Objective: Venous leg ulceration(VLU) is one of the complications of lower extremity venous reflux and reflux disorder of severe diseases, with many adverse effects on patient’s work and life. Nowadays, more and more...Objective: Venous leg ulceration(VLU) is one of the complications of lower extremity venous reflux and reflux disorder of severe diseases, with many adverse effects on patient’s work and life. Nowadays, more and more patients with VLU accept wound care in community setting. Clinical nurses generally take care of the patients based on their own experiences. Healing in VLU is an incredibly complex process, which puzzles even experts. The majority of general nurses do not have this level of expertise, especially those nurses serving in community. Function is the basis of nursing activities. Patients always show different clinical manifestations and selfcare abilities due to various function states, which cannot be reflected completely by the existing nursing practice. How to describe nursing practice standardized in order to demonstrate the effectiveness of interventions and facilitate interdisciplinary communication is another urgent problem. Therefore, the aim of this project is to develop an accurate nursing program based on function in chronic venous leg ulcers, which can both satisfy the needs of patients and promote nursing revolution.Methods: This study will use International Classification of Functioning Disability and Health as a framework to choose suitable functions and to filter function classification standards of chronic venous leg ulcers through evidence-based systematic research.Nursing interventions related to VLU are selected based on Nursing Interventions Classification, adding other nursing activities by methods of evidence-based systematic review and clinical observation. Then, nursing interventions and function status are matched through steering committee. Finally, the Delphi survey method is adopted to make nursing program native and scientific.Conclusions: This study is expected to be very significant and meaningful in using standardized nursing terminology. The nursing program established could better meet the needs of both patients with chronic venous leg ulcers and clinical nurses, promoting the development of wound specialist and standardized nursing language.展开更多
目的:探讨生物反馈治疗功能性便秘的远期疗效及护理对策.方法:对150例接受生物反馈治疗治疗的功能性便秘患者进行回顾性随访,比较患者功能性便秘治疗前和随访时的临床症状和肛门直肠测压结果,评价功能性便秘治疗的远期疗效极其相关影响...目的:探讨生物反馈治疗功能性便秘的远期疗效及护理对策.方法:对150例接受生物反馈治疗治疗的功能性便秘患者进行回顾性随访,比较患者功能性便秘治疗前和随访时的临床症状和肛门直肠测压结果,评价功能性便秘治疗的远期疗效极其相关影响因素.结果:治疗后3 mo随访和6 mo随访时具有临床症状的人数比治疗前明显减少,差异具有统计学意义(P<0.05).治疗后患者的直肠静息压和最大缩窄压与治疗前相差不大,差异不具有统计学意义(P>0.05).而治疗后的初次排便感觉阈值和直肠肛门抑制反射阈值明显比治疗前降低(41.65 mL±6.74 mL vs 29.41 mL±4.97 mL,67.12 mL±9.55 mL vs 47.25 mL±8.34 mL),差异具有统计学意义(P<0.05).多因素分析结果显示,生物反馈治疗治疗的远期疗效与患者依从性和社会支持利用度正相关,与年龄、病程和基础性疾病呈负相关.结论:生物反馈治疗能改善功能性便秘患者临床症状,纠正生理功能障碍,具有较好的远期疗效.展开更多
基金supported by Innovative Research Team in Jiangsu Province(Suwei Kejiao [2016]22)Jiangsu University Brand Professional Construction Project of Nursing(Sujiaogao [2015]11)
文摘Objective: Venous leg ulceration(VLU) is one of the complications of lower extremity venous reflux and reflux disorder of severe diseases, with many adverse effects on patient’s work and life. Nowadays, more and more patients with VLU accept wound care in community setting. Clinical nurses generally take care of the patients based on their own experiences. Healing in VLU is an incredibly complex process, which puzzles even experts. The majority of general nurses do not have this level of expertise, especially those nurses serving in community. Function is the basis of nursing activities. Patients always show different clinical manifestations and selfcare abilities due to various function states, which cannot be reflected completely by the existing nursing practice. How to describe nursing practice standardized in order to demonstrate the effectiveness of interventions and facilitate interdisciplinary communication is another urgent problem. Therefore, the aim of this project is to develop an accurate nursing program based on function in chronic venous leg ulcers, which can both satisfy the needs of patients and promote nursing revolution.Methods: This study will use International Classification of Functioning Disability and Health as a framework to choose suitable functions and to filter function classification standards of chronic venous leg ulcers through evidence-based systematic research.Nursing interventions related to VLU are selected based on Nursing Interventions Classification, adding other nursing activities by methods of evidence-based systematic review and clinical observation. Then, nursing interventions and function status are matched through steering committee. Finally, the Delphi survey method is adopted to make nursing program native and scientific.Conclusions: This study is expected to be very significant and meaningful in using standardized nursing terminology. The nursing program established could better meet the needs of both patients with chronic venous leg ulcers and clinical nurses, promoting the development of wound specialist and standardized nursing language.
文摘目的:探讨生物反馈治疗功能性便秘的远期疗效及护理对策.方法:对150例接受生物反馈治疗治疗的功能性便秘患者进行回顾性随访,比较患者功能性便秘治疗前和随访时的临床症状和肛门直肠测压结果,评价功能性便秘治疗的远期疗效极其相关影响因素.结果:治疗后3 mo随访和6 mo随访时具有临床症状的人数比治疗前明显减少,差异具有统计学意义(P<0.05).治疗后患者的直肠静息压和最大缩窄压与治疗前相差不大,差异不具有统计学意义(P>0.05).而治疗后的初次排便感觉阈值和直肠肛门抑制反射阈值明显比治疗前降低(41.65 mL±6.74 mL vs 29.41 mL±4.97 mL,67.12 mL±9.55 mL vs 47.25 mL±8.34 mL),差异具有统计学意义(P<0.05).多因素分析结果显示,生物反馈治疗治疗的远期疗效与患者依从性和社会支持利用度正相关,与年龄、病程和基础性疾病呈负相关.结论:生物反馈治疗能改善功能性便秘患者临床症状,纠正生理功能障碍,具有较好的远期疗效.
