BackgroundThe provision of high-quality healthcare services and patient satisfaction are fundamental objectives in modern healthcare. Humanistic nursing care, which emphasizes empathy, respect for individuality, and cultural sensitivity, aims to build trust and improve the overall experience for patients. This approach is especially relevant for rural patients in China, who often face additional challenges in accessing care in large tertiary hospitals.MethodsA multistage, stratified sampling method was employed to collect data from 8,263 patients aged 18 years or older in large public tertiary hospitals. Humanistic care satisfaction scores were measured using the Nurse Caring Instrument (NCI) questionnaire, a validated tool for assessing patient satisfaction with nursing care.ResultsSatisfaction with nursing humanistic care among rural Chinese patients attending large tertiary public hospitals was low with the overall mean satisfaction score 81.62 ± 16.85. Significant differences in satisfaction were found based on age, marital status, number of children, educational attainment, occupation, monthly household income, department visited, type of medical insurance, and first-time visitor. A multivariate analysis revealed positive correlations with satisfaction for factors such as having children, higher education, higher family monthly income, and first-time visitor, and negative correlations for factors such as older age, being widowed, department visited, and region.ConclusionOlder adults, widowed individuals, and first-time patients expressed lower levels of satisfaction, highlighting the need for tailored interventions. The findings provide insights into the impact of humanistic nursing care for rural patients and emphasize the importance of culturally sensitive approaches to improve patient satisfaction in rural China. This study has several limitations. The cross-sectional design restricts the ability to establish causal relationships, and there is a potential for selection bias, as participants who completed the survey may have higher educational and economic levels, possibly leading to an overestimation of satisfaction. Lastly, as this study focused on rural patients in large public tertiary hospitals in China, the findings may not be generalizable to other settings or patient groups. Future studies should address these limitations for broader applicability and insight.

The aim of this study is to explore a method that combines Digital Twins (DTs) with Convolutional Neural Network (CNN) algorithms to analyze the attractiveness of historical and cultural exhibits in museums and humanistic care, in order to achieve intelligent and digital development of exhibitions under museum humanistic care. The concept of "Health Museum and Health Management" has received initial attention and rapid response from the nursing community in Europe and America. Its essence emphasizes the intervention of museum intelligence in medical and health care and the role of improving the medical and health system, creating the medical service function of museums. Firstly, using DTs technology to digitally model the historical and cultural exhibits of the museum, achieving the display and interaction of virtual exhibits. Then, the Mini_Xception network was proposed to improve the CNN algorithm and combined with the ResNet algorithm to construct a facial emotion recognition model. Finally, using this model, the attractiveness of museum historical and cultural DTs exhibits was accurately predicted by recognizing people&aposs facial expressions. The comparative experimental results show that this recognition method can greatly improve recognition accuracy and scalability. Compared with traditional recognition methods, the recognition accuracy can be improved by 5.53%, and 2.71s can reduce the data transmission delay of the model. The scalability of enhanced recognition types can also meet real-time interaction requirements in a shorter amount of time. This study has important reference value for the digital and intelligent development of museums combined with nursing exhibitions.

This study aims to observe the current situation of nurses' presenteeism and the relationship between presenteeism among nurses and patient perceptions and examine its implications for nursing management. The study design was quantitative, correlational and cross-sectional. The researchers used convenience samples of nurses and patients from five hospitals who agreed to participate in an online survey distributed using Sojump Survey Software. A total of 500 in-service nurses from five tertiary hospitals in Henan Province in China were recruited as the nurse participants. Among them, 433 met the inclusion criteria and completed the general information questionnaire and the presenteeism scale. Patients who were hospitalised for three days or more and were cared for by one or more nurse participants were included in the study. In total, 435 patient participants answered the Inpatient Experience Questionnaire. The responses collected from both groups were analysed using descriptive and inferential statistics.Nurses' presenteeism was a key factor that affected patient experience. Presenteeism among nurses is a common phenomenon. Although patients' experience was overall positive, there is still room for improvement. Reducing presenteeism among nurses is crucial for improving patient experience, creating harmonious nurse-patient relationships and sharing a common mission.

Background The nurse–patient relationship and nursing care satisfaction are important factors that represent whether patients experience the care they expect from nurses. However, research is lacking on the relationship between nursing staff and patients, and the correlation between nursing care satisfaction and relationship care in China. Therefore, this study aimed to explore the correlation between the nurse–patient relationship and patients' satisfaction with nursing care, to form a basis for corresponding intervention measures. Methods A total of 29,108 patients from 107 hospitals in 30 provinces/municipalities in China completed a general information questionnaire, the Nursing Care Satisfaction Scale, and Relational Care Scale. Results The average nurse–patient relational care scale score was 4.38 ± 0.57, and the average patients' satisfaction with nursing care scale score was 5.40 ± 0.86. Nursing care satisfaction score was significantly related to differences among patients in different age, gender, marital status, education level, occupation, residence, family per capita monthly income, type of medical insurance, medical department, and regional patient characteristics. The correlation analysis showed that the total nurse–patient relational care score and its three dimensions of caring, trust, and professional ethics correlated positively with nursing care satisfaction scores. The multiple linear regression analysis showed that patients' age, marital status, region, department, income, type of medical insurance and the caring, trust, and professional ethics dimensions of relational care predicted nursing care satisfaction. Conclusion Enhancing nurse–patient relational care improves nursing care satisfaction, reduces nurse–patient disputes, promotes early rehabilitation of patients, and ensures patient safety.

Background: Novel coronavirus 2019 (COVID-19) infections are highly contagious and have spread worldwide. Healthcare workers must understand the laws and regulations related to major public health emergencies to work effectively within this environment. Through investigation and analysis, a review was conducted to help gain a better understanding of a Level-1 response to public health events and the relevant laws and regulations applicable to medical staff. Based on the results, this study formulated measures for working in the current COVID-19 healthcare context. Methods: A total of 42,490 medical personnel in 18 cities in Henan Province (China) were reviewed and analysed using the convenience sampling method. A questionnaire was employed to address two areas of cognitive status quo (25 items), ie, "general information" and "major public events and rules of the law". Results: More than 90% of medical staff had a good understanding related to knowledge about prevention and control in the pandemic context, as well as their due diligence and legal responsibility for controlling the pandemic and preventing others from being infected. However, 3.47-32.61% of medical staff still had a minimal understanding of a Level-1 response to public health events and its relevant laws and regulations. Conclusion: The response to public health events required strengthening at all levels through promotion and education, by implementing an optimised treatment system and establishing an improved legal mechanism for the treatment of major conditions, such as hierarchical, stratified and triaged infectious diseases.

Objective:To understand the effect of presenteeism behavior of nurses on patient satisfaction and to explore the correlation between them.Methods:This study was a cross-sectional study. In December 2019, the convenient sampling method was adopted to select 500 in-service responsible nurses and 500 inpatients under the charge of the responsible nurses in 5 Class Ⅲ Grade A hospitals in Henan Province as the research objects. The responsible nurses were surveyed by general information questionnaire and Presenteeism Behavior Scale and patients in charge were surveyed by Inpatient Satisfaction and Experience Monitoring Scale.Results:A total of 435 valid questionnaires were collected from responsible nurses and patients in charge. The score of Presenteeism Behavior Scale of 435 nurses was (2.62±0.93) and the score of Inpatient Satisfaction and Experience Monitoring Scale of 435 patients was (4.50±0.49) , showing negative correlation ( r=-0.19, P<0.01) . Conclusions:The level of nurses' presenteeism behavior is at a moderate level and patient satisfaction is at an upper-middle level. Nurses' presenteeism behavior affects patient satisfaction. The higher the incidence of nurses' presenteeism behavior, the lower the patient satisfaction. It is recommended to reduce nurses' presenteeism behavior and improve patient satisfaction.

通过综述患者就医体验概念、测评工具、国内外研究现状和影响因素,探索如何改善患者就医体验实践,提升医院核心竞争力,为推进医疗卫生服务事业发展提供参考,为后续研究和实践提供理论依据.在患者体验研究方面,国内外研究多采用量表或者质性访谈对患者进行调查.中国患者就医体验研究呈逐年上升趋势,以改善患者体验具体措施为主.就医体验影响因素主要是就医环境和服务流程、医疗技术、人文关怀和有效沟通、尊重患者隐私及合法权益等.建议提高关怀患者理念,引导患者正确就医,调查研究应完善研究内容和调查方法,深层挖掘影响因素.

目的 探讨护士出勤主义行为及其与患者安全文化的相关性.方法 采用出勤主义行为问卷和医院患者安全文化调查问卷对河南省5所三级甲等医院的435名护士进行调查.结果 护士出勤主义行为平均得分(2.63±0.93)分,出勤主义行为发生率为87.82％;护士对患者安全文化认知得分(3.73±0.38)分,护士出勤主义行为与医院患者安全文化呈负相关(P<0.01).结论 护士出勤主义行为发生率较高,出勤主义行为可降低患者安全文化水平,建议尽量减少护士出勤主义行为,提高患者安全文化,保障患者安全.

目的 分析探讨铜离子电化学疗法治疗混合痔的临床疗效.方法 给予2017年10月至2019年10月新乡市第二人民医院收治的90例混合痔患者铜离子电化学疗法治疗,观察治疗前后患者痔压变化、临床疗效及并发症发生情况.结果 治疗1周后,经肛门镜及肛门指诊检查发现,高痔压及中等痔压患者的痔压均下降至低痔压,低痔压患者的痔压均恢复至无痔压;90例患者中痊愈83例(92.2％)、显效7例(7.8％),总有效率达100％.所有患者均无大出血、水肿、局部感染、发热、疼痛加剧、失禁和排便困难等并发症出现,虽有排尿困难症状,但经热敷、 口服坦洛新或导尿治疗后症状消失.结论 铜离子电化学疗法治疗混合痔,在彻底清除混合痔病灶的同时,可最大程度保留肛门解剖结构和生理功能,疗效显著,安全性较高.

目的 探讨重症监护室人文关怀护理对胃肠道恶性肿瘤患者负性情绪的影响.方法 入组河南省省立医院2018年1月至2019年9月收治的120例行手术治疗的胃肠道恶性肿瘤患者,采用随机数字表法均分为2组,对照组60例患者仅进行常规护理,人文关怀组60例患者在常规护理的基础上,给予重症监护室人文关怀护理,比较观察2组患者的抑郁自评量表(SAS)评分、焦虑自评量表(SDS)评分、重症监护室住院时间、患者对护理的满意度.结果 人文关怀组患者术前SAS、SDS评分分别为(61.50 ±7.22)、(58.36 ±5.38)分,对照组患者分别为(60.24±9.37)分、(59.35 ±5.80)分,比较差异均无统计学意义(t=0.825,P=0.411;t=0.969,P=0.334).人文关怀组患者术后SAS、SDS评分分别为(37.325.27)分、(33.20 ±7.31)分,明显低于对照组的(48.21 ±10.27)分、(45.39 ±9.54)分,比较差异均有统计学意义(=7.308,P＜0.001;t=7.856,P＜0.001).人文关怀组患者护理满意度为95.00％,高于对照组的58.33％,比较差异有统计学意义(x2=22.547,P＜0.001).人文关怀组重症监护室住院时间为(2.89 ±1.15)d,明显短于对照组的(4.87±1.56)d,比较差异有统计学意义(t=7.914,P＜0.001).结论 对于胃肠道恶性肿瘤患者而言,重症监护室人文关怀护理能够减轻其术后负性情绪,缩短重症监护室住院时间,且患者护理满意度较高.

目的 了解河南省的二级和三级医院医护人员对新型冠状病毒肺炎防护认知现状和行为影响因素,对防护工作提供依据.方法 使用自行设计的医护人员新型冠状病毒肺炎防护认知及行为调查问卷,该问卷包括一般资料、新型冠状病毒肺炎防护认知和行为两部分内容.采用方便抽样对河南省的18所地市42490名医护人员进行了问卷调查.结果 96％以上调查对象对正确洗手有比较正确的认识.疫情发生以来,75.4％调查对象每日洗手次数>10次.98.3％调查对象相信戴口罩是预防疾病传播的有效方法,且对不同等级口罩及其使用场景有科学、清晰的认识.99％调查对象都能做到(除工作及生活必须情况外)居家不外出.对自身疑似感染处置科学合理,89.3％调查对象选择就医,10.5％选择居家自我隔离.居家隔离期间,经常和总是锻炼身体调查对象占28.0％和9.7％.99％以上调查对象对新型冠状病毒的预防措施有正确的认识.结论 医护人员对新型冠状病毒肺炎了解度高,基本掌握防护知识,防护行为遵守率高,但是还需加强防护知识宣传教育,提高防护重视程度,减少医护人员感染率.

[目的]探讨护士出勤主义行为与病人安全的关系,为科学有效地提高护士安全行为提供新思路.[方法]采用一般情况问卷、出勤主义行为问卷、病人安全评价量表对河南省5所三级综合医院435名护士进行调查.[结果]护士出勤主义行为评分为(5.25±1.86)分;病人安全状况得分为(4.60±0.69)分,健康状况和家庭经济满意度均与出勤主义行为呈负相关(P<0.01),即护士健康状况越差,出勤主义行为越多;经济满意度越低,出勤主义行为越多.病人安全状况与护士出勤主义行为呈显著负相关(P<0.01)."出勤主义行为"可以解释"病人安全"1.7％的变异量.[结论]护士出勤主义行为普遍存在,不容忽视.积极改善护士健康状况及经济满意度有助于减少护士出勤主义行为.护士出勤主义行为越多,病人安全状况越差,出勤主义行为对病人安全状况具有一定的预测作用.应特别关注护士的出勤主义行为对病人安全的影响,减少护士出勤主义行为,有助于提高病人安全状况.

目的 构建科学、规范的心血管专科护士培训体系,为培养心血管专科护士提供参考.方法 采用文献分析法及专家论证会议初步确定心血管专科护士培训目标及体系框架,编制专家咨询表.采用德尔菲法进行2轮专家咨询,确立心血管专科护士培训体系,包括培训目标、师资要求、培训内容及课时数、培训方法、考核要求5部分内容.结果 2轮专家咨询问卷有效回收率均为95％,专家权威系数为0.88,变异系数为0～0.232.心血管专科护士培训目标为培养具有专科特色的高级应用型护理人才.培训师资应由专家和授课教师组成.理论培训(1个月)包括基础理论知识、专业技能、相关专业能力、职业特质4方面,采用集中授课和操作练习的教学形式;临床实践(2个月)采用临床带教与线上学习相结合的教学形式.考核包括理论考核、临床技能考核、培训总结及个案分析3部分.结论 心血管专科护士培训体系具有良好的科学性与可行性,可为临床心血管专科护士培训提供参考.

目的 构建心血管专科护士岗位胜任力模型.方法 归纳整理专科护士岗位胜任力相关文献,对5名心血管专家、5名表现优秀和5名表现一般的心血管专科护士进行访谈并提炼主题,编制函询问卷,用德尔菲法对20名专家进行2轮函询.结果 第1轮函询问卷有效回收率为95％(19/20);第2轮函询问卷有效回收率为100％(19/19).构建的心血管专科护士岗位胜任力模型包含专业知识、专业技能、相关专业能力、职业特质4个一级指标,18个二级指标(12个为基准胜任力特征、6个为鉴别胜任力特征).19名专家的权威系数为0.88;模型的一级指标变异系数为0～0.11,二级指标变异系数为0～0.17.结论 心血管专科护士岗位胜任力模型结果可靠,区分了基准胜任力特征和鉴别胜任力特征,为心血管专科护士选拔、培训、考核、认证提供科学依据.

痔是由于支持组织松弛导致肛垫下移 ,出现充血、水肿、肥大和出血.《痔诊治暂行标准》强调痔是肛垫病理性肥大、移位.中医辨证将痔分为风伤肠络型、湿热下注型、气滞血瘀型和脾虚气陷型.笔者采用铜离子电化学疗法治疗混合痔150例 ,取得了良好效果.现总结报道如下.

目的 依据治疗混合痔的新理念,总结和分析国内外各种治疗混合痔的方法,探讨非手术治疗混合痔的化学方法-铜离子电化学疗法治疗混合痔的疗效和新进展.方法 选取2013年03月-2018年06月在新乡市第二人民医院门诊和住院治疗行混合痔铜离子电化学治疗的混合痔患者,观察治疗后疗效和术中术后不良反应.结果 混合痔不再出血或脱出,症状消除,如果治疗不满意,可在此基础上进行外痔切除或局部切除,由于痔体萎缩,切口大幅度减少,无水肿,恢复快,效果显著.结论 铜离子电化学治疗符合痔以非手术为主的治疗原则,是目前除药物外治疗混合痔唯一非手术治疗和唯一化学治疗方法,可作为治疗有症状混合痔的首选.

目的:观察止痛如神汤联合普济痔疮栓治疗混合痔术后的临床疗效.方法:将因混合痔进行手术治疗的98例患者随机分为2组,每组49例;对照组术后给予普济痔疮栓治疗,治疗组采用普济痔疮栓联合止痛如神汤治疗,疗程均为3周;观察2组治疗前后症状积分及疼痛视觉模拟评分法(VAS)评分,检测血清β-内啡肽(β-EP)、5-羟色胺(5-HT)水平变化,并统计2组患者总体疗效.结果:治疗后,2组患者肛门坠胀积分、出血积分、肛缘水肿积分均较治疗前明显下降(P＜0.05),且观察组各项积分均低于对照组(P＜0.05).术后第3天、第7天,2组患者VAS评分均较术后第1天下降(P＜0.05),且观察组VAS评分均低于对照组(P＜0.05).治疗后,2组β-EP、5-HT水平均较治疗前明显下降(P＜0.05),且观察组β-EP、5-HT水平均低于对照组(P＜0.05).总有效率观察组为89.80％,对照组为63.26％,2组比较,差异有统计学意义(P＜0.05).结论:普济痔疮栓联合止痛如神汤治疗混合痔术后,可有效减轻患者术后临床症状,减少疼痛因子的释放,疗效优于单用普济痔疮栓治疗.

目的:了解医患双方对医护人员的角色认知和情感体验,分析其相关影响因素,为促进良性医患关系发展提供参考.方法:采取方便抽样的方法对郑州市8家三级医院384名医护人员及761名患者进行问卷调查.结果:技术性方面,医患双方对医生的角色期待是治疗者,分别占98.95％和99.74％;对护士的角色期待主要是治疗者和护理者,医方分别占99.73％和99.21％,患方分别占99.74％和99.21％.非技术因素中,医患双方对医生的期待角色是沟通者、支持者和合作者,医方分别占98.70％、97.92％和97.13％,患方分别占99.34％、98.42％和95.92％;对护士的期待角色是沟通者和照顾者,医方分别占98.70％和97.92％,患方分别占99.34％和98.42％.结论:患者对就诊医院满意度较高,对医护人员最根本的角色期待是治疗者,期待的非技术角色是沟通者、支持者、照顾者和合作者.

目的探索并构建依托高等教育的科学、规范和有效的特种职业急救技能培训模式,提高特种职业急救技能.方法 充分利用高等学校教学资源,从培训目标、培训方法、培训内容和考核4部分设计特种职业急救技能培训模式,应用于特种职业学员培训中,观察培训结果.结果 高等学校良好的学习环境、丰富的教学资源和师资队伍,有利于学员快速系统化、科学化学习和掌握急救技能.受训学员理论成绩和心肺复苏全部一次性通过.止血包扎技术一次通过者占95.8%.培训满意度达到95%以上,培训模式科学实用.结论依托高等教育的公众急救技能培训模式,高效利用了高校教育资源,能保障特种职业人群尽快熟练掌握急救技能,为其他公众急救技能培训提供了科学路径.

目的 采用案例教学法教学,使课程生动容易理解和掌握,以激发护生学习《外科护理学》的兴趣,提高自主学习能力.方法 教研组集中把常见外科疾病编成案例,每次授课之前教师给予学生一个临床典型案例,让学生提前预习,查找资料,授课中按照护理程序的方法,让学生讨论并主动参与制订,教师最后给予点评总结.结果 使理论和临床实际紧密结合起来,有利于师生互动及教师能力提高.结论 案例教学法培养了学生自主学习能力、团队协作能力、创新思维及解决问题能力.