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The correlation between perceptions of control and hope status in home-based cancer patients. 家庭癌症患者控制感与希望状态的关系。
Pub Date : 2002-03-01 DOI: 10.1097/01.JNR.0000347585.00705.F1
L. Chang, I. Li
The purpose of this study was to analyze correlation between perceptions of control and status of hope in home-based cancer patients. One hundred thirty-seven home-based cancer patients from two hospital-based oncology centers in Taipei were interviewed using a structured questionnaire. The results showed that subjects' perceptions of control and status of hope were at a moderate level. Patient's religion, marital status and stage of cancer were significantly related to their hope status. The greater the age and the more serious the symptoms, the lower the status of hope was. The healthier the patients, the higher the status of hope was. Perceptions of control for patients was positively correlated with status of hope, when patients felt more sense of control in their ill situation, they had a higher status of hope. The findings of this study suggest that it is advantageous to establish support groups for home-based cancer patients and their families, so as to improve perceptions of control and facilitate their hope status. In addition, the model of case management can alleviate hopelessness due to physical function changes and distress of symptoms. In the future, more research on how to increase perception of control in patients, especially on internal control, is necessary in order to make appropriate and specific care plans for cancer patients.
摘要本研究旨在分析居家癌症患者控制知觉与希望状态的相关关系。本文采用结构化问卷对台北两所医院肿瘤中心的137名居家癌症患者进行访谈。结果表明,被试的控制感和希望状态处于中等水平。患者的宗教信仰、婚姻状况、癌症分期与患者的希望状态显著相关。年龄越大,症状越严重,希望的地位越低。患者越健康,希望的地位越高。患者的控制感与希望状态呈正相关,患者对病情的控制感越强,希望状态越高。本研究结果提示,建立家庭癌症患者及其家属支持团体,有利于提高患者的控制感,促进患者的希望状态。此外,个案管理模式可以减轻因身体功能改变而产生的绝望感和症状困扰。在未来,如何提高患者的控制感知,特别是内部控制的研究,对于癌症患者制定合适的、有针对性的护理计划是必要的。
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引用次数: 19
A preliminary psychosocial study of Parkinson's patients after fetal tissue transplantation. 胎儿组织移植后帕金森患者的初步社会心理研究。
Pub Date : 2002-03-01 DOI: 10.1097/01.JNR.0000347578.32092.C4
F. Tang, S. Sheu, Ching-Huey Chen, Yun Wang, Shinn-Zong Lin
A novel and promising approach currently available is the grafting of fetal nigra tissues into the brain of a Parkinson's patient. However, the degree of success for such treatment has mainly been evaluated by histological, radiological and physical assessments, with little or no attention paid to its effects on the patient's psychosocial status. In order to provide a more comprehensive profile, a survey was conducted using questionnaires and interviews to examine the physio-psycho-social progress of six Parkinson's patients who underwent fetal tissue grafting in Taiwan. Results indicated that the physiological effects varied among patients. Noticeably an improvement in walking was the most gratifying, but progress in dressing and writing ability seemed disappointing. From the psychological point of view, depression was commonly felt by patients. Other feelings included fear, ambivalence, and change in body image. In addition, all six patients found that their relationship with spouse became worse; they also reduced social interaction to the minimum. From the findings, we also noticed that inadequate knowledge contributed to part of the results. Therefore, some nursing suggestions especially educating the patients and family about the facts and outcome of fetal tissue transplantation are highly recommended. These may help Parkinson's patients adjust better after undergoing this novel treatment.
目前一种新颖而有前途的方法是将胎儿黑质组织移植到帕金森患者的大脑中。然而,这种治疗的成功程度主要是通过组织学、放射学和物理评估来评估的,很少或根本没有注意到它对患者心理社会状况的影响。为了提供更全面的资料,本研究以问卷和访谈的方式,探讨台湾6名接受胎儿组织移植的帕金森病患者的生理、心理和社会进展。结果表明,不同患者的生理效应不同。显然,走路能力的提高是最令人满意的,但着装和写作能力的进步似乎令人失望。从心理学的角度来看,抑郁症是患者普遍感到的。其他感觉包括恐惧、矛盾心理和身体形象的变化。此外,所有6名患者都发现他们与配偶的关系变得更糟;他们还将社交活动减少到最低限度。从调查结果中,我们还注意到知识的不足导致了部分结果。因此,我们强烈推荐一些护理建议,特别是对患者和家属进行有关胎儿组织移植的事实和结果的教育。这些可能有助于帕金森患者在接受这种新疗法后更好地适应。
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引用次数: 3
Effects of systematic nursing instruction of mothers on using medication and on health status of asthmatic children. 母亲系统护理指导对哮喘患儿用药及健康状况的影响。
Pub Date : 2002-03-01 DOI: 10.1097/01.JNR.0000347580.70210.9D
C. Hung, Yueh-Chih Chen, H. Mao, B. Chiang
The purpose of this study was to investigate the effects of systematic nursing instruction for mothers of children with asthma on their knowledge of the medication, ability to use inhalation devices, self-efficacy of medication use, and on children's health status. A quasi-experimental study was conducted at the Pediatric Allergy Clinic of a major academically based medical center in Taipei, Taiwan. The sample consisted of 82 mothers and their children recruited by purposive sampling. The intervention group (n = 41) received systematic nursing instruction from the researchers and the control group (n = 41) received regular nursing care from staff nurses. The effects of systematic nursing instruction were evaluated two months later using four questionnaires: the mother's knowledge of medication, inhaling steps, self-efficacy of medication use, and child's health status. The results of this study showed that systematic nursing instruction of mothers of children with asthma significantly improved their knowledge of the medication, ability to use inhalation devices, and self-efficacy, as well as decreasing the number of episodes of respiratory disease of children over a two month period. To sum up, these findings demonstrate that systematic nursing instruction of mothers about asthma medication not only benefited mothers directly, but also improved children's health status indirectly.
本研究旨在探讨系统护理指导对哮喘患儿母亲用药知识、吸入器使用能力、用药自我效能感及患儿健康状况的影响。一项准实验研究在台北一主要学术医疗中心的儿科过敏诊所进行。样本由82名母亲及其子女组成,采用有目的抽样法。干预组(n = 41)接受研究人员系统的护理指导,对照组(n = 41)接受专职护士的常规护理。2个月后,采用母亲用药知识、吸入步骤、用药自我效能感、患儿健康状况4项问卷对系统护理指导的效果进行评价。本研究结果表明,对哮喘患儿的母亲进行系统的护理指导,可显著提高其用药知识、使用吸入器的能力和自我效能感,并可在两个月的时间内减少患儿呼吸系统疾病的发作次数。综上所述,这些研究结果表明,对母亲进行系统的哮喘药物护理指导不仅可以直接使母亲受益,还可以间接改善儿童的健康状况。
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引用次数: 14
Effectiveness of family care intervention program on activity of daily living among disabled patients. 家庭护理干预方案对残疾患者日常生活活动的影响。
Pub Date : 2001-12-01 DOI: 10.1097/01.JNR.0000347576.47339.69
L. Hung, H. Kuo
The objective of this prospective study was to compare the improvement of activity of daily living (ADL) scores between two groups of disabled patients who participated in a family care intervention program. 137 patients were selected from health stations and Activity of Daily Living (ADL) scores were assessed eight times over a period of 22 weeks. Family caregivers were trained to provide home nursing care for the disabled. The patients were divided into two groups: early-stage (intervention started less than 6 months from diagnosis) and late-stage (intervention started 7-24 months from diagnosis). Over the duration of the intervention program, the results, using ANCOVA test, showed that the ADL score of the early-stage had group increased by 12.9, compared to the later-stage group, which increased by 3.0 (p < .000). At one-year follow-up, the ADL score of the early-stage group increased by a greater extent (6.2) than the later-stage group (1.3). The factors that affected ADL scores of the survivals were as follows: age, baseline ADL score and duration of disability. The authors conclude that the intervention program was most effective in improving ADL score when intervention was implemented early.
本前瞻性研究的目的是比较两组参加家庭护理干预计划的残疾患者的日常生活活动(ADL)评分的改善。从卫生站选择了137名患者,在22周的时间内对日常生活活动(ADL)评分进行了8次评估。家庭护理人员接受培训,为残疾人提供家庭护理服务。将患者分为两组:早期组(诊断后不到6个月开始干预)和晚期组(诊断后7-24个月开始干预)。在干预过程中,采用ANCOVA检验的结果显示,早期治疗组的ADL评分比晚期治疗组提高了12.9分,较晚期治疗组提高了3.0分(p < .000)。随访1年时,早期组的ADL评分(6.2)高于晚期组(1.3)。影响存活患者ADL评分的因素有:年龄、基线ADL评分和残疾持续时间。作者得出结论,干预方案在早期实施时对改善ADL评分最有效。
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引用次数: 1
The impact of concept of health on health behavior. 健康观念对健康行为的影响。
Pub Date : 2001-12-01 DOI: 10.1097/01.JNR.0000347574.45553.2E
Y. Hwu
Although previous studies have examined selected factors influencing health behavior, the complex interplay of the concept of health and health behavior in persons with chronic illness has not been investigated. The purpose of this study was to investigate the individual effects of six factors in the concept of health on the health behavior of Taiwanese people with chronic illness. A sample of 372 persons with chronic illness completed instruments measuring their concept of health and health behavior. Six proposed models were assessed using the maximum likelihood estimation, which is implemented by LISREL 8.3. The overall fit of the models tested in this study lends support to the assertion that the factors of the concept of health affect health behavior. Zest for life, serenity and meaning were the strongly affecting factors. These factors each accounted for 34-43% of the variance in health behavior. The results of this study support the notion that the health behavior of people with chronic illness can be predicted by their concept of health. Further research using a longitudinal design is needed to clarify the causal relationship between the concept of health and health behavior in Taiwanese people with chronic illness.
虽然以前的研究已经检查了影响健康行为的选定因素,但尚未调查慢性病患者健康概念和健康行为之间的复杂相互作用。摘要本研究旨在探讨健康观念中六项因素对台湾慢性病患者健康行为的个体影响。372名患有慢性疾病的人完成了测量他们健康概念和健康行为的工具。使用最大似然估计对六个提出的模型进行评估,该估计由LISREL 8.3实现。本研究中测试的模型的整体拟合支持健康概念的因素影响健康行为的断言。对生活的热情,宁静和意义是强烈的影响因素。这些因素各占健康行为差异的34-43%。本研究的结果支持慢性病患者的健康行为可以通过他们的健康观念来预测的观点。台湾慢性病患者的健康观念与健康行为之间的因果关系有待进一步的纵向研究。
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引用次数: 1
Assaultive behavior by psychiatric in-patients and its related factors. 精神科住院病人的攻击行为及其相关因素。
Pub Date : 2001-12-01 DOI: 10.1097/01.JNR.0000347572.60800.00
K. Chou, R. Lu, M. Chang
The purpose of this article is to explore assaultive behavior of psychiatric in-patients in a hospital and to examine the interplay of patient, environmental, and staff factors related to assault. The present study was carried out prospectively using standardized instruments applied in four acute wards in one hospital. A log system was used to record the occurrence of assaults. The results showed 595 episodes of assault from 238 patients in 7 months. Forty one nurses participated in the study. To further examine the differences between assaultive and non-assaultive patients, and assaulted and non-assaulted nurses, a logistic regression analysis was used. The results indicated that patient factors (diagnosis, history of assault, time since admission, and history of smoking), environmental factors (patient/nurse ratio and spatial density), and staff factors (age, length of work experience, training program received in prevention and management of assaults) are contributing variables to assaultive behavior. The present study examined a wider range of variables than have been included in many previous studies. This reinforces the necessary complexity of models likely to prove useful in predicting assaults among psychiatric inpatients.
本文的目的是探讨精神科住院病人的攻击行为,并检查与攻击有关的病人、环境和工作人员因素的相互作用。本研究采用标准化仪器在一家医院的四个急症病房进行前瞻性研究。日志系统被用来记录攻击事件的发生。结果显示,238名患者在7个月内发生了595次性侵事件。41名护士参与了这项研究。为了进一步检验攻击性和非攻击性患者、攻击性和非攻击性护士之间的差异,采用logistic回归分析。结果表明,患者因素(诊断、攻击史、入院时间、吸烟史)、环境因素(患者/护士比例和空间密度)和工作人员因素(年龄、工作年限、接受的攻击预防和管理培训)是影响攻击行为的变量。本研究考察的变量范围比以往许多研究都要广泛。这加强了模型的必要复杂性,可能在预测精神病住院患者的攻击中证明是有用的。
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引用次数: 20
Relationships between quality of sleep and its related factors among elderly Chinese immigrants in the Seattle area. 西雅图地区老年华人移民睡眠质量及其相关因素的关系
Pub Date : 2001-12-01 DOI: 10.1097/01.JNR.0000347575.39715.A6
H. Hsu
The risk factors related to quality of sleep in elderly adults, such as life-style events, physical illness, psychological factors, and gender have been well identified by several studies. However, information regarding the relationship between quality of sleep and its related factors among elderly Chinese immigrants is not available in recent sleep literature. The purposes of this study were to explore the quality of sleep and discover the relationships between sleep quality and its related factors among elderly Chinese immigrants people in the Seattle area. Pearson's correlation and descriptive statistics were used to analyze data. Eighty community-dwelling Chinese elderly people, aged from 66 to 93, were recruited from the Chinese Senior Day Care Center, local Chinese churches, elderly Chinese individuals' private homes, and Chinese retirement apartments within the Seattle area. Three questionnaires were utilized to collect data, and personal interviews were used to facilitate the subjects in completing the questionnaires. The findings of this study showed that (1) 55% (n = 44) of the participants were identified as poor sleepers and 45% (n = 36) as good sleepers. (2) depression and the number of current diseases experienced by the subjects were in statistically significant correlation with quality of sleep, with r = .477, p = .00 and r = .221, p = .049 respectively. (3) daytime napping did not affect nighttime sleep in this study' population. The findings of this study can provide information regarding sleep problems among elderly Chinese immigrants to improve the elderly's quality of sleep.
一些研究已经很好地确定了与老年人睡眠质量相关的风险因素,如生活方式事件、身体疾病、心理因素和性别。然而,关于中国老年移民的睡眠质量及其相关因素之间的关系,在最近的睡眠文献中没有得到相关信息。本研究旨在探讨西雅图地区中国老年移民的睡眠质量,并发现睡眠质量与其相关因素之间的关系。采用Pearson相关和描述性统计对数据进行分析。80名居住在社区的华人老年人,年龄在66岁至93岁之间,他们分别来自西雅图地区的华人老年日托中心、当地华人教堂、华人老年人私人住宅和华人退休公寓。采用三份问卷收集数据,并采用个人访谈的方式方便被试完成问卷。这项研究的结果表明:(1)55% (n = 44)的参与者被确定为睡眠不良,45% (n = 36)的参与者被确定为睡眠良好。(2)被试的抑郁程度、当前患病次数与睡眠质量的相关性分别为r = .477、p = .00和r = .221、p = .049,均有统计学意义。(3)在本研究人群中,白天午睡不影响夜间睡眠。本研究结果可为中国移民老年人的睡眠问题提供信息,以改善老年人的睡眠质量。
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引用次数: 20
Toward an understanding of mothering: the care giving process of mothers with autistic children. 迈向对母性的理解:自闭儿童母亲的照顾过程。
Pub Date : 2001-12-01 DOI: 10.1097/01.JNR.0000347577.24468.AE
B. Shu, H. Hsieh, S. Hsieh, S. M. Li
The purpose of this study was to explore the care-giving experience of mothers with autistic children. In this qualitative study, a focus group and in-depth interviews were conducted with mothers with an autistic child to uncover the nature of their mothering experience. Data were analyzed for themes with the constant comparison approach of grounded theory. Three themes emerged: (a) the perception about their disabled child; (b) their special concerns for caring for this child and (c) reclaiming and discovering self through understanding the meaning of mothering. The results can help health workers to gain a deeper understanding of the care-giving process for mothers with an autistic child and facilitate mothers to find the meaning of care and their well-being.
本研究旨在探讨自闭症儿童母亲的照顾经验。在这一定性研究中,对有自闭症儿童的母亲进行了焦点小组和深度访谈,以揭示她们养育经验的本质。采用扎根理论的持续比较方法对主题进行数据分析。出现了三个主题:(a)对残疾儿童的看法;(b)她们对照顾这个孩子的特殊关注;(c)通过理解母性的意义来恢复和发现自我。研究结果可以帮助卫生工作者更深入地了解患有自闭症儿童的母亲的护理过程,并帮助母亲找到护理的意义和她们的福祉。
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引用次数: 20
"Burnout" in intensive care nurses. 重症监护护士的“职业倦怠”。
Pub Date : 2001-12-01 DOI: 10.1097/01.JNR.0000347573.45553.E0
S. Chen, A. McMurray
The purpose of this research was to examine the relationship between burnout components and selected demographic variables in a group of intensive care unit nurses. This research hopes to heighten awareness of both intensive care nurses and hospital administrators of the importance of burnout in their work setting. A descriptive correlational study design was used to examine the extent of burnout according to selected demographic variables. Sixty-eight intensive care nurses from two hospitals and critical care courses at one university completed a demographic data form and the research questionnaire of the Maslach Burnout Inventory (MBI). Statistical analysis included non-parametric tests. Study results indicated low to moderate levels of total component scores in all intensive care nurses and on all three subscales of the assessment instrument. Results also indicated that, in this sample, younger nurses (20-29 years of age), separated and divorced nurses, and staff who work full time in ICUs were the most prone to emotional exhaustion. These research findings recommend support for ICU nurses to prevent burnout in their work setting. Further research is necessary to examine what kinds of working environments (job related stress) are effective in mitigating burnout amongst staff in the intensive care field.
本研究的目的是检验一组重症监护室护士的倦怠成分与选定的人口统计学变量之间的关系。本研究希望能提高重症监护护士和医院管理者对工作环境中职业倦怠重要性的认识。根据选定的人口统计学变量,采用描述性相关研究设计来检查职业倦怠的程度。来自两家医院和一所大学重症监护课程的68名重症监护护士完成了一份人口统计数据表和Maslach职业倦怠量表(MBI)的研究问卷。统计分析包括非参数检验。研究结果表明,所有重症监护护士和评估工具的所有三个分量表的总成分得分均为低至中等水平。结果还显示,本组样本中年龄较轻的护士(20-29岁)、分居和离异护士以及全职icu工作人员最容易出现情绪衰竭。这些研究结果为ICU护士在工作环境中预防职业倦怠提供了支持。进一步的研究是必要的,以检验什么样的工作环境(工作相关压力)在减轻重症监护领域工作人员的职业倦怠方面是有效的。
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引用次数: 85
The relationship between maternal self-esteem and maternal attachment in mothers of hospitalized premature infants. 住院早产儿母亲自尊与依恋的关系。
Pub Date : 2001-09-01 DOI: 10.1097/01.JNR.0000347565.84564.D2
C. Chen, B. Conrad
The purpose of this study was to examine the relationship between maternal self-esteem and maternal attachment in mothers of hospitalized premature infants. The research instruments administered included: a demographic sheet, the Maternal Self-Report Inventory (MSRI), Rosenberg Self-Esteem Scale, and Leifer's How I Feel About My Baby Now Scale. Thirty-two mothers whose premature infants were medically stable and hospitalized in the NICU were studied. Two hypotheses on the positive relationships between maternal self-esteem and maternal attachment, and global self-esteem and maternal attachment could not be tested by correlational analyses due to the inadequate internal consistency of the How I Feel About My Baby Now Scale. A significant correlation was found between maternal self-esteem and global self-esteem. Thus, maternal role influenced general self-concept in mothers. In addition, it was found that there were no significant correlations between the MSRI and demographic variables, such as: maternal age, marital status, income, and educational level. Another result indicated that increased global self-esteem was correlated (p < .05) with maternal age, income, and educational level. The results of this study provide clinical nurses to pay attention not only to caregiving skills but also to the mother's appraisal of herself as a mother and attachment behaviors.
摘要本研究旨在探讨住院早产儿母亲自尊与依恋的关系。所使用的研究工具包括:人口统计表、母亲自我报告量表(MSRI)、罗森伯格自尊量表和莱弗的“我现在对孩子的感觉”量表。研究了32位早产儿医学稳定并在新生儿重症监护病房住院的母亲。关于母亲自尊与母亲依恋、整体自尊与母亲依恋正相关的两个假设,由于“我现在对我的宝宝的感觉”量表的内部一致性不足,无法通过相关分析进行检验。母亲自尊与整体自尊之间存在显著相关。因此,母亲角色影响母亲的一般自我概念。此外,我们发现MSRI与人口统计学变量(如:母亲年龄、婚姻状况、收入、教育水平)之间没有显著的相关性。另一个结果表明,整体自尊的增加与母亲的年龄、收入和教育水平相关(p < 0.05)。本研究结果提示临床护理人员不仅要注意护理技巧,而且要注意母亲对自己作为母亲的评价和依恋行为。
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引用次数: 23
期刊
The journal of nursing research : JNR
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