The effect of cold application on relieving drug infusion-related pain in children: A randomized controlled experimental trial in Turkey

2021 ◽  
Author(s):  
Müzeyyen Beste Şermet ◽  
Nurcan Özyazıcıoğlu ◽  
Sibel Ergün
Keyword(s):  
Drug Infusion ◽  
Experimental Trial ◽  
Randomized Controlled ◽  
Cold Application

scholarly journals Effect of different cold application materials on pain during chest tube removal: three-arm randomized controlled clinical trial

2021 ◽  
Vol 21 (3) ◽  
pp. 1273-1281
Author(s):  
Dilara Soydan ◽  
Gülay Altun Uğraş
Keyword(s):  
Chest Tube ◽  
Pain Control ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Randomized Controlled Clinical Trial ◽  
Randomized Controlled ◽  
Tube Removal ◽  
Cold Application ◽  
Chest Tube Removal ◽  
Ice Pack

Background: Chest tube causes severe pain during removal because it attaches to the endothelium in the chest cavity. Objectives: This study aimed to determine the effectiveness of cold application with ice pack and gel pad in the control of pain experienced during chest tube removal. Methods: The sample of prospective, parallel three-arm (1:1:1), randomized controlled clinical trial consisted of 180 patients in two experimental groups (ice pack/gel pad) and one control group. The primary outcome was effect of cold application materi- als on severity of pain during chest removal. Secondary outcomes were duration of cold application and analgesic requirements of the patients. Results: The study found that the cold application using either of the materials reduced the severity of pain and the need for analgesics after the removal of chest tube compared to the control group (p<0.05). But cold application with ice pack allowed the skin to drop to the temperature effective in pain control in a shorter time than gel pad application (p<0.05). Conclusions: Despite entirely covering the area around the chest tube, the gel pad was more disadvantageous than ice pack in pain control due to the longer duration of cold application. Keywords: Chest tube removal; cold application; pain; nurse.

scholarly journals Pengaruh Pemberian Susu Tinggi Protein terhadap Tingkat Nafsu Makan dan Kadar Glukosa Postprandial

2018 ◽  
Vol 14 (4) ◽  
pp. 329
Author(s):  
Harna Harna ◽  
Clara M.Kusharto ◽  
Katrin Roosita ◽  
Andi Muh Asrul Irawan
Keyword(s):  
Randomized Controlled Trial ◽  
Visual Analogue Scale ◽  
Analogue Scale ◽  
Controlled Trial ◽  
Area Under The Curve ◽  
Experimental Trial ◽  
Randomized Controlled

Susu tinggi protein merupakan makanan kompleks yang mengandung beberapa senyawa bioaktif yang potensial memiliki efek terhadap nafsu makan. Namun, mekanisme susu tinggi protein terhadap nafsu makan masih kurang dipahami pada orang dewasa dengan berat badan kurang. Penelitian bertujuan menganalisis pengaruh susu protein tinggi terhadap tingkat nafsu makan dan glukosa postprandial. Penelitian menggunakan experimental trial desain randomized controlled trial. Subjek dibagi menjadi dua kelompok, yaitu 24 subjek pada kelompok perlakuan dan 23 subjek pada kelompok kontrol. Kelompok perlakuan diberi susu tinggi protein dan kelompok kontrol diberi glukosa. Tingkat nafsu makan meliputi tingkat kelaparan, kepuasan, dan keinginan untuk makan dievaluasi menggunakan Visual Analogue Scale (VAS), yang dianalisis dalam incremental Area Under the Curve (iAUC). Hasil penelitian menunjukkan bahwa ada peningkatan yang signifikan nilai iAUC tingkat rasa lapar pada kelompok perlakuan dibandingkan dengan kontrol (p<0,05), dengan 8881±638,4 min.mm kelompok perlakuan dan 7297,8±439,6 min.mm kelompok kontrol. Tidak ada perbedaan yang signifikan pada tingkat kepuasan dan keinginan untuk makan antara kedua kelompok (p>0,05). Kadar glukosa postprandial pada kelompok perlakuan signifikan (p<0,05) lebih rendah dibandingkan dengan kelompok kontrol. Penelitian ini menyimpulkan bahwa intervensi susu tinggi protein kemungkinan dapat meningkatkan tingkat rasa lapar pada orang dewasa dengan berat badan kurang

Treatment Fidelity Procedures for an Aphasia Intervention Within a Randomized Controlled Trial: Design, Feasibility, and Results

2020 ◽  
Vol 29 (1S) ◽  
pp. 412-424
Author(s):  
Elissa L. Conlon ◽  
Emily J. Braun ◽  
Edna M. Babbitt ◽  
Leora R. Cherney
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Treatment Protocol ◽  
Treatment Fidelity ◽  
Protocol Adherence ◽  
Study Condition ◽  
Randomized Controlled ◽  
Aphasia Therapy ◽  
Percent Accuracy ◽  
Over Time

Purpose This study reports on the treatment fidelity procedures implemented during a 5-year randomized controlled trial comparing intensive and distributed comprehensive aphasia therapy. Specifically, the results of 1 treatment, verb network strengthening treatment (VNeST), are examined. Method Eight participants were recruited for each of 7 consecutive cohorts for a total of 56 participants. Participants completed 60 hr of aphasia therapy, including 15 hr of VNeST. Two experienced speech-language pathologists delivered the treatment. To promote treatment fidelity, the study team developed a detailed manual of procedures and fidelity checklists, completed role plays to standardize treatment administration, and video-recorded all treatment sessions for review. To assess protocol adherence during treatment delivery, trained research assistants not involved in the treatment reviewed video recordings of a subset of randomly selected VNeST treatment sessions and completed the fidelity checklists. This process was completed for 32 participants representing 2 early cohorts and 2 later cohorts, which allowed for measurement of protocol adherence over time. Percent accuracy of protocol adherence was calculated across clinicians, cohorts, and study condition (intensive vs. distributed therapy). Results The fidelity procedures were sufficient to promote and verify a high level of adherence to the treatment protocol across clinicians, cohorts, and study condition. Conclusion Treatment fidelity strategies and monitoring are feasible when incorporated into the study design. Treatment fidelity monitoring should be completed at regular intervals during the course of a study to ensure that high levels of protocol adherence are maintained over time and across conditions.

Phonomotor Versus Semantic Feature Analysis Treatment for Anomia in 58 Persons With Aphasia: A Randomized Controlled Trial

2019 ◽  
Vol 62 (12) ◽  
pp. 4464-4482 ◽  
Author(s):  
Diane L. Kendall ◽  
Megan Oelke Moldestad ◽  
Wesley Allen ◽  
Janaki Torrence ◽  
Stephen E. Nadeau
Keyword(s):  
Randomized Controlled Trial ◽  
Response Latency ◽  
Controlled Trial ◽  
Semantic Knowledge ◽  
Semantic Feature ◽  
Feature Analysis ◽  
Group Differences ◽  
Randomized Controlled ◽  
Confrontation Naming ◽  
Semantic Feature Analysis

Purpose The ultimate goal of anomia treatment should be to achieve gains in exemplars trained in the therapy session, as well as generalization to untrained exemplars and contexts. The purpose of this study was to test the efficacy of phonomotor treatment, a treatment focusing on enhancement of phonological sequence knowledge, against semantic feature analysis (SFA), a lexical-semantic therapy that focuses on enhancement of semantic knowledge and is well known and commonly used to treat anomia in aphasia. Method In a between-groups randomized controlled trial, 58 persons with aphasia characterized by anomia and phonological dysfunction were randomized to receive 56–60 hr of intensively delivered treatment over 6 weeks with testing pretreatment, posttreatment, and 3 months posttreatment termination. Results There was no significant between-groups difference on the primary outcome measure (untrained nouns phonologically and semantically unrelated to each treatment) at 3 months posttreatment. Significant within-group immediately posttreatment acquisition effects for confrontation naming and response latency were observed for both groups. Treatment-specific generalization effects for confrontation naming were observed for both groups immediately and 3 months posttreatment; a significant decrease in response latency was observed at both time points for the SFA group only. Finally, significant within-group differences on the Comprehensive Aphasia Test–Disability Questionnaire ( Swinburn, Porter, & Howard, 2004 ) were observed both immediately and 3 months posttreatment for the SFA group, and significant within-group differences on the Functional Outcome Questionnaire ( Glueckauf et al., 2003 ) were found for both treatment groups 3 months posttreatment. Discussion Our results are consistent with those of prior studies that have shown that SFA treatment and phonomotor treatment generalize to untrained words that share features (semantic or phonological sequence, respectively) with the training set. However, they show that there is no significant generalization to untrained words that do not share semantic features or phonological sequence features.

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