1.Effect of combined electrical stimulation and nursing interventions on female stress urinary incontinence
Linlin CAO ; Hong ZHAO ; Jun LI ; Yu SHENG ; Xinwen SHI ; Aiping LI ; Lan ZHU
Chinese Journal of Practical Nursing 2011;27(13):1-6
Objective To investigate the effectiveness of the combined electrical stimulation and nursing interventions for female stress urinary incontinence.Methods The study is qusi-experimental design.48 patients with stress urinary incontinence were allocated to the intervention group and the control group with 24 patients in each group.The control group was given electrical stimulation,the intervention group was given 12-week electrical stimulation and comprehensive nursing interventions.The outcome indicators were 1-hour pad test urine loss,pelvic floor muscle (PFM) strength,the grade of subjective urinary incontinence,quality of life (I-QOL).Results Compared with the control group,no significant subjective urinary incontinence score was seen,but pelvic floor muscle (PFM ) strength and the score of the QOL evidently improved and 1-hour pad test urine loss decreased in the intervention group.Conclusions Combined electrical stimulation and nursing interventions for female stress urinary incontinence is effective treatment.
2.Influence of individualized psychological intervention on quality of life of HIV infection/AIDS patients
Yunjuan YANG ; Qunmei CHEN ; Guilian ZHAI ; Wenna CHEN
Chinese Journal of Practical Nursing 2011;27(13):9-11
Objective To investigate the influence of individual psychological intervention on quality of life of HIV infection / AIDS patients.Methods 50 cases diagnosed as HIV infection / AIDS were selected,randomly divided into the control group and the observation group with 25 cases in each group.The control group received routine treatment and care,while for the observation group,the psychological health and quality of life were measured with SCL-90,SF-36 scales,then personalized psychological intervention was implemented after analyzing the influencing factors.Three months after discharge,the assessment test was carried out using SCL-90 and SF-36 scales,then compared the quality of mental health and life situation of the two groups.Results Mental health and quality of life between the observation group and the control group before intervention was not statistically significant.After intervention,the comparison is statistically significant Conclusions Individualized psychological intervention can improve patients quality of life.
3.Current-status survey on job stressor and exhaustion among nursing staff in the catheter room of grade Ⅲ- A general hospitals
Ying QIN ; Li XIA ; Ling FANG ; Bo LI
Chinese Journal of Practical Nursing 2011;27(13):12-15
Objective To survey the current status of job stressor and exhaustion among nursing staff in the catheter room of grade Ⅲ-A general hospitals and to look for regularities.Methods 178 nursing staff coming from catheter room,operating room,and outpatient department of Shenzhou Hospital and Fengtian Hospital accepted questionnaires of Chinese Nursing Stressor Scale and Exhaustion Scale in Spring 2010.Results Chinese Nursing Stressor Scale indicated that scores of subitem and total score of job stressor in the catheter room were significantly higher than those in the outpatient department; however,there were no significant differences in scores of subitem and total score of job stressor between catheter room and operating room.On the other hand,Exhaustion Scale showed that scores of emotional exhaustion and job unconcerned feeling in the catheter room were significantly higher than those in the outpatient department,but scores of job achieved feeling in the catheter room were significantly lower than those in the outpatient department.There were no significant differences in Exhaustion Scale between catheter room and operating room nurses.Conclusions Job stressor and exhaustion were serious among nursing staff in the catheter room of grade Ⅲ-A general hospitals,which should cause the attention of management department.
4.Study on effects of Fentanyl transdermal patches and pethidine in postoperative analgesia of malignant tumor and nursing measures
Min HUANG ; Hong YANG ; Zhujun OU ; Shaolin LIN
Chinese Journal of Practical Nursing 2011;27(13):15-17
Objective To study and compare the effects of Fentanyl transdermal pain patches and Pethidine in postoperative analgesia of malignant tumor and its nursing methods.Methods 100 patients with malignant tumor in our hospital from January 2008 to November 2010 were selected as research object,all the patients were randomly divided into group A (Fentanyl transdermal pain patches group) and group B (Pethidine group)with 50 cases in each group,then the VAS score 2,4,8,24 and 48h after the surgery,incidence of adverse reactions,satisfaction rate and serum catecholamine,cortisol,blood glucose before and after the surgery were analyzed and compared,and all the patients were given corresponding nursing measures.Results The VAS score of group A at 2,4,8,24 and 48h after the surgery were all better than those of group B,incidence of adverse reactions was lower than that of group B,satisfaction rate was higher than that of group B,serum catecholamine,cortisol,blood glucose after the surgery were all lower than those of group B,there were significant differences.Conclusions The effects of Fentanyl transdermal pain patches in postoperative analgesia of malignant tumor is stable,and it gets good reputation from the patients,the effects is obvious combined with nursing.
5.Evaluation of effect of continuous care provided by midwife groups to pregnant women
Mingfang XU ; Jinmei TU ; Suhong WU ; Yao LIU ; Xiaoqin LIANG ; Caixia ZHENG ; Shuangzhen WU
Chinese Journal of Practical Nursing 2011;27(14):46-48
Objective To investigate the effect of continuous care provided by midwife group personnel to pregnant women.Methods 100 cases of pregnant women were screened out and divided into the study group and the control group with 50 patients in each group randomly.The study group received continuous care provided by midwife group personnel,the control group received traditional nursing.Effect of different nursing measures on mothers and neonates were compared.Results Antenatal cognition and rate of natural delivery of the study group were higher than the control group.The rate of neonatal asphyxia and postpartum depression occurred in the study group were lower than the control group,Maternal and family sarisfaction and rates of breasffeeding of the study group were higher than the control group.Conclusions Continuoas care provided by midwife group personnel can increase antenatal cognition and rate of natural delivery,maternal and family satisfaction.breast feeding rates and the overall quality of nursing staff,reduce rate of neonatal asphyxia with few postpartum depression,then improve the quality of perinatal care.
6.Construction of competency characteristic evaluation models of nursing supervisors in secondary hospitals
Guixiang QIAN ; Nailin PAN ; Yue LI ; Ping HUANG ; Liping SHEN
Chinese Journal of Practical Nursing 2011;27(14):57-59
Objective To study and contruct competency characteristic evaluation models of nursing supervisors in secondly hospitals.Methods Using the matron semi-structured interviews,literature review,questionnaire survey and expert questionnaires to discuss the competency of nursing supervisors in secodary hospitals.Results We found that the competency model of nursing supervisors in secondary hospitals could better reflect the competency of nursing supervisors.The model had 16 competencies which included knewleage skills.management and individual characters.Conclusions Through the study of the model of competency nursing supervisors in secondary hospitals,we form a set of standard for nursing supervisor selection based on their competency.The standard can help to select the most suited nursing supervisors who have great potentials.
7.The validity and reliability of a Chinese version of the diabetes self-care activities questionnaire
Chinese Journal of Practical Nursing 2011;27(14):60-62
Objective To test the reliability and validity of the Chinese version Diabetea Self-Care Behavior(SDSCA)Questionnaire,and thus to provide an effective and convenient way of self-care behavior assessment for patients with type 2 diabetes.Methods The questionnaire based on the translation of SDSCA wag used in 20 cases of type 2 diabetes patients,in order to analyze the retest rehability,internal consistency and scale construct validity. Results The retest reliability of each dimension wag between 0.763 to 1.000;the scale correlation coeflicients between items in specific diet dimension Wag lowest(0.104),and the others were moderate to high degree of correlation between 0.555~0.933;exploratory factor analysis extracted 4 components,and the percentage of variance explained was 67.483% .Conclusions Chinese version SDSCA has a good reliability and validity,and is good for evaluating the self-care activities in type 2 diabetes patients.
8.Qualitative research about the responsibility and burden experience of family caregivers of elderly people
Li ZENG ; Lanshu ZHOU ; Hong LI ; Mei ZHOU
Chinese Journal of Practical Nursing 2011;27(14):63-65
Objective This study aimed to understand the experience of family caregivers of elderly people,explore the relationship between responsibility and burden,provide reference and theoretical guidance to the health care provider.Methods Exploratory,descriptive,qualitative design was used and a semi-structure interview Was conducted in a convenience sample of 11 participants.The Colaizzi method of empirical phenomenology Was used for interviewing and anaIyzing data obtained from 11 caregivers.Results Four major themes were found and labeled:husbands and wives,be accompanied till they are old;learning to be filial from confucius;avoiding trouble other family member as less as possible;this is my destiny.Conclusions The findings of the study pointed out that service providers should fully consider the cultural factors and develop support services that better meet the traditional culture.
9.Investigation in the influencing factors of activities of daily living of patients after abdominal surgery
Shaohua HU ; Weili WANG ; Miao ZHANG ; Ying FANG ; Shenghong SUN
Chinese Journal of Practical Nursing 2011;27(14):70-73
Objective To study the affecting factors of the activities of daily living in patients after abdominal surgery.Methods Using survey methodology,95 abdominal surgery patients were investigated br general condition questionnaire and Barthel index scales.The data were analyzed using descriptive analysis,t test,variance analysis and multiple regression analysis.Results The total number of valid return was 91.and the valid usable return rate was 95.8% .The affecting factors of recovery to ADL2 of abdominal surgery patients after operation were gender,age,education level,economic condition,type of illness,postoperation complications,operation times,nutrition risk scores and activities of daily living of preoperation,and the differences were significant.The affecting factors of recovery to ADL1 of abdominal surgery patients after operation were age,education level economic condition,marital status,type of illness,postoperation complications,nutrition risk scores and activities of daily living of preoperation,the differences wen significant.Conclusions The affecting factors of ADL of abdominal surgery patients after operation were gender,age,education level economic level,type of illness,postoperation complications,marital status,operation times,nutrition risk scores and activities of daily living of preoperation.
10.Effect of humanistic care on blood pressure control of elderly patients with hypertension
Chinese Journal of Practical Nursing 2011;27(15):4-6
Objective To observe the effect of humanistic care on blood pressure control of elderly patients with hypertension. Methods 138 elderly patients with hypertension patients in our hospital were randomly divided into the intervention group and the control group with 69 cases in each group, the intervention group received anti-hypertensive medication as well as the system of nursing intervention,and the control group only was given simple drug treatment. The blood pressure control results were compared. Results SCL-90 factor of the intervention group was significantly higher than the Chinese module before intervention, and SCL-90 factors after intervention was significantly lower than before intervention. In the intervention group, the total effective rate of blood pressure control was 92.75%, significantly higher than the control group. Conclusions Humanistic nursing interventions to elderly patients with hypertension with various forms and more ways can effectively control the blood pressure, improve the therapeutic effects, improve nursing satisfaction degree and quality of care and is worthy of promotion and application.