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Advances in art therapy for patients with dementia 痴呆症患者艺术治疗的进展
Pub Date : 2016-09-01 DOI: 10.1016/j.cnre.2016.06.011
Qiu-Yue Wang, Dong-Mei Li

In this article, the theoretical basis and development status of art therapy are introduced, and the intervention methods and effectiveness of art therapy in patients with dementia are reviewed. To date, nursing intervention via art therapy with dementia patients in China has been rarely investigated, and the design of this type of investigation must be improved.

本文介绍了艺术治疗的理论基础和发展现状,并对艺术治疗对痴呆患者的干预方法和效果进行了综述。迄今为止,通过艺术治疗对痴呆患者进行护理干预的研究在中国还很少,这类研究的设计还有待改进。
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引用次数: 28
An investigation of the health value and self-care capabilities of the elderly in urban-rural fringe area nursing homes and the related influencing factors 城乡结合部老年人健康价值、生活自理能力及影响因素调查
Pub Date : 2016-09-01 DOI: 10.1016/j.cnre.2016.06.015
Ju-Ying Luo , Ling-Lin Kong , Zhi-Xia Zhang , Yan-Sheng Ye , Cui-Yu Bao , Li-Juan Tu , Ya-Zhen Yang

Objective

To investigate the health value and self-care capabilities of the elderly living in urban-rural fringe area nursing homes and the factors that influence these variables.

Methods

A cluster sampling method was used to select 280 elderly individuals from seven urban-rural fringe communities in Xianning to complete a survey regarding their health value and self-care capabilities.

Results

The total health value and self-care capability scores of the elderly were 7.45 ± 1.45 and 100.25 ± 22.56, respectively. Both of these scores significantly differed by age, education level, marital status, and income (P < 0.05, P < 0.01). Self-care capability was correlated with health value (r = 0.521). A multivariate linear regression analysis showed that health value, marital status, and age predicted self-care capability.

Conclusions

Elderly people living in the urban-rural fringe area with higher health values also had higher self-care capabilities. The self-care capabilities of the elderly can be enhanced by improving their health value using the “knowing-trusting-acting” model.

目的了解城乡结合部老年人的健康价值、生活自理能力及其影响因素。方法采用整群抽样的方法,对咸宁市7个城乡结合部社区的280名老年人进行健康价值和生活自理能力调查。结果老年人健康总分为7.45±1.45分,生活自理能力得分为100.25±22.56分。年龄、受教育程度、婚姻状况和收入差异显著(P <0.05, P <0.01)。自我照顾能力与健康值相关(r = 0.521)。多元线性回归分析显示,健康状况、婚姻状况、年龄对自我照顾能力有预测作用。结论城乡结合部老年人的健康价值较高,其生活自理能力也较高。通过“知-信-行”模式,提高老年人的健康价值,提高老年人的自理能力。
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引用次数: 3
The development status of specialized nursing in ostomy care both in China and abroad 国内外造口专科护理的发展现状
Pub Date : 2016-09-01 DOI: 10.1016/j.cnre.2016.06.014
Ai-Hua Yang, Mei Yan, Ya-Hui Qin

The status of ostomy-specialized nurses' training and the specialized care for patients with permanent colostomy both in China and abroad are analyzed. Based on features and characteristics of the development of ostomy care outside China, problems in China's ostomy care are discussed to promote the sustainable development of this type of care.

分析了国内外造口专科护士培训及永久性结肠造口患者专科护理的现状。结合国外造口护理发展的特点和特点,探讨中国造口护理存在的问题,促进造口护理的可持续发展。
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引用次数: 10
The effectiveness of a high-fidelity teaching simulation based on an NLN/Jeffries simulation in the nursing education theoretical framework and its influencing factors 基于NLN/Jeffries模拟的高保真教学模拟在护理教育理论框架中的有效性及其影响因素
Pub Date : 2016-09-01 DOI: 10.1016/j.cnre.2016.06.016
Fen-Fen Zhu, Li-Rong Wu

Objective

To investigate the effectiveness of a high-fidelity teaching simulation based on an NLN/Jeffries simulation in the nursing education theoretical framework and its influencing factors.

Methods

A high-fidelity teaching simulation on clinical nursing practices using intelligent human analogues was conducted with 200 students, and The Simulation Design Scale, and the Student Satisfaction and Self-Confidence in Learning Scale developed by the National League for Nursing were used to evaluate the training effectiveness and its influencing factors.

Results

For the high-fidelity teaching simulation, students gave scores of 4.36 ± 0.54 points for satisfaction and 4.33 ± 0.46 points for Self-Confidence. The students highly rated the five dimensions of teaching design, i.e., teaching objectives/information, assistance/support for students, problem solving, guided feedback, and fidelity. The teaching design was closely correlated with the satisfaction of the high-fidelity teaching simulation and self-efficacy, and the dimensions of teaching objectives/information and assistance/support for students were particularly strong predictors of teaching effectiveness.

Conclusions

A high-fidelity teaching simulation based on Jeffries' theoretical framework improved student satisfaction with the simulation and their Self-Confidence. In planning simulations, teachers should take into account five characteristics, i.e., teaching objectives/information on simulation education, assistance/support for students, problem solving, guided reflection, and fidelity, to achieve better teaching effectiveness.

目的探讨基于NLN/Jeffries模拟的高保真教学模拟在护理教育理论框架中的有效性及其影响因素。方法对200名学生进行高保真模拟临床护理实践教学,采用模拟设计量表、全国护理联盟学生学习满意度和自信心量表评估培训效果及其影响因素。结果学生对高保真教学模拟的满意度得分为4.36±0.54分,自信心得分为4.33±0.46分。学生对教学设计的五个维度,即教学目标/信息、对学生的帮助/支持、问题解决、引导反馈和保真度评价较高。教学设计与高保真教学模拟满意度和自我效能感密切相关,其中教学目标/信息维度和学生帮助/支持维度对教学效果的预测作用尤为显著。结论基于Jeffries理论框架的高保真教学模拟提高了学生对模拟的满意度和自信心。在规划模拟时,教师应考虑模拟教育的教学目标/信息、对学生的帮助/支持、问题解决、引导反思和逼真度五个特征,以达到更好的教学效果。
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引用次数: 16
Advances in the application of action learning in nursing practice 行动学习在护理实践中的应用进展
Pub Date : 2016-09-01 DOI: 10.1016/j.cnre.2016.06.010
Er-Huan Han, Yan Zhang, Jian-Ge Zhang, Bei-Lei Lin

In this paper, we elucidate the concept and characteristics of action learning as well as summarize the reflexivity, cooperativeness, and subjectivity of this approach. Furthermore, we describe the effects and limitations of action learning when applied in nursing management, nursing education, and clinical practice, among various fields.

本文阐述了行动学习的概念和特点,总结了行动学习的反身性、合作性和主观性。此外,我们还描述了行动学习在护理管理、护理教育和临床实践等各个领域应用时的效果和局限性。
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引用次数: 4
Advances in research on personalized venous thromboembolism risk assessment tools 个性化静脉血栓栓塞风险评估工具的研究进展
Pub Date : 2016-09-01 DOI: 10.1016/j.cnre.2016.06.013
Chun-Li Wu , Mei Lin , Ying Bao , Xiang Wang

This paper describes the definition of venous thromboembolism and introduces to personalized venous thromboembolism risk assessment tools overseas. Thoughts are given on the development, amendment, application and validation of these tools. The paper provides a reference for building personalized venous thromboembolism risk assessment tools in China.

本文介绍了静脉血栓栓塞的定义,并介绍了国外个性化的静脉血栓栓塞风险评估工具。对这些工具的开发、修改、应用和验证进行了思考。为建立个性化的静脉血栓栓塞风险评估工具提供参考。
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引用次数: 3
Exploration of a reasonable dialysate temperature setting in hemodialysis for patients with hypertension 高血压患者血液透析合理透析液温度设置探讨
Pub Date : 2016-09-01 DOI: 10.1016/j.cnre.2016.06.017
Lin-Fang Xu, Chun-Lei Wu, Hong-Mei Sun, Tong-Qiang Liu

Objective

This study aims to investigate the effect of 4 different dialysate temperatures on blood pressure during hemodialysis for patients with hypertension.

Methods

Using a self-controlled method, the patients' body temperature was set as T. Accordingly, the dialysate temperature was set as 37 °C, T+0.5 °C, T, and T−0.5 °C. The changes in blood pressure, heart rate, mean arterial pressure and dialysis-induced adverse reactions at the 4 different dialysate temperatures were consistently monitored.

Results

Patients who received hemodialysis with 37 °C and T+0.5 °C dialysate demonstrated an unstable blood pressure and a higher incidence of adverse reactions. Patients who received hemodialysis with T and T−0.5 °C dialysate showed a relatively stable blood pressure, heart rate, and mean arterial pressure during dialysis. In particular, dialysate at T−0.5 °C resulted in the most stable blood pressure, the fewest adverse reactions and the best self-assessed comfort scores (P < 0.01).

Conclusions

The dialysate temperature during hemodialysis for patients with hypertension should be set to a temperature based on patients' preoperative body temperate T or 0.5 °C below T. This practice is suggested to enhance the stability of patients' blood pressure and heart rate during hemodialysis, reduce complications and improve patients' tolerance of hemodialysis.

目的探讨4种不同透析温度对高血压患者血液透析过程中血压的影响。方法采用自控法,将患者体温设为T,相应设置透析液温度为37℃、T+0.5℃、T、T - 0.5℃。持续监测4种不同透析液温度下患者血压、心率、平均动脉压及透析不良反应的变化。结果37°C和T+0.5°C透析患者血压不稳定,不良反应发生率较高。使用T和T - 0.5°C透析液进行血液透析的患者在透析期间血压、心率和平均动脉压相对稳定。特别是,在T - 0.5°C的透析液导致最稳定的血压,最少的不良反应和最佳的自我评估舒适评分(P <0.01)。结论高血压患者血液透析时的透析液温度应根据患者术前体温T或低于T 0.5℃设定,可增强血液透析时患者血压和心率的稳定性,减少并发症,提高患者对血液透析的耐受性。
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引用次数: 1
The concept and characteristics of clinical practice ability in Master Degree of Nursing (specialty) 护理硕士(专科)临床实践能力的概念与特点
Pub Date : 2016-09-01 DOI: 10.1016/j.cnre.2016.06.009
Jing Zeng , Jing-Ci Zhu , Xiao-Yu Zhao

The concepts of ability, practice ability, and professional practice ability were analyzed using a theoretical research method. Based on the results of the analysis, the concept of clinical practice ability for Master Degree of Nursing (specialty) students was defined, and the characteristics were interpreted to provide references for future in-depth studies.

运用理论研究方法对能力、实践能力和专业实践能力的概念进行了分析。在分析结果的基础上,界定护理硕士(专科)学生临床实践能力的概念,并对其特征进行解读,为今后的深入研究提供参考。
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引用次数: 1
Problem analysis and solutions of the B-ultrasound-guided peripherally inserted central catheter process b超引导周围置管过程中存在的问题分析及解决方法
Pub Date : 2016-09-01 DOI: 10.1016/j.cnre.2016.10.001
Zu-Yan Fan, Tian-Tian Wang, Yun Xiao, Yang-En Zhang, Dong-Hao Wu, Zhi-Huan Lin, Dan-Chun Wu, Jin-Xiang Lin

Objective

The purpose of this study was to address the issues that occur during the B-ultrasound guided peripherally inserted central catheter (PICC) process and to give a summary of the effective management to these issues accordingly.

Methods

The information was collected retrospectively on all of the 1950 PICCs inserted during the 2-year period from July 2013 to July 2015. PICC catheter insertion was performed using the Seldinger approach and was delivered from the basilic vein to the superior vena cava in a B-ultrasound guided manner. Moreover, the point raised during the PICC process would be treated immediately.

Results

All of the PICCs were inserted successfully. The problems encountered are shown in the inserted central catheter (PICC) process, such as failures of venipuncture, the problem of inserting guide wire, the catheter was difficult to be delivered etc.

Conclusions

The B-ultrasound guided approach enhanced the average success regarding the PICC insertion, particularly for the subset with a poor condition in the elbow superficial vein. Due to the items that emerged in the PICC process, the effective prevention prior to surgery and treatment during the operation would be necessary.

目的探讨b超引导下外周中心导管(PICC)置入过程中出现的问题,并对这些问题的有效处理进行总结。方法回顾性收集2013年7月至2015年7月2年间插入的所有PICCs的资料。采用Seldinger入路置入PICC导管,在b超引导下由基底静脉置入上腔静脉。此外,在人保过程中提出的问题将立即得到处理。结果所有picc均成功插入。在PICC置管过程中遇到的问题,如静脉穿刺失败、导丝插入困难、导管难以输送等。结论b超引导入路提高了PICC置管的平均成功率,特别是对于肘浅静脉条件较差的亚群。由于PICC过程中出现的项目,术前有效预防和术中治疗是必要的。
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引用次数: 1
Correlation between bladder compliance and the content of detrusor collagen fibers 膀胱顺应性与逼尿肌胶原纤维含量的关系
Pub Date : 2016-06-01 DOI: 10.1016/j.cnre.2016.01.003
Hai-Yan Zhang , Hai-Xu Ji , Wei Li , Jin-Hua Zhang

Objective

To explore the possible correlation between bladder compliance (BC) and the changes in detrusor collagen fiber content after bladder outlet obstruction (BOO).

Methods

Ninety healthy female Sprague-Dawley (SD) rats were enrolled in this experiment and divided into an experimental group and a control group randomly, using the randomizing table method, with 70 rats in the experimental group and 20 rats in the control group. Six weeks after BOO modeling was established, BC was evaluated through bladder testing. Bladder tissues were then fixed and embedded in paraffin. The tissues were cut into thin slices, followed by Masson staining and observation under a microscope.

Results

Compared with the control group, the BC of the experimental group rats increased, and the difference had statistical significance (P < 0.05); the content of detrusor collagen fibers of the rats in the experimental group increased significantly compared to the control group.

Conclusions

The content of detrusor collagen fibers increased significantly after BOO, and BC was higher.

目的探讨膀胱出口梗阻(BOO)后膀胱顺应性(BC)与逼尿肌胶原纤维含量变化的关系。方法选用健康雌性SD大鼠90只,采用随机表法随机分为实验组和对照组,实验组70只,对照组20只。BOO模型建立6周后,通过膀胱检查评估BC。然后将膀胱组织固定并包埋于石蜡中。将组织切成薄片,进行马松染色,显微镜下观察。结果与对照组比较,实验组大鼠BC升高,差异有统计学意义(P <0.05);实验组大鼠逼尿肌胶原纤维含量较对照组明显增加。结论BOO术后逼尿肌胶原纤维含量明显增高,BC增高。
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引用次数: 3
期刊
Frontiers of Nursing
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