Introduction:In patients with heart failure, increasing awareness and performance (function) should be the primary focus of care and treatment. The most common intra-hospital death for patients with heart problems is heart failure. Recent research has shown that improving the quality of treatment can reduce the risk of mortality due to heart failure. However, the knowledge and function of patients with heart failure are often lower than normal. Materials and Methods:This research is an experimental study that was carried out in pre-test and post-test form in two groups of control and case in hospitalized patients in Kerman city hospitals. To this end, 150 patients with heart failure were selected according to the characteristics of the studied units and were randomly assigned into control and case groups. The units were examined in two stages, one month before and after education, using questionnaires to determine the educational needs and the performance evaluation checklist by the use of SPSSS. Then, the data were analyzed using statistical methods. Findings: The findings of this study showed that self-care education, regarding p=0.000 was effective on cardiac patients' awareness and function and a significant difference was seen before and after education. Among demographic variables, only patients with a history of admission and exercise had better care than others. Discussion: Education for patients with heart failure increases their awareness and function, and as a result, they would have a better care of themselves, and the recurrence of illness and re-admission, and the cost of treatments and the absence of work and the emergence of economic and social problems will be prevented.
Background: The prevalence of cardiovascular diseases among people in industrialized and developing countries are increasing. A look at recent WHO statistics suggests that these diseases account for 23% of global mortality rates, which make up a significant proportion in comparison with other causes of mortality. It is sate to be said that cardiovascular diseases cause problems for people and cause worries in the community, including lack of presence at work, high cost of surgery and drugs, disability and other cases. Evidence suggests that coronary artery disease is associated with anxiety and depression, sleep disorders, severe fatigue, and emotional complaints, since the body and mind are not separate. Objectives: By providing the necessary knowledge to patients, to a great extent, their mental problems can be prevented. Materials and Methods: This is an analytical study that evaluates the effect of preoperative training on depression in patients undergoing cardiac surgery in Shahid Modares Hospital. This study was performed on 80 patients undergoing cardiac surgery who were randomly divided into two groups of control and test. Before operation (surgery), the depression of the two groups was measured by Beck's standard test. Then, the necessary training was given to the case (test) group. Then one month after the operation (surgery), the depression of the two groups was again measured and compared. The data collection tool was Beck's standard test, which grading scale indicates 7-0, mild depression, 8-14, moderate depression, and 15-26, severe depression. Findings: The results of this study indicate that the training reduced the severe depression by 50% in the case group, but did not affect the mild to moderate depression. According to (p <0.001), there is a significant difference between depression two groups of control and case (test), and severe depression in the case group has been reduced by half. In addition, the research hypothesis was confirmed with 95% confidence. According to the above findings, it can be said that training not only reduces the physical problems of individuals, but also affects the mental and psychological problems of individuals. Conclusion: By communicating with patients and giving the necessary training in special wards, especially cardiac surgery, they can be more hopeful for their lives and their depression can be reduced and their recovery facilitated.
Congenital right atrial aneurysms (RAA) have a wide range of clinical presentations and leads to various complications. Depending on the initial presentation and associated complications, a conservative or surgical approach may be considered. A patient suffering from a giant RAA associated with the Wolff‐Parkinson‐White syndrome, who underwent successful surgical treatment, is presented here.
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