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Objective:To explore the effect of healthcare failure mode and effect analysis (HFMEA) in reducing the incidence of nursing interruption with negative outcome in operating room, so as to maximize the smooth progress of the surgical process.Methods:This was a quasi experimental study. The gastrointestinal surgery room of Shandong Provincial Hospital Affiliated to Shandong First Medical University was selected for the study. According to the surgical sequence, 38 surgeries performed in the gastrointestinal surgery suite from August 15-30, 2021 were set as the control group, and the conventional healthcare cooperation model process was implemented; 42 surgeries performed from September 15-30, 2021 were set as the intervention group, and the operating room under the HFMEA model was implemented negative outcome care disruption event management process.A video tracking method combined with a surgical care disruption event register was used to investigate the occurrence of negative outcome care disruption events in the operating room, comparing the number, duration, source of disruption events and the incidence of near miss events in the operating room between the control group and the intervention group.Results:In the control group, there were 38 observed surgeries, 190 negative outcome care interruptions, negative outcome interruptions of (5.26 ± 1.02) min duration, and no near misses; in the intervention group, there were 42 observed surgeries, 84 negative outcome care interruptions, negative outcome interruptions of (2.06 ± 0.08) min duration, and no near misses. There were statistically significant differences in the number, duration of negative outcome care interruptions between the intervention group and the control group ( χ2 = - 18.71, t = - 20.28; all P<0.01). There was statistically significant difference in the source of negative outcome care interruptions between the intervention group and the control group ( χ2 = - 12.71, P<0.01). Conclusions:HFMEA model can effectively reduce the number of negative nursing interruptions in the operating room, shorten the duration of interruptions, and minimize potential safety hazards caused by nursing interruptions, which is conducive to ensuring the safety of patients.
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This study introduced the development, qualification requirements, training contents and methods, practice authority and field, practice management and safety of specialist nurses' multi-sitepractice, elaborated the development status of multi-site practice of nurses in foreign countries, summarized international experience, combined with the national conditions, explored the development mode of multi-point practice of specialist nurses in China, with a view to providing domestic specialized nurses with multi-site practice. It also provides suggestions for managers to formulate relevant policies and develop localized multi-site practice.
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Objective@#To explore the correlation between post-traumatic growth (PTG) and sleep quality among parents of children with epilepsy.@*Methods@#In this cross-sectional study, 191 parents of children with epilepsy were selected from Shangdong Province Third Hospital by convenience sampling method, the questionnaire included socio-demographic questionnaire, the Post-Traumatic Growth Inventory (PTGI) and Pittsburgh Sleep Quality Index (PSQI).@*Results@#The score of PTGI and PSQI of parents of children with epilepsy were (28.63±10.85) and (5.97±3.72), respectively. The score of PTGI and PSQI in parents' health status with health, general, worse was (29.44±10.66), (25.28±11.26), (19.00±7.81) and (5.57±3.51), (7.23±3.53), (15.00±1.73), the difference was significant (F=3.07, 12.69, P<0.05 or 0.01). The score of PSQI in parents with or without major negative events was (8.50±4.16), (5.67±3.57), the difference was significant (t=-3.12, P<0.01). There was a negative correlation between PTGI and PSQI among parents of children with epilepsy (r=-0.159, P<0.05). Hierarchical regression analysis showed that there was a significant positive correlation between the dimension of PTG appreciation life and the sleep quality of parents (B=0.455, P<0.01).@*Conclusions@#Parents with epilepsy have normal sleep quality, but at the same time have a certain level of PTG, and the level of PTG appreciated by parents is related to their sleep quality. Therefore, by promoting parents with epilepsy to actively appreciate life, it helps to alleviate their sleep problems.
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This paper summarizes the application of virtual reality technology in rehabilitation management of breast cancer patients, and its impact on rehabilitation management of breast cancer patients. It mainly involves: improving psychological status, reducing anxiety; reducing the incidence of cancer-related fatigue; reducing pain, improving quality of life; improving patient compliance, effectively promoting the recovery of body function; increasing patients' knowledge of disease awareness rate. It is pointed out that the research of virtual reality in China is at the initial stage, and the types of virtual situation intervention are relatively few. In the future development, the evaluation criteria of rehabilitation training should be improved on the basis of adding virtual situation.
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Objective To explore the correlation between post-traumatic growth (PTG) and sleep quality among parents of children with epilepsy. Methods In this cross-sectional study, 191 parents of children with epilepsy were selected from Shangdong Province Third Hospital by convenience sampling method, the questionnaire included socio- demographic questionnaire, the Post- Traumatic Growth Inventory (PTGI) and Pittsburgh Sleep Quality Index (PSQI). Results The score of PTGI and PSQI of parents of children with epilepsy were (28.63±10.85) and (5.97±3.72), respectively. The score of PTGI and PSQI in parents'health status with health, general, worse was (29.44±10.66), (25.28±11.26), (19.00±7.81) and (5.57 ± 3.51), (7.23 ± 3.53), (15.00 ± 1.73), the difference was significant (F=3.07, 12.69, P<0.05 or 0.01). The score of PSQI in parents with or without major negative events was (8.50±4.16), (5.67±3.57), the difference was significant (t =-3.12, P<0.01). There was a negative correlation between PTGI and PSQI among parents of children with epilepsy (r=-0.159, P<0.05). Hierarchical regression analysis showed that there was a significant positive correlation between the dimension of PTG appreciation life and the sleep quality of parents (B=0.455, P＜0.01). Conclusions Parents with epilepsy have normal sleep quality, but at the same time have a certain level of PTG, and the level of PTG appreciated by parents is related to their sleep quality. Therefore, by promoting parents with epilepsy to actively appreciate life, it helps to alleviate their sleep problems.
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This paper summarizes the application of virtual reality technology in rehabilitation management of breast cancer patients, and its impact on rehabilitation management of breast cancer patients. It mainly involves: improving psychological status, reducing anxiety; reducing the incidence of cancer-related fatigue; reducing pain, improving quality of life; improving patient compliance, effectively promoting the recovery of body function; increasing patients' knowledge of disease awareness rate. It is pointed out that the research of virtual reality in China is at the initial stage, and the types of virtual situation intervention are relatively few. In the future development, the evaluation criteria of rehabilitation training should be improved on the basis of adding virtual situation.
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0bjective The cognitive intervention effects of different forms of virtual reality technology in mild cognitive impairment (MCI) patients were systematically evaluated to find the best form of virtual reality intervention in MCI patients. Methods The computer searched of CNKI, Wanfang, VIP, CBM, PubMed, Embase and Cochrane Library included literatures on virtual reality technology intervention for MCI patients for evaluation. Results 5 randomized controlled trials were included, a total of 232 participants were in, the intervention group was 115 participants,control group was 117 participants, the results showed that virtual reality memory training had greatly improved cognitive function (P<0.01), Virtual reality program training, double interactive virtual reality technology therapy and virtual reality rehabilitation training system combined with primary meridian acupuncture therapy can improve the cognitive ability of MCI patients (P<0.05). The virtual reality dual task training has no statistical significance for the improvement of cognitive function (P>0.05). Conclusions Virtual reality technology intervention for MCI patients is an effective way to improve the cognitive ability of patients.