检索结果-南通市图书馆

Cognition and Sociodemographic Determinants for Effective pain control in Patients with Cancer pain: a Cross-sectional Survey in China

引用

Current Medical Science 2020年第2期40卷 249-256页

作者： Xiao-fang SHANGGUAN Zao-qin YU Lu JI Yang-yang CHEN Hong-yan WU Rui HUANG Cheng-liang ZHANG School of Pharmacy Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China Deparment of Pharmacy Tongji HospialTongji Medical CollegeHuazhong University of Science and TechmologyWuhan 430030China School of Medicine and Health Management Tongji Medical CollegeHuazhong University of Science cand TechnologyWuhan 430030China Deparment of Oncology Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China Department of Nursing Union HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430022China

This cross-sectional study aimed to investigate cancer patients'cognitive level of pain control and to evaluate the patient-related factors or barriers to effective cancer pain management in *** seven tertiary hospitals across China,372 patients experiencing cancer pain were surveyed through a self-designed questionnaire to assess the factors associated with effective pain ***'demographic data and pain control-related factors were *** sampling and binary logistic regression models were used to investigate the association between predictive factors and effective pain *** survey showed that the majority of the patients were more than 45 years old(76.3%),and 64.4%had an average annual income of more than 20000 ***-third of the patients suffered from cancer pain for more than 3 months,and 75.1%received professional guidance during *** barriers to pain control for patients included preference to enduring pain and refusing analgesics(62.9%),negligence towards drug usage(28.5%),concerns about the addiction(48.2%)and adverse reaction(56.4%).The average annual family income,pro fessional guidance,knowledge of pain medication,adherence to analgesics,and concerns about addiction to analgesics were significantly correlated to the effect of patients'pain *** study presents major barriers to optimal pain control among patients with cancer in *** findings suggest that educational programs and medical insurance reimbursement support from the government are urgently needed to overcome the cognitive barriers toward effective pain management and to relieve the economic burden among patients with cancer pain in China.

关键词： cancer pain cognition sociodemographic determinants pain control pain management

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Virtual Reality in Surgery: Double Blind, Randomized Clinical Trial of pain control and Augmented Satisfaction

引用

Surgical Science 2023年第6期14卷 456-467页

作者： Karim W. Sadik Matthew P. Miller Nicholas Evertsen Crystal D. Sadik Hugo J. R. Bonatti Department of Surgery Guthrie Robert Packer Hospital Sayre PA USA Meritus Surgical Specialists Hagerstown MD USA

Introduction: Virtual reality (VR) utilizing a head-mounted display allows viewers to immerse themselves in a virtual environment. This technology may be useful in attenuating pain and anxiety and reducing patient subjective stress as well as objective physiological increase in heart rate and blood pressure. Aside from the improved experience, physiological stress is reduced which results in improved patient outcomes. Patients and methods: Eligible participants were all adults aged 18 or over who had non craniofacial lesions requiring minor surgery. A total of 99 adult patients who were capable of independent consent were randomized to receive a virtual reality experience (VR) or standard music distraction (no VR). Patients were recruited for the study during their office visit when scheduling minor procedure surgery. This was a single center, double-blind, controlled study conducted at Guthrie Clinic Robert Packer Hospital in Sayre, Pennsylvania between March 2019 to January 2020 (pre-pandemic). Ethics approval for this study was obtained from the Institutional Review Board of the Guthrie Clinic. Results: The change in systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR) significantly decreased from pre-procedure to mid-procedure in the VR group compared with standard. Herein our results are presented. Conclusions: Reductions in intraprocedural SBP, DBP and HR can be achieved when using VR. Although subjective reporting of pain and anxiety were not different between groups, VR significantly improves patient satisfaction compared with non VR standards.

关键词： Virtual Reality Plastic Surgery pain control

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Current protocol to achieve dental movement acceleration and pain control with Photo-biomodulation

引用

World Journal of Methodology 2023年第5期13卷 379-383页

作者： Angela Dominguez Department of Orthodontics Faculty of DentistryBenemerita Universidad Autónoma de PueblaZaragoza de Puebla Calle 4 Sur 104PueblaC.P.72000Mexico

When designing a study on dental movement acceleration or pain control during orthodontic treatment,it is crucial to consider effective *** objective of this editorial is to compile the most effective parameters supported by evidence that should be considered in future studies to achieve complete parameter *** protocol currently recommended to homogenize the parameters and facilitate the development of further meta-analysis in terms of acceleration of movement and pain control in orthodontics is Wavelength:810 nm,2.2 J per surface,0.1 W in continuous mode/0.1 W average power in a superpulsed,sweeping movement,1mm from the mucosa,22 seconds along the vestibular surface and 22 seconds along the lingual surface,the recommended speed of movement is 2 mm/sec,1 application during each orthodontic control,to achieve dental movement acceleration and repeat the dose at 24 h to ensure pain *** energy density and power density will depend on the spot size used in the equipment and the distance from the *** will strengthen the evidence of photobiomodulation as the best therapy to accelerate tooth movement and at the same time control the pain produced by orthodontic treatments.

关键词： Photobiomodulation Laser-assisted orthodontics Dental movement acceleration pain control Diode laser

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Preoperative pain Management of Patients with Hip Fractures: Blind Fascia Iliaca Compartment Block Compared to Ultrasound Guided Femoral Nerve Block—A Randomized controlled Trial

引用

Open Journal of Anesthesiology 2020年第11期10卷 371-380页

作者： Johanne Bangshoej Thomas Thougaard Hans Fjeldsøe-Nielsen Sandra Viggers Department of Anesthesiology Nykoebing Falster Hospital Nykoebing Falster Denmark

Introduction: Blind fascia iliaca compartment block (FICB) and ultrasound guided femoral nerve block (FNB) are two types of peripheral nerve blocks, commonly used in preoperative pain management in patients with hip fractures in Danish emergency departments. The aim of this study was to compare the efficacy in pain management of these two types of peripheral nerve blocks in the preoperative period in patients with hip fractures. Method: We performed a randomized controlled study. The primary outcome was the proportion of patients with a numeric rating scale (NRS) pain score equal to three or less at rest and after passive leg raise test three hours after block administration. Results: A total of 88 patients were included in the study and 67 patients in the statistical analysis with 33 in the FICB group and 34 in the FNB group. The results showed a significant reduction in the proportion of patients with an NRS score higher than three, three hours after administration of either FICB or FNB compared to at inclusion. There was no significant difference in pain scores between patients receiving FICB versus patients receiving FNB at rest or after passive leg raise (p = 0.25 and p = 0.86, respectively). Conclusion: Blind FICB and ultrasound guided FNB were effective in preoperative pain management in patients with hip fractures. The results showed that the two types of peripheral nerve blocks were equally efficient in providing pain management in the preoperative period.

关键词： Local Analgesia Peripheral Nerve Block pain control Preoperative Optimization

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

术中静脉注射利多卡因对腹腔镜胆囊切除术术后恢复的影响 ——一项随机对照实验荟萃分析

术中静脉注射利多卡因对腹腔镜胆囊切除术术后恢复的影响 ——一...

引用

作者：比杜（Bidur Marasini）东南大学

学位级别：硕士

背景:这项荟萃分析旨在评估静脉输注利多卡因对接受腹腔镜胆囊切除术(LC)患者疼痛控制的益处。方法:系统地搜索了比较利多卡因与其他药物在接受LC患者中的作用的随机对照试验。本次检索是在Pub Med,SEU图书馆网站,Web of Science,Scienc... 详细信息

背景:这项荟萃分析旨在评估静脉输注利多卡因对接受腹腔镜胆囊切除术(LC)患者疼痛控制的益处。方法:系统地搜索了比较利多卡因与其他药物在接受LC患者中的作用的随机对照试验。本次检索是在Pub Med,SEU图书馆网站,Web of Science,Science Direct,Google scholar和Cochrane图书馆数据库中进行的。没有设置语言的限制,主要观察指标是12小时和24小时的视觉模拟评分(VAS)的得分。次要观察指标是住院期间的总阿片类药物消耗量。数据由两名研究人员独立收集,并且在完成数据收集后使用Cochrane Collaboration特定软件Revman 5.3评估试验的数据和质量。结果:本次荟萃分析中共纳入了5项随机对照试验。使用Revman进行Meta分析后,最终结果显示静脉注射利多卡因与LC术后12小时(-0.95[-1.33,-0.57]MD IV,fixed,95%CI)和24小时(-0.56[-0.93,-0.19]MD IV,fixed,95%CI)疼痛评分降低相关。比较术后阿片类药物消耗量时,4项RCT研究显示阿片类药物消耗减少,但是一项研究显示利多卡因与安慰剂相比没有明显降低阿片类药物的消耗量(-26.95[-53.23,-0.66]MD IV,fixed,95%CI)。此外,静脉注射利多卡因降低术后恶心、呕吐、肠梗阻和瘙痒的发生率。结论:静脉注射利多卡因可显著降低术后疼痛评分和LC后阿片类药物的消耗。此外,减少了恶心、呕吐、肠梗阻和瘙痒等事件。

关键词： Laparoscopic cholecystectomy lidocaine meta-analysis pain control

来源：

同方学位论文库评论

在线全文

同方学位论文库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：