ObjectiveTo explore the effect of self-made urine volume record sheet and health education on urine volume monitoring in general ward. MethodsA total of 110 hospitalized patients between February and July 2015 were selected to be our study subjects. The patients were divided into control group (n=42) and trial group (n=68) according to the time period. The control group used conventional urine volume record and accepted common health education, while the trial group received a self-made urine volume 24-hour record sheet with health knowledge and accepted special health education about urine volume by nurses. Then, we investigated the two groups with a questionnaire about urine volume, and analyzed the acquired data and compared the knowledge of the two groups. ResultsThe knowledge of urine volume and the performance of urine volume record in the trial group were significantly better than the control group (P<0.05). In the control group, the difference in knowledge of aim and singnificance of urine record between the two genders was sigrificant (P<0.05). (the males were better than the females); and was also significant among patients with different educational levels (P<0.05). (the people with college or superior degree was the best, while the ones with primary school education or inferior level was the poorest). ConclusionUsing the self-made urine volume record sheet with health knowledge and strengthening the special health education about urine volume can improve the knowledge awareness of the patients and their families, promote the monitoring of patients’ urine, train patients’ self-care awareness, and improve patients’ prognosis.
ObjectiveTo investigate the effects of health education pathway intervention on self-care agency and health lifestyle promotion in colostomy patients. MethodsEighty-eight rectal cancer patients who had undergone colostomy were randomly divided into control group and intervention group (with 44 patients in each) between March 2012 and September 2013. The control group received conventional nursing only, while the intervention group were given health education pathway intervention besides conventional nursing. The self-care agency and health lifestyle promotion in the two groups under pre-colostomy state, one week after colostomy and two weeks after colostomy were surveyed and compared based on the exercise of self-care agency scale and the health promotion lifestyle profile. ResultsAfter health education pathway intervention, the scores of self-care agency and health lifestyle promotion in the intervention group were significantly higher than those in the control group (P<0.05), and the hospitalization expenditure was also obviously lower. Furthermore, the satisfaction degree on nursing service was significantly higher than that of the control group (P<0.05). ConclusionThe health education pathway intervention can greatly improve self-care agency and quality of life in rectal cancer patients who have undergone colostomy.
Objective To investigate the influence of self-care and self-efficacy intervention on the quality of life of patients undergoing chemotherapy after surgery for gastric cancer. Methods Sixty-four patients undergoing chemotherapy after gastric cancer surgery between July 2014 and February 2015 were selected as the study subjects. According the sequence of admission, they were divided into intervention group (n=34) and control group (n=30). Patients in the control group accepted conventional care, while those in the intervention group received self-efficacy and self-care interventions. The scores of General Self-efficacy Scale (GCES), Exercise of Self-care Agency (ESCA), and Quality of Life Instruments for Cancer Patients-Stomach Cancer (QLICP-ST) were compared between the two groups before and after intervention. Results After intervention, GCES scores of the intervention group and the control group were respectively (30.08±4.21) and (20.78±4.58) points; the total scores of ESCA were respectively (132.30±14.81) and (92.45±13.23) points; and the total scores of QLICP-ST were respectively (75.96±9.41) and (56.77±10.32) points. All the above differences between the two groups were significant (P<0.05). Conclusion Self-care and self-efficacy intervention can improve self-care ability and self-efficacy, and improve the quality of life of patients undergoing chemotherapy after gastric cancer surgery.
ObjectiveTo investigate the current status and influencing factors of self-care behavior of non-dialysis patients with chronic kidney disease (CKD).MethodsA total of 336 patients with CKD were investigated by a general data questionnaire, the CKD Self-care Behavior Scale, Social Support Scale, Generalized Anxiety Self-assessment Scale, and 9-item Patients Health Questionnaire through WeChat platform, and the influencing factors of self-care behavior were explored by binary logistic regression analysis.ResultsThe median score of self-care behavior of CKD patients without dialysis was 60, and the patients with median and high level of self-care behavior accounted for 97.6%. The score of self-care behavior of CKD patients without dialysis was positively correlated with the total score of social support (r=0.210, P<0.001), objective support score (r=0.127, P=0.020), subjective support score (r=0.195, P<0.001), and social support utilization score (r=0.164, P=0.002), and negatively correlated with the anxiety score (r=–0.132, P=0.015), depression score (r=–0.230, P<0.001), body mass index (r=–0.181, P=0.001), and systolic blood pressure (r=–0.168, P<0.001). The results of binary logistic regression analysis showed that the influencing factors of non-dialysis CKD patients’ self-care behavior were gender [(odds ratio, OR)=2.179, 95% confidence interval, CI (1.134, 4.187), P=0.019], systolic blood pressure [OR=0.967, 95%CI (0.947, 0.987), P=0.002], and depression score [OR=0.844, 95%CI (0.765, 0.931), P=0.001].ConclusionsThe self-care behavior of CKD patients without dialysis is at the median and high level. Healthcare workers can improve the self-care behavior of CKD patients by reducing their negative emotions such as depression, and guiding patients to carry out blood pressure management, to delay the progress of the disease.
ObjectiveThis article aims to comprehensively retrieve and summarize the best evidence for the self-management of epilepsy in adolescents, so as to provide a reference for clinical medical staff and relevant decision makers. MethodsWe systematically searched Cochrane, Global Guidelines Collaboration (GIN), Scottish Interhospital Guidelines Network (SIGN), Joanna Briggs Institute (JBI), NICE, RANO (Nurses' Association of Ontario, Canada), UpToDate, BMJ, Medical Maitong, PubMed, International League Against Epilepsy, China National Knowledge Infrastructure, Wanfang Database and other databases and websites. All kinds of literature related to the self-management of epilepsy in adolescents were collected from the establishment of the database to April 18, 2023, including clinical decision-making, clinical guidelines,. Evidence summary, expert consensus, systematic review, etc. Four researchers were invited to evaluate the quality of the retrieved guidelines, and two researchers independently screened and evaluated the quality of the remaining literature. According to the opinions of professionals, data extraction and analysis were performed on the literature that met the inclusion criteria. ResultsA total of 9 articles were included, including 3 clinical guidelines, 3 expert consensus and 3 systematic reviews. We summarized the evidence in the literature in the following 8 aspects: Self-management initiation timing, monitoring management, psychological management, innovative self-management mode, information and support, medication management, daily life management and follow-up management. We identified 34 best pieces of evidence. ConclusionsThis article provides health care providers with the best evidence for the self-management of adolescents with epilepsy, guiding them to provide self-management education and counseling for adolescents with epilepsy through evidence-based methods, helping them to improve self-management ability, reduce seizures, reduce health services and healthcare costs, and improve quality of life.