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Copanitsanou P.,General Hospital of Piraeus Tzaneio | Valkeapaa K.,University of Turku
Journal of Clinical Nursing | Year: 2014

Aims and objectives: To identify and critically appraise studies addressing the implementation of education for children aged 2-12 years undergoing elective surgical procedures and to determine whether education is associated with improvements in children's anxiety and other emotions. Background: Children undergoing surgery often experience anxiety, which may lead to negative health outcomes, such as increased pain, feeding difficulties and sleeping problems. Education of children about their condition according to their individual needs may be correlated with reduced anxiety. Design: Systematic review. Methods: A database search in MEDLINE, PsycInfo, Cochrane Library and CINAHL was carried out during February 2011. Using the PICOS acronym, the query was organised into a searchable foreground question: the studies should evaluate (Objective) the effects of education (Intervention) compared with the standard preparation (Control) for children aged 2-12 years old undergoing elective surgeries (Population). The results would be based on randomised controlled studies (Study design). In total, 475 articles were yielded, from which 45 full-text articles were assessed for eligibility, and finally, 16 studies were included in the review. Results: In 12 of the 16 studies, children in the education groups reported lower anxiety scores. In two studies, no statistically significant effect of education was reported on anxiety. Moreover, education had an age-related effect in two studies, by being more effective to children older than four to six years and having a negative effect on younger children's anxiety. Parents of children in the education groups experienced lower anxiety. Conclusions: Education seems to be especially effective in the reduction in older children's anxiety and to have a negative effect on younger children's anxiety. Relevance to clinical practice: Education can be incorporated into the care provided to children aged four to six years or older undergoing elective surgical procedures, according to their individualised needs. © 2013 Blackwell Publishing Ltd. Source


Klemetti S.,University of Turku | Leino-Kilpi H.,University of Turku | Charalambous A.,University of Turku | Charalambous A.,Cyprus University of Technology | And 9 more authors.
Orthopaedic Nursing | Year: 2016

Background: The prevalence of joint arthroplasties is increasing internationally, putting increased emphasis on patient education. PURPOSE: This study describes information and control preferences of patients with joint arthroplasty in seven European countries, and explores their relationships with patients' received knowledge. METHODS: The data (n = 1,446) were collected during 2009-2012 with the Krantz Health Opinion Survey and the Received Knowledge of Hospital Patient scale. RESULTS: European patients with joint arthroplasty had low preferences. Older patients had less information preferences than younger patients (p =.0001). In control preferences there were signifi cant relationships with age (p =.021), employment in healthcare/social services (p =.033), chronic illness (p =.002), and country (p =.0001). Received knowledge of the patients did not have any relationships with information preferences. Instead, higher control preferences were associated with less received knowledge. CONCLUSION: The relationship between European joint arthroplasty patients' preferences and the knowledge they have received requires further research. © 2016 by National Association of Orthopaedic Nurses. Source


Copanitsanou P.P.,General Hospital of Piraeus Tzaneio | Liaskos J.,National and Kapodistrian University of Athens | Tsarouchas T.C.,General Hospital of Piraeus Tzaneio
International Journal of Orthopaedic and Trauma Nursing | Year: 2012

Background: There are a number of factors, such as preoperative Length Of hospital Stay (LOS), that effect treatment outcomes following proximal hip fracture. Much of this is not completely understood. Objective: To determine whether co-morbidities, complications and patients' abnormal laboratory findings at admission have an effect on LOS and related complications during hospitalization for hip fracture treatment in a Greek hospital. Design: Prospective observational descriptive study. Setting: A high volume orthopedic ward of a general hospital in Greece, from March to October 2008. Patients: In total, 253 consecutive patients hospitalized for hip fracture treatment in an orthopedic ward of a large Greek hospital were included in the study. All complications, LOS and parameters of clinical history and treatment were recorded. Results: The mean age of the sample was 79.68. years. Only 29.3% of the patients were operated within the first 2. days, as the mean preoperative LOS was 3.71. days, leading to a total LOS of 9.68. days. Preoperative LOS increases somewhat in patients with heart failure and previous cerebrovascular accident. LOS increases when patients present with cardiac complications, respiratory complications, fever and anemia. Complications correlate with the type of patients' co-morbidities. Abnormal laboratory findings at admission correlate to the type of preoperative complications. Discussion: LOS, mortality and complication rates in the study hospital are comparable to the findings reported in the literature. © 2011 Elsevier Ltd. Source


Stamatiou K.,General Hospital of Piraeus Tzaneio | Copanitsanou P.,General Hospital of Piraeus Tzaneio
International Journal of Urological Nursing | Year: 2012

Certain components of the metabolic syndrome, such as hyperglycaemia, hypertension and dyslipidaemia, have been reported in recent studies to correlate to benign prostatic hyperplasia (BPH). Although obesity represents an important parameter of the metabolic syndrome also, its association with BPH remains controversial. The aim of this study is to summarize the existing literature concerning the coexistence of obesity and BPH, and to elucidate whether an association between these conditions exists. We identified studies published from 1980 onwards by searching electronic databases, such as MEDLINE. Initial search terms included 'benign prostatic hyperplasia', 'epidemiology', 'risk factor', combined with 'metabolic diseases', 'hypertension', 'hyperinsulinemia', 'dyslipidemia' and 'obesity'. There are several observational and epidemiological studies examining the effects of obesity on BPH, though more studies examine the association between several metabolic or lifestyle factors and BPH. Evidence suggests that an association between BPH and obesity is possible. However, obesity exhibits a stronger positive correlation with BPH when its effects on BPH are examined in combination with other disorders which constitute components of the metabolic syndrome. When the effects of obesity on BPH are examined separately a confounding relation is demonstrated. As the common pathophysiological pathway between metabolic syndrome, obesity and BPH continues to be poorly highlighted, the exact relation of obesity and BPH remains unclear. © 2012 The Authors. International Journal of Urological Nursing © 2012 BAUN & Blackwell Publishing Ltd. Source


Avgoulea K.,General Hospital of Piraeus Tzaneio | Zarkotou O.,General Hospital of Piraeus Tzaneio | Chrysos G.,Infectious Diseases Unit | Mamali V.,General Hospital of Piraeus Tzaneio | And 4 more authors.
Acta Microbiologica Hellenica | Year: 2015

Rhodococcus equi infection in humans was first reported in 1967. Since the advent of the AIDS epidemic, the reported cases of human infection increased dramatically and Rhodococcus equi has become an important opportunistic pathogen in immunocompromised patients. The presented case is a necrotizing pneumonia in a 45-year-old HIV-positive man who responded well to clarythromycin and rifampicin / isoniazid. The aim of this report is to increase physician awareness so as to suspect a Rhodococcus equi infection and to render the microbiologists more vigilant. Source

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