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991.
CorVue algorithm efficacy to predict heart failure in real life: Unnecessary and potentially misleading information?
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992.
Effect of defibrillation threshold testing on effectiveness of the subcutaneous implantable cardioverter defibrillator
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993.
Atrial fibrillation symptom profiles associated with healthcare utilization: A latent class regression analysis
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B. Abu Sheikh RN MSc D.H. Arabiat RN PhD S.L. Holmes RN PhD CHPE CNE Y. Khader BDS ScD D. Hiyasat MD D. Collyer MA DPSN S. Abu‐Shiekh RN 《International nursing review》2018,65(1):114-121
Aim
To examine the impact of patient characteristics, anthropometric measurement and patient clinical variables on their appraisal of treatment satisfaction and well‐being.Background
Treatment satisfaction and well‐being are instrumental in achieving diabetes care goals. Nursing practices and healthcare policies may inform interventions in these areas.Introduction
The prevalence of diabetes is high in the Middle East. An understanding of relationships between clinical and socio‐demographic variables and well‐being and treatment satisfaction is needed to improve care and patient outcomes.Methods
A total of 1002 patients completed tools measuring well‐being, treatment satisfaction and socio‐demographic characteristics. A series of bivariate and multivariate analysis were conducted to identify factors associated with well‐being and treatment satisfaction.Results
Males reported better treatment satisfaction and well‐being than females. Older participants, those who were compliant to diet, with controlled diabetes, and no neuropathy reported higher treatment satisfaction scores and well‐being scores. Insulin therapy was associated with better treatment satisfaction.Discussion
Females, participants who were not prescribed diabetic diets and those with complications were more likely to be negatively impacted by diabetes. Individuals with diabetes who were treated with insulin had higher treatment satisfaction than those who used oral hypoglycaemic agents.Conclusion and implication for nursing and health policy
These findings are important in assisting nurses and other healthcare professionals in identifying patients with diabetes with low treatment satisfaction who may present a greater risk for poor well‐being. Additionally, they lend support to developing policies for frequent screenings and special therapeutic interventions that are needed to maximize patients’ treatment satisfaction and well‐being in the Middle East and elsewhere. 相似文献995.
Nursing clinical practice changes to improve self‐management in chronic obstructive pulmonary disease
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J.M. Padilha RN MScN PhD P.A.F. Sousa RN MScN PhD F.M.S. Pereira RN MScN PhD 《International nursing review》2018,65(1):122-130
Aim
To propose nursing clinical practice changes to improve the development of patient self‐management.Background
Chronic obstructive pulmonary disease is one of the main causes of chronic morbidity, loss of quality of life and high mortality rates.Introduction
Control of the disease's progression, the preservation of autonomy in self‐care and maintenance of quality of life are extremely challenging for patients to execute in their daily living. However, there is still little evidence to support nursing clinical practice changes to improve the development of self‐management.Methods
A participatory action research study was performed in a medicine inpatient department and the outpatient unit of a Portuguese hospital. The sample comprised 52 nurses and 99 patients. For data collection, we used interviews, participant observation and content analysis.Results
The main elements of nursing clinical practice that were identified as a focus for improvement measures were the healthcare model, the organization of healthcare and the documentation of a support decision‐making process. The specific guidelines, the provision of material to support decision‐making and the optimization of information sharing between professionals positively influenced the change process. This change improved the development of self‐management skills related to the awareness of the need for ‘change’, hope, involvement, knowledge and abilities.Discussion
The implemented changes have improved health‐related behaviours and clinical outcomes.Conclusion
To support self‐management development skills, an effective nursing clinical practice change is needed. This study has demonstrated the relevance of a portfolio of techniques and tools to help patients adopt healthy behaviours.Implications for nursing and/or health policy
The involvement and participation of nurses and patients in the conceptualization, implementation and evaluation of policy change are fundamental issues to improve the quality of nursing care and clinical outcomes. 相似文献996.
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Naoto Okada Momoyo Azuma Masaki Imanishi Yoshito Zamami Yasushi Kirino Toshimi Nakamura Kazuhiko Teraoka Masahiro Abe Keisuke Ishizawa 《Clinical therapeutics》2018,40(2):252-260