1.Application effect of self- edited doggerel on health education of senile AIDS patients in northern Guangxi region
Yufen LI ; Yaoling LIAO ; Lijun JIANG
Chinese Journal of Practical Nursing 2010;26(20):12-14
Objective To study the effects of self- edited doggerel on health education of senile AIDS patients in northern Guangxi region, in order to seek a suitable and effective way for the senile AIDS patients' health education. Methods 200 senile patients who were inpatients in dermatological department and examinees in the center of health examination of our hospital were randomly divided into the experimental group and the control group from August to December in 2009, 100 cases in each group, the experimental group was educated by a method of adopting a self-edited doggerel, the control group was educated by traditional way including manual + video or a series of special lectures, Two groups were carried out questionnaire survey designed by ourselves before and after the education during a period of a week and then evaluated the effects of health education. Results Compared with the rate before adopting self-edited doggerel, the knowing rate of AIDS and regulations of the experimental group was above 90%,there was a significant increase; and compared with the control group, the rate was also higher than the latter. The behaviors and attitudes of the experimental group had a significant positive improvement, but showed no significant difference between the two groups. Conclusions The doggerel is humorous, rhyming, simple and easy-going, it is so user-friendly, easy to understand and to remember that it is a suitable and effective way for the health education of senile AIDS patients.
2.Research in effect of centralized training of basic operational skills for nursing students before nursing practice
Jianwen MI ; Chan WU ; Li CHEN ; Xuemei ZHANG ; Xiuqiong WANG ; Shiling JIN
Chinese Journal of Practical Nursing 2010;26(12):5-7
Objective To discuss effect of centralized training of basic operational skills for nursing students before nursing practice. Methods 176 student nurses in 2007 were set as the control group,320 nursing students in 2008 as the experimental group. The control group began practice after routine pre -practice education, based upon this, the experimental group carried out centralized training of basic operational skills for one week, only those who passed the examination could began practice, those who failed the examination should continued the training till they passed the examination. Time cost to master the operational skills, operational assessment results and evaluation of nursing practice by teachers were compared between the two groups. Results Compared to the control group, time cost to master the operational skills shortened, operational assessment results and evaluation of nursing practice by teachers improved in the experimental group. Conclusions Through centralized training of basic operational skills, time cost to master the operating skills of basic nursing by nursing students shortened, operational capability of nursing students can be improved, and the clinical nursing teaching quality can be promoted.
3.Research in application of two kinds of pressure ulcer assessment scale in children patients
Yefeng LU ; Jianhua LOU ; Xiuwen LU ; Caifeng WANG
Chinese Journal of Practical Nursing 2010;26(11):41-43
Objective To evaluate and compare the predictive validity of the Braden Q and Braden pressure ulcer risk assessment scales in the acute pediatric patients, and explore the cutoff score of the scales. Methods We adopted the prospective cohort study design.The settings included three PICU of three different children's hospitals. Two nurses were appointed as the data collectors, and they were in charge of both the scoring and the skin assessment separately. Results We collected 145 samples. There were 9 patients who developed the pressure ulcers, and the incidence rate was 6.2%. The cutoff score of Braden Q and Braden scale was 17 and 14. The AUC of the ROC curve of the two scales was 0.481 and 0.398. Conclusions The Braden Q scale is more suitable for the pediatric patients. Further study is neededed to improve the scale.
4.Impact of comprehensive nursing intervention on the accuracy of non-stress test
Shening ZHU ; Chenhong WANG ; Jinhua LI ; Huimin DENG ; Lihua CHEN
Chinese Journal of Practical Nursing 2010;26(11):38-40
Objective To explore the impact of comprehensive musing intervention on the accuracy of non-stress test (NST). Methods With sealed envelope method, 400 cases of primiparous pregnant women without high risk factors were randomly divided into the research group and the control group with 200 cases in each group. The research group was given comprehensive care intervention, the control group received routine nursing. The incidence of non reaction of non-stress test, Apgar score no higher than 7 points, amniotic fluid pollution and cesarean section rate were compared between the two groups. Results The incidence of non reaction of NST was 15.08% in the research group, which was lower than 29.40% of the control group. The incidence of Apgar score no higher than 7 points and amniotic fluid pollution were 8.5% and 19.0% respectively in the research group, which showed no significant difference compared with those of the control group. The cesarean section rate in pregnant was 38.5% in the research group, which was significantly lower than 65.5% of the control group. Conclusions Comprehensive care intervention is effectively to improve the accuracy of NST , so that it can reduce cesarean section rate.
5.Determination of stress of osteosarcoma caregivers and its influencing factors
Chinese Journal of Practical Nursing 2010;26(11):31-34
Objective To assess stress degree of osteosarcoma caregivers and explore the impact factors of stress response. Methods We used CRA scale to investigate stress state of the primary caregivers of osteosarcoma patients, the demographic characteristics, status of patients, the objective amount of care and scores for each latitude underwent multiple regression analysis. Results The pressure of caregivers from the city was relatively light, annual income more than 50 thousand yuan and with help from the families to take care patients could effectively alleviate the pressure. The caregivers came from rural areas, household income less than 20 thousand yuan, caregivers were the patients' parents, had their own job presently, with no one to help were high - pressure groups. Conclusions Caregivers of osteosarcoma patients with high-pressure need focused intervention, more help and support should be given to these population.
6.Application of clinical pathway in patients with lumbar vertebrae protrusion undergoing resection of nucleus pulposus
Chinese Journal of Practical Nursing 2010;26(11):22-23
Objective To study the possibility and effect of application of clinical pathways (CP) in patients with lumbar vertebrae protrusion undergoing resection of nucleus pulposus. Methods 280 patients with lumbar vertebrae protrusion undergoing resection of nucleus pulposus were selected and divided into the experimental group and the control group randomly. Each group had 140 cases. Clinical pathways was applied to the experimental group, while traditional nursing method was given to the control group. Treatment and nursing effect were compared between the two groups. Results The cost for hospitalization was lower, hospitalization time was shorter, the first time for functional exercise after operation was advanced and satisfaction degree of patients was increased in the experimental group compared with those of the control group. Conclusions Application of clinical pathway in patients with lumbar vertebrae protrusion undergoing resection of nucleus pulposus played a positive and effective role.
7.Compilation and clinical application of "care operation and integration of nurse-patient communication program"
Dongxiu ZHONG ; Ying TU ; Hongying XIE ; Mei DING
Chinese Journal of Practical Nursing 2010;26(11):16-18
Objective To compile "care operation and integration of nurse-patient communication program"and discuss its clinical application effect in older to improve the nursing care operations, communication and ability to communicate with patients and building a harmonious relationship between nurses and patients to improve quality of care. Methods We investigated and studied the problems existed in communicating with patients during care operations and put forward the concept of operation and integration of communication, compiled "nursing operation and integration of nurse-patient communication procedures" and put it into clinical application. Results Satisfaction degree surveys after application showed that patients' satisfaction degree increased and communication skills of nursing students increased. Conclusions Application of "nursing and the nurse-patient communication integration process" improved patients' satisfaction degree and make the nurse-patient relationship more harmonious.
8.Investigation in status quo of evidence awareness of internship nursing students and countermeasures
Chengbo HONG ; Chunjie WEN ; Yiqin SUN ; Shuiqin XU ; Sanmei CHEN
Chinese Journal of Practical Nursing 2010;26(11):13-15
Objective In order to grasp the status quo of the internship nursing students' evidence awareness in our province, to improve the teaching measures, and to promote nursing safety. Methods We delivered questionnaires to 480 nursing students who were exercising practice in some major hospitals in our province about their contemporary consciousness of evidence, the results underwent analysis. Results The results showed that the awareness of nursing evidence was very poor in the new period. Conclusions It's imperative to enhance the normative education about evidence awareness among the nursing students.
9.Application and effectiveness evaluation of PBL in integrated nursing course for senior vocational nursing students
Chinese Journal of Practical Nursing 2010;26(11):5-8
Objective In order to explore the application and effects of PBL in integrated nursing course for senior vocational nursing students. Methods Nursing students were randomly divided into the experimental group( 122 students) and the control group( 189 students). PBL was applied to the experimental group while traditional method was applied to the control group during the course. All the students fulfilled the Critical Thinking Disposition Inventory-Chinese Version (CTDI-CV) before and after the course. Theory and practical examinations were administrated after the course. Results The experimental group was better in theory and practical examinations than the control group. There were significant differences in total score and some subscale scores of CTDI-CV between the two groups after the course, and also between the beginning and the end of PBL for the experimental group. Conclusions The application of PBL in integrated nursing course can effectively promote the mastery of knowledge and skills, and can improve the critical thinking ability.
10.Correlation analysis between quality of life in hospitalized AIDS patients and their nursing needs
Dun LIU ; Xiaoying JIANG ; Yanqing CHEN
Chinese Journal of Practical Nursing 2010;26(11):1-4
Objective To evaluate the quality of life and care needs of hospitalized AIDS patients and analyze the relationship between them to provide basis for clinic nurses' helping patients to improve the quality of life. Methods We adopted the general information questionnaire, patient care needs assessment questionnaire, as well as the World Health Organization Quality of life Scale (WHOQOL)and used cluster sampling method to make face to face interviews with 36 hospitalized AIDS patients. Results The care needs of the 36 AIDS patients were at a high level,all areas of quality of life were lower than the norm. The quality of life of hospitalized AIDS patients was negatively correlated with the care needs. Conclusions Clinic nursing staffs should understand and assess the care needs of patients initiatively and take appropriate measures to improve quality of life of hospitalized AIDS patients.