Effectiveness of Video-assisted Intervention on Perception and Anxiety among Patients Undergoing Robotic Surgery in a Selected Hospital, Mangaluru

Background: There are times when a procedure may have benefits, but a patient is unwilling to undergo surgery for their own reasons. Making this choice is their right. Many patients view surgery as a last option, rather than their first choice in treatments. The need for a surgery can be a confusing and frightening prospect and people may have many questions. Robotic assisted surgery has a great future in India, but majority people are not aware about robotic surgery. Purpose: To focus on the level of anxiety and perception among robotic surgery patients and it has also identified the need for a video assisted intervention for patients undergoing robotic surgery. Methods: A video assisted intervention on perception(perception rating scale-20 items) and anxiety (State Anxiety Inventory-20 items) among study participants(n=30) undergoing robotic surgery were selected by purposive non probability sampling by means of self administered questionnaire. Results The perception mean difference pretest-post-test 1(18.80±7.45), pretest-post test 2 (21.83±8.00) and post-test 1- post-test 2 (3.03±7.18). The level of perception has increased from pre-test to post-test 1 and from post-test 1 to post-test 2 and it is statistically significant (p< 0.05). The anxiety mean difference pre-test-post-test 1 (11.27±12.98), pre-test-post test 2 (21.40±13.38) and post-test 1-post-test 2 (10.13±10.89). The level of anxiety has decreased from pre-test to post-test 1, from post-test 1 to post-test 2, and it is statistically significant (p< 0.05). Conclusion: The findings of the study showed that the video assisted intervention was effective on levels of anxiety and perception among patients undergoing robotic surgery.

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Effectiveness of Mint and Fenugreek Paste for Reduction of Dysmenorrhea among the Adolescent Girls in Selected Areas

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl4.3753 ◽

2020 ◽

Vol 11 (SPL4) ◽

pp. 126-129

Author(s):

Dayana B A A ◽

Sabeetha S

Keyword(s):

Adolescent Girls ◽

Rating Scale ◽

Demographic Data ◽

Sampling Technique ◽

Pain Scale ◽

Regular Cycle ◽

Study Results ◽

Post Test ◽

Numeric Pain Rating Scale ◽

Study Participants

Menstruation is an ordinary physiological marvel for ladies showing her capacity for reproduction. Monthly cycle is an intricate cycle, including the conceptive and endocrine framework. It has to be a regular cycle. Anyway, this ordinary wonder isn't a simple one; it is regularly connected with some level of sufferings and shame. The pain during the menstrual cycle is known as Dysmenorrhea. The present study aims to determine the effectiveness of dietary mint and fenugreek paste for the reduction of dysmenorrhea among adolescent girls. A quantitative experimental research was conducted among 60 adolescent girls. A convenient sampling technique was used to select the samples. Self-administered structured questionnaires were used to collect demographic data, and pain scale was assessed. After the Pretest, an intervention was given to the study participants, i.e. administration of 6 grams of mint fenugreek paste prepared from 2 grams of mint powder, 2 grams of fenugreek powder mix with 2 grams of honey. It was given orally twice a day (i.e. 2 days before and 3 days during the cycle). On 5th day after intervention, post-test was conducted by a numeric pain rating scale. The study results shows mint and fenugreek paste had a significant reduction in the dysmenorrhea, p<0.001. Thereby, this indicates that the mint and fenugreek paste is effective in reducing the pain during menstruation.

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Foot Massage Menurunkan Nyeri Post Operasi Sectio Caesarea Pada Post Partum

Jurnal Kesehatan Komunitas ◽

10.25311/keskom.vol6.iss2.528 ◽

2020 ◽

Vol 6 (2) ◽

pp. 164-170

Author(s):

Dewi Nurlaela Sari ◽

Aay Rumhaeni

Keyword(s):

Daily Living ◽

Rating Scale ◽

Post Partum ◽

Numeric Rating Scale ◽

Sectio Caesarea ◽

P Value ◽

Test Design ◽

Purposive Sampling ◽

Post Test ◽

Numeric Rating

ABSTRAK Sectio caesarea merupakan tindakan alternatif dalam proses persalinan untuk menyelamatkan ibu dan janin. Ibu Bersalin dengan operasi sectio caesarea dilakukan pembedahan pada dinding abdomen dan dinding rahim. Dampak yang paling sering muncul dirasakan oleh postpartum dengan post operasi sectio caesarea adalah nyeri. Nyeri akan berdampak pada bounding attachment terganggu, mobilisasi terbatas, Activity Daily Living (ADL) terganggu serta berpengaruh terhadap Inisiasi Menyusui Dini (IMD). Asuhan yang diberikan terbatas pada terapi farmakologi dibandingkan non farmakologi. Foot massage adalah salah satu terapi non farmakologi yang dapat membantu menutup gerbang di posterior horns dari sumsum tulang belakang dan memblokir bagian dari nyeri ke sistem saraf pusat. Tujuan penelitian ini untuk mengetahui pengaruh foot massage terhadap skala nyeri pada klien post operasi sectio caesarea di RS AMC. Penelitian ini merupakan penelitian pre eksperimen dengan pendekatan one group pre test post test design. Jumlah sampel yang digunakan berjumlah 27 orang dengan menggunakan teknik purposive sampling. Instrumen yang digunakan adalah Numeric Rating Scale (NRS) dan prosedur kerja foot massage. Responden dilakukan foot massage selama 20 menit selama 2 hari. Data di analisis dengan menggunakan uji wilcoxon. Hasil penelitian menunjukkan lebih dari setengah klien post operasi sectio caesarea berada di skala nyeri 6 sebelum dilakukan foot massage dan hampir setengah memiliki skala nyeri 3 sesudah dilakukan foot massage dan didapatkan nilai p value = 0.000, sehingga disimpulkan ada pengaruh foot massage terhadap skala nyeri pada klien post operasi sectio caesarea. Diharapkan rumah sakit dapat menjadikan foot massage sebagai salah satu alternatif manajemen non farmakologi dalam penanganan nyeri. Kata kunci: Foot Massage; Post Partum; Nyeri; Sectio Caesarea

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Rhomboid intercostal block combined with sub-serratus plane block versus rhomboid intercostal block for postoperative analgesia after video-assisted thoracoscopic surgery: a prospective randomized-controlled trial

BMC Pulmonary Medicine ◽

10.1186/s12890-021-01432-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Wei Deng ◽

Xiao-min Hou ◽

Xu-yan Zhou ◽

Qing-he Zhou

Keyword(s):

Rating Scale ◽

Numerical Rating Scale ◽

Thoracoscopic Surgery ◽

Controlled Trial ◽

Ultrasound Guided ◽

Video Assisted ◽

Prospective Randomized Controlled Trial ◽

Numerical Rating ◽

Intercostal Block ◽

Video Assisted Thoracoscopic Surgery

Abstract Background Rhomboid intercostal block (RIB) and Rhomboid intercostal block with sub-serratus plane block (RISS) are the two types of plane blocks used for postoperative analgesia after video-assisted thoracoscopic surgery (VATS). This prospective randomized controlled trial was performed to analyze the postoperative analgesic effects of ultrasound-guided RIB block and RISS block after video-assisted thoracoscopic surgery. Methods Ninety patients aged between 18 and 80 years, with American Society of Anesthesiologists physical status Classes I–II and scheduled for elective unilateral VATS were randomly allocated into three groups. In group C, no block intervention was performed. Patients in group RIB received ultrasound-guided RIB with 20-mL 0.375% ropivacaine and those in group RISS received ultrasound-guided RIB and serratus plane block using a total of 40-mL 0.375% ropivacaine. All patients received intravenous sufentanil patient-controlled analgesia upon arrival in the recovery room. Postoperative sufentanil consumption and pain scores were compared among the groups. Results The dosages of sufentanil consumption at 24 h after the surgery in the RIB and RISS groups were significantly lower than that in group C (p < 0.001 and p < 0.001 for all comparisons, respectively), the postoperative Numerical Rating Scale (NRS) scores in the RIB and RISS groups at 0.5, 1, 3, 6, 12, 18, and 24 h after surgery when patients were at rest or active were significantly lower than that in group C (p < 0.05 for all comparisons). The required dosage of sufentanil and time to first postoperative analgesic request in groupRISS were less than those in the group RIB at 24 h after the surgery (p < 0.001 and p < 0.001 for all comparisons, respectively). Similarly, the Numerical Rating Scale scores for group RISS at 12, 18, and 24 h after the surgery when the patients were active were significantly lower than those for group RIB (p < 0.05 for all comparisons). Conclusion Both ultrasound-guided RIB block and RISS block can effectively reduce the demand for sufentanil within 24 h after VATS, and less sufentanil dosage is needed in patient with RISS block. Ultrasound-guided RIB block and RISS block can effectively relieve pain within 24 h after VATS, and RISS block is more effective.

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Revisiting rating scale development for rater-mediated language performance assessments: Modelling construct and contextual choices made by scale developers

Language Testing ◽

10.1177/0265532221994052 ◽

2021 ◽

pp. 026553222199405

Author(s):

Ute Knoch ◽

Bart Deygers ◽

Apichat Khamboonruang

Keyword(s):

Scale Development ◽

Rating Scale ◽

Language Assessment ◽

Performance Assessments ◽

Language Performance ◽

Scale Development And Validation ◽

Post Test ◽

Development And Validation ◽

The Impact ◽

Different Sources

Rating scale development in the field of language assessment is often considered in dichotomous ways: It is assumed to be guided either by expert intuition or by drawing on performance data. Even though quite a few authors have argued that rating scale development is rarely so easily classifiable, this dyadic view has dominated language testing research for over a decade. In this paper we refine the dominant model of rating scale development by drawing on a corpus of 36 studies identified in a systematic review. We present a model showing the different sources of scale construct in the corpus. In the discussion, we argue that rating scale designers, just like test developers more broadly, need to start by determining the purpose of the test, the relevant policies that guide test development and score use, and the intended score use when considering the design choices available to them. These include considering the impact of such sources on the generalizability of the scores, the precision of the post-test predictions that can be made about test takers’ future performances and scoring reliability. The most important contributions of the model are that it gives rating scale developers a framework to consider prior to starting scale development and validation activities.

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Clinical effectiveness and potential long-term benefits of high-intensity focused ultrasound therapy for patients with adenomyosis

Journal of International Medical Research ◽

10.1177/0300060520976492 ◽

2020 ◽

Vol 48 (12) ◽

pp. 030006052097649

Author(s):

Wei Li ◽

Jiayu Mao ◽

Yang Liu ◽

Ying Zhu ◽

Xiaojing Li ◽

...

Keyword(s):

High Intensity ◽

Focused Ultrasound ◽

Rating Scale ◽

Numerical Rating Scale ◽

Clinical Effectiveness ◽

Treatment Method ◽

Mean Difference ◽

High Intensity Focused Ultrasound ◽

Noninvasive Treatment ◽

Numerical Rating

Objectives Adenomyosis is a common and refractory disease in gynecology. Preserving the uterus during treatment for adenomyosis remains a problem. High-intensity focused ultrasound (HIFU) is widely used in treatment of solid tumors. This study aimed to analyze patients with adenomyosis who were treated by HIFU and to preliminarily examine the characteristics of patients who are more suitable for HIFU to treat adenomyosis with reliable efficacy. Methods Over 2 years, 67 women who were diagnosed with adenomyosis and treated with HIFU at our gynecology department were included in this study. We investigated outcomes of their symptoms (dysmenorrhea and hypermenorrhea) and the volume of their uterine lesions. We also compared the patients’ clinical profiles. Results The women had a mean follow-up duration of 11.6 ± 0.46 months. In the numerical rating scale, used to assess the degree of dysmenorrhea, the score was significantly lower (mean difference: −1.94, 95% confidence interval: −2.704 to −1.176) 3 months after HIFU treatment compared with before treatment, then it remained stable for 3 to 12 months. Hypermenorrhea was reduced to a certain degree, with a mean difference of −0.54 (−1.01–0.02). Conclusions HIFU is a new noninvasive treatment method for adenomyosis that may help relieve dysmenorrhea.

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1005 Acquisition of Surgical Skills in Medical Students Via Telementoring: A Randomised Control Trial

British Journal of Surgery ◽

10.1093/bjs/znab259.888 ◽

2021 ◽

Vol 108 (Supplement_6) ◽

Author(s):

A Feeley ◽

I Feeley ◽

D Hehir

Keyword(s):

Medical Students ◽

Rating Scale ◽

Significant Degree ◽

Randomised Control Trial ◽

Global Rating Scale ◽

Control Group ◽

Live Streaming ◽

Global Rating ◽

Post Test ◽

Suturing Skills

Abstract Aim To evaluate the use of telementoring in acquisition of basic suturing skills in medical students. Method This was a single blinded two- armed randomised control trial. Medical students undergoing clinical rotations in their penultimate and final years were invited to participate in this study. Informed consent was obtained. The control group underwent conventional suturing training, with the interventional group undergoing the tutorial in a remote learning setting via live streaming. Pre- and post-test assessment was carried out using validated Global Rating Scale tool. Results Eleven students were enrolled in this study. Participants were comparable at baseline (p=.18) and following the tutorial (p=.29). Participants improved to a statistically significant degree in both the virtual group (p=.02) and the in-person group (p=.001). Conclusions Telementoring is an effective tool in the provision of teaching basic suturing skills in medical students. Research on its use in more complex practical skills is warranted.

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Robotic pulmonary lobectomy for lung cancer treatment: program implementation and initial experience

Jornal Brasileiro de Pneumologia ◽

10.1590/s1806-37562015000000212 ◽

2016 ◽

Vol 42 (3) ◽

pp. 185-190 ◽

Cited By ~ 6

Author(s):

Ricardo Mingarini Terra ◽

Pedro Henrique Xavier Nabuco de Araujo ◽

Leticia Leone Lauricella ◽

José Ribas Milanez de Campos ◽

Herbert Felix Costa ◽

...

Keyword(s):

Robotic Surgery ◽

Thoracic Surgery ◽

Thoracoscopic Surgery ◽

Sao Paulo ◽

Pathological Examination ◽

São Paulo ◽

Pulmonary Lobectomy ◽

Video Assisted ◽

Tertiary Teaching ◽

Video Assisted Thoracoscopic Surgery

ABSTRACT Objective: To describe the implementation of a robotic thoracic surgery program at a public tertiary teaching hospital and to analyze its initial results. Methods: This was a planned interim analysis of a randomized clinical trial aimed at comparing video-assisted thoracoscopic surgery and robotic surgery in terms of the results obtained after pulmonary lobectomy. The robotic surgery program developed at the Instituto do Câncer do Estado de São Paulo, in the city of São Paulo, Brazil, is a multidisciplinary initiative involving various surgical specialties, as well as anesthesiology, nursing, and clinical engineering teams. In this analysis, we evaluated the patients included in the robotic lobectomy arm of the trial during its first three months (from April to June of 2015). Results: Ten patients were included in this analysis. There were eight women and two men. The mean age was 65.1 years. All of the patients presented with peripheral tumors. We performed right upper lobectomy in four patients, right lower lobectomy in four, and left upper lobectomy in two. Surgical time varied considerably (range, 135-435 min). Conversion to open surgery or video-assisted thoracoscopic surgery was not necessary in any of the cases. Intraoperative complications were not found. Only the first patient required postoperative transfer to the ICU. There were no deaths or readmissions within the first 30 days after discharge. The only postoperative complication was chest pain (grade 3), in two patients. Pathological examination revealed complete tumor resection in all cases. Conclusions: When there is integration and proper training of all of the teams involved, the implementation of a robotic thoracic surgery program is feasible and can reduce morbidity and mortality.

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Pengaruh Strategi Pembelajaran Beyond Centers And Circletime (Bcct) Terhadap Kreatifitas Anak Usia Dini Kelompok Usia 3-4 Tahun Di Pos Paud Nusa Indah Surabaya

Pedagogi : Jurnal Anak Usia Dini dan Pendidikan Anak Usia Dini ◽

10.30651/pedagogi.v4i1.3608 ◽

2018 ◽

Vol 4 (1) ◽

pp. 75

Author(s):

Rini Nur Kholifah ◽

Endah Hendarwati ◽

Aris Setiawan

Keyword(s):

Experimental Design ◽

T Test ◽

Mean Difference ◽

Control Group ◽

Control Group Design ◽

Circle Time ◽

Group Design ◽

Post Test ◽

Test Control

Permasalahan dalam penelitian ini adalah model pembelajaran klasikal yang digunakan guru dalam mengajarkan calistung kreativitas anak belum berkembang dengan optimal. Strategi pembelajaran beyond centers and circle time (bcct) dipilih sebagai suatu model pembelajaran yang berpusat pada anak. Dalam model pembelajaran tersebut terdapat suatu variasi prilaku kreatif yang digunakan untuk bahan penelitian. Rumusan masalah dalam penelitian ini adalah bagaimana aktivitas kreativitas anak usia dini dengan menggunakan pembelajaran beyond centers and circle time (bcct) dan pengaruh strategi pembelajaran beyond centers and circle time (bcct) terhadap kreativitas anak usia dini. Penelitian ini bertujuan untuk mengetahui bagaimana aktivitas kreativitas anak usia dini dengan menggunakan pembelajarn beyond centers and circle time (bcct) dan pengaruh strategi pembelajaran beyond centers and circle time (bcct) terhadap kreativitas anak usia dini. Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan desain penelitian menggunakan Pre-Experimental Design dengan menggunakan Pre-Test-Post-Test Control Group Design. Populasi dari penelitian adalah anak Pos Paud Nusa Indah Surabaya. Kelompok B dengan jumlah anak 28, kelas eksperimen 14 anak dan kelas kontrol 14 anak. Teknik pengumpulan data dalam penelitian ini adalah dengan menggunakan observasi dan dokumentasi. Teknik analisis data adalah dengan menggunakan uji normalitas, uji homogenitas dan uji-t (t-test). Hasil penelitian menunjukkan bahwa kedua kelompok dinyatakan terdistribusi normal (0,200>0,05) untuk kelompok eksperimen dan kelompok kontrol. Dari uji Homogenitas di dapat kedua kelompok bersifat homogen (0.378>0,050) pada pretest dan(0.554>0,05) pada hasil nilai dari kelompok eksperimen dan kelompok kontrol terdapat perbedaan mean sebesar 0,5 hal ini terlihat dari mean difference sebesar -0,5000. Hasil analisis Group Statistics Pretest dan Group Statistics Posttest terlihat ada perbedaan dengan rata-rata pretest 6.143 berubah menjadi 9.714 dengan range kenaikan rata-rata 3.571. Sementara kelompok dengan pendekatan BCCT (Beyond Centers and Circle Time) mendapat hasil rata-rata 6.00 dan medapati kenaikan pada skor 10.214 dengan kenaikan skor sebesar 4.214. dengan demikian dapat di artikan bahwa penggunaan pendekatan BCCT (Beyond Centers and Circle Time) lebih efektif dalam meningkatkan kemampuan kreatifitas anak.

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PENGARUH TERAPI RELAKSASI OTOT PROGRESIF DALAM MENURUNKAN NYERI SENDI PADA LANSIA DI POSYANDU LANSIA

Jurnal Penelitian Keperawatan ◽

10.32660/jpk.v6i1.448 ◽

2020 ◽

Vol 6 (1) ◽

pp. 28-34

Author(s):

Selvia David Richard ◽

Dyah Ayu Kartika Wulan Sari

Keyword(s):

Rating Scale ◽

Numerical Rating Scale ◽

Purposive Sampling ◽

Post Test ◽

Numerical Rating

Penuaan adalah proses alami yang tidak bisa dihindari dan berjalan terus menerus. Lansia mengalami penurunan dalam sistem muskuloskeletal. Perubahan dalam sistem muskuloskeletal ditandai oleh rasa sakit dan kekakuan pada satu atau lebih sendi. Manajemen nyeri tidak selalu harus menggunakan obat-obatan, tetapi ada beberapa tindakan keperawatan yang dapat diberikan untuk menghilangkan rasa sakit seperti terapi relaksasi, misalnya TROP (Terapi Relaksasi Otot Progresif). Desain penelitian yang digunakan adalah pre-post test Pre Experiment. Populasi penelitian adalah semua lansia yang mengalami nyeri sendi. Sampel adalah 36 responden, yang dibagi menjadi dua kelompok intervensi. Metode pengambilan sampel menggunakan teknik purposive sampling. Data dikumpulkan dengan menggunakan Numerical Rating Scale (NRS). Data dianalisis menggunakan uji peringkat bertanda Wilcoxon dengan α = 0,05. Hasil uji peringkat Wilcoxon ditandatangani dilakukan pada kelompok intervensi kompres hangat dan TROP p = 0,000, yang menunjukkan bahwa kedua intervensi mempengaruhi pengurangan nyeri sendi. Hasil uji statistik juga menunjukkan bahwa intervensi TROP lebih efektif dalam mengurangi rasa sakit, hal ini dibuktikan dari nilai TROP Z <kompres hangat nilai Z dan 18 responden pada kelompok intervensi kompres hangat mengalami penurunan skala nyeri rata-rata 1,45 dan pada Kelompok intervensi TROP mengalami penurunan skala nyeri rata-rata 1,61. Kesimpulan dari penelitian ini adalah TROP dan kompres hangat dapat digunakan untuk mengurangi skala nyeri sendi pada orang tua, meskipun secara statistik menunjukkan bahwa intervensi TROP lebih efektif dalam mengurangi nyeri.

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How Does a Standing Exercise Programme Focusing on Hip-Abduction Strength Affect Anterior Knee Pain in Runners?

Research in Health Science ◽

10.22158/rhs.v2n1p24 ◽

2017 ◽

Vol 2 (1) ◽

pp. 24

Author(s):

Laura Schembri

Keyword(s):

Knee Pain ◽

Anterior Knee Pain ◽

Rating Scale ◽

Exercise Programme ◽

P Value ◽

Affected Side ◽

Hip Abduction ◽

Post Test ◽

Abduction Strength ◽

Anterior Knee

Outline: Anterior Knee Pain (AKP) is the most prevalent injury in running. Growing evidence suggests that hip muscle imbalance plays a role in the development of AKP. Gluteus Medius (GMed) is the main abductor of the hip and also stabilises the pelvis during gait. Studies show that hip-abduction strength is decreased in populations with AKP. This relates to increased hip-adduction, hip internal rotation and knee abduction, which are associated with higher patellofemoral contact pressures. Objective: The main aim of this study is to determine whether a standing exercise programme will improve hip-abductor strength. The second aim of the study is to determine whether there will be a decrease in running-related pain after completing a six-week standing exercise programme. Design: Within-participant pre-test/post-test comparative trial.Setting: The Sport’s Clinic at the Malta Football Association. Ta Qali National Stadium (Malta).Main outcome measures: GMed torque was measured using a Biodex® System 3 isokinetic dynamometer as demonstrated by Brent et al (2013). The Numerical Rating Scale was used to measure pain related to running. Results: Pre-test torque scores were higher on the affected side. Scores on the affected side improved by 22.81% from a mean baseline average of 96.00Nm/kg to 117.86Nm/kg, (p-value 0.013). Scores on the unaffected side improved by 27.97% from a mean baseline average of 90.14Nm/kg to 115.29Nm/kg (p-value 0.031). Post-test scores were more balanced between limbs. Pain scores decreased from 5.29 as measured on the NRS to 1.00 (p-value 0.000). Conclusion: Standing exercises aimed at strengthening the hip-abductors may prove to be a valid intervention for prevention and rehabilitation of AKP. However, better quality studies are needed in order to validate this.

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