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Objective To evaluate the effects of nurse-led team management on self-management and hyperten-sion control for community-dwelling hypertensive patients. Methods A quasi-experimental study design was adopt-ed,two communities were elected as the intervention group and the control group in Wuhou District,Chengdu,and 102 hypertensive patients were recruited from each group. The intervention group received nurse-led team manage-ment for 2 years,and intervention methods included individual management,phone or home follow-up,collective inter-vention and so on. While the control group received doctor-led hypertension management. The patients' self-man-agement behaviors and hypertension control were evaluated before the intervention and 6,12,24 months after the intervention. Results After 24-month nurse-led team management,scores of self-management behaviors and hyper-tension control rate of patients in the intervention group were significantly higher than those of patients in the con-trol group(P<0.05). Conclusion Nurse-led team management could significantly improve self-management behaviors and the rate of hypertension control for hypertensive patients.
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This paper summarizes the intervention of chronic kidney disease at home and abroad from the intervention places, objects, contents, methods, executants and evaluation. Some intervention problems have been found in this paper: intervention places do not extend to the basic medical institutions; we draw less attention to those patients with special health needs; the theoretical basis of intervention strategies is inadequate; the content and evaluation of intervention are not comprehensive. The intervention research of chronic kidney disease in China is still a long way to go.
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The negative emotion of diabetes mellitus patients affects their treatment and management, so the emotional intervention has becomed an important aspect to control the disease. This paper summarizes the intervention object, content, methods and evaluation, analyze the status of emotional intervention, to provide a basis for follow-up interventions.
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Objective To understand the diabetic patients' attention towards their disease and promote the implement of self-management behaviors.Methods The questionnaire designed byThe new community care model in China-community care and management about chronic disease project was used to investigate 387 diabetic patients in two communities in Chengdu,understanding their attention situation to their disease and its' influenced factors.Results 56.1％(217/387) patients were aware of their own disease status.Univariate analysis showed that different communities (x2=40.858),age(x2=8.138),disease duration (x2=4.698),complications of diabetes (x2=31.643),special outpatient service (x2=7.181) had statistically significant influence on patients' attention towards their disease,P＜0.01 or ＜0.05.While Logistic regression analysis showed that different communities(Wald=35.953),complications of diabetes (Wald=20.068),special outpatient service (Wald=7.192) had statistically significant influence on patients' attention towards their disease.Conclusions The diabetic patients' attention towards their disease is insufficient in community,the factors include different communities,complications of diabetes,the medicare form,and it suggests that the community should focus on strengthening the patient's awareness of the disease situation,then effectively improve their self-management behavior.
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Objective In order to understand the students' experience and satisfaction in community nursing practice and the factors that influence them,to provide a basis for improving the quality of teaching in community practice.Methods The students were invited to compete the questionnaire that consisted of preceptors,the length of clinical practice time in hospital,practice items and satisfaction,opinions and harvest to community practice after completing 3-week practice in a designated community placement.Results 327 nursing undergraduates participated in the survey,and the average practice items were (9.7±2.0).The satisfaction of students was (3.89±0.58) points.There were significant differences of practice items and the scores among different preceptors,duration of students practice in hospital ahead,and the length of community conducting the practice teaching.There was a positive correlation between practice items and the satisfaction of students.Conclusions It is time to improve the quality of preceptors,strengthening the practice management in late stage,and promote students self-improvement.