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Health care in India is undergoing a rapid change from its historical focus on acute disease management to a focus more on chronic and continuous care-based model for noncommunicable disorders. Health technology could be a game changer as it has a potential to optimize costs and effectively manage such operations. IT solutions are likely to become an integral part of process management, patient care and the hospital management information system in future. This brief communication describes the key enablers and limitations of using health technology in chronic diseases in developing countries like India.
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Objective:To analyze the perioperative clinical characteristics of patients with oral cancer underwent radical resection and flap reconstrution and the nursing managements.Methods:From January 2020 to December 2020, 658 patients with oral cancer underwent radical resection and flap reconstrution in the Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University were retrospectively analyzed. All patients were divided into the elderly group (≥60 years) and the younger group (< 60 years), including 279 cases in the elderly group and 379 cases in the younger group. The perioperative clinical data of the patients were collected, and the perioperative general situation, postoperative complications and influencing factors of complications were analyzed.Results:There were differences between the two groups in the aspects of sex ( χ2 = 12.38, P<0.001), preoperative BMI ( t = 2.43, P = 0.015), smoking history ( χ2 = 18.34, P<0.001), preoperative anesthesia grade ( χ2 = 25.61, P = 0.001), preoperative coexisting disease ( χ2 = 46.97, P<0.001), whether oral floor or tongue cancer ( χ2 = 16.68, P<0.001), whether free flap ( χ2 = 6.81, P = 0.003), operation time ( t = 2.19, P = 0.029), preoperative test index hemoglobin ( t = 4.96, P<0.001), albumin ( t = 5.44, P<0.001), D-dimer( Z = -13.52, P<0.001), calcium levels ( t = 4.07, P<0.001) and postoperative complications ( χ2 = 14.55, P<0.001). Multivariate analysis of postoperative complications showed that the age ( OR = 1.021, 95% CI = 1.005-1.037, P = 0.011), preoperative D-dimer ( OR = 1.219, 95% CI = 1.026-1.447, P = 0.024) and the preoperative coexisting disease ( OR = 1.642, 95% CI = 1.108-2.432, P = 0.013) were the risk factors for the postoperative complications. Multivariate analysis of discharge with tube showed that the age ( OR = 1.017, 95% CI = 1.003-1.031, P = 0.017), preoperative BMI ( OR = 0.917, 95% CI = 0.873-0.963, P = 0.001), whether oral floor or tongue cancer ( OR = 2.135, 95% CI = 1.475-3.091, P<0.001), and operation time ( OR = 1.220, 95% CI = 1.120-1.328, P<0.001) were the related factors for the discharge with tube. Conclusion:In view of the above risk factors, it is beneficial for the physical and mental recovery of patients to pay attention to preoperative evaluation, make adequate preoperative preparation, postoperative nursing and observation, improve swallowing function training, prepare for discharge, pay attention to continuous nursing, and establish a tertiary hospital-community-family rehabilitation system.
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Objective:To explore the application effect of the ternary linkage continuation care model based on cognitive balance theory in patients with rheumatoid arthritis (RA), and to provide a reference for the continuation care model of RA patients.Methods:The convenience sampling method was adopted. A total of 72 RA patients who were treated in Huainan First People's Hospital, Anhui Province from January to December 2020 were selected as the research objects, and they were divided into observation group and control group by random number table method with 36 cases in each group. The control group was given regular discharge guidance and health education, and the observation group was given ternary continuous care based on cognitive balance theory on the basis of the control group. The intervention time was 3 months. The fatigue state, pain catastrophe, exercise self-efficacy and hope index was evaluated by the Bristol Rheumatoid Arthritis Fatigue Multi-Dimensional Questionnaire (BRAF-MDQ), the Pain Catastrophic Scale (PCS), the Self-Efficacy for Exercise Chinese version(SEE-C), and the Herth Hope Index Scale-Chinese version (HHI-C) and the results were compared between the two groups before and after the intervention.Results:There was no significant difference in the score of BRAF-MDQ, PCS, SEE-C, HHI-C before the intervention between the two groups( P>0.05). The scores of physical fatigue, life fatigue, cognitive fatigue and emotional fatigue of BRAF-MDQ in the observation group after the intervention were (10.02 ± 0.85), (6.33 ± 0.58), (3.31 ± 0.48), (4.25 ± 0.56) points, respectively, significantly lower than those in the control group (12.97 ± 1.89), (8.94 ± 0.97), (6.55 ± 0.97), (5.92 ± 0.87) points, and the differences were statistically significant ( t values were 8.54-17.96, all P<0.05). The scores of contemplation, exaggeration, and helplessness of PCS in the observation group after the intervention were (5.66 ± 0.43), (4.12 ± 0.36), (3.31 ± 0.41) points, respectively, which were significantly lower than those in the control group (8.41 ± 0.88), (5.74 ± 0.85), (5.52 ± 0.86) points, and the differences were statistically significant ( t=16.85, 10.53, 13.92, all P<0.05). The scores of SEE-C and HHI-C were (60.22 ± 7.89), (37.48 ± 5.79) points in the observation group after the intervention, which were significantly higher than those in the control group (46.98 ± 5.84), (34.21 ± 4.93) points, and the differences were statistically significant ( t=8.09, 2.58, both P<0.05). Conclusions:The ternary linkage continuation nursing model based on the cognitive balance theory has a significant effect on alleviating the fatigue state and pain catastrophe of RA patients, and helps to improve the patients' hope level and exercise self-efficacy.
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Introducción: El proceso de envejecimiento trae consigo cambios fisiológicos en las esferas orgánica y mental, que predisponen eventos fisiopatológicos, entre ellos el cáncer, entidad con repercusión significativa en el estado de salud del adulto mayor. Objetivo: Destacar la necesidad de los cuidados continuos para potenciar el estado de salud en el adulto mayor con cáncer de próstata. Métodos: Se confeccionó una comunicación breve a partir de un estudio preliminar con enfoque descriptivo de corte transversal, desde junio 2019 hasta febrero 2020, en el Hospital de Oncología María Curie, Camagüey, Cuba, donde se aplicó una encuesta sobre el nivel información de los cuidados continuos en oncología y los componentes de las teorías de Sor Callista Roy y Kristen M. Swanson en 16 enfermeros(as) participantes en el proyecto. Se ejecutó valoración del estado de salud, utilizando los instrumentos (Índice de Katz y escala de Lawton) en 34 adultos mayores con cáncer de próstata. Resultados: Fueron descritos niveles de información, mínimo aceptable e inaceptable en el personal encuestado. La valoración integral al adulto mayor con cáncer de próstata permitió conocer expresiones de dependencia a las actividades de la vida diaria e instrumentada. Conclusión: El estudio favoreció la preparación integral del personal de enfermería en la atención continuada del paciente oncológico. Además facilitó pautas que fortalecen la utilidad de la valoración integral para el proceso de los cuidados continuos del adulto mayor con cáncer de próstata, que permitan preservar conductas generadoras de salud biopsicosocial y potenciar su estado de salud(AU)
Introduction: The aging process brings about physiological changes, both organically and mentally, that may be the cause for pathophysiological events, including cancer, an entity with significant repercussions on the health status of the elderlies. Objective: To highlight the need for continuous care to enhance the health status of the elderlies with prostate cancer. Methods: A brief communication was made from a preliminary study with a descriptive cross-sectional approach, from June 2019 to February 2020, at María Curie Oncology Hospital, in Camagüey, Cuba, where a survey about the information level of continuous care in oncology and the components of the theories of Sister Callista Roy and Kristen M. Swanson was applied in sixteen nurses who participated in the project. Health status assessment was carried out, using the Katz index and Lawton scale in 34 older adults with prostate cancer. Results: Minimum ally acceptable and unacceptable levels of information were described in the surveyed personnel. The comprehensive assessment of the elderlies with prostate cancer allowed us to know expressions of dependence on the activities of daily and instrumented life. Conclusion: The study favored the comprehensive training of the nursing staff regarding ongoing care of cancer patients. In addition, it provided guidelines that strengthen the usefulness of comprehensive assessment for the process of continuous care of the elderlies with prostate cancer, so that these guidelines allow preserving behaviors that generate biopsychosocial health and enhance their health status(AU)
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Humans , Aged , Aged, 80 and over , Oncology Nursing/methods , Prostatic Neoplasms/epidemiology , Aging , Health Status , Epidemiology, Descriptive , Cross-Sectional Studies , Surveys and QuestionnairesABSTRACT
Objective:To introduce a phased evaluation for severe traumatic brain injury in clinical nursing, to promote catheter removal planning. Methods:A case of severe traumatic brain injury in our hospital in October, 2018 was reviewed. Results:This case accepted a phased evaluation about consciousness, condition of tracheotomy and extubation, bladder safety capacity and residual urine volume, and the rehabilitation nursing targeted to the results. After 54 days of treatment and care, all the catheters were removed in a planned way. Conclusion:The phased evaluation for severe traumatic brain injury may promote the planning of catheter removal, prevent repeated tube placement, and facilitate the recovery of patients.
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Objective@#To evaluate the effect of continuous care on patients with high risk of diabetic foot in China.@*Methods@#A random control of continuing care for patients with diabetes foot at high risk before June 2018 was published in the full text of the Chinese VP full text database (VIP), the full text database (CNKI), the Chinese biomedical literature database (CBM), Wan Fang, PubMed, Science Library. The test (randomized clinical trial), by 2 researchers, according to the inclusion and exclusion criteria, the literature quality was evaluated and extracted by the document quality standard of Cochrane cooperation network, and the different subgroups were divided according to the difference of the determination time of each outcome index, and the RevMan5.3 software was used to match the data. The required literature is analyzed by Meta.@*Results@#A total of 13 randomized clinical trials were included in the Mate analysis, including 1 450 subjects, 721 in the intervention group and 729 in the control group. The results showed that continuous nursing could effectively reduce the value of fasting blood glucose (combined effect MD=-1.34, 95%CI -1.44--1.24, P < 0.01), and effectively reduce the value of glycosylated hemoglobin (combined effect MD=-0.75, 95%CI -1.24- -0.27, P=0.002), and reduce the diabetic foot in patients with diabetic foot risk(combined effect RR=0.31, 95%CI 0.24-0.40, P<0.01). Continuous care could improve patients′ self-management ability and self-foot nursing ability.@*Conclusions@#Continuous care can reduce the fasting blood glucose, glycosylated hemoglobin and the incidence of diabetic foot in high-risk patients with diabetic foot, improve their self-management ability and self-foot nursing ability, which is of great significance to prevent and reduce the occurrence and development of diabetic foot.
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Objective To evaluate the effect of continuous care on patients with high risk of diabetic foot in China. Methods A random control of continuing care for patients with diabetes foot at high risk before June 2018 was published in the full text of the Chinese VP full text database (VIP), the full text database (CNKI), the Chinese biomedical literature database (CBM), Wan Fang, PubMed, Science Library. The test (randomized clinical trial), by 2 researchers, according to the inclusion and exclusion criteria, the literature quality was evaluated and extracted by the document quality standard of Cochrane cooperation network, and the different subgroups were divided according to the difference of the determination time of each outcome index, and the RevMan5.3 software was used to match the data. The required literature is analyzed by Meta. ResuLts A total of 13 randomized clinical trials were included in the Mate analysis, including 1 450 subjects, 721 in the intervention group and 729 in the control group. The results showed that continuous nursing could effectively reduce the value of fasting blood glucose (combined effect MD=-1.34,95% CI -1.44--1.24, P < 0.01), and effectively reduce the value of glycosylated hemoglobin (combined effect MD=-0.75, 95% CI-1.24--0.27, P=0.002), and reduce the diabetic foot in patients with diabetic foot risk(combined effect RR=0.31, 95% CI 0.24-0.40, P<0.01). Continuous care could improve patients′ self-management ability and self-foot nursing ability. ConcLusions Continuous care can reduce the fasting blood glucose, glycosylated hemoglobin and the incidence of diabetic foot in high-risk patients with diabetic foot, improve their self-management ability and self-foot nursing ability, which is of great significance to prevent and reduce the occurrence and development of diabetic foot.
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Objective To observe the effects of continuous care on acute leukemia (AL) children with PICC in remission induction stage after discharge from hospital. Methods 102 AL children with PICC during July 2014 and December 2016 were enrolled and then were randomly divided into study group (n=52) and control group (n=50): the control group was given routine discharge guidance, and the study group received continuous care, which contained synchronous health education to children and parents before discharge, home visits, patient management through WeChat platform and lectures and psychological support. The parental care ability and quality of life of children after 3 months were evaluated, and PICC complications were recorded during intubation. Result The self-care ability,negative emotions like anxiety and depression and quality of life in the study group were all significantly improved as compared with the control group and the time for intubation was shorter and the total rate of complications lower as well(P<0.05). Conclusion Continuous nursing can significantly improve the parental self-care ability of the AL children with PICC after discharge,reduce complications from intubation and improve their quality of life and help to improve parent's the negative emotions.
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Objective To study the effect of application of continued nursing based on Omaha system to the patients with urinary artificial orifice. Methods Review 80 cases of patient who was performed with total cystectomy and permanent urinary artificial orifice at abdominal wall in our hospital from Jun,2015 to Nov,2016 were selected as object of study,they were divided into observation group and control group according to different nursing methods with 40 cases for each group.The control group was administrated with conventional nursing, the observation group was additionally administrated with continued nursing theoretically based on Omaha system.The quality of life,the nursing evaluation of the Omaha system and the satisfaction score of the 2 groups were compared. Results The patients in observation group evidently had higher scores 88.4±4.4,91.2±2.8,89.7±3.6,87.1±4.4,87.3±3.4 in terms of social function, cognitive function, emotional function, role function, physical function and overall health,than 81.3±2.5,81.2±3.4,80.1±4.1,81.2±3.5,80.2±2.6 in the control group,the differences were statistically significant (t=8.378 0-15.028 2, P<0.01); the patients in observation group had evidently a higher autonomous nursing score 92.11±4.64 and patient satisfaction 97.50%(39/40)than 75.09±6.93 and 82.50%(33/40)in control group did,the differences were statistically significant(t=7.281,χ2=6.504,P<0.01). Conclusion The nursing program theoretically based on Omaha system and designed for the patients with urinary artificial orifice can effectively improve the patient′s life quality and autonomous nursing ability,and the patients are highly satisfied by the nursing,which has a clinical significance.
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The discharge preparation service is a complete process, which is of great significance for ensuring the patients′ discharge safety and the home sustainability of rehabilitation nursing. It has become a hot issue among international nursing scholars. This paper reviews the concept, implementation content, assessment tools, nursing practice of patient discharge preparation services, so as to provide theoretical basis for forming patient discharge preparation services system with medical environment in China.
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Objective To establish the continuing nursing model for ventilator-dependent children in China and explore its feasibility.Methods Ventilator-dependent children in our hospital from October 2015 to February 2017 were recruited.Self-designed home ventilation follow-up card and long-term ventilator-dependent children outpatient follow-up card were used to collect information.We established files for patients trained and evaluated caregivers conducted discharge assessment for patients and family status performed follow-up and management.Results Totally 30 cases of parents and caregivers received home care training and passed the examination 15 cases of ventilator-dependent children returned home with home ventilator and 12 received follow-up.The total readmission rate was 58.3％;among them the readmission rate in one month was 33.3％.One case died due to deteriorated primary disease and 11 cases used home mechanical ventilation successfully during follow-up.The length of home mechanical ventilation varied from 5 months to 2 years.Conclusion The continuing nursing model for ventilator-dependent children is feasible.
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Introducción: La enfermedad renal, como proceso crónico tratable pero progresivo a la terminalidad, condiciona la necesidad de que los médicos conozcan y apliquen el enfoque bioético en su desempeño profesional. Objetivo: Identificar las necesidades de aprendizaje en aspectos bioéticos por médicos especialistas y residentes en Nefrología. Material y Métodos: Estudio descriptivo de corte transversal con 81 médicos (41 especialistas y 40 residentes) en tres servicios de Nefrología del país entre 2014-2015. Se utilizó una encuesta estructurada para la recogida de la información y se emplearon diferentes métodos cuantitativos y cualitativos para el procesamiento de la información. En el procesamiento estadístico se empleó el software R. Resultados: Los cuatros principios de la Bioética anglosajona fueron reconocidos como importante para la práctica profesional dentro del hospital (9.4 puntos), así como la implicación personal en su aplicación (9.89 puntos) sin diferencias significativas entre especialistas y residentes. Se reconoce falta de capacitación en diferentes temas relacionados con la Bioética como: cuidados paliativos (82,75 por ciento), habilidades comunicativas (80,2 por ciento), principio de proporcionalidad terapéutica (72,83 por ciento), conflictos ético-clínicos (72,83 por ciento), planes de cuidados continuos en estos pacientes (76,54 por ciento), cuidados avanzados y al final de la vida (81,18 por ciento) y prevención del Burnout (81,48 por ciento), mayores en residentes que en los especialistas, en especial, la proporcionalidad terapéutica (p= 0.007) y los conflictos ético-clínicos (p= 0.029). Conclusiones: Se otorga gran importancia a los aspectos bioéticos aplicados a la práctica nefrológica. Se identifican necesidades de aprendizaje modificables en áreas específicas mediante planes de perfeccionamiento educativo en el postgrado(AU)
Introduction: Chronic kidney disease as a treatable process but progressive to end stage, determines the need for physicians know and apply a bioethical focus on their professional performance. Objective: To identify learning needs in bioethical issues by nephrologists. Material and Methods: A descriptive cross-sectional study with 81 physicians (41 specialists and 40 residents) in three nephrology services in the country between 2014-2015 was performed. A structured questionnaire for collecting information and different quantitative and qualitative methods for processing information was used. For the statistical processing, R software was used. Results: Anglo-Saxon bioethics' four principles were recognized as important for professional practice at the hospital (9.4 points) as well as personal involvement in its implementation (9.89 points) with no significant differences between specialists and residents. Lack of training is recognized in various bioethics issues such as palliative care (82.75 percent), communication skills (80.2 percent), therapeutic principle of proportionality (72.83 percent), ethical-clinical conflicts (72, 83 percent), continuous care plans in these patients (76.54 percent), advanced care and end of life (81.18 percent) and prevention of Burnout (81.48 percent), higher in residents than in specialists; especially therapeutic proportionality (p = 0.007) and clinical - ethical conflict (p = 0.029). Conclusions: Great importance to bioethical aspects applied to nephrology practice is granted. Customizable learning's needs are identified in specific areas through education plans development during post graduated learning(AU)
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Humans , Bioethics/education , Nephrology/education , Epidemiology, Descriptive , Cross-Sectional Studies , Cuba , Learning/ethics , Medical Staff, Hospital/ethicsABSTRACT
Objective To explore the application of continuing nursing model in life of puerperae with preterm infants and evaluate its effects.Methods Based on continuous nursing model of Ahmadi,puerperae's continuing nursing program was constructed.Randomized controlled trail design was used,and totally 110 puerperae in a hospital in Beijing were recruited from August 2016 to March 2017.The experimental group received continuing nursing intervention model,and the control group received routine nursing care.Parenting knowledge and psychological evaluation of the two groups were collected 3 days before discharge,1 month,3 months and 6 months after discharge.Results Ninety-eight puerperae completed the study.In the experimental group,the score of parenting knowledge was higher than that of the control group(P＜0.01),and the total score of mental health assessment and scores of depression and anxiety were lower than those in the control group (P＜0.05).Conclusion Puerperae's continuing nursing program based on the continuous nursing model of Ahmadi improved maternal ability and positive emotion,and promoted quality of life.
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Objective To evaluate the implementation effect of continuous nursing care in patients after percutaneous coronary intervention. Methods Totally 200 patients underwent coronary intervention were equally divided into the control group and the experimental group. Randomization was done by sealed envelopes. Routine nursing was applied inthe control group while the patients inthe experimental group werenursed continuously. Compliance of taking medication, the incidence of major adverse cardiac events (MACE events), satisfactory rate of the patients and the occurrence of stent restenosis were compared between the two groups. Results There was a significant difference between the experimental group and the control group in compliance of taking medication from the 6th month. According to the Morisky measurement, the score of the 6th month in the experimental group was 8.00 ± 0.00, while the control group was 7.66 ± 0.82. There was a statistical significance between the two groups (t=-4.086, P<0.01); the score of the 12th month in the experimental group was 7.94 ± 0.48, and for the control group, the score was 7.28 ± 1.58, the difference was statistically significant (t=-3.899, P<0.01). The major adverse cardiac events (MACE events) were 1% (1/100) and 4%(4/100) for the experimental and control group respectively. The satisfactory rate of the patients in the experimental group and the control group were 98%(98/100) and 81%(81/100) separately. The difference between the two groups was of statistical significance (χ2=36.39, P<0.01). The restenosis rate of the two groups was 1.2% (1/82) and 2.5% (2/79) separately, which was of no significance (χ2=0.392, P=0.613). Conclusions Continuous nursing can significantly improve the patients′ medication compliance, reduce the occurrence of MACE events, and improve the satisfaction of nursing care.
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Objectives:To test the effect of continuous care on rural hypertension control , we developed a com-prehensive intervention strategy and implemented a community-based quasi-experiment in Southwestern rural China.Methods:The intervention took place in Qianjiang District , Chongqing Municipality from July 2012 to June 2014.4 towns were randomly selected and categorized into 2 groups based on a comprehensive consideration of population and social development level.All the rural hypertension patients in treatment group were intervened with the Multi-institu-tional Continuous Pathway which was consisted of three parts:the Continuous Primary-Care Pathway , the Continuous Clinical Pathway and the Continuous Management Pathway.The patients in the control group served as a blank com-parison using the usual care.Difference-in-differences Model was used to test the effect of blood pressure control in treatment group.Results:853 patients were sampled and investigated using the stratified randomly sampling strategy and 712 of them had been followed up by the end of this program.The potential bias of pilot and patient selection were eliminated through control before and after the intervention.The previous blood pressure trends showed no statis-tically significant difference between groups.The systolic blood pressure in treatment group declined by 10.156 mm-Hg ( P<0.001 ) compared to control group after intervention , and the blood pressure control rate had increased by 27.6% ( P<0.001 ).Other contributing factors besides intervention were family structure , education level and med-ical service availability.Conclusion:The continuous care pathway have a significant marginal positive effect on hyper -tension control besides the national compulsory primary care , and the control rate change of blood pressure is more sen-sitive compared to blood pressure change.The potential contributing factors show that other intervention strategies could be developed to improve the rural hypertension control by adding to the social capital of rural patient , reinforcing the health education and facilitating the village transportation.
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Objective To investigate the status of stroke patients′continuous rehabilitation care and it′s influencing factors in the community. Methods Questionnaires were used to investigate 174 stroke patients from 6 communities of Zhengzhou. Results The implementation of continuous care was not satisfactory. Occupation, medical payment method and medical resource utilization were important predicting factors. Conclusions In order to promote continuous rehabilitation care, the health resources should be fully used, the payment methods of the patients should be improved, and the occupational characteristics should be considered.
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A Qualidade de Vida do idoso institucionalizado é uma temática cada vez mais debatida na sociedade contemporânea. Se por um lado se constata um acréscimo no recurso às instituições por parte dos idosos, por outro surge a necessidade de avaliar sua Qualidade de Vida. Na presente investigação, os objetivos do estudo passam por caracterizar os idosos institucionalizados e identificar as necessidades dos mesmos quanto à condição de idoso na instituição, fundamentando-nos na sua percepção de Qualidade de Vida. Neste projeto participaram 105 idosos internados nas unidades da Rede de Cuidados Continuados Integrados do Algarve. No estudo descritivo, de caráter transversal e de metodologia quantitativa, os dados foram obtidos através da aplicação de dois questionários: sociodemográfico e de caracterização da instituição; e através da aplicação da escala de Qualidade de Vida WHOQOL-BREF. No estudo original, as variáveis foram agrupadas em três categorias: Idoso, Instituição e Idoso na Instituição. Neste artigo apresentamos apenas os resultados referentes à categoria de Idoso na Instituição. Os resultados obtidos revelam diferenças estatisticamente significativas no que se refere à condição física do idoso, presença de suporte social, qualidade das visitas, participação do suporte social nos cuidados, possibilidade de obter períodos temporários de ausência da instituição e grau de autonomia. A condição física do idoso e o grau de autonomia demonstraram ser aspectos fundamentais na boa percepção de Qualidade de Vida do idoso. De igual modo, o suporte social/familiar é um fator importante para o idoso institucionalizado e deve ser preservado, rumo à adequada reintegração social e familiar.
The quality of life of the institutionalized elderly is an increasingly debated topic in contemporary society. If, on one hand, it turns out an increase in the use of institutions by the elderly, on the other emerges the need to assess the quality of life of this population. In this research study, the objectives are to characterize the institutionalized elderly and identify their needs face to the condition of elderly at the institution, basing ourselves in their perception of quality of life. This project involved 105 elderly patients hospitalized in units of the Integrated Continuous Care Network from Algarve. In the descriptive study, of transversal character and quantitative methodology, the data harvest was done through two questionnaires: sociodemographic and of the institutions characterization; and also by the application of the Quality of Life scale WHOQOL-BREF. In the original study, the variables were grouped into three categories: Elderly, Institution and Elderly at the Institution. In this paper we present only the results for the category Elderly at the Institution. The results show statistically significant differences regarding to the physical condition of the elderly, presence of social support, quality of visits, participation of social support in the care, ability to obtain temporary periods of absence from the institution and degree of autonomy. The physical condition of the elderly and the degree of autonomy proved to be key issues in the perception of good quality of life for the elderly. Similarly, social/familial support is an important factor for the institutionalized elderly and should be preserved, towards proper social and family reintegration.
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Humans , Male , Female , Aged , Health of Institutionalized Elderly , Quality of Life/psychology , Self Concept , Cross-Sectional Studies , Health Policy , Homes for the AgedABSTRACT
Objective To explore the continuous care needs of stroke patients when discharge,and analyze the related influenced factors.Methods One hundred and twenty cases with first stroke attack were selected,and their continuous care needs were investigated by methods of filling in questionnaires when discharged.The National Institutes of Health Stroke Scale and Barthel Index were applied to assess the severity of acute stroke and their ability of daily life when cases were admitted and discharged,respectively.We investigated the continuous care needs of stroke patients,and analyzed the relationship of that with the severity of acute stroke and their ability of daily life.Results The top five continuous care needs were knowledge of stroke,safety administration,methods of rehabilitation,self control and monitoring blood pressure,and diet direction.Those ratios of needs ranged from 87.25%to 94.12%.The score of continuous care needs had a positive relationship with that of NIHSS(r=0.271,<0.05),and had a negative relationship with that of BI both at the time of discharge(r=-0.226,<0.05).Conclusion The various continuous care needs are very common in patients with first stroke attack for varied reasons.More serious the neurological dysfunction and lower ability of daily life,higher the level of needs for continuous care.
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Objective To investigate the effect of continuous care provided by midwife group personnel to pregnant women.Methods 100 cases of pregnant women were screened out and divided into the study group and the control group with 50 patients in each group randomly.The study group received continuous care provided by midwife group personnel,the control group received traditional nursing.Effect of different nursing measures on mothers and neonates were compared.Results Antenatal cognition and rate of natural delivery of the study group were higher than the control group.The rate of neonatal asphyxia and postpartum depression occurred in the study group were lower than the control group,Maternal and family sarisfaction and rates of breasffeeding of the study group were higher than the control group.Conclusions Continuoas care provided by midwife group personnel can increase antenatal cognition and rate of natural delivery,maternal and family satisfaction.breast feeding rates and the overall quality of nursing staff,reduce rate of neonatal asphyxia with few postpartum depression,then improve the quality of perinatal care.