目的探讨目标、规则、训练、考核、文化(objective rules training check culture,ORTCC)管理联合八段锦在乳腺癌术后康复中的应用效果。方法选取2024年1月—2024年6月在浙江省人民医院乳腺外科就诊的100例女性乳腺癌患者为研究对象。...目的探讨目标、规则、训练、考核、文化(objective rules training check culture,ORTCC)管理联合八段锦在乳腺癌术后康复中的应用效果。方法选取2024年1月—2024年6月在浙江省人民医院乳腺外科就诊的100例女性乳腺癌患者为研究对象。以随机数字表法分为2组,每组50例。对照组采用常规的乳腺癌术后康复护理措施,观察组在对照组的基础上实施ORTCC管理模式联合八段锦康复干预。对比2组干预前后上肢功能障碍评定简表(DASH)评分,乳腺癌患者生命质量测定量表(FACT-B)评分,医院焦虑、抑郁量表(HADS)评分,肩关节活动度(ROM)。结果干预后,2组患者DASH评分均低于干预前,FACT-B评分高于干预前(P<0.01),焦虑、抑郁评分均低于干预前,肩关节前屈、后伸、外展活动度均优于干预前(P<0.01);观察组DASH评分低于对照组,FACT-B评分高于对照组,焦虑、抑郁评分均低于对照组,肩关节前屈、后伸、外展活动度均优于对照组(P<0.01)。结论ORTCC管理联合八段锦的干预策略能够有效促进乳腺癌术后患者患肢功能恢复,改善肩关节活动度,缓解焦虑、抑郁情绪,提高患者生存质量。展开更多
Objective:To explore the application effect of the path for improving humanistic literacy of operating room nursing students based on the ORTCC model,in order to make up for the deficiency of systematic humanistic edu...Objective:To explore the application effect of the path for improving humanistic literacy of operating room nursing students based on the ORTCC model,in order to make up for the deficiency of systematic humanistic education in the traditional teaching model.Methods:120 nursing students who practiced in the operating room from June 2023 to June 2024 were randomly divided into the experimental group and the control group,with 60 students in each group.The control group received routine teaching,while the experimental group applied the ORTCC model on the basis of routine and intervened through setting humanistic literacy goals,formulating behavioral norms,conducting diversified training,implementing two-way assessment,and creating departmental culture.The effect of the intervention was evaluated using the Nurse Humanistic Quality Scale,the Clinical Communication Ability Assessment Scale for Operating Room Nursing Students,and a self-made nursing satisfaction questionnaire.Results:After the intervention,the total score of humanistic literacy in the experimental group(4 weeks of intervention:161.43±10.06 points,12 weeks of intervention:165.71±9.45 points)was significantly higher than that in the control group(139.38±10.95 points,143.31±10.52 points)(all p<0.001);The total score of clinical communication ability in the experimental group(109.69±8.05 points for 4 weeks of intervention,116.90±7.21 points for 12 weeks of intervention)was also significantly better than that in the control group(99.14±9.23 points,103.03±8.78 points)(all p<0.001);The total score of patient care satisfaction in the experimental group(94.2±4.3)was significantly higher than that in the control group(82.6±5.7)(p<0.001).Conclusion:The ORTCC model can systematically enhance the humanistic literacy,clinical communication skills and patient satisfaction of operating room nursing students,providing an effective approach for optimizing clinical teaching in the operating room.展开更多
文摘目的探讨目标、规则、训练、考核、文化(objective rules training check culture,ORTCC)管理联合八段锦在乳腺癌术后康复中的应用效果。方法选取2024年1月—2024年6月在浙江省人民医院乳腺外科就诊的100例女性乳腺癌患者为研究对象。以随机数字表法分为2组,每组50例。对照组采用常规的乳腺癌术后康复护理措施,观察组在对照组的基础上实施ORTCC管理模式联合八段锦康复干预。对比2组干预前后上肢功能障碍评定简表(DASH)评分,乳腺癌患者生命质量测定量表(FACT-B)评分,医院焦虑、抑郁量表(HADS)评分,肩关节活动度(ROM)。结果干预后,2组患者DASH评分均低于干预前,FACT-B评分高于干预前(P<0.01),焦虑、抑郁评分均低于干预前,肩关节前屈、后伸、外展活动度均优于干预前(P<0.01);观察组DASH评分低于对照组,FACT-B评分高于对照组,焦虑、抑郁评分均低于对照组,肩关节前屈、后伸、外展活动度均优于对照组(P<0.01)。结论ORTCC管理联合八段锦的干预策略能够有效促进乳腺癌术后患者患肢功能恢复,改善肩关节活动度,缓解焦虑、抑郁情绪,提高患者生存质量。
文摘Objective:To explore the application effect of the path for improving humanistic literacy of operating room nursing students based on the ORTCC model,in order to make up for the deficiency of systematic humanistic education in the traditional teaching model.Methods:120 nursing students who practiced in the operating room from June 2023 to June 2024 were randomly divided into the experimental group and the control group,with 60 students in each group.The control group received routine teaching,while the experimental group applied the ORTCC model on the basis of routine and intervened through setting humanistic literacy goals,formulating behavioral norms,conducting diversified training,implementing two-way assessment,and creating departmental culture.The effect of the intervention was evaluated using the Nurse Humanistic Quality Scale,the Clinical Communication Ability Assessment Scale for Operating Room Nursing Students,and a self-made nursing satisfaction questionnaire.Results:After the intervention,the total score of humanistic literacy in the experimental group(4 weeks of intervention:161.43±10.06 points,12 weeks of intervention:165.71±9.45 points)was significantly higher than that in the control group(139.38±10.95 points,143.31±10.52 points)(all p<0.001);The total score of clinical communication ability in the experimental group(109.69±8.05 points for 4 weeks of intervention,116.90±7.21 points for 12 weeks of intervention)was also significantly better than that in the control group(99.14±9.23 points,103.03±8.78 points)(all p<0.001);The total score of patient care satisfaction in the experimental group(94.2±4.3)was significantly higher than that in the control group(82.6±5.7)(p<0.001).Conclusion:The ORTCC model can systematically enhance the humanistic literacy,clinical communication skills and patient satisfaction of operating room nursing students,providing an effective approach for optimizing clinical teaching in the operating room.
