Hoitotiede Pub Date : 1998-01-01

V Mikkola-Salo, S Arve, A Lehtonen, P Routasalo

{"title":"[The nursing care of a dying patient on the health center ward--the relatives' point of view].","authors":"V Mikkola-Salo, S Arve, A Lehtonen, P Routasalo","doi":"","DOIUrl":"","url":null,"abstract":"The purposes of the study were to find out relatives' opinions about the care of dying patients as well as to find out how relatives assess the nursing care which was given to their nearest on the hospital wards. In order to collect the data for the study, the family members of patients (N = 628) who had died not more than one year before in the hospital, were interviewed. The interviewing was done by sending a questionnaire to every other relative (N = 314), 210 of which (62%) answered the questions. The answers to the structured questions were analyzed with the SAS-software and open-ended questions by the content analysis method. The relatives found that the hospital ward was quite a suitable environment for the nursing care of a dying patient. They found visiting hours flexible but they wished that they had the possibility to rest or stay over night in the hospital. The health care professionals responsible for the care of dying patients were considered to succeed in the field of the patient's rest and hygiene, but they took less well care of patient's physical exercise and dental hygiene. The relatives were satisfied with the pain relief the patient got. According to the relatives, examinations, medication, nursing interventions or the \"futile\" care given did not cause additional suffering. Although the nurses did not response to patients' spiritual well-being or needs of affections, they were able to make the patients happy with their kindness, presence and with good basic care. The relatives were best informed about patients' every day well-being, medication as well as practical matters concerning the time after the death of the patient. If the patient was transferred to another hospital for the terminal care, the relatives found, however, that they didn't get enough information of the situation. The health care professionals did not console the relatives for their grief and they had not been encouraged to participate in the care of their family members.","PeriodicalId":77161,"journal":{"name":"Hoitotiede","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21302281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Grief among the psychiatric outcare-patients]. [精神科门诊病人的悲伤]。

Hoitotiede Pub Date : 1998-01-01

H Nieminen, M Luoma-Veikkola, S Pänkäläinen

引用次数: 0

[Use of Faces Scale in children's self-assessment of pain]. 面部量表在儿童疼痛自我评价中的应用

Hoitotiede Pub Date : 1998-01-01

R Vihunen, M Sihvonen

{"title":"[Use of Faces Scale in children's self-assessment of pain].","authors":"R Vihunen, M Sihvonen","doi":"","DOIUrl":"","url":null,"abstract":"In this study 3-8 year old children's pain assessment and management after tonsillectomies were evaluated on two otological wards. The sample consisted of 80 children, 40 from both wards and the response rate was 92%. The groups were compared with each other: on one ward nurses used the Faces Scale in children's self assessment of pain while the other was a comparative ward. The data were collected using measurements: 1. background of children, 2. intensity of children's pain after the operation observed by their parents, 3. parents' satisfaction with children's assessment and management of pain, 4. children's self assessment of pain with the Faces Scale and 5. documentation of children's pain management. The data were analysed by cross-tabulations, mean-values, t-test, Pearson's correlation and content analysis. 40% of children had severe or intolerable pain after the operation observed by their parents. Children's self assessment of pain and parents' observations correlated highly (r = .74, p < .05). Children had less pain (the difference was statistically significant) on the ward, where the Faces Scale was used in pain assessment. The parents were also more satisfied with their children's pain assessment and management on this ward. However, there were differences in pain management practices between there two wards. Nurses need more education to be able to assess and manage children's pain adequately.","PeriodicalId":77161,"journal":{"name":"Hoitotiede","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21302390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nurse educators' well-being at work in Finland. 芬兰护士教育工作者的幸福感。

Hoitotiede Pub Date : 1998-01-01

M Harri

引用次数: 0

[Psychological load factors and control in the work of occupational health nurses]. 职业卫生护士工作中的心理负荷因素及控制

Hoitotiede Pub Date : 1998-01-01

E Korpivuoma, A M Pietilä, H Jatkonen

引用次数: 0

[Challenges of the grounded theory approach to a novice researcher]. [扎根理论方法对新手研究者的挑战]。

Hoitotiede Pub Date : 1998-01-01

K Backman, H Kyngäs

引用次数: 0

[For better or worse--description of the problems experienced by elderly spouses of long-term care patients]. [无论是好是坏——描述长期护理患者的老年配偶所经历的问题]。

Hoitotiede Pub Date : 1998-01-01

T Jykylä, P Astedt-Kurki

引用次数: 0

University of Kuopio and University of Turku. Share a Fulbright professor in 1997-1998. 库奥皮奥大学和图尔库大学。1997-1998年共同担任富布赖特教授。

Hoitotiede Pub Date : 1998-01-01

E M Russaw

引用次数: 0

[Compliance of patients with hypertension]. 【高血压患者的依从性】。

Hoitotiede Pub Date : 1998-01-01

T Lahdenperä, H Kyngäs

{"title":"[Compliance of patients with hypertension].","authors":"T Lahdenperä, H Kyngäs","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this study was to evaluate the compliance of patients with hypertension and the connections between compliance and control. The research material was collected using a questionnaire, which was filled in by 138 patients aged under 60 from one city and from three municipalities. The response percentage was 94%. The results are presented as a frequency and percentage distributions. Means and medians are also presented. The material was analysed using the SPSS for Windows program. Hypertension control was determined on the basis of blood pressure readings and a weight index. According to the blood pressure readings the control of hypertension was good in one tenth of the patients, medium in two thirds and poor in one fifth. Based on the weight index, the control of hypertension was good in less than one third, poor in almost one third and medium in the rest of the patients. Two thirds of the respondents were obese and men were more often obese than women. According to the findings, there were no significant correlations between compliance and control. Compliance with visits and dietary restrictions was poorest, while compliance with medication was best. In the future, we will have to study further the connections between compliance and control in patients with hypertension. The development of a reliable measuring instrument is a long process and requires further research in a large study population.","PeriodicalId":77161,"journal":{"name":"Hoitotiede","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21291445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Patient guidance during the hospitalization--patients' perceptions and experiences]. 【住院期间的患者指导——患者的感知与体验】。

Hoitotiede Pub Date : 1998-01-01

E A Mattila

{"title":"[Patient guidance during the hospitalization--patients' perceptions and experiences].","authors":"E A Mattila","doi":"","DOIUrl":"","url":null,"abstract":"The aims of this study were to describe, firstly the perceptions and the experiences of the patients concerning the holistic guidance in a hospital, and secondly to describe their perceptions about how the guidance of the patients promoted patients' readinesses of self-care. Fifteen somatic and 10 psychiatric patients between 23 to 80 years of age participated in the study. The sample consisted of 12 men and 13 women. The data were collected by theme-interviews in three hospitals. The phenomenographic interpretive analysis was used for analysing the data. The psychiatric patients perceived the guidance as activating and developing the patient. The social management in the daily life was mainly emphasized in the guidance. They wished to discuss more about their feelings and their situation at the beginning and in the end of the nursing care in the hospital. The somatic patients regarded the guidance as informing and advising them how to observe their vital functions. They were dependent on the nursing experts during the hospitalization whereas the psychiatric patients thought they were more dependent when leaving the hospital. The somatic patients wished to discuss with nurses when they felt physically better. The psychiatric nursing emphasized the viewpoint of the human situation and the somatic the viewpoint of the organism. The guidance promoted the self-care readinesses of the patients when they handled their experiences of health and caring with nurses and when their own resources were used. The nurses need continuously to consider the ethical questions with which they could develop the guidance of the patients.","PeriodicalId":77161,"journal":{"name":"Hoitotiede","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21302392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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