Effect of continuous nursing on home care of lung transplant patients based on humanistic care_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

XU Ming , YANG Xiaoqin ,  LU Min

Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University, Shanghai, 200433, P. R. China;

Corresponding author：

LU Min, Email: 13801694424@163.com

Keywords：

Humanistic care; continuous nursing; lung transplantation

DOI：

10.7507/1007-4848.202204002

Video：

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Objective To explore the effect of continuous nursing on lung transplant patients at home based on humanistic care. Methods According to hospitalization order, patients who received lung transplantation in our hospital from January 2016 to October 2020 were divided into a control group and a nursing group. The control group was treated with routine lung transplantation education and regular follow-up after discharge, and the nursing group received humanistic care during follow-up, health education at discharge, cultural exchange activities, and home care plans. After discharge, the self-management ability at home, medication adherence and satisfaction of home care between the two groups were campared. Results A total of 60 patients were included in the study. There were 23 patients in the control group, including 16 males and 7 females, with an average age of 58.70±11.00 years. There were 37 pateints in the nursing group, including 25 males and 12 females, with an average age of 57.90±13.20 years. The scores of self-management ability at home of the nursing group (self-concept 27.41±2.37 points vs. 21.78±3.54 points; self-care responsibility 20.73±1.63 points vs. 16.83±2.79 points; self-care skills 41.46±3.77 points vs. 28.26±4.11 points; health knowledge level 57.95±4.10 points vs. 44.87±5.79 points) were higher than those in the control group (all P＜0.05). The medication adherence (7.47±0.46 points vs. 6.87±0.28 points) and satisfaction of home care (23.80±1.20 points vs. 20.50±1.90 points) in the nursing group were higher than those in the control group (both P<0.05). Conclusion Continuous nursing based on humanistic care for lung transplant patients can effectively improve the self-management ability, medication adherence and nursing satisfaction of patients after discharge.

Citation： XU Ming, YANG Xiaoqin, LU Min. Effect of continuous nursing on home care of lung transplant patients based on humanistic care. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(4): 593-596. doi: 10.7507/1007-4848.202204002 Copy

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2.	Thabut G, Mal H. Outcomes after lung transplantation. J Thorac Dis, 2017, 9(8): 2684-2691.
3.	牟艳琳, 王琳, 刘晓. 肺移植手术前后的康复护理应用研究. 医学美学美容(中旬刊), 2015, (5): 409.
4.	Guldager TB, Hyldgaard C, Hilberg O, et al. An E-learning program improves patients’ knowledge after lung transplantation. Telemed J E Health, 2021, 27(7): 800-806.
5.	Yang Z, Xin P, Zhou S, et al. Systematic review of rectal foreign bodies in older men: Humanistic care and a novel challenge for society. Ann Transl Med, 2022, 10(4): 164.
6.	Cloninger CR. Person-centred integrative care. J Eval Clin Pract, 2011, 17(2): 371-372.
7.	Yang P, Yu Y, Zhong N. Efficacy of humanistic care and psychological intervention of medical staff on patients with cervical cancer undergoing post-installation treatment. Asian J Surg, 2022, 45(6): 1356-1357.
8.	Li J, Porock D. Resident outcomes of person-centered care in long-term care: A narrative review of interventional research. Int J Nurs Stud, 2014, 51(10): 1395-1415.
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11.	朱琴, 颜巧元. 互联网用于老年患者延续护理的研究进展. 中华护理杂志, 2016, 51(10): 1221-1225.
12.	Adegunsoye A, Strek ME, Garrity E, et al. Comprehensive care of the lung transplant patient. Chest, 2017, 152(1): 150-164.
13.	Mineura K, Chen-Yoshikawa TF, Tanaka S, et al. Native lung complications after living-donor lobar lung transplantation. J Heart Lung Transplant, 2021, 40(5): 343-350.
14.	Wu HL, Volker DL. Humanistic nursing theory: Application to hospice and palliative care. J Adv Nurs, 2012, 68(2): 471-479.
15.	Sharifi N, Adib-Hajbaghery M, Najafi M. Cultural competence in nursing: A concept analysis. Int J Nurs Stud, 2019, 99: 103386.
16.	Guo L, Zauszniewski JA, Ding X, et al. The appraisal of self-care agency scale-revised (ASAS-R): Reliability and validity among older Chinese people. West J Nurs Res, 2017, 39(11): 1459-1476.
17.	Gomes B, Calanzani N, Curiale V, et al. Effectiveness and cost-effectiveness of home palliative care services for adults with advanced illness and their caregivers. Cochrane Database Syst Rev, 2013, (6): CD007760.
18.	Liu X, Liu Z, Zheng R, et al. Exploring the needs and experiences of palliative home care from the perspectives of patients with advanced cancer in China: A qualitative study. Support Care Cancer, 2021, 29(9): 4949-4956.
19.	Li L, Ma Z, Wang W. Influence of transitional care on the self-care ability of kidney transplant recipients after discharge. Ann Palliat Med, 2020, 9(4): 1958-1964.
20.	张红梅, 凌迪, 孙桂芳, 等. 综合康复护理用于乳腺癌术后患者护理效果. 糖尿病天地, 2021, 18(5): 290.
21.	段浏华, 黎明. 人文关怀护理干预对喉癌手术患者自护能力、心理状态及生活质量的影响. 中国当代医药, 2020, 27(31): 220-223.
22.	刘瑜. 人文关怀护理对糖尿病患者心理状态及自护能力的影响观察. 基层医学论坛, 2020, 24(18): 2619-2620.
23.	丁萍. 人文关怀护理在增强乳腺癌围术期患者自我护理能力与降低并发症中的应用. 实用临床护理学电子杂志, 2020, 5(23): 68, 79.
24.	Conn VS, Ruppar TM. Medication adherence outcomes of 771 intervention trials: Systematic review and meta-analysis. Prev Med, 2017, 99: 269-276.
25.	Guzel H, Korkmaz M. Life quality and compliance after transplant: The case of Turkey. Transplant Proc, 2019, 51(4): 1029-1037.
26.	何秀萍. 人文关怀对艾滋病合并肺结核患者服药依从性及护理满意度的影响. 当代医学, 2020, 26(4): 182-183.
27.	刘宇. 人文关怀护理在慢性胃炎患者中的应用效果及对护理质量的影响. 黑龙江医学, 2021, 45(20): 2193-2194.
28.	许丹. 人文关怀护理对慢性心力衰竭患者护理满意度与护理质量的改善作用. 中国医药指南, 2021, 19(32): 151-152.

1. Costa J, Benvenuto LJ, Sonett JR. Long-term outcomes and management of lung transplant recipients. Best Pract Res Clin Anaesthesiol, 2017, 31(2): 285-297.
2. Thabut G, Mal H. Outcomes after lung transplantation. J Thorac Dis, 2017, 9(8): 2684-2691.
3. 牟艳琳, 王琳, 刘晓. 肺移植手术前后的康复护理应用研究. 医学美学美容(中旬刊), 2015, (5): 409.
4. Guldager TB, Hyldgaard C, Hilberg O, et al. An E-learning program improves patients’ knowledge after lung transplantation. Telemed J E Health, 2021, 27(7): 800-806.
5. Yang Z, Xin P, Zhou S, et al. Systematic review of rectal foreign bodies in older men: Humanistic care and a novel challenge for society. Ann Transl Med, 2022, 10(4): 164.
6. Cloninger CR. Person-centred integrative care. J Eval Clin Pract, 2011, 17(2): 371-372.
7. Yang P, Yu Y, Zhong N. Efficacy of humanistic care and psychological intervention of medical staff on patients with cervical cancer undergoing post-installation treatment. Asian J Surg, 2022, 45(6): 1356-1357.
8. Li J, Porock D. Resident outcomes of person-centered care in long-term care: A narrative review of interventional research. Int J Nurs Stud, 2014, 51(10): 1395-1415.
9. Steindal SA, Nes AAG, Godskesen TE, et al. Patients’ experiences of telehealth in palliative home care: Scoping review. J Med Internet Res, 2020, 22(5): e16218.
10. 陈国英, 谢兴. 微信平台在护理工作中的应用进展. 护士进修杂志, 2016, 31(10): 892-893.
11. 朱琴, 颜巧元. 互联网用于老年患者延续护理的研究进展. 中华护理杂志, 2016, 51(10): 1221-1225.
12. Adegunsoye A, Strek ME, Garrity E, et al. Comprehensive care of the lung transplant patient. Chest, 2017, 152(1): 150-164.
13. Mineura K, Chen-Yoshikawa TF, Tanaka S, et al. Native lung complications after living-donor lobar lung transplantation. J Heart Lung Transplant, 2021, 40(5): 343-350.
14. Wu HL, Volker DL. Humanistic nursing theory: Application to hospice and palliative care. J Adv Nurs, 2012, 68(2): 471-479.
15. Sharifi N, Adib-Hajbaghery M, Najafi M. Cultural competence in nursing: A concept analysis. Int J Nurs Stud, 2019, 99: 103386.
16. Guo L, Zauszniewski JA, Ding X, et al. The appraisal of self-care agency scale-revised (ASAS-R): Reliability and validity among older Chinese people. West J Nurs Res, 2017, 39(11): 1459-1476.
17. Gomes B, Calanzani N, Curiale V, et al. Effectiveness and cost-effectiveness of home palliative care services for adults with advanced illness and their caregivers. Cochrane Database Syst Rev, 2013, (6): CD007760.
18. Liu X, Liu Z, Zheng R, et al. Exploring the needs and experiences of palliative home care from the perspectives of patients with advanced cancer in China: A qualitative study. Support Care Cancer, 2021, 29(9): 4949-4956.
19. Li L, Ma Z, Wang W. Influence of transitional care on the self-care ability of kidney transplant recipients after discharge. Ann Palliat Med, 2020, 9(4): 1958-1964.
20. 张红梅, 凌迪, 孙桂芳, 等. 综合康复护理用于乳腺癌术后患者护理效果. 糖尿病天地, 2021, 18(5): 290.
21. 段浏华, 黎明. 人文关怀护理干预对喉癌手术患者自护能力、心理状态及生活质量的影响. 中国当代医药, 2020, 27(31): 220-223.
22. 刘瑜. 人文关怀护理对糖尿病患者心理状态及自护能力的影响观察. 基层医学论坛, 2020, 24(18): 2619-2620.
23. 丁萍. 人文关怀护理在增强乳腺癌围术期患者自我护理能力与降低并发症中的应用. 实用临床护理学电子杂志, 2020, 5(23): 68, 79.
24. Conn VS, Ruppar TM. Medication adherence outcomes of 771 intervention trials: Systematic review and meta-analysis. Prev Med, 2017, 99: 269-276.
25. Guzel H, Korkmaz M. Life quality and compliance after transplant: The case of Turkey. Transplant Proc, 2019, 51(4): 1029-1037.
26. 何秀萍. 人文关怀对艾滋病合并肺结核患者服药依从性及护理满意度的影响. 当代医学, 2020, 26(4): 182-183.
27. 刘宇. 人文关怀护理在慢性胃炎患者中的应用效果及对护理质量的影响. 黑龙江医学, 2021, 45(20): 2193-2194.
28. 许丹. 人文关怀护理对慢性心力衰竭患者护理满意度与护理质量的改善作用. 中国医药指南, 2021, 19(32): 151-152.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Effect of continuous nursing on home care of lung transplant patients based on humanistic care

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