1.Research in influence of health education on asthma control level in adult patients with asthma
Liangai HE ; Liangyan HE ; Lianghui HE ; Lingling ZHAO
Chinese Journal of Practical Nursing 2013;(11):9-13
Objective The aim of this study was to explore the effects of health education intervention on asthma control level for asthma patients through the survey of general demographic information,asthma clinical characteristics of patients with asthma,the Asthma Control Test (ACT),and pulmonary function examination.Methods 126 asthma patients were selected from the clinic and randomly divided into the health education group and the control group.All the patients were followed up for 3 months.In our study,we would scored them in terms of demographic data,clinical features of asthma,asthma cognitive level,medication compliance and Asthma Control Test (ACT) and pulmonary function examination before and after the health education for all patients respectively,and compared the data of the above parameters obtained before and after the intervention and the data from the health education intervention group and the control group.Results In our study,10 cases were lost to follow-up,and 116 cases completed the study at last.There were 68 patients in the health education intervention group and 48 patients in the control group.The results showed that patients with acute attack times,ACT score,pulmonary function indicators and asthma control situations of the health education intervention group after 6 months’ health education,were significantly improved,and the difference was statistically significant.Otherwise,comparison of the contents above of the control group before and after intervention,it was not statistically significant.Meanwhile,com-pared with the control group,the contents above of the health education intervention group were improved with statistically significant differences.Conclusions The standardized health education can improve the quality of life significantly,decrease the asthmatic symptoms,reduce the times of acute onset,which results in maintenance of asthma control,meanwhile the pulmonary function of patients with asthma will improve,so that more patients can live as normal or nearly normal people.
2.Development trajectory and influencing factors of pediatric medical traumatic stress in parents with children undergoing surgery: a latent growth mixture model
Wangwang OU ; Yuhong LI ; Lianghui MA ; Xiaorui HE
Chinese Journal of Practical Nursing 2023;39(21):1620-1627
Objective:To explore the development trajectory and influencing factors of pediatric medical traumatic stress in parents of children undergoing surgery, so as to provide reference for targeted intervention measures in the later stage.Methods:Adopting prospective research design, from January 2022 to August 2022, convenience sampling was used to recruit 199 parents of children undergoing surgery in the pediatric surgery ward of the First Affiliated Hospital of University of Science and Technology of China as subjects. The level of medical traumatic stress symptoms in parents was investigated by the PTSD Checklist for DSM-5 at one day before surgery, during postoperative recovery, after discharge and 3 months after discharge. The general data questionnaire, Parents′ Perception of Uncertainty Scale, Hospital Anxiety and Depression Scale, Simplified Coping Style Questionnaire and Perceived Social Support Scale were used to investigate the influencing factors of medical traumatic stress symptoms in parents one day before the operation.Latent growth mixture model and binary Logistic regression were used to analyze the data.Results:The development trajectory of pediatric medical traumatic stress in parents of children undergoing surgery was divided into two categories: the first was low-level decline (90.5%, 180/199) and the second was high-level stability (9.5%, 19/199). Binary Logistic regression analysis showed that postoperative complications, surgical type and negative coping styles of parents were the main influencing factors of pediatric medical traumatic stress trajectory in parents of surgical children(all P<0.05). Conclusions:The pediatric medical traumatic stress in parents of children undergoing surgery have group heterogeneity trajectory, medical staff can formulate targeted and individualized intervention programs according to their trajectories and influencing factors.