Analysis of the status quo of early postoperative pain belief in patients with mixed hemorrhoids and its influencing factors / 中国实用护理杂志

Objective:To investigate the current situation of early postoperative pain beliefs in patients with mixed hemorrhoids and its influencing factors, and to provide a basis for formulating targeted intervention measures.Methods:Totally 242 postoperative patients with mixed hemorrhoids who were treated in Guilin Integrated Traditional Chinese and Western Medicine were selected by convenience sampling method from January 2020 to January 2021 as the research object. The general information questionnaire, Pain Belief and Perception Scale, Visual Analogue Scale, Positive and Negative Emotion Scale were used to investigate. Multiple linear regression was used to analyze the factors influencing of early postoperative pain beliefs in patients with mixed hemorrhoids.Results:The total score of early postoperative pain belief in patients with mixed hemorrhoids was -21-30 (5.32 ± 2.57) points; the results of multiple linear regression analysis showed that age, education level, anal visual analogue score, and negative emotion scores were main factors affecting their pain beliefs ( r=0.736, P<0.05). Conclusions:Patients with mixed hemorrhoids have negative pain beliefs in the early postoperative period. Patients with advanced age, primary/junior high school, high anal pain intensity, and high negative emotion scores are more likely to have negative pain beliefs. Nursing staff should promptly formulate targeted intervention measures according to the main influencing factors in order to reduce the occurrence of negative beliefs about pain.

Qualitative study of pain catastrophic experience of patients after mixed hemorrhoid surgery / 中国实用护理杂志

Objective:To deeply understand the pain perception and experience of patients after mixed hemorrhoid surgery, so as to provide reference for taking targeted intervention measures to relieve pain symptoms.Methods:Purpose sampling method was used to conduct semi-structured in-depth interviews with 9 patients with postoperative pain of mixed hemorrhoids admitted to Guilin Hospital of Integrated Traditional Chinese and Western Medicine from February to March 2021, and Colaizzi phenomenological analysis method was used to analyze data and refine themes.Results:The pain perception and experience of patients after mixed hemorrhoid surgery can be summarized into 5 themes: fear of pain, persistent negative thinking about pain, perception of inability to cope with pain, emotional expectation, and expectation of Traditional Chinese Medicine nursing techniques.Conclusions:Patients after mixed hemorrhoid surgery have many burdens and needs in terms of pain experience. Medical staff must establish a complete pain management system for patients after mixed hemorrhoid surgery, aiming at the catastrophic pain experience of patients, correcting their cognitive level of pain management, and satisfying patients Alleviate the need for pain, establish an effective emotional and family support system, improve its pain self-management ability, and promote postoperative recovery.

Development of magnetic separator and its application in foreign body removal in laparoscopic surgery / 中国实用护理杂志

Objective:To make a magnetic separator and verify its application effect in the removal of foreign bodies in laparoscopic surgery.Methods:From February 2015 to September 2019 in Chengdu Sanliu Third Hospital Affiliated to Southwest Medical University, 46 surgical patients to be searched for during the laparoscopic surgery, such as needle breakage, needle drop, and titanium clip shedding, were selected as the research object. The observation group used a self-made laparoscope with a magnetic separator, and the control group used traditional methods, such as: laparoscopy to flip the tissue and C-arm X-ray positioning. The time to find the foreign body left after surgery, the incidence of postoperative subcutaneous emphysema, and the satisfaction of the surgeon were compared between the two groups.Results:The time to find the foreign body left after surgery was (15.36±3.62)min in the observation group and (75.83±10.30)min in the control group, there was significant difference( t value was 29.384, P<0.01). The incidence of postoperative subcutaneous emphysema was 13.70% (3/22)in the observation group and 83.30%(20/24)in the control group, there was significant difference( χ2 value was 37.079, P<0.01). The satisfaction of the surgeon was 100.0%(22/22)in the observation group and 16.7%(4/24)in the control group, there was significant difference( χ2 value was 48.765, P<0.01). Conclusions:For patients with foreign bodies left after laparoscopic surgery, the use of magnetic separators can significantly shorten the time to find foreign bodies, reduce the incidence of postoperative subcutaneous emphysema, and increase the satisfaction of the surgeon.

Effect of continued acceptance and commitment therapy intervention on post-traumatic growth of postoperative patients with breast cancer / 中国实用护理杂志

Objective@#To evaluate the effects of continued acceptance and commitment therapy intervention on post-traumatic growth of postoperative patients with breast cancer.@*Methods@#According to the hospitalization time, 120 patients with breast cancer were divided into observation group (62 cases) and control group (58 cases). From January to December 2017, 58 patients were used as control group. Regular health education and discharge follow-up were performed. Intervention with the commitment therapy 3 times; 62 patients from January to December 2018 were selected as the observation group. On the basis of the control group, the patient continued to receive and commit the intervention for 3 to 4 times from February to March after discharge. The post-traumatic growth status of patients before, at the time of discharge (after the intervention), at the hospital for 2 months, at the hospital for 3 months, and at the hospital for 6 months was assessed using the Simplified Chinese version of the Post-Treatment Growth Rating Scale (PTGI).@*Results@#There was no significant difference in the post-traumatic growth scores between the two groups (P>0.05). The post-traumatic growth scores of the two groups were 67.02±14.17, 66.93±14.24, which were better than 51.72±11.65, 51.86±11.67 before the intervention (t= 7.634, 7.725, P<0.05). At 3 months and 6 months after discharge, the post-traumatic growth scores of the observation group were (67.12±14.07) and (68.21±14.48), which were significantly better than the control group (54.17±11.64). 54.02±11.12), the difference was statistically significant (t= 7.957, 7.674, P<0.01).@*Conclusion@#Acceptance and commitment therapy intervention during hospitalization can effectively improve post-traumatic growth of postoperative patients with breast cancer. Continued admission and commitment therapy intervention after discharge can provide patients with out-of-hospital continuous care programs to improve post-traumatic growth of postoperative patients with breast cancer. It has a better long-term effect than the control group.

Correlation between family function and self-management in early patients with chronic kidney disease / 中国实用护理杂志

Objective:To investigate the status of family function and self-management in patients with chronic kidney disease in the early stage, and to analyze the correlation between the two.Methods:From May 2018 to November 2019, 242 early stage patients with chronic kidney disease in the Department of Nephrology of the Second Affiliated Hospital of Guangxi Medical University were selected as the research subjects. The family function assessment scale and self-management scale were used for investigation.Results:The average scores of family function in early stage of chronic kidney disease patients were (2.11±0.37) points, and the average scores of self-management were (2.29±0.63) points; family function was negatively correlated with self-management ( r value was -0.832, P <0.05). Multiple linear regression analysis showed that education level and family function were influencing factors of patient self-management ( t value was 15.916, 17.569, P <0.05). Conclusions:The family function and self-management of patients with chronic kidney disease need to be improved in the early stage. Family function can affect patients' self-management. Nursing staff should focus on the functions of communication and behavior control in the family functions of patients with early chronic kidney disease in order to improve their self-management ability.

A qualitative study on the driving forces of postpartum health promotion in gestational diabetes / 中国实用护理杂志

Objective:To understand the driving factors of postpartum health promotion behaviors in pregnant women with gestational diabetes.Methods:From September to October 2019, the purpose of the sampling method was to select 14 cases of gestational diabetic gynaecologists who visited the outpatient department of diabetes care in our hospital as the research subjects. The phenomenological research method was used to conduct a semi-structured interview. Colaizzi′s 7-step analysis method was used to organize and analyze the data to refine the subject.Results:The driving force of postpartum health promotion behaviors of gestational diabetes mothers mainly came from the internal driving force and the external driving force. The internal driving force was mainly the uncertainty of gestational diabetes, the solution of the problem improves self-worth, and the post-traumatic growth made patients re-understand life. The external driving force was mainly family support, full mobilization of subjective initiative, quantitative diet intake and building of a healthy lifestyle.Conclusions:The driving factors for postpartum health promotion of gestational diabetic women are complex and diverse. Medical staff should timely grasp the post-natal health promotion status of gestational diabetic women, and promote their self-support and social support.

Qualitative study on cognition and positive response to nausea and vomiting in patients with postoperative chemotherapy for breast cancer / 中国实用护理杂志

Objective:To understand the cognitive and positive coping strategies of postoperative chemotherapy patients with nausea and vomiting, and to provide a basis for clinical nurses to develop targeted intervention programs.Methods:From May to July 2019, 15 patients with postoperative adjuvant chemotherapy breast cancer who were hospitalized for breast surgery were selected by the purpose sampling method. The phenomenological research method in qualitative research was used to interview them. The Colaizzi data analysis principle was used to analyze the data and refine the theme.Results:Four themes were extracted through analysis: the perception of nausea and vomiting; the accompanying symptoms of nausea and vomiting; nausea and vomiting have different effects on patients' emotions and social interactions; patients adopt various ways to actively deal with nausea and vomiting, including self-regulation, behavioral adjustment, social support, and seeking professional help.Conclusions:Medical staff should pay attention to the nausea and vomiting of patients undergoing postoperative chemotherapy for breast cancer and the coping strategies adopted, and timely evaluate and intervene to alleviate the symptoms and improve their quality of life.

Correlation between family function and self-care ability in elderly patients undergoing total hip arthroplasty / 中国实用护理杂志

Objective:To investigate the status of family function and self-care ability in elderly patients with total hip arthroplasty, and analyze the relationship between them.Methods:From March 2018 to March 2019, the convenience sampling method was used. 224 elderly patients undergoing total hip arthroplasty who were hospitalized in the orthopedics department of the Red Cross Hospital of Yulin City, Guangxi were selected as the research objects. The Family Function Assessment Form (APGAR) and the Self-care Capability Scale (ESCA) were used to survey patients ′ family functions and self-care capabilities. Results:The total score of family function of elderly patients with total hip arthroplasty was 8.16 ± 1.98, and those with good family function accounted for 71.88%(161/224); the total score of self-care ability was 84.32 ± 6.54. Those with moderat to low self-care ability accounted for 81.70%(183/224). Patients ′ family function was positively correlated with self-care ability ( P <0.05). Conclusions:The family function of elderly patients undergoing total hip arthroplasty is closely related to their self-care ability. Interventions should be taken to improve the family function of the patients and thus improve their self-care ability.

Effect of multidisciplinary cooperative intervention on self-management and fluid retention in elderly patients with chronic heart failure / 中国实用护理杂志

Objective:To explore the clinical effect of multidisciplinary cooperative intervention in improving self-management and improving fluid retention in the elderly patients with chronic heart failure.Methods:Totally 130 cases of the elderly patients with chronic heart failure from January to December 2018 were enrolled and were divided into control group and observation group with 65 cases randomly. The control group received routine nursing instruction and telephone follow-up. The observation group was given multidisciplinary team guidance to patients self-management in addition to routine nursing instruction and telephone follow-up. After 3 months, the self-management and fluid retention of the two groups were compared.Results:After 3 months of intervention, the scores and total scores of the observation group in the four dimensions of drug management, diet management, psychological and social adaptation management, symptom management were 19.43±0.71,11.51±0.59,19.07±0.65,25.24±1.31, 72.65±7.16, the control group was 11.09±3.40, 6.05±1.71, 12.73±2.49, 15.72±4.18, 46.35±7.83. The scores and total scores of the observation group were better than those of the control group ( t value was 4.835-13.727, all P < 0.05).After intervention for 3 months, the proportion of severe edema, moderate edema and mild edema in the observation group was 4.61% (3/65), 13.85% (9/65), 81.54% (53/65), respectively, and the control group was 38.46% (25/65), 52.31% (34/65) and 9.23% (6/65) respectively. The degree of fluid retention in the observation group was better than that in the control group ( Z value was -2.373, all P < 0.05). Conclusion:Multidisciplinary cooperative intervention can improve self-management and improve fluid retention in elderly patients with chronic heart failure.

Correlation between fear disease progression and hope level in patients with transient ischemia attack / 中国实用护理杂志

Objective:To investigate the status of fear disease progression and hope level in patients with transient ischemia attack and to analyze the relationship between them.Methods:From January 2018 to March 2020,a convenient sampling method was used to select 136 patients with transient ischemia attack. The Chinese version of the Fear of Progression Questionnaire-Short Form(FoP-Q-SF) and Herth Hope Index(HHI) were investigated.Results:The total score of FoP-Q-SF in patients with transient ischemia attack was 32.78±5.34, and the total score of HHI was 34.86±5.12. The total score of FoP-Q-SF and the scores of each dimension were negatively correlated with the total score of HHI and the scores of each dimension ( r values were -0.613--0.376, all P<0.05). Conclusions:Patients with transient ischemia attack have a higher level of fear disease progression, which is related to the level of hope, and can reduce the level of fear disease progression by increasing the level of hope.

Effect of continued acceptance and commitment therapy intervention on post-traumatic growth of postoperative patients with breast cancer / 中国实用护理杂志

Objective:To evaluate the effects of continued acceptance and commitment therapy intervention on post-traumatic growth of postoperative patients with breast cancer.Methods:According to the hospitalization time, 120 patients with breast cancer were divided into observation group (62 cases) and control group (58 cases). From January to December 2017, 58 patients were used as control group. Regular health education and discharge follow-up were performed. Intervention with the commitment therapy 3 times; 62 patients from January to December 2018 were selected as the observation group. On the basis of the control group, the patient continued to receive and commit the intervention for 3 to 4 times from February to March after discharge. The post-traumatic growth status of patients before, at the time of discharge (after the intervention), at the hospital for 2 months, at the hospital for 3 months, and at the hospital for 6 months was assessed using the Simplified Chinese version of the Post-Treatment Growth Rating Scale (PTGI).Results:There was no significant difference in the post-traumatic growth scores between the two groups ( P>0.05). The post-traumatic growth scores of the two groups were 67.02±14.17, 66.93±14.24, which were better than 51.72±11.65, 51.86±11.67 before the intervention ( t= 7.634, 7.725, P<0.05). At 3 months and 6 months after discharge, the post-traumatic growth scores of the observation group were (67.12±14.07) and (68.21±14.48), which were significantly better than the control group (54.17±11.64). 54.02±11.12), the difference was statistically significant ( t= 7.957, 7.674, P<0.01). Conclusion:Acceptance and commitment therapy intervention during hospitalization can effectively improve post-traumatic growth of postoperative patients with breast cancer. Continued admission and commitment therapy intervention after discharge can provide patients with out-of-hospital continuous care programs to improve post-traumatic growth of postoperative patients with breast cancer. It has a better long-term effect than the control group.

Effect of group acceptance and commitment therapy on post-traumatic growth of patients with concomitant brain injury / 中国实用护理杂志

Objective To investigate the effect of acceptance and commitment therapy intervention on post-traumatic growth of patients with concomitant brain injury in group context. Methods From January 2016 to January 2017, 40 patients with recovery from craniocerebral injury such as car accidents and work-related injuries were set as the control group, and regular health education and guidance were conducted twice a week for 6 times. From February to February 2018, 42 patients with recovery from craniocerebral injury such as car accidents and work-related injuries were set as observation groups. The observation group was given a 3-week group acceptance and commitment therapy intervention on the basis of the control group. Before and after the intervention, the simplified Chinese version of the post-traumatic growth rating scale was used for evaluation. Results After intervention, the total scores of life perception, personal strength, new possibility, relationship with others, self-transformation and post-traumatic growth were (18.68 ± 3.86), (11.35 ± 2.67), (10.49 ± 2.48), (14.35 ± 2.95), (10.49 ± 2.32), (65.36 ± 14.28) points in the observation group, and were (13.23±3.10), (9.46±2.41), (6.82±1.72), (11.81±2.06), (7.91 ± 1.89), (49.23 ± 11.18) points the control group, the difference between the two groups were statistically significant (t=7.325-8.289, both P<0.05). Conclusions Group acceptance and commitment therapy intervention can improve the post-traumatic growth level of patients with recovery period of craniocerebral injury, and provide a reliable basis for clinical medical staff to promote positive psychological adjustment of patients with recovery period of craniocerebral injury.

Qualitative study of breast surgery nurses on the cognitive and management of expected nausea and vomiting in patients with breast cancer / 中国实用护理杂志

Objective@#To understand the cognitive and management status of breast cancer patients with expectant nausea and vomiting in breast cancer patients, and to provide reference for taking targeted measures to improve the symptoms of nausea and vomiting.@*Methods@#From March to May 2018, 10 breast surgical nurses were selected by the purpose sampling method. The phenomenological research methods in qualitative research were used to interview them. The Colaizzi data analysis principle was used to analyze the data and refine the theme.@*Results@#A total of five themes were extracted: nurses generally knew the impact of nausea and vomiting on patients; lack of knowledge about the expected nausea and vomiting of chemotherapy; nausea and vomiting has not been evaluated as an independent symptom; there is still no targeted, systematic management Measures; lack of attention is a major obstacle to the management of nausea and vomiting in patients.@*Conclusion@#Nurses should strengthen the knowledge of chemotherapy-predicted nausea and vomiting in breast cancer patients, and effectively evaluate patients with nausea and vomiting. Nursing managers should formulate corresponding standardized interventions to improve patients' nausea and vomiting according to the existing problems. Improve the quality of life of patients.

Qualitative study of breast surgery nurses on the cognitive and management of expected nausea and vomiting in patients with breast cancer / 中国实用护理杂志

Objective To understand the cognitive and management status of breast cancer patients with expectant nausea and vomiting in breast cancer patients, and to provide reference for taking targeted measures to improve the symptoms of nausea and vomiting. Methods From March to May 2018, 10 breast surgical nurses were selected by the purpose sampling method. The phenomenological research methods in qualitative research were used to interview them. The Colaizzi data analysis principle was used to analyze the data and refine the theme. Results A total of five themes were extracted: nurses generally knew the impact of nausea and vomiting on patients; lack of knowledge about the expected nausea and vomiting of chemotherapy; nausea and vomiting has not been evaluated as an independent symptom; there is still no targeted, systematic management Measures; lack of attention is a major obstacle to the management of nausea and vomiting in patients. Conclusion Nurses should strengthen the knowledge of chemotherapy-predicted nausea and vomiting in breast cancer patients, and effectively evaluate patients with nausea and vomiting. Nursing managers should formulate corresponding standardized interventions to improve patients' nausea and vomiting according to the existing problems. Improve the quality of life of patients.

Impact of happiness therapy intervention on compliance and quality of life of acquired immune deficiency syndrome patients after discharge / 中国实用护理杂志

Objective@#To evaluate the influence of happiness therapy intervention on the medication compliance and quality of life of acquired immune deficiency syndrome (AIDS) patients after discharge.@*Methods@#A total of 106 adult AIDS patients discharged from hospital from July 2016 to July 2017 were randomly divided into control group (52 cases), observation group (54 cases). The control group was given routine health education and instruction, and three times of happiness therapy intervention were performed during the hospitalization. The observation group increased the number of happiness therapy intervention after discharge according to the patient′s medication compliance. The medication compliance scale and quality of life scale were used to evaluate the compliance rate and quality of life of patients in 2 groups at discharge, 3 months after discharge, 6 months after discharge, and 12 months after discharge.@*Results@#There was no significant difference in medication compliance and quality of life at discharge and 3 months after discharge between the two groups (P>0.05). At 6 months and 12 months after discharge, the compliance rate and quality of life scores in the observation group was 90.74%(49/54), 88.89%(46/54) and (69.62 ± 5.82) points, (68.76 ± 5.63) points, respectively, 61.54% (32/52), 59.62% (31/52) and (52.12 ± 4.30) points, (52.05 ± 4.25) points in the control group, the difference was statistically significant (χ2=9.684, 9.035, t=8.638, 8.963, P<0.01).@*Conclusions@#The happiness therapy intervention during hospitalization can effectively improve the medication compliance and quality of life of AIDS patients. After the discharge, the happiness therapy intervention can provide the patients with long-term nursing programs, which can improve the adherence and quality of life of AIDS patients compared with the control group Have a better long-term effect.

Relationship between the modest leadership behaviors of nurses in operating rooms and the status of nurses′ work-family gains / 中国实用护理杂志

Objective To investigate the modest leadership behaviors of nurses in operating rooms and the status of nurses′work-family gains, and to analyze their relationship. Methods From October to November 2017, a convenient sampling method was used to select 230 operating rooms from 3 tertiary-level A hospitals, 2 secondary A hospitals, and a tertiary A hospital in Guilin City, Guangxi Zhuang Autonomous Region. The nurses used the general information questionnaire, the humble leadership scale, and the work household income scale to conduct questionnaire surveys. Results The total score of the head nurse behavior scale of the operating room was (3.16 ± 0.38) points, and the total score of the nurse work family was (2.95 ± 0.46) points; the headroom behavior of nurses in the operating room was humble leadership behavior and the family income of nurses was increased. Positive correlation (r=0.678, P<0.05). Conclusions The humility leadership behavior of the head nurse can play a positive role in the growth of the work- room nurses′ family. The head nurse should pay attention to cultivate the leadership characteristics of the humility leadership behavior, so as to effectively enhance the work-family gain level.

Effect of employee assistance program service on clinical nurses' occupational delay satisfaction and professional identity / 中国实用护理杂志

Objective To explore the effect of employee assistance program service on clinical nurses' occupational delay satisfaction and professional identity. Methods A total of 106 clinical nurses were divided into observation group and control group by random number table with 53 cases each. The control group gave general support psychological care through the manner in which the head nurse talked, and the observation group provided employee assistance program services on this basis through group counseling and individual psychological counseling. Before and after the intervention, the occupational delay satisfaction scale and nurse occupational identity scale were used to assess them. Results There were 53 valid samples in the final observation group and 47 effective samples in the control group. There was no significant difference in the occupational delay satisfaction scale and nurse occupational identity scale before intervention between two groups. After the intervention, the occupational delay of the observation group nurse met the total score (24.01±4.57) points, which was higher than that of the control group (16.09 ± 3.65) points. The difference was statistically significant (t=8.543, P <0.05). After the intervention, the occupational identity of nurses in the observation group was (96.46±7.88) points, which was higher than that of the control group (81.05±6.79) points. The difference was statistically significant (t=9.347, P<0.05). Conclusions The employee assistance program service has effectively increased nurses' occupational delay satisfaction and professional identity.

Correlations between social support and effective disorder perceived by nurses in operating rooms / 现代临床护理

Objective To investigate the status quo of social support and effective disorder nurses perceived in the operating room and analyze the correlation between them. Methods A total of 200 nurses in the operating room of four general hospitals in Guangxi Zhuang Autonomous Region were enrolled to investigate the social support and the effective disorders using the perceived social support scale (PSSS) and Toronto Alexithymia Scale (TAS). Results The total scores by PSSS and TAS were (66.08 ± 10.64) and ( 53 . 85 ± 8 . 89 ) , respectively . The scores by PSSS and its dimensions were all negatively correlated with the score by TAS ( r=-0 . 492 , P < 0 . 05 ) . Conclusions The nurse-perceived social support is generally at the medium or above level and their affective disorder at a lower level. The nursing managers should pay attention to the nurses in the operating room, taking corresponding measures to improve their affective disorder and improve the quality of nursing.

Correlation between early postoperative social relationship quality and hope level in breast cancer patients / 现代临床护理

Objective To explore the status of early postoperative social relationship quality and hope level in patients with breast cancer and analyze the correlation between them. Method A questionnaire survey was conducted among 100 patients with breast cancer using the social relationship quality scale and Herth hope scale. Results The total score and expected total score of early postoperative social relationship were (47.86±6.10)and (30.81±1.86), respectively. There was a positive correlation between the two groups (r=0.324,P<0.05). Conclusions The quality of social relations in the postoperative patients with breast cancer is positively correlated with the level of hope. Nursing staff should give breast cancer patients hope and strength at the same time, helping them understand and use social relations to improve the quality of life.

Influence of strong concept on postoperative personality and quality of life of esophageal cancer patients / 现代临床护理

Objective To explore the effect of strong concept on the postoperative personality and quality of life of patients with esophageal cancer. Methods One hundred esophageal cancer patients during June to December 2014 were set as controls, and another 100 esophageal cancer patients during January to June 2015 as the observation group. The latter were intervened by strong concept including strong cognitive adjustment, belief adjustment and behavioral modification. Eysenck Personality Questionnaire and esophageal cancer QOL were used for evaluation. Results After the intervention, the scores on neuroticism, psychoticism and lie scale in the observation group were lower than those in the control group as well as pre-intervention , so it was with the scores on intrinsic and extrinsic scales. The quality of life in the observation group was significantly higher than that of the control group and before intervention (P<0.05). Conclusion Strong concept used for intervention can improve the personality of postoperative personality and quality of life of esophageal cancer patients by helping them to be confident and optimistic to face life positively.