B Dadkhah, P Amri, Ma Mohammadi, A Shabani, Volume 19, Issue 2 (summer 2017)
Abstract
Background and aim: Endotracheal suctioning is one of the nursing cares in order to keep open the endotracheal tube which may lead to secondary complications. Type of suctioning may affect the patients’ vital signs. This study was done with the aim of comparing the effect of open and closed suctioning on vital signs of patients with head trauma. Methods: This Single blind crossover clinical trial study was performed on 88 head trauma patients who underwent mechanical ventilation hospitalized in surgical intensive care units of Shahid Beheshti Hospital of Babol University of Medical Sciences in 2015-16. Open and closed suction with random allocation for each of patients in both groups, and changes in vital signs(Heart rate, Respiratory rate and Mean Arterial Pressure) at intervals before, during, immediately after, five, ten and fifteen minutes were measured. Data analyzed with Paired T-test, repeated measure ANOVA and Exact Fisher by using SPSS-22. Results: Average age of the study sample was 29±90 year. Most of the patients were males (n=60, 68%) and the majority of them had been admitted after motor vehicle accidents (75%).
The differences of heart rate, respiratory rate was statistically significant in before, during and immediately after open suctioning, but differences in mean arterial pressure was greater in the group received closed suctioning. Conclusion: Changes on Heart rate and respiratory rate in open suctioning were more than closed. Therefore, the use of closed suctioning is recommended due to being more confident.
H Sadeghi , M Akbarzadeh Amirdehi , E Taheri , K Hajialibeigi , F Mirsamei , Y Shabani , M Sajjadi Hezaveh , K Ghorbanzadeh , Volume 23, Issue 2 (Summer 2021)
Abstract
Background & aim: Personality traits are one of the effective psychological factors in controlling diabetes. The aim of this study was to determine the relationship between personality traits and confidence in diabetes self-care in elderly with type 2 diabetes. Methods: In this descriptive cross-sectional study, 163 elderly people with diabetes referred to Arak teaching hospitals in the second half of 2018 were evaluated by evailable sampling method. the Neo Personality and Confidence in Diabetes Self-Care Questionnaires were completed through interview and data were analyzed in SPSS v20 using t-test and ANOVA. Results: There was a statistically significant relationship between different dimensions of personality traits and confidence in diabetes self-care (p<0.05). Also, there was a statistically significant relationship between neuroticism with occupation, extraversion with age, as well as flexibility with age and occupation (p<0.05). There was no statistically significant relationship between any of the demographic information such as age, sex, occupation, etc. with confidence self-care. Conclusion: The results showed a relationship between personality traits and self-care confidence in the elderly with type 2 diabetes. It is suggested that educational programs to be organized for this group of patients in relation to personality traits that can lead to improving the patient's self-care ability and adaptation to the disease.
