Compliance behavior

  • 文章类型: Journal Article
    为了探讨动机性访谈教育对心理状况的影响,恶性肿瘤合并糖尿病患者的遵医行为及生活质量。
    这是一项回顾性研究。选取2021年1月至2022年6月河北医科大学第四医院收治的恶性肿瘤合并糖尿病患者80例为研究对象,根据干预措施分为观察组和对照组。对照组患者给予常规健康教育干预,观察组在对照组的基础上给予动机性访谈干预。我们比较了预后,认知功能,生活质量,比较两组干预前及干预后3个月癌痛缓解情况。
    干预后三个月,观察组癌痛总缓解率高于对照组(p<0.05),观察组FBG、2hPG水平明显低于对照组(p<0.05)。干预后3个月,两组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均下降,观察组下降程度高于对照组(p<0.05)。观察组总体依从性高于对照组(p<0.05)。
    激励式面试可以缓解负面情绪,改善心理状况,提高恶性肿瘤合并糖尿病患者的遵医行为,提高生活质量。
    UNASSIGNED: To investigate the effects of motivational interview education on psychological status, compliance behavior and quality of life in patients with malignant tumors combined with diabetes mellitus.
    UNASSIGNED: This is a retrospective study. Eighty patients with malignant tumors combined with diabetes mellitus admitted at The Fourth Hospital of Hebei Medical University from January 2021 to June 2022 were included as subjects and divided into observation group and control group according to the intervention measures. Patients in the control group were given routine health education intervention, while those in the observation group were given motivational interviewing intervention on the basis of the control group. We compared the prognosis, cognitive function, quality of life, relief of cancer pain before intervention and three months after the intervention of the two groups were compared.
    UNASSIGNED: At three months after the intervention, the total remission rate of cancer pain in the observation group was higher than that in the control group(p<0.05), while the levels of FBG and 2hPG in the observation group were significantly lower than those in the control group(p<0.05). Self-Rating Anxiety Scale(SAS) and Self-rating depression scale(SDS) scores decreased in both groups three months after the intervention, with the level of reduction in the observation group being higher than that in the control group(p<0.05). The overall compliance was higher in the observation group than in the control group(p<0.05).
    UNASSIGNED: Motivational interviewing leads to alleviate negative emotions, improve the psychological status, enhance compliance behavior and improve quality of life in patients with malignant tumors combined with diabetes mellitus.
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  • 文章类型: Journal Article
    尽管存在COVID-19的风险,但一些人忽视了COVID-19的预防措施,危害公众健康。我们的目的是调查政府和卫生当局如何以及在什么条件下信任鼓励个人遵守COVID-19预防措施。根据664名受访者的样本,我们发现,政府信任水平的提高与COVID-19预防措施的依从性更高相关。我们还发现,问题意识在政府信任对遵守COVID-19预防措施的影响中起中介作用。此外,我们研究了个人主义取向是否可以调节问题意识的中介作用。我们发现,个人主义取向减轻了问题意识在政府信任与合规行为之间关系中的中介作用。这项研究的结果有可能通过解决如何改善对COVID-19预防措施的遵守情况来为政策和实践提供信息。
    Despite the risks of COVID-19, some people ignore the COVID-19 precautionary measures, endangering public health. We aimed to investigate how and in what conditions trust in government and health authorities encourage individuals to comply with COVID-19 precautionary measures. Based on a sample of 664 respondents, we found that an increase in the level of trust in government is associated with higher compliance with COVID-19 precautionary measures. We also found that problem awareness mediates the effect of trust in government on compliance with COVID-19 precautionary measures. In addition, we examined whether individualistic orientation moderates the mediating effect of problem awareness. We found that individualistic orientation mitigates the mediating effect of problem awareness in the relationship between trust in government and compliance behavior. The findings of this study have the potential to inform policy and practice by addressing the ways in which compliance with COVID-19 precautionary measures can be improved.
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  • 文章类型: Journal Article
    背景:糖尿病是一种常见的慢性疾病,其全球发病率正在上升。该疾病直接归因于胰岛素功效/分泌不足,患者常伴有多种并发症。糖尿病足是糖尿病最常见的并发症之一。糖尿病足有溃疡和感染,最终会导致截肢.基础护理,如在临床护理工作中降低血压和预防足部皮肤感染,对糖尿病足的防治具有积极意义。
    目的:探讨一对一教育在糖尿病足高危病例中的积极意义。
    方法:纳入我院2017年8月至2019年10月收治的98例糖尿病足高危患者,随机分为基础护理组和一对一教育组,每组49例。基础护理组仅接受常规基础护理,一对一教育组在基础护理的基础上对患者进行一对一教育。护理后,评价并比较两组患者的自我护理能力和遵医行为。统计患者的知识掌握情况和护理满意度。
    结果:患者的评估结果(自我护理责任,自我护理技能,一对一教育组的自我概念和自我护理知识)明显高于基础护理组。依从性行为的得分(足浴,鞋子和袜子的选择,一对一教育组的运动保健)明显高于基础护理组。一对一教育组患者的知识掌握水平和对护理的满意度明显高于基础护理组。
    结论:对糖尿病足高危病例进行一对一的教育有助于提高糖尿病足患者的认知和自我护理能力。确保患者遵循医生的建议进行自我护理,提高护理满意度。
    BACKGROUND: Diabetes is a common chronic disease, and its global incidence is on the rise. The disease is directly attributed to insufficient insulin efficacy/secretion, and patients are often accompanied by multiple complications. Diabetic foot is one of the most common complications of diabetes. Diabetic feet have ulcers and infections, which can eventually lead to amputation. Basic nursing care, such as lowering blood pressure and preventing foot skin infections in clinical nursing work, has positive significance for the prevention and control of diabetic feet.
    OBJECTIVE: To explore the positive significance of one-to-one education in high-risk cases of diabetic foot.
    METHODS: This observation included 98 high-risk cases of diabetic foot in our hospital during the period from August 2017 to October 2019, and these patients were randomly divided into the basic nursing group and the one-to-one education group with 49 patients per group. The basic nursing group only received routine basic nursing, while the one-to-one education group gave patients one-to-one education on the basis of basic nursing. After nursing, the self-care ability and compliance behavior of the two groups were evaluated and compared between these two groups. The knowledge mastery of the patient and the satisfaction of nursing were accounted.
    RESULTS: The assessment results of patients (self-care responsibility, self-care skills, self-concept and self-care knowledge) were significantly higher in the one-to-one education group than in the basic nursing group. The scores of compliance behaviors (foot bathing, shoes and socks selection, sports health care) in the one-to-one education group were significantly higher than those in the basic nursing group. Patients in the one-to-one education group had a significantly higher level of knowledge mastery and satisfaction of nursing than the basic nursing group.
    CONCLUSIONS: One-to-one education for high-risk cases of diabetic foot is helpful to improve the cognition and self-care ability of patients with diabetic foot, to ensure that patients follow the doctor\'s advice of self-care and to improve their nursing satisfaction.
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  • 文章类型: Journal Article
    背景:患有中风的残疾老人通常在出院后难以获得专业的康复干预,自我健康管理能力低,所以他们的病容易复发。医院社区综合服务模式(HCISM)是为满足出院后居家护理需求而设计的科学模式,改善患者出院后的生活质量,减轻家庭负担,提高社区医务人员的服务能力。目的探讨HCISM在脑卒中失能老人家庭康复中的应用效果。
    方法:选取2019年9月至2020年9月江南大学附属医院收治的120例老年脑卒中失能患者,采用随机数字表法分为两组。每组60例。两组均在出院后接受家庭康复治疗,对照组给予常规干预,观察组给予HCISM干预。生活自理能力的变化,合规行为,自我效能感,比较两组干预前后的不良情绪。
    结果:干预3个月后观察组改良Barthel指数(MBI)评分高于对照组(P<0.05)。在观察组中,药物比例的变化,合理的饮食,适度运动,且3个月后定期回访均高于对照组(P<0.05)。干预3个月后,观察组一般自我效能量表(GSES)评分高于对照组(P<0.05)。干预3个月后,观察组Zung’s焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均低于对照组(P<0.05)。
    结论:HCISM应用于老年脑卒中失能患者的家庭康复中,能提高生活自理能力和自我效能感。改善医疗合规行为,减少负面情绪,因此值得进一步推广。
    BACKGROUND: Disabled elderly with stroke usually have difficulty in obtaining professional rehabilitation intervention after being discharged from the hospital, and their self-health management ability is low, so their illness is prone to relapse. The hospital community-integrated service model (HCISM) is a scientific model designed to meet the needs of home care after discharge from the hospital, improve the quality of life of patients after discharge from the hospital, ease the burden on the family, and improve the service capabilities of community medical staff. The purpose of this study is to explore the effect of HCISM in home rehabilitation of stroke disabled elderly.
    METHODS: From September 2019 to September 2020, 120 the disabled elderly patients with stroke admitted to Affiliated hospital of Jiangnan University were selected and divided into two groups with a random number table method, with 60 cases in each group. Both groups underwent home rehabilitation after discharge, the control group was given routine intervention, and the observation group was given HCISM intervention. The changes of self-care ability, compliance behavior, self-efficacy, and adverse mood before and after intervention were compared between the two groups.
    RESULTS: The modified Barthel Index (MBI) score of the observation group after 3 months of intervention was higher than that of the control group (P<0.05). In the observation group, the changes in the proportion of medication, reasonable diet, moderate exercise, and regular return visits after 3 months were higher than those in the control group (P<0.05). The General Self-efficacy Scale (GSES) score of the observation group was higher than that of the control group after 3 months of intervention (P<0.05). Zung\'s Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) scores in the observation group were low after 3 months of intervention than those in the control group (P<0.05).
    CONCLUSIONS: HCISM applied to the home rehabilitation of the disabled elderly patients with stroke can improve life self-care ability and self-efficacy, improve medical compliance behavior, and reduce negative emotions, thus making it worthy of further promotion.
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  • 文章类型: Journal Article
    BACKGROUND: Purpura nephritis, also called Henoch-Schönlein purpura nephritis, is a systemic disease with small dead vasculitis as the main pathological change.
    OBJECTIVE: To observe the influence of transitional nursing activities on the compliance behaviors and disease knowledge of children with purpura nephritis.
    METHODS: A total of 82 children with purpura nephritis were included and divided into a general nursing group (41 children) and transitional nursing group (41 children) using the envelope method. The general nursing group received routine nursing care, while the transitional nursing group received transitional nursing care. The behaviors, knowledge of the disease, and self-management ability of the two groups were evaluated after nursing care was provided.
    RESULTS: The scores of four items (self-care ability, self-responsibility, health knowledge level, and self-concept) in the transitional nursing group were significantly higher than those in the general nursing group.
    CONCLUSIONS: Transitional nursing can directly improve the disease knowledge level and self-management ability of children with purpura nephritis and effectively reduce complications.
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    文章类型: Journal Article
    OBJECTIVE: To explore the main factors on caregivers\' compliance behaviors in nutrition packages feeding in poor rural areas of Southern Shaanxi Province based on PRECEDE theory in terms of the predisposing factors( related knowledge and intentions of themselves), the enabling factors( social conditions and skills of behavior fulfillment) and the reinforcing factors( attitude of the important people around and rewards for persistent behavior).
    METHODS: The target villages were selected using multistages random sampling method( county-township-village) in the poor counties of Southern Shaanxi Province. Then we investigated all of the main caregivers whose family have an infant aged 6-12 months in these sampling villages. A follow-up investigation was conducted 6 months after the nutrition packages were given. A structured questionnaire was applied to collect data, which including the information about the nutrition packages feeding behavior of the caregivers and the related factors to their behaviors based on the PRECEDE theory, and the social demographic information of infants and their caregivers. Information about the questionnaire by the face-to-face interview at their home was collected. At the same time, we counted empty nutrition packages by the method of onsite enumeration, and checked with the questionnaire to obtain the information of caregivers\' feeding behavior. Single factor analysis and multivariate Logistic regression analysis was used to analyze the factors associated with caregivers \'compliance to feed their infants nutrition packages.
    RESULTS: A total of 910 samples were interviewed, and the rate of caregivers\' compliance to feed their infants nutrition packages was 64. 0%. The willing of caregivers to feed their infants nutrition packages( OR = 1. 582, 95% CI1. 117-2. 242) was a favorable predisposing factor to promote caregivers feed their infants nutrition packages. The preference of infants to nutrition packages( OR = 5. 116, 95% CI4. 064-6. 441), villages\' encouragement( OR = 1. 527, 95% CI 1. 094-2. 132) as well as infants\' changes in health status( OR = 1. 615, 95% CI 1. 231-2. 118) were positive reinforcing factors of feeding nutrition packages compliance of caregivers.
    CONCLUSIONS: The compliance of caregivers feed nutrition packages to their infants is low. The reinforcing factors are the key factors that affected the feeding behavior of caregivers\' nutrition packages.
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