ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00741.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Cerebrovascular accidents are the third leading cause of death in the United States. Stroke disables two thirds of its survivors; of these, one third are severely impaired. Studies have begun only recently to focus on the emotional and psychosocial aspects of stroke recovery. Research on quality of life has been conducted with clients suffering from cancer and osteoarthritis as well as clients recovering from cardiac surgery; apparently, however, no similar study has been conducted with stroke patients. This article highlights the gap in nursing literature regarding quality of life after a stroke and encourages nurses to conduct research on this topic.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00742.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The purpose of the study described in this article was to determine the difference between the importance that wives of hospitalized stroke patients attached to their own needs and the degree to which they felt those needs were met by members of the nursing staff. Fourteen wives whose husbands had survived an initial stroke completed the Stroke Family Inventory, a 27‐item self‐administered questionnaire, and participated in a structured private interview to further explore the impact of the stroke on their lives. The wives were asked to reflect on their needs as perceived during the acute stage (the first 2 weeks) of the stroke. Of the 27 needs identified by the wives, four were perceived to be most important. These were (a) a wife's need to know what she could do to assist with her husband's care, (b) a need to be included in discharge planning for her husband, (c) a need to know that nursing personnel cared about her husband, and (d) a need to know what kind of activities her husband was able and/or would be able to do. Results showed that the wives perceived that 18 (66%) of the 27 needs were not met very well by hospital nursing sta

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00743.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The purpose of this article is to describe how social support theory was used to guide the nursing care of patients admitted to a rehabilitation unit in a large teaching hospital in a metropolitan medical center. Criteria from Caplan's Social Support Theory (Caplan&Killilea, 1976) were used to outline a plan that included input from significant others to create a plan for their loved ones who were recovering from left‐side CVAs. All nursing care was based on the cognitive and intellectual abilities of the patients. Two case studies are presented to illustrate the use of these nursing protocol

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00744.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The purpose of this study was to test the effects of an individually focused, guided decision‐making intervention on individuals' perception of self‐care ability following a stroke. A convenience sample of 68 individuals participating in four stroke rehabilitation programs in southeast Florida participated in the study. A quasi‐experimental design using a pretest and a posttest was implemented. Findings indicated the potential effectiveness of this intervention in significantly increasing individuals' perceptions of their self‐care ability after a stroke. Implications for practice and future research are di

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00745.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The purpose of the study described in this article was to compare the effectiveness of two bowel training programs for patients who had experienced a cerebrovascular accident (CVA) and to determine the length of time required to establish a regulated program. A quasi‐experimental design was used to compare the existing bowel program that incorporated every‐other‐day digital stimulation (DS) with a program using daily DS. The convenience sample of 48 CVA patients included 23 in the control group who had DS every other day and 25 in the experimental group who had daily DS. Demographic data showed no significant differences between the two groups. Thet‐test showed that more subjects in the experimental group established regularity; however, the subjects in the control group who did achieve regularity took less time to do it. Subjects with right‐side hemiplegia and less mobility required more time to become established. As a result of these findings, the routine protocol for bowel training in this rehabilitation unit has been changed to include daily digital st

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00746.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

Systemic lupus erythematosus (SLE) is a chronic inflammatory disease of unknown etiology that occurs in people who have an aberrant immune system; it affects most major organ systems. People with SLE vacillate between periods of remission and exacerbation, with symptoms of fatigue and chronic pain, and experience disturbances in self‐concept. SLE no longer has the high mortality rate of past years due to improved diagnostic tests that allow for earlier detection and treatment. SLE is a complex disease that affects the individual and the family. Rehabilitation nurses should use a holistic approach to treat altered functional ability and help individuals adjust to lifestyle changes associated with chronic illness and/or disability. Nurses with specialized rehabilitation knowledge and skill can help individuals with SLE realize and reach their optimal level of functioning, and thus improve their quality of lif

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00747.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The Cardiac Rehabilitation Compliance Assessment (CRCA) tool was developed by the author to facilitate compliance among cardiac rehabilitation patients with their exercise and medical regimen. The 18‐item tool is based on a review of the cardiac rehabilitation literature and the results of a telephone survey of cardiac rehabilitation patients who dropped out of an outpatient program (in other words, they had attended fewer than 18 of 36 sessions). The items are organized into six categories. Each item is assigned a value of 0 to 6 by the nurse. Items are totaled to determine if the patient is at high, moderate, or low risk for dropping out of the program and for noncompliance. Individualized motivational care plans can be formulated based on the CRCA assessment dat

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00748.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00749.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1993.tb00750.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY