Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary a...Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary angiography and stent implantation.Methods:Ninety patients who underwent percutaneous coronary angiography and stent implantation in our hospital from April 2022 to April 2023 were selected and randomly divided into the control group(45 cases),in which routine nursing support was carried out during the treatment process,and the observation group(45 cases),in which continuous precision nursing model was carried out during the treatment process.Comparisons were made between the two groups of patients on their KAP,cardiac function,and quality of life during recovery.Results:There was no difference in the left ventricular ejection fraction(LVEF),cardiac output(CO),and cardiac index(CI)levels before intervention.After the intervention,the levels of cardiac function in the observation group were higher than those of the control group(P<0.05).There was no difference in the Exercise of Self-Care Agency(ESCA)self-care ability scale scores before the intervention.After the intervention,the observation group had higher ESCA scores than the control group(P<0.05).Conclusion:Implementation of a continuous precision nursing model in the care of patients undergoing percutaneous coronary angiography and stent implantation improved the patient’s cardiac function,and KAP,and promoted recovery.展开更多
Objective:To identify the level of knowledge,attitude,and practice(KAP)toward osteoporosis among Jordanian nurses.Methods:A cross-sectional design was adopted in this study.A convenience sample of 443 Jordanian nurses...Objective:To identify the level of knowledge,attitude,and practice(KAP)toward osteoporosis among Jordanian nurses.Methods:A cross-sectional design was adopted in this study.A convenience sample of 443 Jordanian nurses were recruited from the public and private healthcare settings in Jordan.The assessment tool used in the current study contained 35 items,measuring KAP among Jordanian nurses toward osteoporosis.The correlation Pearson test and regression test were used to analyze data using Statistical Package for Social Sciences,version 21.Results:The total KAP scores were 33.53,37.65,and 22.7,respectively.These results revealed that Jordanian nurses have a moderate level of KAP toward osteoporosis.Conclusions:Jordanian nurses showed a moderate KAP toward osteoporosis,which should be improved as an effective step to reducing the growing incidences of osteoporosis.The lack of KAP holds a serious and growing impact on the Jordanian health sector and patients’health in terms of cost,healthcare resources,and social life.Nurses can play a valuable role in educating patients on bone fracture causes,perceived percentage,risks,and prevention,as well as in helping them with nutrition and lifestyle recommendations.展开更多
BACKGROUND Cerebrovascular disease(CVD)poses a serious threat to human health and safety.Thus,developing a reasonable exercise program plays an important role in the long-term recovery and prognosis for patients with ...BACKGROUND Cerebrovascular disease(CVD)poses a serious threat to human health and safety.Thus,developing a reasonable exercise program plays an important role in the long-term recovery and prognosis for patients with CVD.Studies have shown that predictive nursing can improve the quality of care and that the information–knowledge–attitude–practice(IKAP)nursing model has a positive impact on patients who suffered a stroke.Few studies have combined these two nursing models to treat CVD.AIM To explore the effect of the IKAP nursing model combined with predictive nursing on the Fugl–Meyer motor function(FMA)score,Barthel index score,and disease knowledge mastery rate in patients with CVD.METHODS A total of 140 patients with CVD treated at our hospital between December 2019 and September 2021 were randomly divided into two groups,with 70 patients in each.The control group received routine nursing,while the observation group received the IKAP nursing model combined with predictive nursing.Both groups were observed for self-care ability,motor function,and disease knowledge mastery rate after one month of nursing.RESULTS There was no clear difference between the Barthel index and FMA scores of the two groups before nursing(P>0.05);however,their scores increased after nursing.This increase was more apparent in the observation group,and the difference was statistically significant(P<0.05).The rates of disease knowledge mastery,timely medication,appropriate exercise,and reasonable diet were significantly higher in the observation group than in the control group(P<0.05).The satisfaction rate in the observation group(97.14%)was significantly higher than that in the control group(81.43%;P<0.05).CONCLUSION The IKAP nursing model,combined with predictive nursing,is more effective than routine nursing in the care of patients with CVD,and it can significantly improve the Barthel index and FMA scores with better knowledge acquisition,as well as produce high satisfaction in patients.Moreover,they can be widely used in the clinical setting.展开更多
目的汉化孕妇尿失禁知信行量表(knowledge,attitude and practice assessment scale for pregnant women on UI,KAP-IU)并评价其信度、效度,为医护人员对孕妇尿失禁知信行情况的评估提供测量工具。方法2022年12月—2023年3月按照国际通...目的汉化孕妇尿失禁知信行量表(knowledge,attitude and practice assessment scale for pregnant women on UI,KAP-IU)并评价其信度、效度,为医护人员对孕妇尿失禁知信行情况的评估提供测量工具。方法2022年12月—2023年3月按照国际通用量表跨文化调适流程对量表进行汉化,形成中文版KAP-IU量表。2023年3月—6月采用便利抽样选取门诊就诊孕妇456例进行调查,基于Rasch模型和经典测量学检验指标进行信度、效度检验。结果430例孕妇完成研究。中文版KAP-IU量表共由23个条目构成,符合Rasch模型单维性假设,Rasch模型解释了66.1%的变异;个人和条目的分隔信度均>0.8,分隔指数≈3,所有条目加权的均方拟合统计量(information-weighted mean square fit statistic,Infit MNSQ)和未加权的均方拟合统计量(unweighted mean square fit statistic,Outfit MNSQ)均方值在0.473~1.611之间,点测量相关系数(point-measure correlation,Pt-Measure Corr)在0.293~0.731之间,个体能力均值比条目难度均值高0.343 Logits;总量表Cronbachα系数为0.783,3个维度(知识、态度和行为)的重测信度分别为0.751、0.815、0.760;条目水平内容效度指数(item-level CVI,I-CVI)为0.810~1.000;量表水平内容效度(scale-level CVI,S-CVI)为0.824。结论中文版KAP-IU量表在国内孕妇人群中经验证信度、效度良好,难度适中,可作为孕妇尿失禁知信行情况评估的可靠工具。展开更多
目的:探讨知-信-行模式产后干预管理对妊娠期糖尿病妇女产后糖尿病的影响。方法:选取100例妊娠期糖尿病病人为研究对象,分为观察组和对照组,观察两组病人的餐后2 h血糖(2 h PBG)、转铁蛋白、前清蛋白、空腹血糖、糖化血红蛋白(HbA1c)、...目的:探讨知-信-行模式产后干预管理对妊娠期糖尿病妇女产后糖尿病的影响。方法:选取100例妊娠期糖尿病病人为研究对象,分为观察组和对照组,观察两组病人的餐后2 h血糖(2 h PBG)、转铁蛋白、前清蛋白、空腹血糖、糖化血红蛋白(HbA1c)、体质指数、空腹胰岛素(FINS)等指标;观察病人产后6个月糖尿病检出率及自我行为管理情况、胰岛素抵抗指数(HOMA-IR)情况。结果:干预后观察组2 h PBG、HbA1c、空腹血糖、体质指数、转铁蛋白、前清蛋白均低于对照组,差异均有统计学意义(P<0.05);干预前两组自我行为管理情况比较,差异无统计学意义(P>0.05),出院后6个月两组病人自我行为管理评分差异有统计学意义(P<0.05)。出院前两组FINS和HOMA-IR评分差异无统计学意义(P>0.05),出院后两组FINS和HOMA-IR评分差异均有统计学意义(P<0.05)。两组产后6个月糖尿病发生率比较,差异有统计学意义(P<0.05)。结论:知-信-行模式产后干预管理可有效地减少妊娠期糖尿病的发生,并能很好地控制体质指数和提高营养水平,有效地促进妊娠病人的产后自我行为管理,促进血糖调节,从而改善胰腺机能的恢复。展开更多
目的了解眼科护士快速康复外科(enhanced recovery after surgery,ERAS)知信行现状及其影响因素。方法采取便利抽样的方法,选择2020年1月至2021年12月温州地区4家医院168名眼科护士为调查对象,采用自制《ERAS知信行现状调查量表》对ERA...目的了解眼科护士快速康复外科(enhanced recovery after surgery,ERAS)知信行现状及其影响因素。方法采取便利抽样的方法,选择2020年1月至2021年12月温州地区4家医院168名眼科护士为调查对象,采用自制《ERAS知信行现状调查量表》对ERAS知识、态度、行为情况进行调查,统计眼科护士ERAS知信行现状,采用多元线性回归分析法分析眼科护士ERAS知信行的影响因素。结果168名眼科护士的ERAS知信行调查量表中知识维度评分(37.34±9.49)分、态度维度评分(33.74±8.67)分、行为维度评分(26.52±6.55)分,总评分(97.60±22.98)分;单因素分析结果显示,不同年龄、工作年限、文化水平、职称、医院级别、医院类别、聘用形式的眼科护士ERAS知信行量表评分对比差异有统计学意义(P<0.05);回归分析显示,医院类别、医院级别、职称、工作年限是影响眼科护士ERAS知信行评分的影响因素(P<0.05)。结论温州地区眼科护士ERAS知信行的状况整体处于中等水平,主要受医院类别、医院级别、职称、工作年限等因素影响,医院应定期为眼科护士提供ERAS专业培训,提高眼科护士ERAS知信行水平。展开更多
文摘Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary angiography and stent implantation.Methods:Ninety patients who underwent percutaneous coronary angiography and stent implantation in our hospital from April 2022 to April 2023 were selected and randomly divided into the control group(45 cases),in which routine nursing support was carried out during the treatment process,and the observation group(45 cases),in which continuous precision nursing model was carried out during the treatment process.Comparisons were made between the two groups of patients on their KAP,cardiac function,and quality of life during recovery.Results:There was no difference in the left ventricular ejection fraction(LVEF),cardiac output(CO),and cardiac index(CI)levels before intervention.After the intervention,the levels of cardiac function in the observation group were higher than those of the control group(P<0.05).There was no difference in the Exercise of Self-Care Agency(ESCA)self-care ability scale scores before the intervention.After the intervention,the observation group had higher ESCA scores than the control group(P<0.05).Conclusion:Implementation of a continuous precision nursing model in the care of patients undergoing percutaneous coronary angiography and stent implantation improved the patient’s cardiac function,and KAP,and promoted recovery.
文摘Objective:To identify the level of knowledge,attitude,and practice(KAP)toward osteoporosis among Jordanian nurses.Methods:A cross-sectional design was adopted in this study.A convenience sample of 443 Jordanian nurses were recruited from the public and private healthcare settings in Jordan.The assessment tool used in the current study contained 35 items,measuring KAP among Jordanian nurses toward osteoporosis.The correlation Pearson test and regression test were used to analyze data using Statistical Package for Social Sciences,version 21.Results:The total KAP scores were 33.53,37.65,and 22.7,respectively.These results revealed that Jordanian nurses have a moderate level of KAP toward osteoporosis.Conclusions:Jordanian nurses showed a moderate KAP toward osteoporosis,which should be improved as an effective step to reducing the growing incidences of osteoporosis.The lack of KAP holds a serious and growing impact on the Jordanian health sector and patients’health in terms of cost,healthcare resources,and social life.Nurses can play a valuable role in educating patients on bone fracture causes,perceived percentage,risks,and prevention,as well as in helping them with nutrition and lifestyle recommendations.
基金Supported by Basic scientific research industry of Heilongjiang Provincial undergraduate universities in 2019,No.2019-KYYWF-1213.
文摘BACKGROUND Cerebrovascular disease(CVD)poses a serious threat to human health and safety.Thus,developing a reasonable exercise program plays an important role in the long-term recovery and prognosis for patients with CVD.Studies have shown that predictive nursing can improve the quality of care and that the information–knowledge–attitude–practice(IKAP)nursing model has a positive impact on patients who suffered a stroke.Few studies have combined these two nursing models to treat CVD.AIM To explore the effect of the IKAP nursing model combined with predictive nursing on the Fugl–Meyer motor function(FMA)score,Barthel index score,and disease knowledge mastery rate in patients with CVD.METHODS A total of 140 patients with CVD treated at our hospital between December 2019 and September 2021 were randomly divided into two groups,with 70 patients in each.The control group received routine nursing,while the observation group received the IKAP nursing model combined with predictive nursing.Both groups were observed for self-care ability,motor function,and disease knowledge mastery rate after one month of nursing.RESULTS There was no clear difference between the Barthel index and FMA scores of the two groups before nursing(P>0.05);however,their scores increased after nursing.This increase was more apparent in the observation group,and the difference was statistically significant(P<0.05).The rates of disease knowledge mastery,timely medication,appropriate exercise,and reasonable diet were significantly higher in the observation group than in the control group(P<0.05).The satisfaction rate in the observation group(97.14%)was significantly higher than that in the control group(81.43%;P<0.05).CONCLUSION The IKAP nursing model,combined with predictive nursing,is more effective than routine nursing in the care of patients with CVD,and it can significantly improve the Barthel index and FMA scores with better knowledge acquisition,as well as produce high satisfaction in patients.Moreover,they can be widely used in the clinical setting.
文摘目的汉化孕妇尿失禁知信行量表(knowledge,attitude and practice assessment scale for pregnant women on UI,KAP-IU)并评价其信度、效度,为医护人员对孕妇尿失禁知信行情况的评估提供测量工具。方法2022年12月—2023年3月按照国际通用量表跨文化调适流程对量表进行汉化,形成中文版KAP-IU量表。2023年3月—6月采用便利抽样选取门诊就诊孕妇456例进行调查,基于Rasch模型和经典测量学检验指标进行信度、效度检验。结果430例孕妇完成研究。中文版KAP-IU量表共由23个条目构成,符合Rasch模型单维性假设,Rasch模型解释了66.1%的变异;个人和条目的分隔信度均>0.8,分隔指数≈3,所有条目加权的均方拟合统计量(information-weighted mean square fit statistic,Infit MNSQ)和未加权的均方拟合统计量(unweighted mean square fit statistic,Outfit MNSQ)均方值在0.473~1.611之间,点测量相关系数(point-measure correlation,Pt-Measure Corr)在0.293~0.731之间,个体能力均值比条目难度均值高0.343 Logits;总量表Cronbachα系数为0.783,3个维度(知识、态度和行为)的重测信度分别为0.751、0.815、0.760;条目水平内容效度指数(item-level CVI,I-CVI)为0.810~1.000;量表水平内容效度(scale-level CVI,S-CVI)为0.824。结论中文版KAP-IU量表在国内孕妇人群中经验证信度、效度良好,难度适中,可作为孕妇尿失禁知信行情况评估的可靠工具。
文摘目的:探讨知-信-行模式产后干预管理对妊娠期糖尿病妇女产后糖尿病的影响。方法:选取100例妊娠期糖尿病病人为研究对象,分为观察组和对照组,观察两组病人的餐后2 h血糖(2 h PBG)、转铁蛋白、前清蛋白、空腹血糖、糖化血红蛋白(HbA1c)、体质指数、空腹胰岛素(FINS)等指标;观察病人产后6个月糖尿病检出率及自我行为管理情况、胰岛素抵抗指数(HOMA-IR)情况。结果:干预后观察组2 h PBG、HbA1c、空腹血糖、体质指数、转铁蛋白、前清蛋白均低于对照组,差异均有统计学意义(P<0.05);干预前两组自我行为管理情况比较,差异无统计学意义(P>0.05),出院后6个月两组病人自我行为管理评分差异有统计学意义(P<0.05)。出院前两组FINS和HOMA-IR评分差异无统计学意义(P>0.05),出院后两组FINS和HOMA-IR评分差异均有统计学意义(P<0.05)。两组产后6个月糖尿病发生率比较,差异有统计学意义(P<0.05)。结论:知-信-行模式产后干预管理可有效地减少妊娠期糖尿病的发生,并能很好地控制体质指数和提高营养水平,有效地促进妊娠病人的产后自我行为管理,促进血糖调节,从而改善胰腺机能的恢复。
文摘目的了解眼科护士快速康复外科(enhanced recovery after surgery,ERAS)知信行现状及其影响因素。方法采取便利抽样的方法,选择2020年1月至2021年12月温州地区4家医院168名眼科护士为调查对象,采用自制《ERAS知信行现状调查量表》对ERAS知识、态度、行为情况进行调查,统计眼科护士ERAS知信行现状,采用多元线性回归分析法分析眼科护士ERAS知信行的影响因素。结果168名眼科护士的ERAS知信行调查量表中知识维度评分(37.34±9.49)分、态度维度评分(33.74±8.67)分、行为维度评分(26.52±6.55)分,总评分(97.60±22.98)分;单因素分析结果显示,不同年龄、工作年限、文化水平、职称、医院级别、医院类别、聘用形式的眼科护士ERAS知信行量表评分对比差异有统计学意义(P<0.05);回归分析显示,医院类别、医院级别、职称、工作年限是影响眼科护士ERAS知信行评分的影响因素(P<0.05)。结论温州地区眼科护士ERAS知信行的状况整体处于中等水平,主要受医院类别、医院级别、职称、工作年限等因素影响,医院应定期为眼科护士提供ERAS专业培训,提高眼科护士ERAS知信行水平。
