Journal Detail Information

1

Cite

Share

Effects of reciprocal behavior on perceived stress among nurses during the second pregnancy

Xiaoqin FEI ; Xuefen HOU ; Xufen ZHANG ; Qiue ZHAO

Chinese Journal of Modern Nursing.2019;25(12):1492-1496. doi:10.3760/cma.j.issn.1674-2907.2019.12.010

?? [Abstract]? Objective? To explore the effects of reciprocal behavior on perceived stress among nurses during the second pregnancy. Methods? From January to March 2018, we selected clinical nurses during the second pregnancy at five Class Ⅲ hospitals in Zhejiang as subjects by convenience sampling. The questionnaire survey was carried out with the employee reciprocal behavior questionnaire and the Chinese version Perceived Stress Scale (CPSS) to explore the correlation between them. A total of 500 questionnaires were sent out and 482 valid of them were collected with 96.40% for the valid recovery rate. Results? Among 482 nurses during the second pregnancy, the scores of reciprocal behavior and perceived stress were (42.35±8.65) and (38.38±7.58) respectively. Perceived stress of 33.61% of nurses during the second pregnancy was at a normal level. Reciprocal behavior had a negative correlation with the perceived stress (r=-0.411,P＜ 0.01). Hierarchical regression analysis showed that reciprocal behavior was the influencing factor of the perceived stress of nurses during the second pregnancy. Conclusions? Reciprocal behavior has the influence on perceived stress among nurses during the second pregnancy which points out that managers and individuals can improve reciprocal behavior so as to reduce the stress of nurses during the second pregnancy.

2

Cite

Share

Effects of mindfulness-based stress reduction on post-traumatic growth and quality of life among postoperative breast cancer patients

Jianli WANG ; Ailian HE ; Lingli XIA ; Wenying ZHANG

Chinese Journal of Modern Nursing.2019;25(12):1496-1500. doi:10.3760/cma.j.issn.1674-2907.2019.12.011

Objective? To explore the effects of mindfulness-based stress reduction on post-traumatic growth and quality of life among postoperative breast cancer patients. Methods? From June 2017 to December 2017, we selected 112 postoperative breast cancer patients of breast department at a classⅢ grade A cancer hospital in He'nan Province as subjects by convenience sampling. All of the patients were divided into control group and observation group with the method of random number table, 56 cases in each group. Control group adopted routine nursing intervention. On the basis of routine nursing, observation group carried out mindfulness-based stress reduction for 8 weeks. The intervention effects were evaluated with the Posttraumatic Growth Inventory (PTGI) and the Functional Assessment of Cancer Therapy-Breast (FACT-B). Results? Before intervention, there were no statistical differences in the total score and dimension scores of PTGI of patients between two groups (P＞ 0.05). After intervention, the total score and dimension scores of PTGI of patients in observation group were higher than those in control group with statistical differences (P＜0.01). Before intervention, there were also no statistical differences in the total score and dimension scores of life quality of patients between two groups (P＞0.05). After intervention, the total score and dimension scores of life quality of patients in observation group were higher than those in control group with statistical differences (P＜0.01). Conclusions? Mindfulness-based stress reduction can improve post-traumatic growth and quality of life among postoperative breast cancer patients.

3

Cite

Share

Effects of standardized nutritional nursing process in severe acute pancreatitis patients

Yanping FU ; Jinzhu WANG ; Lili LI ; Fei LI ; Juanhong CHEN ; Huiping YAO

Chinese Journal of Modern Nursing.2019;25(12):1501-1506. doi:10.3760/cma.j.issn.1674-2907.2019.12.012

Objective? To explore the effects of standardized nutritional nursing process in severe acute pancreatitis (SAP) patients. Methods? From January 2015 to June 2016, we selected 85 SAP patients at Zhejiang Province People's Hospital & People's Hospital of Hangzhou Medical College in control group by convenience sampling. From July 2016 to December 2017, we selected 88 SAP patients in observation group. Two groups all carried out enteral nutrition. Control group received routine nutritional nursing, while observation group implemented standardized nutritional nursing process. We compared the feeding intolerance, feeling related complications, standard-reaching rate of nutrition and nutritional status of patients between two groups. Results? There were 2 cases with vomit, 10 cases with abdominal distension, 5 cases with constipation, all with diarrhea (2.4±0.6) times a day, 5 cases with elevated intra-abdominal pressure and 1 case with abdominal compartment syndrome in observation group less than those in control group with statistical differences (P＜0.05). The incidence of feeling related complications of observation group was lower than that of control group with a statistical difference (P＜0.01). At the seventh day, the standard-reaching rate of nutrition of observation group and control group was 89.8% and 71.8% respectively with a statistical difference (χ2=8.083, P＜0.01). At the fourteenth day, the nutrition indicators such as prealbumin, serum albumin, triceps skin-fold thickness and arm muscle circumference of patients in observation group were higher than those in control group (P＜ 0.05). The residence time in intensive care unit, proportion of mechanical ventilation and time of mechanical ventilation of observation group were statistically lower than those of control group (P＜ 0.05). Conclusions? The implementation of standardized nutritional nursing process in SAP patients can reduce the feeling related complications and feeding intolerance to improve nutritional status which is worth to be used widely in clinical application.

4

Cite

Share

Disinfection effects of Cavi wipes on object surface touched frequently among multidrug resistance infection patients in intensive care unit

Ying WEI ; Bingzhen ZHAO ; Man LIU ; Yi ZHAO ; Liu SUN

Chinese Journal of Modern Nursing.2019;25(12):1506-1510. doi:10.3760/cma.j.issn.1674-2907.2019.12.013

Objective? To explore the disinfection effects of Cavi wipes and chlorine containing disinfectant on object surface touched frequently among multidrug resistance infection patients in intensive care unit. Methods? We selected 40 multidrug resistance infection patients with mechanical ventilation in general intensive care unit (GICU) and respiratory intensive care unit (RICU) at Liangxiang Hospital in Fangshan District from June 2016 to May 2018 by convenience sampling. All of the patients were randomly divided into control group (object surface disinfection by 500 mg/L chlorine containing disinfectant) and experimental group (object surface disinfection by Cavi wipes). We carried out sampling and bacterial culture in object surface touched by patients frequently both groups (right bed handrail, ventilator panel parameter key and infusion pump on/off key) before, 5 minutes, 6 hours and 8 hours after disinfection and monitored the target drug-resistance bacteria. Results? Before disinfection, there were no statistical differences in the bacterial culture results of object surface touched frequently in patients between two groups (P＞ 0.05). After disinfection, the bacterial colony counting of object surface touched frequently in patients between two groups was lower than that before with statistical differences (P＜0.01). The colony counting 8 hours after disinfection of experimental group were lower than those of control group with statistical differences (P＜0.05). Conclusions? Cavi wipes and 500 mg/L chlorine containing disinfectant all have good disinfection effects. Disinfection effects of Cavi wipes in bed and other object surface touched frequently are better than those of chlorine containing disinfectant which is convenient and is worthy of being widely used in clinical application.

5

Cite

Share

Implementation status of nursing for lymphedema in Jiangsu

Bei WANG ; Zejuan GU ; Lili WANG ; Dandan LIU ; Mengmeng LIANG ; Yiju LI ; Mengqing SUN ; Xiaorong BIAN ; Xiaoxia CHEN

Chinese Journal of Modern Nursing.2019;25(12):1511-1514. doi:10.3760/cma.j.issn.1674-2907.2019.12.014

Objective? To investigate the training, operation and examination of nursing care for lymphedema in Jiangsu Province. Methods? We selected 99 nurses provided nursing care for lymphedema at 13 class Ⅲ hospitals of prefecture-level city in Jiangsu Province as subjects by purposive sampling. All of nurses were investigated with the self-designed questionnaire involving general information, application and training of nursing care for lymphedema, nursing operation and examination of lymphedema. Results? Among 99 nurses, 68 (68.69%) nurses could carry out training regularly, and 59 (59.60%) nurses participated in training on nursing care for lymphedema. The main causes failing to could carry out training regularly included the teaching staff and lack of related content. Conclusions? At present, the training of nursing care for lymphedema needs to be strengthened. There is a pressing need to formulate the unified standardized operation and examination standards so as to improve the quality of work and professional connotation of nursing care for lymphedema.

6

Cite

Share

Study on developing nurse-patient communication process in patients based on CICARE communication model using focus group discussion

Hongpeng LIU ; Jing CAO ; Jing JIAO ; Shuli GUO ; Xiangyun LU ; Zhixin WANG ; Ning XU ; Xinjuan WU

Chinese Journal of Modern Nursing.2019;25(12):1515-1518. doi:10.3760/cma.j.issn.1674-2907.2019.12.015

Objective? To develop a nurse-patient communication process for patient with cancer in China based on the American CICARE communication model and to provide standardized and processed guidance for communication between clinical nurses and cancer patients. Methods? Totally 5 clinical nursing experts from a Class Ⅲ Grade A hospital in Beijing were selected by purposive sampling and interviewed using focus group discussion between November and December 2018. Results? The nurse-patient communication process was developed based on the CICARE communication model after two rounds of focus group discussions, whose six steps were polite connection, complete introduction, professional explanation, careful asking, patient response and proper exit, which included role adaptation of nurses, admission evaluation, coordination during hospitalization, case management, care and health education. Conclusions? A nurse-patient communication process for cancer patients in China is developed using nurse-patient communication models from other countries and clinical nursing practice for reference, which provides a reference for nurse-patients communication and lays a foundation for carrying out the optimal nursing service demo projects and refined management.

7

Cite

Share

Application of the mobile-app-based case management in postoperative functional rehabilitation among breast cancer patients

Yuhong LI ; Liu LI ; Aobo LIU ; Xiaona ZHANG

Chinese Journal of Modern Nursing.2019;25(12):1519-1523. doi:10.3760/cma.j.issn.1674-2907.2019.12.016

Objective? To explore the effect of the mobile-app-based case management on functional rehabilitation among breast cancer patients after operation. Methods? A total of 120 breast cancer patients who had undergone axillary lymph node dissection in a ClassⅢ Grade A hospital in Zhengzhou city from January to December in 2017 were selected by convenient sampling. According to their admission time, 60 in-patients who were admitted between January and June in 2017 were assigned into the control group, and the other 60 in-patients who were admitted between July and December in 2017 were put into the observation group. In the control group, the patients were given by regular functional rehabilitation guidance for the affected limb while in the observation group, the patients were managed by mobile-app-based system besides the regular guidance. For both groups, the follow-up visit lasted for 6 months after surgery. The patients' incidence of edema, upper limbs and shoulder joints' function as well as their quality of life were compared and studied. Results? The incidence of lymphedema at one month and six months after surgery in the observation group were lower than the control group with statistical significance (P＜ 0.05). Six months after surgery, the patients in the observation group were better than the control group in terms of the joint function, quality of life except the emotional condition with statistically significant difference(P＜0.05). Conclusions? The implementation of the mobile-app-based case management for postoperative breast cancer patients can effectively promote the postoperative functional rehabilitation of affected limbs, reduce the occurrence of postoperative lymphedema, and improve their quality of life.

8

Cite

Share

Application of home visit directed by Peplau interpersonal relationship model in elderly bronchial asthma patients

Yinglan JIA ; Yuxia CHAI ; Yueqin WANG ; Lihui PEI ; Yang YANG

Chinese Journal of Modern Nursing.2019;25(12):1524-1528. doi:10.3760/cma.j.issn.1674-2907.2019.12.017

Objective? To explore the effects of home visit directed by Peplau interpersonal relationship model on negative emotions and medication adherence in elderly bronchial asthma patients. Methods? From May 2015 to May 2017, we selected 90 elderly bronchial asthma patients in the First Affiliated Hospital of Zhengzhou University as subjects by convenience sampling. All of the patients were divided into observation group and control group with the method of random number table, 45 cases in each group. Observation group carried out home visit nursing based on the Peplau interpersonal relationship model for elderly bronchial asthma patients. Control group adopted routine follow-up care. The medication adherence and disease cognition of patients both groups were recorded with the Medication Adherence Report Scale for Asthma (MARS-A) as well as Insight and Treatment Attitude Questionnaire (ITAQ), and the anxiety and depression of patients both groups before and after intervention were assessed with the Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD). We also observed the incidence of bronchial asthma acute attack in patients one year after discharge. Results? When home visit was completed and one year after discharge, the medication adherence of observation group was higher than that of control group, and the score of ITAQ was higher than that of control group and that at discharge with statistical differences (P＜ 0.05). One year after discharge, the incidence of bronchial asthma acute attack of observation group was lower than that of control group with a statistical difference (P＜ 0.05). When home visit was completed and one year after discharge, the scores of HAMA and HAMD of observation group were lower than those of control group with statistical differences (P＜0.05). Conclusions? Home visit directed by Peplau interpersonal relationship model help to reduce the incidence of acute attack of elderly bronchial asthma patients external hospital, relieve the negative emotions and improve disease cognition as well as medication adherence.

9

Cite

Share

Current status of dyadic coping among pelvic floor dysfunction patients and their spouses

Chan SU ; Peiyang CHEN ; Haiqun ZHANG ; Hongping WANG

Chinese Journal of Modern Nursing.2019;25(12):1529-1532. doi:10.3760/cma.j.issn.1674-2907.2019.12.018

?? [Abstract]? Objective? To explore the current status of dyadic coping among pelvic floor dysfunction (PFD) patients and their spouses so as to provide a new perspective for clinical medical staff to carry out PFD family prevention intervention contrapuntally. Methods? From March to December 2017, we selected totals of 150 pelvic floor dysfunction patients and their spouses in the Second Affiliated Hospital of Wenzhou Medical University by convenience sampling. All of the patients were investigated with the general information questionnaire and Dyadic Coping Inventory (DCI). Totals of 150 questionnaires were sent out to patients and their spouses, and 138 valid of them from patients and their spouses were collected with 92.0% for the valid recovery rate. Results? The score of pressure communication of PFD patients was lower than that of their spouses, and the score of negative coping of PFD patients was higher than that of their spouses with statistical differences (P＜ 0.05). Pearson correlation analysis showed that the scores of dyadic coping of PFD patients had positive correlations with those of their spouses (P＜ 0.05), and the scores of negative coping of PFD patients and their spouses had negative correlations with the scores of pressure communication, support, authorized coping and cooperation (P＜ 0.05). Conclusions? PFD patients and their spouses are with obvious negative coping and inadequate dyadic coping. Besides, dyadic coping of patients is closely related to dyadic support. Clinical medical staff should stress the importance of dyadic coping, and encourage PFD patients and their spouses to actively participate in and face disease together and to relieve stress.

10

Cite

Share

A qualitative study on recognition and attitudes of donated breast milk to parents of premature infants

Minjie LI ; Qunfeng LU

Chinese Journal of Modern Nursing.2019;25(12):1532-1535. doi:10.3760/cma.j.issn.1674-2907.2019.12.019

?? [Abstract]? Objective? To discuss the premature parents' recognition and level of acceptance of donated breast milk, and to provide the reference to further developing milk banks and increasing breastfeeding rate in premature infants. Methods? Semi-structured in-depth interviews were conducted among 12 parents of premature infants who were admitted to NICU in a specialized hospital in Shanghai from August to December 2017, and the Colaizzi analysis method was used to analyze data. Results? The premature parents recognized the meaning of the breast milk bank, but the level of acceptance of donated breast milk was not high for reasons such as lack of knowledge, traditional ideologies and the popularity of formula milk. Conclusions? At present, parents of premature infants lack objective recognition of donated breast milk. Hospital and breast milk banks should carry out a series of marketing projects and educate the mass about donated breast milk, in order to improve parents' recognition and acceptance of donated breast milk.

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share