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Effects of a speed of processing training intervention on self-reported health outcomes in breast cancer survivors. 处理速度训练干预对乳腺癌幸存者自我报告健康结果的影响
IF 0.8 Pub Date : 2019-01-01 Epub Date: 2019-07-01 DOI: 10.2147/nrr.s199664
Jacqueline B Vo, Pariya L Fazeli, Rachel Benz, Jennifer R Bail, Kristen Triebel, David E Vance, Karen Meneses

Purpose: Cognitive deficits are a concern for breast cancer survivors, as these effects are prevalent and impact daily functioning and quality of life (QoL). The purpose of this study was to examine the effects of a speed of processing (SOP) training intervention on secondary, self-reported health outcomes in this population.

Methods: Sixty middle-aged and older adult women breast cancer survivors completed baseline assessments and were randomized to either a no-contact control group or an SOP training group, who completed 10 hrs of computerized SOP training online at home. Both conditions completed self-report surveys of sleep, QoL, cognitive difficulties, and depressive symptoms at six weeks and six months post study entry.

Results: There were no significant effects of the SOP training on self-reported health outcomes.

Conclusion: Future studies examining the effect of cognitive training on self-reported health outcomes are warranted that include individuals with baseline impairment in such indices in order to better determine efficacy, and longer follow-up time points may aid in examining the protective effects of this intervention in those without baseline impairment.

目的:认知缺陷是乳腺癌幸存者关注的问题,因为这些影响普遍存在,影响日常功能和生活质量(QoL)。本研究的目的是检验处理速度(SOP)训练干预对该人群中自我报告的次要健康结果的影响。方法:60名中老年女性乳腺癌幸存者完成基线评估,随机分为无接触对照组和SOP训练组,后者在家完成10小时的计算机化SOP在线培训。两组患者分别在研究开始后6周和6个月完成了睡眠、生活质量、认知困难和抑郁症状的自我报告调查。结果:SOP培训对自述健康结果无显著影响。结论:未来有必要研究认知训练对自我报告健康结果的影响,包括在这些指标中有基线损伤的个体,以便更好地确定疗效,更长的随访时间点可能有助于检查这种干预对无基线损伤的人的保护作用。
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引用次数: 0
Women’s satisfaction with intrapartum care and its predictors at Harar hospitals, Eastern Ethiopia: a cross-sectional study 埃塞俄比亚东部哈拉尔医院妇女对产时护理的满意度及其预测因素:一项横断面研究
IF 0.8 Pub Date : 2018-12-01 DOI: 10.2147/NRR.S176297
Agegnehu Bante Getenet, Kedir Teji Roba, Berhanu Seyoum Endale, Abera Mersha Mamo, Rasha Darghawth
Background: Satisfaction with intrapartum care is crucial for the well-being of the mother and newborn. It also serves as a proxy indicator for future utilization and recommendation of the facility. Conversely, little is known about women’s level of satisfaction during the intrapartum period in the Ethiopian context of a high maternal mortality ratio. As such, the aim of this study was to assess women’s satisfaction with intrapartum care and its predictors at hospitals in Harar, Eastern Ethiopia. Materials and methods: A hospital-based, analytical, cross-sectional study was conducted in Harar hospitals, Eastern Ethiopia from February 1 to 28, 2017. The data were collected using an interviewer-administered questioner from 398 women who delivered in the selected hospitals during the data collection period. The collected data were entered into EpiData version 3.1 and analyzed using SPSS version 22.0. Bivariate and multivariable logistic regression was applied to identify the effect of each predictor on the outcome variable (satisfaction). A P -value of < 0.05 was considered to be statistically significant. Results: The proportion of women who were satisfied with intrapartum care in this study was 84.7% (95% CI: 81.1, 88.2). Factors including a minimal waiting time to be seen by the healthcare provider, ample availability of emergency drugs within the hospital, not having antenatal care follow-up, having a previous experience of home delivery, planning to deliver in the hospital, and experiencing a short hospital stay after delivery were statistically and positively associated with women’s satisfaction. Conclusion: Overall, ~ 85% of the women were satisfied with the service provided in the facilities. Decreasing waiting time to be seen by the healthcare providers, ensuring emergency drugs in the hospitals, advising mothers to have antenatal care follow-up, and delivering in the health facilities are crucial to improve the quality of intrapartum care.
背景:对产中护理的满意度对母亲和新生儿的健康至关重要。它还作为未来利用和建议该设施的代理指标。相反,在埃塞俄比亚产妇死亡率高的情况下,对产妇在分娩期间的满意程度知之甚少。因此,本研究的目的是评估妇女对产时护理的满意度及其预测因素在哈拉尔,埃塞俄比亚东部的医院。材料和方法:2017年2月1日至28日在埃塞俄比亚东部哈拉尔医院进行了一项以医院为基础的分析性横断面研究。数据是通过访谈者管理的提问者从398名在数据收集期间在选定医院分娩的妇女中收集的。收集的数据输入EpiData 3.1版本,使用SPSS 22.0版本进行分析。应用双变量和多变量逻辑回归来确定每个预测因子对结果变量(满意度)的影响。P值< 0.05认为有统计学意义。结果:本研究中对产时护理满意的产妇比例为84.7% (95% CI: 81.1, 88.2)。从统计数据来看,等待医疗保健提供者就诊的时间最短、医院内急救药物供应充足、没有产前护理随访、以前有过在家分娩的经历、计划在医院分娩、分娩后住院时间短等因素与妇女的满意度呈正相关。结论:总体而言,约85%的妇女对医疗机构提供的服务感到满意。减少等待医疗服务提供者就诊的时间,确保医院提供紧急药品,建议母亲进行产前护理随访,以及在医疗机构分娩,这些都是提高产时护理质量的关键。
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引用次数: 15
The Mental Capacity Act: 10 years on – the key learning areas for healthcare professionals 《精神能力法》:10年来——医疗保健专业人员的关键学习领域
IF 0.8 Pub Date : 2018-10-01 DOI: 10.2147/NRR.S148855
H. Marshall, Sally Sprung
php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Nursing: Research and Reviews 2018:8 29–38 Nursing: Research and Reviews Dovepress
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引用次数: 4
Facilitating faculty competency to integrate genomics into nursing curriculum within a private US University 促进教师的能力,将基因组学整合到美国私立大学的护理课程
IF 0.8 Pub Date : 2018-09-01 DOI: 10.2147/NRR.S165852
Lisa M. Bashore, G. Daniels, L. Borchers, Lynnette Howington, D. Cheek
php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Nursing: Research and Reviews 2018:8 9–14 Nursing: Research and Reviews Dovepress
并纳入知识共享署名-非商业(未移植,v3.0)许可证(http://creativecommons.org/licenses/by-nc/3.0/)。通过访问作品,您在此接受这些条款。允许非商业用途的工作,没有任何进一步的许可,从多芬医学出版社有限公司,只要工作适当署名。关于本作品的商业使用许可,请参阅本条款第4.2条和第5条(https://www.dovepress.com/terms.php)。护理:研究与评论2018:8 9-14护理:研究与评论鸽出版社
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引用次数: 3
The role of the nurse in detecting elder abuse and neglect: current perspectives 护士在发现虐待和忽视老年人中的作用:当前的观点
IF 0.8 Pub Date : 2018-09-01 DOI: 10.2147/NRR.S148936
A. Phelan
: As global populations age, it is imperative that nurses have a knowledge base on the topic of elder abuse. Elder abuse can occur in any environment, but is most prevalent in the community setting. Older people may experience either a single type of abuse or several forms of abuse concurrently. It is also important that abuse at an institutional and societal level is recognized and addressed. Nurses have a responsibility to identify when abuse may be per-petrated and to assess the context, ensuring appropriate responses are undertaken. A knowledge of barriers to disclosure is also essential, as well as ensuring that the voice of the older person is prioritized in case management. In doing so, nurses have the ability to both prevent and provide early intervention to safeguard older people.
随着全球人口老龄化,护士必须具备虐待老年人的知识基础。虐待老人可以发生在任何环境中,但在社区环境中最为普遍。老年人可能同时经历一种或几种形式的虐待。同样重要的是,在体制和社会层面认识和处理虐待问题。护士有责任确定何时可能发生虐待行为,并评估情况,确保采取适当的应对措施。了解披露的障碍也很重要,并确保在病例管理中优先考虑老年人的声音。这样,护士就有能力预防和提供早期干预,以保护老年人。
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引用次数: 15
Intellectual and developmental disability nursing: current challenges in the USA 智力和发育障碍护理:美国当前面临的挑战
IF 0.8 Pub Date : 2018-09-01 DOI: 10.2147/NRR.S154511
Kathy Auberry
php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). Nursing: Research and Reviews 2018:8 23–28 Nursing: Research and Reviews Dovepress
并纳入知识共享署名-非商业(未移植,v3.0)许可证(http://creativecommons.org/licenses/by-nc/3.0/)。通过访问作品,您在此接受这些条款。允许非商业用途的工作,没有任何进一步的许可,从多芬医学出版社有限公司,只要工作适当署名。关于本作品的商业使用许可,请参阅本条款第4.2条和第5条(https://www.dovepress.com/terms.php)。护理:研究与评论2018 (8):23-28
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引用次数: 16
Improving nurse engagement in continence care 提高护士在失禁护理中的参与度
IF 0.8 Pub Date : 2018-08-01 DOI: 10.2147/NRR.S144356
K. Hunter, A. Wagg
: Urinary (UI) and fecal incontinence (FI) are troublesome conditions for many in society; both UI and FI increase in prevalence with increasing age. Despite well-recognized effects on health, well-being and quality of life, incontinence is often seen by care providers and payers as a social problem, rather than a health related one. Nurses are in a key position to assist those affected by UI. Nurses have the potential to identify people with incontinence, establish appropriate interventions and provide valuable education to empower patients. Indeed, nurses are ideally placed to perform the initial assessment and management of incontinence, that portion of the care pathway which is crucial, but often poorly done. Unfortunately, this is not always easily implemented; nursing staff have identified environmental barriers, such as lack of time at work, and consider UI a low priority that prevents the facilitation of interventions. This article reviews the evidence on nursing involvement, or lack of it, in continence care and suggests a strategy to improve the situation, involving a complex intervention of knowledge translation.
尿失禁(UI)和大便失禁(FI)是社会上许多人困扰的问题;UI和FI患病率均随年龄增长而增加。尽管人们公认尿失禁对健康、福祉和生活质量有影响,但护理提供者和付款人往往将其视为一个社会问题,而不是与健康有关的问题。护士在帮助那些受尿失禁影响的人方面处于关键地位。护士有潜力识别失禁的人,建立适当的干预措施,并提供有价值的教育,赋予病人权力。事实上,护士是执行失禁的初步评估和管理的理想人选,这部分护理途径是至关重要的,但往往做得不好。不幸的是,这并不总是容易实现;护理人员已经确定了环境障碍,例如缺乏工作时间,并认为UI的优先级较低,阻碍了干预措施的便利。本文回顾了失禁护理中护理介入或缺乏护理介入的证据,并提出了一种改善这种情况的策略,包括知识翻译的复杂干预。
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引用次数: 18
Early adolescent African American girls' perceptions of virginity and romantic relationships. 早期青春期的非裔美国女孩对童贞和浪漫关系的看法。
IF 0.8 Pub Date : 2012-10-01 DOI: 10.2147/NRR.S37084
Gwendolyn D Childs, Reashanda White, Connie Hataway, Linda Moneyham, Vanessa Gaioso

BACKGROUND: Nationally, African American (AA) girls aged 15 to 19 have the highest incidence of Chlamydia, gonorrhea, and syphilis compared to White and Hispanic girls of the same age group. To address this STI epidemic, it is imperative to target AA girls during early adolescence and before sexual debut. According to the 2011 National Youth Risk Behavior Survey, approximately 7% of AA girls initiate sex prior to age 13. The purpose of this descriptive, qualitative study was to explore AA girls', aged 12 to 14, perceptions about virginity and relationships and how those perceptions influence their decisions to engage in or abstain from sexual activity. METHODS: A convenience sample of 64 participants was recruited through community-based organizations in Alabama. Data were collected using individual interviews and focus groups. Individual interview focused on (1) values and beliefs about being a virgin, (2) choosing boyfriends, and (3) perceptions about good and bad relationships. Focus groups were held to validate findings from interviews. Verbatim transcripts of audiotapes, observation notes, and demographic data were primary data for analysis. Content analysis was used in analysis and interpretation of qualitative data to formulate meaningful categories, themes, and patterns. The qualitative research software, QSR N-Vivo®, was used to code and sort data into categories. The SPSS statistical software was used to conduct descriptive analyses to describe the study sample. RESULTS: Mean age of study sample was 12.9 years. Out of 64participants, 5 reported having engaged in sexual activity. Mean age of sexual debut was 13 years. Common themes that emerged included: respecting myself, ideal boyfriend, characteristics of a romantic relationship. CONCLUSIONS: Findings from this study suggest STI prevention programs should build upon the values related to virginity to promote delaying sexual activity. Furthermore, findings suggest the need for education about healthy relationships.

背景:在全国范围内,15至19岁的非裔美国女孩与同年龄组的白人和西班牙裔女孩相比,衣原体、淋病和梅毒的发病率最高。为了解决这一性传播疾病的流行,必须针对青春期早期和初次性行为之前的AA女孩。根据2011年全国青少年风险行为调查,大约7%的AA女孩在13岁之前就开始了性行为。这项描述性定性研究的目的是探讨12至14岁的AA女孩对童贞和人际关系的看法,以及这些看法如何影响她们从事或戒断性活动的决定。方法:通过阿拉巴马州社区组织招募64名参与者作为方便样本。通过个人访谈和焦点小组收集数据。个人访谈集中于(1)关于处女的价值观和信念,(2)选择男朋友,以及(3)对好与坏关系的看法。举行焦点小组以验证访谈的结果。逐字记录的录音带、观察笔记和人口统计数据是分析的主要数据。内容分析用于分析和解释定性数据,以制定有意义的类别、主题和模式。使用定性研究软件QSR N-Vivo®对数据进行编码和分类。采用SPSS统计软件进行描述性分析,对研究样本进行描述。结果:研究样本的平均年龄为12.9岁。在64名参与者中,有5人报告有过性行为。初次性行为的平均年龄为13岁。出现的共同主题包括:尊重自己,理想的男朋友,浪漫关系的特征。结论:这项研究的结果表明,性传播感染预防计划应该建立在与童贞有关的价值观基础上,以促进推迟性行为。此外,研究结果还表明,有必要对健康的人际关系进行教育。
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引用次数: 5
The effects of arthritis, mobility, and farm task on injury among older farmers. 关节炎、活动能力和农活对老年农民损伤的影响。
IF 0.8 Pub Date : 2012-05-10 DOI: 10.2147/nrr.s28122
Karen Heaton, Andres Azuero, Jennan A Phillips, Herretta Pickens, Deborah Reed

The current study was conducted by performing secondary analysis of data drawn from a study of sustained work indicators of older farmers. The primary outcome variable was the reported occurrence or non-occurrence of injuries because of farm work in the past year. There were three explanatory variables of interest: (1) whether respondents reported ever having been diagnosed with arthritis/rheumatism by a medical doctor; (2) whether participants reported having mobility problems; and (3) a farm task injury risk index. Additional explanatory variables included the estimated number of days spent on farming activities in the past year, as well as demographic characteristics such as age, sex, and race. Institutional review board approvals were obtained for the original study prior to data collection, and for the current study prior to secondary analysis of data. Descriptive statistics were calculated for the outcome and explanatory variables. Initial multivariable longitudinal models for the occurrence of injuries were fitted with the explanatory variables. Odds ratios for the effects of interest were calculated using the final models. A longitudinal model was fitted using data in waves 1, 3, and 5, with a farm task injury risk index as outcome variable and wave, sex, age, race, and estimated number of days spent on farming activities in the past year as explanatory variables for exploration of the relationship between the farm task injury risk index and these variables. In this group of older farmers, aging was protective for injury, and was associated with decreased farm task injury risk index. Arthritis/rheumatism was associated in our study with occurrence of injury because of farm work across all four waves. Our results indicated that farmers with mobility problems were twice as likely to experience injuries because of farm work compared to farmers with no mobility problems. Increased farm task injury risk index was associated with a 40% increase in odds for the occurrence of injury due to farm work. In this study of older farmers, the type of work, and not the amount of work was significantly associated with injury risk. Implications for future studies of farm injury include the need for nurse researchers and others to incorporate objective validated measures of mobility and health care provider diagnoses of arthritis, and arthritis type. Nurse researchers should proceed with ongoing evaluation of the farm task injury risk index to determine its validity, reliability, and usefulness as a predictor of farm injuries. In the practice setting, nurses may apply findings from this study to provide injury prevention teaching to older farmers and their families. For example, discussions of the more risky farm tasks, injury prevention strategies, and treatment modalities including those that promote improved mobility should be targeted to older farmers with arthritis and actual or potential mobility issues. Ultimately, these nursing research and pr

目前的研究是通过对老年农民持续工作指标研究得出的数据进行二次分析来进行的。主要结局变量是报告的过去一年因农活而受伤的发生或未发生情况。有三个有趣的解释变量:(1)受访者是否报告曾被医生诊断患有关节炎/风湿病;(2)参加者有否行动不便;(3)农工伤害风险指数。其他的解释变量包括过去一年中用于农业活动的估计天数,以及年龄、性别和种族等人口特征。原始研究在数据收集之前获得了机构审查委员会的批准,当前研究在数据二次分析之前获得了机构审查委员会的批准。对结果和解释变量进行描述性统计。用解释变量拟合损伤发生的初始多变量纵向模型。使用最终模型计算利息效应的优势比。使用波1、波3和波5中的数据拟合纵向模型,将农场任务伤害风险指数作为结果变量,并将波、性别、年龄、种族和过去一年中用于农业活动的估计天数作为解释变量,以探索农场任务伤害风险指数与这些变量之间的关系。在这组老年农民中,年龄对伤害有保护作用,并与农场任务伤害风险指数降低有关。在我们的研究中,关节炎/风湿病与农活损伤的发生有关。我们的结果表明,与没有行动不便的农民相比,有行动不便的农民因农业工作而受伤的可能性是其两倍。农场工作伤害风险指数的增加与农场工作造成的伤害发生率增加40%相关。在这项对老年农民的研究中,与受伤风险显著相关的是工作类型,而不是工作量。对未来农场伤害研究的启示包括护士、研究人员和其他人需要纳入客观有效的活动测量和卫生保健提供者对关节炎和关节炎类型的诊断。护士研究人员应继续对农场工作伤害风险指数进行持续评估,以确定其有效性、可靠性和作为农场伤害预测因子的有用性。在实践中,护士可以应用本研究的结果对老年农民及其家庭进行伤害预防教学。例如,讨论更危险的农场任务、伤害预防策略和治疗方式,包括那些促进改善活动能力的方法,应该针对患有关节炎和实际或潜在活动能力问题的老年农民。最终,这些护理研究和实践努力可能会导致功能的保存,并降低老年农民受伤的风险和严重程度。
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引用次数: 9
期刊
Nursing-Research and Reviews
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