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1.
Chinese Journal of Behavioral Medicine and Brain Science ; (12): 647-652, 2023.
Article in Chinese | WPRIM | ID: wpr-992147

ABSTRACT

Objective:To develop a professional grief scale for medical postgraduate students(PGS-MPS) and test its reliability and validity.Methods:Based on the integrated model of professional grief, the initial item pool was formed after literature analysis, semi-structured interviews, group discussion, and 5 experts were invited to assess the relevance of the items and provided revision suggestion.A total of 506 valid questionnaires were collected.SPSS 25.0 and AMOS 26.0 were used to test its reliability and validity.Results:The PGS-MPS included 41 items, including the professional grief reaction subscale and disenfranchised grief subscale.The professional grief reaction subscale included emotional reaction (14 items), physiological and cognitive reaction (20 items), and the cumulative variance contribution rate of the two factors model was 52.908%.Disenfranchised grief subscale included 7 items, with a single dimension and a variance contribution rate of 51.730%.Confirmatory factor analysis indicated the model fitting well.The Cronbach’s α coefficients for the professional grief reaction subscale and disenfranchised grief subscale were 0.947 and 0.850, respectively.Conclusion:The PGS-MPS has good reliability and validity and can be used to evaluate professional grief of medical postgraduate students.

2.
Chinese Journal of Orthopaedic Trauma ; (12): 161-167, 2022.
Article in Chinese | WPRIM | ID: wpr-932308

ABSTRACT

Objective:To construct a risk prediction and assessment system for incisional infection after spinal surgery.Methods:Based on the failure mode and effect analysis (FMEA), risk factors and assessment indicators of postoperative incisional infection in spinal surgery were sorted out through literature search followed by expert consultation using the Delphi expert consultation method. After three-level assessment indicators were selected according to their importance and expert opinions and assigned by different scores, a risk prediction and evaluation system was constructed for postoperative incisional infection after spinal surgery.Results:The 2 rounds of expert consultation questionnaire resulted in an effective response rate of 100%. The degree of expert consultation authority was 0.85, showing high reliability; the Kendall coordination coefficients of expert consultation ranged from 0.525 to 0.686, showing good coordination ( P<0.05). The three-level assessment indicators consisted of 3 primary, 18 secondary and 54 tertiary ones. After statistical analyses of the important risk indicators selected which consisted of 6 preoperative evaluation ones and 18 postoperative evaluation ones, 6 preoperative and 12 postoperative predictive indicators were obtained. The values of risk priority number (RPN) were calculated for high, medium and low risks for postoperative incisional infection using a semi-quantitative method. Conclusion:A self-designed system has been constructed for risk prediction and assessment of incisional infection after spinal surgery based on expert consultation and FMEA method.

3.
Chinese Journal of Practical Nursing ; (36): 580-587, 2022.
Article in Chinese | WPRIM | ID: wpr-930664

ABSTRACT

Objective:To explore the effect of the intervention model based on the theory of knowledge, belief and action on the prevention of dislocation of prosthesis after hip replacement by nurses, so as to provide guidance for the management of prosthesis dislocation prevention after hip replacement.Methods:The patients were from Shenzhen Luohu People′s Hospital. From January to March 2018, 82 patients who underwent artificial total hip arthroplasty were set as the control group and received routine care. The 76 patients who underwent artificial total hip arthroplasty from May to July 2018 were set as the observation group, and the intervention model based on the theory of knowledge, belief and action was adopted. The incidence of prosthesis dislocation was compared between the two groups at 1, 3, 6 months after operation. At the same time, the Harris hip function score and the activity of daily living (ADL) score were compared between the two groups at the time of discharge, 1, 3, 6 months after operation.Results:The total incidence of prosthesis dislocation at 6 months was 1.32% (1/76) and 9.76% (8/82) in the experimental group and the control group, respectively, and the difference was statistically significant ( χ2=5.23, P<0.05). At discharge, there was no significant difference in the Harris hip function score and ADL scores between the two groups ( P>0.05). The Harris hip function score and ADL scores at 1, 3, 6 months after operation were (80.05 ± 6.72), (88.76 ± 5.84), (94.07 ± 4.43) points and (55.72 ± 16.61), (63.55 ± 14.55), (75.39 ± 12.27) points in the observation group, and (74.41 ± 6.26), (84.48±5.97), (89.30 ± 5.32) points and (47.13 ± 19.77), (56.71 ± 16.01), (63.96 ± 13.78) points in the control group, the differences were statistically significant ( t values were -6.08--2.80, all P<0.05). Conclusions:The intervention model based on the theory of knowledge, belief and action can effectively improve the Harris hip function score and ADL score of patients at 1, 3, 6 months after hip replacement, and reduce the incidence of prosthetic dislocation.

4.
Chinese Journal of Primary Medicine and Pharmacy ; (12): 660-665, 2021.
Article in Chinese | WPRIM | ID: wpr-883812

ABSTRACT

Objective:To investigate the clinical efficacy of different doses of budesonide/formoterol in the treatment of an acute exacerbation of chronic obstructive pulmonary disease in patients.Methods:A total of 200 inpatients with an acute exacerbation of chronic obstructive pulmonary disease graded C/D by global initiative for chronic obstructive lung disease (GOLD) staging system who received treatment in Jiuquan City People's Hospital, China from January to December in 2019 were included in this study. They were randomly divided into a control group and a treatment group ( n = 100/group). Based on anti-infection and expectorant treatment, the treatment group was given inhalation therapy (higher dose budesonide/formoterol, 320 μg/9 μg), while the control group was identically given inhalation therapy (lower dose budesonide/formoterol, 160 μg/4.5 μg), with a total course of 9 days in each group. Before treatment and at 5 and 9 days of treatment, procalcitonin (PCT), high-sensitivity C-reactive protein (hs-CRP), fractional exhaled nitric oxide (FeNO), percentage of eosinophils (EO%), partial pressure of oxygen (PaO 2), lactic acid, interleulin-6 (IL-6), forced expiratory volume in 1 second (FEV 1), the ratio of FEV 1/ forced vital capacity (FVC) were monitored in each group. COPD assessment test (CAT) score, modified Medical Research Council (mMRC) dyspnea score, 6-minute walking test (6MWT), and symptom improvement were determined in each group. Results:Before treatment, there were no significant differences in PCT and PaO 2 between the control and treatment groups (both P > 0.05). There were significant differences in PCT, PaO 2, FeNO, hs-CRP, E0 (%), IL-6, FEV 1, FEV 1/FVC, 6MWT, mMRC, cough, expectoration, shortness of breath and CAT score measured at 5 days of treatment between the treatment and control groups ( t = 2.416, 3.289, 3.982, 4.871, 3.332, 4.098, 5.253, 6.214, 3.843, 7.268, 5.387, 7.392, 5.398, 6.349, all P < 0.05). There were significant differences in PCT, PaO 2, FeNO, hs-CRP, E0 (%), IL-6, FEV 1/FVC, FEV 1, 6MWT, mMRC, cough, expectoration, shortness of breath and CAT score measured at 9 days of treatment between the treatment and control groups ( t = 2.508, 4.032, 2.948, 3.527, 3.118, 5.251, 5.325, 6.338, 2.907, 6.289, 3.246, 2.084, 2.151, 2.527, all P < 0.05). At 5 days of treatment, lactic acid level in the observation group was significantly lower than that in the control group ( t = 4.341, P < 0.05). At 9 days of treatment, there was no significant difference in lactic acid level between the control and observation groups ( t = 1.173, P > 0.05). There was no significant difference in the incidence of adverse reactions between the control and treatment groups [4%(4/100) vs. 5%(5/100), P > 0.05]. Conclusion:Inhalation of high doses of budesonide/formoterol can greatly improve pulmonary function, 6MWT performance, decrease mMRC and CAT scores, alleviate cough, expectoration, shortness of breath, and decrease serum levels of FeNO, hs-CRP, E0(%), IL-6 and other inflammatory factors. Inhalation of higher doses of budesonide/formoterol exhibits better efficacy in the treatment of an acute exacerbation of chronic obstructive pulmonary disease in patients than inhalation of lower doses of budesonide/formoterol.

5.
Chinese Journal of Practical Nursing ; (36): 825-830, 2021.
Article in Chinese | WPRIM | ID: wpr-883070

ABSTRACT

Objective:To investigate the status of professional self-efficacy and its influencing factors among postgraduates in Master of Nursing Specialist(MNS).Methods:Totally 185 postgraduates from 33 universities were chosen by convenience sampling from December 2018 to January 2019 for a cross-sectional survey. Subjects completed a questionnaire covering demographic data, Professional Self-efficacy Questionnaire for Nursing Students, the Chinese version of Proactive Personality Scale and Career Social Support Inventory for Chinese College Students.Results:The score of professional self-efficacy was (92.78±13.22) . Multiple linear regression analysis showed that the sense of achievement in clinical work, proactive personality and career decision support were the influencing factors of postgraduates professional self-efficacy, with an interpretability of 40.2%.Conclusion:Professional self-efficacy of postgraduates is at upper middle level. Schools, hospitals and other relevant institutions should further improve the postgraduates cultivation model, establish high quality clinical practice bases, encourage postgraduates to actively explore career development pathway and provide adequate advices and supports, to improve the professional self-efficacy of postgraduates.

6.
Chinese Journal of Practical Nursing ; (36): 2840-2844, 2019.
Article in Chinese | WPRIM | ID: wpr-803606

ABSTRACT

Objective@#To investigate the sources of meaning in life of the elderly in the community.@*Methods@#The phenomenological approach was conducted in Guangzhou Yuexiu Liurong community health service center and Shouxing nursing home in Baiyun District, a total of 21 elderly were interviewed by semi-structured in-depth interviews. Interviews data were analyzed by Nvivo11.@*Results@#The elderly in the community were less concerned about the meaning in life. The level of meaning in life ranges from nothing to high, and some elderly had not explored it yet. Sources of meaning in life for elderly were quite different from when he was young: one valued work, earn money and self-improvement more when young, but as the growth of age, one would pay more attention to family and health. The sources of meaning in life included suffering, autonomy, family, make contributions and faith.@*Conclusion@#In the future, the sense of meaning in life of the elderly can be enhanced from the perspective of individuals, families and society by identifying the sources of meaning of the elderly.

7.
Chinese Journal of Practical Nursing ; (36): 2736-2741, 2019.
Article in Chinese | WPRIM | ID: wpr-803584

ABSTRACT

Objective@#To explore the effect of family doctor team service in the medical association model on empowerment behavior and health status of elderly patients with diabetes in the community.@*Methods@#A total of 158 patients with diabetes who were diagnosed with free physical examination and were diagnosed as diabetic patients in 4 communities under the jurisdiction of Fuzhong Community Health Service Center From March 2018 to May 2018, we conveniently divided into intervention group (79 cases) and the control group (79 cases), according to whether or not to sign a family doctor. The control group was older people who did not sign up for a family doctor, the control group was given routine intervention according to the community chronic disease follow-up mode, while the intervention group gave the contracted family doctor on the basis of routine intervention, and carried out individual assessment, group management, group intervention, one-on-one guidance, and the body mass index, abdominal circumference, fasting blood glucose, HbA1c, self-management ability of the two groups were evaluated before intervention and 6 months after intervenation.@*Results@#There was no significant difference between the two groups before intervention (P >0.05). After 6 months of intervention,abdominal circumference, fasting blood glucose and HbA1c was (79.5±5.0) cm, (6.1±0.7) mmol/L, (6.3±0.6)% in the intervention group, (85.2±11.4) cm, (6.5±0.8) mmol/L, (6.8±0.7)% in the control group, and there was significant difference between the two groups (t=2.142, 3.345, 4.820, P<0.05 or 0.01); the self-empowerment ability and the self-management was (37.7±1.7), (44.3±6.8) in the intervention group, (30.1±2.5), (36.5±2.8) in the control group, and there was significant difference between the two groups (t=22.344, 9.427, P<0.01) .@*Conclusion@#The family doctor team service under the model of medical association can improve empowerment behavior of elderly diabetic patients in the community and improve their health status.

8.
Chinese Journal of Practical Nursing ; (36): 2658-2663, 2019.
Article in Chinese | WPRIM | ID: wpr-803568

ABSTRACT

Objective@#To explore the application effect of standardized video combined with feedback method in health education for patients with urinary calculi after double J tube indwelling operation, and to provide basis for improving the effect of clinical health education.@*Methods@#One hundred and fourteen patients were selected from October 2018 to March 2019 for the first time after the operation of urinary calculi with double J-tube indwelling after holmium laser lithotripsy. Fifty-six patients were selected as the control group and 58 cases as the experimental group by random number table method. The control group was given routine nursing and oral health education, while the experimental group was given standardized video combined with feedback education on the basis of routine nursing. The level of knowledge, belief and behavior, the incidence of complications and satisfaction with nursing health guidance were compared between the two groups after intervention.@*Results@#The scores of knowledge, belief and action in the experimental group were (7.14 ± 1.39), (30.17 ± 2.62) and (67.50 ± 3.40) respectively, which were higher than those in the control group (5.39 ± 1.29), (28.54 ± 2.29) and (62.23 ± 4.39). The difference was statistically significant (t=5.83, 3.55, 7.18, P<0.01). The incidence of complications was 34.48% (20/58) in the experimental group, which was significantly lower than 62.50% (35/56) in the control group (χ2=8.957, P<0.01). The average rank of satisfaction with nursing health guidance in the experimental group was 66.03, which was significantly higher than that in the control group. The difference was statistically significant (Z=-3.157, P=0.02).@*Conclusions@#Standardized video education combined with feedback method can improve patients′ awareness of vascular behavior after double J tube indwelling for urinary calculi, reduce complications related to double J tube indwelling, and improve patients′ satisfaction with nursing education.

9.
Chinese Journal of Practical Nursing ; (36): 1662-1666, 2019.
Article in Chinese | WPRIM | ID: wpr-803217

ABSTRACT

Objective@#To build a comprehensive evaluation system for printable and online materials, and provide reference for the compilation and selection of patient education materials.@*Methods@#Taking Suitability Assessment of Materials (SAM) as frame and combined Patient Education Materials Assessment Tool (PEMAT) and CDC Clear Communication Index, we screened indicator of the evaluation system preliminary and all of them have been adjusted with the language habits and social and cultural characteristics of our country. By Delphi method, 15 experts in related fields were selected to conduct 2 rounds of expert consultation to establish the final indicator system. The weights of the different indicators were also analyzed by Analytic Hierarchy Process (AHP).@*Results@#The indicator system of printable and online patient education materials was consisted of 7 first-level indicators,28 second-level indicators,84 third-level indicators. The positive coefficients and the authority coefficients of the experts were 100% and 0.87 of the two rounds. The coordination factors of the experts in second-level and third-level were respectively 0.362 and 0.255 for the second round. The top three indicators of the first-level indicators were content (0.271 5), behavioral suggestion (0.190 4), and language expression (0.190 4); the highest-level index weight was scientific content (0.095 7), and the lowest was the use of commonly numbers, correct interpretation of numbers and units′ meaning (0.007 0).@*Conclusion@#The comprehensive evaluation system for printable and online materials is scientific, comprehensive and easy to operate. It can provide reference for medical worker to prepare and select printable and online materials.

10.
Chinese Journal of Behavioral Medicine and Brain Science ; (12): 1030-1036, 2019.
Article in Chinese | WPRIM | ID: wpr-801385

ABSTRACT

Objective@#To revised the Taiwan version successful aging inventory (SAI), and verify its reliability and validity in urban elderly in mainland China.@*Methods@#SAI was adjusted by culture and revised by pre-test to form a formal questionnaire. A sample of 600 elderly people in Guangzhou was chosen for a face-to-face questionnaire survey through convenient sampling. Half of the sample (n=300) was randomly selected for exploratory factor analysis, and the other was used to confirm the structural validity of SAI.@*Results@#Exploratory factor analysis extracted six common factors, including health autonomy, economic security, life adaptation, society and relative relationship, study and family. The cumulative contribution rate of six common factors was 65.366%. The fitting indexes of confirmatory factor analysis were χ2/df=1.861, CFI=0.930, IFI=0.930, TLI=0.923, GFI=0.823, RMSEA=0.054, RMR=0.073. There were significant ceiling effects in the four dimensions of health autonomy, economic security, life adaptation, and family. The internal consistency coefficient (Cronbach's α) of SAI was 0.930, and the test-retest reliability was 0.943. An average score of SAI ≥ 3.95 points was considered successful aging.@*Conclusion@#Reliability and validity of SAI are good, which can be used to measure the successful aging status of Chinese elders and track the effectiveness of health promotion measures.

11.
Chinese Journal of Behavioral Medicine and Brain Science ; (12): 1030-1036, 2019.
Article in Chinese | WPRIM | ID: wpr-824261

ABSTRACT

Objective To revised the Taiwan version successful aging inventory (SAI),and verify its reliability and validity in urban elderly in mainland China.Methods SAI was adjusted by culture and revised by pre-test to form a formal questionnaire.A sample of 600 elderly people in Guangzhou was chosen for a face-to-face questionnaire survey through convenient sampling.Half of the sample (n=300) was randomly selected for exploratory factor analysis,and the other was used to confirm the structural validity of SAI.Results Exploratory factor analysis extracted six common factors,including health autonomy,economic security,life adaptation,society and relative relationship,study and family.The cumulative contribution rate of six common factors was 65.366%.The fitting indexes of confirmatory factor analysis were x2/df=1.861,CFI =0.930,IFI =0.930,TLI =0.923,GFI =0.823,RMSEA =0.054,RMR =0.073.There were significant ceiling effects in the four dimensions of health autonomy,economic security,life adaptation,and family.The intemal consistency coefficient (Cronbach's α) of SAI was 0.930,and the test-retest reliability was 0.943.An average score of SAI ≥ 3.95 points was considered successful aging.Conclusion Reliability and validity of SAI are good,which can be used to measure the successful aging status of Chinese elders and track the effectiveness of health promotion measures.

12.
Chinese Journal of Practical Nursing ; (36): 1662-1666, 2019.
Article in Chinese | WPRIM | ID: wpr-752706

ABSTRACT

Objective To build a comprehensive evaluation system for printable and online materials, and provide reference for the compilation and selection of patient education materials. Methods Taking Suitability Assessment of Materials (SAM) as frame and combined Patient Education Materials Assessment Tool (PEMAT) and CDC Clear Communication Index, we screened indicator of the evaluation system preliminary and all of them have been adjusted with the language habits and social and cultural characteristics of our country. By Delphi method, 15 experts in related fields were selected to conduct 2 rounds of expert consultation to establish the final indicator system. The weights of the different indicators were also analyzed by Analytic Hierarchy Process (AHP). Results The indicator system of printable and online patient education materials was consisted of 7 first-level indicators,28 second-level indicators,84 third-level indicators. The positive coefficients and the authority coefficients of the experts were 100% and 0.87 of the two rounds. The coordination factors of the experts in second-level and third-level were respectively 0.362 and 0.255 for the second round. The top three indicators of the first-level indicators were content (0.271 5), behavioral suggestion (0.190 4), and language expression (0.190 4); the highest-level index weight was scientific content (0.095 7), and the lowest was the use of commonly numbers, correct interpretation of numbers and units′meaning (0.007 0). Conclusion The comprehensive evaluation system for printable and online materials is scientific, comprehensive and easy to operate. It can provide reference for medical worker to prepare and select printable and online materials.

13.
Chinese Journal of Practical Nursing ; (36): 2840-2844, 2019.
Article in Chinese | WPRIM | ID: wpr-823782

ABSTRACT

Objective To investigate the sources of meaning in life of the elderly in the community. Methods The phenomenological approach was conducted in Guangzhou Yuexiu Liurong community health service center and Shouxing nursing home in Baiyun District, a total of 21 elderly were interviewed by semi-structured in-depth interviews. Interviews data were analyzed by Nvivo11. Results The elderly in the community were less concerned about the meaning in life. The level of meaning in life ranges from nothing to high, and some elderly had not explored it yet. Sources of meaning in life for elderly were quite different from when he was young: one valued work, earn money and self-improvement more when young, but as the growth of age, one would pay more attention to family and health. The sources of meaning in life included suffering, autonomy, family, make contributions and faith. Conclusion In the future, the sense of meaning in life of the elderly can be enhanced from the perspective of individuals, families and society by identifying the sources of meaning of the elderly.

14.
Chinese Journal of Practical Nursing ; (36): 2736-2741, 2019.
Article in Chinese | WPRIM | ID: wpr-823760

ABSTRACT

Objective To explore the effect of family doctor team service in the medical association model on empowerment behavior and health status of elderly patients with diabetes in the community. Methods A total of 158 patients with diabetes who were diagnosed with free physical examination and were diagnosed as diabetic patients in 4 communities under the jurisdiction of Fuzhong Community Health Service Center From March 2018 to May 2018, we conveniently divided into intervention group (79 cases) and the control group (79 cases), according to whether or not to sign a family doctor. The control group was older people who did not sign up for a family doctor,the control group was given routine intervention according to the community chronic disease follow-up mode, while the intervention group gave the contracted family doctor on the basis of routine intervention, and carried out individual assessment, group management, group intervention, one- on- one guidance, and the body mass index, abdominal circumference, fasting blood glucose, HbA1c, self-management ability of the two groups were evaluated before intervention and 6 months after intervenation. Results There was no significant difference between the two groups before intervention (P >0.05). After 6 months of intervention,abdominal circumference, fasting blood glucose and HbA1c was (79.5 ± 5.0) cm, (6.1 ± 0.7) mmol/L, (6.3 ± 0.6)% in the intervention group, (85.2 ± 11.4) cm, (6.5 ± 0.8) mmol/L, (6.8 ± 0.7)% in the control group, and there was significant difference between the two groups (t=2.142, 3.345, 4.820, P<0.05 or 0.01); the self-empowerment ability and the self-management was (37.7±1.7), (44.3±6.8) in the intervention group, (30.1±2.5), (36.5±2.8) in the control group, and there was significant difference between the two groups (t=22.344, 9.427, P<0.01). Conclusion The family doctor team service under the model of medical association can improve empowerment behavior of elderly diabetic patients in the community and improve their health status.

15.
Chinese Journal of Behavioral Medicine and Brain Science ; (12): 1043-1046, 2018.
Article in Chinese | WPRIM | ID: wpr-704210

ABSTRACT

Objective To evaluate the reliability and validity of the Chinese version of multidimen-sional existential meaning scale (MEMS-C) in college students. Methods The MEMS was translated into Chinese. A total of 453 college students was tested by convenience sampling method via online survery. Eighteen college students were surveyed by MEMS-C before and after a two-week interval in order to analyze the retest reliability of the scale. Results The fitting indexes of the confirmatory factor analysis were χ2=450. 510,df=74,P<0. 01,χ2/df=6. 088,GFI=0. 859,CFI=0. 930,RMSEA=0. 106,RMR=0. 074,SRMR=0. 0494. The correlation validity coefficient of the scale was 0. 617 (P<0. 01). Internal consistency relia-bility coefficient of the total scale,comprehension,purpose,and mattering factors were 0. 935,0. 893,0. 936, 0. 733. The retest reliability was 0. 908 (P<0. 01). Conclusion The MEMS-C has good reliability and va-lidity. It is suitable to measure the sense of life of college students.

16.
Chinese Journal of Practical Nursing ; (36): 942-946, 2017.
Article in Chinese | WPRIM | ID: wpr-512082

ABSTRACT

Objective To explore the effect of the Internet technology′s application on the hand hygiene compliance of medical staff. Methods Establishing Internet+hand hygiene management model to implement Internet based hand hygiene supervisory and reminding, Internet based hand hygiene publicity and education, and Internet based hand hygiene feedback and communication. This model was applied in Guangdong Provincial Dermatology Hospital to intervene the hand hygiene related activities. Before and after the intervention, the hand hygiene compliance of medical staff in the trial hospital was observed with WHO hand hygiene monitoring table by directly manual observation. Thereafter, the changes of hand hygiene compliance before and after the intervention were compared based on the statistical analysis of test results. Results With the application of Internet+hand hygiene management model, the hand hygiene compliance of medical staff increased from 41.75% (324/776) before the intervention to 72.14% (554/768) after the intervention, and the difference was statistically significant (χ2=145.264, P<0.01). The hand hygiene compliance of both doctors and nurses was significantly increased (doctors: χ2=94.784, P<0.01;nurses:χ2=58.798, P<0.01). In all the five indications, i.e., before patient care, before an aseptic task, after exposure to blood/body fluids, after patient care, and after environmental contact, the hand hygiene compliance was 35.42%(68/192), 63.33%(38/60), 84.38%(54/64), 44.83%(130/290), and 20.00%(34/170) respectively before the intervention;it was 65.38%(102/156), 83.33%(120/144), 95.45%(105/110), 68.52%(148/216), and 55.63%(79/142) after the intervention; and the difference before and after the intervention was statistically significant (χ2=6.305-42.529;P<0.01 or 0.05). Most of the medical staff of the trial department supported this model. Conclusions Internet+ hand hygiene management model could significantly improve the hand hygiene compliance of medical staff and were very popular. And, the model is worth of application in more hospitals.

17.
Chinese Journal of Practical Nursing ; (36): 651-654, 2016.
Article in Chinese | WPRIM | ID: wpr-497697

ABSTRACT

Objective To explore the relationship between expected drop and postpartum depression,analysis of influence factors of postpartum depression.Methods Chinese version of Postpartum Support Questionnaire and Edinburgh Postnatal Depression Scale were used to investigate 411 puerpera of 42-56 days postpartum by the convenience sampling method.Results The incidence rate of postpartum depression was 17.03% (70/411).The correlation coefficient r between the actual situation of postpartum social support and the score of each dimension and the score of Edinburgh Postpartum Depression Scale was 0.157 to 0.247 (P < 0.01).The correlation coefficient r between the postpartum social support expectation drop and the Edinburgh Postpartum Depression Scale score was 0.173 to 0.230 (P < 0.01).Regression analysis showed postpartum depression was related to emotional support,nursing mode,registered permanent residence and gender expectations for baby.Conclusions The positive rate of postpartum depression is still higher.How to reduce the incidence of postpartum depression is still a problem to be solved.According to the characteristics of social support and maternal postpartum to evaluate the importance of targeted social support can reduce the incidence of postpartum depression.

18.
Chinese Journal of Practical Nursing ; (36): 1648-1651, 2016.
Article in Chinese | WPRIM | ID: wpr-495847

ABSTRACT

Objective To develop the Applied nursing undergraduate students training framework objective, clear the entry of applied training target for undergraduate nursing students. Methods Through literature review and panel discussions, Delphi expert consultation questionnaires were preliminary designed. 23 experts were issued via email and paper questionnaires, conducted two expert advice and analysis. Results A total of 20 valid questionnaires were recovered after two consultation. The expert advice of good scientific reliability:experts had positive reply, and the authority level was 0.857, Kendall were 0.130-0.293, it showed a good level of coordination (P < 0.05). By two rounds of expert advice, three capacity index target level for Applied nursing undergraduate students training were gotten: attitudes, values and basic literacy; knowledge of the target; the ability. The secondary capacity index for target had 15 items, and the third capacity index had 63 items. Conclusions TheAppliednursing undergraduate students training objectives and targets were refined through Delphi which provide the basis for the Applied nursing undergraduate training model and curriculum reform.

19.
Chinese Journal of Practical Nursing ; (36): 1293-1297, 2016.
Article in Chinese | WPRIM | ID: wpr-494002

ABSTRACT

Objective To explore the weight for the training target of Applied nursing undergraduate. And find the degree of importance for the indexes of the target , thus highlighting theApplied training objective characteristics. Methods Developed by Bloom's teaching objectives classification theory and educational objectives theory to refined indexes, using Delphi method to establish the Applied nursing undergraduate training objectives. By the importance assignment from experts on each index, using analytic hierarchy process (AHP) method to construct the judgment matrix. Then calculate the weight of each index weight, and test its logical consistency. Results The weight of theattitudes and valueswas 0.56, andknowledgeandabilitywere 0.22. For the secondary indicators, in the values dimension,professional attitudeandideological qualityhad relatively high weight.Under the knowledge dimension, the professional knowledge had the highest weight; and for the ability dimension,communication skillsandapplicationswere heavily maximum. All the random consistency rates (CR) for the indexes were less than 0.10, so there was no logical confusion. ConclusionsAppliednursing undergraduate talents need to combine theory and practice quickly into clinical work. By weight setting, this study provides basis to further quantify and highlight the Applied nursing undergraduate training features, and provides the basis for the application-oriented undergraduate nursing personnel reforms.

20.
Chinese Journal of Practical Nursing ; (36): 10-13, 2014.
Article in Chinese | WPRIM | ID: wpr-445142

ABSTRACT

Objective The main purpose of this study was to discuss the current situation of our nursing education from the perspective of educate,and to provide enlightenment for the higher nursing education reform.Methods The current situation of the development of nursing education questionnaire was adopted to conduct the survey.Results Nursing education in our country faced with the problems such as imperfection of the education concept,lack of humanistic curriculum,less practice classes,theory was divorced from practice,single evaluation tools of teaching.Conclusions Our country should carry on the reform of education mode,build international nursing personnel training system,improve the training quality and competition of nursing personnel.

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