Suma Rani Datta, Wimolrat Puwarawuttipanit, Orapan Thosingha, Md. Shahid Uddin
iraetc j. nur. health care; 2(3) 45-52
https://doi.org/10.62469/ijnhc.v02i03.001
Background: Myocardial infarction (MI) is a leading cause of morbidity and mortality worldwide, including in Bangladesh. Educational programs have been developed to improve health indices among adult patients with MI, but their effectiveness remains unclear. Objective: This study aimed to review the evidence on educational programs for adult MI patients and assess their impact on health indices. Method: A systematic search was conducted in Mahidol University electronic databases for English-language publications from 2009 to 2014, following the PICO framework. Studies included randomized controlled trials, quasi-experimental studies, and systematic reviews. Data on program delivery, content, and outcomes were extracted and analyzed. Result: The review identified nine studies meeting the inclusion criteria. Educational programs were commonly delivered in hospital settings, consisting of group and individual sessions led by nurses and multidisciplinary teams. Key content areas included disease information, lifestyle modifications, and smoking cessation. Overall, the programs showed a significant improvement in health indices among adult MI patients, with an average increase of 15-20% in adherence to healthy lifestyle practices. Conclusion: Educational programs are effective in improving health indices among adult patients with MI. Implementing tailored programs in Bangladesh's clinical settings is recommended. Further research is needed to evaluate long-term outcomes and optimize program effectiveness.
Md. Shahid Uddin, Usavadee Asdornwised, Sarunya Koositamongkol, Suma Rani Datta
iraetc j. nur. health care; 2(3) 53-60
https://doi.org/10.62469/ijnhc.v02i03.002
Background: Burn injuries, resulting from various sources such as heat, electricity, friction, or radiation, often require wound dressing, a process known to be a significant source of pain for patients. In managing this pain, non-pharmacological interventions, including relaxation techniques, have shown promise as adjuncts to pharmacological approaches. This study aimed to review current evidence on relaxation techniques for pain management during wound dressing of burn patients and provide recommendations based on the findings. Method: Using the PICO framework by Melnyk and Fineout-Overholt (2015), a systematic search was conducted across databases from 2001 to 2016, yielding six randomized controlled trials and two quasi-experimental studies. Results: The synthesis of evidence identified relaxation breathing, music-based imagery, and music alternate engagement as the most effective interventions for pain management during wound dressing of burn patients. These techniques were beneficial for mentally alert patients without visual or auditory impairment, covering 1% to 43% of the total body surface area. Conclusion: Nurses should assess patient readiness and use validated tools such as the visual analog scale to evaluate pain levels before, during, and after dressing changes. Based on the findings, a nursing practice guideline for pain management during wound dressing in adult burn patients is recommended for implementation in Bangladesh. Further research is needed to explore additional relaxation techniques and their efficacy in this context.