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Biomedical subjects

S M Moore

Publications and source records attributed to S M Moore.

62 records · Page 4Linked to original sources
PubMedDate not supplied

Women's patterns of exercise following cardiac rehabilitation.

BACKGROUND: Studies of long-term exercise maintenance after an acute cardiac event have been conducted almost exclusively with men, and the findings cannot be generalized to women. OBJECTIVES: The aim of this study was to identify women's exercise patterns and adherence to recommended exercise maintenance after a cardiac rehabilitation (CR) program. METHOD: Forty women who had a myocardial infarction or had undergone coronary artery bypass graft (CABG) surgery were recruited through convenience sampling immediately after completion of a phase II CR program. Exercise frequency, duration, and intensity were measured using wristwatch heart rate (HR) monitors during exercise for 3 months. RESULTS: Results indicated that 12 of 40 (30%) women exercised five times or fewer during the 3-month study period. Only 11 women (27.5%) exercised three or more times per week. Women exercised an average of 5.2 sessions within their target HR during the entire study period. Maintenance of exercise dropped consistently during the course of the study. Although 83% of the participating women started exercising during the first month, after 1 month one third of the participants had stopped exercising. During the last week of the study, only 50% of the women were still exercising. CONCLUSIONS: These findings indicate the women are exercising well below the recommended guidelines for exercise after acute cardiac events.

Adult↗
PubMedDate not supplied

Women's views of cardiac rehabilitation programs.

BACKGROUND: Previous approaches to understanding participation in cardiac rehabilitation programs based on middle-aged men may not be useful to explain the participation of women. The focus group research method produces unique data about attitudes and experiences that can serve as an adjunct to other forms of data collection in an effort to develop models explaining cardiac rehabilitation participation. The aim of this pilot study was to examine the perceptions and experiences of women participating in a cardiac rehabilitation program using focus groups. METHODS: Ten women (mean age 72 years) who had recently participated in a cardiac rehabilitation program were interviewed in focus groups of 6 and 4 members each using a semi-structured interview guide. Verbatim transcriptions of the focus group interviews were analyzed by two individuals using content analysis methods. RESULTS: Results indicated that prior to participation women had no idea what to expect in a cardiac rehabilitation program. Features women liked most about the program included: (1) feeling "safe" during exercise because they were monitored; (2) peer group support during rehabilitation; and (3) pleasant, encouraging staff. Women desired more: (1) social interaction during the cardiac rehabilitation exercise sessions; (2) emotional support from staff members about all dimensions of cardiac recovery; and (3) exercise options other than cycle or treadmill. CONCLUSIONS: Several cardiac rehabilitation program design and operational features are perceived by women as not meeting their needs. Although limited by its small sample size, findings from this study provide valuable insights into women's perceptions of cardiac rehabilitation programs.

Aged↗
PubMedDate not supplied

Women's and men's preferences for cardiac rehabilitation program features.

BACKGROUND: Current theories of human health behaviors suggest that clients' preferences for specific aspects of a health regimen are an important influence on their decisions to initiate and continue use of the regimen. Despite low rates of participation in cardiac rehabilitation programs, especially among women, little research has been done to determine patient preferences for features of cardiac rehabilitation programs. The purpose of this study was to identify and compare women's and men's preferences for specific cardiac rehabilitation program features. METHODS: Using a descriptive survey design, a convenience sample of 65 individuals (33 men and 32 women) participating in a cardiac rehabilitation program completed a self-administered survey in which they indicated both the importance of each of 17 cardiac rehabilitation program features and the extent to which they had experienced each of the features. RESULTS: Convenience factors (drive time, transportation, noninterference with other life activities, and ease of learning the exercises) were well-met preferences for both women and men. Men's and women's preferences were not well met for being able to discuss their progress with professionals and the ability to choose their own exercises. Men indicated that the ability to set their own goals was their greatest unmet preference. Women's preferences for not having pain and not tiring while exercising were significantly less well met than those of men. CONCLUSIONS: These findings suggest that a cardiac rehabilitation program that is responsive to client preferences should emphasize joint goal setting with participants and discussion of progress, offer frequent encouragement from professionals, and provide a range of exercise choices. Attention to women's concerns about pain and fatigue while exercising should also be addressed in the program.

Adult↗
PubMedDate not supplied

Prescriptive theory of acute pain management in infants and children.

PURPOSE: To present a middle-range nursing theory of acute pain management that provides direction for practice and research. CLIENT POPULATION: Patients from 6 months to 12 years old who have acute pain. CONCLUSIONS: The potential of the proposed theory, Acute Pain Management in Infants and Children, is to assist nurses in managing clinical pain and to expand the knowledge and research base in children's pain. PRACTICE IMPLICATIONS: To provide clinicians with prescriptions for pain reduction and a conceptual basis for pain interventions. Statement and theory testing are needed to determine adequacy of this theory for infants and children experiencing acute pain.

Acute Disease↗
PubMedDate not supplied

The effects of a special computer network on caregivers of persons with Alzheimer's disease.

Caregivers of persons with Alzheimer's disease (AD) are confronted with novel decision-making tasks that leave them at risk for social isolation. ComputerLink is a computer network providing information, communication, and decision-support functions for caregivers of persons with AD. One hundred two AD caregivers participated in a randomized field experiment to evaluate the effects of ComputerLink on confidence in decision making, decision-making skill, and social isolation. During the 1-year study period, AD caregivers averaged two encounters per week with ComputerLink for sessions lasting an average of 13 minutes. Access to ComputerLink enhanced caregivers' decision-making confidence. Decision-making skill was unaffected. ComputerLink access did not lead to changes in social isolation as measured by standard instruments. The decision-support function was used least often. Postings to ComputerLink's public bulletin board included both information-seeking and supportive messages. These findings are congruent with reports of other community-based interventions for caregivers and consistent with evaluations of computerized decision-support systems.

Aged↗
PubMedDate not supplied

A detection algorithm for multiform premature ventricular contractions.

This paper reports an algorithm developed to identify and quantify multiform PVCs. The algorithm clusters PVCs of similar morphology using a combination of time-domain and frequency-domain analysis. Initially, PVCs are grouped together on the basis of four time-domain-based morphological feature measurements. However, these time-domain-based clusters many times are nonunique because commonly encountered signal changes can cause substantial variations in the feature measurements of clinically similar beats. These redundant clusters are consolidated using two frequency-domain parameters: The First Spectral Moment (FSM) (center of gravity) of the amplitude spectrum, and the 5-Hz phase angle.

Cardiac Complexes, Premature↗
PubMedDate not supplied

Taking aim at interdisciplinary education for continuous improvement in health care.

Over the last 30 years, nursing faculty have achieved varying levels of success in their efforts to engage in interdisciplinary education. To sharpen the focus, the Institute for Healthcare Improvement sponsored a national demonstration project in which nursing faculty from four universities participated.

Education, Nursing, Baccalaureate↗