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Biomedical subjects

T W Sutton

Publications and source records attributed to T W Sutton.

12 recordsLinked to original sources

Coronary care unit patients' and nurses' ratings of intensity of ischaemic chest pain.

In 100 patients admitted to a coronary care unit with a history of chest pain thought to be due to myocardial infarction, the intensity of pain was independently rated by the patient and the primary nurse caring for the patient soon after admission. Pain intensity was assessed using a visual analogue scale designed to yield a score of 0-100. 10 experienced coronary care nurses who had participated in a short programme of pain assessment and management were included in the study. A strong positive correlation between the patients' and nurses' ratings was found. Possible explanations for these findings are discussed.

Chest Pain↗

Circadian variation in the frequency of onset of chest pain in acute myocardial infarction.

The time of onset of chest pain was studied prospectively in 1154 consecutive patients admitted to a coronary care unit with myocardial infarction during a five year period. Statistical analysis confirmed a previous finding in a retrospective study of a bimodal frequency distribution with peaks in the time of onset of chest pain between 2330 and 0030 hours and between 0630 and 0830 hours.

Angina Pectoris↗

Specific sources and patterns of anxiety in male patients with first myocardial infarction.

Anxiety was studied on four occasions over one year in 76 men under 66 years of age, who were admitted to hospital with a first acute myocardial infarction. Anxiety was measured by the Spielberger State-Trait Anxiety Inventory, and by a self-rating questionnaire. Average levels of State and self-rated anxiety fluctuated over the study period with levels peaking after admission, falling at the fifth day, rising at six weeks, and falling to their lowest level at one year. Reported specific sources of anxiety, including the myocardial infarction, return to work, the future and possible complications, ranked highest in hospital and at six weeks post-discharge.

Adult↗

The influence of a positive environment on the attitudes of student nurses towards the nursing process.

The attitudes of 67 student nurses towards the nursing process were studied by means of a questionnaire. Attitudes became more favourable over the 8-week study period. The results indicate that a positive environment is influential in changing the attitudes of student nurses towards the nursing process. These findings lend further support to our original work.

Attitude of Health Personnel↗

Nursing decision making in a coronary care unit.

This study was designed as an approximate replication of a recent Canadian study on a sample of 20 nurses from the coronary care unit of a large teaching hospital in the U.K. Results from this study indicate that knowledge and experience are the two most important factors influencing rapid decision making, and nurses make many rapid decisions in emergency situations prior to seeking medical help. These results are in agreement with those of the original study.

Adult↗

Time of onset of chest pain in acute myocardial infarction.

We studied the time of onset of chest pain in 1099 patients admitted to a coronary care unit with myocardial infarction using a statistical model. Statistical analysis demonstrated an excess of infarcts with time of onset of chest pain at 0700 hours (14%) and at midnight (11%), with the remaining infarct population (75%) forming a background distribution over the 24 hr.

Circadian Rhythm↗

A trial of povidone-iodine ointment for the prevention of cannula thrombophlebitis.

The efficacy of povidone-iodine ointment in the prevention of cannula thrombophlebitis was assessed in a prospective controlled study of 100 consecutive patients. Thrombophlebitis was evaluated clinically, and in addition all cannulae were cultured, semi-quantitatively and by the conventional broth technique, to detect any bacterial colonization. The incidence of thrombophlebitis was slightly higher in the test than in the control group. It is concluded that the use of povidone-iodine ointment for prophylaxis does not reduce the incidence of cannula thrombophlebitis. There was no significant association between the incidence of thrombophlebitis and cannula colonization as measured by either the semi-quantitative technique or the conventional broth technique.

Adult↗

Nurses' attitudes towards the nursing process.

The attitudes of qualified nursing staff towards the nursing process were studied. Three distinct nursing units received varying degrees of planning and education regarding the principles and practice of the nursing process. The attitudes of the nursing staff of these units were assessed by means of a 20-item questionnaire. Statistically significant differences (P less than 0.001) between the mean attitude scores for the three units were found, but comparison of the overall mean attitude scores for the three grades of nurses within each unit did not result in statistical significance (P greater than 0.35). Further analysis indicated that a structured educational programme was beneficial in creating a positive attitude towards the nursing process whereas a less structured approach had the opposite effect.

Attitude of Health Personnel↗

A trial of povidone-iodine antiseptic solution for the prevention of cannula-related thrombophlebitis.

In a prospective trial of 200 adult patients, using a semiquantitative technique for culturing material from intravenous cannulae, we studied the efficacy of povidone-iodine antiseptic solution (test), and the use of no topical agent whatsoever (control). The incidence of cannula-related thrombophlebitis was slightly higher in the test group than in the control group. It is concluded that the use of povidone-iodine antiseptic solution does not reduce the incidence of cannula-related thrombophlebitis.

Adult↗