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Objective:To investigate the current situation and influencing factors of patients′ satisfaction with nursing humanistic care, and to provide reference for improving the quality of such care provided by hospitals.Methods:From July to August 2022, outpatients and inpatients in 30 provinces were selected by multi-stage stratified sampling as the survey objects. A cross-sectional survey was conducted on an online platform, using the general information questionnaire and Chinese version of methodist health care system nurse caring instrument revised by the research group. The latter instrument consists of 12 dimensions. namely care coordination, competence, teaching/learning, emotional support, respect for individuality, physical comfort, availability, helping/trusting relationship, patient/family engagement, physical environment, spiritual environment and outcomes. Descriptive analysis was performed on the data collected by the questionnaires, and independent sample t-test and one-way ANOVA were used to analyze the influencing factors of patient satisfaction. Results:A total of 107 hospitals were selected for questionnaire survey, including 86 tertiary hospitals and 21 secondary hospitals, and 29 108 valid questionnaires were recovered. The patient satisfaction with nursing humanistic care scored (5.40±0.86); the top three dimensions were competence (5.50±0.89), emotional support (5.47±0.88) and helping/trusting relationship (5.46±0.86); the lowest scoring dimensions were teaching/learning (5.38±1.01), spiritual environment (5.36±1.04) and patient/family engagement (5.11±1.28). Differences with gender, age, marital status, child status, educational level, occupation, place of residence, economic region, per capita monthly income of the family, type of medical insurance, medical department visited and surgery or not presented significant differences on the patient satisfaction with nursing humanistic care scores ( P<0.05). Conclusions:The satisfaction of patients with hospital′s nursing humanistic care in China was at the middle to upper level. In the future, health education for patients should be strengthened, and a mode of family-engaged nursing humanistic care should be constructed in line with the Chinese cultural background. In the process of nursing services, the particularity of patient groups should be considered to better meet their needs.
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Scientific and reasonable assessment of clinical practice is one of the core indicators of teaching quality evaluation. This paper reviews the application prospect of multi-source feedback evaluation in clinical practice, discusses the basic elements and processes, existing problems and solutions of the evaluation system. Moreover, the application exploration of multi-source feedback evaluation in clinical practice of interns was analyzed as a typical case. We wish it is helpful to promote the establishment of multi-source feedback evaluation mechanism in clinical practice teaching and provide a guarantee for the cultivation of excellent medical talents.
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Objective:To explore influence of rehabilitation exercise on daily living capacity in aged patients with chronic heart failure (CHF) .Methods :A total of 60 aged CHF patients were randomly and equally divided into rou‐tine treatment group (received routine CHF treatment and nursingcare ) and rehabilitation exercise group (received rehabilitation exercise based on routine treatmentgroup ) .Brain natriuretic peptide (BNP) level ,left ventricular e‐jection fraction (LVEF) ,daily living capacity and 6min walking distance (6MWD) were measured and evaluated in both groups at hospitalization and six weeks after treatment .Results:After six‐month treatment ,BNP level signifi‐cantly reduced and LVEF significantly rose in both groups ,and there were significant rise in 6MWD and daily living score in rehabilitation exercise group ,P<0.05 or <0.01 ;compared with routine treatment group ,there was signif‐icant reduction in BNP level [ (525.3 ± 113.2) pg/ml vs .(252.2 ± 114.5) pg/ml] ,and significant rise in LVEF [ (43.46 ± 9.12)% vs .(47.24 ± 8.46)% ] ,6MWD [ (286.6 ± 46.2) mm vs .(582.5 ± 55.3) mm] and daily living score [ (65.12 ± 17.6) scores vs .(82 ± 14.8) scores] in rehabilitation exercise group , P<0.05 or <0.01. Conclu‐sion:Rehabilitation exercise can significantly improve heart function ,raise daily living capacity in aged patients with chronic heart disease .
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Objective To provide scientific basis for developing mental interventions for the wounded in major disasters by assessing the mental health status and the mental intervention effect among the Wenchuan earthquake survivors transferred to Chongqing.Methods A total of 389 transferred wounded survivors were examined by using questionnaires including general information questionnaire,Psychological Health Self-rating Questionnaire (PHSQ),Symptom Checklist 90 (SCL-90),Perceived Social Support Scale (PSSS) and Coping Styles Questionnaire (CSQ).According to PHSQ,the wounded were divided into control group and stress group.Then,the stress group was given mental intervention and taken the second mental evaluation one month later.Results Acute stress disorder (ASD) rate (30.08％) was remarkably observed in these transferred wounded,who were subsequently administered a set of mental intervention.The wounded whose PHSQ mark ≥8 were defined as the stress group (Group A) and the others as the control group ( Group B).Compared with Group B,Group A had higher scores in depression ( P ＜ 0.01 ),anxiety ( P ＜ 0.01 ) and consternation ( P ＜ 0.01 ),and lower scores in PSSS (P ＜0.01 ).Group A inclined to negative coping styles mainly including shrink back (P ＜ 0.01 ) and fantasy (P ＜0.01 ),while Group B inclined to coping styles mainly including rationalization and help.The PSSS score in Group A was significant lower than that in Group B (P ＜ 0.01 ).The scores in PHSQ,SCL-90 (anxiety and consternation),CSQ and PSSS were significantly improved after the mental intervention in Group A.Conclusions The incidence of ASD is high in the transferred wounded survivors and is mainly related with mental stress,such as emotional symptoms,negative coping styles and low perception of social support.Early mental interventions will help improve the psychological status of the transferred wounded.