Current Issue : July - September Volume : 2018 Issue Number : 3 Articles : 6 Articles
The aim of this study was to determine the care burden of caregivers of patients with multiple sclerosis in Turkey. This descriptive\nstudy was conducted with 92 caregivers. To collect data, information form and Zarit Caregiver Burden Interview (ZCBI) were used.\nMost of the caregivers (65.2%) were females and 71.7% of them were married. The average age of caregivers was 38 and above. The\nmean ZCBI score of caregivers was 25.44 �± 9.50. The ZCBI score was significantly higher in caregivers providing care for more\nthan six years (28.09 �± 10.16). Additionally, the ZCBI score was significantly higher in caregivers providing care 3-4 hours per day\n(32.23 �± 8.37) and providing physical care (29.28 �± 5.18)....
Background: Measuring and evaluating patients' recovery, following intensive care, is essential for assessing their\nrecovery process. By using a questionnaire, which includes spiritual and existential aspects, possibilities for\nidentifying appropriate nursing care activities may be facilitated. The study describes the development and\nevaluation of a recovery questionnaire and its validity and reliability.\nMethods: A questionnaire consisting of 30 items on a 5-point Likert scale was completed by 169 patients (103 men,\n66 women), 18 years or older (m=69, SD 12.5) at 2, 6, 12 or 24 months following discharge from an ICU. An exploratory\nfactor analysis, including a principal component analysis with orthogonal varimax rotation, was conducted. Ten initial\nitems, with loadings below 0.40, were removed. The internal item/scale structure obtained in the principal component\nanalysis was tested in relation to convergent and discrimination validity with a multi-trait analysis. Items consistency\nand reliability were assessed by Cronbach's alpha and internal item consistency. Test of scale quality, the proportion of\nmissing values and respondents' scoring at maximum and minimum levels were also conducted.\nResults: A total of 20 items in six factors - forward looking, supporting relations, existential ruminations, revaluation of\nlife, physical and mental strength and need of social support were extracted with eigen values above one. Together,\nthey explained 75% of the variance. The half-scale criterion showed that the proportion of incomplete scale scores\nranged from 0% to 4.3%. When testing the scale's ability to differentiate between levels of the assessed concept, we\nfound that the observed range of scale scores covered the theoretical range. Substantial proportions of respondents,\nwho scored at the ceiling for forward looking and supporting relations and at floor for the need of social support, were\nfound. These findings should be further investigated.\nConclusion: The factor analysis, including discriminant validity and the mean value for the item correlations, was found\nto be excellent. The RAIN instrument could be used to assess recovery following intensive care. It could provide post-\nICU clinics and community/primary healthcare nurses with valuable information on which areas patients may need\nmore support....
Background: Endotracheal tube (ETT) fasteners such as the AnchorFastââ??¢ claim to assist with the prevention of oral\npressure injuries in intubated patients, however evidence to support their clinical efficacy is limited. This retrospective\nobservational study aimed to investigate the impact of the introduction of the AnchorFastââ??¢ device on the incidence of\noral pressure injuries in mechanically ventilated patients.\nMethods: Data was collected from patient case notes and clinical incident reports for October 2010 to June\n2013 (pre-AnchorFast) and July 2013 to March 2016 (post-AnchorFast). Incidence and location of oral pressure\ninjuries associated with securing device, and compliance with institutional policies related to reducing oral\npressure injuries were recorded.\nResults: Incidence of oral pressure injuries increased from 1.53/100 intubated patients in the pre-AnchorFast\nperiod to 3.73/100 intubated patients in the post-AnchorFast period (IRR = 2.43, 95%CI = 1.35ââ?¬â??4.38; p = 0.003).\nAcross both study periods, patients with an ETT secured using AnchorFastââ??¢ had significantly increased risk of\noral pressure injuries (IRR = 2.03, 95%CI = 1.17ââ?¬â??3.51; p = 0.02). There was also a significant difference in location\nof pressure injuries sustained with ETTs secured using cloth tapes (53.6% in corner of the mouth) vs.\nAnchorFastââ??¢ (75% on the lips) (p = 0.008). Among patients with oral pressure injuries, compliance with\ninstitutional policies relating to the prevention of pressure injuries was significantly greater after the introduction of\nthe AnchorFastââ??¢ (9.1% vs 64.5%, p = 0.004).\nConclusions: The incidence of oral pressure injuries increased significantly following the introduction of the\nAnchorFastââ??¢ device. Further research is required to establish the reasons for this observed increase to and\nidentify ways to reduce the risk of pressure injuries with ETT securement devices...
Background: Assessment of the traditional vital signs at ICUs as temperature, pulse, respiration, blood pressure\nand oxygen saturation are inadequate to determine patients� clinical condition deteriorating; however assessment of\neight vital signs should be included in a routine nursing assessment to improve patients� outcomes for appropriate\nnursing diagnosis on proper time.\nAim: To assess nurses� perception toward using a new eight vital signs chart at ICUs\nMethods: Descriptive cross-sectional study design was used in this study composed of 45 nurses from all ICUs\nat the Beni-Suef University Hospital from November 2015 to January 2017, data were collected using structured\ninterview to assess nurses� perception toward using a new eight vital signs chart at ICUs.\nResults: The study findings demonstrate the distribution of all nurses� perception items and found more than two\nthird of the study sample (68.9%) were agreed to use eight vital signs, and almost all nurses had fantastic perception\nto eight vital signs, moreover about (84.4%) had adequate knowledge regarding assessment of pain, level of\nconsciousness, urine output, as well as more than half of study sample reported the degree of importance is\nextremely important to assess additional three vital signs with basic vital signs (55.6%). However barrier may face\nnurses to assess pain, level of consciousness and urine output were reported high percentage (91.1%) and (97.8%)\nagreed to use the new eight vital signs chart at ICUs and defiantly it will help for better design of Nursing Diagnosis.\nConclusion: ICUs� nurses strongly agreed to apply new 8 vital signs chart at ICUs for meticulous designing of\nnursing diagnosis of patients� clinically unstable.\nRecommendation: The study is recommended to consider the importance of application a new eight vital signs\nchart instead of traditional five vital signs and generalized it in the hospital documentation system....
Background: Psychometric instruments such as the Repeated Battery for the Assessment\nof Neuropsychological Status (RBANS) are commonly used under conditions for which they were\nnot developed or validated. They may then generate troublesome data that could conceal potential\nfindings. Methods: Based on a previously published refinement of the RBANS, we reanalyzed the\ndata on 303 patients from two National Institutes of Health (NIH) trails in Parkinson�s disease and\ncontrasted the results using the original versus refined scores. Results: Findings from the original\nRBANS scores were inconsistent; however, use of the refined scores produced potential findings that\nwere in agreement with independent reports. Conclusion: This study demonstrates that, for negative\ntrials using instrument scores as primary outcomes, it is possible to rescue potential findings. The key\nto this new strategy is to validate and refine the instrument for the specific disease and conditions\nunder study and then to reanalyze the data. This study offers a demonstration of this new strategy\nfor general approaches....
Consistent vital sign monitoring is critically important for early detection of clinical deterioration of patients in hospital\nsettings. Mostly, nurses routinely measure and document the primary vital signs of all patients 2ââ?¬Â3 times daily to assess\ntheir condition. To reduce nurse workload and thereby improve quality of patient care, a smart vital sign monitor\nnamed ââ?¬Å?Vitalââ?¬ÂSCOPEââ?¬Â for simultaneous measurement of vital signs was developed. Vital-SCOPE consists of multiple\nsensors, including a reflective photo sensor, thermopile, and medical radar, to be used in simultaneous pulse rate,\nrespiratory rate, and body temperature monitoring within 10 s. It was tested in laboratory and hospital settings. Bland-Altman\nand Pearsonââ?¬â?¢s correlation analyses were used to compare the Vital-SCOPE results to those of reference measurements.\nThe mean difference of the respiratory rate between respiratory effort belt and Vital-SCOPE was 0.47 breaths per minute\nwith the 95% limit of agreement ranging from âË?â??7.4 to 6.5 breaths per minute. The Pearsonââ?¬â?¢s correlation coefficient was\n0.63 (P < 0 05). Moreover, the mean difference of the pulse rate between electrocardiogram and Vital-SCOPE was 3.4\nbeats per minute with the 95% limit of agreement ranging from âË?â??13 to 5.8 beats per minute; the Pearsonââ?¬â?¢s correlation\ncoefficient was 0.91 (P < 0 01), indicating strong linear relationship....
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