scholarly journals Terapi Akupresur Dapat Menurunkan Keluhan Mual Muntah Akut Akibat Kemoterapi Pada Pasien Kanker: Randomized Clinical Trial

2011 ◽  
Vol 14 (2) ◽  
pp. 133-140
Author(s):  
Hilman Syarif ◽  
Elly Nurachmah ◽  
Dewi Gayatri
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Nursing Intervention ◽  
T Test ◽  
Nausea And Vomiting ◽  
Control Group ◽  
Acute Nausea ◽  
Patients With Cancer ◽  
Acute Cinv ◽  
Single Blind

AbstrakAkupresur merupakan salah satu terapi komplementer pada pasien yang mengalami mual muntah akut akibat kemoterapi.Tujuan riset ini untuk membuktikan pengaruh akupresur terhadap mual muntah akut pada pasien kanker di dua RS di Jakarta.Penelitian ini merupakan randomized clinical trial dengan metode single blind. Pengambilan sampel dengan cara consecutivesampling dan penentuan kelompok intervensi dan kontrol dengan randomisasi alokasi subjek sederhana. Sampel penelitianberjumlah 44 responden, terdiri dari 22 responden sebagai kelompok intervensi yang dilakukan terapi akupresur sebanyak tigakali sehari, dan 22 responden sebagai kelompok kontrol. Pengujian perbedaan penurunan rerata skor mual, muntah, dan mualmuntah pada kelompok intervensi dan kelompok kontrol menggunakan uji T test. Hasil penelitian menunjukkan penurunanrerata mual muntah akut setelah akupresur pada kelompok intervensi signifikan lebih besar dibanding dengan kelompok kontrol(p= 0,000; α= 0,05). Akupresur secara signifikan dapat menurunkan mual muntah akut akibat kemoterapi pada pasien kankeryang dilakukan akupresur dibandingkan dengan kelompok kontrol. Akupresur direkomendasikan dapat diterapkan sebagaibagian dari intervensi keperawatan dalam pemberian asuhan keperawatan pada pasien yang mengalami mual muntah akutakibat kemoterapi.Kata kunci: akupresur, kemoterapi, mual muntah akutAbstractAcupressure is one of the complementary theraphies for patients with acute chemotherapy-induced nausea and vomiting(CINV). The objective of the study was to prove the effect of acupressure to acute CINV on patients with cancer at two hospitalsin Jakarta. The research used randomized clinical trial with single blind method. A consecutive sampling was used as thesample collection method and simple randomization allocation subject was used to identify samples in the intervention orcontrol group. The number of samples was 44 respondents, consisted of 22 subjects who were given an acupressure theraphy,three times a day; and the remaining was the control group. A t-test was used to examine the differences of the mean nauseaand vomiting scores between the intervention and control groups. The result indicated that there is a signifant decrease of themean acute nausea and vomiting scores after acupressure between the two groups (p= 0.000; α= 0.05). It was concluded thatthe acupressure can significantly decrease acute CINV on patients with cancer in the intervention group if compared withcontrol group. Based on the findings, recommendation is directed to hospital management especially nursing management toapply acupressure as a nursing intervention to patients with acute CINV.Keywords: acupressure, chemotherapy, acute nausea and vomiting

scholarly journals Effect of Abdominal Massage with and without Salvia officinalis on Nausea and Vomiting in Patients with Cancer Undergoing Chemotherapy: A Randomized Clinical Trial

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Farshid Rafiee Sarbijan Nasab ◽  
Parvin Mangolian Shahrbabaki ◽  
Mahlagha Dehghan ◽  
Haleh Tajadini ◽  
Hamideh Baniasadi ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Considerable Effect ◽  
Salvia Officinalis ◽  
Nausea And Vomiting ◽  
Control Group ◽  
Patients With Cancer ◽  
Abdominal Massage ◽  
The Mean ◽  
And Control

Objective. The aim of this study was to determine the effect of abdominal massage with and without Salvia officinalis on nausea and vomiting in patients with cancer undergoing chemotherapy. Methods. In this randomized clinical trial, 60 patients undergoing chemotherapy were placed in one of two intervention groups or in a control group. Abdominal massage with and without Salvia officinalis was performed for 15 minutes twice a day for 3 consecutive days by the patient’s companion. The rate of nausea and vomiting was measured with a Visual Analog Scale. Results. Findings showed that immediately after the intervention, the mean score of nausea in abdominal massage with Salvia officinalis group was lower than that of the control group. The mean score of nausea was not different between abdominal massage and control groups. One week after the intervention, the mean score of nausea was not different among the three groups. In addition, the frequency of vomiting was not different among the three groups. Conclusion. Abdominal massage with/without Salvia officinalis as a complementary medicine has not considerable effect on reducing nausea and vomiting in patient with cancer undergoing chemotherapy. More studies are needed to achieve better and more accurate results.

scholarly journals TELENURSING FOR THE CONTROL OF CHEMOTHERAPY-INDUCED NAUSEA AND VOMITING: A RANDOMIZED CLINICAL TRIAL

2019 ◽  
Vol 28 ◽  
Author(s):  
Andressa Carneiro França ◽  
Andrea Bezerra Rodrigues ◽  
Maria Isis Freire de Aguiar ◽  
Renan Alves Silva ◽  
Fernanda Macedo Cartaxo Freitas ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Controlled Trial ◽  
Nursing Intervention ◽  
Nausea And Vomiting ◽  
Rank Test ◽  
Control Group ◽  
Telephone Intervention ◽  
Clinical Trial Registry ◽  
Experimental Group ◽  
Antineoplastic Chemotherapy

ABSTRACT Objective: to verify the effectiveness of telenursing in the control of nausea and vomiting induced by antineoplastic chemotherapy. Method: a randomized controlled trial of 61 cancer patients undergoing outpatient chemotherapy treatment, randomized into experimental group and control group. Nausea and vomiting were evaluated by the instrument Multinational Association on Supportive Care in Cancer. The telephone intervention was performed four times after chemotherapy. To verify the effects of this on the variables, the Mann-Whitney test and Student's t-test were used. Wilcoxon signed-rank test was applied to confirm the hypothesis of differences in the pre- and post-test intragroup scores. Results: the groups were homogeneous regarding sociodemographic and clinical characteristics. The experimental group showed a statistically significant reduction in the occurrence of nausea (p=0.0089), in the degree of nausea, in two moments, between 24 hours and three days, and three days and five days (p=0.007 and p=0.009, respectively), in the occurrence of vomiting (p=0.008) and in the number of vomiting episodes (p=0.020). Conclusion: telephone intervention is a potential nursing intervention to reduce nausea and vomiting associated with antineoplastic chemotherapy. Brazilian Clinical Trial Registry: RBR-6s8qm5.

scholarly journals Effectiveness of Counseling for Infertile Couples on Women's Emotional Disturbance: A Randomized Clinical Trial

2021 ◽  
Vol 43 (11) ◽  
pp. 826-833
Author(s):  
Tayebeh Mokhtari Sorkhani ◽  
Atefeh Ahmadi ◽  
Moghaddameh Mirzaee ◽  
Victoria Habibzadeh ◽  
Katayoun Alidousti
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Emotional Disturbance ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
Infertile Women ◽  
Primary Infertility ◽  
Significant Difference ◽  
The Mean

Abstract Objective The psychosocial burden of infertility among couples can be one of the most important reasons for women's emotional disturbance. The goal of the present study was to investigate the effect of counseling on different emotional aspects of infertile women. Methods The present randomized clinical trial was performed on 60 couples with primary infertility who were referred for treatment for the first time and did not receive psychiatric or psychological treatment. Samples were allocated to an intervention group (30 couples) and a control group (30 couples) by simple randomization. The intervention group received infertility counseling for 6 45-minute sessions twice a week, and the control group received routine care. The Screening on Distress in Fertility Treatment (SCREENIVF) questionnaire was completed before and after the intervention. Samples were collected from November to December 2016 for 3 months. For the data analysis, we used the Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Armonk, NY, United States) software, version 19.0, and the paired t-test, the independent t-test, the Mann-Whitney test, the Wilcoxon test, and the Chi-squared test. Results The mean age of the participants was 33.39 ± 5.67 years. All studied couples had primary infertility and no children. The mean duration of the couples' infertility was 3 years. There was a significant difference regarding depression (1.55 ± 1.92; p < 0.0001), social support (15.73 ± 3.41; p < 0.0001), and cognitions regarding domains of fertility problems (26.48 ± 3.05; p = 0.001) between the 2 groups after the intervention, but there was no significant difference regarding anxiety (25.03 ± 3.09; p = 0.35). Conclusion The findings showed that infertility counseling did not affect the total score of infertile women' emotional status, but improved the domains of it except, anxiety.

scholarly journals Efektivitas Dan Keamanan Furosemid Continuous Infusion Dosis 10 dan 20 Mg/Jam pada Pasien Penyakit Ginjal Kronik Kondisi Fluid Overload Syndrome Disertai Hipoalbumin di RSUD Abdul Wahab Sjahranie

2021 ◽  
Vol 17 (1) ◽  
pp. 60
Author(s):  
Diga Albrian Setiadi
Keyword(s):  
Clinical Trial ◽  
Continuous Infusion ◽  
Randomized Clinical Trial ◽  
Fluid Overload ◽  
T Test ◽  
Single Blind

Furosemid continuous infusion merupakan obat pilihan pertama dalam mengatasi kondisi Fluid overload syndrome disertai hipoalbumin pada pasien Penyakit Ginjal Kronik (PGK). Namun pada kondisi tersebut, dosis furosemid yang digunakan oleh para klinisi yakni antara 10 dan 20 mg/jam. Belum ada penelitian yang membandingkan efektivitas dan keamanan furosemid dosis yang berbeda. Penelitian ini bertujuan mengevaluasi efektivitas dan keamanan furosemid dosis 10 dan 20 mg/jam yang diberikan secara continuous infusion pada pasien PGK dengan kondisi fluid overload syndrome disertai hipoalbumin. Metode penelitian Single blind, Randomized Clinical Trial yang dilakukan selama periode bulan Februari-April 2017 di ruang rawat inap RSUD Abdul Wahab Sjahranie. Pengolahan data dilakukan dengan uji analisis statistik yaitu uji parametrik Two Independent T Test untuk data yang terdistribusi normal dan yang tidak saling berkolerasi, sedangkan untuk data yang terdistribusi tidak normal dan yang tidak saling berkolerasi maka digunakan uji non-parametrik Mann Whitney dan Kruskal Willis. Outcome yang diteliti adalah volume urin tampung 24 jam, sesak napas, lama pemakaian oksigen, ronkhi dan keamanan terapi yang dilihat dari efek samping obat (hipotensi, hiperuricemia, hiperglikemia, hiponatremia, hipokalemia). Hasil penelitian, sebanyak 34 pasien PGK dengan kondisi fluid overload syndrome disertai hipoalbumin (2,5-3,0 g/dL) telah didaftarkan. Pada efektivitas terapi, tidak ada perbedaan secara signifikan pada volume urin tampung 24 jam (P=0,324; P>0,05; 95% CI=714,6-1017,8 ml kelompok 1; CI=818,0-1113,2 ml kelompok 2), sesak napas (P=0,781; P>0,05; 95% CI=0,68-1,32 kelompok 1; CI=0,72-1,40 kelompok 2), lama pemakaian oksigen (P=0,363; P>0,05; 95% CI=1,34-2,66 hari kelompok 1; CI=1,72-3,10 hari kelompok 2), ronkhi (P=0,692; P>0,05) dan tidak adanya kejadian efek samping obat (P=1,000; P>0,05) antara dua kelompok tersebut. Kesimpulan, furosemid dosis 10 dan 20 mg/jam memiliki efektivitas terapi yang sama dan furosemid memiliki kemanan terapi yang baik pada pasien PGK dengan kondisi fluid overload syndrome disertai hipoalbuminemia.

scholarly journals Effectiveness of a nursing intervention in decreasing the anxiety levels of family members of patients undergoing cardiac surgery: a randomized clinical trial

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Letícia Hamester ◽  
Emiliane Nogueira de Souza ◽  
Cibele Cielo ◽  
Maria Antonieta Moraes ◽  
Lúcia Campos Pellanda
Keyword(s):  
Clinical Trial ◽  
Cardiac Surgery ◽  
Randomized Clinical Trial ◽  
Family Members ◽  
Intervention Group ◽  
Nursing Intervention ◽  
Control Group ◽  
Waiting Room ◽  
Post Operative Period ◽  
Anxiety Levels

ABSTRACT Objective: to verify the effectiveness of nursing orientation provided to families of patients in the immediate post-operative following cardiac surgery before the first visit to the post-anesthesia care unit, in decreasing anxiety levels, compared to the unit's routine orientation. Method: open randomized clinical trial addressing family members in the waiting room before the first visit in the immediate post-operative period. The family members assigned to the intervention group received audiovisual orientation concerning the patients' conditions at the time and the control group received the unit's routine orientation. Outcome anxiety was assessed using the STAI-State. Results: 210 individuals were included, 105 in each group, aged 46.4 years old on average (±14.5); 69% were female and 41% were the patients' children. The mean score obtained on the anxiety assessment in the intervention group was 41.3±8.6, while the control group scored 50.6±9.4 (p<0.001). Conclusion: a nursing intervention focused on providing guidance to families before their first visit to patients in the immediate post-operative period of cardiac surgery helps to decrease the levels of anxiety of companions, making them feel better prepared for the moment. ReBEC (Brazilian Clinical Trials Registry) and The Universal Trial Number (UTN), No. U1111-1145-6172.

scholarly journals Effectiveness of solution-focused counseling therapy on pregnancy anxiety and fear of childbirth: A randomized clinical trial

2021 ◽  
Author(s):  
Forough Mortazavi ◽  
Maryam Mehrabadi ◽  
Razieh Karrabi
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
Fear Of Childbirth ◽  
Pregnancy Anxiety ◽  
Adjusted Means ◽  
Solution Focused ◽  
Anxiety And Fear

Background & Aim: Fear of childbirth and pregnancy anxiety may affect the desire for normal delivery. No study has investigated the effectiveness of solution-focused counseling on either pregnancy anxiety or all factors comprising fear of childbirth. We aimed to investigate the effects of solution-focused counseling in reducing pregnancy anxiety and fear of childbirth. Methods & Materials: This randomized clinical trial study was conducted on 132 nulliparous women in 2019. Participants with moderate to a severe fear of childbirth were randomly divided into the intervention and control groups. The intervention group participated in five solution-focused counseling sessions. Before and after the intervention, women filled the anxiety scale for pregnancy and the Wijma Delivery Expectancy Questionnaire (W-DEQ). Data were analyzed using t-test, paired t-test, and analysis of covariance (ANCOVA). Results: The two groups did not differ in terms of demographic and obstetric variables and pregnancy anxiety pre-test scores (P>0.05). The means of the post-test total scores and the means of scores for all five factors of the ASP were significantly lower in the intervention group than in the control group (p<0.001). The adjusted means of total scores and the adjusted means of scores for all six factors of the WDE-Q were significantly lower in the intervention group than the control group (p<0.001). Conclusion: The solution-focused counseling reduced pregnancy anxiety and fear of childbirth in women participating in counseling sessions compared to the controls. Solution-focused counseling therapy sessions should be held for women with pregnancy anxiety and fear of childbirth.

scholarly journals Effects of Palatal Expansion with Torque Activation using a Transpalatal Arch: A Preliminary Single-Blind Randomized Clinical Trial

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Fataneh Ghorbanyjavadpour ◽  
Vahid Rakhshan
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Clinical Results ◽  
Control Group ◽  
Clinical Issue ◽  
Permanent Molar ◽  
Single Tooth ◽  
Transpalatal Arch ◽  
Experimental Group ◽  
Single Blind

Purpose. The literature regarding the treatment of posterior crossbites using a transpalatal arch (TPA) is scarce. Moreover, there is only one clinical study on the correction of unilateral crossbites using torque activation. This is an important clinical issue; therefore, this study was conducted to show the effects of an active Goshgarian TPA in correcting nonfunctional single-tooth unilateral crossbite. Methods. The present single-blind, randomized clinical trial examined 60 observations on 30 individuals with nonfunctional single-tooth unilateral crossbites in the first permanent molar area. Patients were randomly divided into two groups of “symmetric expansion” [control] and “expansion + torque activation” using Goshgarian TPAs [experimental]. The palatal arch was expanded at a rate of 2 mm/month, for 2–8 months. The average treatment durations were 157.9 and 117.1 days, respectively, for the control and experimental groups. Dentoskeletal alterations were assessed on dental records, posteroanterior frontal cephalographs, and occlusal radiographs taken before and after treatment. Changes induced by treatments in each group and differences between changes in both groups were analyzed statistically (α = 0.05). Results. The treatment duration was significantly shorter in the experimental group ( P < 0.05 ). The extent of dental displacement on the crossbite side was significant no matter what treatment was applied ( P < 0.001 ); no between-group difference was detected ( P > 0.05 ). Both treatments tilted the teeth in crossbite ( P < 0.001 ) without any between-group difference ( P > 0.05 ). The noncrossbite molar was displaced in the control group, whereas this did not occur in the experimental group (between-group P < 0.001 ). Conclusions. The Goshgarian TPA can be used with torque activation in order to deliver a more effective and faster correction of nonfunctional single-tooth unilateral crossbites with more favorable clinical results.

scholarly journals The Impact of Involvement of Father's with Preterm Newborns on their Paternal-Infant Bonding and Self-Efficacy: non-randomized clinical trial

2020 ◽  
Author(s):  
Jila Mirlashari ◽  
Liisa Holsti ◽  
Hadi Ranjbar ◽  
Mahnaz Sanjari ◽  
Fatemeh Morovati ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Self Efficacy ◽  
Repeated Measures ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
Developmental Care ◽  
Premature Newborns ◽  
The Impact

Abstract Background: Premature birth and postpartum hospitalization can hurt the father-newborn bonding and fathers’ self-efficacy in the care of the newborn. This study was conducted to investigate the effect of the involvement of fathers with premature newborns on paternal-infant bonding and self-efficacy based on developmental care principles.Methods: This was a non-randomized clinical trial. Eighty fathers of hospitalized newborns in the neonatal intensive care unit were selected by convenience sampling method and divided into two groups ( 1 ). The intervention comprised training developmental care to fathers through simulations and then at the bedside of the newborn and the active involvement of fathers in the care of premature newborns admitted to the NICU. Pre-and post-intervention outcomes (after four weeks) were collected using Mother to Infant Bonding Scale and Perceived Maternal Parenting Self-Efficacy tool. Differences between groups were analyzed using independent t-test, paired t-test, repeated measures ANOVA.Results: The mean bonding score reduced by 2.3 ± 2.17 in the control group and 5.27 ± 2. 57 in the intervention group. A lower score represents a better bonding (f (1.78) = 9.19, p = 0.003). The self-efficacy score increased in both groups however, it was significantly higher in intervention group. In the intervention group increased by 8.85 ± 5.046, and in the control group, it increased by 1.27± 3.31, (f (1.78) = 21.88, p <0.001).Conclusions: Developmental care by fathers training and involvement in care can improve the father -infant bonding and increase the paternal self-efficacy for the care of the high risk newborn.Trial registration: Iranian Registry of Clinical Trials: IRCT20171010036690N1, 2018-01-31.

scholarly journals Preservation of Dental Sockets Filled with Composite Bovine Bone. A Single-Blind Randomized Clinical Trial

2018 ◽  
Vol 29 (6) ◽  
pp. 583-591 ◽  
Author(s):  
Vail Natale Júnior ◽  
Francisley Ávila Souza ◽  
Eduardo Vedovatto ◽  
Renato Sussumu Nishioka ◽  
Pier Paolo Poli ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Bone Graft ◽  
Randomized Clinical Trial ◽  
Alveolar Bone ◽  
Blood Clot ◽  
Control Group ◽  
Bovine Bone ◽  
Alveolar Bone Remodeling ◽  
Significant Difference ◽  
Single Blind

Abstract The purpose of this study was to evaluate the preservation of alveolar dimensions in human fresh extraction sockets filled with a composite bovine bone graft by means of design of single-blind randomized clinical trial. Forty participants had monoradicular teeth extracted (one teeth in each participant), and after were randomly divided into 2 groups: individuals whose fresh sockets were filled with the composite heterologous bone graft (Biomaterial Group), or with blood clot (Control Group). After extraction, the fresh sockets were measured at their greatest mesiodistal (MD) and bucco-lingual/palatal (BL/P) distance. Primary closure of the soft tissue was performed with a fibro-mucosal plug. After 120 post-operative days, the re-entry procedure was performed and the largest MD and BL/P measurements were again obtained to calculate the remodeling of the alveolar bone measured in percentage. In the biomaterial group, a percentage reduction of 1.62% and 3.29% in the MD and BL/P dimensions was observed 120 days after the extractions, whereas a reduction of 4.97% and 7.18% in the MD and BL/P dimensions occurred in the control group. There was a statistically significant difference (p<0.05) between the two groups for the bucco-palatal and mesiodistal measurements in the maxilla. In view of the results obtained, it can be concluded that composite bovine bone graft limited but did not impede alveolar bone remodeling.

Effect of Daily Usage Time of 4% Hydrogen Peroxide on the Efficacy and Bleaching-induced Tooth Sensitivity: A Single-blind Randomized Clinical Trial

2021 ◽  
Author(s):  
RMO Terra ◽  
KL da Silva ◽  
L Vochikovski ◽  
E Sutil ◽  
M Rezende ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Hydrogen Peroxide ◽  
Patient Satisfaction ◽  
Randomized Clinical Trial ◽  
Color Change ◽  
T Test ◽  
Tooth Sensitivity ◽  
Anterior Teeth ◽  
Single Blind ◽  
At Home

Clinical Relevance Although color change was slightly lower in a 3-week 30-minutes/day protocol, than in the 120-minute protocol, this could be compensated by an extra week of bleaching. The advantage of the shorter protocol is the reduced daily application, making the procedure more comfortable for the patients. SUMMARY Objective: Compare the risk/intensity of tooth sensitivity (TS) and color change of a 30-minute vs. the recommended 120-minute application time of 4% hydrogen peroxide (HP) for at-home bleaching. Methods: A single-blind, parallel, randomized clinical trial was conducted with 92 adult patients with caries and restoration-free anterior teeth A2 or darker, randomly allocated to two groups. Bleaching trays containing 4% HP were used for three-weeks. A four-week regimen was also offered to the patients for the 30-min group after the end of the 3-week protocol. The color change was assessed with the Vita Classical (VITA Zahnfabrik, Bad Säckingen, Germany) and Vita Bleachedguide shade guides (VITA Zahnfabrik) and the Vita Easyshade spectrophotometer (VITA Zahnfabrik) at baseline, weekly, and 30 days after the bleaching. The absolute risk and the intensity of TS were assessed daily using the 0-10 visual analogue scale (VAS) and 5-point Numerical Rating Scale (NRS) scale, and patient satisfaction was recorded with a Likert 0-7 scale. Risk of TS (Fisher’s test), intensity of TS in NRS scale (Mann-Whitney test), VAS scale (t-test), and a color change (t-test) were compared. Results: The 30-minute group saw color change of around 1 SGU inferior to the 120-minute group in all-time assessments (p&lt;0.05). After an extra week of bleaching, mean color change was similar (p&gt;0.05). Patient satisfaction was high for both groups (p&gt;0.05). Conclusions: A four-week protocol of at-home dental bleaching with 4% HP for 30 minutes/day whitened teeth similarly to the 120 minutes/day protocol, with low intensity of dental sensitivity and high patient satisfaction.

Sign in / Sign up

Export Citation Format

Share Document