Humanistic and graded psychological nursing care for patients undergoing endoscopic submucosal dissection of gastrointestinal tumors

BACKGROUND Endoscopic submucosal dissection(ESD)has become a widely accepted,minimally invasive treatment for gastrointestinal submucosal tumors.It has been reported that humanistic nursing care with graded psychological interventions can effectively enhance patients’physical activity in patients,reduce postoperative complications,and improve their postoperative quality of life.AIM To investigate the effects of combining humanistic care with graded psychological support on nursing satisfaction and quality of life in patients undergoing ESD for gastrointestinal submucosal tumors.METHODS A retrospective analysis was conducted on the clinical data of 180 patients who underwent ESD surgery for gastrointestinal submucosal tumors at our hospital between March 2021 and February 2023.Patients were allocated into groups based on the nursing care they received:The control group,which received routine care(n=90),and the observation group,which was subjected to humanistic nursing care in combination with graded psychological support(n=90).Patient anxiety and depression were assessed using the self-rating anxiety scale(SAS)and self-rating depression scale(SDS).Quality of life was evaluated using the shortform 36 health survey,and additional indications such as time to first food intake,surgery duration,length of hospital stay,nursing satisfaction,and adverse reactions were also recorded.Data was analyzed using SPSS22.0,with t-tests employed for continuous variables andχ2 tests for categorical data.RESULTS Patients in the observation group experienced significantly shorter times to first postoperative meal,surgery,and hospital stay compared to the control group.After the intervention,the SAS score of the observation group was 43.17±5.68,and the SDS score was 41.57±6.52,both significantly lower than those of the control group,with SAS score of 52.38±5.21 and SDS score of 51.23±8.25.In addition,the observation group scored significantly higher in daily living,physical function,psychological well-being,and social functioning(80.01±6.39,83.59±6.89,81.69±5.34,and 85.23±6.05,respectively).Moreover,the observation group also exhibited higher satisfaction and selfefficacy scores and a lower incidence of adverse reactions compared to the control group(P<0.05).CONCLUSION For patients undergoing ESD for gastrointestinal submucosal tumors,humanistic nursing care in combination with graded psychological nursing care significantly shorten the times to first postoperative meal,surgery,and hospital stay,effectively alleviates anxiety and depression,improves quality of life and nursing satisfaction,and mitigate the incidence of adverse reactions.

Influence of humanistic care-based operating room nursing on safety,recovery,and satisfaction after radical surgery for colorectal carcinoma

BACKGROUND Radical surgery is a preferred treatment for colorectal carcinoma,wherein nursing intervention is essential for postoperative recovery and prevention of complications.Recently,the application of humanistic care in medical care has attracted attention.Humanistic care emphasizes comprehensive care,with importance attached to patients’physical needs as well as psychological and emotional support to provide more humane and personalized care services.However,no clinical reports have examined the use of humanistic care in patients undergoing radical surgery for colorectal carcinoma.AIM To investigate the influence of humanistic care-based operating room nursing on the safety,postoperative recovery,and nursing satisfaction of patients who have undergone radical surgery for colorectal carcinoma.METHODS In total,120 patients with rectal cancer who underwent surgery in Zhongnan Hospital of Wuhan University between August 2023 and March 2024 were selected and grouped based on the nursing methods employed.Of these patients,55 were treated with routine nursing intervention(control group)and 65 were provided humanistic care-based operating room nursing(research group).The patients’vital signs were recorded,including systolic/diastolic blood pressure(SBP/DBP)and heart beats per minute(BPM),as well as serum stress indices,including norepinephrine(NE),adrenal hormone(AD),and cortisol(Cor).Postoperative recovery and complications were also recorded.Patients’negative emotions,life hope,and nursing satisfaction were evaluated using the Self-rating Depression/Anxiety Scale(SDS/SAS),Herth Hope Index(HHI),and self-deve-loped nursing satisfaction questionnaire,respectively.RESULTS During emergence from anesthesia,SBP,DBP,and BPM levels were found to be lower in the research group than those in the control group,also serum Cor,AD,and NE levels were lower.In addition,the research group had shorter operative,awakening,anal exhaust,first postoperative ambulation,drainage tube removal,intestinal recovery,and hospital times.The total complication rate and the SDS and SAS scores were lower in the research group than those in the control group.The HHI and nursing satisfaction scores were higher in the research group.CONCLUSION Humanistic care-based operating room nursing can mitigate physiological stress responses,reduce postoperative complications,promote postoperative recovery,relieve adverse psychological emotions,and enhance life hope and nursing satisfaction in patients undergoing radical surgery for colorectal carcinoma,which can be popularized in clinical practice.

Analysis of the Effect of Humanistic Care in the Process of Pre-Hospital Emergency Care

Objective:To explore the effectiveness of humanistic care in pre-hospital emergency care.Methods:From April 2020 to January 2021,80 pre-hospital emergency patients were studied.The patients were randomly divided into two groups:a control group(n=40),which received conventional care,and an experimental group(n=40),which received humanistic care.The effects of nursing care and psychological state were compared between the two groups.Results:The experimental group showed better nursing outcomes and a more positive psychological state compared to the control group(P<0.05).Conclusion:Humanistic care in pre-hospital emergency settings is more effective in reducing patients’anxiety and depression,enhancing the operational abilities and service attitudes of nursing staff,and increasing the emergency success rate.

The construction and practice of humanistic care teaching model based on 5C care theory

Objective:To construct a scientific and feasible teaching mode based on 5C caring theory and evaluate it,so as to provide a reference basis for future study about nursing humanistic quality education.Methods:Based on the 5C caring theory,the teaching design and teaching content were revising and implementing in the intervention group.Before and after the implementation of the course,a questionnaire survey was conducted using the Caring Ability Inventory(CAI).The results of the surveys were collected,and the data were statistically analysis using SPSS.Results:After the implementation of the course,the cognitive dimension,patience dimension,and humanistic caring ability scores of the nursing students in the intervention group improved compared with those before the implementation of the course(P<0.05).There were no significant difference in the control group(P>0.05).Conclusion:The humanistic caring teaching model based on 5C caring theory has a positive effect on improving nursing students'humanistic caring ability.In the future nursing teaching,the modules with the characteristics of humanistic caring ability can be increased,and carry out the educational reform throughout the humanistic caring ability.Actively guiding nursing students to establish the awareness of humanistic caring,so as to lay a solid foundation for high-quality clinical nursing work.

Study of the effect of humanistic nursing care model wards in Children Caring Ward School on the nurses'caring ability

Objective： To understand the effect of humanistic nursing care model wards in Children Caring Ward School （CCWS） on the nurses＇ caring ability. Methods： Questionnaire 25 nurses of humanistic nursing care model wards in CCWS using the Nkongho Caring Ability Inventory （CAI） before and after implement the humanistic nursing care model, including reform the systems of nursing care, introduce humanistic care model, implement the humanistic care, to measure the nurses＇ caring ability. Results： The nurses＇ caring ability had significantly developed on total, cognition dimension, courage dimension and patience dimension after all measures considered （p 〈 0.05）. Conclusions： The humanistic nursing care model wards in CCWS has a positive effect on the nurses＇ caring ability, not only to help build great relationships between nurses and patients but also to enhance the patients＇ satisfaction.

Study of Ideological and Political Education of Chinese College Students Based on the Humanistic Care

The paper analyzes the present situation of humanistic care in ideological and political education of Chinese college students, and argues three main problems： ignoring emotional care for students, ignoring dominant position of students, and ignoring individual psychological needs of students.

The application of scientific theory of humanistic care in nursing

In recent years,with the continuous development of medical technology,people pay more and more attention to patient-centered care.Humanistic care reflects the“people-oriented”nursing concept,patient-centered,to actively understand the needs of patients and psychological activities,to give the corresponding nursing services,the current scientific theory of humanistic care is also widely used in clinical nursing and nursing education.This review summarizes the application of humanistic care theory in nursing,covering the origin,basic content,clinical application and nursing education of humanistic care theory.This review aims to provide reference for the development of nursing humanistic care theory and practice.

Research on the Effect of Humanistic Nursing Care on Elderly Type 2 Diabetes Mellitus Patients

Objective:To explore and analyze the effect of humanistic nursing care on elderly type 2 diabetes patients.Methods:100 elderly patients with type 2 diabetes who were treated in our hospital from May 2021-May 2023 were selected for this study.The patients were divided into an experimental group and a reference group by flipping a coin,with 50 cases in each group.The experimental group received humanistic nursing care,while the reference group received routine nursing care.The blood glucose level,compliance and nursing satisfaction were compared between the two groups.Results:Before the intervention,there was no statistically significant difference between the groups in pre-meal blood glucose,blood glucose 2 hours after eating,and glycosylated hemoglobin(P>0.05).After the intervention,pre-meal blood glucose,blood glucose 2 hours after eating,and glycosylated hemoglobin in the humanities group were significantly better than those in the reference group(P<0.05).Besides,before the intervention,there was no statistically significant difference in compliance with diet,medication,examination,and exercise between the groups(P>0.05).After the intervention,the compliance with diet,medication,examination,and exercise in the experimental group was significantly better than that of the reference group(P<0.05).The patients in the experimental group were significantly more satisfied with the nursing care received than the reference group(P<0.05).Conclusion:Humanistic nursing care can reduce blood sugar in elderly patients with type 2 diabetes,strengthen treatment compliance,and improve satisfaction.

Research Progress of Humanistic Care Nursing

This paper summarizes the literature on the concept of humanistic care nursing, the research status of humanistic care nursing curriculum education and nursing practice at home and abroad, in order to provide reference and basis for humanistic care training and education.

The effects of Professional Commitment and Patient Safety knowledge-attitude-practice on Undergraduate nursing students’ Humanistic Care Ability in clinical practice

Objective:To describe the status quo of humanistic care ability,the knowledge-attitude-practice of Patient Safety and professional commitment among Undergraduate Nursing Students in clinical practice,and to determine the effects of professional commitment and patient safety knowledge-attitude-practice on humanistic care ability.Methods:Two hundred and thirty-two undergraduate nursing students in clinical practice were investigated with the general questionnaire,Caring Ability Inventory(CAI),Patients Safety knowledge-attitude-practice(KAP)Questionnaire and the Nursing Professional Commitment Scale.Results:The score of humanistic care ability of nursing undergraduates was 185.19±20.95,patients safety KAP score was 106.94±11.62,professional commitment score was 74.93±10.44.Undergraduate nursing students’humanistic care ability were positively correlated with professional commitment and patients safety KAP(P<0.05).Multiple Linear regression analysis showed that professional commitment,patient safety KAP entered the humane care equation(F=24.051,P<0.001),and explained 39.1%of the total variation in humane care.Intermediate effect analysis shows that patient safety played a partial mediating role in professional commitment and humane care.Conclusion:The professional commitment and patient safety KAP of undergraduate nursing students were positively related to their humanistic care ability.Improving the professional commitment and knowledge and patients safety KAP of nursing students can strengthen their humanistic care ability to provide high-quality nursing for patients.

On the present and future of medical humanistic care in the era of artificial intelligence

With the arrival of the fourth industrial revolution,the combination of artificial intelligence and medical treatment has become an inevitable trend.As a people-centered discipline,the importance of humanistic care is self-evident.Based on the development status of humanistic care,this paper discusses that when artificial intelligence is applied to medicine,it will help patients improve the treatment process,protect their right to know and expression,help medical personnel deal with repetitive work,improve work efficiency,provide doctors with psychological medical time and enhance doctor-patient trust.At the same time,it will inevitably lead to the lack of emotion in the way of diagnosis and treatment,the threat to the authority of doctors,and the disclosure of patients'personal information.Therefore,in the era of artificial intelligence,doctors should return to the service foundation of humanistic care,"master"the"art of medicine"of artificial intelligence technology,and improve the practical road of laws and regulations.

Survey and analysis of the current situation of humanistic care ability of first-year nursing students after COVID-19

Background:Humanistic care ability is the core of nursing work.Improving humanistic care ability can improve patient satisfaction and the development of a nurse-patient relationships.Objective:To understand the current situation of humanistic care ability of first-year nursing students at Tianjin University of Traditional Chinese Medicine in the post-pandemic,and analyze its influencing factors.Methods:The Caring Ability Inventory scale(CAI)is used to survey 343 first-year nursing students.Descriptive analysis,t-test,analysis of variance,and multiple linear regression were used for data analysis.At the same time,the humanistic care ability of first-year nursing students before and after the COVID-19 was compared.Results:The average score of humanistic care ability of first-year nursing students is 173.23±11.288.Through multiple linear regression analysis,whether to hold a position has an impact on the humanistic care ability of nursing students after the COVID-19(P<0.05).Before and after the COVID-19,there were significant differences in total score and each dimension of humanistic care ability of first-year nursing students(P<0.001).Conclusion:The CAI score of the surveyed nursing students is at an intermediate level.In the post-pandemic,the courage dimension of nursing students has improved significantly.But the level of humanistic care ability still needs to be improved.Therefore,in the teaching process,a variety of teaching methods could be applied to improve nursing students'sense of responsibility,understanding and patience with humanistic care,so as to improve their humanistic care ability.

Analysis of Humanistic Nursing Care in Regulating the Emotion, Satisfaction, and Sleep Quality of Inpatients with Hematologic Neoplasms

Objective:To explore the clinical application value of humanistic nursing care in the treatment of hematologic neoplasm inpatients.Methods:Fifty-two patients with hematologic neoplasms admitted to a hospital from May 2019 to February 2022 were selected as the research subjects.According to a random number table,they were divided into two groups:the control group(n=25,routine clinical nursing)and the observation group(n=27,humanistic nursing care).The negative emotion score,nursing satisfaction,and sleep quality were compared between the two groups under different nursing modes.Results:The SAS and SDS scores before and after nursing were compared between the two groups.There was no significant difference between the two groups before nursing(p>0.05).However,the SDS and SAS scores in the two groups after nursing were lower than those before nursing,in which the observation group was slightly lower than the control group,and the difference was statistically significant(p<0.001).In terms of nursing satisfaction,it was as high as 96.29%in the observation group,whereas in the control group,the satisfaction rate was only 72.00%;the PSQI scores were compared between the two groups before and after nursing,and there was no significant difference between the two groups before nursing(p>0.05).However,the PSQI scores and total score of the observation group after nursing were lower than those of the control group(p<0.001).Conclusion:In the clinical treatment of patients with hematologic neoplasms,the implementation of humanistic nursing care can significantly improve patients’anxiety,depression,other negative emotions,sleep quality,and nursing satisfaction,all of which have significance in promoting the prognosis of patients and improving their quality of life.

Effect of Humanistic Nursing Care on Health Knowledge Mastery and Nursing Satisfaction Among Patients Undergoing Kidney Stone Surgery

Objective:To deeply understand the influence of humanistic nursing care on the health knowledge mastery and nursing satisfaction among patients undergoing kidney stone surgery.Methods:Sixty patients with kidney stone who underwent surgical treatment in our hospital from June 2019 to June 2020 were randomly divided into reference group and experimental group by random number table method.There were 30 patients in each group.The patients of reference group were given routine nursing care,and the patients of experimental groups were given humanistic nursing care.The mastery score of various health knowledge,nursing satisfaction and postoperative complications were compared between the two groups.Results:The scores of health knowledge mastery among the patients in experimental group who were treated with humanistic nursing care were much higher than those in reference group who were treated with routine nursing care.The nursing satisfaction of patients in experimental group(96.67%)was significantly higher than that in reference group(80.00%),and the incidence of complications after kidney stone surgery in the experimental group(6.67%)was higher than that in the reference group(26.67%)(P<0.05).Conclusion:Humanistic nursing care is greatly conducive to the mastery of health knowledge in patients undergoing kidney stone surgery,and this nursing mode can meet the needs for nursing work and potentially minimize postoperative complications.

人文关怀理念精细化护理干预在甲状腺肿瘤腔镜微创手术患者中的应用

目的探讨基于人文关怀理念的精细化护理应用于甲状腺肿瘤腔镜微创手术患者的效果。方法将该院2022年3月至2024年3月的300例接受腔镜微创治疗的甲状腺肿瘤患者分为对照组150例与试验组150例,对照组采用常规护理干预,试验组采用基于人文关怀理念的精细化护理。比较2组患者心理状态、疼痛、并发症发生情况、心理弹性与护理满意度。结果术前、术后试验组焦虑自评量表、抑郁自评量表评分均低于对照组(P<0.05);试验组术后6、12、24、48 h的疼痛数字评分法评分均低于对照组(P<0.05);试验组术后并发症发生率低于对照组[2.67%(4/150)vs.9.33%(14/150)],差异有统计学意义(P<0.05);试验组心理弹性[(84.72±5.92)分vs.(77.43±6.08)分]与护理满意度评分[(91.77±5.70)分vs.(83.64±6.28)分]均高于对照组(P<0.05)。结论基于人文关怀理念的精细化护理应用于甲状腺肿瘤腔镜微创手术患者能有效改善其心理状态,减轻术后疼痛与并发症发生率。

腊八节俗的文化阐释与传承启示

作为农耕文明的重要产物,节日的形成与发展历经了漫长的过程,伴随着节俗的多样化,节日内涵也在不断完善。腊八节从最初的祭祀、佛教节日发展出与民众生产生活紧密相关的一系列习俗活动,节俗的内容与功能由单一性向复合性发展,民俗特征更为明显。佛教活动、敬神祭祖、腊八食俗、舍粥于众是腊八节期间寺院圣地与民众的必备节俗内容。另外,祈求丰收、祈福禳灾、游戏娱乐、人际交往、村社活动与一些禁忌习俗的内容也包含其中。腊八节俗不断丰富,并与各地风物、民众信仰和心理诉求等相结合,成为自然崇拜与人文关怀的重要体现,渗透出民众的世界观、人生观与价值观。研究腊八节俗的文化内涵并对此进行解释,对于正确认识节日背后的文化现象、分析节俗传承的价值与启示,具有重要的现实意义。

基于计划-执行-检查-处理理念的叙事护理培训对儿科护士共情和人文关怀能力的影响

目的探讨基于计划-执行-检查-处理(PDCA)理念的叙事护理培训在儿科护士中的应用价值。方法选取2021年5月至2023年6月九江市妇幼保健院进行护理培训的70名儿科护士作为研究对象,其中2021年5月至2022年5月进行常规护理培训的35名儿科护士作为对照组,2022年6月至2023年6月进行基于PDCA理念的叙事护理培训的35名儿科护士作为观察组。比较两组护士叙事护理知识、态度、行为水平、共情能力、人文关怀能力以及对培训效果的满意度。结果观察组叙事护理知识、态度、行为水平评分均高于对照组,差异有统计学意义(P<0.05);观察组人文关怀能力各项评分均高于对照组,差异有统计学意义(P<0.05);观察组共情能力各项评分均高于对照组,差异有统计学意义(P<0.05);观察组护理培训满意度高于对照组,差异有统计学意义(P<0.05)。结论基于PDCA理念的叙事护理培训可提升儿科护士对叙事护理相关知识的掌握度,有效提高其共情能力和人文关怀能力,增加培训效果满意度。

人文关怀融合情景模拟教学法在外科护理学实训教学中的实践探索

目的将人文关怀融合情景模拟教学法应用于外科护理学实训教学中,分析其应用效果。方法于2023年9月至2024年1月将某校2021级125名护理学专业本科生作为研究对象,对照组采用传统教学法,观察组采用人文关怀融合情景模拟教学法,课程后比较两组学生生命态度量表得分、护士人文关怀品质量表得分及教学满意度。结果观察组生命态度量表总分、护士人文关怀品质量表总分及教学满意度均高于对照组(P<0.05)。结论在外科护理学实训教学中应用人文关怀融合情景模拟教学法有利于学生形成积极的生命态度,提高人文素质及教学质量。

CICARE 沟通模式结合人文关怀在危重症患者家属探视沟通中的应用

目的研究危重症患者家属探视沟通中实施CICARE沟通模式结合人文关怀的效果。方法选择郑州大学第一附属医院2019年4月至2022年4月430例危重症患者家属作为研究对象,随机分为观察组和对照组,各215例。对照组接受人文关怀,观察组接受人文关怀和CICARE沟通模式。观察两组患者家属干预前后心理状态变化情况[焦虑自评量表(SAS)、抑郁自评量表(SDS)],护理干预后家属需求满足情况(病情动态信息、救治方案及预后、自身舒适、安抚患者、明确治疗费用)、护理满意度及投诉率。结果观察组护理干预后SAS、SDS评分均低于对照组(P<0.05);观察组护理干预后,病情动态信息、救治方案及预后、自身舒适、安抚患者、明确治疗费用评分均高于对照组(P<0.05);观察组护理干预后护理满意率为93.96%,高与对照组(86.98%),投诉率为0.93%低于对照组(6.98%)(P<0.05)。结论危重症患者家属探视沟通中实施CICARE沟通模式结合人文关怀能有效改善患者家属不良情绪,同时改善家属需求满足情况,进而提升护理满意度,降低投诉率,临床应用价值较高。

儿科ICU护士道德困扰质性研究的Meta整合

目的系统评价并整合儿科ICU护士道德困扰经历与体验的相关研究,为护理管理者制订干预措施缓解儿科ICU护士道德困扰提供参考。方法计算机检索中英文数据库,收集从建库至2024年4月有关儿科ICU护士工作中经历道德困扰的质性研究。依据澳大利亚JBI循证卫生保健中心质性研究质量评价标准进行文献质量评价,采取汇集性研究法进行资料分析。结果共纳入9篇文献,提取28个明确的研究结果,将相似结果归纳成12个类别,3个整合结果:儿科ICU护士道德困扰的成因;儿科ICU护士道德困扰的影响;儿科ICU护士道德困扰的应对。结论儿科ICU护士道德困扰的产生情景复杂,带来多重负性影响。应重视儿科ICU护士道德困扰,促进其有效应对,改善护士身心健康及护理职业发展。