ABSTRACT
@#Introduction: Patients' transition from hospital to home could be challenging for patients and caregivers. This is of utmost importance for patients requiring special or long-term care such as post-orthopaedic surgery. Effective discharge planning is required to ensure that patients are prepared to and get continuous care after returning home to prevent complications. Patients' need assessment is essential to develop effective discharge planning to meet the patient's needs. Materials and methods: This mixed-method study aimed to determine the patient's needs to develop a discharge planning for total knee replacement surgery. The needs for 96 total knee replacement patients were assessed using the Needs Evaluation Questionnaire (NEQ). The in-depth interview primary focus was to explore the lived experience of the post-total knee replacement patients receiving care in the hospital. Results: A total of 96 participants (100%) completed the NEQ questionnaire. Most of the needs concerned by the participants were expressed by at least 70% of them except the financial need (59.4%). The semi-structured interview found two elements which were a support group and patients’ needs in terms of emotional, physical and spiritual preparation in developing effective discharge planning. Conclusion: This study clarified that the patient needs assessment in the patient care plan.
ABSTRACT
To find out the best combination of parameters; clinical and exercise induced hemodynamic and electrocardiographs, that could improve the diagnostic performance of exercise test. Exercise test and coronary angiography were performed for 112 patients with angina pectoris and normal electrocardiogram. The univariate predictors of the presence of CAD were aged >/= 40 years, male gender, hypertension, smoking, typicality of chest pain, development exertional chest pain, shorter exercise duration, decrease systolic blood pressure [BP] >/= 10 mmHg or systolic BP 3 min post-exercise >90% peak, heart rate drop <12 b/m one minute post exercise, exercise induced ST-segment depression >/= 1 mm, ST/HR slope >/= 2.4 microV/beat/minute, increased T amplitude >/= 2.5 mm, lengthening or no change of P wave duration, decrease or no change in Q wave depth, either R wave increase >/= 2mm or decrease >/= 1mm, QTD >60 ms, QTDc >70 ms, Q-X/QT ratio in V5 >0.5 and delta QTD rest to peak exercise >/= 16 mm and. Using multivariate logistic regression analysis we proved that using either ST depression >/= 1 mm or QTDc >70 ms as a positive exercise test significantly improved the sensitivity and the negative predictive value of the test without a significant decrease in the specificity. Using either ST depression >/= 1 mm or QTDc >70 ms as a positive exercise test improves the diagnostic performance of the test