Rehabilitation Nursing最新文献

Purpose: The aim of the study was to examine the reliability, validity, and measurement error of balance confidence and fall-related self-efficacy measures in older breast cancer survivors.

Design: A cross-sectional study was performed.

Methods: The Activities-Specific Balance Confidence Scale (ABC), the shorter, six-item version of the ABC (ABC-6), and the Modified Falls Efficacy Scale (MFES) were completed by 35 older breast cancer survivors. Absolute reliability was examined with Cronbach's alpha, test-retest reliability with intraclass correlation coefficient, and Pearson's correlation coefficient for construct validity.

Findings: Absolute reliability was good for the ABC. Test-retest reliability was good for the ABC and the ABC-6 and moderate for the MFES. Construct validity was present for all measures.

Conclusions: Breast cancer survivors' balance confidence measures should be assessed with either the ABC or the ABC-6, whereas falls self-efficacy should be examined with the MFES.

Clinical relevance: Nurses and other health professionals who treat breast cancer survivors should include assessing psychological factors associated with falls using the ABC, the ABC-6, or the MFES as low balance confidence or falls self-efficacy contribute to increased falls risk.

Purpose: This study compared the use of the tracheostomy dressing applicator (TDA) to the standard procedure for tracheostomy dressing changes.

Design: A prospective quasi-experimental study was performed.

Methods: Nineteen patients and 117 nurses answered a survey after changing the tracheostomy dressing with the TDA and using standard procedure.

Findings: Nurses rated the TDA easier to use in patients with average-sized necks and more favorably on observed discomfort in patients with average-sized and larger necks. Patients rated less discomfort with the TDA compared with the standard method of dressing change.

Conclusion: The TDA is an effective device to facilitate tracheostomy dressing changes, possibly improving compliance and decreasing skin complications.

Clinical relevance: The TDA is a useful device that can improve efficiency of dressing changes with the potential to save time and improve outcomes.

Purpose: The aim of this study was to evaluate psychometric properties of the Preparedness Assessment for the Transition Home After Stroke (PATH-s), a novel instrument to assess stroke caregiver commitment and capacity. The PATH-s instrument can be obtained at www.rehabnurse.org/pathtool.

Design: The design of this study is cross-sectional.

Methods: The PATH-s, the Preparedness for Caregiving Scale (PCS), the Patient Health Questionnaire, the Perceived Stress Scale, and the Global Health Scale were self-reported from a convenience sample of caregiver-stroke survivor dyads (n = 183) during inpatient rehabilitation.

Results: Exploratory factor analysis revealed eight factors underlying the PATH-s structure. The PATH-s Cronbach's alpha of .90 demonstrated criterion-related validity with the PCS (r = .79, p < .01). Both the PATH-s and the PCS were negatively correlated with the Patient Health Questionnaire (r = -.26 and -.27, respectively; p < .01) and the Perceived Stress Scale (r = -.12 and -.15, respectively; p > .05) and positively correlated with the Global Health Scale (r = -.46 and .46, respectively; p < .01), indicating convergent validity.

Conclusions: The PATH-s demonstrates excellent internal consistency and satisfactory criterion-related and convergent validity.

Clinical relevance: The PATH-s may be used to assess the risk/needs of caregivers over time.

Purpose: This study aimed to explore parents' perceptions of self-management behaviors for their children with spina bifida (SB).

Design: Qualitative method.

Methods: In-depth interviews were conducted with nine Korean parents of children with SB. The data were analyzed using the content analysis method.

Findings: Parental perceptions of the experiences of self-management behaviors in children with SB were classified into risk factors that hinder self-management behaviors and protective factors that accelerate them. Each category of factors was then further classified into child-, parent-, and school-related factors.

Conclusions: To promote self-management behaviors in children with SB, reducing risk factors and promoting protective factors considering child, family, and school dimensions based on cultural differences are necessary.

Clinical relevance: Rehabilitation nurses should be considered essential healthcare providers who can offer stepwise guidance to achieve self-management behaviors in children with SB according to their stage of development.

Abstract: Routine tracheostomy care in children maintains airway patency, minimizes infection, and ensures skin integrity around the tracheostomy stoma to prevent complications. Using evidence-based recommendations for care of the mature tracheostomy limits variation in practice and leads to better patient outcomes in all care settings. Incorporating evidence-based care into practice is especially important because children with tracheostomies are at high risk for morbidity and mortality. The purpose of this review is to summarize the most current, evidence-based literature for pediatric tracheostomy care, including stoma care and tracheostomy suctioning. Rehabilitation nurses can then include these best practices when caring for children with tracheostomies and when educating caregivers who provide tracheostomy care to children at home.

Purpose: This study examined the effects of laughter therapy on life satisfaction and loneliness in older adults living in nursing homes.

Design: A single-blind, parallel-group, randomized controlled trial (ClinicalTrials NCT03687788) with a pretest-posttest design was conducted.

Methods: There were 31 experimental participants and 31 controls. The experimental group received laughter therapy twice a week for 6 weeks, along with usual care. The control group received usual care only. Loneliness was measured with the De Jong Gierveld Loneliness Scale, and life satisfaction was measured with the Satisfaction With Life Scale.

Findings: After 6 weeks, there was a statistically significant difference in De Jong Gierveld Loneliness Scale total score between the two groups, and the subscale scores of the experimental group decreased.

Conclusions: Laughter therapy may reduce loneliness in older adults.

Clinical relevance: Healthcare professionals, especially nurses, can potentially use laughter therapy to reduce loneliness in older adults.