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Mediating effect of emotional labor between professional values and job burnout among ICU nurses 情绪劳动在ICU护士职业价值观与工作倦怠之间的中介作用
Pub Date : 2020-03-16 DOI: 10.3760/CMA.J.CN115682-20190929-03539
Song Zhou, Cuixiang Yu, Liling Zha, Shu Zhang
Objective To explore the mediating effect of emotional labor between professional values and job burnout among ICU nurses, and to provide a reference for reducing ICU nurses' job burnout and motivating their work enthusiasm. Methods From June to July 2017, 276 ICU nurses from 3 comprehensive ClassⅢ Grade A hospitals in Nanchang were selected as the subjects by convenience sampling. The General Information Questionnaire and Nurses' Emotional Labor Scale, Professional Values Scale and Job Burnout Scale were used to investigate. Structural equation model was used to explore the mediating effect of emotional labor between professional values and job burnout. Results A total of 276 questionnaires were issued and 249 valid questionnaires. The average score of the Nurses' Emotional Labor Scale of 249 ICU nurses was (3.55±0.45) , the average score of the Professional Values Scale was (3.63±0.41) , and the dimensions scores of the emotional exhaustion, depersonalization and personal accomplishment of the Job Burnout Scale were (2.77±1.07) , (1.54±1.26) , and (3.78±1.16) . The structural equation fitting indexes were as follows: χ2/df=1.155, GFI=0.976, AGFI=0.942, RMSEA=0.027. Professional values and emotional labor of ICU nurses had direct predictive effect on job burnout. Professional values also used emotional labor as an intermediary variable, which indirectly affected job burnout. Conclusions Nursing managers should pay attention to reducing the job burnout of ICU nurses by improving the level of ICU nurses' professional values and optimizing their emotional labor strategies from the individual factor level. Key words: Intensive Care Unit; Nurse; Emotional labor; Professional values; Job burnout; Mediating effect
目的探讨情感劳动在ICU护士职业价值观与工作倦怠之间的中介作用,为减少ICU护士的工作倦怠、调动工作积极性提供参考。方法采用方便抽样的方法,选取南昌市3所综合性三级甲等医院的276名ICU护士为研究对象。采用一般信息量表和护士情感劳动量表、职业价值观量表、工作倦怠量表进行调查。采用结构方程模型,探讨情感劳动在职业价值观与工作倦怠之间的中介作用。结果共发放问卷276份,有效问卷249份。249名ICU护士的护士情绪劳动量表平均分为(3.55±0.45),职业价值观量表平均得分为(3.63±0.41),工作倦怠量表的情绪衰竭、人格解体和个人成就维度得分分别为(2.77±1.07)、(1.54±1.26),结构方程拟合指数为:χ2/df=1.155,GFI=0.976,AGFI=0.942,RMSEA=0.027。ICU护士的职业价值观和情感劳动对工作倦怠有直接的预测作用。职业价值观还将情感劳动作为中介变量,间接影响职业倦怠。结论护理管理者应重视从个体因素层面提高ICU护士的职业价值观水平,优化其情绪劳动策略,以减少ICU护士的工作倦怠。关键词:重症监护室;护士;情感劳动;职业价值观;工作倦怠;中介效应
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引用次数: 2
Effects of holistic nursing management model in aerosol inhalation for children with mycoplasma pneumonia 整体护理管理模式在小儿支原体肺炎雾化吸入治疗中的作用
Pub Date : 2020-03-16 DOI: 10.3760/CMA.J.CN115682-20190718-02571
Wenli Han, Qing Zhao, Qi'ning Xing, Yuen-ki. Wan, Lei Yang
Objective To explore the effects of holistic nursing management model in aerosol inhalation for children with mycoplasma pneumonia. Methods From June 2018 to April 2019, this study selected 150 mycoplasma pneumonia children with aerosol inhalation in the Affiliated Hospital of Jining Medical University as subjects by convenience sampling. All of children were divided into observation group and control group with the method of random number table, 75 cases in each group. Control group carried out routine nursing, while observation group implemented nursing care with the holistic nursing management model. This study compared the compliance of aerosol inhalation among children between two groups. Perceived society support of children parents and quality of life of children between two groups were evaluated with the Perceived Social Support Scale (PSSS) and the Pediatric Quality of Life Inventory Measurement Models (PedsQL 4.0) respectively before and after intervention. Results The compliance rates of aerosol inhalation among children were 94.67% (71/75) in observation group and 82.67% (62/75) in control group with a statistical difference (P<0.05) . A total of 5 days after intervention, the scores of PSSS of children parents in observation group and control group were (73.25±10.08) and (66.36±9.96) respectively with a statistical difference (P<0.05) . There were also statistical differences in the scores of PedsQL 4.0 between observation group (74.14±10.77) and control group (65.64±9.55) 5 days after intervention (P<0.05) . Conclusions The holistic nursing management model is conducive to improving the aerosol inhalation compliance and quality of life among children with pneumonia as well as social support among children parents which has high application effects. Key words: Mycoplasma pneumohia; Child pneumonia; Aerosol inhalation; Holistic nursing management model
目的探讨整体护理管理模式在肺炎支原体患儿雾化吸入中的效果。方法2018年6月至2019年4月,选取济宁医科大学附属医院雾化吸入肺炎支原体患儿150例为研究对象。采用随机数字表法将患儿分为观察组和对照组,每组75例。对照组采用常规护理,观察组采用整体护理管理模式进行护理。本研究比较了两组儿童雾化吸入的依从性。干预前后分别采用感知社会支持量表(PSSS)和儿童生活质量量表(PedsQL 4.0)评估两组儿童父母感知社会支持和儿童生活质量。结果观察组患儿雾化吸入依从率为94.67%(71/75),对照组为82.67%(62/75),差异有统计学意义(P<0.05)。干预后共5 d,观察组与对照组患儿家长PSSS评分分别为(73.25±10.08)分、(66.36±9.96)分,差异有统计学意义(P<0.05)。干预后5 d,观察组患者PedsQL 4.0评分为74.14±10.77分,对照组为65.64±9.55分,差异有统计学意义(P<0.05)。结论整体护理管理模式有利于提高肺炎患儿雾化吸入依从性和生活质量,提高患儿家长的社会支持,具有较高的应用效果。关键词:肺炎支原体;儿童肺炎;雾化吸入;整体护理管理模式
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引用次数: 0
Application of six-step cancer notification model in lung cancer nursing 六步癌症通报模式在肺癌护理中的应用
Pub Date : 2020-03-16 DOI: 10.3760/CMA.J.CN115682-20190909-03256
Chun-Hua Li, Lili Sun, Ying Xiong, Zhitong Li, Yang-Guang Wang
Objective To study the application value of six-step cancer notification model (setting, patient's perception, invitation, knowledge, exploring/empathy, strategy/summary, SPIKES) in lung cancer nursing. Methods The convenience sampling method was used. Forty-two lung cancer patients admitted to the First Affiliated Hospital of Zhengzhou University from June 2017 to June 2018 were selected as control group, and 42 lung cancer patients admitted from July 2018 to July 2019 were selected as observation group. The control group underwent routine nursing, and the observation group underwent SPIKES on the basis of the control group. Hamilton Anxiety Scale (HAMA) , Hamilton Depression Scale (HAMD) , Herth Hope Index (HHI) and Quality of Life Questionnaire-Core30 (QLQ-C30) were used to compare the intervention effect between the two groups. Results At discharge, the scores of HAMA (13.84±3.04) and HAMD (15.87±2.11) in the observation group were lower than those in the control group, and the differences were statistically significant (t=5.079, 7.232; P<0.05) . At discharge, the total HHI score of the observation group (34.53±9.25) and the QLQ-C30 score (7.24±2.61) were higher than those in the control group, and the differences were statistically significant (t=5.550, 3.641; P<0.05) . Conclusions Carrying out SPIKES for lung cancer patients can alleviate the negative emotions of patients, improve the hope index and quality of life, which has high clinical application value. Key words: Lung neoplasms; Six-step cancer notification model; Negative emotion; Quality of life
目的探讨六步癌症通知模式(设置、患者感知、邀请、知识、探究/移情、策略/总结、SPIKES)在癌症护理中的应用价值。方法采用方便抽样法。选取2017年6月至2018年6月郑州大学第一附属医院收治的42例癌症患者作为对照组,2018年7月至2019年7月收治的42名癌症患者作为观察组。对照组进行常规护理,观察组在对照组基础上进行SPIKES。采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HamMD)、赫思希望指数(HHI)和生活质量问卷-Core30(QLQ-C30)比较两组干预效果。结果出院时,观察组HAMA(13.84±3.04)和HAMD(15.87±2.11)评分均低于对照组,差异有统计学意义(t=5.079,7.232;P<0.05),结论对癌症患者实施SPIKES能减轻患者的负面情绪,提高患者的希望指数和生活质量,具有较高的临床应用价值。关键词:肺肿瘤;六步癌症通知模型;消极情绪;生活质量
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引用次数: 0
Correlation between symptom groups and quality of life in patients with oral cancer after surgery 口腔癌术后患者症状组与生活质量的相关性研究
Pub Date : 2020-03-16 DOI: 10.3760/CMA.J.CN115682-20191021-03785
Cui′e Peng, Zan Li, Bo Zhou, Keda Wang, C. Lyu, H. Mao, Zhenfeng Shan, Xiaobing Chen, Qingxia Wang
Objective To investigate the symptoms of patients with oral cancer during treatment, and explore the types of symptom groups and their correlation with quality of life. Methods Totally 201 patients with oral cancer after surgery were selected as the subject from a ClassⅢ Grade A hospital using convenient sampling and investigated with the MD Anderson Symptom Inventory for Head and Neck cancer (MDASI-HN) and University of Washington Quality of Life Questionnaire (UW-QOL) , and explore the relationship between them. Results Totally 189 patients completed the questionnaire. Patients with oral cancer showed many symptoms during the progression and treatment of the disease. Serious symptoms included swallowing, chewing and speaking. Exploratory factor analysis revealed three symptom groups, namely, oral and throat symptom group, drowsiness-digestive tract symptom group, and fatigue-respiratory symptom group. The scores of different dimensions and the total scores of quality of life were negatively correlated with the total scores of the three symptom groups (P<0.05) . Conclusions There are multiple symptom groups in patients with oral cancer during postoperative rehabilitation, which seriously affect their quality of life. Medical workers should grasp this characteristic, evaluate symptoms in time, actively manage symptom groups, and improve the quality of life of patients. Key words: Oral neoplasms; Quality of life; Symptom group; Symptom management
目的了解口腔癌患者治疗过程中出现的症状,探讨症状组类型及其与生活质量的关系。方法采用方便抽样的方法,选取某Ⅲ三级甲等医院201例口腔癌术后患者,采用MD安德森头颈癌症状量表(mdsi - hn)和华盛顿大学生活质量问卷(UW-QOL)进行调查,探讨两者之间的关系。结果189例患者完成问卷调查。口腔癌患者在病情发展和治疗过程中表现出多种症状。严重的症状包括吞咽、咀嚼和说话。探索性因素分析显示有三个症状组,即口腔咽喉症状组、嗜睡-消化道症状组和疲劳-呼吸道症状组。各维度得分及生活质量总分与三个症状组总分呈负相关(P<0.05)。结论口腔癌患者术后康复过程中存在多症状组,严重影响患者的生活质量。医务工作者应把握这一特点,及时评价症状,积极管理症状群,提高患者的生活质量。关键词:口腔肿瘤;生活质量;症状组;症状管理
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引用次数: 1
Application of Mini-CEX in standardized training of the first year for new nurses Mini-CEX在新护士第一年标准化培训中的应用
Pub Date : 2020-03-16 DOI: 10.3760/CMA.J.CN115682-20190911-03303
Caiping Song, Jing He, Ling-ling Chu, X. She, Lei Dong
Objective To improve the standardized training effects of the first year graduate new nurses by the mini clinical evaluation exercise (Mini-CEX) . Methods By cluster sampling, a total of 91 new nurses hired in 2017 of Xinqiao Hospital Affiliated to Army Medical University were in control group; and 120 new nurses hired in 2018 were in experimental group. Control group carried out routine training method. On the basis of that, experimental group implemented the Mini-CEX based clinical nursing core competence training and operational skill training once a month after changing routine teaching rounds and operational training, lasting 12 times. The scores of Mini-CEX for the first and twelfth time of experimental group were compared by paired sample t-test, the theoretical achievements and skill performances of new nurses between two groups were compared by independent sample t-test. Results The scores of Mini-CEX of clinical nursing core competence training and operational skill training in experimental group for the twelfth time were (6.27±0.46) and (6.73±1.10) respectively, higher than those for the first time with statistical differences (t=-8.48, -7.64; P<0.01) . Among new nurses in standardized training of the first year, the theoretical achievements and skill performances of department in experimental group were (87.70±11.32) and (92.90±8.22) , those of hospital were (85.50±11.83) and (89.67±8.99) respectively, higher than those in control group with statistical differences (t=-2.71, -2.09, -2.24, -3.22; P<0.05) . Conclusions Mini-CEX has significant effects in training for the first year among new nurses . Key words: Nurses; Inservice training; New nurses; Mini-clinical evaluation exercise; Standardized training
目的通过小型临床评估练习(mini-CEX)提高一年级应届护士规范化培训效果。方法采用整群抽样方法,将陆军医科大学附属新桥医院2017年新聘用的91名护士作为对照组;实验组为2018年新聘用的120名护士。对照组采用常规训练方法。在此基础上,实验组在改变常规教学轮次和操作培训后,每月进行一次基于Mini-CEX的临床护理核心能力培训和操作技能培训,持续12次。采用配对样本t检验对实验组第一次和第十二次Mini-CEX的得分进行比较,采用独立样本t检验比较两组新护士的理论成就和技能表现。结果实验组第十二次临床护理核心能力训练和操作技能训练的Mini-CEX得分分别为(6.27±0.46)和(6.73±1.10),高于第一次,差异有统计学意义(t=-8.48,-7.64;P<0.01),实验组科室的理论成绩和技能表现分别为(87.70±11.32)和(92.90±8.22)、医院分别为(85.50±11.83)和(89.67±8.99),结论Mini-CEX在新护士第一年培训中效果显著。关键词:护士;在职培训;新护士;小型临床评估练习;标准化培训
{"title":"Application of Mini-CEX in standardized training of the first year for new nurses","authors":"Caiping Song, Jing He, Ling-ling Chu, X. She, Lei Dong","doi":"10.3760/CMA.J.CN115682-20190911-03303","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190911-03303","url":null,"abstract":"Objective \u0000To improve the standardized training effects of the first year graduate new nurses by the mini clinical evaluation exercise (Mini-CEX) . \u0000 \u0000 \u0000Methods \u0000By cluster sampling, a total of 91 new nurses hired in 2017 of Xinqiao Hospital Affiliated to Army Medical University were in control group; and 120 new nurses hired in 2018 were in experimental group. Control group carried out routine training method. On the basis of that, experimental group implemented the Mini-CEX based clinical nursing core competence training and operational skill training once a month after changing routine teaching rounds and operational training, lasting 12 times. The scores of Mini-CEX for the first and twelfth time of experimental group were compared by paired sample t-test, the theoretical achievements and skill performances of new nurses between two groups were compared by independent sample t-test. \u0000 \u0000 \u0000Results \u0000The scores of Mini-CEX of clinical nursing core competence training and operational skill training in experimental group for the twelfth time were (6.27±0.46) and (6.73±1.10) respectively, higher than those for the first time with statistical differences (t=-8.48, -7.64; P<0.01) . Among new nurses in standardized training of the first year, the theoretical achievements and skill performances of department in experimental group were (87.70±11.32) and (92.90±8.22) , those of hospital were (85.50±11.83) and (89.67±8.99) respectively, higher than those in control group with statistical differences (t=-2.71, -2.09, -2.24, -3.22; P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000Mini-CEX has significant effects in training for the first year among new nurses . \u0000 \u0000 \u0000Key words: \u0000Nurses; Inservice training; New nurses; Mini-clinical evaluation exercise; Standardized training","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1032-1037"},"PeriodicalIF":0.0,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49064592","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}
引用次数: 0
Application of teach-back education model in patients with permanent enterostomy 背教式教育模式在永久性肠造口患者中的应用
Pub Date : 2020-03-16 DOI: 10.3760/CMA.J.CN115682-20191108-04064
Xiumei Sun
Objective To explore the application effect of teach-back education model on patients with permanent enterostomy and its impact on patients' health literacy, self-care ability and psychological toughness. Methods By convenient sampling, a total of 70 patients with permanent enterostomy after rectal cancer surgery, who were admitted to Department of Gastrointestinal Surgery, Yantai Affiliated Hospital of Binzhou Medical University from January to October 2019 were selected as research subjects. An enterostomy education program according to teach-back education model was performed on the patient's admission, before and after surgery, at discharge and on enterostomy outpatient. Before and after the intervention, Health Literacy Management Scale (HLMS) , Exercise of Self-Care Agency Scale (ESCA) , and Connor Davidson Resilience Scale (CD-RISC) were used to evaluate patients' health literacy, self-care ability, and psychological toughness. Results In terms of health literacy, the HLMS dimensions scores of willingness to financial support, ability to communicate and interact, and willingness to improve health were higher than those before intervention with significant statistical difference (P<0.05) . The ESCA dimensions scores of patients' self-care skills, self-responsibility, self-concept, and health knowledge level after intervention were significantly higher than those before intervention (P<0.05) . The CD-RISC dimensions scores of the patients' toughness, strength and optimism after intervention were higher than those before intervention with significant statistical difference (P<0.05) . Conclusions The implementation of teach-back education for patients with permanent enterostomy can significantly improve the health literacy and self-care ability of patients, and improve their psychological toughness. Key words: Enterostomy; Healthl iteracy; Self care; Teach-back education; Psychological toughness
目的探讨背教式教育模式在永久性肠造口患者中的应用效果及其对患者健康素养、生活自理能力和心理韧性的影响。方法采用方便抽样的方法,选取2019年1 - 10月滨州医科大学附属烟台医院胃肠外科收治的直肠癌术后永久性肠造口患者70例作为研究对象。在患者入院时、术前、术后、出院时及门诊进行背教式肠造口教育。干预前后分别采用健康素养管理量表(HLMS)、自我照顾代理量表(ESCA)和Connor Davidson弹性量表(CD-RISC)评估患者的健康素养、自我照顾能力和心理韧性。结果健康素养方面,财务支持意愿、沟通互动能力、改善健康意愿等HLMS维度得分均高于干预前,差异有统计学意义(P<0.05)。干预后患者自我护理技能、自我责任、自我概念、健康知识水平的ESCA维度得分显著高于干预前(P<0.05)。干预后患者韧性、力量、乐观等CD-RISC维度得分均高于干预前,差异有统计学意义(P<0.05)。结论对永久性肠造口患者实施背教教育,可显著提高患者的健康素养和生活自理能力,提高患者的心理韧性。关键词:肠造口术;Healthl iteracy;自我保健;Teach-back教育;心理韧性
{"title":"Application of teach-back education model in patients with permanent enterostomy","authors":"Xiumei Sun","doi":"10.3760/CMA.J.CN115682-20191108-04064","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20191108-04064","url":null,"abstract":"Objective \u0000To explore the application effect of teach-back education model on patients with permanent enterostomy and its impact on patients' health literacy, self-care ability and psychological toughness. \u0000 \u0000 \u0000Methods \u0000By convenient sampling, a total of 70 patients with permanent enterostomy after rectal cancer surgery, who were admitted to Department of Gastrointestinal Surgery, Yantai Affiliated Hospital of Binzhou Medical University from January to October 2019 were selected as research subjects. An enterostomy education program according to teach-back education model was performed on the patient's admission, before and after surgery, at discharge and on enterostomy outpatient. Before and after the intervention, Health Literacy Management Scale (HLMS) , Exercise of Self-Care Agency Scale (ESCA) , and Connor Davidson Resilience Scale (CD-RISC) were used to evaluate patients' health literacy, self-care ability, and psychological toughness. \u0000 \u0000 \u0000Results \u0000In terms of health literacy, the HLMS dimensions scores of willingness to financial support, ability to communicate and interact, and willingness to improve health were higher than those before intervention with significant statistical difference (P<0.05) . The ESCA dimensions scores of patients' self-care skills, self-responsibility, self-concept, and health knowledge level after intervention were significantly higher than those before intervention (P<0.05) . The CD-RISC dimensions scores of the patients' toughness, strength and optimism after intervention were higher than those before intervention with significant statistical difference (P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000The implementation of teach-back education for patients with permanent enterostomy can significantly improve the health literacy and self-care ability of patients, and improve their psychological toughness. \u0000 \u0000 \u0000Key words: \u0000Enterostomy; Healthl iteracy; Self care; Teach-back education; Psychological toughness","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1074-1078"},"PeriodicalIF":0.0,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42076175","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}
引用次数: 0
Clinical nursing pathway design for children with anti-NMDA receptor autoimmune encephalitis 抗nmda受体自身免疫性脑炎患儿的临床护理路径设计
Pub Date : 2020-03-16 DOI: 10.3760/CMA.J.CN115682-20190710-02456
Qian Zhao, Yiwen Zhang, Jin-song Zhou
Objective To construct the clinical nursing pathway (CNP) design for children with anti-NMDA receptor autoimmune encephalitis taking project time as frame. Methods The CNP draft for anti-NMDA receptor autoimmune encephalitis draft was designed by consulting literatures at home and abroad, screening evidence-based evidences, retrospective case analysis. Delphi method was used to two rounds of expert consultation of CNP draft to determine the CNP. Results A total of 12 experts were interviewed with 0.91 for the expert authority coefficient. There were 50 items in the first round of consultation, and the consent rates ranged from 66.67% to 100%. There were 49 items in the second round of consultation, the consent rates of two items were 85.71% and others were all 100%. The CNP for children with anti-NMDA receptor autoimmune encephalitis had 49 items. Conclusions Delphi method-based CNP text is highly efficient and practical, but it needs to be continually updated according to the variation. Key words: Encephalitis; Anti-NMDA receptor autoimmune encephalitis; Clinical nursing pathway; Design research; Delphi method
目的构建以项目时间为框架的抗nmda受体自身免疫性脑炎患儿临床护理路径设计。方法通过查阅国内外文献,筛选循证证据,回顾性分析病例,设计抗nmda受体自身免疫性脑炎CNP草案。采用德尔菲法对CNP草案进行两轮专家咨询,确定CNP。结果共访谈12名专家,专家权威系数为0.91。第一轮谘询共有50项,同意率由66.67%至100%不等。第二轮咨询共有49项,其中2项的同意率为85.71%,其余均为100%。抗nmda受体自身免疫性脑炎患儿的CNP有49项。结论基于德尔菲法的CNP文本是一种高效实用的方法,但需要根据不同情况不断更新。关键词:脑炎;抗nmda受体自身免疫性脑炎;临床护理路径;设计研究;德尔菲法
{"title":"Clinical nursing pathway design for children with anti-NMDA receptor autoimmune encephalitis","authors":"Qian Zhao, Yiwen Zhang, Jin-song Zhou","doi":"10.3760/CMA.J.CN115682-20190710-02456","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190710-02456","url":null,"abstract":"Objective \u0000To construct the clinical nursing pathway (CNP) design for children with anti-NMDA receptor autoimmune encephalitis taking project time as frame. \u0000 \u0000 \u0000Methods \u0000The CNP draft for anti-NMDA receptor autoimmune encephalitis draft was designed by consulting literatures at home and abroad, screening evidence-based evidences, retrospective case analysis. Delphi method was used to two rounds of expert consultation of CNP draft to determine the CNP. \u0000 \u0000 \u0000Results \u0000A total of 12 experts were interviewed with 0.91 for the expert authority coefficient. There were 50 items in the first round of consultation, and the consent rates ranged from 66.67% to 100%. There were 49 items in the second round of consultation, the consent rates of two items were 85.71% and others were all 100%. The CNP for children with anti-NMDA receptor autoimmune encephalitis had 49 items. \u0000 \u0000 \u0000Conclusions \u0000Delphi method-based CNP text is highly efficient and practical, but it needs to be continually updated according to the variation. \u0000 \u0000 \u0000Key words: \u0000Encephalitis; Anti-NMDA receptor autoimmune encephalitis; Clinical nursing pathway; Design research; Delphi method","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1059-1063"},"PeriodicalIF":0.0,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45296404","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}
引用次数: 0
Effects of action research method in quality control circle knowledge training for nurses of ClassIII hospitals 行动研究法在二级医院护士品管圈知识培训中的效果
Pub Date : 2020-03-16 DOI: 10.3760/CMA.J.CN115682-20190711-02469
Boxin Zhang, Hongmei Zhang, Yue-zhen Lu, Junjuan Zhang, Xiaojing Wei, Dehua Qin
Objective To explore the effects of action research method in quality control circle (QCC) knowledge training for nurses. Methods From August 2018 to October 2018, this study selected 216 nurses participating in QCC training by convenience sampling as learners. The action research method was used in QCC knowledge training for 216 nurses in three issues. The training effects were evaluated by theoretical test. Results After three issues of training for nurses, the theoretical achievements were (84.64±4.91) , (90.23±4.23) and (94.28±3.11) respectively higher than those before training with statistical differences (t=13.09, 16.54, 25.62; P<0.05) . Conclusions Action research method improves the training effects of QCC knowledge and perfects the training system for QCC. Key words: Nursing staff; Inservice training; Action research method; Quality control circle knowledge
目的探讨行动研究法在护士质量控制圈(QCC)知识培训中的作用。方法自2018年8月至2018年10月,本研究采用方便抽样的方法,选取216名参加QCC培训的护士作为学习者。采用行动研究法对216名护士进行了三期QCC知识培训。通过理论测试对训练效果进行评价。结果护士培训三期后,理论成绩分别比培训前高出(84.64±4.91)、(90.23±4.23)和(94.28±3.11),差异有统计学意义(t=13.09、16.54、25.62;P<0.05)。关键词:护理人员;在职培训;行动研究方法;质量控制圈知识
{"title":"Effects of action research method in quality control circle knowledge training for nurses of ClassIII hospitals","authors":"Boxin Zhang, Hongmei Zhang, Yue-zhen Lu, Junjuan Zhang, Xiaojing Wei, Dehua Qin","doi":"10.3760/CMA.J.CN115682-20190711-02469","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190711-02469","url":null,"abstract":"Objective \u0000To explore the effects of action research method in quality control circle (QCC) knowledge training for nurses. \u0000 \u0000 \u0000Methods \u0000From August 2018 to October 2018, this study selected 216 nurses participating in QCC training by convenience sampling as learners. The action research method was used in QCC knowledge training for 216 nurses in three issues. The training effects were evaluated by theoretical test. \u0000 \u0000 \u0000Results \u0000After three issues of training for nurses, the theoretical achievements were (84.64±4.91) , (90.23±4.23) and (94.28±3.11) respectively higher than those before training with statistical differences (t=13.09, 16.54, 25.62; P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000Action research method improves the training effects of QCC knowledge and perfects the training system for QCC. \u0000 \u0000 \u0000Key words: \u0000Nursing staff; Inservice training; Action research method; Quality control circle knowledge","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1105-1108"},"PeriodicalIF":0.0,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47825053","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}
引用次数: 0
Effects of psychological nursing in anterior tooth injury young patients with fiber splint fixing 心理护理在年轻前牙损伤患者纤维夹板固定中的作用
Pub Date : 2020-03-16 DOI: 10.3760/CMA.J.CN115682-20191108-04077
N. An, J. Geng, Li Liu, F. Hu, Weiwei Zhou, L. Xue
Objective To explore the effects of psychological nursing on treatment in anterior tooth injury young patients with fiber splint fixing. Methods From September 2016 to September 2019, this study selected 110 anterior tooth injury young patients with fiber splint fixing in Emergency Comprehensive Treatment Center at Beijing Stomatological Hospital as subjects by convenience sampling. All of patients were randomly divided into routine nursing group (n=58) and psychological nursing group (n=52) . Routine nursing group carried out the routine nursing. On the basis of that in routine nursing group, psychological nursing group implemented psychological nursing. Patients of two groups were investigated with the Self-Rating Anxiety Scale (SAS) to explore the anxiety of patients with different nursing interventions; and the postoperative satisfaction and compliance of patients were compared between two groups. Results The scores of SAS in psychological nursing group were lower than those in routine nursing group 2 and 4 weeks after surgery with statistical differences (P 0.05) . The postoperative satisfaction of patients in psychological nursing group was higher than that in routine nursing group with a statistical difference (P 0.05) . The compliance of brushing their teeth as required and without biting hard object among patients in psychological nursing group were higher than those in routine nursing group with statistical differences (P<0.05) . Conclusions Psychological nursing can reduce anxiety in anterior tooth injury young patients with fiber splint fixing, which also improve patients satisfaction and postoperative compliance, and has a positive role in treatment. Key words: Young adult; Psychological nursing; Teeth injury; Fiber splint fixing
目的探讨心理护理在年轻前牙损伤患者纤维夹板固定治疗中的作用。方法选择2016年9月至2019年9月在北京口腔医院急诊综合治疗中心使用纤维夹板固定的前牙损伤年轻患者110例为研究对象,采用方便抽样法。所有患者随机分为常规护理组(n=58)和心理护理组(n=52)。常规护理组进行常规护理。心理护理组在常规护理组的基础上实施心理护理。采用焦虑自评量表(SAS)对两组患者进行调查,探讨不同护理干预措施对患者焦虑的影响;比较两组患者的术后满意度和依从性。结果术后2周、4周心理护理组SAS评分低于常规护理组,差异有统计学意义(P < 0.05)。心理护理组患者术后满意度高于常规护理组,差异有统计学意义(P < 0.05)。心理护理组患者按要求刷牙及不咬硬物的依从性高于常规护理组,差异有统计学意义(P<0.05)。结论心理护理可减少前牙损伤青年纤维夹板固定患者的焦虑情绪,提高患者满意度和术后依从性,对治疗有积极作用。关键词:青年;心理护理;牙齿损伤;纤维夹板固定
{"title":"Effects of psychological nursing in anterior tooth injury young patients with fiber splint fixing","authors":"N. An, J. Geng, Li Liu, F. Hu, Weiwei Zhou, L. Xue","doi":"10.3760/CMA.J.CN115682-20191108-04077","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20191108-04077","url":null,"abstract":"Objective \u0000To explore the effects of psychological nursing on treatment in anterior tooth injury young patients with fiber splint fixing. \u0000 \u0000 \u0000Methods \u0000From September 2016 to September 2019, this study selected 110 anterior tooth injury young patients with fiber splint fixing in Emergency Comprehensive Treatment Center at Beijing Stomatological Hospital as subjects by convenience sampling. All of patients were randomly divided into routine nursing group (n=58) and psychological nursing group (n=52) . Routine nursing group carried out the routine nursing. On the basis of that in routine nursing group, psychological nursing group implemented psychological nursing. Patients of two groups were investigated with the Self-Rating Anxiety Scale (SAS) to explore the anxiety of patients with different nursing interventions; and the postoperative satisfaction and compliance of patients were compared between two groups. \u0000 \u0000 \u0000Results \u0000The scores of SAS in psychological nursing group were lower than those in routine nursing group 2 and 4 weeks after surgery with statistical differences (P 0.05) . The postoperative satisfaction of patients in psychological nursing group was higher than that in routine nursing group with a statistical difference (P 0.05) . The compliance of brushing their teeth as required and without biting hard object among patients in psychological nursing group were higher than those in routine nursing group with statistical differences (P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000Psychological nursing can reduce anxiety in anterior tooth injury young patients with fiber splint fixing, which also improve patients satisfaction and postoperative compliance, and has a positive role in treatment. \u0000 \u0000 \u0000Key words: \u0000Young adult; Psychological nursing; Teeth injury; Fiber splint fixing","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1084-1088"},"PeriodicalIF":0.0,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43950837","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}
引用次数: 0
Effects of dual-track continuous health education based on universalization and individualization in patients post operation for endometrial cancer 基于普及化和个体化的双轨持续健康教育对癌症子宫内膜术后患者的影响
Pub Date : 2020-03-16 DOI: 10.3760/CMA.J.CN115682-20190710-02458
Yan Wu
Objective To explore the effects of dual-track continuous health education based on universalization and individualization in patients post operation for endometrial cancer (EC) . Methods From June 2017 to June 2018, this prospective study selected 194 EC patients with surgery of Zhongnan Hospital of Wuhan University to carry out. All of patients were divided into observation group and control group with the method of random number table, 97 cases in each group. Observation group carried out the dual-track continuous health education based on universalization and individualization, while control group implemented the routine continuous nursing. This study compared the scores the Chinese Edition of Exercise of Self-Care Agency Rating Scale (ESCA) , Medical Coping Modes Questionnaire (MCMQ) , Zung Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) , Functional Assessment of Cancer Therapy-general (FACT-G) between two groups three after intervention. Results After intervention, the scores of health knowledge, self-conception, self-care responsibility, self-care agency and the total score of ESCA between two groups were higher than those before intervention, and those scores of observation group were higher than those of control group with statistical differences (P<0.05) . After intervention, the score of confrontation in MCMQ of two groups was higher than that before intervention, and scores of avoidance and submission were lower than those before intervention; the score of confrontation in MCMQ of observation group was higher than that of control group, and the scores of avoidance and submission of observation group were lower than those of control group with statistical differences (P<0.05) . The scores of SAS and SDS of two groups after intervention were higher than those before intervention, and the scores of SAS and SDS of observation group after intervention were higher than those of control group with statistical differences (P<0.05) . After intervention, the scores of family/society, physiology, emotion and function of FACT-G between two groups were higher than those before intervention, and those dimension scores of observation group were higher than those of control group with statistical differences (P<0.05) . Conclusions Dual-track continuous health education based on universalization and individualization for EC post operation can effectively lift patient's self-care ability and promote the positive coping style which helps patients improve their mental state, CRF and quality of life. Key words: Endometrial neoplasms; Continuing nursing; Dual-track health education; Universalization; Individualization
目的探讨基于普及化和个体化的双轨持续健康教育在癌症术后患者中的效果。方法自2017年6月至2018年6月,选择武汉大学中南医院194例EC手术患者进行前瞻性研究。采用随机数表法将患者分为观察组和对照组,每组97例。观察组实施基于普遍性和个体化的双轨式持续健康教育,对照组实施常规持续护理。本研究比较了两组干预后3个月的自我护理运动量表(ESCA)、医学应对方式问卷(MCMQ)、尊自评焦虑量表(SAS)和自评抑郁量表(SDS)、癌症综合治疗功能评估量表(FACT-G)。结果干预后,两组患者的健康知识、自我概念、自理责任、自理能力和ESCA总分均高于干预前,观察组高于对照组,差异有统计学意义(P<0.05),两组MCMQ对抗得分均高于干预前,回避和屈服得分均低于干预前;观察组MCMQ对抗得分高于对照组,回避和服从得分低于对照组,差异有统计学意义(P<0.05)。干预后两组SAS和SDS得分均高于干预前,干预后观察组的SAS和SDS得分均高于对照组(P<0.05),干预后两组的家庭/社会、生理、情绪和FACT-G功能得分均高于干预前,观察组的维度得分高于对照组,差异有统计学意义(P<0.05),CRF和生活质量。关键词:子宫内膜肿瘤;继续护理;健康教育双轨制;普遍化;个性化
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中华现代护理杂志
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