看護とケアのジャーナル

This study aimed to examine the mental health of mothers whose children were hospitalised during the Coronavirus pandemic, especially in highrisk environments like paediatric intensive care units and to contribute to the improvement of a mental health plan, especially for these high-risk groups in plague situations. Using a sociodemographic information structure, the Beck Tension Stock, the Beck Discouragement Stock, the Anxiety about Coronavirus Stock and the Covid Uneasiness Stock, experienced medical caretakers working in paediatric centres gathered information through eye-to-eye interviews. When children of mothers with a history of coronavirus infection are hospitalised, special attention should be paid to their mothers' needs for emotional support and assistance.

Introduction: Diabetes represents a real public health problem due to its increasing frequency, morbidity, mortality and economic cost. The process of teaching individuals to manage their diabetes was considered an important part of clinical management. The objective of this study is to evaluate the effects of a therapeutic education program for type 2 diabetic patients on their sense of self-efficacy and on their self-care behaviors and on their glycemic control (HbA1c).

Methods: This quasi-experimental study was conducted on 120 patients with type 2 diabetes who were randomly divided into two groups, experimental group and control group. The study was carried out at the outpatient endocrinology department of La Rabta University Hospital in Tunis. Data were assessed by three tools, a questionnaire for sociodemographic data, DMSES for self-efficacy and DSCAS for self-care behaviors. The therapeutic education program was set up for the experimental group, then after the intervention, the results were analyzed by the Spss-22 software.

Results: Compared to the control group, participants in the experimental group showed an improvement in self-efficacy, self-care behaviors and HbA1c levels.

Conclusion: The results showed an improvement in the experimental group in terms of self-care behaviors, feelings of self-efficacy and HbA1c levels. There is great interest in developing therapeutic education programs aimed at supporting patients in the management of their diabetes. These programs must be specific to each topic of diabetes, over a large hourly volume. It is desirable to evaluate the contribution of these programs in the short and long term.

Background: As early as 1997 it was stated that the outpatient model when patients are cared for in their homes (outpatient care) in connection with hematopoietic stemcell transplantation (hSCT), gave positive results regarding safety and effectiveness. But in the year of 2022, in many countries, it is still an offer and not a standard treatment. Despite long international and national experience of outpatient treatment at hSCT, many patients are still fully cared for in hospitals.

Purpose: To describe the patients’ subjective experiences of outpatient (OP)- and inpatient (IP) care during autologous hematopoietic stem cell transplantation and to ensure the quality of care outside hospital environment as a form of care in order to improve the patient's experience of safety and security at autologous hematopoietic stem cell transplantation at a University Hospital in Sweden. And, to evaluate physicians' and nurses’ assessment using a standardized assessment form of the patient's self-care ability when cared for outside the hospital.

Methods: A quantitative questionnaire study with pre-selected response alternatives and open-ended questions.

Results: Most patients, regardless of the form of care, OP or IP care, felt satisfied with the information given by the care provider. Nearly all of the patients who were cared for in hospital and who responded to the questionnaire, experienced anxiety during the care period compared with patients who were cared for in a home environment responding to the questionnaire, where the vast majority did not experience any anxiety during the care period.

Conclusion: Most patients indicate, as shown in other studies, that they felt satisfied with the care and information they received in connection with hematopoietic stem cell transplantation but patients in IP care felt more anxiety than patients in OP care. Regarding evaluating physicians' and nurses’ assessment using a standardized assessment form of the patient's self-care ability when cared for outside the hospital, there were no notable differences in the assessment.

Clinical relevance: A questionnaire provides the healthcare provider with a basis for developing and improving in clinical care for patients receiving hSCT. Regarding attention to the mental well-being equated with the physical well-being it is a clinical task for healthcare providers. A well-developed basis for assessing the patient's level of care can ensure the best care.