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330501 The Kitakanto medical journal >
Vol.61 (2011) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10087/6192

Title: Actual nursing practice by proficient nurses for elderly myocardial infarction patients and problems with self-care
Authors: Ito, Mayumi
Kamata, Hisako
Keywords: elderly person
myocardial infarction
social activity
proficient nurse
focus group interviews
Issue Date: 1-Aug-2011
Publisher: 北関東医学会
Citation: The Kitakanto medical journal. 61(3), 319-326, 2011
Abstract: Purpose : The study was conducted to ascert ain what was actually done for elderly myocardi al infarction (hereafter MI) patients by proficient nurses and to identify problems with selficare that they encountered in their daily nursing practice. Methods: A focus-group interview was carried out on proficient nurses in two hospitals. The interview was recorded and later transcribed for inductive qualitative analysis. Results : Content-wise problems with selficare that proficient nurses encountered in their nursing care were related to the issues of a low-salt diet, medication management, and activities, whereas method-wise problems were related to the issues of a decline in understanding and cognitive abilities, family functions, and continuity of nursing. The major place of nursing for patients was the hospital ward (treatment right after MI). Out of the features categorized into 1 5 extracted from my preceding study, the categories that were frequently confirmed by both groups were: "Patient!s anxiety about recurrence," "Reduction in the level and scope of activities," and "Observation of the process up to coronary angiography after leaving hospital." This study added three categories as to issues in continuous nursing. Conclusions : In order to cope with difficulties in supporting elderly patients who had selficare problems in a limited period of hospitalization, important were the continuity of nursing in the ward, the outpatient depart- ment and a hospital stay for examination, and coordination with people in other domains such as registered dieticians and pharmacists.
URI: http://hdl.handle.net/10087/6192
ISSN: 1343-2826
Appears in Collections:Vol.61 (2011)

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