Medicine and Health Sciences Commons^™

ปัจจัยคัดสรรที่มีค่าสัมพันธ์กับคุณภาพชีวิตของผู้ป่วยโรคข้อเข่าเสื่อมวัยผู้ใหญ่, ธิราวรรณ เชื้อตาเล็ง, สุรีพร ธนศิลป์

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: เพื่อศึกษาคุณภาพชีวิต และความสัมพันธ์ระหว่างปัจจัยคัดสรร คือ อาการปวดเข่า ความรุนแรงของโรค ภาวะซึมเศร้า ความสามารถในการดูแลตนเอง อายุ ดัชนีมวลกาย และการ สนับสนุนทางสังคมกับคุณภาพชีวิตของผู้ป่วยโรคข้อเข่าเสื่อมวัยผู้ใหญ่\n \nรูปแบบการวิจัย: การวิจัยแบบบรรยายเชิงความสัมพันธ์\n \nวิธีดําเนินการวิจัย: กลุ่มตัวอย่าง คือ ผู้ป่วยโรคข้อเข่าเสื่อมวัยผู้ใหญ่ที่มีคุณสมบัติตามที่กําหนด จํานวน 150 คน ที่เข้ารับการรักษาแผนกผู้ป่วยนอกคลินิกโรคกระดูกและข้อของโรงพยาบาลภูมิพลอดุลยเดช โรงพยาบาลเลิดสิน และโรงพยาบาลศิริราช เครื่องมือที่ใช้ในการวิจัย คือ แบบประเมินอาการปวด แบบประเมินความรุนแรงของโรค แบบประเมินความสามารถในการดูแลตนเอง แบบประเมินการ สนับสนุนทางสังคม แบบประเมินภาวะซึมเศร้า และแบบประเมินคุณภาพชีวิต ตรวจสอบความตรงตาม เนื้อหาโดยผู้ทรงคุณวุฒิจํานวน 5 คน หาค่าความเที่ยงได้ค่าสัมประสิทธิ์อัลฟาของครอนบาคเท่ากับ .76, .75, .92, .91, .92, และ .92 ตามลําดับ วิเคราะห์ข้อมูลโดยใช้ ร้อยละ ค่าเฉลี่ย ส่วนเบี่ยงเบน มาตรฐาน และค่าสัมประสิทธิ์สหสัมพันธ์ของเพียร์สัน\n \nผลการวิจัย: 1) กลุ่มตัวอย่างผู้ป่วยโรคข้อเข่าเสื่อมวัยผู้ใหญ่มีคุณภาพชีวิตโดยรวมเฉลี่ยในระดับสูง (x̄ = 2.74, SD = .50) 2) ความสามารถในการดูแลตนเอง การสนับสนุนทางสังคม มีความสัมพันธ์ ทางบวกในระดับต่ำกับคุณภาพชีวิตของผู้ป่วยโรคข้อเข่าเสื่อมวัยผู้ใหญ่อย่างมีนัยสําคัญทางสถิติที่ระดับ\n.05 (r = .30, r = .36 ตามลําดับ) 3) อาการปวดเข่า ความรุนแรงของโรค และดัชนีมวลกาย มีความ สัมพันธ์ทางลบในระดับต่ำกับคุณภาพชีวิตของผู้ป่วยโรคข้อเข่าเสื่อมวัยผู้ใหญ่อย่างมีนัยสําคัญทางสถิติที่ระดับ 05 (r = -.33, .34 และ -.18 ตามลําดับ) ส่วนภาวะซึมเศร้ามีความสัมพันธ์ทางลบในระดับสูงกับ คุณภาพชีวิตของผู้ป่วยโรคข้อเข่าเสื่อมวัยผู้ใหญ่อย่างมีนัยสําคัญทางสถิติที่ระดับ .05 (r = -.65) และ 4) อายุไม่มีความสัมพันธ์กับคุณภาพชีวิตของผู้ป่วยโรคข้อเข่าเสื่อมวัยผู้ใหญ่ (r = -.06)\n \nสรุป: …

The "Globesity" Trend: Exploring The Ethical Concerns Of Registered Nurses Caring For Bariatric Surgery Patients, Casey L. Lowden-Crook

Theses

Obesity is a major global health problem. The comorbidities associated with obesity (for example: diabetes mellitus type 2 and cardiovascular disease) are multisystem and require continual medical management which places a great strain on the healthcare system. Australia is ranked the 5th most obese population in the world and deaths associated with obesity and obesity related illnesses are estimated at 7,200 per year (Medibank, 2010). This lifestyle disease is now the leading cause of premature death in Australia. The obesity epidemic is blamed on changes in the social, economic and physical environment (obesogenic environments) which have influenced people to over-consume …

Assessing Pediatric Nurses' Knowledge And Comfort Level With Recognition And Reporting Of Child Abuse, Andrea Sebastian

DNP Projects

Child abuse is a serious, yet preventable problem in the United States. Child abuse is defined in The Child Abuse Prevention and Treatment Act as “Any recent act or failure to act on the part of a parent or caretaker which results in death, serious physical or emotional harm, sexual abuse or exploitation or an act or failure to act, which presents an imminent risk of serious harm” (United States Department of Health and Human Services [USDHHS], Children’s Bureau, Child Maltreatment 2009, 2010).

In 2010, there were an estimated 3.3 million referrals to Child Protective Services for the suspected abuse …

Implementation Of A Depression Screening Protocol Specific To Implantable Cardioverter Defibrillator Patients; A Quality Improvement Project, Kendra M. Kratzwald

DNP Projects

Background: Depression in patients with implantable cardioverter defibrillators (ICD) is a problem that has not been well addressed by providers. In 2012 the American Heart Association (AHA) released a scientific statement that recommended structured and routine depression screening of these patients. The AHA statement also recommended further research on depression screening instruments and their use with this population. Aims: 1.) To develop and implement an evidenced based depression screening protocol appropriate for patients with an ICD seen in an outpatient setting. 2.) Evaluate provider knowledge about depression screening (? Is this what you mean) and depression screening practices before and …

Emergency Nurses' Knowledge Of Pediatric Complaints, Kari J. Blackburn

DNP Projects

Each year there are more than 25 million pediatric emergency department (ED) visits, with 37-60% of the complaints being non-urgent (Brosseau, Hoffman, Nattinger, Flores, Zhang and Gorelick, 2007). Injury is the number one reason children present to the ED and is strongly associated with a complaint of pain (AHRQ, 2013). While pain is a high volume reason for visiting the ED, there are other presentation causes that may pose a high risk to pediatric patients. Nausea and vomiting is not typically viewed as a high risk complaint, yet there are some high risk etiologies resulting in nausea and vomiting that …

Assessing Prevalence Of Known Risk Factors In A Regional Central Kentucky Medical Center Heart Failure Population As An Approach To Assessment Of Needs For Development Of A Program To Provide Targeted Services To Reduce 30 Day Readmissions, Christeen Ivy Broaddus

DNP Projects

Abstract

Objectives:

1. Determine demographic, physiologic, and laboratory characteristics at time of admission of the heart failure (HF) population in a regional acute care facility in Central Kentucky through review of patient electronic medical records.
2. Determine which HF population characteristics are significantly associated with readmissions to the hospital.
3. Provide identification of the statistically significant common characteristics of the HF population to this facility so that they may work towards development of an electronic risk for readmission predictive instrument.

Design: Retrospective chart review.

Setting: Regional acute care facility in Central Kentucky.

Participants: All patients (n = 175) with a diagnosis or history …

Final Dnp Capstone Report: Improving Adolescent Hpv Vaccination Rates, Jessica L. Murray

DNP Projects

Background: Human papillomavirus (HPV) vaccines have been shown to be effective against HPV types that are linked to cervical, vaginal, vulvar, penile, anal, and oropharyngeal cancers. Despite Advisory Committee on Immunization Practices (ACIP) recommendations that all 11-12 year old males and females in the U.S. should be vaccinated with the three-dose HPV vaccine series, vaccination rates remain low. In 2012, only 34.9% of adolescent females and 6.8% of adolescent males completed the series. Efforts to increase vaccination rates are needed, and healthcare providers have been shown to be an important part of the solution.

Purpose: This investigation was conducted to …

Assessing Blood Pressure Control In Primary Care, Ashley W. Guiliani

DNP Projects

Purpose: To evaluate provider adherence to JNC 7 by assessing documentation of blood pressure control and interventions in the absence of control in order to assist providers in reaching Healthy People 2020 goal of blood pressure control.

Methods: A retrospective chart review was conducted for patients with essential hypertension. Data collected included blood pressure, use of a home blood pressure log, documentation of blood pressure medication compliance, and provider interventions in the absence of blood pressure control across three visits. A provider survey regarding provider barriers to blood pressure control was also completed.

Results: All surveyed providers were aware and …

Assessment Of Pediatric Primary Care Providers Behaviors And Procedures Regarding Pediatric Overweight And Obesity, Jessie N. Meiser

DNP Projects

CAPSTONE INTRODUCTION

Childhood overweight/obesity is a critical public health problem with devastating consequences. Many factors have combined to create the epidemic, and primary care providers can play an important role in addressing the problem by identifying overweight/obese children and encouraging them to engage in healthy behaviors. However, providers face a number of competing priorities making it difficult for them to provide these services effectively without outside support.

Obesity has reached an epidemic proportion in the nation’s youth. The Data Resource Center for Child and Adolescent Health (2011) found that 35.7% of children age 10 – 17 in Kentucky are overweight …

Delivery Of Evidence-Based Tobacco Use Interventions In Primary Care, Amber Silberman

DNP Projects

This capstone report presents three manuscripts which focus on tobacco use interventions in the primary care setting. The first manuscript presents a critical analysis of the Public Health Service guideline on Treating Tobacco Use and Dependence. The second manuscript presents a literature review pertaining to interventions that increase primary care provider compliance with guideline recommendations. The literature obtained from these first two manuscripts led to a descriptive study, which examined the documentation and implementation of specific guideline recommendations in a primary care clinic. The third and final manuscript details this study, and presents some practical implications for improving documentation …

Evidence-Based Blood Conservation Education For Icu Nurses: A Pre And Post-Test Evaluation Of Nursing Knowledge, Stefanie M. Bull

DNP Projects

Purpose: The purpose of this evidence-based education project was (i) to evaluate baseline nursing knowledge of anemia, blood conservation and transfusion medicine, (ii) to identify current blood conservation practice and the nurse’s prior exposure to blood conservation education (iii) to determine the potential impact of evidence-based education on nursing knowledge, and (iv) to determine the impact of education on the nurse’s attitudes towards future implementation of blood conservation practices based on the nurse’s self report.

Setting: The project was implemented in the Cardiovascular and Thoracic ICU (CVICU) at an 875-bed level-1 Trauma and Multi-Organ Transplant Center located in central Kentucky. …

Tobacco Treatment In College Students, Teresa H. Huber

DNP Projects

This study was conducted in a southeastern University to determine tobacco use status in a population of university students, student intention to quit, treatment options, use of student health service, and student’s degree of support of a tobacco-free policy. A major implication for practice is the need for college health providers to screen all students utilizing the USPHS Guidelines, as even light smokers may be vulnerable to nicotine addiction. However, the study found that a high proportion of the smokers were nondaily smokers who do not consider themselves as smokers and the vast majority of those were undergraduates. Thus, college …

Assessing Provider Knowledge And Attitude Towards Animal-Assisted Therapy As A Complementary Treatment For Children, Shannon Leigh Million

DNP Projects

Objective: The purpose of this project was to determine knowledge and attitudes of pediatric primary care providers working in a university outpatient clinic settings towards the use of animal-assisted therapy as a complementary treatment for children. This report also includes an integrative review of animal-assisted therapy in pediatric populations and a clinical practice guideline analysis regarding the use of equine facilitated learning with high risk children and adolescents in residential psychiatric treatment.

Methods: A survey tool was administered to the Department of Pediatrics at UK Healthcare.

Results: There were 41 respondents to the survey, 36 of which …

Trauma Resuscitation Team Program Evaluation, Lisa J. Fryman

DNP Projects

To evaluate the effectiveness of a newly implemented charge nurse-led trauma resuscitation team approach in the Trauma Intensive Care Unit (TICU). The approach was developed to improve patient throughput efficiency at a Level 1 Trauma Center. Measures of effectiveness include patient throughput efficiency, patient clinical outcomes, and financial impact. The implementation of the charge nurse-led trauma resuscitation team showed an improvement in efficiency of patient throughput without adversely affecting patient outcomes, and opening up critical resources for the next patient that arrives.

Screening For Sepsis: A Key Strategy For Early Identification And Management Of Septic Patients, Amy P. Fisher

DNP Projects

Background: Sepsis, defined as a systemic inflammatory response to infection, is a life-threatening medical condition that rapidly progresses from severe sepsis (characterized by signs of organ dysfunction) to septic shock with fluid-refractory hypotension. Adherence to the Surviving Sepsis Campaign guidelines for the management of severe sepsis and septic shock have been associated with improved delivery of care and reduced mortality. Delays in recognition of sepsis has been identified as a barrier to achieving early goal-directed therapy targets.

Purpose: To determine if a sepsis screening protocol could facilitate earlier identification of patients with sepsis

Methods: A retrospective medical record review was …

Effect Of Laser-Cut Slow-Flow Nipples On Preterm Feeding Performance, Katlyn Elizabeth Mcgrattan

MUSC Theses and Dissertations

Background: Dysphagia of prematurity is a highly prevalent condition that carries negative developmental, social, and financial implications. Although the modification of bottle nipple properties is a widely used treatment for dysphagia of prematurity, there have been a paucity of investigations examining the effect of this intervention on refined measures of feeding performance. Methods: Healthy preterm infants were evaluated for measures of milk ingestion and respiratory performance during oral intake on a laser-cut slow-flow and standard-flow nipple. Time to achieve hospital discharge milestones was recorded. Results: Few differences were observed in feeding performance between slow-flow and standard-flow nipples. Characteristics of respiration …

Increasing Practitioner Knowledge Of Ketamine As An Adjunct Analgesic For Postoperative Pain, Allison Goldfarb

UNF Graduate Theses and Dissertations

Postoperative pain is of serious concern to patients and anesthesia providers alike. Management of a patients’ pain is a central component of anesthesia care. Ketamine as an anesthetic agent has been available for 50 years. It has been utilized as a general anesthetic and selectively as an anesthetic agent for high-risk patients. Due to dysphoric side effects associated with the dosage required to render general anesthesia, anesthesia providers may be reluctant to utilize this medication to its full potential. Recently there has been a resurgence of interest in ketamine as an analgesic agent. The researcher for this project performed a …

Mennonite College Of Nursing Annual Report, 2013-2014, Mennonite College Of Nursing

Annual Reports - Mennonite College of Nursing

Annual report of the Mennonite College of Nursing at Illinois State University

Post Exposure Prophylaxis Among Ugandan Nurses Accidents Do Happen, J. Mill, Esther Nderitu, S. Richter

School of Nursing & Midwifery, East Africa

Purpose: In 2009 we conducted a study to explore Ugandan nurses’ practice of universal precautions while caring for persons living with HIV. During our interviews about universal precautions, nurses’ also shared their experience with post-exposure prophylaxis (PEP) following needle-stick injuries. We present findings related to nurses’ understanding of PEP and their experience with, and reporting of, needle stick injuries.

Background: Nurses have high rates of exposure to blood-borne pathogens. Although there is minimal risk of the transmission of blood-borne pathogens from health care workers (HCWs) to patients and vice versa, post-exposure prophylaxis, has become routine following the occupational exposure of …

Exploring The Potential For Advanced Nursing Practice Role Development In Kenya: A Qualitative Study, Linda Anne East, John Arudo, Martha Loefler, Catrin Mai Evans

School of Nursing & Midwifery, East Africa

Background: Definitions of advanced nursing practice abound, yet little has been published concerning the context for advanced nursing in sub-Saharan Africa. This study set out to explore the existence of, and potential for, advanced nursing practice in Kenya.

Methods: Ten nurses were invited to participate in semi-structured qualitative interviews. Participants were purposively selected to provide insight into the practice of experienced nurses in urban, rural, community, hospital, public and private health care settings. Interview narratives were recorded, transcribed and subsequently analysed using a thematic approach.

Results: All participants reported that they were engaged in the delivery of expert, evidence-based care. …

Exercise Physiologists: Essential Players In Interdisciplinary Teams For Noncommunicable Chronic Disease Management, E Sme J. Soan, Steven J. Street, Sharon Brownie, Andrew P. Hills

School of Nursing & Midwifery, East Africa

Noncommunicable diseases (NCDs), such as obesity and type 2 diabetes mellitus, are a growing public health challenge in Australia, accounting for a significant and increasing cost to the health care system. Management of these chronic conditions is aided by interprofessional practice, but models of care require updating to incorporate the latest evidence-based practice. Increasing research evidence reports the benefits of physical activity and exercise on health status and the risk of inactivity to chronic disease development, yet physical activity advice is often the least comprehensive component of care. An essential but as yet underutilized player in NCD prevention and management …

Rising To The Challenge: Nursing Leadership Via Nurse-Led Service Provision For Chronic Disease Management And Prevention, Gary E. Day, Sharon Brownie

School of Nursing & Midwifery, East Africa

All nations are currently challenged by the increasing prevalence of non-communicable and chronic disease [1]. In Australia, by 2051, over 50% of the population over 50 will have a chronic disease [2]. In addition to increased levels of chronic disease, services will be stretched through workforce shortages, and government policies to provide greater access to services. Within the United States of America demand for primary care services will further increased by the passage and progressive implementation of the Affordable Care Act (ACA), which expands Medicaid coverage to millions of low-income Americans [3]. Given the increasing levels of disease burden, all …

Teaching Basic Life Support To The Digital Generation: Randomized Trial Comparing Videoassisted Versus Practical Simulation, Antonio Bonacaro, Ged Williams, Sharon Brownie

School of Nursing & Midwifery, East Africa

• Simulation is a teaching method used to facilitate learning of Basic life support and Defibrillation (BlsD) techniques. This study explored the potential of two ways of teaching BlsD techniques in order to understand which one could be the best between Low- Fidelity Simulation and Moderate-Fidelity Simulation.

• A sample (n = 127) of nursing students was selected for this two group pre- post- test conveniently randomized design with 4-month follow up to compare two methods of simulation teaching.

• Students were allocated to Low-Fidelity (LF) (n = 64) and Moderate-Fidelity (MF) (n = 63) simulation teaching. Early evaluation immediate …

Health Care For All: Building A Public Health Workforce To Achieve The Uae 2021 Vision For Health, Sharon Brownie, Nelson Lebogo, Mohammed Hag-Ali

School of Nursing & Midwifery, East Africa

Much has been written regarding the public health challenges facing the UAE, particularly the high levels of preventable non-communicable diseases such as cardiovascular disease, diabetes, renal disease, and traffic related injuries. Committed to reversing this trend, the Government of the UAE have identified ‘Health for All’ as an important strategic priority in the ongoing development of the nation. The availability of an appropriately skilled workforce is a key consideration in the achievement of this aim. This is highlighted by the WHO report ‘A universal truth: No health without a workforce’, which was presented to inform the Third Global Forum in …

Qualitative Research: A Pathway To Gain An Understanding Of Uae Mothers’ Experiences And Perceptions Of Managing A Child Newly Diagnosed With Type 1 Diabetes, Jennifer Louise Cooper, Suhad Marjei, Rachel Rossiter, Sharon Brownie

School of Nursing & Midwifery, East Africa

A childhood diagnosis of Type 1 diabetes is a life changing event for both the child and his/her family. The impact is experienced strongly by mothers who most frequently fulfil the primary caregiver role for children12 yrs old and younger. Studies which have sought to understand mothers’ experiences and perceptions of managing a child newly diagnosed with Type 1 diabetes are mostly questionnaire-based and few, if any, explore the issues within the uniqueness of a Middle-Eastern context. The qualitative research methods described in this discussion have been designed to gain a better understanding of UAE mothers’ experience in managing a …

Nutrition And Health Related Outcomes In Patients On Hemodialysis, Shawona Cannon Daniel

All ETDs from UAB

Millions of Americans are affected by kidney disease and a large proportion of these individuals require hemodialysis to sustain life. This is a life changing event. The nutritional lifestyle changes associated with hemodialysis may be a key factor to health related outcomes such as depression and health-related quality of life (HRQOL). This study examined the relationship between selected demographic characteristics, nutritional status, measured by serum albumin, normalized protein catabolic rate (nPCR), body mass index (BMI), percent body fat, and self-report dietary protein intake, and HRQOL and depression in patients undergoing chronic hemodialysis. This study also examines the magnitude of correlation …

Southern African American Women's Perception Of Cononary Artery Disease After A Myocardial Infarction: A Phenomenological Inquiry, Loretta Jones

All ETDs from UAB

The American Heart Association (AHA) reported that cardiovascular diseases kill nearly 50,000 African-American (AA) women annually. Of AA women ages 20 and older, 49% have heart diseases. Only 52% of AA women are aware of the signs and symptoms of a heart attack and only 36% of AA women know that heart disease is their greatest health risk. The purpose of this phenomenological study was to explore the lived experience of African American women, 50 years and older, who had experienced a myocardial infarction within the past five years. The primary research questions addressed the women's knowledge of risk factors, …

Relationships Among Heart Failure-Related Physical Symptoms, Social Support, Social Problem-Solving, Depressive Symptomatology, And Self-Care Behaviors In Individuals Living With Heart Failure, Lucinda Joy Graven

All ETDs from UAB

Introduction: Heart failure (HF) is a chronic condition that progressively worsens over time. The condition is more common in individuals over the age of 65 and commonly causes dyspnea, fatigue, orthopnea, nocturnal dyspnea, edema, and activity intolerance. Prior studies suggest a relationship between HF-related physical symptoms and depressive symptomatology in individuals living with HF. Depressive symptomatology in individuals with HF are linked with a higher mortality rate, decreased quality of life, decreased functional status, and disturbed sleep. Additionally, HF-related physical symptoms impact self-care in individuals living with HF. Previous studies have found that symptom severity and the associated decrease in …

Mobile Phone Short Message Service (Sms) To Improve Malaria Pharmacoadherence In Zambia, Elinda Steury

Electronic Theses and Dissertations

Malaria significantly contributes to morbidity and mortality rates in Zambia. The currently accepted malaria treatment is artemisinin-based combination therapy (ACT); it is more than 97% effective when the regimen is strictly adhered to. However, the mean ACT adherence rate in sub-Saharan Africa is only approximately 38-48%. Poor pharmacoadherence remains a significant barrier to malaria control and elimination. The purpose of this study was to determine if adherence rates to a six-dose ACT antimalarial treatment differ between patients in Zambia who received short message service (SMS) reminders and those who did not. An experimental, randomized, controlled trial was conducted to collect …

Factors Associated With Information Literacy Competencies Of The Traditional Baccalaureate Nursing Student, Patricia Lafferty

Electronic Theses and Dissertations

Nursing practice at all levels requires a nurse to use evidence-based nursing to improve the quality of patient care. Registered nurses need information literacy skills to practice evidence-based nursing, therefore, all nursing students need to be information literate upon graduation from nursing programs. There is no empirical research evidence on information literacy skills for students entering nursing programs in four-year colleges. Students seeking to attain a baccalaureate degree through a traditional nursing program, enter with differing demographic and educational factors that may affect their information literacy skills. Therefore, the purpose of this research was to examine information literacy skills of …