Abstract:
AIMS AND OBJECTIVES:To describe changes in cognitive function, as measured by the trail making test; to identify distinct patterns of change in cognitive function; and to examine predictors of change in cognitive function in people with severe chronic obstructive pulmonary disease. BACKGROUND:How cognitive function changes in people with chronic obstructive pulmonary disease and what factors influence those changes over time is not well known, despite the fact that it declines rapidly in this population and significantly impacts functional decline in healthy older adults. DESIGN:A secondary analysis and longitudinal study with a follow-up period of 3 years. METHODS:A data set from the National Emphysema Treatment Trial provided participant data. Patients with severe chronic obstructive pulmonary disease (n = 307) were recruited at a clinical site. Several demographic and clinical measures were assessed at baseline. Trail making test scores were measured at baseline, 1, 2 and 3 years. RESULTS:Cognitive function was stable for 3 years in people with chronic obstructive pulmonary disease. However, four distinct patterns of change in cognitive function were identified. Age, education, 6-min walk distance and cognitive impairment scores at baseline on the trail making test Part B were significant predictors of worsening cognitive function and below-average cognitive function over 3 years. CONCLUSIONS:These findings suggest that increasing exercise capacity improves cognitive function and delays deterioration of cognitive function in people with COPD. RELEVANCE TO CLINICAL PRACTICE:Understanding the trajectories of change in cognitive function and predictors of change in cognitive function over 3 years may enable health care providers to identify patients at greatest risk of developing mental deterioration and those who might benefit from interventions to improve cognitive function. Health care providers should periodically assess and frequently screen people with COPD for cognitive function.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Park SKdoi
10.1111/jocn.14285subject
Has Abstractpub_date
2018-04-01 00:00:00pages
1529-1542issue
7-8eissn
0962-1067issn
1365-2702journal_volume
27pub_type
杂志文章abstract:AIMS AND OBJECTIVES:Community awareness of the importance of hypercholesterolemia and the need for appropriate therapy is an important part of global efforts to reduce the population burden of cardiovascular disease. The aim of this study was to assess the knowledge and attitudes about cholesterol and to determine adhe...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02507.x
更新日期:2009-03-01 00:00:00
abstract::Sedation which is used for intubated patients may prolong mechanical ventilation by increasing the risk of complications. The aim of the study was to illuminate the specific terminology and unrecognized contextual factors which may influence nurses' and physicians' sedation practices. The main research questions were:...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2002.00725.x
更新日期:2002-11-01 00:00:00
abstract:AIM:To identify the factors associated with the resilience of school-aged children with atopic dermatitis. BACKGROUND:Atopic dermatitis, a common chronic skin condition in childhood with an increasing incidence rate, can impose many challenges to children and their families. DESIGN:Survey. METHODS:The participants w...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03750.x
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abstract:AIMS AND OBJECTIVES:To explore ambulance nurses' (ANs) experiences of non-conveying patients to alternate levels of care. BACKGROUND:Increases in ambulance utilisation and in the number of patients seeking ambulance care who do not require medical supervision or treatment during transport have led to increased nonconv...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To describe the safety incidents involving confused and forgetful older patients in a specialised care setting entered in the HaiPro reporting system. BACKGROUND:About 10% of patients experience a safety incident during hospitalisation, which causes or could cause them harm. The possibility of a sa...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12364
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journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
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更新日期:2020-05-01 00:00:00
abstract::Research and development work in health and social care are increasingly required to involve users at all stages of the research process yet there is scant empirical evidence to support the justification of this laudable aim. Evidence does suggest that at present efforts to achieve this are primarily tokenistic and th...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01162.x
更新日期:2005-03-01 00:00:00
abstract:UNLABELLED:aims and objective: To describe the current non-adherence behaviours of Taiwanese children with type 1 diabetes mellitus. BACKGROUND:Poor adherence to prescribed protocols of long-term therapies is a pervasive and costly problem in the care of children with chronic illnesses. Non-adherence to diabetes melli...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01541.x
更新日期:2007-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine nursing staff's perceptions about how often they provide interventions of emotional support and the level of competence needed on neurosurgical wards to support traumatic brain injury patients' family members. BACKGROUND:Traumatic brain injury in one individual affects the health of thei...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:2013-05-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13446
更新日期:2017-02-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02342.x
更新日期:2008-11-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14693
更新日期:2019-05-01 00:00:00
abstract::A cultural drama programme was designed for patients with dementia and was led by teachers trained in drama in education and storytelling. The focus was on dance, rhythm, song, storytelling and conversations. The aim of this study was to describe how a drama programme for patients with dementia and their caregivers wa...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2003.00801.x
更新日期:2003-11-01 00:00:00
abstract:BACKGROUND:Nurses are considered important healthcare professionals during the management of the pandemic process due to the considerable amount of time they spend in the face-to-face nursing of infected patients. To optimise the service of healthcare workers, it is recommended that the mental health needs of the healt...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15602
更新日期:2020-12-15 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03735.x
更新日期:2012-01-01 00:00:00
abstract:AIMS:The aim was to explore the prevalence of five components of metabolic syndrome with respect to gender and health-promoting lifestyle behaviours. BACKGROUND:Age- and gender-specific strategies might be useful as an approach to controlling metabolic syndrome. Prevention or delaying the onset of metabolic syndrome i...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03280.x
更新日期:2010-11-01 00:00:00
abstract::A recent randomized controlled trial evaluated the effects of specialist nurses providing information, advice and support to caregivers and patients at home during the first year after a stroke. Reported here are the results of a complementary study which used qualitative methods to examine the experience of patients ...
journal_title:Journal of clinical nursing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1046/j.1365-2702.2000.00411.x
更新日期:2000-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To determine the feasibility and utility of a thematic analysis approach to synthesising qualitative evidence about parental experiences in the neonatal intensive care unit. BACKGROUND:Admission of infants to the neonatal intensive care unit is usually an unexpected event for parents who can cause ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.13259
更新日期:2016-10-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12261
更新日期:2013-11-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01375.x
更新日期:2006-05-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12788
更新日期:2015-09-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15374
更新日期:2020-09-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03289.x
更新日期:2010-09-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01768.x
更新日期:2007-08-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2012.04269.x
更新日期:2013-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To compare the effects of music intervention with nursing presence and recorded music on blood volume pulse amplitude, the low/high frequency ratio component of heart rate variability, depression, anxiety and sleep quality in cancer patient caregivers; to compare the participants evaluation of these...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2702.2011.03916.x
更新日期:2012-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To compare the levels of self-care behaviour, social support and quality of life among type 2 diabetes mellitus patients who underwent three regimens: taking medicine, taking-medicine-while dieting and taking-medicine-while-dieting-with exercise. BACKGROUND:Diabetes treatment is a critical concern ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12123
更新日期:2013-07-01 00:00:00
abstract::Part 1 of this article discussed the process of evaluating patient satisfaction by means of unstructured, in-depth interviews. In this part, the content of interviews will be presented and the analytic domains derived from the research will be described. These are 'nursing', 'the hospital' and 'patients' concerns', an...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
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更新日期:1996-01-01 00:00:00
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journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2005.01202.x
更新日期:2005-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore staff reactions to residents' behaviour consisting in exposing their genitals in public, and to differentiate between what is perceived as common practice (what most staff do) and best practice (the best possible approach). BACKGROUND:The presence of inappropriate sexual behaviours (ISBs...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jocn.14952
更新日期:2019-10-01 00:00:00