Assessing the Perception of Pain and Distress of Female Patients Undergoing Routine Urethral Catheterization in Cesarean Delivery

2013 ◽  
Vol 3 (2) ◽  
pp. 78-84 ◽  
Author(s):  
N. Taleschian Tabrizi ◽  
Z. Torabi ◽  
P. Bastani ◽  
M. Mokhtarkhani ◽  
N. Madani ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Rating Scales ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Urethral Catheterization ◽  
Common Procedure ◽  
Cross Sectional ◽  
Pain Scales ◽  
Two Factors ◽  
Numerical Rating

Urethral catheterization is a common procedure performed commonly before some elective surgeries, often without consideration of the pain and negative perception among women. Owing to patient complaints and the fact that catheterization is not always necessary; a descriptive cross-sectional study was carried out from January to March 2012 at Tabriz University of Medical Sciences hospital. One hundred healthy women who were catheterized before undergoing cesarean delivery were interviewed to assess the perception of pain and distress, determining the association between these two factors. This issue has rarely been investigated in previous studies. This study also aimed to evaluate the efficiencies of the Wong-Baker and 0–10 numerical rating scales. The authors results indicate that although the patients did not initially have a good understanding of the pain scales, when they were given additional explanation, a positive correlation between the two scales (p<0.01) was found. Their study further demonstrates that catheterization is a moderately painful (4.68 of 10) procedure, causing distress (4.67 of 10) and discomfort.

Consulting the “Experts”: A Pilot Study on Perceptions of Professional Support among Lung Transplant Recipients and Accompanying Relatives

2005 ◽  
Vol 15 (2) ◽  
pp. 115-122
Author(s):  
Gerald Ullrich ◽  
Heyka Jänsch ◽  
Sandra Schmidt ◽  
Martin Strüber ◽  
Jost Niedermeyer
Keyword(s):  
Lung Transplant ◽  
Rating Scales ◽  
Cross Sectional Study ◽  
Acute Stage ◽  
Transplant Recipients ◽  
Cross Sectional ◽  
Staff Support ◽  
Delivery Of Care ◽  
Numerical Rating ◽  
Lung Transplant Recipients

Background Lung transplantation is extremely stressful for patients and accompanying support persons. Purpose To improve delivery of care, we designed a cross-sectional study about unmet needs and perceived helpfulness of staff. Methods The sample consisted of 30 adult lung transplant recipients with cystic fibrosis (and 22 relatives) and 20 age-matched recipients with other reasons for transplantation (and 17 relatives). Mean survival since transplantation was 5 years. Data were collected via questionnaires (numerical rating scales and fill-in-the-blank items). Results Most patients in both groups were satisfied with staff support (nurse, doctor) especially during the acute stage of illness. Relatives were less satisfied at all stages. Patients' satisfaction with doctors' support was higher after than before transplantation, but the opposite was true for relatives. Insufficient continuity of care was the most frequent critical comment from patients and support persons. Recommendations to improve delivery of care included providing access to psychosocial professionals and broadening the information provided before transplantation. Conclusions Regular screening of customer satisfaction should become routine. Particular attention should be paid to support persons.

Invalidation in Patients with Rheumatic Diseases: Clinical and Psychological Framework

2017 ◽  
Vol 44 (4) ◽  
pp. 512-518 ◽  
Author(s):  
Mariana Galante Santiago ◽  
Andréa Marques ◽  
Marianne Kool ◽  
Rinie Geenen ◽  
José António P. da Silva
Keyword(s):  
Rheumatic Diseases ◽  
Lupus Erythematosus ◽  
Health Professionals ◽  
Rating Scales ◽  
Medical Condition ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Psychological Variables ◽  
Significant Burden ◽  
Numerical Rating

Objective.The term “invalidation” refers to the patients’ perception that their medical condition is not recognized by the social environment. Invalidation can be a major issue in patients’ lives, adding a significant burden to symptoms and limitations while increasing the risk of physical and psychological disability. In this study in patients with rheumatic diseases, we investigated the relationship between invalidation and sociodemographic, clinical, psychological, and personality characteristics.Methods.This international cross-sectional study included 562 adults with rheumatoid arthritis (n = 124), spondyloarthritis (n = 85), systemic lupus erythematosus (n = 112), or fibromyalgia (FM; n = 241). Assessed were the family and health professionals subscales of the Illness Invalidation Inventory (3*I), happiness (Subjective Happiness Scale), personality (Ten-Item Personality Inventory), pain, and loneliness (numerical rating scales). Univariate and multivariate analyses were used to test different models.Results.Invalidation occurred in all rheumatic diseases, but patients with FM reported the most invalidation. Including all correlated variables in the multivariate model, pain remained as a determinant of invalidation by health professionals, but not by family. Regarding psychological variables, loneliness remained as a determinant of invalidation by family, but not by health professionals. FM and low levels of happiness, agreeableness, and conscientiousness were associated with invalidation while taking account of other variables.Conclusion.Invalidation occurs in all rheumatic diseases and patients with FM experience the most invalidation. Psychological factors (happiness, agreeableness, and conscientiousness), loneliness, and pain intensity are associated with invalidation, irrespective of the rheumatic disease and may deserve dedicated interventions.

scholarly journals Depression and anxiety among pregnant mothers in the initial stage of the Coronavirus Disease (COVID-19) pandemic in the southwest of Iran

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Najmeh Maharlouei ◽  
Pedram Keshavarz ◽  
Niloufar Salemi ◽  
Kamran B. Lankarani
Keyword(s):  
Short Form ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Initial Stage ◽  
Medical Histories ◽  
Southwest Of Iran ◽  
Maternity Clinics ◽  
Abnormal Level ◽  
Pregnant Mothers

Abstract ‌Background Women are at a higher risk for depression progression, especially during pregnancy. The current study purposed to investigate depression, anxiety, and stress levels of pregnant mothers in the initial stage of the COVID-19 infection in the southwest of Iran. Methods This cross-sectional study was conducted during March and April, 2020, in Shiraz, Iran. Pregnant mothers registered in maternity clinics affiliated with Shiraz University of Medical Sciences were included. An online self-administered checklist was used. It included socio-demographic, obstetric and medical histories, and the short form of the Depression Anxiety Stress Scales (DASS-21) to evaluate depression, anxiety, and stress. A p-value < 0.05 was considered significant. Results In total, 540 pregnant mothers answered the questionnaire. 83.5% had no comorbidity. Abnormal depression scores were significantly higher in those who had no insurance (OR = 2.5) and in those with poor self-rated health (SRH) (OR = 27.8). Pregnant mothers with lower SRH and two or more comorbidities had a higher chance of having an abnormal level of anxiety subscale (6.9, 3.7 times, retrospectively). Conclusion The results revealed that an abnormal level of depression was associated with SRH and medical insurance status. Moreover, the number of comorbidities and poor SRH significantly increased the chance of achieving abnormal anxiety levels in pregnant mothers during the COVID-19 pandemic.

scholarly journals Cross-Study of Malaria Prevalence in History, Bed Net Utilization, and Knowledge about the Disease among Tanzanian College Students

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Yakobo Nyahoga ◽  
Zanda Bochkaeva
Keyword(s):  
Malaria Prevention ◽  
Cross Sectional Study ◽  
Malaria Prevalence ◽  
Bed Nets ◽  
Bed Net ◽  
Prevention Measures ◽  
Cross Sectional ◽  
University Campuses ◽  
High Prevalence ◽  
Two Factors

University campuses are potential reservoirs of infectious diseases, but they are not in the research focus. It is obvious that the use of malaria preventive tools is extremely necessary in campus conditions in endemic countries. This study is the first malaria survey, conducted in a student campus in Tanzania. This cross-sectional study uncovered a surprisingly high prevalence of malaria history among students: 89,4% of 246 random respondents assume that they had malaria in history, among whom 145 (58,9%) suffered from the disease during the last year. And although students are relatively confident about the vector, parasite, and prevention measures of the disease, only 44,7% of the students use bed nets and 4,5% use a body spray or ointment daily. The others seldom use spray or ointment or do not care about the problem at all. This situation was found to be associated with two factors, financial and educational. Current results show that students are relatively educated on malaria, but they do not follow the malaria prevention guidance. It has become clear that at least proper informational propaganda of bed net use is required in Tanzanian university campuses.

Underuse of Injectable Penicillin in Secondary Prophylaxis of Rheumatic Heart Disease in Nepal

2020 ◽  
Vol 01 (01) ◽  
pp. 009-012
Author(s):  
Laudari S
Keyword(s):  
Heart Failure ◽  
Heart Disease ◽  
Rheumatic Heart Disease ◽  
Cross Sectional Study ◽  
Secondary Prophylaxis ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Governmental Organizations ◽  
Non Governmental Organizations ◽  
Rheumatic Heart

Background and Aims: Secondary prophylaxis has remained the mainstay of rheumatic fever and rheumatic heart disease management. Despite the proven ef􀏐icacy and superiority of injectable penicillin in rheumatic heart disease patients, it has been underused in Nepal. Materials and Methods: This is a hospital based cross-sectional study during June 2014 to October 2018 over a period of 52 months at College of Medical Sciences-Bharatpur including 350 patients with clinical and/or echocardiographic evidence of de􀏐inite rheumatic heart disease. Data was collected from both cardiology outpatients and inpatients (admitted in cardioward/coronary care unit). Relevant data and information were entered into the pre-structured proforma and then analyzed by SPSS-16 software. Results: The age of the patients ranged from 6 to 80 years with mean age 36.76±4.6years with female preponderance (F:M=1.26:1). The predominantly involved isolated valve was mitral in 152 patients (44.43%) followed by aortic valve in 70 patients (20.00%) and rest 90 (25.71%) had dual valvular involvement. The common complications encountered were heart failure in 200(57.14%) and arrhythmias in 155(44.29%) patients. Two hundred ten (60.00%) of the patients received penicillin (oral and injectable) and erythromycin. Majority 180/210=85.71%) were prescribed on oral penicillin whereas only 46/210=21.90% received injectable penicillin; the ratio being 3.35:1. Conclusion: RHD is a leading cause of heart failure and death among young population. There is underuse of penicillin with very minimal focus on use of injectable penicillins currently. Hence, Nepal government and other non-governmental organizations should consider implementation of use of penicillin broadly and moreover focus on use and adherence of injectable penicillin. Keywords: Rheumatic Heart Disease, Penicillin, Underuse, Secondary Prophylaxis.

A cross-sectional study of facial index in Western Uttar Pradesh population between 18-25 years of age

2021 ◽  
Vol 12 (6) ◽  
pp. 75-80
Author(s):  
Shanmukha Varalakshmi Vangara ◽  
Dhananjay Kumar ◽  
Neel Kamal Arora
Keyword(s):  
Indian Population ◽  
Uttar Pradesh ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Anthropometric Data ◽  
Statistical Tool ◽  
Cross Sectional ◽  
Facial Height ◽  
Facial Phenotype ◽  
Facial Anthropometry

Background: Facial anthropometry is the scientific study of measurements and proportions of the human face. There is huge paucity in the metric measurements of face in Indian population. This study is involved in collecting facial anthropometric data of Western Uttar Pradesh population of age group between 18-25 years. Aims and Objectives: This study aims at evaluating predominant facial phenotype, using facial height and facial width of Western Uttar Pradesh population as study subjects. Materials and Methods: The study was conducted on 200 medical and paramedical students of Shri Ram Murti Smarak Institute of Medical Sciences (SRMS-IMS), Bareilly, Uttar Pradesh. The study subjects were of 18-25 year’s age, belonging to Western Uttar Pradesh region. Digital Vernier Caliper was used to measure the facial parameters. The data was analyzed using statistical tool SPSS 16.0 version. Results: In the present study it is found that facial height and width are more in males compared to females. This difference is statistically significant. On analyzing facial index, hyperleptoprosopic face is the predominant phenotype in males as well as in females, followed by leptoprosopic type in males and mesoprosopic type in females. However, gender differences in facial index are not statistically significant at p<0.05.  Conclusion: The current study reveals that facial parameters can be used to determine the gender of an individual on the basis of height and width.

scholarly journals Determinants of duration of breastfeeding amongst women in Manipur

1970 ◽  
Vol 10 (4) ◽  
pp. 235-239 ◽  
Author(s):  
N Sanajaoba Singh ◽  
N Sharat Singh
Keyword(s):  
Employment Status ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Cluster Sampling ◽  
Proportional Hazard ◽  
Cross Sectional ◽  
Explanatory Variables ◽  
Analysis Technique ◽  
Two Factors ◽  
Duration Of Breastfeeding

Objective: The purpose of present study is to investigate the differentials and determinants of duration breastfeeding (BF) according to various socio-economic and demographic factors. Methods: A cross sectional study of 1225 ever-married women of reproductive age with at least one live birth was conducted in four valley districts of Manipur under cluster sampling scheme. Survival analysis technique has been adopted through SPSS vs 16. Results: The median duration of BF is found to be 20.37 months. Among the six explanatory variables of interest, only two factors - place of residence (relative risk (RR) =1.35) and employment status RR = 1.88) have highly significant effect (P<0.01) on BF and only two factors educational level (RR=1.02) and parity (RR = 0.83) are found to be statistically significant (P<0.05) on BF. Conclusion: The residence, education, employment status and parity have significant effects on the present duration of BF that is about 20 months which is below the India's national figure of 25 months and WHO recommended figure of 24 months. Key words: Fertility; censored case; parity; life table; proportional hazard model DOI: http://dx.doi.org/10.3329/bjms.v10i4.9493 BJMS 2011; 10 (4): 235-239

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