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Zheng J, Guo AH, Xue BW, Wu SY, Wang XX, Jing YJ, Zhai LJ, Liu R. Exploring patient delay in people with chronic kidney disease: A cross-sectional study. Medicine (Baltimore) 2024; 103:e37077. [PMID: 38363926 PMCID: PMC10869059 DOI: 10.1097/md.0000000000037077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Accepted: 01/05/2024] [Indexed: 02/18/2024] Open
Abstract
To examine the factors that contribute to patient delays among individuals with chronic kidney disease (CKD) and offer insights to help develop specific risk management strategies. Conducted as a cross-sectional study between September 2021 and April 2022, this study used a convenient sampling technique to select 245 individuals diagnosed with CKD from a Grade 3 Class A hospital located in Shanxi Province. These individuals were chosen as the subjects of the study. The research participants underwent an investigation using several assessment tools, including socio-demographic information questionnaire, medical behavior, the social support rating scale, the simplified coping style questionnaire, and the General Self-efficacy Scale. The study revealed that 35.4% of individuals with CKD experienced patient delay (the interval between the initial onset and the time of seeking medical attention being longer than or equal to 3 months). Through a multifactorial logistic regression analysis, it was determined that various factors independently influenced patient delay in patients with CKD. These factors included the level of knowledge about CKD, educational level, frequency of attending physical examinations, severity of initial symptoms, social support, self-efficacy, positive coping, and negative coping. Numerous factors contribute to the Patient Delay. To effectively enhance awareness and coping abilities regarding CKD in high-risk groups, it is essential to implement focused and continuous interventions throughout the medical seeking process.
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Affiliation(s)
- Jie Zheng
- Nursing College of Shanxi Medical University, Shanxi, China
| | - Ao-Han Guo
- Nursing College of Shanxi Medical University, Shanxi, China
| | - Bo-Wen Xue
- Nursing College, Hangzhou Normal University, Hangzhou, China
| | - Shu-Yan Wu
- Nursing College of Shanxi Medical University, Shanxi, China
| | | | - Yue-Juan Jing
- The Second Hospital of Shanxi Medicine University, Shanxi, China
| | - Lin-Jun Zhai
- Nursing College of Shanxi Medical University, Shanxi, China
| | - Rong Liu
- Nursing College of Shanxi Medical University, Shanxi, China
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Zheng J, Xue BW, Guo AH, Feng SY, Gao R, Wu SY, Liu R, Zhai LJ. Patient delay in chronic kidney disease: A qualitative study. Medicine (Baltimore) 2023; 102:e36428. [PMID: 38050199 PMCID: PMC10695617 DOI: 10.1097/md.0000000000036428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Accepted: 11/10/2023] [Indexed: 12/06/2023] Open
Abstract
This study aimed to investigate the reasons for patient delay in chronic kidney disease (CKD) and provide a scientific basis for implementing effective interventions. With the adoption of the phenomenological method in qualitative research, semi-structured, face-to-face interviews were conducted with 14 cases, and the Colaizzi seven-step analysis method was used to analyze the interview data and refine the themes. A total of 4 themes were obtained, namely, a cognitive explanation of illness, negative psychological emotions, socioeconomic levels, and limited medical resources. The current status of patient delay in chronic kidney disease is serious, and there are various reasons for it. Health management departments and healthcare providers at all levels should pay attention to this situation and provide targeted supportive interventions and health education to help patients establish the correct awareness of medical consultation and effectively improve their quality of survival.
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Affiliation(s)
- Jie Zheng
- School of Nursing, Shanxi Medical University, Shanxi, China
| | - Bo-Wen Xue
- School of Nursing, Hangzhou Normal University, Hangzhou, China
| | - Ao-Han Guo
- School of Nursing, Shanxi Medical University, Shanxi, China
| | - Sheng-Ya Feng
- School of Nursing, Shanxi Medical University, Shanxi, China
| | - Rong Gao
- School of Nursing, Shanxi Medical University, Shanxi, China
| | - Shu-Yan Wu
- School of Nursing, Shanxi Medical University, Shanxi, China
| | - Rong Liu
- School of Nursing, Shanxi Medical University, Shanxi, China
| | - Lin-Jun Zhai
- School of Nursing, Shanxi Medical University, Shanxi, China
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Zheng J, Jing Y, Guo A, Wu S, Liu R, Zhai L. Effect of New Nursing Team Management Mode on Self-Efficacy, Compliance, and Quality of Life of Patients with Chronic Kidney Disease and Its Chain Mediating Effect. Contrast Media Mol Imaging 2022; 2022:2071893. [PMID: 35854764 PMCID: PMC9277172 DOI: 10.1155/2022/2071893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Revised: 06/12/2022] [Accepted: 06/17/2022] [Indexed: 12/01/2022]
Abstract
Chronic kidney disease (CKD) is one of the serious diseases that lead to a series of metabolic disorders, and its process is irreversible. In order to explore the intervention effect of the new nursing team intervention program in patients with CKD, 100 patients with CKD from May 2020 to May 2021 were randomly selected in this paper and divided into the traditional group and the combined group. The comparison of clinical nursing shows that the new nursing team management model improves the compliance, self-management efficiency, and quality of life of patients with CKD, which is worth recommending in nursing practice.
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Affiliation(s)
- Jie Zheng
- Nursing College, Shanxi Medical University, Taiyuan 030001, China
| | - YueJuan Jing
- Hemodialysis Room, The Second Hospital of Shanxi Medicine University, Taiyuan 030001, China
| | - AoHan Guo
- Nursing College, Shanxi Medical University, Taiyuan 030001, China
| | - ShuYan Wu
- Nursing College, Shanxi Medical University, Taiyuan 030001, China
| | - Rong Liu
- Nursing College, Shanxi Medical University, Taiyuan 030001, China
| | - LinJun Zhai
- Nursing College, Shanxi Medical University, Taiyuan 030001, China
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Wan YK, Sang W, Chen B, Yang YG, Zhang LQ, Sun AN, Liu YJ, Xu Y, Cai YP, Wang CB, Shen YF, Jiang YW, Zhang XY, Xu W, Hong M, Chen T, Xu RR, Li F, Xu YL, Xue Y, Lu YL, He ZM, Dong WM, Chen Z, Ji MH, Yang YY, Zhai LJ, Zhao Y, Wu GQ, Ding JH, Cheng J, Cai WB, Sun YM, Ouyang J. [Distribution and drug resistance of pathogens at hematology department of Jiangsu Province from 2014 to 2015: results from a multicenter, retrospective study]. Zhonghua Xue Ye Xue Za Zhi 2017; 38:602-606. [PMID: 28810329 PMCID: PMC7342276 DOI: 10.3760/cma.j.issn.0253-2727.2017.07.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/12/2016] [Indexed: 11/05/2022]
Abstract
Objective: To describe the distribution and drug resistance of pathogens at hematology department of Jiangsu Province from 2014 to 2015 to provide reference for empirical anti-infection treatment. Methods: Pathogens were from hematology department of 26 tertiary hospitals in Jiangsu Province from 2014 to 2015. Antimicrobial susceptibility testing was carried out according to a unified protocol using Kirby-Bauer method or agar dilution method. Collection of drug susceptibility results and corresponding patient data were analyzed. Results: The separated pathogens amounted to 4 306. Gram-negative bacteria accounted for 64.26%, while the proportions of gram-positive bacteria and funguses were 26.99% and 8.75% respectively. Common gram-negative bacteria were Escherichia coli (20.48%) , Klebsiella pneumonia (15.40%) , Pseudomonas aeruginosa (8.50%) , Acinetobacter baumannii (5.04%) and Stenotropho-monas maltophilia (3.41%) respectively. CRE amounted to 123 (6.68%) . Common gram-positive bacteria were Staphylococcus aureus (4.92%) , Staphylococcus hominis (4.88%) and Staphylococcus epidermidis (4.71%) respectively. Candida albicans were the main fungus which accounted for 5.43%. The rates of Escherichia coli and Klebsiella pneumonia resistant to carbapenems were 3.5%-6.1% and 5.0%-6.3% respectively. The rates of Pseudomonas aeruginosa resistant to tobramycin and amikacin were 3.2% and 3.3% respectively. The resistant rates of Acinetobacter baumannii towards tobramycin and cefoperazone/sulbactam were both 19.2%. The rates of Stenotrophomonas maltophilia resistant to minocycline and sulfamethoxazole were 3.5% and 9.3% respectively. The rates of Staphylococcus aureus, Enterococcus faecium and Enterococcus faecalis resistant wards vancomycin were 0, 6.4% and 1.4% respectively; also, the rates of them resistant to linezolid were 1.2%, 0 and 1.6% respectively; in addition, the rates of them resistant to teicoplanin were 2.8%, 14.3% and 8.0% respectively. Furthermore, MRSA accounted for 39.15% (83/212) . Conclusions: Pathogens were mainly gram-negative bacteria. CRE accounted for 6.68%. The rates of Escherichia coli and Klebsiella pneumonia resistant to carbapenems were lower compared with other antibacterial agents. The rates of gram-positive bacteria resistant to vancomycin, linezolid and teicoplanin were still low. MRSA accounted for 39.15%.
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Affiliation(s)
- Y K Wan
- The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, China
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- The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, China
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Suo LD, Yang F, Zhai LJ, Wang ZZ, Wang HH, Gao S, Huang ST, Xu Y, Pang XH, Lu L. [Evaluation of economic burden of varicella and cost benefit of different immunization strategies of varicella vaccine in Beijing]. Zhonghua Yu Fang Yi Xue Za Zhi 2016; 50:830-833. [PMID: 27655607 DOI: 10.3760/cma.j.issn.0253-9624.2016.09.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- L D Suo
- Institute For Immunization and Prevetion, Beijing Center for Disease Control and Prevention, Beijing 100013, China
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Zhai LJ, Bruintjes TD, Boschma T, Huizing EH. The interdomal ligament does not exist. Rhinology 1995; 33:135-7. [PMID: 8560163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Some authors consider the interdomal ligament to be an important structure of nasal tip support, whereas in other studies of lobular anatomy such a ligament is not mentioned at all. To clarify this question, we performed an anatomical investigation, which included macroscopical dissection and histological sectioning of 14 human cadaveric noses. Our anatomical study failed to reveal the presence of an actual ligament in the interdomal area.
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Affiliation(s)
- L J Zhai
- Department of Otorhinolaryngology, University Hospital, Utrecht, The Netherlands
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