventory. The data was analyzed by SPSS 17 software using Mann-Whitney, Kruskal-Wallis, Spearman's correlation coefficient and linear regression. 
Results: The mean average of fatigue in all patients was 1.66±4.76. Twenty-six of the participants (44.8%) expressed that they suffer from moderate anxiety, 17 (29.3%) from severe depression and 43 (74.1%) from poor quality of sleep. The relationship between fatigue and anxiety (P = 0.006, r = 0.353) and depression (P≤.001, r=0.525) was directly significant whereas the relationship is not significant for sleep quality. 
Conclusion: Given the high prevalence of fatigue in hemodialysis patients and the impact of multiple factors, we strongly recommend that care providers should consider these factors to improve patients’ quality of life.

Dr Mohammad Moujerloo, Einollah Molaie, Zahra Montazer, Dr Naser Behnampour, Alireza Shariati , Maryam Khari,
Volume 12, Issue 1 (4-2015)
Abstract

Background and Objective: Cool temperature dialysate has been recommended to improve hypotension during dialysis. Thus, we aimed to evaluate the effect of lowering the dialysate temperature on intradialytic hypotension (IDH) and some interventions in patients undergoing hemodialysis (HD). Material and Methods: This randomized controlled trial with a cross over design was conducted on 50 patients divided into two equal groups. Each group was dialyzed for two periods of 12 HD sessions, once with standard temperature (37°C) and in the next period with cool dialysate (35.5°C). Blood pressure and the related interventions were noted during each dialysis. The Data was analyzed using Chi-square, McNemar, Independent and Paired T Tests. 
Results: Overall, the frequency of hypotension in routine method was 18% and in cool dialysis was 5%. It means that hypotention in cool dialysis is significantly less than that of routin method (P<0.004). Furthermore, the mean of hypotension related interventions in both groups was also significant (P<0.001). 
Conclusion: Owing to the effect of cool dialysate temperature on stabilizing hemodynamic parameters, we recommend using this method during hemodialysis in hypotensive patients.

Dr Khadijeh Yazdi, Dr Arazbordi Ghorchaei, Dr Shakiba Mozari, Fariba Baghani, Ali Akbar Abdollahy, Dr Naser Behnampour,
Volume 12, Issue 2 (12-2015)
Abstract

Background and Objective: The usual method of assessing depth of anesthesia, which is not sensitive and specific enough, is measuring hemodynamic parameters, autonomic changes and subjective symptoms including movement, sweating and lacrimation. This study aimed to determine the relationship between the depth of anesthesia and hemodynamic indices.

Material and Methods: This correlational study was conducted on 57 patients undergoing elective hernia surgery in Shahid Beheshti Hospital ,Sabzevar in summer 2014.  An identical anesthesia technique was used for all patients.  Depth of anesthesia was monitored quantitatively by bispectral index (BIS) at 5-minute intervals, with simultaneous recording of heart rate and blood pressure. We analyzed the data using Anova and correlation coefficient.

Results: The mean age was 45.54±13.46. The patients were males (n=36) and females (n= 21).   Only 59.6 % of the patients experienced a normal depth of anesthesia. Hemodynamic parameters were not significantly correlated with anesthetic depth except for heart rate in the first 5 minutes (P= 0.013).

Conclusion: Given that hemodynamic parameters have some limitations in determining the acceptable depth of anesthesia, we recommend using the monitors based on brain signal processing.


Dr Akram Sanagoo, Dr Naser Behnampour, Ahmad Taghavee, Fariba Baiky,
Volume 12, Issue 2 (12-2015)
Abstract

Background and Objective: Mental health is one of essential needs that has a critical role in sustainable development.  Burnout , a physical and mental fatigue and a sense of reduced capabilities, is a leading factor in lowering mental health efficiency .this study aimed at determining the relationship between burnout and mental health in  Al –E-Jalil hospital`s staff.

Material and Methods: This descriptive - analytical research was conducted on 179 Al–E-Jalil hospital`s staff recruited via Census method in 2014. The data was collected by mental health questionnaire (G.H.Q-28) and Burnout (Maslach) questionnaires, and analyzed by kruskal Wallis, Mann-Whitney and Spearman correlation.

Results: Significant relationship between mental health and burnout (P=0.0001, r=-0.844) showed that mental health enhancement  reduced the level of  burn out. The mean mental health (19.28± 10.77)  was excellent . Two domains of “somatization" and "depression and suicidal tendencies" were better than "social dysfunction" and "anxiety and sleep disorders". The highest mean was related to  "Depersonalization" and "emotional exhaustion"  and the lowest one to " personal accomplishment".

Conclusion: The findings show that there is  a negative significant relationship between mental health and burnout that means by enhancing mental health the staff experiences lower level of  burn out.


Abouzar Mehboudi, Dr Mahnaz Modanloo, Alireza Shariati, Dr Naser Behnampour, Dr Gholamreza Bardestani, Dr Hamid Basiri, Sepide Mehboudi,
Volume 12, Issue 3 (Supplementary 2016)
Abstract

Background and Objective: Patients under hemodialysis are faced with many stressors and psychological problems such as sleep disorder and anxiety. These problems could be a threat to their health and be significant clinically.  Thus, we aimed to determine the relationship between anxiety and sleep quality in hemodialysis patients.

Material and Methods: This descriptive-analytic study was conducted on 74 hemodialysis patients in Hefdahe Shahrivar hospital of Borazjan city, 2014. The data was collected by Pittsburgh Sleep Quality Index (PSQI) and State-Trait Anxiety Inventory (STAI), and analyzed by t-test, ANOVA and correlation Coefficient using SPSS.

Results: Most of the patients (89.2%) had the average anxiety and 63.3% of them had low sleeping quality. The average of patients’ anxiety and sleeping quality were 49±6.5 and 11.7±2/4, respectively. The correlation coefficient between anxiety and sleeping quality was 0.515 (p=0.001), pointing out an acceptable correlation. Along with the increase of anxiety, the dimension of the subjective sleep quality, delay in falling asleep, the sleep disturbances were affected and ended up low sleeping quality. There was no significant correlation between the anxiety and sleeping quality and daily dysfunction.

Conclusion: Given the acceptable correlation between anxiety and sleep quality, there is a direct relation between anxiety and sleep quality of the patients.


Mahbobeh Ghorbani, Dr Akram Sanagoo, Dr Leila Jouybari, Dr Naser Behnampour,
Volume 12, Issue 3 (Supplementary 2016)
Abstract

Background and Objective: Nowadays, smoking is a widespread health problem in the world. Hookah smoking is common in many countries, especially in the Middle East and Africa. This study aimed to investigate the causes of hookah smoking in adolescents in Kurdkoy, 2013.

Material and Methods: This cross-sectional study was conducted on 266 teenagers selected via multi stage sampling. The questionnaires were distributed among  the  people who were present at the Coffeehouses and the results were reported by descriptive statistics.

Results: The results showed that 51.5% of the participants said they use Hookah every day. The reasons were pastime (56.4), unemployment (41.7), Pleasant feeling (33.8), being with friends (33.5), fatigue reduction (33.5) and the availability of hookah (32.3).

Conclusion: To minimize the tendency to Hookah smoking, we recommend planning some activities for leisure time, "learning to say no" and training how to reduce anxiety and fatigue.



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