RESUMO
Introduction: Heart failure is a chronic and weakening disease. The physical restrictions and advanced symptoms which are derived from this disease cause the decrease quality of life. Since the promotion of quality of life plays a noteworthy role, assessment of quality of life in patients with heart failure, helps nurses to have more doctrinaire surveillances in health - care systems
Methods: This is a descriptive-analytic study that has been done on 200 hospitalized patients with heart failure in cardiac and C.C.U wards of Shafa and Afzalipour hospitals [located in Kerman] to study the quality of life in patients with heart failure. General and special standard tools of SF36 was used to assess the quality of life in patients with heart failure. Questionnaires were filled by researcher with interviewing patients. For data analysis Mann-whitney, Kruskal-wallis tests and regression by spss 13 were used
Results: The results indicated that women have formed 57.5 percents of affected patients. The average age of patients was 65.43 +/- 12.o2. In aspects of quality of life by means of SF36 tool the maximum and minimum point related to mental health and physical problems respectively. The patients who were younger than 60 years old and married had better quality of life. Women had the weaker quality of life in various aspects than men [P<0.05], and illiterate patients also had the lower quality of life. Studying the relation between attendant diseases and quality of life in patients showed that the patients with history of myocardial infarction, unstable angina, hypertension, diabetes mellitus, and respiratory diseases and also the patients who had CABG operation had the weaker quality of life. There was not any significant relationship between quality of life and history of cigarette smoking, opium addiction, renal diseased and stroke [P>0.05]
Conclusion: On the whole, the results of this study showed that the patients with heart failure haven't desired quality of life, thus, nurses who works for health service wards should try to obtain all essential basis for appropriate care and necessary possibilities for continuous supervisions, follow up, in order to prepare the conditions for patients to enjoy superior quality of life
RESUMO
Heart disease is one of the most common disorders in the worldwide and Coronary Artery ByPass Graft [CABG] is importand surgical procedure in the patients. In this regard, one of the intervention is, extubation process in the patients. To recognize the related variables on duration of extubation and the expected time of quality nursing care, the aim of this study was to determine correlation of the variable and predicting extubation time to improve quality of nursing care. In other words, this study was conducted to determine any relationship between preoperative factors such as demographic and physiologic variables with extubation time after CABG. This study was a descriptive design; with census sampling method. The sample size was 150 patients who were undertaken CABG surgery. For data gathering, patients records were used and in some cases, when it was necessary to collect more information, the data were gathered from patients' discharge plan. The results showed that 72.6% of the subjects were males and the remaining were females. Mean and standard deviation of age were 56.6 [ +/- 9.93] years. Most of the subjects [76.7%] had stenosis in three vessels. With regard to the different study variables, the mean of extubation time was less than or equal 12 hours, in younger patients [<50 years] compared to the other age groups [P0.01]. Also Mann whitney U test showed that extubation time in balloon pump users were more than others [P<0.05] and the extubation time was longer than the other groups. Findings of this study, indicate that older age groups with using balloon pump need more attention in extubation, and early extubation can lead to early discharge and may decrease hospitalzation costs