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Journal of Client-Centered Nursing Care، جلد ۹، شماره ۱، صفحات ۰-۰
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژههای فارسی مقاله |
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| عنوان انگلیسی |
The Effect of Rewarming on the Cognitive Status of Patients after Open Heart Surgery: A Randomized Clinical Trial |
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| چکیده انگلیسی مقاله |
Background: Hypothermia is usually used during cardiac surgery to further protect against cardiac and cerebral ischemia. However, cognitive impairment could occur as a common complication after open heart surgery. This study aims to determine the effect of rewarming on the cognitive status of patients after open heart surgery. Methods: The present study was conducted as a double-blind, randomized clinical trial at Tehran Heart Center in Tehran-Iran. In this clinical trial, 80 patients referred for open heart surgery were selected and randomly assigned into intervention (n=40) and control (n=40) groups. In the intervention group, rewarming the mattress was started after the patient entered the intensive care unit. Warming continued until the patient's body temperature reached the normothermia level (37-37.5 °C). The data were collected by demographic/ clinical questionnaire and Mini‐Mental State Examination (MMSE). The MMSE was completed before, seven days and one month after surgery. The data were analyzed in SPSS 16 software using descriptive statistics, independent t-tests, chi-square, repeated measure ANOVA and paired t-tests. Significance level was considered less than 0.05. Results: The difference between the mean score of cognitive status in the intervention group before (28.73±0.87), seven days (27.63±1.03), and one month after the surgery (28.93±1.21) was significant (p=0.008). The difference between the mean score of cognitive status in the control group before (28.42±1.02), seven days (26.61±0.86), and one month after the surgery (27.85±1.06) was also significant (p=0.042). The results indicated that the mean score of cognitive status improves after one month and it is greater in the intervention group (F= 20.37, df=2, P< 0.001). Significant differences were observed between the first and second time of measurements (P< 0.0001) and also the second and third time of measurements (P< 0.0001). Conclusion: Rewarming patients after open heart surgery improves their cognitive status. Therefore, it can be used as a safe and non-invasive method to prevent cognitive complications by nurses after open heart surgery. |
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| کلیدواژههای انگلیسی مقاله |
Rewarming, Hypothermia, Cognitive status, Postoperative complications, Thoracic surgery |
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| نویسندگان مقاله |
| Somayeh Haji-Jafari
Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
| Seyed Hossein Ahmadi Tafti
Chief Surgeon & Director of Thoracic and Cardiac Surgery, Research Center for Advanced Technologies in Cardiovascular Medicine, Tehran Heart Center, Tehran University of Medical Sciences, Iran.
| Mahboubeh Rezaei
Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
| Ismail Azizi-Fini
Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
| Fatemeh Atoof
Biostatistics, Faculty of Health, Kashan University of Medical Sciences, Kashan, Iran.
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| نشانی اینترنتی |
http://jccnc.iums.ac.ir/browse.php?a_code=A-10-305-5&slc_lang=en&sid=1 |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
تخصصی |
| نوع مقاله منتشر شده |
پژوهشی |
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