Journal of Neuroscience Nursing最新文献_第10页

Exploring the Relationship Between Objective Pupillometry Metrics and Midline Shift. 探讨客观瞳孔测量指标与中线偏移的关系。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2021-12-01 DOI: 10.1097/JNN.0000000000000614

Kathryn Giamarino, Robert Blessing, Christopher Boelter, Julie A Thompson, Staci S Reynolds

{"title":"Exploring the Relationship Between Objective Pupillometry Metrics and Midline Shift.","authors":"Kathryn Giamarino, Robert Blessing, Christopher Boelter, Julie A Thompson, Staci S Reynolds","doi":"10.1097/JNN.0000000000000614","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000614","url":null,"abstract":"Abstract: BACKGROUND: Pupillary examinations provide early subtle signs of worsening intracranial pathology. Objective pupillomtery assessment, although not yet the standard of care, is considered best practice. However, inconsistent findings from objective pupillometry studies have caused a lack of consensus among clinicians; as such, no clinical guidelines are available to guide clinical use of objective pupillometer devices. To add to the body of evidence, the purpose of this project was to explore the relationship between objective pupillometry metrics and midline shift (MLS). METHODS: A retrospective chart review of pupillometer data was conducted. Midline shift was correlated with objective pupillometry metrics including Neurological Pupil Index (NPi), pupil size, and anisocoria. Midline shift was measured for the patient's initial neuroimaging and with any defined neurological change. Spearman ρ was used for statistical analysis of correlations between pupillometer metrics and MLS measured at both the septum pellucidum and pineal gland. RESULTS: A total of 41 patients were included in the analysis; most were White (58.5%) and male (58.5%), with a mean (SD) age of 58.49 (16.92) years. Spearman ρ revealed statistically significant positive correlations between right pupil NPi and anisocoria with MLS, and significant negative correlations between left pupil NPi and pupil size with MLS. CONCLUSIONS: Results from this project are consistent with previous studies. Objective pupillometry continues to be a valuable component of a comprehensive neurological examination, because it has the ability to discern early and subtle changes in a patient's neurological status, leading to lifesaving interventions.","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"53 6","pages":"233-237"},"PeriodicalIF":2.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10369887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 5

A Meta-analysis of the Effect of Motivational Interviewing on Depression, Anxiety, and Quality of Life in Stroke Patients. 动机性访谈对脑卒中患者抑郁、焦虑和生活质量影响的meta分析。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2021-12-01 DOI: 10.1097/JNN.0000000000000617

Ni Qiqi, Li Hangting, Wu Jia, Shen Jiaoni, Wan Xinrui, He Guijuan

{"title":"A Meta-analysis of the Effect of Motivational Interviewing on Depression, Anxiety, and Quality of Life in Stroke Patients.","authors":"Ni Qiqi, Li Hangting, Wu Jia, Shen Jiaoni, Wan Xinrui, He Guijuan","doi":"10.1097/JNN.0000000000000617","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000617","url":null,"abstract":"Abstract: BACKGROUND: Motivational interviewing has become a popular approach for relieving mood disturbances. We aimed to investigate whether motivational interviewing can effectively improve depression, anxiety, and quality of life among stroke patients. METHODS: Seven electronic databases were searched from inception to March 15, 2021. Other potentially related studies were identified through manually searching the reference lists of empirical articles and relevant review articles. Randomized controlled trials that investigated the effects of motivational interviewing on stroke patients with mood disturbances were deemed eligible. The Cochrane Handbook 5.1.0 was used to assess the risk of bias. Meta-analyses were conducted using the Review Manager Version 5.3. RESULTS: Six articles with 1419 participants were included. The subgroup analysis revealed that motivational interviewing was associated with improvement of depression (P < .00001) and quality of life (P = .0007) among patients having stroke at less than 12 months of follow-up. No significant differences were detected for improving depression (P = .40) and quality of life (P = .38) at 12 months of follow-up. Furthermore, the meta-analysis showed that motivational interviewing was not associated with alleviation of anxiety (P = .81) among stroke patients. CONCLUSION: This meta-analysis indicated that motivational interviewing might have beneficial effects on depression and quality of life in stroke patients at less than 12 months of follow-up. However, large and well-designed randomized controlled trials are needed to confirm these findings.","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"53 6","pages":"244-250"},"PeriodicalIF":2.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10006621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 5

Constipation Management in Parkinson Disease. 帕金森病的便秘管理。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2021-12-01 DOI: 10.1097/JNN.0000000000000611

Molly Cheesman, Haily Ho, Krista Bishop, Mo-Kyung Sin

引用次数: 1

Anisocoria Correlates With Injury Severity and Outcomes After Blunt Traumatic Brain Injury. 与钝性创伤性脑损伤后的损伤严重程度和预后相关。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2021-12-01 DOI: 10.1097/JNN.0000000000000613

Daniel Nyancho, Folefac D Atem, Aardhra M Venkatachalam, Arianna Barnes, Michelle Hill, Jeffrey I Traylor, Sonja E Stutzman, Nicole Bedros, Venkatesh Aiyagari, Salah G Aoun

{"title":"Anisocoria Correlates With Injury Severity and Outcomes After Blunt Traumatic Brain Injury.","authors":"Daniel Nyancho, Folefac D Atem, Aardhra M Venkatachalam, Arianna Barnes, Michelle Hill, Jeffrey I Traylor, Sonja E Stutzman, Nicole Bedros, Venkatesh Aiyagari, Salah G Aoun","doi":"10.1097/JNN.0000000000000613","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000613","url":null,"abstract":"Abstract: BACKGROUND: Automated infrared pupillometry (AIP) has been shown to be helpful in the setting of aneurysmal subarachnoid hemorrhage and stroke as an indicator of imminent irreversible brain injury. We postulated that the early detection of pupillary dysfunction after light stimulation using AIP may be useful in patients with traumatic brain injury (TBI). METHODS: We performed a retrospective review of the Establishing Normative Data for Pupillometer Assessment in Neuroscience Intensive Care database, a prospectively populated multicenter registry of patients who had AIP measurements taken during their intensive care unit admission. The primary eligibility criterion was a diagnosis of blunt TBI. Ordinal logistic modeling was used to explore the association between anisocoria and daily Glasgow Coma Scale scores and discharge modified Rankin Scale scores from the intensive care unit and from the hospital. RESULTS: Among 118 subjects in the who met inclusion, there were 6187 pupillometer readings. Of these, anisocoria in ambient light was present in 12.8%, and that after light stimulation was present in 9.8%. Anisocoria after light stimulation was associated with worse injury severity (odds ratio [OR], 0.26 [95% confidence interval (CI), 0.14-0.46]), lower discharge Glasgow Coma Scale scores (OR, 0.28 [95% CI, 0.17-0.45]), and lower discharge modified Rankin Scale scores (OR, 0.28 [95% CI, 0.17-0.47]). Anisocoria in ambient light showed a similar but weaker association. CONCLUSION: Anisocoria correlates with injury severity and with patient outcomes after blunt TBI. Anisocoria after light stimulation seems to be a stronger predictor than does anisocoria in ambient light. These findings represent continued efforts to understand pupillary changes in the setting of TBI.","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"53 6","pages":"251-255"},"PeriodicalIF":2.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10016185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 7

Psychometric Properties of the Korean Family Reported Outcome Measure for Family Members of Patients With Acquired Brain Injury. 韩国获得性脑损伤患者家庭成员报告结果测量的心理测量特性。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2021-12-01 DOI: 10.1097/JNN.0000000000000619

Hay Young Oh, Yong Soon Shin

{"title":"Psychometric Properties of the Korean Family Reported Outcome Measure for Family Members of Patients With Acquired Brain Injury.","authors":"Hay Young Oh, Yong Soon Shin","doi":"10.1097/JNN.0000000000000619","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000619","url":null,"abstract":"Abstract: BACKGROUND: Acquired brain injury (ABI) affects not only survivors but also their family members' quality of life in various ways. The Family Reported Outcome Measure (FROM-16), a self-reported instrument, has been developed to evaluate the impact of diseases on the lives of family members of patients. This study aimed to assess the reliability and validity of the Korean FROM-16 for family members of individuals with ABI. METHODS: A total of 200 family members of patients with ABI in South Korea participated in this study. Internal consistency was assessed using Cronbach α. To establish the validity, we evaluated the semantic equivalence, content, known-group, conduct, concurrent, and convergent validity of the Korean FROM-16. For exploratory factor analysis, common factor analysis with oblique rotation, parallel analysis, an eigenvalue greater than 1.0, and a scree plot were used. RESULTS: Exploratory factor analysis revealed 2 factors for the 16 items, which explained 67.4% of the total variance. Concurrent validity was established by comparison with the Korean World Health Organization Quality of Life Scale Brief (r = -0.57), and regarding the convergent validity, the Korean FROM-16 score positively correlated with the Korean Neurobehavioral Functioning Inventory. Known-group validity was confirmed by showing that family members with advanced age, the burden of caring, and insufficient income, as well as spouses, had a statistically higher score in the Korean FROM-16. Cronbach α was .92, indicating high internal consistency reliability. CONCLUSION: The Korean FROM-16 is a valid and reliable instrument for evaluating the impact of diseases on family members of individuals with ABI in South Korea.","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"53 6","pages":"256-261"},"PeriodicalIF":2.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10071986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Discharge Transition Experience for Lumbar Fusion Patients: A Qualitative Study. 腰椎融合术患者出院过渡经验:一项定性研究。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2021-12-01 DOI: 10.1097/JNN.0000000000000616

Jeoung Hee Kim, Yong Soon Shin

{"title":"Discharge Transition Experience for Lumbar Fusion Patients: A Qualitative Study.","authors":"Jeoung Hee Kim, Yong Soon Shin","doi":"10.1097/JNN.0000000000000616","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000616","url":null,"abstract":"Abstract: BACKGROUND: Support should be provided to individuals who are ready to be discharged; however, quantitative research is lacking in understanding the challenges of postsurgery lumbar fusion patients' discharge and transition. This article delves into the in-depth experience of lumbar fusion patients with discharge transitions. METHODS: We conducted semistructured individual interviews with 11 patients who had lumbar fusion surgery at one of Korea's most equipped general hospitals. These interviews focused on the patients' discharge transition experiences. The data were analyzed using phenomenological analysis. RESULTS: Lumbar fusion patients' experiences of discharge transition fit into 4 categories: anticipation of surgical transition, the process of transition to discharge, the difficult process of recovery, and recovery strategy. CONCLUSION: To further expedite the discharge process and make better use of cooperative hospital resources, conducting preoperative treatment planning, identifying family and social support systems, and sharing treatment procedures are all required. Furthermore, thorough health information services and step-by-step courses on predicted problems and everyday living after surgery should be considered for postoperative education. It is critical to broadening the scope of preoperative and postoperative education programs, as well as assistance for the social support system, such as the family-based support system and cooperative hospitals.","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"53 6","pages":"228-232"},"PeriodicalIF":2.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5b/32/neuronurse-53-228.PMC8575165.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10071987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Exploring the Face Validity of the Pain Numeric Rating Scale Among Healthcare Providers. 探讨医疗服务提供者疼痛数值评定量表的面部效度。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2021-10-01 DOI: 10.1097/JNN.0000000000000600

Peyton Link, Aardhra M Venkatachalam, Veronica Aguilera, Sonja E Stutzman, DaiWai M Olson

引用次数: 1

Stay Hospital and In-hospital Mortality by Stroke. 中风住院和住院死亡率。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2021-10-01 DOI: 10.1097/JNN.0000000000000602

Otto J Hernandez Fustes, Carlos Arteaga Rodriguez

引用次数: 0

An Integrative Review: Early Mobilization of Patients With External Ventriculostomy Drains in the Neurological Intensive Care Unit. 一项综合综述:神经重症监护室外脑室造口引流患者的早期动员。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2021-10-01 DOI: 10.1097/JNN.0000000000000609

Megan T Moyer, Janice L Hinkle, James D Mendez

{"title":"An Integrative Review: Early Mobilization of Patients With External Ventriculostomy Drains in the Neurological Intensive Care Unit.","authors":"Megan T Moyer, Janice L Hinkle, James D Mendez","doi":"10.1097/JNN.0000000000000609","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000609","url":null,"abstract":"Abstract: BACKGROUND: Patients in the intensive care unit (ICU) are at a high risk for immobility due to their high acuity and need for invasive devices including external ventriculostomy drains (EVDs). Prolonged patient immobilization is associated with poor outcomes. METHODS: Whittemore and Knafl's 5-stage framework was used to conduct an integrative review to synthesize findings from quantitative research studies on early patient mobilization for patients with EVDs in the neurological ICU. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist was used as the reporting guideline. RESULTS: In 12 studies, a total of 412 patients with EVDs in neurological ICUs were actively mobilized with a goal of progressing to ambulation. Mobilization out of bed with a ventriculostomy drain was safe and feasible without significant adverse events. CONCLUSION: There is a need to clarify best practices for early mobilization of patients with EVDs in the neurological ICU and to explore the influence of early mobilization on patients' rates of venous thromboembolism, catheter-associated urinary tract infections, catheter line-associated blood stream infections, ventilator-associated pneumonia, and ventriculostomy-related infections. No studies measured the total time the EVD was clamped during the patient mobilization intervention or the total amount of cerebrospinal fluid drainage on the day of mobilization. Early mobilization of patients with EVDs in the neurological ICU who were permitted out of bed was universally safe and feasible, with minimal adverse events when safety checks were integrated into mobilization protocols.","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"53 5","pages":"220-224"},"PeriodicalIF":2.3,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10468830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Effectiveness of Clinical Simulation and Peer-Assisted Learning to Teaching About the Sexuality of People With Spinal Cord Injury. 临床模拟与同伴辅助学习在脊髓损伤患者性行为教学中的效果。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2021-10-01 DOI: 10.1097/JNN.0000000000000608

Luana Cristina Hencklein, Ruana Luiz Ferreira da Silva, Daniel Gonçalves Campos, Gabriela Salim Spagnol, Juliany Lino Gomes Silva, Clara Fróes de Oliveira Sanfelice, Ana Railka de Souza Oliveira-Kumakura

{"title":"Effectiveness of Clinical Simulation and Peer-Assisted Learning to Teaching About the Sexuality of People With Spinal Cord Injury.","authors":"Luana Cristina Hencklein, Ruana Luiz Ferreira da Silva, Daniel Gonçalves Campos, Gabriela Salim Spagnol, Juliany Lino Gomes Silva, Clara Fróes de Oliveira Sanfelice, Ana Railka de Souza Oliveira-Kumakura","doi":"10.1097/JNN.0000000000000608","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000608","url":null,"abstract":"Abstract: BACKGROUND: The sexuality of people with spinal cord injury (SCI) is a subject often neglected by healthcare professionals because of their lack of knowledge or understanding of how to proceed in this context. Different teaching strategies can be used to fill this knowledge gap, such as clinical simulation and peer-assisted learning. This study evaluates the effects of an educational intervention on nursing students' knowledge acquisition about the sexuality of individuals with SCI and on the students' self-confidence and satisfaction with the experience. METHODS: Quasi-experimental, pretest-posttest design was conducted with nursing students (N = 54). The intervention was the application by a senior-level nursing student of 2 scenarios of high-fidelity clinical simulation. The primary outcome was the knowledge about the sexuality of people with SCI. The secondary outcome was the satisfaction and self-confidence in learning. We performed descriptive and inferential statistics and built multiple linear regression models. RESULTS: The effect of the intervention on knowledge acquisition ranged from the mean of 1.26 in the pretest to 3.10 in the posttest. The means in the scores of satisfaction and self-confidence were considered excellent and correlated with knowledge acquisition. Previous attendance of a class on SCI positively interfered in the scale of knowledge acquisition. CONCLUSION: We verified an effect size ranging from medium to large magnitude for knowledge acquisition, and great satisfaction and self-confidence in learning through the use of simulated experience and peer-assisted learning.","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"53 5","pages":"208-214"},"PeriodicalIF":2.3,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10468831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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