Applied nursing research : ANR
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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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A decreased length of hospital stay for surgical patients dramatically reduces the time available for nurses to teach patients how to manage postdischarge self-care. Nurses need guidelines to prioritize teaching content. ⋯ Patient reports of information given and satisfaction with information were also examined. These findings can contribute to the development of teaching programs for patients who are discharged following short-term surgical procedures.
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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.
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This correlational study describes levels of hope and states of anxiety of individual family members of critically ill patients and investigates the relationship between hope and state of anxiety. Forty-four family members of critically ill patients participated in the study and revealed a high level of hope and a high level of anxiety within 72 hours of the patient's hospitalization, regardless of personal or situational characteristics. ⋯ Family members acknowledged feeling secure, self-confident, and steady, and were able to make decisions because they were not confused about the situation. Nurses are challenged to inspire the family's hope and decrease their anxiety.
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The major purpose of this study was to determine the types and intensity of sensations that patients experience when chest tubes (CTs) and Jackson-Pratt (JP) abdominal tubes are removed. A convenience sample of 62 hospitalized subjects, 31 with CTs and 31 with JP tubes, participated. Each subject was interviewed after tube removal. ⋯ Similar sensations were reported by both groups. Intensity of sensation was consistently higher in the JP group. The most frequently reported sensations were pain (77%) on JP tube removal and pulling (90%) upon CT removal.