Objective:To analyze the application effect of hierarchical group responsibility system of holistic nursing in Department of Gastroenterology.Methods:655 patients in our hospital from August 2020 to January 2021 were ...Objective:To analyze the application effect of hierarchical group responsibility system of holistic nursing in Department of Gastroenterology.Methods:655 patients in our hospital from August 2020 to January 2021 were selected as the research objects.They were randomly divided into experimental group(328 cases)and control group(327 cases)to explore nursing satisfaction,nursing quality score and clinical symptoms before and after nursing.Results:In the experimental group,266 cases(81.10%)were very satisfied,33 cases(10.06%)were satisfied and 29 cases(8.84%)were dissatisfied.The total number of satisfied cases(very satisfied+satisfied)was 299 cases(91.16%);In the control group,167 cases(51.07%)were very satisfied,63 cases(19.27%)were satisfied,97 cases(29.66%)were dissatisfied,and 230 cases(70.34%)were satisfied.The nursing satisfaction of the experimental group was significantly higher than that of the control group;The nursing quality score of the experimental group was(91.67±0.66),and that of the control group was(71.66±0.88),which was significantly higher than that of the control group;The clinical symptom score of the experimental group was(2.42±0.32),and that of the control group was(4.66±1.11),which was significantly better than that of the control group.Conclusion:The application of hierarchical group responsibility holistic nursing mode in gastroenterology department can not only improve the nursing satisfaction of patients,but also improve the quality of nursing,promote the good development of patients'condition,and provide a comfortable treatment environment for patients,which is worthy of clinical promotion.展开更多
.Thereafter,the full text of all 28 studies were reviewed.Finally,24 studies were included after excluding duplicates,non-3+1 holistic rehabilitation nursing studies,non-experimental studies,studies with inconsistent ....Thereafter,the full text of all 28 studies were reviewed.Finally,24 studies were included after excluding duplicates,non-3+1 holistic rehabilitation nursing studies,non-experimental studies,studies with inconsistent sample size,wrong data analysis,and unclear outcomes,etc.Results:Upon reviewing the 24 literatures,all the included studies were clinical studies that made comparisons between 3+1 holistic rehabilitation nursing groups and traditional nursing groups.The age of the participants were between 60 and 80 years,and the total number of participates were 2,790.However,there were some studies that did not report the average age(5/24),average duration(14/24),and the ratio of male to female patients(3/24).Only a few studies reported the intervention time(7/24)and classified the disease by severity(4/24).The outcomes included activities of daily living(ADL),Mini-Mental State Examination(MMSE),and Chinese Rehabilitation Research Center Aphasia Examination(CRRCAE).A total of 19 studies showed that 3+1 holistic rehabilitation nursing is effective in improving patients’self-care ability;14 studies showed that this rehabilitation nursing has a significant curative effect for the cognitive function of patients;7 studies showed that this nursing model can promote the recovery of language function in AD patients;5 studies showed the model can significantly reduce the incidence of adverse events and complications upon receiving treatment;2 studies showed that the nursing model is helpful for depression and emotional indifference.Conclusion:Compared with the traditional nursing mode,3+1 holistic rehabilitation nursing is more effective in improving self-care ability,cognitive function,language function,emotional state,and so on.In addition,this nursing model can significantly reduce the incidence of adverse events,falls,pressure sores,and other complications during hospitalization.However,the inclusion criteria and duration of intervention for the included studies need to be further standardized,and more experimental studies on the efficacy of 3+1 holistic rehabilitation nursing on severe AD patients as well as the complications caused by AD are required.The cost of 3+1 holistic rehabilitation nursing,which is specialized and personalized,is high.Therefore,the value of this nursing model still requires much research.展开更多
Objective:To standardize the holistic care for patients with severe coronavirus disease 2019(COVID-19)in China.Methods:The consensus was preliminarily formed by combining relevant literature findings and frontline med...Objective:To standardize the holistic care for patients with severe coronavirus disease 2019(COVID-19)in China.Methods:The consensus was preliminarily formed by combining relevant literature findings and frontline medical working experiences,and it was eventually confirmed by five rounds of online discussions and expert consultations.Results:This consensus included nursing assessment,nursing priorities,nursing goals,and thirteen key points of nursing procedures such as oxygen therapy and respiratory nursing,etc.Conclusion:This scientific and practical consensus guideline can provide clinical guidance on the holistic nursing care of patients with severe COVID-19.展开更多
Throughout its history, the nursing profession has claimed to provide holistic patient care, which is defined as bio-psycho-socio-spiritual care. Today, however, many nurses do not feel comfortable with the “spiritua...Throughout its history, the nursing profession has claimed to provide holistic patient care, which is defined as bio-psycho-socio-spiritual care. Today, however, many nurses do not feel comfortable with the “spiritual” element of care and are uncertain about their professional role in the assessment and delivery of spiritual care. Discomfort and avoidance of attending to the spiritual needs of human beings creates “a hole” in holistic patient care. Contributing factors to the “hole in holistic patient care” include: 1) blurring of boundaries in the language and definitions of “spirituality” and “religion”, 2) insufficient attention to definitions of spirituality and spiritual distress;3) confusion and role conflict with professional identity among disciplines related to responsibility for spiritual care;4) insufficient education and skill development for nurses and other healthcare professionals in the assessment, intervention and appropriate referral of patients experiencing spiritual distress. The purpose of this article is to explore the history of holistic nursing as it pertains to the human dimension of spirituality and conclude with practice models for spiritual assessment and spiritual care that can “fill” the hole in holistic nursing care.展开更多
文摘Objective:To analyze the application effect of hierarchical group responsibility system of holistic nursing in Department of Gastroenterology.Methods:655 patients in our hospital from August 2020 to January 2021 were selected as the research objects.They were randomly divided into experimental group(328 cases)and control group(327 cases)to explore nursing satisfaction,nursing quality score and clinical symptoms before and after nursing.Results:In the experimental group,266 cases(81.10%)were very satisfied,33 cases(10.06%)were satisfied and 29 cases(8.84%)were dissatisfied.The total number of satisfied cases(very satisfied+satisfied)was 299 cases(91.16%);In the control group,167 cases(51.07%)were very satisfied,63 cases(19.27%)were satisfied,97 cases(29.66%)were dissatisfied,and 230 cases(70.34%)were satisfied.The nursing satisfaction of the experimental group was significantly higher than that of the control group;The nursing quality score of the experimental group was(91.67±0.66),and that of the control group was(71.66±0.88),which was significantly higher than that of the control group;The clinical symptom score of the experimental group was(2.42±0.32),and that of the control group was(4.66±1.11),which was significantly better than that of the control group.Conclusion:The application of hierarchical group responsibility holistic nursing mode in gastroenterology department can not only improve the nursing satisfaction of patients,but also improve the quality of nursing,promote the good development of patients'condition,and provide a comfortable treatment environment for patients,which is worthy of clinical promotion.
文摘.Thereafter,the full text of all 28 studies were reviewed.Finally,24 studies were included after excluding duplicates,non-3+1 holistic rehabilitation nursing studies,non-experimental studies,studies with inconsistent sample size,wrong data analysis,and unclear outcomes,etc.Results:Upon reviewing the 24 literatures,all the included studies were clinical studies that made comparisons between 3+1 holistic rehabilitation nursing groups and traditional nursing groups.The age of the participants were between 60 and 80 years,and the total number of participates were 2,790.However,there were some studies that did not report the average age(5/24),average duration(14/24),and the ratio of male to female patients(3/24).Only a few studies reported the intervention time(7/24)and classified the disease by severity(4/24).The outcomes included activities of daily living(ADL),Mini-Mental State Examination(MMSE),and Chinese Rehabilitation Research Center Aphasia Examination(CRRCAE).A total of 19 studies showed that 3+1 holistic rehabilitation nursing is effective in improving patients’self-care ability;14 studies showed that this rehabilitation nursing has a significant curative effect for the cognitive function of patients;7 studies showed that this nursing model can promote the recovery of language function in AD patients;5 studies showed the model can significantly reduce the incidence of adverse events and complications upon receiving treatment;2 studies showed that the nursing model is helpful for depression and emotional indifference.Conclusion:Compared with the traditional nursing mode,3+1 holistic rehabilitation nursing is more effective in improving self-care ability,cognitive function,language function,emotional state,and so on.In addition,this nursing model can significantly reduce the incidence of adverse events,falls,pressure sores,and other complications during hospitalization.However,the inclusion criteria and duration of intervention for the included studies need to be further standardized,and more experimental studies on the efficacy of 3+1 holistic rehabilitation nursing on severe AD patients as well as the complications caused by AD are required.The cost of 3+1 holistic rehabilitation nursing,which is specialized and personalized,is high.Therefore,the value of this nursing model still requires much research.
文摘Objective:To standardize the holistic care for patients with severe coronavirus disease 2019(COVID-19)in China.Methods:The consensus was preliminarily formed by combining relevant literature findings and frontline medical working experiences,and it was eventually confirmed by five rounds of online discussions and expert consultations.Results:This consensus included nursing assessment,nursing priorities,nursing goals,and thirteen key points of nursing procedures such as oxygen therapy and respiratory nursing,etc.Conclusion:This scientific and practical consensus guideline can provide clinical guidance on the holistic nursing care of patients with severe COVID-19.
文摘Throughout its history, the nursing profession has claimed to provide holistic patient care, which is defined as bio-psycho-socio-spiritual care. Today, however, many nurses do not feel comfortable with the “spiritual” element of care and are uncertain about their professional role in the assessment and delivery of spiritual care. Discomfort and avoidance of attending to the spiritual needs of human beings creates “a hole” in holistic patient care. Contributing factors to the “hole in holistic patient care” include: 1) blurring of boundaries in the language and definitions of “spirituality” and “religion”, 2) insufficient attention to definitions of spirituality and spiritual distress;3) confusion and role conflict with professional identity among disciplines related to responsibility for spiritual care;4) insufficient education and skill development for nurses and other healthcare professionals in the assessment, intervention and appropriate referral of patients experiencing spiritual distress. The purpose of this article is to explore the history of holistic nursing as it pertains to the human dimension of spirituality and conclude with practice models for spiritual assessment and spiritual care that can “fill” the hole in holistic nursing care.
