Background: Palliative care is an essential part of medical practice, however, it has developed slowly in China. We aimed to analyze the current situations of the cognition on palliative care among the nurses in Shandong Province, China.
Methods: This was a cross sectional study. Investigation of 1050 nurses came from 5 third-class hospitals and 5 second-class hospitals in Shandong Province, China from Jul to Oct in 2018. The questionnaire included 4 parts: general information of the subject, the questionnaire of palliative nursing knowledge, attitude, and the behavior. Data were collected by the APP. Overall, after eliminating the invalid questionnaires, 1026 questionnaires were included in the final analyses. The software Stata 14.2 was used for all statistical analyses.
Results: The score of knowledge and attitude was low, the practice was higher. Multivariate analysis results: the significant independent variables of univariate analysis were included in the multivariate non-conditional logistic regression model for analysis. Some departments had statistical significance in knowledge multivariate Logistic regression analysis. The multivariate logistic regression analysis of practice was significant for physical health and religious beliefs. The statistical variables of the total score of cognition were gender, age of care, health status and religious beliefs.
Conclusion: Nursing knowledge is lacking and attitude remains to be improved as soon as possible. It is vital to improve the cognition of palliative care of nurses in Shandong general hospitals by developing relevant rules and regulations, strengthening the supervision of relevant ant departments, and enhancing training for nurses.
This study compared the accuracy of measurements of the skull base made using computed tomography (CT) images and an image-guided surgery system with those made using scientific callipers in order to evaluate the practicability of replacing conventional direct anatomical measurements with digitized techniques in skull base surgery. Important bony landmarks and parameters were measured using the three different methods in 25 cadaver skull bases. No statistically significant differences were observed between the methods. Coefficient of variation calculations indicated that data obtained from CT images was the most stable. Digital methods of navigation have the potential to reflect individual skull base anatomical features more accurately than traditional group-based data, but it is important to assess their accuracy. This study demonstrated that CT imageology and image-guided surgery systems can provide accurate anatomical measurements. Digital methods are also more flexible and less variable, and may have wide applications in this field. Though not perfect, digital imaging is a promising tool for skull base surgery.
Background: This was to investigate the real feelings and experiences of losing weight after metabolic surgery of weight loss in obesity patients.
Methods: A qualitative study using focus groups was undertaken at Qilu Hospital of Shandong University,China. After obtaining ethical permission and informed consent of the interviewees, semi-structured interviews were conducted on 15 obese patients who underwent metabolic surgery for weight loss. The NVIVO 12 software was used to analyze the data using the Colaizzi 7-step method.
Results: 1) morbid obesity complications and severity of complications, awareness of weight loss surgery, family and peer support, and access to professional hospital information all have an impact on patients' surgical decisions. 2) insufficient knowledge of surgical weight loss leads to fear of surgery and the discomforts of obesity complications aggravate preoperative anxiety. The unfamiliar feelings in the intensive care unit after surgery and discomfort in tubing and physical restraint lead to a negative experience while the intimacy of medical staff visiting bedside and the joy of physical improvement help improve mood. 3)insufficient self-management confidence, and eagerly hope that medical staff continues to care. 4) pay attention to the weight management of relatives, friends and the next generation. And be willing to actively help others to share their experiences and scientifically reduce weight.
Conclusion: Medical staffs and patients should pay more attention to self-management and strengthen the health knowledge, peer support and extended care after discharge.
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