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Journal of the American Academy of Nurse Practitioners最新文献

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Implementing a restorative care philosophy of care in assisted living: pilot testing of Res-Care-AL. 在辅助生活中实施恢复性护理理念:Res-Care-AL的试点测试。
Journal of the American Academy of Nurse Practitioners
Pub Date : 2009-02-01 DOI: 10.1111/j.1745-7599.2008.00394.x
Barbara Resnick, Elizabeth Galik, Ann L Gruber-Baldini, Sheryl Zimmerman

Purpose: The purpose of this study was to pilot test the feasibility of the Restorative Care for Assisted Living (Res-Care-AL) intervention. Res-Care-AL is a nurse-initiated intervention using a social ecological model and self-efficacy (SE)-based approach to implement a restorative care intervention for nursing home residents.

Data sources: Resident and nursing assistant (NA) outcome measures were obtained at baseline and 4 months postintervention. Resident outcomes included SE and outcome expectations, physical activity, function, resilience, social support for exercise, grip strength, and gait and balance, fear of falling, and quality of life. Outcomes associated with the NAs included SE and outcome expectations and knowledge and performance of restorative care.

Conclusions: At 4 months, the residents had better function (p = .05), grip strength (p = .05), and time spent in physical activity (p = .01). The NAs had a significant improvement in outcome expectations (p = .02) and a nonsignificant improvement in knowledge (p = .06), SE (p = .09), and performance of restorative care activities (p = .82).

Implications for practice: Nurse practitioners can effectively implement and facilitate restorative care interventions in AL settings using a theoretically based model and a nursing team.

目的:本研究的目的是对辅助生活恢复性护理(Res-Care-AL)干预的可行性进行先导试验。re- care - al是一项由护士发起的干预，利用社会生态模型和自我效能感(SE)为基础的方法，对养老院居民实施恢复性护理干预。数据来源:住院医师和护理助理(NA)结果测量在基线和干预后4个月获得。住院结果包括SE和结果预期、身体活动、功能、恢复力、运动的社会支持、握力、步态和平衡、跌倒恐惧和生活质量。与NAs相关的结果包括SE、结果预期、对恢复性护理的了解和表现。结论:在4个月时，住院患者的身体功能(p = 0.05)、握力(p = 0.05)和体力活动时间(p = 0.01)均有所改善。NAs在结果预期方面有显著改善(p = 0.02)，在知识(p = 0.06)、SE (p = 0.09)和恢复性护理活动表现方面无显著改善(p = 0.82)。对实践的启示:执业护士可以使用基于理论的模型和护理团队有效地实施和促进人工智能环境中的恢复性护理干预。
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引用次数: 43
Integrating innovative tools into the management of type 2 diabetes to improve patient self-management. 将创新工具整合到2型糖尿病的管理中，以改善患者的自我管理。
Journal of the American Academy of Nurse Practitioners
Pub Date : 2008-11-01
David F Kruger
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引用次数: 0
Current and emerging therapies: an overview of incretin-based therapy in the management of type 2 diabetes. 当前和新兴疗法:以肠促胰岛素为基础的治疗2型糖尿病的综述。
Journal of the American Academy of Nurse Practitioners
Pub Date : 2008-11-01
Richard E Pratley
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引用次数: 0
Insulin analog initiation and titration. 胰岛素类似物起始和滴定。
Journal of the American Academy of Nurse Practitioners
Pub Date : 2008-11-01
Debbie Hinnen
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引用次数: 0
A New Dawn for the Treatment of Type 2 Diabetes: Integrating Incretin Mimetics Into Clinical Practice. 治疗2型糖尿病的新曙光:将肠促胰岛素模拟物纳入临床实践。
Journal of the American Academy of Nurse Practitioners
Pub Date : 2007-11-01 DOI: 10.1111/j.1745-7599.2007.00286.x
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引用次数: 0
Clinical pearls and strategies to optimize patient outcomes. 优化患者预后的临床珍珠和策略。
Journal of the American Academy of Nurse Practitioners
Pub Date : 2007-01-01
Scott V Joy
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引用次数: 0
Hypertriglyceridemia and cardiovascular disease management. 高甘油三酯血症和心血管疾病的管理。
Journal of the American Academy of Nurse Practitioners
Pub Date : 2007-01-01
Ronald A Codario
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引用次数: 0
Tailoring patient care. 量身定制患者护理。
Journal of the American Academy of Nurse Practitioners
Pub Date : 2007-01-01
Carol M Mason
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引用次数: 0
Pathogenesis of CHD: the role of elevated triglycerides. 冠心病的发病机制:甘油三酯升高的作用。
Journal of the American Academy of Nurse Practitioners
Pub Date : 2007-01-01
Karol E Watson
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引用次数: 0
A New Dawn for the Treatment of Type 2 Diabetes: Integrating Incretin Mimetics Into Clinical Practice. 治疗2型糖尿病的新曙光:将肠促胰岛素模拟物纳入临床实践。
Journal of the American Academy of Nurse Practitioners
Pub Date : 2007-01-01 DOI: 10.1111/j.1745-7599.2007.000s1.x
D. Kruger
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引用次数: 1
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