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Biomedical subjects

D Hathaway

Publications and source records attributed to D Hathaway.

36 records · Page 2Linked to original sources

Predicted and actual quality of life changes following renal transplantation.

An exploratory-descriptive design was used to examine quality of life (QoL) changes in this follow-up study of renal transplant recipients 16-26 months after transplantation. Of 57 patients interviewed for the original study conducted at transplantation, 39 were interviewed. Interviews included demographic information, open-ended QoL questions, and identification of positive and negative QoL changes. T-test examined differences between pretransplant QoL expectations and post-transplant QoL changes. McNemar's Test determined the categories where changes were more correctly anticipated. Results indicate that although staff more accurately anticipate the degree to which patients' QoL changes, patients more accurately anticipate the types of changes that occur.

Female↗

Posttransplant quality of life expectations.

This descriptive exploratory study with 57 renal transplant recipients employed a structured interview guide to determine where patients heard about transplantation, what knowledge they had about transplantation, and why they chose to have a transplant. Nearly half the patients heard about transplantation from their physician and a fourth from their dialysis nurse. Patients had little comprehensive knowledge about transplantation, and most patients indicated transplantation was chosen merely to get off dialysis. The interview also sought to determine what expectations transplant recipients and their nurses had for the patients post-transplant quality of life. Both patients and nurses viewed transplantation as creating many more favorable quality of life changes as opposed to negative changes, however, the nurses anticipated significantly more positive as well as negative changes than did the patients.

Adult↗

A cancer primer.

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Humans↗

Reiter's syndrome.

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Arthritis, Reactive↗

Effect of preoperative instruction on postoperative outcomes: a meta-analysis.

A meta-analysis was performed on 68 studies to examine the effect of preoperative instruction on postoperative outcomes. The 68 studies represented 2,413 experimental subjects and 1,605 control group subjects and yielded 423 individual effect sizes. The 423 individual effect sizes had a mean effect size of 0.44 and a variance of 2.43. The mean effect size indicated that, in terms of postoperative outcomes, an average patient who received preoperative instruction was at the 66th percentile of a similar group of patients who did not receive preoperative instruction. The accompanying large variance indicated this finding was not consistent across subject-studies. Substantive characteristics of subject-studies used to categorize effect size were: type of content, method of organization, type of presentation, level of patients' fear/anxiety, and types of outcomes measured. All categories analyzed had positive effect sizes. Within categories of content, psychological and mixed forms of content produced the lowest variances. Categories of organization and presentation did not produce data to demonstrate a clear difference in the levels analyzed. Categories of patient fear/anxiety indicated that the greatest effects were achieved with patients who had high levels of fear/anxiety, followed by moderate levels and low levels. The most consistent results were found with moderate levels of fear/anxiety. When categorized by types of outcomes measured, all effect sizes remained positive. The variances accompanying each effect size remained relatively substantial at all levels of aggregation, with small variances found only at the greatest level of specificity.(ABSTRACT TRUNCATED AT 250 WORDS)

Anxiety↗

Energy expenditure during leg exercise programs.

Comparisons of the effects of three exercise programs (active, passive, and isometric) and a rest program (control) on energy expenditure (oxygen consumption), heart rate, respiratory rate, and blood pressure were made. Thirty-six volunteers (18 men and 18 women) between the ages of 25 and 35 participated. Repeated measures ANOVAs (sex by program by time) were used to analyze the data. Significant program by time effects were obtained on oxygen consumption, heart rate, respiratory rate, and systolic blood pressure. In general, pair-wise comparisons indicate that for oxygen consumption and heart rate the isometric and active programs were comparable and significantly more demanding than either the passive or rest programs.

Adult↗