Journal of caring sciences最新文献

{"title":"The Association between Moral Intelligence and Communication Skills with Internet Addiction: The Mediating Role of Psychological Distress in Secondary School Students of Tabriz, Iran.","authors":"Yousef Kheirey, Ali Reza Shafiee-Kandjani, Fatemeh Eskandarpour, Saber Pourhassan, Behzad Shalchi","doi":"10.34172/jcs.025.33745","DOIUrl":"10.34172/jcs.025.33745","url":null,"abstract":"<p><strong>Introduction: </strong>Internet addiction is a growing phenomenon that has harmful psychological-behavioral effects on users. The present study was conducted with the aim of investigating the relationship between moral intelligence and communication skill s with the mediation of psychological distress in secondary school students of Tabriz city.</p><p><strong>Methods: </strong>In this descriptive cross-sectional correlational study, 431 adolescents (female=227, male=204) in Tabriz, Iran schools were selected using cluster sampling and responded to psychological distress questionnaires DASS21, Internet addiction KDAI, communication skill s of Queen dam and moral intelligence of Lenik Vakil. Structural equation modeling (SEM) was used to analyze the data. SPSS 26 and LISREL 8.80 statistical software were used to classify, process and analyze data and test research hypotheses.</p><p><strong>Results: </strong>The fit indices of the proposed model show its optimal fit (χ²/df=2.93, CFI=0.97, GFI=0.91, AGFI=0.88, RMSEA=0.06, RMR=0.03). The results showed that moral intelligence (β=-0.167, <i>P</i><0.001) and communication skill s (β=-0.525, <i>P</i><0.001) have a significant indirect relationship with Internet addiction.</p><p><strong>Conclusion: </strong>The present study showed that healthcare organizations should take preventive interventions more seriously to reduce the possibility of Internet addiction and pay attention to the issue of increasing the level of moral intelligence and communication skill s with regard to the mediating role of psychological distress in order to reduce psychological distress. We can reduce the increasing prevalence of internet addiction.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"14 1","pages":"42-51"},"PeriodicalIF":0.0,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strategies to Ensure Effective and Safe Patient Care in Intensive Care Units During Biological Events: A Delphi Study.","authors":"Mojtaba Rad, Masoud Fallahi-Khshknab, Farahnaz Mohammadi Shahboulaghi, Kian Nourozi, Hamidreza Khankeh","doi":"10.34172/jcs.33372","DOIUrl":"10.34172/jcs.33372","url":null,"abstract":"<p><strong>Introduction: </strong>Throughout history, humanity has faced numerous biological threats that have resulted in catastrophic epidemics. The challenges (Fear, uncertainties, failure of care, etc) posed by epidemics necessitate the implementation of a variety of strategies to contain them. This study was conducted to identify strategies to ensure effective and safe patient care during biological events.</p><p><strong>Methods: </strong>This study is phase of a larger research project that used the Delphi method in its third stage. The objective was to address the need for effective and safe care in intensive care units (ICUs) during biological events like the COVID-19 pandemic. The Delphi questionnaire was constructed using insights from the first two phases of the study: the qualitative component and the integrative review phase. The Delphi method was implemented over three rounds, with experts selected through purposive sampling. The Kendall coefficient measured the degree of consensus among the experts' opinions.</p><p><strong>Results: </strong>The strategies identified for the provision of effective and safe patient care during biological events were categorized into 10 main categories, which were further divided into related subcategories.</p><p><strong>Conclusion: </strong>Identifying and implementing strategies to improve care in intensive care units can improve patient care during crises, such as new disease outbreaks. By identifying these strategies, biological events similar to the COVID-19 pandemic can be managed more effectively. Further research is warranted to explore strategies to improve patient care in other healthcare sectors.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 4","pages":"267-275"},"PeriodicalIF":0.0,"publicationDate":"2024-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Palliative Care in the Emergency Department: A Concept Clarification.","authors":"Kelly Counts, Sue Lasiter","doi":"10.34172/jcs.33578","DOIUrl":"https://doi.org/10.34172/jcs.33578","url":null,"abstract":"<p><strong>Introduction: </strong>: Healthcare advances have contributed to patients living longer with chronic illnesses and diseases with uncertain trajectories impacting quality of life (QOL). Palliative care (PC) is no longer only for dying oncology patients as many healthcare practitioners have adopted the PC concept in diverse care settings and the timing of PC implementation remains ambiguous. There is a need to develop an operational definition of early palliative care (EPC) by clarifying the phenomenon and bridging concepts with empirical data to develop and test possible interventions before integrating EPC into emergency care (EC).</p><p><strong>Methods: </strong>: Norris' concept clarification method was used as the philosophical framework to define, analyze, and clarify EPC. An electronic search of literature from 2000-2024, using CINAHL, PubMed, APA PsychINFO, and Psychology and Behavioral Sciences Collection databases and search terms \"early palliative care\" AND \"emergency care\" NOT \"animals\", and NOT \"pediatrics\" were screened for eligible articles.</p><p><strong>Results: </strong>: Of the 826 articles identified; 22 articles were retained for review. Attributes included timing, palliative, and EC; antecedents included symptom burden, access to care, and cognitive awareness; consequences included QOL and resource utilization; an empirical referent used to screen patients is the highly accurate surprise question \"Would I be surprised if this patient died within a year?\"</p><p><strong>Conclusion: </strong>: Clarifying the concept of EPC leading to an operational definition will advance the development of interventions that support the implementation of EPC in ED clinical practice.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 3","pages":"148-157"},"PeriodicalIF":0.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing the Effects of Selenium-Enriched Yeast and Sodium Selenite Supplementation on Postpartum Depression and Sexual Satisfaction: A Triple-Blind Controlled Clinical Trial.","authors":"Parnian Rahimi, Azizeh Farshbaf-Khalili, Mahnaz Shahnazi, Alireza Ostarahimi, Marzieh Mohammadi","doi":"10.34172/jcs.33218","DOIUrl":"https://doi.org/10.34172/jcs.33218","url":null,"abstract":"<p><strong>Introduction: </strong>Postpartum depression (PPD) is the most prevalent postpartum complication, significantly diminishing sexual function in marital life. It may result in visible developmental delays, social and interactive challenges in infants, and marital stress leading to divorce. The present study aimed to examine the effect of organic selenium (<i>Saccharomyces cerevisiae</i> yeast enriched with sodium selenite) and sodium selenite on PPD and sexual satisfaction.</p><p><strong>Methods: </strong>A triple-blind controlled clinical trial was conducted on 108 women after childbirth. Participants were randomly assigned into two intervention groups and one placebo group in a 1:1:1 ratio. Participants were given single, identical 250 mg oral capsule containing 200 µg of organically derived selenium or 200 µg of sodium selenite or placebo daily for 8 weeks. They completed Beck's depression inventory and the sexual satisfaction questionnaire before and after the intervention white one-way analysis of variance (ANOVA) and analysis of covariance (ANCOVA) tests. The mean score of PPD and sexual satisfaction were assessed.</p><p><strong>Results: </strong>All three groups exhibited identical personal and social profiles. PPD scores were significantly reduced in the intervention groups of organically derived selenium (adjusted mean difference [AMD]=-2.77; 95% CI: -0.97 to -4.57; <i>P</i>=0.003) and organic selenium (AMD=-1.77; 95% CI: -0.00 to -3.53; <i>P</i>=0.04) compared to control group by adjusting the baseline values. No significant difference was observed in the sexual satisfaction of intervention groups compared to the placebo at the end of intervention (<i>P</i>=0.19).</p><p><strong>Conclusion: </strong>Both organically derived and inorganic selenium could improve PPD. However, the decline rate was greater in the group receiving yeast-derived selenium. No statistically significant changes were observed in sexual satisfaction following supplementation.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 3","pages":"197-206"},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of Hypoglycaemia and its Determinants in Neonates Admitted in Neonatal Intensive Care Unit.","authors":"Indumathi Manoharan, Vetriselvi Prabakaran, Adhisivam Bethou","doi":"10.34172/jcs.33039","DOIUrl":"10.34172/jcs.33039","url":null,"abstract":"<p><strong>Introduction: </strong>Baby in mother's womb depends on placental circulation for glucose. During birth, the clamping of the umbilical cord abruptly curtails the glucose supply from the placenta and thus neonates are more prone to develop hypoglycaemia and is preventable if we aware of the maternal and neonatal risk factors. This study aimed to identify the incidence of hypoglycaemia and its risk factors.</p><p><strong>Methods: </strong>A prospective observational design was carried out among 115 neonates in neonatal intensive care unit (NICU) during December 2021 to January 2022. Convenience sampling technique was used to enrol the neonates who met the inclusion criteria. Neonatal and maternal clinical characteristics, incidence, risk factors of hypoglycaemia, were collected by direct observation and from medical record. Data were analysed using chi-square test, <i>t</i> test and logistic regression with SPSS software version 25.</p><p><strong>Results: </strong>The incidence of hypoglycaemia was 30.4%.20.8 % had single episode and 9.6% had multiple episodes. Mean (SD) lowest blood glucose value was 11.31 (17.91). Mean (SD) age at which first episode detected was 6.33 (16.05) hours. Predominant symptoms were jitteriness, lethargy and convulsion. Hypothermia, sepsis, prematurity, small for gestation, intra uterine growth retardation, birth asphyxia, history of poor feeding, birth weight, twin pregnancy, gestational diabetes mellitus were associated with neonatal hypoglycaemia significantly.</p><p><strong>Conclusion: </strong>Incidence of neonatal hypoglycaemia can be minimized by identifying the risk factors, adhering close monitoring and by early treatment. This will prevent poor neurodevelopmental outcomes.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 4","pages":"229-236"},"PeriodicalIF":0.0,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intention to Leave the Profession in Nursing: A Hybrid Concept Analysis.","authors":"Sahar Dabaghi, Zohreh Nabizadeh-Gharghozar, Armin Amanibani","doi":"10.34172/jcs.33244","DOIUrl":"10.34172/jcs.33244","url":null,"abstract":"<p><strong>Introduction: </strong>Leaving the profession is a major challenge in all organizations throughout the world. Intention to leave the profession (ILP) is what individuals perceive about leaving the profession. Nurses' perceptions of ILP are context-based and hence, studies in different contexts are needed to further explore ILP. The aim of this study was to analyze the concept of ILP, determine its attributes, antecedents, consequences, and provide a clear definition for it.</p><p><strong>Methods: </strong>This concept analysis was done using the hybrid model. In the theoretical phase, Magiran, Iran Medex, SID, Science Direct, Web of Science, PubMed, ProQuest, Scopus, and CINAHL databases were searched to retrieve ILP-related studies published in 2000-2023. In the fieldwork phase, semi-structured interviews were held with twenty nurses and nursing managers and the data were analyzed through conventional content analysis. In the final analysis phase, the results of the two former phases were compared and integrated.</p><p><strong>Results: </strong>ILP can be defined as \"a voluntary and gradual process occurred due to professional disinterest, negative professional attitude, and unmanaged organizational stress and is associated with reduced job motivation, fatigue, and thoughts about leaving the profession which eventually leads to decision about staying in or leaving the organization\".</p><p><strong>Conclusion: </strong>ILP is affected by many different personal, interpersonal, occupational, professional, organizational, environmental, and social antecedents and is associated with different patient, nurse, care-related, and organizational consequences. Nursing authorities and managers need to employ strategies to manage ILP antecedents and thereby, reduce nurses' ILP.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 4","pages":"256-266"},"PeriodicalIF":0.0,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dysphagia, Voice Problems and Health Related Quality of Life Among Head and Neck Cancer Survivors.","authors":"Vaishali Sharma, Jisa George T, R Velmurugan, Rajesh Pasricha","doi":"10.34172/jcs.33282","DOIUrl":"https://doi.org/10.34172/jcs.33282","url":null,"abstract":"<p><strong>Introduction: </strong>Head and neck cancer (HNC) and its treatment can cause significant side effects like dysphagia, voice problems which can affect health related quality of life (HRQOL). Examining quality of life among these patients are helpful in streamlining cancer treatment protocols. The present study aimed to find out the relationship between dysphagia, voice problems, and HRQOL among HNC survivors.</p><p><strong>Methods: </strong>A convenient sampling technique was adopted to recruit 110 HNC survivors. Data was collected using Eating Assessment Tool (EAT), Voice Handicap Index (VHI), European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core Version 3 (EORTC QLQ-C30) and head and neck specific module of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-H &N 35).</p><p><strong>Results: </strong>Majority of the HNC survivors (85.5%) had dysphagia, and 50% of them reported severe voice problems. The overall QOL mean (SD) score was high in cognitive functioning 80.76 (22.19) and role functioning 80.30 (25.54) of the functional domain. While considering symptom scale highest mean score was reported for pain 42.42 (25.01), fatigue 42.22 (23.82) and financial difficulties 41.21 (28.56). There was a mild positive correlation between dysphagia and voice problem (<i>r</i>=0.202), dysphagia and health related global health (<i>r</i>=0.248) and voice problem and global health (<i>r</i>=0.280).</p><p><strong>Conclusion: </strong>Dysphagia and voice problems were common among HNC survivors and it has great impact on their HRQOL. Therefore, it is important to initiate various measures to increase awareness for prevention and early management of these symptoms and improvement of HRQOL of HNC survivors.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 3","pages":"207-213"},"PeriodicalIF":0.0,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association of Physical Symptoms and Psychological Problems in the Indonesian Community During the COVID-19 Outbreak.","authors":"Heni Dwi Windarwati, Budi Anna Keliat, Dayat Trihadi, Mochamad Ali Sodikin, Tjahjanti Kristaningsih, Mohammad Fatkhul Mubin, Akemat Akemat, Thika Marliana, Lahargo Kembaren, Niken Asih Laras Ati, Shofi Khaqul Ilmy, Ari Dwi Sulaksono, Asri Maharani","doi":"10.34172/jcs.33175","DOIUrl":"10.34172/jcs.33175","url":null,"abstract":"<p><strong>Introduction: </strong>Changes in health status and adjustments to new lifestyles during the pandemic have triggered societal psychological problems in society. This study aimed to explore the correlation between physical symptoms and psychological problems in Indonesian society during the COVID-19 outbreak.</p><p><strong>Methods: </strong>This cross-sectional study employed an online survey to gather data from 9425 participants in Indonesia between June and July 2020, which was selected using convenience sampling. The Self-Reporting Questionnaire (SRQ) instrument was employed to investigate psychological problems, the utilization of psychoactive substances, psychotic symptoms, and post-traumatic stress disorder (PTSD). Physical symptoms were assessed through self-reports indicating the presence or absence of experienced COVID-19 symptoms. The statistical analyses were conducted using Spearman-rank and Cramer's V correlation.</p><p><strong>Results: </strong>The findings suggest that the perceived physical symptoms during the COVID-19 outbreak are significantly associated with psychological problems, (including decreased energy, somatic symptoms, depressive moods, and depressive thoughts, the use of psychoactive substances, psychotic symptoms, and PTSD.</p><p><strong>Conclusion: </strong>Our study concluded that physical health is significantly associated with psychological problems. It is essential to eliminate factors that cause psychological problems by promoting the physical condition of the general population. Through promotive and preventive efforts, physical and psychological conditions should be improved in COVID-19 outbreaks.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 4","pages":"237-243"},"PeriodicalIF":0.0,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Early Mobilization on Hemodynamics and Pain after Coronary Artery Bypass Graft Surgery: A Randomized Controlled Trial.","authors":"Sevda Jalili, Atefeh Allahbakhshian, Azizeh Farshbaf Khalili, Khorshid Mobasseri","doi":"10.34172/jcs.025.33510","DOIUrl":"10.34172/jcs.025.33510","url":null,"abstract":"<p><strong>Introduction: </strong>Patients with coronary artery disease (CAD) can improve quality of life by undergoing coronary artery bypass graft (CABG), but they may face various complications. Early mobilization can help prevent these complications. This study aimed to evaluate the effects of two early mobilization protocols on pain and hemodynamic outcomes in patients who had CABG surgery.</p><p><strong>Methods: </strong>This was a randomized, blinded clinical trial with a three-arm parallel design, conducted on 105 patients who underwent CABG at Shahid Madani hospital in Tabriz. The patients were randomly assigned to three groups: control, first intervention, and second intervention. The control group received standard care, while two intervention groups received early mobilization based on passive and active range of motion (ROM) activities and early mobilization based on deep breathing exercises respectively. Data were collected using a questionnaire that measured pain intensity using a facial pain scale and hemodynamic indicators using a monitor device. Data analysis was performed using SPSS version 24 software and descriptive and inferential statistics methods.</p><p><strong>Results: </strong>According to the study, the second intervention group is more effective than the first intervention group. The results indicated that in both morning and evening shifts, the mean of systolic blood pressure (SBP) increased significantly in three groups. Also, the mean of diastolic blood pressure (DBP) increased significantly in both shifts in intervention group 1 and control. The mean of DBP decreased (MD=-26.0, 95% CI: -5.6 to -1.2; <i>P</i>=0.003) significantly among intervention group 2 compared to control group in the evening. The results also indicated that the mean of heart rate (HR) raised significantly in both shifts in all three groups. In the morning, there was a significant difference between intervention group 2 and 1 compared to control. The mean of arterial oxygen saturation was a significant difference between intervention group 2 and intervention group 1 and control group in the both shifts. The mean of pain decreased significantly in the morning in two intervention groups. Similarly, in the evening, the mean of pain decreased significantly in intervention group 1, and intervention group 2. Both in the morning and evening, there was a significant difference between intervention group 2 and intervention group 1 (<i>P</i><0.001).</p><p><strong>Conclusion: </strong>This study provides valuable insights into the effects of early mobilization interventions on patients after CABG, but more research is needed to determine the optimal timing and intensity of mobilization protocols for patients after CABG and to explore the long-term effects and cost-effectiveness of these interventions.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"14 1","pages":"14-24"},"PeriodicalIF":0.0,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Time to Treatment Delay and Clinical Indicators in Patients with ST-Segment Elevation Myocardial Infarction: A Descriptive Cross-sectional Study.","authors":"Mahsa Motadayen, Hossein Feizollahzadeh, Mohamad Reza Taban, Javad Dehganneghad","doi":"10.34172/jcs.33506","DOIUrl":"10.34172/jcs.33506","url":null,"abstract":"<p><strong>Introduction: </strong>ST-segment elevation myocardial infarction (STEMI) continues to be a significant global health issue, necessitating ongoing monitoring of care processes to enhance quality. This study aimed to examine time to treatment delay and clinical indicators in patients with STEMI undergoing primary percutaneous coronary intervention (PPCI).</p><p><strong>Methods: </strong>This descriptive cross-sectional study was conducted with the recruitment of 313 patients with STEMI treated with PPCI Tabriz (Iran) in 2023. Data were analyzed using descriptive statistics, the Mann-Whitney U test, the Kruskal-Wallis test, the chi-square test, and regression analysis in SPSS v.13 software.</p><p><strong>Results: </strong>Most of the patients were men and half of them were 60 years old or younger. The median door-to-balloon time [IQR] was 80 [49-140] minutes. The pre-PCI center delay time and treatment delay time were 191 and 310 minutes, respectively. There was a statistically significant association between the patient's place of residence, the admission type in the PCI center, and the pre-PCI center delay time. In addition, there was a statistically significant association between treatment delay time, left ventricular ejection fraction (LVEF), baseline troponin I level, angioplasty outcome, and receiving acute coronary syndrome (ACS) drugs at the pre-PCI center.</p><p><strong>Conclusion: </strong>The longer pre-PCI center delay time resulted in a longer total treatment delay. To reduce delays, it is proposed to improve the logistics surrounding these procedures for patients with STEMI and to provide appropriate education about the STEMI management program to all stockholders.</p>","PeriodicalId":516530,"journal":{"name":"Journal of caring sciences","volume":"13 4","pages":"286-293"},"PeriodicalIF":0.0,"publicationDate":"2024-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}