A Behavior Modification Approach to Nursing Therapeutics in the Care of Spinal Cord-injured Patients: An Experimental Nursing Study
The Mann Whitney U and the Fisher Exact Probability Tests were used for determining differential effects of the experimental treatment. Following treatment the behavior modification group showed significant change in increased frequencies of daily changes of position and patient-initiated changes of position, in decreased assistance needed for change of position, and in decreased frequency of intervals of prolonged skin pressure. There was not a significant change in frequency of facelying and participation in ward activities of daily living. Subjective verbal reactions of patients and staff and case study reports supported favorable patient outcomes and the absence of adverse effects from the behavioral treatment.
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activities of daily attention praise backlying behavior modification body positioning behavior body positioning nursing body positioning performance body positioning schedule change of body change of position Clinical nursing research completion praise contingent control group control patients customary body positioning daily living decubiti decubitus ulcers demonstration discriminative stimuli effects evaluation experimental patients experimental treatment procedure Fordyce implementation instructions intervals of prolonged investigator ischial tuberosities learning mattress motor learning moves nursing problems nursing staff paraplegia paraplegic period physical position at interval position for inter position not maintained posttreatment measurements praise for attention praise for completion praise upon completion prescribed position present study pressure lesions pressure sores pretreatment prolonged skin pressure quadriplegic rehabilitation nursing Remains in position return to step right left severe discomfort social reinforcement spinal cord spinal cord-injured patients Steps in Shaping study patients study sample study ward target behaviors tion turn verbal