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Biomedical subjects

M Hentinen

Publications and source records attributed to M Hentinen.

8 recordsLinked to original sources
PubMed1992

Compliance of young diabetics with health regimens.

The compliance of young patients with diabetes regimens is explored by means of a questionnaire filled in by both the patients and their nurses and compared with the patients' glycosylated haemoglobin (HBA1) levels. The structured questionnaire was completed by 47 diabetics aged between 15 and 17 years. The adolescents had very similar views to the specialist nurse on their compliance with health regimens, and these assessments were also in line with the HBA1 values. One-third of the young patients showed a high degree of compliance with diabetes regimens, while just under a half showed average compliance; the remainder failed to comply adequately. Compliance was highest in the case of insulin treatment, self-care and co-operation with the nursing staff, and poorest in following dietary and home monitoring instructions.

Adolescent↗
PubMed1990

[Learning the nursing process in nursing education].

This article examines how students under two different kinds of curriculum (old and new) have learned to use the concept of the nursing process in the planning of patient care and assesses their attitudes towards the nursing process. The data were collected from 264 students at three schools of nursing and 63 qualified nurses (as a reference group), who were asked to plan the care of one patient. The plans were evaluated according to criteria aimed at ascertaining how well the students and nurses used the concept of the nursing process. Their attitudes towards this concept were evaluated using 24 statements measured on the Likert scale. The data were analyzed by factor analysis and an analysis of variance. The students at nursing school C following the new curriculum were best at planning patient care, while all those at nursing school A (studying under either the new or the old curriculum) were better at doing so than the students at school B or the nurses. The differences between the groups were statistically significant. The students following the new curriculum had statistically significantly more positive attitudes towards the nursing process those students following the old curriculum or the qualified nurses.

Attitude↗
PubMed1989

Primary nursing: opinions of nursing staff before and during implementation.

The aim of this investigation was to consider the opinions of the nursing staff concerning the effects of primary nursing before and after the transition to this mode. Data were collected using a self-administered questionnaire which was answered by 62 registered nurses and practical nurses before the introduction of primary nursing and 58 such nurses five months after its introduction. The nursing staff reported both more favourable and detrimental effects during primary nursing than beforehand, the former including the improved opportunities for nurses to get to know their patients and to provide individual care, and the latter the increase in paperwork. The role of the primary nurse was mainly felt to be positive, but sometimes difficult and laborious.

Attitude of Health Personnel↗
PubMed1986

Teaching and adaptation of patients with myocardial infarction.

The role of teaching in facilitating adaptation were examined in 60 patients with myocardial infarction (MI) of working age (under 65 years). Recovery of three different patient groups were followed for one year at three times: at discharge and three months and one year after it. Data for evaluating the effects of the teaching program on the patients and their close relatives were collected by questionnaires from the patients at discharge and by interviewing the patients three months after discharge. Information on patients' recovery during the first year after MI was collected from patients' records. Impact of teaching was prominent on several outcome measures. Patients' knowledge of illness and care increased, they also perceived having received more information and support. The time devoted to exercise increased after myocardial infarction and amount of butter used on bread decreased in the follow-up state. No impact was observed on the outcome variables measuring patient's use of alcohol and smoking. Some of the impacts at the early stages of the convalescence were not lasting. After one year of MI patients had partly returned to their old life styles, for example some patients had resumed the smoking habit. Teaching of close relatives improved only slightly.

Adaptation, Psychological↗
PubMed1985

A programme for developing nurses' skills and nursing practice.

In this paper we describe a programme for developing nursing care for patients with myocardial infarction (MI) and report some results of a study in which applicability and effectiveness of this programme were evaluated. To investigate how the programme influenced nursing practice, nurses' readiness (knowledge, skills, motivation, accountability) to provide care for MI patients was followed for 2 years. Data for the evaluation were collected by questionnaires from three categories of nurses, by analysing nursing documents before and 1 and 2 years after the programme started, and by keeping a continuous diary. This programme made an impact on many variables that measure changes in nursing practice and nurses' readiness to provide care. The implications of this programme for nursing practice, research, education and administration are discussed.

Attitude of Health Personnel↗
PubMed1983

Need for instruction and support of the wives of patients with myocardial infarction.

The study investigates the need for instruction and support among wives of patients with myocardial infarction, applying the 'stress' theory. The data were gathered by questionnaires completed by 59 wives of patients with myocardial infarction. Feelings and symptoms indicative of stress did occur among wives of the patients. They assessed instruction especially concerning home care, as being inadequate. They stated that the support they received had come largely from their own relatives; more than one third of the respondents said they had received support from a nurse; one fifth said they had not received it from anyone. The 'instruction' model for wives and other relatives of patients with myocardial infarction, introduced at the end of the article, emphasizes the importance of relevant information and support to the close relatives of patients with myocardial infarction.

Adult↗
PubMedDate not supplied

A controlled trial on the effects of patient education in the treatment of insulin-dependent diabetes.

The effect of patient education on diabetic control in insulin-treated diabetic adults was studied in 77 subjects randomized into two groups: intensive patient education (group A) and control (group B). The subjects in group A received intensive patient instruction, both individually and in small groups, from a team of physicians, teaching nurses, and a dietitian. The patients in group B received a short instruction course consisting mainly of printed material. A highly significant improvement in diabetic control was observed in both groups immediately after the education programs, with gradual return to the original level during the following 3-6 mo. No difference was observed between the two groups in any of the measured parameters during the 18-mo investigation. Factors related to good control during the study included the length of school education, the quality of the control at the beginning of the study, and the high degree of self-confidence and lack of signs of anxiety in the psychological tests. The results demonstrate that the effects of educational programs are of limited value if they do not lead to permanent changes in attitudes and motivation, which are critical factors affecting long-term diabetic control.

Adolescent↗