ISSN:1038-5282    

DOI:10.1111/j.1440-1584.1993.tb00079.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACT:The farm is known to be a dangerous place for those who work it, live there or visit. Little however is known about the patterns of injury of these groups or the influence of different farming types. This study used injury surveillance at hospital accident and emergency departments to identify and compare injury patterns by age, status of person, and farm type.Child and adult injury patterns were similar in most regards except the level of occupational and leisure injuries. Differences existed across the various status groups, most markedly between employees/contractors and visitors. There were also marked differences in injury patterns across farm types, reflecting the predominant farm activity.Implications of the injury patterns in developing preventive action are discussed, as is the value of injury surveillance in identifying such variations.

ISSN:1038-5282    

DOI:10.1111/j.1440-1584.1993.tb00080.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACT:In recent years massage has been the subject of increasing interest within health care, yet nursing literature reflects a lack of research in the area of massage. This paper will examine a study of the effects of massage on pre‐operative anxiety. Sixty general surgical patients and gynaecological patients from a rural hospital were selected for this research. They were between 18 and 85 years of age. Combined qualitative and quantitative methods were used. However, part one of this paper will explore only the quantitative methodology. The treatment group consisted of thirty patients who underwent a 45 minute pre‐operative massage. The aim of the quantitative method was to assess the patient's level of anxiety and to see if there was any difference in anxiety in those patients who were massaged and those who were not. The tool used to measure the patient's anxiety level was Spielberger's state and trait anxiety inventory. The amount of analgesia and the length of hospital stay were also compared in both groups. It is evident from this study that massage reduces the client's anxiety pre‐operative. However, it was difficult to substantiate the effects on analgesia and length of hospital

ISSN:1038-5282    

DOI:10.1111/j.1440-1584.1993.tb00081.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACT:This paper will examine part two of a study on the effects of massage on pre‐operative anxiety. It includes a qualitative approach. The qualitative methodology involved tape‐recording patients' comments during the massage. At the end of the massage the patients were asked to discuss further their feelings in relation to their experience of being massaged. A number of themes have emerged from this study. However, it was found in this study that massage reduces the client's anxiety pre‐operative by providing them with a space where their vulnerability is respected. It also provides an environment where the clients feel safe to talk and they are able to experience their own subjectivity and sense of being in the

ISSN:1038-5282    

DOI:10.1111/j.1440-1584.1993.tb00082.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:1038-5282    

DOI:10.1111/j.1440-1584.1993.tb00083.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:1038-5282    

DOI:10.1111/j.1440-1584.1993.tb00084.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACT:This paper was written in response to the recognition of problems with multiple assessment of frail aged clients wishing to access various rural community services. Primarily under the Home and Community Care program, these offer a range of services with the aim of maintaining independence and preventing premature admission into long‐term residential care. To gain access, each service conducts an assessment—some of which have been shown to be lengthy and detailed, with some bordering on invasion of privacy. Research has shown that multiple assessment of clients by multiple agencies can be threatening to the client and can give them the feeling they are being judged. Further, there appears to be poor coordination and liaison between service agencies which exacerbates the problems inherent in multiple assessment, and provides an avenue for overservicing. This paper presents a solution to these problems. A pilot project is foreshadowed whereby the Aged Care Assessment Team (ACAT) undertakes all assessments and enters the details into a communal database for access by all care providers via computer network. The paper suggests that such a multiscreen database with service provider access codes to ensure confidentiality would markedly reduce client stress. It is shown that community service administrative costs would be reduced enabling funds to be directed to actual field hours. Some redefining of staff roles and redeployment of staff would be necessary and these issues are discussed.The writer recognises that the proposal is somewhat idealistic. However it does address some significant problems with the current methods of client assessment. Potential solutions are offered and may provide a useful basis for future developm

ISSN:1038-5282    

DOI:10.1111/j.1440-1584.1993.tb00085.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:1038-5282    

DOI:10.1111/j.1440-1584.1993.tb00086.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

ABSTRACT:The needs of women who are depressed during the postnatal period are not being adequately addressed by health workers. In response to community demand and national initiatives, a group of health professionals in rural Victoria developed and implemented a program which attempted not only to support women experiencing postnatal depression (PND) but also to address the needs of rural health workers. This paper provides an overview of PND and describes therapeutic interventions on an individual and group basis. Continuing education activities for rural health workers are outlined, as well as processes which aimed to increase community awareness and improve contact between self‐help groups, health services and private practitioner

ISSN:1038-5282    

DOI:10.1111/j.1440-1584.1993.tb00087.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:1038-5282    

DOI:10.1111/j.1440-1584.1993.tb00088.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY