检索结果-南通市图书馆

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese Journal of Traumatology 2020年第3期23卷 125-138页

作者： Bekir Nihat Dogrul Ibrahim Kiliccalan Ekrem Samet Asci Selim Can Peker Gulhane Medical School University of Health SciencesAnkaraTurkey

Physical traumas are tragic and multifaceted injuries that suddenly threaten *** it is the third most common cause of death in all age groups,one out of four trauma patients die due to thoracic injury or its *** injuries constitute the majority of chest *** indicates the im porta nee of chest trauma among all *** chest trauma is usually caused by motor vehicle accident,falling from height,blunt instrument injury and physical *** a result of chest trauma,many injuries may occur,such as pulm onary injuries,and these require urge nt in terve *** wall and pulmonary injuries range from rib fractures to flail chest,pneumothorax to hemothorax and pulmonary contusion to tracheobronchial *** these injuries,patients may present with a simple dyspnea or even respiratory *** such patie nt,it is imports nt to understa nd the treatme nt logic and to take a multidisciplinary approach to treat the pulmonary and chest wall *** is because only 10%of thoracic trauma patients require surgical operation and the remaining 90%can be treated with simple methods such as appropriate airway,oxygen support,maneuvers,volume support and tube *** pain control in chest trauma is sometimes the most basic and best *** definite diagnosis,the morbidity and mortality can be significantly reduced by simple treatment methods.

关键词： Blunt chest trauma Rib fractures Pneumothorax Hemothorax Pulmonary contusion pain management

Efficacy of Perioperative Intravenous Lidocaine for Multimodal Analgesia

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Open Journal of Anesthesiology 2020年第9期10卷 299-312页

作者： Nishita Lockwood Lopa Misra Department of Anesthesiology Mayo Clinic Arizona Phoenix AZ USA

Given the rising incidence of opioid misuse and opioid-related deaths worldwide, it is imperative to find nonopioid analgesic adjuncts for perioperative pain management. Perioperative opioid exposure in opioid-naïve patients for even minor surgical procedures may result in significant opioid dependence. Although the use of intravenous lidocaine in the perioperative period is not novel, recently it has been proposed as an important adjunct to multimodal analgesia. In addition to improving acute pain, lidocaine may reduce the incidence of chronic post-operative pain syndrome (CPPS), improve bowel function, and decrease post-operative nausea and vomiting (PONV) thereby speeding up the post-operative recovery process. Furthermore, lidocaine has efficacy in a variety of procedures including abdominal, gynecological, and urological surgeries. The aim of this narrative review is to evaluate the effects of intravenous lidocaine compared to traditional analgesic methods on post-operative pain control and recovery for various surgical procedures.

关键词： pain management Opioid Addiction Intraoperative pain Control Non-Opioid Analgesia

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Health 2016年第6期8卷 548-558页

作者： Waddah Mohammad D’emeh Mohammed Ibrahim Yacoub Muhammad Waleed Darawad Talal Haider Al-Badawi Batool Shahwan School of Nursing The University of Jordan Amman Jordan Nursing Sciences Department Al-Farabi Colleges Riyadh Saudi Arabia

The purpose of this study is to explore Jordanian nurses’ knowledge and attitudes regarding pain assessment, and barriers to intervention at different hospitals representing health care sectors in Jordan. A descriptive cross-sectional design was used in this study utilizing self-administered questionnaires to collect data from nurses working in public, University-affiliated, and private hospitals located on the north, mid, and south of Jordan using Nurses’ Knowledge and Attitudes Survey Regarding pain, (n = 439). The mean of total correct answers on the 32 knowledge questions was 13.39 (SD = 4.31). Nurse-related barriers to effective pain management include patient history of alcohol abuse or drug addiction, and nursing staff reluctant to contact physician for analgesic order. Nurses working in surgical units, employed at private hospitals, holding a master degree, or who attended educational course or program scored significantly higher than other nurses. The results demonstrated knowledge deficit and attitude and that nurses underestimated and undertreated patients’ pain. Serious efforts should be taken in nursing schools and hospitals to prepare nurses and equip them with comprehensive knowledge tools to assess and manage pain appropriately.

关键词： Barriers Hospitalized Patients Jordan Nurses’ Knowledge pain management

Effects of comprehensive nursing with cognitive behavioral therapy in orthodontic osteodilated arch treatment

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2024年第22期12卷 5051-5058页

作者： Xin Yang Zeng-Xiang Wang Yu-Xing Tian Chao Peng Hui-Ning Yang Ying Wu Department of Nursing Nanjing Stomatological HospitalThe Affiliated Hospital of Medical SchoolNanjing UniversityNanjing 210008Jiangsu ProvinceChina Department of Orthodontics Nanjing Stomatological HospitalNanjing 210008Jiangsu ProvinceChina

BACKGROUND This work explored the effects of cognitive behavior therapy(CBT)-based comprehensive nursing intervention(CNI)mode in arch expansion to treat patients with orthodontic osteodilated arch(OOA).AIM To explore the application effect of CBT-based CNI model in orthodontic expansion arch *** Using convenient sampling method,81 patients with OOA were selected and rolled into a control group(Ctrl group,40 cases)and an observation group(Obs group,41 cases).During the treatment,patients in the Ctrl group received routine nursing intervention mode,and the those in the Obs group received CBT mode on the basis of *** and after intervention,the incidence of oral mucositis,the mastery rate of correct arch expansion method,self-rating anxiety scale score,soft scale index,and plaque index were compared for patients in different *** addition,satisfaction and complications were comparatively *** Incidence of oral mucositis in the Obs group was lower(14.6%vs 38.5%),and the mastery rate of correct arch expansion method was obviously higher(90.2%vs 55.0%)was obviously higher(all P<0.05).Meanwhile,the soft scale index and plaque index in the Obs group were much lower(P<0.05).The compliance(90.24%)and satisfaction(95.12%)in the Obs group were greatly higher(P<0.05).CONCLUSION The CBT-based CNI mode greatly improved the mastery rate of correct arch expansion method during arch expansion in treating patients with OOA and enhanced the therapeutic effect of arch expansion and the oral health of patients,improving the patient compliance.

关键词： Orthodontic osteodilated arch Cognitive behavior therapy Comprehensive nursing intervention mode Nursing effect pain management Oral care

Effect analysis of applying high-quality service model to surgical nursing

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2024年第19期12卷 3744-3751页

作者： Li Chen Qiu-Mei Tu Zhao-Di Guo Xiao-Wei Zhu Wei Wang Hui-Fang Xie Yuan Ye Hand Surgery The First People’s Hospital of Jiangxia DistrictWuhan 430200Hubei ProvinceChina

BACKGROUND Surgical care of the hand plays a crucial role in the medical field,as problems with the hand can profoundly affect a patient's quality of life and *** order to meet the needs of patients,improve patient satisfaction and improve treatment outcomes,high-quality service models have been introduced in the field of *** To explore the effect analysis of applying high-quality service model to surgical *** We conducted a retrospective study of patients who underwent hand surgery at our hospital between 2019 and 2022,using a quality service model that included improved patient education,pain management,care team collaboration,and effective *** group of patients received traditional care as a control *** compared postoperative recovery,satisfaction,complication rate,and length of hospital stay between the two *** statistics were used to compare the difference between the two groups by independent sample t test,Chi-square test and other methods to evaluate the effect of intervention *** Postoperative recovery time decreased from 17.8±2.3 d to 14.5±2.1 d,pain score decreased from 4.7±1.9 to 3.2±1.4,and hand function score increased from 78.4±7.1 to 88.5±*** terms of patient satisfaction,the quality service model group scored 87.3±5.6 points,which was significantly higher than that of the traditional care group(74.6±6.3 points).At the same time,patients'understanding of medical information also improved from 6.9±1.4 to 8.6±*** terms of postoperative complications,the application of the quality service model reduced the incidence of postoperative complications from 26%to 10%,the incidence of infection from 12%to 5%,and the incidence of bleeding from 10%to 3%.The reduction in these data indicates that the quality service model plays a positive role in reducing the risk of *** addition,the average hospital stay of patients in the quality service model group was shortened fr

关键词： Hand surgery nursing Quality service model Clinical outcomes Patient satisfaction Collaboration pain management

Efficacy of Low Dose Naltrexone on pain Reduction in Chronic pain Syndromes: A Meta Analysis

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

pain Studies and Treatment 2023年第3期11卷 15-25页

作者： Haroutiun Hamzoian Shehzad Choudry Orlando Health Orlando Regional Medical Center Orlando USA

Chronic pain is a multifaceted debilitating experience often associated with significant physical and emotional burden. Low dose naltrexone (LDN) has gained attention in recent years for its potential utility in the management of fibromyalgia, irritable bowel syndrome, multiple sclerosis, and painful diabetic neuropathy. LDN’s analgesic effects have been associated with its ability to increase the production of endorphins while reducing the production of tumor necrosis factor-alpha, interleukin-6, reactive oxygen species and nitric oxide. This meta-analysis aims to systematically review and synthesize the available evidence on efficacy of LDN as an analgesic in pain syndromes, with a focus on chronic (neuro) inflammatory diseases. The goal is to provide clinicians with a more comprehensive estimate of the effectiveness of LDN as a non-opioid option for managing chronic pain and guide future research in the area. Thirteen randomized control trials, published from 1990 to 2022, were selected for the analysis that satisfied inclusion criteria. The overall effects in these studies were calculated using the standardized mean difference (SMD) between the LDN and placebo groups. We found an overall SMD of -10.77 (95% CI: -13.96 to -7.58) with a p-value of 0.002. This indicated that the LDN group experienced a statistically significant reduction in pain compared to placebo. This meta-analysis provides evidence for the potential efficacy of low dose naltrexone in reducing pain and enhancing analgesia in various pain syndromes. LDN may be a useful treatment option for patients suffering from chronic pain, particularly with fibromyalgia, multiple sclerosis, or diabetic neuropathy. However, further research is needed to confirm the efficacy and safety of low dose naltrexone for chronic pain conditions, especially with larger sample sizes, standardized dosing regimens and treatment durations.

关键词： pain management LDN pain Anesthesiology Neurology Low Dose Naltrexone Chronic pain

Galvanic Skin Response—Extinction Biofeedback Training for Psychogenic Abdominal pain: A Validation Protocol

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Biosciences and Medicines 2024年第5期12卷 190-201页

作者： Maddalena Castelletti Enrico Berné Erasmo Dionigio Carlo Castagnoli Alberto Montagna Giorgio Tonon Magenta Medical Center Milan Italy Castagnoli Medical Center Garlasco Italy GEA Soluzioni Turin Italy

Abdominal and pelvic pain of psychogenic origin is a widespread, disabling, difficult to identify, and often inadequately treated medical condition. This condition is often associated with poor quality of life due to high pain interference with daily activities. Cognitive behavioral psychological therapy and neuromodulation with biofeedback are validated therapies for the treatment of this condition. Aim of the present research work is the validation of a therapeutic protocol that involves the use of both techniques in combination. 20 patients diagnosed with psychogenic abdominal pain, of both sexes, aged between 18 and 60 years who had not benefited from pharmacological therapies were enrolled. 10 patients were randomly assigned to the control group (psychological treatment only), another 10 patients were assigned to the study group (neuromodulation with biofeedback-Galvanic skin response-extinction in combination with psychological therapy). For both groups, the pain score, interference of pain with daily living activities, pain relief, and the share of anxiety associated with the pain condition were evaluated (pre- and post-treatment). The patients who underwent the combined treatment achieved statistically significant better scores than patients in the control group, respectively −4.9 ± 0.9 vs −1.0 ± 0.4 for pain;−5.1 ± 1.1 vs −0.9 ± 0.3 for Interference with life;−7.2 ± 3.7 vs −2.2 ± 2.1 for HAMA;4.6 ± 1.2 vs 1.1 ± 0.6 for Relief.

关键词： Chronic Abdominal and Pelvic Psychogenic pain (PAP) Biofeedback Training pain management Galvanic Skin Response (GSR)

The preferences and values of patients treated with acupuncture for cancer pain:a qualitative systematic review

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

TMR Cancer 2021年第4期4卷 7-14页

作者： Jie-Yun Li Jing-Wen Li Miao Li Kang-Le Guo Yong-Feng Wang Ke-Hu Yang Evidence-Based Medicine Center School of Basic Medical SciencesLanzhou UniversityLanzhou730000China Evidence Based Social Science Research Center School of Public HealthLanzhou UniversityLanzhou730000China Gansu University of Chinese Medicine Lanzhou730000China Evidence-Based Medicine Center School of Basic Medical SciencesLanzhou UniversityEvidence-Based Medicine CenterSchool of Basic Medical SciencesNo.199 Donggang West RoadLanzhou730000China

Background:Understanding values and preferences in the context of personal,physical,emotional,relational,and social factors is important in optimizing cancer patient counselling,facilitating treatment decision-making,and improving guideline recommendations in treating cancer pain ***:To systematically review the available evidence regarding the values,preferences,and expectations of acupuncture for patients with cancer ***:A systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)statement was *** databases were searched without time limits for eligible studies up to April 26,*** lists of included articles were also searched manually and authors were contacted to inquire about other relevant *** quality of the studies was appraised using the Critical Appraisal Skill Program Qualitative Appraisal Checklist(CASP)for *** research was registered on PROSPERO with number ***:A total of eight studies published in period from 2002 to 2020 were identified from 8 studies involving 2,835 *** number of participants in each study ranged from 76 to *** quality of the eight included studies was considered high as judged by the CASP *** is the main factor influencing patients'willingness and preference to accept acupuncture *** race,education,gender,and knowledge of acupuncture were potentially correlated with patients'*** with moderate to severe pain were more likely to use acupuncture than those with mild ***:The preferences and values of patients with cancer pain to receive acupuncture treatment are mainly related to the safety of acupuncture,the degree of cancer pain and demographic *** is hoped that future high-quality studies could further confirm our conclusions.

关键词： Acupuncture Cancer pain management Preference Willing Systematic review

New Concept of Whiplash Injuries Rehabilitation

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Human Physiology 2021年第1期3卷 11-19页

作者： Piotr Godek Michal Guzek Jakub Przychodzeń Sutherland Medical Center Warszawa04-036Poland RehaDent WarszawaPoland

Whiplash injuries are a global health problem and a significant financial burden for both health care systems,and insurance *** diverse symptomatology after whiplash injury both in the somatic,emotional and behavioral sphere prompted separation of the Whiplash Associated Disorders(WAD)as a separate category of *** exact mechanism of whiplash injury is still under debate and theories explaining pathogenesis of WAD are very diverse ranging from purely biomechanical to neurophysiological,emphasizing central sensitization but the core disability seems to be strictly connected to somatosensory *** a result,the optimal algorithm of rehabilitation has not been established and data published in the current literature on effectiveness of such algorithms are *** on the presented here of Head Neutral Reference Point(HNRP),the objective of central desensitization is to restore valid somatosensory output from Cranio-cervical Junction(CCJ).This new concept of rehabilitation after whiplash presented here is based on clinical observations and is supported by initial results.

关键词： Whiplash injuries Rehabilitation Somatosensory disorder Craniocervical injury pain management