1.Application of team-based learning in Gynecologic and Obstetric Nursing
Lingling GAO ; Yinghua ZHANG ; Jun YAN ; Shuying LAI
Modern Clinical Nursing 2013;(9):78-81
Objective To explore the effect of team-based learning on the teaching and learning of Gynecologic and Obstetric Nursing.Method The team-based learning including preparation before class,and discussion,assessment and summarization in class was used in the teaching and learning of nursing of cervical cancer and the feedback from the students were collected.Results The average score of 71 students on the exam was 83.3±8.3.More than 85.9%of them agreed on the effectiveness of the team-based learning. Conclusion The team-based learning could improve students' self-learning and cultivate communicative skills and team spirits.
2.Aplplication of quality control circle in the pass rate of PICC maintenance for discharged cancer children
Yuexin LIU ; Tingting ZHANG ; Meiling LIU ; Yinglei MO ; Liping QIU ; Shuzhen XU
Modern Clinical Nursing 2013;(9):72-74
Objective To explore the effect of quality control circle(QCC)on the maintenance of peripherally inserted central catheter(PICC)for discharged cancer children.Methods Ninety-seven discharged cancer children with PICC were nursed by QCC, including establishing activity theme,analyzing key factors,making objectives,and working out and manipulating coping strategy. This study also compared the pass rates of PICC maintenance before and after the implementation.Result The pass rate of PICC maintenance was increased from 44.4%before manipulation of PICC to 71.7%after its use(χ2=17.63,P<0.01).Conclusion By the application of QCC,the pass rate of PICC maintenance for discharged cancer children can be effectively raised and the teamwork spirits of nurses may be consolidated as well.
3.Development of the information platform system for the department of breast tumor surgery
Lijuan ZHANG ; Jun YAN ; Huizhen ZHANG
Modern Clinical Nursing 2013;(9):69-71
Objective To explore the methods of breast tumor surgery information platform construction.Method To construct the information platform from target location,overall framework,function etc.Result The building of information platform provided a full range of care for breast cancer patients.Conclusion The construction of information platform can further improve the quality of nursing in breast cancer patients.
4.Falls in patients with Parkinson's disease and the related factors
Weixian LING ; Jun ZHOU ; Weifei YU
Modern Clinical Nursing 2013;(9):20-23
Objective To study the incidences of falls in patients with Parkinson's disease and analyze the related factors.Methods The clinic data of 100 Parkinson's patients were retrospectively analyzed to investigate the fall incidence and the related factors.Results The fall incidence was 46.0%during hospitalization in the patients with Parkinson's disease.The single factor analysis showed that the falls incidence were higher in male patients,dizziness from drug factors,a history of falls and non-presence of their families during hospitalization than those in the non-fall group(P<0.05).Logistic regression analysis showed that male patients,dizziness from drug factors,a history of falls and non-presence of their families during hospitalization were risk factors for Parkinson's patients during hospitalization.(all P<0.05). Conclusions The high risk factors for the falls in Parkinson's patients include male patients,dizziness from drug factors,a history of falls and non-presence of their families during hospitalization.Therefore,the assessment of the risk factors for falls should be done so as to carry out fall factors control and fall risks classification management for the purpose of reducing falls.
5.Psychological conditions of HIV/AIDS patients' families:a qualitative study
Liangyan LI ; Jing ZHAO ; Naihua CHEN ; Xiaoduo DONG
Modern Clinical Nursing 2013;(9):16-19
Objective To study the psychological conditions of HIV/AIDS patients' families.Methods The non-structural interview was done with 4 HIV/AIDS patients' families.The data were analyzed for summarizing the themes.Results Six themes were summarized including suspicion and denial,humiliation and discrimination,helplessness and guilty,fear and sadness, desperate,threat and revenge.Conclusion HIV/AIDS patients’families are under tremendous psychological pressure and economic pressure,and their quality of life is very low.Therefore,it is necessary to lower the negative emotions in HIV/AIDS patients' families so that their quality of life is to be increased.
6.Coping strategies of patients with superficial bladder carcinoma and the influential factors
Xueping LUN ; Caixia KE ; Qinghuan MA ; Xiaoping HUANG
Modern Clinical Nursing 2013;(9):13-15
Objective To explore the coping strategies of patients with superficial bladder carcinoma and analyze the influential factors.Method The medical coping modes questionnaire(MCMQ)was used to do the investigation among 146 patients with superficial bladder carcinoma.Results Among the coping strategies,the scores on the factors of facing,avoidance and yielding were 2.42±0.45,2.00±0.45 and 1.52±0.50,respectively.The operative method,education level,sex and stages of chemotherapy were the main factors influencing the coping strategies.Conclusions For the postoperative patients with superficial bladder carcinoma, the coping strategies were influenced by different factors.Therefore,nursing staff should attach their highlights on patients' coping strategies and instruct the patients with active coping strategies based on the their traits.
7.Explore the continuous care needs of stroke patients and the influenced factors
Yongjing SU ; Jihan XU ; Yueyou HUANG ; Li YE ; Xiaoyan ZHANG
Modern Clinical Nursing 2013;(9):8-12
Objective To explore the continuous care needs of stroke patients when discharge,and analyze the related influenced factors.Methods One hundred and twenty cases with first stroke attack were selected,and their continuous care needs were investigated by methods of filling in questionnaires when discharged.The National Institutes of Health Stroke Scale and Barthel Index were applied to assess the severity of acute stroke and their ability of daily life when cases were admitted and discharged,respectively.We investigated the continuous care needs of stroke patients,and analyzed the relationship of that with the severity of acute stroke and their ability of daily life.Results The top five continuous care needs were knowledge of stroke,safety administration,methods of rehabilitation,self control and monitoring blood pressure,and diet direction.Those ratios of needs ranged from 87.25%to 94.12%.The score of continuous care needs had a positive relationship with that of NIHSS(r=0.271,<0.05),and had a negative relationship with that of BI both at the time of discharge(r=-0.226,<0.05).Conclusion The various continuous care needs are very common in patients with first stroke attack for varied reasons.More serious the neurological dysfunction and lower ability of daily life,higher the level of needs for continuous care.
8.Investigation of liver transplantation postoperative depression and the impact factors
Yuan LIAO ; Meijuan WU ; Xiongying PAN ; Meiyi CHEN ; Min LI ; Xueling PENG
Modern Clinical Nursing 2013;(9):4-7
Objective To explore the depression status of the liver transplant recipients after the surgery and the impact factors.Method Forty two liver transplant recipients were assessed at 5 different time points(1 month,6 months,12 months, 24 months,36 months after the transplantation)using general information questionnaire(GIQ),social support rating scale(SSRS) and self-rating depression scale(SDS).Results After the transplantation,the longer recipients lived,the less depression they underwent.Age and post-operative objective support are the two major factors on depression status of the liver transplant recipients Conclusion The clinical and community nurses may pay attention to the mind state of the recipients after liver transplantation,and provide mental nursing in time and social support to prevent and improve the state of their depression.
9.Practice of health-promoting volunteers in the promotion of community health activities
Xiaoming YU ; Jidong CHEN ; Yanxuan CHEN
Modern Clinical Nursing 2013;(9):75-77
Objective To investigate the role of health-promoting volunteers in the promotion of community health activities. Methods Fifty health volunteers were trained and went to take part in health-promoting activities together with community medical workers.Results After health-promoting activities,the rate of archive-establishment for hypertensive and diabetic patients,the rate of standardized management over the patients with archives,the rate of disease control were all significantly higher than that before the health promotion(all P<0.05).Conclusion The health-promoting volunteers are surely effective for the improvement of health knowledge and the formation of healthy behaviors.
10.Application of family atomization in treating infant asthmatic disease
Liping CHENG ; Yifang YU ; Cuiping BU ; Li ZHANG
Modern Clinical Nursing 2013;(9):67-68
Objective To investigate the effect of family atomization on infant asthmatic disease.Methods Six hundred and eighty children with asthmatic disease were divided into control group and treatment group in equal number according to their cooperation in treatment.The control group received atomizing inhalation at the outpatient department and the treatment group received family atomization.The therapeutic effects between two groups were investigated and compared.Results The therapeutic effect in treatment group was significantly better than that in control group(P<0.05).There were no apparent adverse reactions such as hoarseness and oral fungal infection in both groups during the course of treatment.Conclusions The therapeutic effect of family atomization is obviously effective in treating infant asthmatic disease.In addition,the children's compliance is good and their parents are willing to accept,and therefore it deserves clinical generalization bedsides its simplicity in use and less cost.