健康教育护理干预对盆腔炎患者的护理效果

目的分析研究健康教育护理干预对盆腔炎患者的护理效果。方法选取我院盆腔炎患者100例作为研究对象,按照随机法分为对照组50例,实验组50例,对所有对照组患者实施常规护理模式,对实验组施行整体护理模式,统计对比两组患者健康知识的掌握程度,比较对照组和实验组患者的护理满意度。统计对比治疗的依从性。结果对两组盆腔炎患者健康知识的掌握程度进行比较,实验组明显高于对照组(P<0.05),对两组盆腔炎患者的护理满意度进行比较,实验组明显高于对照组(P<0.05),差异具有统计学意义。统计对比治疗依从性,和对照组相比,实验组的依从性达到了98%,组间对比差异显著,P<0.05。结论实施健康教育,对盆腔炎患者具有提高治疗依从性的效果,且护理满意度明显升高,在临床中值得应用和推广。

针对性护理干预在胃癌切除术患者中的护理效果及对并发症发生率的影响研究

目的:探讨针对性护理干预在胃癌切除术患者中的护理效果及对并发症发生率的影响效果;方法:选择2018年3月~2019年11月间我院收治的实施胃癌切除术患者100例为本次研究对象,随机将其分成观察组和对照组,每组50例,对照组患者实施常规护理,观察组患者在对照组基础上予以快速康复外科护理联合针对性护理干预,比较两组的护理效果及并发症发生情况;结果:观察组的伤口愈合时间、肛门排气时间、术后首次排便时间、住院时间明显短于对照组(P<0.05);观察组的生活质量各评分明显高于对照组(P<0.05);观察组的并发症发生率明显低于对照组的(P<0.05);结论:针对接受胃癌切除术的胃溃疡患者运用快速康复外科护理联用针对性护理的临床方案,临床治疗效果较佳,并且能够使得患者的生活质量得到有效改善,改善患者预后。

普外科手术患者ERAS理念下综合保温护理效果及对应激反应的影响

探究普外科手术患者ERAS理念下综合保温护理效果及对应激反应的影响.方法 收治50例普外科手术患者实施常规护理与ERAS理念下综合保温护理,对比两组的护理满意度与保温效果、应激反应等。结果 观察组的应激反应以及保温效果等指标与对照组进行对比,差异显著(P<0.05)。结论 常规护理与ERAS理念下综合保温护理对患者的疾病改善均有一定作用,但是较之常规护理,ERAS理念下综合保温护理对普外科手术患者的应用,保温效果更好,且能够更好地调整患者的应激反应,改善患者的凝血功能,促进护理满意度的提升。

鸟巢式护理在新生儿硬肿症中的应用效果观察

目的:探讨鸟巢式护理在新生儿硬肿症中的护理效果。方法:选取2015年3月~2017年6月本院诊治的42例硬肿症新生儿作为研究对象,并随机等分为对照组(常规新生儿硬肿症护理)和观察组(鸟巢式护理)。比较两组患儿护理后的疗效、体温恢复时间、硬肿消退时间、住院时间、并发症发生率及患儿家长对护理的满意度。结果:观察组患儿护理后的疗效优于对照组(P<0.05),体温恢复时间、硬肿消退时间及住院时间均短于对照组(P<0.05),并发症发生率低于对照组(P<0.05),患儿家长对护理的满意度高于对照组(P<0.05)。结论:鸟巢式护理在新生儿硬肿症中的护理效果较好,可辅助提高临床治疗效果,更受患儿家长的认可。

营养护理干预模式对晚期胃肠道肿瘤化疗患者的效果分析

目的探究营养护理干预模式对晚期胃肠道肿瘤化疗患者的临床效果。方法选取医院2018年10月—2019年10月收治的56例晚期胃肠道肿瘤化疗患者为研究对象。按照组间基线资料可比的原则,等分为对照组和观察组,各28例。对照组实施常规饮食干预模式,观察组在对照组的基础上给予营养护理干预模式。比较两组干预前后各项营养指标和生活质量、不良反应发生率。结果干预前两组各项营养指标比较,差异无统计学意义(P>0.05)。干预后观察组各项营养指标优于对照组(P<0.05)。两组干预前生活质量评分比较,差异无统计学意义(P>0.05),干预后观察组生活质量评分优于对照组,不良反应的发生率少于对照组(P<0.05)。结论对晚期胃肠道肿瘤化疗患者实施营养护理干预模式,可改善患者的各项营养指标,身体状况和生活质量,减少不良反应的发生率。

高血压患者的优质护理干预及临床效果观察

目的:探讨高血压患者的优质护理干预及临床效果。方法:收治高血压患者100例,随机分成对照组和观察组,对照组采用常规护理,观察组采用优质护理,比较两组护理效果。结果:观察组的治疗护理依从率、生活质量评分、护理满意度均明显高于对照组(P<0.05)。结论:对高血压患者采用优质护理,可以有效改善患者的临床症状,提高患者的生活质量。

一次性分装袋式输液器在临床中的应用效果观察

目的探讨一次性分装袋式输液器在临床中的应用效果。方法将应用一次性分装袋式输液器和应用一次性普通输液器的300例输液患者随机分为实验组（n=150）与对照组（n=150）。实验组应用一次性分装袋式输液器的方法输液；对照组仅应用一次性普通输液器的方法输液，观察两组输液器的应用效果。结果实验组与对照组在临床应用效果及患者满意度方面比较，经统计学分析，均有显著性差异（均P〈0．01）。结论应用一次性分装袋式输液器节时省力、降耗，可有效提高护理工作质效及患者满意度，降低医疗风险及减少护理纠纷，有效防范医疗事故的发生，值得临床推广应用。

护理干预对感染性疾病科患者心理状态及生活质量的影响

目的探究感染性疾病科患者的护理干预效果。方法2018年9月~2020年7月期间,选取82例前来内蒙古自治区人民医院就诊治疗的感染性疾病科患者开展研究,在随机数字表格法的原则下将以上患者分为两组,组别为:对照组、实验组。其中,41例对照组感染性疾病科患者给予常规护理,另外41例实验组感染性疾病科患者给予综合护理,比较两组护理成效。结果常规护理、综合护理前,2组感染性疾病科患者的SAS、SDS评分差异不明显(P>0.05)。护理后,实验组的以上指标均低于对照组(P<0.05);生活质量评分(心理功能、生理功能、社会功能、物质生活)相比,实验组高(P<0.05)。结论对于感染性疾病科患者,综合护理的实施可有效改善其焦虑、抑郁情绪,促进患者生活质量的进一步提升,使用价值显著,值得推行。

内科护理管理中优质护理管理模式的应用

研究优质护理管理模式,在内科护理管理中的应用。方法 选择2020年7月~2022年12月中的44名护理人员、90例患者,均分2组,比较护理管理的效果。结果 研究组的整体应用情况较优,有统计学意义,(P<0.05)。结论 当优质护理管理模式被应用在内科护理之中,促使护理质量得以提升,为患者提供高质量的服务,减少不良事件的出现,,维护患者的身体健康,适合临床推广。

The impact of task characteristics on the performance of nursing teams

Purpose:This study sought to examine the relationship between team task features and team task performance.Team task performance revolved around the team's technical knowledge and the technical core activities of the organization.On the other hand,team task characteristics include task identity,task significance,and task interdependence.Methods:This study involved a total of 300 nursing teams(1436 individual nurses)from seven state hospitals in Peninsular Malaysia.Data were collected using two sets of questionnaires which were initially distributed to 320 teams.One set was given to the team members and another set was given to the team leaders.Of the 320 sets sent out,300 sets were returned.Responses were then combined and aggregated to the team level to get the team's final score.Analyses of the hypotheses were done using Partial Least Squares(PLS)through assessment of the measurement and structural model.Results:Results from the path analysis revealed that of the three dimensions of team task attributes,only task significance was positively and significantly related to team task performance(β=0.076,P>0.05),while task identity(β=0.076,P>0.05)and task interdependence(β=-0.037,P>0.05)were found unrelated to team task performance.Conclusions:This study demonstrated that task significance is important to predict team task performance.Task significance reflects meaningfulness and nobility of tasks,thus elevate the desire to perform better in each assigned task.

Self-care among older Chinese people with chronic heart failure： the roles of cognitive and psychosocial characteristics

Chronic heart failure （CHF） is a complex clinical syndrome resulting from inefficient myocardial pumping, and is characterised by a typical progressively deteriorating trajectory punctuated by serious episodes of acute disease decompensation.High prevalence of hospital admission has been reported.[2] However, around 40% of hospital admissions was avoidable if patients demonstrate consistent self-care.

Development of an assessment scale for treatment compliance in type 2 Diabetes Mellitus in Turkish population:Psychometric evaluation

Objectives:Compliance to treatment is important for the management of type 2 diabetes mellitus(DM)and the prevention of complications.The purpose of the study was to develop a scale and test its psychometric properties for the treatment compliance of the diabetic Turkish population.Methods:This multicenter study was conducted in four training and research hospitals.The convenience sample consisted of 350 patients with type 2 DM.The items of the scale were determined after a literature review and qualitative interviews with the patients.Items were psychometrically analyzed.Content validity of the scale was evaluated using opinions from experts and a pilot study.Principal component analysis and the varimax rotation technique were used to evaluate construct validity in exploratory factor analysis.Criterion validity was evaluated with the Attitudes Towards Diabetes Scale,a subgroup of the Diabetes Care Profile scale.Reliability was evaluated with Cronbach'sαcoefficient and test-retest analysis of internal consistency.Results:The scale consisted of 7 factors that explained 47.36%of the total variance.The KMO test was conducted to determine whether the sample size was sufficient before the factor analysis.The KMO test result of the data was 0.75.The Cronbach'sαvalue of the sample was 0.77.The test-retest reliability analysis result was r=0.991.We found a positive correlation between total scores of the developed scale and the Attitudes Towards Diabetes Scale(r=0.31).Conclusion:The results of the study demonstrated that the scale with 30 items is a valid and reliable scale for the evaluation of patient compliance with type 2 DM treatment.Thus,by using this scale,nurses and healthcare providers can evaluate the treatment compliance of patients with type 2 DM.

Nursing students'knowledge,willingness,and attitudes toward the first aid behavior as bystanders in traffic accident trauma:A cross-sectional survey

Objectives:The purpose of the study was to investigate the nursing students'levels of the knowledge,willingness,and attitudes toward first aid behavior as bystanders in road traffic accident and the related factors.Methods:A total of 475 nursing students were recruited by convenience choosing in Tianjin University of Traditional Chinese Medicine.The nursing students'self-efficacy,core self-evaluation,knowledge,willingness and attitudes toward first aid behavior as bystanders in traffic accidents were investigated with a self-designed questionnaire.Results:The scores of knowledge,willingness,and attitudes toward first aid behavior in traffic accident trauma were 7.51±1.93,15.54±5.03,and 7.73±1.56,respectively.Students who once gained training of first aid showed lower levels of attitude toward first aid behavior than those untrained(t=-2.345,P=0.019).It was found that self-efficacy was correlated to the knowledge(r=0.150,P<0.001),willingness(r=0.182,P<0.004)and attitudes toward behavior of the first aid(r=0.371,P<0.001)among nursing students.Core self-evaluation was correlated to knowledge(r=0.193,P<0.001)and attitudes toward behavior of the first aid(r=0.199,P<0.001).Conclusions:The first aid knowledge among nursing students was not satisfactory.The study suggested that an unsustainable short first-aid training program may bring negative effects.Countermeasures should be taken to ensure both quality and continuity of first aid training.Meanwhile,more attention should be paid to improving the self-efficacy and core self-evaluation of the nursing students.

Turkish validity and reliability of the Diabetes Self-Efficacy Scale

Purpose:The aim of this methodological study was to determine the validity and reliability of the Diabetes Self-Efficacy Scale adapted to the Turkish community.Methods:The study sample was completed with 319 patients who had been diagnosed at least 1 year before and hospitalized in the Malatya Turgut Ozal Health Center and Malatya State Hospital in Turkey.A questionnaire that consists of items on sociodemographic characteristics,drug use and information about the disease of patients and the Diabetes Self-Efficacy Scale were used for data collection in the study.In reliability analysis of the scale,the Cronbach'sαcoefficient was calculated and item analysis method was utilized.Factor analysis was used for the construct validity,and Principal Component Analysis and Varimax Rotation method were used for analyzing the factor structures.Results:According to data obtained in the study,item-total correlation of the items of the scale was found to be at an adequate level(0.297-0.803).The scale's Cronbach'sαreliability coefficient was found to be 0.86,and there was one factor that explains 52.38%of the total variance with an eigenvalue was greater than 1.0.As a result of the analysis,the factor loadings of the items of the scale were found to bebetween 0.59 and 0.81.Conclusion:Diabetes Self-Efficacy Scale is a valid and reliable instrument for determining the self-efficacy of patients and providing a proper care.It can be suggested to investigate and evaluate the consistency of the scale by applying it to broader sample groups representing different socioeconomic levels.

Adaptation of the Turkish version of Nurses' Self Concept Questionnaire

Objectives:Nurse's self-concept is significant for professionalism.We aimed to determine the reliability and validity of the Turkish version of a Nurses'Self Concept Questionnaire.Methods:A methodological study was conducted with the participation of a group of nursing students and nurses.For the statistical analysis,structural equation models,convergent validity analyses,discriminate validity analyses,internal consistency analysis,and test-retest reliability analyses were used.Results:Correlation-coefficient for the test-retest reliability of the Turkish version of Nurses'SelfConcept Questionnaire was 0.87.The internal consistency of this questionnaire was calculated with Cronbach'sαcoefficient and it was found high across the six subscales from 0.83 to 0.91.The goodness of fit indices was determined as acceptable.Conclusions:According to results,this Nurses'Self-Concept Questionnaire is a valid and reliable instrument for assessing nurses'and nursing students'self-concept in Turkey.

Decadal Trend of Coastal Water Quality in Orange County Beaches and Management Efficacy at Improving Public Health Protection

Historical fecal indicator bacteria measurements （n = 125,000; 10 years） in Orange County coastal zone, an interface with urban watershed that is one of the most developed areas in the United States and source of highly polluted runoff discharges, have been compiled and analyzed. During the period from 2000 to 2010, fecal indicator bacteria concentrations in Orange County Beaches progressively increased （poor water quality） in the first half of the decade and progressively decreased （improved water quality） during the last half of the decade. Among all physical, chemical and environmental factors, 59%-74% of the variability in the fecal indicator bacteria concentrations in the coastal zone records can be attributed to seasonal and interannual variability in local rainfall, implying that stormwater runoff from the surrounding urban watershed is a primary source of fecal pollution in Orange County Beaches. These results suggest that efforts to improve water quality in Orange County Beaches and protect beach-goers from pollution will likely have greater efficacy during wet weather periods than the rest of the year. In addition, this study identified the effect of alongshore surf zone current on fecal pollution caused by coastal waves. The data and analysis presented in this paper provide a framework for evaluating the longer period water quality trend in the coastal area, and elucidate Best-Management-Practices that can improve public health protection by managing coastal water quality compliance with standards.

Parents'and teachers'expectations of school nurse roles:A scale development study

Objectives:Many studies concerning the roles and functions of school nurses exist,however,such studies are very limited in Turkey and there is any research on a comprehensive measuring tool that can evaluate teachers'and parents'perceptions and expectations of school nurses roles.The purpose of this study is to develop a valid and reliable assessment tool that can be used to determine parents'and teachers'expectations of school nurse's roles.Methods:For the methodological research"Parents'and Teachers'Expectations of School Nurse's Roles"scale was designed and administered at primary and high schools in Turkey.To assess the data,assessment of item variability,internal consistency,factor analysis,correlations between the scale and subscales,and test-retest reliability were utilized.Results:The content validity index for the scale was 0.94.As a result of core components analysis varimax rotation,7 factors were obtained from 54 items.Cronbach'sαcoefficient for the factors ranged from 0.82 to 0.92.The intra-class correlation coefficient for the test-retest reliability was 0.859,P<0.001.Conclusions:The scale was a rather valid and reliable assessment tool in determining the parents'and teachers'expectations of school nurses'roles.

Efficacy and nursing of stereotactic radiotherapy in lung cancer patients with brain metastases

Objective: To observe the efficacy of stereotactic radiotherapy (SRT) in lung cancer patients with brain metas-tases and explore the nursing for those patients. Methods: From June 2002 to December 2006, 43 patients of lung cancer with brain metastases were treated with SRT, 8 of them were treated with the association of whole-brain radiotherapy (WBRT) and 6 of them were treated with combination of chemotherapy. During the period of SRT, the patients were applied with active psychological nursing and diet nursing. We also tried to prevent patients from epicranium injury, and meanwhile, patients were asked to took active convalesce exercise. Results: All patients finished SRT without serious reaction and complication. Local control rate was 81.4%, nervous system symptoms relief rate was 76.7% and KPS score was raised significantly. Survival time ranged from 2 to 34 months, median survival time was 8.5 months, and 6-month, 1-and 2-year survival rates were 58.9%, 26.2%, and 6.0% respectively. Conclusion: SRT was one of the effective palliation treatments for the lung cancer patients with brain metastases, and with the assistance of effective nursing, which would prolong their survival time and improved quality of life.

A Concept Analysis of Continuity of Care in Nursing

Purpose： This paper is a report about the concept analysis of continuity of care, to get further understanding of continuity of care. Methods： The Walker and Avant concept analysis approach was applied in this paper. Results： The three attributes include： seamless transfer, flexible reaction and effective interaction. The antecedents were changed needs and patient centred care. In addition, the continuity of care had a significant effect on patients’ outcome, satisfaction and costs. Conclusions： This analysis provides nurses an understanding about continuity of care in both patient’s and care provider’s perspective. Continuity of care is a tailored services provided by care givers, which is an essential element of healthcare system.

Control Experimental Study on the Application of Acupuncture Therapy to the Treatment of Peripheral Facial Neuritis in Acute Phase and Its Nursing

Objective： This study aimed to prove acupuncture therapy exerted an obvious clinical efficacy in the treatment of peripheral facial neuritis in acute phase. Methods： 60 clinically collected cases were chosen in the study and randomly divided into control group and treatment group. In control group, dexamethasone, vitamin B, vitamin B 12, and mecobalamine were applied in acute phase, and then acupuncture therapy was combined in remission. In treatment group, western medicine combining with acupuncture therapy was used in acute phase, and three courses of treatment were totally applied. Results： The final conditions of two groups were good, and the grouping was balanced, so the comparability between them was good （P〉0.05）; the curative effects of two groups were significantly different： the effect of treatment group was better than that of control group （P〈0.01）. Conclusion： The acute phase was necessarily grasped to apply acupuncture therapy to the treatment of peripheral facial neuritis, and the curative effect would be more significant if acupuncture therapy was more early used.