Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses最新文献

{"title":"Progressive muscle relaxation in cardiac rehabilitation: a pilot study.","authors":"C. Wilk, B. Turkoski","doi":"10.1002/J.2048-7940.2001.TB01963.X","DOIUrl":"https://doi.org/10.1002/J.2048-7940.2001.TB01963.X","url":null,"abstract":"Learning to manage stress is an important lifestyle change for participants in cardiac rehabilitation programs. Progressive muscle relaxation (PMR) is one stress management approach that has produced positive benefits among different patient populations. The purpose of this study was to identify the effects of learning and practicing PMR in a population of cardiac rehabilitation patients. Blood pressure and heart rate data, and scores on the Spielberger State-Trait Anxiety Inventory (STAI) were collected from a treatment group and a control group of patients enrolled in phases II and III of cardiac rehabilitation. Analysis of the data revealed positive effects of PMR on the variables heart rate and state of anxiety. In addition, written evaluations of PMR from patients in the treatment group indicated a high degree of subjective satisfaction with PMR as a means to reduce stress in their lives.","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":"14 1","pages":"238-42; discussion 243"},"PeriodicalIF":0.0,"publicationDate":"2001-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75251977","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}

{"title":"Extensive lifestyle management intervention following cardiac rehabilitation: pilot study.","authors":"Elizabeth A. Laquer, Haydn Pritchard","doi":"10.1002/J.2048-7940.2001.TB01960.X","DOIUrl":"https://doi.org/10.1002/J.2048-7940.2001.TB01960.X","url":null,"abstract":"Long-term management of the lifestyles of cardiac patients who have completed a cardiac rehabilitation program (CRP), and the risks that may develop for future health problems, have not been extensively reported. The purpose of this pilot study of graduates of CRPs was to: (a) assess lifestyle and risk factor trends, (b) test certain protocols, and (c) identify the challenges and limitations in managing lifestyles and risk factors. A convenience sample of 49 people with ischemic heart disease (IHD) was randomized to a Lifestyle Management Intervention (LMI) group and a Usual Care (UC) group and followed for 6 months. Patients assigned to the LMI group underwent six additional exercise sessions and participated in telephone follow-ups and a counseling session. Patients in the UC group were assessed at baseline and at the end of 6 months. Of the original 49 participants, 17 in the LMI group and 19 in the UC group completed the study. Patients in the LMI group showed significant reductions in total cholesterol and LDL-C from baseline at 6 months. Diastolic blood pressure was decreased significantly in the UC group. The study identified the challenges of lifestyle intervention and found that favorable risk factor modifications are possible for patients who have completed a CRP.","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":"2 1","pages":"227-32"},"PeriodicalIF":0.0,"publicationDate":"2001-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82127060","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}

{"title":"Transdisciplinary approach: an atypical strategy for improving outcomes in rehabilitative and long-term acute care settings.","authors":"C. Reilly","doi":"10.1002/J.2048-7940.2001.TB01958.X","DOIUrl":"https://doi.org/10.1002/J.2048-7940.2001.TB01958.X","url":null,"abstract":"In the rehabilitation and long-term acute care settings, an atypical strategy has emerged in the past few years whereby the central focus is on improving patient care through a team approach in which responsibilities are shared and the normal boundaries of the healthcare professions blurred. This article provides a conceptual analysis of this unique, transdisciplinary approach to care delivery. Differentiation between interdisciplinary, multidisciplinary, and transdisciplinary techniques is provided through case scenarios. Defining attributes, necessary antecedents, and the many possible positive outcomes from the transdisciplinary approach to practice is discussed. This concept analysis defines for the rehabilitation or long-term acute care nurse a method that can be used to redesign care delivery, to promote improved patient outcomes, and to achieve a cohesive team environment.","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":"19 1","pages":"216-20, 244"},"PeriodicalIF":0.0,"publicationDate":"2001-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84525807","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}

{"title":"Slow stroke back massage: its effect on patients in a rehabilitation setting.","authors":"Brenda K. Holland, M. Pokorny","doi":"10.1002/J.2048-7940.2001.TB01948.X","DOIUrl":"https://doi.org/10.1002/J.2048-7940.2001.TB01948.X","url":null,"abstract":"A quasi-experimental design was used to determine the effects of three consecutive days of slow stroke back massage (SSBM) on adult patients in a rehabilitation setting. This study used the Huckstadt Touch Instrument to assess physiological and psychological responses to touch, as well as the recipients' perceptions of touch. The convenience sample comprised 24 adult patients in a rehabilitation hospital in southeastern North Carolina. Subjects' ages ranged between 52 and 88 years with a mean of 71.8 years. There was a significant decrease in systolic and diastolic blood pressure after SSBM on all 3 days. There was a statistically significant decrease in mean heart rate and mean respiratory rate on Days 1 and 3. There was no psychological change in any of the patients. Perception scores, however, indicate a positive response to SSBM. Patients perceived it as being comfortable, good, pleasant, and warm. On all occasions, their responses indicated that the intervention made them feel cared for, happy, physically relaxed, less anxious, calm, restful, and gave them a feeling of closeness with the nurse.","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":"104 1","pages":"182-6"},"PeriodicalIF":0.0,"publicationDate":"2001-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87730913","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}

{"title":"Urinary retention in patients in a geriatric rehabilitation unit: prevalence, risk factors, and validity of bladder scan evaluation.","authors":"M. Borrie, K. Campbell, Z. A. Arcese, J. Bray, P. Hart, T. Labate, P. Hesch","doi":"10.1002/J.2048-7940.2001.TB01950.X","DOIUrl":"https://doi.org/10.1002/J.2048-7940.2001.TB01950.X","url":null,"abstract":"The purpose of this study was to identify risk factors for urinary retention (UR) in frail, elderly patients, to determine its prevalence, and to assess the validity of the use of the BladderScan BVI 2500+ ultrasound scanner to measure postvoid residual urine volumes of > or = 150 ml. Probable UR was defined as two consecutive ultrasound scans with postvoid residual urine estimations of > or = 150 ml. The estimates were confirmed by in- and out-catheterization of actual postvoid residual urine (PVR). Risk factors for UR were the independent variables used in the regression analysis. Nineteen of the 167 people (11%) had UR. The risk of UR was greatest among patients who were older, or who were on anticholinergic medication, or who had diabetes of long standing, or who had fecal impaction. The correlation between paired scans and catheter volumes of > or = 150 ml was 0.87. The results suggest that the BladderScan BVI 2500+ ultrasound scanner, when used by trained nursing staff, provides conservative and valid estimates of PVR of > or = 150 ml in people undergoing geriatric rehabilitation.","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":"104 1","pages":"187-91"},"PeriodicalIF":0.0,"publicationDate":"2001-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88106340","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}

{"title":"Weaving: a reflection of life.","authors":"V. Ho, B. Zimmerman","doi":"10.1002/J.2048-7940.2001.TB01945.X","DOIUrl":"https://doi.org/10.1002/J.2048-7940.2001.TB01945.X","url":null,"abstract":"","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":"117 1","pages":"170-1"},"PeriodicalIF":0.0,"publicationDate":"2001-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81080391","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}

{"title":"Adherence to disease-modifying therapy in multiple sclerosis: Part II.","authors":"N. Holland, P. Wiesel, P. Cavallo, C. Edwards, J. Halper, R. Kalb, L. Morgante, M. Namey, M. O’Leary, L. Smith-Williamson","doi":"10.1002/J.2048-7940.2001.TB01959.X","DOIUrl":"https://doi.org/10.1002/J.2048-7940.2001.TB01959.X","url":null,"abstract":"Multiple sclerosis (MS) is a chronic, debilitating disease for which there is no cure; however, the recent introduction of injectable immunomodulating agents has reduced the rate of relapsing episodes and possibly slowed the progression of the disease. These disease-modifying agents are recommended by the National MS Society, but their true potential cannot be realized if patients do not accept them and healthcare professionals do not promote them. Since MS has an unpredictable course, and treatments can produce side effects, adherence to the recommended therapy is a complex and challenging issue. Improved understanding of the obstacles to adherence and the identification of possible solutions should be of value to nurses, who have numerous opportunities to encourage patients to initiate and continue therapy. Part I of this article, published in the September/October 2001 issue of Rehabilitation Nursing, described the particular problems of treatment adherence in MS. Part II proposes that the transtheoretical model of behavior change can be a useful tool in achieving both patient acceptance and treatment goals. This model is founded upon the concept that readiness for change is crucial, and that attempts at intervention should be sensitive to the patients' changing conditions and states of mind.","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":"36 1","pages":"221-6"},"PeriodicalIF":0.0,"publicationDate":"2001-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81344059","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}

{"title":"Rehabilitation nursing in Botswana.","authors":"J. Popovich","doi":"10.1002/J.2048-7940.2001.TB01944.X","DOIUrl":"https://doi.org/10.1002/J.2048-7940.2001.TB01944.X","url":null,"abstract":"As we bumped along the dry, sandy roadin our4x4,I learnedaboutthepatients we were about to visit that morning. Our group consisted of Johnson, a community-basedrehabilitation workeratMogoditshaneRehabilitation Centre; Toitoi, a graduate studentin nursingat the Universityof Botswana; and me. Our first home visit was to see a 4-year-old girl who had femoral tendon releases for contractures due to severe postmeningitis spasticity. Meningoccalmeningitis, an infectious diseaseaffecting childrenin Africaduringthe dry season, is a common cause of neurological disabilities, with an estimated 38,000 new cases reportedthis year alone (International Federation of Red Cross, 2001). When we arrived, all the family members gathered in the yard with the little girl in the center, lying on a blanket carefullyspreadoverthedirt.Her hair was freshly plaited and her skin had been scrubbed so that it sparkled.Her primary caregiver, the grandmother,stood nearby as we examined her incisions. Out of the comer of my eye, I could see a dead goat hanging by its feet from a tree. Toitoiand I discussedwoundhealing,confirmedthat the child was afebrileby feeling her skin, anddiscussedthe typeof range-of-motion exercises we would teach the family. We observed the family interacting with the child and noted she had a place of honor, as evidencedby her meticulousgrooming, nutrition, and care. As we were getting ready to leave, many villagers gathered around,out of curiosityand support,to observeour work.A familymember offered a gift of gratitude, a goat's leg that he placed in front of Johnson to inspect before wrappingit in newspaper. Weleftcarrying the meat as we climbed into our vehicle and drove off to see the next patient. This clinical experience was the first rehabilitation practicum organized for nursing students in the master's degree program at the University of Botswana (UB) in conjunction with the Mogoditshane Rehabilitation Centre (MRC) of the A sculpture in thecourtyard ofMogoditshaneRehabilitation Centre dramatizes thesignificance of mobility and independence for people with disabilities.","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":"35 1","pages":"168-9, 171"},"PeriodicalIF":0.0,"publicationDate":"2001-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82957503","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}

{"title":"Rehabilitation nursing in home care.","authors":"B. Brillhart, L. Heard, B. Kruse","doi":"10.1002/J.2048-7940.2001.TB01947.X","DOIUrl":"https://doi.org/10.1002/J.2048-7940.2001.TB01947.X","url":null,"abstract":"A randomized sample of 83 members of the Association of Rehabilitation Nurses' (ARN's) Home Health Special Interest Group (SIG) responded to a survey in 1998 and 1999 to determine the role intensity of rehabilitation nurses in home care. An instrument was developed that was based on role descriptions formulated by ARN. Significant differences in the roles were reported for caregiver, case manager, counselor, family-client educator, advocate, administrator, student/staff educator, and researcher. Rewards of home nursing included one-to-one interaction with clients, teaching opportunities, promotion of function, nurse autonomy, and seeing rehabilitation results. Difficulties included poor interdisciplinary coordination, budget restrictions, lack of understanding of rehabilitation nursing, and inadequate home aides. Differences between inpatient and home rehabilitation nursing included less equipment and resources and increased levels of responsibility in the home. Barriers for the transition to home rehabilitation nursing included interdisciplinary team communication, reimbursement standards and documentation, time management, autonomous nursing roles, and separation from help or emergency services.","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":"21 1","pages":"177-81, 191"},"PeriodicalIF":0.0,"publicationDate":"2001-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85930741","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}

{"title":"Examining Peplau's pattern integrations in long-term care.","authors":"P. J. Schaefer, J. Middleton","doi":"10.1002/J.2048-7940.2001.TB01951.X","DOIUrl":"https://doi.org/10.1002/J.2048-7940.2001.TB01951.X","url":null,"abstract":"Contrary to the societal view that only the frail elderly reside in long-term care facilities, many young adults who require residential care to maintain optimal health, or who are in a rehabilitation program, also live in these facilities. The relationships between residents and caregivers in long-term care facilities may develop into relationships that are more typically familial than professional. With these emerging family-like relationships, the interpersonal pattern interactions may be healthy or unhealthy and may create opportunities for growth or pathology-producing patterns. This article illustrates how applying Peplau's concept of need-pattern integrations in the long-term care setting has the potential to enhance understanding, and subsequently guide interactions, between younger residents and caregivers. The potential is greatest when interactions are guided.","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":"15 1","pages":"192-7"},"PeriodicalIF":0.0,"publicationDate":"2001-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78692715","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}