جستجوی مقالات مرتبط با کلیدواژه « gynecological surgery » در نشریات گروه « پزشکی »

Obtaining informed consent (IC) is essential for any diagnostic or therapeutic procedure. IC is an important legal communication process between the patient and physician.

This study was performed to evaluate the quality of IC process in patients undergoing spinal anesthesia (SA) in gynecological surgeries.

During 2021 this cross-sectional study was performed in Alzahra Hospital.
Eligible patients over 18 years old, who were candidates for elective gynecological surgeries under SA, enrolled the survey. A questionnaire containing demographic data and 20 specific questions divided in to 4 areas; providing information, Comprehensibility of the consent form, Voluntary of informed consent, Communication with the doctor, was filled out via a direct interview.

Finally the data from 259 eligible patients were analyzed. In terms of providing information to the patient, comprehensibility of the consent form, and the voluntary of obtaining consent were in poor conditions .But, in terms of communication with the physician, 46.3% of the patients were in a good state and 20.1% excellent. It was also found that there was significant relationship between the level of education and the quality of obtaining IC (P= 0.034).

It was concluded that the IC process was not acceptable in this academic center, and effort should be made to improve the current conditions.

Surgical site infection (SSI) is one of the most important nosocomial infections that increases costs and mortality. The aim of this study was to evaluate the frequency of infection after surgery in gynecology.

In a cross-sectional descriptive-analytic study, the data of 329 patients who underwent gynecological surgeries at Al-Zahra Hospital in Isfahan in 2019 were included in the study. Data related to age, body mass index (BMI), underlying diseases, urgency of surgery, history of surgery at the same site and number of days of hospitalization before surgery were extracted. Patients were examined for 30 days after surgery. Cases of infection after surgery were diagnosed by a specialist. Data analysis was performed by Chi-square and Independent t-tests.

Among the 329 patients who underwent hysterectomy, salpingo-oophorectomy, tubal ligation and tumor resection in the gynecology ward, a total of 21 patients (6.38%), developed wound infection at the surgical site. The highest and lowest occurrence of infection after surgery occurred in patients undergoing hysterectomy (30%) 99 and tubal ligation 43 (13.06%), respectively. Among patients who underwent hysterectomy, women with a higher mean BMI were significantly more likely to develop postoperative infections.

Emergency operation without administration of prophylaxis antibiotic and obesity increased the frequency of surgical wound infection in gynecological surgeries.

Failure to follow the standard principles in establishing lithotomy position will cause can lead to serious complications such as pain. This study was performed with aim to evaluate the pain experienced by patients in pressure areas in lithotomy position.

This descriptive-analytical cross-sectional study was performed in 2017 on 200 female patients who had undergone gynecological surgery using lithotomy position in the teaching hospital of Karaj. The researcher-made questionnaire was used to assess pain experienced by patients; the questionnaire includes: patients' demographic information and the checklist of recording the amount and severity of pain using a standard ten-point scale. Data were analyzed using SPSS software (version 22) and descriptive and inferential statistical tests of Chi-square, Mann-Whitney and Kendall correlation coefficient. P< 0.05 was considered statistically significant.

Based on the results of data analysis, within 24 hours after the surgery, 180 patients had complaint from low back pain, 94 from the groin region pain, 164 from the knee pain and 34 from the ankle pain in moderate to severe level. Also, a high correlation was observed between the variables of patients' body mass index and duration of surgery with the incidence of pain in some areas such as the lumbar region and the ankle region.

In this study, a significant percentage of patients following placed in the lithotomy position experienced postoperative pain in different areas.

Designing healthcare spaces and physical facilities requires the identification of the patientchr('39')s family needs, and it is considered an important component of nursing theories. The aim of this study was to explain the needs of family caregivers of patients undergoing gynecological surgery for physical facilities and equipment in hospital.

This study is based on the results of the qualitative part of a large hybrid study on the development and implementation of a need-based service delivery program for the caregivers of patients undergoing gynecological surgery in 2017. The selection of participants was purposefully done with maximum variation. The study data were collected using 31 (16 caregivers, 6 nurses, 4 doctors, 3 patients and 2 service workers) in-depth interviews and observations and analyzed by the conventional qualitative content analysis using the Zhang and Wildemuth approach.

Data analysis led to the development of the theme "need for physical facilities", which fell into two categories "need for proper physical structure in the hospital" with the following subcategories: "need for care facilities behind the operating room door", "need to provide welfare facilities in the hospital for caregivers", "need for welfare facilities in the surgical ward", "necessity of allocating rooms to the similar patients", and category "need for appropriate hospital facilities and equipment" with subcategories "caregiver’s need for facilities and amenities", and "caregiver’s need for facilities and amenities for the comfort of the patient".

The results show the importance of having a physical structure tailored to the needs of family caregivers as well as the availability of appropriate facilities and equipment in hospital. One of the limitations of the study was preventing men from visiting patients in the women’s hospital. It is recommended that the needs of male companions and the necessity of their presence according to the cultural context be studied. Also, a new architectural design is suggested to create a suitable therapeutic environment and positive effect on patients’ improvement and increase patient and family satisfaction.