2.Correlation research on nursing document marking system and APACHE Ⅲ score
Guiai? LING ; Miaojuan FANG ; Xueyun XIA ; Xiao′e LAN ; Meirong YAO
Chinese Journal of Modern Nursing 2015;21(10):1148-1150
Objective To explore the correlation between nursing document marking system (NCR-11) and APACHE Ⅲ score, and evaluate the value of NCR-11 for the assessment of critical care patients. Methods From March 1st to September 30th, 2013, 97 inpatients in ICU were chosen as sampling prospectively and were collected their clinical medical information. NCR-11 was calculated from next day to the sixth day of hospitalization and all patients were divided into two groups according to APACHE Ⅲ score: <60 score ( A group ) , ≥60 score ( B group ) , then statistically analyzed the correlation between NCR-11 and APACHE Ⅲ score and compared the difference between A and B group. Results The A group obtained the score of NCR-11 (52. 63 ± 10. 66), which had positive correlation with APACHE Ⅲ score (r=0. 619,P<0. 01), while B group acquired (56. 88 ± 9. 34) and correlation coefficent with APACHE Ⅲ score was r =0. 283,P<0. 01. The score of NCR-11 in B group was higher than that of A group (F=4. 873,P<0. 01), but the change of A and B group had no statistical significance from 5 days assessment (F=0. 096,P>0. 05). Conclusions NCR-11 and APACHE Ⅲ score has a certain correlation and could reflect the severity of the disease indirectly. It has some value in evaluating the severity of critical care patients.
3.Effect of group counseling on depression, compliance and blood sugar level in diabetic patients.
Feiyan LONG ; Jin YAN ; Ping'an HU ; Miaojuan XIA ; Hua LIU ; Can GU
Journal of Central South University(Medical Sciences) 2015;40(8):879-885
OBJECTIVE:
To establish an interference mode of group counseling for diabetic patients with depression and to evaluate the effectiveness of this mode on depression, treatment compliance and blood sugar level in the patients.
METHODS:
One hundred diabetic patients with depression were randomly divided into a counseling group and a control group (n=50 per group). Self-Rating Depression Scale (SDS) was applied to all the patients. The interference mode of group counseling was established through literature review, expert consultation or interview. The counseling group received counseling for 8 times within 2 months.
RESULTS:
There was a significant difference in the SDS scores at 0, 3, 6 or 12 months after the intervention between the 2 groups (P<0.001). For the counseling group, there was a significant difference in the SDS scores between pre-intervention and 3, 6 or 12 months after intervention (P<0.001). However, there was no significant difference in the SDS scores between any two time points after the intervention (P>0.05). There was a significant difference in the compliance between any two time points after the intervention (P<0.05). Fasting blood glucose (FBG), 2 h postprandial blood glucose (2hPG) or glycosylated hemoglobin (HbA1c) was significantly different at any two time points after the intervention (P<0.05).
CONCLUSION
Group counseling can improve depression, compliance and blood sugar control in the diabetic patients.
Blood Glucose
;
analysis
;
Counseling
;
Depression
;
therapy
;
Diabetes Mellitus, Type 2
;
psychology
;
therapy
;
Glycated Hemoglobin A
;
analysis
;
Humans
;
Patient Compliance
;
Psychotherapy, Group
4.Current situation and demands for diabetes knowledge in prediabetes patients at different self-management levels.
Hui ZENG ; Pingping YAN ; Guanxiu TANG ; Qian LIU ; Feifen LIU ; Hongmei ZHOU ; Miaojuan XIA
Journal of Central South University(Medical Sciences) 2019;44(6):679-684
To understand the current situation regarding the knowledge and demand for patients with prediabetes at different self-management levels, and to provide guide for improving their knowledge.
Methods: A total of 312 prediabetes patients from 3 hospitals in Changsha were enrolled in this survey. The questionnaires covered diabetes self-management behavior scale and prediabetes knowledge status and demand questionnaire. Diabetes knowledge acquisition and demand were analyzed among patients with different levels of self-management.
Results: The score of self-management behavior for patients with prediabetes was 39.1±13.9. The rate of knowledge acquisition was low and the rate of demand was high. The knowledge acquisition rate was high and the knowledge demand rate was low in patients with high levels of self-management. As for the contents of health education, the dietary collocation and method for glucose detection were highly needed by all self-management levels of patients.
Conclusion: Prediabetes patients' self-management level are low. Health education to patients with prediabetes should be based on individualized demands.
Diabetes Mellitus
;
Health Knowledge, Attitudes, Practice
;
Humans
;
Prediabetic State
;
Self-Management
;
Surveys and Questionnaires