Self-nursing Ability Research Articles

Effect of Enterostomal Therapist-Led Visual Health Education Combined with Peer Education on the Self-Nursing Ability, Quality of Life and Peristomial Complications in Patients with a Permanent Colostomy.

This study aimed to analyse the impact of enterostomal therapist-led visual health education combined with peer education on the postoperative self-nursing ability, quality of life and peristomial complications in patients with a permanent colostomy. Patients with a permanent colostomy admitted to Second Hospital of Hebei Medical University between March 2021 and March 2023 were selected and divided into the study group (60 patients) and the control group (60 patients). Enterostomal therapist-led visual health education combined with peer education was adopted in the study group, and regular education was adopted in the control group. The clinical effects between the two groups were compared. Repeated measurement analysis of variance showed that the two educational methods had different effects on the quality of life (Ftreatment = 342.734, p < 0.001), self-nursing ability (Ftreatment = 256.321, p < 0.001), adaptability (Ftreatment = 321.734, p < 0.001) of patients with a permanent colostomy. After the 3-month intervention, the differences in all aspects of the quality of life, self-nursing ability and adaptability between the two groups were statistically significant, and the score of the study group was higher than that of the control group (p < 0.05). Compared with the control group, the study group had a lower incidence of the five complications (p < 0.05) and higher nursing satisfaction (Z = -2.968, p < 0.05). Enterostomal therapist-led visual health education combined with peer education can improve the quality of life of patients with a permanent colostomy, improve their positive mood, reduce their negative mood, improve their adaptability to the stoma, reduce complications and improve their daily living conditions. In the future, the clinical application of visual health education and peer education in patients with permanent colostomy should be increased.

Retracted: Effect of CICARE Communication Mode on Disease Uncertainty, Self-Nursing Ability, and Quality of Life in Patients with Coronary Atherosclerotic Heart Disease after Percutaneous Coronary Intervention.

[This retracts the article DOI: 10.1155/2022/8654449.].

A Cohort Study of the Effects of Integrated Medical and Nursing Rounds Combined with AIDET Communication Mode on Recovery and Quality of Life in Patients Undergoing Percutaneous Coronary Intervention.

Objective To explore the influence of the communication mode of “Acknowledge, Introduce, Duration, Explanation, and Thanks (AIDET)” on the postoperative recovery and quality of life of patients undergoing percutaneous coronary intervention. Methods Sixty patients with percutaneous coronary intervention in our hospital from April 2019 to April 2021 were selected. The patients were randomly divided into a control group (n = 30) and research group (n = 30). The control group received integrated medical and nursing rounds, and the research group received integrated medical and nursing rounds combined with AIDET communication mode. The scores of nursing satisfaction, cardiac function, self-nursing ability, short-term prognosis, and quality of life were compared between the two groups. Results In the comparison of nursing satisfaction between the two groups, the satisfaction of the research group was low in 1 case, moderate in 6 cases, and high in 27 cases, with a satisfaction rate of 96.67%. In the control group, there were 7 cases with low satisfaction, 10 cases with moderate satisfaction, and 13 cases with high satisfaction, with a satisfaction rate of 76.67%. The nursing satisfaction of the research group was higher than that of the control group, and the difference was statistically significant, and the difference was statistically significant (P < 0.05). After intervention, the cardiac function of the two groups was improved. The LVEF and LVESVI of the research group were higher than those of the control group, while the WMSI of the research group was lower than that of the control group (P < 0.05). In the comparison of self-nursing ability, the self-nursing maintenance, self-nursing management, self-nursing confidence, and total score of self-nursing in the research group were significantly higher than those in the control group, and the difference was statistically significant (P < 0.05). The incidence rates of acute myocardial infarction (AMI), revascularization, arrhythmia, heart failure, cardiogenic shock, and cardiac death in the research group were obviously lower than those in the control group, and the difference was statistically significant (P < 0.05). After intervention, the scores of quality of life of the two groups decreased, and the scores of physiological function, psychological function, social function, and health self-cognition in the research group were lower than those in the control group (P < 0.05). Conclusion Medical and nursing integrated ward rounds combined with AIDET communication mode can effectively improve the prognosis of patients undergoing percutaneous coronary intervention to promote the establishment of a harmonious nurse-patient relationship. The patients' self-care ability is able to be effectively enhanced.

Effect of CICARE Communication Mode on Disease Uncertainty, Self-Nursing Ability, and Quality of Life in Patients with Coronary Atherosclerotic Heart Disease after Percutaneous Coronary Intervention.

Objective To study the effect of CICARE (Connect, Introduce, Communicate, Ask, Respond, Exit) communication mode on disease uncertainty, self-nursing ability, and quality of life in patients with coronary atherosclerotic heart disease (CAD) after percutaneous coronary intervention (PCI). Methods From January 2021 to December 2021, 102 patients with CAD after PCI were randomly divided into a research group (n =51) and a control group (n =51). The former received CICARE communication model nursing intervention, and the latter received routine doctor-patient communication nursing. To study the scores of disease uncertainty scale (MUIS), Frankl treatment compliance scale (Frankl), self-care ability scale (exercise of self-care-a), quality of life scale (WHOQOL-BREF), and Newcastle nursing satisfaction scale (NSNS) before and 1 week after nursing. Results After one week of nursing, the MUIS score of the research group was lower than that of the control group, and the score of Frankl treatment compliance scale of the research group was higher than that of the control group. After 1 week of nursing, the ESCA score of the research group was higher compared to the control group (p < 0.05), and the WHOQOL-BREF score of the research group was higher compared to the control group (p < 0.05). After one week of nursing, the NSNS score of the research group was higher compared to the control group (p < 0.05). Conclusion The application value of CICARE communication mode nursing intervention in patients with CAD after PCI is more remarkable, and it is more helpful to reduce patients' disease uncertainty, enhance treatment compliance, promote patients' self-nursing ability, and strengthen quality of life and nursing satisfaction.

Discussion on the Effect of Continuous Nursing Intervention in Nursing COPD Patients and the Improvement of Patient Quality of Life and Self-nursing Ability

Discussion on the Effect of Continuous Nursing Intervention in Nursing COPD Patients and the Improvement of Patient Quality of Life and Self-nursing Ability

Effects of Comprehensive Nursing Based on Orem's Self-Care Theory on Symptom Improvement and Pregnancy Outcome in Patients with Antiphospholipid Syndrome: A Retrospective Cohort Study.

Objective A retrospective cohort study was conducted to explore the effects of comprehensive nursing based on Orem's self-care theory on symptom improvement and pregnancy outcomes in patients with antiphospholipid syndrome (APS). Methods Sixty patients with antiphospholipid antibody syndrome treated in our hospital from February 2019 to April 2021 were enrolled. The control group received comprehensive nursing, while the study group received comprehensive nursing based on Orem's self-care theory. Nursing satisfaction, self-nursing ability, anxiety score, social support status, pregnancy outcome, and the score of life quality were compared between the two groups. Results First of all, we compared the nursing satisfaction, the study group was very satisfied in 23 cases, satisfactory in 5 cases, general in 2 cases, the satisfaction rate was 100.00%. While in the control group, 11 cases were very satisfied, 10 cases were satisfied, 4 cases were general, and 5 cases were dissatisfied, the satisfaction rate was 83.33%. The nursing satisfaction in the study group was higher compared to the control group (P < 0.05). Secondly, the self-concept, sense of self-care responsibility, self-nursing skills, health knowledge, and total score of the study group were higher compared to the control group (P < 0.05). After intervention, the anxiety scores of the two groups decreased. Compared between the two groups, the anxiety scores of the study group before intervention and 1 week, 2 weeks, 3 weeks, and 4 weeks after intervention were lower compared to the control group (P < 0.05). The comparison of social support showed that the scores of objective support, subjective support, utilization of support, and total score of social support in the study group were higher compared to the control group (P < 0.05). The number of abortions in the control group was lower compared to the control group, and the number of full-term deliveries was higher compared to the control group (P < 0.05). Finally, we compared the scores of life quality. After nursing, the scores of life quality of the two groups increased. Of note, the scores of physiological function, psychological function, social function, and health self-cognition in the study group were lower compared to the control group (P < 0.05). Conclusion Comprehensive nursing for patients with APS based on Orem's self-care theory can effectively improve clinical symptoms and pregnancy outcome and play a positive role in facilitating patients' nursing satisfaction and self-nursing ability, which can also effectively strengthen mental health and social support, this nursing model is worth popularizing in clinic.

Nursing Effect and Prognosis Analysis of Self-Management Education Model Based on Protective Motivation Theory on Patients with Hematological Tumor after PICC Catheterization.

Objective To analyze the nursing effect and prognostic value of self-management education model based on protective motivation theory on patients with hematological malignancies (HM) after peripheral venous catheterization (PICC). Methods A total of 90 patients with HMs treated with PICC catheterization in our hospital from October 2019 to October 2021 were included in the study. The patients were randomly assigned into experimental group (n = 45) and control group (n = 45). On the basis of the control group, the experimental group implemented the self-management education model based on the theory of protective motivation, and the control group implemented routine nursing health education measures. The self-nursing ability scale (ESCA), Hamilton anxiety scale (HAMA), the average cost of PICC catheter maintenance, the incidence of PICC-related complications, and the score of Newcastle nursing satisfaction scale (NSNS) were observed 1 month before and after nursing. Results After one month of nursing, there was no significant difference in ESCA self-concept (p > 0.05). After one month of nursing, the scores of self-care responsibility, self-nursing skills, and health knowledge in the experimental group were significantly higher compared to those before nursing (p < 0.05) and higher compared to those in the control group (p < 0.05). After one month of nursing, the score of HAMA scale was significantly lower compared to that before nursing (p < 0.05), and the score of HAMA scale in the experimental group was lower compared to the control group (p < 0.05). After one month of nursing, the average cost of PICC pipeline maintenance in the test group was lower than that in the control group (p < 0.05). One month after nursing, the incidence of PICC-related complications in the experimental group was lower than that in the control group (p < 0.05). One month after nursing, the score of NSNS scale was significantly higher than that before nursing (p < 0.05). After one month of nursing, the score of NSNS scale in the experimental group was higher than that in the control group. Conclusion The self-management education model based on protective motivation theory is effective in nursing patients with peripheral venous catheterization and PICC catheterization of HMs. It is more beneficial to promote patients' self-nursing management ability, reduce anxiety, reduce the average cost of PICC pipeline maintenance, reduce the incidence of PICC-related complications, and enhance nursing satisfaction.

Systematic nursing interventions in gastric cancer: A randomized controlled study.

BACKGROUNDScientific and effective nursing methods can effectively mitigate negative emotions in patients. Related studies have shown that systematic nursing interventions are beneficial in enhancing the self-efficacy and self-care abilities of patients and improving their physical and mental state, thereby alleviating their fatigue and improving their quality of life.AIMTo explore the effects of systematic nursing intervention on cancer-related fatigue, self-efficacy, self-nursing ability, and quality of life in gastric cancer (GC) patients during the perioperative period.METHODSIn this study, sample size was based on the multivariable scale. The sample size was 10 times the acceptable variable, with an additional 20% added to account for an expected loss of patients in follow-up for a final sample size of 168 patients. Conventional nursing measures were used in the control group, while the systematic nursing intervention Adopted Cancer Fatigue Scale (CFS), General Self-Efficacy Scale-Schwarzer (GSES), Self-Care Agency Scale (ESCA), and simple health scale (SF-36) were used in the observation group. The questionnaires were administered on admission and discharge.RESULTSAt admission, there was no statistically significant difference in the scores on each scale between the groups. At discharge, the CFS and GSES scores in the observation group were 21.56 ± 2.24 and 51.16 ± 11.71, while those in the control group were 29.61 ± 3.48 and 41.58 ± 8.54, respectively, with statistically significant differences. The ESCA score in the observation and control groups was 112.09 ± 11.72 and 97.87 ± 9.26, respectively. Moreover, the scores in all dimensions (self-concept, self-responsibility, health knowledge level, and self-care skills) in the observation group were higher than those in the control group, with statistically significant differences. The SF-36 score in the observation and control groups was 75.51 ± 3.63 and 63.24 ± 3.41, respectively, with statistically significant differences. The scores in all dimensions (mental health, vitality, physical function, physical pain, social function, emotional function, and overall health level) in the observation group were higher than those in the control group, with statistically significant differences.CONCLUSIONSystemic nursing intervention for GC patients during the perioperative period could alleviate cancer-related fatigue, improve self-efficacy and self-nursing ability, and improve quality of life, which all have clinical value.

Integrated Medical Care and the Continuous 4C Nursing Model to Improve Nursing Quality and Clinical Treatment of Patients with Acute Stroke: Based on a Retrospective Case-Control Study.

Objective This research paper is based on a retrospective case-control study for exploring the effects of medical nursing integration and the continuous 4C nursing model to improve the clinical treatment and nursing quality of patients with acute stroke. Method For this purpose, a total of 313 patients with acute stroke, treated in our hospital from February 2020 to April 2021, were enrolled. They were divided into control and study groups with an even number of patients. The control group received integrated medical care number (N = 156), while the study group received integrated medical care and a continuous 4C nursing model (N = 157). In integrated medical care, the general data, self-nursing ability, degree of neurological impairment, Fugl–Meyer Assessment (FMA) score, Barthel index score, and quality of life score were compared between the two groups. Result The self-nursing concept, self-nursing responsibility, self-nursing skills, health knowledge, and total score of the patients in the study group were higher than those in the control group (P < 0.05). The neurological function scores of the study group were lower than those of the control group at 1, 3, and 6 months after discharge (P < 0.05). The scores of the study group were higher than those of the control group at 1, 3, and 6 months after discharge (P < 0.05). The Barthel index score of the study group was higher than that of the control group at 1, 3, and 6 months after discharge. The scores of physical function, psychological function, social function, and health self-cognition in the study group were lower than those in the control group (P < 0.05). Conclusion The application of integrated medical care and the continuous 4C nursing model for patients with acute stroke is beneficial to enhance the degree of neurological impairment of stroke patients, improve activities of daily life and motor function, and facilitate patients' quality of life. It is helpful to strengthen the attitude and feeling of cooperation between doctors and nurses, promote cooperation between doctors and nurses, reduce the defects of nursing work, heighten the quality of nursing, and achieve the requirement and goal of effectively promoting high-quality nursing.

Effect of Collaborative Nursing Intervention on Self-nursing Ability and Prognosis of Patients with Chronic Obstructive Pulmonary Disease

Effect of Collaborative Nursing Intervention on Self-nursing Ability and Prognosis of Patients with Chronic Obstructive Pulmonary Disease

Research on the Effect of Continuous Nursing in Patients with Gout and Its Influence on Self-nursing Ability

Research on the Effect of Continuous Nursing in Patients with Gout and Its Influence on Self-nursing Ability

Application Value of Multivariate Integration Teaching Method in Improving Nurses’ Knowledge Level of Continuous Nursing After Gastric Cancer Surgery and Its Impaction Patients’ Negative Emotions, Quality of Life and Adverse Reactions

To explore the application value of multivariate integration teaching method in improving nurses’ knowledge level of continuous nursing after gastric cancer surgery and its impact on patients’ negative emotions, quality of life and adverse reactions. 120 nurses were randomly divided into group A (n=60) and group B (n=60). After conducting the multivariate integration teaching to group A and the routine teaching to group B, each group was responsible for 60 gastric cancer patients admitted to our hospital from January 2019 to January 2020 to compare their knowledge level of continuous nursing after gastric cancer surgery and patients’ negative emotions, quality of life and adverse reaction rates (ARR). Compared with group B, trained nurses in group A had significantly higher knowledge level of continuous nursing after gastric cancer (P&lt;0.001), and patients treated by nurses in group A had significantly lower negative emotion scores (P&lt;0.001), higher quality of life scores (P&lt;0.001) and lower ARR (P&lt;0.05).Multivariate integration teaching method can effectively improve nurses’ knowledge level of continuous nursing after gastric cancer surgery, enhance their comprehensive nursing competence, and encourage them in providing continuous nursing with higher quality. Also, patients undergoing gastric cancer resection can, through communication with the trained nurses, enhance their self-nursing ability, alleviate negative emotions, and improve quality of life. Therefore, it should be promoted in clinical practice.

Rehabilitation Nursing Intervention Can Improve Dysphagia and Quality of Life of Patients Undergoing Radiotherapy for Esophageal Cancer.

Objective To seek the improvement of rehabilitation nursing intervention on dysphagia and quality of life of patients with esophageal cancer undergoing radiotherapy. Methods A total of 109 patients with esophageal cancer undergoing radiotherapy were selected as research objects. According to the random number table, they were separated into the control group (CG) and intervention group (IG), with 45 cases in CG and 64 cases in IG. In CG, patients were given routine nursing intervention, while those in IG were given rehabilitation nursing intervention. After intervention, the degree of acute radiation injury and the improvement of swallowing function were observed to compare the self-nursing ability, quality of life, and incidence of complications between the two groups. Results The degree of injury in CG was heavier than that in IG. The improvement of swallowing function in IG was better than that in CG. The scores of self-nursing ability and life quality in IG were higher than those in CG, with statistically significant differences (p < 0.05). The incidence of complications in IG was obviously lower than that in CG (p < 0.05). Conclusion Rehabilitation nursing intervention can ameliorate dysphagia, improve the quality of life, and reduce the incidence of complications for patients with esophageal cancer undergoing radiotherapy. It is worthy of clinical application.

Effect of nutrition management on self-care ability, nutritional status and quality of life of patients with chronic kidney disease

Objective To expolre the effect of nutrition management on self-care ability, nutritional status and quality of life of chronic nephropathy patients. Methods A total of 96 patients with chronic kidney disease who received peritoneal dialysis in the hospital from January 2016 to January 2018 were selected as subjects.The selected patients were divided into control group and observation group with 48 cases each.The control group was given routine nursing, and the observation group applied nutrition management on the basis of the nursing plan of the control group.After 6 months of nursing, the improvement of self-nursing ability, nursing effect, nutrition status and quality of life of patients in the two groups was observed. Results The patients in the observation group were better than the control group in 6 aspects: compliance with medical drugs, urine protein monitoring, diet control, regular exercise, complication prevention and nursing, and treatment of high and low proteinemia, with statistically significant differences(P<0.05). The fatigue degree, pain and discomfort degree, the degree of emotional distress, the number of medical visits and the score of adverse drug reactions were all higher in the observation group than in the control group, and the differences were statistically significant(P<0.05). The scores of physiological function, social relationship and treatment in the observation group were all higher than those in the control group, and the differences were statistically significant(P<0.05). The serum levels of total protein, albumin and IgG in the observation group were higher than those in the control group, with statistically significant differences(P<0.05). The NRS-2002 score of the observation group was lower than that of the control group, and the difference was statistically significant(P<0.05). Conclusions Nutrition management can effectively improve the self-care ability of patients with chronic kidney disease, and has a clear effect on improving the nursing effect, nutritional status and quality of life of patients. Key words: Chronic kidney disease; Self-care ability; Nutritional status; Quality of life

Effects of continuous nursing on rehabilitation of patients with hypertensive cerebral hemorrhage after puncture drainage.

Objective To observe the effects of continuous nursing(CN) on rehabilitation of patients with hypertensive intracerebral hemorrhage (HICH) and to explore the effective interventive measures for CN. Methods Totally 129 admitted HICH patients from January to December 2017 were selected and randomly divided into study group (63 cases) and control group (66 cases), the control group was handed with Handbook of stroke prevention and control before discharge, the study group received CN intervention, which included pre-discharge health education, family visits, patient management and video interview via WeChat App, group lecture and psychological support, self-nursing ability, motor function and ability of daily life and emotional condition were evaluated before and post discharge, and the disabled ratio 6 months after discharge between the 2 groups were compared. Results The 2 groups with the scores of exercise of self-care agency scale (ESCA) were increased significantly compared with before discharge (all P 0.05). Conclusion The HICH patients added with CN can significantly improve self-care ability, improve prognosis; patient management via WeChat App and group lecture & psychological support are effective measures to carry out CN. Key words: Cerebral hemorrhage; Continuing nursing; Self-care ability; Activity ability; Patient management

Effect of home visit intervention on joint function and life ability of patients after hip arthroplasty

Objective To observe the effect of home visit on joint function and complications of patients undergoing hip replacement. Methods Ninety cases of patients with artificial hip replacement who were admitted to our hospital from January to December 2017 were randomly divided into two groups by random Number Table Method.45 patients in the control group were given routine nursing after discharge, and 45 patients in the observation group were treated with home visit nursing. The hip function and living ability of the two groups were evaluated 8, 12, 16 weeks after discharge,and the complication rate was compared. Results The self-care ability scores of the observation group at 8, 12 and 16 weeks after discharge were 102.23±11.20, 108.36±10.41, 116.25±10.36 higher than those of the control group at 97.86±10.35), 100.21±14.26, 104.23±15.6, with significant differences (t=1.922, 3.097, 4.294, P < 0.05 or 0.01). The Harris scores of the observation group at 8, 12 and 16 weeks after discharge were 82.31±11.27, 87.38±10.05, 95.10±11.23 higher than those of the control group at 78.02±10.23, 83.41±11.74, 89.43±11.62, with significant differences (t=1.891, 1.723, 2.343, P < 0.05). The incidence of complications in the observation group at 16 weeks after discharge was 0 lower than 13.33% (6/45) in the control group (χ2=6.429, P=0.011). Conclusions Home visit intervention can improve the self-nursing ability of the patients after hip joint operation, promote the recovery of hip function and life ability, and reduce the complications. Key words: Home visit; Artificial hip joint replacement; Joint function; Complication

Effect of collaborative nursing model on self-care ability, quality of life and complications of hemodialysis patients with diabetic nephropathy

Objective To explore the effect of collaborative nursing model on self-care ability, quality of life and complications of hemodialysis patients with diabetic nephropathy. Methods A total of 110 cases of diabetic nephropathy patients who received hemodialysis treatment in this hospital from June 2011 to June 2014 were selected as the research objects, and were randomly divided into control group and observation group, with 55 cases each.The control group was given routine nursing care during hemodialysis treatment, and the observation group was given collaborative nursing mode on the basis of routine nursing care in the control group.The ability of self-care was assessed by the Exercise of Self-care Agency Scale (ESCA), and the quality of life was assessed by the Quality of Life Scale (SF-36). Meanwhile, the complications of patients during hemodialysis were analyzed and compared. Results The quality of life score of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.01). The self-nursing ability score of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.01). The incidence of infection, heart failure, hypotension and other complications during hemodialysis treatment in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.01-0.05). Conclusion The implementation of collaborative nursing mode during hemodialysis treatment of diabetic nephropathy patients can enhance the self-care ability of patients, improve the quality of life of patients, and help reduce the incidence of complications. Key words: Diabetic nephropathy; Hemodialysis; Self nursing ability; Quality of life; Complications

The nursing effect of " behavioral change theory" in patients with gestational diabetes mellitus

Objective To explore the effect of behavioral change theory nursing model on the self-nursing ability of blood glucose related indicators and maternal and infants outcomes in patients with gestational diabetes mellitus. Methods A total of 168 patients with gestational diabetes diagnosed by obstetrics examination in the hospital from January to December 2016 were selected.They were randomly divided into control group and research group, 84 cases of each group.The pregnant women in the control group received routine nursing intervention, and the pregnant women in the research group received the nursing mode based on the behavior change theory on the basis of routine nursing intervention.The blood glucose related indexes and maternal and infant outcomes of each group before and after the intervention were statistically analyzed.The self-care behavior of pregnant women before and after intervention was evaluated by diabetes self-care behavior assessment scale. Results Before intervention, the blood glucose level of pregnant women in each group was basically consistent with the score of self-care ability assessment, and the difference was statistically significant(P>0.05). After different modes of nursing intervention, the level of blood glucose and the ability of self-care related to diabetes were decreased or increased in both groups.In addition, the fasting and postprandial 2 h blood glucose and HbA1c levels in the research group were lower than those in the control group, and the scores of self-care assessment items were higher than those in the control group.The incidence of adverse maternal and infant outcomes such as cesarean section, postpartum hemorrhage, preterm delivery and macrosomia was lower than that of the control group, and the differences were statistically significant(P<0.05). Conclusion In the process of blood glucose control in patients with gestational diabetes mellitus, the nursing mode based on behavioral change theory has a significant effect on intervention, which can control the blood glucose level of pregnant women in a reasonable range, improve the ability of self-care of pregnant women, and reduce the incidence of adverse outcomes of maternal and infants. Key words: Gestational diabetes mellitus; Behavioral change theory; Blood glucose; Self-care; Maternal and child outcomes

Investigation of disease knowledge needs of upper urinary stone patients and application of question-like health education

Objective To analyze the demand of upper urinary stone patients for disease knowledge education.Question-like health education was used to intervene and observe the nursing effect. Methods A total of 90 patients with upper urinary stones were selected to analyze the disease knowledge needs of the patients with self-made questionnaire, and were randomly divided into observation group and control group, 45 cases of each group.The control group was treated with conventional healthy education, while the observation group was treated with question-like healthy education.The knowledge and self-nursing ability of upper urinary stones before and after the intervention were compared between the two groups. Results A total of 98.89% of patients wanted to master the treatment method for urinary calculi, 95.56% wanted to understand the clinical symptoms, and 94.44% wanted to know the cause of the disease.In terms of the access to disease knowledge, 60.00% of patients want to be directed by medical staff. 3 months after the intervention, the risk factors of upper urinary tract infection, the score of prevention method, the score of self-care concept, self-care skills and self-care responsibility of the observation group were all higher than those of the control group, and the difference between the groups was statistically significant(P<0.05). Conclusions Patients with upper urinary calculi generally have a need for healthy education, and use question-style healthy education for nursing intervention, which can enhance the patient's mastery of disease knowledge and thereby improve self-care ability.It is worthy of clinical promotion. Key words: Health education; Disease knowledge; Upper urinary tract stones; Self-care ability

The application effect of Orem self-care mode in the nursing of natural childbirth

Objective To explore the effect of Orem self-care model in the nursing of natural childbirth. Methods A total of 188 natural parturients were randomly divided into observation group and control group, 94 cases in each group.The observation group was treated with Orem self-care mode, and the control group was given routine nursing.The nursing effect of the two groups was compared by the Self-Assessment Scale and Symptom Self-Rating Scale, Hamilton Anxiety Scale and Hamilton Depression Scale respectively after production.The hospitalization time, role reversal, complication rate and satisfaction rate of the two groups were calculated and compared by questionnaire. Results The ESCA score of the observation group was significantly higher than that of the control group.The scores of SCL-90, HAMA and HAMD of the observation group were significantly lower than those of the control group, and the differences were statistically significant(P<0.05). The duration of hospitalization of the observation group was shorter than that of the control group, and the mother's role conversion of the observation group was faster than that of the control group.The incidence of complications of the observation group was lower than that of the control group, and the maternal satisfaction of the observation group was higher than that of the control group, and the differences were statistically significant(P<0.05). Conclusions Orem self-care mode applied in the natural birth maternal care can significantly improve maternal self-nursing ability, make the maternal role-change taken quickly, enhance the awareness for children and their own, improve the quality of care and maternal satisfaction. Key words: Orem self-care mode; Natural childbirth puerpera; Primipara