[A communication evaluation guide--C.V.A].
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Biomedical subjects
Publications and source records attributed to M Reidy.
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This study was designed to test the outcomes of a preoperative teaching program for cholecystectomy patients and to determine the appropriate time to offer the program. The hypotheses were: (a) Patients in a preadmission program will recover better than those in a program given the eve of surgery, and (b) patients in the control group will have a poorer recovery than those in the two experimental groups. The outcomes measured were state-anxiety, ventilatory function, well-being, pain, functional ability, analgesics, and length of hospitalization. There were no significant differences between the three groups except in state-anxiety the eve of surgery which was higher in the control than in the two experimental groups. State-anxiety the eve of surgery and trait-anxiety were the most important variables affecting outcomes. There was a positive and significant linear relationship between pre- and postoperative state-anxiety.
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Twenty subject (including patients with atopic eczema and normal matched controls) were subjected to extensive psychiatric interviewing and psychological testing. The atopic eczema patients were found to differ from the controls in early childhood experiences, in adaptation to aggressive conflicts, in themes of dreams and first memories as well as in conflicts and relationships to their extended families. A precipitant stress could be identified at the time of onset and exacerbation of the eczema. Significant psychiatric pathology was found in 60% of the atopic eczema patients. Psychological test results also indicated differences between the two groups with the MMPI being the most discriminating test of those used.
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The presence of a family of a young child with AIDS, with the exception of a small number of transfusion-infected children, implies almost necessarily the presence of infected adults, usually the mother. The problem in such a situation is not that of a child with a fatal illness but that of an entire family. Our study included a sample of thirty natural caregivers. These were mostly mothers but others responsible for the care of a seropositive child, such as fathers, aunts and grandmothers, were also included. The aim of the project was to describe their perceptions of their own psychosocial needs. Our results reveal that these caregivers are economically disadvantaged. They do not know how to cope with stress and their life situation. They are not ready to confide in others because of the social stigma associated with this illness. Thus they participate unwittingly in the conspiracy of shame which denies them the aid which might help meet their needs. However, they do see the need to learn how to protect themselves and other members of the family against both HIV and other infections and to know the course and the treatments associated with this disease.
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