The method to demonstrate the effectiveness of nursing skills in clinical settings

在临床环境中证明护理技能有效性的方法

• 批准号: 11672354
• 负责人: KAHARU Chie
• 金额: $ 0.96万
• 依托单位: St. Luke's College of Nursing
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1999
• 资助国家: 日本
• 起止时间: 1999 至 2000
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11672354/
• 关键词: nursing skills; effectiveness in clinical settings; footbath; skin temperature; skin core temperature; parasympathetic nervous system

This study attempted to formulate the effectiveness of nursing skills in clinical situations. I proposed the framework used an inductive reasoning method and I demonstrated whether it is reasonable to explain the effectiveness of nursing skills in clinical settings, or not. I used the following procedures in this study.1. I selected a footbath among nursing skills to promote sleep,2. I analysed articles described how sleepless cases got good sleeping and how a footbath influenced on physiological responses.3. I built up a hypothesis that a person who had a low foot skin temperature slept well more than a person who had a high skin temperature resulting from a footbath. And skin temperatures and parasympathetic nervous system were physiological indicators responding to a footbath.4. I conducted the quasi-experiment. Subjects were 18 healthy women with the consent of participations in this experiment and same subjects were member of the control group, too. I measured a foot and a hand skin temperature, a hand and a forehead core temperature, and electrocardiogram. It was found that law foot skin temperature subjects had higher hand skin core temperature, lower forehead core temperature than high foot skin temperature subjects after foot bathes. At the same time parasympathetic nervous system activities showed a tendency to increase for high foot skin temperature subjects. These results demonstrated that law foot temperature was a condition to apply a footbath in order to get good sleeping for a sleepless person.These results suggested that the framework used an inductive reasoning method would be useful to explain a condition to apply a nursing skill effectively in clinical settings.

本研究旨在探讨护理技能在临床应用中的有效性。我提出的框架使用归纳推理的方法，我证明了它是否是合理的，以解释在临床环境中的护理技能的有效性，或没有。我在这项研究中使用了以下程序。1.我在促进睡眠的护理技能中选择了洗脚，2.我分析了描述失眠患者如何获得良好睡眠以及洗脚如何影响生理反应的文章。我建立了一个假设，一个人谁有一个低的脚皮肤温度比一个人谁有一个高的皮肤温度导致洗脚睡得更好。皮肤温度和副交感神经系统是对足浴反应的生理指标.我进行了准实验。受试者为18名经本人同意参加本实验的健康女性，并设对照组。我测量了一只脚和一只手的皮肤温度，一只手和一个前额的核心温度，还有心电图。结果发现，足部皮肤温度低者洗足后手部皮肤核心温度高于足部皮肤温度高者，前额核心温度低于足部皮肤温度高者。同时，副交感神经系统的活动表现出增加的趋势，为高脚皮温科目。这些结果表明，法律脚温是一个条件，适用于足浴，以获得良好的睡眠，为失眠的人。这些结果表明，框架使用归纳推理方法将是有用的，以解释一个条件，有效地应用护理技能在临床设置。