Home visits in brain tumor patient: how nurse and family members cooperate in tumor patient's family self-care

Purposes： We reported the roles and fimctions of nurses in home visits for brain tumor patients using the family health assessment guide in the study. Methods： One patient of brain glioma was chosen as the case illustration. The nurses assessed the patients＇ situation, their families and living environment individually. All these factors were analyzed together. Results： The nurses then implemented their knowledge and skills to adopt different measures in different conditions, investigated the patients＇ health problems and carried out personalized effective actions. Conclusions： Nurses should put effort into community nursing to allow patients to live in a safe environment, to satisfy the health needs of human being and their needs for health knowledge, and enhance their self-care abilities.

Mother’s need of support and their expectations of the BVC nurse at the first home visit—an interview study

One of the main priorities of the child healthcare services in Sweden is a home visit by the Child Health Care (BVC) nurse to newborn babies and their parents. It is essential that the BVC nurses have a comprehensive knowledge of the parent’s need of support and their expectations as new parents in order to be able to fulfill their needs. The aim of this study was to describe what type of support the mothers of infant children are in need of and what their expectations are of the BVC nurse when it is time for the home visit from the nurse. In this qualitative study twelve women were interviewed within one to two weeks after delivering a baby. The transcripts were analyzed using qualitative content analysis. The study shows that mothers who have previously given birth to children feel more secure in their parental role compared to what they experienced as first time mothers. The findings include that first time mother’s experienced uncertainty in their new role as a mother and caring for a baby. Parents seek support from the BVC nurse and they expect her behavior and attitude towards them to be friendly and professional. The fact that she is privy to personal knowledge of the family gives the parents a feeling of security when they contact the child healthcare center for various reasons. The mother’s need for support to develop as a parent and to feel secure in the parental role was a reoccurring theme in the interviews and became the theme of the study.

Study of the Possible Use of a Home-Visit Nursing Interventional Lymphedema Care Program for Secondary Lymphedema in the Elderly at Home

Objective: This study aimed to clarify the possible use of and points to improve a home-visit nursing interventional lymphedema care program (plan) we developed. Methods: The subjects were visiting nurses with at least three years of home-visit nursing experience and experience with lymphedema care for the elderly at home. Semi-structured interviews were conducted, and the collected opinions were aggregated and summarized. Results: Based on interviews with nine subjects, opinions regarding the use of the program, such as “The assessment perspective at the time of introduction helps to grasp the needs for a wide variety of subjects”, and regarding points to improve, such as “It is necessary to set the duration and timing of the section considering the frequency of visits and degree of edema at the time of introduction” and “It is necessary to have a perspective concerning efforts to maintain motivation for care of the elderly and their families”, were aggregated. Discussion: The results of the interviews were generally useful for the structure and development of the program, care methods and content, and interventions for influencing factors. Consideration of setting the timing according to the degree of lymphedema, modification of the program’s development, development of a program that fully considers the degree of edema at the time of introduction and the acceptance of edema among the elderly, and the need to consider the care content that should be given priority were suggested as points for improvement.

Survey of Bereavement Care Provided by Home-Visit Nurses for Bereaved Families in Japan

Purpose: This study aims to investigate the implementation conditions of bereavement care for bereaved families and the relationship between demographics of home-visit nurses and rates of provision of bereavement care. Methods: A self-rating anonymous questionnaire survey was conducted with 2200 facilities randomly selected from among the members of the Home-visit Nursing Stations of the National Nursing Business Association. Calculating the rates of provision of each pre- and post-bereavement care item of the survey, we performed a multiple logistic regression analysis to investigate the relationship between the demographics of home-visit nurses and rates of provision of care. Statistical processing employed SPSS ver. 21.0 with the significance level set at 5%. Results: A total of 688 responses were collected (collection rate, 31.3%), and 649 were included in the analysis. “Approval of the care that the family has provided” and “Involvement in the care together with the family and listening to their thoughts” were frequently provided in both pre- and post-bereavement care;however, the rate of provision of “Provided continued support/life planning until the family fully recovers social life” was low. More care services were provided by home-visit nurses working in facilities with 24-hour services in pre-bereavement, and by those with longer home-visit nursing experience in post-bereavement. Conclusions: Home-visit nurses provide many post-bereavement care services. However, continued care that helps bereaved families fully recover their social life, including life planning, is less frequently provided. Bereavement care provision rates vary depending on the facility type, whether the facility offers 24-hour services, and the length of home-visit nursing experience.

Contents of Care and Perception of Home Hospice Nurses Who Work at Visiting Medical Treatment Hospitals

Goal: The aim of this study was to examine the perception of nurses who worked at the clinic which proposed home hospice and contents of care to better understand home hospice and enhance home care. Methods: Six nurses who worked at the clinic where proposed visiting medical treatment participated voluntarily. They received one interview for approximately one hour, in which they narrated their perception of home hospice and content of nursing care. The narrative was recorded by an IC recorder and analyzed as contents analysis. This study was approved by the Ethical Board at St. Mary’s College. Results: About the content of nursing care, some categories were selected such as “Understanding a patient as a living person,” “Examining if a patient and caregiver live at ease,” or “Caring for a caregiver accepting a loved one’s death and care given at death.” Nurses perceived the theme as “Time and space for listening carefully,” the theme as “Feeling of responsibility and attractiveness of work,” the theme as the “Economics and manpower to continue home hospice,” the as a “Required connection between hospitals and home hospice clinics.” Conclusion: Visiting medical treatment nurses understand a patient and a family as living people based on intimate relationships, support them as the disease progresses, and connect to a visiting nurse station. They perceived that “patients can enjoy freedom;the nurses had responsibility and strong relationships. They felt the economic or man-power needs to continue and the requirement of a connection between hospitals and home hospice clinics.

A Visit to a Cozy Home

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“互联网+居家护理”在志愿护理服务中的应用效果

目的探讨"互联网+居家护理"在志愿护理服务中的应用效果。方法选取2020年12月至2021年12月"党群服务365平台"82例需要服务人群作为研究对象,采用随机数字表法将其分为对照组(41例)和观察组(41例)。对照组实施常规医疗服务,观察组实施"互联网+居家护理"服务,两组均持续护理12个月。比较两组的医院看病次数、医疗花费情况、日常生活能力、精神状态、照护者照护技能水平以及生活满意度。结果观察组医院看病次数、医疗花费情况均少于对照组,差异有统计学意义(P<0.05);观察组护理后日常生活活动能力量表(ADL)评分低于对照组,简易精神状态检查量表(MMSE)评分、照护技能水平评分均高于对照组,差异有统计学意义(P<0.05);观察组护理后生活满意度调查表(LSR)各项评分均高于对照组,差异有统计学意义(P<0.05)。结论通过互联网平台,护理志愿者对服务人群进行居家护理,能够改善服务人群的精神状态,促使其保持身心健康,提高生活自理能力,还能提高照护者的护理技能,一定程度上减少看病次数和医疗花费,从而提升服务人员满意度。

新时代乡村教师家访:价值、困境及推进路向

作为联结学校和家庭情感最直接、最有效、最“质感”的方式,乡村教师家访以一种温暖有爱的姿态构建并维系着乡村学校、儿童和家庭之间的互动信任关系。这种关系对于促进乡村儿童全面发展,落实立德树人根本任务,明晰家校育人的责、权、利,形成家校协同育人共同体,发挥乡村教师“乡贤”作用,营建乡村教育生态,具有重要价值。目前,实践中的乡村教师家访正面临着制度建设滞后、教师家访素养不足,以及家访环境支持不利的困境。推进新时代乡村教师家访,需要把握乡村振兴战略契机,健全乡村教师家访支持机制,立足乡村教师“乡贤”定位,提升乡村教师家访素养,从良性互动入手,营造乡村教师家访环境,确保乡村教师家访价值的全面实现。

家庭访视在糖尿病足患者出院后的应用效果

目的探讨家庭访视在糖尿病足患者出院后的应用效果。方法选取江西省赣州市人民医院内分泌科2022年1月至12月的100例糖尿病足患者作为研究对象,采用随机数字表法将其分为对照组和干预组,各50例,对照组出院后给予常规电话和门诊随访,干预组则在对照组基础上接受家庭访视干预方法。比较两组患者的足部溃疡愈合时间及愈合率、复发率、患者治疗满意度、负面情绪[焦虑自评量表(SAS)和抑郁自评量表(SDS)]。结果干预组溃疡愈合时间短于对照组,差异有统计学意义(P<0.05);两组患者的溃疡愈合率比较,差异无统计学意义(P>0.05);干预组的复发率低于对照组,差异有统计学意义(P<0.05);干预组患者的治疗满意度高于对照组,差异有统计学意义(P<0.05);干预前,两组患者的SAS、SDS评分比较,差异无统计学意义(P>0.05);干预后,两组患者的SAS、SDS评分均低于本组干预前,且干预组的SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。结论家庭访视可明显改善糖尿病足患者归转情况,促进溃疡更快愈合,降低复发率,提升患者治疗满意度、降低患者的负面情绪。

对基层孕产妇保健中家庭访视护理的作用进行研究

目的 研究基层孕产妇保健中家庭访视护理的作用。方法 选取2021年12月至2022年12月104例孕产妇进行临床研究,按随机数字表法分为两组,每组有52例。对照组实施常规保健护理,观察组实施家庭访视护理。结果 观察组孕产妇不良结局发生率低于对照组(P <0.05),观察组新生儿不良结局发生率低于对照组(P <0.05),分娩前1周,观察组不良情绪评分低于对照组(P <0.05)。结论 基层孕产妇保健实施家庭访视护理,可减少母婴不良结局,减少不良情绪。

产后家庭访视对于流动孕产妇及新生儿保健的临床影响研究

目的探究产后家庭访视对于流动孕产妇及新生儿保健的临床影响。方法将我院保健和计划生育服务中心2021年1月至2022年2月内的80例流动孕产妇以随机数字表法分成对照组与观察组,每组各40例,对照组采取常规干预,观察组展开产后家庭访视,对比两组不良事件发生率、新生儿发育商和体格发育情况以及产妇焦虑、抑郁评分。结果观察组的不良事件发生率、产妇焦虑抑郁评分低于对照组,新生儿发育情况优于对照组(P<0.05)。结论对于流动孕产妇及新生儿实施产后家庭访视,可显著降低不良事件发生率,有助于新生儿发育,改善产妇不良情绪。

“互联网+护理服务”模式的探索与实践

文章总结了以三级医院为主导,借助“护理服务到家”平台为有居家护理需要的特殊人群提供上门护理服务的实践经验。2021年9月-2023年9月,笔者所在医院开展48种上门护理服务项目,共计完成2045个上门护理服务订单,患者满意度100%。实施“互联网+护理服务”惠及了较多有需求的人群,用户满意度高。本阶段的上门护理服务还存在护士人力资源不足、上门护理服务项目有限等局限,安全隐患也需引起重视,未来将进一步拓展和完善。

舒缓居家访视对恶性肿瘤患儿身心痛苦、营养状态及生活质量现状的影响

目的:分析舒缓居家访视对儿童恶性肿瘤患儿身心痛苦、营养状态及生活质量现状的影响效果。方法:选取2018年1月~2022年10月于本院出院的212例恶性肿瘤患儿,依据访视模式分为两组各106例。对照组实施传统访视,观察组实施舒缓居家访视。分别在护理前、护理1个月时采集空腹静脉血测定营养状态指标,利用儿童生活质量普遍适用核心量表4.0中文版测定生活质量总评分,于护理结束时利用儿童焦虑抑郁自评量表统计焦虑发生率、抑郁发生率,并对比以上观察指标差异。结果:护理后观察组的营养状态指标、生存质量总评分高于对照组(P<0.05),焦虑发生率、抑郁发生率低于对照组(P<0.05)。结论:舒缓居家访视有助于降低恶性肿瘤患儿身心痛苦、改善其营养状态与生活质量。

“三全育人”视域下高职院校家访工作探索

家校合作育人是高职院校“三全育人”工作的有效拓展。基于服务区域经济社会发展的使命,渤海船舶职业学院机电工程系选择辽宁省阜新市作为区域性家访试点城市,深刻挖掘社会不同领域中的积极育人因素,创新教育理念,政校家达成育人共识,实现精准帮扶,最终形成“千名辅导员万家行”活动常态化机制,大幅提升思想政治教育工作的时效性。

心理育人:辅导员学困生家访——基于学习倦怠的实证研究

高校辅导员家访是家校协同育人的有效途径,也是对大学生进行思想政治教育的实践方式。学困生是家访的重要对象之一。通过辅导员家访,并结合文献分析、走访调研、调查问卷和深度访谈等研究方法,对学困生学习倦怠现状及成因进行质性分析研究,从思政教育、心理育人层面帮助大学生坚定理想信念、明确学习目标、激发学习动机,并且从引导大学生开发心理资本、提升学习自我效能感等方面提出了相应对策及建议。

新时代民族院校开展少数民族大学生家访工作探析

开展少数民族大学生家访工作是新时代民族院校对少数民族学生开展思想政治教育的有效途径与方式。文章分析了民族院校开展少数民族大学生家访工作的重要意义,并提出相应的建议:建立学校、家庭、社会综合教育网络,将家访工作作为长效机制建立并健全;强化少数民族学生家访工作的情感教育理念和措施;服务育人,切实解决少数民族大学生的现实问题;注重对少数民族大学生家庭开展形势政策教育;建立学校与当地政府针对少数民族大学生返乡教育管理工作的对接机制等,从而保证家访活动的效果。

日本家庭访视护理现状及启示

家庭访视是延续护理的一种方式,在疾病的康复及预后方面起到了积极的推动作用。总结了日本家庭访视护理的保险制度、机构类型、访视护士准入及教育培训、工作内容、工作流程、质量监督和安全管理方面的内容,并对照目前国内家庭访视护理发展现状,提出尚需完善的建议,以期为推进我国家庭访视护理工作的开展提供参考。

互联网+护理服务上门护士应急能力评价工具及影响因素的研究进展

互联网+护理服务是医疗机构注册护士借助互联网、物联网等信息技术为居家患者提供上门服务的一种护理服务新模式,独立的工作、不可预测的家庭环境和医疗设备短缺等成为阻碍护理工作和威胁患者安全的重要因素,如何提高上门护士应对突发事件能力成为了目前亟须解决的问题。文章综述了上门护士应急能力的相关概念及其评估工具、影响因素的研究进展,以期为构建适合我国国情的互联网+护理服务上门护士应急能力测评工具和提升方案提供参考和借鉴。

家庭访视虚拟仿真实验教学系统的设计与初步应用

目的 构建家庭访视虚拟仿真实验教学系统并进行初步应用。方法 利用虚拟仿真技术,以国际标准化护理语言奥马哈系统为框架指引,设计开发家庭访视虚拟仿真实验教学系统,并初步应用于40名护理本科生的实验教学,从系统的可行性(实验时长)、可接受性(满意度)进行效果评价。结果 构建的虚拟仿真实验教学系统以失能合并慢性病患者为背景案例,按家庭访视程序分为6个模块。40名学生使用系统总次数为96次,学生实验时长平均为62.6 min;35名学生对该系统总体评价为“非常满意”,5名学生评价为“满意”。结论 本研究所构建的实验教学系统具有良好的可行性、可接受性,可为本科护理专业开展虚拟仿真实验教学提供借鉴。

微信远程管理联合家庭访视延伸护理在缓解期溃疡性结肠炎患者中的应用

目的探讨微信远程管理联合家庭访视延伸护理在缓解期溃疡性结肠炎患者中的应用价值。方法将95例缓解期溃疡性结肠炎患者按建档时间分为两组,对照组(47例)予以常规出院指导,研究组(48例)予以微信远程管理联合家庭访视延伸护理,观察3个月。比较干预前后两组知识掌握度、自我管理能力、一般自我效能感量表评分及炎症性肠病生活质量量表评分。结果干预后两组知识总掌握率均较干预前显著提高(P<0.05或0.01),研究组显著高于对照组(P<0.05)。干预后两组饮食锻炼、自我监测、规范服药、健康行为评分均较干预前显著提高(P<0.01),研究组显著高于对照组(P<0.01)。干预后两组一般自我效能感量表、炎症性肠病生活质量量表评分均较干预前显著提高(P<0.01),研究组显著高于对照组(P<0.01)。结论微信远程管理联合家庭访视延伸护理能提高缓解期溃疡性结肠炎患者知识掌握水平、自我管理能力、自我效能,进而改善患者的生活质量。