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Objective:To explore the effect of applying the wound dressing training based on Thorndike's learning theory (WCTT) in clinical nursing education.Methods:The study conducted controlled trial among nursing interns selected from Thyroid Surgery Department of West China Hospital of Sichuan University, and the nursing students were divided into the experimental group ( n=51) and the control group ( n=49). Nursing students in the experimental group were trained with WCTT, while the control group adopted the traditional teaching. Two groups were investigated by the ability of wound dressing questionnaire and were examined on the practical wound dressing operation to evaluate the teaching effect. SPSS 20.0 was used for statistical analysis. Results:Nursing students in the experimental group showed a higher self-evaluation on such aspects as understanding, interests, theoretical mastery, evaluation of wounds, practical skills, independence, fulfillment and model assessment. Meanwhile, the experimental group had a higher score of practical wound dressing operation than the control group [(93.25±2.11) points vs. (90.06±2.43) points] ( P<0.05). Conclusion:In clinical nursing teaching, WCTT could improve the wound dressing ability, independence and enthusiasm of nursing students, and this training mode had a positive effect on the clinical nursing teaching efficiency, which is worth further promotion.
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Objective To explore the prediction of weight loss to the function 1 month after surgery in head and neck cancer (HNC) patients with surgical treatment. Methods During August to November 2017, 122 HNC patients from a tertiary hospital in Chengdu were included and investigated by the General Information Questionnaire and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30. Results 1 month after surgery, the function scores of HNC patients ranged from 86.67(73.33, 93.33) to 100.00(100.00, 100.00), and the physical function score was the lowest. Patients with weight loss during hospitalization had lower score in physical, role and social function ( P＜0.05). According to the results of Logistic regression analysis, age ( OR=6.262, P＜0.05) and Weight loss during hospitalization ( OR=4.363, P＜0.05) were risk factors for the physical function of HNC patients 1 month after surgery. For social function 1 month after surgery, weight loss during hospitalization ( OR=3.306, P＜0.05) was the risk factor. Conclusions Weight loss during hospitalization in HNC patients with surgical treatment can predict the impairment of function 1 month after surgery. Healthcare providers should pay more attention to perioperative nutritional problems of HNC patients, especially the elder patients, and take effective interventions to control the weight during hospitalization to improve patients′function and quality of life.
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Objective@#To explore the prediction of weight loss to the function 1 month after surgery in head and neck cancer (HNC) patients with surgical treatment.@*Methods@#During August to November 2017, 122 HNC patients from a tertiary hospital in Chengdu were included and investigated by the General Information Questionnaire and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30.@*Results@#1 month after surgery, the function scores of HNC patients ranged from 86.67(73.33, 93.33) to 100.00(100.00, 100.00), and the physical function score was the lowest. Patients with weight loss during hospitalization had lower score in physical, role and social function (P<0.05). According to the results of Logistic regression analysis, age (OR=6.262, P<0.05) and Weight loss during hospitalization (OR=4.363, P<0.05) were risk factors for the physical function of HNC patients 1 month after surgery. For social function 1 month after surgery, weight loss during hospitalization (OR=3.306, P<0.05) was the risk factor.@*Conclusions@#Weight loss during hospitalization in HNC patients with surgical treatment can predict the impairment of function 1 month after surgery. Healthcare providers should pay more attention to perioperative nutritional problems of HNC patients, especially the elder patients, and take effective interventions to control the weight during hospitalization to improve patients′ function and quality of life.
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Objective To explore nurses′ perceptions of patient safety culture in emergency departments at tertiary hospitals in Sichuan province. Methods By convenient sampling method,a total of 210 emergency nurses from 6 tertiary hospitals in Sichuan province were investigated with a general data questionnaire and a hospital survey on patient safety scale. Results 68.10% of the emergency nurses had positive perceptions of patient safety culture, as evidenced by the following indicators. The organization learning and continuous improvement (74. 27%), hospital management support for patient safety (72.70%), supervisor/manager expectations and actions promoting safety (78.10%), were the safety culture areas with higher percentage of positive response. Areas of non-punitive response to errors (19.67%), staffing (41.08%) had the lowest percentage of positive response. There were significant differences between such groups as years of working, education background and job title. Conclusions Patient safety culture should be improved in the emergency departments of the tertiary hospitals in Sichuan province,especially in the adverse events reporting system and staffing problem. Safety training deserves greater attention in nurses with less working experience, education background or job title in emergency departments.
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Objective:To explore the effect of subject-centered informed consent in nursing research.Methods:We adopted the subject-centered informed consent in a pilot study on precision symptom in breast cancer patients.Specific measures were taken included offering training for researchers about skills regarding subject-centered informed consent,standardizing the explanation for the informed consent forms,allowing sufficient time for subjects to read the informed consent forms,encouraging subjects to raise questions to researchers,confirming that the subject were fully informed and understood the contents,subjects and researchers jointly signing,and finally,using the checklist to review the entire process.The questions and feedback about the subject-centered informed consent were statistically analyzed.Results:Almost all of patients(96.67％) were able to read the consent forms by themselves,three subjects raised questions to the researcher after reading the forms,and all subjects in our study were satisfied with the informed consent process.Conclusion:The subject-centered informed consent approach makes sure that the subjects' fights of informed consent are fully respected and is an important measure to ensure subjects' fights of informed consent.
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Objective To investigate the status quo and the relationship between emotional intelligence and resilience of emergency and ICU nurses in tertiary general hospitals in Chengdu. Methods A total of 660 emergency and ICU nurses were surveyed by a pack of questionnaires including the General Information Questionnaire, the Resilience Scale and the Wong and Law Emotional Intelligence Scale. Results The average total score of the resilience scale was 123.07 ±23.76 and the average item score of the resilience scale was 4.92±0.95. The average total score of the emotional intelligence scale was 58.69±8.74 and the average item score of the emotional intelligence scale was 3.67±0.55. The correlation coefficient between the emotional intelligence and the resilience was 0.62 (P<0.01). Three subdimensions of the emotional intelligence including the usage of emotion, the appraisal of self-emotion, the regulation of emotion and the positions of nurses accounted for 43.3%of the variances of the resilience. Conclusions Emotional intelligence played an important role in affecting the psychological resilience of emergency and ICU nurses in tertiary general hospitals in Chengdu, it could positively predict the resilience of nurses.