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Objective To learn the effects on improving mental anxiety and depression in empty-nest elderly with hip replacement by accompany care work, and the factors influencing psychological anxiety and depression after hip replacement in empty-nest eldly. Then to explore comprehensive nursing strategies for hip arthroplasty in empty-nest eldly. Methods We investigated empty-nest elderly with hip arthroplasty by using homemade questionnaire, SAS and SDS scale between november 2015 and october 2017. Different nursing methods were used to treat empty-nesters in different groups, and the influencing factors of anxiety and depression were analyzed.Results It is not statistically significant in demographic characteristics (χ2＜3.84, P＞0.05) and anxiety (t = 1.2037, P=0.2308) and depression (t =1.0094, P=0.3142) at the time of entering the hospital, etc. Patients anxiety is statistically significant at time of discharge (t =-5.0159, P≤0.001) and one month after discharge (t =-9.5160, P ＜ 0.001), Patients depression is statistically significant at time of discharge (t =-2.9271, P = 0.0039) and one month after discharge (t =-8.2383, P＜0.001).The factors causing anxiety is nursing mode, number of chronic diseases and postoperative complications. The factors causing depression are economic income, nursing mode, and number of chronic diseases.Conclusion Accompany care work can improve the problems of anxiety and depression in an empty-nest eldly man after hip replacement. It is related to anxiety in nursing patterns, chronic diseases, postoperative complications.Meanhiwle while depression is related to economic income, nursing patterns, and types of chronic diseases, etc.
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Objective To describe experiences of childbirth among spouses of primiparas.Methods Both questionnaire and semi-structured interviews were utilized in this study.Totally 135 expectant fathers were recruited from one tertiary obstetrics and gynecology hospital.Fathers' Experiences of Childbirth Questionnaire developed by Katri was used to collect data.Eighteen fathers were invited to participate the interviews.Results The mean scores of childbirth experiences were (4.36±0.32) for feelings about the staff and the environment,(4.32±0.37) for feelings about the birth of his child,(3.74±0.43) for feelings concerning his wife,and (3.58±0.58) for father's own feelings.Four themes were extracted from the interviews,including concern about wife and child,information and support,feelings about the care and the environment,self-consciousness.Conclusion Fathers' feelings about the staff and the environment are the most satisfactory dimension in childbirth experiences.The helpless feelings caused by labor pain should be responded by medical stuff.
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Objective To investigate the effect of non-accompany nursing on mood of caesarean section maternal. Methods A total of 320 caesarean section maternal were selected and divided into the observation group and the con-trol group with each group 160 cases. The both groups were given routine nursing. But the daily life nursing in the control group was performed by family members, the daily life nursing in the observation group was performed by hos-pital escort. The self-rating anxiety scale(SAS), salf-rating depression scale(SDS) were and satisfaction at 1 d before surgery and 6 d after surgery in two groups were recorded and compared. Results The SAS scores in two group at 1d before surgery were similiar. The difference was not statistically significant(P>0.05). But the SAS score of the observa-tion group(45.98±1.94) were lower than that of the control group(49.15±2.88), the difference was statistically signifi-cant(P<0.05). The SDS scores in two group at 1 d before surgery were similiar. The difference was not statistically significant(P>0.05). But the SDS score of the observation group(46.15±2.25)were lower than that of the control group(51.74±3.09), the difference was statistically significant(P<0.05). The satisfaction of the observation group was better than that of the control group. The difference was statistically significant(P<0.05). Conclusion Implementing the non-accompany nursing can effectively improve reduce the anxiety and depression of caesarean section maternal, contribute to improve the quality of rehabilitation.
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Objective To explore the effect of parental accompany on relieving pain and acute stress reaction in children with circumcision.Method Sixty children were divided into the experiment group and control group randomly with 30 cases in each group. Parental accompany was applied in the experiment group besides routine nursing method, while in the control group, only routine nursing method was used.The data of HR、MAP、SpO2、MOPS、VAS were recorded and compared during the operation between the two groups. Result There were significant differences in the MOPS,VAS , SpO2 , the quickest HR and the highest MAP between the two groups (all P<0.05).Conclusion The method of parental accompany during the operation can alleviate the stress reaction and enhance the threshold of pain in children.
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Objective To study on the significance of accompany relatives of children with access to pediatric transplantation ward on clinical treatment and nursing.Methods 37 children undergoing autologous peripheral blood stem cell transplantation (APBST) were collected from January 2007 to April 2010.All cases were divided into the no tending group(7 cases)and the tending group (30 cases).The accompany relatives of the tending group accepted standard training before entering the ward.The compliance with basic nursing,acute side-effect and hemopoiesis rebuild period of marrow during APBST in two groups were compared.Results The compliance with basic nursing of the no tending group was only 28.6％,but was 73.3％ in the tending group.According to Bearman standard,the acute side-effect of the no tending group:1 case of grade Ⅳ,1 case of grade Ⅲ,4 cases of grade Ⅱ,1case of grade Ⅰ; in the tending group:1 case of grade Ⅳ,1 case of grade Ⅲ,6 cases of grade Ⅱ,22 case of grade Ⅰ.The marrow-reconstitution took place in 36 children.The most long time was 41 days in the no tending group,the average time was (28.14+7.98)days.The time took for marrow-reconstitution was 22 days in the tending group,the average time was ( 14.61+2.33)days.Conclusions It is safe and feasible for accompany relatives of children to participate in nursing during transplantation.Relatives accompany is beneficial for psychology adaptability,nursing compliance and success of APBST.
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Objective To survey the influence of nursing intervention on cognition level for pressure sores and psychological state among accompany family members of patients with cerebral injury. Methods 123 accompany family members of patients with cerebral injury were selected and took part in the investigation about cognition level for pressure sores, besides, SDS and SAS were also adopted to evaluate their psychological state. Later nursing intervention was given to increase their cognition level for pressure sores, then another evaluation was carried out. Results before and after the intervention were compared. Results The accompany family members lacked knowledge of pressure sore, showed serious anxiety and depression for nursing pressure sore before intervention. But their cognition level for pressure sore improved and anxiety and depression lightened after intervention. Conclusions Nursing intervention is effective to alleviate cognition level for pressure sore and psychological state among accompany family members of patients with cerebral injury, which is worthy of clinical application.