Effectiveness of one-to-one feedback methods of teaching with proper metered-dose inhaler technique and correcting errors in chronic obstructive lung disease patients

Objective:To determine the most common mistakes made during the use of a metered-dose inhaler(MDI),and the effect of the repeated trainings performed with demonstration method by providing one-to-one feedback on these mistakes.Methods:This is a quasi-experimental study with a control group.A total of 100 chronic obstructive pulmonary disease(COPD)patients(50 in the control group and 50 in the experimental group)were included in the research.“Patient Information Form(PIF)”(to determine the descriptive characteristics of patients)through the face-to-face interview method,using“MDI Skill Assessment Form”(MDISAF)(it is composed of 10 skill steps about the use of MDI)through observation method was used.Patients in both the groups were asked to use MDI and their abilities regarding use of MDI were assessed.Then in the intervention group,usage of MDI was explained by a nurse via demonstration and placebo MDI.Trainings were repeated on days 1,3,and 5 as from hospitalization of the patient.In the intervention group,three methods were used in this study:“face-to-face training,”“one-to-one,”and“with feedbacks and repeated.”Routine training regarding use of MDI was given by the nurses in the clinic to patients in the control group.The use of an MDI was assessed using MDISAF before training and after the training on the first,third and fifth days of hospitalization.On the seventh day,the last measurement was performed.Percentage,chi square,and mean were used to assess the data.Results:After repetitive training with one-to-one feedback,several differences between the groups in favor of the experimental group were found in 7 of the 10 skill levels of the MDI.There was a significant difference after“training”between the groups in the third,fourth,fifth,sixth,seventh,eighth and ninth MDI steps in posttest measurement(P<0.05).Evaluating the skills of the groups to use MDI from pretest to posttest,it was determined that while the intervention group made less mistakes in steps in which mistakes were made mostly,the control group continued to make mistakes.Conclusions:Inhaler technique intervention with repeated,face to face,and one-to-one feedback trainings can significantly enhance the MDI techniques in COPD patients.The patients in the intervention group made less mistakes during MDI application and their application skills improved.It may be asser ted that the training provided to the intervention group was effective for using the device correctly,while the training provided in the clinic for the control group was inadequate.

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.

A Fast LDL-factorization Approach for Large Sparse Positive Definite System and Its Application to One-to-one Marketing Optimization Computation

LDL-factorization is an efficient way of solving Ax = b for a large symmetric positive definite sparse matrix A. This paper presents a new method that further improves the efficiency of LDL-factorization. It is based on the theory of elimination trees for the factorization factor. It breaks the computations involved in LDL-factorization down into two stages： 1） the pattern of nonzero entries of the factor is predicted, and 2） the numerical values of the nonzero entries of the factor are computed. The factor is stored using the form of an elimination tree so as to reduce memory usage and avoid unnecessary numerical operations. The calculation results for some typical numerical examples demonstrate that this method provides a significantly higher calculation efficiency for the one-to-one marketing optimization algorithm.

Measuring Musical Rhythm Similarity: Further Experiments with the Many-to-Many Minimum-Weight Matching Distance

Musical rhythms are represented as sequences of symbols. The sequences may be composed of binary symbols denoting either silent or monophonic sounded pulses, or ternary symbols denoting silent pulses and two types of sounded pulses made up of low-pitched (dum) and high-pitched (tak) sounds. Experiments are described that compare the effectiveness of the many-to-many minimum-weight matching between two sequences to serve as a measure of similarity that correlates well with human judgements of rhythm similarity. This measure is also compared to the often used edit distance and to the one-to-one minimum-weight matching. New results are reported from experiments performed with three widely different datasets of real- world and artificially generated musical rhythms (including Afro-Cuban rhythms), and compared with results previously reported with a dataset of Middle Eastern dum-tak rhythms.

A PROBE OF PROCESS WRITING IN THE TEFL FIELD

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Paradox of voting and the trivial preference set of groupdecision making

The structure of the trivial preference set of group decision making is studied, and the essential characters and generating reasons of the paradox of voting are revealed.