1.The investigation of the effect of hospital -family bed nursing model on patients with post -stroke depression
Yulan ZHANG ; Xiaoying CHEN ; Linyan GONG ; Benhua CHEN
Chinese Journal of Primary Medicine and Pharmacy 2015;(20):3082-3085
Objective To investigate the improving efficacy of hospital -family bed nursing model on pa-tients with post -stroke depression.Methods 80 patients with post -stroke depression were randomly divided into two groups,40 cases in each group.In -hospital comprehensive rehabilitation intervention was applied in the control group,while comprehensive rehabilitation intervention of hospital -family bed was conducted in the observation group.Hamilton Depression Scale (HAMD)was adopted to evaluate the depressive condition before and after inter-vention.Non -conditional logistic regression analysis was applied to analyze the correlation between the patients'age, sex,scores before intervention,hospital -family bed nursing model and the improvement level of HAMD scores. Results The HAMD scores after nursing intervention in observation group and control group were significantly decreased [(control group from (29.57 ±5.69)points to (19.22 ±7.21)points,t =10.329,P =0.000;observation group from (28.60 ±4.12)points to (12.02 ±5.81)points,t =14.302,P =0.000)].After intervention,HAMD score in the observation group was significantly lower than the control group (t =0.786,P =0.000).The effective rate of the observation group was higher than the control group(97.5% vs.70.0%,χ2 =11.114,P =0.001).The results of multivariate logistic regression analysis showed scores before intervention (95%CI:0.788 -0.995,P =0.040)and hospital -family bed nursing model (95%CI:2.501 -23.309,P =0.000)were the independent factors of the reduction of HAMD score.Conclusion Rehabilitation nursing using hospital -family bed nursing model has a markedly effect on patients with post -stroke depression and it deserves the clinical expansion.
2.Application of single solution focused approach on nursing intern learning team in emergency department
Linyan HE ; Yuanhui ZHANG ; Huili LI ; Haiyan LIU ; Weilin GONG
Chinese Journal of Modern Nursing 2014;20(32):4044-4047
Objective To explore the application of single-solution focused approach on nursing intern team in Emergency Department.Methods We selected ninety nursing interns from the period of January to December 2013, and intervene by single-solution focused approach.The nursing scale of learning organization had been utilized and compared and analyzed the differences between before and after intervention.The intervention model had been assessed.Results After intervention, ninety interns acquired (80.31 ±4.68) score for nursing scale of learning organization, which was beyond the score of before intervention (74.30 ±3.92) (t=6.26,P <0.05).The global consciousness and strategic leadership, team cooperation and innovation, advocate dialogue and communication and investigation achieved [(23.12 ±4.28),(24.54 ±3.12),(26.05 ± 2.55) and (11.03 ±2.40) respectively] after intervention, which all of them were higher than those score of before intervention [(21.36 ±3.90),(20.79 ±2.56),(23.44 ±3.24) and (9.78 ±2.34) respectively] (t=2.44,4.98,3.19,2.12, respectively; P <0.05).Conclusions The model of single-solution focused approach on nursing intern team in Emergency Department could improve nurses’ team learning capability and construct learning organization better.