ABSTRACT
Spiritual well-being [SWB] of patients with cardiovascular diseases particularly in those admitted in coronary care unit [CCU] is threatened due to disease crisis. Therefore, implementing spiritual care is necessary for them. This study aimed to determine the effect of spiritual care program on SWB of patients with cardiac ischemia admitted in CCU in Al-Zahra Hospital, Isfahan, Iran. In a single blind randomized clinical trial, 64 ischemic patients in CCU were randomly divided into test and control groups. Spiritual care program included supportive presence, rituals and using supportive systems for 3 days. Spiritual Well-being Questionnaire were completed before and after the intervention for the both groups. Mean scores of SWB had no significant difference between the two groups before the intervention [p = 0.84]. Mean score of existence dimension [p < 0.001] and mean total score of SWB [p < 0.001] in the test group showed a significant difference comparing before and after the intervention; however, it was not significant in the control group [p = 0.17]. Mean existence dimension [p = 0.01] and mean total score SWB [p = 0.01] had a significant difference between test and control groups after the intervention; however, there was no significant difference in mean score of religious dimension between the two groups after the intervention [p = 0.25]. The spiritual care program promoted the SWB of ischemic patients in existence dimension and overall score, and nurses can use these programs to promote patients' SWB.
ABSTRACT
Burn is an irreparable event, which results in numerous physical, psychological, social, and economic complications. The burned patients should be merely treated in a professional burn center due to vast clinical range of these patients. Since, a percentage of mortality in burned patients is for the patients' transportation from other centers; this study has aimed to investigate the manner of their transportation to Imam Mosa Kazem Hospital. This is a descriptive cross sectional study on 98 subjects selected through sequential sampling from thermally burned patients being referred to Isfahan burn emergency center by ambulance from August 2011 to November 2011. The data including demographic information and event details, burned surface, burning grade and the province of origin were collected by a questionnaire, as well as a checklist related to caring team standards, transportation team, transportation equipment, and outcomes. The data were analyzed by descriptive statistical tests. Based on the findings, the longest transportation time was 6.35 [4.30] hours. There was no significant association between patients' O2 intake and hypoxemia. There was no association between patients' hypothermia and cooling the burn in the patients at the event location. There was a significant association between intake of fluid within transportation and urine output and hypovolemia [P = 0.00]. Most of the defects of treatment were related to the equipments and infection control devices. The findings showed that burned patients' transportation is so far from standards in Iran, and the authorities' should pay specific attention to that in form of vast national i nvestigations.