Knowledge and practice skills on home-based urinary catheter care among parents of under-five children with urinary catheter

Objectives:The objectives of this study were to assess the knowledge and practice skills on home-based urinary catheter care among parents of under-five children with urinary catheter.Materials and Methods:This cross-sectional study was conducted from June 1,2021,to September 11,2021,in a tertiary hospital in north India.Purposive sampling was used to select 50 participants.Three instruments were employed for data collection after fulfilling sample criteria;for baseline information demographic tool,knowledge questionnaires,and a practice checklist.Data were analyzed using descriptive and inferential statistics.Results:On assessment of 50 participants,the majority of parents aged above 30 years(74%).Most of the participants were male(82%),graduated(38%),and working in the private sector(58%).Similarly,two-thirds of participants were residing in a nuclear family(64%)with a single child 32(64%)and family income<5000 rupees per month(60%).The mean score of knowledge was 1.94±0.81 and that of practice skills was 1.98±0.85 on home-based care.Regression analysis showed that knowledge of parents was significantly associated with qualification(β:1.821,P=0.002).Similarly,association of practice skills of parents with gender(β:1.235,P=0.050)and qualification(β:1.889,P=0.00)was significant.Conclusion:The general findings of our study showed that parents’education and occupation played a significant role in a child’s care.Parental education and catheter care skills positively affect the child and reduce readmission rates.

Analysis of Distribution of Public Toilets within Walking Range around Communities of the Elderly under the Model of Community Home-based Care for the Elderly: A Case Study of Changxindian, Fengtai District, Beijing

In recent years,under the influence of multiple factors such as traditional ideas and living economic conditions,the aging population in China continues to increase.Most of the elderly are more inclined to aged at home,and the first places for elderly activities are communities and the surrounding environment,which greatly affects the convenience of life and happiness of the elderly.In this paper,Changxindian area in Fengtai District of Beijing was as the research object,and detailed calculation and analysis were carried out by using POI data and arcGIS software.The relative location of residential areas and surrounding public toilets was explored,and the best location of public toilets in the daily walking area under the model of community home-based care for the elderly was further studied.

A Review of Device-Free Indoor Positioning for Home-Based Care of the Aged:Techniques and Technologies

With the development of urbanization,the problem of neurological diseases brought about by population aging has gradually become a social problem of worldwide concern.Aging leads to gradual degeneration of the central nervous system,shrinkage of brain tissue,and decline in physical function in many elderlies,making them susceptible to neurological diseases such as Alzheimer’s disease(AD),stroke,Parkinson’s and major depressive disorder(MDD).Due to the influence of these neurological diseases,the elderly have troubles such as memory loss,inability to move,falling,and getting lost,which seriously affect their quality of life.Tracking and positioning of elderly with neurological diseases and keeping track of their location in real-time are necessary and crucial in order to detect and treat dangerous and unexpected situations in time.Considering that the elderly with neurological diseases forget to wear a positioning device or have mobility problems due to carrying a positioning device,device-free positioning as a passive positioning technology that detects device-free individuals is more suitable than traditional active positioning for the home-based care of the elderly with neurological diseases.This paper provides an extensive and in-depth survey of device-free indoor positioning technology for home-based care and an in-depth analysis of the main features of current positioning systems,as well as the techniques,technologies andmethods they employ,fromthe perspective of the needs of the elderly with neurological conditions.Moreover,evaluation criteria and possible solutions of positioning techniques for the home-based care of the elderly with neurological conditions are proposed.Finally,the opportunities and challenges for the development of indoor positioning technology in 6G mobile networks for home-based care of the elderly with neurological diseases are discussed.This review has provided comprehensive and effective tracking and positioning techniques,technologies and methods for the elderly,by which we can obtain the location information of the elderly in real-time and make home-based care more comfortable and safer for the elderly with neurological diseases.

Managements of Special Health Care Needs Patients from Dental Assistant Point

The main role of this article is to describe dental assistants and the dental department’s role in the dental delivery system for Special health care needs (SCHN) by creating a structure to educate the dental assisting profession and project factors that have a significant impact on the dental assistant. The dental assisting management of SCHN patient’s profession including dental Assistance general responsibilities, regulation credentialing, and education. The SCHN patient’s management creates a challenge in all area of the dental department. Handling patient with a SCHN is underexplored throughout the dental staff especially when there is not enough theoretical foundation, education and training to deal with this category of patients. SCHN patients are defined as individuals who have abnormal behavioral impairments, mental conditions or/and chronic disease or abnormal laboratory results. Thus, the aim of this article is to guide all dental assistance staff in the best dental management choice for SCHN patients. All health care teams are part of patient care in most medical settings. A work environment supportive ensures positive outcomes for patient care. This article was considered as those categories of patients required more care and special way to deal with, moreover language, age, gender and education level of the patient are also considered significant parries. Not Many studies were found to support the care of SCHN patients in dentistry department. Taking experience from other area help to design a system to handle the SCHN even if it requires hiring a Dentist who is specialized in that filed.

Support from Healthcare Professionals for Couples/Partners Undergoing Assisted Reproductive Technology in Japan: A Literature Review

Background and Purpose: A growing number of couples/partners have been undergoing assisted reproductive technology (ART) in Japan. The purpose of this study was to clarify the support from healthcare professionals based on the support vectors in the Family Care/Caring Theory proposed by Hohashi (2015) through a literature review. Methods: Using Ichushi-Web, we searched for original articles using the keywords “assisted reproductive technology”, “infertility”, “family”, “couple”, “nursing”, “care”, and “support”. Thirteen articles suitable for the purpose of this study were subjected to content analysis. Family support was encoded and grouped into subcategories and categories, and classified according to support vectors. Results: A total of 21 categories of support from healthcare professionals was extracted. Intervention for family internal environment included seven categories, such as “Nursing professionals stay close to females”. Intervention for family system unit included five categories, such as “Nursing professionals adjust couple/partner relationships”. Intervention for micro system only included “Nursing professionals provide opportunities for peer support to the couples/partners” and intervention for macro system only included “Nursing professionals encourage medical doctors to relate to females”. Intervention for family chrono environment included seven categories, such as “Healthcare professionals resolve female’s anxieties”. Conclusion: The support from healthcare professionals could be organized by the support vectors of Family Care/Caring Theory, but intervention for supra system (culture, religion, etc.) was lacking. Moreover, because most support was directed toward females or couples/partners, male-focused direct and/or indirect support are also needed. .

Research Progress on the Home-based Healthcare Plan for the Elderly with Chronic Diseases

Objective:To develop a home-based care plan for the elderly person with chronic diseases based on the status of their home-based care needs and relevant literature.Methods:The clinical data consisted of 132 patients who were 60-year-old or older with chronic diseases from June 2019 to May 2020 were selected and categorized into control and treatment groups of 66 patients each.For the experimental group,a care team for chronically ill elderly receiving regular post-treatment bome-based care.Meanwhile,a general clinical care team for chronically ill elderly receiving regular treatment for the control group.The effectiveness of these two healthcare models was evaluated and analyzed.Results:Results showed that satisfaction and effectiveness of home-based care among the elderly with chronic diseases were statistically better(P<0.05)than those in the usual care group.Conclusion:Providing home-based care services to elderly patients with chronic illnesses helps them to improve their chronic disease condition,patients are more receptive to home care,and patients have higher rates of recovery and treatment satisfaction.

Meta-analysis of the willingness rate of community home-based care in China

Objective:To systematically evaluate the willingness rate of the community to provide for the aged at home and analyze its influencing factors.Methods:By searching the CNKI,VIP,Wanfang,we collected literature on the willingness of the elderly in the community to provide for the aged from 2011 to 2021,extracted the data,and evaluated the quality of the included literature.Then,CMA 2.0 software was used for Meta-analysis.Results:A total of 13 articles were included in this study,and 16,402 people over 60 years old were surveyed,1782 people were willing to provide for the aged at home in the community,with a total willingness rate of 11%(95%CI:9%to 26%).The results of subgroup analysis showed that there was a statistically significant difference in the community home care willingness rate of elderly people with different gender,education levels,marital status,monthly income,living alone,the number of children,and residence(P<0.05).There was not any statistically significant difference in the willingness rate of the elderly with different ages,chronic diseases,self-care ability,and loneliness(P>0.05).Conclusion:The overall willingness rate of the elderly in the community of the elderly is relatively low in China.Gender,education level,marital status,monthly income,living alone,number of children,and residence are factors affecting the prediction of community elderly will.

Home-based nursing for improvement of quality of life and depression in patients with postpartum depression

BACKGROUND Postpartum depression is a common mental illness in puerpera,with an incidence of approximately 3.5%-33.0%abroad,and the incidence of postpartum depression in China is higher than the international level,reaching 10.0%-38.0%.Providing effective nursing care in clinical nursing activities is one of the key points of obstetrical care.However,little research has been designed to investigate the positive role of home-based nursing in the prevention of postpartum depression.AIM To study the effect of home-based nursing for postpartum depression patients on their quality of life and depression.METHODS The clinical data of 92 patients with postpartum depression treated at our hospital were retrospectively analyzed.The patients were grouped according to the nursing methods used;40 patients receiving basic nursing were included in a basic nursing group,and 52 receiving home-based nursing were included in a home-based nursing group.Depression and anxiety were evaluated and compared between the two groups.The estradiol(E2),serotonin(5-hydroxytryptamine,5-HT),and progesterone(PRGE)levels were measured.RESULTS The SAS and SDS scores of the home-based nursing group were significantly lower than those of the basic nursing group(P<0.05).The E2 and 5-HT levels of the home-based nursing group were significantly higher than those of the basic nursing group,but the PRGE level was significantly lower than that of the basic nursing group.The GQOLI-74 scores(material,social,somatic,and psychological)and nursing satisfaction were significantly higher in the home-based nursing group(P<0.05).CONCLUSION Postpartum depression through home-based nursing can effectively alleviate depression and improve the quality of life of patients,help modulate their serum E2,5-HT,and PRGE levels,and improve their satisfaction with nursing care.

Medical assistance in fighting against COVID-19 in Wuhan,China:A frontline nurse’s experience and lessons learned

This article shared personal experiences of encountering challenges during the work at the frontline fighting against COVID-19 in Wuhan,China,and found solutions and suggestions to overcome the challenges during the period,including solutions to address challenges encountered during work,suggestions for smooth communication among different parties,and suggestions for optimizing work regulations and workflow and establishing behavior habits and professional knowledge and practices.These experiences would be helpful for health‑care workers to fight against the pandemic.

Challenges of the dialog between humanization of health and medicine for the assistance to woman health in the Brazilian scenario

The present article aims to present, by a bibliographic review, the current challenges of the dialog among fundamental issues referring to humanization as for current public policy in Brazilian scenario. The first one concerns with national health humanization policies and ultimately the humanization of the assistance to the woman’s health, especially at delivery and child birth. Using the hermeneutic dialectic as methodology, it’s understood that having these three facets, dialog consists not only of a great challenge but also of a condition on being put into practice, and expected issues become an effective reality.

农村养老的模式选择与影响因素研究

老龄化已成为全球共同面临的难题,而中国步入老龄化的速度不断加快,农村养老的解决方案更是迫在眉睫。基于河南省洛阳市孟津区4镇6村202份调查问卷,采用二元Logistic回归模型,从基本特征、经济特征、心理特征、社会支持特征4个维度15个指标构建农村养老模式选择模型。研究表明:基本特征中,受教育程度、性别、年龄、婚姻、居住情况、子女个数、家庭收入来源、月收入和稳定性对养老模式选择有一定影响;心理特征中担心无人照顾会对机构养老和互助养老产生影响;社会支持特征中社会养老保险补贴满意度会对社区居家养老产生影响。在家庭养老模式中,性别、年龄会对模式选择产生显著的正向影响,受教育程度、居住情况则产生显著的负向影响。在机构养老模式中,性别、年龄、受教育程度、婚姻、家庭收入来源、家庭月收入对模式选择有显著的正向影响,而害怕被遗弃和对社会养老保险补贴满意度有显著的负向影响。在社区养老模式中,受教育程度、居住情况、子女个数、日托、担心无人照顾以及对社会养老保险补贴满意度对模式的选择有显著的正向影响,而家庭收入来源、年龄和收入来源的稳定性则有显著的负向影响。在互助养老模式中,性别、婚姻、居住情况、担心无人照顾具有显著的正向影响,社会养老保险补贴满意度具有显著的负向影响。

嵌入性视角下农村互助养老政策的实践困境与优化路径——基于河南省H县的田野调查

伴随互助养老从社会自发发展阶段迈向国家视野下的积极统筹阶段,互助养老政策的现实重要性由此凸显出来。基于嵌入性视角,互助养老政策下乡必然受到诸多内生性因素影响,在此情形下,政策需要积极调适自身并推进认知、文化、组织和政策的社会嵌入,才能取得良好的政策效果。然而,由于注重硬件投入和追求标准化服务、互助文化式微和养老观念变迁、缺乏社会动员和组织体系建设、量化指标推进和行政控制权强化,当前互助养老政策存在认知脱嵌、文化脱嵌、组织脱嵌和政策脱嵌等结构性困境。作为改进,应加快协商平台构建和服务评估优化、强化养老政策宣传和家庭政策支持、加强社会精英吸纳和组织体系构建、优化治理主体合作和考核体系改善,塑造出良好的嵌入性环境,助推互助养老政策的认知、文化、组织和政治嵌入,真正实现低成本、高福利、可持续的互助养老服务生产。

移动医疗在左心室辅助装置植入患者延续护理中的应用进展

介绍国内外各种移动医疗干预手段在左心室辅助装置植入患者延续护理中的应用现状、应用形式及内容、局限性及建议,以期为移动医疗在左心室辅助装置植入患者延续护理中的发展提供参考。

左心室辅助装置植入术后病人居家自我管理的研究进展

对左心室辅助装置(LVAD)植入术后居家康复病人的自我管理现状、自我管理症状感知、自我管理理论与模式、自我管理方法以及评估等进行综述,以期为居家康复病人的临床出院指导提供参考。

左心室辅助装置植入患者围手术期行家庭参与式护理的实践

总结6例左心室辅助装置植入患者围手术期家庭参与式护理经验。护理要点:组建专案小组,选择合适的家庭照护责任人参与术前状态优化和心理支持、术后危重期鼓励家属参与ICU谵妄预防;出院准备期以家庭照护培训为重点,分阶段完成机械辅助装置管理、抗凝管理、症状管理、感染防控、日常生活管理五大模块的培训内容。6例患者皆顺利完成手术,家庭照护责任人全程参与围手术期护理,出院前掌握目标知识和技能,出院后家庭照护效果满意,居家期间随访无仪器设备故障及其他并发症,无非计划二次入院。

福祉机器人基础研究与系统开发及展望

以沈阳工业大学中日福祉机器人研究中心科技成果为主线,指出福祉机器人领域中某些观念误区、基础研究的重要性及推广应用中的技术瓶颈。提出福祉机器人的简明定义,从系统构成角度阐明福祉机器人与工业机器人的本质区别,并以自主研发的机能康复机器人、部分失能者自立生活辅助机器人、完全失能者护理机器人等为例,通俗地论述了其社会背景、基本研究理念、具体研究内容及难点、取得的创新性成果及正在攻关的挑战性课题。对福祉机器人新兴领域的科研机遇、人才需求、市场规模及就业前景等进行了展望。

临床药师帮扶联动基层医疗机构家庭药师服务模式与实践

目的探索提升基层医疗机构家庭药师服务能力的新模式,建立标准化、同质化的居家药学服务。方法建立“固定签约药师+流动临床药师”居家药学服务团队,以“常规服务+特色服务”的模式开展药物治疗管理、家庭药箱整理、合理用药科普等居家药学服务工作。二级、三级医院临床药师通过实践带教、病例讨论、科普分享等方式对基层医疗机构家庭药师进行帮扶联动。结果2021年6月至2022年12月,共解决药物治疗管理相关问题135个,整理了40余户家庭药箱,合理用药科普宣传覆盖8000余人次。结论临床药师和家庭药师帮扶联动,能更好地发挥二级、三级医院的资源和人才优势,全面促进居家药学服务提质增效,提升家庭药师的服务能力。

农村“双困”老年人长期照护筹资规模及保障机制研究

2020年我国乡村60周岁及以上人口占乡村总人口的23.8%,2021年面临自理能力丧失困境的农村老年人所占比重为26.4%,相较城镇,农村老年人口存在自主能力受限和认识能力障碍的人数较多,占比分别达到37.8%和36.5%。鉴于农村收入水平和家庭照护能力较低,完善农村“双困”老人照护机制已成为国家老龄事业发展中亟待解决的重大难题,也是目前农村养老政策中亟待解决的重要课题。运用Markov模型,结合2013—2015年中国健康与养老追踪调查(CHARLS)数据,测算未来30年农村“双困”老人的人口规模及结构,进而得出农村“双困”老人照护需要及社会救助成本。研究结果表明,我国失能老人数量呈现倒U型增长趋势,从2021年农村失能老人1789万人,到2036年达峰值后,随后会出现小幅下降,2051年降到1961万人。农村“双困”老人的照护需求和社会救助成本也随之上升,在中方案下,农村“双困”老人的救助成本规模从2021年的292.62亿元上升到2051年的580.96亿元,但此成本规模占财政支出的比例较少。基于以上结果,提出以满足农村“双困”老人照护服务需要为切入点,建立多层次的农村“双困”老人照护筹资体系,农村老年照护救助是解决农村“双困”老人照护问题的政策选择。

医联体县级医院静脉输液治疗专科护理帮扶体系的构建

目的:构建医联体县级医院静脉输液治疗专科护理帮扶体系,为医联体县级医院静脉输液治疗专科护理帮扶提供依据。方法:以“结构-过程-结果”三维质量结构理论为理论基础,运用文献回顾、问卷调查、半结构式访谈初步拟定县级医院静脉输液治疗专科护理帮扶体系初稿,采用德尔菲专家咨询法构建医联体县级医院静脉输液治疗专科护理帮扶体系终稿。结果:3轮专家咨询问卷有效回收率分别为91.3%、100.0%、100.0%,专家权威系数均为0.931,肯德尔协调系数分别为0.239、0.244、0.312,经χ2检验,差异均有统计学意义(P<0.001)。最终形成的医联体县级医院静脉输液治疗专科护理帮扶体系包括结构、过程、结果3项一级指标、11项二级指标和54项三级指标。结论:医联体县级医院静脉输液治疗专科护理帮扶体系具有科学性、可靠性和临床适用性,符合静脉输液治疗专科护理临床实践与护理管理特点,能促进静脉输液治疗专科护理优质资源有效、有序地下沉到县级医院。

社区养老服务对老年人社会参与的影响——基于CLASS 2020的实证分析

提高老年人社会参与水平对于贯彻落实积极应对人口老龄化战略具有重要意义。基于2020年中国老年社会追踪调查的数据,实证分析社区养老服务与老年人社会参与的关系,发现社区养老服务对老年人社会参与产生显著正向影响,社区提供的养老服务越全面,老年人的社会参与水平越高,这一结果具有稳健性。机制分析结果表明,社区养老服务通过智能助老设备向老年人增能,提高其社会参与水平。建议进一步提高社区养老服务的智慧化、专业化水平,促进智能助老设备普及,为老年人社会参与创造良好的条件,助力积极老龄化战略的贯彻落实。