1.Investigation on Knowledge, Attitude and Practice of Exercise for Post-operative Breast Cancer
Lijiao YAN ; Yawei SHAN ; Yufang HAO
Chinese Journal of Rehabilitation Theory and Practice 2014;(2):113-117
Objective To investigate knowledge, attitude, and practice of exercise for post-operative breast cancer. Methods 110 postoperative breast cancers were investigated using a self-designed questionnaire which included general condition of patients, knowledge, attitude and practice of exercise after breast surgery. Results The rate of effective response was 98%. The average rate of awareness about postoperative exercise for breast cancers was 87%, and the score of knowledge of intensity and forms of exercise was the lowest, while the announcements of post-operative exercise was the highest. All of the patients presented positive attitude toward exercise, however, some of them indicated that they couldn't insist on it. 41% exercised only in one form, 78% at a low intensity, 41% less than 3 times per week, and 74% at least 30 minutes per session. Only 7% did traditional Chinese medical exercise. Time after surgery correlated positively to general scores (r=0.40, P<0.01), kinds of exercise (r=0.41, P<0.05) and intensity of exercise (r=0.43, P<0.05). Phase of cancer correlated negatively to general scores (r=-0.37, P<0.05) and exercise time (r=-0.38, P<0.05). Conclusion The knowledge on intensity and form of exercise after operation is not popular in post-operative breast cancers.
2.Investigation and Analysis on Curriculum Design for Undergraduate Nursing Majors in TCM Colleges and Universities
Yawei SHAN ; Shujin YUE ; Lijiao YAN ; Xue QIAO ; Yufang HAO
Chinese Journal of Information on Traditional Chinese Medicine 2015;(1):122-125
Objective To investigate the differences of curriculum designs for undergraduate nursing majors among different TCM colleges and universities;To provide evidence for the development of the accreditation standards for academic quality of baccalaureate degree program in TCM colleges and universities which can be used as the standards for teaching reform. Methods Cultivating plans of 20 TCM colleges and universities for undergraduate nursing majors were collected. Current status and deficiency in curriculum design were obtained through comparative study and statistical analysis.Results The course names were lack of standardization;proportion of Chinese and Western medicine related courses were unreasonable;theoretical and practice teaching were irrelevant;optional courses were greatly inconsistent and irrational. Conclusion The further reform of the curriculum design for the undergraduate nursing majors in TCM colleges and universities is in urgent need, which can be standardized by developing the accreditation standards for academic quality of baccalaureate degree program in universities of Chinese Medicine.
3.Factors influencing the incidence of post-stroke depression
Yawei SHAN ; Cuidi ZHANG ; Haiying LU ; Xiaoqin LIAO
Chinese Journal of Practical Nursing 2016;32(26):2026-2029
Objective To investigate the impact of daily life ability, self-efficacy and social support on post-stroke depression. Methods This was a cross-sectional questionnaire survey. A convenience sample of stroke patients from neurology department was created. Data were collected from patients about their level of daily life ability, self-efficacy, social support and depression measured. Inferential statistics multiple regression analysis was used to estimate the relationships between the predictors and post-stroke depression. Results A total of 144 (96.00%) of 150 stroke patients completed the questionnaires. The level of depression was 14.19 ± 9.25 with 25.00% (36/144) of incidence of post-stroke depression. Self-efficacy scored 40.45 ± 11.41, social support scored 28.34 ± 8.02, which negatively predicted depression (r=-0.834 and-0.736, P<0.01 respectively). Self-efficacy had the most significant impact on depression (t=-6.433, P < 0.01), however, the impact from daily life ability scored 76.74 ± 22.12, which had not statistically significant impact on depression (t=-1.773, P=0.083). Conclusions During treatment and nursing management of post-stroke depression, attention should be paid to the psychiatric variable such as self-efficacy and social support.
4.Research progress on the risk prediction model of delirium after hip fracture
Xiaoyu LIU ; Tian WANG ; Yawei SHAN ; Haiying LU
Chinese Journal of Modern Nursing 2021;27(13):1808-1811
The risk of delirium after hip fractures is high and the prognosis is poor. This article introduces, analyzes, and compares common risk prediction models for postoperative delirium after hip fractures, including risk stratification models, risk scoring models, nomogram models, and simple prediction models, so as to provide a reference for medical and nursing staff to select and apply models.
5.Qualitative research on professional attitudes of new entry nurses with master degree in level three class A hospitals
Wei CHEN ; Yawei SHAN ; Xiaohong LIN ; Liu HAN ; Xiuhua LI
Chinese Journal of Modern Nursing 2016;22(2):222-225
Objective To explore the professional attitudes of new entry nurses with master degree, and to provide evidence for the career development of this group of nurses. Methods By adopting the phenomenology research method of qualitative research, 8 new entry postgraduates nurses was conducted the in-depth interviews. Data were analyzed by using category analysis. Results Three themes were extracted, namely professional identity, working pressure and seeking professional development. Conclusions The new entry postgraduate nurses hope to show their value, so managers should strengthen their management and promote the recognition of their own value. At the same time, managers can provide emotional support and create a good environment for them, in order to facilitate their development quickly and confront work with positive attitudes.
6.Characteristics of methadone maintenance treatment clinic patients and influencing factors for HBsAg positivity based on Bayesian network model
Zhihong SHAO ; Jing SHI ; Tian YAO ; Dan FENG ; Shuang DONG ; Shan SHI ; Yongliang FENG ; Yawei ZHANG ; Suping WANG
Chinese Journal of Epidemiology 2020;41(3):331-336
Objective:To understand the characteristics and explore the influencing factors of HBsAg positivity in methadone maintenance treatment (MMT) clinic patients.Methods:A face to face interview and medical record review were conducted in 1 040 patients at three MMT clinics in Guangxi from September to November in 2014. The questionnaire information included general demographic characteristics, drug use history, MMT status, sexual behaviors, and health status, etc. Blood samples were collected from the patients at the same time for the detections of the level of HBsAg, anti-HBs and anti-HCV. By using χ2 test, unconditional logistic regression model and Bayesian network model the influencing factors for HBsAg positivity in MMT clinic patients and the complex network relationship among these factors were explored. Results:A total of 1 031 MMT clinic patients were surveyed, the HBsAg positive rate was 11.35 % (117/1 031). The anti-HCV positive rate was 71.77 % (740/1 031), among the anti-HCV positive patients, the HBsAg positive rate was 10.27 % (76/740). After adjusting for the confounding factors, anti-HBs positive persons might not be HBsAg positive ( OR=0.05, 95 %CI: 0.03-0.09), and anti-HCV positive persons might not be HBsAg positive too ( OR=0.30, 95 %CI: 0.17-0.52) compared with anti-HBs negative and anti-HCV negative persons, respectively. The persons with family history of hepatitis B virus infection were more likely to be HBsAg positive compared those with no such family history ( OR=5.30, 95 %CI: 2.68-10.52). Bayesian network model analysis results showed that family history of hepatitis B virus infection and anti-HBs were directly related with HBsAg positivity. Anti-HCV, intravenous drug use in the past three months and other drug using during treatment were indirectly related with HBsAg positivity. Conclusions:Anti-HBs, family history of hepatitis B virus infection, anti-HCV, intravenous drug use in past three months and other drug use during treatment were related with the HBsAg positivity in MMT clinic patients. So, it is necessary to enhance health education, improve health awareness and decrease high risk behaviors to reduce the rate of HBV infection.