Hoitotiede最新文献_第2页

[Sleep disturbances affecting hospital patients]. [影响住院病人的睡眠障碍]。

Hoitotiede Pub Date : 1998-01-01

L Kuivalainen, A Ryhänen, A Isola, P Meriläinen

{"title":"[Sleep disturbances affecting hospital patients].","authors":"L Kuivalainen, A Ryhänen, A Isola, P Meriläinen","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this article is to describe patients' sleep in hospital. The article is based on a study of patients' sleep in a hospital's medical or surgical ward and to clarify the disturbance factors relating to their sleep. The patients of the Central Hospital of Northern Carelia's two medical and two surgical wards took part in the research. The data were collected by a structured questionnaire and a follow-up questionnaire in May-June 1996. Of the replies of 181 patients, the results of 177 were taken to the final analysis. The data were analysed by statistical methods. The data and the results are presented in frequency and percent distributions, and the background variables of those patients sleeping well and those sleeping poorly are analysed and compared. The results indicated that 65% of the researched patients slept badly in the hospital. Environmental factors were found to be related to most of the patients' sleep disturbances: 80% of them regarded those factors as the cause for their disturbed sleep. Other patients, noise, and the nurses' work were regarded as the most disturbing of the environmental factors. The internal factors had disturbed patients' sleep in the hospital less than the environmental factors. Pain was regarded as the most sleep disturbing internal factor: over half of the researched patients felt disturbed by it. During their stay in the hospital the patients experienced more positive (trust, contentment, safety) than negative feelings (fear, anxiety, depression, distrust), and those who experienced negative feelings had more difficulties in sleeping.","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":"21302391","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

[Living with enlarged prostate]. [前列腺肥大]。

Hoitotiede Pub Date : 1998-01-01

K Kiviniemi, T Suominen

引用次数: 0

[The dynamics of hope described by elderly people aged 70 and over living at home]. [70岁及以上住在家里的老人所描述的希望的动力]。

Hoitotiede Pub Date : 1998-01-01

J Kylmä

引用次数: 0

[Demented patients' rights in institutions--the relatives' point of view]. [精神错乱患者在机构中的权利——家属的观点]。

Hoitotiede Pub Date : 1998-01-01

S Teeri, M Välimäki, J Katajisto

{"title":"[Demented patients' rights in institutions--the relatives' point of view].","authors":"S Teeri, M Välimäki, J Katajisto","doi":"","DOIUrl":"","url":null,"abstract":"The aim of this study was to describe the views of demented patients' relatives concerning the fulfillment of patients' rights in institutions. The Act on Patients' Rights and Status of March 1st, 1993, served as the basis for this study. Of the Act, the patients' rights to good care and treatment, to information and to self-determination were discussed. The data were collected from six medical wards for long-term patients at a hospital and from an old people's home by using a questionnaire. Ninety relatives of demented patients participated in the study, the response rate being 60%. The data were analyzed statistically. The relatives stated that the right to good care and treatment was realized best. The right to information was fulfilled quite well according to the respondents. The fact that the staff would not give information on their own initiative was regarded as lack of information. The right to self-determination was realized most poorly; 44% of the respondents could not say whether their relatives were able to affect the care with their opinions and wishes, and 59% could not answer whether the patient could reject the care. On the contrary, the respondents preferred their own right to influence decision-making concerning the care. Pensioners who answered the inquiry were more satisfied with the fulfillment of the patients' rights than others when the three rights were discussed. However, children as relatives were more dissatisfied than other relatives with the fulfillment of the right to information and self-determination.","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":"21302282","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

[Outcomes of nursing education. Retrospective evaluation after five years in working life]. 护理教育的结果。工作5年后的回顾性评估]。

Hoitotiede Pub Date : 1998-01-01

S Solante, H Leino-Kilpi

引用次数: 0

[Critical thinking among nurses during unit-based quality assurance projects]. [单位质量保证项目中护士的批判性思维]。

Hoitotiede Pub Date : 1998-01-01

P Nuutinen, M Pelkonen, U Voutilainen

{"title":"[Critical thinking among nurses during unit-based quality assurance projects].","authors":"P Nuutinen, M Pelkonen, U Voutilainen","doi":"","DOIUrl":"","url":null,"abstract":"The purposes of this study were to describe the objectives and levels of critical thinking among nurses during unit-based quality assurance projects and the meaning of the participation for their own development and nursing practice. The data were collected by interviewing ten nurses who had taken part in the quality assurance projects. The themes used in interviews were created on the basis of two open questions answered by 28 nurses. The data were analysed by using qualitative content analysis and applying the levels of reflective thinking developed by Mezirow (1981), Goodman (1984) and Järvinen (1990). The first level of critical thinking was defined as technical thinking, the second level as reflective thinking and the third level as critical reflection. The results showed that nurses reflected the structural factors of the quality assurance on the technical level. When reflecting their own quality assurance processes (process factors) nurses used their critical thinking on all levels. Very few nurses considered the outcome factors of the quality assurance, but when they focused their thinking on the outcomes the reflection reached all levels. The nurses reflected the meaning of the quality assurance projects on all three levels. According to the nurses, the quality assurance enhanced their professional abilities as well as motivation in work and self-esteem. The quality assurance projects also clarified the principles guiding nursing practice. Interaction between nurses, patients and colleagues became more open.","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":"21302393","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

[Good nursing care in the postnatal wards--mothers' views on the aspect of nursing care]. 【做好产后护理——母亲对护理方面的看法】。

Hoitotiede Pub Date : 1998-01-01

L Hannula, H Leino-Kilpi

引用次数: 0

[Methods used in the hospital for patients' sleep improvement]. [医院用于改善患者睡眠的方法]。

Hoitotiede Pub Date : 1998-01-01

A Ryhänen, L Kuivalainen, P Meriläinen, A Isola

{"title":"[Methods used in the hospital for patients' sleep improvement].","authors":"A Ryhänen, L Kuivalainen, P Meriläinen, A Isola","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this article is to describe methods used in the hospital for sleep improvement. The article is based on a study of patients' sleep in a Finnish hospital's medical or surgical ward. The patients of the Central Hospital of Northern Carelia's two medical and two surgical wards took part in the research. The data were collected by a structured questionnaire in May-June 1996. Of the replies of 181 patients, the results of 177 were taken to the final analysis. The data were analysed by statistical methods. The data and the results are presented in frequency and percent distributions. The most common method used by the patients to improve their sleep was to choose a good sleeping position. Other methods, which were often used, were reading, watching TV, having a snack, taking a warm shower or praying. The nurses were versatile in using the available methods of nursing for helping the patients to sleep. They informed the patients about their illnesses, nursing regime and the forthcoming operations, consoling and giving support to them. The nurses also organised sleep-supporting environment and gave painkillers and sleeping pills. About 60% of the researched patients were of the opinion, that sleeping tablets were prescribed too often. The patients themselves regarded the information and knowledge about their own treatment as the best way to improve their sleep.","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":"21302285","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

[Preoperative interviewing: the possibility of a nurse anesthetist to provide emotional support to patient concerning surgery]. [术前访谈:麻醉师护士为患者提供手术相关情感支持的可能性]。

Hoitotiede Pub Date : 1998-01-01

T Kettunen, M Poskiparta

引用次数: 0

[Guidance for breast cancer patients in the surgical ward and in the outpatient department]. 【外科病房和门诊乳腺癌患者指南】。

Hoitotiede Pub Date : 1998-01-01

L Timonen, M Sihvonen

{"title":"[Guidance for breast cancer patients in the surgical ward and in the outpatient department].","authors":"L Timonen, M Sihvonen","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this study was to examine the perceptions of breast cancer patients, who had undergone a breast operation. The study focused on patients' perceptions of the length of hospital stay and the sources and contents of information given to them. Patients also evaluated how they could participate in the decision making concerning the choice of operation. Data were collected by questionnaires given to 100 patients at one hospital. The questionnaires were returned circa 2 weeks later when the patients visited the hospital for follow up examinations. Of the sample, 71% responded to the questionnaire. All patients had undergone an operation, either resection of the breast, ablation of the breast, or immediate reconstruction of the breast. The results were presented in frequencies and percentages. The average time spent by patients in surgical ward was 3, 5 days for resection and ablation and 11 days for reconstruction. Most patients (86%) considered, that the hospital stay was sufficiently long. The patients felt that the information they received had met their needs quite well. They were well-informed about operation, illness in general, exercises of arms and anesthesia. They got less information about future treatments (hormonal treatment, chemotherapy, x-ray and reconstruction of the breast). The greatest need for further information was about future treatments. Most patients (72%) considered that they had coped well at home; even drainage had not caused much trouble. Patients had received most information from surgeons, nurses and written sources. Two-thirds (66%) of the patients reported, that they could participate in decision making concerning the choice of operation.","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":"21302287","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