Effect Of Comprehensive Training Research Articles

Clinical observation of comprehensive rehabilitation training in the treatment of stroke dysphagia

Objective To observe the clinical effect of comprehensive rehabilitation training on stroke patients with dysphagia. Methods From August 2016 to December 2017, 90 patients with stroke dysphagia admitted to Yiwu Central Hospital were selected.The patients were divided into two groups by random number table method, with 45 cases in each group.The control group was treated with conventional treatment.The observation group was treated with comprehensive rehabilitation training, and the course of treatment in both two groups was 8 weeks.The nerve function defect, swallowing function and quality of life improvement of the two groups were observed, and the clinical efficacy of the two groups was compared. Results Before treatment, there were no statistically significant differences in the SAWL-QOL(quality of life) score, NIHSS(neurological impairment) score and Burke(swallowing function) score between the two groups(all P>0.05). After treatment, the SAWL-QOL score of the observation group was (83.35±1.62)points, which was higher than that of the control group [(74.41±2.71)points], and the difference was statistically significant(t=18.995, P<0.05). The NIHSS and Burke scores of the observation group were (2.09±0.52)points, (0.48±0.09)points, respectively, which were lower than those of the control group[(5.87±1.03)points, (3.09±0.56)points](t=21.977, 30.869, all P<0.05). The total improvement rate of the observation group was 93.33%(33/45), which was significantly higher than that of the control group[73.33%(42/45)](χ2=6.480, P<0.05). The incidence of aspiration pneumonia in the observation group was 8.89%(4/45), which was significantly lower than that in the control group[26.67%(12/45)](χ2=4.865, P<0.05). Conclusion Comprehensive rehabilitation training has significant clinical effect on stroke dysphagia, which can promote the improvement of nerve function and swallowing function of patients and improve the quality of life of patients. Key words: Stroke; Deglutition disorders; Rehabilitation; Problems and exercises; Activities of daily living; Combined modality therapy; Quality of life

Effects of audio-visual comprehensive training on cognitive impairment among breast cancer patients with chemotherapy

Objective To explore the effects of audio-visual comprehensive training on cognitive impairment among breast cancer patients with chemotherapy. Methods From July 2017 to October 2018, we selected 80 inpatients with chemotherapy in breast surgery as subjects by convenience sampling. All of the patients were divided into control group (n=40) and experimental group (n=40) with the lot-drawing method. Patients of two groups were all treated with the routine treatment and nursing of breast surgery, while experimental group also received audio-visual comprehensive training. The intervention effects were assessed with the Rivermead Behavioral Memory Test Second Edition (RBMT-Ⅱ) . Results After intervention, the scores of names, belongings, data, faces, delayed story, orientation, delayed route, messages and the total score of experimental group were higher than those before intervention; the score of immediate route was lower than that before intervention; the differences were all statistically significant (P<0.05) . After intervention, the total score and sub-test scores of RBMT-Ⅱof control group were lower than those before intervention with statistical differences (P<0.05) . After intervention, the scores of RBMT-Ⅱ of experimental group were higher than those of control group except for orientation and data with statistical differences (P<0.05) . Conclusions Audio-visual comprehensive training can effectively improve cognitive impairment among breast cancer patients with chemotherapy which is simple and feasible, and can be promoted and applied. Key words: Breast neoplasms; Cognitive dysfunction; Audio-visual comprehensive training; Memory function

Evaluation of the influence of critical thinking and bedside comprehensive ability training on the maturity of new pediatric nurses

Objective To investigate the effect of bedside comprehensive ability training and critical thinking on the improvement of the personality maturity of pediatric nurses. Methods A total of 102 nurses with pediatric working years within one year were selected, and then they were arranged to receive critical thinking in combination with bedside comprehensive ability training for 6 months. After the training, pediatric nurses′ critical thinking ability, bedside comprehensive ability and personality maturity were evaluated. Results Before training, the total score of Critical Thinking Disposition Inventory-Chinese Version (CTDI-CV) , total score of bedside comprehensive ability, personality maturity score were 288.21±25.44, 75.24±2.51, 84.01±32.26, after training, they were respectively 324.18±25.93, 92.65±3.17, 125.57±35.47. Comparison of the scores before training and after training showed statistically significant difference (t=7.071, 30.750, 6.190, P < 0.05 or 0.01). Setting personality maturity as the dependent variable, and and CTDI-CV and bedside comprehensive ability as the independent variables, regression analysis showed that CTDI-CV and bedside comprehensive ability had a positive impact on the personality maturity. Conclusions The ability of pediatric nurses' critical thinking ability and bedside comprehensive ability training can promote the improvement of personality maturity of pediatric nurses. Key words: Critical thinking; Bedside comprehensive ability; Training; Pediatrics; Personality maturity

Effects of skill training on self-efficacy and life quality of community presbycusis patients

Objective To investigate the effects of comprehensive skill training on the self-efficacy and life quality of community presbycusis patients. Methods Fifty presbycusis patients were selected and randomly divided into an intervention groupand a control group, each of 25. Both groups were given conventional care in community, while the intervention group was given self-managed comprehensive training for four weeks, including audiphones adaptability training, hearing compensation skill training and activity of daily life (ADL) skill training. The level of self-efficacy and the quality of daily life was assessed before and after the intervention, as well as 3 months the intervention, using general self-efficacy scale (GSS) and the medical outcomes study 36-item short-form health survey (SF-36). Results The average GSS score of the intervention group increased significantly to (27.39±3.43) right afterthe intervention and further to (29.15±2.44) 3 months after that, also significantly higher than that of the control group at the same time points. In the intervention group, the average score of all the dimensions of the quality of daily life had significant differences compared to that before the intervention and the control group at corresponding time points (P<0.05). Conclusion Self-managed comprehensive skill training is particularly effective in improving self-efficacy and quality of daily life among community presbycusis patients. Key words: Presbycusis patients; Self-efficacy; Quality of daily life; Skill training

Methods and effects of comprehensive training in the investigation of pressure ulcer

Objective To discuss the training effect driven by clinical demand in a cross-sectional research, and provide evidence for specialized nursing training. Methods One month before the survey, 46 nurses received various forms of comprehensive training, including multimedia lectures, workshop, case analysis, group discussion, clinical demonstration teaching of ostomy wound, research operations training, risk assessment training of pressure ulcer and incontinence associated dermatitis, etc. Then theory examinations, picture analysis examinations and operation examinations were conducted before and after training based on the unified papers and operating criteria. Results After training, the score of theoretical examination, operating examination and picture analysis examination of 46 nurses were higher than that before the training (P<0.05). 89.1% of nurses thought that the training content was very good; 93.5% of nurses were satisfied with the training form, and 95.7% of nurses thought that this training was significant for clinical work. Conclusions The comprehensive training method based on clinical demand can effectively improve the professional theory and skills of nurses, thus it can be used as a effective training and assessment methods before the survey of pressure ulcer and incontinence dermatitis in comprehensive hospitals. Key words: Pressure ulcer; Incontinence associated-dermatitis; On-the-job training; Nursing teaching; Specialized nursing; Examination

Effect of barracks military training and field long march on freshmen' mental health in military university

Objective To study the effect of field long march comprehensive training on freshmen' mental quality and mental health in military university. Methods Mental quality questionnaire for army men(MQQA), symptom checklist 90(SCL-90), self-rating anxiety scale(SAS), self-rating depression scale(SDS)and trait anxiety inventory(TAI)were carried out on 330 freshmen at various stages on their military training. All data were analyzed by paired-sample t test. Results ①As compared with pre-training, all SCL-90 factor scores except depression factor decreased significantly(P 0.05). Conclusion Filed long march effectively improved mental health of military university recruits and relived their anxiety as well as depression. Key words: Field long march; Military university's freshmen; Mental health; Military training; Scale

The practice and effects of pre-job comprehensive training of medical postgraduates

Objective To improve the teaching methods of graduate students, and provide the theoretical basis for other teaching hospitals to extend the preclinical training mode of clinical medicine professional degree students. Methods 90 clinical medical postgraduate students of Grade 2012 were divided into four groups according to their specialized field and 54 hours of pre-job clinical intensive training were conducted at the same time. The training included four modules lectured by teachers with physician-in-charge above title, such as communication between doctors and patients and medical history collection, physical examination, medical record writing as well as theory of knowl-edge. Before and after the implementation of intensive training, these four skills and knowledge of the students were tested and assessed by professional teachers. Relevant data were paired t test, ANOVA and non-parametric tests. Results The test results of patient-doctor communication and patient history collection, physical examination, complete medical records and theoretical examination results of each group after training were improved to be higher than before （P〈0.05）. And the effect of patient-doctor communication and patient history collection was the most significant. The doctor-patient communica-tion and history acquisition performance of different groups of graduate students had statistically sig-nificant difference （P=0.001）. Conclusion Strengthening the preclinical comprehensive training for medical postgraduate can make the students master the basic clinical skills better and more effectively and the corresponding training methods are worthy of popularization to the other teaching hospitals. Key words: Clinical medicine; Masters degree; Professional degree; Preclinical com-prehensive training training

Effects of comprehensive training on mild cognitive impairment in patients with stroke

Objective To explore the comprehensive training effects of mild cognitive impairment(MCI) in patients with cerebral apoplexy. Methods Selected 70 cases of cerebral apoplexy patients with MCI were randomly divided into control group(n=35) and intervention group(n=35). The patients in control group maintained the original treatment and nursing, and the comprehensive training was used in intervention group. Before and after the intervention Montreal cognitive assessment scale (MoCA), daily life ability Barthel index (MBI) were used to evaluate the change of MCI patients. Results After training, the score of MBI in the intervention group(55.71±5.08) was significantly higher than that of before training (52.59±5.62) and the control group(53.65±5.78). After training, the score of MoCA in the intervention group(23.37±2.40)was significantly higher than that of before training (21.77±2.53)and the control group(21.73±2.43). Conclusion Comprehensive training can improve cognitive function in patients with cerebral apoplexy, ease the burden on society and the family, and improve the quality of life. Key words: Stroke; Mild cognitive impairment; Comprehensive training

Application of comprehensive training based on the work process in intensive training of operating room nursing

Objective To explore the effects of comprehensive training based on the work process on the intensive training of operating room nursing for the nursing students before clinical practice.Methods A cluster sampling of Class 1,foreign class 1 of 2010 enrolled as the experimental group (n =95),and Class 2,foreign class 2 of 2010 enrolled as the control group (n =95 ).The comprehensive training method based on work process was adopted in experimental group,and the conventional practice teaching method was adopted in control group.Questionnaires were used to investigated the satisfaction of students.Results The experimental group had higher scores in comprehensive skills than that of the control group [( 84.29 ± 7.58) vs ( 77.55 ±10.24)],and the difference was statistically significant (t =3.76,P ＜ 0.01 ).And 100.0％ of nursing students accepted the comprehensive training method.Conclusions Application of comprehensive training based on work process in intensive training before clinical practice for nursing students can shorten the gap with the clinic and can promote the students quickly adapt to clinical nursing practice. Key words: Operating room nursing; Based on work process; Comprehensive training; Intensive training

Effect of in-hospital comprehensive rehabilitation training on schizophrene's cognitive function

Objective To investigate the effect of in-hospital comprehensive rehabilitation training schizophrene's cognitive function.Methods 80 schizophrenic patients were randomly divided into study group (n=40)and control group(n=40).Both groups received conventional treatment and care,the study group also received in-hospital comprehensive rehabilitation training such as life skills training,medication management skills training,vocational skills training and social communication traning for 12 weeks.Their cognitive function was measured with Wechsler Adult Memor(Revised)(WMS-RC),Positive and Negative Symptom Scale(PANSS),Nurses'Observation Scale for Inpatient Evaluation(NOSIE)before and after the training,respectively,and changes in cognitive function were compared.Results There was no statistically significance in WMS-RC,PANss,NOSIE scores between the study group and the cantrol group before training.There was statistically significance in WMS-RC,Calculation scores(15.09±1.57 vs 13.36±1.55,t=3.005.P=0.04),dtgit span scores(13.32±1.68 vs 12.08±1.79,t=3.124,P=0.003),number sign(8.17±2.21 vs 8.24±1.41,t=3.212,P=0.003),total sares(32.79±6.14 vs 29.78±4.58,t=3.412,P=0.001),memory quotient sares(116.25±3.94 vs 112.72±3.07,t=4.382,P=0.000)between the two groups ccfter 12 weeks;There was statistically signifieamce in PANSS,NOSIE scores between the study group and the control group after training 12 weeks.Conclusions In-hospital comprehensive rehabilitation training can improve schizophrene's cognitive function. Key words: Comprehensive rehabilitation training; Schizophrenia; Cognitive function

Research in influence of comprehensive relaxation training on perioperative psychological stress in patients with coronary intervention treatment

Objective The aim of this study is to provide guidance on rehabilitation nursing via observing the effect of comprehensive relaxation training on perioperative psychological stress in patients with coronary intervention treatment. Methods In this study, eighty patients ready to receive coronary intervention were randomly divided into the experimental group and the control group (40 patients in each). The control group were treated with routine percutaneous coronary intervention care, and the experimental group received both comprehensive relaxation training and routine care. The anxiety state and subjective feelings on comprehensive relaxation training in both groups were dynamically investigated via State-Trait Anxiety Inventory questionnaire and subjective feeling questionnaire from pre-operation to 7 days after operation. Results Anxiety levels between two groups showed the similar trend, and there was statistically significance between two groupsin the state anxiety level. The subjective feeling in the experimental group improved. Conclusions The psychological stress in patients receiving coronary intervention surgery maintains at high level form pre-operation to 24h post operation, and comprehensive relaxation training can significantly reduce the level of state anxiety. These patients consider that this simple training shows obvious relaxing effect. Key words: Coronary intervention; Stress; Comprehensive relaxation training