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2021

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Full-Text Articles in Nursing

Menaxhimi Infermieror I Pacientëve Me Sëmundje Ngjitëse, Hatije Badalli Jan 2021

Menaxhimi Infermieror I Pacientëve Me Sëmundje Ngjitëse, Hatije Badalli

Theses and Dissertations

Hyrje: Sëmundjet infektive historikisht kanë qenë problem i madh i shëndetit publik dhe shkaktarë të shumë epidemive me pasoja fatale për njerëzimin. Sëmundjet infektive si Murtaja, Variola Vera, Sifilizi, Malaria dhe së fundmi infeksioni me COVID-19, kanë shkaktuar probleme të mëdha në shëndetin publik. Edhe në Kosovë sëmundjet infektive janë paraqitur në formë endemike dhe jo rrallëherë edhe në formë të epidemive dhe së fundi edhe formë pandemike.

Qëllimi i punimit: Përmes rishikimit të literaturës dhe interpretimit të studimeve të shumta, tentohet që në këtë punim të shpjegohen shkurtimisht sëmundjet ngjitëse dhe roli i kujdesit infermieror ndaj këtyre pacientëve, sidomos …


Komplikimet E Diabetit Mellitus Tip 2 Dhe Roli Infermieror, Florentina Jahaj Jan 2021

Komplikimet E Diabetit Mellitus Tip 2 Dhe Roli Infermieror, Florentina Jahaj

Theses and Dissertations

Hyrje: DM është sëmundje kronike progresive, që karakterizohet me hiperglikemi dhe çrregullime metabolike të karbohidrateve, proteinave dhe lipideve si pasojë e mungesës absolute ose të pjesshme të prodhimit të insulinës. Është njëra nga problematikat më të rëndësishme metabolike.

Qëllimi i punimit: Qëllimi i punimit është analizimi i të dhënave statistikore për numrin e pacientëve me Diabet Mellitus në Spitalin e Përgjithshëm të Prizrenit nga muaji Janar deri në muajin Qershor të vitit 2020.

Metodologjia: Punimi është i llojit retrospektiv. Të dhënat e pacienteve janë marrë nga protokollet e Klinikës Interne në Spitalin e Përgjithshëm të Prizrenit me lejen e komitetit …


Hipertensioni Dhe Roli Infermieror, Fitore Gashi Jan 2021

Hipertensioni Dhe Roli Infermieror, Fitore Gashi

Theses and Dissertations

Hyrje: Hipertensioni arterial (HTA) është një problem shëndetësor global. Duke u bazuar në të dhënat e Organizatës Botërore të Shëndetësisë (OBSH), përafërsisht 40% e të rinjve me moshë 25 vjet e më lartë ishin diagnostikuar me hipertension në vitin 2008.

Qëllimi i punimit: Qëllimi i punimit është analizimi i të dhënave statistikore për numrin e pacientëve me hipertension të trajtuar në Spitalin e Përgjithshëm të Prizrenit nga muaji Janar deri në muajin Tetor të vitit 2020.

Metodologjia: Punimi është i llojit retrospektiv. Të dhënat e pacienteve janë marrë nga protokollet e Klinikës Interne në Spitalin e Përgjithshëm të Prizrenit me …


Fëmijët Me Sindromë Down Dhe Kujdesi Infermieror, Enesa Hasani Jan 2021

Fëmijët Me Sindromë Down Dhe Kujdesi Infermieror, Enesa Hasani

Theses and Dissertations

Kromozomet janë komponentat më komplekse funksionale të bërthamës, meqë ato përmbajnë vetitë trashëguese-gjenet, të cilat me aktivitetin e vet veprojnë mbi proceset metabolike dhe morfogjenetike në qeliza. Qelizat trupore të njeriut përmbajnë 46 kromozome 23 kromozome të trashëguara nga njëri prind dhe 23 të tjera të trashëguara nga prindi tjetër të cilat kanë madhësi dhe strukturë specifike dhe krijojnë kariotipin e njeriut. Të rradhitura sipas pamjes së tyre në kariogram këto kromozome sipas nomenklaturës së aprovuar mund të grupohen në 7 grupe: A, B, C, D, E, F dhe G. Një varg sëmundjesh shfaqen te njeriu si rezultat i ndërrimeve …


Roli I Infermierit Në Shërbimin Emergjent Në Ferizaj, Enkleana Nrecaj Jan 2021

Roli I Infermierit Në Shërbimin Emergjent Në Ferizaj, Enkleana Nrecaj

Theses and Dissertations

Infermieria e emergjencës është një nga specialitetet më sfiduese të infermierisë. Kërkon që infermierët të menaxhojnë paqartësinë dhe ndryshimet e shpejta në ritmin dhe intensitetin e punës dhe të kenë njohuri për një numër të konsiderueshëm të rasteve klinike, sëmundjeve dhe kushteve. Infermieri/ja e emergjencës gjithashtu duhet të jetë në gjendje të krijojë empati dhe të ketë një mirëkuptim dhe komunikim të mirë të të gjitha moshave, nga fëmijët e vegjël e deri tek të moshuarit. Infermieria e urgjencave nuk është për “zemërbutët”.

Në vendin tonë gjendja emergjente mjekësore, nënkupton gjendjen me simptome akute, çrregullime psiqike, dhe/ose simptome të abuzimit …


Shoqërimi I Sëmundjeve Tjera Tek Personat E Moshës 40-60 Vjet Me Diabet Tip2, Lindita Emini Jan 2021

Shoqërimi I Sëmundjeve Tjera Tek Personat E Moshës 40-60 Vjet Me Diabet Tip2, Lindita Emini

Theses and Dissertations

Sëmundja e diabetit njihet si një nga katër sëmundjet kryesore jongjitëse më e përhapur, duke u bërë një sfidë e madhe e shëndetit publik si në vendet e zhvilluara ashtu edhe në vendet në zhvillim. Diabeti i tipit 2 përbën më shumë se 90% të pacientëve me diabet dhe çon në komplikime mikrovaskulare dhe makrovaskulare që shkaktojnë shqetësime të thella psikologjike dhe fizike si për pacientët ashtu edhe për kujdestarët dhe vendosin një ngarkesë të madhe në sistemet e kujdesit shëndetësor.

Qëllimi i këtij punimi ishte në vlerësimin e paraqitjes së komplikimeve tjera shëndetësore te personat me DMT2 duke shqyrtuar …


Kujdesi Infermieror Te Pacientët Me Artrit Reumatoid, Valbona Zeqiraj Jan 2021

Kujdesi Infermieror Te Pacientët Me Artrit Reumatoid, Valbona Zeqiraj

Theses and Dissertations

Artriti reumatoid është një çrregullim inflamator, sistemik,kronik i cili kryesisht prek nyjet që janë të veshura me synovium. Karakterizohet tipikisht nga një përfshirje simetrike,herë pas here deformuar, poliartriti periferik. Për shkak se është një sëmundje sistemike, mundet gjithashtu ndikojnë në të gjithë trupin, duke përfshirë zemrën, mushkëritë dhe sytë.

Shkaku AR nuk njihet plotësisht. Ka të ngjarë që individët e ndjeshëm gjenetikisht të ekspozohen ndaj një antigjeni të panjohurduke rezultuar në vetë-stimulim të sistemit imunitar (autoimuniteti).

Përgjigja imune reagon në mënyrë të kryqëzuar me indin pritës (membranën synoviale) duke rezultuar në pezmatim të membranës sinoviale (sinovit).Kjo krijon hipertrofi sinoviale.

Ky …


Kanceri I Gjirit Dhe Mundësitë E Sotshme Diagnostikuese, Medina Ilijazi Jan 2021

Kanceri I Gjirit Dhe Mundësitë E Sotshme Diagnostikuese, Medina Ilijazi

Theses and Dissertations

Kanceri i gjirit është një tumor që zhvillohet nga qelizat e vetë gjirit. Kanceri i gjirit është rritja jashtë kontrollit dhe përhapja e qelizave jo normale të indit të gjirit. Metoda kryesore moderne për zbulimin e kancerit të gjirit është mamografia, e cila në mënyrë të besueshme zbulon nga 80% në 96% të tumoreve të gjirit, më të mëdha se 10 mm në diametër. Mamografia kryhet çdo vit si masë profilaktike për të gjitha gratë mbi moshën 40 vjet. Qellimi baze i ketij hulumtimi eshte analizimi i detajizuar i procedurave të hershme diagnostikuese bashkëkohore në kuadër te zbulimit te hershem …


Infeksionet Respiratore Te Fëmijët Dhe Kujdesi Infermieror, Shkurte Nezaj Jan 2021

Infeksionet Respiratore Te Fëmijët Dhe Kujdesi Infermieror, Shkurte Nezaj

Theses and Dissertations

Infeksionet akute të rrugëve të sipërme të traktit të frymëmarrjes janë sëmundjet më të shpeshta të moshës fëmijërore.

Në këtë punim trajtohen infeksionet respiratore te fëmijët dhe karakteristikat epidemiologjike të tyre. Duke qenë se rastet me këto infeksione janë mjaft të shprehura dhe kanë incidencë dhe prevalencë të lartë. Gjithashtu është shqyrtuar literatura lidhur mbi rrugët e përhapjes, etiologjinë, manifestimet klinike, karakteristikat epidemiologjike masat parandaluese si dhe kujdesi infermieror te fëmijët.

Punimi synon që duke u mbështetur në rezultatet e hulumtimit, duke pasur në konsideratë situatën dhe fëmijët e prekur nga infeksionet respiratore, të prezantojë menaxhimin dhe kujdesin infermieror me …


Incidenca Dhe Prevalenca E Depresionit Te Popullata Nga Mosha 20-30 Vjeç Ne Komunen E Ferizajt, Shkurte Bakija Avdija Jan 2021

Incidenca Dhe Prevalenca E Depresionit Te Popullata Nga Mosha 20-30 Vjeç Ne Komunen E Ferizajt, Shkurte Bakija Avdija

Theses and Dissertations

Depresioni është një gjendje me humor të ulët dhe neveri ndaj aktivitetit. Mund të ndikojë në mendimet, sjelljen, motivimin, ndjenjat dhe ndjenjën e mirëqenies së një personi. Mund të shfaqë trishtim, vështirësi në të menduar dhe përqendrim dhe një rritje ose ulje të ndjeshme të oreksit dhe kohës së kaluar për të fjetur. Njerëzit që përjetojnë depresion mund të kenë ndjenja degjenerimi, mungesë shprese dhe ndonjëherë, mendime vetëvrasëse. Mund të jetë afatshkurtër ose afatgjatë. Simptoma thelbësore e depresionit thuhet se është anhedonia, e cila i referohet humbjes së interesit ose humbjes së ndjenjës së kënaqësisë në aktivitete të caktuara që …


Utilizing Video Education To Improve Self-Care In Heart Failure Population At Home, Adrienne Wharry Jan 2021

Utilizing Video Education To Improve Self-Care In Heart Failure Population At Home, Adrienne Wharry

West Chester University Doctoral Projects

Abstract

This quality improvement project was implemented to improve self-care in home health patients using video education provided on the tablet-based monitoring system. Heart failure is a chronic, progressive disease with high hospital readmission rates. However, consistent use of self-care behaviors improves patient quality of life and reduces hospital readmission rates in heart failure patients. Literature has shown that continued self-care education is essential for the success of the heart failure patient. The use of Bluetooth tablet systems for home health care and monitoring has expanded in recent years. The Self-Care of Heart Failure Index (SCHFI) was administered to heart …


Hand Hygiene For Health Promotion, Phyllis Knight-Brown Jan 2021

Hand Hygiene For Health Promotion, Phyllis Knight-Brown

Doctor of Nursing Practice Projects

For many years public health organizations, such as The World Health Organization (WHO) and The Centers for Disease Control and Prevention (CDC), have stressed the need for proper hand hygiene. Proper hand hygiene requires a prescribed process to rid the hands of potentially infecting organisms by using soap and water (handwashing) or hand sanitizer (sanitizing). These processes need to be performed at critical times to promote infection prevention. Many studies have shown that hand hygiene is a learned behavior that becomes habitual over time, and behavior change mechanisms in addition to education are needed to affect a long-term change in …


Decreasing Test Anxiety In Nursing Students Using Cute/Funny Animal Videos, Lynn Kelso Jan 2021

Decreasing Test Anxiety In Nursing Students Using Cute/Funny Animal Videos, Lynn Kelso

DNP Projects

Abstract

Background: Stress, test anxiety and worry continue to increase in nursing students. As successful completion of course exams is required for nursing students to complete their program of study, these increased levels of stress, anxiety and worry can hinder their ability to perform at their best. Purpose: The aim of this project is to show that using cute/funny animal videos prior to an exam can decrease test anxiety (TA) and improve performance. Project Improvement Framework: The plan-do-study-act, PDSA, quality improvement framework was used for the final, modified project. Method: A video was embedded into three of …


The Outcomes Of Cope, A Cognitive Behavioral Therapy Program, In Patients Awaiting Lvad Implantation, Aaron G. Harris Jan 2021

The Outcomes Of Cope, A Cognitive Behavioral Therapy Program, In Patients Awaiting Lvad Implantation, Aaron G. Harris

DNP Projects

PURPOSE: The purpose of the Doctor of Nursing Practice (DNP) project was to pilot Creating Opportunities for Personal Empowerment (COPE), an evidence based cognitive behavioral therapy (CBT) intervention, with patients diagnosed with advanced heart failure who are awaiting Left Ventricular Assist Device (LVAD) implantation or those who have had one recently implanted before they are discharged home. METHODS: A cross-sectional study design was used for this Pilot project. Patients were identified for potential participation by LVAD coordinators and represent a convenience sample. The patients were screened for anxiety and depression using the GAD-7 and PHQ-9 screening tools. If patients scored …


Risk Factors For Workplace Sexual Harassment In Female Truck Drivers, Kimberly Marie Riddle Jan 2021

Risk Factors For Workplace Sexual Harassment In Female Truck Drivers, Kimberly Marie Riddle

Theses and Dissertations--Nursing

Sexual harassment is one of the most common forms of workplace violence in the United States. Sexual harassment is defined as unwanted verbal and physical behaviors of a sexual nature (e.g., physical advances, requests for sexual favors, inappropriate sexist or sexual comments or jokes, pornography, or other unwanted conduct) that creates an uncomfortable working environment or interferes with the employee’s job responsibilities. In general, it is estimated that nearly one in every two women have experienced sexual harassment at the workplace over their lifetime. In male-dominated occupations, such as truck driving, law enforcement, firefighting, and construction, females may have a …


The Scale Development Of Nursing Repositioning Practice For Bedridden Patients, Saudi Arabia, Abdul Kareem Suhel Hamadeh Iblasi Jan 2021

The Scale Development Of Nursing Repositioning Practice For Bedridden Patients, Saudi Arabia, Abdul Kareem Suhel Hamadeh Iblasi

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aimed to explore, develop and test the psychometric properties of repositioning practice measures among nurses in Saudi hospitals and explores its components' psychometric properties. The study adopted the DeVellis scale development framework. Initially, the study clarifies the concept by literature review and interviewing six experts. Then a pool of 103 items was generated as the first draft. Over two rounds of expert revisions, the experts accept 61 items with content validity index means ( I-CVIs) equal to 0.91 and scale content validity = 0.81. later, the reliability with alpha Cronbach was 0.98. Next, this survey was passed for …


A Quantitative Study Of Learning Effectiveness For Participant Roles In Simulation, Alyssa Zweifel Jan 2021

A Quantitative Study Of Learning Effectiveness For Participant Roles In Simulation, Alyssa Zweifel

Electronic Theses and Dissertations

No abstract provided.


Prebriefing In Simulation, Brittany A. Brennan Jan 2021

Prebriefing In Simulation, Brittany A. Brennan

Electronic Theses and Dissertations

No abstract provided.


Effect Of Emergency Severity Index (Esi) Annual Competency Assessment On Mistriage Rates, Stefanie Hoffman Jan 2021

Effect Of Emergency Severity Index (Esi) Annual Competency Assessment On Mistriage Rates, Stefanie Hoffman

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Introduction: In order to accurately assign an Emergency Severity Index (ESI) acuity level to patients who present to the emergency department (ED) triage area, it is essential triage nurses remain competent in the ESI triage tool. In addition, effective use of the ESI triage tool is critical in preventing patients from being mistriaged.
Objective: The purpose of this quality improvement project was to determine the effect of an ESI annual competency assessment in an ED for triage trained registered nurses (RNs).
Methods: Triage trained RNs completed an ESI competency assessment composed of 25 patient scenarios in competency assessment A, and …


Opioid Overdose Response Teaching To Staff In A Homeless Shelter, Hayley E. Rasmussen Jan 2021

Opioid Overdose Response Teaching To Staff In A Homeless Shelter, Hayley E. Rasmussen

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background/Purpose: Opioid overdose can occur in anyone who uses illicit drugs, but relationship correlation exists between homelessness and illicit drug use. Between March 2019 and March 2020, 92 deaths were attributed to opioids in the DNP Project state. Methods: Naloxone education was given to a single population of homeless shelter staff. An Opioid Overdose Attitude Scale (OOAS) and Opioid Overdose Knowledge Scale (OOKS) were administered to the sample prior to education, immediately after education, and 3 months after education.
Results: OOAS and OOKS changes between surveys as a whole were not statistically significant (p=0.14; p=0.25). Individual components of the surveys …


Knowledge And Attitudes Of Nurse Practitioner's Assessment Of Adults With Signs And Symptoms Of Posttraumatic Stress Disorder, Kelli Lipscomb Jan 2021

Knowledge And Attitudes Of Nurse Practitioner's Assessment Of Adults With Signs And Symptoms Of Posttraumatic Stress Disorder, Kelli Lipscomb

Electronic Theses and Dissertations, 2020-2023

As the numbers of primary care physicians decline, nurse practitioners (NPs) are filling this gap as primary care providers in many settings. The number of adults presenting to their primary care provider with signs and symptoms of posttraumatic stress disorder (PTSD) each year is unknown. The devastating effects of untreated PTSD include high rates of homelessness, violence, drug abuse, suicidality and a decreased quality of life. Little is known as to the breadth of NPs knowledge of PTSD sequelae, epidemiology and screening protocols. Increased perceived self-efficacy, tied to positive attitudes about PTSD knowledge and screening, result in overall higher rates …


Confidence, Interest And Intentions Of Final-Year Nursing Students Regarding Employment In General Practice, Kaara Ray B. Calma, Susan Mcinnes, Elizabeth Halcomb, Anna Williams, Marijka Batterham Jan 2021

Confidence, Interest And Intentions Of Final-Year Nursing Students Regarding Employment In General Practice, Kaara Ray B. Calma, Susan Mcinnes, Elizabeth Halcomb, Anna Williams, Marijka Batterham

Nursing Papers and Journal Articles

Background: Rising health care burden has increased demand for general practice nurses. Exploring final-year nursing students’ perceived levels of confidence, interest and intention to work in this area can inform preparation and recruitment of new graduates into this workforce.

Aim: To explore final-year nursing students’ confidence, interest and intention to work in general practice.

Methods: Final-year nursing students from five universities situated in New South Wales, Australia were surveyed between March and June 2019. The survey comprised investigator-developed questions and validated tools adapted for use in general practice.

Findings: Of the 355 included responses, 34.1% respondents had a clinical placement …


Effectiveness Of Online Communication Skills Training For Cancer And Palliative Care Health Professionals: A Systematic Review, Melissa N. Berg, Irene Ngune, Penelope Schofield, Lisa Grech, Ilona Juraskova, Michelle Strasser, Zoe Butt, Georgia K.B Halkett Jan 2021

Effectiveness Of Online Communication Skills Training For Cancer And Palliative Care Health Professionals: A Systematic Review, Melissa N. Berg, Irene Ngune, Penelope Schofield, Lisa Grech, Ilona Juraskova, Michelle Strasser, Zoe Butt, Georgia K.B Halkett

Nursing Papers and Journal Articles

Objective: To determine the reported effect of online communication skills training (CST) on health professional (HP) communication skills and patient care outcomes in cancer and palliative care.

Methods: Primary research published in English between January 2003 and April 2019 was identified in bibliographic databases including Medline, Embase and Proquest (Prospero: CRD42018088681). An integrated mixed-method approach included studies describing a CST intervention and its effect, for cancer or palliative care HPs, delivered online or blended with an online component. Included studies' outcomes were categorised then findings were stratified by an evaluation framework and synthesised in an effect direction plot. Risk of …


Clinicians' Delirium Treatment Practice, Practice Change, And Influences: A National Online Survey, Annmarie Hosie, Meera Agar, Gideon A. Caplan, Brian Draper, Stephen Hedger, Debra Rowett, Penny Tuffin, Seong Leang Cheah, Jane L. Phillips, Linda Brown, Manraaj Sidhu, David C. Currow Jan 2021

Clinicians' Delirium Treatment Practice, Practice Change, And Influences: A National Online Survey, Annmarie Hosie, Meera Agar, Gideon A. Caplan, Brian Draper, Stephen Hedger, Debra Rowett, Penny Tuffin, Seong Leang Cheah, Jane L. Phillips, Linda Brown, Manraaj Sidhu, David C. Currow

Nursing Papers and Journal Articles

Background: Recent studies cast doubt on the net effect of antipsychotics for delirium.

Aim: To investigate the influence of these studies and other factors on clinicians’ delirium treatment practice and practice change in palliative care and other specialties using the Theoretical Domains Framework.

Design: Australia-wide online survey of relevant clinicians.

Setting/participants: Registered nurses (72%), doctors (16%), nurse practitioners (6%) and pharmacists (5%) who cared for patients with delirium in diverse settings, recruited through health professionals’ organisations.

Results: Most of the sample (n=475): worked in geriatrics/aged (31%) or palliative care (30%); in hospitals (64%); and saw a new patient with delirium …


Workplace Lactation Support And Breastfeeding Practices In Employed Mothers, Robin Ray Jan 2021

Workplace Lactation Support And Breastfeeding Practices In Employed Mothers, Robin Ray

Theses and Dissertations--Nursing

Low rates of breastfeeding are a global public health issue. Despite national and international health agency recommendations for breastfeeding until infants are six months of age when solid foods are introduced and continued breastfeeding until 12 months of age or older, many mothers in the United States discontinue breastfeeding at an early age. Return to work after childbirth is one of the leading contributing factors to early cessation of breastfeeding in employed mothers. Understanding the association between individual and organizational factors and breastfeeding practices in employed mothers is essential for the development, implementation, and evaluation of programs and policies to …


Symptom Self-Management In Adolescents Following A Concussion, Amanda Hodges Jan 2021

Symptom Self-Management In Adolescents Following A Concussion, Amanda Hodges

Theses and Dissertations

Background: Adolescents experience a variety of symptoms following a concussion that affect their everyday life. Initial management consists of physical and cognitive rest followed by a gradual return to activities while monitoring symptoms. Managing concussion symptoms in adolescents is a challenge due to their lifestyle and developmental needs but it is the key to improving adolescents’ lives. Symptom self-management is the prevention and control of symptoms and has been shown to improve health outcomes but has not been studied in adolescents with concussion symptoms. Using the Individual and Family Self-Management Theory (IFSMT), the purpose of this study was to …


Evaluation Of Myfitnesspal’S Recommended Protein Intake Compared To The United States Recommended Dietary Allowances, Matthew C. Kokos, Christina Dobrowski, Aarika Merrill, Shaekira L. Niehuser, Teresa Bigand, Ross J. Bindler Jan 2021

Evaluation Of Myfitnesspal’S Recommended Protein Intake Compared To The United States Recommended Dietary Allowances, Matthew C. Kokos, Christina Dobrowski, Aarika Merrill, Shaekira L. Niehuser, Teresa Bigand, Ross J. Bindler

Articles, Abstracts, and Reports

No abstract provided.


ความรู้ในการดูแลผู้ป่วยระยะสุดท้ายของนักศึกษาพยาบาลชั้นปีที่ 4 คณะพยาบาลศาสตร์ มหาวิทยาลัยธรรมศาสตร์, อิสรีย์ ศรีศุภโอฬาร, เยาวรัตน์ มัชฌิม, บวรลักษณ์ ทองทวี Jan 2021

ความรู้ในการดูแลผู้ป่วยระยะสุดท้ายของนักศึกษาพยาบาลชั้นปีที่ 4 คณะพยาบาลศาสตร์ มหาวิทยาลัยธรรมศาสตร์, อิสรีย์ ศรีศุภโอฬาร, เยาวรัตน์ มัชฌิม, บวรลักษณ์ ทองทวี

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: เพื่อประเมินความรู้ในการดูแลผู้ป่วยระยะสุดท้ายของนักศึกษาพยาบาลชั้นปีที่ 4 ปีการศึกษา 2560 คณะพยาบาลศาสตร์ มหาวิทยาลัยธรรมศาสตร์

แบบแผนงานวิจัย: การวิจัยเชิงพรรณนา

วิธีการดำเนินการวิจัย: กลุ่มตัวอย่าง คือ นักศึกษาพยาบาลชั้นปีที่ 4 ที่กำลังจะจบการศึกษา จำนวน 81 คน เครื่องมือที่ใช้ในการวิจัยประกอบด้วยแบบสอบถามข้อมูลทั่วไป และแบบวัดความรู้ในการดูแลผู้ป่วยแบบประคับประคองของพยาบาล ซึ่งได้ตรวจสอบความเชื่อมั่นในกลุ่มนักศึกษาพยาบาลชั้นปีที่ 4 ที่กำลังจะจบการศึกษา คณะพยาบาลศาสตร์ มหาวิทยาลัยสวนดุสิต จำนวน 30 คน วิเคราะห์หาค่าความสอดคล้องภายในเนื้อหาโดยใช้วิธีของ Kuder-Richardson สูตร KR-20 ได้ค่าความสอดคล้องภายในเนื้อหา 0.81 วิเคราะห์ข้อมูลโดยใช้สถิติเชิงพรรณนา

ผลการวิจัย: นักศึกษาพยาบาลชั้นปีที่ 4 ปีการศึกษา 2560 คณะพยาบาลศาสตร์ มหาวิทยาลัยธรรมศาสตร์ มีคะแนนเฉลี่ยความรู้ในการดูแลผู้ป่วยระยะสุดท้ายในภาพรวมอยู่ในระดับต่ำ  ( = 11.26, SD = 2.36) คะแนนเฉลี่ยด้านความรู้ทั่วไป และด้านการจัดการอาการอยู่ในระดับต่ำ (   = 2.38, SD = 1.14;  = 6.62, SD = 1.87) คะแนนเฉลี่ยด้านการดูแลด้านจิตสังคม จิตวิญญาณอยู่ในระดับปานกลาง ( = 2.26, SD = 0.49)

สรุป: ผลการศึกษานี้สามารถใช้เป็นข้อมูลในการพัฒนาการจัดการเรียนการสอนเพื่อเสริมสร้างความรู้การดูแลผู้ป่วยระยะสุดท้ายให้นักศึกษาต่อไป


ผลของกิจกรรมการพยาบาลโดยการให้ข้อมูลและการเบี่ยงเบนความสนใจต่อความกลัวก่อนผ่าตัดหัวใจในผู้ป่วยเด็กวัยก่อนเรียน, มณชยา เสกตระกูล, วราภรณ์ ชัยวัฒน์, สุวิมล โรจนาวี Jan 2021

ผลของกิจกรรมการพยาบาลโดยการให้ข้อมูลและการเบี่ยงเบนความสนใจต่อความกลัวก่อนผ่าตัดหัวใจในผู้ป่วยเด็กวัยก่อนเรียน, มณชยา เสกตระกูล, วราภรณ์ ชัยวัฒน์, สุวิมล โรจนาวี

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: เพื่อศึกษาความกลัวก่อนผ่าตัดหัวใจในผู้ป่วยเด็กวัยก่อนเรียนที่ได้รับกิจกรรมการพยาบาลโดยการให้ข้อมูลและการเบี่ยงเบนความสนใจ และเพื่อเปรียบเทียบความกลัวก่อนผ่าตัดหัวใจในผู้ป่วยเด็กวัยก่อนเรียน ระหว่างกลุ่มที่ได้รับกิจกรรมการพยาบาลโดยการให้ข้อมูลและการเบี่ยงเบนความสนใจกับกลุ่มที่ได้รับการพยาบาลปกติ

รูปแบบการวิจัย: การวิจัยแบบกึ่งทดลอง

วิธีดำเนินการวิจัย: กลุ่มตัวอย่าง คือ ผู้ป่วยเด็กวัยก่อนเรียนที่มารับการผ่าตัดหัวใจ ณ โรงพยาบาลจุฬาลงกรณ์ จำนวน 60 คน โดย 30 คนแรกจัดอยู่ในกลุ่มควบคุม และ 30 คนหลังจัดอยู่ในกลุ่มทดลอง ผู้ป่วยเด็กวัยก่อนเรียนในกลุ่มควบคุมได้รับการพยาบาลก่อนผ่าตัดตามปกติ ส่วนกลุ่มทดลองได้รับกิจกรรมการพยาบาลโดยการให้ข้อมูลและการเบี่ยงเบนความสนใจ เก็บรวบรวมข้อมูลโดยใช้แบบสังเกตพฤติกรรมความกลัวก่อนผ่าตัดหัวใจของผู้ป่วยเด็กวัยก่อนเรียน โดยผ่านการตรวจสอบความตรงเชิงเนื้อหาจากผู้ทรงคุณวุฒิ 5 ท่าน มีค่าดัชนีความตรงตามเนื้อหาเท่ากับ 1 และค่าความเที่ยงของการสังเกตเท่ากับ .98 วิเคราะห์ข้อมูลโดยใช้สถิติพรรณนาและสถิติทดสอบที (Independent t-test)

ผลการวิจัย: ความกลัวก่อนผ่าตัดหัวใจในผู้ป่วยเด็กวัยก่อนเรียน กลุ่มที่ได้รับกิจกรรมการพยาบาลโดยการให้ข้อมูลและการเบี่ยงเบนความสนใจน้อยกว่ากลุ่มที่ได้รับการพยาบาลตามปกติ อย่างมีนัยสำคัญทางสถิติที่ระดับ .05

สรุป: ผลการศึกษานี้แสดงให้เห็นว่า กิจกรรมการพยาบาลโดยการให้ข้อมูลและการเบี่ยงเบนความสนใจช่วยลดความกลัวก่อนผ่าตัดหัวใจในผู้ป่วยเด็กวัยก่อนเรียนได้


ผลของการประยุกต์รูปแบบเชิงระบบของนิวแมนต่อการควบคุม การติดเชื้อของมารดาเด็กโรคมะเร็งเม็ดเลือดขาว, วารีรัตน์ วรรณโพธิ์, สุรศักดิ์ ตรีนัย Jan 2021

ผลของการประยุกต์รูปแบบเชิงระบบของนิวแมนต่อการควบคุม การติดเชื้อของมารดาเด็กโรคมะเร็งเม็ดเลือดขาว, วารีรัตน์ วรรณโพธิ์, สุรศักดิ์ ตรีนัย

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: เพื่อเปรียบเทียบการควบคุมการติดเชื้อของมารดาผู้ป่วยเด็กโรคมะเร็งเม็ดเลือดขาวที่ได้รับยาเคมีบำบัด ระหว่างกลุ่มที่ได้รับการพยาบาลที่ประยุกต์รูปแบบเชิงระบบของนิวแมนกับกลุ่มที่ได้รับการพยาบาลตามปรกติ

รูปแบบการวิจัย: การวิจัยกึ่งทดลอง

วิธีดำเนินการวิจัย: มารดาของผู้ป่วยเด็กโรคมะเร็งเม็ดเลือดขาวที่ได้รับการรักษาด้วยยาเคมีบำบัด ในโรงพยาบาลรามาธิบดี จำนวน 30 คน คือ กลุ่มตัวอย่างที่ได้รับการคัดเลือกอย่างเฉพาะเจาะจง แบ่งกลุ่มเป็นกลุ่มควบคุมและกลุ่มทดลอง กลุ่มละ 15 คน โดยกลุ่มทดลองได้รับการพยาบาลที่ประยุกต์รูปแบบเชิงระบบของนิวแมน เก็บรวบรวมข้อมูลโดยใช้แบบสอบถามพฤติกรรมป้องกันการติดเชื้อของมารดาเด็กโรคมะเร็งเม็ดเลือดขาวที่ได้รับยาเคมีบำบัด วิเคราะห์ข้อมูลด้วยสถิติพรรณนา และสถิติ Mann-Whitney U

ผลการวิจัย: มารดาของผู้ป่วยเด็กโรคมะเร็งเม็ดเลือดขาวที่ได้รับการรักษาด้วยยาเคมีบำบัด กลุ่มที่ได้รับการพยาบาลที่ประยุกต์รูปแบบเชิงระบบของนิวแมนมีการควบคุมการติดเชื้อ ซึ่งเป็นส่วนหนึ่งของพฤติกรรมป้องกันการติดเชื้อดีกว่ากลุ่มที่ได้รับการพยาบาลตามปรกติ อย่างมีนัยสำคัญทางสถิติที่ระดับ .05

สรุป: ผลการศึกษานี้แสดงให้เห็นว่า การพยาบาลประยุกต์รูปแบบเชิงระบบของนิวแมนสามารถทำให้มารดาดูแลป้องกันการติดเชื้อให้กับเด็กโรคมะเร็งเม็ดเลือดขาวได้