Analysis of the Application Effect of Family Collaborative Care Model on Elderly Patients with Type 2 Diabetes Mellitus and the Situation of Self-Care Ability

Objective: To study the application effect of the family collaborative care model on elderly patients with type 2 diabetes mellitus and its influence on self-care ability. Methods: The elderly type 2 diabetes mellitus patients (400 cases) treated in our hospital between March 2020 and July 2023 were divided into two groups by randomized grouping method;the control group received the conventional nursing program, while the observation group received the family collaborative nursing model. Blood glucose level, self-care ability, and quality of life were compared between the groups. Results: The blood glucose level of the observation group was lower than that of the control group (P < 0.05). The self- care ability and quality of life scores of the observation group were higher than those of the control group (P < 0.05). Conclusion: The family collaborative care model for elderly patients with type 2 diabetes mellitus can promote their self- care ability, improve the effect of glycemic control, and improve their quality of life, and is suitable for further promotion and application.

The Impact of Risk-Based Cancer Care Planning on the Complications and Self-Care Ability of Cervical Cancer Patients Undergoing Radiotherapy

Objective:To explore the impact of the application and implementation of risk-based cancer care planning in patients with cervical cancer radiotherapy on the complications and self-care ability of patients.Method:This study recruited selected patients who came for cervical cancer radiotherapy in a tertiary hospital in Xianyang City,Shaanxi Province from November 2020 to November 2021.One hundred patients were recruited.Nursing management was carried out,and cancer care planning under the concept of conventional care and risk were applied.The effects of different nursing methods on patients were compared and analyzed.Results:The patients in the experimental group had higher scores of self-care ability and lower complication rate.All data were significantly different from those of the control group(P<0.05),and the nursing effect on the experimental group was better.Conclusion:The application and implementation of the risk-based cancer care planning in patients who received cervical cancer radiotherapy has significant clinical effects,which is beneficial to reduce the incidence of patients’adverse reactions and promote patient recovery.

Guided Care护理模式对老年骨质疏松症患者自我管理能力和生活质量的影响

目的探讨分析Guided Care护理模式对老年骨质疏松症患者自我管理能力和生活质量的影响。方法简单随机选取2022年1月—2023年9月山东省泰安荣军医院收治的60例老年骨质疏松症患者为研究对象,按随机数表法将其分为常规组(实施常规护理干预),模式组(在常规组的基础上给予Guided Care护理模式干预),每组30例,两组均持续干预2个月,比较两组患者干预前后的健康认知水平、跌倒风险、自我管理能力、生活质量、护理满意度。结果干预2个月后,模式组的健康认知水平评分高于常规组,差异有统计学意义(P<0.05)。干预2个月后,模式组的跌倒风险评分低于常规组,差异有统计学意义(P<0.05)。干预2个月后,模式组的自我管理能力评分高于常规组,生活质量评分低于常规组,差异有统计学意义(P均<0.05)。干预2个月后,模式组的护理满意度为93.33%,高于常规组的护理满意度73.33%,差异有统计学意义(χ^(2)=4.320,P<0.05)。结论在老年骨质疏松症患者中,应用Guided Care护理模式,可以有效地提升患者的健康认知水平及自我管理能力,提高患者的生活质量,降低患者跌倒的风险。

ICARE理念对县级敬老院养老护理员失能照护能力及职业精神与态度的影响

目的探讨ICARE理念对县级敬老院养老护理员失能照护能力及职业精神与态度的影响。方法将2023年1—6月绵阳市4家县级敬老院的养老护理员作为研究对象,采用便利抽样法抽取其中两家的40名养老护理员作为观察组,另外两家的40名养老护理员作为对照组。对照组采用常规培训模式,观察组则在对照组基础上以ICARE理念为指引实施养老护理员培训。干预前后,对两组失能照护能力、职业精神与态度进行评价。结果干预前,两组失能照护能力、职业精神与态度比较差异无统计学意义。干预后,两组失能照护能力、职业精神与态度比较差异有统计学意义,观察组优于对照组。结论融入ICARE理念的养老护理员培训能提高养老护理员失能照护能力,转变其职业态度,有利于养老护理队伍整体水平提升。

The construction and practice of humanistic care teaching model based on 5C care theory

Objective:To construct a scientific and feasible teaching mode based on 5C caring theory and evaluate it,so as to provide a reference basis for future study about nursing humanistic quality education.Methods:Based on the 5C caring theory,the teaching design and teaching content were revising and implementing in the intervention group.Before and after the implementation of the course,a questionnaire survey was conducted using the Caring Ability Inventory(CAI).The results of the surveys were collected,and the data were statistically analysis using SPSS.Results:After the implementation of the course,the cognitive dimension,patience dimension,and humanistic caring ability scores of the nursing students in the intervention group improved compared with those before the implementation of the course(P<0.05).There were no significant difference in the control group(P>0.05).Conclusion:The humanistic caring teaching model based on 5C caring theory has a positive effect on improving nursing students'humanistic caring ability.In the future nursing teaching,the modules with the characteristics of humanistic caring ability can be increased,and carry out the educational reform throughout the humanistic caring ability.Actively guiding nursing students to establish the awareness of humanistic caring,so as to lay a solid foundation for high-quality clinical nursing work.

The effects of Professional Commitment and Patient Safety knowledge-attitude-practice on Undergraduate nursing students’ Humanistic Care Ability in clinical practice

Objective:To describe the status quo of humanistic care ability,the knowledge-attitude-practice of Patient Safety and professional commitment among Undergraduate Nursing Students in clinical practice,and to determine the effects of professional commitment and patient safety knowledge-attitude-practice on humanistic care ability.Methods:Two hundred and thirty-two undergraduate nursing students in clinical practice were investigated with the general questionnaire,Caring Ability Inventory(CAI),Patients Safety knowledge-attitude-practice(KAP)Questionnaire and the Nursing Professional Commitment Scale.Results:The score of humanistic care ability of nursing undergraduates was 185.19±20.95,patients safety KAP score was 106.94±11.62,professional commitment score was 74.93±10.44.Undergraduate nursing students’humanistic care ability were positively correlated with professional commitment and patients safety KAP(P<0.05).Multiple Linear regression analysis showed that professional commitment,patient safety KAP entered the humane care equation(F=24.051,P<0.001),and explained 39.1%of the total variation in humane care.Intermediate effect analysis shows that patient safety played a partial mediating role in professional commitment and humane care.Conclusion:The professional commitment and patient safety KAP of undergraduate nursing students were positively related to their humanistic care ability.Improving the professional commitment and knowledge and patients safety KAP of nursing students can strengthen their humanistic care ability to provide high-quality nursing for patients.

Spiritual health, empathy ability and their relationships with spiritual care perceptions among nursing students in China: A cross-sectional correlational study

Objective:To investigate the status quo of spiritual care perceptions and associated factors among nursing students in China,and explore the relationships among spiritual care perceptions,spiritual health and empathy ability,in order to provide reference for the construction of spiritual care education intervention program to improve the spiritual care perceptions and competence of nursing students in China.Methods:A cross-sectional and correlational design was undertaken and a convenience sample of 3615 nursing students selected from 11 universities and colleges in Hebei Shijiazhuang and Tianjin,China from January to July 2021.Participants provided data on sociodemographic by completing the sociodemographic characteristics questionnaire,the Chinese Version of the Spiritual Care-Giving Scale(C-SCGS),Spiritual Health Scale Short Form(SHS-SF)and Jefferson Scale of Physician Empathy-Nursing Student(JSPE-NS).Results:The scores of spiritual care perceptions and spiritual health were 172.44±26.23 and 97.54±12.37,respectively,both in the middle level.The score of empathy ability was 102.92±19.65,lower than the average.Spiritual care perceptions of nursing students were positively correlated with spiritual health(r=0.635,P<0.01)and empathy ability(r=0.547,P<0.01).Conclusions:The level of spiritual care perceptions of nursing students in China needs to be improved.It is suggested that nurse managers and educators should pay attention to the spiritual care education of nursing students,by perfecting the spiritual care education system to improve their spiritual health level and empathy ability in multiple ways and levels,like clarifying and standardizing educational objectives,breaking through the traditional single evaluation system,and formulating scientific comprehensive evaluation standards and systems.,so as to improve their spiritual care perceptions and competence level.

Survey and analysis of the current situation of humanistic care ability of first-year nursing students after COVID-19

Background:Humanistic care ability is the core of nursing work.Improving humanistic care ability can improve patient satisfaction and the development of a nurse-patient relationships.Objective:To understand the current situation of humanistic care ability of first-year nursing students at Tianjin University of Traditional Chinese Medicine in the post-pandemic,and analyze its influencing factors.Methods:The Caring Ability Inventory scale(CAI)is used to survey 343 first-year nursing students.Descriptive analysis,t-test,analysis of variance,and multiple linear regression were used for data analysis.At the same time,the humanistic care ability of first-year nursing students before and after the COVID-19 was compared.Results:The average score of humanistic care ability of first-year nursing students is 173.23±11.288.Through multiple linear regression analysis,whether to hold a position has an impact on the humanistic care ability of nursing students after the COVID-19(P<0.05).Before and after the COVID-19,there were significant differences in total score and each dimension of humanistic care ability of first-year nursing students(P<0.001).Conclusion:The CAI score of the surveyed nursing students is at an intermediate level.In the post-pandemic,the courage dimension of nursing students has improved significantly.But the level of humanistic care ability still needs to be improved.Therefore,in the teaching process,a variety of teaching methods could be applied to improve nursing students'sense of responsibility,understanding and patience with humanistic care,so as to improve their humanistic care ability.

Habilitation护理模式对智能减退患者认知功能、自理能力及生活质量的影响

目的:探讨Habilitation护理模式对智能减退患者认知功能、自理能力及生活质量的影响。方法:前瞻性选取2021年1月1日~2023年1月31日收治的智能减退患者120例作为研究对象,采用随机数字表法分为研究组和对照组各60例,对照组给予常规护理,研究组给予Habilitation护理模式;比较两组护理满意度,干预前后认知功能[采用简易智能量表(MMSE)]、体衰能力[采用总体衰退量表(GDS)]、日常生活能力[采用日常生活能力量表(ADL)]、生活质量[采用生活质量量表(QOL)],同时记录两组在护理过程中不良安全行为发生情况。结果:研究组护理满意度高于对照组(P<0.01);干预后,两组MMSE、QOL、ADL及GDS评分均优于干预前(P<0.01),且研究组优于对照组(P<0.01);研究组不良安全行为发生率低于对照组(P<0.01)。结论:应用Habilitation护理模式护理可改善智能减退患者的认知功能,提高其自理能力与生活质量,同时降低不良安全行为发生率,安全性较高,值得临床推广。

Correlations between Motor Ability with Gait Speed and Cognitive Functions in Rehabilitation Users

Purpose: To compare and examine motor and cognitive functions in people who require support, and in healthy elders. Method: The variables of age, BMI, educational background, blood pressure, grip strength, knee extension, gait speed, MMSE, and subjective health feeling for 36 rehabilitation users and 22 healthy elders were assessed. We compared and examined motor and cognitive functions in rehabilitation users who need support and healthy elders. Results: The percentage of MMSE scores with 27 points or higher and that of subjective health feeling with 3 points or higher were significantly higher in healthy elders than in rehabilitation users. Systolic and diastolic blood pressure were significantly higher in rehabilitation users than in healthy elders. Gait speed and MMSE scores were significantly higher in healthy elders than rehabilitation users. Conclusion: Gait speed could be used for physical fitness in elders. Gait speed was the best physical fitness measurement for elders. Gait speed of rehabilitation users was strongly related to MMSE scores. Gait speed could be a determinant of MMSE scores.

体验式教学在精神科护理实习生临床教学中的应用

目的探讨体验式教学在精神科护理实习生临床教学中的应用效果。方法将220名护理实习生按照随机数字表法分为研究组和对照组,各110例。对照组护理实习生给予常规的培训教学模式,研究组护理实习生给予体验式教学模式。临床教学结束后,比较两组护理实习生课程评价问卷(CVI)评分、人文关怀能力量表(CAI)评分和临床综合护理能力考核成绩及成绩优良率。结果临床教学结束后,研究组护理实习生CVI总分及各维度评分、CAI总分及各维度评分、临床综合护理能力考核成绩及成绩优良率均高于对照组(P<0.05或0.01)。结论在精神科护理实习生临床教学中,采用体验式教学模式效果好,更符合素质教育以及科室岗位需求。

Robocare护理对子宫肌瘤剔除术患者应对方式、心理韧性及自我护理能力的影响

目的 探讨子宫肌瘤剔除术患者给予Robocare护理干预对应对方式、心理韧性及自我护理能力的影响。方法 选取2020年1月至2022年2月在郑州市妇幼保健院行子宫肌瘤剔除术的患者共计90例作为研究对象,按照随机数字表法分成干预组(45例)和对照组(45例),对照组给予常规护理干预,干预组给予Robocare护理干预,比较两组患者应对方式、心理韧性及自我护理能力。结果 两组干预后面对评分提高,差异有统计学意义(P<0.05),回避、屈服评分下降,差异有统计学意义(P<0.05),干预组面对评分较对照组更高,差异有统计学意义(P<0.05),回避、屈服评分更低,差异有统计学意义(P<0.05)。两组干预后心理弹性量表(CD-RISC)评分提高,差异有统计学意义(P<0.05),干预组评分较对照组更高,差异有统计学意义(P<0.05)。两组干预后自我护理能力量表(ESCA)评分提高,差异有统计学意义(P<0.05),干预组评分较对照组更高,差异有统计学意义(P<0.05)。结论 子宫肌瘤剔除术患者给予Robocare护理干预,能够改善患者应对方式,提高其心理韧性及自我护理能力。

实习护生医学叙事和共情能力对人文关怀能力影响

目的:探究实习护生医学叙事能力、共情能力、人文关怀能力的路径关系,为实习护生能力的培养提供参考和借鉴。方法:使用医学叙事能力量表、人文关怀量表、杰弗逊共情量表(护生版)对山东省内5所三甲级医院的387名实习护生进行调查。结果:实习护生医学叙事能力、共情能力与人文关怀能力均呈正相关关系(r=0.799,0.623;P<0.01);医学叙事能力对人文关怀能力有直接正向预测作用(β=0.766,P<0.01),共情能力对人文关怀能力有直接正向预测作用(β=0.623,P<0.01),共情能力起中介作用,中介效应值为0.189,总效应值为0.955,中介效应占总效应之比为19.8%。结论:目前我国临床实习护生的人文关怀能力水平较低,共情能力在实习护生医学叙事能力与人文关怀能力之间起中介作用。

老年慢性病住院患者老老照护者的照护能力现状研究

目的了解老年慢性病住院患者亲情老老照护者的家庭照护能力现状,分析其影响因素,为制定针对性的干预措施提高家庭照护能力提供参考。方法采用中文版老年患者家庭照护能力量表对181名老年慢性病住院患者的家庭照护者进行调查。结果照护者的家庭照护能力总分为(33.04±4.98)分。多元线性回归分析结果显示,照护者月均收入、文化程度、婚姻状况、自我感知健康状况是亲情老老照护者的家庭照护能力的主要影响因素(均P<0.05),共解释照护者家庭照护能力总分87.4%的差异。结论老年慢性病住院患者亲情老老照护者的家庭照护能力不容乐观,相关部门应高度重视老龄化社会背景下老老照护这一普遍现象,完善相应政策与举措,为老老照护者提供安全保障。

时效性激励模式下的延伸护理在老年慢性萎缩性胃炎癌前病变患者中的应用效果

目的探讨时效性激励模式下的延伸护理在老年慢性萎缩性胃炎癌前病变患者中的应用效果。方法选取该院2020年7月至2022年7月收治的老年慢性萎缩性胃炎癌前病变患者100例作为研究对象,按照随机数字表法将其分成观察组与常规组,每组50例。常规组采用常规延伸护理,观察组在常规组的基础上采用时效性激励模式下的延伸护理,两组均持续干预3个月。对比两组遵医行为、护理满意度[采用纽卡斯尔护理服务满意度量表(NSNS)评分进行评估],比较两组干预前后自我效能感[采用一般自我效能感量表(GSES)评分进行评估]、应对方式[采用简易应对方式量表(SCSQ)评分进行评估]、健康行为[采用健康促进生活方式量表(HPLP-Ⅱ)评分进行评估]、自我管理能力[采用成年人健康自我管理能力测评表(AHSMSRS)评分进行评估]及生活质量[采用慢性病患者生命质量测定量表体系-慢性胃炎(QLICD-CG)评分进行评估]情况。结果观察组遵医率(98.00%)和护理满意度(100.00%)均高于常规组(84.00%、88.00%),差异均有统计学意义(P<0.05)。干预后,观察组GSES、HPLP-Ⅱ、AHSMSRS、QLICD-CG评分均高于常规组(P<0.05)。与常规组相比,干预后观察组积极应对评分升高,而消极应对评分降低,差异均有统计学意义(P<0.05)。结论时效性激励模式下的延伸护理可提高老年慢性萎缩性胃炎癌前病变患者自我效能感,增强其自我管理能力及遵医行为,提高患者生活质量水平及护理满意度。

全科医学和初级保健横断面研究的基本设计和实施步骤

横断面研究是经典的研究设计方法之一,在临床各个专业中均有广泛的应用。在全科医学研究中大量科学问题的解答采用了横断面研究设计。这其中不仅包括了对人群健康特征,疾病特征或卫生服务现状的调查研究,还包括了面向社区人群的疾病筛查诊断方法构建等多种研究场景。在全科医学领域中,横断面研究可以做现况描述和比较分析,关联因素分析以及社区筛查诊断方法探索。开展横断面研究应包括研究设计和研究实施两个阶段,研究设计包括准确提炼研究目标,明确研究人群,研究因素及结局指标等临床要素以及确定样本获取方式,明确样本量的确定依据及合理的统计分析策略等方法学要素。研究实施,则需要通过完备的研究方案和病例报告表呈现研究设计思路,在伦理批准的前提下开展数据收集工作,同时注重数据管理工作质量并严格执行方案中的统计分析方法,求证医学问题。横断面研究的特点是相比于随访观察研究所需要的研究周期相对较短,不同基础的研究团队都能找到适合的研究方向,通过了解健康医疗现状,从探讨关联因素创建筛查方法等角度,服务社区医疗。

医护一体化模式对前庭外周性眩晕病人眩晕症状及负性情绪的影响

目的:探讨医护一体化模式对前庭外周性眩晕病人的眩晕症状、焦虑抑郁负性情绪的影响。方法:选取2022年10月—2023年3月某三级甲等医院耳鼻咽喉头颈外科行住院治疗的前庭外周性眩晕病人120例,随机分为对照组和试验组,每组60例。对照组实施常规诊疗护理工作模式,试验组实施医护一体化模式,干预2周后观察两组病人的眩晕、平衡状况和焦虑、抑郁负性情绪。结果:干预后两组病人眩晕、平衡状况较干预前均有所改善,两组病人眩晕障碍量表评分、Berg平衡量表评分比较差异均有统计学意义(P<0.05)。负性情绪方面,干预后两组病人较干预前均有所改善,试验组更早缓解了病人焦虑、抑郁情绪(P<0.05)。两组病人负性情绪干预2周后与1周后比较差异无统计学意义(P>0.05)。结论:将医护一体化模式应用于前庭外周性眩晕病人,能更早改善病人眩晕症状,缓解其负性情绪,加快病人康复。

本科护生共情能力、情绪智力对人文关怀能力影响的研究

为探讨本科护生的共情能力、情绪智力水平对其人文关怀能力影响的路径关系,采用便利抽样的方法,使用杰弗逊共情量表(护生版)、情绪智力量表和人文关怀能力问卷对上海市1所高校的202名大一本科护生进行调查。研究表明,共情能力可直接和间接地影响护生的人文关怀能力。护理教育者应注重提升本科护生的共情能力和情绪智力,从而提升护生的人文关怀能力。

儒家生命伦理融入老年护理学课程思政的实践效果

目的:探讨儒家生命伦理融入老年护理学课程思政的实践效果。方法:采取整群抽样法,以2018级312名(对照组)和2019级266名(试验组)本科护生为研究对象,对照组采用常规教学模式,试验组开展融入儒家生命伦理的老年护理学课程思政教学,课程结束后调查试验组护生对课程思政的内容和效果的感受,分析两组护生关怀能力、服务老年人意愿和考试成绩。结果:试验组266名护生中96.2%认为我国传统文化对医学生有可借鉴的智慧和思想,83.1%认为教学设计参与性和启发性较好,92.5%对课程评价总体满意。与老人共同生活的时间、家庭关系、对老龄化问题的关注程度会影响护生服务老年人意愿(P<0.05)。试验组护生关怀能力、服务老年人意愿、考试成绩均高于对照组(P<0.05)。结论:将儒家生命伦理融入老年护理学课程思政的教学设计有助于提升护生关怀能力和服务老年人意愿,促进其道德品质提升,更好地满足社会对老年护理人才的需求。

基于IMB的围术期护理对肠造口患者自我护理能力的影响

目的探讨基于信息-动机-行为技巧模型(IMB)的围手术期护理对肠造口患者自我护理能力及并发症的影响。方法选取2021年7月至2022年6月南昌大学第二附属医院胃肠外科收治的124例肠造口患者作为研究对象,按照随机数字表法分为对照组(n=62)和观察组(n=62)。对照组采用常规的围手术期护理措施,观察组在常规护理上实施基于IMB的围手术期护理,比较两组肠造口患者干预前及出院1、3个月时的造口患者自我护理能力与造口并发症的发生率。结果自我护理意愿、自我护理知识和自我护理技能评分的组间、时间、交互作用比较,差异有统计学意义(P<0.05)。两组出院后1、3个月的自我护理意愿、自我护理技能评分均高于本组干预前,且两组出院后3个月的自我护理意愿、自我护理技能评分均高于本组出院后1个月时,差异有统计学意义(P<0.05);对照组出院后3个月的自我护理知识评分高于本组干预前、出院后1个月时,观察组出院后1、3个月的自我护理知识评分高于本组干预前,观察组出院后3个月的自我护理知识评分高于本组出院后1个月时,差异有统计学意义(P<0.05)。观察组出院后1、3个月的自我护理意愿、自我护理知识和自我护理技能评分均高于对照组,差异有统计学意义(P<0.05)。两组患者干预前的并发症总发生率比较,差异无统计学意义(P>0.05)。观察组患者出院后1、3个月的并发症总发生率均低于对照组,差异有统计学意义(P<0.05)。结论基于IMB模式的围手术期护理有利于提高肠造口患者自我护理能力,降低肠造口并发症发生率。