Abstract:
:One hundred female patients undergoing major reconstructive plastic or gynaecological surgery were randomized to either receive subcutaneous patient-controlled analgesia (PCA) (bolus dose 2.5 mg diamorphine in 1 ml with a 20-minute lockout) or intravenous PCA (bolus dose 0.5 mg diamorphine in 1 ml with a 5-minute lockout). Data were collected by questionnaire and interview to evaluate the intervention on pain scores, quality of sleep on the first postoperative night, postoperative nausea and vomiting (PONV) and overall patient acceptability. The subcutaneous PCA group experienced less 'worse pain' (P < 0.01) and less sleep disturbance due to pain (P < 0.001). Subcutaneous PCA would appear to offer patients a safe and effective means of analgesia and may offer significant advantages over the intravenous route of administration.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Dawson L,Brockbank K,Carr EC,Barrett RFdoi
10.1046/j.1365-2648.1999.01161.xkeywords:
subject
Has Abstractpub_date
1999-10-01 00:00:00pages
875-81issue
4eissn
0309-2402issn
1365-2648pii
jan1161journal_volume
30pub_type
临床试验,杂志文章,随机对照试验abstract::the current definitions of caring in nursing education denote a mutual relationship between teachers and students in which they interact to provide an environment which supports the students' personal and professional development. The learning of caring in an interactional context is typical of the female experience. ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1995.22030600.x
更新日期:1995-09-01 00:00:00
abstract:AIM:The aim of this paper is to review the literature on what facilitates or inhibits continuing education in nursing and to identify ways to make continuing education more effective. BACKGROUND:[corrected] Healthcare professionals have always been encouraged to update their knowledge and maintain clinical competence....
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2006.03940.x
更新日期:2006-08-01 00:00:00
abstract:AIM:This paper reports a study comparing the content of talk about treatments by nurse practitioners and general practitioners in order to understand how this might be related to satisfaction. BACKGROUND:Studies show that satisfaction with nurse practitioner care is high when compared with that given by general practi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2006.03865.x
更新日期:2006-06-01 00:00:00
abstract:AIM:This paper is a report of a pilot study to identify women's perceptions of participation in a holistic intervention for postnatal depression. BACKGROUND:Approximately 10-15% of women suffer from postnatal depression following childbirth. Most programmes for women with postnatal depression include pharmaceutical in...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2008.04692.x
更新日期:2008-07-01 00:00:00
abstract::The attention to patient outcome has nowadays extended from morbidity and mortality to an aspect of patients' benefits in terms of quality of life. One factor crucial for quality of life is coping capacity, in this study represented by the sense of coherence concept. Physical status and emotional state (often measured...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01408.x
更新日期:2000-06-01 00:00:00
abstract:AIM:First to give a brief introduction to some dimensions of phenomenology as philosophy, and then to discuss some problems related to empirical research. The objectives of the discussion are: (1) to show what is involved in investigating changes in the life-world caused by illness and (2) to show what must be taken in...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2002.02340.x
更新日期:2002-10-01 00:00:00
abstract::The contexts of adherence for African Americans with high blood pressure African American men between the ages of 18 and 49 years have the lowest rates of awareness, treatment and control of high blood pressure (HBP) of all age/race/gender groups in the United States. A qualitative study was done to gain an understand...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01538.x
更新日期:2000-09-01 00:00:00
abstract:AIMS:To investigate the factors affecting the quality of life among adults with comorbid serious mental illness and chronic diseases. DESIGN:Descriptive, cross-sectional study design. METHODS:In total, 204 patients with serious mental illness were recruited from two hospitals. Self-reported data were collected using ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14663
更新日期:2020-11-24 00:00:00
abstract:AIMS:The aim of this study was to describe a study protocol that evaluates the effectiveness of the 'Home-but not Alone' educational programme delivered via a mobile health application in improving parenting outcomes. BACKGROUND:The development in mobile-based technology gives us the opportunity to develop an accessib...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13151
更新日期:2017-01-01 00:00:00
abstract:AIM:The aim of the study was to explore the menopausal symptom experience of White midlife women. BACKGROUND:Recent cross-cultural investigations have indicated important ethnic differences in menopausal symptoms and have challenged the universality of these symptoms. Currently available cultural knowledge on menopaus...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2008.04624.x
更新日期:2008-06-01 00:00:00
abstract:AIMS: To compare physical activity levels, body mass index, habitual diet, tobacco use and prevalence of non-communicable disease between the two ethnic groups and to identify predictors for differences between groups. BACKGROUND: Tobacco use, poor diet and physical inactivity are major lifestyle risk factors for ch...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.05948.x
更新日期:2012-11-01 00:00:00
abstract::This paper describes the setting up of an interdisciplinary tool to assess readiness for discharge of patients from hospital. The rationale behind the tool is discussed and the literature is reviewed for current perspectives of measurement in rehabilitation, the desirability of planning discharges of referrals and the...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1979.tb02984.x
更新日期:1979-01-01 00:00:00
abstract:AIMS:To develop a theoretically and psychometrically sound instrument to measure the 'dose' of person-centred care practice in long-term care. BACKGROUND:Although person-centred care has been adopted for long-term care across the world, there is a lack of theory-based instruments to measure its impact. Two questionnai...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14392
更新日期:2020-07-01 00:00:00
abstract::Improved management of HIV-related illness means that patients spend over 80% of their time in non-institutional settings. Most community-based health care in the United Kingdom is provided by primary health care teams: general practitioners and community nurses, with support from social workers. However, in many area...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1993.18040531.x
更新日期:1993-04-01 00:00:00
abstract:AIM:This paper is a report of a concept analysis of medication communication with a particular focus on how it applies to nursing. BACKGROUND:Medication communication is a vital component of patient safety, quality of care, and patient and family engagement. Nevertheless, this concept has been consistently taken-for-g...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2009.05225.x
更新日期:2010-04-01 00:00:00
abstract::This paper considers the issue of the quality of nursing care for frail elderly patients in continuing-care environments. The continued failure to raise the standards of such care is explored and potential explanations sought. It is argued that the application of models of nursing do not represent the best solution an...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1993.18081305.x
更新日期:1993-08-01 00:00:00
abstract::The clinical learning environment (CLE) is an interactive network of forces influencing student learning outcomes in the clinical setting. This study used mixed methods to identify factors characterizing students' perceptions of the CLE. The sample consisted of 229 undergraduate students in the second or third year of...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1997.19970251299.x
更新日期:1997-06-01 00:00:00
abstract::Waiting lists for coronary artery bypass surgery (CABS) are common in many developed countries. Yet, there is limited information available regarding patients' health care needs at this time. This paper reports on a prospective study which aimed to investigate the experience of waiting for CABS from a qualitative pers...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01595.x
更新日期:2000-11-01 00:00:00
abstract:BACKGROUND:The evidence for postnatal debriefing generally lacks clarification of what postnatal debriefing constitutes. This is true of the recommendation in the United Kingdom for midwives to undertake 'active postnatal debriefing' (Department of Health 1999). AIM:The study aimed to explore current practice and desc...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1046/j.1365-2648.2003.02687.x
更新日期:2003-07-01 00:00:00
abstract::Twenty-four family caregivers of bone marrow transplant (BMT) patients were interviewed to describe the burden of care and health outcomes (anxiety, depression, symptom distress and fatigue). A descriptive correlational research design with repeated measures was used. Data were collected in a conference room in the on...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1996.tb02926.x
更新日期:1996-11-01 00:00:00
abstract:AIM:The aim of this paper is to show how a framework of relational ethics may be used in establishing trusting relationships with at-risk families. BACKGROUND:Public health nurses have historically carried out assessment and monitoring of parenting within the family home, particularly with at-risk families. In this ro...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2005.03512.x
更新日期:2005-08-01 00:00:00
abstract:AIM:This study aims to evaluate the effects of a community-based program entitled 'Brain Vitality Enhancement (BRAVE)' on the cognitive function, physical and mental well-being of persons with mild cognitive impairment. STUDY DESIGN:This is a parallel wait list randomized controlled trial. METHODS:The BRAVE program c...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14175
更新日期:2019-12-01 00:00:00
abstract:AIM:To evaluate the impact of a new model for the detection and management of deteriorating patients on knowledge and confidence of nursing staff in an acute hospital. BACKGROUND:International evidence shows that clinical deterioration is not always recognized or acted on by nurses. The use of physiological track and ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.05986.x
更新日期:2013-01-01 00:00:00
abstract::Though standards for handwashing have been defined, little effort has been made to assess the quality of handwashing in clinical settings. This paper describes tests of reliability and validity of tools to evaluate two aspects of handwashing--appropriateness and technique. Based on these tests, methods to evaluate han...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1985.tb00546.x
更新日期:1985-11-01 00:00:00
abstract:AIMS:We explore home care nurse decision-making about the need for and amount of service by clients and families at the end of life. We identify factors nurses refer to when describing these decisions, situated within contextual features of nursing practice. BACKGROUND:Home care nurses are often responsible for decisi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05491.x
更新日期:2011-02-01 00:00:00
abstract:AIM:To examine the effect of a self-help psychoeducation program for people with coronary heart disease in Singapore. BACKGROUND:Cardiac rehabilitation has shown benefits for mitigating many cardiac risk factors and can lead to improvement in health-related quality of life and psychological well-being in people with h...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jan.13793
更新日期:2018-10-01 00:00:00
abstract:AIM:To report the first large-scale realistic nurse-led implementation, optimization and evaluation of a complex children's continuing-care policy. BACKGROUND:Health policies are increasingly complex, involve multiple Government departments and frequently fail to translate into better patient outcomes. Realist methods...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12169
更新日期:2014-01-01 00:00:00
abstract:AIM:The aim of this study was to examine the decision-making of nursing students during team based simulations on patient deterioration to determine the sources of information, the types of decisions made and the influences underpinning their decisions. BACKGROUND:Missed, misinterpreted or mismanaged physiological sig...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13009
更新日期:2016-10-01 00:00:00
abstract:AIMS:The aim of this study was to ascertain if patients with breast cancer who have positive attachment models of 'self' and 'other' perceive higher levels of support from nurses than do patients with negative attachment models. BACKGROUND:Attachment models of 'self' and 'other' develop in childhood and affect relatio...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12693
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:The Nursing Outcomes Classification (NOC), second edition, consists of 260 patient outcomes with definitions. This has been translated into five languages, but has not been clinically validated outside the United States of America (USA). AIM:The aim of this paper is to describe the translation of the labels...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.02989.x
更新日期:2004-05-01 00:00:00