No description available.

Den psykiska ohälsan ökar mest i storstadsområdena, men ökar i alla regioner och i samtliga sociala grupper. Andelen stressrelaterade sjukskrivningar ökar, främst bland unga människor och kvinnor. Utmattningssyndrom tycks mest förekomma i s k välfärdsyrken; service, vård, skola och myndighetsutövande. Vid sekelskiftet 1900 uppvisades likartade symtom med fysisk och mental trötthet. Syftet var att beskriva hur personer med utmattningssyndrom upplever sin livssituation och effekterna av akupressurbehandling. Studien är kvalitativ, inspirerad av fenomenologi. Datainsamling har skett genom halvstrukturerade intervjuer med åtta kvinnor. Variation eftersträvades i urvalet. Genom analysen utkristalliserades sex huvudkategorier: symtombild – när orken tryter, emotioner vid utmattningsyndrom, det sociala samspelet, arbete – på gott och ont, vård och socialt skyddsnät samt akupressur och vägen tillbaka till livet. Resultatet visar att livssituationen kraftigt påverkas av sjukdomen. Sjukskrivningslängd liksom bemötande från arbetsgivare, sjukvård och försäkringskassa varierar. Såväl yrkesliv, familjeliv som socialt liv störs. Känslor av skam, skuld och värdelöshet är vanliga. Stöd från familjer, vänner och myndigheter påverkar rehabiliteringen i positiv riktning. Informanterna anser att akupressurbehandlingarna varit det som mest bidragit till att de återfått hälsan. Ytterligare studier av akupressurens effekter vid utmattningssyndrom behöver göras. / Mental disorders are increasing in all areas and in all social groups. Stress disorders are increasing, mostly among young people and women. Stress causes physical and mental illness. Employees in the service sector, the education field and in authorities are vulnerable groups. In 1900 there was also a physical and mental exhaustion. The aim of the study is to describe how burnout persons experience their life and the effects of acupressure treatment. It is a qualitative study, inspired by phenomenology. Data acquisition has been made through semi structured interviews with eight women. The analysis gave six main categories; symptoms – total fatigue, burnout emotions, social context, work – for good or for worse, care and social protection, acupressure and the way back to life. The result shows strongly influenced living conditions. Time on sick-leave, treatment from employers, health care system and regional social insurance offices vary. Working life, family life and social life are disrupted. Shame, guilt and feeling worthless are common feelings. Support from family, friends and authorities is essential for rehabilitation. The informants declare that acupressure has been essential for their recovery. Further studies of acupressure and burnout are needed.

BACKGROUND: Randomized controlled trials show acupuncture and acupressure support anesthesia management by decreasing anxiety, opioid requirements and treating post-operative nausea and vomiting. Acupuncture and acupressure have demonstrated clinical usefulness and received governmental support (NIH, PPACA, WHO, U.S. Military), but have not yet diffused into mainstream anesthesia practice. This study examined US anesthesia providers' perceptions of acupuncture and acupressure. METHODS: Ninety-six anesthesiology departments stratified by geographic region (Northeast, South, West, and Midwest) and institution type (university medical centers, community hospitals, children’s hospitals, and VA hospitals) were selected for participation in an anonymous, online survey. The target sample was 1,728 providers of which N = 292 (54% anesthesiologists, 44% CRNAs, 2% AAs) responded yielding an overall 17% response rate. RESULTS: Spearman’s correlation coefficient revealed a statistically significant correlation between acupuncture and geographic region, with the West having the highest predisposition toward acupuncture use (rs = 0.159, p = 0.007). Females are more likely to use acupuncture than men (rs = -.188, p = 0.002). Age yielded a moderate effect size with providers between the ages of 31-50 years old experiencing the best outcomes administering acupuncture (rs = 0.65, 95% CI = 2.79, 3.06). A strong effect size exists between acupuncture and country of pre-anesthesia training (rs = 1.00, 95% CI = 1.08, 1.16). Some providers have used acupuncture (27%) and acupressure (18%) with positive outcomes, however the majority of providers have not used these modalities, but would consider using them (54%, SD = 1.44 acupuncture; 60%, SD = 1.32 acupressure). Seventy-six percent of respondents would like acupuncture education and 74% would like acupressure education (SD = 0.43, SD = 0.44, respectively). Lack of scientific evidence (79%, SD = 0.73) and unavailability of credentialed providers (71%, SD = 0.92) were the primary barriers. CONCLUSIONS: While most U.S. anesthesia providers have not used these modalities, they still report a favorable perception of acupuncture/acupressure’s role as part of an anesthetic and the majority of providers express an interest in receiving education. This study adds to the body of acupuncture and acupressure research by providing insight into anesthesia providers’ perceptions of these alternative medicine modalities.

Title of thesis: The Benefits of Physiotherapy in the Treatment of Patients Suffering from Primary Dysmenorrhoea. The concept of the problem: Primary dysmenorrhoea is one of the most common gynecological affections, which affects the female population of working age. It is characterized as a set of symptoms associated with menstruation, of which the main is pain and general fatigue, anorexia, nausea, to the pathological changes in mood, in the sence depression or syncopes. This menstrual period becomes considerable discomfort for women and it distorts her life also from psychosocial page. Given the critical role of women in family and society, it is necessary to deal with this situation and seek effective methods of conservative treatment of primary dysmenorrhoea. Objectives: Determination the effectiveness of acupressure therapy as a possible means of medical rehabilitation in the conservative treatment of primary dysmenorrhoea. Extending expertise of physiotherapy intervention of primary dysmenorrhoea and their implementation into the attention of patients and a general public as well as into the attention of other physiotherapists, gynecologists and other health workers. Methods: The theoretical part deals with the issue at the level of the search and theoretical owerview of current knowledge of...

Postoperativt illamående och kräkning (Postoperative nausea and vomiting, PONV) är en vanligt förekommande komplikation som drabbar 20 -30 % av patienterna, vilket kan leda till starkt obehag, aspirationspneumoni, sårruptur och förlängd vårdtid. Risken att drabbas av PONV orsakas av flertal faktorer såsom bl.a. kön, ålder, fetma, preoperativ oro, långvarig fasta, användning av opioider och operationsställe. Anestesisjuksköterskans icke-farmakologiska åtgärder i samband med detta tillstånd är av stor betydelse för att kunna tillgodose patientens fysiska och psykiska behov, men är inte evidensbaserade i samma utsträckning som vid farmakologisk behandling. Syftet med denna litteraturstudie, med analys av kvalitativ och kvantitativ forskning, är att studera vilka omvårdnadsåtgärder som kan förebygga/ lindra PONV, och vilka omvårdnadsåtgärder som sjuksköterskan utför, samt belysa patienters upplevelser och möjligheter till egenvård vid detta tillstånd. Analysen av artiklarna baseras på Evans (2002) innehållsanalysmodell där resultatet presenteras i kategorier – subkategorier. De mest frekventa omvårdnadsåtgärder som sjuksköterskan utförde var att uppmana patienten till djupandning, placera en sval tvättlapp på pannan samt utföra munvård. Dokumentationen av dessa omvårdnadshandlingar utfördes inte rutinmässigt och ansågs som ”naturliga”. God information har stor betydelse för att minska oro och därmed risken för PONV. Några av de egenvårdhandlingar som patienterna utförde var att avskärma sig från starka ljud, ljus och lukter. Akupressur har även visat god effekt vid förebyggande och lindring av PONV, vilket både sjuksköterskan och patienten själv kan utföra. Denna litteraturstudie ger oss uppfattningen att icke-farmakologiska metoder är effektiva för att öka patientens välbefinnande och bör därmed användas i allt större utsträckning. Vi anser även, att det är av stor betydelse att komplettera de redan använda omvårdnadsåtgärderna med patienternas egenvårdsaktiviteter. / <p>Program: Specialistsjuksköterskeutbildning med inriktning mot anestesisjukvård</p><p>Uppsatsnivå: D</p>

<p>Den psykiska ohälsan ökar mest i storstadsområdena, men ökar i alla regioner och i samtliga sociala grupper. Andelen stressrelaterade sjukskrivningar ökar, främst bland unga människor och kvinnor. Utmattningssyndrom tycks mest förekomma i s k välfärdsyrken; service, vård, skola och myndighetsutövande. Vid sekelskiftet 1900 uppvisades likartade symtom med fysisk och mental trötthet. Syftet var att beskriva hur personer med utmattningssyndrom upplever sin livssituation och effekterna av akupressurbehandling. Studien är kvalitativ, inspirerad av fenomenologi. Datainsamling har skett genom halvstrukturerade intervjuer med åtta kvinnor. Variation eftersträvades i urvalet. Genom analysen utkristalliserades sex huvudkategorier: symtombild – när orken tryter, emotioner vid utmattningsyndrom, det sociala samspelet, arbete – på gott och ont, vård och socialt skyddsnät samt akupressur och vägen tillbaka till livet. Resultatet visar att livssituationen kraftigt påverkas av sjukdomen. Sjukskrivningslängd liksom bemötande från arbetsgivare, sjukvård och försäkringskassa varierar. Såväl yrkesliv, familjeliv som socialt liv störs. Känslor av skam, skuld och värdelöshet är vanliga. Stöd från familjer, vänner och myndigheter påverkar rehabiliteringen i positiv riktning. Informanterna anser att akupressurbehandlingarna varit det som mest bidragit till att de återfått hälsan. Ytterligare studier av akupressurens effekter vid utmattningssyndrom behöver göras.</p> / <p>Mental disorders are increasing in all areas and in all social groups. Stress disorders are increasing, mostly among young people and women. Stress causes physical and mental illness. Employees in the service sector, the education field and in authorities are vulnerable groups. In 1900 there was also a physical and mental exhaustion. The aim of the study is to describe how burnout persons experience their life and the effects of acupressure treatment. It is a qualitative study, inspired by phenomenology. Data acquisition has been made through semi structured interviews with eight women. The analysis gave six main categories; symptoms – total fatigue, burnout emotions, social context, work – for good or for worse, care and social protection, acupressure and the way back to life. The result shows strongly influenced living conditions. Time on sick-leave, treatment from employers, health care system and regional social insurance offices vary. Working life, family life and social life are disrupted. Shame, guilt and feeling worthless are common feelings. Support from family, friends and authorities is essential for rehabilitation. The informants declare that acupressure has been essential for their recovery. Further studies of acupressure and burnout are needed.</p>

M.Tech. (Chiropractic) / The aim of the study was to compare the efficacy of treating the active levator scapulae trigger point (TP1) with either chiropractic adjustments combined with ischemic compression or chiropractic adjustments combined with ultrasound therapy in physically active people in order to determine which of the two treatment protocols was superior.This study was a comparative study consisting of two groups of fifteen participants each. Participants were between the ages of eighteen and forty-five and there was an equal male to female ratio. Prior to becoming a participant in this study individuals were assessed according to the inclusion and exclusion criteria. The International Physical Activity Questionnaire, a clinical case history, full physical examination, a cervical regional examination and examination of the levator scapulae muscle for an active central trigger point (TP1) were completed. The method of treatment for each participant was determined by random group allocation. Group 1 received cervical spine chiropractic adjustments combined with ischemic compression to the active levator scapulae trigger point. Group 2 received cervical spine chiropractic adjustments combined with ultrasound therapy to the active levator scapulae trigger point. Subjective and objective readings were based on the above treatment protocols.Treatment consisted of seven consultation sessions over a three week period. There were six treatment visits with the seventh visit used only for data collection. There were two treatments each week with at least two days in between visits. The third week consisted of three visits with the last visit used only for data collection. Subjective data was collected from the Vernon-Mior Neck Pain and Disability Index Questionnaire and the Numerical Pain Rating Scale. Objective data was collected from the pressure algometer readings. Subjective and objective data was collected before treatment on the first and fourth visits and on the seventh final data collection visit. Analysis of the data collected was done by a statistician. The chiropractic adjustments used were based on motion palpation findings on the treatment visits and re-assessed on each visit.Clinically significant improvements regarding neck pain and disability and trigger point severity were seen in both Group 1 and Group 2 over the three week period. Group 2 showed greater improvements in all subjective and objective readings over the three weeks compared to Group 1.

M.Tech. (Chiropractic) / Headache is the most common type of pain and is one of the most frequent reasons for medical consultation (Rasmussen, 1995). Tension-type headaches cause substantial levels of disability for the patient as well as the global society because of its high prevalence in the general population (Stovner, Hagen, Jensen, 2007). Tension-Type headache is a primary headache commonly found in three forms: infrequent episodic, frequent episodic and chronic with or without pericranial tenderness (International Headache Society, 2009). The aim of this study was to determine the effectiveness of chiropractic manipulation of the temporomandibular joint in conjunction with ischemic compression of the lateral pterygoid muscle as a treatment protocol for tension-type headache. Method: This study consisted of three groups of sixteen participants each with tension-type headaches. The participants were between the ages of 18 and 25 years of age. Potential participants were examined and selected based on the inclusion and exclusion criteria. Group one received chiropractic manipulation of the temporomandibular joint. Group two received ischemic compression of the lateral pterygoid muscle. Group three received a combination treatment of chiropractic manipulation of the temporomandibular joint and ischemic compression of the lateral pterygoid muscle. Objective and subjective finding were based on the treatment sessions. Procedure: All participants received a total of six treatments over two weeks followed by a seventh visit which consisted of data gathering only. The subjective data collected was in the form of a TMJ symptom questionnaire completed at visit one and seven and a Headache Disability Index (HDI) completed at visits one, three and seven. TMJ motion was measured by means of a vernier caliper.

Sjuksköterskor möter patienter varje dag med behov av lindring av symtom relaterat till olika sjukdomstillstånd. Bakgrund: Akupressur kommer från komplementär medicin och är en behandlingsform för att hjälpa patienter att lindra symtom relaterat till sjukdom. Syfte: Syftet med studien var att belysa behandlingsresultat av akupressur inom omvårdnad. Metod: Studien är gjord som en litteraturstudie med systematiska sökningar av relevant forskning inom området. Tolv kvantitativa vetenskapliga artiklar granskades och analyserades och valdes ut till resultatet. Resultat: Två kategorier identifierades: Påverkade psykologiska aspekter, Påverkade fysiologiska aspekter. Akupressurbehandling visar sig ha en symtomlindrande effekt av smärtlindring, återhämtning efter stroke och förbättrad sömnkvalitet hos äldre dementa patienter. Mer forskning behövs för att få ytterligare evidens vad gäller användning av akupressur i omvårdnaden. Genom ökad kunskap och utbildning om akupressur kan sjuksköterskor lindra lidande och minska symtom relaterat till olika sjukdomstillstånd. / Abstract Nurses meet patients every day with the need to relieve symptoms linked with various disease states. Background: Acupressure comes from complementary medicine and is a treatment form for helping patients relieve symptoms related to disease. Purpose: The purpose of the study was to highlight treatment results of acupressure in nursing. Method: The study is done as a literature study with systematic searches of relevant research in the field. Twelve quantitative scientific articles were examined and analyzed and selected for the outcome. Results: Two categories were identified: Affected psychological aspects, Affected physiological aspects. Acupressure treatment appears to have a symptomatic effect, such as pain relief, post-stroke recovery and improved sleep quality in elderly dementia patients. More research is needed to get further evidence and education regarding the use of acupressure in nursing care. By gaining knowledge about acupressure, nurses can alleviate suffering and reduce symptoms related to various disease states.

Orientador: Antonieta Keiko Kakuda Shimo / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Enfermagem / Made available in DSpace on 2018-08-24T10:50:57Z (GMT). No. of bitstreams: 1 Mafetoni_ReginaldoRoque_M.pdf: 1765630 bytes, checksum: 7421b5f67d41e9a6d29e4c7abd2d5fdf (MD5) Previous issue date: 2014 / Resumo: Objetivos: Avaliar os efeitos da acupressão no ponto Sanyinjiao (BP6) sobre a dor na primeira fase do trabalho de parto, o consumo de drogas analgésicas e analgesias/anestesias, o incômodo pelo tratamento recebido, o tempo de trabalho de parto, a taxa de cesárea o índice de Apgar no 1º e 5º minuto do recém-nascido e a satisfação pessoal em utilizar o tratamento entre os grupos. Método: Trata-se de um ensaio clínico controlado e randomizado, de caráter pragmático, com características simples-cego na avaliação da dor e duplo-cego nos desfechos de tempo de trabalho de parto e taxa de cesárea. Foram selecionadas 156 gestantes, com ? 37 semanas, dilatação cervical ? 4 cm e ? 2 contrações em 10 minutos, divididas em três grupos por meio de uma lista de números aleatórios, em um hospital universitário do interior do estado de São Paulo, Brasil, para receber acupressão, placebo ou participar como controle. Todas as participantes foram orientadas e estimuladas a realizar uma técnica de exercício respiratório e relaxamento muscular. A acupressão foi aplicada no ponto BP6 e a intensidade da dor avaliada por uma Escala Analógica e Visual (EAV) antes do tratamento, imediatamente (20 minutos) e 1 hora após o tratamento. Resultados: A média do escore de dor da EAV não foi diferente nos três grupos na admissão (p=0.0929), porém, as diferenças se fizeram imediatamente (p=<0.0001) e com 1 hora após o tratamento (p=<0.0001) de forma significativa entre os grupos. O incomodo do tratamento foi pequeno, informado por três participantes do grupo BP6. A média de duração do trabalho de parto apresentou diferença significativa nos três grupos a partir do tratamento até o nascimento do neonato (p=0.0047). A taxa de cesárea não mostrou diferença entre os grupos (p=0.2526) nem a avaliação de Apgar no primeiro e quinto minuto de vida do neonato (p=0.7218). O uso de analgésicos, anestesias e a satisfação pessoal do tratamento oferecido para um provável uso no futuro foram homogêneos entre os grupos, porém, a recordação sobre o alívio da dor durante o trabalho de parto foi maior no grupo acupressão BP6 (p=0.0018). Não houve diferença no uso de ocitocina (p=0.0521) e prostaglandina (p=0.9801), embora as participantes do grupo controle recebessem no total menos indução durante o trabalho de parto (p=0.0065). Conclusões: A acupressão no ponto BP6 se mostrou uma medida útil no alívio da dor, complementar para conduzir o trabalho de parto, encurtando este período, não invasiva e uma via de melhorar a qualidade dos cuidados à parturiente, sem ocasionar efeitos adversos para mãe ou para o neonato, entretanto, não houve diferença na taxa de cesárea neste estudo / Abstract: Purposes: To evaluate the effects of applying acupressure at the Sanyinjiao point (SP6) on pain in the first stage of labor, the use of analgesic drugs and anesthetics, the discomfort from the treatment received, delivery time in women in labor, the cesarean section rate, Apgar score at 1st and 5th minute of newborn, and personal satisfaction in using the treatment offered among groups. Method: The study design was a randomized controlled clinical trial of pragmatic character using a single-blind method to the evaluation of pain and a double-blinded for delivery time and cesarean section rate. 156 pregnant women were selected, with ? 37 weeks, cervical dilatation ? 4 cm and ? 2 contractions in 10 minutes, randomly divided into three groups in a university hospital in the state of São Paulo, Brazil. The women received acupressure, placebo or received standard care (control group). All of them were guided and stimulated to perform a technique of breathing exercises and muscle relaxation. The intervention was applied at the point SP6 and pain intensity was assessed by Visual Analog Scale (VAS) before the treatment, immediately (20 minutes) and 1 hour after the treatment. Results: The average pain score of VAS was no different in the three groups at baseline (p=0.0929), but the difference was immediately made (p=<0.0001) and at 1 hour after treatment (p=<0.0001) significantly between groups. The discomfort of treatment was small, reported by three participants in the SP6 group. The average duration of labor showed significant difference among the three groups, from the treatment until the birth (p=0.0047). The cesarean section rate showed no difference between the groups (p=0.2526) or the assessment of Apgar at the first and fifth minute of the newborn's life (p=0.7218). The use of analgesics, anesthetics and personal satisfaction of treatment offered for probable future use were homogeneous between the groups, but the memory on the reduction of pain during labor was greater in the acupressure group SP6 (p =0.0018). There was no difference in the use of oxytocin (p=0.0521) and prostaglandin (p=0.9801), although the participants in the control group received total less induction during labor (p=0.0065). Conclusions: The acupressure point SP6 showed a helpful measure to relieve pain, complementary to induce labor, shortening this period, non-invasive and a way of improving the quality of care the patient received without causing adverse effects to the mother or the newborn. However, there was no difference in cesarean section rate in this study / Mestrado / Enfermagem e Trabalho / Mestre em Ciências da Saúde