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

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Facing the challenges of head injury: a nurse's perspective. 面对头部损伤的挑战:护士的视角。
Pub Date : 2009-03-04 DOI: 10.1002/J.2048-7940.2009.TB00248.X
Eva Reitzel
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引用次数: 1
National Consensus Conference on Improving the Continuum of Care for Patients with Hip Fracture. May 3-4, 2001, Washington, DC. 改善髋部骨折患者连续护理的全国共识会议。2001年5月3日至4日,华盛顿特区
Pub Date : 2002-01-01 DOI: 10.1097/00006416-200201000-00004
Inb.oductory note: Under the leadership of the Americun Association of Orthopedic Surgeons (AAOS) a team of heulthcare professionals coordinated the National Consensus Conference on Impmving the Continuum of Care to Patients with Hip Fracture in Washington, DC, in May 2001. The confewnce focused on the continuum of care from the time of hip fracture through a one-year episode of care. The specific objectives of the national meeting were to: bring together leaders of organizations involved in the care of patients with hip fractures, as well as special interest groups identib the leading delivery system problems gain consensus on the problems and their causes identib possible solutions or ways to reduce the problems reach consensus on an action plan. Anne Deutsch, M S RN CRRN, has been the Association of Rehabilitation Nurses ’ liaison to AAOS since 2000, and serves on the steering committee. Leslie Jean Neal, PhD RN CRRN, spoke at the conference to provide an overview of the current issues in home health care. The following report summarizes the conference.
烟草制品。引言:2001年5月,在美国骨科医师协会(AAOS)的领导下,一组医疗保健专业人员在华盛顿特区协调召开了关于改善髋部骨折患者连续护理的全国共识会议。会议集中讨论了从髋部骨折到一年的连续护理。全国会议的具体目标是:将参与髋部骨折患者护理的组织领导人以及特殊利益团体聚集在一起,确定主要的输送系统问题,就问题及其原因达成共识,确定可能的解决方案或减少问题的方法,就行动计划达成共识。Anne Deutsch, m.s.n RN,自2000年以来一直是康复护士协会与AAOS的联络人,并担任指导委员会成员。莱斯利·简·尼尔博士在会议上发言,概述了当前家庭保健中的问题。下面的报告总结了这次会议。
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引用次数: 0
Adolescent brain injury tool: safety risk scale and guidelines. 青少年脑损伤工具:安全风险量表和指南。
Pub Date : 2001-11-12 DOI: 10.1002/J.2048-7940.2001.TB01957.X
S. Chinn
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引用次数: 0
Adherence to cardiac therapy for men with coronary artery disease. 冠心病患者心脏治疗的依从性
Pub Date : 2001-11-12 DOI: 10.1002/J.2048-7940.2001.TB01962.X
K. Baird, L. Pierce
A study developed and executed within Orem's (1995) Self-Care Deficit Theory of Nursing uncovered factors that influence men's adherence to cardiac therapy. Data obtained from individual audiotaped interviews with five men 60 to 70 years of age in northwestern Ohio were analyzed using Colaizzi's (1978) method. Specific self-care factors, possessed by all the men and responsible for facilitating and inhibiting adherence to cardiac therapy, were found within the components for self-care agency and basic conditioning factors. Identification of these factors is critical, as the completion of the requirements of the prescribed cardiac therapy regimen can assist persons in achieving maximal cardiac efficiency while promoting independence, which ultimately affects their self-care agency. This study makes valuable contributions by (a) becoming aware of factors that influence men's adherence to cardiac therapy, (b) offering direction for interventions focused on self-care, and (c) serving as an impetus for further research.
Orem(1995)的《护理自我照顾缺陷理论》(Self-Care Deficit Theory of Nursing)中开展并执行的一项研究揭示了影响男性坚持心脏治疗的因素。使用Colaizzi(1978)的方法对俄亥俄州西北部五名60至70岁男性的个人录音访谈数据进行了分析。在自我保健代理和基本条件因素的组成部分中发现了所有男性都具有的促进和抑制心脏治疗依从性的特定自我保健因素。识别这些因素是至关重要的,因为完成规定的心脏治疗方案的要求可以帮助患者在促进独立性的同时达到最大的心脏效率,最终影响他们的自我照顾能力。这项研究做出了有价值的贡献,(a)意识到影响男性坚持心脏治疗的因素,(b)为专注于自我护理的干预提供方向,(c)为进一步研究提供动力。
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引用次数: 17
Preparing for successful CARF accreditation. 为成功的CARF认证做准备。
Pub Date : 2001-11-12 DOI: 10.1002/J.2048-7940.2001.TB01956.X
T. Black, P. Roberts
The accreditation process can be a challenging, yet rewarding experience to those who elect to pursue CARF accreditation. Rehabilitation clinicians of all disciplines can be instrumental in various aspects of [table: see text] preparation for the survey. The organization, staff, stakeholders and, ultimately, the people served and their families, all benefit from the accreditation experience.
对于那些选择追求CARF认证的人来说,认证过程可能是一个具有挑战性但有益的经历。所有学科的康复临床医生都可以在调查准备的各个方面发挥作用。组织、员工、利益相关者以及最终服务对象及其家人都能从认证经验中受益。
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引用次数: 2
Progressive muscle relaxation in cardiac rehabilitation: a pilot study. 渐进式肌肉放松在心脏康复中的应用:一项初步研究。
Pub Date : 2001-11-12 DOI: 10.1002/J.2048-7940.2001.TB01963.X
C. Wilk, B. Turkoski
Learning to manage stress is an important lifestyle change for participants in cardiac rehabilitation programs. Progressive muscle relaxation (PMR) is one stress management approach that has produced positive benefits among different patient populations. The purpose of this study was to identify the effects of learning and practicing PMR in a population of cardiac rehabilitation patients. Blood pressure and heart rate data, and scores on the Spielberger State-Trait Anxiety Inventory (STAI) were collected from a treatment group and a control group of patients enrolled in phases II and III of cardiac rehabilitation. Analysis of the data revealed positive effects of PMR on the variables heart rate and state of anxiety. In addition, written evaluations of PMR from patients in the treatment group indicated a high degree of subjective satisfaction with PMR as a means to reduce stress in their lives.
学会管理压力对心脏康复项目的参与者来说是一项重要的生活方式改变。渐进式肌肉放松(PMR)是一种压力管理方法,在不同的患者群体中产生了积极的效果。本研究的目的是确定学习和实践PMR对心脏康复患者的影响。血压和心率数据,以及Spielberger状态-特质焦虑量表(STAI)的评分,收集于心脏康复二期和三期的治疗组和对照组患者。数据分析显示PMR对变量心率和焦虑状态有积极影响。此外,治疗组患者对PMR的书面评估表明,PMR作为一种减轻生活压力的手段,对患者的主观满意度很高。
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引用次数: 36
Extensive lifestyle management intervention following cardiac rehabilitation: pilot study. 心脏康复后广泛的生活方式管理干预:初步研究。
Pub Date : 2001-11-12 DOI: 10.1002/J.2048-7940.2001.TB01960.X
Elizabeth A. Laquer, Haydn Pritchard
Long-term management of the lifestyles of cardiac patients who have completed a cardiac rehabilitation program (CRP), and the risks that may develop for future health problems, have not been extensively reported. The purpose of this pilot study of graduates of CRPs was to: (a) assess lifestyle and risk factor trends, (b) test certain protocols, and (c) identify the challenges and limitations in managing lifestyles and risk factors. A convenience sample of 49 people with ischemic heart disease (IHD) was randomized to a Lifestyle Management Intervention (LMI) group and a Usual Care (UC) group and followed for 6 months. Patients assigned to the LMI group underwent six additional exercise sessions and participated in telephone follow-ups and a counseling session. Patients in the UC group were assessed at baseline and at the end of 6 months. Of the original 49 participants, 17 in the LMI group and 19 in the UC group completed the study. Patients in the LMI group showed significant reductions in total cholesterol and LDL-C from baseline at 6 months. Diastolic blood pressure was decreased significantly in the UC group. The study identified the challenges of lifestyle intervention and found that favorable risk factor modifications are possible for patients who have completed a CRP.
完成心脏康复计划(CRP)的心脏病患者的生活方式的长期管理,以及可能发展为未来健康问题的风险,尚未被广泛报道。该试点研究的目的是:(a)评估生活方式和风险因素的趋势,(b)测试某些方案,以及(c)确定管理生活方式和风险因素的挑战和局限性。将49例缺血性心脏病(IHD)患者随机分为生活方式管理干预(LMI)组和常规护理(UC)组,随访6个月。被分配到LMI组的患者进行了6次额外的锻炼,并参加了电话随访和一次咨询会议。UC组患者在基线和6个月结束时进行评估。在最初的49名参与者中,LMI组的17名和UC组的19名完成了研究。LMI组患者在6个月时总胆固醇和LDL-C较基线显著降低。UC组舒张压明显降低。该研究确定了生活方式干预的挑战,并发现对完成CRP的患者有利的危险因素改变是可能的。
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引用次数: 16
Transdisciplinary approach: an atypical strategy for improving outcomes in rehabilitative and long-term acute care settings. 跨学科的方法:一个非典型的策略,以改善结果在康复和长期急性护理设置。
Pub Date : 2001-11-12 DOI: 10.1002/J.2048-7940.2001.TB01958.X
C. Reilly
In the rehabilitation and long-term acute care settings, an atypical strategy has emerged in the past few years whereby the central focus is on improving patient care through a team approach in which responsibilities are shared and the normal boundaries of the healthcare professions blurred. This article provides a conceptual analysis of this unique, transdisciplinary approach to care delivery. Differentiation between interdisciplinary, multidisciplinary, and transdisciplinary techniques is provided through case scenarios. Defining attributes, necessary antecedents, and the many possible positive outcomes from the transdisciplinary approach to practice is discussed. This concept analysis defines for the rehabilitation or long-term acute care nurse a method that can be used to redesign care delivery, to promote improved patient outcomes, and to achieve a cohesive team environment.
在康复和长期急性护理环境中,过去几年出现了一种非典型战略,其核心重点是通过团队方法改善患者护理,在这种方法中,责任是共同承担的,医疗保健专业的正常界限是模糊的。这篇文章提供了一个独特的概念分析,跨学科的方法来护理交付。通过案例场景来区分跨学科、多学科和跨学科技术。定义属性,必要的先决条件,以及许多可能的积极成果,从跨学科的做法,以实践进行了讨论。这个概念分析为康复或长期急症护理护士定义了一种方法,可以用来重新设计护理服务,促进改善患者的结果,并实现一个有凝聚力的团队环境。
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引用次数: 47
Slow stroke back massage: its effect on patients in a rehabilitation setting. 慢中风背部按摩:在康复环境下对患者的影响。
Pub Date : 2001-09-10 DOI: 10.1002/J.2048-7940.2001.TB01948.X
Brenda K. Holland, M. Pokorny
A quasi-experimental design was used to determine the effects of three consecutive days of slow stroke back massage (SSBM) on adult patients in a rehabilitation setting. This study used the Huckstadt Touch Instrument to assess physiological and psychological responses to touch, as well as the recipients' perceptions of touch. The convenience sample comprised 24 adult patients in a rehabilitation hospital in southeastern North Carolina. Subjects' ages ranged between 52 and 88 years with a mean of 71.8 years. There was a significant decrease in systolic and diastolic blood pressure after SSBM on all 3 days. There was a statistically significant decrease in mean heart rate and mean respiratory rate on Days 1 and 3. There was no psychological change in any of the patients. Perception scores, however, indicate a positive response to SSBM. Patients perceived it as being comfortable, good, pleasant, and warm. On all occasions, their responses indicated that the intervention made them feel cared for, happy, physically relaxed, less anxious, calm, restful, and gave them a feeling of closeness with the nurse.
采用准实验设计来确定连续三天的慢中风背部按摩(SSBM)对康复环境中的成年患者的影响。本研究使用Huckstadt触摸仪器来评估对触摸的生理和心理反应,以及接受者对触摸的感知。便利样本包括北卡罗来纳州东南部一家康复医院的24名成年患者。受试者的年龄在52岁到88岁之间,平均年龄为71.8岁。SSBM术后3天收缩压和舒张压均显著降低。在第1天和第3天,平均心率和平均呼吸频率均有统计学意义的降低。没有任何病人出现心理变化。然而,感知分数表明对SSBM有积极的反应。患者感觉舒适、良好、愉快、温暖。在所有情况下,他们的反应表明,干预使他们感到被照顾,快乐,身体放松,不那么焦虑,平静,休息,并给他们一种与护士亲密的感觉。
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引用次数: 66
Urinary retention in patients in a geriatric rehabilitation unit: prevalence, risk factors, and validity of bladder scan evaluation. 老年康复病房患者尿潴留:患病率、危险因素和膀胱扫描评估的有效性。
Pub Date : 2001-09-10 DOI: 10.1002/J.2048-7940.2001.TB01950.X
M. Borrie, K. Campbell, Z. A. Arcese, J. Bray, P. Hart, T. Labate, P. Hesch
The purpose of this study was to identify risk factors for urinary retention (UR) in frail, elderly patients, to determine its prevalence, and to assess the validity of the use of the BladderScan BVI 2500+ ultrasound scanner to measure postvoid residual urine volumes of > or = 150 ml. Probable UR was defined as two consecutive ultrasound scans with postvoid residual urine estimations of > or = 150 ml. The estimates were confirmed by in- and out-catheterization of actual postvoid residual urine (PVR). Risk factors for UR were the independent variables used in the regression analysis. Nineteen of the 167 people (11%) had UR. The risk of UR was greatest among patients who were older, or who were on anticholinergic medication, or who had diabetes of long standing, or who had fecal impaction. The correlation between paired scans and catheter volumes of > or = 150 ml was 0.87. The results suggest that the BladderScan BVI 2500+ ultrasound scanner, when used by trained nursing staff, provides conservative and valid estimates of PVR of > or = 150 ml in people undergoing geriatric rehabilitation.
本研究的目的是确定尿潴留(UR)的危险因素,以确定其患病率,并评估使用BladderScan BVI 2500+超声扫描仪测量空后残余尿量>或= 150 ml的有效性。可能尿路被定义为连续两次超声扫描,空后残余尿量估计>或= 150 ml。通过实际空后残余尿(PVR)的导管内和导管外确认估计。UR的危险因素是回归分析中使用的自变量。167人中有19人(11%)患有尿毒症。年龄较大、服用抗胆碱能药物、长期患有糖尿病或有粪便阻塞的患者患尿路的风险最大。配对扫描与>或= 150 ml导管容积的相关性为0.87。结果表明,经培训的护理人员使用BladderScan BVI 2500+超声扫描仪时,可为接受老年康复的患者提供>或= 150 ml的PVR保守而有效的估计。
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引用次数: 64
期刊
Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses
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