ali bikmoradi | Hamadan Medical sciences University (original) (raw)

Papers by ali bikmoradi

Background: Open heart surgery can cause high levels of anxiety in patients. Nowadays, lavender e... more Background: Open heart surgery can cause high levels of anxiety in patients. Nowadays, lavender essential oil is widely used in medical research. This study was conducted with an aim to investigate the effects of lavender essential oil to reduce the anxiety of patients after coronary artery bypass surgery. Materials and Methods: This research is double-blinded randomized controlled trial on 60 patients who had undergone coronary artery bypass surgery in a 2-day intervention targeting reduction of anxiety. This study was conducted in Ekbatan Therapeutic and Educational Center, Hamadan city, Iran, in 2013. The patients in the inhalation aromatherapy group inhaled two drops of 2% lavender essential oil and those in the control group inhaled two drops of distilled water as placebo for 20 min on the 2 nd and 3 rd days after surgery. The level of anxiety was evaluated by Spielberger's State Anxiety questionnaire before and after intervention and the vital signs were documented as well. Data were analyzed using Stata 11 (Stata Corp., College Station, TX, USA) by independent t-test for continuous variables and Chi-square test for categorical variables. Results: The mean score of anxiety in the aromatherapy group was 48.73 ± 5.08 and in the control group was 48 ± 6.98 before the intervention (P = 0.64), which reduced after the intervention to 42.6 ± 5.44 and 42.73 ± 7.30, respectively. On the 3 rd day after surgery, the mean score of anxiety in the aromatherapy group was 46.76 ± 4.07 and in the control group was 46.53 ± 7.05 before the intervention, which reduced to 41.33 ± 3.65 and 41.56 ± 6.18, respectively, after the intervention. However, there was no statistically signifi cant difference in the mean scores of anxiety between the aromatherapy and control groups. Conclusions: Lavender essential oil has no signifi cant effect on anxiety in patients after coronary artery bypass surgery, although it decreased the level of anxiety in the patients.

Scientific Journal of Hamedan Nursing and Midwifery Faculty, 2016

Iranian Journal of Nursing and Midwifery Research, 2016

Pain is one of the common problems encountered by patients with burns, which increases after each... more Pain is one of the common problems encountered by patients with burns, which increases after each dressing. This study aimed to investigate the effect of inhalation aromatherapy with damask rose essence on the pain of patients with burns that is caused after dressing. A randomized clinical trial was conducted on 50 patients with second- and third-degree burn wounds. The baseline pain of the patients was assessed 30 min before they entered into the dressing room on the first and second days of intervention. The patients in the experimental group inhaled five drops of damask rose essence 40% in distilled water, while those in the control group inhaled five drops of distilled water as placebo. The pain intensity was assessed using Visual Analogue Scale at 15 and 30 min after the patients exited from the dressing room. Data were analyzed by SPSS (version 18) using descriptive and inferential statistics. There was significant difference between the mean of pain intensity before and after intervention at 15 and 30 min after dressing (P < 0.001). Moreover, there was significant difference in reduction of pain intensity before and after aromatherapy in the experimental group (P < 0.05). Also, there was a significant reduction in severity of pain after dressing in the experimental group compared with the control group (P < 0.05). Inhalation aromatherapy with damask rose could be effective for relieving the pain caused after dressing in patients with burns. Therefore, it could be suggested as a complementary therapy in burn patients for pain relief.

Australasian Journal of Paramedicine, Jul 30, 2014

Few research studies exist regarding the job satisfaction of Iranian emergency medical services p... more Few research studies exist regarding the job satisfaction of Iranian emergency medical services personnel. This study aimed to explore job satisfaction levels of these personnel in the two western provinces of Iran. Methods Participants in this study were emergency medical personnel working (n=260) at medical emergency centres in the two western provinces of Iran (Kermanshah and Hamadan) in 2011. Job satisfaction was measured by a self-administered questionnaire consisting of questions about demographic characteristics and job components, as well as verbal or physical violence with other staff and the greater community. There were 10 experts who confirmed the questionnaire content and face validity. A Cronbach's alpha of 0.84 and a Pearson r for test-retest (r=0.88) showed a reasonable reliability. The gathered data was analysed using SPSS 16 software.

Acta Medica Iranica, Mar 16, 2015

Several observations have addressed high rates of occupational burnout among personnel of emergen... more Several observations have addressed high rates of occupational burnout among personnel of emergency medical services (EMSs) centers. Occupational burnout influences EMS personnel's well-being and quality of life. The main objective of this study was to assess burnout and its determinants among Iranian EMS personnel. This study was carried out at all EMS centers in two provinces of Kermanshah and Hamadan located at the west of Iran. The sample consists of 260 personnel (110 in Hamadan and 150 in Kermanshah) that were consecutively entered. The information was collected by researcher attendance at their workplaces using a self-administered questionnaire. Occupational-burnout was measured using the Maslach Burnout Inventory. An average of 46.54% of personnel displayed high frequency in the subscale emotional exhaustion, 38.85% displayed high frequency in the subscale depersonalization, and only 2.69% of them displayed high frequency in the subscale incompetence/lack of personal accomplishment. Regarding the severity of burnout, severe emotional exhaustion and depersonalization were detected in an average of 25.39% and 37.69 of the personnel, respectively; while, an average of 97.31% expressed a low level of the lack of personal accomplishment. Frequency and severity of burnout were adversely affected by younger age, single status, history of smoking, lower income, higher work experience, longer shifts, and even work status of the spouse. Iranian EMSs personnel considerably suffered from emotional exhaustion and depersonalization. This should be effectively managed and improved by organizational supports, psychological consultations, and effective management aimed to improve determinants of appearing occupation-related burnout.

Background: while Hand washing is the simplest strategy to prevent from ventilator-related pneumo... more Background: while Hand washing is the simplest strategy to prevent from ventilator-related pneumonia, lots of nurses don’t consider it as an effective measure. This study aimed to determine the effect of educational program on knowledge, attitude, and adherence of critical care unit nurses with respect to hand washing as a preventive strategy against ventilator-related pneumonia. Methods: This quasi-experimental study was conducted on 52 critical care unit nurses Selected by convenience sampling from two therapeutic and educational center of Hamadan University of Medical Sciences. knowledge, attitude, and adherence of the subjects in respect to hand washing were evaluated both before and one and three months after the intervention by the use of a questionnaire and a checklist. Data was analyzed by SPSS version16 and analytical statistics such as repeated measurements. Result: The majority (%80.8) of nurses had not passed any hand washing educational program previously. Both One and ...

Few research studies exist regarding the job satisfaction of Iranian emergency medical services p... more Few research studies exist regarding the job satisfaction of Iranian emergency medical services personnel. This study aimed to explore job satisfaction levels of these personnel in the two western provinces of Iran. Methods Participants in this study were emergency medical personnel working (n=260) at medical emergency centres in the two western provinces of Iran (Kermanshah and Hamadan) in 2011. Job satisfaction was measured by a self-administered questionnaire consisting of questions about demographic characteristics and job components, as well as verbal or physical violence with other staff and the greater community. There were 10 experts who confirmed the questionnaire content and face validity. A Cronbach's alpha of 0.84 and a Pearson r for test-retest (r=0.88) showed a reasonable reliability. The gathered data was analysed using SPSS 16 software.

ABSTRACT In spite of increasing advances in technology, medical equipments, costs, geriatric popu... more ABSTRACT In spite of increasing advances in technology, medical equipments, costs, geriatric population, consideration to ethical and legal issues has increased in nursing profession. This study aimed to explore ethical codes and consideration of ethical issues and severity of ethical distress experienced by nurses at intensive care units. A cross-sectional survey using questionnaire was conducted by a census of nurses in intensive care units in educational and treatment centers of Hamadan. Nurses value most the ethical codes related to responsibility (95.1%), accountability (95.1%), patient support (77.3%), secret keeping (83.4%), and honesty (78.5%). They studied patient rights statement 2.47 times with standard deviation of 2.86. Only 50.3 percent of nurses had education about professional ethics. Nurses had mean of mark in severity of ethical distress 99.34 ±46.61. Severity of ethical distress was moderate in nurses. There was not significant relationship between demographic data and severity of ethical distress. There are more needs to assess for effects and effective factors on ethical distress in intensive care units nurses.

Aims: Effect of workplace violence is one of the most important reasons for leaving the nursing p... more Aims: Effect of workplace violence is one of the most important reasons for leaving the nursing profession. This study aimed to assess the vision of intensive care nurses about workplace violence. Methods: A cross sectional study was conducted on intensive care nurses of Therapeutic and Educational Centers of Hamadan in 2009. By using quota sampling, a number of 170 nurses were selected. Data gathering tool was the modified Minnesota Workplace Violence Questionnaire which included 52 questions. Data were analyzed using SPSS 16 software and by descriptive statistics. Results: Prevalence of violence was 74.1%, most common kinds of violence were verbal misbehavior, threatening, physical battery and sexual assault and the most violence was from patients and their accompanies. The most violence was reported verbally and legal pursuit was little and the most common reason for that was nurses' feeling that it is useless. Most of the nurses were dissatisfied with violence management in their institute. Conclusion: Despite high prevalence of violence, written reporting and legal pursuit of it was low. It seems, workplace violence can be reduced with educating the nurses, managers' support, patients' accompanies under surveillance, empowering the guarding unit and effective inter-individual relationship.

Publication View. 55423155. BMC Public Health BioMed Central (2002). John R Williams,; Piero Manf... more Publication View. 55423155. BMC Public Health BioMed Central (2002). John R Williams,; Piero Manfredi,; Alisa R Butler,; Marta Ciofi Degli Atti,; Stefania Salmaso,; Open Access,; Marta Ciofi Degli Atti,; Stefania Salmaso. Abstract. ...

Background: Road traffic injuries (RTIs) are a major public health problem, especially in low-and... more Background: Road traffic injuries (RTIs) are a major public health problem, especially in low-and middle-income countries. Among middle-income countries, Iran has one of the highest mortality rates from RTIs. Action is critical to combat this major public health problem. Stakeholders involved in RTI control are of key importance and their perceptions of barriers and facilitators are a vital source of knowledge. The aim of this study was to explore barriers to the prevention of RTIs and provide appropriate suggestions for prevention, based on the perceptions of stakeholders, victims and road-users as regards RTIs.

Background: Road traffic injuries are a major public health problem, especially in low-and middle... more Background: Road traffic injuries are a major public health problem, especially in low-and middleincome countries. Post-crash management can play a significant role in minimizing crash consequences and saving lives. Iran has one of the highest mortality rates from road traffic injuries in the world. The present study attempts to fill the knowledge gap and explores stakeholders' perceptions of barriers to -and facilitators of -effective post-crash management in Iranian regions.

Background: Open heart surgery can cause high levels of anxiety in patients. Nowadays, lavender e... more Background: Open heart surgery can cause high levels of anxiety in patients. Nowadays, lavender essential oil is widely used in medical research. This study was conducted with an aim to investigate the effects of lavender essential oil to reduce the anxiety of patients after coronary artery bypass surgery. Materials and Methods: This research is double-blinded randomized controlled trial on 60 patients who had undergone coronary artery bypass surgery in a 2-day intervention targeting reduction of anxiety. This study was conducted in Ekbatan Therapeutic and Educational Center, Hamadan city, Iran, in 2013. The patients in the inhalation aromatherapy group inhaled two drops of 2% lavender essential oil and those in the control group inhaled two drops of distilled water as placebo for 20 min on the 2 nd and 3 rd days after surgery. The level of anxiety was evaluated by Spielberger's State Anxiety questionnaire before and after intervention and the vital signs were documented as well. Data were analyzed using Stata 11 (Stata Corp., College Station, TX, USA) by independent t-test for continuous variables and Chi-square test for categorical variables. Results: The mean score of anxiety in the aromatherapy group was 48.73 ± 5.08 and in the control group was 48 ± 6.98 before the intervention (P = 0.64), which reduced after the intervention to 42.6 ± 5.44 and 42.73 ± 7.30, respectively. On the 3 rd day after surgery, the mean score of anxiety in the aromatherapy group was 46.76 ± 4.07 and in the control group was 46.53 ± 7.05 before the intervention, which reduced to 41.33 ± 3.65 and 41.56 ± 6.18, respectively, after the intervention. However, there was no statistically signifi cant difference in the mean scores of anxiety between the aromatherapy and control groups. Conclusions: Lavender essential oil has no signifi cant effect on anxiety in patients after coronary artery bypass surgery, although it decreased the level of anxiety in the patients.

Background: Open heart surgery can cause high levels of anxiety in patients. Nowadays, lavender e... more Background: Open heart surgery can cause high levels of anxiety in patients. Nowadays, lavender essential oil is widely used in medical research. This study was conducted with an aim to investigate the effects of lavender essential oil to reduce the anxiety of patients after coronary artery bypass surgery. Materials and Methods: This research is double-blinded randomized controlled trial on 60 patients who had undergone coronary artery bypass surgery in a 2-day intervention targeting reduction of anxiety. This study was conducted in Ekbatan Therapeutic and Educational Center, Hamadan city, Iran, in 2013. The patients in the inhalation aromatherapy group inhaled two drops of 2% lavender essential oil and those in the control group inhaled two drops of distilled water as placebo for 20 min on the 2 nd and 3 rd days after surgery. The level of anxiety was evaluated by Spielberger's State Anxiety questionnaire before and after intervention and the vital signs were documented as well. Data were analyzed using Stata 11 (Stata Corp., College Station, TX, USA) by independent t-test for continuous variables and Chi-square test for categorical variables. Results: The mean score of anxiety in the aromatherapy group was 48.73 ± 5.08 and in the control group was 48 ± 6.98 before the intervention (P = 0.64), which reduced after the intervention to 42.6 ± 5.44 and 42.73 ± 7.30, respectively. On the 3 rd day after surgery, the mean score of anxiety in the aromatherapy group was 46.76 ± 4.07 and in the control group was 46.53 ± 7.05 before the intervention, which reduced to 41.33 ± 3.65 and 41.56 ± 6.18, respectively, after the intervention. However, there was no statistically signifi cant difference in the mean scores of anxiety between the aromatherapy and control groups. Conclusions: Lavender essential oil has no signifi cant effect on anxiety in patients after coronary artery bypass surgery, although it decreased the level of anxiety in the patients.

Scientific Journal of Hamedan Nursing and Midwifery Faculty, 2016

Iranian Journal of Nursing and Midwifery Research, 2016

Pain is one of the common problems encountered by patients with burns, which increases after each... more Pain is one of the common problems encountered by patients with burns, which increases after each dressing. This study aimed to investigate the effect of inhalation aromatherapy with damask rose essence on the pain of patients with burns that is caused after dressing. A randomized clinical trial was conducted on 50 patients with second- and third-degree burn wounds. The baseline pain of the patients was assessed 30 min before they entered into the dressing room on the first and second days of intervention. The patients in the experimental group inhaled five drops of damask rose essence 40% in distilled water, while those in the control group inhaled five drops of distilled water as placebo. The pain intensity was assessed using Visual Analogue Scale at 15 and 30 min after the patients exited from the dressing room. Data were analyzed by SPSS (version 18) using descriptive and inferential statistics. There was significant difference between the mean of pain intensity before and after intervention at 15 and 30 min after dressing (P < 0.001). Moreover, there was significant difference in reduction of pain intensity before and after aromatherapy in the experimental group (P < 0.05). Also, there was a significant reduction in severity of pain after dressing in the experimental group compared with the control group (P < 0.05). Inhalation aromatherapy with damask rose could be effective for relieving the pain caused after dressing in patients with burns. Therefore, it could be suggested as a complementary therapy in burn patients for pain relief.

Australasian Journal of Paramedicine, Jul 30, 2014

Few research studies exist regarding the job satisfaction of Iranian emergency medical services p... more Few research studies exist regarding the job satisfaction of Iranian emergency medical services personnel. This study aimed to explore job satisfaction levels of these personnel in the two western provinces of Iran. Methods Participants in this study were emergency medical personnel working (n=260) at medical emergency centres in the two western provinces of Iran (Kermanshah and Hamadan) in 2011. Job satisfaction was measured by a self-administered questionnaire consisting of questions about demographic characteristics and job components, as well as verbal or physical violence with other staff and the greater community. There were 10 experts who confirmed the questionnaire content and face validity. A Cronbach's alpha of 0.84 and a Pearson r for test-retest (r=0.88) showed a reasonable reliability. The gathered data was analysed using SPSS 16 software.

Acta Medica Iranica, Mar 16, 2015

Several observations have addressed high rates of occupational burnout among personnel of emergen... more Several observations have addressed high rates of occupational burnout among personnel of emergency medical services (EMSs) centers. Occupational burnout influences EMS personnel's well-being and quality of life. The main objective of this study was to assess burnout and its determinants among Iranian EMS personnel. This study was carried out at all EMS centers in two provinces of Kermanshah and Hamadan located at the west of Iran. The sample consists of 260 personnel (110 in Hamadan and 150 in Kermanshah) that were consecutively entered. The information was collected by researcher attendance at their workplaces using a self-administered questionnaire. Occupational-burnout was measured using the Maslach Burnout Inventory. An average of 46.54% of personnel displayed high frequency in the subscale emotional exhaustion, 38.85% displayed high frequency in the subscale depersonalization, and only 2.69% of them displayed high frequency in the subscale incompetence/lack of personal accomplishment. Regarding the severity of burnout, severe emotional exhaustion and depersonalization were detected in an average of 25.39% and 37.69 of the personnel, respectively; while, an average of 97.31% expressed a low level of the lack of personal accomplishment. Frequency and severity of burnout were adversely affected by younger age, single status, history of smoking, lower income, higher work experience, longer shifts, and even work status of the spouse. Iranian EMSs personnel considerably suffered from emotional exhaustion and depersonalization. This should be effectively managed and improved by organizational supports, psychological consultations, and effective management aimed to improve determinants of appearing occupation-related burnout.

Background: while Hand washing is the simplest strategy to prevent from ventilator-related pneumo... more Background: while Hand washing is the simplest strategy to prevent from ventilator-related pneumonia, lots of nurses don’t consider it as an effective measure. This study aimed to determine the effect of educational program on knowledge, attitude, and adherence of critical care unit nurses with respect to hand washing as a preventive strategy against ventilator-related pneumonia. Methods: This quasi-experimental study was conducted on 52 critical care unit nurses Selected by convenience sampling from two therapeutic and educational center of Hamadan University of Medical Sciences. knowledge, attitude, and adherence of the subjects in respect to hand washing were evaluated both before and one and three months after the intervention by the use of a questionnaire and a checklist. Data was analyzed by SPSS version16 and analytical statistics such as repeated measurements. Result: The majority (%80.8) of nurses had not passed any hand washing educational program previously. Both One and ...

Few research studies exist regarding the job satisfaction of Iranian emergency medical services p... more Few research studies exist regarding the job satisfaction of Iranian emergency medical services personnel. This study aimed to explore job satisfaction levels of these personnel in the two western provinces of Iran. Methods Participants in this study were emergency medical personnel working (n=260) at medical emergency centres in the two western provinces of Iran (Kermanshah and Hamadan) in 2011. Job satisfaction was measured by a self-administered questionnaire consisting of questions about demographic characteristics and job components, as well as verbal or physical violence with other staff and the greater community. There were 10 experts who confirmed the questionnaire content and face validity. A Cronbach's alpha of 0.84 and a Pearson r for test-retest (r=0.88) showed a reasonable reliability. The gathered data was analysed using SPSS 16 software.

ABSTRACT In spite of increasing advances in technology, medical equipments, costs, geriatric popu... more ABSTRACT In spite of increasing advances in technology, medical equipments, costs, geriatric population, consideration to ethical and legal issues has increased in nursing profession. This study aimed to explore ethical codes and consideration of ethical issues and severity of ethical distress experienced by nurses at intensive care units. A cross-sectional survey using questionnaire was conducted by a census of nurses in intensive care units in educational and treatment centers of Hamadan. Nurses value most the ethical codes related to responsibility (95.1%), accountability (95.1%), patient support (77.3%), secret keeping (83.4%), and honesty (78.5%). They studied patient rights statement 2.47 times with standard deviation of 2.86. Only 50.3 percent of nurses had education about professional ethics. Nurses had mean of mark in severity of ethical distress 99.34 ±46.61. Severity of ethical distress was moderate in nurses. There was not significant relationship between demographic data and severity of ethical distress. There are more needs to assess for effects and effective factors on ethical distress in intensive care units nurses.

Aims: Effect of workplace violence is one of the most important reasons for leaving the nursing p... more Aims: Effect of workplace violence is one of the most important reasons for leaving the nursing profession. This study aimed to assess the vision of intensive care nurses about workplace violence. Methods: A cross sectional study was conducted on intensive care nurses of Therapeutic and Educational Centers of Hamadan in 2009. By using quota sampling, a number of 170 nurses were selected. Data gathering tool was the modified Minnesota Workplace Violence Questionnaire which included 52 questions. Data were analyzed using SPSS 16 software and by descriptive statistics. Results: Prevalence of violence was 74.1%, most common kinds of violence were verbal misbehavior, threatening, physical battery and sexual assault and the most violence was from patients and their accompanies. The most violence was reported verbally and legal pursuit was little and the most common reason for that was nurses' feeling that it is useless. Most of the nurses were dissatisfied with violence management in their institute. Conclusion: Despite high prevalence of violence, written reporting and legal pursuit of it was low. It seems, workplace violence can be reduced with educating the nurses, managers' support, patients' accompanies under surveillance, empowering the guarding unit and effective inter-individual relationship.

Publication View. 55423155. BMC Public Health BioMed Central (2002). John R Williams,; Piero Manf... more Publication View. 55423155. BMC Public Health BioMed Central (2002). John R Williams,; Piero Manfredi,; Alisa R Butler,; Marta Ciofi Degli Atti,; Stefania Salmaso,; Open Access,; Marta Ciofi Degli Atti,; Stefania Salmaso. Abstract. ...

Background: Road traffic injuries (RTIs) are a major public health problem, especially in low-and... more Background: Road traffic injuries (RTIs) are a major public health problem, especially in low-and middle-income countries. Among middle-income countries, Iran has one of the highest mortality rates from RTIs. Action is critical to combat this major public health problem. Stakeholders involved in RTI control are of key importance and their perceptions of barriers and facilitators are a vital source of knowledge. The aim of this study was to explore barriers to the prevention of RTIs and provide appropriate suggestions for prevention, based on the perceptions of stakeholders, victims and road-users as regards RTIs.

Background: Road traffic injuries are a major public health problem, especially in low-and middle... more Background: Road traffic injuries are a major public health problem, especially in low-and middleincome countries. Post-crash management can play a significant role in minimizing crash consequences and saving lives. Iran has one of the highest mortality rates from road traffic injuries in the world. The present study attempts to fill the knowledge gap and explores stakeholders' perceptions of barriers to -and facilitators of -effective post-crash management in Iranian regions.

Background: Open heart surgery can cause high levels of anxiety in patients. Nowadays, lavender e... more Background: Open heart surgery can cause high levels of anxiety in patients. Nowadays, lavender essential oil is widely used in medical research. This study was conducted with an aim to investigate the effects of lavender essential oil to reduce the anxiety of patients after coronary artery bypass surgery. Materials and Methods: This research is double-blinded randomized controlled trial on 60 patients who had undergone coronary artery bypass surgery in a 2-day intervention targeting reduction of anxiety. This study was conducted in Ekbatan Therapeutic and Educational Center, Hamadan city, Iran, in 2013. The patients in the inhalation aromatherapy group inhaled two drops of 2% lavender essential oil and those in the control group inhaled two drops of distilled water as placebo for 20 min on the 2 nd and 3 rd days after surgery. The level of anxiety was evaluated by Spielberger's State Anxiety questionnaire before and after intervention and the vital signs were documented as well. Data were analyzed using Stata 11 (Stata Corp., College Station, TX, USA) by independent t-test for continuous variables and Chi-square test for categorical variables. Results: The mean score of anxiety in the aromatherapy group was 48.73 ± 5.08 and in the control group was 48 ± 6.98 before the intervention (P = 0.64), which reduced after the intervention to 42.6 ± 5.44 and 42.73 ± 7.30, respectively. On the 3 rd day after surgery, the mean score of anxiety in the aromatherapy group was 46.76 ± 4.07 and in the control group was 46.53 ± 7.05 before the intervention, which reduced to 41.33 ± 3.65 and 41.56 ± 6.18, respectively, after the intervention. However, there was no statistically signifi cant difference in the mean scores of anxiety between the aromatherapy and control groups. Conclusions: Lavender essential oil has no signifi cant effect on anxiety in patients after coronary artery bypass surgery, although it decreased the level of anxiety in the patients.