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Struggling With Aging and Illness: Life Experiences of Elderly Schizophrenia Patients in the Community of Taiwan 与衰老与疾病抗争:台湾社区老年精神分裂症患者的生活经验
Q3 Engineering Pub Date : 2020-03-02 DOI: 10.20849/ijsn.v5i1.699
W. Liao, J. Rong
Aims: The number of elderly patients with schizophrenia in Taiwan has increased significantly. Most Taiwanese patients with schizophrenia are community-dwelling and, if elderly, are at increased risk of mental illness and mental health problems. The life experiences of community-dwelling elderly patients dealing with schizophrenia in Taiwan have not been well studied. This study aimed to explore the lived experiences of such patients through in-depth interviews. Methods: This qualitative study was carried out in psychiatric hospital day-care centers in Taiwan. We interviewed 16 patients (9 men and 7 women, mean age=60.43 years, SD=5.53 years). Data were analyzed using Colaizzi’s method of analysis. Results: The five major themes pertaining to the life experiences of community-dwelling elderly schizophrenia patients were identified as: 1) living alone, feeling lonely, and caring for myself; 2) anxiety and pessimism about the future; 3) internal conflict and aging; 4) seeking help; 5) delaying needs and engaging in healthy activities. Conclusions: The community-dwelling elderly schizophrenia patients were worried about the deterioration of their health, loss of self-care ability with aging, and decreasing access to community support and resources while striving to maintain their lives in the community. Mental health care professionals should understand the needs and abilities of patients, and help them to continue to live in the community. In addition to accepting continuous treatment, the patients should be encouraged to maintain healthy behaviors as well as enhance functioning and quality of life.
目的:台湾老年精神分裂症患者数量显著增加。大多数台湾精神分裂症患者居住在社区,如果是老年人,他们患精神疾病和精神健康问题的风险会增加。台湾社区居住的老年精神分裂症患者的生活经历尚未得到很好的研究。本研究旨在通过深度访谈来探讨此类患者的生活经历。方法:本研究以台湾精神科医院日托中心为研究对象。我们采访了16例患者(男9例,女7例,平均年龄60.43岁,SD=5.53岁)。数据分析采用Colaizzi的分析方法。结果:社区居住老年精神分裂症患者生活体验的五大主题为:独居、孤独感、自我照顾;2)对未来的焦虑和悲观;3)内部矛盾与老化;4)寻求帮助;5)延迟需求,参与健康活动。结论:社区居住的老年精神分裂症患者在努力维持社区生活的同时,担心自己的健康状况恶化,随着年龄的增长,生活自理能力丧失,获得社区支持和资源的机会减少。精神卫生保健专业人员应该了解病人的需要和能力,并帮助他们继续在社区生活。除了接受持续治疗外,应鼓励患者保持健康的行为,增强功能和生活质量。
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引用次数: 1
Impact of Tailored Educational Program on Primigravida Anxiety and Knowledge Regarding Minor Discomforts in Upper Egypt 量身定制的教育计划对上埃及原住民焦虑和关于轻微不适的知识的影响
Q3 Engineering Pub Date : 2020-01-02 DOI: 10.20849/ijsn.v5i1.698
H. Hassan, Walaa Fathy Mohamed Ahmed, A. Mahmoud
Background: Although minor discomforts are not life-threatening, nevertheless their presence detracts from the mother feeling of comfort and well-being as well as their negligence may lead to serious problems. In many instances, they can be managed by self-care measures or healthful practices ones can do. Aim: evaluate the impact of а tailored educational program on primigravida anxiety and knowledge regarding minor discomforts. Subjects and Methods: Α quasi-experimental design was used with а purposive sample of 50 primigravida pregnant women, suffering from minor disorders of pregnancy attending to the outpatient antenatal care units affiliated to Ɓeni-Suef Public Hospital in Beni-Suef city, Egypt. Α structured-knowledge-questionnaire, Zung’ѕ-self-rating-anxiety-scale, and pre/post/retained-knowledge-assessment-sheet were used for data collection. Result: The majority of the participant women had poor knowledge with а marked increased severity level of self-rating-anxiety-scale regarding to minor discomfort of pregnancy. There were statistically significant relations between primigravida level of knowledge and their self-rating-anxiety-scale after the educational session and at follow up time compared to there before it (р-value <0.05). Conclusion: Designing and implementing an educational program about the studied subject indicated а significant effect in a remarkable rising of the primigravida level of knowledge with minimizing their level of anxiety. Recommendations: Based on the findings of this study, provision of the educational guidelines of the minor disorders to the antenatal clinics to be distributed to all the women attending to the clinic is of great value which is prepared in simple Arabic language.
背景:虽然轻微的不适不会危及生命,但它们的存在会降低母亲的舒适感和幸福感,而且忽视它们可能会导致严重的问题。在许多情况下,他们可以通过自我保健措施或健康的做法来管理。目的:评价量身定制的教育方案对初产妇焦虑和轻微不适知识的影响。对象与方法:Α准实验设计,目的样本为埃及贝尼-苏韦夫市Ɓeni-Suef公立医院附属门诊产前保健科50名患有轻微妊娠障碍的初产妇。采用Α结构化知识问卷、Zung ' 自评焦虑量表和前/后/保留知识评估表进行数据收集。结果:大多数受访妇女对妊娠轻微不适的认知较差,且焦虑自评量表的严重程度显著增加。初中生知识水平与自评焦虑量表在教育课程结束后及随访时的差异有统计学意义(p <0.05)。结论:设计和实施一项关于研究对象的教育计划,在显著提高初生儿童的知识水平和减少他们的焦虑水平方面有显著效果。建议:根据这项研究的结果,向产前诊所提供关于轻微疾病的教育指南,分发给所有到诊所就诊的妇女,这是非常有价值的,该指南是用简单的阿拉伯语编写的。
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引用次数: 18
Public-key cryptosystem based on quantum BCH codes and its quantum digital signature 基于量子BCH码的公钥密码系统及其量子数字签名
Q3 Engineering Pub Date : 2020-01-01 DOI: 10.1504/ijsn.2020.10033124
Haiqing Han, Siru Zhu, Qin Li, Xiao Wang, Yutian Lei, Yuwei Zhang
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引用次数: 1
Gas leakage acoustic source localisation with compressed sensing method in sensor networks 传感器网络中气体泄漏声源的压缩感知定位方法
Q3 Engineering Pub Date : 2020-01-01 DOI: 10.1504/ijsn.2020.10033128
Liyi Zhang, Jinzhao Li, Yu Shi, Qi Chen, Tongtong Wang, Yong Zhang
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引用次数: 1
Taxonomy of Reputation Based Defending Mechanisms Against Types of Attacks in Delay Tolerant Networks 时延容忍网络中基于信誉的攻击防御机制分类
Q3 Engineering Pub Date : 2020-01-01 DOI: 10.1504/IJSN.2020.10034809
G. Purohit, Sandhya Aneja, P. Nagrath
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引用次数: 1
Metabolic Syndrome Risk Factors and Physical Activity in Middle-Aged Women 中年妇女代谢综合征危险因素与身体活动
Q3 Engineering Pub Date : 2019-12-12 DOI: 10.20849/ijsn.v4i4.669
P. Wang, Lee-Ing Tsao, Mei-Hsiang Lin, Chin-Ying Lee
Aim: The purpose of this study was to explore the correlation between physical activity and metabolic syndrome risk factors middle-aged women. Methods: A cross-sectional survey of 101 middle-aged women with metabolic syndrome risk factors were recruited from a regional teaching hospital in Taiwan. Surveys were conducted using a demographic questionnaire, and the Taiwanese version of the self-administered short version of the International Physical Activity Questionnaire. Results: The research results indicate that (1) 69% of the Women with metabolic syndrome were mostly in postmenopause, and the most common risk factor for metabolic syndrome was abdominal obesity (80.2%). (2) Fasting blood glucose (FBG) ≥ 100mg/dl and the level of physical activity showed significantly differences (χ 2 = 6.1, p < .05). (3)The total metabolic equivalents (METs) of physical activities of having or no having metabolic syndrome women showed significantly different, no having metabolic syndrome women higher then metabolic syndrome women (t = 2.23, p < .05). (4) The predictor of waist circumference ≥ 80cm is basal metabolic index (BMI) (OR = 3.46; 95% CI = 1.61, 7.46) (p < .05), the predictor of FBG ≥ 100mg/dl is insufficient physical activity (OR = 11.29; 95% CI = 1.72, 73.82) (p < .05), and the predictors of metabolic syndrome are BMI (OR = 1.68; 95% CI = 1.33, 2.08), menopause (OR = 12.3; 95% CI = 1.25, 120.68), and postmenopause (OR = 42.97; 95% CI = 2.22, 831.41) (p < .05). Conclusions: This study recommends that to prevent metabolic syndrome, middle-aged women should adopt an active lifestyle, actively control their weight, and a minimum of 150 min of moderate-intensity physical activity per week or 75 min of high-intensity physical activity. This result is a potentially crucial reference for healthcare professionals in their care of patients with metabolic syndrome.
目的:探讨体力活动与中年妇女代谢综合征危险因素的相关性。方法:对台湾省某地区教学医院101例有代谢综合征危险因素的中年妇女进行横断面调查。调查采用人口统计问卷和台湾版自我管理的国际体育活动问卷。结果:研究结果表明:(1)69%的代谢综合征女性多发生在绝经后,腹部肥胖是代谢综合征最常见的危险因素(80.2%)。(2)空腹血糖(FBG)≥100mg/dl与体力活动水平差异有统计学意义(χ 2 = 6.1, p < 0.05)。(3)有无代谢综合征女性体力活动的总代谢当量(METs)差异有统计学意义,有无代谢综合征女性高于有无代谢综合征女性(t = 2.23, p < 0.05)。(4)腰围≥80cm的预测因子是基础代谢指数(BMI) (OR = 3.46;95% CI = 1.61, 7.46) (p < 0.05), FBG≥100mg/dl的预测因子为身体活动不足(OR = 11.29;95% CI = 1.72, 73.82) (p < 0.05),代谢综合征的预测因子为BMI (OR = 1.68;95% CI = 1.33, 2.08),绝经期(OR = 12.3;95% CI = 1.25, 120.68),绝经后(OR = 42.97;95% CI = 2.22, 831.41) (p < 0.05)。结论:本研究建议,中年妇女应采取积极的生活方式,积极控制体重,每周至少进行150分钟的中等强度体力活动或75分钟的高强度体力活动,以预防代谢综合征。这一结果对医疗保健专业人员治疗代谢综合征患者具有潜在的重要参考意义。
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引用次数: 0
Emergency Room Nurses’ Views on Bedside Shift Reporting 急诊室护士对床边轮班报告的看法
Q3 Engineering Pub Date : 2019-12-05 DOI: 10.20849/ijsn.v4i4.677
Crystal Foster, S. Abraham, Deborah R. Gillum
Bedside shift reporting is a form of communication used by nurses to communicate with each other regarding the patient plan of care. Although bedside shift reporting is required by The Joint Commission and is a required hospital policy, there are inconsistencies in the emergency room nurses performing the task. The purpose of this study was to describe emergency room nurses’ views on bedside shift reporting. A qualitative research study was conducted using a semi-structured interview process. Colaizzi’s data collection and analysis strategy were used to determine emerging themes. Peplau’s interpersonal relations and Benner’s novice to expert theories were used to help guide this study. Fifteen emergency room nurses were interviewed, and seven themes emerged from the data collected. Three themes, nurse accountability, nurse introduction, and patient involvement were identified as benefits of bedside shift reporting. Four themes, bedside shift report not done, emergency room situations, emergency room environment, and time factors were identified as challenges of bedside shift reporting. The study helped to determine the need for additional educational opportunities for the emergency room nurses, emergency department, and the organization to increase the consistency of the reporting process.
床边轮班报告是护士就病人护理计划相互沟通的一种沟通形式。虽然床边轮班报告是联合委员会的要求,也是医院的一项必要政策,但急诊室护士在执行这项任务时存在不一致的情况。本研究的目的是描述急诊室护士对床边轮班报告的看法。本研究采用半结构化访谈法进行定性研究。Colaizzi的数据收集和分析策略被用来确定新兴主题。本研究采用Peplau的人际关系理论和Benner的新手到专家理论作为指导。采访了15名急诊室护士,从收集的数据中得出了7个主题。三个主题,护士问责制,护士介绍和患者参与被确定为床边轮班报告的好处。四个主题,床边轮班报告未完成,急诊室情况,急诊室环境和时间因素被确定为床边轮班报告的挑战。该研究有助于确定是否需要为急诊室护士、急诊科和组织提供额外的教育机会,以提高报告过程的一致性。
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引用次数: 2
The Relationship Between Depression and Violence Risk Predictors on Elderly 老年人抑郁与暴力风险预测因子的关系
Q3 Engineering Pub Date : 2018-01-07 DOI: 10.20849/IJSN.V4I1.536
J. Pereira, Felismina Mendes, T. Mestre, Maria Otília Brites Zangão, C. Pereira
The purpose of this study was to understand the correlation between the elderly with depressive symptomatology and the predictors of the risk of violence against them. The method used was a quantitative approach using the Statistical Package program for Social Sciences. There was a participation of 237 elderly people aged 65-96 years, of the project “Aging in Safety in Alentejo-Understanding to Act”, at the University of Evora. The Geriatric Depression Scale and the Predictors of Risk of Violence (an adaptation of the Elder Abuse and Neglect-Risk Assessment Tool and Vulnerability to Abuse Screening Scale) were applied. About the results, 50 elderly (21.1%) had mild depressive symptomatology, and 14 (5.9%) had severe depressive symptomatology. Of the 64 elderly individuals who presented depressive symptomatology 55 were female. In the relationship between the severity of depressive symptomatology and predictors of risk of violence, significant results were found in three dimensions: current supports and relationships, family context and cognitive/emotional difficulties. The main conclusion of the study is that factors like no social support networks, complex family context and cognitive and emotional changes, contribute to greater physical and mental vulnerability of the elderly, resulting in cases of anxiety and stress, which present a depressive symptomatology and the risk of violence.
本研究的目的是了解有抑郁症状的老年人与对他们施暴风险的预测因子之间的关系。使用的方法是使用社会科学统计软件包程序的定量方法。埃武拉大学有237名65至96岁的老年人参加了“阿连特茹的安全老龄化——从了解到行动”项目。应用老年抑郁量表和暴力风险预测因子(由老年人虐待和忽视风险评估工具和虐待脆弱性筛查量表改编而来)。其中50例(21.1%)有轻度抑郁症状,14例(5.9%)有重度抑郁症状。在64名表现出抑郁症状的老年人中,55名是女性。在抑郁症状的严重程度与暴力风险预测因素之间的关系中,在三个方面发现了显著的结果:当前的支持和关系、家庭背景和认知/情感困难。这项研究的主要结论是,没有社会支持网络、复杂的家庭背景以及认知和情感变化等因素,导致老年人在身心上更容易受到伤害,导致焦虑和压力,从而表现出抑郁症状和暴力风险。
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引用次数: 3
A Comparison of the Risks and Benefits of Nursing Bedside Shift Report vs. Traditional Shift Report: A Systematic Review of the Literature 护理床边轮班报告与传统轮班报告的风险和益处的比较:文献的系统回顾
Q3 Engineering Pub Date : 2018-01-03 DOI: 10.20849/ijsn.v3i2.382
Court Williams
Background: Shift report is one of the most important factors in patient care to ensure the oncoming nurse can properly care for the patient. Situation, Background, Assessment, and Recommendation (SBAR) is a communication tool that enables the safe transfer of pertinent information to ensure the best quality of care is provided. Communication is one of the key components of bedside nursing practice. Communication ensures that medical errors are avoided, while patient safety and the quality of care are not affected during a patient’s stay. Purpose: The purpose of this study was to compare the risks and benefits of bedside shift report (BSR) versus traditional shift report (TSR). Method: For a proper evidence-based review, the studies were precisely analyzed, and systematically pieced using the top four tiers of evidence hierarchy. Findings: While bedside shift report has been implemented within inpatient settings, it is not always being utilized properly. Upon conclusion of the literature review, evidence supports using bedside shift report to reduce medical errors, safety risks, and improve the quality of care.
背景:轮班报告是病人护理中最重要的因素之一,以确保新来的护士能正确地照顾病人。情况、背景、评估和建议(SBAR)是一种沟通工具,能够安全传递相关信息,确保提供最佳质量的护理。沟通是床边护理实践的关键组成部分之一。沟通可确保避免医疗差错,同时在患者住院期间不影响患者安全和护理质量。目的:本研究的目的是比较床边轮班报告(BSR)与传统轮班报告(TSR)的风险和益处。方法:为了进行正确的循证评价,对研究进行了精确的分析,并使用证据层次的前四层进行了系统的拼接。研究结果:虽然床边值班报告已经在住院环境中实施,但它并不总是被正确利用。根据文献综述的结论,有证据支持使用床边值班报告来减少医疗差错、安全风险和提高护理质量。
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引用次数: 2
Nurses’ Perspectives on Patient and Visitor Violence: A Qualitative Study 护士对病人和来访者暴力的看法:一项定性研究
Q3 Engineering Pub Date : 2018-01-03 DOI: 10.20849/ijsn.v3i2.427
Lannette Henderson, Brittany Kamp, Keri Niedbalski, S. Abraham, Deborah R. Gillum
The profession of nursing is at high risk for work-related threats and violence from patients and visitors. The purpose of this study was to investigate nurses’ perspectives on patient and visitor violence. In this research study, a qualitative, phenomenological design was used. The study question was, “What are your lived experiences as a nurse with patient and visitor violence?” This study included what nurses have personally experienced and how they handled violent situations while performing their job. A total of 19 registered nurses were interviewed. Open-ended questions and follow-up probes evoked responses. Sequential interviews were conducted until all concepts were repeated multiple times without new themes emerging. Four common themes emerged were violence (punching, kicking, tackling, pinching, and spitting) , long-term consequences of violence, need for education and training for violence, and the need for support from the organization. Taylor’s cognitive adaptation adjustments to threatening events theory helped guide the study.
护理职业面临来自病人和来访者的与工作有关的威胁和暴力的高风险。本研究的目的是调查护士对病人和来访者暴力的看法。本研究采用定性、现象学设计。研究的问题是,“作为一名护士,你对病人和来访者暴力的生活经历是什么?”这项研究包括护士个人经历以及他们在工作中如何处理暴力情况。共访问了19名注册护士。开放式问题和后续调查引起了反应。连续的访谈进行,直到所有的概念被重复多次而没有新的主题出现。出现的四个共同主题是暴力(拳打脚踢、抢断、掐掐和吐痰)、暴力的长期后果、暴力教育和培训的必要性以及对组织支持的必要性。泰勒对威胁事件的认知适应调整理论帮助指导了这项研究。
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引用次数: 4
期刊
International Journal of Security and Networks
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