All issues
Volume 33 (2010)
- Issue 5 Pages 5_55-
- Issue 4 Pages 4_13-
- Issue 3 Pages 3_62-
- Issue 2 Pages 2_49-
- Issue 1 Pages 1_93-
Volume 33, Issue 4
Displaying 1-13 of 13 articles from this issue
- |<
- <
- 1
- >
- >|
-
Akira Tamada, Tomoyuki Hasegawa, Ikue Takeyama, Masami Nakura2010 Volume 33 Issue 4 Pages 4_13-4_19
Published: September 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study was to determine the efficacy of incentive spirometry in improving postoperative ventilatory function. The interventional group performed 4 sets of breathing exercises in one day, and the exercise was repeated 10 times per set. The intervention period was from the day before surgery to 10 days after surgery, and ventilatory function was measured before surgery 1, 5, and 10 days postoperatively using an electronic spirometer. The control group did not perform incentive spirometry and ventilatory function was measured as in the interventional group. As a result, vital capacity and percent vital capacity were significantly reduced on the first day after surgery compared with those on the 5 and 10 days after surgery. Furthermore, values for these parameters were significantly lower in the control group compared to the interventional group. These findings suggest that postoperative incentive spirometry can improve ventilatory function and that if sustained maximum inspiration can be maintained, 4 sets of breathing exercises at 10 repetitions per set daily may improve ventilatory function.View full abstractDownload PDF (489K) -
Mami Yamamoto, Akiko Kadoma, Motoko Kato2010 Volume 33 Issue 4 Pages 4_21-4_30
Published: September 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe present study aimed to explore the process mothers experience while raising a child with pervasive developmental disorders (PDD).
We conducted semi-structural interviews of sixteen mothers who have children with PDD including autism. We analyzed our data using the Modified Grounded Theory Approach.
This process comprised four categories: "I don't know what to do", "thinking how to face with my child", "connect with my child in our own unique way", and "come to understand the appropriate way to raise my child". Mothers were often able to pull themselves out of the "I don't know what to do" stage by trying to "thinking how to face with my child", then continuously strived to "connect with my child in our own unique way" and "come to understand the appropriate way to raise my child".
It is important to give it meaning about the episode in the child raising so that mother may face each other to the children.View full abstractDownload PDF (545K) -
Yuuki Mikami, Masako Mizutani, Kuniyoshi Nagai2010 Volume 33 Issue 4 Pages 4_31-4_40
Published: September 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe objective of the study was to determine the association between depression and persistent anger, and the effect of the cognitive characteristics in order to develop a model of depression. The survey was conducted with a total of 572 registered and practical nurses working in two public psychiatric hospitals and five private psychiatric hospitals. Every nurse was asked to complete an anonymous questionnaire and return it by mail.
Respondents were categorized into two groups according to the CES-D scores, that is, one group of respondents with scores higher than the mean value and another group with scores lower than the mean value. Scores of "JIBT-R20," "persistent anger," and "hostile cognition" were compared between the two groups to develop a causal model using structural equation modeling based on correlation analysis and earlier literature. Fit indices for the model were acceptable with GFI = 1.000 and AGFI = .996, and any path in the model was significant at a level of 0.1%. Stronger irrational beliefs were associated with enhanced hostile cognition, increased proneness to persistent anger, and higher levels of automatic thought and depression. Furthermore, increased proneness to persistent anger was also found to be associated with higher levels of automatic thought and depression.View full abstractDownload PDF (580K) -
Matsumi Yamazaki, Michiko Inagaki2010 Volume 33 Issue 4 Pages 4_41-4_50
Published: September 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe aim of this qualitative factor-searching study is to elucidate perceptions of exercise and mechanisms that are involved in its continuation in patients with type 2 diabetes mellitus. Using a grounded theory approach, eleven patients, who were hospitalized primarily to improve glycemic control or for diabetic education, participated in the study, with interviews conducted four times over a period of six months.
From the collected data, a development process mechanism was found in the continuation of therapeutic exercise in patients with type 2 diabetes mellitus. The core category, a key requirement in the development process was the perception that therapeutic exercise was not recreational exercise. en, through the interpretation and reflection of their own medical treatment patients developed their acceptance of the need for therapeutic exercise and their understanding of the effects of therapeutic exercise through their own body. These results suggest that it is important to support the perception that therapeutic exercise is not recreational exercise from an early stage for the continuance of therapeutic exercise.View full abstractDownload PDF (588K) -
Kayoko Goda, Hiroko Kunikata, Nobuko Takashima, Yoshimi Tsuji, Kazuyo ...2010 Volume 33 Issue 4 Pages 4_51-4_57
Published: September 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this present study was to examine a model of the correlations between the tooth conditions, positive selfesteem, depression and state regarding going out of the elderly. We can have basic data for the construction of a community designed to prevent elderly people living in housing-development residences from dying alone by this study. The results showed that the χ2/df, CFI, and RMSEA values were 1.515, 0.956, and 0.072, respectively, indicating that the data fitted the model.
The path coefficients were 0.324 from the tooth condition to positive self-esteem, -0.428 from positive self-esteem to depression, -0.278 from the tooth condition to depression, and -0.267 from depression to the state regarding going out. These values verified that the tooth condition had an impact on going out while positively affecting positive self-esteem, and negatively affecting depression in the elderly.
As described above, this study suggested the importance of promoting oral hygiene as well as maintaining or achieving a higher positive self-esteem to prevent elderly people living in housing-development residences from dying alone.View full abstractDownload PDF (417K) -
Akemi Takada2010 Volume 33 Issue 4 Pages 4_59-4_71
Published: September 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSIt is required the view point about the elder care of quality maintained among users for the caregiving services. The objective of this study is to investigate the objective to be commonly available about elder care. The method is to assess the questionnaire towards the elder and care staffs in the seven nursing homes in Japan, and we analyzed to use content analysis for qualitative research. From the results of the analysis, we could find as the objective required for the elder care, one was the important caregiving service for users, and the other was the stable provision of the service offered from caregiver. Concretely, the constructive concepts were as follows; the individualism and dignity of the elder, the relationship for communication and reliance between the elder and caregiver, caregiver's job satisfaction from the elder with smiling, maintenance and improvement of the quality of life for the elder, and so forth. It is necessarily for the elder care to improve the quality of life of the elder, to create the place where the caregivers can offer the high-quality service, to arrange the sufficient quantity of staffs, and to realize an outcome satisfied with the elder and caregiver.View full abstractDownload PDF (605K) -
- The Comparison between Nursing Administrators, CN, and Nurses -Toyoko Kamisaka, Toshiko Matsushita, Yuko Oura2010 Volume 33 Issue 4 Pages 4_73-4_84
Published: September 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study was to investigate the activities of the Certified Nurse (CN) , CN support systems, and the cognition for activity and application of CNs amongst CNs, nursing administrators, and nurses. The subjects were 34 CNs, 16 nursing administrators, and 3,487 nurses working at all the hospitals that employed CNs in F prefecture. Self-reported questionnaires were mailed to the abovementioned subjects. The administrators on their part expressed their high regard for the functions of the CNs. The suggested measures for supporting the CNs included guaranteeing fixed work time and place, promotion, information activity, sending a CN to other facilities as a lecturer, etc. Of the CNs, 73.5% were chiefs or held positions higher than that of chief, and 79.4% of them were working not only as CNs but also as general staff members. Among all the CNs, 44.1% spent less than 2 hours per day working as a CN. With regard to the nursing fields, all the CNs in infection management and WOC (wound, ostomy, and continuation) nursing, which could be included in the medical fee, stated that their nursing skills were sufficiently utilized. Of the nurses, 50.7% had availed of the CN system, and 84.7% were satisfied with the CN's activities. These results suggested some strategies for facilitating the use of CNs resources.View full abstractDownload PDF (460K) -
Sayori Sakanashi, Miyako Oike2010 Volume 33 Issue 4 Pages 4_85-4_96
Published: September 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study was to elucidate the experience of mothers whose children undergo labioplasty and palatoplasty. A constant comparison method with reference to Grounded Theory was used for analyzing semi-structured interviews with ten mothers. Each mother's experience was categorized into six types: "entering the treatment process", "obtaining family support to take care of their child", "having the social support with relatives and neighbors", "interpreting that cleft lip and palate is not disease", "responding to difficulties step by step", "expanding their role as mother through caring and nurturing for the child". These categories showed that there were mother's efforts and changes as mother's role in their experience. These results suggested the need to understand many of approaches in the mother's experience and to facilitate mother's roles in the treatment process.View full abstractDownload PDF (637K) -
Nobuko Kaseda, Megumi Shimada, Hitomi Maeda2010 Volume 33 Issue 4 Pages 4_97-4_106
Published: September 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSA cross-sectional study was conducted in order to investigate the characteristics of people living with HIV/AIDS who require home care services. A questionnaire survey was distributed by mail to the nurse who was primarily responsible for caring for people living with HIV/AIDS in 372 hospitals in Japan, including regional AIDS centers, prefectural AIDS core hospitals, and AIDS core hospitals. Questionnaires recovered from 79 hospitals revealed that 28 hospitals introduced home care services in 2007-2008. Among these institutions, 18 hospitals had introduced services for 20 cases by July 2008, 16 hospitals introduced services for 27 cases in 2007, while 11 hospitals with 15 cases did not introduce any services. Data analysis revealed that the patients for whom home care services were introduced tended to require little care. In contrast, services were not introduced for cases with serious conditions or requiring complex care in the Kanto/Koshinetsu region. The data also revealed that it was difficult to introduce services for patients requiring terminal care. These results indicated that early introduction of home cares services should be considered based on discussion with people living with HIV/AIDS and their families.View full abstractDownload PDF (662K) -
Change in Blood Pressure, Heart Rate, Double Product, and in Autonomic Nervous SystemReiko Murakami, Tamiko Matsuda2010 Volume 33 Issue 4 Pages 4_107-4_113
Published: September 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSWe investigated the effect of the circulatory system in 17 healthy adults, who required the backrest at an angle and a change of position during bed bath. In this experiment, we raised the backrest angle at random to 0, 30, 45, 60 and 90 degrees, and carried out the change in position. The variables measured to assess the effect of the circulatory system were blood pressure (BP), heart rate (HR), HR variability and double product (DP). It was found that it was possible to increase HR or BP when the angle was above 45 degrees, as the effect of both dynamic exercise and static exercise were added. Moreover, when the angle was above 60 degrees, an increment of sympathetic nerve activity occurred. Furthermore, we found that the load of the circulatory system in the change of position during bed bath increased with the backrest angle increasing.View full abstractDownload PDF (717K) -
Based on Assessment of Psychological and Physiological StressNaomi Takashima, Makoto Oe, Kazue Gokita, Setsuko Watabe2010 Volume 33 Issue 4 Pages 4_115-4_121
Published: September 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe present study was to investigate longitudinal changes in the stress experienced and sense of coherence by 32 nursing students during a clinical practice in adult nursing using psychological and physiological indicators.
The results showed significant positive correlations between salivary cortisol levels and the stress emotions of "threat" and "harm" during the three-week practice but not on the day before the practice. The stress emotion of "threat" and stressors were the highest on the day before the practice and significantly decreased thereafter. In addition, the high fulfillment group had significantly lower stress emotions of "threat" and "harm" and cortisol levels and a significantly higher SOC (Sense of Coherence) compared to the low fulfillment group. SOC significantly increased following the practice, and had a significantly negative correlation with salivary cortisol levels during the third week. In practice, it was suggested especially that the individual approach to a "threat" and the students who is evaluating that is "harm" and support the Sense of coherence is required.View full abstractDownload PDF (462K) -
- The Limitation of the Body Fluid Removal is Tried -Toshiyuki Iwaki, Eiichi Ueno2010 Volume 33 Issue 4 Pages 4_123-4_129
Published: September 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESS -
Akiko Katou, Masaharu Mori2010 Volume 33 Issue 4 Pages 4_131-4_136
Published: September 01, 2010
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSWe examined how nurses fasten the tourniquet when performing venipuncture, mainly focusing on tourniquet pressure. Seventy-four nurses from 6 medical facilities fastened a tourniquet on the upper arm of the same subject, as if in preparation for the venipuncture. The average location of tourniquet application was 9.1cm proximal to the venipuncture region, which was almost the same as the textbook recommended. However, tourniquet pressure ranged widely from 60mmHg to 271mmHg and the average was 145±56.1mmHg. Only 20 nurses (27%) fastened the tourniquet with less than 100mmHg, which is considered to be appropriate range. Sixteen nurses (22%) fastened the tourniquet with very high pressure more than 200mmHg. Tourniquet pressure did not relate to the frequency of performing venipuncture each week and to the length of nursing experience. And the expressed intention of the nurses, such as "little-bit weaker" did not reflect differences in tourniquet pressure. These observations suggest that the length of nursing experience and frequency of venipuncture did not influence ability to apply a tourniquet with appropriate pressure. The reason nurses could not apply a tourniquet appropriately was thought to be that they could not fasten the tourniquet with intended strength based on structural factors of the tourniquet.View full abstractDownload PDF (343K)
- |<
- <
- 1
- >
- >|