目的探究Watson关怀理论下激励式护理在呼吸衰竭患者中的护理价值。方法方便选取2020年12月-2022年12月新沂市人民医院收治的102例呼吸衰竭患者作为研究对象,采用随机数表法分为对照组和研究组,各51例。对照组入院后接受常规护理服务,...目的探究Watson关怀理论下激励式护理在呼吸衰竭患者中的护理价值。方法方便选取2020年12月-2022年12月新沂市人民医院收治的102例呼吸衰竭患者作为研究对象,采用随机数表法分为对照组和研究组,各51例。对照组入院后接受常规护理服务,研究组接受结合Watson关怀理论下激励式护理服务。比较两组患者护理干预前及护理干预3个月后的服药依从性量表(Morisky Medication Adherence Scale,Morisky)、生活质量简表(World Health Organization Quality of Life-100,WHOQOL-100)、心理韧性量表(Stress and Coping Questionnaire,SCSQ)及匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评分。结果护理干预后,研究组Morisky评分、WHOQOL-100评分高于对照组,差异有统计学意义(P均<0.05)。研究组SCSQ得分(67.85±4.17)分高于对照组的(59.28±4.36)分,差异有统计学意义(t=10.144,P<0.05)。研究组PSQI评分低于对照组,差异有统计学意义(P<0.05)。结论对呼吸衰竭患者实施Watson关怀理论下激励式护理,可激发患者主观能动性,有助于提高其依从性,并增强睡眠质量及心理韧性,从而提高生活质量。展开更多
Introduction: Standard procedures for surgical fixation of proximal femoral fractures (PFF) require an image intensifier which in developing countries remains a luxury. We hypothesized that, with a well-codified techn...Introduction: Standard procedures for surgical fixation of proximal femoral fractures (PFF) require an image intensifier which in developing countries remains a luxury. We hypothesized that, with a well-codified technique, the Watson Jones approach (WJA) without image intensifier nor traction table, can allow open reduction and internal fixation (ORIF) of PFF using Dynamic hip screw (DHS), with satisfactory outcome. Patients and methods: Forty one consecutive patients (mean age 59.5 ± 21.6 years, 61% males) who were followed in a Teaching Hospital for PFF treated by ORIF using the WJA and DHS from January 2016 to December 2020 were reassessed. The outcome measures were the quality of the reduction, the positioning of the implants, the tip-apex distance (TAD), the rate and delay of consolidation, the functional results using Postel Merle d’Aubigné (PMA) score, the rate of surgical site infection (SSI) and the overall mortality. Logistic regression was used to determine factors associated with mechanical failure. Results: The mean follow-up period was 33.8 ± 15.0 months. Fracture reduction was good in 31 (75.6%) cases and acceptable in 8(19.5%) cases. Implant position was fair to good in 37 (90.2%) patients. The mean TAD was 26.1 ± 3.9 mm. Three patients developed SSI. Consolidation was achieved in 38 (92.6%) patients. The functional results were good to excellent in 80.5% of patients. The overall mortality rate was 7.3%. There were an association between mechanical failure and osteoporosis (p = 0.04), fracture reduction (p = 0.003), and TAD (p = 0.025). In multivariate logistic regression, no independent factors were predictive of mechanical failure. Conclusion: This study shows that ORIF using DHS for PFF via the Watson-Jones approach without an image intensifier can give satisfactory anatomical and functional outcomes in low-resource settings. It provides and validates a reliable and reproducible technique that deserves to be diffused to surgeons in austere areas over the world.展开更多
目的:探究Watson关怀理论应用于肺癌根治术患者术后恢复效果及疾病感知水平及主观幸福感的影响。方法:选取我科2019年2月至2021年2月接收的90例肺癌根治术患者作为研究对象,用抽签法将其分为对照组与观察组,各45例,对照组给予常规术后护...目的:探究Watson关怀理论应用于肺癌根治术患者术后恢复效果及疾病感知水平及主观幸福感的影响。方法:选取我科2019年2月至2021年2月接收的90例肺癌根治术患者作为研究对象,用抽签法将其分为对照组与观察组,各45例,对照组给予常规术后护理,观察组给予基于Watson关怀理论干预模式,一个月后采用幸福度量表(Memorial university of Newfoundland scale of happiness,MUNSH)各维度评分对比两组患者的主观幸福感,采用简易疾病感知问卷(The Brief lIness Perception Questinnaire,BIPQ)评分了解疾病感知水平,采用6 min步行距离(6 minute walk test,6MWT)研究呼吸运动能力,统计其用力肺活量(Forced vital capacity,FVC)和最大呼气第1秒呼出气量容积(Forced expiratory volume in the frst second,FEV1)。结果:干预后观察组MUNSH量表中正性情感、负性情感、正性体验、负性体验和BIPQ量表中后果、持续时间、个人控制、关注、情绪、治疗控制、症状、对疾病的感知各项评分、6MWT、FVC、FEV1水平均高于对照组,有统计学意义(P<0.05)。结论:肺癌根治术患者应用Watson关怀理论相关干预方案的临床效果佳,患者呼吸运动功能、主观幸福感和疾病感知水平均得到了改善。展开更多
文摘目的探究Watson关怀理论下激励式护理在呼吸衰竭患者中的护理价值。方法方便选取2020年12月-2022年12月新沂市人民医院收治的102例呼吸衰竭患者作为研究对象,采用随机数表法分为对照组和研究组,各51例。对照组入院后接受常规护理服务,研究组接受结合Watson关怀理论下激励式护理服务。比较两组患者护理干预前及护理干预3个月后的服药依从性量表(Morisky Medication Adherence Scale,Morisky)、生活质量简表(World Health Organization Quality of Life-100,WHOQOL-100)、心理韧性量表(Stress and Coping Questionnaire,SCSQ)及匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评分。结果护理干预后,研究组Morisky评分、WHOQOL-100评分高于对照组,差异有统计学意义(P均<0.05)。研究组SCSQ得分(67.85±4.17)分高于对照组的(59.28±4.36)分,差异有统计学意义(t=10.144,P<0.05)。研究组PSQI评分低于对照组,差异有统计学意义(P<0.05)。结论对呼吸衰竭患者实施Watson关怀理论下激励式护理,可激发患者主观能动性,有助于提高其依从性,并增强睡眠质量及心理韧性,从而提高生活质量。
文摘Introduction: Standard procedures for surgical fixation of proximal femoral fractures (PFF) require an image intensifier which in developing countries remains a luxury. We hypothesized that, with a well-codified technique, the Watson Jones approach (WJA) without image intensifier nor traction table, can allow open reduction and internal fixation (ORIF) of PFF using Dynamic hip screw (DHS), with satisfactory outcome. Patients and methods: Forty one consecutive patients (mean age 59.5 ± 21.6 years, 61% males) who were followed in a Teaching Hospital for PFF treated by ORIF using the WJA and DHS from January 2016 to December 2020 were reassessed. The outcome measures were the quality of the reduction, the positioning of the implants, the tip-apex distance (TAD), the rate and delay of consolidation, the functional results using Postel Merle d’Aubigné (PMA) score, the rate of surgical site infection (SSI) and the overall mortality. Logistic regression was used to determine factors associated with mechanical failure. Results: The mean follow-up period was 33.8 ± 15.0 months. Fracture reduction was good in 31 (75.6%) cases and acceptable in 8(19.5%) cases. Implant position was fair to good in 37 (90.2%) patients. The mean TAD was 26.1 ± 3.9 mm. Three patients developed SSI. Consolidation was achieved in 38 (92.6%) patients. The functional results were good to excellent in 80.5% of patients. The overall mortality rate was 7.3%. There were an association between mechanical failure and osteoporosis (p = 0.04), fracture reduction (p = 0.003), and TAD (p = 0.025). In multivariate logistic regression, no independent factors were predictive of mechanical failure. Conclusion: This study shows that ORIF using DHS for PFF via the Watson-Jones approach without an image intensifier can give satisfactory anatomical and functional outcomes in low-resource settings. It provides and validates a reliable and reproducible technique that deserves to be diffused to surgeons in austere areas over the world.
文摘目的:探究Watson关怀理论应用于肺癌根治术患者术后恢复效果及疾病感知水平及主观幸福感的影响。方法:选取我科2019年2月至2021年2月接收的90例肺癌根治术患者作为研究对象,用抽签法将其分为对照组与观察组,各45例,对照组给予常规术后护理,观察组给予基于Watson关怀理论干预模式,一个月后采用幸福度量表(Memorial university of Newfoundland scale of happiness,MUNSH)各维度评分对比两组患者的主观幸福感,采用简易疾病感知问卷(The Brief lIness Perception Questinnaire,BIPQ)评分了解疾病感知水平,采用6 min步行距离(6 minute walk test,6MWT)研究呼吸运动能力,统计其用力肺活量(Forced vital capacity,FVC)和最大呼气第1秒呼出气量容积(Forced expiratory volume in the frst second,FEV1)。结果:干预后观察组MUNSH量表中正性情感、负性情感、正性体验、负性体验和BIPQ量表中后果、持续时间、个人控制、关注、情绪、治疗控制、症状、对疾病的感知各项评分、6MWT、FVC、FEV1水平均高于对照组,有统计学意义(P<0.05)。结论:肺癌根治术患者应用Watson关怀理论相关干预方案的临床效果佳,患者呼吸运动功能、主观幸福感和疾病感知水平均得到了改善。
