BACKGROUND Cox health behavior interventions combined with psychological care have the potential to improve recovery outcomes and psychological well-being in patients with hypertensive cerebral hemorrhage accompanied ...BACKGROUND Cox health behavior interventions combined with psychological care have the potential to improve recovery outcomes and psychological well-being in patients with hypertensive cerebral hemorrhage accompanied by mental disorders.AIM To explore the impact of combining the Cox Health Behavior Interaction Model with multifaceted psychological nursing in patients with hypertensive intracerebral hemorrhage(ICH)complicated by mental disorders and to provide a reference for the nursing intervention in patients with hypertensive ICH.METHODS Overall,128 patients with hypertensive ICH complicated by mental disorders who were admitted to the Affiliated Hospital of Nantong University between January 2022 and December 2024 were divided into groups using a random number table.The control group(n=64)received multifaceted psychological nursing,and the observation group(n=64)received the Cox Health Behavior Interaction Model intervention based on multifaceted psychological nursing.The mental state,psychological resilience,self-efficacy,and quality of life of the two groups were compared.RESULTS Post-intervention,the mental states of anxiety and depression in the observation group(38.82±3.67 points and 35.14±2.75 points,respectively)were lower than those in the control group(46.96±5.12 points and 41.36±3.71 points,respectively),and the psychological resilience levels(tenacity,self-improvement,and optimism)were higher than those in the control group(P<0.05).Postintervention,the General Self-Efficacy Scale score in the observation group(31.75±2.75 points)was higher than that in the control group(26.76±2.93 points),and the physical health-and social and mental health-related quality of life were both higher than those in the control group(P<0.05).CONCLUSION Combining the Cox Health Behavior Interaction Model with multifaceted psychological nursing for patients with hypertensive ICH and mental disorders relieves anxiety and depression and improves resilience,self-efficacy,and quality of life.展开更多
Objective:To investigate the clinical effects of parental participation in nursing under the Interaction Model of Client Health Behavior(IMCHB)model in neonatal hypoxic-ischemic encephalopathy(HIE).Methods:The First A...Objective:To investigate the clinical effects of parental participation in nursing under the Interaction Model of Client Health Behavior(IMCHB)model in neonatal hypoxic-ischemic encephalopathy(HIE).Methods:The First Affiliated Hospital of Gannan Medical University included 46 newborns with HIE admitted from October 2021 to October 2023 into the study population.They were divided into a control group and an observation group according to the random number table method,with the control group adopting routine nursing,and the observation group implementing parental participation in nursing under the IMCHB model.The indicators of physical,intellectual,and psychomotor development of the two groups were compared before and after nursing.Results:The physical,intellectual,and psychomotor development of the observation group was higher than that of the control group after 3 months of nursing,and the difference was statistically significant(P<0.05).Conclusion:The implementation of the IMCHB model of parental participation in the clinical care of HIE neonates can further promote their physical,intellectual,and psychomotor development.展开更多
目的探讨基于Cox健康行为互动(interaction model of client health behavior,IMCHB)模式在心力衰竭(heart failure,HF)患者中的应用效果。方法选择广东省茂名市人民医院2023年10月—2024年7月收治的86例HF患者为研究对象,按照组间基本...目的探讨基于Cox健康行为互动(interaction model of client health behavior,IMCHB)模式在心力衰竭(heart failure,HF)患者中的应用效果。方法选择广东省茂名市人民医院2023年10月—2024年7月收治的86例HF患者为研究对象,按照组间基本特征具有可比性的原则分为观察组与对照组,各43例。对照组接受常规护理干预,观察组在对照组基础上接受基于IMCHB的护理干预,两组均干预至患者转出心脏重症监护室。比较干预前后两组患者自护能力、心理状态、服药依从性及干预期间不良事件发生情况。结果干预后,观察组患者心力衰竭自我护理指数(SCHFI)中自我护理维持、自我护理管理、自我护理信心评分高于对照组,差异均有统计学意义(P<0.05);观察组患者医院焦虑抑郁量表(HADS)中焦虑及抑郁评分均低于对照组,差异均有统计学意义(P<0.05)。观察组患者Morisky服药依从性量表(MMAS-8)评分高于对照组,差异有统计学意义(P<0.05)。两组患者干预期间不良事件总发生率比较,差异无统计学意义(P>0.05)。结论基于IMCHB的护理干预可提高HF患者自护能力,改善其心理状态,提高其服药依从性。展开更多
目的探讨基于Cox健康行为互动模式(interaction model of client health behavior,IMCHB)的心理护理联合疼痛护理小组模式应用于带状疱疹患者中的效果。方法方便选取2021年9月—2023年9月山东省泰安市中心医院收治的82例带状疱疹患者为...目的探讨基于Cox健康行为互动模式(interaction model of client health behavior,IMCHB)的心理护理联合疼痛护理小组模式应用于带状疱疹患者中的效果。方法方便选取2021年9月—2023年9月山东省泰安市中心医院收治的82例带状疱疹患者为研究对象,依据不同护理方法分为两组,各41例。对照组采取常规护理,观察组实施基于IMCHB的心理护理联合疼痛护理小组模式护理,两组均连续护理1周。比较两组患者心理状态、疼痛程度、舒适度以及生活质量。结果护理后,观察组患者健康问卷、广泛性焦虑障碍量表评分分别为(12.33±1.84)分、(9.19±1.44)分,均低于对照组的(15.51±1.96)分、(12.76±1.52)分,差异均有统计学意义(t=7.574,10.918;P均<0.05)。护理后,观察组两项疼痛评分及生活质量评分低于对照组,舒适度评分高于对照组,差异均有统计学意义(P均<0.05)。结论基于IMCHB的心理护理联合疼痛护理小组模式可缓解带状疱疹患者负面情绪,改善其疼痛程度和舒适度,促进患者生活质量提升。展开更多
目的制订基于Cox健康行为互动模式(Cox interaction model of client health behavior,CoxIMCHB)的老年慢性阻塞性肺疾病(COPD)稳定期患者家庭肺康复健康教育方案,并将方案应用于老年COPD稳定期患者中,以探讨其提高患者家庭肺康复依从...目的制订基于Cox健康行为互动模式(Cox interaction model of client health behavior,CoxIMCHB)的老年慢性阻塞性肺疾病(COPD)稳定期患者家庭肺康复健康教育方案,并将方案应用于老年COPD稳定期患者中,以探讨其提高患者家庭肺康复依从性、改善生活质量的效果。方法选取2023年5—10月贵州中医药大学第二附属医院呼吸与危重症医学科收治的96例老年COPD稳定期患者作为研究对象。按照组间基线资料具有可比性的原则将其分为对照组和观察组,每组48例。对照组实施常规健康教育,观察组实施基于Cox-IMCHB模式的老年COPD稳定期患者家庭肺康复健康教育方案。比较两组患者干预后家庭肺康复依从性、布里斯托尔COPD认知问卷(BCKQ)评分、肺功能[第一秒用力呼气容积(FEV_(1)%)预计值、FEV_(1)/用力肺活量(FVC)]、英国医学研究会改良呼吸困难指数分级(mMRC)评分、COPD评估测试(CAT)评分及患者满意度调查表(CST)。结果95例患者完成研究(对照组47例、观察组48例)。干预后,观察组患者家庭肺康复依从性及BCKQ、mMRC、CAT、CST评分等均优于对照组,差异具有统计学意义(P<0.05);干预后,两组患者肺功能(FEV_(1)%预计值、FEV_(1)/FVC)比较差异无统计学意义(P>0.05)。结论基于Cox-IMCHB模式的老年COPD稳定期患者家庭肺康复健康教育方案能改善患者家庭肺康复依从性、疾病认知水平、呼吸困难程度、生活质量及满意度。展开更多
文摘BACKGROUND Cox health behavior interventions combined with psychological care have the potential to improve recovery outcomes and psychological well-being in patients with hypertensive cerebral hemorrhage accompanied by mental disorders.AIM To explore the impact of combining the Cox Health Behavior Interaction Model with multifaceted psychological nursing in patients with hypertensive intracerebral hemorrhage(ICH)complicated by mental disorders and to provide a reference for the nursing intervention in patients with hypertensive ICH.METHODS Overall,128 patients with hypertensive ICH complicated by mental disorders who were admitted to the Affiliated Hospital of Nantong University between January 2022 and December 2024 were divided into groups using a random number table.The control group(n=64)received multifaceted psychological nursing,and the observation group(n=64)received the Cox Health Behavior Interaction Model intervention based on multifaceted psychological nursing.The mental state,psychological resilience,self-efficacy,and quality of life of the two groups were compared.RESULTS Post-intervention,the mental states of anxiety and depression in the observation group(38.82±3.67 points and 35.14±2.75 points,respectively)were lower than those in the control group(46.96±5.12 points and 41.36±3.71 points,respectively),and the psychological resilience levels(tenacity,self-improvement,and optimism)were higher than those in the control group(P<0.05).Postintervention,the General Self-Efficacy Scale score in the observation group(31.75±2.75 points)was higher than that in the control group(26.76±2.93 points),and the physical health-and social and mental health-related quality of life were both higher than those in the control group(P<0.05).CONCLUSION Combining the Cox Health Behavior Interaction Model with multifaceted psychological nursing for patients with hypertensive ICH and mental disorders relieves anxiety and depression and improves resilience,self-efficacy,and quality of life.
文摘Objective:To investigate the clinical effects of parental participation in nursing under the Interaction Model of Client Health Behavior(IMCHB)model in neonatal hypoxic-ischemic encephalopathy(HIE).Methods:The First Affiliated Hospital of Gannan Medical University included 46 newborns with HIE admitted from October 2021 to October 2023 into the study population.They were divided into a control group and an observation group according to the random number table method,with the control group adopting routine nursing,and the observation group implementing parental participation in nursing under the IMCHB model.The indicators of physical,intellectual,and psychomotor development of the two groups were compared before and after nursing.Results:The physical,intellectual,and psychomotor development of the observation group was higher than that of the control group after 3 months of nursing,and the difference was statistically significant(P<0.05).Conclusion:The implementation of the IMCHB model of parental participation in the clinical care of HIE neonates can further promote their physical,intellectual,and psychomotor development.
文摘目的探讨基于Cox健康行为互动(interaction model of client health behavior,IMCHB)模式在心力衰竭(heart failure,HF)患者中的应用效果。方法选择广东省茂名市人民医院2023年10月—2024年7月收治的86例HF患者为研究对象,按照组间基本特征具有可比性的原则分为观察组与对照组,各43例。对照组接受常规护理干预,观察组在对照组基础上接受基于IMCHB的护理干预,两组均干预至患者转出心脏重症监护室。比较干预前后两组患者自护能力、心理状态、服药依从性及干预期间不良事件发生情况。结果干预后,观察组患者心力衰竭自我护理指数(SCHFI)中自我护理维持、自我护理管理、自我护理信心评分高于对照组,差异均有统计学意义(P<0.05);观察组患者医院焦虑抑郁量表(HADS)中焦虑及抑郁评分均低于对照组,差异均有统计学意义(P<0.05)。观察组患者Morisky服药依从性量表(MMAS-8)评分高于对照组,差异有统计学意义(P<0.05)。两组患者干预期间不良事件总发生率比较,差异无统计学意义(P>0.05)。结论基于IMCHB的护理干预可提高HF患者自护能力,改善其心理状态,提高其服药依从性。
文摘目的探讨基于Cox健康行为互动模式(interaction model of client health behavior,IMCHB)的心理护理联合疼痛护理小组模式应用于带状疱疹患者中的效果。方法方便选取2021年9月—2023年9月山东省泰安市中心医院收治的82例带状疱疹患者为研究对象,依据不同护理方法分为两组,各41例。对照组采取常规护理,观察组实施基于IMCHB的心理护理联合疼痛护理小组模式护理,两组均连续护理1周。比较两组患者心理状态、疼痛程度、舒适度以及生活质量。结果护理后,观察组患者健康问卷、广泛性焦虑障碍量表评分分别为(12.33±1.84)分、(9.19±1.44)分,均低于对照组的(15.51±1.96)分、(12.76±1.52)分,差异均有统计学意义(t=7.574,10.918;P均<0.05)。护理后,观察组两项疼痛评分及生活质量评分低于对照组,舒适度评分高于对照组,差异均有统计学意义(P均<0.05)。结论基于IMCHB的心理护理联合疼痛护理小组模式可缓解带状疱疹患者负面情绪,改善其疼痛程度和舒适度,促进患者生活质量提升。
文摘目的制订基于Cox健康行为互动模式(Cox interaction model of client health behavior,CoxIMCHB)的老年慢性阻塞性肺疾病(COPD)稳定期患者家庭肺康复健康教育方案,并将方案应用于老年COPD稳定期患者中,以探讨其提高患者家庭肺康复依从性、改善生活质量的效果。方法选取2023年5—10月贵州中医药大学第二附属医院呼吸与危重症医学科收治的96例老年COPD稳定期患者作为研究对象。按照组间基线资料具有可比性的原则将其分为对照组和观察组,每组48例。对照组实施常规健康教育,观察组实施基于Cox-IMCHB模式的老年COPD稳定期患者家庭肺康复健康教育方案。比较两组患者干预后家庭肺康复依从性、布里斯托尔COPD认知问卷(BCKQ)评分、肺功能[第一秒用力呼气容积(FEV_(1)%)预计值、FEV_(1)/用力肺活量(FVC)]、英国医学研究会改良呼吸困难指数分级(mMRC)评分、COPD评估测试(CAT)评分及患者满意度调查表(CST)。结果95例患者完成研究(对照组47例、观察组48例)。干预后,观察组患者家庭肺康复依从性及BCKQ、mMRC、CAT、CST评分等均优于对照组,差异具有统计学意义(P<0.05);干预后,两组患者肺功能(FEV_(1)%预计值、FEV_(1)/FVC)比较差异无统计学意义(P>0.05)。结论基于Cox-IMCHB模式的老年COPD稳定期患者家庭肺康复健康教育方案能改善患者家庭肺康复依从性、疾病认知水平、呼吸困难程度、生活质量及满意度。
