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conferenceseries.com
1670th Conference
Nursing Care
26th World Congress on
May 21-23, 2018 Osaka, Japan
Posters
Page 48
Daungkaew Rod-ong et.al., J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
Home and environment survey of children with cleft lips and palates
Daungkaew Rod-Ong, Somchit Rongbudsri, Somchit Maneeganondh, Hattakorn Samretdee, Suteera Pradubwong and Niramol Pajanasoontorn
Khon Kaen University, Thailand
Background: Cleft Lips and Palates (CLP) are congenital facial deformities that affect patient’s breathing, swallowing, talking
and often resulting in unclear communication. These facial defects also limit the ability of intellectualization, socialization
and education of the children. At the same time, families are affected by both feelings of loss and regret and have to face those
challenges arising from their children due to the facial abnormalities. Restorative care for the patients with CLP requires clear
care goals. The care includes correction of the defect and restoration of the physiological functions and also psychological care
in order to develop the image that children will have for themselves from adolescence to adulthood. Care and rehabilitation
require close coordination of multidisciplinary teams and understanding for patients and families, social context and the
disease. Family adjustment, understanding from society around and limitations on access to medical services, is important
factor that need to take into account when providing care for the patients with CLP in order to meet the real need of the
patients and their families. Tawanchai centre has been trying to improve the care of this group of patient by integrating care of
the various sectors. A home visit project was conducted to see family context from the real situation with the aim of making the
care team understands the system that links care from families, communities, hospitals and various levels of care. This would
lead to a complete care system appropriately for each age group and promptly detect emerging problems from the care in order
to be a truly complete care model.
Materials & Method: A preliminary descriptive study was conducted with 20 patients with CLP who were treated at the
Srinagarind hospital during the age of 0-12 years which covered all age ranges of major care. A total of twenty home visits were
performed. Four research assistants interviewed the patient’s caregiver for 45 minutes in three aspects including, 1) the patient’s
demographic data 2) the caregiver’s demographic data 3) the caregiver’s attitudes towards caring the patients. The volunteers
were also interviewed for 30 minutes for demographic data with structured open ended questions. A 20-minute home and
environmental survey was conducted. Quantitative data were analyzed using percentage and content analyses were used to
analyze qualitative data.
Result: The results can be divided into four: 1) the patient aspect: data were collected from 10 males and 10 females and the
majority of participants were studying in primary school. For nutritional status, 12 patients had normal BMI and 14 patients
were underweight whilst 4 patients were overweight; 2) the caregiver aspect: the main caregiver was mother, their common
reported occupation was famers and housewife. The caregivers completed primary or secondary schools, were married, being
in an extended family and had good relationship with other family members, had debt, had no concerns about their child with
CLP but caring for them more than any other children; 3) volunteer aspect: the majority of the volunteers were the village
health volunteers, females predominantly and had completed compulsory school. They reported providing care for this group
of children like normal children. There were no guidelines or sufficient knowledge in taking care of the patient with CLP and
needed government agencies to provide training for educating and care for the patients with CLP; and 4) environmental aspect:
the most of home environment were in good enough level. Only four families had poor environment, was not safe, needed
continuing monitoring and corrected.
Conclusion: From home and environment surveys of the patient with CLP, most family members are extended families with
poor status. There are concerns about caring for their children. Only four families had poor environment, being not safe,
needed continued monitoring and corrections. The community lacks the guidance to care and help the group of patients. The
government should provide trainings for educating the proper care in order to prevent further mental health problems.
Biography
Duangkaew Rod-ong has completed her Master’s degree in Nursing from Khon Kaen University, Thailand. She is working as a Nurse Specialist, Psychiatric Nurse
in Outpatient Department, Srinagarind Hospital, Faculty of Medicine.
rduang@kku.ac.th
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 49
Jamras Wongkham et.al., J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
Evidence triggered for antental care of pregnant women with fetal cleft lip/palate at Srinagarind
Hospital
Jamras Wongkham, Suteera Pradubwong, Phanwadee Chatvised and Thawalwong Ratanasiri
Khon Kaen University, Thailand
Background: The abnormalities of cleft lip/palate condition are the serious problem which always found in northeastern
region of Thailand. The treatment must be sustainably and continuously integrated by the interdisciplinary team including
registered nurses who take care all of all 9 organizations under the corporation among nurses who work at Tawanchai Cleft
Center. Starting from the diagnostics of the fetus by the new technology along with medical knowledge which can diagnose the
abnormalities since birth. The diagnostics of the fetus with cleft lip/palate affects mental and health of mother, so the nurse who
takes a tended care of them need to have the data in order to plan the integration treatment and prepare them to be ready of
confronting to the crisis. Also, this is for the adaption of fetal abnormalities and the encouragement for their new baby. Hence,
clinic evidence triggered for care of patient with cleft lip/palate is really important.
Material & Method: This descriptive study of clinic evidence triggered for care of pregnant women with fetal cleft lip/palate
is the partial study in antenatal care clinic which was applied to use the clinic evidence triggered of The Center for Advance
Nursing Practice Model. After the consideration of human ethics, the 4 stimulators were studied as the following: 1) the
simulation of practice triggers which was studied by reviewing 5 patient medical records in order to know the general data and
health condition 2) reviewed related literature, 3) interviewed 5 pregnant women whom found the cleft lip/palate pregnancy,
4) interviewed 1 responsible nurse by taking 15-20 minutes and using open ended questions to ask about the health problems
of pregnant woman, also gave an advice. The data was collected during January-December 2015. The descriptive data was
analyzed by percentage and the qualitative data was analyzed by content analysis.
Results: Found 5 pregnant women with fetal cleft lip/palate, mean age was 32, second pregnancy was 80 percent, and also
found clinical problems that pregnancy with fatal cleft lip/palate affected 1) seriously on mental and health of pregnant women
and families, 2) discouragement of being pregnant and take care of their pregnancy, 3) fetal facial image, and 4) nurture
of such fetus after birth. The results after the diagnosis of pregnancy with fetal cleft lip/palate and receiving advice from
physicians and nurses, it was found regarding medical records that they were advised from the physician and nurse towards the
abnormalities and chromosome inspection and given treatment after birth. According to the interviewing of the nurse, it was
found that the pregnancy felt regret and denied the diagnostic results and needed treatment information. Besides, according
to the interviewing of the pregnancy, it was found that they wanted to discontinue the pregnancy, needed information, wanted
to know whether any abnormality. Regards the literature review, found that the nurse gave the care, knowledge, and advice.
Conclusion: The clinical problems of pregnant women detected fetal cleft lip/palate were 1) feeling disappointment, sadness
and regret whether found other abnormalities and 2) being stress in caring for pregnant and postpartum care. The best handling
and treatment was to get the care from the interdisciplinary team in order to help them and their families to face the crisis,
accept to the abnormality of the fetus and have alternatives and select the appropriate alternatives, including antepartum and
postpartum care. The antenatal care then used such study results to synthesize the guidelines for care of pregnant woman
whom found the fetal cleft lip/palate extensively.
Biography
Jamras Wongkham has completed bachelor’s degree of nursing from Khon Kaen University. She is the nurse specialist for obstetric and pregnancy in Antinatal
Care Unit, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. She has published more than 5 papers in reputed journals.
jamrwo@kku.ac.th
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 50Roongtiwa Chobchuen et.al., J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
Age-friendly nursing care perceived by professional nurses working in hospital wards: Project on
development of age-friendly nursing service system
Roongtiwa Chobchuen, Siriporn Mongkholthawornchai, Boonsong Hatawaikarn, Uriwan Chaichangreet, Pusda Pukdeekumjorn and Panita Limpawattana
Khon Kaen University, Thailand
T his descriptive study aimed to evaluate the age-friendly nursing care as perceived by professional nurses. The sample was
the professional nurses under the development of age-friendly project. A total of 337 participants from 9 departments
were asked questions using age-friendly nursing care scale developed by Boonsong Hatawaikarn during April-December 2014.
Descriptive statistics were used to analyze the outcomes. The results showed that: (1) The overall scores of age-friendly nursing
care scale were high, the average score was 4.34/5 (standard deviation (SD=0.75) where the highest scores were in the areas
of attitude and communication, the respect and right protection of older adults. The other areas; nursing care, age-friendly
environment, social and family support in caring older patients during hospitalization were in the high levels and (2) Nurse's
perception regarding age-friendly nursing care classified by department was highest in surgery and orthopedics department
with the average scores of 4.52/5 (SD=0.71). The scores of other departments were high. The level of perception influences
the quality of age-friendly nursing care. Thus, nursing organization should support more on the development of age-friendly
nursing care in order to improve efficiency in geriatric care.
Biography
Roongtiwa Chobchuen has completed Master’s degree of Nursing from Khon Kaen Universit,y Thailand. She is the Nurse Specialist for Aging Care and Vice
Director Division of Nursing, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. She has published more than 5 papers in
reputed journals.
roocho@hotmail.com
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 51Pusda Pukdeekumjorn et.al., J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
Nutritional status of surgical and orthopedic patients: Ward 3A
Pusda Pukdeekumjorn, Pimchanok Thongcumjan, Tharinee Pethcharat and Palakorn Surakulprapa
Khon Kaen University, Thailand
Objective: To evaluate nutritional conditions of patients undergoing surgery in Ward 3A, Srinagarind Hospital, for malnutrition
can have an impact on wound healing and post-surgery rehabilitation.
Method: This descriptive study was performed on 86 patients. The data was collected via questionnaire on general baseline
data; a nutritional screening test; an evaluation form for nutrition condition for 4 months (December 2014 to March 2015). The
statistical analysis comprised frequency distributions, means and percentages.
Result: The sample group was mostly composed of females; 56 out of 86 (66%), 77 were married (90%), 55 completed
elementary education (64%), 80 used the universal health insurance (93%), 60 had normal food (70%), 63 had alimentary, liver
and bile duct diseases (67%), 65 did not have any oral health problem (66%). The nutritional screening test showed 18 cases
at high risks (21%). The results of 18-item risk screening test showed that the number of males was higher than females, i.e.,
10 cases (56%), 11 were younger than 60 years of age (61%), 16 had alimentary, liver and bile duct diseases (89%). Evaluation
of nutrition condition based on: MAC, TSF, and MAMC revealed 10 cases, 14 cases (78%) and 8 cases (44%) at mild to severe
malnutrition, respectively.
Conclusion: The patients had high risks of malnutrition. The highest number of risk cases had alimentary, liver and bile duct
diseases. Evaluation of the risk group uncovered many patients having mild-severe malnutrition. Good nutritional condition
evaluation should be based on many methods for high accuracy and hence the patients will receive appropriate nutritional care
from the multi-professional team.
Biography
Pusda Pukdeekumjorn has completed Master’s degree of Nursing from Khon Kaen University. She is the Head Nurse of 3A Ward, Nursing Division, Srinagarind
Hospital, Faculty of Medicine, Khon Kaen University, Thailand. She has published more than 3 papers in reputed journals.
ppusda@kku.ac.th
Notes:
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 52Urawadee Charoenchai et.al., J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
Nutritional status of surgical patients (burn patients)
Urawadee Charoenchai, Janpen Paritwa, Tharinee Phetcharat and Palakorn Surakunprapha
Khon Kaen University, Thailand
Background: Nutritional status is an important factor in burn patients. It can help wound healing. If the patients have good
nutritional status, wound healing process can occur more easily. It can boost the immune system leading to decreased infection,
reduce length of hospital stay and save cost to patients and caregivers. Most burn patients have high risk nutritional status.
Evaluation of nutritional status and developing the treatment by an interdisciplinary team will improve quality of care to
excellent.
Objective: To study the nutritional status of burn patients in Burn Unit at Surgical and Orthopedics Nursing Division,
Srinagarind Hospital.
Material & Method: This is a descriptive study. To evaluate the nutritional status of 20 burn patients admitted in Burn Unit
between November 1, 2014 and September 30, 2015. The instruments used in this study consisted of two parts: Personal data
and screening nutritional status. The data were analyzed by percentage and mean.
Result: A sample of 20 patients of age 18-82-year-old. The average age of patients were 38.05 years, status married 60%, male
75% regular high protein diet 50% and liquid diet 50%, problem oral cavity of health status 25%. The most common burns were
flame burn 60%, electrical burn 25 % and scald burn 15%, high risk nutrition was 80% and 100% in major burn. The nutritional
support team was involved with 80% of patients. The average length of hospital stay in high risk nutrition was 36.94 days.
Conclusion: High risk nutrition status of all burn patients were 80% and 100% in major burn, patients with oral cavity and
eating problems were 25%. Nutritional support team service used in 80%
Biography
Urawadee Charoenchai has completed her MNS (Adult Nursing) in 1998 from Faculty of Nursing, Khon Kaen University, Thailand. She is the Head Nurse of Burn
Unit, Srinagarind Hospital and has her expertise is burn care.
uracha@kku.ac.th
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 53Somchit Maneeganondh et.al., J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
Outcomes of home survey of children with CLP in Khon Kaen Province
Somchit Maneeganondh, Daungkaew Rod-ong, Somchit Rongbudsri, Aisrapap Theeyoung, Suteera Pradubwong and Niramol Pajanasoontorn
Khon Kaen University, Thailand
Background: The condition of Cleft Lip and Palate (CLP) is considered a birth defect of the head and face and the incidence
has been found to correlate with economic status. CLP is prevalent in the Northeast of Thailand and long-term treatment has
a significant impact on families’ economy and lifestyle, especially their residence, which is a factor that affects development of
CLP children. Therefore, Tawanchai Foundation, seeing the importance of the quality of life of CLP patients, conducted a home
survey of children with CLP.
Objective: To survey the homes of children with cleft lip and palate in Khon Kaen province.
Material & Method: This is a descriptive study conducted with a group of 0-12-year-old children with CLP from 20 families,
who received treatment from Srinagarind Hospital. The data was collected during five visits with the families and was based on
observation and semi-structured interviews that covered two aspects, namely, general baseline information of the children and
a home survey. The opinions of the survey team toward the home and surrounding conditions were considered. The informants
who provided information were the children’s caregivers. Each interview lasted 30 minutes. The data obtained was analyzed
quantitatively using percentages and qualitatively by means of content analysis.
Result: Baseline data: There as an equal number of male and female children-10 of each (50%). Most were at the primary
school level-9 cases (40%). Most had unilateral cleft lip and palate-15 cases (75%). Some families had economic problems and
had needed to borrow money-8 cases (40%). Home conditions: In 3 cases, unsafe characteristics of the residence required an
urgent solution.
Conclusion: Most CLP children in this study were born into poor families. Their houses and surroundings were not safe for
living. Community leaders should aid these children’s families.
Biography
Somchit Maneeganondh has completed her Bachelor’s degree in Nursing from Boromarajonani College of Nursing, Thailand. She is the Specialist and Psychiatric
Nurse and works at Outpatient Department, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Thailand.
msomch@gmail.com
Notes:
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 54Wong Yee Ting, J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
Enhancement program on caring patients with mobile chest drain
Wong Yee Ting
United Christian Hospital, Hong Kong
Introduction: Pneumothorax and pleural effusion are common problems encountered in clinical settings. Mobile Chest Drain
(MCD) was first introduced for patients with prolonged air-leaks in our hospital in 2016, which may reduce the length of
hospitalization. However, it is new to staff and no management guidelines or education program were available, the quality
of care may not be ensured. In 2017, a MCD management program was implemented and guideline was established for the
Medical & Geriatrics Department in the United Christian Hospital. It aims at facilitating consistent practice and to ensure a
safe practice of mobile chest drain management.
Objective: To evaluate the knowledge enhancement of nurses on MCD care in Medical and Geriatrics Department.
Method: A workgroup consists of specialist respiratory nurses that were formed to provide training to nurses to build confidence
and competency in MCD care. The seminar emphasizes on promoting participant's understanding on MCD, nursing care
and discharge preparation. The workgroup also establishes MCD care mechanism and patient assessment materials. The
standardized mechanism and materials allow nurses to smoothly prepare patient with MCD to be discharged.
Result: The education seminar was successful in enriching knowledge essential for caring patient with MCD. Nearly 90% of
them showed understanding on the basic operational concept, MCD care and discharge planning. More than two-thirds of
participants agreed the seminar content is practical and all participants had positive feedback to our program.
Conclusion: MCD program enhances the understanding and confidence of nurses on MCD management. The successful
implementation highlights comprehensive discharge mechanism should be constructed for caring patients with MCD, aiming
to maintain a high quality of nursing care for those patients.
Biography
Wong Yee Ting has completed her Master’s degree from the Hong Kong Polytechnic University in 2017. She is a RN with Respiratory Specialty in Medical and
Geriatrics Department of United Christian Hospital in Hong Kong.
wyt434@ha.org.hk
Notes:
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 55Ting-Ru Lin, J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
Mini-clinical evaluation exercise for education and assessment of baccalaureate nursing student’s
clinical competence
Ting-Ru Lin and Shwu-Fen Chiou
National Taipei University of Nursing and Health Sciences, Taiwan
C linical care skills are a required professional competence for nursing students. The purpose of this study was to explore the
feasibility of using Mini-Clinical Evaluation Exercise (Mini-CEX) as a learning and assessment tool to evaluate the clinical
competence of baccalaureate nursing students. This study used an action-research approach and design was based on Kolb’s
experiential learning style theory, through observation, role play, group discussion, feedback and evaluation, teaching and
learning activities. The study was done in the medical-surgical nursing practicum course of a four-year baccalaureate nursing
program. Six students were included in the study. The study was conducted in three phases: Phase one was an observation stage,
phase two was a practice stage and phase three was an evaluation stage. The results were as follows: The overall average Mini-
CEX score was 7.0 with 7 points representing above expectation. The two dimensions of clinical judgment and professionalism
were meet expectations. All nursing students gave positive feedback regarding the Mini-CEX. Regarding the implementation
process, nursing students felt that it is a useful learning tool and improves confidence regarding their clinical competence. It
is important to enhance nursing student competence and attitude in a clinical setting. The actual use of Mini-CEX to assess
performance of clinical skills and to facilitate feedback directed learning and improved clinical competence. The results
indicate that Mini-CEX can be considered as a learning tool to cultivate nursing student clinical competence in a clinical
practice setting.
Biography
Ting-Ru Lin is currently pursuing her PhD degree from the School of Nursing, National Taipei University of Nursing and Health Sciences, Taiwan. She is the Nursing
Practicum Instructor of NTUNHS.
r0004467@gmail.com
Notes:
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 56Li-Fen Lin, J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
Using root cause analysis to protection for patients from falling
Li-Fen Lin
Kaohsiung Hospital, Taiwan
Aim: The purpose of medical treatment is to relieve the pain and injury of the patient, but many patients get injured and
sometimes even death results directly or indirectly in the medical processes due to negligence. This article was to describe the
use of Root Cause Analysis (RCA) for identifying the possible causes of an adverse event involved with hyperglycemia due
to falls caused by intracranial hemorrhage events, the use of RCA to find the root cause and improve the program, to provide
medical staff attention and prevention.
Method: As a serious and sentinel event, an investigation team was established. Key participants were identified and an RCA
was implemented systematically with a trained facilitator guiding each analysis step. Chronological narratives were tabulated
in a timeline sheet. Why tree and barrier analysis were used to determine the root factors of this event.
Result: Three root causes of the patient with hyperglycemia due to falls f event were identified, which included: (1) Personal
factors: Not really to implement assessment note of the new patient, (2) does not develop hyperglycemia care standards and (3)
relevant education and training inadequate.
Conclusion & Significance: RCA is a tool for improving the effectiveness of hospital medical abnormalities. For example, a
patient-centered care model should not just follow the needs of the patient, the caregiver should have knowledge of the care of
the disease and explain that it cannot match the patient's request to prevent a similar situation from happening again.
Biography
Li-Fen Lin is a Registered Nurse of Municipal Hospital in Taiwan. She has five years clinical experience in hepatobiliary, gastroenterology, chest medicine, infection
and oncology care.
yuh3850@gmail.com
Notes:
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 57Chang-Ting Tsou et.al., J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
The perceptions of other health care professionals on the value and roles of clinical nurses
Chang-Ting Tsou and Yun-Fang Tsai
Chang Gung University, Taiwan
W hat are the value and roles of nursing? This proposition has been investigated and explored a lot in the field of nursing.
Nursing is a human science which indicates the caring to people. As a profession, nursing not only represents to
take care of patients but also includes making contact and interacts with the patients, their families and other health care
professionals very closely and frequently. The complexity of cross-disciplinary care often results in more discussions among
health care professionals. This could further put additional stresses on nurses. The recognition and feedback from patients, their
families and other health care professionals are important factors for clinical nurses to feel supported and motivated. Going
through literature, most of the studies put their attention on the perspectives of nurses, patients and their families but only few
studies have discussed about the viewpoint from other health care professionals. Therefore, this study aimed to understand
the perceptions of other health care professionals towards the value and roles of clinical nurses. The study was based on a
qualitative research design. It consisted of 90 participants that included directors, physicians, rehabilitation therapist, social
workers, pharmacists, psychologists, nutritionists, respiratory therapists, medical technologists and radiologists. Data were
gathered through individual interviews, using a semi-structured guide to conduct the content analysis. Five primary themes
were identified which were multi-function roles, performance of professional quality, sources of positive energy, hardship,
limitations and future expectations. By understanding the perceptions of other health care professionals towards clinical
nurses, it may promote the team work spirits among health care professionals and eventually create harmony in the workplace.
Biography
Chang-Ting Tsou is currently pursuing her PhD from the Graduate Institute of Clinical Medical Sciences, College of Medicine at Chang Gung University. She has
received her BS degree from College of Fooyin University in 2004 and MS degree from Graduate Institute of Nursing College of at Chang Gung University, 2007,
Tao Yuan, Taiwan. Her research interests are in nursing education, clinical of critical care and health nursing of adult.
apple880879@hotmail.com
Notes:
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 58Hsiang-Lei Shin, J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
Patient safety is not only the responsibility of the nurse-using root cause analysis: To explore the
patient’s unexpected death
Hsiang-Lei Shin
Kaohsiung Hospital, Taiwan
Aim: This article describes a patient’s sudden unexpected death due to fever for less than 24 hours from admission. The review
process suspects that the patient has died as a result of chewing betel nuts causing choking. Finally, the use of RCA to find the
root cause and improve the program, to provide medical staff attention and prevention.
Method: As a serious and sentinel event, an investigation team was established. Key participants were identified and RCA was
implemented systematically with a trained facilitator guiding each analysis step. Chronological narratives were tabulated in a
timeline sheet. Why tree and barrier analysis were used to determine the root factors of this event.
Result: Two root causes of the patient with fever due to sudden unexpected death event were identified, which included: (1)
Patient factors: Refusing to influenza screening and while coughing while chewing betel nut and (2) relevant education and
training inadequate.
Conclusion & Significance: RCA is a tool for improving the effectiveness of hospital medical abnormalities. However, the
patient’s sudden unexpected death is not the responsibility of the nurse as she is involved in the review care process only. In
case of nursing manpower shortage, this process caused more frustration and helplessness; it’s worthy to pay attention of the
hospital management unit.
Biography
Hsiang-Lei Shin is a Registered Nurse of the Kaohsiung Hospital in Taiwan. She has 13 years of experience in cardiology, gastroenterology, hepatobiliary, chest,
nephrology and infectious diseases.
yuh3850@gmail.com
Notes:
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 59Hyunjung Moon, J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
Daily physical activity and stress of rural elderly in South Korea
Hyunjung Moon
Far East University, Republic of Korea
T he physical and mental vulnerability of the elderly can cause stress and physical activity has positive effects on maintaining
physical function and mental well-being. However, there are few studies on the relationship between physical activity and
stress of rural elderly in Korea. The purpose of this study was to investigate the relationship between daily physical activities,
stress and to provide basic data to improve health and quality of life of elderly in rural area. A descriptive cross-sectional study
was conducted with 150 older adults in rural area. Data collection was performed through a structured interview, supported
by sociodemographic characteristics, International Physical Activity Questionnaire (IPAQ) and stress indicators. A descriptive
data analysis, t-test, ANOVA and Pearson correlation coefficient were also performed. 22.5% were in the lowest PA group, in
addition to an association with age, perceived economic status and presence of spouse. 62% of the subjects had enough stress
to be actively managed, in addition to an association with perceived economic status and presence of spouse. The more daily
physical activity, the lower is the stress but not statistically significant. It is necessary to develop and apply a stress management
program for the elderly people living alone who are lacking in physical activity or economically vulnerable in rural area.
Biography
Hyunjung Moon has completed her PhD from Seoul National University in South Korea. She is an Associate Professor in the Department of Nursing Science, Far
East University, South Korea. Her areas of interest include community health promotion, case management for vulnerable groups, health education and disaster
management.
m.hyunjung@gmail.com
Notes:
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 60Yi-Hsiu Kuo et.al., J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
The nursing experience of patient with endometrial cancer for loss of femininity
Yi-Hsiu Kuo and Chen Ching-Hsiu
Fooyin University, Taiwan
H ysterectomy and chemotherapy of advanced endometrial cancer are a common treatment. Loss of organs like the uterus
or the ovaries for many women has a symbolic meaning, depriving them of their femininity. This case report is to describe
nursing experiences and the adaptation process of a 25-year-old woman who had a diagnosed with endometrial cancer, and
who experienced the physical, psychological and spiritual hits. The authors took care of the patient from June 5 to June 15 in
2017 and established a good therapeutic relationship with the patient and her families. Data was collected by using observation,
interview, physical assessment and direct patient care, etc. In addition, the Gordon’s 11 Functional Health Patterns was used to
assess the patient’s physiological, psychological and spiritual dimensions and the patient problems were identified as anxiety,
low self-esteem and social isolation. During the nursing process, the health care team administered medications and helped
her understand the treatment of graft-related, chemical knowledge and used case management model in healthcare of patients.
Finally, the patient gained a positive awareness of her disease and clarifies the questions related to the course of treatment and
fit into her society. By sharing the experience of care, it is expected that the case report could guide nurses to take care of similar
patients through helping them self-adjust and restore confidence and to provide a more complete care quality and to achieve
the realms of body-mind-soul comfort.
Biography
Yi-Hsiu Kuo has completed his graduation at Fooyin University in 2005 and worked at Chi Mei Medical Center in Liuying. Her areas of academic and research
expertise were evidence-based interventions in the Chinese medicine nursing, qigong (traditional Chinese exercise), adult health care and education, critical
nursing care, etc.
dodoo18888@gmail.com
Notes:
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 61Lo Pai-Chen et.al., J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
The nursing experience of the assistive technology devices multimedia enhanced self-efficacy in patient
with knee cruciate ligament
Lo Pai-Chen and Chen Ching-Hsiu
Fooyin University, Taiwan
Background: The Anterior Cruciate Ligament (ACL) is one of the most commonly injured ligaments of the knee. In general,
the incidence of ACL injury is higher in people who participate in high-risk sports, or any accident.
Objectives: This case report aimed to describe the nursing experience of a 25-year-old female resulted from orthopedic disease
induced by a car accident.
Methods: During the nursing period was from March 19, 2017 to May 20, 2017, the author developed a positive nurse-patient
rapport based on caring and empathy. Data were collected by physical examination and Gordon's functional health pattern
assessment framework and the main health issues were confirmed as acute pain, impaired physical mobility and powerlessness.
The authors design the multimedia with standard walker/walking frame of enhanced patient's self-efficacy. The contents of
Assistive Technology Devices (ATDs) multimedia include the forearm crutches, axillary crutches; front wheeled walker and
wheelchair, etc.
Results & Conclusion: During nursing intervention, the author assisted the patient and her family with rehabilitation exercise
with multimedia to promote physical functions and to mitigate disability, guide them to express their feelings in order to gain
confidence and sense of control and aiding the family in deriving an individual care plan, so the patient and the family can
cope with future treatment and rehabilitation with positive attitude. This case report could serve as a reference for nursing staff
when attending similar cases.
Biography
Lo Pai-Chen is currently a Master's student at Institute of Nursing, Fooyin University, Taiwan. He has worked as a Laboratory Technologist in the Pingtung Christian
Hospital in Pingtung City, Taiwan for 15 years. He is currently serving the Yuh-Ing Junior College of Health Care & Management in Kaohsiung City, Taiwan as an
Intern Clinical Teacher. His areas of academic and research expertise include evidence-based interventions in TCM nursing, qigong (TCM movement), adult health
and education, critical care, etc.
t7325533@gmail.com
Notes:
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Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 62Tse Chun Samson et.al., J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
Enhancement program provided by respiratory ward for nursing staff of medical & geriatric
department in caring patient with Home Non-Invasive Ventilator (HNIV)
Tse Chun Samson, Lam Chi-Keung Danny
United Christian Hospital, Hong kong
T he selected clinical service for our group project is caring inpatient with Home Non-Invasive Ventilator (HNIV). HNIV
is the assisted ventilation used in a home setting in which compressor push air into the lung through a mask instead of
an invasive artificial airway. Those patients can improve quality of life with the help of HNIV domestically. It was estimated
that 94.8% of the population using mechanical ventilation in Hong Kong were treated by HNIV (Chu et al., 2004). The trend
is increasing over the last decade since a domiciliary NIV program was established in United Christian Hospital (UCH)
since 2005. According to the statistic from respiratory unit of United Christian Hospital (UCH), over 360 male patients were
arranged with HNIV in the past ten years. In average, around two to three patients being arranged HNIV monthly in 2016.
There is an increasing demand of specific nursing care for patients with HNIV in general medical ward. However, there is no
standardized protocol relating to the nursing care for inpatient with HNIV among the medical department.
In view of the raising service need, a project is designed to provide training for nurses who work in Department of Medicine
and Geriatric in UCH. There are two parts in our project which includes theoretical input by lecture and workstation for hands
on practicing. A pre / post-test containing 10 multiple choice questions about HNIV is used for assessment. The test was used
to analyze if there was any improvement of the competence level on HNIV among participants after the lecture. The workshop
was held for hands on practice afterwards where common models of HNIV with accessories were displayed.
The aim of the lecture was to augment the knowledge of nursing staffs towards HNIV including its indications, contraindications
and basic operation. The nursing care related to HNIV was emphasized. Another main perspective of our project was to align
the current practice among different units in UCH. Through clarification of myths about HNIV can swap out the misconception
among nursing colleagues and provide a guide for nurses when encountering patient on HNIV.
Conclusion: The main objective of this project was to provide basic knowledge and operation skills of HNIV for nursing
colleagues. The aim can be achieved in large extent and the participants were satisfied. As stated, patient's safety should always
be placed on top of priority and never be negotiated and compromised. As part of doctor's prescription of treatment plan,
HNIV should be resumed whenever possible and feasible so that patient safety can be ensured. Awareness and knowledge
of HNIV among our nursing staffs should be improved and thus a better nursing care can be provided for the patients with
specific needs in clinical area. With the aging population and complexity of diseases, it is expected the population of patients
requiring HNIV support will grow dramatically. Nurses should be well-equipped with the latest knowledge to encounter the
new challenges.
Biography
Tse Chun Samson is a registered nurse she is presently working in United Christian Hospital, Hong kong
samson2604@hotmail.com
Notes:
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 63Huang Chin-Yu et.al., J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
Nursing experience of the health-belief model in an insulin-dependent diabetes mellitus patients with
ketoacidosis
Huang Chin-Yu and Chen Ching Hsiu
Fooyin University, Taiwan
I nsulin-Dependent Diabetes Mellitus (IDDM) also known as type-1 diabetes is an autoimmune disorder in which the body
destroys the cells in the pancreas that produce insulin. Nowadays IDDM is not incurable, but needs long term control. This
paper described the nursing experience for 19-year-old boy resulted from type-1 diabetes complicated with ketoacidosis. The
author used a healthy belief model to help improve the self-care abilities of patient who lacked initial appreciation/understanding
of self-care needs. The nursing period is from April 17 to April 20, 2017. Data were collected by physical examination and
Gordon's functional health pattern assessment framework and the main health issues were confirmed as lack of knowledge,
anxiety and need for family process. During the care process, the author leveraged the resources of social workers and private
organizations to reduce the pressure on the subject’s family by providing economic assistance, housekeeping services as well as
teaching the patient the skills needed for self-sufficiency. In the process of nursing, the author actively listened to the patient’s
concerns and feelings and established a well nurse-patient relationship to help the patient to confront the facts. Also, the author
provide the information of diabetic diet care and blood sugar control and improve patient’s self-care ability and overcome the
impacts of disease. By encouraging the subject to think positively and acknowledge the subject’s own contributions, total care
was achieved through reducing anxiety, putting the subject’s family situation back in order and improving the subject’s quality
of life. Therefore, nursing experience from this case report can help nurses who take care of similar cases in the future.
Biography
Huang Chin-Yu is pursuing her Master’s degree at School of Nursing, Fooyin University and served three years as RN Assistant Teacher, Department of Nursing,
Tzu Hui Institute of Technology.
changyn19@gmail.com
Notes:
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Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 64Chen Ching-Hsiu et.al., J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
Development of a complementary and alternative health program to improve learning of undergraduate
nursing students: A preliminary study
Chen Ching-Hsiu, Tseng Hui-Wen, Weng Shu-Chuan and Chang Hsiao-Yun
Fooyin University, Taiwan
Background: In recent decades, complementary and alternative has innovation curriculums to current nursing education.
Aim: The purpose of this study was to investigate the effectiveness of new educational curriculums approaches to the
incorporation of information about CAM in enhancing health care learning and satisfaction of undergraduate nursing students
in Kaohsiung, in Taiwan.
Material & Method: In this preliminary study, 56 undergraduate students were enrolled in a 5-week leaning programs of CAM
and promotion care in nursing. All students received the leaning curriculums was two to three days a week, at least totally 72
hours. The CAM curriculums included the relaxation and stress relief programs such as aromatherapy, essential oils, massage,
painting, sound-bowl therapy, tea ceremony, traditional Chinese exercise and positive psychology with communication, etc.
Evaluate the improvement outcomes by the satisfaction of learning questionnaire. The SPSS 23.0 software package for Windows
was used for data analysis.
Result: The results showed that student’s average age was 20.24±0.49 years. After the leaning programs, there were showed high
satisfaction of this curriculums (98.2%, n=55). The satisfaction of the contents in useful were 98.2% (n=55) and practical were
96.4% (n=54). They can be an excellent learn to understand the issues related to stress (41%, n=23), and 10 people who want
to learn more the release stress techniques on this curriculum.
Conclusion: There was improvement the self-learning about CAM and learn satisfaction in this study. Further research is
needed, to determine this leaning program how to enhance the effectiveness of student’s self-efficacy and effect on quality of
nursing care and patient education. Further researches are necessary with increasing the number of students and may affect
the learning outcomes.
Biography
Chen Ching-Hsiu has her expertise in areas of academic and research in evidence-based interventions in the traditional Chinese medicine nursing, auricular
acupressure, acupressure, qigong (traditional Chinese exercise), adult health care and education, complementary and alternative medicine, etc.
julie.bryan@msa.hinet.net
Notes:
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 65Chao Chia-Ling et.al., J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
Nursing experience of a patient with wegener's granulomatosis combined cerebellar infarction
Chao Chia-Ling, Chen, Ching-Hsiu and Shen Kuei-Feng
Fooyin University, Taiwan
W egener's Granulomatosis (WG) is an autoimmune disease of unknown origin characterized by necrotizing granuloma
of both upper and lower respiratory tracts and glomerulonephritis. This article describes a 57-year-old man resulted
from cerebellar infarction, hearing loss and lack of physical activity who induced by Wegener's granulomatosis during the
nursing period from December 10th to 24th, 2016. Data were collected by physical examination and Gordon's functional
health pattern assessment framework, and the main health issues were confirmed as uncertainty, potential risk of falls and
sensory dysfunction. During the care process, the authors encourage patient of self-care activities and provide disease-related
information to him and his family. In addition, we aimed to enhance his confidence on medical plan, help him to accept his
disease, and reduce his sense of inferiority and uncertainty by listening to him and sharing the experience of other cases. This
nursing experience might give some nurses the comprehensive nursing of similar cases.
Biography
Chao Chia-Lin is currently a Master’s student at School of Nursing, Fooyin University and Nurse Practitioner at Kaohsiung Municipal Ta-Tung Hospital.
fr6280088@gmail.com
Notes:
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 66Yi-Chuan Chen, J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
The relationship between preoperative stoma site marking and stomal complications: A systematic
review
Yi-Chuan Chen
National Taiwan University, Taiwan
Background: Colorectal stoma complications are prevalent in patients with stomas. Preoperative stoma site marking is
considered to be important for preventing postoperative complications, but not always being implemented among medical
institutions.
Aim: To review the relationship between preoperative stoma site marking and stomal complications.
Method: This analysis was based on literature review of English and Chinese articles in 6 databases (EMBASE, Cochrane
Library, MEDLINE complete, CINAHL, PubMed and Airiti library) using the following keywords: Stoma, preoperative,
marking and complication with Boolean logic. A total of 46 studies published prior to June 2017 that met the inclusion and
exclusion criteria were selected and 6 were eligible for the final analysis.
Result: Checklists for case control studies and cohort studies of the Joanna Briggs Institute were used for appraisal. Four of
these studies showed that preoperative stoma site marking was significantly associated with a reduced risk of postoperative
complications, while the other two studies indicated non-significant results.
Conclusion: Literature discloses the tendency to prevent postoperative complications by carrying out stomal site marking
before surgery. Future studies could use increase sample size for generalizability, or conduct meta-analysis to incorporate a
broad source of evidence to provide rigorous suggestions for clinical applications.
Biography
Yi-Chuan Chen is a Registered Nurse and worked in a medical center in Taiwan. She has completed her Master’s degree of Nursing in National Taiwan University
in 2015. Currently she is pursuing her PhD from School of Nursing, working as a Research Assistant and involved in researches related to nursing working
environment and occupational health.
yichuan1201@gmail.com
Notes:
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 67Mei-Yin Lee, J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
Confirmatory factor analysis of the social adjustment scale for adolescents with tourette syndrome
Mei-Yin Lee
Mackay Medical College, Taiwan
Background: Tourette Syndrome (TS) is a childhood-onset neurodevelopmental movement disorder with involuntary
multiple motor and vocal tics that lasts longer than a year. A previous study argued that inferior self-adjustment ability among
TS adolescents influences their future social interaction and career development in adulthood. Thus, developing a scale on TS
adolescent's social adjustment can help evaluate their state of social adjustment and lead to the following related intervention.
Method: Based on previous studies, which surveyed 100 (12-20 year-old) adolescents with TS. It tested the reliability and
validity of a social adjustment scale for adolescents with TS. Past research helped screen the items by exploratory factor analysis
so as to validate the expert validity, internal consistency and construct validity of the scale. At this stage, this study treats 215
adolescents with TS as the sample. Through AMOS 21.0, it conducts confirmatory factor analysis and criterion-related validity
analysis.
Result: The scale includes 20 items, including 4 dimensions: Academic performance (5 items); family interaction (4 items);
peer relationship (4 items) and relationship between oneself and Tourette syndrome (7 items). In this scale, there are no
overlapping and unrelated items. The scale includes meaningful items, such as goodness of fit, acceptable convergent validity
and discriminant validity, as well as good criterion-related validity.
Conclusion: The scale shows good reliability and validity and the content is easy to read and is very comprehensible. The
results of the scale can be taken as the basis for understanding and evaluating the social adjustment of adolescents with Tourette
syndrome.
Biography
Mei-Yin Lee has recieved her PhD from the School of Nursing at National Yang Ming University in 2013. She has 13 years of experience in teaching Pediatric
Nursing at the Mackay Junior College of Nursing, Ching Kuo College and Mackay Medical College. Sh has her research focuses on Tourette syndrome and care
for children with chronic diseases.
r90426017@ntu.edu.tw
Notes:
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 68Pei-Ti Chen, J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
Translation and validation of the Taiwanese version of the atrial fibrillation severity scale
Pei-Ti Chen
Cardinal Tien Junior College of Healthcare and Management, Taiwan
Aim: To translate and validate a Taiwanese version of the Atrial Fibrillation Severity Scale (AFSS).
Background: The major barrier in the management of atrial fibrillation is the lack of degree of symptom distress to atrial
fibrillation. However, few instruments have been developed to assess patient's degree of symptom distress to atrial fibrillation
and none has been translated into Taiwanese.
Design: This study used a standard forward-backward procedure, which was used to translate AFSS into Taiwanese language.
Reliability was tested for internal consistency. Validity was confirmed using criterion-related validity.
Method: Data collection for this research occurred from October 13, 2015 to October 26, 2016. A convenience sample of
151 adults who were treated with anticoagulants for atrial fibrillation was recruited from two teaching hospitals in northern
Taiwan. The sample included atrial fibrillation outpatient. Participants simultaneously completed the Taiwanese version of the
Atrial Fibrillation Severity Scale (AFSS-T).
Result: Coefficient alpha was 0.80 for atrial fibrillation patients.
Conclusion: Findings provide support for the validity of the Taiwanese version of the atrial fibrillation severity scale.
Relevance to Clinical Practice: The translation and validation of an instrument evaluating the degree of symptom distress for
atrial fibrillation in atrial fibrillation contribute to assessing the provided nursing care practice.
Biography
Pei-Ti Chen has completed her PhD’s from National Taipei University of nursing and health Sciences. She is the assistant professor of department of nursing,
Cardinal Tien Junior college of healthcare & management, New Taipei City, Taiwan. Her research major is medical-surgical nursing and nursing education.
bettyok@ctcn.edu.tw
Notes:
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
Page 69conferenceseries.com
1670th Conference
Nursing Care
26th World Congress on
May 21-23, 2018 Osaka, Japan
Accepted Abstracts
Page 70J Nurs Care 2018, Volume 7
conferenceseries.com DOI: 10.4172/2167-1168-C4-074
26th World Congress on
Nursing Care May 21-23, 2018 Osaka, Japan
Transcranial direct current stimulation and mechanical punctate pain in older adults with knee
osteoarthritis pain: A double-blind, randomized, sham-controlled pilot clinical study
Hyochol Ahn
University of Texas Health Science Center at Houston, USA
O steoarthritis is the most common arthritic condition, a leading cause of pain and disability in people 45 years and older.
There is a growing interest in non-pharmacologic interventions targeting central nervous system pain processing, such as
transcranial Direct Current Stimulation (tDCS), for this population owing to its neuromodulatory effects. A panel of experts
at the European chapter of the International Federation of Clinical Neurophysiology recently recommended that stimulation
with anode over the primary motor cortex (M1) and cathode over contralateral Supraorbital Region (SO) for possible efficacy
among populations with chronic pain. However, few studies have examined the efficacy of tDCS on experimental pain
sensitivity. Thus, we sought to assess the preliminary efficacy of M1-SO tDCS on punctate pain in adults with knee OA pain.
We conducted a double-blind, randomized, sham-controlled pilot clinical study in 40 community-dwelling participants with
knee OA. The participants were randomly assigned to receive either five daily sessions of 2mA tDCS for 20 minutes or sham
tDCS. A calibrated nylon monofilament delivering a target force of 300 grams was applied and verbal ratings of the pain
intensity on a scale of 0 to 100 following 10 contacts were obtained to assess their sensitivity to punctate mechanical stimuli
on the index knee. The mean age was 59 years (SD=8 years) and 53% were female. After five daily sessions, the active tDCS
group had a marginally greater decrease in mechanical punctate pain (-3.62±4.72) than the sham group (4.12±6.48). The mean
difference between groups was 7.75±8.02 (t=0.96, df=38, p=0.34, Cohen’s d=0.30). Although our primary results were non-
significant, there is a preliminary suggestion that tDCS targeting primary motor cortex may reduce mechanical punctate pain
sensitivity in adults with knee OA. Further studies with stronger dose of tDCS and larger samples are needed.
Hyochol.Ahn@uth.tmc.edu
Journal of Nursing & Care
Nursing Care Congress 2018 Volume 07
May 21-23, 2018
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