Objective: This paper aims to explore the impact of optimizing details in the operating room on the level of knowledge, attitude, and practice of hospital infection prevention and control by surgeons, as well as the e...Objective: This paper aims to explore the impact of optimizing details in the operating room on the level of knowledge, attitude, and practice of hospital infection prevention and control by surgeons, as well as the effectiveness of infection control. Methods: From January 2022 to June 2023, a total of 120 patients were screened and randomly divided into a control group (routine care and hospital infection management) and a study group (optimizing details in the operating room). Results: Significant differences were found between the two groups in the data of surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, infection rates, and nursing satisfaction, with the study group showing better results (P Conclusion: The use of optimizing details in the operating room among surgeons can effectively improve surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, reduce infection occurrence, and is worth promoting.展开更多
BACKGROUND Cerebrovascular disease(CVD)poses a serious threat to human health and safety.Thus,developing a reasonable exercise program plays an important role in the long-term recovery and prognosis for patients with ...BACKGROUND Cerebrovascular disease(CVD)poses a serious threat to human health and safety.Thus,developing a reasonable exercise program plays an important role in the long-term recovery and prognosis for patients with CVD.Studies have shown that predictive nursing can improve the quality of care and that the information–knowledge–attitude–practice(IKAP)nursing model has a positive impact on patients who suffered a stroke.Few studies have combined these two nursing models to treat CVD.AIM To explore the effect of the IKAP nursing model combined with predictive nursing on the Fugl–Meyer motor function(FMA)score,Barthel index score,and disease knowledge mastery rate in patients with CVD.METHODS A total of 140 patients with CVD treated at our hospital between December 2019 and September 2021 were randomly divided into two groups,with 70 patients in each.The control group received routine nursing,while the observation group received the IKAP nursing model combined with predictive nursing.Both groups were observed for self-care ability,motor function,and disease knowledge mastery rate after one month of nursing.RESULTS There was no clear difference between the Barthel index and FMA scores of the two groups before nursing(P>0.05);however,their scores increased after nursing.This increase was more apparent in the observation group,and the difference was statistically significant(P<0.05).The rates of disease knowledge mastery,timely medication,appropriate exercise,and reasonable diet were significantly higher in the observation group than in the control group(P<0.05).The satisfaction rate in the observation group(97.14%)was significantly higher than that in the control group(81.43%;P<0.05).CONCLUSION The IKAP nursing model,combined with predictive nursing,is more effective than routine nursing in the care of patients with CVD,and it can significantly improve the Barthel index and FMA scores with better knowledge acquisition,as well as produce high satisfaction in patients.Moreover,they can be widely used in the clinical setting.展开更多
Introduction: Diabetes mellitus (DM) is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. It is “a group of metabo...Introduction: Diabetes mellitus (DM) is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. It is “a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action or both” manifested by carbohydrates, fat and protein metabolism abnormality. If untreated high blood sugar can damage the nerves, eyes, kidneys, and other organs. The purpose of this study was to assess the information needs and self-care practice of Diabetic Patients in Mbala, Northern Province Zambia. Methods: This was an analytical cross-sectional study where 105 respondents aged 18 years and above participated in the study. Participants were randomly selected. A structured interview schedule and a check list were used to collect data. Statistics Package for Social Sciences computer software package version 23.0 was used to analyze data. Chi square and fisher’s exact tests were used to test the significance of the association between Knowledge of Diabetes Mellitus, attitude towards self-care practices, self-care practices among Diabetic patients and the need for information among Diabetic patients. A 95% confidence interval and P value of 0.05 were used to ascertain the degree of significance. Multi-variate binary logistic regression model to determine predictors of self-care practices and need for information was also used. Result: On analyzing the dependent variables, more than half (61.9%), had high need for information and three quarters (85.7%) of respondents had poor self-care practices. Slightly more than half (58.1%) had high knowledge levels majority (78.1%), had a negative attitude. Significant associations were found P Conclusion: Negative attitudes and lack of information among Diabetic patients were the main reasons associated with poor self-care practices. Particular attention should therefore be given to ensuring that Diabetic patients are given adequate information on Diabetes self-care in order to improve the quality of life.展开更多
目的探讨模块式教学联合基于数字化影像存储及传输系统(picture archiving and communication systems,PACS)的以案例为导向的教学法(case-based learning,CBL)在医学影像学见习教学中的应用价值。方法2022年9—12月,选择中南大学湘雅...目的探讨模块式教学联合基于数字化影像存储及传输系统(picture archiving and communication systems,PACS)的以案例为导向的教学法(case-based learning,CBL)在医学影像学见习教学中的应用价值。方法2022年9—12月,选择中南大学湘雅二医院学习的2019级五年制临床医学133名学生作为研究对象,按学号顺序分组,试验组66名,采用基于PACS系统的CBL联合模块教学模式。对照组67名,采用传统多媒体幻灯片(powerpoint,PPT)面授式教学方法,通过专业考核和问卷调查评估教学效果。结果试验组学生的读片测验和卷面测验成绩均高于对照组,差异有统计学意义(P<0.05)。问卷调查各项指标显示试验组的满意度高于对照组,差异有统计学意义(P<0.05)。结论模块式教学联合基于PACS的CBL教学法能激发医学生的学习兴趣,更深入地学习影像学知识,提高了医学影像学见习教学的效果。展开更多
目的:压力性损伤(pressure injury,PI)患者的非正式照顾者的认知及照顾行为水平暂缺科学性测量工具,本研究拟编制PI患者非正式照顾者知信行量表,并对其进行信效度检验。方法:以知信行理论为框架,结合相关文献与专家头脑风暴,拟定量表初...目的:压力性损伤(pressure injury,PI)患者的非正式照顾者的认知及照顾行为水平暂缺科学性测量工具,本研究拟编制PI患者非正式照顾者知信行量表,并对其进行信效度检验。方法:以知信行理论为框架,结合相关文献与专家头脑风暴,拟定量表初始条目池;经过德尔菲专家函询、预调查,形成初始量表。于2023年4至10月便利选取中南大学湘雅三医院住院部及其合作社区、长沙红枫康复医院的PI患者非正式照顾者进行调查,第1次纳入186名、第2次纳入213名进行量表项目分析及信效度检验;间隔3周,随机抽取已调查的20名重测,检验量表的重测信度。结果:PI患者非正式照顾者知信行量表共3个维度,19个条目。总量表内部一致性克龙巴赫α系数为0.916,量表所有条目水平的内容效度指数(item level-content validity index,I-CVI)为0.826~1.000,平均量表水平的内容效度指数(scale level-content validity index/average,S-CVI/Ave)为0.94。探索性因子分析提取3个公因子,累计方差贡献率为64.643%。验证性因子分析显示χ~2/df=2.54,近似误差的均方根(root mean square error of approximation,RMSEA)=0.085,比较拟合指数(comparative fit index,CFI)=0.920,标准化均方根残差(standardized root mean square residual,SRMR)=0.059,模型与数据整体适配良好。结论:PI患者非正式照顾者知信行量表具有较好的信度和效度,可用于非正式照顾者PI知信行水平的评估。展开更多
文摘Objective: This paper aims to explore the impact of optimizing details in the operating room on the level of knowledge, attitude, and practice of hospital infection prevention and control by surgeons, as well as the effectiveness of infection control. Methods: From January 2022 to June 2023, a total of 120 patients were screened and randomly divided into a control group (routine care and hospital infection management) and a study group (optimizing details in the operating room). Results: Significant differences were found between the two groups in the data of surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, infection rates, and nursing satisfaction, with the study group showing better results (P Conclusion: The use of optimizing details in the operating room among surgeons can effectively improve surgeons’ level of knowledge, attitude, and practice in hospital infection prevention and control, reduce infection occurrence, and is worth promoting.
基金Supported by Basic scientific research industry of Heilongjiang Provincial undergraduate universities in 2019,No.2019-KYYWF-1213.
文摘BACKGROUND Cerebrovascular disease(CVD)poses a serious threat to human health and safety.Thus,developing a reasonable exercise program plays an important role in the long-term recovery and prognosis for patients with CVD.Studies have shown that predictive nursing can improve the quality of care and that the information–knowledge–attitude–practice(IKAP)nursing model has a positive impact on patients who suffered a stroke.Few studies have combined these two nursing models to treat CVD.AIM To explore the effect of the IKAP nursing model combined with predictive nursing on the Fugl–Meyer motor function(FMA)score,Barthel index score,and disease knowledge mastery rate in patients with CVD.METHODS A total of 140 patients with CVD treated at our hospital between December 2019 and September 2021 were randomly divided into two groups,with 70 patients in each.The control group received routine nursing,while the observation group received the IKAP nursing model combined with predictive nursing.Both groups were observed for self-care ability,motor function,and disease knowledge mastery rate after one month of nursing.RESULTS There was no clear difference between the Barthel index and FMA scores of the two groups before nursing(P>0.05);however,their scores increased after nursing.This increase was more apparent in the observation group,and the difference was statistically significant(P<0.05).The rates of disease knowledge mastery,timely medication,appropriate exercise,and reasonable diet were significantly higher in the observation group than in the control group(P<0.05).The satisfaction rate in the observation group(97.14%)was significantly higher than that in the control group(81.43%;P<0.05).CONCLUSION The IKAP nursing model,combined with predictive nursing,is more effective than routine nursing in the care of patients with CVD,and it can significantly improve the Barthel index and FMA scores with better knowledge acquisition,as well as produce high satisfaction in patients.Moreover,they can be widely used in the clinical setting.
文摘Introduction: Diabetes mellitus (DM) is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. It is “a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action or both” manifested by carbohydrates, fat and protein metabolism abnormality. If untreated high blood sugar can damage the nerves, eyes, kidneys, and other organs. The purpose of this study was to assess the information needs and self-care practice of Diabetic Patients in Mbala, Northern Province Zambia. Methods: This was an analytical cross-sectional study where 105 respondents aged 18 years and above participated in the study. Participants were randomly selected. A structured interview schedule and a check list were used to collect data. Statistics Package for Social Sciences computer software package version 23.0 was used to analyze data. Chi square and fisher’s exact tests were used to test the significance of the association between Knowledge of Diabetes Mellitus, attitude towards self-care practices, self-care practices among Diabetic patients and the need for information among Diabetic patients. A 95% confidence interval and P value of 0.05 were used to ascertain the degree of significance. Multi-variate binary logistic regression model to determine predictors of self-care practices and need for information was also used. Result: On analyzing the dependent variables, more than half (61.9%), had high need for information and three quarters (85.7%) of respondents had poor self-care practices. Slightly more than half (58.1%) had high knowledge levels majority (78.1%), had a negative attitude. Significant associations were found P Conclusion: Negative attitudes and lack of information among Diabetic patients were the main reasons associated with poor self-care practices. Particular attention should therefore be given to ensuring that Diabetic patients are given adequate information on Diabetes self-care in order to improve the quality of life.
文摘目的探讨模块式教学联合基于数字化影像存储及传输系统(picture archiving and communication systems,PACS)的以案例为导向的教学法(case-based learning,CBL)在医学影像学见习教学中的应用价值。方法2022年9—12月,选择中南大学湘雅二医院学习的2019级五年制临床医学133名学生作为研究对象,按学号顺序分组,试验组66名,采用基于PACS系统的CBL联合模块教学模式。对照组67名,采用传统多媒体幻灯片(powerpoint,PPT)面授式教学方法,通过专业考核和问卷调查评估教学效果。结果试验组学生的读片测验和卷面测验成绩均高于对照组,差异有统计学意义(P<0.05)。问卷调查各项指标显示试验组的满意度高于对照组,差异有统计学意义(P<0.05)。结论模块式教学联合基于PACS的CBL教学法能激发医学生的学习兴趣,更深入地学习影像学知识,提高了医学影像学见习教学的效果。
文摘目的:压力性损伤(pressure injury,PI)患者的非正式照顾者的认知及照顾行为水平暂缺科学性测量工具,本研究拟编制PI患者非正式照顾者知信行量表,并对其进行信效度检验。方法:以知信行理论为框架,结合相关文献与专家头脑风暴,拟定量表初始条目池;经过德尔菲专家函询、预调查,形成初始量表。于2023年4至10月便利选取中南大学湘雅三医院住院部及其合作社区、长沙红枫康复医院的PI患者非正式照顾者进行调查,第1次纳入186名、第2次纳入213名进行量表项目分析及信效度检验;间隔3周,随机抽取已调查的20名重测,检验量表的重测信度。结果:PI患者非正式照顾者知信行量表共3个维度,19个条目。总量表内部一致性克龙巴赫α系数为0.916,量表所有条目水平的内容效度指数(item level-content validity index,I-CVI)为0.826~1.000,平均量表水平的内容效度指数(scale level-content validity index/average,S-CVI/Ave)为0.94。探索性因子分析提取3个公因子,累计方差贡献率为64.643%。验证性因子分析显示χ~2/df=2.54,近似误差的均方根(root mean square error of approximation,RMSEA)=0.085,比较拟合指数(comparative fit index,CFI)=0.920,标准化均方根残差(standardized root mean square residual,SRMR)=0.059,模型与数据整体适配良好。结论:PI患者非正式照顾者知信行量表具有较好的信度和效度,可用于非正式照顾者PI知信行水平的评估。
