ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1989.tb00371.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1989.tb00372.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACTIn this study, which is a part of a clinical‐epidemiological study of post‐operative complications, the Project Peri‐operative Risk (PROPER), patients' and health professionals' perceptions of complications during the patients' stay in hospital are analysed. Five hundred and ten patients admitted for elective (=planned) surgery and attending a pre‐operative outpatient clinic set up for this project were seen pre‐operatively and then monitored closely during and after surgery. Three months after having been operated on, they were sent a postal questionnaire in which they were asked to indicate whether they had suffered post‐operative complications and to evaluate the care process. The incidence of complications reported by patients and staff was similar, but there were large differences at the individual level. Two‐thirds of the staff‐reported complications were not reported by the patients and vice versa. Patients generally classified complications as more severe than the staff did. Patients' evaluation of the care process was clearly related to reported complications. Most dissatisfied were those patients who reported complications not reported by the staff, and the most satisfied were those who had complications according to the staff but no complications according to themselves. The implication of these findin

ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1989.tb00373.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACTPelvic floor muscle activity was recorded in ten healthy children, aged six to ten years, by using surface electromyography and a polygraph writer. The electromyograms were recorded simultaneously from four electrode pairs on the perineum and three electrode pairs on adjacent muscle groups, i.e. hip and abdominis muscles. The children performed ten different manoeuvres. Necessary prerequisites for this investigatory method include good electrode application, adequate instruction of the child and the child's adjustment to the method. Using the described procedure, it was possible to record pelvic floor muscle activity without any appreciably detectable electrical influence from adjacent muscles. The method sometimes allows selective recording of electromyographic activity between the ventral urogenital and the dorsal anal regions. Therefore both anal and urethral electrode pairs should be used to achieve functional information about the pelvic floor muscles. The envisaged method should be useful as a tool for assessment of pelvic floor muscle exercises in children with voiding disorders.

ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1989.tb00374.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACTPatient satisfaction with outpatient psychiatric care in a sectorised care organisation was studied by means of a mailed questionnaire to a one‐year population of patients. Response rate was 40.7%. The results showed a high general satisfaction with treatment. Satisfaction was highest in areas of treatment planning/treatment design, treatment accomplishment and relationship to staff. A somewhat lower level of satisfaction was noted concerning information and coinfluence of the patient. Level of satisfaction was not related to social and psychiatric background characteristics. Patients with longer time in therapy showed a higher level of satisfaction. Patients' ratings of the quality of information and coinfluence were related to both satisfaction with treatment and treatment outcome, pointing to the importance of these factors for course of treatment and treatment success. A comparison with patient satisfaction with in‐hospital care revealed significant differences in favour of the outpatient group. It is concluded that surveys of patient satisfaction with care may be a important and useful tool in the evaluation of changes in care organisations and in the monitoring of quality assurance standa

ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1989.tb00375.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACTVariations among 32 midwives involved in a total of 1578 deliveries were studied regarding attitudes to and use of obstetrical analgesia. Relevant data were obtained from the register of the maternity department of a Swedish regional hospital. This was complemented with information about the midwives' attitudes to pharmacological pain relief in labour and delivery, collected by means of a mailed questionnaire. Variations between midwives (range), expressed as percentages of each midwife's total number of deliveries, were considerable: epidural block (EDA), 9–48%; Pethidine, 0–41%; Entonox (N2O/O2), 8–62%; pudendal block (PDB), 11–71%. Midwives working on night‐shift used less EDA, but more pethidine, than their day‐shift colleagues. 59% of all the midwives were critical of current levels of obstetrical use of analgesics in Sweden, while 41% felt the level to be about right. Night‐shift midwives were rather more critical than day‐shift midwives. Midwives critical of current levels of obstetric medication used EDA and PDB less often than their more enthusiastic colleagues, but the difference was not statistically significant. On the other hand, critical midwives used more Pethidine (p<0.05) and also more Entonox than their less critical colleagues, though again the difference was statistically

ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1989.tb00376.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1989.tb00377.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1989.tb00378.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0283-9318    

DOI:10.1111/j.1471-6712.1989.tb00379.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY