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International Journal of Nursing and Health Services (IJNHS)最新文献

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Short Report: The Moisture Balance with Aloe Vera Gel in Diabetic Wound Healing 简短报道:芦荟凝胶在糖尿病伤口愈合中的水分平衡
Pub Date : 2018-10-27 DOI: 10.35654/IJNHS.V1I1.9
Fahrianto Selamet, Andi Mayasari Usman, Rian Adi Pamungkas
Diabetic foot ulcer (DF) is a chronic complication of diabetes mellitus (DM), which impact on the morbidity, mortality and quality of patients’ lives.Of those patients with diabetes mellitus, approximately 15% to 25% developed to the foot ulcer. Beside has the infection and debridement of devitalized tissue downloading; the moisture imbalance becomes the factors of recalcitrant to healing. Moist wound healing is often contraindicated to the non-healable wounds. While wound care involves the debridement, bacterial reduction, and moisture balance in order to achieve the good granulation of the tissue development and adequate blood supply.
糖尿病足溃疡(DF)是糖尿病(DM)的一种慢性并发症,影响着患者的发病率、死亡率和生活质量。在这些糖尿病患者中,大约15%至25%发展为足部溃疡。旁边有活组织下载的感染和清创;水分不平衡成为阻碍愈合的因素。不能愈合的伤口常禁用湿法愈合。而伤口护理包括清创、细菌减少和水分平衡,以达到良好的组织肉芽发育和充足的血液供应。
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引用次数: 1
A Social-Ecological Approach to Determine Barriers of DMSM Practice For Patients with Type 2 Diabetes Mellitus: A literature review 社会生态学方法确定2型糖尿病患者DMSM实践障碍:文献综述
Pub Date : 2018-10-26 DOI: 10.35654/IJNHS.V1I1.2
Andi Mayasari Usman, Rian Adi Pamungkas
Diabetes mellitus is one of the global problems the world. Since the complexity of the patient’s tasks is required in the diabetes care, the consistency to engage this various health behavior for addressing the glycemic control target is difficult to achieve. Failure management may reflect by patient, family, inadequate intervention strategies by health care provider as well as organization factor. Three databases used such as PubMed, MIDLINE, and CINAHL to address patient’s barriers, family’s barriers, and provider’s barriers as well as organization barriers for diabetes management. Patient’s attitudes and belief, knowledge, culture, and ethnicity, self-efficacy, financial resources and economic status, lack of Social Support Perceived, and lack of time may influence the diabetes self-management. Family factors lead to patients’ diabetes self-management such as lack of knowledge and skill to support patients in diabetes management and quality of the relationship between patients-family. Health care providers factors included beliefs, attitudes, knowledge and skill and patient–family-provider interaction and communication. Other factors lead to diabetes self-management and health care provider performance to provide the intervention from organization level such as integrated health system sufficiency health insurance to support resources. A deeper understanding of the barriers in diabetes management is necessary to improve the diabetes care and quality of health care services for patients with diabetes. Further research needs to consider these barriers before designing the effective, sensitive interventions and problem solving for diabetes care
糖尿病是世界性的全球性问题之一。由于糖尿病护理需要患者任务的复杂性,因此很难实现各种健康行为的一致性,以解决血糖控制目标。失败的管理可能反映在患者、家庭、卫生保健提供者干预策略的不足以及组织因素。使用PubMed、MIDLINE和CINAHL等三个数据库来解决糖尿病管理的患者障碍、家庭障碍、提供者障碍以及组织障碍。患者的态度和信仰、知识、文化和种族、自我效能感、财力和经济状况、缺乏感知的社会支持、缺乏时间等因素都可能影响糖尿病自我管理。家庭因素导致患者糖尿病自我管理,如缺乏支持患者糖尿病管理的知识和技能,以及患者-家庭关系的质量。卫生保健提供者的因素包括信念、态度、知识和技能以及病人与家属的互动和沟通。其他因素导致糖尿病自我管理和卫生保健提供者的表现,从组织层面提供干预,如综合卫生系统充足的健康保险,以支持资源。深入了解糖尿病管理中的障碍对于提高糖尿病护理和糖尿病患者的医疗服务质量是必要的。在设计有效、敏感的干预措施和解决糖尿病护理问题之前,进一步的研究需要考虑这些障碍
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引用次数: 4
A "Not able to live anymore": Reaction of the grieving process of the elderly dealing with chronic disease “不能再活下去了”:面对慢性病的老年人悲伤过程的反应
Pub Date : 2018-10-26 DOI: 10.35654/IJNHS.V1I1.6
B. Bahtiar, S. Sahar, Junaiti Junaiti, Wiarsih Wiarsih, Wiwin Wiwin
Background: Psychological problems have an impact on the elderly with chronic diseases thus affecting health status. Objective: The purpose of this study was to identify the response of the elderly in dealing with chronic diseases. Methods: This study uses a descriptive phenomenology method. The population in this study were elderly who lived in Makassar City and had a chronic disease. This study illustrates the experience of 13 older adults aged 60-78 years who experience chronic disease. Results: A response felt by the elderly with chronic diseases for years, a series of grieving processes. The grieving process felt by the elderly is a psychological reaction from the suffering experienced due to symptoms and complaints of chronic illness. The series of grieving process reactions that are displayed are denial, anger, bargaining, despair, and resignation. Conclusion: The old experience with denial, anger, bargaining during chronic illness is normal. Also, the elderly could experience a desperate reaction during chronic illness due to the prolonged treatment process, and resignation reaction was a sign that the elderly were aware of the disease condition which they experienced. Recommendation: nursing intervention is needed related to grieving issues that include aspects of self, physical, social and spiritual for elderly with chronic illness. Keyword: grieving, chronic illness, elderly, family
背景:心理问题对老年慢性病患者产生影响,从而影响健康状况。目的:本研究的目的是确定老年人在处理慢性病时的反应。方法:本研究采用描述现象学方法。本研究的人群是居住在望加锡市的患有慢性疾病的老年人。这项研究说明了13名年龄在60-78岁之间患有慢性疾病的老年人的经历。结果:老年慢性病患者多年来所感受到的一种反应,是一系列的悲伤过程。老年人感受到的悲伤过程是由于慢性疾病的症状和主诉所经历的痛苦的心理反应。一系列的悲伤过程反应表现为否认、愤怒、讨价还价、绝望和放弃。结论:慢性疾病患者的否认、愤怒、讨价还价的旧经验是正常的。此外,老年人在慢性疾病期间,由于治疗过程的延长,可能会出现绝望反应,而辞职反应是老年人意识到自己所经历的疾病状况的标志。建议:需要护理干预,涉及慢性疾病老年人的自我、身体、社会和精神方面的悲伤问题。关键词:悲痛,慢性病,老年人,家庭
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引用次数: 0
Nurse Preceptor Experience in Preceptorship Program: A Systematic Literature Review of Qualitative Studies 护士长见习项目的经验:质性研究的系统文献综述
Pub Date : 2018-10-26 DOI: 10.35654/IJNHS.V1I1.8
Moh Heri Kurniawan, B. Bahtiar
This systematic literature review describes the experiences of the nurse preceptor in the preceptorship program in health care services. Data was collected from three databases: EBSCO, ScienceDirect, and Scopus. Qualitative, peer-reviewed, original studies published in English from 2013 until 2017 and exploring preceptor experiences of the preceptorship program were involved. The manuscripts were selected by screening titles, abstracts and full papers and the quality of the studies was measured. Data were analysed using content analysis.Ten studies were chosen for the review. Nurse preceptor experiences were divided into four main categories: experiences related to the preparation; experiences related to the preceptee; experiences preceptor role during the program; and experiences related to work environment. The findings establish that the nurse preceptor has a great impact to determine the quality of nursing services to the new graduate nurses, but many challenges face during the program.
这篇系统的文献综述描述了在卫生保健服务的护士长计划的经验。数据收集自三个数据库:EBSCO、ScienceDirect和Scopus。从2013年到2017年,研究人员用英语发表了定性的、同行评审的原创研究,并探索了领班项目的领班经验。通过筛选题目、摘要和全文来选择稿件,并测量研究的质量。数据采用内容分析法进行分析。本综述选择了10项研究。护士长经验分为四大类:与准备相关的经验;与受训者有关的经历;在项目中体验导师角色;以及与工作环境相关的经验。研究结果表明,护士导师对新毕业护士的护理服务质量有很大的影响,但在培训过程中面临许多挑战。
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引用次数: 5
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International Journal of Nursing and Health Services (IJNHS)
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