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Biomedical subjects

S Bailey

Publications and source records attributed to S Bailey.

194 records · Page 11Linked to original sources
PubMedDate not supplied

Evaluation of an Audiovisual Diabetes Education Program: negative results of a randomized trial of patients with non-insulin-dependent diabetes mellitus.

A randomized controlled trial was conducted to determine whether an education program specifically designed for patients with non-insulin-dependent diabetes and limited literacy could improve and sustain glucose and weight control. From a referral clinic, 120 obese (greater than 130 per cent of ideal body weight) diabetic patients who were not taking insulin were recruited. Of these, 55 per cent were female and 49 per cent were black; the mean age was 53 years. Mean glycosylated hemoglobin (HbA1%) was 10.2 per cent. Each subject was assigned to one of three groups: monthly group sessions with videotapes for diabetic persons with low literacy skills; monthly group sessions without videotapes; or no monthly sessions. After seven months, there had been 16 dropouts (13 per cent). Differences in weight changes between groups were significant (p less than 0.05); group 1 lost a median of 1 kg of weight (p less than 0.05) compared with a 0.1-kg loss and no change in groups 2 and 3, respectively. This weight loss was not sustained at 11 months. There was no significant change in HbA1%. Age, education, and compliance beliefs did not predict outcome. The authors conclude that the patient education programs did not result in sustained glucose or weight control.

Adult↗
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Acoustic stimulation-induced fetal response compared to traditional nonstress testing.

Eighty-eight nonstress tests (NSTs) were obtained on gravid women between 27 and 44 weeks' gestation to compare the results of a three-second acoustic stimulus with a traditional NST. Length of testing time was significantly decreased with the use of acoustic stimulation. Consequently, nursing time and equipment use were also considerably lessened per test. Previous studies indicated that the predictive value of the acoustic stimulation test is comparable or better than the traditional NST.

Acoustic Stimulation↗
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Codelines to practice.

Explore the source record for details and available documents.

Ethics, Nursing↗
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Undetected injuries in head-injured adults.

Of 254 adults admitted over a period of two years to the Head Trauma Service, 29 (11%) had ten previously undiagnosed fractures and/or dislocations and 29 had previously undetected peripheral neuropathies. The average delay in diagnosis was 57 days. Only one fracture, a fracture-dislocation of the thoracic spine, was of major consequence. Median, ulnar, and peroneal neuropathies were common and were usually associated with other orthopedic injuries. Nine of the neuropathies were explored and normal neurologic recovery ensued in each case. Nerve function, commonly the peroneal, did not return in six patients. This retrospective knowledge of head injured patients is necessary for early diagnosis and possible prevention of these neuropathies.

Adult↗
PubMedDate not supplied

Critical care nurses' and doctors' attitudes to parasuicide patients.

The aim of this study was to investigate the attitudes of critical care nurses and doctors to parasuicide patients. A survey was conducted of 299 nurses and 81 doctors working in emergency departments and intensive care units of nine Victorian hospitals. Data obtained from responses to a Likert-type questionnaire were assessed in order to explore relationships between the doctors' and nurses' attitudes and demographic and other variables. The survey showed that the nurses' and doctors' attitudes to parasuicide patients were generally negative and that respondents did not enjoy caring for parasuicide patients. Nurses were significantly more likely than doctors to think that nurses' attitudes to parasuicide patients were poor. Nurses were also significantly more likely than doctors to self report that they were afraid of saying the wrong thing to these patients. Eighty three percent of nurses and 61% of doctors stated that they would benefit from suicide related education. Addressing this expressed need must be a high a priority for critical care units if parasuicide patients are to receive more individual and appropriate care and if their carers are to experience greater work satisfaction.

Attitude of Health Personnel↗