scholarly journals Effectiveness of auriculotherapy on anxiety during labor: a randomized clinical trial

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Reginaldo Roque Mafetoni ◽  
Mariana Haddad Rodrigues ◽  
Lia Maristela da Silva Jacob ◽  
Antonieta Keiko Kakuda Shimo
Keyword(s):  
Clinical Trial ◽  
Rating Scale ◽  
Routine Care ◽  
Chi Square ◽  
Significant Difference ◽  
Control Versus ◽  
Hamilton Anxiety Rating Scale ◽  
And Control ◽  
To Receive ◽  
Labor Method

ABSTRACT Objective: to evaluate the effectiveness of auriculotherapy on the anxiety of women during labor. Method: this is a randomized, parallel, triple-blind clinical trial. 102 parturients with gestational age ≥ 37 weeks, cervical dilatation ≥ 4 cm and two or more contractions in 10 min were selected and randomly assigned into three groups to receive auriculotherapy, placebo or control (routine care). Auriculotherapy was applied with crystal microspheres to the shenmen, uterus, neurasthenia area and endocrine points, and anxiety was assessed by the Hamilton Anxiety Rating Scale (HAM-A). Analyzes were performed using the Kruskal-Wallis, Generalized estimating equations, Chi-square and Fisher’s exact tests. Results: the groups showed no significant difference at baseline according to the HAM-A. After the intervention there was a significant increase in HAM-A scores at 120 min in the placebo versus auriculotherapy group (mean difference (MD) 3.62, confidence interval (CI) 0.42-6.81, p=0.0265) and control versus auriculotherapy group (MD 4.88, CI 1.87-7.88, p=0.0015). Conclusion: the parturients with auriculotherapy presented lower levels of anxiety according to the HAM-A score after the treatment when compared to the women from the other groups; this can represent alternative care in obstetric practice. Registration: n. RBR-47hhbj.

scholarly journals Influence of Therapeutic Play on the anxiety of hospitalized school-age children: Clinical trial

2017 ◽  
Vol 70 (6) ◽  
pp. 1244-1249 ◽  
Author(s):  
Sabrina Gisele Tobias da Silva ◽  
Maiara Aurichio Santos ◽  
Claudia Maria de Freitas Floriano ◽  
Elaine Buchhorn Cintra Damião ◽  
Fernanda Vieira de Campos ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Statistical Significance ◽  
School Age Children ◽  
Control Group ◽  
School Age ◽  
Chi Square ◽  
Number Of Children ◽  
Significant Difference ◽  
Therapeutic Play ◽  
And Control

ABSTRACT Objective: To evaluate the effects of Dramatic Therapeutic Play (DTP) technique on the degree of anxiety in hospitalized school-age children. Method: Randomized clinical trial performed in two hospitals ofSão Paulo, between May and October 2015. The intervention consisted of the application of DTP and the outcome was evaluated through the Child Drawing: Hospital (CD: H) instrument. The Wilcoxon-Mann Whitney, Corrected t, Fisher’s exact and Chi-square tests were used in the analysis. Statistical significance was set at 5%. Results: In all, 28 children participated in the study. The majority of children (75%) had a low anxiety score, with a mean CD: H score of 73.9 and 69.4 in the intervention and control groups respectively, and with no significant difference. Conclusion: Children submitted to DTP had the same degree of anxiety as those in the control group. However, it is suggested that new studies be performed with a larger number of children in different hospitalization scenarios.

scholarly journals Effects of Singing Songs about Preoperative Care for Tonsillectomy on the Anxiety of Children Undergoing Tonsillectomy

2019 ◽  
pp. 17-20
Author(s):  
Mohebbi Kharrati ◽  
Sadat Hoseini Akram Sadat ◽  
Pour Abouli Batol ◽  
Kazemnejad
Keyword(s):  
Rating Scale ◽  
Scientific Evidence ◽  
Intervention Group ◽  
Routine Care ◽  
Preoperative Care ◽  
Operative Procedures ◽  
Chi Square ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Children’S Anxiety

Introduction: Surgery creates anxiety for children, whose control and reduction are among the objectives of nursing care. Nurses have always sought scientific evidence for the use of innovative techniques appropriate for the level of understanding, recognition, and need of children, such as the use of poetry to reduce children's anxiety. Therefore, the present study aimed to investigate the effects singing songs about preoperative care for tonsillectomy on the anxiety of children undergoing tonsillectomy. Method: This quasi-experimental non-random study recruited 76 children aged 7-12 years old presenting to the hospital for tonsillectomy were selected with a convenience sampling method. In addition to the routine care, some songs were sung to children in the intervention group about pre- and post-operative procedures before, on the day of, and after the surgery. Hamilton Anxiety Rating Scale (HAM-A) was filled out before and after the surgery and on the day of discharge in the intervention and control groups in order to measure children's anxiety. Data were analyzed in SPSS software using Chi-square, Mann-Whitney, and Fisher’s exact tests. Results: The results showed that the mean and standard deviation of anxiety in both groups (control=19.57 ± 3.65; intervention=19.78 ± 4.87) were not significantly different before the intervention (P=0.48), while a significant difference (P<0.001) was observed on the day of surgery between the two groups (control=34.28 ± 5.68; intervention=26.97 ± 4.6). Conclusion: Nurses can sing songs about pre- and post-operative procedures as an easy, inexpensive way appropriate for children’s level of development to reduce their anxiety. Furthermore, the family’s engagement in pre-operative training in an innovative manner can be a step forward in the development of family-based care.

scholarly journals Efficacy of Lignocaine in Gel and Spray form during Buccal Infiltration Anesthesia in Children: A Randomized Clinical Trial

2014 ◽  
Vol 15 (6) ◽  
pp. 750-754 ◽  
Author(s):  
Anshul Sharma ◽  
BS Suprabha
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Rating Scale ◽  
Permanent Teeth ◽  
Chi Square ◽  
Topical Anesthetic ◽  
Significant Difference ◽  
Spray Form ◽  
Buccal Infiltration ◽  
Infiltration Anesthesia

ABSTRACT Aim To compare the efficacy of 15% lignocaine spray and 8% lignocaine gel as a topical anesthetic, in reducing pain, during buccal infiltration in children. Materials and methods Forty-two patients aged between 7 and 12 years requiring restorative procedures/extraction/pulp therapy of primary/ permanent teeth in the maxillary arch, under buccal infiltration anesthesia were selected for the study. The participants were randomly allocated into 2 groups of 21 each. In group A, 8% lignocaine gel and in group B, 15% lignocaine spray was applied prior to buccal infiltration. Pain was assessed using Wong-Baker faces pain rating scale (WBFPRS) and faces legs activity cry and consolability (FLACC) painscale. Results Pearson's chi-square test revealed that there was no significant difference in the FLACC scores of the two groups (p = 0.54). Independent t-test demonstrated that there was no significant difference in Wong-Bakers faces pain score between the two agents (p = 0.07). Conclusion There is no significant difference in the efficacy of 15% lignocaine spray and 8% lignocaine gel as a topical anesthetic in controlling pain during buccal infiltration anesthesia, in children. How to cite this article Sharma A, Suprabha BS, Shenoy R, Rao A. Efficacy of Lignocaine in Gel and Spray form during Buccal Infiltration Anesthesia in Children: A Randomized Clinical Trial. J Contemp Dent Pract 2014;15(6):750-754.

scholarly journals The Effect of Valerian and Ginger on Dysmenorrhea: A Randomized Clinical Trial

2018 ◽  
Vol 8 (1) ◽  
pp. 101-105
Author(s):  
Masoumeh Davood Abadi ◽  
Katayon Vakilian ◽  
Nafiseh Seyyed Zadeh Aghdam ◽  
Mehdi Ranjbaran
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Chi Square ◽  
Significance Level ◽  
Young Females ◽  
Analgesic Effects ◽  
Significant Difference ◽  
The Mean ◽  
And Control ◽  
Analgesic Use

Objectives: Dysmenorrhea is a frequent complaint in young females. In recent years, researchers have grown an interest in the use of herbal drugs to decrease menstrual pain given the side effects of chemical drugs. This project was conducted to evaluate the effect of valerian and ginger on the duration of pain and analgesic use in dysmenorrhea. Materials and Methods: This triple-blind randomized clinical trial was performed on 210 dormitory females who were randomly divided into valerian, ginger, and control groups after opening an envelope. In this study, 250 and 350 mg of ginger and valerian in each capsule were administered, respectively, and 250 mg sugar was used as a placebo. The number of days with pain and analgesic use were evaluated as well. Finally, descriptive (percentage and mean) and inferential (t test, post hoc, and chi-square at a significance level of 0.05) statistics were used to analyze the data. Results: The results of the study showed a marginally significant difference in the duration of pain between ginger (1.61±0.64 days) and control (2.12±0.81 days) groups (P=0.052), and significant difference between ginger (1.61±0.64 days) and valerian (2.53±1.43 days) groups (P=0.001). The mean days of analgesic use among the three groups were not different significantly (P>0.05). However, the mean severity of symptoms significantly differed between ginger (0.73±0.28) and control (0.3±0.04) groups and increased in the ginger group (P=0.003). Conclusions: In general, the administration of valerian and ginger at the doses used in this study failed to produce desirable analgesic effects and thus could not decrease the symptoms associated with dysmenorrhea

scholarly journals Open Randomized Clinical Trial on JWSJZ Decoction for the Treatment of ALS Patients

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Weidong Pan ◽  
Xiaojing Su ◽  
Jie Bao ◽  
Jun Wang ◽  
Jin Zhu ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Amyotrophic Lateral Sclerosis ◽  
Rating Scale ◽  
Control Group ◽  
Efficacy And Safety ◽  
Significant Difference ◽  
Als Patients ◽  
And Control ◽  
Lateral Sclerosis ◽  
Basic Treatment

Objective. To investigate the efficacy and safety of the traditional Chinese medicine Jiawei Sijunzi (JWSJZ) decoction for the treatment of patients with amyotrophic lateral sclerosis (ALS).Methods. Forty-eight patients with ALS were divided into a JWSJZ group (n=24) and a control group (n=24) using a randomized number method. Together with the basic treatment for ALS, JWSJZ decoction was added to the treatment regimen of patients in the JWSJZ group or Riluzole was administered to the control group for 6 months. Neurologists evaluated the treated and control patients using the ALS functional rating scale (ALSFRS) before, 3 and 6 months after starting the additional treatments.Results. The ALSFRS scores in both groups were lower 3 and 6 months after treatment than before. There was a significant difference at 6 months after treatment between the subgroups of patients with ALS whose limbs were the initial site of attack. No serious adverse effects were observed in the JWSJZ group.Conclusion. JWSJZ decoction may be a safe treatment for ALS, and may have delayed the development of ALS, especially in the subgroup of patients in whom the limbs were attacked first when compared with Riluzole treatment.

Comparison the Effect of Organized education by Group discussion and film screening on Anxiety and Contrast-induced nephropathy in Coronary catheterization Patients; A Randomized Clinical Trial

2021 ◽  
Author(s):  
Majid Nastaran ◽  
Nahid Aghebati ◽  
Homa FalSoleiman ◽  
Habibollah Esmaily ◽  
Hossein Jeddi
Keyword(s):  
Clinical Trial ◽  
Serum Creatinine ◽  
Randomized Clinical Trial ◽  
Cardiac Catheterization ◽  
Group Discussion ◽  
Contrast Induced Nephropathy ◽  
Chi Square ◽  
Coronary Catheterization ◽  
Significant Difference ◽  
And Control

Abstract Background: Anxiety is one of the most prevalent psychological complications in patients undergoing cardiac catheterization that can be effective on the patients' understanding to do self-care to prevent some complications such as contrast induced nephropathy. The aim of this study was to compare the effect of education by group discussion with videotape on anxiety and contrast induced nephropathy of Coronary catheterization patients. Method: A randomized clinical trial was implemented with 213 patients in three groups at Javad-Al-Aemeh Hospital, Mashhad, Iran, during February to September 2018. An organized educational program was first developed based on an integrative review. The patients were randomly allocated to three groups: group discussion (n=71), film (n=73) and control (n=69) using randomized time blocks. Anxiety was assessed using Spiel Berger Inventory before and 1 hour after the education, before transferring to Cat Lab. The serum creatinine was assessed on arrival, 24 and 72 hours after the procedure. The data were analyzed using ANOVA, Tukey, repeated ANOVA, paired t test and chi square tests by SPSS16. Results: There was no significant difference in mean anxiety between groups before the intervention (P= 0.64), but the anxiety in the videotape group and group discussion decreased significantly after the intervention (p<0.001). There wasn't any significant clinical increase in serum creatinine in all three groups after 72 hours.Conclusion: Using Group discussion and film screening can be recommended to the community nurses to reduce the cardiac catheterization candidate patient's anxiety and prevent contrast-induced nephropathy.The present study was registered in the Iranian Registry of Clinical Trials with a code of IRCT2016022626776N1.Registration date in IRCT : 2017-07-23, 1396/05/01https://www.irct.ir/trial/22094

Embitterment in war veterans with posttraumatic stress disorder (PTSD)

2017 ◽  
Vol 41 (S1) ◽  
pp. S359-S360 ◽  
Author(s):  
D. Sabic ◽  
A. Sabic
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Health Center ◽  
Rating Scale ◽  
Stress Disorder ◽  
World Health ◽  
Control Group ◽  
War Veterans ◽  
Significant Difference ◽  
And Control

The aim of this study was to analyse frequency of embitterment in war veterans with Posttraumatic stress disorder (PTSD) as well as the potential impact of embitterment on the development of chronic PTSD.Patients and methodsIt was analyzed 174 subjects (from Health Center Zivinice/mental health center) through a survey conducted in the period from March 2015 to June 2016, of which 87 war veterans with PTSD and control subjects 87 war veterans without PTSD. The primary outcome measure was the post-traumatic embitterment disorder self-rating scale (PTED Scale) who contains 19 items designed to assess features of embitterment reactions to negative life events. Secondary efficacy measures included the clinician-administered PTSD scale–V (CAPS), the PTSD checklist (PCL), the combat exposure scale (CES), the Hamilton depression rating scale (HAM-D), the Hamilton anxiety rating scale (HAM-A) and the World health organization quality of life scale (WHOQOL-Bref). All subjects were male. The average age of patients in the group war veterans with PTSD was 52.78 ± 5.99. In the control group, average age was 51.42 ± 5.98. Statistical data were analyzed in SPSS statistical program.ResultsComparing the results, t-tests revealed significant difference between group veterans with PTSD and control group (t = −21,21, P < 0.0001). War veterans group with PTSD (X = 51.41, SD = 8,91), control group (X = 14.39, SD = 13.61).ConclusionEmbitterment is frequent in war veterans with PTSD.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Effectiveness of duloxetine on severity of pain and quality of life in chronic low back pain in patients who had posterior spinal fixation

2021 ◽  
pp. 221049172098333
Author(s):  
Arezoo Samadi ◽  
Razieh Salehian ◽  
Danial Kiani ◽  
Atefeh Ghanbari Jolfaei
Keyword(s):  
Quality Of Life ◽  
Back Pain ◽  
Rating Scale ◽  
Low Back ◽  
Spinal Fixation ◽  
Post Intervention ◽  
Significant Difference ◽  
Hamilton Anxiety Rating Scale ◽  
Hamilton Anxiety

Background: In this study, we want to search the effectiveness of Duloxetine on the severity of pain and quality of life in patients with chronic low back pain who had posterior spinal fixation. Methods: In this randomized, placebo-controlled trial done in 6 months 50 patients who had CLBP and were candidates for PSF surgery selected and divided into two groups (drug and placebo). They filled the VAS, SF-36, and Hamilton questionnaires before surgery and after 6 weeks from using 30 mg of duloxetine or placebo. Results: Significant differences were evidenced among groups for the Visual Analogue Scale (P = 0.005) and Verbal Analogue Scale (p = 0.003). Patients in the Duloxetine group have more visual and verbal pain scores than the placebo group. In the quality of life, there was a significant difference between the two groups before the intervention. Also, significant differences were evidenced among groups for the Hamilton Anxiety Rating Scale (p = 0.17). After the intervention, only the Hamilton Anxiety Rating Scale (p = 0.001) and ‘bodily pain’ and ‘general health’ subscales of quality of life (p = 0.008, 0.004, respectively) have a significant difference between the two groups. There was a significant difference between pre and post-intervention in the Hamilton Anxiety Rating Scale only in the duloxetine group. Also, in terms of quality of life, the subscales of ‘physical role’, ‘emotional role’, ‘physical pain’ and ‘total score of quality of life’ in the duloxetine and placebo groups were significantly different between pre and post-intervention. However, the subscales of ‘physical function’ and ‘general health’ were significantly different only in the duloxetine group between pre and post-intervention. Conclusion: The results suggest that the use of duloxetine in patients who had spinal surgery can help to better control back pain, on the other hand, it can cause a better psychological condition that affects the quality of life.

Dance Rhythms Improve Motor Symptoms in Individuals with Parkinson’s Disease: A Randomized Clinical Trial

2021 ◽  
Author(s):  
Jéssica A. Moratelli ◽  
Kettlyn H. Alexandre ◽  
Leonessa Boing ◽  
Alessandra Swarowsky ◽  
Clynton L. Corrêa ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Clinical Trial ◽  
Parkinson's Disease ◽  
Randomized Clinical Trial ◽  
Rating Scale ◽  
Freezing Of Gait ◽  
Motor Symptoms ◽  
Score Change ◽  
Significant Difference ◽  
Binary Group

Background: Evidence-based practices involving dance modalities found in binary (two-beat rhythm) or quaternary (four-beat rhythm) show that dance positively influences the motor aspects of disease.Aim: This randomized clinical trial aimed to analyze the effect of two dance rhythm (binary and quaternary) on the balance, gait, and mobility in individuals with Parkinson’s disease (PD). Methods: Thirty-one individuals with PD were randomized into the binary group (n = 18) and the quaternary group (n = 13). Both groups participated in different dance rhythms lasting 12 weeks, twice a week, for 45 minutes. Results: The binary group showed a significant difference in balance (p = 0.003), freezing of gait (p = 0.007), as well as in the motor aspects of MDS-Unified Parkinson’s Disease Rating Scale (MDS-UPDRS), with emphasis on the total values with a score change of 3.23. In the quaternary group, significant differences were found in balance (p = 0.021) with a score change of -2.54 and in the motor aspects of the MDS-UPDRS Part III where the total values stood out with a change of 3.54. Discussion: When comparing the possible effects of binary and quaternary rhythms on the motor symptoms of individuals with PD, it was demonstrated that binary rhythm improved balance, freezing gait, and UPDRSIII. As for the quaternary rhythm, the benefits were in balance and the UPDRSIII. Conclusion: The binary and the quaternary rhythm dance protocols positively influenced the motor symptoms of individuals with PD after 12 weeks of intervention.

Solumedrol Treatment for Severe Sepsis in Humans with a Blunted Adrenocorticotropic Hormone-Cortisol Response: A Prospective Randomized Double-Blind Placebo-Controlled Pilot Clinical Trial

2021 ◽  
pp. 088506662110388
Author(s):  
Divya Birudaraju ◽  
Sajad Hamal ◽  
John A. Tayek
Keyword(s):  
Blood Pressure ◽  
Clinical Trial ◽  
Adrenocorticotropic Hormone ◽  
Serum Cortisol ◽  
High Dose ◽  
Cortisol Response ◽  
Acth Stimulation ◽  
Double Blind ◽  
Significant Difference ◽  
To Receive

Purpose To test the benefits of Solumedrol treatment in sepsis patients with a blunted adrenocorticotropic hormone (ACTH)-cortisol response (delta <13 µg/dL) with regard to the number of days on ventilator, days on intravenous blood pressure support, length of time in an intensive care unit (ICU), 14-day mortality, and 28-day mortality. The trial was prospective, randomized, and double-blind. As part of a larger sepsis trial, 54 patients with sepsis had an intravenous ACTH stimulation test using 250 µg of ACTH, and serum cortisol was measured at times 0, 30, and 60 min. Eleven patients failed to increase their cortisol concentration above 19.9 µg/dL and were excluded from the clinical trial as they were considered to have adrenal insufficiency. The remaining 43 patients had a baseline cortisol of 32 ± 1 µg/dL increased to 38 ± 3 µg/dL at 30 min and 40 ± 3 at 60 min. All cortisol responses were <12.9 µg/dL between time 0 and time 60, which is defined as a blunted cortisol response to intravenous ACTH administration. Twenty-one were randomized to receive 20 mg of intravenous Solumedrol and 22 were randomized to receive a matching placebo every 8 h for 7-days. There was no significant difference between the two randomized groups. Data analysis was carried out bya two-tailed test and P < .05 as significant. Results Results: The mean age was 51 ± 2 (mean ± SEM) with 61% female. Groups were well matched with regard to APACHE III score in Solumedrol versus placebo (59 ± 6 vs 59 ± 6), white blood cell count (18.8 ± 2.2 vs 18.6 ± 2.6), and incidence of bacteremia (29 vs 39%). The 28-day mortality rate was reduced in the Solumedrol treated arm (43 ± 11 vs 73 ± 10%; P < .05). There was no change in days in ICU, days on blood pressure agents, or days on ventilator. Seven days of high-dose intravenous Solumedrol treatment (20 mg every 8 h) in patients with a blunted cortisol response to ACTH was associated with an improved 28-day survival. This small study suggests that an inability to increase endogenous cortisol production in patients with sepsis who are then provided steroid treatment could improve survival.

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