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［摘要］目的 探讨基于微信公众平台的延续性护理策略在慢性心力衰竭患者中的临床应用价值。方法 选取 2018 年 1－12 月该院所收治的112 例慢性心力衰竭患者作为研究对象，采用随机数字表法将其随机分为观察组 57 例和对照组 55 例，对照组患者给予一般常规护理，观察组患者则在对照组基础上加用基于微信公众平台的延续性护理策略，并分别对两组患者的自我护理能力情况及生活质量变化情况进行对比分析。结果 与对照组比较，观察组患者自我护理能力实施量表（ESCA）中自我概念，自我护理技能，自护责任感，健康知识水平及总评分值均明显提高，差异均有统计学意义（P<0.05）；观察组患者健康调查简表中生理机能，生理职能，躯体疾病，一般健康状况，精力，社会功能，情感职能，精神健康等评分值均明显提高，差异均有统计学意义（P<0.05）。结论 基于微信公众平台的延续性护理策略对于慢性心力衰竭患者自我护理能力的提升及生活质量的改善均具有重要意义。 [ABSTRACT FROM AUTHOR]

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To investigate the effect of extrahospital continuous nursing with indwelling peripherally inserted central catheter（PICC）in the patients with abdominal and pelvic tumor. Methods A total of 328 patients with abdominal and pelvic tumor and extrahospital continuous nursing with indwelling PICC in the department of abdominal tumor of the Affiliated Hospital of Zunyi Medical College from June 2014 to June 2017 were selected as the research subjects and divided into the con- trol group（69 cases）and intervention group（259 cases）. The control group implemented the general health knowledge educa- tion and nursing care，and on this basis the intervention group implemented the continuous nursing mode such as the medical treatment alliance，assist，WeChat platform，grading telephone follow up，etc. The contents included the catheter complications， self management ability，health promoting lifestyle，nursing satisfaction. The follow up lasted for 6 months. Results The incidence rate of catheter complications in the intervention group was 4.6%（12/259），which was significantly lower than 21.7% （15/69）in the control group, the difference was statistically significant（X2=2.25，P=0.002）. The total average scores of catheter self-management ability and dimensional scores of everyday catheter observation，maintenance compliance, catheter management confidence，treatment of abnormal condition，information obtaining and daily living with indwelling PICC in the intervention group were higher than those in the control group，while the maintenance compliance score was lower than that in the control group，the differences were statistically significant（P<0.05）. In the health promoting lifestyle mode，the differences were statistically significant（P<0.05）. The nursing satisfaction in the intervention group was（97.90±1.13）%，which was sig- nificantly higher than（93.28±1.51）% in the control group，the difference was statistically significant（t=-15.082，P=0.000）. Conclusion Carrying out the multiform follow up in the patients with abdominal and pelvic tumor and discharge with indwell- ing PICC can improve the self-management ability on catheter and health knowledge level，reduces the catheter-related compli- cations and ensures the safety of catheter use. [ABSTRACT FROM AUTHOR]

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To study the effect of continuous nursing on the growth and development of extremely low birth weight preterm infants. Methods 80 cases of extremely low birth weight preterm infants treated in the Dept. of Pediatrics， The Third People's Hospital of Yunnan Province from October 2015 to October 2016， were selected and divided into 2 groups: experimental group and control group，40 cases in each group. The control group was given conventional nursing， the experimental group was given continuous nursing. Then the growth and development of infants in the two groups were compared. Results The weight， body length， head circumference in the experimental group were significantly better than the control group， the difference was statistically significant （P < 0.05） . The readmission rate in 6 months of infants in the experimental group was lower and the parents satisfaction was significantly higher than that of control group， the difference was statistically significant （P < 0.05） . Conclusion Conventional nursing has significant effect for extremely low birth weight preterm infants， it can improve the growth and development of infants， reduce the hospital readmission rate， and improve parents' satisfaction. [ABSTRACT FROM AUTHOR]

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

目的观察个性化延续性护理对永久性结肠造口患者的应用效果。方法选取2014 年2 月至 2017 年2 月该院96 例永久性结肠造口术后患者作为研究对象，将其随机分为观察组和对照组，各48 例。对照组采用 常规出院健康教育模式，观察组在常规健康教育基础上给予个性化延续性护理，比较两组出院时、出院3 个月自我护理 能力实施量表评分，以及造瘘口并发症发生情况。结果两组患者出院时自我护理能力评分比较，差异无统计意义（P> 0.05）；出院3 个月时观察组患者自我护理能力评分显著优于对照组，差异有统计学意义（P<0.05）。观察组出院后造瘘 口坏死、黏膜脱垂、造口回缩、造口旁疝等并发症发生率明显低于对照组，差异均有统计学意义（P<0.05）。结论个性 化延续性护理可有效提高永久性结肠造口患者自我护理能力，减少并发症发生，改善生存质量，促进康复。 [ABSTRACT FROM AUTHOR]

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

目的分析2型糖尿病患者出院后社区延续性护理需求调查情况。方法选取2015年1月至2016年2月该院收治的256例2型糖尿病患者作为研究对象，通过自制调查表对其进行调查并分析调查数据。结果2型糖尿病患者大部分都比较愿意回院咨询，占60.9%（156/256），其次是社区门诊咨询以及电话随访，分别占43.8%（112/256）、40.2%（103/256）；患者最需要的是定期检查各项指标，需求率达到87.9%，其次是一对一饮食及用药指导、家属疾病知识宣讲及糖尿病相关政策，需求率分别为81.3%、78.1%、76.2%。结论社区延续性护理应基于患者需求，结合影响需求因素，努力在专科护理、健康教育、心理社会支持及并发症预防等方面合理拓展服务内容，并对服务模式进行完善。 [ABSTRACT FROM AUTHOR]

目的 探讨延续性护理对肾移植患者自护能力、服药依从性的影响。方法 选择2017年1月至2018年9月在该院进行肾移植手术治疗的患者98例作为研究对象,随机将其分为对照组和观察组,各49例。对照组实施患者住院期间常规护理,观察组在对照组基础上加用延续性护理,比较两组患者自护能力、服药依从性及满意度。结果 干预后,观察组健康知识水平、自我概念、自我责任感、自我护理技能评分均高于对照组,差异均有统计学意义(P<0.05);观察组服药依从性高于对照组,差异有统计学意义(P<0.05);观察组满意度高于对照组,差异有统计学意义(P<0.05)。结论 延续性护理有助于改善肾移植患者的自护能力及服药依从性,提高护理满意度. [ABSTRACT FROM AUTHOR]

目的 探讨实施院外延续性护理对股骨粗隆间骨折患者术后的影响。 方法 选取2012年12月至2014年1月该院收治的70例老年股骨粗隆间骨折患者作为研究对象，将其随机分为对照组和观察组，每组35例。对照组患者采取常规护理方法；观察组在常规护理基础上进行院外延续性护理，包括饮食、心理、功能锻炼等方面。比较两组患者的临床护理效果，包括心理组状况及生活质量等。 结果 观察组患者在出院后3个月汉密顿抑郁量表（HAMD）评分[（9.45±1.47）分]明显低于对照组[（14.73±1.84）分]，差异有统计学意义（P<0.05）。两组患者护理前的生活质量评分比较，差异无统计学意义（P>0.05），且在护理后观察组生活质量评分明显优于对照组，差异有统计学意义（P<0.05）。对照组生活质量评分护理前后比较，差异无统计学意义（P>0.05）；而观察组患者的生活质量护理后明显优于护理前，差异有统计学意义（P<0.05）。 结论 对股骨粗隆间骨折患者实施院外延续性护理措施，有利于消除患者的不良心理，提高患者的生活质量，对患者预后具有积极作用。 [ABSTRACT FROM AUTHOR]

目的:评估脑卒中患者延续性护理需求状况，为构建以需求为导向的延续性护理方案提供依据。方法选取2015年1～12月在该院脑血管科住院的脑卒中患者212例作为调查对象，采用自制患者需求调查表在患者出院前3 d进行调查。结果回收问卷212份，有效问卷200份，有效回收率为94.3%。脑卒中患者生活护理需求、社会支持需求、健康教育需求、并发症的预防、心理护理需求、自理能力的提高、康复指导需求7个维度的“非常需要”选项均占80.0%以上，其中健康教育需求、并发症的预防、自理能力的提高、康复指导需求4个维度的需求最高，“非常需要”选项达93.0%以上。结论脑卒中患者延续性护理需求迫切，开展脑卒中患者延续护理服务模式迫在眉睫。 [ABSTRACT FROM AUTHOR]