Tadena, Jesse Israel F. GROUP 11 I. Clinical Ques i!

n Does this study answers between the traditional septoplasty and endoscopic aided septoplasty in posterior nasal septal deviations was carried over 50 patients and they were followed up for a minimum period of 3 months postoperatively II. Ci a i!n

BSN403

COMPARA !"# $ %D& O' #(DO$COP!C A!D#D $#P OP)A$ & A(D RAD! !O(A) $#P OP)A$ & !( PO$ #R!OR (A$A) $#P A) D#"!A !O($ III. S ud" C#arac eris ics$ a. Pa ien s included %&!&ula i!n and sa'&le( o he 50 cases of deviated nasal septum especially hi*h and refractory to conservative medical treatment with lon* term nasal obstruction and headache were selected from the outpatient department of otorhinolaryn*olo*y+ Patients havin* upper respiratory tract infection aller*ic rhinitis were e,cluded from the study+ wenty-five cases were randomly selected for conventional septoplasty assi*ned *roup A. other /5 underwent endoscopic aided septoplasty assi*ned *roup 0 ). In er*en i!n c!'&ared o deviations c. Ou c!'e '!ni !red he main concern of this study were to compare the between the traditional septoplasty and endoscopic aided septoplasty in posterior nasal septal

o hou*h these results were clinically si*nificant. clearly showin* shorter period of stay in endoscopic *roup in most of the cases. statistically it did not attain si*nificance 1P2 0+034+ $tudy on lar*er *roup is needed to further hi*hli*ht and prove this point statistically+

d. +!es #e s ud" ,!cus !n #e si-ni,ican &r!)le' in clinical &rac ice. &es. absolutely+ he center of attention or the focal point of this study was to compare the between the traditional septoplasty and endoscopic aided septoplasty in posterior nasal septal deviations and which techni5ue causes less trauma to the septum. thus reducin* the postoperative complications++ $ince this study allows us to learn more about how it decreases the incidence of postoperative complications. this problem indicates si*nificance in the clinical practice at present+ I/. 0e #!d!l!-"1+esi-n a. 0e #!d!l!-" 'or ac5uisition of data and pre-processin* Patients were *iven oral antibiotics. anal*esics and antihistamines+ hey were dischar*ed followin* pac6 removal after 73 h+ All patients were followed89/: up as outpatients ;. 95. 30 and <0 days after the sur*ery and were assessed for sub=ective improvement.8/: e+*+ headache. nasal obstruction. rhinorrhoea postnasal drip and hyposmia+ Ob=ective assessment was done by nasal endoscopic e,amination+ ). +esi-n he se*mentation al*orithm is based on the spectral analysis of heart sounds and provides se*mented cardiac events+ Most of the se*mentation methods used earlier depend on a reference si*nal li6e #C>. and?or the carotid pulse. re5uirin* time synchroni@ation of both the recordin*s. which imposes hardware as well as computational burden+ Aowever in the current wor6 no reference si*nal was used+ he main idea is to locate the first heart sound 1$94 and second heart sound 1$/4 usin* the envelope of the ori*inal si*nal+ c. Se in he study too6 place at . Department of #( . $afdar=an* Aospital. (ew Delhi. !ndia + d. +a a s!urces he research study was downloaded at httpB??www+ncbi+nlm+nih+*ov?pmc?articles?PMC375975C?pdf?9/0;0D/003DArticleD0 '0/<0;C<5+pdf !ndian Eournal of Otolaryn*olo*y and Aead and (ec6 $ur*ery "ol+ 5;. (o+ 7. October-December /005

e. 2as #e !ri-inal s ud" )een re&lica ed. !t is not stated in the article that the ori*inal study has been replicated+ ,. 3#a 4ere #e ris5 and )ene,i !, #e nursin- ac i!ns1in er*en i!ns es ed in #e s ud". !n the study. !n the study by (aya6 et al8<: endoscope aided septoplasty was found to be more effective in treatin* symptoms such as nasal obstruction and headache+ !n this P value was si*nificant. i+e+ F0+0/ and F0+05. respectively+ /. Resul s !, #e S ud" Overall the study showed better results and less complications in endoscopic septoplasty as compared to traditional septoplasty *roup as endoscope *ives better illumination and improved access to hi*h deviated nasal septum and allows limited incision. limited flap elevation and achieves correction with least resection+ his techni5ue causes less trauma to the septum. thus reducin* the postoperative complications+ /I. 6u #!r7s C!nclusi!ns1Rec!''enda i!ns

a.( 3#a c!n ri)u i!n ! #e clien 7s #eal # s a us d!es #e nursin- ac i!n 'a5e. he nursin* actions done in the study will help lessen the probability postoperative complications+ herefore. with the help of the nursin* responsibilities. the patients will be able to be treated efficiently and swiftly+ ).( 3#a !*erall c!n ri)u i!n ! nursin- 5n!4led-e d!es #e s ud" 'a5e. his study also contributes to the nursin* 6nowled*e by *ivin* us that there are other invasive strate*ies that can use to further lessen postoperative complications+ Moreover. as future health care providers. it is important to be of *reat help and capable of efficiently ta6in* care of our patients+ Ge can also apply this learnin* when we encounter such cases?conditions in different hospital settin*s+

c.( 6&&lica)ili " a+ Does the study provide a direct enou*h answer to your critical 5uestion in terms of type of patients. interventions and outcomeH &es+ he study did provide enou*h answer since they stated each and every result they obtained and the researcher specifically indentified the type of patients they wor6ed with+ !t was a *reat help since they provided ade5uate data that ! needed for the study+ b+ !s it feasible to carry out the nursin* action in the real worldH &es+ !t is feasible to carry out the nursin* action in the real world+ !t is also realistic since these cases are not rare in the field of medicine and these are very popular especially in the country outside the Philippines+

d.( Re*ie4er7s C!nclusi!n1C!''en ar" o As for me. the study was *ood+ he one who conducted the study is very humane and wise+ And does not inflict harm to people and prioriti@e the safetiness of patient first+ + I8. 9*alua in- Nursin- Care Prac ices a. Sa,e " (urses are responsible in providin* the safety of patients+ hey should ma6e sure that they will not encounter any harm and publicity of their condition+ o secure the safety of the participants. participants who are included in the intervention were informed properly of the procedure. and that their confidentiality is strictly done+

). C!'&e ence !, #e care &r!*ider he competency of the care provider should basically base from his or her s6ills and e,periences at wor6+ A medical practitioner should have 6nowled*e and s6ills re*ardin* the focus of this study in particular+ hey should be 6nowled*eable

re*ardin* the procedure to be done and what will be the alternatives if there is somethin* terrible that will happen to his or her patients+ )i6ewise. the nurse should also be 6nowled*eable about the patient+ !n doin* so. the nurse will be able to ma6e interventions suitable for the condition of the patient+ c. 6cce& a)ili " he nursin* actions were acceptable since they are focused on improvin* the over-all health of the client such as restorin* the health of the client and promotin* wellness+ And if by instance complications may occur they have the ri*ht to be told of what sort of medical treatment. if any. will be available if complications should arise+ his study is acceptable since it didnIt brin* dan*er to the sub=ectsI well bein* and condition+ d. 9,,ec i*eness 0ased from the study. they were able to determine that there are possible ways to for invasive sur*ery to lessen postoperative complications

e. 6&&r!&ria eness (urses are responsible in *ivin* care to their patients+ herefore. they should ma6e sure that the interventions that will be done should be applicable to the patient and the interventions should be specific and should match our patientIs health needs+ ,. 9,,icienc" !t was not really stated in the study the duration of the intervention but they still come up with the result that they want to achieve in the first place+