检索结果-南通市图书馆

International Journal of Nursing Sciences 2018年第2期5卷 131-137页

作者： Jennifer A.Mallow laurie A.theeke Elliott theeke Brian K.Mallow West Virginia University School of NursingUnited States of America Sovern Run LLCUnited States of America

Aims:Used as integrated tools,technology may improve access and outcomes of care.A new intervention that integrates multiple technologies called mI SMART has been developed,implemented,and evaluated by Nurse *** aim of this paper is to present the initial effectiveness of a webbased,structure of sensors and mobile devices designed to overcome the known health determinant of access to care for rural,chronically ill patients by using ***:The study was conducted at a community primary-care clinic that provides free healthcare to impoverished *** with at least one chronic condition,a minimum of 3rd grade reading level,and without dementia/psychosis were *** were given a Nexus7 tablet and Bluetooth self-monitoring *** intervention lasted for 12 *** glucose,blood pressure,and weight were collected using the provided Bluetooth devices and means were evaluated with paired-samples ttests before and after the ***:Thirty participants were majority female,white,married,high-school educated or less,earning less than$20,000 per annum,and had multiple chronic ***-intervention glucose,systolic blood pressure,diastolic blood pressure,weight and Body Mass Index were all reduced after the 12-week ***:The mI SMART intervention is efficacious for use in improvised adults living in rural areas with multiple chronic *** previously reported,the intervention was also shown to be feasible and acceptable to *** next step is a larger randomized controlled trial.

关键词： Health disparities mHealth Multiple chronic conditions Nursing informatics Rural

Relationship between negative emotions and perceived support among parents of hospitalized,critically ill children

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

International Journal of Nursing Sciences 2021年第1期8卷 15-21,I0001页

作者： Brad E.Phillips laurie A.theeke Katie M.Sarosi West Virginia University School of Nursing MorgantownWVUnited States

Objectives:The purpose of this study was to describe relationships between negative emotions and perceived emotional support in parents of children admitted to the pediatric intensive care unit(PICU).Methods:This cross-sectional descriptive study conducted face-to-face interviews between January 2019 and January *** variables included depression(PHQ-9 Scale),anxiety(Emotional Distress-Anxiety-Short Form 8a),anger(Emotional Distress-Anger-Short Form 5a),fear(Fear-Affect Computerized Adaptive Test),somatic fear(Fear-Somatic Arousal-Fixed Form),loneliness(Revised 20-item UCLA Loneliness Scale),and perceived emotional support(Emotional Support-Fixed Form).Results:Eighty parents reported symptoms of depression 8.00(4.00,13.75),anxiety(23.43±7.80),anger(13.40±5.46),fear(72.81±27.26),somatic fear 9.00(6.00,12.75),loneliness(39.35±12.00),and low perceived emotional support(32.14±8.06).Parents who were young,single,low-income,and with limited-post secondary education reported greater loneliness and lower perceived emotional *** correlated with depression(r=0.737,P<0.01)and anxiety(r=0.900,P<0.01).Inverse relationships were discovered between perceived emotional support and loneliness(r=-0.767,P<0.01),anger(r=-0.401,P<0.01),and depression(r=-0.334,P<0.01).Conclusions:The cluster of negative emotions identified will serve as potential targets for future interventions designed to enhance support for parents of critically ill children.

关键词： Child Critical illness Emotional support Negative emotions Parents Psychological state

Effectiveness of LISTEN on loneliness,neuroimmunological stress response,psychosocial functioning,quality of life,and physical health measures of chronic illness

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

International Journal of Nursing Sciences 2016年第3期3卷 242-251页

作者： laurie A.theeke Jennifer A.Mallow Julia Moore Ann McBurney Stephanie Rellick Reyna VanGilder Department of Adult Health School of NursingWest Virginia UniversityMorgantownWVUSA Department of Physiology West Virginia UniversityMorgantownWVUSA School of Pharmacy West Virginia UniversityMorgantownWVUSA

Objectives:Loneliness is a biopsychosocial determinant of health and contributes to physical and psychological chronic illnesses,functional decline,and mortality in older *** paper presents the results of the first randomized trial of LISTEN,which is a new cognitive behavioral intervention for loneliness,on loneliness,neuroimmunological stress response,psychosocial functioning,quality of life,and measures of physical ***:The effectiveness of LISTEN was evaluated in a sample population comprising 27 lonely,chronically ill,older adults living in *** were randomized into LISTEN or educational attention control *** measures included salivary cortisol and DHEA,interleukin-6,interleukin-2,depressive symptoms,loneliness,perceived social support,functional ability,quality of life,fasting glucose,blood pressure,and body mass ***:At 12 weeks after the last intervention session,participants of the LISTEN group reported reduced loneliness(p=0.03),enhanced overall social support(p=0.05),and decreased systolic blood pressure(p=0.02).The attention control group reported decreased functional ability(p=0.10)and reduced quality of life(p=0.13).Conclusions:LISTEN can effectively diminish loneliness and decrease the systolic blood pressure in community-dwelling,chronically ill,older *** indicate that this population,if left with untreated loneliness,may experience functional impairment over a period as short as 4 *** studies on LISTEN are needed with larger samples,in varied populations,and over longer periods of time to assess the long-term effects of diminishing loneliness in multiple chronic conditions.

关键词： Loneliness LISTEN Older adults

A systematic review of the relationships among psychosocial factors and coping in adults with type 2 diabetes mellitus

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

International Journal of Nursing Sciences 2019年第4期6卷 468-477页

作者： Melissa A.McCoy laurie A.theeke Division of Nursing Davis and Elkins CollegeElkinsWVUnited States School of Nursing West Virginia UniversityMorgantownWVUnited States

Type 2 diabetes mellitus contributes to poor health outcomes including mortality,yet there is a gap in the literature when seeking to understand the influence of psychosocial factors on coping in this *** paper presents a systematic review of quantitative studies that examined relationships among psychosocial determinants and coping in adults with type 2 *** review is the second layer of knowledge discovery for the concept,"Taking on a life-altering change is a rhythmical journey of experiencing ups and downs on the way to acceptance." The life-altering change was determined to be a diagnosis of type 2 diabetes,the journey is the ups and downs of coping with the diagnosis as people work toward acceptance of type 2 *** review includes a synthesis of findings from 22 quantitative studies of psychosocial factors and coping in adults with type 2 ***,depression,stress,and diabetes distress were identified as key influential psychosocial *** social support was inversely related to emotional distress and coping styles were related to social well-being,psychological health,and physical health *** positive coping style of problem-focused coping was linked to improved psychological and physical *** responses to diagnosis were related to depression and *** coping styles of resignation,protest,or isolation were higher in women and linked to poorer quality of life,while avoidance was linked to increased diabetes-related distress and depressive symptoms.

关键词： Coping Social psychology Social support Type 2 diabetes mellitus

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Open Journal of Nursing 2018年第11期8卷 779-794页

作者： Jessica Floyd Jennifer Mallow laurie theeke School of Nursing West Virginia University Morgantown WV USA

Background: Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of mortality. People living with COPD often have a common triad of problems including decreased health-related quality of life (HRQL), smoking, and depression. Identifying barriers to preventing and treating COPD is of the utmost importance. The purpose of this study is to examine the relationship between HRQL, depression, and smoking status for patients with COPD. Methods: The 2016 BRFSS data was used to perform a cross sectional analysis of adult patients with a diagnosis of COPD. A comprehensive descriptive analysis of all study variables for those participants having COPD was performed. Then relationships between general HRQL, depression, and smoking status were examined. Data were analyzed using SPSS. Results: The original 2016 BRFSS dataset contained responses from 486,303 participants. After selecting participants who self-identified as having a diagnosis of COPD, 40,682 individual participants remained in the dataset for further analysis. The participants with COPD were mostly female, over the age of 65, with low-incomes, attended a year of college or less, with some type of healthcare coverage. Patients with a dual diagnosis of COPD and depression have poorer HRQL and an increased number of cigarettes smoked compared to those patients with COPD. Likewise, there is a significant relationship between HRQL and smoking status for patients with a dual diagnosis of COPD and depression. Conclusion: Depression as a comorbidity does have a statistically significant relationship with patients HRQL and smoking status. Future research should be aimed at increasing screening and treatment for depression in patients with COPD who continue to smoke. Further research on the cyclical relationship between COPD, depression, and smoking cessation would be beneficial.

关键词： Pulmonary Disease Chronic Obstructive Smoking Depression Health-Related Quality of Life

The Development of LISTEN: A Novel Intervention for Loneliness

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Nursing 2015年第2期5卷 136-143页

作者： laurie A. theeke Jennifer A. Mallow Department of Adult Health School of Nursing West Virginia University Morgantown USA

Purpose: The purpose of this paper is to present the development of LISTEN (Loneliness Intervention using Story Theory to Enhance Nursing-sensitive outcomes), a new intervention for loneliness. Methods: LISTEN was developed using the Medical Research Council (MRC) framework for intervention development. Extensive literature review revealed that belonging, relating, placing in community, challenges, and meanings of coping were concepts significant to loneliness. Past interventions were limited but it was determined from a recent meta-analysis that enhanced effectiveness might result from interventions that targeted the poorly adapted cognitive processes of loneliness. These processes include social undesirability, stigma, and negative thoughts about self in relation to others. LISTEN is designed to be delivered in a determined logical sequence of 5 sessions, each focusing on the concepts relevant to loneliness as derived from the literature. For each session, intervention delivery is guided by the concepts from story theory (including intentional dialogue, nurse as listener, examination of self in relation to others and community, synthesizing concerns and patterns, and identifying messages) and the principles of cognitive restructuring (self-assessment of maladaptive cognitions, emotions, and behaviors, identifying challenges of changing, reconceptualization of self, new skill acquisition through group interaction, and identifying patterns of meaning in loneliness). Results: LISTEN is developed and the first randomized trial is complete with a sample of 27 lonely, chronically ill, community dwelling, and older adults. LISTEN was evaluated as feasible to deliver by the study team and acceptable for significantly diminishing loneliness by participants of the LISTEN groups who were compared to attention control groups (p < 0.5). Conclusions: LISTEN has the potential to enhance health by diminishing loneliness which could result in improving the long-term negative known

关键词： Loneliness LISTEN Intervention Behavioral Health

Strategies for recruiting a sample of adults with type 2 diabetes from primary care clinics in rural Appalachia: Incorporating cultural competence

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

International Journal of Nursing Sciences 2018年第3期5卷 230-237页

作者： Roger Carpenter laurie A.theeke West Virginia University School of Nursing MorgantownWV26506USA

Background:Recruiting research participants from primary care in rural Appalachia is a major challenge and can be influenced by cultural characteristics,making it critically important to incorporate strategies of cultural competence in the overall design of clinical ***:The purpose of this paper is to describe culturally competent strategies used for recruitment and data collection with a sample of adults with type 2 diabetes from primary care settings in ***:The Purnell model of cultural competence and relevant literature served as a framework for study *** overarching approaches informed the organization of recruitment strategies and development of the data collection ***:The approaches included selection of research sites,establishing collaborations,sustaining collaborative relationships,and enhancing understanding of benefits of *** recruitment sites were selected based on potential to enhance diversification of participants;multiple steps were included in each of the three remaining approaches to build relationships and gain participation.A study log was maintained to provide evaluation ***:Recruitment took 14 months and a sample of 102 subjects provided consent with 101 participants providing complete *** were representative of the region except that African American participation was higher(6.9%)compared to current north central Appalachia(3%).Over 72%of participants indicated they would be interested in participating in future ***:These findings emphasize the importance of employing strategies for cultural competence in study *** of concepts from the Purnell model led to enhanced representativeness and potential for subsequent generalizability.

关键词： Adult Appalachian region Cultural characteristics Cultural competency Diabetes mellitus,Type 2 Primary health care Recruitment

The Feasibility and Acceptability of LISTEN for Loneliness

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Open Journal of Nursing 2015年第5期5卷 416-425页

作者： laurie A. theeke Jennifer A. Mallow Emily R. Barnes Elliott theeke Department of Adult Health School of Nursing West Virginia University Morgantown USA

Purpose: The purpose of this paper is to present the initial feasibility and acceptability of LISTEN (Loneliness Intervention using Story Theory to Enhance Nursing-sensitive outcomes), a new intervention for loneliness. Loneliness is a significant stressor and known contributor to multiple chronic health conditions in varied populations. In addition, loneliness is reported as predictive of functional decline and mortality in large samples of older adults from multiple cultures. Currently, there are no standard therapies recommended as effective treatments for loneliness. The paucity of interventions has limited the ability of healthcare providers to translate what we know about the problem of loneliness to active planning of clinical care that results in diminished loneliness. LISTEN was developed using the process for complex intervention development suggested by the Medical Research Council (MRC) [1] [2]. Methods: Feasibility and acceptability of LISTEN were evaluated as the first objective of a longitudinal randomized trial which was set in a university based family medicine center in a rural southeastern community in Appalachia. Twenty-seven older adults [(24 women and 3 men, mean age: 75 (SD 7.50)] who were lonely, community-dwelling, and experiencing chronic illness, participated. Feasibility was evaluated by tracking recruitment efforts, enrollment, attendance to intervention sessions, attrition, and with feedback evaluations from study personnel. Acceptability was assessed using quantitative and qualitative evaluation data from participants. Results: LISTEN was evaluated as feasible to deliver with no attrition and near perfect attendance. Participants ranked LISTEN as highly acceptable for diminishing loneliness with participants requesting a continuation of the program or development of additional sessions. Conclusions: LISTEN is feasible to deliver in a primary healthcare setting and has the potential to diminish loneliness which could result in improveme

关键词： Loneliness LISTEN Feasibility

Part B: The Feasibility and Acceptability of mI SMART, a Nurse-Led Technology Intervention for Multiple Chronic Conditions

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Nursing 2016年第4期6卷 323-332页

作者： Jennifer A. Mallow laurie A. theeke Rebecca Walls Elliott theeke Brian K. Mallow School of Nursing West Virginia University Morgantown West Virginia USA Milan Puskar Health Right Morgantown West Virginia USA Sovern Run LLC Albright West Virginia USA

Background: An opportunity to improve care of multiple chronic conditions for those living in rural areas of the country may exist through the use of technology. Integrating technology interventions into existing rural health systems allows for increased access to healthcare services and augments self-management ability for patients. However, questions remain about acceptability and feasibility of technology use in rural populations. The purpose of this paper is to present the feasibility of mI-SMART, a HIPAA compliant, web-based, structure of mHealth sensors and mobile devices designed to overcome the known health determinant of access to care for rural, chronically ill patients by using technology. Methods: The study was conducted at a primary-care clinic that provided healthcare at no or low cost to low income adults. Inclusion criteria encompassed adults, with at least one chronic condition, having at least 3rd grade reading level, without having dementia/psychosis. Each participant was given a Nexus7 tablet and Bluetooth self-monitoring devices. Feasibility was evaluated in four ways and acceptability was evaluated with post-intervention questionnaires. Results: Thirty participants [mean age: 52 years (SD: 10.0, range: 29 - 74)] were majority female (70%), white (70%), married (60%), high-school educated or less (56.7%), impoverished (less than $20,000 per annum (56.7%), with multiple chronic conditions (96.7%)). During the trial, all participants were able to transmit data. No error messages were due to the mI-SMART system. Errors were user related and solved with technical support. Mean number of self-monitor transmissions was 219.7 [(SD: 197.4), range: 1 - 733]. Participants logged into the system an average of 163. 1 [(SD: 169.7), range: 2 - 568] times and viewed an average of 1092.1 [(SD: 1205.6), range: 8 - 3851] intervention components. Over eighty-six percent of participants sent data for 12 weeks and 43.1% used the intervention for longer. Conclusions:

关键词： Multiple Chronic Conditions mHealth Telehealth Health Disparities Nursing Informatics

Part A: The Development of mI SMART, a Nurse-Led Technology Intervention for Multiple Chronic Conditions

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Nursing 2016年第4期6卷 303-308页

Background: The treatment of Multiple Chronic Conditions (MCC) is complex for both patients and providers. Used as integrated tools, technology may decrease complexity, remove the barrier of distance to obtain care, and improve outcomes of care. A new platform that integrates multiple technologies for primary health care called mI SMART (Mobile Improvement of Self-Management Ability through Rural Technology) has been developed. The purpose of this paper is to present to development of mI SMART, a nurse-led technology intervention for treating for MCC in primary care. Methods: The creation of mI SMART was guided by the model for developing complex nursing interventions. The model suggests a process for building and informing interventions with the intention of effectiveness, sustainability, and scalability. Each step in the model builds from and informs the previous step. Results: The process resulted in the integrated technologies of mI SMART. The system combines a HIPAA compliant, web-based, structure of mHealth sensors and mobile devices to treat and monitor multiple chronic conditions within an existing free primary care clinic. The mI SMART system allows patients to track diagnoses, medications, lab results, receive reminders for self-management, perform self-monitoring, obtain feedback in real time, engage in education, and attend visits through video conferencing. The system displays a record database to patients and providers that will be integrated into existing Electronic Health Records. Conclusion: By using the model for developing complex nursing interventions, a multifaceted solution to clinical problems was identified. Through modeling and seeking expert review, we have established a sustainable and scalable integrated nurse-led intervention that may increase access and improve outcomes for patients living in rural and underserved areas. The first trial of mI SMART has been completed and evaluated for feasibility, acceptability, and effectiveness in per

关键词： Multiple Chronic Conditions mHealth Telehealth Health Disparities Nursing Informatics