Therapeutic Communication Methods Targeting Families and Family Members: A Literature Review

Background and Purpose: Therapeutic communication is a new term in family health care nursing, defined by Hohashi (2019) as a method of family intervention, and characterized by inclusion of not only verbal conversation but also nonverbal interaction. However, specific therapeutic communication methods have not been systematized. The purpose of this study was to clarify therapeutic communication methods for families/family members from the perspectives of verbal communication and non-verbal communication through a review of existing literature. Methods: We conducted a search using the medical literature databases PubMed and Ichushi-Web using the keywords “therapeutic communication”. Analysis was performed on seven articles from PubMed and 14 articles from Ichushi-Web that described therapeutic communication methods performed by healthcare professionals for families/family members. Through directed content analysis, therapeutic communication methods were subcategorized, and classified into three categories: verbal communication, non-verbal communication, and verbal/non-verbal communication. Results: A total of 23 subcategories were extracted. Verbal communication included 11 subcategories, such as “asking questions using the communicatee’s words as they are”. Non-verbal communication included five subcategories, such as “noticing changes in the content of the communicatee’s story”. And verbal/non-verbal communication featured seven subcategories, such as “making the communicatee aware of one’s own beliefs”. Conclusion: Therapeutic communication methods included basic care/caring in family interviews/meetings, as well as verbal communication and non-verbal communication that act on family/family members’ beliefs. It is believed that changes in family/family members’ beliefs can be used to eliminate, reduce, or improve problematic conditions in the family. .

Don’t burn the baby: Advice from Australian nurses recommending therapeutic sun exposure during infancy

Background: Previous studies have demonstrated inappropriate advice from health profes- sionals advocating therapeutic sun exposure during infancy and the post-partum period. This study examines the proportion of Australian midwives and related hospital nursing staff who recommend therapeutic sun exposure during this period. Methods: Questionnaires were completed by 363 Australian nurses (57.2% response) responsible for nursing post-partum women in 11 maternity hospitals in Queensland (QLD) and the Australian Capital Territory (ACT). Results: Many nurses believed sun exposure was beneficial in treating: cracked nipples (QLD 41.3%, ACT 65.8%;p specified exposure time limits. Nursing staff from public hospitals in QLD, but not the ACT, were more likely than nurses from private hospitals to hold one or more such beliefs (p = 0.008). Approximately 40% of respondents thought people generally looked healthier with a suntan;79% of this group also held one or more risky beliefs about therapeutic sun exposure (p = 0.043). Conclusion: A high proportion of these nurses held risky beliefs about the beneficial uses of sunlight for post-partum women and their infants and made recommendations consistent with their beliefs. Professional education is needed to change the beliefs and practices of nursing staff about intentional sun exposure of women and their babies to reduce their long- term skin cancer risk, particularly as Australia has such a high prevalence of skin cancer.

Effect of therapeutic touch on agitated behavior in elderly patients with dementia:A review

1.Introduction The recent increase in life expectancy in China is also leading to an increased incidence of dementia.Dementia is a common,chronic,organic disease,which manifests extensive degenerative changes in the brain.In addition to cognitive dysfunction,people with dementia often have additional mental and/or behavioral symptoms.

Status quo and influencing factors of comfort with touch among nursing staff in rehabilitation department:A cross-sectional study

Objective:The objective of this study is to investigate the current status of comfort with touch among nursing staff in the rehabilitation department and analyze its influencing factors.Materials and Methods:The convenience sampling method was used to select 131 nursing staff in the rehabilitation department of 3A-level hospitals in Yunnan Province,China,from March to June 2020 to conduct a questionnaire survey.Results:The nurses’comfort with touch score of 131 clinical nurses in the rehabilitation department was 58.82±4.85.Multivariate regression analysis showed that compassion fatigue(t=‒2.968,P<0.01)and occupational social support(t=2.767,P<0.01)were the influencing factors of the physical comfort of nursing staff;average monthly income(t=‒2.160,P<0.05),occupational cognitive evaluation(t=4.924,P<0.01),and secondary traumatic stress(t=2.833,P<0.01)were the influencing factors of task-oriented contact among nursing staff;marital status(t=2.656,P<0.01)and occupational social support(t=2.078,P<0.05)were the influencing factors for private nursing comfort of nurses.Conclusion:The comfort with touch among nurses in the rehabilitation department is at a medium level.Nursing managers should pay attention to their comfort with touch.In order to promote the development of medical service,hospitals should constantly improve the security and social support of nursing practitioners from the aspects of system,management,and salary performance.

Wrist-ankle acupuncture combined with pain nursing for the treatment of urinary calculi with acute pain

BACKGROUND Urological calculi often cause renal colic,which is characterized by paroxysmal or persistent severe pain in the upper abdomen or lumbar region.Development of methods to quickly relieve these pain symptoms has garnered clinical attention.Wrist-ankle acupuncture is a type of floating acupuncture therapy administered at selected points in the carpal and ankle areas,and it has good pain-relieving effects.We used wrist-ankle acupuncture combined with pain nursing for pain intervention in patients with renal calculi to confirm its application and safety.AIM To study the effect of wrist-ankle acupuncture combined with pain nursing in the treatment of urinary calculi with acute pain.METHODS Eighty-two patients with urinary calculi with acute pain as the first symptom followed at our hospital from November 2019 to June 2021 were enrolled in the study and classified into two groups according to the odd and even numbers of the visit sequences,each with 41 cases.The control group received a routine nursing intervention and intramuscular injection of nonsteroidal anti-inflammatory drugs,whereas the observation group received pain management nursing and wrist-ankle acupuncture.Subsequently,the pain-relieving effect was compared between the two groups.RESULTS The score on the visual analog scale(VAS)at 24,48,and 72 h postintervention was decreased in both groups compared with the baseline data;moreover,the observation group scored significantly lower than the control group on the VAS at each time point after the intervention(P<0.05).The clinical efficacy at 24 h postintervention was not significantly different between the two groups(P>0.05).In turn,the pain recurrence rate at 72 h postintervention was lower in the observation group compared with the control group(P<0.05).Finally,the nursing satisfaction rate in the observation group was significantly higher than that observed in the control group(P<0.05).No serious adverse reactions occurred during the treatment and the safety of treatment was high in both groups.CONCLUSION Wrist-ankle acupuncture combined with pain nursing for treating urolithiasis with acute pain effectively alleviated the degree of pain and reduced the recurrence rate,which was worthy of clinical application.

应用iPod-touch提高护理工作效率的实践

目的探讨临床iPod-touch的应用对护理工作效率的影响。方法对临床iPod-touch应用前和应用后的效率进行比较。结果临床iPod-touch的应用可以有效提高护理效率,减少因患者身份识别错误而导致的护理不良事件。讨论临床iPod-touch的应用可以减少护理事件,提高护理工作效率,增强患者对医护人员的信任,提高病人满意率。

绿道专职护士主导的急性缺血性脑卒中静脉溶栓救治模式的应用

目的探讨绿道专职护士主导的急性缺血性脑卒中(acute ischemic stroke,AIS)溶栓救治模式的应用效果。方法选取2021年3月—2023年2月深圳市某三级甲等综合医院急诊科收治的124例AIS静脉溶栓治疗患者为研究对象。其中2021年3月—2022年2月61例AIS患者为对照组,采用常规救治模式接诊溶栓;2022年3月—2023年2月的63例AIS患者为干预组,采用以绿道专职护士为主导的模式接诊溶栓。比较两组患者入院至完成CT所用时间、溶栓知情同意谈话时间、入院至静脉溶栓开始时间(door to needle time,DNT)、DNT 60min达标率、溶栓前后美国国立卫生院卒中量表(national institute of health stroke scale,NIHSS)评分及患者就诊满意度。结果干预组入院至完成CT检查所用时间、溶栓知情同意谈话时间、DNT均短于对照组,干预组DNT 60min达标率高于对照组,溶栓前后干预组NIHSS评分降幅较对照组大,两组比较,差异具有统计学意义(均P<0.05)。干预组患者就诊满意度高于对照组,两组比较,差异具有统计学意义(P<0.05)。结论以绿道专职护士为主导的AIS静脉溶栓救治模式可有效缩短患者入院至完成CT检查所用时间、溶栓知情同意谈话时间、DNT时间,降低患者NIHSS评分,提高DNT 60 min达标率及患者就诊满意度。

多学科诊疗视角下中西医综合护理对慢性子宫内膜炎不孕患者妊娠结局、负性情绪、病耻感的影响

目的研究探讨多学科诊疗视角下中西医综合护理对慢性子宫内膜炎不孕患者妊娠结局、负性情绪、病耻感的影响。方法选取2021年9月至2023年1月赣州市人民医院收治的125例慢性子宫内膜炎致不孕患者作为研究对象,按照随机数字表法分为对照组(63例)与观察组(62例)。对照组采用常规护理干预,观察组采用多学科诊疗视角下的中西医综合护理技术干预。比较两组的妊娠结局、负性情绪评分、病耻感评分、护理满意度。结果观察组患者的胚胎着床率、临床妊娠率、活产率高于对照组,早期流产率低于对照组,差异有统计学意义(P<0.05)。干预后,观察组汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、不孕症女性病耻感评分量表(ISS)评分低于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论多学科诊疗视角下的中西医综合护理技术在慢性子宫内膜炎辅助生殖助孕患者治疗中的应用效果良好,能够改善患者的妊娠结局,降低患者的负性情绪和病耻感,提高患者的护理满意度。

基于Caprini量表评估干预措施结合空气波压力治疗仪对乳腺癌术后患者下肢深静脉血栓形成的影响

目的探讨基于Caprini量表评估干预措施结合空气波压力治疗仪对乳腺癌术后患者下肢深静脉血栓(DVT)形成的影响。方法选取2020年3月至2023年9月合肥市第二人民医院收治的80例乳腺癌术后患者,按照入院时间分为两组。入院时间2020年3月至2022年3月为常规组,入院时间2022年4月至2023年9月为干预组,各40例。常规组行基于Caprini量表评估预防护理,干预组在常规组的基础上实施空气波压力治疗仪干预。观察两组DVT发生率,比较两组干预前后世界卫生组织生存质量测定量表简表评分及满意度。结果干预组术后下肢DVT发生率低于常规组,差异有统计学意义(P<0.05)。干预前,两组生理领域、心理领域、环境领域、社会关系领域评分比较,差异无统计学意义(P>0.05);干预后,两组生理领域、心理领域、环境领域、社会关系领域评分高于干预前,且干预组高于常规组,差异有统计学意义(P<0.05)。干预组护理满意度优于常规组,差异有统计学意义(P<0.05)。结论乳腺癌患者术后实施基于Caprini量表评估干预措施结合空气波压力治疗仪干预,可明显提高下肢DVT预防效果,降低下肢DVT发生率,提高生活质量及满意度高。

抚触联合耳道护理在新生儿听力筛查中的应用效果分析

目的研究抚触联合耳道护理在新生儿听力筛查中对筛查结果准确率的影响。方法选择2022年8月—20234月潍坊市妇幼保健院出生的新生儿112例作为研究对象,依据随机数表法将其分为对照组与观察组,每组各56例。对照组新生儿听力筛查前进行常规耳道护理,观察组新生儿在对照组基础上联合听力筛查前的抚触护理。比较两组新生儿听力检测首筛、复筛结果,新生儿在检测过程中的状态优良率,新生儿在检测中由情绪躁动到稳定的时间以及新生儿疼痛评估量表(NIPS)分值。结果抚触联合耳道护理的观察组新生儿听力检测首筛通过率与复筛通过率,以及检测过程中状态优良率均高于单一耳道护理的对照组,差异有统计学意义(P<0.05);观察组新生儿情绪稳定时间与NIPS分值均低于对照组,差异有统计学意义(P<0.05)。结论抚触联合耳道护理可有效按抚新生儿听力筛查时的情绪状态,降低新生儿听力筛查结果假阳性率,提高听力筛查准确性。

分析临床基础护理强化与睡眠护理在消化道出血住院患者中的应用价值

目的:分析临床基础护理强化联合睡眠护理对消化道出血住院患者治疗效果及睡眠质量的影响。方法:选取2022年1月至2022年12月厦门大学附属第一医院消化内科收治的消化道出血住院患者60例作为研究对象,按照随机数字表法分为观察组和对照组,每组30例。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,并比较2组患者的临床疗效及止血情况。结果:干预后,观察组PSQI评分显著低于对照组,观察组的总有效率显著高于对照组,观察组的止血时间、住院时间均显著短于对照组,观察组输血量显著少于对照组,观察组的再出血率显著低于对照组,差异均有统计学意义(均P<0.05)。结论:在为消化道出血住院患者提供临床基础护理干预的前提下,强化联合睡眠护理干预能让治疗效果显著提高,并能快速止血,减少患者的出血量及再出血,提升睡眠质量,加快康复进程,值得推广应用。

护理机器人研发基础及使用现状综述

整理和总结护理评估随访类机器人、护理观察类机器人、生活护理类机器人、护理治疗类机器人四大类护理机器人,并围绕其研发基础和运用场景进行综述,为临床智慧护理、护理与医工交叉领域研究提供新思路。

积极心理干预联合手部触摸对居家重度失能老年人心理资本和失志综合征的影响

目的:探讨积极心理干预联合手部触摸对居家重度失能老年人心理资本及失志综合征的影响。方法:随机抽取浙江省某县享受长期护理保险居家照护的60名重度失能老年人,随机分为对照组和试验组各30人。对照组按需实施常规居家照护服务,试验组实施积极心理干预联合手部触摸。采用积极心理资本问卷(PPQ)、失志综合征量表Ⅱ(DS-Ⅱ)分别在干预前和干预第6周、干预第12周评估研究对象的心理资本和失志状况。结果:干预第12周,试验组心理资本得分为(3.94±0.34)分,高于对照组[(3.36±0.53)分];试验组干预第12周失志综合征得分为(19.67±4.47)分,低于本组干预前[(21.33±4.05)分],差异均有统计学意义(P<0.05)。结论:积极心理干预联合手部触摸有助于提升重度失能老年人心理资本。

血浆置换在小儿肾脏风湿疾病治疗的应用及护理

目的分析治疗性血浆置换术(therapeutic plasma exchange,TPE)在小儿肾脏风湿疾病中的应用及并发症的观察,探讨相关护理对策。方法回顾2021年1月—2022年12月复旦大学附属儿科医院肾脏和风湿科收治并接受血浆置换治疗的患儿,家属签署知情同意书。经颈内静脉建立血管通路,对9例患儿进行28例次血浆置换治疗。并对患儿的原发病、治疗前后指标、并发症进行分析。结果9例患儿28例次TPE治疗期间患儿出现过敏反应9例次(32.1%)、低钙血症9例次(32.1%)、低血压4例次(14.2%)、体外循环凝血1例次(3.6%)、导管功能不良1例次(3.6%),28例次通过相应的护理干预后,均顺利完成血浆置换治疗。无其他危及生命的并发症出现。结论在血浆置换过程中,应对不同疾病儿童临床疗效进行观察,并对出现的常见并发症进行分析,采取相应的护理干预,最大限度的降低并发症带来的副作用,提高临床疗效,确保血浆置换临床运用的安全性。

护生治疗性沟通能力研究进展

治疗性沟通是护理过程的重要组成部分,专注于改善患者心理和身体健康,其能够帮助患者减轻负性情绪,提高治疗依从性及满意度。该文对护生治疗性沟通能力的现状、影响因素、评估工具等进行了综述,并进一步探讨了提高护生治疗性沟通能力的对策。

基于思维导图的急救护理流程在急性心肌梗死患者的急诊救治中的应用价值

目的 研究基于思维导图的急救护理流程在急性心肌梗死患者的急诊救治中的应用价值。方法 选取2022年1月至9月安徽省亳州市人民医院救治的急性心肌梗死患者80例作为研究对象,按照随机数字表法将其分为对照组和观察组,各40例。对照组实施常规急救护理流程救治,观察组实施基于思维导图的急救护理流程救治。比较两组救治时效性指标[发病至医院大门(SO-to-D)、从医院大门至球囊扩张(D-to-B)、首次医疗接触至球囊扩张(FMC-to-B)、发病至球囊扩张(SO-to-B)、抢救室滞留、首份心电图及肌钙蛋白时间]、救治前后生命体征指标[收缩压(SBP)、舒张压(DBP)、心率(HR)、呼吸(R)]、院内短期救治效果。结果 观察组SO-to-D、D-to-B、FMC-to-B、SO-to-B、抢救室滞留、首份心电图、肌钙蛋白出结果时间短于对照组(P<0.05)。救治后,两组SBP、DBP、HR、R水平低于救治前,且观察组低于对照组(P<0.05)。观察组救治成功率高于对照组(P<0.05)。观察组救治后的左心室舒张末期内径、左室射血分数水平高于对照组(P<0.05)。结论 基于思维导图的急救护理流程有助于缩短诊疗时间,促进患者生命体征恢复,提高急性心肌梗死患者院内救治成功率,改善患者心功能。

精神科治疗性关系评估量表-护士版的汉化及信效度检验

目的引进精神科治疗性关系评估量表-护士版(Therapeutic Relationship Assessment Scale-Nurse,TRAS-N)并验证其信效度。方法按照Brislin翻译模型对葡萄牙语及英语版量表进行翻译和回译,通过预调查对中文版量表进行初步检验,邀请10名精神科专家评价量表的内容效度,便利选取青岛市及日照市2所精神卫生中心的360名临床护士展开调查,并进行信效度分析。结果中文版TRAS-N的各条目CR值范围为6.313~17.359、与量表总分的相关系数范围0.429~0.766;I-CVI为0.800~1.000,S-CVI为0.942。验证性因子分析结果显示结构方程模型拟合指标:χ^(2)/df=2.297,RMSEA=0.074,IFI=0.914,TLI=0.903,CFI=0.913,RMR=0.041;中文版TRAS-N与护患关系量表-护士视角版的会聚效度为0.348;Cronbach'sα系数为0.940,2周后重测信度为0.884。结论中文版TRAS-N具有良好的信效度,可用于评估我国精神科临床护士治疗性关系。

抚触联合捏脊延伸护理对新生儿黄疸及睡眠质量的影响研究

目的研究抚触联合捏脊延伸护理对新生儿黄疸及睡眠质量的影响。方法选取2020年5月至2023年4月我院收治的新生儿黄疸患儿302例作为研究对象,并按随机数字表法分为对照组及观察组,每组151例。两组患儿均接受蓝光治疗及常规护理,观察组再进行抚触联合捏脊延伸护理,观察两组患儿效果。结果观察组胎便初排时间、胎便转黄时间、退黄时间、持续哭闹时间、夜间苏醒次数、住院时间及治疗后血清胆红素水平均低于对照组(均P<0.05);观察组睡眠时间及出生后7 d体重及护理质量总满意度均高于对照组(均P<0.05)。结论抚触联合捏脊延伸护理可协助新生儿黄疸治疗,改善患儿睡眠质量,提高护理满意度。

揿针穴位治疗对腹腔镜下胆囊切除术后病人的影响

目的:观察揿针皮下埋置法腹腔在镜胆囊切除术后病人相关并发症的影响。方法:选取2023年1月—3月于我院行腹腔镜下胆囊切除术后病人276例,按照是否实施术后揿针穴位治疗将其分为观察组和对照组,各138例。对照组给予常规止痛、护胃、止吐治疗;观察组在对照组基础上,在主穴内关、合谷、足三里,中脘、配穴天枢,下脘、气海、关元给予揿针穴位治疗。观察两组术后0~<6 h、6~24 h疼痛视觉模拟评分法(VAS)及疼痛药物额外使用情况;恶心呕吐频率及恶心呕吐模拟视觉评分(NVAS);腹胀发生情况;比较两组病人首次排气时间、排便时间、拔出尿管时间、拔出腹腔引流管时间。结果:观察组术后0~<6 h、6~24 h的VAS评分、24 h疼痛药物额外使用次数均少于对照组,差异有统计学意义(P<0.05);观察组NVAS评分、呕吐发生情况均小于对照组;观察组腹胀发生情况少于对照组,差异有统计学意义(P<0.05);观察组首次排气时间、排便时间、拔尿管时间、拔引流管时间均小于对照组,差异均有统计学意义(均P<0.05)。结论:揿针穴位治疗可明显改善腹腔镜下胆囊切除术病人术后并发症的发生。

抚触护理联合体位护理在新生儿重症监护室早产儿中的应用价值分析

目的:分析抚触护理联合体位护理在新生儿重症监护室早产儿中的应用效果。方法:选取2022年1月—2023年5月泰安市妇幼保健院新生儿科收治的早产儿82例作为研究对象,随机分为对照组和观察组,各41例。对照组给予常规护理,观察组给予抚触护理联合体位护理。比较两组早产儿主要临床指标、并发症发生情况、生长发育指标、神经行为发育评分。结果:观察组早产儿的日平均睡眠时间、日平均摄奶量大于对照组,最大体温差小于对照组,出保温箱时间、首次排便时间、胎便转黄时间、恢复出生体质量时间、足量喂养日龄短于对照组,差异有统计学意义(P<0.05)。观察组早产儿的高胆红素血症、呼吸窘迫综合征、喂养不耐受、呼吸暂停、反流误吸发生率低于对照组,差异有统计学意义(P<0.05)。观察组早产儿矫正胎龄40周时的体质量、头围、身高大于对照组,差异有统计学意义(P<0.05)。干预后,观察组早产儿矫正胎龄40周时的神经行为发育评分高于对照组,差异有统计学意义(P<0.05)。结论:抚触护理联合体位护理可以改善早产儿的各项临床指标,降低其并发症发生率,显著提升早产儿的生长发育和神经行为发育水平。