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看護とケアのジャーナル

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音量 1, 問題 2 (2012)

研究論文

Demand for Nursing Care from Elderly People Hospitalised at an Intensive Care Unit

Mariusz Wysokinski, Wieslaw Fidecki, Elzbieta Kowalska, Robert Slusarz, Irena Wronska, Kornelia Kędziora-Kornatowska and Lilla Walas

Background: The work aimed at assessing the demand for nursing care from elderly patients at ICUs, based on the TISS-28 scale.

Objective: The research was based on the patients’ classification method employing the TISS-28 scale.

Methods: The investigation involved 100 assessment sheets of elderly patients staying at a randomly selected ICU in Lublin from February to April 2010.

Results: Data analysis proved elderly patients’ TISS-28 scores were highest for basic activities- 9.31 (SD-2.14), however, lower scores were reported for respiratory therapy 3.45 (SD-1.89). A general TISS-28 assessment for the whole research cohort was 23.64. This means that patients should be provided with nursing care level of one nurse per two patients per shift.

Conclusions: The more advanced the patients’ age the lower the assessment of therapeutic interventions within the scope of basic activities and circulation therapy, but at the same time, the higher the assessment of respiratory therapy and other interventions.

研究論文

Hypertension Prevalence, Awareness, Treatment and Control in the Urban District of Wuhan, China: Implications for Community Nursing Practice

Li Sj, Sit Whj, Gong Jie, Wong Mye, Zheng Yl and Wong Thomas

Background: Hypertension is a significant public health challenge contributing to cardiovascular disease and stroke, and leads to premature mortality and disability both globally and locally.

Objective: To estimate the prevalence of hypertension and to determine the awareness, treatment and control of hypertension in an urban Chinese population.

Methods: A cross-sectional, quantitative survey design. A total of 1448 community residents were recruited from the SuiGuoHu district using a stratified random sampling strategy. Data were collected using self-report questionnaires and health examination.

Results: The prevalence of hypertension was 35.4%, significantly higher in women (40.8%) than in men (30.7%) (P<0.001). More than one third (37.9%) of those with hypertension were not compliant with prescribed medications, significantly higher among women (44.4%) than men (28.6%). Approximately 68% were aware, with women (75.6%) significantly higher than men (60.3%) (P<0.001). The treatment rates were 87.7% and women were less likely (46.7%) to have their blood pressure controlled than men (47.2%).

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