1.Factors Related to Knee Swelling After Total Knee Arthroplasty
Shinji ONOSE ; Takeo MAMMOTO ; Yoshiyuki IMOO ; Haruka TSUJIMURA ; Setsuko MATSUO ; Shunji TAKEI ; Koudai TOBITA ; Kaoru SAKATA ; Sayaka TSUCHIKO ; Wakako YOSHIDA ; Atsushi HIRANO
Journal of the Japanese Association of Rural Medicine 2018;67(2):125-
Knee swelling after total knee arthroplasty (TKA) is common and can lead to loss of functional performance. The aim of this study was to reveal the factors related to knee swelling after TKA. In total, 86 patients who underwent unilateral TKA were enrolled. Changes in thigh circumference at 0, 5, and 10 cm proximal from upper pole of the patella were evaluated. In addition, age, body mass index, operation time, blood loss volume, C-reactive protein, albumin, and D-dimer levels, and changes in knee flexion were also assessed preoperatively and at 7 days postoperatively. Thigh circumference at all sites increased postoperatively. Changes in thigh circumference at the superior edge of the patella correlated with changes in knee flexion (r =-0.33, p < 0.01). No significant correlation was found between the other factors. In conclusion, this study revealed a correlation between swelling and flexion after TKA, but no correlation between other factors pre-, intra-, or postoperatively. It is thus necessary to consider other factors in the future.
2.Changes in Pediatric Hospital Staff’s Sense of Difficulty Toward Palliative Care:A Single-pediatric Hospital Survey Report
Yuko NAGOYA ; Atsushi SATO ; Kei KIMURA ; Nobuki SOMA ; Yuko YOSHIMOTO ; Kumiko TAKAHASHI ; Haruka SAKATA ; Yukari HACHIYA ; Tomoko NAGASAWA ; Yuki OTSUKA ; Ayuko IGARASHI
Palliative Care Research 2023;18(4):235-240
The purpose of this study was to clarify the changes in the sense of difficulty hospital staff felt toward palliative care before and after a palliative care team of the pediatric hospital started in-hospital consultation. A self-administered questionnaire about the difficulty, consisting of 21 items in five areas, was used to conduct a survey in 2015 for the pre-consultation period, and in 2018 for the post-consultation period. Responses were obtained from 222 people in the pre-consultation period (response rate of 70.9%) and from 384 people in the post-consultation period (response rate of 87.3%). Over 70% of the respondents were nurses and midwives. A lower sense of difficulty was observed in three of the items including “relief of painful symptoms”, “family care during caregiving”, and “support when oneself and surrounding staff feeling inadequate and lost”. Further, a significant decrease was observed in the sense of difficulty in six items reported by nurses and midwives in departments receiving the interventions. Eleven of the 16 cases in which the palliative care team intervened involved multiple requests for intervention for 2 patients with pain control difficulties, suggesting that the consultation activities contributed to the decrease in the sense of difficulty experienced by nurses and midwives.