Hasil untuk "Nursing"

E. Aromataris, R. Fernandez, C. Godfrey et al.

P. Benner

P. Gray-Toft, James G. Anderson

HAN Wenjuan, WANG Lei, WANG Lumeng et al.

ObjectiveTo investigate the status quo of corneal injury in patients undergoing non-head/facial general anesthesia surgery and to analyze its influencing factors.MethodsA total of 413 patients undergoing non-head/facial general anesthesia surgery at a tertiary grade A hospital in Chongqing city were selected as the study subjects by stratified sampling method from March to July 2024.Data were collected using a general information questionnaire of patients and a surgical⁃related factors questionnaire for corneal injury in non⁃head/facial general anesthesia patients.The corneal injury status of these patients was assessed.ResultsAmong the 413 patients,90 cases developed corneal injuries,resulting in an incidence rate of 21.8%.The result of multivariate analysis showed that preoperative eye care measures were protective factors for corneal injury in these patients(<italic>P</italic>&lt;0.05).However,incomplete eyelid closure (visible conjunctiva and cornea) before or after surgery,preoperative or intraoperative use of atropine,and taller body height were risk factors for corneal injury(<italic>P</italic>&lt;0.05).ConclusionsThe incidence of corneal injury in patients undergoing non⁃head/facial general anesthesia surgery was relatively high.Preoperative eye care measures,degree of eyelid closure before or after surgery,preoperative or intraoperative use of atropine,and body height were influencing factors of corneal injury.Medical staff should closely monitor patients' corneal conditions, implement perioperative eye care measures,prevent corneal injuries,and improve both nursing quality and medical safety.

Jiehe Mai, Yanfang Wang, Xiaowan Li et al.

Abstract Sepsis is a leading cause of mortality among ICU patients. Although APACHE IV and SOFA scores are widely employed for prognostic assessment, their complexity and dependence on extensive data may limit their effectiveness in early risk identification. The MELD-XI score, derived from serum total bilirubin and creatinine, offers a simple calculation method and has demonstrated strong prognostic value in liver disease, organ transplantation, and cardiovascular conditions. However, its prognostic utility in ICU patients with sepsis has not been systematically evaluated. In this study, we retrospectively analyzed 16,691 adult patients diagnosed with sepsis within 48 h of ICU admission using data from the eICU Collaborative Research Database. Through the application of a generalized additive model and a two-stage linear regression model, we identified for the first time a significant nonlinear association and a threshold effect between MELD-XI scores and 30-day all-cause mortality. The turning point was determined at a MELD-XI score of 25.74, with mortality risk increasing by 1.1% per unit below the threshold and by 5.5% per unit above it. Stratified subgroup analyses confirmed the consistency of this association across most clinical categories. These findings suggest that the MELD-XI score may serve as a simple, accessible, and complementary tool for early risk stratification and clinical decision-making in ICU patients with sepsis.

Fetreo Negeo Putra, Lilis Sulistya Nengrum, Alfi Hilmiyah et al.

Background: Adolescents are a vulnerable group to sexual problems, which can lead to an increase in unwanted pregnancies and early marriages due to a lack of knowledge and appropriate attitudes. Premarital sexual health education serves as an important preventive effort to improve healthy knowledge and attitudes related to sexuality. Purpose: This study aims to examine the effect of premarital sexual health education on the knowledge and attitudes of adolescents at Madrasah Aliyah Putri AL-Khoirot Malang. Methods: This study used a pre-experimental design with a one-group pretest-posttest approach. A total of 67 students were selected using stratified random sampling. The instruments used were knowledge and attitude questionnaires, and the data were analyzed using the Wilcoxon test. Results: The findings revealed a significant increase in knowledge and attitude scores after the educational intervention (p < 0.05). Conclusion: Premarital sexual health education significantly improves adolescents’ knowledge and attitudes toward healthy sexual behavior. Educational institutions are encouraged to integrate comprehensive sexual health education programs to prevent risky sexual behavior among youth.

Wimol Madit, Teeranut Harnirattisai, Debra Hain et al.

Background: Diabetic retinopathy (DR) is the most common microvascular complication of diabetes, leading to visual impairment and eventual blindness. Promoting self-care behaviors is crucial in controlling DR progression and preventing blindness. Objective: This study aimed to investigate the effects of a Self-Care Promoting Program (SCPP) on engagement in self-care behaviors, HbA1c levels, visual acuity (VA), severity of DR, and vision-related quality of life (VRQoL) among individuals with type 2 diabetes and DR. Methods: This study employed a single-blind randomized controlled trial design to compare SCPP with conventional diabetic care interventions (standard care). The SCPP was based on the Self-Care of Chronic Illness Theory, Self-efficacy theory, and the Association of Diabetic Care and Education Specialist (ADCES) guidelines incorporating health education, self-care maintenance, monitoring, and management skills training over 12 weeks. Ninety-eight participants were randomly allocated to the experimental or control group (n = 49 per group). While the experimental group received SCPP alongside standard care, the control group received standard care alone. Data collection occurred between May 2022 and March 2023 and included demographic information, the Self-Care of Diabetes Index questionnaire (SCODI), the self-care for diabetes eye care questionnaire (SCFDE), the impact of visual impairment questionnaire (IVI-Thai version), and retinal images for DR severity grading. Data analysis utilized descriptive statistics, Chi-Square tests, t-tests, and MANOVA. Results: Following 8 and 16 weeks of SCPP, the experimental group had significantly higher mean scores in engagement with self-care and eye-care behaviors compared to the control group (p <0.001). The highest scores were observed in self-care and eye-care confidence behaviors, followed by maintenance, monitoring, and management. Furthermore, HbA1c levels and VRQoL significantly decreased and were lower than those of the control group at week 16 (p <0.001 and p <0.05, respectively). However, there were no significant differences in VA, and DR severity increased in both groups by week 16. Conclusion: SCPP benefits individuals with DR, enhancing their confidence and ability to perform, monitor, and manage self-care behaviors. These strategies contribute to improved diabetes management, enhanced quality of life, and reduced DR-related blindness. Integrating SCPP into routine DR management is recommended, with nurses playing a pivotal role in overseeing and driving this integration, highlighting the critical role of nurses in managing this widespread global disease. Trial Registry Number: Thai Clinical Trials Registration (TCTR20230302002)

Matteo Martinato, Elena Boffo, Greta Lorenzon et al.

A prevalent symptom among Inflammatory Bowel Disease (IBD) patients is fatigue, characterized by a persistent sense of energy depletion that affects all aspects of daily life. This review aims to evaluate nursing interventions reported in the literature to alleviate fatigue in IBD patients. A comprehensive search was conducted across four electronic databases—PubMed, CINAHL, Cochrane, and Scopus—and four scientific journals: “Gastroenterology”, “Inflammatory Bowel Disease”, “Journal of Crohn’s and Colitis”, and “United European Gastroenterology Journal”. Inclusion criteria were clinical trials involving adult IBD patients in remission or mild disease activity. Out of 234 studies, 2 were selected for review. These studies assess the effectiveness of Solution-Focused Therapy (SFT) that emphasizes solving problems and developing strategies for improvement, and Problem-Solving Therapy (PST) that focuses on identifying problems and coping strategies. SFT showed a positive impact on fatigue with a significant improvement in the Checklist Individual Strength after three months: 45.5% in the control group, 85.7% in the SFT group, and 60% in the PST group, but its impact declined over time. Additionally, SFT demonstrated potential for reducing healthcare costs compared to standard of care and PST. Further research is needed to provide nurses interventions for managing fatigue in IBD patients. The review protocol has been registered at OSF.io.

CUI Xiaohong, ZHANG Peili, ZHAO Ailing et al.

ObjectiveTo construct a clinical practice training system for master of nursing specialist in orthopedics.MethodsThe first draft of expert consultation questionnaire was formed by literature analysis method and semi⁃structured interview method.Delphi method was adopted for conducting 2 rounds of expert consultations among 28 experts.ResultsThe response rates of two rounds of expert consultations were 93.33% and100.00%，respectively.The expert authority coefficients were 0.84 and 0.87，respectively.And the expert harmonious coefficients were 0.306 and 0.363，respectively.The final clinical practice training system for master of nursing specialist in orthopedics included 3 first⁃level indicators，21 second⁃level indicators and 96 third⁃level indicators.ConclusionsEnthusiasm，authority，and opinions coordination of experts in 2 rounds of expert consultations were all high.The clinical practice training system constructed for master of nursing specialist in orthopedics was specific，and it could provide reference for training master of nursing specialist in orthopedics in higher nursing schools in China.

CHU Yina (初伊娜), CAO Yanxia (曹艳霞), GAO Xinxia (高新霞) et al.

This paper expounds the suggestions and thoughts on the construction of “One Syndrome and One Product” Chinese medicine nursing brand from four aspects: the hierarchical management mode of nursing system, the training of multi-disciplinary nursing professionals, the integration of Traditional Chinese Medicine nursing and rehabilitation, and the humanistic care of Traditional Chinese Medicine nursing, so as to optimize the nursing scheme of traditional Chinese medicine and create the nursing service brand of Traditional Chinese Medicine with different characteristics, And make nurses have evidence to rely on in nursing work, improve the patient's treatment experience. (本文从护理体系分级管理模式、多学科护理专业人才培养、中医医护康复一体化、中医护理人文关怀4个方面阐述了对“一证一品”中医护理品牌建设的建议与思考, 以期为优化中医护理方案, 创立各具特色的中医护理服务品牌, 提高患者的就诊体验提供参考。)

Lucía Ortega Donaire

RESUMEN Objetivos: Identificar cómo afecta a la calidad de vida de las personas de edad avanzada padecer apnea obstructiva del sueño. Metodología: Revisión sistemática sobre los diferentes estudios que traten la apnea del sueño en personas de edad avanzada, y cómo afecta esta a su calidad de vida. Esta revisión incluye casos y controles, estudios de cohortes, ensayos clínicos y estudios observacionales publicados desde 2014 hasta 2019. Resultados: Se revisaron cerca de 400 artículos, de los cuales solo 16 formaron parte de la revisión, tras cumplir con exactitud todos los criterios de inclusión establecidos. Existe una gran disparidad entre los resultados encontrados; aun así, la calidad de vida de las personas de edad avanzada con apnea obstructiva del sueño mejora con el uso de la CPAP (presión positiva continua en la vía aérea). Conclusiones: Son necesarias más investigaciones que estudien el síndrome de apnea obstructiva del sueño en personas de edad avanzada; la mayoría de los estudios encontrados se centran en población infantil o adulta. Entre los pocos estudios que se centran en estudiar la calidad de vida de las personas de edad avanzada cuando padecen apnea obstructiva del sueño se encuentra disparidad en sus resultados, no llegando a ninguna conclusión firme. Este es un tema prioritario de salud, debido al envejecimiento de la población y a la cada vez mayor prevalencia de este síndrome.

Abubakar Sani Lugga, Bello Muhammad Sulaiman, Lawal Magaji Ibrahim et al.

Burn injuries are rare in the neonatal period. Most of the cases reported in the literature are iatrogenic. We report the case of a 7-h old female neonate who presented with domestic accidental scald burns involving 18% of the total body surface area. She sustained the burns during a traditional bath with hot water. She was resuscitated with intravenous fluid, and urine output was monitored. She was nursed under a radiant heater and was given analgesics and tetanus antitoxin. She had wound sepsis from Pseudomonas species which was successfully treated with intravenous antibiotic (ceftazidime). She also had anemia which was corrected with packed red blood cell transfusion. Wound dressing was done with antibiotic-impregnated gauze until the wounds were satisfactorily healed. She was discharged from the hospital on the 29th-day postburn.

B. Scheffer, M. Rubenfeld

Oliveira-Paula GH, Pereira SC, Tanus-Santos JE et al.

Gustavo H Oliveira-Paula,1,2 Sherliane C Pereira,2 Jose E Tanus-Santos,2 Riccardo Lacchini3 1Department of Medicine, Division of Cardiology, Wilf Family Cardiovascular Research Institute, Albert Einstein College of Medicine, New York, NY, USA; 2Department of Pharmacology, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto, SP, Brazil; 3Department of Psychiatric Nursing and Human Sciences, Ribeirao Preto College of Nursing, University of Sao Paulo, Ribeirao Preto, SP, BrazilCorrespondence: Riccardo LacchiniDepartment of Psychiatric Nursing and Human Sciences, Ribeirao Preto College of Nursing, University of Sao Paulo, Av. Bandeirantes, 3900, Ribeirao Preto 14040-902, SP, BrazilTel +55 16 3315-3447Email rlacchini@eerp.usp.brAbstract: Hypertension is a multifactorial disease that affects approximately one billion subjects worldwide and is a major risk factor associated with cardiovascular events, including coronary heart disease and cerebrovascular accidents. Therefore, adequate blood pressure control is important to prevent these events, reducing premature mortality and disability. However, only one third of patients have the effective control of blood pressure, despite several classes of antihypertensive drugs available. These disappointing outcomes may be at least in part explained by interpatient variability in drug response due to genetic polymorphisms. To address the effects of genetic polymorphisms on blood pressure responses to the antihypertensive drug classes, studies have applied candidate genes and genome wide approaches. More recently, a third approach that considers gene-gene interactions has also been applied in hypertension pharmacogenomics. In this article, we carried out a comprehensive review of recent findings on the pharmacogenomics of antihypertensive drugs, including diuretics, &beta;-blockers, angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers, and calcium channel blockers. We also discuss the limitations and inconsistences that have been found in hypertension pharmacogenomics and the challenges to implement this valuable approach in clinical practice.Keywords: antihypertensive therapy, candidate genes, GWAS, gene-gene interactions, hypertension, pharmacogenomics &nbsp;

J. Randle

D. Miranda, R. Nap, A. D. de Rijk et al.

Ruth Williams

Pamela BRADY GERMAIN, G. Cummings

AIM The aim was to explore leadership factors that influence nurse performance and particularly, the role that nursing leadership behaviors play in nurses' perceptions of performance motivation. BACKGROUND Nurse performance is vital to quality patient care outcomes and nursing leadership behaviors have been linked to nurse performance. EVALUATIONS A review of research articles that examined the factors that nurses perceived as influencing their motivation and performance was conducted. Eight studies were included in the final analysis. KEY ISSUES Nurses' perceptions of factors that affect their motivation and ability to perform were grouped into five categories using content analysis: autonomy, work relationships, resource accessibility, nurse factors, and leadership practices. Nursing leadership behaviors were found to influence both nurses' motivations directly and indirectly via other factors. CONCLUSION The review suggests that nurse performance may be improved by addressing nurse autonomy, relationships among nurses, their colleagues and leaders, and resource accessibility. IMPLICATIONS FOR NURSING MANAGEMENT Nursing managers and leaders may enhance their nurses' performance by understanding and addressing the factors that affect their ability and motivation to perform.

R. Lucero, E. Lake, L. Aiken

E. Garrosa, B. Moreno-Jiménez, A. Rodríguez-Muñoz et al.