ABSTRACT
Objective To investigate the effect of construction-process-result three-dimensional quality assessment mode in continuing nursing to patients with liver cirrhosis after endoscopic variceal ligation (EVL). Methods Toally 100 patients with liver cirrhosis after EVL hospitalized in the hospital between January 2014 to December 2015, 50 patients among them during January to December 2014 were set as the control group, the other 50 ones during January to December 2015 as the experiment group. The control group only received routine instruction at discharge and those in the experiment group were treated with continuing nursing based on construction-process-result three-dimensional quality assessment mode. Both groups were followed up for six months after discharge and then compared in terms of medication and diet compliance and re-bleeding rate. Result The patients in the experiment group were significantly better than those in the control group (P<0.05) in the medication and diet compliance. Conclusions The construction-process-result three-dimensional quality assessment mode can improve the quality of continuing nursing for the patients with liver cirrhosis after EVL. It can enhance the medication.
ABSTRACT
Objective To investigate the influence of remote care management on the diet compliance and disease recurrence of patients with pancreatitis. Methods Seventy-four simple pancreatitis patients in our hospital from January 2013 to March 2014 were involved and numbered according to the administration order and divided into the observation group and the control group according to the random number table with 37 cases in each group. The two groups accepted conventional health education during hospitalization time. The control group was given intensive classes after discharge, while the observation group received remote care management. Twelve months later, the rate of disease recurrence and diet compliance of the two groups were observed and compared. Results After the management, the observation group was superior to the control group in diet compliance. The rate of disease recurrence was significantly lower in the observation group than that of the control group (all P<0.05). Conclusion The remote care management can effectively improve the diet compliance of pancreatic patients, lower the recurrence rate, and have positive effect on prognosis.
ABSTRACT
The purpose of this study was to investigate the compliance with low-salt diet in essential hypertension patients, and to identify the related factors of compliance with low-salt diet. The subjects of this study were 177 hypertensive patients who have been followed at Seoul National University Hospital outpatient clinic. The data was collected from August 20, 1998 to September 22, 1998, through survey using a self-report questionnaires and chart review. 24-hour urine sodium excretion was measured for validation of self-reported low-salt diet compliance from 22 patients who agreed for 24-hour urine collection. The questionnaires consist of general characteristics, disease-related characteristics, diet-related characteristics, and 4 scales: (1) Numeric scale (2) Knowledge of low-salt diet (3) Family support for low-salt diet (4) Low-salt diet compliance. The results were as follows: 1) The mean score of low-salt diet compliance was 38.97 +/- 9.26. The mean salt intake converted from 24-hour urine sodium was 16.81g/day, which was much greater than recommendation. The percentage of patients who were taking salt 6-8g/day was only 13.6%, and 8-10g/day was 13.6%. 2) The mean score of knowledge of low-salt diet was 5.12 +/- 1.81. The mean score of family support for low-salt diet was 30.08 +/- 8.81. The patients received emotional, instrumental, evaluative, and informational aspect of family support in sequence of amount. 3) Several factors were found as significant factors which influence low-salt diet compliance. Those were knowledge(p=.015), family support(p=.000), age(p=.039), diastolic pressure(p=.014), previous dietary habit(p= .000), duration of low-salt diet(p=.000), recognition of importance of low-salt diet on hypertension control(p=.000), and recognition of necessity of low-salt diet while antihypertensive drug therapy(p=.030). 4) Four significant predictive factors of low-salt diet compliance were identified: (1) Family support accounted for 24.8% of low-salt diet compliance (2) Previous dietary habit, 14.4% (3) Recognition of importance of low-salt diet on hypertension control, 3.7% (4) Diastolic pressure, 2.1%. Therefore, these factors accounted for 45.0% of low-salt diet compliance. In conclusion, low-salt diet compliance in hypertensive patients was very poor, which call for nursing intervention for enhancing low-salt diet compliance. It is necessary to provide practical knowledge of low-salt diet for hypertensive patients and family members.