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Effects of different moxibustion durations on lumbar disk herniation: a clinical study 不同灸法持续时间对腰椎间盘突出症的影响:一项临床研究
Pub Date : 2024-03-01 DOI: 10.2478/fon-2024-0005
Bin Chen, Ting Yang, Chun-Qin Zhu
To explore the best duration of moxibustion on lumbar disk herniation (LDH). A total of 88 patients were randomly divided into control group and 15-min, 30-min, and 45-min moxibustion groups. The control group was treated with conventional therapy, while the other 3 groups were intervened with different moxibustion durations. Low back pain, dysfunction, lumbar function, and effective rates were evaluated before, in the first week and second week of intervention. In low back pain, compared with the control group, the score of the 15-min group had no significant difference, but it was significantly lower in the 30-min and 45-min groups. In dysfunction and lumbar function, compared with the control group, the scores of the 15-min, 30-min, and 45-min groups were significantly higher, and the scores of the 30-min and 45-min groups were significantly higher, but there was no significant difference between the 30-min and 45-min group. In effective rates, there was no significant difference between the control group and 15-min group; the effective rates of the 30-min and 45-min groups were significantly higher than those of the control group. Moxibustion has good therapeutic effect on LDH with specific moxibustion time.
探讨艾灸治疗腰椎间盘突出症(LDH)的最佳时间。 将 88 名患者随机分为对照组和艾灸 15 分钟、30 分钟和 45 分钟组。对照组采用传统疗法,其他三组采用不同的艾灸时间。分别在干预前、干预第一周和第二周对腰痛、功能障碍、腰部功能和有效率进行了评估。 在腰痛方面,与对照组相比,15 分钟组的评分无明显差异,但 30 分钟组和 45 分钟组的评分明显较低。在功能障碍和腰椎功能方面,与对照组相比,15 分钟组、30 分钟组和 45 分钟组的得分明显较高,30 分钟组和 45 分钟组的得分明显较高,但 30 分钟组和 45 分钟组之间无明显差异。在有效率方面,对照组与 15 分钟组无明显差异;30 分钟组和 45 分钟组的有效率明显高于对照组。 在特定的艾灸时间内,艾灸对 LDH 有良好的治疗效果。
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引用次数: 0
Factors influencing discharge readiness among patients with mild-to-moderate ischemic stroke: a cross-sectional study 影响轻度至中度缺血性脑卒中患者出院准备的因素:一项横断面研究
Pub Date : 2024-03-01 DOI: 10.2478/fon-2024-0006
Li-Fei Wang, Niphawan Samartkit, Khemaradee Masingboon
To describe discharge readiness and determine whether self-efficacy, social support, and the quality of discharge teaching can predict discharge readiness among patients with mild-to-moderate ischemic stroke. A total of 120 patients with mild-to-moderate ischemic stroke were recruited using simple random sampling. Five instruments, namely, the Demographic Data Questionnaire, the Chinese version of the Readiness for Hospital Discharge Scale (RHDS_C), the Self-Efficacy for Managing Chronic Disease 6-Item Scale (SES6), the Perceived Social Support Scale (PSSS), and the Quality of Discharge Teaching Scale (QDTS), were used for data collection. Descriptive statistics and standard multiple linear regression were used for data analysis. The mean score of discharge readiness among patients with mild-to-moderate ischemic stroke was at a moderate level (M = 7.6, SD = 0.92), and 75.8% of the participants felt ready for discharge. Standard multiple linear regression revealed that self-efficacy (β = 0.62, P < 0.001) and the quality of discharge teaching (β = 0.28, P < 0.001) were the influencing factors. However, social support could not predict discharge readiness significantly. All the factors combined explained 64.9% of the variance in discharge readiness. Intervention programs aimed at improving self-efficacy and the quality of discharge teaching may be helpful in promoting discharge readiness in patients with mild-to-moderate ischemic stroke, especially in coping ability.
目的描述轻度至中度缺血性脑卒中患者的出院准备情况,并确定自我效能感、社会支持和出院指导的质量是否能预测出院准备情况。 研究采用简单随机抽样的方法,共招募了 120 名轻度至中度缺血性脑卒中患者。采用人口统计学数据调查表、中文版出院准备度量表(RHDS_C)、慢性病管理自我效能 6 项量表(SES6)、感知社会支持量表(PSSS)和出院教学质量量表(QDTS)五种工具进行数据收集。数据分析采用了描述性统计和标准多元线性回归。 轻度至中度缺血性脑卒中患者出院准备度的平均得分处于中等水平(M = 7.6,SD = 0.92),75.8%的参与者认为自己已做好出院准备。标准多元线性回归显示,自我效能感(β = 0.62,P < 0.001)和出院指导质量(β = 0.28,P < 0.001)是影响因素。然而,社会支持并不能显著预测出院准备情况。所有因素合计解释了出院准备度变异的 64.9%。 旨在提高轻中度缺血性卒中患者自我效能感和出院指导质量的干预计划可能有助于促进患者的出院准备,尤其是应对能力。
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引用次数: 0
Nurses’ attitude toward patients’ safety climate during COVID-19 pandemic: a cross-sectional study† COVID-19 大流行期间护士对患者安全氛围的态度:一项横断面研究†。
Pub Date : 2024-03-01 DOI: 10.2478/fon-2024-0004
A. Nassehi, Kobra Ghorbanzadeh, Somaye Moayedi, Javad Jafari, Parvin Mahmoodi, Mojtaba Jafari
Patient safety is a fundamental factor in improving the quality of care provided in hospitals. Therefore, it is considered a significant parameter by all healthcare organizations around the world. The present study was conducted to investigate the attitude of nurses toward the patient safety climate during the Coronavirus Disease 2019 (COVID-19) pandemic in the southeast of Iran. This is a cross-sectional descriptive study. Among all the nurses working in one of the hospitals in the southeast of Iran, 171 nurses participated in the study through convenience sampling methods. The survey was conducted between June 1 and July 30, 2020. A 2-part questionnaire including demographic information and an assessment of nurses’ attitudes toward patients’ safety climate was used for data collection in 2021. The content validity of the scale is (0.77) and reliability was re-calculated and confirmed by the present study with Cronbach’s alpha (α = 0.9). Data were analyzed by SPSS 20 (IBM Corporation, Armonk, New York, United States) using descriptive and analytical statistical tests. The mean score of safety climates was 3.2 ± 5.20 (out of 5 scores). The results showed that among all dimensions of the safety climate, only the education dimension was statistically significant between males and females (P < 0.001). Also, there was a significant relationship between the overall average of the safety climate and its dimensions according to the people’s position only in the dimension of supervisors’ attitude (P < 0.01) and burnout (P < 0.01). Additionally, a significant correlation between the education level and the overall score of safety climate (P < 0.01), as well as the supervisor’s attitude dimension (P < 0.01), was observed. The results showed that the safety climate was at a relatively favorable level. Considering the impact of nurses’ attitudes on the safety climate of patients, its improvement seems necessary. It is recommended to design training courses and educate nurses in order to promote a patients safety climate in hospitals.
患者安全是提高医院医疗质量的基本要素。因此,世界各地的医疗机构都将其视为一个重要参数。本研究旨在调查伊朗东南部地区发生 2019 年冠状病毒病(COVID-19)大流行期间护士对患者安全氛围的态度。 这是一项横断面描述性研究。在伊朗东南部一家医院工作的所有护士中,有 171 名护士通过便利抽样方法参与了研究。调查于 2020 年 6 月 1 日至 7 月 30 日进行。2021 年的数据收集采用了一份由两部分组成的调查问卷,包括人口统计学信息和护士对患者安全氛围的态度评估。量表的内容效度为(0.77),本研究重新计算并确认了 Cronbach's alpha(α = 0.9)的可靠性。数据采用 SPSS 20(IBM 公司,美国纽约阿蒙克)进行了描述性和分析性统计检验。 安全氛围的平均得分为 3.2 ± 5.20(满分为 5 分)。结果表明,在安全氛围的所有维度中,只有教育维度在男性和女性之间存在显著的统计学差异(P < 0.001)。此外,只有在主管态度(P < 0.01)和职业倦怠(P < 0.01)两个维度上,安全氛围的总体平均值与不同职位的维度之间存在显著关系。此外,教育程度与安全氛围总分(P < 0.01)以及主管态度维度(P < 0.01)之间也存在明显的相关性。 结果显示,安全氛围处于相对良好的水平。考虑到护士态度对患者安全氛围的影响,改善护士态度似乎很有必要。建议设计培训课程并对护士进行教育,以促进医院的患者安全氛围。
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Frontiers of Nursing
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