WorldWideScience

Sample records for nursing intervention effects

  1. Effectiveness of INROADS into pain management, a nursing educational intervention.

    Science.gov (United States)

    Salinas, Gregory D; Abdolrasulnia, Maziar

    2011-07-01

    Nurses play a critical role in managing a patient's pain, from initial evaluation to ongoing patient education. However, little information exists on current gaps in nurses' knowledge and their pain-related decision making. To this end, an educational intervention-the INROADS initiative-was designed to improve the knowledge of nurses involved in patient management as well as to guide them toward practices that are consistent with currently available evidence. The results from an evaluation of this intervention show that nurses participating in the INROADS program were 52% more likely to make evidence-based care choices for their patients, compared with a control group of demographically similar nurses. The effect of this program may reinforce it as a model for the design of future interventions for pain management. Copyright 2011, SLACK Incorporated.

  2. [Effective interventions to reduce absenteeism among hospital nurses].

    Science.gov (United States)

    Blanca-Gutiérrez, Joaquín Jesús; Jiménez-Díaz, María del Carmen; Escalera-Franco, Luis Felipe

    2013-01-01

    To select and summarize the interventions that have proved effective in reducing absenteeism among hospital nurses. A scoping review was conducted through a literature search using Medline, Web of Science, Cinahl, Embase, Lilacs, Cuiden and Cochrane Library Plus databases. Of a total of 361 articles extracted, 15 were finally selected for this review. The implementation of multifaceted support or physical training programs can produce positive results in terms of reducing absenteeism among hospital nurses. Cognitive-behavioral type interventions require studies with larger samples to provide conclusive results. Establishing more flexible working shifts may also reduce absenteeism rates, although again studies with larger samples are needed. Programs aimed at managing change developed by nurses themselves, participatory management of professional relations, the support provided by supervisors who are opposed to hierarchical leadership styles, and wage supplements that reward the lack of absence can also reduce these types of indicators. Absenteeism can be considered as a final result and a consequence of the level of job satisfaction. The effectiveness of interventions to reduce absenteeism among hospital nurses will no doubt largely depend on the ability of these interventions to increase the job satisfaction of these workers. Copyright © 2012 SESPAS. Published by Elsevier Espana. All rights reserved.

  3. Communication skills training in a nursing home: effects of a brief intervention on residents and nursing aides.

    Science.gov (United States)

    Sprangers, Suzan; Dijkstra, Katinka; Romijn-Luijten, Anna

    2015-01-01

    Effective communication by nursing home staff is related to a higher quality of life and a decrease in verbal and physical aggression and depression in nursing home residents. Several communication intervention studies have been conducted to improve communication between nursing home staff and nursing home residents with dementia. These studies have shown that communication skills training can improve nursing aides' communication with nursing home residents. However, these studies tended to be time-consuming and fairly difficult to implement. Moreover, these studies focused on the communicative benefits for the nursing home residents and their well-being, while benefits and well-being for the nursing aides were neglected. The current study focused on implementing a brief communication skills training program to improve nursing aides' (N=24) communication with residents with dementia (N=26) in a nursing home. The effects of the training on nursing aides' communication, caregiver distress, and job satisfaction and residents' psychopathology and agitation were assessed relative to a control group condition. Nursing aides in the intervention group were individually trained to communicate effectively with residents during morning care by using short instructions, positive speech, and biographical statements. Mixed ANOVAs showed that, after training, nursing aides in the intervention group experienced less caregiver distress. Additionally, the number of short instructions and instances of positive speech increased. Providing nursing aides with helpful feedback during care aids communication and reduces caregiver burden, even with a brief intervention that requires limited time investments for nursing home staff.

  4. Communication skills training in a nursing home: effects of a brief intervention on residents and nursing aides

    Science.gov (United States)

    Sprangers, Suzan; Dijkstra, Katinka; Romijn-Luijten, Anna

    2015-01-01

    Effective communication by nursing home staff is related to a higher quality of life and a decrease in verbal and physical aggression and depression in nursing home residents. Several communication intervention studies have been conducted to improve communication between nursing home staff and nursing home residents with dementia. These studies have shown that communication skills training can improve nursing aides’ communication with nursing home residents. However, these studies tended to be time-consuming and fairly difficult to implement. Moreover, these studies focused on the communicative benefits for the nursing home residents and their well-being, while benefits and well-being for the nursing aides were neglected. The current study focused on implementing a brief communication skills training program to improve nursing aides’ (N=24) communication with residents with dementia (N=26) in a nursing home. The effects of the training on nursing aides’ communication, caregiver distress, and job satisfaction and residents’ psychopathology and agitation were assessed relative to a control group condition. Nursing aides in the intervention group were individually trained to communicate effectively with residents during morning care by using short instructions, positive speech, and biographical statements. Mixed ANOVAs showed that, after training, nursing aides in the intervention group experienced less caregiver distress. Additionally, the number of short instructions and instances of positive speech increased. Providing nursing aides with helpful feedback during care aids communication and reduces caregiver burden, even with a brief intervention that requires limited time investments for nursing home staff. PMID:25653513

  5. Communication skills training in a nursing home: Effects of a brief intervention on residents and nursing aides

    NARCIS (Netherlands)

    S. Sprangers (Suzan); K. Dijkstra (Katinka); A. Romijn-Luijten (Anna)

    2015-01-01

    textabstractEffective communication by nursing home staff is related to a higher quality of life and a decrease in verbal and physical aggression and depression in nursing home residents. Several communication intervention studies have been conducted to improve communication between nursing home sta

  6. How nursing leadership and management interventions could facilitate the effective use of ICT by student nurses.

    Science.gov (United States)

    Willmer, Marian

    2007-03-01

    . These reasons include lack of time for Information and Communications Technology activities by both students and the qualified nurses and some staff with poor Information and Communications Technology skills. This situation is compounded by insufficient computer hardware; lack of information about the essence and value of Information and Communications Technology; perception of the direct relevance of Information and Communications Technology activities to patient care; software materials not adequate for purpose and lack of comprehensive budget and financial recognition for student's engagement with Information and Communications Technology. 'Smile and the whole world smile with you'. This old saying has a lot of truth in it. Applied to Information and Communications Technology skills development and use by student nurses we are confronted with an uncomfortable reality of many qualified nurses who themselves are not comfortable or proficient with the use of Information and Communications Technology. Some do not see the essential need for Information and Communications Technology and its direct relevance to improving patient care, nor is this always supported by the current software and systems. Willmer argued that the achievement of effective implementation of the National Health Service National Programme for Information and Technology requires efficient change management and leading people skills, and an understanding of National Health Service culture. In this article the case is made that evidence-based management and leadership interventions are a feasible approach for a sustained implementation of Information and Communications Technology use and skills development by student nurses.

  7. Communication skills training in a nursing home: effects of a brief intervention on residents and nursing aides

    Directory of Open Access Journals (Sweden)

    Sprangers S

    2015-01-01

    Full Text Available Suzan Sprangers, Katinka Dijkstra, Anna Romijn-LuijtenInstitute of Psychology, Faculty of Social Sciences, Erasmus University Rotterdam, Rotterdam, the NetherlandsAbstract: Effective communication by nursing home staff is related to a higher quality of life and a decrease in verbal and physical aggression and depression in nursing home residents. Several communication intervention studies have been conducted to improve communication between nursing home staff and nursing home residents with dementia. These studies have shown that communication skills training can improve nursing aides’ communication with nursing home residents. However, these studies tended to be time-consuming and fairly difficult to implement. Moreover, these studies focused on the communicative benefits for the nursing home residents and their well-being, while benefits and well-being for the nursing aides were neglected. The current study focused on implementing a brief communication skills training program to improve nursing aides’ (N=24 communication with residents with dementia (N=26 in a nursing home. The effects of the training on nursing aides’ communication, caregiver distress, and job satisfaction and residents’ psychopathology and agitation were assessed relative to a control group condition. Nursing aides in the intervention group were individually trained to communicate effectively with residents during morning care by using short instructions, positive speech, and biographical statements. Mixed ANOVAs showed that, after training, nursing aides in the intervention group experienced less caregiver distress. Additionally, the number of short instructions and instances of positive speech increased. Providing nursing aides with helpful feedback during care aids communication and reduces caregiver burden, even with a brief intervention that requires limited time investments for nursing home staff.Keywords: dementia, psychopathology, agitation, caregiver

  8. Effects of a worksite physical activity intervention for hospital nurses who are working mothers.

    Science.gov (United States)

    Tucker, Sharon J; Lanningham-Foster, Lorraine M; Murphy, Justyne N; Thompson, Warren G; Weymiller, Audrey J; Lohse, Christine; Levine, James A

    2011-09-01

    Hospital nurses who are working mothers are challenged to maintain their personal health and model healthy behaviors for their children. This study aimed to develop and test an innovative 10-week worksite physical activity intervention integrated into the work flow of hospital-based nurses who were mothers. Three volunteer adult medical-surgical nursing units participated as intervention units. Fifty-eight nurses (30 intervention and 28 control) provided baseline and post-intervention repeated measurements of physical activity (steps) and body composition. Intervention participants provided post-intervention focus group feedback. For both groups, daily steps averaged more than 12,400 at baseline and post-intervention. No significant effects were found for physical activity; significant effects were found for fat mass, fat index, and percent fat (p working mothers. Future research is warranted with a larger sample, longer intervention, and additional measures.

  9. Designing nursing interventions.

    Science.gov (United States)

    Aranda, Sanchia

    2008-01-01

    The development of nursing interventions that demonstrate the link between nursing actions and patient outcomes is a high priority for nursing research. The development of intervention research frequently focuses on the methods used to test the intervention while less attention is placed on rigor in intervention development and design. The purpose of this paper is to provide thinking points for researchers considering the development of nursing interventions. The thinking points were developed from the limited literature on this topic in synthesis with the authors own experiences of designing nursing interventions. Adoption of a systematic approach to intervention testing is advocated along with a step-wise intervention development process. This process calls for attention to problem definition, conceptual underpinnings, desired outcomes and measures and evidence-based content along with careful consideration of delivery methods, dose and attention to protecting the integrity of the intervention during testing. The approach advocated will help to ensure that nursing intervention research makes a useful contribution to the development of nursing practice.

  10. Examining the Effects of a National League for Nursing Core Competencies Workshop as an Intervention to Improve Nurse Faculty Practice

    Science.gov (United States)

    VanBever Wilson, Robin R.

    2010-01-01

    Due to the complex challenges facing schools of nursing, a research study was implemented to introduce nurse faculty at one small rural northeastern Tennessee school of nursing to the NLN "Core Competencies for Nurse Educators". Utilizing Kalb's Nurse Faculty Self-Evaluation Tool as a pre- and post-intervention test, 30 nurse faculty…

  11. The effect of a cultural competence educational intervention for first-year nursing students in Israel.

    Science.gov (United States)

    Noble, Anita; Nuszen, Evelyn; Rom, Miriam; Noble, Lawrence M

    2014-01-01

    To evaluate the effectiveness of an educational intervention to increase general cultural competence of first-year nursing students. This was a quasi-experimental study that used a convenience sample with an experimental group and a control group and pre- and posttesting. The sample comprised 146 first-year nursing students enrolled in the Introduction to Nursing course divided into an intervention group (n = 58) of students from one school and a control group (n = 88) including students from two schools. The intervention group received a 2-hour faculty lecture on cultural competence, and students prepared and delivered a student group presentation about a cultural group in Israel, basing the presentation on Campinha-Bacote's five constructs. A demographic data instrument and Campinha-Bacote's Inventory for Assessing the Process of Cultural Competence Among Healthcare Professional-Revised© were used for pre- and posttesting. Students who received the educational intervention increased scores significantly (68 ± 6 to 73 ± 6, p = .000), students who did not receive the educational intervention had no significant increase (67 ± 6 to 66 ± 6). Introducing the topic of cultural competence for nursing students in the first-year Introduction to Nursing course as an integrative learning strategy revealed significant increases in cultural competence scores. Recommendations are to include evidence-based cultural competence teaching strategies into the nursing curriculum.

  12. Increasing nurse staffing levels in Belgian cardiac surgery centres: a cost-effective patient safety intervention?

    Science.gov (United States)

    Van den Heede, Koen; Simoens, Steven; Diya, Luwis; Lesaffre, Emmanuel; Vleugels, Arthur; Sermeus, Walter

    2010-06-01

    This paper is a report of a cost-effectiveness analysis from a hospital perspective of increased nurse staffing levels (to the level of the 75th percentile) in Belgian general cardiac postoperative nursing units. A previous study indicated that increasing nurse staffing levels in Belgian general cardiac postoperative nursing units was associated with lower mortality rates. Research is needed to compare the costs of increased nurse staffing levels with benefits of reducing mortality rates. Two types of average national costs were compared. A first calculation included the simulation of an increase in the number of nursing hours per patient day to the 75th percentile for nursing units staffed below that level. For the second calculation (the comparator) we used a 'do nothing' alternative. The most recent available data sources were used for the analysis. Results were expressed in the form of the additional costs per avoided death and the additional costs per life-year gained. The analysis used 2007 costing data. The costs of increasing nurse staffing levels to the 75th percentile in Belgian general cardiac postoperative nursing units amounted to euro1,211,022. Such nurse staffing levels would avoid an estimated number of 45.9 (95% confidence interval: 22.0-69.4) patient deaths per year and generate 458.86 (95% confidence interval: 219.93-693.79) life-years gained annually. This corresponds with incremental cost-effectiveness ratios of euro26,372 per avoided death and euro2639 per life-year gained. Increasing nurse staffing levels appears to be a cost-effective intervention as compared with other cardiovascular interventions.

  13. Effect of nurse-led medication reviews in psychiatric patients - an interventional study

    DEFF Research Database (Denmark)

    Sørensen, Ann Lykkegaard; Mainz, Jan; Poulsen, Birgitte Klindt

    nurses are the health professionals spending most time directly with the patient and very few studies investigate nurses’ role and potential in improving the appropriateness of medication. Therefore, the main objective of this study is to investigate the effect of educating nurses in general pharmacology...... and conducting systematic medication reviews using computer based screening. The effect is evaluated in a controlled interventional study. METHODS: An interventional study including 2 acute psychiatric wards. In one ward nurses’ will receive pharmacological training and the other ward will function as a control....... The nurses will perform approximately 250 medication reviews followed by medication reviews performed by pharmacologists. Primary outcomes are the respective frequencies, types and severity of potential inappropriate prescriptions identified by the nurses and pharmacologists and an estimation...

  14. Effect of nurse-led medication reviews in psychiatric patients - an interventional study

    DEFF Research Database (Denmark)

    Sørensen, Ann Lykkegaard; Nielsen, Lars Peter; Poulsen, Birgitte Klindt;

    2013-01-01

    nurses are the health professionals spending most time directly with the patient and very few studies investigate nurses’ role and potential in improving the appropriateness of medication. Therefore, the main objective of this study is to investigate the effect of educating nurses in general pharmacology...... and conducting systematic medication reviews using computer based screening. The effect is evaluated in a controlled interventional study. METHODS: An interventional study including 2 acute psychiatric wards. In one ward nurses’ will receive pharmacological training and the other ward will function as a control....... The nurses will perform approximately 250 medication reviews followed by medication reviews performed by pharmacologists. Primary outcomes are the respective frequencies, types and severity of potential inappropriate prescriptions identified by the nurses and pharmacologists and an estimation...

  15. Studies on effect of psychological intervention combination with music therapy on nursing for abdominal MRI scans

    Directory of Open Access Journals (Sweden)

    Yun-xia SUN

    2014-06-01

    Full Text Available Objective: To investigate the effectiveness and significance of the Psychological intervention combined with music therapy in abdominal MRI examination. Methods: 230 cases who underwent abdominal MRI examination between 2010 January and 2012 December were collected. They were divided into three groups randomly: routine nursing group, Psychological intervention group and music therapy group. Differences in age, gender, educational level, blood pressure and heart rate were compared between the three groups; To analyze the changes of vital signs after MRI examination, MRI examination results , psychological reaction before and after MRI examination of the three groups. Results: (1There was no significant difference in the general information (P>0.05; (2The heart rate, respiration and blood pressure after MRI examination of patients with routine nursing increased significantly than the other two groups. And psychological nursing group was higher than the music therapy group to some extent;The MRI detection time of routine nursing group was significantly longer than the other two groups (P <0.05; (3The one-time completion rate of the last two groups was significantly higher than the routine nursing  group (P <0.05, and music therapy group was significantly higher than that of the psychological intervention group.The adverse psychological reaction in Psychological intervention group was significantly decreased compared with routine nursing group; and music therapy group decreased significantly compared with the psychological  intervention  group (P <0.05; (4Although the anxiety / depression score of psychological  intervention  group increased slightly ,but it significantly lower than the usual care group (P <0.05; The anxiety / depression scores of music therapy group were significantly decreased, significantly lower than the other two groups (P <0.05. Conclusion: Psychological nursing combined with music therapy is a good way to eliminate the

  16. Nursing burnout interventions: what is being done?

    Science.gov (United States)

    Henry, Barbara J

    2014-04-01

    Many studies have documented high prevalence of burnout and compassion fatigue in oncology nurses. Burnout has detrimental effects on nurses, patients, and healthcare organizations. However, burnout interventions have been shown to improve the physical and mental health of nurses, patient satisfaction, and the organizational bottom line by reducing associated costs of burnout. Although treatment centers may prevent and correct burnout in oncology nurses by providing various interventions, few articles focus on those interventions. This article compiles and describes interventions that will serve as a reference to nurses and healthcare organization leaders interested in implementing similar programs.

  17. Effects of a pain programme on nurses' psychosocial, physical and relaxation interventions.

    NARCIS (Netherlands)

    Francke, A.L.; Luiken, J.B.; Garssen, B.; Huijer-Abu Saad, H.; Grypdonck, M.

    1996-01-01

    The effectiveness of a continuing education programme on pain assessment and management was investigated in 106 surgical cancer nurses. It was found that the programme led to a more positive attitude towards physical and relaxation interventions (such as the use of relaxation, distraction and

  18. Effects of a pain programme on nurses' psychosocial, physical and relaxation interventions.

    NARCIS (Netherlands)

    Francke, A.L.; Luiken, J.B.; Garssen, B.; Huijer-Abu Saad, H.; Grypdonck, M.

    1996-01-01

    The effectiveness of a continuing education programme on pain assessment and management was investigated in 106 surgical cancer nurses. It was found that the programme led to a more positive attitude towards physical and relaxation interventions (such as the use of relaxation, distraction and massag

  19. Effects of Mobility-Enhancing Nursing Intervention in Patients with MS and Stroke: Randomised Controlled Trial.

    Science.gov (United States)

    Imhof, Lorenz; Suter-Riederer, Susanne; Kesselring, Jürg

    2015-01-01

    Background. Multiple sclerosis (MS) or stroke causes functional impairment which can have a major impact on patients' life. Objectives. This RCT investigated the effect of a new nursing intervention (Mobility Enhancing Nursing Intervention-MFP) designed to improve rehabilitation outcomes. Method. The study took place in a rehabilitation clinic in Switzerland. One hundred forty participants diagnosed with MS, stroke, and brain injuries were randomly assigned to control group (CG = standard care) or intervention group (IG). The IG combined standard care with 30 days of MFB. MFP placed patients on a mattress on the floor and used tactile-kinaesthetic stimulation to increase spatial orientation and independency. Outcomes were functionality (Extended Barthel Index, EBI), quality of life (WHOQoL), and fall-related self-efficacy (FES-I). Results. There was a significant main effect of the intervention on functionality (EBI-diff/day mean = 0.30, versus mean = 0.16, P = 0.008). There was also a significant main effect on QoL (WHOQoL-diff mean = 13.8, versus mean = 5.4, P = 0.046). No significant effect was observed on fall-related self-efficacy. Conclusions. The positive effect of MFP on rehabilitation outcomes and quality of life suggests that this specialized nursing intervention could become an effective part of rehabilitation programs. The study was approved by the Ethics Committee of St. Gallen (KEK-SG Nr. 09/021) and registered at ClinicalTrial.gov NCT02198599.

  20. The effect of a "surveillance nurse" telephone support intervention in a home care program.

    Science.gov (United States)

    Kelly, Ronald; Godin, Lori

    2015-01-01

    This study is an evaluation of a unique "surveillance nurse" telephone support intervention for community-dwelling elderly individuals in a home care program. A combined propensity-based covariate-matching procedure was used to pair each individual who received the intervention ("treatment" condition, nT = 930) to a similar individual who did not receive the intervention ("control" condition, nC1 = 930) from among a large pool of potential control individuals (nC0 = 4656). The intervention consisted of regularly scheduled telephone calls from a surveillance nurse to proactively assess the individual's well-being, care plan status, use of and need for services (home support, adult day program, physiotherapy, etc.) and home environment (e.g., informal caregiver support). Treatment and control conditions were compared with respect to four service utilization outcomes: (1) rate of survival in the community before institutionalization in an assisted living or nursing home facility or death, (2) rate of emergency room registrations, (3) rate of acute care hospitalizations, and (4) rate of days in hospital, during home care enrollment. Results indicated a beneficial effect of the surveillance nurse intervention on reducing rate of service utilization by increasing the duration of the home care episode.

  1. The effect of nonpharmacological training on delirium identification and intervention strategies of intensive care nurses.

    Science.gov (United States)

    Öztürk Birge, Ayşegül; Tel Aydin, Hatice

    2017-08-01

    This study aims to investigate the effect of nonpharmacological intervention training on delirium recognition and the intervention strategies of intensive care (ICU) nurses. This is a quasi-experimental study conducted using a pretest-posttest design. The study sample included a total of 95 patients staying in the medical ICU of a university hospital and 19 nurses working in these units. The data were collected using the Patient and Nurse Introduction, Confusion Assessment Method for the ICU, and Delirium Risk Factors, and Non-pharmacological Interventions in Delirium Prevention Forms. Delirium was identified in 26.5% and 20.9% of the patients in the pre- and posttraining phase, respectively. Patients with delirium had a longer duration of stay in the ICU, lower mean Glasgow Coma Scale score and a higher number of medications in daily treatment (pdelirium increased 8.5-fold by physical restriction and 3.4-fold by the presence of hypo/hypernatremia. The delirium recognition rate of nurses increased from 7.7% to 33.3% in the post-training phase. Our study results show that training can increase the efficiency of ICU nurses in the management of delirium. Copyright © 2016 Elsevier Ltd. All rights reserved.

  2. Personal resilience in nurses and midwives: effects of a work-based educational intervention.

    Science.gov (United States)

    McDonald, Glenda; Jackson, Debra; Wilkes, Lesley; Vickers, Margaret H

    2013-08-01

    Nurses and midwives commonly face a variety of challenges and difficulties in their everyday work. Stress, pressure, fatigue and anxiety are acknowledged sources of workplace adversity, which causes decreased perceptions of health and wellbeing. This study reports the effects of a work-based, educational intervention to promote personal resilience in a group of 14 nurses and midwives working in a busy clinical environment. The intervention encouraged participants to focus on the key characteristics of a resilient person and the elements that assisted them in their maintenance of personal resilience. The intervention also explored potential strategies for the future. Opportunities were provided for experiential learning, creative self-expression and exposure to new ideas. Primary effects of the intervention were found to benefit the participants in personal and professional areas; by enhanced confidence, self-awareness, assertiveness and self-care. This intervention had implications for the education and practice of nurses and midwives in terms of building and maintaining their personal resilience, especially those exposed to workplace adversity.

  3. Sustained effects of a nurse coaching intervention via telehealth to improve health behavior change in diabetes.

    Science.gov (United States)

    Young, Heather; Miyamoto, Sheridan; Ward, Deborah; Dharmar, Madan; Tang-Feldman, Yajarayma; Berglund, Lars

    2014-09-01

    Diabetes educators and self-management programs are scarce in rural communities, where diabetes is the third highest-ranking health concern. The goal of this study was to evaluate the benefits of nurse telehealth coaching for persons with diabetes living in rural communities through a person-centered approach using motivational interviewing (MI) techniques. A randomized experimental study design was used to assign participants to receive either nurse telehealth coaching for five sessions (intervention group) or usual care (control group). Outcomes were measured in both groups using the Diabetes Empowerment Scale (DES), SF-12, and satisfaction surveys. Mean scores for each outcome were compared at baseline and at the 9-month follow-up for both groups using a Student's t test. We also evaluated the change from baseline by estimating the difference in differences (pre- and postintervention) using regression methods. Among the 101 participants included in the analysis, 51 received nurse telehealth coaching, and 50 received usual care. We found significantly higher self-efficacy scores in the intervention group compared with the control group based on the DES at 9 months (4.03 versus 3.64, respectively; pcoaching model used in this study shows promise as an effective intervention for diabetes self-management in rural communities. The sustained effect on outcomes observed in the intervention group suggests that this model could be a feasible intervention for long-term behavioral change among persons living with chronic disease in rural communities.

  4. Effect of an audit and feedback intervention on hospitalized oncology patients' perception of nurse practitioner care.

    Science.gov (United States)

    Dulko, Dorothy; Mooney, Kathi

    2010-01-01

    Although patient satisfaction has been used traditionally as a measure of excellence, research has suggested that the perception of being well cared for is likely a more promising indicator of quality than satisfaction alone. Expectations, physical environment, communication, participation and involvement, technical competence, and the influence of healthcare organizations are factors that may impair patients' ability to distinguish nursing care from their overall healthcare experience. This study evaluated the effect of a nurse practitioner audit and feedback intervention on hospitalized patients' perception of care.

  5. Crisis intervention for nurses.

    Science.gov (United States)

    Chase, Emily

    2013-06-01

    Cancer diagnoses and treatments can be crisis-causing events that overwhelm the usual coping abilities of patients and their families. Oncology nurses constantly are observing and attending to patients' diverse needs, ranging from biomedical to emotional, social, and psychological. Nurses have the chance to be first responders in times of patient crises, as they are in the position to recognize the crisis, respond effectively, and transform the crisis into a pivotal learning experience. This article discusses a way to think about patient and family crises that empowers nurses to respond in a manner appropriate to the cultural context and respectful of the individual space of the patient.

  6. Effect of nursing intervention on early rehabilitation of patients with abdominal surgery

    Institute of Scientific and Technical Information of China (English)

    Xing-Zhen Wang; Li-Hong Lu; Hui-Yan Deng

    2016-01-01

    Objective:To study effect of nursing intervention on early rehabilitation of patients with abdominal surgery.Methods: A total of 90 patients with abdominal surgery were randomly divided into observation group and control group by half. Patients in the control group were given routine nursing care, observation group given conventional gum chewing training and anal contraction movements.Results:In the observation group anal exhaust time, indwelling gastric tube and catheter time defecate, eating time, hospitalization days were significantly reduced compared with controls (P 0.05). Conclusions: Strengthened perioperative nursing, gum chewing training and anal contraction movements can promote gastrointestinal functional recovery after abdominal surgery. It can shorten hospitalization time, reduce the patients' pain. It is safety, effective and worthy clinical application.

  7. Effects of psychological nursing intervention on personality characteristics and quality of life of patients with esophageal cancer.

    Science.gov (United States)

    Cheng, Qiao-mei; Kong, Cun-quan; Chang, Shu-ying; Wei, Ai-huan

    2013-06-01

    This study examined the effects of a psychological nursing intervention on personality characteristics and quality of life of esophageal cancer patients. Esophageal cancer patients (n=86) were randomized into either an intervention group (n=45) or a control group (n=41). Patients in the control group were given routine nursing care, and those in the intervention group were provided with psychological nursing interventions in addition to routine nursing care. Personality characteristics, assessed through Eysenck Personality Questionnaire, and quality of life, assessed through EORTC QLQ-C30, were compared between the two groups. The results showed that personality characteristics were closely related to quality of life. After the psychological nursing intervention, the main factors were neurosis, psychosis or mood instability, and personality stability. However, introverted and extroverted personality characteristics were not associated with quality of life. The psychological nursing intervention was associated with decreased P-scale and E-scale scores of personality characteristics and improved quality of life in each dimension scored. A psychological nursing intervention can affect the personality characteristics of esophageal cancer patients and improve their quality of life; this approach is worthy of further study and clinical application. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

  8. Systematic review of the effectiveness of nursing interventions in reducing or relieving post-operative pain.

    Science.gov (United States)

    Crowe, Linda; Chang, Anne; Fraser, Jennifer A; Gaskill, Deanne; Nash, Robyn; Wallace, Karen

    2008-12-01

    Objectives  The primary objective of this systematic review was to assess the effectiveness of nursing interventions for the relief/reduction of post-operative pain when compared with either standard care or other nursing interventions. Inclusion criteria  Types of studies This review included randomised controlled trials (RCTs) and other quasi-randomised experimental research designs. Types of participants Adults treated for post-operative pain in an acute care hospital. Types of interventions Interventions included in the review were only those directly administered by nursing staff such as: (i) administration of analgesia: including oral, intramuscular injection, patient controlled analgesia, epidural; (ii) pre-operative patient education; (iii) assessment and documentation of intensity of pain at regular intervals; (iv) protocols, clinical pathways or flow-sheets used in the management of pain; and (v) non-pharmacological interventions such as massage and relaxation. Types of outcome measures The primary outcome was the relief or reduction of post-operative pain. Other measures included analgesia consumption, patient satisfaction and length of hospital stay. Search strategy  Search terms were chosen after reviewing text words and MeSH terms in relevant articles and databases. A search for published and unpublished research covering the period 1985-2004 (inclusive) was conducted, using 11 major electronic databases. Reference lists of retrieved articles were hand searched. The search was restricted to reports published in English. Assessment of quality  The methodological quality of eligible studies was appraised by two independent reviewers, using a standardised critical appraisal tool. Differences in opinion were decided by consensus after discussion with a third investigator. Data extraction and analysis  Data were extracted from the studies that met the criteria for methodological quality. Two reviewers independently extracted data for each

  9. Effectiveness of a mindfulness-based intervention on oncology nurses' burnout and compassion fatigue symptoms: A non-randomized study.

    Science.gov (United States)

    Duarte, Joana; Pinto-Gouveia, José

    2016-12-01

    Job stress and burnout are highly frequent in healthcare professionals, and prevalence in nurses can be as high as 40%. Mindfulness-based interventions have been shown to be effective in reducing stress and increasing well-being in a wide range of populations and contexts. However, controlled studies with healthcare professionals, and especially nurses, are scarce. The aim of this study was to explore the effectiveness of an on-site, abbreviated mindfulness-based intervention for nurses, using a nonrandomized, wait-list comparison design. The effectiveness of the intervention was measured through several validated self-report measures that participants completed before and after the intervention, assessing burnout, compassion fatigue, psychological symptoms, mindfulness, self-compassion, experiential avoidances, rumination, and satisfaction with life. A sample of 94 oncology nurses agreed to participate in the study and self-selected into an experimental (n=45) and comparison condition (n=48). Complete data was obtained for 48 of the initial 94 participants, mainly due to poor follow-up data rather than high drop-out rate. Statistical analyses included a series of 2×2 ANOVAs and ANCOVAs. Results indicated that nurses in the intervention reported significant decreases in compassion fatigue, burnout, stress, experiential avoidance, and increases in satisfaction with life, mindfulness and self-compassion, with medium to large effect sizes. Nurses in the comparison group didn't present significant changes in these variables. Results also pointed to a high degree of acceptability of the intervention. This study provides preliminary evidence that mindfulness-based interventions may be efficacious in reducing oncology nurses' psychological symptoms and improving their overall well-being, and thus may be worthy of further study in this population. Copyright © 2016 Elsevier Ltd. All rights reserved.

  10. [Effectiveness of a nursing intervention on patient anxiety before transfusion of packed red blood cells].

    Science.gov (United States)

    Martín Díaz, Jesús Fernando; Hidalgo Gutiérrez, M Jesús; Cerezo Solana, M Fátima; Martín Morcillo, Jaime

    2013-01-01

    To evaluate the effectiveness of an educational intervention regarding anxiety and satisfaction in patients requiring a red blood cell transfusion. Randomised, controlled, single-blind clinical trial in patients requiring a packed red blood cell transfusion. alpha=.05, beta=.10, to detect a 10% difference, 70 subjects in each group. The sampling recruitment was randomised to the intervention group (IG) and the control group (CG). an intervention protocol with oral and written information using a published guide on the safety, risks and benefits of haemotherapy for the IG, and an equivalent one on general health topics for the CG. pre- and post-anxiety state; Spielberger's validated questionnaire: STAI. Satisfaction, by an ad hoc questionnaire. Sociodemographic and clinical variables: description, reason for transfusion, prescription knowledge, incidents, records. There was a total of 144 subjects, 73 (50.69%) in the IG, and 71 (49.31%) in the CG. The mean age was 55.80 years, with 56.94% males, and a first transfusion in 52.08%. Comparability between the IG and the CG was tested and confirmed. The decrease in anxiety after the intervention for the IG was 19.99, compared to 25.48 in CG. The difference was greater than the proposed 10%, and was statistically significant. The preference for information was 98.60% in IG, compared to 43.70% in CG. The hypothesis was confirmed; a protocolised nursing educational intervention protocol increased patient satisfaction with nursing care, and decreased patient anxiety, thus preventing complications and providing greater safety to the users. Copyright © 2013 Elsevier España, S.L. All rights reserved.

  11. Effect of music as nursing intervention for people diagnosed with fibromyalgia.

    Science.gov (United States)

    Onieva-Zafra, María Dolores; Castro-Sánchez, Adelaida María; Matarán-Peñarrocha, Guillermo A; Moreno-Lorenzo, Carmen

    2013-06-01

    Primary fibromyalgia, a poorly understood chronic pain syndrome, is a disorder of uncertain etiology. The ultimate goal of fibromyalgia treatment is to develop a multimodal therapy. In recent years, the use of music as an intervention for the pain management and other symptoms has increased. The purpose of this study was to investigate the effects of music on pain and depression for people diagnosed with fibromyalgia using Rogers' theory of the unitary human being as the theoretical framework. An experimental 4-week longitudinal trial design was undertaken. Sixty patients diagnosed with fibromyalgia were randomly assigned to either a music intervention group or a control group. Music interventions consisted of listening to music once a day for 4 consecutive weeks using two types of CDs. Pain was measured with the McGill Pain Questionnaire Long Form and depression with the Beck inventory; a 100-mm visual analog scale was used to measure pain and depression. The treatment group reported a significant reduction in pain and depression at week 4 compared with the control group. Members of the control group reported no differences in pain. The findings of this pilot study suggest the importance of music therapy as a nursing intervention and justify further investigation into music as a self-management intervention to reduce pain and depression.

  12. [The effect of educational interventions on nursing team knowledge about arterial hypertension].

    Science.gov (United States)

    da Silva, Stael Silvana Bagno Eleutério; Colósimo, Flávia Cortez; Pierin, Angela Maria Geraldo

    2010-06-01

    Hypertension is one of the main risk factors for cardiovascular diseases. Nursing carries a large responsibility in care delivery to hypertensive individuals. Thus, the goal was to assess a nursing team's knowledge on hypertension and its treatment before and after educational interventions. A questionnaire was used, addressing theoretical aspects of hypertension knowledge among nurses (5), technicians (2), auxiliaries (11) and community agents (37) at two Basic Health Units in São Paulo City, Brazil. For statistical analysis, Student's T test was used, as well as variance analysis and p nurses, technicians and nursing auxiliaries (84.6 +/- 12.0% vs. 92.7 +/- 15.0%, p nursing team, which they can influence the improvement of care delivery for hypertensive patients.

  13. The effect of reflective writing interventions on the critical thinking skills and dispositions of baccalaureate nursing students.

    Science.gov (United States)

    Naber, Jessica; Wyatt, Tami H

    2014-01-01

    The importance of critical thinking is well-documented by the American Association of Colleges of Nursing and the National League for Nursing. Reflective writing is often used to increase understanding and analytical ability. The lack of empirical evidence about the effect of reflective writing interventions on critical thinking supports the examination of this concept. Study objectives were: This study used an experimental, pretest-posttest design. The setting was two schools of nursing at universities in the southern United States. The convenience sample included 70 fourth-semester students in baccalaureate nursing programs. Randomly assigned control and experimental groups completed the California Critical Thinking Skills Test (CCTST) and the California Critical Thinking Dispositions Inventory Test (CCTDI). The experimental group completed six reflective writing assignments. Both groups completed the two tests again. Results showed that the experimental group had a significant increase (p=0.03) on the truthseeking subscale of the CCTDI when compared to the control group. The experimental group's scores increased on four CCTST subscales and were higher than the control group's on three CCTST subscales. The results of this study make it imperative for nursing schools to consider including reflective writing-especially assignments based on Paul's (1993) model-in nursing courses. If future studies, testing over longer periods of time, show significant increases in critical thinking, those interventions could be incorporated into nursing curriculum and change the way nurse educators evaluate students. Copyright © 2013 Elsevier Ltd. All rights reserved.

  14. Effectiveness of an education program to prevent nurses' low back pain: an interventional study in Turkey.

    Science.gov (United States)

    Karahan, Azize; Bayraktar, Nurhan

    2013-02-01

    This study was undertaken to evaluate an education program to prevent low back pain among nurses. This interventional study used a one-group, pretest/posttest design and was conducted in four hospitals in Bolu, Turkey. Nurses' knowledge was assessed before and after training; 60 nurses were evaluated while performing five procedures that can lead to low back pain using an observation form. These forms were given to the nurses 3 months after the training to assess their knowledge and observations of the five specified behaviors were repeated. The mean knowledge and procedures scores of the nurses were higher just after and 3 months after the training compared to before training. Copyright 2013, SLACK Incorporated.

  15. Effects of an intervention aimed at improving nurse-patient communication in an oncology outpatient clinic

    DEFF Research Database (Denmark)

    Rask, Mette Trøllund; Jensen, Mette Lund; Andersen, Jørn

    2009-01-01

    skills training program in nursing cancer care. Twenty-four nurses in an oncology outpatient clinic participated and were randomly assigned to the intervention program or a control group. A total of 413 patients treated in the clinic during 2 recruitment periods (before and after the communication skills...... training) completed a questionnaire package assessing the nurse-patient relationship, psychological well-being, and cancer-related self-efficacy. Nurse group differences in change scores between time points (baseline, 1 week, and 3 months after the communication skills training) on measures related......In an ever more burdened healthcare system, there is an urgent need to investigate whether patients benefit from the resources allocated to nurses' communication skills training in terms of improved patient outcomes. This study aimed to evaluate a standardized two 2-day (33 hours) communication...

  16. Identifying Effective Nurse-Led Care Transition Interventions for Older Adults With Complex Needs Using a Structured Expert Panel.

    Science.gov (United States)

    Jeffs, Lianne; Kuluski, Kerry; Law, Madelyn; Saragosa, Marianne; Espin, Sherry; Ferris, Ella; Merkley, Jane; Dusek, Brenda; Kastner, Monika; Bell, Chaim M

    2017-04-01

    Nursing plays a central role in facilitating care transitions for complex older adults, yet there is no consensus of the components of nurse-led care transitions interventions to facilitate high quality care transitions among complex older adults. A structured expert panel was established with the purpose of identifying effective nurse-led care transition interventions. A modified Delphi consensus technique based on the RAND method was employed. Panelists (n = 23) were asked to individually rate a series of statements derived from a realist synthesis of the literature for relevance, feasibility and likely impact. Statements receiving an aggregate score of ≥75% (7/9) were reviewed and revised at a face-to-face consensus meeting. A second round of rating following the same process as round one was used, followed by a final ranking of the statements. The five highest ranked intervention components and contextual factors were: (a) educating and coaching patients, their family members and caregivers about self-management skills; (b) ensuring patients, their family members and caregivers are aware of follow-up medical appointments and postdischarge care plan; (c) using standardized documentation tools and comprehensive communication strategies during care transitions; (d) optimizing nurses' roles and scopes of practice across the care transitions spectrum; and (e) having strong leadership, strategic alignment and accountability structures in organizations to enable quality care transitions for the complex older person population. Key insights on optimizing the nurses' roles and scope of practice during care transitions included having nurses provide "warm hand-offs" and serve as the "go-to person." The panel also identified current challenges to optimizing the nurses' roles and scope of practice across care transition points. Future research is required to determine effective nurse-led intervention components and in which context do they work or do not. © 2017 Sigma

  17. Public Health Interventions for School Nursing Practice

    Science.gov (United States)

    Schaffer, Marjorie A.; Anderson, Linda J. W.; Rising, Shannon

    2016-01-01

    School nurses (SNs) use public health nursing knowledge and skills to provide nursing services to school populations. The Public Health Intervention Wheel is a practice framework that can be used to explain and guide public health nursing interventions. SNs who were also members of the National Association of School Nurses completed an electronic…

  18. The effects of intervention based on supportive leadership behaviour on Iranian nursing leadership performance: a randomized controlled trial.

    Science.gov (United States)

    Shirazi, Mandana; Emami, Amir Hossein; Mirmoosavi, Seyed Jamal; Alavinia, Seyed Mohammad; Zamanian, Hadi; Fathollahbeigi, Faezeh; Masiello, Italo

    2016-04-01

    To assess the effects of a workshop on supportive leadership behaviour (SLB) on the performance of head nurses, using a randomized controlled trial design. The effect of transformational leadership on SLB in nursing management is emphasised. A total of 110 head nurses working at university hospitals were included randomly in two control and intervention groups. The head nurses in the intervention group participated in supportive leadership training, but the control group did not. Performance in supportive leadership was assessed with a validated instrument, which six subordinates used to assess their head nurse (n = 731). There was a significant difference in SLB scores from baseline to the 3 month follow-up (P supportive leadership behaviour, particularly the interactive multifaceted training, improved the leadership performance of the head nurses who participated in this study. Health policy decision makers should apply SLB, which is a significant leadership style, to improve the outcomes in other groups of health-care management, such as physicians. Future studies are needed to investigate the effects of such workshops in longer periods of follow up. © 2015 John Wiley & Sons Ltd.

  19. The Effects of a Hardiness Educational Intervention on Hardiness and Perceived Stress of Baccalaureate Nursing Students

    Science.gov (United States)

    Jameson, Paula R.

    2012-01-01

    Despite the known benefits of hardiness education, no published research has been found on the effects of hardiness education with nursing students. Thus, the purposes of this study were first to determine if an increase in hardiness and a decrease in perceived stress in baccalaureate nursing students occurred in those who participated in a…

  20. The effects of a hardiness educational intervention on hardiness and perceived stress of junior baccalaureate nursing students.

    Science.gov (United States)

    Jameson, Paula R

    2014-04-01

    Baccalaureate nursing education is stressful. The stress encompasses a range of academic, personal, clinical, and social reasons. A hardiness educational program, a tool for stress management, based on theory, research, and practice, exists to enhance the attitudes and coping strategies of hardiness (Maddi, 2007; Maddi et al., 2002). Research has shown that students who completed the hardiness educational program, subsequently improved in grade point average (GPA), college retention rates, and health (Maddi et al., 2002). Little research has been done to explore the effects of hardiness education with junior baccalaureate nursing students. Early identification of hardiness, the need for hardiness education, or stress management in this population may influence persistence in and completion of a nursing program (Hensel and Stoelting-Gettelfinger, 2011). Therefore, the aims were to determine if an increase in hardiness and a decrease in perceived stress in junior baccalaureate nursing students occurred in those who participated in a hardiness intervention. The application of the Hardiness Model and the Roy Adaptation Model established connections and conceptual collaboration among stress, stimuli, adaptation, and hardi-coping. A quasi-experimental non-equivalent control group with pre-test and post-test was used with a convenience sample of full-time junior level baccalaureate nursing students. Data were collected from August 2011 to December 2011. Results of statistical analyses by paired t-tests revealed that the hardiness intervention did not have a statistically significant effect on increasing hardiness scores. The hardiness intervention did have a statistically significant effect on decreasing perceived stress scores. The significant decrease in perceived stress was congruent with the Hardiness Model and the Roy Adaptation Model. Further hardiness research among junior baccalaureate nursing students, utilizing the entire hardiness intervention, was recommended.

  1. NANOPARTICLE OF FAITH ON NURSES INTERVENTIONS

    Directory of Open Access Journals (Sweden)

    Paula Soares Encarnação

    2016-07-01

    Full Text Available The World Health Organization, in recent years has stimulated the development of research studies that have positive implications for the quality of people's health, such as spirituality. This topic discusses the concept of faith as an expression of human spirituality; develops the idea of faith as a “nanoparticle” that can be used in nursing care as an intervention to promote people’s health, and explore the contribution to education in Nursing. Given these findings it is concluded that nurses should require training and develop research studies that demonstrate faith as a protective factor and a health promoter with salutogenic effects in the Portuguese context.

  2. The effectiveness of an educational intervention in changing nursing practice and preventing catheter-related infection for patients receiving total parenteral nutrition.

    Science.gov (United States)

    Dinç, L; Erdil, F

    2000-10-01

    Catheter-related infections are one of the most serious complications of TPN therapy. Nurses have important responsibilities in the care of patients who are receiving TPN. This quasi-experimental study was conducted for the purpose of investigating the effectiveness of an educational intervention on changing nursing practice and preventing catheter-related infections in patients receiving total parenteral nutrition. The nurses' practice and the colonisation rate of control and comparative group patients in the surgical clinics of Hacettepe University Hospital (Turkey), and related variables were examined before and after an educational intervention. The findings of the study indicate that the intervention was successful in improving appropriate nursing practice, mean scores of nurses' practices were 45.7 before and 66.5 after the intervention (p<0.05). The rate of microorganism colonisation was also decreased but statistical analysis demonstrated no association between nursing practices and microorganism colonisation of catheter cultures.

  3. [The effect of crisis intervention by the visiting nurse with cancer patients].

    Science.gov (United States)

    Kim, C J; Yoo, J S; Park, J W

    1989-04-01

    This study was undertaken at Yonsei University Medical Center to identify the crisis responses and nursing problems of patients who had been diagnosed with cancer, and changing patterns of grieving over time periods, and to analyse the effectiveness of follow up care through home visiting nursing. This study was carried out in three stages. The 1st study data were collected from a total of 205 patients who had been diagnosed with cancer from Sept. 1 to Dec. 31, 1987 using a cross-sectional method. The 2nd study data were collected three times from 30 patients with cancer at 4 weeks intervals from March 1 to June 31, 1988 using a longitudinal method. The 3rd study data were collected from two different groups from March 1 to June 31, 1988. One was an experimental group who was visited by nurses and the other one was a control group not visited by nurses. The subjects of the 3rd study consisted of 60 patients with cancer and a Quasi-experimental research design was used. The results were as follows: 1. The patients did not experience one stage at a time among the five stages of grieving, denial, anger, bargaining, depression and acceptance, as identified by Kübler Ross. They experienced a combination of stages, especially of the bargaining and the depression stages. This stages did not change with the passing of time. 2. The patients expressed more physical and socioeconomical problems than emotional problems. And they used more problem coping methods than emotional coping methods. 3. Follow up care through home visiting nursing positively influenced the patient's quality of life, especially their physical well-being and symptom control. The patients responded positively to the home visiting nursing, stating that it was helpful to them. It was concluded that the development of a home visiting nursing program is needed for the effective home care of patients with cancer.

  4. Representing public health nursing intervention concepts with HHCC and NIC.

    Science.gov (United States)

    Lee, Nam-Ju; Bakken, Suzanne; Saba, Virginia

    2004-01-01

    It is imperative that public health nurses define their services and provide evidence supporting the effectiveness of interventions. The purpose of this paper is to examine the ex-tent to which two standardized nursing terminologies--Home Health Care Classification (HHCC) and Nursing Interventions Classification (NIC)--represent public health nursing practice according to core public health function in Public Health Nursing Intervention model. First, we divided all HHCC and NIC interventions into intervention focus levels: individual/family-focused, community-focused, and system-focused. Second, we categorized HHCC and NIC interventions according to core public health functions: assessment, policy development, and assurance and the categories of interventions in the PHI Model. We identified HHCC and NIC Nursing interventions that represented public health nursing concepts across core public health functions and categories of the PHI model. Analysis of the findings demonstrated that HHCC and NIC have terms for the concepts in the PHI model. Although HHCC and NIC cover many concepts in public health nursing practice, additional research is needed to extend these terminologies and to evaluate other standardized terminologies that can reflect more comprehensively public health nursing interventions.

  5. Effect of interventions to reduce potentially inappropriate use of drugs in nursing homes: a systematic review of randomised controlled trials

    Directory of Open Access Journals (Sweden)

    Gjerberg Elisabeth

    2011-04-01

    Full Text Available Abstract Background Studies have shown that residents in nursing homes often are exposed to inappropriate medication. Particular concern has been raised about the consumption of psychoactive drugs, which are commonly prescribed for nursing home residents suffering from dementia. This review is an update of a Norwegian systematic review commissioned by the Norwegian Directorate of Health. The purpose of the review was to identify and summarise the effect of interventions aimed at reducing potentially inappropriate use or prescribing of drugs in nursing homes. Methods We searched for systematic reviews and randomised controlled trials in the Cochrane Library, MEDLINE, EMBASE, ISI Web of Knowledge, DARE and HTA, with the last update in April 2010. Two of the authors independently screened titles and abstracts for inclusion or exclusion. Data on interventions, participants, comparison intervention, and outcomes were extracted from the included studies. Risk of bias and quality of evidence were assessed using the Cochrane Risk of Bias Table and GRADE, respectively. Outcomes assessed were use of or prescribing of drugs (primary and the health-related outcomes falls, physical limitation, hospitalisation and mortality (secondary. Results Due to heterogeneity in interventions and outcomes, we employed a narrative approach. Twenty randomised controlled trials were included from 1631 evaluated references. Ten studies tested different kinds of educational interventions while seven studies tested medication reviews by pharmacists. Only one study was found for each of the interventions geriatric care teams, early psychiatric intervening or activities for the residents combined with education of health care personnel. Several reviews were identified, but these either concerned elderly in general or did not satisfy all the requirements for systematic reviews. Conclusions Interventions using educational outreach, on-site education given alone or as part of an

  6. Spirituality Intervention and Outcomes: Corner stone of Holistic Nursing Practice

    Directory of Open Access Journals (Sweden)

    Mardiyono Mardiyono

    2011-01-01

    Full Text Available Background: Holistic nursing results in healing the whole person as human being that has interconnectedness of body mind social cultural spiritual aspect.Objective: The purpose of this paper is to examine the effects of Islamic spirituality interventions on health outcomes in nursing.Method: Databases searched for electronic journals and books that were published since 1994 to 2010 were included.Results: Spirituality intervention mainly composes of prayer, recitation of the holy Qur’an, remembrance of Allah, fasting, charity, prophets’ methods, and modified Islamic methods. Thirteen studies found that various outcomes have been highlighted when applied in several areas of nursing, such as stimulating baby’s cognitive ability in maternal nursing, promoting health during eating halal food, fasting, abstinence of alcohol and tobacco consumption, performing regular exercise, reducing anxiety, and pain in medical-surgical nursing. In mental health nursing, six studies explored effects of prayer and religious psychotherapy to enhance happiness and physical health and alleviate anxiety, and depression. Three studies reported Islamic cognitive therapy to alleviate the auditory hallucination, bereavement, and depression. In critical care nursing, three studies employed reciting the holy Qur’an and talqin in end of life care.Conclusion: Although the literature is limited in the amount and quality of spirituality interventions, some evidences have shown as integrative energy in nursing practice to promote health and minimize some symptoms. Spirituality interventions should be performed to acknowledge the high priority in holistic nursing and support interventions.Keywords: spirituality intervention, holistic nursing, Islam

  7. Korean hospice nursing interventions using the Nursing Interventions Classification system: a comparison with the USA.

    Science.gov (United States)

    Hong, Sung-Jung; Lee, Eunjoo

    2014-12-01

    In this study, nursing interventions used by hospice nurses in Korea were identified and compared with core interventions selected by US end-of-life care nurses in order to determine similarities and differences between the two nations regarding such care. Data were collected from the electronic medical records of 353 hospice patients admitted to a tertiary hospital in Korea over a period of two years. First, extracted narrative interventions were mapped onto the Nursing Interventions Classification for comparison with interventions selected by nurses in the USA. A total of 56,712 intervention statements were mapped onto 147 Nursing Interventions Classification interventions. Hospice nurses in Korea performed more nursing interventions in the physiological basic domain, compared to nurses in the USA. The most frequently-used interventions in Korea were related to patient pain management. Among 47 core Nursing Interventions Classification interventions used in the USA, only 18 were used by Korean nurses in this study. This study highlights cultural differences in hospice care nursing interventions between the two countries. © 2014 Wiley Publishing Asia Pty Ltd.

  8. Effectiveness of a nursing intervention during transfusion of packed red cells on the patient´s anxiety state receiver

    Directory of Open Access Journals (Sweden)

    Jesús Fernando Martín Díaz

    2012-05-01

    Full Text Available The transfusion provokes anxiety and this one compromises the improvement of the patient. Objetive: The study aims to evaluate whether a nursing intervention protocol-through oral and written submissions previous to the transfusion of packed red blood cells decreases anxiety levels in pretransfusion and postransfusion recipient patients through a randomized clinical trial. Methodology: Be conducted in patients over 18 years admitted in the Hospitable complex of Toledo, prescription transfusion of packed red blood cells. For an alpha error 0.05, beta error of 0.90, with an expected effect of 10%, need 70 subjects in each group. The allocation to the intervention group and the control group was randomly made simple. The performance in the normal control group will be done in the hospital, patients receiving transfusion. As dependent variables evaluated:- The anxiety level pretransfusion and postransfusion. Using the questionnaire was validated by Spielberger (STAI. - The level of satisfaction perceived by the user on the information received prior to transfusion. By design developed for this study. Also recorded other control variables: sex, age, socio-cultural level, marital status, reason for transfusion, or no knowledge of the prescription of transfusion, incidents during transfusion.Scientific and sociosanitary relevancy of the study: The results will allow to know if the transfusion increases the anxiety and if an educational intervention nurse can diminish it; and to do the intervention before every transfusion.

  9. Presurgical stress: Nursing and psychological interventions

    Directory of Open Access Journals (Sweden)

    Antigoni Fountouki

    2014-10-01

    Full Text Available Feelings of ambivalence, melancholy, despair and fear are usual psychological reactions prior to a surgical intervention. Αim: the main aim of this review is a comprehensive presentation of pre-operative anxiety as well as the analysis of the effectiveness of relevant nursing and psychological interventions. A secondary aim was to highlight the role of the nurse in treating pre-operative anxiety. Method: A search in Greek and international databases (IATROTEK, PubMed, CINAHL was conducted. The search strategy combined the following key word: preoperative anxiety, nursing, psychological support. Initially, 123 articles were identified (general articles, clinical studies, reviews, and meta-analysis and after adjustments for duplicate results, the final material of this review were 38 selected articles published during the last decade. Results: Many studies demonstrate the usefulness of preoperative preparation through specialized information and social support interventions in relation to post-surgery adaptation process. The use of methods and strategies that enable the individual to reduce stress and handle the highly-stressing dimensions of the impending surgery have also been proposed. Finally, various psychotherapeutic interventions and other specialized techniques of crisis management as measures to address both the pre-operative anxiety and stress brought about by the disease have also successfully been implemented. Conclusions: The preoperative clinical care must include the systematic treatment of pre-operative anxiety through specialized information. However, behavioral or cognitive interventions that facilitate self-control appear to be more effective and have significant influence on the patient’s postoperative course. Training and education of nurses should be sufficient and part of their continuing education.

  10. Dissemination of the nurse-administered Tobacco Tactics intervention versus usual care in six Trinity community hospitals: study protocol for a comparative effectiveness trial

    Directory of Open Access Journals (Sweden)

    Duffy Sonia A

    2012-08-01

    Full Text Available Abstract Background The objectives of this smoking cessation study among hospitalized smokers are to: 1 determine provider and patient receptivity, barriers, and facilitators to implementing the nurse-administered, inpatient Tobacco Tactics intervention versus usual care using face-to-face feedback and surveys; 2 compare the effectiveness of the nurse-administered, inpatient Tobacco Tactics intervention versus usual care across hospitals, units, and patient characteristics using thirty-day point prevalence abstinence at thirty days and six months (primary outcome post-recruitment; and 3 determine the cost-effectiveness of the nurse-administered, inpatient Tobacco Tactics intervention relative to usual care including cost per quitter, cost per life-year saved, and cost per quality-adjusted life-year saved. Methods/Design This effectiveness study will be a quasi-experimental design of six Michigan community hospitals of which three will get the nurse-administered Tobacco Tactics intervention and three will provide their usual care. In both the intervention and usual care sites, research assistants will collect data from patients on their smoking habits and related variables while in the hospital and at thirty days and six months post-recruitment. The intervention will be integrated into the experimental sites by a research nurse who will train Master Trainers at each intervention site. The Master Trainers, in turn, will teach the intervention to all staff nurses. Research nurses will also conduct formative evaluation with nurses to identify barriers and facilitators to dissemination. Descriptive statistics will be used to summarize the results of surveys administered to nurses, nurses’ participation rates, smokers’ receipt of specific cessation services, and satisfaction with services. General estimating equation analyses will be used to determine differences between intervention groups on satisfaction and quit rates, respectively, with

  11. Effects of a giant exercising board game intervention on ambulatory physical activity among nursing home residents: a preliminary study

    Directory of Open Access Journals (Sweden)

    Mouton A

    2017-05-01

    Full Text Available Alexandre Mouton,1 Nicolas Gillet,1 Flore Mouton,1 Dave Van Kann,2,3 Olivier Bruyère,1,4 Marc Cloes,1 Fanny Buckinx41Department of Sport and Rehabilitation Sciences, Multidisciplinary Research Unit on Health and Society, University of Liège, Liège, Belgium; 2Department of Health Promotion, Maastricht University Medical Center (MUMC+, Maastricht, 3School of Sport Studies, Fontys University of Applied Sciences, Eindhoven, the Netherlands; 4Department of Public Health, Epidemiology and Health Economics, University of Liège Teaching Hospital (CHU, Liège, BelgiumPurpose: This study examined the effects of a giant (4×3 m exercising board game intervention on ambulatory physical activity (PA and a broader array of physical and psychological outcomes among nursing home residents.Materials and methods: A quasi-experimental longitudinal study was carried out in two comparable nursing homes. Ten participants (aged 82.5±6.3 and comprising 6 women meeting the inclusion criteria took part in the 1-month intervention in one nursing home, whereas 11 participants (aged 89.9±3.1 with 8 women were assigned to the control group in the other nursing home. The giant exercising board game required participants to perform strength, flexibility, balance and endurance activities. The assistance provided by an exercising specialist decreased gradually during the intervention in an autonomy-oriented approach based on the self-determination theory. The following were assessed at baseline, after the intervention and after a follow-up period of 3 months: PA (steps/day and energy expenditure/day with ActiGraph, cognitive status (mini mental state examination, quality of life (EuroQol 5-dimensions, motivation for PA (Behavioral Regulation in Exercise Questionnaire-2, gait and balance (Tinetti and Short Physical Performance Battery, functional mobility (timed up and go, and the muscular isometric strength of the lower limb muscles.Results and conclusion: In the

  12. Effect of calcitriol, cinacalcet combined with nursing intervention on patients with MHD SHPT serum fibroblast growth factor 23

    Institute of Scientific and Technical Information of China (English)

    Le Chen; Xiao-Yun Wu

    2016-01-01

    Objective:To investigate effect of calcitriol, cinacalcet combined with nursing intervention on maintenance hemodialysis (MHD) patients with secondary hyperparathyroidism (SHPT) serum fibroblast growth factor 23 (FGF23) effect.Methods:A total of 90 cases of SHPT in our hospital from March 2016 to March 2014 were selected and randomly divided into the observation group and the control group. The 2 groups were given nursing intervention on cinacalcet hydrochloride swallow when eating, starting dose is 25 mg/d, every 2 to 4 weeks according to the parathyroid hormone (iPTH), calcium (Ca), phosphorus (P) level adjustment dose, the maximum dose of not more than 75 mg/d, the observation group was treated with basic treatment in the Calcitriol Soft Capsules 0.25 g/d, 3 times/week, evaluate the effect of the 2 groups after 3 months of treatment. The 2 groups before and after treatment collected fasting peripheral venous blood, Ca, P were measured by colorimetric method, determination of iPTH and FGF23 in the serum and bone specific alkaline phosphatase ELISA (BSAP), serum creatinine automatic biochemistry analyzer (Scr), nitrogen (BUN), uremic quantitative detection and analysis of urea clearance index of single room urea kinetic model (KT/V). Results:Level of Ca, P of observation group after treatment increased and iPTH decreased more significantly compared with that of control group (P0.05), FGF23 and BSAP levels after treatment in observation group decreased more significantly than the control group (P<0.05). Conclusions: Calcitriol, cinacalcet combined with nursing intervention in the treatment of MHD patients with SHPT, can effectively reduce the PTH, FGF23, BSAP level, improve the clinical symptoms.

  13. Coping with radiation therapy: effects of a nursing intervention on coping ability for women with breast cancer.

    Science.gov (United States)

    Wengström, Y; Häggmark, C; Forsberg, C

    2001-02-01

    A randomized study was carried out to investigate whether a nursing intervention, using Orem's self-care theory as a framework, would affect the coping ability of women with breast cancer during and following radiation therapy. The intervention consisted of promoting of behaviours to support the patient to restore, maintain or increase their abilities to interact with the situation and adapt to the demands of radiation treatment. The control and experimental groups both consisted of 67 patients. The Wheel Questionnaire was used to evaluate the effect of the intervention. Our results showed that the intervention provided patients older than 59 years the ability to cope with the treatment (df = 2, F = 3.463, P = > 0.05). The present study supports the idea that individual interventions aimed at improving well-being helps patients. It also highlights the fact that individual approaches to improving well-being are needed. Such interventions should be directed to patients at risk for poor adjustment, such as those older than 50 years of age.

  14. Evaluation of an educational intervention on breastfeeding for NICU nurses.

    Science.gov (United States)

    Siddell, Erica; Marinelli, Kathleen; Froman, Robin D; Burke, Georgine

    2003-08-01

    The effect of breastfeeding education on breastfeeding knowledge and attitudes of nurses in a neonatal intensive care unit (NICU) was evaluated. NICU nurses (intervention) and pediatric nurses (untreated control) working at a northeastern US children's hospital participated in the pretest/posttest design study. Both groups answered the same breastfeeding questionnaire on 2 occasions. NICU nurses completed the questionnaire the second time after attending the education session. Outcome measures evaluated by questionnaire items were (1) breastfeeding knowledge, (2) pro-breastfeeding attitudes, (3) baby-focused care attitudes, and (4) nurse-focused care attitudes. Comparison groups were similar at pretest on demographic variables and remained so despite attrition between pretesting and posttesting. A significant increase (P NICU nurses' breastfeeding knowledge after the education session. Findings suggest that an educational intervention has potential for improving NICU nurses' knowledge and certain attitudes about breastfeeding but may not alter other attitudes of interest in the desired direction.

  15. Effects of atorvastatin calcium, amlodipine, in combined with nursing intervention on the carotid atherosclerosis in patients with primary hypertension

    Institute of Scientific and Technical Information of China (English)

    Xue-Min Wang; Wen-Hua Cai; Li-Min Li; Cui-Qing Sun; Hai-Wei Zhao; Hui Wang; Rui-Chao Liu

    2016-01-01

    Objective:To explore the effects of atorvastatin calcium, amlodipine, in combined with nursing intervention on the carotid atherosclerosis in patients with primary hypertension. Methods:A total of 70 patients with primary hypertension merged with carotid atherosclerosis who were admitted in our hospital from December, 2014 to December, 2015 were included in the study and randomized into the observation group and the control group. The patients in the two groups were orally administered with atorvastatin calcium, 20 mg/time, 1 time/night, and amlodipine, 5 mg/time, 1 time/d. For patients whose blood pressure not reducing to 140/90 mmHg after 2 weeks, the dosage was increased to 10 mg/time. Six-month treatment was regarded as one course. On this basis, the patients in the control group were given the routine nursing, while the patients in the observation group were given the comprehensive nursing interventions. The levels of blood pressure, TG, TC, LDL-C, and HDL-C before and after treatment in the two groups were detected. The color ultrasonic diagnostic apparatus was used to measure IMT and plaque number.Results:After treatment, the reduced degree of SBP and DBP in the observation group was significantly superior to that in the control group. After treatment, the reduced degree of TC and LDL-C in the observation group was significantly superior to that in the control group, while TG and HDL-C levels were not significantly different from those before treatment, and the comparison betweent the two groups was not statistically significant. After treatment, IMT and plaque number in the observation group were significantly lower than those in the control group.Conclusions:The combined application of atorvastatin calcium and amlodipine can play a synergistic effect, effectively regulate the serum lipid, protect the vascular endothelial cell function, and shrink the cervical IMT, which is combined with nursing intervention can effectively enhance the clinical therapeutic

  16. The effects of occupational interventions on reduction of musculoskeletal symptoms in the nursing profession

    NARCIS (Netherlands)

    Bos, Evelien; Krol, B.; Van der Star, A; Groothoff, Johan

    2006-01-01

    The objective of the review was to gain more insight into the effects of occupational interventions for primary prevention of musculoskeletal symptoms in healthcare workers. The Cochrane Collaboration methodological guidelines for systematic reviews functioned as a starting point. Thirteen studies m

  17. Pelvic floor muscle training as a persistent nursing intervention: Effect on delivery outcome and pelvic floor myodynamia

    Directory of Open Access Journals (Sweden)

    Xin Wang

    2014-03-01

    Conclusion: Persistent nursing intervention for pregnant/postpartum women helped to shorten the second stage of labour and contributed to the recovery of postpartum pelvic floor myodynamia. The influence of this intervention on the delivery mode, and rates of episiotomy and perineal laceration remains unknown. Medical staff should strengthen health education programmes that involve pelvic floor functional rehabilitation.

  18. The Effect of an Educational Intervention Program on the Adoption of Low Back Pain Preventive Behaviors in Nurses: An Application of the Health Belief Model.

    Science.gov (United States)

    Sharafkhani, Naser; Khorsandi, Mahboobeh; Shamsi, Mohsen; Ranjbaran, Mehdi

    2016-02-01

    Study Design Randomized controlled trial. Objective The purpose of this study was to identify the effect of a theory-based educational intervention program on the level of knowledge and Health Belief Model (HBM) constructs among nurses in terms of the adoption of preventive behaviors. Methods This pretest/posttest quasi-experimental study was conducted on 100 nurses who were recruited through the multistage sampling method. The nurses were randomly assigned to intervention and control groups. The participants were evaluated before and 3 months after the educational intervention. A multidimensional questionnaire was prepared based on the theoretical structures of the HBM to collect the data. Data analysis was performed using descriptive and inferential statistics. Results There was no significant difference in the mean values of HBM constructs prior to the intervention between the intervention and control groups. However, after the administration of the educational program, the mean scores of knowledge and HBM constructs significantly increased in the intervention group when compared with the control group (p nurses' scores of knowledge and HBM constructs; therefore, theory-based health educational strategies are suggested as an effective alternative to traditional educational interventions.

  19. Identifying Nursing Interventions in a Cancer Screening Program Using Nursing Interventions Classification Taxonomy.

    Science.gov (United States)

    Benito, Llucia; Lluch, María Teresa; Falcó, Anna Marta; García, Montse; Puig, Montse

    2017-04-01

    This study aimed to investigate which Nursing Interventions Classification (NIC) labels correspond to specific nursing interventions provided during cancer screening to establish a nursing documentation system. This descriptive study was conducted to identify and classify the interventions that cancer screening nurses perform based on an initial list. The initial list was grouped into 15 interventions that corresponded to four domains and eight classes. The study found expert consensus regarding the duties of cancer screening nurses and identified 15 interventions that should be implemented in clinical practice for cancer screening care, according to the NIC taxonomy. This study is the first step in developing indicators to assess nursing performance in cancer screening, and it helps to establish the core competency requirements for cancer screening nurses. © 2015 NANDA International, Inc.

  20. Oncology nurses' use of nondrug pain interventions in practice.

    Science.gov (United States)

    Kwekkeboom, Kristine L; Bumpus, Molly; Wanta, Britt; Serlin, Ronald C

    2008-01-01

    Cancer pain management guidelines recommend nondrug interventions as adjuvants to analgesic medications. Although physicians typically are responsible for pharmacologic pain treatments, oncology staff nurses, who spend considerable time with patients, are largely responsible for identifying and implementing nondrug pain treatments. Oncology nurses' use of nondrug interventions, however, has not been well studied. The purpose of this study was to describe oncology nurses' use of four nondrug interventions (music, guided imagery, relaxation, distraction) and to identify factors that influence their use in practice. A national sample of 724 oncology staff nurses completed a mailed survey regarding use of the nondrug interventions in practice, beliefs about the interventions, and demographic characteristics. The percentages of nurses who reported administering the strategies in practice at least sometimes were 54% for music, 40% for guided imagery, 82% for relaxation, and 80% for distraction. Use of each nondrug intervention was predicted by a composite score on beliefs about effectiveness of the intervention (e.g., perceived benefit; Pintervention (e.g., time; Pintervention (e.g., cognitive ability; Pinterventions. Efforts to improve application of nondrug interventions should focus on innovative educational strategies, problem solving to secure support, and development and testing of new delivery methods that require less time from busy staff nurses.

  1. Little effect of transfer technique instruction and physical fitness training in reducing low back pain among nurses: a cluster randomised intervention study

    DEFF Research Database (Denmark)

    Warming, S; Ebbehøj, N E; Wiese, N;

    2008-01-01

    The aim of this study was to evaluate the effect of a transfer technique education programme (TT) alone or in combination with physical fitness training (TTPT) compared with a control group, who followed their usual routine. Eleven clinical hospital wards were cluster randomised to either...... intervention (six wards) or to control (five wards). The intervention cluster was individually randomised to TT (55 nurses) and TTPT (50 nurses), control (76 nurses). The transfer technique programme was a 4-d course of train-the-trainers to teach transfer technique to their colleagues. The physical training...... consisted of supervised physical fitness training 1 h twice per week for 8 weeks. Implementing transfer technique alone or in combination with physical fitness training among a hospital nursing staff did not, when compared to a control group, show any statistical differences according to self-reported low...

  2. Effect of Shenkang injection in combined with nursing intervention on the renal function in patients with chronic renal failure

    Institute of Scientific and Technical Information of China (English)

    Ya-Nan Sun

    2016-01-01

    Objective:To explore the effect of Shenkang injection in combined with nursing intervention on the renal function in patients with chronic renal failure (CRF).Methods: A total of 90 patients with CRF who were admitted in our hospital from May, 2015 to May, 2016 were included in the study and randomized into the study group and the control group. The patients in the two groups were given routine pressure reducing, water-electrolyte and acid-base balance correcting, and corresponding nursing intervention. On the above basis, the patients in the control group were given ligustrazine injection (200 mg) + 5% glucose (250 mL), ivdrip, 1 time/d, and alprostadil (20 μg) + 0.9%NaCl (100 mL), ivdrip slowly, 1 time/d. On the basis of the treatments in the control group, the patients in the study group were given additional Shenkang injection (100 mL)+5% glucose (250 mL), iv drip, 1 time/d. The patients in the two groups were treated for 4 weeks, and the efficacy was evaluated after the treatment. The morning fasting elbow venous blood before and after treatment was extracted. The serum Scr, BUN, Ccr, TC, TG, HDL-C, Apo-A, and Apo-B before and after treatment were detected. 24 h urine before and after treatment was collected, and 24 h urine protein volume (24 h pro) was calculated.Results: Scr, BUN, and 24 h pro after treatment in the two groups were significantly reduced, while Ccr was significantly elevated when compared with before treatment, and those in the study group were significantly superior to those in the control group. TC, TG, and Apo-B after treatment in the two groups were significantly reduced, while HDL-C and Apo-A were significantly elevated when compared with before treatment, and those in the study group were significantly superior to those in the control group.Conclusions:Shenkang injection in combined with nursing intervention in the treatment of CRF can effectively regulate the lipid metabolism disorder, delay the progression, and protect the renal

  3. Relationships among NANDA-I diagnoses, nursing outcomes classification, and nursing interventions classification by nursing students for patients in medical-surgical units in Korea.

    Science.gov (United States)

    Noh, Hyun Kyung; Lee, Eunjoo

    2015-01-01

    The purpose of this study was to identify NANDA-I, Nursing Outcomes Classification (NOC), and Nursing Interventions Classification (NIC; NNN) linkages used by Korean nursing students during their clinical practice in medical-surgical units. A comparative descriptive research design was used to measure the effects of nursing interventions from 153 nursing students in South Korea. Nursing students selected NNN using a Web-based nursing process documentation system. Data were analyzed by paired t-test. Eighty-two NANDA-I diagnoses, 116 NOC outcomes, and 163 NIC interventions were identified. Statistically significant differences in patients' preintervention and postintervention outcome scores were observed. By determining patient outcomes linked to interventions and how the degree of outcomes change after interventions, the effectiveness of the interventions can be evaluated. © 2014 NANDA International, Inc.

  4. [Emergency department triage: independent nursing intervention?].

    Science.gov (United States)

    Corujo Fontes, Sergio José

    2014-03-01

    The branch hospital triage aimed at, as well as exercised by nurses, has evolved to meet their needs to organize and make visible the nurses' duties. However, it is still not properly considered as independent nursing intervention. Evidencing practice triage nurse in hospital as experienced by their protagonists disclosed the possible causes of this paradoxical competence. In a sample of 41 nurses, of the 52 possible with previous experience in hospital triage in the Emergency Department of the Hospital General Dr. José Molina Orosa in Lanzarote, the nurses themselves carried out an opinion survey that group together statements about different aspects of the triaje nurse. In its results, 65.8% of those polled thought the triaje nursing training to be deficient and even though nearly half 48.7%, was considered competent to decide the level of emergency, 46.3% disagreed to take this task part of their duty. It is conclusive that the training received in hospital triage, regulated and sustained, is deficient, that is the main reason why professionals have their doubts to take on an activity they are not familiar with. Triage systems do not record the entire outcome of the nursing work and nursing methodology does not seem to be quite indicative for this task.

  5. Effectiveness of a nursing psychoeducative intervention as a helping tool in children´s mourning work

    Directory of Open Access Journals (Sweden)

    Maria del Carmen Pérez González

    2009-07-01

    Full Text Available The children grief has many special characteristics determinated by the childhood features. Several studies consider that children may have anxiety reactions, fears, depression and disadaptated behaviour when a relative is fort.The objective of this study is to know the effectiveness of a psychoeducative intervention of a Primary Care nurse in preventing misadaptative behaviours related to grief in children.To achieve this objective, a randomized controlled trial with an experimental group and a control group has been designed. 198 children and teenagers will be included in it (there will be randomized assigned 98 on each group from 5 to16 years old, having been affected of a relating grief, belonging to the Primary Care Centers of the 9, 10 and 11 areas in Madrid Community. Children and teenagers included in the experimental group will take a psychoeducative intervention based on 7 individualized weekly sessions. Measures of the punctuations obtained on the Children Behaviour Test will be made when children will be included in the study and after 3, 6 and 12 months.

  6. Interventions for compassionate nursing care: A systematic review.

    Science.gov (United States)

    Blomberg, Karin; Griffiths, Peter; Wengström, Yvonne; May, Carl; Bridges, Jackie

    2016-10-01

    Compassion has been identified as an essential element of nursing and is increasingly under public scrutiny in the context of demands for high quality health care. While primary research on effectiveness of interventions to support compassionate nursing care has been reported, no rigorous critical overview exists. To systematically identify, describe and analyse research studies that evaluate interventions for compassionate nursing care; assess the descriptions of the interventions for compassionate care, including design and delivery of the intervention and theoretical framework; and to evaluate evidence for the effectiveness of interventions. Published international literature written in English up to June 2015 was identified from CINAHL, Medline and Cochrane Library databases. Primary research studies comparing outcomes of interventions to promote compassionate nursing care with a control condition were included. Studies were graded according to relative strength of methods and quality of description of intervention. Narrative description and analysis was undertaken supported by tabulation of key study data including study design, outcomes, intervention type and results. 25 interventions reported in 24 studies were included in the review. Intervention types included staff training (n=10), care model (n=9) and staff support (n=6). Intervention description was generally weak, especially in relation to describing participants and facilitators, and the proposed mechanisms for change were often unclear. Most interventions were associated with improvements in patient-based, nurse-based and/or quality of care outcomes. However, overall methodological quality was low with most studies (n=16) conducted as uncontrolled before and after studies. The few higher quality studies were less likely to report positive results. No interventions were tested more than once. None of the studies reviewed reported intervention description in sufficient detail or presented sufficiently

  7. Intervention patterns of pivot nurses in oncology.

    Science.gov (United States)

    Skrutkowski, Myriam; Saucier, Andréanne; Ritchie, Judith A; Tran, Ngoc; Smith, Kevin

    2011-01-01

    The Pivot Nurse in Oncology (PNO) is a health care professional dedicated to providing patients with cancer and their families with continuing and consistent supportive care throughout the care trajectory. The purpose of this paper is to describe the variation and frequency of nursing interventions delivered by 12 PNOs at our health centre. An administrative analysis over a three-year period revealed a total of 43,906 interventions that were grouped into 10 categories. This analysis provided a description of the intervention frequency and these interventions were further collapsed into the four role functions of the PNO. Coordination/continuity of care and the assessment of needs and symptoms were identified as the dominant practice domains of the PNO in the professional cancer navigator role.

  8. Effectiveness of personalized face-to-face and telephone nursing counseling interventions for cardiovascular risk factors: a controlled clinical trial 1

    Science.gov (United States)

    Vílchez Barboza, Vivian; Klijn, Tatiana Paravic; Salazar Molina, Alide; Sáez Carrillo, Katia Lorena

    2016-01-01

    Abstract Objective: to evaluate the effect and gender differences of an innovative intervention involving in-person and telephone nursing counseling to control cardiovascular risk factors (arterial hypertension, dyslipidemia, and overweight), improve health-related quality of life and strengthen self-efficacy and social support in persons using the municipal health centers' cardiovascular health program. Method: a randomized controlled clinical trial involving participants randomized into the intervention group who received traditional consultation plus personalized and telephone nursing counseling for 7 months (n = 53) and the control group (n = 56). The study followed the Consolidated Standards of Reporting Trials Statement. Results: women in the intervention group presented a significant increase in the physical and mental health components compared to the control group, with decreases in weight, abdominal circumference, total cholesterol, low-density lipoprotein cholesterol, and the atherogenic index. The effects attributable to the intervention in the men in the intervention group were increased physical and emotional roles and decreased systolic and diastolic pressure, waist circumference, total cholesterol, low-density lipoprotein cholesterol, atherogenic index, cardiovascular risk factor, and 10-year coronary risk. Conclusion: this intervention is an effective strategy for the control of three cardiovascular risk factors and the improvement of health-related quality of life. PMID:27508917

  9. Effects of using a nursing crisis intervention program on psychosocial responses and coping strategies of infertile women during in vitro fertilization.

    Science.gov (United States)

    Shu-Hsin, Lee

    2003-09-01

    Infertility and its treatment may cause life crises in infertile women. The purpose of this study is to evaluate the effects of a crisis intervention program on improving psychosocial responses and enhancing coping strategies for infertile women attending different stages of an In-Vitro Fertilization V Embryo Transfer (IVF-ET) treatment program. Using an experimental study design, infertile women attending an IVF-ET treatment program were randomly assigned to experimental and control groups. In the experimental group, infertile women completed and answered a questionnaire and received nursing crisis intervention at the initial stage of treatment (day 3). This included (1). viewing a video explaining the therapeutic process of IVF-ET, (2). self-hypnosis and muscle relaxation training, and (3). provision of cognitive-behavioral counseling. The same questionnaire was used again for subjects at the stage of embryo transfer and before taking a pregnancy test. The women in the control group were only interviewed using the same questionnaire and at the same times as the experimental group. Analysis by repeated measurement ANOVA demonstrated that there was a reduction in psychosocial response in terms of interpersonal relationships, and there was an interaction between intervention effects and stage of treatment. However, there was no statistically significant difference in the level of psychosocial responses between the experimental and control groups although some meaningful findings were made. However, in terms of state of anxiety, confrontational problems, and isolated mind/body relaxation, there were significant differences between the two groups of infertile women at some stages of IVF-ET treatment. The women in the experimental group perceived a positive effect of the nursing intervention in relieving their psychosocial responses. The results of this nursing crisis intervention could be helpful in nursing practice when dealing with infertile women attending IVF

  10. 护理干预对高血压患者疗效的影响%Effect of nursing intervention on the efficacy of hypertension

    Institute of Scientific and Technical Information of China (English)

    刘学红

    2011-01-01

    Objective: To study effect of the hypertension patients given nursing intervention after blood pressure control.Methods: This paper using comparative research methods, 100 hypertension patients medication as control group, 100 patients medication and nursing intervention (health education, psychology, diet, exercise, family intervention) as the experimental group, control pressure effect of two groups were observed.Results: In medication hypertensive patients with nursing intervention, blood pressure drop was better than that of pure medication (P<0.05), hypertension knowledge mastering was significantly higher than that in control group (P<0.01).Conclusion: Patients with hypertension in the use of drug therapy and nursing intervention, to reduce the patient's blood pressure has good effect.%目的:研究高血雎患者给予护理干预后血压控制的效果.方法:本文用比较研究的方法将100例高血压患者用药治疗作为对照组,100例患者用药治疗加以护理干预(健康教育、心理、饮食、运动、家庭干预)作为实验组,观察两组的控压效果.结果:高血压患者在用药治疗加护理干预后,血压下降优于单纯用药治疗(P<0.05),对高血压知识掌握明显高于对照组(P<0.01).结论:高血压患者在使用药物治疗和护理干预下,对降低患者的血压有较好的效果.

  11. 积极心理干预对护士满意度的影响%The effect of positive psychological intervention on nurses' satisfaction

    Institute of Scientific and Technical Information of China (English)

    余纯

    2014-01-01

    Objective To investigate the effect of psychological intervention under positive psychology concept on nurses' satisfaction. Methods The 65 nurses in our hospital received management and training of positive psychology from January 2011 to December 2012. The satisfaction survey was implemented before and after the positive psychology interventions. Results The satisfaction of nurs-ing staff after positive psychology intervention was obviously improved than before carrying out, the difference was statistically signifi-cant (P<0.05). Conclusion Positive psychological intervention can improve the satisfaction of nursing staff and the nursing quality of ward.%目的:探讨积极心理理念下的心理干预对护士满意度的影响。方法于2011年1月~2012年12月对某医院外科65名护士进行积极心理学管理及培训,对接受积极心理学干预前后的护士进行满意度调查。结果运用积极心理学干预后护士的满意度有明显提高,与运用前比较,差异有统计学意义(P<0.05)。结论实施积极心理干预可以提高护士的满意度,提高病房优质护理质量。

  12. Interventional therapy experience from the nursing of patients with lower limb arteriosclerosis occlusion syndrome

    Directory of Open Access Journals (Sweden)

    Li-wen ZHU

    2014-10-01

    Full Text Available Objective: To explore the nursing methods of lower limb arteriosclerosis occlusion disease with interventional therapy. Methods: Analyze perioperative nursing for 30 cases of lower limb arteriosclerosis occlusion with stenting and balloon dilatation. Results: 27 cases of patients with stent implantation, 3 cases of balloon dilatation, including 3 cases of late stent patients had bypass surgery, the rest has achieved good nursing effect. Conclusion: Perioperative nursing plays an important role in AOS interventional therapy and early recovery of the patient.

  13. Evaluating undergraduate nursing students' self-efficacy and competence in writing: Effects of a writing intensive intervention.

    Science.gov (United States)

    Miller, Louise C; Russell, Cynthia L; Cheng, An-Lin; Skarbek, Anita J

    2015-05-01

    While professional nurses are expected to communicate clearly, these skills are often not explicitly taught in undergraduate nursing education. In this research study, writing self-efficacy and writing competency were evaluated in 52 nontraditional undergraduate baccalaureate completion students in two distance-mediated 16-week capstone courses. The intervention group (n = 44) experienced various genres and modalities of written assignments set in the context of evidence-based nursing practice; the comparison group (n = 8) received usual writing undergraduate curriculum instruction. Self-efficacy, measured by the Post Secondary Writerly Self-Efficacy Scale, indicated significant improvements for all self-efficacy items (all p's = 0.00). Writing competency, assessed in the intervention group using a primary trait scoring rubric (6 + 1 Trait Writing Model(®) of Instruction and Assessment), found significant differences in competency improvement on five of seven items. This pilot study demonstrated writing skills can improve in nontraditional undergraduate students with guided instruction. Further investigation with larger, culturally diverse samples is indicated to validate these results.

  14. 综合护理干预对缓解新生儿足跟采血疼痛的效果研究%Clinical nursing effect of comprehensive nursing intervention on relieving pain of neonatal heel blood sampling

    Institute of Scientific and Technical Information of China (English)

    官小妹

    2014-01-01

    目的:观察综合护理干预对新生儿足跟采血疼痛的临床护理效果。方法:将76例进行足跟采血的新生儿随机分为护理干预组和对照组,每组各38例,对照组进行常规护理,干预组在此基础上进行综合护理干预,分别在采血前、采血后0.5min、1min、5min进行疼痛评分,比较两组护理效果。结果:干预组采血后0.5min、1min、5min等不同时间点的NIPS均显著低于对照组,差异均具有统计学意义(P<0.05)。结论:综合护理干预对新生儿足跟采血疼痛的临床护理效果显著,值得推广。%Objective:To observe the clinical nursing effect of comprehensive nursing intervention on relieving pain of neonatal heel blood sampling. Methods: 76 neonates were randomly divided into nursing intervention group and control group, 38 cases in each group, the control group was given routine nursing, on the basis of this, the intervention group was given comprehensive nursing intervention. The pain scores before the blood collection and after 0.5min, 1min, 5min were compared between the two groups. Results:At different time points after blood collection, the NIPS in the intervention group were significantly lower than those in the control group, the differences were statistically significant(P<0.05). Conclusion:Comprehensive nursing intervention effect of clinical nursing care on pain of neonatal heel blood is significantly, which is worthy of promotion.

  15. The effectiveness of a nurse-led intervention with the distress thermometer for patients treated with curative intent for breast cancer: design of a randomized controlled trial.

    Science.gov (United States)

    Ploos van Amstel, Floortje K; Prins, Judith B; van der Graaf, Winette T A; Peters, Marlies E W J; Ottevanger, Petronella B

    2016-07-25

    Distress in patients with cancer influences their quality of life. Worldwide, screening on distress with the Distress Thermometer (DT) in patients with cancer is recommended. However, the effects of the use of the DT on the psychosocial wellbeing of the patient are unknown. A study to assess the psychosocial consequences of the systematic use of the DT and its discussion by a nurse as compared to the usual care provided to outpatients who are treated for primary breast cancer is needed. The effectiveness of a nurse-led intervention with the DT will be tested in a non-blinded randomized controlled trial. Patients treated with curative intent for breast cancer will be recruited from the Radboud University Medical Center. The intervention consists of the DT together with discussion of the results with the patient by a trained oncology nurse added to the usual care. Patients will be randomly allocated (1:1) to either receive usual care or the usual care plus the intervention. Primary outcome measure is global quality of life measured with the EORTC QLQ-C30. The functional and symptom scales of the EORTC QLQ-C30 and BR23, Hospital Anxiety and Depression Scale, Impact of Event Scale, Illness Cognition Questionnaire and DT (baseline and final measurement only) will be used to measure secondary outcomes. Questionnaires are obtained in both arms at baseline, after completion of each type of cancer treatment modality and during follow up, with a three and six months' interval during the first and second year respectively. This study will be the first randomized controlled longitudinal study about the effectiveness of the DT as nurse led-intervention. In case of proven effectiveness, future implementation and standardization of use of the DT as part of routine care will be recommended. This study is registered at clinicaltrial.gov march 17, 2010 ( NCT01091584 ).

  16. Validity, reliability and utility of the Irish Nursing Minimum Data Set for General Nursing in investigating the effectiveness of nursing interventions in a general nursing setting: A repeated measures design.

    LENUS (Irish Health Repository)

    Morris, Roisin

    2013-08-06

    Internationally, nursing professionals are coming under increasing pressure to highlight the contribution they make to health care and patient outcomes. Despite this, difficulties exist in the provision of quality information aimed at describing nursing work in sufficient detail. The Irish Minimum Data Set for General Nursing is a new nursing data collection system aimed at highlighting the contribution of nursing to patient care.

  17. Observe the effect of nursing intervention on children asthma%护理干预对儿童哮喘的效果观察

    Institute of Scientific and Technical Information of China (English)

    赵君华

    2016-01-01

    Objective To explore the effect of nursing intervention on children asthma.Methods Select our hospital pediatric diagnosis of 86 cases of childhood asthma,according to the odd and even number of diagnosis and treatment were divided into intervention group and the control group (n=42,44),all children with routine therapy and nursing, intervention group and given knowledge of asthma and asthma skills continue to standardize the management of nursing intervention, such as 1 year after two groups of children with the disease and quality of life, and compare the two groups of children with knowledge,medication adherence.Results The nursing intervention group children 1 years condition control and quality of life was better than control group,comparing the two groups have significant difference (P<0.01),and the intervention group asthma knowledge and medication adherence is significantly higher than control group(P<0.01).Conclusion Nursing intervention can make asthma disease of children have been effectively controlled, and significantly improve the quality of life in children with asthma.%目的:探讨护理干预对儿童哮喘的应用效果。方法选取我院儿科诊断的儿童哮喘患儿86例,按诊治奇偶序号分成干预组42例及对照组44例,所有患儿均采取常规治疗及护理,干预组并给予哮喘知识、哮喘技能等持续规范管理的护理干预。1年后监测2组患儿病情及生活质量,并比较2组患儿知识掌握、用药依从性情况。结果护理干预组患儿1年后病情控制及生活质量明显优于对照组,2组比较差异有显著性(P<0.01),且干预组哮喘知识掌握及用药依从性也明显高于对照组(P<0.01)。结论护理干预能使哮喘儿童病情得到有效控制,并显著提高患儿的生活质量。

  18. Effectiveness of a protocolized nursing intervention on the treatment of the urinary incontinence in women from the province of Avila

    Directory of Open Access Journals (Sweden)

    Mª Teresa Martín Sánchez

    2008-05-01

    Full Text Available The current sensibilitation based on the gender differences carry out by the National Health System has showed several healthy problems that are mostly suffered from women and that need a proper attention. One of these problems is urinary incontinence, which is suffer from a huge percentage of women and it also affect and modify their normal habits or life. This necessity was detected some years ago, at the Hospital of Avila, Nuestra Señora de Sonsoles, thus, a urinary incontinence nursery’s office was created in order to increase the women’s self-care. Among the care plan developed there was a protocolized nursing intervention which consist on an improve modification of the Kegel exercises known as TERMAR method.A clinical trial was designed whose aim was to evaluate the benefits of the application of the integral and protocolized nursing intervention on women who suffer from urinary incontinence. To evaluate and measure this benefits several validated questionnaires will be used, such as the ICIQ-SF that measures the urinary incontinence symptoms severity, the King Health Questionnaire and the I-QOL, that determinate the repercussion on the daily life activities. We will besides use an electromiogram in order to determinate the strength of the pelvic floor musculature before and after the intervention.

  19. "The effect of a template when constructing individual syllabuses in nursing education – an evaluation of student perspective in a mixed methods intervention study"

    DEFF Research Database (Denmark)

    Vilstrup, Dorte Lindstrøm; Udsen, Helle; Prip, Anne

    2014-01-01

    objectives into practical studies and, thereby, improve the gap between theory and practice. The importance of clinical teachers’ effect on the way students work becomes evident. The use of templates and structured tools in a pedagogical context is debatable but should receive more attention in the future......Background: The individual syllabus is a mandatory part of clinical teaching in Denmark. The tool has been discussed in various settings throughout the nursing education. A literature search revealed that knowledge of how to work with it is minimal. Objectives: To clarify and test the potential...... of the individual syllabus in a clinical setting. Design: A mixed methods intervention study involving first year nursing students and clinical teachers. The intervention consisted of: 1) design of a template and a precise description, 2) testing of the template and description in the form of baseline and post...

  20. 护理干预对高血压患者治疗效果的影响%Effect of Nursing Intervention for the Treatment of Hypertensive

    Institute of Scientific and Technical Information of China (English)

    江秀丽; 赵霞

    2016-01-01

    目的:探讨护理干预对高血压患者治疗效果的影响。方法对课题组选取的85例高血压患者(源于职工2012~2013年体检),就患者对高血压相关知识掌握程度和血压控制水平实施护理干预前后的监测、跟踪与分析评估,建立健康档案,跟踪干预1年。结果干预后,患者对高血压相关知识掌握程度明显高于干预前,血压控制水平明显低于干预前(P<0.05)。结论护理干预可增加患者对疾病认识程度和控制水平,明显提高高血压患者的治疗效果。%Objective To explore the influence on the effect of nursing intervention for the treatment of Hypertensive. Methods The research team chose Eighty-five hypertensive patients from the workers who took 2012~2013 medical examination, then evaluated the controlling level of blood pressure and the related knowledge of hypertension among this eighty-five hypertensive patients. Morevover, the research team established health records and tracking intervention for one year before doing nursing intervention. Results The Patients' mastery of the relevant knowledge was higher after the intervention. The level of blood pressure control was significantly lower after the intervention (P<0.05). Conclusion Nursing intervention is able to apparently improve the therapeutic effect of hypertensive patients and increases their knowledge of the disease.

  1. Effectiveness of personalized face-to-face and telephone nursing counseling interventions for cardiovascular risk factors: a controlled clinical trial.

    Science.gov (United States)

    Vílchez Barboza, Vivian; Klijn, Tatiana Paravic; Salazar Molina, Alide; Sáez Carrillo, Katia Lorena

    2016-08-08

    to evaluate the effect and gender differences of an innovative intervention involving in-person and telephone nursing counseling to control cardiovascular risk factors (arterial hypertension, dyslipidemia, and overweight), improve health-related quality of life and strengthen self-efficacy and social support in persons using the municipal health centers' cardiovascular health program. a randomized controlled clinical trial involving participants randomized into the intervention group who received traditional consultation plus personalized and telephone nursing counseling for 7 months (n = 53) and the control group (n = 56). The study followed the Consolidated Standards of Reporting Trials Statement. women in the intervention group presented a significant increase in the physical and mental health components compared to the control group, with decreases in weight, abdominal circumference, total cholesterol, low-density lipoprotein cholesterol, and the atherogenic index. The effects attributable to the intervention in the men in the intervention group were increased physical and emotional roles and decreased systolic and diastolic pressure, waist circumference, total cholesterol, low-density lipoprotein cholesterol, atherogenic index, cardiovascular risk factor, and 10-year coronary risk. this intervention is an effective strategy for the control of three cardiovascular risk factors and the improvement of health-related quality of life. evaluar efecto y diferencias por sexo de una intervención innovadora "Consejería de Enfermería Personalizada y Telefónica", dirigida al control de factores de riesgo cardiovascular (hipertensión arterial, dislipidemia y sobrepeso) y al mejoramiento de la calidad de vida relacionada con la salud, fortaleciendo la autoeficacia y el apoyo social en personas usuarias del programa de salud cardiovascular de los Centros de Salud Municipales de Concepción. ensayo clínico controlado aleatoriamente y selección aleatoria de

  2. Effect of Comprehensive Nursing Intervention on Patients with Diabetes Mellitus%综合护理干预对糖尿病患者的疗效探讨

    Institute of Scientific and Technical Information of China (English)

    马建玲

    2015-01-01

    糖尿病已成为威胁人类健康的主要疾病之一,而综合护理干预对糖尿病患者的治疗具有非常大的积极影响。该研究则以糖尿病患者治疗中的综合护理干预为研究课题,重点对糖尿病治疗中的综合护理干预措施以及干预效果进行分析阐述,而且还通过实证分析,使糖尿病治疗中的综合护理干预效果再一次得到印证。为了使文章内容更加完善,在论述过程中,对研究背景以及糖尿病治疗中的综合护理原则进行了简要介绍和分析,旨在为我国糖尿病的临床治疗以及护理提供一定的参考。%Diabetes has become one of the major diseases threatening human health, and the comprehensive nursing inter-vention for the treatment of patients with diabetes has a very large positive impact. In this paper, with a comprehensive nursing intervention in the treatment of patients with diabetes as the research subject, focusing on the comprehensive nurs-ing intervention measures of diabetes treatment and intervention effect is analyzed, but also through the empirical analysis, the effect of comprehensive nursing intervention in the treatment of diabetes once again. In order to make the article more complete, in the process of this paper, the research background as well as the principles of comprehensive nursing care of diabetes treatment are briefly introduced and analyzed. For the clinical treatment and nursing care of diabetes in China pro-vide certain reference.

  3. Effect of High Quality Nursing Intervention in Improving the Quality of Obstetrics and Gynecology Nursing%优质护理干预在提升妇产科护理质量中的作用

    Institute of Scientific and Technical Information of China (English)

    魏晓丽

    2015-01-01

    Objective To investigate the effect of quality nursing intervention in improving the quality of obstetrics and gynecology nursing. Methods 158 patients of department of gynaecology and obstetrics in our hospital as the research object, according to the sequence of admission the patients were divided into observation group and control group, each 79 cases in each group, control group were given routine nursing, the observation group was treated with high quality nursing intervention, nursing care of the patients in the two groups were compared satisfaction degree. Results The nursing satisfaction of the patients in the observation group were 98.7%, signiifcantly higher than that in the control group, and the difference was statistically significant between the 88.6% and the control group (P<0.05). Conclusion Quality nursing intervention plays an important role in improving the quality of obstetrics and gynecology nursing, and can improve the quality of nursing and patients satisfaction.%目的:探讨优质护理干预在提升妇产科护理质量中的作用。方法将我院妇产科收治的158例患者作为研究对象,按照入院先后顺序将患者分为观察组与对照组,每组各79例,对照组患者给予常规护理,观察组患者给予优质护理干预,比较两组患者护理满意度情况。结果入组干预后观察组患者的护理满意度为98.7%,高于对照组患者的88.6%,组间差异有统计学意义(P<0.05)。结论优质护理干预在提升妇产科护理质量中具有重要的作用,能够提高整体护理质量和患者满意度。

  4. Effects on Nursing Intervention for the Treatment of Seborrheic Alopecia%护理干预对脂溢性脱发治疗的影晌

    Institute of Scientific and Technical Information of China (English)

    邝瑞明; 黄春容

    2011-01-01

    目的:探讨护理干预对脂溢性脱发治疗的影响.方法:将80例脂溢性脱发患者随机分为2组.常规组(31例)予自拟脱发方治疗,干预组(49例)在脱发方治疗的基础上对患者的心理、饮食和生活进行护理干预,观察2组疗效的差异性.结果:干预组的治疗效果优于常规组(P<0.01).结论:护理干预对脂溢性脱发的治疗有着积极的作用,能够提高脂溢性脱发的疗效.%Objective:To explore the effects on nursing intervention for the treatment of seborrheic alopecia. Method:80 patients with seborrheic alopecia were randomly divided into 2 groups.Conventional group (31 cases) received self-made TuoFaFang of TCM. Intervention group (49 cases) received the nursing intervention of psychology, dietary and life on the basis of self-made TuoFaFang.The treatment differences were observed. ResultThe therapeutic effect in the intervention group is better than in the conventional treatment group (P<0.01).Conclusion:Nursing intervention had a positive effect and can improve treatment outcome for the treatment of seborrheic alopecia.

  5. Analysis of the effect of nursing intervention on patients with hypertension%高血压患者护理干预效果分析

    Institute of Scientific and Technical Information of China (English)

    陈海燕

    2015-01-01

    目的:对高血压患者进行护理干预,减少并发心脑血管意外的发生。方法:选取2009年7月前蛟河市长安、民主社区>35周岁进行健康体检人员中的3229例高血压患者,随机分为护理干预组(M组)和非护理干预组(X组),M组1578例,X组1651例。2009年7月-2014年7月间跟踪发现因高血压并发心脑血管意外住院145例。对两组临床资料进行回顾性分析。结果:M组高血压并发心脑血管意外发生率显著低于X组。结论:护理干预对降低高血压患者并发心脑血管意外的发生有实际效果。%Objective:To implement nursing intervention for patients with hypertensive,in order to reduce the accident of heart cerebrovascular.Methods:3 229 cases of hypertension were selected before July 2009.They were randomly divided into the nursing intervention group(M group) and the non nursing intervention group(X group).145 patients with hypertension and accompanied by cardio cerebrovascular accident were found from July 2009 to July 2014.Then all of them were analyzed retrospectively.Results:The cerebrovascular accidents rate of the hypertensive patients in the M group were significantly lower than in the X group. Conclusion:Nursing intervention can reduce cerebrovascular accidents in patients with hypertension effectively.

  6. Can theoretical intervention improve hand hygiene behavior among nurses?

    Directory of Open Access Journals (Sweden)

    Baghaei R

    2016-06-01

    Full Text Available Rahim Baghaei,1 Elham Sharifian,1 Aziz Kamran2 1Inpatient Safety Research Center, Nursing and Midwifery School, Urmia University of Medical Sciences, Urmia, 2Public Health Department, Khalkhal Faculty of Medical Sciences, Ardabil University of Medical Sciences, Ardabil, IranBackground: Hand washing is the best strategy to prevent known nosocomial infections but the nurses' hand hygiene is estimated to be poor in Iran.Objective: This study aimed to determine the effectiveness of BASNEF (Behavior, Attitude, Subjective Norms, and Enabling Factors model on hand hygiene adherence education.Methods: This controlled quasi-experimental study was conducted on 70 hemodialysis unit nurses (35 case and 35 control in the health and educational centers of the University of Medical Sciences of Urmia, Iran. To collect the data, a six-part validated and reliable questionnaire was used. The data were analyzed using SPSS version18, using Wilcoxon, Mann–Whitney, chi-square, and Fisher's exact tests. The significance level was considered P<0.05.Results: The mean age was 38.4±8.1 years for the intervention group and 40.2±8.0 years for the control group. There was no significant difference between the two groups for any demographic variables. Also, before the intervention, there was no significant difference between the two groups for any components of the BASNEF model. Post-intervention, the attitude, subjective norms, enabling factors, and intention improved significantly in the intervention group (P<0.001, but hand hygiene behavior did not show any significant change in the intervention group (P=0.16.Conclusion: Despite the improving attitudes and intention, the intervention had no significant effect on hand hygiene behavior among the studied nurses.Keywords: hand hygiene, adherence, education nurse, behavior

  7. THE EFFECTIVENESS OF NURSING INTERVENTIONS TRUNCAL CONTROL EXERCISE AGAINST THE UPPER LIMB FUNCTION, BALANCE, AND GAIT ON THE CLIENT POST STROKE

    Directory of Open Access Journals (Sweden)

    Kusnanto Kusnanto

    2016-11-01

    Full Text Available Introduction: Poststroke clients will have impaired postural body that can have affect to their balance, ability to gait and function of the upper limb. Truncal control exercise can improve and maintain body postural be good. Rehabilitation poststroke still focusing on upper and lower limbs exercise of hemiplegia compared postural body’s repair. Method: This type of research used experimental with quasy control group pretest – postest design. The number of samples obtained with consecutive sampling techniques that appropriate criteria research consists of 20 respondents (n = 10 treatment-and n-control = 10. The independent variable is the truncal control exercise. The dependent variable is the function of the upper limb, balance, and gait. Data were collected by using observation and checklist sheets. Data were analyzed using independent t-test and paired t-test with α = 0,05. Results and analysis: The results of statistical tests performed in the treatment group and the control was obtained p-value of the functional capabilities of the upper limb = 0.270 and p-value of performance of upper limb function = 0.289. The results of statistical tests performed in the treatment group and the control was obtained p-value of balance = 0.017. The results of statistical tests performed in the treatment group and the control was obtained p-value of gait = 0.026. Discussion and conclusion: Nursing interventions truncal control exercise have less effective results to changes in upper limb function, but it is effective to balance and walk clients pascastroke. Nursing interventions truncal control exercise have more effective results to changes in balance than gait on poststroke clients. Nursing interventions truncal control exercise can be continued as a form of collaborative action for medical-surgical nurse with physiotherapy to optimize rehabilitation programs of posstroke clients with balance and gait problems in clinic or home’s client.

  8. Communication that builds teams: assessing a nursing conflict intervention.

    Science.gov (United States)

    Nicotera, Anne Maydan; Mahon, Margaret M; Wright, Kevin B

    2014-01-01

    Quality communication is essential for building strong nursing teams. Structurational divergence (SD) theory explains how institutional factors can result in poor communication and conflict cycles; the theory has been developed in nursing context, although it is applicable to all organizational settings. We describe the design, implementation, and evaluation of an intervention to reduce SD and improve nurses' work life and team-member relationships. An intensive 9-hour course provided training in conflict/SD analysis and dialogic conflict/SD management to 36 working nurses from a variety of settings. Quantitative pre- and posttests were administered, with a comparison sample. The course reduced measures of negative conflict attitudes and behaviors: direct personalization, persecution feelings, negative relational effects, ambiguity intolerance, and triangulation (gossiping and complaining to uninvolved third parties). The course also increased important attitudes necessary for productive dialogue and conflict management: perceptions of positive relational effects, conflict liking, and positive beliefs about arguing. As compared with nonparticipants, participant posttests showed lower conflict persecution; higher recognition of positive relational effects; lower perceptions of negative relational effects; higher conflict liking; lower ambiguity intolerance; and lower tendency to triangulate. Qualitatively, participants perceived better understanding of, and felt more empowered to manage, workplace conflicts and to sustain healthier workplace relationships. This intervention can help nurses develop tools to improve system-level function and build productive team relationships.

  9. The effect of oppressed group behaviours on the culture of the nursing workplace: a review of the evidence and interventions for change.

    Science.gov (United States)

    Roberts, Susan J O; Demarco, Rosanna; Griffin, Martha

    2009-04-01

    The aim of the present study was to review the current literature on oppressed group behaviours in nursing, with emphasis on interventions to change the behaviours, and on instruments that have been developed to measure it. Oppressed group behaviours have been described in nurses for over two decades and their presence has been related to decreased nurse self-advocacy, and other negative aspects of the nursing workplace. Systematic review of the literature on oppressed group behaviour in nursing. Oppressed group behaviours are frequently found in nurses. Interventions have been created and tested to decrease oppressed group behaviours. Oppressed group behaviours are frequently found in nurses. Interventions exist that can decrease oppressed group behaviours and the decrease is related to increased work force performance, satisfaction and retention of nurses in the workplace. Nurse Managers can improve the workplace by measuring oppressed group behaviours and utilizing interventions to break the cycle of oppression in the workplace culture. Utilizing these innovations improve the workplace culture for nursing.

  10. Effects of a Clown-Nurse Educational Intervention on the Reduction of Postoperative Anxiety and Pain Among Preschool Children and Their Accompanying Parents in South Korea.

    Science.gov (United States)

    Yun, O Bok; Kim, Shin-Jeong; Jung, Dukyoo

    2015-01-01

    This study examined the effects of a clown-nurse educational intervention on children undergoing day surgery for strabismus. This was a quasi-experimental study, using a nonequivalent control group, non-synchronized design. Fifty preschool children and their parents were invited to participate. The children in the intervention group (n=23) received clown therapy and subsequently reported significantly lower states of physiological anxiety, which was evidenced by systolic blood pressure, standardized behavioral anxiety tests, and post-surgery pain, than the control group (n=27). In addition, the parents in the experimental group showed a low state of physiological anxiety, evidenced by systolic blood pressure, pulse rates, standardized behavioral anxiety tests, and state-trait anxiety. The use of preoperative clown intervention may alleviate postoperative problems, not only for children, but also for their parents.

  11. [Interventional Patient Hygiene Model. A critical reflection on basic nursing care in intensive care units].

    Science.gov (United States)

    Bambi, Stefano; Lucchini, Alberto; Solaro, Massimo; Lumini, Enrico; Rasero, Laura

    2014-01-01

    Interventional Patient Hygiene Model. A critical reflection on basic nursing care in intensive care units. Over the past 15 years, the model of medical and nursing care changed from being exclusively oriented to the diagnosis and treatment of acute illness, to the achievement of outcomes by preventing iatrogenic complications (Hospital Acquired Conditions). Nursing Sensitive Outcomes show as nursing is directly involved in the development and prevention of these complications. Many of these complications, including falls from the bed, use of restraints, urinary catheter associated urinary infections and intravascular catheter related sepsis, are related to basic nursing care. Ten years ago in critical care, a school of thought called get back to the basics, was started for the prevention of errors and risks associated with nursing. Most of these nursing practices involve hygiene and mobilization. On the basis of these reflections, Kathleen Vollman developed a model of nursing care in critical care area, defined Interventional Patient Hygiene (IPH). The IPH model provides a proactive plan of nursing interventions to strengthen the patients' through the Evidence-Based Nursing Care. The components of the model include interventions of oral hygiene, mobilization, dressing changes, urinary catheter care, management of incontinence and bed bath, hand hygiene and skin antisepsis. The implementation of IPH model follows the steps of Deming cycle, and requires a deep reflection on the priorities of nursing care in ICU, as well as the effective teaching of the importance of the basic nursing to new generations of nurses.

  12. 综合护理干预对高热惊厥患儿进行的护理效果观察%Observation of nursing effect by comprehensive nursing intervention for children with febrile convulsion

    Institute of Scientific and Technical Information of China (English)

    陈利霞; 黄电芳

    2015-01-01

    目的:分析探讨综合护理干预对高热惊厥患儿的护理效果。方法60例高热惊厥患儿采用随机数字表法分为对照组与试验组,每组30例。对照组采用常规护理方法,试验组采用综合护理干预,观察比较两组患儿护理后的临床效果。结果试验组患儿惊厥复发率3.33%明显低于对照的30.00%,差异具有统计学意义(P<0.05)。结论高热惊厥患儿进行综合护理干预后,惊厥复发率明显降低,可显著提高护理质量,促进患儿恢复健康,安全可靠,值得临床推广应用。%Objcetive To investigate the nursing effect by comprehensive nursing intervention for children with febrile convulsion. Methods A total of 60 children with febrile convulsion were divided by random number table into control group and experimental group, and each group contained 30 cases. The control group received conventional nursing method, and the experimental group received comprehensive nursing intervention. Clinical effects were observed and compared between the two groups after nursing. Results The relapse rate of convulsion was 3.33%in the experimental group, and that was obviously lower than 30.00%of the control group. The difference had statistical significance (P<0.05). Conclusion Implememt of comprehensive nursing intervention for children with febrile convulsion can remarkably decrease relapse rate of convulsion, improve nursing quality and promote children’s rehabilitation. This method is safe and reliable, and it is worth clinical promotion and application.

  13. 帕金森症护理干预效果分析与研究%On Parkinson's disease nursing intervention effect analysis and research

    Institute of Scientific and Technical Information of China (English)

    叶兰芬

    2012-01-01

    Objective To explore the nursing intervention on patients with Parkinson disease analysis of clinical symptoms and quality of life (QOL) and its significance.Methods 60 patients with Parkinson disease were randomly selected from 2011 January to 2011 May,and divided into the observation group and the control group with 30 cases in each group,the control group received routine care and drug treatment,the observation group was treated with routine care and drug therapy based on the implementation of specific nursing interventions,a comparative analysis was conducted to compare clinical symptoms and QOL before and after nursing in two groups.Results After nursing intervention the QOL score and clinical symptoms of observation group was compared with those of the control group,showing significant difference (P<0.05).Conclusion Nursing intervention can effectively improve the QOL of patients with Parkinson disease,effectively improve the clinical symptoms of the Parkinson disease patients,and to promote their early recovery.%目的 探讨分析护理干预对帕金森病患者临床症状和生活质量的影响及意义.方法 随机抽取2011年1至5月我院收治的60例帕金森病患者,随机分为观察组和对照组各30例,对照组采用常规护理和药物治疗,观察组在常规护理和药物治疗的基础上实施针对性的护理干预措施,比较分析两组患者护理前后临床症状和生活质量情况.结果 经过护理干预观察组患者的生活质量评分和临床症状与对照组相比差异有显著性(P<0.05).结论 护理干预能有效提高PD患者的生活质量,有效改善PD患者的临床症状,促进PD患者的早日康复.

  14. Identification and Comparison of Interventions Performed by Korean School Nurses and U.S. School Nurses Using the Nursing Interventions Classification (NIC)

    Science.gov (United States)

    Lee, Eunjoo; Park, Hyejin; Nam, Mihwa; Whyte, James

    2011-01-01

    The purpose of the study was to identify Nursing Interventions Classification (NIC) interventions performed by Korean school nurses. The Korean data were then compared to U.S. data from other studies in order to identify differences and similarities between Korean and U.S. school nurse practice. Of the 542 available NIC interventions, 180 were…

  15. 综合护理干预对ICU失眠症护士睡眠质量的影响%Effects of Comprehensive Nursing Interventions on Sleep Quality among ICU Nurses with Insomnia

    Institute of Scientific and Technical Information of China (English)

    杨亚娟; 张鹭鹭

    2013-01-01

    Objective To verify the effect of comprehensive nursing interventions in improving sleep quality among ICU nurses with insomnia. Methods From February 2011 to May 2012, 76 ICU (general ICU, brain surgery and cardiothoracic surgery ICU) nurses with insomnia were randomly divided into observational group and control group with 38 nurses in each group. Both groups received the sleep hygiene education and drug treatment (Zolpidem,10mg per night). In the observational group, we implemented a 3-month nursing interventions addressing sleep cognition-behavior, work and sleep environments and social support. Results Irregular bedtime routine(55. 26%)and emotionally upsetting before trying to go to sleep (59. 21%)were the most common factors of insomnia nurses. Significant differences were detected on the irreguley bedtime routine, sleep process parameters after the intervention between the two groups(P< 0. 01). After the intervention, the sleep quality (arousal time, arousal frequency, sleep efficiency and sleep maintenance) of the observational group was significantly improved. Conclusion Comprehensive nursing interventions can effectively improve the sleep quality and quality of life for ICU nurses with insomnia by changing the poor sleep hygiene habits, improving the working and resting environment and enhancing the nurses' ability to deal with work pressure.%目的 探讨综合护理干预对改善ICU失眠症护士睡眠质量的有效性.方法 2011年2月至2012年5月方便性抽样选取第二军医大学长征医院ICU(包括综合ICU、脑外科及胸心外科ICU)失眠症护士共76名,按照随机数字表法随机分为干预组和对照组各38例.两组护士均按常规给予睡眠健康宣教,遵医嘱每晚服用酒石酸唑吡坦片(商品名:思诺思)10 mg;干预组在此基础上进行睡眠认知及行为、工作及休息环境、社会支持等护理干预3个月.结果 睡眠时间无规律(55.26%)、准备睡觉前担心睡眠的能力(59.21%)

  16. Work complexity assessment, nursing interventions classification, and nursing outcomes classification: making connections.

    Science.gov (United States)

    Scherb, Cindy A; Weydt, Alice P

    2009-01-01

    When nurses understand what interventions are needed to achieve desired patient outcomes, they can more easily define their practice. Work Complexity Assessment (WCA) is a process that helps nurses to identify interventions performed on a routine basis for their specific patient population. This article describes the WCA process and links it to the Nursing Interventions Classification (NIC) and the Nursing Outcomes Classification (NOC). WCA, NIC, and NOC are all tools that help nurses understand the work they do and the outcomes they achieve, and that thereby acknowledge and validate nursing's contribution to patient care.

  17. Assessment of Mobile Health Nursing Intervention Knowledge among Community Health Nurses in Oyo State, Nigeria.

    Science.gov (United States)

    Titilayo, Odetola D; Okanlawon, F A

    2014-09-01

    Maternal mortality is high in Nigeria especially in rural areas due to knowledge deficit about expected care and labour process, socio-cultural belief, health care workers' attitude, physical and financial barriers to quality health care access. Mobile health (m-health) technology which is the use of mobile telecommunication devices in health care delivery reduces costs, improves care access, removes time and distance barriers and facilitates patient-provider communications needed to make appropriate health decisions. Previous studies empowering nurses with m-health knowledge resulted in improved uptake of health care services. There exists a literature dearth about knowledge and perception of nurses in Nigeria. This study became expedient to empower nurses working at the grassroots with the knowledge of m-health and assess the impact of educational training on their perception of its effectiveness. This quasi-experimental study carried out in four randomly selected LGAs across Oyo South Senatorial district involved participants at experimental (20 nurses) and control levels (27 nurses). A validated 25-item questionnaire explored nurses' perception, knowledge and perceived effectiveness of m-health in improving uptake of maternal health services in Nigeria among both groups before intervention. Intervention group nurses had a training equipping them with knowledge of m-health nursing intervention (MNHI) for a period of one week. Their perception, knowledge and perceived effectiveness were re-assessed at three-months and six-months after MHNI. Data were analyzed using Chi-square and repeated measures ANOVA at 5% significance level. In the EG, knowledge score significantly increased from 21.9±4.5 at baseline to 23.6±4.6 and 23.2±5.6 at three-month and six-month respectively while there was no significant difference in knowledge score among CG over the study period. A very significant difference was shown in the knowledge and perception of mobile health and its

  18. 护生的连续护理干预对独居老人生活质量影响的研究%Effect of Continuous Nursing Intervention on the Life Quality of Elderly People Living Alone

    Institute of Scientific and Technical Information of China (English)

    林芹兰; 何丽亭; 王继军; 刘海娜; 随敏; 姜典卓

    2014-01-01

    Objective To explore the effect of continuous nursing intervention on the life quality of elderly people living alone. Method 40 elderly people living alone selected with convenience sampling were given continuous nursing intervention for 3 months, and then life qualities of the elderly people before and after the nursing intervention were evaluated with QOLS ( quality of life scale ) , respectively. Results There was a statistical difference in the life quality of elderly people before and after the nursing intervention(P<0. 05). The life quality after the nursing intervention was significantly higher than that before the nursing intervention. Conclusion The life quality of elderly people living alone can be effectively improved through the continuous nursing intervention by student nurses.%目的:探讨护生的连续护理干预对独居老人生活质量的影响.方法采用便利抽样法选取独居老人40例,给予连续护理干预3个月,干预前后采用生活质量量表分别进行生活质量的评价.结果干预前后独居老人的生活质量比较有统计学意义(P<0.05),干预后高于干预前.结论护生的连续护理干预能够显著提高独居老人的生活质量.

  19. Transtheoretical Model-based Nursing Intervention on Lifestyle Change: A Review Focused on Intervention Delivery Methods

    Directory of Open Access Journals (Sweden)

    Joo Yun Lee, RN

    2015-06-01

    Conclusions: ICT is not yet actively used in the TTM-based nursing interventions. Stage-matched interventions and TTM concepts were shown to be in partial use also in the TTM-based interventions. Therefore, it is necessary to develop a variety of ways to use ICT in tailored nursing interventions and to use TTM frameworks and concepts.

  20. Effectiveness of a nursing intervention in decreasing the anxiety levels of family members of patients undergoing cardiac surgery: a randomized clinical trial

    Science.gov (United States)

    Hamester, Letícia; de Souza, Emiliane Nogueira; Cielo, Cibele; Moraes, Maria Antonieta; Pellanda, Lúcia Campos

    2016-01-01

    ABSTRACT Objective: to verify the effectiveness of nursing orientation provided to families of patients in the immediate post-operative following cardiac surgery before the first visit to the post-anesthesia care unit, in decreasing anxiety levels, compared to the unit's routine orientation. Method: open randomized clinical trial addressing family members in the waiting room before the first visit in the immediate post-operative period. The family members assigned to the intervention group received audiovisual orientation concerning the patients' conditions at the time and the control group received the unit's routine orientation. Outcome anxiety was assessed using the STAI-State. Results: 210 individuals were included, 105 in each group, aged 46.4 years old on average (±14.5); 69% were female and 41% were the patients' children. The mean score obtained on the anxiety assessment in the intervention group was 41.3±8.6, while the control group scored 50.6±9.4 (p<0.001). Conclusion: a nursing intervention focused on providing guidance to families before their first visit to patients in the immediate post-operative period of cardiac surgery helps to decrease the levels of anxiety of companions, making them feel better prepared for the moment. ReBEC (Brazilian Clinical Trials Registry) and The Universal Trial Number (UTN), No. U1111-1145-6172. PMID:27533263

  1. Cost-effectiveness of a nurse-led telemonitoring intervention based on peak expiratory flow measurements in asthmatics: results of a randomised controlled trial

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    Wouters Emiel FM

    2007-07-01

    Full Text Available Abstract Background Asthma is a chronic lung disease in which recurrent asthma symptoms create a substantial burden to individuals and their families. At the same time the economic burden associated with asthma is considerable. Methods The cost-effectiveness study was part of a single centre prospective randomised controlled trial comparing a nurse-led telemonitoring programme to usual care in a population of asthmatic outpatients. The study included 109 asthmatic outpatients (56 children; 53 adults. The duration of follow-up was 12 months, and measurements were performed at baseline, 4, 8, and 12 months. Patients were asked to transfer their monitor data at least twice daily and by judging the received data and following a stepwise intervention protocol a nurse was able to act as the main caregiver in the intervention group. In both groups the EQ-5D and the SF-6D were used to obtain estimates of health state utilities. One year health care costs, patient and family costs, and productivity losses were calculated. The mean incremental costs were weighted against the mean incremental effect in terms of QALY. Results The study population generally represented mild to moderate asthmatics. No significant differences were found between the groups with regard to the generic quality of life. Overall, the mean health care costs per patient were higher in the intervention group than in the control group. The intervention costs mainly caused the cost difference between the groups. The intervention costs the society € 31,035/QALY gained with regard to adults and with regard to children € 59,071/QALY gained. Conclusion If the outcome is measured by generic quality of life the nurse-led telemonitoring programme is of limited cost-effectiveness in the study population. From the societal perspective the probability of the programme being cost-effective compared to regular care was 85% at a ceiling ratio of € 80,000/QALY gained among the adults and 68

  2. Need-based intervention is an effective strategy for improving the nutritional status of older people living in a nursing home: a randomized controlled trial.

    Science.gov (United States)

    Lee, Li-Chin; Tsai, Alan C; Wang, Jiun-Yi; Hurng, Baai-Shyun; Hsu, Hui-Chuan; Tsai, Hsin-Jen

    2013-12-01

    Nutrition is a key element in geriatric health. Protein-energy malnutrition is common in institutionalized persons. This study examined the effectiveness of a need-based "routine screening and timely intervention" strategy in improving the nutritional status of persons living in nursing homes. A 24-week randomized, double-blind, controlled trial. A privately managed geriatric nursing home in Taiwan. Ninety-two ≥65-year old persons who were ≤25kg/m(2), >1 month residence, able to self-feed or receive oral feeding, without acute infection and non-bed-ridden. Prospective participants were stratified by gender and then randomly assigned to either the control group (n=45) or the intervention group (n=47). Each subject in the intervention group was given a 50g/day soy-protein-based nutritional supplement if he/she was rated as undernourished according to the Mini Nutritional Assessment (MNA, score ≤24) and BMI ≤24kg/m(2). The supplement contained 9.5g protein, 250kcal energy and all essential micro-nutrients. The supplementation would be suspended once either one of the "at risk" condition was corrected. Nutritional rating with the MNA took place at baseline and every 4 weeks during the trial. Biochemical indicators were measured at baseline, mid-point (week-12) and end-point (week-24). Results were analyzed with the two-sample t-test, and the generalized estimating equations (GEE) controlled for demographic and health-related variables. Of the 92 subjects, 82 completed the trial; 7 withdrew and 3 died during the trial. Results showed that the need-based intervention was an effective and appropriate strategy for improving the nutritional status of persons at risk of undernourishment. The intervention significantly improved body weight, BMI, mid-arm circumference, calf circumference, and serum albumin and cholesterol concentrations at all intervals (all pnutritional intervention can be a practical and useful strategy for improving the nutritional status of persons

  3. The application of nursing behavior intervention on the post-operation pain in abdomen

    Directory of Open Access Journals (Sweden)

    Xiao-fei WU

    2014-08-01

    Full Text Available Objective: To investigate the effect of behavioral intervention for the post-operation pain in abdomen. Methods: Forty patients from the county hospital during October 2013 to January 2014 were selected as the observation objects and randomly divided into two groups, intervention group and control groups with 20 patients in each.The control group received conventional general care and the intervention group received nursing behavior interventions,including, the effective evaluation of pain, improvement of health education, strengthening of physical intervention, psychological intervention and psychosocial intervention etc. Two sets of VAS scores and nursing intervention effects were analyzed with statistical methods. Results: After taking nursing behavior interventions,the intervention group had significantly lower VAS scores,and lower level was more significant than that in the control group,The difference has statistically significant P<0.05.The intervention group has higher satisfaction for nursing service. Conclusion: The implementation of nursing behavior interventions can significantly relieve the patient pain, improve the postoperative analgesic treatment effect, and raise the quality of nursing and the comfort and satisfaction of the patients. Thereby reducing the incidence of postoperative complications, and promoting the patient recover. 

  4. The School Nurse's Role in Homeopathic Interventions.

    Science.gov (United States)

    Selekman, Janice; Thomas, Elizabeth; McLean, Kay

    1998-01-01

    Describes the practices of homeopathy and how they affect the scope of practice of school nurses. Includes a definition of homeopathy, a discussion of remedies and the specific symptoms for which they are effective, and an examination of conditions treatable by homeopathic physicians. Nine guidelines for managing homeopathic products in the school…

  5. 护理干预在产后盆底肌肉康复中的作用%Effect of Nursing Intervention on Postpartum Pelvic Floor Muscle Rehabilitation

    Institute of Scientific and Technical Information of China (English)

    邓美莲; 杨翠莲; 林玉敏; 王芳

    2015-01-01

    目的:观察护理干预在产后盆底肌肉康复中的作用。方法选择2013年3—12月在该院产后6~8周有盆底功能障碍妇女318例行早期护理干预,疗程结束后再次行问卷调查及盆底肌肉功能评估。结果经过治疗和护理干预后,盆腔肌肉松弛改善有效率为80.00%,有压力性尿失禁改善有效率为73.02%,盆腔脏器脱垂改善有效率为52.78%,盆腔痛改善有效率为78.58%,产后性生活质量下降改善有效率为85.19%。结论产后盆底功能障碍患者早期采取积极的护理干预治疗,可有效恢复患者盆底功能,缓解产后盆腔疼痛,改善盆腔脏器脱垂,性生活质量提高。%Objective To observe the effect of nursing intervention on postpartum pelvic floor muscle rehabilitation.Methods Between March 2013 and December 2013 , a total of 318 cases of postpartum women with pelvic floor dysfunction 6~8 weeks after delivery were selected and treated with early nursing intervention in our hospital .Questionnaire survey was conducted again after the course of treatment and the pelvic floor muscle function was evaluated .Results After the treatment and nursing intervention , the effective rate of pelvic floor muscle relation was improved to 80 %,stress urinary incontinence to 73 .02%, pelvic organ prolapse to 52 .78%, pelvic pain to 78 .58%, decline in quality of postpartum sexual life to 85 .19%.Conclusion Active early nursing intervention on patients with postpartum pelvic floor dysfunction can rehabilitate the pelvic floor muscle function of the patients , alleviate postpartum pel-vic pain, prevent pelvic organ prolapse and improve the quality of sexual life .

  6. Nursing home resident outcomes from the Res-Care intervention.

    Science.gov (United States)

    Resnick, Barbara; Gruber-Baldini, Ann L; Zimmerman, Sheryl; Galik, Elizabeth; Pretzer-Aboff, Ingrid; Russ, Karin; Hebel, J Richard

    2009-07-01

    To test the effectiveness of a restorative care (Res-Care) intervention on function, muscle strength, contractures, and quality of life of nursing home residents, with secondary aims focused on strengthening self-efficacy and outcome expectations. A randomized controlled repeated-measure design was used, and generalized estimating equations were used to evaluate status at baseline and 4 and 12 months after initiation of the Res-Care intervention. Twelve nursing homes in Maryland. Four hundred eighty-seven residents consented and were eligible: 256 from treatment sites and 231 from control sites. The majority were female (389, 80.1%) and white (325, 66.8%); 85 (17.4%) were married and the remaining widowed, single, or divorced/separated. Mean age was 83.8 +/- 8.2, and mean Mini-Mental State Examination score was 20.4 +/- 5.3. Res-Care was a two-tiered self-efficacy-based intervention focused on motivating nursing assistants and residents to engage in functional and physical activities. Barthel Index, Tinetti Gait and Balance, grip strength, Dementia Quality-of-Life Scale, self-efficacy, and Outcome Expectations Scales for Function. Significant treatment-by-time interactions (PTinetti Mobility Score and its gait and balance subscores and for walking, bathing, and stair climbing. The findings provide some evidence for the utility and safety of a Res-Care intervention in terms of improving function in NH residents.

  7. Abuse of aging caregivers: test of a nursing intervention.

    Science.gov (United States)

    Phillips, Linda R

    2008-01-01

    Although most women find it difficult to provide care to an older family member, some women face additional challenges and health risks because the care recipient is abusive or aggressive toward them. This study tested a 12-week psychoeducative nursing intervention intended to decrease the frequency and intensity of physical and verbal/psychological aggression toward older caregiving wives and daughters by care recipients and improve selected abuse-related outcomes. The intervention, which focused on pattern identification, advocacy counseling, reframing of the caregiving situation, and nonconfrontational caregiving strategies, was individualized and highly interactive with emphasis placed on mutual problem solving and mutual planning. Subjects included women older than 50 who provided care to elders older than 55. Subjects were randomly assigned to group (intervention, N = 38; control, N = 45) and data collectors were "blinded" to group assignment. Findings indicated the intervention significantly reduced frequency of verbal/psychological aggression, and feelings of anger for caregivers providing care to fathers or husbands. It was not effective for caregivers providing care to mothers, and it did not reduce burden. Implications for nursing include raising awareness about the special vulnerabilities of older caregivers, providing provocative new information about the gender-based power dynamics in caregiving situations and underscoring the need for nurses to assume a stronger leadership role in building science with regard to family caregiving.

  8. Nursing intervention on the effect of breastfeeding%护理干预对母乳喂养的效果观察

    Institute of Scientific and Technical Information of China (English)

    牛琼华

    2013-01-01

    Objective To explore the nursing intervention on the effect of breastfeeding, in order to promote maternal and child health and to provide the scientific basis. Methods 100 cases after nursing intervention of maternal as research group, to the same period of 100 cases of maternal direct delivery as control group, comparative analysis of two postpartum breastfeeding. Results The observation group maternal milk lactation time, quantity, breast-feeding were significantly higher than average in control group (P<0.01), the weight growth of neonatal at 72 h obvious increased significantly than that in the control group, the difference was statistically significant (P<0.01). Conclusion The nursing intervention can change cognitions of the puerperant, improve feeding skills, so as to promote the breastfeeding success.%目的:观察护理干预对母乳喂养的效果,为促进母婴健康提供科学依据。方法将护理干预后的100例产妇作为观察组,同期来院直接分娩的100例产妇作为对照组,比较分析2组产后母乳喂养情况。结果观察组产妇开奶时间、泌乳量、纯母乳喂养例数均明显高于对照组(P<0.01);新生儿72 h体重增长速度观察组也较对照组显著增加,差异有统计学意义(P<0.01)。结论护理干预可以让产妇改变认知,提高喂养技能,从而促进母乳喂养成功。

  9. 护理干预对精神分裂症患者的影响%The effect of nursing intervention on the patients with schizophrenia

    Institute of Scientific and Technical Information of China (English)

    李彩君; 陈桂兵; 陈国锋

    2012-01-01

    目的 探讨适合精神分裂症患者的护理干预模式,为有效地开展护理干预提供依据.方法 选择符合标准的精神分裂症住院患者160例,按入院日期先后分为干预组78例和对照组82例,对照组仅给予常规护理,干预组在常规护理基础上进行心理护理、持续的精神分裂症相关知识宣教和指导、家庭访视、电话咨询.使用简明精神病评定量表(BPRS)和自编调查问卷进行效果评定.结果 出院后3个月及出院后6个月,干预组BPRS总分的改善程度、服药依从性和复发率均优于对照组(P<0.01).结论 对精神分裂症患者实施护理干预可改善患者的远期疗效和预后,提高患者的治疗依从性,改善症状,减少复发.%Objective To explore the model of nursing intervention for patients with schizophrenia and supply the theoretical basics for the nursing interventions.Methods There were 160 cases of patients who met with CCMD -3 criteria about schizophrenia and were divided into study group (78 cases) and control group (82 cases) according to admission date.The patients in control group were given routine nursing measures.While the patients in study group were given continuous missions of knowledge,guidance of schizophrenia,home visits and telephone consultation besides usual nursing measures.Effect was assessed by Brief Psychiatric Rating Scale (BPRS) and self- designed assessment questionnaire.Results There were significant difference about total scores of BPRS,medication compliance and recurrence after 3 months or 6 months of discharge in two group (P < 0.01 ).Condusions Nursing intervention on patients with schizophrenia can improve long - term efficacy and prognosis,promote compliance and psychiatric symptoms,reduce recurrence of schizophrenia.

  10. Effect observation of operating room nursing by details nursing Intervention%细节护理干预在手术室护理中的效果观察

    Institute of Scientific and Technical Information of China (English)

    陆小乙; 罗锦平

    2016-01-01

    Objective To approach result of operating room nursing by details nursing Intervention by details infection rate of puerpera.Method 1 500 cases of clinical data of operation puerpera were analyzed,They were divided into two group by Implemen-tation details nursing intervention,routine nursing group 500 cases and details nursing Intervention group 1 000 cases.Results The infection rate,nursing errors rate and puerpera satisfactionof details nursing intervention group were higher than that of routine nurs-ing group,the nursing knowledge,attitude of details nursing management,nursing error behavior,management environment score of puerpera after operation of details nursing intervention group were higher than that of routine nursing group,the differences were sta-tistically significant (P<0.05 ).Conclusion The operating room nursing by details nursing intervention could decrease,which could increase nursing work quality,which is to be used.%目的:探讨细节护理干预在手术室护理中的效果情况。方法:分析1500例手术产妇临床资料,依据是否实施细节护理干预进行分组,常规护理组500例和细节护理干预组1000例。结果:细节护理干预组手术室产妇感染发生率、护理差错发生率和产妇满意度均高于常规护理组,细节护理干预组手术室护理知识水平、对细节护理管理态度、应对护理差错行为、产妇术后管理环境评分均高于常规护理组,差异均有统计学意义(P<0.05)。结论:细节护理干预在手术室护理中应用可以降低产妇感染发生率,提高护理工作质量,值得临床推广应用。

  11. 类风湿关节炎患者的护理干预及效果分析%Effect of nursing intervention in rheumatoid arthritis patients

    Institute of Scientific and Technical Information of China (English)

    何碧红

    2011-01-01

    目的 探讨护理干预在类风湿关节炎(RA)患者治疗和康复中的作用.方法 80例类风湿关节炎患者在药物治疗和常规护理的基础上,分别给予心理、饮食、疼痛和关节功能锻炼等方面的护理干预,并对治疗效果以及治疗前后患者心理变化和疼痛缓解情况进行对比分析.结果 80例RA患者中痊愈24例,显效32例,有效22例,无效2例,总有效率达到97.5%.患者经治疗及护理干预后,关节疼痛情况均得到有效缓解,PI-NRS关节疼痛积分从治疗前(7.82±1.75)分降低为治疗后的(1.56 ±1.48)分,两者比较差异有统计学意义(t=4.92,P<0.01).RA患者入院时均伴有不同程度的焦虑与抑郁,经过心理护理干预后,SAS分值从(53.9 ±10.3)分降低为(46.5±8.4)分,SDS分值从(56.9±9.4)分降低为(48.5±7.5)分,治疗前后差异均有统计学意义(P<0.01).结论 精心的护理干预可有效减轻患者临床症状,改善病变关节功能、促进类风湿关节炎患者的康复.%Objective To explore the effect of nursing intervention on the treatment and rehabilitation of rheumatoid arthritis patients.Methods Patients were given nursing intervention including psychological care,diet control,joint function exercises and joint pain management,on the basis of routine medicine and nursing care.The therapeutic effect,and the change in pain and physiology before and after treatment,were compared and analyzed.Results Among 80 cases,24 were cured,32 were significantly effective,22 were effectual and 2 were unfruitful,with a total effective rate of 97.5%.After the nursing intervention and treatment,the joint pain was alleviated,and the PI-NBS score was significantly decreased from(7.82±1.75)to(1.56±1.48)(t=4.92.P<0.01).All the patients had different anxiety and depression degrees on admission.After psychological nursing.SAS score significantly decreased from(53.9±10.3)to(46.5±8.4)(t=5.56,P<0.01),SDS score significantly decreased from(56.9±9.4)to(48

  12. The effective evaluation of nursing intervention on perimenopausal women%综合护理干预对围绝经期妇女效果研究

    Institute of Scientific and Technical Information of China (English)

    周丽英; 张惠玲; 黄海雁; 何爱嫦

    2011-01-01

    Objective : To explore the effect of nursing intervention on improving the health of perimenopausal women. Methods : 130 perimenopausal women ,were carried out health education, diet and exercise guide, psychological intervention and medication guide etc intervention by telephone interviews. clinic follow - up, health education lectures, health knowledge brochure, and other forms of their education. after intervention 6 months to evaluate the intervention effect by WHO live quality measuring instrument, symptoms such as self rating scale. Results:The 130 perimenopausal women major clinical symptoms improved, psychological state improve, quality of life obviously improved after 6 months, compared with before intervention.There was statistically significant difference ( P < 0. 05 ). Conclusion: Women who give to menopausal transition, after the comprehensive nursing intervention psychological status markedly improved significantly relieve symptoms, so as to improve the quality of life.%目的:探讨护理干预对改善围绝经期妇女健康的效果,以帮助她们顺利度过这一特殊的时期.方法:通过采用电话随访、健康教育讲座、宣传栏、门诊随访及健康知识小册子等形式,对130例围绝经期妇女实施健康教育、饮食运动指导、心理干预及用药指导等综合护理干预.6个月后应用WHO生存质量测定量表、症状自评量表等评估干预效果.结果:6个月后,130例围绝经期妇女主要临床症状改善,心理状态改善,生活质量明显提高,与干预前相比有统计学意义(P<0.05).结论:对围绝经期妇女实施综合护理干预后,其心理状态明显改善,症状显著减轻,生活质量得到提高.

  13. ORGANOPHOSPHATE POISONING: NURSING DIAGNOSES AND INTERVENTIONS

    Directory of Open Access Journals (Sweden)

    Francis Solange Vieira Tourinho

    2013-05-01

    Full Text Available Objetivo: Identificar os principais rótulos diagnósticos de enfermagem e suas respectivas intervenções de enfermagem para o individuo vítima da intoxicação por organofosforados.Método: Trata-se de revisão integrativa, utilizando para tal as bases LILACS/PUBMED e publicações impressas relacionadas à temática.Resultados: O levantamento dos sinais/sintomas deste tipo de acidente possibilitou o julgamento clínico e elaboração dos 10 principais rótulos Diagnósticos de Enfermagem com base na North American Nursing Diagnosis Association-International, determinando o planejamento das Intervenções de Enfermagem de acordo com a Nursing Interventions Classification. Conclusão: a identificação dos diagnósticos e intervenções de enfermagem permite perceber o paciente como um todo, levando em consideração as diversas complicações que podem surgir biológicas psicológica e socialmente.   Descritores: Cuidados de Enfermagem; Compostos Organofosforados; Envenenamento.

  14. A family nursing educational intervention supports nurses and families in an adult intensive care unit.

    Science.gov (United States)

    Eggenberger, Sandra K; Sanders, Marita

    2016-11-01

    The family experience of critical illness is filled with distress that may have a lasting impact on family coping and family health. A nurse can become a source of comfort that helps the family endure. Yet, nurses often report a lack of confidence in communicating with families and families report troubling relationships with nurses. In spite of strong evidence supporting nursing practice focused on the family, family nursing interventions often not implemented in the critical care setting. This pilot study examined the influence of an educational intervention on nurses' attitudes towards and confidence in providing family care, as well as families' perceptions of support from nurses in an adult critical care setting. An academic-clinical practice partnership used digital storytelling as an educational strategy. A Knowledge to Action Process Framework guided this study. Results of pre-intervention data collection from families and nurses were used to inform the educational intervention. A convenience sample of family members completed the Iceland Family Perceived Support Questionnaire (ICE-FPSQ) to measure perception of support provided by nurses. Video, voice, and narrative stories of nurses describing their experiences caring for family members during a critical illness and family members' experiences with a critically ill family member also guided education plans. When comparing the pre and post results of the Family Nurse Practice Scale (FNPS), nurses reported increased confidence, knowledge, and skill following the educational intervention. Qualitative data from nurses reported satisfaction with the educational intervention. Findings suggest that engaging nurses in educational opportunities focused on families while using storytelling methods encourages empathic understandings. Academic-clinician teams that drive directions show promise in supporting families and nurses in critical care settings. Plans are moving forward to use this study design and methods in

  15. Effect of an Ergonomics-Based Educational Intervention Based on Transtheoretical Model in Adopting Correct Body Posture Among Operating Room Nurses

    OpenAIRE

    Moazzami, Zeinab; Dehdari, Tahere; Taghdisi, Mohammad Hosein; Soltanian, Alireza

    2015-01-01

    Background: One of the preventive strategies for chronic low back pain among operating room nurses is instructing proper body mechanics and postural behavior, for which the use of the Transtheoretical Model (TTM) has been recommended. Methods: Eighty two nurses who were in the contemplation and preparation stages for adopting correct body posture were randomly selected (control group = 40, intervention group = 42). TTM variables and body posture were measured at baseline and again after 1 and...

  16. Train-the-trainer intervention to increase nursing teamwork and decrease missed nursing care in acute care patient units.

    Science.gov (United States)

    Kalisch, Beatrice J; Xie, Boqin; Ronis, David L

    2013-01-01

    Teamwork is essential for patient safety and results in less missed nursing care. The aim of this study was to test the impact of a train-the-trainer intervention on the level of satisfaction with nursing teamwork and the amount of missed nursing care. This study used a quasiexperimental design with repeated measures taken at pretest, posttest, and 2 months after completion of the intervention. The sample for this study was the nursing staff on three medical-surgical units in three separate acute care hospitals (one unit in each hospital). Three nurses from each unit underwent a training program and then taught the skills and knowledge they acquired to the staff members on their units in three-hour-long sessions. The training involved staff role-playing scenarios based on teamwork problems that occur regularly on inpatient units in acute care hospitals followed by debriefing, which focused on teamwork behaviors (e.g., leadership, team orientation, backup, performance monitoring) and missed nursing care. Four measures were used to test the efficacy of this intervention: The Nursing Teamwork Survey, the MISSCARE Survey, and questions about the knowledge of and satisfaction with teamwork. Return rates for the surveys ranged from 73% to 84%. Follow-up tests individually comparing pretest, posttest, and delayed posttest were conducted within the mixed model and used the Bonferroni correction for multiple comparisons. Teamwork increased (F = 6.91, df = 259.01, p = .001) and missed care decreased (F = 3.59, df = 251.29, p = .03) over time. Nursing staff also reported a higher level of satisfaction with teamwork and an increase of teamwork knowledge after the intervention. The intervention tested in this study shows promise of being an effective and efficient approach to increase nursing teamwork and decrease missed nursing care.

  17. 整体护理干预对高血压患者疗效影响观察%Effect Observation on the Holistic Nursing Intervention on Hypertension Patients

    Institute of Scientific and Technical Information of China (English)

    冉红琼; 向平

    2016-01-01

    Objective To study the holistic nursing intervention for the treatment compliance of hypertension patients. Methods 100 patients with hypertension were randomly divided into 2 groups (50 cases in each group). The control group was treated only with drug therapy and routine nursing care, the experiment group was treated with holistic nursing intervention measures on the basis of control group. The control effect of hypertension was compared. ResultsThe holistic nursing intervention had good effect to control the hypertension (P<0.01).Conclusion Nursing intervention can effectively improve the treatment compliance of hypertension patients.%目的:探讨整体护理干预对高血压患者治疗依从性的影响。方法将100例高血压患者随机分为2组,对照组仅给予药物治疗和常规护理,试验组在对照组基础上采取整体护理干预措施,比较高血压控制效果。结果整体护理干预对高血压控制有较好的效果,P<0.01。结论护理干预能有效提高高血压患者的治疗依从性。

  18. Development of a postgraduate interventional cardiac nursing curriculum.

    Science.gov (United States)

    Currey, Judy; White, Kevin; Rolley, John; Oldland, Elizabeth; Driscoll, Andrea

    2015-11-01

    Interventional cardiology practices have advanced immensely in the last two decades, but the educational preparation of the workforce in cardiac catheter laboratories has not seen commensurate changes. Although on-the-job training has sufficed in the past, recognition of this workforce as a specialty practice domain now demands specialist educational preparation. The aim of this paper is to present the development of an interventional cardiac nursing curriculum nested within a Master of Nursing Practice in Australia. International and national health educational principles, teaching and learning theories and professional frameworks and philosophies are foundational to the program designed for interventional cardiac specialist nurses. These broader health, educational and professional underpinnings will be described to illustrate their application to the program's theoretical and clinical components. Situating interventional cardiac nursing within a Master's degree program at University provides nurses with the opportunities to develop high level critical thinking and problem solving knowledge and skills.

  19. Nurses' expert opinions of workplace interventions for a healthy working environment: a Delphi survey.

    Science.gov (United States)

    Doran, Diane; Clarke, Sean; Hayes, Laureen; Nincic, Vera

    2014-09-01

    Much has been written about interventions to improve the nursing work environment, yet little is known about their effectiveness. A Delphi survey of nurse experts was conducted to explore perceptions about workplace interventions in terms of feasibility and likelihood of positive impact on nurse outcomes such as job satisfaction and nurse retention. The interventions that received the highest ratings for likelihood of positive impact included: bedside handover to improve communication at shift report and promote patient-centred care; training program for nurses in dealing with violent or aggressive behaviour; development of charge nurse leadership team; training program focused on creating peer-supportive atmospheres and group cohesion; and schedule that recognizes work balance and family demands. The overall findings are consistent with the literature that highlights the importance of communication and teamwork, nurse health and safety, staffing and scheduling practices, professional development and leadership and mentorship. Nursing researchers and decision-makers should work in collaboration to implement and evaluate interventions for promoting practice environments characterized by effective communication and teamwork, professional growth and adequate support for the health and well-being of nurses.

  20. Effects of psychological and behavioral intervention on nurses' mental health%心理行为干预对新护士心理健康的影响

    Institute of Scientific and Technical Information of China (English)

    侯颖; 王海燕

    2013-01-01

    目的 探讨心理行为干预对新护士心理健康状况的影响.方法 对50名新护士采用症状自评量表进行心理状况调查,根据测评结果实施有针对性的心理行为干预措施,比较干预前后护士心理健康状况.结果 心理行为干预后护士的躯体化、强迫、人际关系、抑郁、焦虑、敌对、偏执、总分、阳性项目因子得分均低于干预前,差异有统计学意义(P<0.05).结论 对新护士实施心理行为干预措施能减轻新护士工作压力,增强心理素质,提高心理健康水平.%Objective To explore the psychological and behavioral intervention on nurses' mental health. Methods A total of 50 new nurses with SCL-90 psychological status investigation, according to the evaluation results of the implementation of targeted psychological and behavioral interventions, were compared before and after intervention of mental health status of nurses. Results The psychological behavior intervention nurse somatization, interpersonal relationship, depression, obsessive, anxiety, hostility, paranoia, total score, positive factor scores were lower than before intervention, the difference was statistically significant (P<0. 05). Conclusion The new nurses in the implementation of psychological and behavioral intervention measures can reduce the new nurses work pressure, enhance the psychological quality, improve the level of mental health.

  1. An intervention to improve nurse-physician communication in depression care.

    Science.gov (United States)

    Brown, Ellen L; Raue, Patrick J; Klimstra, Sibel; Mlodzianowski, Amy E; Greenberg, Rebecca L; Bruce, Martha L

    2010-06-01

    Depression in older adult home care recipients is frequently undetected and inadequately treated. Failed communication between home healthcare personnel and the patient's physician has been identified as a barrier for depression care. The purpose of this pilot intervention study was to improve nurse competency for communicating depression-related information to the physician. A single group pre-post experimental design. Two Medicare-certified home healthcare agencies serving an urban and suburban area in New York. Twenty-eight home care nurses, all female Registered Nurses. Two-hour skills training workshop. To evaluate the intervention, pre-post changes in effective nurse communication using Objective Structured Clinical Examinations and nurse survey reports. The intervention significantly improved the ability of the home care nurse to perform a case presentation in a complete and standard organized format pre versus postintervention. The intervention also increased nurse-reported certainty to communicate depression-related information to the physician. Our findings provide support for the ability of a brief, depression-focused communication skills training intervention to improve home care nurse competency for effectively communicating depression-related information to the physician.

  2. An educational intervention to improve nurses' knowledge, attitude, and practice toward reporting of adverse drug reactions.

    Science.gov (United States)

    Hanafi, Somayeh; Torkamandi, Hassan; Hayatshahi, Alireza; Gholami, Kheirollah; Shahmirzadi, Nikinaz Ashrafi; Javadi, Mohammad Reza

    2014-01-01

    The reporting of adverse drug reactions (ADRs) by nurses in hospitals is very important. This study was aimed at investigating the impact of an educational intervention to improve ADR reporting and whether trained nurses had better knowledge, attitude, and practice toward ADR reporting. A total of 300 nurses in a tertiary care teaching hospital in Tehran, Iran were evaluated with a knowledge, attitude, and practice (KAP) questionnaire regarding ADR reporting in March 2010. After this, an educational program about ADR was provided to nurses. Then the nurses were re-evaluated by the same questionnaire. Comparisons were made of the attitude and knowledge within nurses, before and after education. Data were analyzed using SPSS software. P < 0.05 was considered as significant level. Independent-sample t-test was used to measure the intervention effect. The response rate was 61.3% (N = 184). Knowledge of nurses before the intervention was significantly less than the knowledge after the intervention (P = 0.001). Also, there was a significant effect on attitude (P = 0.002). During the follow-up period of 4 months after the intervention, 26 spontaneous reports were received. Continuous ADR educational program, training, and integration of ADRs' reporting into the activities of the nurses would likely improve ADR reporting.

  3. Application effect observation of nursing intervention in nursing of pa-tients with migraine%护理干预在偏头痛患者护理中的应用效果观察

    Institute of Scientific and Technical Information of China (English)

    陈文姿

    2015-01-01

    Objective To investigate the application effect observation of nursing intervention in nursing of patients with migraine. Methods From January 2012 January 2014,108 cases with migraine treated in our hospital were selected and they were divided into the observation group (n=54) and control group (n=54).The drug treatment was given the two groups,the observation group was given the targeted nursing intervention,while the control group was the routine nursing on the basis of the drug treatment.Anxiety and depression status,the curaive effect of migraine,the life quality after nurs-ing intervention in the two groups were compared. Results After nursing,there was a statistical difference of score of curative effect,headache attack time,headache frequency in the two groups (P<0.05),and there was a statistical difference of score of curative effect,headache attack time,headache frequency before and after nursing in the two groups (P<0.05). After nursing,SAS,SDS score in the observation group was lower than that in the control group (P<0.05),and there was a statistical difference of SAS,SDS score before and after nursing in the two groups (P<0.05).After nursing,the score of life quality in the observation group was higher than that in the control group (P<0.05). Conclusion The nursing intervention can reduce the degree of depression,anxiety in patients with migraine during hospital,relieve symptoms of migraine,and reduce the recurrent times of migraine and improve the life quality of patients,can further promote and use in clinic.%目的:观察护理干预在偏头痛患者护理中的应用效果。方法选取2012年1月~2014年1月来本院治疗偏头痛的108例患者,采用随机数字表法将患者分为观察组和对照组,每组各54例。两组均给予药物治疗,观察组在药物治疗基础上给予针对性护理干预,对照组在药物治疗基础上给予常规护理。比较两组患者护理前后的焦虑和抑郁状况、偏头痛疗效

  4. Effekt of a two-stage nursing assesment and intervention - a randomized intervention study

    DEFF Research Database (Denmark)

    Rosted, Elizabeth Emilie; Poulsen, Ingrid; Hendriksen, Carsten

    to the geriatric outpatient clinic, community health centre, primary physician or arrangements with next-of-kin. Findings: Primary endpoints will be presented as unplanned readmission to ED; admission to nursing home; and death. Secondary endpoints will be presented as physical function; depressive symptoms......Background: Geriatric patients recently discharged from hospital are at risk of unplanned readmissions and admission to nursing home. When discharged directly from Emergency Department (ED) the risk increases, as time pressure often requires focus on the presenting problem, although 80...... % of geriatric patients have complex and often unresolved caring needs. The objective was to examine the effect of a two-stage nursing assessment and intervention to address the patients uncompensated problems given just after discharge from ED and one and six months after. Method: We conducted a prospective...

  5. Perception of nurse experts on the contribution of nursing interventions to NOC nursing outcomes in general hospitals in Korea.

    Science.gov (United States)

    Lee, Byoungsook

    2005-06-01

    The purpose of this study was to identify the perception of nurse experts on the contribution of nursing interventions to Nursing Outcomes Classification NOC nursing outcomes. A nursing outcome is a nursing-sensitive patient outcome primarily affected by nursing interventions. As one of the standardized language systems of nursing outcomes, the NOC must be examined for applicability before it is used in Korea. Data were collected in February and March 2003 using a 5-point Likert scale. For data collection, 230 quality improvement (QI) or quality assurance (QA) nurses from general hospitals in Korea were asked to rate the extent that nursing interventions contribute to each of the NOC nursing outcomes (2,000) in their hospitals. Ninety-six nurses from 63 hospitals responded and the response rate was 41.7%. Mean scores for perception of contribution of nursing interventions to each of the NOC nursing outcomes ranged from 2.18 to 4.54. Vital Signs Status had the highest score (M=4.54), and Abuse Recovery: Financial, the lowest score (M=2.18). Of the seven NOC domains, the mean score was highest for Physiologic Health (M=3.91) and lowest for Community Health (M=2.92). Of the 29 NOC classes, the mean score for perceived contribution was highest for Metabolic Regulation (M=4.32) and lowest for Community Well-Being (M=2.92). Participants perceived that nursing interventions in general hospitals in Korea contributed, at least to a certain extent, to most of the NOC nursing outcomes. Based on these results, NOC should have relatively good applicability in Korea.

  6. Effect of community nursing intervention in elderly patients with hypertension%老年高血压患者社区护理干预效果

    Institute of Scientific and Technical Information of China (English)

    陈珂

    2016-01-01

    Objective To explore the curative effect of community nursing intervention on elderly patients with hyper-tension. Methods A total of 151 elderly patients with hypertension in our center from January 2014 to January 2015 were imple-mented the community nursing. The intervention measures were formulated according to the patient′s concrete condition,including establishing the health file,health education,psychological nursing,diet management,regular exercise,body mass control,limit ing alcohol and stopping smoking,medication management and self testing blood pressure(BP),regular follow-up,etc. The nursing efficacy and BP control condition were compared between before and after intervention. Results After the 12-month nursing in-tervention,the situation of the awareness rate of hypertension related knowledge,healthy life style,reasonable diet,treatment compliance and self BP monitoring was significantly superior to that before intervention ,the difference was statistically significant (P<0.01);the indicators of systolic pressure,diastolic pressure,BMI,fasting blood glucose,triglyceride and total cholesterol were significantly decreased compared with those before intervention,and the differences were statistically significant(P<0.05),moreover the control and standard reaching rate of above indicators were significantly increased,and the difference was statistically significant (P<0.01);the scores of living quality related 8 dimensions after intervention were significantly increased compared with be-fore intervention,and the difference was statistically significant(P<0.01). Conclusion The comprehensive community nursing in-tervention measures can effectively improve the treatment effect in elderly patients with hypertension ,and improve their quality of life, which is worthy of promotion.%目的:探讨实施社区护理干预对老年高血压患者的治疗效果。方法对浙江省宁波市海曙区南门街道社区服务中心2014年1月至2015年1

  7. The effect of nursing intervention under the guidance of high-quality nursing service model on patients with anal itching treated with red light High quality nursing service model under the nursing intervention on%优质护理服务模式指导下的护理干预措施对红光治肛门瘙痒患者的影响

    Institute of Scientific and Technical Information of China (English)

    梁思杏; 侯晓慧; 魏丽芳

    2013-01-01

    目的 优质护理服务模式指导下的护理干预措施对红光治疗肛门瘙痒患者的影响.方法 根据有无实施优质护理服务将88例红光治疗肛门瘙痒患者分为两组,即对照组和观察组,比较两组患者焦虑抑郁情绪、基础护理合格率和患者对护理服务的满意度.结果 干预3周,观察组患者焦虑抑郁标准分明显低于对照组,差异有统计学意义(P<0.05),观察组患者基础护理合格率和患者对护理服务的满意度均明显高于对照组患者,差异有统计学意义(P<0.05).结论 优质护理活动能够明显改善红光治疗肛门瘙痒患者的焦虑抑郁情绪,提高患者基础护理质量合格率和患者对护理服务的满意度.%Objective To explore the effect of nursing intervention under the guidance of high-quality nursing service model on patients with anal itching treated with red light.Methods According whether implementing high-quality nursing service or not,from 2010May to 2012 June in our hospital 88 patients with anal itching were divided into control group and observation group.Two groups were compared with anxiety and depression,basic nursing qualification rate and patients satisfaction with nursing service.Results After 3 weeks,the standard score of anxiety and depression of the patients in the observation group was significantly lower than that of control group,there was significant difference (P < 0.05),in the observation group based nursing qualification rate and patients'satisfaction with nursing service were significantly higher than those in the control group,there were significant differences (P < 0.05).Conclusion High-quality care activities can obviously improve the anxiety and depression emotion of patients with anal itching treated with red light,the quality of basic nursing qualification rate and patients' satisfaction with nursing service.

  8. Effectiveness of a nurse cognitive behavioral intervention to reduce stress on the health professionals in emergency extra hospital devices of SUMMA 112

    Directory of Open Access Journals (Sweden)

    Natalia Cámara Conde

    2010-03-01

    Full Text Available Work-related stress is one of the most widespread illnesses over the developed countries during the last decades of the twentieth century and the twenty-first century. The high costs generated as well as the increased prevalence have made various institutions worldwide to study and consider the need to create laws to prevent them.This pre-post-type randomized clinical trial has as its main objective to assess whether an nurse intervention based on the cognitive-behavioural therapy reduces the effect of stressors cause of job stress in health professionals working in the emergency extra hospital devices at the Emergency Medical Service of the Community of Madrid (SUMMA 112, as these professionals, due to the specific characteristics of their jobs, the crisis in health care that work and the lack of training in techniques to overcome and control Stress makes them particularly sensitive to disorders arising from the stress at work.

  9. Impact of educational intervention on prescribing inappropriate medication to elderly nursing homes residents

    OpenAIRE

    Ilić Darko; Bukumirić Zoran; Janković Slobodan

    2015-01-01

    Introduction. Problems with polypharmacy, adverse drug reactions and non-adherence are especially frequent among elderly nursing home residents. Objective. The aim of our study was to evaluate effectiveness of a specific form of staff education on appropriateness of prescribing in a cluster of nursing homes for the elderly. Methods. The study was designed as before-and-after trial of educational intervention on appropriateness of prescribing in nursing home...

  10. Caring for elderly patients with dementia: nursing interventions

    Directory of Open Access Journals (Sweden)

    Joosse LL

    2013-08-01

    Full Text Available Laura L Joosse,1 Debra Palmer,1 Norma M Lang21University of Wisconsin-Milwaukee, College of Nursing, Milwaukee, WI, USA; 2University of Wisconsin-Milwaukee, College of Nursing, Knowledge Based Nursing Research Initiative, Milwaukee, WI, USAAbstract: Elderly patients suffering from chronic cognitive decline/dementia are susceptible to poor quality of care which further erodes their quality of life. Seemingly benign events can create cascade iatrogenesis in those whose compensatory ability is compromised by impairments in multiple domains. Under recognition, misrecognition, or failure to intervene and manage this vulnerable population leads to suboptimal care. This places them at risk for cognitive decline, functional decline, and challenging behaviors, creating financial and emotional burdens for not only the patients but also family, staff, and organizations that are attempting to provide care. Identifying, managing, and therapeutically responding to confused elderly is complex. Recognizing the challenges makes the development of tools that guide comprehensive assessment planning, interpretation of findings, and treatment plans imperative. Innovative and effective assessment and interventional approaches are present in the literature. This article synthesizes the scientific evidence to guide clinicians to implement in practice.Keywords: dementia, older adults, assessment, intervention, quality of life, elderly, cognitive decline

  11. 围术期心理护理干预对外科手术患者康复的影响%The Effect of Perioperative Psychological Nursing Intervention on Rehabilitation of Surgical Operation Patients

    Institute of Scientific and Technical Information of China (English)

    何洪莉; 陈朝芝

    2015-01-01

    目的:为了进一步研究和探讨围术期心理护理干预对外科手术患者康复的临床实际影响.方法:选取2010年12月-2013年10月笔者所在医院临床收治的外科手术患者136例为研究对象,随机分为两组,常规护理组采取给予常规护理,心理护理组在此基础上采用心理护理,对两组康复效果进行比较.结果:心理护理组肠鸣音恢复时间、排便时间和住院时间明显低于常规护理组,差异有统计学意义(P<0.05);心理护理组患者的临床护理不满意率低于常规护理组,差异有统计学意义(P<0.05).结论:在临床对外科手术患者实施临床护理干预的实践过程中,在常规护理基础上采用心理护理干预后患者临床康复效果更好.%Objective:To further explore and study the clinical effect of perioperative nursing intervention on rehabilitation of surgical patients. Method:136 cases of surgical patients admitted to our hospital from December 2010 to October 2013 were chosen as the research objects.They were randomly divided into two groups,the traditional nursing group was given traditional nursing,the psychological nursing group was given psychological nursing on the basis of traditional nursing,the rehabilitation effects were compared.Result:The recovery time of bowel sounds,defecating time and hospital stay in the psychological nursing group were lower than those in the traditional nursing group,there were statistical significance(P<0.05).The dissatisfied level of the clinical nursing between the two groups,the dissatisfaction rate in the psychological care group was lower than that in the traditional nursing group,and the difference was statistical significance(P<0.05).Conclusion:In the practice of clinical nursing interventions for surgical patients,the use of psychological nursing intervention on the basis of traditional nursing is better clinical rehabilitation.

  12. The Intervention Effect and Evaluation of Music Comfort Nursing for Primipara%音乐舒适护理对初产妇的干预作用

    Institute of Scientific and Technical Information of China (English)

    徐华清

    2015-01-01

    Objective To explore the intervention effect and evaluation of music comfort nursing for primipara by analyzing the influence of the maternal anxiety during early pregnancy on the birth process.Methods The intervention program of music comfort nursing was worked out based on the clinical actual situation, together with the reference to literature and experts’ suggestion.In the program, 320 primiparas who met the inclusion criteria in our hospital were studied.The basic information of the research objects was obtained through questionnaire survey, and the research objects were randomly divided into the control group (155 cases) and the ob-servation group (165 cases).Two groups received perinatal routine nursing, and the observation group was given music comfort nurs-ing intervention, the anxiety control level and related physiological indexes of two groups and the rate of cesarean section were com-pared and the intervention effects were evaluated.Results Maternal anxiety levels, the labor time, heart rate, mean arterial pres-sure, pain index, and the rate of cesarean section of both groups were compared, and the observation group was significantly better than the control group, with statistically significant difference (P<0.05).Conclusion Music comfort care can effectively alleviate maternal anxiety, improve pain symptoms, shorten the time of stable hemodynamics in birth process and reduce the rate of cesarean section, so it is worthy of clinical application.%目的:围绕初产妇孕产期间焦虑对产程的影响,探讨音乐舒适护理对初产妇的干预作用及评价。方法根据临床实际,结合参阅的文献,征询专家意见后形成音乐舒适护理的干预方案,对我院产科分娩符合纳入标准的初产妇320例进行研究。采用了问卷调查获取研究对象的基本资料,随机数字表法分为对照组155例、观察组165例,两组均实施围产期常规护理,观察组则给予音乐舒适护理干预,

  13. 妊娠高血压疾病围生期的护理干预效果%The Effects of Nursing Intervention on Hypertension Perinatal Pregnancy

    Institute of Scientific and Technical Information of China (English)

    霍杏婵

    2013-01-01

    Objective To investigate the hypertensive disorder complicating pregnancy perinatal nursing intervention, to guide clinical. Methods 650 patients with hypertension of pregnancy in our hospital from January 2012 to December 2012 admitted to hospital patients, according to the principle of randomized controlled, the patients were divided into two groups, the observation group and the control group with 325 cases in each group, the control group used routine nursing care of hypertensive disorder complicating pregnancy intervention, and the observation group in the control group based the method of humanized nursing intervention, observe two groups of patients with efficiency and effect on outcome of pregnancy. Results The group of efficiency is significantly higher than the control group, the incidence of postpartum hemorrhage, the incidence of eclampsia were significantly lower than those in the control group, the difference was significant, with statistical significance (P<0.05). Conclusion Nursing intervention humanity effectively can make maternal hypertension perinatal pregnancy through security, improve the clinical effect, pregnancy outcomes have improved, significantly reduce maternal and infant complications, worthy of clinical application.%目的:探讨妊娠高血压疾病围生期护理干预效果,进一步指导临床。方法选取我院2012年1月至2012年12月收治入院的妊娠高血压患者650例,按照随机对照的原则,将患者平均分为两组,观察组和对照组每组各325例,对照组采用妊娠高血压疾病常规护理方法进行干预,而观察组在对照组的基础上采用人性化的护理方法进行干预,观察两组患者的有效率和对妊娠结局的影响。结果观察组的有效率明显高于对照组,产后出血、子痫发生率等情况明显低于对照组,差异显著,具有统计学意义(P<0.05)。结论采取有效的人性化的护理干预可以使妊娠高血压

  14. Effects of Using Multimedia Situational Teaching in Establish Nurse-Patient Relationship for New Nurses.

    Science.gov (United States)

    Lin, Jing-Yi; Chen, Hui-Fen

    2016-01-01

    In recent years, endless stream of news for medical violence to make Nurse-Patient Relationship (NPR) was valued. This study is using Multimedia Situation Teaching (MST) to intervene in Nursing training process keep 6 months, probe the effects of new nurses to establish of NPR. Choose 11 new nurses in a medical ward for the study. Using Therapeutic Interpersonal substantive capacity questionnaire survey effects of new nurses establish NPR. After intervention, 94.45% of new nurses can use positive attitude to establish NPR, 90.90% of new nurses represent MST can effectively convey the right attitude in a clinical situation. Using MST can effectively improve new nurses established NPR, we can further enhance the quality of Nursing care, reduce the incidence of medical violence.

  15. A meta-analysis of educational interventions designed to enhance cultural competence in professional nurses and nursing students.

    Science.gov (United States)

    Gallagher, Ruth W; Polanin, Joshua R

    2015-02-01

    Increasing professional nurses' and nursing students cultural competence has been identified as one way to decrease the disparity of care for vulnerable and minority groups, but effectiveness of training programs to increase competence remains equivocal. The purpose of this project is to synthesize educational interventions designed to increase cultural competence in professional nurses and nursing students. A systematic review and meta-analysis was conducted to synthesize all existing studies on increasing cultural competence. A comprehensive search and screen procedures was conducted to locate all cultural competence interventions implemented with professional nurses and nursing students. Two independent researchers screened and coded the included studies. Effect sizes were calculated for each study and a random-effects meta-analysis was conducted. A total of 25 studies were included in the review. Two independent syntheses were conducted given the disparate nature of the effect size metrics. For the synthesis of treatment-control designed studies, the results revealed a non-statistically significant increase in cultural competence (g¯=.38, 95% CI: -.05, .79, p=.08). Moderator analyses indicated significant variation as a function of the measurements, participant types, and funding source. The pretest-posttest effect size synthesis revealed a significant increase in overall cultural competence (g¯=.45, 95% CI: .24, .66, pcultural competence have shown varied effectiveness. Greater research is required to improve these interventions and promote cultural competence. Copyright © 2014 Elsevier Ltd. All rights reserved.

  16. Reducing risk for ventilator associated pneumonia through nursing sensitive interventions.

    Science.gov (United States)

    Micik, Svatka; Besic, Nihada; Johnson, Natalie; Han, Matilda; Hamlyn, Stephen; Ball, Hayley

    2013-10-01

    The purpose of this paper is to describe an improvement initiative designed to implement nurse sensitive interventions known to reduce patients' risk for ventilator associated pneumonia (VAP), in cardiothoracic intensive care patients. This initiative is a part of one Australian critical care unit's efforts to identify and measure compliance with key nursing interventions known to improve cardiac surgical patients' outcomes. The premise behind the initiative is that improved nursing process and surveillance systems allow emerging trends to catalyse action and motivate nurses to reduce patients' risk for infection acquisition. At five and nine months following implementation of the initiative a>70% compliance rate in 11 out of the 15 nurse sensitive interventions known to reduce patients' risks for VAP and a drop in VAP incidence from 13.4% to 7.69% from per 1000 ventilator days was accomplished.

  17. 护理干预对ICU清醒患者不良情绪的影响%Effect of nursing intervention on the bad mood of patients with consciousness in ICU

    Institute of Scientific and Technical Information of China (English)

    周红

    2012-01-01

    Objective: To explore the effect of nursing intervention on the bad mood of patients with consciousness in ICU and work out corresponding countermeasure in order to provide a basis for clinical nursing care. Methods: 124 patients with consciousness in ICU were randomly divided into an intervention group ( re = 61 ) and a control group ( re = 63 ). The patients in the control group were given routine nursing care and the patients in the intervention group were given such nursing intervention as nursing care with information retention, social support care, sleep care, comfort nursing care and non language communication. The Self - rating Anxiety Scale and Self - rating Depression Scale were used to make an investigation on the patients in the two groups. Results: There were statistically significant differences in the comparison of anxiety and depression status of the patients between the two groups ( P <0. 05 ). Conclusion:The nursing intervention can alleviate the negative emotions of patients with consciousness in ICU; the nursing staff should flexibly implement nursing intervention according to patients'conditions so as to improve the quality of nursing care.%目的:探讨护理干预对ICU清醒患者不良情绪的影响,并制定有利于患者健康的相应对策,为ICU临床护理提供依据.方法:将124例ICU清醒患者随机分为干预组61例和对照组63例,对照组给予常规护理,干预组在对照组基础上给予信息告知护理、社会支持护理、睡眠护理、舒适护理和非语言沟通等干预措施.应用焦虑自评量表和抑郁自评量表进行调查.结果:干预组与对照组比较,焦虑和抑郁程度差异有统计学意义(P<0.05).结论:护理干预可缓解ICU清醒患者不良情绪,护理人员应在实施护理的过程中灵活应用信息告知护理、社会支持护理、睡眠护理、舒适护理和非语言沟通等干预措施提高护理服务质量.

  18. 全程护理对尿动力检查中疼痛、焦虑的干预效果分析%Effects of Full Nursing Intervention in Pain and Anxiety with Urodynamic Examination

    Institute of Scientific and Technical Information of China (English)

    杨娜妩; 张丹云; 陈雪文

    2011-01-01

    目的:探讨护理干预对尿动力检查患者疼痛和焦虑的影响.方法:将354例接受尿动力检查的患者,随机分为试验组(179例)和对照组(175例).对照组实施传统的常规护理,试验组实行全程护理干预:就是在常规护理基础上采用认知干预、心理干预和行为干预.比较两组检查前中后疼痛程度分级和焦虑值.结果:干预后试验组疼痛程度明显低于对照组(P<0.01),试验组焦虑值明显低于对照组(P<0.01).结论:全程护理干预可以减轻尿动力检查患者疼痛和焦虑程度.%Objective: To discuss the effects of full nursing intervention in pain and anxiety with urodynamic examination. Methods: 354patients with urodynamic examination were randomly divided into Test Group (179 Cases) and Control Group (175 Cases). Patients in Control Group were nursed by traditional care methods, and patients in Test Group were nursed by full nursing intervention, including traditional care,cognitive intervention, psychological intervention and behavior intervention. To Compare the pain level and anxiety value of two groups. Re sults: The pain value and anxiety value of Test Group was significantly lower than Control Group after nursing (P<0.05). Conclusion: The full nursing intervention could reduce the pain and anxiety with urodynamic examination.

  19. 综合护理干预对重症监护病房患者情绪及睡眠的影响%Effect of comprehensive nursing intervention on the mood and sleep of patients in ICU

    Institute of Scientific and Technical Information of China (English)

    朱淑敏

    2012-01-01

    To explore the effect of comprehensive nursing intervention on the mood and sleep of patients in ICU. Methods; 110 patients in ICU were randomly divided into an intervention group and a control group (55 cases in each group). The patients in the control group received routine nursing care and the patients in the intervention group were given comprehensive nursing intervention based on the routine nursing care. SAS and SMH were used to evaluate anxiety and sleep quality of the patients in the two groups after intervention and the results were compared. Results;SAS and SMH scores was significantly higher in the intervention group than those in the control group ( P < 0. 05 ) . Conclusion: The comprehensive nursing intervention can effectively relieve the anxiety of patients in ICU, improve their sleep quality and quality of life as well.%目的:探讨综合护理干预对重症监护病房(ICU)患者情绪及睡眠的影响.方法:将110例ICU患者随机分为对照组和干预组各55例.对照组给予常规护理,干预组在此基础上给予综合护理干预.应用情绪自测表(SAS)和睡眠质量自测表(SMH)测评两组患者干预后焦虑情绪和睡眠质量,并进行比较.结果:干预组干预后SAS及SMH评分明显高于对照组(P<0.05).结论:综合护理干预能有效改善ICU患者的焦虑情绪和睡眠质量,提高其生活质量.

  20. Patient Satisfaction, Empowerment, and Health and Disability Status Effects of a Disease Management-Health Promotion Nurse Intervention among Medicare Beneficiaries with Disabilities

    Science.gov (United States)

    Friedman, Bruce; Wamsley, Brenda R.; Liebel, Dianne V.; Saad, Zabedah B.; Eggert, Gerald M.

    2009-01-01

    Purpose: To report the impact on patient and informal caregiver satisfaction, patient empowerment, and health and disability status of a primary care-affiliated disease self-management-health promotion nurse intervention for Medicare beneficiaries with disabilities and recent significant health services use. Design and Methods: The Medicare…

  1. A randomized controlled trial of the effects of nurse case manager and community health worker team interventions in urban African-Americans with type 2 diabetes.

    Science.gov (United States)

    Gary, Tiffany L; Batts-Turner, Marian; Bone, Lee R; Yeh, Hsin-Chieh; Wang, Nae-Yuh; Hill-Briggs, Felicia; Levine, David M; Powe, Neil R; Hill, Martha N; Saudek, Christopher; McGuire, Maura; Brancati, Frederick L

    2004-02-01

    The objective of the study was to determine the effectiveness and cost-effectiveness of primary care and community-oriented interventions in managing HbA1c, blood pressure, and lipids, and reducing hospitalizations and emergency room visits over 2 years. We describe an ongoing, randomized controlled trial of 542 urban African-Americans with type 2 diabetes ages 25 years and older who are members of a university-affiliated managed-care organization in Baltimore, MD. The participants are 74% female, have a mean age of 58 years, and 35% have yearly incomes greater than 7500 US dollars. Participants were randomized to one of two intervention groups for a period of 2 years: (1) usual medical care plus minimal telephone intervention implemented by a trained lay health educator (control group) or (2) usual medical care plus intensive intervention implemented by a nurse case manager (NCM)/community health worker (CHW) team. The intensive NCM/CHW team executes individual plans of care using evidence-based algorithms that focus on traditional diabetes self-management, screening and management of diabetes-related complications, and social issues surrounding diabetes care. Face-to-face NCM visits are conducted in the clinic once per year and CHW visits are conducted in the participant's home one to three times per year, both with additional follow-up contacts as needed. Written and verbal feedback (when necessary) is provided to the participant's primary care physician. All participants are expected to attend a 24-month follow-up visit where data are collected by interviewers blinded to intervention assignment. As of May 1, 2003, recruitment is complete, interventions are being fully implemented, and 24-month follow-up visits are beginning. Baseline sociodemographic characteristics, health-care utilization, health behaviors, and clinical characteristics of the study population are reported. This study is designed to test the hypothesis that a primary-care-based NCM plus CHW

  2. Mastectomized woman: nursing intervention and natural killer activit

    National Research Council Canada - National Science Library

    Paula Cristina de Andrade Pires Olympio; Eliane Lima; Maria Helena Costa Amorim

    2014-01-01

    ...) cells in women with breast cancer when the relaxation technique was used in nursing interventions and assess the association between the activity of NK cells and the pattern of behavior for stress and coping. Method...

  3. Effectiveness of Multidisciplinary Group-Based Intervention versus Individual Physiotherapy for Improving Chronic Low Back Pain in Nursing Staff: A Clinical Trial with 3- and 6-Month Follow-Up Visits from Tehran, Iran.

    Science.gov (United States)

    Ghadyani, Leila; Tavafian, Sedigheh Sadat; Kazemnejad, Anoshirvan; Wagner, Joan

    2017-06-01

    Clinical trial. To evaluate the effectiveness of a multidisciplinary group-based intervention on improving pain and disability among Iranian nurses with chronic low back pain in Tehran, Iran. Although low back pain (LBP) is one of the most important health problems, the challenge remains on how to find an effective intervention to reduce pain and related disabilities. Overall, 136 eligible nurses with chronic mechanical LBP were classified into two groups. The intervention group (n=66 participants) participated in a physiotherapy educational program (for 120 minutes) plus a health educational program based on predictive constructs of the social cognitive theory (for 120 minutes). These interventions were delivered by a physiotherapist and a health education specialist. The control group (n=70 participants) participated in a physiotherapy educational program (for 120 minutes). Disability rate, pain severity, and back pain prevention behavior were measured initially and at 3- and 6-month follow-up visits using the visual analogue scale, Roland-Morris Disability, and Nursing Low Back Pain Preventive Behaviors Questionnaire. Data were analyzed by SPSS ver. 16. There were statistically significant differences between the two groups in the main outcome measures immediately after the educational program and at 3- and 6-month follow-up visits. Preventive behaviors of participants in the intervention group were improved at 3- and 6- month follow-up visits (ppreventive behaviors in the intervention group were improved after 3 and 6 months (p<0.001). Finally, in the intervention group, pain severity and disability were decreased significantly. This study showed that a multidisciplinary educational program intervention can be an effective approach for reducing LBP and related disabilities among nurses.

  4. An efficacy trial of brief lifestyle intervention delivered by generalist community nurses (CN SNAP trial

    Directory of Open Access Journals (Sweden)

    Fanaian Mahnaz

    2010-02-01

    Full Text Available Abstract Background Lifestyle risk factors, in particular smoking, nutrition, alcohol consumption and physical inactivity (SNAP are the main behavioural risk factors for chronic disease. Primary health care (PHC has been shown to be an effective setting to address lifestyle risk factors at the individual level. However much of the focus of research to date has been in general practice. Relatively little attention has been paid to the role of nurses working in the PHC setting. Community health nurses are well placed to provide lifestyle intervention as they often see clients in their own homes over an extended period of time, providing the opportunity to offer intervention and enhance motivation through repeated contacts. The overall aim of this study is to evaluate the impact of a brief lifestyle intervention delivered by community nurses in routine practice on changes in clients' SNAP risk factors. Methods/Design The trial uses a quasi-experimental design involving four generalist community nursing services in NSW Australia. Services have been randomly allocated to an 'early intervention' group or 'late intervention' (comparison group. 'Early intervention' sites are provided with training and support for nurses in identifying and offering brief lifestyle intervention for clients during routine consultations. 'Late intervention site' provide usual care and will be offered the study intervention following the final data collection point. A total of 720 generalist community nursing clients will be recruited at the time of referral from participating sites. Data collection consists of 1 telephone surveys with clients at baseline, three months and six months to examine change in SNAP risk factors and readiness to change 2 nurse survey at baseline, six and 12 months to examine changes in nurse confidence, attitudes and practices in the assessment and management of SNAP risk factors 3 semi-structured interviews/focus with nurses, managers and clients

  5. 硬膜外分娩镇痛过程中不良反应观察及护理干预%Observation of adverse effects of epidural analgesia during childbirth and corresponding nursing interventions

    Institute of Scientific and Technical Information of China (English)

    韦冬英; 陈霞; 张海云

    2013-01-01

    Objective To discuss the adverse effects of epidural analgesia during childbirth and corresponding nursing interventions. Methods The study recorded the adverse effects of epidural analgesia on 49 parturients during childbirth, such as uterine inertia, supine hypotensive syndrome, fetal distress, urine retention and pain from perineal wound, and took corresponding nursing interventions. Results Satisfactory results were obtained after careful observation and prompt nursing interventions. Conclusion Careful observation, early discovery of adverse effects and prompt implementation of nursing interventions can improve the efficacy and safety of epidural analgesia during childbirth.%目的:探讨硬膜外分娩镇痛过程中不良反应及护理干预。方法记录49例孕妇进行硬膜外分娩镇痛过程中不良反应,如宫缩乏力、仰卧位低血压综合征、胎儿窘迫、尿潴留、会阴伤口疼痛等;针对不良反应进护理干预。结果通过仔细观察并及时护理干预,获得满意效果。结论仔细观察,及早发现不良反应,积极实施护理干预,可提高硬膜外分娩镇痛效果和安全。

  6. Sleep disturbance, chronic stress, and depression in hospice nurses: testing the feasibility of an intervention.

    Science.gov (United States)

    Carter, Patricia A; Dyer, Kathleen A; Mikan, Sabrina Q

    2013-09-01

    To test the feasibility of a cognitive-behavioral therapy for an insomnia (CBT-I) intervention in chronically bereaved hospice nurses. Five-week descriptive correlational. Nonprofit hospice in central Texas. 9 agency nurses providing direct patient and family care. Direct care nurses were invited to participate. Two intervention group sessions occurred at the hospice agency and included identification of dysfunctional thoughts and beliefs about sleep, stimulus control, sleep hygiene, and relaxation techniques to promote sleep. Measurements were taken at baseline and three and five weeks postintervention. Sleep quality, depressive symptoms, and narrative reflections on the impact of sleep quality on self-care. Participants reported moderate-to-severe sleep disturbances and moderate depressive symptoms. The CBT-I intervention was well accepted by the participants, and on-site delivery increased participation. Additional longitudinal study is needed to investigate the effectiveness of CBT-I interventions to improve self-care among hospice nurses who are at high risk for compassion fatigue and, subsequently, leaving hospice care. Hospice nurses are exposed to chronic bereavement that can result in sleep disturbances, which can negatively affect every aspect of hospice nurses' lives. Cognitive-behavioral sleep interventions show promise in teaching hospice nurses how to care for themselves by getting quality sleep. Identifying the risks for sleep disturbances and depressive symptoms in hospice nurses will allow for effective, individualized interventions to help promote health and well-being. If hospice nurses achieve quality sleep, they may remain in the profession without suffering from chronic bereavement, which can result in compassion fatigue. A CBT-I intervention delivered at the agency and in a group format was feasible and acceptable by study participants.

  7. Validation by school nurses of the Nursing Intervention Classification for computer software.

    Science.gov (United States)

    Redes, S; Lunney, M

    1997-01-01

    Validation of standardized nursing language for use by specialty nurses is important for the design of computer software. The purposes of this study were to validate the usefulness of the 433 interventions in the Nursing Intervention Classification (NIC) for school nurses and to identify interventions that could be omitted from computer software for school nurses. A school nursing listserv, SCHLRN-L, was used to recruit volunteers. Ninety-three volunteers from the listserv also recruited 26 school nurses who were not members of the listserv. The total sample was 102 school nurses from 25 states and other areas, 76 listserv volunteers, and 26 others. E-mail was used to send and receive the survey forms to portions of the sample. A majority of interventions (n = 241; 56%) were selected as used by more than 50% of the sample. Of these, 53 direct care interventions were selected as used by more than 80% of the sample. Fifty interventions were not used by 100% of the sample. E-mail was a useful means to obtain a national sample and collect data.

  8. A systematic method to document population-level nursing interventions in an electronic health system.

    Science.gov (United States)

    Baisch, Mary Jo

    2012-01-01

    Many public health electronic health systems lack the specificity to distinguish between individual- and population-based levels of care provided by public health nurses. Data that describe the broad scope of the everyday practice of public health nurses are critical to providing evidence of their effectiveness in promoting community health, which may not be fully appreciated in an arena of scarce resources. This article describes a method to document population-based nursing practice by adding population-based interventions to the nursing taxonomy underlying an electronic health information system. These interventions, derived from the Intervention Wheel, were incorporated into the Omaha System taxonomy, the conceptual framework for the Automated Community Health Information System (ACHIS), which is a longstanding data system used to capture nursing practice in community nursing centers. This article includes a description of the development and testing of the system's ability to capture the practice of the district public health nurse model. This method of adapting an existing data system to capture population-based interventions could be replicated by public health administrators interested in better evaluating the processes and outcomes of public health nursing and other public health professionals.

  9. Testing a two step Nursing intervention focused on decreasing rehospitalizations and nursing home sdmission post discharge from acute care

    DEFF Research Database (Denmark)

    Rosted, Elizabeth Emilie; Poulsen, Ingrid; Hendriksen, Carsten

    2013-01-01

    Older adults are at high risk of readmission on discharge from the Acute Medical and Emergency Department (ED). This study examines the effect of a two-stage nursing assessment and intervention to address older adults' uncompensated problems and thus intend to prevent readmission and functional...... decline. A randomized controlled study was conducted. Included were 271 patients aged 70 and over admitted to an ED. A brief standardized nursing assessment and intervention was carried out after discharge and at follow-up. No effect was found on readmission to hospital, admission to nursing home......, or death but the intervention group was less likely to be at risk of depression after 180 days. Whether this method can be recommended needs further study as well as knowledge is needed as to the organization and to reveal older adults' experiences on follow-up after ED stay....

  10. The pilot study of radiology nursing intervention in abdominal 3-T Magnetic Resonance examination

    Directory of Open Access Journals (Sweden)

    Gui-qing Dong

    Full Text Available Abstract OBJECTIVE The aim of this study was to investigate the effect of radiology nursing intervention in abdominal examination at 3-T MRI. METHOD 60 patients with abdominal diseases were divided into two groups randomly: MR nursing intervention group and control group. All the patients underwent abdominal MR examination at 3-T. The MR nursing interventions were performed in nursing intervention group. The outcomes, including one-time success rate, the ratio of diagnosable MR images and the points of image quality, were compared between these two groups. RESULTS The one-time success rates in control group and MR nursing intervention group were 66.67% and 96.67% with significant difference ( χ2 =9.017, P<0.05. The ratios of diagnosable images in the two groups were 76.67% and 96.67% with significant difference (χ2 =5.192, P<0.05. The points of MR image quality in the two groups were 1.87±0.86 and 2.33±0.55, respectively. There was significant difference between these two groups (t=-2.508, P<0.05. CONCLUSION The effective nursing intervention can make the patients cooperation better in abdominal MR examination and improve the image quality significantly.

  11. Nursing interventions to prevent or relieve postoperative nausea and vomiting.

    Science.gov (United States)

    Hinojosa, R J

    1992-02-01

    The purpose of this study was to identify documented interdependent and independent nursing interventions to prevent or relieve nausea and vomiting during the first 24 hours following uncomplicated cholecystectomy. A systematic sampling method was used to select 40 hospital records from 1986 to 1988. Results showed that nausea and vomiting was documented in only two PACU records and nine postoperative nursing unit records. Documentation was typically brief or absent altogether. There was no way to determine if this meant no occurrence of nausea and vomiting or just that interventions were not documented. Lack of interventions may be due to a fear of potentiating the anesthesia or belief that symptoms would subside with time. Documented interventions included repositioning patients (independent) and administering medications (interdependent). This study illustrates the need for education about nurses' responsibility to prevent or relieve postoperative nausea and vomiting and the importance in documenting the interventions used.

  12. Study on the effect of nursing intervention on 49 patients with generalized anxiety disorder due to the initial hospitalization%首次入院广泛性焦虑49例护理干预效果研究

    Institute of Scientific and Technical Information of China (English)

    周卓娅; 王向阳; 罗思欢

    2011-01-01

    目的:探讨护理干预对首次入院广泛性焦虑患者临床疗效的影响.方法:将98例首次入院广泛性焦虑住院患者随机分为常规组和干预组各49例,常规组行安全护理、日常生活护理、饮食护理等常规护理措施,干预组在常规组护理基础上给予心理护理、特殊护理、睡眠护理等特殊护理干预措施.结果:4周后干预组患者汉密顿焦虑量表(HAMA)评分、睡眠质量及临床疗效明显优于常规组,差异均有统计学意义(P<0.05).结论:对首次入院广泛性焦虑患者实施特殊护理干预措施可显著提高临床疗效.%Objective: To investigate the effect of nursing intervention on the patients with generalized anxiety disorder due to the initial hospitalization.Methods: 98 patients with generalized anxiety disorder due to the initial hospitalization were randomly divided into routine nursing care group and intervention group ( 49 cases for each group ).The routine nursing measures were taken in the routine nursing care, including safety care, daily living care and diet care.The nursing intervention measures were applied in the intervention group based on routine nursing care , such as psychological care, special care and sleep care.Results:The scores of Hamilton Anxiety Scale ( HAMA), sleep quality and clinical efficacy were superior to in the intervention group to the routine nursing care group after the intervention for 4 weeks and the differences were statistically significant between the two groups ( P < 0.05 ).Conclusion: The special nursing intervention measures applied to the patients with generalized anxiety disorder due to the initial hospitalization can significantly improve the clinical efficacy of treatment.

  13. 早期护理干预对回肠造口皮肤并发症的影响研究%The Effect of Early Nursing Intervention on Skin Complications of Ileum Stoma

    Institute of Scientific and Technical Information of China (English)

    匡亚飞

    2016-01-01

    Objective To explore the effect of early nursing intervention on skin complications of ileum stoma.Methods 68 cases of patients were selected and divided into two groups, control group (34 cases) and observation group (34 cases) were treated respectively with routine nursing and early nursing intervention.ResultsThe incidence of complications after nursing care was signiifcantly different in the observation group and the control group (P<0.05).Conclusion The early nursing intervention can reduce the incidence of complications of patients with ileostomy.%目的:探索早期护理干预对回肠造口皮肤并发症的影响。方法选取我院收治的68例行回肠造口术患者,将患者动态随机化分为两组,对照组和观察组分别采用常规护理和早期护理干预,两组患者各有34例。结果观察组和对照组两组患者,对比护理后总并发症发生率差异具有统计学意义(P<0.05)。结论早期护理干预对行回肠造口术患者效果显著,可降低并发症发生率。

  14. An intervention aimed at reducing plagiarism in undergraduate nursing students.

    Science.gov (United States)

    Smedley, Alison; Crawford, Tonia; Cloete, Linda

    2015-05-01

    Plagiarism is a current and developing problem in the tertiary education sector where students access information and reproduce it as their own. It is identified as occurring in many tertiary level degrees including nursing and allied health profession degrees. Nursing specifically, is a profession where standards and ethics are required and honesty is paramount. The aim of this study was to evaluate the change in nursing student's knowledge and understanding of plagiarism before and after an educational intervention in their first semester of the Bachelor of nursing degree at a private college of higher education in Sydney, Australia. This study concluded that an educational intervention can increase knowledge and awareness of plagiarism among nursing students.

  15. The Application of Overall Nursing Intervention in Children With Diarrhea Effect Assessment%整体护理干预在小儿腹泻护理的应用效果评价

    Institute of Scientific and Technical Information of China (English)

    刘银梅

    2015-01-01

    目的:就整体护理干预在小儿腹泻护理中的临床价值进行了浅显的研究和探讨。方法自2012年1月~2015年1月期间,我院接诊70例小儿腹泻患儿,将其平均分为实验组(n=35)和对照组(n=35)。对照组给予患儿常规护理,实验组患儿给予整体护理干预,对两组患儿护理家属满意度以进行观察和统计。结果实验组患儿家属护理满意度高于对照组(P<0.05)。结论整体护理干预应用于小儿腹泻中效果显著,有效改善了患儿的临床症状。%Objective To the holistic nursing intervention of clinical value in children with diarrhea in nursing and to make simple research.Methods 2012 January to 2015 January in our hospital during the reception, 70 cases of infantile diarrhea in children, the average divided into experimental group (n=35) and control group (n=35). The control group was given routine nursing care of children, the experimental group were given holistic nursing intervention on satisfaction of nursing, two groups of children with families for observation and statistics.Results In the experimental group family nursing satisfaction is significantly higher than the control group (P<0.05). ConclusionThe whole nursing intervention effect on infantile diarrhea significantly, effectively improve the clinical symptoms in children, and is worthy of promotion and application in clinical medicine widely.

  16. The Effect of Nursing Intervention in Treatment of Elderly Patients With Hypertension and Stroke%护理干预对老年高血压合并脑卒中患者治疗效果的影响

    Institute of Scientific and Technical Information of China (English)

    李玲

    2016-01-01

    目的:探索个性化护理干预应用于老年高血压合并脑卒中的效果。方法选取我院心血管内科收治的85例老年高血压合并脑卒中患者作为研究对象,将其随机分成观察组和对照组,给予对照组常规护理方法,观察组个性化护理干预,对比分析护理效果。结果观察组护理后的收缩压、舒张压均低于对照组,且护理满意度97%,高于对照组的86.67%,P<0.05。结论个性化护理干预在老年高血压合并脑卒中中应用价值显著,有助于控制病情,提高护理满意度。%Objective To explore the effect of individualized nursing intervention in elderly hypertensive patients with stroke.Methods Selected 85 cases admitted in our hospital cardiovascular internal medicine in elderly patients with hypertension combined stroke as the research object, which were randomly divided into observation group and control group, give the control group patients with routine nursing methods, give personalized nursing intervention group patients, contrast analysis the nursing effect of two groups.Results The systolic blood pressure after the observation group care, diastolic blood pressure were lower than the control group, and nursing satisfaction 97% higher than the 86.67%,P<0.05.Conclusion Individualized nursing intervention in elderly hypertensive patients with stroke with obvious application value, to control the disease, improve nursing satisfaction.

  17. 优质护理干预在妇产科护理中的应用效果观察%Application effect observation of high quality nursing intervention in gynecology and obstetrics nursing

    Institute of Scientific and Technical Information of China (English)

    邹颖

    2016-01-01

    目的:探讨优质护理干预在妇产科护理工作中的应用价值。方法:将160例妇产科患者随机分为观察组和对照组各80例,对照组采用常规护理模式,观察组采用优质护理干预模式,比较两组患者诊疗依从性评分、护理质量评分、护理满意度评分。结果:观察组患者诊疗依从性评分、护理质量评分、护理满意度评分均明显优于对照组(P<0.05)。结论:在妇产科病房中实施优质护理干预符合现代人们对高品质生活的要求,能够明显提高护理质量及护理满意度。%Objective:To explore the application value of high quality nursing intervention in gynecology and obstetrics nursing work.Methods:160 cases of obstetrics and gynecology patients were randomly divided into the observation group and the control group with 80 cases in each.The control group was given routine nursing mode.The observation group was given high quality nursing intervention mode.The diagnosis and treatment compliance scores,nursing quality scores and nursing satisfaction scores of two groups were compared.Results:The diagnosis and treatment compliance scores,nursing quality scores and nursing satisfaction scores of the observation group were significantly better than those of the control group(P<0.05).Conclusion:Implementation of high quality nursing intervention in the gynecology and obstetrics ward accords with the requirements of high quality life of modern people,it can significantly improve the nursing quality and nursing satisfaction.

  18. Clinical effect of nursing intervention on infantile diarrhea%护理干预在小儿秋季腹泻中的应用效果观察

    Institute of Scientific and Technical Information of China (English)

    张刚琴

    2015-01-01

    Objective To study clinical effect of nursing intervention on infantile diarrhea. Methods From Septem-ber 2011 to November 2012 in the Third People's Hospital of Zigong City 80 children with infantile diarrhea were selected,then they were randomly divided into study group and control group,40 cases in each group. Based on antidiarrheal treatment,control group was given routine care,study group was given nursing care intervention on the base of control group,antidiarrheal time, fever time,vomiting relief time,dehydration correct time and hospitalization time were compared. Results Total effective rate of study group(100. 0% )was higher than control group(87. 5% ),the difference was statistically significant(P < 0. 05). Antidiarrheal time,fever time,vomiting relief time,dehydration correct time and hospitalization time of study group were shor-ter than control group,the differences were statistically significant(P < 0. 05). Conclusion Infantile diarrhea has high morbi-clity,with acute onset,nursing interventions can effectively improve the therapeutic effect,reduce the suffering of children, shorten the treatment time,has significant clinical effect.%目的:探讨护理干预应用于小儿秋季腹泻的效果。方法选取自贡市第三人民医院2011年9月—2012年11月收治的80例秋季腹泻患儿,随机分为研究组与对照组,每组40例。相同止泻治疗情况下对照组患儿行常规护理,研究组患儿在对照组护理基础上行护理干预,比较两组患儿止泻时间、退热时间、呕吐改善时间、脱水纠正时间及住院时间。结果研究组总有效率(100.0%)高于对照组(87.5%),差异有统计学意义(P <0.05)。研究组患儿止泻时间、退热时间、呕吐改善时间、脱水纠正时间短于对照组患儿(P <0.05)。结论小儿秋季腹泻发病率高、起病急,临床治疗时结合护理干预措施可以有效提高治疗效果,减轻患儿痛苦,缩短治疗

  19. 综合护理干预对输尿管皮肤造口患者出院后的影响%Effect of integrated nursing intervention on cutaneous ureterostomy patients after discharge

    Institute of Scientific and Technical Information of China (English)

    高丽英; 粟莉

    2014-01-01

    To explore the effect of integrated nursing intervention on cutaneous ureterostomy patients after discharge. A follow-up mechanism, ensure continuity nursing intervention, improve the cognitive level of patients with colostomy, the elimination of self-image disorder; teaching ostomy care skills, enhance patient self-care ability; the correct choice of ostomy care products; direct observation and treatment of complications, improve the self nursing ability of patients, enhance self-confi dence, reduce the complication occurrence. That post discharge nursing intervention can effectively improve the ureter ostomy patients self nursing knowledge and skills, should actively carry out the nursing intervention ostomy patients, improve the quality of life in patients with the greatest degree of.%探讨综合护理干预对输尿管皮肤造口患者出院后的影响。建立随访机制,确保护理干预的延续性,提高患者造口认知水平,消除自我形象紊乱;传授造口护理技巧,提升患者的自理能力;正确选择造口护理用品;指导并发症的观察和处理等,提升了患者的自我护理能力,增强了自信心,减少了并发症的发生。认为出院后护理干预可有效提高输尿管造口患者的自我护理知识和技能,应积极开展针对尿路造口患者的护理干预措施,最大程度的改善患者生活质量。

  20. Effectiveness of nursing interventions based on family needs on family satisfaction in the neurosurgery intensive care unit

    OpenAIRE

    Yousefi, Hojatollah; Afsaneh KARAMI; Moeini, Mahin; Ganji, Hamid

    2012-01-01

    Background: Since the family is a social system, the impairment in each of its component members may disrupt the entire family system. One of the stress sources for families is accidents leading to hospitalization particularly in the intensive care unit (ICU). In many cases, the families’ needs in patient care are not met that cause dissatisfaction. Since the nurses spend a lot of time with patients and their families, they are in a good position to assess their needs and perform appropriate ...

  1. Evaluation of the ACT intervention to improve nurses' cardiac triage decisions.

    Science.gov (United States)

    Arslanian-Engoren, Cynthia; Hagerty, Bonnie; Eagle, Kim A

    2010-10-01

    Emergency department (ED) nurses are in a key position to initiate life-saving recommendations for myocardial infarction, which include a physician-read electrocardiogram (ECG) within 10 min of ED arrival. Using a quasi-experimental, one-group pretest-posttest design, the authors evaluated the preliminary effectiveness of the Aid to Cardiac Triage (ACT) intervention to improve ED nurses' cardiac triage decisions. Charts of all women who received an ED ECG 3 months before ( n = 171) and after (n = 184) the intervention and who were at least 18 years of age were reviewed. A 1-hr educational session was conducted to improve nurses' (n = 23) cardiac triage decisions. Postintervention, the proportion of women receiving an ECG within 10 min of ED arrival improved, as did the odds of women receiving a timely ECG. Preliminary evaluation of the ACT intervention indicates its effectiveness at improving ED nurses' cardiac triage decisions and obtaining a 10-min physician-read ECG.

  2. Evaluation of a Cultural Competence Intervention with Implications for the Nurse-Patient Encounter

    Science.gov (United States)

    Bradford, Althea Betty

    2012-01-01

    A short-term intervention on participants' knowledge of cultural competence was provided to 38 students in a baccalaureate nursing program at Winston-Salem State University (WSSU). The study examined the effectiveness of this intervention. Although WSSU is a Historically Black University, the majority of students in this program were White. Six…

  3. Nursing on empty: compassion fatigue signs, symptoms, and system interventions.

    Science.gov (United States)

    Harris, Chelsia; Griffin, Mary T Quinn

    2015-01-01

    Few healthcare organizations acknowledge, discuss, or provide interventions for assisting with compassion fatigue. Yet, it is an important concept due to its individual, professional, and financial costs. This article defines compassion fatigue, differentiates it from burnout, and offers system interventions for supporting nurses and reducing compassion fatigue.

  4. Evaluation of an intervention on socio cultural communication skills of international nurses.

    Science.gov (United States)

    Xu, Yu; Shen, Jay; Bolstad, Anne L; Covelli, Margaret; Torpey, Miriam

    2010-01-01

    International nurses face a myriad of challenges in their transition, adaptation, and integration into the U.S. health care environment. This pilot intervention study examined socio-cultural competence regarding communication in a sample of international nurses working in two community hospitals in southern Nevada. Significant improvement in communication behaviors of the sampled international nurses with regard to socio-cultural skills of communication after the workshop intervention were not found. Similarly, there were no remarkable differences in standardized patient comments for most items on the checklist. However, the sampled international nurses demonstrated some highly desirable qualities such as being very personable, caring, and compassion that appeared to lay a foundation for an effective nurse-patient relationship.

  5. 糖尿病患者介入治疗中的舒适护理%Effect of comfort nursing on diabetic patients with interventional therapy

    Institute of Scientific and Technical Information of China (English)

    张英辉; 李琳

    2009-01-01

    Objective To discuss the influence of nursing intervention on psychological state and postoperative conffort of diabetic patients with interventional therapy. Methods 49 patients who were to receive interventional therapy were randomized into the experimental group and the control group.The con-trol group received routine nursing while the experimental group was given systemic comfort nursing inter-vention based on routine nursing intervention.The anxiety status and incidence of complications before and after the operation were compared by χ2 and t test. Results The anxiety alleviation in the experimental group was better than that of the control group.The incidence of waist- back pain, dysuria, catheter emic-tion, anaesthesia of lower limbs, fidget in the experimental group also more significantly decreased com-pared with those of the control group. Conclusions Systemic nursing intervention can improve the pay-chological and postoperative comfort for diabetic patients with interventional therapy.%目的 探讨护理干预对糖尿病介入治疗患者心理状况及术后舒适度的影响.方法 将49例择期行介入治疗的糖尿病患者随机分为实验组25例和对照组24例,对照组实施传统的常规护理,实验组在此基础上给予系统的舒适护理干预.比较2组患者手术前后焦虑情况变化及术后并发症的发生率.进行t检验和χ2检验.结果 实验组患者术后焦虑改善情况明显优于对照组,术后腰背疼痛、排尿困难、导尿、下肢麻木、心烦失眠的发生率较对照组显著降低.结论 实施系统的护理干预措施可改善糖尿病介入治疗患者心理状况及术后舒适度.

  6. The Clinical Effect of Comprehensive Nursing Intervention on Transient Ischemic Attack%综合护理干预对短暂性脑缺血发作的临床效果

    Institute of Scientific and Technical Information of China (English)

    刘欢欢

    2015-01-01

    Objective To investigate the effect of comprehensive nursing interventions used in clinical Transient ischemic attack in.Methods Our hospital from February 2013 to February 2014 admitted Transient ischemic attack 82 patients were randomly divided into two groups of 41 cases, Give comprehensive nursing intervention in the intervention group, referring to the intervention group underwent routine care, compared to its effect.ResultsThe intervention group cure rate (80.49%) and nursing satisfaction (95.12%) were significantly higher than the reference group (53.66%, 78.05%) high, differences were statistically signiifcant (P<0.05). Conclusion Comprehensive nursing intervention applies Transient ischemic attack, the patient can be cured effectively promote and improve their care and satisfaction.%目的:探讨综合护理干预应用于短暂性脑缺血发作中的临床效果。方法将我院2013年2月~2014年2月收治的短暂性脑缺血发作患者82例随机分为两组各41例,给予干预组综合护理干预,参照组行常规护理干预,对比其效果。结果干预组的治愈率(80.49%)和护理满意度(95.12%)均较参照组(53.66%,78.05%)高,差异性均有统计学意义(P<0.05)。结论综合护理干预应用于短暂性脑缺血发作中,可有效促进患者治愈,提高其护理满意度。

  7. Improved quality of nursing documentation: results of a nursing diagnoses, interventions, and outcomes implementation study.

    NARCIS (Netherlands)

    Müller-Staub, M.; Needham, I.; Odenbreit, M.; Lavin, M.A.; Achterberg, T. van

    2007-01-01

    PURPOSE: To evaluate the impact of the quality of nursing diagnoses, interventions, and outcomes in an acute care hospital following the implementation of an educational program. METHOD: In a pretest-posttest experimental design study, nurses from 12 wards of a Swiss hospital received an educational

  8. Improved quality of nursing documentation: results of a nursing diagnoses, interventions, and outcomes implementation study.

    NARCIS (Netherlands)

    Müller-Staub, M.; Needham, I.; Odenbreit, M.; Lavin, M.A.; Achterberg, T. van

    2007-01-01

    PURPOSE: To evaluate the impact of the quality of nursing diagnoses, interventions, and outcomes in an acute care hospital following the implementation of an educational program. METHOD: In a pretest-posttest experimental design study, nurses from 12 wards of a Swiss hospital received an educational

  9. Educational intervention of undergraduate nursing students' confidence skills with alcohol and drug misusers.

    Science.gov (United States)

    Rassool, G Hussein; Rawaf, Salman

    2008-04-01

    There is a paucity literature on the educational interventions and evaluation programmes in alcohol and drug with undergraduate nursing students in the United Kingdom and this study intends to add a body of knowledge to this area. The aim of the study was to assess the intervention confidence skills of undergraduate nursing students before and after an educational intervention on alcohol and drug misuse. The research study is a quasi-experimental, pre- and post-test design. The sample was made of four cohorts of undergraduate nursing students (n=110) enrolled at a course leading to a diploma or BSc in nursing from three educational institutions. A visual analogue scale was used to measure intervention confidence skills before and after the educational programme in alcohol and drug. The findings showed an improvement in the level of intervention confidence skills of undergraduate nursing students. Further research is needed to examine effectiveness of educational interventions in working with substance misusers and whether substance misuse education is the key predictor of changing in changing intervention confidence skills.

  10. Biofeedback Intervention for Stress, Anxiety, and Depression among Graduate Students in Public Health Nursing

    Directory of Open Access Journals (Sweden)

    Paul Ratanasiripong

    2015-01-01

    Full Text Available Globally, graduate students have been found to have high prevalence of mental health problems. With increasing severity of mental health problems on university campuses and limited resources for mental health treatment, alternative interventions are needed. This study investigated the use of biofeedback training to help reduce symptoms of stress, anxiety, and depression. A sample of 60 graduate students in public health nursing was randomly assigned to either the biofeedback intervention or the control group. Results indicated that biofeedback intervention was effective in significantly reducing the levels of stress, anxiety, and depression over the 4-week period, while the control group had increases in symptoms of anxiety and depression over the same timeframe. As future leaders in the public health nursing arena, the more psychologically healthy the graduate students in public health nursing are, the better the public health nursing professionals they will be as they go forth to serve the community after graduation.

  11. Establishing competency in the use of North American Nursing Diagnosis Association, Nursing Outcomes Classification, and Nursing Interventions Classification terminology.

    Science.gov (United States)

    Keenan, Gail; Falan, Sharie; Heath, Crystal; Treder, Marcy

    2003-01-01

    The purpose of this study was to evaluate a 16-hour intervention designed to build clinician competency in the use of North American Nursing Diagnosis Association (NANDA), Nursing Outcome Classification (NOC), and Nursing Interventions Classification (NIC) (hereinafter: N3) among nurses with limited N3 knowledge. Each of 19 pairs of nurses independently selected N3 terms and rated the outcomes applicable to an actual patient for a specified time. A pair-through discussion then created a single consensus patient profile of the applicable terms. Before discussion, pairs agreed on 46% of the NANDA diagnoses, 30% of the NOC outcomes, and 20% of the NIC interventions selected. Eighty-nine percent of NOC label pair ratings were within 1 point. Building competency in N3 requires consistent use in written and oral communication with peers across time. Inter-rater reliabilities (IRRs) for NOC label ratings support previous findings.

  12. Music as a nursing intervention: effects of music listening on blood pressure, heart rate, and respiratory rate in abdominal surgery patients.

    Science.gov (United States)

    Vaajoki, Anne; Kankkunen, Päivi; Pietilä, Anna-Maija; Vehviläinen-Julkunen, Katri

    2011-12-01

    Contradictory results have been presented on how music listening affects patients' blood pressure, heart rate, and respiratory rate. The aim of the present study was to evaluate the effects of music listening on blood pressure, heart rate, and respiratory rate on operation day, and on the first, second, and third postoperative days in abdominal surgery patients. Using a quasi-experimental pretest-post-test design, 168 abdominal surgery patients were assigned every second week to the music group (n=83) or to the control group (n=85) for 25 months. In the music group, the respiratory rate was significantly lower after intervention on both the first and second postoperative days compared with the control group. A significant reduction in systolic blood pressure was demonstrated in the group that received music compared with the control group on both the first and second postoperative days. Evaluation of the long-term effects of music on physiological factors showed that the respiratory rate in the music group was significantly lower compared with the control group. Nurses should offer music listening to surgery patients because of its potential benefit.

  13. Interventions to prevent back pain and back injury in nurses: a systematic review.

    Science.gov (United States)

    Dawson, Anna P; McLennan, Skye N; Schiller, Stefan D; Jull, Gwendolen A; Hodges, Paul W; Stewart, Simon

    2007-10-01

    A systematic literature review was undertaken to assess the effectiveness of interventions that aim to prevent back pain and back injury in nurses. Ten relevant databases were searched; these were examined and reference lists checked. Two reviewers applied selection criteria, assessed methodological quality and extracted data from trials. A qualitative synthesis of evidence was undertaken and sensitivity analyses performed. Eight randomised controlled trials and eight non-randomised controlled trials met eligibility criteria. Overall, study quality was poor, with only one trial classified as high quality. There was no strong evidence regarding the efficacy of any interventions aiming to prevent back pain and injury in nurses. The review identified moderate level evidence from multiple trials that manual handling training in isolation is not effective and multidimensional interventions are effective in preventing back pain and injury in nurses. Single trials provided moderate evidence that stress management programs do not prevent back pain and limited evidence that lumbar supports are effective in preventing back injury in nurses. There is conflicting evidence regarding the efficacy of exercise interventions and the provision of manual handling equipment and training. This review highlights the need for high quality randomised controlled studies to examine the effectiveness of interventions to prevent back pain and injury in nursing populations. Implications for future research are discussed.

  14. The Effect of Acute Appendicitis in Patients With Clinical Treatment Effect of Nursing Intervention%护理干预对急性阑尾炎患者临床治疗效果的影响

    Institute of Scientific and Technical Information of China (English)

    王春燕

    2016-01-01

    Objective To explore the effect of nursing intervention on the clinical treatment of acute appendicitis.Methods 80 cases were randomly divided into observation group and control group. All patients were treated with appendectomy, routine nursing after operation, and the observation group received scientiifc nursing intervention.Results In the observation group, the time of operation, the feeding time and hospitalization time were signiifcantly shorter than the control group, the incidence of complications was significantly lower than that of the control group, the difference was statistically significant (P<0.05).ConclusionNursing intervention can significantly improve the prognosis and reduce the incidence of complications.%目的:探讨护理干预对急性阑尾炎临床治疗效果的影响。方法80例患者随机分为观察组和对照组。所有患者均行阑尾切除术治疗,术后行常规护理,观察组给予科学的护理干预。结果观察组手术治疗时间、术后进食时间和住院时间都低于对照组,并且并发症的发生率也低于对照组,数据差异具有统计学意义(P<0.05)。结论护理干预可以明显改善预后,减少并发症的发生。

  15. 全程护理干预在小儿包皮环切术中应用效果的研究%Application Effect of Whole Nursing Intervention to Pediatric Circumcision

    Institute of Scientific and Technical Information of China (English)

    孙海春; 傅晓玲; 董兴敏

    2015-01-01

    Objective To study the application effect of whole nursing intervention to pediatric circumcision. Methods 100 cases with pediatric circumcision were selected and equally divided into the control group and the observation group with 50 cases in each. The control group were given the conventional nursing, while the observation group were given whole nursing intervention. And the nursing efficacy was compared between the two groups. Results The differences in degree of edema, swelling time, fear and nursing satisfaction and other indicators between the two groups were statistically significant(P<0.05). Conclusion Whole nurs-ing intervention applied to pediatric circumcision has satisfactory effect, therefore it is worthy of application and promotion.%目的:研究全程护理干预在小儿包皮环切术中应用效果。方法取100例小儿包皮环切术病例根据随机数字表法将其均分为对照组与观察组各50例,对照组采取常规护理模式,观察组患儿则接受全程护理干预,对比两组护理效果。结果两组水肿程度、水肿时间、恐惧情绪及护理满意度等指标差异有统计学意义(P<0.05)。结论在小儿包皮环切术中,全程护理干预方案应用效果满意,值得推广使用。

  16. Prioritising Responses Of Nurses To deteriorating patient Observations (PRONTO) protocol: testing the effectiveness of a facilitation intervention in a pragmatic, cluster-randomised trial with an embedded process evaluation and cost analysis.

    Science.gov (United States)

    Bucknall, Tracey K; Harvey, Gill; Considine, Julie; Mitchell, Imogen; Rycroft-Malone, Jo; Graham, Ian D; Mohebbi, Mohammadreza; Watts, Jennifer; Hutchinson, Alison M

    2017-07-11

    Vital signs are the primary indicator of physiological status and for determining the need for urgent clinical treatment. Yet, if physiological signs of deterioration are missed, misinterpreted or mismanaged, then critical illness, unplanned intensive care admissions, cardiac arrest and death may ensue. Although evidence demonstrates the benefit of early recognition and management of deteriorating patients, failure to escalate care and manage deteriorating patients remains a relatively frequent occurrence in hospitals. A pragmatic cluster-randomised controlled trial design will be used to measure clinical effectiveness and cost of a facilitation intervention to improve nurses' vital sign measurement, interpretation, treatment and escalation of care for patients with abnormal vital signs. A cost consequence analysis will evaluate the intervention cost and effectiveness, and a process evaluation will determine how the implementation of the intervention contributes to outcomes. We will compare clinical outcomes and costs from standard implementation of clinical practice guidelines (CPGs) to facilitated implementation of CPGs. The primary outcome will be adherence to the CPGs by nurses, as measured by escalation of care as per organisational policy. The study will be conducted in four Australian major metropolitan teaching hospitals. In each hospital, eight to ten wards will be randomly allocated to intervention and control groups. Control wards will receive standard implementation of CPGs, while intervention wards will receive standard CPG implementation plus facilitation, using facilitation methods and processes tailored to the ward context. The intervention will be administered to all nursing staff at the ward level for 6 months. At each hospital, two types of facilitators will be provided: a hospital-level facilitator as the lead; and two ward-level facilitators for each ward. This study uses an innovative, networked approach to facilitation to enable uptake of

  17. Restoring the spirit at the end of life: music as an intervention for oncology nurses.

    Science.gov (United States)

    Halstead, Marilyn Tuls; Roscoe, Sherry Tuls

    2002-01-01

    Music is a useful therapeutic intervention that can improve quality of life for dying patients. Physiologic mechanisms in response to carefully chosen musical selections help to alleviate pain, anxiety, and nausea and induce sleep. Expression of feelings enhances mood. Palliative care nurses increase the effectiveness of this intervention through careful assessment of patient needs, preferences, goals of intervention, and available resources. Music, a universal language, is an important clinical adjunct that addresses individual and family needs, thereby assisting patients to achieve a peaceful death. This article explores musical categories of preferences to assist nurses, patients, and families in choosing music that meets specific therapeutic objectives.

  18. Effect of Nursing Intervention on Surgical Patients with Sleep Disorders%护理干预对手术患者睡眠障碍的影响

    Institute of Scientific and Technical Information of China (English)

    夏先萍; 张贵清

    2012-01-01

      Objective TO investigate methods of care to reduce the sleep disorders of surgical patients. Methods 280 cases with surgical patients in our hospital from March 2010 to July 2010 were as the control group,280 cases with surgical patients in our hos-pital from August 2010 to December 2010 were as the experimental group. The control group received normal care, the experimental group carried out the appropriate nursing intervention in addition to normal care. Sleep of two groups were surveyed. Patients with sleep disorders were surveyed the types and causes of sleep disorders with the self-questionnaire. Results The control group had 120 cases with sleep disorders, experimental group had 45 cases with sleep disorders, there was statistically significant differences be-tween the two groups(P0.05). Conclusion Nursing intervention can improve the sleep position of the surgical patients and reduce the incidence of sleep disorders, but it can not effect on the typing of of sleep disorder Significantly.%  目的探讨减轻手术患者睡眠障碍的护理方法.方法选择本院2010年3月~2010年7月的手术患者280例患者为对照组,2010年8月~2010年12月的280例手术患者为实验组.对照组采用常规护理,实验组除常规护理外,进行相应的护理干预.比较2组患者的睡眠状况,并对睡眠障碍的患者采用自拟问卷方式调查睡眠障碍类型及原因.结果对照组出现睡眠障碍120例,实验组睡眠障碍45例,2组比较差异具有统计学意义(P0.05).结论护理干预能改善手术患者的睡眠状况,减少睡眠障碍的发生,但对睡眠障碍分型无明显影响.

  19. Application effect of nursing intervention in endocrine disorders osteo-porosis%护理干预在内分泌失调性骨质疏松症中的应用效果

    Institute of Scientific and Technical Information of China (English)

    张洁筠

    2015-01-01

    目的:探讨护理干预在内分泌失调性骨质疏松症中的应用效果。方法选取2012年12月~2014年12月我院收治的86例分泌失调性骨质疏松症患者,将其随机分为对照组和观察组,每组43例。对照组采用常规护理措施,观察组在对照组基础上采用护理干预和健康教育的护理措施。对两组患者的护理有效率和患者满意度进行对比分析。结果观察组患者的护理满意度为97.67%,高于照组患者的88.37%;护理有效率为95.35%,显著高于对照组的74.42%,两组差异有统计学意义(P<0.05)。结论在基础护理的基础上增加干预护理可提高内分泌失调性骨质疏松症患者的护理满意度及护理有效率,值得临床推广应用。%Objective To explore the application effect of nursing intervention in endocrine disorders osteoporosis. Methods 86 patients with endocrine disorders osteoporosis admitted into our hospital from December 2012 to December 2014 were selected and randomly divided into control group and observation group,43 cases in each group. The control group was used conventional nursing measures,while the observation group was used nursing intervention and health education measures on the basis of control group.Nursing efficiency and patient satisfaction in two groups were analyzed. Results The nursing satisfaction in observation group was 97.67%,which was higher than 88.37% of control group.Nursing efficiency in observation group was 95.35%,which was higher than 74.42% of control group.The differences were significant(P<0.05). Conclusion On the basis of nursing care,nursing intervention can improve nursing satisfaction and nursing efficiency in patients with endocrine disorders osteoporosis,it is worthy of clinic application.

  20. 饮食护理干预对糖尿病肾病患者饮食治疗依从性的影响%Effect of diet nursing intervention on curative compliance of patients with diabetic nephropathy

    Institute of Scientific and Technical Information of China (English)

    李妙玲

    2012-01-01

    Objective To investigate the effect of diet nursing intervention on the curative compliance of patients with diabetic nephropathy. Methods 171 patients with diabetic nephropathy hospitalized in the hospital received diet nursing intervention besides routine treatment and nursing, including assessment of patient's conditions, diet instructions to patients and their families and conducting of wardmate get-together. The dieting compliance before nursing intervention was compared with that after intervention. Results The dieting compliance after diet nursing intervention was significantly better than that before intervention (P < 0.0S). Conclusion Diet nursing intervention may enhance the knowledge of diabetic nephropathy patients on alimentary control, improve the compliance of diet therapy, delay the deterioration of diabetes and improve the curative effect.%目的 探讨饮食护理干预对糖尿病肾病患者饮食治疗依从性的效果.方法 选择在本院住院治疗的171例糖尿病肾病患者,在常规治疗和护理的同时,实施饮食护理干预,内容包括评估患者情况、对患者和家属进行饮食指导、举办病友交流会.比较实施饮食护理干预前后患者饮食治疗依从性的差异.结果 实施饮食护理干预后患者饮食治疗依从性优于干预前,干预前后比较,均P< 0.05,差异具有统计学意义.结论 饮食护理干预在提高糖尿病肾病患者对饮食治疗相关知识理解和掌握的同时,提高了患者饮食治疗的依从性,进而延缓疾病的进展和提高治疗效果.

  1. Nursing Education Interventions for Managing Acute Pain in Hospital Settings: A Systematic Review of Clinical Outcomes and Teaching Methods.

    Science.gov (United States)

    Drake, Gareth; de C Williams, Amanda C

    2017-02-01

    The objective of this review was to examine the effects of nursing education interventions on clinical outcomes for acute pain management in hospital settings, relating interventions to health care behavior change theory. Three databases were searched for nursing education interventions from 2002 to 2015 in acute hospital settings with clinical outcomes reported. Methodological quality was rated as strong, moderate, or weak using the Effective Public Health Practice Project Quality Assessment Tool for quantitative studies. The 12 eligible studies used varied didactic and interactive teaching methods. Several studies had weaknesses attributable to selection biases, uncontrolled confounders, and lack of blinding of outcome assessors. No studies made reference to behavior change theory in their design. Eight of the 12 studies investigated nursing documentation of pain assessment as the main outcome, with the majority reporting positive effects of education interventions on nursing pain assessment. Of the remaining studies, two reported mixed findings on patient self-report of pain scores as the key measure, one reported improvements in patient satisfaction with pain management after a nursing intervention, and one study found an increase in nurses' delivery of a relaxation treatment following an intervention. Improvements in design and evaluation of nursing education interventions are suggested, drawing on behavior change theory and emphasizing the relational, contextual, and emotionally demanding nature of nursing pain management in hospital settings.

  2. 应用综合护理干预对预防产后抑郁症的影响%Application of Comprehensive Nursing Intervention Effects on Prevention of Postpartum Depression

    Institute of Scientific and Technical Information of China (English)

    王祯

    2015-01-01

    Objective To explore the clinical effect of comprehensive nursing intervention on prevention of postpartum depression.Methods 140 cases of maternal randomly divided into two groups. Control group routine nursing, the observation group in the control group up the basis of comprehensive nursing intervention.Resultsthe observation group of SDS score, survival quality score is better than the control group (P<0.05). ConclusionComprehensive nursing intervention can signiifcantly eliminate the maternal anxiety, depression and other negative emotions, reduce the incidence of postpartum depression.%目的:探讨综合护理干预对预防产后抑郁症的临床效果。方法随机将140例产妇分为两组。对照组行常规护理,观察组在对照组的基础上行综合护理干预。结果观察组SDS 得分、生存质量得分优于对照组(P<0.05)。结论综合护理干预可明显消除产妇焦虑、抑郁等负面情绪,降低产后抑郁症发生率。

  3. 综合干预对乳腺癌术后化疗患者心理状态的影响%Effect of general nursing intervention on the mental state of patients with breast cancer undergoing chemotherapy

    Institute of Scientific and Technical Information of China (English)

    曾慧美; 陈春贤; 林克如; 汪红霞; 范晓兰

    2014-01-01

    Objective To investigate the effect of general nursing intervention on the mental state of the patients with breast cancer undergoing chemotherapy.Methods Forty-eight breast cancer patients undergoing postoperative chemotherapy received nursing general interventions including healthy education,psychological nursing care,pantosomatous,relaxation therapy and rehabilitative exercise. All patients were evaluated by self-rating depression scale (SDS) and depression status inventory (DSI) before and after the general intervention.Result The scores of SDS and DSI after intervention were significantly lower than those before intervention (bothP<0.05).Conclusion The general nursing intervention could significantly improve patients’ psychological state and life quality,promote rehabilitation and improve their quality of life.%目的:探讨综合干预对乳腺癌术后化疗患者心理状态的影响。方法对48例乳腺癌术后化疗患者实施综合干预,包括疾病知识教育、心理护理、放松疗法、康复锻炼等。干预前后采用抑郁自评量表(self-rating depression scale,SDS)及抑郁状态问卷(depression status inventory,DSI)对患者进行测评。结果干预后患者SDS和DSI得分均较干预前低,干预前后比较,差异具有统计学意义(均P<0.05)。结论综合干预可改善乳腺癌术后化疗患者心理状态,促进患者康复,提高患者生命质量。

  4. Assessment of an educational intervention based on constructivism in nursing students from a Mexican public university.

    Science.gov (United States)

    Jiménez Trujano, Laura; Morán Peña, Laura

    2015-12-01

    This work sought to evaluate the effect of an educational intervention centered on the analysis of clinical cases to inquire on conceptual learning in students on the theme of nursing care of women with complicated puerperium. This was a quasi-experimental study with before and after evaluation. Two groups of students participated from the eighth semester of the nursing program, which professionalized individuals who were already nursing technicians: the study group (n = 33) was taught the theme of nursing care to women with complicated puerperium with the case analysis technique and the control group (n = 27) received traditional teaching. A self-applied question here was used related to the thematic unit, which included three clinical cases and the resolution of a total of 37 questions related to set cases. This questionnaire was the same applied before and after the intervention. The pre-intervention mean score was similar in both groups (26 during the study and 27 during the intervention). Upon completing the educational intervention, the post-intervention scores were equal in both groups (27 points). The intra-group analysis showed that in the study group the intervention produced a slight change in conceptual learning, which was statistically significant. During the post-hoc analysis differences in scores were found in students who worked in hospitals with tier three level of care. Educational intervention favored conceptual learning slightly in the study group. It is necessary to explore other intervening variables that propitiate this learning in the program.

  5. Effectiveness of pelvic lead blanket to reduce the doses to eye lens and hands of interventional cardiologists and assistant nurses.

    Science.gov (United States)

    Grabowicz, W; Domienik-Andrzejewska, J; Masiarek, K; Górnik, T; Grycewicz, T; Brodecki, M; Lubiński, A

    2017-09-01

    The aim of the present study is to analyse quantitatively the potential reduction of doses to the eye lens and the hands of an operator and a nurse by the use of a pelvic lead blanket during coronary angiography (CA) and percutaneous transluminal coronary angioplasty (PTCA) procedures. Thermoluminescent dosimeters were used to assess dose levels to the left eye lens and fingers on both hands of both physician and nurses during single procedures performed with or without the lead blanket. The measurements were carried out at one medical centre and include dosimetric data from 100 procedures. Additional measurements including physician's and patient's doses were made on phantoms in the laboratory. In order to determine the reduction potential of the lead blanket, the doses normalized to DAP (Dose-Area Product) corresponding to the same position of dosimeter were compared against each other for both procedure categories (with and without protection). There was no statistically significant decrease observed in physicians' and nurses' eye lens doses, nor in doses normalized to DAP due to the use of the lead pelvic shield in clinic. However, some trend in reducing the eye lens doses by this shield can be observed. Regarding finger doses, the differences are statistically significant but only for physicians. The mean DAP-normalised doses to the eye lens and left and right finger of physicians, in the presence of a ceiling-suspended transparent lead shield, were 2.24e-5 ± 1.41e-5 mSv/μGym(2), 2.31e-4 ± 1.21e-4 mSv/μGym(2), and 2.60e-5 ± 1.57e-5 mSv/μGym(2) for standard procedures performed without the lead blanket, and 1.77e-5 ± 1.17e-5 mSv/μGym(2), 1.70e-4 ± 1.01e-4 mSv/μGym(2), and 1.86e-5 ± 1.13e-5 mSv/μGym(2) for procedures performed with it. A comparison of the results from the laboratory and the clinic shows that they are consistent regarding the eye lens, while for fingers it suggests that the dose reduction properties of the lead shield are related to

  6. Geriatric nursing assessment and intervention in an emergency department

    DEFF Research Database (Denmark)

    Rosted, Elizabeth Emilie; Wagner, Lis; Hendriksen, Carsten

    2012-01-01

    : At discharge, and at 1 and 6 months follow-up, a brief standardised nursing assessment (ISAR 2) developed by McCusker et al. was carried out. The focus was on unresolved problems that required medical or nursing intervention, new or different home care services or comprehensive geriatric assessment. After...... assessment, the nurse made relevant referrals to the geriatric outpatient clinic, community health centre, general practitioner or made arrangements with next of kin. Results. One hundred and fifty people participated, mean age was 81.7. At discharge, they had a mean of 1.9 unresolved problems, after 1 month...

  7. 护理干预措施对癌痛患者负性情绪的改善效果%The Effect of Nursing Intervention in Improvement of the Negative Emotion of Patients With Cancer Pain

    Institute of Scientific and Technical Information of China (English)

    徐向荣

    2016-01-01

    ObjectiveTo observe and analyze the effect of nursing intervention in improvement of the negative emotion of patients with cancer pain. Methods 100 cases of patients with cancer pain were selected as the research objects and randomly divided into the observation group and the control group. 50 cases were include into each group. The patients in the control group were treated with routine nursing care,while the patients in the observation group were treated with standardized nursing intervention. The Visual Analogue Scale(VAS)scores,the Self rating Anxiety Scale(SAS)scores, the Self rating Depression Scale(SDS)scores after the nursing intervention of the patients in the two groups were observed and analyzed.Results The VAS score,the SAS score,the SDS score after the nursing intervention of the patients in observation group were significantly lower than those in the the control group.Conclusion In the nursing care of patients with cancer pain,the application of standardized nursing intervention measures can effectively relieve the pain of patients,reduce the negative emotions.%目的:观察和分析护理干预措施对癌痛患者负性情绪的改善效果。方法选取100例癌痛患者作为研究对象,将其随机分为观察组和对照组,每组各50例,对照组患者给予常规护理,观察组患者给予规范化护理干预措施。对两组患者护理干预后的疼痛视觉模拟评分表(VAS)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分进行观察和分析。结果观察组患者护理干预后的VAS评分、SAS评分、SDS评分均低于对照组。结论在癌痛患者的护理中实施规范化护理干预措施,能够有效缓解患者的疼痛程度,减轻负性情绪。

  8. Use of the nursing intervention classification for identifying the workload of a nursing team in a surgical center

    OpenAIRE

    João Francisco Possari; Raquel Rapone Gaidzinski; Antônio Fernandes Costa Lima; Fernanda Maria Togeiro Fugulin; Tracy Heather Herdman

    2015-01-01

    Objective: to analyze the distribution of nursing professionals' workloads, according to the Nursing Intervention Classification (NIC), during the transoperative period at a surgical center specializing in oncology. Methods: this was an observational and descriptive cross-sectional study. The sample consisted of 11 nurses, 25 nursing technicians who performed a variety of roles within the operating room, 16 nursing technicians who worked with the surgical instrumentation and two nursing techn...

  9. 消防部队训练伤的科学护理及护理干预效果评价%Scientific Nursing and Nursing Intervention Effect Evaluation of Training Injury of Fire Brigade

    Institute of Scientific and Technical Information of China (English)

    吴喜军

    2016-01-01

    目的:探讨消防部队训练伤的科学护理及护理干预效果。方法选取北京石景山区公安消防支队2013年~2015年参训战士230名,随机分为2组,对照组采用常规护理。研究组采用科学护理干预方法。结果研究组训练伤发生率低于对照组,且差异具有显著统计学意义(P<0.01)。研究组GSES测试评分低于对照组,且差异具有统计学意义(P<0.05)。结论通过科学的护理干预方法可以降低消防战士训练伤的发生率,提高训练水平。%Objective To investigate the fire brigade training injury of scientific nursing and nursing intervention. Methods A total of Beijing Shijingshan District public security fire brigade in 2013 to 2015 years of training soldiers were randomly divided into two groups,the control group received routine nursing care. The study group were treated with nursing intervention methods. ResultsThe study group training injury incidence rate was lower than that of the control group,and the difference was statisticaly significant(P<0.01). The study group of GSEs test score was lower than that of control group, and the difference was statisticaly significant(P<0.05). ConclusionThe science of nursing intervention can reduce fire fighter training injury incidence rate and improve the level of training.

  10. 护理干预对绝经期妇女骨质疏松患者治疗效果的影响%The nursing intervention in patients with postmenopausal women osteoporosis treatment effect

    Institute of Scientific and Technical Information of China (English)

    尹玲; 刘健佳

    2014-01-01

    目的:探讨护理干预对绝经期妇女骨质疏松患者治疗效果的影响。方法:将96例绝经期妇女骨质疏松患者给予综合护理干预,包括健康指导、心理干预、功能锻炼、服药及防跌倒护理、延伸护理。结果:1年后干预组治疗总有效率为91.66%,与对照组比较差异有统计学意义(P<0.05)。结论:综合护理干预可改善患者认知态度和不良的生活行为,减轻疼痛,减少跌倒,提高患者生活质量。%Objective :to explore the nursing intervention in patients with postmenopausal women osteoporosis treatment effect .Methods:96 patients with postmenopausal osteoporosis women give comprehensive nursing intervention ,including health guidance ,psychological intervention ,functional exercise , medication and care in the fall ,to extend nursing .Results :six months after intervention treatment group total effective rate was 94 .93% ,compared with the control group was statistically significant difference (P< 0 .05) .Conclusion:comprehensive nursing intervention can improve patients cognitive attitude and bad living behavior ,relieve pain ,reduce falls ,improve patient quality of life .

  11. 护理干预对甲状腺手术患者疼痛及负性情绪的影响观察%Effect of nursing intervention on pain and negative emotion of patients with thyroid surgery

    Institute of Scientific and Technical Information of China (English)

    陈丽明

    2016-01-01

    Objective:To explore the effect of nursing intervention on pain and negative emotion of patients with thyroid surgery. Methods:80 patients with thyroid disease were selected.They were divided into two groups,each of 40 cases.The control group received general nursing.The intervention group was on the basis of the control group given nursing intervention.Clinical effect was compared.Results:The intervention group after surgery awake, postoperative 4 h,6 h,12 h postoperative pain degree of were significantly lower than the control group(P<0.05).Conclusion:Nursing intervention can significantly reduce the level of pain and negative emotion in patients with thyroid surgery.%目的:探讨护理干预对甲状腺手术患者疼痛及负性情绪的影响。方法:收治甲状腺疾病患者80例,分两组,各40例。对照组进行一般护理,干预组在对照组的基础上进行护理干预。对比两组临床效果。结果:干预组手术后清醒时、术后4 h、术后6 h、术后12 h的疼痛程度明显低于对照组(P<0.05)。结论:护理干预可以明显降低甲状腺手术患者疼痛级别及负性情绪。

  12. Effect of easement nursing intervention on adverse reaction of aponia gastroscope%舒适护理干预减少无痛胃镜不良反应的效果观察

    Institute of Scientific and Technical Information of China (English)

    刘兴琼

    2012-01-01

    目的 探讨舒适护理干预措施减少无痛胃镜患者不良反应的有效性.方法 将216例患者随机分为干预组和对照组,干预组患者检查前后实施舒适护理干预措施,评估焦虑量(SAS)、麻醉起效时间、麻醉药用量、麻醉的效果及观察检查中、检查后的不良反应.结果 干预组SAS、麻醉起效时间、麻药用量和麻醉效果的优良率和并发症发生率均优于对照组.结论 舒适护理干预措施能有效减少患者的焦虑程度,减少无痛胃镜检查中和检查后不良反应的发生,值得临床推广应用.%Objective To approach the efficacy of easement nursing intervention on adverse reaction of aponia gastroscope. Methods 216 patients were randomly separated to intervention group and control group. The intervention group was treated with easement nursing intervention. The anxiety quantity was evaluated with SAS. The time to anesthesia, narcotic dose, anesthesia effective and adverse reaction were observed during gastroscopy and afetr gastroscopy. Results SAS. time to anesthesia, narcotic dose and anesthesia effect of intervention group were better than that of the control group. The complication incidence of intervention group was lower than that of the control group. Conclusion Easement nursing intervention can decrease the patients anxiety extent and adverse reaction during and after the anponia gastroscopy.

  13. The effect of nursing intervention on the quality of life of elderly patients with osteoporosis%护理干预对老年骨质疏松患者生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    郭玲妹

    2012-01-01

    Objective To explore the effect of nursing intervention on the quality of life of elderly patients with osteoporosis.Methods A total of 120 elderly patients with osteoporosis were randomly divided into control group and intervention group.Each group had 60 cases.The control group received routine care and guidance and the intervention group received the nursing intervention of cognition,psychology and the behavior on the basis of conventional care and guidance.The quality of life of patients were compared between two groups before and after intervention.Results The quality of life of patients in intervention group was obviously higher than that in the control group.Conclusions Nursing intervention can effectively improve the quality of life of elderly patients with osteoporosis.%目的 探讨护理干预对老年骨质疏松患者生活质量的影响.方法 将120例老年骨质疏松患者随机分为对照组和干预组各60例,对照组进行常规护理和指导,干预组在常规护理和指导的基础上,同时进行认知、心理和行为的护理干预,比较两组护理干预前后的生活质量.结果 干预组的生活质量明显高于对照组,P <0.05,差异具有统计学意义.结论 护理干预有效提高老年骨质疏松患者的生活质量.

  14. 分析心理护理干预对于高危妊娠产妇的影响%Analysis of effect of psychological nursing intervention for high-risk pregnancy lying-in woman

    Institute of Scientific and Technical Information of China (English)

    王玉兰

    2015-01-01

    目的:分析心理护理干预对高危妊娠产妇的影响。方法:资料随机选取2012年9月~2013年9月我院收治的高危妊娠产妇82例,分为研究组和对照组,给予对照组产妇常规护理,研究组则在对照组的护理基础上实施心理护理干预,并对2组临床资料进行回顾性分析。结果:经实施心理护理干预之后,研究组护理满意度是97.56%,明显优于对照组护理的满意度87.80%,比较均有差异具有统计学意义( P<0.05)。结论:通过对高危妊娠产妇实施心理护理干预后,可以减少产妇忧郁、焦躁等负面情绪,降低高危影响的因素,且还可以使产妇身心得以健康发展,值得在临床中广泛推广应用。%Objective:To analyze of the effect of psychological nursing intervention for high-risk pregnancy lying-in woman.Meth-ods:data of randomly selected from September 2012 to September 2013 of our hospital 82 cases of high-risk pregnancy lying-in woman was divided into research group and the control group, and to give control group routine nursing care, maternal team, on the other hand, in the control group based on nursing, psychological nursing intervention and the two groups of clinical data were retrospectively analyzed. Results:after the implementation of psychological nursing intervention, the team of nursing satisfaction was 97.56%, significantly better than control group 87.80%of nursing satisfaction, comparison were statistically significant difference (P <0.05).Conclusion:based on the high-risk pregnancy after maternal psychological nursing intervention could reduce maternal depression, anxiety and other negative emotions, reduce the high risk factors, and could also make maternal body and mind healthy development, might be worth to be widely ap-plied in clinical.

  15. 老年高血压患者的社区护理干预效果观察%Effect of the community nursing intervention for elderly patients with hypertension

    Institute of Scientific and Technical Information of China (English)

    张小林

    2012-01-01

    目的 探讨老年高血压患者的社区护理干预方法及效果观察.方法 将240例高血压患者随机分为两组,护理干预组120例和对照组120例,护理干预组除按对照组方法用药外,还有计划地开展高血压的健康教育,在饮食、运动、心理、用药、血压监测等方面进行护理干预.结果 护理干预组患者的血压得到了很好的控制,与对照组比较,差异有显著性(P<0.05),有统计学意义.结论 社区护理干预能提高老年高血压患者的生活质量和保健意识,是一种很有效的措施,值得推广应用.%Objective To investigate the community nursing intervention methods and effects of observation for the elderly patients with hypertension.Methods A total of 240 patients with hypertension were randomly divided into two groups:nursing intervention group and control group,and each group was 120 cases.In nursing intervention group health education was designedly carried out besides according to the method of taking medicine of control group,the patients were treated witlh nursing intervention including diet,sports,psychology,eating drug,blood pressure monitoring.Results Patients in nursing intervention group had good control of blood pressure,compared with patients in control group,there was significant difference (P<0.05),with a statistical significance.Conclusions Community nursing intervention can improve the quality of life and health care consciousness of the elderly patients with hypertension.It is a kind of very effective measures and worthy spreading.

  16. Transtheoretical Model-based Nursing Intervention on Lifestyle Change: A Review Focused on Intervention Delivery Methods.

    Science.gov (United States)

    Lee, Joo Yun; Park, Hyeoun-Ae; Min, Yul Ha

    2015-06-01

    The transtheoretical model (TTM) was used to provide tailored nursing for lifestyle management such as diet, physical activity, and smoking cessation. The present study aims to assess the provision of intervention delivery methods, intervention elements, and stage-matched interventions, in order to identify ways in which information technology is used in the TTM-based research. The relevant literature was selected by two researchers using inclusion criteria after searching for "TTM (transtheoretical or stage of change)" and "nursing" from the databases PubMed and CINAHL. The selected studies were categorized in terms of study characteristics, intervention delivery method, intervention element, and use and level of stage-matched intervention. A total of 35 studies were selected including eight studies that used information communication technology (ICT). Nine different intervention delivery methods were used, of which "face-to-face" was the most common at 24 times. Of the 35 studies, 26 provided stage-matched interventions. Seven different intervention elements were used, of which "counseling" was the most common at 27 times. Of all the intervention elements, tailored feedback used ICT the most at seven instances out of nine, and there was a significant difference in the rate of ICT usage among intervention elements. ICT is not yet actively used in the TTM-based nursing interventions. Stage-matched interventions and TTM concepts were shown to be in partial use also in the TTM-based interventions. Therefore, it is necessary to develop a variety of ways to use ICT in tailored nursing interventions and to use TTM frameworks and concepts. Copyright © 2015. Published by Elsevier B.V.

  17. Child development surveillance: intervention study with nurses of the Family Health Strategy

    Directory of Open Access Journals (Sweden)

    Altamira Pereira da Silva Reichert

    2015-10-01

    Full Text Available Objective: to evaluate the effectiveness of an educational action in child development surveillance performed by nurses working in primary health care.Methods: interventional study with a before-and-after type of design, carried out with 45 nurses and 450 mothers of children under 2 years of age. Initially, it was evaluated the practices and knowledge of nurses on child development surveillance and the mothers were interviewed about these practices. Subsequently, workshops were carried out with nurses and four months later, the knowledge of nurses and the maternal information were reevaluated.Results: after intervention there was significant increase in the frequency of the following aspects: from 73% to 100%, in relation to the practice of nurses of asking the opinion of mothers about their children's development; from 42% to 91%, regarding the use of the systematized instrument of evaluation; from 91% to 100% with respect to guidance to mothers on how to stimulate child development.Conclusions: the intervention contributed to the increase of knowledge of nurses and implementation of child development surveillance, showing the importance of this initiative to improve the quality of child health care.

  18. Child development surveillance: intervention study with nurses of the Family Health Strategy1

    Science.gov (United States)

    Reichert, Altamira Pereira da Silva; Collet, Neusa; Eickmann, Sophie Helena; Lima, Marília de Carvalho

    2015-01-01

    Objective: to evaluate the effectiveness of an educational action in child development surveillance performed by nurses working in primary health care. Methods: interventional study with a before-and-after type of design, carried out with 45 nurses and 450 mothers of children under 2 years of age. Initially, it was evaluated the practices and knowledge of nurses on child development surveillance and the mothers were interviewed about these practices. Subsequently, workshops were carried out with nurses and four months later, the knowledge of nurses and the maternal information were reevaluated. Results: after intervention there was significant increase in the frequency of the following aspects: from 73% to 100%, in relation to the practice of nurses of asking the opinion of mothers about their children's development; from 42% to 91%, regarding the use of the systematized instrument of evaluation; from 91% to 100% with respect to guidance to mothers on how to stimulate child development. Conclusions: the intervention contributed to the increase of knowledge of nurses and implementation of child development surveillance, showing the importance of this initiative to improve the quality of child health care. PMID:26487147

  19. The effects of a web-based supplementary program for facilitating nursing students' basic nursing skills.

    Science.gov (United States)

    Chuang, Yeu-Hui; Cheng, Hsiu-Rong; Yang, Ya-Shu; Fang, Miao-Chun; Chen, Yu-Ping

    2010-01-01

    This study examined the effects of an asynchronous Web-based supplementary learning program on the performance of nursing students' basic nursing skills. A posttest quasi-experimental design was used. Students in the intervention group (n = 62) were given login information to access the online program, while the control group (n = 99) was not. Data from both groups were collected before and 4 weeks after the intervention. An objective assessment of basic nursing skills was used to evaluate the level of skill demonstrated by the participants. Results indicate that the Web-based supplementary learning program is effective at strengthening students' basic nursing skills (P = .002). The findings also reveal that students in the intervention group showed higher-than-average satisfaction with the supplementary program (mean, 3.80 [SD, 0.81]). Thus, this Web-based program offers a learning opportunity for nursing students to enhance their skills beyond their formal lectures.

  20. Reiki therapy: a nursing intervention for critical care.

    Science.gov (United States)

    Toms, Robin

    2011-01-01

    Complementary and alternative medicine (CAM) is not generally associated with the complexity and intensity of critical care. Most CAM therapies involve slow, calming techniques that seem to be in direct contrast with the fast-paced, highly technical nature of critical care. However, patients in critical care often find themselves coping with the pain and stress of their illness exacerbated by the stress of the critical care environment. Complementary and alternative medicine-related research reveals that complementary therapies, such as Reiki, relieve pain and anxiety and reduce symptoms of stress such as elevated blood pressure and pulse rates. Patients and health care professionals alike have become increasingly interested in complementary and alternative therapies that do not rely on expensive, invasive technology, and are holistic in focus. Reiki is cost-effective, noninvasive, and can easily be incorporated into patient care. The purpose of this article is to examine the science of Reiki therapy and to explore Reiki as a valuable nursing intervention.

  1. Nursing interventions for family members waiting during cardiac procedures.

    Science.gov (United States)

    Trecartin, Kelly; Carroll, Diane L

    2011-08-01

    Anxiety is shared by patients and family members (FMs) and can increase throughout the FMs waiting during invasive cardiac procedures (ICP). The purpose of this study was to measure the effects of an informational report (IR) and a postprocedure visit (PPV), on the anxiety of waiting FMs. There were 151 FMs assigned to 3 groups; Group 1 (50 FMs: standard of care [SOC]), Group 2 (50 FMs: SOC + IR), and Group 3 (51 FMs: SOC + IR + PPV). Pre/ postvariables measured were: blood pressure (BP), heart rate (HR), skin temperature (ST), and anxiety. When comparing the BP, HR, ST, and anxiety there were no differences between groups with either SOC or IR. There was a significant reduction in anxiety, from baseline to the PPV in Group 3 (F = 10.1; p < .000). A PPV had an impact on FMs and a PPV should be incorporated as a nursing intervention during ICP.

  2. Identity cues and dementia in nursing home intervention.

    Science.gov (United States)

    Vézina, Aline; Robichaud, Line; Voyer, Philippe; Pelletier, Daniel

    2011-01-01

    This study examines the identity cues that family caregivers and healthcare personnel use with seniors living with dementia and living in nursing homes. The identity cues represent biographical knowledge used to stimulate the dementia sufferer, trigger signals and incite interaction. Our grounded approach hinges on three objectives: to identify and categorize identity cues; to document their uses; and to gain a better understanding of their effectiveness. We interviewed nine family caregivers and 12 healthcare workers. Qualitative data indicates that the participants use identity cues that evoke seniors' sociological, relational and individual characteristics. These identity cues play a central role in communication and constitute important information that the family caregivers can share with healthcare personnel. They sustain memory, facilitate care and reinforce seniors' self-value. These results help to define identity, foster a greater role for family caregivers, and constitute a sound basis for the implementation of personalized interventions.

  3. The doctor of traditional Chinese medicine nursing intervention on the effect of cerebral infarction patients with hemiplegia%中医护理干预对脑梗死偏瘫患者疗效的影响

    Institute of Scientific and Technical Information of China (English)

    庞梅桂

    2014-01-01

    Objective: combined with clinical practice experien-ce, to explore the effect of Chinese medicine nursing in patients with cerebral infarction hemiplegia. Methods: select 60 patients with cerebral infarction hemiplegia patients as the research object, the patients were randomly divided into two groups, nursing intervention of traditional Chinese medicine treatment group (30 cases) and control group (30 cases), to the control group, routine nursing in the treatment group in addition to the conventional nursing, also used the traditional Chinese medicine nursing intervention approach to care. Results: TCM nursing intervention in patients with cerebral infarction hemiplegia clinical effect is much better than that of control group (P < 0.05), the difference was statistical y significant. Conclusion: TCM nursing intervention can significantly improve the limb function in patients with cerebral infarction hemiplegia, curative effect is distinct, is widely used in clinic.%目的:结合临床实践经验,探讨中医护理对脑梗死偏瘫患者疗效的影响。方法:选取我院脑梗死偏瘫患者60例作为研究对象,将这些患者随机分为两组,中医护理干预治疗组(30例)和对照组(30例),对对照组进行常规护理,对治疗组除采取常规护理外,还采用中医护理干预方式进行护理。结果:中医护理干预对脑梗死偏瘫患者的临床效果明显好于对照组(P<0.05),差别有统计学意义。结论:中医护理干预能明显提高脑梗死偏瘫患者的肢体功能,疗效显著,值得在临床上广泛运用。

  4. Effectiveness of narrative pedagogy in developing student nurses' advocacy role.

    Science.gov (United States)

    Gazarian, Priscilla K; Fernberg, Lauren M; Sheehan, Kelly D

    2016-03-01

    The literature and research on nursing ethics and advocacy has shown that generally very few nurses and other clinicians will speak up about an issue they have witnessed regarding a patient advocacy concern and that often advocacy in nursing is not learned until after students have graduated and begun working. To evaluate the effectiveness of narrative pedagogy on the development of advocacy in student nurses, as measured by the Protective Nursing Advocacy Scale. We tested the hypothesis that use of a narrative pedagogy assignment related to ethics would improve student nurse's perception of their advocacy role as measured by the Protective Nursing Advocacy Scale using a quasi-experimental nonrandomized study using a pre-test, intervention, post-test design. Data collection occurred during class time from October 2012 to December 2012. The Protective Nursing Advocacy Scale tool was administered to students in class to assess their baseline and was administered again at the completion of the educational intervention to assess whether narrative pedagogy was effective in developing the nursing student's perception of their role as a patient advocate. Students were informed that their participation was voluntary and that the data collected would be anonymous and confidential. The survey was not a graded assignment, and students did not receive any incentive to participate. The institutional review board of the college determined the study to be exempt from review. School of Nursing at a small liberal arts college in the Northeastern United States. A consecutive, nonprobability sample of 44 senior-level nursing students enrolled in their final nursing semester was utilized. Results indicated significant differences in student nurse's perception of their advocacy role related to environment and educational influences following an education intervention using an ethics digital story. Using the Protective Nursing Advocacy Scale, we were able to measure the effectiveness of

  5. 延伸性护理干预对中老年糖尿病合并高血压患者的影响%Extensibility nursing intervention effects on senile diabetic hypertension patients

    Institute of Scientific and Technical Information of China (English)

    杨萍

    2015-01-01

    目的:探讨延伸性护理干预对中老年糖尿病合并高血压患者的影响。方法:实验组患者给予延伸性的护理干预,包括血糖干预,血压干预,运动干预,饮食干预,心理干预等专业的护理指导。另随机选取100例没能坚持延伸性护理的中老年糖尿病合并高血压患者为对照组。一年后观察比较两组患者血糖和血压水平。结果:实验组中老年糖尿病合并高血压患者血糖和血压明显低于对照组。结论:延伸性护理干预可降低中老年糖尿病合并高血压患者血糖和血压水平,从而降低并发症的发生率。%Objective Extensibility to explore the nursing intervention effects on senile diabetic hypertension patients. Methods Experimental group patients give the extensibility of the nursing intervention, intervention including blood sugar, blood pressure intervention, intervention, diet intervention, psychological intervention and other professional nursing instruction. Other randomly selected 100 cases of failed to adhere to the extensibility of nursing senile diabetic hypertension patients as control group. A year later compare two groups of patients with blood sugar and blood pressure levels.Results Experimental group in elderly diabetic patients with high blood pressure blood sugar and blood pressure significantly lower than the control group.Conclusions Extensibility nursing intervention can decrease the elderly diabetic patients with high blood pressure blood sugar and blood pressure levels, so as to reduce the incidence of complications.

  6. 认知护理干预在IVF-ET患者中的应用效果%Application Effect of Cognitive Nursing Intervention in Patients With IVF-ET

    Institute of Scientific and Technical Information of China (English)

    杨娟

    2016-01-01

    Objective To observe the effect of cognitive nursing intervention on the patients with in vitro fertilization and embryo transfer(IVF-ET). Methods88 cases of IVF-ET in our hospital from July 2013 to December 2015 in our hospital were randomly divided into the intervention group and the control group. 44 cases in each group. The control group received routine nursing,and the intervention group received cognitive behavior nursing intervention. Sleep quality and psychological state of the two groups were evaluated before and after intervention by pittsburgh sleep quality index(PSQI),self rating Anxiety Scale(SAS)and self rating Depression Scale(SDS)respectively.ResultsAfter nursing intervention,PSQI, SAS and SDS scores of the intervention group were significantly lower than that of the control group,the difference was statisticaly significant(P<0.05).Conclusion The implementation of cognitive nursing interventions for patients with IVF-ET can significantly improve the patient's sleep and bad mood.%目的:观察认知护理干预在体外受精-胚胎移植(IVF-ET)患者中的应用效果。方法选择我院2013年7月~2015年12月收治的IVF-ET患者88例,随机将其分为干预组和对照组,每组44例,对照组采用常规护理,干预组实施认知行为护理干预。分别采用匹兹堡睡眠质量指数(PSQI)、焦虑自评量表(SAS)和抑郁自评量表(SDS)评价两组干预前后睡眠质量以及心理状态。结果经过护理干预后,干预组PSQI、SAS以及SDS评分均低于对照组,差异均有统计学意义(P<0.05)。结论对IVF-ET患者实施认知护理干预措施可以改善患者的睡眠以及不良情绪。

  7. Effect of nursing intervention on clinical therapeutic effect of Kawasaki disease%护理干预对川崎病治疗效果的临床影响

    Institute of Scientific and Technical Information of China (English)

    刘雪冰

    2016-01-01

    Objective To explore impact of nursing intervention on clinical therapeutic effect of Kawasaki disease.Methods Eighty patients with Kawasaki disease, hospitalized in our hospital during May 2014 and May 2016, were divided into experimental group and control group, they were given nursing intervention and routine nursing care respectively, and nursing effect was comparatively analyzed. Results The cognition on the disease in families and the satisfaction level on quality of care service of experimental group was significantly higher compared with the control group (P<0.05). The complication rate of test group (2.50%) was significantly lower than that (27.50%) in control group (P<0.05).Conclusions The clinical impact of nursing intervention on the treatment of Kawasaki disease was significant, it increases the awareness rate of the disease and the rate of satisfaction and prevents complications.%目的:探究护理干预对川崎病治疗效果的临床影响。方法随机选取2014年5月至2016年5月本院收治的80例川崎病患儿,将其平均分为试验组、对照组两组,分别给予护理干预、常规护理措施,对比分析护理效果情况。结果试验组患儿家属对疾病认知情况以及对护理服务质量满意程度与对照组患儿的相比明显较高(P<0.05)。试验组患儿的并发症发生率(2.50%)与对照组患儿(27.50%)的相比明显较低( P<0.05)。结论护理干预对川崎病治疗效果的临床影响显著,提高对疾病认知率及护理满意度,有效预防并发症,意义重大。

  8. 小腿骨筋膜室综合征早期护理干预的疗效分析%Curative effect analysis of early nursing intervention in the treatment of shank compartment syndrome

    Institute of Scientific and Technical Information of China (English)

    刘维; 王莹

    2016-01-01

    目的:观察早期护理干预对小腿骨筋膜室综合征的疗效.方法:对小腿骨筋膜室综合征患者12例给予早期综合护理干预.结果:所有患者的病情均得到有效控制,恢复较好,未见严重并发症的发生.结论:早期护理干预可有效促进小腿骨筋膜室综合征患者术后功能恢复,降低严重并发症的发生.%Objective:To observe the curative effect of early nursing intervention in the treatment of shank compartment syndrome. Methods:12 cases of patients with shank compartment syndrome were treated with early comprehensive nursing intervention. Results:The pathogenetic condition of all the patients were controlled effectively and recovered well,and no serious complications occurred.Conclusion:Early nursing intervention could promote the functional recovery of the patients with shank compartment syndrome effectively and reduce the occurrence of serious complications.

  9. Interventions aimed at improving the nursing work environment: a systematic review

    Directory of Open Access Journals (Sweden)

    Hollands Louk

    2010-04-01

    Full Text Available Abstract Background Nursing work environments (NWEs in Canada and other Western countries have increasingly received attention following years of restructuring and reported high workloads, high absenteeism, and shortages of nursing staff. Despite numerous efforts to improve NWEs, little is known about the effectiveness of interventions to improve NWEs. The aim of this study was to review systematically the scientific literature on implemented interventions aimed at improving the NWE and their effectiveness. Methods An online search of the databases CINAHL, Medline, Scopus, ABI, Academic Search Complete, HEALTHstar, ERIC, Psychinfo, and Embase, and a manual search of Emerald and Longwoods was conducted. (Quasi- experimental studies with pre/post measures of interventions aimed at improving the NWE, study populations of nurses, and quantitative outcome measures of the nursing work environment were required for inclusion. Each study was assessed for methodological strength using a quality assessment and validity tool for intervention studies. A taxonomy of NWE characteristics was developed that would allow us to identify on which part of the NWE an intervention targeted for improvement, after which the effects of the interventions were examined. Results Over 9,000 titles and abstracts were screened. Eleven controlled intervention studies met the inclusion criteria, of which eight used a quasi-experimental design and three an experimental design. In total, nine different interventions were reported in the included studies. The most effective interventions at improving the NWE were: primary nursing (two studies, the educational toolbox (one study, the individualized care and clinical supervision (one study, and the violence prevention intervention (one study. Conclusions Little is known about the effectiveness of interventions aimed at improving the NWE, and published studies on this topic show weaknesses in their design. To advance the field, we

  10. Comprehensive Rehabilitation Nursing Intervention in Patients With Depression after Stroke Rehabilitation Effect Observation%综合康复护理干预对脑卒中后抑郁患者的康复效果观察

    Institute of Scientific and Technical Information of China (English)

    阿依夏木古丽·沙得尔; 李洪燕; 杨韵歆

    2016-01-01

    Objective To observe the comprehensive nursing intervention in patients with depression after stroke rehabilitation effect.Methods 60 patients with PSD were randomly divided into experimental group and control group 30 cases each. Two groups of patients were accepted routine nursing, the experimental group a comprehensive rehabilitation nursing intervention measures.Results Two groups of patients 6 months after nursing intervention HAMD scores decreased, BL, FMA and MMSE score were higher (P<0.05), the experimental group the total effective rate was 53.33% higher than that of control group 63.33%(P<0.05).Conclusion The comprehensive nursing measures can reduce depressive symptoms in patients with PSD.%目的:观察综合性的护理干预措施对脑卒中后抑郁患者的康复效果。方法将60例PSD患者随机分为实验组和对照组各30例。两组患者均接受常规护理,实验组进行综合康复护理干预措施。结果两组患者护理干预后6个月HAMD评分均下降,BL、FMA及MMSE评分均升高(P<0.05),实验组总有效率为63.33%,高于对照组的53.33%(P<0.05)。结论综合护理措施可以减轻PSD患者抑郁症状。

  11. Surgical nurses' attitudes towards caring for patients dying of cancer - a pilot study of an educational intervention on existential issues.

    Science.gov (United States)

    Udo, C; Melin-Johansson, C; Henoch, I; Axelsson, B; Danielson, E

    2014-07-01

    This is a randomised controlled pilot study using a mixed methods design. The overall aim was to test an educational intervention on existential issues and to describe surgical nurses' perceived attitudes towards caring for patients dying of cancer. Specific aims were to examine whether the educational intervention consisting of lectures and reflective discussions, affects nurses' perceived confidence in communication and to explore nurses' experiences and reflections on existential issues after participating in the intervention. Forty-two nurses from three surgical wards at one hospital were randomly assigned to an intervention or control group. Nurses in both groups completed a questionnaire at equivalent time intervals: at baseline before the educational intervention, directly after the intervention, and 3 and 6 months later. Eleven face-to-face interviews were conducted with nurses directly after the intervention and 6 months later. Significant short-term and long-term changes were reported. Main results concerned the significant long-term effects regarding nurses' increased confidence and decreased powerlessness in communication, and their increased feelings of value when caring for a dying patient. In addition, nurses described enhanced awareness and increased reflection. Results indicate that an understanding of the patient's situation, derived from enhanced awareness and increased reflection, precedes changes in attitudes towards communication. © 2014 John Wiley & Sons Ltd.

  12. Nursing diagnoses, interventions and outcomes for institutionalized patients with dementia

    Directory of Open Access Journals (Sweden)

    Paula,Escalada-Hernández

    2015-04-01

    Full Text Available Aim: To describe the most frequent NANDA-I nursing diagnoses and the associated NIC in-terventions and NOC outcomes used in nursing care plans for a sample of institutionalized patients with dementia. Methods: Descriptive analyses were performed based on a subsample from a multicentric and cross-sectional study. Data were obtained retrospectively from the electronic patient records and included socio-demografic details, NANDA-I, NIC and NOC labels and the HoNOS scale. Results: In total, 108 patients diagnosed with dementia were included. The nine most prevalent NANDA-I nursing diagnoses and the NOC outcomes and NIC interventions linked to them were presented. According to HoNOS scale, the most common problems among elders with dementia were cognitive problems and problems with activities of daily living, with relationships and related to physical illness or disability. Conclusions: Thisstudy identified patterns of nursing care for institutionalized patients with dementia where the most prevalent nursing diagnoses, interventions and outcomes addressed a wide range of functional, psychosocial and physiological care needs.

  13. 心理护理干预在耐多药结核病患者中的效果探讨%Observation on the Effect of Psychological Nursing Intervention on Patients with Multi-drug Resistant Tuberculosis

    Institute of Scientific and Technical Information of China (English)

    代秀萍

    2015-01-01

    目的:探讨心理护理干预在耐多药结核病患者中的效果。方法将2001年1月—2014年10月期间,该院收治的耐多药肺结核患者120例作为研究对象,采用对照研究,将患者随机分为对照组(60例)和心理护理干预组(60例),对照组采用一般的护理方法,心理护理干预组则在一般护理的基础上,实施心理护理干预,包括:①用尊重建立良好护患关系。②情绪干预。③认知干预。④行为干预。⑤社会及家庭支持干预。比较两组患者的治疗效果、满意度以及住院期间焦虑状况,探讨个性化护理干预方法的临床应用价值。结果心理护理干预组的显吸率、吸收率以及病灶吸收总有效率明显高于对照组,差别有统计学意义(P<0.05);心理护理干预组的满意度明显高于对照组,差异有统计学意义(P<0.05);心理护理干预组患者的焦虑状况明显优于对照组,差异有统计学意义(P<0.05)。结论实施心理护理干预有助于改善患者病情,提高护理满意度,减轻患者焦虑状况,值得进一步推广应用。%Objective To explore the effect of psychological nursing intervention on patients with multi-drug resistant tuberculosis. Methods 120 cases with multi-drug resistant tuberculosis admitted in our hospital from January 2001 to October 2014 were se-lected as the subjects. The control study was used in this research. The patients were randomly divided into the control group (60 cases) and the psychological nursing intervention group(60 cases). The control group were given the general nursing, while the psy-chological nursing intervention group were given the psychological nursing intervention based on general nursing, including:①establish-ing good nurse-patient relationship based on respect; ②emotional intervention; ③cognitive intervention; ④behavior intervention;⑤the social and family support intervention. The

  14. Effect of Community Continue Nursing in Patients with Senile Diabetes for Nursing Intervention%社区延续护理对老年糖尿病患者护理干预效果

    Institute of Scientific and Technical Information of China (English)

    胡小红; 陈谷霖; 刘小敏

    2014-01-01

    Objective:To discuss the intervention effect of emotions and health education compliance of patients with senile diabetes using community continue nursing.Method:60 elderly patients with diabetes in our hospital discharged from January 2012 to January 2013 were selected ,and randomly divided into the control group and the observation group with 30 cases. The control group was taken regular family care nursing,the observation group was implemented community continued nursing. the questionnaire survey discharged from hospital after 3 months was taken, and two groups of patient’s mood and health education compliance were measured by Greenberg(Greenberger)situation and emotional evaluation method.Result:The emotional state and the health education compliance of the observation group were better than the control group,the differences had statistically significant(P<0.01).Conclusion:Community continue nursing can improve the treatment effect of the patients with diabetes,is helpful to arouse the mentality of active treatment for patients,can improve the life quality of patients,is worth promoting.%目的:观察采用社区延续护理对糖尿病患者的情绪及健康教育依从性的干预效果。方法:选取2012年1月-2013年1月在本院康复出院的60例老年2型糖尿病患者,按随机数字表法分为观察组和对照组,每组30例。对照组采取传统的家庭护理,观察组采取以家庭照顾为本的社区延续护理。出院3个月后进行问卷调查,并应用格林伯格(Greenberger)情境、情绪评估法测评两组患者的情绪及健康教育依从性。结果:观察组健康教育依从性得分、情绪状态得分均明显低于对照组,差异均有统计学意义(P<0.01)。结论:良好的社区延续护理能够提高患者的治疗效果,有利于调动患者积极治疗的心态,提高患者的生命质量,值得推广。

  15. 家庭护理干预对慢性肾衰病人的影响%The effect of family nursing intervention on chronic renal failure patients.

    Institute of Scientific and Technical Information of China (English)

    李运梅; 王美莲; 陈运香; 韦梅英; 韦丽玲; 莫国华

    2011-01-01

    目的:探讨家庭护理干预对慢性肾衰病人的影响.方法:对在我院确诊的社区慢性肾衰病人,依据所住小区不同分为实验组、对照组各100例,实验组进行家庭护理干预,对照组采用传统护理方法.结果:实验组病人的生活满意度、抑郁、自护能力及减少并发症发生方面均明显优于对照组(P<0.05).结论:对社区慢性肾衰病人进行家庭护理干预,可提高病人的自护能力和生活满意度,降低抑郁及并发症发生,有利于病人生活质量的提高.%Objective: To explore the nursing intervention models of chronic renal failure patients. Methods :The diagnosis of community in our hospital based on the lives of patients with chronic renal failure were divided into experimental group and the community control group, 100 cases of each group, the experimental group family nursing intervention, the control group using traditional methods of care. Results: Patients with life satisfaction, depression, self- care ability and reduce complications ( P < 0. 05) than the control group. Conclusion :Patients with chronic renal failure on the community family - based nursing interventions can improve patient self-care ability and life satisfaction,lower depression and complications, help improve the quality of life of patients.

  16. Nurse practitioner-led transitional care interventions: An integrative review.

    Science.gov (United States)

    Mora, Kathlyen; Dorrejo, Xiomara M; Carreon, Kimberly Mae; Butt, Sadia

    2017-08-28

    Chronically ill patients 65 and above have an increased risk of preventable readmission within 30 days of discharge from the hospital. The Transitional Care Model (TCM) introduced by Naylor and colleagues was implemented to improve the transition between hospital and home while decreasing readmissions. This article examines whether nurse practitioner (NP)- led TCM interventions as compared to standard care decrease hospital readmission rates in older adults. A literature review was conducted from June 2016 to March 2017 using Cochrane Library, PubMed, Cumulative Index to Nursing and Health Literature (CINAHL) PLUS, Joanna Briggs Institute, and ProQuest Central to seek out the highest level of evidence. Search results were refined to focus on randomized control trials (RTCs) containing NP-led TCM interventions with older adults. Synthesis of three RTCs, one meta-analysis, and four nonrandomized studies reviewed TCM interventions that included these interventions: follow-up phone calls post discharge, home visits, and handoff of information to the patient's primary care provider. These interventions, although not exclusively led by NPs, decreased hospital readmission rates. NP-led TCM interventions have the potential to decrease readmissions, but the level of evidence is insufficiently high to allow for generalizability, warranting further study. ©2017 American Association of Nurse Practitioners.

  17. 护理干预对高血压患者血压控制的作用%The Effect of Nursing Intervention in Blood Pressure Control of Hypention Patients

    Institute of Scientific and Technical Information of China (English)

    胡利华

    2014-01-01

    Objective:To discuss the the effect of communal nursing intervention in blood pressure control of hypention patients.Method:A total of 56 cases of primary hypertention in our community were included and treated with nursing intervention in this study,the results were evaluated after 1 year. Result:With the communal nursing intervention,the compliance of hypertention patients obviously increased(98.2% vs 87.5%,P<0.05),the risk factors decreased(P<0.05).The average systolic blood pressure and diastolic blood pressure were better than before(P<0.05).Conclusion:The communal nursing intervention can improve the treatment compliance and effectively control the blood pressure.%目的:以社区为背景探讨护理干预对高血压患者血压控制的影响。方法:将社区内的56例原发性高血压患者作为研究对象,进行护理干预,1年后评估护理干预效果。结果:对上述患者进行护理干预后发现,其服药依从性明显改善(98.2%vs 87.5%,P<0.05),合并的危险因素也明显减少(P<0.05),患者平均收缩压、舒张压均较干预前明显改善(P<0.05)。结论:社区护理干预能增强高血压患者的服药依从性并能有效控制血压。

  18. Analysis of the Effect of Nursing Intervention on Viral Hepatitis in Diabetes Mellitus%护理干预对糖尿病合并病毒性肝炎的影响分析

    Institute of Scientific and Technical Information of China (English)

    张晓红

    2015-01-01

    Objective To analyze the effect of nursing intervention on the viral hepatitis in diabetes mellitus. Methods 74 cases of diabetes with viral hepatitis in our hospital from March, 2014 to March, and cases of hepatitis virus hepatitis were collected, and the two groups were divided according to different nursing methods. 37 cases of nursing way to choose the conventional nursing, into the group of control group. 37 cases of nursing intervention, the research group of the research group. The effect of the two groups was observed and compared. Results The effective rate of nursing was high (P<0.05), the control time of the disease was short (P<0.05), the satisfaction was high (P<0.05), the difference was significant. Conclusion the comprehensive nursing intervention has the effect on the diabetes with viral hepatitis, and can be popularized and ap-plied.%目的:分析护理干预对糖尿病合并病毒性肝炎的影响。方法搜集该院2014年3月—2015年3月糖尿病合并病毒性肝炎74例,依据不同护理方式将其分两组。37例护理方式选择常规护理,入组对照组。37例护理方式选择综合护理干预,入组研究组。观察比较两组效果。结果研究组护理有效率高(P<0.05),病情控制时间短(P<0.05),满意度高(P<0.05),差异具有统计学意义。结论综合护理干预对糖尿病合并病毒性肝炎患者影响较大,作用明显,可推广应用。

  19. 心理护理干预对改善初产妇分娩结局的效果观察%Observation on effect of psychological nursing intervention improve theinitial delivery outcome effect

    Institute of Scientific and Technical Information of China (English)

    陈妙玲

    2014-01-01

    目的:观察与总结在产程中实施心理护理干预对初产妇分娩结局的影响。方法:选择380例初产妇作为观察对象,随机分为护理干预组与常规护理组,每组均为190例。两组初产妇均给予产科常规护理,护理干预组在常规护理的基础上给予全程一对一陪伴并进行个性化心理护理干预。结果:护理干预组自然分娩率明显高于对照组,剖宫产率、分娩疼痛率、新生儿窒息率、产后出血率明显低于常规护理组,而在第一产程、第二产程以及总产程方面的对比明显短于常规护理组,差异存在统计学意义( P<0.05)。结论:在分娩过程中实施心理护理干预能够有效的缓解初产妇的心理压力,提高自然分娩率,降低剖宫产率,改善分娩结局。%Objective: To observe and summarize the primiparae in psychological nursing intervention play a role. Methods: in our hospital from March 1, 2012 to September 30th in hospital childbirth 380 primiparae according to hospital sequence is divided into intervention group and control group, with 190 cases in each group. Given to two groups of routine obstetric care, maternal psychologi-cal intervention group according to give additional psychological nursing intervention. Results: the intervention group normal delivery was significantly higher than the control group, while in the cesarean section and vaginal delivery, pain in childbirth, postpartum hem-orrhage, neonatal asphyxia, contrast is significantly lower than the control group, the difference has statistical significance ( P<0. 05 ) . Conclusion: in the early maternal labor and delivery process, psychological nursing intervention can effectively relieve maternal psychosocial stress, help the establishment of maternal positive mental status, with a positive attitude to face the three birth process, realize the smooth delivery of purpose.

  20. Critical incident stress debriefing: a family nursing intervention.

    Science.gov (United States)

    Ragaisis, K M

    1994-02-01

    Critical Incident Stress Debriefing is an intervention that assists patients and families to master the stresses resulting from being a witness to or victim of violent acts. Intervening at the level of the family system, the clinical nurse specialist can facilitate communication, decrease anxiety, and provide education regarding the post-trauma response.

  1. Effects of family nursing intervention on life quality of patients with schizophrenia%家庭护理干预对精神分裂症患者生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    于侠

    2014-01-01

    Objective:To explore the effect of family nursing intervention on life quality of patients with schizophrenia. Meth-ods:68 schizophrenic patients as the research object were randomly divided into study group and control group with 34 cases in each group, wherein the patients in control group adopted routine discharge guidance, while those in study group were given the family nurs-ing intervention in the aspects of psychological, physiological and social behavior twice a week and 30-45min per time. The GQOLI scale was used to evaluate the life quality of the patients before and after the nursing. Results: There were no statistical differences in the scores of GQOLI scale between the two groups before the family nursing (P>0. 05). After the family nursing intervention, the scores of physical function, psychological function, social function, the material life function, overall evaluation and other aspects of GQOLI scale of study group were significantly higher than those of control group (P0.05);经家庭护理干预后,研究组患者在 GQOLI 量化表中的心理功能、躯体功能、社会功能、物质生活功能、生活质量整体评价等方面的评分均明显高于对照组(P<0.05);研究组患者疾病复发率明显低于对照组(P<0.05)。结论:对精神分裂症患者实行家庭护理干预能明显提高患者的生活质量,降低该病的复发率。

  2. 综合护理干预对初产妇焦虑情绪及分娩疼痛的影响%Effect of comprehensive nursing intervention on anxiety and pain of childbirth of primiparas

    Institute of Scientific and Technical Information of China (English)

    孙妮娜; 王克芳; 张雪梅; 杨学会; 苏茂玲

    2015-01-01

    目的:探讨综合护理干预对初产妇焦虑情绪及分娩疼痛的影响。方法:将80例初产妇随机分为干预组和对照组各40例,对照组给予初产妇常规和产科专科护理,干预组在此基础上实施综合护理干预措施,比较两组产妇 SAS评分、分娩疼痛、产程、分娩出血量。结果:干预组干预后、分娩后、分娩后1周SAS评分差值明显高于对照组( P﹤0.05),分娩疼痛明显轻于对照组(P﹤0.05),产程、分娩出血总量明显少于对照组(P﹤0.05)。结论:综合护理干预可缓解初产妇焦虑情绪和分娩疼痛,对提高分娩质量具有临床意义。%Objective:To explore the effect of comprehensive nursing intervention on anxiety and pain of childbirth of primiparas. Meth-ods:80 primiparas were randomly divided into the intervention group and the control group(40 primiparas in each group). The routine and special obstetric nursing care was given to the primiparas in the control group and comprehensive nursing intervention was implemented in the intervention group additionally. The SAS score,pain of childbirth,birth process and volume of postpartum bleeding were compared be-tween the two groups. Results:The SAS score was significantly higher in the intervention group than the control group after intervention,af-ter delivery and one week after delivery(P﹤0. 05);pain of childbirth of the primiparas was significantly lighter in the intervention group than the control group(P﹤0. 05);birth process and volume of postpartum bleeding was shorter and less in the intervention group than the control group(P﹤0. 05). Conclusion:The comprehensive nursing intervention can alleviate anxiety and pain of childbirth of primiparas and enhance the quality of delivery as well.

  3. Effect of a Primary Care Walking Intervention with and without Nurse Support on Physical Activity Levels in 45- to 75-Year-Olds: The Pedometer And Consultation Evaluation (PACE-UP) Cluster Randomised Clinical Trial

    Science.gov (United States)

    Harris, Tess; Iliffe, Steve; Whincup, Peter H.; Ekelund, Ulf; Furness, Cheryl; Anokye, Nana; Ibison, Judith; DeWilde, Steve; David, Lee; Dale, Rebecca; Cook, Derek G.

    2017-01-01

    Background Pedometers can increase walking and moderate-to-vigorous physical activity (MVPA) levels, but their effectiveness with or without support has not been rigorously evaluated. We assessed the effectiveness of a pedometer-based walking intervention in predominantly inactive adults, delivered by post or through primary care nurse-supported physical activity (PA) consultations. Methods and Findings A parallel three-arm cluster randomised trial was randomised by household, with 12-mo follow-up, in seven London, United Kingdom, primary care practices. Eleven thousand fifteen randomly selected patients aged 45–75 y without PA contraindications were invited. Five hundred forty-eight self-reporting achieving PA guidelines were excluded. One thousand twenty-three people from 922 households were randomised between 2012–2013 to one of the following groups: usual care (n = 338); postal pedometer intervention (n = 339); and nurse-supported pedometer intervention (n = 346). Of these, 956 participants (93%) provided outcome data (usual care n = 323, postal n = 312, nurse-supported n = 321). Both intervention groups received pedometers, 12-wk walking programmes, and PA diaries. The nurse group was offered three PA consultations. Primary and main secondary outcomes were changes from baseline to 12 mo in average daily step-counts and time in MVPA (in ≥10-min bouts), respectively, measured objectively by accelerometry. Only statisticians were masked to group. Analysis was by intention-to-treat. Average baseline daily step-count was 7,479 (standard deviation [s.d.] 2,671), and average time in MVPA bouts was 94 (s.d. 102) min/wk. At 12 mo, mean steps/d, with s.d. in parentheses, were as follows: control 7,246 (2,671); postal 8,010 (2,922); and nurse support 8,131 (3,228). PA increased in both intervention groups compared with the control group; additional steps/d were 642 for postal (95% CI 329–955) and 677 for nurse support (95% CI 365–989); additional MVPA in bouts

  4. Effect of a Primary Care Walking Intervention with and without Nurse Support on Physical Activity Levels in 45- to 75-Year-Olds: The Pedometer And Consultation Evaluation (PACE-UP Cluster Randomised Clinical Trial.

    Directory of Open Access Journals (Sweden)

    Tess Harris

    2017-01-01

    Full Text Available Pedometers can increase walking and moderate-to-vigorous physical activity (MVPA levels, but their effectiveness with or without support has not been rigorously evaluated. We assessed the effectiveness of a pedometer-based walking intervention in predominantly inactive adults, delivered by post or through primary care nurse-supported physical activity (PA consultations.A parallel three-arm cluster randomised trial was randomised by household, with 12-mo follow-up, in seven London, United Kingdom, primary care practices. Eleven thousand fifteen randomly selected patients aged 45-75 y without PA contraindications were invited. Five hundred forty-eight self-reporting achieving PA guidelines were excluded. One thousand twenty-three people from 922 households were randomised between 2012-2013 to one of the following groups: usual care (n = 338; postal pedometer intervention (n = 339; and nurse-supported pedometer intervention (n = 346. Of these, 956 participants (93% provided outcome data (usual care n = 323, postal n = 312, nurse-supported n = 321. Both intervention groups received pedometers, 12-wk walking programmes, and PA diaries. The nurse group was offered three PA consultations. Primary and main secondary outcomes were changes from baseline to 12 mo in average daily step-counts and time in MVPA (in ≥10-min bouts, respectively, measured objectively by accelerometry. Only statisticians were masked to group. Analysis was by intention-to-treat. Average baseline daily step-count was 7,479 (standard deviation [s.d.] 2,671, and average time in MVPA bouts was 94 (s.d. 102 min/wk. At 12 mo, mean steps/d, with s.d. in parentheses, were as follows: control 7,246 (2,671; postal 8,010 (2,922; and nurse support 8,131 (3,228. PA increased in both intervention groups compared with the control group; additional steps/d were 642 for postal (95% CI 329-955 and 677 for nurse support (95% CI 365-989; additional MVPA in bouts (min/wk were 33 for postal (95% CI

  5. 中医辨证施护干预对2型糖尿病患者临床疗效的影响%Effects of TCM nursing interventions on clinical efficacy on patients with type 2 diabetes

    Institute of Scientific and Technical Information of China (English)

    王瑜

    2014-01-01

    Objective:To evaluate the effects of TCM nursing interventions on clinical efficacy on patients with type 2 diabetes. Methods: 60 patients with type 2 diabetes were randomly divided into two groups; the intervention group was given TCM nursing intervention on the basis of conventional care. To observe TCM symptom score, fasting glucose, changes in glycated hemoglobin, blood lipids before and after intervention. Results:After treatment, fasting blood glucose, glycated hemoglobin, blood lipids were significantly controlled in the intervention group, clinical symptoms improved significantly, and the difference was statistically significant (P<0.05). Conclusion:TCM nursing intervention has a significant impact on clinical efficacy in patients with type 2 diabetes.%目的:评价中医护理干预对2型糖尿病患者临床疗效的影响。方法:将60例2型糖尿病住院患者随机分为两组,干预组在常规护理基础上进行中医护理干预,观察两组患者干预前后的中医症状积分、空腹血糖、糖化血红蛋白、血脂的变化情况。结果:治疗后干预组患者空腹血糖、糖化血红蛋白、血脂均得到明显控制,临床症状改善明显,差异有统计学意义(P<0.05)。结论:中医护理干预对2型糖尿病患者的临床疗效有显著的影响。

  6. 综合性护理干预对川崎病患儿临床预后的影响分析%Analysis on the Effect of Comprehensive Nursing Intervention on the Prognosis of Children with Kawasaki Disease

    Institute of Scientific and Technical Information of China (English)

    徐霞

    2014-01-01

    Objective To explore the effect of comprehensive nursing intervention on the curative effect of children with Kawasaki disease (KD). Methods 145 cases of children with KD were selected and randomly divided into two groups. 72 cases of control group were given routine nursing, while 73 cases of intervention group were given comprehensive nursing intervention. The incidences of complications, nursing satisfaction and disease cognitive score of children's parents, and psychological score of children were analyzed and compared between two groups. Results The incidences of complications of intervention group were significantly lower than those of control group (P<0.05). The psychological score of children and disease cognitive score of children's parents of intervention group were significantly better than those of control group (P <0.05). Conclusions Comprehensive nursing intervention can promote the recovery of children with KD, reduce the incidence of complications, relax children's emotion, and enhance the trust between patient and physician.%目的:探究综合性护理方式对川崎病患儿临床治疗效果的影响。方法选取川崎病患儿145例并随机分为两组,73例干预组患儿给予综合性护理措施,72例对照组患儿给予常规护理。分析比较两组患儿的并发症发生情况,患儿家长对护理服务的满意度及疾病的认知评分,以及患儿的心理认知评分。结果干预组患儿的并发症发生率显著低于对照组(孕<0.05);干预组的患儿心理评分和疾病知识认知均优于对照组(孕<0.05)。结论有效的综合性护理能促进川崎病患儿临床的康复,减少并发症的发生,缓解患儿情绪,提高医患间的信任。

  7. The Effectiveness of Nutrition Condition and Nutrition KAP on Clinical Nurses through Health Intervention%健康教育对临床护士营养现状和营养KAP影响的效果评价

    Institute of Scientific and Technical Information of China (English)

    王凤梅

    2012-01-01

    目的 了解基层临床护士营养知识、态度、行为(knowledge-attitude-practice,KAP)及营养现状,评价营养健康教育对临床护士的干预效果.方法 将某基层医院360名护士随机分成干预组和对照组,每组180人,干预组进行为期12个月的营养健康干预后,再次进行问卷调查,将两组结果进行比较分析.结果 干预组护士营养KAP调查评分明显较高,与对照组比较差异具有统计学意义(P<0.01);护士膳食能量、营养素日平均摄入量方面,将干预组和对照组与推荐摄入量(recommended nutrient intake,RNI)标准比较,干预组的能量、维生素A、维生素B、维生素D、钙、磷、钠、锌、硒、铜、碘、生物素等摄入量明显提高(P<0.01),更接近RNIs值.结论 通过对临床护士进行营养健康教育,其营养摄入状况和营养KAP有很大提高.%Objectives To study the nurses' KAP and nutrition condition and to evaluate the effectiveness of nutrition health educational intervention on nursing staff. Methods A questionnaire survey was conducted among 360 medical staff members, including nutrition KAP and dietary survey. Results After 12 months of nutrition health education, the scores of the intervention group's nurses' nutrition KAP survey were higher. The difference was statistically significant (P<0. 01). The status of intervention group's nurses' nutrition improved. Compared with RNIs, the dietary energy, nutrition daily average intakes for the intervention group and the control group, the energy, vitamin A, vitamin B, vitamin D, calcium, phosphorus, sodium, zinc, selenium, copper, iodine, bio tin intake increased significantly in the intervention group(P<0. 01) , closer to the RNIs. Conclusions Through effective health education intervention, clinic nurses' nutrition KAP and intakes are highly promoted.

  8. The Preventive Effect of Neonatal Ventilator Associated Pneumonia Cluster Nursing Intervention Measures%集束化护理干预措施预防新生儿呼吸机相关肺炎的效果

    Institute of Scientific and Technical Information of China (English)

    李慧

    2016-01-01

    Objective To investigate the preventive effect of neonatal ventilator associated pneumonia cluster nursing intervention measures. Methods Admitted to the extraction of 80 cases of ventilator associated pneumonia in children were analyzed,were random-ly divided into two groups, patients in control group received routine nursing care;observation group with cluster nursing intervention, clinical effects were compared between the two groups. Results By comparing the observed group was signiifcantly better than the control group,signiifcant differences, with statistical signiifcance.Conclusion Neonatal ventilator-associated pneumonia in implement-ing cluster nursing intervention,can effectively improve the therapeutic effect, reduce VAP incidence, reduce hospitalization time and for clinical promotion and application.%目的:探讨集束化护理干预措施预防新生儿呼吸机相关肺炎的效果。方法抽取的收治的80例呼吸机相关肺炎患儿进行分析,随机分组,对照组实施常规护理;观察组采用集束化护理干预,对比两组的临床效果。结果通过对比,观察组明显优于对照组,差异显著,具有统计学意义。结论针对新生儿呼吸机相关肺炎患儿实施集束化护理干预,能够有效提高治疗效果,降低VAP的发生率,减少住院时间,适合临床的推广与运用。

  9. Looking is not seeing and listening is not hearing: effect of an intervention to enhance auditory skills of graduate-entry nursing students.

    Science.gov (United States)

    Pellico, Linda Honan; Duffy, Thomas C; Fennie, Kristopher P; Swan, Katharine A

    2012-01-01

    Inspection/observation and listening/auscultation are essential skills for health care providers. Given that observational and auditory skills take time to perfect, there is concern about accelerated students' ability to attain proficiency in a timely manner. This article describes the impact of music auditory training (MAT) for nursing students in an accelerated master's entry program on their competence in detecting heart, lung, and bowel sounds. During the first semester, a two-hour MAT session with focused attention on pitch, timbre, rhythm, and masking was held for the intervention group; a control group received traditional instruction only. Students in the music intervention group demonstrated significant improvement in hearing bowel, heart, and lung sounds (p teaching auscultation.

  10. 个性化护理干预在老年病患者中的应用效果%Application effective of individualized nursing intervention in elderly patients

    Institute of Scientific and Technical Information of China (English)

    王玲

    2013-01-01

    Objective To analyse the individualized nursing intervention in elderly patients. Methods 120 patients with hypertension,diabetes,senile dementia patients were collected,according to the different patients took individualized nursing intervention as a treatment group,compared with the control group,and the results were compared. Results Individualized nursing intervention had significant better effective on aged hypertension,diabetes,Alzheimer's patients with which was better than the control group (P < 0.05). Conclusion Individualized nursing intervention had great significance to improve elderly patients' psychological state,eliminate the fear and depression,improve life quality,reduce complications,and extend the life,which is value of the clinical promotion.%目的 探讨个性化护理对老年病的应用效果.方法 选择我院老年病患者120例(高血压、糖尿病、老年痴呆),通过对不同患者采取个性化护理干预作为治疗组,与对照组进行比较,并分析对比结果.结果 个性化护理干预对老年高血压、老年糖尿病、老年痴呆患者效果显著,治疗组明显优于对照组,差异有统计学意义(P < 0.05).结论 个性化护理干预对改善老年病患者的心理状态,消除其恐惧和抑郁,提高生活质量,减少并发症,延长寿命具有重要意义,值的临床推广.

  11. Effectiveness of a nursing intervention in decreasing the anxiety levels of family members of patients undergoing cardiac surgery: a randomized clinical trial.

    Science.gov (United States)

    Hamester, Letícia; Souza, Emiliane Nogueira de; Cielo, Cibele; Moraes, Maria Antonieta; Pellanda, Lúcia Campos

    2016-08-15

    to verify the effectiveness of nursing orientation provided to families of patients in the immediate post-operative following cardiac surgery before the first visit to the post-anesthesia care unit, in decreasing anxiety levels, compared to the unit's routine orientation. open randomized clinical trial addressing family members in the waiting room before the first visit in the immediate post-operative period. The family members assigned to the intervention group received audiovisual orientation concerning the patients' conditions at the time and the control group received the unit's routine orientation. Outcome anxiety was assessed using the STAI-State. 210 individuals were included, 105 in each group, aged 46.4 years old on average (±14.5); 69% were female and 41% were the patients' children. The mean score obtained on the anxiety assessment in the intervention group was 41.3±8.6, while the control group scored 50.6±9.4 (pinventario IDATE. fueron incluidos 210 sujetos, 105 en cada grupo, con edad promedio de 46,4±14,5 años, siendo 69% del sexo femenino y 41% eran hijos de los pacientes. En la evaluación de la ansiedad, el puntaje promedio para el grupo intervención fue de 41,3±8,6 puntos y, para el grupo control, 50,6±9,4 puntos (p<0,001). la intervención de enfermería dirigida a orientar a familiares, en el momento que antecede a la primera visita en el posoperatorio inmediato de cirugía cardíaca, induce una posible reducción de la ansiedad de los acompañantes, contribuyendo para que se sientan más preparados para ese momento. Registro Brasileño de Ensayos Clínicos (ReBEC) y The Universal Trial Number (UTN), bajo el no U1111-1145-6172.

  12. 护理干预对糖尿病病人知晓率、治疗率、控制率的影响评价%The evaution of Nursing intervention for diabetes patients awareness,treatment,control effect

    Institute of Scientific and Technical Information of China (English)

    吕雄; 丛晶; 张旭

    2013-01-01

    目的:探讨护理干预对糖尿病病人“三率”的影响。方法从辖区内选择糖尿病病人180例,进行护理干预,对其进行规范化管理一年,对结果进行统计分析。结果实施规范化管理前后糖尿病病人的知晓率,治疗率,控制率与干预前差异显著意义P <0.05。结论护理干预可有效提高糖尿病知晓率,治疗率,控制率,以达到防治糖尿病基本目标。%Objective: To explore the effect of nuesing intervention on patients with diabetes "three rate" effects, Methods: from within the jurisdiction of choice for diabetes patients in 180 cases, nursing intervention, to standardize the management of the year, statistical analysis, Results: the implementation of standardized management of diabetes patients before and after the awareness rate, treatment rate before the intervention, control rate and significant meaning of P ﹤0.05 Conclusion: nursing intervention can effectively improve diabetes awareness rate, treatment rate, control rate, to achieve the basic goal of prevention and cure of diabetes mellitus.

  13. Effect of psychological nursing intervention on patients with dysthymia disorders associated with anxiety%心理护理干预对抑郁症伴焦虑患者的影响

    Institute of Scientific and Technical Information of China (English)

    刘彩凤; 耿慧

    2012-01-01

    Objective:To investigate the effect of psychological nursing intervention on patients with dysthymia disorders associated with anxiety. Methods:60 patients with dysthymia disorders associated with anxiety were randomly divided into the stud)' group and the control group ( 30 cases in each group ). The patients in the control group received routine nursing care and the patients in the stud)' group received extra systematic psychological nursing intervention. HAMD,HAMA and CGI - SI were used to evaluate the clinical effect and compare it between the two groups after intervention for 6 weeks. Results:The scores of HAMD, HAMA and CGI - SI were lower after intervention than those before intervention in both groups ( P < 0. 05 ); the scores of HAMD, HAMA and CGI - SI were lower in the stud)' group than the control group after intervention ( P <0. 05 ). Conclusion:The psychological nursing intervention can effectively improve the clinical symptoms of patients with dysthymia disorders associated with anxiety so as to promote recovery of the patients.%目的:探讨心理护理干预对抑郁症伴焦虑患者的影响.方法:将60例抑郁症伴焦虑患者随机分为研究组和对照组各30例,对照组给予常规护理,研究组在此基础上进行系统心理护理干预.干预6周后采用汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)及临床总体评定量表(CGI)之疾病严重程度(CGI-SI)评定两组临床疗效并进行比较.结果:两组干预后HAMD、HAMA、CGI-SI评分均低于干预前(P<0.05),研究组干预后HAMD、HAMA、CGI-SI评分均低于对照组(P<0.05).结论:心理护理干预可有效改善抑郁症伴焦虑患者的临床症状,促进患者康复.

  14. Perceived learning needs according to patients who have undergone major coronary interventions and their nurses.

    Science.gov (United States)

    Mosleh, Sultan M; Eshah, Nidal F; Almalik, Mona Ma

    2017-02-01

    The aim of this study was to identify the differences in perceived learning needs between cardiac patients who have undergone major coronary interventions and their nurses. The decrease in length of stay after cardiac interventions has signalled an urgent need to provide effective in-hospital health education. Therefore, the content of health education should bridge the gap between nurses' and patients' views of what information is important for ensuring patients' optimum recovery. A descriptive comparative design was employed. Patients were invited to participate if they had undergone angioplasty or bypass surgery and were ready for discharge within 24-48 hours. A convenience sample of 365 cardiac patients and 166 cardiac nurses participated in this study. Baseline data on patients' and nurses' sociodemographics, clinical history and experience were collected through personal interviews. Then, participants completed the Patient Learning Needs Scale to identify their perceptions of the learning needs after cardiac interventions. The top-priority learning needs according to both patients and cardiac nurses was information on wound care and medication. In contrast, the lowest-priority learning need was physical activity. Nurses perceived information about physical activity as most needed to patients, whereas patients perceived information about medications, postintervention complications and postintervention concerns as mostly needed. The disparity between perceptions of patient and nurses on the essential content to be learned highlights the importance of considering both of these parties when establishing health education programmes. In addition, nurses should focus more on information related to the recovery period and immediate needs after discharge. Information about wound care, medication and potential complications should be the core of predischarge education programmes. In addition, nurses should focus on improve patients' awareness of secondary prevention

  15. Educational interventions to empower nursing home residents: a systematic literature review

    Science.gov (United States)

    Schoberer, Daniela; Leino-Kilpi, Helena; Breimaier, Helga E; Halfens, Ruud JG; Lohrmann, Christa

    2016-01-01

    Purpose of the study Health education is essential to improve health care behavior and self-management. However, educating frail, older nursing home residents about their health is challenging. Focusing on empowerment may be the key to educating nursing home residents effectively. This paper examines educational interventions that can be used to empower nursing home residents. Methods A systematic literature search was performed of the databases PubMed, CINAHL, CENTRAL, PsycINFO, and Embase, screening for clinical trials that dealt with resident education and outcomes in terms of their ability to empower residents. An additional, manual search of the reference lists and searches with SIGLE and Google Scholar were conducted to identify gray literature. Two authors independently appraised the quality of the studies found and assigned levels to the evidence reported. The results of the studies were grouped according to their main empowering outcomes and described narratively. Results Out of 427 identified articles, ten intervention studies that addressed the research question were identified. The main educational interventions used were group education sessions, motivational and encouragement strategies, goal setting with residents, and the development of plans to meet defined goals. Significant effects on self-efficacy and self-care behavior were reported as a result of the interventions, which included group education and individual counseling based on resident needs and preferences. In addition, self-care behavior was observed to significantly increase in response to function-focused care and reasoning exercises. Perceptions and expectations were not improved by using educational interventions with older nursing home residents. Conclusion Individually tailored, interactive, continuously applied, and structured educational strategies, including motivational and encouraging techniques, are promising interventions that can help nursing home residents become more

  16. 护理干预在改善老年高血压患者生活质量中的临床效果%Effects of Nursing Intervention on Quality of Life in Elderly Patients With Hypertension

    Institute of Scientific and Technical Information of China (English)

    赵丽艳

    2015-01-01

    Objective To explore the nursing intervention on the clinical effect of senile hypertension patients quality of life.MethodsWe divided 150 cases of elderly hypertensive patients into two groups randomly, 75 cases in each group. Observation group implementation of nursing intervention, the control group conventional intervention. Compare two groups before and after the intervention of blood pressure, and the quality of life. ResultsThe blood pressure, quality of life were signiifcantly improved in both groups, but the observation group improved more signiifcantly (P < 0.05).Conclusion Nursing intervention can obviously decrease the elderly hypertension level, effectively improve the elderly patients quality of life.%目的:探讨护理干预对老年高血压患者生活质量的临床效果。方法随机将150例老年高血压患者分为两组,每组75例。观察组实施护理干预,对照组实施常规干预。比较两组干预前后血压以及生活质量。结果两组血压、生活质量均改善,但观察组改善幅度更为显著(P<0.05)。结论护理干预可以降低老年高血压水平,有效提高老年患者生活质量。

  17. Effect of dual track nursing intervention on the quality of life of diabetic patients in community%双轨道护理干预对社区糖尿病患者生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    李小明; 李富娟; 胡明; 钟美容

    2012-01-01

    目的:探讨双轨道护理干预对社区糖尿病患者生活质量(QOL)的影响.方法:对60例社区糖尿病患者给予双轨道护理干预,用SF-36量表评价比较干预前后患者QOL及各生化指标变化情况.结果:本组患者干预后QOL及各生化指标较干预前比较差异均有统计学意义(P<0.05,P<0.01).结论:双轨道护理干预能有效提高糖尿病患者QOL,促进康复,值得推广应用.%To explore the effect of dual track nursing intervention on the quality of life of diabetic patients in community. Methods;60 diabetic patients received dual track nursing intervention in community and SF -36 scale was used to evaluate and compare the quality of life and the changes of biochemical indicators of the patients before and after intervention. Results: There were statistically significant differences in the comparison of the quality of life and the changes of biochemical indicators of the patients before and after intervention (P<0.05,P<0.01).Conclusion:The dual track nursing intervention can effectively improve the quality of life of diabetic patients and promote rehabilitation.

  18. 护理干预对真菌性外耳道炎患者的疗效观察%Observation of effects of nursing intervention on fungal otitis externa patients

    Institute of Scientific and Technical Information of China (English)

    杜春慧

    2015-01-01

    目的::观察护理干预对真菌性外耳道炎患者的疗效。方法:回顾性分析86例真菌性外耳道炎患者的临床资料,按照数字图表法分为对照组和观察组,每组各43例。对照组患者给予常规护理,研究组患者给予护理干预,比较两组患者干预前、后焦虑抑郁评分、依从性及疗效。结果:干预后,研究组患者得SAS、SDS评分均低于对照组(P<0.05),依从率高于对照组(P<0.05)。结论:护理干预对真菌性外耳道炎患者的疗效优于常规护理疗效。%Objective:To analyze effects of nursing intervention on fungal otitis externa. Methods:A retrospective analysis of clinical data of 86 cases of fungal otitis externa patients was performed, According to the digital chart method, they were divided into control group and research group of 43 cases in each group. The control group received routine care, while the research group were giv-en nursing intervention. The anxiety and depression scores, compliance and efficacy of the two group before and after the intervention were compared. Results:After the intervention, the SAS and SDS scores of research group were lower than those of control group ( P<0. 05);however, the compliance rate was higher (P<0. 05). Conclusions:The nursing intervention has superior effects on fungal o-titis externa than the routine care.

  19. Nurses' knowledge and perception of delirium screening and assessment in the intensive care unit: Long-term effectiveness of an education-based knowledge translation intervention.

    Science.gov (United States)

    Hickin, Sharon L; White, Sandra; Knopp-Sihota, Jennifer

    2017-08-01

    To determine the impact of education on nurses' knowledge of delirium, knowledge and perception of a validated screening tool, and delirium screening in the ICU. A quasi-experimental single group pretest-post-test design. A 16 bed ICU in a Canadian urban tertiary care centre. Nursing knowledge and perception were measured at baseline, 3-month and 18-month periods. Delirium screening was then assessed over 24-months. During the study period, 197 surveys were returned; 84 at baseline, 53 at 3-months post education, and 60 at the final assessment period 18-months post intervention. The significant improvements in mean knowledge scores at 3-months post intervention (7.2, SD 1.3) were not maintained at 18-months (5.3, SD 1.1). Screening tool perception scores remained unchanged. Improvements in the perception of utility were significant at both time periods (p=0.03, 0.02 respectively). Physician value significantly improved at 18-months (p=0.01). Delirium screening frequency improved after education (pdelirium knowledge and screening; however, without sustained effort, progress is transient. Education improved perceived tool utility and over time utility perception and physician value improved. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. 整体护理干预对带状疱疹患者的影响分析%Analysis of the Effects of Holistic Nursing Intervention in Patients with Herpes Zoster

    Institute of Scientific and Technical Information of China (English)

    张玉荣

    2014-01-01

    Objective To explore the effects of holistic nursing intervention in patients with herpes zoster. Methods 65 cases of herpes zoster patients in our hospital from 2011 July to 2013 October were selected,and al patients were randomly divided into nursing intervention group 33 cases and control group of 32 cases. Comparison of the clinical curative effect and the symptoms of two patients healed herpes were al observed. Results Nursing intervention group patients,the total effective rate was 93.94%,significantly higher than that in control group 81.35%, two groups,significant difference(P<0.05). A blister,pain,scar and herpes healing nursing intervention group were significantly lower than those in the control group,the two groups,the difference was statistical y significant(P<0.05). Conclusion Holistic nursing intervention on patients with herpes zoster can significantly improve the clinical efficacy,improve the clinical symptoms and the healing of herpes zoster.%目的:探讨对带状疱疹患者实施整体护理干预的影响效果。方法选取65例于2011年7月~2013年10月在本院就治的带状疱疹患者,按照随机数字表法把所有患者随机分为护理干预组33例及对照组32例。对两组患者的临床疗效及患者症状、疱疹愈合情况进行比较。结果护理干预组患者的总有效率为93.94%,明显高于对照组的81.35%,两组比较,差异显著(P<0.05)。护理干预组的止疱、止痛、结痂及疱疹愈合时间均显著低于对照组,两组比较,差异有统计学意义(P<0.05)。结论对带状疱疹患者进行整体护理干预可明显提高其临床疗效,明显改善患者的临床症状及疱疹愈合情况。

  1. Structured nursing intervention to geriatric patients discharged from Emergency Department

    DEFF Research Database (Denmark)

    Rosted, Elizabeth Emilie

    2010-01-01

    Background: Geriatric patients recently discharged from hospital are at risk of unplanned readmissions and admission to nursing home. When discharged directly from Emergency Department (ED) the risk increases, as time pressure often requires focus on the presenting problem, although 80 % of geria......Background: Geriatric patients recently discharged from hospital are at risk of unplanned readmissions and admission to nursing home. When discharged directly from Emergency Department (ED) the risk increases, as time pressure often requires focus on the presenting problem, although 80...... % of geriatric patients have complex and often unresolved caring needs. Objective: To investigate a structured nursing intervention’s impact on geriatric patients’ unresolved problems and their use of help from the community health centre. Method: We conducted a prospective descriptive study of selected...... geriatric patients with nursing intervention and 1 and 6 months follow-up. Included were geriatric patients 70+ years planned to be discharged to their home from ED October 2006-June 2008. Intervention: After detecting the geriatric patients planned to be discharged, the geriatric nurse in the ED did...

  2. Participant action research with bedside nurses to identify NANDA-International, Nursing Interventions Classification, and Nursing Outcomes Classification categories for hospitalized persons with diabetes.

    Science.gov (United States)

    Minthorn, Crista; Lunney, Margaret

    2012-05-01

    Experienced bedside nurses identified 14 nursing diagnoses, 78 interventions, and 76 health outcomes for hospitalized persons with diabetes. Using these terms, the nursing department revised the standards of care and the electronic health record. Nurses' engagement in generating knowledge translated to increased interest in research. This methodology is recommended for other agencies.

  3. Interventions aimed at increasing research use in nursing: a systematic review

    Directory of Open Access Journals (Sweden)

    Moore Katherine

    2007-05-01

    Full Text Available Abstract Background There has been considerable interest recently in developing and evaluating interventions to increase research use by clinicians. However, most work has focused on medical practices; and nursing is not well represented in existing systematic reviews. The purpose of this article is to report findings from a systematic review of interventions aimed at increasing research use in nursing. Objective To assess the evidence on interventions aimed at increasing research use in nursing. Methods A systematic review of research use in nursing was conducted using databases (Medline, CINAHL, Healthstar, ERIC, Cochrane Central Register of Controlled Trials, and Psychinfo, grey literature, ancestry searching (Cochrane Database of Systematic Reviews, key informants, and manual searching of journals. Randomized controlled trials and controlled before- and after-studies were included if they included nurses, if the intervention was explicitly aimed at increasing research use or evidence-based practice, and if there was an explicit outcome to research use. Methodological quality was assessed using pre-existing tools. Data on interventions and outcomes were extracted and categorized using a pre-established taxonomy. Results Over 8,000 titles were screened. Three randomized controlled trials and one controlled before- and after-study met the inclusion criteria. The methodological quality of included studies was generally low. Three investigators evaluated single interventions. The most common intervention was education. Investigators measured research use using a combination of surveys (three studies and compliance with guidelines (one study. Researcher-led educational meetings were ineffective in two studies. Educational meetings led by a local opinion leader (one study and the formation of multidisciplinary committees (one study were both effective at increasing research use. Conclusion Little is known about how to increase research use in

  4. 心理干预对骨科择期手术患者心理状况的影响%Effect of psychological nursing intervention on the mental status of orthopedic patients undergoing selective operation

    Institute of Scientific and Technical Information of China (English)

    黄颖; 廖巧云

    2015-01-01

    Objective: To investigate the effect of mental intervention on mental status of patients in the Department of orthopedics of the elective operation, put forward the psychological nursing measures for patients undergoing selective operation feasible Department of orthopedics. Methods: 228 cases of the control of the Department of orthopedics patients undergoing selective operation group and observation group, the control method of the Department of orthopedics disease routine nursing implementation of patient group, the observation group while the psychological nursing intervention combined method basing on the routine nursing care, including health education. Results: Patients admitted during the general existence of mood disorders, anxiety, depression; nursing care before and after the comparison of SAS, SDS in the score of psychological nursing intervention, the patients of the observation group after 1 D significantly reduce anxiety than admission (P 0.05); observation group of 228 patients through psychological nursing intervention before operation, effectively easing the tension, fear, nursing job satisfaction more than 98%. Conclusion:Psychological nursing intervention has a positive effect on patients undergoing elective operation in Department of orthopedics of mental health.%目的:探讨心理干预对骨科择期手术患者心理状况的作用,为骨科择期手术患者提出可行的心理护理措施。方法:对照组和观察组各228例骨科择期手术患者,对照组患者行骨科疾病常规护理的方法,观察组则在常规护理的基础上行综合的心理护理干预方法,包括健康教育等。结果:患者入院期间普遍存在情绪障碍、焦虑、抑郁等;在护理前后SAS、SDS评分比较上,经心理护理干预后观察组术前1 d的焦虑程度比入院时显著降低(P<0.05);对照组术前1d的焦虑程度比入院时反而有所增加(P<0.05);但是两组患者的抑郁评分在手

  5. Application effects of nursing intervention in children with severe pneumonia%护理干预在小儿重症肺炎治疗中的应用效果

    Institute of Scientific and Technical Information of China (English)

    苟琴

    2014-01-01

    目的::探讨加强护理干预对小儿重症肺炎预后的影响。方法:选取40例重症肺炎患儿资料,分为观察组(n =20,实行整体护理干预)与对照组(n=20,常规护理),对两组的临床效果进行比较。结果:观察组患儿家长护理满意度为95%,明显高于对照组80%;观察组患儿病死率为5%,明显低于对照组20%,差异均有统计学意义(P<0.05);观察组患儿平均住院时间少于对照组(P<0.05)。结论:加强小儿重症肺炎护理干预,可有效防范不良事件发生,值得广泛推广应用。%Objective: To investigate the effects of strengthening nursing intervention on prognosis for children with severe pneumonia. Methods: 40 cases with severe pneumonia were randomly divided into observation group (n=20, receiving comprehensive care intervention) and control group (n=20, receiving routine nursing care). The clinical effects of the two groups were compared. Results: The nursing satisfaction of observation group (95% ) was significantly higher than that of control group (80% ), while the mortality of observation group (5% ) was significantly lower than that of control group (20% ), and the differences were statistically significant (P<0. 05). Conclusions: Strengthening the nursing intervention in children with severe pneumonia can improve the quality of care and prevent adverse events, and is worthy of wider application.

  6. 心理及康复护理干预在脑血栓患者中的应用效果分析%Analysis the Application Effect of Psychological and Rehabilitation Nursing Intervention in Patients With Cerebral Thrombosis

    Institute of Scientific and Technical Information of China (English)

    许晓崴; 赵冬梅; 刘一婷; 黄国峰

    2016-01-01

    Objective To study the effect and clinical value of psychological and rehabilitation nursing intervention in patients with cerebral thrombosis. MethodsSelected 60 patients with cerebral thrombosis in our hospital were selected as the research subjects. The control group was treated with general nursing, the experimental group used the psychological and rehabilitation nursing intervention methods. Results The experimental group recovery of neurological deficits, motor function and daily living ability were signiifcantly better than that of the control group, and the difference was statistically signiifcant.ConclusionUse of psychological and rehabilitation nursing intervention for patients with cerebral thrombosis has a good clinical effect.%目的:研究心理及康复护理干预在脑血栓患者中的应用效果及其临床价值。方法选取在我院进行诊治的60位脑血栓患者作为研究对象,对照组使用一般护理方式,实验组使用心理及康复护理干预方法。结果实验组神经功能缺损恢复的情况、运动能力、日常生活能力优于对照组,差异具有统计统意义。结论使用心理及康复护理干预进行脑血栓患者护理有很好的临床效果。

  7. Nursing intervention and health education effect analysis of 80 cases of hypertension patients%高血压患者80例护理干预及健康教育效果分析

    Institute of Scientific and Technical Information of China (English)

    刘晓峰

    2016-01-01

    目的:分析高血压患者临床护理及健康教育,探讨最佳的护理方法及健康教育效果。方法:收治高血压患者80例,分两组,各40例,对照组进行一般护理,干预组在对照组的基础上进行护理干预,对比临床疗效。结果:通过对高血压患者进行系统的护理干预及健康教育,干预组血压改善情况优于对照组,差异有统计学意义(P<0.05)。结论:高血压患者接受科学、合理的护理干预及健康教育能提升患者的治疗效果和认知度,降低患者并发症发生率。%Objective:To analyze the clinical nursing and health education of hypertension patients,and to explore the best nursing method and the effect of health education.Methods:80 patients with hypertension were selected.They were divided into two groups,each of 40 cases.Patients in the control group were given general care,while patients in the intervention group were given nursing intervention on the basis of the control group.Clinical efifcacy was compared.Results:Through the systematic nursing intervention and health education, the patients’ cognition of hypertension in the intervention groupwas better than the control group,and the difference was statistically signiifcant(P<0.05).Conclusion:The scientiifc and reasonable nursing intervention and health education can improve the treatment effect and cognition,and reduce the incidence of complications in patients with hypertension.

  8. 认知护理干预对斜视手术患儿心理情况和护理效果的影响%THE EFFECT OF COGNITIVE NURSING INTERVENTION ON THE PSYCHOLOGICAL SITUATION AND ;NURSING EFFECT OF THE CHILDREN WITH STRABISMUS SURGERY

    Institute of Scientific and Technical Information of China (English)

    朱薇; 王林菊; 张宏兵

    2015-01-01

    目的:探讨认知护理干预对斜视手术患儿心理情况和护理效果的影响。方法回顾性分析该院2013年12月—2014年12月收治的159例斜视手术患儿的临床资料,按照护理方法分为对照组(80例)和观察组(79例),分别给予常规护理干预和常规护理干预联合认知护理干预。观察两组的焦虑自评量表(Self-Ratlng Anxiety Scale,SAS)评分情况和生活质量、护理质量以及患儿家长满意情况,并进行比较。结果观察组干预后的 SAS 评分显著低于对照组,护理质量和生活质量各项得分则显著高于对照组,均P <0.05;观察组患儿家长的护理满意率显著高于对照组,均 P <0.05。结论对斜视手术患儿在常规护理的基础上联合予以认知护理干预可以显著改善患者的心理情况,获得良好的临床护理效果。%Objective To explore the effect of cognitive nursing intervention on the psychological situation and nursing effect of the children with strabismus surgery.Methods A retrospective analysis was per-formed on clinical data of 159 patients with strabismus surgery in author's hospital from December 2013 to December 2014,and they were divided into control group (80 cases)and observation group (79 cases)ac-cording to the nursing methods,and were given routine nursing intervention and routine nursing interven-tion combined with cognitive nursing intervention.Anxiety self rating scale score and quality of life,nurs-ing quality and parents satisfaction of the two groups were observed and compared.Results After interven-tion,SAS score of the observation group was significantly lower than that of the control group,quality of care and quality of life of the scores were significantly higher than those in the control group,P <0.05). Observation group of parents of children with nursing satisfaction rate was significantly higher than that of the control group (all P<0.05).Conclusion It can improve the psychological situation of

  9. Parent and Teacher Perceptions of the Impact of School Nurse Interventions on Children's Self-Management of Diabetes

    Science.gov (United States)

    Peery, Annette I.; Engelke, Martha Keehner; Swanson, Melvin S.

    2012-01-01

    Diabetes is a common chronic illness among school-age children. The school nurse collaborates with the student, parents, and teachers to help the child manage their diabetes effectively. Very little is known about the relationship between school nurse interventions and parent/teacher perceptions of the child's self-management. We examined this…

  10. 护理干预在突发性耳聋患者高压氧治疗中的作用%Effect of nursing intervention on hyperbaric oxygen therapy of patients with sudden deafness

    Institute of Scientific and Technical Information of China (English)

    宋月梅

    2016-01-01

    目的:探讨护理干预在突发性耳聋患者高压氧治疗中的应用及效果。方法:180例突发性耳聋患者给予药物联合高压氧治疗,并给予护理干预,观察其疗效。结果:痊愈53例,显效47例,有效66例,无效14例,有效率92.2%;无中耳气压伤等高压氧并发症发生。结论:有效的护理干预可提高突发性耳聋患者高压氧治疗依从性及临床疗效,减少并发症发生,改善患者预后。%Objective:To explore the application and effect of nursing intervention on hyperbaric oxygen therapy of patients with sudden deafness.Methods:180 patients with sudden deafness were given drug combined with hyperbaric oxygen therapy and nursing intervention.The effect was observed.Results:53 cases were cured;47 cases were markedly effective;66 cases were effective;14 cases were ineffective;the effective rate was 92.2%.There was no hyperbaric oxygen complications such as middle ear barotrauma.Conclusion:Effective nursing intervention can improve the treatment compliance and clinical curative effect of hyperbaric oxygen therapy in patients with sudden deafness,reduce the incidence of complications,and improve the prognosis of patients.

  11. Early palliative home care: Evaluation of an interprofessional educational intervention for district nurses and general practitioners about nutritional care.

    Science.gov (United States)

    Berggren, Erika; Ödlund Olin, Ann; Orrevall, Ylva; Strang, Peter; Johansson, Sven-Erik; Törnkvist, Lena

    2017-01-01

    Teamwork is important in early palliative home care, and interprofessional education is required to achieve teamwork. It is thus crucial to ensure that interprofessional education works well for the members of all participating professions because levels of knowledge and educational needs may vary. To evaluate, by profession, the effectiveness of an interprofessional educational intervention for district nurses and general practitioners on three areas of nutritional care for patients in a palliative phase. A quasi-experimental study that used a computer-based, study-specific questionnaire to evaluate the effectiveness of the intervention. The continuing education in primary health care (ConPrim(®)) model was used to create the intervention. ConPrim includes a web-based program, a practical exercise and a case seminar, all with interprofessional training. Primary health care centers in Stockholm County, Sweden. Intervention group (n = 87; 48 district nurses, 39 general practitioners); control group (n = 53; 36 district nurses, 17 general practitioners). The total intervention effect was significant in all three areas, p = 0.000-0.004. The intervention effects were similar and significant for both professions in areas 1 and 2. In area 3, the intervention effects were significant for general practitioners but not for district nurses. The intervention seems promising, as it may create better prerequisites for teamwork and caring for patients living at home. However, it needs to be optimized to better increase district nurses' level of knowledge (area 3).

  12. An Integrated Intervention for Increasing Clinical Nurses' Knowledge of HIV/AIDS-Related Occupational Safety.

    Science.gov (United States)

    He, Liping; Lu, Zhiyan; Huang, Jing; Zhou, Yiping; Huang, Jian; Bi, Yongyi; Li, Jun

    2016-11-07

    Background: Approximately 35 new HIV (Human Immunodeficiency Virus, HIV) cases and at least 1000 serious infections are transmitted annually to health care workers. In China, HIV prevalence is increasing and nursing personnel are encountering these individuals more than in the past. Contaminated needle-stick injuries represent a significant occupational burden for nurses. Evidence suggests that nurses in China may not fully understand HIV/AIDS (Acquired immunodeficiency syndrome, AIDS) and HIV-related occupational safety. At this time, universal protection precautions are not strictly implemented in Chinese hospitals. Lack of training may place nurses at risk for occupational exposure to blood-borne pathogens. Objectives: To assess the effectiveness of integrated interventions on nurses' knowledge improvement about reducing the risk of occupationally acquired HIV infection. Methods: We audited integrated interventions using 300 questionnaires collected from nurses at the Affiliated Hospital of Xiangnan University, a public polyclinic in Hunan Province. The intervention studied was multifaceted and included appropriate and targeted training content for hospital, department and individual levels. After three months of occupational safety integrated interventions, 234 participants who completed the program were assessed. Results: Of the subjects studied, 94.3% (283/300) were injured one or more times by medical sharp instruments or splashed by body fluids in the last year and 95.3% considered their risk of occupational exposure high or very high. After the intervention, awareness of HIV/AIDS-related knowledge improved significantly (χ² = 86.34, p = 0.00), and correct answers increased from 67.9% to 82.34%. Correct answers regarding risk perception were significantly different between pre-test (54.4%) and post-test (66.6%) (χ² = 73.2, p = 0.00). When coming into contact with patient body fluids and blood only 24.0% of subjects used gloves regularly. The pre

  13. Health Effects of Nursing Intervention on the Incidence of Dental Caries in Children%保健护理干预对儿童龋齿发病的影响

    Institute of Scientific and Technical Information of China (English)

    王易; 刘荣

    2014-01-01

    目的:探讨保健护理干预对儿童龋齿发病的影响。方法:选择笔者所在科室2012年1月收治的无龋齿的200例小儿为研究对象。按护理方法不同分为对照组和干预组,经一年的时间2013年1月进行观察两组的小儿龋齿发病情况。结果:经合理的保健护理干预干预组患龋齿人数明显低于对照组30%。结论:保健护理干预可以有效减少儿童龋齿的发病率。%Objective:To explore the effect of health care on the incidence of dental caries.Method:Selected our department in January 2012 collection without dental caries in 200 children cases as the object of study of health effects of nursing intervention on the incidence of dental caries in children.According to the nursing methods were divided into intervention group and control group,to observe the two groups of children with caries incidence after a year in 2013 January.Result:The reasonable care intervention group was significantly lower than control group,the number of dental caried 30%.Conclusion:Health nursing intervention can effectively reduce the incidence of dental caries in children.

  14. 护理干预对直肠癌肠造口患者生活质量的影响%Effect of nursing intervention on the quality of life of patients with colostomy for rectal cancer

    Institute of Scientific and Technical Information of China (English)

    黄廷芬

    2013-01-01

    目的:探讨护理干预对直肠癌肠造口患者生活质量的影响.方法:将60例直肠癌肠造口患者随机分为观察组和对照组各30例,对照组给予常规护理,观察组在此基础上给予有效护理干预,比较两组护理效果.结果:观察组干预后心理适应及造口自我护理情况优于对照组(P<0.05),术后不良反应发生率和造口并发症发生率低于对照组(P<0.05).结论:护理干预能有效提高直肠癌肠造口患者的生活质量,降低并发症发生率,值得临床推广.%Objective:To explore the effect of nursing intervention on the quality of life of patients with colostomy for rectal cancer. Methods: 60 patients with colostomy for rectal cancer were randomly divided into the observation group and the control group ( 30 cases in each group ). The patients in the control group were given routine nursing care and the patients in the observation group were additionally given effective nursing intervention,the nursing effect was compared between the two groups. Results:The psychological adaptation and self - care for stoma were better in the observation group than the control group after the intervention ( P < 0. 05 ); the incidence of postoperative adverse reaction and complications was lower in the observation group than the control group ( P <0. 05 ). Conclusion: Nursing intervention can effectively improve the quality of life of patients with colostomy for rectal cancer and reduce the incidence of postoperative complications.

  15. Effect of general nursing intervention on psychological stress factors in patients with infectious disease%综合护理干预对传染病患者心理应激因素的影响

    Institute of Scientific and Technical Information of China (English)

    黄哲梅; 黄顺坤; 李剑妮; 彭秋燕; 洪婉媚

    2012-01-01

    Objective To explore the effect of general nursing intervention on psychological stress factors in patients with infectious disease. Methods 320 inpatients with infectious disease involved in the investigation of psychological stress factors with a self-designed questionnaire from October 2010 to June 2011. The general nursing intervention was carried out according to psychological stress factors of patients. The changes of psychological stress factors were compared before and after the intervention. Results Several psychological stress factors were analyzed such as fear and anxiety about illness, fearing of infecting family members, fearing of being estranged after people know about their illness, worrying about changes of their living environment, worrying about medical technology and service attitude, worrying about being infected with other diseases, worrying about being restricted on social intercourse. After nursing intervention, the majority of psychological stress was relieved. There was significant difference between pre-intervention and post-intervention (P < 0.05). Conclusion Psychological stress in hospitalized patients with infectious diseases can be relieved by targeted nursing psychological intervention.%目的 探讨综合护理干预对传染病患者心理应激因素的影响.方法 2010年10月~2011年6月自行设计调查问卷,对320例传染病住院患者心理应激因素进行调查,根据患者心理应激因素进行护理干预.比较干预前后患者心理应激因素改善情况.结果 护理干预后,患者对所患疾病恐惧与焦虑、担心疾病传染给自己家人、担心被别人知道自己患传染病而被疏远、为所处的环境改变感到担忧、担心医护人员的技术水平和服务态度、住院期间担心被传染其他疾病、活动范围受限制等方面,干预前后比较,差异具有统计学意义(均P< 0.05),干预后患者心理应激因素明显改善.结论 有针对性的综合护理干

  16. 护理干预在流浪精神疾病患者睡眠障碍中的应用效果%Application effect of nursing intervention in sleep disorder of homeless patients with mental illness

    Institute of Scientific and Technical Information of China (English)

    梁丽芬; 曹治

    2015-01-01

    目的:探讨护理干预在流浪精神疾病患者睡眠障碍中的应用效果。方法2014年6月~2015年1月,对50例流浪救治精神疾病男性患者的睡眠质量进行干预,包括病区环境管理,医患、护患间的沟通,用药指导及睡眠的小技巧等心理干预。30 d后,干预前后应用匹兹堡睡眠质量指数表(PSQI)评估患者的睡眠质量。结果干预后,患者的PSQI总分及各项(睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、安眠药物使用和日间功能障碍)评分均下降,与治疗前比较,差异有统计学意义(P<0.01)。结论护理干预能改善流浪精神病患者的睡眠状况。%Objective To explore the application effect of nursing intervention in sleep disorder of homeless patients with mental illness. Methods From June 2014 to January 2015,intervention was performed on the sleep quality in 50 homeless male patients with mental illness in need of rescue and treatment,including the management of ward environ-ment,communications between doctor and patient,and between nurse and patient,guidance of drug use,tips for sleep and other nursing intervention.After 30 days,Pittsburgh sleep quality index (PSQI) was applied in patients for evaluating sleep quality of patients before and after intervention. Results After intervention,the total score of PSQI and score of each item (sleep quality,time of falling asleep,sleep time,sleep efficiency,sleep disorder,usage of hypnotics and daytime dysfunction) were decreased,and there was a statistical difference (P<0.01) compared with before intervention. Con-clusion Nursing intervention is able to improve the sleep condition of homeless patients with mental illness.

  17. Kidney stones in patients with diabetes mellitus perioperative nursing intervention effect analysis%肾结石合并糖尿病患者的围手术期护理干预效果分析

    Institute of Scientific and Technical Information of China (English)

    任慧艳

    2015-01-01

    目的:探讨肾结石合并糖尿病患者围手术期前后的潜在风险,并提出有效的护理措施,观察护理干预对肾结石合并糖尿病患者围手术期前后的作用及影响。方法择选我科自2012年1月-2014年12月收治肾结石并合并糖尿病的患者30例,通过分析肾结石合并糖尿病患者的围手术期潜在的医疗及护理风险,有针对性的对所有患者给予围手术期的护理干预,观察病情治疗情况及效果。结果通过实施围手术期的护理干预,本组患者30例患者在住院过程中血糖得以控制,手术成功,无感染,无并发症,治疗时间缩短。结论在研究过程中证明,肾结石合并糖尿病患者围手术期前后有潜在的医疗及护理风险,通过在肾结石合并糖尿病患者围手术期给予其充分的护理干预通过实施围手术期的护理干预,患者各项情况都得到好转,从而达到促进康复,减少并发症的目的,护理干预不仅是保障手术成功的基础,对提高患者生活质量也有积极的意义。%Objective To investigate the potential risk of kidney stones in patients with diabetes mellitus before and after surgery in circumference, and propose effective care measures, observe the nursing intervention for diabetic patients undergoing kidney function and the impact of the before and after surgery.Method by choosing our department from January 2012 -2014 December treated kidney stones and merger of 30 cases of patients with diabetes, kidney stones in patients with diabetes by analyzing the potential medical and nursing perioperative risk, targeted to All patients were given perioperative nursing intervention, treatment and effects of the disease were observed.Results Through the implementation of perioperative nursing intervention, patients in this group of 30 patients during hospitalization to control blood sugar, successful surgery, no infection, no complications, shorten treatment

  18. A Phenomenological Study of Nurse Manager Interventions Related to Workplace Bullying.

    Science.gov (United States)

    Skarbek, Anita J; Johnson, Sandra; Dawson, Christina M

    2015-10-01

    The aim of this study was to acquire nurse managers' perspectives as to the scope of workplace bullying, which interventions were deemed as effective and ineffective, and what environmental characteristics cultivated a healthy, caring work environment. Research has linked workplace bullying among RNs to medical errors, unsafe hospital environments, and negative patient outcomes. Limited research had been conducted with nurse managers to discern their perspectives. Six nurse managers from hospital settings participated in in-depth, semistructured interviews. Ray's theory of bureaucratic caring guided the study. These themes emerged: (a) awareness, (b) scope of the problem, (c) quality of performance, and (d) healthy, caring environment. Findings indicated mandated antibullying programs were not as effective as individual manager interventions. Systems must be in place to hold individuals accountable for their behavior. Communication, collective support, and teamwork are essential to create environments that lead to the delivery of safe, optimum patient care.

  19. Consequences from use of reminiscence--a randomised intervention study in ten Danish nursing homes.

    Science.gov (United States)

    Gudex, Claire; Horsted, Charlotte; Jensen, Anders Møller; Kjer, Marianne; Sørensen, Jan

    2010-06-06

    Reminiscence is the systematic use of memories and recollections to strengthen self-identity and self-worth. The study aim was to investigate the consequences for nursing home residents and staff of integrating reminiscence into daily nursing care. In this randomised study, ten nursing homes were matched into two groups on the basis of location, type and size. In the period August 2006--August 2007, staff in the Intervention Group were trained and supported in the use of reminiscence, involving individual and group sessions with residents as well as reminiscence boxes, posters and exhibitions. At baseline and again 6 and 12 months after the intervention start, data were collected on residents' cognitive level, agitated behaviour, general functioning and proxy-assessed quality of life, as well as on staff well-being and job satisfaction. Mixed linear modelling was used to analyse differences in outcome between the intervention and control groups. Project drop-out rates were 32% for residents and 38% for nursing staff. Most staff in the Intervention Group considered reminiscence a useful tool that improved their communication with residents, and that they would recommend to other nursing homes. There were no significant differences between residents in the Intervention and the Control Group in cognitive level, agitated behaviour or general functioning. Residents in the Intervention Group showed significant higher score at 6 months in quality of life subscale 'Response to surroundings', but there was no significant difference at 12 months. Positive effects of reminiscence were observed for all staff outcome measures, the only exception being SF-12 self-rated physical health. At 6 months after start of reminiscence, staff in the Intervention Group had significantly better scores than those in the Control Group for Personal accomplishment, Emotional exhaustion, Depersonalisation, 'Attitude towards individual contact with residents' and SF-12 self-rated mental health. At

  20. Consequences from use of reminiscence - a randomised intervention study in ten Danish nursing homes

    Science.gov (United States)

    2010-01-01

    Background Reminiscence is the systematic use of memories and recollections to strengthen self-identity and self-worth. The study aim was to investigate the consequences for nursing home residents and staff of integrating reminiscence into daily nursing care. Methods In this randomised study, ten nursing homes were matched into two groups on the basis of location, type and size. In the period August 2006 - August 2007, staff in the Intervention Group were trained and supported in the use of reminiscence, involving individual and group sessions with residents as well as reminiscence boxes, posters and exhibitions. At baseline and again 6 and 12 months after the intervention start, data were collected on residents' cognitive level, agitated behaviour, general functioning and proxy-assessed quality of life, as well as on staff well-being and job satisfaction. Mixed linear modelling was used to analyse differences in outcome between the intervention and control groups. Results Project drop-out rates were 32% for residents and 38% for nursing staff. Most staff in the Intervention Group considered reminiscence a useful tool that improved their communication with residents, and that they would recommend to other nursing homes. There were no significant differences between residents in the Intervention and the Control Group in cognitive level, agitated behaviour or general functioning. Residents in the Intervention Group showed significant higher score at 6 months in quality of life subscale 'Response to surroundings', but there was no significant difference at 12 months. Positive effects of reminiscence were observed for all staff outcome measures, the only exception being SF-12 self-rated physical health. At 6 months after start of reminiscence, staff in the Intervention Group had significantly better scores than those in the Control Group for Personal accomplishment, Emotional exhaustion, Depersonalisation, 'Attitude towards individual contact with residents' and SF-12

  1. Consequences from use of reminiscence - a randomised intervention study in ten Danish nursing homes

    Directory of Open Access Journals (Sweden)

    Sørensen Jan

    2010-06-01

    Full Text Available Abstract Background Reminiscence is the systematic use of memories and recollections to strengthen self-identity and self-worth. The study aim was to investigate the consequences for nursing home residents and staff of integrating reminiscence into daily nursing care. Methods In this randomised study, ten nursing homes were matched into two groups on the basis of location, type and size. In the period August 2006 - August 2007, staff in the Intervention Group were trained and supported in the use of reminiscence, involving individual and group sessions with residents as well as reminiscence boxes, posters and exhibitions. At baseline and again 6 and 12 months after the intervention start, data were collected on residents' cognitive level, agitated behaviour, general functioning and proxy-assessed quality of life, as well as on staff well-being and job satisfaction. Mixed linear modelling was used to analyse differences in outcome between the intervention and control groups. Results Project drop-out rates were 32% for residents and 38% for nursing staff. Most staff in the Intervention Group considered reminiscence a useful tool that improved their communication with residents, and that they would recommend to other nursing homes. There were no significant differences between residents in the Intervention and the Control Group in cognitive level, agitated behaviour or general functioning. Residents in the Intervention Group showed significant higher score at 6 months in quality of life subscale 'Response to surroundings', but there was no significant difference at 12 months. Positive effects of reminiscence were observed for all staff outcome measures, the only exception being SF-12 self-rated physical health. At 6 months after start of reminiscence, staff in the Intervention Group had significantly better scores than those in the Control Group for Personal accomplishment, Emotional exhaustion, Depersonalisation, 'Attitude towards individual

  2. 探讨风湿及类风湿患者护理干预的疗效%To explore the effect of nursing intervention on rheumatoid patients

    Institute of Scientific and Technical Information of China (English)

    袁瑞凡; 宋追; 史丽英

    2014-01-01

    In recent years,the incidence of rheumatism and rheumatoid was increasing,and lack of good and system method in clinical treatment,only painkiller and hormone drugs can be used in therapy,but this class of drugs do not cure the disease,and it also can damage to gastrointestinal,liver and kidney dysfunction,so the effectiveness of medical therapy has not been satisfactory. It almost lead to joint deformities,contractures,affected the people’s health and quality of life seriously.Our branch used nursing intervention and physical therapy get a curative effect and did not cause any complications,the methods such as emotion regulation,promoting blood circulation and removing blood stasis,Shu Jin Tong Luo and so on.Most of the patients with pain relief, swelling,deformity gradually returned to normal,and recovered the activity and self-care ability.%近年来,风湿及类风湿发病率呈上升趋势,临床上往往没有较好而系统的治疗方法,只能应用止痛及激素类药物,而这类药物治标不治本,而且有胃肠及肝肾功能损害,治疗效果不甚理想,最后导致关节畸形、挛缩,严重影响患者的健康和生活质量。而我科采用护理干预及物理治疗方法,通过调节患者的情绪,活血化瘀,舒筋通络等方法,疗效确切,无并发症。大部分患者疼痛缓解,肿胀减轻,畸形关节逐渐恢复正常,活动与自理能力恢复。

  3. Enhancing self-directed learning among Italian nursing students: A pre- and post-intervention study.

    Science.gov (United States)

    Cadorin, L; Rei, A; Dante, A; Bulfone, T; Viera, G; Palese, A

    2015-06-01

    In accordance with Knowles's theory, self-directed learning (SDL) may be improved with tutorial strategies focused on guided reflection and critical analysis of the learning process. No evidence on effects on SDL abilities of different tutorial strategies offered to nursing students during the 1st clinical experience is available. To evaluate the effect of different tutorial strategies offered to nursing students on their SDL abilities. A pre-post intervention non-equivalent control group design was adopted in 2013. For the treatment group, structured and intensive tutorial interventions including different strategies such as briefing, debriefing, peer support, Socratic questioning, performed by university tutors were offered during the 1st clinical experience; for the control group, unstructured and non-intensive tutorial strategies were instead offered. Two Bachelor of Nursing Degree. Students awaiting their clinical experience (n=238) were the target sample. Those students who have completed the pre- and the post-intervention evaluation (201; 84.4%) were included in the analysis. SDL abilities were measured with the SRSSDL_ITA (Self Rating Scale of Self Directed Learning-Italian Version). A multiple linear regression analysis was developed to explore the predictive effect of individual, contextual and intervention variables. Three main factors explained the 36.8% of the adjusted variance in SDL scores have emerged: a) having received a lower clinical nurse-to-student supervision (B 9.086, β 2.874), b) having received higher level and structured tutorial intervention by university tutors (B 8.011, β 2.741), and c) having reported higher SDL scores at the baseline (B .550, β .556). A lower clinical nurse-to-student ratio (1:4), accompanied by unstructured and non-intensive tutorial intervention adopted by university tutors, seemed to be equivalent to an intensive clinical supervision (1:1) accompanied by higher level and structured tutorial strategies activated

  4. 护理干预应用于糖尿病合并心血管患者的效果%Effect of Nursing Intervention Applied in Patients with Diabetes Mellitus Complicated with Cardiovascular Disease

    Institute of Scientific and Technical Information of China (English)

    徐广侠

    2016-01-01

    Objective To investigate the effect of nursing intervention in patients with diabetes mellitus complicated with cardiovascular disease. Methods 300 patients with diabetes mellitus complicated with cardiovascular disease were divided into A group (nursing intervention) and B group (general nursing), 150 cases in each group. Results the satisfaction of pa-tients with diabetes mellitus and cardiovascular patients in A group was significantly higher than that in group B (82%, P<0.05). Conclusion nursing intervention in patients with diabetes mellitus combined with cardiovascular patients, has a rela-tively high degree of patient satisfaction, it is worthy of further promotion and research.%目的:探讨护理干预应用于糖尿病合并心血管患者的效果。方法将300例糖尿病合并心血管患者依护理不同分为A组(护理干预﹚和B组(普通护理﹚,每组有150例。结果A组糖尿病合并心血管患者满意度91.33%明显高于B组82.00%(P<0.05﹚。结论护理干预在糖尿病合并心血管患者中进行应用,有着相对较高的患者满意度,值得进一步推广和研究。

  5. 护理干预应用于小儿糖尿病神经病变患者的效果探讨%Effect of Nursing Intervention on Patients with Diabetic Neuropathy in Chil-dren

    Institute of Scientific and Technical Information of China (English)

    方景秀; 刘海燕

    2016-01-01

    Objective To explore the clinical effect of nursing intervention in the patients with diabetic neuropathy. Meth-ods 300 cases of diabetic patients with diabetic neuropathy were divided into A group (nursing intervention) and B group (common nursing), 150 cases in each group. Results the satisfaction of family members of patients with diabetic neuropathy in A group was significantly higher than that in patients with diabetic neuropathy in the B group (82.67%) (P<0.05). Con-clusion nursing intervention in children with diabetic neuropathy patients in the application, with a relatively high degree of satisfaction with family members, it is worth further promotion and research.%目的:探讨护理干预应用于小儿糖尿病神经病变患者的临床效果。方法将300例小儿糖尿病神经病变患者依护理不同分为A组(护理干预﹚和B组(普通护理﹚,每组有150例。结果 A组糖尿病神经病变患儿家属满意度90.67%明显高于B组糖尿病神经病变患儿家属满意度82.67%(P<0.05﹚。结论护理干预在小儿糖尿病神经病变患者中进行应用,有着相对较高的患儿家属满意度,值得进一步推广和研究。

  6. Study on the effect of nursing intervention on chronic severe hepatitis and hepatic encephalopathy patient%护理干预对慢性重型肝炎肝性脑病影响的研究

    Institute of Scientific and Technical Information of China (English)

    杨运娟; 冯碧英; 彭碧文

    2011-01-01

    目的:探讨护理干预对慢性重型肝炎肝性脑病的影响.方法:对90例慢性重型肝炎患者在常规治疗护理的基础上实施全面评估发生肝性脑病存在及潜在的诱因,进行预见性的护理干预(观察组),并随机抽取常规治疗护理的同病种病例90例(对照组).结果:观察组肝性脑病的发生率及治疗效果与对照组比较有统计学意义(P<0.05).结论:护理干预可消除和减少肝性脑病的诱发因素,减少肝性脑病的发生率,提高治疗效果.提示慢性重型肝炎患者要重视对肝性脑病诱发因素的评估及进行预见性护理干预,去除肝性脑病的诱因,对防治慢性重型肝炎肝性脑病、改善治疗效果、提高患者的生存率有重要作用.%Objective: To explore the influence of nursing intervention on chronic severe hepatitis and hepatic encephalopathy.Methods: Selected 90 chronic severe hepatitis patients on the basis of conventional care, then implemented comprehensive evaluation on existing and potential triggers lead to hepatic encephalopathy for participative nursing intervention, and randomly extracted 90 patients with the same disease cases based on conventional care as control group.Results: Comparison of therapeutic effect and incidence of hepatic encephalopathy between observation group and contrast group was statistically significant( P <0.05 ).Conclusions: Nursing intervention can eliminate and reduce liver cerebral causative factor,reduce the incidence of hepatic encephalopathy and increase the therapeutic effect.It' s prompted that nursing chronic severe hepatitis patients should pay attention on assessing the induce factor of hepatic encephalopathy and carrying out the predictive nursing intervention.Removed hepatic encephalopathy triggers, is very important to the prevention and control of hepatic encephalopathy , the improve of therapeutic effect and the increase of patient surial rates.

  7. The Effect of Psychological Nursing Intervention Applied in the Department of Hepatobiliary Surgery%心理护理干预在肝胆外科中的效果应用

    Institute of Scientific and Technical Information of China (English)

    崔淑芹

    2015-01-01

    Objective To investigate the application of psychological nursing intervention in the department of hepatobiliary surgery,and to analyze the intervention on the recovery of patients with mental and physical effect. Methods 50 cases of patients accepted operation in department of hepatobiliary surgery in our hospital,who were divided into control group and experimental group randomly,the control group of 25 patients with routine nursing, test group of 25 patients with psychological nursing intervention based on routine nursing. Results In the test group,whether regulation of patients with postoperative complications of emotional or psychological anxiety,emotional control,compared with the control group had better effect(P<0.05). Conclusion Psychological nursing intervention on patients in the department of hepatobiliary surgery can effectively slow down the catheter cause discomfort and the incision pain,reduce the patient on the prognosis of the disease and drainage control situation concern.%目的:观察心理护理干预在肝胆外科中的应用,并分析干预对患者身心恢复的效果。方法选取我院50例接受肝胆外科手术的患者,随机将患者分为对照组和试验组,对照组25例患者采用常规护理方法,试验组25例患者在常规护理基础上进行心理护理干预,对两组的应用效果进行对比分析。结果试验组不论是对患者的术后并发症的情绪的调控,还是心理焦虑等情绪的调控,较之对照组都有较好的效果(P<0.05),具有统计学意义。结论心理护理干预对肝胆外科患者能有效减缓尿管导致的不适和切口疼痛,降低患者对疾病预后和引流管制情况的担心,患者接受度高,能更好地帮助患者身心康复。

  8. Reactions and Interventions for Delusions in Nursing Home Residents with Dementia.

    Science.gov (United States)

    Cohen-Mansfield, Jiska; Golander, Hava; Arnheim, Giora; Cohen, Rinat

    2014-06-01

    This is a qualitative and quantitative study examining institutional staff members' reactions to delusions experienced by nursing home residents. Participants were 38 nursing home residents aged 65 and older, diagnosed with dementia. Data were collected from 8 nursing homes in Israel between June 2007 and January 2009. Assessments included Behavioral Pathology in Alzheimer's Disease Rating Scale, Neuropsychiatric Inventory: Nursing Home version, Etiological Assessment of Psychotic Symptoms In Dementia, Activities of Daily Living, and Mini-Mental State Examination. A wide variety of interventions with dementia-related symptoms was found to be effective to varying degrees. This included general approaches for a variety of symptoms as well as symptom-specific interventions. Caregivers do not always seem to be aware that multiple approaches are available to them when dealing with dementia. The most effective approaches may be those tailored to the individual. Combining interventions may increase overall effectiveness. Caregiver's experience and the institutional culture may affect the choice of intervention used, either positively or negatively.

  9. 护理干预对经下肢静脉介入溶栓治疗患者焦虑水平的影响%Effect of nursing intervention on the level of anxiety of the patients undergoing interventional thrombolytic therapy via the veins of lower extremity

    Institute of Scientific and Technical Information of China (English)

    余北平; 刘兴丽; 周成宇

    2012-01-01

    目的:探讨护理干预对经腘静脉介入治疗下肢深静脉血栓患者焦虑水平的影响.方法:将80例首次接受腘静脉介入治疗下肢深静脉血栓患者随机分为干预组和对照组各40例.对照组采用术前常规护理,干预组在此基础上实施支持性心理治疗、音乐治疗与想象训练、专科疾病健康教育等护理干预措施.比较两组患者干预前后心理指标、生理指标、睡眠时间.结果:护理干预后干预组患者心理指标、生理指标、睡眠时间均优于对照组(P<0.05,P<0.01).结论:护理干预对介入治疗患者术前情绪有改善作用,可缓解介入治疗患者焦虑水平.%Objective: To explore the effect of nursing intervention on the level of anxiety of the patients with deep venous thrombosis ( DVT Jtreated with interventional thrombolytic therapy via popliteal vein of lower extremity. Methods: 80 DVT patients who first received interventional thrombolytic therapy via popliteal vein of lower extremity were randomly divided into an intervention group and a control group(40 cases in each group ). The routine preoperative nursing care was taken in the control group and the additional comprehensive nursing interventions were carried out in the intervention group, including supportive psychotherapy, music therapy, imagination training and health education on specialized diseases. The psychological index, physiological index and sleep time were compared between the two groups before and after the intervention. Results: The psychological index, physiological index and sleep time were superior in the intervention group to the control group after nursing intervention(P<0. 05,P<0.01 ). Conclusion: The nursing intervention can improve the mood of patients before operation and relieve their anxiety.

  10. 妇产科患者术后疼痛行综合护理干预的效果观察%Postoperative pain in patients with maternity line the synthetic evaluation of the effect of nursing intervention

    Institute of Scientific and Technical Information of China (English)

    秦秀丽

    2016-01-01

    Objective To evaluate for postoperative pain of obstetrics and gynecology patients the effect of comprehensive nursing measures.Methods To choose the hospital in November 2014-November 2015 lines of surgical treatment of obstetrics and gynecology patients 88 cases,divided into two groups:control group lines of traditional nursing,analysis group comprehensive nursing, nursing effect.Results The total effective rate was 95.45%,analysis group,control group is 77.27%; Nursing satisfaction analysis group patients was 95.45%,the control group was 75.00%,on the validity and nursing satisfaction of nursing analysis group were better than contrast group (P<0.05).Conclusion Giving of obstetrics and gynecology patients postoperative pain effect of comprehensive nursing intervention measures,can be applied.%目的:评价给予妇产科术后疼痛患者综合护理措施的效果。方法选取我院2014年11月~2015年11月手术治疗的妇产科患者88例,分为对比组和分析组:对比组行传统护理,分析组行综合护理,比较两组患者的护理效果。结果分析组总有效率为95.45%,高于对比组的77.27%;分析组患者护理满意度为95.45%,高于对比组的75.00%,分析组在护理有效性及护理满意度方面均优于对比组,差异有统计学意义(P<0.05)。结论给予妇产科术后疼痛患者综合护理干预措施效果明显,可推广应用。

  11. Outcomes of interventions for nurse leaders' well-being at work: A quantitative systematic review.

    Science.gov (United States)

    Häggman-Laitila, Arja; Romppanen, Johanna

    2017-08-03

    The aim of this study was to gather, assess and synthesize current research knowledge on interventions that aimed to improve nurse leaders' well-being at work. The research evidence on interventions for nurse leaders' well-being at work has been sporadic and there are a lack of evidence-based recommendations for effective interventions that inform practice, future studies and education. A quantitative systematic review, in accordance with the Cochrane Collaboration procedures and the reporting guidance in the PRISMA statement. CINAHL, Cochrane, EBSCO, PubMed, PsycInfo and Scopus databases were searched from 2009 - December 2016. The final data consisted of five studies, which were assessed with the Cochrane Risk of Bias Tool. The data were summarized narratively. The interventions were mainly concerned with stress management and were targeted at individuals. Four of the five interventions examined produced statistically significant outcomes on well-being at work. Stress management interventions that included mental exercises were the most successful. Interventions primarily reduced the stress experienced by participants, but the evidence on the stability of these outcomes was poor because of the short follow-up periods. The certainty of evidence was low, indicating that the use of these interventions among nurse leaders might be beneficial. Further studies are needed to provide more reliable recommendations for their use. As the performance of nurse leaders influences organizations, through interpersonal relationships, it is important to pay more attention in the future to the development of organization- and person-directed interventions and their combinations. A structural empowerment approach should also be considered. © 2017 John Wiley & Sons Ltd.

  12. The effect of family nursing intervention on the life satisfaction of hemodialysis patients%家庭护理干预对血液透析患者生活满意度的影响

    Institute of Scientific and Technical Information of China (English)

    张媛; 范丽娜

    2014-01-01

    Objective: To discuss the effect and value of family nursing intervention on the life quality of hemodialysis patients. Methods:Selecting 50 hemodialysis patients from our hospital that have made a definite diagnosis, divided into group A and B. The 25 patients from group A were provided family nursing intervention, The 25 patients from group B were provided ordinary nursing. Comparing the anxiety score and complication occurrence rate of the two group patients.Results:The results of the two group patients anxiety score show that there is no difference in anxiety score before nursing; Group A is obviously better than group B in score after nursing;The number of complication occurrence shows that group A is obviously less than group B ( <0.05). Conclusion:Family nursing intervention can help patients alleviate mental burden,can better help hemodialysis patients reach the best clinical effect with drugs.In addition,it can improve treatment compliance, adjust living habit, control the disease,promote recovery.%目的:讨论家庭护理干预对血液透析患者生活质量的影响与价值。方法:选取我院已确诊50例进行血液透析患者分为A、B两组。A组25例患者提供家庭护理干预,B组25例患者给予一般护理。比较两组患者焦虑评分及并发症发生率。结果:两组患者焦虑评分比较显示,护理前两组焦虑评分无差异,护理后A组评分显著优于B组;并发症发生人数比较显示,A组并发症发生人数显著少于B组(<0.05)。结论:家庭护理干预能够帮助患者减轻精神负担,有利于血液透析配合药物治疗达到最好疗效。另外提高治疗依从性,调整生活习惯能够控制病情,促进恢复。

  13. 综合性护理干预在小儿支气管肺炎中的临床效果观察%Observation of clinical effects of comprehensive nursing intervention in pediatric bronchopneumonia

    Institute of Scientific and Technical Information of China (English)

    任明丽

    2015-01-01

    Objective To discuss the value of comprehensive nursing intervention during the rehabilitation of pediatric bronchopneumonia. Methods A total of 80 children patients with bronchopneumonia were randomLy assigned to exper-iment group and control group. 45 patients in the experiment group were given comprehensive nursing interventions such as ultrasonic aerosol inhalation, postural drainage and thoracic and dorsal percussion on the basis of original nurs-ing of treatment; 35 patients in the control group were given regular nursing. Results Cough, fever, duration of pul-monary moist rales and hospitalization time between the two groups of children patients all showed significant differ-ences (P<0.05), and the experiment group was significantly better than the control group. Conclusion comprehensive Nursing intervention is beneficial in reducing complications and has a significant effect. It is easy and convenient to operate, is highly safe and is able to reduce toxic and side effects. It is able to significantly promote early recovery of health for children patients with bronchopneumonia, which is worthy of widespread promotion in clinical nursing care.%目的:探讨综合性护理干预在小儿支气管肺炎康复疗效过程中的价值。方法随机将80例支气管肺炎患儿分为实验组和对照组:实验组45例,在原治疗护理基础上加用超声雾化吸入、体位引流、胸背部扣击等综合护理干预方法;对照组35例,给予常规护理。结果两组患儿在咳嗽、发热、肺部湿啰音体征持续时间及住院时间上均有显著差异(P<0.05),实验组明显优于对照组。结论综合性护理干预有利于减少并发症,效果显著,操作方便简单,安全性高,减少毒副作用,能显著促进支气管肺炎患儿尽早恢复健康,在临床护理工作中值得广泛推广。

  14. Analysis of the Effect of Systematic Nursing Intervention on the Treatment Compliance of Patients with Diabetes%系统护理干预对糖尿病患者治疗依从性的影响分析

    Institute of Scientific and Technical Information of China (English)

    岳莹

    2015-01-01

    Objective To analyze the effect of systematic nursing intervention on the treatment compliance of patients with diabetes Methods The data of 72 cases with diabetes admitted in our hospital from July 2013 to July 2014 were selected. All the patients were given systematic nursing intervention. And the treatment compliance and quality of life of the patients before and after the intervention were compared. Results After the intervention, the rate of full treatment compliance was much better than that before the intervention. And the physical activity, role activity, energy and vitality, and interpersonal interaction and other indexes of quality of life of the patients were obviously better than those before the intervention, the differences before and after the interven-tion were statistically significant (P<0.05). Conclusion Systematic nursing intervention can effectively improve the treatment com-pliance and stabilize the level of blood glucose of patients with diabetes.%目的:分析系统护理干预对糖尿病患者治疗依从性的影响。方法资料随机选自2013年7月—2014年7月该院收治的糖尿病患者72例,均予以系统护理干预,对比患者干预前后治疗依从性与生活质量。结果干预后患者治疗完全依从率明显优于干预前,且干预后患者躯体活动、角色活动、精力与活力及人际交往等生活质量指标均优于干预前,前后对比差异有统计学意义(P<0.05)。结论糖尿病患者应用系统护理干预能有效提升患者治疗依从性并稳定血糖水平。

  15. Advanced Nursing Process quality: Comparing the International Classification for Nursing Practice (ICNP) with the NANDA-International (NANDA-I) and Nursing Interventions Classification (NIC).

    Science.gov (United States)

    Rabelo-Silva, Eneida Rejane; Dantas Cavalcanti, Ana Carla; Ramos Goulart Caldas, Maria Cristina; Lucena, Amália de Fátima; Almeida, Miriam de Abreu; Linch, Graciele Fernanda da Costa; da Silva, Marcos Barragan; Müller-Staub, Maria

    2017-02-01

    To assess the quality of the advanced nursing process in nursing documentation in two hospitals. Various standardised terminologies are employed by nurses worldwide, whether for teaching, research or patient care. These systems can improve the quality of nursing records, enable care continuity, consistency in written communication and enhance safety for patients and providers alike. Cross-sectional study. A total of 138 records from two facilities (69 records from each facility) were analysed, one using the NANDA-International and Nursing Interventions Classification terminology (Centre 1) and one the International Classification for Nursing Practice (Centre 2), by means of the Quality of Diagnoses, Interventions, and Outcomes instrument. Quality of Diagnoses, Interventions, and Outcomes scores range from 0-58 points. Nursing records were dated 2012-2013 for Centre 1 and 2010-2011 for Centre 2. Centre 1 had a Quality of Diagnoses, Interventions, and Outcomes score of 35·46 (±6·45), whereas Centre 2 had a Quality of Diagnoses, Interventions, and Outcomes score of 31·72 (±4·62) (p < 0·001). Centre 2 had higher scores in the 'Nursing Diagnoses as Process' dimension, whereas in the 'Nursing Diagnoses as Product', 'Nursing Interventions' and 'Nursing Outcomes' dimensions, Centre 1 exhibited superior performance; acceptable reliability values were obtained for both centres, except for the 'Nursing Interventions' domain in Centre 1 and the 'Nursing Diagnoses as Process' and 'Nursing Diagnoses as Product' domains in Centre 2. The quality of nursing documentation was superior at Centre 1, although both facilities demonstrated moderate scores considering the maximum potential score of 58 points. Reliability analyses showed satisfactory results for both standardised terminologies. Nursing leaders should use a validated instrument to investigate the quality of nursing records after implementation of standardised terminologies. © 2016 John Wiley & Sons Ltd.

  16. Registering Nursing Interventions in Electronic Environments in Accordance with Nursing Process: an Example from Turkey

    Directory of Open Access Journals (Sweden)

    Fatma Ay

    2013-01-01

    Full Text Available Background: As being a professional occupation, development of nursing is affected by technological advancements in other fields. Aim of nursing is offering a safe, efficient and quality care. In general, lots of data, both quantitive and qualitative, is registered by nurses to the system of health records. Also usage of care plansadapted to computer environment has the benefits like eased risk management and analysis, standardization of given care, establishment of the communication between multi-discipliner care members, eased reading of documents.Aim: To determine the characteristics of electronic records to be able to employ nursing process successfully, a computer software which takes into account and reflects both the thinking process and condition of working places needs to be developed.Results: While computer and care plan usage have many positive ways, generally in Turkey it’s observed that usage of both are not at a desired level in nursing services. The computer software which is used to improve patient care quality must have qualities like being systematic, permanent, enabling diagnosises to be analyzed viadiscussions and to be systematically assessed, and giving guidance to nursing applications.Conclusion: Electronic patient registration system used by nurses should make time-saving possible, be easily used with easy menus, save all applications exactly, have warning and alarm systems, display necessary interventions at appropriate times, be a guide for patient care.

  17. Effect of nursing intervention on diabetes mellitus patients complicated with cerebral infarction%综合护理干预对脑梗死合并糖尿病患者治疗效果的影响

    Institute of Scientific and Technical Information of China (English)

    张彩英; 龚利平

    2010-01-01

    目的 探讨综合护理干预对脑梗死合并糖尿病患者治疗效果的影响.方法 选择脑梗死合并糖尿病患者96例,随机分成两组,对照组(n=46)常规进行治疗护理;实验组(n=50)进行综合护理干预,包括由营养师根据患者情况提供营养治疗饮食,针对每位患者制订全面的护理计划和个体指导.对两组患者进行膳食调查及相关生化指标测定,以观察治疗效果.结果 采用综合护理干预措施后,两组空腹血糖、餐后2 h血糖、糖化血红蛋白、血清胆固醇、甘油三酯等生化指标均降低,但实验组与对照组相比效果更为明显;实验组的饮食结构更为合理.结论 综合护理干预可以有效控制脑梗死合并糖尿病患者的血糖,对改善患者的临床症状,促进患者康复起到重要的作用.%Objective To observe the effect of nursing intervention on diabetes mellitus patients complicated with cerebral infarction. Methods A total of 96 subjects with the hospitalized diabetes mellitus patients complicated with cerebral infarction were randomly allocated into two groups: The experimental group were provided with nursing intervention and the control group went on normal nursing. Patients in both groups were investigated on meals, diabetic nutrition knowledge and were detected for correlative biochemical indices. Results After the nursing intervention, patients biochemical indices of fasting blood-glucose, blood sugar 2 hours after meal, hemoglobin of glycosylation, cholesterol and triglyceride in serum in both groups were significantly lower. Compared with the control group, the effect of the experimental group was even better. The acknowledgement rate of nutrition knowledge on diabetes of the experimental group improved significantly, and their meals were more scientifically arranged. Conclusions The nursing intervention would be very helpful for diabetes mellitus patients complicated with cerebral infarction to control their blood

  18. The effect analysis of comprehensive nursing intervention on pain in patients after cardiac surgery%综合护理干预对心脏手术后患者疼痛的影响分析

    Institute of Scientific and Technical Information of China (English)

    沈春林; 蔡谋善; 吴琼娅; 王非凡; 王琼

    2015-01-01

    Objective:To analysis the effect of comprehensive nursing intervention on pain in patients after cardiac surgery. Methods:A total of 138 patients with cardiac surgery admitted to our hospital from January 2012 to January 2014, were average randomly divided into two groups: control group (n=69) and the experimental group (n=69). The experimental group received routine care and preoperative nursing care for pain, while the control group received routine care only.Results:They had statistically significantly lower postoperative pain intensity for 48 and 72 h after surgery compared with those patients who were in the control group. Therefore, there was no difference on 24 h after surgery. The hospital stay was shorter in the experimental group than in the control group. After the comprehensive nursing intervention, the scores of somatization, depression and anxiety in experimental group were less than the control group, there were differences with obviously statically signiifcance between two groups (P<0.05). Conclusion: Comprehensive nursing intervention for pain had positive effects on patients undergoing cardiac surgery, the intervention used in this study could serve as a guide for nurses to improve the pain care of the patients.%目的:探讨综合护理干预对心脏手术后患者疼痛的影响.方法:将我院2012年1月~2014年1月行心脏外科手术的138例病人随机分为对照组与观察组,对照组进行围手术期的常规护理,观察组在常规护理的基础上进行综合护理干预,比较两组患者术后各时间点患者疼痛情况、术前术后患者心理状况及住院时间.结果:与对照组相比,观察组患者24 h疼痛评分无明显差异,而48及72 h的疼痛评分均明显降低,住院时间缩短(P<0.05).观察组患者术后躯体化、焦虑及抑郁评分明显降低(P<0.05).结论:对心脏外科手术的患者进行综合护理干预可明显减轻患者的疼痛,改善患者情绪,值得在临床推广使用.

  19. 护理干预对轻中度老年阿尔茨海默病患者临床效果的影响%Effect of Nursing Intervention on Clinical Effect of Mild and Moderate Alzheimer's Disease Patients

    Institute of Scientific and Technical Information of China (English)

    黄小伟

    2016-01-01

    Objective To explore the effect of holistic nursing intervention in patients with mild to moderate AD. Methods Convenient selection 2012 January in 2014 December during treated in our hospital in patients with mild and moderate Alzheimer's disease 100 cases as the research object, according to the admission time has divided into the observation group (n = 50) and the control group (n = 50) were given holistic nursing intervention, routine nursing intervention, and the clinical results with the scores of MMSE and the QOL-AD, compared two groups of intervention. Results Afternursing, the observe groups of MMSE, QOL-AD score was (24.88±4.34)、(30.12±4.12), the control group was (21.68±3.10)、(26.34±3.22), with statistical significance (P<0.05). Conclusion In the clinical treatment of mild to moderate Alzheimer's disease, giving patients included staging evaluation, health education, cognitive training and preventive care, holistic nursing care, for im-proving the treatment effect has positive significance, it is worth popularizing in clinical nursing.%目的:探讨轻中度老年阿尔茨海默病(AD)实施护理干预的效果。方法方便选取2012年1月—2014年12月期间该院收治的轻中度老年阿尔茨海默病100例为研究对象,根据入院时间先后,分为观察组(n=50)与对照组(n=50),分别给予整体护理干预、常规护理干预,并用MMSE与QOL-AD评分,比较两组干预的临床效果。结果护理后,观察组MMSE评分、QOL-AD评分为(24.88±4.34)分、(30.12±4.12)分,对照组为(21.68±3.10)分、(26.34±3.22)分,差异有统计学意义(P<0.05)。结论在轻中度老年阿尔茨海默病的临床治疗中,给予患者包括分期评估、健康教育、认知训练和预防性护理在内的整体护理,对于改善治疗效果有积极意义,值得在临床护理中进一步推广应用。

  20. Development of a nurse home visitation intervention for intimate partner violence

    Directory of Open Access Journals (Sweden)

    Jack Susan M

    2012-02-01

    identified the need for modifications to the existing NFP program; this led to the development of an intervention that includes universal and targeted components to assist NFP nurses in addressing IPV with their clients. Plans for feasibility testing and evaluation of the effectiveness of the IPV intervention embedded within the NFP, and compared to NFP-only, are discussed.

  1. Dysphagia in the patient after stroke: consequences and nurse intervention

    Directory of Open Access Journals (Sweden)

    Ana Frias

    2015-12-01

    Full Text Available Objectives: to check the consequences of poststroke dysphagia and to reflect on the nurse’s intervention in dysphagia rehabilitation. Methodology: it was performed a systematic literature review of the topic in question; research based on international databases EBSCOhost, LILACS, SciELO.We were able to identify some studies publications between 2006 and 2014. We intend to answer the guiding question: What are the consequences of dysphagia in the patient after stroke? » Results vs. Discussion: after a thorough analysis, we have selected 11 articles and found that the most frequent consequences of dysphagia are the pulmonary complications by saliva and/or food suction. The nurse specialist still has a barely visible role, but his/her interventions are critical in these patients rehabilitation. Conclusions: rehabilitation is essential to avoid the consequences of poststroke dysphagia. The rehabilitation process must go through a multidisciplinary team of which nurses are an integral and essential part.

  2. Tactile massage as a nursing intervention in child and adolescent psychiatry: nurses' experiences.

    Science.gov (United States)

    Robertz, A-C; Rudolfsson, G

    2016-10-01

    WHAT IS KNOWN ABOUT THE SUBJECT?: There is little research on the implementation of tactile massage in child and adolescent psychiatry that describes children's and adolescents' experiences and outcomes. There is also limited knowledge of providing tactile massage in child and adolescent psychiatry. WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: This paper describes 10 nurses' experiences of tactile massage as a nursing intervention in child and adolescent psychiatry. The nurses considered tactile massage a non-verbal nursing intervention that could complement other available treatments. It reveals their reflections on the impact of tactile massage on their nursing and on themselves as a person, including the belief that they had developed deepened self-reflection and attentiveness. The nurses highlighted the importance of providing a trusting environment and collaborating with the children and adolescents. They both experienced and observed that tactile massage triggered various physical and mental processes in the children and adolescents, such as improvement in sleep disturbances, an ability to relax in body and mind and a deeper connectedness with their own bodies and feelings. The nurses described instructing next of kin in the use of tactile massage, which they believed could serve as a tool at home, mainly as a way for next of kin to help their children to relax, fall asleep more easily and to deepen connectedness. However, the nurses stressed the need to consider if it was appropriate or desired by the children and adolescents. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Tactile massage addresses the individual's emotional and physiological responses and could therefore bring holistic nursing to child and adolescent psychiatry. It could also help nurses in child and adolescent psychiatry to develop their attentiveness and sensitivity in acknowledging the needs of children and adolescents in psychiatric care. Introduction There is limited research on tactile

  3. 对产后抑郁症产妇护理干预的疗效观察%Clinical effect observation of nursing intervention on maternal with postpartum depression

    Institute of Scientific and Technical Information of China (English)

    吴转子

    2015-01-01

    目的:探讨护理干预对产后抑郁症的疗效。方法:2011年6月-2013年8月收治产后抑郁症产妇76例,随机分为两组,每组38例。对照组给予产后常规护理,观察组在对照组的基础上给予综合护理干预,6周后采用抑郁自评量表(SDS)评估其疗效。结果:观察组疗效优于对照组,差异具有统计学意义(P<0.05)。结论:对产后抑郁症产妇给予心理护理、社会支持和自我调节等护理干预可提高其疗效,降低产后抑郁症的发生率。%Objective:To explore the curative effect of nursing intervention on postpartum depression.Methods:76 cases of maternal with postpartum depression from June 2011 to August 2013 were randomly divided into two groups,with 38 cases in each group.The control group were given postpartum routine nursing,while the observation group were given comprehensive nursing intervention on the basis of routine nursing in the control group,the curative effect were evaluated with the depression self rating scale(SDS) after six weeks.Results:The clinical effect of the observation group was better than that of the control group.There was statistically significant difference of curative effect between the two groups(P<0.05).Conclusion:The nursing intervention including psychological care,social support and self adjusting treating maternal with postpartum depression could improve the curative effect and reduce the incidence of postpartum depression.

  4. Effects of Sleep Nursing Intervention on the Sleep Quality of Elderly Cardiovascular Patients%睡眠护理干预对心血管内科老年患者睡眠质量的影响

    Institute of Scientific and Technical Information of China (English)

    张丽萍; 纪元; 沈桂杰; 苏建萍; 王卫东; 刘春苓

    2015-01-01

    Objective To investigate the effects of sleep nursing intervention on the sleep quality of elderly cardiovascular patients.Methods 88 elderly patients hospitalized in Cardiology Department of our hospital between May 2014 and March 2015 were selected as research objects. The method of grouping was adopted, with routine care provided for the control group, and sleep nursing intervention for the observation group on the basis of routine care. The nursing results were observed.ResultsThe PSQ1 score difference of patients in the two groups was not statisticaly significant,P > 0.05. The PSQ1 scores one and two weeks after admission lowered, with those of the observation group decreased more significantly, and the difference was significant, P 0.05,护理一周和两周后PSQ1评分均比入院时降低,其中观察组下降幅度明显,差异显著,P <0.05;两周后统计观察组睡眠质量明显好于对照组,P <0.05。结论对心血管内科患者采取有针对性的睡眠护理干预措施,可明显改善睡眠质量,促进疾病恢复。

  5. 针对剖宫产新生儿早期护理干预模式的效果评价%Evaluation of the effect of early nursing intervention mode for the newborn infants given birth through cesarean section

    Institute of Scientific and Technical Information of China (English)

    郑丽绚; 蔡荣英

    2016-01-01

    Objective Evaluation of the effect of early nursing intervention mode for the newborn infants given birth by cesarean section. Methods Chose the newborn infants given birth by cesarean section in our hospital during January 2014 and December 2015 as study objects. 150 cases of neonatal baby were divided into the control group (75 cases) and observation group (75 cases) according to random number table method. The control group was given routine nursing care, while the observation group was given early nursing intervention on the basis of control group. The clinical indexes of the two groups were compared and analyzed. Results There were no significant differences in the mixed feeding, breastfeeding, artificial feeding and sucking rate between the two groups(P>0.05). In the observation group, the duration of jaundice, the incidence of sepsis, skin rash, physiological weight loss, and the size of the normal clinical indicators were better than the control group( P0.05),观察组的黄疸消褪时间,脓疱疹、皮疹发生率,生理性体重降低、大小便次正常等临床指标优于对照组( P<0.05)。结论剖宫产新生儿给予早期护理干预模式,能明显改善新生儿预后,提高新生儿母乳喂养率,值得推广。

  6. 社区护理对老年人健康行为的影响%The effect of community nursing intervention on health behaviors of the elderly

    Institute of Scientific and Technical Information of China (English)

    刘芳

    2015-01-01

    Objective:To explore the effect of community nursing on health behaviors of the elderly.Methods:Community care and health behavior education were given for the elderly and patients with chronic diseases.Results:The critical hypertension in community elderly decreased 27.9%,and the incidence of diabetic decreased 3.9% in patients with impaired glucose tolerance. Conclusion:Community nursing provided comprehensive,convenient and effective nursing care services for the elderly,health behavior is the main way to get effective control of the disease in elderly people.%目的:探讨社区护理对老年人健康行为的影响。方法:对老年人、慢性病患者进行社区护理,进行健康行为教育活动。结果:社区老人临界高血压的发生率下降27.9%,糖耐量减低患者糖尿病的发生率下降3.9%。结论:社区护理为老年人提供了全面、方便、有效的护理服务,健康行为方式是老年疾病得到有效控制的主要途径。

  7. 护理干预对胃癌患者生存质量的影响%Effect of Nursing Intervention on Quality of Life in Patients with Gastric Cancer

    Institute of Scientific and Technical Information of China (English)

    颜晓萍; 林荣金; 陈丽娟; 方美蓉

    2012-01-01

    Objective To investigate the effect of nursing intervention on the quality of life af-ter surgery for gastric cancer. Method A total of 220 patients with gastric cancer were randomly divided into intervention group and control group, with 110 patients in each group. All patients were given routine nursing care. The intervention group was additionally given nursing interven-tion, including diet guidance, rehabilitation exercise, psychological adjustment and enhancing fami-ly and social support. The quality of life was compared between the two groups. Results Total quality of life scores and subscale scores significantly decreased 3 months after treatment in both groups. Moreover,total quality of life scores and subscale scores in control group reduced more obviously than those in intervention group (P<0. 001). Conclusion Nursing intervention can im-prove the quality of life in patients with gastric cancer during treatment and rehabilitation phase.%目的 探讨护理干预对胃癌术后患者生存质量的影响.方法 选取220例胃癌患者为试验对象,按随机数字表法分为护理干预组(110例)和常规护理组(110例).护理干预组除给予常规的治疗护理外,重点给予护理干预,指导患者饮食、康复运动、心理调节,加强其家庭和社会支持;对照组给予常规的治疗护理,观察并比较2组患者的生存质量.结果 护理干预组患者与常规护理组患者治疗后3个月的总生存质量和各分量表生存质量均低于治疗前;但护理干预组患者在给予全面护理干预后,治疗后3个月的总生存质量和各分量表生存质量下降程度明显小于常规护理组患者,差异均有统计学意义(均P<0.001).结论 在治疗期间和康复阶段给予胃癌患者持续性的护理干预后,可明显改善患者的生存质量.

  8. 糖尿病周围神经病变中医护理干预临床效果观察%Clinical Effect Observation of Traditional Chinese Medicine Nursing Intervention on Diabetic Peripheral Neuropathy

    Institute of Scientific and Technical Information of China (English)

    王丽

    2016-01-01

    目的:探讨中医护理干预在糖尿病周围神经病变中的应用效果。方法抽选糖尿病周围神经病变患者120例并结合患者入院时间先后分为两组,分别给予中医护理干预及常规护理,对比两组患者护理效果。结果观察组患者治疗有效率(95.0%)与对照组(76.7%)相比差异显著(P<0.05)。治疗后两组中医症状积分差异显著(P<0.05)。结论中医护理干预能有效提升糖尿病周围神经病变患者的治疗效果,改善患者症状。%Objective To investigate the effect of traditional Chinese medicine nursing intervention on diabetic peripheral neuropathy.Methods Selected diabetic peripheral neuropathy in patients with 120 cases and combined with the admission time were randomly divided into two groups and were given TCM nursing intervention and usual care, compared to two groups effect of patient care.Results Compared with the control group (76.7%), the treatment efficiency of the observation group (95%) was significantly different (P<0.05). After treatment, the two groups of TCM symptom scores were significantly different (P<0.05).Conclusion TCM nursing intervention can effectively improve the therapeutic effect of diabetic peripheral neuropathy patients, and improve the symptoms of patients with diabetes.

  9. Mapping VIPS concepts for nursing interventions to the ISO reference terminology model for nursing actions: A collaborative Scandinavian analysis

    DEFF Research Database (Denmark)

    Ehnfors, Margareta; Angermo, Lilly Marit; Berring, Lene

    2006-01-01

    The aims of this study were to analyze the coherence between the concepts for nursing interventions in the Swedish VIPS model for nursing recording and the ISO Reference Terminology Model for Nursing Actions and to identify areas in the two models for further development. Seven Scandinavian exper...

  10. Elderly adherence to hypertension treatment and nursing interventions

    OpenAIRE

    Jênifa Cavalcante dos Santos; Raquel Sampaio Florêncio; Célida Juliana de Oliveira; Thereza Maria Magalhães Moreira

    2016-01-01

    Adherence to the treatment of arterial hypertension is a challenge to health professionals. Thus, this study aimed at verifying adherence to treatment of hypertension of elderly patients followed in a group and describe the possible nursing interventions on the clientele. The descriptive research was developed in two phases: between December/2008 and January/2009, we used data collection instrument to assess compliance to treatment; from February to April/2009, we used the technique Focus Gro...

  11. Reiki as a clinical intervention in oncology nursing practice.

    Science.gov (United States)

    Bossi, Larraine M; Ott, Mary Jane; DeCristofaro, Susan

    2008-06-01

    Oncology nurses and their patients are frequently on the cutting edge of new therapies and interventions that support coping, health, and healing. Reiki is a practice that is requested with increasing frequency, is easy to learn, does not require expensive equipment, and in preliminary research, elicits a relaxation response and helps patients to feel more peaceful and experience less pain. Those who practice Reiki report that it supports them in self-care and a healthy lifestyle. This article will describe the process of Reiki, review current literature, present vignettes of patient responses to the intervention, and make recommendations for future study.

  12. 甲状腺手术患者护理干预对焦虑及疼痛不适的影响%Effect of nursing intervention on anxiety and pains of patients undergone thyroid operation

    Institute of Scientific and Technical Information of China (English)

    王东梅; 苏姗

    2014-01-01

    目的:观察甲状腺手术患者应用护理干预对焦虑及疼痛不适的影响。方法选取2012年2月~2014年2月于内蒙古医科大学附属医院诊治的96例甲状腺行手术治疗患者,按照随机双盲法分为两组,对照组48例患者行常规护理,研究组48例患者在对照组基础上行护理干预,分析两组患者护理前后心理、疼痛及并发症情况。结果研究组患者护理后焦虑量表(SAS)、抑郁量表(SDS)评分[(24.84±2.32)、(28.62±2.90)分]比对照组[(34.75±3.53)、(37.83±3.87)分]低,术后0级疼痛患者[28例(58.33%)]多于对照组[11例(22.92%)],出现并发症[8例(18.67%)]少于对照组[23例(47.92%)],差异均有统计学意义(均P<0.05)。结论甲状腺手术患者应用护理干预对焦虑及疼痛不适效果显著,有效改善患者术后疼痛情况的同时缓解患者不良情绪,降低术后并发症发生率,对患者的预后效果影响较好。%Objective To observe the effect of nursing intervention on the anxiety and pains in patients with thyroid operation. Methods 96 cases undergone thyroid surgical operation in Affiliated Hospital of Inner Mongolia Medical U-niversity from February 2012 to February 2014 were randomly selected and then according to the randomized double blind method they were divided into two groups. While routine nursing was performed in 48 patients of the control group, 48 patients in the study group were given nursing intervention on basis of the control group. The psychological state, pains and complications of the two groups of patients before and after nursing were analyzed. Results After given nursing, scores of SAS and SDS of study group were respectively (24.84±2.32) points and (28.62±2.90) points, lower than those of the control group, which were (34.75±3.53) points and (37.83±3.87) points. 28 patients in the study group experienced 0-level of pains (58.33%) after nursing, higher than that in the control group [11 cases

  13. Application of nursing intervention in acute myocardial infarction in patients with sleep disorders effect%护理干预在急性心肌梗死患者睡眠障碍中的影响效果

    Institute of Scientific and Technical Information of China (English)

    夏琼琼

    2011-01-01

    Objective To discuss nursing intervention in acute myocardial infarction (AMI) patients with sleep disorders effect. Methods Choosing 55 patients with sleep disonders our hospital from January 2008 to June 2010 AMI among hospitalized patients, and the 55 patients were randomly divided into control group (27 cases) and intervention group (28 cases). Implementation of the control group conventional treatment and care; intervention group based on the implementation of nursing intervention. Results Two groups in sleep quality, sleep latency, sleep time, sleep efficiency, sleep disturbance and total score, etc. There were significant differences in the intervention group than in the control group (P0.05); intervention group after discharge quality of sleep overall rate (71.43%) was significantly higher (22.22%), the difference was significant (χ2=13.352, P0.05);出院后干预组睡眠总体情况优良率(71.43%)明显高于对照组(22.22%),差异有统计学意义(χ2=13.352,P<0.01),干预措施的有效率高达85.71%;两组患者平均住院天数比较,干预组为 (24.9±2.5)d,对照组为(28.0±2.6)d,干预组明显少于对照组,两组差异有统计学意义(t=5.084,P<0.05).结论 有效的护理干预能明显改善AMI患者的睡眠障碍,增加治疗效果,提高睡眠质量,促进疾病的康复.

  14. 护理干预在儿童肺功能检查中的应用及效果分析%The application of nursing intervention in children pulmonary function test and analysis its effect

    Institute of Scientific and Technical Information of China (English)

    赵春兰

    2015-01-01

    Objective:To investigate the effect of nursing intervention in the children pulmonary function test.Methods:60 children with pulmonary function test were treated.They were randomly divided into the observation group and the control group with 30 cases in each,then we observed the coordination degree and the satisfaction of children and parents in two groups.Results:After nursing intervention,the coordination degree of pulmonary function test and satisfaction of the children and parents in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:Nursing intervention on children receiving pulmonary function tests can improve the child's examination coordination effectively,and improve the parents satisfaction,so it has significantly effect.%目的:探讨护理干预在儿童肺功能检查中的应用效果。方法:收治接受肺功能检查儿童60例,随机分成观察组和对照组,各30例,观察两组儿童的检查配合度以及家长满意度。结果:经过护理干预之后,观察组儿童的肺功能检查配合度以及儿童家长的满意度都明显高于对照组(P<0.05)。结论:对接受肺功能检查的儿童采取护理干预,能够有效提升儿童的检查配合度,提高儿童家长的满意度,效果显著。

  15. [Standardization of activities in an oncology surgical center according to nursing intervention classification].

    Science.gov (United States)

    Possari, João Francisco; Gaidzinski, Raquel Rapone; Fugulin, Fernanda Maria Togeiro; Lima, Antônio Fernandes Costa; Kurcgant, Paulina

    2013-06-01

    This study was undertaken in a surgical center specializing in oncology, and it aimed to identify nursing activities performed during the perioperative period and to classify and validate intervention activities according to the Nursing Interventions Classification (NIC). A survey of activities was conducted using records and by direct observation of nursing care across four shifts. Activities were classified as NIC nursing interventions using the cross-mapping technique. The list of interventions was validated by nursing professionals in workshops. Forty-nine interventions were identified: 34 of direct care and 15 of indirect care. Identifying nursing interventions facilitates measuring the time spent in their execution, which is a fundamental variable in the quantification and qualification of nurses' workloads.

  16. Assessment of an educational intervention based on constructivism in nursing students from a Mexican public university

    Directory of Open Access Journals (Sweden)

    Laura Jiménez Trujano

    2015-12-01

    Full Text Available Objective.This work sought to evaluate the effect of an educational intervention centered on the analysis of clinical cases to inquire on conceptual learning in students on the theme of nursing care of women with complicated puerperium. Methodology. This was a quasi-experimental study with before and after evaluation. Two groups of students participated from the eighth semester of the nursing program, which professionalized individuals who were already nursing technicians: the study group (n = 33 was taught the theme of nursing care to women with complicated puerperium with the case analysis technique and the control group (n = 27 received traditional teaching. A self-applied question here was used related to the thematic unit, which included three clinical cases and the resolution of a total of 37 questions related to set cases. This questionnaire was the same applied before and after the intervention. Results. The pre-intervention mean score was similar in both groups (26 during the study and 27 during the intervention. Upon completing the educational intervention, the post-intervention scores were equal in both groups (27 points. The intra-group analysis showed that in the study group the intervention produced a slight change in conceptual learning, which was statistically significant. During the post-hoc analysis differences in scores were found in students who worked in hospitals with tier three level of care. Conclusion. Educational intervention favored conceptual learning slightly in the study group. It is necessary to explore other intervening variables that propitiate this learning in the program.

  17. Nursing interventions for improving nutritional status and outcomes of stroke patients: descriptive reviews of processes and outcomes.

    Science.gov (United States)

    Perry, Lin; Hamilton, Sharon; Williams, Jane; Jones, Susan

    2013-02-01

    Stroke produces many effects that impact eating. Nutrition is fundamental for recovery and rehabilitation, but the nursing nutritional role and associated outcomes have not been delineated. (1) To identify nursing interventions intended to improve nutritional status and related outcomes of stroke survivors, and (2) To examine the outcomes of identified nursing interventions on nutrition-related outcomes, including dietary intake, functional status, complications, activities of daily living, mortality, and quality of life for stroke survivors. A modified version of Cochrane literature searching and review methods was used to identify studies that described and evaluated nursing nutritional interventions for adult stroke patients in hospital and community settings. A minimum of 10 years content of seven databases and nine journals was searched to March 2011. Findings were presented descriptively. In total 27 papers from 26 studies were included: 5 randomized controlled trials, 5 clinical trials, 6 quasi-experiments, 4 case studies, and 6 qualitative/observational studies. Stroke nursing nutritional care encompassed screening of nutritional status and swallowing function; assessment of nutritional characteristics and preferences; referral; mealtime organization, supervision and monitoring; mealtime assistance and feeding skills. Nurses individualized care, coordinated or managed meal delivery and enteral feeding systems, were responsible for the dining environment and conduct of mealtimes; they taught staff, patients, and carers. There was little indication of integrated or psychosocial nursing nutritional care, or concepts, theories or models of nursing nutritional care. Many interventions were described but not evaluated. Little high quality evidence was of available. This review indicated the parameters of nursing nutritional care, and provided a framework for future research. A functional, supportive, and educational nursing nutritional role was described but

  18. 护理干预对乳腺癌癌性疲乏患者生活质量的影响%The effect of nursing intervention on life quality of breast cancer patient with cancer-related fatigue

    Institute of Scientific and Technical Information of China (English)

    刘小梅

    2014-01-01

    To investigate the effect of nursing intervention on life quality of breast cancer patient with cancer-related fatigue. Methods:100 cases were divided into two groups,the observation group were received nursing intervention,the control group were implemented routine care,then Piper fatigue Scale combined coping Scale scores after intervention and satisfaction with care and quality of life were compared in the two groups. Results:The observation group with behavior and severity,emotional,sensory,and cognitive and emotional coping scores were lower than control group (P<0. 05). The observation group after intervention with activity healthy feelings,daily life,life experience and family support score were all rised,and all were higher than control group after the intervention (P<0. 05). The nursing service,nursing skills,psychological care,inpatient environment satisfaction were higher than control group (P<0. 05). Conclusion:Nursing intervention on breast cancer with cancer-related fatigue can promote a more positive attitude in the face of breast canc-er,while improving the life quality and increasing nurse-patient relationship,so it can improve nursing satisfaction.%目的:探讨护理干预对乳腺癌癌性疲乏患者生活质量的影响。方法:选择我院2009年1月~2012年12月收治的乳腺癌患者100例,将其随机等分为观察组和对照组。观察组实施护理干预方法,对照组则实施常规护理,如体位护理、饮食干预、一般护理、心理干预等,比较两组患者干预后Piper疲乏量表结合应对量表得分情况、生活质量及对护理工作满意度。结果:观察组行为及严重程度、情感、感觉、认知及情绪应对量表得分低于对照组(P<0.05),活动能力、健康感受、日常生活、生活感受及家庭支持得分高于对照组(P<0.05),患者对护理服务、护理技术、心理关怀、住院环境满意度高于对照组(P<0.05)。结论:护理干预能促使

  19. Barriers to effective communication in skilled nursing facilities: differences in perception between nurses and physicians.

    Science.gov (United States)

    Cadogan, M P; Franzi, C; Osterweil, D; Hill, T

    1999-01-01

    Effective communication between nurses and physicians is central to the clinical care of nursing home residents. Anecdotal evidence suggests that communication between the groups is unsatisfactory, but no empirical data exist with which to validate assumptions. The purpose of this pilot study was to compare perceptions of potential communication barriers among nurses and physicians in four California nursing homes. Registered nurses (n = 59), and physicians (n = 47) involved in the direct clinical care of nursing home residents completed a 12-item questionnaire designed to elicit perceptions about potential communication barriers. Five specific categories of barriers were identified. These included nurse competence, time burden of calls, necessity of calls, professional respect, and language comprehension. Responses were compared using t test analysis. Significant differences in perceived communication barriers were identified. Physicians, but not nurses, perceive nursing competence to be a significant barrier. Nurses perceive physicians to be unpleasant. Both physicians and nurses perceive that physicians do not value nurses' opinions. Neither group perceived language expression, language comprehension, or time burden of phone calls to be barriers to communication. Issues related to the perceived competency of nurses by physicians is consistent with existing data from other clinical settings. Differences in awareness about scope of practice and regulatory requirements between the groups may offer a partial explanation for the discordant perceptions. Perceptions by nurses (but not physicians) of unpleasantness and/or disrespect during telephone encounters may reflect the broader ongoing differences in professional culture, social status, and gender inequality between the two groups. Further clarification of the causes of barriers to effective communication is essential in order to plan appropriate interventions.

  20. Basic nursing care: retrospective evaluation of communication and psychosocial interventions documented by nurses in the acute care setting.

    Science.gov (United States)

    Juvé-Udina, Maria-Eulàlia; Pérez, Esperanza Zuriguel; Padrés, Núria Fabrellas; Samartino, Maribel Gonzalez; García, Marta Romero; Creus, Mònica Castellà; Batllori, Núria Vila; Calvo, Cristina Matud

    2014-01-01

    This study aimed to evaluate the frequency of psychosocial aspects of basic nursing care, as e-charted by nurses, when using an interface terminology. An observational, multicentre study was conducted in acute wards. The main outcome measure was the frequency of use of the psychosocial interventions in the electronic nursing care plans, analysed over a 12 month retrospective review. Overall, 150,494 electronic care plans were studied. Most of the intervention concepts from the interface terminology were used by registered nurses to illustrate the psychosocial aspects of fundamentals of care in the electronic care plans. The results presented help to demonstrate that the interventions of this interface terminology may be useful to inform psychosocial aspects of basic and advanced nursing care. The identification of psychosocial elements of basic nursing care in the nursing documentation may lead to obtain a deeper understanding of those caring interventions nurses consider essential to represent nurse-patient interactions. The frequency of psychosocial interventions may contribute to delineate basic and advanced nursing care. © 2013 Sigma Theta Tau International.

  1. Use of the nursing intervention classification for identifying the workload of a nursing team in a surgical center

    Directory of Open Access Journals (Sweden)

    João Francisco Possari

    2015-10-01

    Full Text Available Objective: to analyze the distribution of nursing professionals' workloads, according to the Nursing Intervention Classification (NIC, during the transoperative period at a surgical center specializing in oncology.Methods: this was an observational and descriptive cross-sectional study. The sample consisted of 11 nurses, 25 nursing technicians who performed a variety of roles within the operating room, 16 nursing technicians who worked with the surgical instrumentation and two nursing technicians from patient reception who worked in the surgical center during the transoperative period. An instrument was developed to collect data and the interventions were validated according to NIC taxonomy.Results: a total of 266 activities were identified and mapped into 49 nursing interventions, seven domains and 20 classes of the NIC. The most representative domains were Physiological-Complex (61.68% and Health System (22.12%, while the most frequent interventions were Surgical Care (30.62% and Documentation (11.47%, respectively. The productivity of the nursing team reached 95.34%.Conclusions: use of the Nursing Intervention Classification contributes towards the discussion regarding adequate, professional nursing staffing levels, because it shows the distribution of the work load.

  2. Costing nursing care: using the clinical care classification system to value nursing intervention in an acute-care setting.

    Science.gov (United States)

    Moss, Jacqueline; Saba, Virginia

    2011-08-01

    The purpose of this study was to combine an established methodology for coding nursing interventions and action types using the Clinical Care Classification System with a reliable formula (relative value units) to cost nursing services. Using a flat per-diem rate to cost nursing care greatly understates the actual costs and fails to address the high levels of variability within and across units. We observed nurses performing commonly executed nursing interventions and recorded these into an electronic database with corresponding Clinical Care Classification System codes. The duration of these observations was used to calculate intervention costs using relative value unit calculation formulas. The costs of the five most commonly executed interventions were nursing care coordination/manage-refer ($2.43), nursing status report/assess-monitor ($4.22), medication treatment/perform-direct ($6.33), physical examination/assess-monitor ($3.20), and universal precautions/perform-direct ($1.96). Future studies across a variety of nursing specialties and units are needed to validate the relative value unit for Clinical Care Classification System action types developed for use with the Clinical Care Classification System nursing interventions as a method to cost nursing care.

  3. The effect of systematic nursing intervention during non-cooperative child immunization%系统护理干预在非合作儿童预防接种中的应用及疗效评价

    Institute of Scientific and Technical Information of China (English)

    赖月花

    2013-01-01

      目的探讨系统护理干预在非合作儿童预防接种中的应用及疗效评价,为不合作儿童预防接种提供指导。方法随机将患儿分为2组,实验组运用系统护理干预,对照组采用常规护理,比较2组患儿预防接种的安全性及成功率。结果所有成功结种患儿,均无不良反应,2组方法护理预防接种的安全性无统计学差异(P>0.05);系统护理组患儿接种成功率明显高于对照组,差异具有统计学意义(P<0.05)。结论系统护理干预在非合作儿童预防接种中成功率较高,值得在临床应用。%Objective To explore the nursing intervention in the prevention of system application and effect evaluation of vaccination of crying children, provide guidance for uncooperative children vaccination. Methods According to different uncooperative children, by using the method of systematic nursing intervention, ensure the vaccination safety and effectiveness and success. Results 97.5% children's inoculation efficiency Conclusion Systemic nursing intervention children with high rates of vaccination in the prevention of success in non-cooperative children, it is worth in the clinical application.

  4. Experience of nursing intervention in children with attention deficit hyperactivity disorder effect%护理干预在儿童注意缺陷多动障碍的效果体会

    Institute of Scientific and Technical Information of China (English)

    刘吉伟

    2015-01-01

    Objective: to explore the nursing intervention on the clinical effect of attention deifcit hyperactivity disorder in children.Methods: based on the average of 66 patients with attention deifcit hyperactivity disorder were randomly divided into two groups, control group adopts pure drug therapy, observation group used drugs combined psychological nursing intervention, 3 months after the Conners symptoms questionnaire to assess their parents.Results: observation group conduct problems, impulse hyperactivity, hyperactivity index score signiifcantly lower than the control group, the difference was statistically signiifcant (P< 0.05).Conclusion: nursing intervention in clinical effect is remarkable, attention deifcit hyperactivity disorder in children is worthy of reference for clinical.%目的:探讨护理干预在儿童注意缺陷多动障碍的临床效果。方法通过对66例注意缺陷多动障碍患者随机平均分为2组,对照组采用单纯的药物治疗,实验组采用药物联合心理行为护理干预,3个月后采用问卷调查方式进行评估。结果观察组的品行问题、冲动多动、多动指数评分明显低于对照组,差异有统计学意义(P<0.05)。结论护理干预在儿童注意缺陷多动障碍临床效果显著,值得临床借鉴。

  5. 护理干预在小儿重症肺炎合并呼吸衰竭中的应用效果分析%Application Effect Analysis of Nursing Intervention in Children With Severe Pneumonia With Respiratory Failure

    Institute of Scientific and Technical Information of China (English)

    于三英

    2015-01-01

    Objective Analysis of nursing intervention in children with severe pneumonia in children with heart failure in the application Results . Methods Retrospective analysis of severe pneumonia in children 70 cases of heart failure in January 2014 our hospital in January 2015, according to the different Methods of care are divided into two groups of 35 cases, the study group to be targeted nursing intervention and control group treated with routine care, clinical Results were compared. Results After treatment, the study group of the clinically effective indicators were significantly lower than control group, the difference was statistically significant (P < 0.05). Conclusion The effect of severe pneumonia in children with heart failure and significant application of nursing interventions with clinical value.%目的 分析护理干预在小儿重症肺炎合并心力衰竭患儿中的应用效果.方法 资料回顾性分析2014年1月~2015年1月本院收治的重症肺炎合并心力衰竭患儿70例,按照不同护理方法分为两组,每组35例,研究组予以针对性护理干预,对照组予以常规护理,比较两组临床效果.结果 护理后,研究组各项临床有效指标均低于对照组,差异具有统计学意义(P<0.05).结论 小儿重症肺炎合并心力衰竭的应用护理干预的效果显著.

  6. 对社区血脂异常居民护理干预的方法与效果%Practice and effects of the nursing intervention for community residents with dyslipidemia

    Institute of Scientific and Technical Information of China (English)

    李红艳; 袁久莉; 娄金凤; 李虹彦

    2011-01-01

    Objective To explore the nursing intervention methods for community residents with dyslipidemia and evaluate its effects.Methods The residents with dyslipidemia were randomly divided into the experimental group and the control group.The control group received the regular health guidance.The experimental group received a 6 - month nursing intervention, including health directions, psychological guidance and encouraging to support between companion.Simplified Coping Style Questionnaire (SCSQ) and Social Support Rate Scale(SSRS) were used to investigate the involved residents before and 6 months after intervention.Results After 6 months of nursing intervention, the score of positive response and the score of subjective support in the experimental group was both significantly higher than before.The differences were all statistically signifieant ( P < 0.01 or P < 0.05 ).Conclusion Nursing intervention can help community residents with dyslipidemia keep a healthy mind, cope with various events with a positive attitude, and actively seek social supports.%目的 探讨社区血脂异常居民的护理干预方法与效果.方法 将在体检中心体检的血脂异常人群分为实验组和对照组,对照组采取常规健康教育,实验组在此基础上进行6个月的护理干预,给于健康指导、心理辅导及鼓励同伴之间互相支持.干预前及干预后6个月两组分别填写简易应对方式问卷和社会支持评定量表.结果 经过6个月的护理干预,实验组积极应对和主观支持均好于干预前及对照组,差异均具有统计学意义(P<0.01或P<0.05).结论 通过护理干预可以使血脂异常居民保持健康心态,以积极的态度应对各种事件,主动寻找社会支持系统.

  7. Effect of nursing interventions on quality of life for patients undergoing continuous ambulatory peritoneal dialysis: A Meta-analysis%护理干预对腹膜透析患者生活质量影响的Meta分析

    Institute of Scientific and Technical Information of China (English)

    庞建红; 汪小华; 刘永琴; 鞠阳; 许义

    2014-01-01

    Objective To evaluate the effect of nursing interventions on the quality of life of patients undergoing continuous ambulatory peritoneal dialysis (CAPD).Methods Randomized controlled trials (RCTs) involving nursing interventions were collected from the databases of Cochrane,PubMed,Elsevier Science Direct,VIP,CNKI and WanFang.Data were analyzed with RevMan 5.1 software.Results 8 articles met the inclusion criteria.The results of Meta-analysis showed that there was considerable heterogeneity across the analysis,which might be resulted from length of intervention and patients of different ages according to subgroup analysis,and that gender was not the factor causing heterogeneity.In the experimental group,both physical and emotional aspects after receiving nursing interventions were significantly improved than the control group.Conclusions Nursing interventions can improve the quality of life of patients with CAPD.%目的 评价护理干预对持续非卧床腹膜透析(CAPD)患者生活质量的影响.方法 计算机检索Cochrane、PubMed、Elsevier Science Direct、VIP、CNKI、万方数据库并辅以互联网络检索.收集对CAPD患者进行护理干预的随机对照试验(RCT),采用RevMan 5.1软件进行统计处理.结果 共纳入RCT文献8篇.Meta分析结果显示,本组资料存在一定的异质性,其中干预时间和年龄是导致异质性的主要原因,以性别分组进行亚组分析显示异质性未能明显消除.干预组患者在情感职能维度得分高于对照组;在躯体疼痛和心理健康维度得分明显高于对照组;在生理功能、生理职能、总体健康、生命活力和社会功能维度得分显著高于对照组.结论 护理干预可以提高CAPD患者的生活质量.

  8. Effect analysis of nursing intervention on depression after head injury%护理干预在防治脑外伤后抑郁发生中的应用效果

    Institute of Scientific and Technical Information of China (English)

    李继红; 宋明浩; 李志祥; 马文斌

    2015-01-01

    目的:探讨导致脑外伤后出现抑郁的临床因素,分析早期护理干预对防止脑外伤后抑郁的临床效果。方法回顾分析2005年1月至2011年6月脑外伤出院患者接受电话随访及Beck-13抑郁自评问卷调查的资料。结果未干预组中无抑郁者142例,轻度抑郁者42例,中度抑郁者22例,重度抑郁者7例;干预组中无抑郁者167例,轻度抑郁者9例,中度抑郁者3例,无重度抑郁者,两组比较差异有统计学意义( P<0.05)。结论脑外伤后抑郁的发生直接关系到患者的整体康复,早期护理干预能够降低抑郁的发生,所以,心理护理应贯彻到患者的整个临床治疗中。%Objective To explore the clinical risk of depression after head injury and analyze the clinical effect of early nursing intervention on preventing depression after head injury and prompting the importance of nursing in-tervention to psychological rehabilitation of patients with head injury. Methods The data of telephone follow-up and Beck-13 questionnaire of self rating depressive scale by leaving hospital patients with head injury were analyzed retro-spectively from January 2005 to June 2011. Results In non intervention group there were without depressive in 142 ca-ses, mild depression in 42 cases, moderate depression 22 cases, severe depression in 7 cases. In intervention group there were without depressive in 167 cases, mild depression in 9 cases, moderate depression 3 cases and no severe de-pression. The 2 groups were compared, the difference had statistical significance. Conclusions Depression after head injury had a close bearing on patients' integral rehabilitation. Early nursing intervention can reduce the incidence of de-pression, so mental nursing should be carried out all the clinical treatment.

  9. 社区护理干预对老年高血压患者生活质量的影响%Effect of community nursing intervention on quality of life of elderly patients with hypertension

    Institute of Scientific and Technical Information of China (English)

    黎秀英

    2015-01-01

    目的:探讨社区护理干预对老年高血压患者生活质量的影响。方法:将150例老年高血压病患者随机分为对照组和干预组各60例,两组患者均给予抗高血压药物和非药物治疗,干预组在上述治疗基础上给予社区护理干预。结果:干预组患者收缩压和舒张压明显低于对照组(P<0.05);干预后,干预组患者生活质量优良率明显高于对照组(P<0.05)。结论:社区护理干预可明显改善老年高血压患者的生活质量,且血压水平控制良好。%Objective:To investigate the effect of community nursing intervention on quality of life of elderly patients with hypertension.Methods:150 elderly patients with hypertension were randomly divided into the control group and the intervention group with 60 cases in each group,the two groups were given antihypertensive drugs and non drug treatment,the intervention group was given community nursing intervention on the basis of the above treatment.Results:The systolic blood pressure and diastolic blood pressure of the intervention group were significantly lower than those of the control group(P<0.05);the life quality of patients in the intervention group was significantly higher than the control group(P<0.05).Conclusion:Community nursing intervention can significantly improve the life quality of elderly patients with hypertension,and the level of blood pressure control is good.

  10. 护理干预在社区Ⅰ级高血压患者遵医嘱性影响分析%Effect of Nursing Intervention on the Compliance of Patients With Hypertension in Community

    Institute of Scientific and Technical Information of China (English)

    邬明芳

    2015-01-01

    Objective To explore the effect of nursing intervention on the compliance of patients with hypertension in community level I. Methods The clinical data of 95 patients with hypertension in our community from May 2014 to May were retrospectively analyzed. The clinical data of patients with hypertension were divided into two groups according to the nursing. The control group was treated with routine nursing,and 55 cases in the observation group were treated with routine nursing intervention. The two groups were compared with the 40 groups. Results The SBP of the observation group was significantly higher than that of the control group(4.9±3.2)mm Hg and DBP(4.7±2.5)mm Hg,and the difference was statistical y significant (P< 0.05). Conclusion Nursing intervention applied in community level of hypertension patients with good effect,can improve the patient compliance,improve the patient's blood pressure.%目的:探究护理干预对社区Ⅰ级高血压患者遵医嘱性影响分析。方法回顾性分析2014年5月~2015年5月在本社区95例Ⅰ级高血压患者临床资料,按护理所用方法分两组,对照组40例行常规护理,观察组55例在常规护理基础上进行护理干预,比较两组血压降低及遵医行为情况。结果观察组SBP降低(4.9±3.2)mm Hg、DBP降低(4.7±2.5)mm Hg均比对照组高,差异具有统计学意义(P<0.05)。结论护理干预应用于社区Ⅰ级高血压患者效果良好,可提高患者遵医嘱性,改善患者血压。

  11. Effect evaluation of system complications nursing interventions after acoustic neuroma surgery%听神经瘤术后继发并发症护理干预的效果评价

    Institute of Scientific and Technical Information of China (English)

    韩红梅; 邓小英; 方艳雅

    2009-01-01

    目的 探讨听神经瘤术后颅神经损伤所致继发并发症的预防方法.方法 选择2004年8月~2008年6月住院行听神经瘤切除术的80例患者,随机分为研究组(40例)和对照组(40例),对照组采用术后常规护理,研究组采取早发现、早护理、早预防的系统并发症护理方法,比较两组术后继发并发症发生率的差异.结果 研究组口腔感染、口腔烫伤、眼部感染、肺部感染的发生率均明显低于对照组(P<0.05).结论 听神经瘤术后采取系统并发症护理干预,能有效地降低继发并发症的发生率.%Objective To explore the Effect evaluation of system complications nursing interventions after acoustic neuroma surgery. Methods Between Jua 2000~Jul 2004, 40 patients accepted the acoustic neuroma surgery were chosen into the comparison group. Another 40 patients who were chosen into the researching group between Aug 2004~Jun 2008. The comparison group was accepted the normal nursing methods and the researching group was accepted the system complications nursing interventions that showed early observations, early nursing and prevention. The rate of the secondary complications of the above 2 group were observed. Results The patients in reseaching group had secondary complications, such as oral infections, oral burns, eye infection and lung infection, and were significantly less than those of the comparation group. Conclusions The patients accepted the system complications nursing interventions after acoustic neuroma surgery can be reduced the rate of complications, strengthened the effect of acoustic neuroma surgery.

  12. 护理干预及早期康复训练对脑卒中后吞咽困难的影响%Effect of nursing intervention and early rehabilitation training in dysphagia patients after stroke

    Institute of Scientific and Technical Information of China (English)

    杨冰霞; 杨标

    2009-01-01

    Objective To explore the effects of nursing intervention and early rehabilitation training in dysphngia patients after stroke. Methods 112 dysphagia patients after stroke were divided randomly into routine nursing group (54 cases) and rehabilitation nursing group (58 cases) in which the patients were carried out nurs-ing intervention and early swallowing function training. Swallowing function of patients in the two groups was as-sessed with water drinking test. Results Swallowing function of patients in rehabilitation group were apparently su-perior to those in routine group (P<0.05) . Conclusions Nursing intervention plus early rehabilitation training is effective in improving the swallowing function and nutrition of patients with stroke and reducing the incidence rate of aspirated pneumonia.%目的 探讨护理干预及早期进行吞咽功能训练对急性脑卒中后吞咽困难的影响.方法 将我科收治的急性脑卒中后吞咽困难患者112例分为康复治疗组58例与常规治疗组54例.康复治疗组早期进行护理干预及吞咽功能训练;常规治疗组未进行早期康复训练,而是依患者意愿辅助进食.结果 康复治疗组吞咽困难的有效率明显优于常规治疗组,吸入性肺炎发生率显著低于常规治疗组.结论 早期进行护理干预及康复训练能明显改善急性脑卒中后吞咽困难患者的吞咽功能和营养状况,显著降低吸入性肺炎的发生率.

  13. Consensus-validation study identifies relevant nursing diagnoses, nursing interventions, and health outcomes for people with traumatic brain injuries.

    Science.gov (United States)

    Lunney, Margaret; McGuire, Maria; Endozo, Nancy; McIntosh-Waddy, Dorothy

    2010-01-01

    A consensus-validation study used action research methods to identify relevant nursing diagnoses, nursing interventions, and patient outcomes for a population of adults with traumatic brain injury (TBI) in long-term care. In meetings totaling 159 hours to reach 100% consensus through group discussions, the three classifications of NANDA International's (NANDA-I's) approved nursing diagnoses, the Nursing Interventions Classification (NIC), and the Nursing Outcomes Classification (NOC) were used as the basis for three nurses experienced in working with adults with TBI to select the elements of nursing care. Among almost 200 NANDA-I nursing diagnoses, 29 were identified as relevant for comprehensive nursing care of this population. Each nursing diagnosis was associated with 3-11 of the more than 500 NIC interventions and 1-13 of more than 300 NOC outcomes. The nurses became aware of the complexity and the need for critical thinking. The findings were used to refine the facility's nursing standards of care, which were to be combined with the interdisciplinary plan of care and included in future electronic health records.

  14. The Effect of Nursing Intervention on the Success Rate and Degree of Satisfaction of Pediatric Venous Puncture%护理干预对小儿静脉穿刺成功率及满意度的影响

    Institute of Scientific and Technical Information of China (English)

    田俊华

    2015-01-01

    目的:探讨护理干预对小儿静脉穿刺成功率及满意度的影响。方法将600例静脉输液的患儿分成两组,对照组患儿采取常规护理方式,观察组患儿采取优质护理,对比两组患儿的穿刺效果。结果观察组的穿刺成功率及家属满意度均高于对照组,差异具有统计学意义(P<0.05)。结论优质护理干预能有效提升小儿静脉穿刺成功率及满意度。%Objective To investigate the effect of nursing intervention on the success rate and satisfaction degree of pediatric venous puncture. Methods 600 patients with intravenous infusion were divided into two groups, the control group was given routine nursing, the observation group was taken with high quality care, compared with the two groups of patients with puncture effect.ResultsThe success rate of the observation group and family satisfaction were significantly higher than the control group, the difference was statistically signiifcant (P<0.05).Conclusion The high quality nursing can effectively improve the success rate and satisfaction of pediatric venous puncture.

  15. 慢性支气管炎的护理干预效果观察%Effect of nursing intervention on chronic bronchitis

    Institute of Scientific and Technical Information of China (English)

    贺国庆

    2014-01-01

    目的:探讨慢性支气管炎患者的护理效果。方法我院从2011年3月-2013年1月共收治慢性支气管炎患者100例,给予临床观察、心理护理、用药护理、生活护理、健康指导等,对其临床护理资料进行回顾性分析。结果在本组的100例慢性支气管炎患者中,经过治疗与护理之后,显效的患者86例,所占的比例是86%,有效的患者12例,所占的比例是12%,无效的患者2例,所占的比例是2%,总有效率是98%。在本组的患者中,住院时间最短的是7 d,最长的是23 d,平均住院时间是(13.8±4.8)d。本组患者均没有严重的并发症。结论对于慢性支气管炎患者,通过给予全方面的科学护理,有利于患者的病情早日康复,降低并发症的发生率,提高患者的生存质量。%Objective To investigate the nursing effect of patients with chronic bronchitis. Methods In our hospital from 2011 March to 2013 January were treated 100 patients with chronic bronchitis, given clinical observation, mental nursing, medication nursing, nursing, health guidance, the clinical nursing data were retrospectively analyzed. Results In 100 cases of chronic bron-chitis patients in this group, after treatment and nursing care of 86 cases of patients, effective, proportion is 86%, 12 cases were ef-fective in patients, the proportion was 12%, 2 cases of invalid patients, the proportion was 2%, the total efficiency is 98%. In this group of patients, hospitalized in the shortest period of time is 7 days, the longest is 23 days, average hospitalization time was (13.8 ± 4.8) days. The patients had no serious complications. Conclusion For the patients of chronic bronchitis, by giving the scientific com-prehensive nursing, conducive to patient recovery, reduce the incidence of complications, improve the quality of life of patients.

  16. 护理干预对普外科老年患者术后谵妄的效果观察%Effect of Nursing Intervention on Postoperative Delirium in Elderly Patients Undergoing General Surgery

    Institute of Scientific and Technical Information of China (English)

    龚连红; 杨小英; 熊云飞; 谢辉莉

    2012-01-01

    目的 观察积极的护理干预措施对普外科老年患者术后谵妄的影响.方法 选择160例普外科手术后老年患者并按随机数字表法分为2组.常规护理组80例,接受医院常规护理;护理干预组80例,在接受医院常规护理的基础上给予特殊护理干预措施如心理护理、护理教育、音乐护理等个体化护理.采用意识障碍评估法(CAM)评估2组患者术后24、48、72 h及出院前有无谵妄发生并作比较,统计2组患者平均住院时间、手术并发症发生例效.结果 护理干预组患者术后谵妄例数、平均住院时间、术后并发症发生率明显少于或低于常规护理组(均P<0.05).结论 护理干预能有效降低普外科老年患者术后谵妄发生率,减少了并发症的发生,缩短病程,减少住院时间,提高了康复程度.%Objective To investigate the effect of active nursing intervention on postoperative delirium in elderly patients undergoing general surgery. Methods A total of 160 elderly patients who underwent general surgery were randomly assigned to receive routine nursing care (routine group,n = 80) or in combination with nursing intervention such as psychological care,nursing education ,music nursing (intervention group,n = 80). The incidence of delirium was measured by u-sing confusion assessment method at 24,48 and 72 hours after operation and before discharge. Average length of hospital stay and incidence of surgical complications were determined in both groups. Results Compared with routine nursing care,the incidences of postoperative delirium and complications and average length of hospital stay were significantly decreased by nursing inter-vention(all P<0. 05). Conclusion Nursing intervention can decrease the incidences of postoperative delirium and complications,shorten the course of treatment,reduce hospital stay and improve rehabilitation outcomes in elderly patients undergoing general surgery.

  17. 综合护理干预对初产妇产后抑郁的影响%The effect of comprehensive nursing intervention on the postpartum depression of primipara

    Institute of Scientific and Technical Information of China (English)

    龙金荣

    2015-01-01

    Objective To explore the effect of the nursing intervention on postpartum depression of primipara.Methods A total of 100 normal full-term primipara were randomly divided into intervention group and the control with 50 cases in each group.Control group took conventional care, intervention group adopted comprehensive nursing intervention.The incidence rates of postpartum depression were compared in the two groups.Results In 50 patients in the intervention group, 3 cases appeared postpartum depression, the incidence rate was 6%, but 20 cases appeared postpartum depression in the control group, the incidence rate was 40%.There were differences significantly in the incidence rate of postpartum depression comparison of the two groups.Conclusions Comprehensive nursing intervention can effec-tively reduce the depressed mood, reduce postpartum depression, and help to establish a more positive included a healthy state of mind, therefore, it is worth for promotion.%目的:探讨护理干预对初产妇产后抑郁的影响。方法将我院收治的正常足月分娩初产妇100例随机分为干预组和对照组各50例,对照组采取常规护理,干预组在常规护理的基础上给予综合护理干预。比较两组孕妇产后抑郁的发生率。结果在干预组50例初产妇中,出现产后抑郁的有3例,其发生率为6%,而对照组50例初产妇中,出现产后抑郁的有20例,其发生率为40%,干预组产妇其产后抑郁发生率明显低于对照组。两组比较,差异具有统计学意义( P<0.05)。结论采取综合护理干预可以有效地减轻其抑郁情绪,降低产后抑郁症的发生,帮助初产妇树立更加积极健康的心态,因此,值得推广。

  18. 干预护理预防管路穿刺点感染的效果评价%Effect of the intervention of nursing to prevent pipeline puncture point infection

    Institute of Scientific and Technical Information of China (English)

    张鸿雁; 尚楠; 王仙珍; 毕雪莲

    2015-01-01

    目的:评价预防管路穿刺点感染的干预护理的效果。方法:将收治并做过穿刺处置的患者112例随机分为两组,干预组58例,在基础护理上应用干预措施,包括日常生活自我维护,如扇风、不喝太热的水、穿宽松的衣服等;临床特殊干预,如穿刺点稍红,应用痊愈妥,银离子等新型敷料。对照组54例,采用常规护理,如穿刺点红,给予庆大霉素外敷,纱布固定。结果:干预组的穿刺点感染发生率低于对照组,差异有统计学意义(P 〈0.05)。结论:干预护理预防管路穿刺点感染取得较好的临床效果。%Objective To evaluate the effect of the intervention of nursing to prevent pipeline puncture point infection. Method 112 pa-tients who done puncture treatment were randomly divided into 2 groups,intervention group of 58 people,on the basis of nursing interventions on the application,including the daily life of self maintenance,such as fan,didn't drink the water was too hot,wore loose clothes,etc;Clinical special intervention,such as the puncture point slightly red,applied to heal,silver ions such as new type of dressing. Control group of 54 peo-ple,using the routine care,such as the puncture point red,gave gentamicin topical,gauze fixed. Results The puncture point infection incidence of intervention group was lower than the control group,the difference was statistically significant(P 〈 0. 05). Conclusion The Clinical effect of intervention nursing to prevent pipeline puncture point infection is good.

  19. Study on the effect of community nursing intervention in elderly hypertensive patients%老年高血压的社区护理干预效果研究

    Institute of Scientific and Technical Information of China (English)

    谢洁雯

    2016-01-01

    Objective To study the aged hypertension patients the effect of community intervention.Methods ran-domly selected 100 cases of senile hypertension patients in community as the research object,all the patients with high blood pressure for half a year of health education,medication guidance,diet intervention,intervention nursing intervention,and the nursing 100 patients before and after the blood pressure measurement.Results After six months of nursing intervention,the nursing of elderly patients with high blood pressure can master the basic theory of hypertension knowledge,reasonable diet, exercise,the community of elderly hypertensive patients there were significantly lower systolic pressure,diastolic pressure, nursing before and after the difference was statistically significant (P<0.05).Conclusion Community nursing interven-tion in patients with senile hypertension is very necessary,in effective control of the blood pressure of hypertension patients in elderly at the same time,also can maintain their physical and mental health,improve their quality of life.%目的:探讨老年高血压患者实施社区干预的效果。方法随机抽取100例社区老年高血压患者为研究对象,将其分为观察组(n=50)和对照组(n=50),两组高血压患者均接受常规药物治疗,并且进行半年的健康教育、用药指导、饮食干预、运动干预等护理干预,并对护理前后100例患者进行血压测量。结果经过半年的护理干预,护理老年高血压患者能够掌握高血压基本理论知识、合理膳食、坚持运动,社区老年高血压患者的收缩压、舒张压都有了明显的降低,护理前后的差异有统计学意义( P<0.05)。结论对老年高血压患者进行社区护理干预是非常必要的,在有效控制老年高血压患者血压的同时,还能维护他们的身心健康,不断改善他们的生活质量。

  20. 腹腔镜胆囊切除术的手术室护理干预效果观察%To Observe the Effect of Nursing Intervention in the Operation Room of Laparoscopic Cholecystectomy

    Institute of Scientific and Technical Information of China (English)

    宋王蓓

    2016-01-01

    Objective To analyze the effect of nursing intervention in clinical operation room of laparoscopic cholecystectomy.MethodsA total of 100 cases of laparoscopic cholecystectomy patients as the research object, according to the randomized single blind method divided into normal group and intervention group, each of 50 cases, conventional group take routine method of surgical nursing, the intervention group on the basis of routine nursing implementation of comprehensive nursing intervention, compared two groups of patients with operation time, intraoperative bleeding, emergence agitation and patient satisfaction.Results Theoperation time, blood loss, recovery agitation rate were significantly less than that in the conventional group, the rate of nursing satisfaction of the intervention group was significantly higher than that of the conventional group, the two groups had significant difference. Conclusion Laparoscopic gallbladder resection were performed in the operating room quality nursing intervention, not only can effectively accelerate the process of the operation, shorten operation time, reduce the amount of bleeding in operation, to protect the success rate of surgery, and to avoid postoperative emergence agitation, to improve patient satisfaction, promote rehabilitation has great signiifcance.%目的:分析腹腔镜胆囊切除术的临床手术室护理干预效果。方法选取100例腹腔镜胆囊切除术患者作为研究对象,按随机单盲法分为常规组和干预组各50例,常规组采取常规方法进行手术护理,干预组在常规护理的基础上实施综合护理干预,比较两组患者手术时间、术中出血、苏醒躁动情况及患者满意度。结果干预组患者手术时间、术中出血量、苏醒躁动发生率均少于常规组,干预组患者护理满意率高于常规组,两组比较差异具有统计学意义。结论临床腹腔镜胆囊切除术患者行手术室优质护理干预,不仅能有效

  1. Action research regarding the optimisation of radiological protection for nurses during vascular interventional radiology.

    Science.gov (United States)

    Mori, Hiroshige

    2015-06-01

    The optimisation and decision-making processes for radiological protection have been broadened by the introduction of re-examination or feedback after introducing protective measures. In this study, action research was used to reduce the occupational exposure of vascular interventional radiology (IR) nurses. Four radiological protection improvement measures were continuously performed in cooperation with the researchers, nurses and stakeholders, and the nurses' annual effective doses were compared before and after the improvements. First, the dosimetry equipment was changed from one electronic personal dosimeter (EPD) to two silver-activated phosphate glass dosimeters (PGDs). Second, the nurses were educated regarding maintaining a safe distance from the sources of scattered and leakage radiation. Third, portable radiation shielding screens were placed in the IR rooms. Fourth, the x-ray units' pulse rates were reduced by half. On changing the dosimetry method, the two PGDs recorded a 4.4 fold greater dose than the single EPD. Educating nurses regarding radiological protection and reducing the pulse rates by half decreased their effective doses to one-third and two-fifths of the baseline dose, respectively. No significant difference in their doses was detected after the placement of the shielding screens. Therefore, the action research effectively decreased the occupational doses of the vascular IR nurses.

  2. Effect of Clinical Teaching Associate Model on Nursing Students' Clinical Skills and Nurses' Satisfaction.

    Science.gov (United States)

    Rahnavard, Zahra; Eybpoosh, Sana; Alianmoghaddam, Narges

    2013-10-02

    Abstract Background and Objectives: The credit of the practice nurses in developing countries, due to gap between theory and practice in nursing education and health care delivery has been questioned by nursing professionals. Therefore, the aims of this study were to investigate the effectiveness of the application of the CTA model in nursing students' clinical skills and to assess the participants' (faculty members, staff nurses, and nursing students) level of satisfaction with the CTA model and with achieving the educational goals in Iran, as a developing country. Methods and Materials: In this experimental study, random sampling was used to assess 104 nursing students' clinical skills, and assess 6 faculty members and 6 staff nurses. After obtaining informed consent, the level of satisfaction was evaluated by a questionnaire and clinical skills were evaluated by standard checklists. Data were assessed and analyzed with SPSS version 15. Results: The results showed that the mean scores of all clinical skills of the students were significantly higher after intervention (pskills in nursing students in Iran as a developing country. Therefore, application of the method is recommended in clinical nursing education systems of such counties.

  3. Analysis on Effect of Exercise Nursing Intervention for Patients with Type 2 Diabetes%2型糖尿病患者运动护理干预效果分析

    Institute of Scientific and Technical Information of China (English)

    郭艳丽

    2013-01-01

    Objective: To observe the effect of exercise nursing intervention for patients with type 2 diabetes. Methods: In our hospital,50 patients with diabetes were analyzed retrospectively, including 25 cases intervened with exercise, intensity, time and nursing interventions. Results: 6 months later, the blood glucose, TG (thyroglobulin hormone), TCH (thyroid stimulating hormone releasing hormone), LDL ( low density lipoprotein ) and HDL ( high density lipoprotein ) had significant difference ( P<0.05 ) . The intervention group was more effective than the control group. Conclusion: The exercise therapy is not only one of the combined treatments of diabetes, but also the important content of rehabilitation therapy. The exercise intervention is an effective measurement for controlling diabetes, and exercise can promote the utilization of glucose and reduce the insulin consumption, thereby the efficacy of patients with type 2 diabetes can be improved. The effect of exercise nursing intervention for patients with type 2 diabetes is obvious.%目的:观察2型糖尿病患者运动疗法实施护理干预的效果.方法:对曾在我科住院的50例糖尿病患者进行回顾性分析,其中对25例糖尿病患者的运动方式、强度、时间等进行护理干预.结果:两组患者6个月后血糖、TG(甲状腺球蛋白激素)、TCH(促甲状腺激素释放激素)、LDL(低密度脂蛋白)、HDL(高密度脂蛋白)指标有显著差异(P<0.05),有统计学意义.干预组的疗效优于对照组.结论:运动疗法是糖尿病综合治疗方法之一,也是康复治疗的重要内容,进行运动干预是控制糖尿病的有效措施,运动可以促进机体对葡萄糖的利用,使胰岛素消耗减少,从而提高疗效,对2型糖尿病患者运动疗法实施护理干预,效果显著.

  4. [Consensus on nursing diagnoses, interventions and outcomes for home care of patients with heart failure].

    Science.gov (United States)

    Azzolin, Karina; de Souza, Emiliane Nogueira; Ruschel, Karen Brasil; Mussi, Cláudia Motta; de Lucena, Amália Fátima; Rabelo, Eneida Rejane

    2012-12-01

    This was a consensus study with six cardiology nurses with the objective of selecting nursing diagnoses, outcomes and interventions described by NANDA International (NANDA-I), Nursing Outcomes Classification (NOC), Nursing Intervention Classification (NIC), for home care of patients with heart failure (HF). Eight nursing diagnoses (NDs) were pre-selected and a consensus was achieved in three stages, during which interventions/activities and outcomes/indicators of each NDs were validated and those considered valid obtained 70% to 100% consensus. From the eight pre-selected NDs, two were excluded due to the lack of consensus on appropriate interventions for the clinical home care scenario. Eleven interventions were selected from a total of 96 pre-selected ones and seven outcomes were validated out of 71. The practice of consensus among expert nurses provides assistance to the qualifications of the care process and deepens the knowledge about the use of tazonomies in nursing clinical practice.

  5. Mastectomized woman: nursing intervention and natural killer activit

    Directory of Open Access Journals (Sweden)

    Paula Cristina de Andrade Pires Olympio

    2014-01-01

    Full Text Available Backgound and Objectives: Psychoneuroimmunology is one of the areas in charge of nurses, as it provides the implementation of an individualized and humanistic practice, perceiving the patient as a whole and aiming at physical and psychological aspects. The objective of this study was to evaluate the activity of Natural Killer (NK cells in women with breast cancer when the relaxation technique was used in nursing interventions and assess the association between the activity of NK cells and the pattern of behavior for stress and coping. Method: This is an experimental study with a quantitative approach, carried out with mastectomized women submitted to chemotherapy. Results: It was observed that NK cell levels, at the 1st measurement, were not statistically different between the control and experimental groups, demonstrating that the control and experimental groups were initially homogeneous. However, the same groups showed significant differences at the 2nd measurement. Conclusion: The nursing intervention using the relaxation technique modified the activity of NK cells, as the women in the experimental group showed increased activity after learning and practicing relaxation techniques.

  6. Pediatric nurses' beliefs and pain management practices: an intervention pilot.

    Science.gov (United States)

    Van Hulle Vincent, Catherine; Wilkie, Diana J; Wang, Edward

    2011-10-01

    We evaluated feasibility of the Internet-based Relieve Children's Pain (RCP) protocol to improve nurses' management of children's pain. RCP is an interactive, content-focused, and Kolb's experiential learning theory-based intervention. Using a one-group, pretest-posttest design, we evaluated feasibility of RCP and pretest-posttest difference in scores for nurses' beliefs, and simulated and actual pain management practices. Twenty-four RNs completed an Internet-based Pain Beliefs and Practices Questionnaire (PBPQ, alpha=.83) before and after they completed the RCP and an Acceptability Scale afterward. Mean total PBPQ scores significantly improved from pretest to posttest as did simulated practice scores. After RCP in actual hospital practice, nurses administered significantly more ibuprofen and ketorolac and children's pain intensity significantly decreased. Findings showed strong evidence for the feasibility of RCP and study procedures and significant improvement in nurses' beliefs and pain management practices. The 2-hr RCP program is promising and warrants replication with an attention control group and a larger sample.

  7. Analysis of the Effect of Nursing Intervention on Laser Cosmetic Treatment of Skin Diseases%护理干预对激光美容治疗皮肤病的效果分析

    Institute of Scientific and Technical Information of China (English)

    陈莲

    2016-01-01

    Objective Nursing interventions used in laser cosmetic treatment of skin diseases in effect were discussed. Methods 66 cases of dermatology patients cosmetic laser surgery in our hospital from October 2014 to October 2015 were selected, and were randomly divided into the study group and the control group. The former bank of comprehensive nursing intervention, the latter received routine care, nursing effects were compared. Results After treatment, the study group's anxiety and depression scores were signiifcantly lower than the control group, the satisfaction is much higher in the presence of the two groups was statistically signiifcant (P<0.05). Conclusion In the treatment of patients with skin diseases, the effective nursing intervention can effectively improve the patients' bad psychological state, patients' recovery effect, and high satisfaction.%目的:对护理干预应用于激光美容治疗皮肤病中的效果进行探讨。方法选择2014年10月~2015年10月在我院行激光美容手术治疗的皮肤病患者66例,并将其随机分成研究组和对照组。前者行综合护理干预,后者给予常规护理,比较两组的护理效果。结果经过护理,研究组的焦虑、抑郁评分均低于对照组,满意度高于对照组,两组比较,差异存在统计学意义(P<0.05)。结论在行激光美容术治疗的皮肤病患者中,对其实施有效的护理干预,能够有效改善患者的不良心理状态,患者恢复效果,满意度较高。

  8. Self-care management strategies among individuals living with type 2 diabetes mellitus: nursing interventions

    OpenAIRE

    2013-01-01

    Caralise W HuntAuburn University School of Nursing, Auburn, AL, USAAbstract: Nurses provide care for individuals living with diabetes in a variety of areas. Nursing interventions assist individuals living with diabetes to manage diabetes and can positively affect outcomes. This article describes an integrated literature review conducted to evaluate and summarize nursing interventions and research in self-management of type 2 diabetes mellitus. PubMed, PsycINFO, CINAHL, and the Cochrane databa...

  9. 极低出生体重儿23例早期护理干预效果研究%Study on the effect of early nursing intervention on 23 very low birth weight infants

    Institute of Scientific and Technical Information of China (English)

    赵建华

    2011-01-01

    目的:探讨早期护理干预对极低出生体重儿存活率及并发症的影响.方法:将46例极低出生体重儿随机分为观察组和对照组各23例.观察组给予早期护理干预(微量喂养、抚触、体位管理等),对照组给予常规护理.观察两组极低出生体重儿护理后体重增长情况、不良反应发生率.结果:与对照组比较,观察组极低出生体重儿体重增长速度快(P<0.01),呕吐、哭闹、胃潴留、腹胀发生率明显降低(P<0.01).结论:早期护理干预能够提高极低出生体重儿的存活率,减少并发症,值得临床推广.%Objective: To investigate the effect of early nursing intervention on the survival rate and complications of very low birth weight infants.Methods: 46 very low birth weight infants were randomly divided into an observation group and a control group ( 23 cases for each group ).The early nursing intervention ( micro - amount feeding, massage, position management,etc.) was given to the infants in the observation group and the infants in the control group received routine nursing care.The weight gain and incidence of adverse reactions of very low birth weight infants were observed after nursing care in both groups.Results: The weight gain of very low birth weight infants was faster in the observation group than the control group (P <0.01 );the incidence of vomiting, crying, gastric retention, abdominal distension was significantly lower in the observation group than the control group ( P < 0.01 ).Conclusion: The early nursing intervention can improve the survival rate of very low birth weight infants and reduce the incidence of complications.

  10. A Multidisciplinary Workplace Intervention for Chronic Low Back Pain among Nursing Assistants in Iran.

    Science.gov (United States)

    Shojaei, Sarallah; Tavafian, Sedigheh Sadat; Jamshidi, Ahmad Reza; Wagner, Joan

    2017-06-01

    Interventional research with a 6-month follow-up period. We aimed to establish the effectiveness of a multidisciplinary workplace intervention on reduction of work-related low back pain (WRLBP), using ergonomic posture training coupled with an educational program based on social cognitive theory. WRLBP is a major occupational problem among healthcare workers, who are often required to lift heavy loads. Patient handling is a particular requirement of nurse aides, and has been reported as the main cause of chronic WRLBP. We included 125 nursing assistants from two hospitals affiliated to Qom University of Medical Sciences from May to December 2015. There was an intervention hospital with a number of 63 nursing assistants who received four multidisciplinary educational sessions for 2 hours each plus ergonomic posture training over two days and a control hospital with a number of 62 nursing assistants who didn't receive educational intervention about low back pain. The outcomes of interest were reductions in WRLBP intensity and disability from baseline to the follow up at 6 months, which were measured using a visual analog scale and the Quebec Disability Scale. Descriptive and analytical statistics were used to analyze the data. The comparison tests showed significant change from baseline in reduction of WRLBP intensity following the multidisciplinary program, with scores of 5.01±1.97 to 3.42±2.53 after 6 months on the visual analog scale in the intervention group (pnurse aides, making them suitable for implementation in programs to improve WRLBP among nursing assistants working in hospitals.

  11. A probabilistic assessment of the impact of interventions on oncology nurses' exposure to antineoplastic agents.

    Science.gov (United States)

    Meijster, T; Fransman, W; van Hemmen, J; Kromhout, H; Heederik, D; Tielemans, E

    2006-08-01

    The main goal was to investigate the potential of a probabilistic approach for exposure assessment and use this information to evaluate the impact of a complex of policy actions/interventions on dermal exposure to antineoplastic agents among oncology nurses. The central theme of this study was to make optimal use of existing data, supplemented only with limited additional information from a questionnaire survey. A task based exposure model was used to estimate dermal exposure of the hands among oncology nurses in non-academic hospitals in the Netherlands. Monte Carlo simulation was used to integrate information from available (exposure) studies and generate exposure distributions for the total population of oncology nurses in both pre- and post-intervention situation. Graphs and descriptive statistics of the simulated exposure distributions were used to evaluate trends in population exposure. The inventory showed that important intervention occurred in the preparation and administering of antineoplastic agents and in the handling of urine. Hardly any changes were identified in de nursing tasks. The use of gloves seemed to have decreased for a number of tasks. The results of the analysis show that the interventions did not affect the median exposure. However frequencies of occurrence of individuals with very high and very low total dermal exposures decreased substantially in the post-intervention situation. Analysis of the effect of pregnancy showed that pregnancy is very unlikely to influence exposure or any of the key input variables. The present study shows that the probabilistic approach adds valuable information to deterministic exposure assessment, especially when extrapolating data on a subpopulation to populations of individuals at large. The results show that the identified changes in the past decade in Dutch non-academic hospitals resulted in changes in the exposure distribution of antineoplastic agents among oncology nurses.

  12. Implementing the supportive supervision intervention for registered nurses in a long-term care home: a feasibility study.

    Science.gov (United States)

    McGilton, Katherine S; Profetto-McGrath, Joanne; Robinson, Angela

    2013-11-01

    This pilot study was conducted in response to the call in 2009 by the International Association of Gerontology and Geriatrics to focus on effective leadership structures in nursing homes and to develop leadership capacity. Few researchers have evaluated interventions aimed at enhancing the leadership ability of registered nurses in long-term care. The aim of the pilot study was to test the feasibility of a three-part supportive supervisory intervention to improve supervisory skills of registered nurses in long-term care. A repeated measures group design was used. Quantitative data were collected from healthcare aides, licensed practical nurses (i.e., supervised staff), and registered nurses (i.e., supervisors). Focus groups with care managers and supervisors examined perceptions of the intervention. There were nonsignificant changes in both the registered nurse supervisors' job satisfaction and the supervised staff's perception of their supervisors' support. Supervised staff scores indicated an increase in the use of research utilization but did not reflect an increase in job satisfaction. Focus group discussions revealed that the supervisors and care managers perceived the workshop to be valuable; however, the weekly self-reflection, coaching, and mentoring components of the intervention were rare and inconsistent. While the primary outcomes were not influenced by the Supportive Supervision Intervention, further effort is required to understand how best to enhance the supportive supervisory skills of RNs. Examples of how to improve the possibility of a successful intervention are advanced. Effective supervisory skills among registered nurses are crucial for improving the quality of care in long-term care homes. Registered nurses are receptive to interventions that will enhance their roles as supervisors. © 2013 Sigma Theta Tau International.

  13. Analysis on the Effect of Integrated Nursing Intervention on Diabetic Nephropathy%中西医结合护理干预对糖尿病肾病的效果分析

    Institute of Scientific and Technical Information of China (English)

    孔令辉

    2016-01-01

    Objective To study the effect of integrated nursing intervention on diabetic nephropathy .Methods Choosing 96 cases of diabetic nephropathy patients as the research objects, they were randomly divided into control group and observation group .The control group was treated with conventional treatment.On the basis of the control group, the observation group adopted integrated nursing intervention.The patient's clinical curative effect was comprehensively improved from the rest and activity , observation, diet nursing, medication nursing, psychological nursing, skin care and syndrome differentiation of traditional Chinese medicine nursing.The improvement of FPG, HbA1c, Ccr and BUN of the two groups was compared, and the clinical curative effect was comprehensively evaluated.Results Before treatment, the FPG, HbA1c, Ccr and BUN between the two groups had no significant difference ( P >0. 05).After treatment, there was a significant reduction in the FPG, HbA1c, Ccr and BUN of the observation group, and the degree of decrease in the observation group was significantly higher than that in the control group (P <0.05).The clinical total effective rate of the observation group was 89.58%, the clinical total effective rate of the control group was 77.07%, and there was statistical difference ( P<0.05).Conclusion The integrated nursing intervention on diabetic nephropathy had definite clinical curative effect, combined with routine therapy, can significantly improve the glucose metabolism, renal function and prognosis of patients, and is worthy of clinical use.%目的:探讨中西医结合护理干预对糖尿病肾病的效果。方法选取96例糖尿病肾病患者作为研究对象,随机分为对照组和观察组;对照组采取常规治疗,而观察组患者在常规治疗的基础上,采取中西医结合护理,从休息与活动、病情观察、饮食护理、用药护理、心理护理、皮肤护理及中医辨证护理,综合提高患者的临床疗

  14. Analysis of the Clinical Effect of Nursing Intervention in the Treatment of Pregnancy Induced Hypertension Syndrome%妊娠期高血压综合症护理干预的临床效果分析

    Institute of Scientific and Technical Information of China (English)

    李伟宏

    2016-01-01

    Objective To analyze the clinical effect of nursing intervention in patients with pregnancy induced hypertension syndrome.Methods30 cases of pregnancy induced hypertension syndrome patients receiving and taking routine nursing in our hospital were taken as A group, 30 patients with the same disease were selected as the B group, the groups were compared with the two groups.ResultsThe effective rate of nursing in group B was 93.33%, 1 cases of labor induction, 11 cases of cesarean section and 18 cases of natural childbirth, the effective rate of nursing in group A was 73.33%, 6 cases of labor induction, 17 cases of cesarean section and 7 cases of natural childbirth. The nursing effect of B group was better than that of A group (P<0.05), and the difference was statistically signiifcant.Conclusion To take comprehensive nursing to the patients with pregnancy induced hypertension syndrome, the effect is remarkable, and the application value is high.%目的:分析妊娠期高血压综合症护理干预的临床效果。方法将我院妇产科接收并采取常规护理的30例妊娠期高血压综合症患者作为A组,选取同期接收并用综合护理干预的30例同疾病患者作为B组,对比两组护理效果。结果 B组护理有效率是93.33%,1例引产,剖宫产11例,自然分娩18例;A组护理有效率是73.33%,6例引产,剖宫产17例,自然分娩7例;B组护理效果优于A组(P<0.05),差异有统计学意义。结论对妊娠期高血压综合症患者采取综合护理,效果显著,应用价值高。

  15. 护理干预对改善精神分裂症患者病耻感的效果观察%Observation of effects of nursing intervention on stigma of patients with schizophrenia

    Institute of Scientific and Technical Information of China (English)

    卢建红

    2014-01-01

    Objective:To explore effects of nursing intervention on stigma for patients with schizophrenia so as to improve the treatment compliance and change their medical mode and behavior. Methods:60 cases with schizophrenia meeting the conditions were randomly divided into intervention group(30 cases)and control group(30 cases),the control group was given the routine nursing, whereas the intervention group was continuously given the systematic nursing intervention for 4 months. Results:After the nursing inter-vention,the stigma of the patients in intervention group was significantly reduced,life force increased,and the individual confidence and hospitalization life quality had been improved,compared with those of control group,and the differences had the statistical signifi-cance. Conclusions:The systematic nursing interventions for the patients with schizophrenia,like perfect health education and psycho-logical counseling,can give them predictable nursing from various diseases,psychological,social and other aspects,can significantly reduce the stigma,and improve the quality of life.%目的:探讨护理干预改善精神分裂症患者病耻感的效果,从而提高患者的治疗依从性和改变其求医方式和行为。方法:将符合条件的精神分裂症患者60例,随机分为干预组和对照组,各30例;对照组患者采用精神科护理常规进行护理,干预组患者则采用系统化的护理干预措施连续进行护理4个月。结果:连续护理干预患者4个月后,干预组患者的病耻感明显减轻,生活动力提高,个体的自信心增强;住院生活质量得到提升;与对照组比较,差异有统计学意义。结论:对精神分裂症患者进行完善的健康宣教,心理辅导等系统性护理干预,从疾病、心理、社会等各个方面进行多元化预见性护理,可明显减轻患者的病耻感,提高患者的生活质量。

  16. Educational interventions to empower nursing home residents: a systematic literature review

    Directory of Open Access Journals (Sweden)

    Schoberer D

    2016-09-01

    Full Text Available Daniela Schoberer,1 Helena Leino-Kilpi,2 Helga E Breimaier,1 Ruud JG Halfens,3 Christa Lohrmann1 1Institute of Nursing Science, Medical University of Graz, Graz, Austria; 2Turku University Hospital, University of Turku, Turku, Finland; 3Department of Health Services Research, School for Public Health and Primary Care (CAPHRI, Maastricht University, Maastricht, the Netherlands Purpose of the study: Health education is essential to improve health care behavior and self-management. However, educating frail, older nursing home residents about their health is challenging. Focusing on empowerment may be the key to educating nursing home residents effectively. This paper examines educational interventions that can be used to empower nursing home residents.Methods: A systematic literature search was performed of the databases PubMed, CINAHL, CENTRAL, PsycINFO, and Embase, screening for clinical trials that dealt with resident education and outcomes in terms of their ability to empower residents. An additional, manual search of the reference lists and searches with SIGLE and Google Scholar were conducted to identify gray literature. Two authors independently appraised the quality of the studies found and assigned levels to the evidence reported. The results of the studies were grouped according to their main empowering outcomes and described narratively.Results: Out of 427 identified articles, ten intervention studies that addressed the research question were identified. The main educational interventions used were group education sessions, motivational and encouragement strategies, goal setting with residents, and the development of plans to meet defined goals. Significant effects on self-efficacy and self-care behavior were reported as a result of the interventions, which included group education and individual counseling based on resident needs and preferences. In addition, self-care behavior was observed to significantly increase in response to

  17. The effect of nursing management development program on clinical competency in coronary care unit

    Directory of Open Access Journals (Sweden)

    Ali Akbar Vaezi

    2011-03-01

    Full Text Available Background: Nurses are the main members in nursing cares and nursing managers can improve their clinical competency by applying better leadership skills. This study carried out to determine the effect of nursing management program on clinical competency of nurses in a coronary care unit (CCU.Methods: A quasi-experimental study was carried out in two educational hospitals in Yazd- Iran. These hospitals were allocated randomly in case and control hospitals. 25 matched nurses were selected by convenience sampling from both case and control hospitals. The clinical competency of nurses was measured by related questioners consisted of two dimensions caring and care management behaviors by self-evaluation and head nurse evaluation in case and control groups. Then, the intervention was implemented in four stages including nurse's development, managers' development, adaptation and supervision period during four months in the case group. After intervention, clinical competency of nurses was measured in both groups.Results: The results showed that before intervention more than 80% of nurses in two groups was in the moderate clinical competency level and they were proficient based on Benner's skill acquisition model. After intervention, nurses' clinical competency improved to higher level in case group but it didn't change in control group (P<0.05. Conclusion: Creating necessary modifications in nursing environments through the management development program by head nurses may improve nurses' clinical competency.

  18. 产前护理需求及护理干预对高危妊娠孕妇的效果评价%Effect evaluation of prenatal care needs and study on nursing intervention on high risk pregnancy

    Institute of Scientific and Technical Information of China (English)

    杜丽芳

    2014-01-01

    目的:探讨高危妊娠孕妇的产前护理需求以及采用护理干预方案的临床效果。方法:2013年7月-2014年6月收治高危妊娠孕妇100例,首先通过问卷调查的方式了解护理需求;然后将其随机分为对照组(50例)和观察组(50例)。对照组采用常规护理方案,观察组在对照组的基础上进行护理干预。观察两组患者的护理效果。结果:在高危妊娠孕妇中,对胎儿发育情况的护理需求最高(72.0%);对社会支持的需求最低(4.0%)。观察组的T-AI指标和S-AI指标明显低于对照组,护理满意率明显高于对照组,差异具有统计学意义(P<0.05)。结论:了解高危妊娠孕妇的产前护理需求,并有针对性地实施护理干预,能够提高患者的护理满意度,改善身心状况,提高患者的生存质量,值得临床推广。%Objective:To explore the prenatal care needs of high risk pregnancy and the clinical effect of the nursing intervention program.Methods:100 cases of high-risk pregnant women were selected from July 2013 to June 2014.Care needs were investigated by questionnaire.Then they were randomly divided into the control group(50 cases) and the observation group(50 cases).The control group were given conventional nursing,and the observation group were given nursing intervention on the basis of the control group.We observed the effect of nursing care.Results:In the high-risk pregnant women,nursing demand for fetal development was the highest(72%);the demand for social support was the lowest(4%).In the observation group,T-AI index and S-AI index was significantly lower than the control group;nursing satisfaction rate was significantly higher than that in the control group;the difference was statistically significant(P<0.05). Conclusion:Understanding the prenatal care needs of high risk pregnancy and the implementation of targeted nursing intervention can improve the patients' satisfaction to nursing care

  19. Investigation of the effect of nursing intervention on psychological state of patients with ophthalmic surgery%护理干预对眼科手术患者心理状态影响的研究

    Institute of Scientific and Technical Information of China (English)

    王方群

    2009-01-01

    目的 观察眼科手术患者的心理状态以及研究护理干预对其心理状态的影响.方法 随机选取眼科手术患者120例,其中青、中、老年患者各40例,按年龄随机分为对照组和护理干预组各60例,每组中又分为青年组、中年组、老年组各20例.对照组按照护理程序常规进行术前健康教育,护理干预组在此基础上实施护理干预.通过焦虑白评量表测定2组患者入院时、术前1 d、出院时焦虑标准分.结果 患者入院时焦虑标准分大于焦虑评定的临界标准分(50分).术前1 d明显大于入院时,出院时小于临界标准分,且明显小于入院时评分.护理干预组入院时焦虑标准分与对照组比较无差异,术前1 d以及出院时明显小于对照组.手术前1 d对照组中的老年组焦虑标准分高于青年组,中年组明显高于青年组;出院时,中、老年组均高于青年组.护理干预组老年组焦虑标准分术前1 d明显高于青年组,中年组高于青年组;出院时,青年组与中年组之间无差异;老年组高于青年组.术前1 d及出院时青、中年组分别明显低于对照组,老年组低于对照组.结论 眼科手术患者普遍存在焦虑情绪,在手术前1 d焦虑程度最高;中年患者的焦虑程度高于青、老年,而护理干预对眼科手术患者的焦虑情绪均有明显积极影响.对青、中年患者的影响较老年患者更为显著.因此,在眼科手术前后有针对性地开展护理干预十分必要.%Objective To observe the psychological state of patients with ophthalmic surgery, and investigated the effect of nursing intervention on the psychological state of them. Methods 120 patients with ophthalmic surgery were selected randomly, including 40 youth, 40 middle-aged and 40 elderly, they were subsequently divided randomly into the control group and the nursing intervention group with 20 of youth, middle- aged and elderly separately. The control group received

  20. Spiritual Care Intervention and Spiritual Well-Being: Jordanian Muslim Nurses' Perspectives.

    Science.gov (United States)

    Musa, Ahmad S

    2016-04-22

    This study explored the frequency of providing aspects of spiritual care intervention and its association with nurses' own spiritual well-being in a convenience sample of 355 Jordanian Arab Muslim nurses. The nurses were recruited from different hospitals, representing both public and private health care sectors in northern and central Jordan. A cross-sectional descriptive and correlational design was used. Results indicated that Jordanian Muslim nurses provided religious aspects of spiritual care intervention to their Muslim patients infrequently and that their own spiritual well-being was positively associated with the frequency of provision of spiritual care interventions. The study concluded that Jordanian Muslim nurses most frequently provided spiritual care interventions that were existential, not overtly religious, were commonly used, were more traditional, and did not require direct nurse involvement. Moreover, the findings revealed that spiritual well-being was important to those nurses, which has implications for improving the provision of spiritual care intervention. The study provides information that enables nurses, nursing managers, and nursing educators to evaluate the nurses' provision of various aspects of spiritual care to their Muslim patients, and to identify aspects of spiritual care intervention where nurses might receive training to become competent in providing this care.

  1. An education intervention to improve nursing students' understanding of medication safety.

    Science.gov (United States)

    Hewitt, Jayne; Tower, Marion; Latimer, Sharon

    2015-01-01

    Medication safety is a significant issue. Whilst medication administration is a routine task, it is a complex nursing activity. It is recognised in the literature that medication related adverse events are most often related to systems failures associated with the complex process of medication administration. This paper examines student's perceived effectiveness of an educational intervention, designed to demonstrate the complex and multidisciplinary factors of systems related failures in medication administration. The intervention was underpinned by adult and experiential learning concepts and used a problem-based learning approach. A series of short digital recordings were developed along with discussion points to illustrate multidisciplinary interactions involved in medication administration. A small sample of second and third year undergraduate nursing students (n = 28) evaluated the effectiveness of the educational resource. Our findings suggest that such resources are effective in demonstrating the complexity of medication related error and were authentic to practice. An educational intervention using problem based learning afforded nursing students the opportunity to engage with the systems factors that contribute to medication errors. Interventions that highlight these factors may play an important role in raising awareness of these issues and encourage students to carry this knowledge into clinical practice.

  2. A Business Case Framework for Planning Clinical Nurse Specialist-Led Interventions.

    Science.gov (United States)

    Bartlett Ellis, Rebecca J; Embree, Jennifer L; Ellis, Kurt G

    2015-01-01

    The purpose of this article is to describe a business case framework that can guide clinical nurse specialists (CNS) in clinical intervention development. Increased emphasis on cost-effective interventions in healthcare requires skills in analyzing the need to make the business case, especially for resource-intensive interventions. This framework assists the CNS to anticipate resource use and then consider if the intervention makes good business sense. We describe a business case framework that can assist the CNS to fully explore the problem and determine if developing an intervention is a good investment. We describe several analyses that facilitate making the business case to include the following: problem identification and alignment with strategic priorities, needs assessment, stakeholder analysis, market analysis, intervention implementation planning, financial analysis, and outcome evaluation. The findings from these analyses can be used to develop a formal proposal to present to hospital leaders in a position to make decisions. By aligning intervention planning with organizational priorities and engaging patients in the process, interventions will be more likely to be implemented in practice and produce robust outcomes. The business case framework can be used to justify to organization decision makers the need to invest resources in new interventions that will make a difference for quality outcomes as well as the financial bottom line. This framework can be used to plan interventions that align with organizational strategic priorities, plan for associated costs and benefits, and outcome evaluation. Clinical nurse specialists are well positioned to lead clinical intervention projects that will improve the quality of patient care and be cost-effective. To do so requires skill development in making the business case.

  3. Measures and effect of nursing intervention on delivery analgesia%探讨分娩镇痛术护理干预的措施和疗效

    Institute of Scientific and Technical Information of China (English)

    吴桂英

    2014-01-01

    目的:探讨分娩镇痛术护理干预措施和疗效。方法选取我科分娩的产妇102例进行分析讨论,随机将其分为对照组与观察组,对照组产妇未实施镇痛药镇痛分娩,观察组患者实施蛛网膜下腔与硬膜外腔联合阻滞麻醉镇痛分娩,比较两组患者的分娩疼痛程度、总产程时间、焦虑评分以及分娩结果比较。结果观察组患者实施不同药物配方的镇痛后产妇的分娩疼痛程度、总产程时间、焦虑评分明显优于对照组,经比较具有显著差异(P<0.05),两组产妇分娩的结果比较分析,其观察组产妇的新生儿新生儿apgar氏评分与对照组比较无显著差异(P>0.05),而产后出血率与对照组比较无显著差异(P>0.05)。结论对于分娩过程中中给予不同药物配方会使产妇的分娩疼痛降低,甚至达到无痛分娩,第一产程时间缩短,患者产后焦虑心理情绪明显降低,值得在临床分娩中广泛使用。%Objective to study the labor analgesia nursing intervention measuresand curative effect.Methods select my childbirth puerpera, 102 cases were analyzed to discuss that the randomly divided into control group and observation group, control group did not implement the analgesic maternal analgesia childbirth, observation group of patients to implement subarachnoid and epidural space block anesthesia analgesia childbirth, compare two groups of patients with the degree of labor pain, the total labor time, anxiety score, and birth outcomes. the observation group after the pain of the different drugs formula for the puerpera childbirth pain degree, the total labor time, anxiety score was better than control group, by comparison with signiifcant difference (P 0.05), and postpartum hemorrhage rate compared with the control group had no signiifcant difference (P > 0.05).Conclusion for given different drugs in the formula in the process of childbirth will reduce puerpera

  4. 综合护理干预对ICU谵妄患者预后的效果观察%The effect of comprehensive nursing intervention on the prognosis of patients with delirium in ICU

    Institute of Scientific and Technical Information of China (English)

    赵丽娜

    2016-01-01

    Objective: To explorer the effect of comprehensive nursing intervention on the prognosis of patients with delirium in ICU. Methods: 186 patients with delirium in our hospital were divided into the control group and the observation group randomly, with each group 93 cases. The control group was treated with the traditional nursing care, and patients in the observation group were given the comprehensive nursing on the basis of that. The prognosis of delirium was compared observed and compared between them. Results: After the good nursing, The effective rate of the observation group was 93.54%and the observation group 88.17%respectively, and the differences had statistical significance(P<0.05). Conclusion: Comprehensive nursing intervention in patients with delirium in ICU could improve the effective rate, shorten the hospital stay, and improve the prognosis of patients.%目的:探讨综合护理干预对ICU谵妄患者预后的效果。方法选取2014年8月-2015年8月我院ICU病房收治的186例谵妄患者作为研究对象。采用随机数字表法将其分为观察组和对照组,每组93例。对照组患者采用常规护理,观察组患者给予综合护理干预,比较两组患者预后的情况。结果经过精心治疗和护理后,观察组患者的好转率为93.54%,明显高于对照组的88.17%,组间比较,差异有统计学意义(P<0.05)。结论对ICU谵妄患者实施综合护理干预可有效提高好转率,缩短患者的住院时间,改善患者的预后。

  5. The effect of comprehensive nursing intervention on the prognosis of patients with delirium in ICU%综合护理干预对 ICU 谵妄患者预后的效果观察

    Institute of Scientific and Technical Information of China (English)

    赵丽娜

    2016-01-01

    Objective: To explorer the effect of comprehensive nursing intervention on the prognosis of patients with delirium in ICU. Methods: 186 patients with delirium in our hospital were divided into the control group and the observation group randomly, with each group 93 cases. The control group was treated with the traditional nursing care, and patients in the observation group were given the comprehensive nursing on the basis of that. The prognosis of delirium was compared observed and compared between them. Results: After the good nursing, The effective rate of the observation group was 93.54% and the observation group 88.17% respectively, and the differences had statistical significance(P<0.05). Conclusion: Comprehensive nursing intervention in patients with delirium in ICU could improve the effective rate, shorten the hospital stay, and improve the prognosis of patients.%目的:探讨综合护理干预对 ICU 谵妄患者预后的效果。方法选取2014年8月-2015年8月我院 ICU 病房收治的186例谵妄患者作为研究对象。采用随机数字表法将其分为观察组和对照组,每组93例。对照组患者采用常规护理,观察组患者给予综合护理干预,比较两组患者预后的情况。结果经过精心治疗和护理后,观察组患者的好转率为93.54%,明显高于对照组的88.17%,组间比较,差异有统计学意义(P<0.05)。结论对 ICU 谵妄患者实施综合护理干预可有效提高好转率,缩短患者的住院时间,改善患者的预后。

  6. Pilot Testing of Intervention Protocols to Prevent Pneumonia among Nursing Home Residents

    Science.gov (United States)

    Quagliarello, Vincent; Juthani-Mehta, Manisha; Ginter, Sandra; Towle, Virginia; Allore, Heather; Tinetti, Mary

    2009-01-01

    Objectives To test intervention protocols for feasibility, staff adherence and effectiveness in reducing pneumonia risk factors (i.e., impaired oral hygiene, swallowing difficulty) in nursing home residents. Design Prospective study. Setting Two nursing homes. Participants Fifty-two nursing home residents. Interventions Thirty residents with impaired oral hygiene were randomly assigned to manual oral brushing + 0.12% chlorhexidine oral rinse at different frequencies daily. Twenty-two residents with swallowing difficulty were randomly assigned to upright feeding positioning, teaching swallowing techniques, or manual oral brushing. All protocols were administered over 3 months. Measurements Feasibility was assessed monthly and defined as high if the protocol took 75% of assessments. Effectiveness for improved oral hygiene (i.e., reduction in oral plaque score) and swallowing (i.e., reduction in cough during swallowing) was assessed at 3 months compared to baseline. Results Daily manual oral brushing + 0.12% chlorhexidine rinse demonstrated high feasibility, high staff adherence and effectiveness in improving oral hygiene (pscore reduction. Daily manual oral brushing and upright feeding positioning demonstrated high feasibility, high staff adherence, and effectiveness in improving swallowing. Conclusion Manual oral brushing, 0.12% chlorhexidine oral rinse, and upright feeding positioning demonstrated high feasibility, high staff adherence, and effectiveness in pneumonia risk factor reduction. A protocol combining these components warrants testing for its ability to reduce pneumonia among nursing home residents. PMID:19558483

  7. Effect of Comprehensive Nursing Intervention in the Treatment of 38 Patients With Periodontitis%综合护理干预38例牙周炎患者治疗效果观察

    Institute of Scientific and Technical Information of China (English)

    杜波

    2015-01-01

    ObjectiveTo investigate the effect of comprehensive nursing intervention in the treatment of 38 patients with periodontitis.Methods38 patients with periodontitis were treated in our hospital from June 2013 to September 2014. The patients were divided into control group and observation group. The control group took routine nursing,the observation group on the bases of the control group received the comprehensive nursing measures,then compared with the total effective rate of the two groups.ResultsThe total efficiency of the observation group(94%)was significantly better than the control group(84%),P<0.05.Conclusion The comprehensive nursing care in the treatment of patients with periodontitis can effectively reduce the pain of patients and bad mood.%目的:探讨综合护理干预38例牙周炎患者的治疗效果。方法我院口腔科2013年6月~2014年9月共收治的38例牙周炎患者为研究对象,将患者分为对照组与观察组。对照组采取常规护理,观察组在对照组常规治疗上给予综合护理措施,对比两组护理总有效率。结果观察组护理总效率为(94%)优于对照组治疗总效率(84%),P<0.05。结论将综合护理纳入牙周炎患者治疗过程中,有效减轻了患者疼痛现象和不良情绪。

  8. Nursing Assessment and Intervention to Geriatric Patients Discharged From Emergency Department

    DEFF Research Database (Denmark)

    Rosted, Elizabeth Emilie; Poulsen, Ingrid; Hendriksen, Carsten

    Background: Geriatric patients recently discharged from hospital are at risk of unplanned readmissions and admission to nursing home. When discharged directly from Emergency Department (ED) the risk increases, as time pressure often requires focus on the presenting problem, although 80 % of geria......Background: Geriatric patients recently discharged from hospital are at risk of unplanned readmissions and admission to nursing home. When discharged directly from Emergency Department (ED) the risk increases, as time pressure often requires focus on the presenting problem, although 80...... % of geriatric patients have complex and often unresolved caring needs. Objective: To examine the effect of a two-stage nursing assessment and intervention to address the patients uncompensated problems given just after discharge from ED and one and six months after. Method: We conducted a prospective...... nursing assessment comprising a checklist of 10 physical, mental, medical and social items. The focus was on unresolved problems which require medical intervention, new or different home care services, or comprehensive geriatric assessment. Following this the nurses made relevant referrals...

  9. 心理护理干预对抑郁症患者临床疗效的影响%The influence of psychological nursing intervention to effect of clinic therapy on depression.

    Institute of Scientific and Technical Information of China (English)

    许丽霞; 王秀芬; 孙惠萍; 曹志坤; 周策

    2011-01-01

    目的:探讨心理护理干预对抑郁症患者临床疗效的影响.方法:对我院住院治疗的76例抑郁症患者随机分成治疗组和对照组各38例,两组同时服用相同的抗抑郁药舍曲林25~75 mg,每日1次,并给予常规护理,治疗组增加心理护理干预措施,包括精神分析、认知疗法、音乐疗法等,同时给患者讲解抑郁症的相关知识,做好健康教育,督促患者定期复查,做好随访工作.分别在治疗前后2、4、8周末用汉密顿抑郁量表(HAMD)评分和四级疗效评定、服药依从性比较.结果:心理干预前两组HAMD评分无统计学差异(P>0.05),护理干预8周末HAMD评分治疗组明显低于对照组,服药依从性明显高于对照组,具有显著性差异(P<0.01),两组疗效评定治疗组显效率明显高于对照组(P<0.05).结论:心理护理干预可提高临床疗效及服药依从性,降低复发率,提高生活质量.%Objective :To explore the influence of pchcological nursing intervention to effect of clinic therapy on depression.Methods :76 cases with depression who were treated in our hospital from were randomly divided into therapy group and control group with 38 cased respectively.Two group inpatients takod the same midicine at the same time (Sertralin 25 -75 mg,PO once a day) and routine nursing care.In therapy group, the inpatients were increased psychcological nursing intervention measures.The intervention measurs included psychological analysis, cognitive therapy and music therapy etc.Meanwhile doctors instructed the study inpatients the relative knowladge ,gave heathy education and arranged the patients to check up regularly.Two groups patients were evaluated before intervention and after intervention by HAMD and compared with the compliance.Results:There was no significant statistic difference between two groups before intervention evaluated by HAMD (P > 0.05 ).After 8 weeks intervention, the therapy group patients had a higher scores by HAM D and

  10. 护理干预对阿尔茨海默病患者跌倒的影响%Effect of Nursing Interventions on Accidental Falls in Patients with Alzheimer Disease

    Institute of Scientific and Technical Information of China (English)

    陈晓春; 曾迅

    2013-01-01

      This paper introduced the methods and effect of nursing interventions on accidental falls in patients with mental disorders. The high risk patients were detected by fall risk assessment among 126 patients with Alzheimer disease. Nursing interventions were implemented such as health education to enhance the patient’s awareness of fall prevention,strengthening the quality of control of key links, improving hospital environment and exercise guidance. These measures effectively reduced the incidence of accidence falls among patients with Alzheimer disease.%  探讨护理干预对阿尔茨海默病患者跌倒的影响。对126例阿尔茨海默病患者进行跌倒评估,区别出高、中、低危群体并进行干预,提高患者对预防跌倒的认知水平;同时加强对易致跌倒环节的控制,改善住院防跌倒环境,给予运动指导、肌肉训练等措施,可有效预防和减少阿尔茨海默病患者的跌倒。

  11. Interventions for improving the research literacy of nurses: a systematic review.

    Science.gov (United States)

    Hines, Sonia; Ramsbotham, Joanne; Coyer, Fiona

    2016-02-01

    Despite the importance of research literacy for nurses, many nurses report feeling unable to effectively read and understand research, which in turn results in lower research utilization in practice. Nurses themselves identify poor experiences with trying to understand and use research as factors that contribute to a reluctance to utilize research. This reluctance often leads nurses to seek other sources of information, such as colleagues, instead. The objective of this review was to identify the effectiveness of research literacy interventions on the research literacy of registered nurses. Registered nurses.Interventions of interest were those that evaluated the effectiveness of workplace educational programs or interventions conducted in a healthcare organization or tertiary-level educational facility aiming to improve or increase registered nurses' understanding of research literature.Outcomes of interest were research literacy, measured explicitly or as research knowledge, research understanding, use of research evidence in practice, and/or ability to critically appraise research.We considered experimental study designs such as randomized controlled trials, nonrandomized controlled trials, quasi-experimental, and before and after studies. A wide range of databases were searched in order to provide the most complete possible review of the evidence. Initial keywords used were: "research litera*", "research education", "research knowledge", "evidence-based practice education". Papers selected for retrieval were assessed by two independent reviewers for methodological validity prior to inclusion in the review using standardized critical appraisal instruments from the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI). Data were extracted from papers included in the review using the standardized data extraction tool from JBI-MAStARI. Quantitative data would have been, if possible, pooled in statistical meta

  12. A Web nursing intervention to prevent Eating Disorders

    Directory of Open Access Journals (Sweden)

    Esther Quirós Abajo

    2008-01-01

    Full Text Available Eating Disorders are an important health problem of our society because of their rising incidence in the last years, as well as their high cost in terms of Public Health. Nowadays the best option to face this problem is through prevention. The objective of the present work is to evaluate if a Web nursing intervention based on Cognitive-Behavioural Therapy can prevent Eating Disorders by reducing risk factors in 15 to 18 years old women.Methodology: It is a randomized clinical trial in which the experimental group will receive the Web nursing intervention and the control group will not receive any kind of preventive intervention related to Eating Disorders. The study will be developed in six Secondary Education Institutes of the areas 9 and 10 of Madrid Community. Women at risk will be selected by the Body Shape Questionnaire (BSQ. Risk factors such as body image dissatisfaction, eating and depressive symptoms will be evaluated. Measurements will be, besides BSQ, the Body Attitudes Test (BAT, the Eating Disorders Inventory (EDI, the Eating Attitudes Test (EAT and the Beck Depression Inventory (BDI.

  13. 社区护理干预对空巢老人生活质量的影响%Effect of community nursing intervention on the quality of life of Empty Nesters

    Institute of Scientific and Technical Information of China (English)

    黄卡; 龚晓

    2014-01-01

    目的:研究社区护理干预对空巢老人生活质量的影响。方法:随机选择空巢老人100名,针对前期调查研究显示的空巢老人的生活质量水平和影响因素,制定社区护理干预措施,干预的内容主要有建立个人健康档案、定期健康体检、上门服务、健康知识宣教、入户家访、协助转诊以及意外事件救助服务等。采用日常生活能力量表( ADL)、简明健康调查问卷( SF-36),比较干预前后老年人的生活质量。结果:干预12个月后,随访96名,失访4名,经可信度评价,结果有效;ADL评价显示,干预前评分为(16.21±4.30)分,干预后为(14.82±3.60)分,干预后患者在一般健康状态、生理机能、躯体疼痛、生理职能、精力、社会功能、情感职能、精神健康8个方面评分高于干预前( P﹤0.05)。结论:社区护理干预从心理、行为、运动、服药、饮食等多方面进行干预,可提高空巢老人的生活质量。%Objective:To study the effect of community nursing intervention on the quality of life of Empty Nesters. Methods:100 Empty Nesters were randomly selected and community nursing intervention program were developed according to the investigated status of quality of life of the Empty Nesters and its influencing factors. The intervention measures included the establishment of personal health records, regular health examination,door-to-door service,health knowledge education,home visits,assistance of referral and accidental event res-cue service etc. . The quality of life of the Empty Nesters was compared before and after the intervention by using ADL scale and SF-36. Results:After the intervention for 12 months,96 Empty Nesters were followed up and 4 Empty Nesters were failed to be followed up. The ADL evaluation showed that the scores were 16. 21 ± 4. 30 points before the intervention and 14. 82 ± 3. 60 points after the intervention. The scores of

  14. The effect and analysis of nursing intervention on polypectomy patients%人肠息肉内镜治疗术的护理干预与效果分析

    Institute of Scientific and Technical Information of China (English)

    裴雪霞

    2013-01-01

    Objective: The primary aim of the study was to analysis the changes of operation stress in psychology and physiology indicators of the polypectomy patients and then,we analyze the effect of nursing intervention. Methods: 86 patients underwent endoscopic polypectomy were divided into two groups randomly. The nursing intervention was applied in experimental group and the traditional nurse care was applied in control group. The average days and costs in hospital,effect of satisfaction and anxiety of patients were compared. Results: Those indicators in the experimental group and control group were changed significantly (P<0.05). Conclusion: Nursing intervention can obviously mitigate tension、anxiety、fear of patients, and decrease the process of treatment and increase the effect of postsurgery recuperation.%  目的:通过分析经内镜肠息肉电切治疗患者在护理干预前后的各项指标的变化,探讨护理干预对内镜治疗术的影响及积极作用.方法:将行内镜下肠息肉高频电凝电切除术的患者86例随机分为实验组42例,对照组44例,对照组采用传统护理模式,实验组在对照组的基础上给予护理干预.比较两组的生理指标变化、住院天数、住院费用、患者满意度等方面的差异.结果:实验组与对照组的各项指标在统计学上有差异(P<0.05).结论:护理干预可以显著缓解病人紧张、焦虑、恐惧的情绪,缩短治疗时间,提高患者术后恢复效果.

  15. 护理干预对COPD患者睡眠质量及自我护理能力的影响%Effects of nursing intervention on sleep quality and the exercise of self - care of COPD patients

    Institute of Scientific and Technical Information of China (English)

    彭沁波; 唐良春; 李莲; 乔有萍

    2012-01-01

    Objective To explore the effect of nursing intervention on sleep quality and exercise of self - care of COPD patients.Methods A total of 56 COPD patients from the hospital between February 2011 and February 2011 were randomly divided into two groups according to numerical table.The control group ( 28 patients) was received routine nursing,while the experimental group (28 patients) received nursing intervention.The effects were evaluated from two aspects:the sleep quality and the exercise of self - care.Results The sleep quality and the exercise of self-care in the experimental group were better than those in the control group,and there were significant differences.Conclusions Nursing intervention can effectively improve the sleeping quality and the exercise of self - care of COPD patients.%目的 探讨护理干预对COPD患者睡眠质量及自我护理能力的影响.方法 选取2010年2月至2011年2月期间我院COPD患者56例,用随机数字表法将56例患者分为实验组(28例)和对照组(28例).对照组接受常规护理,实验组除接受常规护理外,给予护理干预,并比较两组患者的睡眠质量及自我护理能力.结果 实验组患者睡眠质量及自我护理能力优于对照组患者,差异有统计学意义.结论 护理干预在提高患者的睡眠质量及自我护理能力方面具有重要作用,是值得推广的护理模式.

  16. 医院感染护理综合干预管理模式效果研究%A study on the effect of comprehensive nursing intervention in hospital infection control

    Institute of Scientific and Technical Information of China (English)

    付燕; 周玉荣; 崔化英

    2015-01-01

    Objective:To explore the effect of comprehensive nursing intervention in hospital infection control in the general hospitals at the level of grade III. Methods:The patients who were hospitalized in a certain general hospital from January 2011 to December 2013 were selected and the comprehensive nursing intervention model was implemented,the effect of prevention and control of hospital infection was observed within the three years. Results:The test scores of theory of nurses increased year by year within the three years ( P<0. 05,P<0. 01);The qualification rate of disinfection,sterilization,awareness of hand hygiene knowledge and hand hygiene increased year by year within the three years (P<0. 05);the comparison of hospital infection rate was significantly different within the three years (P<0. 05). Conclusion:The comprehensive nursing intervention model is one of the effective methods in reducing the hospital infection.%目的:探讨三级综合性医院中加强护理人员医院感染综合干预对医院感染防控效果. 方法:选取自2011年1月~2013年12月在某三级综合医院住院的患者,实施一会一员三组织医院感染预防控制综合干预管理模式,观察逐年预防控制医院感染的效果并进行逐年对比. 结果:三年护理人员理论考试成绩逐年上升(P<0. 05,P<0. 01). 消毒器械监测合格率、灭菌效果监测合格率、手卫生知识知晓率、手卫生合格率均逐年上升,差异有统计学意义(P<0. 05). 三年医院感染率比较差异有统计学意义(P<0. 05). 结论:在三级综合医院护理人员中实施一会一员三组织医院感染预防控制综合干预管理模式,是降低医院感染的有效方法.

  17. Nursing home applications--reasons and possible interventions.

    Science.gov (United States)

    Chan, K M; Wong, S F; Yoong, T

    1998-10-01

    With a rapidly ageing population like Singapore, the need for nursing homes will increase. Admission to a nursing home may be for medical and/or social reasons. We carried out case studies with the Care Liaison Service (CLS) of the Ministry of Health to determine reasons why the elderly applied for nursing home admission, and whether it was possible to prevent an admission. During the 6-month study period, 331 applications were received, of which 280 (84.6%) were > or = 60 years. There was an equal distribution of male (50.4%) and female (49.6%) applicants. Applicants were predominantly Chinese (86.0%), followed by Indians (8.0%), Malays and other races (3.0% each). Most of the applicants were semi-ambulant (50.0%), fully ambulant (31.4%) and non-ambulant (18.6%). The most common medical problems of the applicants were neurological (e.g. stroke, normal pressure hydrocephalus, epilepsy), heart diseases (e.g. hypertension, ischaemic heart disease, heart failure), orthopaedic conditions (e.g. osteoarthritis, fractures neck of femur and other fractures), and psychiatric problems (e.g. dementia, depression and history of schizophrenia/paranoid psychosis). Fifty-seven applicants (20.4%) were selected for intervention. They were 'non-psychiatric' patients whose caregivers were willing but unable to look after them. About half (28, 49.1%) of these applicants required nursing home care. The remaining 29 patients (50.9%) had the potential of improving or able to remain at home with appropriate community services. These 29 patients were contacted by the CLS nurse and the following recommendations were made: 1) inpatient rehabilitation in a community hospital (7 patients); 2) rehabilitation and day care in a community-based day care centre (17 patients); 3) domiciliary medical care (4 patients), and 4) reassessment by psychiatrist to control psychotic symptoms (1 patient). Only 6 patients were willing to accept the new recommendations. This poor result may imply that attempts

  18. Effects of psychological nursing intervention on multiple sclerosis patients%心理护理干预对多发性硬化患者治疗效果的影响

    Institute of Scientific and Technical Information of China (English)

    李静; 李婧; 刘茵; 韦淑萍

    2012-01-01

    [Objective ] To observe the clinical influence of psychological musing intervention on the therapeutic effects of patients with multiple sclerosis (MS) and to explore the nursing methods for MS patients. [Methods] From December 2008 to December 2010, 126 inpatient MS patients were equally randomized into control group (accept conventional nursing and intervention group accept psychological nursing intervention based on the conventional nursing). HAMD and HAMA were used to evaluate the patients mental status, given the psychological intervention, and then compared the anxiety, depression score and treatment compliance before and after the therapy. [Results ] After the treatment, the levels of anxiety and depression were decreased in both groups and the scores of anxiety and depression in the intervention group were significantly lower than those of the control group (P < 0.05). The satisfaction rate of medical compliance in the interventional group(90.5% )was higher than that(74.6% )as the control group( X2= 5.507, P < 0.05). [Conclusion] During the treatment of MS, to think highly of psychological nursing intervention may to improve depression, anxiety sentiment and life quality.%[目的]观察心理护理干预对多发性硬化(multiple sclerosis,MS)患者治疗效果的影响,探讨提高MS疗效的护理措施.[方法]随机将2006年12月-2010年12月的126例MS住院患者分为对照组和干预组各63例,对照组给予常规护理措施,干预组在常规护理措施的基础上加强心理护理干预.应用汉密顿抑郁量表(HAMD)及汉密顿焦虑量表(HAMA)评估患者的精神状况,对两组患者治疗前后焦虑、抑郁及治疗依从性情况进行评分.[结果]治疗后,两组患者的焦虑和抑郁程度均有所下降,而干预组焦虑和抑郁评分均低于对照组,差异有统计学意义(P<0.05);干预组的治疗依从性(90.5%)高于对照组(74.6%),差异有统计学意义(x2=5.507,P<0.05).[结论]在MS治疗过

  19. Cardiac Rehabilitation Enrollment and the Impact of Systematic Nursing Interventions for Postmyocardial Infarction and Stent Patients.

    Science.gov (United States)

    Grossman, Joan A Cebrick

    2016-08-01

    A randomized experimental design was used to determine the most effective intervention for enhancing cardiac rehabilitation (CR) enrollment for postmyocardial infarction and stent patients. The 104 subjects (70 males and 34 females; 23-87 years old) were patients with a discharge diagnosis of a myocardial infarction followed by a percutaneous coronary intervention, which included a percutaneous transluminal coronary angioplasty and the placement of one or more coronary stents. Regardless of the intervention, patients who received face-to-face nursing interventions were more likely to enroll in CR than were patients who had indirect interventions, χ(2)(3) = 32.84, p < .001. Patients who experienced an entrance interview were most likely to enroll, χ(2)(1) = 86.80, p < .001. Direct logistic regression determined that the full model was statistically significant for all predictors, χ(2)(5), 105.56, p < .001, with the strongest predictor, the entrance interview, having an odds ratio of 1.73.

  20. To Investigate the Effect of Early Nursing Intervention on Children with Cerebral Palsy Efficacy%探讨早期护理干预对脑瘫患儿的疗效影响

    Institute of Scientific and Technical Information of China (English)

    于冬梅

    2014-01-01

    Objective Analysis of cerebral palsy children early to strengthen the effect of nursing intervention, and provide a theoretical basis for clinical practice and research. Methods Clinical data of 88 cases of children with cerebral palsy were collected, according to different nursing programs in children with treatment received, the patients were divided into two groups, control group was given routine nursing care during clinical, strengthen early nursing intervention during the clinical observation group, compared two groups of treatment of children. Results The two groups after treatment of DQ and MAS level were significantly improved, compared with those before treatment is significantly different, and the patients in the observation group improved better than the control group(P<0.05). Conclusion To strengthen the nursing care of early cerebral palsy can effectively improve the patients symptoms, is conducive to the recovery of the function.%目的:研究分析加强脑瘫患儿早期护理干预的效果,为其临床实践和研究提供理论依据。方法收集88例脑瘫患儿的临床资料,根据患儿治疗期间接受的不同护理方案,将患者分为两组,对照组临床期间给予常规护理,观察组临床期间加强早期护理干预,比较两组患儿的治疗效果。结果两组患儿治疗后的DQ水平和MAS水平均发生明显改善,与治疗前比较差异明显,且观察组患者的改善情况优于对照组(P<0.05)。结论加强脑瘫患儿的早期护理能够有效的改善患儿的症状,有利于其功能恢复。

  1. 温馨助产护理干预应用于产科中的护理效果%The Effect of Nursing Intervention Applied in Warm Midwifery Care in Gynecology and Obstetrics Department

    Institute of Scientific and Technical Information of China (English)

    宋鑫

    2015-01-01

    目的:探讨产科护理使用温馨助产护理的效果。方法根据我院接收的126例孕产妇来进行研究分析,随机分成观察组和对照组两组,均有63例。对照组产妇使用常规护理,观察组产妇使用温馨助产护理干预,根据两组孕产妇的临床生产情况和满意度来进行对比。结果根据临床结果统计表明,观察组产妇的生产时间短,产后出血少,比对照组优秀,观察组的满意度(98.41%)比对照组(77.78%)要高(P<0.05)。结论孕产妇接受温馨助产护理干预可以提升其生产质量和满意度,是目前非常有效、优秀的一种孕产护理方式。%Objective To investigate the use of warm obstetric nursing midwifery care effect.Methods126 cases of pregnant women in our hospital according to the received to carry on the research analysis, were randomly divided into observation group and control group two groups, 63 cases had. Control group mothers using conventional nursing, the observation group used warm maternal midwifery nursing intervention, compared to two groups of maternal clinical production situation and satisfaction.Results The results showed that according to the clinical results of statistics, the observation group of women production time is short, less postpartum hemorrhage group than in the control group, the observation group satisfaction is excellent, 98.41% higher than the control group of 77.78% (P<0.05).Conclusion Maternal accept warm midwifery nursing intervention can improve the production quality and satisfaction, is a kind of maternal nursing way at present is very effective and good.

  2. Application of Nursing Interventions Classification (NIC) in a cardiovascular critical care unit.

    Science.gov (United States)

    Robbins, B T

    1997-01-01

    The nursing profession is moving toward developing a standardized language. Benefits of such a language are outlined. Nursing Interventions Classification (NIC) (Iowa Intervention Project, 1992), a standardized language for nursing interventions, has been recently developed by the Iowa Intervention Project. This article describes how NIC was incorporated into a nursing care plan in a tertiary acute care facility. Teaching strategies, which include aspects of adult learning theory and motivational theory, are discussed. Utilization of creativity and variability in the planning and implementation of a unit based inservice program were the most beneficial strategies used.

  3. Effect of multifaceted interventions on musculoskeletal disorders in nurses%护理人员骨骼肌肉系统疾患多层面干预的效果

    Institute of Scientific and Technical Information of China (English)

    房玉霞; 梁欣荣; 王德华; 张硕; 张亚楠

    2016-01-01

    目的:探讨参与式人体工程学、体能训练和认知行为训练多层面干预方式对护理人员肌肉骨骼系统疾患( MSDs)的干预效果。方法采用前瞻性对照研究的方法,2013年6月使用《Nordic肌肉骨骼系统疾病自评量表》调查420名护理人员肌肉骨骼系统疾患情况。根据调查结果,采用简单随机化方法划分干预组( n=229)和对照组( n=191),其中干预组中患MSDs者141人,非MSDs者88人;对照组中患MSDs者102人,非MSDs者89人。干预组护理人员接受多层面干预,对照组护理人员不进行干预,6个月后比较干预前后两组护理人员MSDs的持续时间、强度和相关花费的变化。结果患MSDs的护理人员中,干预前两组护理人员在持续时间、强度和相关花费方面差异均无统计学意义( P>0.05);干预后,干预组的MSDs持续时间、强度和相关花费分别为(8.1±4.3)d,(3.5±2.6)分,(648.7±128.0)元,均低于对照组[(12.7±7.2)d,(5.0±3.4)分,(950.8±103.6)元],差异有统计学意义(t值分别为-6.211,-3.896,-19.631;P0.05) . After intervention, the duration, intensity and related expenses of nurses with MSDs in the intervention group were ( 8. 1 ± 4.3) d, (3.5±2.6) points and (648.7±128.0) yuan, and they were lower than that of nurses with MSDs in the control group [(12.7±7.2) d, (3.4±2.2) points, (950.8±103.6) yuan](t=-6.211,-3.896,-19.631;P<0.01). Before intervention, there were no records of the duration, intensity and related expenses of nurses without MSDs; after intervention, the duration, intensity and related expenses of nurses without MSDs were ( 7. 6 ± 4.7) d, ( 3. 4 ± 2.2) points and (525.3±140.6) yuan, which were lower than that of the control group [(9.2±3.5) d, (4.5± 3.3) points, (820.4±120.5) yuan] (t=-2.571, -2.606, -14.998;P<0.05).Conclusions Multifaceted interventions consisting of participatory ergonomics, physical training and cognitive behavioral training can reduce the duration

  4. The effects of nursing intervention on the prognosis of patients with diffuse axonal injury%护理干预对弥漫性轴索损伤患者预后的影响

    Institute of Scientific and Technical Information of China (English)

    黄碧玉

    2012-01-01

    目的 探讨护理干预对弥漫性轴索损伤患者预后的影响.方法 将40例弥漫性轴索损伤的患者分为观察组和对照组,对照组采用常规护理,观察组采用预见性护理,比较两组的护理效果.结果 观察组的昏迷时间、并发症的发生率、COS(预后)情况显著优于对照组(P<0.05).且观察组的生活能力及神经缺损程度方面显著优于对照组(P<0.05).结论 预见性护理有利于减少弥漫性轴索损伤患者的并发症,改善患者的预后,提高生活质量.%Objective To explore the effects of nursing intervention on the prognosis of patients with diffuse axonal injury.Methods 40 patients with diffuse axonal injury patients were divided into the observation group and the control group,the control group was given routine nursing,the observation group was given anticipatory care,two groups were compared with the nursing effect.Results coma time,complication rate,GOS (prognosis) in the observation group was significantly better than the control group ( P < 0.05 ).And life ability and the degree of nerve defect in the observation group were significantly better than the control group ( P < 0.05 ).Conclusions predictive nursing is helpful to decrease the complications in patients with diffuse axonal injury,improve the prognosis and quality of life.

  5. Screening, brief intervention, and referral to treatment (SBIRT) as an integral part of nursing practice.

    Science.gov (United States)

    Finnell, Deborah S; Nowzari, Shahrzad; Reimann, Brie; Fischer, Leigh; Pace, Elizabeth; Goplerud, Eric

    2014-01-01

    ABSTRACT. Substance use screening, brief intervention, and referral to treatment (SBIRT) should be an integral part of the scope of nursing practice. This commentary is an appeal for nurses to advance their knowledge and competencies related to SBIRT. The question of how to move SBIRT into the mainstream of nursing practice was posed to several leaders of federal agencies, health care and nursing organizations, nurse educators, and nurse leaders. The authors provide recommendations for moving this set of clinical strategies (i.e., SBIRT) into day-to-day nursing practice.

  6. Nursing intervention on effects of blood fat level in hyperlipemia patient in the healthy physical examination%护理干预对健康体检人群高脂血症患者血脂水平的影响

    Institute of Scientific and Technical Information of China (English)

    廖秋雄; 陈赤霞; 符可文; 赵亚丽

    2008-01-01

    目的 探讨护理干预对健康体检人群高脂血症患者血脂影响的效果.方法 对102例高脂血症病人进行饮食结构及生活方式评估,根据评估结果进行疾病知识教育、饮食结构及科学生活方式指导.分别于护理干预前、护理干预后6个月调查病人饮食、生活方式、心理状况及血脂水平.结果 102例患者生活方式干预前后有显著性差异(P<0.000 1),健康知识和自我保健能力明显提高;总胆固醇、甘油三脂、低密度脂蛋白胆固醇水平下降均有显著性差异(P<0.000 1).高密度脂蛋白胆固醇水平略有升高,但无显著性差异.结论 护理干预可明显改善病人饮食结构和生活方式,促使患者血脂达到控制效果.%Objective To evaluate effect of nursing intervene on the blood fats of hyperlipemia patient in physical examination. Methods Evaluate the diet structure and the life style of 102 example hyperlipemia patient, according to the appraisal results, the knowledge education, the diet structure and the life style instruction were given. The patient's diet, the life style, the psychological condition and the blood fats level were separately investigatived before nursing intervention and 6 months after nursing intervention. Results Healthy knowledge and the self- health care ability of 102 patients who were intervented have raised significantly (P <0. 001 ) . The total cholesterol, the glycerin, the low density lipoprotein cholesterol level drops has the significance difference (P<0.001) . The high density lipoprotein cholesterol level has the ascension slightly, but has not significant difference. Conclusion Nursing intervention may improve the patient diet structure and the life style obviously, urges the patient blood fats to achieve the control effect.

  7. Clinical effect of nursing intervention on deep fungal infections in leukemia patients after chemotherapy%护理干预对白血病化疗后深部真菌感染效果的临床研究

    Institute of Scientific and Technical Information of China (English)

    滕玉琴; 施鹏飞

    2012-01-01

    OBJECTIVE To investigate the clinical effect and value of nursing interventions on deep fungal infections in leukemia palienls afler chemotherapy, so as to provide theoretical basis for clinical practice. METHODS A total of 90 leukemia patients with deep fungal infections after chemotherapy were selected. Oral samples, sputum, urine and blood were preserved for fungal culture. According to the order of admission, the patients were divided into observation group (45 cases) and control (45 cases) group. The observation group received special nursing intervention, and the control group received normal nursing. The clinical effect and the anxiety scores after the interventions were compared. RESULTS Among the 90 cases with infection , the most common pathogen was Candida albicans(50. 00%), followed by C. tropiculis(27. 78%). The clinical remission rate of the observation group (86. 67%) after nursing intervention was significantly higher than control group (53. 33%)(χ2 = 11. 9048,P <0. 05). The scores of anxiety were significantly lower in the observation group(36, 67±3. 41) than control group (39. 70±4. 21) (t=6. 53,P<0. 05). CONCLUSION The common pathogens causing deep fungal infections in leukemia patients after chemotherapy are C. albicans, C. tropicalis and Aspergillus. Special nursing intervention can effectively alleviate the disease condition, relieve anxiety and have important promoting effects on treatment.%目的 观察护理干预对白血病患者化疗后发生深部真菌感染的临床效果,探讨其临床价值,以期为临床工作提供理论支持.方法 收集在医院确诊的90例化疗后发生深部真菌感染的患者,留取口腔、痰、尿、血液等,进行真菌培养;依患者的入院顺序分为观察组(45例)与对照组(45例),对照组应用常规护理,观察组应用特定的护理干预,观察两组干预后的临床效果及对患者焦虑的影响.结果 90例感染患者中,最常见的真

  8. Safety Intervention Effectiveness

    Energy Technology Data Exchange (ETDEWEB)

    ZIMMERMAN, R.O.

    2001-10-16

    Judging safety intervention effectiveness is often left up to the eye of the beholder. Safety and Health Professionals must increase skills and increase their body of knowledge, based on scientific evidence, that can be applied confidently in the workplace. Evidence must be collected and analyzed to separate the interventions of the month with those that stand the test of time. The book Guide to Evaluating the Effectiveness of Strategies for Preventing Work injuries DHHS (NIOSH) Publication No. 2001-119, April 2001, serves as a primary reference. An example study related to biorhythms, popular in the late 1970s, is used to illustrate the separating of scientific evidence and pseudo-science hype. The cited biorhythm study focuses on the relationship of the accident dates and the three biorhythmic cycles (physical, emotional, and intelligence).

  9. Impact and effectiveness evaluation of nursing intervention on quality of life in patients with laryngectomy%护理干预对喉切除患者生活质量的影响及效果评价

    Institute of Scientific and Technical Information of China (English)

    张海霞; 段文瑜; 解芳兰; 李娜娜; 纪晓丹

    2012-01-01

    Objective To evaluate the effect of nursing intervention on the patients with total laryngectomy through analyzing data obtained from scales assessing patients' pre and post operation psychological condition. Methods The patients were randomly divided into intervention group with 64 cases and control group with 28 cases, providing the former with normal nursing, and the latter with both normal nursing and mental intervention such as psychological support, relaxation exercise, reconstruction of communication model and rehabilitation guidance. Patients psychological condition in both groups was assessed with self-rating anxiety scale ( SAS ) and self-rating depression scale ( SDS ). Results First, compared with pre-operation assessment, the patients post-operation anxiety disorders in the intervention group were improved with statistically significanct difference ( x2 = 12. 1755, P = 0. 0068 ), whereas the control group showed some statistical differences ( x2 =8. 0586, P = 0. 0448 ). Second, compared with pre-operation assessment, the patients' post-operation depression in the intervention group was improved with statistically significant differences ( x2 = 9.0352, P = 0. 0288 ), while the control group showed no statistically significant differences ( x2 = 0.3894, P = 0. 9424 ). Third, the comparison between the two groups' pre-operation scores obtained from SDS and SAS displayed little differences, while the comparison between the two groups' post-operation SDS and SAS scores displayed statistically significant differences ( SAS t = 2. 847, P 0.05),而术后SAS、SDS总评分比较差异有高度统计学意义(t=2.847,P﹤0.01;t=2.904,P﹤0.01),干预组患者状态明显优于对照组.结论 针对性护理干预可明显降低患者的焦虑及抑郁程度,缓解患者的不良心理状态,提高喉切除患者的生活质量.

  10. The Impact of an Educational Program in Brief Interventions for Alcohol Problems on Undergraduate Nursing Students: A Brazilian Context.

    Science.gov (United States)

    Junqueira, Marcelle Aparecida de Barros; Rassool, G Hussein; Santos, Manoel Antônio dos; Pillon, Sandra Cristina

    2015-01-01

    Nurses are the prime movers in the prevention and harm reduction in alcohol-related harm especially for those patients who are unwilling to access specialist care. The aim of the study is to evaluate the attitudes and knowledge of nursing students before and after Brief Intervention Training for alcohol problems. A quasi-experimental study was conducted with 120 undergraduate nursing students. Sixty recruited students were randomized into experimental and control groups (n = 60 each). Participants completed questionnaires on knowledge and attitudes before and after this training of brief intervention. The brief intervention program, 16 hours of duration, includes training for screening and early recognition, nursing, and the treatment of alcohol problems. Analysis of the data showed statistically significant positive change in the nursing students' knowledge (identifications and care) and personal and professional attitudes in working with patients with alcohol problems after the educational intervention. The experimental group differed significantly in all the variables measured at posteducational program. The provision of educational program on brief intervention in undergraduate nursing education can be an effective way for acquisition of knowledge and changes in attitudes in working with patients with alcohol problems.

  11. Effect of nursing intervention on alleviating patients' psychiatric symptoms after liver transplantation%护理干预对减轻肝移植术后精神症状的效果

    Institute of Scientific and Technical Information of China (English)

    何宁宁; 崔恒; 黎国萍; 陈璐

    2011-01-01

    目的 探讨护理干预对减轻肝移植术后精神症状的效果.方法 采用回顾性对比分析,将212例肝移植病例按时间顺序分为实验组50例和对照组162例.对照组实施常规护理,实验组在常规护理的基础上,给予科学的心理干预和音乐干预,比较两组的效果.结果 两组患者护理干预前焦虑程度差异无统计学意义(P>0.05);护理干预后实验组焦虑程度低于对照组,差异具有统计学意义(术前3 d正常情况的比较70.00%vs 44.44%,χ2=4.519,P<0.05;术后1周正常情况的比较84.00%vs60.49%,χ2=3.098,P<0.05);实验组自身前后对比,护理干预后患者焦虑程度下降,差异具有统计学意义(正常54.00%vs 84.00%,χ2=3.592,P<0.05).结论 对肝移植患者给予相应的护理干预,可降低患者焦虑程度,减少术后精神症状的发生.%Objective To investigate the effect of nursing intervention on alleviating patients'psychiatric symptoms after liver transplantation. Methods Patients who suffered from liver transplantation divided into experimental group (n = 50) and control group (n = 162 ) were studied by retrospective contrast analysis. The control group was given the normal nursing, while the experimental group, besides the normal nursing, was administered with psychological intervention and music intervention. Results There was no significant difference between both groups on the anxiety level before the intervention ( P > 0. 05 ); while there was significant difference between both groups after the intervention, the anxiety level of the experimental group was obviously lower than that of the control group ( 3 days before surgery, normal: 70.00% vs 44.44%, χ2 =4.519, P < 0. 05; one week after oporation, normal: 84.00% vs 60.49 %, χ2 = 3. 098, P < 0. 05 ); the anxiety level of the experimental group after the intervention was decreased, compared with that before the intervention ( normal :54.00% vs 84.00%, χ2 = 3. 592, P < 0. 05

  12. Evaluating sexual nursing care intervention for reducing sexual dysfunction in Indonesian cervical cancer survivors

    Directory of Open Access Journals (Sweden)

    Yati Afiyanti

    2016-01-01

    Full Text Available Objective: This study aims to describe the factors affecting successful nursing care intervention on sexuality. Methods: A one-group pre- and post-test design was used. Fifty-three cervical cancer survivors and their spouses were administered with nursing care intervention on sexuality in three sessions and evaluated after 6 weeks. Results: Sexual intervention reduced dyspareunia symptoms, improved vaginal lubrication, improved sexual satisfaction, and enhanced sexual arousal, sexual desire, and orgasm among cancer survivors and their spouses. The other influencing factors also simultaneously contributed to the success of nursing care intervention. Conclusions: Nursing care intervention on sexuality could be a part of supportive nursing care and an important aspect in standard nursing care for cancer patients in Indonesia.

  13. Effect of Multi-faceted Health Education and Nursing Intervention Model in the Nursing Management of Patients with Diabetes%多层面健康教育与护理干预模式在糖尿病患者护理管理中的作用

    Institute of Scientific and Technical Information of China (English)

    董春蓉

    2016-01-01

    目的:探讨多层面健康教育与护理干预模式在糖尿病患者护理管理中的作用,为不断提高糖尿病患者护理质量和临床治疗效果寻求优质护理方式方法。方法选择2014年1月-2015年12月在该院住院治疗的60例糖尿病患者为研究对象,随机分为观察组、对照组各30例,两组患者入院后基本治疗措施和常规护理方法相同,观察组在此基础上进行多层面健康教育与护理干预模式,比较两组患者糖尿病相关知识的掌握情况、血糖有效控制情况、患者健康饮食及行为修正情况及对护理服务满意度情况。结果经多层面健康教育与护理干预模式服务后,观察组各对应参考指标均好于对照组,组间比较差异有统计学意义(P<0.05)。结论多层面健康教育与护理干预模式可提高患者对糖尿病知识的认知水平和自我保护意识,能积极主动修正既往不良生活习惯,有效促进和控制患者血糖的控制,值得临床推广与运用。%Objective To study the effect of multi-faceted health education and nursing intervention model in the nursing management of patients with diabetes thus searching for the excellent nursing methods of continuously improving the nursing quality of patients with diabetes and clinical treatment effect. Methods 60 cases of patients with diabetes treated in our hospital from January 2014 to December 2015 were selected as the research objects and randomly divided into two groups with 30 cases in each, after admission, the basic treatment measures and routine nursing method of the two groups were similar, and the observation group adopted the multi-faceted health education and nursing intervention model, and the mas-tery degree of diabetes related knowledge, effective control rate of blood sugar, healthy dieting of patients, behavioral modi-fication situation and satisfactory degree to nursing service of the two groups were compared. Results

  14. Evaluation of nursing intervention in the treatment of infantile autumn diarrhea effect%护理干预在小儿秋季腹泻治疗中的效果评价

    Institute of Scientific and Technical Information of China (English)

    鲍然然

    2015-01-01

    Objective:Evaluation of nursing intervention in the treatment of infantile autumn diarrhea effect.Methods:A total of 92 cases of children with autumn diarrhea in our hospital,from life in August 2012 ~2014 year in October,through the pumping were random-ly divided into control group and observation group,each group of 46 cases.Two groups of children were given diarrhea,anti -bacterial and other conventional treatment,while the control group was given routine nursing,the observation group given active nursing intervention.Com-parison of two groups of children with symptoms and hospitalization time.Result:The observation group of diarrhea symptoms and hospitali-zation time significantly better than the control group(P <0.05).Conclusion:For autumn diarrhea,nursing intervention on the basis of the treatment,it can promote childrenˊs quick recovery,it is widely recommended.%目的:评价护理干预在小儿秋季腹泻治疗中的效果。方法:选取我院收治的秋季腹泻患儿92例,收治年限均在2012年8月~2014年10月,将其通过抽号随机分为对照组和观察组,每组46例患儿。两组患儿均给予止泻、抗菌等常规治疗,对照组给予常规护理,观察组给予积极的护理干预。对比两组患儿的症状改善时间和住院时间。结果:观察组秋季腹泻患儿的症状改善时间和住院时间明显优于对照组患儿(P <0.05)。结论:针对秋季腹泻患儿,在治疗的基础上采取积极的护理干预措施,可促进患儿快速康复,值得广泛推荐使用。

  15. 护理干预在无痛分娩患者中的应用及效果观察%Application of nursing intervention to painless childbirth and observation on its effect

    Institute of Scientific and Technical Information of China (English)

    李秀芳; 晏艳

    2012-01-01

    目的:探讨护理干预在无痛分娩患者中的应用及效果.方法:将120例经阴道无痛分娩的产妇随机分为观察组和对照组各60例,对照组产妇按常规无痛分娩进行护理,观察组在此基础上给予无痛分娩护理干预.比较两组产妇产程时间、疼痛分级、分娩后并发症等情况.结果:观察组第1、2产程及总产程时间与对照组比较差异有统计学意义(P<0.01),观察组与对照组在疼痛分级及产后并发症方面比较差异有统计学意义(P<0.01,P<0.05).结论:护理干预可以缩短产妇无痛分娩产程、改善疼痛、降低产后并发症.%Objective: To explore the application of nursing intervention and its effect in painless childbirth. Methods: 120 parturient who would have vaginal painless childbirth were randomly divided into observation and control groups ( 60 cases in each group ). The conventional nursing care was taken in the control group and nursing intervention on painless childbirth was applied in the observation group. The duration of labor, pain grading and complications after childbirth were compared between the two groups. Results: There were statistically significant differences in the comparison of the first and second stage of labor and the total time of birth process between the two groups(P<0.01 ); the differences in the comparison of pain grading and postpartum complications were statistically significant between the two groups ( P < 0. 01, P < 0.05 ). Conclusion: The nursing intervention can shorten the labor course of painless delivery, relieve pain and reduce postpartum complications.

  16. Effect of nursing intervention on the constipation and pressure sores of the orthopaedic patients%综合护理干预对骨科患者便秘的影响观察

    Institute of Scientific and Technical Information of China (English)

    张秋玲

    2011-01-01

    ObjectiveTo discuss the effect of nursing intervention on the constipation of the orthopaedic patients. MethodsComparisons of constipation knowledge score, constipation times were made between the intervention group and the controlled group. ResultsThere were differences of the score of abdominal massage(t=39.215, t=0.000),constipation times(x2=72.713,P=0.000)and the application of enema(x2=10.701, P=0.001)between the two groups. ConclusionsThe nursing intervention was effective on improving the constipation knowledge score and decreasing the rate of constipation of the orthopaedic patients.[Key words]Constipation; Nursing intervention; Cognition%目的 分析护理干预对骨科患者便秘的效果.方法 对比分析干预前后干预组与对照组患者的便秘发生情况、便秘认知得分的差异.结果 干预组患者与对照组患者在饮水与便秘、饮食与便秘两维度得分差异无显著性,而在腹部按摩与便秘知识上,干预组患者得分显著高于对照组患者(t=39.215,P=0.000),两组患者在于预后每周排便次数差异亦存在显著性(x2=72.713,P=0.000);两组患者在应用灌肠剂方面差异存在显著性(x2=10.701,P=0.001).结论 综合护理干预能够有效提高骨折患者便秘相关知识,降低便秘的发生率.

  17. 综合性护理干预在脑卒中偏瘫患者中的应用效果%The effect of comprehensive nursing intervention on patients with hemi-paresis of cerebral apoplexy

    Institute of Scientific and Technical Information of China (English)

    郑春喜; 陈松芳

    2014-01-01

    Objective To discuss the application and effect of Comprehensive Nursing Intervention on Patients with Hemiparesis of Cerebral Apoplexy. Methods A total of 80 cases of patients with hemiparesis of cerebral apoplexy were selected and divided into observation group and control group at random. The patients in two groups were given medicine treatment such as the control of intracranial pressure, blood pressure and blood sugar, brain cells nutrition, cerebral microcirculation improvement and etc. The patients in control group were given routine nursing intervention for 8 weeks, while the patients in observation group were additionally given comprehensive nursing intervention for 8 weeks. Results After 8 weeks’ nursing intervention, the total effective rate of recovery of neurological functions and the activity of daily living of patients in observation group was improved much better than that in control group(χ2=6.05 and 7.00,P<0.05). Meanwhile, the scores of life quality obviously were rose than before (P<0.05 or P<0.01), and the rising rate of patients in observation group was much higher than that in control group (P<0.05). Conclusion The comprehen-sive nursing intervention can obviously improve the recovery of neurological function, the activity of daily living and the life quality with hemiparesis of cerebral apoplexy, reduce the disability rate, and it is beneficial to the early recovery.%目的:探讨综合性护理干预在脑卒中偏瘫患者中的应用效果。方法80例脑卒中随机分为观察组和对照组。两组均予降颅压、控制血压和血糖、活化脑细胞和改善脑微循环等治疗。对照组和观察组分别予以常规护理和综合性护理干预8周。结果观察组干预8周后神经功能恢复、总有效率和日常生活能力改善率均较对照组升高(χ2=6.05、7.00, P<0.05);同时两组生活质量各项目评分均有明显上升(P<0.05或P <0.01),且观察组上升值更明显(P<0.05)

  18. 女性更年期抑郁症实施护理干预的效果评价%Evaluation of the effect of nursing intervention on female climacteric depression

    Institute of Scientific and Technical Information of China (English)

    张晶波

    2015-01-01

    Objective To explore the female menopause depression nursing intervention effect. Methods 50 cases offemale climacteric depression were selected in 2013, computers were randomly divided into control group and treatment group as a clinical research object, the control group of 25 cases of female climacteric depression wereonly given antidepressant drugs and general care treatment; 25 cases of female climacteric depression patients in the treatment group in the concurrent administration of antidepressant treatment increase the nursing interventiontherapy. Comparison between the treatment group and the control group of female climacteric depression inpatients with antidepressant treatment and different nursing method, self rating scale before and after treatmentthe scores in SDS depression, and analysis and discussion. Results The patients in the treatment group after drug treatment and nursing intervention, SDS self rating Depression Scale score relatively low, the treatment effect is better than that of control group. (P<0.05), the result of the data with statistical significance. Conclusion The curative effect of nursing intervention on antidepressants female climacteric depression patients, very good,not only make the depression psychological response in patients with ease, but also improve patients mental outlook, with improving effects on the patients with nervous system function, so that patients with endocrine systemfunction tends to be normal or even higher level, compared with the control group use nursing the traditional method, its advantage is obvious, it is worth in clinical application.%目的:探讨女性更年期抑郁症实施护理干预的效果。方法在2013年中选取女性更年期抑郁症患者50例,计算机随机分为对照组和治疗组作为临床研究对象,各25例。对照组中25例女性更年期抑郁症患者给予抗抑郁药物和一般的护理治疗;治疗组的25例女性更年期抑郁症患者则在给予抗抑

  19. Analysis of Clinical Effect of Nursing Intervention on Improving the Compliance of Diabetes%护理干预对提高糖尿病治疗依从性的临床效果分析

    Institute of Scientific and Technical Information of China (English)

    李欣欣

    2016-01-01

    目的:探讨护理干预方法改善糖尿病患者依从性的临床效果。方法选取146例糖尿病患者,分为对照组和干预组,对照组采取病情观察,防止发生并发症等措施,干预组则在对照组的基础上增加饮食、行为习惯、心理教育、用药护理等,对比两组采取措施之后治疗依从性的差异。结果干预组治疗依从性为96.2%,满意度为89.04%;对照组治疗依从性为65.7%,满意度为72.60%。干预组较对照组效果好,差异有统计学的意义(P<0.05)。结论护理干预措施能够提高糖尿病患者治疗依从性。%Objective To explore the clinical effect of nursing intervention to improve the compliance of patients with diabetes melitus.Methods 146 patients with diabetes were divided into control group and intervention group. The control group was treated with observation and prevention of complications, intervention group in the control group based on the increase of diet,behavior habits,psychological education,medication care,etc. The differences between the two groups were compared after treatment compliance. Results The treatment compliance of the intervention group was 96.2%, satisfaction was 89.04%,the control group treatment compliance was 65.7%,and the satisfaction was 72.60%. Compared with the control group,the effect of the intervention group was significantly higher than that of the control group (P<0.05).Conclusion Nursing intervention can improve the treatment of patients with diabetes melitus.

  20. An educational intervention to promote self-management and professional socialization in graduate nurse anesthesia students

    Science.gov (United States)

    Maloy, Debra A.

    Traditionally, nurse anesthesia educators have utilized prior academic achievement to predict student success. However, research has indicated that prior academic achievement offers an inadequate assessment of student success in graduate healthcare programs with extensive clinical residencies. The educational literature has identified many non-cognitive factors, such as self-efficacy and locus of control, that may provide a more holistic prediction model of student success. An experimental study with pretest-posttest design and stratified random assignment was conducted to evaluate the effectiveness of an educational intervention to promote self-management, professional socialization, and academic achievement among first semester graduate nurse anesthesia students. Participants (N = 66) were demographically similar to the national graduate nurse anesthesia student body, though Hispanics and younger students were a little over-represented in the sample (56% female, 75.8% White, 15.2% Hispanic, 6% Other, 59% ≤ 30-years-old, 67% ≤ 3 years of ICU). The results showed that most graduate anesthesia students had strong self-management and professional socialization characteristics on admission. The results did not support the effectiveness of this educational intervention. Thus, ceiling effect may have accounted in part for statistically non-significant results regarding self-efficacy (p = .190, o2 = .03), locus of control (p = .137, o2 = .04), professional socialization (p = .819, o2 = .001), and academic achievement (p = .689, o2 = .003). Future researchers may need to expand the scope of the intervention, use a more powerful and sensitive instrument, and utilize a larger sample.

  1. Nursing interventions for rehabilitation in Parkinson's disease: cross mapping of terms

    Science.gov (United States)

    Tosin, Michelle Hyczy de Siqueira; Campos, Débora Moraes; de Andrade, Leonardo Tadeu; de Oliveira, Beatriz Guitton Renaud Baptista; Santana, Rosimere Ferreira

    2016-01-01

    ABSTRACT Objective: to perform a cross-term mapping of nursing language in the patient record with the Nursing Interventions Classification system, in rehabilitation patients with Parkinson's disease. Method: a documentary research study to perform cross mapping. A probabilistic, simple random sample composed of 67 records of patients with Parkinson's disease who participated in a rehabilitation program, between March of 2009 and April of 2013. The research was conducted in three stages, in which the nursing terms were mapped to natural language and crossed with the Nursing Interventions Classification. Results: a total of 1,077 standard interventions that, after crossing with the taxonomy and refinement performed by the experts, resulted in 32 interventions equivalent to the Nursing Interventions Classification (NIC) system. The NICs, "Education: The process of the disease.", "Contract with the patient", and "Facilitation of Learning" were present in 100% of the records. For these interventions, 40 activities were described, representing 13 activities by intervention. Conclusion: the cross mapping allowed for the identification of corresponding terms with the nursing interventions used every day in rehabilitation nursing, and compared them to the Nursing Interventions Classification. PMID:27508903

  2. Effect of clinical nursing intervention in elderly patients with diabetic nephropathy%老年糖尿病肾病患者临床护理干预效果分析

    Institute of Scientific and Technical Information of China (English)

    薛淑云

    2015-01-01

    Objective To investigate the effective nursing measures of senile diabetic nephropathy patients. Methods From March 2012 to November 2014, 97 cases with diabetic nephropathy were treated and diagnosed, as the research object, the use of psychological care and medication nursing, as well as dialysis and other targeted clinical nursing intervention mea-sures, and detailed record and analysis of its therapeutic effect. Results After systematic clinical nursing intervention, 97 cases (92.8%) were effectively controlled, and the other 7 patients (7.2%) had high blood glucose, which was not caused by medical advice. In all patients, 71 patients (73.2%) received hemodialysis, and blood urea nitrogen was controlled at 395 to 440 mol per liter, while lower than 26 (26.8%) patients, 6 patients (23.1%) died due to multiple organ failure;2 (69.2%) patients, 18 patients (7.7%) were not able to carry out sustained hemodialysis. Conclusion Nursing care for patients with diabetic nephropathy, in addition to strengthening the routine targeted diet intervention and dialysis, and the use of nursing, strengthen psychological care, to improve the quality of life of patients and reduce the significance of mortality.%目的:观察探讨老年糖尿病肾病患者的有效护理措施。方法以该院2012年3月—2014年11月,收治并确诊的97例糖尿病肾病患者,作为研究观察对象,对其运用心理护理和用药护理,以及透析护理等具有针对性的临床护理干预措施,并详细记录与分析其治疗疗效。结果经过系统化临床护理干预,97例研究对象中,患者血糖得到有效控制的有90例(92.8%),其余7例(7.2%)患者血糖偏高,则是未按医嘱用药所致。而全部患者中71例(73.2%)得到血液透析的患者,血尿素氮都在每升18 mmol/L以下,血肌酐也都控制在了每升395~440μmol;而下余26例(26.8%)患者:有6例(23.1%)患者由于多脏器衰竭死亡;有2

  3. 心理护理干预对眼科患者负性情绪及生活质量的影响%Effects of psychological nursing intervention on negative emotion and quality of life of ophthalmic patients

    Institute of Scientific and Technical Information of China (English)

    张新慧

    2016-01-01

    Objective To explore the effects of psychological nursing intervention on negative emotion such as de-pression,anxiety,and quality of life of ophthalmic patients. Methods Randomly divided 116 ophthalmic patients who were hospitalized into control group and observation group,with 58 patients in each group. The patients in control group were treated with ophthalmology routine nursing and the patients in observation group were treated with ophthalmology rou-tine nursing plus the psychological nursing intervention according to the four principles of psychological nursing. The SDS, SAS and quality of life scores of the patients in the two groups were compared when they were hospitalized and before left the hospital. Results The self - rating depression scal(SDS)and self - rating anxiety scale(SAS)scores of the patients when they were hospitalized had no significant difference(P > 0. 05),and the scores was lowered when they left the hospi-tal,the lowered range was obvious in observation group,there was a significant difference between the two groups(P 0. 05)in the two groups when the patients were hospitalized,1d before the patients left the hospital,the physiology,social function,psychological states,physical health, the living quality total points and other indexes of the patients in the observation group was superior to that in control group, and there was significant differences between the two groups(P < 0. 05). Conclusions The psychological nursing inter-vention used on ophthalmic patients can remit their negative emotion,enhance the therapeutic effect and improve the quality of life effectively.%目的:探讨心理护理干预对眼科疾病患者抑郁、焦虑等负性情绪及生活质量的影响。方法将116例眼科住院患者随机分为对照组与观察组,每组58例,对照组给予眼科常规护理,观察组在常规护理的基础上,按心理护理四原则进行心理护理干预。比较入院时、出院前两组 SDS、SAS 评分及

  4. A multifaceted workplace intervention for low back pain in nurses' aides

    DEFF Research Database (Denmark)

    Nørregaard Rasmussen, Charlotte Diana; Holtermann, Andreas; Bay, Hans

    2015-01-01

    -randomized controlled trial with 594 workers from eldercare workplaces (nursing homes and home care) randomized to four successive time periods, three months apart. The intervention lasted 12 weeks and consisted of 19 sessions in total (physical training (12 sessions), cognitive behavioural training (2 sessions......) and participatory ergonomics (5 sessions)). Low back pain was the outcome and was measured as days, intensity (worst pain on a 0-10 numeric rank scale) and bothersomeness (days) by monthly text messages. Linear mixed models were used to estimate the intervention effect. Analyses were performed according...

  5. 护理干预在糖尿病并发糖尿病足中的应用效果观察%Observation of application effect by nursing intervention in diabetes mellitus complicated with diabetic foot

    Institute of Scientific and Technical Information of China (English)

    岳风枝

    2015-01-01

    目的:探讨护理干预在糖尿病并发糖尿病足中的应用效果。方法50例糖尿病足患者给予运动、饮食、心理、足部护理及健康教育等方面的综合护理,观察临床疗效。结果50例患者中治愈34例,好转11例,无效5例,总有效率为90%。结论对糖尿病足患者提供综合的护理干预,能有效提高患者的治愈率,促进早期康复、减少糖尿病足的恶化,值得在临床推广应用。%Objective To investigate application effect by nursing intervention in diabetes mellitus complicated with diabetic foot. Methods A total of 50 diabetic foot patients were selected, and they were given comprehensive nursing for exercise, diet, psychology, foot and health education. Clinical effect was observed. Results There were 34 cured cases, 11 improved cases, and 5 ineffective cases among the 50 patients. The total effective rate was 90%. Conclusion Implement of comprehensive nursing for diabetic foot patients can effective improve cure rate, accelerate early recovery, and reduce deterioration of diabetic foot. This method is worth clinical promotion and application.

  6. Effect of nursing intervention therapy on the symptoms of patients suffering from stomch cancer%综合护理干预措施缓解胃癌患者症状的效果

    Institute of Scientific and Technical Information of China (English)

    赵艳; 张秀峰

    2011-01-01

    Objective To evaluate the effectiveness of nursing intervention on anxiety and adverse reactions in stomach cancer patients.Methods One hundred and twenty stomach cancer patients were divided into intervention group and control group.The patients in the intervention group received music therapy,and health belief model on the basis of routine nursing care.Individuals in control group were treated only with routine nursing care.State Anxiety Inventory was administered.Results State anxiety score in intervention group was lower than that in control group(P < 0.05);Among them the interention group anorexia was 2.10%,and 4.25% in control group,comparative differencos between tow groups were statistically significant(x2 =5.08,P =0.031).Conclusions Health belief model and music relaxation therapy can alleviate adverse reactions and anxious of patients.%目的 探讨护理干预对缓解胃癌术后患者焦虑和不良反应的效果.方法 采用抽样的方法,将符合入选条件的胃癌术后患者分为干预组60例,干预组患者在接受常规护理的同时,给予健康训练指导及音乐放松训练.以状态焦虑问卷方式为评定指标,对干预效果进行评价.对照组60例按照胃癌术后的护理常规进行护理.结果 健康训练指导及音乐放松训练能有效减轻患者的不良反应及焦虑程度,干预前后比较差异具有统计学意义(P<0.05);其中干预组食欲减退发生率为2.10%,对照组为4.25%,组间比较差异具有统计学意义(x2=5.08,P=0.031).结论 健康训练指导及音乐放松训练能明显改善患者的焦虑状态,提高患者的生活质量,值得推广.

  7. Effect of Nursing Intervention on Quality of Sleep and Life for Patients With Lung Cancer%护理干预对肺癌化疗患者睡眠质量和生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    金小红

    2015-01-01

    ObjectiveTo observe the effect of nursing intervention on quality of sleep and life for patients with lung cancer.Methods 96 patients diagnosed were randomized into the study,the control group was 49 cases,the other was 47 cases. Patients of control group using conventional care intervention,the other took targeted nursing intervention measures. Observed QLQ C30-scale of the two groups of patients and the incidence of insomnia.Results After treatment,the control group level did not improved,while the other group rised. Patients in observation group QLQ C30 scale-each dimension score was higher,lower rate of insomnia,P<0.05.Conclusion Nursing intervention could improve the quality of sleep and life for lung cancer patients undergoing chemotherapy.%目的:探讨护理干预对肺癌化疗患者睡眠质量和生活质量的影响。方法将96例确诊为肺癌并行化疗的患者纳入研究并随机分组,对照组49例患者用常规护理,观察组47例则加针对性护理干预。观察两组患者生活质量(采用QLQ-C30量表)的改善及失眠发生率。结果治疗后,对照组数值水平未改善,观察组则升高,患者观察组QLQ-C30量表中各维度评分均高于对照组,失眠率低,差异具有统计学意义(P<0.05)。结论应用护理干预可提高肺癌化疗患者的睡眠和生活质量。

  8. Effect of nursing intervention on perioperative anxiety in aging face sufferer%护理干预对面部除皱术患者围术期焦虑的影响

    Institute of Scientific and Technical Information of China (English)

    余纯

    2011-01-01

    Objective To investigate the effect of nursing intervention on the anxiety of perioperative patients with facial rhytidecomy.Methods Fifty cases underwent facial rhytidecomy were randomly separated into two groups, the control group and the observation group, according to international standard randomized alphabet with 25 cases in each group.The control group was treated by general treatment and usual care.The observation group received a series of psychological intervention and nursing intervention in addition to general treatment and usual care.Both the two groups were evaluated by Self-Rating Anxiety Scale before operation, after operation and before discharge.The results were statistically analyzed.Results The anxiety scores of observation group were statistically significant lower than those of the control group on the 1 st day and 7th day after operation ( P < 0.01 ).Conclusion Psychological and nursing intervention can significantly reduce the anxiety of patients undergoing facial rhytidecomy.%目的 探讨护理干预对面部除皱术患者围术期焦虑的影响.方法 50例面部除皱术患者按国际通用随机字母表分为对照组和干预组各25 例,对照组采用一般治疗及常规护理,干预组除接受一般治疗及常规护理外,同时接受一系列心理干预和护理干预措施.对两组患者术前、术后均采用焦虑自评量表(SAS)测量,并对测量结果进行统计分析.结果 干预组患者在术后1天和术后7天的焦虑情绪明显低于对照组,差异有统计学意义(P<0.01).结论 对面部除皱术患者进行一系列心理和护理干预措施,能明显减轻患者围手术期的焦虑情绪.

  9. 慢性乙肝患者出院后护理干预对患者预后的影响%The effect of nursing intervention on prognosis of patients with chronic hepatitis B

    Institute of Scientific and Technical Information of China (English)

    徐利萍

    2016-01-01

    目的::研究慢性乙型肝炎患者出院后的护理干预对预后的影响。方法:将2008年6月至2009年9月出院的200例慢性乙型肝炎病人,按出院顺序随机分为观察组和对照组各100例,出院后对观察组在饮食休息、生活方式、心理卫生、用药上实行护理干预,对照组未实行护理干预,1年后比较两组患者之间肝功能情况。结果:1年内观察组患者肝功能正常率高于对照组( P <0.05),肝功能异常率低于对照组( P <0.05)。结论:通过护理干预,有效使慢性乙型肝炎患者遵从健康行为,减缓肝功能损伤,减少不良预后的发生。%Objective:To study the effect of nursing intervention on the prognosis of patients with chronic hepatitis B. Methods: From June 2008 to September 2009, 200 cases of chronic hepatitis B who discharged from hospital were randomly divided into observation group and control group according to the sequence of hospital discharge, 100 cases in each group. The diet, rest, lifestyle, mental health and medication for patients in the observation group were given nursing intervention, but patients of the control group were not given intervention, and then the situation of liver function in the two groups after 1 year was compared. Results:The normal rate of liver function of the observation group was higher than that of the control group in 1 year ( P <0. 05), and the abnormality rate of liver function was lower than that in the control group ( P <0. 05). Conclusion:With the intervention of nursing, the patients with chronic hepatitis B can obey health behavior, and thus reduce harm to liver function. In this way, it can decrease the chances of poor prognosis.

  10. 脑卒中患者耐甲氧西林金黄色葡萄球菌感染的护理干预%Effect of nursing intervention on methicillin-resistant Staphylococcus aureus infection in stroke patients

    Institute of Scientific and Technical Information of China (English)

    梁样; 王茹薇; 黎夏玉

    2014-01-01

    目的:探讨护理干预对脑卒中患者耐甲氧西林金黄色葡萄球菌(M RS A )感染的影响。方法选取2010年4月-2012年12月医院收治的脑卒中且发生M RS A感染的患者共34例,在患者进行治疗的过程中给予综合护理干预,重点对M RS A感染情况进行观察,做好相关的消毒和检测,并根据致病菌的变化调整诊疗措施,护理后对其感染情况进行统计分析。结果送检标本以伤口分泌物、痰液、尿液为主,分别占41.4%、32.3%、14.1%;医务人员手、侵入性操作、抗菌药物使用不当、其他途径感染分别占41.2%、29.4%、23.5%、5.9%;综合护理干预后,34例感染M RS A脑卒中患者中32例痰培养相继转为阴性,1例因为 M RS A感染严重而死亡,1例因出现突发性脑梗死而死亡,患者出院前进行问卷调查对护理的满意度为90.2%。结论对脑卒中并发M RS A感染患者给予综合护理干预,并对耐药菌进行有效监测,可有效改善其预后。%OBJECTIVE To explore the effect of nursing intervention on methicillin-resistant Staphylococcus aureus (MRSA) infection in the stroke patients .METHODS A total of 34 stoke patients with MRSA infection who were treated in the hospital from Apr 2010 to Dec 2012 were enrolled in the study ,then the comprehensive nursing in-tervention was carried out during the treatment ,the incidence of MRSA infection was observed ,the disinfection and relevant tests were conducted ,the treatment measures were adjusted according to the change of pathogens , and the incidence of infection was statistically analyzed after the nursing intervention .RESULTS The wound secre-tions ,sputum ,and urine were the major submitted specimens ,accounting for 41 .4% ,32 .3% ,and 14 .1% ,re-spectively .The patients who had the infection through the hands of health care workers ,invasive operation ,inap-propriate use of antibiotics ,or other approaches

  11. 家庭护理干预预防脑卒中后遗症患者尿路感染效果%Effect of family nursing intervention on the prevention of urinary tract infection in patients with stroke sequelae

    Institute of Scientific and Technical Information of China (English)

    金玮清; 邱健

    2016-01-01

    Objective: To explore the effect of family nursing intervention on the prevention of urinary tract infection in patients with stroke sequelae.Methods: From June to Dec 2015, 50 patients with cerebral apoplexy sequela and 50 family caregivers were selected and divided into an intervention group(25 patients and 25 caregivers) that were given the targeted nursing intervention measure and the control group with 25 pairs that were given the conventional nursing measure. Incidence of urinary tract infection of the patients and knowledge of urinary tract infection prevention of family caregivers were observed in 6 months in the two groups. Results:The rate of urinary tract infection in the intervention group was 4%, which was signiifcantly lower than that in the control group 32%(P<0.05). The score of the prevention of urinary tract infection related knowledge of the caregivers in the intervention group was(91.15±15.88), which was signiifcantly higher than that in the control group(60.43±12.76), and the difference between the two groups had the statistical signiifcance(P<0.05).Conclusion: Targeted nursing intervention can improve the degree of the patients’ health education knowledge mastered, and effectively prevent the occurrence of urinary tract infection of patients with stroke sequelae in the home care. It is worthy of popularization and application.%目的:探讨家庭护理干预措施对脑卒中后遗症患者尿路感染的预防效果。方法:2015年6月—12月选择脑卒中后遗症患者50例及家庭护理人员50名,分为干预组25对(患者25例和护理人员25名),采用针对性护理干预措施;对照组25对,采用常规护理措施。观察两组患者尿路感染的发生率及家庭护理人员6个月内预防尿路感染相关知识掌握情况。结果:干预组尿路感染率为4%,显著低于对照组的32%(P<0.05)。干预组家庭护理人员预防尿路感染相关知识得分为(91.15±15.88)分

  12. Recovery of Normal Body Weight in Adolescents with Anorexia Nervosa: The Nurses’ Perspective on Effective Interventions

    NARCIS (Netherlands)

    Annemarie van Elburg; René Bakker; Laura Beukers; Esther Meerwijk; Joyce van Ommen; prof Berno van Meijel

    2011-01-01

    Little is known about effective nursing interventions for adolescents with anorexia nervosa. The purpose of this study was to discover which aspects of nursing care are most effective, according to nurses, in recovery of normal body weight in adolescents with anorexia nervosa. METHODS: A qualitative

  13. Validating the 'intervention wheel' in the context of Irish public health nursing.

    Science.gov (United States)

    McDonald, Anne; Frazer, Kate; Duignan, Catriona; Healy, Marianne; Irving, Annette; Marteinsson, Patricia; Molloy, Brenda; McNicholas, Elizabeth

    2015-03-01

    Illuminating the full range of nursing actions is a challenge for nurses globally; the invisibility of nursing and of public health nursing in particular is well documented. Visibility can be enhanced by identifying core functions of nursing and matching corresponding levels of interventions and outcomes. This is a priority for the contemporary Irish public health nursing (PHN) service. In the United States, public health nurses have developed an 'Intervention Wheel' naming public health interventions at community, systems and individual/family levels. This aimed to make visible the core functions of PHN practice. The values and beliefs underpinning the Intervention Wheel have been shown to capture the essence of public health nursing within the European context. In total, US nurses described 17 Wheel interventions by recording stories from practice. Owing to concern that the public health aspect of their role was not only invisible but was at risk of erosion, Irish PHNs decided to replicate this storytelling approach to provide evidence for and authenticate the 17 interventions on the Intervention Wheel from their day-to-day public health practice.

  14. Evaluation of an informatics educational intervention to enhance informatics competence among baccalaureate nursing students

    Directory of Open Access Journals (Sweden)

    Manal Kleib

    2015-09-01

    Full Text Available Concerns around quality of care and patient safety have been key drivers behind the increased interest in improving informatics competencies among health care providers. The purpose of this study was to develop an informatics educational intervention for baccalaureate nursing students and compare outcomes associated with vodcasting and face-to-face methods for delivering this material. Following a pilot test, we used a three-group posttest only design to test the effect of the intervention on knowledge gain, confidence and attitude outcomes toward the electronic health record. Forty-two individuals participated in this study. Findings showed that the intervention had a large effect on knowledge gain (0.444, but no effect on confidence or attitudes, and that vodcasting was equally effective to face-to-face methods for delivering informatics content. Following refinement of the knowledge gain instrument used in this study, we urge replication of this study in other settings with a larger sample.

  15. 妊娠期间糖尿病孕妇采用持续性护理干预的临床效果观察%Clinical Effect of Continuous Nursing Intervention During Pregnancy on Pregnant Women with Diabetes Mellitus

    Institute of Scientific and Technical Information of China (English)

    李玉霞; 柯鑫; 纪泽虹

    2016-01-01

    Objective To explore the clinical effect of continuous nursing intervention during pregnancy on pregnant women with diabetes mellitus. Methods 110 cases of pregnant women with diabetes mellitus in our hospital from December 2012 to November 2014 were selected as the research object, and randomly divided into two groups, with 55 cases in each group. The control group was given routine nursing mode, while the observation group was given continuous nursing intervention on the basis of routine nursing. The blood glucose indicators and pregnancy complications of two groups were observed and compared. Results After nursing, the levels of fasting plasma glucose and glycated hemoglobin of observation group were significantly lower than those of control group (P<0.05). The incidence rates of infection, gestational hypertension and fetal macrosomia of observation group were significantly lower than those of control group (P<0.05). Conclusions Continuous nursing intervention measures for pregnant women with diabetes mellitus during pregnancy can effectively control the blood glucose indicators, and reduce the incidence of complications, which is worthy of promotion in clinic.%目的 探讨对妊娠期间糖尿病孕妇实施持续性护理干预措施的临床效果. 方法 选择2012年12月至2014年11月入住我院的妊娠期糖尿病孕妇110例作为研究对象, 将其随机分为观察组和对照组, 对照组55例实施传统的常规护理模式, 观察组55例在常规护理的基础上实施持续性护理干预模式, 观察比较两组干预后的血糖指标及妊娠并发症情况. 结果 护理后观察组的空腹血糖以及糖化血红蛋白水平均显著低于对照组, 差异有统计学意义 (P<0.05). 观察组感染、 妊娠期高血压、 巨大儿的发生率均显著低于对照组, 差异有统计学意义 (P<0.05). 结论 对妊娠期糖尿病孕妇采用持续性护理干预措施可使血糖指标得到有效控制, 同

  16. Analysis of the application effect of mechanical ventilation in patients with early nursing intervention%机械通气患者行早期护理干预的应用效果探析

    Institute of Scientific and Technical Information of China (English)

    邹丽琴

    2014-01-01

    目的:探析机械通气患者行早期护理干预的应用效果。方法:分析研究收治的接受机械通气治疗的患者200例,均分两组,对照组100例实施常规护理,观察组100例实施早期护理干预,分析对比两组呼吸机相关性肺炎(VAP)发生率、机械通气时间以及 ICU 住院时间。结果:两组患者的 VAP 发生率、机械通气时间以及 ICU 住院时间相比较,P<0.05,差异有统计学意义。结论:通过实施早期护理干预,可有效减少机械通气治疗患者VAP发生率、患者的机械通气时间以及ICU住院时间,临床效果显著。%Objective:To discuss the application effect of mechanical ventilation in patients with early nursing intervention. Methods:200 patients receiving mechanical ventilation therapy were divided into two groups.The control group of 100 cases used routine care,and the observation group of 100 cases used implementation of early nursing intervention.We analyzed and compared the incidence of ventilator-associated pneumonia,duration of mechanical ventilation and ICU stay of two groups.Results:The difference of the VAP incidence,duration of mechanical ventilation and ICU stay of two groups were statistically significant(P<0.05).Conclusion:The implementation of early nursing intervention can be effective in reducing mechanical ventilation incidence of VAP in patients with mechanical ventilation and ICU length of stay, and the effect of clinical implementation is significant.

  17. 浆细胞性乳腺炎患者术后伤口护理干预及效果评价%Effect Evaluation of Wound Nursing Intervention of Patients With Plasma Cell Mastitis After Operation

    Institute of Scientific and Technical Information of China (English)

    叶阿宽

    2016-01-01

    ObjectiveThe effect of nursing intervention on the wound of patients with plasma cel mastitis after operation were analyzed.Methods30 cases of patients with plasma cel mastitis were randomly divided into two groups in our hospital,each 15 patients. In the control group received usual care, wound care taken to the intervention group,then compared two groups of patients with wound healing time.ResultsThe wound healing time was shorter in the observation group than the control group(P<0.05).ConclusionThe implementation of nursing intervention on patients with plasma cel mastitis after surgery,the patient can promote wound healing as soon as possible.%目的:对浆细胞性乳腺炎患者术后伤口护理干预效果进行分析。方法选取我院收治的30例浆细胞性乳腺炎患者,将其随机分成两组,各15例,对照组采取常规护理,观察组采取术后伤口护理干预,对比两组患者伤口痊愈的时间。结果观察组伤口痊愈时间短于对照组(P<0.05)。结论手术后对浆细胞性乳腺炎患者实行护理干预,可促使患者的伤口及早愈合。

  18. PATIENT WITH DAMAGED ESPONTANEOUS VENTILATION: AN INTEGRATING REVIEW IN NURSING INTERVENTIONS ON USAGE OF ARTIFICIAL BREATHING

    Directory of Open Access Journals (Sweden)

    Luiz Augusto de Oliveira Antonucci

    2013-10-01

    Full Text Available This study aimed to analyze the nursing interventions given to patients with a diagnosis of spontaneous ventilation in impaired use of artificial respiration. It is an integrative literature review, the databases SciELO, LILACS, BIREME and MEDLINE. We used the key words: Nursing Care; Respiration, Artificial; Intensive Care; Nursing Diagnosis. The sample consisted of 11 items. Of these, ten were equivalent to the care of nursing interventions and suggested priority and/or optional. This study demonstrated that, despite the importance of interventions applied to patients on mechanical ventilation, many are not present in the literature, since this type of patient requires intensive nursing care, extensive and complex. Therefore, we need to encourage nurses to seek evidence to substantiate their clinical practice, providing support for implementation of appropriate interventions, providing the qualification of care.

  19. Preservice Interdisciplinary Preparation of Early Intervention Specialists in a College of Nursing: Faculty Reflections and Recommendations.

    Science.gov (United States)

    Godfrey, Athleen B.

    1995-01-01

    This article relates experiences and insights gained by a nurse educator directing the University of Utah College of Nursing's Utah Early Intervention Personnel Preparation project, a graduate-level interdisciplinary program to prepare early intervention specialists. Recommendations are offered for development of preservice or inservice…

  20. 家庭护理干预对社区血液透析患者生活满意度的影响%Effect of home nursing intervention on life satisfaction in patients with hemodialysis in community

    Institute of Scientific and Technical Information of China (English)

    李运梅; 夏炳成; 王美莲; 韦梅英; 韦丽玲; 陈荣姣; 文玉先

    2011-01-01

    目的 探讨家庭护理干预对血液透析患者生活满意度的影响.方法 将在我院进行血液透析的128例患者随机分为实验组和对照组,每组64例,对照组采用常规护理方法护理,实验组进行家庭护理干预.采用Neugarten生活满意度量表调查患者满意度,比较两组患者的生活满意度、营养指标、肾功能情况.结果 干预前两组患者的生活满意度量表评分、尿素氮、肌酐、白蛋白、血红蛋白比较差异均无统计学意义(P>0.05);干预后实验组生活满意度量表评分(20.07±1.39)分,生活满意度指数A量表评分为(17.35 ±1.04)分,生活满意度指数B量表评分为(18.49±1.10)分,对照组分别为(14.71±0.81),(15.00±0.75),(15.49±0.85)分,差异均有统计学意义(t=22.43,2.10,10.30;P <0.05);干预后实验组尿素氮、肌酐、白蛋白、血红蛋白情况均优于对照组(P<0.05).结论 家庭护理干预能提高社区血液透析患者的生活满意度,从而提高其生活质量.%Objective To investigate the effect of family nursing intervention on life satisfaction in patients with hemodialysis.Methods 128 patients with hemodialysis in our hospital were randomly divided into experimental group and control group,64 cases in each group.Traditional health nursing methods were used in control group and home nursing intervention was carried out in experimental group.Patients' life satisfaction in the two groups was investigated by Neugarten' life satisfaction scale,the life satisfaction,nutrition and kidney function were compared between the two groups.Results The life satisfaction score,blood urea nitrogen,Creatinine,Albumin,hemoglobin in the two groups before intervention were similar ( P > 0.05 ).After intervention,the life satisfaction score,life satisfaction index A,life satisfaction index B were (20.07 ± 1.39),( 17.35 ± 1.04) and ( 18.49 ± 1.10) in experimental group,but ( 14.71 ± 0.81 ),( 15.00 ± 0.75 ) and (15.49 ±0

  1. [Nursing diagnosis and interventions in a patient with multiple organ failure -- report of a case].

    Science.gov (United States)

    Gerelli, A M; Soares, M A; Almeida, M A

    1999-07-01

    This study tries to identify Nursing Diagnoses and Interventions. It was done with a patient who was in critical health condition: multiple organs failure, in an Intensive Care Unit of a general hospital in Porto Alegre. The Case Study was the methodology used. Nursing Diagnoses is described mostly using NANDA Taxonomy. They are: Risk for Aspiration, Disuse Syndrome, Diarrhea, Risk for Infection, Impaired Tissue Integrity; and a Collaborative Problem was identified: Hypoglicemia. We have elaborated 34 Nursing Interventions for those diagnoses.

  2. Effect of Integrated Rehabilitation Nursing Interventions on Functional Recovery and Prognosis in Brain Injury%综合康复护理干预对颅脑外伤患者功能恢复和预后的影响

    Institute of Scientific and Technical Information of China (English)

    林白云; 刘平

    2009-01-01

    Objective To explore the effect of the integrated rehabilitation nursing interventions on functional recovery and prognosis in brain injury. Methods A total of 180 cases of brain injury were randomly assigned to the control and observation group,each consisting of 90 cases. The former received routine therapy and nursing care,while the latter received combined nursing care including position nursing care, rehabilitation training,cognitive behavior therapy and mental nursing in addtion. The pre- and post-interventional neurologic function defects (NFD) ,Fugl-Meyer(FMA) scale and modified Baxthel index(MBI)were compared between two groups,and the incidence rates for the compli-cations occurred within 6 months were followed.]Results Post-interventional NFD scores were markedly higher in the observation group than in the control group, while the scores of FMA and MBI were much lower, with significant differeces between two groups, all P < 0.01 (t = 7.577, 6.860,and 8.090 respectively). And the incidence rates for pulmonary infection,stress ulcor and sore were considerably lower in the observa-tion group than in the control group, all P < 0.05(χ2= 11.025,4.472, and 7.843 resepectively). Conclusion The comprehensive nursing care can improve the neurologic and limb function,raise the activities of daily living,and incidence of the complication in patients with brain injury.%目的 探讨综合康复护理对颅脑外伤患者功能恢复及预后的影响.方法 将180例颅脑外伤患者随机分为对照组和观察组各90例.对照组接受常规治疗和护理;观察组在此基础上实施包括体位护理、康复训练、认知行为干预和心理护理在内的综合康复护理干预.比较两组患者干预前后的神经功能缺损程度(NFD)、Fugl-Meyer量表(FMA)和改良Barthel指数(MBI),并随访两组患者颅脑损伤6个月内并发症的发生情况.结果 干预后观察组患者的NFD评分明显低于对照组,而FMA和MBI明显高于对照

  3. Effects of Comprehensive Nursing Intervention on Depression and Neural Rehabilitation in Patients with Stroke%综合护理对脑卒中患者抑郁及神经康复的影响

    Institute of Scientific and Technical Information of China (English)

    刘玉芳; 郑重

    2012-01-01

    Objective To explore the effects of comprehensive nursing intervention on the depression and neural rehabilitation in patients with acute severe cerebral apoplexy. Methods One hundred and fourteen patients with acute severe cerebral apoplexy that the locations of focal lesions were confirmed by CT scans or MRI were randomly allocated into experiment group (re = 57) and control group(n =57). The iripatients in both groups received paroxetine 20 mg,P0 once a day. The control group received the routine nursing care; while the experiment group received additional personalize comprehensive nursing intervention designed by a professional nurse in conjunction with the routine nursing care including psychoanalysis, cognitive therapy, music therapy and healthy education. Results Compared with the control group,the experiment group showed lower scores in Hamilton Depression Rating Scale (HAMD) and Scandinavian Stroke Scale (SSS) ,P <0.05. Conclusion Scientific and appropriate comprehensive nursing intervention can improve the depressed mood of patients and their quality of life, and promote the full rehabilitation of physiological, psychological and social functions of patients.%目的 探讨综合护理干预对急性重症脑卒中患者抑郁情绪及神经康复的影响.方法 114例脑卒中患者通过CT或MRI进行确诊后,根据有无实施综合护理分为对照组和干预组,每组57例,两组同时服用相同的抗抑郁药帕罗西汀20 mg,每日1次.对照组只接受常规护理,干预组在常规护理基础上接受个性化的综合护理干预.包括精神分析、认知疗法、音乐疗法等,同时给患者讲解抑郁症的相关知识,做好健康教育.结果 两组患者在Hamilton抑郁评定量表评分、爱丁堡斯堪的那维亚神经功能缺损评分量表评分上的差异有统计学意义(P<0.05),干预组优于对照组.结论 科学合理的综合护理干预,对重症脑卒中患者抑郁情绪的改善,提高其生存质量,改

  4. Effects of the nursing intervention on deglutition disorders induced by stroke in the elderly%对老年脑卒中致吞咽障碍患者的护理干预及效果

    Institute of Scientific and Technical Information of China (English)

    杨微

    2011-01-01

    Objective To investigate the effects of the nursing intervention on deglutition disorders induced by stroke in the elderly. Methods The observation group and the control group both received the supportive treatment and the routine care. On this basis,the observation group received deglutition training, food taking recovery intervention. Results The total effective rate and satisfactory degree in the observation group were significantly higher than those in the control group, and the incidence of adverse events in the observation group was significantly lower than that in the control group, the differences were statistically significant (P <0.01 or P <0. 05). Conclusion Nursing intervention could improve the ability of deglutition in elderly stroke patients with deglutition disorders, improve nursing satisfaction,reduce the incidence of adverse events,improve prognosis,and promote the overall recovery.%目的 探讨老年脑卒中致吞咽障碍患者的护理干预效果.方法 对观察组和对照组老年脑卒中致吞咽障碍患者给予对症支持治疗和常规护理,其中观察组在此基础上予以吞咽训练、进食恢复干预.结果 护理干预后观察组总有效率和满意度明显高于对照组;不良事件发生率明显低于对照组,差异具有统计学意义(P<0.01或P<0.05).结论 护理干预可有效提高老年脑卒中致吞咽障碍患者的吞咽能力,提高护理满意度,减少不良事件,改善顶后,促进整体康复.

  5. Pilot testing of intervention protocols to prevent pneumonia in nursing home residents.

    Science.gov (United States)

    Quagliarello, Vincent; Juthani-Mehta, Manisha; Ginter, Sandra; Towle, Virginia; Allore, Heather; Tinetti, Mary

    2009-07-01

    To test intervention protocols for feasibility, staff adherence, and effectiveness in reducing pneumonia risk factors (impaired oral hygiene, swallowing difficulty) in nursing home residents. Prospective study. Two nursing homes. Fifty-two nursing home residents. Thirty residents with impaired oral hygiene were randomly assigned to manual oral brushing plus 0.12% chlorhexidine oral rinse at different frequencies daily. Twenty-two residents with swallowing difficulty were randomly assigned to upright feeding positioning, teaching swallowing techniques, or manual oral brushing. All protocols were administered over 3 months. Feasibility was assessed monthly and defined as high if the protocol took less than 10 minutes to administer. Adherence was assessed weekly and defined as high if full staff adherence was demonstrated in more than 75% of assessments. Effectiveness for improved oral hygiene (reduction in oral plaque score) and swallowing (reduction in cough during swallowing) was compared at baseline and 3 months. Daily manual oral brushing plus 0.12% chlorhexidine rinse demonstrated high feasibility, high staff adherence, and effectiveness in improving oral hygiene (Pscore reduction. Daily manual oral brushing and upright feeding positioning demonstrated high feasibility, high staff adherence, and effectiveness in improving swallowing. Manual oral brushing, 0.12% chlorhexidine oral rinse, and upright feeding positioning demonstrated high feasibility, high staff adherence, and effectiveness in pneumonia risk factor reduction. A protocol combining these components warrants testing for its ability to reduce pneumonia in nursing home residents.

  6. Home-based nursing interventions improve knowledge of disease and management in patients with heart failure

    Directory of Open Access Journals (Sweden)

    Karina de Oliveira Azzolin

    2015-02-01

    Full Text Available OBJECTIVE: to assess patient knowledge of heart failure by home-based measurement of two NOC Nursing Outcomes over a six-month period and correlate mean outcome indicator scores with mean scores of a heart failure Knowledge Questionnaire.METHODS: in this before-and-after study, patients with heart failure received four home visits over a six-month period after hospital discharge. At each home visit, nursing interventions were implemented, NOC outcomes were assessed, and the Knowledge Questionnaire was administered.RESULTS: overall, 23 patients received home visits. Mean indicator scores for the outcome Knowledge: Medication were 2.27±0.14 at home visit 1 and 3.55±0.16 at home visit 4 (P<0.001; and, for the outcome Knowledge: Treatment Regimen, 2.33±0.13 at home visit 1 and 3.59±0.14 at home visit 4 (P<0.001. The correlation between the Knowledge Questionnaire and the Nursing Outcomes Classification scores was strong at home visit 1 (r=0.7, P<0.01, but weak and non significant at visit 4.CONCLUSION: the results show improved patient knowledge of heart failure and a strong correlation between Nursing Outcomes Classification indicator scores and Knowledge Questionnaire scores. The NOC Nursing Outcomes proved effective as knowledge assessment measures when compared with the validated instrument.

  7. An on-the-job mindfulness-based intervention for pediatric ICU nurses: a pilot.

    Science.gov (United States)

    Gauthier, Tina; Meyer, Rika M L; Grefe, Dagmar; Gold, Jeffrey I

    2015-01-01

    The feasibility of a 5-minute mindfulness meditation for PICU nurses before each work-shift to investigate change in nursing stress, burnout, self-compassion, mindfulness, and job satisfaction was explored. Thirty-eight nurses completed measures (Nursing Stress Scale, Maslach Burnout Inventory, Mindfulness Attention Awareness Scale and Self-Compassion Scale) at baseline, post-intervention and 1 month after. The intervention was found to be feasible for nurses on the PICU. A repeated measures ANOVA revealed significant decreases in stress from baseline to post intervention and maintained 1 month following the intervention. Findings may inform future interventions that support on-the-job self-care and stress-reduction within a critical care setting.

  8. 护理干预对经皮肾穿刺活检术患者术后排尿情况的影响%Influence of nursing intervention on voiding effect in patients after percutaneous renal biopsy