[Purpose] We analyzed the evaluation of facial motor paralysis employing Yanagihara's 40-point method for patients diagnosed with Bell's palsy, aiming to obtain some prognostic findings. [Subjects and Methods] The subjects were 33 patients diagnosed with Bell's palsy referred to us by the otorhinolaryngology outpatient clinic of our hospital. The onset age, timing of initiation of rehabilitation after onset, accessory symptoms, and facial motor paralysis were investigated. Facial motor paralysis was evaluated at the time of the first rehabilitation session and every 1-2 weeks thereafter. The scores were divided into upper and lower facial muscle groups. [Results] On the basis of outcome, patients were divided into 3 groups: the most favorable group, the favorable group, and the poor group. In the comparison of the 3 groups, the score of the first evaluation and the mean weekly score change were significantly greater in patients with favorable outcomes. In the comparison between the upper and lower facial muscles, the score for the upper facial muscles was significantly higher from the early phase, and the muscles recovered from paralysis more rapidly. [Conclusion] We evaluated facial motor paralysis of patients with peripheral facial palsy employing Yanagihara's method as a prognostic index, and obtained some prognostic findings.
{"title":"Prognosis of patients with peripheral facial palsy","authors":"Yujiro Nunokawa, T. Shimada","doi":"10.1589/JPTS.23.49","DOIUrl":"https://doi.org/10.1589/JPTS.23.49","url":null,"abstract":"[Purpose] We analyzed the evaluation of facial motor paralysis employing Yanagihara's 40-point method for patients diagnosed with Bell's palsy, aiming to obtain some prognostic findings. [Subjects and Methods] The subjects were 33 patients diagnosed with Bell's palsy referred to us by the otorhinolaryngology outpatient clinic of our hospital. The onset age, timing of initiation of rehabilitation after onset, accessory symptoms, and facial motor paralysis were investigated. Facial motor paralysis was evaluated at the time of the first rehabilitation session and every 1-2 weeks thereafter. The scores were divided into upper and lower facial muscle groups. [Results] On the basis of outcome, patients were divided into 3 groups: the most favorable group, the favorable group, and the poor group. In the comparison of the 3 groups, the score of the first evaluation and the mean weekly score change were significantly greater in patients with favorable outcomes. In the comparison between the upper and lower facial muscles, the score for the upper facial muscles was significantly higher from the early phase, and the muscles recovered from paralysis more rapidly. [Conclusion] We evaluated facial motor paralysis of patients with peripheral facial palsy employing Yanagihara's method as a prognostic index, and obtained some prognostic findings.","PeriodicalId":114077,"journal":{"name":"Bulletin of health sciences Kobe","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126367118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: In Japan, ongoing changes to national mental health policies require public health nurses to consider playing a role in providing support to people with mental illness among mental healthcare teams in the community. Using the Neuman systems model (NSM), we attempted to develop a model of public health nurses’ support for people with mental illness. This study aimed to explore whether the NSM could be used in providing support to people with mental illness in the community. Methods: First, we adapted the NSM to make a draft support model. Second, we conducted a nationwide questionnaire survey of expert public health nurses experienced in providing individual support to people with mental illness (N = 75). Results: The draft support model was verified by asking the nurses to comment on the appropriateness and their agreement of the model using 20 ideas from the NSM. The nurses supported the appropriateness of the draft support model and agreed with the ideas, each with a score of >80%. Conclusions: This approval rate indicated that the draft support model could be applied to the support offered by public health nurses to people with mental illness in Japan.
{"title":"Adaptation of the Neuman systems model for support of people with mental illness offered by public health nurses in Japan","authors":"Takahashi Yōko, Matsuda Nobuko, Kotera Sayaka","doi":"10.24546/81009754","DOIUrl":"https://doi.org/10.24546/81009754","url":null,"abstract":"Aim: In Japan, ongoing changes to national mental health policies require public health nurses to consider playing a role in providing support to people with mental illness among mental healthcare teams in the community. Using the Neuman systems model (NSM), we attempted to develop a model of public health nurses’ support for people with mental illness. This study aimed to explore whether the NSM could be used in providing support to people with mental illness in the community. Methods: First, we adapted the NSM to make a draft support model. Second, we conducted a nationwide questionnaire survey of expert public health nurses experienced in providing individual support to people with mental illness (N = 75). Results: The draft support model was verified by asking the nurses to comment on the appropriateness and their agreement of the model using 20 ideas from the NSM. The nurses supported the appropriateness of the draft support model and agreed with the ideas, each with a score of >80%. Conclusions: This approval rate indicated that the draft support model could be applied to the support offered by public health nurses to people with mental illness in Japan.","PeriodicalId":114077,"journal":{"name":"Bulletin of health sciences Kobe","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133806400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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