RÉSUMÉ
Objective To investigate the level and influence factors of sleep quality for home-care colostomy patients with colorectal cancer. Methods The Pittsburgh sleep quality index were administered on 170 patients with colorectal cancer. Results The score of global Pittsburgh Sleep Quality Index (PSQI) was 7.193±4.355, which was significantly higher than 3.88±2.52 of the norm. And 37.3% (62/166) of colostomy patients with colorectal cancer reported poor sleep quality. 37.3%(62/166) of patients didn′t get 6 hours'sleep every night. The major reasons for sleep disturbance were night toilet visits, 22.3% (37/166) of patients went to night toilet more than 3 times per week. Logistic regression analysis showed that the type of colostomy ( OR=1.969, P=0.012) and discharge time ( OR=2.092, P=0.000) were influencing factors of sleep quality. Conclusion The sleep quality of colostomy patients with colorectal cancer were worse than normal people, and their sleep time were prevalent. The type of colostomy and discharge time were major influencing factors of sleep quality.
RÉSUMÉ
Objective To develop an instrument for measuring ICU staff′s beliefs and attitudes towards patients′early mobility and to establish the psychometric characteristics of this scale. Methods Based on the ICU medical personnel questionnaire developed by Jolley and a large number of related literature, the item pool was formulated. Preliminary draft was formed through expert consultation and a small sample pre-test. Totally 336 ICU staff were surveyed for investigation to test the validity and reliability. Results ICU staff's beliefs and attitudes of patients′ early mobility scale consisted of 38 items; there were 34 belief scales and 4 attitude scales, the exploratory factor analysis identified five principal factors and explained for 60.50％variance. The item content validity index ranged from 0.667 to 1.000, the scale content validity index was 0.911. The Cronbach α coefficient of the beliefs scale was 0.927 and the attitudes scale was 0.822. The Cronbachαcoefficient of each dimension of the beliefs scale was 0.616-0.906. Conclusions The self-designed ICU staff's beliefs and attitudes of patients′ early mobility scale has good validity, reliability and applicability to ICU staff.
RÉSUMÉ
Objective To construct and evaluate the effect of WeChat platform self-management program among colorectal cancer survivors with ostomies. Methods Totally 80 colorectal cancer survivors with ostomies were divided into two groups according the inclusive time with 40 cases each. The patients in the experimental group were applied WeChat platform self-management program, the control group were applied regular discharge telephone follow-up. The patients′ self-efficacy and quality of life were measured and compared prior to discharge, at 1 and 6 weeks after discharge. And the patients' occurrence of stoma complications were measured at 1 and 6 weeks after discharge. Results Due to quit research, finally complete the study of the experimental group for 36 cases, the control group for 35 cases. The total score of self-efficacy at 1 and 6 weeks after discharge were (72.05± 9.68), (84.91±16.01) points in the experimental group, and (63.00 ± 13.26), (72.20 ± 15.61) points in the control group, and there were statistically significant differences (t=-2.586, 3.388, P<0.01). The total score of quality of life at 1 and 6 weeks after discharge were (43.68±8.32), (49.49±8.61) points in the experimental group, and were (37.09± 5.57), (40.42 ± 8.01) points in the control group, and there were statistically significant differences (t=3.926, 4.596, P<0.05). Repeated measures analysis of variance showed that the intervention effect on the overall self-efficacy, stoma care self-efficacy, social self-efficacy and stoma quality of life was significant (F=4.287-10.744, P<0.05);the time effect on the overall self-efficacy and quality of life was significant (F=146.109, 90.105, P < 0.05); there were interactions between the effect of WeChat platform self-management program and time on the overall self-efficacy, stoma care self-efficacy, social self-efficacy, dietary efficacy, sexual life satisfaction efficacy, keep active efficacy and stoma quality of life ( F=4.452-21.777, P<0.05) . Chi-square analysis showed that the patients′occurrence of stoma complications at 1 and 6 weeks after discharge in the experimental group were lower than those in the control group:8.33%(3/36), 5.56%(2/36) and 31.43%(11/35), 25.71%(9/35), the differences were significant (χ2=5.980, 5.508, P < 0.05). Conclusions WeChat platform self-management program may be helpful for colorectal cancer survivors with ostomies after discharge in improving self-efficacy and quality of life, and in reducing stoma complications incidence.
RÉSUMÉ
Objective Research was performed to test how to improve the effectiveness of health education. Methods 236 patients after cesarean section, during June 1, 2015 to November 31, 2015 from Obstetrics I in our hospital were selected. According to the room number, they were randomly divided into single-number rooms, 119 people in the control group, with the aid of pictures, materials, individual or group concentrated postnatal health education, and double-number rooms, 117 people in the experimental group, based on previous education with the extra use of digital television platform. The effects of the two groups were compared. Results In the experimental group after cesarean section, patients′ anal exsufflation time for less than 24 h and more than 36 h was 41 cases and 5 cases respectively, and patients′defectation time for less than 72 h, more than 72 h and less than 96 h, more than 96 h was 45, 66 and 6 cases respectively, while compared with the control group, there was 21, 83, 15 cases respectively. The differences between the two groups were statistically significant (χ2=36.90, P < 0.05). In the experimental group, the breast-sucking times within 24 hours was (9.41 ± 1.35) times, compared with the (7.29±1.02)times in the control group. The difference between the two groups was statistically significant (t=13.76, P<0.01). In the experimental group, the incidents of newborn adding milk, neonatal jaundice and neonatal erythema was 16, 12, 20 cases respectively, compared with the 33, 25, 47 cases in the control group. The differences between the two groups were statistically significant (χ2=7.08, 5.16, 14.56, P <0.05). In the experimental group, the numbers of individual behaviors like brushing teeth and combing hair, and family consultation was 110, 110, 42 cases, while in the control group was 92, 85, 75 cases respectively. The differences between the two groups were statistically significant (χ2=13.35, 20.97, 17.36, P < 0.01). Conclusion The use of digital TV platform for postpartum maternal health education is suitable for mothers and their families, with the consideration of individual needs, parturients can watch materials repeatedly and whenever they want. The application will come out with better education results.