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111.
112.
The health belief model and use of accident and emergency services by the general public 总被引:4,自引:0,他引:4
Mike Walsh PhD RGN BA DipN PGCE A&E JBCNS Cert 《Journal of advanced nursing》1995,22(4):694-699
There has been much debate about the use made by the general public of accident and emergency services A strong element of professional dissaproval has been present, as shown by phrases such as 'inappropriate attender' This paper examines the reasons why people attend accident and emergency and the factors that delay or accelerate attendance, utilizing a framework espoused in the medical sociology literature, i e the Health Belief Model This predicts that individuals carry out a treatment cost-benefit analysis when making decisions about seeking medical assistance A sample of 200 adult, ambulatory accident and emergency patients was interviewed whilst waiting to see the casualty officer for this study The data demonstrated that much of the medical, sociological literature concerning patient consultation with doctors is applicable to the accident and emergency situation, in particularthe Health Belief Model A range of factors was shown to make statistically significant differences to the delay times involved in deciding to attend accident and emergency and the time it took to then subsequently attend and register as a patient These factors also fit the cost-benefit analysis which the Health Benefit Model predicts takes place Accident and emergency attendance therefore needs to be seen as a logical decision-making process thatrequires hospitals to provide appropriate services, rather than merely labelling the patients as inappropriate 相似文献
113.
The chasm of care: Where does the mental health nursing responsibility lie for the physical health care of people with severe mental illness? 下载免费PDF全文
Dianne Wynaden RN MHN PhD Brett Heslop RN MNursing Karen Heslop RN PhD Lesley Barr RN Grad Cert MH Eric Lim RN MNurSt PhD Candidate Gin‐Liang Chee RN MNurs; PhD Candidate James Porter RN Jane Murdock 《International journal of mental health nursing》2016,25(6):516-525
The poor physical health of people with a severe mental illness is well documented and health professionals' attitudes, knowledge and skills are identified factors that impact on clients' access to care for their physical health needs. An evaluation was conducted to determine: (i) mental health nurses' attitudes and beliefs about providing physical health care; and, (ii) the effect that participant demographics may have on attitudes to providing physical health care. It was hypothesized that workplace culture would have the largest effect on attitudes. Nurses at three health services completed the “Mental health nurses' attitude towards the physical health care of people with severe and enduring mental illness survey” developed by Robson and Haddad (2012). The 28‐item survey measured: nurses' attitudes, confidence, identified barriers to providing care and attitudes towards clients smoking cigarettes. The findings demonstrated that workplace culture did influence the level of physical health care provided to clients. However, at the individual level, nurses remain divided and uncertain where their responsibilities lie. Nursing leadership can have a significant impact on improving clients' physical health outcomes. Education is required to raise awareness of the need to reduce cigarette smoking in this client population. 相似文献
114.
Simona Grad Laura Poanta Dan Lucian Dumitrascu Mircea Dragoteanu Mihai Porojan 《Central European Journal of Medicine》2012,7(1):20-24
Background
delayed gastric emptying is detectable in 20–40% of patients with type 1 and type 2 diabetes. The prevalence of symptoms suggestive for diabetic gastroparesis is much lower. The aim of the study was to evaluate the gastric emptying and to correlate the results with dyspeptic symptoms. 相似文献115.
Andrew W. Kirkpatrick MD MHSc FACS Marilyn Keaney DVM PhD LLM Leanne Kmet MSc Chad G. Ball MD MSc BSc FRCSC Mark R. Campbell MD FACS Chris Kindratsky Michelle Groleau DVM Cert LAM Michelle Tyssen MRLAT Jennifer Keyte DVM BSc CVA Timothy J. Broderick MD FACS 《Journal of the American College of Surgeons》2009,209(2):233-241
116.
117.
Exclusion of patients with arteriosclerosis reduces long-term recurrence rate of presumed arterial embolism after PFO closure 总被引:1,自引:1,他引:0
Dubiel M Bruch L Liebner M Schmehl I Winkelmann A Rux S Sonntag S Wulff H Grad MO Kleber FX 《Journal of interventional cardiology》2007,20(4):275-281
BACKGROUND: Percutaneous transcatheter closure of patent interatrial communications after presumed paradoxical embolism is used as an alternative to surgery or long-term anticoagulation for the treatment of patients who are at risk for recurrent thromboembolism. To avoid atherosclerotic events to be judged as recurrent paradoxical embolism, we prospectively excluded all patients with detectable arteriosclerosis from our series and investigated long-term results. METHODS AND RESULTS: We report the outcome of 180 patients who underwent percutaneous transcatheter closure of patent foramen ovale (PFO), PFO like atrial septal defect (ASD), or an ASD because of paradoxical embolism. One hundred four patients had cerebral embolism, 57 had transient ischemic attacks, 16 coronary embolism, and 3 had peripheral embolism. Twenty-three patients experienced multilocal arterial embolism. One hundred twenty-five patients had a PFO, 63 of them with an atrial septal aneurysm (ASA), 24 a PFO-like ASD (7 of them with an ASA), and 31 had an ASD. After 18 months, only 5 patients (2.8%) showed a trivial residual shunt. At a mean follow-up of 40 months (range 4 to 88), resulting in 602 observed patient-years, only 1 patient experienced a presumed paradoxical (coronary) embolism (calculated annual risk to suffer a recurrent thromboembolic event: 0.16%). CONCLUSIONS: Percutaneous transcatheter closure of PFO/ASD is a safe and effective therapeutic option for the secondary prevention of presumed paradoxical embolism. It is associated with a high success rate, low incidence of hospital complications, and very low frequency of recurrent systemic embolic events. 相似文献
118.
Amanda L. McKie RN B Nurs GradCert Renal MN Clin Lead Murray Turner B AppSci MBA Catherine Paterson PhD MSc BA PG Cert LTA FHEA RAN 《Journal of Renal Care》2023,49(3):170-190
Background
People affected by kidney failure receiving haemodialysis experience complexity within their health condition unlike any other chronic illness or condition. Kidney failure impacts the individual in all areas of their life including relationships and activities of daily living.Objective
To conduct a meta-aggregation of studies about the lived experiences of people with kidney failure receiving haemodialysis.Design
Using PRISMA Guidelines, six databases (CINAHL, ClinicalTrials.gov , Cochrane Library, MEDLINE, PsycINFO, and Scopus) were comprehensively searched using keywords and subject headings from January 1990 to October 2021. Articles were assessed according to prespecified eligibility criteria. Data extraction and quality appraisal was conducted. A meta-aggregation of qualitative findings was conducted using the Joanna Briggs Institute methodology for meta-aggregation.Results
Of the 9409 articles screened, 55 studies were included. This represented a total of 188 findings across 45 categories representing a range of unmet supportive care needs. The meta-aggregation identified 11 synthesised findings broadly related to psychological/emotional needs, physical needs, social needs, interpersonal/intimacy needs, patient-clinician communication needs, family related needs, health system/information needs, spiritual needs, daily living needs, practical needs and daily living needs.Conclusions
This meta-aggregation has identified that people affected by kidney failure can experience a range of unmet supportive care needs. It was evident that living with kidney failure and receiving haemodialysis impacted a person's sense of self, introduced practical needs and other complex needs which were not being addressed in existing services. This review has highlighted important implications for clinical practice and future research directions. 相似文献119.
Grygoruk C Sieczynski P Modlinski JA Gajda B Greda P Grad I Pietrewicz P Mrugacz G 《Journal of assisted reproduction and genetics》2011,28(4):363-368
Purpose
The present study was designed to investigate the impact of pressure on nuclear DNA integrity in viable cells of mouse blastocysts. 相似文献120.