The effect of melatonin on quality of sleep in patients with sleep disturbance admitted to post coronary care units: a randomized controlled trial

Kamkar, Mohammad Zaman; Mahyar, Mehran; Maddah, Seyedmahrokh A.; Khoddam, Homeira; Modanloo, Mahnaz

doi:10.37796/2211-8039.1123

Cited by 6 publications

(4 citation statements)

References 35 publications

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“…According to the perception of participants, the uncertainty of the disease can cause psychosocial distress in patients' families. In this regard, the model of intolerance of uncertainty and ambiguity, which is considered as a new perspective in explaining anxiety, states that anxious people often perceive vague and indefinite situations as disturbing and stressful ( 22 ). As a result, they suffer from psychosocial distress in the face of such circumstances ( 23 ).…”

Section: Discussionmentioning

confidence: 99%

The Experiences of Family Members of COVID-19 Patients in Iran: A Qualitative Study

Younesi

Brojerdi

Kolagari

2021

Ethiop J Health Sci

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BACKGROUND፡ Being diagnosed with coronavirus disease-19 (COVID-19) usually causes emotional stress for patients and their families. Understanding the challenges faced by family members of COVID-19 patients is necessary to provide holistic family centered care to support patients and families on their journey to recovery from COVID-19. The aim of this study was to explore the experiences of Iranian family members of COVID-19 patients.METHODS: This qualitative study was performed using the conventional content analysis approach in 2020 in Gorgan, northeastern Iran. Using a purposive sampling 15 family members of inpatient and outpatient COVID-19 patients who were involved in caring of their patients were selected. Data were collected using in-depth and semi-structured interviews and were analyzed by Graneheim and Lundman’s content analysis method with the support of MAXQDA software.RESULTS: Family members' experiences of COVID-19 patients were categorized into two main themes, four category and 10 subcategories. One of the main themes was "psychosocial distress", with two categories of "uncertainty of the disease" and "perceived psychosocial burdens". Another main theme was "adaptation strategies", with the two sub-categories including "adaptative care" and "trusting God".CONCLUSION: The results of this study provide a broad range of context-specific challenges faced by family members of Covid- 19 patients. It is essential for healthcare providers to be aware of the complex psychological and social conditions of families of Covid-19 patients. Hence, healthcare managers and policymakers should implement preventive and supportive programs at all levels in hospitals and community and provide supportive strategies to reduce or eliminate their challenges.

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Section: Discussionmentioning

confidence: 99%

The Experiences of Family Members of COVID-19 Patients in Iran: A Qualitative Study

Younesi

Brojerdi

Kolagari

2021

Ethiop J Health Sci

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“…Socioeconomic status was classified based on occupation, income and educational status of patients ( 17 ). Socioeconomic status determined by combining the patients' occupational status [scores 1 to 3], education level [scores1 to 3] and place of residence [scores 1 to 2] and rated as low ( 3 ), middle ( 4 – 6 ) and high ( 7 – 8 ).…”

Section: Methodsmentioning

confidence: 99%

Comparison of Prevalence and Risk Factors of Acute Coronary Syndrome in Patients with Different Ethnicity: A Cross-sectional Study

Khoddam

Alemi

Modanloo

2021

Ethiop J Health Sci

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BACKGROUND: Although the main risk factors of acute coronary syndrome (ACS) have been previously identified, there is not yet strong and consistent evidence about the ethnical differences of these risk factors. The aim of this study was to identify and compare the distribution of risk factors of ACS among two ethnic groups in northern Iran.METHODS: This cross-sectional study was done on a total of 250 patients (100 Fars and 150 Turkmen ethnics) with ACS admitted in coronary care units (CCU) of medical centers in Gonbad-e Kavus, a city in the Northeast of Iran. The demographic characteristics, clinical parameters and anthropometric indices of patients in two ethnic groups were recorded. In addition, Beacke’s questionnaire and Cohen's scale were used to evaluate and compare the patients’ level of physical activity and perceived stress, respectively.RESULTS: The mean age of the patients was 60.9±11.9 years and they were mostly males (54.8%) and married (84.8%). Findings showed that the prevalence of myocardial infarction in Fars patients was significantly higher than Turkmens (24% versus 15.3%; P=0.04). In addition, there was a significant difference in terms of the history of using opium (P=0.07) and opium sap (P=0.03)‚ socioeconomic status (P=0.009)‚ the place of residence (P=0.001) and type of health insurance services (P=0.001) between two groups. However, the clinical parameters and anthropometric indices and the level of physical activity and perceived stress were not significantly different between two groups (P>0.05).CONCLUSION: This study showed a significant difference in the prevalence and risk factor of ACS in patients with different ethnicity in northern Iran. This finding points to the importance of paying attention to the ethnicity-based difference in ACS prevalence and risk factors, especially in patients who are at high to intermediate risk for ACS, such as Turkmens.

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“…[8] Providing palliative care has positive consequences such as an increase in the patient's energy, pain relief, dealing with the disease taboo, changing the lifestyle [9] and promoting the patient knowledge and awareness. [10] However, it can be impaired by challenging factors, including inefficient performance, poor or nonquality care or care that does not meet the standards, [11] progression of the destructive power of disease, [12] progressive dysfunction of daily function, [13] heterogeneous coverage and improper level of services [14] and inadequate access to care services. [15] Meier (2011) showed that chronic patients hospitalised in different wards do not receive optimal-quality palliative care services.…”

Section: Indian Journal Of Palliative Carementioning

confidence: 99%

Psychometric Properties of the ‘Patients’ Perspective of the Quality of Palliative Care Scale’

Kolagari

Khoddam

Guirimand³

et al. 2022

IJPC

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Objectives: Palliative care is a basic human right for all patients suffering from progressive and excruciating pain, limitations in daily activities as well as requiring constant care. The development of palliative care is always associated with the physical, psychological, social and spiritual care quality level and requires continuous evaluation by the care-receiving patients. This study aimed to determine the psychometric properties of the patients’ perspective of the quality of palliative care scale. Materials and Methods: This methodological study was conducted on 500 patients with chronic diseases admitted to the hospitals affiliated in Golestan University of Medical Sciences, between 2019 and 2020. Participants were selected through stratified sampling through proportional allocation as well as considering the bed occupancy rate in the two referral hospitals of the university. According to Wild approach, we translated the original version of the scale the patients’ perspectives of the quality of the palliative care scale with 35 items and eight subscales. Using exploratory and confirmatory factor analysis, the psychometric properties of the scale (i.e., initial reliability and face, content, convergent and construct validities) were assessed. The reliability of the scale was calculated by applying Cronbach’s alpha coefficient, McDonald’s omega coefficient and the Intraclass correlation coefficient (ICC). SPSS-16 and AMOS-24 software programs were used to analyse the data. Results: Three items were omitted after assessing the initial reliability of the translated version of the perspectives of the quality of the palliative care scale using adjusted Cronbach’s alpha. The qualitative face validity and impact score of the remaining items of the scale were confirmed by the target group. Meanwhile, a panel of experts confirmed the content validity ratio and content validity index. Convergent validity was approved by calculating the average variance extracted >0.5. Performing EFA led to the extraction of 7 subscales with 32 items. CFA and goodness of fit indices such as GFI = 0.98, CFI = 0.91, RMSEA = 0.048 and GFI = 0.97 confirmed the construct model by omitting three items. Hence, the Persian version of the patient’s perspective of the quality of palliative care scale was finalised, including seven subscales with 29 items. ICC of >0.7 represented good reliability. Moreover, Cronbach’s alpha and McDonald’s omega coefficient confirmed the internal consistency of the scale. Conclusion: Based on the findings of this study, the Persian version of the patients’ perspective of the quality of palliative care scale is introduced as a valid and reliable scale. It can accurately indicate and predict the meticulous quality of such care in hospitalised patients and can be used in the cure and care assessments in the health system.

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The effect of melatonin on quality of sleep in patients with sleep disturbance admitted to post coronary care units: a randomized controlled trial

Cited by 6 publications

References 35 publications

The Experiences of Family Members of COVID-19 Patients in Iran: A Qualitative Study

The Experiences of Family Members of COVID-19 Patients in Iran: A Qualitative Study

Comparison of Prevalence and Risk Factors of Acute Coronary Syndrome in Patients with Different Ethnicity: A Cross-sectional Study

Psychometric Properties of the ‘Patients’ Perspective of the Quality of Palliative Care Scale’

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