RESUMO
Introducción: los pacientes pediátricos y sus padres sienten ansiedad antes de una cirugía, síntoma que afecta la inducción anestésica, el dolor y el comportamiento postoperatorio. El objetivo fue evaluar el efecto de la educación preoperatoria estructurada en el nivel de ansiedad de niños sometidos a cirugía electiva y de sus padres. Métodos: estudio prospectivo, aleatorio, doble ciego, en niños de 2-12 años, ASA I-II. Los participantes fueron aleatorizados en grupo control (información habitual) y grupo experimental (información estructurada). Se registraron variables demográficas, nivel de ansiedad en unidad preoperatoria y en pabellón en niños y padres; se evaluó el comportamiento de los niños durante la inducción anestésica. Análisis estadístico: t-test, x2; valores expresados en media y desviación estándar; significancia p ≤ 0,05. Resultados: se reclutaron 34 pacientes, 18 en grupo control y 16 en grupo experimental. Los valores ansiedad en niños pre-pabellón fueron 37,7 ± 21,4 en grupo control y 31,9 ± 11,5 en grupo experimental (p= 0,35); durante pre-inducción fue 43,2 ± 25,3 y 36 ± 15,5 respectivamente (p= 0,33). Los niveles de ansiedad en padres pre-pabellón fueron 42,5 ± 15,5 para grupo control y 37,6 ± 6,9 en grupo experimental (p= 0,25), y al retirarse del pabellón fueron de 45,1 ± 16,6 y 43,9 ± 9,8 respectivamente (p= 0,82). No hubo diferencias en el comportamiento durante la inducción anestésica entre ambos grupos (p= 0,24). Conclusiones: no fue posible demostrar efectos de información estructurada en niveles de ansiedad en niños que van a ser operados y en sus padres.
Introduction: Pediatric patients and their parents experience anxiety before surgery, a symptom that affects anesthetic induction, pain and postoperative behavior. The objective was to evaluate the effect of structured preoperative education on the anxiety level in children undergoing elective surgery and their parents. Methods: A prospective, randomized, double-blind study in children aged 2-12 years, ASA I-II. Patients were randomized into a control group (usual preoperative information) and an experimental group (structured information). Demographic variables, anxiety level in the preoperative unit and in operating room in children and parents were recorded; the behavior of children during anesthetic induction was evaluated. Statistical analysis: t-test, x2; values expressed as mean and standard deviation; significance p ≤ 0.05. Results: 34 patients were recruited, 18 in the control group and 16 in the experimental group. The anxiety levels in children in preoperative unit were 37.7 ± 21 and 31.9 ± 11.5.4 in control and experimental group, respectively (p = 0.35), and in operating room were 43.2 ± 25.3 and 36 ± 15.5 respectively (p = 0.33). Parental anxiety levels in preoperative unit were 42.5 ± 15.5 in control group and 37.6 ± 6.9 in experimental group (p = 0.25), and when they leaving operating room were 45.1 ± 16.6 and 43.9 ± 9.8 respectively (p = 0.82). There were no differences in the behavior during anesthetic induction between both groups (p = 0.24). Conclusions: It was not possible to demonstrate effects of structured information on anxiety levels in children undergoing surgery and in their parents.
RESUMO
A clinical information navigation system based on 3D human body model is designed. The system extracts the key information of diagnosis and treatment of patients by searching the historical medical records, and stores the focus information in a predefined structured patient instance. In addition, the rule mapping is established between the patient instance and the three-dimensional human body model, the focus information is visualized on the three-dimensional human body model, and the trend curve can be drawn according to the change of the focus, meanwhile, the key diagnosis and treatment information and the original report reference function are provided. The system can support the analysis, storage and visualization of various types of reports, improve the efficiency of doctors' retrieval of patient information, and reduce the treatment time.
Assuntos
Humanos , Diagnóstico por Computador , Aplicações da Informática Médica , Modelos Anatômicos , SoftwareRESUMO
This paper introduces the design and development of a light-weighted medical equipment management system in hospital based on structured information flow architecture, to collect and analyze data in medical equipment lifecycle management processes. It applies co-operative work flows both online and off-line to achieve high quality data collection, and to increase the efficiency for clinical personals and clinical engineers. This system manages to apply the UDI system, implements the intelligent access to medical equipments, uses data analysis to provide intelligent services. It will boost the quality control management and information construction synchronously.
Assuntos
Equipamentos e Provisões , Hospitais , Administração de Materiais no Hospital , Controle de QualidadeRESUMO
The purpose of this study was to identify the effect of structured information provided on knowledge and self-care behavior. The subjects of this study were both hospitalized patients and outpatients in K university hospital. The instrument use for this study were the knowledge assessment tool and self-care behavior assessment tool by Eom Soon-Ja(1998) and they were modified for liver cirrhosis patients. The data were analyzed by t-test, Chi-square test, Pearson correlation coefficients using SAS program. The results of this study were as follows. The experimental group which had received structured information provided showed greater increased knowledge of liver cirrhosis(P=.001). The experimental group which had received the structured information provided indicated increased self-care performance rate, especially after information about diet(P=.001), activity and bed rest(P=.001), drug therapy and visiting the hospital(P=.001), prevention of a complication and observation(P=.001). In conclusion, structured information provided showed increased in the degree of knowledge and self-care behavior, so information showing is an effective nursing intervention. It is much needed to employ information showing for chronic patients.