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Patient Care for Adolescent Idiopathic Scoliosis 青少年特发性脊柱侧凸的患者护理
Pub Date : 2022-05-10 DOI: 10.20849/ijsn.v7i2.1194
Ping-Ching Wei, Man Lin, Wen-Huei Hung, Yu-Wen Lin, Hsiao-Hui Chiu
Idiopathic scoliosis is commonly found in adolescents of 10 to 17 years of age, patients are required to undergo various types of treatment based on different angles in scoliosis. With the summarized literature and expert opinions, this article describes the treatment and nursing care for various degrees of scoliosis.
特发性脊柱侧凸常见于10 ~ 17岁的青少年,患者需要根据脊柱侧凸的不同角度进行不同类型的治疗。本文结合文献综述和专家意见,介绍不同程度脊柱侧凸的治疗和护理。
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引用次数: 1
Replacement of Traditional Nursing Clinical With a Virtual Simulated Clinical Experience During the COVID-19 Pandemic COVID-19大流行期间虚拟模拟临床体验替代传统护理临床
Pub Date : 2022-02-14 DOI: 10.20849/ijsn.v7i1.1000
Lori J. Pajakowski, Taryn Liechty
Background: In response to the COVID-19 pandemic, Indiana University (IU) South Bend nursing faculty created a virtual clinical day that included synchronous and asynchronous experiences to replace 50% of traditional clinical hours in a 1:1 exchange to realistically imitate an in-person clinical day. Purpose: The purpose of this study was to evaluate existing outcome data to support the replacement of a traditional clinical experience with a virtual clinical experience as a valid pedagogical strategy to meet clinical student learning outcomes. Methods: Descriptive statistics were used to measure mean values of evaluation data for students who participated in the virtual simulated clinical experience (VSCE). Additionally, aggregate final course grades were compared between the group of students who participated in the VSCE and those who did not. Results: When compared with a traditional clinical day, all respondents believed that the VSCE was equal to or better than the traditional clinical setting for promoting critical thinking and meeting course outcomes. Evaluation of final course grades in the corequisite didactic course demonstrated equal or better performance than students in the traditional clinical setting only. Conclusion: Even though this experiment resulted in a successful outcome, it is essential to continue with rigorous research to demonstrate the effectiveness of a virtual clinical experience as a substitute for face-to-face clinical or simulation hours.
背景:为了应对COVID-19大流行,印第安纳大学(IU)南本德护理学院创建了一个虚拟临床日,其中包括同步和异步体验,以1:1的交换方式取代50%的传统临床时间,以逼真地模拟面对面的临床日。目的:本研究的目的是评估现有的结果数据,以支持用虚拟临床经验替代传统临床经验作为一种有效的教学策略,以满足临床学生的学习结果。方法:采用描述性统计方法对参加虚拟模拟临床体验(vce)的学生的评价数据进行均值测量。此外,还比较了参加VSCE和未参加VSCE的学生的期末总成绩。结果:与传统的临床日相比,所有受访者都认为VSCE在促进批判性思维和满足课程结果方面等于或优于传统的临床环境。在必修的教学课程中对最终课程成绩的评估表明,学生的表现与传统临床环境中的学生相同或更好。结论:尽管这个实验取得了成功的结果,但仍有必要继续进行严格的研究,以证明虚拟临床体验作为面对面临床或模拟时间的替代品的有效性。
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引用次数: 0
Assessing the Level of Evidence for Interventions Used for Repeat Pregnancy in Teens for Possible Integration Into Evidence-Based Practice: A Review of Literature for Studies Carried out in the US From 1990 - 2021 评估用于青少年重复妊娠的干预措施的证据水平,以可能整合到基于证据的实践中:对1990年至2021年在美国进行的研究的文献回顾
Pub Date : 2022-02-14 DOI: 10.20849/ijsn.v7i1.1081
N. Enwerem, Davene White, Z. J. Wesley, T. Simmons, Mary Shahady, Ashley A. Turner Robinson, D. Winkfield, Gina S. Brown
Background: Repeat teen pregnancy among adolescents represents an important public health challenge worldwide as well as in the USA. Repeat teen pregnancy negatively impacts teen mother and the child, in enormous ways. It can cause emotional, psychological and educational challenges, as well as affect the life and opportunities of young mothers and their children. The children of teenage mothers are more likely to have lower school achievement and to drop out of high school, have more health problems, be incarcerated at some time during adolescence, give birth as a teenager, and face unemployment as a young adult.Understanding the levels of evidence of the interventions for adolescent repeat pregnancy can provide guidance to health practitioners and decision makers in selecting an intervention.The aim of this review is to assess the level of evidence of repeat pregnancy interventions conducted in the U.S. (United States) for possible integration into evidence-based practice.Methods: We focused on articles conducted in the U.S. and published between 1990 and 2021. We searched for articles in: The Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, EMBASE, Social Science Citation Index, Science Citation Index, Dissertations, Abstracts Online, PsycINFO, CINAHL, POPLINE, and the reference lists of articles.Research Question: ‘What are the levels of evidence for interventions for teen repeat pregnancy?’ Selection criteria: We included and evaluated any intervention that aimed to promote spacing of 2nd birth and reduced repeat teen pregnancies in adolescents ages 13 –19 years. Results: We retrieved fifty-two (52) primary repeat pregnancy intervention studies conducted in the U.S. from 1990 to 2021. Twenty-five (25) interventions met the inclusion criteria and were statistically significant. There were 12 randomized control studies that were statistically significant and met Level I evidence. Six (6) Quasi-experimental studies that were statistically significant and met Level II evidence. There were five (5) Cohort studies that were statistically significant, one prospective and four retrospective studies and met Level III evidence. Two descriptive studies of Level IV evidence.Conclusion: Interventions, can be categorized into: home visitation, peer support, school based and comprehensive interventions including contraceptive use. There were also disparities in the intervention follow-ups, components, study location, statistical analyses and persons conducting the intervention. These disparities, made it difficult to compare and contrast the different interventions. We were able to successfully assign Levels of evidence to each intervention. We identified Twelve (12) Level I; Six(6) Level II; five (5) Level III and two (2) Level IV.
背景:青少年重复怀孕是全世界以及美国面临的一个重要的公共卫生挑战。反复的青少年怀孕对青少年母亲和孩子产生了巨大的负面影响。它会造成情感、心理和教育方面的挑战,并影响年轻母亲及其子女的生活和机会。青少年母亲的子女更有可能学习成绩较低,高中辍学,有更多的健康问题,在青春期的某个时候被监禁,十几岁时生育,成年后面临失业。了解青少年重复怀孕干预措施的证据水平可以为卫生从业人员和决策者选择干预措施提供指导。本综述的目的是评估在美国进行的重复妊娠干预的证据水平,以便可能纳入循证实践。方法:我们关注的是1990年至2021年间在美国发表的文章。我们在Cochrane Central Register of Controlled Trials (Central)、PubMed、EMBASE、Social Science Citation Index、Science Citation Index、disserds、Abstracts Online、PsycINFO、CINAHL、POPLINE以及文章参考文献列表中检索文章。研究问题:“干预青少年重复怀孕的证据水平如何?”选择标准:我们纳入并评估了旨在促进13 -19岁青少年二胎生育间隔和减少重复怀孕的任何干预措施。结果:我们检索了1990年至2021年在美国进行的52项主要重复妊娠干预研究。25项干预符合纳入标准,具有统计学意义。有12项随机对照研究具有统计学意义并符合一级证据。六(6)准实验研究,具有统计学意义,符合二级证据。有5项队列研究具有统计学意义,1项前瞻性研究和4项回顾性研究符合III级证据。两项四级证据的描述性研究。结论:干预措施可分为家访、同伴支持、校本干预和包括避孕措施在内的综合干预。在干预随访、组成、研究地点、统计分析和进行干预的人员方面也存在差异。这些差异使得比较和对比不同的干预措施变得困难。我们能够成功地为每个干预分配证据水平。我们确定了12个I级;六(6)二级;五(5)级III,两(2)级IV。
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引用次数: 1
Nursing Care of a Patient With Vogt-Koyanagi-Harada Syndrome With Nystagmus Vogt-Koyanagi-Harada综合征伴眼球震颤患者的护理
Pub Date : 2022-02-14 DOI: 10.20849/ijsn.v7i1.1028
Jie Hong
Through the nursing of a patient with Vogt Koyanagi-Harada syndrome with nystagmus, the nursing experience was summarized to make the nursing staff more fully understand the nursing methods of the patient with Vogt Koyanagi-Harada syndrome. Through comprehensive risk assessment of the patient, nurses formulate solutions, carry out nursing intervention, establish the patient's confidence and improve the patient's consciousness of medication. There were no complications during hospitalization, and preventive medication was still used according to the doctor's advice after discharge. At present, glucocorticoid is still the main drug for the treatment of Vogt Koyanagi Harada syndrome. The early sufficient treatment effect is good. Nurses can improve the drug compliance of patients adhering to formal treatment through effective nursing intervention, which can effectively prevent complications and significantly reduce disease recurrence.
通过对1例Vogt Koyanagi-Harada综合征伴眼球震颤患者的护理,总结护理经验,使护理人员更充分地了解Vogt Koyanagi-Harada综合征患者的护理方法。护士通过对患者进行全面的风险评估,制定解决方案,开展护理干预,建立患者的信心,提高患者的用药意识。住院期间无并发症,出院后仍按医嘱进行预防用药。目前,糖皮质激素仍是治疗小柳原田综合征的主要药物。早期充分治疗效果好。护士可以通过有效的护理干预,提高坚持正规治疗的患者的用药依从性,有效预防并发症,显著降低疾病复发率。
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引用次数: 0
Emergency Nursing of a Case of Upper Gastrointestinal Bleeding Caused by Rupture of Esophagogastric Varices Caused by Foreign Body in Stomach 1例胃内异物致食管胃静脉曲张破裂致上消化道出血的急诊护理
Pub Date : 2022-02-14 DOI: 10.20849/ijsn.v7i1.1029
Jingjing Quang, Yuxi Liu
Emergency nursing of upper gastrointestinal bleeding caused by esophagogastric vein rupture caused by eating rough food was reported. The key to nursing is the timely identification of upper gastrointestinal bleeding and emergency treatment after bleeding. Psychological care and health education after first aid, and prevention of related complications. The rescue was successful in this case.
报道因食用粗粮致食管胃静脉破裂致上消化道出血的急诊护理。护理的关键是及时发现上消化道出血和出血后的急救处理。急救后的心理护理和健康教育,以及相关并发症的预防。这次营救是成功的。
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引用次数: 0
Design and Application of Nursing Record Sheet and Operation Registration Form for Ophthalmic Daytime Operation 眼科日间手术护理记录表及手术登记表的设计与应用
Pub Date : 2022-02-14 DOI: 10.20849/ijsn.v7i1.1082
Jie Hong
Objective: To explore the effect of nursing record sheet and operation registration form in daytime ophthalmic surgery. Methods: the nursing record sheet and operation registration form of daytime ophthalmic surgery were designed and used to evaluate the incidence of adverse events and the satisfaction of doctors in the operating room before and after use. Results: from January 2018 to June 2019, there were 15 adverse events caused by unclear handover, wrong record, wrong eye classification, wrong application of antibiotics and waiting for surgical consumables in ophthalmology due to nursing record, with an incidence of 3.71%;From July 2019 to December 2020, there were only 2 cases of ophthalmic defects caused by the record sheet, with an incidence of 0.42%;The difference was statistically significant(P=0.00095). When the daytime ophthalmic surgery nursing record sheet was not used from January 2018 to June 2019, the satisfaction of ophthalmic surgeons was 71%, and after using the daytime ophthalmic surgery nursing record sheet from July 2019 to December 2020, the satisfaction of ophthalmic surgeons increased to 96%. Conclusion the design of daytime ophthalmic surgery nursing record sheet is reasonable and convenient, which can effectively ensure the quality of daytime ophthalmic surgery nursing, improve work efficiency and improve job satisfaction of surgeons.
目的:探讨护理记录表及手术登记表在日间眼科手术中的应用效果。方法:设计日间眼科手术护理记录表和手术登记表,对使用前后手术室不良事件发生率和医生满意度进行评价。结果:2018年1月至2019年6月,眼科因护理记录导致交接不清、记录错误、眼部分类错误、抗生素应用错误、等待手术耗材等不良事件15例,发生率为3.71%;2019年7月至2020年12月,因记录单导致眼部缺损仅2例,发生率为0.42%;差异有统计学意义(P=0.00095)。2018年1月至2019年6月未使用日间眼科手术护理记录表时,眼科医生满意度为71%,2019年7月至2020年12月使用日间眼科手术护理记录表后,眼科医生满意度提高至96%。结论日间眼科手术护理记录表设计合理、方便,能有效保证日间眼科手术护理质量,提高工作效率,提高外科医生的工作满意度。
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引用次数: 0
Research Progress of Nursing Care for Elderly Patients With Complicating Postoperative Hip Fracture Deep Vein Thrombosis in China 中国老年髋部骨折术后并发深静脉血栓患者的护理研究进展
Pub Date : 2021-12-30 DOI: 10.20849/ijsn.v6i4.948
D. Zheng, Wen-Yun Cheng, Heyu Wu, Hai-ting Wu, Yuqi M. Cao
Introduction: The aging of China's population has further deepened, and according to the results of the seventh national census, the population aged 60 years and above in China was 264.02 million, accounting for 18.70% (China.2021).The rapid growth of the elderly population has led to an increase a geriatric orthopedic morbidity. The hip fracture is one of the common orthopedic diseases, which has posed a severe threat to the elderly's life and health (Yu, 2019).Purpose: In this study, we investigated the domestic and international literature, focusing on the analysis of DVT nursing prevention programs for elderly patients after hip arthroplasty, and proposed the current nursing research progress in preventing DVT to help elderly patients actively cope with DVT, improve the quality of life in later life, and make DVT a truly preventable disease.Method: Electronic searches using scholarly databases were employed and only significant articles that met the review objective were utilized.Findings: Currently, the main treatment option for hip fracture patients in clinical practice is surgery, and how to prevent Deep Vein Thrombosis (DVT) is an important task in the postoperative care of elderly orthopedic patients (Li, 2016). Research studies have shown that all elderly patients are at a very high risk of DVT during hospitalization, but the current trend is that 50% of patients at high risk of thrombosis are still not actively and effectively prevented from developing thrombosis for various reasons.Conclusion: This disease, which has a high incidence, a high mortality rate, and is difficult to prevent, requires increased attention and necessitates exploration to derive effective nursing intervention programs and related nursing measures to prevent reduce the formation of DVT and alleviate suffering for patient (Xu, 2016).In this review, we summarized the main nursing methods for preventing deep vein thrombosis of the lower extremities after hip fracture surgery in the elderly. Elderly patients are a special group of people, both physically and psychologically in a relatively fragile state, especially after the operation, so they need to be more careful in nursing work. In addition to general physical care, the care of their psychological state is also extremely important. This article describes in detail the physiological and psychological nursing interventions for patients, which can effectively guide and help medical staff to cope with the clinical care of such patients, and enable patients to better recover from surgery and trauma, and obtain a good prognosis.
导读:中国人口老龄化进一步加深,根据第七次全国人口普查结果,中国60岁及以上人口为26402万人,占18.70% (China.2021)。老年人口的快速增长导致了老年骨科发病率的增加。髋部骨折是常见的骨科疾病之一,严重威胁着老年人的生命健康(Yu, 2019)。目的:本研究通过查阅国内外文献,重点分析老年髋关节置换术后DVT的护理预防方案,提出当前预防DVT的护理研究进展,帮助老年患者积极应对DVT,提高晚年生活质量,使DVT成为真正可预防的疾病。方法:使用学术数据库进行电子检索,只使用符合综述目标的重要文章。研究发现:目前临床上髋部骨折患者的主要治疗选择是手术,如何预防深静脉血栓形成(Deep Vein Thrombosis, DVT)是老年骨科患者术后护理的重要任务(Li, 2016)。研究表明,所有老年患者在住院期间发生DVT的风险都非常高,但目前的趋势是,50%的血栓形成高风险患者由于各种原因,仍然没有积极有效地预防血栓形成。结论:本病发病率高、死亡率高、预防难度大,需要加大重视,探索制定有效的护理干预方案及相关护理措施,预防减少深静脉血栓形成,减轻患者痛苦(Xu, 2016)。本文综述了预防老年髋部骨折术后下肢深静脉血栓形成的主要护理方法。老年患者是一个特殊的人群,无论是身体上还是心理上都处于相对脆弱的状态,尤其是手术后,所以在护理工作中需要更加细心。除了一般的身体护理外,对他们心理状态的护理也极为重要。本文详细介绍了患者的生理和心理护理干预措施,可以有效指导和帮助医务人员应对此类患者的临床护理,使患者更好地从手术和创伤中恢复,并获得良好的预后。
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引用次数: 0
Perceived Needs and Barriers to Accessing Sexual Reproductive Health (SRH) Services Among the Ik Community, Kaabong District, Uganda 乌干达Kaabong区Ik社区在获得性健康和生殖健康服务方面的需求和障碍
Pub Date : 2021-12-17 DOI: 10.20849/ijsn.v6i4.944
Mukasa Samuel, Omona Kizito
Background: The Ik are minority group of people in Kaabong district, Uganda. They are the most marginalized. In addition, little is known about their perceived SRH needs and barriers to accessing SRH services.Objective: To determine perceived needs and barriers to accessing SRH services by the Ik community.Material and Methods: A cross-sectional analytical design with analytical was used, both quantitative and qualitative (mixed methods). Data was collected using key informant interviews, focus group discussions and semi-structured questionnaires. Sample of 345 participants selected randomly and purposively. Qualitative analysis was thematic whereas Statistical Package for Social Scientists (SPSS) was for quantitative analysis.Results: Perceived SRH needs of the Ik were; limited access to SRH information, lack of protection from gender-based violence and lack of access to comprehensive safe motherhood programs. Access to SRH services was limited mainly by poverty, limited range of available RH services, long distances to health facilities, poor attitudes of health workers, culture, poor road networks and language barriers. Individual factors; period in marriage (p=0.047), number of sex partners (p=0.041), type of house structure one lived in (p=0.039), economic activity (p=0.009) were significantly associated with access of SRH services.Conclusion: SRH needs of the Ik community is still wanting
背景:伊克族是乌干达Kaabong地区的少数民族。他们是最被边缘化的群体。此外,人们对他们认为的性健康和生殖健康需求以及获得性健康和生殖健康服务的障碍知之甚少。目的:确定Ik社区获得性健康和生殖健康服务的感知需求和障碍。材料和方法:采用横断面分析设计,定量和定性(混合方法)。数据的收集采用关键信息者访谈、焦点小组讨论和半结构化问卷。随机选择的345名参与者的样本。定性分析是专题分析,而社会科学家统计软件包(SPSS)是定量分析。结果:Ik感知的SRH需求为;获得性健康和生殖健康信息的渠道有限,缺乏对性别暴力的保护,以及缺乏全面的安全孕产方案。获得性健康和生殖健康服务的限制主要是由于贫困、可获得的性健康和生殖健康服务范围有限、距离卫生设施很远、卫生工作者态度差、文化、道路网络差和语言障碍。个人因素;婚姻年限(p=0.047)、性伴侣数量(p=0.041)、住房结构类型(p=0.039)、经济活动(p=0.009)与获得性健康和生殖健康服务显著相关。结论:Ik社区的SRH需求仍然不足
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引用次数: 1
Nursing Students’ Experiences in Providing Patient Education in the Clinical Setting 护生在临床环境中提供病人教育的经验
Pub Date : 2021-12-16 DOI: 10.20849/ijsn.v6i4.956
T. Terzian, Jennifer Moradian Watson, Shauna Miller
Background: Patient education is associated with reduced hospital readmission rates, lower patient anxiety, and improvement in quality of life. Although nursing students report feeling ill-prepared and less confident in educating their patients in clinical settings, few studies have assessed their perspectives on this topic.Method: This study explores the perceived challenges, obstacles, self-efficacy, and preparedness of undergraduate nursing students in providing patient education by collecting qualitative data through focus group discussions (FGDs).Results: Five major themes emerged from the FGDs: significance of patient education, nursing process in providing patient education, evolving sense of preparation, evolving sense of confidence, challenges/barriers to providing patient education. While all interviewed nursing students felt that patient education was a vital nursing responsibility, advanced students had more confidence and knowledge regarding this responsibility.Conclusion: Understanding the nursing student experience in patient education preparedness may aid nursing instructors in better tailoring nursing curricula and support to meet their students' needs.
背景:患者教育与降低住院再入院率、降低患者焦虑和改善生活质量有关。尽管护理专业的学生报告说,他们在临床环境中教育病人时感到准备不足,缺乏信心,但很少有研究评估他们对这一主题的看法。方法:本研究通过焦点小组讨论(fgd)收集定性数据,探讨本科护生在提供患者教育方面的挑战、障碍、自我效能感和准备情况。结果:FGDs中出现了五个主要主题:患者教育的意义、提供患者教育的护理过程、不断发展的准备意识、不断发展的信心意识、提供患者教育的挑战/障碍。虽然所有受访的护生都认为患者教育是一项重要的护理责任,但高年级学生对这一责任更有信心和知识。结论:了解护生在患者教育准备方面的经验可以帮助护理指导教师更好地定制护理课程和支持,以满足学生的需求。
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引用次数: 1
Knowledge, Attitudes and Practices Toward Traditional and Complementary Medicine Among Nurses and Midwives in North-Western Uganda 乌干达西北部护士和助产士对传统和补充医学的知识、态度和实践
Pub Date : 2021-12-13 DOI: 10.20849/ijsn.v6i4.943
Yayi Alfred, O. Kizito
Background: Traditional and complementary medicine is globally accepted and steadily gaining popularity among populations. The practices of conventional health care workers toward it vary from one country or setting to another. Limited literature exists on practices of health workers towards this form of medicine in low income settings especially in Africa where it is widely used with limited collaboration, integration and regulation.Purpose: To determine the prevalence and determinants of traditional and complementary medicine practices as well as health problems and reasons for its use among nurses and midwives in North Western Uganda.Materials & Methods: We used a descriptive and analytical cross-sectional design. Data was collected using self-administered structured questionnaires that were distributed to a sample of 300 nurses and midwives drawn from 6 hospitals. Descriptive statistics, chi squared and multiple binary logistic regression analysis were used for analysis.Results: Of all the respondents, 147 (54.9%) had personally ever used traditional and complementary medicine, 69 (25.7%) had personally used it in the past 12 months, 84 (31.3%) had ever recommended use of TCM. The most commonly used therapies were: herbalism (78.2%), traditional birth attendance (67.3%), nutritional supplements (67.3%), body massage (53.1%), spiritualism (24.5%), traditional dentistry (21.1%) and traditional bone setting (14.3%). Traditional and complementary medicine was mainly used for pain management (53.1%) followed by acute diseases (49.6%). The commonest reasons given for use were the fact that it is readily available, accessible and cheap. Chi square analysis showed statistically significant associations between TCM practices (personal use and recommendation to others) and respondents religion (p=0.046), location of hospital (p=0.002), presence of a family member who is a TCM provider (p=0.001), attendance of training on TCM in the years of work (p=0.001), provision of TCM as a business and duration of years served as a health professional (p=0.029).Conclusions: There is need to improve traditional and complementary medicine practices amongst nurses, midwives and other health care professionals. This will avert the negative/undesired effects in the community.
背景:传统和补充医学是全球公认的,并在人群中稳步普及。传统卫生保健工作者对它的做法因国家或环境而异。关于低收入环境中卫生工作者对这种形式药物的做法的文献有限,特别是在非洲,在合作、整合和监管有限的情况下广泛使用这种药物。目的:确定乌干达西北部护士和助产士中传统和补充医学做法的流行程度和决定因素,以及使用这些做法的健康问题和原因。材料与方法:我们采用描述性和分析性横断面设计。数据收集采用自我管理的结构化问卷,这些问卷分发给来自6家医院的300名护士和助产士。采用描述性统计、卡方和多元二元logistic回归分析进行分析。结果:受访者中有147人(54.9%)曾使用过传统及补充药物,69人(25.7%)在过去12个月内使用过,84人(31.3%)曾推荐使用中药。最常用的治疗方法是:草药(78.2%)、传统助产(67.3%)、营养补充剂(67.3%)、身体按摩(53.1%)、招魂术(24.5%)、传统牙科(21.1%)和传统植骨(14.3%)。传统和补充医学主要用于疼痛治疗(53.1%),其次是急性疾病(49.6%)。最常见的使用理由是它很容易获得、容易获得和便宜。卡方分析显示,中医实践(个人使用和向他人推荐)与受访者的宗教信仰(p=0.046)、医院所在地(p=0.002)、是否有家庭成员是中医提供者(p=0.001)、在工作年限内参加中医培训(p=0.001)、提供中医业务和担任卫生专业人员的年限(p=0.029)之间存在统计学意义上的关联。结论:有必要改进护士、助产士和其他卫生保健专业人员的传统和补充医学做法。这将避免对社区产生负面/不希望的影响。
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引用次数: 0
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International journal of studies in nursing
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