This minireview focuses on psychological distress and treatment adherence-issues in patients with chronic hepatitis B(CHB).It begins by discussing the epidemiology and disease burden of CHB,and addresses the relations...This minireview focuses on psychological distress and treatment adherence-issues in patients with chronic hepatitis B(CHB).It begins by discussing the epidemiology and disease burden of CHB,and addresses the relationship between psychological distress and treatment adherence.Next,it delves into the current status and risk factors for psychological distress among patients with CHB,and explores the challenges and risk factors related to treatment adherence.Subsequently,it explores the development and implementation of integrated nursing strategies,including psychological interventions and support,self-efficacy enhancement strategies,social support-system optimization,personalized medical care,and technological innovation.Finally,it highlights the limitations of current interventions and clarifies future research priorities.This minireview aims to provide a comprehensive theoretical basis and practical guidance for improving treatment outcomes and quality of life of patients with CHB.In summary,we reveal that psychological distress significantly impacts treatment adherence in patients with CHB and that it is essential to adopt integrated nursing strategies to address these challenges.These findings highlight the need to consider the psychological states of individuals and develop targeted interventions to improve treatment outcomes.展开更多
This study aims to clarify what kinds of resilience and coping strategies students employ to successfully complete their clinical practicum and provide suggestions for instruction that will allow students to carry out...This study aims to clarify what kinds of resilience and coping strategies students employ to successfully complete their clinical practicum and provide suggestions for instruction that will allow students to carry out effective learning activities. The study subjects were 86 students enrolled at Nursing University A for the 2019 school year and planning to take the integrated nursing practicum. The survey was conducted using an anonymous, self-administered questionnaire. The Wilcoxon signed-rank test was used to determine the amount of change in resilience factors from the surveys before and after the practicum. Subsequently, multiple regression analysis was carried out with stress coping behaviors that were significantly associated with resilience factors in univariate analysis as independent variables and the amount of change in resilience factors before and after the practicum as dependent variables. A total of 56 responses were received (response rate 65.8%) from the 85 survey subjects. Innate resilience factors increased significantly from 41 pre-practicums to 44 post-practicums. Acquired resilience factors also increased significantly from 32 pre-practicums to 35 post-practicums (p < 0.01). The results of multiple regression analysis found that the stress coping behavior of “changing point of view” (β = 0.361, p < 0.01) and pre-practicum innate resilience factors (β = <span style="white-space:nowrap;">−</span>0.456, p < 0.01) were significantly associated with innate resilience factors. Examining the relationship between the amount of change in student resilience and stress coping behaviors revealed that the stress coping behavior of “changing point of view” was associated with innate resilience. This finding suggests that resilience may be increased by changing one’s perspective on an event by taking on a new way of thinking. The results suggested that helping students transform realizations made during reflection into learning and create a sense of meaning may lead to fostering innate resilience during integrated nursing practicums.展开更多
Objective: To investigate the effect of the integrated nursing model in the prevention of chemotherapy-induced peripheral injury. Methods: A total of 60 tumor patients receiving oxaliplatin for 1 - 6 cycles of chemoth...Objective: To investigate the effect of the integrated nursing model in the prevention of chemotherapy-induced peripheral injury. Methods: A total of 60 tumor patients receiving oxaliplatin for 1 - 6 cycles of chemotherapy from January to September 2023 were selected. 30 patients were selected from January to March and divided into the control group, and 30 patients were selected from July to 9 as the experimental group. The control group received conventional chemotherapy nursing, while the experimental group received integrated nursing. Anxiety, peripheral nerve toxicity stage and quality of life score were compared between the two groups before and after intervention. Results: After intervention, the scores of the self-rating Anxiety Scale (SAS) and the total scores of the oxaliplatin Levi specific sensory neurotoxicity scale in the experimental group were significantly lower than those in the control group, and the differences were statistically significant (P< 0.05);The Quality of Life Scale (FACT-G) score of cancer patients was higher than that of control group, and the difference was statistically significant (P< 0.05). Conclusion: The integrated nursing model can effectively reduce the anxiety of patients, reduce the incidence of peripheral nerve injury and improve the quality of life of patients.展开更多
Objective: to analyze the integrated nursing concept in improving the nursing efficiency of tumor radiotherapy. Methods: The numerical content of the study came from the relevant content of 80 cases of patients with t...Objective: to analyze the integrated nursing concept in improving the nursing efficiency of tumor radiotherapy. Methods: The numerical content of the study came from the relevant content of 80 cases of patients with tumor radiotherapy in our hospital from April 2018 to March 2020. The random number table was adopted for grouping, 40 cases in the observation group and 40 cases in the control group. The control group used routine nursing, the observation group used integrated nursing concept. Analyze the work efficiency and quality of life. Results: the work efficiency of the observation group was higher than that of the control group (P < 0.05), and the quality of life of the observation group was higher than that of the control group (P < 0.05). Conclusion: integrated nursing concept for patients with tumor radiotherapy can increase work efficiency and improve the quality of life, which is worthy of clinical promotion and application.展开更多
Objective:To explore the connotation of the integrated medical-care-rehabilitation nursing model and its application effect in elderly patients with chronic diseases.Methods:A total of 122 elderly patients with chroni...Objective:To explore the connotation of the integrated medical-care-rehabilitation nursing model and its application effect in elderly patients with chronic diseases.Methods:A total of 122 elderly patients with chronic diseases admitted to our hospital from January 2023 to June 2023 were selected and randomly divided into an observation group(62 cases)and a control group(60 cases).Both groups received routine nursing during hospitalization.After discharge,the control group received conventional continuous nursing,while the observation group was given the integrated medical-care-rehabilitation nursing model.The psychological status of the elderly patients in the two groups was compared before nursing and 6 months after nursing.Assessments were made on their clinical symptoms of mental health,self-care ability,health behaviors,and mastery of knowledge about elderly chronic diseases.Results:Six months after nursing,the scores of self-rated clinical symptoms of mental health and negative coping in both groups were lower than those before nursing(P<0.05).Meanwhile,the scores of negative coping,self-care ability,and health behaviors in both groups were higher than those before nursing(P<0.05).Conclusion:The integrated medical-care-rehabilitation nursing model can not only improve the nursing quality for elderly patients with chronic diseases but also foster their positive mentality,help them understand knowledge about diet and health care related to chronic diseases,enhance their self-care ability and health awareness,and assist them in achieving better recovery[1].展开更多
This empirical study examines the integration of medical and elderly care services in Guangyuan City through stratified random sampling,targeting 283 eligible residents aged 60+from three representative integrated ins...This empirical study examines the integration of medical and elderly care services in Guangyuan City through stratified random sampling,targeting 283 eligible residents aged 60+from three representative integrated institutions.The research employed a self-designed questionnaire titled“Humanistic Care Experience and Demand Influencing Factors”to collect subjective perceptions regarding basic care,psychological support,health education,and social interaction using a Likert five-point scale.Descriptive statistics,one-way ANOVA,and multiple regression modeling were conducted with SPSS 25.0 software.Results indicated that overall humanistic care experience scores were moderately high,with the“caregiving”dimension scoring highest and“psychological/social support”the lowest.Analysis revealed significant correlations between educational attainment,income,self-reported health status,and family support frequency(P<0.001),particularly among seniors with higher education,better health,and stronger family support.While integrated care facilities provide relatively comprehensive basic care,they should focus on addressing gaps in humanistic services,especially providing targeted support for groups with“low education,low income,poor health,and lack of family support.”展开更多
Nursing care during the perioperative period of thyroid cancer plays a crucial role in the recovery of patients.With the development of medical technology,Western medicine nursing techniques have matured in the periop...Nursing care during the perioperative period of thyroid cancer plays a crucial role in the recovery of patients.With the development of medical technology,Western medicine nursing techniques have matured in the perioperative period,including preoperative risk assessment and airway management,intraoperative neuromonitoring nursing coordination,postoperative drainage,and incision management.However,single Western medicine nursing often cannot fully meet the multifaceted needs of patients,especially in emotional nursing and the management of postoperative adverse reactions.The involvement of traditional Chinese medicine nursing techniques provides an effective complement to nursing work.Through integrated Chinese and Western medicine nursing,it is possible not only to improve patients’preoperative anxiety and postoperative nausea and vomiting but also to effectively manage postoperative pain,enhancing the overall comfort and recovery speed of patients.展开更多
BACKGROUND Patients with gastric cancer often experience slow postoperative recovery and psychological stress,necessitating enhanced nursing care to improve their prognosis.AIM To analyze the impact of a timing-theory...BACKGROUND Patients with gastric cancer often experience slow postoperative recovery and psychological stress,necessitating enhanced nursing care to improve their prognosis.AIM To analyze the impact of a timing-theory-guided three-stage integrated nursing intervention(TSIN)on the postoperative recovery of patients undergoing gastric cancer surgery.METHODS Total 84 patients that underwent gastric cancer surgeries between June 2022 and June 2024 were selected and divided into a control group and an observation group based on perioperative nursing methods.The control group(n=42)received routine nursing care,whereas the observation group(n=42)received a timing-theory-guided TSIN.The psychological adjustment capabilities,psychological stress,cancer-related fatigue levels,postoperative recovery,and quality of life of the two groups were compared.RESULTS Compared to the control group,the observation group took lesser time to get out of bed,achieve gastrointestinal motility,have the first mealtime,along with a shorter hospital stay(P<0.05).Before nursing,there were no significant differences between groups’parameters or scores(P>0.05).After nursing,the scores for psychological stress and cancer-related fatigue decreased.In contrast,the scores for psychological adjustment capabilities and quality of life increased,with more significant improvements observed in the observation group,showing significant differences within and between the groups(P<0.05).CONCLUSION Timing theory-guided TSIN can improve the psychological adjustment capabilities of patients undergoing gastric cancer surgery,reduce psychological stress and cancer-related fatigue,accelerate postoperative recovery,and improve the quality of life.展开更多
BACKGROUND Postpartum depression(PPD)is a common psychological disease among puerperal women,and postpartum pelvic floor dysfunction is a common disease among pregnant women.The occurrence of postpartum pelvic floor d...BACKGROUND Postpartum depression(PPD)is a common psychological disease among puerperal women,and postpartum pelvic floor dysfunction is a common disease among pregnant women.The occurrence of postpartum pelvic floor dysfunction will increase the incidence of PPD.AIM To explore the therapeutic effect of integrated traditional Chinese and Western medicine nursing combined with electrical stimulation of pelvic floor muscles and the rectus abdominis on PPD.METHODS From April 2020 to January 2022,100 parturients with a rectus abdominis muscle separation distance>2.0 cm who underwent reexamination 6 wk after delivery at our hospital were selected as the research subjects.According to the random number table method,the patients were divided into either an observation group(n=50)or a control group(n=50).There was no significant difference in the general data between the two groups(P>0.05).Both groups were treated by electrical stimulation.The observation group was additionally treated by integrated traditional Chinese and Western medicine nursing.A self-designed Depression Knowledge Questionnaire was used to evaluate the awareness of knowledge on depression in all patients 3 wk after intervention.The Hamilton Depression Scale(HAMD)was used to evaluate the depression before intervention and 1 wk and 3 wk after intervention,and the Morisky Medication Adherence Scale(MMAS-8)was used to evaluate the medication compliance.SPSS19.0 was used for statistical analyses.RESULTS The rate of awareness of knowledge on depression in the observation group was significantly higher than that of the control group(P<0.05).The scores of MMAS-8 were comparable between the two groups before intervention(P>0.05),but were significantly higher in the observation group than in the control group at 1 wk and 3 wk after intervention(P<0.05).The HAMD scores were comparable between the two groups before intervention(P>0.05),but were significantly lower in the observation group than in the control group at 1 wk and 3 wk after intervention(P<0.05).CONCLUSION Integrated traditional Chinese and Western medicine nursing combined with electrical stimulation of pelvic floor muscles and the rectus abdominis is effective in the treatment of postpartum depression and worthy of clinical promotion.展开更多
Ulcerative colitis(UC)is a chronic nonspecific intestinal inflammatory disease of unclear etiology,characterized by continuous and diffuse inflammatory changes of colorectal mucosa.In recent years,the incidence rate o...Ulcerative colitis(UC)is a chronic nonspecific intestinal inflammatory disease of unclear etiology,characterized by continuous and diffuse inflammatory changes of colorectal mucosa.In recent years,the incidence rate of UC in China has increased year by year,but there is no effective cure method in Western medicine.Traditional Chinese medicine treatment based on syndrome differentiation has the unique advantages of simplicity,convenience,effectiveness,and low cost.Therefore,integration of Chinese and Western medicine has become an important strategy for UC diagnosis and treatment,and has made significant progress in UC.On the basis of learning from a number of consensuses at home and abroad,combined with Chinese research results and the actual clinical situation of traditional Chinese and Western medicine,the UC group of the Chinese Association of Integrative Medicine has formulated the expert consensus on the diagnosis and treatment of UC with integrated traditional Chinese and Western medicine.In this consensus,the pathogenesis,etiology and pathogenesis,diagnosis,integrated traditional Chinese and Western medicine treatment,and chronic disease management with integrated traditional Chinese and Western medicine for UC were recommended by experts.This article interprets the consensus from the perspective of nursing in order to provide reference basis for clinical nursing workers.展开更多
Objective:The objective of this study is to establish a nursing standard of integrated traditional Chinese and Western medicine for patients with COVID‑19(mild and common)in Beijing,to provide reference for clinical n...Objective:The objective of this study is to establish a nursing standard of integrated traditional Chinese and Western medicine for patients with COVID‑19(mild and common)in Beijing,to provide reference for clinical nursing of patients with COVID‑19(mild and common).Methods:Through online communication meeting with nurses who are in the frontline of anti‑epidemic,clinical investigation,literature research,and expert demonstration meeting are carried out to prepare the draft of the standard,and the Delphi method is applied to determine the standard of integrated traditional Chinese and Western medicine care for patients with COVID‑19(mild and common)in Beijing.Results:The nursing standard of integrated traditional Chinese and Western medicine for patients with COVID‑19(mild and common)was established,which included 5 first‑level indicators,14 second-level indicators and 60 third‑level indicators.After two rounds of Delphi method,the positive coefficients of experts were 96%and 83%,the authoritative coefficients of experts were 0.89 and 0.91,and the Kendall’s coefficient of concordance(W)of experts were 0.12,0.09,0.10,0.13(P<0.05)and 0.44,0.43,0.37,0.39(P<0.05).Conclusion:The standard of integrated traditional Chinese and Western medicine nursing for patients with COVID‑19(mild and common)in Beijing constructed by the Delphi method is scientific and practical,which provides a reference for clinical application of integrated traditional Chinese and Western medicine nursing to fight against COVID‑19 infection.展开更多
Gout is a common rheumatism and its long-term recurrent attacks can cause joint destruction and deformity,even disability,which seriously affects the quality of life of patients.Chinese medicine plays a unique advanta...Gout is a common rheumatism and its long-term recurrent attacks can cause joint destruction and deformity,even disability,which seriously affects the quality of life of patients.Chinese medicine plays a unique advantage in the treatment and rehabilitation of gout.To further standardize the diagnosis and treatment of gout with integrated traditional Chinese and Western medicine,the Chinese Association of Integrative Medicine issued the Guidelines for Diagnosis and Treatment of Gout with Integrated Traditional Chinese and Western Medicine in August 2021.Expert recommendations were made on the etiology and pathogenesis;diagnosis and classification standards;patient health management;and integrated traditional Chinese and Western medicine treatment,prevention,and nursing of gout.This article interprets the guidelines from the nursing point of view,focusing on the detailed explanation of diet care,functional exercise,and appropriate techniques of traditional Chinese medicine for gout,in order to provide better clinical reference for high-quality nursing services for gout patients.展开更多
Gastric cancer is a common and highly malignant tumor of the digestive system,which seriously threatens human health.The benefit of surgical treatment is limited.The effect of radiotherapy and chemotherapy is not sign...Gastric cancer is a common and highly malignant tumor of the digestive system,which seriously threatens human health.The benefit of surgical treatment is limited.The effect of radiotherapy and chemotherapy is not significant,and the toxic and side effects are large.Although the diagnosis and treatment modes of molecular targeting and multidisciplinary cooperation have also been further developed and applied,a relatively unified comprehensive treatment standard scheme has not been formed.Traditional Chinese medicine(TCM),as complementary and alternative medicine,has unique advantages in the development of diagnosis and treatment of diseases in China.Therefore,the Chinese Association of Integrative Medicine formed“Expert Consensus for Diagnosis and Treatment of Gastric Cancer with Integrated Traditional Chinese and Western Medicine”on the basis of clinical practice and experience.In this article,the consensus is interpreted from the perspective of nursing,focusing on the pathogenesis,high‑risk factors,characteristic therapies of TCM,and nursing of integrated traditional Chinese and Western medicine for gastric cancer,to provide a reference for front‑line medical personnel in the roots in the future nursing care of gastric cancer.展开更多
Lung cancer is a malignant tumor with the highest incidence and mortality in China,which seriously affects the quality of life of patients.Traditional Chinese medicine(TCM)plays a unique advantage in the treatment and...Lung cancer is a malignant tumor with the highest incidence and mortality in China,which seriously affects the quality of life of patients.Traditional Chinese medicine(TCM)plays a unique advantage in the treatment and rehabilitation of lung cancer.In order to standardize TCM diagnosis and treatment and disease management of clinical medical workers,the Chinese Association of Integrative Medicine issued the“Expert Consensus on the Diagnosis and Treatment of Lung Cancer by Integrated Traditional Chinese and Western Medicine”in August 2021.Experts’recommendations were made on the clinical staging and syndrome differentiation and classification of lung cancer,characteristic TCM therapies,and nursing care of integrated traditional Chinese and Western medicine.This article interpreted the Consensus on the above aspects from a nursing perspective,hoping to provide references for clinical medical workers in the treatment and nursing care of lung cancer.展开更多
Background At present,patients with chronic heart failure complicated with diabetes are often treated with drugs in clinical practice.Most patients cannot adhere to regular and quantitative medication for a long time,...Background At present,patients with chronic heart failure complicated with diabetes are often treated with drugs in clinical practice.Most patients cannot adhere to regular and quantitative medication for a long time,and their poor compliance has adverse effects on their rehabilitation.The aim of this study was to explore the application effects of integrated medical and nursing rehabilitation in the management of patients with chronic heart failure and diabetes.Methods A total of 75 patients with chronic heart failure and diabetes,admitted to our center from May 2020 to May 2023,were randomly divided into Group A(n=38)and Group B(n=37)using a random number table.Group A received integrated rehabilitation management,while Group B received conventional rehabilitation management.The left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD),fasting blood glucose(FBG),2-hour postprandial blood glucose(2h PG),glycated hemoglobin(Hb Alc),and self-care ability were compared between the two groups before and after intervention.Results After intervention,the LVEDD and LVESD in both groups were lower than before,while LVEF was higher than before(P<0.05).The LVEDD and LVESD in Group A were lower than in Group B after intervention,while LVEF was higher than in Group B(P<0.05).After intervention,the levels of FBG,2h PG,Hb Alc,and the scores of the European Heart Failure Self-care Behavior Scale(EHFSc B-9)in both groups decreased,with Group A being lower than Group B(P<0.05).Conclusions Integrated medical and nursing rehabilitation can effectively improve the cardiac function and blood glucose levels of patients with chronic heart failure and diabetes,control the patients’condition,and enhance their quality of life and self-care ability.[S Chin J Cardiol 2024;25(1):44-49]展开更多
Objective: To evaluate the effect of comprehensive care on glioma patients and on their quality of life and surgical effect. Methods: 60 hospitalized glioma patients were selected as the main body (2019.11-2021). All ...Objective: To evaluate the effect of comprehensive care on glioma patients and on their quality of life and surgical effect. Methods: 60 hospitalized glioma patients were selected as the main body (2019.11-2021). All patients were surgically treated and divided into two groups by type. This group was designated as the study group (30 cases) and the control group (30 cases). The control group used usual care and integrated care. To compare surgical efficacy, quality of life, pain, satisfaction with care, and mood state. Results: High quality, surgical efficacy of life, nursing satisfaction, low pain score and emotional status in the control group (P <0.05). Conclusion: Comprehensive nursing is ideal for glioma patients, which can reduce pain and bad mood, and improve nursing satisfaction and quality of life.展开更多
Objective: to observe the effect of the application of anesthesia and nursing integrated management model for hypertensive patients in anesthesia recovery room. Methods: the control group received routine management m...Objective: to observe the effect of the application of anesthesia and nursing integrated management model for hypertensive patients in anesthesia recovery room. Methods: the control group received routine management mode, while the observation group received anesthesia and nursing integrated management mode. Results: compared with the control group, the observation group had a relatively low recovery time (p < 0.05), the observation group had a relatively high Steward score (p < 0.05), the observation group had a relatively small number of nursing errors (p < 0.05), the observation group had a relatively small number of complications (p < 0.05), and the observation group had a relatively high satisfaction with nursing satisfaction (p < 0.05). Conclusion: for hypertension surgery, the implementation of anesthesia and nursing integrated management model in the anesthesia recovery room can help patients to complete the control of awakening time, reduce patient Steward score, further reduce the incidence of nursing errors, reduce patient complications, and promote patients' recognition and satisfaction of nursing work.展开更多
Objective: to study the effect of applying the anesthesia and nursing integration model in the anesthesia recovery room of hypertension surgery. Methods: 70 patients with hypertension admitted to the anesthesia recove...Objective: to study the effect of applying the anesthesia and nursing integration model in the anesthesia recovery room of hypertension surgery. Methods: 70 patients with hypertension admitted to the anesthesia recovery room of our hospital from January 2020 to December 2021 were selected and randomly divided into two groups, of which 35 patients in the control group received routine nursing management;The observation group of 35 cases used the anesthesia nursing integrated management model, and compared the adverse reactions, anesthesia recovery time and Steward score of the two groups. Results: the incidence of adverse reactions of heart rate abnormality, agitation and hypoxemia in the observation group was lower than that in the control group, and the difference between the groups was statistically significant (P < 0.05). The anesthesia recovery time in the observation group (96.42±5.28) min was shorter than that in the control group (90.33±4.69) min, and the Steward score in the observation group (4.75±0.38) was higher than that in the control group (3.48±0.27), with statistical significance (p < 0.05). Conclusion: in the nursing of anesthesia recovery room for hypertension patients undergoing surgery, the effect of adopting the anesthesia care integrated management model is good, which can reduce the incidence of adverse reactions, shorten the anesthesia recovery time, and improve the Steward score, and have a positive impact on the maintenance of patients' health.展开更多
The Chinese government has issued a series of policies to promote the development of community medical and nursing integrated services.Since the development of these services involves the transition of medical and hea...The Chinese government has issued a series of policies to promote the development of community medical and nursing integrated services.Since the development of these services involves the transition of medical and health services from public spaces to private spaces,the home has become a critical factor in service provision.It is therefore essential to consider the concept of home and the sense of at-homeness in the research and practice of community medical and nursing integrated services in China to avoid prioritizing"others"over"self-being."Through an analysis of three cases from Britain,the United States,and the Netherlands,this article demonstrates that a sense of control and social connection are key components of the elderly’s sense of at-homeness.Community medical and nursing integrated services should not only enable the elderly to maintain their sense of self-control but also assist in building a supportive social network.展开更多
Dear,Journal of Integrative Nursing(JIN,p-ISSN 2666-9854,e-ISSN 2663-4481),founded in March 2019,is an international peer reviewed,open-access,quarterly academic journal.JIN is co-sponsored by Association of Integrati...Dear,Journal of Integrative Nursing(JIN,p-ISSN 2666-9854,e-ISSN 2663-4481),founded in March 2019,is an international peer reviewed,open-access,quarterly academic journal.JIN is co-sponsored by Association of Integrative Nursing and Beijing Office of Traditional Chinese Medicine Nursing Competence Improvement Project,and published by Wolters Kluwer Medknow Publications.展开更多
文摘This minireview focuses on psychological distress and treatment adherence-issues in patients with chronic hepatitis B(CHB).It begins by discussing the epidemiology and disease burden of CHB,and addresses the relationship between psychological distress and treatment adherence.Next,it delves into the current status and risk factors for psychological distress among patients with CHB,and explores the challenges and risk factors related to treatment adherence.Subsequently,it explores the development and implementation of integrated nursing strategies,including psychological interventions and support,self-efficacy enhancement strategies,social support-system optimization,personalized medical care,and technological innovation.Finally,it highlights the limitations of current interventions and clarifies future research priorities.This minireview aims to provide a comprehensive theoretical basis and practical guidance for improving treatment outcomes and quality of life of patients with CHB.In summary,we reveal that psychological distress significantly impacts treatment adherence in patients with CHB and that it is essential to adopt integrated nursing strategies to address these challenges.These findings highlight the need to consider the psychological states of individuals and develop targeted interventions to improve treatment outcomes.
文摘This study aims to clarify what kinds of resilience and coping strategies students employ to successfully complete their clinical practicum and provide suggestions for instruction that will allow students to carry out effective learning activities. The study subjects were 86 students enrolled at Nursing University A for the 2019 school year and planning to take the integrated nursing practicum. The survey was conducted using an anonymous, self-administered questionnaire. The Wilcoxon signed-rank test was used to determine the amount of change in resilience factors from the surveys before and after the practicum. Subsequently, multiple regression analysis was carried out with stress coping behaviors that were significantly associated with resilience factors in univariate analysis as independent variables and the amount of change in resilience factors before and after the practicum as dependent variables. A total of 56 responses were received (response rate 65.8%) from the 85 survey subjects. Innate resilience factors increased significantly from 41 pre-practicums to 44 post-practicums. Acquired resilience factors also increased significantly from 32 pre-practicums to 35 post-practicums (p < 0.01). The results of multiple regression analysis found that the stress coping behavior of “changing point of view” (β = 0.361, p < 0.01) and pre-practicum innate resilience factors (β = <span style="white-space:nowrap;">−</span>0.456, p < 0.01) were significantly associated with innate resilience factors. Examining the relationship between the amount of change in student resilience and stress coping behaviors revealed that the stress coping behavior of “changing point of view” was associated with innate resilience. This finding suggests that resilience may be increased by changing one’s perspective on an event by taking on a new way of thinking. The results suggested that helping students transform realizations made during reflection into learning and create a sense of meaning may lead to fostering innate resilience during integrated nursing practicums.
文摘Objective: To investigate the effect of the integrated nursing model in the prevention of chemotherapy-induced peripheral injury. Methods: A total of 60 tumor patients receiving oxaliplatin for 1 - 6 cycles of chemotherapy from January to September 2023 were selected. 30 patients were selected from January to March and divided into the control group, and 30 patients were selected from July to 9 as the experimental group. The control group received conventional chemotherapy nursing, while the experimental group received integrated nursing. Anxiety, peripheral nerve toxicity stage and quality of life score were compared between the two groups before and after intervention. Results: After intervention, the scores of the self-rating Anxiety Scale (SAS) and the total scores of the oxaliplatin Levi specific sensory neurotoxicity scale in the experimental group were significantly lower than those in the control group, and the differences were statistically significant (P< 0.05);The Quality of Life Scale (FACT-G) score of cancer patients was higher than that of control group, and the difference was statistically significant (P< 0.05). Conclusion: The integrated nursing model can effectively reduce the anxiety of patients, reduce the incidence of peripheral nerve injury and improve the quality of life of patients.
文摘Objective: to analyze the integrated nursing concept in improving the nursing efficiency of tumor radiotherapy. Methods: The numerical content of the study came from the relevant content of 80 cases of patients with tumor radiotherapy in our hospital from April 2018 to March 2020. The random number table was adopted for grouping, 40 cases in the observation group and 40 cases in the control group. The control group used routine nursing, the observation group used integrated nursing concept. Analyze the work efficiency and quality of life. Results: the work efficiency of the observation group was higher than that of the control group (P < 0.05), and the quality of life of the observation group was higher than that of the control group (P < 0.05). Conclusion: integrated nursing concept for patients with tumor radiotherapy can increase work efficiency and improve the quality of life, which is worthy of clinical promotion and application.
文摘Objective:To explore the connotation of the integrated medical-care-rehabilitation nursing model and its application effect in elderly patients with chronic diseases.Methods:A total of 122 elderly patients with chronic diseases admitted to our hospital from January 2023 to June 2023 were selected and randomly divided into an observation group(62 cases)and a control group(60 cases).Both groups received routine nursing during hospitalization.After discharge,the control group received conventional continuous nursing,while the observation group was given the integrated medical-care-rehabilitation nursing model.The psychological status of the elderly patients in the two groups was compared before nursing and 6 months after nursing.Assessments were made on their clinical symptoms of mental health,self-care ability,health behaviors,and mastery of knowledge about elderly chronic diseases.Results:Six months after nursing,the scores of self-rated clinical symptoms of mental health and negative coping in both groups were lower than those before nursing(P<0.05).Meanwhile,the scores of negative coping,self-care ability,and health behaviors in both groups were higher than those before nursing(P<0.05).Conclusion:The integrated medical-care-rehabilitation nursing model can not only improve the nursing quality for elderly patients with chronic diseases but also foster their positive mentality,help them understand knowledge about diet and health care related to chronic diseases,enhance their self-care ability and health awareness,and assist them in achieving better recovery[1].
基金Survey and Analysis on Humanistic Care Experience and Influencing Factors of Elderly Residents in 3 Integrated Medical and Nursing Institutions in Guangyuan City(Project No.:24SCLN055)。
文摘This empirical study examines the integration of medical and elderly care services in Guangyuan City through stratified random sampling,targeting 283 eligible residents aged 60+from three representative integrated institutions.The research employed a self-designed questionnaire titled“Humanistic Care Experience and Demand Influencing Factors”to collect subjective perceptions regarding basic care,psychological support,health education,and social interaction using a Likert five-point scale.Descriptive statistics,one-way ANOVA,and multiple regression modeling were conducted with SPSS 25.0 software.Results indicated that overall humanistic care experience scores were moderately high,with the“caregiving”dimension scoring highest and“psychological/social support”the lowest.Analysis revealed significant correlations between educational attainment,income,self-reported health status,and family support frequency(P<0.001),particularly among seniors with higher education,better health,and stronger family support.While integrated care facilities provide relatively comprehensive basic care,they should focus on addressing gaps in humanistic services,especially providing targeted support for groups with“low education,low income,poor health,and lack of family support.”
文摘Nursing care during the perioperative period of thyroid cancer plays a crucial role in the recovery of patients.With the development of medical technology,Western medicine nursing techniques have matured in the perioperative period,including preoperative risk assessment and airway management,intraoperative neuromonitoring nursing coordination,postoperative drainage,and incision management.However,single Western medicine nursing often cannot fully meet the multifaceted needs of patients,especially in emotional nursing and the management of postoperative adverse reactions.The involvement of traditional Chinese medicine nursing techniques provides an effective complement to nursing work.Through integrated Chinese and Western medicine nursing,it is possible not only to improve patients’preoperative anxiety and postoperative nausea and vomiting but also to effectively manage postoperative pain,enhancing the overall comfort and recovery speed of patients.
文摘BACKGROUND Patients with gastric cancer often experience slow postoperative recovery and psychological stress,necessitating enhanced nursing care to improve their prognosis.AIM To analyze the impact of a timing-theory-guided three-stage integrated nursing intervention(TSIN)on the postoperative recovery of patients undergoing gastric cancer surgery.METHODS Total 84 patients that underwent gastric cancer surgeries between June 2022 and June 2024 were selected and divided into a control group and an observation group based on perioperative nursing methods.The control group(n=42)received routine nursing care,whereas the observation group(n=42)received a timing-theory-guided TSIN.The psychological adjustment capabilities,psychological stress,cancer-related fatigue levels,postoperative recovery,and quality of life of the two groups were compared.RESULTS Compared to the control group,the observation group took lesser time to get out of bed,achieve gastrointestinal motility,have the first mealtime,along with a shorter hospital stay(P<0.05).Before nursing,there were no significant differences between groups’parameters or scores(P>0.05).After nursing,the scores for psychological stress and cancer-related fatigue decreased.In contrast,the scores for psychological adjustment capabilities and quality of life increased,with more significant improvements observed in the observation group,showing significant differences within and between the groups(P<0.05).CONCLUSION Timing theory-guided TSIN can improve the psychological adjustment capabilities of patients undergoing gastric cancer surgery,reduce psychological stress and cancer-related fatigue,accelerate postoperative recovery,and improve the quality of life.
基金2017 Wuhan Medical Research Project,No.WZ17Z112021 Wuhan Medical Research Project,No.WX21Z65.
文摘BACKGROUND Postpartum depression(PPD)is a common psychological disease among puerperal women,and postpartum pelvic floor dysfunction is a common disease among pregnant women.The occurrence of postpartum pelvic floor dysfunction will increase the incidence of PPD.AIM To explore the therapeutic effect of integrated traditional Chinese and Western medicine nursing combined with electrical stimulation of pelvic floor muscles and the rectus abdominis on PPD.METHODS From April 2020 to January 2022,100 parturients with a rectus abdominis muscle separation distance>2.0 cm who underwent reexamination 6 wk after delivery at our hospital were selected as the research subjects.According to the random number table method,the patients were divided into either an observation group(n=50)or a control group(n=50).There was no significant difference in the general data between the two groups(P>0.05).Both groups were treated by electrical stimulation.The observation group was additionally treated by integrated traditional Chinese and Western medicine nursing.A self-designed Depression Knowledge Questionnaire was used to evaluate the awareness of knowledge on depression in all patients 3 wk after intervention.The Hamilton Depression Scale(HAMD)was used to evaluate the depression before intervention and 1 wk and 3 wk after intervention,and the Morisky Medication Adherence Scale(MMAS-8)was used to evaluate the medication compliance.SPSS19.0 was used for statistical analyses.RESULTS The rate of awareness of knowledge on depression in the observation group was significantly higher than that of the control group(P<0.05).The scores of MMAS-8 were comparable between the two groups before intervention(P>0.05),but were significantly higher in the observation group than in the control group at 1 wk and 3 wk after intervention(P<0.05).The HAMD scores were comparable between the two groups before intervention(P>0.05),but were significantly lower in the observation group than in the control group at 1 wk and 3 wk after intervention(P<0.05).CONCLUSION Integrated traditional Chinese and Western medicine nursing combined with electrical stimulation of pelvic floor muscles and the rectus abdominis is effective in the treatment of postpartum depression and worthy of clinical promotion.
文摘Ulcerative colitis(UC)is a chronic nonspecific intestinal inflammatory disease of unclear etiology,characterized by continuous and diffuse inflammatory changes of colorectal mucosa.In recent years,the incidence rate of UC in China has increased year by year,but there is no effective cure method in Western medicine.Traditional Chinese medicine treatment based on syndrome differentiation has the unique advantages of simplicity,convenience,effectiveness,and low cost.Therefore,integration of Chinese and Western medicine has become an important strategy for UC diagnosis and treatment,and has made significant progress in UC.On the basis of learning from a number of consensuses at home and abroad,combined with Chinese research results and the actual clinical situation of traditional Chinese and Western medicine,the UC group of the Chinese Association of Integrative Medicine has formulated the expert consensus on the diagnosis and treatment of UC with integrated traditional Chinese and Western medicine.In this consensus,the pathogenesis,etiology and pathogenesis,diagnosis,integrated traditional Chinese and Western medicine treatment,and chronic disease management with integrated traditional Chinese and Western medicine for UC were recommended by experts.This article interprets the consensus from the perspective of nursing in order to provide reference basis for clinical nursing workers.
文摘Objective:The objective of this study is to establish a nursing standard of integrated traditional Chinese and Western medicine for patients with COVID‑19(mild and common)in Beijing,to provide reference for clinical nursing of patients with COVID‑19(mild and common).Methods:Through online communication meeting with nurses who are in the frontline of anti‑epidemic,clinical investigation,literature research,and expert demonstration meeting are carried out to prepare the draft of the standard,and the Delphi method is applied to determine the standard of integrated traditional Chinese and Western medicine care for patients with COVID‑19(mild and common)in Beijing.Results:The nursing standard of integrated traditional Chinese and Western medicine for patients with COVID‑19(mild and common)was established,which included 5 first‑level indicators,14 second-level indicators and 60 third‑level indicators.After two rounds of Delphi method,the positive coefficients of experts were 96%and 83%,the authoritative coefficients of experts were 0.89 and 0.91,and the Kendall’s coefficient of concordance(W)of experts were 0.12,0.09,0.10,0.13(P<0.05)and 0.44,0.43,0.37,0.39(P<0.05).Conclusion:The standard of integrated traditional Chinese and Western medicine nursing for patients with COVID‑19(mild and common)in Beijing constructed by the Delphi method is scientific and practical,which provides a reference for clinical application of integrated traditional Chinese and Western medicine nursing to fight against COVID‑19 infection.
文摘Gout is a common rheumatism and its long-term recurrent attacks can cause joint destruction and deformity,even disability,which seriously affects the quality of life of patients.Chinese medicine plays a unique advantage in the treatment and rehabilitation of gout.To further standardize the diagnosis and treatment of gout with integrated traditional Chinese and Western medicine,the Chinese Association of Integrative Medicine issued the Guidelines for Diagnosis and Treatment of Gout with Integrated Traditional Chinese and Western Medicine in August 2021.Expert recommendations were made on the etiology and pathogenesis;diagnosis and classification standards;patient health management;and integrated traditional Chinese and Western medicine treatment,prevention,and nursing of gout.This article interprets the guidelines from the nursing point of view,focusing on the detailed explanation of diet care,functional exercise,and appropriate techniques of traditional Chinese medicine for gout,in order to provide better clinical reference for high-quality nursing services for gout patients.
文摘Gastric cancer is a common and highly malignant tumor of the digestive system,which seriously threatens human health.The benefit of surgical treatment is limited.The effect of radiotherapy and chemotherapy is not significant,and the toxic and side effects are large.Although the diagnosis and treatment modes of molecular targeting and multidisciplinary cooperation have also been further developed and applied,a relatively unified comprehensive treatment standard scheme has not been formed.Traditional Chinese medicine(TCM),as complementary and alternative medicine,has unique advantages in the development of diagnosis and treatment of diseases in China.Therefore,the Chinese Association of Integrative Medicine formed“Expert Consensus for Diagnosis and Treatment of Gastric Cancer with Integrated Traditional Chinese and Western Medicine”on the basis of clinical practice and experience.In this article,the consensus is interpreted from the perspective of nursing,focusing on the pathogenesis,high‑risk factors,characteristic therapies of TCM,and nursing of integrated traditional Chinese and Western medicine for gastric cancer,to provide a reference for front‑line medical personnel in the roots in the future nursing care of gastric cancer.
文摘Lung cancer is a malignant tumor with the highest incidence and mortality in China,which seriously affects the quality of life of patients.Traditional Chinese medicine(TCM)plays a unique advantage in the treatment and rehabilitation of lung cancer.In order to standardize TCM diagnosis and treatment and disease management of clinical medical workers,the Chinese Association of Integrative Medicine issued the“Expert Consensus on the Diagnosis and Treatment of Lung Cancer by Integrated Traditional Chinese and Western Medicine”in August 2021.Experts’recommendations were made on the clinical staging and syndrome differentiation and classification of lung cancer,characteristic TCM therapies,and nursing care of integrated traditional Chinese and Western medicine.This article interpreted the Consensus on the above aspects from a nursing perspective,hoping to provide references for clinical medical workers in the treatment and nursing care of lung cancer.
基金supported by the Natural Science Foundation of Hunan Province(No.2021JJ40505)。
文摘Background At present,patients with chronic heart failure complicated with diabetes are often treated with drugs in clinical practice.Most patients cannot adhere to regular and quantitative medication for a long time,and their poor compliance has adverse effects on their rehabilitation.The aim of this study was to explore the application effects of integrated medical and nursing rehabilitation in the management of patients with chronic heart failure and diabetes.Methods A total of 75 patients with chronic heart failure and diabetes,admitted to our center from May 2020 to May 2023,were randomly divided into Group A(n=38)and Group B(n=37)using a random number table.Group A received integrated rehabilitation management,while Group B received conventional rehabilitation management.The left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD),fasting blood glucose(FBG),2-hour postprandial blood glucose(2h PG),glycated hemoglobin(Hb Alc),and self-care ability were compared between the two groups before and after intervention.Results After intervention,the LVEDD and LVESD in both groups were lower than before,while LVEF was higher than before(P<0.05).The LVEDD and LVESD in Group A were lower than in Group B after intervention,while LVEF was higher than in Group B(P<0.05).After intervention,the levels of FBG,2h PG,Hb Alc,and the scores of the European Heart Failure Self-care Behavior Scale(EHFSc B-9)in both groups decreased,with Group A being lower than Group B(P<0.05).Conclusions Integrated medical and nursing rehabilitation can effectively improve the cardiac function and blood glucose levels of patients with chronic heart failure and diabetes,control the patients’condition,and enhance their quality of life and self-care ability.[S Chin J Cardiol 2024;25(1):44-49]
文摘Objective: To evaluate the effect of comprehensive care on glioma patients and on their quality of life and surgical effect. Methods: 60 hospitalized glioma patients were selected as the main body (2019.11-2021). All patients were surgically treated and divided into two groups by type. This group was designated as the study group (30 cases) and the control group (30 cases). The control group used usual care and integrated care. To compare surgical efficacy, quality of life, pain, satisfaction with care, and mood state. Results: High quality, surgical efficacy of life, nursing satisfaction, low pain score and emotional status in the control group (P <0.05). Conclusion: Comprehensive nursing is ideal for glioma patients, which can reduce pain and bad mood, and improve nursing satisfaction and quality of life.
文摘Objective: to observe the effect of the application of anesthesia and nursing integrated management model for hypertensive patients in anesthesia recovery room. Methods: the control group received routine management mode, while the observation group received anesthesia and nursing integrated management mode. Results: compared with the control group, the observation group had a relatively low recovery time (p < 0.05), the observation group had a relatively high Steward score (p < 0.05), the observation group had a relatively small number of nursing errors (p < 0.05), the observation group had a relatively small number of complications (p < 0.05), and the observation group had a relatively high satisfaction with nursing satisfaction (p < 0.05). Conclusion: for hypertension surgery, the implementation of anesthesia and nursing integrated management model in the anesthesia recovery room can help patients to complete the control of awakening time, reduce patient Steward score, further reduce the incidence of nursing errors, reduce patient complications, and promote patients' recognition and satisfaction of nursing work.
文摘Objective: to study the effect of applying the anesthesia and nursing integration model in the anesthesia recovery room of hypertension surgery. Methods: 70 patients with hypertension admitted to the anesthesia recovery room of our hospital from January 2020 to December 2021 were selected and randomly divided into two groups, of which 35 patients in the control group received routine nursing management;The observation group of 35 cases used the anesthesia nursing integrated management model, and compared the adverse reactions, anesthesia recovery time and Steward score of the two groups. Results: the incidence of adverse reactions of heart rate abnormality, agitation and hypoxemia in the observation group was lower than that in the control group, and the difference between the groups was statistically significant (P < 0.05). The anesthesia recovery time in the observation group (96.42±5.28) min was shorter than that in the control group (90.33±4.69) min, and the Steward score in the observation group (4.75±0.38) was higher than that in the control group (3.48±0.27), with statistical significance (p < 0.05). Conclusion: in the nursing of anesthesia recovery room for hypertension patients undergoing surgery, the effect of adopting the anesthesia care integrated management model is good, which can reduce the incidence of adverse reactions, shorten the anesthesia recovery time, and improve the Steward score, and have a positive impact on the maintenance of patients' health.
基金Project of Zhejiang Modern Service Industry Research Center(Project No.SXFJ202203)High-End Pre-Research Project of Zhejiang Shuren University(Project No.2023XZ028)。
文摘The Chinese government has issued a series of policies to promote the development of community medical and nursing integrated services.Since the development of these services involves the transition of medical and health services from public spaces to private spaces,the home has become a critical factor in service provision.It is therefore essential to consider the concept of home and the sense of at-homeness in the research and practice of community medical and nursing integrated services in China to avoid prioritizing"others"over"self-being."Through an analysis of three cases from Britain,the United States,and the Netherlands,this article demonstrates that a sense of control and social connection are key components of the elderly’s sense of at-homeness.Community medical and nursing integrated services should not only enable the elderly to maintain their sense of self-control but also assist in building a supportive social network.
文摘Dear,Journal of Integrative Nursing(JIN,p-ISSN 2666-9854,e-ISSN 2663-4481),founded in March 2019,is an international peer reviewed,open-access,quarterly academic journal.JIN is co-sponsored by Association of Integrative Nursing and Beijing Office of Traditional Chinese Medicine Nursing Competence Improvement Project,and published by Wolters Kluwer Medknow Publications.
