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Volume 1, Issue 1 (5-2013)
Abstract

Background and objectives: Despite the long history of cardiopulmonary resuscitation (CPR), there are still major concerns about poor CPR team performance in hospitals. While only 10-15 percent of those undergoing CPR leave the hospitals alive, the statistics vary in different countries. Since addressing the barriers to successful CPR may help prevent the potential risks to future patients, the present study aimed to identify such barriers from the perspective of nurses.

Methods: In a descriptive-analytic study in 2011, 200 nurses, including 68 men (34 percent) and 132 women (66 percent), employed at four teaching hospitals affiliated to Golestan University of Medical Sciences (Iran) were randomly selected. Data were collected through a researcher-made questionnaire. Descriptive (frequency, mean, and standard deviation) and inferential statistics were applied for data analysis. All analyses were performed with SPSS version 16 .

Results: The majority of nurses (83 percent) had an experience of working with a CPR team. The participating nurses suggested absence of timely clinical CPR (98 percent), lack of regular standard in-service training (98 percent), lack of CPR equipment and supplies in the wards (92 percent), lack of efficient communication among team members (90 percent), and underlying diseases of the patients (88 percent) as the most important barriers to successful CPR.

Conclusion: Considering the poor performance of CPR teams in hospitals, management of this challenge requires more attention of planners and hospital authorities. Holding standard retraining programs to update the staff’s knowledge and improve their skills would be essential to forming a competent and cohesive CPR team.


, , , ,
Volume 1, Issue 1 (5-2013)
Abstract

Background and objectives: Cryptorchidism or undescended testicle, with a prevalence of 33 percent in preterm and 3-5 percent in term infants, is the most common congenital abnormality in newborn boys. The present study aimed to assess the recovery rate and urinary tract infection among infants with cryptorchidism during the first 15 months of their life.

       

 Methods: This cross-sectional descriptive study was conducted on 47 infants with cryptorchidism in Zahedan city (Iran) in 2012. The infants’ birth weight, preterm/term birth, delivery method, and affected testicle along with maternal age, history of urinary tract infection during pregnancy, and number of pregnancies were collected. Information about the infants’ urinary tract infection and recovery from cryptorchidism was collected through observations and trimonthly phone calls until the 15th month after birth. Percentage and mean were used for data analysis.

 Results: Of the 47 studied infants, 63.82 percent were premature, 59.57 percent had right-side cryptorchidism, and 80.60 percent developed urinary tract infection at least once. The highest incidence of urinary tract infection (29.8 percent) was seen at the age of three months old. The majority of infants (91.5 percent) recovered during the course of the study and the recovery rate at the fifth, 10th, and 15th months were 31.9 percent, 38.3 percent and 21.3 percent,respectively.

 Conclusion: This study revealed the high prevalence of urinary tract infection among infants with cryptorchidism. It also showed that most infants with cryptorchidism recover within 15 months of age.


Leila M Juybari, Seyyedeh Fatemeh H Hosseini, Samieh Ghana, Samira Saeedi, Akram Sanagoo,
Volume 1, Issue 1 (10-2012)
Abstract

Background and objective:

Delirium is an acute and transient disorder in the function of the brain. Although the main core of this syndrome is consciousness disorder and deficiencies in attention and concentration, the general deficiency is seen in all psychological areas of thinking, temperament, cognition, language, speaking, sleeping, and mental-motional and other cognitive areas. Delirium is often seen in recovery room and is a predictor of post-operative delirium in the general ward. This study was conducted to determine the incidence of delirium in patients after surgery in the recovery room.

Materials and Methods:

This descriptive cross-sectional study was conducted on 75 patients after general and orthopedic surgery and in the recovery room of the educational-therapeutic center of Gorgan in 1389 using the DESC-Nu nursing delirium screening scale. Data was analyzed using chi-square descriptive and analytical statistics and T-test.

Results:

Among the 75 studied patients in the recovery room after orthopedic surgery and general surgery, 53.3% were women with a mean age of 48.7. The mean surgery duration was 129.21 minutes. 26.6% had been under spinal anesthesia and 73.3% had been under general anesthesia. Delirium was observed in 30.6% of all the patients. Delirium was observed in 21.3% of patients having orthopedic surgery and 9.3% of the patients having general surgery. Delirium had a significant statistical relation with the variables of age, gender, and type of surgery (p<0.05).

Conclusion:

This study showed that 30.6% of patients had delirium. Male and older patients having orthopedic surgery were more vulnerable. Therefore, usual assessment of delirium in recovery room to identify patients with delirium can be a guide of nurses’ appropriate care of patients after surgery.
Maliheh Alhavaz, Leila Mahasti Jouybari, Nafiseh Hekmati Pour, Akram Sanagu, Ladan Fazli, Fozieh Bakhsha, Seyyedyaghub Jafari,
Volume 1, Issue 2 (10-2013)
Abstract

Background and objectives

theaters and are not in appropriate conditions and need further support. Therefore, this study was conducted

with an objective to explain medical ethics in the operating theater and the clinical experiences of the students

of anesthesiology.

: Clinical students should become familiar with medical ethics and its principles from the beginning, observing it in their relationships with patients, in particular, the patients who are in operating

Methods:

University of Medical Sciences were studied using a purposive sampling method. The inclusion criteria of

the students included passing at least one semester of clinical experience in the ope

In this qualitative study with a phenomenological approach, 50 students of anesthesiology at Golestanrating theater, and having

inclination for participation in the study. The data collection tool was semi-structured interviews. The data were

analyzed using the conventional content analysis method. The data were analyzed in a regular three-phase pro

that is, open coding, axial coding and selective coding.

cess,

Results:

main theme derived from this study was that the patient is in the trust of us.

The themes concluded from this study for explaining medical ethics in the operating theater included trustworthiness, having a chaste look, confidentiality, observing the patient’s privacy and their clothing. The

Conclusion:

The results showed that the students of anesthesiology consider the patient as a member of their own family, and attempt to take care of the patient, who is in sensitive conditions, in the best possible way.
Maryam Chehrehgosha, Maryam Dastourpour, Akram Sanagu, Azam Mohamadi,
Volume 1, Issue 2 (10-2013)
Abstract

Background and objectives:

Fatigue experience is a psychological experience therefore, the relevant caregivers’ acquaintance with this issue

is the most important step in offering optimal care for the patients. Accordingly, this study was conducted

to determine Cancer-related Fatigue and its Relationship with Demographic and Clinical Characteristics in

Cancer Patients.

A cancer diagnosis is a highly undesirable event for anyone.

Methods:

characteristics form and the Multidimensional Fatigue Inventory. The data were analyzed with the SPSS-

18 software and t-test and ANOVA and tukey post hoc test were used.

In this analytical study, 150 cancer patients visiting the oncology unit, the Shafa Radiotherapy Center,and Gorgan’s 5th Azar Teaching Hospital in 2012, who were selected with a purposive sampling method,participated in the study for 4 months. The required information was collected using a demographic and clinical

Results:

of treatment, 51.3% used chemotherapy-surgery-radiotherapy regimen, 24.7% surgery-chemotherapy regimen,

14% used chemotherapy, 7.3% used radiotherapy, and 2.7% used surgery. The overall mean score

of fatigue was 54.65±8.78 from 100. The variables of residence (P=0. 018), the duration of marriage

(P=0.018), the treatment regimen type (P<0.001), and the family’s economic status (P<0.000) were found to

The patients’ mean age was 48.39±1.5 Of the patients, 55.3% had undergone less than 12 months

have a significant relationship with fatigue.

Conclusion:

Psychological interventions, besides physical caring and nursing interventions play a significant

role in the all-inclusive management of cancer patients’ problems, in particular, their fatigue.



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