The Effect of early ambulation on nausea in patients undergoing Appendectomy | ||
| Evidence Based Care | ||
| مقاله 5، دوره 3، شماره 1، تیر 2013، صفحه 49-58 اصل مقاله (206.05 K) | ||
| نوع مقاله: Original Quantitative and Qualitative Research Paper | ||
| شناسه دیجیتال (DOI): 10.22038/ebcj.2013.667 | ||
| نویسندگان | ||
| Fatemeh Asadi1؛ Hamid ebrahimi* 2؛ Reza Mazloum3؛ Ali Jangjo4؛ Mahdieh Sabouri noghabi5 | ||
| 1Instructor, medical surgical nursing Department, nursing and Midwifery School, Mashhad university of medical sciences, Mashhad, Iran | ||
| 2Mashhad university of Medical Science | ||
| 3Ph.D.in nursing, nursing and Midwifery School, Mashhad university of medical sciences, Mashhad, Iran | ||
| 4Associate Professor of surgery, Surgical Oncology Research Centre, Mashhad University of medical sciences, Mashhad, Iran | ||
| 5BSc in nursing and clinical nurse in surgery intensive care unit of Ghaem Hospital | ||
| چکیده | ||
| Background: Achieving quality care is an important issue which is often paied attention to in providing nursing care. It seems that communication skills can affect the quality of care. Aim: This study investigated the effect of training the communication skills on the quality of nursing care in patients. Methods: The study was a pretest/posttest experimental design with control group. 60 nurses working in Qhaem and Emamreza hospitals were selected using stratified sampling and then randomly allocated to one of the two groups. In addition, three patients per each nurse were selected using convenience sampling before and also one, two and three weeks after the intervention. The intervention included communication skills training workshop which was held for eight hours over two days in 2012. Data collection tools included demographic data sheet, Quality Patient Care Scale (QUALPAC) and communication skills Check list. The data were analyzed by SPSS software version 16 using t student test, Mann-Whitney, Wilcoxon and ANOVA tests. Results: The mean score for overall quality of care in communication skills training group was significantly higher at the 2nd, 3rd, and 4th weeks after the intervention compared with the control group (p <0/001). This increase was not similar in different dimensions of quality care. It was 50.8% in the individual psychosocial, 63.8% in the group psychosocial, 54.4% in the relationship, 50/6% the physical, 41% in the general and 98% in the professional dimension. In both intervention and control group, the mean score for overall quality of care significantly decreased at the 2nd, 3rd, and 4th weeks after the intervention compared with preintervention period (p <0/001). Conclusion: As communication skill training is an effective method to improve the quality of care, it is suggested that managers and staff should consider it to improve the quality of patients' care. | ||
| کلیدواژهها | ||
| Education؛ Nursing؛ communication Methods؛ Quality of Health Care | ||
| مراجع | ||
|
1. Rezaee E,Ghaemi M, Motamedoshariati M, Rashedi T. Value of Measuring CRP Serum and WBC Count in Diagnosis Acute Appendicite in Suspected Patients.Journal of Gorgan University of Medical Sciences. 1383;14:83-6 . (persian)
2. Mohebi H, Mehrvarz S, Khorrami M. Evaluation of Serum CRP, Procalcitonin and WBC in the Diagnosis of Acute Appendicitis.Iranian Journal of Surgery. 2010;1. (persian)
3. Amini M, Hosseini A, Jandy Y. The Diagnostic Value of Blood Antioxidants in the Diagnosis of Acute Appendicitis. Arak Medical University Journal. 2011;13(53):8-14. (persian)
4. Sarmastshoshtari M, Hafezi M, Askarpour s, Hasanian H. Is Necessity Antibiotic Adminstration After Acute Suprative Appendicite Surgery?Jundishapur Scientific Medical Journal.1385;676-80. (persian)
5. Ahmadi A, Khadivi R. Epidmiologic Cluster Appendicites in Chehar Mahal and Bakhtiari Province.The Persian Gulf Biomedical Research institute. 1387;1:40-6. (persian)
6. Joudi M, Fathi M, Hiradfar M. Acute Appendicitis After Blunt Abdominal Trauma.Zahedan Journal of Research in Medical Sciences. 2011;13(9):56-8. (persian)
7. Yeganeh R, Hajinasrollah E, Parnian G, Ahmadi M, Bashashati M. Acute Appendicitis in Elderly Patients Evaluation Clinical Manifestations, Diagnostic Problems, Morbidity, and Mortality in Loghman Hakim Hospital. Iranian Journal of Surgery.1997-2004. (persian)
8. Ahmadi J. Assessment Patients With Appendicite for Appendis Status During Appendectomy and its Complications.Tehran University Medical Journal. 1384;5:415-8. (persian)
9. Abtahi D, Ashari A, Lotfi M. Acupressure Treatment in Postoperative Nausea and Vomiting Prevention. Zahedan Journal of Research in Medical Sciences.1384;3:204-11. (persian)
10. Sue J, . Postoperative Nausea and Vomiting.Nurs stand. 2000:32-4.
11. Ku CM, Ong BC. Postoperative Nausea and Vomiting. Singapor Med J. 2003;44:366-74.
12. Naseri K, shami S, Ahsan B. The Effect of Acupressure on Postoperation Nausea and Vomiting. Bimonthly Journal of Hormozgan University of Medical Sciences. 1385;4:357-62. (persian)
13. Sadri B, Nematollahi M, Shahrami R. The Effect of Acupressure on The Reduction of PONV(Postoperative Nausea and Vomiting)After Adenotonsilectomy. Iranian Journal of Medical Sciences. 1385;53. (persian)
14. Lewthwaite BJ. What Do Nurses Know About Post-Operative Nausea and Vomiting?Medsurg Nurs. 2009;18:110-33.
15. Hailair T. The Managment of Postoperation Nausea-Vomiting. J Adv Nurs. 1999;29:1130-6.
16. McCracken G, Houston P, Lefebvre G. Guideline for The Management of Postoperative Nausea and Vomiting. J Obestet Gynaecol Can. 2008;209:600-7.
17. Browning L, Denehy L, Scholes RL. The Quantity of Early Upright Mobilisation Performed Following Upper Abdominal Surgery is Low. Aust J of Physiother. 2007;53:47-52.
18. Beverly A, Benetti M, Marro H, Rosenthal CK. Clinical Practice Guidelines for Early Mobilization Hours After Surgery.J Orthop Surg Res. 2010;29:290-316.
19. Agarwal A, Bose N, Gaur A, Singh U, Gupta M, Singh D. Acupressure and Ondansetron for Postoperative Nausea and Vomiting After Laparoscopic Cholecystectomy.Can J Anesth. 2002;49(6):554-60.
20. Nunley C, Wakim J, Guinn C. The Effects of Stimulation of Acupressure Point p6 on Postoperative Nausea and Vomiting. J Perianesth Nurs. 2008;23(4):247-61.
21. Gallagher E, Bijuri P, Latimer C, silver W. Reliability and Validity of a Visual Analog Scale for Acute Abdominal Pain in The ED.Am J Emerg Med. 2002;4:287-90.
22. Gift A. Visual Analogue Scale: Measurement of Subjective Phenomena. nurss reaserch. 1989;38:286-8.
23. Firouzkohi M, Mazloum SR. Effect of Semi – Upright Position on Nausea and Vomiting, in The Cancer Patients, Who Are Under Chemotherapy in Omid Hospital of Mashad, in 1999.Thesis presented for Master of Science Degree in Nursing. 1999. (persian)
24. Robertson WD, Lapoint JS. Positioning of Patients After Metrizamide Lumbar Myelography. AJR Am J Roentgenol. 1980;947-8.
25. Franck M, Radtke FM, Apfel CC, Kuhly R, Baumeyer, Brandt C, et al. Documentation of Post-operative Nausea and Vomiting in Routine Clinical Practice. J Int Med Res. 2010;38:1034-41. | ||
|
آمار تعداد مشاهده مقاله: 4,864 تعداد دریافت فایل اصل مقاله: 2,765 |
||