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The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses最新文献

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Neuroscience nursing: where do we go from here? 神经科学护理:我们将何去何从?
J. Woods
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引用次数: 0
Sex differences in depressive symptoms and their correlates after mild-to-moderate traumatic brain injury. 轻至中度创伤性脑损伤后抑郁症状的性别差异及其相关性
Pub Date : 2008-09-01 DOI: 10.1097/01.HTR.0000336876.99972.CD
E. Bay, A. Sikorskii, Denise Saint-Arnault
The purpose of this secondary data analysis, guided by allostatic load theory, was to compare depressive symptoms and their correlates in men and women following mild or moderate traumatic brain injury (n = 159). Using general linear modeling procedures in the Statistical Analysis Software, women reported significantly higher Center for Epidemiological Studies-Depression scores compared with men. According to the Neurobehavioral Functioning inventory subscales, women also reported higher somatic and motor symptoms and difficulties with memory and cognition. Further, women within the first 6 months of their injury reported higher levels of depressive and depressive-somatic symptoms, perceived chronic stress, pain, memory difficulties, and somatic symptoms. These findings were no longer present at the 6- to 12-month or >12-month cutoffs. Women's depressive symptoms during the early recovery period are explained by higher symptom loads and perceived stress, yet mechanisms responsible for these differences remain to be elucidated. Future research is needed to describe hormonal, perceptual, or brain structure differences that may account for these findings. Findings from such research will most likely to contribute to our understanding of postconcussion syndrome.
在适应负荷理论的指导下,本次要数据分析的目的是比较轻度或中度外伤性脑损伤后男性和女性的抑郁症状及其相关因素(n = 159)。使用统计分析软件中的一般线性建模程序,女性报告的流行病学研究中心抑郁得分明显高于男性。根据神经行为功能量表,女性还报告了更高的躯体和运动症状以及记忆和认知方面的困难。此外,在受伤的前6个月内,女性报告了更高水平的抑郁和抑郁躯体症状、感知到的慢性压力、疼痛、记忆困难和躯体症状。这些发现在6- 12个月或>12个月时不再存在。女性在恢复早期的抑郁症状可以用更高的症状负荷和感知压力来解释,但造成这些差异的机制仍有待阐明。未来的研究需要描述激素、知觉或大脑结构的差异,这些差异可能会解释这些发现。这样的研究结果很可能有助于我们对脑震荡后综合症的理解。
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引用次数: 29
Unilateral neglect: assessment in nursing practice. 单侧忽视:护理实践中的评估。
R. Jepson, Kurt Despain, D. Keller
The North American Nursing Diagnosis Association has recognized unilateral neglect (UN) as a nursing diagnosis for more than 2 decades. Such a designation implies that nurses primarily are responsible for assessing, treating, and researching the disorder. However, nurses have made few documented contributions toward this responsibility. Although UN is a complex problem that requires attention from several specialties, there is room for nurses to substantially increase their role. Nurses are uniquely positioned to assess and treat UN by virtue of their interaction with patients in a variety of times, settings, and activities. Nurses need to develop quantifiable measures of clinical observation that are reliable and valid in nursing practice. This article reviews the literature to examine the impact of UN, existing assessment methods, and nursing involvement in assessment and treatment. Potential nursing contributions in practice and research are featured as well.
北美护理诊断协会已经承认单侧忽视(UN)作为一种护理诊断超过20年。这样的称号意味着护士主要负责评估、治疗和研究这种疾病。然而,护士对这一责任的贡献很少。虽然联合国是一个复杂的问题,需要几个专业的关注,但护士仍有很大的空间来大大提高他们的作用。护士由于在各种时间、环境和活动中与患者互动,在评估和治疗UN方面处于独特的地位。护士需要制定可量化的临床观察措施,在护理实践中可靠有效。本文回顾文献,探讨联合国的影响,现有的评估方法,以及护理参与评估和治疗。在实践和研究中潜在的护理贡献也有特色。
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引用次数: 12
Understanding chronic pain complicating disability: finding meaning through focus group methodology. 理解慢性疼痛伴随残疾:通过焦点小组方法找到意义。
C. Douglas, C. Windsor, J. Wollin
Although extensive literature exists on the experiences of people living with chronic nonmalignant pain as a primary condition, little is known about the phenomenon of pain as it is experienced by the person with a chronic disabling condition. This focus group study explored the experience of disability-related pain among 32 people with multiple sclerosis (MS) living in the community. Thematic analysis of transcripts revealed 4 broad conceptualizations of the experience of living with chronic MS-related pain. The first theme, pain is pervasive, described the overwhelming and intrusive presence of pain in daily life. Participants related the physical, emotional, and social consequences of living with chronic, disability-related pain, which caused them great loss and restriction. The second theme resonated around feelings that nobody understands. The participants sought understanding and validation of their pain experiences by family, friends, and healthcare professionals and struggled with difficult issues concerning the legitimacy and invisibility of their pain. The third theme, I'm fine, referred to the propensity of participants to keep pain private from others. In part because of its contested nature, participants at times concealed their pain from others to avoid conflict and maintain some semblance of their former lives. The final theme that emerged was always a factor in the equation. The participants shared how MS had transformed their worlds into ones in which pain and discomfort had become a normal part of everyday life, requiring careful negotiation and planning to undertake activities and prevent exacerbation. It is vital that healthcare providers give people with MS opportunities to talk about pain and pain-related concerns, validate their experiences, and provide interventions that enable self-management. Clinicians are encouraged to challenge their own meanings and expectations about disability-related pain so that therapeutic interventions can be facilitated.
尽管有大量文献记载了以慢性非恶性疼痛为主要疾病的人的经历,但对于慢性致残的人所经历的疼痛现象却知之甚少。本焦点小组研究探讨了32名生活在社区的多发性硬化症(MS)患者的残疾相关疼痛经历。对记录的专题分析揭示了与慢性多发性硬化症相关的疼痛生活经验的4个广泛概念。第一个主题,疼痛无处不在,描述了日常生活中疼痛的压倒性和侵入性存在。参与者讲述了与残疾相关的慢性疼痛带来的身体、情感和社会后果,这给他们带来了巨大的损失和限制。第二个主题围绕着没人能理解的情感产生共鸣。参与者寻求家人、朋友和医疗保健专业人员对他们疼痛经历的理解和认可,并努力解决有关疼痛的合法性和隐蔽性的难题。第三个主题,我很好,指的是参与者对他人隐瞒痛苦的倾向。在某种程度上,由于它的争议性,参与者有时会向他人隐瞒他们的痛苦,以避免冲突,并保持他们过去生活的一些表象。最后出现的主题总是等式中的一个因素。参与者分享了多发性硬化症如何改变了他们的世界,在这个世界里,疼痛和不适已经成为日常生活的一部分,需要仔细的协商和计划来进行活动,防止病情恶化。至关重要的是,医疗保健提供者为MS患者提供机会,让他们谈论疼痛和与疼痛相关的问题,验证他们的经历,并提供能够进行自我管理的干预措施。鼓励临床医生挑战自己对残疾相关疼痛的意义和期望,以便促进治疗干预。
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引用次数: 33
Colloid cyst: a case study. 胶体囊肿:个案研究。
J. Richards, N. Ballard
A colloid cyst, also called a neuroepithelial cyst, is a slow-growing, benign tumor that occurs in the anterior third ventricle. The cyst typically blocks the foramen of Monro, causing obstructive hydrocephalus involving only the lateral ventricles. The most common presenting sign and symptom of a colloid cyst is headache. Less common presenting signs and symptoms include nausea, vomiting, memory loss, mental status changes, gait disorder, and visual disturbances. Surgical resection is the recommended treatment. Meticulous baseline and ongoing neurological assessments are of paramount importance in the care of a patient with a colloid cyst to promote optimal patient outcomes.
胶质囊肿,也称为神经上皮囊肿,是一种生长缓慢的良性肿瘤,发生在前第三脑室。囊肿通常阻塞Monro孔,引起仅累及侧脑室的梗阻性脑积水。胶体囊肿最常见的体征和症状是头痛。较不常见的体征和症状包括恶心、呕吐、记忆丧失、精神状态改变、步态障碍和视觉障碍。手术切除是推荐的治疗方法。在胶体囊肿患者的护理中,细致的基线和持续的神经学评估对于促进患者的最佳预后至关重要。
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引用次数: 2
Are you blue? 你是蓝色的吗?
V. Carroll
And how this book will influence you to do better future? It will relate to how the readers will get the lessons that are coming. As known, commonly many people will believe that reading can be an entrance to enter the new perception. The perception will influence how you step you life. Even that is difficult enough; people with high sprit may not feel bored or give up realizing that concept. It's what where are you blue will give the thoughts for you.
这本书将如何影响你做得更好的未来?它将关系到读者如何获得即将到来的教训。众所周知,通常很多人会认为阅读可以是进入新认知的入口。这种认知会影响你的生活。即使这样也已经够困难的了;精神高涨的人可能不会感到无聊或放弃实现这个概念。这是你在哪里,蓝色会给你的想法。
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引用次数: 0
Poverty, health, and the world in which we live. 贫穷、健康和我们生活的世界。
C. Stewart‐Amidei
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引用次数: 0
Elder abuse--a family experience. 虐待老人——一种家庭经历。
F. E. McDonald
Abuse happens every day to elderly and disabled individuals either through ignorance or design. Protecting your patient or loved one requires you to be suspicious of everyone who has access to the patient, even other family members. It is the most difficult and demanding task you will ever undertake. Our story is a long and emotional one, If you wish to read an account of our experiences, please visit my Web site at www.iannarino.us/elderabuse.
虐待每天都发生在老年人和残疾人身上,要么是由于无知,要么是故意的。保护你的病人或你所爱的人需要你怀疑每一个能接触到病人的人,甚至是其他家庭成员。这是你将承担的最困难、最艰巨的任务。我们的故事很长,也很感人。如果你想了解我们的经历,请访问我的网站www.iannarino.us/elderabuse。
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引用次数: 0
Routine omissions of care. 例行的疏忽。
C. Stewart‐Amidei
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引用次数: 0
Can we mandate wellness? 我们能强制要求健康吗?
C. Stewart‐Amidei
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引用次数: 0
期刊
The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses
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