Wednesday, December 11, 2019

Evidence Based Nursing Research Statistical Techniques

Question: Discuss about theEvidence Based Nursing Research for Statistical Techniques. Answer: Introduction Quantitative Research is defined as a systemic analysis of an evident phenomenon through statistical, mathematical or computational techniques. It produces information on a particular study. This study will describe the research elements of the quantitative research article- Using Adhesive Glue to Repair First Degree Perineal tears: A prospective Randomized Controlled Trial, written by Tomer Feigenberg, Esther Maor-Sagie, Einat Zivi, Mushira Abu-Dia, Assaf Ben-Meir, Hen Y. Sela and Yossef Ezra, 2014. The aim of this research article is to evaluate the use of two types of adhesive glue, namely octyl-2-cyanoacrylate (Dermabond, Ethicon) and n-butyl-2-cyanoacrylate (Histoacryl, B Braun), to treat first degree perineal tears and to compare the gluing of tissue with a traditional suturing procedure using Vicryl Rapide fast-absorbing running sutures (Feigenberg, T., Maor-Sagie, E., Zivi, E., Abu-Dia, M., Ben-Meir, A., Sela, H. Y., Ezra, Y, 2014). The women over the age eighteen were eligible for this study and who had been diagnosed with first degree perineal subsequent to birth. It exclude those women did not reveal any signs of local infection, the women who used steroids chronically, the women who experienced excessive bleeding which does not allowed the utilization of glue and those who were allergic to adhesive glues (Feigenberg, T., Maor-Sagie, E., Zivi, E., Abu-Dia, M., Ben-Meir, A., Sela, H. Y., Ezra, Y, 2014). Before the initiation of this study, an approval from the institutional review board was obtained. For getting enrolled in this study, a written consent has been provided by the participants. For meeting the requirements of the institutional board, a pilot study of fifteen patients was carried out. In each group there were five patients and this study was designed for assessing the feasibility of using glue. For the final analysis, these patients were included in group with respect to group assignment. The patients who were expected to be treated with adhesive glue, aqueous chlorohexidine had been used for washing the area which was to be glued. On the tear, a small gauze pad was positioned and an additional gauze pad was positioned in the vagina proximally to the tear for protecting the area from getting contaminated with blood and certain other secretions. The removal of gauze within the tear was carried out and either n-butyl-2-cyanoacrylate or octyl-2- cyanoacrylate glue was appl ied instantaneously to the approximated tear which was done manually. The similar glues second layer was applied to the outer skin. The researchers have not used any local anesthesia or drapes. Local anesthesia has been applied and drapes had been utilized for the patients who did undergo effective local anesthesia. In addition, Vicryl Rapide 2 X 0 running sutures had also been used in the vagina, while in the perineum interrupted sutures had been used. For evaluating the procedures duration, tears local length as well as depth, the assessment of the physician and satisfaction with the results, the analogue of pain of the patients together with the satisfaction levels, a questionnaire had been completed by each physician. The researchers has applied the two sample t-test as well as the Mann-Whitney nonparametric test for comparing the quantitative variables among the groups undergoing treatment, for assessing the relationship between the two qualitative variables, Fishers exact test and Chi-square test had been applied. The tests that have been applied in this study were single-tailed and had a P value of five percent or less had been considered significant statistically (Feigenberg, T., Maor-Sagie, E., Zivi, E., Abu-Dia, M., Ben-Meir, A., Sela, H. Y., Ezra, Y, 2014). Reference: Feigenberg, T., Maor-Sagie, E., Zivi, E., Abu-Dia, M., Ben-Meir, A., Sela, H. Y., Ezra, Y. (2014). Using Adhesive Glue to Repair First Degree Perineal Tears: A Prospective Randomized Controlled Trial.BioMed research international,2014.

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