BACKGROUND Owing to age-related physiological declines,elderly patients undergoing radical gastrectomy(RG)often experience physical and psychological challenges.Hence,appropriate nursing strategies need to be identifi...BACKGROUND Owing to age-related physiological declines,elderly patients undergoing radical gastrectomy(RG)often experience physical and psychological challenges.Hence,appropriate nursing strategies need to be identified for optimizing patient outcomes.AIM To evaluate the effects of the Neuman Systems Model-guided stepped care intervention(NGSC)model on postoperative physical and psychological recovery in elderly patients with gastric cancer who underwent RG.METHODS In total,80 elderly patients(≥65 years old)who underwent RG at the Shanxi Fenyang Hospital between January 2023 and June 2024 were included and randomly divided as follows:Control group(n=40,those receiving conventional stepped care intervention);observation group(n=40,those receiving NGSC).Postoperative recovery indices,anxiety/depression scores(Self-Rating Anxiety Scale/Self-Rating Depression Scale),quality of life(36-item short form health survey),and adverse event rates were compared between the groups.RESULTS Compared with the control group,the observation group presented significantly shorter recovery times for first bowel sounds,ambulation,flatus,oral intake,catheter removal,and hospitalization(all P<0.05).Notably,in the observation group,Self-Rating Anxiety Scale/Self-Rating Depression Scale scores and the adverse event rate were significantly lower(all P<0.05),whereas 36-item short form health survey scores were higher(P<0.05),compared with those in the control group.CONCLUSION Overall,the findings of this study show that the proposed NGSC model accelerates postoperative recovery,alleviates psychological distress,improves quality of life,and reduces complications in elderly patients with gastric cancer who underwent RG,presenting potential for clinical application.展开更多
Objective: To explore nutritional support under the Neuman systems model in treating dysphagia in stroke patients. Methods: In this retrospective study, we enrolled 97 patients with dysphagia after stroke admitted to ...Objective: To explore nutritional support under the Neuman systems model in treating dysphagia in stroke patients. Methods: In this retrospective study, we enrolled 97 patients with dysphagia after stroke admitted to our hospital, and randomly divided them into the Neuman group (n = 51) given nursing intervention based on Neuman systems model and a control group (n = 46) given routine nursing intervention. Both groups received nutritional support for 3 months. Nutritional indexes (serum total protein, plasma albumin, serum albumin, hemoglobin and transferrin levels) and immune indexes (immunoglobulin (Ig) A, IgG, IgM and total lymphocyte count (TLC) in both groups were recorded and compared. Pulmonary function recovery, video fluoroscopic swallowing study score, water swallowing test score, complication rate, and health knowledge mastery level were also compared between the two groups. Results: After the intervention, the Neuman group showed less decrease in the nutritional and immune index scores (serum total protein, plasma albumin, hemoglobin, serum albumin;IgA, IgG, IgM, and TLC;all P Conclusion: For patients with stroke and dysphagia, comprehensive nursing intervention (e.g., nutritional support) under theNeuman systems model can promote the recovery of immune, swallowing, and pulmonary function, reduce complication incidence and facilitate comprehensive rehabilitation, ensuring adequate nutritional intake.展开更多
Background:This paper uses information visualization software to sort out the relevant research of Neuman systems model at home and abroad in the past 20 years,and discusses the research hotspots and development trend...Background:This paper uses information visualization software to sort out the relevant research of Neuman systems model at home and abroad in the past 20 years,and discusses the research hotspots and development trend in the field of Neuman systems model,so as to provide scientific and reliable reference for the future work and research.Methods:By using CiteSpace V software,this paper analyzes the literatures about the Neuman systems model collected in the core web of science database and CNKI database from 2001 to 2020,and analyzes the time distribution,research power distribution,research hotspots,research frontier and development trend of the Neuman systems model at home and abroad in the past 20 years.Results:The development trend of research in this field in foreign countries is relatively stable.The core strength of research is mainly in the United States,and the research hotspots are health,quality of life,caregivers,spirituality,etc;the research in this field in China is gradually on the rise,and there is no obvious research force,and the research hotspots are mainly quality of life,complications,anxiety,stressors,perioperative period,hypertension,etc.Conclusions:It has been proved that the model has a certain guiding effect on the development of nursing discipline in China.In China,there is still room for development in the research of this model.It is suggested that Chinese scholars can learn from foreign leading research forces to carry out in-depth research and expand its application scope.展开更多
As more nurses embrace precision science,there is a tendency to utilize theoretical frameworks from other disciplines thus,placing nursing at risk of losing its autonomy and independence.The discipline has fallen prey...As more nurses embrace precision science,there is a tendency to utilize theoretical frameworks from other disciplines thus,placing nursing at risk of losing its autonomy and independence.The discipline has fallen prey to internal binary opposition,eliminating opportunities to engage in civil discourse.To explore how the roles nurses select might fit together in a theoretical framework and help nurses understand how the roles they choose to support their identity as nurses,this paper introduced a model of nursing that includes the bench scientists,the policy activists,and bedside nurses,using the Neuman Systems Model(NSM).The Nurse Role Integration Model(NRIM)espouses the basic tenets of NSM:prevention counteracts stressors from penetrating the client's lines of defense thus,reducing stress response.Primary prevention reflects the work of the nurse bench scientists,investigating the underlying mechanisms behind pathophysiology;secondary prevention is applied nurse scientists who build upon nurse researchers'work,identifying and testing potential interventions;tertiary prevention is nurse policy activists,the fulcrum,who leverage primary and secondary findings to argue policy change at all levels.Once policy change is adopted,bedside nurses are educated and implement the change.This lens provides an opportunity to create greater solidarity,strengthening the unity and autonomy of the discipline.展开更多
文摘BACKGROUND Owing to age-related physiological declines,elderly patients undergoing radical gastrectomy(RG)often experience physical and psychological challenges.Hence,appropriate nursing strategies need to be identified for optimizing patient outcomes.AIM To evaluate the effects of the Neuman Systems Model-guided stepped care intervention(NGSC)model on postoperative physical and psychological recovery in elderly patients with gastric cancer who underwent RG.METHODS In total,80 elderly patients(≥65 years old)who underwent RG at the Shanxi Fenyang Hospital between January 2023 and June 2024 were included and randomly divided as follows:Control group(n=40,those receiving conventional stepped care intervention);observation group(n=40,those receiving NGSC).Postoperative recovery indices,anxiety/depression scores(Self-Rating Anxiety Scale/Self-Rating Depression Scale),quality of life(36-item short form health survey),and adverse event rates were compared between the groups.RESULTS Compared with the control group,the observation group presented significantly shorter recovery times for first bowel sounds,ambulation,flatus,oral intake,catheter removal,and hospitalization(all P<0.05).Notably,in the observation group,Self-Rating Anxiety Scale/Self-Rating Depression Scale scores and the adverse event rate were significantly lower(all P<0.05),whereas 36-item short form health survey scores were higher(P<0.05),compared with those in the control group.CONCLUSION Overall,the findings of this study show that the proposed NGSC model accelerates postoperative recovery,alleviates psychological distress,improves quality of life,and reduces complications in elderly patients with gastric cancer who underwent RG,presenting potential for clinical application.
文摘Objective: To explore nutritional support under the Neuman systems model in treating dysphagia in stroke patients. Methods: In this retrospective study, we enrolled 97 patients with dysphagia after stroke admitted to our hospital, and randomly divided them into the Neuman group (n = 51) given nursing intervention based on Neuman systems model and a control group (n = 46) given routine nursing intervention. Both groups received nutritional support for 3 months. Nutritional indexes (serum total protein, plasma albumin, serum albumin, hemoglobin and transferrin levels) and immune indexes (immunoglobulin (Ig) A, IgG, IgM and total lymphocyte count (TLC) in both groups were recorded and compared. Pulmonary function recovery, video fluoroscopic swallowing study score, water swallowing test score, complication rate, and health knowledge mastery level were also compared between the two groups. Results: After the intervention, the Neuman group showed less decrease in the nutritional and immune index scores (serum total protein, plasma albumin, hemoglobin, serum albumin;IgA, IgG, IgM, and TLC;all P Conclusion: For patients with stroke and dysphagia, comprehensive nursing intervention (e.g., nutritional support) under theNeuman systems model can promote the recovery of immune, swallowing, and pulmonary function, reduce complication incidence and facilitate comprehensive rehabilitation, ensuring adequate nutritional intake.
基金This study was supported by Reform Research of Education and Teaching in Tianjin University of Traditional Chinese Medicine(No.2016JYF09).
文摘Background:This paper uses information visualization software to sort out the relevant research of Neuman systems model at home and abroad in the past 20 years,and discusses the research hotspots and development trend in the field of Neuman systems model,so as to provide scientific and reliable reference for the future work and research.Methods:By using CiteSpace V software,this paper analyzes the literatures about the Neuman systems model collected in the core web of science database and CNKI database from 2001 to 2020,and analyzes the time distribution,research power distribution,research hotspots,research frontier and development trend of the Neuman systems model at home and abroad in the past 20 years.Results:The development trend of research in this field in foreign countries is relatively stable.The core strength of research is mainly in the United States,and the research hotspots are health,quality of life,caregivers,spirituality,etc;the research in this field in China is gradually on the rise,and there is no obvious research force,and the research hotspots are mainly quality of life,complications,anxiety,stressors,perioperative period,hypertension,etc.Conclusions:It has been proved that the model has a certain guiding effect on the development of nursing discipline in China.In China,there is still room for development in the research of this model.It is suggested that Chinese scholars can learn from foreign leading research forces to carry out in-depth research and expand its application scope.
基金Research reported in this discussion paper was supported by the National Institute for Nursing Research of the National Institutes of Health under award number[1 F32 NR01859101].Special thanks to Dr.E.Carol Polifroni,EdD,NEA-BC,CNE RN,ANEF for her unwavering support,guidance,and encouragement to see this disc scussion published.
文摘As more nurses embrace precision science,there is a tendency to utilize theoretical frameworks from other disciplines thus,placing nursing at risk of losing its autonomy and independence.The discipline has fallen prey to internal binary opposition,eliminating opportunities to engage in civil discourse.To explore how the roles nurses select might fit together in a theoretical framework and help nurses understand how the roles they choose to support their identity as nurses,this paper introduced a model of nursing that includes the bench scientists,the policy activists,and bedside nurses,using the Neuman Systems Model(NSM).The Nurse Role Integration Model(NRIM)espouses the basic tenets of NSM:prevention counteracts stressors from penetrating the client's lines of defense thus,reducing stress response.Primary prevention reflects the work of the nurse bench scientists,investigating the underlying mechanisms behind pathophysiology;secondary prevention is applied nurse scientists who build upon nurse researchers'work,identifying and testing potential interventions;tertiary prevention is nurse policy activists,the fulcrum,who leverage primary and secondary findings to argue policy change at all levels.Once policy change is adopted,bedside nurses are educated and implement the change.This lens provides an opportunity to create greater solidarity,strengthening the unity and autonomy of the discipline.
