Influence of Human-oriented Nursing Mode on Self-Care Ability, Unhealthy Emotion and Quality of Life of Patients with Benign Prostatic Hyperplasia

2021 ◽  
Vol 7 (4) ◽  
pp. 635-646
Author(s):  
Feifei Peng ◽  
Guangchi Xu ◽  
Caihong Zhu ◽  
Lanchun Sun ◽  
Bo Dong ◽  
...  

To explore the influence of human-oriented nursing mode on the self-care ability, unhealthy emotion and quality of life of patients with benign prostatic hyperplasia (BPH), 147 patients with BPH admitted to our hospital from February 2018 to August 2019 were selected and all patients were separated into two groups on the basis of the nursing intervention mode. 77 cases in the research group (RG) were given the human-oriented nursing mode and 70 cases in the control group (CG) were given the conventional nursing mode. The bladder irrigation time (BIT), indwelling catheter time (ICT), postoperative hospitalization time (PHT) and the incidence rate of postoperative complications were observed in the two groups after nursing intervention. Before and after nursing intervention, the self-care ability of patients was evaluated in the two groups by Exercise of Self-Care Agency Scale (ESCA). In the two groups, the anxiety and depression status were evaluated by the Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS). The Quality of Life Scale for Benign Prostatic Hyperplasia Patient (BPHQLS) was applied to evaluate the quality of life in both groups before and after nursing intervention. The International Prostate Symptom Score (IPSS) was used to assess the lower urinary tract symptoms (LUTS) of patients in the two groups before and after nursing intervention. The self-made nursing satisfaction questionnaire was used to evaluate the nursing satisfaction in the two groups. The BIT, ICT and PHT in RG after nursing intervention were obviously lower than those in CG, and the incidence of postoperative complications in RG was also obviously lower than that in CG (p < 0.05). The ESCA score of patients in RG after nursing intervention was significantly higher than that in CG (P < 0.05). The SAS and SDS scores of patients in RG after nursing intervention were significantly lower than those in CG (P < 0.05). The BPHQLS score in RG after nursing intervention was obviously higher than that in CG (P < 0.05). The IPSS score of patients in RG after nursing intervention was obviously lower than that in CG (p < 0.05). The nursing satisfaction score in RG after nursing intervention was obviously higher than that in CG (p < 0.05).Condusion: The application effect of the human-oriented nursing mode on patients with BPH is definite, which can improve self-care ability, unhealthy emotion and effectively ameliorate the quality of life.

2021 ◽  
Vol 7 (5) ◽  
pp. 2596-2604
Author(s):  
Yan Wang ◽  
Yue Liu ◽  
Pei Hu ◽  
Wenxia Shi ◽  
Bingbing Zhang ◽  
...  

To explore the effect of meticulous nursing on postoperative recovery and adverse reactions of patients with benign prostatic hyperplasia (BPH) surgery. From February 2018 to February 2019, 104 patients with BPH who were diagnosed and treated in our hospital were selected. Forty-eight patients with BPH who received routine nursing were included in the routine nursing group (RNG). A total of 56 patients undergoing BPH surgery were included in the meticulous nursing group (MNG), who received meticulous nursing intervention on the basis of routine nursing. The scores of self-rating depression scale (BDI), self-rating anxiety scale (BAI), Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD), quality of life, complications and nursing satisfaction were compared between the two groups after nursing. After nursing, the levels of BDI, BAI, HAMA and HAMD in both groups were obviously lower than those before nursing, and the differences were statistically significant (P<0.001). After nursing, the levels of HAMA and HAMD in MNG were obviously lower than those in RNG, and the differences were statistically significant (P<0.001). The nursing safety, disinfection and isolation, management of instruments and equipment, preparation of surgical instruments, standardization of nursing operation and nursing staff cooperation scores in MNG were obviously better than those in RNG (P<0.001). The total nursing satisfaction of patients in MNG was obviously higher than that in RNG, and the difference was statistically significant (P<0.05). Compared with the two groups, the QOL-C30 scale scores of physical health, mental health, material life and social function in MNG were obviously higher than those in RNG, and the differences were statistically significant (P<0.001). After nursing intervention, the incidence of complications in MNG was obviously lower than that in RNG (P<0.05). On the basis of routine nursing, meticulous nursing intervention can better improve the emotion regulation and quality of life of patients undergoing BPH surgery, and reduce their incidence of postoperative complications to some extent.


2021 ◽  
Vol 7 (5) ◽  
pp. 2678-2686
Author(s):  
Pingli Chen ◽  
Xiulan Liu ◽  
Pengfei Xiao ◽  
Liu Wu

This research aims to explore the influence of continuous nursing mode on negative emotions and self-management of patients with Parkinson’s disease (PD).Seventy-two PD patients admitted to our hospital from February 2017 to March 2019 were collected in this experiment. Among them, those treated by routine nursing were divided into the control group (CG) (35 cases), and those with continuous nursing were included into the research group (RG) (37 cases). Self-perceived burden scale (SPBS) was used as an evaluation standard for patients; The higher the score, the more serious the self-perceived burden is. Before nursing and one month after nursing, the depression scores were evaluated by the Hamilton Depression Scale (HAMD); The higher the score, the more serious the depression is. The sleep quality of patients before and after nursing was assessed by the Pittsburgh Sleep Quality Index (PSQI), 21 scores in total; The higher the score, the lower the sleep quality of patients after delivery is. The function of patients’ activities of daily living (ADL) was measured by the Barthel index (Bl), totally 100 scores; The higher the score, the stronger the ADL is. The limb function of patients was analyzed by the Fugl-Meyer assessment of motor function (FAM), 100 scores in total; The higher the score, the stronger the limb function is. The quality of life of patients was evaluated by the quality of life scale (GQOL-74). There are four dimensions, 100 points for each; The higher the score, the better the quality of life is. The patients’ nursing satisfaction of our hospital were assessed by the self-made Nursing Satisfaction Questionnaire, 5 points for each question. The total score < 70 was dissatisfied, 70-89 was satisfied, and > 90 was very satisfied. Satisfaction = (very satisfied+satisfied)/total cases x100%. There was no difference in SPBS and HAMD scores between both groups before nursing intervention (P > 0.05), but the scores in the RG were lower than those in the CG after nursing intervention (P < 0.05). There was no marked difference in PSQI scores between the two groups before nursing (P > 0.05), but the scores of the RG decreased after nursing compared with the CG (P < 0.05). The FAM and Bl scores of both groups showed no difference before nursing intervention (P > 0.05), but the scores in the RG increased after nursing compared with the CG (P < 0.05). Complications occurred in both groups 6 months after discharge; The total incidence in the RG was 2.70%, dramatically lower that of the CG (22.86%) (P < 0.05).The GQOL-74 scores (physical function, mental function, social function and material life) of patients in the RG were higher than those in the CG (P < 0.05). The nursing satisfaction of patients in the RG was 97.30%, higher than that in the CG (77.14%) (P < 0.05).Continuous nursing can improve the negative emotions and self-management of patients, reduce the occurrence of complications, and perfect their quality of sleep and life.


2021 ◽  
Vol 7 (5) ◽  
pp. 3967-3974
Author(s):  
Yuan Xue ◽  
Minxia Lu ◽  
Bingqing Lu ◽  
Yongming He

Objective. To explore the application of evidence-based nursing (EBN) intervention combined with PBL teaching mode in acute myocardial infarction (AMI) nursing and the effects on quality of life (QOL) and satisfaction of patients. Methods. Ninety AMI patients enrolled in our hospital (January 2019-January 2021) were chosen as the study subjects and equally randomized into group M and group N. Group N received conventional nursing, and group M received EBN combined with PBL teaching mode. The cardiac function indexes, self-care ability, disease awareness and nursing satisfaction were compared between the two groups. The self-care ability was scored by the Exercise of Self-Care Agency Scale (ESCA). The QOL of both groups before and after intervention was scored by the Generic Quality of Life lnventory-74 (GQOLI-74). The emotional state before and after intervention was evaluated by the Hospital Anxiety and Depression Scale (HAD). Results. After nursing, cardiac function indexes were markedly higher in group M than group N (P<0.001). Compared with group N, group M achieved notably higher ESCA scores (P<0.001), higher awareness of disease knowledge (P<0.001) and higher nursing satisfaction (P<0.05). After intervention, the GQOLI-74 score in group M was obviously higher while the HAD score was lower compared with group N (P<0.001). Conclusion. The implementation of EBN combined with PBL teaching model in AMI patients can effectively improve nursing satisfaction and QOL as well as alleviate the negative emotions, so as to create a harmonious nurse-patient relationship. Therefore, it is worth applying and promoting.


2020 ◽  
Author(s):  
Luigi Cormio ◽  
Beppe Calò ◽  
Manuela Iezzi ◽  
Alessia Lamolinara ◽  
Paola Vitaglione ◽  
...  

Abstract Background: Benign prostatic hyperplasia is the most common urologic disease among elderly men. The diagnosis of BPH is usually in response to the appearance of lower urinary tract obstructive, and post-micturition symptoms (LUTS) that can significantly affect the quality of life. In Aim of this study was to evaluate in a phase II prospective, randomized double-blinded, placebo-controlled study, the efficacy and safety of a novel whole tomato-based food supplement on LUTS of patients affected by benign prostatic hyperplasia. Methods: Thirty-four consecutive patients with histologically proved BPH were included in a phase II prospective, randomized double-blinded, placebo-controlled study. Patients were randomized to receive daily for two months a sachet (5 grams) of the tomato-based food supplement Lycoprozen® or an identical sachet containing placebo. Patients were asked to fill the “International Prostatic Symptom Score” questionnaire before and after treatment. Results: All patients successfully completed the scheduled regimen. No side effects were recorded. Lycoprozen® significantly reduced the LUTS severity. Particularly, the IPSS mean values before and after the treatment were 7.5+1.1 SE (range 16-2) and 5.1+1.0 SD (range 14-2), respectively (paired t-test, two-tailed p value <0.0002). A trend toward a reduction of total PSA levels was observed in Lycoprozen® treated patients (9.346 ng/ml+1.839 SE vs.7.906+0.928 SE, P = 0.096) (Fig 1, left). This trend was sustained by the significant reduction of PSA levels seen in 5 patients, (2 obese, 2 over-weight and 1 normal-weight) with basal levels >10 ng/ml (18.520ng/ml+2.747 SE vs. 10.323ng/ml+2.073 SE, P = 0.009)


2019 ◽  
Vol 33 (1) ◽  
pp. 79-84
Author(s):  
Yongcheng Tong ◽  
Keji Xie ◽  
Shuxia Li

The authors in this study explored the relationship between self-care agency and quality of life in patients with benign prostatic hyperplasia. A convenience sample of 157 patients was interviewed. The levels of both self-care agency and quality of life were close to the mean. Pearson correlation analysis demonstrated that quality of life was positively correlated with self-care agency and the self-care subgroups of abilities, responsibility, esteem, and evaluation. Improved self-care agency and the four subscale items could enhance quality of life. Intervention programs for benign prostatic hyperplasia patients must emphasize self-care agency so as to improve their health behavior and quality of life.


2013 ◽  
Vol 190 (1) ◽  
pp. 187-193 ◽  
Author(s):  
Chyng-Wen Fwu ◽  
Paul W. Eggers ◽  
Steven A. Kaplan ◽  
Ziya Kirkali ◽  
Jeannette Y. Lee ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
pp. 34-39
Author(s):  
Oshin Pawar ◽  
Purva Joneja ◽  
Deepak Singh Choudhary

Introduction: To bring the best outcome from both the sides i.e. the orthodontist and the patient , it is of prime importance to understand certain psychological factors, and to treat every patient with an individualistic approach. The need was to study all such psychological factors and to find a method to deal with the same; to evaluate the psychological factors that influences the self appraisal and individual Quality of life. To compare psychological factor affecting the self appraisal and individual quality of life before treatment and after treatment, to study psychological factors of patients which influences the treatment outcome and to find a method to manage them. Materials and Method: This In-vivo study, includes case study and survey. Two separate sets of questionnaires (before and after undergoing orthodontic treatment) were given to patients. The study also included psychological test scales like OHIP-14 and 12-CSES. The sample size of patient was 150. Result: The study revealed that esthetics (95%) is the main concern for getting treatment especially for female (56%). There is improvement in OHIP and CSES (interval of 12.63, 14.66) score of patients before and after treatment. Patients’ satisfaction (94.7%) increases on having healthy orthodontist-patient relationship. Conclusion: Esthetics is the main concern. Most patients wants improvement in smile. Lack of awareness and lack of financial supports is the main reason for delay in getting treatment. The main discomfort about the treatment reported by participants was pain after activation appointments, ulcers and change in food eating habit. The orthodontic therapy improves confidence, satisfaction, individuals’ appraisal and quality of life. There were no variations in response for patients’ satisfaction by gender, age, education or by treatment duration.


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