ISSN:0029-6562    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

The Myocardial Infarct Stress-of-Transfer Inventory is a set of measures composed of grouped variables related to patients' perceptions of external support, perceived attitudes and behaviors, and physiological (cardiovascular and autonomit) responses commonly assessed by nurses in typical hospital settings. These measures were designed to evaluate changes in patients' status as a result of transfer from the coronary care unit to a general care ward at the time the patient is presumably out of danger. Direction of change of all parameters is a measure of patient response to transfer as well as a measure of effectiveness of nursing care. The tool consists of observational and nurse questionnaire data collected and averaged for pre- and posttransfer items. Of 48 total items of the tool, 20 are designated “change scores.” Interrater reliability was obtained for 20 percent of the tests with 80 percent agreement. A score of less than 22 is associated with poor transfer outcome; a score of more than 25 is associated with better-than-expected transfer outcome. Midrange from 22 to 25 is the average total score expectation for change as a result of transfer. The instrument was tested on 177 transfers of patients in six hospital settings in five western states (Arizona, Montana, Nevada, Utah, and Washington). The six hospital populations were found to be homogeneous as to patient age, sex, race, diagnosis, and patterns of nursing care. Individual total scores for the tool ranged from 18 to 27 with a mean of 23.175 and S.D. of 1.754. Change scores were adjusted to accommodate the influence of prescores on postscores for the behavioral variables. Factor analysis Indicated 17 factors in the tool with eigen values greater than 1.00. Significant findings were: 1) Cardiovascular signs and symptoms are unstable and arrhythmias are likely to occur in the two-hour period following transfer. Nursing care needs to accommodate this finding. 2) Nurses equated patient acceptance of disconnection of the cardiac monitor with patient “readiness for transfer.” 3) Because family visits had significant effect on patients—sometimes negative, sometimes positive—families should be taught how to visit the patient in order to avoid negative effects. 4) Nursing care plans are associated with patients who are out of danger and are usually not available or not written for patients who are critically ill. 5) The tool proved easy to use. It may lend itself to evaluation of other transfer situations such as transfer front hospital to nursing home.

ISSN:0029-6562    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

To determine interobserver reliability of the Mental Health Patient Assessment Record, two independent observers, a visiting nurse and the investigator who was a constant second observer throughout the study, made home visit observations at two specified times: the initial assessment (time I), and approximately two months later (time II). The stratified random sample consisted of 26 discharged psychiatric patients who comprised approximately 75 percent of the new admissions to the agency during a four-week period. At time I, 26 visits were completed and values were obtained, using the Pearson product moment correlation for the scores on the MHPAR: 1) overall behavior, r = .96; 2) physical behavior, r = .91; 3) psychological behavior, r = .93; 4) social behavior, r = .83; and 5) medical behavior, r = .98. The sign test applied to total and category scores revealed that only one category, social behaviors, demonstrated a significant systematic bias of the constant second observer. Of the 26 patients observed at time I, 20 were visited at time II. The following values were obtained using the Pearson product moment correlation for MHPAR scores: 1) overall behavior, r = .98; 2) physical behavior, r = .91; 3) psychological behavior, r = .97; 4) social behavior, r = .94; and 5) medical behavior, r = .99. The sign test applied to total and category scores showed no systematic bias of the constant second observer.

ISSN:0029-6562    

出版商:OVID    

年代:1979

数据来源: OVID

ISSN:0029-6562    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

When a pilot study provided evidence that insulin may increase the rate of healing of decubitus ulcers, this study attempted to answer the question: Is topical insulin therapy an effective treatment regimen for decubitus ulcers? The experimental study utilized a two-group, before-after design. Twenty-nine geriatric subjects were randomly assigned to either the experimental or the control group. The single independent variable was the topical application often units of regular insulin (U.S.P.) twice daily. The dependent variable was the surface area of the decubitus ulcer measured in square millimeters. Rate of heating was defined as decrease in surface area over time. Data were also gathered on extraneous variables believed to influence the healing process. TheFtest was used to test the research hypothesis that experimental subjects would have an increased rate of healing. When comparison of group means on day seven and day 15 revealed no significant differences, the research hypothesis was rejected. Pearson product moment correlation procedures were utilized to determine if there were differences between extraneous variables and the rate of healing. Females healed significantly (p<.05) more slowly than males. Also, there was a direct correlation between the number of days of treatment and the rate of healing.

ISSN:0029-6562    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

Vocal stress levels (using the Psychological Stress Evaluator) the day before and eight days after final examination week for one group (I) of volunteer students were compared with levels of another group (II) without intervening examinations. Time intervals for both groups were identical. Vocal stress was also compared with self-rated anxiety. There was a significant (p<.05) difference in vocal stress for group I when compared to group II, with group I showing a decrease. Mean changes in vocal stress paralleled mean changes (or lack thereof) in self-reported anxiety for both groups. This study suggested that vocal stress, as recorded by the PSE. does depict predictable and self-reported state anxiety which is significantly increased prior to and declines following college final examinations. Data further suggest that the PSE is useful for intervals of days rather than just in terms of minutes and that PSE measures may not be readily altered by acclimatization to the testing situation.

ISSN:0029-6562    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

Confusion in 91 hospitalized patients over 60 years of age who had sustained hip fracture and undergone subsequent surgical repair was examined in seven hospitals in five states. The relationship of nursing activities, patient, surgical, and environmental variables to the extent of confusion apparent in the sample was explored. Data were gathered by record review, patient testing, observation, and interview. Patient testing and interview were carried out on the first, third, and fifth postoperative days; the patient's caregiver on those days was also interviewed. The major dependent variables used in multiple regression analysis were memory (immediate and recent), observed behavior, and patient's self-report of mental clarity. Results showed that the most consistent predictors of postoperative confusion were the presence of confusion on admission to the hospital or confusion during the preoperative period. Greater postoperative mobility and freedom from urinary problems resulted in less confusion. Being male and of increased age were risk factors. The presence of timepieces and patients' use of television were associated with higher levels of mental clarity. Patients in private rooms tended to do better on memory testing than patients in rooms shared with others. Nursing personnel's major action in response to patient confusion was that of conscious attention to orientation, explanation, or reassurance. Use of restraints was relatively frequent.

ISSN:0029-6562    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

This study attempted to ascertain if significant changes took place in older adults' knowledge and attitudes about human sexuality following a two-session course on the subject. Subjects were volunteers who attended a neighborhood center in Miami, Florida. Information was gathered immediately before the first session and after the second session by use of pencil-and-paper tests. Test items were adapted from the Sex Knowledge and Attitude Test and Attitude and Knowledge Assessment. At the first session, small-group discussions followed a large-group instruction period; the second session consist of a 20-minute film on human sexuality, followed by group discussion. Of the 30 participants who took the pretest, only four completed the posttest, although most of the 30 attended the second session.

ISSN:0029-6562    

出版商:OVID    

年代:1979

数据来源: OVID

摘要:

This study compared mastery test score averages of 43 students who spent the day preceding the test in a seven-hour clinical laboratory with score averages of 36 students who had free time for study. The null hypothesis, that no significant difference would be found in the test means between the groups, was not rejected. Test score differences, it was assumed, resulted from chance.

ISSN:0029-6562    

出版商:OVID    

年代:1979

数据来源: OVID

ISSN:0029-6562    

出版商:OVID    

年代:1979

数据来源: OVID