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Dissertations / Theses on the topic 'Cardiovascular system Nursing'
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Vanhook, Patricia M. "The Importance of Research in Stroke Centers." Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/7450.
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Vanhook, Patricia M. "State Stroke Systems of Care-Tennessee." Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/7449.
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Vanhook, Patricia M. "Cardiovascular and Stroke Education and Risk Factor Screening in the Rural Setting." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/7440.
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Echeverri, Rebecca Chloe. "Barriers to participation in cardiac rehabilitation a rural perspective /." Thesis, Montana State University, 2007. http://etd.lib.montana.edu/etd/2007/echeverri/EcheverriR0507.pdf.
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Glover, Jessica Colleen. "Coronary Vasospasm signs, symptoms, risk factors and management /." Montana State University, 2009. http://etd.lib.montana.edu/etd/2009/glover/GloverJ0509.pdf.
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Vanhook, Patricia M. "Reintegration and Rehabilitation of Women Stroke Survivors." Digital Commons @ East Tennessee State University, 2008. https://dc.etsu.edu/etsu-works/7443.
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Vanhook, Patricia M. "Resiliency of Appalachia Women Stroke Survivors: Measuring Comeback." Digital Commons @ East Tennessee State University, 2008. https://dc.etsu.edu/etsu-works/7444.
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Vanhook, Patricia M. "Northeast Tennessee Quest to Improve Stroke through Education." Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/7448.
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Yang, Wai-lam Caroline. "Exploring the expanded role of nurses in coronary care." Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B31973024.
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Vanhook, Patricia M. "Comeback of Appalachian Female Stroke Survivors: The Interrelationships of Cognition, Function, Self-Concept, Interpersonal, and Social Relationships." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/7437.
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Vanhook, Patricia M. "Are Stroke Media Campaigns Effective in Increasing 911 Calls? A Systematic Review of the Literature-A Process of Finding the Evidence." Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/7441.
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Vanhook, Patricia M. "Impact of Stroke on Rural Women." Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/7442.
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Vanhook, Patricia M. "Comeback of Appalachian Female Stroke Survivors: Interrelationships of Cognition, Function, Self-Concept, Personal and Interpersonal Relationships." Digital Commons @ East Tennessee State University, 2008. https://dc.etsu.edu/etsu-works/7445.
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Vanhook, Patricia M. "Comeback of Appalachian Female Stroke Survivors: Interrelationships of Cognition, Function, Self-Concept, Personal and Interpersonal Relationships." Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/7446.
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Smith, Kristin K. "A comparison of objective versus subjective recording of respiratory rates in adult medical cardiac patients." free to MU campus, to others for purchase, 1998. http://wwwlib.umi.com/cr/mo/fullcit?p1392396.
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Chao, Shir-Ley. "Relationships among patient characteristics, care processes, and outcomes for patients in coronary care units (CCUs)." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276836.
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The purpose of this research was to describe the relationships among patient characteristics, care processes, and care outcomes for patients in a coronary care unit (CCU). The sample consisted of 179 CCU patients. Data collectors reviewed charts and retrieved the chart information needed to measure the operational variables of APACHE II score (Acute Physiology and Chronic Health Evaluation II), years of age, CCU length of stay, nurse to patient ratio, and mortality. Descriptive statistics were used to analyze the demographic data of the patient characteristics. Correlational statistics were used to analyze the five operational variables in the "CCU Patient Outcomes Model." Pearson correlations revealed significant positive relationships between APACHE II score and age and nurse to patient ratio. Point Biserial correlations revealed significant positive relationships between mortality and APACHE II score and nurse to patient ratio. Patient characteristics were related to care processes. Patient characteristics and care processes were related to patient outcomes.
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Vanhook, Patricia M. "Appalachian Women Stroke Survivors: Defining Comeback, Eliminating Disparities in Health in Rural Appalachia." Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/7447.
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Currey, Judy A., and mikewood@deakin edu au. "Critical care nurses' haemodynamic decision making." Deakin University. School of Nursing, 2003. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20050728.094123.
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For cardiac surgical patients, the immediate 2-hour recovery period is distinguished by potentially life-threatening haemodynamic instability. To ensure optimum patient outcomes, nurses of varying levels of experience must make rapid and accurate decisions in response to episodes of haemodynamic instability. Decision complexity, nurses characteristics, and environmental characteristics, have each been found to influence nurses' decision making in some form. However, the effect of the interplay between these influences on decision outcomes has not been investigated. The aim of the research reported in this thesis was to explore variability in critical care nurses' haemodynamic decision making as a function of interplay between haemodynamic decision complexity, nurses' experience, and specific environmental characteristics by applying a naturalistic decision making design.
Thirty-eight nurses were observed recovering patients in the immediate 2-hour period after cardiac surgery. A follow-up semi-structured interview was conducted. A naturalistic decision making approach was used. An organising framework for the goals of therapy related to maintaining haemodynamic stability after cardiac surgery was developed to assist the observation and analysis of practice. The three goals of therapy were the optimisation of cardiovascular performance, the promotion of haemostasia, and the reestablishment of normothermia. The research was conducted in two phases. Phase One explored issues related to observation as method, and identified emergent themes. Phase Two incorporated findings of Phase 1, investigating the variability in nurses' haemodynamic decision making in relation to the three goals of therapy.
The findings showed that patients had a high acuity after cardiac surgery and suffered numerous episodes of haemodynamic instability during the immediate 2-hour recovery period. The quality of nurses' decision making in relation to the three goals of therapy was influenced by the experience of the nurse and social interactions with colleagues. Experienced nurses demonstrated decision making that reflected the ability to recognise subtle changes in haemodynamic cues, integrate complex combinations of cues, and respond rapidly to instability. The quality of inexperienced nurses' decision making varied according to the level and form of decision support as well as the
complexity of the task. When assistance was provided by nursing colleagues during the reception and recovery of patients, the characteristics of team decision making were observed. Team decision making in this context was categorised as either integrated or non integrated. Team decision making influenced nurses' emotions and actions and decision making practices. Findings revealed nurses' experience affected interactions with other team members and their perceptions of assuming responsibility for complex patients.
Interplay between decision complexity, nurses' experience, and the environment in which decisions were made influenced the quality of nurses' decision making and created an environment of team decision making, which, in turn, influenced nurses' emotional responses and practice outcomes. The observed variability in haemodynamic decision making has implications for nurse education, nursing practice, and system processes regarding patient allocation and clinical supervision.
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Sousa, Vanessa Emille Carvalho de. "AcurÃcia de indicadores clÃnicos do diagnÃstico de Enfermagem âDesobstruÃÃo ineficaz das vias aÃreasâ em pacientes no perÃodo pÃs-operatÃrio de cirurgias cardÃacas." Universidade Federal do CearÃ, 2010. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=5090.
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CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel SuperiorConselho Nacional de Desenvolvimento CientÃfico e TecnolÃgico
O uso de bons indicadores clÃnicos possibilita uma atribuiÃÃo mais adequada dos diagnÃsticos de enfermagem, contribuindo com a eficÃcia do plano de cuidados. A acurÃcia determina a relaÃÃo direta entre as caracterÃsticas definidoras e a presenÃa ou ausÃncia de um determinado diagnÃstico de enfermagem. A necessidade de pesquisas voltadas para a determinaÃÃo da acurÃcia diagnÃstica motivou o desenvolvimento do estudo, com o objetivo principal de analisar a acurÃcia de indicadores clÃnicos de âDesobstruÃÃo ineficaz de vias aÃreasâ (DIVA) em pacientes no pÃs-operatÃrio cardÃaco. Estudo transversal desenvolvido na unidade pÃs-operatÃria de um hospital especializado em cardiologia do municÃpio de Fortaleza-CE. Uma amostra de 98 pacientes foi selecionada consecutivamente e constituiu-se de indivÃduos de ambos os sexos, com idade acima de 18 anos e que se encontravam em pÃs-operatÃrio imediato (atà 48 horas). A coleta de dados foi realizada no perÃodo de janeiro a abril/2010, mediante a utilizaÃÃo de um formulÃrio, submetido a um teste piloto e aplicado por participantes de um projeto de pesquisa voltado para terminologias de enfermagem, apÃs treinamento e avaliaÃÃes. Foram contemplados os elementos que compÃem o diagnÃstico DIVA de acordo com a Taxonomia II da NANDA-I. ApÃs a coleta, os dados foram sintetizados no formato de casos clÃnicos e encaminhados para cinco peritas que executaram as inferÃncias diagnÃsticas. Foram utilizados os softwares Excel e PASW para organizaÃÃo e anÃlise estatÃstica dos dados. O nÃvel de significÃncia adotado foi de 5%. Verificou-se uma proporÃÃo equilibrada de homens e mulheres, predominÃncia de pessoas com baixa renda e baixa escolaridade, mÃdia de 55,89 anos de idade e vÃnculo de uniÃo estÃvel na amostra. Os diagnÃsticos mÃdicos mais prevalentes foram angina e coronariopatias, levando a uma maior incidÃncia de cirurgias reconstrutoras. A incidÃncia elevada de tabagismo mostrou-se como um elemento desfavorÃvel, repercutindo em prejuÃzos no processo de limpeza das vias aÃreas. A prevalÃncia de DIVA foi de 33,7%. Do total de 13 caracterÃsticas definidoras, somente 4 apresentaram associaÃÃes significativas com o diagnÃstico: âdispnÃiaâ, âtosse ausenteâ, âruÃdos adventÃcios respiratÃriosâ e âtosse ineficazâ, sendo as duas Ãltimas as mais acuradas. Os fatores relacionados tambÃm se mostram mais especÃficos do que sensÃveis, destacando-se: âasmaâ, âhiperplasiaâ, âalergia respiratÃriaâ e âinfecÃÃoâ, sendo os dois Ãltimos os mais acurados. Os fatores relacionados âtabagismoâ, âsecreÃÃes retidasâ e âmuco excessivoâ mostraram relaÃÃo de risco. As peculiaridades do perÃodo pÃs-operatÃrio e a alta incidÃncia de tabagismo foram apontadas como elementos que se relacionaram à incidÃncia dos indicadores clÃnicos. SugestÃes a respeito da modificaÃÃo da nomenclatura dos indicadores e da inclusÃo de um fator relacionado referente ao pÃs-operatÃrio foram contribuiÃÃes deixadas pelas peritas. Foi demonstrada a existÃncia de diferenÃas de especificidades e sensibilidades, as quais sÃo influenciadas pelas caracterÃsticas populacionais estudadas. Ressalta-se a necessidade de desenvolver estudos neste tema contemplando outras populaÃÃes. As variaÃÃes de concordÃncia entre as peritas foram atribuÃdas Ãs diferenÃas de interpretaÃÃo destas frente aos dados levantados. O estudo forneceu direÃÃo para a eficiÃncia do uso dos indicadores clÃnicos avaliados, contribuindo com o aprimoramento da acurÃcia diagnÃstica.
The use of good clinical indicators contributes to the assignment of nursing diagnoses making the care plan more effective. Accuracy determines the direct relationship between defining characteristics and the presence or absence of a specific nursing diagnose. The need for research focused on diagnosesâ accuracy motivated the development of this study, whose purpose is to examine the accuracy of clinical indicators of "Ineffective airway clearance" (IAC) in patients in post-operative period of cardiac surgeries. Cross-sectional study developed in the post-operative unit of a specialized hospital of Fortaleza-CE. A sample of 98 patients was selected consecutively and it was composed by individuals of both sexes, age above 18 years old and evaluated in the immediate post-operative (up to 48 hours). The data collection occurred within the period of January to April/2010 from a form, which had been subjected to a pilot test and applied by research project participants, focused on nursing terminologies, after training and evaluations. The components of the nursing diagnose IAC were evaluated according to the NANDA-I Taxonomy. Clinical cases were formulated after the data collection and five specialists performed the diagnostic inference. For the organization and statistical analysis of data collected, the software Excel and PASW were used. The level of significance adopted in the study was 5%. The proportion of men and women was equal in the sample, with predominance of people with low income and low scholarship, with average of 55.89 years old and living with a partner. The clinical diagnosis angina and coronary diseases were more prevalent, increasing the incidence of reconstructive surgeries in the sample. The high incidence of smoking was showed as a favorable factor for dysfunction in the process of airway clearance. The prevalence of ICA was 33.7%. Four of thirteen defining characteristics have significant associations with the studied diagnosis: "dyspnea", "absence of cough", "adventitious breath sounds" and "ineffective cough", and the last two were accurate. Some of related factors were more specific that sensitive: "asthma", "hyperplasia", "allergic airways" and "infection", and the last two were the most accurate. The related factors: "smoking", "retained secretions" and "excessive mucus" increased the risk for IAC. Peculiarities of post-operative period and the high incidence of smoking were identified as elements linked to the incidence of clinical indicators. Contributions left by specialists were suggestions concerning the modification of the nomenclature and the inclusion of a related factor for post-operative period. The study demonstrated the existence of difference in the specificities and sensitivities, which are influenced by population characteristics. The need of further studies development in other contexts was emphasized. Changes in the trial of the specialists were attributed to differences in their interpretations. The study gave us a direction towards the diagnostic efficiency for some clinical indicators contributing to improve the accuracy of these elements.
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Spencer, Jessye Davis. "Competencies needed for the beginning level coronary critical care nurse : a Delphi study /." Diss., This resource online, 1994. http://scholar.lib.vt.edu/theses/available/etd-06062008-163419/.
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Bardauskienė, Sandra. "Trumpalaikio badavimo įtaka širdies ir kraujagyslių sistemos funkciniams rodikliams." Doctoral thesis, Lithuanian Academic Libraries Network (LABT), 2012. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2012~D_20120918_143543-57198.
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Atlikti tyrimai, kuriuose nagrinėjamas mitybos apribojimo poveikis širdies ir kraujagyslių sistemai (ŠKS). Taip pat nagrinėjami kognityviniai pokyčiai bei funkcinių organizmo sistemų ir jas atspindinčių rodiklių pasikeitimai. Atliktas darbas papildė žinias apie trumpalaikio badavimo įtaką sveikiems asmenims, fiziškai aktyviems ir neaktyviems, taip pat turintiems viršsvorį bei normalų kūno svorį.
Tyrimui pasirinktas integralusis vertinimo modelis, leidžiantis įvertinti ŠKS funkcinę būklę sukuriant specialias sąlygas – badavimą. Ši naudojama mokslininkų metodika nusako tarpusavyje susijusias kelias pagrindines holistines organizmo sistemas, t.y. vykdomąją (V), aprūpinamąją (A) bei reguliuojamąją (R). Norėdami ištirti šių sistemų tarpusavio ryšius po trumpalaikio badavimo nagrinėjome dar mažai žinomas, tačiau įvairiuose darbuose fizinio krūvio metu nagrinėtas sąsajas. Po atlikto tyrimo stebėtos tarparametrinės sąsajos akivaizdžiai patvirtino, kad trumpalaikis badavimas žmogaus organizmą veikia teigiamai, didėja organizmo funkcionavimo kompleksiškumas, t.y. reaguojant vienai sistemai tuo pačiu metu ir adekvačiau sureaguoja ir kita sistema.
Širdies ir kraujagyslių sistemos tyrimų rezultatai po trumpalaikio badavimo įrodė, kad ramybės bei krūvio metu skirtingose grupėse ŠKS funkciniai rodikliai yra reikšmingai veikiami, sveikatos tausojimo kryptimi.
Taikant integraliojo vertinimo modelį atsiveria naujos erdvės tyrimams papildant žinias apie žmogaus organizmo reakcijas į... [toliau žr. visą tekstą]The studies that analysed the effects of nutrition limitation on the heart autonomic mechanism mostly focused on the changes of long-term fasting. The also examines changes in cognitive and functional systems of the body and are them of indicators reflecting changes. The study supplemented knowledge of the effect of short-term fasting on healthy, physically active and inactive individuals as well as overweight and individuals with normal body weight. The novelty of our study is that the integrated assessment model that allows to evaluate the CVS state under special conditions – fasting was chosen. This method used by researchers describes the basic body systems that are interrelated, i.e. executive (E), supplying (S) and regulatory (R). To investigate the relationships between these systems after short-term fasting, we analysed the associations during workload that were still little known but investigated in different studies. The test proved that associations observed between parameters showed that short-term fasting affected the human body in a complex way, response of one system triggered an immediate response of the other system. The study results of the cardiovascular system after short-term fasting proved that cardiovascular parameters at rest and during workload in different groups were affected by the direction of health preservation. Integrated assessment model opens new research fields that supplement knowledge of body‘s responses to altering conditions.
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Vaičiulytė, Odeta. "Šiaurietiškojo ėjimo poveikis jauno amžiaus merginų fizinei būklei." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2014. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2013~D_20140128_133248-82217.
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O. Vaičiulytė. Šiaurietiškojo ėjimo poveikis jauno amžiaus merginų fizinei būklei, magistro baigiamasis darbas/mokslinis vadovas Doc. dr. Laimonas Šiupšinskas; Lietuvos sveikatos mokslų universitetas, Slaugos fakultetas, Sporto institutas. – Kaunas, 2013, - 66 p.
Darbo tikslas: įvertinti trumpalaikį ir ilgalaikį šiaurietiškojo ėjimo poveikį jauno amžiaus merginų fizinei būklei.
Uždaviniai: 1) nustatyti trumpalaikį ir ilgalaikį šiaurietiškojo ėjimo poveikį tiriamųjų širdies ir kraujagyslių sistemos rodikliams ramybės metu ir po fizinio krūvio; 2) nustatyti trumpalaikį ir ilgalaikį šiaurietiškojo ėjimo poveikį tiriamųjų kvėpavimo sistemos funkcinei būklei; 3) įvertinti trumpalaikį poveikį tiriamųjų minėtoms sistemoms prieš ir po vieno šiaurietiškojo ėjimo užsiėmimo; 4) įvertinti tiriamųjų rodiklių pokyčius po septyniolikos šiaurietiškojo ėjimo užsiėmimų.
Tiriamieji ir metodika: tyrime ištirtos 85 (20,69±0,18 metai) Lietuvos sveikatos mokslų universiteto studentės. Tyrimas suskirstytas į dvi dalis – trumpalaikis tyrimas ir ilgalaikis tyrimas. Trumpalaikio tyrimo metu merginos turėjo sudalyvauti viename šiaurietiškojo ėjimo užsiėmime. Ilgalaikio tyrimo metu merginos turėjo du mėnesius du kartus per savaitę dalyvauti šiaurietiškojo ėjimo užsiėmimuose, jos taip pat buvo įtrauktos į trumpalaikį tyrimą. Prieš šiaurietiškojo ir po šiaurietiškojo ėjimo užsiėmimų buvo atliekami šie matavimai: širdies susitraukimų dažnis (ŠSD), arterinis kraujo spaudimas (AKS), forsuota gyvybinė... [toliau žr. visą tekstą]Vaiciulytė O. The effects of Nordic walking for physical capasity of young women, final work of master/ research supervisor Doc. PhD. Laimonas Siupsinskas; Lihuanian University of Health Sciences, the faculty of Nursing, Insitute of Sports. – Kaunas, 2013, - 66 p. The aim of the research: To evaluate the short-term and long-term effects of Nordic walking for physical capasity of young women. Objectives of the study: 1) To determine the short-term and long-term effects of Nordic walking for cardiovascular systems’ parameters at rest and after session. 2) To determine the short-term and long-term effects of Nordic Walking for respiratory system. 3) To assess the impact of short-term session measuring before and after Nordic walking for these systems. 4) To assess effect of seventeen sessions of Nordic walking. Research methods: We had 85 students from Lihuanian University of Health Sciences aged (20,69±0,18 metai) taking part in the research. The study was divided into two parts - short-term and long-term research. For short-term the women take part in one of Nordic Walking workshop. For long-term the women had to participate in Nordic walking sessions for two months twice a week; they were also included in the short-term group. Before and after Nordic walking sessions the following indices were measured: heart rate (HR), arterial blood pressure (BP), forced vital capacity (FVC), for long-term study we additionally involved measurements of strength of respiration muscle (PImax... [to full text]
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Farquharson, Barbara. "How people present symptoms of Acute Coronary Syndrome to health services : an analysis using the Commonsense Model of Self-Regulation." Thesis, University of Stirling, 2007. http://hdl.handle.net/1893/244.
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Acute Coronary Syndrome (ACS) is common and associated with high mortality. Effective treatments are available but require prompt administration. Studies have consistently demonstrated that delays to treatment are common, with patient decision time accounting for most delay. Interventions aimed at reducing delay have had little success. Evidence suggests that psychological factors, in particular illness representations (Leventhal’s Commonsense Model of Self-Regulation (CS-SRM)) might be important in relation to patient decision time. This thesis describes a two-stage investigation, undertaken within NHS 24, exploring the content and timing of people’s initial presentations with possible symptoms of ACS. The first stage comprised a CS-SRM-guided content analysis of peoples’ initial symptom presentations. The second stage utilised the Illness Perception Questionnaire-revised (IPQ-R) to explore how illness representations relate to patient decision time. Results show that the components of illness representations accounted for 95% of participants’ initial presentations. The components most related to behaviour and outcome were volunteered least (cause, consequences, cure/control and coherence). Decision time for most participants (89%) was out-with the ideal and appraisal time accounted for most of the delay. Appraisal delay was shorter for those with fewer symptoms and high emotion. Illness delay was longer where the person making the call reported high treatment control. Interventions may need to raise awareness of the range of possible presentations and of the consequences associated with delay. Interventions should also provide guidance as to an appropriate time-limit for self-care. Individuals may benefit from being informed about how to respond to strong emotional responses. Interventions aimed at bystanders may need to differ from those for patients. People at high risk of ACS should be informed about how and when to access healthcare out-of-hours.
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Marazienė, Agnė. "VIDUTINIO AMŽIAUS MOTERŲ ŠIRDIES IR KRAUJAGYSLIŲ SISTEMOS FUNKCINIŲ RODIKLIŲ ĮVERTINIMAS TAIKANT ŠIAURIETIŠKĄJĮ ĖJIMĄ." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2014. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2014~D_20140618_232658-00195.
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Darbo tikslas – įvertinti vidutinio amžiaus moterų širdies ir kraujagyslių sistemos funkcinius rodiklius taikant šiaurietiškąjį ėjimą.
Darbo uždaviniai: 1. Įvertinti ir palyginti tiriamųjų širdies ir kraujagyslių sistemos funkcinius rodiklius taikant įprastą ir šiaurietiškąjį ėjimą ramybėje prieš ir po fizinio krūvio. 2. Įvertinti ir palyginti tiriamųjų širdies ir kraujagyslių sistemos funkcinius rodiklius, registruotus įprasto ir šiaurietiškojo ėjimo metu. 3. Įvertinti tiriamųjų širdies ir kraujagyslių sistemos funkcinius rodiklius atsižvelgiant į šiaurietiškojo ėjimo patirtį, psichoemocinę būklę.
Tyrimo metodika: tyrime dalyvavo 27 vidutinio amžiaus moterys. Kiekvienos tiramosios širdies ir kraujagyslių sistemos funkciniai rodikliai buvo vertinami įpraso ir šiaurietiškojo ėjimo metu. Testavimo trukmė 40 minučių, iš kurių 5 minutes prieš ir po fizinio krūvio buvo ramiai sėdima, o 30 minučių buvo einama įprastu ar šiaurietišku ėjimu. Širdies ir kraujagyslių sistemos funkcinės būklės vertinimui buvo naudojama LSMU Kardiologijos institute sukurta kompiuterinė elektrokardiogramos analizės sistema „Kaunas–Krūvis. Mobiliam duomenų registravimui ir kaupimui tiriamajai buvo uždedamas ir įjungiamas duomenų registravimo modulis „Cardio Scout“.
Rezultatai ir išvados: 1. Nustatyta, kad tiek po įprasto, tiek po šiaurietiškojo ėjimo po penkių minučių ramybės sąlygomis fiksuotas arterinis kraujo spaudimas buvo mažesnis, o ST amplitudė didesnė lyginant su prieš krūvį stebėtomis reikšmėmis... [toliau žr. visą tekstą]Aim of the work: Evaluation of the cardiovascular system‘s functional parameters in middle-aged women when applying nordic walking. Objectives of the work: 1. Evaluation and comparison of the cardiovascular system‘s functional parameters in exploratory women when applying nordic and ordinary walking at rest, before and after physical load. 2. Evaluation and comparison of the cardiovascular system‘s functional parameters in exploratory women registered during nordic and ordinary walking. 3. Evaluation of the cardiovascular system‘s functional parameters in exploratory women taking into account their nordic walking experience and psychoemotional state. Methods: The cardiovascular system‘s functional parameters of each participant were evaluated by means of both nordic and ordinary walking. The evaluation lasted 40 minutes: participants sat 5 minutes before and after physical load and walked 30 minutes (nordic or ordinary walking). The data logging module “Cardio Scout” was applied to the collection and registration of data. For the evaluation of the cardiovascular system’s functional parameters the ECG registration and analysis system „Kaunas-load“ was used. Results and conclusion. 1. It was established that, after five minutes of ordinary and nordic walking,the arterial blood pressure mesured at rest was lower and the ST amplitude higher in comparison to the results obtained before physiocal load (p<0,05). After nordic walking, during recovery, the regulative system and the... [to full text]
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Ščevinskaitė, Živilė. "Širdies ir kraujagyslių sistemos greitosios ir lėtosios adaptacijos ypatybės sveikatą stiprinančiose pratybos taikant jėgos lavinimo pratimus ir šiaurietišką ėjimą." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2014. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2014~D_20140618_232624-12660.
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Darbo tikslas: nustatyti skirtingo pobūdžio sveikatą stiprinančių pratybų (jėgos lavinimo pratimų ir šiaurietiško ėjimo) poveikį širdies ir kraujagyslių sistemos greitosios ir lėtosios adaptacijos ypatybėms.
Darbo metodika: Darbą sudaro šeši skyriai: literatūros apžvalga, tyrimo organizavimas ir metodika, rezultatai, rezultatų aptarimas, praktinės rekomendacijos bei išvados. Tyrimo metodai: elektrokardiografija (EKG), arterinio kraujo spaudimo (AKS) matavimas, Rufje fizinio krūvio mėginys. Buvo atlikti du tyrimai: I tyrimo metu tirta greitosios adaptacijos poveikis širdies ir kraujagyslių sistemai. II tyrimo metu tirta šešių mėnesių trukmės pratybų sporto salėje ir šiaurietiško ėjimo pratybų įtaka širdies ir kraujagyslių sistemai. Tyrimų metu buvo vertinama širdies ir kraujagyslių sistemos funkcija atliekant Rufje fizinio krūvio mėginį. I tyrimo metu dalyvavo 10 tiriamųjų, kuriems buvo taikytas ir šiaurietiškas ėjimas ir pratybos sporto salėje. II tyrime dalyvavo 28 savanoriai, kurie buvo atsitiktine tvarka suskirstyti į dvi grupes. I-jai grupei buvo taikomas šiaurietiškas ėjimas, II-jai grupei buvo taikomos pratybos prie treniruoklių.
Tyrimo išvados: 1. Po pratybų, tiek sporto salėje, tiek po šiaurietiško ėjimo pratybų tiriamiesiems esant santykinės ramybės būsenoje registruojama reikšmingai padidėjęs širdies susitraukimų dažnis (ŠSD), padidėjusios elektrokardiogramos JT/RR santykio reikšmės, ir arterinio kraujo spaudimo rodikliai liudija apie pokrūvinę hipotenziją. Po... [toliau žr. visą tekstą]The aims of the thesis: to identify the properties of different kinds of health enhancing exercises on the cardiovascular system in fast and slow adaptation. Two studies were performed: Study I investigated quick adaptation effects on the cardiovascular system. Study II investigated the effects of six-month exercise at the gym and Nordic walking exercise on cardiovascular system. The studies were evaluated using the Ruffier exercise test. 10 volunteers participated in Study I; they were subjected to Nordic walking and exercise at the gym. Study II involved 28 volunteers who were randomly divided into two groups. Nordic walking was applied to Group I, while fitness exercises were applied to Group II. The findings of the study: 1. After the exercise and the gym, as well as after Nordic Walking exercise in subjects at rest significantly increased heart rates were recorded, also JT / RR ratio values increased , and arterial blood pressure indicators showed post-load hypotension. After the exercise it was observed that the stress transient ischemic functional effects in the myocardium were less expressed. 2. Comparing Nordic walking exercise effects with the effects of exercise at the gym during the sample load, less increased heart rate and systolic blood pressure were observed; significantly higher decrease in diastolic blood pressure, and significantly lower degree of short-term effects of functional ischemic myocardium were recorded. 3. Six-month health-enhancing exercises... [to full text]
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Yang, Wai-lam Caroline, and 楊慧藍. "Exploring the expanded role of nurses in coronary care." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31973024.
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Helgesson, Cecilia, and Marie Eriksson. "Omvårdnadsåtgärder för att förebygga återinsjuknande i hjärtinfarkt inom primärvården : systematisk litteraturstudie." Thesis, Högskolan i Gävle, Avdelningen för vårdvetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-36433.
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SAMMANFATTNING Bakgrund: Hjärtinfarkt är en av våra vanligaste folksjukdomar som drabbar den vuxna befolkningen och är en vanlig dödsorsak. Sjukdomen kan vara ärftligt betingad men är även en välfärdssjukdom, där det går att påverka riskfaktorer för att insjukna och återinsjukna i hjärtinfarkt. Syfte: Syftet var att beskriva sekundärpreventiva omvårdnadsåtgärder i primärvården för att förebygga återinsjuknande i hjärtinfarkt hos vuxna. Metod: En litteraturstudie med strukturerad systematisk sökstrategi som är baserad på 12 stycken kvantitativa vetenskapliga artiklar med experimentell design. Sökningen gjordes i databasen PubMed. Kvalitetsgranskning skedde med hjälp av Joanna Briggs Checklist for Randomized control trials. Huvudresultat: De flesta studierna visade att interventioner i form av stöd och utbildning gav positiva effekter på återinsjuknande i hjärtinfarkt och patientrelaterade riskfaktorer. Genom interventioner kan de uppnå högre livskvalité, minskat återinsjuknande, hälsosammare liv med mindre stress, bättre motionsvanor, lägre BMI, minskat rökande, bättre följsamhet till läkemedelsanvändning och bättre egenvårdsförmåga. Interventionerna bestod av olika utbildningsprogram som sjuksköterskeledda egenvårdsprogram eller teoribaserade program, webbaserade fjärrutbildningar, telefonapplikationer, telefonuppföljningssamtal, handböcker, mail eller hemutbildningskit med informationsbroschyrer. Denna litteraturstudie visar att genom sekundärpreventiva omvårdnadsåtgärder så kan patienternas hälsa förbättras och de får högre livskvalité och mindre risk att återinsjukna i hjärtinfarkt. Genom att ge patienten information, utbildning och råd så kan sjuksköterskan vägleda och stödja patienterna att utveckla sin förmåga till egenvård. Detta stämmer överens med Orems teori om egenvårdsbalans. Slutsats: Utbildningsinsatser i någon form efter en hjärtinfarkt har visat ge goda effekter på patienters hälsa och minska risken för återinsjuknande. Nyckelord: förebyggande hälsovård, hjärtinfarkt, hälsofrämjande arbete, sekundär sjukdomsprevention.
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Malmrot, Gustav, and Erika Ulver. "Ett sviktande hjärta : patientupplevelser av att leva med en kronisk hjärtsvikt." Thesis, Högskolan i Skövde, Institutionen för vård och natur, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-3996.
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As the occurrence of obesity increases amongst young people, so increases the risk of more people suffering from heart failure as early as during middle age. The aim is to describe the life experiences of middle aged persons living with chronic heart failure. The literature study is based on twelve published, qualitative, and scientifically proved articles derived from MedLine and Cinahl using queries representing the subject, as well as from manual searching in ScienceDirect and LIBRIS. These articles have been analyzed from a life world perspective. Four main themes and four sub themes were identified from the articles' results. The main themes are "The social life", "Quality of life", "Body failing", and "the Economical impact of chronic heart failure". These represent the main areas where the patients feel the greatest loss due to their condition. The discussion reveals the importance of informing the patients of the common prevalence of the feelings described in this study. Also, the nurse should function as a coach for self-care with continuous follow-ups. The result of this study will hopefully increase the understanding of the heart diseased patients' life situations.I takt med att förekomsten av kraftig övervikt ökar bland unga, ökar även risken för att fler personer drabbas av hjärtsvikt redan i medelåldern. Syftet är att utifrån befintlig forskning beskriva medelålders personers upplevelser av hur det är att leva med kronisk hjärtsvikt. Litteraturstudien baseras på 12 publicerade, kvalitativa och vetenskapliga artiklar efter sökning i MedLine och Cinahl med specifika sökord som representerade ämnet. Manuella sökningar utfördes i ScienceDirect och LIBRIS. Artiklarna har analyserats utifrån ett livsvärldsperspektiv. Ur artiklarnas resultat identifierades fyra teman och sex subteman. Huvudteman är ”Det sociala livet”, ”Livskvalitet”, ”Kroppen sviker” och ”Ekonomiska aspekter”. Huvudteman skildrar patienternas upplevdelser av att leva med kronisk hjärtsvikt. I diskussionen framkommer att det är viktigt för en patient med kronisk hjärtsvikt att få bekräftat att upplevda känslor är vanligt förekommande. Vidare bör sjuksköterskan fungera som en vägledare för egenvård med kontinuerliga uppföljningar. Förhoppningen är att resultatet från denna studie ska öka förståelsen för hjärtsjuka patienter inom ramen för hälso- och sjukvård.
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Gusdal, Annelie K. "Family caregiving for persons with heart failure : Perspectives of family caregivers, persons with heart failure and registered nurses." Doctoral thesis, Mälardalens högskola, Hälsa och välfärd, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-35194.
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Heart failure is a growing public health problem associated with significant morbidity and mortality. Family support positively affects outcomes for the person with heart failure while also leading to caregiver burden. Registered nurses have a key role in supporting and meeting the needs of family caregivers. The overall aim was to explore the situation and needs of family caregivers to a person with heart failure, and explore requisites and ways of supporting and involving family caregivers in heart failure nursing care. Two interview studies, one web survey study and one intervention study were conducted between 2012 and 2017. A total of 22 family caregivers, eight persons with heart failure and 331 registered nurses participated in the studies. Family caregivers' daily life was characterized by worry, uncertainty and relational incongruence but salutogenic behaviours restored new strength and motivation to care. Family caregivers experienced that their caregiving was taken for granted by health care professionals. Family caregivers expressed a need for a permanent health care contact and more involvement in the planning and implementation of their near one’s health care together with health care professionals. Registered nurses acknowledged family caregivers’ burden, lack of knowledge and relational incongruence. A registered nurse was suggested as a permanent health care contact to improve continuity and security. Registered nurses neither acknowledged family caregivers as a resource nor their need for involvement. Registered nurses working in primary health care centres, in nurse-led heart failure clinics, with district nurse specialization, with education in cardiac nursing care held the most supportive attitudes toward family involvement in heart failure nursing care. Family health conversations via telephone in nurse-led heart failure clinics were found to successfully support and involve families. The conversations enhanced nurse-family relationship and relations within the family. They also provided registered nurses with new, relevant knowledge and understanding about the family as a whole. Family health conversations via telephone were feasible to both families and registered nurses, although fewer and shorter conversations were preferred by registered nurses. This thesis highlights the divergence between family caregivers’ experiences and needs, and registered nurses’ perceptions about family caregivers’ situation and attitudes toward the importance of family involvement. It adds to the knowledge on the importance to acknowledge family caregivers as a resource and to support and involve them in heart failure nursing care. One feasible and successful way is to conduct Family health conversations via telephone in nurse-led heart failure clinics.
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Li, Yuqiu. "Packaging multiple interventions in a wellness clinic to promote cardiovascular wellness in Soshanguve." 2012. http://encore.tut.ac.za/iii/cpro/DigitalItemViewPage.external?sp=1000749.
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D. Tech. NursingCardiovascular disease is the most common and yet one of the most preventable causes of death in the world. Risk factors for cardiovascular disease are numerous and well known. These risk factors are amongst others, hypertension, diabetes, physical inactivity, obesity, smoking and behaviour patterns. The intention of the study was to use the concept of a wellness clinic to promote cardiovascular wellness in the community. Packaging multiple interventions in a single visit would enable the research team to identify risk factors and educate the person regarding their own risk factors. The objectives of the study were to determine the prevalence of risk factors for cardiovascular disease in Soshanguve, determine personnel time and direct cost for promoting cardiovascular wellness taking into consideration screening, diagnostic testing and teaching including time, travel and personnel; and develop the optimal package of cardiovascular wellness interventions as determined by a binary Integer Programming model that maximizes cardiovascular wellness subject to constrains of shortage of funds and human resources in a resource poor setting.
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Burek, Karen. "Background and significance sections of a research proposal entitled "A prospective study of noise effects on cardiovascular and stress-related illness" submitted to General Motors : a report submitted in partial fulfillment ... for the degree of Master of Science, Community Health Nursing ... /." 1996. http://catalog.hathitrust.org/api/volumes/oclc/68799598.html.
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Ndhlovu, Florence. "Job strain and cardiovascular disease among blue collar workers a research project submitted in partial fulfillment ... for the degree of Master of Science, Community Health Nursing ... /." 1996. http://catalog.hathitrust.org/api/volumes/oclc/68798788.html.
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Anderson, Norma R. "Application of the nurse coach model in a community heart health and wellness center." 2010. http://worldcat.org/oclc/645513311/viewonline.
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Van, der Bergh Deonni Pamela. "Oriënteringsprogram vir verpleegkundiges in 'n kardiotoraks intensiewesorgeenheid." Thesis, 2012. http://hdl.handle.net/10210/6685.
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M.Cur.The cardiothoracic intensive care unit is a dynamic environment which is characterised by a high patient turnover, staff shortages, medication, doctor's and nursing protocols and specialised nursing skills are required of the registered nurse. The registered nurse working in this environment is an independent practitioner and is accountable for her acts and omissions. The registered nurse can only accept accountability if she/he has the ability (knowledge, skills and values), the responsibility and authority to carry out the actions (Bergman, 1982:8). The learner enters the cardiothoracic intensive care unit as part of the clinical teaching she receives at a specific university. Due to staff shortages, the learner is often given the responsibility and authority to carry out actions for which she is accountable, without having the ability (knowledge, skills and values) to act. She may, therefore, not be able to nurse the patient safely and effectively. The unit manager is responsible for creating a learning climate in the unit and utilises an orientation programme to create this climate. An orientation programme introduces new staff members to the philosophy, goals and procedures necessary to work in a particular setting (Brookfield, 1986:64). The adult learner wants to learn that which is task- and problem-orientated in a selfdirective, independent way ida climate that is conducive to learning. The question arises: What must the content of an orientation programme for a certain cardiothoracic intensive care unit of a specific private hospital be and how must it be managed to facilitate safe and effective nursing by learners working in the cardiothoracic intensive care unit? The objective of the study is to explore and describe the content and management of an orientation programme for a specific cardiothoracic intensive care unit in a specific private hospital. A qualitative, exploratory and descriptive contextual study was conducted to explore and describe the content and management of the orientation programme. A contextual framework is described and focus group interviews were conducted with learners and registered nurses. From the results of the conceptual framework and focus group interviews, the content and manageent of the orientation programme was described. Due to the function perspective of the study, an orientatio nprogramme was developed from the results of the study.
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Coetzee, Isabella Maria. "'n Uitkomsgebaseerde leerbegeleidingsbenadering vir die preseptor in intensiewesorg eenhede." Thesis, 2011. http://hdl.handle.net/10210/4061.
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M.Cur.From out the researchers experience of the critical care nursing practice, a need for clinical learning outcomes was identified. There are no listed guidelines or outcomes of what the critical care learner should be able to do at the end of the program, to function as a competent critical care-nursing practitioner. From the above mentioned problemstatement the following question were asked namely: Which knowledge's, skills, attitudes and values do the critical care learner need to function as a compatend critical care nursing practitioner? The main aim of this study was to compile a manual with clinical learning outcomes for the following disciplines within the critical care practice + Cardiology and cardio-thorasic surgery + General surgery and Pulmonary + Neuro-surgery and trauma From out the constructivistic learning approach a contextual, qualitative and describing study was done.The first objective namely the formulation of clinical learning outcomes from out the literature was done by means of a extensive literature survey. The second and third objective of the study namely the formulation of clinical learning outcomes for the different disciplines within the critical care practices. And compiling a manual for the preceptor in the critical care practice was done simultaneously. The clinical learning outcomes was written directly into the format of a manual. Eighty questioners was handed out to critical care trained registered nurses. The data gathered from out the questioners was used in identifying learning outcomes. There are generic clinical learning outcomes, these outcomes are universal for al the disciplines within the critical care practice. Specific clinical learning outcomes where identified for • Coronary and thoracic surgery • Neuro-surgery and • Trauma Specific learning outcomes are outcomes that are only applicable within that specific discipline. If effective clinical guidance are facilitated by means of the clinical learning outcomes and the learner has reached al the outcomes, he/she should be able to function as a competend critical nursing practitioner.
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Seymore, Martha Magarieta. "Cost-effective delivery of managed nurse-based primary health care in a selected medical scheme." 2001. http://hdl.handle.net/10500/17720.
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The study was aimed at furthering the health objectives of the government's Reconstruction and
Development Programme (ANC 1994b) in the area of primary health care. .
The purpose of the study was to examine the possible reduction of medical scheme claims for
cardiovascular disease by means of primary health care, so that medical scheme benefits do not
become exhausted so rapidly.
The overall outcome of the study showed that if cardiovascular disease could be diagnosed and
treated early, the financial benefits could be substantial. This was illustrated by the comparison
of primary, secondary and tertiary treatment of cardiovascular disease using case studies over a
period of one year.
Recommendations centered around nurse-based primary health care for cardiovascular disease
and the cost-effective management of the medical scheme. It was concluded that as a result of
nurse-based primary health care, costs could be contained so that medical scheme benefits
would not become exhausted so rapidly.Health Studies
M.A. (Nursing Science)