ISSN:0361-1817    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Anorexia nervosa and bulimia nervosa are eating disorders characterized by gross disturbances in eating behavior. Recently these disorders have reached near-epidemic proportions, affecting approximately 1.2 million adolescent and young adult females in the United States. The incidence in males is considerably less, and the prevalence rate has remained fixed at 5 percent during the last five years. The estimates of mortality range between 1 and 15 percent and are equally divided between medical complications (electrolyte disturbance, acute kidney failure, cardiac complications) and suicide. Successful treatment requires a combination of aggressive medical management, psychotherapy, behavioral management, food-intake management and nutritional counseling. This requires health care providers to understand 1) the psychological ramifications of these disorders, 2) the types of depression associated with them, 3) antidepressants used and therapeutic dosages, 4) correction of nutritional deficiencies, 5) outpatient management and 6) indications for hospitalization (inpatient management).

ISSN:0361-1817    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

The incidence of eating disorders is increasing at an alarming rate. The clinician who sees many female teenagers and young women in the course of practice is a prime candidate for identifying and providing early diagnosis and communication with the anorexic or bulimic client. Vigilance when assessing the client's physical, psychological, personal and family-history status will increase case-finding for eating disorders at an earlier point in the disease.

ISSN:0361-1817    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Elderly patients present an enormous challenge to the mental health care system. Statistics have shown a high rate of mental disorders, especially depression and suicide, among this population group. Reminiscing about the past has been theoretically linked to positive adjustment in old age. The purpose of this study was to assess the effect of group reminiscence counseling on the level of depression of elderly women residing in nursing homes. A sample of 60 women 65 years and older participated in this study. Subjects were randomly classified into two experimental groups and one control group. An interview schedule that included demographics and Beck's Depression Inventory was employed to collect data. Chi-square analysis was used to test the homogeneity of the three groups with respect to their demographic characteristics. Analysis of data using the analysis of variance method showed that the differences between the levels of depression before and after the reminiscence counseling sessions were statistically significant in the younger subjects (65 to 74 years), and insignificant in the older subjects (over 74 years). Findings imply that group reminiscence counseling did have an effect on the elderly's level of depression. From the findings of this study, implications and recommendations are drawn.

ISSN:0361-1817    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

The American Nurses' Association's Council of Clinical Nurse Specialists and Council of Primary Health Care Nurse Practitioners conducted a survey of all graduate nursing programs in the United States that prepare nurse practitioners and for clinical nurse specialists. One hundred eight schools responded (73.5 percent), yielding data on 317 programs that could be further analyzed. For the 60 NP and 195 CNS programs analyzed, information was obtained on the following: required courses, number of hours of the required courses, students' clinical training settings and graduates' employment settings. Findings revealed marked similarity between the core curricula of NP and CNS graduate programs. The only significant differences found were that NP programs placed greater emphasis on pharmacology, primary care, physical assessment, health promotion, nutrition and history-taking in their curricula. In both- the student clinical settings and graduate employment settings, NPs focused on primary care settings while CNSs focused on secondary or tertiary care settings. Based on the marked similarities between the core curricula of NP and CNS graduate programs, it is suggested that further investigations be conducted to determine whether objectives and for teaching methods differ, and to further investigate the effects of practice setting on role development. Further, it is suggested that NPs and CNSs continue to interact through forums and conferences to continue the evolution and definition of graduate nursing education and advanced practice.

ISSN:0361-1817    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Treatment of HTV-infected individuals will become a regular part of mainstream medical practice because of the increasing numbers of infected persons, the geographical dispersion of the disease, and the routine nature of much of the care required by seropositive patients. Nurse practitioners, like other health care professionals, need to be willing and able to provide such primary care. One hundred sixty-five NPs constituted an opportunity sample that was surveyed using an instrument that had been adapted from one used successfully in studies of other health professionals. The instrument consisted of 80 forced-answer and six open-ended questions. The response rate was 63 percent. It was found that nurse practitioners believed there was moderate risk of occupational contraction of HIV. NPs were more likely to agree on activities they believed to be of low risk than about the danger of perceived higher-risk activities. The respondents judged themselves as fairly competent in their ability to provide counseling and information to patients about HIV and risk-reduction. Half believed that their lack of knowledge was the biggest barrier to providing care to HTV-infected persons. Eighty-five percent thought courses on the medical aspects od AIDS were necessary, and 78 percent wanted courses in the social, ethical and legal implecations of the disease. This study shows that there is a widely perceived need for continuing education on both medical and social aspects of AIDS in order to enable nurse practitioners to play a greater role in primary care provision for persons with AIDS.

ISSN:0361-1817    

出版商:OVID    

年代:1990

数据来源: OVID