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Register a new userEffects of Foot and Hand Massage on Pain of Open Heart Surgery Patients in Intensive Care Units
تأثير تدليك القدم واليد على الألم لدى مرضى جراحة القلب المفتوح في وحدات الرعاية المركزة
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سوسن غزال( باحث )
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يترافق التعافي من جراحة القلب مع ألم صدري شديد في موقع القص وألم الطرف في موقع الصافن، يسجل هؤلاء المرضى بشكل روتيني تدرجات خفيفة الى معتدلة من الألم على الرغم من إعطاء العقاقير المهدئة. يشكل دمج العلاج بالتدليك في نهج فريق رعاية المرضى خطوة إلى الأمام حددت الألم كعلامة حيوية خامسة بعد النبض، وضغط الدم، ودرجة الحرارة، ومعدل التنفس. وقد أجريت هذه الدراسة على عينة قوامها 30 مريضا أجريت لهم جراحة القلب المفتوح في وحدة الرعاية المركزة في مركز الباسل لأمراض وجراحة القلب في اللاذقية. تم تقسيم العينة بشكل عشوائي إلى مجموعة ضابطة ومجموعة تجريبية. تلقت المجموعة التجريبية تدليك اليد والقدم بعد الجراحة بينما تركت المجموعة الضابطة لروتين المشفى. أظهرت نتائجنا أن متوسط درجة شدة الألم في كلا المجموعتين لم تختلف بشكل ملحوظ في بداية الدراسة. وهذا يعني أن شدة الألم كانت متماثلة في المجموعتين في بداية الدراسة قبل تطبيق أي تدخل. وأظهرت النتائج أن هناك فرق ذو دلالة إحصائية في متوسط درجة شدة الألم في مجموعة التدخل والسيطرة ، بعد تطبيق تدليك اليد والقدم معا. تدليكالقدم واليد هي واحدة من التدخلات المتاحة في الطب التكميلي والعلاج الذي يقدم فرصة للممرضين لرعاية مرضاهم. العلاج بالتدليك هو نهج علاجي يدوي تستخدم لتسهيل الشفاء والصحة ويمكن استخدامها من قبل الممرضين في أي مكان تقريبا.
Recovery from cardiac surgery is associated with severe chest pain at the site of sternotomy and limb pain at the site of conduit harvesting. Patients routinely report mild to moderate pain even though they were administered sedative drugs. The integration of massage therapy into the team approach in patient care constitutes a move forward that recognizes pain as the fifth vital sign after pulse, blood pressure, temperature, and respiratory rate. This study was performed on patients who had open heart surgery and had the inclusion criteria for entering the study in ICU in Bassel Center for disease and heart surgery in Lattakia. A sample of 30 male and female patients was randomly divided into two groups: control group, experimental massage group. The experimental group received hand and foot massage after surgery. Our findings demonstrate that the mean score of pain severity in both groups was not significantly different at the beginning of the study. This means that pain severity was similar in both groups at the beginning of the study before applying any intervention. Results showed that there was a significant difference between the mean score of pain severity of the intervention group and the control group, after applying hand and foot massage together. The study concludes that foot and hand massage is one of the available interventions in complementary medicine and treatment which provides an opportunity for nurses to care for their patients.
References used
MONAHAN FD, Sands JK, Neighbors M, Marek JF, Green CJ Phipps’s Text book Medical – Surgical Nursing (2007) 8th edition, Mosby Co., 1: 321-324
MUELLER XM. Tinguely F, Tevaearai H T. Revelly J P, Chioléro R, Segesser L K. von Pain Location, Distribution, and Intensity After Cardiac Surgery. Chest (2000) August. 118 (2): 391-396
SMELTZER SC, Bare BG, Hinkle JL, Cheever KH Brunner and Suddarth's Textbook of Medical-Surgical Nursing (2011), 12th ed. Philadelphia, Lippincot Williams & Wilkins Co., 260-289
IGNATAVICIUS DD, Workman LM, Mishler MA. Medical Surgical Nursing- A nursing process approach (2010), 5nd edition, W.B. Saunders Company, 1: 121
ANDERSON PG, Cutshall SM. Massage therapy: a comfort intervention for cardiac surgery patients. Clin Nurse Spec (2007) 21(3): 161–165
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Fatigue is one ofthemostimportant and common side effectamong cancer patient
under chemotherapy. Objective:the study aimed is to study the effect back, hand and foot
massage on fatigue levelto cancer patient under chemotherapy.Material and method:t
he
study was conducted of (75) patients were adult male divided on five groups (back
massage, hand massage, foot massage,[back, hand and foot massage] and control group)
atchemotherapy unit, Tishreen University Hospital, and all of them are under
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most effective in reduce fatigue levels and recommended about importance of massage for
patients under chemotherapy.
Dysphagia considers the most important and common in neurological system patient
on critical care units. Objective: The aim of this study was to study the effect of nursing
care policy on dysphagia in neurological system patients in critical care u
nits. Material
and method: the study was conducted on 40 patients divided on four groups (Shaker
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control group) in critical care units in the Assad university hospital and the National
Hospital whom have dysphagia. The data was collected by using the personal information
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recommended about importance of Shaker Exercise, and Mendelsohn maneuver for
patients with dysphagia.
The aim of this study was to assess the effect of physiotherapy on ventilator weaning and lengths of intensive care unit (ICU) stay. Patients were divided into two groups. The control group, which received standard nursing care. The data of control p
atients who were not receiving physiotherapy were obtained from the hospital records. The intervention group was prospectively taken into the chest physiotherapy program. This study was conducted on sample of 30 patients in the ICU in alaassad university hospital. Demographics, diagnostic profiles, co-existing chronic diseases, respiratory parameters on admission, patient’s overall severity by Acute Physiology and Chronic Health Evaluation II score, patient outcome, duration of stay in ICU, duration of ventilator support, and complications were assessed. The extubation time and length of ICU stay were compared between the two groups. Control patients had a longer period of ventilator dependency than the intervention patients and this difference was statistically significant (P < 0.05). It was noted that the resulting length of stay in the ICU was significantly lower in the intervention group than in the control group (P < 0.05). Although the patients had similar diagnoses and physical features, the length of stay in the ICU was significantly lower in the intervention group. The results show that physiotherapy has a great impact on ventilatory dependency and length of stay in the ICU
Introduction: Sleep disturbance is common among patients in intensive care units (ICUs). Changes in clinical practice to promote sleep in the ICUs have been sporadic. The European Respiratory Society and the European Society of Intensive Care Medicin
e recognize that massage therapy may improve quality of sleep.
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Material and Methods: A sample of 45 patients in intensive care units in Al-Assad University Hospital and Alwatani Hospital were recruited in the study. Both the massage and control participants were evaluated for sleep quality by Groningen sleep quality scale, 1 hour after administration of the protocol.
Results: The effectiveness of back and face massage, as quality of sleep,
is significantly improved (p=0.000) in the experimental back and face massage
groups (mean score 3.9981), and (mean score 4,4043) respectively, than in control group (mean score – 0.8117).
In conclusion, our data suggest that back and face massage therapy is effective in improving the quality of sleep in ICU patients
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work methods, that differentiate areorganisation from the other. These characteristics
represent the work environment that nurses work within. Nursing work environ
ment
received an international attention recentlyspecial emphasis on the importance of
improvinghospitals environment for its influence on organizational and individuals
outcomes such as absence of nurses, job dissatisfaction, nursing turnover , Burnout
,intention to leave the profession workplace, nursing represents an important part of an
essential element in the system of health care, work in the pressing environment can affect
the psychological health and arrival at Burnout .This study aim to study the impact of
nursing work environment on nurse’ burnout in critical care units in government hospital
settings in Lattakia. The study showed that the environment of nursing work environment
is unfavorable, from the point of view of more than half of the nursing staff participating in
the study 2,where the highest scoring of subscale was:/nurse physician communications
skills/ and lowest scoring of subscale was/nurse foundations for quality of care/ ,well as
the study showed the existence of a direct relationship between the work environment
unfavorable and burnout , and the work environment in all its dimensions affect the
burnout, where after /nurse manager's ability, leadership, and support of nurses/ where the
most influential dimensions in the nurse’ burnout, while /nurse-physician communications
skills/ the less influential dimensions in the development of nurse’ burnout, on , study
showed that there is a link between each of the dimensions of the an environment nursing
work and dimensions of the burnout, where that the / nurse foundations for quality of care/
importance of its role more than the impact in raising the rate of emotional exhaustion,
while after /nurse participation in organization affairs/ of the importance of its role more
than the dimensions of the work environment impact in raising the rate of
depersonalization, as it was after the / adequacy of resources and nurses/ more than the
dimensions of the work environment impact in reducing the proportion of personal
achievement.
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