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The process of life adjustment in patients at onset of glioma who are receiving continuous oral anticancer drug: A qualitative descriptive study

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International Journal of nursing Sciences 2019年第2期6卷 134-140页

作者： Koji Amano Kumi Suzuki faculty of nursing Doshisha Women's College of Liberal ArtsKyotoJapan faculty of nursing Osaka Medical CollegeOsakaJapan

Objective: Patients with malignant gliomas have to adjust their daily lives because of the threat of impending death and declining abilities.Thus,clarifying the process of life adjustment in such patients would help them lead a normal life.To clarify the process of life adjustment in patients at the onset of glioma,who continuously receive oral anticancer drug.Methods: The study institution consisted of two designated cancer centers.Semi-structured interviews were conducted with 10 patients,and the data were analyzed using the Modified Grounded Theory Approach of Kinoshita (M-GTA).Results: As a core category representing the process of life adjustment in patients at the onset of glioma,"trials and errors for self-fulfillment even in a limited lifespan" was extracted.Patients began "seeking information about the unfamiliar life-threatening disease," and "imaging their uncertain lives after the disease and the resulting disability" while "conducting repeated trials and errors to establish coping methods according to their abilities." When facing difficulties in such trials and errors,they reported "losing self-confidence due to unexpected limitations." However,they regulated their feelings by "resigning themselves to their unchangeable reality." Contrarily,as "functional improvement enhanced their motivation to recover," they attempted to promote functional recovery and organized their daily lives in "fulfilling their desires in their limited lifespan." Conclusion: The process of life adjustment in patients with malignant gliomas involved identifying a way of living despite limited lifespan.To ensure appropriate nursing care for patients at the onset of glioma,it is important to help them establish coping methods in accordance with their abilities.

关键词： Adjustment Life Malignant glioma Patients Qualitative study

Prescription for Obesity: Eat Less and Move More. Is It Really That Simple?

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Open Journal of nursing 2014年第9期4卷 656-662页

作者： Karen M. Deck Beth Haney Camille F. Fitzpatrick Susanne J. Phillips Susan M. Tiso core faculty Graduate Nursing Programs University of California Irvine Irvine CA USA

“Obesity is a disease.” This is the declaration by the American Medical Association in June, 2013. The purpose of this article is to provide an overview of options for patients who meet the criteria of obesity. Primary care nurse practitioners are urged to confront obesity head on, with early, individualized intervention to reduce associated morbidity and mortality. Options for weight loss and maintenance are abundant and often confusing or unattractive to the patient. Working with patients to achieve realistic, reasonable, and patient-tailored goals for weight loss and exercise programs are paramount to achieving a healthy weight and lifestyle.

关键词： Obesity Management Options

Peer educator training program for enhancing knowledge on issues in the growth and development of adolescents and risk behavior problems in Indonesian context

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Frontiers of nursing 2018年第3期5卷 185-191页

作者： Tantut Susanto lis Rahmawati Wantiyah Department of Community Family and Geriatric Health Nursing Faculty of Nursing Universitas Jember Jember Jawa Timur 68121 Indonesia Department of Maternity nursing Faculty of Nursing Universitas Jember Jember Jawa Timur 68121 Indonesia Department of Medical Surgical nursing Faculty of Nursing Universitas Jember Jember Jawa Timur 68121 Indonesia

Objective： This article aimed to evaluate the effects of an educational intervention programme on improving peer educator （PE） knowledge in issues around growth and development and its risk behavior problems of adolescents in Indonesia. Methods： The study was conducted in 31 of PEs to evaluate their knowledge in adolescents. The PEs received health education and were assessed by individual work during the structured three-week programme. Data were collected before and after the training programme as pre- and post-tests. Results： The PE demonstrated significant improvements in their knowledge after attending the three-week structured training programme. The post-test scores had significant effects on the dimensions of PE knowledge scores. The PE become knowledgeable to maintain and monitor adolescents health issues around growth and development and its risk behavior problems of adolescents. Conclusions： The PE become knowledgeable to respond to the adolescent problems and readiness to become PE during puberty.

关键词： peer educator adolescent development risk behavior assertive

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家长与教师对校园护士角色期望的量表研制

International Journal of nursing Sciences 2017年第3期4卷 303-310页

作者： Ayla Bayik Temel Julide Gulizar Yildirim Asli Kalkim Leyla Muslu Nilufer Yildirim Izmir Katip(C)elebi University Faculty of Health SciencesPublic Health Nursing Department(I)zmirTurkey Ege University faculty of nursing Public Health Nursing Department35100BornovaIzmirTurkey Akdeniz University Antalya School of HealthAntalyaTurkey Izmir Turkey

目的开发一个有效、可靠的评估工具,用以评判家长和教师对校园护士角色的期望。方法设计家长和教师对校园护士角色期望量表,应用于土耳其中小学。采用条目变异评估、内部一致性评价、因子分析、各量表总分与各维度的相关系数、量表重测... 详细信息

目的开发一个有效、可靠的评估工具,用以评判家长和教师对校园护士角色的期望。方法设计家长和教师对校园护士角色期望量表,应用于土耳其中小学。采用条目变异评估、内部一致性评价、因子分析、各量表总分与各维度的相关系数、量表重测信度进行数据分析。结果量表的内容效度指数为0.94。主成分分析方差最大化旋转结果,从54个项目获得了7个因子。其Cronbach's a系数为0.82~0.92。重测信度的组内相关系数为0.859。结论该量表是一个有效和可靠的评估工具,可用于评判家长和教师对校园护士角色的期望。

关键词：护士作用中小学校护理量表信度效度

虚拟现实技术在轻度认知障碍患者中应用的文献计量学分析

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International Journal of nursing Sciences 2022年第1期9卷 129-136,I0007页

作者：朱开彦林榕李红 The School of nursing Fujian Medical UniversityFuzhouChina Research Center for nursing Theory and Practice Fujian Provincial HospitalFuzhouChina

目的无创低成本虚拟现实技术对于轻度认知障碍患者的早期评估和认知干预具有重要意义。本研究旨在通过文献计量学分析,展示虚拟现实技术在轻度认知障碍患者中的国内外研究现状、研究重点和前沿。方法在Web of Science中检索1995—2020... 详细信息

目的无创低成本虚拟现实技术对于轻度认知障碍患者的早期评估和认知干预具有重要意义。本研究旨在通过文献计量学分析,展示虚拟现实技术在轻度认知障碍患者中的国内外研究现状、研究重点和前沿。方法在Web of Science中检索1995—2020年关于虚拟现实技术在轻度认知障碍患者中的应用研究,并利用CiteSpace 5.7 R3分析作者/被引用作者、关键词、突发词和被引用参考文献的信息。结果总共检索出230篇论文。大多数研究来自美国(45篇)和意大利(41篇),其中Guiseppe Riva发表数量排名第一(14篇),Tamanas I是最权威的作者,具有较高的中心性(0.44)。近年来,在轻度认知障碍人群中应用虚拟现实技术的热词包括“体力活动”“人”“单盲”“疾病”“行走”“技术”“工作记忆”和“风险”。关键词“轻度认知障碍(mild cognitive impairment)” 2012年起引起研究者广泛关注,显示出最强的引用暴发(8.28)。文献聚类分析结果显示,“运动游戏”“严肃游戏”“空间导航”“日常生活活动”“锻炼”“丰富环境”和“寻路”等研究方向是未来研究趋势。结论近年来,对轻度认知障碍患者的认知评估和非药物干预研究已成为痴呆预防的重点。虚拟技术与运动疗法等传统方法相结合,为认知评估和认知干预创新提供了思路。

关键词：文献计量学认知紊乱痴呆预防运动疗法,轻度认知障碍虚拟现实

Thinking, educating, acting: Developing advanced practice nursing

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International Journal of nursing Sciences 2018年第2期5卷 99-100页

作者： Jiale Hu Paula Forgeron School of nursing at University of Ottawa OntarioCanada School of nursing and Vice Dean Professional Affairs for the Faculty of Health SciencesUniversity of OttawaOntarioCanada

Advanced practice nursing has emerged worldwide in response to the need for improved services and outcomes for specific priority groups,improved access to care,decreased wait times,and cost containment of health care[1].Advanced practice nursing(APN)is an umbrella term that encompasses various APN roles(based on country of origin)that share at their core direct care of patients and families[2,3].APN roles have expanded in numbers and scope of practice over the past several decades with APN roles being highly valued and an integral part of the health care system.Due to the benefits of APN in meeting the current and future health needs of patients,the concept of APN(and the components of the role)needs to be effectively identified in order to continue to ensure patient safety while expanding patient access to APN care.The International Council of Nurses(ICN)defines an APN role as a“registered nurse who has acquired the expert knowledge base,complex decision-making skills and clinical competencies for expanded practice,the characteristics of which are shaped by the context and/or country in which s/he is credentialed to practice[4].”However,there is still no international agreement with respect to minimum educational preparation for APN,title protection for various APN roles,education,scope of practice,and accreditation system,and performance evaluation system[5-10].

关键词： nursing nurse expanded

重大传染病疫情防控中护理伦理问题的中国专家共识

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International Journal of nursing Sciences 2022年第1期9卷 5-10,I0001页

作者：王亚玲李雨宸沈碧玉李惠玲孙宏玉袁长蓉谢红珍李小妹李映兰关健贾启艾张新庆 School of nursing Soochow UniversitySuzhouChina Department of nursing Shanghai Children’s Medical CenterShanghaiChina School of nursing Peking UniversityBeijingChina School of nursing Fudan UniversityShanghaiChina Department of nursing People’s Liberation Army General Hospital of Southern Theatre CommandGuangzhouChina Xi’an Jiaotong University Health Science Centre Xi’anChina Xiangya School of nursing Central South UniversityChangshaChina Peking Union Medical College Hospital Chinese Academy of Medical Sciences&Peking Union Medical CollegeBeijingChina Jiangsu nursing Vocational College Huai’anChina School of Humanities and Social Sciences Peking Union Medical CollegeBeijingChina

背景突发重大传染病在世界范围内影响着人类健康。作为全球最大的医疗卫生工作者群体和应对重大传染病的核心力量,护士位于抗疫一线。相关伦理问题引发关注,并以不同方式影响着护士。此外,人们过高的期望也会产生不适当的压力,甚至导致... 详细信息

背景突发重大传染病在世界范围内影响着人类健康。作为全球最大的医疗卫生工作者群体和应对重大传染病的核心力量,护士位于抗疫一线。相关伦理问题引发关注,并以不同方式影响着护士。此外,人们过高的期望也会产生不适当的压力,甚至导致护士发生职业倦怠。方法采用专家小组会议法发展和达成共识。形成共识的工作成员包括1个共识讨论组、1个共识撰写核心组、1名方法学家和4名秘书。经过16轮在线专家咨询和2轮专家小组会议,撰写核心组分析和审查了78项专家建议,从生命照护的伦理视角,形成重大传染病疫情防控过程中护理伦理问题专家共识。结果此专家共识聚焦于5个方面:护士的责任与权利、护患关系、医生-护士关系及整个疫情预防和控制期间社会与护士之间的关系。结论期望此专家共识有助于护士更好地应对突发公共卫生事件中的伦理问题和挑战,提高公众对护士在突发公共卫生事件中的角色和责任的合理期望与理解。

关键词：共识疾病暴发流行护士护理伦理公共卫生

外科护士疼痛管理核心能力教育项目的实施与评价

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International Journal of nursing Sciences 2021年第1期8卷 51-57,I0004页

作者：刘雪莲李漓王灵晓 Keela Herr 陈秋婵 Department of nursing Zhujiang HospitalSouthern Medical UniversityGuangzhouChina College of nursing The University of IowaIowa CityIAUnited States

目的探讨疼痛管理核心能力教育项目对外科护士疼痛知识和疼痛护理实践的影响。方法由多学科团队设计并实施外科护士疼痛护理核心能力教育项目,每周8 h,共2周,内容包括疼痛的多维性质、疼痛评估、药物与非药物治疗以及知识应用等,采用讲... 详细信息

目的探讨疼痛管理核心能力教育项目对外科护士疼痛知识和疼痛护理实践的影响。方法由多学科团队设计并实施外科护士疼痛护理核心能力教育项目,每周8 h,共2周,内容包括疼痛的多维性质、疼痛评估、药物与非药物治疗以及知识应用等,采用讲授、个案讨论等多种形式的教学方法。采用临床疼痛知识测验(the Clinical Pain Knowledge Test,CPKT)在课程前后对来自17个外科病区的护士进行评估,课程前后分别评估了135、107名护士。在课程前1周及课程后第5周按各病区手术量随机抽取203份患者病历,收集患者的术后疼痛护理实践及疼痛强度评分记录。结果课程实施后护士的临床疼痛知识测验评分由(45.6%±12.3%)提高到(54.2%±10.2%)(t=5.786,P<0.001)。术后疼痛护理实践记录中,疼痛评估记录的比例由59.6%增加到74.9%(χ^(2)=10.746,P=0.001),使用疼痛强度评估工具的比例由81.8%增加到95.4%(χ^(2)=13.079,P<0.001),肌内注射非阿片类药物的比例由12.6%降至2.7%(χ2=7.598,P=0.006)。患者手术当天及术后3 d疼痛程度(最痛平均分)均降低(P<0.05)。结论对外科护士实施疼痛管理核心能力教育项目可提高其疼痛管理核心能力知识水平,改善部分疼痛护理实践,减轻患者的术后疼痛程度。

关键词：教育护士疼痛管理外科,医院

A Neural Circuit Mechanism Controlling Breathing by Leptin in the Nucleus Tractus Solitarii

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Neuroscience Bulletin 2022年第2期38卷 149-165页

作者： Hongxiao Yu Luo Shi Jinting Chen Shirui Jun Yinchao Hao Shuang Wang Congrui Fu Xiang Zhang Haiyan Lu Sheng Wang Fang Yuan Department of Physiology Hebei Medical UniversityShijiazhuang 050017HebeiChina core Facilities and Centers Institute of Medicine and HealthHebei Medical UniversityShijiazhuang 050017HebeiChina School of nursing Hebei Medical UniversityShijiazhuang 050000HebeiChina Department of Orthodontics College of StomatologyHebei Medical UniversityShijiazhuang 050017HebeiChina Hebei Key Laboratory of Neurophysiology Shiji azhuang 050017HebeiChina

Leptin,an adipocyte-derived peptide hormone,has been shown to facilitate breathing.However,the central sites and circuit mechanisms underlying the respiratory effects of leptin remain incompletely understood.The present study aimed to address whether neurons expressing leptin receptor b(LepRb)in the nucleus tractus solitarii(NTS)contribute to respiratory control.Both chemogenetic and optogenetic stimulation of LepRb-ex-pressing NTS(NTS^(LepRb))neurons notably activated breathing.Moreover,stimulation of NTS^(LepRb) neurons projecting to the lateral parabrachial nucleus(LPBN)not only remarkably increased basal ventilation to a level similar to that of the stimulation of all NTS^(LepRb) neurons,but also activated LPBN neurons projecting to the preBotzinger complex(preBotC).By contrast,ablation of NTS^pRb neurons projecting to the LPBN notably eliminated the enhanced respiratory effect induced by NTSLepRb neuron stimulation.In brainstem slices,bath application of leptin rapidly depolarized the membrane potential,increased the spontaneous firing rate,and accelerated the Ca2+transients in most NTSLepRb neurons.Therefore,leptin potentiates breathing in the NTS most likely via an NTS-LPBN-preBdtC circuit.

关键词： Leptin Ventilation Nucleus tractus solitarii Neural circuit Chemogenetics