Nursing & health sciences
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Nursing & health sciences · Mar 2014
Comparative StudyPerceived breathlessness and psychological distress among patients with chronic obstructive pulmonary disease and their spouses.
The purpose of this study was to describe the impact of breathlessness on Jordanian patients with chronic obstructive pulmonary disease (COPD) and their spouses' perception of the patients' breathlessness. A cross-sectional, descriptive, correlational design was used with a sample of 67 Jordanian patients with COPD related breathlessness and their spouses. The Dyspnoea 12 Scale (D-12) and Hospital Anxiety and Depression Scale (HADS) were administered to both patients and spouses. ⋯ Both patients and spouses reported clinically significant levels of anxiety and depression. There was no statistical difference in total D-12 and HADS scores between COPD patients and their spouses. The finding of this study indicates the importance of healthcare providers in supporting both patients with breathlessness and their spouses and the need to develop family-centred services.
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Nursing & health sciences · Mar 2014
What we can learn about recovery: lessons from the Fukushima survivors.
Recovery from disaster can take a lifetime, and people looking in from outside might not appreciate the stages of recovery. Little talked about is the stigma, which might attach to the survivors of a disaster, especially if it is a man-made disaster. This paper documents the account of a Japanese nursing student who visited the area 18 months after the Great East Japan earthquake and tsunami, talked to the people there, and shared her reflections. The experiences of the Fukushima survivors are linked to those of victims of other disasters, whose recovery was impeded by being discriminated against and stigmatized.
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Nursing & health sciences · Sep 2013
Comparative StudyInformed decision making regarding antenatal screening for fetal abnormality in the United Kingdom: a qualitative study of parents and professionals.
The aim of this study was to explore the views of parents and health professionals regarding informed decision making for antenatal screening for Down syndrome. This qualitative study was based on thematic analysis and conducted in England, where screening for Down syndrome is universally offered to all pregnant women. Four focus groups were held with pregnant women and/or their partners (n = 22), and another four groups were held with health professionals who offer antenatal screening (n = 22). ⋯ Parents and professionals believed that burdening parents with untimely information on a wide range of topics in the first trimester detracted from decision making about screening. Many parents also reported they were not sufficiently informed and wanted individualized discussion with a health professional. To ensure parents make informed decisions, information on screening should be provided at the appropriate time, with opportunity for personal discussion with a knowledgeable health professional.
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Nursing & health sciences · Sep 2013
Translation and validation of the Japanese version of the Wijma Delivery Expectancy/Experience Questionnaire version A.
Severe antenatal fear of childbirth causes adverse effects on emotional well-being during the postpartum period. The Wijma Delivery Expectancy/Experience Questionnaire is widely used to measure fear of childbirth among women before (version A) and after (version B) delivery. In this study, the original Swedish version was translated into Japanese, and its validity and reliability were examined among healthy, pregnant Japanese women. ⋯ Exhibiting concurrent/convergent validity, the Japanese version correlated with other psychological measures at expected levels. The Cronbach's α (0.90) and the intraclass correlation coefficient (0.86, P < 0.001) were high. In conclusion, the results provide support for the Japanese version to be considered a valid and reliable measure of prenatal fear of childbirth among pregnant Japanese women.