The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses最新文献

Is the Electronic Medical Record Also Causing Harm?

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2025-04-01 Epub Date: 2025-01-28 DOI: 10.1097/JNN.0000000000000817

DaiWai M Olson

引用次数: 0

Empowered Family-Centered Care: Our Story. 以家庭为中心的赋权式护理：我们的故事。

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2025-04-01 Epub Date: 2024-11-28 DOI: 10.1097/JNN.0000000000000800

Linda L Pierce, Julie L Smith, Scott W Pierce, Edna R Smith

引用次数: 0

Factors Influencing Postoperative Quality of Life in Korean Brain Tumor Survivors. 影响韩国脑肿瘤患者术后生活质量的因素。

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2025-04-01 Epub Date: 2025-01-13 DOI: 10.1097/JNN.0000000000000814

Soomin Lim, Smi Choi-Kwon

{"title":"Factors Influencing Postoperative Quality of Life in Korean Brain Tumor Survivors.","authors":"Soomin Lim, Smi Choi-Kwon","doi":"10.1097/JNN.0000000000000814","DOIUrl":"10.1097/JNN.0000000000000814","url":null,"abstract":"Abstract: BACKGROUND: Patients with brain tumors continue to exhibit a lower quality of life than the general population, even after an extended period after surgery. Therefore, this study aimed to assess the postoperative quality of life of patients with brain tumors in South Korea and explore its determinants. METHODS: This study used a descriptive correlational design and collected data using questionnaires and electronic medical records. The collected data included the participants' characteristics, anxiety and depression levels, uncertainty, social support, and quality of life. Data analysis was performed using SPSS 29.0, with descriptive statistics, Pearson correlation analysis, and multiple regression analysis. RESULTS: Of the 117 subjects, 84 (71.8%) had benign tumors, and 33 (28.2%) had malignant tumors, with an average postoperative duration of 42.7 (51.0) months. Thirty-four participants (29%) reported experiencing depression, whereas the average uncertainty score was 91.8 (12.0) points. The average quality-of-life score was 67.52 (20.31) points, indicating a lower quality of life compared with the general population. Lower average monthly income (β = 0.174, P = .044), higher depression levels (β = -0.413, P < .001), and greater uncertainty (β = -0.230, P = .025) were associated with reduced quality of life. In terms of social support, family support was linked to quality of life but did not have a significant influence ( P = .780), whereas healthcare provider support significantly affected quality of life ( P = .015). CONCLUSION: This study highlights the persistent decline in the postoperative quality of life of patients with brain tumors due to depression and uncertainty, emphasizing the need for healthcare provider support. Clarifying these challenges, it may serve as a basis for developing nursing interventions to enhance survivors' long-term quality of life.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"74-79"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985898","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

Neuroradiological Correlates of Abnormal Pupillary Light Reflex Findings Among Patients in the Neuroscience Intensive Care Unit.

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2025-04-01 Epub Date: 2025-01-28 DOI: 10.1097/JNN.0000000000000818

Chahat Rana, Jorge H Moreno, Jade L Marshall, DaiWai M Olson, Venkatesh Aiyagari

{"title":"Neuroradiological Correlates of Abnormal Pupillary Light Reflex Findings Among Patients in the Neuroscience Intensive Care Unit.","authors":"Chahat Rana, Jorge H Moreno, Jade L Marshall, DaiWai M Olson, Venkatesh Aiyagari","doi":"10.1097/JNN.0000000000000818","DOIUrl":"10.1097/JNN.0000000000000818","url":null,"abstract":"Abstract: BACKGROUND: Changes in pupil reactivity secondary to cerebral mass effect are traditionally linked to compression of the oculomotor nerve by the uncus or by horizontal midbrain displacement. The neurological pupil index (NPi) is a metric to assess the pupillary light reflex. This study explores the relationship of midline shift, cisternal, and sulcal effacement or ventricular compression in patients with a new finding of abnormal pupillary light reflex. METHODS: This retrospective study identified adult patients with serial pupillometer readings between 2018 and 2023 who had a baseline head computed tomography (CT) scan, subsequent new-onset NPi worsening from normal to abnormal, and a repeat CT scan within 2 hours of the NPi changes. Those with NPi worsening were compared with those with no NPi change. RESULTS: Among 77 patients (27 with NPi worsening, 50 without), those with NPi worsening exhibited a higher incidence of midline shift on the repeat CT. Regression models revealed a significant correlation between midline shift change and abnormal NPi ( r = 0.2260, P < .001). However, NPi worsening was not linked to changes in ventricular compression, nor sulcal or cisternal effacement. CONCLUSION: Midline shift, rather than cisternal or sulcal effacement, is associated with abnormal NPi values.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"83-87"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070383","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

The Certification Ranking of Stroke Treatment Centers Is Unclear to the General Public. 脑卒中治疗中心认证排名不明确。

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2025-04-01 Epub Date: 2024-12-09 DOI: 10.1097/JNN.0000000000000811

Michael V Preciado, Jennifer E Wilson, Jose Alejandro-White, Maria Denbow, DaiWai M Olson

{"title":"The Certification Ranking of Stroke Treatment Centers Is Unclear to the General Public.","authors":"Michael V Preciado, Jennifer E Wilson, Jose Alejandro-White, Maria Denbow, DaiWai M Olson","doi":"10.1097/JNN.0000000000000811","DOIUrl":"10.1097/JNN.0000000000000811","url":null,"abstract":"Abstract: BACKGROUND: Certified stroke treatment centers are classified based on their available resources to treat stroke including an Acute Stroke Ready Hospital (ASRH), a primary stroke center (PSC), a Thrombectomy-Capable Stroke Center (TCSC), and comprehensive stroke centers (CSCs). These hospitals all provide varying levels of care with CSCs being the most able to treat all types and complexities of stroke. This undergraduate nursing-led study explored the public's preference for treatment at different certified stroke treatment centers. METHODS: This study was a prospective nonrandomized observational survey of English-speaking adults at a plasma donation center in the Southwest United States. Subjects completed a 2-minute survey asking whether they would drive to the hospital or call 911 during a suspected stroke, and at which type of hospital they would prefer to be treated. RESULTS: Of 249 respondents, 204 (81.9%) indicated that they would call 911 for hospital transport, and 45 (18.1%) would drive their family member to a hospital. Most respondents (95/248, 38.3%) would prefer treatment at a PSC, 90 (36.3%) preferred an ASRH, 52 (21.0%) preferred a CSC, and 11 (4.4%) preferred a TCSC. There was no association between transportation preference and hospital preference dichotomized as CSC or PSC versus ASRH or TCSC (χ 2 = 0.021, P = .885), nor CSC versus other (χ 2 = 0.944, P = .331). CONCLUSION : Most respondents did not select CSC as the preferred treatment site, and 1 in 5 would drive rather than call 911. This indicates a knowledge gap regarding stroke center classification that warrants increased education.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"88-91"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142815438","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

Clinical Effectiveness of Multimodal Exercise Combined With Supportive Music and Imagery in the Management of Poststroke Mood Disorders. 多模式运动结合辅助音乐和想象在治疗脑卒中后情绪障碍中的临床效果。

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2025-04-01 Epub Date: 2024-11-28 DOI: 10.1097/JNN.0000000000000798

Yu-Cui Mao, Hui-Hua Li, Sheng Tao, Wei-Wei Zhang, Liu-Hong Zhang, De-Qin Geng, Neng Ren, Li-Yan Gao

{"title":"Clinical Effectiveness of Multimodal Exercise Combined With Supportive Music and Imagery in the Management of Poststroke Mood Disorders.","authors":"Yu-Cui Mao, Hui-Hua Li, Sheng Tao, Wei-Wei Zhang, Liu-Hong Zhang, De-Qin Geng, Neng Ren, Li-Yan Gao","doi":"10.1097/JNN.0000000000000798","DOIUrl":"10.1097/JNN.0000000000000798","url":null,"abstract":"Abstract: BACKGROUND: The objective of this study is to investigate the clinical effectiveness of the combination of multimodal exercise (MME) with supportive music and imagery in the management of poststroke mood disorders (PSMD). METHODS: A total of 200 PSMD patients treated in the neurology department of a tertiary hospital in Jiangsu Province were enrolled. They were assigned to either a control group or the observation group using a random number table at a 1:1 ratio, with 100 patients in each group. The control group received conventional nursing care, and the observation group received both MME and music and imagery in addition to the conventional nursing interventions. The scores of the 10-item Kessler Psychological Distress Scale (K10), Hospital Anxiety and Depression Scale (HADS), and Well-being Index Scale (WBIS) were recorded before and 3, 6, and 9 months after the interventions and compared between the 2 groups. RESULTS: Changes in K10, HADS, and WBIS scores significantly differed between the 2 groups after interventions (all P < .05) and among different time points (all P < .05). There were interactions between the time points of the K10, HADS, and WBIS assessments and the intervention methods in both groups ( P < .05). The improvements in anxiety or depression and psychological distress in the observation group were significantly superior to those in the control group. CONCLUSION: MME combined with music and imagery can effectively improve anxiety and depression, reduce symptoms of psychological distress, and improve well-being in PSMD patients.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"61-67"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Response: RÁPIDO: A Stroke Awareness Acronym.

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2025-04-01 Epub Date: 2025-01-28 DOI: 10.1097/JNN.0000000000000819

Fiona S Smith, Hongyin Lai, Irene Tamí-Maury, Angelica Cornejo Gonzalez, Susan Stuart, Mary Carter Denny, Andrea Ancer Leal, Anjail Sharrief, Vahed Maroufy, Sean I Savitz, Jennifer E S Beauchamp

引用次数: 0

Effect of Self-efficacy, Disease Perception, Social Support, Anxiety, and Depression on Self-management in Young Patients With Stroke. 自我效能感、疾病感知、社会支持、焦虑和抑郁对年轻脑卒中患者自我管理的影响

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2025-04-01 Epub Date: 2024-12-02 DOI: 10.1097/JNN.0000000000000813

Rongfang Zhang, Xiaojing Li, Huanli Luo, Jiangtao Niu, Huimin Zhang

{"title":"Effect of Self-efficacy, Disease Perception, Social Support, Anxiety, and Depression on Self-management in Young Patients With Stroke.","authors":"Rongfang Zhang, Xiaojing Li, Huanli Luo, Jiangtao Niu, Huimin Zhang","doi":"10.1097/JNN.0000000000000813","DOIUrl":"10.1097/JNN.0000000000000813","url":null,"abstract":"Abstract: BACKGROUND: Better self-management of chronic diseases may benefit patient functional status, medication effectiveness, lifestyle, and psychosocial health. Self-efficacy, disease perception, social support, anxiety, and depression are determinants of self-management behaviors in individuals with chronic illnesses. There remains a gap in the empirical exploration of the influence of these factors on self-management behaviors in young Chinese stroke survivors. This study examined how these factors affect specific self-management behaviors. METHODS: Validated instruments were used to evaluate patient self-efficacy, disease perception, social support, anxiety, and depression in a cross-sectional study. Structural equation modeling was used to examine the hypothesis. RESULTS: Self-efficacy and social support showed a positive correlation with self-management (0.421 and 0.446, respectively; P < .001). Disease perception, anxiety, and depression were negatively correlated with self-management (-0.158 and -0.336, respectively; P < .05). The structural equation model fit the data very well; social support had a direct positive effect on self-management ( t = 3.002, P < .05) and self-efficacy ( t = 5.773, P < .001). However, the presence of social support had a positive impact on reducing anxiety and depression ( t = -5.046, P < .001). Furthermore, self-efficacy positively affected self-management ( t = 1.226, P < .05), whereas anxiety and depression ( t = -1.190, P < .05) and disease perception ( t = -1.068, P < .05) had adverse effects on self-management. CONCLUSION: Medical staff and caregivers can improve patient self-management by helping them recognize the disease, reducing negative perceptions, communicating more for better understanding and care, intervening in anxiety and depression, and promoting mental health. This is especially important for young stroke patients.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"68-73"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776122","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

Some People Fart When They Laugh.

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2025-03-12 DOI: 10.1097/JNN.0000000000000830

DaiWai M Olson

引用次数: 0

Understanding the Causes of Delayed Decision-Making by Family Members of Stroke Patients Eligible for Thrombolytic Therapy.

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2025-03-06 DOI: 10.1097/JNN.0000000000000826

Guoyin Han, Sihui Lu, Hongyi Chen, Huihui Zhang, Xiaowei Huang, Yibing Tan

{"title":"Understanding the Causes of Delayed Decision-Making by Family Members of Stroke Patients Eligible for Thrombolytic Therapy.","authors":"Guoyin Han, Sihui Lu, Hongyi Chen, Huihui Zhang, Xiaowei Huang, Yibing Tan","doi":"10.1097/JNN.0000000000000826","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000826","url":null,"abstract":"Abstract: BACKGROUND: Thrombolytic therapy is an effective intervention for acute ischemic stroke. However, the timely administration of this treatment can be hindered by delayed decision-making on the part of family members. Little is known about the reasons for their delay in making decisions. METHODS: This qualitative interview study used face-to-face, individual, semistructured interviews with 16 participants from 2 tertiary hospital neurology wards in Guangdong, China. The interviews were analyzed using inductive content analysis, and descriptive statistics were used to summarize participants' characteristics. RESULTS: Three main themes emerged: a large family communication network, struggling with bleeding risk, and seeking distance treatment advice. CONCLUSION: In China, family members make decisions on behalf of patients and are affected by various factors in the decision-making process, resulting in delayed decision-making. They may experience psychological conflicts when deciding whether to permit thrombolysis, and they tend to seek information from external sources without understanding thrombolysis. Healthcare professionals caring for stroke patients eligible for thrombolytic therapy should provide decision-making support programs tailored to the specific needs of these family members to reduce delayed decision-making.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574929","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