Showing 3 results for Rafiei
M Ghafourifard, M Rafieian, N Shahgholian, M Mortazavi,
Volume 16, Issue 1 (26 2010)
Abstract
Background & Aim: Intradialytic hypotension is the most frequent complication in patients receiving haemodialysis (HD). This complication not only contributes to the illness of the patients, but also decreases the efficacy of the HD. So, hypotension prevention is a major challenge for medical team, especially for nurses. One of the preventive methods that have recently been presented is the use of sodium profile and ultra filtration (UF) profile. The aim of this study was to compare the effects of linear sodium + UF profile (type1) with stepwise sodium + UF profile (type3) on systolic and diastolic blood pressure in HD patients.
Methods & Materials: In this crossover design study, 26 HD patients from two dialysis centers at Esfahan University underwent three kinds of treatment: (1) control, constant dialysate sodium concentration of 138 mmol/L with constant UF (2) linear sodium profile + UF profile (type1), a linearly decreasing dialysate sodium concentration (146-138mmol/L) in combination with a linearly decreasing UF rate and (3) stepwise sodium profile + UF profile (type2), a stepwise decreasing dialysate sodium concentration (146-138 mmol/L) in combination with a stepwise decreasing UF rate. Each treatment was applied in three dialysis sessions. Data were analyzed using repeated measure ANOVA test in the SPSS.
Results: Twenty six patients participated in the study. A total of 234 dialysis sessions were analyzed. There were no significant differences in the systolic blood pressure between three groups during predialysis and first and the second hours (P>0.05). The mean of systolic blood pressures were higher in the third hour and postdialysis during two types of profiles (1&3) compared with the routine care group (P<0.05). The mean of diastolic blood pressure was also higher in postdialysis during two types of profiles (1&3) compared with the routine group (P<0.05). There was no significant difference between the profiles 1and 3 (P>0.05).
Conclusion: In conclusion, sodium profile + UF profile is a simple and cost-effective method that modulate the dialysate sodium and ultra filtration rate and preserve the homodynamic status and blood pressure of patients during dialysis. Therefore, using sodium profile + UF profile (type1 & type3) is recommended in order to prevent hypotension and reduce nursing work during hemodialysis process.
Mahbobeh Sajadi, Fahimeh Davodabady, Sima Zahedi, Fatemeh Rafiei,
Volume 26, Issue 1 (5-2020)
Abstract
Background & Aim: Hysterectomy is one of the most common surgeries in women, which causes many physical and psychological complications including anxiety. The aim of this study was to compare the effect of diaphragmatic breathing and pursed lip breathing on anxiety in women undergoing hysterectomy.
Methods & Materials: In this double-blind randomized controlled clinical trial, 126 patients referred to Taleghani hospital of Arak during 2017-2019 were selected by convenience sampling, and then assigned into three groups of diaphragmatic breathing, pursed lip breathing and control using the random number table. Anxiety was measured the evening before the operation (before the intervention), one hour before entering the operating room (after the intervention) and two hours after the operation, using the Spielberger Anxiety Questionnaire. Data were analyzed using descriptive and analytic statistics using the SPSS software version 16.
Results: The mean and standard deviation of anxiety scores for the diaphragmatic breathing, pursed lip breathing, and control groups were 55.33±10.49, 55.4±9.84, and 55.07±11.31 respectively, and there was no significant difference between the groups (P=0.983). One hour before going to the operating room (after the intervention), the mean and standard deviation of the anxiety score was 41.98±8.5, 42.43±7.88, and 52.86±11.5, respectively, and after the operation, the scores decreased to 37.79±8.13, 38.07±8.33 and 50.62±11.35 respectively. There was a significant difference between the three groups (P<0.0001). There was no statistically significant difference in the anxiety scores between the diaphragmatic breathing group and the pursed-lip breathing group after the intervention (P=0.999).
Conclusion: The results of this study showed the diaphragmatic breathing and pursed-lip breathing techniques are effective in reducing hysterectomy anxiety in women. Therefore, using this non-pharmacological approach is recommended to reduce anxiety before and after hysterectomy surgery.
Clinical trial registry: IRCT20180103038211N4
Mohammadreza Shamshiri, Mahbobeh Sajadi, Sharareh Khosravi, Fatemeh Rafiei,
Volume 30, Issue 4 (1-2025)
Abstract
Background & Aim: Children are a particularly vulnerable group, and mothers' knowledge and awareness play a crucial role in fostering their developmental progress. Insufficient knowledge of the cognitive, emotional, and social aspects of child development may lead to a decrease in parental self-efficacy. This study aims to investigate the effect of a family-centered empowerment model on mothers' self-efficacy regarding the growth and development of toddlers.
Methods & Materials: This quasi-experimental study was conducted in 2022 at Amir Kabir Hospital in Arak. A total of 72 mothers of hospitalized toddlers were selected and randomly assigned to either a control group (n=36) or an intervention group (n=36) through block randomization. The control group received standard hospital care, while the intervention group participated in a five-session, family-centered empowerment model program, with each session lasting 60 minutes. Data were collected using demographic questionnaires and parenting self-efficacy assessments, administered before the intervention, immediately after, and one month post-intervention. Analysis was performed using SPSS version 26, incorporating both descriptive and inferential statistics.
Results: The results showed that the mean self-efficacy scores before the intervention had no statistically significant difference between the two groups (P=0.416). However, post-intervention, the mean parenting self-efficacy scores demonstrated a statistically significant difference between the groups (P<0.001). Additionally, the mean parenting self-efficacy scores measured one month after the intervention also showed a statistically significant difference (P<0.001).
Conclusion: The family-centered empowerment model significantly improved mothers' self-efficacy. It is recommended as an effective approach for improving the management of children's growth and development.
