Effects of a multimodal rehabilitation program in COVID-19 patients admitted to the Intensive Care Unit: A quasi-experimental study

Background: Patients with severe COVID-19 evolve to acute respiratory distress syndrome (ARDS) and require management in Intensive Care Units (ICU) where they are exposed to immobilization, immunosuppression, malnutrition, nosocomial infections; may develop ICU Acquired Weakness (ICUAW), which increases with the stay and use of mechanical ventilation (MV).There is evidence of the use of different modalities in rehabilitation to mitigate these effects. Goal: To determine the efficacy of a Multimodal Rehabilitation Program (MRP) in reducing the number of days of mechanical ventilation and stay in patients hospitalized for COVID-19 in ICU, as well as to describe its clinical and hospital characteristics. Material and Methods: An quasi-experimental study was designed, with sequential sampling and without blinding. A control and intervention group was formed, with 32 participants each. A Multimodal Rehabilitation Program (MRP) based on four therapeutic modalities was applied and the intervention was quantified through the use of proposed indicators. Results: The variation in days of ICU stay and days of MV were similar in both groups. The Multimodal Rehabilitation Index (iMR) ranged from 0.1 to 2.7 (mean = 1.2, SD = 0.7) and had significance for cut-off points ≤ 0.81 and ≤ 0.94 in mortality (p = 0.02) and Ventilator-free days at 28 days (VFDs-28) (p = 0.01). Conclusions: No statistically significant difference was found in favor of the intervention in terms of days of stay in the ICU and days of MV. Explanatorily, it was reported that iMR was related to (VFDs-28) and mortality in patients with severe COVID-19.

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Effect of Telenursing on the Self-eﬃcacy of Patients with Myocardial Infarction: A Quasi-experimental Study

10.22514/sv.2020.16.0039 ◽

2020 ◽

Keyword(s):

Myocardial Infarction ◽

Experimental Study ◽

Self Efficacy ◽

Demographic Data ◽

Intervention Group ◽

The Self ◽

Control Group ◽

Significant Difference ◽

Quasi Experimental

Background and Objective: Despite medical advances, patients with Myocardial Infarction do not fully recover and require rehabilitation and other treatment measures as well. One way to empower these patients is to promote self-efficacy. Therefore, the present study aimed to determine the effect of Tele-nursing on the self-efficacy of patients with myocardial infarction. Methods: This quasi-experimental study was conducted on 40 patients with Myocardial Infarction. The participants selected using the simple random sampling method. The patients were divided into two intervention and control groups of 20 participants. Routine training was given to both groups before discharge. The demographic data questionnaire and Sullivan’s cardiac self-efficacy questionnaire were then provided to each patient. In the intervention group, in addition to routine training, the telephone follow-up intervention was performed by the researcher within one month (once a week with an average call duration of 10 minutes). After one month, the self-efficacy questionnaire was provided to each of the study units again. Finally, after determining the normal distribution, the data were analyzed by chi-square, independent t-test, and ANCOVA tests, using SPSS v.25 software. Results: There was no statistically significant difference between the two groups in terms of demographic variables and disease characteristics. The mean score of self-efficacy before and after the intervention in the control group was 22.90 ± 3.93 and 33.35 ± 8.36, respectively, and in the intervention group, was 25.60 ± 6.90 and 47.45 ± 5.60, respectively. There was a statistically significant difference between the two groups after the intervention (p < 0.001). Conclusion: Telenursing can improve adherence to the treatment program and promote patients’ self-efficacy. Therefore, due to its reliability, availability, and low cost, this method can be used in patient care and follow-up.

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The effect of Preventive-Care Education On Radiotherapy-Induced Dermatitis in Patients with Breast Cancer: A Quasi-Experimental Study

Medical - Surgical Nursing Journal ◽

10.5812/msnj.108878 ◽

2020 ◽

Vol In Press (In Press) ◽

Author(s):

Vahideh Ganjali ◽

Fatemeh Kiyani ◽

Farshid Saeedinezhad ◽

Pegah Sasanpoor ◽

Hasan Askari

Keyword(s):

Breast Cancer ◽

Experimental Study ◽

Radiation Therapy ◽

Preventive Care ◽

Intervention Group ◽

Disease Stage ◽

Control Group ◽

Care Education ◽

Significant Difference ◽

Quasi Experimental

Background: Breast cancer is the most common on the list and the leading cause of cancer death in women worldwide. Although radiation therapy is a key component of cancer treatment, it causes several complications, including radiodermatitis. Objectives: The current study aimed to investigate the effect of preventive-care education on radiotherapy-induced dermatitis in patients with breast cancer. Methods: In this quasi-experimental study, 80 patients with breast cancer who were candidates for radiation therapy were selected by convenience sampling and randomly assigned to the groups of intervention and control. Data were collected using a demographic form and a scale for assessing skin complications developed by the Radiation Therapy Oncology Group (RTOG). Patients in the intervention group were trained individually in three 30-minute sessions on treatment methods, chemotherapy, and prevention as well as radiodermatitis care. While the control group received routine care. Data were analyzed in SPSS 22 using the Mann-Whitney test, chi-squared test, Fisher's exact test, independent t-test, and generalized estimation equation (GEE) at a significance level of < 0.05. Results: No statistically significant difference was found between the two groups concerning the marital status, smoking, education level, age, BMI, plasma albumin level, and disease stage. After providing the intervention, the prevalence of radiodermatitis grade 1 was 27.5 and 7.5% in the control and intervention groups, respectively. After six weeks, 30% and 10% of patients in the control group developed radiodermatitis grades 3 and 4, respectively, but only 7.5% of patients in the intervention group had radiodermatitis grade 3. The results of GEE indicated that over time, the probability of developing higher grades of radiodermatitis increases by 1.074. This probability was 1.355 higher in the control group than the intervention group (P value = 0.03). Conclusions: This study demonstrated the positive effect of the educational intervention on the severity of radiodermatitis in patients with breast cancer undergoing radiotherapy. Along with medication, implementing an educational program that teaches patients how to prevent radiodermatitis helps to reduce the incidence of radiodermatitis.

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Effect of educational intervention on safe traffic behaviors of high school male students in Iran, using the theory of planned behavior: a quasi-experimental study

BMC Public Health ◽

10.1186/s12889-021-11943-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Vahid Ranaei ◽

Laleh Hassani ◽

Alireza Shahab Jahanlou ◽

Ghodratollah Roshanaei ◽

Forouzan Rezapur-Shahkolai

Keyword(s):

High School ◽

Experimental Study ◽

Theory Of Planned Behavior ◽

Planned Behavior ◽

Content Validity ◽

Intervention Group ◽

Male Students ◽

Health Concern ◽

Significant Difference ◽

Quasi Experimental

Abstract Background Behavior change interventions in tackling road traffic injuries are a public health concern. Thus, this interventional research was to survey the effect of safe traffic behaviors among male students in Hamadan, Iran, utilizing theory of planned behavior. Methods In this quasi-experimental study, 204 students were randomly selected through multistage sampling from male high school students of Hamadan city, west-central of Iran, and non-randomly allocated to control and intervention groups (102 students in every group). The self-administrate questionnaire was used for data collection in this research. Frequency (percentage) and mean (SD) were used for description. Cronbach alpha coefficient, content validity ratio (CVR) and content validity index (CVI) were used for psychometric evaluation of questionnaire and paired/independent sample t-test was used for data analysis. All statistical analyses were done in SPSS 19 and significant level was considered 0.05. Results In both groups, more than 50 % of students walked to school. The two study groups were homogeneous in terms of confounding variables (p > 0.05). The validity of the questionnaire was confirmed and the total Cronbach’s alpha value was equal to 0.97. There was no significant difference in the score of safe traffic behaviors between the two groups before the intervention (p > 0.05). But after the intervention, the score in the intervention group was significantly increased (p < 0.05). Intragroup comparison also showed that only in the intervention group the score was significantly changed (p < 0.05). Conclusion Theory of planned behavior is a suitable conceptual framework for planning the interventions to increase safe traffic behaviors in students.

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Effect of Educational Intervention Based on Health Belief Model on Prevention of Substance Abuse Among the Students of Khatam Al-Nabieen University in Afghanistan

Iranian Red Crescent Medical Journal ◽

10.5812/ircmj.101935 ◽

2020 ◽

Vol 22 (5) ◽

Author(s):

Khanali Mohammadi ◽

Sedigheh Sadat Tavafian

Keyword(s):

Substance Abuse ◽

Experimental Study ◽

Health Belief Model ◽

Educational Intervention ◽

Intervention Group ◽

Health Belief ◽

Control Group ◽

Significant Difference ◽

Quasi Experimental ◽

Belief Model

Background: Addiction in Afghanistan, as the largest opium producer in the world, is relatively high, and limited studies have indicated that the youth, especially students are the majority of the addicted cases in this country. Objectives: This quasi-experimental study aimed at designing and evaluating the effect of educational intervention based on the Health Belief Model (HBM) on drug abuse prevention among the students of Khatam Al-Nabieen University in Afghanistan. Methods: In this quasi-experimental study, 120 students of Khatam Al-Nabieen University residing in Ghazni city, Afghanistan, were randomly divided into two groups of the intervention and control (60 students per group). The HBM-based educational intervention was performed for the intervention group. The data in both groups were collected and evaluated at four time points, including before intervention, and immediately, 3, and 6 months after the intervention using a valid researcher-made questionnaire. Results: Although there was no significant difference between the mean score of the HBM constructs (P > 0.05) before the intervention, the results of repeated measures ANOVA showed significant differences in the intervention group in HBM constructs and also intention toward substance abuse preventive behavior (P < 0.001). There were significant inter- and intra-group differences, as well as the group-time interaction in all HBM constructs mean scores (P < 0.001). Also, as the valuable finding, the preventive behavioral intention significantly (P < 0.001) improved following a 3- and 6-month follow-up in the intervention group (17.63 ± 1.34 and 17.66 ± 1.42, respectively) compared with the control group (10.95 ± 1.33 and 10.87 ± 1.22, respectively). Conclusions: The results showed that the HBM-based educational program by preventing substance abuse can help students adopt proper behaviors.

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Evaluation of the Effect of Scheduled Family Appointments on Agitation of ICU Patients: A Quasi-experimental Study

Medical - Surgical Nursing Journal ◽

10.5812/msnj.118394 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Esmaeell Shahriyari ◽

Alireza Salar ◽

Abolfazl Payandeh

Keyword(s):

Experimental Study ◽

Family Members ◽

Intervention Group ◽

Recovery Process ◽

Control Group ◽

Chi Square ◽

Icu Patients ◽

Significance Level ◽

Significant Difference ◽

Quasi Experimental

Background: One of the main stressors for patients admitted to the intensive care unit (ICU) is being away from family members and severe appointment time limits. Currently, the treatment environment is made of family members and patients, and the presence of family members plays an important role in the patient’s health. Objective: This study aimed to determine the effect of scheduled family appointments on the agitation of ICU patients. Methods: This quasi-experimental study was performed on 70 patients admitted to the ICU of medical centers affiliated to Zahedan University of Medical Sciences, Iran, in 2020. The patients were selected using convenience sampling from among those who met the inclusion criteria. The selected patients were randomly assigned into two equal groups of control and intervention (n = 35 in each). The patients in the control group were visited via routine appointments. In contrast, the patients in the intervention group were visited both routinely and via scheduled appointments by a fixed member of the family for 20 minutes at 10-12 AM and 8-10 PM for three days. The data were collected using a demographic information form and Richmond Agitation Sedation Scale (RASS), which was completed by the researcher for each patient on the first day before and the third day after the intervention. The collected data were analyzed using IBM SPSS software (version 24) with the chi-square test, Fisher’s exact test, independent samples t-test, and Mann–Whitney U test. The significance level was considered less than 0.05. Results: The two groups were similar in terms of age, sex, level of consciousness, and history of hospitalization in the ICU and there was no statistically significant intergroup difference (P > 0.05). According to the results of Mann–Whitney U and chi-square tests, there was a significant difference between the groups in terms of agitation at the end of the study (P < 0.05). Conclusions: Scheduled appointments for ICU patients can reduce patients’ agitation without affecting nurses’ care activities. This accelerates the recovery process for patients. Hence, the appointment-based policy needs to be implemented in ICUs.

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Comparing the Effects of Mastery Learning and Lectures on Nurses’ Oxygen Therapy Knowledge and Practice: A Quasi-Experimental Study in Southern Iran

10.21203/rs.3.rs-850577/v1 ◽

2021 ◽

Author(s):

Sudabeh Ahmadidarrehsima ◽

Shideh Rafati ◽

Mahnaz Jabalbarezi ◽

Foozieh Rafati

Keyword(s):

Experimental Study ◽

Teaching Hospital ◽

Oxygen Therapy ◽

Mastery Learning ◽

Intervention Group ◽

Control Group ◽

Southern Iran ◽

Significant Difference ◽

Quasi Experimental ◽

Knowledge And Practice

Abstract Background and Aim: Improper administration of oxygen as an expensive drug has dangerous side effects. Nurses are responsible for performing this therapy and even prescribing it in emergencies. This study aimed to determine the effect of two methods of mastery learning and lectures on the oxygen therapy knowledge and practice of nurses in a teaching hospital in southern Iran.Materials and Methods: This quasi-experimental study was conducted on 50 nurses working in a teaching hospital in southern Iran. The participants were selected using convenience sampling and randomly divided into intervention and control groups. The members of the intervention group attended 4 oxygen therapy master learning sessions, while the members of the control group were trained using the lecture method for 4 sessions. The instruments used for data collection were a demographic information questionnaire and the researcher-made nurses’ oxygen therapy knowledge and practice inventories that were completed by the participants in both groups. The data were collected before the intervention and one week and three months after the intervention and analyzed using SPSS software with descriptive and inferential statistics.Results: The findings indicated that the nurses had poor oxygen therapy knowledge and practice before the intervention. Furthermore, there was no significant difference between the two groups in terms of the mean scores of oxygen therapy knowledge and practice before the intervention. It was also shown that oxygen therapy knowledge and practice were significantly improved one week and three months after the learning mastery intervention in the participants in the intervention group (P < 0.001). In contrast, only the oxygen therapy knowledge of the members of the control group showed a significant increase three months after the intervention compared to the pre-intervention stage (P = 0.04). Conclusion: The results of the present study showed that the mastery learning model is an effective model for improving and maintaining the nurses’ oxygen therapy knowledge and practice. Since nurses’ optimal practice improves the quality of care and increases patient safety, mastery learning can be used as an effective training technique to improve nurses’ oxygen therapy practice.

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Comparison between two natural surfactant poractant alfa and bovine lipid extract in respiratory distress syndrome amongst preterm neonates-a quasi-experimental study

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20214848 ◽

2021 ◽

Author(s):

Srikanta Baske ◽

Sudip Saha ◽

Partha Pratim Pal

Keyword(s):

Experimental Study ◽

Mechanical Ventilation ◽

Respiratory Distress Syndrome ◽

Respiratory Distress ◽

Distress Syndrome ◽

Tertiary Care ◽

Preterm Neonates ◽

Care Hospital ◽

Oxygen Requirement ◽

Quasi Experimental

Background: A comparison study of two natural surfactants in preterm babies admitted in neonatal intensive care unit (NICU) and sick newborn care unit (SNCU) of a tertiary care hospital to find out efficacy and consequences.Methods: A Quasi-experimental study. InSurE technique applied for administering Poractant alfa (CUROSURF) and bovine surfactant (NEOSURF) in two comparison group of preterm neonates with respiratory distress syndrome (RDS) during May 2018 to April 2019. The need of mechanical ventilation, oxygen requirement (FiO2), duration of oxygen requirement and the consequences were assessed.Results: The CUROSURF is 6.67% more efficacious than NEOSURF in respect to less requirement of mechanical ventilation. The differences were found between two groups in terms of FiO2adjusted (33.49% vs 37.17%) and common side effects respectively but the difference of mean duration of oxygenation (69.8 hrs vs 111.9 hrs) was less and statistically significant in CUROSURF group. Mean duration of hospitalization (9.55 day’s vs 14.9 days) also were found to be less and statistically significant.Conclusions: Treatment with CUROSURF was associated with faster improving oxygenation, less additional doses, and decreased need of mechanical ventilation.

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Distance education (E-learning) as an effective tool to improve nurses’ perception and knowledge of developmental care of preterm infants: A quasi-experimental study

10.21203/rs.3.rs-809263/v1 ◽

2021 ◽

Author(s):

Shala Jalali ◽

Mansooreh Azizzadeh fouruzi ◽

Roghayeh Mehdipour-Rabori ◽

Behnaz Bagherin ◽

Kallista Roy ◽

...

Keyword(s):

Distance Education ◽

Intensive Care ◽

Neonatal Intensive Care ◽

Intervention Group ◽

Control Group ◽

Developmental Care ◽

Significant Difference ◽

Quasi Experimental ◽

E Learning ◽

The Mean

Abstract Background: Providing developmental care for preterm infants admitted to the neonatal intensive care unit (NICU) is of special importance. To implement developmental care accurately, NICU nurses must have a proper understanding and sufficient knowledge in this field. This study aimed to investigate the effect of distance education on perception and knowledge of neonatal developmental care in nurses working in neonatal intensive care units. Methods: This quasi-experimental study was conducted using a pretest-posttest design with two groups. The participants were 60 nurses working in neonatal intensive care units who were selected using convenience sampling. The instruments used to collect the data were the Demographic Information Questionnaire, the Developmental Care Knowledge Scale, and the Developmental Care Perception Scale. The data were collected before and one month after the intervention. The participants in the intervention group received developmental care training using an electronic file uploaded in Navid Learning Management System, while the members of the control group received no intervention. The collected data were analyzed using SPSS V25 software. All statistical tests were performed at the significance level of 0.05 (P = 0.05). Results: The results of paired samples t-test showed there was no statistically significant difference between the mean scores of perception and knowledge of developmental care before and after the intervention in the control group (p> 0.05). However, the difference in the pre-intervention and post-intervention scores was statistically significant for the participants in the intervention group (p<0.001). Moreover, the results of the independent samples t-test showed that the mean scores of perception and knowledge of developmental care between the two groups before the intervention was not statistically significant (p= 0.67)). The results of univariate analysis of covariance also showed that there was a statistically significant difference between the mean score of perception and knowledge of developmental care between the two groups after the intervention (p=0.05).Conclusion: The results of this study showed that distance education for the developmental care of premature infants plays an effective role in the perception and knowledge of nurses working in the neonatal intensive care unit. Therefore, the development of e-learning packages for developmental care and their availability for nurses can be a step to improve the quality of nursing care for infants admitted to the NICU.

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The Effect of Hope Therapy-based Training on the Happiness of Women with Breast Cancer: A Quasi-experimental Study

Medical - Surgical Nursing Journal ◽

10.5812/msnj.113501 ◽

2021 ◽

Vol 9 (4) ◽

Author(s):

Niloofar Kondori Fard ◽

Asadollah Keikhaei ◽

Maliheh Rahdar ◽

Nasrin Rezaee

Keyword(s):

Breast Cancer ◽

Experimental Study ◽

Intervention Group ◽

T Test ◽

Control Group ◽

Paired Samples ◽

Significant Difference ◽

Quasi Experimental ◽

The Mean ◽

Hope Therapy

Background: The prevalence of cancer and its psychological consequences has increased steadily in recent decades. Hence, parallel to providing medical interventions, psychological therapies should be provided to cancer patients. Objectives: The present study aimed to determine the effect of hope therapy-based training on the happiness of women with breast cancer. Methods: In this quasi-experimental study, 100 female patients with breast cancer admitted to the chemotherapy wards of two hospitals affiliated to the Zahedan University of Medical Sciences (Iran) in 2020 are studied. Participants were selected using the convenience sampling technique and randomly divided into two groups of intervention and control (each with 50 subjects). The intervention group received eight sessions of group-based hope therapy training. Data were collected using a demographic information form and the Oxford Happiness questionnaire. Data were analyzed using SPSS version 16 by chi-square, independent samples t-test, and paired samples t-test, at a significant level of P < 0.05. Results: There was no significant difference between the two groups concerning demographic characteristics. The independent samples t-test showed no significant difference in the mean scores of happiness between the two groups before the intervention (P = 0.55). However, the mean score of happiness for the participants in the intervention group showed a significant increase after providing the intervention compared to the control group (P = 0.001). Besides, the paired samples t-test indicated a significant increase in the mean score of happiness after providing the intervention compared to before intervention (P = 0.001), while the mean score of happiness for the participants in the control group showed a statistically significant decrease (P = 0.004). Conclusions: This study demonstrated that hope therapy-based training is effective for the happiness of women with breast cancer. Since physical and psychological problems caused by cancer lead to sadness and reduced happiness, hope therapy can be added to the care programs for women with cancer undergoing chemotherapy.

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Effectiveness of Virtual Resilience Training on Assertiveness in Student Girls Aged 9–10 Years: A 1-Month Follow-Up

The Journal of School Nursing ◽

10.1177/10598405211013522 ◽

2021 ◽

pp. 105984052110135

Author(s):

Shima Gadari ◽

Jamile Farokhzadian ◽

Parvin Mangolian Shahrbabaki

Keyword(s):

Experimental Study ◽

Internal Stress ◽

Intervention Group ◽

The Other ◽

Hormonal Changes ◽

Emotional Instability ◽

Other Hand ◽

Significant Difference ◽

Resilience Training

Girls between the ages of 9 and 10 begin to experience physical, physiological, and hormonal changes that may lead to internal stress. At this age, children are struggling for autonomy; on the other hand, they may experience emotional instability, and for these reasons, they may be vulnerable in many ways. This experimental study aimed to investigate the effect of resilience training on assertiveness in student girls aged 9–10. Data were collected before, immediately after, and 1 month after the intervention in the control ( n = 40) and intervention ( n = 37) groups. There was a significant difference between the assertiveness of the intervention immediately (26.80 ± 3.73) and 1 month after the intervention (27.05 ± 3.73), and assertiveness significantly increased in the intervention group ( p = .0001). Resilience training leads to improvements in assertiveness in student girls aged 9–10.

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