Clinical Study of Influence of Continuous Nursing Intervention Combined with Comfort Nursing Intervention under Medical-Nursing Combination on Self-Care Ability and Satisfaction of Elderly Patients with Chronic Diseases

Ma, Tian; Wang, Ying; Liu, Juan; Wang, Aifang

doi:10.1155/2021/1464707

Cited by 5 publications

(6 citation statements)

References 21 publications

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“…This suggests that health education can improve the QOL of senile patients with CDs. Consistently, Ma et al [ 18 ] reported that health education intervention significantly improved the QOL of elderly patients with CDs by effectively improving their self-care ability and nursing effect. Subsequently, intergroup comparisons were performed regarding the occurrence of falls, hospitalization time, mastery of fall prevention knowledge, general health behavior, and nursing satisfaction.…”

Section: Discussionmentioning

confidence: 81%

“…CDs of the elderly include hypertension, diabetes, insomnia, constipation, and osteoporosis. [ 18 ]. Due to the long course of diseases, serious injury, slow recovery, and high medical expenses, patients and their families often bear a heavy financial burden; moreover, patients are susceptible to serious NEs such as anxiety, depression, and inferiority, which affects doctor-patient cooperation [ 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

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Clinical Effects of Outpatient Health Education on Fall Prevention and Self-health Management of Elderly Patients with Chronic Diseases

Rao

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Background. Elderly patients with chronic diseases (CDs) have a higher predilection for falls, with more severe consequences once they fall. Therefore, it is necessary to explore an effective way to prevent falls in elderly patients with CDs. Objective. To clarify the clinical effects of outpatient health education on fall prevention and self-health management in elderly patients with CDs. Methods. This retrospective study enrolled 102 elderly patients with CDs who received treatment in the School of Medicine, Sir Run Run Shaw Hospital of Zhejiang University, between January 2019 and December 2020. Patients intervened by routine nursing were assigned to the regular group (n = 48), and those additionally treated with outpatient health education were included in the research group (n = 54). Assessment of patients’ negative emotions (NEs) adopted the Self-Rating Anxiety/Depression Scale (SAS/SDS), determination of their sense of self-efficacy employed the Falls Efficacy Scale International (FES-I), and their self-care capacity evaluation used the Exercise of Self-Care Agency (ESCA). Patients’ falls, hospitalization time, fall prevention knowledge, fall prevention-related health behavior, and nursing satisfaction were recorded. Results. After the nursing intervention, lower SAS, SDS, and FES-I scores were determined in the research group versus the regular group; the total ESCA score assessed from various dimensions was higher in the research group; the research group also exhibited a markedly lower incidence of falls, and shorter hospitalization time than the regular group, with better mastery of fall prevention knowledge, fall prevention-related health behavior and nursing satisfaction. Conclusions. Outpatient health education intervention can prevent senile patients with CDs from falling, promote their rehabilitation, and enhance their mastery of fall prevention knowledge; moreover, it can improve patients’ healthy behaviors to prevent falls, mitigate their NEs, and improve their sense of self-efficacy and self-care ability, which has high clinical application value.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Clinical Effects of Outpatient Health Education on Fall Prevention and Self-health Management of Elderly Patients with Chronic Diseases

Rao

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…In the context that medical care and health care are equally emphasized, Ma et al (2021) conducted a study on chronic disease care models for the elderly in the context of integrated health care and explored the effectiveness and value of combining extended care with comfort care based on health care (Zhou et al, 2022). With the development of the integration of healthcare and elderly care, community palliative care is receiving more and more academic attention as a new specialized medical field that aims to effectively address individual care needs (Ma et al, 2021). According to the latest expert consensus of the International Association for Hospice and Palliative Care, palliative care is the active and holistic care of individuals of all ages suffering from severe health distress, especially those nearing the end of life.…”

Section: Combined Medical and Health Care Model And Its Total Factor ...mentioning

confidence: 99%

Sustainable adaptation planning strategies for the medical care integrated community in the context of normalized pandemic

Che,

Gao,

Guo

et al. 2023

FURP

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In the context of active aging, this research explores the spatial paradigm of medical and care community and the implementation path of sustainable adaptation to solve the mismatch between supply and demand in the practice of medical and care integration. Firstly, the HBSI theoretical model was constructed based on Maslow’s demand-ERG demand theory. Secondly, the study uses NVivo qualitative analysis and SPSS to analyze the multidimensional needs of the healthcare population for community space and services. Then, based on KANO model, the hierarchy of complex needs was classified and prioritized to achieve spatial fitting and control inference. Finally, a supply strategy was constructed to promote multidimensional health of users, realizing harmonious transformation of epidemic control and sustainable adaptation to changes.

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“…Evidence suggests that self‐care behaviours could improve symptoms, complications, hospitalizations, mortality (Calero‐Molina et al, 2022; Caro‐Bautista et al, 2020), mental health, social support and quality of life (Chica‐Pérez, Dobarrio‐Sanz, Ruiz‐Fernández, et al, 2023; Park et al, 2021; Patrick et al, 2022) amongst community‐dwelling older adults with chronic multimorbidity. Therefore, it is important that nurses implement interventions both to promote and assess self‐care behaviours amongst community‐dwelling older adults with chronic multimorbidity (De Maria et al, 2022; Dobarrio‐Sanz et al, 2023; Ma et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Spanish version of the Self‐Care of Chronic Illness Inventory: A validation study amongst community‐dwelling older adults with chronic multimorbidity

Hernández‐Padilla,

Dobarrio‐Sanz,

Fernández‐Sola

et al. 2023

Journal of Advanced Nursing

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AimTo psychometrically assess the Spanish version of the Self‐Care of Chronic Illness Inventory (SC‐CII‐Sp) in community‐dwelling older adults with chronic multimorbidity.DesignA methodological study.MethodA total of 1260 older adults participated in the study between May 2020 and February 2022. The data were analysed using SPSS Statistics® 26 and AMOS® 24. The items' content validity index and the Fleiss' kappa were calculated to assess the SC‐CII‐Sp's content validity. Convergent validity was assessed by calculating the Pearson correlation coefficient between the participants' scores on the SC‐CII‐Sp and their scores on the Spanish Chronic Disease Self‐Efficacy scale (SCD‐SE). Construct validity was tested by performing a confirmatory factor analysis (CFA). The SC‐CII‐Sp's reliability was tested by computing the Cronbach's alpha.ResultsThe SC‐CII‐Sp showed good content and convergent validity. The CFA showed that the SC‐CII‐Sp has three sub‐scales. The 8‐item Self‐Care Maintenance sub‐scale has good internal consistency and is comprised of two dimensions: illness‐related and health‐promoting behaviour. The Self‐Care Monitoring sub‐scale had excellent internal consistency and its five loaded items belonged to a single dimension. The 6‐item Self‐Care Management sub‐scale has adequate internal consistency and two dimensions: autonomous and consulting behaviour.ConclusionThe Spanish version of SC‐CII is a valid and reliable instrument to be used in the assessment of self‐care behaviours amongst Spanish‐speaking, community‐dwelling older adults with chronic multimorbidity.Implications for the ProfessionNurses need valid and reliable tools to assess self‐care behaviours in Spanish‐speaking community‐dwelling older adults with chronic multimorbidity. This study provides a 19‐item tool that allows for the comprehensive evaluation of self‐care behaviours in healthy and ill states.ImpactUsing the SC‐CII‐Sp in clinical or research settings could help nurses to examine the effects of different interventions on self‐care behaviours amongst Spanish‐speaking, community‐dwelling older adults with chronic multimorbidity.Patient or Public ContributionNone to be reported.

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Clinical Study of Influence of Continuous Nursing Intervention Combined with Comfort Nursing Intervention under Medical-Nursing Combination on Self-Care Ability and Satisfaction of Elderly Patients with Chronic Diseases

Cited by 5 publications

References 21 publications

Clinical Effects of Outpatient Health Education on Fall Prevention and Self-health Management of Elderly Patients with Chronic Diseases

Clinical Effects of Outpatient Health Education on Fall Prevention and Self-health Management of Elderly Patients with Chronic Diseases

Sustainable adaptation planning strategies for the medical care integrated community in the context of normalized pandemic

Spanish version of the Self‐Care of Chronic Illness Inventory: A validation study amongst community‐dwelling older adults with chronic multimorbidity

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