Supplements' forces on patient infe...

Supplements' forces on patient infections and well-being

Annals of Internal Medicine

March 4 2003

Dietary complements are used extensively throughout the United States. This randomized double-blinded, placebo-controlled trial was leadershiped in two primary care clinics to determine the event of a daily multivitamin and mineral addition on infection and well-being. (1) the same hundred thirty adults were stratified by dint of age (ie, 45 to 64 years, [greater than or equal to] 65 years) and diabetes status (ie, shadow 2 diabetes mellitus). Participants were assigned randomly to the same of two groups. The treatment collection which consisted of 63 participants, received common oral tablet containing vitamins and minerals daily for united year. The other 67 research participants received a placebo. Nutritional status was assessed from pabulum diaries maintained by the participants, infection was determined from a daily symptom checklist diary, and well-being was determined using the Medical results Study 12-Item Short Form scale. Descriptive statistics, including univariate and multivariate analysis techniques were used to evaluate the differences between the treatment and placebo groups

Findings. Participants in the placebo cluster were significantly more likely to report having an infection (73% versus 43% P < 0001) than participants who received a daily multivitamin and mineral continuation Significantly more participants with diabetes in the placebo cluster reported infections than those in the treatment cluster (93% versus 17%, P < 0001) Multivariate analysis revealed that the use of a multivitamin and mineral postscript had no effect on well-being as measured on the Medical Outcomes Study 12-Item Short Form scores (difference 102 confidence interval [CI] -222 to 42 for the treatment cluster and difference 0.98, CI -197 to 394 for the placebo group)

Clinical implications. Although no difference was plant in well-being between the dispose that took a daily multivitamin and mineral postscript and the group that did not, patients with diabetes who took the daily addition s were significantly less likely to report an infection. These deductions strongly suggest that the use of a daily postscript can reduce the risk of infection in patients with diabetes. Perioperative give suck tos should consider incorporating this finding in their educational fights with patients identified as having image 2 diabetes.

Music and patient anxiety

AORN Journal

February 2003

The use of music as a healing medium to restore, maintain, and improve emotional, physical, physiological and spiritual health and well-being dates back to ancient times. Listening to music during surgery may help the time pass more quickly, mask background noises, and divert patients' attention from the surgical action The objective of this quantitative investigation was to assess the effectiveness of music as a relaxation technique. (2) Eighty patients scheduled for minor surgical proceedings under local anesthesia in an acute care hospital in Hong Kong were assigned in succession alternate weeks to either a direction or an experimental group. In addition to receiving routine preoperative instructions, patients in the experimental cluster were given a choice of taped music to listen to between the sides of headphones. Patients in the have charge of group received only the routine preoperative instructions. The effectiveness of music as a relaxation technique was assessed by dint of measurement of patient's vital signs. The Chinese State-Trait Anxiety Inventory was used to assess procedure-related anxiety plain Descriptive statistics were used to analyze differences between the pair groups.

Findings. Patients in the collection that listened to music had significantly lower anxiety scores, lower heart rates, and lower kin pressure. Paired samples to compare pretest and posttest variables for the two groups revealed that patients in the experimental arrange demonstrated a significant decrease from pretest to posttest in the four variables: anxiety plain (pretest mean [M] 53.58, standard deviation [SD] 888; posttest M 3183 SD 497 t value 1491 P < 0001) heart rate (pretest M 8250 SD 1005; posttest M 7813 SD 1069; t value 329 P < 0001) systolic life-current pressure (t value 3.67, P < 0001) and diastolic descendants pressure (t value 2.96, P = 0002)

Clinical implications. This thought suggests that listening to dull or moderate music, a relatively inexpensive intervention, can cut short patients' anxiety. Perioperative nurses must understand, however, that the have a passionate affection for of music is not universal. Consequently if this intervention is chosen an assessment of a patient's likes and dislikes in music must be undertaken first.

offspring loss predictors in hip fracture surgery

Journal of the Royal association of Surgeons of Edinburgh

June 2002

Hip fractures are a habitual injury, especially in older adults. of the like kind injuries generally require hospitalization and surgery The objective of this prospective meditation was to identify predictors of excessive vital fluid loss during surgical treatment for hip fractures (3) Data from 242 consecutive patients undergoing a surgical proceeding for hip fractures in England were reviewed. line loss was assessed by noting the progeny volume in the suction canisters and weighing wipe outs Excessive blood loss was defined as life-blood loss of more than 480 mL Variables assessed included patient demographics, preoperative hemoglobin, symbol of procedure, blood loss, pre-existing medical conditions, the American Society of Anesthesiology (ASA) score, and patients' risk of cerebral or cardiac ischemia from book depletion as defined by the American association of Physicians (ACP). Multiple logistic regression techniques were used to analyze the variables.