给予围生期孕产妇产前护理对其焦虑情绪的影响分析

分析围生期孕产妇接受临床护理的时候,给予其产前护理,对孕产妇的作用。方法 从2022年1月-2024年1月区间内入院的围生期孕产妇内抽取40例,按照统计学分组的形式划分,即实验组、对照组,均20例。对照组均接受常规护理,实验组联合产前护理,对比效果。结果 护理前,两组SAS、SDS评分比对,P>0.05,无统计学意义;护理后,实验组患者SAS、SDS评分均优于对照组;护理后,实验组患者睡眠质量的评分明显优于对照组;实验组患者生活质量(社会功能、运动功能、心理功能、物质生活)优于对照组,P<0.05。实验组妊娠结局优于对照组,P<0.05。实验组分娩情况优于对照组,P<0.05。结论 对围生期孕产妇进行临床护理之前,对其实施产前护理措施,能够充分缓解孕产妇存在的不良情绪,提高生活质量,改善睡眠质量,让孕产妇顺利分娩。

视力障碍老年人自我护理能力的研究进展

在对自我护理能力的概念、国内外测评工具进行综述的基础上,从人口统计学、疾病、心理、社会支持方面阐述了视力障碍老年人自我护理能力影响因素,分析和总结了效果较好的干预措施,旨在为构建视力障碍老年人自我护理能力的提升方案提供参考。

Development and validation of a self-management behavior questionnaire for Chinese enterostomy patients

Objectives:This study aimed to develop a self-management behavior questionnaire for Chinese enter-ostomy patients and examine its reliability and validity.Methods:Guided by the theory of self-management,an initial questionnaire was generated through literature review,group meetings,and two rounds of an expert consultation.Finally,the reliability and validity of the questionnaire were validated through a questionnaire survey of 200 enterostomy patients were selected from the Affiliated Hospital of Medical University from June 2016 to March 2017.Results:The content validity index was 0.80e1.00.The exploratory factor analysis yielded a five-factor(dietary behavior,psychosocial behavior,symptom management behavior,medical compliance behavior,information management behavior),consisting of 40 items.The cumulative variance contri-bution rate was 65.42%.The Cronbach’s a coefficient for the total questionnaire was 0.972,and for the five factors ranged from 0.797 to 0.939,indicating a good internal consistency.The test-retest reliability was 0.867(P<0.01).The self-management behavior questionnaire score was negatively related to the Ostomy Skin Tool score(r=-0.800,P<0.01).Conclusions:The self-management behavior questionnaire developed in this study showed good reli-ability and validity and can be used to assess the self-management behavior of Chinese enterostomy patients.

基于循证和Delphi法的卵巢癌患者术前营养管理方案的构建

目的构建卵巢癌患者术前营养管理方案,为卵巢癌患者术前营养管理提供参考。方法采用循证的方法,进行最佳证据总结,拟定术前营养管理方案初稿,结合德尔菲专家函询意见,小组讨论修改后确定管理方案。结果邀请24位专家间隔4周进行2轮专家函询,问卷均有效回收,专家对问卷熟悉程度为0.950,专家权威系数为0.856;最后一轮专家意见重要性及可行性的Kendall’s W系数分别为0.463、0.364(P<0.001);问卷各条目重要性评分为4.43~5.00分,满分率为52.17%~100%,各条目变异系数为0~0.159。最终形成包含4个一级条目、10个二级条目、46个三级条目的术前营养管理方案。结论卵巢癌术前营养管理方案具有较强的科学性和实用性,可为卵巢癌患者临床营养护理实践提供参考。