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[Community Innovation and Regional Sustainability: A Case Study on an Elder Social Survey Conducted by National Cheng Kung University]. [社区创新与区域可持续性:以成功大学老年人社会调查为例]。
Q3 Nursing Pub Date : 2022-06-01 DOI: 10.6224/JN.202206_69(3).04
Li-Fan Liu, C. Lu
National Cheng Kung University (NCKU) promotes university social responsibility and strives to ensure that all of its teaching staff and students engage in academics in a manner that incorporates both social awareness and social practice. The NCKU team has launched a series of social practice and research projects focused on accompanying and caring for older adults who live in the community, looking to establish a social practice model that bridges university teaching and research to practical community needs. The objective of this initiative is to develop an innovative model of social support and a new model for younger generations to work with older adults living in the community. The results of this survey project show better well-being in older adults to be associated with the following sets of traits: exercising regularly and lacking dental problems; engaging in daily laughter and holding positive aging perceptions; and having a higher subjective social status, more family support, and a sense of community attachment. The study results imply that multiple factors affect well-being in the context of caring for community-dwelling older adults and social development, especially during the current COVID-19 pandemic.
国立成功大学(NCKU)提倡大学的社会责任,并努力确保其所有教职员工和学生以融合社会意识和社会实践的方式参与学术活动。NCKU团队启动了一系列社会实践和研究项目,重点是陪伴和照顾生活在社区中的老年人,希望建立一种社会实践模式,将大学教学和研究与社区实际需求联系起来。这一举措的目标是开发一种创新的社会支持模式,以及一种新的模式,让年轻一代与生活在社区中的老年人合作。该调查项目的结果显示,老年人的幸福感更好,这与以下一系列特征有关:定期锻炼和没有牙齿问题;每天开怀大笑,保持积极的衰老观念;具有更高的主观社会地位、更多的家庭支持和社区依恋感。研究结果表明,在照顾社区老年人和社会发展的背景下,多种因素会影响福祉,尤其是在当前新冠肺炎大流行期间。
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引用次数: 0
[Role Function and Policy Prospects of Long-Term Care Nurses in Taiwan: Evidence-Based Policy Recommendations of Professional Nursing Organizations]. [台湾长期护理护士的角色功能与政策展望:专业护理组织的循证政策建议]。
Q3 Nursing Pub Date : 2022-06-01 DOI: 10.6224/JN.202206_69(3).12
Ching-Min Chen, Chiu-Yen Yu, Kuei‐Min Chen, Y. Kuo
Professional nursing organizations represent an important channel for the nursing profession to influence health policy, represent and protect the interests of nurses, and advocate for the further development of the profession. Facing the rapidly increasing aging population and emerging needs of long-term care in Taiwan, the Taiwan Nurses Association launched an integrated project to propose policy advice on the development of nursing in long-term care. In this paper, the relevant findings in the domestic and foreign literature are summarized to better define the role function and core competence of long-term care nurses. In addition, the current tasks, perceived competence, and training needs of nurses working in long term care settings are presented, and the consensus on various advocacy strategies are summarized. The findings presented in this study may be referenced when developing evidence-based policy recommendations related to education, practice, legal / regulatory amendments, and professional organizations.
专业护理组织是护理专业影响卫生政策、代表和保护护士利益、倡导职业进一步发展的重要渠道。面对台湾人口老龄化的快速增长和长期护理需求的不断涌现,台湾护士协会发起了一项综合项目,为长期护理护理的发展提出政策建议。本文总结了国内外文献中的相关发现,以更好地界定长期护理护士的角色功能和核心能力。此外,还介绍了在长期护理环境中工作的护士的当前任务、感知能力和培训需求,并总结了对各种宣传策略的共识。在制定与教育、实践、法律/法规修正案和专业组织相关的循证政策建议时,可以参考本研究中的研究结果。
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引用次数: 0
[A Reappraisal of Pain Using a Nurses' Professional Study Circle]. [使用护士专业研究圈重新评估疼痛]。
Q3 Nursing Pub Date : 2022-06-01 DOI: 10.6224/JN.202206_69(3).08
Li-Chuan Kuo, Wan-Hsiang Wang, Yen-Chen Lee
BACKGROUNDPain relates to the highly personal and subjective experience of feelings and emotions. Patients are often misunderstood because of language-related limitations and the conditions of their disease.PURPOSEIn this research, a professional study circle was held to help nurses reconstruct their understanding of patient pain to enhance their awareness / empathy for differences in pain perception between others and themselves and to improve their ability to provide professional, individualized care.METHODSNine nurses were invited from the urology department to join the developed professional study circle. We spent one year and a half reading "Listening to Pain: Finding Words, Compassion, and Relief" and held a sharing and discussion roundtable meeting every month. The study circle included: (1) assigned reading and the appointment of a leader on rotation to direct the sharing and discussion, (2) presentation of clinical cases related to the reading, (3) discussions of how to apply what they had learned in clinical practice, and (4) an interview of study circle members and a full analysis of their reflections and changes of view regarding pain perceptions.RESULTSAfter a close reading and guided discussions, these nine nurses began to change their perceptions of pain and, in general, passed through three stages, including: (1) cast doubt on the authenticity of patient expressions of pain because of stereotyped biases; (2) develop a new empathy based on careful listening; (3) providing individualized care and experiencing professional growth. After successfully transiting through these stages, the nurses held a more profound understanding of their patients, practiced a more sensitive use of language, and reflected an enhanced professional ability to assess pain.CONCLUSIONS / IMPLICATIONS FOR PRACTICEThis professional study circle successfully helped the nurses internalize a more empathetic understanding of pain and exhibit greater skill in designing individualized care for their patients.
背景疼痛与高度个人化和主观的感受和情绪体验有关。由于与语言相关的限制和疾病的状况,患者经常被误解。目的在这项研究中,举办了一个专业研究圈,帮助护士重建他们对患者疼痛的理解,以增强他们对他人和自己之间疼痛感知差异的意识/同理心,并提高他们提供专业、个性化护理的能力。方法邀请泌尿外科的一线护士加入发达的专业学习圈。我们花了一年半的时间阅读《倾听痛苦:寻找话语、同情和解脱》,并每月举行一次分享和讨论圆桌会议。研究圈包括:(1)指定阅读并任命一名轮流领导来指导分享和讨论,(2)介绍与阅读相关的临床案例,(3)讨论如何将所学应用于临床实践,以及(4)采访研究圈成员,并全面分析他们对疼痛感知的反思和观点变化。结果经过仔细阅读和指导讨论,这九名护士开始改变他们对疼痛的看法,总体上经历了三个阶段,包括:(1)由于刻板偏见而对患者疼痛表达的真实性产生怀疑;(2) 在认真倾听的基础上培养新的同理心;(3) 提供个性化护理并体验专业成长。在成功度过这些阶段后,护士们对患者有了更深刻的理解,对语言的使用更加敏感,并反映出评估疼痛的专业能力得到了增强。结论/实践意义这个专业研究圈子成功地帮助护士内化了对疼痛的更具同理心的理解,并在为患者设计个性化护理方面表现出更高的技能。
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引用次数: 0
[The Experience and Coping Process of Women With Breast Cancer Undergoing Neoadjuvant Chemotherapy]. [癌症妇女新辅助化疗的经验与应对过程]。
Q3 Nursing Pub Date : 2022-06-01 DOI: 10.6224/JN.202206_69(3).07
Y. Chao, Yu-Ting Chu, S. Sheu
BACKGROUNDNeoadjuvant chemotherapy is commonly performed to reduce the size of tumors before partial mastectomy to improve the rate of breast-conservation. Few studies have been conducted to assess the neoadjuvant chemotherapy experience of women diagnosed with breast cancer and their responses to it.PURPOSETo explore the experience of women diagnosed with breast cancer who received neoadjuvant chemotherapy and their responses to it.METHODSThe grounded theory was adopted as the methodology. Participants were recruited using purposive sampling. The data were collected using semi-structured, in-depth interviews and analyzed using open, axial, and selective coding.RESULTSA total of 15 women newly diagnosed with breast cancer participated in this study, with information showing that the core category oscillated between the sizes of the tumor. The three categories included difficulty in coping with the physical response to chemotherapy, absence of role fulfillment, and uneasy emotions. The coping strategies used by the participants included: body and mind adjustment, hiding, family labor adjustment, and changing the pace of social life.CONCLUSIONS / IMPLICATIONS FOR PRACTICEThe participants experienced tremendous physical and psychological stress during their neoadjuvant chemotherapy, in which tumor response assessment served as a critical time point. Medical professionals, in addition to noting changes in women's physiological response, must pay attention to their psychological burden and provide emotional support and treatment information as needed.
背景新辅助化疗通常在乳房切除术前进行,以缩小肿瘤的大小,从而提高保乳率。很少有研究评估被诊断为癌症的女性的新辅助化疗经验及其反应。目的探讨被诊断为癌症的女性接受新辅助化疗的经历及其反应。方法采用有根据的理论。参与者采用有目的的抽样方式招募。数据是通过半结构化、深入访谈收集的,并使用开放、轴向和选择性编码进行分析。结果共有15名新诊断为癌症的女性参与了这项研究,信息显示核心类别在肿瘤大小之间波动。这三类包括难以应对化疗的身体反应、缺乏角色履行和不安情绪。参与者使用的应对策略包括:身心调整、躲藏、家庭劳动调整和改变社会生活节奏。结论/实践意义参与者在新辅助化疗期间经历了巨大的身体和心理压力,其中肿瘤反应评估是一个关键时间点。医疗专业人员除了注意女性生理反应的变化外,还必须注意她们的心理负担,并根据需要提供情感支持和治疗信息。
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引用次数: 0
Research Progress on Causes of Hemorrhoids in Pregnant Women and Diet Nursing 孕妇痔疮病因及饮食护理研究进展
Q3 Nursing Pub Date : 2021-11-04 DOI: 10.18686/JN.V10I2.195
D. Peng, Ling Chang, Nana Ren, Ming-xian Li, P. Yang, Juan Du, Huan Wang
The incidence of hemorrhoids in pregnant women is relatively high, which generally occurs in the second trimester of pregnancy. The development of the fetus at this stage causes certain damage to the pelvic cavity, intestine, inferior vena cava, portal vein, etc., affects the venous return, and causes anal swelling and pain, bloody stool and other problems. Once women get sick in pregnancy, the treatment is more difficult, which has a greater impact on the safety of pregnant women and fetus. Studies have shown that diet has a certain impact on the occurrence of the disease, so based on the analysis of the causes of hemorrhoids in pregnant women, we should formulate a scientific diet intervention plan to improve the comprehensive intervention quality of the disease.
孕妇痔疮的发病率比较高,一般发生在妊娠中期。这个阶段胎儿的发育对盆腔、肠道、下腔静脉、门静脉等造成一定的损伤,影响静脉回流,引起肛门肿胀疼痛、便血等问题。女性一旦在孕期患病,治疗难度更大,对孕妇和胎儿的安全影响更大。研究表明,饮食对疾病的发生有一定的影响,因此在分析孕妇痔疮发病原因的基础上,应制定科学的饮食干预方案,提高疾病的综合干预质量。
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引用次数: 0
Model Construction and Identification of Genome Instability-Associated lncRNA Signature Markers in Bladder Cancer 膀胱癌基因组不稳定性相关lncRNA标记物的模型构建与鉴定
Q3 Nursing Pub Date : 2021-10-18 DOI: 10.18686/JN.V10I1.191
Qi Zhao
Background: Studies have shown that long non-coding RNA (LncRNA) plays a critical role in maintaining genomic instability. As a new tumor marker, the correlation between lncRNA and genomic instability is still worth exploring in bladder cancer. Methods: Therefore, combined with the lncRNA expression profile and somatic mutation profile of bladder cancer, we established a computing framework of lncRNA related to genomic instability and identified 58 new lncRNA related to genomic instability. Next, we identified a lncRNA signature (GILncSig), based on these 58 new genes, which divided patients into high-risk and low-risk groups. The clinical prognosis was significantly different and was further verified in an independent cohort of patients. Results: We confirmed that GILncSig is related to the genomic mutation rate of bladder cancer, suggesting that GILncSig can be used as an indicator of genomic instability. The results show that GILncSig has prognostic value independent of age, sex, grade, and stage, and plays an important role in evaluating clinical prognosis. To sum up, this study provides an important research basis and methods for further exploring the role of lncRNA in genomic instability of bladder cancer, and provides a theoretical basis for the identification of bladder cancer biomarkers related to genomic instability.
背景:研究表明,长链非编码RNA (LncRNA)在维持基因组不稳定性中起着至关重要的作用。lncRNA作为一种新的肿瘤标志物,在膀胱癌中与基因组不稳定性的相关性仍值得探索。方法:因此,结合膀胱癌的lncRNA表达谱和体细胞突变谱,我们建立了基因组不稳定相关lncRNA的计算框架,并鉴定出58个新的基因组不稳定相关lncRNA。接下来,我们基于这58个新基因确定了一个lncRNA特征(GILncSig),将患者分为高风险和低风险组。临床预后有显著差异,并在独立的患者队列中得到进一步验证。结果:我们证实了GILncSig与膀胱癌基因组突变率相关,提示GILncSig可以作为基因组不稳定性的指标。结果显示,GILncSig具有独立于年龄、性别、分级、分期的预后价值,在评价临床预后方面具有重要作用。综上所述,本研究为进一步探索lncRNA在膀胱癌基因组不稳定性中的作用提供了重要的研究基础和方法,为鉴定与基因组不稳定性相关的膀胱癌生物标志物提供了理论依据。
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引用次数: 0
Construction of A Comprehensive Psychological Assistance System for the Affected Population after the Disaster 灾后受灾人群综合心理援助体系的构建
Q3 Nursing Pub Date : 2021-10-18 DOI: 10.18686/JN.V10I1.194
Jian Jin
Looking for the regularity and common ground of the psychological behavior problems of the affected population after the disaster can increase the scientificity, pertinence and foreseeability of prevention and intervention, so as to formulate and take effective measures and give timely intervention and assistance, so as to form a scientific and perfect aid system. Objective: To find a new breakthrough point for further reducing various post-disaster stress psychologies and to provide basis for constructing a scientific and perfect integrated post-disaster psychological assistance system by studying and constructing a complete stress psychological assistance system.
寻找灾后受灾人群心理行为问题的规律性和共性,可以增加预防和干预的科学性、针对性和可预见性,从而制定和采取有效措施,及时进行干预和救助,形成科学完善的救助体系。目的:通过研究和构建完整的应激心理援助体系,为进一步减少各种灾后应激心理找到新的突破口,为构建科学完善的综合灾后心理援助体系提供依据。
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引用次数: 0
Nursing Intervention in Patients with Coronary Heart Disease Complicated with Arrhythmia and Its Effect 冠心病合并心律失常患者的护理干预及效果
Q3 Nursing Pub Date : 2021-10-18 DOI: 10.18686/JN.V10I1.189
Jiajuan Chen, Hezhong Zhu, Su Zheng, Mi Zhang, Jingwen Xu
Objective: To explore the influence of nursing intervention on nursing service for patients with coronary heart disease complicated with arrhythmia. Methods: 120 patients with coronary heart disease complicated with arrhythmia were randomly selected from those admitted to our hospital from February 2018 to February 2019, and they were divid-ed into two groups, and given different nursing methods. Results: The nursing effect of the observation group is better than that of the control group in terms of improvement of patients’ bad mood, nursing compliance, and improvement of patients’ quality of life. P < 0.05 indicates the statistical significance. Conclusion: Nursing intervention is conducive to improving the nursing quality of patients, and plays important role in maintaining their health.
目的:探讨护理干预对冠心病合并心律失常患者护理服务的影响。方法:选择2018年2月~ 2019年2月我院收治的冠心病合并心律失常患者120例,随机分为两组,分别给予不同的护理方法。结果:观察组在改善患者不良情绪、护理依从性、改善患者生活质量等方面的护理效果均优于对照组。P < 0.05为差异有统计学意义。结论:护理干预有利于提高患者的护理质量,对维护患者的健康具有重要作用。
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引用次数: 0
Positive Role of Standardized Nursing Management on Limb Function after Breast Cancer Surgery 规范化护理管理对乳腺癌术后肢体功能的积极作用
Q3 Nursing Pub Date : 2021-09-06 DOI: 10.18686/JN.V10I1,2.193
Fenglian Ye, Yuzhen Wu
Objective: This study aims to analyze and observe the rehabilitation nursing outcome in the functional recovery of limbs after breast cancer surgery using standardized nursing management measures. Methods: A total of 100 patients underwent breast cancer surgery in our hospital were divided into two groups according to the digital method, among which the control group adopted the conventional hospital method while the nursing group implemented the standardized nursing management on the basis of the treatment of control group. The changes of clinical efficacy have been evaluated in patients between the two groups. Results: Compared with the control group, the overall response rate and satisfaction showed a rising trend in the nursing group. The scores of limb function increased obviously and the improvement was evident. The difference was significant ( P <0.05) between the two groups. Conclusion: The outcome of the standardized nursing management is good on limb function recovery after breast cancer surgery. It has actively improved the quality of life of patients and is worthy of clinical promotion.
目的:分析观察规范化护理管理措施对乳腺癌术后肢体功能恢复的康复护理效果。方法:将我院100例乳腺癌手术患者按数字化方法分为两组,对照组采用医院常规方法,护理组在对照组治疗的基础上实施规范化护理管理。观察两组患者临床疗效的变化。结果:与对照组比较,护理组整体有效率和满意度均有上升趋势。肢体功能评分明显提高,改善明显。两组比较差异有统计学意义(P <0.05)。结论:规范化护理管理对乳腺癌术后肢体功能恢复效果良好。积极提高了患者的生活质量,值得临床推广。
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引用次数: 0
Identification, Evaluation and Prevention Strategies of Risk Factors in Nursing ICU Critical Patients ICU危重患者护理危险因素的识别、评价及预防策略
Q3 Nursing Pub Date : 2021-08-31 DOI: 10.18686/JN.V10I1,2.190
P. Yang, Yi-liang Ma, Hongbin Su, Ping Cai
Objective: To identify and evaluate the nursing risk factors of critical patients in ICU, and then take effective prevention strategies. M ethods : A total of 130 critical patients admitted to the ICU of our hospital from February 2018 to December 2020 were selected and randomly divided into observation group (taking targeted prevention strategies according to nursing risk factors) and control group (routine care) ,  with 65 patients in each group. R esults : Compared with the control group, the nursing satisfaction in the observation group (96.92%) was higher, and the incidence of nurse-patient disputes (6.15%) was lower (P<0.05).The scores of each index of nursing quality in observation group were higher than those in control group (P<0.05). Conclusion: According to the nursing risk factors of critica l  patients in ICU, effective prevention strategies can improve nursing satisfaction  and reduce the occurrence of disputes between the nursing personnel and patient s , which is of great importance in  significantly promot ing  the nursing quality.
目的:识别和评价ICU危重患者的护理危险因素,并采取有效的预防策略。方法:选择2018年2月至2020年12月我院ICU收治的危重患者130例,随机分为观察组(根据护理危险因素采取针对性预防策略)和对照组(常规护理),每组65例。R结果:观察组护理满意度(96.92%)高于对照组,护患纠纷发生率(6.15%)低于对照组(P<0.05)。观察组患者护理质量各指标得分均高于对照组(P<0.05)。结论:针对ICU危重患者的护理危险因素,采取有效的预防策略,可提高护理满意度,减少护理人员与患者之间纠纷的发生,对显著提高护理质量具有重要意义。
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引用次数: 0
期刊
Journal of Nursing
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