目的分析体力活动动态调适护理干预策略在新诊断2型糖尿病(T2DM)患者中的应用效果。方法选取本院2018年3月—2019年4月120例新诊断T2DM患者,依据建档时间分为常规组(60例)及研究组(60例),常规组予以常规护理干预,研究组基于常规护理予...目的分析体力活动动态调适护理干预策略在新诊断2型糖尿病(T2DM)患者中的应用效果。方法选取本院2018年3月—2019年4月120例新诊断T2DM患者,依据建档时间分为常规组(60例)及研究组(60例),常规组予以常规护理干预,研究组基于常规护理予以体力活动动态调适护理干预策略。统计对比两组护理工作满意度及治疗前后血糖[空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)]水平、血脂[总胆固醇(TC)、甘油三酯(TG)]水平。结果干预后研究组HbA1c、2 h PG、FPG较常规组低,差异显著(P<0.05);干预后研究组TC、TG较常规组低,差异显著(P<0.05);研究组护理工作满意度为93.33%(56/60),高于常规组73.33%(44/60),差异显著(P<0.05)。结论体力活动动态调适护理干预策略运用于新诊断T2DM患者护理,可显著控制血糖、血脂水平,提高护理工作满意度。展开更多
目的探讨消化道异物内镜手术患者中采用多维度整合模式下特性适应护理的应用情况。方法选取80例因异物吞入而接受上消化道内镜异物取出术的患者,分为对照组(40例)与观察组(40例)。对照组实施常规上消化道异物内镜取出术后护理,观察组在...目的探讨消化道异物内镜手术患者中采用多维度整合模式下特性适应护理的应用情况。方法选取80例因异物吞入而接受上消化道内镜异物取出术的患者,分为对照组(40例)与观察组(40例)。对照组实施常规上消化道异物内镜取出术后护理,观察组在对照组基础上行多维度整合模式下特性适因护理,对比两组患者围术期间护理依从性、干预前后心境状态量表评分(Profile of Mood Stastes,PSMS)、抑郁状态(Hospital Anxiety and Depression on Scale,HADS)与术后护理期间舒适程度(general confort questionnaire,GCQ)及术后护理期间并发症情况。结果干预后,两组患者护理依从性差异明显,观察组护理依从性较对照组更高(P<0.05);两组患者PSMS与HADS评分均有下降,且观察组两项评分均低于对照组,差异具有统计学意义(P<0.05);术后护理期间,观察组患者GCQ评分高于对照组,差异具有统计学意义(P<0.05);术后护理期间,观察组患者并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论采用多维度整合模式下特性适因护理对行消化道异物内镜手术患者实行护理干预,能够显著提高该类患者护理依从性,缓解患者心理压力,降低并发症发生风险。展开更多
Objectives:To examine the effects of the Roy Adaptation Model-based interventions on adaptation in persons with heart failure.Methods:A quasi-experimental study was conducted in Hangzhou,China,from March 2018 to Novem...Objectives:To examine the effects of the Roy Adaptation Model-based interventions on adaptation in persons with heart failure.Methods:A quasi-experimental study was conducted in Hangzhou,China,from March 2018 to November 2019.A convenience sample of 112 participants with heart failure from a multi-campus hospital was enrolled.Participants were allocated into an intervention group(n=55)and a control group(n=57)according to their hospitalized campus.A culturally-tailored care plan intervention based on the Roy Adaptation Model was performed in the intervention group.The control group received bedside patient education and a regular booklet for HF home care before discharge.Heart ultrasound,Minnesota Living with Heart Failure Questionnaire(MLHFQ),a knowledge survey,Self-care Heart failure Index(SCHFI),and Coping and Adaptation Processing Scale-Short Form(CAPS-SF)were used to measure patients’levels of adaptation of physical function,self-concept,role function,and interdependence at baseline and six months after discharge.Results:Ninety-one participants with complete data,43 in the intervention group and 48 in the control group,were included in the analysis for the primary endpoints and showed adaptive improvement trends.Most patients in the intervention group completed 60%or more of the given interventions.At the sixth month after discharge,compared with the control group,the intervention group had improved adaptive behaviors showing higher scores of the MLHFQ(70.90±22.45 vs.54.78±18.04),heart failurerelated knowledge(13.79±2.45 vs.10.73±4.28),SCHFI maintenance(57.67±13.22 vs.50.35±10.88),and CAPS-SF(40.23±4.36 vs.38.27±2.60)at the six-month follow-up(P<0.05).There were no significant differences between the two groups in the scores of left ventricular ejection fraction,scores of SCHFI management and SCHFI confidence subscales(P>0.05).Conclusions:The findings reported evidence of positive adaptation in patients with heart failure,indicating that the Roy Adaptation Model is an effective guide for developing an implemented framework for the nursing practice of the patients.The culturally-tailored care plan intervention is helpful to improve adaptation of patients with heart failure.展开更多
Objectives:This study aimed to explore the level of stress,types of stressors,type of coping styles,and factors influencing stress levels and coping styles among nursing students during the initial period of the clini...Objectives:This study aimed to explore the level of stress,types of stressors,type of coping styles,and factors influencing stress levels and coping styles among nursing students during the initial period of the clinical practicum.Methods:A cross-sectional survey design was used.In September 2017,participants were recruited from a tertiary hospital in Zhejiang Province,China,using a convenience sampling method.A demographic characteristics questionnaire,the Intern Nursing Student Stressor Scale,and the Simple Coping Style Questionnaire were used to collect data.Data were analyzed using descriptive analysis,independent sample t-tests,one-way analysis of variance,Pearson’s correlation analysis,and multiple linear regres-sion analysis.Results:A total of 158 nursing students were recruited,most of whom were female,undergraduates,and from rural areas.The nursing students perceived a moderate level of stress during the initial period of the clinical practicum.The need for knowledge and skills was the most common source of stress.Positive coping styles were most commonly adopted.Nursing students who were undergraduates,only children,and chose nursing major involuntarily experienced higher stress levels than those who were junior college students,not only children,and chose nursing major voluntarily.Nursing undergraduates were more likely to use positive coping styles than junior college students.Male nursing students and those experiencing higher stress levels related to the“environment and equipment of the wards”and the“nature and content of the work”were more likely to use negative coping styles.Conclusion:Nursing educators should offer targeted guidance based on the stress reported during the clinical practicum and the demographic characteristics of the nursing students.Guidance should be provided to encourage nursing students to adopt effective coping strategies and reduce stress.展开更多
文摘目的分析体力活动动态调适护理干预策略在新诊断2型糖尿病(T2DM)患者中的应用效果。方法选取本院2018年3月—2019年4月120例新诊断T2DM患者,依据建档时间分为常规组(60例)及研究组(60例),常规组予以常规护理干预,研究组基于常规护理予以体力活动动态调适护理干预策略。统计对比两组护理工作满意度及治疗前后血糖[空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)]水平、血脂[总胆固醇(TC)、甘油三酯(TG)]水平。结果干预后研究组HbA1c、2 h PG、FPG较常规组低,差异显著(P<0.05);干预后研究组TC、TG较常规组低,差异显著(P<0.05);研究组护理工作满意度为93.33%(56/60),高于常规组73.33%(44/60),差异显著(P<0.05)。结论体力活动动态调适护理干预策略运用于新诊断T2DM患者护理,可显著控制血糖、血脂水平,提高护理工作满意度。
文摘目的探讨消化道异物内镜手术患者中采用多维度整合模式下特性适应护理的应用情况。方法选取80例因异物吞入而接受上消化道内镜异物取出术的患者,分为对照组(40例)与观察组(40例)。对照组实施常规上消化道异物内镜取出术后护理,观察组在对照组基础上行多维度整合模式下特性适因护理,对比两组患者围术期间护理依从性、干预前后心境状态量表评分(Profile of Mood Stastes,PSMS)、抑郁状态(Hospital Anxiety and Depression on Scale,HADS)与术后护理期间舒适程度(general confort questionnaire,GCQ)及术后护理期间并发症情况。结果干预后,两组患者护理依从性差异明显,观察组护理依从性较对照组更高(P<0.05);两组患者PSMS与HADS评分均有下降,且观察组两项评分均低于对照组,差异具有统计学意义(P<0.05);术后护理期间,观察组患者GCQ评分高于对照组,差异具有统计学意义(P<0.05);术后护理期间,观察组患者并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论采用多维度整合模式下特性适因护理对行消化道异物内镜手术患者实行护理干预,能够显著提高该类患者护理依从性,缓解患者心理压力,降低并发症发生风险。
基金This work was supported by Health Commission of Zhejiang Province(grant number WKJ-ZJ-1925 and 2019ZD034)The authors thank all investigators and participants who participated in the study.
文摘Objectives:To examine the effects of the Roy Adaptation Model-based interventions on adaptation in persons with heart failure.Methods:A quasi-experimental study was conducted in Hangzhou,China,from March 2018 to November 2019.A convenience sample of 112 participants with heart failure from a multi-campus hospital was enrolled.Participants were allocated into an intervention group(n=55)and a control group(n=57)according to their hospitalized campus.A culturally-tailored care plan intervention based on the Roy Adaptation Model was performed in the intervention group.The control group received bedside patient education and a regular booklet for HF home care before discharge.Heart ultrasound,Minnesota Living with Heart Failure Questionnaire(MLHFQ),a knowledge survey,Self-care Heart failure Index(SCHFI),and Coping and Adaptation Processing Scale-Short Form(CAPS-SF)were used to measure patients’levels of adaptation of physical function,self-concept,role function,and interdependence at baseline and six months after discharge.Results:Ninety-one participants with complete data,43 in the intervention group and 48 in the control group,were included in the analysis for the primary endpoints and showed adaptive improvement trends.Most patients in the intervention group completed 60%or more of the given interventions.At the sixth month after discharge,compared with the control group,the intervention group had improved adaptive behaviors showing higher scores of the MLHFQ(70.90±22.45 vs.54.78±18.04),heart failurerelated knowledge(13.79±2.45 vs.10.73±4.28),SCHFI maintenance(57.67±13.22 vs.50.35±10.88),and CAPS-SF(40.23±4.36 vs.38.27±2.60)at the six-month follow-up(P<0.05).There were no significant differences between the two groups in the scores of left ventricular ejection fraction,scores of SCHFI management and SCHFI confidence subscales(P>0.05).Conclusions:The findings reported evidence of positive adaptation in patients with heart failure,indicating that the Roy Adaptation Model is an effective guide for developing an implemented framework for the nursing practice of the patients.The culturally-tailored care plan intervention is helpful to improve adaptation of patients with heart failure.
基金supported by Wenzhou Medical University School-level Educational Reform Project(No.YBJG2019006).
文摘Objectives:This study aimed to explore the level of stress,types of stressors,type of coping styles,and factors influencing stress levels and coping styles among nursing students during the initial period of the clinical practicum.Methods:A cross-sectional survey design was used.In September 2017,participants were recruited from a tertiary hospital in Zhejiang Province,China,using a convenience sampling method.A demographic characteristics questionnaire,the Intern Nursing Student Stressor Scale,and the Simple Coping Style Questionnaire were used to collect data.Data were analyzed using descriptive analysis,independent sample t-tests,one-way analysis of variance,Pearson’s correlation analysis,and multiple linear regres-sion analysis.Results:A total of 158 nursing students were recruited,most of whom were female,undergraduates,and from rural areas.The nursing students perceived a moderate level of stress during the initial period of the clinical practicum.The need for knowledge and skills was the most common source of stress.Positive coping styles were most commonly adopted.Nursing students who were undergraduates,only children,and chose nursing major involuntarily experienced higher stress levels than those who were junior college students,not only children,and chose nursing major voluntarily.Nursing undergraduates were more likely to use positive coping styles than junior college students.Male nursing students and those experiencing higher stress levels related to the“environment and equipment of the wards”and the“nature and content of the work”were more likely to use negative coping styles.Conclusion:Nursing educators should offer targeted guidance based on the stress reported during the clinical practicum and the demographic characteristics of the nursing students.Guidance should be provided to encourage nursing students to adopt effective coping strategies and reduce stress.
