Utilization and user satisfaction with alternating pressure air cushions: a pilot study of at-risk individuals with spinal cord injury

Purpose: An appropriate wheelchair cushion is integral to pressure ulcer (PU) prevention for the wheelchair user with SCI. For users who find it difficult to remember or perform weight shifts, an alternating pressure air cushion (APAC) may off-load pressure to minimize PU risk. APACs are considered mobility assistive technology (AT). Effective AT delivery includes consideration of the AT consumer as a unique individual. The Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST) is a structured and standardized method to measure user satisfaction with AT. Method: Twelve full time wheelchair users with SCI were provided with an APAC six times for 2 weeks daily home use every 3 months. At the completion of the 18-month study period, the 8-variable QUEST 2.0b questionnaire was applied to evaluate satisfaction with APAC use. Results: Users were generally quite satisfied with APAC weight (p?<?0.01 relative to neutral). Durability was more likely to be an area of concern. Overall, 92% of participants considered themselves quite satisfied or very satisfied with APAC use (p?<?0.001). Conclusions: Users with SCI were satisfied with the overall performance of the APAC tested after repeated periods of use. The majority of user's were very satisfied with APAC comfort overall.

• Implications for Rehabilitation

• Abandonment of AT may be reduced if user satisfaction is evaluated.

• The QUEST 2.0b is a useful and valid measure of user satisfaction with alternating pressure air cushions.

• In the current study cohort, users with SCI were satisfied with the performance and comfort of the APAC tested after repeated periods of use.

     

舒适护理对口腔种植患者焦虑抑郁情绪的影响分析

目的：探究舒适护理对口腔种植患者焦虑抑郁情绪的影响。方法研究对象为随机选取2014年1月—2015年1月之间该院收治的100例口腔种植患者,采用数字表法将以上患者随机分为观察组和对照组各50例,对照组患者实施传统口腔种植护理,观察组患者则采用舒适护理,分别采用视觉模拟评分法(VAS)、汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)对两组患者的疼痛及抑郁焦虑情况进行评价对比。结果术后疼痛评估对比显示,观察组VAS评分为(3.4±0.6)分,显著低于对照组的(6.1±1.7)分(P﹤0.05);入院时两组患者的HAMA和HAMD评分对比差异无统计学意义(P﹥0.05),术前30 min和术后观察组的HAMA和HAMD评分均显著低于对照组(P﹤0.05)。结论舒适护理模式用于口腔种植患者能够有效的减轻患者术前的心理压力,控制抑郁焦虑情绪,改善患者的手术体验,值得在临床上推广和应用。     

舒适化护理在腰椎间盘突出中的应用效果观察

目的：探讨舒适化护理在腰椎间盘突出中的应用效果。方法随机选择2012年3月—2013年3月该院接诊的80例腰椎间盘突出症患者进行回顾性研究,将这80例患者按照随机法随机分为研究组和对照组,研究组与对照组均选取40例患者,对照组采用常规护理,研究组采用舒适护理。记录两组患者复位后患者的VAS评分,住院时间以及满意度。结果研究组患者的疼痛VAS评分与住院时间明显优于对照组,差异具有统计学意义(P<0.05);研究组的护理满意度为92.50%,对照组为70.00%,两组比较,差异具有统计学意义(P<0.05)。结论舒适化护理在腰椎间盘临床中,缩短患者住院时间﹑功能恢复显著,应在临床上大力推广应用。     

舒适护理在普外科腹腔镜手术中的干预效果

目的：分析研究舒适护理方法对接受普外科腹腔镜术的患者产生的临床护理效果。方法随机抽取2014年5月—2016年2月该院收治的96例接受腹腔镜手术的病人作为研究对象,根据护理方式的差异,将其分为观察组(n=48)和对照组(n=48),对照组予以常规护理,观察组在常规护理基础上予以舒适护理,对比两组护理满意度、术后并发症出现率、术后舒适度、平均住院时间。结果观察组护理满意度为97.9%,明显高于对照组的81.2%,比较差异有统计学意义(P<0.05);观察组术后并发症出现率明显低于对照组,术后舒适度明显高于对照组,并且平均住院时间也明显短于对照组患者,比较差异有统计学意义(P<0.05)。结论对普外科腹腔镜术病人采取舒适护理措施,能够使其舒适度过整个围手术期,同时提高患者护理满意度,减少术后并发症的出现,促进患者早日康复,临床应用价值非常高。     

循证护理和舒适护理在人工流产中的应用效果比较

目的 探讨及比较循证护理和舒适护理在人工流产中的应用效果.方法 选取2013年5月至2014年5月于我站实施人工流产的120例患者为研究对象,按照自愿原则将其均分为A组、B组、C组.A组采用循证护理方式进行护理;B组在常规护理的基础上采用舒适护理方式进行护理;C组采用常规护理方式进行护理.结果 A组有2例患者焦虑,1例出现人工流产综合征,B组分别为3例、2例,C组分别为17例、9例,A、B组之间无统计学差异(P＞0.05),A、B组患者焦虑、人工流产综合征发生情况明显优于C组(P＜0.05).A、B组患者恐惧、疼痛情况明显优于C组(P＜0.05),而A、B组之间无统计学差异(P＞0.05).A、B组患者满意度情况明显优于C组(P＜0.05),A、B组之间无统计学差异(P＞0.05);在手术时间方面,A、B两组患者的平均手术时间明显短于C组(P＜0.05).结论 循证护理和舒适护理都能够有效为人工流产的临床最佳护理模式的选择提供重要的参考,将二者结合运用于临床护理,均能有效减少患者焦虑及人工流产综合征率,降低术后出血量及阴道出血时间,缓解恐惧、疼痛情况,减少手术时间,极大地提高人工流产护理质量、护理人员的工作效率及自身素质,同时还能有效提高患者的护理满意度,进而减轻患者经济负担,节约社会医疗资源,有效促进和谐的医患关系.     

系统性护理干预对睑内翻矫正患者术后心理状况及预后满意度的影响

探讨系统性护理干预对睑内翻矫正患者术后心理状况及预后满意度的影响。方法 选取我 院2022年12月-2023年12月收治的74例接受睑内翻矫正术的上睑内翻患者为研究对象,采用随机数字表法 分为对照组与观察组,每组37例。对照组给予常规护理,观察组在对照组基础上给予系统性护理,比 较两组心理状况、舒适度及美观满意度。结果 观察组护理后SAS、SDS评分低于对照组,差异有统计 学意义（P ＜0.05）;观察组心理、生理、社会文化和环境舒适度评分均高于对照组,差异有统计学意 义（P＜0.05）;观察组护理后美观满意度评分高于对照组,差异有统计学意义（P＜0.05）。结论 通过系 统性护理,可以使上睑内翻患者的心理状况得到改善,提高患者的舒适度和美观度,值得临床应用。     

Optimised gynaecological examination with a new pelvic examination chair

ObjectiveThe present aim was to contribute to improving the traditional pelvic examination chair with vertical leg support and to evaluate patients’ and examiners’ experience of a new gyneacological and urological examination chair with heated upholstery.Study designA new gynaecological and urological examination chair was constructed with laterally adjustable leg support, a foot-plate and the perineum exposed only during the examination procedure. Patients (n = 131) with or without endometriosis were invited to participate in an anonymous questionnaire survey concerning how they experienced a gynaecological examination.Main outcome measuresThe patients and the gynaecologists who performed the examinations answered questionnaires evaluating the examination procedure in the traditional and in the new gynaecological and urological examination chair, respectively. The questionnaires asked about comfort, heating, integrity and the experience of pelvic examination with vertical or lateral leg support. The examination times were measured with a stop-watch.ResultsThe majority of the answers (n = 131) were significantly (p < 0.05–0.001) in favour of the new concept with lateral leg support and with increased comfort and integrity. The average examination time was significantly shortened and the patients more relaxed in the new gynaecological and urological examination chair.ConclusionThe traditional gynaecological chair with vertical leg support has remained basically unchanged for many years. The present study showed that the pelvic examination procedure can be significantly optimized with easy patient-friendly adaptations.     

白血病患儿鞘内注射后去枕平卧时间对并发症的影响研究

目的 探讨白血病患儿鞘内注射后不同去枕平卧时间对并发症发生情况的影响,以确定适宜的术后去枕平卧时间,提高患儿耐受性。方法 2017年6月5日一12月28日,选取北京市某三级甲等儿童专科医院处于维持治疗阶段,需进行鞘内注射的白血病患儿为研究对象,按照患儿入院先后顺序,应用随机数字表将患儿随机分为3组,鞘内注射后分别去枕平卧2h、3h、4h,观察患儿去枕平卧期间及鞘内注射后1周内并发症的发生情况、患儿对去枕平卧体位的耐受程度以及去枕平卧期间患儿的主要活动。结果 共有180例患儿完成研究,每组60例,3组在去枕平卧期间及鞘内注射后1周内并发症发生情况比较,差异无统计学意义(P>0.05);组间去枕平卧体位的耐受性比较,差异具有统计学意义（P<0.05),去枕平卧2h患儿耐受性最好;3组平卧期间的主要活动比较,差异无统计学意义（P>0.05),卧床时间越长,患儿生理需求越多。结论 白血病患儿鞘内注射后去枕平卧2h不增加并发症的发生率,且能够提高患儿的耐受性,建议白血病患儿鞘内注射后去枕平卧2h。     

Effects of Progressive Relaxation Exercises on Anxiety and Comfort of Turkish Breast Cancer Patients Receiving Chemotherapy

Background: Breast cancer is the second most common cancer in the world and by far the most frequent canceramong women. Objective: This study was conducted to observe the effect of progressive relaxation exercises onanxiety and comfort level of breast cancer patients receiving chemotherapy. Materials and Methods: A controlgroup pre-test/post-test quasi-experimental model was applied with experimental (30) and control (30) groups,who agreed to participate in this study. Data collection was with the “Personnel Information Form, State-TraitAnxiety Inventory and General Comfort Scale”. Results: The average age of the patients that participated inthe study was 49.1±7.96 years. Eighty-three point three percent (n=25) of the patients in the experiment groupand 86.7 (n=26) percent of patients in control group were married. Patient state of anxiety post-test mean scoreswere 36.2±8.21 in the experimental group and 43.4±7.96 in the control group, the difference being statisticallysignificant (p<0.05). The general comfort scale post-test mean scores were 149.5±13.9 in the experimental groupand 137.7±15.0 in the control group, again statistically significant (p<0.05). Conclusions: Progressive relaxationexercises positively affect patient comfort and anxiety levels in Turkey.