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Management of Volunteer Activities Among Elderly Persons 老年人志愿活动的管理
Pub Date : 2019-05-24 DOI: 10.5176/2345-7198_4.1.125
Hiroe Yanahara
Purpose: Volunteer activities in Japan may be expected to result in a variety of effects on health conditions and social contributions of the elderly depending on the degree of their activity participation. This study aims to identify differences in the health conditions and social contributions of the elderly in relation to the degree of volunteer activity participation, and determine what effective support can be provided for these elderly persons. Further, focusing on the differences in the level of activity of the elderly persons in volunteer activities, we discuss the effect of management through SWOT analysis from the perspectives suggested by the Balanced Scorecard (BSC), which is a performance management tool. Participants and Methods: The participants are elderly persons participating in volunteer activities, living in municipal housing owned by the Kumamoto prefecture in Japan. We classified the participants into an active group who contributed to the raising of funds for activities, and a non-active group. We conducted group interviews with the volunteers, organized interview data on the thoughts of the two groups according to the five perspectives of the balanced score card (BSC) management tool: (1) learning and development, (2) participants, (3) financial matters, (4) process of conducting activities, and (5) social contributions, and conducted a Strength-Weakness-OpportunityThreat (SWOT) analysis. In the SWOT analysis internal factors are distinguished into strengths and weaknesses, and external factors into opportunities and threats. Combining the internal and external factors, problems were extracted from the perspective of a positive strategy (S+O: strength + opportunity), a differentiation strategy (S+T: strength L threat), a stepwise strategy (W+O: weakness + opportunity), and a defensive strategy (W+T: weakness + threat). Then, we confirmed the main results by identifying the major factors in success to achieve salient aims, activity goals, and specific measures from the five perspectives provided by the BSC. Results: When comparing the strengths of the two groups, the active group showed the following characteristics in the information collecting: more variety in the collected information (perspective of learning and development), ease of obtaining information of potential volunteers (perspective of participants), knowledge of how to raise funds (perspective of financial matters), and being physically more active and knowledgeable of the local community (perspective of social contributions).From the perspective of the process of conducting activities, both groups place importance on the relations among people. For weaknesses, and from the perspective of learning and development, the active group had difficulty in maintaining their motivation, and from the perspective of financial matters this group had difficulties in securing funds. From the perspective of social contributions, the non-active group depended on the active me
目的:日本的志愿者活动可能会对老年人的健康状况和社会贡献产生各种影响,这取决于他们参与活动的程度。本研究旨在确定老年人的健康状况和社会贡献与志愿者活动参与程度之间的差异,并确定可以为这些老年人提供哪些有效支持。此外,针对老年人在志愿者活动中活动水平的差异,我们从绩效管理工具平衡记分卡(BSC)的角度,通过SWOT分析讨论了管理的效果。参与者和方法:参与者是参加志愿者活动的老年人,居住在日本熊本县拥有的市政住房中。我们将参与者分为一个为活动筹集资金做出贡献的积极小组和一个非积极小组。我们对志愿者进行了小组访谈,根据平衡计分卡(BSC)管理工具的五个角度组织了两组人的思想访谈数据:(1)学习和发展,(2)参与者,(3)财务问题,(4)开展活动的过程,以及(5)社会贡献,并进行了强弱项机会阈值(SWOT)分析。在SWOT分析中,内部因素分为优势和劣势,外部因素分为机遇和威胁。结合内外部因素,从积极策略(S+O:力量+机会)、差异化策略(S+T:力量L威胁)、逐步策略(W+O:弱点+机会)和防御策略(W+T:弱点+威胁)的角度提取问题。然后,我们从BSC提供的五个角度确定了成功实现显著目标、活动目标和具体措施的主要因素,从而确认了主要结果。结果:当比较两组的优势时,活跃组在信息收集方面表现出以下特点:收集的信息种类更多(学习和发展的角度),容易获得潜在志愿者的信息(参与者的角度)、了解如何筹集资金(财务的角度),从开展活动的过程来看,两个群体都重视人与人之间的关系。对于弱点,从学习和发展的角度来看,积极的群体很难保持他们的动机,从财务问题的角度来看这一群体很难获得资金。从社会贡献的角度来看,非活跃群体依赖于活跃成员。从参与者的角度来看,这两组人的身体功能都随着年龄的增长而下降,从活动过程的角度看,家庭或个人情况可能使他们难以参与所有活动。在SWOT分析中,结合内外部因素,从平衡计分卡的五个角度对志愿者活动的方向性进行了评价。从学习和发展的角度来看,无论老年人在志愿者活动中的活动水平如何,志愿者成员都进行了签名收集活动,呼吁周围居民继续为他们做志愿者活动,这使志愿者活动得以继续。从开展活动的过程来看,无论老年人在志愿者活动中的活动水平如何,志愿者成员都会积极发表言论,并开始自愿承担角色。从财务角度来看,志愿者成员能够从邻居那里获得志愿者活动的捐款。我们声明我们没有利益冲突。DOI:10.5176/2345-71984_4.1.125©作者2019。本文由GSTF特刊公开发表:《GSTF护理与健康护理杂志》(JNHC)第4卷第1期,2019年5月
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引用次数: 0
Compassion Fatigue among Healthcare Personnel in Acute Care Contexts: An Integrative Review 急性护理环境下医护人员的同情疲劳综合评价
Pub Date : 2019-05-24 DOI: 10.5176/2345-7198_4.1.114
Kam Ki Stanley LAM
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引用次数: 0
Causal Model of Work Engagement among Registered Nurses and Licensed Practical Nurses Working in Long-Term Care Contexts in Japan 日本长期护理环境中注册护士和执业护士工作投入的因果模型
Pub Date : 2019-05-24 DOI: 10.5176/2345-7198_4.1.136
Chiaki Kinouchi
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引用次数: 1
Pink Cloud Syndrome Among Ruled Drug Users in Iligan City Drug Treatment and Rehabilitation Center (ICDTRC) 伊犁市戒毒康复中心吸毒人员红云综合征
Pub Date : 2019-05-24 DOI: 10.5176/2345-7198_4.1.138
J. I. T. Galinato
Substance abuse is a global challenge with an inimical effect on an individual’s health. It has been associated with crime, violence, risky behaviour, and poor health consequences. The term “Pink Cloud” is used to describe a state in which a person undergoing treatment manifests euphoria, overconfidence, and a false sense of well-being, therefore making them vulnerable to relapse. This study determined the demographic profile, and risk status for relapse, and motivation, readiness for and retention in treatment of ruled drug users in ICDTRC and their corresponding relationships with one another. The researchers utilized a descriptive-correlational design and two modified questionnaires were employed to 22 respondents. The data obtained were analyzed through Pearson Correlational Formula. It was found that 13 or 59% of the respondents are not at risk for relapse. There is a direct relationship between their risk status for relapse and gender, educational attainment, marital status, employment status, and length of stay in rehab. Furthermore, majority of the respondents have medium to high motivation, readiness for and retention in treatment, which has an inverse relationship with their age, marital status, employment status, and length of stay in rehab. The researchers conclude that men have a higher rate of drug abuse than women and being single, unemployed, having a high education level and low income may increase one’s risk for drug use. Additionally, single, unemployed, and younger respondents who stayed for less than 90 days in rehab tended to have better motivation to retain treatment. Thus, it is imperative for symptoms of relapse to be continually assessed throughout the treatment program to promote a lasting recovery. Increasing awareness on Pink Cloud Syndrome and its symptoms through health teaching and use of a targeted treatment approach for each individual are also recommended to improve treatment outcome.
药物滥用是一项全球性挑战,对个人健康有不利影响。它与犯罪、暴力、危险行为和不良健康后果有关。“粉红云”一词被用来描述一种状态,在这种状态下,接受治疗的人表现出欣快、过度自信和虚假的幸福感,因此他们很容易复发。本研究确定了ICDTRC中被管制吸毒者的人口学概况、复发风险状况、治疗动机、准备情况和保留情况,以及他们彼此之间的相应关系。研究人员采用描述性相关设计,对22名受访者进行了两份修改后的问卷调查。通过Pearson相关公式对所得数据进行分析。研究发现,13%或59%的受访者没有复发的风险。其复吸风险状况与性别、受教育程度、婚姻状况、就业状况及复吸时间有直接关系。此外,大多数受访者对治疗的动机、准备度和保留度均为中高,且与年龄、婚姻状况、就业状况和康复时间成反比。研究人员得出结论,男性滥用药物的比例高于女性,单身、失业、受教育程度高、收入低可能会增加一个人吸毒的风险。此外,单身、失业和年轻的受访者在康复中心停留少于90天的倾向于有更好的动机继续治疗。因此,必须在整个治疗过程中持续评估复发症状,以促进持久的恢复。还建议通过健康教学和对每个人使用有针对性的治疗方法来提高对粉红云综合征及其症状的认识,以改善治疗效果。
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引用次数: 0
The Process of Identity Adaptation(Oriai) in Community-Dwelling People with Schizophrenia. -Results from Content Analyses and Text Mining 精神分裂症社区居民的身份适应过程内容分析和文本挖掘的结果
Pub Date : 2019-05-24 DOI: 10.5176/2345-7198_4.1.134
H. Setoguchi
— T his study aimed to further elucidate the process of identity adaptation in people with schizophrenia by talking t o them about their illness. Semi-structured interviews were conducted with nine community-dwelling people with schizophrenia. Analysis was performed using Krippendorf’s approach , and Text Mining. Eleven content categories were derived: “ illness acceptance” , “ self-control” , “ help from family” , “ help from friends” , “ help from doctors or nurses” , “ modifying thinking” , “ social roles and activities” , “ worthwhile work” , “ enjoyment of life” , “ being happy” , and “ being free” . Participants with schizophrenia were found to attain “ illness acceptance” based on “ help from family” , “ help from friends” , and “ help from doctors and nurses” . Text mining results is 400 keywords were identified. The top 5 in order of importance and frequency were: “omou” (feel/think), “naru” (become), “iu” (say), “suru” (do), and “kusuri” (medication).As a result of an interactive process surrounding the concepts of “ illness acceptance” , “ self-control” and “ modifying thinking” the participants sought out “ social roles and activities” and “ worthwhile work” to acquire a social identity. Thus, it was found that the participants felt they “ enjoyed life and were happy” and “ they were free”, because they were productive members of society.
--本研究旨在通过与精神分裂症患者谈论他们的疾病,进一步阐明他们的身份适应过程。对9名居住在社区的精神分裂症患者进行了半结构化访谈。使用Krippendorf的方法和文本挖掘进行分析。得出了11个内容类别:“接受疾病”、“自我控制”、“来自家人的帮助”、“朋友的帮助”,“来自医生或护士的帮助”“改变思维”“社会角色和活动”“有价值的工作”“享受生活”“快乐”和“自由”。研究发现,患有精神分裂症的参与者在“家人的帮助”、“朋友的帮助”和“医生和护士的帮助”的基础上获得了“疾病接受”。文本挖掘结果是识别了400个关键词。重要性和频率排名前五的是:“omou”(感觉/思考)、“naru”(成为)、“iu”(说)、“suru”(做)和“kusuri”(药物),“自我控制”和“修正思维”参与者寻求“社会角色和活动”和“有价值的工作”来获得社会身份。因此,研究发现,参与者觉得他们“享受生活,快乐”和“自由”,因为他们是社会中富有生产力的成员。
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引用次数: 0
The Psychometric properties of dementia knowledge scales: A Systematic Review 痴呆症知识量表的心理测量特性:系统综述
Pub Date : 2019-05-24 DOI: 10.5176/2345-7198_4.1.119
Phan Thi Thu-Huong
Dementia prevalence is accelerating internationally commensurate with population aging causing suffering from families as well as society burden because it is generally met with misunderstanding, fear, and stigma. Therefore, it is hoped that efforts to increase awareness, reduce stigma, and clarify misunderstandings of the illness can enable early detection of dementia. There are many different tests that were used to assess dementia knowledge however the use of inferior methods could account for some inconsistent findings related to dementia knowledge. It is important to define robustness of the psychometric properties of dementia knowledge tools. The aim of this study is to provide a systematic overview of what is known from previous research on assessing the reliability and validity of psychometric properties of dementia knowledge scales. A systematic literature search (2009 2017) was performed using the electronic databases PubMed, Web of science and Google scholar in English and Vietnamese. References and citations were tracked to identify additional, relevant studies basing on study eligibility criteria and excluded criteria. Five original studies were recruited from 562 studies in the selected databases for analyzing of the measurement properties of dementia knowledge scales. Quality judgment criteria were formulated and used to evaluate the psychometric aspects of the scales. Results: This systematic review revealed 4 dementia knowledge scales (ADKS, DKAS, DK-20, DKAT2) in 5 selected researches. Our findings (based on quality judgment criteria relating to validity, reliability, feasibility) demonstrate that ADKS, DKAS show good psychometric qualities, ranging from 15-17 score of psychometric qualities of dementia knowledge scale. The last two (DK-20 and DKAT2) scored 11 and 13 points of a maximum quality score of 20, respectively, so their psychometric quality can be regarded as moderate. Therefore, these tools await confirmation of various aspects of their psychometric properties. Conclusion: Based on the psychometric qualities, we concluded that ADKS and DKAS are the appropriate scales currently available. Further research should focus on improving these scales by further testing their validity, reliability, and utility. Keywords-component: Knowledge; Scale; dementia; Alzheimer; reliability; validity. Special Issue : GSTF Journal of Nursing and Health Care (JNHC) Vol.4 No.1, May-2019 DOI: 10.5176/2345-7198_4.1.119 ©The Author(s) 2019. This article is published with open access by the GSTF
痴呆症在国际上的流行率正在加速,这与人口老龄化相称,造成家庭和社会负担的痛苦,因为它通常会遇到误解、恐惧和耻辱。因此,希望通过努力提高人们的认识,减少耻辱感,澄清对这种疾病的误解,能够早期发现痴呆症。有许多不同的测试用于评估痴呆症知识,但使用较差的方法可能会导致与痴呆症知识相关的一些不一致的结果。定义痴呆症知识工具的心理测量特性的稳健性是很重要的。本研究的目的是系统地概述先前关于评估痴呆症知识量表心理测量特性的可靠性和有效性的研究。使用电子数据库PubMed、Web of science和谷歌学者的英语和越南语进行了系统的文献检索(20092017)。根据研究资格标准和排除标准,追踪参考文献和引文,以确定其他相关研究。从选定数据库中的562项研究中招募了5项原始研究,用于分析痴呆症知识量表的测量特性。制定了质量判断标准,并用于评估量表的心理测量方面。结果:本系统综述在5项选定的研究中揭示了4种痴呆知识量表(ADKS、DKAS、DK-20、DKAT2)。我们的研究结果(基于与有效性、可靠性和可行性相关的质量判断标准)表明,ADKS、DKAS表现出良好的心理测量质量,痴呆知识量表的心理测量品质得分在15-17分之间。最后两个(DK-20和DKAT2)分别得了11分和13分,最高质量分数为20,因此他们的心理测量质量可以被视为中等。因此,这些工具等待着对其心理测量特性的各个方面的确认。结论:根据心理测量的特点,我们得出结论,ADKS和DKAS是目前可用的合适量表。进一步的研究应侧重于通过进一步测试其有效性、可靠性和实用性来改进这些量表。关键词组成部分:知识;规模痴呆;阿尔茨海默病;可靠性有效性特刊:GSTF《护理与健康护理杂志》(JNHC)第4卷第1期,2019年5月DOI:10.5176/2345-71988_4.1.119©作者2019。本文由GSTF以开放访问的方式发布
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引用次数: 3
Public Health Implications of metals concentrations from prescribed burns: A study adjacent to the Perth Metropolitan Area. 规定烧伤金属浓度对公共健康的影响:珀斯大都会区附近的一项研究。
Pub Date : 2019-05-24 DOI: 10.5176/2345-7198_4.1.118
J. Edwards
Ash is not a homogenous product. It is the solid residue of combustion and contains a complex mixture of chemical products. The ash residue resulting from fires varies and is dependent on its source, and burn characteristics such as the temperature of the fire. Ash comprises particles of carbon, soot and trace elements. Ash presents public health risk to people and communities, through direct and indirect ingestion and inhalation. The health effects of ash exposure are not limited to symptoms affecting the eyes, throat and lungs. They can contribute to chronic disease and increase the risk of cancer. The purpose of this study was to evaluate the public health implications of controlled burns in the Darling Escarpment, adjacent to Perth’s metropolitan area in Western Australia. Concentrations of metals in unburnt vegetative litter and ash (post burn), stratified by size fraction, were determined to assess the potential mobilisation of metals caused by prescribed burns and the potential public health implications associated with burns. These data can also be used in predictive modelling to ascertain the amount of metals likely to be released per hectare when authorities plan future burns in the area. Ash samples were collected immediately following the fire to capture fine material before it was blown away. The ash samples were separated into size fractions to investigate whether there are differences within each sub sample. Australia’s National Environmental Protection Measures were used to establish whether the metal concentrations were above designated thresholds for health and environmental investigation, these being the recognised levels above which metals are deemed to pose a risk to public (or environmental) health. Vegetation and ash samples were collected from three sites immediately after the prescribed burn. Samples were analysed for thirteen (13) metals with nine (9) showing statistically significant increases in concentrations in vegetation as compared to ash. The percentages of metals are higher in ash than in vegetative ground litter. The metals identified are Manganese Vegetation (158.3 ± 89.3 mg/kg), Ash (442.2 ± 462.6 mg/kg); Barium Vegetation (19.4 ± 25.3 mg/kg); Ash (41.8 ± 62.7 mg/kg); Zinc Vegetation (15.3 ± 9.7 mg/kg), Ash (25.6 ± 29.7 mg/kg); Vanadium Vegetation (31.0 mg/kg ± 76.3 mg/kg), Ash (32.2 mg/kg ± 51.0 mg/kg); Copper Vegetation (4.2 ± 1.5 mg/kg), Ash (10.9 ± 9.8 mg/kg); Chromium (Total) Vegetation (8.3 ± 15.6 mg/kg), Ash (9.6 ± 12.4 mg/kg); Lead Vegetation (6.1 ± 8.3 mg/kg), Ash (12.2 ± 8.5 mg/kg); Nickel Vegetation (2.2 ± 2.2 mg/kg), Ash (4.7 ± 4.4mg/kg) and Cadmium Vegetation (0.6 ± 0.9 mg/kg), Ash (0.6 ± 0.9 mg/kg). The ash samples were sieved through three aperture’s (2-4 mm, 1-2 mm, <1 mm) to stratify the samples by size fraction and concentrations in all but three of the metals increased as the ash size decreased. It was demonstrated that the level of metal present within the ash samples did not exceed health
灰烬不是一种同质的产品。它是燃烧的固体残留物,含有复杂的化学产物混合物。火灾产生的灰烬残留物各不相同,取决于其来源和燃烧特性,如火灾温度。灰烬包括碳颗粒、烟灰和微量元素。灰烬通过直接和间接摄入和吸入给人们和社区带来公共健康风险。灰烬暴露对健康的影响不仅限于影响眼睛、喉咙和肺部的症状。它们可能导致慢性病,并增加患癌症的风险。本研究的目的是评估达令悬崖受控烧伤对公共健康的影响,达令悬崖毗邻西澳大利亚珀斯大都会区。测定未燃烧的植物垃圾和灰烬(烧伤后)中的金属浓度,按大小分数分层,以评估规定烧伤引起的金属的潜在运动以及与烧伤相关的潜在公共健康影响。这些数据也可用于预测建模,以确定当局计划该地区未来焚烧时每公顷可能释放的金属量。火灾发生后立即收集灰烬样本,以在被吹走之前捕获精细材料。将灰烬样品分为大小部分,以调查每个子样品中是否存在差异。澳大利亚的国家环境保护措施用于确定金属浓度是否高于健康和环境调查的指定阈值,这些阈值是公认的金属对公众(或环境)健康构成风险的水平。在规定的烧伤后立即从三个地点采集植被和灰烬样本。对样本中的十三(13)种金属进行了分析,其中九(9)种显示,与灰烬相比,植被中的浓度在统计上显著增加。灰烬中的金属百分比高于营养地面垃圾中的金属。鉴定的金属为锰植被(158.3±89.3 mg/kg)、灰烬(442.2±462.6 mg/kg);钡植被(19.4±25.3 mg/kg);灰分(41.8±62.7 mg/kg);锌植被(15.3±9.7 mg/kg),灰分(25.6±29.7 mg/kg);钒植被(31.0 mg/kg±76.3 mg/kg)、灰分(32.2 mg/kg±51.0 mg/kg);铜植被(4.2±1.5 mg/kg),灰烬(10.9±9.8 mg/kg);铬(总)植被(8.3±15.6 mg/kg)、灰分(9.6±12.4 mg/kg);铅植被(6.1±8.3 mg/kg),灰烬(12.2±8.5 mg/kg);镍植被(2.2±2.2 mg/kg)、灰分(4.7±4.4 mg/kg)和镉植被(0.6±0.9 mg/kg)、灰烬(0.6±0.9mg/kg)。通过三个孔径(2-4 mm、1-2 mm、<1 mm)对灰分样品进行筛分,以按粒度分数和除三种金属外的所有金属的浓度对样品进行分层。经证明,灰烬样本中的金属含量未超过健康调查水平,除锰外,也未超过环境调查水平。如果留在原地,金属不太可能构成风险。然而,建模估计了金属的释放量,并确定金属如果被风或水调动,可能会带来后续风险。这种动员的可能性很高,因此这一发现对周围社区的公共卫生有影响,这些社区暴露于与森林大火有关的金属的风险增加。这项研究的发现通过更好地了解灰烬的成分以及通过空气沉积或径流的潜在分布的影响,有助于管理规定的烧伤。这项研究的数据可用于对类似植被环境的烧伤可能导致的重金属迁移进行预测建模。在集水区进行焚烧的情况下,这一点尤为重要。关键词烟雾,灰烬,规定烧伤,重金属。
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引用次数: 0
Shifting pedagogical priorities in facilitating mixed methods research including postgraduate student’s reflections. 改变教学重点,促进混合方法研究,包括研究生的反思。
Pub Date : 2018-01-01 DOI: 10.5176/2345-7198_5.1.8
J. Gilmartin, P. Esterhuizen
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引用次数: 0
Gender differences in sleeping hours and recovery experience among psychiatric nurses in Japan 日本精神科护士睡眠时间与康复经验的性别差异
Pub Date : 2018-01-01 DOI: 10.5176/2345-7198_5.1.23
Narumi Ooshige, Mitsuyo Nakashima, T. Tobina, Tae Yamaguchi, K. Minematsu, N. Tsunawake
— In their attempts to balance sleep routines with service schedules, nurses working in shifts are at risk for developing sleep disorders. Furthermore, considerable stress. In recent years, research has acknowledged the importance of activities other than work, and in particular recovery experiences. Therefore, the current study aimed to explore gender differences in sleeping hours and recovery experience of psychiatric nurses from a 16-hour shift to two days off duty. We found that males went to bed late and that females rose slightly early on days where they worked night shifts. On average, the sleeping hours of males were about 2 hours longer than were those of females. Furthermore, sleeping hours was positively related to mastery in males, while in females working hours was negatively related to psychological detachment and relaxation. Before the night shift, females engaged more housekeeping and used short sleeping hours during rest to compensate for the lack of sleep. Thus, recovery experience had different relationships with various life activities between male and female nurses. The results highlighted the need for health management interventions for nurses working in shifts that consider sex differences.
-轮班工作的护士在努力平衡睡眠习惯和服务时间表的过程中,有患睡眠障碍的风险。此外,相当大的压力。近年来,研究已经认识到工作以外的活动的重要性,特别是恢复经验。因此,本研究旨在探讨精神科护士从16小时轮班到两天休息的睡眠时间和康复体验的性别差异。我们发现,在上夜班的日子里,男性睡得晚,而女性起得稍早。平均而言,男性的睡眠时间比女性长2小时左右。此外,睡眠时间与男性的精通程度呈正相关,而女性的工作时间与心理超然和放松程度呈负相关。在上夜班之前,女性会做更多的家务,并在休息时缩短睡眠时间,以弥补睡眠不足。由此可见,男女护士的康复体验与各项生活活动之间存在不同的关系。研究结果强调了轮班护士在考虑性别差异的情况下进行健康管理干预的必要性。
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引用次数: 0
Diabetic Foot Care Knowledge and Behaviors of Individuals with Diabetes Mellitus in Indonesia 印度尼西亚糖尿病患者的糖尿病足护理知识和行为
Pub Date : 2018-01-01 DOI: 10.5176/2345-7198_5.1.4
Sulistyo Ahs, W. Sae-Sia, K. Maneewat
The most common diabetes mellitus (DM) complication is diabetic foot ulcer (DFU), which is costly and has devastating adverse effects. It was found that 6.8 % of DM patients suffered from DFU. According to Indonesian Hospital Association, DFU was reported to cause an amputation rate of 15-30 %. The aims of this study were to assess the levels of diabetic foot care knowledge and behaviors and its relationship among diabetic patients attending Public Health Center at Bojonegoro, East Java, Indonesia. Eighty-one participants with DM were selected from two public health centers based on inclusion criteria. Modified Diabetic Foot Care Knowledge and Modified Diabetic Foot Care Behaviors Questionnaires were used in this study. The diabetic foot care knowledge and behaviors were categorized into 3 levels as poor (<60%), moderate (60-80%), and good (>80%). Data were analyzed by descriptive statistics. Pearson correlation coefficient was employed to analyze the correlation between diabetic foot care knowledge and behaviors among participants. Based on the result, the diabetic foot care knowledge score was at poor level (M = 57.8, SD = 14.6) of which 39.5 % of them had poor knowledge, 58 % had moderate and only 2.5 % had good knowledge. Diabetic foot care behaviors was at poor level (M = 46.7, SD = 10.9%) of which 86.4 % of them had poor behaviors and the remaining of 12.3 % had moderate behaviors. The correlations between diabetic foot care knowledge and behaviors were not significantly correlated (p = .09). The diabetic foot care knowledge and behaviors are still become the biggest concern among diabetic’s patients in Indonesia. This study showed that DM patients with good knowledge of DM foot care might not always transform their knowledge into practices. Further research is needed to enhance diabetic foot care knowledge and behaviors among DM patients in Indonesia.
糖尿病(DM)最常见的并发症是糖尿病足溃疡(DFU),这是一种昂贵且具有破坏性副作用的疾病。发现6.8%的糖尿病患者存在DFU。根据印度尼西亚医院协会的报告,DFU造成的截肢率为15- 30%。本研究旨在了解在印尼东爪哇省Bojonegoro市公共卫生中心就诊的糖尿病患者的糖尿病足部护理知识和行为水平及其关系。根据纳入标准,从两个公共卫生中心选择81名糖尿病患者。本研究采用修改后的糖尿病足部护理知识和修改后的糖尿病足部护理行为问卷。糖尿病足部护理知识和行为分为3级差(80%)。资料采用描述性统计分析。采用Pearson相关系数分析受试者糖尿病足部护理知识与行为的相关性。结果显示,糖尿病足部护理知识得分处于较差水平(M = 57.8, SD = 14.6),其中39.5%的患者知识较差,58%的患者知识中等,仅有2.5%的患者知识较好。糖尿病足部护理行为处于较差水平(M = 46.7, SD = 10.9%),其中86.4%为不良行为,12.3%为中度行为。糖尿病足部护理知识与行为之间无显著相关(p = .09)。糖尿病足护理知识和行为仍成为印尼糖尿病患者最关心的问题。本研究表明,对糖尿病足部护理有良好认识的糖尿病患者可能并不总能将其知识转化为实践。需要进一步的研究来提高印尼糖尿病患者的糖尿病足护理知识和行为。
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引用次数: 11
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GSTF journal of nursing and health care
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