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Objective:To explore the effect of continuous nursing in patients with chronic heart failure.Methods:A total of 80 patients with chronic heart failure (NYHA Ⅱ-Ⅲ) in Department of Cardiology were randomly divided into experimental group (40 cases) and control group (40 cases). The patients in the experimental group were given continuous nursing for 6 months on the basis of routine treatment and nursing. The patients in the control group were treated with routine treatment and nursing. The self-management ability of heart failure patients was evaluated by self-management scale at discharge and 6 months after discharge, cardiac function was evaluated by 6-minute walking test, and quality of life was evaluated by Minnesota Living with Heart Failure Questionnaire (MLHFQ).Results:All 80 patients completed the study. The score of self-management ability in the experimental group was 69.51 ±4.89 after intervention, and that in the control group was 52.42 ±10.48. There was significant difference between the two groups ( t value was -9.346, P< 0.05). The 6-minute walking test distance was (468.56 ±32.53) m in the experimental group and (372.95 ± 32.37) m after the intervention in the control group. There was significant difference between the two groups ( t value was -13.177, P < 0.05). The MLHFQ score of the patients in the experimental group was 15.74 ± 4.66 after intervention, and that in the control group was 36.29 ± 11.67. There was significant difference between the two groups ( t value was 10.343, P<0.05). Conclusion:Continuous nursing intervention can significantly improve the self-management ability, cardiac function and quality of life of patients with chronic heart failure.
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0bjective Summarized the Continuous nursing care for cardiac rehabilitation of a patient with frequent ventricular tachycardia after myocardial infarction complicated with ventricular aneurysm Methods A comprehensive systematic evaluation of a patient with frequent myocardial infarction complicated with ventricular aneurysm and ventricular tachycardia was conducted to develop an individualized continuous care plan, and continued supervision and management after discharge to ensure that the plan was implemented on time and timely. Results After standardized follow-up care, there was no chest tightness, palpitations, shortness of breath, etc. in the daily activities of the patient, no ventricular tachycardia, and no further hospitalization until June 2018. Conclusions The continuous nursing of cardiac rehabilitation in patients with myocardial infarction complicated with ventricular aneurysm and frequent ventricular tachycardia can improve the prognosis of the disease, improve the quality of life, and provide theoretical basis and practical experience for clinical nursing work.
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Objective To explore the effect of standardized phase Ⅰ exercise rehabilitation on heart and lung function and quality of life in elderly patients with chronic heart failure, and to evaluate its clinical efficacy and significance. Methods A total of 100 elderly patients of department of cardiology into Fuxin Central Hospital with chronic heart failure (heart function NYHA Ⅱ-Ⅲ) were divided evenly into experimental and control groups by the method of random number table. In the experimental group, patients were undergoing routine treatment and nursing while undergoing standardized phase Ⅰ motor rehabilitation. In the control group, patients were treated with routine treatment and nursing only. The two groups of patients were assessed for heart and lung function by using the 6-minute walking distance test (6MWT) on the second day of admission and at hospital discharge; the quality of life was assessed by using the Minnesota Heart Failure Quality of Life Questionnaire (MLHFQ) on admission and 4 weeks after discharge. Results Cardio- pulmonary function: in the experimental group, the 6-minute walking distance (6MWD) was (367.92 ± 34.53) meters before intervene, and (469.72 ± 31.09) meters after. The difference had statistical significance (t=15.482 4, P<0.01). In the control group, the 6MWD was (366.36± 33.78) meters before intervene, and (390.68 ± 33.57) meters after. The difference had no statistical significance (t=2.126 2, P>0.01). Compared with the control group, the increase in the experimental group was more significant. The difference between two groups was statistically significant (t=-13.760 4, P< 0.01). Quality of life: In the experimental group, the Minnesota Heart Failure Quality of Life Questionnaire score was (36.28 ± 8.50) points before intervene, and (15.60 ± 4.57) points after. The difference had statistical significance (t=-15.152 3, P<0.01). In control group, the score was (38.20±8.93) points before intervene, and (37.24±11.21) points after. The difference had no statistical significance (t=-0.473 5, P>0.01). Comparing two groups after treatment, the experimental group was more significantly reduced than the control group. The difference between two groups was statistically significant (t=12.640 0, P<0.01). Conclusion The standardized phase Ⅰ exercise rehabilitation treatment significantly improves heart and lung function and quality of life in elderly patients with chronic heart failure.
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Purpose: Starting the Conversation was a pilot project to test an intervention for childhood obesity, a major public health epidemic, using a free smartphone application (app). The primary aim was to assess students’ knowledge of nutritional indicators, physical exercise and use of screen time before and after the intervention. Methods: The study was conducted in 2011-2012. The sample, recruited from seven high schools in Snohomish County, Washington, was 65.3% minority participants. Of the 118 participants in the sample (n=118), 79 handwrote their responses (n=78) and 36 responded via the app (n=39). We compared the frequency and types of physical exercise, frequency of screen time, and nutritional variables of high school students. Participants used the cell phone app or a handwritten log to record their daily entries for 20 days. Results: Both males (n=43) and females (n=75) grades 9-12 used the app or handwritten entries. Participants who used the app ate less fast food and exercised more, as compared with those who recorded their entries by hand. Screen time usage decreased over the course of the study, based on a comparison of the post-survey level and the pre-survey level. Knowledge of recommended daily consumption of vegetables increased post-test in the app group and knowledge of water consumption increased significantly in both groups. There was no significant difference in BMI pre and post-test. Conclusions: Patterns of nutritional intake, physical exercise and knowledge of these issues varied pre and post-test. It is critical to further examine factors associated with lack of physical activity and food intake patterns of youth using social media to further address the childhood obesity epidemic. Future research should focus on specific ethnic subgroups and an intervention at the school level aimed at the students with BMI ≥ 95th percentile.
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INTRODUCTION: National surveys show a low prevalence of tobacco cigarette smoking within the Asian American/Pacific Islander population. However, smoking rates loom higher when data is disaggregated by ethnicity and gender. Nevertheless, few data are available on how smokers in this population quit smoking. The aim of this study was to collect first-hand perspectives from adult male Chinese and Vietnamese current and former smokers who were patients at a community clinic in Seattle, Washington, in order to understand the facilitators toward smoking cessation and the methods that they might use to quit smoking. METHODS: A telephone survey was administered to age-eligible male Chinese and Vietnamese clinic patients who were current or former smokers. A total of 196 Chinese and 198 Vietnamese (N=394) adult male current and former smokers were contacted from a pool culled from the clinic database. RESULTS: Descriptive analysis using SPSS software revealed ethnicity-specific differences between current and former smokers regarding influences on smoking cessation behavior as well as uptake and endorsement of cessation methods. Family encouragement and physician recommendations were significant facilitators on the cessation process. Will power and self-determination were frequently mentioned by both Vietnamese and Chinese smokers as helpful methods to quit smoking. Vietnamese smokers were more resourceful than Chinese smokers in their use of smoking cessation methods. CONCLUSION: Even with access to cessation classes at a health clinic, half of current smokers indicated that they had no intention to quit. Such attitudes underscore the need for promotion of effective smoking cessation programs as well as successful strategies for reaching smokers. These conclusions are particularly important for Chinese smokers, who were comparatively less resourceful in their use of smoking cessation methods. Future studies should explore integrating the concept of will power with current mainstream state-of-the-art smoking cessation programs.