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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: Intensive care units,consciousness,Family,sensory Deprivation
- چکیده:
- چکیده انگلیسی: Background: Appropriate sensory excitation can improve brain synaptic contact and establish consciousness.
Aim: The aim of this study was to investigate the sensory excitation delivered by family members and nurses on the level of consciousness in patients who are admitted to ICU.
Method: In this clinical trial, 69 patients admitted to ICU in Ashair and Shafa Hospital, Khorammabad, were randomly assigned into two interventions and one control group. The first intervention group received sensory excitation by family members, and the second intervention group by the nurses. Control group were not received any intervention. Intervention was applied two hours a day at 4-5 pm and 8-9 pm to the intervention groups for six days. For all subjects in these three groups, the level of consciousness was measured twice at 5 minutes before and 30 minutes after intervention by the research assistant using Glasgow Coma Scale (GCS). The data were analyzed by SPSS software version 18 using repeated measures and ANOVA tests.
Results: A significant discrepancy was observed between experimental groups in average increasing in GCS before and after intervention based on covariance analysis test results (P<0.001). In addition, the first intervention groups showed the higher increase in GCS score (0.388±0.032 units) and the second intervention the moderate increase (0.268±0.032 units). The lowest increase was found in control group (0.44±0.032 units).
Conclusion: Sensory excitation performed by family members is more effective to improve the level of consciousness of coma patients than the nurses, thus it is suggested to provide conditions in which the nearest family members can do the sensitive excitation program for patients hospitalized in ICU ward subject to receiving adequate training.- انتشار مقاله: 14-09-1391
- نویسندگان: Mohammad Adinehvand,Tahereh Toulabi,Hamidreza Khankeh,Farzad Ebrahim Zadeh
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: anxiety,children,Parents,depression,Blood diseases
- چکیده:
- چکیده انگلیسی: Background
Existence the children with blood diseases in family could cause lots of stress and anxiety for parents, this stress among parents would negative effects on children's disease process and his response to treatment.
Materials and Methods
This is a descriptive-analytical study which carried out on 480 parents with children affected to blood disease referring to Shafa hospital of Ahvaz, Iran. The parents’ level of anxiety was evaluated using the Hospital Scale for Anxiety and Depression. In this study Sample size by using statistical formulas was selected 480 persons by available sampling. Data were analyzed using SPSS-16 software.
Results
Results showed that in 20.4% (98 cases) of parents level of anxiety was intense, in 50.7% (243 cases) level of anxiety was middle, in 15.6% (75 cases) level of anxiety was low and 13.3% (64 cases) of parents were lack of anxiety. Additionally the results of level depression study showed that 8.6% (41cases) of parents had severe depression, 35.7% (171 cases) moderate depression, 15.7% (76 cases) low depression and 40% (192 cases) no depression. According to the results of this study, there was a significant difference between level of anxiety and depression of parents and the duration of child's hospitalization (P<0.05).
Conclusion
According to the results, high prevalence of anxiety and depression was among parents; so with treatment and management of anxiety and stress in parents of children; it can be achieved to better treatment in children with blood disease.- انتشار مقاله: 26-03-1395
- نویسندگان: Hadis Ashrafizadeh,Mohammad Adineh,Shahram Baraz,Marzieh Darvishi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Intensive Care Unit,Nutrition Support,Enteral Nutrition,Goal calorie
- چکیده:
- چکیده انگلیسی: Background
Nutrition support and noticing the required goal calories in patients having critical conditions are essential aspects of medical care in preventing malnutrition in these patients.
Materials and Methods
This research is a clinical trial which was done on 60 children aging between 5 to 17 years old hospitalized in Intensive Care Unit (ICU) of Shiraz’s Namazee hospital, South West of Iran, during April to September 2015. Patients were separated randomly into two groups. Enteral nutrition was done with infusion pump for one of the groups and intermittently for the other one. The data was collected for 7 days by a check list regarding enteral nutrition method, complications and the time needed to reach goal calories. Data analysis was done using SPSS-18 software through Chi-square and t-student test.
Results
The results of this study showed that there was a significant difference of the mean time needed to reach target goal calorie between the continuous and intermittent nutrition methods (P<0.05), so the time was less in continuous infusion method. Results showed that there was no significant difference between the GI complications of the two groups (P>0.05).
Conclusion
This study showed that continuous enteral nutrition method has better outcomes in children hospitalized in ICU than intermittent method.- انتشار مقاله: 11-03-1395
- نویسندگان: Sedigheh Fayazi,Mohammad Adineh,Somayeh Zahraei Fard,Hoda Farokh Payam,Zahra Ahmadie Batvandy
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Growth,Sleep Habits
- چکیده:
- چکیده انگلیسی: Background: Exact determination between children's sleep habits and their growth could help us to prevent this risk factor of children's growth disorders. Thus this research was performed to investigate the correlation between sleep habits and growth of preschool children in Ahvaz- Iran.
Materials and Methods: In this cross-sectional study, the data was obtained by using available sampling from 208 children of 3-6 years old that came to a private pediatric clinic in Ahvaz, South West of Iran in 2015 without regard to their gender. Measurement of height and weight of all patients with the meter and scale was performed. After measuring height and weight, stature-for- age and weight-for- age percentiles was calculated using child growth chart calculator of CDC for each child. Information on the onset time of night sleep, time to wake up in the morning and nap duration of children were gathered using researcher made questionnaire. Data analysis was performed with descriptive statistic and Kendall's tau-b statistical test using SPSS-19.
Results: Results of this study showed of the 208 children that were evaluated, 32 of them (15.38%) was stunted, underweight, or both and 176 (84.6%) of them hadn`t any growth disorder. Results of Kendall's tau test showed that there is no significant relationship between the onset time of night sleep, waking up time in the morning, nap duration and neither height-for-age percentile nor weight-for-age percentile of preschool children (P>0.05).
Conclusion
The results of this study showed that children sleep habits does not affect their stature and weight- percentile. But this isn`t mean that going to sleep late has no effect on children's health, since the establishment of a normal sleep-wake rhythm is essential for both physical and mental development in children, so it is necessary to educate parents regarding the importance of children's sleep.- انتشار مقاله: 04-02-1395
- نویسندگان: Sara Moradnia,Mohammad Adineh,SHahla Esferanjani,SHahram Baraz
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Pediatrics,Family,General Health,ICU
- چکیده:
- چکیده انگلیسی: Background
A child's hospitalization in intensive care units causes stress and worry in other family members. This study aimed to determine the effect of family presence during pediatric ICU bedside on family general health.
Materials and Methods
In this clinical trial study, 46 family members of the pediatrics hospitalized in the ICU in Teaching hospital affiliated with the Lorestan University of Medical Sciences in Khorramabad in April to November 2014 were divided into two groups using the stratified block randomization. Family members of the intervention group were present at the bedside of their patients two hours a day for six days, but family members of the control group did not visit their patients during six day. The general health status of the family members in the two groups was evaluated immediately before and after the visit on the first, sixth and twelfth visit, by using the General Health Questionnaire (GHQ). The data was analyzed using the repeated measure tests and independent t-tests.
Results
Results showed there was a significant difference between the groups in terms of the means of the GHQ scores of the family members before and after the intervention (P<0.05).
Conclusion
The presence of family members at pediatrics’ bedside and their cooperation in care can improve their general health.- انتشار مقاله: 29-01-1395
- نویسندگان: Mohammad Adineh,Tahereh Toulabi,Yadollah Pournia Pournia,Shahram Baraz
- مشاهده
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: Intensive care units,consciousness,Family,sensory Deprivation
- چکیده:
- چکیده انگلیسی: Background: Appropriate sensory excitation can improve brain synaptic contact and establish consciousness.
Aim: The aim of this study was to investigate the sensory excitation delivered by family members and nurses on the level of consciousness in patients who are admitted to ICU.
Method: In this clinical trial, 69 patients admitted to ICU in Ashair and Shafa Hospital, Khorammabad, were randomly assigned into two interventions and one control group. The first intervention group received sensory excitation by family members, and the second intervention group by the nurses. Control group were not received any intervention. Intervention was applied two hours a day at 4-5 pm and 8-9 pm to the intervention groups for six days. For all subjects in these three groups, the level of consciousness was measured twice at 5 minutes before and 30 minutes after intervention by the research assistant using Glasgow Coma Scale (GCS). The data were analyzed by SPSS software version 18 using repeated measures and ANOVA tests.
Results: A significant discrepancy was observed between experimental groups in average increasing in GCS before and after intervention based on covariance analysis test results (P<0.001). In addition, the first intervention groups showed the higher increase in GCS score (0.388±0.032 units) and the second intervention the moderate increase (0.268±0.032 units). The lowest increase was found in control group (0.44±0.032 units).
Conclusion: Sensory excitation performed by family members is more effective to improve the level of consciousness of coma patients than the nurses, thus it is suggested to provide conditions in which the nearest family members can do the sensitive excitation program for patients hospitalized in ICU ward subject to receiving adequate training.- انتشار مقاله: 14-09-1391
- نویسندگان: Mohammad Adinehvand,Tahereh Toulabi,Hamidreza Khankeh,Farzad Ebrahim Zadeh
- مشاهده