FMDS Theses and Dissertations

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https://repository.upou.edu.ph/handle/20.500.13073/7
Theses and dissertations by graduate students from the Faculty of Management and Development Studies.

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Browsing FMDS Theses and Dissertations by Subject "Research Subject Categories::MEDICINE::Surgery::Anaesthetics and intensive care::Intensive care"
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    Critical Care Family Informational Support and Stress Level among ICU Patients' Family Members
    ( 2014-08-14) Balante, Jay M.
    This study was conducted to determine the effects of the critical care family informational support (CCFIS) in the critical care unit to the family members’ level of stress. Specifically, this study was conducted (1) To determine the difference in the level of stress of the family members before and after the intervention in terms of dissociation symptoms and clustered symptoms; (2) To determine the difference in the level of stress of the family members between the experimental group and comparison group in terms of dissociation symptoms and clustered symptoms; (3) To determine the relationship between the level of stress and the following variables: gender, age, relationship to the patient, and educational attainment. This study utilized the non-equivalent control group pre-test-post-test design, which involved an experimental treatment and two groups of subjects observed before and after its implementation. The control group received the typical hospital routine while the experimental group received the CCFIS, a 2-phase intervention directed to provide basic and essential information about the intensive care unit to the family members of ICU patients. There were 25 respondents for the control group and 30 for the experimental group. Results showed that there was a significant difference in the level of stress between pre-test and post-test on dissociation symptoms (p=0.00) after the CCFIS was done to the study group. There was no significant difference between pre-test and post-test in the comparison group in both the dissociative symptoms and clustered symptoms. CCFIS was effective in decreasing the level of stress particularly in terms of the dissociation symptoms. The intervention played an important role in meeting the informational needs of the family members, allowing them to re-process the stressful situation of having a patient in critical care, thereby promoted coping and decreased level of stress.
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    Effect of Intensive Wound Care Education on the Incidence of Wound Issues among Operative Orthopedic Patients in the Kingdom of Bahrain
    ( 2019) Raval, Arlyn Tambong
    Surgical site infection contributed to a major cause of mortality and morbidity of many patients that threatens most of their lives. Unexpected change of dressings also caused increase cost expenditure and exhaustive effort for most of the patients. The aim of the present study was to identify the effect of intensive wound care education among operative orthopedic patients posted for major surgery in eradicating wound issues and in identifying the relationship of risk factors in acquiring wound infections such as age, sex, diabetes, obesity and diet. A quasi-experimental one group only posttest repeated measure design had been used among a total of 100 inpatients with major operations. Patients’ demographic data had been collected and the respondents were immersed in learning wound care before surgery and after surgery before discharge using presentation, pamphlets, and videos. The Bates Jensen Wound Assessment Tool was used to evaluate the wound status in three-time evaluation and scored accordingly to quantify wound issues. ANOVA and Chi Square coefficient as a statistical tool had been used for analysis and to determine relationship of the identified risk factors in acquiring wound infection and unexpected change of dressings. There was a zero incidence of surgical site infection among the 100 inpatients who were being educated intensively about wound care. Moreover, there was a decrease in the incidence of unexpected change of dressing during the implementation of proper care of the patients’ surgical sites. In regards with risk factors, there was no relationship between incidences of wound infection and age, sex, obesity, diabetes, and diet. However, in the case of unexpected change of dressing, only diabetes had a significant association with unanticipated change of dressings. Overall, in depth wound care education was effective to prevent wound issues and lead the wound into its healing phase. Therefore, the role of health care providers as health educators is a paramount responsibility to pave way for a successful recovery of orthopedic patients.
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    Roy’s Adaptation Model Derived Step-Down Protocol (RAMSP) and Relocation Stress Syndrome among ICU Patients
    ( 2016) Pangda, Andres
    Relocation stress syndrome (RSS) has been common to Intensive Care Unit (ICU) patients who were for transfer to a regular room. They experience anxiety, depression and loneliness at some point. This study examined the effectiveness of Roy’s Adaptation Model Step-down Protocol (RAMSP) in alleviating RSS. The protocol was composed of evidenced-based interventions that prevent the known problem. ICU patients (n=62) were tested having one hospital as the study group, where RAMSP was introduced, and the other hospital with its generic protocol as a control group. Results have shown that significant difference was noted on the pre-test and post-test upon the introduction of the said protocol with a p value of 0.001 for anxiety, 0.002 for depression, and 0.002 for loneliness. The study found out that RAMSP has been successful in decreasing the levels of anxiety depression, and loneliness as compared to a generic transfer protocol. However, anxiety was considered to give more impact to relocation stress syndrome which calls for more an immediate effort to suppress it.