Home Table of Contents
25 December 2019, Volume 26 Issue 24
-
Select all|
-
Journal of Nursing. 2019, 26(24): 1-5. https://doi.org/10.16460/j.issn1008-9969.2019.24.001Objective To understand the extended nursing need of stroke patients and analyze its influence factors. Methods With random sampling method, 240 hospitalized stroke patients were investigated by a questionnaire of extended nursing need and then the influence factors were analyzed by multiple linear regression. Result With Likert scale, the score of extended nursing need of stroke patients was 4.32±0.57. Regarding to remote service of APP, patients were concerned more about online inquiry, appointment of home nursing, health education and blood monitoring. Multiple linear regression analysis showed that age, marital status, occupation, current residence, whether combined with hypertension,caregivers entered the regression equation, which accounted for 50.4% of the total variance. Conclusion Stroke patients are in an emergent need for extended nursing and they have a strong but different desire for APP, particularly for its function of remote service. Age, marital status, occupation, current residence, whether combined with hypertension or not and the caregiver are the influence factors of extended nursing need.
-
Journal of Nursing. 2019, 26(24): 9-10. https://doi.org/10.16460/j.issn1008-9969.2019.24.009
-
Journal of Nursing. 2019, 26(24): 22-27. https://doi.org/10.16460/j.issn1008-9969.2019.24.022Objective To select and obtain the relevant evidence of good limb position management in hemiplegic patients with cerebral infarction, and summarize the best evidence, so as to provide reference for nursing staff to implement good limb position management. Methods We searched the Cochrane Library, PubMed, JBI Summary, Web of Science, CINAHL, National Institute for Health and Care Excellence（NICE）,medical pulse flux, Up To Date, China National Knowledge Infrastructure, Wanfang, CBM database and referred to books published by National Administration of Traditional Chinese Medicine and committee of rehabilitation nursing of Chinese Association of rehabilitation medicine, to collect evidences including guidelines, standards, recommended practices, system evaluation, original research and review. The quality of the included literatures was evaluated by 2 researchers, and the evidences of literatures meeting the quality standards were extracted. Results Thirteen articles were selected,including 2 guidelines, 1 standard, 1 recommended practice, 4 systematic evaluations, 1 case-series study, 1 review and 3 original studies. Twenty-two best evidences were summarized out of 30 evidences from five dimensions including team, training and education, time intervention, tool intervention and body position. Conclusion It is suggested that good limb position management should be implemented for all the patients with hemiplegia as soon as possible. Diversified training for nurses, standardized body position, appropriate tools and scientific nursing are important to prevent hemiplegic side limb spasm and complications thus to improve the quality of life.
-
Journal of Nursing. 2019, 26(24): 28-31. https://doi.org/10.16460/j.issn1008-9969.2019.24.028Objective To explore the association between organizational commitment and professional environment in care workers in nursing home. Methods With convenient sampling, 293 care workers in 22 nursing homes in Hangzhou from January to April 2018 were investigated by using general information questionnaire,Organizational Commitment Questionnaire(OCQ) of Chinese Employees and Gallup Workplace Audit. Results The score of organizational commitment and work environment was 59.62±9.34 and the score of dimension of emotion commitment, norm commitment, ideal commitment, economy commitment and opportunity commitment was 14.25±2.35, 14.01±2.14,11.89±3.10,10.39±2.82 and 9.09±3.01 respectively. The total score of professional environment was 42.65±5.61 and the score of each dimension of team cooperation, support from leaders, basic need and self-realization was 14.85±2.34,12.90±2.51, 7.76±0.98 and 7.14±1.50 respectively.Pearson analysis revealed that organizational commitment had a significant association with professional environment（r=0.541, P=0.003）. Conclusion Organizational commitment is in a mediate level and it has close association with professional environment. Multi-dimension management such as recruitment, training and hierarchical management would be conducive to the improvement of professional environment, thus to promote organizational commitment and further stabilize healthcare team.
-
Journal of Nursing. 2019, 26(24): 32-35. https://doi.org/10.16460/j.issn1008-9969.2019.24.032Objective To understand the spiritual health status of maintenance hemodialysis patients and to explore its influence factors. Methods With convenient sampling, 190 hemodialysis patients regularly treated in a tertiary grade-A hospital in Chengdu from June to September 2019 were investigated by using a self-designed general information questionnaire, the Chinese version of the Functional Assessment of Chronic Illness Therapy Spirit (facit-sp-12) and the Family Care Index Scale. Ordinal logistic regression was used to analyze the influencing factors of spiritual health. Results The total score of spiritual health of maintenance hemodialysis patients was 25.79±6.44. Ordinal logistic analysis showed that self-rated sleep quality (OR=1.728, 95%CI:0.453~2.309) and family care (OR=1.657, 95%CI:0.258~2.239) were the influencing factors of the spiritual health (P<0.05). Conclusion The spiritual health of patients with maintenance hemodialysis is in a medium level. In clinical practice, the patients with poor sleep quality and severe family care disorders should be focused on. Targeted measures should be adopted to improve the spiritual health of patients.
-
Journal of Nursing. 2019, 26(24): 41-44. https://doi.org/10.16460/j.issn1008-9969.2019.24.041
-
Journal of Nursing. 2019, 26(24): 49-52. https://doi.org/10.16460/j.issn1008-9969.2019.24.049
-
Journal of Nursing. 2019, 26(24): 53-56. https://doi.org/10.16460/j.issn1008-9969.2019.24.053Objective To explore the effects of dialect video education combined with teach-back method in the rehabilitation of elderly patients after total hip arthroplasty. Methods Eighty cases of elderly patients who underwent primary unilateral total hip replacement due to femoral neck fracture were randomly divided into control group and experimental group, with 40 cases in each group. Routine postoperative health education was implemented for the two groups, and additional dialect video education combined with teach-back method for the experimental group. Results The compliance of functional exercise, the satisfaction with nursing care and postoperative Harris hip score of the experimental group were better and higher than those of the control group 1 week, 1 month and 3 months after the operation (P<0.05). Conclusion The combination of dialect video education and teach-back method could promote patients' compliance of functional exercise after total hip arthroplasty, thereby improve the function of the hip joint and patient satisfaction.
