RESUMEN

OBJECTIVE: In this study, we aimed to explore the effectiveness of systematic nursing care based on health empowerment theory on the self-care and functional abilities of patients with spinal fractures. METHODS: We selected a total of 50 patients with spinal fractures from our hospital and randomly divided them into the control group and the observation group, with 25 patients in each group. Patients in the control group received conventional nursing care, while those in the observation group received systematic nursing care grounded in the health empowerment theory. We recorded and compared the self-care ability, functional ability, knowledge about the condition, and pain scores of patients in the two groups before and after the nursing intervention. RESULTS: There was no significant difference in the baseline characteristics between the two groups (P > 0.05), and there was no significant difference in self-care ability, functional ability, knowledge about the condition, or the visual analog scale (VAS) score between the two groups before treatment (P > 0.05). After treatment, outcomes in the observation group in terms of self-care ability, functional ability, and knowledge about the condition were significantly better than those in the control group (P < 0.05), while the VAS score in the observation group was significantly lower than that in the control group (P < 0.05). CONCLUSION: Compared with conventional nursing care, patients with spinal fractures who received systematic nursing inputs based on health empowerment theory reported significant improvements in pain, self-care, functional ability, and knowledge of the condition, and this is an approach that is worthy of promotion in clinical use.

Asunto(s)

Atención de Enfermería , Fracturas de la Columna Vertebral , Humanos , Autocuidado , Fracturas de la Columna Vertebral/terapia , Proyectos de Investigación , Dolor

RESUMEN

Objective To investigate the status quo of returning to the society of middle-aged and young patients undergoing peritoneal dialysis based on the health empowerment theory. Methods Using the purposive sampling method, 11 patients were interviewed. The interview results were analyzed using Colaizzi analysis and the keywords were extracted. Result A total of 9 keywords were extracted, including beliefs and attitudes ( the sense of responsibility, economic burden and social needs to be met);knowledge and ability ( ability to maintain normal peritoneal dialysis but lack of the ability to solve related complications and decreased work ability after returning to society);related to action and performanc ( limited occupational self-development after returning to society,related to social support and resources:more social support, guidance in chronic disease management and proper social welfare). Conclusions Returning to society can improve the living conditions of middle-aged and youth patients with peritoneal dialysis although they can run into troubles in economic conditions, fatigue, and lack of disease management knowledge and ability. Medical workers should provide them with instructions on disease management knowledge, strengthen social support system other than their families and help them out of the troubles so that they can return to society and enhance their life of quality.