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Objective:to evaluate the respiratory status of postoperative adult patients by assessing the nursing outcome Respiratory Status. Method:descriptive, cross-sectional study developed with 312 patients. Eighteen NOC indicators were assessed and rated using a Likert-scale questionnaire and definitions. Descriptive and correlative analysis were conducted. Results:the most compromised clinical indicators were coughing (65.5%), auscultated breath sounds (55%), and respiratory rate (51.3%). Factors associated with worse NOC ratings in specific clinical indicators were sex, age, pain, and general anesthesia. Conclusions:certain clinical indicators of respiratory status were more compromised than others in postoperative patients. Patient and context-related variables can affect the level of respiratory compromise.

BackgroundLow back pain (LBP) is the most frequent complaint in clinical practice. Electroacupuncture treatment may be effective; however, the supporting evidence is still limited, especially in older adults.ObjectiveThe current study is a randomized controlled trial that aims to evaluate the clinical efficacy of electroacupuncture in older adults with LBP.MethodsA five-arm randomized controlled trial with patients and evaluators blinded to the group allocation. A total of 125 participants with non-specific LBP will be randomly assigned into one of five groups: three electroacupuncture groups (low, high, and alternating frequency); one control group; and one placebo group. The electroacupuncture will be applied twice a week (30 min per session) for five weeks. The primary clinical outcome measure will be pain intensity. The secondary outcomes include: quality of pain; physical functioning; perceived overall effect; emotional functionality; patient satisfaction; and psychosocial factors. Patients will be evaluated before the first session, immediately after the last, and followed up after six and 12 months to check the medium- and long-term effects.DiscussionAlthough electroacupuncture is increasingly used to treat LBP, there is no guidance regarding the parameters used, which leads to inconsistent results. Thus, the effect of electroacupuncture (EA) on LBP remains controversial and requires more studies, especially in the older adult population.ConclusionThis is the first randomized controlled trial to evaluate the efficacy of different frequencies of electroacupuncture for treating chronic LBP in older adults. This study will provide evidence on the effectiveness of electroacupuncture as an alternative treatment method for LBP and will entail wider debate about an appropriate acupuncture intervention in this population.Trial registrationClinicaltrials.gov, NCT03802045. Registered on 14 January 2019.

<p>Objetivo: Evaluar y comparar la tasa respiratoria y saturación de oxígeno de los pacientes en el postoperatorio inmediato de la laparotomía exploratoria y la colecistectomía.</p><p>Material y Métodos: Se trata de un estudio transversal, cuantitativo con 63 pacientes tratados entre noviembre 2014 a abril 2015. Los datos fueron recolectados a través de un cuestionario estructurado aplicado a los pacientes ingresados en la Clínica Quirúrgica del Hospital Municipal Imperatriz. Los participantes del estudio eran pacientes de ambos sexos, con edades comprendidas entre 18-59 años en el postoperatorio inmediato de la laparotomía exploratoria (Grupo I) y colecistectomía (Grupo II). Del cuestionario se extrajeron los datos de tasa por frecuencia respiratoria (FR) y saturación de oxígeno. Los datos fueron analizados estadísticamente empleando el programa BioEstat 5.0 y prueba de Shapiro-Wilk para la normalidad entre variables, análisis de Mann-Whitney inferencial y la prueba de Spearman para la correlación entre las variables.</p><p>Se comprobó que no hubo significación estadística en cuanto a los cambios clínicamente relevantes a FR (p=0,4) y los cambios clínicos en saturación de oxígeno (p=0,8) en comparación con las muestras de ambos grupos y los procedimientos quirúrgicos realizados. Los casos en los que se alteraron los valores de ambas variables analizadas, que muestran las condiciones de taquipnea o hipopnea e hipoxemia fueron casos aislados, poco significativos estadísticamente.</p><p>Conclusión: Se encontró que, independientemente de los procedimientos quirúrgicos realizados, el patrón de respiración se mantuvo de normal a mínimamente alterado, no habiendo en estos individuos interferencia directa de estas cirugías en la función respiratoria que causase de forma significativa alteración clínica de la respiración.</p>

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