ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb00540.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Studies related to the treatment of pressure sores have appeared in the literature. Questions remain regarding both the etiology and treatment. This article presents a conceptual schema within which current knowledge can be organized and examined and further study facilitated. The critical determinants of pressure sores are primarily the intensity and duration of pressure. A second critical concept, the tolerance of the tissue for pressure, is also discussed. Conditions contributing to prolonged and intense pressure are included within the concepts of mobility, activity, and sensory perception. Tissue tolerance for pressure is influenced by both extrinsic and intrinsic factors. Extrinsic factors such as moisture, friction, and shear impinge on the skin and underlying tissues, while the multiple influences of nutrition, the physiologic effects of stress, aging and alterations in cellular respiration are intrinsic factors which influence the architecture and integrity of the skin and supporting structures. The schema provides broad categories capable of organizing existing knowledge and new findings.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb00541.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

The Health Belief Model has been proposed as a model for understanding adherence to health care regimens. This study examined the variables of the Health Belief Model in relation to compliance with a skin care regimen in a group of paraplegic patients. It was found that the perceived severity of pressure sores, the perceived efficacy of skin care, and the sum of the participant's beliefs about skin care were positively related to compliance with skin care. The perceived susceptibility to pressure sores and perceived barriers to skin care were not found to be significantly correlated with compliance with skin care. These findings suggest that patient teaching in skin care for the paraplegic patient may be more effective in increasing compliance with skin care if it emphasizes (a) information about the severity of pressure sores, (b) knowledge and techniques of skin care, and (c) evidence of efficient skin care.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb00542.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

As with other nursing problems, management of dermal ulcers requires interventions that are logical, systematic and theory‐based. This article outlines five key principles that guide the nurse in treatment of dermal ulcers. Using knowledge of normal skin function and normal healing processes, a model is presented for assessment, identifying treatment goals, and selecting treatment options. Conditions and factors that influence healing are emphasized as part of the assessment proces

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb00543.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

This study reports preliminary findings of 42 spinal cord injury patients who participated in a program designed to heal existent skin problems and to reduce chronic skin readmissions. The results indicate a positive association between the program design components of didactic teaching sessions and specific behavioral outcomes. Program outcome as measured by the presence of intact skin at three months reveals a 78% success rate and a 65% success rate at one year. Further study is needed to evaluate more long‐term outcome and to examine further the predictive values of test scores and behavioral compliance as indicators of healthy skin at specified interval

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb00544.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

Predictors of positive marital adjustment among spinal cord injured persons were examined. Twenty couples in which one spouse sustained a spinal cord injury were administered the Marital Activities Inventory (MAI), the Sexual Interaction Inventory (SII), the Areas of Change Questionnaire (A‐C), and the Locke‐Wallace Short Marital Adjustment Test (SMAT). Results were analyzed using stepwise multiple regression analyses for both husbands' and wives' SMAT scores. Results indicated that for both husbands and wives, the number of recreational and social activities engaged in with others was the strongest predictor of positive marital adjustment. Further, little relationship was found between sexual satisfaction and marital adjustment. The findings were discussed as they apply to rehabilitation nursing pract

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb00545.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

This study examines the relationship between performance and knowledge of three rehabilitation multidisciplinary (RM) groups during a Mock Harvey Team (MHT) after simulation of life‐threatening patient situation. It was hypothesized that with initiation of Mock Harvey Team inservice training, the quality of the RM groups' performance would be enhanced, and with inservice education on identified problem areas, the professional care givers would evidence increased knowledge and added performance skills during an MHT clinical experience. Each of the three groups that participated in the MHT was composed of 11 participants from a variety of disciplines. They were evaluated on equipment and drug performance and knowledge. Evaluation tools used were direct observation and checklist evaluation. Problem areas were identified, and inservice programs were held that focused on priority tasks. The MHT simulations were repeated after the RM groups completed a series of inservice programs. The checklist evaluation reflected an increase in MHT performance and knowledge. It was concluded that the RM members of each group were more knowledgeable and exhibited improved performance during the MHT simulation

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb00546.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

This article describes a unique nursing elective offered to senior baccalaureate students that encourages the student to look at the chronically ill client from a wellness perspective. Conceptual framework, content, and clinical settings are described with emphasis on the use of a wellness model using the framework of the nursing process. As the last course in the senior year, this provides an opportunity for students to concentrate on rehabilitation nursing and be prepared to practice in a rehabilitation setting after graduation. Readers will identify key concepts inherent in a course in rehabilitation nursing focusing on wellness.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb00547.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb00548.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1987.tb00549.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY