The behavioral and psychological symptoms of dementia (BPSD), which appear in all dementia patients, demand sizable commitments of time and effort from nurses. This study aims to identify issues related to the workloads of nurses who provide care for dementia patients via qualitative meta-synthesis. Eleven articles were selected using a systematic review flowchart, which were then evaluated for their quality using the Critical Appraisal Skills Program checklist. Collected data were analyzed using a line-of-argument method. Theme clusters were “increased workload due to characteristics of dementia”, “increased mental stress”, “difficulty associated with playing a mediator role in addition to nursing duties”, and “lacking systematic support for dementia patient care”. To reduce the workload and mental stress of nurses in dementia care, supportive measures appropriate for their occupational characteristics should be developed, based on workload estimates that account for the attributes of dementia patients.
Approximately 180,000 cases of aphasia occur every year in the United States, with the estimated prevalence of approximately one in 250 people (National Institute on Deafness & Other Communication Disorders, 2015). Stroke is the main cause of aphasia; approximately 35%-40% of stroke patients are diagnosed with aphasia (Dickey et al., 2010). Stroke is one of the three major causes of death in South Korea (Statistics Korea, 2018). Its mortality rate has decreased significantly owing to the advancement of medical science. The number of stroke survivors have increased in Korea since the death rate has decreased by approximately 11.8% over the past decade (Statistics Korea, 2018). Reportedly, aphasia occurs in 28.8% of patients hospitalized with stroke in Korea (Chang et al., 2017).Patients with aphasia have difficulty communicating because of damage in the speech center of the cerebrum (Saldert et al., 2013). Approximately 13% of patients admitted to the hospital with stroke have difficulty in complaining of pain on their
This study aims to explore diabetes mellitus (DM) medication adherence and its associated factors in Laotians with type 2 DM by determining the relationships among DM-related characteristics, diabetes knowledge, self-efficacy, diabetes locus of control, and DM medication adherence. The participants of the study were 175 patients who visited the DM clinics in Vientiane. The mean score of medication adherence was 6.26 ± 1.57 ( M ± SD), corresponding to a medium adherence level. In the regression model, a total variance of medication adherence explained was 11.4%. Employment status, duration of illness, and self-efficacy were significant factors for predicting medication adherence. Self-efficacy was found to be the most important factor in explaining the variance of medication adherence. These findings indicate the need to develop an intervention program and clinical strategies in Laos promoting diabetic medication adherence that include diverse methods for enhancing self-efficacy.
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