Objective:To analyze the nursing effect of hierarchical extended nursing based on the guidance of Orem’s theory in patients with peripherally inserted central(PICC)catheterization.Methods:Ninety-one patients with PIC...Objective:To analyze the nursing effect of hierarchical extended nursing based on the guidance of Orem’s theory in patients with peripherally inserted central(PICC)catheterization.Methods:Ninety-one patients with PICC catheterization admitted to the hospital from May 2021 to May 2023 were selected and divided into a control group and an observation group,with 45 and 46 cases,respectively.The control group received routine nursing care,while the observation group received routine nursing care combined with hierarchical extended nursing based on the guidance of Orem’s theory for 3 months.Relevant indicators between the two groups were compared.Results:The improvement degree of various indicators in the observation group after nursing was better than that of the control group(P<0.05).Conclusion:Graded extended nursing based on the guidance of Orem’s theory improved the knowledge,belief,behavior,and self-efficacy of patients with PICC catheterization,and relieved their anxiety,depression,and other negative emotions.The nursing effect was deemed to be significant.展开更多
Introduction: Controlling hypertension across world continues to be challenging. Managing hypertension is not only concerned with lowering blood pressure by using antihypertensive medications;it also aims to minimize ...Introduction: Controlling hypertension across world continues to be challenging. Managing hypertension is not only concerned with lowering blood pressure by using antihypertensive medications;it also aims to minimize its consequences through adopting self-care practices. Compliance with self-care practices among patients with hypertension is considered a multidimensional phenomenon. The phenomenon of hypertension has been studied quantitatively, however;little qualitative studies were conducted to understand the compliance with self-care among patients with hypertension. Aim: To understand the process that patients with hypertension go through to comply with self-care practices. Methods: This study used a qualitative design that followed constructivist grounded theory approach;purposive sampling was used to recruit participants from cardiac clinics;semi structured, in-depth and face-to-face interview was used as a major method for data collection. Findings: Four participants with hypertension participated in this study;the phenomena of self-care was identified as the central phenomena;the start of the disease was identified as a casual condition;beliefs toward hypertension disease, beliefs toward self-care practices, knowledge and awareness regarding hypertension disease and self-care practices were identified as strategies;experiencing self-care practices was identified as consequence and being patients with hypertension in a social context. Conclusions: The process of compliance with self-care has a path of actions and interactions. The process started from the moment of diagnosis where the patients start to think about self-care. The absence of health care context leads to varying level of compliance with self-care among patients with hypertension. This indicated the need for more effective patient and health care provider relationship, education and awareness campaign.展开更多
Objective:To analyze the hotspots of the Orem self-care model research from the construction of CNKI database to May 2019,and to understand the research status in this field and to explore its development trend.Method...Objective:To analyze the hotspots of the Orem self-care model research from the construction of CNKI database to May 2019,and to understand the research status in this field and to explore its development trend.Methods:"Orem self-care model"was used as the search term to search CNKI database,and the Bibliographic Items Co-occurrence Matrix Builder(BICOMB)was used to perform bibliometric analysis on the annual distribution,authors,keywords,etc.in related articles,and SPSS 23.0 was utilized to cluster analysis of high-frequency keywords.Results:A total of 1845 associated articles were included.The annual change of Orem self-care model literatures showed an increasing trend and a total of 1604 first authors were extracted.Today Nurse published the most relevant literatures.The research extracted 56 high-frequency keywords,accounting for 50.88%of the total frequency.Co-word cluster analysis obtained five research hotspots:clinical application effect and patient satisfaction of Orem self-care model;self-care ability and quality of life of breast cancer patients;self-care behaviors for the elderly and community care;rehabilitation nursing of stroke and spinal cord injury;Orem self-care model,nursing theory.Conclusion:Analyzing the research hotspots of Orem self-care model in recent years is helpful to understand the current status in this field and future development trends,and provide references for future nursing clinical practice work and education and scientific research.展开更多
文摘Objective:To analyze the nursing effect of hierarchical extended nursing based on the guidance of Orem’s theory in patients with peripherally inserted central(PICC)catheterization.Methods:Ninety-one patients with PICC catheterization admitted to the hospital from May 2021 to May 2023 were selected and divided into a control group and an observation group,with 45 and 46 cases,respectively.The control group received routine nursing care,while the observation group received routine nursing care combined with hierarchical extended nursing based on the guidance of Orem’s theory for 3 months.Relevant indicators between the two groups were compared.Results:The improvement degree of various indicators in the observation group after nursing was better than that of the control group(P<0.05).Conclusion:Graded extended nursing based on the guidance of Orem’s theory improved the knowledge,belief,behavior,and self-efficacy of patients with PICC catheterization,and relieved their anxiety,depression,and other negative emotions.The nursing effect was deemed to be significant.
文摘Introduction: Controlling hypertension across world continues to be challenging. Managing hypertension is not only concerned with lowering blood pressure by using antihypertensive medications;it also aims to minimize its consequences through adopting self-care practices. Compliance with self-care practices among patients with hypertension is considered a multidimensional phenomenon. The phenomenon of hypertension has been studied quantitatively, however;little qualitative studies were conducted to understand the compliance with self-care among patients with hypertension. Aim: To understand the process that patients with hypertension go through to comply with self-care practices. Methods: This study used a qualitative design that followed constructivist grounded theory approach;purposive sampling was used to recruit participants from cardiac clinics;semi structured, in-depth and face-to-face interview was used as a major method for data collection. Findings: Four participants with hypertension participated in this study;the phenomena of self-care was identified as the central phenomena;the start of the disease was identified as a casual condition;beliefs toward hypertension disease, beliefs toward self-care practices, knowledge and awareness regarding hypertension disease and self-care practices were identified as strategies;experiencing self-care practices was identified as consequence and being patients with hypertension in a social context. Conclusions: The process of compliance with self-care has a path of actions and interactions. The process started from the moment of diagnosis where the patients start to think about self-care. The absence of health care context leads to varying level of compliance with self-care among patients with hypertension. This indicated the need for more effective patient and health care provider relationship, education and awareness campaign.
文摘Objective:To analyze the hotspots of the Orem self-care model research from the construction of CNKI database to May 2019,and to understand the research status in this field and to explore its development trend.Methods:"Orem self-care model"was used as the search term to search CNKI database,and the Bibliographic Items Co-occurrence Matrix Builder(BICOMB)was used to perform bibliometric analysis on the annual distribution,authors,keywords,etc.in related articles,and SPSS 23.0 was utilized to cluster analysis of high-frequency keywords.Results:A total of 1845 associated articles were included.The annual change of Orem self-care model literatures showed an increasing trend and a total of 1604 first authors were extracted.Today Nurse published the most relevant literatures.The research extracted 56 high-frequency keywords,accounting for 50.88%of the total frequency.Co-word cluster analysis obtained five research hotspots:clinical application effect and patient satisfaction of Orem self-care model;self-care ability and quality of life of breast cancer patients;self-care behaviors for the elderly and community care;rehabilitation nursing of stroke and spinal cord injury;Orem self-care model,nursing theory.Conclusion:Analyzing the research hotspots of Orem self-care model in recent years is helpful to understand the current status in this field and future development trends,and provide references for future nursing clinical practice work and education and scientific research.
