by Tung Mui Yin. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1997. / Includes bibliographical references (leaves 109-125). / Questionnaire also in Chinese. / Acknowledgements --- p.i / Abstract --- p.ii-iii / Chapter Chapter 1. --- Introduction --- p.1 / Chapter Chapter 2. --- Literature Review / Trends in breastfeeding --- p.4 / Benefits of breastfeeding --- p.5 / Factors associated with the decision to breastfeed --- p.12 / Timing of decision to breastfeed --- p.20 / Factors influencing the maintenance of breastfeeding --- p.21 / Studies on evaluation of the effect of breastfeeding education program --- p.36 / Chapter Chapter 3. --- Methodology / Hypotheses --- p.43 / Operational definitions --- p.44 / Research design --- p.45 / Ethical approval --- p.45 / Sample --- p.45 / Randomization of the subjects --- p.47 / Data collection --- p.48 / Instruments --- p.49 / Intervention --- p.53 / Method of data analysis --- p.57 / Chapter Chapter 4. --- Results / Sample characteristics --- p.59 / Effect of intervention on the attitude towards and knowledge of breastfeeding --- p.63 / "Effect of intervention on the rate of intention, initiation and maintenance of breastfeeding" --- p.68 / Factors influencing the intention to breastfeed --- p.71 / Factors influencing the initiation and maintenance of breastfeeding --- p.75 / Hospital policy on breastfeeding and the reasons for early cessation of breastfeeding --- p.80 / Chapter Chapter 5. --- Discussion and Conclusions / Introduction --- p.84 / Limitations of the study --- p.84 / Effect of the antenatal breastfeeding education program on attitude towards and knowledge of breastfeeding --- p.90 / Effect of the antenatal breastfeeding education program on the intention and initiation of breastfeeding --- p.91 / Factors contributing to the success of the antenatal breastfeeding education program --- p.92 / Factors influencing the intention of breastfeeding --- p.94 / Effect of the antenatal breastfeeding education program on the maintenance of breastfeeding --- p.96 / Conclusion and implications for future breastfeeding promotion programs --- p.104 / References --- p.109 / Appendices / Chapter 1. --- Letter of ethical approval / Chapter 2. --- Letter of request for approval / Chapter 3. --- Consent form / Chapter 4. --- Questionnaire / Chapter 5. --- Teaching plan for the antenatal breastfeeding education program / Chapter 6. --- Summary of mean attitude scores for individual items / Chapter 7. --- Performance of women in knowledge towards breastfeeding scale

by Li Ho Cheung, William. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1999. / Includes bibliographical references (leaves 82-88). / Abstracts in English and Chinese. / Abstract --- p.ii / Acknowledgements --- p.vi / Table of Contents --- p.vii / List of Tables --- p.viii / List of Appendices --- p.x / Chapter Chapter 1 : --- Introduction and Literature Review --- p.1 / Chapter Chapter 2 : --- Method --- p.31 / Chapter Chapter 3 : --- Results --- p.48 / Chapter Chapter 4 : --- Discussion --- p.60 / Reference --- p.82 / Appendices --- p.89

The Limited English Proficiency (LEP) population in the United States requires interpreters in order to receive appropriate medical care. However, interpreters are not used consistently in clinical encounters. This study aims to identify the barriers that interfere with providing this service, as well as to propose some possible ways of overcoming these barriers. A systematic review of the literature was conducted using Medline, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and PsycINFO. Twenty articles that presented barriers to interpreter use were identified. These barriers referred to either professional interpreters or ad hoc interpreters, or were general barriers. The barriers to professional interpreter use most frequently identified related to cost. Most of the cost-related barrier citations were found in studies conducted in the U.S. The barriers to ad hoc interpreter use most frequently identified related to concern about the interpreters ability to interpret. I determined that appropriate provision of interpreters to the LEP community would require four elements: 1) The consistent use of professional interpreters, and the elimination of ad hoc interpreter use. 2) Research into the possible financial benefits that may arise from increased interpreter use, and how the cost of providing interpreters may be offset by the widespread benefits of using them. 3) Professionalization of interpreter services, with quality assurance and standardized training and evaluation of interpreters. 4) Increased education and training for patients and providers about the language services that are available and how to access them, and about how to work with an interpreter efficiently and effectively. One possible solution that would allow the implementation of all of the above elements is a national interpretation service.

Seeking cancer information is key in coping with the feelings (e.g., fear, uncertainty) and other challenges (e.g., treatment decision-making) confronting individuals diagnosed with cancer. Despite recognition of a variation in why, when, how, and where individuals diagnosed with cancer seek information, few efforts have been made to systematically document patterns in information-seeking. Aim: To explore individuals' patterns of health information-seeking behaviors (HIS B) including the type, amount, and sources ofinforn1ation and the strategies used to process and/or manage cancer information. / La recherche d'information sur Ie cancer est d'une importance determinante pour les personnes atteintes de cette maladie dans Ie contexte OU elles ont gerer des emotions intenses (p. ex. : peur, incertitude) et font face plusieurs defis (p. ex. : processus de decision relatif au traitement). Des variations concernant la recherche d'information par les individus diagnostiques avec un cancer ont ete observees et reconnues notamment en termes des raisons qui motivent la recherche d'information et des moyens utilises pour obtenir l'infomlation desiree. Cependant, a ce jour, peu d'efforts ont ete deployes pour documenter de maniere systematique les differents types de comportements de recherche d'information.

Thesis (Ph.D. in Clinical Science) -- University of Colorado at Denver and Health Sciences Center, 2006. / Typescript. Includes bibliographical references (leaves 69-74). Free to UCDHSC affiliates. Online version available via ProQuest Digital Dissertations;

Written for the School of Nursing, Faculty of Medicine. Includes bibliographical references.

Myocardial Infarction: A Study of the Effects On Patient Compliance of Structured Education and Participation of the Significant Other This study was designed to explore the effects of the independent variables of patient education and the significant other on compliance. The purpose of the study was to test three hypotheses predicting that subjects who receive structured education with their significant other would have higher compliance rates with health care recommendations than would subjects who receive structured and unstructured education without their significant other. The study was conducted with a convenience sample of 12 male patients who had a significant other and had not experienced a previous myocardial infarction within five years. The convenience sample was then randomly and equally allocated into three groups. The control group received unstructured education as currently practiced by nursing staff. One experimental group received structured education from the investigator and the other experimental group of subjects and their significant other received structured education from the investigator. Using a semi-structured interview guide, the investigator interviewed each subject at one month and at three to four months postdischarge from hospital to determine compliance rates with physical activity, dietary, and medication health care recommendations as prescribed by the subject's physician. Open-ended questions were used to determine recommendations and difficulties encountered by noncompliers. More specific questions were used to allow subjects to rate their compliance. Results were subjected to the Kruskal-Wallis rank-sum test with one-way analysis of variance. Statistically significant differences (p < .05) were not found suggesting that method of patient education was not a valid prediction of compliant behaviour. The insignificant findings of this study need to be interpreted with caution because of the small sample size and between group differences of the demographic variables of age and employment. From general observations of the total sample, personal definitions of health, simultaneous demands and the extent of behavioural changes required, and the demographic variables of education and employment appear to influence compliance. These findings suggest that individual differences have an impact on compliant behaviour. Findings also suggest that the significant others of patients with myocardial infarctions are actively involved with the therapeutic regimen prescribed for their mates. The study discusses implications and recommendations for nurse practitioners and researchers who wish to improve their care of myocardial infarction patients and their significant others. / Applied Science, Faculty of / Nursing, School of / Graduate

This experimental study was designed to determine the effectiveness of a structured preoperative teaching programme for the adult surgical patient as measured by several indicators. The major questions asked in this study were: What are the effects of a structured preoperative teaching programme upon the adult surgical patient's length of hospital stay, postoperative complications, number of analgesics administered postoperatively, recall of knowledge explained preoperatively, and satisfaction with his preoperative teaching. This study was conducted over a four month period, on one surgical ward of a large general hospital. A total of forty subjects met the criteria of the study, and their informed consent was obtained. The first twenty subjects were assigned to the control group, and received the unstructured, pre-existing preoperative instruction from the staff nurses. The second twenty subjects made up the experimental group and received structured preoperative teaching in small groups conducted by the investigator, with the aid of a slide-taped programme developed specifically for the study. Prior to discharge, each subject was given two questionnaires to complete, and data were collected by means of a patient profile sheet. The two groups of subjects were found to be similar when compared on selected characteristics. The alternative hypotheses of the study were analyzed by means of a t-test, and chi square test at the .05 level of significance. The results revealed no significant effect of the structured preoperative teaching programme upon the adult surgical patient's length of hospital stay, postoperative complications, number of analgesics administered postoperatively, or the degree of satisfaction attained from the preoperative teaching he received. However, statistical significance was found for the patient's ability to recall knowledge explained preoperatively. Implications of this study and recommendations for future research were also suggested. / Applied Science, Faculty of / Nursing, School of / Graduate

No description available.

Bakgrund: Hjärtsvikt är en allvarlig och vanligt förekommande sjukdom samt en av de vanligaste orsakerna till sjukhusinläggning. Hjärtsvikt bidrar till en försämrad hälsa och livskvalitet. Egenvårdsåtgärder har en betydande roll för att främja patientens hälsa samt för att förebygga försämring av tillståndet. Brister i egenvård hos patienten beror till stor del på okunskap om hjärtsvikt och egenvårdsåtgärder. Syfte: Att beskriva vilka effekter patientutbildning har på egenvård och livskvalité hos patienter med hjärtsvikt, syftet var även att beskriva de ingående artiklarnas datainsamlingsmetoder. Metod: En deskriptiv litteraturstudie där 12 vetenskapliga artiklar från databasen Pubmed har inkluderats för att kunna svara på syfte och frågeställningar. Artiklarnas resultat och metod har analyserats och sammanställts under 6 kategorier. Resultat: Patientutbildning har visat sig ha positiva effekter både på egenvård och livskvalité. Det kunde ses förbättringar gällande medicinhantering, följsamhet vid medicinering och andra egenvårdsåtgärder så som att följa salt- och vätskerestriktioner, flertalet av patienterna var även mer positiva till livsstilsförändringar. När det kom till livskvalité förbättrades det fysiska, psykiska och sociala måendet, det kunde i en studie kopplas till att patienterna upplevde en större kontroll över sin situation. Den datainsamlingsmetod som var mest förekommande i de ingående artiklarna var enkäter och frågeformulär. Slutsats:Patientutbildning har visat sig ha goda effekter på livskvalité och egenvård. Olika typer av insatser kan påverka livskvalité och egenvård på olika sätt. Kunskapen om hjärtsvikt ökar vid patientutbildning vilket kan påverka inställning och motivation hos patienter med hjärtsvikt, det innebär bättre förutsättningar vid medicinering samt egenvårdsinsatser vilket leder till en bättre hälsa och en ökad livskvalité. / Background: Heart failure is a serious and common disease and one of the most common causes of hospitalization. Heart failure contributes to a deteriorating health and quality of life. Self-care measures will contribute a large and significant role in promoting the health of the patient and to prevent worsening of the condition. The shortcomings in self-care of the patient depend largely on the lack of knowledge in heart failure and the self-care process. Aim: To describe the effects of patient education on self-care and quality of life in patients with heart failure, the aim was also to describe the data collection methods of the included articles. Method: A descriptive literature study of 12 scientific articles from the database PubMed has been included in order to respond to aim and questions. The articles results and methods have been analyzed and compiled under 6 categories. Result: Patient education has been shown to have positive effects both in terms of self-care and quality of life. Improvements could be seen regarding medication management, compliance in medication and other self-care measures so as to comply with salt and fluid restriction. The majority of patients were also more positive about lifestyle changes. When it came to quality of life, improvements could be seen in the physical, mental and social well-being. It could, in one study, be linked to the patients experiences of a greater control over their situation. The data collection method that was the most prevalent in the included articles were surveys and questionnaires.   Conclusion:Patient education has been shown to have positive effects on quality of life and self-care. Different types of actions can affect quality of life and self-care in different ways. Knowledge of heart failure increases with patient education, which can affect attitude and motivation in patients with heart failure, it means better conditions for medication and self-care actions leading to a better health and an improved quality of life.