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Volume 35 (2012)
- Issue 5 Pages 5_105-
- Issue 4 Pages 4_83-
- Issue 3 Pages 3_64-
- Issue 2 Pages 2_11-
- Issue 1 Pages 1_137-
Volume 35, Issue 4
Displaying 1-11 of 11 articles from this issue
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Akimine Mizukoshi, Kumiko Shirao2012 Volume 35 Issue 4 Pages 4_1-4_11
Published: September 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose was to clarify what patients experienced during the recovery process, from the time when they were discharged after the operation of colon cancer until their first outpatient visits. A semi-structured interview was conducted on 10 patients who underwent colectomy at the time of their first outpatient visits to ask about their concerns, differences from the time before the operation, etc., which were analyzed qualitatively and inductively. As a result, seven categories were extracted including "search for ways to cope with cancer," "constant caution to wounds," "care for diet with time restrictions," efforts for regular bowel movements," "actual feeling of recovery based on fatigue as an index," "independence and support from hospital" and "actual feeling of thoughtfulness." Although potential relapse and metastasis threatens patients, it turned into a driving force for them to make efforts to avoid cancer relapses. "Efforts for regular bowel movement" by "care for diet with time restrictions" was assumed to be the experience characteristic of colon cancer patients. Pain from wounds and feeling of fatigue were not fully resolved after discharge. It is a task to clarify the relationship among diet, bowel movement and ileus to support patients.View full abstractDownload PDF (934K) -
Yoko Takeuchi, Masami Hasegawa2012 Volume 35 Issue 4 Pages 4_13-4_24
Published: September 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThis study seriously considers the points in which the visual space cognitive function of frontotemporal dementia (FTD) is preserved. It focuses on the practical use of the TEACCH Program for autistic patients. The purpose of this study is to verify the usefulness of "Structuring" in a part of TEACCH program by making use of the characteristics of FTD patients and intervening. There were 10 patients who were diagnosed with FTD at a dementia special hospital. The subjects were 4 of them who agreed to participate. The researchers intervened among the subjects by 4 factors for about 3 months. The factors were visual structuring, time structuring, space structuring, and work structuring. The researchers verified what kind of factors of Structured Program is useful for the analysis from the reactions and changes of FTD patients. The result was that the usefulness of visual structuring, time structuring, and work structuring were verified, but regarding space structuring, the researchers failed to prove its usefulness. From this study, it was suggested that as a daily living assistance of FTD patients, Structured Program is useful.View full abstractDownload PDF (1215K) -
Chiyuki Ishii, Kazuko Yamada, Ikuharu Morioka2012 Volume 35 Issue 4 Pages 4_25-4_35
Published: September 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSTo clarify characteristics of Type 2 diabetic patients rehospitalized after "education hospitalization" and factors related to rehospitalization, 25 rehospitalized patients (rehospitalized group) and 18 inpatients hospitalized for the first time (first hospitalized group) were investigated among type 2 diabetic patients admitted to A Hospital for "education hospitalization." Compared with data in the first hospitalized group, there was no difference in HbA1c at the time of the admission, but there was an increasing tendency in the prevalence of complications in the rehospitalized group. Although knowledge acquisition rates were significantly higher in the rehospitalized group, the practice rates showed no difference. Significantly fewer patients in the rehospitalized group had had someone to support them with medical treatment and daily life. Significantly more patients felt a sense of isolation. As time passed after being discharged from the hospital, they had subsequently discontinued or decreased the routine medical treatment activities. The "education" in the hospital led to no demonstrable difference between the two groups. There was one patient who continued to lead the same lifestyle as he had before admission. Consequently, detailed and continuous support fitting to the individual's needs is essential for preventing the rehospitalization.View full abstractDownload PDF (1296K) -
Mayumi Kaneko, Sadako Norimatsu2012 Volume 35 Issue 4 Pages 4_37-4_46
Published: September 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThis study compared differences in relaxation efficacy between the moist-heat method and dry-heat method of lowerback hot fomentation. The subjects of the study were 11 healthy male nursing students, and the moist-heat method by directly applying a 43℃ steamed bath towel to the lower back and the dry-heat method by applying a 43℃ steamed bath towel sealed in a plastic bag to the lower back were performed to the subjects on separate days. Brain waves, heart rate variability, and deep body temperature were used to measure physiological reactions, and a visual analog scale (VAS), the profile of mood states (POMS), and comfort were used to measure psychological reactions. When hot fomentation was performed for 5 minutes, significantly higher HF values were recorded 0.5 minutes and 1 minute after the start of hot fomentation by the moist-heat method than by the dry-heat method, and significantly lower LF/HF values were recorded 0.5 minutes after the start of hot fomentation by the moist-heat method. The brain wave and VAS score changes in response to the moist-heat method were positively correlated.It is preferable to use the moist-heat method, because it provides "comfort" within the short time of about 3 minutes.View full abstractDownload PDF (1636K) -
Haruka Matsuda, Noriko Ogawa, Rina Tsukada, Yuki Kodama, Akiko Yamazak ...2012 Volume 35 Issue 4 Pages 4_47-4_55
Published: September 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study was to clarify the relative strength of factors that affect quality of sleep in female university students. Subjects included 126 women in year 2-4 of A college. The Japanese Pittsburgh Sleep Quality Index (PSQI-J) was used to measure quality of sleep. Results of multiple regression analysis showed a relationship between PSQI-J and several factors, including "anxiety (total score of STAI A–Trait)" (β=.230, p<.01), "frequency at which rising time was early" (β=.221, p<.01), and "chilliness of feet" (β=.191, p<.05). These findings indicate that it is important to consider measures that focus on these factors to improve quality of sleep. Among the factors identified, anxiety was most likely to be associated with quality of sleep. These results suggest that maintaining mental health may help improve quality of sleep.View full abstractDownload PDF (967K) -
Ayako Sakai, Masayuki Mizuno, Yoko Hamamoto, Reiko Sato2012 Volume 35 Issue 4 Pages 4_57-4_64
Published: September 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThis study investigated providing nursing care for prostate cancer patients' sexuality, and sought to clarify the awareness of nurses with experience providing such care. A self administered questionnaire was sent to 996 nurses working on urological wards at 49 hospitals that handled many surgical cases of prostate cancer. Responses from 548 nurses were analyzed. It was found that 24.5% of nurses had experience providing nursing care for patients' sexuality at the first step of the PLISSIT (permission giving, limited information,specific suggestion, intensive therapy) model. These nurses were characterized by 1) having knowledge about treatment for prostate cancer and sexual dysfunction, 2) perceiving that other nurses were providing nursing care for patients' sexuality, and 3) having little difficulty talking about sexuality with prostate cancer patients.View full abstractDownload PDF (983K) -
Hiroko Namba, Atsushi Koike, Takeko Wakabayashi2012 Volume 35 Issue 4 Pages 4_65-4_74
Published: September 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThis study aimed at verifying the effects of differences in patient-to-nurse staffing ratios on nurses. In total, 868 nurses were investigated in terms of peripheral tasks implemented, the Nursing Job Stressor Scale (NJSS), the self-Diagnosis Checklist for Workers' Accumulated Fatigue, and intention to continue working. Data was compared between the 7 : 1 and 10:１ groups and multiple regression analysis was conducted using each scale as the criterion variable and the patient-to-nurse staffing ratios as the explanatory variable. The results showed that compared to the 10 : 1 group, the 7 : 1 group had fewer transfer tasks among peripheral tasks, as well as significantly lower scores for "human environment at work" and "quantitative workload" on the NJSS as well as "assessment of subjective symptoms" on the accumulated fatigue scale. As for intention to continue working, the proportion of nurses who viewed their hospital as a good place to work was significantly higher in the 7 : 1 group. Multiple regression analysis showed that patient-to-nurse staffing ratios had a slight effect on intention to continue working. These results indicate that the characteristics of hospitals capable of implementing a 7 : 1 patient-to-nurse staffing ratio influence the nurses' work environment and the nurses themselves.View full abstractDownload PDF (1347K) -
Sachiko Hara, Sakae Mikane2012 Volume 35 Issue 4 Pages 4_75-4_81
Published: September 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study was to develop dementia care guidelines that can be applied in geriatric health service facilities. Questionnaires were distributed to 594 nurses and professional caregivers working in geriatric health service facilities, from which 380 valid responses were obtained and analyzed. A second-order factor model was used in this study, comprising "creating an environment where residents can feel safe and at home," "support for residents in maintaining the lifestyle that they had at home," "helping residents maximize their remaining abilities," "helping residents remain connected to society," "consistent and coordinated care including cooperation with residents’ families," "support for shifting to home care" as first-order factors, and "care for demented elderly people" as a second-order factor. The construct validity of the guidelines was assessed in terms of the relationship between the factor model and an external criterion (job satisfaction) using structural equation modeling. As a result, the fitness of the factor model comprising six factors and 29 items to the data and the relationship between dementia care practice and job satisfaction were statistically supported. These results suggest that the dementia care guidelines developed in this study are effective in ensuring the quality of dementia care in geriatric health service facilities.View full abstractDownload PDF (1028K) -
A Comparison with Simultaneous Recorded ActigraphyMasae Tsutsumi, Toshio Kobayashi, Takayuki Kageyama2012 Volume 35 Issue 4 Pages 4_83-4_89
Published: September 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSThe purpose of this study was to clarify the efficiency of using a sleep log in the sleep/awake assessment of frail elderly people. In study 1, 1-h-duration sleep logs recorded by nurses or caregivers and actigrams from wrist-activity devices were simultaneously monitored in four frail elderly participants for 21 days (total, 504 h). In study 2, 1-min-duration measurements of both kinds of data in another subject were taken for 3 days (4,320 min). In study 1, the actigraph data agreed with the sleep log data between 57% and 78% of the time for "sleep", whereas for "awake" they agreed between 91% and 97% of the time. In study 2, the concordance rates were 86% for "sleep" and 97% for "awake". These results suggested that the sleep log was as accurate as the actigraph data in sleep/awake assessment of the frail elderly with an adequate judging standard and prior observation /record training. Moreover, the wakeful state was sometimes misjudged as "sleep" by the actigram in slowmoving subjects. Thus the sleep log might assess wakefulness status more accurately than the actigram when the movements of the participant are slow on awakening.View full abstractDownload PDF (898K) -
Yumi Koizumi, Yumiko Kohno, Kazuyo Kyuji, Miki Kimoto, Keiko Sakai, Ke ...2012 Volume 35 Issue 4 Pages 4_91-4_99
Published: September 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESS -
Kayoko Ohnishi, Jun Nakahara, Kazuyo Kitaoka, Masataka Nakano, Yasuko ...2012 Volume 35 Issue 4 Pages 4_101-4_107
Published: September 01, 2012
Released on J-STAGE: March 05, 2016
JOURNAL FREE ACCESSMoral distress is caused by a situation where one knows the right course of action, but is unable to pursue it due to institutional constraints.
The Moral Distress Scale for Psychiatric nurses (MSD-P) was used to compare the intensity and frequency of moral distress in psychiatric nurses in Japan and England, where nurse staffing levels and resources for mental health are different. It was also used to examine the relationship between moral distress and demographics. The participants were 269 nurses in Japan and 36 in England.
In comparing the intensity scores of the following subscales; unethical conduct by caregivers, low staffing, and acquiescence to patients' rights violations, there was no statistical difference between Japan and England. In the frequency scores of the subscales, however, the psychiatric nurses in Japan rated statistically higher than those in England. In Japan, neither age nor nursing experience affected the level of moral distress. In England, however, the level of moral distress lessened both in frequency and intensity with increasing age and length of nursing experience.View full abstractDownload PDF (881K)
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