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二渡, 玉江 ; 神郡, 博 ; 新井, 治子 ; 瀬戸, 正子 ; 福田, 春枝 ; 田村, 文子 ; 神田, 清子 ; 寺田, 真広
概要:
application/pdf<br />Departmental Bulletin Paper<br />We have made a survey of differences in pain observation between Japanese nurses and American nurses according to published literature. We also looked at influence of nurses' career
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on their ability of pain observation. As the result of this survey, we have made the following conclusions. 1. There were certain differences between Japanese nurses and American nurses on the identification of pain location, the assessment of pain and the understanding of pain. 2. The responsibility for pain control is laid on doctors and nurses in Japan, while it is laid on patients as well as doctors and nurses in America. 3. As for the relevance of Nurses' experience to their ability of pain observation, the nurses with more than ten years of experience have more appropriate pain observation ability than the nurses with less than ten years of experience.
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神田, 清子 ; 太田, 紀久子 ; 瀬戸, 正子 ; 土屋, 純
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application/pdf<br />Departmental Bulletin Paper<br />The purpose of this study is to compare the frequency of depression in one hundred healthy adults (control group) and 66 out-patients with hypertention (hypertention group). The frequency
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of depression was estimated by the Self-rating Depression Scale (SDS tests) which consist of twenty items of depression status. The results were summarized as follows: 1. The depression rate of sexual desire in the hypertention group was significantly higher than that of the control group. 2. The score of SDS in the hypertention group was significantly lower than control group. 3. The depression rate in hypertention group was slightly lower than that in control group. From the results above mentioned, we concluded that it is necessary to observe the decrease in sexual desire symptoms in outpatients with hypertention.
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瀬戸, 正子 ; 神田, 清子 ; 太田, 紀久子 ; 土屋, 純
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application/pdf<br />Departmental Bulletin Paper<br />This study was performed to determine factors that influence blood sugar control in diabetic patients in old and upper middle age. The HbA_<1C> level, Breslow's health practice score
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and stress score were calculated in 58 old age patients and 55 upper middle age patients, and mean values of these parameters were compared in the two groups according to sex and lifestyle. The results are summarized as follows: 1. The HbA_<1C>: Measurement of HbA_<1C> revealed that the proportion of patients under well-controlled conditions was significantly larger among males than females, and in the old age group than in the upper middle age group. Upper middle age women had the poorest control. Control was better in patients living with their family than in those living alone in the old age group. In the upper middle age group, males living alone and females living with their family had a better control. 2. The health practice score was higher in females than in males in both groups. 3. The score for stress caused by the patient's family was higher in the upper middle age group than in the old age group. The score was higher in patients with a poorly controlled condition than in those with a well-controlled condition in terms of HbA_<1C> level.
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太田, 紀久子 ; 瀬戸, 正子 ; 神田, 清子 ; 土屋, 純
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application/pdf<br />Departmental Bulletin Paper<br />This study aims to assess by questionaire, the quality of life (QOL) of hospitalized aged cancer patients in order to improve nursing care. The seven items for QOL assessments consist of
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appetite, mood, quality of sleep, cardiac and/or respiratory symptoms, digestive symptoms, and other symptoms, and activities of daily living. 20 cancer patients over 65 years old were selected as subjects of this study and the QOL at the time of admission to the hospital, excerbation and discharge were evaluated respectively. The rsults are as follows: (1) At admission, the percentage of those who answered ""good"" to the question about ""mood"" was very low, however, it took a favorable turn as the hospitalization became longer. (2) Half of the patients were assessed as ""symptomless"" on the question about cardiac and/or respiratory symptoms and these patients further increased at the time of discharge. (3) The change of assessments of the item ""activities of daily living"" was smallest during hospitalization and each scale was variable. (4) Inview of these results, ideas for nursing care were discussed.
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神田, 清子 ; 瀬戸, 正子 ; 太田, 紀久子 ; 土屋, 純
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application/pdf<br />Departmental Bulletin Paper<br />The purpose of this study is to investigate the status of depression in 85 caregivers for the disabled elderly in the community. The frequency of depression was estimated by the
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Self-rating Depression Scale (SDS tests) which consists of twenty items of depression status. The results were summarized as follows: 1. Among caregivers, high score items were sexual desire, emotional fluctuatios, hopelessness, fatigue, emptyness and dissatisfaction. 2. The scores of SDS in the caregivers were slightly higher than Healthy adults. 3. The depression rate in the caregivers were slightly higher than Healthy adults. 4. The depression scores increased with the lenght of the care and difficulties encounterd. The results of the factor analysis suggested the importance of providing support by health professionals to caregivers demonstrating need.
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鹿村, 眞理子 ; 福田, 春枝 ; 瀬戸, 正子 ; 神田, 清子 ; 酒巻, 哲夫
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application/pdf<br />Departmental Bulletin Paper<br />Blood pressure was determined by doctors and nurses in 122 essential hypertensive patients, personality in these patients was assessed using the Yatade Guilford personality
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inventory. When the patients were divided into two groups consisting of a group in which blood pressure readings determined by doctors were obviously higher than those by nurses and a group in which readings by doctors were the same as those by nurses, personality differences were noted. The scores for depression, inferiority feelings, lack of objectivity and lack of cooperativeness were significantly higher in the former group. These results suggest that the hypertensive patients showing marked increase in blood pressure during the doctor's examination have specific personality types. We need to vary care strategies for patients according to the their individual personality types.
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瀬戸, 正子 ; 神田, 清子
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application/pdf<br />Departmental Bulletin Paper<br />The purpose of this study is to compare the Life-styles 126 Healthy young persons with 154 elderly Healthy persons according to Breslow criteria. The items we assessed were the following:
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sleeping, meals, eating between meals, drinking, smoking, exercise and weight. The results are summarized as follows: 1. Elderly persons scored slightly higher than young persons. 2. Among elderly persons, the mens' score was slightly higher than the women. Among younger persons the result was the reverse. 3. Among young persons, low score items were eating between meals and exercise. Judging from the facts described above, we have to educate young persons about their health especially concering the low score items.
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神田, 清子 ; 瀬戸, 正子 ; 土屋, 純
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application/pdf<br />Departmental Bulletin Paper<br />The purpose of this study is to compare the frequency of depression in one hundred healthy adults (control group) and one hundred outpatients with hematological malignancies (tumor
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group). The frequency of depression was estimated by the Self-rating Depression Scale (SDS tests) which consist of twenty items of depression status. The results were summarized as follows: 1. The score of SDS in the tumor group was similar to the control group. 2. The depression rate in women with hematological malignancies was slightly higher than that in control women. 3. The depression rate of sleeping, appetite, decrease in weight, tachycardia and fatigue in the tumor group was significantly higher than that of the control group. From the results above mentioned, we concluded it is necessary to observe the depression symptoms in patients with hematological malignancies, especially in women.
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瀬戸, 正子 ; 神田, 清子 ; 蝦名, 美智子 ; 土屋, 純
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application/pdf<br />Departmental Bulletin Paper<br />In this study, a research survey of recognition of disease and self-control of general life was performed on outpatients (34 cases) of multiple myeloma in Gunma University Hospital and
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its related hospitals, and the results are as follows: (1) About half of the patients recognized that they have a tendency to get pathological fractures, but only 10% of the patients recognized their real genesis. (2) The Number of patients who recognized the necessity of exercise was small, but that of doing exercise was large. (3) The protection of complications has been carried out positively in a large number of patients according to the advice of doctors, but the reason of its necessity has been recognized in only a few cases. Moreover, side effects of drugs given have been advised by doctors mainly in only 30% of the patients. (4) Almost all patients have been examined regularly, but the necessity of such examinations hasn't been recognized in most cases. (5) The degree of recognition of self-control of general life was compared with every group classified according to the clinical staging by Durie et al. The results showed a significant difference (p<0.05) in three points: symptoms of pathological fractures, wearing of corsets and the necessity of taking enough water, furthermore the higher the stage became, the more the patients showed a tendency to put self-control of their general lives into practice.
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瀬戸, 正子 ; 神田, 清子 ; 神郡, 博
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application/pdf<br />Departmental Bulletin Paper
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