ISSN:0029-6562    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

&NA;This study compared sleep‐awake patterns in clients following head injury with their sleep‐awake patterns prior to head injury. Data were collected from 75 subjects who had experienced a minor head injury (MHI) with a disturbance in consciousness three months prior to filling out a questionnaire. The majority of the clients were males, 16 to 30 years old, who had been involved in a motor vehicle accident which resulted in MHI. Questions related to the sleep‐awake patterns before and after head injury. Sleep‐awake patterns following head injury differed from sleep‐awake patterns prior to head injury in the following sleep indicators: sleep interruptions per week and per night increased significantly (p <.004, p <.001) as did the time needed to function at peak efficiency upon awakening (p <.001). The subjects reported significant increases (p <.02) in the number of times per month in which they were unable to return to sleep after an early morning awakening coupled with the difficulty in returning to sleep (p <.04). Overall, the clients reported significantly decreased sleep quality (p <.02) and increased complaints about sleep following head injury (p <.001). An increase in the time of consciousness disruption following head injury was related to the subjects having a tendency to sleep longer and to recall fewer, less vivid dreams. A decreased level of consciousness upon admission to the emergency department at time of injury correlated with the increased number of arousals during the sleep cycle and the reduced intensity of auditory stimulus needed to interrupt sleep. The anatomical site of the head injury and the duration of post‐traumatic amnesia (PTA) were found to have no significant effect upon sleep‐awake patterns following MHI.

ISSN:0029-6562    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

&NA;No research data are available on the effects of oxygen on oral temperature. This study sought to determine if oxygen administration via aerosol mask, venti‐mask, or nasal prongs altered oral temperature as assessed in the sublingual pockets of the mouth. The population included 40 healthy male and female volunteers. Oxygen was administered using a repeated measure design with the subjects serving as their own controls and the oxygen devices presented in a counterbalanced order. An electronic thermometer recorded the temperature at the end of each 15‐minute treatment/control period. There was no significant difference between the pre‐ and post‐treatment measurements of the aerosol mask, venti‐mask, and nasal prongs. The conclusion was that oral temperature assessed in the presence of oxygen administration is no different than oral temperature assessed without oxygen administration.

ISSN:0029-6562    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

&NA;This study focuses on the relationship between parent coping behaviors, parent functioning, and infant temperament characteristics. One hundred mothers and fathers of two‐ to three‐month‐old infants answered a 154‐item self‐administered questionnaire. The following three parent‐coping behavior patterns emerged: (1) seeking social support and self‐development; (2) maintaining family integrity; and (3) being religious, thankful, and content. Parents who were depressed, anxious, and had somatic complaints perceived social support and self‐development as more helpful and were less focused on maintaining family integrity. Parents who perceived their infant as having a more smiling, laughing temperament, and as a child who cries less, used coping behaviors designed to maintain family integrity; they were more religious, thankful, and content. Parents who were depressed and parents who were anxious saw their infants as less soothable and more distressed when faced with limitations.

ISSN:0029-6562    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

&NA;This study investigated the differences between temperature taking in neonates by the axillary method and by the rectal method. A sample of 46 normal fullterm neonates had axillary and rectal temperatures monitored for ten minutes by each method with mercury in glass thermometers. There were significant differences found between axillary and rectal temperatures when compared minute for minute. Stabilized axillary and stabilized rectal temperatures were not tested for difference because axillary temperatures did not meet the criteria for stabilization. A significant positive correlation was found between axillary and rectal temperatures. Axillary temperature taking may be a practical method for neonatal temperature monitoring.

ISSN:0029-6562    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

&NA;This study compared sexual functioning in 84 hypertensive subjects enrolled in an inner city hypertensive program with a matched group of 84 nonhypertensive subjects attending ambulatory care. Using the Sexual Functioning Questionnaire (SFQ), hypertensive subjects achieved lower levels of sexual functioning than nonhypertensive subjects (F =21.60, df=1/164,p <.001). The 84 hypertensive subjects were categorized according to drug regimen (simple, moderate, and complex) and diastolic blood pressure measurement (DBP) (controlled and uncontrolled). Health beliefs of both sexes, relation‐ship between type of drug regimen and sexual functioning, and association between self‐report compliance and sexual functioning were examined. In the health belief survey, males reported a greater frequency of drug‐induced sex problems than females (p <.01), use of a complex drug regimen was associated with low level of sexual functioning (p <.01), and type of self‐report compliance was not related to level of sexual functioning. Hydrochlorothiazide, propranolol, and hydralazine were used by 80 percent, 43 percent, and 20 percent of clients. Self‐report compliance was significantly related to controlled DBP (p <.001).

ISSN:0029-6562    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

&NA;In this study, it was predicted that over a two‐year period chronically ill psychiatric outpatients treated in a nursing social support program would experience a lower rehospitalization rate; more days out of hospital; less treatment drop‐out; a greater decrease in symptoms; fewer nedication increases; a greater increase in socialization, occupation, and satisfaction with life situation; and show better care ratings than similar patients attending a medication clinic. Forty‐seven medication‐maintained patients were randomly assigned to treatment conditions. After two years of treatment, medication clinic patients had improved socialization and satisfaction with care ratings and lowered depression and agitation ratings. There were no group differences on other outcome criteria.

ISSN:0029-6562    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

&NA;Subjective time is explored as a developmental phenomenon of man's expanding consciousness. Eighty‐five subjects, 60 to 88 years of age (X = 71.5) were tested to ascertain the relationship between age, movement (preferred walking rate), and time (perceived duration of a 40‐second interval). Findings were compared to previous data on two younger age groups. Neither the age‐time nor the movement‐time relation‐ship was confirmed in this sample. However, a trend toward increased subjective time with age was suggested when comparisons were made across a broader age group. Sex and hemispheric lateralization may have influenced results and need consideration in further study of this problem.

ISSN:0029-6562    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

&NA;Factors that facilitate or inhibit implementation of the Emergency Nurse Practitioner (ENP) role were studied. ENPs were surveyed by questionnaire. Sixty‐eight (64.7 percent) responded, providing data about motivating factors influencing the decision to seek ENP education and subsequent job acceptance; current employment status; role concept, performance and autonomy; and barriers to practice.Nearly all program graduates had practiced as ENPs, but only 43 percent were doing so at the time of survey. Of the rest, a third were nurse practitioners in a nonemergency room setting (NPs), and 22 percent were practicing in other nursing roles (NNPs). Respondents were motivated to enter an ENP program by greater role credibility, autonomy, job advancement, learning new skills, and dissatisfaction with their jobs. Similarly, ENPs accepted their jobs because of the opportunity to use their new skills, available medical backup, and the location of employment. NPs and NNPs reported leaving ENP practice because of resistance from other health care providers. ENPs experienced resistance in their practice, although they believed the role was accepted by consumers and health care colleagues. They tended to perform tasks they believed appropriate to the role and not to perform tasks inappropriate to the role. Most ENPs reported role autonomy and a collaborative or independent practice. While 42 percent reported no barrier to practice, the majority of ENPs reported ≥ 1 barrier. Resistance and legal status were the most frequently reported barriers. The need for further onsite and nationwide research on the ENP is suggested.

ISSN:0029-6562    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

&NA;This study explores the process of professional socialization in a sample of newly graduated baccalaureate nurses whose first experience as practicing professionals was in a hospital organizational system. Professional socialization was defined in terms of the concept of identity reassessment as proposed by Strauss and in terms of the new graduates' descriptions of their own behavior during conflictual situations in the work setting. These descriptions were identified as conflict‐reporting behavior and analyzed from two aspects: the source of the conflict and the level reached by the behavior of the respondent, as defined by a model for organizational conflict proposed by Pondy. Although changes in conflict‐reporting behavior with increasing experience in the hospital bureaucracy were noted, the study findings showed no significant relationships between this behavior and ideas about the nursing role and the value of organizational inducements. Some trends in conflict‐reporting behavior were noted in relation to three other variables: the size of the unit on which the new graduate was working, the identity of the other persons in the conflict, and the new graduates' work experience in a hospital system while in school.

ISSN:0029-6562    

出版商:OVID    

年代:1982

数据来源: OVID