著者

Miyuki H Komachi Kiyoko Kamibeppu

出版者

Japan Society of Nursing Research

雑誌

Journal of International Nursing Research (ISSN:24363448)

巻号頁・発行日

vol.2, no.2, pp.e2022-0032, 2023-08-25 (Released:2023-08-25)

参考文献数

34

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Objective: Families of patients in the intensive care unit (ICU) often experience severe stress, and understanding their experience is important for maintaining family functioning. This study aimed to determine the characteristics and factors associated with family functioning in families of patients admitted to the ICU. Methods: This cross-sectional study recruited all family members (N = 144) of patients admitted to the ICU at two teaching and advanced treatment hospitals, 77 (53.5%) of whom completed a questionnaire. Family members provided the demographic and clinical characteristics of the patients and completed the Family Relation Index (FRI), the Impact of Event Scale-Revised, the Center for Epidemiologic Studies Depression Scale, the State-Trait Anxiety Inventory (STAI) Form X, the Connor-Davidson Resilience Scale (CD-RISC), and the Social Support Questionnaire. Results: Ten (13.0%) and 37 (48.1%) family members had the "hostile" and "sullen" family functioning type, respectively. Multiple regression analysis revealed the presence of a significant negative relationship between the FRI and the STAI-state (B = −0.057, β = −0.36; p =.001) that the participants had experienced a stressful event within the previous month (B = −1.201, β = −0.276, p =.009), and that the participants' CD-RISC scores were correlated with family functioning (B = 0.021, β = 0.176, p =.049). Moreover, this model explained 23.9% of the variance in total FRI scores with regard to family functioning. Conclusions: In total, 61% of the family members had poor family functioning and required support. Among the family members of patients in the ICU, anxiety was associated with poor family functioning, whereas resilience was associated with good family functioning.

著者

Ryutaro Kase Yuji L. Tanaka Ayumi Amemiya Hisayoshi Sugawara Masayoshi Saito Akari Oouchi Erina Matsushima Hiroko Yorozu Masatoshi Komiyama

出版者

Japan Society of Nursing Research

雑誌

Journal of International Nursing Research (ISSN:24363448)

巻号頁・発行日

vol.1, no.1, pp.e2021-0007, 2022-02-24 (Released:2022-02-24)

参考文献数

36

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Objective: Dehydration has a risk of reducing cognitive function, which can lead to misjudgment by nurses. Nurses are required to be in optimal physical and mental conditions since their misjudgments affect the lives of patients. Therefore, it is desirable to prevent dehydration in nurses; however, the prevalence and factors of dehydration in nurses have not been clarified. This study aimed to clarify dehydration prevalence in nurses and examine dehydration factors before and after their shift. Methods: Data were collected during the day shift of 115 registered nurses in 19 wards of 2 hospitals in Japan. Urine specific gravity (USG) and body weight were measured before and after the shift to determine dehydration. Questionnaires, including demographic characteristics and fluid intake, were recorded before and after their shift. Multivariate analysis was performed based on the fluid intake, number of steps, and years of experience as dehydration factors. Results: Overall, 59 (51.3%) and 82 (71.3%) nurses were dehydrated before and after their shift, respectively. USG before the shift (odds ratio [OR]: 2.328, 95% confidence interval [CI]: 1.424-3.807) and years of experience (OR: 0.946, 95% CI: 0.899-0.996) were factors related to dehydration at the end of the shift. USG before the shift (OR: 2.573, 95% CI: 1.347-4.914) was also a factor related to dehydration factors after the shift for beginner nurses. Conclusions: Over 70% of nurses were dehydrated after their shift. USG before the shift and years of experience were related to dehydration after the shift. To prevent dehydration, it is desirable for managers to encourage beginner nurses to drink water.