scholarly journals Does Postoperative Delirium Limit the Use of Patient-controlled Analgesia in Older Surgical Patients?

2009 ◽  
Vol 111 (3) ◽  
pp. 625-631 ◽  
Author(s):  
Jacqueline M. Leung ◽  
Laura P. Sands ◽  
Sudeshna Paul ◽  
Tim Joseph ◽  
Sakura Kinjo ◽  
...  
Keyword(s):  
Structural Equation Model ◽  
Visual Analog Scale ◽  
Structural Equation ◽  
Postoperative Delirium ◽  
Assessment Method ◽  
Equation Model ◽  
Opioid Use ◽  
Patient Controlled Analgesia ◽  
Analog Scale ◽  
Scale Scores

Unlabelled BACKGROUNDPostoperative pain Is an independent predictor of postoperative delirium. Whether postoperative delirium limits patient-controlled analgesia (PCA) use has not been determined. Methods The authors conducted a nested cohort study in older patients undergoing noncardiac surgery and used PCA for postoperative analgesia. Delirium was measured by using the Confusion Assessment Method. The authors computed a structural equation model to determine the effects of pain and opioid consumption on delirium status and the effect of delirium on opioid use. Results Of 335 patients, 108 (32.2%) developed delirium on postoperative day (POD) 1, and 120 (35.8%) on POD 2. Postoperative delirium did not limit the use of PCA. Patients with postoperative delirium used more PCA in a 24-h period (POD 2) compared to those without delirium (mean dose of hydromorphone +/- SE adjusted for covariates was 2.24 +/- 0.71 mg vs. 1.25 +/- 0.67 mg, P = 0.02). Despite more opioid use, patients with delirium reported higher Visual Analogue Scale scores than those without delirium (POD 1: mean visual analog scale +/- SE at rest 4.2 +/- 0.23 vs. 3.3 +/- 0.22, P = 0.0051; POD 2: 3.3 +/- 0.23 vs. 2.5 +/- 0.19, P = 0.004). Path coefficients from structural equation model revealed that pain and opioid use affect delirium status, but delirium does not affect subsequent opioid dose. Conclusions Postoperative delirium did not limit PCA use. Despite more opioid use, visual analog scale scores were higher in patients with delirium. Future studies on delirium should consider the role of pain and pain management as potential etiologic factors.

scholarly journals AN EXAMINATION OF THE CORRELATION BETWEEN SCIENCE AND TECHNOLOGY ATTITUDES SCALE, FREQUENCY OF SMARTPHONE USAGE SCALE AND LIFELONG LEARNING SCALE SCORES USING THE STRUCTURAL EQUATION MODEL

2017 ◽  
Vol 16 (1) ◽  
pp. 86-99
Author(s):  
Hakan Kör ◽  
Hasan Erbay ◽  
Melih Engin ◽  
Emre Dünder
Keyword(s):  
Lifelong Learning ◽  
Structural Equation Model ◽  
Structural Equation ◽  
Equation Model ◽  
Demographic Characteristics ◽  
Learning Technology ◽  
Digital Competence ◽  
Scale Scores ◽  
Technology Attitudes ◽  
Students Attitudes

Lifelong learning can be defined as all of the activities which aim to develop an individual’s skills, knowledge and abilities, socially, individually and professionally. Previous research on lifelong learning has been about using computers, digital competence and the correlation between demographic characteristics and intelligence. However, only one scale was used in this research, and, in general, only scores for demographic characteristics and lifelong learning were compared. In this research, the correlation between distance-learning students’ attitudes to technology, their frequency of use of smartphones and their attitudes to lifelong learning were examined. Reliability studies were carried out prior to the study and the Turkish adaptations of the scales published in international journals were administered with permission. The study sample consisted of 881 students studying in 12 different units of Hitit University: six Vocational Schools, four Faculties and two Graduate Schools. The data were analysed by creating a structural equation model on the open source R analysis program. According to the research results, there was a significant correlation between the three scales, and the correlation between the ‘lifelong learning’ scores and the ‘frequency of of smartphone usage’ scores was greater than the ‘technology attitudes’ scores. Key words: lifelong learning, technology attitudes, smartphone usage, technology leadership.

Violence Exposure in Early Childhood: A Structural Equation Model

2007 ◽  
Author(s):  
Nathan D. Doty ◽  
Brian L. B. Willoughby ◽  
Betty S. Lai ◽  
Neena M. Malik
Keyword(s):  
Early Childhood ◽  
Structural Equation Model ◽  
Violence Exposure ◽  
Structural Equation ◽  
Equation Model

Memperkuat Loyalitas Melalui Kepercayaan, Kepuasan Dan Komitmen Studi Pada Nasabah PT. Bank Cimb Niaga

Liquidity ◽  
2018 ◽  
Vol 4 (1) ◽  
pp. 43-52 ◽  
Author(s):  
Sri Widyastuti
Keyword(s):  
Customer Satisfaction ◽  
Relationship Quality ◽  
Structural Equation Model ◽  
Customer Loyalty ◽  
Structural Equation ◽  
Positive Influence ◽  
Equation Model ◽  
Survey Method ◽  
Branch Office

Customer loyalty is ‘suspected’not been able to optimizationrepetition of transactions, customer recommendation and durability with the establishment relationship quality of the trust, customer satisfaction and commitment. Therefore, research conducted on Bank CIMB Niaga aims to determine the extent of the trust, and commitment to customer satisfaction can increase X-tra and TabunganKU savings customer loyalty. This research is verification and the method of research is explanatory survey method, the sample is 160 customer X-tra and tabunganKU savings in the branch office Bank CIMB Niaga Bintaro. The analytical method used is structural equation model. The results showed loyalty can be achieved with relationship quality for customers through the establishment of trust, and commitment to customer satisfaction, which all three have a positive influence. Therefore, the management of Bank CIMB Niaga need to improve their ability in trust, satisfactionand commitmentwith the bank's customers to become increasingly favored customers.

MENGUKUR TINGKAT KEPUASAN PENGGUNA E-LEARNING (UIN RADEN FATAH PALEMBANG)

2020 ◽  
Vol 5 (01) ◽  
pp. 79-86
Author(s):  
Muhamad Son Muarie ◽  
Fathiyah Nopriani
Keyword(s):  
Structural Equation Model ◽  
Structural Equation ◽  
Equation Model ◽  
E Learning

E-learning adalah mediator yang menghubungkan sumber daya informasi dan layanan pengguna yang dapat diakses dari mana saja dan kapan saja. Penelitian ini bertujuan untuk mengetahui seberapa besar pengaruh komponen Kepuasan Komputasi Pengguna Akhir (konten, akurasi, bentuk, kemudahan penggunaan, dan ketepatan waktu) terhadap kepuasan penggunaan   E-learning di Universitas Islam Negeri Raden Fatah Palembang. Mengetahui tingkat kepuasan pengguna (siswa) dengan penerapan teknologi pendidikan, yaitu E-learning. Mengetahui faktor apa yang mempengaruhi kepuasan menggunakan E-learning. Sebagai dasar pertimbangan untuk meningkatkan atau meningkatkan kualitas layanan teknologi pendidikan, yaitu e-learning di Universitas Islam Negeri Raden Fatah di Palembang. Populasi dan sampel penelitian diambil di Universitas Islam Negeri Raden Fatah Palembang, yang telah menggunakan E-learning sebagai mediator informasi antara dosen dan mahasiswa. SEM (Structural Equation Model) adalah metode analisis multivariat yang dapat digunakan untuk menggambarkan hubungan simultan antara variabel linier antara indikator dan variabel yang tidak dapat diukur secara langsung (variabel laten).

Evaluating tourist behaviour in sport mega-events through a structural equation model

2017 ◽  
pp. 101-126 ◽  
Author(s):  
Marcello Risitano ◽  
Rosaria Romano ◽  
Annarita Sorrentino ◽  
Michele Quintano
Keyword(s):  
Structural Equation Model ◽  
Structural Equation ◽  
Equation Model ◽  
Mega Events ◽  
Tourist Behaviour

Pengaruh E-Service Quality terhadap Customer Satisfaction dan Loyalty pada Pengguna Gopay di Indonesia

2020 ◽  
Vol 4 (2) ◽  
pp. 11
Author(s):  
Miranda Berliana ◽  
Dinda Amanda Zulestiana
Keyword(s):  
Customer Satisfaction ◽  
Service Quality ◽  
Structural Equation Model ◽  
Customer Loyalty ◽  
Structural Equation ◽  
Equation Model

Abstrak: Pada era modern saat ini kemajuan teknologi semakin berkembang pesat dan membawa kita kepada arah basis digital dan mobile. Fenomena tersebut dimanfaatkan oleh industri perbankan untuk berinovasi dalam hal pembayaran secara elektronik yang biasa kita sebut dengan e-money. Uang elektronik muncul dipicu dengan adanya tuntutan dari masyarakat saat ini. Sistem pembayaran yang ada saat ini dituntut untuk dapat melayani setiap kebutuhan masyarakat dalam pemindahan dana dengan efektif dan efisien. Salah satu inovasi yang diluncurkan saat ini adalah Gopay, metode pembayaran berbasis server yang dikeluarkan oleh Gojek Indonesia. Penelitian ini memiliki tujuan yaitu menentukan efek e-service quality pada customer satisfaction dan customer loyalty pelanggan Gopay di Indonesia. Kuesioner dikumpulkan secara online dengan menggunakan google form sebanyak 400 responden. Pengolahan data menggunakan Structural Equation Model (SEM) dengan menggunakan bantuan program AMOS 24. Berdasarkan hasil penelitian ditemukan bahwa e-service quality memiliki pengaruh positif terhadap customer satisfaction, yang dimana customer satisfaction sendiri memiliki pengaruh yang positif terhadap customer loyalty, namun ditemukannya ketidak pengaruhan yang positif bagi e-service quality terhadap customer loyalty.

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