Purpose
This study investigated the factors associated with Adverse Event Following Immunization (AEFI) for Coronavirus Disease 2019 (COVID-19) in selected areas in Indonesia.
Methods
We used a cross-sectional approach with a correlational research design; a total of 2,730 samples were collected using accidental sampling. The instrument was an online questionnaire. The AEFI questionnaire was a modified version of the survey instrument of the Ministry of Health, Republic of Indonesia. χ² and Fisher's exact tests were used for statistical analysis.
Results
The most common AEFI were pain at the injection site (81.2%), drowsiness (77.2%), hunger (77.0%), headache (70.3%), and weakness (58.4%). Bivariate testing revealed that gender, age, disease history, vaccine type, and anxiety had statistically significant relationships with the incidence of weakness, pain at the injection site, and headache (p<.050). Age and vaccine type were significantly related to the incidence of fever, swelling at the injection site, and hunger. Gender, vaccine type, and anxiety were found to have statistically significant relationships with the incidence of nausea. Vaccine type and anxiety were significantly related to vomiting.
Conclusion
The study found that gender, age, history of disease, vaccine type, and level of anxiety were associated with several adverse events following COVID-19 immunization. These findings provide data to nurses and other health workers to help them offer additional interventions to prevent or reduce adverse events in at-risk groups following COVID-19 vaccination.

Purpose
The purpose of this study was to determine the levels of medication adherence in patients with heart failure and explore the factors related to it.
Methods
Cross-sectional and descriptive surveys were conducted in 107 patients with heart failure who visited C Hospital in D City. Data were collected from patients using self-report questionnaires between May 2015 and November 2016, and their medical records were identified. Data were analyzed using independent t-test, one-way ANOVA, and correlation and hierarchical multiple regression analyses using SPSS.
Results
The mean score of medication adherence was 10.23±2.70. Patients with long-term adverse effects showed worse medication adherence than those without long-term adverse effects (t=2.55, p=.012). Medication adherence positively correlated with depression (r=.34, p=.001) and barriers (r=.48, p=.001) but negatively correlated with attitude (r=-.39, p=.001). The hierarchical multiple regression analysis showed that the model with two independent variables of long-term adverse effects (β=-.23, p=.008) and barriers (β=.37, p<.001) explained the 29.6% in medication adherence (F=11.93, p<.001).
Conclusion
To improve medication adherence, a nursing strategy to reduce long-term adverse effects and barriers accompanied by continuous monitoring is required.

Citations

• A predictive model for medication adherence in older adults with heart failure
  Eun Ha Oh, Chun-Ja Kim, Elizabeth A Schlenk
  European Journal of Cardiovascular Nursing.2024; 23(6): 635.     CrossRef
• One‐year trajectories of self‐care behaviours and unplanned hospital readmissions among patients with heart failure: A prospective longitudinal study
  Youn‐Jung Son, Insil Jang
  Journal of Clinical Nursing.2023; 32(17-18): 6427.     CrossRef
• The Role of Depression on Treatment Adherence in Patients with Heart Failure–a Systematic Review of the Literature
  Valentina Poletti, Francesco Pagnini, Paolo Banfi, Eleonora Volpato
  Current Cardiology Reports.2022; 24(12): 1995.     CrossRef

PURPOSE
The purpose of this study was to develop sleeve-type restraints and to compare the sleeve-type and conventional wrist restraints.
METHODS
Forty four pairs of intensive care unit (ICU) patients and their families participated in the experiment. The nurses applied sleeve-type restraints to the patients in the experimental group, and wrist restraints to the control group. The trained research assistant measured ROMs, skin temperature, edema, and skin lesions of both upper extremities (UEs) before, 24, 48, and 72 hours after the restraints applied. The emotional response of family was measured 72 hours after the restraints applied. Thirty one ICU nurses evaluated the efficiency of both types of restraints.
RESULTS
Compared to the control group, changes of ROMs, edema, and skin abrasions on both U/Es of the experimental group indicated a significant difference in physical side effects. The emotional response scores of the experimental group were significantly lower than those of the control group. The mean efficiency scores for the sleeve-type restraints were significantly higher than those for the wrist restraints.
CONCLUSION
The results indicate that the sleeve-type restraints are better than wrist restraints with respect to physical side effects, emotional responses of family members, and application efficiency.

Citations

• Factors Influencing Nursing Practice for Physical Restraints among Nurses in the Intensive Care Unit
  Da Eun Kim, Hye Sook Min
  Journal of Korean Critical Care Nursing.2022; 15(3): 62.     CrossRef
• Perceptions and Intention of Nurses in Using Physical Restraints for Dementia Patients in Geriatric Hospitals
  Hyunju Lee, Kye Ha Kim
  Journal of Korean Gerontological Nursing.2016; 18(3): 159.     CrossRef
• Development and Application of Glove Type Restraints for Elderly Patients in Nursing Care Facilities: A Pilot Study
  Kisook Kim, Nanju Park
  Journal of Korean Gerontological Nursing.2016; 18(3): 107.     CrossRef
• Families' Perception and Attitude toward Applied Physical Restraints in General Neurological Wards
  So-Yeon Ha, Yi-Kyung Ha, Myung-Hee Kim
  Journal of the Korea Academia-Industrial cooperation Society.2015; 16(5): 3293.     CrossRef