Application of Structured Health Education and Combined 5A Nursing Model in Self-control of Vulnerable Chronic Diseases: Take Coronary Heart Disease as an Example

Objective:To explore the intervention effect of the Structured Health Education course and 5A nursing model for self-control of elderly patients with coronary heart disease.Methods:Using the random sampling method,124 elderly CAD patients admitted to the First Affiliated Hospital of Bengbu Medical University were randomly divided into an experimental group and a control group.The control group line routine health education,experimental group take structured health education combined with 5A nursing before and after the intervention using a coronary heart disease assessment questionnaire,coronary heart disease self-control scale evaluation of two groups of intervention,compare two groups before and after intervention blood pressure,blood sugar,body mass index,lipid index level and complications within 8 months after discharge.Results:After the course intervention,the disease cognition and self-behavior of the experimental group were higher than that of the control group,and the differences were statistically significant(all P<0.1).Conclusion:This course is suitable for elderly patients with coronary heart disease.The 5A model improves the cognitive and management ability of elderly patients to a certain extent,which is worthy of clinical application.

Effect of care intervention with a health education form for breastfeeding on breast distension,pain,and lactation in postpartum mothers

BACKGROUND Breastfeeding not only meets the nutritional needs of newborn growth and development but also promotes uterine contraction and discharge of lochia,which helps in maternal recovery.However,some mothers experience abnormal lactation and breast swelling due to a lack of breastfeeding knowledge,painful cesarean incisions,anesthesia,negative emotions,and other factors,resulting in a reduced breastfeeding rate,which adversely affects neonatal and maternal health.AIM To explore the effects of care intervention with a health education form for breastfeeding on breastfeeding-related conditions.METHODS In this study,207 mothers with postpartum breast pain and difficulty lactating were selected and divided into intervention and control groups using a random number table.Both groups of mothers were provided with basic nursing and related treatment measures after delivery.The intervention group additionally received care intervention with a health education form for breastfeeding.The scores of lactation volume,breast distension and pain,breastfeeding rate,breastfeeding self-efficacy,treatment effect,and complication rate of the two groups were compared.RESULTS After treatment,the breast pain score of the intervention group was significantly lower than that of the control group,while the lactation score,score of Breastfeeding Self-Efficacy Scale Short Form scale,parent-child communication score,maternal-infant interaction score,total score of maternal-infant communication,and breastfeeding rate of the intervention group were significantly higher than those of the control group.After intervention,the overall therapeutic effect of the intervention group was better than that of the control group,and the complication rate of the intervention group was lower than that of the control group.CONCLUSION Breastfeeding health education and nursing intervention combined with basic clinical treatment have good clinical effects in managing postpartum breast distension and pain and increasing lactation yield.

Digital resources for nursing education:Open courseware and massive open online courses

Open Courseware(OCW)and massive open online courses(MOOCs)are teaching and learning resources that are easily accessible to anyone with an Internet connection.OCW is digitally published learning content including full and partial courses(syllabi,outlines,lectures in pdf or video,slides,reference lists,etc.),simulations,animations,tutorials,drills and practices,modules,podcasts,case studies,and quizzes.This content is free and can be adopted or adapted to the user's needs.MOOCs are online learning experiences taught by university professors using conventional educational tools including video lectures,interactive modules,assignments,study materials,discussion boards,quizzes and tests.MOOCs are offered free or at low cost for personal and professional learning,and as a supplement to classroom teaching.Many MOOCs and OCW focus on topics of interest to nursing,particularly to nurse educators.This article provides the reader with a brief history of the development of OCW and MOOCs,conceptual descriptions,and guidance about how to access and use these new online resources.

Global health education in Chinese universities and potential for collaboration with schools of nursing: A qualitative study

Background: The Chinese Consortium of Universities for Global Health (CCUGH) was established within schools of public health in 2013 with the goal of enhancing global health in China.Expanding nursing students' exposure to global health curricula is important as nurses are essential actors in the health care system.However,information related to existing global health education within CCUGH-affiliated universities and the current engagement of Chinese schools of nursing in global health remains extremely limited.Objective: To identify and describe the current definitions and conceptualizations of global health education in Chinese universities,with a focus on schools of nursing,in order to explore potential opportunities for strengthened collaboration between global health initiative and schools of nursing in China.Methods: Purposive sampling with snowballing was used to recruit 19 key informants who were critical stakeholders in global health and nursing in China.Key informant interviews were conducted from July 2014 to February 2015,and data were updated in June 2016.Content analysis was used to analyze data via Atlas.ti 7.Results: There was a rapid growth in global health education within and beyond CCUGH-affiliated universities with nine universities establishing global health institutes.Translation and definition of global health lacked consistency in Chinese language.Though no course directly related to global health was offered,schools of nursing were gradually participating in global health education and research.Nursing was a critical component of global health,and global health and nursing mutually advanced each other.Nursing education should include global health contents,but at present independent global health curriculum in schools of nursing was not appropriate.Conclusion: Increasingly Chinese universities are promoting global health education through the platform of CCUGH.It is an ideal moment to promote and expand work across the fields of global health and nursing,specifically to highlight opportunities for collaboration across education,research and practice.

Application of self-care based on full-course individualized health education in patients with chronic heart failure and its influencing factors

BACKGROUND The treatment of heart failure not only needs to relieve the clinical symptoms and improve the quality of life for patients but also needs to select scientific and reasonable ways to prevent or delay the progression of the disease,thus reducing the mortality and hospitalization rate.Although the previous regimen can effectively relieve symptoms in the early stage of treatment,long-term use may cause adverse events,such as arrhythmia,and even increase mortality.Therefore,conventional treatment cannot meet the actual health needs of patients,and scientific nursing intervention is very necessary.AIM To investigate the application of self-care based on full-course individualized health education (FCIHE) and its influencing factors in patients with chronic heart failure (CHF).METHODS We enrolled CHF patients who were admitted to our center between September 2015 and June 2016 and divided them into an intervention group (n = 50) and control group (n = 50) using a random number table.Routine nursing care was applied to the control group,and FCIHE was offered to the intervention group.The self-care behavior,6-min walking distance (6MWD),and 36-item short form health survey (SF-36) scores were compared between the two groups.The influencing factors of the self-care were also analyzed.RESULTS The 6MWD was not significantly different between the two groups at admission (P > 0.05);however,at 3 and 6 mo after discharge,6MWD was significantly increased,and it was significantly longer in the intervention group (P < 0.05).The scores for self-care behavior showed no significant difference at admission between the two groups (P > 0.05);however,at 3 and 6 mo after discharge,the total scores for self-care maintenance,management,confidence,and behavior of the intervention group were significantly higher than those of the control group (P < 0.05).There were no significant differences in the SF-36 scores at admission (P > 0.05);however,at 3 mo and 6 mo after discharge,the scores for all eight subscales,including physical functioning,role limitations due to physical problems,bodily pain,general health perceptions,vitality,social functioning,role-limitations due to emotional problems,and mental health,were significantly higher in the intervention group (P < 0.05).As shown by logistic regression analysis,the influencing factors of self-care mainly included age,cardiac function class,and education background (odds ratio > 1;all P < 0.05).CONCLUSION FCIHE improved self-care behavior and cardiac function in CHF patients.Age,cardiac function,and education level affected the implementation of self-care among CHF patients.

Analysis and Nursing Health Education of Current Status of Maintenance Hemodialysis Patients with Hyperphosphatemia

Concerned about the current situation of hemodialysis patients'awareness of the problems related to dialysis complicated with hyperphosphatemia,further analyze the existing problems and causes,give targeted and individualized health education,improve the compliance of diet,medication and self-management,strengthen nurse-patient communication,establish a good nurse-patient relationship,reduce and control the incidence of hyperphosphatemia,improve patients'quality of life,and improve prognosis.

Interprofessional education in nursing: The impact of collaboration between physical and mental health care professionals

Objectives:lnterprofessional collaboration in the training of nursing and psychology students helps provide students of both disciplines with the ability and competences they need to best attend to their patients.This study implemented and analyzed a method for developing the competences of each discipline in a scenario of joint clinical simulation that incorporates mental and physical health simultaneously,and measured the caring ability of the participating students.Methods:Participants took a self-applied survey measuring their own caring ability.After,a clinical simulation was performed where nursing students performed clinical interviews on psychology students,who acted as standardized patients.Caring abilities were measured in the nursing students,and the psychology students implemented an intervention service measuring caring ability and brief-debrief simulation by coaching to nursing students.Results:The results indicated that the self-applied questionnaire of caring ability resulted in scores significantly higher than what was measured by observers.Conclusions:The results contribute to the development of protocols,training and collaborative work practices in interprofessional education,which allow the scaling of these competences.

The development and impact of adopting electronic health records in the United States:A brief overview and implications for nursing education

1|DEVELOPMENT AND ADOPTION OF EHR IN THE UNITED STATES At present,health-care systems in the United States face enormous challenges in providing quality care,characterized by safe,effective,efficient,patientcentered,timely,and equitable care while containing health-care costs[1,2].To understand and address patients'increasingly complicated health-care needs,we need safe access to quality information that is characterized by integrity,reliability,and accuracy[3],and establish mutually beneficial relationships among a multidisciplinary team of professionals[4].Traditional paper-based clinical workflow produces many issues such as illegible handwriting,inconvenient access,the possibility of computational prescribing errors,inadequate patient hand-offs,and drug administration errors.These problems can lead to medical errors,omissions,and duplications and,ultimately,poor patient outcomes and compromised quality of care[2].

Effect of a new health education model on continuous nursing in elderly patients with diabetes mellitus

Objective: We aimed to explore the effect of a new health education model on continuous nursing care in elderly patients with diabetes mellitus who had undergone an operation for fracture.Methods: Convenience sampling was used to select 59 elderly patients with diabetes mellitus and fracture. New health education methods were used, and patient parameters were evaluated before and after the intervention.Results: Evaluation of medication, reasonable diet, regular exercise, blood glucose monitoring, and regular follow-up compliance were significantly improved in the experimental group compared to the control group(P<0.05). There were also significant differences between groups in fasting blood glucose, 2-hour postprandial blood glucose, triglyceride, high-density lipoprotein, and low-density lipoprotein levels(P < 0.05); however, the differences between groups in terms of glycosylated hemoglobin and total cholesterol levels were not statistically significant(P > 0.05). Finally, the functional recovery and mental health of the experimental group were significantly better than those of the control group(P < 0.05).Conclusions: The implementation of a menu of voluntary services in community-based continuous nursing provided standardized nursing care for elderly patients with fracture and diabetes mellitus and improved their quality of life.

Development of Specialized Courses and Establishment of Teaching Materials in Nursing of Integrated Chinese and Western Medicine

Since the Third Plenary Session of the 11 thCentral Committee of the Communist Party of China( CPC),with the promotion and development of traditional Chinese medicine(TCM),the pace of TCM nursing work has been accelerated in nationwide,and a group of integrated Chinese and western medicine nurses have been cultivated preliminarily. However,professional nurses of integrated Chinese and western medicine are still deficient extremely. The target of talent cultivation,based on the theory of "focusing on humanism,expanding diathesis,and enhancing practice to highlight the accommodation and integration of nurses of integrated traditional Chinese and western medicine",is to cultivate competent,practical and interdisciplinary senior nursing talents with strong professional basis,skilled operations,rich humanistic literacy,and sharp innovative spirit who not only master modern nursing knowledge and skills,but also can perform comprehensive nursing under the guidance of TCM theory of holistic concept and syndrome differentiation and nursing. This study,through investigating and analyzing the settings of3-year nursing professional courses in about 20 senior medical colleges,including senior nursing education of TCM,reformed the development of professional nursing courses of integrated Chinese and western medicine and the establishment of educational materials according to the course settings and educational work modes,so as to analyze the current status of nursing education of integrated Chinese and western medicine,determine course targets,and establish course system and educational work modes.

Application of Experiential Teaching in the Reform of College Students' Mental Health Course from the Perspective of Life Education

In recent years,the phenomenon of college students5 indifference to life occurs frequently which seriously damages the healthy growth of college students.Life education should be integrated into mental health education courses in colleges.Experiential teaching is a type of teaching activity that is characterized by students5 personal experiences and initiative,focusing on the participation of practical activities.Compared with traditional lectures,it improves students'interest and enthusiasm.In the mental health course,experiential teaching applies theoretical knowledge to real life and promote the improvement of students9 mental health to shape stable and mature personalities and eventually,promotes the development of life.College students5 mental health course should be integrated with experiential teaching practice in the perspective of life education,so as to better improve the teaching effect and guide students to form a correct outlook of life.

Competency-based curriculum education in mental health nursing

Introduction: The essential problems in providing quality and safety services to patients, rapid changes in health care settings as well as information technology require educational revision. Competency-based curriculum focuses on set of skills that students should achieve. This study reviewed characteristics of competency-based curriculum in psychiatric nursing. Methods: A literature review about a competency-based curriculum in psychiatric mental health nursing was carried out by searching databases including Iran Medex, Iran Doc, and Pub Med with key words such as competency-based education, competency-based curriculum, and competency-based curriculum in psychiatric mental health nursing. No time limitation was considered. Results: Results revealed that over 30 literatures have been done about nursing curriculum, but just several studies were done regarding competency-based curriculum and just a few about competency-based curriculum in psychiatric mental health nursing. Conclusion: Competency-based curriculum development is one of the essential steps to facilitate teaching-learning process. The revision of curriculum may decrease theory-practice gap and pave the way for graduates to have essential competences for their roles.

Bibliometric Analysis of Nursing Articles Focused on Health Education

This study aimed to analyze the references of articles with the approach to Health Education, published in Brazilian journals of nursing classified as Qualis Nursing A1 and A2. Descriptive study. Setting: SciELO library. We analyzed the references of 113 articles which were used to study the theoretical and methodological framework of bibliometrics, which aimed to promote subsidies for obtaining evaluation indicators of production, contributing to the expansion of scientific knowledge produced and disseminated among authors and researchers in nursing science. The main results showed the prevalence of article such as document most often quoted, references with 5-9 years of temporality, from Brazil and in Portuguese. The journals most frequently used were the Revista Brasileira de Enfermagem e a Revista Latino Americana de Enfermagem. Provided a vision of what is being referenced in nursing publications in Brazil, with regard to the Health Education.

Perceived Difficulties Regarding HIV/AIDS Services among Public Health Nurses in the Kinki Region of Western Japan: Implications for Public Health Nursing Education in Japan

Objective: To determine the perceived difficulties in providing HIV/AIDS services among public health nurses and to identify their correlates, we carried out a cross-sectional study in the Kinki region of western Japan. Methods: Structured self-administered questionnaires were distributed to all public health nurses in the region, and 1535 valid questionnaires were retrieved (valid response rate 78.7%). Results: More than half of the participants (52.8%) reported difficulties with HIV/AIDS services. The factors associated with perceived difficulties were having a negative attitude towards consultations on sexual matters (adjusted odds ratio [AOR] 2.2, p p = 0.002 and AOR 1.8, p p p = 0.016), and low permissiveness of the diversity of sexual behavior (AOR 2.0, p Conclusions: Overall, our results suggest that nursing and public health nursing education in Japan should cover sexual issues and HIV/AIDS in a more systematic way.

The Health Education Program Implemented by Nurses Can Improve Blood Pressure Control and Quality of Life in Hypertensive Patients？

The relational strategies in group are to improve patient’s BP （blood pressure） control and QoL （quality of life）. Methods： Twenty-one hypertensive patients were randomized into two groups： group A （10 patients, age 67 ± 6 years, BMI （body mass index） 28.3 ± 6 kg/m2） was applied relational strategies, with meetings every 15 days 8 meetings; group B （11 patients, age 58 ± 13 years, BMI 28.2 ± 3 kg/m2） with meetings for group orientation every 40 days 3 meetings. The patients were monitored： at baseline （day 15） and at the end of the study （day 120）, the BP was measured by auscultatory method and the QoL questionnaire （WHOQOL-BREF） was applied, and was submitted to the examination with ABPM （ambulatory blood pressure monitoring）. Results： after 120 days there was a greater （p 〈 0.05） reduction in SBP （systolic blood pressure） in group A （37.8 ± 25 mmHg） than in group B （18 ± 9 mmHg）, but DBP （diastolic blood pressure） decreased similarly in both groups （A, 15 ± 21 vs B, 13 ± 14 mmHg）; the HR （heart rate） reduction was larger （p 〈 0.05） in group A （60.6 ± 8.9 bpm） than in group B （69.7 ± 10.7 bpm）. There was a more significant BMI decrease （p 〈 0.01） in group A （27.8 ± 5 kg/m2） than in group B （28.9 ± 4 kg/m2）. The observed correlations between physical domain and nightime DBP （at day 120） in ABPM were r = -0.712 （negative correlation, p = 0.003）; between psychological domain and SBP sleep time （at day 120） in ABPM were r = -0.527 （negative correlation, p = 0.044）; between environmental domain and daytime Δ HR in ABPM were r = -0.573 （negative correlation, p = 0.007）. Conclusion： the health education program conducted through interpersonal relationships within groups provided better control of SBP and greater reduction in BMI.

Construction and Validation of an Educational Technology for Mammary Health Promotion

Mammary health is issue faced by public health nurses and the science follows new ways into this thematic area of learning course wares. The purpose of this study was to construct and to validate a distance course for mammary health promotion for nurses. Methodological proposal has been composed of five stages: 1) analysis and planning, 2) modeling, 3) implementation, 4) evaluation and maintenance and 5) distribution. A total of nine experts as research population were consulted who were expert judges of nursing, pedagogy and web designer, three of each specific area, which were included in the study. The variables that had concordance index of 50% were: graphic designer pages favors learning, the user has easy navigation, the learning of the student experience, the environment provides interdisciplinary, content is built on process rather than there is a unique sequence, allows access to the available environment and holds a discussion on the subject. The distance learning course is intended to broaden and to enrich the living spaces and construct their own knowledge, favors interactivity, communication, autonomy and cooperation between the participants and provides access to educational technologies.

Effect of feedback health education on postoperative rehabilitation of patients with lumbar disc herniation: a cluster randomised trials

Aims and objective:A theoretical model based on guided postoperative rehabilitation with feedback was developed for patients with lumbar intervertebral disc protrusion to explore the effects of feedback-based health education.Patients were assessed in terms of disease knowledge,general self-efficacy,medical behaviour,and the Oswestry disability index(ODI).During postoperative rehabilitation,nursing staff provided health education regarding lumbar intervertebral disc protrusion.Design:The CONSORT 2010 statement extension for cluster randomized trials checklist(Campbell et al.,2012)was used to guide reporting outcomes(File S1).Methods:The methods were based on previous research on the feedback method of health education.A cluster randomized controlled trial design was used.From March 2019 to January 2020,patients who underwent spinal surgery at a first-class tertiary hospital were enrolled,and 76 met the inclusion criteria for lumbar disc disease(lumbar disc herniation,LDH).Patients were divided into an experimental group and a control group,with 38 patients in each group.Feedback-based health education was conducted for the experimental group,and routine health education was provided for the control group.Disease knowledge,general self-efficacy,compliance behaviour,and ODI scores were compared between the two groups.The intervention effect was compared between groups by means of t tests.SPSS 23.0 was used for statistical analysis,and P<0.05 was considered statistically significant.The research was reported according to CONSORT statement.Results:1.Comparison of baseline data between the two groups before the intervention.Before the intervention,there was no statistically significant difference between the two groups in terms of general demographic data,disease-related data,disease knowledge,general self-efficacy,compliance behaviour,or ODI(P>0.05).2.Comparison of relevant indicators between the two groups of patients before and after the intervention.(1)One,four and 12 weeks after surgery,the disease knowledge,general self-efficacy and postoperative compliance behaviour of the experimental group were significantly higher than those of the control group(P<0.05).(2)At 1,4 and 12 weeks after surgery,the ODI of the experimental group was significantly lower than that of the control group(P<0.05).Conclusions:Feedback-based health education is conducive to improving disease knowledge,general self-efficacy and compliance behaviour and reducing ODI scores in patients with LDH.Relevance to clinical practice:This study provides nurses worldwide with a reference for health education during postoperative rehabilitation for lumbar disc herniation.

Exploring the Application of Health Education During Pregnancy in Clinical Nursing of Obstetrics and Gynecology

Objective:To study the methods and effects of health education during pregnancy in the clinical nursing work of obstetrics and gynecology.Methods:Between January 2022 and January 2024 in the hospital 140 cases of pregnant women,can be divided into two groups,an observation group and a control group,respectively,between groups of 70 people.The observation group was given health pregnancy education,while the control group was given routine nursing.Results:After intervention compared two groups of natural childbirth,postpartum breast feeding rate and postpartum bleeding,observation group is better than the control group.The results of the two groups have statistical significance(P<0.05).Conclusion:The application of health education during pregnancy in the nursing of obstetrics and gynecology has a good effect,can be widely welcomed and has clinical value.

Comparative efficacy of social media delivered health education on glycemic control: A meta-analysis

Objective:To compare outcomes associated with patient education about glycemic control via group chat versus patient education as usual among individuals with diabetes in China.Methods:We searched the following databases both in English and in Chinese languages:PubMed,CNKI,Wanfang database,VIP database,and CBM for articles published up to Jan 1,2018.The studies were screened by two independent reviewers.Using criteria from the risk of bias assessment tool developed by Cochrane Collaboration to assess the risk of bias of eligible studies.A meta-analysis of studies was performed using comprehensive meta-analysis version 3.0.Results:Twenty-five unique randomized clinical trials,including 2,838 patients,were identified.The education delivered via group chat had large overall pooled effect sizes in improving glucose control measured by hemoglobin A1c[Hedges'g=-0.81,95%CI:(-0.98,-0.64)],fasting blood glucose[Hedges'g=-1.11,95%CI:(-1.37,-0.85)],and 2 h postprandial blood glucose[Hedges'g=-0.98,95%CI:(-1.20,-0.76)].Additionally,patient education delivered via group chat has shown consistently superior outcomes in glucose control in short-term(0-3 months),mid-term(3-6 months)and longer-term(6-12 months).Conclusions:Educational interventions via group chat had a superior outcome in blood glucose control compared to education as usual in China.Educational interventions via group chat had superior shortterm,mid-term,and longer-term outcomes in blood glucose control compared to education as usual in China.

Innovative Techniques to Develop Educative Competitiveness in Adolescents’ Mental Health: Importance in Nursing Training

Background: The challenge for nursing training highlights the priorities for knowing and attending current educational tendencies on adolescents and the university curriculum, required for a nurse professional to develop skills to reach success in health education. The aim was to establish the importance of nurse training by using innovative techniques to develop skills in adolescent mental health education. Methods: Qualitative and descriptive research with an exploratory approach. Six nurse students of 20 - 25 years of age, both sexes, were invited to participate in a public university setting. Immersion tools were implemented such as, testimony, hexagrams, interactive didactic materials, all of them previously validated by expert judges. Data collection was through a semi-structured interview, after a signed informed consent letter. Results: Five categories emerged, Category I. Innovative educational strategies, like immersion tools;Category II. Innovative strategy to treat complex topics;Category III. Innovative techniques that favor health education;Category IV. Importance of upgrading nurse professionals;Category V. Importance of Innovative mental health education for adolescents. Conclusions: Nursing training with innovative techniques to develop skills in mental health for adolescents requires better educational, research and evaluation methods to fulfill professionals training, to provide a better health education in adolescents, and to reach a significant learning.