Kango kenkyu. The Japanese journal of nursing research最新文献

This study examined how inpatients perceive environmental impacts using the ISM(Interpretive Structural Modeling)method. 18 new items among inpatients perceiving the environmental impacts were selected through a discussion with three researchers, two nurses, and six patients. This was applied to two inpatients who were not in the same ambulatory state in order to establish the validity of the structural models. As a result, the structuring models showed the difference depending on each patient. Therefore the structuring model is effective to assess the environmental impacts on individuals.

The purpose of this study is to investigate the relationships of professional autonomy in nursing with demographic and psychological variables. The measure of professional autonomy in nursing is constructed by five factors, "Cognition", "Performance", "Concrete judgement", "Abstract judgment" and "Independent judgment", respectively and interpreted to represent the professional work abilities of nursing. Age, years of experience of nursing, arrangement of work place in the hospital, position level and educational background of nursing are selected as demographic variables. Psychological variables used in this study were intention to continue at work as a nurse, work satisfaction and motivation, self confidence and self evaluated aptitude toward nursing. Three-hundred and seventy professional nurses in the public hospital were administered a questionnaire including the five-point scale for professional autonomy in nursing and several demographic and psychological variables. The main results were as follows: (1) Each of the sub-scale scores of professional autonomy in nursing had significant and positive correlations with age, years of experience, work satisfaction and motivation, self confidence and aptitude toward nursing. (2) Nurses worked at the intensive care unit and operation room were significantly higher scores of professional autonomy in nursing than the nurses at the ward and the outpatient clinic. (3) Professional autonomy in nursing was totally increasing with the increase of nurse's position and years of experience. (4) Self confidence, position level and the kind of nursing license were the most explicable variables of professional autonomy in nursing.

When we tested bacterial contamination in the linens of aged or chronically ill inpatients in a general hospital (114 beds), 11 out of 60 patients were found to have methicillin-resistant Staphylococcus aureus (MRSA). Two of these were MRSA infections. Furthermore, 6 patients mostly elderly and with chronic diseases, were newly infected with MRSA after this surveillance period. So as to clarify the transmission route of MRSA in the hospital, we classified 12 MRSA strains into 4 types by several criteria such as types of coagulase, enterotoxin, toxic-shock syndrome toxin, sensitivity to antibiotics, plasmid contents, and restriction endonuclease digestion patterns of chromosomal DNAs. At the same time, we followed up the movement of patients in wards and conditions of patient contact with medical staff in the hospital. The data obtained revealed a specific correlation between one of the MRSA strains and a doctor, suggesting a contribution from medical staff to the transmission of MRSA in the hospital. It is necessary, therefore, to practice more careful protection procedures against bacterial infection especially in hospitals for aged and chronically ill patients who are vulnerable to various infectious agents.

More than 20 years have passed since policies for dealing with intractable diseases have been instituted in Japan. This study was carried out to clarify which factors tend to promote a patient's subjective satisfaction with his or her quality of life. The subjects were 62 male and 51 female patients with Parkinson's disease. Their average age was 68.8 years. The results were as follows: 1. Patients placed more importance on trying to understand the pathophysiology of the disease than trying to improve their better-life with the disease. 2. Most male patients received care from a family member, whereas most female patients received care from a non-family member. 3. Multiple logistic regression analysis indicated that a) patients who understand how to improve their better-life with Parkinson's Disease are four times more satisfied(on-a subjective basis)than patients who do not understand how to improve their better-life, and b) patients who have a supportive caregiver are twice as satisfied as those who do not. These findings suggest that, in order to increase the subjective satisfaction of Parkinson's disease patients, it is important for them to have a supportive caregiver and to help them understand how to improve their better-life.

The purpose of this study was to describe the relationships between children with cancer and their siblings. Eighteen children with cancer and twenty-two of their siblings completed the questionnaire which included the 22 items related to the siblingship. Eighteen mothers answered the semi-structure interview, which asked the mother's recognitions of their family life during staying in hospital, the siblingships between patients and siblings, and the effects of childhood cancer on siblings. To determine their siblingship, responses of patients and siblings were compared with the criterion data using means and standard deviations of each item. In addition each item of mothers' data was calculated percentages to determine the effects on siblingships. It was suggested that the siblingships between patients and their siblings were similar to siblingship between healthy children. However, both children with cancer and their siblings had more positive feelings and less negative feelings each other. On the other hand, it was suggested that the effects of changes of their family life due to staying in hospital on siblings were severe.

In the present study, digital sphygmomanometer (SMmeter)(Omuron Digital 709 Fuzzy and Digital 806F)for family use and 24 hour ambulatory SMmeter were checked in terms of reproducibility (CV%) of blood pressure(BP) measured and comparison of measured BP with Digital SMmeter with those measured with mercury SMmeter, the golden standard. Reproducibility of BP measured with Hg-SMmeter was less than 4%, with each Digital SMmeter less than 9%. Inter-unit reproducibility was less than 5% in each SMmeter. Systolic BP measured with 24 hour ambulatory SMmeter were higher by 2-4% than BP measured with Hg-SMmeter, diastolic BP higher by 4-9%. Systolic BP measured with Digital 709 Fuzzy were higher by 5-10% than Hg-SMmeter in lower range of systolic BP to be actually measured, in 130-170 mmHg both values almost coincident, in more than 170 mmHg Digital 709 Fuzzy lower by 2-7%. Diastolic BP measured with Digital 709 Fuzzy were higher by 10-15% than Hg-SMmeter in lower range of diastolic BP to be actually measured. In more than 80 mmHg both values were almost coincident. Systolic BP with Digital 806F were higher by 1.5-7%, diastolic BP higher by about 10% than the value with Hg-SMmeter. In conclusion, by taking account of different reproducibilities and characteristics of SMmeter, home BP monitoring can be performed by patient or/and his family.