Rehabilitation Nursing最新文献_第6页

Examining a Fatigue Management Model in Older Individuals 研究老年人的疲劳管理模型

IF 1.3 4区医学

Rehabilitation Nursing Pub Date : 2022-01-15 DOI: 10.1097/RNJ.0000000000000360

Maral R Torossian, Joohyun Chung, S. Mamo, C. Jacelon

{"title":"Examining a Fatigue Management Model in Older Individuals","authors":"Maral R Torossian, Joohyun Chung, S. Mamo, C. Jacelon","doi":"10.1097/RNJ.0000000000000360","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000360","url":null,"abstract":"Abstract Purpose The aim of this study was to examine a fatigue model for older individuals based on the theory of unpleasant symptoms. Research Design The research design used was a secondary data analysis of the “Patient-Reported Outcomes Measurement Information System Profiles–Health Utilities Index” data set. Methods Multiple regression analysis and path analyses were used to examine hypothesized model paths. Results A number of comorbidities, pain, sleep, depression, anxiety, education, and sensory impairment were significant predictors of fatigue. Higher fatigue scores predicted lower physical, social, and cognitive performances, as well as worse perceived health and quality of life (QOL). In addition, the identified fatigue outcomes mediated the relationship between fatigue and QOL. Conclusions Future research should be directed toward exploring other risk factors of fatigue and examining feedback loops depicted in the theory of unpleasant symptoms. Clinical Relevance to the Practice of Rehabilitation Nursing Rehabilitation nurses should closely monitor and manage the identified fatigue-influencing factors to improve older individuals’ performance, perceived health, and QOL.","PeriodicalId":49631,"journal":{"name":"Rehabilitation Nursing","volume":"47 1","pages":"50 - 59"},"PeriodicalIF":1.3,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43012412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are Symptoms of Spasticity, Pain, and Fatigue Related in People With Stroke? 中风患者的痉挛、疼痛和疲劳症状是否相关?

IF 1.3 4区医学

Rehabilitation Nursing Pub Date : 2022-01-01 DOI: 10.1097/RNJ.0000000000000349

Rozina Bhimani, Charles Horowitz, Michelle A Mathiason, Lisa Carney Anderson

{"title":"Are Symptoms of Spasticity, Pain, and Fatigue Related in People With Stroke?","authors":"Rozina Bhimani, Charles Horowitz, Michelle A Mathiason, Lisa Carney Anderson","doi":"10.1097/RNJ.0000000000000349","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000349","url":null,"abstract":"Purpose: The purpose of this study was to determine whether symptoms of spasticity, pain, and fatigue are correlated in people with stroke.Design: A longitudinal-correlation, mixed-method design was used.Methods: Spasticity, pain, and fatigue symptoms were explored in 22 patients with stroke admitted to three different rehabilitation units certified by the Commission on Accreditation of Rehabilitation Facilities. Data were obtained upon admission, postdischarge, and 1 month after discharge. Demographics, numeric ratings, and a semistructured interview were used to determine associations over time.Results: Symptoms of spasticity, pain, and fatigue were quite variable. Fatigue was more likely to impair recovery. Spasticity appears to contain pain experiences. Pain does not appear to be a major factor over time.Conclusions: In this sample of patients with stroke, symptoms of spasticity, pain, and fatigue were correlated.Clinical relevance: In managing poststroke spasticity, pain, and fatigue, nurses should recognize that these symptoms are correlated.","PeriodicalId":49631,"journal":{"name":"Rehabilitation Nursing","volume":"47 1","pages":"31-40"},"PeriodicalIF":1.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39551343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Human Trafficking in Rehabilitation: What Nurses Need to Know. 康复中的人口贩卖:护士需要知道什么。

IF 1.3 4区医学

Rehabilitation Nursing Pub Date : 2022-01-01 DOI: 10.1097/RNJ.0000000000000359

引用次数: 0

Updated Competency Model for Professional Rehabilitation Nursing: Practice Applications. 更新的职业康复护理胜任力模型:实践应用。

IF 1.3 4区医学

Rehabilitation Nursing Pub Date : 2022-01-01 DOI: 10.1097/RNJ.0000000000000350

Stephanie Vaughn, Jill Rye, Angela Allen, Amy Bok, Kris Mauk, Linda Park, Linda Pierce, Wendy Wintersgill Holler

{"title":"Updated Competency Model for Professional Rehabilitation Nursing: Practice Applications.","authors":"Stephanie Vaughn, Jill Rye, Angela Allen, Amy Bok, Kris Mauk, Linda Park, Linda Pierce, Wendy Wintersgill Holler","doi":"10.1097/RNJ.0000000000000350","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000350","url":null,"abstract":"Background: The Competency Model for Professional Rehabilitation Nursing is a lens through which nurses can view their practice; the four domains provide a template that guides that practice.Purpose: The aim of this study was to describe a task force's review procedures and share the updated model.Appraisal process: A rehabilitation nursing task force appraised the model over the course of 1 year.Revision outcomes: The original four domains remain, with wording changes for content and clarity throughout. Notable changes include (1) new competency for Domain 1 that focuses on the understanding of the worldview of individuals who are culturally different and (2) case stories for each domain related to nurses' proficiency (beginner, intermediate, and expert).Clinical relevance: This updated model can be used to explicate the rehabilitation nurses' role on intra/interprofessional teams, as well as provide a framework for education and staff orientation/performance evaluation.Conclusion: This competency model reflects the current practice and advances of the specialty practice of rehabilitation nursing.","PeriodicalId":49631,"journal":{"name":"Rehabilitation Nursing","volume":"47 1","pages":"12-23"},"PeriodicalIF":1.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39553105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Updated Competency Model for Professional Rehabilitation Nursing: Practice Applications. 更新的职业康复护理胜任力模型:实践应用。

IF 1.3 4区医学

Rehabilitation Nursing Pub Date : 2022-01-01 DOI: 10.1097/RNJ.0000000000000358

引用次数: 0

No Time for Silence. 没有时间沉默。

IF 1.3 4区医学

Rehabilitation Nursing Pub Date : 2022-01-01 DOI: 10.1097/RNJ.0000000000000355

Laura Dzurec, Pamala D Larsen

引用次数: 0

Human Trafficking in Rehabilitation: What Nurses Need to Know. 康复中的人口贩卖:护士需要知道什么。

IF 1.3 4区医学

Rehabilitation Nursing Pub Date : 2022-01-01 DOI: 10.1097/RNJ.0000000000000356

Melissa I Franklin, Rebecca S Koszalinski

引用次数: 0

Interventions for Informal Caregivers of Stroke Survivors: Is There Racial and Ethnic Representation in Stroke Caregiver Studies? 对中风幸存者非正式照护者的干预:在中风照护者研究中是否存在种族和民族代表性?

IF 1.3 4区医学

Rehabilitation Nursing Pub Date : 2022-01-01 DOI: 10.1097/RNJ.0000000000000315

Janet Lopez, Jeanne-Marie Stacciarini, Lisa Scarton, Constance R Uphold

{"title":"Interventions for Informal Caregivers of Stroke Survivors: Is There Racial and Ethnic Representation in Stroke Caregiver Studies?","authors":"Janet Lopez, Jeanne-Marie Stacciarini, Lisa Scarton, Constance R Uphold","doi":"10.1097/RNJ.0000000000000315","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000315","url":null,"abstract":"Purpose: The specific aims of this scoping review of the literature are to (1) map the current scope of literature regarding nonpharmacological interventions for informal stroke caregivers and (2) explore the degree to which racial/ethnic minority groups were represented in nonpharmacological interventions for stroke caregivers in the United States.Design and methods: Arksey and O'Malley's methodological framework was used to conduct this scoping review. The framework entails formulating research questions, developing criteria for selecting relevant studies, charting the data, and synthesizing results.Findings: The scoping review yielded 11 studies that varied in intervention design, methods of implementation, and outcome measurements. The review indicated that racial and ethnic minorities were less likely to be represented in nonpharmacological intervention studies for stroke caregivers.Conclusion: Currently, there is sparse research that focuses on interventions with family caregivers of varying racial/ethnic groups in the United States.","PeriodicalId":49631,"journal":{"name":"Rehabilitation Nursing","volume":"47 1","pages":"3-11"},"PeriodicalIF":1.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25348239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Spasticity, Pain, and Fatigue 痉挛、疼痛和疲劳

IF 1.3 4区医学

Rehabilitation Nursing Pub Date : 2021-11-25 DOI: 10.1097/RNJ.0000000000000357

Rozina Bhimani, D. Chappuis, Michelle A. Mathiason, L. Anderson

{"title":"Spasticity, Pain, and Fatigue","authors":"Rozina Bhimani, D. Chappuis, Michelle A. Mathiason, L. Anderson","doi":"10.1097/RNJ.0000000000000357","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000357","url":null,"abstract":"Abstract Purpose The purpose of this study was to determine whether spasticity, pain, and fatigue symptoms were related to functional outcomes in people with stroke. Design A longitudinal correlation design was used. Methods Twenty-two stroke patients experiencing spasticity, pain, and fatigue were followed for 7 days over 6 weeks: 3 days in acute rehabilitation units, 3 days postdischarge to home/community, and an additional 1 day at 1 month postdischarge. Demographics, numeric ratings, and PROMIS tools were used to determine associations over time. Results Pain was related to fine motor activities on admission. Fatigue was significantly associated with activities of daily living, motor functions, mobility, and ability to perform physical tasks at 1 month. Spasticity was significantly related to activities of daily living, pain experiences and fatigue at 1 month. Conclusions Symptoms of spasticity, pain, and fatigue were associated with functional outcomes in this sample of patients. Clinical Relevance to Rehabilitation Nursing Symptoms can influence physical recovery; therefore, nurses could improve care through recognition of suspected correlation of symptoms in people with stroke.","PeriodicalId":49631,"journal":{"name":"Rehabilitation Nursing","volume":"47 1","pages":"60 - 71"},"PeriodicalIF":1.3,"publicationDate":"2021-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49169163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Older Persons and Nursing Staff's Perspectives on Continence Care in Rehabilitation: A Qualitative Study. 老年人及护理人员对康复中失禁护理的看法:一项质性研究。

IF 1.3 4区医学

Rehabilitation Nursing Pub Date : 2021-11-01 DOI: 10.1097/RNJ.0000000000000313

Kathleen F Hunter, Sherry Dahlke, Nicholas Smith, Alina Lin, Saima Rajabali, Adrian Wagg

{"title":"Older Persons and Nursing Staff's Perspectives on Continence Care in Rehabilitation: A Qualitative Study.","authors":"Kathleen F Hunter, Sherry Dahlke, Nicholas Smith, Alina Lin, Saima Rajabali, Adrian Wagg","doi":"10.1097/RNJ.0000000000000313","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000313","url":null,"abstract":"Purpose: The aim of the study was to understand continence care in geriatric rehabilitation from the perspectives of older persons and nursing staff.Design: This is a qualitative descriptive study.Methods: Ten patients and 10 nursing staff participated in semistructured interviews. Observations of care were recorded in field notes. Content analysis was used to develop themes of patient and nursing staff perspectives.Findings: Three themes were developed: Perceptions of Assessment, Continence Management, and Rehab: The Repair Shop. Patients had limited insight into continence assessment and management by nursing staff. For older persons, incontinence was embarrassing and created dependence; independence in toileting meant gaining control. Staff viewed continence as an important part of rehabilitation nursing but focused on containment and regular toileting, with patients seeing absorbent pads as commonly suggested.Conclusions: Continence care approaches that engage older persons during rehabilitation are needed.Clinical relevance: Restoration of continence through patient-centered care is core to older person rehabilitation.","PeriodicalId":49631,"journal":{"name":"Rehabilitation Nursing","volume":"46 6","pages":"305-314"},"PeriodicalIF":1.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38862021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2