The Impact of Preoperative α-Adrenergic Antagonists on Ureteral Access Sheath Insertion Force and the Upper Limit of Force Required to Avoid Ureteral Mucosal Injury: A Randomized Controlled Study

Purpose. It has been well documented that nursing students across the world experience stress and anxiety throughout their education and training. The purpose of this randomized controlled study is to investigate the impact of biofeedback intervention program on nursing students' levels of stress and anxiety during their first clinical training. Methods. Participants consisted of 60 second-year baccalaureate nursing students. The 30 participants in the biofeedback group received training on how to use the biofeedback device to assist in stress and anxiety management for 5 weeks while the 30 in the control group did not receive any training. Findings. Results indicated that the biofeedback group was able to maintain the stress level while the control group had a significant increase in the stress level over the 5-week period of clinical training. Additionally, the biofeedback group had a significant reduction in anxiety, while the control group had a moderate increase in anxiety. Conclusions. The better the nursing students can manage their stress and anxiety, the more successful they can be in their clinical training. Ultimately, the more psychologically healthy the nursing students are, the more likely they will flourish and graduate to become productive and contributing members of the nursing profession.

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MP27-13 THE IMPACT ON THE TYPE OF URETERAL STENT TO PATIENTS¡¯ SYMPTOM USING USSQ: A PROSPECTIVE RANDOMIZED CONTROLLED STUDY

The Journal of Urology ◽

10.1016/j.juro.2014.02.376 ◽

2014 ◽

Vol 191 (4S) ◽

Author(s):

Hyoungkeun Park ◽

Sangrak Bae ◽

Sunghyun Paick ◽

Hyunwoo Kim ◽

Jutae Seo ◽

...

Keyword(s):

Ureteral Stent ◽

Randomized Controlled Study ◽

Controlled Study ◽

Randomized Controlled ◽

The Impact

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The impact of the using high-fidelity simulation and standardized patients to management of postpartum hemorrhage in undergraduate nursing students: A randomized controlled study in Turkey

Health Care For Women International ◽

10.1080/07399332.2019.1583229 ◽

2019 ◽

Vol 40 (5) ◽

pp. 597-612

Author(s):

Merve Mert Karadas ◽

Fusun Terzioglu

Keyword(s):

Nursing Students ◽

Postpartum Hemorrhage ◽

Standardized Patients ◽

Controlled Study ◽

High Fidelity ◽

High Fidelity Simulation ◽

Undergraduate Nursing Students ◽

Randomized Controlled ◽

Undergraduate Nursing ◽

The Impact

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Pre-stenting for Retrograde Intrarenal Surgery: Need and Duration: a Prospective Randomized Clinical Study

Nepalese Medical Journal ◽

10.3126/nmj.v3i2.33050 ◽

2020 ◽

Vol 3 (2) ◽

pp. 361-365

Author(s):

Prakash Chhettri ◽

Anil Shrestha ◽

Robin Bahadur Basnet ◽

Parash Mani Shrestha

Keyword(s):

Controlled Study ◽

Retrograde Intrarenal Surgery ◽

Ureteral Access Sheath ◽

Access Sheath ◽

Randomized Clinical Study ◽

Institutional Review ◽

Group 3 ◽

Group 2 ◽

Wall Injury ◽

Group 1

Introduction: To evaluate if retrograde intrarenal surgery with ureteral access sheath requires prestenting. In case pre-stenting becomes an option, how long does it need to be stented. Materials and Methods: After obtaining approval from Institutional Review Board and informed consent, a prospective randomized controlled study was conducted in the Department of Urology, Bir Hospital for 18 months. All the patients enrolled for retrograde intrarenal surgery were grouped into 3 groups: Group 1 – without pre-stenting, Group 2 – one week of pre-stenting, and Group 3 – two weeks of pre-stenting. Success was defi ned as an ability to accommodate a 10/12 F ureteral access sheath during retrograde intrarenal surgery. Ureteral access sheath induced ureteric wall injury was also taken into consideration.Results: Among 179 cases, 152 cases were included in the study. In 36 patients out of 53 (67.92%) in group 1, 10/12 F ureteral access sheath was negotiable without pre-stenting, marking the frequency of distensible ureters. In 44 patients out of 47 (93.66%) from group 2 and all 52 patients (100%) from group 3, ureteral access sheath placement was successful after one and two weeks of pre-stenting respectively. Ureteric wall injury of grade1 and 2, was found in 9 patients (5.9%).Conclusions: The majority of ureters (67.92%) are distensible, not requiring pre-stenting before retrograde intrarenal surgery. One and two weeks of pre-stenting carries a success rate of 93.66% and 100% respectively.

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