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1.
Rev. gaúch. enferm ; 40: e20190026, 2019. tab, graf
Article in Portuguese | LILACS, BDENF | ID: biblio-1043025

ABSTRACT

Resumo OBJETIVO: Avaliar o efeito do banho quente de chuveiro e exercício perineal com bola suíça isolados e de forma combinada, sobre a percepção da dor, ansiedade e progressão do trabalho de parto. MÉTODO: Ensaio clínico randomizado e controlado com 128 parturientes alocadas em três grupos de terapias, banho, bola, isolados e combinados. A percepção da dor e ansiedade foi avaliada antes e trinta minutos após a intervenção terapêutica por meio de escala visual analógica (EVA). RESULTADOS: Houve aumento no escore de dor e redução da ansiedade em todos os grupos, sobretudo quando utilizaram banho de chuveiro. A dilatação cervical, aumentou em todos os grupos de intervenção (p<,001) bem como o número de contrações uterinas, principalmente quem utilizou banho e bola associados como também mostrou menor duração do tempo de trabalho de parto. CONCLUSÃO: As terapias estudadas contribuem para adaptação e bem-estar materno e favorecem a evolução do trabalho de parto.


Resumen OBJETIVO: Evaluar el efecto de la ducha caliente y del ejercicio perineal con pelota suiza, separadamente y de forma combinada, sobre la percepción del dolor, la ansiedad y la progresión del trabajo de parto. MÉTODO: Ensayo clínico aleatorizado y controlado junto a 128 parturientes asignadas en tres grupos de terapias, ducha caliente, pelota suiza separadamente y de forma combinada. La percepción de dolor y de ansiedad se evaluó antes y treinta minutos después de la intervención terapéutica por medio de escala visual analógica. RESULTADOS: Hubo un incremento en la puntuación de dolor y una reducción de la ansiedad en todos los grupos, sobre todo cuando se utilizó la ducha. La dilatación cervical aumentó en todos los grupos de intervención (p<,001) así como el número de contracciones uterinas, principalmente en el grupo que utilizó las dos terapias combinadas, ducha caliente con pelota suiza. Asimismo se constató menor duración del tiempo de trabajo de parto. CONCLUSIÓN: Las terapias estudiadas contribuyen a la adaptación y el bienestar materno y favorecen la evolución del trabajo de parto.


Abstract OBJECTIVE: To evaluate the effect of isolated and combined warm shower bath and perineal exercise with Swiss ball, on perception of pain, anxiety and labor progression. METHOD: Randomized, controlled clinical trial with 128 patients allocated into three groups of therapies: isolated and combined bath and ball. Pain and anxiety perception was evaluated before and thirty minutes after therapeutic intervention through visual analogic scales (VAS). RESULTS: Pain perception score increased, and anxiety decreased in all groups, mainly when using a shower bath. The cervical dilation increased in all groups (p<.001), as well as the number of uterine contractions increased, mainly in the group that used combined bath and ball and also showed shorter labor time. CONCLUSION: The studied therapies contribute to maternal adaptation and well-being and favor labor's evolution.


Subject(s)
Humans , Female , Pregnancy , Adult , Young Adult , Baths , Complementary Therapies/methods , Labor, Obstetric/physiology , Resistance Training/methods , Anxiety/diagnosis , Anxiety/therapy , Perineum , Uterine Contraction/physiology , Labor Stage, First/physiology , Combined Modality Therapy/instrumentation , Combined Modality Therapy/methods , Labor Pain/diagnosis , Labor Pain/therapy , Resistance Training/instrumentation , Hot Temperature
2.
Int. braz. j. urol ; 40(5): 650-655, 12/2014. tab
Article in English | LILACS | ID: lil-731126

ABSTRACT

Purpose We aimed to compare the outcomes of pneumatic (PL), ultrasonic (UL) and combined (PL/UL) lithotripsy performed in percutaneous lithotripsy (PNL) according to success rates and stone clearence. Materials and Methods The medical records of 512 patients treated with PNL between April 2010 and April 2013 were evaluated. Postoperative stone analysis revealed as calcium oxalate in 408 of these patients. The operation notes of 355 patients recorded in detail with complete parameters were reviewed. According to stone disintegration method, patients were divided into three groups: PL only in Group I, UL only in Group II, and UL/PL combination in Group III. Number of patients was 155, 110 and 90, respectively. Results Fluoroscopy screening time was significantly shorter in group II, and III compared to group I (p<0.001). The failure rates were 13.5% (21 patients) for group I, 3.6% (4 patients) for group II, and 3.3% (3 patients) for group III. There was a significant statistical difference in favor of group II and III by means of success (p=0.023). Group II and III had larger FSA, and this was statistically significant (p=0.032). Stone disintegration time (SDT) was 64.0±41.92 minutes for group I, 49.5±34.63 for group II, and 37.7±16.89 for group III. Group III has a statistically significant shorter SDT (p=0.011). Conclusions We concluded that, in cases with high stone burden, where faster and efficient lithotripsy is needed, combined ultrasonic / pneumatic lithotripter may be the ideal choice and in suitable cases ultrasonic lithotripter usage provides important advantages to the surgeon. .


Subject(s)
Adult , Female , Humans , Male , Middle Aged , Combined Modality Therapy/instrumentation , Kidney Calculi/therapy , Lithotripsy/instrumentation , Nephrostomy, Percutaneous/instrumentation , Analysis of Variance , Combined Modality Therapy/methods , Equipment Design , Fluoroscopy , Length of Stay , Lithotripsy/methods , Nephrostomy, Percutaneous/methods , Operative Time , Statistics, Nonparametric , Time Factors , Treatment Outcome
3.
Rev. mex. pediatr ; 61(6): 267-71, nov.-dic. 1994. tab
Article in Spanish | LILACS | ID: lil-147718

ABSTRACT

Para poner a prueba un algoritmo diseñado para facilitar el tratamiento del shock séptico, se estudiaron en el Servicio de Terapia Intensiva Pediátrica del Hospital General Centro Médico La Raza, 35 niños con edad promedio de 12.7 meses que tenían datos (clínicos y de laboratorio) de shock séptico hipodinámico. La primera fase del algoritmo consistió en la administración de metilprednisolona (30 mg/kg), naloxona (100 ug/kg/dosis) y coloides, habiendo observado una sobrevivencia del 61 por ciento y una letalidad secundaria al shock de 19 por ciento. En la segunda fase se aplicó dopamina (5 ug/kg/min) y dobutamina (5 a 20 ug/kg/min), con sobrevivencia de 38 por ciento; no presentaron nuevo shock el 23 por ciento del total y la letalidad fue de 30 por ciento. La tercera fase consistió en la transfusión de paquete globular, menor de 72 horas, observando 100 por ciento de sobrevivencia; ningún niño presentó nuevo shock. En dos niños se hizo exanguinotransfusión en la cuarta fase del algoritmo; ambos murieron. Se concluye que el algoritmo de manejo del shock séptico es útil, los esteroides son eficases cuando se aplican tempranamente. Las medidas que se tomen para nutrir a los niños deben ponerse en práctica tempranamente, para así reducir el efecto del hipercatabolismo y evitar la evolución hacia la falla orgánica múltiple


Subject(s)
Infant , Child, Preschool , Child , Methylprednisolone/administration & dosage , Combined Modality Therapy , Combined Modality Therapy/instrumentation , Naloxone/administration & dosage , Shock, Septic/physiopathology , Shock, Septic/therapy
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