Dr Leila Gholizadeh, a lecturer in the UTS Faculty of Health, has extensive clinical and research experience in the area of cardiovascular disease. Her research focuses on primary, secondary, and tertiary prevention of cardiovascular diseases and, in particular, understanding individual and socio-cultural factors that influence heart-disease management, such as risk perception and causal attributions.
Leila is collaborating with research scholars in Australia and internationally on several research projects that aim to improve outcomes for patients with heart disease. These projects address cardiac rehabilitation, quality of life, depression, and patients’ experiences of living with heart disease.
- Member of Editorial Board for the Journal of Health Promotion Management
- Member of Sigma Theta Tau International (STTI) Honor Society of Nursing
- A member of Council on Cardiovascular Nursing and Allied Professions (CCNAP)
- A member of the International Council on Women’s Health Issues, Sigma Theta Tau International
- A member of the Australian Cardiovascular and Rehabilitation Association
Can supervise: YES
- Prevention of cardiovascular disease at primary, secondary and tertiary levels
- Risk perception and risk communication
- Causal attributions
- Behaviour and lifestyle change
- Depression in cardiac patients
- Quality of life
- Recovery from heart disease
Evidence based practice, research methods, assessment and therapeutic in health care
Al-Ganmi, AHA, Alotaibi, A, Gholizadeh, L & Perry, L 2020, 'Medication adherence and predictive factors in patients with cardiovascular disease: A cross-sectional study', NURSING & HEALTH SCIENCES.View/Download from: UTS OPUS or Publisher's site
Kang, K, Gholizadeh, L & Han, H-R 2020, 'Health-related Quality of Life and Its Predictors in Korean Patients with Myocardial Infarction in the Acute Phase.', Clinical nursing research, pp. 1054773819894692-1054773819894692.View/Download from: Publisher's site
This study aims to investigate health-related quality of life (HRQoL) of Korean patients in the acute phase of myocardial infarction (MI) and correlates of this important patient outcome. A total of 150 patients with recent MI were recruited. The Korean version of the MacNew Quality of Life after Myocardial Infarction Questionnaire was used to assess their HRQoL. Demographic, behavioural and disease-related factors were also assessed and the Depression, Anxiety and Stress Scale (DASS 21) was used for psychological well-being. Participants who had a higher education level and better financial status had better HRQoL. Diabetes, history of stroke, other heart disease and a higher score of the DASS 21 were adversely associated with HRQoL. The findings of this study help identify risk factors that are related to lower HRQoL after MI. Early psychological and financial support may help reduce the impact of MI on patients' overall health and quality of life.
Kang, K, Gholizadeh, L, Inglis, SC & Han, H-R 2019, 'Validation of the Korean Version of the MacNew Heart Disease Health-Related Quality of Life Questionnaire.', The journal of nursing research : JNR, vol. 27, no. 2, pp. 1-7.View/Download from: UTS OPUS or Publisher's site
Health-related quality of life (HRQoL) is an importantconcept in patients with cardiac diseases, including myocardial infarction (MI). Disease-specific tools offer valuable insights into the impact of a disease on various aspects of a patient's life.The aim of this study was to assess the psychometric properties of the Korean version of the MacNew Heart Disease HRQoL Questionnaire (Korean MacNew).One hundred thirty-six patients who had experienced MI about 3 months earlier were recruited from two tertiary hospitalsin South Korea. The internal consistency and various types of validity of the Korean MacNew were assessed. Exploratory factor analysis with varimax rotation was performed to identify a better structure for this instrument.The internal consistency of the Korean MacNew was established with Cronbach's alpha coefficients ranging from .88 to .93. Face validity and construct validity (both discriminant and concurrent) of the Korean MacNew were established. Strong positive correlations were found between the total Korean MacNew and the single-item global QoL scale (r = .73, p < .001). As expected, the total Korean MacNew also had strong negative correlations with the Depression Anxiety and Stress Scale 21 (r = -.81, p < .001) and the single-item fatigue scale (r = -.51, p < .001). The outcomes of exploratory factor analysis showed a better result with the five-factor structure in the Korean MacNew.The Korean MacNew showed consistently acceptable psychometric properties of reliability and validity in patients with MI. Therefore, this instrument may be recommended for assessing the HRQoL of patients with MI in Korea. However, caution should be taken in using the subscale scores.
Al-Ganmi, AHA, Al-Fayyadh, S, Abd Ali, MBH, Alotaibi, AM, Gholizadeh, L & Perry, L 2019, 'Medication adherence and predictive factors in patients with cardiovascular disease: A comparison study between Australia and Iraq', Collegian, vol. 26, no. 3, pp. 355-365.View/Download from: UTS OPUS or Publisher's site
© 2018 Australian College of Nursing Ltd Background: Adherence to cardiac medication regimes is essential for effective treatment of cardiovascular disease but is unsatisfactory in Australia and little studied in Iraq. Aim: This study evaluated and compared adherence to cardiac medications and potentially predictive factors based on the Theory of Planned Behaviour (TPB) in patients with cardiovascular disease admitted to hospital and attending cardiac services in Australia and Iraq. Methods: A cross-sectional multi-centre comparative study involving 246 cardiac patients was conducted in Australia (one hospital in Sydney) and Iraq (three cardiac hospitals in Baghdad) between October 2016 and December 2017. Adherence to medications and related factors were examined using established, validated questionnaires, formally translated and validated into Arabic for Iraqi participants. Binary logistic regression was conducted to determine those factors independently predictive of cardiac medication adherence, in Australia and Iraq. Findings: A significantly higher proportion (64.3%) of Iraqi than Australian (37.5%) cardiac patients reported medium/low levels of adherence to their cardiac medications. After adjusting for confounding factors, the ability to correctly self-administer and refill medications, and beliefs about cardio-protective medication were identified as independent predictors of cardiac medication adherence behaviour in both Australian and Iraqi participants. In Iraq, patients recruited from out-patient cardiac clinics were significantly more likely to report adherent behaviours that patients recruited as in-patients of the cardiac ward. Conclusion: Non-adherence to cardiac medications differed but was sub-optimal in both Australian and Iraqi patient samples, in both countries, adherence was associated with patients’ beliefs about medications, and ability to self-administer and refill medications. Clinical nurses and pharmacists need to investigate these fa...
Gholizadeh, L, Shahmansouri, N, Heydari, M & Davidson, PM 2019, 'Assessment and detection of depression in patients with coronary artery disease: validation of the Persian version of the PHQ-9.', Contemporary Nurse, vol. 55, no. 2-3, pp. 185-194.View/Download from: UTS OPUS or Publisher's site
Background: Depression is a common comorbidity in patients with coronary artery disease (CAD), which often remains undetected and untreated. Objective: This study aimed to examine the psychometric properties of the Depression Module of the Patient Health Questionnaire (PHQ-9) on a sample of cardiac patients in Iran. Method: The Persian version of the PHQ-9 was developed and administered to 150 patients with CAD, admitted to a tertiary hospital in Tehran, Iran. The major depression module of the International Neuropsychiatric Interview (MINI) was used as the gold standard for the diagnosis of depression. Results: The Persian PHQ-9 demonstrated acceptable internal consistency, with Cronbach's alpha coefficient of 0.80. The optimal cut-off score of ≥7 showed a sensitivity of 76, specificity of 78, and the area under curve of 0.82. Conclusion: The Persian PHQ-9 has acceptable psychometric properties to screen for and detect a current depressive episode in patients with CAD, with recommended cut-off score of ≥7.
Ostovar, S, Allahbakhshian, A, Gholizadeh, L, Dizaji, SL, Sarbakhsh, P & Ghahramanian, A 2019, 'Comparing Effects of Debriefing Methods on Psycho-Motor Skills, Self-Confidence and Satisfaction in Novice Nursing Students: a Quasi-Experimental Study.', Maedica, vol. 14, no. 1, pp. 15-21.View/Download from: UTS OPUS or Publisher's site
Rahmani, F, Salmasi, S, Rahmani, F, Bird, J, Asghari, E, Robai, N, Jafarabadi, MA & Gholizadeh, L 2019, 'Domestic violence and suicide attempts among married women: A case-control study', JOURNAL OF CLINICAL NURSING, vol. 28, no. 17-18, pp. 3252-3261.View/Download from: UTS OPUS or Publisher's site
Asgharvahedi, F, Gholizadeh, L & Siabani, S 2019, 'The risk of cardiovascular disease in women with a history of miscarriage and/or stillbirth.', Health Care for Women International, vol. 40, no. 10, pp. 1117-1131.View/Download from: UTS OPUS or Publisher's site
Cardiovascular disease (CVD) remains the main cause of morbidity and mortality in women worldwide. Apart from the well-established risk factors, some adverse pregnancy outcomes have been found to be associated with increased risk of CVD in women. We reviewed the literature on the risk of CVD in women with a history of pregnancy loss (miscarriage and/or stillbirth). Electronic databases including MEDLINE and CINAHL were searched for English language articles published from 2000 to July 2016. Following the application of study inclusion and exclusion criteria, we selected seven studies for review. Women with history of miscarriage and/or stillbirth are more likely to develop coronary heart disease (CHD), but not stroke in their later life compared with women without these conditions. The risk is particularly greater in women with multiple miscarriages or stillbirths. Health professionals should be aware of the risk associated with miscarriage and stillbirth, and use maternal history to identify, refer, closely monitor, and engage these high risk women in healthy lifestyle and risk factor modification programs.
Gholizadeh, L, Siabani, H & Siabani, S 2019, 'Epidemiology of congenital heart defects in Iran: A systematic review', Online Journal of Cardiovascular Research, vol. 2, no. 3.View/Download from: UTS OPUS or Publisher's site
Siabani, H, Davidson, P, Siabani, S, Gholizadeh, L, Karim, H, Najafi, F, Hamzeh, H, Saeidi, MR, Babakhani, M & Asadmobini, A 2019, 'The Kermanshah Acute Coronary Syndrome Registry: Rational and Design', Acta Scientific Medical Sciences, vol. 3, no. 8, pp. 97-102.View/Download from: UTS OPUS
Kang, K, Gholizadeh, L, Han, H-R & Inglis, SC 2018, 'Predictors of health-related quality of life in korean patients with myocardial infarction: a longitudinal observational study.', Heart & lung : the journal of critical care, vol. 47, no. 2018, pp. 142-148.View/Download from: UTS OPUS or Publisher's site
Experience of myocardial infarction (MI) negatively affects different aspects of health-related quality of life (HRQoL).This study aimed to examine trends in HRQoL of MI patients and to identify demographic, clinical and psychosocial predictors of HRQoL at three months.A total of 150 patients in South Korea were completed the study questionnaires at baseline. After three months from discharge, 136 participants completed follow-up questionnaires, including the Korean version of the MacNew Quality of Life after Myocardial Infarction Questionnaire (MacNew).HRQoL significantly improved over three months. Younger age, ST-elevation MI, and higher LVEF, lower level of depression, better understanding of the illness and higher perceived social support at baseline were associated with better HRQoL at three months.Providing adequate information about the illness and social support as well as reducing negative psychological experiences in early days after MI may improve HRQoL of MI patients.
Al-Ganmi, AHA, Perry, L, Gholizadeh, L & Alotaibi, AM 2018, 'Behaviour change interventions to improve medication adherence in patients with cardiac disease: Protocol for a mixed methods study including a pilot randomised controlled trial', Collegian, vol. 25, no. 4, pp. 385-394.View/Download from: UTS OPUS or Publisher's site
© 2017 Australian College of Nursing Ltd. Background: Suboptimal adherence to medication increases mortality and morbidity; individually tailored supportive interventions can improve patients' adherence to their medication regimens. Aims: The study aims to use a pilot randomised controlled trial (RCT) to test the hypothesis that a theory-based, nurse-led, multi-faceted intervention comprising motivational interviewing techniques and text message reminders in addition to standard care will better promote medication adherence in cardiac patients compared to standard care alone. The pilot study will assess self-reported adherence or non-adherence to cardiovascular medication in patients referred to a cardiac rehabilitation program following hospital admission for an acute cardiac event and test the feasibility of the intervention. The study will examine the role of individual, behavioural and environmental factors in predicting medication non-adherence in patients with CVD. Methods: This is a mixed- methods study including a nested pilot RCT. Twenty-eight cardiac patients will be recruited; an estimated sample of nine patients in each group will be required for the pilot RCT with 80% power to detect a moderate effect size at 5% significance, and assuming 50% loss to follow-up over the six month intervention. Participants will complete a paper-based survey (Phase one), followed by a brief semi-structured interview (Phase two) to identify their level of adherence to medication and determine factors predictive of non-adherence. Participants identified as 'non-adherent' will be eligible for the pilot randomised trial, where they will be randomly allocated to receive either the motivational interview plus text message reminders and standard care, or standard care alone. Discussion: Nurse-led multi-faceted interventions have the potential to enhance adherence to cardiac medications. The results of this study may have relevance for cardiac patients in other settings, and f...
Alotaibi, A, Gholizadeh, L, Al-Ganmi, AHA & Perry, L 2018, 'Factors influencing nurses' knowledge acquisition of diabetes care and its management: a qualitative study.', Journal of Clinical Nursing, vol. 27, no. 23-24, pp. 4340-4352.View/Download from: UTS OPUS or Publisher's site
The aim of this qualitative study was to identify and explore the factors nurses perceive as influencing their knowledge acquisition in relation to diabetes care and its management in Saudi Arabia.Diabetes continues to pose major healthcare challenges despite advances in diabetes management. Nurses have a crucial role in diabetes care but diabetes knowledge deficits deter effective collaboration with other healthcare providers in educating patients about diabetes self-management.An exploratory descriptive qualitative design.This qualitative study recruited 16 nurses from different specialty areas at a tertiary hospital in Saudi Arabia. Data were obtained through semi-structured interviews and analysed using thematic analysis.Three main themes emerged: (1) diabetes care and education (2) barriers affecting nurses' acquisition of diabetes knowledge (3) factors to support nurses' acquisition of diabetes knowledge.To pursue the goal of continued improvement in diabetes management in the challenging settings of acute care there is a need to develop good practice in diabetes care amongst nursing professionals. Understanding of the complexity of factors that influence nurses' knowledge acquisition in relation to diabetes care and its management provides clinical nurses and nursing mangers with directions for future education, policy development and research. This article is protected by copyright. All rights reserved.
Ostovar, S, Allahbakhshian, A, Gholizadeh, L, Dizaji, SL, Sarbakhsh, P & Ghahramanian, A 2018, 'Comparison of the effects of debriefing methods on psychomotor skills, self-confidence, and satisfaction in novice nursing students: A quasi-experimental study.', Journal of Advanced Pharmaceutical Technology & Research, vol. 9, no. 3, pp. 107-112.View/Download from: UTS OPUS or Publisher's site
Oral debriefing (OD) and video-assisted debriefing (VAD) are commonly used debriefing methods, with no evidence of superiority of one to another. The present study aimed to compare the effects of OD and VAD on the development of learning outcomes in nursing students. This is a quasi-experimental study. A total of 50 first-year nursing students participated in this study. Participants in the control group participated in OD and those in the intervention group took part in VAD. Debriefing improved psychomotor skills, self-confidence, and student satisfaction in both groups. There was no statistically significant difference between OD and VAD in the study outcomes. Both OD and VAD methods have significantly positive impact on simulation outcomes and can increase preparedness of nursing students before entering the clinical settings. Given the widespread use of simulation, more studies are needed to evaluate different methods of debriefing to optimize the usefulness of simulation-based learning.
Caruana, N, McKinley, S, Elliott, R & Gholizadeh, L 2018, 'Sleep Quality During and After Cardiothoracic Intensive Care and Psychological Health During Recovery.', Journal of Cardiovascular Nursing, vol. 33, no. 4, pp. E40-E49.View/Download from: UTS OPUS or Publisher's site
Intensive care patients experience poor sleep quality. Psychological distress and diminished health-related quality of life (HRQOL) are also common among former intensive care unit (ICU) patients. Coronary artery bypass graft (CABG) surgery is a frequent reason adults require treatment in ICU. The effect of on- versus off-pump surgery on sleep and recovery has not been reported.The aim of this study was to assess sleep quality of CABG patients during and after ICU, psychological well-being, HRQOL during recovery, and whether on- versus off-pump surgery affects sleep and recovery.Data were collected in the ICU and hospital ward, and 2 and 6 months after hospital discharge using validated self-report questionnaires.The sample (n = 101) had a mean age of 66.6 ± 11.1 years, was 79% male, and had a median ICU stay of 2 (2-4) days and a mean body mass index of 27.3 ± 4.3; 75% underwent on-pump surgery. Poor sleep was reported by 62% of the patients at 6 months and by 12% of the patients at all time points. Off-pump CABG patients had fewer posttraumatic stress symptoms (P = .02) and better physical HRQOL (P = .01). In multivariate analysis, prehospital insomnia (P = .004), and physical (P < .0005) and mental (P < .0005) HRQOL were independently associated with sleep quality at 6 months. There was no association between on- versus off-pump CABG and sleep quality at 6 months.Sleep quality of postoperative CABG patients was poor in the ICU and hospital ward and up to 6 months after discharge from the hospital. Poor sleep quality at 6 months was associated with prehospital insomnia, and physical and mental HRQOL at 6 months, but not with on- versus off-pump surgery.
Kang, K, Gholizadeh, L, Inglis, SC & Han, H-R 2017, 'Correlates of health-related quality of life in patients with myocardial infarction: A literature review.', International Journal of Nursing Studies, vol. 73, pp. 1-16.View/Download from: UTS OPUS or Publisher's site
BACKGROUND: By the increasing emphasis on health-related quality of life (HRQoL) in patients with myocardial infarction (MI), it is necessary to explore factors that affect HRQoL in this population. OBJECTIVES: This study aimed to identify correlates of HRQoL in patients with MI. DESIGN: A literature review of the factors that affect HRQoL in patients with MI (1995-2016). DATA SOURCES: Three main databases-CINAHL, MEDLINE and PsychINFO-were searched to retrieve relevant peer-reviewed articles published in English. REVIEW METHODS: In consultation with a medical librarian, we identified relevant MeSH terms and used them for searching the literature: health-related quality of life/quality of life/HRQoL/QoL, myocardial infarction/heart attack/MI and predict*/factor. Data elements were extracted and narratively described variables synthesised into four categories. RESULTS: A total of 48 studies met the inclusion criteria and were included in the review. Correlates of HRQoL in patients with MI were identified in the following categories: demographic, behavioural, disease-related, and psychosocial factors. Specific correlates included age and gender-identity for demographic factors; physical activity and smoking for behavioural factors; severity of MI, symptoms, and comorbidities for disease-related factors; anxiety and depression for psychosocial factors. CONCLUSIONS: Identifying correlates of HRQoL can help identify patients who are at risk for poor HRQoL in the recovery or rehabilitation stage of post-MI. Future intervention should focus on adjustable correlates such as behavioural and psychosocial factors to promote HRQoL among patients after experiencing MI.
AllahBakhshian, M, Alimohammadi, N, Taleghani, F, Yazdan Nik, A, Abbasi, S & Gholizadeh, L 2017, 'Barriers to ICU Nurses’ Autonomy in Iran: A qualitative study', Nursing Outlook, vol. 65, no. 4, pp. 392-399.View/Download from: UTS OPUS or Publisher's site
The acute nature of the intensive care unit (ICU) environment necessitates that urgent clinical decisions are frequently made by the health care team. Therefore, it is important that critical care nurses have the authority to make decisions about their patient care.
The purpose of this study was to explore perceived barriers to the practice of professional autonomy from the perspectives of ICU nurses in Iran.
In this qualitative study, 28 critical care nurses were interviewed using a semistructured in-depth interview method. The interviews were recorded, transcribed verbatim, and analyzed using content analysis.
Data analysis led to identification of two main themes and five subthemes: (a) the profession-related barriers with two associated subthemes of “lack of capacity to exercise autonomy” and “lack of strong professional bodies”; (b) organizational barriers with the associated subthemes of “role ambiguity,” “a directive rather than supportive workplace,” and “lack of motivation.”
ICU nurses in Iran may face many challenges in gaining professional autonomy. The identified inter- and intraprofessional barriers to the exercise of autonomy need to be addressed to promote critical thinking, job satisfaction, and motivation of ICU nurses, which can in turn lead to improved patient outcomes.
Alotaibi, A, Gholizadeh, L, Al-Ganmi, A & Perry, L 2017, 'Examining perceived and actual diabetes knowledge among nurses working in a tertiary hospital.', Applied Nursing Research, vol. 35, pp. 24-29.View/Download from: UTS OPUS or Publisher's site
BACKGROUND: With the worldwide increase in the incidence and prevalence of diabetes, there has been an increase in the scope and scale of nursing care and education required for patients with diabetes. The high prevalence of diabetes in Saudi Arabia makes this a particular priority for this country. AIM: The aim of this study was to examine nurses' perceived and actual knowledge of diabetes and its care and management in Saudi Arabia. METHODS: A convenience sample of 423 nurses working in Prince Sultan Medical Military City in Saudi Arabia was surveyed in this descriptive, cross-sectional study. Perceived knowledge was assessed using the Diabetes Self-Report Tool, while the Diabetes Basic Knowledge Tool was used to assess the actual knowledge of participants. RESULTS: The nurses generally had a positive view of their diabetes knowledge, with a mean score (SD) of 46.9 (6.1) (of maximum 60) for the Diabetes Self-Report Tool. Their actual knowledge scores ranged from 2 to 35 with a mean (SD) score of 25.4 (6.2) (of maximum of 49). Nurses' perceived and actual knowledge of diabetes varied according to their demographic and practice details. Perceived competency, current provision of diabetes care, education level and attendance at any diabetes education programs predicted perceived knowledge; these factors, with gender predicted, with actual diabetes knowledge scores. CONCLUSION: In this multi-ethnic workforce, findings indicated a significant gap between participants' perceived and actual knowledge. Factors predictive of high levels of knowledge provide pointers to ways to improve diabetes knowledge amongst nurses.
Alotaibi, A, Perry, L, Gholizadeh, L & Al-Ganmi, A 2017, 'Incidence and prevalence rates of diabetes mellitus in Saudi Arabia: An overview.', Journal of Epidemiology and Global Health, vol. 7, no. 4, pp. 211-218.View/Download from: UTS OPUS or Publisher's site
This study aimed to report on the trends in incidence and prevalence rates of diabetes mellitus in Saudi Arabia over the last 25 years (1990-2015).A descriptive review.A systematic search was conducted for English-language, peer reviewed publications of any research design via Medline, EBSCO, PubMed and Scopus from 1990 to 2015. Of 106 articles retrieved, after removal of duplicates and quality appraisal, 8 studies were included in the review and synthesised based on study characteristics, design and findings.Studies originated from Saudi Arabia and applied a variety of research designs and tools to diagnosis diabetes. Of the 8 included studies; three reported type 1 diabetes and five on type 2 diabetes. Overall, findings indicated that the incidence and prevalence rate of diabetes is rising particularly among females, older children/adolescent and in urban areas.Further development are required to assess the health intervention, polices, guidelines, self-management programs in Saudi Arabia.
Gholizadeh, L, Ali Khan, S, Vahedi, F & Davidson, PM 2017, 'Sensitivity and specificity of Urdu version of the PHQ-9 to screen depression in patients with coronary artery disease.', Contemporary Nurse, vol. 53, no. 1, pp. 75-81.View/Download from: UTS OPUS or Publisher's site
BACKGROUND: The Patient Health Questionnaire (PHQ-9) possesses many characteristics of a good screening tool and has the capacity to be used for screening depression in patients with coronary artery disease (CAD). AIM: To examine the psychometric properties and criterion validity of the PHQ-9 to screen and detect depression in patients with CAD in Pakistan. DESIGN: In this validation study, 150 patients with CAD completed the Urdu version of the PHQ-9. The major depressive episode module of the Mini International Neuropsychiatric Interview (MINI) was used as the gold standard. RESULTS: The Urdu version of the PHQ-9 revealed a good internal consistency with Cronbach's alpha of 0.83. Optimal sensitivity (76%) and specificity (76%) were achieved using the cut-off score of PHQ-9 ≥6, with area under the ROC curve of 0.86. CONCLUSION: The Urdu version of the PHQ-9 has acceptable psychometric properties to screen and detect major depression in patients with CAD.
Gholizadeh, L, Shahmansouri, N, Heydari, M & Davidson, PM 2017, 'Screening and diagnosing depression in patients with coronary artery disease: Persian validation of the PHQ-9', Journal of Clinical Psychology in Medical Settings.View/Download from: UTS OPUS
Caruana, N, McKinley, SH, Elliott, R & Gholizadeh, L 2017, 'Sleep during and after cardiothoracic intensive care and psychological health during recovery', Australian Critical Care, vol. 30, no. 2, pp. 109-135.View/Download from: UTS OPUS or Publisher's site
Intensive care patients and former ICU patients experience poor sleep quality. Psychological distress and diminished health-related quality of life are common among former ICU patients. Coronary artery bypass graft (CABG) surgery is the main reason for adults being admitted to ICU in Australia but the effect of on-pump vs off-pump surgery on sleep and recovery has not been reported.
The aim was to assess self-reported sleep quality of CABG patients during and after ICU, psychological wellbeing, HRQOL during recovery and whether on-pump vs off-pump method of surgery affects sleep and recovery.
Patients who underwent CABG surgery completed self-report questionnaires on sleep quality, psychological health and quality of life using validated instruments. Data collection occurred in ICU, on the hospital ward, and two months and six months after hospital discharge.
Patients (n=101) were aged (mean±SD) 66.6±11.1 years, 79% male and had a median ICU stay (IQR) of 2 (2-4) days, BMI 27.3±4.3 and on-pump surgery (75%). Poor sleep was reported by 44 (62%) patients at six months and by 12 patients (12%) at all time points. Patients who had off-pump surgery had lower posttraumatic stress symptoms (p=.02) and better physical HRQOL (p=.01). In multivariate analysis, prehospital insomnia (P=.004), and physical (p<.0005) and mental p<.0005) HRQOL were independently associated with sleep quality at six months. There was no association between on-pump vs off-pump CABG surgical techniques and sleep quality at six months.
Sleep quality of postoperative CABG patients was poor in ICU, in the hospital ward and up to six months. Poor sleep quality at six months was associated with prehospital insomnia, and physical and mental HRQOL at six months, but not with on-pump vs off-pump surgical techniques.
Ferguson, C, DiGiacomo, M, Gholizadeh, L, Ferguson, LE & Hickman, LD 2017, 'The integration and evaluation of a social-media facilitated journal club to enhance the student learning experience of evidence based practice', Nurse Education Today, vol. 48, pp. 123-128.View/Download from: UTS OPUS or Publisher's site
Shishehgar, S, Gholizadeh, L, DiGiacomo, M, Green, A & Davidson, PM 2017, 'Health and socio-cultural experiences of refugee women: An integrative review', The Journal of Immigrant and Minority Health, vol. 19, no. 4, pp. 959-973.View/Download from: UTS OPUS or Publisher's site
Gholizadeh, L, Davidson, PM, Heydari, M, Salamonson, Y & Hare, D 2016, 'A Review of Validation Studies on the Cardiac Depression Scale.'.
Gholizadeh, L, Kang, K, Inglis, SC & Han, H-R 2016, 'Interventions that improve health-related quality of life in patients with myocardial infarction', Quality of Life Research, vol. 25, no. 11, pp. 2725-2737.View/Download from: UTS OPUS or Publisher's site
Patients with myocardial infarction (MI) often report lower health-related quality of life (HRQoL) than those without MI. Interventions can affect HRQoL of these patients. The purpose of this review was to identify effective strategies for improving HRQoL among individuals with MI.
Three electronic databases were searched and limited to articles peer-reviewed and published in English between 1995 and 2015. We screened titles and abstracts of the retrieved articles for studies that examined effectiveness of interventions to improve HRQoL in patients with MI.
Twenty-three studies were found that examined the effects of behavioural interventions—cardiac rehabilitation programmes (CRP), education and counselling programmes, and other psychological and cognitive interventions—to improve HRQoL in patients with MI. The studies included were mainly randomised controlled trials (14 studies) with a wide age range of participants (18–80 years) and a mean age group of 50–70 years. CRPs, including home- and hospital-based CRPs, regular weekly aerobic training programmes, and group counselling mostly resulted in improvement of HRQoL in patients with MI.
Most CRPs and other interventions were beneficial to MI patients. Therefore, patients with MI should be encouraged to participate in programmes that can help promote their HRQoL.
Al-Ganmi, AH, Perry, L, Gholizadeh, L & Alotaibi, AM 2016, 'Cardiovascular Medication Adherence among Patients with Cardiac Disease: A Systematic Review.', Journal of Advanced Nursing, vol. 72, no. 12, pp. 3001-3014.View/Download from: UTS OPUS or Publisher's site
To critically appraise and synthesise the best available evidence on the effectiveness of interventions suitable for delivery by nurses, designed to enhance cardiac patients' adherence to their prescribed medications.Cardiac medications have significant health benefits for patients with heart disease, but patients' adherence to prescribed medications remains suboptimal.A systematic quantitative review of intervention effects.We conducted systematic searches for English-language, peer-reviewed randomised controlled trial publications via Medline, EMBASE, CINAHL, the Cochrane Library, ProQuest, Web of Science and Google Scholar published between January 2004 - December 2014.According to pre-determined inclusion and exclusion criteria, eligible studies were identified and data extracted using a predefined form. Of 1,962 identified papers; 14 studies met the study inclusion criteria, were assessed for risk of bias using the Cochrane Collaboration tool; and included in the review.Study findings were presented descriptively; due to the heterogeneity of studies meta-analysis was not possible. Included papers described interventions categorised as: 1) multifaceted; and 2) behavioural and educational, comprising: 2a) text message and mail message; 2b) telephone calls; 2c) motivational interviewing; and 2d) nurse-led counselling and education.Substantial heterogeneity limited the robustness of conclusions, but this review indicated that motivational interviewing, education and phone or text messaging appeared promising as means to enhance cardiac medication adherence. Future research should integrate multifaceted interventions that target individual behaviour change to enhance adherence to cardiovascular medications, to build on the beneficial outcomes indicated by this review. This article is protected by copyright. All rights reserved.
Alotaibi, A, Al-Ganmi, A, Gholizadeh, L & Perry, L 2016, 'Diabetes Knowledge of Nurses in Different Countries: An Integrative Review', Nurse Education Today, vol. 39, pp. 32-49.View/Download from: UTS OPUS or Publisher's site
Gholizadeh, L, Dehghan, N, Mohammadi E & Yazdi K 2016, 'Nutritional Care of Elderly Patients in Acute Care Settings: A Qualitative Study', Journal of Applied Gerontology, vol. 16, no. 3, pp. 374-379.View/Download from: UTS OPUS or Publisher's site
Valizadeh, S, Borimnejad, L, Rahmani, A, Gholizadeh, L & Shahbazi, S 2016, 'Challenges of the preceptors working with new nurses: A phenomenological research study.', Nurse Education Today, vol. 44, pp. 92-97.View/Download from: UTS OPUS or Publisher's site
Preceptors play an important role in the transition of new nurses to the practice setting, however, preceptorship experience has been perceived as stressful by preceptors. This study aimed to explore the lived experiences of nurse preceptors working with new nurses.This qualitative study used the hermeneutic phenomenological design to explore the experiences of six nurse preceptors working with new nurses in a tertiary pediatric teaching hospital in Northwest of Iran, who were recruited by purposive sampling. Data were collected using in-depth semi-structured individual interviews between July 2014 and March 2015, and analyzed using the Diekelmann's seven-stage method.Data analysis revealed three themes: 1) preceptorship as a challenging and stressful role; 2) lack of support; and 3) lack of appreciation. Preceptorship as 'a challenging and stressful role' was the constitutive pattern that unified the themes.The preceptorship of new nurses is challenging and stressful. Preceptors endure several roles concurrently, thus, their workload should be balanced appropriately in order not to compromise with one another and evade burnout. The preceptors need to be well supported and their contribution be appropriately recognized. Setting clear objectives and realistic expectations, and having clear policies and guidelines in place should help develop a preceptorship program that is more likely to bring about positive outcomes for both preceptors and new nurses.
Yaghmour, S, Gholizadeh, L & Alsenany, S 2016, 'Understanding the Gap in Saudi Nurses’ Knowledge of Dementia, Depression and Delirium (the 3Ds), and Investigating Their Relevant Experience: An Exploratory Study', Open Journal of Nursing, vol. 06, no. 03, pp. 148-157.View/Download from: UTS OPUS or Publisher's site
Yaghmour, SM & Gholizadeh, L 2016, 'Review of Nurses’ Knowledge of Delirium, Dementia and Depressions (3Ds): Systematic Literature Review', Open Journal of Nursing, vol. 06, no. 03, pp. 193-203.View/Download from: UTS OPUS or Publisher's site
Al-Ganmi, A, Perry, L, Gholizadeh, L & Alotaibi, A 2015, 'Interventions to Enhance Cardiovascular Medication Adherence among Patients with Cardiac Disease: A Systematic Review', Journal of Advanced Nursing.View/Download from: UTS OPUS
Davoodi, A, Gholizadeh, L, Rezazadeh, H, Sheikalipour, Z, Lakdizaji, S, Mirinajad, K & Rahmani, A 2015, 'Effects of a self-care education program on quality of life of patients with gastric cancer after gastrectomy', The Journal of community and supportive oncology, vol. 13, no. 9, pp. 330-336.View/Download from: UTS OPUS or Publisher's site
Gastrectomy affects different aspects of functionality and impacts on the quality of life (QoL) of patients with gastric cancer. The importance of appropriate assessment of QoL in cancer patients is well established, yet strategies that help improve this important patient outcome are relatively scarce.
To examine the effectiveness of a brief self-care education program to improve QoL of gastric cancer patients after gastrectomy.
Using a randomized controlled trial, 59 patients with gastric cancer and candidate for gastrectomy were randomly assigned either to an intervention group (n = 31) to participate in a brief self-care education program or to a usual-care group (n = 28). Data were collected on patient demographics, and QoL was measured by the QLQ-C30 and the QLQ-STO22 at baseline and 1 month after gastrectomy.
There were no statistically significant between-group differences in any subscales of the QLQ-C30 and the QLQ-STO22. However, participants in the brief self-care education program showed significant improvements from baseline in the global health status-QoL scale (t = 2.243, < .05), experience of pain (t = 2.508, < .05), constipation (t = 2.773, < .05), and the experience of dysphagia at the follow-up assessment.
This study is likely to be underpowered to show differences between the groups.
A brief self-care education program was not sufficient to significantly improve the quality of life patients with gastric cancer after gastrectomy.
Nayeri, ND, Gholizadeh, L, Mohammadi, E & Yazdi, K 2015, 'Family Involvement in the Care of Hospitalized Elderly Patients', JOURNAL OF APPLIED GERONTOLOGY, vol. 34, no. 6, pp. 779-796.View/Download from: UTS OPUS or Publisher's site
Shishehgar, S, Gholizadeh, L, DiGiacomo, M & Davidson, PM 2015, 'The impact of migration on the health status of Iranians: An integrative literature review', BMC International Health and Human Rights, vol. 15, no. 20.View/Download from: UTS OPUS or Publisher's site
Gholizadeh, L, Davidson, PM, Heydari, M & Salamonson, Y 2014, 'Heart disease and depression: is culture a factor?', Journal of Transcultural Nursing, vol. 25, no. 3, pp. 290-295.View/Download from: UTS OPUS or Publisher's site
Abstract Purpose: This article seeks to review and discuss the evidence linking depression, coronary heart disease (CHD), and culture. Method: PsychInfo, CINAHL, PubMed, and Google were searched for pertinent evidence linking depression, culture, and CHD, and retrieved articles were analyzed using thematic content analysis. Findings: Identified themes were the followings: depression is a factor in development and prognosis of CHD and affects the capacity to self-manage and adhere to treatment recommendations; culture mediates mental health/illness representations and treatment-seeking behaviors; screening and assessment of depression can be affected by cultural factors; and there is a need for culturally appropriate screening and therapeutic strategies. Discussion and Conclusions: As depression is a predictor and moderating variable in the genesis and progression of CHD, understanding how factors such as culture affect screening and management of the disease is important to inform the development of culturally and linguistically competent strategies that ensure accurate screening, detection, and treatment of depression in cardiac patients in clinical practice.
Hasankhani, H, Gholizadeh, L, Mohammadi, E, Zamanzadeh, V, Allahbakhshian, A, Ghaffari, S & Allahbakhshian, M 2014, 'The lived experiences of patients post coronary angioplasty: a qualitative study', Journal of vascular nursing, vol. 32, no. 4, pp. 144-149.View/Download from: UTS OPUS or Publisher's site
Few qualitative studies have focused on the experiences of patients post angioplasty. A deep understanding of patient experiences of care and the way a treatment can affect their everyday life is particularly important in chronic disease management. The aim of this study is to explore experiences that patients undergo after angioplasty. Using a phenomenological study design, 15 patients participated in an individual face-to-face semi-structured interview. Data were analysed using qualitative content analysis. The following core themes emerged from the analysis, which reflect the experiences of patients post angioplasty: a) angioplasty: a milestone in the patients life; b) living with a mended heart; and c) psychological distress as an integral part of the patients life. Participants after angioplasty went through both positive and negative changes in their life. Understanding of these experiences are essential to modify the high risk behaviours while also support the patients through their rehabilitation.
Parchebafieh, S, Gholizadeh, L, Lakdizaji, S, Ghiasvandiyan, S & Davoodi, A 2014, 'Effectiveness of the Clinical Teaching Associate Model to Improve Clinical Learning Outcomes: A Randomized Controlled Trial', Nurse Educator, vol. 39, no. 4, pp. 202-205.View/Download from: UTS OPUS or Publisher's site
This study examined the effectiveness of the clinical teaching associate (CTA) model to improve clinical learning outcomes in nursing students. Students were randomly allocated to either the CTA (n = 28) or traditional training group (n = 32), and their clinical knowledge, skills, and satisfaction with the learning experience were assessed and compared. The results showed that the CTA model was equally effective in improving clinical knowledge, skills, and satisfaction of nursing students.
Ebrahimi, H, Barzanjeh Atri, S, Ghavipanjeh, S, Farnam, A & Gholizadeh, L 2013, 'The effect of training problem-solving skills on coping skills of depressed nursing and midwifery students.', Journal of caring sciences, vol. 2, no. 1, pp. 1-9.View/Download from: Publisher's site
INTRODUCTION: Nurses have a considerable role in caring and health promotion. Depressed nurses are deficient in their coping skills that are important in mental health. This study evaluated the effectiveness of training problem-solving skills on coping skills of depressed nursing and midwifery students. METHODS: The Beck Depression Scale and coping skills questionnaire were administered in Tabriz and Urmia nursing and midwifery schools. 92 students, who had achieved a score above 10 on the Beck Depression Scale, were selected. 46 students as study group and 46 students as control group were selected randomly. The intervention group received six sessions of problem-solving training within three weeks. Finally, after the end of sessions, coping skills and depression scales were administered and analyzed for both groups. RESULTS: Comparing the mean coping skills showed that before the intervention there were no significant differences between the control and study groups. However, after the intervention, a significant difference was observed between the control group and the study group. By comparing the mean coping skills before and after the intervention, a significant difference was observed in the study group. CONCLUSION: Training problem-solving skills increased the coping skills of depressed students. According to the role of coping skills in people's mental health, increasing coping skills can promote mental health, provide the basis for caring skills, and improve the quality of nurses' caring skills.
Gholizadeh, L, Salamonson, Y, Heydari, M & Davidson, PM 2013, 'Cardiac patients' causal attributions for coronary heart disease', International Journal of Research in Nursing, vol. 4, no. 1, pp. 22-28.View/Download from: UTS OPUS or Publisher's site
Accurate casual attributions for CHD have been associated with more congruent risk reduction behaviours and improved health outcomes. This article aimed to assess causal attributions for Coronary Heart Disease (CHD) of Middle Eastern women diagnosed with heart disease using different risk targets and compare these attributions with participants actual.
Gholizadeh, F, Gholizadeh, L & Modirkhamene, S 2012, 'The development of metalinguistic awareness of Azeri-Persian bilinguals in the process of third language acquisition', The Linguistics Journal, vol. 6, no. 1, pp. 218-234.View/Download from: UTS OPUS
There are differences in the development of metalinguistic awareness (MA) between monolinguals and bilinguals. The process of third language acquisition may further foster MA development which is considered as an important factor to increase the ability of mulitilinguals to learn a new language.
Rahmani, A, Mohammadian, R, Ferguson, C, Gholizadeh, L, Zirak, M & Chavoshi, H 2012, 'Posttraumatic Growth in Iranian Cancer Patients', Indian Journal of Cancer, vol. 49, no. 3, pp. 287-292.View/Download from: UTS OPUS or Publisher's site
To investigate the level and determinants of posttraumatic growth in Iranian cancer patients.
Mashayekhi, F & Gholizadeh, L 2011, 'Administration of Hepatocyte Growth Factor Increases Reelin and Disabled 1 Expression in the Mouse Cerebral Cortex: An In Vivo Study', Cellular and Molecular Neurobiology, pp. 1-4.View/Download from: Publisher's site
Hepatocyte growth factor (HGF) and its receptor, c-Met, are widely expressed in the developing brain. HGF also known as scatter factor enhances cell proliferation and cell growth, and stimulates cell migration and motility. Neurons and glia produced in the neuroepithelium migrate along radial glial fibers into the cortical plate. Reelin, a glycoprotein which is produced by Cajal-Retzius cells in the marginal zone directs neuronal migration indirectly via the radial glial cells. It has been demonstrated that Disabled 1 functions downstream of reelin in a tyrosin kinase signal transduction pathway that controls appropriate cell positioning in the developing brain. In this study, administration of HGF on reelin and Disabled 1 expression in the cerebral cortex has been studied. Using Western blot, it was shown that the expression of reelin and Disabled 1 is increased in response to infusion of HGF when compared to control group. It is concluded that HGF is essential for reelin and Disabled 1 expression in the cerebral cortex of the newborn mouse. Moreover, this method may be applied to the other factors, allowing identification of molecules involved in neural cell migration. © 2011 Springer Science+Business Media, LLC.
Rahmani, A, Sattarzadeh, N, Gholizadeh, L, Sheikhalipour, Z, Allahbakhshian, A & Hassankhani, H 2011, 'Gestational surrogacy: Viewpoint of Iranian infertile women', Journal of Human Reproductive Sciences, vol. 4, no. 3, pp. 138-142.View/Download from: UTS OPUS or Publisher's site
Background: Surrogacy is a popular form of assisted reproductive technology of which only gestational form is approved by most of the religious scholars in Iran. Little evidence exists about the Iranian infertile women's viewpoint regarding gestational surrogacy. Aim: To assess the viewpoint of Iranian infertile women toward gestational surrogacy. Setting and Design: This descriptive study was conducted at the infertility clinic of Tabriz University of Medical Sciences, Iran. Materials and Methods: The study sample consisted of 238 infertile women who were selected using the eligible sampling method. Data were collected by using a researcher developed questionnaire that included 25 items based on a five-point Likert scale. 0 Statistical Analysis: Data analysis was conducted by SPSS statistical software using descriptive statistics. 0 Results: Viewpoint of 214 women (89.9%) was positive. 36 (15.1%) women considered gestational surrogacy against their religious beliefs; 170 women (71.4%) did not assume the commissioning couple as owners of the baby; 160 women (67.2%) said that children who were born through surrogacy would better not know about it; and 174 women (73.1%) believed that children born through surrogacy will face mental problems. Conclusion: Iranian infertile women have positive viewpoint regarding the surrogacy. However, to increase the acceptability of surrogacy among infertile women, further efforts are needed.
Chang, S, Gholizadeh, L, Salamonson, Y, DiGiacomo, M, Betihavas, V & Davidson, PM 2011, 'Health span or life span: the role of patient reported outcomes in informing health policy', Health Policy, vol. 100, no. 1, pp. 96-104.View/Download from: UTS OPUS or Publisher's site
OBJECTIVES: Population ageing and the increasing burden of chronic conditions challenge traditional metrics of assessing the efficacy of health care interventions and as a consequence policy and planning. Using chronic heart failure (CHF) as an exemplar this manuscript seeks to describe the importance of patient-reported outcomes to inform policy decisions. METHODS: The method of an integrative review has been used to identify patient-reported outcomes (PROs) in assessing CHF outcomes. Using the Innovative Care for Chronic Conditions the case for developing a metric to incorporate PROs in policy planning, implementation and evaluation is made. RESULTS: In spite of the increasing use of PROs in assessing CHF outcomes, their incorporation in the policy domain is limited. CONCLUSIONS: Effective policy and planning is of health care services is dependent on the impact on the individual and their families. Epidemiological transitions and evolving treatment paradigms challenge traditional metrics of morbidity and mortality underscoring the importance of assessing PROs.
Gholizadeh, L, DiGiacomo, M, Salamonson, Y & Davidson, PM 2011, 'Stressors influencing Middle Eastern womens perceptions of the risk of cardiovascular disease: a focus group study', Health Care for Women International, vol. 32, no. 8, pp. 723-745.View/Download from: UTS OPUS or Publisher's site
To better understand Australia-dwelling Middle Eastern womens lack of service utilization in cardiovascular health, we undertook a study to investigate their understandings and meanings of cardiovascular disease (CVD) and its risk factors. Eight focus groups were conducted in community settings with Turkish, Persian, and Arab women. We found that the women understated their risk of CVD, faced many barriers in reducing their risks, and perceived stress as the most significant contributor to CVD. Women described their stress as primarily emanating from issues surrounding migration and acculturation. Implications for development and delivery of tailored health interventions for Middle Eastern women are discussed.
Gholizadeh, L, Salamonson, Y, Davidson, PM, Parvan, K, Frost, S, Chang, S & Hare, D 2010, 'Cross-cultural validation of the Cardiac Depression Scale in Iran', British Journal of Clinical Psychology, vol. 49, no. 4, pp. 517-528.View/Download from: UTS OPUS or Publisher's site
Background: The Cardiac Depression Scale (CDS) is a disease-specific instrument for measuring depression in cardiac patients. This study was designed to validate the CDS in an Iranian population. Methods: Translation and back translation of the 26- Item CDS scale was performed using recommended procedures. The Iranian translation of the CDS (I-CDS) was administered to 261 individuals in Iran, concurrently with the Beck Depression Inventory. The factor structure of the I-CDS was examined using exploratory factor analysis procedures to enable comparison with previous psychometric evaluation of the CDS. Receiver operating characteristic (ROC) curves were used to examine the ability of the I-CDS to discriminate between categories of depression. Results: First-order exploratory factor analysis uncovered two robust factors, consistent with the second-order dimensions originally reported by the developers of this instrument. Cronbachâs alpha was 0.88 for the total 26-item I-CDS, indicating satisfactory internal consistency of the I-CDS. Intercorrelation between the total scores for the I-CDS and BDI was 0 .62 (P< .001). For the I-CDS cut off of 90, the sensitivity was 85%, and specificity was 61% with a computed area under the curve (AUC) of .81 (95% CI, .76- .87). For the I-CDS cut off of 100, the sensitivity was 81% and specificity was 63% with a computed AUC of .81 (95% CI, .76- .87). Conclusion: This validation study of the Iranian version of the CDS proved that it is an acceptable, a reliable and valid measure of depression in cardiac patients.
Gholizadeh, L & Davidson, PM 2010, 'Coronary heart disease issues for Middle Eastern women', Diversit-e, vol. 3, pp. 11-12.
Gholizadeh, L, Davidson, PM, Salamonson, Y & Worrall-Carter, L 2010, 'Theoretical considerations in reducing risk for cardiovascular disease: implications for nursing practice', Journal Of Clinical Nursing, vol. 19, no. 15-16, pp. 2137-2145.View/Download from: UTS OPUS or Publisher's site
Aims and objectives. This article describes the theoretical foundation of risk perception as a key component of changing deleterious health behaviours associated with cardiovascular disease (CVD). Furthermore, perception in increasing cardio- vascular risk-reducing behaviours in a socio-cultural framework is discussed, and an empirical development conceptual model presented. Background. Perception of risk is strongly linked with health-seeking behaviours. Understanding how to reduce risk and maximise cardiovascular health is an increasing focus of clinicians, researchers and policy makers. Increasing cultural diversity in contemporary society means that nurses need to develop and evaluate interventions in this context. Design. An integrative literature review. Method. An integrative literature review method was used to assess conceptual models relating to risk perception of developing CVD. On the basis of the findings, a model was developed to inform future intervention studies, considering individual, social and cultural factors. Discussion. Studies examining CVD and health behaviours report that there is limited concordance between actual and per- ceived risk in people with CVD. This mismatch risk likely impedes the adoption of risk-reducing behaviours. Conclusion. There is a critical need to develop interventions for enhancing an accurate perception of CVD risk considering not only individual but social factors. Relevance to clinical practice. There is limited correlation between knowledge and behaviours, and health behaviours are influenced by individual, social and cultural factors. Appraising the congruence between actual and perceived risk is an important step in developing effective care plans to reduce cardiovascular risk.
Khaki, A, Khaki, A, Heydari, M & Gholizadeh, L 2010, 'A description of gender differences in angiographic findings in a single-center Iranian hospital', Journal of vascular nursing, vol. 28, no. 1, pp. 11-13.View/Download from: UTS OPUS or Publisher's site
Title: An Angiographic Assessment of Coronary Artery Blockages in an Iranian Population Background: Coronary angiography is one of the most common hospital procedures, though there is limited information on the location and extent of coronary artery blockages other than for predominately White patients. Objectives: This study examined the location and magnitude of coronary artery blockages in patients admitted to a hospital with symptoms of coronary artery disease (CAD). Setting: A leading tertiary heart hospital, Iran Design & Methods: This is a retrospective, descriptive study aimed to review angiography records of all patients with symptoms of CAD undergone diagnostic coronary angiography between February 2002 and September 2004. A total of 94 consecutive angiographic records were analyzed to determine the culprit coronary arteries and the severity of CAD. Results: Double- vessel disease was the commonest type of CAD. The left anterior descending (LAD) artery was the most common culprit artery (84%), followed by RCA (64%), CX (37%), OM (13%) and LMS (3%). Conclusion: Our study showed a relatively high angiographic prevalence of LAD blockages. The results of this study provide additional support for the significance of ethnicity in the extent of coronary artery blockages.
Khaki, A, Khaki, A, Heydari, M & Gholizadeh, L 2010, 'An angiographic assessment of coronary artery blockages in an Iranian population', Journal of Vascular Nursing, vol. 28, no. 1, pp. 11-13.
Nikibakhsh, AA, Mahmoodzadeh, H, Karamyyar, M, Hejazi, S, Noroozi, M, Macooie, A, Gholizadeh, A & Gholizadeh, L 2010, 'Treatment of complicated henoch-schanlein purpura with mycophenolate mofetil: a retrospective case series report.', International journal of rheumatology, no. 1, pp. 1-5.View/Download from: UTS OPUS or Publisher's site
Henoch-Schönlein purpura (HSP) is the most common childhood vasculitis with an incidence of approximately 10 per 100 000 children. There is some evidence to support steroid therapy in the treatment of severe abdominal pain, severe nephritis, and central nervous system involvement. However, the routine use of corticosteroids is controversial. Frequent relapses, lack of response to steroid, steroid dependency, and steroid side effects may occur in some patients. Mycophenolate mofetil (MMF) gains increasing popularity in the treatment of autoimmune disorders, but hitherto, the available evidence to support the use of MMF in HSP is limited to some case study reports. Case Presentation. We report six children with HSP who failed to respond to systemic steroid therapy, whereas MMF successfully treated the manifestations of the disease. Conclusion. The manifestations of HSP disappeared mainly during the first week of treatment with MMF and all the patients were in a complete remission at the end and after discontinuation of the therapy. In our experience, MMF appeared to be safe and effective for the maintenance of remission in the HSP patients.
Davidson, PM, Gholizadeh, L, Haghshenas, A, Rotem, A, DiGiacomo, M, Eisenbruch, M & Salamonson, Y 2010, 'A review of the cultural competence view of cardiac rehabilitation', Journal of Clinical Nursing, vol. 19, no. 9-10, pp. 1335-1342.View/Download from: UTS OPUS or Publisher's site
Aims and objectives. This paper describes cultural competence issues within the scientific and scholarly discourse surrounding cardiac rehabilitation (CR). Background. CR is an important secondary prevention strategy, improving health-related outcomes and reducing the risks of subsequent cardiovascular events. Internationally, it is widely accepted as a discrete health service model and is endorsed by government and professional bodies. Over past decades, low participation rates in CR remain a concern, particularly among minority groups and culturally and linguistically diverse populations. Design. Systematic review. Methods. Search of electronic databases. Conclusions. Few studies to date have described cultural competence in CR service design and as a consequence, there are minimal data to assist CR professionals and policy makers in tailoring health service delivery models. The limited scholarly debate and discussion regarding cultural competence in the CR literature limits the development and evaluation of culturally appropriate interventions. Relevance to clinical practice. There needs to be greater attention to the concept of cultural competence, both in practice and research settings, to ensure access to CR for people from culturally and linguistically diverse backgrounds.
Gholizadeh, L, Salamonson, Y, Worrall-Carter, L, DiGiacomo, M & Davidson, PM 2009, 'Awareness and Causal Attributions of Risk Factors for Heart Disease among Immigrant Women Living in Australia', Journal of Women's Health, vol. 18, no. 9, pp. 1385-1393.View/Download from: UTS OPUS or Publisher's site
Abstract Objective: Coronary heart disease (CHD) is a major cause of morbidity and mortality globally, and risk factors for CHD are associated with social and cultural attribution as well as individual psychological factors. The aims of this study were to explore the causal attributions of risk factors for CHD and to describe the relationship between their physiological status and causal attributions among immigrant Arabic, Turkish, and Iranian women living in Australia. Methods: Fifty-five women of Turkish, Iranian, and Persian backgrounds were recruited from community groups in metropolitan Sydney using snowball sampling and the assistance of bilingual health care workers. Body weight and blood pressure were assessed, and a questionnaire, including investigator-developed instruments and the Depression, Anxiety and Stress Scale, was administered. Health interpreters assisted with study procedures and translation of study instruments. Results: There was a low level of awareness of the risk of heart disease among women, although participants had knowledge of risk factors for heart disease broadly. The most highly attributed risk factors for CHD among participants were obesity, physical inactivity, and psychological distress. Women who rated highly on psychological distress scores were more likely to attribute negative emotions as causative factors for heart disease. Conclusions: Strategies to promote the awareness of the association between heart disease and women are required among migrant women. Further investigation is required to overcome the barriers to engaging in effective risk minimizing behaviors for heart disease.
Gholizadeh, L & Davidson, PM 2008, 'More Similarities Than Differences: An International Comparison of CVD Mortality and Risk Factors in Women', Health Care for Women International, vol. 29, no. 1, pp. 3-22.View/Download from: UTS OPUS or Publisher's site
In this article we describe global cardiovascular risk factor trends in women, both physiological and behavioral, in order to improve the understanding of cardiovascular health of women. Our aim in presenting this information is to inform interventions and policies to improve the cardiovascular health of women. Although differences are apparent between developing and developed countries, a range of commonalities exist that allow a global approach to improving womenâs health. A multifaceted approach considering physiological, social, economic, and political determinants is critical to improve the cardiovascular health outcomes of women.
Davidson, PM, Salamonson, Y, Webster, J, Andrew, S, DiGiacomo, M, Gholizadeh, L, Newton, PJ & Moser, D 2008, 'Changes in depression in the immediate post-discharge phase in a cardiac rehabilitation population assessed by the Cardiac Depression Scale.', Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 28, no. 5, pp. 312-315.View/Download from: UTS OPUS
Introduction: Depression is increasingly a focus of attention in the management of heart disease. Clinicians in cardiac rehabilitation (CR) are well placed to assess and facilitate management of symptoms of depression, yet the timing and interpretation of measurements remain unclear. Metods: We administered the Hare-Davis Cardiac Depression Scale (CDS) in a usual care, outpatient CR program in a metropolitan setting. As part of routine assessment and monitoring of outcomes in a 6-week outpatient CR program, we administered the CDS at entry, at completion of the 6-week program, and at 12 months. Results: Data were available on 151 patients for the 3 measurement points. At baseline, the mean CDS score was 76.07 (22.38), which dropped at 6 weeks to 64.85 (21.69) but increased slightly at 12 months to 69.79 (24.36). The changes in these scores were statistically significant for all measurement points (P <.03). The trend of change for the CDS was reflected in the subscale scores, which dropped at 6 weeks but increased slightly at 12 months. Discussion: Findings demonstrate a positive impact of CR on CDS scores at 6 weeks and 12 months, although there was a trend for increased scores at 1 year. This observation requires further investigation and underscores the importance of longitudinal studies.
Davidson, PM, Macdonald, P, Moser, D, Ang, E, Paull, G, Choucair, S, Daly, J, Gholizadeh, L & Dracup, K 2007, 'Cultural diversity in heart failure management: Findings from the Discover Study (Part 2)', Contemporary Nurse, vol. 25, no. 1-2, pp. 50-62.View/Download from: UTS OPUS
Self-management is a critical dimension in managing chronic conditions, particularly in heart failure (HF). Knowledge, attitudes and beliefs, relating to both illness and wellness, are strongly influenced by culture and ethnicity, impacting upon an individual's capacity to engage in self-care behaviours. Effective management of HF is largely dependent on facilitation of culturally informed, self-care behaviours to increase adherence to both pharmacological and non- pharmacological strategies. The understanding the cultural experiences of individuals with chronic heart failure (CHF) in South East Health (DISCOVER) study is an exploratory, observational study investigating health patterns, information needs and the adjustment process for overseas-born people with HF living in Australia. An integrative literature review was augmented by qualitative data derived from key informant interviews, focus groups and individual interviews. A key finding of this study is that culture provides an important context to aid interpretations of attitudes, values, beliefs and behaviours, not only in illness but in health. While individual differences in attitudes and beliefs were observed among participants, common themes and issues were identified across cultural groups. Data from the DISCOVER study revealed the primacy of family and kinship ties. These relationships were important in making decisions about treatment choices and care plans.
Halcomb, E, Gholizadeh, L, DiGiacomo, M, Phillips, JL & Davidson, PM 2007, 'Literature review: considerations in undertaking focus group research with culturally and linguistically diverse groups', Journal Of Clinical Nursing, vol. 16, no. 6, pp. 1000-1011.View/Download from: UTS OPUS or Publisher's site
Aims. This integrated literature review seeks to identify the key considerations in conducting focus groups and discusses the specific considerations for focus group research with culturally and linguistically diverse groups. Background. The focus group method is a technique of group interview that generates data through the opinions expressed by participants. Focus groups have become an increasingly popular method of data collection in health care research. Although focus groups have been used extensively with Western populations, they are a particularly useful tool for engaging culturally and linguistically diverse populations. The success of focus groups in this context is dependent upon the cultural competence of the research team and the research questions.
Gholizadeh, L, Davidson, PM & Halcome, EJ 2016, 'Focus groups in health research' in Liamputtong, P (ed), Research methods in health: Foundations for evidence-based practice, Oxford University Press, Australia & New Zealand, pp. 84-104.View/Download from: UTS OPUS
Research Methods in Health 3rd edition is an introductory text that shows students different research techniques and how they are of value to the health professions. The text assumes no prior knowledge and is written in an appealing, accessible style using examples to demonstrate the relevance and practical application of research to health care practice. Written to be inclusive of all health professions, fostering a team-based approach to health care practice. Covers qualitative, quantitative and mixed method research methods. Shows how to decide which research method to use and when. Draws sensible links between evidence-based practice and research methodology. Introduces ways in which you can make sense of the research data you have collected and instructions on how to write up the data in a more meaningful way.New to this EditionNew chapter 2: Getting started: Research Design and Evidence-Based Practice - on designing and planning a research project. It looks at salient issues that researchers must consider in designing and planning for their research. It illustrates the differences between qualitative and quantitative research and includes content on literature review and research proposals. More material on how to critically evaluate qualitative, quantitative and mixed method researchUpdated references and examplesMore on evidence-based practice and systematic review More nursing examples includedA guided tour is included to assist navigation and explain how to best take advantage of the learning features used throughout.Learning features Chapter Objectives - identify the material that students will cover in each chapterKey terms - help student identify key vocabulary to help them with their learningStop and Think - questions for students that encourage them to critically reflect on what they've read in the chapter.Research in Practice - These are research examples or practical cases that demonstrate how research can be applied in clinical practice.Key term...
Davidson, PM, Halcomb, E & Gholizadeh, L 2013, 'Focus Groups in Health Research' in Pranee Liamputtong (ed), Research methods in health: Foundations for evidence-based practice, Oxford University Press, Australia & New Zealand, pp. 54-71.View/Download from: UTS OPUS
Obtaining the views and perspectives of individuals, communities and key stakeholders is crucial not only in assessing needs and documenting health issues, but also in developing and evaluating interventions.
Ferguson, C, DiGiacomo, M, Gholizadeh, L, Ferguson, L & Hickman, L 2016, 'The integration and evaluation of a social-media facilitated journal club to enhance the student learning experience of evidence-based practice: a case study', UTS Teaching and Learning Forum, Sydney.
Shisheghar, S, Gholizadeh, L, Davidson, PM & DiGiacomo, M 2016, 'Coping strategies applied by Iranian asylum seeker women living in Sydney, Australia', 21st International Council on Women’s Health Issues (ICOWHI) Congress, International Council on Women’s Health Issues (ICOWHI) Congress, Baltimore, Maryland, USA.
DiGiacomo, M, Shishehgar, S, Gholizadeh, L & Davidson, PM 2015, 'A review of health and socio-cultural experiences of displaced women', International Conference on Fostering Human Resilience, Las Vegas, Nevada, USA.View/Download from: UTS OPUS