Background and objective: Sleep disorder and reduced rest during admission to hospital is a stimulating factor of heart attacks in coronary artery disease patients. There are different ways to improve sleep quality. Method: Aromatherapy is one of the methods used to improve sleep quality. This study determines the effects of hybrid aromatherapy on sleep quality of patients with ACS admitted to CCU. This clinical trial was conducted in 2016 on 60 patients diagnosed with ACS and admitted to CCU of the 22 Bahman Hospital, Gonabad. The patients were recruited by using convenient sampling and assigned randomly to control and experiment groups. Results: The experimental group received aromatherapy with a combination of essential oils of lavender, Matricaria recutita and neroli (6:2:0.5) for three consecutive nights; the control group received no intervention. At the beginning and the end of the study, visual VSH scale was filled out to assess sleep quality. The collected data was analyzed by using SPSS20, independent t-tests, Chi-square test and exact Fisher test (p<0.05). Each group contained 30 samples who were not significantly different in terms of underlying characteristics (p>0.05). Conclusion: There was a significant difference in mean score of post-interventional and pre-interventional sleep quality, effectiveness and sleep supplementation (p<0.001). The mean score of sleep quality and sleep supplementation increased in the control group and decreased in the experiment group, while the mean score of sleep effectiveness decreased in the control group and increased in the experiment group. The results showed that hybrid aromatherapy as a cost effective and uncomplicated method can improve sleep quality of patients with ACS admitted to CCU.
Aims: Long term prognosis of hemodialysis patients are influenced by adequacy treatment. Thus, it is important to study the factors that improve the adequacy dialysis. The aim of this study was to determine the impact of isometric and isotonic movements during hemodialysis on dialysis adequacy. Materials & Methods: In this clinical trial in 2014, 50 patients in the two dialysis centers of Gonabad City and Qaen City, Iran, were selected by simple random sampling method and considering the inclusion criteria. The samples were randomly divided into two equal experimental and control groups. Experimental group patients performed isometric and isotonic movement according to tutorial film for 60 minutes in the first 2 hours of hemodialysis. These sport movement were repeated 3 times a week during hemodialysis session for 6 weeks. Dialysis adequacy was calculated before and after intervention in 2 groups. Data was analyzed by SPSS 14.5 software using independent T, Chi-square, Pearson-and Spearman correlation coefficients tests. Findings: After the intervention, there was a significant difference between two groups in adequacy of dialysis (p=0.01), in a way that before intervention, 80% of patients in experimental group had dialysis adequacy less than 1.2 which was reduced to 40% after intervention. However, the number of patients with less than 1.2 adequacy of dialysis in control group was increased from 72 to 76%. Conclusion: Performing isometric and isotonic movements during hemodialysis improves the adequacy of dialysis in hemodialysis patients.
Aims: Endotracheal intubation can increase sympathetic reflex activity result in blood pressure increase, arrhythmia and tachycardia. This study aimed to compare the effects of Clonidine premedication and Fentanyl on hemodynamic factors (heart rate, systolic and diastolic blood pressure) in opium-dependent patients under endotracheal intubation. Materials & Methods: This single-blind clinical trial was done on 60 opiumdependent patients undergoing elective surgery under general anesthesia with endotracheal intubation in 2013 at operating room of 15 Khordad hospital. The samples were divided randomly into two equal groups receiving Clonidine and Fentanyl. Systolic and diastolic blood pressure and heart rate were compared before, immediately and 5min after intubation. Data were analyzed using Independent-T, ANOVA and Pearson correlation coefficient tests by SPSS 16 Software. Findings: The mean heart rate, systolic and diastolic blood pressure before endotracheal intubation in both groups was not statistically different (p>0.05) but the mean heart rate, systolic and diastolic blood pressure, immediately after intubation in both groups was maximum and showed significant difference statistically (p<0.001). Systolic and diastolic blood pressure in Clonidine group, 5min after intubation significantly decreased compared with prior to intubation and showed significant difference to the Fentanyl group statistically (p<0.001). Conclusion: Using Fentanyl as a premedication before laryngoscopy and endotracheal intubation is less effective than Clonidine to control of hemodynamic parameters in opium-dependent patients.
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