Mohammad Ali MohammadiMehdi HeidarzadehSaeed MehriMahmood Shamshiri...
319-326页
查看更多>>摘要：Objective:To explore the meaning of care experienced by people with blindness in hospitals.Methods:Interpretive phenomenology along with the 6-step method of van Manen was used to conduct the study.Using purposeful sampling,15 people with legal blindness were interviewed.Thematic analysis was used to isolate the meaning of care.Results:Five themes emerged:(a)nurses in the eyes of patients with blindness;(b)negligence in the caring moments;(c)being cared for in ambiguity;(d)Uncoordinated care;and(e)Psychological discomfort.These sub-themes were condensed into an overarching theme titled as"marginalized patients inside the stereotypical healthcare system."Conclusions:Lived experiences of patients with blindness revealed that hospitals provide stereotypic or inappropriate care for this minority group in society.Health professionals particularly nurses should be skilled to provide person-centered and coordinated care for patients with blindness.
查看更多>>摘要：Objective:To explore the effect of the Plan-Do-Check-Action(PDCA)cycle on hand hygiene and nosocomial infection quality of orthopedic medical staff.Methods:The whole year of 2021 was selected to monitor the quality of hand hygiene and hospitalization.Follow-up monitoring and real-time recording during the period of morning shift and medical operation concentration time,and compare the compliance of hand hygiene before and after implementation,and evaluate the quality of nosocomial infection.Results:The hand hygiene compliance of doctors and nurses in stage P was 82％.The compliance of medical staff in stage D was 93％.The compliance of stage C was 94％and that of stage A was 95％.The quality score of hospital self-examination nosocomial infection was also significantly increased.Conclusions:The PDCA management cycle can effectively improve the compliance of hand hygiene and the nosocomial infection quality,which is worthy of circulatory application in orthopedic nosocomial infection quality control,especially improving the quality of hand hygiene.
查看更多>>摘要：Objective:Healthcare-seeking behavior(HSB)would affect the prevalence of morbidity and mortality.There are various factors that affect one's HSB.This study aimed to determine if health awareness and lifestyle might relate to HSB.Methods:A cross-sectional study was applied by using three questionnaires to determine participants'health awareness,lifestyle,and HSB.This study took place in Universitas Advent Indonesia and the students were recruited to be participants.Results:There were 39 participants joined in this study.Most of the participants were females,third-year students,and from Accounting major.Almost all participants were aware of their low risk of health issues,had a fine lifestyle,and had moderate HSB.Conclusions:One's urge to seek health care facilities was not related to their health awareness and lifestyle.There was no further study to contradict with this finding at this moment.
查看更多>>摘要：Objective:Despite trials and programs for the prevention of childhood mortality due to pneumonia,Ethiopia is among the top five countries with the highest number of deaths due to pneumonia.Although the prevalence of pneumonia has increased in the above-mentioned trials,little is known about the recovery time from severe pneumonia and its predictors in the study area.Therefore,this study aimed to assess the time to recovery from severe pneumonia and its predictors among pediatric patients admitted to Mizan-Tepi University Teaching Hospital,Ethiopia,in 2022.Methods:A total of 591 children admitted for severe pneumonia were selected using simple random sampling.Data were entered into Epi-data version 4.4.2.1 and exported to STATA version 14 for analysis,and the assumptions of Cox proportional hazard models and goodness of fit were assessed through Shoenfeld residual and Cox-Snell residual,respectively.Bivariate and multivariable Cox regression models were used to identify the predictors of mortality.Results:This study revealed that 91.54％(95％confidence interval[CI]:89.00-93.53)of participants recovered with an incidence rate of 24.10(95％CI:22.15-26.21)per 100 person-day-observations.The hmedian recovery time of children was 4 days(95％CI:2-6).Children who were not exclusively breastfed(AHR=1.3;95％CI:1.03-1.66),who hadahistory of inability to suck/feed(AHR=0.81;95％CI:0.65-0.99)were independent predictors of the time to recovery.Conclusions:Children with severe pneumonia who had not exclusively breastfed and who had a history of inability to suck/feed were independent predictors of time to recovery.Therefore,all stakeholders and concerned health care providers should focus more on early diagnosis and management and hasten early recovery based on the identified factors.
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