Showing 5 results for Nouri
Nahid Daryaei, Mitra Payami Bousari , Noraldin Moosavi Nasab , Eskandar Nourizadeh,
Volume 2, Issue 1 (7-2012)
Abstract
Background and Objectives: Chest tube removal is a prompt painful procedure. The pain is gradually relieved after removal of the tube. Cold application in combination with the Indomethacin suppository administration may increase the duration for analgesic need. This study aimed to evaluate the effect of cold in combination with Indomethacin suppository on the duration for analgesic need after chest tube removal. Materials and Methods: This quasi-experimental single-blinded study was conducted on 66 patients aged 18-68 years with chest tube in pleural space. The patients were randomly allocated into two intervention and control groups. In both groups, 100mg Indomethacin suppository was administered one hour before chest tube removal. In the intervention group, a 4ºc cold pack was applied in the chest tube side for 20 minutes. In the control group, the applied pack was in room temperature. The severity of pain was evaluated using the visual analogue score 20 minutes before and 15 minutes after the chest tube removal. The duration for analgesic need after chest tube removal was recorded in both groups. Results: Despite reduction, there was no statistically significant difference between the mean score of pain before the chest tube removal and 15 minutes after the procedure (p>0.05). After chest tube removal, patients in the control group requested for analgesic earlier than the patients in the intervention group. Conclusion: The application of cold in combination with the Indomethacin suppository increased the duration for analgesic need after chest tube removal. The application of cold in combination with the Indomethacin suppository is recommended as a solution to reduce the need for analgesic after chest tube removal.
Mohammad Abdi , Akbar Pourrahimi , Khalil Yousefi , Zahra Nouri Khaneghah , Soheila Rabie Siahkali , Hojjat Torkmandi,
Volume 8, Issue 4 (3-2019)
Abstract
Background: Substance abuse as a major social and medical problem can be job-dependent.
Objectives: Among various occupations, medical personnel have greater access to narcotic drugs, leading to mood, behavior, and occupational disorders and ultimately death due to lack of control.
Methods: The present study reported a death of medical personnel with migraines owing to colleagues' inattention to substance abuse.
Results: The case was a 44-year-old man with 24 years of clinical experience, good social relationship, no symptoms of psychiatric disorder, an expert in the field of anesthesiology, and a popular manager among hospital colleagues. Diagnosed with migraine headaches one year ago, he worked for several treatment centers. According to some reports, he showed ataxia in some cases due to the exacerbated headache. Additionally, ataxia and drowsiness after a headache attack were not considered the cause of drug abuse so that they were always attributed to the disease. Eventually, in a shift, he had a respiratory failure and then died of the overdose or non-control of fentanyl abuse.
Conclusion: Medical personnel with migraine are at high risk of substance abuse in therapeutic settings. Therefore, it is suggested that periodic and intangible examinations be conducted for medical personnel, especially those with migraines in the field of substance abuse, and preventive counseling be provided.
Mahsa Nouri, Nasrin Hanifi, Negin Babaeivahed, Masoumeh Mortaghy Ghasemy,
Volume 13, Issue 1 (3-2023)
Abstract
Background: The COVID-19 disease has worse outcomes in individuals with underlying diseases and elderly individuals. Therefore, identifying COVID-19 risk perception and its related factors and outcomes in vulnerable groups is essential for the health system.
Objectives: This study aimed to determine COVID-19 risk perception, its related factors, and outcomes in vulnerable groups (individuals with underlying diseases, smokers, opioid addicts, the elderly, and pregnant women).
Methods: This systematic review was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search was carried out using the keywords “Risk perception” and “COVID-19” in PubMed, Scopus, Science Direct, SID, Proquest, and Magiran databases in the period from 2019 to July 3, 2021. The quality of selected studies was checked by two authors independently according to Newcastle-Ottawa Scale adapted for cross-sectional.
Results: In the initial search, 640 articles were found, of which 56 remained in the screening phase. Then, the full text of 56 articles was studied. Eventually, based on the inclusion and exclusion criteria of the articles, 8 articles were reviewed. This systematic review showed that suffering from an underlying disease, more anxiety, younger age, and female gender are associated with higher COVID-19 risk perception. The outcomes of COVID-19 risk perception were higher COVID-19 risk perception, delayed treatment sessions, increased anxiety and fear, increased ineffective safety behaviors, and greater compliance with health protocols.
Conclusion: Creating sensitivity and proper COVID-19 risk perception is necessary to follow health protocols, but high COVID-19 risk perception can endanger vulnerable groups’ mental and physical health. Besides, reducing the sensitivity of vulnerable groups toward COVID-19 can expose them to the disease
Mahsa Nouri, Nasrin Bahrami Nejad, Masoumeh Namadian, Elham Faghihzadeh,
Volume 13, Issue 2 (3-2023)
Abstract
Background: One of the main steps for designing a comprehensive palliative care program in patients with cancer is to achieve knowledge about pain acceptance.
Objectives: This study aims to determine the level of pain acceptance and its related social determinants of health in patients with cancer.
Methods: This cross-sectional study conducted on 152 patients with cancer hospitalized in the oncology wards of Valiasr and Ayatollah Mousavi hospitals in Zanjan. Participants were included in the study by convenience sampling from June to September 2021. To collect the data, a three-part questionnaire including demographic factors, social determinants and chronic pain acceptance was utilized. Statistical analysis was performed by t-test and one-way analysis of variance (ANOVA) using SPSS software version 25.
Results: Most of the participants were male (52%), illiterate (56.6%) and in the age group of 61-75 years (40.1%). The mean (SD) of the total pain acceptance score was 53.37 (19.36), which represents a lower than mean pain acceptance among the participants. The mean of pain acceptance according to the two variables of transportation system (P< 0.001) and occupation (P= 0.003) showed a statistically significant difference.
Conclusion: The findings of the study indicate that pain acceptance in the participants is not desirable. It is essential to plan and put into effects programs in order to improve pain acceptance methods. Moreover, considering the relationship between social determinants of health and pain acceptance, it requires to pay more attention to social determinants of health during the development of interventions to improve patients’ pain acceptance.
Maryam Nouri, Nasrin Jafari Varjoshani, Zeinab Ghahremani, Farzane Ahmadi,
Volume 13, Issue 2 (3-2023)
Abstract
Background: Breast cancer is still a major health concern, causing stress not only for the patients but also for their caregivers.
Objectives: The aim of the present study was to determine the effect of virtual training on the care burden of caregivers to patients with breast cancer.
Methods: This clinical trial was conducted on 80 caregivers of patients with breast cancer referred to the Mehraneh Clinic of Zanjan, Iran, in 2022. The participants were chosen by convenience sampling and randomly divided into the experimental and control groups using the block randomization method. A demographic information questionnaire along with the Zarit care burden questionnaire were used to collect data. The care burden of caregivers was determined before, immediately after, and one month after the intervention. The data were analyzed in SPSS 26 software using descriptive and inferential statistics (the independent t-test, Chi-square test, Mann-Whitney test, Fisher’s exact test, and a marginal model for longitudinal data).
Results: According to the results, the mean (SD) age of the caregivers was 42.20 (11.54) years, of whom 60% were male. Based on the longitudinal marginal model, no significant difference in care burden was observed between the two groups immediately after the intervention (P=0.077); however, this difference was statistically significant one month after the intervention (P<0.001).
Conclusion: According to the findings, the virtual training intervention reduced the care burden of caregivers of patients with breast cancer in the long term. Therefore, providing training related to care burden reduction through cyberspace and social media can be suggested as a suitable and available method.
