Παρασκευή, 9 Δεκεμβρίου 2016

Quality of nurse patient therapeutic communication and overall patient satisfaction during their hospitalization stay

2016-12-09T08-55-28Z
Source: International Journal of Medical Science and Public Health
Sandhya Negi, Harleen Kaur, Grace M Singh.
Background: Effective communication is very important aspect in a nursing career. When patient admitted in the ward then therapeutic nurse patient relationship developed and if person is not mentally disturbed so that is very important nurses will properly communicate or needs to show a greater amount of interest to the information-giving process and decision making regarding the care of the patient. Objectives: The main aim of the research is to find the quality of nurse patient therapeutic communication and overall patient satisfaction during their hospitalization stay. Material and Method: An exploratory descriptive design was followed. A total of 110 patients were recruited by convenient sampling technique. Self developed Likert scale is used to assess the quality of nurse patient therapeutic communication and patient satisfaction. Result: Finding suggests that the most (81.8%) of the patient agreed that nurse was helpful and should concern on them, and 81% of the patient agreed that privacy and confidentiality was maintained. Only a few patients (4.5%) agreed that nurses were prompt in decision-making regarding their care.


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Retrospective case control study on typhoid and non-typhoid small bowel perforation

2016-12-09T04-03-50Z
Source: International Journal of Research in Medical Sciences
Sandeep Mahapatra, Charan Panda.
Background: Out of several causes of small bowel perforations, Typhoid is the commonest cause in tropical countries claiming a higher morbidity and mortality profile. In Spite of conducting a good clinical examination and a battery of investigatory procedures, the etiology of perforation still remains obscure in a good number of cases. This retrospective case control study was conducted with an objective to evaluate the causes of small bowel perforation and to compare the surgical procedures and the outcomes in patients of typhoid and non-typhoid small bowel perforations. Methods: This study was based on hospital records for the last 3 years from April 2003 to April 2006. All the cases that were admitted with perforations had undergone a battery of tests to rule out the causes. 69 patients had one or the other test positive for typhoid (cases); the other causes of perforation were taken as control (n=43). Results: In typhoid perforations, although none of the operative procedures are clearly advantageous over the other, but anastomoses including the by-pass procedures are associated with more of complications wound dehiscence (p value 0.004), anastomotic leakage (p value 0.04), intra-abdominal collections (p value 0.009) with a longer hospital stay and hence to be avoided as practicable. Conclusions: Typhoid ileal perforation still has a poor prognosis with high morbidity and mortality. Late presentation, delayed surgery, multiple perforations, severe peritoneal contamination, and post-operative faecal fistula are factors that have an adverse effect on mortality. Most deaths occur during the early post-operative period, with survivors having a prolonged hospital stay.


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