Applied nursing research : ANR
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of acupressure bands and droperidol for reducing post-operative nausea and vomiting in gynecologic surgery patients.
The purpose of this study was to evaluate the effectiveness of acupressure bands, droperidol, and the combined modalities, administered preoperatively, in reducing PONV in inpatient gynecologic patients. One hundred and forty-three patients were randomized to one of four groups: droperidol and acupressure bands, droperidol and placebo bands, placebo drug and acupressure bands, or placebo drug and placebo bands. Overall, during their hospital stay, 69% of the women experienced PONV and 45% experienced vomiting at some time. Although droperidol was most effective the day of surgery, neither acupressure bands or droperidol were effective in reducing PONV.
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Randomized Controlled Trial Clinical Trial
The effect of self-selected music during colonoscopy on anxiety, heart rate, and blood pressure.
The purpose of this study was to examine the effects of music therapy on self-reported and physiological signs of anxiety among ambulatory patients undergoing colonoscopy. Thirty-two patients were randomly assigned to either an experimental group who listened to music during the colonoscopy or a standard procedure no music control group. Before and after the procedure, subjects completed the State Anxiety Inventory. ⋯ No significant effect of the treatment was observed on the State Anxiety Inventory, although a trend indicated that the music intervention decreased state anxiety. Finally, the group who received the music intervention required less physician-administered sedation during the procedure than did the control group. These findings indicate that music therapy has the potential to reduce physiological indicators of anxiety and the need for sedation among individuals undergoing a colonoscopy.
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Randomized Controlled Trial Clinical Trial
Transdermal fentanyl for the management of acute pancreatitis pain.
Although the hazards of using Demerol for pain management is well documented, physicians at a 350-bed tertiary-care center in the upper midwest continued to follow the antiquated practice of ordering intramuscular Demerol and Vistaril to manage pain for patients with acute pancreatitis. Their reasoning was based on early evidence that Demerol, unlike morphine, does not cause biliary-tract spasms resulting in epigastric or right upper quadrant pain. In an effort to change practice patterns, a multidisciplinary team was formed to study the efficacy of using Transdermal Therapeutic System (TTS) fentanyl to manage pain in this patient population. ⋯ Although not statistically significant, trends in the data revealed that the experimental group had lower self-reported pain intensity scores than the control group throughout the course of hospitalization. Even though the experimental group had significantly more previous hospitalizations for acute pancreatitis and a higher pain intensity score on admission, this group had a significantly shorter length of stay in the hospital c2 (1, N = 31) = 4.3706 p <.05. There was no statistically significant difference between the two groups for self-reported satisfaction with pain management.
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Randomized Controlled Trial Comparative Study Clinical Trial
The effect of position and mattress on interface pressure.
The aim of this investigation was to determine which positions resulted in the lowest pressures to the skin of persons lying in bed. Pressures were recorded in 10 different lying positions on 2 mattresses in 62 healthy volunteers. ⋯ The 30 degrees laterally inclined position had lower pressure readings than the 90 degrees side lying position; 90 degrees side lying position gives the highest pressure readings and thus should be avoided. A Tempur polyethylene-urethane mattress reduces interface pressures by 20 to 30% in comparison to a standard hospital mattress (12-cm-thick cold foam).
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Randomized Controlled Trial Clinical Trial
The quick relaxation technique: effect on pain associated with chest tube removal.
Documentation shows that conventional methods used to prepare patients for chest tube removal (CTR) are not effective in reducing pain associated with this procedure. The quick relaxation technique (QRT) was used on 24 primary aorta-coronary bypass surgical patients. ⋯ In comparison, women 70 years old or older reported much higher pain intensity scores when QRT was used. Preliminary results suggest that for most patients, the combination of analgesics and relaxation exercises is not more effective in decreasing pain during CTR than when analgesics are administered without relaxation exercises.