response 7-1

 

RESPONSE ONE discussion 7-1

I chose the first article pairing. These articles included studies on whether repositioning and early ambulation increased complications in post cardiac catheterization patients. The first article concluded that repositioning the post catheterization patient did not increase complications such as bleeding, bruising or hematoma. The second article concluded that early ambulation did not increase complications and also reduced back pain and urinary retention.  The second article also mentions decreasing bedrest also decreased the need for nursing care.  

            Using the data from these studies, plans of care for this patient population could be updated.  There was no benefit to keeping patients on prolonged bedrest which is the standard of care presented in both articles. By updating practice at the bedside by using evidence-based data we could improve patient outcomes and decrease length of stays in the hospital.  The second article concluded “Allowing patients to get out of bed after four hours of bed rest following cardiac catheterization could be introduced into routine practice in Hong Kong, as it was found to be safe and might aid in promoting patient comfort without increasing the incidence of vascular complications” (Chair, 2006).

                                                                                           Reference

            Chair, S., Thompson, D., & Li, S. (2007). The effect of ambulation after cardiac catheterization on patient outcomes. Journal of Clinical Nursing, 16(1), 212–214. http://ezproxy.snhu.edu/login?url=http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00019038-200701000-00024&LSLINK=80&D=ovft

 

RESPONSE TWO discussion 7-2

 I chose article pair option 3. Both articles seek to distinguish men from woman who suffer from depression or are more depressed due to a heart related disease. Collectively, studies showed that gender differences were a factor in that woman are more prevalent to become depressed, and woman who are depressed, share similar demographic characteristics. However, each article targets a different question and result along with different heart diseases. The first article "Gender-specific characteristics of individuals with depressive symptoms and coronary heart disease,"  uses a cross-sectional design to study characteristics of depressed men and woman with coronary heart disease (CHD) and seek to mitigate the negative outcomes (Doering et al., 2001). The characteristics identified are socio-demographic, clinical, and psycho-behavioral characteristics. The overarching conclusion from this article is that woman have fewer resources, greater anxiety, and lower perceived control than men with CHD and depressive symptoms. The articles strength allows these results to promote further studies into the interaction of depressive symptoms and being able to amend these depressive symptoms in woman with CHD.

 

            "Gender Differences in Self-Reported Symptoms of Depression among Patients with Acute Coronary Syndrome," focuses more on the prevalence of depression among men and woman who have Acute Coronary Syndrome (ACS). The strength of the study hopes to find ways to diagnose and treat patients who suffer from depression and who have had ACS to prevent or decrease subsequent ACS events (Frazier et al., 2012). The article shows the prevalence of self-reported depressive symptoms and self reported somatic symptoms for both men and woman who were hospitalized for ACS and concluded that woman have reported greater overall depressive symptoms, as well as somatic depressive symptoms than men. The weakness however from the article is the recruitment of patients from two large tertiary medical centers with high levels of acuity. While random sampling was used, the limitations are there that may affect results.

 

 

References

Doering, L. V., McKinley, S., Riegel, B., Moser, D. K., Meischke, H., Pelter, M. M., & Dracup, K. (2011). Gender-specific characteristics of individuals with depressive symptoms and coronary heart disease. Heart & Lung: The Journal of Critical Care, 40(3), e4–e14. doi:10.1016/j.hrtlng.2010.04.002 http://ezproxy.snhu.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=cmedm&AN=20561880&site=eds-live&scope=site

 

Frazier, L., Yu, E., Sanner, J., Liu, F., Udtha, M., Cron, S., & . . . Bogaev, R. C. (2012). Gender differences in self-reported symptoms of depression among patients with acute coronary syndrome. Nursing Research & Practice, 1-5. doi:10.1155/2012/109251 http://ezproxy.snhu.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=86826621&site=eds-live&scope=site

Response three 7-1

I chose to do my Final project part 1 on the third option of article findings. The first article used a t test to determine whether the mean ratings of depression were different between men and women that have Congenital Heart Disease (CHD). The second article used a chi square test to measure whether relationships between various variables such as income, education, and marital status had significant relationships between women and men’s depression ratings. The men and women that were measured were patients that were recently hospitalized for Acute Cardiac Syndrome (ACS). There were strengths and weaknesses in both studies but I found both tests to be the correct tests used.

The strengths of article 1 show that the mean difference between depression ratings for men and women have significant statistical differences. The weaknesses of the t test findings are that it doesn’t account for other variables that may contribute to the means of depression ratings in CHD patients. Article 1’s findings may be furthered researched to identify why the mean depression ratings in CHD patients is higher in females than in males. To mitigate the effect of noise or other contributing variables, researchers may study other variables means such as education to see if there is statistical significance with means of depression ratings in CHD patients. The findings from this article may help professionals to screen for mental health problems in women who have been diagnosed with CHD and refer to treatment. This may improve the prognosis of the patient.  

The strengths of article 2 show that there is a statistical significance in the relationship between various variables and depression ratings in ACS patients that were recently hospitalized. A weakness to the chi square test used is that it cannot determine the direction or size of the relationship between these variables and depression ratings in ACS patients. Article 2’s findings may be furthered researched to see if the other variables measured means have significance with the mean depression ratings in ACS patients. These findings may help professionals to screen for socioeconomic and treatment disparities in women and include wrap around services in discharge planning post hospitalization. This may reduce the rate of re-hospitalization and improve the well-being of the patient.

References

Doering, K., McKinley, S., Reigel, B., Moser, D.K., Meischke, H., Pelter, M. M., & Dracup, K.

(2011). Gender-specific characteristics of individuals with depressive symptoms and

coronary heart disease. Heart & Lung: The Journal of Critical Care, 40(3), e4–e14.

doi:10.1016/j.hrtlng.2010.04.002

http://ezproxy.snhu.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&d

b=cmedm&AN=20561880&site=eds-live&scope=site

Frazier, L., Yu, E., Sanner, J., Liu, F., Udtha, M., Cron, S., & ... Bogaev, R. C. (2012). Gender

Differences in Self-Reported Symptoms of Depression among Patients with Acute

Coronary Syndrome. Nursing Research & Practice, 1-5. doi:10.1155/2012/109251

http://ezproxy.snhu.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&d

b=a9h&AN=86826621&site=eds-live&scope=site%20