| Bomi Kim | 2 Articles |
Purpose
This concept analysis was performed to clarify “stress in hemodialysis patients”. Methods: Walker and Avant’s methodology guided the analysis. In addition, the concept was compared with stress from other perspectives. Results: Stress in hemodialysis patients was defined in terms of “Physical”, “Psychological”, “Social ‧ Economic”, and “Behavioral” dimensions. Stress in hemodialysis patients is preceded by kidney failure, fear of treatment, and uncertainty about prognosis, after which there is often negative coping such as non-compliance with treatment, or positive coping such as maintaining the status quo, relying on medical staff, conforming to treatment, and self-management. Conclusion: It is necessary to develop a stress intervention program suitable for hemodialysis patients and a tool to identify the concept of stress in hemodialysis patients suitable for domestic situations, as well as conduct further research to identify its influencing factors. Citations Citations to this article as recorded by
Purpose
This study aimed to examine the effects of auricular acupressure on shoulder pain and shoulder joint Range of Motion (ROM) in older adults. Methods This is an experimental, single-blind, randomized study with a placebo-controlled approach. The participants were older adults with shoulder pain. Each group was assigned 27 participants. The experimental group received auricular acupressure on shoulder pain-related points and the placebo-control group received auricular acupressure on shoulder pain-unrelated points. The intervention was implemented for eight weeks. To validate the effects of the treatment, a Visual Analogue Scale (VAS), the Shoulder Pain and Disability Index (SPADI), Pressure Pain Thresholds (PPTs), and ROM were conducted. VAS was measured before and after every intervention. SPADI, PPTs, and ROM were measured at the beginning and end of every intervention. Results The VAS scores in the experimental group with auricular acupressure significantly decreased with time (p<.001) and SPADI scores also significantly decreased (p<.001) compared with the scores of the placebo-control group. The experimental group's PPTs for their upper trapezius, levator scapulae, and rhomboideus major increased significantly, compared to that of the placebo-control group. The experimental group's ROM of flexion, abduction, and external rotation increased significantly compared to the placebo-control group. but there were no significant differences in internal rotation. Conclusion Auricular acupressure, applied for eight weeks, was found to effectively reduce shoulder joint pain and shoulder ROM. Consequently, auricular acupressure can be used as a nursing intervention method to reduce joint pain and improve shoulder ROM in elders. Citations Citations to this article as recorded by
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