Clinical effectiveness in nursing最新文献_第9页

Gender differences in self-esteem in Chinese acute coronary syndrome patients 中国急性冠脉综合征患者自尊的性别差异

Clinical effectiveness in nursing Pub Date : 2004-09-01 DOI: 10.1016/j.cein.2005.05.001

Colin R. Martin, David R. Thompson, Dominic S. Chan

{"title":"Gender differences in self-esteem in Chinese acute coronary syndrome patients","authors":"Colin R. Martin, David R. Thompson, Dominic S. Chan","doi":"10.1016/j.cein.2005.05.001","DOIUrl":"https://doi.org/10.1016/j.cein.2005.05.001","url":null,"abstract":"<div><h3>Objective</h3><p>Self-esteem is an intrinsic psychological domain to recovery following an acute coronary event. However, little research has explored gender differences in self-esteem in the recovery of cardiac patients. The current investigation sought to determine if gender differences in self-esteem were present in acute coronary syndrome (ACS) patients following hospitalization.</p></div><div><h3>Design</h3><p>A mixed-group design was used with gender and observation point (within one week of onset of ACS and at six month follow-up) as independent variables.</p></div><div><h3>Setting</h3><p>Patients were recruited from one general university teaching hospital in Hong Kong, with a confirmed diagnosis of myocardial infarction or unstable angina.</p></div><div><h3>Main outcome measure</h3><p>The 10-item Rosenberg Self-Esteem Scale (RSES; [Society and the Adolescent Self-image, Princeton University Press, Princeton, New Jersey, 1965]).</p></div><div><h3>Results</h3><p>Analysis of covariance revealed a highly significant effect on RSES scores with male patients having greater RSES-rated self-esteem compared to females. No significant improvement in RSES scores were observed at six month follow-up.</p></div><div><h3>Conclusions</h3><p>Health professionals need to be aware that gender is an important factor in the self-esteem needs of this clinical group. Given the importance of self-esteem to cardiac rehabilitation practice, the finding of no improvement in self-esteem at follow-up highlights the need to assess this important psychological domain.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 3","pages":"Pages 202-204"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2005.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138401398","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: 1

Perceptions of effective advice in pregnancy – The case of activity 对孕期有效建议的认识-以活动为例

Clinical effectiveness in nursing Pub Date : 2004-09-01 DOI: 10.1016/j.cein.2005.03.002

Harriet Gross , Penny E. Bee

{"title":"Perceptions of effective advice in pregnancy – The case of activity","authors":"Harriet Gross , Penny E. Bee","doi":"10.1016/j.cein.2005.03.002","DOIUrl":"https://doi.org/10.1016/j.cein.2005.03.002","url":null,"abstract":"<div><h3>Objectives</h3><p>The paper uses qualitative and quantitative data arising from a longitudinal study of pregnant women to examine women’s responses to advice provided about changing their behaviour during pregnancy.</p></div><div><h3>Design</h3><p>A longitudinal study over nine months involving a semi-structured questionnaire and interview schedule together with a range of psychological measures and activity measurement using actimetry. The purpose of the main study was to explore maternal daily activity in low-risk pregnancy.</p></div><div><h3>Participants</h3><p>57 women volunteers aged (mean age 26.3 years) with low-risk pregnancy, recruited via an East Midlands City Centre teaching hospital antenatal clinic.</p></div><div><h3>Results</h3><p>Data on advice suggest that 1) response to advice is extremely varied and that reduction in activity is not always welcome; 2) factors affecting women’s responses to advice include the importance they attach to an active lifestyle in pregnancy.</p></div><div><h3>Conclusions</h3><p>The paper highlights the inherent difficulties of providing effective advice during the short period of pregnancy; the need for clear and consistent messages to be provided by all health professionals involved in antenatal care as well as the difficulty of changing cultural expectations of pregnancy-appropriate behaviours.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 3","pages":"Pages 161-169"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2005.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138200792","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: 25

Towards the development of a tool to assess educational needs in patients with arthritis 开发一种评估关节炎患者教育需求的工具

Clinical effectiveness in nursing Pub Date : 2004-06-01 DOI: 10.1016/j.cein.2004.06.001

Bernadette Hardware , E. Anne Lacey , Jane Shewan

{"title":"Towards the development of a tool to assess educational needs in patients with arthritis","authors":"Bernadette Hardware , E. Anne Lacey , Jane Shewan","doi":"10.1016/j.cein.2004.06.001","DOIUrl":"https://doi.org/10.1016/j.cein.2004.06.001","url":null,"abstract":"<div><h3><em>Objective:</em></h3><p>This article describes the initial development and testing of an educational needs assessment tool for patients with arthritis in the UK.</p></div><div><h3><em>Design:</em></h3><p>Following formative development of the tool, the study took the form of a test–retest questionnaire study. Participants were asked to complete the tool on two occasions, separated by two weeks, to assess reliability.</p></div><div><h3><em>Setting:</em></h3><p>Subjects were recruited from the out-patient department of a district general hospital in the north of England.</p></div><div><h3><em>Participants:</em></h3><p>The sample consisted of 97 patients with arthritis recruited consecutively from a rheumatology out-patient department.</p></div><div><h3><em>Main outcome measures:</em></h3><p>Scores from the questionnaire were the main outcome measure used. Additional variables included gender, age, educational level, and duration of disease.</p></div><div><h3><em>Results:</em></h3><p>The tool was well received by patients. Higher scores, indicating greater educational needs, were recorded by women, older people, those with lower levels of education, and those with shorter disease duration. The greatest educational needs were in the domain of information about arthritis itself. The tool demonstrated good test–retest reliability.</p></div><div><h3><em>Conclusion:</em></h3><p>The tool showed some validity and reliability, and was acceptable to patients. Further development work is needed if the tool is to be used in interventional studies.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 2","pages":"Pages 111-117"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2004.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137334122","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: 43

Clinical effectiveness in nursing Pub Date : 2004-06-01 DOI: 10.1016/j.cein.2004.10.002

Elaine Hill (Senior Lecturer in Operating Department Practice)

引用次数: 0

Ethnicity, diversity and research ethics 种族、多样性和研究伦理

Clinical effectiveness in nursing Pub Date : 2004-06-01 DOI: 10.1016/j.cein.2004.12.004

Rob Newell

引用次数: 0

A pilot study of a self-help manual with minimal therapist contact in the treatment of obsessive–compulsive disorder 一项关于自助手册的初步研究，在治疗强迫症的过程中尽量减少治疗师的接触

Clinical effectiveness in nursing Pub Date : 2004-06-01 DOI: 10.1016/j.cein.2004.05.004

Karina Lovell , David Ekers , Anne Fulford , Clare Baguley , Tim Bradshaw

{"title":"A pilot study of a self-help manual with minimal therapist contact in the treatment of obsessive–compulsive disorder","authors":"Karina Lovell , David Ekers , Anne Fulford , Clare Baguley , Tim Bradshaw","doi":"10.1016/j.cein.2004.05.004","DOIUrl":"https://doi.org/10.1016/j.cein.2004.05.004","url":null,"abstract":"<div><h3><em>Objectives</em>:</h3><p>The two main aims of this pilot study was to (1) develop a self-help manual (facilitated by a therapist) for people with obsessive–compulsive disorder and (2) to investigate whether effective CBT for OCD can be delivered via a therapist-facilitated CBT self-help manual.</p></div><div><h3><em>Design</em>:</h3><p>A pilot study using an uncontrolled repeated measures design.</p></div><div><h3><em>Setting</em>:</h3><p>A specialist cognitive behaviour therapy department, West Hampshire NHS Trust.</p></div><div><h3><em>Participants</em>:</h3><p>Seven consecutive clients referred to a CBT department whose main presenting difficulty was OCD, met inclusion criteria and agreed and consented to participate in the study.</p></div><div><h3><em>Main outcome measures</em>:</h3><p>The main outcome measure was the Yale Brown Obsessive Compulsive Checklist (YBOC’s) and a measure of depression and social functioning were administered at pre and post treatment and at 1-, 3-, and 6-month follow-up.</p></div><div><h3><em>Results</em>:</h3><p>Results indicated good clinical outcome and nurses can deliver effective support to patients using a self-help manual with obsessive–compulsive disorder.</p></div><div><h3><em>Conclusions</em>:</h3><p>Although the results are promising, further work is required with larger numbers, longer follow-up and economic evaluation under controlled conditions.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 2","pages":"Pages 122-127"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2004.05.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92053818","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: 15

Research governance and the art of defence 研究治理和防御艺术

Clinical effectiveness in nursing Pub Date : 2004-06-01 DOI: 10.1016/j.cein.2005.01.001

R. Kneafsey, M. Howarth

引用次数: 1

Maternal perceptions of early breastfeeding experiences and breastfeeding outcomes at 6 weeks 母亲对早期母乳喂养经历和6周母乳喂养结果的看法

Clinical effectiveness in nursing Pub Date : 2004-06-01 DOI: 10.1016/j.cein.2004.08.001

Danuta Wojnar

{"title":"Maternal perceptions of early breastfeeding experiences and breastfeeding outcomes at 6 weeks","authors":"Danuta Wojnar","doi":"10.1016/j.cein.2004.08.001","DOIUrl":"https://doi.org/10.1016/j.cein.2004.08.001","url":null,"abstract":"<div><h3><em>Objective</em>:</h3><p>To explore whether breastfeeding status at 6 weeks postpartum is related to the mother’s perceptions of her infant’s behavior, the breastfeeding experience itself, and of herself as a mother during postpartum hospitalization.</p></div><div><h3><em>Design</em>:</h3><p>A prospective correlational design.</p></div><div><h3><em>Setting</em>:</h3><p>A tertiary care setting in Eastern Canada.</p></div><div><h3><em>Participants</em>:</h3><p>One hundred and ten women who met the inclusion criteria were recruited from the postpartum unit. The majority were primaparous, over 25 years of age, well educated, and had partners.</p></div><div><h3><em>Outcome measures</em>:</h3><p>(1) Maternal perceptions of the overall infant behavior, of the breastfeeding experience, and of herself using the Mother and Baby Scales (MABS) neonatal (Wolke, D., 1995. St. James Roberts and Wolke Mother and Baby Scales (MABS) (1986,1995). In: Brazelton, T.B., Nugent, J.K. (Eds.), Neonatal Behavioral Assessment Scale. Clinics in Developmental Medicine 137, 135–137) and (2) breastfeeding rates at 6 weeks postpartum.</p></div><div><h3><em>Results</em>:</h3><p>At 6 weeks postpartum, 80 (74.8%) participants were breastfeeding and 27 (25.8%) had stopped. Maternal perceptions of infant alertness/responsiveness (A) (<em>r</em>  <0.01), irritability during feeds (IDF) (<em>r</em>  <0.01) and lack of confidence in feeding (LCF) (<em>r</em>  <0.01) of the MABS neonatal scales were significantly correlated with breastfeeding status at 6 weeks. At 6-week telephone follow-up, the majority of women reported positive breastfeeding experiences, which included feelings of enhanced attachment, enjoyment and a sense of pride and fulfillment. Participants indicated that learning about infant states, behaviors, and cues contributed to their positive feelings about the baby and enjoyment of breastfeeding. Negative experiences were related to perceived insufficient milk supply, illness, and incompatibility of lactation with personal needs and life style.</p></div><div><h3><em>Conclusions</em>:</h3><p>The findings highlight the importance of maternal perceptions of their infant’s behavior and of self as a mother in sustaining breastfeeding. In the absence of personal and social pressures to stop breastfeeding, interventions that begin with how to look at feeding from an infant perspective may be the best starting point to a successful breastfeeding.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 2","pages":"Pages 93-100"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2004.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137334720","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: 27

Clinical effectiveness in nursing Pub Date : 2004-06-01 DOI: 10.1016/j.cein.2004.10.003

Ros Sanders (Senior Lecturer)

引用次数: 1

Surgical patient education: assessing the interventions and exploring the outcomes from experimental and quasiexperimental studies from 1990 to 2003 外科病人教育:评估干预措施并探讨1990年至2003年实验和准实验研究的结果

Clinical effectiveness in nursing Pub Date : 2004-06-01 DOI: 10.1016/j.cein.2004.09.002

Kirsi Johansson, Sanna Salanterä, Katja Heikkinen, Anne Kuusisto, Heli Virtanen, Helena Leino-Kilpi

{"title":"Surgical patient education: assessing the interventions and exploring the outcomes from experimental and quasiexperimental studies from 1990 to 2003","authors":"Kirsi Johansson, Sanna Salanterä, Katja Heikkinen, Anne Kuusisto, Heli Virtanen, Helena Leino-Kilpi","doi":"10.1016/j.cein.2004.09.002","DOIUrl":"https://doi.org/10.1016/j.cein.2004.09.002","url":null,"abstract":"<div><h3>Objectives</h3><p>To assess surgical patient education interventions and to explore the outcomes of experimental and quasiexperimental studies from 1990 to 2003.</p></div><div><h3>Design</h3><p>Systematic literature review.</p></div><div><h3>Material and methods</h3><p>Database searches were carried out in May and September 2003 on Medline and Cochrane Library files from 1990 to 2003, using the inclusion criteria of adult surgical patients, patient education in experimental and quasiexperimental studies, English language and nursing. Data analysis in September–October 2003 focused on assessing the interventions and the outcomes of the studies.</p></div><div><h3>Main results</h3><p>The database search yielded 32 articles involving 2723 participants. Most of the interventions concerned preoperative surgical patient education and focused on cardiological patients. The most common outcome measures were experiential related (87.5%) and cognitive related (59%). None of the studies measured social or ethical aspects of patient education. Half of the studies (50%) reported both statistically significant and non-significant outcomes. There were also a number of studies (41%) which reported no statistically significant findings.</p></div><div><h3>Conclusions</h3><p>Educational interventions may have many positive effects, but it is difficult unequivocally to demonstrate those effects. This review did produce some evidence on the effectiveness of patient education, but more rigorous research with strict intervention designs and measures is still needed.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 2","pages":"Pages 81-92"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2004.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137334699","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: 42