Case Report
A Case of Grade III Obesity in the Elderly Combined with Multisystem Disease Patient Underwent Sleeve Gastrectomy Nursing Throughout Hospitalization
Issue:
Volume 13, Issue 6, December 2024
Pages:
118-124
Received:
28 September 2024
Accepted:
18 October 2024
Published:
11 November 2024
DOI:
10.11648/j.ajns.20241306.11
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Abstract: Background: Obesity is a complex, multifactorial disease that has a negative impact on health. In 2020, obesity affects about 42% of the global population, and the prevalence of overweight and obesity in Chinese adults is expected to reach 61% by 2030. Methods: Summarize the nursing experience of a case of elderly grade III obesity combined with multisystem disease treated with laparoscopic sleeve gastrectomy. Nursing points include acute heart failure care, coronary heart disease care, obesity other related comorbidities care, skin care, medication care, SG perioperative care, nutritional care, pipeline care, anticipatory psychological care and health education. Results: After the patient underwent individualized treatment and nursing, his vital signs were stable, the abdominal incision healed well, no adverse events occurred during hospitalization, and he was discharged smoothly 11d after surgery. Conclusion: This patient has a variety of metabolic diseases, during hospitalization, we should track the patient's examination and laboratory tests, and pay attention to their physical and psychological care. Older people due to the degradation of various physiological systems, their metabolic function and the poor ability to respond to various diseases, the weight loss effect may be not as good as that of young patients. It is necessary to explain the patients and a longer follow-up time to observe the weight loss effect.
Abstract: Background: Obesity is a complex, multifactorial disease that has a negative impact on health. In 2020, obesity affects about 42% of the global population, and the prevalence of overweight and obesity in Chinese adults is expected to reach 61% by 2030. Methods: Summarize the nursing experience of a case of elderly grade III obesity combined with mu...
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Research Article
Snyder Hopes the Effect of Theoretical Nursing Combined with Adaptive Cognitive Emotion Regulation Strategy on Cirrhotic Patients with Esophageal Variceal Bleeding
Yinrong Ding*
Issue:
Volume 13, Issue 6, December 2024
Pages:
125-131
Received:
22 October 2024
Accepted:
5 November 2024
Published:
22 November 2024
Abstract: Explore the effect of Snyder hope theory nursing combined with adaptive cognitive emotion regulation strategy on hope level, psychological elasticity, response and negative emotion regulation ability of cirrhotic patients with esophagogastric variceal bleeding. 120 patients with liver cirrhosis with esophagogastric variceal bleeding from January to December 2023 were randomly divided into observation group (n = 60) and control group (n = 60). The control group was given the strategy of adaptive cognitive emotion regulation. The observation group was given hope theory nursing combined with adaptive cognitive emotion regulation strategy. After nursing, the scores of Herth hope scale (C-HHI), psychological resilience scale (CD-RISC), face dimension, avoidance and surrender in the observation group were higher than those in the control group (P < 0.05, 0.05). The scores of negative emotion regulation scale (NMR-S) in the observation group were higher than those in the control group. Snyder hopes that theoretical nursing combined with adaptive cognitive emotion regulation strategy can improve the hope level of cirrhotic patients with esophagogastric variceal bleeding, improve their psychological resilience and coping style, and improve their negative emotion regulation ability.
Abstract: Explore the effect of Snyder hope theory nursing combined with adaptive cognitive emotion regulation strategy on hope level, psychological elasticity, response and negative emotion regulation ability of cirrhotic patients with esophagogastric variceal bleeding. 120 patients with liver cirrhosis with esophagogastric variceal bleeding from January to...
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Research Article
Novice Omani Nurses' Readiness for Practice: Challenges and Insights from a National Study
Issue:
Volume 13, Issue 6, December 2024
Pages:
132-141
Received:
1 December 2024
Accepted:
12 December 2024
Published:
27 December 2024
Abstract: Background: The transition from student to professional nurse is often challenging, marked by stress, role confusion, and limited confidence in clinical practice. This study addresses a critical gap in research by exploring the readiness of Omani nursing graduates for professional practice, focusing on their knowledge, clinical competencies, and factors influencing their transition. Methodology: A descriptive cross-sectional study was conducted across multiple healthcare institutions in Oman, targeting recent nursing graduates and participants in internship programs. Data were collected using the 2023 Casey-Fink Graduate Nurse Experience Survey, a validated tool with a Cronbach's alpha of 0.890. Statistical analyses, including descriptive statistics, ANOVA, and independent t-tests, were performed using SPSS Version 23 to evaluate participants' perceived readiness and competencies. Results: The study included 194 novice nurses, with 86% from the Oman College of Health Sciences. The mean overall knowledge score was 3.56/4, highlighting high perceived competency. However, significant gaps were identified in areas such as initiating IV therapy (M=2.23), administering blood products (M=1.78), and managing violent patients (M=1.80). Confidence in clinical tasks like EKG interpretation and rapid response initiation was also limited. Participants in structured programs, such as internships and enhancement initiatives, reported slightly higher readiness scores, though differences were not statistically significant (p>0.05). Stress emerged as a pervasive challenge, with 46.9% strongly agreeing that work-induced stress impacted their performance. Conclusions: This study reveals substantial variability in the readiness of Omani novice nurses, emphasizing the need for enhanced clinical training, mentorship, and targeted interventions to address competency gaps. The findings provide valuable insights for nursing educators, internship coordinators, and policymakers in refining curricula and support programs to improve graduate preparedness for clinical practice.
Abstract: Background: The transition from student to professional nurse is often challenging, marked by stress, role confusion, and limited confidence in clinical practice. This study addresses a critical gap in research by exploring the readiness of Omani nursing graduates for professional practice, focusing on their knowledge, clinical competencies, and fa...
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