Papers by Abbasali Ebrahimian
Iranian Journal of Medical Education, Apr 10, 2018
Iranian Journal of Obstetrics, Gynecology and Infertility, Sep 19, 2010
Introduction: Sexual dysfunction is highly prevalent in men and women. Pregnancy is one of the fa... more Introduction: Sexual dysfunction is highly prevalent in men and women. Pregnancy is one of the factors which can contribute to sexual dysfunction, and is associated with a wide variety of organic and psychological causes. This study was designed to compare sexual dysfunction in women before and during pregnancy. Methods: Current study is a descriptive-analyzing study and study units were chosen randomly from different districts of Semnan in year 2006. 100 women who were pregnant or had recent history of labor took part in the study. Data were collected through a questionnaire designed by authors, in order to compare sexual dysfunction before and during pregnancy. Data were analyzed by SPSS11 and descriptive analytic methods. Results: Results showed that 78% of women had minimum one of the sexual dysfunction before pregnancy and 80% of them during gestational period. Altered sex drive, inability to reach orgasm, pain, sexual dissatisfaction, anxiety, fatigue and masturbation were the most prevalent sexual dysfunctions before and during pregnancy. In addition results showed significant relation between all kinds of sexual dysfunction before and during pregnancy. Conclusion: Because of increasing sexual dysfunctions during pregnancy, we suggest to increase public knowledge about sexual dysfunction for increasing sexual health in society through proper management is suggested. Discover the world's research
Journal of Gorgan University of Medical Sciences, 2009
Background and Objective: In clinical situation, pain occurs during intravenous Catheterization (... more Background and Objective: In clinical situation, pain occurs during intravenous Catheterization (IVC). Finding methods to reduce pain related with insertion of Angiocut. This study was performed to evaluate the effect of types of Transcutaneous Electrical Nerve Stimulation (TENS) on the pain severity regarding to insertion of Angiocut is very important. This study was performed to evaluate the effect of types of transcutaneous nerve stimulation (TENS) on the pain severity regarding to insertion of Angiocut. Materials and Methods: This clinical trial study was performed on the 80 patients of Internal and CCU wards of Fatemieh Hospital in Semnan, Iran during 2001. In this study, severity of pain related with insertion Angiocut assessed and compared in four conditions; No TENS, low TENS (5 Hz), high TENS (100 Hz) and burst TENS (with frequence 100 Hz And burst frequence 2 Hz). The severity of pain measured by testes visual analogue scale (VAS), One-way ANOVA, Tukey, and Dunnett tests were used for comparing means of pain severity in different conditions. Results: Findings showed significant difference between severity of pain during Angiocut insertion in four conditions (P<0.05), so that the lower intensity of pain was in the high-TENS group, while higher pain was in the No TENS group. Significant difference was between intensity of pain in the No TENS group with high TENS and burst TENS group (P<0.05), but no significant difference was between low TENS and No TENS groups. Conclusion: This study showed that TENS was a effective method to reduce pain during Angiocut insertion. The lowest severity of pain was obtained in high TENS method. therefore, high TENS method can suggest as a effective method to reduce pain during Angiocut insertion.
Introduction: Sexual dysfunctions are highly prevalent among men and women. Pregnancy is one of t... more Introduction: Sexual dysfunctions are highly prevalent among men and women. Pregnancy is one of the predisposing factors of sexual dysfunctions and it is associated with a wide variety of physical and psychological causes as well. The aim of this study was to compare sexual dysfunctions of men before and during pregnancy of their wives. Methods: This study was a descriptive-analytical and cross sectional and retrospective study in which, 100 men whose wives had experienced recent pregnancy were surveyed. Subjects were selected through multi stage sampling and they were given a researcher-made questionnaire measuring sexual dysfunctions in men before and during their wives’ pregnancy. Collected data were analyzed by descriptive and analytical tests using SPSS software version 16. P value less than 0.01 was considered statistically significant. Results: Remarkable numbers of men have experienced at least one of the sexual dysfunctions before and during their wives’ pregnancy. Dysfunctions included premature ejaculation, sleep ejaculation, masturbation, impaired erection, altered sex drive and inability to reach orgasm, respectively. Wilcoxon test also revealed a significant relationship between altered sex drive, inability to reach orgasm and premature ejaculation in subjects before and during their wives’ pregnancy (p<0.01). Conclusion: Intensity of some sexual dysfunctions increase in men during their wives’ pregnancy. So, it is suggested that education about sexual issues should be considered for couples particularly for men during their wives’ pregnancy.
Research Square (Research Square), Feb 9, 2023
Background: This study aimed to explain the roles of hospital cleaning staff in caring for infect... more Background: This study aimed to explain the roles of hospital cleaning staff in caring for infectious patients and social health during infectious disease disasters. Methods: The present study was conducted by qualitative content analysis. Participants were fteen cleaning staff of public hospitals in Qom, Iran. Data were collected using semi-structured interviews. Results: Data analysis led to the main theme: "Sel ess efforts to help provide comprehensive patient care and disease prevention in society." This theme was derived from three main categories "helping nurses to improve the quantity and quality of basic care," "sel ess service," and "helping to prevent infectious diseases in society." Conclusions: In infectious disasters, cleaning staff provides considerable help to comprehensive patient care. They can respond to infectious disease disasters in society as a practical model of personal hygiene and adhere to health protocols. Nursing managers can use the capabilities of cleaning staff in the response phase of infectious disasters.
Journal of Rafsanjan University of Medical Sciences, 2022
DOAJ (DOAJ: Directory of Open Access Journals), Jul 1, 2013
Introduction: Retraining programs for nurses are usually run as workshops and group discussions c... more Introduction: Retraining programs for nurses are usually run as workshops and group discussions causing challenges as limitations on the number of participants, long lasting duration and high costs. Since most of these programs are taught by instructors working outside of clinical setting, it is necessary to use a method to train large groups of nurses in a short time. The purpose of this study was to determine the effects of lecture-based training delivered by the peer nurse on the EKG interpretation knowledge of critical care nurses. Methods: In this experimental study, two out of seven intensive care units of Semnan University of Medical Sciences were randomly selected as the experimental and control groups with 11 nurses ectrocardiogram (ECG) interpretation in the experimental and control groups was done through a questionnaire containing 25 questions. Then, one of the nurses in the experimental group who obtained an acceptable score was selected and was considered as a lecturer in the same group after receiving additional training on interpreting ECG. She taught ECG interpretation principles to nur knowledge on ECG interpretation in two groups was measured. Data were analyzed using descriptive and inferential statistics. Results: Significant difference was observed in the total scores and areas of ECG interpretation between pre and post test in the experimental group (P< 0.01). A significant difference was also found in the mean of changes of mean scores in total scores and areas of ECG interpretation in the same group (P< 0.01). Conclusion: Lecture-based training delivered by a colleague can be considered as a cost effective and efficient method for ECG interpretation education; therefore, it is suggested that health care managers concentrate on empowering their personnel and invite them to teach in retraining programs.
Introduction: More than four years has been passed from the execution of efficiency improvement l... more Introduction: More than four years has been passed from the execution of efficiency improvement law in Iran. But still it is not clear how far the law had been successful in meeting nurses' job expectation. So, this study was purposed to determine nurses’ job expectation in regard of efficiency improvement law. Materials and Methods: This was a descriptive analytical study that was performed by participation of 155 employed nurses in the case of running efficacy law hospitals in Semnan city. Nurses were selected by quota sampling method. The data was collected by a questionnaire that measured the nurses’ opinions to efficacy law. Finally, the data were analyzed by descriptive and inferential statistics. Results: The efficacy law could answer to half of nurses’ expectations in the area of their wages, while in the field of carrier development did not have that much success. More than 63% of nurses believed that efficacy law enhanced their communications in working environment. Al...
European Journal of Pain, 2009
wished to evaluate the analgesic effect of intra-articular injection of bupivacaine alone or a co... more wished to evaluate the analgesic effect of intra-articular injection of bupivacaine alone or a combination of bupivacaine and morphine following arthroscopy of the knee joint. Methods: In a prospective, randomised study, 34 (42 knees) patients who required elective knee arthroscopy were assigned to two groups: Group A consisted of 18 patients (24 knees) who received bupivacaine (0.5%, 10 cc) alone and Group B consisted of 16 patients (18 knees) who received a combination of bupivacaine (0.5%,10 cc) and morphine (1mg). All procedures were performed by a single surgeon under spinal anaesthesia, using a combination of bupivacaine (3.5 cc of 0.5%) with fentanyl (25mg). Post operative analgesic effect was evaluated by pain intensity (visual analogue scale; VAS) and analgesic requirements during the first four, eight, twelve and twenty-four hours. Results: At 24 hours after the operation, the VAS score and the analgesic requirements were significantly higher in Group A compared to Group B (p < 0.01, p < 0.01, respectively). Two patients in Group B complained of nausea in the first twelve hours. Conclusion: A combination of bupivacaine and morphine is more effective in management of immediate post-operative pain following arthroscopy of the knee joint. This combination helps in immediate mobilization, which is the main goal after these procedures.
Journal of Payavard Salamat, Jul 10, 2017
Education Strategies in Medical Sciences, Feb 15, 2015
Assessment of characteristic of effective clinical educator from nursing and midwifery students' ... more Assessment of characteristic of effective clinical educator from nursing and midwifery students' viewpoint in North Khorasan University of Medical Sciences [2] Practice-based learning and its outcomes in nursing students' education [3] Key principles in assessing students' practice-based learning [4] Exploration of characteristics of a competent nursing faculty member: A qualitative study [5] Opinions of nursing and midwifery students regarding an effective clinical tutor at medical universities in Tehran [6] The Effect of Teaching Meta-cognition Package on Self-Directed Learning in Medical Records Students of Isfahan University of Medical Sciences [7] Evaluation of mentorship programme in nursing education: A pilot study in Turkey [8] Clinical education: A review of the literature [9] Preceptorship and practical wisdom: A process of engaging in authentic nursing practice [10] Knowledge of nurses about using vials and electrolytes [11] Potential outcomes of clinical experience [12] Baccalaureate nursing student preceptorship programs and the development of clinical competence [13] Continuing education of intensive and emergency units nurses during clinical shifts [14] Attributes of nursing staff development Port Said hospitals [15] Teaching and assessing resident competence in Practice-based Learning and Improvement [16] Practice-based learning and improvement [17] Practice-based learning: The role of practice education facilitators in supporting mentors [18] ACGME Outcomes Project: Selling our expertise [19] Peer-centered retraining management of the nurses in intensive care units [20] Intensive care in ICU [21] Facilitators and barriers in application of peer learning in clinical education according to Nursing students [22] The survey of the knowledge and performance of nursing staff in blood transfusion and blood products [23] Evaluating the knowledge of intensive care unit nursing staffs [24] Nurses Knowledge, Attitude and Practice in Prevention of ICU Syndrome [25] Student's perception of clinical learning environment [26] Student nurses as peer-mentors: Collegiality in practice [27] Effectiveness of a clinical skills workshop for drug-dosage calculation in a nursing program [28] Evaluating the impact of an intensive education workshop on evidenceinformed decision making knowledge, skills, and behaviours: A mixed methods study [29] Impact of workshop training of time management skills on its application by head nurses
Background: Emergency medical services (EMS) staff can play an important role in the survival and... more Background: Emergency medical services (EMS) staff can play an important role in the survival and prevention of serious injuries to patients if they are in good physical and mental health and focus on doing their jobs with sufficient attention. Therefore, a study was conducted to investigate attention level and its related factors in night shift prehospital emergency personnel. Materials and Methods: This research is a descriptive-analytic study. A total of 114 Tehran prehospital emergency staff participated in this study. Pen and paper Bonnardel test and a questionnaire was used to collect information. The attention of the participants was assessed around 10-11 PM and 4-5 AM. The data were analyzed by using the Spearman correlation coefficient and independent t test. Results: Mean attention level of EMS staff was 0.490±0.237 around 10-11 PM and 0.456±0.252 around 4-5 AM. There was no statistically significant difference between the attention level of prehospital emergency staff around 10-11 PM and 4-5 AM (P˃0.01). Also, there was significant difference between age and the night attention (P<0.01). Conclusion: The mean level of night attention of EMS staff was moderate. Therefore, based on the average number of daily missions in different bases, we recommend increasing the number of ambulances in the base or the number of bases in the crowded emergency areas. It is also necessary to increase welfare and nutritional facilities in prehospital emergency bases so that those who are older and experienced carry out fewer missions.
Iranian journal of psychiatry and behavioral sciences, Feb 28, 2017
Background: Sexual dysfunction, which may occur after lower extremity trauma, is a main physical ... more Background: Sexual dysfunction, which may occur after lower extremity trauma, is a main physical problem with negative mental health impacts. Objectives: This study aimed at comparing male sexual dysfunction before and after lower extremity trauma. Methods: In this cross sectional study, all patients with lower extremity trauma who were admitted to Kowsar hospital in Semnan, Iran, were recruited and assessed. Two main questionnaires were administered: a questionnaire including demographic and incident variables and the international index of erectile dysfunction (IIEF). Sampling was done from June 2014 to August 2015. Statistical analyses were performed using Friedman and Wilcoxon's test in SPSS Version 19. Results: Overall, 153 male patients participated in the study. The changes of sexual dysfunctions were significantly different before and after the incident in 1 and 3 months after the incident in all the IIEF subscales (P = 0 < 0001). Moreover, within 1 to 3 months after the trauma, a significant difference was found only in intercourse satisfaction subscale (P < 0.05). Conclusions: Males with lower extremity trauma are at risk of sexual dysfunction, which may continue for months after the trauma. Therefore, health care providers should evaluate and treat sexual dysfunction in patients after the lower extremity trauma.
Koomesh, Jun 10, 2016
Introduction: Activity restrictions can have potential impacts on the prevalence of mental disord... more Introduction: Activity restrictions can have potential impacts on the prevalence of mental disorders. However, in patients with lower limb traumas the problems and the physical disabilities are usually taken more into consideration than mental status, while they refer for further examinations. Therefore, this study is aimed to investigate the changes in the process of depression, anxiety and stress in men with lower limb traumas. Materials and Methods: In a prospective study the patients with lower limb traumas, who have been hospitalized in Amir Al-Mo'menin and Kowsar hospitals in Semnan since June 2012 to August 2015, were selected randomly and studied. The data was collected by demographic and incident questionnaire and depression, anxiety and stress questionnaire. At first the patients were asked to complete the questionnaires based on their psychological experience of one month prior to the trauma. Then same questionnaires were completed by the patients one and three months after the trauma. The data was analyzed using Friedman and Wilcoxon tests. Results: The data of 157 patients was analyzed. The results showed that there was a significant difference in the severity of depression disorders, anxiety and stress in three stages of the study (P<0.01). Also there was a significant difference in the mental status before the incident with one and three months after the incident at all DASS subscales (P<0.01). Although, there was not a significant difference in stress, between one month before with three months after the incident (P>0.05). Conclusion: The prevalence of depression, anxiety and stress is increased in people with lower limb traumas. Therefore it is recommended that the patients with lower limb traumas to be supported mentally, socially and economically.
Bimonthly Journal of Hormozgan University of Medical Sciences, Apr 15, 2007
PubMed, 2014
In order to improve the ethical climate in health care organizations, it is important to apply a ... more In order to improve the ethical climate in health care organizations, it is important to apply a valid measure. This study aimed to investigate the psychometric properties of the Persian version of the Hospital Ethical Climate Survey (HECS) and to assess nurses' perceptions of the ethical climate in teaching hospitals of Iran. A cross-sectional study of randomly selected nurses (n = 187) was conducted in three teaching general hospitals of Tehran, capital of Iran. Olson's Hospital Ethical Climate Survey (HECS), a self-administered questionnaire, was used to assess the nurses' perceptions of the hospital ethical climate. Descriptive statistics, confirmatory factor analysis (CFA), internal consistency, and correlation were used to analyze the data. CFA showed acceptable model fit: an standardized root mean square residual (SRMR) of 0.064, an non-normalized fit index (NNFI) of 0.96, a comparative fit index (CFI) of 0.96, and an root mean square error of approximation (RMSEA) of 0.075. The Cronbach's alpha values were acceptable and ranging from 0.69 to 0.85. The overall Cronbach's alpha coefficient was 0.94. The factor loadings for all ethical climate items were between 0.50 and 0.80, which revealed good structure of the Persian version of the HECS. Survey findings showed that the "managers" subscale had the highest score and the subscale of "doctors" had the lowest score. This study shows that the Persian version of the HECS is a valid and reliable instrument for measuring nurses' perceptions of the ethical climate in hospitals of Iran.
Indian Journal of Critical Care Medicine, Apr 1, 2021
Background: Sleep disorders occur in the first days after heart surgery. One of the major causes ... more Background: Sleep disorders occur in the first days after heart surgery. One of the major causes of sleep disorders after coronary artery bypass graft (CABG) is subsequent changes in physiological indicators, such as systolic blood pressure (BP), respiratory rate (RR), saturation of oxygen (O 2), and heart rate (RR). This study is aimed to determine the effect of lavender aromatherapy on patients' sleep quality and physiological indicators after CABG. Materials and methods: This study was a randomized clinical trial. Patients after CABG surgery were randomly allocated into the lavender and distilled water groups. Patients in the intervention group inhaled lavender while those in the control group inhaled distilled water for 10 hours. Sleep quality and physiological postoperative data were collected for 3 days. Data were analyzed using repeated measurement test, sample t-test, and Chi-square test. Results: Repeated measurement test showed no significant difference between the lavender and distilled water groups in terms of systolic BP, RR, O 2 saturation, HR, and body temperature after matching the effect of time and its interactive effect with the intervention (p > 0.05). This test revealed a significant difference between the lavender and distilled water groups in terms of sleep quality (p < 0.001), such that the sleep quality was higher in the lavender group. Conclusion: Lavender aromatherapy can increase patients' sleep quality after CABG surgery. However, it cannot completely treat sleep disorders in such patients. Furthermore, aromatherapy with lavender does not affect the physiological parameters, such as HR, BP, RR, and O 2 saturation.
Turkish journal of anaesthesiology and reanimation, May 29, 2020
Objective: Tracheal suctioning can cause pain and physiological indicator variations in patients ... more Objective: Tracheal suctioning can cause pain and physiological indicator variations in patients with traumatic brain injury (TBI). The aim of the present study was to compare pain severity and physiological indicator variations during the closed tracheal suction system (CTSS) and open tracheal suction system (OTSS) in patients with TBI. Methods: This study was a clinical trial. Samples included all ventilated patients with TBI. The patients were randomly divided into the OTSS and CTSS groups. In both groups, the Critical Care Pain Observation Tool (CPOT) and physiological indicators were recorded by three nurses prior to suctioning, the end of suctioning and 5 min after suction completion. Data were analysed using the independent t-test and repeated measurement tests. Results: A total of 112 patients participated in the present study. Before the interventions, the mean value of the Glasgow Coma Scale was 6.45±1.13, blood pressure 128.33±20.54, saturated oxygen in arterial blood (SpO 2) 96.74±2.76, respiratory rate (RR) 15.06±3.98, end-tidal CO2 (EtCO 2) 36.2±21.98, heart rate 82.18±42.33 and CPOT-based pain 0.43±0.94 in the patients. Independent t-test was used to compare CTSS and OTSS, suggesting significant differences with respect to the mean values of SpO 2 , RR and EtCO 2 immediately after suctioning. This test showed significant differences between the two groups with respect to pain intensity at all three points of measurement. The two groups were also found to be significantly different with respect to RR measured 5 min after suctioning (p<0.05). Conclusion: Compared to OTSS, CTSS can cause higher reductions in pain levels during and after suctioning in patients with head traumas and can also cause higher improvements in physiological indicators, such as RR, O 2 saturation and EtCO 2 .
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Papers by Abbasali Ebrahimian