Seyed Reza Borzou, Danial Shadi, Narges Kalvandi, Ali Afshari, Leili Tapak,
Volume 26, Issue 2 (6-2020)
Abstract
Background & Aim: Frustration is one of the important psychological consequences for the elderly in the nursing home. Spiritual care is a unique aspect of nursing care that can be a strong response to the dealing with frustration. The aim of this study was to determine the effect of spiritual care education on hope in the elderly residents of nursing homes.
Methods & Materials: The present study was a before-and-after semi-experimental study, conducted in 2018 on 35 elderly residents of nursing homes in Hamadan, assigned into two groups of intervention (35 people) and control (35 people). At the beginning of the study, both groups completed the Schneider hope scale. For the intervention group, the intervention based on spiritual care was performed in three sessions. The post-test was performed for both groups after one month. Spearman correlation and Kruskal-Wallis tests were used to analyze the data through the SPSS software version 16.
Results: There was no significant difference in overall hope score between the groups of intervention (22.94±9.80) and control (25.94±3.86) before the intervention (P=0.085); but after the intervention, there was a significant difference between the intervention (42.94±6.04) and control (23.80±4.09) groups (P<0.001).
Conclusion: Considering the positive effect of spiritual care on hope in the elderly in this research, planning for spiritual education is essential in this group of people.
Khodayar Oshvandi, Armin Mohamadiparsa, Zahra Khalili, Leili Tapak, Massoud Ghiasian,
Volume 30, Issue 2 (6-2024)
Abstract
Background & Aim: Hypotension is a common complication associated with plasmapheresis. Elevating the legs and using elastic stockings are nursing interventions aimed at preventing hypotension. The objective of this study was to compare the effects of elastic stockings and leg elevation on the prevention of hypotension during plasmapheresis.
Methods & Materials: This randomized crossover clinical trial was conducted on 35 patients undergoing plasmapheresis at Beheshti Hospital in Hamadan from 2020 to 2021. Patients were selected based on convenience sampling and then allocated to four different methods in four sessions using random permuted block designs: elastic stockings (A), leg elevation (B), a combination of elastic stockings and leg elevation (C), and a control group (D). Blood pressure was monitored before, during (every half hour), and half an hour after the completion of plasmapheresis. Data analysis was performed using SPSS version 24, applying repeated measures ANOVA with a significance level of 0.05.
Results: During plasmapheresis, systolic blood pressure decreased over time in all four methods (P<0.001). Blood pressure measurements in intervention methods A, B, and C were higher than in the control group (P<0.001). Among the intervention methods, blood pressure in method C was higher than in methods A and B, while method B was higher than method A (P<0.001).
Conclusion: The use of elastic stockings in combination with leg elevation is more effective in preventing hypotension. Therefore, it is recommended as an easy and cost-effective method for preventing hypotension in patients undergoing plasmapheresis and for nursing staff to implement.
Clinical trial registry: IRCT20191020045166N1
