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This paper summarized the nursing interventions based on the knowledge-attitude-practice model on anxiety and treatment compliance in an elderly patient with Ramsay-Hunt Syndrome and vestibular neuritis. This elderly female patient was diagnosed as vertigo of wind-Yang disturbance syndrome by Traditional Chinese Medicine syndrome differentiation, and she was suffered from anxiety and low treatment compliance. Based on the Traditional Chinese Medicine syndrome differentiation, nursing interventions based on the knowledge-attitude-practice model were carried out to relieve the anxiety and improve the treatment compliance. The Self-rating Anxiety Scale score dropped form 60 to 25 before discharge form hospital. The Morisky medication adherence scale score increased from 2. 5 to 8, indicating a improved level of medication adherence of the patient after intervention. (本文总结基于知信行理论(KAP)模式干预1例耳带状疱疹合并前庭神经炎老年患者焦虑情绪和治疗依从性的护理体会。本例高龄女性患者中医诊断为眩晕(风阳上扰证), 且存在焦虑情绪和治疗依从性差的问题。基于中医辨证分型, 运用KAP模式进行护理干预。患者焦虑自评量表(SAS)评分从60分(轻度焦虑)降低至25分(无焦虑), 焦虑情绪得到改善; Morisky服药依从性量表评分从2. 5分上升至8分, 治疗依从性得到提高。)

Drug therapy is the main treatment for elderly cancer patients. Given the unique characteristics of elderly patients with cancer, including aging and underlying comorbidities, inadequate medication literacy not only decreases medication adherence but may also lead to adverse drug events. This study provides a review of the current status, influencing factors and intervention strategies related to medication literacy during oral chemotherapy in elderly cancer patients. The aim is to offer insights for enhancing medication literacy and ensuring medication safety during oral chemotherapy in elderly cancer patients. (药物治疗是老年肿瘤患者主要的治疗方式。老年肿瘤患者群体特殊, 药物素养不足不仅会降低其用药依从性, 甚至可能导致用药不良事件的发生。本研究就老年肿瘤患者口服化疗药物期间的药物素养的概念、现状、评估工具、影响因素及干预策略等方面进行综述, 旨在为提高老年肿瘤患者口服化疗药物期间的药物素养、保障用药安全提供参考。)

Objective To explore the correlation among perceived social support, rehabilitation self-efficacy and rehabilitation exercise adherence of in-patients after hip/knee arthroplasty, and examine the mediating role of rehabilitation self-efficacy in the correlation between perceived social support and rehabilitation exercise adherence. Methods • A convenience sampling method was used, and 141 post-total hip/knee arthroplasty inpatients in the bone and joint ward of the First Affiliated Hospital of Naval Medical University (Shanghai Changhai Hospital) from October 2021 to February 2023 were selected as the study subjects. The general demographic data, such as age and gender, and the information of disease and operation were assessed by using General Data Questionnaire. The adherence to rehabilitation exercise in patients after hip/knee arthroplasty was assessed by using the Rehabilitation Exercise Adherence Scale (REAS); the self-efficacy of rehabilitation exercise was assessed by using the Self-Efficacy for Rehabilitation Outcome Scale (SER); the social support level of individual subjective feelings of the patients was assessed by using the Perceived Social Support Scale (PSSS). Pearson's correlation analysis was used to test the correlation between the variables, and Bootstrap method was used to investigate the mediating role of rehabilitation self-efficacy in the correlation between perceived social support and rehabilitation exercise adherence. Results • A total of 167 questionnaires were distributed and 141 valid questionnaires were recovered, with a valid recovery rate of 84.4%. The age range of the 141 patients after hip/knee arthroplasty was 26-84 years old, and the average age was (64.75±10.74) years old. The total score of SER of the patients after hip/knee arthroplasty was (100.45±21.71), the total score of PSSS was (68.29±10.89), and the total score of REAS was (11.93±2.29). Pearson's correlation analysis results showed that there was a significant correlation between SER score and PSSS score, SER score and REAS score, and PSSS score and REAS score in patients after hip/knee arthroplasty. The mediation effect analysis showed that the indirect effect of perceived social support on rehabilitation exercise adherence was significant (effect value 0.033, 95%CI 0.017-0.058, P<0.05), and the direct effect of perceived social support on rehabilitation exercise adherence was not significant (effect value 0.027, 95%CI-0.008 - 0.065, P>0.05). Conclusion • Perceived social support positively predicts rehabilitation exercise adherence, and rehabilitation self-efficacy fully mediates the correlation. Direct intervention in rehabilitation self-efficacy is superior to moderating the level of perceived social support. [ABSTRACT FROM AUTHOR]

Objective To analyze the application value of full process nursing management in patients with lumbar disc herniation(LDH). Methods A total of 60 LDH patients who underwent minimally invasive surgery in our hospital from January 2022 to May 2023 were selected and divided into the study group and the control groupaccording to the random number table method, with 30 cases in each group. The control group was given routine nursing, while the observation group was given full-process nursing management. The compliance of two groups of patients with medical compliance after nursing, as well as their psychological status (Self Rating Anxiety Scale, Self Rating Depression Scale scores) and functional status (Oswestry Dysfunction Index score) before and after nursing were compared between the two groups. Results The total score of compliance behavior after nursing in the study group [(22. 99±3. 59) points] was significantly higher than that in the control group [(19. 33±3. 06) points], and the difference was statistically significant (P<0. 05). Compared with before nursing, the scores of self-rating anxiety scale, self-rating depression scale and Oswestry dysfunction index in the two groups were significantly decreased after nursing, and the scores of self-rating anxiety scale. self-rating depression scale and Oswestry dysfunction index in the study group [(46. 25±4. 11), (51. 12±4. 70),(16. 68±2. 82) points were significantly lower than those in the control group [(49. 25± 28),(53. 88±4. 46),(20. 15±3. 07) points]. The differences were statistically significant (P<0. 05). Conclusion The full-process of nursing management for LDH patients can improve their compliance behavior, improve their bad psychology and promote postoperative functional rehabilitation. [ABSTRACT FROM AUTHOR]

Objective To investigate the effect of rehabilitation training guided by information motivation behavior theory (IMB) based model on the effectiveness of postpartum pelvic floor function rehabilitation for primiparous women. Methods A total of 80 cases of primiparous women admitted to this hospital from March 2020 to March 2023 were selected as the study subjects, and were divided into two groups according to the randomized numerical table method. In the control group, 40 mothers were given rehabilitation training under conventional guidance, and in the observation group, 40 mothers were given rehabilitation training based on the IMB model. Pelvic floor muscle strength, pelvic floor function and quality of life were compared between the two groups. Results The grading of pelvic floor muscle strength of women in the observation group was better than that of the control group, and the difference was statistically significant (P <0. 05). In the observation group, the pelvic floor systolic blood pressure, and the affective functioning, mental health, somatic pain, general health, physical functioning, physiological functioning, emotional health, social functioning in the SF-36 were higher than those of the control group, the differences were statistically significant(P <0. 05). The resting pelvic floor pressure of the women in the observation group was lower than that of the control group, and the difference was statistically significant (P <0. 05). Conclusion Rehabilitation training based on the IMB model can promote postpartum pelvic floor function enhancement and improve pelvic floor muscle strength of primiparous women, thus improving their quality of life. [ABSTRACT FROM AUTHOR]

The adherence of rehabilitation exercise of rotator cuff repair patients is very important for the recovery of shoulder joint function, but the situation is not ideal. By searching the literature of domestic and foreign databases, this paper reviewed the status quo of rehabilitation exercise compliance of patients with rotator cuff repair, analyzed the influence of physiological and psychological factors, rehabilitation exercise load, social support and medical support on rehabilitation exercise adherence of patients with rotator cuff repair, and explained relevant nursing intervention modes, aiming at providing reference for improving rehabilitation exercise adherence of patients with rotator cuff repair. [ABSTRACT FROM AUTHOR]

To explore the influencing factors of respiratory function exercise behavior in patients with chronic obstructive pulmonary disease (COPD), and to construct a nomogram prediction model. 112 COPD patients in our hospital from March 2021 to March 2023 were selected, and patients were divided into low compliance group (n=68) and high compliance group (n=44) according to their respiratory function exercise behavior. The influencing factors of low compliance of respiratory function exercise behavior in COPD patients were analyzed by univariate analysis and multivariate logistic regression analysis, and a prediction model was constructed, the predictive value of the model was analyzed by receiver operating characteristic (ROC). Age≥ 60 years old, on the job, no family support, dyspnea after activity, high disease uncertainty, and low exercise self-efficacy were independent risk factors for low compliance of respiratory function exercise in COPD patients (P<0.05). The area under the curve (AUC) of age, on the job, family support, dyspnea after activity, disease uncertainty, exercise self-efficacy and nomogram prediction model were 0.645, 0.645, 0.717, 0.600, 0.660, 0.672 and 0.908 respectively, the prediction model had higher predictive value for low compliance of respiratory function exercise in COPD patients, when the cut-off value was 0.498, the sensitivity was 0.912 and the specificity was 0.795. The internal validation of the Bootstrap method (B=1000) showed that the predicted curve after the correction of the deviation was basically coincident with the ideal line, and the consistency index (C-index) was 0.816, indicating that the prediction ability of the model was better. The decision curve shows that the threshold probability range was 0.01~0.92, and the net return rate was>0. Age≥ 60 years old, on the job, no family support, dyspnea after activity, high uncertainty of disease, and low exercise self-efficacy are independent risk factors for low compliance of respiratory function exercise in COPD patients. The predictive model can help to assess exercise compliance and develop interventions. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice 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 Journal of Clinical Nursing in Practice 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 improve the quality of clinical trials and increase the safety of new drug research and development through self-checking clinical trial data of traditional Chinese medicine（TCM）.Methods According to the Announcement of the State Food and Drug Administration on the Release of Drug Clinical Trial Data on-site Verification Points（2015 No.228） and the Guidelines for ethical review of drug clinical trials, 31 clinical trial research projects of TCM conducted in this hospital from January 2019 to January 2022 were self-examined, including 527 research cases.There were 25 phase Ⅱ clinical trials and 6 phase Ⅲ clinical trials.The Problems were summarized and analyzed, and the circumvention measures were put forward.Results The problems of scheme deviation and scheme violation mainly include that super′s visit to the windows [12.14%（64/527）],inspection items were missed [9.87%（52/527）],and non-standard informed consent [5.50%（29/527）].Important problems mainly include that missed medication [4.74%（25/527）],test outliers were not reviewed [11.76%（62/527）],the test outliers not judged clinical significance [7.78%（61/527）],inconsistent with the original data [6.26%（14/527）],etc.The general problems mainly include that not filled in the combined medication [5.69%（30/527）],incomplete filling in adverse events [3.42%（18/527）],and underreporting adverse events [1.71%（9/527）].Conclusion In order to ensure the authenticity and integrity of clinical trial data of traditional Chinese medicine, closed-loop management should be carried out, including quality control, feedback, tracking, acceptance and so on. [ABSTRACT FROM AUTHOR]

目的 探讨产褥期孕产妇盆底肌功能锻炼依从性现状及其相关影响因素。方法 选取2021 年6月至2022年8月该院产褥期孕产妇 124 例,采用自制盆底肌功能锻炼依从性量表评价其盆底肌功能锻炼 依从性,并分析其相关影响因素。结果 124例产褥期孕产妇中,69 例 (55.65%) 盆底肌功能锻炼依从性较差。 不同文化程度、盆底肌功能锻炼认知水平、睡眠质量、心理状态及是否有护理人员专业指导的产褥期孕产妇盆 底肌功能锻炼依从性比较,差异有统计学意义 (P<0.05)。初中及以下文化程度、盆底肌功能锻炼认知水平低、 无护理人员专业指导、睡眠质量差、心理状态较差是产褥期孕产妇盆底肌功能锻炼依从性较差的影响因素 (P< 0.05)。结论 产褥期孕产妇盆底肌功能锻炼依从性较差,其受文化程度、盆底肌功能锻炼认知水平、护理人员 专业指导、睡眠质量、心理状态因素影响。 [ABSTRACT FROM AUTHOR]

Objective To explore the association between adherence to community 一 based health management and glycemic control in individuals with type 2 diabetes mellitus (T2DM). Methods The study encompassed 2 171 T2DM patients engaged in community health management in Huai' an District, Jiangsu Province, Adherence across five domains--medication, diet, exercise, self - monitorings and hospital medical check - ups一was evaluated using the Diabetes Regimen Adherence Questionnaire. Adherence was classified as good or poor based on median scores, while glycemic control was defined by HbAIc levels below 7. 0%. Logistic regression models were utilized to assess the association between health management adherence and glycemic control. Results After adjusting for confounding factors, the OR for achieving glycemic control among patients with good adherence in medication, diet, exercise, self 一 monitoring, hospital medical check 一 ups, and overall adherence were L 402(95%C/：l. 173 - 1.677), L 231(95% Cf: 1. 030 - L 471), 0. 985(95% Cf：O. 821 - L 183), 0. 968(95% C/：0. 806 -1. 162), 1. 107 (95% CI：0, 924 - 1. 326) andl. 050 (95% CI：0, 880 - 1. 252), respectively, compared to those with poor adherence. In a subsequent analysis excluding patients with concurrent hypertension, coronary heart disease, stroke, and tumors, the OR were 1. 987(95% CZ：1. 321 - 2. 990) for medication, 1. 606 (95% CI: 1. 077 - 2, 397) for diet, L 282(95% C/：0. 867 - L 895) for exercise, 1.378(95% C/：0. 910 -2. 085) for self - monitoring, L 663(95% C/：l. 126 - 2. 456) for hospital medical check 一 ups, and 1. 593(95% CI: 1. 077 一 2. 354) for overall adherence. Conclusion Improved adherence to community health management significantly enhances glycemic control in T2DM patients, with substantial improvements observed through meticulous adherence to medication and dietary guidelines. [ABSTRACT FROM AUTHOR]

Copyright of Practical Pharmacy & Clinical Remedies is the property of Editorial Department of Practical Pharmacy & Clinical Remedies 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 compliance with wearing hospital gown and its influencing factors among inpatients in a certain third-grade class-A hospital in Changsha, and provide reference for improving the quality of basic nursing. Methods Totally 3741 inpatients in a certain third-grade class-A hospital were selected as the research objects. The general information questionnaire and the compliance questionnaire were used to investigate the compliance of patients with wearing hospital gown, and the influencing factors were analyzed. Results Totally 3741 questionnaires were sent out, 3710 questionnaires (99. 17%) were valid for analysis. Totally 1520 patients (40. 97%) reported the poor compliance with wearing hospital gowns. There was a significant difference in compliance with wearing hospital gowns between patients from general departments (60. 53%) and severe departments (39. 47%), female (59. 21%) and male patients (40. 79%), patients aged less than 18 years (54. 62%) and 18 years or older (34. 52%) and patients with junior-high-school or lower education level (59. 87%) and with senior-high-school or higher education level (40. 13%)(P

Copyright of Journal of Clinical Nursing in Practice 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 Journal of Clinical Nursing in Practice 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 探讨结构化教育课程结合思维导图式健康教育对 SLE 患者的干预效果. 方法 选取 2020年12月至2022年7月江苏省某三甲医院就诊的74例SLE患者,将患者分为对照组 (38例) 和观察组 (36 例). 观察组实施结构化教育课程结合思维导图式健康教育,对照组实施常规健康教育,比较2组干预前后中 文版8条目 Morisky服药依从性量表 (MMAS-8) 及自我管理能力测定量表 (ESCA) 评分. 结果 干预前,2组 MMAS-8评分及 ESCA 各维度评分比较,差异有统计学意义 (P<0.05). 干预后3个月,观察组 MMAS-8评 分及 ESCA 各维度评分均高于对照组,差异有统计学意义 (P<0.05). 结论 结构化教育课程结合思维导图 式健康教育模式不仅能帮助SLE患者获得更专业的疾病知识,还可通过提升患者健康知识水平来纠正不良健 康行为,从而提升患者自我管理能力及生活质量. [ABSTRACT FROM AUTHOR]

Objective To explore the current situation of wearing orthokeratology lenses and the difference of myopia progression in different compliance states among adolescents aged 8 to 16 years, and to analyze the influencing factors of compliance. Methods A questionnaire survey was carried out in the ophthalmology clinic of a tertiary hospital in Yunnan Province from August 2022. The questionnaire was designed based on the framework of influencing factors of WHO compliance and was finalized after repeated expert argumentation and pre-test. Through the retrospective collection of medical records, eye axis length and other indicators and on-the-spot face-to-face questionnaire survey, univariate and multivariate analysis were used to explore the related factors. Results The compliance of adolescents aged 8 to 16 years wearing orthokeratology lenses for one year was 51.73%. The effective rate of controlling the growth of ocular axis in good compliance group and poor compliance group was 96.40% and 14.80%, respectively, and the increase of equivalent spherical lens was 0.25D and 0.75D, respectively. There were significant differences in the length of eye axis and the number of equivalent spherical lens among adolescents aged 8 to 16 years under different compliance states (P<0.001). Multivariate logistic regression analysis showed that adolescents, perception of good therapeutic effect of wearing orthokeratology lens (OR =3.735, 95%CI: 2.417-5.773), short filling time of broken keratoplasty lens (OR =3.306, 95%Ch 1.941-5.632), and high score of myopia knowledge (OR= 1.786, 95%CI: 1.358-2.348) were the influencing factors to improve the compliance of adolescents wearing keratoplasty lenses. The young age (OR=0.866, 95%CI: 0,756-0.993) and the complex scheme of wearing keratoplasty lens (OR=0257, 95% CI: 0.071-0.929) were the influencing factors of reducing the compliance of adolescents aged 8 to 16 years wearing keratoplasty lenses. Conclusion There are many factors affecting the compliance of adolescents aged 8 to 16 years wearing keratoplasty lenses, so comprehensive measures should be taken to improve the therapeutic effect. [ABSTRACT FROM AUTHOR]

Objective To analyze the compliance and influencing factors of colonoscopy in high-risk population of colorectal cancer among community residents in Shenzhen, to provide reference for formulating policies and measures to improve colonoscopy compliance. Methods The high -risk residents who participated in the colorectal cancer screening program of community residents in Shenzhen from 2020 to 2021 were selected, and information of their further enteroscopy in medical institutions were obtained. The compliance and influencing factors of colonoscopy were analyzed by 於 test and multivariate logistic regression. Results Of the 18 342 subjects, 28.96% (5 312/18 342) underwent enterostomy. Multivariate logistic regression analysis showed that compared with the age group of 45 to 49 (OR =0.82, 95%CI: 0.71-0.94), men compared to women (OR =0.73, 95%CIi 0.67 -0.80), thin and overweight people compared to normal weight people (OR =0.87, 95%CI: 0.77-0.99; OR=0.91, 95%CI: 0.85-0.98), smokers compared with non-smokers (0R =0.74, 95%CI: 0.68-0.81) and first-degree relatives who had detected polyps or adenomas (OR =0.75, 95%CI: 0,67-0.84) had lower colonoscopy compliance. The higher the level of education, the higher the compliance of enterostomy. Patients with abdominal discomfort (OR=1.58, 95% CI: 1.47-1.70), cholecystectomy (OR=1.35; 95%CI: 1.15-1.59) and blood relatives who had diagnosed cancer (OR=1.31, 95%CI: 1.21-1.42) had higher compliance of enterostomy. Conclusion The compliance of colonoscopy in the high-risk population of colorectal cancer screening in community residents in Shenzhen is low, especially in older people, men, abnormal BMI, low education level, smokers, and relatives who have detected polyps or adenomas. Targeted lntervention should be carried out to improve the compliance of colonoscopy. [ABSTRACT FROM AUTHOR]

Objective To improve pulmonary rehabilitation compliance and health literacy in patients with chronic obstructive pulmonary disease. Methods A total of 96 COPD patients were selected as research subjects and divided into experimental group and control group by random number table method, with 48 cases in each group. The control group received routine nursing, health education and family pulmonary rehabilitation guidance, and the experimental group received pulmonary rehabilitation intervention guided by BCW theory, including breathing exercise, muscle relaxation exercise, breathing exercise exercise, walking and marching exercise. Pulmonary rehabilitation compliance, health literacy levels, improved Medical Research Council Respiratory Questionnaire (mMRC) scores, COPD Assessment Test (CAT) scores and pulmonary function indicators were compared between the two groups at 6 months after intervention. Results After intervention, the proportion of complete compliance of pulmonary rehabilitation compliance in the experimental group (60.4%) was better than that in the control group (25%). The level of health literacy, mMRC score, CAT score and pulmonary function index of the two groups were improved, and the difference between the two groups was statistically significant (P < 0.05). Conclusion The BCW-guided pulmonary rehabilitation intervention program can effectively improve the compliance of pulmonary rehabilitation and health literacy of patients with COPD, improve the lung function and quality of life of patients. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice 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.)

As a multifactorial geriatric syndrome in the elderly, urinary incontinence has a high prevalence and low rate of diagnosis and treatment. The pelvic floor muscle training is a low-risk and low-cost behavioral intervention in relieving symptoms of urinary incontinence. This paper analyzed the studies on influencing factors of pelvic floor muscle training compliance in elderly patients with urinary incontinence, summarized intervention strategies, and provided reference for further research on urinary incontinence in the elderly. (老年尿失禁是一种与多因素相关的老年综合征, 患病率高, 诊治率低。盆底肌训练是一种低风险、低耗费的, 有助于改善尿失禁症状的行为干预方法, 而影响其长期治疗效果的主要因素是坚持盆底肌锻炼的依从性较低。本文通过分析老年尿失禁患者盆底肌训练依从性欠佳的影响因素, 总结干预措施, 旨在为老年人尿失禁问题的研究提供参考。)

Objective To explore the application effect of behavioral intervention using the transtheoretical model (TTM) of behavioral change on improving elderly patients’ adherence of fall prevention. Methods A convenience sampling of 231 hospitalized elderly patients from a tertiary class-one general hospital in Beijing. Cases (n=115) and controls (n=116) were randomized using random number table method. Controls were applied with common fall prevention practices, while the cases were applied with TTM method in addition to the common practices applied to the controls. Self-efficacy scores, numbers of patients with TTM intervention at each stage, fall prevention adherence scores, and times of falling were compared between cases and controls before intervention, at the end of 1 month, 3 months, and 6 months, respectively. Results Comparing to the control group, the case group had higher fall prevention self-efficacy scores (t=2. 348, P=0. 023; t=3. 592, P=0. 002; 7. 036; t=0. 002, P＜0. 001), better trend of behavioral change in every stage (Z=6. 032, P=0. 007; Z=9. 261, P＜0. 001; Z=16. 137, P＜0. 001), higher fall prevention adherence scores (t=4. 052, P=0. 001; t=6. 971, P＜0. 001; t=8. 105, P＜0. 001), at the end of 1 month, 3 months, and 6 months of intervention, respectively. And the case group had less times of falling (χ2=4. 930, P=0. 023; χ2=13. 870, P＜0. 001), at the end of 3 months, and 6 months of intervention. Conclusion Behavioral intervention based on TTM could effectively improve fall prevention self-efficacy level, increase fall prevention adherence, and decrease times of falling in elder patients. (目的 探讨基于跨理论模型的行为干预提高老年患者预防跌倒依从性的效果。方法 便利选取北京某三级甲等医院老年病房住院的老年患者231例, 按随机数字表法分为观察组(n=115)与对照组(n=116), 对照组采用常规护理干预, 观察组在对照组基础上应用跨理论模型进行干预, 观察比较两组患者干预前、干预后1个月末、干预后3个月末及干预后6个月末预防跌倒自我效能得分、跨理论模型各阶段人数、预防跌倒依从性得分及跌倒次数。结果 干预后1个月末、干预后3个月末及干预后6个月末观察组老年患者预防跌倒自我效能得分均高于对照组(t=2. 348, P=0. 023; t=3. 592, P=0. 002; 7. 036; t=0. 002, P＜0. 001), 各阶段行为改变的趋势均优于对照组(Z=6. 032, P=0. 007; Z=9. 261, P＜0. 001; Z=16. 137, P＜0. 001), 预防跌倒依从性得分高于对照组(t=4. 052, P=0. 001; t=6. 971, P＜0. 001; t=8. 105, P＜0. 001); 干预后3个月末及干预后6个月末观察组老年患者跌倒发生次数少于对照组(χ2=4. 930, P=0. 023; χ2=13. 870, P＜0. 001)。结论 基于跨理论模型的行为干预能有效提升老年患者跌倒自我效能水平, 提高老年患者预防跌倒的依从性, 降低老年患者跌倒发生次数。)

Objective To explore the effect of teach-back method on exercise compliance and quality of life in elderly patients with hemiplegia after stroke. Method Using the convenient sampling method, a total of 80 elderly patients with hemiplegia after stroke were randomly divided into control group (n = 40) and intervention group (n = 40). The control group adopted the routine health education method, and the intervention group adopted the teach-back method on the basis of routine care. After a 3-month follow-up, the rehabilitation exercise compliance scale, National Institutes of Health Stroke Scale (NIHSS) score, Fugl-Meyer Assessment (FMA), Modified Barthel Index scale (MBI) and Stroke Specific Quality of Life Scale (SS-QOL) were used to compare the effects of exercise compliance, neurological function, limb motor function, self-care ability and quality of life between the two groups. Results The compliance rate was 85. 00%(34/40)in the intervention group, which was significant higher than 72. 50%(29/40)in the control group(P＜0. 01). The NIHSS score decreased in both two groups after intervention, and NIHSS score in the intervention group were significantly lower than that in the control group (P＜0. 01). Scores of FMA and MBI increased in both two groups after intervention, and scores of FMA and MBI in the intervention group were significantly higher than those in the control group (P＜0. 01). The total score of SS-QOL in the intervention group was significantly higher than that in the control group after intervention(P＜0. 05). Conclusion The application of teach-back method in health education is potentially effective to improve the patients’ compliance with limb exercise, promote healthy behavior and improve the quality of life of elderly patients with hemiplegia after stroke. (目的 探讨回授式教育对老年脑卒中后偏瘫患者锻炼依从性和生活质量的影响。方法 采用方便抽样法, 选取2020年9月—2021年2月医院收治的80例老年脑卒中后偏瘫患者为研究对象, 按照入院先后顺序给予编号, 随机分为对照组和干预组, 每组40例。对照组采用常规健康教育方法, 干预组在常规基础上, 结合回授法进行教育。通过3个月的随访, 采用康复锻炼依从性量表、美国国立卫生院卒中量表(NIHSS)、Fugl-Meyer运动功能量表(FMA)、Barthel指数量表(MBI)、脑卒中生活质量量表(SS-QOL), 比较两组患者锻炼的依从性、神经功能、肢体运动功能、自理能力及生活质量的影响。结果 干预组锻炼依从率85. 00%(34/40), 高于对照组的72. 50%(29/40), 差异有统计学意义(P＜0. 01)。干预后, 两组患者NIHSS评分均较干预前降低, 且干预组NHISS评分低于对照组(P＜0. 01)。两组FMA评分和MBI得分较干预前提高, 且干预组高于对照组, 差异有统计学意义(P＜0. 01); 干预组生活质量(SS-QOL)总分高于对照组, 差异有统计学意义(P＜0. 05)。结论 将回授式教育运用到患者健康教育中, 对提高老年脑卒中后偏瘫患者肢体锻炼的依从性、促进健康行为和提高生活质量水平具有重要的临床意义和推广价值。)

Objective To investigate the influence of different exercise guidance methods on compliance with hand grip strength training in cancer patients with peripherally inserted central catheters(PICC) placement, and to provide reference for the exercise guidance of patients with PICC placement. Methods Totally 100 patients with PICC placement were divided into intervention group and control group, with 50 cases in each group. In the control group, a hardcopy of guidance was sent to patients for guiding the hand grip strength training with a ball. In the intervention group, metronome-guided hand grip strength training was adopted. A 4-week intervention of training was conducted and patient compliance with training was evaluated during the follow-up. Results Before intervention, there was no significant difference in compliance with hand grip strength training between the two groups (P＞0. 05). The rate of compliance with hand grip strength training increased in both two groups after intervention(P＜0. 01), and rate of compliance in the intervention group was higher than that in the control group(P＜0. 05). Conclusion The metronome-guided hand grip strength training with a ball could effectively improve the compliance of cancer patients with PICC catheterization. It could provide reference for the exercise guidance of patients with PICC catheterization. (目的 探讨不同运动指导方式对经外周静脉置入中心静脉导管(PICC)置管肿瘤患者握球运动依从性影响, 为临床PICC置管患者运动指导提供参考。方法 选取某三级甲等医院血液内科收治PICC置管患者100例为观察对象, 分为干预组和对照组, 各50例。干预组接受音乐节拍指导握球运动, 对照组接受纸质版图文运动指导, 干预时间为4周。两组患者干预前后均使用握球运动依从性量表评价握球运动依从性。结果 干预前, 两组患者握球运动依从性差异无统计学意义(P＞0. 05)。干预后, 两组患者握球运动依从性高于干预前(P＜0. 01), 且干预组患者握球运动依从性高于对照组, 差异具有统计学意义(P＜0. 05)。结论 音乐节拍引导PICC置管肿瘤患者握球运动能显著提高其运动依从性, 为临床PICC置管患者运动指导提供参考。)

二肽基肽酶Ⅳ抑制剂（DPP‑4i）是一种口服降糖药，通过葡萄糖浓度依赖性的方式增加 胰岛素分泌，并减少胰高糖素分泌，改善高血糖. DPP‑4i联合胰岛素治疗已被证实可进一步改善2型 糖尿病（T2DM）患者的血糖控制，不增加低血糖发生风险，对体重影响中性，且耐受性良好. 利格列汀 是一种主要经胆汁和肠道排泄，经肾脏排泄比例约为5%的DPP‑4i，因此在肾功能不全患者中无须调 整剂量，可广泛应用于接受胰岛素治疗的T2DM患者. 随着利格列汀在各种不同类型T2DM患者中的 研究深入，新的临床证据不断涌现. 该文结合领域最新研究进展，从胰岛素治疗方案及临床应用人群 的角度，对利格列汀联合胰岛素的相关随机对照研究和真实世界研究数据进行梳理，探讨此联合治疗 方案在一般患者及特殊患者中的应用. 除了疗效和安全性外，也探讨了此联合治疗方案的其他获益， 以促使临床治疗方案制定的合理化. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice 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 Journal of Clinical Nursing in Practice 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 develop and evaluate the reliability and validity of a Treatment Adherence Rating Scale for patients with ulcerative colitis (UC), and provide reference for its application in assessment of treatment adherence of UC patients in China. Methods Under the Guidance of the Theory of Humanism, the items pool was developed thought a literature review and semi-structured interview. Then the items pool was screened by a two round Delphi survey to form the draft of the scale. A convenient sample of 350 UC patients were recruited in the survey by using the draft of the scale. Results The Treatment Adherence Rating Scale for UC patients was composed of 16 items in three dimensions. The content validity of each item ranged from 0. 813 and 0. 986, and the overall content validity was 0. 912. The Cronbach's α of each item ranged from 0. 813～0. 947, and the overall Cronbach's α was 0. 918. Conclusion This study had generated a Treatment Adherence Rating Scale for UC patients, which consisted of 16 items in dimensions of adherence to dietary, medication and living habits. This scale has good reliability and validity, which can be used for assessing the treatment adherence of UC patients. (目的 编制溃疡性结肠炎患者治疗依从性量表并进行信效度检验, 为评估我国溃疡性结肠炎患者的治疗依从性提供测量工具。方法 以人本主义理论为指导, 结合查阅文献及半结构访谈, 初步形成量表条目池, 通过两轮专家函询, 形成量表初稿。以便利抽样的方法, 采用量表初稿调查了350例溃疡性结肠炎患者。结果 溃疡性结肠炎患者治疗依从性量表包括3个维度, 16个条目。各条目内容效度为0. 813～0. 986, 量表内容效度为 0. 912; 总量表Cronbachs’ α系数为0. 918, 各维度Cronbachs’ α系数为0. 813～0. 947。结论 本研究初步编制了包括饮食依从、用药依从、生活方式依从3个维度的溃疡性结肠炎患者治疗依从性量表, 共 16个条目, 且具有良好的信效度, 可用于测评溃疡性结肠炎患者的治疗依从性水平。)

报道1例预混胰岛素联合口服药治疗血糖控制不佳的2型糖尿病患者, 转换为德谷门冬 双胰岛素治疗后取得显著改善的诊疗过程。患者为51岁男性, 主因"口干、多饮、多尿8年, 血糖控制 不佳"入院。入院前使用门冬胰岛素30早20 U、晚20 U, 二甲双胍0.5 g、2次/d治疗, 血糖控制不佳。 入院后采用德谷门冬双胰岛素早20 U、晚20 U治疗, 治疗后3 d开始监测患者血糖, 患者血糖显著改 善, 后将剂量调整为早16 U、晚16 U, 血糖仍控制良好. [ABSTRACT FROM AUTHOR]

Objective　To explore the effect of solution-focused nursing intervention on treatment compliance and quality of life of hepatitis C patients. Methods　A total of 100 patients with chronic hepatitis C in the Liver disease Center of Kunming Third People’s Hospital from October 2020 to October 2021 were selected as the research objects. Random number table method was used to divide them into control group and experimental group with 50 cases each. The control group was treated with routine nursing intervention. The experimental group implemented focused solution mode of nursing intervention [including: (1) intervention plan; (2) health education; (3) Evaluation and feedback; (4) nursing evaluation; (5) Nursing optimization], all intervention for 6 months. The quality of life, treatment compliance and nursing satisfaction of the two groups were compared and analyzed, and the application value of focused solution mode nursing intervention in patients with chronic C viral hepatitis was judged. Results　After intervention, the quality score of SF-36 in the experimental group was significantly higher than the control group (120.64 ± 8.71 vs 113.97 ± 8.43). After intervention, treatment compliance (98.00% vs 86.00%) and nursing satisfaction (100.00%) versus 92.The experimental group was higher than that of the control group.05. Conclusions　Intensive nursing intervention is effective for the care of patients with chronic hepatitis C. The nursing intervention mode based on this model can significantly improve the quality of life of patients, improve patients’ compliance behavior and nursing experience, and is worthy of clinical application. [ABSTRACT FROM AUTHOR]

Objective To explore the clinical value of music therapy in the rehabilitation of children with dysphonia. Methods Ninety children with dysphonia admitted to the hospital from November 2020 to November 2021 were selected and divided into study group (45 cases) and control group (45 cases) according to random number table. The control group was given routine rehabilitation care, while the study group was given music therapy on the basis of the control group. The scores of pediatric voice handicap index (pVHI), consensus auditory-perceptual evaluation of voice, auditory voice quality index (AVQI) and treatment compliance were compared between the two groups. Results There were no significant differences in the CAPE-V, AVQI and pVHI scores between the two groups before intervention (P >0. 05). After intervention, the CAPE-V, AVQI and pVHI scores in the study group were significantly lower than those in the control group (P < 0. 05). After intervention, the CAPE-V, AVQI and pVHI scores of children over 3 years old in the two groups were significantly lower than those of children under 3 years old (P <0. 05). The training frequency in the study group was significantly higher than that in the control group, with a statistically significant difference (P <0. 05). The exercise frequency of children over 3 years old in the two groups was significantly higher than that of children under 3 years old (P <0. 05). Conclusion The effect of music therapy on children with dysphonia is obvious. It can not only improve the compliance of children with dysphonia, but also accelerate the rehabilitation process of children. [ABSTRACT FROM AUTHOR]

Copyright of Chinese Journal of Contemporary Pediatrics is the property of Xiangya Medical Periodical 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 comprehensive nursing interventions on improvement of quality of bowel preparation for colonoscopy in children. Methods Totally 100 children undergoing colonoscopy were randomly divided into the control group and the observation group, with 50 cases in each group. The control group received routine nursing management, and the observation group was given comprehensive nursing interventions on bowel preparation before colonoscopy. The compliance with bowel preparation, qualified rate of bowel preparation, incidence of adverse reactions and satisfaction with nursing service among parents were measured and compared between observation group and control group. Results The rate of compliance with bowel preparation, qualified rate of bowel preparation and satisfaction rate among parents in the observation group were higher than those in the control group(P＜0. 05). The incidence of incidence of adverse reactions during the period of bowel preparation was lower than that in the control group, with a significant difference (P＜0. 05). Conclusion The comprehensive nursing is potentially effective to improve the children’s compliance and quality of bowel preparation for colonoscopy. (目的 探讨运用综合性护理干预措施提升儿童结肠镜检查肠道准备质量的效果。方法 选取2021年1月—5月医院收治的行结肠镜检查的患儿100例为研究对象, 采用随机数字表法分为对照组和观察组, 各50例。对照组实施常规护理, 观察组在对照组基础上实施综合性护理干预。观察比较两组患儿肠道准备依从性、肠道准备合格率、不良反应发生率及患儿家属对医务人员工作满意度。结果 观察组患儿肠道准备依从率、肠道准备合格率、患儿家属满意度高于对照组, 差异有统计学意义 (P＜0. 05) 。观察组患儿肠道准备期间不良反应发生率低于对照组, 差异有统计学意义 (P＜0. 05) 。结论 儿童结肠镜检查肠道准备期间, 采取综合性护理干预可提高患儿依从性, 确保肠道准备质量和安全。)

This paper summarized the research progress of objective and subjective tools for assessing diet adherence among patients with ulcerative colitis at home and abroad, and detailed information about contents of included evaluation scales was provided. Given the imperfect tools which are currently used in practice, efforts should be made to form an assessment scale of diet adherence according to the food preference in domestic population, in order to provide more suitable tools for clinical practitioner. (本文总结了溃疡性结肠炎患者饮食依从性的国内外评估量表, 包括客观评价量表和主观评价量表, 并详细介绍了各个量表具体内容。针对国内缺乏相关成熟量表的情况, 应结合我国人群饮食偏好形成溃疡性结肠炎患者饮食依从性量表, 为临床评估和治疗提供评估工具。)

Objective To investigate the effect of continuous nursing intervention on medication safety in elderly patients with chronic diseases. Methods Totally 100 elderly patients with chronic diseases were randomly divided into the observation group and control group, with 100 cases in each group. Patient in the control group received routine discharge guidance and follow-up, and those in the observation group were given continuous nursing intervention. The medication safety and rehospitalization situation were analyzed at 6 month after discharge form hospital. A questionnaire survey was conducted to measure the compliance and satisfaction of patients after discharge form hospital. Results The rates of unauthorized increase, decrease, withdrawal and missing of medication in the observation group were lower than those in the control group(P＜0. 05, respectively). The re-hospitalization rate in the observation group was lower than that in the control group (4. 00% vs. 18. 00%, P＜0. 05). The scores of satisfaction evaluation about dietary, rehabilitation exercise, hospital reexamination and hygiene in the observation group were higher than those in the control group(P＜0. 01). The satisfaction rate in the observation group was higher than those in the control group(P＜0. 05). Conclusion The continuous nursing intervention is potentially effective to improve the medication safety and treatment compliance after discharge from hospital in elderly patients with chronic diseases. (目的 探讨延续性护理对老年慢性病患者用药安全的影响。方法 选取2019年8月—2020年2月治疗后出院的100例老年慢性病患者为研究对象, 采用数字随机表法分为观察组和对照组, 各50例。对照组出院时给予常规出院指导, 观察组实施延续性护理干预。对两组患者出院后6个月的用药安全情况和再住院情况进行统计分析, 运用调查问卷的形式评估两组患者出院后依从性和满意度情况。结果 观察组患者出院后擅自增减药、漏服药、停药的比例低于对照组, 差异有统计学意义(P＜0. 05)。观察组患者的再住院率为4. 00%(2/50), 低于对照组的18. 00%(9/50), 差异有统计学意义(P＜0. 05)。观察组患者出院后在合理饮食、康复锻炼、按时复查、卫生清洁方面的依从性评分高于对照组 (P＜0. 01)。观察组患者护理满意度高于对照组(P＜0. 05)。结论 延续性护理可提高老年慢性病患者出院后用药安全性和依从性, 降低再住院率, 提高护理满意度。)

目的了解珠三角地区变应性鼻炎（AR）和/或支气管哮喘患者（BA）中止皮下变应原免疫治疗（SCIT）的原因，为提高患者SCIT的依从性提供参考依据。方法本研究是一项回顾性、多中心、大样本的真实世界研究，收集和分析2015年1月到2020年12月在珠三角地区6家三甲医院接受SCIT的AR和/或BA患者的临床资料，并对中止治疗患者的进行电话随访。结果纳入1 244例接受SCIT的患者，中止治疗427例（脱落率为34.3%）；儿童、已婚、过敏家族史阳性、总IgE （tIgE）>200 U/mL的患者表现出相对良好的SCIT依从性（P值均PP值均P

Copyright of Journal of Clinical Nursing in Practice 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 preliminarily investigate the application effect of case management model in health management of acquired immunodeficiency syndrome （AIDS） patients in Chongqing mountainous area under the background of rural revitalization. Methods A total of 180 AIDS patients in Chongqing mountainous area who were admitted to the hospital from May 2019 to February 2021 were selected as the research objects, and they were divided into the study group and the control group by random number table method, with 90 cases in each group. Patients in the control group were given routine health management, while patients in the study group were adopted case management mode on the basis of the routine health management. The psychological resilience （CD-RISC scale）, self-empowerment （LTCES scale）, treatment compliance （CPCRA questionnaire） and quality of life （MOS-HIV scale） of the two groups were analyzed and compared after intervention for 6 months. Results The good compliance rate and the CD-RISC score, LTCES score and MOS-HIV score in the study group were significantly higher than those in the control group, and the differences were statistically significant （P<0.05）.Conclusion In the background of rural revitalization, the case management model can significantly enhance the mental resilience and self-empowerment level of AIDS patients in Chongqing mountainous area, improve treatment compliance, and improve their quality of life. [ABSTRACT FROM AUTHOR]

Objective To analyze and compare the distribution of the high-risk population of upper gastrointestinal ( UGI) cancer and the factors influencing the compliance rate of endoscopic screening in urban China and rural China. Methods From 2015 to 2017, an epidemiological survey was conducted on residents aged 40-69 in two rural areas ( Luoshan county of Henan province, Sheyang county of Jiangsu province) and two urban areas (Changsha city of Hunan province, Harbin city of Heilongjiang province). As a result, high-risk individuals were recommended for endoscopic screening. Chi-square e test was used to compare the high-risk rate of UGI cancer between urban and rural residents. In addition, the multivariate logistic regression model was used to analyze the factors influencing the compliance rate of endoscopic screening. Results A total of 48, 310 residents aged 40-69 were enrolled in this study, including 22 870 (47.34%) residents from rural areas and 25 440 (52.66%) residents from urban areas. A total of 23 532 individuals were assessed with a high risk of UGI cancer, with an overall risk rate of 48.71%. A higher proportion of participants with high risk was observed in rural China ( 56.17%, 12 845/22 870) than in urban China ( 42.01%, 10 687/25 440 ). A total of 10 971 high-risk individuals with UGI cancer participated in endoscopic screening, with an overall compliance rate of 46.62% (10 971/23 532), 45.15% (5 799/12 845) in rural China, and 48.40% (5 172/10 687) in urban China. In rural population, the compliance rate of endoscopic screening was higher in those of females, aged 50-69 years, primary school education or above, high income, a family history of UGI cancer, history of gastric and duodenal ulcer, history of reflux esophagitis, and history of superficial gastritis, but lower in smokers (P<0.05). Among the urban population, the compliance rate of endoscopic screening was higher in those aged 40-49 years, uneducated, low income, family history of UGI cancer, history of reflux esophagitis, history of superficial gastritis, but lower in smokers (P<0.05). Conclusions The proportion of participants with high risk of UGI cancer in rural areas is higher than that of urban areas. The compliance rates of endoscopic screening in urban and rural areas are low, and influencing factors of endoscopic screening exhibit some differences in rural China and urban China. [ABSTRACT FROM AUTHOR]

Copyright of Chinese Journal of Contemporary Pediatrics is the property of Xiangya Medical Periodical 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 Journal of Clinical Nursing in Practice 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: 本次研究主要分析小儿肺炎护理中开展人性化护理的临床实际效果。方法: 本次研究对象主要为 我院 2020 年 12 月到 2021 年 12 月接诊的 78 名肺炎患儿, 依据随机分组的方式将 78 名患儿分为对照组和观察组, 每组各 39 名患儿。对照组患儿开展传统护理模式, 观察组患儿开展人性化护理模式。最后对比两组患儿的护理效果。结果: 观 察组患儿的依从率、满意率均高过对照组患儿, 差别具备统计学意义 (P<0.05); 观察组患儿的住院时长、病症消退时 长均小于对照组的患儿, 差别具备统计学意义( P<0.05)。结论: 针对肺炎患儿开展人性化护理干预的临床医学效果比 较好, 可以有效减轻患儿的临床表现, 提升了患儿的依从率, 使患儿的负性情绪及时消除, 因此, 可长期在临床医学 上进行积极推广。 [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice 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：探究与讨论药学干预对高血压患者治疗依从性与血压指标影响。方法：随机选取 2020 年2月至 2021年9月40例高血压患者, 并采用随机数字法将其分为观察组和对照组, 每组各20例。对照组采用传统的用药方 案。具体的用药时间, 用药剂量, 用药方式, 用药频率, 用药注意事项及常见的不良反应等。观察组患者采用药物 干预服务理念：结果：比较两组患者的用药依从性：从表1可以看出观察组患者的用药依从性明显优于对照组（P < 0.05), 具体见表1。两组患者的血压控制效果对比：结果显示, 观察组患者的收缩压与舒张压水平较对照组而言, 有 明显下降的趋势, 具体见表2。结论：高血压在临床治疗方面, 通过综合药学干预, 能够有效提高患者的治疗的依从 性, 血压控制效果较为明显, 因此, 值得临床上进一步推广运用。 [ABSTRACT FROM AUTHOR]

This paper summarized the concept and characteristics of "Internet +", analyzed the application and difficulties of "Internet +" in drug management for chronic diseases, summarized the influencing factors of drug compliance of patients with chronic diseases, and put forward suggestions and prospects for the development of Internet + in drug management for chronic diseases. (本文综述了“互联网+”的概念、特点, 分析“互联网+”在慢性病药物管理中的应用情况和难点, 概述慢性病患者服药依从性的影响因素, 并对“互联网+”在慢性病药物管理中的发展提出建议和展望。)

(目的 探讨患者参与监督对提高血透室护士手卫生依从性和正确性的影响。方法 采用现场观察的方法, 评估血透室护士手卫生执行情况。2020年6月开始实施干预措施, 比较干预后(2020年6月—8月)与干预前(2020年3月—5月)血透室护士手卫生的执行情况。结果 血透室护士手卫生依从率从干预前的63. 02%(1525/2420)提高至92. 16%(2868/3112); 手卫生依从性的正确率从干预前的41. 90% (639/1525)提高至74. 51%(2137/2868)。结论 患者参与监督可以提高血透室护士手卫生的依从性和正确性。)

Copyright of Imaging Science & Photochemistry is the property of Imaging Science & Photochemistry Editorial Office 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 研究品管圈在髋部术后康复疼痛护理中的应用效果。方法 随机选取该院脊柱外科 2020年1-12月收治的64例病房髋部手术患者作为干预组,对其实施品管圈护理,另选取本科室2019年1- 12月收治的64例病房髋部手术患者作为对照组,对其实施常规护理;2组患者的手术方式保持一致,对比其疼 痛程度(NRS评分)、依从性、髋关节功能(Harris评分)及临床疗效。结果 干预组护理后的NRS评分[(3.4± 0.6)分]低于对照组[(4.6±0.9)分],干预组的依从性(79.7%)高于对照组(62.5%),干预组护理后的Harris 评分[(87.2±10.5)分]高于对照组[(82.0±9.9)分],干预组临床疗效的优良率(85.9%)高于对照组 (70.3%),差异均有统计学意义(P <0.05)。结论 品管圈在髋部术后康复疼痛护理中的应用效果显著,可明 显缓解疼痛,提高依从性,有利于患者髋关节功能的恢复,临床疗效的优良率高。 [ABSTRACT FROM AUTHOR]

目的 探讨孕晚期孕产妇应用产后避孕 (PPC) 服务效果。方法 选择 2019 年 6月至 2020 年 2 月在该院产检并分娩的产妇219例,随机分为干预组(n=112) 和对照组 (n=107)。干预组在孕晚期(孕28~ 32周)给予 PPC服务,对照组进行常规孕产期保健服务和产后健康教育。比较两组非意愿妊娠、避孕成功、避 孕依从、高危人流情况,以及母乳喂养情况。结果 产后1年,共发生非意愿妊娠19例,其中干预组3例,发生 率为 2.7%,低于对照组的 15.0%(16例),差异有统计学意义 (P<0.05);干预组 PPC成功率、PPC 总依从率 分别为 97.3%、92.9%, 高于对照组的 85.0%、71.0%, 差异均有统计学意义 (P<0.05);干预组高危人流发生 率为0.9%,低于对照组的13.1%;纯母乳喂养率为 73.2%、产后6个月内坚持纯母乳喂养率为62.5%,均高于 对照组(43.0%、20.6%), 差异均有统计学意义(P<0.05)。结论 孕晚期 PPC服务可有效提高 PPC 成功率 及依从性,降低产后1年内非意愿妊娠发生率及高危人流发生率,并提高纯母乳喂养率及持续喂养时间。 [ABSTRACT FROM AUTHOR]