14 research outputs found
Factors involved in the postoperative occurrence of mental disorders in patients with esophagus cancer
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ã®èº«äœçã»å¿ççç¶æ³ã®ææ¡ãšICUç°å¢ããã®æ©æé¢è±ãéèŠã§ããããšãèãããããTo identify factors involved in the postoperative occurrence of mental disorders in patients with esophagus cancer and their relationship, 91 items about life background, disease course, changes in organic functions, physical pain, psychological conditions, support system, and sleep conditions were examined in patients with esophagus cancer treated at the ICU after operation using their medical and nursing records. Comparisons of patients with and without postoperative mental disorders revealed the following 17 factors that had significant influences on the mental conditions of patients : the aim of operation, period of treatment in the ICU, period of intratracheal intubation, period of artificial respiration, period of indwelling of a drainage tube, changes in blood sugar after operation, individual nursing care plan in the ICU, observation during the night after operation, and treatment for sleeping after operation (these parameters, p<0.01), and the history of smoking, notification of disease conditions, reconstructed organs, changes in blood pressure after operation, changes in pH, PO(2), and PCO(2) after operation, and anxiety about disease conditions after operation (these parameters, P<0.05). Analyses of the relationship between factors revealed that changes in organic functions caused by operative invasion as well as physical and mental pain due to respiration control greatly affect the occurrence of mental disorders
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The purpose of this study is to analyze the structural relationship among the components of quality of life of kidney transplant recipients by using a causal model. The subjects were 329 recipients who had regular checks-up following transplantation in seven general hospitals in Tokyo, Gunma, Aichi, Okayama, and Hiroshima, and agreed to participate in this study. Ferrans and Powers's Quality of Life - Index Kidney Transplant version was used to measure perceived quality of life. The self-administered questionnaires were handed over to the subjects, who completed the instrument on the spot. After that, the answers were collected immediately. The factor analysis and the covariance structure analysis were used to make clear the structural relationship among the components of quality of life. The results of data analysis were as follows : (1) Five components of quality of life were extracted ; socio-economic functioning, family ties, emotional support, physical health, and peace & happiness. (2) The scores in the family ties dimension and the physical health dimension were higher than in the others, and the score in the socio-economic functioning
dimension was the lowest. (3) The physical health showed the starting point in a causal model. (4) The physical health influenced the family ties and the socio-economic
functioning. (5) The socio-economic functioning strongly influenced the peace & happiness and the emotional support. (6) The family ties influenced the socio-economic functioning, the emotional support, and the peace & happiness. Therefore, it was conceivable that it was particularly important to make approaches for the physical health, the family ties, and the socio-economic functioning dimensions to improve quality of life.æ¬ç 究ã¯ïŒå æé¢ä¿ã¢ãã«ã«ãã£ãŠïŒè
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Trends in quality of life of in-unit hemodialysis patients
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Analysis of three cases of renal transplant recipients whose feelings about life have become negative after transplantation
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®ãã¹ãç¹ã§ããããšãæããã«ãªã£ããWe are seeking an effective nursing intervention for renal transplant recipients based on a nursing support model described by Hayashi. Among 119 patients we investigated, at least 90% of them experienced increased positive feelings about their lives after receiving a renal transplant, whereas three of them answered differently. The purpose of this study is to analyze the complaints of three recipients after renal transplantation. Factors such as age, gender, marital status, time-course after transplant, and type of kidney transplant are included in the study. As a result, their complaints are differentiated into 4 categories : (1) status of transplanted kidney and their own health, (2) status of medical support, or assistance from their friends and
others, (3) situation of their immediate family, (4) a grade of their ability to fulfill their
social and familial responsibilities. These results are important in our nursing approach in order to improve the quality of life (QOL) of renal transplant recipients
Analysis of six cases of renal transplant recipients havingcomplaints about transplanted kidney and medical care.
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®ãã¹ãèŠç¹ã§ããããšãæãããšãªã£ãThe purpose of our nursing study is to know how we can improve QOL (Quality of Life) of renal transplant recipients. Our study uses nursing intervention. Now we examine effective nursing intervention necessary for improving this QOL. The result of this study comes from analyzing the cases of six renal transplant recipients. They had some complaints about their transplanted kidney and medical care. Depending on this analytical result, we examined renal transplant nursing. As a result, the
following five items became clear concerning the complaints of these six recipients. Those were, (1) physical state, (2) ability to achieve their responsibility and social support, (3) self-realization and
their view of life, (4) work and their economic independence, (5) relation to their family. These six recipients' physical states were in bad condition and had complaints about their health. All of the living donor kidney transplant recipients had complaints about the role in their family and their social role to others. Male transplant recipients were not satisfied with the social support. These analytical results are important for our nursing to improve QOL of renal transplant recipients
Investigation of Quality of Life in Kidney Transplant Recipients
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èŠæ§ã瀺åãããKidney transplantation is a cure which improve quality of life of kidney disease patients. It is important to note, however, that kidney transplantation is not a complete cure because it will not prevent kidney diseases from recurring, thereby producing new physical and psychosocial problems for the recipients. The purpose of this study is to identify the relationship between their quality of life and the recipients' background that may influence the recipients' quality of life. One hundred nineteen recipients responded to our questionnaires which included reason for undergoing the transplantation, how to feel own life, locus of control, quality of life, and so on. The following results were obtained : 81% of the recipients reported that they were feeling positive about life. The recipients, who are undergoing the transplantation to want
to live life to the full and having internal locus of control, promoted their sense of good quality of life. It is therefore considered important to initiate nursing intervention before the transplantation, based on some recipient's background
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Relationships between the QOL components in kidney posttransplant recipients and their demographic characteristics
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ã家æãæ¯æŽããäœå¶ãéèŠã§ããããš,ãæããã«ãªã£ãIt is important for the patients with esophageal cancer to receive truth telling about their illness as well as to have informed consent fully concerning treatment method when making self-decision. There have been few reports about the self-decision oriented informed consent which were analyzed with qualitative induction research. We therefore conducted qualitative research using semi-structured questionnaire to elucidate how an informed consent should be conducted to support the patients to make self-decision for accepting surgical treatment. As results, 1. Informed consent should not be an event but a process according to capacity of the patients for understanding their own illness. 2. Explanation about the condition following an operation, especially about the
symptom or the procedure causing pain, should be supportive for the patients with picturing a specific image, considering the personality of the patients. 3. Supportive system for patients after receiving informed consent and making a decision accepting surgical treatment should be improved because of insufficient sharing of information among medical team members
Evaluation of adult nursing practices using self-assessment form - analysis in 3rd and 5th weeks of practice -
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ã®çŠç¥ã«ã€ããŠç解ãæ·±ããããšã§ããThe purpose of this study was to evaluate the adult nursing practices using a self-assessment form. Seventy-four third-grade nursing students assessed 11 items in the 3rd and 5th weeks of practice. The scores of all assessment items in the 5th week were significantly higher than these in the 3rd week. The lowest scoreing item at both 3rd and 5th weeks was understanding of the utility of social resources. The students assigned patients with malignant diseases reported higher scores on 3 assessment
items. These findings suggest that students should share their experiences and learn about social resources during clinical practice