ABSTRACT
Objective:To construct a new nurse pre-job training program based on transformative learning and explore its preliminary application effect.Methods:A quasi-experimental study was conducted, and 52 new nurses enrolled in 2019 in a three-A hospital of Hangzhou were randomly divided into experimental group ( n=26) and control group ( n=26). The experimental group adopted transformative learning based pre-job training program for new nurses, while the control group adopted traditional pre-job training program for new nurses. SPSS 20.0 and Microsoft Excel 2010 were performed for data processing, and t test and Fisher's exact probability test were used for statistical analysis. Results:After the training, the comparison of two groups of new nurses showed that, the total score of clinical core competence of the experimental group (226.62±32.84) was higher than that of the control group (197.00±29.54), the total score of self-efficacy of the experimental group (28.46±4.94) was higher than that of the control group (24.31±4.76), the total score of the transition shock of the experimental group (77.23±14.13) was lower than that of the control group (91.27±17.98), and the mean value of clinical assessment of the experimental group (73.16±17.05) was higher than that of the control group (61.58±14.24), all with statistical significance ( P<0.05). Conclusion:The pre-job training program for new nurses based on transformative learning can improve the clinical ability and self-efficacy of new nurses, reduce the transition shock of new nurses, and have a profound impact on their career.
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Objective To explore the prevalence and relationship of urinary incontinence and depression among elderly female patients.Methods A total of 118 female patients older than 60 years old were interviewed face to face.The prevalence of urinary incontinence and depression were estimated using the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form-Chinese (ICIQ-SF-Chinese) and Geriatric Depression Scale-15 (GDS-15).Linear regression and Spearman correlation were used to identify the relationship between urinary incontinence and depression.Results Urinary incontinence was found in 27.1％ (32/118),and depression was in 39.0％ (46/118) of the survey population.Urinary incontinence with depression was found in 13.6％ (16/118) of the overall population.Urinary incontinence was positively correlated with depression,r=0.211,P＜0.05.The frequency of entertainment and urinary incontinence were significantly related to depression symptoms,P＜0.05.Conclusions Urinary incontinence appears to possess an additive effect on incidence of depression,which seriously affects both physical and mental health of patients.Clinicians should give patients health education and intervention measures at early stage.
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Objective To understand the incidence of common geriatric syndromes in hospitalized patients,and analyze the relationship between different kinds of geriatric syndromes.Methods A crosssectional study was conducted by five well-trained investigators-300 patients were chosen from geriatric department and medical department within 3 top three hospitals in Chengdu.Results 300 copies of questionnaires were distributed in total,and 300 questionnaires were returned (response rate 100％).Among those,277 questionnaires were considered valid (valid response rate 92.3％).Among those elderly which were above 65 years old,having risk of falling accounted for 91.3％,feeling pain accounted for 79.1％,chronic constipation accounted for 59.2％,having risk of malnutrition accounted for 49.1％,malnutrition accounted for 28.2％,having risk of pressure ulcers accounted for 32.5％,incontinence accounted for 25.3％,and dysphagia accounted for 17％.The correlation among these syndromes was signifcant.Conclusions The overall incidence of geriatric syndromes in hospitalized patients is higher than that in the community.These syndromes are correlated with each other.One can be a risk factor of other geriatric syndromes and also could affect each other.