Journal of Japan Society of Nursing Research
Online ISSN : 2189-6100
Print ISSN : 2188-3599
ISSN-L : 2188-3599
Volume 25, Issue 4
Displaying 1-6 of 6 articles from this issue
  • Michiko Morimoto, Kazuo Nakajima, Kenichi Takai
    2002 Volume 25 Issue 4 Pages 4_17-4_31
    Published: September 01, 2002
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    The purpose of this study was to investigate relationships among impairment, stress cognition and mental health in patients with Chronic Obstructive Pulmonary Disease (COPD), in order to develop supportive nursing interventions. Eighty six patients with COPD responded to a self-administered questionnaire. A recursive model with mental health as the dependent variable was constructed, and the appropriateness of the model to the data was determined by covariance structural analysis. The data indicated an acceptable fit to the model. The results revealed that stress cognition had a direct effect on mental health (multiple correlation coefficient 0.464, contribution rate 24.4%). However, no significant relation was found among the degree of FEV1.0, breathlessness and mental health. These results suggested that nurses must understand the stress cognition of individual patients with COPD in order to maintain patient mental health.
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  • Maki Eto, Arata Kubota
    2002 Volume 25 Issue 4 Pages 4_33-4_51
    Published: September 01, 2002
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    To prevent accidental falls in the elderly, we analyze the relationships among accidental falls, falling situations, daily-life environment and habits of 316 elderly Japanese. The changes in life-style after falls were also investigated. From the results of the contingency table analysis used to examine qualitative relationships among questionaire items, accidental falls in the elderly mainly occurred and in summer, and on fine days. Main entrance, bathroom and hallway were the main places falls occurred, and most reasons for falls were fallers' poor health conditions and unsteady walking. Interestingly, falls in the night occurred mainly due to the fallers' iternal causes (e.g. drunk, lost physical and psychological power, and poor health condition), and led to physical sequelae in most cases. The least accidental falls were observed in the cases that the elderly perceived their living environment safe. Having own rooms in upstairs, Japaneses-styled bedding and enough physical exercise were effective in preventing falls. Most elderly, who fell down due to dizzy feeling or tottering, came to have a walking difficulty or to need a stick after the fall, and decreased going out or walking. The results of our study quantitatively demonstrated that daily-life environment and habits are important factors for accidental falls in the elderly.
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  • Fumie Shirai, Makiko Kawaguchi, Tomoko Ebe, Yoshitane Dohi
    2002 Volume 25 Issue 4 Pages 4_53-4_59
    Published: September 01, 2002
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    Elderly persons have a tendency to be easily infected by various opportunistic pathogens. However, the reasons are still unclear. Therefore, we tried to elucidate the differences in function of peripheral blood neutrophils between elderly and young adults. There was no significant difference in their leukocyte counts. However, we found there were clear differences in the production of reactive oxygen intermediates by purified neutrophils between them. That is, those of elderly persons (over 70, av. 76.3 years old) produced only one third amount of hydrogen peroxide, and only one 10th of superoxide by young adults (av. 23.2 y.o.). Furthermore, Pseudomonas aeruginosa grew in the neutrophils of every elderly person, but not in those of any young ones. These results indicated that lower capability of neutrophils on the production of reactive oxygen intermediates would be a reason for the compromised state of elderly persons.
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  • Masako Kiriyama, Yoko Sunagawa, Takayo Okudaira, Ayako Hirayasu, Tomok ...
    2002 Volume 25 Issue 4 Pages 4_61-4_71
    Published: September 01, 2002
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    The purpose of this study is to define the sources of stress and other related factors. Questionnaires were distributed to 305 middle managers working at 13 general hospitals. The data were divided in two: head nurses (N=121) and assistant head nurses (N=184). Significant differences were found between head nurses and assistant head nurses in their sources of stress; and negative coping behavior, Type A behavior, the Cumulative Fatigue Symptoms Index (CFSI) were elevate factor of the stress score in the two groups.
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  • Toshiko Yamazaki, Humiko Sai, Masumi Iwata
    2002 Volume 25 Issue 4 Pages 4_73-4_84
    Published: September 01, 2002
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    The purpose of this research was to examine work-related environmental stressors in psychiatric wards, particularly those aspects of patient care relating to nurses' mental health. A survey was conducted by questionnaire among nurses (n=112) working in the psychiatric wards of six hospitals (Investigation 1). As a result of Investigation 1, seven items were extracted as stressors for nurses who work in psychiatric wards, these stressors, features of the care of mentally handicapped persons, contributed to the nurses' tendency to burnout. Additionally, in Investigation 2, a semi-written interview survey was completed by five nurses who work in the psychiatric ward of the same hospital. As a result, four additional work-related environment stressors were determined. The relation of stressors and stress reactions was investigated in order to develop a hypothesis concerning the mechanism through which stress reactions are generated in psychiatric wards.
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  • Jun Noda, Noriko Ichimaru, Fujie Yamamoto
    2002 Volume 25 Issue 4 Pages 4_85-4_93
    Published: September 01, 2002
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
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