Research Article
The Effect of an Empowerment-Based Health Management Program within a Medical Consortium Framework on Secondary Prevention of Stroke
Huang Yan,
Huang Xiaofen,
Wu Baoxia,
Du Min*
Issue:
Volume 13, Issue 1, February 2024
Pages:
1-7
Received:
3 December 2023
Accepted:
19 December 2023
Published:
8 January 2024
Abstract: Objective: To explore the impact of an empowerment-based health management program, implemented within a medical consortium framework, on secondary prevention for stroke patients. Methods: Stroke patients admitted to our hospital and its medical group were included in the study. They were randomly divided into two groups: a control group of 98 cases and an experimental group of 101 cases. The control group received conventional treatment and nursing propaganda and education, while the experimental group received an empowerment-based health management program within the medical consortium framework. Stroke recurrence hospitalization rates, self-efficacy scale scores, stroke patient empowerment nursing assessment scale scores, and medication adherence between the two groups were analyzed and compared. Results: After six months, the stroke recurrence hospitalization rate was significantly higher in the control group than in the experimental group (P<0.05). The experimental group demonstrated significantly higher self-efficacy scores than the control group (P<0.05). The stroke patient empowerment nursing assessment scale scores in the experimental group increased (P<0.05). The experimental group showed higher Patient Activation Measure (PAM) scores compared to the control group (P<0.05). The experimental group exhibited higher Medication Adherence Scale-8 (MMAS-8) scores compared to the control group (P<0.05). Conclusion: The empowerment-based health management program within the medical consortium framework effectively enhances secondary prevention outcomes for stroke patients. Through the integration of healthcare resources, provision of personalized health management plans, and reinforcement of patient education, this program enhances patients' self-management capabilities, promotes medication adherence, and encourages positive lifestyle changes. As a result, it reduces the recurrence rate of strokes and the risk of complications. The empowerment-based health management program within the medical consortium framework holds significant potential for enhancing chronic disease management.
Abstract: Objective: To explore the impact of an empowerment-based health management program, implemented within a medical consortium framework, on secondary prevention for stroke patients. Methods: Stroke patients admitted to our hospital and its medical group were included in the study. They were randomly divided into two groups: a control group of 98 case...
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Research Article
Application and Effect of Nursing Risk Management in the Care of Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease in Respiratory Department
Issue:
Volume 13, Issue 1, February 2024
Pages:
8-11
Received:
21 December 2023
Accepted:
3 January 2024
Published:
18 January 2024
Abstract: Research objective: To study the clinical effect of nursing risk management on patients with acute attack of chronic obstructive pulmonary disease in respiratory department. Methods: Patients with chronic obstructive pulmonary disease admitted to our hospital between January, 2023 and December, 2023 were enrolled. Patients in the control group were treated with routine nursing methods, and patients in the observation group were treated with nursing risk management on the basis of the control group. The nursing management score, the incidence of nursing accidents and disputes, and nursing service satisfaction were compared between the observation group and the control group. Results: The nursing satisfaction of the observation group was significantly better than that of the control group, and the difference was statistically significant (P < 0.05). The nursing management score of the nursing group was higher than that of the control group, and the incidence of nursing defects, nursing complaints and disputes was lower than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion: The application of nursing risk management in the daily nursing of patients with chronic obstructive pulmonary disease in respiratory department can reduce the occurrence of nursing adverse events and promote the improvement of nursing service level, which is worthy of clinical promotion and reference.
Abstract: Research objective: To study the clinical effect of nursing risk management on patients with acute attack of chronic obstructive pulmonary disease in respiratory department. Methods: Patients with chronic obstructive pulmonary disease admitted to our hospital between January, 2023 and December, 2023 were enrolled. Patients in the control group were...
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Research Article
Influence of Stress on Drug Abuse Among Prison Inmates: A Case of Kangeta Prison, Meru County, Kenya
Benjamin Mugambi,
Lumadede Japheth,
Charles Mwirigi
Issue:
Volume 13, Issue 1, February 2024
Pages:
12-17
Received:
9 October 2023
Accepted:
24 October 2023
Published:
1 February 2024
Abstract: Prisons aim to rehabilitate inmates, but drug abuse among prisoners undermines this goal. Despite government efforts, drug use persists in Kenyan prisons, particularly in Kangeta Prison. This study addresses the gap in understanding the links between stress and drug abuse among Kangeta inmates. Stress, a reaction to environmental events, can lead individuals to cope through various means, including substance abuse. In prisons, factors like police relationships, new environments, and fear contribute to inmate stress. Mental illnesses are prevalent among inmates, often exacerbated by traumatic life events. Drug abuse serves as an escape from emotional turmoil, peer pressure, and limited mental health care in prisons. Inmates addicted to drugs face intense withdrawal symptoms when incarcerated. Managing inmate stress is crucial for rehabilitation, requiring effective programs and a stress-free environment in prisons. The study, conducted in Kangeta Prison, utilized a mixed-method design with 497 inmates and 26 prison staff. Sampling involved both random and purposive methods. Questionnaires and interviews collected data on stress, prison policies, and drug abuse. A pilot study ensured instrument reliability. Ethical considerations were adhered to, obtaining authorization from the university ethics committee and NACOSTI. Survey results indicated a moderate correlation (0.629) between stress and drug abuse, with stressors such as separation from family and inadequate stress management programs in prison. Stakeholder interviews highlighted the unpleasant prison environment contributing to drug abuse. Inmates often resort to drugs as a coping mechanism. Stress is a significant contributor to drug abuse among Kangeta inmates. Prison conditions, separation from loved ones, and a lack of stress management programs intensify stress levels. Addressing the root causes of drug abuse is crucial for effective rehabilitation. Recommendations to reduce stress among the inmates includes integrating stress mitigation activities, enhancing emotional wellness programs, educating inmates on stress-drug abuse links, and establishing peer support groups. These measures aim to minimize drug abuse through improved mental health care and stress management. Future research should be done explore factors influencing drug abuse in other Kenyan prisons, challenges in correctional department reforms, and the role of inmates in the stress rehabilitation process.
Abstract: Prisons aim to rehabilitate inmates, but drug abuse among prisoners undermines this goal. Despite government efforts, drug use persists in Kenyan prisons, particularly in Kangeta Prison. This study addresses the gap in understanding the links between stress and drug abuse among Kangeta inmates. Stress, a reaction to environmental events, can lead i...
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