Pub Date : 2021-04-29DOI: 10.11648/J.AJNS.20211001.31
Xiutin Li, Guiyan Wen, Yingfeng Huang, Huixia Yu
Objective: To assess impact of nursing activity group model on health education of patients with drugs. Methods: This study is a retrospective study, that we collected the data before and after the establishment of the nursing action group, and evaluated the effect of establishing the nursing action group by comparing the data. We performed this study in a general tertiary hospital from January 2019 to December 2020. There were 2 stages in the study. At stage 1 (January 2019 - December 2019), we carried out common nursing model in daily work. At stage 2 (July 2020 - December 2020), we implemented usual measures and the countermeasures of nursing activity group themed at improving health education of drug. Using the assessment of medication compliance, satisfaction of patient and drug cognition of patients, we compared the changes of patients’ health education before and after the interventions to evaluate the effect of nursing activity group model. Result: Most of assessments were significant difference between two group, that health education of gastroenterology drugs of nurse and training on drug using on nurses had significant improvement after carry out nursing activity group model. In patients’ assessment of medication compliance and satisfaction, there was only a small increase in patient satisfaction by carrying out nursing activity group model, but patients were observed to be improved significantly during carrying out nursing activity group. Conclusion: Nursing activity group model can improve medication compliance of patients, satisfaction of patients, and drug cognition of nurses.
{"title":"Impact of Nursing Activity Group Model on Health Education of Patients with Drugs","authors":"Xiutin Li, Guiyan Wen, Yingfeng Huang, Huixia Yu","doi":"10.11648/J.AJNS.20211001.31","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.31","url":null,"abstract":"Objective: To assess impact of nursing activity group model on health education of patients with drugs. Methods: This study is a retrospective study, that we collected the data before and after the establishment of the nursing action group, and evaluated the effect of establishing the nursing action group by comparing the data. We performed this study in a general tertiary hospital from January 2019 to December 2020. There were 2 stages in the study. At stage 1 (January 2019 - December 2019), we carried out common nursing model in daily work. At stage 2 (July 2020 - December 2020), we implemented usual measures and the countermeasures of nursing activity group themed at improving health education of drug. Using the assessment of medication compliance, satisfaction of patient and drug cognition of patients, we compared the changes of patients’ health education before and after the interventions to evaluate the effect of nursing activity group model. Result: Most of assessments were significant difference between two group, that health education of gastroenterology drugs of nurse and training on drug using on nurses had significant improvement after carry out nursing activity group model. In patients’ assessment of medication compliance and satisfaction, there was only a small increase in patient satisfaction by carrying out nursing activity group model, but patients were observed to be improved significantly during carrying out nursing activity group. Conclusion: Nursing activity group model can improve medication compliance of patients, satisfaction of patients, and drug cognition of nurses.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127169689","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 : 2021-04-29DOI: 10.11648/J.AJNS.20211001.32
Gui-bing Chen
Objective: To assess effect of psychological nursing intervention on child patients who received circumcision. Methods: We collected 112 valid data from child patients (younger than 14 years old), the patients who received circumcision from April 2017 to October 2020. Base on the type of nursing intervention patients receive, the patients were assigned to two groups: Control group participants (n = 62) received common nursing intervention before circumcision, and intervention group participants (n = 50) received psychological nursing intervention before circumcision. After circumcision, we collected the data from medical records and questionnaire, the questionnaires included Self-Rating Anxiety Scale (SAS), Self-rating depression scale (SDS) and satisfaction assessment questionnaire. Result: By comparing control group and intervention group, the patient characteristics were no significantly different in this study, including age, patient number who undergoing postoperative complications, operation time and anesthesia method (p > 0.05). Compared with control group participants, intervention group participants had better outcome in anxiety assessment and depression assessment, and their results were significantly different after carry out nursing intervention (p < 0.05). Compared with the participants who received common nursing and their family, the participants who received psychological nursing intervention and their family had higher satisfaction rate after circumcision (67.13% vs 92.54% and 65.34% vs 95.15%). Conclusion: psychological nursing intervention improve mental health of child patients who received circumcision, that it had better effect compare with common nursing intervention.
目的:评价心理护理干预对儿童包皮环切术患者的影响。方法:收集2017年4月至2020年10月期间接受包皮环切术的儿童患者(14岁以下)112例有效数据。根据患者接受护理干预的类型,将患者分为两组:对照组(n = 62)在包皮环切前接受普通护理干预,干预组(n = 50)在包皮环切前接受心理护理干预。包皮环切术后,我们收集患者的病历资料和问卷,问卷包括焦虑自评量表(SAS)、抑郁自评量表(SDS)和满意度评估问卷。结果:与对照组和干预组比较,本组患者年龄、出现术后并发症人数、手术时间、麻醉方式等特征无显著差异(p > 0.05)。干预组参与者在焦虑评估和抑郁评估上均优于对照组,且在实施护理干预后两组结果差异有统计学意义(p < 0.05)。与接受普通护理的参与者及其家属相比,接受心理护理干预的参与者及其家属包皮环切术后满意度更高(67.13% vs 92.54%, 65.34% vs 95.15%)。结论:心理护理干预改善了包皮环切术患儿的心理健康状况,与普通护理干预相比效果更好。
{"title":"Effect of Psychological Nursing Intervention on Child Patients Who Received Circumcision","authors":"Gui-bing Chen","doi":"10.11648/J.AJNS.20211001.32","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.32","url":null,"abstract":"Objective: To assess effect of psychological nursing intervention on child patients who received circumcision. Methods: We collected 112 valid data from child patients (younger than 14 years old), the patients who received circumcision from April 2017 to October 2020. Base on the type of nursing intervention patients receive, the patients were assigned to two groups: Control group participants (n = 62) received common nursing intervention before circumcision, and intervention group participants (n = 50) received psychological nursing intervention before circumcision. After circumcision, we collected the data from medical records and questionnaire, the questionnaires included Self-Rating Anxiety Scale (SAS), Self-rating depression scale (SDS) and satisfaction assessment questionnaire. Result: By comparing control group and intervention group, the patient characteristics were no significantly different in this study, including age, patient number who undergoing postoperative complications, operation time and anesthesia method (p > 0.05). Compared with control group participants, intervention group participants had better outcome in anxiety assessment and depression assessment, and their results were significantly different after carry out nursing intervention (p < 0.05). Compared with the participants who received common nursing and their family, the participants who received psychological nursing intervention and their family had higher satisfaction rate after circumcision (67.13% vs 92.54% and 65.34% vs 95.15%). Conclusion: psychological nursing intervention improve mental health of child patients who received circumcision, that it had better effect compare with common nursing intervention.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"7 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120977761","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 : 2021-04-29DOI: 10.11648/J.AJNS.20211001.28
Si-nan Shao, Huixia Yu
Objective: To explore risk factors for fracture events in maintenance hemodialysis patients. Methods: The study population was obtained from the hospital in patient database in China. There were 654 eligible patients with hemodialysis from 2018 – 2020. Other patient-related variables collected include gender, age, history of hypertension, history of diabetes mellitus, dialysis age, active vitamin D, hemoglobin, serum albumin, total cholesterol, triglyceride, serum corrected calcium. The primary outcome was any factors of fracture. Patients were followed until complete treatment or death. Besides, we performed subgroup analyses and used generalized linear models to assess interaction effects in logistic regressions. To clarify the relationship between fracture and risk factors, logistic regression was used. Result: By comparing non-fracture group and fracture group, we found that some factors were significantly difference, including gender, age, active vitamin D, and albumin (p = 0.001, p = 0.001, p < 0.001, p < 0.001). base on multivariate Logistic regression analysis of fracture occurrence in hemodialysis patients, older age, female, and low albumin were independent risk factors for fracture (p < 0.05). Also, the use of active vitamin D is a protective factor for fractures (p < 0.05). Conclusion: the risk factors for fracture events in maintenance hemodialysis patients included older age, female, low albumin, and active vitamin D.
目的:探讨维持性血液透析患者骨折事件的危险因素。方法:研究人群从中国医院患者数据库中获取。2018 - 2020年,654例符合条件的血液透析患者。收集的其他患者相关变量包括性别、年龄、高血压史、糖尿病史、透析年龄、活性维生素D、血红蛋白、血清白蛋白、总胆固醇、甘油三酯、血清校正钙。主要结局是骨折的任何因素。患者随访至完全治疗或死亡。此外,我们进行了亚组分析,并使用广义线性模型来评估逻辑回归中的相互作用效应。为了明确骨折与危险因素之间的关系,我们使用了逻辑回归。结果:非骨折组与骨折组比较,性别、年龄、活性维生素D、白蛋白等因素差异有统计学意义(p = 0.001, p = 0.001, p < 0.001, p < 0.001)。对血透患者骨折发生情况进行多因素Logistic回归分析,年龄较大、女性、低白蛋白是发生骨折的独立危险因素(p < 0.05)。此外,使用活性维生素D是骨折的保护因素(p < 0.05)。结论:老年、女性、低白蛋白和活性维生素D是维持性血液透析患者发生骨折的危险因素。
{"title":"Risk Factors for Fracture Events in Maintenance Hemodialysis Patients","authors":"Si-nan Shao, Huixia Yu","doi":"10.11648/J.AJNS.20211001.28","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.28","url":null,"abstract":"Objective: To explore risk factors for fracture events in maintenance hemodialysis patients. Methods: The study population was obtained from the hospital in patient database in China. There were 654 eligible patients with hemodialysis from 2018 – 2020. Other patient-related variables collected include gender, age, history of hypertension, history of diabetes mellitus, dialysis age, active vitamin D, hemoglobin, serum albumin, total cholesterol, triglyceride, serum corrected calcium. The primary outcome was any factors of fracture. Patients were followed until complete treatment or death. Besides, we performed subgroup analyses and used generalized linear models to assess interaction effects in logistic regressions. To clarify the relationship between fracture and risk factors, logistic regression was used. Result: By comparing non-fracture group and fracture group, we found that some factors were significantly difference, including gender, age, active vitamin D, and albumin (p = 0.001, p = 0.001, p < 0.001, p < 0.001). base on multivariate Logistic regression analysis of fracture occurrence in hemodialysis patients, older age, female, and low albumin were independent risk factors for fracture (p < 0.05). Also, the use of active vitamin D is a protective factor for fractures (p < 0.05). Conclusion: the risk factors for fracture events in maintenance hemodialysis patients included older age, female, low albumin, and active vitamin D.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129188962","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 : 2021-04-29DOI: 10.11648/J.AJNS.20211001.30
Hongyan Peng, Rui Cao, Yaping Huang, Chazhen Li
Objective: To explore factors influencing the incidence of hypoglycemia in diabetic hemodialysis patients. Methods: we recorded the valid data from 557 patient from May 2017 to February 2021. This study consists of 3 steps, including collecting step, screening step and analysis step. In collecting step, our mainly task was collecting the data from the eligible patients. In screening step, we assigned patients to hypoglycemia and non-hypoglycemia based on whether they had a hypoglycemic event or not. Also, we will exclude ineligible patient data at this stage. In analysis step, we use software to analyze the data, and analyze related factors by multivariate Logistic regression analysis. Result: Compared with non- hypoglycemia group, we found that four factor of hypoglycemia group affect hypoglycemia event, they were significantly difference, including albumin, BMI, age, and hs-CRP (p < 0.05). Other factors were no significantly difference between hypoglycemia group and non- hypoglycemia group. In further analysis, the result displays that albumin, BMI, age, and hs-CRP were independent risk factors for hypoglycemia event (p < 0.05). Conclusion: albumin, BMI, age, and hs-CRP were impact factors of hypoglycemia in diabetic hemodialysis patients. Furthermore, the independent risk factors of hypoglycemia event included albumin, BMI, age, and hs-CRP. Of those, albumin and BMI can be control or affected by drugs or patient behaviors.
{"title":"Factors Influencing the Incidence of Hypoglycemia in Diabetic Hemodialysis Patients","authors":"Hongyan Peng, Rui Cao, Yaping Huang, Chazhen Li","doi":"10.11648/J.AJNS.20211001.30","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.30","url":null,"abstract":"Objective: To explore factors influencing the incidence of hypoglycemia in diabetic hemodialysis patients. Methods: we recorded the valid data from 557 patient from May 2017 to February 2021. This study consists of 3 steps, including collecting step, screening step and analysis step. In collecting step, our mainly task was collecting the data from the eligible patients. In screening step, we assigned patients to hypoglycemia and non-hypoglycemia based on whether they had a hypoglycemic event or not. Also, we will exclude ineligible patient data at this stage. In analysis step, we use software to analyze the data, and analyze related factors by multivariate Logistic regression analysis. Result: Compared with non- hypoglycemia group, we found that four factor of hypoglycemia group affect hypoglycemia event, they were significantly difference, including albumin, BMI, age, and hs-CRP (p < 0.05). Other factors were no significantly difference between hypoglycemia group and non- hypoglycemia group. In further analysis, the result displays that albumin, BMI, age, and hs-CRP were independent risk factors for hypoglycemia event (p < 0.05). Conclusion: albumin, BMI, age, and hs-CRP were impact factors of hypoglycemia in diabetic hemodialysis patients. Furthermore, the independent risk factors of hypoglycemia event included albumin, BMI, age, and hs-CRP. Of those, albumin and BMI can be control or affected by drugs or patient behaviors.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125959323","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 : 2021-04-29DOI: 10.11648/J.AJNS.20211001.25
Fangbing Ji, Guiyan Wen
Objective: To assess application of individualized nursing intervention in the nursing of patients who were treated in department of rheumatism and immunology. Method: From May 2018 to December 2020, we collected valid data from 78 patients with rheumatic immune disease. According to nursing intervention type, we assigned participants to intervention groups and control group, that control group participants received common nursing intervention, and intervention group participants received individualized nursing intervention. In this study, we collect the data from patients’ medical records and questionnaires, the questionnaires include medical treatment compliance research and satisfaction research. Result: In patient characteristics research, gander factors were significant different among control group and intervention group, but other factors are similar as their results were not statistically significant. As for medical treatment compliance assessment, intervention group had better assessment compare with control group in the treatment. Although most assessments of two group participants were great satisfaction, participants in the intervention group were more satisfied with the individualized nursing intervention. Conclusion: individualized nursing intervention had better effect that was significantly higher than common nursing intervention. Base on the result of this study, individualized nursing intervention not only improve medical treatment compliance of patients with rheumatic immune disease but also increase satisfaction rate in treatment.
{"title":"Application of Individualized Nursing Intervention in the Nursing of Patients Who Were Treated in Department of Rheumatism and Immunology","authors":"Fangbing Ji, Guiyan Wen","doi":"10.11648/J.AJNS.20211001.25","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.25","url":null,"abstract":"Objective: To assess application of individualized nursing intervention in the nursing of patients who were treated in department of rheumatism and immunology. Method: From May 2018 to December 2020, we collected valid data from 78 patients with rheumatic immune disease. According to nursing intervention type, we assigned participants to intervention groups and control group, that control group participants received common nursing intervention, and intervention group participants received individualized nursing intervention. In this study, we collect the data from patients’ medical records and questionnaires, the questionnaires include medical treatment compliance research and satisfaction research. Result: In patient characteristics research, gander factors were significant different among control group and intervention group, but other factors are similar as their results were not statistically significant. As for medical treatment compliance assessment, intervention group had better assessment compare with control group in the treatment. Although most assessments of two group participants were great satisfaction, participants in the intervention group were more satisfied with the individualized nursing intervention. Conclusion: individualized nursing intervention had better effect that was significantly higher than common nursing intervention. Base on the result of this study, individualized nursing intervention not only improve medical treatment compliance of patients with rheumatic immune disease but also increase satisfaction rate in treatment.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131944014","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 : 2021-04-29DOI: 10.11648/J.AJNS.20211003.11
Yanfei Li, Siyun Wang, Cuiqing Liu, Weiju Chen
Objective: The objective of this study was to assess the behavior and attitude of Chinese residents about the prevention of COVID-19 during the outbreak of global infectious diseases. Design and Methods: A cross-sectional online survey of Chinese residents was conducted using convenience and snowball sampling techniques. Online questionnaire survey was conducted from March 7 to March 14, 2020, and the respondents were community residents who could operate smart phones independently. By 24:00 on March 14, 908 questionnaires had been collected, of which 899 were valid. Findings: Focus on the availability and effectiveness of older adults in accessing vectors for epidemic information. Pay attention to the attitude and behavior of disease prevention measures of the group with low educational background. Monthly income is an important factor in adopting healthy behaviors. Therefore, in the case of shortage of epidemic prevention manpower resources, the focus will be more epidemic prevention manpower distribution in low-income, low educational population population. The community residents with high education and high income can serve as the secondary key area. Give play to the social function of all walks of life to ensure the supply of life materials. In the case of shortage of materials, priority should be given to the distribution of materials to prevent the epidemic, to ensure the basic operation of the city. Positive self-efficacy can encourage people to adhere to healthy behaviors, so as to ensure their health without being infected. Conclusions: In terms of the implementation of epidemic prevention measures, the government or social organizations should pay more attention to the characteristics of the key population and carry out targeted measures, especially the elderly, the elderly living alone, the low-income people with low educational background. At the same time, we will focus on the compliance of prevention and control measures for low-income and low-educated people, and intensify publicity and material support. The government should give full play to the social function of all walks of life, ensure the supply of materials for people who are quarantined at home, intensify the media propaganda, and release the epidemic information in an open, transparent, accurate and timely manner, so as to increase the information of residents against the virus.
{"title":"The Attitude and Behavior of Chinese Residents During the Outbreak of Coronavirus Disease 2019: A Cross-Sectional Study","authors":"Yanfei Li, Siyun Wang, Cuiqing Liu, Weiju Chen","doi":"10.11648/J.AJNS.20211003.11","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211003.11","url":null,"abstract":"Objective: The objective of this study was to assess the behavior and attitude of Chinese residents about the prevention of COVID-19 during the outbreak of global infectious diseases. Design and Methods: A cross-sectional online survey of Chinese residents was conducted using convenience and snowball sampling techniques. Online questionnaire survey was conducted from March 7 to March 14, 2020, and the respondents were community residents who could operate smart phones independently. By 24:00 on March 14, 908 questionnaires had been collected, of which 899 were valid. Findings: Focus on the availability and effectiveness of older adults in accessing vectors for epidemic information. Pay attention to the attitude and behavior of disease prevention measures of the group with low educational background. Monthly income is an important factor in adopting healthy behaviors. Therefore, in the case of shortage of epidemic prevention manpower resources, the focus will be more epidemic prevention manpower distribution in low-income, low educational population population. The community residents with high education and high income can serve as the secondary key area. Give play to the social function of all walks of life to ensure the supply of life materials. In the case of shortage of materials, priority should be given to the distribution of materials to prevent the epidemic, to ensure the basic operation of the city. Positive self-efficacy can encourage people to adhere to healthy behaviors, so as to ensure their health without being infected. Conclusions: In terms of the implementation of epidemic prevention measures, the government or social organizations should pay more attention to the characteristics of the key population and carry out targeted measures, especially the elderly, the elderly living alone, the low-income people with low educational background. At the same time, we will focus on the compliance of prevention and control measures for low-income and low-educated people, and intensify publicity and material support. The government should give full play to the social function of all walks of life, ensure the supply of materials for people who are quarantined at home, intensify the media propaganda, and release the epidemic information in an open, transparent, accurate and timely manner, so as to increase the information of residents against the virus.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129544835","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 : 2021-04-29DOI: 10.11648/J.AJNS.20211001.26
Y. Lei, Lineng Zhou, Yanli Yang, Tinglong Li
Objective: To explore Influencing factors of hospitalization costs in adult patients with bronchiectasis. Methods: The data were collected from public hospitals in China between May 2016 and December 2019, the information collected includes the following: total hospitalization cost, age, sex, blood routine, length of stay, and complications. Result: A total of 462 effective cases were collected in this study, including 234 males (50.65%) and 228 females (49.35%). In hospitalization costs, single total hospitalization cost is 13610.87 yuan per capita, among them the quartile is 7453.50 yuan, the median is 9893.51 yuan, upper quartile is 14153.62 yuan. Base on the proportion of hospitalization costs in adult patients with bronchiectasis, the drug cost was the highest (40.53%), the test cost was the second (20.59), and the nursing cost was the lowest (2.59%). In results of univariate analysis of cases with different characteristics, chronic obstructive pulmonary disease (COPD), smoking history, age, duration of hospitalization, and the percentage of neutrophils were statistical significance (p < 0.05). independent factors. Conclusion: independent factors of hospitalization costs in adult patients with bronchiectasis included hospitalization duration, smoking history, COPD, and high neutrophil percentage. Therefore, medical staffs should control and avoid those factors in treatment of adult patients with bronchiectasis.
{"title":"Influencing Factors of Hospitalization Costs in Adult Patients with Bronchiectasis","authors":"Y. Lei, Lineng Zhou, Yanli Yang, Tinglong Li","doi":"10.11648/J.AJNS.20211001.26","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.26","url":null,"abstract":"Objective: To explore Influencing factors of hospitalization costs in adult patients with bronchiectasis. Methods: The data were collected from public hospitals in China between May 2016 and December 2019, the information collected includes the following: total hospitalization cost, age, sex, blood routine, length of stay, and complications. Result: A total of 462 effective cases were collected in this study, including 234 males (50.65%) and 228 females (49.35%). In hospitalization costs, single total hospitalization cost is 13610.87 yuan per capita, among them the quartile is 7453.50 yuan, the median is 9893.51 yuan, upper quartile is 14153.62 yuan. Base on the proportion of hospitalization costs in adult patients with bronchiectasis, the drug cost was the highest (40.53%), the test cost was the second (20.59), and the nursing cost was the lowest (2.59%). In results of univariate analysis of cases with different characteristics, chronic obstructive pulmonary disease (COPD), smoking history, age, duration of hospitalization, and the percentage of neutrophils were statistical significance (p < 0.05). independent factors. Conclusion: independent factors of hospitalization costs in adult patients with bronchiectasis included hospitalization duration, smoking history, COPD, and high neutrophil percentage. Therefore, medical staffs should control and avoid those factors in treatment of adult patients with bronchiectasis.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117042660","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 : 2021-04-29DOI: 10.11648/J.AJNS.20211001.23
G. Xiao, Fenfang Zhou
Objective: To assess impact of continuous nursing intervention on quality of life in patients with acute leukemia. Methods: the valid data was collected from 202 patients during July 2019 to February 2021. In the early stages of the study, participants were randomly assigned to either an intervention or a control group. Control group participants received common nursing intervention during treatment. In another group, the participants who received additional continuous nursing intervention based on common nursing intervention were defined as the intervention group. The data included age, sex, education, marital status, duration of illness, number of treatments, quality of life assessments, and physical functioning status. Result: All results of characteristic were no significant difference between control group and intervention group. In addition, after carrying out nursing intervention, control group participants had better improvement in some indexes of quality-of-life, such as Physiological, Social/family, and Emotional. However, comparing with control group, function, leukemia specific module, and total score were significant difference in intervention group (p < 0.05). Also, we observed that intervention group participants had better physical functional status after carrying out nursing intervention, their physical functional status assessment was significant higher compare with control group participants. Conclusion: continuous nursing intervention can improve quality of life and physical function in patients with acute leukemia in long term. compared with common nursing intervention, continuous nursing intervention is more likely to improve patients by changing their behavior so that patients' quality of life and physical function are imperceptibly improved over the long term.
{"title":"Impact of Continuous Nursing Intervention on Quality of Life in Patients with Acute Leukemia","authors":"G. Xiao, Fenfang Zhou","doi":"10.11648/J.AJNS.20211001.23","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.23","url":null,"abstract":"Objective: To assess impact of continuous nursing intervention on quality of life in patients with acute leukemia. Methods: the valid data was collected from 202 patients during July 2019 to February 2021. In the early stages of the study, participants were randomly assigned to either an intervention or a control group. Control group participants received common nursing intervention during treatment. In another group, the participants who received additional continuous nursing intervention based on common nursing intervention were defined as the intervention group. The data included age, sex, education, marital status, duration of illness, number of treatments, quality of life assessments, and physical functioning status. Result: All results of characteristic were no significant difference between control group and intervention group. In addition, after carrying out nursing intervention, control group participants had better improvement in some indexes of quality-of-life, such as Physiological, Social/family, and Emotional. However, comparing with control group, function, leukemia specific module, and total score were significant difference in intervention group (p < 0.05). Also, we observed that intervention group participants had better physical functional status after carrying out nursing intervention, their physical functional status assessment was significant higher compare with control group participants. Conclusion: continuous nursing intervention can improve quality of life and physical function in patients with acute leukemia in long term. compared with common nursing intervention, continuous nursing intervention is more likely to improve patients by changing their behavior so that patients' quality of life and physical function are imperceptibly improved over the long term.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125616070","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 : 2021-04-29DOI: 10.11648/J.AJNS.20211001.27
K. Song, Hong Xiao
Background: In leukemia chemotherapy, leukemia is considered one of the most important diseases in medical field. Also, nursing intervention has been shown to be one of key factors as it can improve the mood of depression and anxiety of patients. Objective: To assess application of psychological nursing intervention to patients with leukemia chemotherapy. Methods: This study is a horizontal comparative, that we assess the application of psychological nursing intervention to patients with leukemia chemotherapy by comparison of mental status of patients and their satisfaction. we collected valid data from 138 patients with leukemia chemotherapy. We randomly assigned patients to two groups: the control group received conventional nursing intervention, and the intervention group received psychological nursing intervention on the basis of conventional nursing intervention. Besides, the data were collected from medical records of patient and some questionnaire, the questionnaire contrasted Self-Rating Anxiety Scale (SAS), Self-rating depression scale (SDS) and satisfaction assessment questionnaire. Result: In patient characteristics, there were no significant differences in age, gender and course factors between the two groups [38.69±15.21 vs 40.90±11.87, 26 (66.7%) vs 37 (94.9%), 5.25±5.01 vs 6.05±5.26, p > 0.05]. Additionally, the intervention group had lower assessments of SDS and SAS compare with control group, it means that intervention group had better mental health after carrying out nursing intervention (41.5±8.82 vs 53.4±10.44, 49.65+9.45 vs 40.25+5.11). base on satisfaction assessment, intervention group had 97.1% of satisfaction rate, it was significant differences for satisfaction rate of control group (97.1% vs 85.5%, p < 0.05). Conclusion: psychological nursing intervention had better effect in improvement of mental health in treatment of the patients with leukemia chemotherapy.
背景:在白血病化疗中,白血病被认为是医学领域最重要的疾病之一。此外,护理干预已被证明是关键因素之一,因为它可以改善患者的抑郁和焦虑情绪。目的:探讨心理护理干预在白血病化疗患者中的应用。方法:本研究采用横向比较的方法,通过对白血病化疗患者心理状态及满意度的比较,评价心理护理干预在白血病化疗患者中的应用。我们收集了138例白血病化疗患者的有效数据。我们将患者随机分为两组:对照组进行常规护理干预,干预组在常规护理干预的基础上进行心理护理干预。此外,收集患者病历资料和部分问卷,对焦虑自评量表(SAS)、抑郁自评量表(SDS)和满意度评估问卷进行对比。结果:在患者特征方面,两组患者年龄、性别、病程因素差异无统计学意义[38.69±15.21 vs 40.90±11.87,26 (66.7%)vs 37(94.9%), 5.25±5.01 vs 6.05±5.26,p > 0.05]。干预组SDS、SAS评分低于对照组(41.5±8.82比53.4±10.44,49.65+9.45比40.25+5.11),说明干预组实施护理干预后心理健康状况较好。在满意度评估中,干预组满意度为97.1%,对照组满意度为85.5%,差异有统计学意义(p < 0.05)。结论:心理护理干预对改善白血病化疗患者的心理健康有较好的效果。
{"title":"Application of Psychological Nursing Intervention to Patients with Leukemia Chemotherapy","authors":"K. Song, Hong Xiao","doi":"10.11648/J.AJNS.20211001.27","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.27","url":null,"abstract":"Background: In leukemia chemotherapy, leukemia is considered one of the most important diseases in medical field. Also, nursing intervention has been shown to be one of key factors as it can improve the mood of depression and anxiety of patients. Objective: To assess application of psychological nursing intervention to patients with leukemia chemotherapy. Methods: This study is a horizontal comparative, that we assess the application of psychological nursing intervention to patients with leukemia chemotherapy by comparison of mental status of patients and their satisfaction. we collected valid data from 138 patients with leukemia chemotherapy. We randomly assigned patients to two groups: the control group received conventional nursing intervention, and the intervention group received psychological nursing intervention on the basis of conventional nursing intervention. Besides, the data were collected from medical records of patient and some questionnaire, the questionnaire contrasted Self-Rating Anxiety Scale (SAS), Self-rating depression scale (SDS) and satisfaction assessment questionnaire. Result: In patient characteristics, there were no significant differences in age, gender and course factors between the two groups [38.69±15.21 vs 40.90±11.87, 26 (66.7%) vs 37 (94.9%), 5.25±5.01 vs 6.05±5.26, p > 0.05]. Additionally, the intervention group had lower assessments of SDS and SAS compare with control group, it means that intervention group had better mental health after carrying out nursing intervention (41.5±8.82 vs 53.4±10.44, 49.65+9.45 vs 40.25+5.11). base on satisfaction assessment, intervention group had 97.1% of satisfaction rate, it was significant differences for satisfaction rate of control group (97.1% vs 85.5%, p < 0.05). Conclusion: psychological nursing intervention had better effect in improvement of mental health in treatment of the patients with leukemia chemotherapy.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"12 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114033904","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 : 2021-04-29DOI: 10.11648/J.AJNS.20211003.12
Zhili Chen, Lin Wang, Shiyi Zhang, Yihong Wu
Objective: To explore the effect of transitional care mode on the exclusive breastfeeding rate of patients with gestational diabetes mellitus patients (GDM). Methods: A retrospective survey of patients who had undergone regular obstetrics and delivery in the hospital was carried out from December 2016 to December 2017. A random selection of 110 patients with GDM was included as the control group, and routine measures were taken. A total of 110 patients with GDM were selected as the experiment group. The whole nursing intervention was conducted with nurses in transitional care department on the basis of routine measures. The patients’ knowledge about breastfeeding and the breastfeeding rate of the two groups were compared and analyzed. Results: A total of 220 patients with GDM were recruited. The awareness rate of breastfeeding could help to regulate glucose and lipid metabolism of mothers and newborns were higher than that in the control group (P<0.001). For the issues related to breastfeeding, the experiment group was lower than the control group (P<0.001). And after transitional care, the rate of exclusive breastfeeding was higher in the experiment group (P<0.001). Conclusion: The postpartum transitional care mode can effectively increase the rate of postpartum exclusive breastfeeding of GDM patients and is worthy of reference by peers.
{"title":"The Effect of Transitional Care Mode on Exclusive Breastfeeding Rate of Gestational Diabetes Mellitus Patients","authors":"Zhili Chen, Lin Wang, Shiyi Zhang, Yihong Wu","doi":"10.11648/J.AJNS.20211003.12","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211003.12","url":null,"abstract":"Objective: To explore the effect of transitional care mode on the exclusive breastfeeding rate of patients with gestational diabetes mellitus patients (GDM). Methods: A retrospective survey of patients who had undergone regular obstetrics and delivery in the hospital was carried out from December 2016 to December 2017. A random selection of 110 patients with GDM was included as the control group, and routine measures were taken. A total of 110 patients with GDM were selected as the experiment group. The whole nursing intervention was conducted with nurses in transitional care department on the basis of routine measures. The patients’ knowledge about breastfeeding and the breastfeeding rate of the two groups were compared and analyzed. Results: A total of 220 patients with GDM were recruited. The awareness rate of breastfeeding could help to regulate glucose and lipid metabolism of mothers and newborns were higher than that in the control group (P<0.001). For the issues related to breastfeeding, the experiment group was lower than the control group (P<0.001). And after transitional care, the rate of exclusive breastfeeding was higher in the experiment group (P<0.001). Conclusion: The postpartum transitional care mode can effectively increase the rate of postpartum exclusive breastfeeding of GDM patients and is worthy of reference by peers.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"352 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134478030","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}