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Showing 8 results for Vakili

Seyyed Abedin , Alemeh Heidari, Dr Mohammad Ali Vakili, Dr Shahram Moghaddam, Dr Sadegh Ali Taziki, Mohammad Taghi Badeleh,
Volume 10, Issue 0 (Supplementary 2013)
Abstract

  Background and Objective: surgery is a stressful experience and in open heart surgery, the patients are greatly faced with anxiety, which has been reduced by different approaches. This study aimed to investigate the effects of aromatherapy on anxiety level.

  

  Material and Methods: This blinded- randomized- controlled clinical trial was carried out on 90 patients divided into two groups of intervention and control. the patients of intervention group were asked to inhale two drops of lavender essential oil and those of control group two drops of distilled water poured on a gauze , for 20 minutes. In addition to measuring patients’ anxiety level by Spielberger questionnaire, we recorded their vital signs. Using SPSS 16 software, the data was described via mean, standard deviation and percent, and analyzed by using independent t-test, paired t-test, Chi Square and Covariance (0.05).

  

  Results: The mean age of intervention group was 50.49 ± 10.92 and control group was 50.13 ± 9.20. Anxiety score in intervention group was significantly decreased from 56.37±5.6 to 54.73±5.42 and in control group meaningfully reduced from 55.18±7.35 to 54.0±7.22 (p<0.05). The mean anxiety score in the intervention group was significantly higher than that of control group (p<0.05).

  

  Conclusion: Because anxiety reduction in aromatherapy group was more than control group it can be concluded that aromatherapy with lavender essential oil have significant effect in reducing anxiety and therefore can be used in clinical situations.

  


Dr Gholam Reza Mahmoodi, Esmaeel Hosseinzadeh, Dr Mohammad Ali Vakili, Dr Kazem Kazemnejad, Dr Mohammad Reza Mohammadi, Dr Mohammad Hossein Taziki, Dr Rahim Kohansal, Zahra Hojbari,
Volume 10, Issue 1 (4-2013)
Abstract

  Background and Objective: Coma due to brain injury is an important complication resulting in unconsciousness and reducing the capacity of responding to the environment. This study aimed at examining the effect of organized voice auditory stimulation, which was performed by a nurse, on the length of coma in the patients suffering from head injury.

  Material and Methods: This clinical-trial study was applied on 40 patients in the critical care unit of Panje Azar Hospital. The patients were randomly recruited to one of the two groups (each group 20 patients). The intervention group was stimulated by the voice of a male nurse. Hearing stimulation was conducted in the morning and night shift about 15 minutes each time for 10 days. The patient consciousness was measured by GCS scale and analyzed by ANOVA and t-test (P<0.05), using SPSS Soft ware.

  Results: ­ The average age of intervention and control group was 28.20 ± 11.49 and 27.8 ± 13.22, respectively. Before stimulation in the first day, there is no significant difference between the GCS of intervention group (5.95 ±0.68) and that of control (5.95 ± 0.64). The results indicate that the intervention group has become consciousness from the 5th day (GCS of 8.25 ± 1.19) and control group (GCS of 7.80 ± 1.96) from the 10th day.

  Conclusion: The study show that the auditory stimulation in the intervention group compared to control group gives rise to the improvement of ­the level of consciousness in comatose patients .


Dr Gholam Reza Mahmoodi Shan , Hosein Rahmani, Ali Akbar Abdollahi, Dr Mohammad Ali Vakili, Houralnesa Sheikh, Hosein Nasiri,
Volume 11, Issue 1 (5-2014)
Abstract

Background and Objective: There is an inevitable relationship between nurses' health and their lifestyle. Therefore, we intended to determin nurses’ lifestyle and its' relationship with some personal- professional characteristics.  
Material and Methods: This descriptive-analytical investigation was conducted on 391 nurses selected via multi-stage random sampling in the Hospitals affiliated to Golestan University of medical sciences. The data was collected by a nurses lifestyle questionnaire having 6 subscales (internal consistency α=0.87 and stability r= 0.897). The data was analyzed by SPSS16 soft ware using independent t test, Kruskal-Wallis, Mann-Whitney U and chi-square tests( p<0.05). 
Results: Of 391 , 20.2% were male and 79.2% female, and 85.4% have worked in rotation shift. The nurses (36.3 %) working experience was 6-10 years. The majority (78.1%) had optimal lifestyle. The highest score belonged to competency subscale (92.17%) and the lowest to personal life management subscale (64.82%). There was a significant relationship between a number of lifestyle subscales and some personal-professional characteristics such as nurse position, Employing condition, work shift, overtime, night shift and holiday shifts (p≤ 0.05). 
Conclusion: There is a relationship between nurses' lifestyle and some of the personal-professional status. Given that some professional conditions can decrease the personal life management and the role management of healthy lifestyle, we recommend that managers should be careful about working programs to provide healthy lifestyle.

Mohammad Aryaie, Danial Bagheri, Dr Mohammad Ali Vakili , Fozieh Bakhsha, Seid Yaghub Jafari, Samane Karimi, Dr Ali Asghar Abbasi Asfajir,
Volume 12, Issue 2 (12-2015)
Abstract

Background and Objective: Musculoskeletal disorders are the most common occupational complaints bringing about increased financial burden and reduced social productivity. This study aimed to determine the prevalence of musculoskeletal disorders and their relationship with psychosocial factors in the staff of organization.

Material and Methods: In this cross-sectional study, 675 staff of the organizations in Gorgan where selected via cluster & stratified sampling. The instruments Nordic standard questionnaire and job content including areas of job demands, decision latitude, job nature, social interaction with managers and colleagues. We analyzed the data by independent t-test, chi-square test and logistic regression (P&le0.05).

Results: Seventy-seven of participants (11.4%) suffer from neck pain, 39 (5.8%) from shoulder pain and 97 (14.4%) from back pain. Multivariate logistic regression showed a significant relationship between neck pain and the support given by supervisor and Colleagues. Respectively, Freedom of decision-making and support are the most common factors associated with shoulder and back pain.

Conclusion: Based on the results, the support of supervisor & Colleagues and the freedom of decision are the risk factors associated with musculoskeletal disorders.


Atharalsadat Mirkarimi, Homeira Khoddam, Mohammad Ali Vakili, Mohammad Bagher Sadeghi , Mahnaz Modanloo,
Volume 13, Issue 1 (6-2016)
Abstract

Background: Hypertension is a risk factor for many diseases. Nutritional methods are considered as major tools in lifestyle modification for lowering blood pressure. The present study was conducted to determine the level of dietary adherence in hypertensive patients.

Methods: This descriptive-analytical study was performed in 2015, on hypertensive patients who were referred to Heart Clinic of Sayyad Shirazi Hospital in Gorgan. Overall, 200 patients (62% female) were selected by purposive sampling. The dietary adherence was evaluated in five following groups of salt-, fat-, fruit-, vegetables- -and dairies-intake through daily completion of data collection form within two weeks. This form was designed by the researchers and its validity and reliability were tested in a pilot study. Data were analyzed using Mann-Whitney, Chi-square, and logistic regression analysis tests.

Results: The mean and standard deviation (SD) of age of patients was 48.6±7.51 years. Mean and SD of systolic and diastolic blood pressure in patients were 152.31±9.1 and 93.53±2.87 mmHg, respectively. The results showed that 7% of patients had complete dietary adherence, 66.5% had poor adherence, and rest of the subjects had average dietary adherence. The highest level of dietary adherence was observed in the case of diaries intake (43.5%) and the lowest was related to fruit intake (3.5%).

Conclusion: Given the importance of dietary adherence in controlling hypertension and lack of dietary adherence in hypertensive patients, it is recommended to conduct further studies to identify factors affecting dietary adherence and implement necessary interventions to improve this issue in patients.


Jamileh Mirzaali, Mohammadali Vakili, Homeira Khoddam,
Volume 17, Issue 1 (4-2020)
Abstract

Background: One of the important criteria in patients receiving artificial respiration is the time of weaning from the mechanical ventilator. As physician’s decision might be somehow subjective, several tools have been suggested for prediction of the time of weaning more objectively. This study aimed to determine the predictive value of Persian Weaning Tool (PWT) compared with Physician- directed approach as the gold standard.
Methods: This diagnostic accuracy study was done in 2016-2017 in Two Medical and Educational Centers of Gorgan, Iran.  97 admitted patients in intensive care units, under mechanical ventilation were evaluated. The patients were recruited into the study by a convenience sampling method and evaluated for readiness to wean using two approaches (physician’s decision and using PWT). Successful weaning was considered as the ability of patient to breathe spontaneously during the first 48 hours after weaning. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), positive likelihood ratio (PLR), and negative likelihood ratio (NLR), as well as the agreement (kappa coefficient) between the two approaches, were calculated. In addition, to compare the differences between variables in two groups, chi-Square, T and man-Whitney tests were used. All analyses were performed using SPSS software ver.16, and MedCalc program ver.13. P<0.05 was considered as statistically significant.
Results: Most patients (64.9%) were men. The mean age, duration of hospital admission, and duration of mechanical ventilation of the participants were 46.49±18.15 years, 67.11±7.14 days, and 31.5±2.5 days, respectively. Weaning was successful in 87.6% of the patients. PWT had a significant agreement with the physician’s choice (kappa coefficient=0.637, P<0.001) with sensitivity, specificity, PPV, NPV, PLR, and NLR of 100%, 50%, 93.4%, 100%, 2, and 0, respectively. The cut-off level of 53 was considered as the best point to improve the diagnostic accuracy to 92.94%, 75%, 96.3%, 60%, 3.72, and 0.094, respectively.
Conclusions: Findings showed that PWT is an accurate tool for predicting the readiness of patients for weaning objectively. This tool can be used as a complementary approach by physicians and other care providers in intensive care units.

 
Hamideh Mancheri, Zahra Sabzi , Mousa Alavi, Mohammad Ali Vakili , Jahangir Maghsoudi,
Volume 18, Issue 1 (5-2021)
Abstract

Background: Substance abuse can cause problems for family members, especially spouses, and impair the addicts' quality of life; hence, it seems necessary to identify issues that can endanger their quality of life and health. Therefore, the present study aimed to determine the quality of life of women with addicted husbands, and its related factors.
Methods: We conducted the present cross-sectional study on 300 women with addicted husbands who were in the list of clients of private and public addiction treatment centers in Gorgan in 2018. The convenient sampling was used for recruited participants. We gathered data using the World Health Organization Quality of Life-BREF (WHOQOL-BREF), the higher scores indicated a better quality of life. We also analyzed the data in SPSS 16 using descriptive statistics, Chi-square and Mann-Whitney tests at a 95% confidence interval.
Results: The results indicated that women with addicted husbands had lower mean scores of physical health (33.3±19.1), mental health (28±3.19), environmental health (31.5±18.1), social relationship (30.2±21.4), and total scores of quality of life (31±18). There were significant correlation between scores of quality of life and its dimensions with women's job, family income, duration of substance abuse, and type of substance (P<0.001). Also, the quality of life was directly associated with women's jobs and family income, but inversely related to the husband's duration of substance abuse and type of substance.
Conclusion: Women with addicted husbands needed more support due to their low quality of life. These findings help the healthcare provider pay more attention to the problems of women with addicted husbands.

Halah Abdalhussein Obaid , Parya Vakilian , Fatemeh Rafiei , Mokhtar Mahmoudi ,
Volume 22, Issue 4 (12-2025)
Abstract

Background: Workplace bullying among nurses is a prevalent problem with well-documented adverse effects on mental health, job satisfaction, and the quality of patient care. This study aimed to determine the prevalence and characteristics of workplace bullying among nurses working in Emergency Departments.
Methods: This descriptive-analytical cross-sectional study was conducted in 2025 among 242 nurses working in the Emergency Departments of four hospitals in Nasiriyah, Iraq. Participants were selected using stratified random sampling. Data were collected using a demographic information questionnaire and the Negative Acts Questionnaire (NAQ). Data analysis was performed using SPSS version 26. Descriptive statistics (means and standard deviations) and inferential statistical tests (independent t-test and one-way ANOVA) were applied, along with stepwise multiple regression analysis.
Results: The mean ± standard deviation of the total bullying score was 50.40 ± 14.52. The mean ± standard deviation of the occupational dimension was 20.32 ± 7.56, the individual dimension was 10.26 ± 4.30, and the physical dimension was 9.92 ± 4.07. Based on the regression results, work experience in the Emergency Department (β = -0.148, 95% CI: -1.163 to -0.094, P = 0.021) and interest in working in the current department (β = -0.131, 95% CI: -10.466 to -0.238, P = 0.04) had a negative and significant effect on workplace bullying.
Conclusion: The findings showed that although the mean bullying scores were at a low level, planning for their further reduction is necessary. These results emphasize the need for preventive measures such as training and retraining, establishing a safe reporting environment, and addressing the perpetrators of bullying.

 


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