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Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses最新文献

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Engaging Rehabilitation Technicians through a Career Ladder During a Pandemic. 在大流行期间通过职业阶梯吸引康复技术人员。
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引用次数: 0
Examining a Fatigue Management Model for Older Individuals. 检验老年人疲劳管理模型。
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引用次数: 0
Leading change. 主要的变化。
Ruth Ann Kiefer
Teamwork remains a big part of a rehabilitation unit's success. What do you do when there is dissension within the ranks and each shift becomes segregated, is resentful of the other, and spends a good part of each day complaining about the inadequacies of the current system? At one facility, patient falls, staff injuries, and workers' compensation cases were on the rise. Work became a chore that few looked forward to. Staff call-out rates increased, which added to the workload of the remaining staff A program was developed that provided a "tag-team" approach to care delivery for rehabilitation patients. Nurses and clinical assistants worked in pairs as they provided care. No single-person positioning and transfers were done when there was a clear need for two people. One staff member was not assigned to complete total care for patients when two staff members could complete the task more safely and efficiently. This "tag-team" approach produced positive outcomes with regard to patient and staff satisfaction.
团队合作仍然是康复中心成功的重要因素。当队伍内部出现分歧,每个班次都被隔离,彼此怨恨,每天花很长时间抱怨当前制度的不足时,你会怎么做?在一家医院,病人跌倒、员工受伤和工人赔偿案件呈上升趋势。工作成了一件很少有人期待的苦差事。工作人员出诊率增加,这增加了其余工作人员的工作量。制定了一个方案,为康复患者提供“标签团队”护理。护士和临床助理结对提供护理。当明确需要两个人的时候,不会进行单人定位和转移。当两名工作人员可以更安全和有效地完成任务时,没有分配一名工作人员来完成对患者的全面护理。这种“标签团队”方法在患者和员工满意度方面产生了积极的结果。
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引用次数: 0
Collaboration Between Cancer Survivorship and Rehabilitation Programs With Head and Neck Patients. 头颈部患者癌症生存与康复项目的合作。
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引用次数: 0
Diagnosis and Treatment of Edema and Lymphedema in the Cancer Patient. 肿瘤患者水肿和淋巴水肿的诊断和治疗。
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引用次数: 2
The Impact of Stroke Nurse Navigation on Patient Compliance Postdischarge. 脑卒中护士导航对患者出院后依从性的影响。
T. Deen, T. Terna, Elizabeth Kim, B. Leahy, Wende N. Fedder
Purpose: The purpose of this study was to describe the impact a stroke nurse navigation program has on concurrent chart reviews and patient compliance postdischarge. Design: Phase I: Concurrent chart review of The Joint Commission Primary Stroke Center core measures for ischemic stroke patients. Phase II: Longitudinal study of 100 ischemic stroke patients discharged to home. Methods: Telephone surveys were conducted at prescribed intervals posthospital discharge (Phase II). Surveys focused onmedication compliance, follow-up medical appointment compliance, and neurovascular emergency department (ED) visits/readmissions. Findings: Phase I trends included increased stroke performancemeasures compliance. Phase II favorable trends included increased medication compliance (>98%), increased follow-up appointments (100%), decreased rate of neurovascular ED visits/rehospitalizations (3%), and improvement in activities of daily living and quality of life measures through 12 months postdischarge. Conclusions: Stroke nurse navigation increased conformity of stroke performance measures and stroke patient discharge compliance through 12 months postdischarge.
目的:本研究的目的是描述脑卒中护士导航程序对并发病历回顾和患者出院后依从性的影响。设计:第一阶段:联合委员会初级卒中中心对缺血性卒中患者核心措施的并发图表回顾。II期:100例缺血性脑卒中出院患者的纵向研究。方法:每隔一段时间在出院后(第二阶段)进行电话调查。调查的重点是药物依从性、随访医疗预约依从性和神经血管急诊科(ED)就诊/再入院。结果:I期趋势包括卒中表现依从性增加。II期的有利趋势包括药物依从性增加(>98%),随访预约增加(100%),神经血管急诊科就诊/再住院率下降(3%),出院后12个月的日常生活活动和生活质量指标改善。结论:卒中护士导航提高了卒中表现指标的符合性和卒中患者出院后12个月的依从性。
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引用次数: 4
Stroke Survivor and Family Caregiver Reports of Caregiver Engagement in Stroke Care. 中风幸存者和家庭照护者照护者参与中风照护的报告。
William E. Haley, V. Marino, O. Sheehan, J. D. Rhodes, B. Kissela, D. L. Roth
PURPOSEThe aim of the study was to identify areas of caregiver engagement in stroke care as viewed by stroke survivors and family caregivers.DESIGNInterviews with stroke survivor/caregiver dyads (N = 71) from a population-based study of incident stroke.METHODSWe interviewed stroke survivors and caregivers about caregiver involvement at multiple stages of stroke care. We assessed similarities and differences between stroke survivor and caregiver reports and analyzed responses to open-ended questions.FINDINGSStroke survivor and caregiver reports of engagement were highly correlated (r = .89), although caregivers reported higher involvement. Open-ended comments suggested that, in about 25% of cases, stroke survivors and caregivers agreed that caregiver engagement led to major improvements in stroke survivor care, most commonly during onset of symptoms.CONCLUSIONSStroke survivors and caregivers report significant and impactful caregiver engagement throughout the course of stroke.CLINICAL RELEVANCEClinicians may enhance stroke care by recognizing and facilitating caregiver efforts across all phases of stroke care.
目的:本研究的目的是确定中风幸存者和家庭照顾者在中风护理中照顾者参与的领域。设计:对一项基于人群的偶发性卒中研究中的卒中幸存者/护理者二人组(N = 71)进行访谈。方法对脑卒中幸存者和护理人员进行访谈,了解护理人员在脑卒中护理多个阶段的参与情况。我们评估了中风幸存者和护理人员报告之间的异同,并分析了对开放式问题的回答。研究结果:中风幸存者和护理人员报告的参与程度高度相关(r = 0.89),尽管护理人员报告的参与程度更高。开放式评论表明,在大约25%的病例中,中风幸存者和护理人员一致认为,护理人员的参与导致中风幸存者护理的重大改善,最常见的是在症状出现期间。结论:卒中幸存者和照顾者在整个卒中过程中报告了显著且有影响力的照顾者参与。临床相关性临床医生可以通过认识和促进护理人员在卒中护理的各个阶段所做的努力来加强卒中护理。
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引用次数: 5
Reading as a Nursing Intervention for Agitation in Patients with Anoxic Brain Injury. 阅读对缺氧脑损伤患者躁动的护理干预。
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引用次数: 1
Therapeutic Horse Back Riding of a Spinal Cord Injured Veteran: A Case Study. 脊髓损伤老兵治疗性骑马:个案研究。
Glennys Asselin, J. Penning, S. Ramanujam, R. Neri, C. Ward
PURPOSE To determine an incomplete spinal cord injured veteran's experience following participation in a therapeutic horseback riding program. METHODS Following the establishment of a nationwide therapeutic riding program for America's wounded service veterans in 2007, a Certified Rehabilitation Registered Nurse from the Michael E. DeBakey Veteran Affairs Medical Center worked with an incomplete spinal cord injured veteran who participated in the Horses for Heroes program. RESULTS This program resulted in many benefits for the veteran, including an increase in balance, muscle strength, and self-esteem. DISCUSSION A physical, psychological, and psychosocial benefit of therapeutic horseback riding is shown to have positive results for the spinal cord injured. Therapeutic riding is an emerging field where the horse is used as a tool for physical therapy, emotional growth, and learning. CONCLUSION Veterans returning from the Iraq/Afghanistan war with traumatic brain injuries, blast injuries, depression, traumatic amputations, and spinal cord injuries may benefit from this nurse-assisted therapy involving the horse.
目的了解不完全性脊髓损伤退伍军人参加治疗性骑马项目后的经历。方法:2007年,美国伤残退伍军人建立了全国性的骑马治疗项目,Michael E. DeBakey退伍军人事务医疗中心的一名注册康复护士对一名参加“英雄之马”项目的脊髓不全损伤退伍军人进行了护理。这个项目给老兵带来了很多好处,包括平衡感、肌肉力量和自尊心的增强。治疗性骑马对脊髓损伤的身体、心理和社会心理都有积极的效果。治疗性骑马是一个新兴领域,马被用作物理治疗、情感成长和学习的工具。结论从伊拉克/阿富汗战争归来的创伤性脑损伤、爆炸伤、抑郁症、创伤性截肢和脊髓损伤的退伍军人可能受益于这种涉及马的护士辅助治疗。
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引用次数: 9
Reliability and Validity of The Family Needs Scale In A Turkish Population. 土耳其人口家庭需求量表的信度和效度。
S. Bilgin, Gulay Ipek Coban, D. Tanrıverdi
AIMS AND OBJECTIVES This study aimed to adapt an English version of the survey tool Family Needs Scale (FNS) for Turkish patients and to evaluate its psychometric properties. BACKGROUND Social care providers can reduce the risk for dysfunction in low-income families of preschoolers and increase resilience by responding to needs identified by the families themselves. Quality instruments developed to identify family needs within this population are scarce. To measure the needs of families with disabled children effectively, valid and reliable instruments that are sensitive to parents' expectations and to the constructs of nursing must be used. CONCLUSIONS Nine factors were detected in the results, Cronbach's α reliability coefficient was .95 and item-total point correlations were between .32-.81. In addition, it was found that the test-retest correlation value was .91, which was found to be statistically significant (p < .001). RELEVANCE TO CLINICAL PRACTICE This scale can be used in nursing research projects to evaluate family needs regarding the care of children with a disability.
目的和目的本研究旨在为土耳其患者采用英文版的调查工具家庭需求量表(FNS),并评估其心理测量特性。社会照护提供者可以降低低收入学龄前儿童家庭出现功能障碍的风险,并通过响应家庭自身确定的需求来增强复原力。为确定这一人群的家庭需求而开发的高质量工具很少。为了有效地衡量残疾儿童家庭的需求,必须使用对父母的期望和护理结构敏感的有效和可靠的工具。结论结果中存在9个因子,Cronbach′s α信度系数为0.95,项目-总分相关系数为0.32 ~ 0.81。此外,发现重测相关值为0.91,有统计学意义(p < .001)。与临床实践的相关性此量表可用于护理研究项目,以评估残疾儿童护理方面的家庭需求。
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引用次数: 5
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Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses
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