Brief Discussion on Humanistic Nursing / 中国医学伦理学

Humanistic nursing is the basic form of contemporary nursing, the implementation of biological, psychological and social medical model in nursing, and a brand-new nursing theory system and nursing practice system. Humanistic nursing is rooted in contemporary nursing practice in China, and it is the most basic feature and development trend of contemporary nursing development. The novelty of humanistic nursing concept lies in that it is the basic concept of contemporary nursing, the academic feature of contemporary nursing, the value pursuit of contemporary nursing workers, the clinical nursing practice of caring for patients, and the basic guarantee for implementing the construction of Healthy China in the nursing field. The newness of humanistic nursing theory lies in that its connotation is a generalization of the basic nature of contemporary nursing, and its extension includes contemporary nursing theory, nursing system, nursing personnel training, nursing management, clinical nursing and other fields.

Effect of family support nursing system on continuous nursing of home recuperation after symptomatic internal carotid artery occlusion symptomatic internal carotid artery occlusion intervention / 中国实用护理杂志

Objective@#To observe the role of family support nursing system in the continuous care of patients with home rest and recuperation after symptomatic internal carotid artery occlusion (SICAO) intervention.@*Methods@#Selecting patients with SICAO interventional procedures from August 2015 to July 2017, According to the continuous nursing method during the rest period, they were divided into the control group and the research group, with 45 cases in each group. The control group underwent routine continuous nursing intervention, and the study group implemented continuous nursing intervention based on the family support nursing system. The modified Rankin Scale (mRS) score, Barthel Index (BI) score, and Comprehension Social Support Scale (PSSS) scores were compared between the 2 groups at discharge and at 6 months of care intervention. The compliance of the two groups was compared at 2 weeks and 6 months, and the complications of the 2 groups were compared between 2 weeks and 6 months.@*Results@#There were no significant differences in the scores of mRS, BI and PSSS between the two groups at the time of discharge (P>0.05).When the nursing intervention is 6 months,mRS, BI score and PSSS scores, the research team is(1.54±0.23), (68.36±7.15), (23.75±2.36), (45.34±5.63), (69.09±7.12), the control group was(1.96±0.25), (61.33±6.70), (21.33±2.62), (41.15±4.71), (62.48±6.12), the study group was superior to the control group, and the difference was statistically significant (t=-8.294-5.182, P<0.05).The treatment adherence rate of the study group at 2 and 6 months was82.22%(37/45), 93.33%(42/45). Higher than the control group 57.78%(26/45), 64.44%(29/45). The difference was statistically significant(χ2=6.402, 11.275, P<0.05). The complication rate of the study group intervention from 2 weeks to 6 months2.22%(1/45). Lower than the control group13.33% (6/45). The difference was statistically significant (χ2=87.333, P<0.05).@*Conclusions@#Continuing nursing intervention based on family support nursing system can significantly improve the neurological function of patients after SICAO intervention, comprehend family and social support, improve daily living ability and treatment compliance, and reduce complications.

Nurses' evaluation of the constitution of current grading nursing system / 中国实用护理杂志

Objective To understand the nurses' evaluation of current grading nursing system.Methods Self-questionnaire was designed and used to investigate 141 clinical nurses coming from three general hospitals sampled conveniently.Results (1)Clinical nurses lacked in-depth study of grading nursing instruction principle;(2)Doctors and nurses lacked the cooperation during the process of identifying the level of care;(3)Level of care was not consistent with the patients' condition and self-care ability;(4)Disease inspection and primary care were not consistent with patients' level of care;(5)Health guidance and mental nursing couldn't meet the actual needs of patients;(6)Senior nurses' evaluation of the implementation of grading nursing was lower than Junior nurses; (7)Clinical nurses held positive attitudes to nurses and patients participating in grading nursing.Conclusions Nurses thought poorly of grading nursing system in operation,it was necessary to improve the content of principles about grading nursing manner,health instruction and psychological nursing,and implement grading nursing system correctly.It was also important to take patients' willingness of participating in care into account.

Desenvolvimento do trato digestivo de bezerros leiteiros criados em sistema de aleitamento fracionado / Development of the digestive tract of dairy calves reared in a fractionated nursing system

To evaluate the effect of the fractionated nursing system in rumen development were used 12 Holstein calves, with an initial body weight average of 37.0 kg, individually maintained in holding pens. Conventional treatment was made with four liters of milk daily, during 60 days and fractionated nursing was composed by six liters from the 6th until 25th day, four liters of 26 to 45 and two liters from 46 to 59 days of life. Besides that liquid diet, Cynodon sp. hay, water and mineral supplement were freely offered. Food consumption was monitored daily. The animals were weighted weekly at morning, after the delivery of liquid diet. At 60 days, the calves were euthanized and the digestive system was weighted and rumen papillae were microscopically measured. The nursing system did not interfere significantly in concentrate, hay and total dry matter intake. In contrast, fractionated nursing resulted in higher body weight at 60 days and significant increase in absolute weight of digestive tract, rumen-reticulum, omasum and intestines, so as relative weight of omasum, intestines and mitotic index of ruminal papillae. The fractionated nursing system may be a feeding alternative to improve the rumen development and of calves.

Para avaliar o efeito do sistema de aleitamento fracionado no desenvolvimento ruminal de bezerros leiteiros holandeses, foram utilizados 12 animais, com peso corporal inicial médio de 37,0 kg, alojados individualmente em baias. O tratamento convencional constituiu-se de quatro litros de leite diários durante 60 dias e o fracionado, de seis litros do 6º ao 25º dia; quatro litros dos dias 26 a 45 e dois litros de 46 a 59 dias de vida, além de concentrado, feno de Cynodon sp., água e suplemento mineral, oferecidos livremente. O consumo dos alimentos foi monitorado diariamente e os animais, pesados semanalmente, após o fornecimento da dieta líquida, pela manhã. Aos 60 dias de vida, os animais foram abatidos e realizaram-se pesagens do trato digestivo e medidas histológicas das papilas ruminais. O sistema de aleitamento não interferiu significativamente no consumo de concentrado, de feno, de matéria seca total e no peso corporal final vazio. O aleitamento fracionado resultou em maior peso corporal final, pesos absolutos do trato digestivo, do ruminorretículo, do omaso e dos intestinos, de pesos relativos do omaso e dos intestinos e maior índice mitótico das papilas ruminais. O sistema de aleitamento fracionado pode ser alternativa para melhorar o desenvolvimento ruminal e o desempenho de bezerros.

Application study of construction of grading nursing care by physician-nurse cooperation decision-making in general hospital / 中国实用护理杂志

Objective To discuss the influence of grading nursing care by physician-nurse cooperation decision-making on the quality of patient care and disease outcomes,and evaluate the application feasibility of nursing core system in this nursing mode.Methods 379 patients were admitted to departments of orthopedics and endocrinology from two hospital areas of our hospital from January 2011 to January 2012.Patients were divided into two groups according to nursing process.Patients who were given conventional grading nursing were set as the routine group,and patients receiving physician-nurse collaboration grading nursing were set as the collaboration group.The nursing quality and nursing efficiency,and the disease outcome of patients were compared between the two groups.Results The quality of care,the qualified rate of care plan implementation,the coverage rate of health education of patients and the patient satisfaction rate were higher in the collaboration group than those in the routine group.The performing rate of doctor's orders,the awareness rate of patient disease,the average length of hospital stay,compliance of medical orders and re-admission rate of patients with the same or a related disease within three months were significantly different between two groups.The collaboration group improved the matching degree of nursing grade with disease condition,understanding of professional knowledge,recording of nursing records,deficient nursing process,and communication ability of life knowledge,compared with those of the routine group.Conchusions Nursing grading mode by physician-nurse collaboration decision-making can obviously improve the defmition of grading nursing and the general treatment effect of patients,it significantly improved the quality of grading nursing.

Nursing safety intervention mechanism of safety management effect observation in the operating room / 中国医学装备

Objective: To study the nursing safety of early intervention in the operation safety of significance and value. Methods: structural system safety nursing intervention system and nursing intervention group, strengthen the safety of surgery nursing process, positive structure risk intervention, safe and harmonious care system, and the communication with patients to guide nursing needs initiative requirements, in bad or accident occurs to timely summary and analysis, and make corresponding rules and regulations timely make up and change. Results:the study enthusiasm of nursing personnel was improved, and the service quality and prevent error ability was strengthened, safety and legal consciousness have been strengthened, and the operating process and system more standard, accident incidence reduced significantly, and increase patients satisfaction. Conclusion:be a timely reasonable safety prevention and effective nursing in the operation security urgent.

"Research of influencing factors on the implementation of ""general hospital guiding principles of nursing classification (trial)""" / 中国实用护理杂志

Objective To explore the influencing factors of the implementation of general hospital guiding principles of nursing classification (trial) in clinical nursing work.Methods 152 nurses and 143 doctors were selected from three 3A-level hospitals in Changchun and were investigated with self-designed questionnaires,and the data were statistically analyzed.Results The first three influencing factors were the responsibility,quantity and basic qualities of nurses.Grading nursing standards,leadership value degree and the differences of disease had lower influencing degree.There were cognitive differences between nurses and doctors on the influencing factors on implementation of the principle.Conclusions To improve execution of the principles,the cognition of doctors and nurses on the principles must be unified.Increasing nurses' basic quality and responsibility and carrying out effective human resources management are very useful.

A satisfação do paciente idoso com relação ao modelo de assistência de enfermagem baseado no Sistema Primary Nursing / The elderly patient satisfaction with respect to the model of nursing care based on Primary Nursing System

A partir do aumento da longevidade e das doenças crônicas degenerativas -acontecimentos que se podem constatar a olhos vistos na atualidade – como decorrência, pode-se verificar, em muito maior número de idosos, a questão do declínio funcional. A hospitalização em enfermarias geriátricas faz com que esta seja entendida como um lugar de fragilidade, tanto física quanto emocional. Tem-se, nos profissionais de enfermagem, aqueles que prestam assistência à saúde e à recuperação do paciente. No Sistema de Enfermagem apresentado neste artigo - o Sistema Primary Nursing - encontramos um método de assistência voltado ao acompanhamento de um paciente por um mesmo profissional desde o adendo de internação até a alta, tornando-se esse profissional o centro de comunicação do quadro clínico do respectivo paciente. Nesta pesquisa se procurou estudar a relação afetiva entre equipe de enfermagem e paciente hospitalizado. Concluiu-se, dessa relação, que o cuidado individualizado favorece as necessidades integrais de um paciente, contribuindo para uma melhor recuperação e satisfação desse paciente em situação de internação hospitalar...

With increasing longevity and chronic degenerative diseases which may be accompanied today is possible to realize a functional decline in older adults. The hospital stay in geriatric wards is seen as a place of weakness, both physical and emotional. It has been in the nursing professionals, those who provide health care and patient recovery, System of Nursing which is presented in this paper, the Primary Nursing System, we find a method of follow-up care back to the same professional from the addendum admission to discharge, where it becomes the communications center ofher condition. In this research we studied the affective relationship between a nursing team and the patient hospitalized. We conclude then, that promotes individualized care needs of the whole patient, contributing to a better recovery and patient satisfaction in a hospital situation...

Influence of hierarchical full-responsibility nursing system on health education effect of inpatients / 中国实用护理杂志

Objective To improve the effects of health education(HE)and satisfaction degree on HE of inpatients by executing hierarchical full-responsibility nursing. Methods Fourteen wards were randomly chosen form the hospital and divided into the control group and the experimental group, each group having 7 wards. The control group carried out routine holistic nursing model, and the experimental group carried out a new hierarchical full-responsibility nursing system. Reforming nursing scheduling and diminishing the nursing unit to assure that the patients acquired the continous and stable nursing service when they were in hospital. The effect and the degree of satisfaction of HE were compared between two groups after 6 months. Results The effects of HE in the experimental group were significantly better than those in the control group, and the degree of satisfaction on HE in the experimental group was much higher than in the control group. Conclusions The hierarchical full-responsibility nursing system can give patients systematic and normalized HE. It can significantly improve the effects and the degree of satisfaction on HE.