Objective:To identify self-care actions for the maintenance of arteriovenous fistula of renal patients.Method:An integrative review study was conducted and literature were searched in Medline/PubMed,Scopus,CINAHL LILA...Objective:To identify self-care actions for the maintenance of arteriovenous fistula of renal patients.Method:An integrative review study was conducted and literature were searched in Medline/PubMed,Scopus,CINAHL LILACS,BDENF and SciELO Library databases using the descriptors chronic renal insufficiency,arteriovenous fistula,self-care,and knowledge.The inclusion criteria were that the documents be written in Portuguese,English,and Spanish,full text available,published in the last five years,and that they address the research question.Reflection articles,theses,dissertations,editorials of nonscientific journals,and research studies that did not follow the necessary methodological rigor were excluded.Data were analyzed with the IRAMUJTEQ software.Results:Fifteen articles were selected and comprised the final sample.Seven classes of self-care actions emerged from the text segments analysis and grouped into three categories:(1)Self-care actions that maintain the arteriovenous fistula;(2)Self-care actions for the prevention and the monitoring of complications with arteriovenous fistula;(3)Self-care actions directed at the perioperative period of arteriovenous fistula preparation.Conclusion:The results allowed us to identify important care for the maintenance of arteriovenous fistula functionality.The self-care actions identified in this study can guide a nursing care policy for implementation with protocols that help identify problems related to self-care actions and,thus,subsidize the development of actions aimed at the renal patient.However,more studies with high levels of evidence that identify self-care actions with arteriovenous fistula and the factors involved in its implementation are needed.展开更多
Purpose:The guidelines on the management of patients with heart failure support intensive patient education on self-care.The present study aimed to evaluate the short-term and long-term impacts of a structured educati...Purpose:The guidelines on the management of patients with heart failure support intensive patient education on self-care.The present study aimed to evaluate the short-term and long-term impacts of a structured education provided by a qualified heart failure nurse on patients'self-care behavior and disease knowledge.Methods:One hundred fifty patients(66±12 years)hospitalized for heart failure participated in a structured one-hour educational session by a heart failure nurse.Patients completed a questionnaire comprising 15 questions(nine questions from the European Heart Failure Self-Care Behavior Scale[EHFScB-9]and six on the patients'disease knowledge)one day before and one day and six months after the educational session.Possible responses for each question ranged from 1(complete agreement)to 5(complete disagreement).Results:After the educational session,the total EHFScB-9 score improved from 24.31±6.98 to 14.94±6.22,and the disease knowledge score improved from 18.03±5.44 to 10.74±4.30(both P<0.001).Scores for individual questions ranged from 1.26±0.81(adherence to the medication protocol)to 3.66±1.58(everyday weighing habits)before the education.The greatest improvement after education was observed on response to weight gain(-2.00±1.57),daily weight control(—1.77±1.64),and knowledge on the cause of patients'heart failure(-1.53±1.43).At 6-month follow-up,EHFScB-9 score was 17.33±7.23 and knowledge score was 12.34±5.30(both P<0.001 compared with baseline).No factor was predictive of an insufficient teaching effect.Conclusions:The educational program led by a qualified nurse improves patients'self-care behavior and disease knowledge with a persistent effect at 6-month follow-up.There are no patient characteristics which preclude the implementation of an educational session.展开更多
The so-called emotional education is the education of cultivating students＇ social emotion, promoting their self-control ability and promoting students to correctly cope with the relationship between themselves and s...The so-called emotional education is the education of cultivating students＇ social emotion, promoting their self-control ability and promoting students to correctly cope with the relationship between themselves and surrounding environment. In college English teaching, implementing emotional education not only can teach knowledge to students, but also can help others to form perfect personality, to promote all-round development of students. However, fi＇om the present situation, in college English teaching, it generally exists ＂focusing more on knowledge and less on emotion＂ phenomenon, which doesn＇t conform to the requirement of quality education. In college English teaching, conducting emotional education is necessary and imminent.展开更多
The left-behind adolescents in Three Gorges Reservoir area are at an economic disadvantage situation, and the separation of their parents, inter-generational education and lack of education led to many problems. Lack ...The left-behind adolescents in Three Gorges Reservoir area are at an economic disadvantage situation, and the separation of their parents, inter-generational education and lack of education led to many problems. Lack of family education in critical period of their growth resulted that young people stay without the right guidance, and the development of self-consciousness does not enter the right track, causing a variety of psychological problems, which if not properly grooming, will become a crime risk, thus affecting the community stable. By focusing on children in the Three Gorges Reservoir area, we understand the causes of crime of rural adolescents, and then take proper countermeasures for prevention.展开更多
In keeping with the need for skills development and increased demand by business for more robust systems to develop staff, innovative ways for the development of human capital would need to be found. The current role ...In keeping with the need for skills development and increased demand by business for more robust systems to develop staff, innovative ways for the development of human capital would need to be found. The current role of workplace learning would need to align to job and qualification requirements. Organisations would need to explore the development of Corporate Qualifications Frameworks to quantity skills needs. In the process, attention has to be paid to creat contextual awareness as well as a sense of purpose for learners. In essence, an integrated educational model that should be more flexible, more adaptable, and more effective, serving the needs of society at large should be considered. Care should be taken to build frameworks and models that address both the productive needs of organisations, whilst at the same time, ensuring the engagement of individuals. These frameworks should entice the employee to participate in a self-development process that benifits the organisation. Corporates should address the aspirations of individuals and plan more rewarding careers for staff. Employees should have a clear path for development and growth. Through collective effort, all particpants would benefit.展开更多
基金This work was supported by the National Council for Scientific and Technological Development in Brazil
文摘Objective:To identify self-care actions for the maintenance of arteriovenous fistula of renal patients.Method:An integrative review study was conducted and literature were searched in Medline/PubMed,Scopus,CINAHL LILACS,BDENF and SciELO Library databases using the descriptors chronic renal insufficiency,arteriovenous fistula,self-care,and knowledge.The inclusion criteria were that the documents be written in Portuguese,English,and Spanish,full text available,published in the last five years,and that they address the research question.Reflection articles,theses,dissertations,editorials of nonscientific journals,and research studies that did not follow the necessary methodological rigor were excluded.Data were analyzed with the IRAMUJTEQ software.Results:Fifteen articles were selected and comprised the final sample.Seven classes of self-care actions emerged from the text segments analysis and grouped into three categories:(1)Self-care actions that maintain the arteriovenous fistula;(2)Self-care actions for the prevention and the monitoring of complications with arteriovenous fistula;(3)Self-care actions directed at the perioperative period of arteriovenous fistula preparation.Conclusion:The results allowed us to identify important care for the maintenance of arteriovenous fistula functionality.The self-care actions identified in this study can guide a nursing care policy for implementation with protocols that help identify problems related to self-care actions and,thus,subsidize the development of actions aimed at the renal patient.However,more studies with high levels of evidence that identify self-care actions with arteriovenous fistula and the factors involved in its implementation are needed.
基金supported by a grant of the German Foundation for the Chronically Ill,Alexander strasse 26,90762 Furth,Germany.
文摘Purpose:The guidelines on the management of patients with heart failure support intensive patient education on self-care.The present study aimed to evaluate the short-term and long-term impacts of a structured education provided by a qualified heart failure nurse on patients'self-care behavior and disease knowledge.Methods:One hundred fifty patients(66±12 years)hospitalized for heart failure participated in a structured one-hour educational session by a heart failure nurse.Patients completed a questionnaire comprising 15 questions(nine questions from the European Heart Failure Self-Care Behavior Scale[EHFScB-9]and six on the patients'disease knowledge)one day before and one day and six months after the educational session.Possible responses for each question ranged from 1(complete agreement)to 5(complete disagreement).Results:After the educational session,the total EHFScB-9 score improved from 24.31±6.98 to 14.94±6.22,and the disease knowledge score improved from 18.03±5.44 to 10.74±4.30(both P<0.001).Scores for individual questions ranged from 1.26±0.81(adherence to the medication protocol)to 3.66±1.58(everyday weighing habits)before the education.The greatest improvement after education was observed on response to weight gain(-2.00±1.57),daily weight control(—1.77±1.64),and knowledge on the cause of patients'heart failure(-1.53±1.43).At 6-month follow-up,EHFScB-9 score was 17.33±7.23 and knowledge score was 12.34±5.30(both P<0.001 compared with baseline).No factor was predictive of an insufficient teaching effect.Conclusions:The educational program led by a qualified nurse improves patients'self-care behavior and disease knowledge with a persistent effect at 6-month follow-up.There are no patient characteristics which preclude the implementation of an educational session.
文摘The so-called emotional education is the education of cultivating students＇ social emotion, promoting their self-control ability and promoting students to correctly cope with the relationship between themselves and surrounding environment. In college English teaching, implementing emotional education not only can teach knowledge to students, but also can help others to form perfect personality, to promote all-round development of students. However, fi＇om the present situation, in college English teaching, it generally exists ＂focusing more on knowledge and less on emotion＂ phenomenon, which doesn＇t conform to the requirement of quality education. In college English teaching, conducting emotional education is necessary and imminent.
文摘The left-behind adolescents in Three Gorges Reservoir area are at an economic disadvantage situation, and the separation of their parents, inter-generational education and lack of education led to many problems. Lack of family education in critical period of their growth resulted that young people stay without the right guidance, and the development of self-consciousness does not enter the right track, causing a variety of psychological problems, which if not properly grooming, will become a crime risk, thus affecting the community stable. By focusing on children in the Three Gorges Reservoir area, we understand the causes of crime of rural adolescents, and then take proper countermeasures for prevention.
文摘In keeping with the need for skills development and increased demand by business for more robust systems to develop staff, innovative ways for the development of human capital would need to be found. The current role of workplace learning would need to align to job and qualification requirements. Organisations would need to explore the development of Corporate Qualifications Frameworks to quantity skills needs. In the process, attention has to be paid to creat contextual awareness as well as a sense of purpose for learners. In essence, an integrated educational model that should be more flexible, more adaptable, and more effective, serving the needs of society at large should be considered. Care should be taken to build frameworks and models that address both the productive needs of organisations, whilst at the same time, ensuring the engagement of individuals. These frameworks should entice the employee to participate in a self-development process that benifits the organisation. Corporates should address the aspirations of individuals and plan more rewarding careers for staff. Employees should have a clear path for development and growth. Through collective effort, all particpants would benefit.
