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1.
JNE-Journal of Nursing Education. 2014; 2 (4): 1-11
em Persa | IMEMR | ID: emr-183592

RESUMO

Introduction: One of the major complications of valve replacement, is valve dysfunction which occurs in thrombolytic complication and systemic embolism. Therefore, these patients should take anticoagulant with warfarin. Incorrect use of anticoagulant is the cause of thrombotic complications and bleeding in patients with mechanical valves due to very low levels of adherence to the medication. This research was done with the purpose of comparison of the effect of two types of short message service [interactive and non-interactive] on patient compliance with anticoagulant regimens in patients with prosthetic heart valves


Method: This study is a clinical trial performed on 90 eligible patients referred to Imam Khomeini hospital in Tehran, Iran for a period of three months. The patients were divided into three groups of 30 patients, control, interactive and noninteractive. Self-report questionnaires were completed and International Normalized Ratio [INR] levels were recorded. Educational leaflets were given to all of the patients, their phone numbers were taken and they were instructed about using short message service. The control group did not receive SMS. Four educational messages were sent to the non-interactive group every week for a period of three months. In the interactive group, in addition to sending educational messages, patients were able to communicate with the researcher and ask their questions. After three months, all three groups completed the self-report questionnaires again. Then anticoagulant adherence was evaluated using questionnaire and INR levels. Data were analysed using fisher exact test, Chi-Square, paired T test, and analysis of variance


Results: Before the intervention all three groups did not have a significant difference in the mean of drug [P=0.43] and diet [P=0.84] adherence. But three months after intervention, three groups had significant difference in the mean of the anticoagulant adherence [P

2.
Iranian Journal of Nursing Research. 2009; 3 (8-9): 27-37
em Persa | IMEMR | ID: emr-151025

RESUMO

High quality of work life is known as basic prerequisite of empowering human resources in healthcare system. Nurses' productivity plays an important role in organizations' success. Knowing the correlation between quality of work life and productivity, managers can improve staffs' productivity by promoting nurses' quality of work life. This study aimed at assessing relationships between quality of work life and productivity of nurses. This cross-sectional correlation study was conducted with a random sample of 360 nurses drawn from hospitals affiliated to Tehran University of Medical Sciences. Data were gathered through self-administered questionnaires containing work quality of life questionnaire [45 questions on a likert rating scale] and productivity questionnaire [25 questions on a likert rating scale]. Both questionnaires were developed by the researchers. All statistics were computed using the SPSS software [version 13] with pearson and K square tests. Findings revealed that 31.9% of the nurses considered their productivity level, moderate. 41.9% of them reported their work quality of life at moderate level. Only 10% of them believed that their work quality of life is good. The results demonstrated statistically significant correlation between work quality of life and productivity level of nurses [r=0.357, P<0.001]. Since just 0.1 of nurses reported their productivity and quality of work life good, managers should apply the appropriate strategies to promote nurses' quality of work life and provide the ground for improving the quality of care and productivity of nurses

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