Journal of Japan Society of Nursing Research
Online ISSN : 2189-6100
Print ISSN : 2188-3599
ISSN-L : 2188-3599
Volume 26, Issue 5
Displaying 1-12 of 12 articles from this issue
  • : the Effect of Depression Coping and Depression
    Hiroko Kunikata, Kazuo Nakajima
    2003 Volume 26 Issue 5 Pages 5_19-5_29
    Published: December 01, 2003
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    The purpose of this study was to evaluate relationships among depression coping, depression, and the Quality of Life (QOL) based on a stress-coping model.
    The participants were 239 patients with mental disorders (158 in-patients and 81out-patients). Results revealed that positive coping behaviors affected depression unfavorably, that negative coping behaviors affected depression favorably, and that depression affected the QOL unfavorably. This means that depression coping has a direct effect on depression and an indirect effect on the QOL.
    The contribution rate for depression was 28% in out-patients, and was 18% in in-patients, while the contribution rate for the QOL was 36% in out-patients and was 29% in in-patients. These results suggested that, in order to raise the QOL in mental disorders, nurses must provide nursing intervention to raise patient depression coping ability.
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  • Mika Kataoka, Yoshiko Nojima, Kumiko Toyoda
    2003 Volume 26 Issue 5 Pages 5_31-5_44
    Published: December 01, 2003
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    The purpose of this study was to describe the meaning their illness had for patients with schizophrenia. In-depth interviews were conducted on 8 patients selected from the outpatient department of a private mental hospital in a large metropolitan area (Five males and 3 females ranging in age from 41 to 71 participated. The number of hospitalizations ranged from 6 to 20). The audio taped interviews were transcribed and analyzed using Giorgi's phenomenological approach to foster participants' full expression of the experienced situations. Nineteen categories were extracted from the interviews; these were grouped into five subcategories: experiences of schizophrenia; experience of daily life in hospital; relationship with people in communities outside hospital; relationship with family and other patients; and own view of mental illness.
    Finding revealed that patients with schizophrenia perceived the illness as an agony as they were often misunderstood by others. They felt separated in time and place from their surroundings and they grieved this. Other findings showed that patients felt compelled to follow the hospital routine. They felt much in common with other patients with schizophrenia. Participants also noted experiencing profound loneliness.
    The findings will assist caregivers in understanding the inner feelings experienced by patients with schizophrenia. Further research is needed to confirm if these feelings are found in a larger and more diverse sample.
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  • Yoshiko Hasebe
    2003 Volume 26 Issue 5 Pages 5_45-5_57
    Published: December 01, 2003
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    The purpose of this study, which was conducted using a hot-water bottle as a thermal modality, was to clarify the effect of the temperature of the hot water on the blood flow volume in the skin and the subjective thermal sensation.
    The crossover design was made using hot-water bottles of 3 different temperatures, 80°C, 55°C, and 30°C. Fourteen healthy female volunteers were enrolled in this study. The 30-degree temperature was used as the control, because it was similar to the internal temperature inside the bed. Each hot-water bottle was applied to the subject's foot soles.
    The hot-water bottles of 80°C and 55°C significantly affected not only the cutaneous blood flow of the toes and the deep plantar temperature but also the thermal sensation to the temperature. Specifically, the bottle of 80°C affected the subjective sensation to greater degrees than that of 55°C. Interestingly, each bottle did not increase the air temperature inside the bed. These results suggested that the hot-water bottle transferred the heat energy directly to the subject's soles.
    This study implied that the hot-water bottle of 80°C, which was previously considered to be less useful, may be more useful than that of 50°C, if care is taken to avoid heat injuries.
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  • Narumi Fujino, Tatsuo Kutsuna
    2003 Volume 26 Issue 5 Pages 5_59-5_72
    Published: December 01, 2003
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    The purpose of this study was to clarify psychological problems of rheumatoid arthritis (RA) patients associated with depression and to obtain valuable suggestion as to effective mental care. Five female patients who were rated as moderate or severe depression by the Self-Rating Depression Scale (SDS) were used as the subjects with their consent. Their mean age was 41.2 years and the mean period of morbidity was 12.4 years. At the interview, the subjects were asked to talk about daily living and worries such as stress and anxiety caused by RA. SDS was used for evaluation of depression. Psychological problems of RA patients were (1) pain due to RA, (2) anxiety for future life with worsening of functional disorders, (3) anxiety as to therapeutic schedule and (4) problems for fairy caregivers. Mental care was individually carried out through understanding of anxieties and pains underlying the patient's speech and action and disclosing the suppressed stress and anxiety through their own talking, resulting that the depressive symptoms were improved in all subjects.
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  • - Follow-up before one week to one month after hospital discharge -
    Kyoko Chiba, Misuzu Nakamura, Hiroko Nagae
    2003 Volume 26 Issue 5 Pages 5_73-5_86
    Published: December 01, 2003
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    This study aimed to clarify, among elderly post hip fracture surgery patients, the psychological process for "SEIKATSU-NO-ORIAI", meaning coming to terms with their new lives and achieving harmony in their new lives, from the discharge before one week to one month later. The subjects were four elderly patients (65-82 years old). Data were collected by semi-structured interviews and analyzed using the content analysis technique. The following findings were obtained: 1) The psychological process for "SEIKATSU-NO-ORIAI" consisted of two phases; the first phase was patients' attempt to search "SEIKATSU-NO-ORIAI", in the second phase, patients made efforts to "SEIKATSU-NO-ORIAI", while their self-esteem decreased and depression increased; 2) "Life adjustments associated with disorder" and "fluctuation of confidence concerning their health that affects self-esteem" were experienced in these patients, these two factors are similar to previously published literature; 3) When caring for elderly post hip fracture surgery patients, in the transitional phase of psychological process for "SEIKATSU-NO-ORIAI", it is important to provide supports to promote positive changes in their behaviors, including behavioral supports to increase self-efficacy and reduce depression.
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  • Naomi Furuya, Masaru Nishigaki
    2003 Volume 26 Issue 5 Pages 5_87-5_100
    Published: December 01, 2003
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    The authors consisted of five nurses at Tokyo Metropolitan Hospital evaluated the validity of measurement by the eye using vomited food made by authors. Fifteen materials were shown 150 times at random, and the differences of the size measured by the eyes of the observers were analyzed. The results obtained by these observations revealed that measurement by the eye was unreliable because of the presence of individual deviation. According to the differences of the extension and volume of the vomited materials, the observers' predilection was categorized in three types including a "too small", "too large" and "mixed" type. The discrepancy of the measurement tends to occur in the material with the increased extension and the irregularity in shape. Although three observers described in the chart using the term "large", "medium" and "small", a subjective impression was considered to make the validity of the term unreliable as an information value.
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  • Noriko Shimizu, Kazuko Nishisaka
    2003 Volume 26 Issue 5 Pages 5_101-5_121
    Published: December 01, 2003
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    The purpose of this study was to examine the reliability and the validity of the BARRIERS Scale Japanese version. BARRIERS Scale consists of 28 items in 4 subscales. This scale used 5- point Likert type response scale including no opinion. The study subjects were 527 nurses, who work in general hospital at Fukuoka prefecture, and took part in the courses of management and nursing research. This study carried out through on 9 April in 2002 from on 19 June in 2001.
    Internal consistency, Cronbach's α coefficient were 0.76 to 0.83. This result supported the reliability of BARRIERS Scale Japanese version.
    With regard to content validity, two educators in nursing college found validity of 28 items with subcategories. The construct validity was examined using exploratory factor analysis and confirmatory factor analysis. Five factors, consisting of 28 items, were extracted by exploratory factor analysis (cumulative contribution rate was 36.048%). The chi-square test for goodness of fit showed higher fitness (Χ2=188.068, df=248, p=0.998). The five factors model indicated an acceptable fit to the data by confirmatory factor analysis (GFI=0.902, AGFI=0.885, RMSEA=0.046, AIC=842.862, CAIC=1164.161). As compared with structure of factors between this study result and Funk's result, the factors of Innovation, Organization and Adopter were closely, in addition to the factors of Communication was broken up.
     From the mentioned above, BARRIERS Scale Japanese version have sufficiently the reliability and the validity.
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  • : The correlation With Physiological Reactions, Distresses, and Other Factors
    Yoshiko Sasaki, Ayako Ninomiya, Hitomi Koizumi, Toshio Kobayashi, Seij ...
    2003 Volume 26 Issue 5 Pages 5_123-5_132
    Published: December 01, 2003
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    In this study, physiological reactions, physical and mental distresses, and other factors were examined in those who were forced to retain a fixed posture in order to clarify correlations among the examined items.
    Thirteen healthy females were recruited as participants, and time-lapse changes in physiological reactions and distresses were observed while they were forced to keep the dorsal position for 120 minutes. The results were discussed in terms of correlation among their physical states, mood states, and personalities. Consequently, significant changes were recognized in the temperature and the blood flow on the surface of the back, and in the degree of strain of the autonomic nerve. Additionally, strong distresses and deterioration of the mood state appeared in most of them within the experiment period. Furthermore, extroverted participants experienced stronger nervous tension, anxiety, tiredness, and depression of activities. But there were no correlation between change pattern of strain of the autonomic nerve and that of distresses.
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  • : Using the Scenario of Role Playing Drug Misadministrations
    Tamayo Kazaoka, Kuniko Otsuka
    2003 Volume 26 Issue 5 Pages 5_133-5_143
    Published: December 01, 2003
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
    Purpose: To examine student nurses' awareness of the risks of medical accidents due to mistakes made behind the scene while administering drugs in medical practice. One hundred seniors from a 3-year nursing college participated in this study. Method: We examined which and how many of 22 common risks these students could discover. The risks were embedded into scenarios of mistakes made while administering drugs. We also noted the students' recognition of the extent those risks could actually cause accidents. Results: Few participants discovered the risks: "The prescription was not the same as the drugs given," "Lack of communication," and "New nurses with incomplete knowledge and/or insufficient skills." The number of participants discovering the risks "Insufficient explanation and/or confirmation between a group leader and a nurse" was smaller than that discovering those same risks "between two nurses." The importance of the risk "The person preparing the drugs did not administer the drugs" was underestimated by 75 participants. Concerning requests for drug treatment, few students recognized the risks of accidents occurring with regard to the "Lack of explanation and/or confirmation between a group leader and a nurse." The students' recognition was also minimal concerning nurses' oversights being tolerated in clinical settings.
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  • : TPN Management and Hand Washing
    Matsuko Doi, Mamiko Huruno, Asako Saito, Hitomi Takemura, Yoko Kondo, ...
    2003 Volume 26 Issue 5 Pages 5_145-5_154
    Published: December 01, 2003
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
  • Kiyomi Yamada, Kimiaki Nishida
    2003 Volume 26 Issue 5 Pages 5_155-5_167
    Published: December 01, 2003
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
  • Mika Fukada, Mihoko Miyawaki, Yayoi Takahashi, Akiko Matsuda, Keiko Mi ...
    2003 Volume 26 Issue 5 Pages 5_169-5_178
    Published: December 01, 2003
    Released on J-STAGE: March 31, 2016
    JOURNAL FREE ACCESS
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