Nursing Theory of the Future: Situation-Specific Theories
Nursing Theory of the Future: Situation-Specific Theories.
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Nursing Theory of the Future: Situation-Specific Theories
Article (PDF Available) in Pflege 24(6):345-7 · December 2011 with 2,311 Reads DOI: 10.1024/1012-5302/a000150 · Source: PubMedCite this publication
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- Use of Alternative Therapies in Patients With Asthma in Central New Jersey Data From a Pilot Survey Article
- Jun 2011
The objective was to investigate characteristics of patients using alternative therapies for asthma, reasons for its use and its association with conventional medicine use. Over a period of 14 months, 32 (18%) of 187 patients completing a survey reported using alternative therapies to treat asthma. The most common alternative therapy used was exercise/massage; the least popular was homeopathy. The highest users were women (59%), ages 41-50 (31%), White ethnicity (63%), higher education (56%), and higher annual household income (84%). The major reasons for usage were having more control of their health, personal beliefs, and concern over side effects of conventional medication. It is concluded that the rate of alternative therapy use in patients with asthma in central New Jersey was lower than in some other studies. It is important for physicians to take these therapies into account to develop a health care plan consistent with patients’ beliefs and expectations. View Show abstract
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- School-Based Intervention: Relaxation and Guided Imagery for Students With Asthma and Anxiety Disorder Article
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- Can J Sch Psychol
This school-based study analyzed the impact of RGI on lung functioning (forced expiratory volume in 1 s [FEV1] and forced expiratory flow 25-75 [FEF25-75]) and by employing a multiple baseline design across 3 high school students with asthma and clinically diagnosed anxiety disorders. The RGI intervention took place for a 20-min period, an average of three times per week, over a 4-week period. At the onset of the intervention, it was found that lung functioning, particularly FEV1 increased in all 3 participants, with effect sizes ranging from —.32 to —2.48. FEF25-75 improved in one of the participants. In addition, a positive impact was also seen in the lowering of anxiety scores across all 3 participants, with effect sizes ranging from .12 to 1.69. View Show abstract
- The effect of tape-recorded relaxation training on well-being, symptoms, and peak expiratory flow rate in adult asthmatics: A pilot study Article
- May 1999
- PSYCHOL HEALTH
Evidence indicates that psychological stress plays a role in precipitating and exacerbating asthma symptoms and suggests that relaxation techniques aimed at reducing stress and autonomic arousal leads to symptom reduction. This study explored the effect of a tape-recorded relaxation intervention on well-being (mood and stresson). asthma symptoms, and a measure of pulmonary function (PEFR). Twenty adult asthmatics were studied for 21 days in their natural environment using a multiple baseline design. Self-administered relaxation training (including both breathing exercises and muscle relaxation) led to decreased negative mood and stressor report. Reporting of asthma symptoms decreased over time, and PEFR was increased by relaxation training. Asthma medication use was unchanged. Results suggest that tape–recorded relaxation training positively impacts well-being, asthma symptoms. and PEFR in a naturalistic setting. Further study of the potential use of inexpensive tape-recorded interventions in chronic illness is warranted. View Show abstract
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- Effects of Biofeedback-Assisted Relaxation on Asthma Severity and Immune Function Article
- Jun 1996
- Pediatr Asthma Allergy Immunol
The purpose of this randomized controlled pilot study was to determine the effects of eight sessions of biofeedback-assisted relaxation training on asthma severity, respiratory function, and immunity. Twenty subjects, aged 12-22 years, with nonsteroid-dependent reactive airway disease participated, All subjects monitored symptoms and medication use throughout the study, Ten subjects were trained with relaxation techniques aided by biofeedback, and 10 subjects were controls. Results showed decreased asthma severity and decreased facial muscle tension in the experimental group but not in the control group, Improvements in asthma severity were correlated with decreases in facial muscle tension, No effects on pulmonary function were seen, Data on immune measures revealed significant decreases in immunoglobulins in both groups related to seasonal change, Increases in CD4 and CD8 lymphocyte counts were observed more frequently in the experimental group than in the controls, These findings, although limited by size of population, suggest that biofeedback-assisted relaxation training has potential for improvement of asthma severity and immune function in young asthmatics. View Show abstract
- Relaxation and guided imagery: A school-based intervention for children with asthma Article
- Nov 2003
- Psychol Schools
Asthma, a disease of the respiratory system, is the most common chronic medical condition among children. School-aged children with asthma evidence increased absenteeism, decreased school performance, restriction of various activities, poor peer relationships, and emotional and behavioral difficulties. Asthma can be triggered and exacerbated by emotions and stress, and therefore, it has been treated with psychological interventions. Relaxation and guided imagery (RGI), an intervention based on the theoretical position that the mind and body interact in determining health, has been shown to be effective in improving mental and physical health outcomes with a myriad of medical conditions, yet it has not been adequately studied with childhood asthma. This investigation analyzed the effect of RGI on lung function [forced expiratory volume in 1 second (FEV1) and forced expiratory flow 25–75 (FEF25–75)] and anxiety by employing a multiple baseline design across four middle school students with asthma. With the introduction of the intervention, it was found that FEV1 improved and anxiety decreased in all students. FEF25–75 improved in three of the four participants. The effect sizes for the four participants ranged from −0.98 to −1.88 for FEV1, 0.20 to −1.93 for FEF25–75, and 2.19 to 4.06 for anxiety. © 2003 Wiley Periodicals, Inc. Psychol Schs 40: 657–675, 2003. View Show abstract
- Knowledge and Use of Ethnomedical Treatments for Asthma Among Puerto Ricans in an Urban Community Article Full-text available
- Jan 2011
- ANN FAM MED
PURPOSE: Puerto Ricans have higher lifetime and current asthma prevalence than other racial and ethnic groups in the United States. A great many Hispanics use ethnomedical therapies for asthma. This study elicited participant knowledge of ethnomedical therapies, developed a typology of the therapies, and considered whether some types are used or deemed efficacious based, in part, on information source. METHODS: Eligible participants were randomly selected from the medical records of an inner-city primary care clinic serving a predominantly Hispanic community in Buffalo, New York. Thirty adult Puerto Ricans who had asthma or were caregivers of children with asthma were interviewed in person using a semistructured instrument. Qualitative data analysis followed a content-driven immersion-crystallization approach. Outcome measures were ethnomedical treatments for asthma known to participants, whether these treatments were used or perceived effective, and the participant’s information source about the treatment. RESULTS: Participants identifi ed 75 ethnomedical treatments for asthma. Behavioral strategies were significantly more likely to be used or perceived effective compared with ingested and topical remedies (P <.001). Among information sources for ingested and topical remedies, those recommended by community members were signifi cantly less likely to be used or perceived effective (P <.001) compared with other sources. CONCLUSIONS: This sample of Puerto Ricans with a regular source of medical care was signifi cantly more likely to use or perceive as effective behavioral strategies compared with ingested and topical remedies. Allopathic clinicians should ask Puerto Rican patients about their use of ethnomedical therapies for asthma to better understand their health beliefs and to integrate ethnomedical therapies with allopathic medicine. View Show abstract
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Nursing Theory of the Future: Situation-Specific Theories
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