Days In Intervention Group Research Articles

Manfaat Senam Nifas Ditinjau dari Involusi Uteri Ibu Postpartum

One of caring to maximize uterine contraction during the puerperium is by doing postpartum exercise. The purpose of this study was to determine the influence of postpartum exercise on a uteri involution maternal postpartum look for decreasing of fundal height on maternal postpartum. This study was a pre-experimental study using a comparison group design. The population in this study was a postpartum mother who gave birth normally in independent midwifery in the region of Puskesmas Curup, by purposive sampling as 40 people. The intervention group did postpartum exercise, then measured the fundal height used pelvimetry The result of this research got mean of the fundal height of 6-hour postpartum in intervention group 15.20 cm ±1.88 cm and 14.45±1.35 cm in the control group. Mean of fundal height third day in the intervention group 10.70±2.13 cm and 11.95±1.73 cm in the control group. Mean of fundal height sixth day in intervention group 6.75 cm ± 1.44 cm and 9.10 ± 1.48 cm in the control group. While mean of fundal height tenth day in intervention group 0.00 cm and 4.80±3.05 cm in the control group. There was a significant difference in the decrease of fundal height between the two groups third day (p=0.049), sixth day (p=0.00), and tenth day (p=0.00). Postpartum exercise has an effect on the decrease of fundal height. Decreasing of fundal height were faster in the intervention group than in the control group.

The Process of Uterine Involution with Postpartum Exercise of Maternal Postpartum

The purpose of this study was to determine the effect of postpartum exercise on a uteri involution maternal postpartum look for decreasing of fundal height on maternal postpartum. This study was a pre-experimental study using a Static Group Comparison design. The population was a postpartum mother who gave birth normally. Sampling technique by accidental sampling as 30 people, where 15 people in the intervention group and 15 people in the control group. Data was conducted observation used pelvimetry. The intervention group did postpartum exercise and did not do, then measured the fundal height 6 hours postpartum, day 3, day 6, and day 10. Data were analyzed using independent sample t-test and Two-sample Kolmogorov- Smirnov Test. The result of this research got a mean of the fundal height of 6-hour postpartum in intervention group 13,00 cm ±1,000 cm and13,27 cm ± 1,033 cm in the control group. Mean of fundal height third day in the intervention group 7,87 cm ±0,743 cm and 9,33 cm ± 0,900 cm in the control group. Mean of fundal height sixth day in intervention group 4,07 cm ±0,704 cm and 5,60 ± 1,121 cm in control group. While mean of fundal height tenth day in intervention group 0,33 cm ± 0,488 cm and 1,20 cm ± 0,676 cm in control group. There was a significant difference in the decrease of fundal height between the two groups. From the results of this study, it can be concluded that the postpartum exercise has an effect on the decrease of fundal height.

The Effect of Oral Fenofibrate on Serum Bilirubin Level in Term Neonates with Hyperbilirubinemia: A Randomized Clinical Trail

Background Several agents have been used for the treatment of neonatal hyperbilirubinemia, but the effect of oral fenofibrate on serum bilirubin level was not evaluated so much. The aim of this study was to assess the effect of oral fenofibrate on a total serum bilirubin (TSB) in term neonates with hyperbilirubinemia. Materials and Methods: This clinical trial was done on 80 term neonate with a TSB higher than 15 mg/dl in two equal groups of control and intervention. Both groups received conventional phototherapy with the same condition. The intervention group received a single dose of oral Fenofibrate (Sobhan- Darou Company, Iran) 10 mg/kg. The TSB was measured in both groups, at admission, second day, and third day and also at the time of discharge. The serum bilirubin level, the duration of phototherapy and need to exchange transfusion were compared in two groups. Results: Results showed that of 80 neonates studied, the TSB at the second day of hospitalization in the intervention group was 13.29 ±1. 64 mg/dl and in control group 14.06±1.78 mg/dl (p=0.04), and at the third day in intervention group it was decreased to 9.99± 1.53 (p=0.04), and in control group to 11.01±1.68 mg/dl, (p=0.006). The duration of phototherapy in the intervention group was 2.5±0.71 days and in control group 3.35±0.97 days (p=0.003). Conclusion According to the result of this study administration of oral Fenofibrte in a term neonate with hyperbilirubinemia under the phototherapy lead to faster decline in serum bilirubin levels, shorten the duration of hospital stay and earlier discharge from hospital.

Effects of a Tablet Computer on Self-care, Quality of Life, and Knowledge: A Randomized Clinical Trial.

Conflicting results have been reported for telemonitoring in patients with heart failure (HF). We wanted to evaluate whether patients using a tablet computer aimed at improving self-care behavior could do so and also whether it affects quality of life and health-related quality of life, disease knowledge, and in-hospital days. Patients with HF (n = 82) were randomized to the intervention group (IG) with a tablet computer (giving information and advice) or the control group (CG) that was subject to standard care. Study was completed by 72 patients, with a mean (SD) age of 75 (8) years, 68% male, and 74% NYHA class III. Self-care behavior measured with the 9-item European Heart Failure Self-Care Behaviour Scale, health related quality of life measured by the Kansas City Cardiomyopathy Questionnaire, quality of life measured by the Swedish version of the Health Survey, knowledge measured by the Dutch Heart Failure Knowledge Scale, days in hospital, and adherence were analyzed. The IG displayed better 9-item European Heart Failure Self-Care Behaviour Scale score (median IG, 16.5 [interquartile range {IQR}, 12-22], vs median CG, 23.5 [IQR, 18.8-30.0]; P < .05) and improved health related quality of life (median IG, 72.7 [IQR, 50.8-87.9], vs median CG, 51.8 [IQR, 40.9-62.8]; P < .05). A significant difference in knowledge was seen, with an 11% increase in IG and a 1% decrease in CG (P < .05), as well as a reduction in hospital days in IG by 2.7 days per patient (relative risk, 0.72; 95% confidence interval, 0.61-0.84; P < .05). The tablet computer significantly improved self-care behavior and health related quality of life, increased HF knowledge, and reduced hospital days.

Nebulized hypertonic saline to prevent ventilator associated pneumonia in premature infants, a randomized trial

Background/objectives: Ventilator associated pneumonia (VAP) is a leading cause of death. Nebulized hypertonic saline solution (HSS) has been used to improve pulmonary clearance and reduce infection in intubated patients. This study examines whether nebulized HSS may reduce VAP in intubated premature infants.Methods: We analyzed results of 100 intubated premature infants who completed the study. Infants were divided into: (a) the “Control” group, where VAP prevention protocol was implemented and (b) the “Intervention” group, where nebulized HSS twice daily was added to the package of care. Clinical, radiologic, and laboratory evidence of VAP, endotracheal aspirate and blood cultures, and days on mechanical ventilation were compared between groups.Results: VAP occurred in 18% in the intervention group compared to 52% in the control group, relative risk 0.35 (CI:0.18–0.66, p = .001). VAP incidence density was 16/1000 patient-ventilator days in intervention group versus 30/1000 in control group. There was a significant reduction in the days of mechanical ventilation in the intervention group (10.7 ± 8.6 and 16.9 ± 3.4, p < .001).Conclusions: Nebulized HSS may help preserving lung clearance mechanisms and therefore reduce VAP in premature infants. Multi center, double blinded, randomized, controlled, trial is needed to confirm safety and efficacy of such intervention.

Efficacy of illness perception focused intervention on quality of life, anxiety, and depression in patients with myocardial infarction.

Background:Myocardial infarction (MI) is one of the major causes of death and disability worldwide, which can reduces quality of life in patients. Some disabilities are depression and anxiety which delay returning to work. The aim of this study was to evaluate the effect of illness perception focused intervention on quality of life, anxiety, and depression in MI patients.Materials and Methods:A randomized controlled trial study of 48 recently hospitalized MI patients was conducted (24 in intervention group and 24 in control group). Intervention group was trained to understand the disease by a mental health counselor in three half-an-hour sessions for three consecutive days. Data were collected from three questionnaires: hospital anxiety and depression scale, the World Health Organization Quality of Life Questionnaire (short form), and Illness Perceptions Questionnaire Brief at admission, 1.5, and 3 months postdischarge. Data were analyzed with ANOVA repeated measure.Results:The mean duration of returning to work was 28.7 ± 8.1 days in intervention groups and 46 ± 7.6 days in control group which was statistically significant (P < 0.001). Moreover, anxiety, depression, and illness perceptions score were significantly decreased in intervention groups which were 8.3 ± 3.3, 6.8 ± 3.5, and 36.5 ± 5 in intervention groups and 15.8 ± 2.1(P < 0.001), 17.1 ± 2.3 (P < 0.001), and 41.9 ± 4 (P < 0.001) in control group, respectively. Mean of quality of life subscales scores just physical health subscale showed a significant reduction after 3 months in the control group.Conclusion:Training MI patients to understand the disease in three half-an-hour sessions for 3 consecutive days can decrease the duration of returning to work, anxiety and depression, and increase illness perceptions which can make a better outcome.

Randomized controlled trial of prophylactic rectal stimulation and enemas on stooling patterns in extremely low birth weight infants

We hypothesized that rectal stimulation and small volume enemas would accelerate normalization of stooling patterns in extremely low birth weight infants. In a randomized controlled trial, infants with a gestational age 28 weeks received one of the following: twice daily rectal stimulation and/or enemas until two stools were passed daily, without enemas or stimulation, for three consecutive days. Intervention only occurred when symptoms, abdominal distension and no defecation, occurred in the previous 24 h. Enema administration occurred if abdominal distension persisted without defecation occurring after rectal stimulation. Multivariable linear regression was used to determine the contribution of a patent ductus arteriosus (PDA) on normalization of stooling patterns and feeding tolerance. Rectal stimulation and/or small volume enemas did not accelerate the median (quartile range) time normalization of stooling patterns, 13 (11-20) days in control group and 16 (12-25.5) days in intervention group. A higher frequency of PDA occurred in the intervention than the non-intervention group. Infants with a persistent PDA had a longer duration of parenteral nutrition, worse feeding tolerance and more days to achieve normal stooling patterns. In multivariable regression analysis, a PDA, not repeated rectal stimulation and/or enemas, was significantly related to stooling and feeding tolerance. Twice daily administration of rectal stimulation and/or enemas did not normalize stooling patterns (fecal frequency). A PDA is an important determinant of acquisition of normal stooling patterns and feeding tolerance of very immature newborns.

Acute Peripheral Joint Injury: Cost and Effectiveness of Low-Field-Strength MR Imaging—Results of Randomized Controlled Trial

To assess prospectively if a short imaging examination performed with low-field-strength dedicated magnetic resonance (MR) imaging in addition to radiography is effective and cost saving compared with the current diagnostic imaging strategy (radiography alone) in patients with recent acute traumatic injury of the wrist, knee, or ankle. Institutional review board approval and informed consent were obtained. Patients with recent trauma of the wrist, knee, or ankle were randomized across two diagnostic strategies: radiography alone (reference group) or radiography followed by a short MR imaging examination (intervention group). Measures of effectiveness included the number of additional diagnostic procedures, time to last diagnostic procedure, and number of days absent from work. Measures of effectiveness were analyzed by using an exact Wilcoxon-Mann-Whitney test. Time to convalescence and quality of life were analyzed by using a t test. Cost analysis was performed from a societal perspective and analyzed by using a t test. Five hundred patients (207 women, 293 men; mean age, 34.8 years) with acute injury of the wrist, knee, or ankle were randomized. In the intervention group, quality of life for patients with knee injuries was significantly higher during the first 6 weeks, and time to completion of diagnostic work-up was significantly shorter (mean, 3.5 days for intervention group vs 17.3 days for reference group). The number of additional diagnostic procedures was significantly lower in the intervention group versus the reference group (nine vs 35, respectively) for patients with knee injuries. Patients with knee injuries showed the largest difference in costs (intervention group, 1820 [$1966]; reference group, 2231 [$2409]) owing to a reduction in productivity loss. Costs were higher in patients with wrist injuries and almost equal in patients with ankle injuries. All cost differences, however, were not significant. Compared with radiography, MR imaging in patients with acute wrist or ankle injuries is neither cost saving nor effective in expediting diagnostic work-up or improving quality of life. In patients with knee injuries, a short MR imaging examination shortens the time to completion of diagnostic work-up, reduces the number of additional diagnostic procedures, improves quality of life in the first 6 weeks, and may reduce costs associated with lost productivity.