Journal of Japan Society of Nursing Research
Online ISSN : 2189-6100
Print ISSN : 2188-3599
ISSN-L : 2188-3599
Patients' Interpersonal Cognitive Evaluation and Changes of Stress Arousal in Nursing Treatments
-Relating to R. S. Lazarus' Stress-Coping Theory
Michiyo Kitamura
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1998 Volume 21 Issue 2 Pages 2_7-2_18

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Abstract
The present study investigated 1) factors that patients take great account when they judge a nurse, 2) the effects of treatment; blood pressure measurement and injection, on two kinds of stress arousal; tense arousal and energetic arousal, before and after treatment, and 3) the effects of a patient' perception of a nurse on the two kinds of stress arousal. Fifty-five patients answered the questionnaire regarding what is expected of a nurse, and the questionnaire concerning the cognition of a nurse was made on the basis of these results. Another 112 patients and 16 nurses checked the JUMACL (Japanese UWIST Mood Adjective Check List) before and after each treatment, and the patients filled in the questionnaire regarding cognition of a nurse following the two kinds of treatments. The following results were found.
1. Three factors were observed to be important factors for a nurse: the sympathy tenderness factor, the technique speciality factor, and the behavior smartness factor.
2. Tense arousal of patients before treatments was higher than after the treatment.
3. Patients showed a higher arousal rate during the injection treatment than at the blood pressure measurement.
4. No significant difference was found in energetic arousal of patients between before and after treatment time, and between blood pressure measurement and injection treatments.
5. There was a significant difference in energetic arousal before the injection between high and low ratings for the sympathy tenderness factor, but there was no significant difference in tense arousal between high and low ratings. Also, there was no significant difference between high or low ratings for other two factors in any treatment or at any time. These results suggest that a patients' arousal is affected by his perception of a nurse.
Key word: arousal, stress, cognition of a nurse
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© 1998 Japan Society of Nursing Research
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