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Objective:To explore the "Internet + nursing service" model based on the nurse-patient safety needs, and provide reference for development of "Internet + nursing service".Methods:The First Affiliated Hospital of Sun Yatsen University established a "Internet+ nursing service" management team in December 2019, developed an information platform, formulated and implemented a specific plan of the "Internet+ nursing service" model, including service objects, service projects and service modes. After the smooth operation of this model, the statistics of the nursing service projects and service times that had been carried out from September 2020 to March 2021, as well as the satisfaction of 21 patients who received nursing services would be counted.Results:From September 2020 to March 2021, 21 patients were provided with 55 on-site nursing services, and 151 operations in 16 projects were completed. No nursing-related adverse events occurred. The patients gave all five-star evaluations to the door-to-door service, the satisfaction score was 5 points, and the overall evaluation was 99.88 points.Conclusions:The pilot work of "Internet + nursing service" based on the nurse-patient safety needs has met the care needs of discharged patients and the safety needs of door-to-door services, guarantee the safety of nurses' door-to-door service effectively. And it provides reference for the development and improvement of "Internet + nursing service" related safety work in tertiary A-level hospitals.
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Objective To investigate the effect of nutritional guidance on the energy intake and body weight of patients with gastric cancer chemotherapy. Methods The experimental study was used to study the 144 cases with gastric cancer for the first time of chemotherapy. They were randomly divided into the experimental group and the control group, 72 cases in each group. Routine healthy guidance was used in the control group, while the patients in the experimental group were treated by the nutrition prescription, the nutrition guidance, the purpose and the significance of the chemotherapy, and the follow-up of the patients after discharge. The body weight of patients was collected before chemotherapy, and the dietary questionnaire was used for second days after first days of dietary intake, and the changes of energy consumption and body weight were compared between the two groups. Results The mean values of energy intake within 24 hours in the first 3 days after the chemotherapy in the experimental group was 5 068.92 kJ, which was 51%of the RNI. The mean values of energy intake within 24 hours in the first 3 days after the chemotherapy in the control group was 3 439.25 kJ, which was 38%of the RNI. The difference between the two groups was significant (P<0.01). The weight of patients in the experimental group at the time point of before the 5th and 6th time of chemotherapy were significant higher than those in the control group (P<0.05). Energy intake had influenced the patients′weight, high energy intake with low decrease of body weight. Conclusions Nutritional guidance can effectively improve the energy intake of patients with gastric cancer when chemotherapy, so that the weight remained stable during chemotherapy.
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Objective To explore the effect of nursing instruction on the compliance of patients with gastric cancer after chemotherapy. Methods Selected 144 patients who had underwent surgey for gastric cancer after the first chemotherapy from May 2013 to December 2014. Randomly divided into experimental group and control group, Health education for patients in the control group during the period of hospitalization and before discharge. Follow up the implementation of the first chemotherapy after the first follow-up nursing guidance. Patients in the experimental group on the basis of the implementation of the whole process of continuing nursing guidance, including the increase in the duration of hospitalization, nutrition education, nutrition, prescription and adverse drug reaction to respond to chemotherapy. After each chemotherapy, the telephone follow-up was carried out to guide the treatment of nutritional intake and adverse effects of chemotherapy, emphasizing the importance of chemotherapy. The chemotherapy compliance of the two groups were compared. Results The median number of chemotherapy in the experimental group was 6, while that was 4.5 in the control group, the difference was statistically significant, Z=2.672, P=0.008. The adverse reaction was the main reason for the loss of patients with chemotherapy, the drop rate in the control group because of adverse reaction of chemotherapy was higher than that of in the experimental group, χ2=3.973, P=0.046, the difference was statistically significant. Conclusions Due to serious adverse reactions in patients with gastric cancer after operation, chemotherapy confidence needs to be strengthened. The whole process of continuous nursing guidance is conducive to the patient′s chemotherapy confidence, improve the patient's chemotherapy compliance.
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Objective To explore the effects of interactive health education on the knowledge and behaviors of medicine use and the biochemistry indicators in hemodialysis patients. Methods Forty-eight eligible hemodialysis patients were intervened with interactive health education once every month. After three times'intervention, phosphorus, hemoglobin and hematocrit level were compared before and after the intervention. Results After the intervention, phosphorus, levels of hemoglobin and hematocrit were all significantly improved ( P<0 . 001 ) compared with that before the intervention . Conclusion The interactive health education can improve the knowledge and compliance behaviors in medicine use, serum phosphate and symptoms of anemia in hemodialysis patients.
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Objective To redefine the function of health education department.Methods A new access standard for health education supervisors was regulated and they were trained with the standards.The diverse health education flow chart was worked out. The contents of the health record sheet were renewed by adding health education on new diseases.Lectures on senile chronic diseases were carried out to the elderly patients.The health education forums were set up.The health education for outpatients was carried out.The function of the health education department was redefined. The awareness of health education knowledge before and after redefining the function of the department was investigated.Results Within a year after redefining the function of the health education department,the department carried out 88 lectures on health education with 6009 inpatients and discharged patients attending the lectures. The awareness rate of health education knowledge after the redefinition was significantly better than that before the redefinition(χ2=5.73, P<0.05).Conclusion The redefinition of the function of the health education department can meet the needs of patients for health education and improve the quality of health education.
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Objective In order to know the influence factors about treatment compliance among patients with type 2 diabetes,and then offer certain positive reference for health education and prevention.Methods Selected 504 patients with type 2 diabetes among 4 hospitals in Guangzhou,interviewed them by self-designed questionnaire.The interview contents included patients' basic socio-demographic characteristics,treatment compliance,diabetes knowledge,social supprot and self-efficacy,and then analyzed the datum about the interview.Results After adjusting for gender,disease course,patients' type,education level,and incoming level,multiple linear regression analysis indicated that drug treatment compliance was positively associated with age,subjective social support,objective social support and degree of support utilization.Lifestyle was positively associated with age,objective social support and degree of support utilization.Conclusions There are several factors associated with the treatment compliance of patients with type 2 diabetes,enhance paitents' self-efficacy and carry out health education are the keys to promote their treatment compliance.