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Biomedical subjects

A McGrory

Publications and source records attributed to A McGrory.

11 recordsLinked to original sources
PubMed1998

Finding a nursing role in the prevention of eye injuries in the construction trades.

Construction workers have mostly preventable eye injuries. This pilot study investigated a convenience sample of 75 (72 men, 3 women) apprentice operating engineers. Most (52%) of the apprentices had been injured twice on the job. Injury was associated with age and longevity in the construction industry. There were no significant differences in health perceptions as measured by the Health Self-determinism Index when the safety glasses wearers were compared with non wearers of safety glasses (t[52] = -.94, P > .05) and the injured group was compared with the noninjured group (t[62] = -.38, P > .05). Literacy issues, recall, and underreporting of injuries may have affected the results. Nurses need to teach health promotion strategies to operating engineers.

Accidents, Occupational↗
PubMed1997

A comparison of polydipsia prevalence among chronic psychiatric patients using three measurement approaches.

Many previous prevalence studies of polydipsia (PD) have utilized single and often non-biologic measures. In this study we estimated prevalence using specific gravity of urine (SPGU), normalized diurnal weight gain (NDWG), and staff identification (staff ID). Agreement between these two biologic and one behavioral measure was assessed. A total of 572 psychiatric inpatients were assessed for SPGU and NDWG. Unit staff were asked to identify PD patients. Positive and negative PD groups were formed separately based on the SPGU, NDWG, and staff ID data. All three measures were collected on the same day. Prevalence data for the biologic measures varied. The estimate for PD by SPGU (< 1.009 cutoff) was higher (43.4% of sample) than that of NDWG (> 2.5%; 25.4%) or staff ID (21.4%). These prevalence rates did not change substantially after exclusion of medical causes of polyuria. Agreement, assessed by the kappa statistic, was uniformly low among the measures. Weak association between the measures reflects their multidetermined, nonspecific nature, and highlights the lack of a diagnostic standard in the field. The observed prevalence rates must be considered rough approximations. Associations between the measures and certain subject characteristics suggest the measures may identify different types of potential PD patients. These different types of patients are discussed, as are other issues in the measurement of PD. The data suggest estimates of PD are a function of the type of measure used as even biologic measures vary greatly.

Adult↗
PubMed1997

Eye injuries: a review of the literature with nursing implications.

Eye injuries from blunt forces, penetrating objects, burns, or irritating substances cause morbidity, disability, and blindness worldwide. Most of these injuries are preventable. Throughout the lifespan males have more eye injuries than females. Nurses can help prevent eye injuries by teaching and advocating for safer practices. The goal of treating eye injuries is to preserve remaining sight and prevent further injury. Nurses can help in the rehabilitation of patients with eye injuries by working as part of the interdisciplinary team.

Persons with Disabilities↗
PubMed1996

Repetitive behaviors in schizophrenia: a single disturbance or discrete symptoms?

Schizophrenia patients often display multiple repetitive behaviors. We investigated relations among nine repetitive behaviors and evaluated the hypothesis that these behaviors are varied manifestations of a single underlying biobehavioral disturbance. Nine repetitive behaviors from the Elgin Behavioral Rating Scale were assessed in 400 schizophrenia patients residing at a state hospital. A majority of patients were smokers (76.3%) and very few had pica (3%). Several other repetitive behaviors showed substantial frequency. A principal components analysis revealed eight of nine behaviors shared at least 10% of their variance with a single, common component. However, a principal factor analysis suggested a five-factor model best represented the data. The five factors and items identifying them were: (1) 'oral consumption' behaviors-polydipsia and smoking; (2) 'Kluver-Bucy' behaviors-bulimia and hypersexuality; (3) 'movement' behaviors-mannerisms/postures and pacing; (4) 'bizarre use of objects'-bizarre grooming and hoarding; (5) 'Pica'. Associations among repetitive behaviors varied. Symptoms such as smoking and polydipsia appeared reliably related, and others such as pica appeared discrete and independent. Overall, the data did not support the 'single disturbance' hypothesis and suggested a multifactorial model is needed to characterize repetitive behavior disturbances in schizophrenia.

Adult↗
PubMed1994

A study investigating primary nursing, discharge teaching, and patient satisfaction of ambulatory cataract patients.

The purpose of this study was to investigate primary nursing, discharge teaching and patient satisfaction in a group of ambulatory cataract patients. A sample (n = 72) of subjects was divided randomly into a primary group (n = 36) and a control group (n = 36). Data on patient knowledge and satisfaction was collected by telephone 24-48 hours after surgery. Knowledge levels were high, and there was no significant difference between the primary and control groups in total score or in sub-scores on self-care, normal side effects, or complications. Women had significantly higher total scores than men (p > .05). There was a very high level of satisfaction with care, and almost all patients felt ready to go home when discharged.

Adult↗
PubMed1990

Menarche: responses of early adolescent females.

The purpose of this study was to investigate the responses of menarcheal age females to the event of menarche. The three dependent variables were attitudes toward menstruation, overall self-esteem, and physical self-esteem. In addition, this study investigated the perception of pubertal changes in premenarcheal girls and recency of menarche in postmenarcheal girls in relation to the same variables. Information was collected from 95 girls between the ages of 11 and 15 years. Results indicated that premenarcheal girls thought menses was more debilitating than did postmenarcheal girls. Postmenarcheal girls who had been menstruating the longest felt menses was a natural event but denied its effects. There was no significant difference in overall self-esteem or physical self-esteem in premenarcheal and postmenarcheal girls, nor was recency of menarche related to overall self-esteem or physical self-esteem in postmenarcheal girls. It was not possible to compare the perception of pubertal changes in premenarcheal girls.

Adaptation, Psychological↗
PubMedDate not supplied

Unsung heroes.

This article describes learning modules developed by faculty to assist community health nursing students to care for patients with Alzheimer's disease and their caregivers. These modules were problem based using the protocol format PACES (Problem Identification, Assessment, Creative Problem Solving, Emphasis and Simplicity) to assist students and caregivers to individualize care planning. Caring theory provided the unifying thread for the project.

Aged↗
PubMedDate not supplied

Education for the menarche.

Young girls reach menarche, the first menstruation, with misinformation and conflicted attitudes. Education for the menarche for many young women has not been adequate because of inaccurate information, uncomfortable teachers, and cognitive and developmental issues of young girls. When presenting information about the menarche the nurse should pay careful attention to the timing, context, content, and methodology of menarcheal information.

Attitude to Health↗