Objective This article aimed at exploring the way to construct and carry out the courseof Principles and Methods in Patient Education. Methods The designation of content were based on the eourse objectives and extensive reading of literatures, multi-methods were used in the instructional activi-ties in order to foster students' practical skills. Results After 3 years teaching, a set of methods of case analysis, field study, multimedia lecture combined with instructional development and clinical practice pro-jeer to implement clinical teaching and comprehensive evaluation were utilized. Conclusions The course reform of Principles and Methods in Patient Education achieves preliminary success, the response from teachers and students are positive.

Objective To investigate the clinical nurses' non-standard behaviors in using marks.Methods The covert observation method was used in this study.And the clinical nurses' behaviors in using marks were observed and investigated based on the pre-designed structured observation checklist.Results A total of 662 non-standard behaviors in using marks were found from 142 person-time among clinical nurses.The occurrence frequency of touching the outside of masks (28.55％) was the highest in all non-standard behaviors,and followed by putting used masks into pockets directly(26.13％),no washing hands or using hand sanitizer after removing masks (20.69％),no washing hands before removing masks (14.80％).The occurrence frequency of non-standard behaviors among the special unit nurses was less than that among the general ward nurses,especially no washing hands before removing masks and putting used masks into pockets directly,and the difference was statistically significant (P ＜ 0.05).There was no statstically significant overall difference among different working days and working hours on the clinical nurses' non-standard behaviors in using marks (P ＞ 0.05),but the differences were statistically significant in touching the outside of masks and no washing hands before removing masks among different working days and working hours (P ＜ 0.05).Concltsions There are serious non-standard behaviors in using masks among clinical nurses,and the nurse managers should pay more attention on the management in using masks.

Objective To evaluate effectiveness of family support on foot care education in older patients with diabetes .Methods A quasi-experimental , interrupted time series with comparison group design was conducted.Finally, according to their level of family support 42 patients were assigned to the two groups .The patients in two groups received a 30 minutes education session individually , and one family member of each patient of the intervention group with high level of family support was educated at the same time .The Nottingham Assessment of Functional Foot care ( NAFF ) and The Multidimensional Scale of Perceived Social Support ( MSPSS ) were used to evaluate the effectiveness of education and the level of family support over time . Results There was no significant difference between the two groups before the two group of patients ( P >0.05).At the three and the six month of follow-up, the median scores of the intervention group were 66.91 and 68.19.The patients in the intervention group with high level of family support demonstrated a significant improvement in NAFF (Z =-2.782, -4.997, respectively;P <0.01).The intervention group indicated significantly better performance over time in MSPSS (χ2 =41.932,P=0.001), but it did not showed in control group (Z=1.228,P =0.874).Conclusions The family support enhanced effectiveness of education and sustained health foot care behavior .The findings of this study are important for nurses and diabetes educators to improve the teaching and improve foot care of the elderly with diabetes .

OBJECTIVE: To find out the knowledge, attitude, practice, and barriers of cervical cancer screening in mid-western rural, Nepal. METHODS: A hospital-based cross-sectional study was conducted. Women aged 20 or more were interviewed using a structured questionnaire regarding the socio-demographic information, knowledge, attitude, practice, and barriers to the cervical cancer screening. RESULTS: Total of 360 participants were recruited for this study, mean age was 30.13±10.4 years. More than 87% of participants had inadequate knowledge, but around 72% had a favorable attitude towards cervical cancer screening. There was a significant portion of women (86.4%) had never done any cervical cancer screening test. Despite being higher literacy rate of Brahmin and Chhetri ethnic group, they were less likely to attend the cervical cancer screening than Dalit and Janajati (p < 0.001); and those who had a positive family history of cancer were more likely to attend the cervical cancer screening (p < 0.001). Similarly, married women, who had adequate knowledge and or favorable attitude, were more likely to practice cervical cancer screening, though statistically not significant. Factors such as “No symptoms,”“Lack of awareness,”“Embarrassment,” etc. were the most common barriers for the cervical cancer screening. CONCLUSION: The adequate knowledge and practice of cervical cancer screening were meager among rural Nepalese women, but most of them had a favorable attitude. There is an imperative need for related awareness programs to promote the uptake of cervical cancer screening tests.
Cross-Sectional Studies ; Diagnosis ; Early Detection of Cancer ; Ethnic Groups ; Female ; Humans ; Literacy ; Mass Screening* ; Nepal* ; Uterine Cervical Neoplasms*