scholarly journals THE EFFECTS OF SPIRITUAL COUNSELING ON THE ANXIETY LEVEL OF PATIENT’S FAMILY AT THE INTENSIVE CARE UNIT (ICU) OF dr. DRADJAT PRAWIRANEGARA HOSPITAL IN SERANG, BANTEN PROVINCE, INDONESIA

2018 ◽  
Vol 4 (4) ◽  
pp. 403-410
Author(s):  
Lukmanulhakim Lukmanulhakim ◽  
Delly Arfa Syukrowardi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Standard Deviation ◽  
Rating Scale ◽  
Anxiety Level ◽  
Significant Difference ◽  
The Family ◽  
Before And After ◽  
The Mean ◽  
Spiritual Counseling

Background: Critical nursing is a specific service in giving a holistic nursing service to fulfill human response to a life-threatening problem. A critical nurse can give a social support to patient’s family through assessment, counseling, and supporting group. Counseling is combination between high technology physical caring and emotional caring, which is needed by patients and the family. Spiritual counseling is a complementary medication preferred by the family of patient who is in acute and critical care.Objective: The study intends to identify the effects of spiritual counseling on the anxiety level of patient’s family at the ICU of dr. Dradjat Prawiranegara Hospital in Serang, Banten Province.Methods: The study is a pre-experimental research with one group pre-test and post-test design. The samples are 25 respondents who were selected by using consecutive sampling technique during one month (May to June 2016). The data of anxiety level were collected by using HAR-S (Hamilton Rating Scale for Anxiety) questionnaire. Then the data was analyzed by using parametrical t-test paired sample for the variable of anxiety before and after giving spiritual counseling. Meanwhile, the variable of respondent characteristics to anxiety was analyzed by using independent sample test.Results: The study finds that the mean of respondents’ anxiety level before spiritual counseling is 33.44 and the standard deviation is 5.213. Meanwhile, after conducting spiritual counseling, the mean is 18.60 and the standard deviation (SD) is 2.582. Bivariate analysis result shows a significant difference between anxiety level of patient’s family in ICU (Intensive Care Unit) before and after conducting spiritual counseling in which p value is 0.000, the mean is 14.840, and SD is 5.437.Conclusion: Nurses should be more capable in implementing the intervention of spiritual counseling to patient’s family. Spiritual counseling can give a positive alteration to the family emotional situation. It impacts on the decrease of patient’s family anxiety level. By the decrease of family anxiety level, the possibility of doing mistake in decision-making is expected to be avoided.

Coronary Care in a General Hospital

1971 ◽  
Vol 16 (3) ◽  
pp. 173-182 ◽  
Author(s):  
Gavin Shaw ◽  
Bernard Groden ◽  
Evelyn Hastings
Keyword(s):  
Myocardial Infarction ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
General Hospital ◽  
First Year ◽  
Duration Of Stay ◽  
Before And After ◽  
The Mean ◽  
Coronary Care ◽  
Made In

The establishment, staffing and structure and observations made in the first year of the existence of coronary care in an intensive care unit in a general hospital are recorded. Two hundred and twenty eight patients were admitted during the year in whom the diagnosis of myocardial infarction was confirmed. There were 29 deaths in the unit and 14 deaths occurred in the wards of the hospital after discharge from the unit. 49.1 per cent of the patients were admitted within 4 hours of the onset of symptoms and the mean duration of stay in the unit was 86.5 hours. The type of arrhythmia detected in the unit, and the treatment given to the patients both before and after admission to the intensive care unit are described.

scholarly journals Can the blood gas analyser results be believed? A prospective multicentre study comparing haemoglobin, sodium and potassium measurements by blood gas analysers and laboratory auto-analysers

2019 ◽  
Vol 47 (2) ◽  
pp. 120-127 ◽  
Author(s):  
Katherine E Triplett ◽  
Bradley A Wibrow ◽  
Richard Norman ◽  
Dana A Hince ◽  
Liesel E Hardy ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Point Of Care ◽  
Mean Difference ◽  
Full Blood Count ◽  
Blood Gas ◽  
Prospective Multicentre Study ◽  
Significant Difference ◽  
The Mean ◽  
Sodium And Potassium

Blood gas analysers are point-of-care testing devices used in the management of critically ill patients. Controversy remains over the agreement between the results obtained from blood gas analysers and laboratory auto-analysers for haematological and biochemistry parameters. We conducted a prospective analytical observational study in five intensive care units in Western Australia, in patients who had a full blood count (FBC), urea, electrolytes and creatinine (UEC), and a blood gas performed within 1 h of each other during the first 24 h of their intensive care unit admission. The main outcome measure was to determine the agreement in haemoglobin, sodium, and potassium results between laboratory haematology and biochemistry auto-analysers and blood gas analysers. A total of 219 paired tests were available for haemoglobin and sodium, and 215 for potassium. There was no statistically significant difference between the results of the blood gas and laboratory auto-analysers for haemoglobin (mean difference –0.35 g/L, 95% confidence interval (CI) –1.20 to 0.51, P = 0.425). Although the mean differences between the two methods were statistically significant for sodium (mean difference 1.49 mmol/L, 95% CI 1.23–1.76, P < 0.0001) and potassium (mean difference 0.19 mmol/L, 95% CI 0.15–0.24, P < 0.0001), the mean biases on the Bland–Altman plots were small and independent of the magnitude of the measurements. The two methods of measurement for haemoglobin, sodium and potassium agreed with each other under most clinical situations when their values were within or close to normal range suggesting that routine concurrent blood gas and formal laboratory testing for haemoglobin, sodium and potassium concentrations in the intensive care unit is unwarranted.

scholarly journals Tracheostomy in the coronavirus disease 2019 patient: evaluating feasibility, challenges and early outcomes of the 14-day guidance

2020 ◽  
Vol 134 (8) ◽  
pp. 688-695 ◽  
Author(s):  
N Glibbery ◽  
K Karamali ◽  
C Walker ◽  
I Fitzgerald O'Connor ◽  
B Fish ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Standard Deviation ◽  
Intensive Care Unit Discharge ◽  
Organ Support ◽  
Unit Discharge ◽  
Surgical Tracheostomy ◽  
Ventilatory Assistance ◽  
The Mean ◽  
Mean Time

AbstractObjectivesTo report feasibility, early outcomes and challenges of implementing a 14-day threshold for undertaking surgical tracheostomy in the critically ill coronavirus disease 2019 patient.MethodsTwenty-eight coronavirus disease 2019 patients underwent tracheostomy. Demographics, risk factors, ventilatory assistance, organ support and logistics were assessed.ResultsThe mean time from intubation to tracheostomy formation was 17.0 days (standard deviation = 4.4, range 8–26 days). Mean time to decannulation was 15.8 days (standard deviation = 9.4) and mean time to intensive care unit stepdown to a ward was 19.2 days (standard deviation = 6.8). The time from intubation to tracheostomy was strongly positively correlated with: duration of mechanical ventilation (r(23) = 0.66; p < 0.001), time from intubation to decannulation (r(23) = 0.66; p < 0.001) and time from intubation to intensive care unit discharge (r(23) = 0.71; p < 0.001).ConclusionPerforming a tracheostomy in coronavirus disease 2019 positive patients at 8–14 days following intubation is compatible with favourable outcomes. Multidisciplinary team input is crucial to patient selection.

scholarly journals Bedside Pulse Oximeters with a Clinical Algorithm Make Economic Sense in the Intensive Care Unit

1996 ◽  
Vol 3 (1) ◽  
pp. 47-51
Author(s):  
David J Leasa ◽  
Jacqueline M Walker
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pulse Oximeter ◽  
Cost Savings ◽  
Clinical Algorithm ◽  
Arterial Blood Gas ◽  
Arterial Blood ◽  
Before And After ◽  
The Mean ◽  
Pulse Oximeters

OBJECTIVE:To determine the effect on arterial blood gas (ABG) and hospital resource use by introducing a strategy of using bedside oximeters with a clinical algorithm, based on the argument that bedside pulse oximeters make economic sense in the intensive care unit (ICU) if safe patient oxygenation can be ensured at a lower cost than that of existing monitoring options.DESIGN:A before and after design was used to examine the consequences of a pulse oximeter at each bedside in the ICU along with a pulse oximeter clinical algorithm (POCA) describing use for titrating oxygen therapy and for performing ABG analysis.SETTING:A 19-bed multidisciplinary ICU with a six-bed extended ICU (EICU) available to function as a 'step-down' facility.PATIENTS:All patients admitted to the ICU/EICU over two 12-month periods were included.RESULTS:The strategy yielded a 31% reduction in the mean number of ABGs per patient after POCA (20.0±26.1 versus 13.8±16.7, mean ± SD; P<0.001) as well as a potential annual cost savings of $32,831.CONCLUSIONS:Bedside oximeters within the ICU, when used with explicit guidelines, reduce ABG use and result in hospital cost savings.

scholarly journals Retrospective Analysis of Brain Death Cases

2021 ◽  
Author(s):  
Özlem Özkan Kuşcu ◽  
Meltem Aktay
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Brain Death ◽  
Organ Donation ◽  
Death Time ◽  
The Family ◽  
The Mean ◽  
End Stage ◽  
Cadaveric Donors ◽  
Death Cases

Objective: Organ transplantation is important for patients with end-stage organ failure to survive. For this reason, detection of brain death cases and adequate number of donations are necessary. Methods: 31 cases diagnosed with brain death between 01.01.2018-01.01.2020 were evaluated retrospectively. Demographic characteristics, diagnoses causing brain death, time to detect brain death, additional tests applied for the diagnosis of brain death, time to diagnosis of brain death and cardiopulmonary arrest or donation, the proportion of families accepting organ donation, the proportion of donors, organ removed from donors the number and blood types of the cases were recorded Results: The number of cases diagnosed with brain death was 31, and the mean age of the cases was 46,71 (1-89) years. 71% (n=22) of the patients were admitted to the intensive care unit from the emergency department. The most common reason for admission to the intensive care unit 67.7% (n=21) was intracranial bleeding. While the family donation rate was 19% (n=5), three cases who accepted the donation could be donors. The mean age of the patients for whom organ donation was accepted was 35.80±11 years, while the mean age of the patients for whom organ donation was not accepted was 57.43±21.30 years (p=0.04). Conclusion: Due to the increasing number of end-stage organ failure patients awaiting transplantation, it is necessary to increase the number of cadaveric donors. Timely and sufficient detection of brain death cases, increasing the family donation rate and increasing the number of cadaveric donors will be contributed.

scholarly journals Effect of Classical Music on Physiological Characteristics and Observational and Behavioral Measures of Pain in Unconscious Patients Admitted to Intensive Care Units

2021 ◽  
Vol 10 (4) ◽  
pp. 368-379
Author(s):  
Abolfazl Rahgoi ◽  
◽  
Shahla Mohammadzadeh Zarankesh ◽  
Sedeigheh Sadat Kasaeizadeghan ◽  
Mehran Naghibeiranvand ◽  
...  
Keyword(s):  
Intensive Care ◽  
Classical Music ◽  
Intervention Group ◽  
Physiological Characteristics ◽  
Behavioral Measures ◽  
Significant Difference ◽  
Before And After ◽  
The Mean ◽  
Unconscious Patients ◽  
And Control

Objective: Assessment and management of pain in patients under artificial respiration and hospitalized in Intensive Care Units (ICUs) are difficult, and is less considered by physicians and nurses. This study aims to determine the effect of classical music on physiological characteristics, and observational and behavioral measures of pain in unconscious patients admitted to ICUs. Methods: This is a quasi-experimental study conducted in 2019 on 30 unconscious patients admitted to ICU of Shohadaye Haft-e-Tir Hospital in Tehran, Iran, who were selected using a convenience sampling method, and divided into two groups of intervention and control. After obtaining a written informed consent from patients to participate, they completed a demographic/physiological form, Critical Care Pain Observation Tool (COPT) and Behavioral Pain Scale (BPC). Collected data were analyzed in SPSS V. 22 software by using descriptive and inferential statistics. Results: The Mean±SD age of patients in the intervention and control groups was 40.33±14.01 and 46±15.70 years, respectively. Comparison of physiological characteristics before and after the intervention showed no statistically significant difference in any groups except in Glasgow Coma Scale score (P<0.05). The mean pretest and posttest COPT scores in the intervention group were 3.73±0.94 and 1.96±1.32, respectively, and their mean pretest and posttest BPC scores were 5.94±1.39 and 4.22±1.08, respectively. Comparing the mean COPT and BPC scores before and after music therapy showed a statistically significant difference in the intervention group (P<0.05). Conclusion: It seems that classical music can reduce observational and behavioral measures of pain in unconscious patients hospitalized in ICUs. More studies are recommended for examining the effect of classical music on physiological characteristics of these patients.

scholarly journals Oral health behavior among school children aged 11–13 years in Saveh, Iran: an evaluation of a theory-driven intervention

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mahmood Karimy ◽  
Peter Higgs ◽  
Shaghaygh Solayman Abadi ◽  
Bahram Armoon ◽  
Marzieh Araban ◽  
...  
Keyword(s):  
Oral Health ◽  
Standard Deviation ◽  
School Children ◽  
Control Group ◽  
Oral Health Behavior ◽  
Significant Difference ◽  
Before And After ◽  
Post Test ◽  
The Mean ◽  
Experimental Group

Abstract Background Good oral health (OH) is essential for physical, social, mental health, and overall quality of life. This study assessed the usefulness of the theory of planned behavior (TPB) in changing oral health-related behaviors among school children aged 11–13 years in Saveh, Iran. Methods In this descriptive before and after study, participants were sixth-grade students at single sex primary schools in Saveh city, Iran. We recruited 356 school children in 2019. Using simple random sampling, a male and a female school per district were allocated to the experimental group and the remaining schools to the control group. Our planned oral health education consisted of four one-hour training sessions over 1 week. The first session familiarized the participants with important information about OH. In the second session, we applied a brain storming exercise to identify the benefits and barriers to flossing and brushing. In the third session, a short film about correct brushing and dental flossing technique was shown and research team also used role-playing to correct any mistakes. In the final session students were taught about the importance and the application of OH planning and given forms to help plan for brushing. Results Participants for the study included 356 students (180 in the experimental group and 176 in the control group) who completed the post-test questionnaire. The mean age ± standard deviation was 11.55 years ±0.93 in the experimental group and 11.58 years ±1.01 in the control group. After the intervention, the paired t-test indicated a significant difference between the mean and standard deviation of the action plan and coping plan constructs in the experimental group before and after the intervention (p < 0.05). Covariance analysis indicated a significant difference between scores of intervention and control groups under statistical control of post-test in two groups (covariate) after a peer-led education program (post-test) (p < 0.05). Conclusion A shortage of professional health workers in education settings together with the ease, usefulness and low-cost of this peer-led method, suggest further steps should be taken to implement it more widely to improve and enhance primary school aged students’ oral health behavior.

Effectiveness of Breast Massage on Expression of Breast Milk among Mothers of Neonates admitted in Neonatal Intensive Care Unit

2016 ◽  
Vol 8 (1) ◽  
pp. 21-24 ◽  
Author(s):  
Lekha Viswanath ◽  
A Divya ◽  
Anju Philip
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Breast Milk ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Pain Scale ◽  
Breast Milk Expression ◽  
Breast Milk Production ◽  
Before And After ◽  
The Mean

ABSTRACT Massaging the breast may help a postnatal mother to improve breast milk production, alleviate breast engorgement and facilitate breast milk expression. The purpose of the present study was to identify the effect of breast massage on breast milk expression in terms of volume of breast milk expressed, pain during breast milk expression and experience of breast milk expression among mothers of neonates admitted in neonatal intensive care unit (NICU). Materials and methods The quasi-experimental study was conducted among 30 postnatal mothers whose babies were admitted in NICU, selected as a sample of convenience. The design used was time series research design. After the pretest, breast massage was taught to the mothers by the investigator. Breast massage was performed for 10 minutes prior to each expression. The practice of breast massage and breast milk expression is observed by the investigator using a checklist during the next expression. Volume of breast milk expressed and pain during breast milk expression were assessed three times before and after the intervention using a standardized measuring cup and numerical pain scale respectively. The experience of breast milk expression was assessed before and after intervention using breast milk expression experience measure. Analysis was done using mean, frequency, percentage and paired t-test. Major findings The results show that the mean pretest volume of milk expressed in milliliters was 7.33 ± 4.86, which increased to 15.56 ± 8.38 (t = 4.22, p = 0.001) after the intervention. The mean pretest pain score was 7.50 ± 1.42 which decreased to 5.01 ± 1.37 (t = 11.73, p = 0.001) after the intervention. The experience of breast milk expression in post-test 37.6 ± 3.88 was significantly higher than pretest 28.4 ± 4.73 (t = 11.25, p = 0.001). Conclusion The study findings conclude that the breast massage is effective in increasing the volume of expressed breast milk, reducing the pain during breast milk expression and improving the experience of breast milk expression. How to cite this article Divya A, Viswanath L, Philip A. Effectiveness of Breast Massage on Expression of Breast Milk among Mothers of Neonates Admitted in Neonatal Intensive Care Unit. J South Asian Feder Obst Gynae 2016;8(1):21-24.

scholarly journals Comparison of the effect of chamomile and chlorhexidine glucosan cleansing on dental plaque and mucosal lesions of ventilated patients in the intensive care unit

2020 ◽  
pp. 106-119
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Dental Plaque ◽  
Chlorhexidine Gluconate ◽  
Controlled Clinical Trial ◽  
Significant Difference ◽  
Oral Mucosal Lesions ◽  
The Mean ◽  
Mucosal Lesions ◽  
Ventilated Patients

Background and Aims: The use of methods with minimal complications and risk is of utmost importance in the promotion of oral hygiene in the care of intensive care unit (ICU) patients. The present study aimed to compare the effect of chamomile mouthwash and chlorhexidine gluconate on dental plaque and oral mucosal lesions of patients under ventilator in the intensive care unit. Materials and Methods: This randomized controlled clinical trial was conducted on 50 eligible patients who were selected via available sampling method from among trauma patients in the ICU of Imam Reza (AS) Hospital in Birjand. They were assigned to two groups of chamomile extract 10% (n=25) and chlorhexidine gluconate 0.2% (n=25) by block randomization. In each group, the solution was used three times a day every 8 hours for 5 days. The instruments were the Backas Assessment Checklist (BOAS) and the Mucosal Plate (MPS). Results: In both groups, the mean total score of oral mucosal lesions and dental plaque significantly decreased 2 and 5 days after the intervention, compared to the pre-intervention (P<0.001); nonetheless, the two groups were not significantly different in this regard (P>0.05). Furthermore, there was no statistically significant difference in the mean changes in the total scores of oral mucosal lesions and dental plaque at different times in the two groups (P>0.05). Conclusion: Chamomile mouthwash and chlorhexidine mouthwash have similar beneficial effects on dental plaque and oral mucosal lesions of ventilated patients admitted to the ICU.

scholarly journals Education to prevent ventilator-associated pneumonia in intensive care unit

2020 ◽  
Vol 73 (6) ◽  
Author(s):  
Aline Branco ◽  
Emerson Matheus Silva Lourençone ◽  
Ariane Baptista Monteiro ◽  
Jaqueline Pettitembert Fonseca ◽  
Carine Raquel Blatt ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Continuing Education ◽  
Cuff Pressure ◽  
Incidence Density ◽  
Ventilator Associated Pneumonia ◽  
Mechanical Ventilator ◽  
Before And After ◽  
Quasi Experimental ◽  
The Mean

ABSTRACT Objective: to evaluate nursing adherence to the Ventilator-Associated Pneumonia Prevention Bundle and the incidence rate, before and after Continuing education. Methods: a quasi-experimental, retrospective study with a total of 302 patients on mechanical ventilator admitted to the Intensive Care Unit. Data obtained from the application of the bundle, from June 2017 to June 2018. In December 2017, a training on the infection was carried out with 48 professionals. Results: the mean age of patients was 62.39±17.06 years old. Appropriate measures before and after training, respectively: position of the ventilator filter 94.8% and 96.2%, p=0.074; elevated headboard 88.4% and 94.5%, p<0.001; oral hygiene with chlorhexidine 89.5% and 98.2%, p<0.001; teeth brushing 80.8% and 96.4%, p<0.001; and cuff pressure 92.7% and 95.6%, p=0.002. Incidence density was 7.99 for 4.28 infections/1000 ventilators per day. Conclusion: the bundle application and education made it possible to increase adherence and decrease infection.

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