Objective To explore the effects of nurse as standardized patient (NSP) in clinical apprenticeship and objective structured clinical examination (OSCE) of psychiatric nursing. Methods Totally 260 undergraduate nursing students admitted to the School of Nursing of a medical university in 2017 were selected into experimental group, who were taught in combination of real patients and NSP, and received assessment of clinical apprenticeship skills through OSCE involving NSP. Totally 286 undergraduate nursing students admitted in 2016 were selected into control group, who received conventional clinical apprenticeship teaching and assessment. The discrimination and difficulty of the assessment of the experimental group was considered, and the test scores, the degree of recognition of the assessment form by the nursing students, and the ability of critical thinking were compared between the two groups. Results Totally 247 nursing students in the experimental group and 280 in the control group completed the study. The degree of difficulty and discrimination met the assessment requirements. There was a statistically significant difference in apprenticeship performance between the two groups (P<0.01) . After OSCE, the recognition scores of the two groups for OSCE were (3.22±0.64) and (4.17±0.58) , respectively, and the difference was statistically significant (P<0.01) . The total scores of Critical Thinking Disposition Inventory-Chinese Version (CTDI-CV) of the two groups were (278.29±25.66) and (289.53±35.43) , respectively, and the difference was statistically significant (P<0.01) . There were statistically significant differences in the scores of CTDI-CV in 4 dimensions between the two groups, they are open-mindedness, analytical ability, systematic ability and self-confidence (P<0.05) . Conclusions The NSP-based clinical apprenticeship and OSCE for psychiatric nursing is feasible and practical, which can improve students' critical thinking ability, and is worth referencing and promoting. Key words: Psychiatric nursing; Clinical apprenticeship; Nurse as standardized patient; Objective structured clinical examination
{"title":"Effects of nurse as standardized patient in clinical apprenticeship and objective structured clinical examination of psychiatric nursing","authors":"Lyu Wenjun, Zhang Yanhong, Qian Ruilian, Huang Haolian, Jing Yuan","doi":"10.3760/CMA.J.CN115682-20190919-03405","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190919-03405","url":null,"abstract":"Objective \u0000To explore the effects of nurse as standardized patient (NSP) in clinical apprenticeship and objective structured clinical examination (OSCE) of psychiatric nursing. \u0000 \u0000 \u0000Methods \u0000Totally 260 undergraduate nursing students admitted to the School of Nursing of a medical university in 2017 were selected into experimental group, who were taught in combination of real patients and NSP, and received assessment of clinical apprenticeship skills through OSCE involving NSP. Totally 286 undergraduate nursing students admitted in 2016 were selected into control group, who received conventional clinical apprenticeship teaching and assessment. The discrimination and difficulty of the assessment of the experimental group was considered, and the test scores, the degree of recognition of the assessment form by the nursing students, and the ability of critical thinking were compared between the two groups. \u0000 \u0000 \u0000Results \u0000Totally 247 nursing students in the experimental group and 280 in the control group completed the study. The degree of difficulty and discrimination met the assessment requirements. There was a statistically significant difference in apprenticeship performance between the two groups (P<0.01) . After OSCE, the recognition scores of the two groups for OSCE were (3.22±0.64) and (4.17±0.58) , respectively, and the difference was statistically significant (P<0.01) . The total scores of Critical Thinking Disposition Inventory-Chinese Version (CTDI-CV) of the two groups were (278.29±25.66) and (289.53±35.43) , respectively, and the difference was statistically significant (P<0.01) . There were statistically significant differences in the scores of CTDI-CV in 4 dimensions between the two groups, they are open-mindedness, analytical ability, systematic ability and self-confidence (P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000The NSP-based clinical apprenticeship and OSCE for psychiatric nursing is feasible and practical, which can improve students' critical thinking ability, and is worth referencing and promoting. \u0000 \u0000 \u0000Key words: \u0000Psychiatric nursing; Clinical apprenticeship; Nurse as standardized patient; Objective structured clinical examination","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1376-1381"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41524481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-06DOI: 10.3760/CMA.J.CN115682-20191216-04611
Han Xiaomei, W. Wenhua, Wang Yuanyuan, Zhihui Zhang, Ji Xianghua, Ji Yingping
Objective To explore the attitudes of parents of critically ill children to resuscitation companionship and its influencing factors so as to provide a scientific basis for improving the experience of children and their families in the rehabilitation process. Methods A cross-sectional survey method was used, and parents of critically ill children who were hospitalized in Children's Hospital Affiliated to Zhengzhou University from August 2018 to August 2019 were selected by convenience sampling. The general data questionnaire and Family Presence During Resuscitation Benefits-Risks (FPDR-BRS) were used to investigate the attitudes of parents of critically ill children to the resuscitation companion and influencing factors were analyzed. A total of 200 questionnaires were distributed, 189 of which were effective, with an effective recovery rate of 94.5%. Results The total scores of FPDR-BRS of 189 parents of critically ill children were (74.75±22.54) points. Univariate analysis showed that the total scores of FPDR-BRS of parents of critically ill children had statistically significant differences in the relationship with children, parents' occupations, cultural level and presence or absence of resuscitation experience (P<0.05) . Multiple linear regression analysis showed that the relationship with children, parents' occupation and cultural level were the influencing factors of attitude to resuscitation companionship (P<0.05) . Conclusions Parents of critically ill children have a moderate level of recognition for resuscitation companionship. The relationship with children, parents' occupation and cultural level are factors that influence the attitude to resuscitation companionship. Medical staff should formulate targeted interventions based on the influencing factors of attitude to resuscitation companionship so as to improve the experience of children and their families during the resuscitation process. Key words: Child; Parents; Department of pediatrics; Critically ill; Resuscitation companionship; Attitudes; Influencing factors
{"title":"Analysis on parents' attitudes to resuscitation companionship in critically ill children and its influencing factors","authors":"Han Xiaomei, W. Wenhua, Wang Yuanyuan, Zhihui Zhang, Ji Xianghua, Ji Yingping","doi":"10.3760/CMA.J.CN115682-20191216-04611","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20191216-04611","url":null,"abstract":"Objective \u0000To explore the attitudes of parents of critically ill children to resuscitation companionship and its influencing factors so as to provide a scientific basis for improving the experience of children and their families in the rehabilitation process. \u0000 \u0000 \u0000Methods \u0000A cross-sectional survey method was used, and parents of critically ill children who were hospitalized in Children's Hospital Affiliated to Zhengzhou University from August 2018 to August 2019 were selected by convenience sampling. The general data questionnaire and Family Presence During Resuscitation Benefits-Risks (FPDR-BRS) were used to investigate the attitudes of parents of critically ill children to the resuscitation companion and influencing factors were analyzed. A total of 200 questionnaires were distributed, 189 of which were effective, with an effective recovery rate of 94.5%. \u0000 \u0000 \u0000Results \u0000The total scores of FPDR-BRS of 189 parents of critically ill children were (74.75±22.54) points. Univariate analysis showed that the total scores of FPDR-BRS of parents of critically ill children had statistically significant differences in the relationship with children, parents' occupations, cultural level and presence or absence of resuscitation experience (P<0.05) . Multiple linear regression analysis showed that the relationship with children, parents' occupation and cultural level were the influencing factors of attitude to resuscitation companionship (P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000Parents of critically ill children have a moderate level of recognition for resuscitation companionship. The relationship with children, parents' occupation and cultural level are factors that influence the attitude to resuscitation companionship. Medical staff should formulate targeted interventions based on the influencing factors of attitude to resuscitation companionship so as to improve the experience of children and their families during the resuscitation process. \u0000 \u0000 \u0000Key words: \u0000Child; Parents; Department of pediatrics; Critically ill; Resuscitation companionship; Attitudes; Influencing factors","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1311-1315"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41557398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-06DOI: 10.3760/CMA.J.CN115682-20191106-04037
Shanshan Bai, Hongwei Zhu
Objective To explore application effects of somatosensory interactive games in senile dementia patients. Methods A total of 83 senile dementia patients who were treated in Geriatrics Department in Peking Union Medical College Hospital from June 2017 to June 2018, were selected as research objects. According to the random grouping method, they were divided into the observation group (n=42) and the control group (n=41) . Patients in the control group were given routine treatment and nursing while patients in the observation group were given intervention of somatosensory interactive games. Scores of Mini-mental State Examination (MMSE) and somatosensory interactive games of patients before and after intervention were compared between two groups. Results After 8 weeks of intervention, the MESM score of the observation group was (16.79±7.18) , which was higher than that of the control group (12.91±6.96) , there was a statistically significant difference between the two groups (P<0.05) .Comparison of the scores of the somatosensory interactive games between the observation group before the intervention and the 4th and 8th week of intervention, the differences were statistically significant (P<0.05) . Conclusions Somatosensory interactive games for senile dementia patients can effectively improve their memory, attention and calculation capacity as well as linguistic competence. Somatosensory interactive games are easier to accept for senile dementia patients, which is worthy of clinical application and promotion. Key words: Senile dementia; Somatosensory interactive games; Non-pharmacological intervention
{"title":"Application effects of somatosensory interactive games on cognitive function of senile dementia patients","authors":"Shanshan Bai, Hongwei Zhu","doi":"10.3760/CMA.J.CN115682-20191106-04037","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20191106-04037","url":null,"abstract":"Objective \u0000To explore application effects of somatosensory interactive games in senile dementia patients. \u0000 \u0000 \u0000Methods \u0000A total of 83 senile dementia patients who were treated in Geriatrics Department in Peking Union Medical College Hospital from June 2017 to June 2018, were selected as research objects. According to the random grouping method, they were divided into the observation group (n=42) and the control group (n=41) . Patients in the control group were given routine treatment and nursing while patients in the observation group were given intervention of somatosensory interactive games. Scores of Mini-mental State Examination (MMSE) and somatosensory interactive games of patients before and after intervention were compared between two groups. \u0000 \u0000 \u0000Results \u0000After 8 weeks of intervention, the MESM score of the observation group was (16.79±7.18) , which was higher than that of the control group (12.91±6.96) , there was a statistically significant difference between the two groups (P<0.05) .Comparison of the scores of the somatosensory interactive games between the observation group before the intervention and the 4th and 8th week of intervention, the differences were statistically significant (P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000Somatosensory interactive games for senile dementia patients can effectively improve their memory, attention and calculation capacity as well as linguistic competence. Somatosensory interactive games are easier to accept for senile dementia patients, which is worthy of clinical application and promotion. \u0000 \u0000 \u0000Key words: \u0000Senile dementia; Somatosensory interactive games; Non-pharmacological intervention","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1359-1364"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45065363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-06DOI: 10.3760/CMA.J.CN115682-20190731-02730
Fuhong Chen, Ya-Dong Chen, Li-Juan Lyu, Lei Ma
Objective To explore the effects of information drug close-loop management mode on adverse events of nursing medication and to analyze the 46 cases of adverse events after implementing the information drug close-loop management mode so as to understand the event characteristics and formulate the countermeasures with the aim to reduce the nursing medication errors. Methods We retrospectively analyzed the 46 cases of adverse events of nursing medication reported by system in the First Affiliated Hospital of Xiamen University after implementing the information drug close-loop management mode (from January to December 2018) . Among the 46 cases of events, we analyzed the classifications, causes and links of error and compared those events with adverse events of nursing medication before implementing the information drug close-loop management mode in 2017. Results After carrying out the drug close-loop management, the adverse events of medication declined compared with that in 2017, but there was no statistical difference (P>0.05) . The adverse events included 17 (17/46, 36.96%) errors in identification, 8 (8/46, 17.39%) medication omissions, 7 (7/46, 15.22%) errors in dose and 5 (5/46, 10.87%) errors in route. The links of medication errors were mainly in drug dispensing (26 cases) and arranging (14 cases) . Conclusions Adverse events of medication most often occur in drug dispensing. The most common errors were misidentification. Nursing managers should formulate the preventive intervention based on the classifications and characteristics of adverse events in nursing medication administering, and monitor as well as improve the rate of sweeping code in drug close-loop, strength training for nurses, and check the drug dispensing and arranging well. Key words: Nurses; Informationization; Close-loop management; Medication administering errors; Adverse events
{"title":"Influence of information drug close-loop management mode on adverse events of nursing medication","authors":"Fuhong Chen, Ya-Dong Chen, Li-Juan Lyu, Lei Ma","doi":"10.3760/CMA.J.CN115682-20190731-02730","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190731-02730","url":null,"abstract":"Objective \u0000To explore the effects of information drug close-loop management mode on adverse events of nursing medication and to analyze the 46 cases of adverse events after implementing the information drug close-loop management mode so as to understand the event characteristics and formulate the countermeasures with the aim to reduce the nursing medication errors. \u0000 \u0000 \u0000Methods \u0000We retrospectively analyzed the 46 cases of adverse events of nursing medication reported by system in the First Affiliated Hospital of Xiamen University after implementing the information drug close-loop management mode (from January to December 2018) . Among the 46 cases of events, we analyzed the classifications, causes and links of error and compared those events with adverse events of nursing medication before implementing the information drug close-loop management mode in 2017. \u0000 \u0000 \u0000Results \u0000After carrying out the drug close-loop management, the adverse events of medication declined compared with that in 2017, but there was no statistical difference (P>0.05) . The adverse events included 17 (17/46, 36.96%) errors in identification, 8 (8/46, 17.39%) medication omissions, 7 (7/46, 15.22%) errors in dose and 5 (5/46, 10.87%) errors in route. The links of medication errors were mainly in drug dispensing (26 cases) and arranging (14 cases) . \u0000 \u0000 \u0000Conclusions \u0000Adverse events of medication most often occur in drug dispensing. The most common errors were misidentification. Nursing managers should formulate the preventive intervention based on the classifications and characteristics of adverse events in nursing medication administering, and monitor as well as improve the rate of sweeping code in drug close-loop, strength training for nurses, and check the drug dispensing and arranging well. \u0000 \u0000 \u0000Key words: \u0000Nurses; Informationization; Close-loop management; Medication administering errors; Adverse events","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1372-1375"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43466745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-06DOI: 10.3760/CMA.J.CN115682-20190926-03499
X. Han, Sanlian Hu
Neurogenic bowel dysfunction is a common complication after spinal cord injury mainly on abdominal distension, constipation and fecal incontinence which has serious negative influences on patients' lives. Transanal irrigation is a novel intervention method which has been widely used at home and abroad. Clinical practice results showed that transanal irrigation can improve the intestinal function as well as quality of life of patients. A total of five aspects were reviewed in this article, the summary of neurogenic bowel dysfunction, summary of transanal irrigation, intervention strategies, complications and continuous nursing. Key words: Review; Spinal cord injuries; Transanal irrigation; Neurogenic bowel dysfunction; Research progress
{"title":"Research progress of effects of transanal irrigation on intestinal dysfunction after spinal cord injury","authors":"X. Han, Sanlian Hu","doi":"10.3760/CMA.J.CN115682-20190926-03499","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190926-03499","url":null,"abstract":"Neurogenic bowel dysfunction is a common complication after spinal cord injury mainly on abdominal distension, constipation and fecal incontinence which has serious negative influences on patients' lives. Transanal irrigation is a novel intervention method which has been widely used at home and abroad. Clinical practice results showed that transanal irrigation can improve the intestinal function as well as quality of life of patients. A total of five aspects were reviewed in this article, the summary of neurogenic bowel dysfunction, summary of transanal irrigation, intervention strategies, complications and continuous nursing. \u0000 \u0000Key words: \u0000Review; Spinal cord injuries; Transanal irrigation; Neurogenic bowel dysfunction; Research progress","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1388-1391"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45366153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-06DOI: 10.3760/CMA.J.CN115682-20190712-02494
Juyi Peng, Ya-Ling Hu, Xiaofen Fan, Tian-e Zhang, Yan Ren, Ya-Chi Fan, Hong Yang
Objective To explore the correlations among coping style, self-consistency and stigma in bipolar disorder depression patients. Methods From June 2017 to December 2018, this study selected 217 bipolar disorder depression inpatients of Department of Mental Health at a Class Ⅲ Grade A hospital in Taiyuan by convenience sampling. All of them were investigated with the general information questionnaire, Perceived Devaluation-Discrimination Scale (PDD) , Self-Consistency and Congruence Scale (SCCS) and the Simplified Coping Style Questionnaire (SCSQ) . Amos 22.0 was used to path analysis. Results The scores of PDD, SCSQ and positive coping style and negative coping style were (30.92±6.41) , (101.54±16.99) , (21.63±6.46) and (13.36±5.03) respectively. Pearson correlation analysis showed that positive coping style of patients had negative correlations with the self-consistency and stigma (r=-0.748, -0.655; P<0.01) ; negative coping style had positive correlations with the self-consistency and stigma (r=0.553, 0.742; P<0.01) ; self-consistency had a positive correlation with the stigma (r=0.763, P<0.01) . Mediating effect test showed that self-consistency only had partial mediating role between the negative coping style and stigma and the mediating effect accounted for 40.54% of the total effect. Conclusions The negative coping style not only has a direct impact on the stigma in bipolar disorder depression patients, but also has an indirect impact on stigma by self-consistency. Medical staff can carry out intervention based on this path to reduce the stigma of bipolar disorder depression patients. Key words: Depression; Bipolar disorder; Stigma; Self-consistency; Coping style; Path analysis
{"title":"Path analysis of influence of coping style and self-consistency on stigma among bipolar disorder depression patients","authors":"Juyi Peng, Ya-Ling Hu, Xiaofen Fan, Tian-e Zhang, Yan Ren, Ya-Chi Fan, Hong Yang","doi":"10.3760/CMA.J.CN115682-20190712-02494","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190712-02494","url":null,"abstract":"Objective \u0000To explore the correlations among coping style, self-consistency and stigma in bipolar disorder depression patients. \u0000 \u0000 \u0000Methods \u0000From June 2017 to December 2018, this study selected 217 bipolar disorder depression inpatients of Department of Mental Health at a Class Ⅲ Grade A hospital in Taiyuan by convenience sampling. All of them were investigated with the general information questionnaire, Perceived Devaluation-Discrimination Scale (PDD) , Self-Consistency and Congruence Scale (SCCS) and the Simplified Coping Style Questionnaire (SCSQ) . Amos 22.0 was used to path analysis. \u0000 \u0000 \u0000Results \u0000The scores of PDD, SCSQ and positive coping style and negative coping style were (30.92±6.41) , (101.54±16.99) , (21.63±6.46) and (13.36±5.03) respectively. Pearson correlation analysis showed that positive coping style of patients had negative correlations with the self-consistency and stigma (r=-0.748, -0.655; P<0.01) ; negative coping style had positive correlations with the self-consistency and stigma (r=0.553, 0.742; P<0.01) ; self-consistency had a positive correlation with the stigma (r=0.763, P<0.01) . Mediating effect test showed that self-consistency only had partial mediating role between the negative coping style and stigma and the mediating effect accounted for 40.54% of the total effect. \u0000 \u0000 \u0000Conclusions \u0000The negative coping style not only has a direct impact on the stigma in bipolar disorder depression patients, but also has an indirect impact on stigma by self-consistency. Medical staff can carry out intervention based on this path to reduce the stigma of bipolar disorder depression patients. \u0000 \u0000 \u0000Key words: \u0000Depression; Bipolar disorder; Stigma; Self-consistency; Coping style; Path analysis","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1306-1310"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43597160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective To explore the application of games combined with speech training in rehabilitation care for language development retardation in high-risk children aged 2 to 5 years. Methods Totally 190 high-risk children aged 2 to 5 years with language development retardation admitted from January 2016 to December 2018 in Luzhou People's Hospital were selected by convenient sampling, and divided into observation group (n=95) and control group (n=95) according to the random number table. Children in the control group received conventional speech training, while children in the observation group received speech training combined with games for 6 months. The effects of rehabilitation training were observed in the two groups, and the speech development quotient of the children was evaluated using the Gesell Developmental Schedules (GDS) . The satisfaction rate to rehabilitation of parents of two groups were compared. Results After 6 months of training, the effective rates of rehabilitation training were 86.32% (82/95) in the observation group and 73.68% (70/95) in the control group, and the difference was statistically significant (P<0.05) . The GDS scores were (60.36±8.25) in the observation group and (56.67 ± 7.84) in the control group, and the difference was statistically significant (P<0.05) . The satisfaction rate of parents of children in the observation group on rehabilitation effect, service attitude, professional skills, and humane care were higher than those in the control group, and the differences between the two groups were statistically significant (P<0.05) . Conclusions In high-risk children aged 2 to 5 years with language development retardation, speech training combined with games can improve children's speech development quotient and promote their rehabilitation. Key words: High-risk children; Language development retardation; Speech training; Games; Rehabilitation; Development quotient
{"title":"Application of games combined with speech training in rehabilitation care for language development retardation in high-risk children aged 2 to 5 years","authors":"Fang Song, Ping Huang, Jing Luo, Hongmei Li, Jing-hua Ye, Xiaoli Lei, Ting Wu, Zheng Peng, Huiye Chen, Yilan Xu, Luyao Feng","doi":"10.3760/CMA.J.CN115682-20190702-02329","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190702-02329","url":null,"abstract":"Objective \u0000To explore the application of games combined with speech training in rehabilitation care for language development retardation in high-risk children aged 2 to 5 years. \u0000 \u0000 \u0000Methods \u0000Totally 190 high-risk children aged 2 to 5 years with language development retardation admitted from January 2016 to December 2018 in Luzhou People's Hospital were selected by convenient sampling, and divided into observation group (n=95) and control group (n=95) according to the random number table. Children in the control group received conventional speech training, while children in the observation group received speech training combined with games for 6 months. The effects of rehabilitation training were observed in the two groups, and the speech development quotient of the children was evaluated using the Gesell Developmental Schedules (GDS) . The satisfaction rate to rehabilitation of parents of two groups were compared. \u0000 \u0000 \u0000Results \u0000After 6 months of training, the effective rates of rehabilitation training were 86.32% (82/95) in the observation group and 73.68% (70/95) in the control group, and the difference was statistically significant (P<0.05) . The GDS scores were (60.36±8.25) in the observation group and (56.67 ± 7.84) in the control group, and the difference was statistically significant (P<0.05) . The satisfaction rate of parents of children in the observation group on rehabilitation effect, service attitude, professional skills, and humane care were higher than those in the control group, and the differences between the two groups were statistically significant (P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000In high-risk children aged 2 to 5 years with language development retardation, speech training combined with games can improve children's speech development quotient and promote their rehabilitation. \u0000 \u0000 \u0000Key words: \u0000High-risk children; Language development retardation; Speech training; Games; Rehabilitation; Development quotient","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1291-1296"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48646533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Syndrome is a pathological generalization in the process of disease occurrence and development and any syndrome is composed of several "syndrome factors". This study systematically expounds the background, basic connotation, significance and current application research status of the "syndrome factors" theory of traditional Chinese medicine, and it emphasizes the important effect of the theory on the process of syndrome differentiation and treatment of traditional Chinese medicine. According to the guiding ideology of syndrome differentiation theory system of "syndrome factors" of traditional Chinese medicine, this study introduces the concept of "syndrome factors" into traditional Chinese medicine nursing, defines the concept of "nursing measures factors", regards it as the nursing unit for the pathogenesis unit, reflects the nursing methods and principles for the syndrome pathogenesis unit and further clarifies the corresponding relationship between syndrome and nursing. The study attempts to explore a nursing system based on the "nursing measures factors" so as to improve the ability of syndrome differentiation and nursing of nursing staff and promote the standardization of traditional Chinese medicine nursing. Key words: Traditional Chinese medicine nursing; Standardization of nursing; Syndrome differentiation and nursing; Syndrome factors; Nursing measures factors
{"title":"Consideration on constructing the nursing system of nursing measures factors based on syndrome factors","authors":"Chun-Hua Zhang, Chun-guang Yu, Hui-Xin Ding, Pei-Yao Li, Ling Wang, Wen-Wen Zhao, Kaiyue Cui","doi":"10.3760/CMA.J.CN115682-20200113-00194","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20200113-00194","url":null,"abstract":"Syndrome is a pathological generalization in the process of disease occurrence and development and any syndrome is composed of several \"syndrome factors\". This study systematically expounds the background, basic connotation, significance and current application research status of the \"syndrome factors\" theory of traditional Chinese medicine, and it emphasizes the important effect of the theory on the process of syndrome differentiation and treatment of traditional Chinese medicine. According to the guiding ideology of syndrome differentiation theory system of \"syndrome factors\" of traditional Chinese medicine, this study introduces the concept of \"syndrome factors\" into traditional Chinese medicine nursing, defines the concept of \"nursing measures factors\", regards it as the nursing unit for the pathogenesis unit, reflects the nursing methods and principles for the syndrome pathogenesis unit and further clarifies the corresponding relationship between syndrome and nursing. The study attempts to explore a nursing system based on the \"nursing measures factors\" so as to improve the ability of syndrome differentiation and nursing of nursing staff and promote the standardization of traditional Chinese medicine nursing. \u0000 \u0000Key words: \u0000Traditional Chinese medicine nursing; Standardization of nursing; Syndrome differentiation and nursing; Syndrome factors; Nursing measures factors","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1396-1400"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43801176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective To explore the trend of postpartum hemorrhage after two-child policy and to analyze the high-risk risks of postpartum hemorrhage so as to put forward intervention measures to reduce the postpartum hemorrhage. Methods We retrospectively selected 8 784 delivery women with routine production inspection and hospitalized at a ClassⅢ Grade A hospital from 2014 to 2018. We collected the general information, record of production inspection, delivery record and analyzed the trend of postpartum hemorrhage rate, blood loss and related high-risk factors. Results From 2014 to 2018, there were statistical differences in the postpartum hemorrhage rate, serious postpartum hemorrhage rate and blood loss (P<0.05) . The trend showed an increasing trend. In 2017, the postpartum hemorrhage rate, serious postpartum hemorrhage rate and blood loss were 16.9%, 6.1% and (540.1±758.2) ml respectively highest in those years. From 2014 to 2018, the percentage of delivery women with advanced ages, multiple pregnancy, pregnancy times≥2, history of cesarean section≥2 were increasing; delivery women with the prenatal hemoglobin≤110 g/L and percentage of natural labor were decreasing with a statistical difference (P<0.05) ; the percentage of emergency cesarean section was on the rise; the percentage of placental expulsion time from 15 to 30 minutes declined with statistical differences (P<0.05) ; the percentage of placental expulsion time≥30 minutes and above was no significant trend. Conclusions From 2014 to 2018, the postpartum hemorrhage rate, serious postpartum hemorrhage rate and blood loss did not show an increasing trend. However, the percentage of high-risk pregnant and delivery women increased gradually. Therefore, we should carry out the pregnancy risk assessment rating for pregnant and delivery women and formulate a suitable high-risk assessment tool for postpartum hemorrhage so as to reduce the incidence of postpartum hemorrhage. Key words: Postpartum hemorrhage; Puerpera; Blood loss; Change trend; High-risk factors
{"title":"Trend analysis of postpartum hemorrhage rate and blood loss among delivery women at a ClassIII Grade A hospital from 2014 to 2018","authors":"Yang Xu, Zhaoyan Pang, Yanting Chen, Zhaonian Wang, Linya Li, Xiaorui Chen, Jinrong Zhao","doi":"10.3760/CMA.J.CN115682-20190720-02592","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190720-02592","url":null,"abstract":"Objective \u0000To explore the trend of postpartum hemorrhage after two-child policy and to analyze the high-risk risks of postpartum hemorrhage so as to put forward intervention measures to reduce the postpartum hemorrhage. \u0000 \u0000 \u0000Methods \u0000We retrospectively selected 8 784 delivery women with routine production inspection and hospitalized at a ClassⅢ Grade A hospital from 2014 to 2018. We collected the general information, record of production inspection, delivery record and analyzed the trend of postpartum hemorrhage rate, blood loss and related high-risk factors. \u0000 \u0000 \u0000Results \u0000From 2014 to 2018, there were statistical differences in the postpartum hemorrhage rate, serious postpartum hemorrhage rate and blood loss (P<0.05) . The trend showed an increasing trend. In 2017, the postpartum hemorrhage rate, serious postpartum hemorrhage rate and blood loss were 16.9%, 6.1% and (540.1±758.2) ml respectively highest in those years. From 2014 to 2018, the percentage of delivery women with advanced ages, multiple pregnancy, pregnancy times≥2, history of cesarean section≥2 were increasing; delivery women with the prenatal hemoglobin≤110 g/L and percentage of natural labor were decreasing with a statistical difference (P<0.05) ; the percentage of emergency cesarean section was on the rise; the percentage of placental expulsion time from 15 to 30 minutes declined with statistical differences (P<0.05) ; the percentage of placental expulsion time≥30 minutes and above was no significant trend. \u0000 \u0000 \u0000Conclusions \u0000From 2014 to 2018, the postpartum hemorrhage rate, serious postpartum hemorrhage rate and blood loss did not show an increasing trend. However, the percentage of high-risk pregnant and delivery women increased gradually. Therefore, we should carry out the pregnancy risk assessment rating for pregnant and delivery women and formulate a suitable high-risk assessment tool for postpartum hemorrhage so as to reduce the incidence of postpartum hemorrhage. \u0000 \u0000 \u0000Key words: \u0000Postpartum hemorrhage; Puerpera; Blood loss; Change trend; High-risk factors","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1297-1302"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46545608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-06DOI: 10.3760/CMA.J.CN115682-20190718-02566
Xiaohong Xie
Objective To explore the effects of eight-step process and four-track cross check quality control in postoperative care for patients with glioma. Methods Totally 126 patients with glioma who received surgery in the Second Affiliated Hospital of Hainan Medical University from December 2015 to December 2018 were selected for this prospective study, and divided into the observation group (n=63) and the control group (n=63) according to the random number table. Patients in the observation group received nursing intervention based on the eight-step process combined with the four-track cross check quality control, while patients in the control group received routine nursing after operation. The incidence of adverse nursing events and postoperative complications, rehabilitation indicators, psychological status (SAS, SDS) , cancer-related fatigue (CRF) and quality of life scores were compared between the two groups. Results The incidence of adverse nursing events in the observation group was 7.94% (5/63) , lower than 20.63% (13/63) in the control group (P<0.05) . The incidence of complications in the observation group was 11.11% (7/63) , lower than 25.40% (16/63) in the control group (P<0.05) . The first feeding time, ureteral removal time, the first time to get out of bed, and the length of hospital stay in the observation group were shorter than those in the control group, and the differences were statistically significant (P<0.05) . After intervention, the Self-Anxiety Scale (SAS) and Self-Depression Scale (SDS) scores of both groups decreased (P<0.05) , and the SAS and SDS scores of the observation group were lower than those of the control group (P<0.05) . The physical, emotional, and cognitive fatigue scores in the CRF scale of both groups were reduced (P<0.05) , and the scores of the observation group were lower than those of the control group (P<0.05) . After intervention, the physical, cognitive, emotional and social function as well as overall health status scores in the quality of life scale of both groups increased (P<0.05) , and the physical, emotional, social function and overall health status scores of the observation group were higher than those of the control group, with statistically significant differences (P<0.05) . Conclusions The eight-step process combined with the four-track cross check quality control for postoperative care of patients with glioma can reduce the incidence of adverse nursing events and complications, alleviate negative emotions of patients, ameliorate CRF, and improve their quality of life. Key words: Neuroglioma; Neurosurgery; Postoperative complication; Cancer-related fatigue; Quality of life; Eight-step process; Four-track cross check quality control
{"title":"Effects of eight-step process and four-track cross check quality control in postoperative care for patients with glioma","authors":"Xiaohong Xie","doi":"10.3760/CMA.J.CN115682-20190718-02566","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190718-02566","url":null,"abstract":"Objective \u0000To explore the effects of eight-step process and four-track cross check quality control in postoperative care for patients with glioma. \u0000 \u0000 \u0000Methods \u0000Totally 126 patients with glioma who received surgery in the Second Affiliated Hospital of Hainan Medical University from December 2015 to December 2018 were selected for this prospective study, and divided into the observation group (n=63) and the control group (n=63) according to the random number table. Patients in the observation group received nursing intervention based on the eight-step process combined with the four-track cross check quality control, while patients in the control group received routine nursing after operation. The incidence of adverse nursing events and postoperative complications, rehabilitation indicators, psychological status (SAS, SDS) , cancer-related fatigue (CRF) and quality of life scores were compared between the two groups. \u0000 \u0000 \u0000Results \u0000The incidence of adverse nursing events in the observation group was 7.94% (5/63) , lower than 20.63% (13/63) in the control group (P<0.05) . The incidence of complications in the observation group was 11.11% (7/63) , lower than 25.40% (16/63) in the control group (P<0.05) . The first feeding time, ureteral removal time, the first time to get out of bed, and the length of hospital stay in the observation group were shorter than those in the control group, and the differences were statistically significant (P<0.05) . After intervention, the Self-Anxiety Scale (SAS) and Self-Depression Scale (SDS) scores of both groups decreased (P<0.05) , and the SAS and SDS scores of the observation group were lower than those of the control group (P<0.05) . The physical, emotional, and cognitive fatigue scores in the CRF scale of both groups were reduced (P<0.05) , and the scores of the observation group were lower than those of the control group (P<0.05) . After intervention, the physical, cognitive, emotional and social function as well as overall health status scores in the quality of life scale of both groups increased (P<0.05) , and the physical, emotional, social function and overall health status scores of the observation group were higher than those of the control group, with statistically significant differences (P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000The eight-step process combined with the four-track cross check quality control for postoperative care of patients with glioma can reduce the incidence of adverse nursing events and complications, alleviate negative emotions of patients, ameliorate CRF, and improve their quality of life. \u0000 \u0000 \u0000Key words: \u0000Neuroglioma; Neurosurgery; Postoperative complication; Cancer-related fatigue; Quality of life; Eight-step process; Four-track cross check quality control","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1354-1358"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43163634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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