医护家三位一体化诊疗护理管理模式对哮喘患儿康复效果的影响观察

目的 探讨医护家三位一体化诊疗护理管理模式对哮喘患儿康复效果的影响。方法 选择2018 年6 月～2019 年5 月于我院治疗的哮喘患儿62 例作为研究对象,采取随机数字表法,将患儿分为对照组与观察组,各31 例。对照组采取常规的管理方法。观察组患儿采取医护家三位一体化诊疗护理管理模式,对患儿进行综合的治疗和护理干预。比较两组患儿住院时间、治疗费用、依从性和哮喘复发率。结果 观察组患儿住院时间和治疗费用少于对照组,院内治疗阶段、出院1 个月和3 个月的治疗依从性高于对照组,出院1 个月和3 个月内哮喘复发率低于对照组,差异均有统计学意义（P＜0.05）。结论 医护家三位一体化诊疗护理管理模式有效提高了哮喘患儿的康复效果。     

Compliance and satisfaction with deferasirox (Exjade®) compared with deferoxamine in patients with transfusion-dependent beta-thalassemia

Objective

The current standard option for iron chelation therapy (ICT) in transfusion-dependent patients with beta-thalassemia is deferoxamine (DFO). We aimed to compare the compliance with DFO vs. deferasirox (Exjade^®), a novel oral iron chelator, in patients with transfusion-dependent beta-thalassemia.

Methods

In this cross-sectional study, 220 patients from Southern Iran who were receiving DFO or Exjade^® for the last 2 years were investigated in 2012. Satisfaction, compliance, convenience, and life disturbances of the patients with ICT were evaluated. Assessments were performed at four different occasions during 1 year.

Results

According to the results, 114 patients received treatment with DFO and 106 patients were treated with Exjade^®. In comparison with the patients who were treated with DFO, those receiving Exjade^® reported a significantly higher rate of compliance and convenience (P < 0.05). However, no significant difference was observed between the two groups regarding their satisfaction (P > 0.05). In the DFO group, 44.9% of the patients reported irritation and pain at the injection site.

Conclusions

Considering higher rate of compliance and convenience with Exjade^® and the comparable efficacy of these two modalities of ICT documented in previous studies, Exjade^® can be used as a preferable choice of ICT in iron-overload patients with beta-thalassemia.     

Effect of sociodemographic variables on complete denture satisfaction

PURPOSE

The objective of this study was to evaluate the effect of sociodemographic factors on quality of satisfaction towards denture treatment.

MATERIALS AND METHODS

One hundred subjects (filling inclusion criteria) who were wearing a denture for at least two months were enrolled and divided into five groups on the basis of sociodemographic variables (age, gender, literacy level, socio-economic and marital status). Questionnaires consisting of 38 questions (positive and negative attitude towards denture satisfaction) related to patients'' perception of clinical outcome in different domains such as mastication, appearance, speech, comfort, health, denture care and social status were scored by the subjects. Questions reflecting positive attitude were scored as 2, 1, or 0 (yes, uncertain and no, respectively) and reversely for the negative questions. Statistical analysis was done by using Statistical Package for Social Sciences (α = .05).

RESULTS

Level of denture satisfaction was higher in age subgroup belonging to 45 - 65 years of age in relation to comfort, health and denture care. Female and male showed significant priority for denture treatment because of esthetic and function respectively. Level of satisfaction was statistically significant with literacy level. Upper high income group showed significantly higher level of satisfaction only in case of social status. Married group showed significantly higher satisfaction level only with comfort.

CONCLUSION

Patients'' sociodemographic variables were influential factors on denture satisfaction.     

HIV-Associated Prospective Memory Impairment in the Laboratory Predicts Failures on a Semi-Naturalistic Measure of Health Care Compliance

HIV-associated neurocognitive impairment, particularly in the domain of prospective memory (ProM), increases the risk of poor everyday functioning outcomes, including medication non-adherence. However, whether ProM plays a role in health care compliance outside of the realm of medication adherence remains to be determined. This study evaluated the hypothesis that ProM is an independent predictor of failure to comply with non-medication-related instructions akin to those commonly given by health care providers. Participants were 139 HIV-infected adults who underwent medical, psychiatric, and neuropsychological assessments, including a laboratory-based measure of ProM. To assess real-world compliance, participants were instructed to call the examiner 24 hours after the evaluation and report how many hours they had slept. Individuals who failed to correctly comply with these instructions (n = 104) demonstrated significantly lower performance on both time- and event-based ProM at baseline than the compliant group (n = 35), an effect that was primarily driven by errors of omission. ProM remained a significant predictor of noncompliance after controlling for potential confounders, including demographics (e.g., education), traditional cognitive measures of retrospective memory and executive functions, and psychiatric factors (e.g., depression). Results support the hypothesis that ProM plays a unique role in compliance with health care instructions for HIV disease management and may inform interventions designed to improve treatment outcomes.      

护理干预对哮喘患者吸入糖皮质激素治疗依从性的影响

目的护理干预对哮喘患者糖皮质激素吸入治疗的效果与治疗依从性分析。方法选取2010年1月—2011年12月在我科应用糖皮质激素治疗依从性差的84例中重度哮喘患者,随机分为两组,每组42例,调查分析患者治疗依从性,对比两组服药依从性。结果干预组42例患者,治疗依从率为88.10%,哮喘症状评分为(24.1±0.9)分;对照组42例患者,治疗依从率为19.05%,哮喘症状评分为(13.9±0.7)分。护理干预组的治疗依从性明显较好(P<0.05),疗效显著提高(P<0.05)。结论针对性护理干预能够有效提高患者糖皮质激素治疗依从性,提高疗效。     

普通外科医务人员手卫生认知和依从性调查与分析

目的：调查《医务人员手卫生规范》实施后,普外病区医务人员手卫生认知与依从性执行情况,为改进手卫生工作提供依据。方法通过问卷调查和现场观察的方法,对普通外科156名工作人员其手卫生认知与依从性执行情况进行调查。结果在不同岗位和工作区域的工作人员中,监护室护士手卫生认知和依从性最高,保洁人员最差,接触患者前手卫生依从性最差。结论手卫生认知与依从性和相关理论知识的培训、执行力度的监督及医护人员自身的重视度、责任心相关。     

烧伤患者疼痛管理的应用分析

目的探讨疼痛管理对烧伤患者焦虑情绪、疼痛、依从性及生活质量的影响。方法选择2017年5月至2018年5月河南理工大学第一附属医院烧伤整形科收治的90例烧伤患者作为研究对象,并按照随机数表法随机分为观察组(45例)与对照组(45例),其中观察组患者采用疼痛管理护理措施予以护理,对照组患者采用常规护理措施予以护理,对比观察两组患者的焦虑评分、疼痛评分、依从性评分及生活质量评分。结果护理4周后,两组患者焦虑评分及疼痛评分均显著降低,且尤以观察组患者降低程度最明显,两组对比,P均0.01,差异具有统计学意义;依从性评分及生活质量评分均显著升高,且尤以观察组患者升高程度最明显,两组对比,P均0.01,差异具有统计学意义。结论疼痛管理可显著改善烧伤患者的疼痛程度及焦虑情绪,提高患者依从性及生活质量,值得临床推广应用。     

Mise en place d’un home-programme numérique et mesure de son observance dans le cadre de la prise en charge kinésithérapique d’un patient atteint de paralysie cérébrale — Étude de cas

IntroductionInternships in a professional environment, school holidays, lockdowns… As a physiotherapist, ensuring care continuity of teenagers and young adults with Cerebral Palsy (CP), within medico-social structures, requires permanent adaptability to avoid any lasting period with no activities of physical therapy.MethodThis work is a case study using a digital home program (smartphone app) of goal-oriented exercises and carried out during a transitional downtime of an eight-week physiotherapy care.ResultsThe compliance achieved by the subject is equal to 75% over the entire period.ConclusionHome-program, with specific environmental factors associated with personally favoring factors, was a way for the therapist to ensure continuity during a period of transitional interruption of physiotherapy management.