相关实验视频
Updated: Jun 12, 2025

09:03
Handling Techniques to Reduce Stress in Mice
Published on: September 25, 2021
37.6K
为患有高焦虑负担的患者提供手部护理服务
Caellagh D Catley1, Sarah C Romans1, Abby L Cheng1
1Department of Orthopedic Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO.
The Journal of hand surgery
|September 22, 2024
概括
患有高焦虑负担 (HAB) 的患者不太可能接受选择性手术,并经历更多并发症. 外科医生指出,很少记录患者的焦虑,错过了改善护理和结果的机会.
科学领域:
- 整形外科手术 整形外科手术
- 心理健康 心理健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 像患者报告结果测量信息系统 (PROMIS) 等患者报告结果测量措施 (PROMs) 的焦虑评分在临床实践中越来越多地使用.
- 了解高焦虑负担对手术决策和结果的影响对于优化患者护理至关重要.
研究的目的:
- 调查PROMIS焦虑分数在>95百分位的患者是否与焦虑率较低的患者相比,以不同的速度接受选择性手术.
- 评估外科医生对高焦虑负担 (HAB) 患者情绪状态和术后并发症率的文档.
主要方法:
- 成年新患者提出手部护理的回顾性队列研究 (2019-2020).
- 确定了高焦虑负担 (HAB) 组,PROMIS焦虑评分≥70.
- 匹配了HAB患者 (n=45) 和对照组 (n=135) 的手腕道综合征,触手指和远距离半径骨折;使用双变异分析比较手术率和并发症.
- 利用情感分析来评估在手术决策中考虑患者的焦虑.
主要成果:
- 与对照组相比,HAB患者在所有领域的PROMIS分数都明显差.
- 手术的几率相似 (58%对47%),但HAB患者不太可能接受手术 (73%对92%).
- 手术后并发症在HAB组中更频繁 (32%对8%). 外科医生笔记在HAB患者中提到焦虑的频率更高 (40%vs.24%),但大多数人仍然没有解决.
结论:
- 患有高焦虑负担的患者不经常接受手术,并经历更高的并发症率.
- 外科医生经常错过在临床文档中解决患者焦虑的机会,这可能会影响护理.
- 对手术前焦虑干预措施的进一步研究是有必要的,以减轻手术护理和结果的差异.
相关概念视频
Anxiety: Overview
255
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
255
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
4.8K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
4.8K
Hand hygiene
3.1K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
3.1K
Handwashing III: During the Procedure and Post-Procedure Steps
1.5K
To wash hands properly, follow these steps:
1.5K
Handwashing I: Introduction and Types of Equipment
4.0K
Handwashing is hand hygiene with plain or antimicrobial soap and water to physically remove dirt, organic material, and microorganisms. However, it may not kill all microorganisms. The handwashing procedure requires a hand wash basin, liquid soap, paper towels, a domestic waste bin, and disposable nail cleaner as optional equipment.
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated....
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated....
4.0K
Handwashing II: Pre-procedure and Initial Procedure Steps
903
The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
903

