American Journal of Nursing Science最新文献

{"title":"Impact of Nursing Activity Group Model on Health Education of Patients with Drugs","authors":"Xiutin Li, Guiyan Wen, Yingfeng Huang, Huixia Yu","doi":"10.11648/J.AJNS.20211001.31","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.31","url":null,"abstract":"Objective: To assess impact of nursing activity group model on health education of patients with drugs. Methods: This study is a retrospective study, that we collected the data before and after the establishment of the nursing action group, and evaluated the effect of establishing the nursing action group by comparing the data. We performed this study in a general tertiary hospital from January 2019 to December 2020. There were 2 stages in the study. At stage 1 (January 2019 - December 2019), we carried out common nursing model in daily work. At stage 2 (July 2020 - December 2020), we implemented usual measures and the countermeasures of nursing activity group themed at improving health education of drug. Using the assessment of medication compliance, satisfaction of patient and drug cognition of patients, we compared the changes of patients’ health education before and after the interventions to evaluate the effect of nursing activity group model. Result: Most of assessments were significant difference between two group, that health education of gastroenterology drugs of nurse and training on drug using on nurses had significant improvement after carry out nursing activity group model. In patients’ assessment of medication compliance and satisfaction, there was only a small increase in patient satisfaction by carrying out nursing activity group model, but patients were observed to be improved significantly during carrying out nursing activity group. Conclusion: Nursing activity group model can improve medication compliance of patients, satisfaction of patients, and drug cognition of nurses.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127169689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Psychological Nursing Intervention on Child Patients Who Received Circumcision","authors":"Gui-bing Chen","doi":"10.11648/J.AJNS.20211001.32","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.32","url":null,"abstract":"Objective: To assess effect of psychological nursing intervention on child patients who received circumcision. Methods: We collected 112 valid data from child patients (younger than 14 years old), the patients who received circumcision from April 2017 to October 2020. Base on the type of nursing intervention patients receive, the patients were assigned to two groups: Control group participants (n = 62) received common nursing intervention before circumcision, and intervention group participants (n = 50) received psychological nursing intervention before circumcision. After circumcision, we collected the data from medical records and questionnaire, the questionnaires included Self-Rating Anxiety Scale (SAS), Self-rating depression scale (SDS) and satisfaction assessment questionnaire. Result: By comparing control group and intervention group, the patient characteristics were no significantly different in this study, including age, patient number who undergoing postoperative complications, operation time and anesthesia method (p > 0.05). Compared with control group participants, intervention group participants had better outcome in anxiety assessment and depression assessment, and their results were significantly different after carry out nursing intervention (p < 0.05). Compared with the participants who received common nursing and their family, the participants who received psychological nursing intervention and their family had higher satisfaction rate after circumcision (67.13% vs 92.54% and 65.34% vs 95.15%). Conclusion: psychological nursing intervention improve mental health of child patients who received circumcision, that it had better effect compare with common nursing intervention.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"7 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120977761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors for Fracture Events in Maintenance Hemodialysis Patients","authors":"Si-nan Shao, Huixia Yu","doi":"10.11648/J.AJNS.20211001.28","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.28","url":null,"abstract":"Objective: To explore risk factors for fracture events in maintenance hemodialysis patients. Methods: The study population was obtained from the hospital in patient database in China. There were 654 eligible patients with hemodialysis from 2018 – 2020. Other patient-related variables collected include gender, age, history of hypertension, history of diabetes mellitus, dialysis age, active vitamin D, hemoglobin, serum albumin, total cholesterol, triglyceride, serum corrected calcium. The primary outcome was any factors of fracture. Patients were followed until complete treatment or death. Besides, we performed subgroup analyses and used generalized linear models to assess interaction effects in logistic regressions. To clarify the relationship between fracture and risk factors, logistic regression was used. Result: By comparing non-fracture group and fracture group, we found that some factors were significantly difference, including gender, age, active vitamin D, and albumin (p = 0.001, p = 0.001, p < 0.001, p < 0.001). base on multivariate Logistic regression analysis of fracture occurrence in hemodialysis patients, older age, female, and low albumin were independent risk factors for fracture (p < 0.05). Also, the use of active vitamin D is a protective factor for fractures (p < 0.05). Conclusion: the risk factors for fracture events in maintenance hemodialysis patients included older age, female, low albumin, and active vitamin D.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129188962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing the Incidence of Hypoglycemia in Diabetic Hemodialysis Patients","authors":"Hongyan Peng, Rui Cao, Yaping Huang, Chazhen Li","doi":"10.11648/J.AJNS.20211001.30","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.30","url":null,"abstract":"Objective: To explore factors influencing the incidence of hypoglycemia in diabetic hemodialysis patients. Methods: we recorded the valid data from 557 patient from May 2017 to February 2021. This study consists of 3 steps, including collecting step, screening step and analysis step. In collecting step, our mainly task was collecting the data from the eligible patients. In screening step, we assigned patients to hypoglycemia and non-hypoglycemia based on whether they had a hypoglycemic event or not. Also, we will exclude ineligible patient data at this stage. In analysis step, we use software to analyze the data, and analyze related factors by multivariate Logistic regression analysis. Result: Compared with non- hypoglycemia group, we found that four factor of hypoglycemia group affect hypoglycemia event, they were significantly difference, including albumin, BMI, age, and hs-CRP (p < 0.05). Other factors were no significantly difference between hypoglycemia group and non- hypoglycemia group. In further analysis, the result displays that albumin, BMI, age, and hs-CRP were independent risk factors for hypoglycemia event (p < 0.05). Conclusion: albumin, BMI, age, and hs-CRP were impact factors of hypoglycemia in diabetic hemodialysis patients. Furthermore, the independent risk factors of hypoglycemia event included albumin, BMI, age, and hs-CRP. Of those, albumin and BMI can be control or affected by drugs or patient behaviors.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125959323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Individualized Nursing Intervention in the Nursing of Patients Who Were Treated in Department of Rheumatism and Immunology","authors":"Fangbing Ji, Guiyan Wen","doi":"10.11648/J.AJNS.20211001.25","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.25","url":null,"abstract":"Objective: To assess application of individualized nursing intervention in the nursing of patients who were treated in department of rheumatism and immunology. Method: From May 2018 to December 2020, we collected valid data from 78 patients with rheumatic immune disease. According to nursing intervention type, we assigned participants to intervention groups and control group, that control group participants received common nursing intervention, and intervention group participants received individualized nursing intervention. In this study, we collect the data from patients’ medical records and questionnaires, the questionnaires include medical treatment compliance research and satisfaction research. Result: In patient characteristics research, gander factors were significant different among control group and intervention group, but other factors are similar as their results were not statistically significant. As for medical treatment compliance assessment, intervention group had better assessment compare with control group in the treatment. Although most assessments of two group participants were great satisfaction, participants in the intervention group were more satisfied with the individualized nursing intervention. Conclusion: individualized nursing intervention had better effect that was significantly higher than common nursing intervention. Base on the result of this study, individualized nursing intervention not only improve medical treatment compliance of patients with rheumatic immune disease but also increase satisfaction rate in treatment.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131944014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Attitude and Behavior of Chinese Residents During the Outbreak of Coronavirus Disease 2019: A Cross-Sectional Study","authors":"Yanfei Li, Siyun Wang, Cuiqing Liu, Weiju Chen","doi":"10.11648/J.AJNS.20211003.11","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211003.11","url":null,"abstract":"Objective: The objective of this study was to assess the behavior and attitude of Chinese residents about the prevention of COVID-19 during the outbreak of global infectious diseases. Design and Methods: A cross-sectional online survey of Chinese residents was conducted using convenience and snowball sampling techniques. Online questionnaire survey was conducted from March 7 to March 14, 2020, and the respondents were community residents who could operate smart phones independently. By 24:00 on March 14, 908 questionnaires had been collected, of which 899 were valid. Findings: Focus on the availability and effectiveness of older adults in accessing vectors for epidemic information. Pay attention to the attitude and behavior of disease prevention measures of the group with low educational background. Monthly income is an important factor in adopting healthy behaviors. Therefore, in the case of shortage of epidemic prevention manpower resources, the focus will be more epidemic prevention manpower distribution in low-income, low educational population population. The community residents with high education and high income can serve as the secondary key area. Give play to the social function of all walks of life to ensure the supply of life materials. In the case of shortage of materials, priority should be given to the distribution of materials to prevent the epidemic, to ensure the basic operation of the city. Positive self-efficacy can encourage people to adhere to healthy behaviors, so as to ensure their health without being infected. Conclusions: In terms of the implementation of epidemic prevention measures, the government or social organizations should pay more attention to the characteristics of the key population and carry out targeted measures, especially the elderly, the elderly living alone, the low-income people with low educational background. At the same time, we will focus on the compliance of prevention and control measures for low-income and low-educated people, and intensify publicity and material support. The government should give full play to the social function of all walks of life, ensure the supply of materials for people who are quarantined at home, intensify the media propaganda, and release the epidemic information in an open, transparent, accurate and timely manner, so as to increase the information of residents against the virus.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129544835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influencing Factors of Hospitalization Costs in Adult Patients with Bronchiectasis","authors":"Y. Lei, Lineng Zhou, Yanli Yang, Tinglong Li","doi":"10.11648/J.AJNS.20211001.26","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.26","url":null,"abstract":"Objective: To explore Influencing factors of hospitalization costs in adult patients with bronchiectasis. Methods: The data were collected from public hospitals in China between May 2016 and December 2019, the information collected includes the following: total hospitalization cost, age, sex, blood routine, length of stay, and complications. Result: A total of 462 effective cases were collected in this study, including 234 males (50.65%) and 228 females (49.35%). In hospitalization costs, single total hospitalization cost is 13610.87 yuan per capita, among them the quartile is 7453.50 yuan, the median is 9893.51 yuan, upper quartile is 14153.62 yuan. Base on the proportion of hospitalization costs in adult patients with bronchiectasis, the drug cost was the highest (40.53%), the test cost was the second (20.59), and the nursing cost was the lowest (2.59%). In results of univariate analysis of cases with different characteristics, chronic obstructive pulmonary disease (COPD), smoking history, age, duration of hospitalization, and the percentage of neutrophils were statistical significance (p < 0.05). independent factors. Conclusion: independent factors of hospitalization costs in adult patients with bronchiectasis included hospitalization duration, smoking history, COPD, and high neutrophil percentage. Therefore, medical staffs should control and avoid those factors in treatment of adult patients with bronchiectasis.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117042660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Continuous Nursing Intervention on Quality of Life in Patients with Acute Leukemia","authors":"G. Xiao, Fenfang Zhou","doi":"10.11648/J.AJNS.20211001.23","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.23","url":null,"abstract":"Objective: To assess impact of continuous nursing intervention on quality of life in patients with acute leukemia. Methods: the valid data was collected from 202 patients during July 2019 to February 2021. In the early stages of the study, participants were randomly assigned to either an intervention or a control group. Control group participants received common nursing intervention during treatment. In another group, the participants who received additional continuous nursing intervention based on common nursing intervention were defined as the intervention group. The data included age, sex, education, marital status, duration of illness, number of treatments, quality of life assessments, and physical functioning status. Result: All results of characteristic were no significant difference between control group and intervention group. In addition, after carrying out nursing intervention, control group participants had better improvement in some indexes of quality-of-life, such as Physiological, Social/family, and Emotional. However, comparing with control group, function, leukemia specific module, and total score were significant difference in intervention group (p < 0.05). Also, we observed that intervention group participants had better physical functional status after carrying out nursing intervention, their physical functional status assessment was significant higher compare with control group participants. Conclusion: continuous nursing intervention can improve quality of life and physical function in patients with acute leukemia in long term. compared with common nursing intervention, continuous nursing intervention is more likely to improve patients by changing their behavior so that patients' quality of life and physical function are imperceptibly improved over the long term.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125616070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Psychological Nursing Intervention to Patients with Leukemia Chemotherapy","authors":"K. Song, Hong Xiao","doi":"10.11648/J.AJNS.20211001.27","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211001.27","url":null,"abstract":"Background: In leukemia chemotherapy, leukemia is considered one of the most important diseases in medical field. Also, nursing intervention has been shown to be one of key factors as it can improve the mood of depression and anxiety of patients. Objective: To assess application of psychological nursing intervention to patients with leukemia chemotherapy. Methods: This study is a horizontal comparative, that we assess the application of psychological nursing intervention to patients with leukemia chemotherapy by comparison of mental status of patients and their satisfaction. we collected valid data from 138 patients with leukemia chemotherapy. We randomly assigned patients to two groups: the control group received conventional nursing intervention, and the intervention group received psychological nursing intervention on the basis of conventional nursing intervention. Besides, the data were collected from medical records of patient and some questionnaire, the questionnaire contrasted Self-Rating Anxiety Scale (SAS), Self-rating depression scale (SDS) and satisfaction assessment questionnaire. Result: In patient characteristics, there were no significant differences in age, gender and course factors between the two groups [38.69±15.21 vs 40.90±11.87, 26 (66.7%) vs 37 (94.9%), 5.25±5.01 vs 6.05±5.26, p > 0.05]. Additionally, the intervention group had lower assessments of SDS and SAS compare with control group, it means that intervention group had better mental health after carrying out nursing intervention (41.5±8.82 vs 53.4±10.44, 49.65+9.45 vs 40.25+5.11). base on satisfaction assessment, intervention group had 97.1% of satisfaction rate, it was significant differences for satisfaction rate of control group (97.1% vs 85.5%, p < 0.05). Conclusion: psychological nursing intervention had better effect in improvement of mental health in treatment of the patients with leukemia chemotherapy.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"12 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114033904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Transitional Care Mode on Exclusive Breastfeeding Rate of Gestational Diabetes Mellitus Patients","authors":"Zhili Chen, Lin Wang, Shiyi Zhang, Yihong Wu","doi":"10.11648/J.AJNS.20211003.12","DOIUrl":"https://doi.org/10.11648/J.AJNS.20211003.12","url":null,"abstract":"Objective: To explore the effect of transitional care mode on the exclusive breastfeeding rate of patients with gestational diabetes mellitus patients (GDM). Methods: A retrospective survey of patients who had undergone regular obstetrics and delivery in the hospital was carried out from December 2016 to December 2017. A random selection of 110 patients with GDM was included as the control group, and routine measures were taken. A total of 110 patients with GDM were selected as the experiment group. The whole nursing intervention was conducted with nurses in transitional care department on the basis of routine measures. The patients’ knowledge about breastfeeding and the breastfeeding rate of the two groups were compared and analyzed. Results: A total of 220 patients with GDM were recruited. The awareness rate of breastfeeding could help to regulate glucose and lipid metabolism of mothers and newborns were higher than that in the control group (P<0.001). For the issues related to breastfeeding, the experiment group was lower than the control group (P<0.001). And after transitional care, the rate of exclusive breastfeeding was higher in the experiment group (P<0.001). Conclusion: The postpartum transitional care mode can effectively increase the rate of postpartum exclusive breastfeeding of GDM patients and is worthy of reference by peers.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"352 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134478030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}