Raha Saleh Abadi; Farahnaz Mohammadi Shahboulaghi; Marjan Vejdani; Masoud Fallahi Khoshknab; Ahmad Delbari
Volume 24, Issue 6 , March and April 2018, , Pages 29-35
Abstract
Background & Objectives: Visual acuity has an important role in the elderly’s communication with the environment. Cataract is a major cause of reduced visual acuity in the elderly, which can be treated only through surgery. Like in any other surgery, the elderly who should undergo cataract ...
Read More
Background & Objectives: Visual acuity has an important role in the elderly’s communication with the environment. Cataract is a major cause of reduced visual acuity in the elderly, which can be treated only through surgery. Like in any other surgery, the elderly who should undergo cataract surgery experience a lot of anxiety. Relaxation techniques are of the procedures that can lead to stress reduction and create comfort and relaxated people. Therefore, the present study was conducted to determine the effect of guided imagery on pre-operation anxiety and hemodynamic factors in the elderly undergoing cataract surgery.
Materials & Methods: The present randomized clinical trial recruited 50 elderly patients undergoing cataract surgery who met the inclusion criteria in the period of August to December 2014 through purposive sampling from patients at Vasei Hospital in Sabzevar, Iran, and randomly assigned them to the case and control groups. The control group received routine care and the case group received guided imagery using an audio file. Spielberger’s anxiety inventory and checklist of physiological changes were used to collect data. The data were analyzed using statistical tests by SPSS 16 software at a desirable significance level, independent t tests, chi-square test, fisher exact test and ANOVA.
Result: The mean of hemodynamic factors did not significantly differ in the two groups before intervention (p>0.05), but significantly reduced systole blood pressure (p<0.001), diastole blood pressure (p<0.01) and respiration (p<0.001).
Conclusion: Guided imagery can effectively reduce physiological responses of anxiety before surgery in the elderly. Hence, it is suggested that clinical nurses and nursing students use it for better nursing services.
Mohsen Koushan; MohammadHasan Rakhshani; Mahbobeh Mohebbi; Mossareza Tayyonfar
Volume 20, Issue 5 , March and April 2014, , Pages 681-688
Abstract
Background: Many patients who are undergoing anesthesia and surgical have untreated stress and anxiety in day of surgery that will effect on the psychological and physiological levels. Reduction anxiety accepted as part of pre-operative nursing care. The present study investigated the effects of Guided ...
Read More
Background: Many patients who are undergoing anesthesia and surgical have untreated stress and anxiety in day of surgery that will effect on the psychological and physiological levels. Reduction anxiety accepted as part of pre-operative nursing care. The present study investigated the effects of Guided Imagery on Anxiety level of the patients undergoing appendectomy.
Materials and Methods: In this randomized clinical trial, 60 patients undergoing appendectomy, admitted Beheshti hospital,Sabzevar in 2013, were randomly allocated into two intervention and control groups. Intervention was performed in 18 minutes Audio CD Guided Imagery for an hour before the operation. Data were analyzed bySPSS software version 20, using Chi-square,paired t test and analysis of covariance. 95% confidence level was considered.
Results: The average of state and trait anxiety level in Guided Image regroup before of intervention were 51/90 ± 7/88 and 42/76 ± 8/34 respectively which decreased to 38/53 ± 6/48 and 40/70 ± 7/88 after intervention. On the other side the average of state and trait anxiety level incontrol group were 52/03 ± 6/49 and 43/86 ± 8/29 respectively that increased to 60 ± 7/97 44/36 ± 8/18 in the end of the study. Statistically, the paired t test showed significant difference between the levels of anxiety before and afterof study in two groups (p
DAVARI; YAGHOUBI; HEYDARI; MIRI; MASOUDIAN
Volume 14, Issue 3 , September and October 2007, , Pages 154-158
Abstract
Background and Purpose: Congenital nosolachrymal duct obstruction is one of the common disorders characterized by tearing and mucoid or mucopurulent discharge in children. The most common site of obstruction is the Hasner Value. About 20% of infants suffer from tearing which spontaneously improves within ...
Read More
Background and Purpose: Congenital nosolachrymal duct obstruction is one of the common disorders characterized by tearing and mucoid or mucopurulent discharge in children. The most common site of obstruction is the Hasner Value. About 20% of infants suffer from tearing which spontaneously improves within the first year of life in 90%. As there is no risk of aspiration with the air injection, it was adopted for comparison with saline injection. Therefore, this research was conducted to compare the success rate of the conventional method (probing with irrigation) and the air injection in infants.
Methods and Materials: This study was conducted as clinical trial in which 61 patients (with the age range of 9-24 months) (76 eyes) with congenital nosolachrymal duct obstruction, not responding to conservative treatment, was randomly assigned into one of the two groups. They were assessed before and after probing using Munk's scale. Their follow-up included lachrymal massage and antibiotic drops and assessment in 2 weeks, one month and three months after probing. A few cases were excluded from the study for irregular follow-up participations. Chisquare was used for data analysis.
Results: Out of 34 male eyes and 42 female eyes, 33 and 42 eyes recovered respectively upon the final follow-up (three months after probing). Out of 30 patients probed with saline, after two weeks, 31 eyes (86.1%) recovered after two weeks; 34 eyes (94.4%) after one month and 34 eyes (94.4%) after three months.
Out of 31 patients poobed with air injection, the recovery rates after two weeks, one month and three months follow-up, 33 eyes (82.5%), 38 eyes (95%) and 38 (95%) respectively.
Conclusion: As three is no risk of aspiration with the air injection and the outcomes are similar to the irrigation method, the researchers recommend probing with air injection to be substituted to saline irrigation.
M SAMAVATI
Volume 12, Issue 1 , March and April 2005, , Pages 6-10
Abstract
Background and Purpose: This study is intended to evaluate the results of intraoperative Mitomycin- C application in external D.C.R surgery compared with same results without Mitomycin-C application.
Methods and Materials: In this prospective randomized controlled study, a total of 66 eyes diagnosed ...
Read More
Background and Purpose: This study is intended to evaluate the results of intraoperative Mitomycin- C application in external D.C.R surgery compared with same results without Mitomycin-C application.
Methods and Materials: In this prospective randomized controlled study, a total of 66 eyes diagnosed with acquired Nasolacrimal duct obstruction were randomly divided into a simple external D.C.R group and a Mitomycin-C group in which Mitomycin-C was used during surgery. The surgical procedures in both groups were exactly the same, except that in Mitomycin-C group, a piece of cotton soaked with 0.2 mg/ml Mitomycin-C was applied to osteotomy site for 20 minutes. The symptoms and signs of the two groups in a 7-month follow-up were evaluated.
Results: In the simple D.C.R group, 75.8% of the patients remained Epiphora free after 7 months of follow-up; while in the Mitomycin-C group, 94% of patients were reported to be Epiphora-free. There was a significant difference between the two groups: the potency rate in simple group in 72.7% compared with 94% in the Mitomycin-C group. In the simple group, 69.7% having a normal tear Meniscus level compared with 91% in Mitomycin-C group. There were no severe complications except for one patient with delayed epistaxies and two patients with delayed wound healing in Mitomycin-C group.
Conclusion: Intraoperative Mitomycin-C application is effective in increasing the success rate of D.C.R surgery and no significant complication results from its use.