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Showing 6 results for Yazdi

Dr Khadijeh Yazdi, Dr Arazbordi Ghorchaei, Dr Shakiba Mozari, Fariba Baghani, Ali Akbar Abdollahy, Dr Naser Behnampour,
Volume 12, Issue 2 (12-2015)
Abstract

Background and Objective: The usual method of assessing depth of anesthesia, which is not sensitive and specific enough, is measuring hemodynamic parameters, autonomic changes and subjective symptoms including movement, sweating and lacrimation. This study aimed to determine the relationship between the depth of anesthesia and hemodynamic indices.

Material and Methods: This correlational study was conducted on 57 patients undergoing elective hernia surgery in Shahid Beheshti Hospital ,Sabzevar in summer 2014.  An identical anesthesia technique was used for all patients.  Depth of anesthesia was monitored quantitatively by bispectral index (BIS) at 5-minute intervals, with simultaneous recording of heart rate and blood pressure. We analyzed the data using Anova and correlation coefficient.

Results: The mean age was 45.54±13.46. The patients were males (n=36) and females (n= 21).   Only 59.6 % of the patients experienced a normal depth of anesthesia. Hemodynamic parameters were not significantly correlated with anesthetic depth except for heart rate in the first 5 minutes (P= 0.013).

Conclusion: Given that hemodynamic parameters have some limitations in determining the acceptable depth of anesthesia, we recommend using the monitors based on brain signal processing.


Ainaz Kor, Khadijeh Yazdi , Hosien Nasiri, Mohsen Mir Sadeghi ,
Volume 14, Issue 1 (11-2017)
Abstract

Background: Receiving Oxygen during Cesarean section under spinal anesthesia can be a good way to prevent from nausea and vomiting of mothers and hypoxemia of fetus. This study aimed to compare the effect of two treatment methods of Oxygen therapy with facemask and nasal catheter on vomiting and nausea and patient's comfort during Cesarean section under spinal anesthesia.

Methods: This clinical trial study was conducted  on 50 candidate patients for elective cesarean section, recruited via convenience sampling , were divided into two groups. For the first group, 8 liters of Oxygen per minute with face mask and for the second one, 4 liters of Oxygen per minute with nasal catheter was administered during cesarean section and after that in recovery unit. Nausea, vomiting and comfort were recorded during the first 30 min of surgery and in recovery unit. Data were analyzed by Mann-Whitney test, independent t test, Fisher's exact test and Chi-square tests.

 Results: No significant difference was observed between two groups in terms of nausea and vomiting during surgery and after that.  Moreover, there was no significant difference between two groups in terms of comfort during (p=0.14) and after surgery (p=0.12).  In terms of clinical treatment, patients who received Oxygen through nasal catheter felt more comfort.

Conclusion: Nasal catheter by administering lower dose of oxygen had a similar effect to face mask on nausea and vomiting. Therefore, since patients feel more comfort when using nasal catheter, it is preferable in preventing the nausea and vomiting in Cesarean section during spinal anesthesia.


Fahimeh Dehghani, Fatemeh Foroughian Yazdi, Rohollah Askari,
Volume 16, Issue 2 (11-2019)
Abstract

Background: The quality of hospital systems depends greatly on the performance of nurses, and the performance of nurses has a significant effect on individual patients` satisfaction. Therefore, it is important to examine the factors related to nurses' performance. This study was designed to investigate the relationship between spiritual intelligence and occupational hardiness and the job performance in pre-hospital and hospital emergency nurses in Yazd.
Methods: This cross-sectional study was carried out on 132 nurses working in pre-hospital and hospital emergency in Yazd University of Medical Sciences, who were selected using stratified sampling with proportional allocation in 2016. Data were collected through three questionnaires including spiritual intelligence, occupational hardiness and job performance. Data was analyzed using descriptive statistics and multiple regression in SPSS version 19.0 (IBM, USA).
Results: The mean score of job performance, spiritual intelligence and occupational hardiness were 52.46±11.16, 121.32±12.59, and 53.29±8.72, respectively. According to the results, spiritual intelligence and occupational hardiness can predict the job performance. (R2=%18, P<0.01). Both spiritual intelligence (β=0.32, P=0.001) and occupational hardiness (β=0.24, P=0.004) showed significant positive contribution in the prediction of the job performance.
Conclusions: According to the results, developing spiritual intelligence and occupational hardiness can help to improve the job performance of the pre-hospital and hospital emergency nurses.

Gol Bahar Eri, Khadijeh Yazdi, Gholam Ali Riahi, Zahra Mehr Bakhash, Mohammad Ahmadi ,
Volume 19, Issue 1 (1-2022)
Abstract

Background: Sore throat is one of the most common complications of endotracheal intubation, which interferes with patient's normal breathing and oral feeding process. This may ultimately delay the patient's discharge from the hospital. The aim of this study was to determine effect of warm normal saline solution gargling on sore throat in open heart surgery patients after estuation.
Methods: This clinical trial was performed in 2016 on 60 patients undergoing open heart surgery at the Amir Al-Momenin Hospital in Kordkoy, Northeast of Iran. The subjects were selected by convenience sampling method and randomly assigned to an intervention and a control group. Patients with sore throat were assessed using the Numerical Pain Rating Scale (NPRS 0–10) one hour after endotracheal tube removal and then every 6 hours for 24 hours. An overall score of zero, 1-3, 4-6, and 6-10 indicated no pain, mild pain, moderate pain, and severe pain, respectively. Data were analyzed with SPSS (version 18) using the Shapiro–Wilk test, independent t-test, Fisher's exact test, Chi-square test, and Friedman test. All analyses were carried out at significance of 0.05.
Results: At the beginning of the study, there was no statistically significant difference between the two groups in terms of age, sex, ethnicity, history of addiction, and sore throat severity (p> 0.05). Six hours after the intervention, pain intensity did not differ significantly between the two groups (p <0.05). However, pain intensity was significantly lower in the intervention group compared with the control group 12, 18, and 24 hours after the intervention (p<0.001).
Conclusion: The results indicate that warm normal saline solution gargling after removal of the endotracheal tube is a practical, simple, and cheap approach to relieve sore throat in patients undergoing open heart surgery.

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.

Fatemeh Tahmasbi , Khadijeh Yazdi, Navisa Sadat Seyedghasemi , Shohreh Kolagari ,
Volume 21, Issue 4 (12-2024)
Abstract

Background: The use of information technology improves the competency of nurses at the bedside. This study was conducted to determine the relationship between informatics competency and clinical competency in nurses working in intensive care units.
Methods: In this cross-sectional study, 135 nurses employed in intensive care units affiliated with Golestan University of Medical Sciences, Iran, were included. The inclusion criteria were having at least a bachelor's degree in nursing, a minimum of six months of work experience in the ICU, and current employment in the ICU. The participants were enrolled in 2023 using a stratified sampling method with proportional allocation. Data were collected using demographic information forms, clinical competency questionnaires, and informatics competency questionnaires. Statistical inferential tests included Mann-Whitney, Kruskal-Wallis, multiple linear regression, and generalized multiple linear regression models. The significance level for all statistical tests was set at 0.05.
Results: The mean scores of the nurses' clinical competency and informatics competency were 58.41±8.80 and 45.67±18.88, respectively. There was no statistically significant correlation between these two variables (r = -0.07, p-value = 0.42). When examining the simultaneous effect of explanatory variables, only work experience in the ICU had a significant association with clinical competency (β = 0.3, P = 0.02). Moreover, informatics competency was significantly associated with gender (β = -12.93, P = 0.001) and the duration of using health information systems (β = -6.22, P = 0.008).
Conclusion: There is no significant relationship between informatics competency and clinical competency among ICU nurses. It is suggested that health system policymakers introduce the components of nurses' informatics competence and emphasize their importance in the clinical setting to improve the quality of care. In addition, nurses should be encouraged to enhance their professional skills and acquire competency in new approaches by gaining updated knowledge.

 


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