[Show abstract][Hide abstract] ABSTRACT: AimTo examine the effects of a transtheoretical model–based exercise stage–matched intervention on exercise behaviour and quality of life in patients with coronary heart disease.Background
Exercise-based cardiac rehabilitation has been shown to be beneficial to quality of life for patients with coronary heart disease. However, patients' participation in rehabilitation programmes is poor. The transtheoretical model has been found to be an effective model for changing exercise behaviour in various populations; however, few studies have examined its effects on patients with coronary heart disease.DesignRandomized controlled trial.MethodsA total of 196 eligible patients were recruited from September 2009–January 2011 and randomly allocated to the control, ‘sham’ or experimental group. Outcome measures including exercise behaviour and quality of life were assessed at baseline, immediate postintervention and at 3- and 6-month follow-ups. The chi-square test and Kruskal–Wallis test were used to analyse data.ResultsFindings showed that, compared with the other two groups, patients in the Experimental group were more likely to be at the action and maintenance stages according to the exercise stages of change scale. They also showed longer moderate-intensity exercise duration as recorded by a logbook and significantly greater improvements in physical functioning, general health, vitality, social functioning, mental health, physical component summary and mental component summary of SF-36 after the 8-week intervention and up to 3- and 6-month follow-ups.Conclusion
The transtheoretical model–based exercise stage–matched intervention has positive effects on exercise behaviour and quality of life in patients with coronary heart disease.
No preview · Article · Jun 2014 · Journal of Advanced Nursing
[Show abstract][Hide abstract] ABSTRACT: AIM: The aim of this study was to examine whether caffeine abstinence in the evening could improve the sleep quality of those who habitually consume coffee. DESIGN: A double-blind control group design (caffeine and caffeine-free groups). SETTING: A university. SUBJECTS: A convenience sampling of 10 students (mean age 21.4years). METHODS: It was a 14-day experiment. For the first 7days, all participants consumed caffeinated coffee. In the following 7days, subjects consumed caffeinated or decaffeinated coffee according to their assigned group. MEASURES: Sleep-wake parameters, self-reported sleep quality and level of refreshment. RESULTS: There were no significant differences (p>.05) among the data of the two groups identified. No significant changes (p>.05) were found in the sleep quality of either group during the study. CONCLUSION: This study confirms that caffeine abstinence in the evening might not be helpful in sleep promotion. It highlights the need to implement evidence-based practice in health promotion.
No preview · Article · Dec 2012 · Applied nursing research: ANR
[Show abstract][Hide abstract] ABSTRACT: BACKGROUND: Although nursing students are at greater risk for needlestick injuries (NSIs) and sharps injuries (SIs) than staff nurses, there is a lack of research on NSIs and SIs in students, especially in different years of study. The purpose of this study was to identify the risk factors for and prevalence of NSIs and SIs among nursing students in different years of study. METHODS: This was a cross-sectional survey study using a questionnaire confirmed to be valid and reliable, with a content validity index of 0.96 and reliability index of 0.82. RESULTS: A total of 878 nursing students (response rate, 76.61%), participated in the study. NSIs/SIs, NSIs, and SIs were significantly increased by year of study (P < .001) in both the study period and 12-month prevalence. Four predictors for NSIs/SIs were final-year study (odds ratio [OR], 11.9; 95% confidence interval [CI], 3.9-36.7), perception of not receiving prevention training (OR, 2.8; 95% CI, 1.1-7.5), perception of not using a kidney dish to contain used needles and sharps (OR, 4.2; 95% CI, 1.7-10.3), and perception of not immediately discarding used needles and syringes into a sharps box (OR, 2.9; 95% CI, 1.2-7.4). CONCLUSIONS: Preclinical training, reinforcement of kidney dish use, immediate discarding of used needles, and adequate clinical supervision are essential elements in reducing the risk of NSIs and SIs.
No preview · Article · May 2012 · American journal of infection control
[Show abstract][Hide abstract] ABSTRACT: To explore the experiences of patients with coronary heart disease in China.
The morbidity and mortality rates of people with coronary heart disease have been growing rapidly in the past decades in China, yet little is known about the experiences of Chinese patients with the disease.
A qualitative descriptive study.
Face-to-face semi-structured interviews were employed in this study. Using a purposive sample, 11 participants who had been diagnosed with coronary heart disease for at least one month were recruited. A content analysis was used to identify themes.
Three themes were identified from the data: experiencing a life-threatening illness, strategies for adapting to living with coronary heart disease and help-seeking behaviour.
Chinese patients with coronary heart disease experienced the disease as a life-threatening illness related to chest pain. Chinese culture, values and beliefs influenced their adaptation strategies and help-seeking behaviour. Their misconceptions about coronary heart disease and the information needs for lifestyle changes were evident in this study. This study highlights the need for health education to support coronary heart disease patients in China.
The findings provide useful information for Chinese health professionals to develop interventions for Chinese patients with coronary heart disease.
No preview · Article · Dec 2011 · Journal of Clinical Nursing
[Show abstract][Hide abstract] ABSTRACT: Research has shown that nursing personnel are exposed to the serious risk of contracting bloodborne diseases from needlestick and sharps injuries (NSIs). Only a few studies have examined the problem among nursing students. In Hong Kong, there is an equal lack of research in this area.
A review of accident reports in one university was employed to determine the injury rate, causation, and epidemiological profile of NSIs. Descriptive statistics, prevalence, incidence density, cumulative incidence, and Fisher's exact test were used to analyze the data.
From January 2002 to December 2006, there were a total of 51 reported cases of NSIs (43 needlestick injuries and 8 sharps injuries). The annual prevalence of NSIs in four academic years from 2002-2003 to 2005-2006 ranged from 0.6 to 1.6 cases while the incidence rate was one new case per 100 nursing students per academic year. The cumulative incidence of NSIs for year-one, year-two and year-three students were 0, 0.03 and 0.004 respectively. The majority of needlestick injuries (n=25; 58.14%) were from contaminated needles. Procedures involved in the needlestick injuries were giving injection (n=22; 51.16%), collecting urine specimen (n=5; 11.63%), removal of urinary catheter (n=4; 9.30%), and checking blood glucose using glucometer (n=3; 6.98%). Giving injection (n=5; 62.50%) also accounted for the highest percentage of sharps injuries. Specific activities that were identified were opening the needle cap, opening ampoules, inserting the needle and mixing dirty and clean material in one kidney dish.
Results showed that nursing students are at high risk of occupational exposure to bloodborne pathogens because of NSIs. A hierarchy control involving engineering, administrative and personal behavioral activities is recommended to reduce the occurrence of NSIs among nursing students.
No preview · Article · Nov 2010 · Accident; analysis and prevention