Showing 28 results for Patient
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Volume 11, Issue 2 (11-2014)
Abstract
Background and Objective: Fulfilling the needs of ICU patients' families plays a significant role in their satisfaction. Since having information is one of the most important needs, we aimed to investigate the effectiveness of family-center support in satisfaction of information among families of patients undergone open heart surgery.
Material and Methods: In this clinical trial, 64 family member caregivers of patients undergone open heart surgery in Amiralmomenin hospital, Golestan province, were selected via convenience sampling and divided into intervention and control groups. In intervention group, the informational support including ICU orientation tours, educational sessions and educational pamphlets was given while in control group just routine information. The satisfaction of information in caregivers was measured by a researcher-made questionnaire in the day of discharge from ICU and data was analyzed using independent T-test.
Results: The mean satisfaction in intervention and control groups was 82. 3±8.66 and 53.2±11.13, respectively. The difference was statistically meaningful (P<0.0001).
Conclusion: Informational support could increase satisfaction of information in the families of the patients undergoing open heart surgery.
Hamid Momeni, Ashraf Salehi, Abolfaz Seraji , Dr Akram Sanagoo, Azam Karami, Marzei Mirshekari, Leila Mirshekari,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: The assessment of Patient satisfaction with the care given by nursing students in clinical setting can be helpful in the development of a scientific and practical training. Thus, we aimed to determine patient satisfaction with the care given by students in clinical setting.
Material and Methods: This cross-sectional study was conducted, in 2010, on 1560 inpatients in four hospitals of three provinces (Markazi, Lorestan and Charmahal Bakhtiari) via a questionnaire consisting of two parts of demographic characteristics with 15 questions and patient satisfaction with 30 questions. Given the range of 30-150, the score of more than 90 was considered having satisfaction. The data was analyzed by Mann-Whitney test and Pearson, using SPSS software.
Results: Results showed that 73.2 were satisfied and 26.8 percent were dissatisfied. The satisfaction level was not the same in different health centers in that the satisfaction in lorestan province was higher than that of Chahar Mahal, Bakhtiari province and Markazi province (P=0.001).
Conclusion: The resuls show that the patients are satisfied the care given by nursing students, but 26.8% of the patients are not satisfied with.
Mohammad Heidari, Sara Shahbazi,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Patient handling is a dynamic process in that the consideration of its principles is a paramount importance to safety of both patients and personnel. Hence, we aimed to evaluate EMS staff’s knowledge and practice about the principles and equipment used for patient handling in Isfahan EMS centres.
Material and Methods: This descriptive-analytic study was conducted, via census method, on 80 EMS staff. The instruments were a demographic checklist and a questionnaire to assess the knowledge and practice of EMS staff about the principles and equipment for patient handling.
Results: Based on the results, 82.5% had an adequate knowledge and 76.25% appropriate level of practice. The mean of knowledge was 17.79±3.14 and that of practice was 19.275±3052. All variables were not significantly associated with both knowledge and practice (P>0.05).
Conclusion: Regardless of adequate level of knowledge and practice in the majority of EMS personnel, we recommend holding some in-service training.
Fahimeh Kashani, Maryam Moghimian, Shahin Salarvand , Parisa Kashani,
Volume 12, Issue 2 (12-2015)
Abstract
Background and Objective: Effective communication is an essential characteristic of nursing care carried out as a necessity in education to empower patients. Therefore, this study aimed to determine Nurses' knowledge, attitude and practice about effective communication skills in Patient education.
Material and Methods: This cross-sectional study was conducted on 275 nurses selected via stratified random sampling in teaching and therapeutic centers of Esfahan University of medical sciences, 2013.We collected the data by a research-made questionnaire related to knowledge and attitude, and a checklist to observe nurses' communication skills. To analyze the data , Central indices were calculated.
Results: of 275 nurses , 86.7 % made a friendly atmosphere with their patients and 72.2% showed positive feedback, while their knowledge about communication components were 79.6 % . They (67.3%) were active listeners and they (96.7%) had close communication during patient education.
Conclusion: given that nurses' communication skills are moderate, we recommend holding communication-skills workshops especially in patient education.
Mohsen Fathi, Dr Akram Sanagoo, Dr Leila Jouybari, Marzieh Yazarloo, Dr Hamid Sharif Nia ,
Volume 12, Issue 3 (2-2016)
Abstract
Background and Objective: Patients with life threatening diseases have to deal with the death issue. One of the common psychological problem is anxiety esp. death anxiety . This study aimed to determine the level of death anxiety in hemodialysis patients.
Material and Methods: This cross-sectional study was conducted on all 150 patients admitted to Panj-azar teaching hospital for hemodialysis, 2013. The data was collected by demographic checklist and Templer Death Anxiety questionnaire scoring 0 to 15 (0-6 for low, 7-9 for moderate and 10-15 for high anxiety). We analyzed the data by independent t-test, ANOVA and Pearson correlation coefficient (P<0.05).
Results: Twenty-four point seven percent of the patients had low , 10% average and 65.3% of them had high death anxiety. Average scores of death anxiety in men and in women were 8.21±4.82 and 11.95±3.81, respectively. The relationship of death anxiety with sex (P<0.001), employment status (P<0.001), and age (P<0.002) was significant.
Conclusion: Bases on the results, the death anxiety is high in more than half of the patients with hemodialysis.
Soheila Zabolypour, Kourosh Dastan, Saeed Ghorbani, Amir Anbari, Sepideh Mohammadi,
Volume 13, Issue 1 (6-2016)
Abstract
Background: Caring is the core of Nursing and holistic high-quality care is considered as one of the main concerns of nursing managers. Evaluation by main care recipients and assessment of their satisfaction with different levels of care is a way to determine and improve the quality of nursing care. The aim of this study was to determine the relationship between the quality of nurses’ caring behaviors with patient satisfaction in four areas of nursing knowledge and skills, patient education, communication and nursing ethics.
Methods: This descriptive study was performed on 150 patients hospitalized in the Shahid Beheshti Hospital of Yasuj, in 2013. Subjects were selected by convenience sampling and from the departments of general surgery, neurosurgery, infectious diseases, neurology and burn center. Data were collected and analyzed using quality of caring behaviors and patient satisfaction questionnaires.
Results: The quality of caring behaviors was reported as moderate by the patients. Subscale of quality of caring behaviors was reported as good in area of nursing knowledge and skills, and as moderate in areas of patient communication and nursing ethics. The mean score of satisfaction was relatively favorable. Satisfaction regarding the subscale of nursing knowledge and skills was at a favorable level and patient education, communication and nursing ethics were reported as relatively favorable.
Conclusion: Considering the moderate quality of nursing care, patient satisfaction level and level of the subscales, nursing managers and officials at faculty of nursing are expected to pay more attention to the aspects of patient education, communication and nursing ethics in addition to nursing knowledge and skills.
Neda Parvin, Leila Rafiee Vardanjani , Fatemeh Aliakbari,
Volume 14, Issue 1 (11-2017)
Abstract
Background: Schizophrenia is a devastating psychiatric disorder and its Positive and negative symptoms have negative effects on social functions. A combination of pharmacological and non-pharmacological treatments is considered more effective for this condition. The present study aimed to determine the effect of a group horticulture program on psychiatric symptoms in patients with chronic schizophrenia.
Methods: This quasi- experimental study was conducted from April 2014 to July 2014 in Sina Hospital in Chahar Mahal and Bakhtiari province in Iran. Fifty-two eligible patients with diagnosis of chronic schizophrenia were randomly assigned to two groups of horticulture and usual care (control). Both groups received similar medical and routine care. The patients in horticulture group participated in a group horticulture program for three months. The patients’ psychiatric symptoms were evaluated at the beginning and at the end of the study by Andreasen’s scales for assessment of negative and positive symptoms. The data was analyzed by student t test, paired t test and chi square.
Results: At the beginning of the study, the patients in both study groups were matched in terms of age, sex, marriage status, education, and average scores of positive and negative symptoms. At the end of the study, the horticulture group showed a significant improvement compared with control group in positive and negative symptoms (P < 0.05), which indicated the effectiveness of the intervention on these symptoms.
Conclusion: Group horticulture program can be used as an effective non-pharmacological adjunctive treatment in patients with chronic schizophrenia.
Shirin Madadkar Dehkordi, Mehdi Basiri Moghadam ,
Volume 14, Issue 2 (9-2017)
Abstract
Background: Dialysis adequacy is one of the determining factors for survival in elderly patients. Improving the dialysis adequacy highly affects the remission and prognosis of old dialysis patients. Current study was conducted to evaluate the effects of Jacobson relaxation technique on dialysis adequacy in elderly people, who are under dialysis treatment.
Methods: ods: This is a clinical trial performed on 80 hemodialysis patients in two hemodialysis centers of Gonabad and Yazd, Iran, in 2013. The patients were selected through purposive sampling method, and randomly assigned into the two groups of control (n=40) and intervention (n=40). The participants in intervention group were provided by three sessions of relaxation training, and were asked to perform the relaxation daily for six weeks, while the control group just received the routine cares. Afterwards, the adequacy of dialysis was compared between the two groups. The data was collected using the demographic information, and the dialysis adequacy was calculated by KT/V equation.
Results: A significant statistical difference was found between groups regarding the mean difference of dialysis adequacy in pre- and post-intervention (P<0.001).Besides, dialysis adequacy increased post-intervention in the case group and decreased slightly in the control group compared to pre-intervention.
Conclusion: Training and performing the relaxation method lead to an improved dialysis adequacy in elderly patients under hemodialysis.
Fouzieh Bakhsha, Solmaz Halakou , Seyed Yaghoub Jafari, Zahra Yousefi, Mohammad Aryaee,
Volume 15, Issue 2 (7-2018)
Abstract
Introduction: Surgery and anesthesia are the common practice for anesthetist on the one hand and very worrying for the patient and his family on the other. This fear can have potentially dangerous consequences. The aim of this study was to determine the relationship between the awareness and fear of patients and their companions towards anesthesia.
Methods: The present study employed a descriptive-analytic design. The instrument was a questionnaire with 38 items consisting of 20 items for fear of anesthesia, 13 items for awareness of anesthesia, and 3 items for the role of anesthesia personnel. The research population included patients undergoing surgery and their companions. The sample population was selected using non-random sampling. Data was analyzed using SPSS software version 16.
Results: In this study, 328 patients and 325 patients' companions (n = 653) were enrolled. The mean score of fear of anesthesia for patients and their companions was 77.56 ± 20.15 and 82.56 ± 20.51, respectively. The mean score of anesthesia awareness for patients and their companions was 6.27 ± 2.33, 33.6 ± 2.86, respectively. No significant correlation was found between fear and anesthesia awareness among patients.
Conclusion: The results of the study showed that patients and their companions had a relatively high degree of fear towards anesthesia and did not have enough awareness about anesthesia and its related factors. Therefore, it seems that provision of educational and anesthetic counseling before surgery can be very helpful in order to improve the conditions.
Keywords: Anesthesia, Patient, Fear, awareness
Seyed Ali Majidi, Shiva Alizadeh, Sobhaneh Kouchakzadeh Talami, Hamideh Safarmohammadi, Ehsan Kazemnezhad Leily, Monika Motagi, Mehdi Barzegar,
Volume 16, Issue 2 (11-2019)
Abstract
Background: Patient safety is one of the main components of the health care services quality that implies avoidance of any harm or damage to the patient during the delivery of health care. The purpose of this study was to determine the patient safety culture from the view point of nurses in the hospitals of Guilan province in 2016.
Methods: This cross-sectional study was done on 400 nurses from the nurse community in Guilan province, Iran in 2016. The sampling was performed as the two-stage cluster sampling method. Data were collected using a modified questionnaire based on the Hospital Survey on Patient Safety Culture (HSOPSC). Data were presented with descriptive statistics analysis using in SPSS-14. The significant level was considered less than 0.05.
Results: Most of the nurses were female (89%), with a mean age of 34.28±6.86 years. The most response to the items was related to “Please give your work area/unit in this hospital an overall grade on patient safety” that was the acceptable option (47.5%). The mean score of the patient safety was 3.28 ±0.86.
Conclusions: The results showed two dimensions including staffing and teamwork within units. Feedback and communication about errors were the most important dimensions of the patient safety culture. Accordingly, it should be noted that paying more attention to the patient safety culture can lead to improve hospital condition levels.
Asieh Sadat Baniaghil, Shohreh Ghasemi, Masumeh Rezaei Aval , Nasser Behnampour,
Volume 17, Issue 0 (4-2020)
Abstract
Background: Patient interview is the most common professional activity of clinicians. Effective interview can strengthen clinician-patient relationship and improve treatment outcomes. In some studies, such as saboori et al. (87-86) and Managheb et al. (2010), the Calgary-Cambridge model-based learning skill is effective in interviewing skills, while in other studies including Rezvani (2014), communication skills based on the Calgary-Cambridge model did not mention effective interviewing skills. This study aimed to evaluate the effects of communication skills training through the Calgary-Cambridge model on interviewing skills among midwifery students.
Methods: This two-group pretest-posttest randomized controlled field trial was conducted in 2017–2018. The number of participants was thirty including the students in the sixth and eighth semester of bachelor of midwifery conveniently recruited from Golestan University of Medical Sciences, Gorgan, Iran. Initially, their interviewing skill was assessed using Evan and colleague’s History-taking Rating Scale. Then, they were randomly allocated to a control (15) and to an intervention group (15) through stratified randomization based on their interviewing skill scores and their academic semester. Participants in the control group did not receive any communication skills training, while those in the intervention group received communication skills training based on Calgary-Cambridge model in four four-hour sessions held twice weekly (16 hours). Interviewing skills in the control and in the intervention groups was re-assessed respectively four weeks after pretest and four weeks after the intervention. Exclusion criteria were unilateral withdrawal from the study, two or more absences from communication skills training sessions, and failure to attend the communication skills assessment session. Therefore, one student in the control group and one student in the experimental group were excluded. Data were analyzed using SPSS software (v. 18.0).
Results: The pretest mean score of interviewing skills in the intervention and the control groups was 33.71±7. 342 and 33.64±6.021 respectively, with no significant between-group difference (P = 0.978). At posttest, the mean score of interviewing skills in the intervention and the control groups was 54.50±8.169 and 33.93±5.399 respectively and the between-group difference was statistically significant (P < 0.001).
Conclusions: Communication skills training through Calgary-Cambridge model is effective in significant improving midwifery students’ interviewing skills. The Calgary-Cambridge model could be used as part of the midwifery educational curriculum to improve the skills of interviewing midwifery students.
Akbar Eslami, Nasrin Hanifi, Masomhe Namadian,
Volume 19, Issue 2 (9-2022)
Abstract
Background: The second victim phenomenon affects the physical and mental health of staff. Patient safety culture and the level of organizational support also affect the second victim experience and its consequences on the staff. This study was conducted to determine the relationship between patient safety culture and second victim experience in critical care unit and emergency department nurses.
Methods: A cross-sectional study was performed on 307 nurses working in the intensive care unit and emergency departments of hospitals affiliated with Zanjan University of Medical Sciences (Zanjan, Iran) in 2019. Data were collected using the Hospital Survey on Patient Safety Culture (HSOPSC), the Second Victim Experience and Support Tool (SVEST), and a demographic questionnaire. Data were analyzed using descriptive statistics and the Pearson correlation coefficient. All analyses were carried out at a significance level of 0.05.
Results: There was a significant positive relationship between the patient safety culture and the second victim's supportive sources (P=0.001). However, the patient safety culture had no significant relationship with the second victim's distress rate (P=0.663) and its outcomes (P=0.164).
Conclusion: The results of this study show that improvement of patient safety culture is associated with an increased feeling of support among the nurses, which could ultimately reduce the rate of turnover and absenteeism. Therefore, nursing managers should provide more support to nurses, particularly after the occurrence of patient safety events, for reducing distress and preventing further errors.
Zahra Tabarsa, Khadijeh Yazdi, Saeed Amirkhanloo, Naser Behnampour,
Volume 20, Issue 1 (4-2023)
Abstract
Background: Recirculation is a phenomenon in hemodialysis where purified blood re-enters the dialyzer and is cleaned again, which can negatively impact the adequacy and quality of hemodialysis. As quality hemodialysis is crucial for the treatment of hemodialysis patients, this study aimed to determine the prevalence of recirculation and its related factors in patients undergoing hemodialysis in medical centers in Golestan province, Iran in 2019.
Methods: A cross-sectional study was conducted in 2019 on patients with end-stage renal disease (ESRD) undergoing hemodialysis in medical centers in Golestan province, northeastern Iran. The study included 324 patients, selected using a stratified sampling method. Demographic and clinical data were recorded, and recirculation was measured by assessing urea levels based on the two-needle method, with a cut-off point of 10%. Patients were categorized into two groups based on recirculation percentage, with and without recirculation. Data were analyzed using SPSS (version 16) with descriptive statistics (mean, standard deviation, frequency) and inferential statistics (chi-square test and Fisher's exact test for low frequency cases, and t-test to compare quantitative variables) at a confidence level of 0.05.
Results: The study found that the prevalence of recirculation in hemodialysis patients in Golestan province, Iran was 22.5%. There was a significant relationship between pump speed, arterial needle location (above the venous needle), venous-arterial needle distance from each other, and recirculation. The mean pump speed was 251.64 rpm, and the venous-arterial needle distance was 4.12 cm significantly lower in the recirculation group than in the no-recirculation group. There was also a significant relationship between recirculation and the way catheter lines were connected (arterial line connected to venous line) (P=0.0001).
Conclusion: Given the high prevalence of recirculation, and the ability to modify some of its related factors, nurses should take strategies and create suitable conditions for efficient hemodialysis for patients undergoing hemodialysis.
Hadi Hassankhani, Hamidreza Haririan, Joanne E Porter, Abraham Oshni Alvandi,
Volume 20, Issue 1 (4-2023)
Abstract
Background: Patient handover in the emergency department (ED) is a 2-way communication process between the paramedics and in-hospital emergency personnel, which can result in miscommunication and delivery challenges. This study aimed to explore the lived experience of paramedics on patient handover to the ED.
Methods: Over a period of 5 months, an interpretative phenomenological analysis (IPA) was used to explore the lived experiences of 15 paramedics in Tabriz, Iran. Semi-structured interviews were conducted in the emergency medical stations using the Smith approach for data collection and analysis. The researcher used 4 criteria to ensure rigor, including credibility, dependability, confirmability, and transferability, according to Lincoln and Guba.
Results: Three main themes emerged from the data analysis, including “the hole of hope,” “the boring issues,” and “paramedics are only a driver.” A further 11 sub-themes emerged under the main themes.
Conclusion: The highlighted issues that need to be considered during the process are the presence of staff in front of the ED's door to welcome the patient, removal of structural defects and defective hospital equipment, the presence of medical supplies in emergency triage to prevent the paramedics from stumbling, and listening to paramedics by physicians and nurses to obtain the patients’ history.
Azzadin Kamal Mahmod ,
Volume 20, Issue 2 (10-2023)
Abstract
Background: Cancer patients can experience different conditions depending on the quality of the treatment they receive. Chemotherapy is one of the most widely used treatments for cancer patients, leading to a wide range of consequences and outcomes. The present study aimed to investigate the lived experiences of cancer patients undergoing chemotherapy.
Methods: Using a phenomenological method, this qualitative study was conducted on 13 cancer patients undergoing chemotherapy in Rizgary Teaching Hospital, Erbil, Iraq, from September 2021 to July 2022. The participants were chosen using a purposive sampling method. The required data were collected using in-depth semi-structured interviews. The interviews were started by asking general questions (such as “Could you tell me about your chemotherapy experience?) and then analyzed by the Van Manen method (1990).
Results: The results of data analysis showed that patients described their experience as “regaining hope in life,” which was drawn as the main theme that included 5 subthemes, namely, new lifestyle, new goals for life, optimism, value of life, and re-trust in God.
Conclusion: According to the results of the present study, since the recovery of patients and the effectiveness of treatments are greatly dependent on the patients’ psychological state, their lives improved, they took up new lifestyles and goals in their lives, became more optimistic, understood value of life, and regained their trust in God after they had received chemotherapy. Nurses working in chemotherapy wards are highly recommended to pay more attention to the psychological and spiritual state of cancer patients to promote hope in life among them and help them live normal lives with their families after undergoing chemotherapy
Burcu Oflaz , Gülcan Kendirkıran,
Volume 20, Issue 2 (10-2023)
Abstract
Background: Humor creates intimacy between the patient and the nurse, develops a feeling of trust, and positively affects care quality. This study aimed to determine nursing students' humor styles and care behaviors and evaluate the relationship between their humor styles and perceived care behaviors.
Methods: This was a cross-sectional and analytical research. The sample comprised 124 second-, third-, and fourth-year nursing students at a university located in Istanbul between December 2019 and December 2020. The data collection tools were a Personal Information Form, Humor Styles Scale, and Care Assessment Questionnaire. Frequency tables, descriptive statistics, independent samples t-test, analysis of variance, Mann-Whitney-U test, Kruskal-Wallis H test, Bonferroni correction, and Spearman correlation were employed to analyze the data.
Results: It was determined that 86.3% of the nursing students were female, 97.6% were single, their mean age was 20.80±1.94 years, and 49.2% of the students were second-year students. The total mean score of the students on the Care Assessment Questionnaire was 6.38±0.51. A positive humor style was significantly related to the subscales of the Care Assessment Questionnaire (P<0.05).
Conclusions: There was a significant relationship between nursing students' humor styles and perceived care behaviors. The positive humor style had a positive effect on the caring behavior.
Fereshteh Araghian Mojarad , Akram Sanagoo ,
Volume 21, Issue 1 (4-2024)
Abstract
Background: The presence of nurses plays a crucial role in ensuring patient safety and delivering necessary nursing care. This study aimed to explore the process of nurses' presence at patients' beds in cancer wards.
Methods: Employing a grounded theory approach, this qualitative study was conducted in a cancer ward, involving 34 participants including nurses, patient companions, and hospital staff. Participants were purposefully selected for their involvement. Interactive interviews were conducted for data collection, and data analysis followed the approach proposed by Corbin and Strauss in 2015.
Results: The data analysis revealed the core category of "Striving to be with the patient", which encompassed the following axial categories: "Challenges of accompanying patients with diverse needs" (Context), "Striving to be with the patient" (Process), "Motivational factors driving the desire to be with the patient"(Mediating facilitator), "Difficulties encountered in maintaining patient presence"(Mediating inhibitor), and "Mixed feelings of satisfaction and sorrow accompanying the presence" (Outcome).
Conclusion: Nurses in oncology wards demonstrate tremendous dedication as they strive to maintain a delicate equilibrium between their own emotional well-being and the diverse needs of their patients. This task can be highly demanding, but through the implementation of customized strategies and drawing inspiration from personal sources, these nurses effectively navigate the emotional challenges associated with patient care.
Dominika Kohanová, Andrea Solgajová , Daniela Bartoníčková,
Volume 21, Issue 2 (6-2024)
Abstract
Background: The phenomenon of rationed nursing care represents a global problem that jeopardizes the provision of quality and safe care. To date, there are a limited number of studies that focus on the occurrence of this phenomenon in the private care setting.
Objectives: To explore the frequency and patterns of rationed nursing care and the factors that contribute to its frequency in selected private hospitals in Slovakia.
Methods: This descriptive cross-sectional study was conducted between November 2022 and January 2023. Data collection was carried out using the Basel Extent Rationing of Nursing Care – Revised. The study sample consisted of 174 nurses working in three selected Slovak private hospitals. In data analysis, we used descriptive statistics for the evaluation of the instrument and the sample characteristics. Additionally, differences in the frequency of rationed nursing care based on selected variables were analyzed using nonparametric tests (Mann-Whitney U test; Kruskal-Wallis test). For numerical variables the Spearman correlation coefficient (r) was used. The results were tested at a significance level of p <0.05.
Results: The frequency of rationed nursing care was 49.3%. The most frequently withheld nursing care activity was increased supervision of confused patients and the need for their restraint (69.8%; 2.26 ± 1.09). Differences in the evaluation of rationed nursing care were identified based on the type of unit and the position of the job. The occurrence of rationed nursing care was influenced by nurse experience in the current position, evaluation of quality care, overall patient safety degree, number of patients/shifts, number of admitted ad discharged patients/shifts, job satisfaction, satisfaction with the current position, and satisfaction with teamwork in our study (p <0.05).
Conclusion: This study serves as a catalyst for nurse managers to take proactive steps in addressing rationed nursing care, fostering a culture of safety, and promoting excellence in patient-centered care delivery within private hospital settings in Slovakia. By embracing innovation, collaboration, and a commitment to continuous improvement, we can overcome the challenges posed by rationed care and uphold the principles of quality, safety, and compassion in nursing practice.
Luana Bastos Araújo, Maria Zélia de Araújo Madeira, Ana Maria Ribeiro Dos Santos, Odinéa Maria Amorim Batista, Pedro Venicius de Sousa Batista, Sandra Valéria Nunes Barbosa, Liliane Moretti Carneiro, André Luiz Silva Alvim,
Volume 21, Issue 3 (10-2024)
Abstract
Background: Injuries resulting from surgical positioning are preventable, yet they remain prevalent, causing temporary or permanent harm, extending hospital stays, and increasing the risk of hospital-acquired infections. Identifying patients at risk for these injuries is critical. This study aimed to assess the risk of developing surgical positioning injuries in orthopedic surgeries within teaching hospitals.
Methods: This cross-sectional study was conducted between February and July 2023 in two teaching hospitals in Brazil. It involved a convenience sample of 147 patients who underwent orthopedic surgery. The study used the Risk Assessment Scale for the Development of Injuries Due to Surgical Positioning. Data analysis was performed using SPSS software, version 21, with the Chi-squared test applied to assess significance at the 0.05 level.
Results: Most participants were male (51.70%), with a mean (±SD) age of 54.52±20.34 years. Of the total sample, 85% were at low risk of developing injuries. Women were three times more likely to be at high risk (OR=3.39, 95% CI=1.24 to 9.24). The presence of comorbidities increased the likelihood of high risk approximately sixfold (OR=5.56, 95% CI=2.06 to 15.57). Spinal anesthesia increased the likelihood of high risk fourfold (OR=4.08, 95% CI=1.14 to 14.53).
Conclusion: Identifying risk factors allows for a more targeted approach to preventing surgical positioning injuries. Incorporating this knowledge into the development of institutional protocols is essential for improving patient safety and outcomes.
Shima Sadat Aghahosseini , Maryam Karami , Maryam Rassouli, Mohammad Esmaeil Akbari , Hamideh Ebrahimi , Kazem Najafi ,
Volume 22, Issue 3 (9-2025)
Abstract
Background: Palliative care is a holistic approach aimed at enhancing the quality of life for patients with cancer. Given the rising number of cancer patients in Iran, its significance has become increasingly apparent. This study investigates the effect of palliative care on the quality of life and satisfaction of patients with cancer.
Methods: This before-and-after quasi-experimental study was conducted in 2024 on 320 patients with breast, tongue, stomach, thyroid, osteosarcoma, and colon cancer at a teaching hospital in Tehran, Iran. Participants were selected through convenience sampling based on eligibility criteria, including being over 18 years of age, having literacy, being able to speak Persian, and being psychologically stable. The quality of life and life satisfaction of patients were assessed before and after participation in a structured palliative care program. The intervention consisted of six two-hour palliative care sessions, delivered over two months. Data were collected using the Satisfaction with Life Scale (SWLS) and the EORTC QLQ-C30 Quality of Life Questionnaire. Data analysis was conducted using SPSS software, version 26, and a paired t-test was employed for statistical evaluation.
Results: The results indicated that the participants had a mean age of 50.67 years, with a standard deviation of 13.23 years. After receiving palliative care, the overall quality of life score, along with its dimensions (except for emotional functioning, sore throat, and diarrhea), showed a significant improvement (P < 0.001, Cohen’s d = 2.36). Moreover, the intervention led to a significant improvement in patients' life satisfaction, with a p-value of less than 0.001 and a Cohen’s d of 1.01.
Conclusion: The study findings demonstrated that palliative care services, typically provided to individuals nearing the end of life, enhanced the quality of life for cancer patients. Policymakers should prioritize support for patients, and healthcare managers must collaborate to improve and provide palliative care services with qualified personnel, especially nurses.
