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Biomedical subjects

E Geden

Publications and source records attributed to E Geden.

9 recordsLinked to original sources
PubMed1985

Self-report and psychophysiological effects of Lamaze preparation: an analogue of labor pain.

Eighty nulliparous college female undergraduates were cast randomly into a series of eight treatment conditions representing all possible combinations of the three major components of the Lamaze method of childbirth preparation (relaxation training, informative lectures, and breathing exercises). Assessments of the efficacy of these pain coping strategies were subsequently made in the context of a 1-hour session involving twenty 80-second exposures to a laboratory pain stimulus, patterned so as to resemble labor contractions. Dependent variables included self-reported pain, systolic and diastolic blood pressure, frontalis EMG, and heart rate. Results of the study indicated that relaxation training comprises the most therapeutically active component of the Lamaze treatment regimen, with significant effects (treatments X trials) on self-reported pain, frontalis EMG, and heart rate. The implications of these findings are discussed from the perspective of designing new, and hopefully more efficacious, methods of preparing women for labor and delivery.

Blood Pressure↗
PubMed1984

Paraplegic body-support pressure on convoluted foam, waterbed, and standard mattresses.

Comparisons were made between body-support pressures obtained when 15 male paraplegics laid on waterbed, foam, and standard mattresses. The variables examined were mattress, bone prominence, and time. The major findings were that the waterbed, in comparisons with the other mattresses, yielded significantly lower occipital, scapular, and sacral pressures at 5, 20, and 35 minutes.

Adult↗
PubMedDate not supplied

Reducing pain and discomfort following percutaneous transluminal coronary angioplasty.

Although percutaneous transluminal coronary angioplasty (PTCA) has been found to be an effective alternative to open-heart surgery for patients with coronary artery disease, the procedure itself can be associated with severe anxiety and discomfort for the patient. The authors report the discomfort patients experience during recovery from PTCA and suggest nursing interventions to reduce pain for these patients.

Adult↗
PubMedDate not supplied

Nurses' knowledge of breastfeeding.

The purpose of this study was to survey nurses' knowledge of breastfeeding and to assess whether nurses' education, clinical experience, or personal experience predicted their breastfeeding knowledge. Results suggest that nurses have limited knowledge of breastfeeding, although no variable consistently predicted breastfeeding knowledge. Clinical experience produced the most consistent results, implying that leadership, variety in maternal and newborn nursing experiences, and years of experience result in nurses having more knowledge about breastfeeding.

Adult↗
PubMedDate not supplied

Construct and empirical validity of the Self-As-Carer Inventory.

The Self-As-Carer Inventory was designed to permit individuals to express their perceived capacity to care for self. In the first phase of the study, a 44-item questionnaire was developed and tested through factor analysis primarily using a college population (Geden & Taylor, 1988). After the instrument was revised, a second study, reported here, was conducted with a more heterogeneous population. The age range of the respondents was broadened and the variability of health state and ethnicity was increased. Factor analysis with rotation was conducted on 589 completed inventories using the revised 40-item questionnaire. The 4-factor Promax solution accounted for 52% of the variance. Retention of factors with eigenvalues greater than 1 led to a 6-factor solution accounting for 58% of the variance. Significant positive correlations were found between total scores on the Self-As-Carer Inventory and ratings of health in general (r = .29, p = .0001), health at this moment (r = .25, p = .0001), and an estimate; of the amount of their own self-care provided (r = .36, p = .0001). No differences were found in total scores across health state, defined as respondents' reports of being sick-at-home (n = 130), hospitalized (n = 259), or well (n = 200).

Adolescent↗
PubMedDate not supplied

Self-report and psychophysiological effects of five pain-coping strategies.

One hundred nulliparous college female undergraduates were randomly assigned to a series of 10 treatment groups that comprised a variety of cognitive-behavioral pain-coping strategies designed as part of a labor preparation analogue. The efficacy of these treatments was subsequently assessed during a one-hour session involving twenty 80-sec exposures to a laboratory pain stimulus patterned to resemble labor contractions. Dependent variables included self-reported pain, systolic and diastolic blood pressure, frontalis EMG, and heart rate. One of the cognitive strategies--sensory transformation--was found to have a significant effect on self-reported pain. Analyses conducted on the other five dependent variables failed to show significant treatment effects.

Adaptation, Psychological↗
PubMedDate not supplied

Identifying procedural components for analogue research of labor pain.

The purpose of this study was to identify procedural components to be used in analogue studies of preparatory techniques for childbirth. The questions asked were (a) which of four laboratory pain stimuli (modified submaximum effort tourniquet technique. Forgione-Barber pain stimulator, cold water stimulus, faradic shock) is most similar to the pain associated with the transition phase of labor? and (b) what is the patterning and duration of contractions and intercontraction intervals in this phase? Forty primiparous women rated their contractions (within 48 hours following delivery) and rated the four laboratory stimuli (six to eight weeks postpartum) using the McGill Pain Questionnaire. Significant correlational relationships were found between each laboratory stimulus and contraction ratings. Uterine monitor records were scored to obtain contraction and intercontraction data: mean number and duration of contractions, mean duration of intercontraction intervals. The general patterning of these variables was relatively stable. In a subsequent laboratory trial using the above parameters, the Forgione-Barber pain stimulator was found to be the stimulus of choice.

Adult↗