ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01294.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

This article describes a study of the effects of caregiving on family members who assumed primary responsibility for managing the care of ventilator‐assisted individuals in the home. Thirteen caregivers were interviewed and five variables associated with their role were assessed: caregiving tasks, burden of caregiving, impact of caregiving, mastery of the caregiving role, and satisfaction with caregiving. Data were collected using the Caregiving Appraisal Scale (CAS), a list of caregiving tasks, and a semistructured interview. Caregivers assumed multiple responsibilities for individuals who were completely ventilator‐dependent (n= 5), partially ventilator‐dependent (n= 3), or nocturnally ventilated (n= 5). Caregivers reported feeling moderate levels of both the burden and the negative impact of caregiving but a positive sense of mastery and satisfaction. They described problems with home healthcare nurses, insurance coverage, and equipment suppliers. Lack of preparation, in terms of education provided by healthcare professionals, limited their ability to manage these problems quickly and effectively. Caregivers suggested that healthcare providers expand discharge planning to include provision of problem‐solving str

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01295.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

This article describes the method the authors will use to develop a valid and reliable instrument to measure quality of life as an outcome measure of a cardiac rehabilitation program. A discussion of the difficulties in conceptualizing and measuring quality of life and a summary of the contribution of prior studies to the development of the instrument are presented. Implications for cardiovascular nursing practice are also discussed.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01296.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

It is estimated that half a million Americans will suffer strokes this year (National Stroke Association, 1989). The physical, emotional, and financial impacts of such an event are enormous. While stroke treatment methods have improved and rehabilitation programs have expanded, a substantial number of stroke patients are left with major disabilities. The only way to intervene is to focus on stroke prevention through the identification and modification of risk factors. One such intervention involves antiplatelet therapy, which has been found to reduce the risk of initial thrombotic stroke and the potential for recurrent stroke. Nurses caring for stroke patients need to know about this type of therapy, because continuity of pharmacological treatment, patient compliance, and education are essential for adequate stroke prevention.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01297.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

This article describes an outbreak of scabies on a 30‐bed acute spinal cord injury unit and the measures taken to eradicate the infestation. Because spinal cord injury patients have sensorimotor deficits, the sensation of itching often is absent, making an infestation of scabies more difficult to identify. A total of 30 patients and 38 employees were exposed and treated for scabies. Educational programs about scabies were instituted immediately for all employees. Routine daily activities and therapy schedules were severely hampered by the outbreak. Despite the efforts of staff to solve the problems associated with the outbreak, frustration and anger were sometimes displayed by many of the staff, patients, and families because of the difficulties they encountered. The outbreak was halted, however, and no further cases were reported, although several employees had to be treated twic

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01298.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Neuropsychology is a discipline that studies brain‐behavior relations through laboratory testing of behavior. Neuropsychologists develop a comprehensive clinical description of the person's cognitive processes and their implications for everyday behavior. Nurses can use the results of neuropsychological assessments as an objective source of information when planning care for clients who are cognitively impaired. This article provides an introduction to neuropsychology as a discipline, to its tests, and to its methods of assessment and interpretation. Two standard test batteries, the Halstead‐Reitan Battery and the Luria‐Nebraska Neuropsychological Battery, are described. Special tests for many cognitive functions—such as attention, executive functions, sensation and perception, motor performance, memory, language, and intelligence—also are

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01299.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

This article describes the relationship between body image and self‐concept, discusses responses to changes in body image secondary to disease and injury, and explores strategies for adjustment to alterations in body image. Sociopsychological aspects of body image form a complex framework by which an individual understands the self and perceives how he or she is understood by others. As body image, self‐concept, identity, and ego are closely associated, a loss of or alteration in any one of these factors can have deleterious effects on the entire self. Rehabilitation professionals assume an important role in helping people adjust to and accept alterations in body image by facilitating the grieving process; addressing loss, anxiety, and depression; and empowering individuals to emphasize and use their ass

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01300.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

This article describes an exploratory study whose purpose was to examine the impact of attitudes and beliefs on the intentions of adult patients with chronic obstructive pulmonary disease (COPD) to engage in endeavors that enhance activity tolerance. A convenience sample of 32 patients was interviewed using a semistructured format. Personal, normative, and control beliefs about endeavors that are thought to increase activity tolerance were explored. Using Ethnograph, a software package designed for content analysis of qualitative data (Seidel, Kjolseth,&Seymour, 1988), the researcher analyzed the interview content to identify recurrent themes. The notion of control seemed to be a major influence on the intention to engage in measures thought to increase activity tolerance. These issues should be explored further with patients who have COPD to help them make more effective decisions about their care.

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01301.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01302.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0278-4807    

DOI:10.1002/j.2048-7940.1994.tb01303.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY