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The effect of lavender oil inhalation on anxiety and some physiological parameters of open- heart surgery patients
Seyyed Abedin , Alemeh Heidari, Dr Mohammad Ali Vakili, Dr Shahram Moghaddam, Dr Sadegh Ali Taziki, Mohammad Taghi Badeleh,
Volume 10, Issue 0 (9-2013)
Abstract

  Background and Objective: surgery is a stressful experience and in open heart surgery, the patients are greatly faced with anxiety, which has been reduced by different approaches. This study aimed to investigate the effects of aromatherapy on anxiety level.

  

  Material and Methods: This blinded- randomized- controlled clinical trial was carried out on 90 patients divided into two groups of intervention and control. the patients of intervention group were asked to inhale two drops of lavender essential oil and those of control group two drops of distilled water poured on a gauze , for 20 minutes. In addition to measuring patients’ anxiety level by Spielberger questionnaire, we recorded their vital signs. Using SPSS 16 software, the data was described via mean, standard deviation and percent, and analyzed by using independent t-test, paired t-test, Chi Square and Covariance (0.05).

  

  Results: The mean age of intervention group was 50.49 ± 10.92 and control group was 50.13 ± 9.20. Anxiety score in intervention group was significantly decreased from 56.37±5.6 to 54.73±5.42 and in control group meaningfully reduced from 55.18±7.35 to 54.0±7.22 (p<0.05). The mean anxiety score in the intervention group was significantly higher than that of control group (p<0.05).

  

  Conclusion: Because anxiety reduction in aromatherapy group was more than control group it can be concluded that aromatherapy with lavender essential oil have significant effect in reducing anxiety and therefore can be used in clinical situations.

  


Incidence of Delirium and Associated Factors before Open Heart Surgery
Maryam Sohrabi, Dr Yadollah Jannati, Dr Masoomeh Bagheri Nesami, Dr Jamshid Yazdani Charaty, Dr Shahzad Mazdarani,
Volume 10, Issue 1 (4-2013)
Abstract

  Background and Objective: ­ ­Delirium is a kind of fluctuating cognitive­ destruction , disorientation and ­a common problem for inpatients, which leads to increased mortality, prolonged hospital stay, increased cost and decreased rehabilitation.­ This study evaluates the incidence of delirium and its associated risk factors in open heart surgery.

  Material and Methods: This descriptive-analytical study was conducted ­­in six month (2011), via convenience sampling, on 404 patients undergoing elective cardiac surgery in the heart center of Fatemeh Zahra in Sari, Iran. Using Neecham questionnaire and demographic checklist, delirium was evaluated from the first till the fifth day of surgical operation. We used survival analysis (Kaplan-Meier and Cox regression) to­ analyze the findings, using SPSS software version18.
Results: The incidence of delirium is reported 28.5%. There is a significant relation between the incidence of delirium and variables such as age , lower education, rural, history of kidney failure, heart failure, stroke, hearing disorder, atrial fibrillation, increased serum potassium and increased serum urea.

  Conclusion: ­ According to the results, screening for d elirium is a matter of the utmost importance . With attention to individual profile and preoperative factors related to delirium, it is necessary to train elder and lower education patients, to maintain electrolyte balance before operation and to eliminate sensory deprivation in order to lessen the incidence of delirium.

 


Effectiveness of Family Center Informational Support on Satisfaction of Families of Patients Undergone Open Heart Surgery
, , , ,
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.

Effect of Warm Saline Solution Gargle on Sore Throat after Extubation in Open Heart Surgery Patients: A Randomized Clinical Trial
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.

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