Acceptability of Kangaroo Mother Care (KMC) by Mothers with Low-Birth-Weight Babies at Arthur Davison Children’s Hospital, in Ndola, Zambia

Background: Kangaroo Mother Care is a simple safe method used to care for low-birth-weight babies. Low-birth-weight is a global public health issue that pose significant challenge to perinatal care systems. Globally, complications due to low-birth-weight are the leading cause of neonatal mortality, resulting in an estimated 1 million deaths annually. Kangaroo Mother Care (KMC) is a low-cost method of care for low-birth-weight infants in areas with inadequate incubators and power outages with positive outcomes. Objectives: To assess factors influencing acceptability of Kangaroo Mother Care (KMC) in NICU at Arthur Davison Children’s Hospital in Ndola, Zambia. Methodology: A cross sectional quantitative analytical study design was used. The study was conducted at Arthur Davison Children’s Hospital (ADCH) in Ndola, Zambia. The purposive sampling method was used to select the study participants and a total of 129 mothers with Low Weight Babies A were selected to participate structured closed ended questionnaire was used to collect data from the participants using an interview. Data was analyzed using a Statistical Package for Social Scientists (SPSS) software version 26. Cross tabulations were done to determine association of variables using a Chi square (x2) test at 95% confidence interval and were assumptions where not met, fishers exact test was used. Multivariate binary logistic regression analysis was used to quantify the relationship between the dependent and independent variables. Results: Most of the respondents had male babies 77%, 69% of the babies weighed 1000 g - 1400 g, majority 79% had normal delivery, 71% of the respondents were multigravida and most of the respondents 79% were married. The study reviewed that 85% of those who attained secondary education accepted KMC, 74% of the respondents without monthly income accepted KMC, 80% of the respondents had positive attitude and accepted KMC. 82% of the respondents who had positive perception accepted KMC. Conclusion: Acceptance of Kangaroo Mother Care (KMC) among 75% of the mothers underscores its widespread favourability as a beneficial method for infant care.

Analysis of the Application Effect of Family Collaborative Care Model on Elderly Patients with Type 2 Diabetes Mellitus and the Situation of Self-Care Ability

Objective: To study the application effect of the family collaborative care model on elderly patients with type 2 diabetes mellitus and its influence on self-care ability. Methods: The elderly type 2 diabetes mellitus patients (400 cases) treated in our hospital between March 2020 and July 2023 were divided into two groups by randomized grouping method;the control group received the conventional nursing program, while the observation group received the family collaborative nursing model. Blood glucose level, self-care ability, and quality of life were compared between the groups. Results: The blood glucose level of the observation group was lower than that of the control group (P < 0.05). The self- care ability and quality of life scores of the observation group were higher than those of the control group (P < 0.05). Conclusion: The family collaborative care model for elderly patients with type 2 diabetes mellitus can promote their self- care ability, improve the effect of glycemic control, and improve their quality of life, and is suitable for further promotion and application.

Factors influencing the employed caregiver burden for patients with dementia residing in nursing homes:A cross-sectional study from China

Objective:The institutionalization of care for patients with dementia is becoming a trend.Understanding the burden on employed caregivers and exploring associated factors are of great importance in practice.Therefore,this study aimed to examine the relationship between basic attributes,caring ability,and caregiver burden in employed caregivers practicing in nursing homes.Methods:This cross-sectional study included 541 employed caregivers in 11 four-star nursing homes in Zhejiang Province from April to December 2022.Caregiver burden was assessed using the Zarit Burden Interview(ZBI).Demographic characteristics of participants,characteristics of the older patients with dementia,caring characteristics,training in dementia care,and caring abilities were collected for analysis of influencing factors.A hierarchical multiple regression analysis was conducted to explore the factors influencing the burden on employed caregivers in nursing homes.Results:The ZBI score of employed caregivers in nursing homes was 40.42±10.18,representing a moderate caregiver burden.Factors such as age(U=27.82,P<0.001),residence(U=7.89,P<0.001),educational level(H=55.81,P<0.001),self-care of older patients with dementia(H=85.21,P<0.001),daily care hours(H=73.25,P<0.001),number of older people with dementia cared for(H=14.56,P<0.012)and training in dementia care(U=-9.43,P<0.001)were significantly associated with caregiver burden.Caring ability was negatively associated with caregiver burden(r=-0.22,P<0.01).Furthermore,after controlling for demographic characteristics,the characteristics of older people with dementia,caring characteristics,training in dementia care,and caring ability explained 8.5%,5.8%,and 4.8%of the caregiver burden,respectively.Conclusion:The burden of employed caregivers on patients with dementia in nursing homes can be attributed to various factors.We recommend tailored interventions,such as dementia care training and reviewing the number and duration of hours worked to reduce the burden experienced by caregivers.

The construction and practice of humanistic care teaching model based on 5C care theory

Objective:To construct a scientific and feasible teaching mode based on 5C caring theory and evaluate it,so as to provide a reference basis for future study about nursing humanistic quality education.Methods:Based on the 5C caring theory,the teaching design and teaching content were revising and implementing in the intervention group.Before and after the implementation of the course,a questionnaire survey was conducted using the Caring Ability Inventory(CAI).The results of the surveys were collected,and the data were statistically analysis using SPSS.Results:After the implementation of the course,the cognitive dimension,patience dimension,and humanistic caring ability scores of the nursing students in the intervention group improved compared with those before the implementation of the course(P<0.05).There were no significant difference in the control group(P>0.05).Conclusion:The humanistic caring teaching model based on 5C caring theory has a positive effect on improving nursing students'humanistic caring ability.In the future nursing teaching,the modules with the characteristics of humanistic caring ability can be increased,and carry out the educational reform throughout the humanistic caring ability.Actively guiding nursing students to establish the awareness of humanistic caring,so as to lay a solid foundation for high-quality clinical nursing work.

Evaluation of the Skin Irritation and Sensitization Potential of the Cussons Baby Sensicare Skin Range of Products in Healthy Volunteers

Introduction: The Cussons Baby Sensicare Range is a newly developed set of products specially formulated for newborn, sensitive and eczema prone skin. As such, these products need to be tested to evaluate their skin irritation and sensitization potential before use. The products were evaluated with two separate tests. The first test was conducted in a single-center, within-subject comparison using assessor-blind, randomised human skin irritation patch test (48 hour/96 hour exposure) and conducted on healthy adults with sensitive, atopic skin. The second test was conducted in a single-center, controlled (sterile water), within subject using human repeat-insult patch tests (HRIPTs) and conducted on healthy female Indonesian and Asian adult female subjects, with sensitive skin. The sensitization potential of each product was determined from International Contact Dermatitis Research Group (ICDRG) scores at 30 minutes, 24 hours, 48 hours and 72 hours after patch removal. Skin irritation tests show that all products were significantly lower than the positive control sodium lauryl sulphate (SLS) (p < 0.05) but not significantly different to the negative control (sterile water) in terms of irritation scores at the respective time points. HRIPTs results show that Cussons Baby Sensicare Range was non-sensitizing. As such, it can be concluded that the Cussons Baby Sensicare Range tested is well tolerated on skin and has low skin irritation and sensitization potential. Thus, they can be considered hypoallergenic on sensitive skin and suitable for eczema prone skin.

The effects of Professional Commitment and Patient Safety knowledge-attitude-practice on Undergraduate nursing students’ Humanistic Care Ability in clinical practice

Objective:To describe the status quo of humanistic care ability,the knowledge-attitude-practice of Patient Safety and professional commitment among Undergraduate Nursing Students in clinical practice,and to determine the effects of professional commitment and patient safety knowledge-attitude-practice on humanistic care ability.Methods:Two hundred and thirty-two undergraduate nursing students in clinical practice were investigated with the general questionnaire,Caring Ability Inventory(CAI),Patients Safety knowledge-attitude-practice(KAP)Questionnaire and the Nursing Professional Commitment Scale.Results:The score of humanistic care ability of nursing undergraduates was 185.19±20.95,patients safety KAP score was 106.94±11.62,professional commitment score was 74.93±10.44.Undergraduate nursing students’humanistic care ability were positively correlated with professional commitment and patients safety KAP(P<0.05).Multiple Linear regression analysis showed that professional commitment,patient safety KAP entered the humane care equation(F=24.051,P<0.001),and explained 39.1%of the total variation in humane care.Intermediate effect analysis shows that patient safety played a partial mediating role in professional commitment and humane care.Conclusion:The professional commitment and patient safety KAP of undergraduate nursing students were positively related to their humanistic care ability.Improving the professional commitment and knowledge and patients safety KAP of nursing students can strengthen their humanistic care ability to provide high-quality nursing for patients.

Survey and analysis of the current situation of humanistic care ability of first-year nursing students after COVID-19

Background:Humanistic care ability is the core of nursing work.Improving humanistic care ability can improve patient satisfaction and the development of a nurse-patient relationships.Objective:To understand the current situation of humanistic care ability of first-year nursing students at Tianjin University of Traditional Chinese Medicine in the post-pandemic,and analyze its influencing factors.Methods:The Caring Ability Inventory scale(CAI)is used to survey 343 first-year nursing students.Descriptive analysis,t-test,analysis of variance,and multiple linear regression were used for data analysis.At the same time,the humanistic care ability of first-year nursing students before and after the COVID-19 was compared.Results:The average score of humanistic care ability of first-year nursing students is 173.23±11.288.Through multiple linear regression analysis,whether to hold a position has an impact on the humanistic care ability of nursing students after the COVID-19(P<0.05).Before and after the COVID-19,there were significant differences in total score and each dimension of humanistic care ability of first-year nursing students(P<0.001).Conclusion:The CAI score of the surveyed nursing students is at an intermediate level.In the post-pandemic,the courage dimension of nursing students has improved significantly.But the level of humanistic care ability still needs to be improved.Therefore,in the teaching process,a variety of teaching methods could be applied to improve nursing students'sense of responsibility,understanding and patience with humanistic care,so as to improve their humanistic care ability.

The Impact of Risk-Based Cancer Care Planning on the Complications and Self-Care Ability of Cervical Cancer Patients Undergoing Radiotherapy

Objective:To explore the impact of the application and implementation of risk-based cancer care planning in patients with cervical cancer radiotherapy on the complications and self-care ability of patients.Method:This study recruited selected patients who came for cervical cancer radiotherapy in a tertiary hospital in Xianyang City,Shaanxi Province from November 2020 to November 2021.One hundred patients were recruited.Nursing management was carried out,and cancer care planning under the concept of conventional care and risk were applied.The effects of different nursing methods on patients were compared and analyzed.Results:The patients in the experimental group had higher scores of self-care ability and lower complication rate.All data were significantly different from those of the control group(P<0.05),and the nursing effect on the experimental group was better.Conclusion:The application and implementation of the risk-based cancer care planning in patients who received cervical cancer radiotherapy has significant clinical effects,which is beneficial to reduce the incidence of patients’adverse reactions and promote patient recovery.

Observation of the effect of one-to-one education on high-risk cases of diabetic foot

BACKGROUND Diabetes is a common chronic disease,and its global incidence is on the rise.The disease is directly attributed to insufficient insulin efficacy/secretion,and patients are often accompanied by multiple complications.Diabetic foot is one of the most common complications of diabetes.Diabetic feet have ulcers and infections,which can eventually lead to amputation.Basic nursing care,such as lowering blood pressure and preventing foot skin infections in clinical nursing work,has positive significance for the prevention and control of diabetic feet.AIM To explore the positive significance of one-to-one education in high-risk cases of diabetic foot.METHODS This observation included 98 high-risk cases of diabetic foot in our hospital during the period from August 2017 to October 2019,and these patients were randomly divided into the basic nursing group and the one-to-one education group with 49 patients per group.The basic nursing group only received routine basic nursing,while the one-to-one education group gave patients one-to-one education on the basis of basic nursing.After nursing,the self-care ability and compliance behavior of the two groups were evaluated and compared between these two groups.The knowledge mastery of the patient and the satisfaction of nursing were accounted.RESULTS The assessment results of patients(self-care responsibility,self-care skills,selfconcept and self-care knowledge)were significantly higher in the one-to-one education group than in the basic nursing group.The scores of compliance behaviors(foot bathing,shoes and socks selection,sports health care)in the oneto-one education group were significantly higher than those in the basic nursing group.Patients in the one-to-one education group had a significantly higher level of knowledge mastery and satisfaction of nursing than the basic nursing group.CONCLUSION One-to-one education for high-risk cases of diabetic foot is helpful to improve the cognition and self-care ability of patients with diabetic foot,to ensure that patients follow the doctor’s advice of self-care and to improve their nursing satisfaction.

Interprofessional education in nursing: The impact of collaboration between physical and mental health care professionals

Objectives:lnterprofessional collaboration in the training of nursing and psychology students helps provide students of both disciplines with the ability and competences they need to best attend to their patients.This study implemented and analyzed a method for developing the competences of each discipline in a scenario of joint clinical simulation that incorporates mental and physical health simultaneously,and measured the caring ability of the participating students.Methods:Participants took a self-applied survey measuring their own caring ability.After,a clinical simulation was performed where nursing students performed clinical interviews on psychology students,who acted as standardized patients.Caring abilities were measured in the nursing students,and the psychology students implemented an intervention service measuring caring ability and brief-debrief simulation by coaching to nursing students.Results:The results indicated that the self-applied questionnaire of caring ability resulted in scores significantly higher than what was measured by observers.Conclusions:The results contribute to the development of protocols,training and collaborative work practices in interprofessional education,which allow the scaling of these competences.

Natural Formulations Addressing Skin Challenges in Baby Care

Addressing skin challenges in baby care formulations is quite a challenge itself, as the formulation not only needs to be active, but it should also meet specific requirements in terms of ingredients, agreability and rational of the formulation design. Object of this study was the realization of a few different cosmetic formulations blending soundly documented natural active ingredients in systems matching the most common requirements of the baby care products. Additionaly, compatibility evidences of the employed natural actives within the tested systems have also been observed. We are therefore presenting the formulation design of four different formulations for baby care: a baby wash, an immediate rash recovery, an after sun emulsion and a calming and soothing product, each one described for the rational of the actives it contains and provided with a detailed formulation design. Specific attention will be directed to those ingredients for which clinical data supporting the expected skin benefits are available.

Correlations between Motor Ability with Gait Speed and Cognitive Functions in Rehabilitation Users

Purpose: To compare and examine motor and cognitive functions in people who require support, and in healthy elders. Method: The variables of age, BMI, educational background, blood pressure, grip strength, knee extension, gait speed, MMSE, and subjective health feeling for 36 rehabilitation users and 22 healthy elders were assessed. We compared and examined motor and cognitive functions in rehabilitation users who need support and healthy elders. Results: The percentage of MMSE scores with 27 points or higher and that of subjective health feeling with 3 points or higher were significantly higher in healthy elders than in rehabilitation users. Systolic and diastolic blood pressure were significantly higher in rehabilitation users than in healthy elders. Gait speed and MMSE scores were significantly higher in healthy elders than rehabilitation users. Conclusion: Gait speed could be used for physical fitness in elders. Gait speed was the best physical fitness measurement for elders. Gait speed of rehabilitation users was strongly related to MMSE scores. Gait speed could be a determinant of MMSE scores.

Laundry Care 3.0 Era:A New Wave of Professional Laundry Care

This paper briefly introduces the current status of Chinese laundry care market. By analyzing the mainstream laundry care products, this paper pointed out that a new wave of professional laundry care began to sweep the Chinese laundry care market, and the three emerging laundry care categories began to attract the attention of the whole market and consumers, This paper analyzes the market claims of the above three types of products and the corresponding formula characteristics.

Spiritual health, empathy ability and their relationships with spiritual care perceptions among nursing students in China: A cross-sectional correlational study

Objective:To investigate the status quo of spiritual care perceptions and associated factors among nursing students in China,and explore the relationships among spiritual care perceptions,spiritual health and empathy ability,in order to provide reference for the construction of spiritual care education intervention program to improve the spiritual care perceptions and competence of nursing students in China.Methods:A cross-sectional and correlational design was undertaken and a convenience sample of 3615 nursing students selected from 11 universities and colleges in Hebei Shijiazhuang and Tianjin,China from January to July 2021.Participants provided data on sociodemographic by completing the sociodemographic characteristics questionnaire,the Chinese Version of the Spiritual Care-Giving Scale(C-SCGS),Spiritual Health Scale Short Form(SHS-SF)and Jefferson Scale of Physician Empathy-Nursing Student(JSPE-NS).Results:The scores of spiritual care perceptions and spiritual health were 172.44±26.23 and 97.54±12.37,respectively,both in the middle level.The score of empathy ability was 102.92±19.65,lower than the average.Spiritual care perceptions of nursing students were positively correlated with spiritual health(r=0.635,P<0.01)and empathy ability(r=0.547,P<0.01).Conclusions:The level of spiritual care perceptions of nursing students in China needs to be improved.It is suggested that nurse managers and educators should pay attention to the spiritual care education of nursing students,by perfecting the spiritual care education system to improve their spiritual health level and empathy ability in multiple ways and levels,like clarifying and standardizing educational objectives,breaking through the traditional single evaluation system,and formulating scientific comprehensive evaluation standards and systems.,so as to improve their spiritual care perceptions and competence level.

Guided Care护理模式对老年骨质疏松症患者自我管理能力和生活质量的影响

目的探讨分析Guided Care护理模式对老年骨质疏松症患者自我管理能力和生活质量的影响。方法简单随机选取2022年1月—2023年9月山东省泰安荣军医院收治的60例老年骨质疏松症患者为研究对象,按随机数表法将其分为常规组(实施常规护理干预),模式组(在常规组的基础上给予Guided Care护理模式干预),每组30例,两组均持续干预2个月,比较两组患者干预前后的健康认知水平、跌倒风险、自我管理能力、生活质量、护理满意度。结果干预2个月后,模式组的健康认知水平评分高于常规组,差异有统计学意义(P<0.05)。干预2个月后,模式组的跌倒风险评分低于常规组,差异有统计学意义(P<0.05)。干预2个月后,模式组的自我管理能力评分高于常规组,生活质量评分低于常规组,差异有统计学意义(P均<0.05)。干预2个月后,模式组的护理满意度为93.33%,高于常规组的护理满意度73.33%,差异有统计学意义(χ^(2)=4.320,P<0.05)。结论在老年骨质疏松症患者中,应用Guided Care护理模式,可以有效地提升患者的健康认知水平及自我管理能力,提高患者的生活质量,降低患者跌倒的风险。

ICARE理念对县级敬老院养老护理员失能照护能力及职业精神与态度的影响

目的探讨ICARE理念对县级敬老院养老护理员失能照护能力及职业精神与态度的影响。方法将2023年1—6月绵阳市4家县级敬老院的养老护理员作为研究对象,采用便利抽样法抽取其中两家的40名养老护理员作为观察组,另外两家的40名养老护理员作为对照组。对照组采用常规培训模式,观察组则在对照组基础上以ICARE理念为指引实施养老护理员培训。干预前后,对两组失能照护能力、职业精神与态度进行评价。结果干预前,两组失能照护能力、职业精神与态度比较差异无统计学意义。干预后,两组失能照护能力、职业精神与态度比较差异有统计学意义,观察组优于对照组。结论融入ICARE理念的养老护理员培训能提高养老护理员失能照护能力,转变其职业态度,有利于养老护理队伍整体水平提升。

TORCH感染与优生优育探讨

目的:了解目前四川、重庆地区孕前及妊娠期妇女TORCH感染状况,为育龄期妇女优生优育提供临床保健指导。方法:采用抗体捕获酶联免疫吸附试验(ELISA)法对2008年8月至2010年06月进行孕前或产前检查的3164例妇女进行弓形虫(TOX)、风疹病毒(RV)、巨细胞(CMV)、单纯疱疹病毒Ⅱ型(HSV-Ⅱ)IgM抗体检测,并对检测结果进行统计分析。结果:孕前及妊娠期妇女感染弓形虫、风疹病毒、巨细胞、单纯疱疹病毒Ⅱ型的阳性率分别为6.92%、2.34%、0.95%、13.65%。结论:四川、重庆地区孕前及妊娠期妇女单纯疱疹病毒Ⅱ型、弓形虫感染较高,针对目前妊娠期妇女感染TORCH后无特效治疗状况,应加强TORCH知识普及,加强孕前检查工作,做好育龄期妇女优生优育保健指导。

以实践为导向构建社区医务人员安宁疗护服务能力评价工具及信效度研究

背景我国安宁疗护服务已进入深度实践时期,许多城市将基层医疗卫生服务机构作为开展安宁疗护的首要场所。社区安宁疗护服务主要为全科团队式服务,但目前尚缺乏切实统一的社区安宁疗护服务人员相关能力考核标准与要求。目的结合社区安宁疗护服务实践,编制社区卫生服务中心医务人员安宁疗护服务能力评价工具,并对其信效度进行研究。方法于2022年6月—2023年3月,通过文献回顾、质性访谈、两轮德尔菲专家咨询进行条目分析,形成安宁疗护服务能力评价工具;于2023-04-01—2023-05-12对上海市浦东新区1281名社区卫生服务中心医务人员开展一般资料、对安宁疗护服务的认知和经历、安宁疗护服务能力评价工具和人文关怀能力量表的问卷调查,检验安宁疗护服务能力评价工具的信度、效度,并采用多元线性回归分析探讨安宁疗护服务能力的影响因素。结果通过文献检索分析和质性访谈形成49个初始条目。德尔菲专家咨询法共邀请上海市15名研究和开展安宁疗护服务的权威专家,其中专家权威系数为0.87,整体指标体系的Kendall和谐系数为0.624(P<0.01),经过两轮德尔菲专家咨询,最终形成具有50个条目的评价工具。问卷调查部分共发放1300份问卷,回收1284份,问卷回收率为98.77%(1284/1300)。安宁疗护服务能力评价工具标准化后的Cronbach'sα系数为0.993,Spearman-Brown折半信度为0.935,总体信度较好。效度检验显示,KMO值为0.987,Bartlett's球形检验值为119119.104,P<0.001,表明该量表效度良好,且适合因子分析。因子分析显示,所有条目的因子载荷系数≥0.4,共同度>0.2,因此保留50个条目。抽取4个公因子,累积方差贡献率为86.517%。相关分析显示,本次构建的安宁疗护服务能力评价工具的总得分和人文关怀量表总分呈显著正相关关系(r=0.819,P<0.001),说明该评价工具具有良好的校标关联效度。多元线性回归分析结果显示,性别、学历、从事社区工作年限、是否经历亲属离世、是否经历安宁疗护培训、安宁疗护服务工作时长、是否愿意从事安宁疗护服务工作是安宁疗护服务能力的影响因素(P<0.05)。结论本研究构建的社区卫生服务中心医务人员安宁疗护服务能力评价工具有较好的科学性和可靠性,信效度较好,可用于评价社区医务人员在安宁疗护服务中的各项能力。

基于ICARE理念的教学对护理本科生人文关怀能力的影响

目的探讨基于ICARE理念下护理本科生人文关怀能力培养的效果。方法采取抽签法,将2017级护理本科班164人作为对照组,166人作为实验组。对照组采取传统教学方法,实验组在教学中融入ICARE理念。课程结束后,对两组学生人文关怀能力及职业精神态度进行评价。结果实验组学生在人文关怀能力及职业精神态度显著优于对照组(均P<0.01)。结论在护理专业课教学中融入ICARE理念,不仅能加强护理本科生的人文关怀能力,还能显著提升护生的职业精神态度,是课程思政的具体体现。

幼儿园教师社会情感能力培养的现实诉求、内涵阐释及提升策略——以CARE项目为例

作为付出较高情绪劳动的幼儿园教师,社会情感能力对师幼互动、教师专业发展均具有重要意义。对幼儿园教师社会情感能力的维度划分结合了美国CASEL和英国SEAL项目,将社会情感能力分为自我意识、情绪管理、目标动机、社会意识、人际关系、决策意识六大维度。同时从专项项目视角对教育意识和适应能力培训CARE项目进行分析,提升幼儿园教师社会情感能力,须从职前职后、教师自身、幼儿园、家庭社区等多维考虑。