Influence of humanistic care-based operating room nursing on safety,recovery,and satisfaction after radical surgery for colorectal carcinoma

BACKGROUND Radical surgery is a preferred treatment for colorectal carcinoma,wherein nursing intervention is essential for postoperative recovery and prevention of complications.Recently,the application of humanistic care in medical care has attracted attention.Humanistic care emphasizes comprehensive care,with importance attached to patients’physical needs as well as psychological and emotional support to provide more humane and personalized care services.However,no clinical reports have examined the use of humanistic care in patients undergoing radical surgery for colorectal carcinoma.AIM To investigate the influence of humanistic care-based operating room nursing on the safety,postoperative recovery,and nursing satisfaction of patients who have undergone radical surgery for colorectal carcinoma.METHODS In total,120 patients with rectal cancer who underwent surgery in Zhongnan Hospital of Wuhan University between August 2023 and March 2024 were selected and grouped based on the nursing methods employed.Of these patients,55 were treated with routine nursing intervention(control group)and 65 were provided humanistic care-based operating room nursing(research group).The patients’vital signs were recorded,including systolic/diastolic blood pressure(SBP/DBP)and heart beats per minute(BPM),as well as serum stress indices,including norepinephrine(NE),adrenal hormone(AD),and cortisol(Cor).Postoperative recovery and complications were also recorded.Patients’negative emotions,life hope,and nursing satisfaction were evaluated using the Self-rating Depression/Anxiety Scale(SDS/SAS),Herth Hope Index(HHI),and self-deve-loped nursing satisfaction questionnaire,respectively.RESULTS During emergence from anesthesia,SBP,DBP,and BPM levels were found to be lower in the research group than those in the control group,also serum Cor,AD,and NE levels were lower.In addition,the research group had shorter operative,awakening,anal exhaust,first postoperative ambulation,drainage tube removal,intestinal recovery,and hospital times.The total complication rate and the SDS and SAS scores were lower in the research group than those in the control group.The HHI and nursing satisfaction scores were higher in the research group.CONCLUSION Humanistic care-based operating room nursing can mitigate physiological stress responses,reduce postoperative complications,promote postoperative recovery,relieve adverse psychological emotions,and enhance life hope and nursing satisfaction in patients undergoing radical surgery for colorectal carcinoma,which can be popularized in clinical practice.

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.

The application of scientific theory of humanistic care in nursing

In recent years,with the continuous development of medical technology,people pay more and more attention to patient-centered care.Humanistic care reflects the“people-oriented”nursing concept,patient-centered,to actively understand the needs of patients and psychological activities,to give the corresponding nursing services,the current scientific theory of humanistic care is also widely used in clinical nursing and nursing education.This review summarizes the application of humanistic care theory in nursing,covering the origin,basic content,clinical application and nursing education of humanistic care theory.This review aims to provide reference for the development of nursing humanistic care theory and practice.

Research on the Effect of Humanistic Nursing Care on Elderly Type 2 Diabetes Mellitus Patients

Objective:To explore and analyze the effect of humanistic nursing care on elderly type 2 diabetes patients.Methods:100 elderly patients with type 2 diabetes who were treated in our hospital from May 2021-May 2023 were selected for this study.The patients were divided into an experimental group and a reference group by flipping a coin,with 50 cases in each group.The experimental group received humanistic nursing care,while the reference group received routine nursing care.The blood glucose level,compliance and nursing satisfaction were compared between the two groups.Results:Before the intervention,there was no statistically significant difference between the groups in pre-meal blood glucose,blood glucose 2 hours after eating,and glycosylated hemoglobin(P>0.05).After the intervention,pre-meal blood glucose,blood glucose 2 hours after eating,and glycosylated hemoglobin in the humanities group were significantly better than those in the reference group(P<0.05).Besides,before the intervention,there was no statistically significant difference in compliance with diet,medication,examination,and exercise between the groups(P>0.05).After the intervention,the compliance with diet,medication,examination,and exercise in the experimental group was significantly better than that of the reference group(P<0.05).The patients in the experimental group were significantly more satisfied with the nursing care received than the reference group(P<0.05).Conclusion:Humanistic nursing care can reduce blood sugar in elderly patients with type 2 diabetes,strengthen treatment compliance,and improve satisfaction.

Research Progress of Humanistic Care Nursing

This paper summarizes the literature on the concept of humanistic care nursing, the research status of humanistic care nursing curriculum education and nursing practice at home and abroad, in order to provide reference and basis for humanistic care training and education.

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.

Effect of Humanistic Nursing Care on Health Knowledge Mastery and Nursing Satisfaction Among Patients Undergoing Kidney Stone Surgery

Objective:To deeply understand the influence of humanistic nursing care on the health knowledge mastery and nursing satisfaction among patients undergoing kidney stone surgery.Methods:Sixty patients with kidney stone who underwent surgical treatment in our hospital from June 2019 to June 2020 were randomly divided into reference group and experimental group by random number table method.There were 30 patients in each group.The patients of reference group were given routine nursing care,and the patients of experimental groups were given humanistic nursing care.The mastery score of various health knowledge,nursing satisfaction and postoperative complications were compared between the two groups.Results:The scores of health knowledge mastery among the patients in experimental group who were treated with humanistic nursing care were much higher than those in reference group who were treated with routine nursing care.The nursing satisfaction of patients in experimental group(96.67%)was significantly higher than that in reference group(80.00%),and the incidence of complications after kidney stone surgery in the experimental group(6.67%)was higher than that in the reference group(26.67%)(P<0.05).Conclusion:Humanistic nursing care is greatly conducive to the mastery of health knowledge in patients undergoing kidney stone surgery,and this nursing mode can meet the needs for nursing work and potentially minimize postoperative complications.

Analysis of Humanistic Nursing Care in Regulating the Emotion, Satisfaction, and Sleep Quality of Inpatients with Hematologic Neoplasms

Objective:To explore the clinical application value of humanistic nursing care in the treatment of hematologic neoplasm inpatients.Methods:Fifty-two patients with hematologic neoplasms admitted to a hospital from May 2019 to February 2022 were selected as the research subjects.According to a random number table,they were divided into two groups:the control group(n=25,routine clinical nursing)and the observation group(n=27,humanistic nursing care).The negative emotion score,nursing satisfaction,and sleep quality were compared between the two groups under different nursing modes.Results:The SAS and SDS scores before and after nursing were compared between the two groups.There was no significant difference between the two groups before nursing(p>0.05).However,the SDS and SAS scores in the two groups after nursing were lower than those before nursing,in which the observation group was slightly lower than the control group,and the difference was statistically significant(p<0.001).In terms of nursing satisfaction,it was as high as 96.29%in the observation group,whereas in the control group,the satisfaction rate was only 72.00%;the PSQI scores were compared between the two groups before and after nursing,and there was no significant difference between the two groups before nursing(p>0.05).However,the PSQI scores and total score of the observation group after nursing were lower than those of the control group(p<0.001).Conclusion:In the clinical treatment of patients with hematologic neoplasms,the implementation of humanistic nursing care can significantly improve patients’anxiety,depression,other negative emotions,sleep quality,and nursing satisfaction,all of which have significance in promoting the prognosis of patients and improving their quality of life.

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.

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。

体验式教学在精神科护理实习生临床教学中的应用

目的探讨体验式教学在精神科护理实习生临床教学中的应用效果。方法将220名护理实习生按照随机数字表法分为研究组和对照组,各110例。对照组护理实习生给予常规的培训教学模式,研究组护理实习生给予体验式教学模式。临床教学结束后,比较两组护理实习生课程评价问卷(CVI)评分、人文关怀能力量表(CAI)评分和临床综合护理能力考核成绩及成绩优良率。结果临床教学结束后,研究组护理实习生CVI总分及各维度评分、CAI总分及各维度评分、临床综合护理能力考核成绩及成绩优良率均高于对照组(P<0.05或0.01)。结论在精神科护理实习生临床教学中,采用体验式教学模式效果好,更符合素质教育以及科室岗位需求。

实习护生医学叙事和共情能力对人文关怀能力影响

目的:探究实习护生医学叙事能力、共情能力、人文关怀能力的路径关系,为实习护生能力的培养提供参考和借鉴。方法:使用医学叙事能力量表、人文关怀量表、杰弗逊共情量表(护生版)对山东省内5所三甲级医院的387名实习护生进行调查。结果:实习护生医学叙事能力、共情能力与人文关怀能力均呈正相关关系(r=0.799,0.623;P<0.01);医学叙事能力对人文关怀能力有直接正向预测作用(β=0.766,P<0.01),共情能力对人文关怀能力有直接正向预测作用(β=0.623,P<0.01),共情能力起中介作用,中介效应值为0.189,总效应值为0.955,中介效应占总效应之比为19.8%。结论:目前我国临床实习护生的人文关怀能力水平较低,共情能力在实习护生医学叙事能力与人文关怀能力之间起中介作用。

人文关怀护理模式联合程序护理在肝癌患者中的应用

目的:探讨人文关怀护理模式联合程序护理在肝癌患者中的应用效果。方法:选取2021年1月1日~12月31日肝胆胰脾外科收治的80例肝癌患者,随机分为对照组和干预组各40例,对照组给予常规护理干预,干预组在对照组基础上采用人文关怀护理模式联合程序护理,两组均开展为期1个月的干预。比较两组心理状态[采用汉密顿抑郁量表(HAMD)和汉密顿焦虑量表(HAMA)]、并发症、生活质量[采用生活质量量表(QOL)评分]。结果:干预后,两组HAMD、HAMA评分均低于干预前(P<0.01),且干预组低于对照组(P<0.01);干预组术后并发症总发生率低于对照组(P<0.05);干预后,干预组QOL各项目评分均高于对照组(P<0.01)。结论:人文关怀护理模式联合程序护理不仅能有效改善肝癌患者术后心理状态,还可降低术后并发症发生率,提高自我管理能力。

本科护生共情能力、情绪智力对人文关怀能力影响的研究

为探讨本科护生的共情能力、情绪智力水平对其人文关怀能力影响的路径关系,采用便利抽样的方法,使用杰弗逊共情量表(护生版)、情绪智力量表和人文关怀能力问卷对上海市1所高校的202名大一本科护生进行调查。研究表明,共情能力可直接和间接地影响护生的人文关怀能力。护理教育者应注重提升本科护生的共情能力和情绪智力,从而提升护生的人文关怀能力。

基于ASK模型的人文关怀式目标教学法联合OSCE在手术室本科护生中的应用

目的:探索基于态度、技能、知识的人文关怀体验式目标教学法联合OSCE(objective structured clinical examination, OSCE)考站在手术室本科护生中的应用方法及效果。方法:选择2022年7月—2023年3月在我院实习的95名本科护生分批进入手术室轮转,每批轮转周期为4周,每轮9人或10人。将奇数月进入手术室实习的47名护生设为对照组,采取常规教学方法;偶数月进入手术室实习的48名护生设为观察组,采取基于态度-技能-知识的人文关怀体验式目标教学法,两组护生轮转结束情景模拟甲状腺癌根治术进行OSCE考站出科技能考核,设置术前访视站、入室交接核查站、无菌操作站、手术配合站及应急评估站5个站点,评价两组护生对教学的满意度、OSCE考站总成绩及单站点成绩。结果:观察组教学满意度高于对照组(P<0.05),且OSCE考站出科考核总成绩高于对照组(P<0.05),观察组术前访视站、入室交接核查站2个站点的成绩明显高于对照组(P<0.05),其他3站点成绩两组比较差异无统计学意义(P>0.05)。结论:基于ASK模型的人文关怀体验式目标教学法对手术室本科实习护生教学模式做了进一步改进,提高了护生教学满意度及人文关怀能力。

实习护生临床归属感在职场适应度与人文执业能力间的中介效应

目的探讨实习护生临床归属感在职场适应度和人文执业能力间的中介效应,为护理教育者提高实习护生人文执业能力提供依据。方法采用临床归属感量表、护士职场适应度量表、护士人文执业能力测评量表对300名实习护生进行调查。结果实习护生临床归属感总分(103.65±18.46)分,职场适应度总分(67.58±12.24)分,人文执业能力总分(108.78±18.03)分。实习护生临床归属感、职场适应度和人文执业能力三者之间呈正相关(均P<0.05),临床归属感在职场适应度和人文执业能力间中介效应占比为61.52%。结论实习护生临床归属感在职场适应和人文执业能力中起部分中介作用,可通过提高实习护生的临床归属感及职场适应度,提高其人文执业能力。

护理专业学生人文关怀测评工具的研究进展

人文关怀测评对于提升护理专业学生未来的护理服务质量具有重要意义。近年来针对护理专业学生的人文关怀测评工具逐渐增多,本文对国内外关于护理专业学生人文关怀测评工具进行整理与汇总,并对存在的问题进行分析,旨在为研制出更符合我国护理教育背景及文化、全面且科学可靠的护理专业学生人文关怀测评工具提供参考。

情绪智力对护生人文关怀能力的影响:职业自我效能的中介作用

采用护理专业大学生人文关怀能力量表、护生职业自我效能问卷、情绪智力量表对331名本科护生进行问卷调查。结果表明,本科护生的人文关怀能力(121.60±17.11)分、职业自我效能(90.53±9.14)分和情绪智力(63.36±13.30)分,均呈现中等偏上水平;人文关怀能力、职业自我效能和情绪智力之间存在显著正相关(r=0.367~0.449,P<0.001);职业自我效能在情绪智力对人文关怀能力的影响中起部分中介作用。在本科护生的教育中,应重视情绪智力和职业自我效能的培养,从而有效提高本科护生的人文关怀能力。

三级综合医院门诊护士人文关怀现状、影响因素及其与情绪智力、职业认同的相关性

目的 探讨综合医院门诊护士人文关怀现状,并分析其影响因素。方法 采用方便抽样的方法,选取2021年2—3月某三所三级综合医院门诊护士226例为研究对象。应用一般资料调查表、护士人文关怀量表、情绪智力量表及护士职业认同量表对其进行调查并分析其影响因素。结果 226例综合医院门诊护士人文关怀得分(113.23±15.14)分,情绪智力得分(117.97±11.79)分,职业认同得分(106.49±21.65)分;综合医院门诊护士人文关怀总分及各维度评分均与情绪智力、职业认同总分及各维度评分呈正相关(P<0.01);情绪智力、职业认同及职称是人文关怀的主要影响因素(P<0.01),共解释总变异的40.3%。结论 综合医院门诊护士人文关怀现状总体处于中等水平,而情绪智力、职业认同及职称是影响综合医院门诊护士人文关怀水平的主要因素。护理管理者应关注门诊护士人文关怀水平,制定针对性培训计划,以提高门诊护士群体的人文关怀水平。

正反案例学习结合情景演绎在新入职护士人文关怀能力培训中的应用研究

目的探究正反案例学习结合情景演绎的方法在新入职护士人文关怀能力培训中的应用效果。方法选取2021年8月入职的38名新护士作为对照组,2022年8月入职的40名新护士作为试验组。在护理部开展人文关怀理论课程培训的基础上,对照组每月实施传统的正面案例情境模拟培训,试验组实施正反案例学习结合情景演绎培训,即包括正面案例和反面缺陷案例的演绎和反思分析,培训共6个月。评价并比较培训前后两组人文关怀能力和共情能力。结果培训后,试验组人文关怀能力总分(206.95±2.63)高于对照组(187.18±4.86),试验组共情能力总分(101.13±1.60)高于对照组(82.21±1.75),组间差异均具有统计学意义(P<0.05)。结论采用正反案例学习结合情景演绎培训有助于提高新入职护士的人文关怀能力和共情能力。