Pub Date : 2020-03-16DOI: 10.3760/CMA.J.CN115682-20190925-03474
Xianrong Wu, Jieying Huang
Objective To explore the effects of magnetic hospital concept in nursing management of Operating Room. Methods From January to December 2018, this study selected 60 nurses in Department of Anesthesia Operation of Maoming People's Hospital of Guangdong Province by cluster sampling. All of nurse were divided into control group and observation group with the method of random number table, 30 cases in each group. Control group carried out the routine management model of Operating Room, while observation group implemented the nursing management model of Operating Room based on magnetic hospital concept. Working satisfaction and working pressure of nurses between two groups were compared. Results The working satisfaction of nurses in observation group was higher than that in control group; the scores of working pressure of nurses in observation group were lower than those in control group with statistical differences (P<0.05) . Conclusions The magnetic hospital concept-based nursing management model of Operating Room can reduce nurses' working pressure and improve their working satisfaction which is worthy of popularization. Key words: Operating Room; Nursing administration; Magnetic hospital; Working pressure; Satisfaction
{"title":"Effects of magnetic hospital concept in nursing management of Operating Room","authors":"Xianrong Wu, Jieying Huang","doi":"10.3760/CMA.J.CN115682-20190925-03474","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190925-03474","url":null,"abstract":"Objective \u0000To explore the effects of magnetic hospital concept in nursing management of Operating Room. \u0000 \u0000 \u0000Methods \u0000From January to December 2018, this study selected 60 nurses in Department of Anesthesia Operation of Maoming People's Hospital of Guangdong Province by cluster sampling. All of nurse were divided into control group and observation group with the method of random number table, 30 cases in each group. Control group carried out the routine management model of Operating Room, while observation group implemented the nursing management model of Operating Room based on magnetic hospital concept. Working satisfaction and working pressure of nurses between two groups were compared. \u0000 \u0000 \u0000Results \u0000The working satisfaction of nurses in observation group was higher than that in control group; the scores of working pressure of nurses in observation group were lower than those in control group with statistical differences (P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000The magnetic hospital concept-based nursing management model of Operating Room can reduce nurses' working pressure and improve their working satisfaction which is worthy of popularization. \u0000 \u0000 \u0000Key words: \u0000Operating Room; Nursing administration; Magnetic hospital; Working pressure; Satisfaction","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1102-1104"},"PeriodicalIF":0.0,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42752329","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 : 2020-03-16DOI: 10.3760/CMA.J.CN115682-20190912-03317
Rongyan Shi, Qu Baolan, Hong-yan Li, K. Lihua, Xiang-wen Kong
Objective To explore the current situation of rehabilitation resource and the influencing factors of rehabilitation nursing needs of patients at home in Xuzhou so as to provide a reference for home rehabilitation for patients. Methods From October 2018 to December 2018, this study investigated all rehabilitation medical institutions (rehabilitation specialized hospitals, general hospitals with Rehabilitation Department, community health service institutions) in Xuzhou City by general investigation. Rehabilitation specialized hospitals in Xuzhou were investigated with the method of field visit and questionnaire survey, and the investigation content included the situation and professional categories of rehabilitation professionals. At the same time, totals of 411 patients with the needs for rehabilitation in Xuzhou were investigated, and the investigation content included the basic situation, rehabilitation needs of patients, contract service by family doctors. This study also analyzed the influencing factors of home rehabilitation nursing needs by Logistic regression. Results There were 120 rehabilitation medical institutions in Xuzhou City. The bed number was 2 675 accounted for 57.98% (2 675/4 314) of the bed number shall be equipped with. There were 402 rehabilitation physicians, 432 rehabilitation nurses and 808 rehabilitation therapists respectively occupied 31.07% (402/1 294) , 16.69% (432/2 588) and 31.22% (808/2 588) of the planning. There were 30.90% (127/411) of rehabilitation patients signed a contract with community doctors, and 45.67% (58/127) of them dissatisfied with community doctors service and the satisfaction rate was 18.90% (24/127) . The influencing factors of family doctor contract included the ages of patients (OR=0.557) , history of hemiplegia (OR=1.520) and the number of community doctors (OR=1.131) . The young the ages were, the better the contract degrees were. The factors promoted the contract were hemiplegia and increasing in the number community doctors. Conclusions In Xuzhou, the rehabilitation medical resource allocation cannot meet the needs of the masses. The insufficient rehabilitation medical resource allocation reflected in the lack of rehabilitation talents, rehabilitation medical institutions and rehabilitation equipment. The rate of family doctors contract service was in the low level, and there are still great difficulties in the home rehabilitation. Key words: Rehabilitation; Health resources; Physicians, family; Contract service; Home rehabilitation; Need; Investigation
{"title":"Rehabilitation resource and rehabilitation nursing needs of patients at home in Xuzhou","authors":"Rongyan Shi, Qu Baolan, Hong-yan Li, K. Lihua, Xiang-wen Kong","doi":"10.3760/CMA.J.CN115682-20190912-03317","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190912-03317","url":null,"abstract":"Objective \u0000To explore the current situation of rehabilitation resource and the influencing factors of rehabilitation nursing needs of patients at home in Xuzhou so as to provide a reference for home rehabilitation for patients. \u0000 \u0000 \u0000Methods \u0000From October 2018 to December 2018, this study investigated all rehabilitation medical institutions (rehabilitation specialized hospitals, general hospitals with Rehabilitation Department, community health service institutions) in Xuzhou City by general investigation. Rehabilitation specialized hospitals in Xuzhou were investigated with the method of field visit and questionnaire survey, and the investigation content included the situation and professional categories of rehabilitation professionals. At the same time, totals of 411 patients with the needs for rehabilitation in Xuzhou were investigated, and the investigation content included the basic situation, rehabilitation needs of patients, contract service by family doctors. This study also analyzed the influencing factors of home rehabilitation nursing needs by Logistic regression. \u0000 \u0000 \u0000Results \u0000There were 120 rehabilitation medical institutions in Xuzhou City. The bed number was 2 675 accounted for 57.98% (2 675/4 314) of the bed number shall be equipped with. There were 402 rehabilitation physicians, 432 rehabilitation nurses and 808 rehabilitation therapists respectively occupied 31.07% (402/1 294) , 16.69% (432/2 588) and 31.22% (808/2 588) of the planning. There were 30.90% (127/411) of rehabilitation patients signed a contract with community doctors, and 45.67% (58/127) of them dissatisfied with community doctors service and the satisfaction rate was 18.90% (24/127) . The influencing factors of family doctor contract included the ages of patients (OR=0.557) , history of hemiplegia (OR=1.520) and the number of community doctors (OR=1.131) . The young the ages were, the better the contract degrees were. The factors promoted the contract were hemiplegia and increasing in the number community doctors. \u0000 \u0000 \u0000Conclusions \u0000In Xuzhou, the rehabilitation medical resource allocation cannot meet the needs of the masses. The insufficient rehabilitation medical resource allocation reflected in the lack of rehabilitation talents, rehabilitation medical institutions and rehabilitation equipment. The rate of family doctors contract service was in the low level, and there are still great difficulties in the home rehabilitation. \u0000 \u0000 \u0000Key words: \u0000Rehabilitation; Health resources; Physicians, family; Contract service; Home rehabilitation; Need; Investigation","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1019-1024"},"PeriodicalIF":0.0,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48980241","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 : 2020-03-16DOI: 10.3760/CMA.J.CN115682-20191106-04038
Mengjie Li, Hongwei Zhu
Objective To explore the effect of swallowing organ function training on swallowing function in elderly patients with dysphagia. Methods By convenient sampling, a total of 80 elderly patients with dysphagia treated in the geriatric ward of Peking Union Medical College Hospital from June 2018 to June 2019 were selected as the research objects. The patients were randomly divided into observation group and control group, with 40 cases in each group. Patients in the control group were given routine treatment measures, while patients in the observation group were given 8 weeks of swallowing organ function training on the basis of routine treatment. The scores of Standardized Swallowing Assessment (SSA) and the results of Water Swallow Test (WST) of the two groups were compared before the intervention, 4 weeks and 8 weeks after the intervention. Results After the intervention, the SSA scores of the observation group after 4 and 8 weeks of intervention were lower than those of the control group, and the differences were statistically significant (P<0.05) . After 8 weeks of intervention, the efficacy of WST in the observation group was significantly better than that in the control group, and there was statistical difference between the two groups (P<0.05) . Conclusions Swallowing organ function training has good clinical effect in elderly patients with dysphagia. It can improve the quality of life of patients and promote early recovery, which is worthy of clinical application and promotion. Key words: Dysphagia; Aged; Swallowing organ function training
{"title":"Effect of swallowing organ function training on swallowing function in elderly patients with dysphagia","authors":"Mengjie Li, Hongwei Zhu","doi":"10.3760/CMA.J.CN115682-20191106-04038","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20191106-04038","url":null,"abstract":"Objective \u0000To explore the effect of swallowing organ function training on swallowing function in elderly patients with dysphagia. \u0000 \u0000 \u0000Methods \u0000By convenient sampling, a total of 80 elderly patients with dysphagia treated in the geriatric ward of Peking Union Medical College Hospital from June 2018 to June 2019 were selected as the research objects. The patients were randomly divided into observation group and control group, with 40 cases in each group. Patients in the control group were given routine treatment measures, while patients in the observation group were given 8 weeks of swallowing organ function training on the basis of routine treatment. The scores of Standardized Swallowing Assessment (SSA) and the results of Water Swallow Test (WST) of the two groups were compared before the intervention, 4 weeks and 8 weeks after the intervention. \u0000 \u0000 \u0000Results \u0000After the intervention, the SSA scores of the observation group after 4 and 8 weeks of intervention were lower than those of the control group, and the differences were statistically significant (P<0.05) . After 8 weeks of intervention, the efficacy of WST in the observation group was significantly better than that in the control group, and there was statistical difference between the two groups (P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000Swallowing organ function training has good clinical effect in elderly patients with dysphagia. It can improve the quality of life of patients and promote early recovery, which is worthy of clinical application and promotion. \u0000 \u0000 \u0000Key words: \u0000Dysphagia; Aged; Swallowing organ function training","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1064-1068"},"PeriodicalIF":0.0,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43896511","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 : 2020-03-16DOI: 10.3760/CMA.J.CN115682-20191028-03889
Man Li, Hui-min Zhu, Yingxue Sun
Objective To explore the effects of Pender health promotion model-based intervention plan in chronic heart failure patients. Methods From July 2018 to April 2019, this study selected 120 heart failure patients in Cardiovascular Medicine of a ClassⅢ Grade A general hospital in Harbin as subjects by convenience sampling. All of patients were divided into control group (n=60, from July 2018 to November 2018) and experimental group (n=60, from December 2018 to April 2019) according to admission time. Finally, a total of 52 patients completed the study in control group and 57 patients in experimental group. Control group carried out routine health education, while experimental group implemented the intervention based on Pender health promotion model. The intervention effects were evaluated with the Self-management Scale of Heart Failure Patients and Minnesota Living with Heart Failure Questionnaire (MLHFQ) . Results After intervention, the dimension scores of self-management of patients in experimental group were higher than those in control group with statistical differences (P 0.05) . Conclusions Pender health promotion model-based intervention plan can improve the self-management and quality of life among chronic heart failure patients which is worthy of popularization and application. Key words: Heart failure; Pender health promotion model; Self-management; Quality of life
{"title":"Effects of Pender health promotion model-based intervention plan in chronic heart failure patients","authors":"Man Li, Hui-min Zhu, Yingxue Sun","doi":"10.3760/CMA.J.CN115682-20191028-03889","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20191028-03889","url":null,"abstract":"Objective \u0000To explore the effects of Pender health promotion model-based intervention plan in chronic heart failure patients. \u0000 \u0000 \u0000Methods \u0000From July 2018 to April 2019, this study selected 120 heart failure patients in Cardiovascular Medicine of a ClassⅢ Grade A general hospital in Harbin as subjects by convenience sampling. All of patients were divided into control group (n=60, from July 2018 to November 2018) and experimental group (n=60, from December 2018 to April 2019) according to admission time. Finally, a total of 52 patients completed the study in control group and 57 patients in experimental group. Control group carried out routine health education, while experimental group implemented the intervention based on Pender health promotion model. The intervention effects were evaluated with the Self-management Scale of Heart Failure Patients and Minnesota Living with Heart Failure Questionnaire (MLHFQ) . \u0000 \u0000 \u0000Results \u0000After intervention, the dimension scores of self-management of patients in experimental group were higher than those in control group with statistical differences (P 0.05) . \u0000 \u0000 \u0000Conclusions \u0000Pender health promotion model-based intervention plan can improve the self-management and quality of life among chronic heart failure patients which is worthy of popularization and application. \u0000 \u0000 \u0000Key words: \u0000Heart failure; Pender health promotion model; Self-management; Quality of life","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1094-1097"},"PeriodicalIF":0.0,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48013041","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 : 2020-03-16DOI: 10.3760/CMA.J.CN115682-20190702-02335
Hongmei Zhang, R. Fu, Ning Zhang
Diabetes patients need lifelong disease self-management, therefore they are with diabetes-related distress. Diabetes-related distress has negative influence on the correct insulin injection, glucose control and disease self-management of type 1 diabetes patients. On the basis of describing the current situation of diabetes-related distress in adolescents with type 1 diabetes, this paper reviewed the influencing factors, assessment tools, intervention of diabetes related distress so as to provide a basis for study on diabetes related distress in adolescents with type 1 diabetes. Key words: Review; Diabetes mellitus, type 1; Diabetes-related distress; Adolescent
{"title":"Research progress on diabetes-related distress in adolescents with type 1 diabetes","authors":"Hongmei Zhang, R. Fu, Ning Zhang","doi":"10.3760/CMA.J.CN115682-20190702-02335","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190702-02335","url":null,"abstract":"Diabetes patients need lifelong disease self-management, therefore they are with diabetes-related distress. Diabetes-related distress has negative influence on the correct insulin injection, glucose control and disease self-management of type 1 diabetes patients. On the basis of describing the current situation of diabetes-related distress in adolescents with type 1 diabetes, this paper reviewed the influencing factors, assessment tools, intervention of diabetes related distress so as to provide a basis for study on diabetes related distress in adolescents with type 1 diabetes. \u0000 \u0000 \u0000Key words: \u0000Review; Diabetes mellitus, type 1; Diabetes-related distress; Adolescent","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1115-1120"},"PeriodicalIF":0.0,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70011417","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}
This article aims to summarize the key links and recommended practices for personal protection of healthcare workers in high-risk departments during the treatment and care of patients with Coronavirus Disease 2019 (COVID-19) , in order to eliminate the risk factors for personal protection in each link, prevent nosocomial infections caused by improper personal protection, and reduce the infection rate of 2019 novel coronavirus (2019-nCoV) among healthcare workers. Key words: Healthcare worker; 2019 novel coronavirus (2019-nCoV); Personal protection; High-risk department
{"title":"Analysis of key links in personal protection of healthcare workers in high-risk departments for 2019-nCoV infection","authors":"Xinyuan Zhou, Qi Xiao, Tieying Zeng, Hui Wang, Ying Wang, Yu Liu","doi":"10.3760/CMA.J.CN115682-20200215-00735","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20200215-00735","url":null,"abstract":"This article aims to summarize the key links and recommended practices for personal protection of healthcare workers in high-risk departments during the treatment and care of patients with Coronavirus Disease 2019 (COVID-19) , in order to eliminate the risk factors for personal protection in each link, prevent nosocomial infections caused by improper personal protection, and reduce the infection rate of 2019 novel coronavirus (2019-nCoV) among healthcare workers. \u0000 \u0000 \u0000Key words: \u0000Healthcare worker; 2019 novel coronavirus (2019-nCoV); Personal protection; High-risk department","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"990-993"},"PeriodicalIF":0.0,"publicationDate":"2020-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48407407","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 : 2020-03-06DOI: 10.3760/CMA.J.ISSN.1674-2907.2020.07.020
J. Qiao, Changli Zhao
Objective To explore the effects of precision nursing in the perioperative period of patients with aortic dissection aneurysms. Methods Totally 57 patients receiving surgery for aortic dissection aneurysms in Beijing Anzhen Hospital, Capital Medical University from June 2014 to June 2017 were selected, and randomized into the observation group (n=29) and the control group (n=28) . Patients in the control group received conventional nursing, while patients in the observation group received precision nursing for aortic diseases. Changes in blood pressure and the incidence of complications were compared between the two groups. Results The systolic blood pressure and diastolic blood pressure were (122.5±12.8) mmHg and (69.3±7.2) mmHg in the observation group, both lower than those in the control group, and the differences were statistically significant (P<0.05) . There were 2 cases with postoperative syndrome in the observation group and 8 cases in the control group, and the difference was statistically significant (P<0.05) . Conclusions Precision nursing can effectively control the postoperative blood pressure in patients with aortic dissection aneurysms, reduce the incidence of complications, which is worth promoting clinically. Key words: Aortic disease; Aneurysms, dissection; Perioperative nursing; Complication; Precision nursing
{"title":"Effects of precision nursing in the perioperative period of patients with aortic dissection aneurysms","authors":"J. Qiao, Changli Zhao","doi":"10.3760/CMA.J.ISSN.1674-2907.2020.07.020","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1674-2907.2020.07.020","url":null,"abstract":"Objective \u0000To explore the effects of precision nursing in the perioperative period of patients with aortic dissection aneurysms. \u0000 \u0000 \u0000Methods \u0000Totally 57 patients receiving surgery for aortic dissection aneurysms in Beijing Anzhen Hospital, Capital Medical University from June 2014 to June 2017 were selected, and randomized into the observation group (n=29) and the control group (n=28) . Patients in the control group received conventional nursing, while patients in the observation group received precision nursing for aortic diseases. Changes in blood pressure and the incidence of complications were compared between the two groups. \u0000 \u0000 \u0000Results \u0000The systolic blood pressure and diastolic blood pressure were (122.5±12.8) mmHg and (69.3±7.2) mmHg in the observation group, both lower than those in the control group, and the differences were statistically significant (P<0.05) . There were 2 cases with postoperative syndrome in the observation group and 8 cases in the control group, and the difference was statistically significant (P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000Precision nursing can effectively control the postoperative blood pressure in patients with aortic dissection aneurysms, reduce the incidence of complications, which is worth promoting clinically. \u0000 \u0000 \u0000Key words: \u0000Aortic disease; Aneurysms, dissection; Perioperative nursing; Complication; Precision nursing","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"941-944"},"PeriodicalIF":0.0,"publicationDate":"2020-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48712549","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 : 2020-03-06DOI: 10.3760/CMA.J.ISSN.1674-2907.2020.07.014
Liying Zhang, Jia-hai Ma, Xiaoli Wang, Yuntao Han, Min Guo, J. Zhao, Hua Qu
Objective To evaluate the feasibility of early litter water intake in patients after general anesthesia. Methods Totally 130 patients undergoing laparoscopic salpingectomy under general anesthesia in Yantai Yuhuangding Hospital were selected from December 2018 to May 2019, and divided into the control group (n=65) and the experimental group (n=65) . Patients in the control group were routinely abstained from drinking and fasting, while patients in the experimental group were conscious after surgery and took in a small amount of water after cough and swallowing reflexes recovered. The incidence of nausea, vomiting, dry mouth, and hunger within 24 hours after surgery was recorded in both groups, and the time of anal exhaust was recorded. Results The anal exhaust time of patients in the experimental group was (12.0±1.22) h, while that in the control group was (15.1±1.05) h, and the difference between the two groups was statistically significant (t= 15.527, P<0.01) . Patients with dry mouth and hunger in the experimental group accounted for 38.5% (25/65) and 13.8% (9/65) , while those in the control group were 58.5% (38/65) and 32.3% (21/65) , and the differences between the two groups were statistically significant (χ2=5.205, 6.240; P<0.05) . Conclusions Patients undergoing laparoscopic salpingectomy under general anesthesia are conscious in the recovery room and take in water immediately after recovery of cough and swallowing reflexes, which can increase the patient's comfort, reduce adverse reactions and help promote the early recovery of gastrointestinal function. Key words: Anesthesia, general; Enhanced recovery after surgery; Postoperative water intake; Gastrointestinal function; Anesthesiology recovery room
{"title":"Feasibility of early water intake in patients undergoing laparoscopic salpingectomy under general anesthesia","authors":"Liying Zhang, Jia-hai Ma, Xiaoli Wang, Yuntao Han, Min Guo, J. Zhao, Hua Qu","doi":"10.3760/CMA.J.ISSN.1674-2907.2020.07.014","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1674-2907.2020.07.014","url":null,"abstract":"Objective \u0000To evaluate the feasibility of early litter water intake in patients after general anesthesia. \u0000 \u0000 \u0000Methods \u0000Totally 130 patients undergoing laparoscopic salpingectomy under general anesthesia in Yantai Yuhuangding Hospital were selected from December 2018 to May 2019, and divided into the control group (n=65) and the experimental group (n=65) . Patients in the control group were routinely abstained from drinking and fasting, while patients in the experimental group were conscious after surgery and took in a small amount of water after cough and swallowing reflexes recovered. The incidence of nausea, vomiting, dry mouth, and hunger within 24 hours after surgery was recorded in both groups, and the time of anal exhaust was recorded. \u0000 \u0000 \u0000Results \u0000The anal exhaust time of patients in the experimental group was (12.0±1.22) h, while that in the control group was (15.1±1.05) h, and the difference between the two groups was statistically significant (t= 15.527, P<0.01) . Patients with dry mouth and hunger in the experimental group accounted for 38.5% (25/65) and 13.8% (9/65) , while those in the control group were 58.5% (38/65) and 32.3% (21/65) , and the differences between the two groups were statistically significant (χ2=5.205, 6.240; P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000Patients undergoing laparoscopic salpingectomy under general anesthesia are conscious in the recovery room and take in water immediately after recovery of cough and swallowing reflexes, which can increase the patient's comfort, reduce adverse reactions and help promote the early recovery of gastrointestinal function. \u0000 \u0000 \u0000Key words: \u0000Anesthesia, general; Enhanced recovery after surgery; Postoperative water intake; Gastrointestinal function; Anesthesiology recovery room","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"914-916"},"PeriodicalIF":0.0,"publicationDate":"2020-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48184777","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 : 2020-03-06DOI: 10.3760/CMA.J.ISSN.1674-2907.2020.07.017
B. Wang, Meixiang Ren, S. Ning
Objective To explore the effects of nursing based on health belief model on respiratory function exercise compliance and respiratory function among lung cancer patients. Methods From September 2017 to August 2018, we selected 84 lung cancer patients planed surgery at the First Affiliated Hospital of Zhengzhou University as subjects by convenience sampling. All of patients were divided into two groups according to admission time, 40 cases in control group (from September 2017 to February 2018) and 44 in experimental group (from March to August 2018) . Control group carried out routine nursing and health education. On the basis of that, experimental group implemented nursing care based on health belief model. Respiratory function of patients between two groups after surgery was compared with the percentage of predicted value of forced expiratory volume in one second shared by forced vital capacity (FEV1%) and percentage of predicted value of forced vital capacity (FVC%) ; respiratory function exercise compliance after surgery was compared with the Breathing Exercise Compliance Questionnaire. Results One week after surgery, the scores of respiratory function exercise compliance of patients in experimental group and control group were (42.1±8.4) and (36.8±10.2) with a statistical difference (t=-2.609, P<0.05) ; the FEV1% and FVC% of patients in experimental group were (63.8±12.1) and (57.5±11.3) , higher than those in control group with statistical differences (t=-2.167, -2.617; P<0.05) . Conclusions Nursing based on health belief model can improve respiratory function exercise compliance and respiratory function among lung cancer patients, which is worthy of clinical popularization. Key words: Lung neoplasms; Respiratory function exercise; Compliance; Respiratory function; Health belief
{"title":"Effects of nursing based on health belief model on respiratory function exercise compliance among lung cancer patients","authors":"B. Wang, Meixiang Ren, S. Ning","doi":"10.3760/CMA.J.ISSN.1674-2907.2020.07.017","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1674-2907.2020.07.017","url":null,"abstract":"Objective \u0000To explore the effects of nursing based on health belief model on respiratory function exercise compliance and respiratory function among lung cancer patients. \u0000 \u0000 \u0000Methods \u0000From September 2017 to August 2018, we selected 84 lung cancer patients planed surgery at the First Affiliated Hospital of Zhengzhou University as subjects by convenience sampling. All of patients were divided into two groups according to admission time, 40 cases in control group (from September 2017 to February 2018) and 44 in experimental group (from March to August 2018) . Control group carried out routine nursing and health education. On the basis of that, experimental group implemented nursing care based on health belief model. Respiratory function of patients between two groups after surgery was compared with the percentage of predicted value of forced expiratory volume in one second shared by forced vital capacity (FEV1%) and percentage of predicted value of forced vital capacity (FVC%) ; respiratory function exercise compliance after surgery was compared with the Breathing Exercise Compliance Questionnaire. \u0000 \u0000 \u0000Results \u0000One week after surgery, the scores of respiratory function exercise compliance of patients in experimental group and control group were (42.1±8.4) and (36.8±10.2) with a statistical difference (t=-2.609, P<0.05) ; the FEV1% and FVC% of patients in experimental group were (63.8±12.1) and (57.5±11.3) , higher than those in control group with statistical differences (t=-2.167, -2.617; P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000Nursing based on health belief model can improve respiratory function exercise compliance and respiratory function among lung cancer patients, which is worthy of clinical popularization. \u0000 \u0000 \u0000Key words: \u0000Lung neoplasms; Respiratory function exercise; Compliance; Respiratory function; Health belief","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"927-930"},"PeriodicalIF":0.0,"publicationDate":"2020-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47765285","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 qualitatively analyze the cardiac rehabilitation information need based on KANO model in patients after percutaneous coronary intervention (PCI) and to obtain the satisfaction and importance of every need so as to provide a basis for optimizing clinical rehabilitation health guidance. Methods From May 2019, this study selected 144 patients with selective PCI as subjects by convenience sampling. The KANO two-factor questionnaire was designed based on 10 aspects of needs including the basic knowledge, nutrition, exercises, medications, works and professions, pressure and psychology, social concern, crisis and safety, diagnosis and therapy, risk factor management of cardiac rehabilitation information need, to gain the need class and draw the need satisfaction-importance magic quadrant. Results Among 51 items in the cardiac rehabilitation information need questionnaire, there were 5 of them (9.8%) with essential attribute, 14 of them (27.5%) with expected attribute, 8 of them (15.7%) with glamour attribute and 24 of them (47.1%) with no difference attribute. The satisfaction-importance matrix diagram showed that 4 aspects of need were in the area for improvement and 20 of them in the area for the secondary improvement among cardiac rehabilitation information needs after PCI. Conclusions The need importance matrix directly reflects the patient satisfaction and indirectly reflects patients' need importance. Key words: Heart; Rehabilitation; KANO model; Information need; Percutaneous Coronary Intervention
{"title":"Identification of cardiac rehabilitation information need based on KANO model in patients after PCI","authors":"Yuke Zhao, Jiaqi Xu, Yushan He, Haiyan Li, Lina Zhang, Cui-huan Tian, Xiaofeng Kang","doi":"10.3760/CMA.J.ISSN.1674-2907.2020.07.002","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1674-2907.2020.07.002","url":null,"abstract":"Objective \u0000To qualitatively analyze the cardiac rehabilitation information need based on KANO model in patients after percutaneous coronary intervention (PCI) and to obtain the satisfaction and importance of every need so as to provide a basis for optimizing clinical rehabilitation health guidance. \u0000 \u0000 \u0000Methods \u0000From May 2019, this study selected 144 patients with selective PCI as subjects by convenience sampling. The KANO two-factor questionnaire was designed based on 10 aspects of needs including the basic knowledge, nutrition, exercises, medications, works and professions, pressure and psychology, social concern, crisis and safety, diagnosis and therapy, risk factor management of cardiac rehabilitation information need, to gain the need class and draw the need satisfaction-importance magic quadrant. \u0000 \u0000 \u0000Results \u0000Among 51 items in the cardiac rehabilitation information need questionnaire, there were 5 of them (9.8%) with essential attribute, 14 of them (27.5%) with expected attribute, 8 of them (15.7%) with glamour attribute and 24 of them (47.1%) with no difference attribute. The satisfaction-importance matrix diagram showed that 4 aspects of need were in the area for improvement and 20 of them in the area for the secondary improvement among cardiac rehabilitation information needs after PCI. \u0000 \u0000 \u0000Conclusions \u0000The need importance matrix directly reflects the patient satisfaction and indirectly reflects patients' need importance. \u0000 \u0000 \u0000Key words: \u0000Heart; Rehabilitation; KANO model; Information need; Percutaneous Coronary Intervention","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"846-850"},"PeriodicalIF":0.0,"publicationDate":"2020-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42061744","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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