Survey on health self-focused attention and disease awareness among patients with essential hypertension in the community / 中华全科医师杂志

Objective:To survey the health self-focused attention and disease awareness among patients with primary hypertension in the community.Methods:Twenty patients with essential hypertension in the community participated in one-on-one in-depth interviews from May to June 2021. The contents of the interview include basic personal information, opinions and concerns about their own health status, knowledge and attitude towards essential hypertension (including disease experience, illness feedback, active disease control and management, communication with doctors and peer patients). Colaizzi 7-step analysis method was used to analyze the interview results and summarize the topics, and the obtained topic information was transformed into semi-quantitative items for cluster analysis.Results:Seven topics were sorted out from the interview information, and 17 items were formed after semi-quantitative processing. After cluster analysis, the interviewees can be divided into two categories. There were significant differences between the two categories in the performance of 9 items, specifically: self-evaluation of blood pressure control, perceived overall health status, attention to their own health, opinions on the relationship between hypertension and family history, frequency of blood pressure monitoring, knowledge of hypertension prevention and treatment, difficulty in the treatment process, drug treatment effect, and patient support. When the number of clusters was 2, the contour coefficient was 0.21.Conclusion:The psychological concept of "health self-focused attention" exists objectively in essential hypertension patients, and patients with higher "health self-focused attention" can actively perceive their own health status and have better self-health management behaviors.

Effect of parent-child bibliotherapy on symptom management and self-management behaviors in school-age children with asthma / 中国实用护理杂志

Objective:To investigate the effect of parent-child bibliotherapy on symptom management and self-management behaviors in school-age children with asthma.Methods:From January 2018 to December 2019, a total of 130 school-age asthma children were randomly divided into experiment group ( n=65) and control group ( n=65) by random number table method. Children in the control group received routine care, experiment group carried out parent-child bibliotherapy based on the routine care and assessed after three months of intervention. The times of asthma attack and emergency treatment were recorded between two groups, the daytime and nighttime symptom scores were assessed according to the Guidelines for the diagnosis and treatment of bronchial asthma in children, and self-management behaviors was measured by Self-management Behavior Questionnaire for Asthmatic Children. Results:After three months of intervention, the average frequency of asthma and emergency treatment in the experiment group (1.84±0.51), (1.16±0.58) times were reduced, compared to (2.53±0.85), (1.34±0.32) times in the control group, the difference was statistically significant ( t values were 2.281, 2.084, P<0.05). After three months of intervention, the daytime and nighttime symptom scores were (1.54±0.35) points and (1.40±0.17) points, lower than (2.15±0.43) and (1.98±0.52) points in the control group, the difference was statistically significant ( t values were 2.632, 2.338, P<0.05).; the total self-management behaviors scores and diet, avoidance of allergens, recognition and treatment of asthma attack, exercise, drug scores were (3.08±0.32), (3.02±0.83), (2.54±0.66), (3.46±0.50), (3.09±0.79), (3.23±0.85) points, higher than (2.74±0.34), (2.68±0.65), (2.18±0.88), (2.97±0.79), (2.77±0.78), (2.81±0.69) points in the control group, the difference was statistically significant ( t values were 2.187, to 5.588, P<0.05). Conclusion:The parent-child bibliotherapy can effectively improve the self-management behaviors and relieve the symptom of asthma and reduce the times of attacks and emergency treatment of school-age children with asthma.

Correlation between hope level and self-management behaviors among patients with type 2 diabetes / 现代临床护理

Objective To investigate the correlation between hope level and self-management behaviors among patients with type 2 diabetes.Method One hundred and ninety-eight hospitalized patients with type 2 diabetes were recruited in the investigation by convenience sampling in a first-class grade I hospital from December 2015 to April 2016 to understand the status of hope and self-management behaviors as well as the correlation between them.Results The score on hope level was (35.0±3.6),which was in a medium or above level.The total score of self-management behaviors was (84.1 ±13.0),which indicated their self-management remained in the middle level.The total score on the hope level and its all dimensions were positively correlated with the total score on self-management behaviors and the dimensions such as drug compliance,foot care,high and low blood sugar processing (all P ＜0.05).There was a positive relationship between maintain close relationship with others and regular exercise (P＜0.05).The average score on hope and each dimension were insignificantly correlated with diet control and blood glucose monitoring (all P＞0.05).Conclusions The hope of 2 diabetic patients is in a medium or above level.The hope level is closely related to their self-management behaviors.The nurses should pay attention to the hope level of patients.Effective nursing interventions should be adopted to improve the self-management ability and quality of life in patients with type 2 diabetes.

The correlation analysis of self- management behavior with self- efficacy of patients with lower extremity arterial disease / 中国实用护理杂志

Objective To investigate the relationships between patients′self- management behaviors and self- efficacy with lower extremity arterial disease, and supply evidence for effective management and intervention of lower extremity arterial disease for clinical medical workers. Methods In August 2014 to January 2015,a total of 110 cases of hospitalized patients with lower extremity arterial disease of two hospitals′vascular surgery from Guangzhou completed questionnaires, including the General Information Questionnaire, Chronic Disease Self- management Behavior - Chinese version, Chronic Disease Self- efficacy -Chinese version. Results The total score of self- management behavior of patients with lower extremity arterial disease ranged from 0 to 69, with an average score of 18.93 ± 6.79, the overall level was not high. Self- efficacy score ranged from 6 to 60, with an average score of 32.25 ± 9.65, the overall level was moderate. Self -management behavior was positively correlated with self- efficacy and its dimensions, and negatively correlated with the dimensions of communication with doctors and Common disease management. Conclusions The clinical staff should strengthen education and guidance of self- management behaviors in patients with lower extremity arterial disease, promote the level of self- management behaviors and self- efficacy, improve the confidence of disease treatment and prevention, in order to achieve the purpose of health promotion.

Relationship between self-management behaviors and family functions among elderly patients with diabetes in community / 重庆医学

Objective To explore the relationship between self-management behaviors and family function among elderly pa-tients with diabetes in community in order to provide evidence for community nursing of diabetes.Methods A total of 670 elderly patients with diabetes were selected with convenience sampling household survey method and investigated with the family Adapta-tion,Partnership,Growth,Affection,and Resolve(APGAR)and the Summary of Diabetes Self-Care Activities(SDSCA).Results The family functions total score of the elderly patients with diabetes in community was (6.95±2.91),the self-management behav-iors total score was (20.06±5.80),among the self-management behaviors the score for exercise was the highest and blood glucose monitoring was the lowest;family function had remarkable positive relation with the total score of self-management behaviors a-mong elderly patients with diabetes in community(r=0.156,P <0.05).Conclusion There is a correlation between the self-man-agement behaviors and family function,good family function is conducive to the improvement of self-management behaviors for the elderly patients with diabetes.

Effects of discharge planning model on self-management behaviors of patients with coronary stent implantation / 中国实用护理杂志

Objective To investigate the effects of discharge planning model on self-management behaviors of patients with coronary stent implantation (CASI).Methods Using random control study,106 patients with CASI were divided into intervention group and control group by random digits table method with 53 cases each.The intervention group was received discharge planning services.The control group was received routine nursing and follow-up of department of cardiology.In the process of study due to lost to fall off in 5 cases,including 2 cases of intervention group and 3 cases of control group.The level of self-management behaviors of patients was evaluated before intervention,after 1 month and 6 months of intervention.Results The total scores of self-management behaviors of patients after 1 month of intervention was (94.59±8.43) scores in intervention group,which was higher than that in control group (83.41 ±7.91)scores,and there was significant difference,P＜0.01.The total scores of self-management behaviors of patients after 6 months of intervention was (91.68±9.01) scores in intervention group,which was higher than that in control group (78.32±8.52) scores,and there was significant difference,P＜0.01.Conclusion Discharge planning model can effectively improve the level of self-management behaviors of patients with CASI,improve the quality of life,ensure the implementation effect of continuing nursing care service.

Analysis of factors influencing self-management behaviors in patients receiving maintenance hemodialysis / 中国实用护理杂志

Objective To assess patients' self-management behaviors and examine factors influencing self-management behaviors in patients undergoing maintenance hemodialysis.Methods This research was conducted as a descriptive survey by 125 patients from a hemodialysis clinic in Tianjin.The data were collected with self-management behaviors questionnaire of hemodialysis patients and self-efficacy scale for managing chronic disease.Results Regression analysis revealed sex,educational level and selfefficacy were independent predictors for self-management behaviors.Conclusions Hemodialysis patients' self-management behaviors need to be improved in the future.Healthcare professionals should recognize the factors hindering self-management behaviors from the patients' perspective while assisting them with appropriate skills in making behaviors changes possible.