This study created a better understanding of the barriers to ventilator-associated pneumonia prevention. Moreover, highlighted the importance of sufficient resources, adequate staffing level, and contextually-appropriate evidence-based guidelines for effective ventilator-associated pneumonia prevention.
Background: Quality of life (QoL) is an important tool for evaluating the effect of a disease as well as effects of treatment interventions. The present study is aimed to investigate QoL of the patients with various prevalent chronic diseases in Iran. Methods: In a cross-sectional study, 625 patients with one of the prevalent chronic diseases were assessed. Participants were recruited via convenient sampling method in special clinics of chronic diseases in three educational hospitals in Qazvin, Iran, from May to December 2016. Data were collected using WHOQOL-BREF and demographic questionnaire through interview. Data were analyzed using independent t -test, ANOVA, Pearson's correlation coefficient, and multiple linear regression method. Results: Significant difference in QoL scores was found in different chronic disease; patients with diabetes and hypertension had higher scores and patients with asthma and chronic obstructive pulmonary disease (COPD) had the lowest scores. Multivariate analysis showed that age, economic status, and type of disease were among the significant variables in predicting the QoL of the patients with chronic diseases. Conclusions: Some patients, such as those with asthma and COPD, had less QoL than other patients and should be prioritized while planning for the promotion of healthcare services. Due to the negative effects of economic status on QoL, the financial support programs should be among the major priorities of the patients’ QoL improvement programs.
Background:Ventilator-associated pneumonia (VAP) is one of the most common nosocomial infections that increase mortality rate and the length of hospitalization. Oral care can improve patient's oral health, however, the role of oral care in the reduction in incidence rate of VAP is indisputable. The aim of this study was to investigate the effect of oral care on the frequency of VAP of patients in intensive care unit.Materials and Methods:This clinical trial was conducted on 80 participants who were randomly assigned to a control group and an intervention group from 2016 to 2017. Data were collected at the first, third, and fifth days of the study using a demographic and clinical characteristics questionnaire and the Clinical Pulmonary Infection Score for detecting pneumonia. Data analysis was performed using descriptive and inferential statistics in SPSS software.Results:The results of this study showed that the frequency of pneumonia on the third and fifth days was 15.80% (6) and 23.70% (9) in the control group and 10.50% (4) and 7.90% (3) in the intervention group, respectively. Chi-square test did not show a significant difference (p = 0.059); however, the frequency of pneumonia in the intervention group reduced compared with the control group.Conclusions:According to the results of this study, the oral care program could not significantly decrease the incidence of VAP in critically ill patients compared with routine oral care practices. Similar studies with a larger sample size and longer duration should be conducted for better results.
Background: Respecting inherent human dignity has a prominent role and is of great importance in health care discussions. Respect for people’s dignity is the basis of nursing care and is a step toward increasing patients’ satisfaction with the services provided by the staff. Objectives: The present study aimed to investigate the relationship of respect for dignity with anxiety, depression, stress and quality of life in patients with heart failure. Methods: This is a descriptive analytic study. The study population consisted of the patients with heart failure hospitalized at Isfahan University of Medical Sciences from 2017 to 2018. In this research, samples were selected through purposive sampling, consisting of 150 patients with heart failure from the research population. Then personal characteristics questionnaire, Inherent Dignity questionnaire (IDQ), Minnesota Living with Heart Failure questionnaire (MLHF), as well as Depression, Anxiety, Stress scale (DASS) were completed by samples. Statistical analysis was performed using descriptive statistical methods, Pearson’s correlation coefficient, one-way ANOVA and independent t-test. Results: The mean total score for patients’ inherent dignity was 102.21 out of 144, with a standard deviation of 17.92. Pearson correlation coefficient showed that the total score of the patients’ inherent dignity had no significant relationship with age (P = 0.57) and the number of heart failure-related hospital admissions (P = 0.71). Pearson correlation coefficient showed that the total score of the patients’ inherent dignity had an inverse relationship with their scores of the quality of life (P = 0.002), depression (P = 0.004), anxiety (P = 0.001), and stress (P < 0.001). Conclusions: Considering the fact that nowadays the improvement of service quality is one of the priorities of healthcare and, on the other hand, as research findings show, respecting the dignity of heart failure patients plays an important role in reducing stress, anxiety, and depression as well as increasing the quality of life, these results can be used in planning to support and improve the treatment, and the care provided for patients, and to guide the future researches regarding the inherent dignity of these patients.
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