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Can Breast Cancer Survivors Benefit from Speed of Processing Training? A Perspective Article on Treatment and Research 乳腺癌幸存者能从快速处理训练中获益吗?治疗与研究透视文章
IF 0.8 Pub Date : 2021-06-01 DOI: 10.2147/NRR.S312214
K. Triebel, Joseph Anderson, Sai Rashmi Nakkina, D. Vance
: For breast cancer survivors (BCS), issues related to quality of life after treatment have become increasingly important. Up to 75% of individuals receiving chemotherapy experience cognitive impairment and for many BCS, these impairments persist for a long time after treatment. In addition to these cognitive impairments, research suggests a higher rate of depression, anxiety, and distress in cancer survivors. The impact of these cognitive and emotional deficits impairs daily functioning, occupational performance, increases relationship stress and caregiver burden, contributes to poor emotional processing, and reduces quality of life. Fortunately, there are cognitive interventions that can improve targeted cognitive abilities along with general cognitive processes. Speed of processing (SOP) training, a type of cognitive remediation therapy, has been shown to improve cognitive performance on measures of visual attention, SOP, and timed-task performances. Furthermore, SOP has been shown to enhance neuromodulatory systems that improve mood, especially depression and other indicators of quality of life. Studies support the need for deeper investigation into the short-term and long-term benefits of SOP training as a behavioral adjunct for BCS.
对于乳腺癌幸存者(BCS)来说,治疗后的生活质量问题变得越来越重要。多达75%的接受化疗的个体经历认知障碍,对于许多BCS,这些障碍在治疗后持续很长时间。除了这些认知障碍,研究表明,癌症幸存者中抑郁、焦虑和痛苦的比例更高。这些认知和情感缺陷的影响会损害日常功能和职业表现,增加关系压力和照顾者负担,导致情绪处理不良,并降低生活质量。幸运的是,有认知干预可以提高目标认知能力和一般认知过程。加工速度(SOP)训练是一种认知补救疗法,已被证明可以改善视觉注意、SOP和时间任务表现的认知表现。此外,SOP已被证明可以增强神经调节系统,改善情绪,特别是抑郁和其他生活质量指标。研究支持需要对SOP训练作为BCS行为辅助的短期和长期效益进行更深入的调查。
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引用次数: 0
Predictive Model Development and Validation of the Emergency Hester Davis Scale© for Fall Risk Screening 紧急海斯特戴维斯量表的预测模型开发和验证©用于跌倒风险筛查
IF 0.8 Q4 NURSING Pub Date : 2020-07-01 DOI: 10.2147/nrr.s247464
Stella Kientz, A. Hester
Introduction: Falls are among the most serious adverse events in healthcare. Patients presenting to the emergency department may be at risk for falls due to various conditions. The ability for clinicians to quickly and accurately determine fall risk is vital to the implementation of appropriate fall prevention efforts. Methods: A secondary data analysis was used to construct the initial emergency Hester Davis Scale (eHDS) fall risk screening model. The model was fi rst retrospectively developed and then prospectively validated concurrently in an urban academic medical center in the south-central United States and in a large, urban emergency department (ED) on the west coast of the United States. The retrospective sample included 152 fallers. The prospective sample included 13 fallers and a random sample of 216 non-fallers. Statistical analyses included descriptive statistics, sensitivity, speci fi city, and receiver operating characteristic (ROC) curve procedures. Results: Retrospective analysis of data including 152 ED fallers experiencing anticipated physiologic events revealed three salient screening variables including mobility, medications, and behavior. Prospective data included a random sample of 216 non-fallers and 13 fallers from the two participating hospitals from 110,445 combined ED visits. The derived tool correctly identi fi ed risk in all 13 anticipated physiologic falls. The use and interpretation of the ROC curve analysis contributed to further evaluation. Discussion: The eHDS can accurately identify adults at risk for falling in the ED and can be the fi rst step in preventing falls and subsequent fall-related costs.
跌倒是医疗保健中最严重的不良事件之一。由于各种情况,到急诊科就诊的病人可能有跌倒的危险。临床医生快速准确地确定跌倒风险的能力对于实施适当的跌倒预防工作至关重要。方法:采用二次资料分析,构建初始急诊Hester Davis量表(eHDS)跌倒风险筛查模型。该模型首先在美国中南部的一个城市学术医疗中心和美国西海岸的一个大型城市急诊科(ED)进行回顾性开发,然后进行前瞻性验证。回顾性样本包括152名跌倒者。前瞻性样本包括13名跌倒者和216名非跌倒者的随机样本。统计分析包括描述性统计、敏感性、特异性和受试者工作特征(ROC)曲线程序。结果:回顾性分析包括152例经历预期生理事件的ED患者的数据,揭示了三个显著的筛选变量,包括活动能力、药物和行为。前瞻性数据包括从两家参与医院的110,445次急诊就诊中随机抽取216名非住院患者和13名住院患者。导出的工具正确地识别了所有13个预期的生理下降的风险。ROC曲线分析的使用和解释有助于进一步评价。讨论:eHDS可以准确地识别在ED中有跌倒风险的成年人,可以是预防跌倒和随后的跌倒相关费用的第一步。
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引用次数: 2
Health literacy and informed consent for clinical trials: a systematic review and implications for nurses 临床试验的健康素养和知情同意:系统评价及其对护士的影响
IF 0.8 Pub Date : 2019-07-10 DOI: 10.2147/NRR.S207497
A. Burks, J. Keim-Malpass
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引用次数: 15
Thinking well beyond diagnosis: a four-year evaluation of a cognitive changes education for breast cancer survivors 超越诊断的思考:对乳腺癌幸存者认知改变教育的四年评估
IF 0.8 Q4 NURSING Pub Date : 2019-07-05 DOI: 10.2147/NRR.S197778
J. Vo, Silvia Gisiger-Camata, Kayla A Lewis, Timiya S. Nolan, J. Bail, Bailey A. Hendricks, D. Vance, K. Meneses
Karen Meneses passed away on August 01, 2018 Purpose: Cognitive changes affect up to 75% of breast cancer survivors during treatment and 35% after treatment. There remains a paucity of cognitive change-focused education programs for breast cancer survivors. The Think Well: Healthy Living to Improve Cognitive Function program was developed to address cognitive changes in Alabama breast cancer survivors. The purpose of this article is to report program development and expansion over four years and attendees’ program satisfaction. Methods: A seven-step framework (identify, connect, assess, tailor, plan, deliver, and evaluate) was used to develop and implement the Think Well program. The 2-h seminars, tailored to each respective community, consisted of face-to-face lecture-style education grounded on an evidence-based curriculum. Seminars were assessed using surveys that focused on attendees’ satisfaction and were delivered at the end of each Think Well seminar. The surveys were summarized using descriptive statistics. Results: Over four years, 17 Think Well seminars were delivered to a total of 666 attendees, and 515 (77% response rate) completed a survey. Of which, 151 reported to be breast cancer survivors, 209 family and friends, and 155 others. Think Well received mostly “good” or “excellent” ratings on all educational program components in the evaluation. After receiving feedback from attendees, the Think Well program was also adapted to create an interactive website. Conclusion: Think Well seminars were well-received and provided cognitive changefocused cancer education for an underserved and diverse population. Implications include disseminating Think Well to a multi-state or national platform, implementing Think Well education using social media engagement, and collaborating with health-care professionals to provide cognitive change information.
目的:认知变化影响高达75%的乳腺癌幸存者在治疗期间和治疗后的35%。针对乳腺癌幸存者的以认知改变为重点的教育项目仍然很缺乏。“好好思考:改善认知功能的健康生活”项目是为了解决阿拉巴马州乳腺癌幸存者的认知变化而开发的。本文的目的是报告四年来项目的发展和扩展以及与会者对项目的满意度。方法:采用七步框架(识别、连接、评估、定制、计划、交付和评估)来开发和实施Think Well项目。为每个社区量身定制的2小时研讨会,包括以实证课程为基础的面对面讲座式教育。研讨会通过调查来评估与会者的满意度,并在每次研讨会结束时交付。这些调查用描述性统计进行了总结。结果:在四年的时间里,共举办了17次Think Well研讨会,共有666名与会者,其中515人(77%的回复率)完成了调查。其中151人是乳腺癌幸存者,209人是家人和朋友,155人是其他人。在评估中,Think Well的所有教育项目都获得了“良好”或“优秀”的评级。在收到与会者的反馈后,“好好思考”计划也被改编成一个互动网站。结论:Think Well研讨会很受欢迎,为服务不足和多样化的人群提供了以认知改变为重点的癌症教育。其影响包括向多州或国家平台传播Think Well,利用社交媒体参与实施Think Well教育,并与卫生保健专业人员合作提供认知变化信息。
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引用次数: 1
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 Q4 NURSING 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 Q4 NURSING 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
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):29-38
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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
期刊
Nursing-Research and Reviews
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