Applied nursing research : ANR
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Comparative Study Clinical Trial
Comparison of intravenous cannulation injectable preanesthetics in an adult medical inpatient population.
Prior intravenous cannulation (IVC) injectable preanesthetic research has focused primarily on the presurgical population. This focus may diminish the applicability of these findings to the rest of the adult inpatient population. ⋯ This study is the first to examine the adult medical inpatient pain response associated with peripheral IVC for patients receiving subcutaneous buffered lidocaine 1%, subcutaneous normal saline 0.9% with the preservative benzyl alcohol, or no treatment. Further investigation is needed to build on the previous and current research to enhance a clinicians ability to provide individualized IVC preanesthetic treatment options.
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Patients undergoing surgery are prone to develop pressure ulcers during surgery. The aim of this study was to identify pressure ulcer risk indicators in patients undergoing surgery which lasted more than four hours. ⋯ The results show that of the many indicators recorded, the only predictor of pressure ulcers was length of surgery. Because it is not possible to influence the length of the surgery, prevention should primarily be aimed at decreasing pressure and shearing forces during surgery.
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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.