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Objective:To explore the effect of pelvic floor muscle functional exercise based on Snyder hope theory in patients after prophylactic stoma retraction.Methods:74 patients with low rectal cancer who underwent prophylactic stoma retraction from July 2019 to June 2021 were randomly divided into intervention group and control group. The patients in the control group received routine nursing and pelvic floor muscle functional exercise. The patients in the intervention group received functional exercise intervention based on Snyder′s hope theory on the basis of the control group. The hope level and self-care ability of the patients in the two groups were evaluated before the intervention and 3 months after stoma restitution. The anal function of the patients in the two groups was evaluated 1 month and 3 months after stoma restitution.Results:Before the intervention, there was no significant difference in the score of hope level and self-care ability between the two groups ( P>0.05). Three months after the operation, the score of hope level in the observation group was 36.20 ± 3.82, which was higher than that in the control group (31.26 ± 5.03) ( t = 4.63, P<0.05). Three months after the operation, the self-care ability score of the observation group was 123.57 ± 10.82, which was higher than that of the control group (108.23 ± 9.48) ( t = 6.31, P<0.05). One month and three months after stoma retraction, the anal function scores of the observation group were 12.03 ± 3.94, 5.91 ± 2.05 respectively, which were lower than those of the control group (13.86 ± 2.19, 7.26 ± 1.74) ( t = 2.40, 2.99, both P<0.05). Conclusion:Pelvic floor muscle functional exercise based on Snyder′s hope theory can improve the hope level of patients after stoma retraction, improve their anal function and improve their self-care ability.
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Objective To study the effects of early rehabilitation with stroke patients by applying Snyder hope theory in clinical nursing. Methods A total of 76 acute stroke patients from Henan Province Hospital of Traditional Chinese Medicine were divided into two groups by random digits table method:experimental group and control group, 38 cases in each group. The final effective cases were 72 and 36 cases in each. The control group received routine care, while those in the experimental group accepted nursing intervention with Snyder hope theory based on routine puncture care for 4 weeks. Herth Hope Index(HHI), National Institute of Health Stroke Scale(NIHSS), Barthel Index(BI) and adherence score before and after 4 weeks were evaluated and compared between 2 groups. Results Before intervention and 4 weeks after intervention, the experimental group of patients with hope level score respectively (31.61 ± 1.95), (40.67 ± 4.01) points, NIHSS scores respectively (18.27 ± 5.31), (10.41 ± 4.21) points, BI scores respectively (37.19 ± 3.31), (46.12 ± 3.51) points, and adherence of functional exercise scores (0.97 ± 0.31), (2.81 ± 0.52) points. The differences were statistically significant (t=17.765-52.571, all P<0.01). There were statistically significant differences with hope level, NIHSS score, BI score before intervention and 4 weeks after intervention in the control group (t=5.435, 4.929, 11.067, all P<0.01), except for adherence of functional exercise scores (t=1.220, P=0.231) in the control group, but the change not as the experimental group. Compared with the control group, there were statistically significant in the score of hope level, NIHSS score, BI score and adherence of functional exercise with the experimental group after intervention ( t=6.030-10.690, all P<0.01). Conclusions The nursing with Snyder hope theory can promote the progress of early rehabilitation of acute stroke patients as well as the patients′exercise adherence.
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Objective:To explore the effectiveness of an 8-week hope group counseling on the level of hope in offenders.Methods:The experiment used quasi-experiment design and 24 offenders whose scores of Adult Dispositional Hope Scale (ADHS) were one standard deviation lower than the overall average were assigned to the intervention group (n =12) and the control group (n =12).The subjects in the intervention group received group counseling for improving the level of hope (90 min per week for 8 times),and the control group kept normal.The ADHS (including agency thoughts and pathway thoughts),Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were used to evaluate the effectiveness before and after intervention.Besides,the study involved the follow-up test in the forth-week after the intervention.Differences within groups were compared by using t-test of paired samples.Differences between groups were compared by using analysis of covariance and JohnsonNeyman method.Result:The results of differences within groups showed that,in the follow-up test,the scores of ADHS,agency thought and pathway thought were higher than that of before the intervention,and the scores of SAS were lower than that of before the intervention(Ps ＜0.01).The results of differences between groups showed that,=in the follow-up test,the scores of ADHS,agency thought and pathway thought were higher in the intervention group than in the control group,and the scores of SAS were lower in the intervention group than in the control group [(48.0 ±5.7)vs.(39.2 ±5.6),(23.1 ±3.4)vs.(19.0 ±3.2),(24.9 ±3.0)vs.(20.2 ± 3.4),(36.4 ± 7.6)vs.(41.2 ±6.5);Ps ＜0.01].The results of Johnson-Neyman method showed that when the scores of ADHS in the intervention group were between 8 and 37 points on the pre-test,the scores of hope on the post-test were higher in the intervention group than in the control group[(48.8 ± 4.9) vs.(35.7 ± 4.9),P ＜ 0.05].Conclusion:These findings suggest that the group counseling could improve the level of hope in offenders.