Analysis of the Effect of Comfort Care in The Perioperative Care of Patients with Hysteromyomectomy and its Influence on Self-Care Ability

Objective:To analyze the effect of perioperative comfort care for patients with hysteromyomectomy(HYS).Methods:Seventy cases of HYS patients admitted to our hospital from October 2022 to October 2023 were randomly selected and divided into Group A(control group,35 cases,conventional care)and Group B(observation group 35 cases,comfort care).The effects of the two groups before and after nursing care were compared.Results:The self-rating anxiety(SAS)scores,exercise of self-care agency(ESCA)scores,and nursing satisfaction scores at the time of discharge of Group B were better than in Group A after nursing care(P<0.05).Conclusion:Perioperative comfort care for HYS patients improved the patient’s adverse emotions,self-care ability,and nursing satisfaction.

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.

Research on the Intervention of Visual Cue Strategy on Self-Care Ability of Children with Autism

The formation of self-care ability is the first step for children with autism to enter the society,and it is also a prerequisite and guarantee for their independent survival.This study aimed to explore the impact of visual cue strategies on the self-care ability of children with autism.Based on the ABA design of a single case study,this research conducted a four-month intervention on a seven-year-old child with autism via visual cue strategy as independent variables and sock-wearing skills as dependent variables,in order to explore the effect of visual cue strategy on self-care ability of children with autism.It turned out that visual cue strategy exerts a positive immediate sustained effect and social validity on the self-care ability of children with autism.Lastly,suggestions were provided for future related research based on the research process,results,and limitations.

Whole-process case management effects on mental state and selfcare ability in patients with liver cancer

BACKGROUND Regarding the incidence of malignant tumors in China,the incidence of liver cancer ranks fourth,second only to lung,gastric,and esophageal cancers.The case fatality rate ranks third after lung and cervical cancer.In a previous study,the whole-process management model was applied to patients with breast cancer,which effectively reduced their negative emotions and improved treatment adherence and nursing satisfaction.METHODS In this single-center,randomized,controlled study,60 randomly selected patients with liver cancer who had been admitted to our hospital from January 2021 to January 2022 were randomly divided into an observation group(n=30),who received whole-process case management on the basis of routine nursing mea-sures,and a control group(n=30),who were given routine nursing measures.We compared differences between the two groups in terms of anxiety,depression,the level of hope,self-care ability,symptom distress,sleep quality,and quality of life.RESULTS Post-intervention,Hamilton anxiety scale,Hamilton depression scale,memory symptom assessment scale,and Pittsburgh sleep quality index scores in both groups were lower than those pre-intervention,and the observation group had lower scores than the control group(P<0.05).Herth hope index,self-care ability assessment scale-revision in Chinese,and quality of life measurement scale for patients with liver cancer scores in both groups were higher than those pre-intervention,with higher scores in the observation group compared with the control group(P<0.05).CONCLUSION Whole-process case management can effectively reduce anxiety and depression in patients with liver cancer,alleviate symptoms and problems,and improve the level of hope,self-care ability,sleep quality,and quality of life,as well as provide feasible nursing alternatives for patients with liver cancer.

Analysis of the Role of Cognitive Behavioral Therapy on Self-Care in Thyroid Cancer Patients

Objective:To explore the effect of cognitive behavioral therapy on self-care in thyroid cancer patients.Methods:A total of 144 thyroid cancer patients treated at the Affiliated Hospital of Hebei University from January 2022 to August 2023 were selected as research subjects.Using the random number table method,they were divided into a control group and an experimental group,each consisting of 72 cases.The control group received routine nursing intervention,while the experimental group received cognitive behavioral therapy based on standard nursing practices.The self-care ability(self-concept,self-efficacy,self-care skills,health knowledge level),coping style(confrontation,avoidance,and surrender),and quality of life(psychological function,social function,material life,physical function)of both groups before and after the intervention were compared.Results:In comparison to the pre-intervention period,the experimental group exhibited significantly higher self-care ability,quality of life,and confrontation scores after the intervention,as opposed to the control group.Additionally,the avoidance and surrender scores were lower in the experimental group than in the control group,with these differences proving to be statistically significant(P<0.01).Conclusion:The application of cognitive behavioral therapy can enhance the self-care ability of thyroid cancer patients,aid in better disease coping,and improve their overall quality of life.This approach is deserving of further promotion.

Dynamic interaction nursing intervention on functional rehabilitation and self-care ability of patients after aneurysm surgery

BACKGROUND Nursing practices based on the dynamic interaction model have been shown to be superior to generic nursing practices.However,whether this model is effective in patients recovering from intracranial aneurysm surgery is not well studied.AIM To investigate the effect of nursing based on a dynamic interaction model on functional rehabilitation of patients after aneurysm surgery.METHODS A total of 86 cases in our hospital with intracranial aneurysm from April 2019 to April 2021,were selected and divided into the study group and the control group,with 43 patients in each group.The control group received routine nursing,and the research group received nursing intervention based on a dynamic interaction model.The daily living ability(activities of daily living,ADL),cognitive function(Simple Intelligent Mental State Scale,MMSE),quality of life(Generic Quality of Life Inventory-74,GQOL-74),self-care ability(Exercise of Self-Care Agency scale),incidence of complications,and nursing satisfaction were recorded before and after intervention.RESULTS Before intervention,ADL(52.09±6.44),MMSE(18.03±4.11),and GQOL-74(53.68±4.34)scores in the study group were not significantly different from those in the control group(ADL:50.97±7.32,MMSE:17.59±3.82,GQOL-74:55.06±3.98)(P>0.05).After intervention,ADL(86.12±5.07),MMSE(26.64±2.66),and GQOL-74(83.13±5.67)scores in the study group were higher than those in the control group(ADL:79.81±6.35,MMSE:24.51±3.00,and GQOL-74:77.96±6.27)(P<0.05).Before intervention,self-concept(17.46±4.44),self-care skills(25.22±4.20),self-care knowledge(22.35±4.74),and self-care responsibility(15.06±3.29)scores in the study group was similar to those in the control group(self-concept:16.89±5.53,self-care skills:24.59±4.46,self-care knowledge:21.80±3.61,and self-care responsibility:14.83±3.11)(P>0.05).After the intervention,self-concept(26.01±3.18),self-care skills(37.68±6.05),self-care knowledge(45.56±5.83),and self-care responsibility(22.01±3.77)scores in the study group were higher than those in the control group(self-concept:22.97±3.46,self-care skills:33.02±5.65,selfcare skills knowledge:36.81±5.54,and self-care responsibility:17.97±3.56 points)(P<0.05).The incidence of complications in the study group(4.65%)was lower than that in the control group(18.60%)(P<0.05).Nursing satisfaction in the study group(95.35%)was higher than that in the control group(81.40%)(P<0.05).CONCLUSION Nursing intervention based on a dynamic interaction model can improve postoperative cognitive function,daily living ability,self-care ability,quality of life,and patient satisfaction,while reducing the risk of complications.

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.

Assessment on self-care, mobility and social function of children with spina bifida in Turkey

The aim of the study was to investigate the functional performance in children with spina bifida, using the Pediatric Evaluation of Disability Inventory （PEDI） to look into capacity of twen- ty-eight children with spina bifida with lesions at different levels in different dimensions of self- care, mobility and social function. Mean age of the patients was 3.5 ± 2.3 （1-10） years. In the muscle test carried out, 13 patients （44.8%） had no movements including pelvic elevation in lower extremity muscles and they were at level 5. Sixteen patients （54%） were non-ambulatory according to the Hoofer ambulation classification. Raw and scale scores in the self-care, mobil- ity and social function domains both in the functional skill scale and in the caregiver scale were found to be lower compared to the data of the normal population. A statistically significant correlation was observed in the self-care values of the Functional Skills Scales and the Caregiver Assistance Scale measurements, which was positive for age and negative for Functional Ambu- lation Scale and muscle test （P 〈 0.05）. A positive relation was found between the Functional Skills Scales-mobility area and age while a negative relation was observed between Functional Ambulation Scale and muscle test （P 〈 0.005）. A negative relation was also found between Care- giver Assistance Scale-mobility and Functional Ambulation Scale and muscle test （P 〈 0.005）. In our study, the functional performance of the children was found to be low. Low-level lesions, encouraging muscular strength and independence in mobility are all very important factors for functional independence.

Exploring the Influences of Continuous Self-Management Education on the Self-Care Skills and Health Behavior of Patients with PICC Intubation

Objective:To analyze the effects of continuous self-management education on the selfcare ability and health behavior of patients with tumor through peripherally inserted central venous catheters(PICC).Methods:The period from August 2018 to August 2020 was used as the research time range,and the random number table method was used as the basis for grouping.80 patients with malignant tumors who regularly performed fixed catheter maintenance care in the PICC clinic of our hospital were admitted in the experimental group(given PICC specialist nursing,and implemented continuous self-management education),and 80 patients with PICC tube malignant tumors discharged from the superior hospital during this time range served as the control group(return to the original catheterization hospital from time to time or perform catheter maintenance care in the nursing clinic of our hospital).The self-care ability scores,health behavior scores,and complications during intubation between both groups were analyzed.Results:(1)There was no significant difference in self-care ability score and healthy behavior score between groups before the intervention,P>0.05;the self-care ability score and health behavior score of the research group were better than the control group after intervention,P<0.05;(2)After investigation,the incidence of complications in the research group(2.50%)was lower than that of the control group(10.00%),but there was no difference between the groups,P>0.05.Conclusion:Continuous self-management education has good effects on improving the self-care ability of tumor patients with PICC intubation.It can urge patients to maintain good health behaviors and reduce complications.It is worthy of promotion.

农村夫妻就业分化对生育意愿的影响

生育属于夫妻共同决策,探究农村夫妻就业分化引致的生育意愿变动及其内在机理,可能为中国低生育率的破解提供新视角。基于2014年和2018年中国家庭追踪调查(CFPS)数据,实证检验农村夫妻就业分化对生育意愿的影响。结果表明,农村夫妻就业分化会降低其生育意愿,与务农型夫妻相比,兼业型夫妻和非农型夫妻的平均生育意愿分别减少0.037个和0.054个。使用CMP模型和Tobit模型进行稳健性检验后,结论依旧成立。就业分化对35岁以下、村庄宗族氛围不浓厚的农村夫妻生育意愿的抑制作用更强。机制检验表明,抚育能力削弱和传统生育观念弱化是农村夫妻就业分化导致生育意愿下降的重要原因。农村夫妻就业分化对其生育二孩和生育三孩的行为亦存在显著负向影响。因此,包容性生育政策改革需着重关注农村夫妻的抚育成本和时间顾虑,并通过营造新型生育文化,以激发农村夫妻的生育动力和情感需求。

呼吸训练对痉挛型四肢瘫患儿步行耐力及平衡能力的疗效观察

目的探讨呼吸训练对痉挛型四肢瘫(spastic quadriplegia,SP)患儿步行耐力及平衡能力的影响。方法选取2021年11月至2023年11月中国康复研究中心北京博爱医院SP患儿60例,随机分为对照组(n=30)与试验组(n=30)。对照组接受常规康复训练(60 min/次),试验组接受常规康复训练(40 min/次)和呼吸训练(20 min/次);两组训练频率为1次/d,5 d/周,连续4周。分别采用10米步行测试(10-meter work test,10MWT)速度、6分钟步行测试(6-minute walk test,6MWT)距离、Berg平衡量表(Berg balance scale,BBS)评分和肺活量(vital capacity,VC)、用力肺活量(forced vital capacity,FVC)、1秒用力呼气量(forced expiratory volume in first second,FEV1)、呼气峰值流速(peak expiratory flow,PEF)评估患儿训练前后步行耐力、平衡能力和肺功能。结果60例患儿中,男31例、女29例,年龄6~12岁,平均(9.0±1.7)岁。两组性别、年龄、粗大运动功能分级系统(gross motor function classification system,GMFCS)的比较,差异均无统计学意义(P>0.05)。训练4周后,两组患儿的6MWT距离、BBS评分、10MWT速度、FVC、FEV1、PEF均高于训练前,且试验组均高于对照组,差异有统计学意义(P<0.05)。结论呼吸训练能有效改善SP患儿的步行耐力、平衡能力,提高肺功能,增强有氧运动的耐力,降低跌倒风险,提高日常生活质量。

师幼互动质量与学前儿童学业能力之间关系的三水平元分析

师幼互动是影响儿童学业能力发展的重要近端因素,但关于两者之间的关系一直存在争议。本研究基于来自欧美和中国等地的38项实证研究、406个效应量和405769名3~6岁儿童样本,运用三水平元分析的方法,全面探究师幼互动质量与学前儿童学业能力之间的关系。结果显示:师幼互动三个领域(情感支持、班级管理和教学支持)的质量与儿童的三项学业能力(语言能力、前读写能力和数学能力)之间均存在不同程度的显著弱相关(r=0.07~0.15);在调节因素中,仅国别对两者之间的关系产生了显著调节效应,且中国样本的相关程度显著高于其他国家样本。建议未来研究从系统、动态、长期的视角深入探讨师幼互动对儿童发展的影响机制,从非线性的视角探讨教育质量对儿童发展的影响,研制具有中国文化适宜性和实践导向的师幼互动质量评估工具。

师幼关系对学前儿童自我概念的影响:接受性语言能力和心理弹性的链式中介作用

为探讨师幼关系与学前儿童自我概念的关系,并检验接受性语言能力和心理弹性在其间的中介作用,采用师幼关系量表、接受性语言能力测量、幼儿心理弹性量表和幼儿自我概念量表对911名学前儿童及其教师进行测量和调查。结果表明:1)师幼亲密性和依赖性对学前儿童自我概念具有直接正向预测作用;2)接受性语言能力和心理弹性在师幼亲密性与自我概念之间分别起着部分中介作用,接受性语言能力在师幼依赖性与学前儿童自我概念之间具有部分中介作用;3)接受性语言能力和心理弹性在两种类型师幼关系与学前儿童自我概念之间起着链式中介作用。研究表明,教师与学前儿童建立积极亲密的师幼关系将有助于促进学前儿童自我概念的发展。

The Effect of O2O Education Combined with Peer Education Management Model in Patients with Chronic Obstructive Pulmonary Disease

Objective:To explore the effect of online-to-offline(O2O)education combined with the peer education management model in patients with chronic obstructive pulmonary disease(COPD).Methods:Using convenience sampling,72 patients with COPD who were hospitalized in the respiratory medicine department of a tertiary-level hospital from March to December 2021 were selected as study subjects.Randomized grouping was carried out using the random number table method,the control group was given routine COPD health education in the department,and the intervention group applied O2O trinity health management combined with peer education on the basis of routine care.After 6 months of follow-up after discharge,the two groups were observed and compared for changes in pulmonary function,depression status,self-care ability,and quality of life.Results:At 3 and 6 months after the intervention,the lung function indexes and depression status of the two groups of patients improved significantly,and the improvement effect was more significant in the intervention group(P<0.05);after the intervention,the self-care ability scores of the patients in the intervention group were significantly higher than those of the control group(P<0.05);the quality-of-life scores of the two groups of patients decreased at 3 months after discharge,in which the quality-of-life scores in the intervention group was significantly lower than that of the control group(P<0.05).Conclusion:O2O education combined with the peer education management model can effectively improve the lung function of patients with COPD,depression,self-care ability,and quality of life.

儿童体力活动对认知能力影响的研究进展

近年来,儿童体力活动与认知能力关系日益受到关注,体力活动对认知能力的促进作用具有重要的现实意义。本综述通过追踪梳理国内外有关儿童体力活动和认知能力关联的文献,深入了解两者的关系,并探索体力活动对认知能力影响的机制,最后分析相关研究存在的局限以及对未来研究提出建议,为促进儿童认知能力发展提供参考。

基于ICF-CY架构的多层面康复技术治疗痉挛型双瘫儿童的实践研究

目的 探讨基于《国际功能、残疾和健康分类(儿童及青少年版)》(ICF-CY)架构的多层面康复技术治疗痉挛型双瘫儿童的实践作用。方法 回顾性分析2019年5月至2022年7月在驻马店市中心医院妇女儿童医院进行康复治疗的88例痉挛型双瘫儿童的临床资料,根据治疗方式将其分为常规组与ICF组,其中常规组42例儿童接受常规康复治疗,ICF组46例儿童接受基于ICF-CY架构的多层面康复技术治疗,均治疗3个月。对比两组治疗前后粗大运动功能评定量表88项(GMFM-88)中D区与E区评分、Berg平衡量表(BBS)评分、改良Ashworth量表评分,并比较治疗前后踝关节背屈活动度及步态功能(步速、步长、节奏)及脑瘫儿童生活活动能力(ADL)评估量表评分,另比较辅助器具适配、家庭康复指导情况。结果 两组治疗后GMFM-88中D、E区各评分及D+E评分均高于治疗前(P<0.05),ICF组治疗后D、E区各评分及D+E评分均高于常规组(P<0.05);两组治疗后BBS评分均高于治疗前(P<0.05),改良Ashworth量表评分均低于治疗前(P<0.05);ICF组治疗后BBS评分高于常规组(P<0.05),改良Ashworth量表评分低于常规组(P<0.05);两组治疗后主动、被动踝关节背屈活动度及步速、步长、节奏均大于治疗前(P<0.05),ICF组治疗后主动、被动踝关节背屈活动度及步速、步长、节奏均大于常规组(P<0.05);两组治疗后的ADL量表评分均高于治疗前(P<0.05),ICF组治疗后高于常规组(P<0.05);ICF组中辅助器具适配、家庭康复指导占比均高于常规组(P<0.05)。结论 基于ICF-CY架构的多层面康复技术治疗痉挛型双瘫儿童可提升康复效果,促进儿童下肢运动功能、平衡能力、肌张力、步态功能及关节活动度改善,提升其日常生活能力,具有临床应用价值。

支气管哮喘患儿家庭延续性护理服务需求及连续性照护服务的应用效果

目的浅析支气管哮喘患儿开展家庭延续性护理服务需求,制定相应的连续性照护服务,并总结其临床应用价值。方法抽取2020年3月至2022年12月河南省人民医院收入的支气管哮喘患儿116例,依据数字表法随机分为对照组与研究组,各58例,对照组开展常规护理措施,研究组开展基于家庭延续性护理服务需求的连续性照护服务,就两组患儿家属照护能力[采用照顾者照顾能力测量表(FCTI)进行评估]、患儿遵医行为[使用服药依从性调查表(MMAS-8)进行分析]及预后状况(记录患儿哮喘发作次数、急诊次数及再住院次数)进行组间比较。结果研究组患儿家属护理后照护能力各项指标评分均高于对照组,差异有统计学意义(P<0.05);研究组患儿护理后遵医行为高于对照组,差异有统计学意义(P<0.05);研究组患儿哮喘发作次数、急诊次数及再住院次数均低于对照组,差异有统计学意义(P<0.05)。结论对于支气管哮喘患儿开展基于家庭延续性护理服务需求的连续性照护服务具有积极意义,其能有效提升家属照护能力,改善患儿服药依从性,降低疾病复发风险,临床应用价值显著。

角色适应性健康教育对初产妇产后角色转换及育婴能力的影响

目的 探讨角色适应性健康教育对初产妇产后角色转换及育婴能力的影响。方法 选取2020年9月至2021年10月期间在安康市中心医院分娩的318例初产妇为研究对象,利用简单随机抽样法分为对照组和观察组各159例,对照组产妇采用常规产科护理干预措施,观察组产妇则在对照组基础上采用角色适应性健康教育。比较干预后两组初产妇产后的康复情况、产后机体状况、汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评分、母亲角色适应情况以及育婴能力。结果 干预后,观察组初产妇产后的泌乳始动时间、子宫进入盆腔时间、血性恶露持续时间及住院时间明显短于对照组,差异均有统计学意义(P<0.05);观察组初产妇产后的急性乳腺炎、子宫复旧不良、体质量控制不佳发生率分别为1.26%、1.26%、3.77%,明显低于对照组的8.18%、10.69%、17.61%,差异均有统计学意义(P<0.05);观察组初产妇产后2 d、6周的HAMD和HAMA评分明显低于对照组,差异均有统计学意义(P<0.05);观察组初产妇产后的母亲角色适应良好率为94.97%,明显高于对照组的81.13%,且角色缺如率为3.77%,明显低于对照组的13.84%,差异均有统计学意义(P<0.05);观察组初产妇的新生儿抚触、新生儿沐浴、新生儿脐部护理正确率分别为92.45%、94.97%、85.53%,明显高于对照组的78.62%、77.36%、70.44%,母乳喂养率为96.23%,明显高于对照组的86.16%,差异均有统计学意义(P<0.05)。结论 角色适应性健康教育应用于初产妇产后效果良好,有利于其尽快适应母亲角色转换,可促进初产妇产后孕婴能力的提高。

亲子分离与学生社会情感能力发展——基于亲子互动的中介效应与家校合作的调节效应分析

因亲子分离导致的父母“不在场”对子女发展有着长远影响。基于世界经合组织青少年社会与情感能力项目(SSES)的中国数据,本文分析了亲子分离对学生社会情感能力影响的中介与调节效应。研究发现:亲子分离对学生社会情感能力发展有显著的负效应;亲子分离通过减少亲子互动负向预测了学生社会情感能力发展;高水平的家校合作调节了亲子互动的中介路径,在一定程度上“缓解”了亲子分离对学生社会情感能力发展的不利影响。本文认为,亲子分离并不必然意味着家庭教育缺位或家庭与学校的分离,应通过指导家长增加亲子互动、加强教师情感支持、营造良好合作氛围等措施形成家校育人合力,共同促进亲子分离学生的健康成长。

早产对儿童发育性协调障碍的影响分析

目的:了解早产(<37孕周)对儿童发育性协调障碍的影响,并与足月儿童运动协调能力进行比较分析。方法:采用横断面调查,随机选取2021年7月—2022年12月期间在南通大学附属妇幼保健院儿童保健科健康体检的早产儿120例和足月儿125例为研究对象,进行动作协调能力标准测试(movement assessment battery for children-2,MABC-2),并填写发育性协调障碍问卷(developmental coordination disorder questionnaire,DCDQ)。结果:MABC-2测试结果显示,早产儿运动控制能力、精细运动能力、一般协调性和总的运动协调能力均较足月儿落后(t=-2.213、-2.042、-2.161、-2.235,均P<0.05);DCDQ评估结果显示,早产儿运动控制能力、精细运动能力、一般协调性均较足月儿童落后(t=-2.410、-3.010、-3.188,均P<0.05)。结论:早产儿运动协调能力较足月儿落后,早产可能是儿童发育性协调障碍的危险因素之一。