PURPOSE
The purpose of this study was to describe and explore the adaptation process of patients with myelodysplastic syndrome (MDS).
METHODS
Using a grounded theory methodology, 15 interviews were performed with nine men and six women, 43-83 years of age, suffering from MDS. Data were analyzed using the constant comparative analysis method.
RESULTS
The core category emerged as “To do my best in uncertainty”. MDS patients engaged in three stages: Panic, Active fighting against illness, and Putting down/Adaptation phase. Causal conditions were unexpected cancer diagnosis, endless painful treatment, and uncertainty. Contextual conditions were physical deterioration and differences in recovery. The central phenomenon of the illness adaptation process among the patients with MDS was powerlessness at the dead end. Action/Interaction strategies included dependence on the constant medical care, physical energy conservation, mind control and environmental control. Intervening conditions were social support and desire to live. Consequences were hope for recovery and tug-of-war from repetition of exacerbation and recuperation.
CONCLUSION
When caring for these patients, it is important to identify needs, allow patients to express what they want at that moment and support them in maintaining a daily life.

PURPOSE
Perceptions of nurses regarding complementary and alternative therapies(CATs) acceptance illustrate how CATs can be applied in nursing practice and become the empirical basis for the expansion of nursing role. Purpose is to identify nurses' perception of CATs acceptance.
METHODS
A Q-methodological study, which allows for analysis of subjectivity of data, was used. A convenience P-sample was consisted of 36 nurses. Twenty-seven Q-statements were derived from a literature review and interviews with six nurses, and were then categorized on a normal distribution using a 9-point scale. The collected data were analyzed using the QUANAL PC Program.
RESULTS
Three types of perception regarding acceptance of CATs were identified among nurses. Type I was called the “cautious type”; Type II, the “positive acceptance type”; and Type III, the “considering reality type.” CONCLUSION: Along with further exploration of the scientific evidence of CATs, adequate nursing education, and finding ways to overcome the obstacles needed for acceptance of effective and empirically tested CATs into a nursing practice, the results of this study may help promoting application of CATs as a nursing practice.

Citations

• Complementary and alternative therapies (CAT) in academic programs and nursing practice: Is more education is needed?
  Sandra L. Siedlecki
  Complementary Therapies in Clinical Practice.2021; 43: 101327.     CrossRef

This study was done to determine the correlation between body image and depression among women with urinary incontinence. The ultimate goal was to contribute to the planning of nursing intervention towark the establishment of a positive body image and the prevention of depression in women with urinary incontinence. The data were collected from Jan. 10 to May. 30, 1998 from 98 adult women, who lived in Cheonan City, Korea. The insturments were Hendrickson's Stress Incontinence Scale, physical self-image items out of Fitts' Tennessee self concept Scale, Osgood's Semantic Differential Scale, and Zung's self-rating Depression Scale. The data were analyzed using the SAS computerized program and include percentage, t-test, ANOVA, and the Pearson correlation coefficient. The results of this study are summarized as follows, 1. It was reported that 61.2% of the subjects experienced urinary incontinence. The level of body image perceived by urinary incontinent women had a mean of 58.56(SD=7.02) ; women with urinary incontinence showed mild depression. 2. The level of depression and body image was not significantly different between the incontinent or continent. There were significant differences in depression levels according to the severity of urinary incontinence of the subjects. 3. Severity of urinary incontinence and body image was negatively correlated (r=-0.300, p<0.01) ; correlation between depression and body image was negative (r=-0.578, p<0.01). 4. There are significant differences in body image according to use of medication, itching, and sensitivity of the vagina. 5. There are significant differences in depression with discharges from the vagina, itching, and sensitivity of the vagina. In conclusion, as urinary incontinence in women proved mildly depressive, health care providers need to develop and provide nursing intervention for the urinary incontinent with the goal of helping clients establish a positive body image and prevent depression.