Analysis of Professional Quality Cultivation Strategies for Infant and Child Care Service Talents from the Perspective of Collaboration of Medical Care,Parenting,and Education,and Integration of Industry and Education

The collaboration of medical care,parenting,and education aims to integrate nursing,midwifery,infant and child care services,and management with speech and hearing rehabilitation technology,among other elements related to the infant care industry chain.This integration targets pediatrics talent training in nine infant care positions,including nursing,infant health care and management,and child rehabilitation,to ensure that the capabilities and quality of professional talents can meet the health care needs of infants and young children.This article briefly explains the background of the“collaboration of medical care,parenting,and education,and integration of industry and education.”It analyzes the necessity of cultivating infant and child care service talents based on the perspective of“collaboration of medical care,parenting,and education,and integration of industry and education.”Based on this perspective,we conducted an in-depth study of the cultivation of professional qualities of infant and child care service talents.

Impact of Relaxation and Group Psycho-Education on Health Outcomes Using Integrated Care Models and Quality Improvement

The purpose of this Integrated Care Practice Change and Quality Improvement (ICPCQI) initiative was to evaluate the impact of wellness and relaxation and group psycho-education on health out-comes in an integrated care setting. Individuals diagnosed with mental illness and a co-occurring chronic medical condition participated in the ICPCQI initiatives which were run by peer support and wellness experts in an integrated care setting over the one-year project implementation period. Evaluation of outcome measures revealed an overall decline of 8.3% (p < 0.0001) and 7.3% (p < 0.0001) in the average systolic and diastolic blood pressure respectively. There was a 12.3% (p = 0.02) reduction on the average PHQ-9 scores. GAD-7 (p = 0.9) scores had a mean reduction of 1.5%. These preliminary results suggest that the evidence-based ICPCQI initiatives positively impact health outcomes among individuals with mental illness and chronic medical conditions.

Association of spiritual well-being with quality of life among undergraduate nursing students

Objective:The study was conducted with the aim of determining the spiritual well-being(SWB)of nursing students and its association with quality of life(QOL).Materials and Methods:A cross-sectional analytical study was conducted with a sample size of 504 nursing students collected from January 2023 to March 2023 in the nursing institutes of Khyber Pakhtunkhwa,Pakistan,using convenient sampling techniques.A Spiritual Health and Life-Orientation Measure(SHALOM)questionnaire for SWB and K-27 QOL(K-27 QOL)instrument were used for data collection that contains three parts.Results:The number of female participants was in the majority(50.4%)compared to male nurses(49.6%).The overall mean score of SWB of the students was 3.79±0.48,while the mean K-27 QOL score was 3.73±0.57.There were significant differences between the groups of gender(P=0.001),while no significant difference within the groups of semester(P=0.061)and college status(0.285).In QOL,there were significant differences within the groups of semester(P=0.000)and college status(P=0.036)while no significant difference in gender category(P=0.480).SHALOM score is positively and moderately correlated with QOL score(r=0.597,P<0.05).Conclusion:Spiritual practices are one of the important factors that are associated positively with QOL,therefore to enhance the QOL,it will require spiritual practices.

Evaluating the influence of a structured nursing protocol on targeted outcomes in rheumatoid arthritis patients

Objective:Rheumatoid arthritis(RA)requires comprehensive management.Structured nursing protocols may enhance outcomes,but evidence is limited.This study evaluated the effect of a structured nursing protocol on RA outcomes.Materials and Methods:In this one-group pre-post study,30 Egyptian RA patients completed assessments before and after a 12-week nursing protocol comprising education,psychosocial support,and self-management promotion.Assessments included clinical evaluation of joint counts,erythrocyte sedimentation rate(ESR),and C-reactive protein(CRP)and patient-reported Arthritis Self-Efficacy Scale(ASES),Health Assessment Questionnaire(HAQ),Visual Analog Scale(VAS)for pain,and Hospital Anxiety and Depression Scale(HADS).Results:The study demonstrated significant improvements in both clinical-and patient-reported outcomes.Joint count decreased from 18.4±4.2 to 14.2±3.8(P<0.001),ESR from 30.1±6.8 mm/h to 25.5±6.8 mm/h(P<0.01),and CRP levels from 15.2±3.6 mg/L to 11.8±2.9 mg/L(P<0.01)postintervention.Patient-reported outcomes showed a marked increase in ASES score from 140±25 to 170±30(P<0.001)and reductions in HAQ from 1.6±0.4 to 1.3±0.3(P<0.01),VAS pain score from 7.8±1.7 to 6.2±1.2(P<0.001),and HADS anxiety and depression scores from 11±3 to 8±2(P<0.05)and 10±2 to 7±1(P<0.05),respectively.Conclusion:A structured nursing protocol significantly improved clinical disease activity,physical functioning,pain,self-efficacy,and emotional well-being in RA patients.A multifaceted nursing intervention appears beneficial for optimizing RA outcomes.

Effects of a Care Workshop on Caring Behaviors as Measured by Patients and Patient Satisfaction

Caring is a central focus of nursing, and patient satisfaction is a critical indicator of nursing care quality. The aim of this study was to determine the effects that a care workshop exerted on nurse caring behaviors as perceived by patients and reflected by patient satisfaction. A quasi-experimental, pretest-posttest design without a control group was applied. The intervention consisted of several facets: 1) formal educational sessions twice a week for six weeks, 2) an angel-master mentorship activity, and 3) posts of exemplary caring behavior and stories. A demographic questionnaire, the Modified Nurse Caring Behaviors Inventory, and the Hartford Hospital Satisfaction Survey were used in this study. Descriptive statistics were analyzed to evaluate participant demographic characteristics. Paired t tests were used to determine the effects of a care workshop on nurse caring behaviors as perceived by patients and reflected by patient satisfaction. Of the 236 patients enrolled, 49.6% were women and 57.2% were admitted to medical-surgical units. Female patients rated nurse caring behaviors higher and reported greater patient satisfaction than did male patients on the pretest (p p p p p p = 0.000). Caring educational programs for nurses are commonly regarded to be an essential strategy for promoting care knowledge and practice and improving patient satisfaction. According to the favorable results of this study, care workshops must be provides to nurses in other units or hospitals in future studies.

Importance-performance analysis: Revisiting a tool for the evaluation of clinical services

The importance-performance analysis method (IPA) is used in market research in order to measure the level of customer satisfaction. The aim of this study was to evaluate and highlight the use of IPA as a management tool to measure quality of dental services. We suggest that this method can be easily implemented in a dental educational setting, as a performance outcome measure that includes patient input. The study was conducted in a dental service through a valid questionnaire, SERVQUAL. This instrument explores levels of service quality perceived by patients. It was conducted in four companies in Brazil in 2011 (derived from different industry segments;two from textiles, one from hospital care and the other from the manufacturing industry) in two States (S?o Paulo and Minas Gerais). These companies were covered by the same dental managed care organization which contracted with independent dentists to provide care. The study was divided into two stages: the first, in which beneficiaries answered the questionnaire prior to receiving dental treatment, and the second when the same beneficiaries answered after completing their dental treatment. Data obtained from SERVQUAL generated graphs that were used to characterize the IPA matrix using several dimensions of care. The Assurance Dimension had the highest average in both expectation and perception. The Reliability dimension showed the value of the most negative GAP among the dimensions, and the best value occurred in the Responsiveness dimension. The IPA tool may be effective in Dental Medicine since it highlights the key points to be improved in the delivery of dental services in a clinical setting.

学前教育结构特征与过程质量关系的实证研究述评

当前我国学前教育正处于数量发展转向质量提高的关键节点,通过改善结构质量可以提高过程质量,进而推动学前教育高质量发展。梳理近30年国内外有关学前教育结构特征与过程质量关系的实证研究成果可以发现:学前教育质量评价与改进制度有助于提高过程质量;机构环境中的机构规模与类型、物质环境与材料、组织氛围与管理质量、工作条件等变量均对过程质量有显著预测作用;班级环境中的班级规模与师幼比、班级结构等变量有较强预测作用;教师的受教育水平、在职培训、个体特征等能够影响过程质量。我国学前教育结构特征与过程质量关系研究应进一步拓宽广度,丰富结构特征的研究内容;拓展深度,实施跨区域的追踪性研究,为学前教育政策制定提供循证依据。

跟进式赋能教育在结直肠癌化疗患者中的应用效果

目的分析跟进式赋能教育对结直肠癌化疗患者健康信念、自护能力、生活质量的影响。方法选取2021年1月至2023年1月在安阳市肿瘤医院肿瘤内科收治的80例结直肠癌化疗患者进行随机对照试验。按照入院顺序的不同将所有研究对象分成对照组(40例)与试验组(40例)。对照组男性20例、女性20例,年龄34~79(56.74±8.96)岁,予以常规健康教育;肿瘤TNM分期:Ⅱ期26例,Ⅲ期14例。试验组男性21例、女性19例,年龄32~81(56.15±8.84)岁,以赋能教育理念为支持实施跟进式健康教育;肿瘤TNM分期:Ⅱ期25例,Ⅲ期15例。比较两组患者干预前后的中文版Champion结直肠癌健康信念量表(CHBMS)、修正版自我护理能力量表(ASAS-R-C)、McGill生活质量量表(MQOL-C)评分。统计学方法采用t检验。结果干预后,试验组中文版CHBMS评分与ASAS-R-C评分均高于对照组[(146.15±20.48)分比(126.65±22.47)分、(60.45±10.33)分比(52.36±8.77)分],差异均有统计学意义(t=4.06、3.78,均P<0.05)。干预后,试验组MQOL-C中生理、心理、个人存在感、社会支持评分均高于对照组[(24.15±3.06)分比(21.22±2.87)分、(41.26±3.74)分比(37.59±3.58)分、(42.22±3.69)分比(38.48±3.97)分、(24.36±3.18)分比(22.55±2.87)分],差异均有统计学意义(t=4.42、4.48、4.36、2.67,均P<0.05)。结论跟进式赋能教育可增强结直肠癌化疗患者健康信念,提高自护能力与生活质量。

心理健康教育在儿童保健中的应用效果分析

目的:分析心理健康教育在儿童保健中的应用效果。方法:选取2022年1月—2023年1月泰安市妇幼保健院接诊的114例儿童作为研究对象,随机分为两组,各57例。对照组采用常规儿童保健护理,观察组在对照组基础上给予心理健康教育。比较两组遵医行为、心理状况、心理问题发生情况。结果:护理后,两组遵医行为评分高于护理前,且观察组高于对照组,两组分裂性、交往不良、多动、违纪、抑郁、强迫、攻击、社交退缩评分低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组任性、攻击性行为、情绪不稳定、胆怯、自卑发生率低于对照组,差异有统计学意义(P<0.05)。结论:心理健康教育在儿童保健中的应用效果较好,可增加儿童的遵医行为,改善儿童心理状况,降低儿童心理问题发生率。

研究延续性干预对痛风出院患者自我管理能力及睡眠质量的影响效果

目的:研究痛风出院患者采取延续护理干预对其自我管理能力及睡眠质量的影响。方法:选取2021年1月至2022年12月厦门大学附属第一医院风湿免疫科收治的痛风患者77例作为研究对象,按照随机数字表法分为对照组(n=38)和观察组(n=39)。采用痛风患者自我管理评估量表比较2组患者自我管理能力的差异,采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异。结果:干预后,观察组患者自我管理能力评分显著高于对照组,观察组PSQI评分显著低于对照组,差异均有统计学意义(均P<0.05)。结论:对于痛风出院患者采取延续性干预的效果显著,有利于提升患者的自我管理能力,提高睡眠质量,值得临床推广应用。

教育机器人在空巢老年糖尿病患者延续护理中的应用

目的 探讨空巢老年糖尿病患者运用教育机器人实施延续护理的效果。方法 选取118例空巢老年糖尿病患者作为研究对象,按入院时间分为观察组和对照组各59例,对照组接受常规延续护理方案,观察组应用教育机器人进行延续护理。6个月后对两组血糖相关指标、自我管理行为得分、糖尿病特异性生存质量得分进行比较。结果 出院后6个月复查时观察组自我管理行为得分、血糖相关指标、糖尿病特异性生存质量得分显著优于对照组(均P<0.05)。结论 应用教育机器人对空巢老年糖尿病患者进行延续护理,能够提升空巢老年糖尿病患者自我管理能力,改善血糖指标,提升生活质量。

三孩政策下家庭教育期望及其生育效应

随着经济社会发展和生育观念转变,家庭生育决策进入日益理性化和成本约束的阶段。父母较高的教育期望和激烈的教育竞争影响着家庭生育意愿和行为。通过构建家庭资源约束条件下教育期望、培育策略与生育效应的分析框架,并基于大样本调查数据,考察了教育期望对家庭生育的影响效应。研究发现,家庭教育期望显著提升了生育一孩的概率,但降低了家庭生育二孩的概率,较高的教育期望引致家庭采取“质量替代数量”的生育决策。异质性分析发现,教育期望对不同阶层生育数量和再生育意愿的影响形成分化效应。较高的教育期望显著降低了中低收入阶层家庭二孩和三孩的生育意愿及行为;但在高收入阶层,较高的教育期望并未对家庭二孩和三孩的生育意愿及行为产生挤压效应。进一步研究发现,育龄夫妇受教育程度与家庭教育期望形成替代效应,育龄夫妇受教育程度越低,教育期望对二孩生育的挤压效应越大。机制分析发现,较高的教育期望显著降低了家庭的男孩偏好,说明父母对子女的教育期望越高,越重视孩子的质量而非性别和数量,带来少子化的生育决策。家庭教育期望具有一定程度的不可逆性和不同群体的趋同性,必须降低家庭的养育成本和缓解家庭养育焦虑。通过发展普惠性学前教育和义务教育,提高城乡教育均等化水平,提供多元化的市场养育服务,改善家庭的生育预期,进而提高家庭生育率。

2017—2022年北京市石景山区托幼机构消毒质量分析

目的通过分析北京市石景山区2017—2022年消毒质量监测结果,了解石景山区托幼机构消毒质量变化,为指导和改进日常消毒、监测工作提供依据。方法采用回顾性调查方法,对2017—2022年北京市石景山区托幼机构消毒质量监测数据进行整理统计分析。消毒质量监测主要对象包括室内空气、物体表面、人员手、餐饮具、紫外线灯。结果2017—2022年共采样2549件,合格2309件,总合格率90.58%,每年合格率分别为87.83%、87.68%、87.12%、94.48%、95.39%和96.82%,各年间合格率比较,差异有统计学意义(χ^(2)=46.610,P<0.001)。2017—2019年与2020—2022年托幼机构消毒合格率比较,差异有统计学意义(χ^(2)=43.781,P<0.001)。结论2020—2022年,各单位重视消毒工作,北京市石景山区托幼机构消毒质量有明显提高。

基于格林模式的健康教育在脑卒中后吞咽障碍患者中的应用

目的探讨基于格林模式的健康教育在脑卒中后吞咽障碍患者中的应用效果,为临床制订并实施脑卒中吞咽障碍患者健康教育和管理提供参考依据。方法选取2020年12月―2021年12月在乌鲁木齐市某三级甲等医院神经内科住院的脑卒中吞咽障碍患者94例为研究对象,按照组间基本特征具有可比性的原则分为观察组和对照组,各47例。对照组实行常规吞咽健康教育,观察组实行基于格林模式的吞咽健康教育,干预时间为3个月。比较两组患者入院时、干预后3个月时吞咽生存质量问卷(SWAL—QOL)、自我护理能力测定量表(ESCA)、标准吞咽功能评定量表(SSA)评分。结果完成本次研究的患者共87例,其中对照组44例,观察组43例。入院时,两组患者SSA、SWAL—QOL和ESCA评分的比较,差异无统计学意义(P>0.05)。干预后,观察组患者的SSA评分低于对照组,差异有统计学意义(P<0.05);SWAL-QOL总分及吞咽负担、进食时间、食欲、吞咽症状频率、食物选择、语言交流、进食恐惧、心理健康、社会交往、疲劳、睡眠评分均高于对照组,差异有统计学意义(P<0.05);自我护理能力总分及自我概念、自护责任感、自我护理技能、健康知识水平各维度得分均高于对照组,差异均有统计学意义(P<0.05)。结论对脑卒中吞咽障碍患者运用基于格林模式的健康教育,可促进患者的吞咽功能恢复,提高患者生活质量和自我护理能力。

老年糖尿病肾病患者采用健康教育+优质护理方式完成血液透析护理后的临床效果

目的研究分析老年糖尿病肾病患者采用健康教育+优质护理方式完成血液透析护理后的临床效果。方法选取2022年2月—2023年8月广东省第二中医院收治的90例老年糖尿病肾病患者为研究对象,依据抽签法分为观察组(n=45,采取健康教育+优质护理)和对照组(n=45,采取常规护理),比较两组的遵医总依从性、心理状态、血糖水平和不良事件发生情况。结果观察组遵医依从性、焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)评分均优于对照组,差异有统计学意义(P均<0.05);护理后,观察组空腹血糖、餐后2 h血糖、不良事件总发生率均优于对照组,差异有统计学意义(P均<0.05)。结论在老年糖尿病肾病患者的血液透析护理中,与常规护理相比较,采取健康教育+优质护理能够获取更好的效益,可有效提升患者遵医依从性,降低血糖水平,改善患者的不良情绪,减少不良事件发生。

支持性心理护理联合主题式健康教育对老年糖尿病患者应用研究

目的探讨在老年糖尿病患者中采用支持性心理护理联合主题式健康教育的应用价值。方法纳入将乐县总医院2022年1月至2023年1月收治的118例老年糖尿病患者,按随机数字表法分为两组。对照组(59例)采用常规护理,观察组(59例)采用支持性心理护理联合主题式健康教育,两组均护理4周。对比分析两组自护能力、健康生活方式、糖尿病知识掌握情况、睡眠质量。结果两组护理前自护能力、健康生活方式、糖尿病知识掌握情况、睡眠质量相比无统计学意义(P>0.05);护理后,观察组2型糖尿病自我管理行为量表(2-CDSG)中各维度评分均较对照组高,健康促进生活方式量表(HPLP)、糖尿病知识掌握情况评分均较对照组高,匹兹堡睡眠质量指数量表(PSQI)评分较对照组低(P<0.05)。结论在老年糖尿病患者中实施支持性心理护理联合主题式健康教育可提高疾病知识掌握度、睡眠质量,增强自护能力,改善其生活方式。

基于同伴教育的延续护理对青少年糖尿病合并高血压患者生活质量的影响

目的探究基于同伴教育的延续护理在青少年糖尿病合并高血压患者护理中的应用价值。方法回顾性选取2021年9月—2024年3月山西省汾阳医院收治的88例青少年糖尿病合并高血压患者的临床资料,按照护理方法不同分为对照组(常规延续护理)、研究组(基于同伴教育的延续护理),各44例。比较两组血糖水平、血压水平、生活质量评分。结果干预12周后,两组糖化血红蛋白、餐后2 h血糖、空腹血糖、收缩压、舒张压水平均明显降低,且观察组均低于对照组,差异有统计学意义(P均<0.05)。干预12周后,两组生理功能、社会功能、精神活力、躯体运动评分明显升高,且观察组均高于对照组,差异有统计学意义(P均<0.05)。结论青少年糖尿病合并高血压患者应用基于同伴教育的延续护理,可有效控制血糖及血压水平,提高生活质量。

基于成果导向教育的护理策略对中重度季节性变应性鼻炎患者心理状况和自护能力的影响

目的:探讨基于成果导向教育(OBE)的护理策略对中重度季节性变应性鼻炎患者心理状况和自护能力的影响。方法:选取2020年4月—2021年4月郑州大学第一附属医院收治的96例中重度季节性变应性鼻炎患者作为研究对象,按照门诊顺序将其随机分为对照组(n=48)和研究组(n=48),两组患者均接受药物治疗,进行常规护理干预的为对照组,进行基于OBE的护理策略干预的为研究组。比较两组不同护理干预手段对患者心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、自护能力及生活质量的影响。结果:干预后,研究组患者SAS评分、SDS评分明显低于对照组患者,差异有统计学意义(t=5.129、7.452,P<0.05);两组患者自我概念、自护技能、自护责任感、健康知识水平评分以及自护总分较干预前明显升高,研究组患者各项评分高于对照组患者,差异有统计学意义(t=7.815、7.203、4.939、6.797、4.437,P<0.05);干预后,两组患者鼻部症状、眼部症状、非鼻部/眼部症状、日常活动、睡眠、行为问题以及情感反应评分较干预前明显降低,差异有统计学意义(t=6.693、7.979、4.476、5.776、5.734、3.964、11.398,P<0.05)。结论:基于OBE的护理策略有助于改善中重度季节性变应性鼻炎患者心理状况,增强其自护能力,提高其生活质量。

基于课程思政理念的“儿童保健学”教学范式构建与探索

将思政教育融入医学人才培养是医学教育研究的热点与重点问题。本文基于课程思政理念视角,探讨将“思政元素”融入教学目标、教学大纲与教学设计、教学评价的范式,总结出将“思政元素”融入“儿童保健学”教学的可行方法与路径,形成“课程思政、专业思政”育人体系,希望能为其他医学院校教学改革提供参考。

电子病历在被借阅与复印病案管理中的运用及归档质控影响分析

目的探讨电子病历在妇幼保健院被借阅与复印病案管理中的运用及归档质控影响分析。方法选取2020年7月—2022年8月福州市妇幼保健院病案室病历680份作为研究对象,将2020年7月—2021年7月实施传统手写病历340份纳入对照组,将2021年8月—2022年8月(2021年10月执行新系统)实施电子病历340份纳入观察组。对比不同组别的病历质量评分、病历书写缺陷率、护理人员对病历使用的便捷率。结果观察组的病案首页、入院记录、病程记录、出院记录、治疗、辅助检查、基本要求及医嘱单及总分分别为(2.70±0.46)分、(23.24±1.35)分、(32.45±2.88)分、(4.50±0.60)分、(5.20±0.50)分、(5.50±0.50)分、(8.85±1.21)分、(82.44±5.46)分;对照组分别为(2.00±0.01)分、(20.81±1.13)分、(29.54±1.84)分、(3.64±0.66)分、(3.90±0.30)分、(4.00±0.45)分、(7.76±1.25)分、(71.66±4.56)分,2组比较,观察组更高(P<0.05)。观察组的基础护理漏写、不能体现专科情况、护理记录不及时、病情评估与描述不准确、生命体征与体温单不符、与医师记录不一致等缺陷率分别为3.24%、4.12%、2.94%、2.35%、2.65%、2.06%,对照组分别为6.76%、9.41%、6.47%、5.59%、6.18%、5.00%;2组比较,观察组更低(P<0.05)。观察组的病历借阅时间(2.51±0.85)min、病案复印时间(5.24±1.89)min、首页录入时间(3.33±0.89)min,均短于对照组(6.41±1.54)min、(9.42±2.47)min、(6.66±1.63)min(P<0.05)。结论电子病历在妇幼保健院被借阅与复印病案管理中有利于提高病历质量和降低病历书写缺陷率,以及提高护理人员对病历使用的便捷。