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Critique of Clinical Research Paper

   

Added on  2020-01-07

8 Pages2073 Words148 Views
Critique of Clinical Research Paper 1Critique of Clinical Research Paper Student's Name: Instructor's Name: Date:

Critique of Clinical Research Paper 2Effects of abdominal binder on mobility, pain, gastrointestinal and pulmonary functions in patients who have undergone major abdominal surgeryIntroduction:The occurrence of post-operative complications is a common occurrence amongst patients whoundergo major surgeries. In cases of major abdominal surgery, complications such as immobilityand pain commonly arise. In several major abdominal surgeries, elastic abdominal binders areused to enhance the support postoperative walking, mobility, pain and distress as perceived bythe patient. The following article discusses the background of the major abdominal surgery andpostoperative complications. It brings out the comparison and contrasts between studies by Ariciet al, 2016 and Cheifetz et al, 2010 respectively. Both studies focus on the effect of elasticabdominal binder on the mobility, pain and distress, and related complications. They are basedon the background of the evidence available on the functionality and effectiveness of using anelastic abdominal binder on postoperative complications. The following article critiques thepurpose, study design, and findings of both the studies aiming to point out similarities anddissimilarities of findings.Amongst patients who undergo major abdominal surgery, there is a common risk of developmentof several surgery associated complications [1]. The primary complications include nausea,abdominal distension, infection at the site of surgery, immobility, and pain [1]. There can beurinary infections, anastomotic leakages, or paralytic ileus in certain cases [1]. Researchindicates that patients following surgery have a higher risk of developing complications post thesurgical operations [1, 2]. Both the studies note that existing research has provided insight intothe use of elastic abdominal binders for support to the area of surgery [1, 2]. Infections at the siteof surgery and compromised mobility are common postoperative complications. Abdominal

Critique of Clinical Research Paper 3binders are used to provide support to the abdominal regions and enhance the ease of walking,mobilization, and exercise amongst the patients [1, 2]. However, clinically, several adverse sideeffects of such binders have been noticed by physicians [1].The study by Arici et al, (2016), aims to analyze the different side effects of the usage ofabdominal binders and they have found that there are no significant adverse effects of thesebinders on the mobility of patients [1]. This study provides evidence that the use of binders canhelp in the reduction of pain and improves mobilization [1]. The results of the study by Arici etal, (2016), indicate that abdominal binders are safe for incorporation into treatment routines andprotocols for patient after-care [1]. Arici et al note that these complications that result followingsurgical procedures typically increase the length of hospital stay, and often lead to chronicillnesses, and compromised quality of life [1]. The study by Cheifetz et al, (2010) aims atassessing the effectiveness of elastic binder or incision support system in the improvement ofpostoperative physiological functionality and physical mobility activities [2]. The two studiesrely on a similar background of postoperative pain and distress and the effects of abdominalbinder on the physical mobility [1, 2]. However, the two studies differ in the individual factorsthat they assess [1, 2]. The study by Cheifetz et al (2010) analyses the influence of the binder onthe physical function and mobility along with assessing the pulmonary function impairment andexperience of pain and perception of distress [2]. The study by Arici et al (2016) hypothesizesthat abdominal binders do not have any influence on the gastrointestinal and pulmonary function,mobilization, pain; secondarily, a converse hypothesis suggests that the abdominal bindereffectively impacts the aforesaid aspects in patients after major abdominal surgery [1]. Theprimary difference in the factors assessed is that the study by Arici et al (2016) assesses a widerrange of factors and postoperative conditions in comparison to the study by Cheiftain et al, 2010.

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