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A Basic Study Investigating Evidences of Nursing Techniques

调查护理技术证据的基础研究

基本信息

批准号：
14370802
负责人：
FUKAI Kiyoko
金额：
$ 7.68万
依托单位：
Okayama University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2004
项目状态：
已结题

项目摘要

The purpose of this study was to investigate the evidences of nursing techniques, in order to promote a movement toward Evidence-Based Nursing. We performed several researches to require evidences in the field of cleanliness, infection control, recuperation environment, meal support, and pain management, and obtained the following conclusions.1)Immersing a hand in hot water at 39℃ for 10 min increased the skin temperatures of both hands, which were covered by dry towels, by more than one degree for at least 30 min even after the end of hand immersing.2)A hand applied medical cream after immersing hot water kept its humidity and other physiological functions of the hand skin.3)It is necessary to develop an educational program to make students wash hands habitually.4)The materials of bed sheets, which are lowly hygroscopic, could cause worse bed climate and bed sores.5)Loud human talking voice, at more than 70 dB, could increase unpleasant feeling and sympathetic nervous tension.6)Skipping meals caused not only fatigue symptoms but also psychological affects.7)Immersing a hand in hot water alleviated the pricking pain of the other hand.8)The sounds induced by nursing actions(SNA), especially long and loud ones, alleviated pain. Since SNA can cause transient stressful physical responses, nurses should explain about SNA before giving patient cares and be careful to avoid needless noises.9)Sweet and sour tastes out of the four basic tastes alleviated experimental pain.10)A hot compress at more than 38℃ can alleviate experimentally induced pricking pain.

本研究的目的是调查护理技术的证据，以促进循证护理的运动。我们进行了多项研究，在清洁度、感染控制、疗养环境、膳食支持和疼痛管理方面进行了需要证据的研究，得到了以下结论：1)将手在39℃的热水中浸泡10分钟，即使在手浸泡结束后，双手被干毛巾覆盖的皮肤温度也会增加1度以上，至少30分钟。2)手浸泡热水后涂上医用乳膏，保持手部皮肤的湿度和其他生理功能。3)有必要制定教育方案，让学生养成洗手的习惯。4)床单的材料，吸湿性低，5)超过70分贝的人大声说话会增加不愉快的感觉和交感神经紧张。6)不吃饭不仅会引起疲劳症状，还会对心理产生影响。7)将一只手浸入热水中可以缓解另一只手的刺痛。8)护理行动(SNA)引起的声音，特别是长时间和响亮的声音，可以缓解疼痛。由于SNA可以引起短暂的应激性生理反应，护士在护理病人之前应该对SNA进行解释，并注意避免不必要的噪音。9)四种基本口味中的甜味和酸味可以缓解实验疼痛。10)在38℃以上的热敷可以缓解实验诱导的刺痛。