Дисертації з теми "Heart Surgery Patients Medical care"
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Leung, Mei-ling, and 梁美玲. "An evidence based guideline of pre- and post operative oronasopharyngeal care for cardiac patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48335642.
Повний текст джерелаpublished_or_final_version
Nursing Studies
Master
Master of Nursing
Ågren, Susanna. "Supportive care for patients with heart failure and their partners : A descriptive and interventional study." Doctoral thesis, Linköpings universitet, Omvårdnad, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-56232.
Повний текст джерелаSisterman, Kathryn, and Kathryn Sisterman. "Improving Care for Patients Hospitalized with Heart Failure." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/626616.
Повний текст джерелаMaynard, Charles. "Blacks in the coronary artery surgery study /." Thesis, Connect to this title online; UW restricted, 1986. http://hdl.handle.net/1773/8877.
Повний текст джерелаCozac, JoAnn Lee. "Spouses’ experiences of having a mate in the Intensive Care Unit following coronary artery bypass graft surgery." Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/24413.
Повний текст джерелаApplied Science, Faculty of
Nursing, School of
Graduate
Shaffer, Leigh Larsen. "NURSES' RESPONSE TO CARING FOR PATIENTS WHO HAVE RECEIVED A HEART TRANSPLANT." Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276401.
Повний текст джерелаNilsson, Sophie, and Emelie Elwing. "Experienced reasons for low compliance in patients with heart failure." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-25641.
Повний текст джерелаBackground: To live with heart failure means living with a severe cronic disease, this requires a lot of the patients. The consequence of low compliance can result in worsened symptoms which leads to hospitalization. To improve patients’ compliance alternative strategies needs to be highlighted. The background in this study contains four parts: heart failure and its treatment, health literacy as a concept and its usability, low compliance and low health literacy, and a nursing perspective. Aim: The aim was to explore perceived reasons for low compliance in patients with heart failure. Method: The study was conducted as a literature review with a qualitative approach, with a focus on patients with a heart failure and their perspective. The database search was performed with searches in CINAHL and PubMed. 12 articles were reviewed with a template by SBU. A simple form of content analysis was used for analysing the articles. Result: Patients experienced that it was difficult to understand their disease, they felt a large responsibility were imposed on them, they experienced a lack of support, inadequate information and experienced inexplicit communication with the health care. Patients also experienced difficulty changing habits and to miss out on social occasions because of the limitations the recommendations imposed. All this led to low compliance. The results were presented in four themes: to not understand one’s disease, experience of a lack of support, experience of inadequate communication and information, and experience of insufficient wellbeing. Conclusion: The results show the difficulties that patients experience when living with heart failure. The four themes were discussed from a health literacy perspective, a nursing perspective and patient-centered care. The study highlights the patient perspective on reasons for low compliance but also how the nurse can influence patients to increase their compliance. Health literacy and patient-centered care are discussed as alternative ways to reach patients with low compliance.
Smith, Kristin K. "A comparison of objective versus subjective recording of respiratory rates in adult medical cardiac patients." free to MU campus, to others for purchase, 1998. http://wwwlib.umi.com/cr/mo/fullcit?p1392396.
Повний текст джерелаHaghshenas, Abbas Public Health & Community Medicine Faculty of Medicine UNSW. "Negotiating norms, navigating care: the practice of culturally competent care in cardiac rehabilitation." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/32280.
Повний текст джерелаBischoff, Bernhard, Sigmund Silber, Barbara M. Richartz, Lars Pieper, Jens Klotsche, and Hans-Ulrich Wittchen. "Inadequate medical treatment of patients with coronary artery disease by primary care physicians in Germany." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2013. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-106354.
Повний текст джерелаBischoff, Bernhard, Sigmund Silber, Barbara M. Richartz, Lars Pieper, Jens Klotsche, and Hans-Ulrich Wittchen. "Inadequate medical treatment of patients with coronary artery disease by primary care physicians in Germany." Technische Universität Dresden, 2006. https://tud.qucosa.de/id/qucosa%3A26666.
Повний текст джерелаClaridge, Jeffrey A. "The Development of SIC-IR© to Assist with Diagnosing Infections in Critically Ill Trauma Patients: Moving Beyond the Fever Workup." Cleveland, Ohio : Case Western Reserve University, 2008. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=case1213634730.
Повний текст джерелаSalmon, Becky A. "Differences between men and women in compliance with risk factor reduction : pre and post coronary artery bypass surgery." Virtual Press, 1993. http://liblink.bsu.edu/uhtbin/catkey/865938.
Повний текст джерелаSchool of Nursing
Zhou, Haiyun, and 周海韵. "Risk factors driving ambulatory care sensitive conditions hospitalisation among elderly with chronic obstructive pulmonarydisease or heart disease." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B47055819.
Повний текст джерелаQuan, Millie. "A retrospective analysis of early progressive mobilization nursing interventions and early discharge among post coronary artery bypass patients." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2129.
Повний текст джерелаFrazier, Kirsten. "Prevalence and predictors of adverse effects of medical care in patients with cleft lip and palate undergoing facial bone repairs and orthognathic surgical procedures in the United States." Thesis, University of Iowa, 2019. https://ir.uiowa.edu/etd/6735.
Повний текст джерелаAbarca, Jacob. "The effect of beta-blocker therapy, ACE inhibitor therapy,and digoxin therapy on the risk of hospitalization and resource utilizationamong patients with congestive heart failure enrolled in a managed care organization." Thesis, The University of Arizona, 2001. http://hdl.handle.net/10150/291440.
Повний текст джерелаDay, Julie A. "Behavior of family practice residents in screening and treating at-risk patients for high blood cholesterol." Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1136701.
Повний текст джерелаDepartment of Physiology and Health Science
Brindle, Christopher T. "Incidence and Predictor Variables of Pressure Injuries in Patients Undergoing Ventricular Assist Device and Total Artificial Heart Surgeries: An Eight-Year Retrospective Review." VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/6038.
Повний текст джерелаUusiku, Laura Ingashipwa. "Perceptions and current practices of Namibian midwives regarding the use of the cardio-tocograph as an informative labour monitoring tool for labouring women." Thesis, Nelson Mandela Metropolitan University, 2017. http://hdl.handle.net/10948/21318.
Повний текст джерелаHosseinipour, Milad. "Design and Development of an Intra-Ventricular Assistive Device For End Stage Congestive Heart Failure Patients: Conceptual Design." University of Toledo / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1372726495.
Повний текст джерелаAndersson, Anna, and Anna Hardin. "Riskfaktorer för postoperativt delirium efter hjärtkirurgi : En systematisk litteraturstudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-84913.
Повний текст джерелаBackground: Heart surgery can save a patient's life but can also lead to an increased risk of suffering from a complication such as postoperative delirium. Delirium is not an illness but a state of mental confusion that affects the patient's attention, awareness and cognitive ability. Postoperative delirium can lead to many negative consequences which can cause patient suffering. Nursing care has aimed to alleviate a patient's suffering by seeing the entire patient in the caring relationship. This is the core in nursing science. Research has shown that it is important for the patient's postoperative recovery to be able to detect and prevent postoperative delirium in an early stage. It has appeared that intensive care nurses need more education and knowledge in this area in order to be able to detect and prevent postoperative delirium after heart surgery. Aim: The aim of the study is to identify risk factors that are associated with the development of postoperative delirium after heart surgery within patients in the intensive care unit. Method: A systematic literature review that analyzed quantitative articles according to a method of analysis by Bettany-Saltikov and McSherry (2016). Result: Four categories emerged from the analysis: Patients background, length of mechanical ventilation, Heart- and lung machine duration and Complications after heart surgery that were risk factors which affected the development of postoperative delirium. Conclusion: The overall knowledge that the study has provided can form a basis for intensive care nurses in the care of patients with postoperative delirium. Further research is needed on risk factors for postoperative delirium and how the mental confusion affects both the patient and relatives. More research is also needed about how postoperative delirium can be prevented.
Edwards, Timothy Robin. "A prospective observational study to investigate the effect of prehospital airway management strategies on mortality and morbidity of patients who experience return of spontaneous circulation post cardiac arrest and are transferred directly to regional Heart Attack Centres by the Ambulance Service." Thesis, University of Hertfordshire, 2017. http://hdl.handle.net/2299/19508.
Повний текст джерелаHeriot, Jody L. "Implementation of a Beta Blocker Protocol." UNF Digital Commons, 2012. http://digitalcommons.unf.edu/etd/415.
Повний текст джерелаCohen, Sarah. "Apport et utilisation des bases de données médico-administratives dans l’étude des problématiques émergentes chez les patients adultes atteints de cardiopathie congénitale Administrative health databases for addressing emerging issues in adults with CHD: a systematic review Accuracy of claim data in the identification and classification of adults with congenital heart diseases in electronic medical records Exposure to low-dose ionizing radiation from cardiac procedures and malignancy risk in adults with congenital heart disease." Thesis, Sorbonne Paris Cité, 2018. http://www.theses.fr/2018USPCB228.
Повний текст джерелаCongenital heart diseases (CHD) are the most common types of birth defects and affect approximately 1% of births. Ninety percent of children born with CHD reach now adulthood thanks to improvements of pediatric cardiology and cardiac surgery. These "survivors" are not definitively cured. They are prone to cardiac or extra cardiac complications and specific issues that justify an increase in consumption of healthcare. The need for population-based studies worldwide has led to secondary analyses of administrative medical databases (AMD). The objective of this thesis was to study the conditions of use of the AMD and their possible applications, specifically to understand the emerging issues of this new adult population with CHD (ACHD). The first part of this work was to systematically describe all the studies that had used AMD to specifically explore the issues of ACHD patients. This review showed the value of these databases in the field of ACHD: the large numbers of patients allows studying relatively rare diseases and the availability of comprehensive data over long periods of follow-up enables to study cardiac and extra cardiac complications even when the occurrence is delayed. In France, claim databases use the International Classification of Diseases, 10th revision (ICD-10), the reliability of which is still largely unknown in this context. The second part of this work was therefore to study the performances of ICD-10 to identify and classify ACHD patients in the data warehouse of the Georges Pompidou European Hospital which has a dedicated specialized ACHD Unit. The third part of this thesis reported a concrete example of the use of AMD. Based on the Quebec Congenital Heart Disease Database derived from Quebec’s AMD, our goal was to evaluate the association between exposure to ionizing radiation from cardiac procedures and the risk of cancer in ACHD. Indeed, the improvement in the life expectancy of patients with CHD and the increasing use of cardiac imaging modalities using ionizing radiations may have a carcinogenic effect in the long term. Although not designed for research purposes, this thesis showed that AMD are a particularly relevant tool for generating new knowledge about ACHD patients through the comprehensiveness of information, the possibility of extracting large samples of patients with a longitudinal follow-up over long periods of observation. The exploitation of electronic medical records through text mining methods could then be used to develop and validate algorithms to identify CHD patients in AMD. In France, although efforts have been made to create an effective multi-center collaborative program, there is currently no significant epidemiological data for all ACHDs. Secondary analysis of existing resources, such as the National Health Data System, would establish the national ACHD cohort and analyze their care pathway in order to guide healthcare resources allocation
"Fast track perioperative care for adults undergoing elective cardiac surgery." 2013. http://library.cuhk.edu.hk/record=b5884407.
Повний текст джерелаThesis (Ph.D.)--Chinese University of Hong Kong, 2013.
Includes bibliographical references (leaves 171-185).
Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Abstracts also in Chinese.
Aurand, Janice Treston. "A retrospective comparison study of two types of preoperative skin preparation in patients experiencing cardiac surgery a research report submitted in partial fulfillment ... /." 1990. http://catalog.hathitrust.org/api/volumes/oclc/68795135.html.
Повний текст джерела"Holistic aspects of rehabilitation post cardiac surgery in the Bonny method of guided imagery and music." University of Technology, Sydney. Faculty of Nursing, Midwifery & Health, 2003. http://hdl.handle.net/2100/238.
Повний текст джерелаChang, Lien-Hua, and 張凌華. "Effects of back massage protocol on the state of anxiety in open-heart surgery patients in intensive care unit." Thesis, 1999. http://ndltd.ncl.edu.tw/handle/48758695083863894070.
Повний текст джерела國防醫學院
護理研究所
87
The purpose of this experimental study was to explore the effects of back massage protocol on the state of anxiety in open-heart surgery patients in intensive care unit. The subjects were selected from those in the ICU of Cardiac Surgery Service of a Taipei medical center, were assigned to either the control group or the experimental group by Block randomization. Each group consisted of 32 patients. Using single blind design, the study period was divided into rest period and massage period. During the rest period, the subjects were placed in the lateral decubitus position with eyes closed for 10 minutes, without administration of massage. During the massage period, the patients were massaged according to the protocol for 10 minutes. Each patient received one episode of massage. Subjects in the experimental group were given the massage. Subjects' heart rate, blood pressure, respiratory rate were recorded five minutes before the massage, immediately before, immediately after, three minutes after, and five minutes after the massage. To understand the alteration of the subject's anxiety state, the State Anxiety Inventory of each subject were also filled before and after the administration of massage. Data of the control group were collected accordingly at the same interval before and after the resting period. The data were analyzed according to percentage, arithmetic average, standard deviation, t-test, one way ANOVA, and Pearson's product-moment correlation. Results revealed the followings: 1. Before the experimental intervention was administrated, all subjects in the two study groups showed low level of anxiety. Their degree of anxiety varied according to the subject's basic characteristics, such as age, educational level, trait anxiety, financial resource, religion, operation modality, and number of days in ICU. 2. Back massage improved the physiological reaction index of the subjects in the experimental group towards normal values. Their average reduction of heart rate was 4.34 beats/minute, of respiratory rate was 1.94 cycle/minute, of systolic blood pressure was 9.78 mmHg, of diastolic blood pressure was 2.75 mmHg, of mean blood pressure was 4.28 mmHg. In the control group, the subjects' average reduction of heart rate was 0.22 beats/minute, of respiratory rate was 0.59 cycle/minute, of diastolic blood pressure was 1.53 mmHg, of mean blood pressure was 0.94 mmHg, and increase of systolic blood pressure was 0.88 mmHg. The difference of the variables in these two groups has statistical significance (P< .05). Back massage protocol has achieved its effectiveness of anxiety reduction, and the improvement of heart rate and systolic blood pressure remained five minutes after the massage. The back massage protocol reduced the anxiety index of these patients by 7.81 points, significantly improved the state of anxiety of patients in ICU. On the other hand, the average index of the State Anxiety of the control group increased by 1.97 points. The difference of State Anxiety of these two groups also achieved statistical significance(P< .001). Back massage protocol has achieved its effectiveness of anxiety reduction. In comparing each individual sets of point under different contents of the State Anxiety Inventory. We found the four most significant changes, after back massage ,were ranked as〝I feel comfortable〞, 〝I feel pleasant〞, 〝I feel content〞, and〝I feel calm〞. These changes indicated that back massage protocol improved significantly patients' state of comfort, calmness, and content. This study also disclosed that back massage protocol might improve the relationship between nurses and patients quickly. Through this non-verbal communication, nurse and patient may care for each other with more confidence. 3. After back massage , the anxious effects of the subjects were affected by subjects' basic characteristics, such as age, trait anxiety, and postoperative days in ICU. 4. The change of State Anxiety Index was positively correlated with the change of physical indicators: heart rate, respiratory rate, and systolic blood pressure (P< .05). The correlation coefficients were 0.269, 0.264, and 0.371, respectively.
Bischof, Janet Revay. "A comparison of quality of life in adult patients with heart failure in two medical settings a heart failure clinic and a physician practice /." 2006. http://etd1.library.duq.edu/theses/available/etd-11162006-093836/.
Повний текст джерелаTsai, Hui-Chuang, and 蔡惠庄. "The Differences of Medical Resource Utilization and Quality of Care between Traditional Surgery and Minimally Invasive Surgery among Patients with Spinal Stenosis." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/e6q2k8.
Повний текст джерела義守大學
醫務管理學系
105
OBJECTIVE. Part of aging process, lumbar spinal stenosis (LSS) is the most common reason for degenerative changes with the lumbar column in elderly population. Lumbar spondylosis might result in mechanical back pain of various degrees, claudicant symptoms, reduced mobility and poor quality of life. Operative intervention is considered when the severely pain is not relieved by non-operative treatment. Open surgery (OS) is the surgical approach conventionally used for lumbar stenosis. However, greater change in multifidus, greater muscle damage and functional disability in terms of post-operative complications are frequently seen. In recent years, minimally invasive (MIS) treatment for decompression has become widely practiced for achieving effective operation and reducing approach related complications. It is predictable that medical resource utilization would be impacted with the aging population. The purposes of this research were: 1) to describe the distribution of selective LSS patients receiving operative intervention of different surgical approaches (MIS vs. OS) at our institution,2) to explore the quality of care of the above-mentioned patients,and 3) to analyze the medical resource utilization of the above-mentioned patients’。 METHODS. This is a retrospective chart review within a regional teaching hospital of patients underwent operative interventions (MIS vs. OS) for LSS (ICD-9 diagnosis code: 724.2) from January to December 2016.Complications after surgery as well as immediate re-operation for any reason were defined as indicators to quality of care, in addition, anesthesia duration, operation duration, and hospital length of stay were noted to define the medical resource utilization. All these parameters were used to evaluate the differences Between MIS and OS groups. Ninety patients (44 in the MIS group and 46 in the OS group) were further reviewed to better characterize the sample. RESULTS. No patient developed any post-operative complication.No significant between group differences in terms of the average anesthesia duration and average operation duration were found. However, average length of hospital stay for the patients receiving OS was significantly higher than those who receiving MIS. CONCLUSION. Neurosurgical intervention is safe for patients with LSS.Postoperative complication rates associated with these procedures are very low in the early postoperative period. The results warrant a further study with much bigger scale to evaluate the minimally invasive procedures which might reduce the hospital stay related resource utilization.
Liang, Ying, and 梁穎. "THE QUALITY OUTCOMES AND MEDICAL CARE EXPENDITURE OF THE CLINICAL PATHWAYS APPLICATION FOR BREAST CANCER SURGERY PATIENTS." Thesis, 2002. http://ndltd.ncl.edu.tw/handle/90785386839209273200.
Повний текст джерела國立台北護理學院
醫護管理研究所
90
The purpose of this study is to evaluate the result of quality and the medical care expenditure in the clinical pathways application for breast cancer surgery patients. The period of hospitalization(length of stay), medical care expenditure cost reduction and the 14 day-readmission rate were obtained from 3 phase. It representing phase 0(before the implementing clinical pathways), phase 1(initial phase), phase 2(mature phase). The total individual cases in our study were459. The data were analyzed to compare the difference of quality result and the medical care expenditure in 3 schedules. The result shows the length of stay (hospitalization period) was from an average of 11 days to 5 days. The 14 day readmission case in our research was 29 cases 8 cases happened before and 21 cases were after the clinical pathways application, follow up by 29 cases, we found 26 cases were planed admission for advance treatment. So we need improve our discharge plan and teaching method-the drainage tube, wound care. Breast cancer patient care must follow up by long term. The expenditure of medical care were tremendous decrease, from an average N.T.$77,500 to 44,500, per case reduction is about N.Y.$33,000, the breast cancer patient’s hospitalization were shorter and the reduction of medical care expenditure cost. It. was proved by implementing clinical pathways surgery. And 14 day-readmission rate does not increase.
Gojo, Mawande Khayalethu Edson. "Investigation of acute systemic inflammatory response and myocardial injury after cardiac surgery in patients infected with human immunodeficiency virus." Thesis, 2016. http://hdl.handle.net/10321/2577.
Повний текст джерелаIntroduction: The immediate post-cardiopulmonary bypass (CPB) immune responses and organ injuries in immune- compromised patients remain poorly documented. We conducted a prospective clinical study to determine whether or not human immunodeficiency virus (HIV) seropositive patients generate higher acute systemic inflammatory response and suffer greater myocardial injury, compared to HIV seronegative patients. Methodology: Sixty-one consecutive patients i.e. Thirty HIV seropositive patients and Thirty-one seronegative, undergoing elective cardiac valve(s) replacement were enrolled, over a period of nine months from a single center hospital, after informed consent was acquired. The C-reactive protein (CRP) and Erythrocyte sedimentation rate (ESR) were used as biomarkers of acute inflammatory response, and cardiac troponin I (cTnI) as a biomarker for measuring postoperative myocardial injury. Single tests were measured preoperatively and postoperatively, in both groups, and these were compared and correlated to perioperative events and CPB parameters. Results: The mean age group was similar between the HIV seropositive and negative group (37.8 and 37.1 years, respectively). Preoperatively both groups had relatively equal CRP levels (p=0.388), ESR levels (p=0.817) and cTnI (p=0.489). The CPB events and durations were significantly different between the two groups, CPB duration (p=0.021). Other CPB events include, clamp aortic duration (p=0.026), CPB blood transfusion (p=0.013), CPB total urine output (p=0.035) and CPB peak lactate (p=0.040). Postoperatively we observed significant increased biomarkers level in both groups, with no significant difference between the groups: mean CRP (p=0.115), mean ESR (p=0.214) and cTnI (p=0.363). We observed a significant negative correlation between the mean change in CRP levels and mechanical ventilation (r=- 0.548, p=0.002) in the seropositive group, but not in the uninfected group (r=0.025, p=0.893). The correlation between the difference in CRP and ICU stay was not significant between in both group (r=-0.231, p=0.229 and r=0.25, p=0.975, respectively). A significant positive correlation between postoperative cTnI and the inotropic support duration (r=0.384, p=0.040) was seen in the seropositive groups, but not in the negative group (r=0.092, p=0.622). Furthermore we observed a significant drop in CD4 cells postoperatively (p=<0.001) in the HIV seropositive group. Antiretroviral treatment appeared to influence the degree of change in CD4 cells postoperatively. Conclusion: We conclude that HIV positive patients’ postoperative reactions to cardiac surgery supported by CPB are similar to those of HIV seronegetive patients. We further report non-paralleling correlations between the biomarkers and perioperative events; however these do not seem to affect the overall outcomes between the two groups.
M
Sousa, Bárbara Angélico Choupina de Melo e. "Evaluation of Glasgow Coma Scale after non-cardiac and non-neurological surgery among intensive care patients." Master's thesis, 2017. https://hdl.handle.net/10216/105206.
Повний текст джерелаSousa, Bárbara Angélico Choupina de Melo e. "Evaluation of Glasgow Coma Scale after non-cardiac and non-neurological surgery among intensive care patients." Dissertação, 2017. https://repositorio-aberto.up.pt/handle/10216/105206.
Повний текст джерелаSousa, José Maria Tourais Matos. "Effectiveness of Non-Invasive Home Telemonitoring in Outpatient Care for Patients with Heart Failure: A Systematic Review." Master's thesis, 2018. https://hdl.handle.net/10216/114307.
Повний текст джерелаIntroduction: The role of non-invasive home telemonitoring (NIHT) in the treatment of patients with heart failure (HF) is all but established. Field specialists are left in disagreement and the literature is conflicting. However it remains unclear if recent technological advances have empowered NIHT sufficiently to affirm a position in the management of HF. Our aim was to systematically review the evidence about the efficacy of this intervention. Methods: We conducted a systematic review and meta-analysis of randomized controlled trials on the effect of NIHT on the treatment of HF, in regards to the mortality, hospitalizations and quality of life. We searched four electronic databases up to September 2017 without language restrictions, reviewed references of relevant articles and contacted experts. Results: Of 1362 articles identified, 18 were included. NIHT reduced all-cause mortality (OR 0.81, 95% CI 0.68 to 0.98; participants = 4426; studies = 16; I2 = 20%) and heart failure-related hospitalizations (OR 0.66, 95% CI 0.54 to 0.82; participants = 1954; studies = 10; I2 = 45%). NIHT failed to demonstrate effectiveness in reducing either all-cause hospitalizations (OR 1.08, 95% CI 0.94 to 1.24; participants = 3702; studies = 10; I2 = 39%) or CV-mortality (OR 0.71, 95% CI 0.49 to 1.05; participants = 1386; studies = 6; I2 = 0%). Conclusion: Randomized controlled trials support the use of NIHT as a strategy to reduce cardiovascular hospitalizations and mortality in patients with HF.
Sousa, José Maria Tourais Matos. "Effectiveness of Non-Invasive Home Telemonitoring in Outpatient Care for Patients with Heart Failure: A Systematic Review." Dissertação, 2018. https://repositorio-aberto.up.pt/handle/10216/114307.
Повний текст джерелаIntroduction: The role of non-invasive home telemonitoring (NIHT) in the treatment of patients with heart failure (HF) is all but established. Field specialists are left in disagreement and the literature is conflicting. However it remains unclear if recent technological advances have empowered NIHT sufficiently to affirm a position in the management of HF. Our aim was to systematically review the evidence about the efficacy of this intervention. Methods: We conducted a systematic review and meta-analysis of randomized controlled trials on the effect of NIHT on the treatment of HF, in regards to the mortality, hospitalizations and quality of life. We searched four electronic databases up to September 2017 without language restrictions, reviewed references of relevant articles and contacted experts. Results: Of 1362 articles identified, 18 were included. NIHT reduced all-cause mortality (OR 0.81, 95% CI 0.68 to 0.98; participants = 4426; studies = 16; I2 = 20%) and heart failure-related hospitalizations (OR 0.66, 95% CI 0.54 to 0.82; participants = 1954; studies = 10; I2 = 45%). NIHT failed to demonstrate effectiveness in reducing either all-cause hospitalizations (OR 1.08, 95% CI 0.94 to 1.24; participants = 3702; studies = 10; I2 = 39%) or CV-mortality (OR 0.71, 95% CI 0.49 to 1.05; participants = 1386; studies = 6; I2 = 0%).Conclusion: Randomized controlled trials support the use of NIHT as a strategy to reduce cardiovascular hospitalizations and mortality in patients with HF.
Shen, Yiwen. "Empirical Modeling and Applications in Financial Economics and Healthcare Management." Thesis, 2021. https://doi.org/10.7916/d8-42a1-0h25.
Повний текст джерелаHsin, Liu Wei, and 劉維欣. "The effect of the preparation for ICU admission on the health care needs and anxiety for families and their patients undergoing heart surgery." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/05517088271895616509.
Повний текст джерела國防醫學院
護理研究所
101
Background:When patients undergo cardiac surgery, they and their families do not usually expect the complicated postoperative condition and invasive monitoring that they will experience . In addition many studies have documented that Intensive Care Unit (ICU) patients have physical and emotional needs. However, the nurses in the ICU often underestimate the needs of patients and families. When ICU nurses provide care to this group of patients, the nurses should not only consider routine nursing care but also pay more attention to patients and families satisfaction. Purpose: The purpose was to meet patients and families individual needs, reduce anxiety, and increase satisfaction. Method: This quasi-experimental pretest-posttest study.The research was carried out at a cardiac surgical ward in the medical center located in the north Taiwan from 1 March to 30 April 2013. Participants(N=64) were conveniently sampled and divided into experimental and comparison groups after informed consent. After usual pre-operative patient education, the intervention group received further detailed about procedures after surgery information ICU. ICU patient’s health care demand inventory, critical care family needs inventory, and Beck anxiety inventory are applied for pre-operative and post-operative evaluation. The statistical analysis between two groups was conducted with the generalized estimating equation. Results:Patients satisfaction rate of health care demand in the intervention group 31% higher than in the comparison group(p < .001). The patient’s and families’ anxiety in the experimental group was much lower than in the comparison group (Patient:p<.05; Families: p<.01). Families needs did differ significantly between groups. Conclusion:Modified pre-operative patient education program for cardiac surgical patients provided by ICU nurses significantly increased satisfaction of patients and reduce both patients and families anxiety. These results strongly suggest that ICU nurses educate patients before cardiac surgery to satisfy their needs in the ICU.
Pei-Jean, Sung, and 宋佩珍. "Effects of Respiratory Sinus Arrhythmia Biofeedback on Imporving Anxiety, Depression, Acute Stress Symptoms, and Heart Rate Variability in Patients with Coronary Artery Bypass Graft Surgery and Post Intensive Care Unit Care." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/93746151155450661557.
Повний текст джерела國防醫學院
護理研究所
101
Abstract Background: Cardiovascular diseases are the second leading causes of beath. Coronary artery occlusion induced ischemic heart diseases are the half of death caused by heart diseases. Coronary Artery Bypass Graft surgery. (CABG) has become the main treatment of Coronary Arterial Disease(CAD). However, the high-risk surgical procedure and ICU admission would bring a tremendous stressful experience for these patients, and further led to high mortality and recurrence in this population. Previous study found that RSA biofeedback can stabilize autonomic nervous system, increase heart rate variability (HRV) and decrease negative psychological symptoms. Goal:This is an experimental study design. To test the effect of RSA biofeedback on improving the anxiety, depression, acute stress disorder symptoms, and HRV. Thereby reducing readmission rates, disease recurrence rate and mortality in patients with CABG and post ICU care. Method: Subjects were recruited from a cardiac surgical unit in one medical center in north of Taiwan. Thirty-four patients met the inclusion criteria, who had the first CABG surgery and experienced ICU care, were randomly assigned to the experimental group (N=18), and the control group (N=16). The experimental group received five sessions trainning of RSA biofeedback in five consecutive days, but the control group, received the normal daily routing care. The structured questionnaires including ASDS-Chinese version, Beck Anxiety Inventory- Chinese version, Beck Depression Inventory II- Chinese version and Biotrace (Mind Media B.V.-NeXus-10, Netherlands) were used to evaluate subjectts’ anxiety, depression, acute stress disorder symptoms, HRV, finger temperature, and Galvanic Skin Response(GSR) pre- and post-training. However, there were 3 subjects dropout from both groups because of early discharge or disease progression, and 7 subjects with post-inculsion arrhythmia were excluded, Finally, a total 21 subjects were included in the analysis,in which 13 subjects were in the experimental group, and 8 subjects were in the control group. The data were analyzed by Independent t-test, Chi-square test, Pearson correlation analysis and paired sample t test for testing the homogeneity between the two groups and testing the effect of RSA biofeedback on the ASD, anxiety, depression, and HRV in the experimental group. Results:1.The subjects in the experimental group reported more significant reduction in symptoms of anxiety, depression, ASD than who were in the control group; 2.The finger temperature and Galvanic Skin Response in the experimental group were more increased than that in the control group; 3. the changes in HRV of normalized LF, normalized HF and LF/HF over time were significant differences in the experimental group,but were significantly different in the control group. Conclusion:The RSA biofeedback can effectively relieve the anxiety, depression, and acute stress disorder symptoms, and increased the finger temperature and GSR. But, only normalized LF, normalized HF, LF / HF significantly different, which may be of the number of cases and lack of RSA biofeedback training time, CABG surgery itself caused by physiological change for patients with first CABG Surgery and experienced ICU care. Key words:RSA biofeedback, acute stress disorder, anxiety, depression, heart rate variability.
Chang, Hsing-Li, and 張幸俐. "The Related Factors of Self-Care Demands of Patients with Coronary Artery Bypass Graft Surgery: An Example of a Medical Center in Central Taiwan." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/gr7c77.
Повний текст джерела中臺科技大學
護理系碩士班
101
The study aims at analyzing related factors of self-care demands of patients with coronary artery bypass graft surgery. This is a descriptive study with the purposive sampling method. Subjects of the study are patients transferred to wards in stable conditions after a coronary artery bypass graft surgery in a medical center in central Taiwan. The interview was carried out upon patients' consent and was based on a self-designed and structured questionnaire, which covers demographic variables, characteristics of conditions and surgery, and self-care demands. Consistency of the questionnaire measured with Cronbach’s Alpha coefficients is 0.957 for preventing infection, 0.878 for healthy life and 0.834 for information. In total, 82 valid questionnaires were collected from July 2012 to January 2013. The collected data were input into an Excel file and were then analyzed with SPSS version 18.0. Results show that: 1. The subjects have an average age of 63.76, mostly male with educational background of elementary school. Their average score for cardiac surgery risk as assessed is 5.56 (moderately risky). 2. Standardized score for overall self-care demands is 81.6. In the order of desirability for self-care demands according to the subjects, "preventing infection" has the highest score of 82.6; score for "information" is 81.8; and that for "healthy life" is 81.0. 3. For different surgical methods, self-care demands have significant difference in terms of information for "medicine instructions" (p<.05): the demands of those having "da Vinci System operation" are significantly higher than those with "median sternotomy". 4. For different accessory equipment, self-care demands have significant difference in terms of "healthy food": the demands of those using off-pump machines are significantly higher than those using on-pump one (p<.05). 5. Number of bypassed vessels is negatively related to "complications" (r = - 0.282, p = .010); left ventricular ejection fraction is positively related to "cardiac rehabilitation exercise" of the aspect of healthy life (r = 0.224, p = .043) and "medicine instructions" of the aspect of information. 6. Hierarchical regression analysis of sum of variables of all the above major factors affecting self-care demands shows that there is no significant difference in self-care demands in terms of personal backgrounds, characteristics of the condition and surgery and score for cardiac surgery risk as assessed, suggesting that the patients have same level of self-care demands regardless of their backgrounds, surgical methods and degree of seriousness of their conditions. Recommendations based on the study are that nurses should have a set of complete health education programs on self-care demands in areas like preventing infections, healthy life and information for patients had coronary artery bypass graft surgery and the health education should be detail enough regardless of patients' backgrounds, surgical methods and degree of seriousness of their conditions.
Hwang, Nan-Ching, and 黃南競. "A Study on Constructing a Home Care Medical Decision Making System Using Micro Telecare System: Post-Surgery Patients With Abdominal Aortic Aneurysm As an Example." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/r252zy.
Повний текст джерела淡江大學
資訊工程學系博士班
102
Statistics from Taiwan''s Department of Health show that, among the 10 leading causes of death in 2010, heart disease and cerebrovascular disease in cardiovascular disease came in second and third place. Confronted by an aging society, the elderly population is rising, and cardiovascular disease is an disease that can no longer be ignored. A kind of cardiovascular disease, the aneurysm can be classified into 5 types, of which renal artery abdominal aortic aneurysm is most common and accounts for approximately 80% of all aortic aneurysms. In the surgical treatment of aortic aneurysms, traditional laparotomy and artificial vascular stent placement surgery are widely accepted. In order to let patients have a better post-surgery life, measuring physiological parameters at their own home is becoming an important trend. But if professional judgment of the service can be added, it would be of help to disease prevention. And offering a Telehealth system with remote monitoring capability is one of the good application tools. In this study, we a non-invasive micro Telecare system that integrates proactive tiny signs of life and activity sensors and variety of communication channels. This system allows abdominal aortic aneurysm patients to go outdoors and have a safer and securer post-surgery life. This also can reduce regrets due to no timely assistance from healthcare manpower or family. Besides, under continued long-term physiological monitoring, non-essential follow-ups can be spared, which can save considerable travel time and healthcare costs.