81 |
The influence of customizing pain control for postoperative care on patient¡¦s satisfaction-The example of surgery for hemorrhoids.Ke, Yan-tin 06 August 2009 (has links)
Patients experience some degree of pain accompanying all surgical procedures. If this pain is not adequately treated, it will cause severe physiological and psychological damage. It will even affect patients' postoperative recovery. However, if preemptive analgesia is administered before noxious stimuli arise, rather than afterwards, it is significantly more effective.
The purpose of this study is to recognize that reasonable effort and time should be spent to determine a patient's tolerance level towards pain before surgery. Then, the appropriate dosage of analgesia can be given immediately after surgery to alleviate pain. By administering effective pain relief, it will improve patient¡¦s satisfaction with medical services.
Using classic experimental design (which consists of an experimental group and a control group), this study focuses on cases of patients who had hemorrhoid surgery in a certain hospital in southern Taiwan. The experimental group and the control group consist of a total of 75 valid samples. The experimental group received customizing analgesic postoperative care, while the control group received conventional analgesic postoperative care. Patient¡¦s satisfaction questionnaires were gathered from patients on the day they were discharged from the hospital. Instruments used in the experiment include VAS, PThM, and patient¡¦s satisfaction questionnaires.To examine the basic characteristics of the samples in both the experimental group and the control group, two statistical methods, Chi-square test and independent T test, were adopted. For patient¡¦s satisfaction questionnaires, Mann-Whitney-Wilcoxon test of nonparametric method was adopted to examine if obvious differences in satisfaction levels existed between the two groups.
The result of the experiment shows the analgesic effect from customizing analgesic postoperative care is far better than conventional care. The patient¡¦s satisfaction toward the doctor's professional skill was higher as well. On the other hand, the patient¡¦s satisfaction level toward the whole medical process had no obvious improvement.
This study proves that customizing analgesic postoperative care can effectively prevent postoperative pain from occurring. However, to raise patient¡¦s satisfaction towards the whole medical process, better professional medical skill is required as well as improved medical services.
|
82 |
Laparoscopic cholecystectomy : patients' experiences and self-reported symptoms the first week after sugery /Barthelsson, Cajsa. January 2007 (has links)
Lic.-avh. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 2 uppsatser.
|
83 |
Influence of post-anesthetic suggestion on prevention of postoperative pulmonary complications a research report submitted in partial fulfillment ... /Berecek, Kathleen Helen. Janson, Susan Lee. January 1971 (has links)
Thesis (M.S.)--University of Michigan, 1971.
|
84 |
Influence of post-anesthetic suggestion on prevention of postoperative pulmonary complications a research report submitted in partial fulfillment ... /Berecek, Kathleen Helen. Janson, Susan Lee. January 1971 (has links)
Thesis (M.S.)--University of Michigan, 1971.
|
85 |
The effect of music and music in combination with therapeutic suggestions on postoperative recovery /Nilsson, Ulrica January 2003 (has links) (PDF)
Diss. (sammanfattning) Linköping : Univ., 2003. / Härtill 4 uppsatser.
|
86 |
Postoperative symptoms after gynaecological surgery : how they are influenced by prophylactic antiemetics and sensory stimulation (P6-acupressure) /Alkaissi, Aidah, January 2004 (has links)
Diss. (sammanfattning) Linköping : Univ., 2004. / Härtill 4 uppsatser.
|
87 |
The ontogeny of opioid analgesiaMarsh, Deborah Frances January 1998 (has links)
No description available.
|
88 |
Physical and psychological problems experienced and coping strategies used by heart transplant recipients after their operationKaba, Evridiki January 1997 (has links)
No description available.
|
89 |
A prospective observational study to determine the use of intra-operative respiratory rate as an indicator of the adequacy of post-operative analgesia - a pilot studyJaworska, Magdalena Anna 27 March 2015 (has links)
A research report submitted tot the Faculty of Health Sciences, University of the Witwatersrand , Johannesburg, in partial fulfillment of the requirements for the degree of Master of Medicine in the branch of Anaesthesia. Johannesburg, 2014 / Background: Post-operative pain is often undertreated, exposing patients to significant morbidity. The appropriate management of pain depends upon the accurate assessment thereof, however, this is difficult during general anaesthesia due to many confounders and thus intra-operative analgesia is administered according to multimodal “recipes” and changes in vital signs.
Aim: To determine whether intra-operative respiratory rate in a patient under general anaesthesia is a valid indicator of post-operative analgesic adequacy.
Method: The respiratory rates of 60 consenting adult female patients undergoing standardised general anaesthesia for elective breast surgery were measured. Post-operatively, each patient was assessed for the presence of pain using a Verbal Numeric Rating Scale (VNRS).
Results: Spearman correlation coefficient of 0.62 was calculated between the intra-operative respiratory rates and post-operative VNRS scores. A ROC curve (with AUC equals 0.77) was plotted to test the validity of respiratory rate as a predictor for post-operative pain, with a VNRS score greater than three indicating unacceptable pain. The suggested cut-off point for respiratory rate to predict unacceptable pain is greater than or equal to 17 breaths per minute.
Conclusion: The adequacy of post-operative analgesia may be predicted intra-operatively from the respiratory rate if patients are allowed to breathe spontaneously. This provides anaesthetists with a reliable, valid, affordable and easy method of titrating analgesia intra-operatively.
|
90 |
Immune function after relief of obstructive jaundice by internal and external drainage. / CUHK electronic theses & dissertations collectionJanuary 2000 (has links)
by Li Wen. / "April 2000." / Thesis (Ph.D.)--Chinese University of Hong Kong, 2000. / Includes bibliographical references (p. 200-236). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Mode of access: World Wide Web. / Abstracts in English and Chinese.
|
Page generated in 0.0995 seconds