Journal of Japan Society of Nursing Research
Online ISSN : 2189-6100
Print ISSN : 2188-3599
ISSN-L : 2188-3599
Volume 31, Issue 1
Displaying 1-10 of 10 articles from this issue
  • Eriko Takeda, Kazuyo Tamura
    2008 Volume 31 Issue 1 Pages 1_37-1_45
    Published: April 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
    The purpose of this study is to find how moods influence feeling for a child in pregnant and parturient woman. 69 pregnant women who has passed normally until the pregnancy end, conduct follow-up examine still postpartum. Result was as follows. The correlation was seen "vigor" and positive feeling for a child at each time. The correlation was seen "depression-dejection" "fatigue" "confusion" and negative feeling for a child in pregnancy end, and the negative correlation was seen "anger-hostility" and positive feeling for a child, but no correlation in postpartum. The correlation was seen "tension-anxiety" in pregnancy end and negative feeling for a child in early postpartum. The correlation was seen "angerhostility" and negative feeling for a child in early postpartum. The negative correlation was seen "anger-hostility" in pregnancy end and positive feeling for a child in postpartum. The mother who had negative feeling for a child in pregnancy end and early postpartum, expressed a lot of "anger-hostility" in postpartum. The correlation was mother's moods and feeling for a child. However, how it influenced it was different depending on time.
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  • Mayumi Kato, Yoshie Komatsu, Kiyoko Izumi, Sumiko Nishijima, Tomomi Ya ...
    2008 Volume 31 Issue 1 Pages 1_47-1_54
    Published: April 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
    The purpose of this study was to examine the effects of a whole-body exercise program to improve fall-related outcomes for elderly persons in a long-term care facility. The training consisted of a warm-up, static stretching, muscle strengthening in the upper and lower extremities, toe exercises, and a cool-down with rhythm for cognition. The study design was a prospective clinical trial. Participants were 40 (21 intervention, 19 control) elderly persons in a long-term care facility. The intervention period was 3 months, with outcomes measured before and after intervention. Outcome values were mobility, handgrip strength, muscle strength in the lower extremities, postural sway, toe function, cognitive status, fall self-efficacy, and number of falls and injuries. The intervention group showed increased balance and fall self-efficacy, maintained mobility, toe function, cognitive status, and muscle strength, and a decreased number of falls and fallers. No training-related medical problems occurred. The whole-body exercise program was shown to be acceptable for use among elderly persons in a longterm care facility.
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  • Junko Yokoyama, Yukiko Miyakoshi
    2008 Volume 31 Issue 1 Pages 1_55-1_65
    Published: April 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
    The purpose of this study was to analyze changes in Self-Esteem after stroke and to determine the factors associate with Self-Esteem at different stages. There were 92 respondents who answered questionnaires at four different times (at hospital admission, 3 months, 6 months, and 1 year after stroke). Based on the Rosenberg's Self-Esteem scale (RSE), the survey results for all four times indicated a high, steady average score of between 30.2 and 30.7, while individual RSE scores varied (p<0.001). The Self-Esteem after stroke correlated with activity of daily living (ADL) (3 months and 6 months after stroke), back-to-work situation (6 months later), subjective health (all four times), and emotional support provider (6 months later and 1 year later) (p<0.05). The results suggest that it is necessary to improve the level of Self-Esteem, every time after stroke should spent focusing on particular attention to the patient's health condition, the first 6 months after stroke should be spent focusing on providing support to help patients re-acquire their role and performance level, and the following 6 months should be spent focusing on providing emotional support.
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  • Chika Tanimura, Michiko Morimoto
    2008 Volume 31 Issue 1 Pages 1_67-1_73
    Published: April 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
    The purpose of this study was to evaluate factorial invariance for the Cognition Scale of Illness-related Anxiety and to determine characteristics of cognition during anxiety among inpatients by differences in age. Subjects comprised 565 inpatients in general hospitals. A secondary structure model was adopted for a factorial structure model, with "Aggravation of illness and symptoms", "Uncertainty of medical quality", "Limits to and reductions in activities of daily life", "Changes in relationships with family and friends" and "Loss of purpose and value" as first-order factors, and "Cognition during anxiety related to illness" as a second-order factor. Results of simultaneous factor analysis were determined for two samples across age by structural equation modeling, with a secondary structure model fit to all conditions of data with equality constraints for all parameters. The results suggested factorial invariance for the Cognition Scale of Illness-related Anxiety. In addition, factor means were estimated in simultaneous factor analyses in order to clarify relationships between cognition during anxiety related to illness and age. As a result, no significant differences were recognized between individuals <65-years-old and those >- 65-years-old. The results suggest that nurses should intervene in inpatient cognition during anxiety related to illness regardless of differences in age.
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  • Kazuya Norikane, Yuko Shiraishi
    2008 Volume 31 Issue 1 Pages 1_75-1_82
    Published: April 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
    The purpose of this study was to identify differences in eye movement between patients with schizophrenia and healthy subjects when identifying facial expressions. The eye movements of four subjects with schizophrenia and six healthy subjects were recorded with an eye movement recording device while the subjects categorized facial expressions of emotions in photographs. The results clearly showed a significantly shorter mean fixation time and a significantly higher mean velocity of eye movement in schizophrenic subjects compared to healthy subjects. In addition, schizophrenic subjects also had a significantly lower number of fixation points. These results suggest that deficits in facial affect recognition in patients with schizophrenia may be related to the following factors: inadequate visual information arising from difficulties experienced in perceiving the faces of others and a strong tendency to focus on one part of the face during interpersonal relations, and insufficient active eye movement when selectively identifying facial parts.
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  • Kazuko Ichie
    2008 Volume 31 Issue 1 Pages 1_83-1_90
    Published: April 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
    The objective of the present study was to elucidate the process by which nurses working at an institution for severely handicapped children understood the responses of severely handicapped children and individuals and achieved mutual understanding using qualitative inductive analysis based on a modified grounded theory approach. Semi-structured interviews were conducted on 15 nurses who consented to participate in this study. Analysis revealed five categories as well as three additional concepts. While facing "shocking experiences", nurses worked to "establish ways to understand each individual" through "strategies for approaching each individual" and "diversification of nursing practice". Nurses based their actions on the concept that severely handicapped children and individuals should be "treated as humans", and had "synergy" with these individuals. In addition, a process in which nurses overcame "a sense of uncertainty" and achieved mutual understanding by providing nursing centered on the severely handicapped children and reducing the mutual tension was identified.
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  • Mitsunobu Matsuda
    2008 Volume 31 Issue 1 Pages 1_91-1_99
    Published: April 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
    Purpose: To prevent the relapse of symptoms in community-dwelling patients with mental illness, active psychiatric rehabilitation, including psychoeducation for the patients themselves, is essential. This paper reports the process of developing a psychoeducation program practicable by voluntarily acting nurses for schizophrenic inpatients on acute psychiatric units.
    Methods: The process of developing the psychoeducation program included three steps: 1) searching for and reviewing psychoeducation-related literature, 2) describing subjective experiences in schizophrenic patients, and 3) developing the program as a nursing intervention.
    Results: The resulting program for psychoeducation consists of two types of training materials, a patient's textbook and an instructor's manual, as well as the program structure. This program is expected to encourage schizophrenic patients to accept of medication and illness, improve their medication adherence, and protect against the relapse of symptoms.
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  • -The Process of Regaining a True Desire to Go Out of the House-
    Takako Oowa, Keiko Yamaguchi
    2008 Volume 31 Issue 1 Pages 1_101-1_109
    Published: April 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
    The purpose of this study was to clarify, with reference to Grounded Theory, the events and thoughts that affect adolescent Duchenne muscular dystrophy patientsliving at home in going outside, and the relationship between these events and thoughts.
    Methods to support them in going out were then investigated. Participatory observationsand semi-structured interviews were conducted of three adolescents. The resultsindicated a process for regaining a real desire to go out, which started with the adolescents facing the reality of their poor prognosis. In this process, reacquiring the ability to go out from the desire to go out was achieved after they reached a state in which they recovered their motivation by accepting their disease. A sense of fulfillment was also obtained from their experience of going out when they actually did it.
    However, by gradually accepting their disease, they adopted an attitude of living within their absolutely poor prognosis, and this affected all their behavior in going out. These results suggest the need to create opportunities for adolescent Duchenne muscular dystrophy patients to accept their disease and to go out, and to provide them with support for problems encountered in actually going out
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  • Masami Kutsumi, Aya Yamada, Mikiko Ito, Hiroshi Mikami
    2008 Volume 31 Issue 1 Pages 1_111-1_120
    Published: April 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
    BPSD (Behavioral and Psychological Symptoms of Dementia) have been generally considered as problematic behaviors. In this paper we intended to provide a new view point by analyzing cultivated care experiences of care-providers (nurses and care workers) in nursing facilities. The results are that BPSD include two basic concepts and their composition as` threatened peace of mind and body of people with dementia' and 'threatened peace of their environment and surrounding people'. In addition, a repression against BPSD and BPSD itself such as an anxiety, works as "the catalyst" and causes "the resonance of BPSD" in the facilities. And the desirable outcome of BPSD was constituted two factors such as 'people with dementia and surrounding people can lead a peaceful life in facilities' and 'minimize BPSD, and all confusions are settled'. This new prospective concept of BPSD care in which peace is a key concept, would be helpful for developing dementia care with consideration of the human rights of people with dementia and normalization.
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  • Sayuri Sudo, Ken Aoki, Mariko Tomioka, Ryoko Masago, Tamiko Matsuda
    2008 Volume 31 Issue 1 Pages 1_121-1_128
    Published: April 01, 2008
    Released on J-STAGE: March 05, 2016
    JOURNAL FREE ACCESS
    The purpose of this study was to investigate the effect of pressure difference attributable to bed-bath cleansing of the limbs to peripheral skin blood flow responses. Nine male subjects underwent bed bath treatment for about 3 min after a resting period. Two different treatment pressures were selected: normal and lower pressure conditions were set respectively as 1.8 and 0.9 kgf/cm2. The sites of the bed bath treatment were the right forearm and medial side of the lower legs. Each site was treated 40 times with a peripheral-to-center direction. In normal pressure conditions, skin blood flow index on the right and left palm and left forearm still increased significantly after the end of the bed bath treatment. These results indicate that the peripheral cutaneous circulation of both treated and untreated sides would be improved by frequent bed bath treatment with normal pressure on limbs in practical situation. Bed bath treatment with lower pressure also increased skin blood flow index significantly on the right forearm. Results suggest that regulation of the sites, the treatment pressures and the number of times of usual bed baths for each patient would be effective.
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