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Article type: Cover
2004 Volume 6 Issue 4 Pages
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Published: March 25, 2004
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Article type: Appendix
2004 Volume 6 Issue 4 Pages
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Article type: Index
2004 Volume 6 Issue 4 Pages
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Daisuke Taguchi, Kazuko Hondo, Akihiro Shuda, Ryoko Masago, Towako Kat ...
Article type: Article
2004 Volume 6 Issue 4 Pages
261-267
Published: March 25, 2004
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The purpose of this study was to obtain some insight into research trends regarding making efficient in nursing practice. Among the Japanese literatures from 1986 to 2001 (for 16 years), we selected 146 literatures, and analyzed them in terms of the purpose and subject. According to the result, it was found that (1) literatures for making efficient have increase greatly in recent years, (2) the researchers attempted "introducing new materials", "making new tools", "introducing new ways of nursing practice", "revising organization structures", "analyzing the present situation" in order for making efficient, (3) these attempts brought to cut "work time", "work load" "expense" and, "the number of workers", and (4) in addition to making efficient, these attempts brought improving the quality and appropriateness of nursing.
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Harumi Ozawa, Sakiko Fukui
Article type: Article
2004 Volume 6 Issue 4 Pages
268-274
Published: March 25, 2004
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The objectives for this study were to: (a) examine the psychological distress of gastric patients after cancer diagnosis, (b) identify the correlation between patients psychological distress and their support from physicians and public health nurses during the first 6 months following diagnosis. One hundred and five patients with gastric cancer were mailed the questionnaire. They were asked about the level of their psychological distress on the day of diagnosis, and at 2-3 days, 1 week, and 6 months post diagnosis psychological distress, and about the perceived adjustment from cancer diagnosis. They were also asked the perceived support from physician in charge, and public health nurse in charge, during the first Gmonth post diagnosis. The level of the distress and the perceived support were measured by the Visual Analogue Scales. Univariate analyses indicated the time of perceived adjustment from cancer diagnosis in early-stage colon cancer patients was significantly lower than in the other cancer patients. The support from physician was significantly fastened the time of adjustment from cancer diagnosis. The support from nurses was significantly correlated with the level of psychological distress on the day of diagnosis. The study identified that support from physicians and nurses improve the psychological distress in cancer patients after cancer diagnosis. This study suggests support from health care professionals are important to start just after cancer diagnosis.
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Asami Fujishima, Fumiyo Ishikawa, Naoki Yahagi
Article type: Article
2004 Volume 6 Issue 4 Pages
275-280
Published: March 25, 2004
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As neutral electrolyzed water is strongly antibactericidal, and since has a pH of close to 7, it may give a minimal influence on oral mucosa and other parts of the human body. However, its efficacy in oral care in the field of nursing has not been elucidated. We studied the effect of neutral electrolytic water and Iodine gargle on oral care in healthy adult volunteers, comparing their effects on saliva pH and normal bacterial colonization. We also conducted an oral interview to the volunteers to find out how they felt neutral electrolyzed water. We reached the following conclusions from the results. 1. The effect of neutral electrolyzed water on saliva pH and normal bacterial colonization of the volunteers was equivalent to that of Iodine gargle. 2. Disease-inducing microbes were detected only in a few cases, so the bactericidal effect of neutral electrolyzed water remained unclear. 3. Six of 7 subjects did not complain to use the water for a week oral care. Thus it is acceptable for neutral electrolyzed water to be used in oral care.
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Yuki Mizuno, Akiko Ogura, Yasutoshi Nekoda, Sawako Kawamura
Article type: Article
2004 Volume 6 Issue 4 Pages
281-291
Published: March 25, 2004
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Analyses were done on the health-related problems occurring while away from home among 12 amyotrophic lateral sclerosis (ALS) patients dependent on Home Mechanical Ventilation (HMV). Out of 780 outside activity occasions 208 incident scenes were observed. A total of 227 health-related problems were observed, 128 (56.4%) of which were related to respiratory problems. The health related problems were initially categorized according to differing scenes of incidents. 115 incidents (50.7 %) were to do with ventilatory systems and 112 incidents (49.3 %) were to do with human systems other than the respiratory system. Further categorization was done according to such causal factors as relating to environments, care givers .attached devices, or others. The number of incidences were 105 (46.2 %), 73 (32.2 %), 21 (9.3 %), 28 (12.3 %), respectively. Analyses were also done by each stage of activities: going out, while out, coming back. When going out of the house, most health- related problems were related to environmental factors such as house bumps or limited space .During the out side activities, main causal factors were related to outside environment or care givers. When coming back, main causal factors were related to care givers. Above findings indicate: Improvement in the housing environment contributes to the decrease in the incidences that occur when going out Skilled caregivers with the ability to deal with unexpected situations are desirable during the out side activities. Support systems should be prepared for both patients and care givers who were fatigued after outside activities.
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Aya Taneda, Fumiki Shirasaka, Osamu Nitta, Kazuo Nakajima
Article type: Article
2004 Volume 6 Issue 4 Pages
292-297
Published: March 25, 2004
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The purpose of this study was to examine the cross-validity of Barthel Index (BI) among school-age children with cerebral palsy. The subjects were 258 in special school for physical impairments. The score judging of BI was requested from mothers. In statistics analysis, we constructed one-factor model on the basis of Wade's report, and examined goodness-of-fit to the data using confirmatory factor analysis. As a result, one-factor model of BI fulfilled the statistical permissible level, and had stable factor structure. In addition, a model MMIC was adopted, and relationship between ADL (measured by BI) and sex or age was investigated. Although the sex did not have the grade and relation of ADL, age was related to the grade of ADL. These findings suggested that BI is useful measure in the school-age children with cerebral palsy.
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Takako Tsutui, Sadanori Higashino
Article type: Article
2004 Volume 6 Issue 4 Pages
298-306
Published: March 25, 2004
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Keisuke Suzuki, Kaoru Inoue, Satoshi Sasada, Kumiko Terayama
Article type: Article
2004 Volume 6 Issue 4 Pages
307-314
Published: March 25, 2004
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The purpose of this study was to make the roles and tasks of a Prefectural Association of Occupational Therapists for Community Based Rehabilitation (CBR) clear. The method was a theoretical study from literature review and a survey concerning the public actions to the Prefectural Associations of Occupational Therapists. Results indicated the role of a Prefectural Associations of Occupational Therapists for CBR is to act professionally and flexibly in order to promote the empowerment for persons with disability and their community. Tasks of a Prefectural Associations of Occupational Therapists for CBR is 1) to perform in balance both of events and activities for persons with disability, residents, and civil associations, 2) to consider public actions as "on the job training (OJT)" and utilize public actions for an opportunity for training their members, and 3) to consider how to support community from the point of view of community development through communications with persons with disability, residents, and civil associations.
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Article type: Index
2004 Volume 6 Issue 4 Pages
315-316
Published: March 25, 2004
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Article type: Appendix
2004 Volume 6 Issue 4 Pages
317-
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Article type: Bibliography
2004 Volume 6 Issue 4 Pages
318-
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Article type: Appendix
2004 Volume 6 Issue 4 Pages
319-324
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Article type: Appendix
2004 Volume 6 Issue 4 Pages
325-
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Article type: Appendix
2004 Volume 6 Issue 4 Pages
326-327
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Article type: Appendix
2004 Volume 6 Issue 4 Pages
328-329
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Article type: Appendix
2004 Volume 6 Issue 4 Pages
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Article type: Appendix
2004 Volume 6 Issue 4 Pages
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Article type: Appendix
2004 Volume 6 Issue 4 Pages
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Article type: Appendix
2004 Volume 6 Issue 4 Pages
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Article type: Appendix
2004 Volume 6 Issue 4 Pages
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Article type: Cover
2004 Volume 6 Issue 4 Pages
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Published: March 25, 2004
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