Effects of Continuous Precision Nursing Model on Knowledge, Attitudes, and Practices (KAP) Behavior and Cardiac Function in Patients after Percutaneous Coronary Angiography and Stent Implantation

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.

Indigenous Knowledge, Practices, Beliefs and Social Impacts of Porcine Cysticercosis and Epilepsy in Iringa Rural

Porcine Cysticercosis (PCC) and Human Cysticercosis (HCC)/Neurocysticercosis (NCC) are a burden to the community owing to the reduced value of animals, associated costs of treatment, decreased labour productivity and social discrimination. There is limited knowledge on the management and prevention of PCC and epilepsy in Iringa rural. Therefore, the present study aimed at assessing indigenous knowledge, practices, attitudes and social impacts of PCC and epilepsy in Iringa rural district. A total of 588 people participated in the survey whereby 306 were pig farmers, 223 non-pig farmers and 59 families with epileptic individuals. It was found that 49.8% (χ2 = 0.003, DF = 1, p = 0.954) of pig keepers were aware of PCC, whereas the remaining 50.2% were not aware (χ2 = 25.5, DF = 1, p χ2 = 3.814, DF = 1, p = 0.51). People in Iringa rural believe epilepsy is caused by evil spirits, witchcraft and/or inheritance. It was concluded that there was limited knowledge on T. solium cysticercosis and epilepsy. This ignorance is the cause of poor practices, negative beliefs and attitudes that negatively affect the social life of People with Epilepsy (PWE) in communities. This study recommends that health education to raise awareness on cysticercosis/taeniosis and epilepsy should be one of the intervention measures for elimination of cysticercosis and epilepsy in Iringa rural district.

Mothers’ Knowledge, Beliefs, and Practices on Causes and Prevention of Anaemia in Children Aged 6 - 59 Months: A Case Study at Mkuranga District Hospital, Tanzania

Aims: Anaemia in children aged 6 - 59 months is an important public health problem associated with increasing hospital costs, lengths of hospital stay, and development of complications later in life. Due to the significant caregiver roles of mothers, the level of mothers’ knowledge, beliefs and practices are important in addressing anaemia in children. This study investigated knowledge, attitudes, beliefs, and practices of select mothers on anaemia and linked these with known factors for anaemia. Methodology: The case study was conducted at Mkuranga District Hospital, Paediatric Ward between December 2014 and April 2015. A cross-sectional design was used to recruit a convenience sample of 40 mothers whose children had a confirmed diagnosis of anaemia (through routine laboratory testing). Results: Within the sample, the majority of children were male (52.5%);aged 6 - 39 months (87.5%);and had a diagnosis of severe anaemia (75.0%) according to the World Health Organization’s definition. Over one third (35%) of mothers reported a prior history of anemia in their other children, and the majority (55%) had heard about anaemia prior to their child’s hospitalization. Maternal anaemia was reported by 67.5% of mothers. Mothers reported that maternal anemia (17.5%) and feeding practices (32.5%) are known contributing factors to anaemia in children. Mothers reported that anemia could be prevented (55.0%) and cured by herbal preparations (47.5%). In addition, some mothers indicated that anaemia was caused by witchcraft (22.5%) and eating lemons (2.5%). Conclusion: Severe anaemia was high among the studied population which aligned with their hospitalization status. Findings suggested potential gaps in control and management of anemia in children possibly related to low awareness or incorrect knowledge of the relationship between maternal and child anaemia. The findings also highlighted important cultural beliefs related to anaemia. There is an imperative for culturally and socially appropriate knowledge translation and exchange with mothers in order to impact on the prevention and control of anaemia in children in Tanzania.

Effects of the information–knowledge–attitude–practice nursing model combined with predictability intervention on patients with cerebrovascular disease

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.

Knowledge,attitude,and practices toward osteoporosis among 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.

How knowledge of hepatitis B disease and vaccine influences vaccination practices among parents in Ho Chi Minh City, Vietnam

Objective:To assess the influences of the knowledge of parents about hepatitis B virus(HBV)infection and the benefit of HBV vaccination on the practice of HBV vaccination among children.Methods:A prospective cross-sectional study recruited parents whose children,aged 12-24 months,received HBV vaccination at Commune Health Centers(CHCs)in Ho Chi Minh City from Feb.2016 to Jul.2017.Parents were interviewed using a questionnaire that included 11-item binary knowledge questions and checked their children’s vaccination cards.Results:A total of 768 parents had a mean age of(30.8±5.1)years.The mean knowledge score of the 11-item questions was(7.0±2.4).The knowledge score was positively associated with full and timely HBV vaccination.In addition,children who received complete and timely HBV vaccination were significantly more likely to live in rural areas(Adjusted OR 4.02,95%CI 2.79-5.79,P<0.001).Also,children whose parents received vaccination information from health care providers,and had knowledge about HBV risk,had a higher rate of full and timely HBV vaccination(Adjusted OR 1.60,95%CI 1.13-2.29,and Adjusted OR 1.47,95%CI 1.01-2.13,P all<0.05).Conclusions:Parents possessed a great deal of incorrect knowledge about HBV.More health education from health care providers should target parents living in specific locations and focus on the benefits of HBV vaccine.

Diet-nutrition-related cancer prevention knowledge and beliefs of Sudanese in Khartoum: A descriptive study

Cancer appears to pose a major threat to the health of the Sudanese population. It is the third leading cause of death in the Sudan after malaria and pneumonia, accounting for 5% of all deaths. In 2005, approximately 22,000 people in the Sudan died from cancer and 17,000 of these people were less than 70 years old. This study was designed to: 1) assess nutrition knowledge and selected dietary beliefs related to cancer in Sudanese residing in Khartoum;2) identify perceived barriers to the adoption of eating behaviors consistent with those recommended for cancer prevention;and 3) describe the food preferences and dietary practices in Sudanese residing in Khartoum. An interviewer-administered questionnaire elicited demographic information, cancer-related food and nutrition knowledge, food preferences, selected dietary beliefs, barriers to healthy eating and food practices from 182 participants between the ages of 18 and 35 years. More than 50% of females and males correctly identified the food lowest in fiber from a given list. Respondents were knowledgeable about the fat content of their traditional foods, but unaware of the different types of fat. Only 8.8% of the respondents thought that consumption of fruits and vegetables reduced cancer risk. Resondents perceived nutritionists as the most reliable source of information about nutrition and cancer, and the media as the best source of information on nutrition and healthy cooking. “Samin”, feta cheese, a variety of stews, “Zalabia”, lean meat, brown bread, sesame oil, dried okra, fried fish, and chicken were described as preferred food items by respondents. Daily salt/ sodium intake was described by 44% and 39% of the male and female respondents, respectively, as “high” (>2400 mg/day). The findings of this study have clear implications for aggressive nutrition education intervention programs with emphasis on the traditional foods of the Sudan.

Effect of KAP Intervention Model on Resilience and Cancer-related Fatigue in Patients with Colorectal Cancer Undergoing Chemotherapy

Objective:To explore the effect of KAP intervention mode on resilience and cancer-related fatigue in patients with colorectal cancer undergoing chemotherapy.Methods:A prospective randomized trial was conducted.55 patients with colorectal cancer who received routine nursing from February 2018 to February 2019 were included in the control group,and 55 patients who received routine nursing+KAP intervention from March 2019 to March 2020 were included in the observation group.The scores of Resilience Scale and cancer-related fatigue scale(CFS)before and 6 months after intervention were compared between the two groups.Results:After 6 months of intervention,the score of resilience of the two groups was higher than that before intervention,and that of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05);The CFS score of the two groups was lower than that before intervention,and that of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion:KAP intervention model can improve the resilience of patients with colorectal cancer chemotherapy,reduce cancerrelated fatigue.

The Effect of a Proposed Training Program Based on the Reflective Model on the Teachers＇ Reading Practices in Mafraq

This study aimed at investigating the effect of a proposed EFL （English as a Foreign Language） training program on the teachers＇ reading practices in Mafraq. This program was developed by the researcher according to the ninth-grade EFL teachers＇ needs. The participants of the study were 20 ninth-grade females EFL teachers who represented the experimental and control groups （10 teachers in each group）. They were randomly chosen from 10 schools in the Northwestern Badia Directorate of Education. To achieve the purposes of the study, the researcher designed a needs analysis questionnaire, a training program, a pre and post observation checklist, and a pre and post received knowledge test for teachers. Proper statistical analysis was used to analyze the results of the research questions. The results of the study showed that teachers were in need to be trained on 20 reading comprehension practices to be able to teach reading comprehension effectively. Besides, there were statistically significant differences at the level of （a = 0.05） between the means scores of the ninth-grade teachers＇ performance of the control and experimental groups on the post observation checklist and on the post received knowledge test in favor of the experimental group due to the training program.

实践社群成员知识流动行为形成机理研究——基于计划行为理论和Triandis模型的视角

本文基于计划行为理论和Triandis模型,构建实践社群成员知识流动行为形成机理的理论模型,利用312份调查问卷数据,运用回归分析方法检验所提出的假设。研究结果表明:知识流动工具性态度、情感性态度、规范信念和遵从动机对知识流动意向具有积极影响,知识流动自我效能感和知识发送控制力对知识流动意向和知识流动行为均具有积极影响,知识吸收控制力对知识流动行为具有积极影响,知识吸收控制力对知识流动意向的影响不显著,知识流动习惯和知识流动意向对知识流动行为具有积极影响,易用条件在知识流动意向与知识流动行为间发挥正向调节作用。

Investigation and Analysis on the Management Standard of Blood Glucose Monitoring for Clinical Nurses in Nyingchi Region of Tibet

Background: In participating in the medical support work in the Nyingchi area of Tibet, the author found that the medical education resources in this area are scarce, and the clinical nurses in this area have relatively insufficient knowledge about blood glucose monitoring and management. Accurately understanding the knowledge-attitude/belief-practice (KAP) level of nurses in Nyingchi area on blood glucose management is of great significance to the development of blood glucose monitoring management guidance for nurses in this area. Therefore, this study investigated the current status of the management of blood glucose monitoring management standards for clinical nurses in Nyingchi, Tibet. Objective: To investigate and analyze the current situation of clinical nurses in Nyingchi region of Tibet to grasp the regulation of blood glucose monitoring and guide the implementation of the norm of blood glucose monitoring for clinical nurses. Methods: The research survey was carried out from March to April 2020. Random sampling method was used to select 134 clinical in-service nurses in Nyingchii, Tibet. The self-designed knowledge-attitude/belief-practice survey questionnaire for clinical nurses’ blood glucose monitoring and management in Tibet was used. Nurses’ blood glucose monitoring management “KAP” scores and related influencing factors are analyzed. Results: Blood sugar monitoring and management knowledge score is (36.78 ± 6.80), attitude dimension is (42.48 ± 6.42), practice dimension is (61.87 ± 10.24) and total score is (304.73 ± 36.24). The nurse’s department and whether to participate in diabetes training are the main influencing factors of the blood glucose monitoring management norms, knowledge and behavior (both P < 0.05). Conclusion: The standard knowledge of blood glucose monitoring and management of clinical nurses in Nyingchi region of Tibet is at the middle level, positive attitude and unsatisfactory behavior. Nursing managers should conduct standardized training for clinical nurses in blood glucose monitoring, develop the training mode of diabetes specialty nursing talents in Nyingchi area, and construct a complete management system of diabetes specialty nursing.

正念减压结合知信行干预模式对重症肺炎患者心理弹性及生活质量的影响

目的探讨正念减压结合知信行干预模式对重症肺炎患者心理弹性及生活质量的影响。方法选取2021年1月至2022年12月我院收治的133例重症肺炎患者,随机分为对照组(n=66)与观察组(n=67)。对照组采用常规护理,观察组采用正念减压结合知信行干预模式。比较两组的心理弹性及生活质量。结果干预后,观察组CD-RISC、生活质量评分高于对照组(P<0.05)。结论正念减压结合知信行干预模式可增强重症肺炎患者的心理弹性,提高其生活质量。

河南省急诊科护士创伤性低体温防护知信行现状及其影响因素

目的调查急诊科护士创伤性低体温防护知信行的现状并分析其影响因素。方法采用一般资料调查表、急诊护士创伤性低体温防护的知信行问卷对河南省34所医院的654名急诊科护士进行问卷调查。结果急诊科护士创伤性低体温防护的知信行问卷总分为(57.37±11.43)分、知识维度得分为(7.53±2.04)分、信念维度得分为(35.30±7.69)分、行为维度得分为(19.16±6.38)分。多重线性回归分析结果显示,护士的工作年限、医院对低体温重视度、科室是否有复温措施、科室是否制定有复温流程是急诊科护士创伤性低体温防护知信行水平的影响因素。结论河南省急诊科护士对创伤性低体温防护知信行水平有待提高。管理者应注重加强创伤性低体温知识的培训,建立完善培训体系,强化急诊科护士对低体温防护的信念和行为,提升急诊科护士对创伤性低体温防护的知信行水平。

北京市临床医生新发传染病报告知信行调查

目的了解北京市临床医生对新发传染病报告的知信行情况,为将来更好地报告新发传染病提供参考依据。方法采用多阶段抽样方法,对呼吸科、感染科临床医生进行线上问卷调查,收集其人口学信息、传染病报告相关知识素养、新型冠状病毒感染(以下简称新冠感染)诊疗及报告行为等相关信息,组间比较采用χ^(2)检验。结果抽取152家医疗机构,实际完成调查148家。共收回问卷495份,其中491份有效,问卷有效率为99.2%。调查对象以30~<50岁(74.1%)、本硕学历(89.2%)、中高级职称(83.7%)、女性(67.8%)为主,对传染病报告工作感到不厌烦的占60.1%,认为传染病报告工作非常重要、传染病报告相关培训非常有必要的占比均≥80.0%。临床医生认为传染病报告卡中难以收集的项目包括现住址、人群分类、病人属于、工作单位、发病日期、联系方式;其中前3项被认为不必要收集项目;患者不配合、传染病报告卡内容理解问题、工作忙没时间、单位系统问题是传染病报告卡填写不顺利的主要原因。有新冠感染报告的医疗机构调查对象中高学历(χ^(2)=5.526,P<0.001)、高职称(χ^(2)=6.136,P=0.047)、填写过传染病报告卡(χ^(2)=8.384,P=0.004)及接到过新冠感染相关通知文件(χ^(2)=4.696,P=0.030)的占比均高于无新冠感染报告组,前者的传染病报告知识储备考试优秀占比高于后者(χ^(2)=14.166,P<0.001)。结论临床医生具备依法依规及时报告法定传染病的意识,传染病报告卡中的项目亟待梳理,临床医生填卡不顺利涉及患者、自身、系统三方面原因,需采取不同的改进措施。新发传染病的报告,受政策影响容易集中在高级别或定点医疗机构,非定点医疗机构的传染病报告工作需政策支持并提升诊疗能力。

营养支持链式管理在胃癌围术期患者中的应用

目的探讨围术期营养支持链式管理对胃癌患者术后营养状况及营养知信行水平的影响。方法将胃癌患者162例按住院时间分为对照组82例(2021年6—12月入院)、干预组80例(2022年1—6月入院)。对照组实施常规围术期营养管理,干预组实施营养支持链式管理,术后1个月比较2组患者的营养状况及营养知识知信行水平。结果干预组术后1个月总蛋白<60 g/L占比为5.00%,低于对照组的14.63%;干预组术后1个月白蛋白<35 g/L占比为3.75%,低于对照组的13.41%;干预组术后1个月体质量指数(BMI)正常范围者占比83.75%,高于对照组的59.75%,差异有统计学意义(P<0.05)。干预组术后1个月营养知识、支持态度、支持行为维度得分以及营养知信行总分均高于对照组,差异有统计学意义(P<0.05)。结论围术期实施营养支持链式管理能有效增加患者营养摄取量,改善胃癌患者术后营养状况,提升患者营养知信行水平和生活质量。

六西格玛管理联合知信行模式预防护理实习生针刺伤的干预研究

目的:探讨六西格玛管理联合知信行模式对护理实习生针刺伤的干预效果。方法:选取2020年12月—2022年8月我院70名护理实习生为研究对象,将其分为研究组和对照组,各35人,对照组给予常规护理,研究组给予六西格玛管理联合知信行模式,比较两组针刺伤发生阶段、针刺伤发生科室、针刺伤知识了解程度及依从性。结果:研究组急诊重症医学科针刺伤发生率低于对照组,基础知识、态度、行为评分及应用锐器盒、在高危阶段戴手套、针刺伤危害性的了解依从性评分高于对照,差异均有统计学意义(P<0.05)。结论:护理实习生实行六西格玛管理联合知信行模式能够降低急诊重症医学科护理实习生针刺伤发生率,加强护理实习生对针刺伤的了解。

目标策略模式下知信行干预在脊柱内镜术后患者中的护理应用

目的 探讨目标策略模式下知信行干预在脊柱内镜术后患者中的护理应用。方法 选取2021年1月至2022年12月腰椎间盘突出症合并腰椎管狭窄症患者。2022年1月至12月60例为观察组。2021年1月至12月腰椎间盘突出症合并腰椎管狭窄症患者60例为对照组,对照组给予常规护理,观察组给予常规护理+目标策略模式下知信行干预。两组患者出院后继续予延续性护理共3个月,记录并比较护理前后两组患者自我效能评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、日本骨科协会(JOA)评分、生活质量各维度评分及护理满意度。结果 两组患者护理后的JOA评分与自我效能评分均升高,且观察组高于对照组(P<0.05),SAS评分、SDS评分均降低,且观察组低于对照组。两组患者护理后生活质量各维度评分均升高,且观察组高于对照组(P<0.05);观察组患者护理满意度为90.00%,明显高于对照组75.00%,差异有统计学意义(P<0.05)。结论 目标策略模式下知信行干预在脊柱内镜术后患者中具有良好的护理效果,能有效减少焦虑、抑郁情绪、提高患者的自我效能、腰椎功能及生活质量,且护理满意度高,具有临床应用价值。

基于知信行模式的3H护理在慢性阻塞性肺疾病急性加重期患者中的应用

目的探究基于知信行模式的3H护理在慢性阻塞性肺疾病急性加重期(AECOPD)患者中的应用价值。方法选取医院2019至2022年收治的73例AECOPD患者作为研究对象,随机分为观察组(n=37)和对照组(n=36)。对照组采用常规护理方式,观察组采用基于知信行模式的3H护理,比较2组患者心理弹性、生活质量、自护能力、自我效能。结果干预后2组患者心理弹性、生活质量、自护能力、自我效能得分较干预前均有升高(P<0.05),且观察组更高(P<0.05);结论相比于应用常规护理,应用基于知信行模式的3H护理对于AECOPD患者而言,更能提升心理韧性、改善生活质量、提升自护能力、提高自我效能,适合在临床推广使用。

知信行护理模式结合细节化干预在胃癌根治术患者围手术期的应用效果分析

目的:探讨知信行护理模式结合细节化干预在胃癌根治术患者围手术期的应用价值.方法:选取2022年1月至2023年5月本院收治的89例胃癌根治术患者为研究对象.根据护理方式将其分为观察组(n=46,采用知信行护理模式结合细节化干预)和对照组(n=43,采用常规护理干预).采用统计学方法,比较两组患者临床指标、胃肠功能恢复情况及并发症总发生率.结果:干预后,观察组患者尿管留置时间、首次下床活动时间、住院时间均短于对照组,差异均有统计学意义(P<0.05).干预后,观察组患者肛门排气时间、排便时间均短于对照组,差异均有统计学意义(P<0.05).干预后,观察组患者并发症总发生率(1/46,1.89%)低于对照组(6/43,13.94%),差异有统计学意义(P<0.05).结论:知信行护理模式结合细节化干预,可促进胃癌根治术围手术期患者身体及胃肠功能恢复,降低并发症发生风险.

以格林模式为指导的健康教育在经皮肾镜取石术病人围术期护理中的应用

目的:探讨以格林模式为指导的健康教育在经皮肾镜取石术(PCNL)病人围术期护理中的应用效果。方法:选取泌尿外科2021年9月—2022年9月收治的PCNL病人106例为研究对象,应用随机数字表将病人分为观察组(n=53)和对照组(n=53),对照组行常规健康指导,观察组实施以格林模式为指导的健康教育,两组随访6个月,比较两组手术情况、干预前后预防结石知信行评分、自我护理能力评分及术后复发情况、病人对护理的满意度。结果:两组手术时间、术中出血量、一次取石成功率比较,差异无统计学意义(P>0.05),观察组术后并发症发生率低于对照组(P<0.05),观察组干预后预防结石知信行评分及自我护理能力评分高于对照组(P<0.05)。观察组术后3个月、6个月的结石复发率低于对照组(P<0.05),而观察组护理满意度高于对照组(P<0.05)。结论:以格林模式为指导的健康教育能有效提升PCNL病人预防结石知信行水平及自我护理能力,从而有效预防病人术后并发症及结石复发,提升病人护理满意度。