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Effectiveness of using near-infrared vein visualizers by nurses in promoting successful peripheral venous catheterization in patients receiving chemotherapy 护士使用近红外静脉显像器促进化疗患者外周静脉置管成功的效果
Pub Date : 2022-02-24 DOI: 10.53044/jinr.2021-0014
Naoki Kuramoto, Yoriko Watanabe
Objective: Visibility and palpability of peripheral veins may affect peripheral intravenous catheterization (PIVC) failure and complications. A near-infrared (NIR) vein visualizer is recommended to select peripheral veins with low visibility. Chemotherapy reduces the number of peripheral veins suitable for PIVC; however, no study has shown that NIR vein visualizers can prevent PIVC failures during chemotherapy. We investigated the effectiveness of using an NIR vein visualizer by nurses for PIVC during chemotherapy. Technical Report: We investigated the vein characteristics (i.e., visibility, palpability), PIVC difficulty before puncture, and success or failure. The study field was a chemotherapy room at the General Hospital (Shizuoka, Japan). The study participants were nurses who performed PIVC in patients receiving chemotherapy. Six nurses were enrolled, and eighty-four PIVC cases were obtained (with duplicate patients). There were 34 cases in the NIR vein visualizer group and 50 in the standard insertion group; the NIR vein visualizer group had a significantly higher number of difficult PIVC cases (p < .01). Peripheral veins with successful PIVC in the NIR vein visualizer group had significantly higher visibility and palpability than those with PIVC failure (p < .05). Conclusions: During chemotherapy, nurses used an NIR vein visualizer for the peripheral veins deemed difficult to catheterize; PIVC was successfully performed in the peripheral veins with high palpability. The results showed that an NIR vein visualizer facilitates successful PIVC during chemotherapy.
目的:外周静脉的可见性和可触性可能影响外周静脉置管术(PIVC)的失败和并发症。建议使用近红外(NIR)静脉显像仪来选择能见度低的周围静脉。化疗减少了适合PIVC的周围静脉数量;然而,没有研究表明近红外静脉显像器可以预防化疗期间的PIVC衰竭。我们调查了护士在化疗期间使用近红外静脉显像器治疗PIVC的有效性。技术报告:我们调查了静脉特征(即可视性、触感)、穿刺前PIVC难度和成功或失败。研究地点为日本静冈县总医院的一间化疗室。研究参与者是为接受化疗的患者进行PIVC的护士。纳入6名护士,获得84例PIVC病例(有重复患者)。NIR静脉显像器组34例,标准插入组50例;近红外静脉显像器组出现PIVC困难病例数明显高于静脉显像器组(p < 0.01)。近红外静脉显像器组外周静脉PIVC成功组的可见性和触感明显高于PIVC失败组(p < 0.05)。结论:在化疗过程中,护士对难以置管的外周静脉使用近红外静脉显像仪;在高触感的外周静脉中成功进行了PIVC。结果表明,近红外静脉显像器有助于化疗期间成功的PIVC。
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引用次数: 1
Celebrating the launch of Journal of International Nursing Research 庆祝《国际护理研究杂志》创刊
Pub Date : 2022-02-24 DOI: 10.53044/jinr.2021-1002
Chia-Chin Lin
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引用次数: 0
Preface to the first issue of Journal of International Nursing Research 《国际护理研究杂志》第一期前言
Pub Date : 2022-02-24 DOI: 10.53044/jinr.2021-1003
K. Fukai
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引用次数: 0
Development of family empowerment programs for caregivers of children with disabilities at home: Interim report up to "implementation of pretesting" 为在家照顾残疾儿童的人制定家庭赋权计划:截至“实施预测试”的中期报告
Pub Date : 2022-02-24 DOI: 10.53044/jinr.2021-0004
Rie Wakimizu, H. Fujioka, Kaori Nishigaki, I. Sato, Naoko Iwata, Akemi Matsuzawa
Objective: For both children with disabilities and their families to continue living at home, families should achieve and maintain healthy family functioning. This is achieved by enhancing family empowerment. This pilot study systemizes the program development process and identifies the problems and results to move to the program implementation. Methods: The program was developed through a step-by-step process emphasizing on the previous research findings, theories, and collaboration with families. We identified the factors related to family empowerment from an in-depth interview study of 34 families and the Delphi method questionnaire survey of 158 professionals. Next, we identified a family empowerment model by a national survey of 1,659 families. We further reviewed literature on family intervention programs, set action goals based on the theoretical framework of program formulation, and finally developed a family empowerment program with the families. The problems and effectiveness of “implementation of pretesting” were qualitatively and quantitatively verified. Results: Through the program, the participants created eco-maps and life charts, dealt with issues in their daily lives, set goals for the life they wanted, worked toward those goals, and took actions to make adjustments in their lives and use resources. Due to the small number of participants, the efficacy of the program was not significantly confirmed; however, no adverse events were observed. Conclusions: We developed and pretested a participatory program to enhance family empowerment. As a pilot study, the results support the value of conducting the program on a larger scale. Further verification of the effects of our program is required.
目标:为了使残疾儿童及其家庭继续在家中生活,家庭应实现并维持健康的家庭功能。这是通过加强家庭赋权来实现的。这一初步研究系统化了项目开发过程,并确定了问题和结果,以推动项目的实施。方法:该计划是通过一个循序渐进的过程,强调以往的研究成果,理论和与家庭的合作。我们通过对34个家庭的深度访谈研究和对158名专业人员的德尔菲法问卷调查,确定了家庭赋权的相关因素。接下来,我们通过对1659个家庭的全国调查确定了一个家庭赋权模型。我们进一步回顾了家庭干预计划的相关文献,在计划制定的理论框架基础上设定了行动目标,并最终与家庭一起制定了家庭赋权计划。定性和定量地验证了“实施预测”的问题和有效性。结果:通过该项目,参与者绘制了生态地图和生活图表,处理了他们日常生活中的问题,为他们想要的生活设定了目标,为这些目标而努力,并采取行动调整他们的生活和资源利用。由于参与人数较少,该方案的有效性未得到显著证实;然而,没有观察到不良事件。结论:我们制定并预先测试了一个参与性计划,以增强家庭赋权。作为一项试点研究,结果支持在更大范围内实施该计划的价值。需要进一步验证我们的计划的效果。
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引用次数: 3
Dehydration of nurses working in the day shift and its factors: A multicenter cross-sectional observational study 白班护士脱水及其影响因素:一项多中心横断面观察研究
Pub Date : 2022-02-24 DOI: 10.53044/jinr.2021-0007
Ryutaro Kase, Yuji L. Tanaka, Ayumi Amemiya, Hisayoshi Sugawara, Masayoshi Saito, Akari Oouchi, Erina Matsushima, Hiroko Yorozu, Masatoshi Komiyama
Objective: Dehydration has a risk of reducing cognitive function, which can lead to misjudgment by nurses. Nurses are required to be in optimal physical and mental conditions since their misjudgments affect the lives of patients. Therefore, it is desirable to prevent dehydration in nurses; however, the prevalence and factors of dehydration in nurses have not been clarified. This study aimed to clarify dehydration prevalence in nurses and examine dehydration factors before and after their shift. Methods: Data were collected during the day shift of 115 registered nurses in 19 wards of 2 hospitals in Japan. Urine specific gravity (USG) and body weight were measured before and after the shift to determine dehydration. Questionnaires, including demographic characteristics and fluid intake, were recorded before and after their shift. Multivariate analysis was performed based on the fluid intake, number of steps, and years of experience as dehydration factors. Results: Overall, 59 (51.3%) and 82 (71.3%) nurses were dehydrated before and after their shift, respectively. USG before the shift (odds ratio [OR]: 2.328, 95% confidence interval [CI]: 1.424-3.807) and years of experience (OR: 0.946, 95% CI: 0.899-0.996) were factors related to dehydration at the end of the shift. USG before the shift (OR: 2.573, 95% CI: 1.347-4.914) was also a factor related to dehydration factors after the shift for beginner nurses. Conclusions: Over 70% of nurses were dehydrated after their shift. USG before the shift and years of experience were related to dehydration after the shift. To prevent dehydration, it is desirable for managers to encourage beginner nurses to drink water.
目的:脱水有降低认知功能的危险,可导致护士的误判。护士需要保持最佳的身心状态,因为他们的错误判断会影响患者的生命。因此,预防护士脱水是可取的;然而,护士脱水的患病率和因素尚未明确。本研究旨在了解护士轮班前后的脱水情况,并探讨护士轮班前后的脱水因素。方法:对日本2家医院19个病区的115名注册护士进行白班调查。在换班前后测量尿比重(USG)和体重,以确定脱水情况。调查问卷,包括人口特征和液体摄入量,记录在他们轮班前后。根据液体摄入量、步数和经验年数作为脱水因素进行多变量分析。结果:共有59名护士(51.3%)和82名护士(71.3%)在轮班前和轮班后出现脱水。轮班前的USG(优势比[OR]: 2.328, 95%可信区间[CI]: 1.424-3.807)和工作年限(OR: 0.946, 95% CI: 0.899-0.996)是轮班结束时脱水的相关因素。换班前USG (OR: 2.573, 95% CI: 1.347-4.914)也是初级护士换班后脱水因素的相关因素。结论:超过70%的护士在轮班后出现脱水。USG换班前和多年的经验都与换班后脱水有关。为了防止脱水,管理者鼓励初级护士喝水是可取的。
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引用次数: 0
Nursing students' understanding of children with disabilities in Japanese nursing education: A literature review 日本护理教育中护生对残疾儿童的认识:文献回顾
Pub Date : 2022-02-24 DOI: 10.53044/jinr.2021-0002
Akemi Nasu, Yoshimi Tsunekuni
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引用次数: 0
Announcing the launch of Journal of International Nursing Research 宣布《国际护理研究杂志》创刊
Pub Date : 2022-02-24 DOI: 10.53044/jinr.2021-1001
N. Hohashi
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引用次数: 0
The Effectiveness of Communication Board on Ease of Communication and Anxiety among Patients on Mechanical Ventilator 沟通板对机械呼吸机患者沟通缓解及焦虑的效果观察
Pub Date : 2022-01-01 DOI: 10.31690/ijnmi.2022.v07i02.002
T. Titus, R. Manimozhi, R. Ba
Background: Patients with physical and sensory disabilities, such as deafness, blindness, and patient with endotracheal intubation and mechanical ventilation have been shown to face considerable barriers when communicating with health-care professionals. Materials and Methods: The present study entitled effectiveness of communication board on communication pattern and level of anxiety. The research design adopted was pre-experimental non-equivalent, post-test only with control group design. A total number of 60 samples (30 samples for experimental group and 30 samples for control group) were selected using non-probability purposive sampling technique. The communication board was implemented as a strategy to communicate the needs of patients in the experimental group. The samples in control group were on routine treatment. About 2060 min after extubation, the post-test assessment of level of communication and anxiety was done using modified ease of communication scale and hospital anxiety and depression scale, respectively, in both experimental and control group. The data analysis was done using descriptive and inferential statistics. Results: In post-test, patients on mechanical ventilator had 6.93 ± 1.43 mean level of anxiety in the experimental group and 14.7 ± 2.28 mean level of anxiety in the control group, so the mean difference is 7.77 and the calculated independent t-test value is 1.93 and it is statistically significant at P < 0.05 level.
背景:有身体和感觉残疾的患者,如耳聋、失明,以及气管插管和机械通气的患者,在与卫生保健专业人员沟通时面临相当大的障碍。材料与方法:本研究题为“沟通板对沟通模式和焦虑水平的有效性”。研究采用实验前非等效设计,后验只采用对照组设计。采用非概率目的抽样技术,共选取60个样本(试验组30个,对照组30个)。沟通板作为一种策略来沟通实验组患者的需求。对照组采用常规治疗。拔管后约2060 min,实验组和对照组分别采用改进的交流便利量表和医院焦虑抑郁量表进行交流和焦虑水平的测试后评估。数据分析采用描述性统计和推理统计。结果:测试后,机械呼吸机患者焦虑水平均值实验组为6.93±1.43,对照组为14.7±2.28,平均差异为7.77,计算独立t检验值为1.93,P < 0.05水平上有统计学意义。
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引用次数: 0
Effect of Nurse-led Educational Program on Knowledge of Lifestyle Modification among Patients with Hypertension in Selected Hospital 选定医院护士主导教育项目对高血压患者生活方式改变知识的影响
Pub Date : 2022-01-01 DOI: 10.31690/ijnmi.2022.v07i04.001
Raksha Gedam, Suchita Sawant, G. Gholap
Introduction: Hypertension is the leading cause of cardiovascular disease and death in the world. Arecent estimate suggests that approximately billions of people have hypertension. Hypertension is a major public health problem in India and its prevalence is rapidly increasing among both urban and rural populations. To prevent high blood pressure, everyone should be encouraged to make lifestyle modifications, such as eating healthier diet (DASH diet), weight reduction and stress management, quit smoking and alcohol consumption, and getting more exercise. Since nurse-led educational program has proved to be effective tool in educating people, the researcher felt that by providing nurse-led educational program to hypertensive patients would be highly benefitted as they form a very vulnerable group of people. Aims: The aims of this study were to assess the effect of nurse-led educational program on knowledge of lifestyle modification among patients with hypertension in selected hospital. Materials and Methods: One group pre-and post-test research design was adopted. Astructured nurse-led educational program and questionnaire administered to asses pre-and post-test knowledge of lifestyle modification among patients with hypertension in selected hospital. Results: The analysis of the study found that there was a significant change (P < 0.05) in knowledge of the hypertensive patients. There was no association found between the various demographic variables and their pre-test knowledge. Conclusion: The nurse-led educational program proves to be effective in improving the knowledge regarding lifestyle modification among patients with hypertension.
高血压是世界上导致心血管疾病和死亡的主要原因。最近的一项估计表明,大约有数十亿人患有高血压。高血压是印度的一个主要公共卫生问题,其患病率在城市和农村人口中都在迅速增加。为了预防高血压,应该鼓励每个人改变生活方式,比如吃更健康的饮食(DASH饮食)、减肥和压力管理、戒烟和戒酒,以及多锻炼。由于护士主导的教育项目已被证明是一种有效的教育工具,因此研究者认为,针对高血压患者这一非常弱势的群体,开展护士主导的教育项目将会受益匪浅。目的:本研究的目的是评估护士主导的教育计划对选定医院高血压患者生活方式改变知识的影响。材料与方法:采用一组试验前和试验后研究设计。在选定的医院中,采用结构化的护士主导的教育计划和问卷调查来评估高血压患者改变生活方式的测试前后知识。结果:研究分析发现,对高血压患者的认知发生了显著变化(P < 0.05)。在各种人口统计变量和他们的测试前知识之间没有发现关联。结论:以护士为主导的教育项目对提高高血压患者生活方式改变的知识是有效的。
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引用次数: 0
To Assess the Satisfaction and its Influencing Factors with Online Teaching and Learning Activities during COVID-19 Pandemic among Nursing Students 新冠肺炎大流行期间护生在线教与学活动满意度及其影响因素评估
Pub Date : 2022-01-01 DOI: 10.31690/ijnr.2022.v08i04.003
J. Sharma, Anurag Bhagat
Background of Study: COVID-19 pandemic has forced universities across the world to suspend physical classroom and shift to online classes. To cover up the loss on education system, online teaching and learning activities have been started. Objectives: The study was conducted to assess satisfaction, explore the influencing factors and to find the association of satisfaction with online Teaching, Learning, and Assessment (TLA) during COVID-19 pandemic among nursing students with selected socio-demographic characteristics. Materials and Methods: A quantitative research approach, total enumerative sampling technique was used to select the sample, that is, 200. Data gathered using self-structured student satisfaction questionnaire and a checklist to find the influencing factors for satisfaction with online TLA during COVID-19 pandemic. Results: Out of 200 subjects, 121 (60.5) were indecisive. Study revealed that online technology related factors, learning resources and materials, teacher learner interaction, individual factors, and teacher factors were influencing factors, out of which majority of the subjects, that is, 175 (87.5%) faced connectivity problems, 143 (71.5%) were satisfied with the arrangement of learning material in a logical and understandable manner. There was a significant association of father’s education, type of connectivity having P = 0.031 and P = 0.043 with satisfaction of online TLA. Conclusion: The study findings revealed that more than 50% of students were indecisive and online technology related factors, learning resources and materials, individual factors, teacher factors were the major influencing factors. Father’s education and type of connectivity were found to be significantly associated with satisfaction of online TLA during COVID-19 pandemic.
研究背景:新冠肺炎疫情迫使世界各地的大学暂停实体课堂,转向在线课程。为了弥补教育系统的损失,网上教学活动已经开始。目的:对具有特定社会人口学特征的护生进行满意度评估,探讨其影响因素,并探讨其与COVID-19大流行期间在线教学、学习与评估(TLA)满意度的关系。材料与方法:采用定量研究方法,采用总枚举抽样技术选取样本,即200例。采用自构式学生满意度问卷和检查表收集数据,寻找COVID-19大流行期间在线TLA满意度的影响因素。结果:200名受试者中,有121人(60.5人)优柔寡断。研究发现,网络技术相关因素、学习资源和材料、师生互动、个人因素和教师因素是影响因素,其中大部分被试存在连通性问题,即175名(87.5%)被试存在连通性问题,143名(71.5%)被试对学习材料的逻辑排列和可理解性感到满意。父亲教育程度、连通性类型与在线辅导满意度存在显著相关(P = 0.031、P = 0.043)。结论:研究发现超过50%的学生犹豫不决,网络技术相关因素、学习资源和材料、个人因素、教师因素是主要影响因素。在COVID-19大流行期间,父亲的教育程度和连接类型与在线TLA满意度显著相关。
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引用次数: 0
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International journal of nursing research
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