ABSTRACT
Nausea and vomiting are from the most common complications of surgery during recovery. Adenotonsillectomy is a common surgery among children, which can be followed by some complications such as nausea, vomiting, bleeding, and even death in some cases. There are some medical and nonmedical remedies to decrease nausea and vomiting. A nonmedical therapeutic procedure is reduction of abdominal pressure using oral gastric tube. This study aims to assess effects of gastric tube insertion during anesthesia induction on nausea and vomiting of adenotonsillectomized patients. This study was a clinical trial on 72 adenotonsillectomised children aged 6 to 12 years old in Shahid Montazeri hospital of Najaf-Abad. Patients were randomly divided to two groups of case group [36 Children with oral gastric tube] and controls group [36 children without oral gastric tube]. Anesthesia method for both groups was similar. Frequency of nausea and vomiting were measured during the 24 hours following adenotonsillectomy. Data was analyzed using SPSS 15 and Mannwhithney U, Chi square, Spearman, Friedman and wilcoxon tests. Two groups were not significantly different regarding their demographic characteristics such as age, sex and weight [p>0.05]. Frequencies of nausea and vomiting were significantly lower in the intervention group comparing to the control group in the first 2 hours in recovery room as well as in the first 2, 6, and 14 hours of patient attendance in the postsurgical ward [P
ABSTRACT
Due to the necessity of using the Internet as a source of important information by scientific community is increasing, thus determining the factors affecting faculty member's intention to use the Internet according to their position must be knowledge and important sources of information are familiar, has been considered. Therefore this study to determine the rate and factors relation to use the Internet to use intention by faculty members based on the theory of reasoned action was done. This descriptive correlation study that was conducted in 1388, the theory of rationed action was selected as the theoretical foundation and relation of the three factors: attitude to internet vise, subjective norms to internet use and external variables [demographic characteristics] with intention to use the internet was measured. Sampling method was sensuous and samples included all faculty members of the one of school of Nursing consisting of 29 persons. For attitude measurement to use the internet was used validated and reliable questionnaire 40 items and measurement of subjective norms to use the internet [8 items] and intention to use the internet [6 items] was done by making researcher questionnaire after acquisition of validity and reliability. Statistics tests were performed as Spearman, Pearson, Linear Regression Analysis, Multiple Regression Analysis and Multicollinearity analysis. In most samples, attitude was average and subjective norms were high and in half the samples, intention to the internet was average. According to the theory of reasoned action, between attitude and subjective norms to use of internet was existed direct correlation and was predictable [P<0.01]. Significant correlation between gender and attitude to use of internet [P=0.012] and also level of education had significant correlation with intention [P=0.014]. Also between clinical experience and attitude to use of internet was seen correlation [r=O.56, P=0.003]. Increasing of positive attitude and subjective norms to internet use will culminate intention to internet use [factors of the Theory of reasoned action]
ABSTRACT
A majority of children experience moderate to severe postoperative pain. To ensure adequate pain relief in pediatric patients, non pharmacological techniques are needed for use in conjunction with pain medication. The aim of this study was to determine the effect of therapeutic play on postoperative pain of hospitalized school age children in surgical ward of Sheikh's Pediatric Hospital affiliated to Mashhad Medical University in 2009-2010. In this randomized clinical trial, 40 hospitalized children in surgical ward between the age of 8 and 12 years old were selected and randomly assigned to the experimental group who participated in a session of therapeutic play that lasted between 30 and 45 minutes whereas those in the control group received routine care. Data collection tools included demographic questionnaire and Objective Numeric Pain Scales. The intensity of pain was assessed before [Phase1], immediately after [Phase2], and 15 minutes after [Phase3] intervention or routine care. The validity of 'Objective Pain Scales' and 'Numeric Pain Scales' were determined by concurrent validity [0/89] and between 'Objective Pain Scales' and 'Face pain Scale' [0/95]. Reliability of 'Objective Pain Scales' was measured by inter -rater reliability [0/95]. Data were analyzed by SPSS v16. The results showed that children in the experimental group reported having significantly less pain [p. The finding of this study have shown the positive effect of therapeutic play on postoperative pain of hospitalized school age children