看護とケアのジャーナル

Aims and Objectives: To determine the effects of the comprehensive care to the psychological status and the eyesight recovery of the patients with vitrectomy.
Background: Vitrectomy is a routine clinical practice which was widely used to treat multiple eye diseases. However, due to the anatomic location of the vitreous body and the operational risk, patients tend to develop psychological disorders, which would negatively affect the therapeutic effects.
Design: 84 cases of the patients who had the vitrectomy operation in our hospital during the period of February 2015 to February 2017 were randomly divided into control group (n=42) and experimental group (n=42). The control group accepted the routine care during and after the operation, and the experimental group accepted the comprehensive care in addition to routine care.
Methods: The effects of comprehensive care were evaluated by comparing the psychological status of the patients and the extent of the eyesight recovery between the two groups.
Results: Both the self-rating anxiety scale (SAS) and the self-rating depressive scale (SDS) of the experimental group are significantly (p<0.01) lower than the control group. The eyesight recovery efficiency in experimental group (92.86%) is significantly higher (p<0.05) than control group (76.19%). The incidence of postoperative complications in experimental group is significantly lower (p<0.05) than control group, and the average length of stay in hospitals in experimental group is significantly shorter (p<0.01) than control group.
Conclusions: There were significant beneficial effects of the comprehensive care in patients with vitrectomy. Comprehensive care could effectively improve the psychological statues of the patients and enhance their eyesight recovery. Relevance to clinical practice: Comprehensive care in patients underwent surgery improve patient’s recovery and make a difference in disease outcomes. This could potentially be applicable to most of the clinical practices.

Objective: Serious complications of stroke, one of the leading causes of morbidity and mortality in the United States can be mitigated if treated in a timely manner. Stroke outcome disparity in Vietnamese Americans (VAs) is attributable to pre-hospital delay. To increase acute stroke recognition and behavior intent to call Emergency Management Services (EMS) among VAs and their families, an evidence-based, culturally and linguisticallyappropriate educational intervention was pilot-tested.
Methods: A convenience sample of 38 Vietnamese-speaking adults recruited from a free community clinic participated in a one-hour educational session. Pre and post intervention surveys were administered to assess knowledge and intent.
Results: Differences in pre-test and post-test means were large for stroke knowledge (Cohen's D=2.39), associated emergency action (Cohen's D=2.57) and behavioral intent to call EMS (Cohen's D=0.94).
Conclusion: A linguistically and culturally appropriate community-based education intervention may be effective in increasing stroke recognition and behavior intent to call EMS among VAs.