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Objective To explore the effect of Omaha system-based continuous care intervention in pa- tients with neurogenic bladder with spinal cord injury. Methods A total of 72 patients with neurogenic blad- der due to spinal cord injury were selected from June 2019 to June 2022 in the No. 908th Hospital of Joint Logistic Support Force. The patients were randomly divided into the control group (36 cases) and the observation group (36 cases) by random number table method. The control group received routine nursing care, while the observation group received Omaha system-based continuous care on the basis of routine nursing care. The cognition, behavior and status of the patients in the observation group were scored by the effect/outcome evaluation system at three and six months after discharge. Simple residual urine volume and volume of bladder were used to compare the bladder function of the two groups at six months after discharge. Urinary tract infection six months after discharge was compared between the two groups by urine laboratory examination. The quality of life in six months after discharge of the two groups was compared by using the comprehensive assessment questionnaire-74. The nursing satisfaction of the two groups was compared with the nursing satisfaction questionnaire made by the hospital, Results After half a year follow-up the scores of cognition behavior and condition in the observation group were significantly improved compared with those before intervention, with statistical significance (P<0.01). The bladder function, quality of life score and satisfaction in observation group were higher than those in control group, but the incidence of urinary tract infection was lower than that in control group, with statistical significance (P<0,05). Conclusion Omaha system-based continuous care model can effectively improve the bladder function, quality of life and nursing satisfaction of patients, reduce urinary tract infection and improve the outcome of nursing care. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Increasingly large numbers of people are using digital weight loss services (DWLSs) to treat being overweight and obesity. Although it is widely agreed that digital modalities improve access to care in general, obesity stakeholders remain concerned that many DWLSs are not comprehensive or sustainable enough to deliver meaningful health outcomes. This study adopted a mixed methods approach to assess why and after how long patients tend to discontinue Australia's largest DWLS, a program that combines behavioural and pharmacological therapy under the guidance of a multidisciplinary care team. We found that in a cohort of patients who commenced the Eucalyptus DWLS between January and June 2022 (n = 5604), the mean program adherence was 171.2 (±158.2) days. Inadequate supplying of a patient's desired glucose-like peptide-1 receptor agonist medication was the most common reason for discontinuation (43.7%), followed by program cost (26.2%), result dissatisfaction (9.9%), and service dissatisfaction (7.2%). Statistical tests revealed that ethnicity and age both had a significant effect on patient adherence. These findings suggest that DWLSs have the potential to improve access to comprehensive, continuous obesity care, but care models need to improve upon the one observed in the Eucalyptus Australia DWLS to mitigate common real-world program attrition factors. [ABSTRACT FROM AUTHOR]

AimsThis study aimed to evaluate the impact of continuous nursing and telehealth education via WeChat in infants with congenital talipes equinovarus (CTEV) undergoing Ponseti therapy on reducing complications, care burden, and improving the quality of life for parents.MethodsThis is a single-center retrospective study. From July 2021 to December 2022, 44 CTEV children who undergoing Ponseti treatment in our hospital who received continuous nursing and telehealth education via WeChat (experimental group). In addition, during January 2020 to June 2021, 44 children with CTEV treated with Ponseti in our hospital who received routine nursing and traditional health education were selected as the control group. The incidence of complications, parental care burden and parental quality of life were compared between the two groups.ResultsThere was no significant difference in the demographic characteristics of patients and parents between the two groups, and the groups were comparable (p > 0.05). The incidence of complications including plaster loosens, plaster falling off, pressure ulcer was significantly lower in the intervention group compared to the control group (p

ObjectiveTo explore the effect of a video teach-back method on continuous family nursing care of stroke patients.MethodsStroke patients hospitalized in our hospital between March 2020 and March 2023 who met the inclusion criteria were randomly divided into an intervention group (n = 45), who received routine health education plus video teach-back training of caregivers, and a control group (n = 45), who received routine health education only. The effects on nursing-related variables were compared between the two groups.ResultsTotal scores representing the caring ability of caregivers in the intervention group increased significantly over time relative to baseline and were higher than those of the control group. Scores representing the care burden of caregivers in the intervention group decreased significantly over time and were lower than those of the control group.ConclusionThe teach-back method combined with video education improves the nursing ability of family caregivers and can improve the self-care ability of stroke patients.

Abstract Aim This meta‐analysis systematically reviewed and identified the effects of WeChat‐based continuous care (WCC) interventions on various outcomes in cancer patients. Design Systematic review and meta‐analysis. Methods In this study, outcome measures included somatic function, anxiety, depression, social function, and cognitive function. The standardized mean differences and 95% CIs of pooled effect sizes were calculated using fixed‐ and random‐effects models. NFail‐safe and Begg's tests were performed to evaluate publication bias, and sensitivity analysis was performed to evaluate the robustness of the meta‐analysis results. Results The meta‐analysis included 18 RCTs of moderate quality. WCC interventions significantly improved somatic function, depression, anxiety, social function, and cognitive function in cancer patients. There was no significant publication bias, and the sensitivity analysis indicated robust results. Patient or Public Contribution WCC interventions improved depression, anxiety, social function, and cognitive function in cancer patients.

Abstract Aim The present study aimed to evaluate the status of WCC provided by Iranian midwives. Design A sequential explanatory mixed method study protocol. Methods The present study was conducted in three phases: quantitative, qualitative and mixed. The first phase is a cross‐sectional study that will be performed on midwives working in health centres, public and private hospitals in Iranian. The second phase is a qualitative study, in which purposeful sampling will be used, meaning that the midwives who are part of the extreme cases according to the results of quantitative phase and are willing and able to express their own experiences regarding WCC will be selected. Also, pregnant and parturient women under their cover will also be interviewed. Finally, in the mixed phase, we will use a combination of two quantitative and qualitative studies, a literature review and expert opinion using a Delphi method to provide strategies to improve and promote WCC in midwives. Results Achieving this goal is expected to provide positive outcomes such as strengthening the midwives professional relationship with women and reducing health care costs. No Patient or Public Contribution.

Background: Fear of cancer recurrence (FCR), as a commonly reported problem among prostate cancer survivors, has not been fully understood. This study aimed to explore the experience of FCR and relevant coping strategies among Iranian prostate cancer survivors. Methods: Qualitative research was conducted on 13 men who completed treatments for prostate cancer in the last 24 months. The participants were selected through purposeful sampling, and in-depth semi-structured interviews were used for data collection. Conventional content analysis was used for data analysis. Results: Data analysis led to the emergence of three themes. “Living with insecurity” describes the participants’ experiences regarding what triggers FCR with two categories, including “fear of incomplete cure” and “fear of cancer return.” In addition, “struggling to cope” with two categories, including “psychological strategies” and “spiritual coping,” presents coping strategies used by the participants for reducing FCR. Furthermore, “trying to prevent cancer recurrence” with two categories, “seeking health” and “lifestyle modification,” indicates coping strategies used by the participants to prevent cancer recurrence. Conclusions: Healthcare providers need to consider the cultural characteristics of prostate cancer survivors when assessing their FCR, encourage them to disclose their concerns and fears, and provide tailored interventions in order to reduce FCR among them.

BACKGROUND: In recent years, the incidence of viral keratitis has been on the rise. OBJECTIVE: This study explored the application effect of continuous care for patients with viral keratitis. METHODS: A total of 148 patients with viral keratitis admitted to the ophthalmology department of the authors' hospital from January 2019 to December 2020 were selected and divided into the observation group and the control group via the random number table method, with 74 cases in each group. Continuous care was conducted following routine discharge guidance for patients in the observation group, while routine discharge guidance only was provided for the control group. The patients in both groups were continuously observed for one year. The medication compliance, return visit rate, recurrence rate, nursing satisfaction, and quality of life between the two groups were compared and analyzed after one year. RESULTS: The medication compliance was higher in the observation than in the control group and the difference was statistically significant (P < 0.05). The rate of return visits at 1 week, 1 month, 3 months, 6 months, and 1 year in the observation group were higher than those in the control group and the differences were statistically significant (P < 0.05). The difference in the recurrence rate between the two groups at 1 week was not statistically significant (P > 0.05), while the recurrence rate at 1, 3, and 6 months, and 1 year in the observation group were higher than those in the control group, and the difference was statistically significant (P < 0.05). The total score of the quality of life in the observation group was higher than in the control group and the difference was statistically significant (P < 0.05). CONCLUSION: Continuous care had a good application effect on patients with viral keratitis, which could potentially effectively improve medication compliance and the rate of return visits, reduce recurrence rate, and improve patient satisfaction and their quality of life. Accordingly, the results of this study present high clinical value. [ABSTRACT FROM AUTHOR]

Aim: This meta‐analysis systematically reviewed and identified the effects of WeChat‐based continuous care (WCC) interventions on various outcomes in cancer patients. Design: Systematic review and meta‐analysis. Methods: In this study, outcome measures included somatic function, anxiety, depression, social function, and cognitive function. The standardized mean differences and 95% CIs of pooled effect sizes were calculated using fixed‐ and random‐effects models. NFail‐safe and Begg's tests were performed to evaluate publication bias, and sensitivity analysis was performed to evaluate the robustness of the meta‐analysis results. Results: The meta‐analysis included 18 RCTs of moderate quality. WCC interventions significantly improved somatic function, depression, anxiety, social function, and cognitive function in cancer patients. There was no significant publication bias, and the sensitivity analysis indicated robust results. Patient or Public Contribution: WCC interventions improved depression, anxiety, social function, and cognitive function in cancer patients. [ABSTRACT FROM AUTHOR]

Aim: The present study aimed to evaluate the status of WCC provided by Iranian midwives. Design: A sequential explanatory mixed method study protocol. Methods: The present study was conducted in three phases: quantitative, qualitative and mixed. The first phase is a cross‐sectional study that will be performed on midwives working in health centres, public and private hospitals in Iranian. The second phase is a qualitative study, in which purposeful sampling will be used, meaning that the midwives who are part of the extreme cases according to the results of quantitative phase and are willing and able to express their own experiences regarding WCC will be selected. Also, pregnant and parturient women under their cover will also be interviewed. Finally, in the mixed phase, we will use a combination of two quantitative and qualitative studies, a literature review and expert opinion using a Delphi method to provide strategies to improve and promote WCC in midwives. Results: Achieving this goal is expected to provide positive outcomes such as strengthening the midwives professional relationship with women and reducing health care costs. No Patient or Public Contribution. [ABSTRACT FROM AUTHOR]

Background: Fear of cancer recurrence (FCR), as a commonly reported problem among prostate cancer survivors, has not been fully understood. This study aimed to explore the experience of FCR and relevant coping strategies among Iranian prostate cancer survivors. Methods: Qualitative research was conducted on 13 men who completed treatments for prostate cancer in the last 24 months. The participants were selected through purposeful sampling, and in-depth semi-structured interviews were used for data collection. Conventional content analysis was used for data analysis. Results: Data analysis led to the emergence of three themes. "Living with insecurity" describes the participants' experiences regarding what triggers FCR with two categories, including "fear of incomplete cure" and "fear of cancer return." In addition, "struggling to cope" with two categories, including "psychological strategies" and "spiritual coping," presents coping strategies used by the participants for reducing FCR. Furthermore, "trying to prevent cancer recurrence" with two categories, "seeking health" and "lifestyle modification," indicates coping strategies used by the participants to prevent cancer recurrence. Conclusions: Healthcare providers need to consider the cultural characteristics of prostate cancer survivors when assessing their FCR, encourage them to disclose their concerns and fears, and provide tailored interventions in order to reduce FCR among them. [ABSTRACT FROM AUTHOR]

Background Restrictions around childbirth, introduced during the COVID-19 pandemic in 2020, could decrease maternal feelings of control during birth. The aim of this study was to compare the sense of control of women who gave birth during the COVID-19 pandemic with women who gave birth before COVID-19. The secondary objective was to identify other factors independently associated with women’s sense of control during birth. Methods A prospective cohort study, in a sub-cohort of 504 women from a larger cohort (Continuous Care Trial (CCT), n = 992), was conducted. Sense of control was measured by the Labor Agentry Scale (LAS). Perinatal factors independently associated with women’s sense of control during birth were identified using multiple linear regression. Results Giving birth during the COVID-19 pandemic did not influence women’s sense of control during birth. Factors statistically significantly related to women’s sense of control were Dutch ethnic background (β 4.787, 95%-CI 1.319 to 8.254), antenatal worry (β − 4.049, 95%-CI −7.516 to −.581), antenatal anxiety (β − 4.677, 95%-CI −7.751 to 1.603) and analgesics during birth (β − 3.672, 95%-CI −6.269 to −1.075). Conclusions Despite the introduction of restrictions, birth during the COVID-19 pandemic was not associated with a decrease of women’s sense of control.

Objective To explore the effect of the nurse-led multidisciplinary team (MDT) model of continuous care in patients with psoriasis vulgaris. Methods From December 2019 to December 2020,96 inpatients with psoriasis vulgaris at our hospital were randomly divided into the observation and the control groups, 48 patients per group. Following the discharge, the patients in the control group were given the traditional nurse-led continuous care, while the patients in the observation group were given multi-disciplinary team (MDT) model of continuous care, i.e. with the participation of pharmacists and clinicians. Patients in both groups were followed up for 6 months after discharge. Results The 6-month follow-up showed that patients in the observation group had lower PASI scores (3.87±1.82 vs 6.43±2.57, t=7.87, P

This paper summarized the perioperative nursing experience of a child with hemophilia B and adenoid hypertrophy undergoing surgery. The treatment and nursing plan was formed based on the multidisciplinary consultation and discussion. Health education about usage and precautions of prothrombin complex concentrate in replacement therapy was carried out before treatment. Based on the theory of enhance recovery after surgery, a comprehensive perioperative nursing interventions were carried out, including diet care, pain management, body temperature management, preoperative adaptive training. An effort was also made to enhance the psychological care, pre-discharge readiness assessment, discharge planning and guidance and continuous care after discharge. (本文总结1例血友病B患儿腺样体肥大围手术期的护理经验。经多学科会诊讨论并制定治疗护理方案, 告知替代治疗中凝血酶原复合物的使用方法及注意事项, 实施基于加速康复外科理念的围术期护理(饮食护理、疼痛管理、体温管理、术前适应性锻炼), 加强心理干预、出院前的出院准备度评估、出院计划与指导、出院后延续护理等。)

Spinal cord injury (SCI) has severe and devastating physical and emotional consequences on the injured individuals, as well as their families and friends. Consideration of several secondary conditions associated with SCI is central to establishing and maintaining the biopsychosocial wellbeing of individuals with a SCI. Owing to the complex nature of a SCI and the consequences it has on different bodily functions, people with a SCI would benefit form a structured care plan that is delivered by family members to prevent medical complications because of the injury. It is important that there is a continuity of effective and evidence based care, and, as such, it is imperative that family members are trained in how to address issues of maintaining wellbeing and health promotion following a SCI. This should ensure the safe and effective care of the person with the SCI in the home and community environment following their discharge from the SCI rehabilitation centre, and should help to enable their integration back into the community, such as returning to education or employment. [ABSTRACT FROM AUTHOR]

Copyright of Die Unfallchirurgie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Restrictions around childbirth, introduced during the COVID-19 pandemic in 2020, could decrease maternal feelings of control during birth. The aim of this study was to compare the sense of control of women who gave birth during the COVID-19 pandemic with women who gave birth before COVID-19. The secondary objective was to identify other factors independently associated with women's sense of control during birth.Methods: A prospective cohort study, in a sub-cohort of 504 women from a larger cohort (Continuous Care Trial (CCT), n = 992), was conducted. Sense of control was measured by the Labor Agentry Scale (LAS). Perinatal factors independently associated with women's sense of control during birth were identified using multiple linear regression.Results: Giving birth during the COVID-19 pandemic did not influence women's sense of control during birth. Factors statistically significantly related to women's sense of control were Dutch ethnic background (β 4.787, 95%-CI 1.319 to 8.254), antenatal worry (β - 4.049, 95%-CI -7.516 to -.581), antenatal anxiety (β - 4.677, 95%-CI -7.751 to 1.603) and analgesics during birth (β - 3.672, 95%-CI -6.269 to -1.075).Conclusions: Despite the introduction of restrictions, birth during the COVID-19 pandemic was not associated with a decrease of women's sense of control. [ABSTRACT FROM AUTHOR]

Objective: To assess the effect of long‐term nursing intervention on the quality of life and social support of patients after percutaneous coronary intervention (PCI). Methods: A randomised controlled trial was designed. A total of 60 patients with coronary heart disease treated with PCI were randomly divided into the control group and the intervention group. The patients in the control group received routine nursing care, while the patients in the intervention group received long‐term nursing intervention. The Simplified Quality of Life Scale—Quality of Life Scale, the Coronary Heart Disease Self‐Management Scale, and the Social Support Rating Scale were used to collect and analyse the data. Results: After the intervention, the scores for quality of life, social support and self‐management in the intervention group were higher than those in the control group, and the differences were statistically significant (p < 0.05). Conclusion: Long‐term nursing intervention can improve the quality of life and sense of social support of patients with coronary heart disease after PCI. [ABSTRACT FROM AUTHOR]

Objective To investigate the effect of continuous nursing intervention on medication safety in elderly patients with chronic diseases. Methods Totally 100 elderly patients with chronic diseases were randomly divided into the observation group and control group, with 100 cases in each group. Patient in the control group received routine discharge guidance and follow-up, and those in the observation group were given continuous nursing intervention. The medication safety and rehospitalization situation were analyzed at 6 month after discharge form hospital. A questionnaire survey was conducted to measure the compliance and satisfaction of patients after discharge form hospital. Results The rates of unauthorized increase, decrease, withdrawal and missing of medication in the observation group were lower than those in the control group(P＜0. 05, respectively). The re-hospitalization rate in the observation group was lower than that in the control group (4. 00% vs. 18. 00%, P＜0. 05). The scores of satisfaction evaluation about dietary, rehabilitation exercise, hospital reexamination and hygiene in the observation group were higher than those in the control group(P＜0. 01). The satisfaction rate in the observation group was higher than those in the control group(P＜0. 05). Conclusion The continuous nursing intervention is potentially effective to improve the medication safety and treatment compliance after discharge from hospital in elderly patients with chronic diseases. (目的 探讨延续性护理对老年慢性病患者用药安全的影响。方法 选取2019年8月—2020年2月治疗后出院的100例老年慢性病患者为研究对象, 采用数字随机表法分为观察组和对照组, 各50例。对照组出院时给予常规出院指导, 观察组实施延续性护理干预。对两组患者出院后6个月的用药安全情况和再住院情况进行统计分析, 运用调查问卷的形式评估两组患者出院后依从性和满意度情况。结果 观察组患者出院后擅自增减药、漏服药、停药的比例低于对照组, 差异有统计学意义(P＜0. 05)。观察组患者的再住院率为4. 00%(2/50), 低于对照组的18. 00%(9/50), 差异有统计学意义(P＜0. 05)。观察组患者出院后在合理饮食、康复锻炼、按时复查、卫生清洁方面的依从性评分高于对照组 (P＜0. 01)。观察组患者护理满意度高于对照组(P＜0. 05)。结论 延续性护理可提高老年慢性病患者出院后用药安全性和依从性, 降低再住院率, 提高护理满意度。)

Objective　To explore the effect of continuous nursing intervention for discharged stroke patients based on FOCUS-PDCA procedure. Methods　100 patients with cerebral apoplexy who were about to be discharged from our hospital from May 2020 to February 2021 were selected as the research objects and randomly divided into the control group （n = 50） and the observation group （n = 50）. The control group adopted the traditional continuous nursing mode，while the observation group of patients received FOCUS-PDCA program intervention mode on the basis of routine nursing. MBI，FMA and satisfaction were compared between the two groups. Results　After the intervention，scores of MBI，FMA and satisfaction in the observation group were significantly higher than those in the control group （ P < 0.05）， and the differences were statistically significant. Conclusion　FOCUS-PDCA program intervention of continuous care for stroke discharged patients can significantly improve the quality of life and satisfaction，promote the rehabilitation effect and it is worthy of clinical application. [ABSTRACT FROM AUTHOR]

In order to meet the ever-increasing needs of health care, as well as helping patients who need continuous care after being discharged from the hospital and making modern medical technology better serve humans, the design of electronic medical records for continuous care patients, especially those with malignant tumors, is investigated. In the research process, the idea of Browser/Server (B/S) framework is adopted, and the corresponding electronic medical record system is designed based on the targets and the overall structure of the system; afterward, the black-box testing and white-box testing are carried out to test the functions, reliability, and stability of the designed electronic medical record system; in addition, combined with other research results, the feasibility of the design is proved. It can be seen that the electronic medical record system designed for patients who need continuous care in the study is absolutely feasible, which can be further researched and improved with the development of electronic medical records; therefore, it would make greater contributions to both patients and hospitals in the future.

To evaluate the application effect of continuous nursing mode in patients with gout.Methods The databases of the Cochrane Library,CINAHL,Web of Science,PubMed,Medline,CNKI, CBM,VIP and Wanfang were searched to collect the randomized controlled trials on continuing care of patients with gout from the establishment of the databases to June 2021.The literatures were separately deleted, extracted and risk assessed by two researchers.And the RevMan 5.3 software was used to analyze.Results A total of nine studies involving 604 patients were included.The results of the meta-analysis showed that compared with the routine nursing group,the self-management ability of the patients with gout in the continuous nursing group was enhanced [MD =7.20,95%CI(3.45 to 10.94),P =0.000 2],the serum uric acid level was decreased [MD =-44.05,95%CI(-52.36 to -35.74),P <0.000 01],and the nursing effect was improved [OR=4.34,95%CI(2.33 to 8.08),P <0.000 01].Conclusion Continuous nursing could improve the selfmanagement ability and nursing effect of patients with gout,and reduce the level of blood uric acid. [ABSTRACT FROM AUTHOR]

Objective: To explore the effect of information-motivation-behavioral skills model (IMB)-based continuous nursing model on the out-of-hospital rehabilitation of diabetic foot ulceration (DFU) patients, and to provide a theoretical basis for long-term disease management of DFU patients., Methods: A total of 88 patients with DFU admitted to our Hospital were included in this prospective study. The patients were divided into control and study groups using the random number table method, with 44 cases in each group. Patients in the study group received both routine care and IMB-based continuing care, and the control group received only routine care., Results: At week 1, FBS, PBG (2 h) and HbA1c were significantly decreased in the study group compared with that in the control group ( P  < .05). At week 3 and 6, blood glucose indicators were significantly improved in both groups compared with week 1 ( P  < .05). In additional, the number of non-infected patients at week 1 and week 3 in the study group was significantly higher than that in the control group ( P  < .05). At week 3, the number of cured patients was significantly higher in the study group than that in the control group ( P  < .05). And the area of ulcer healing in the study group was significantly larger than that in the control group at week 1 and week 3 ( P  < .05)., Conclusion: In conclusion, the continuous nursing mode based on IMB can help DFU patients manage blood glucose level, reduce wound infection, and accelerate wound healing, which is worthy of wide clinical application and promotion., Competing Interests: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Aims: This study aimed to evaluate the impact of continuous nursing and telehealth education via WeChat in infants with congenital talipes equinovarus (CTEV) undergoing Ponseti therapy on reducing complications, care burden, and improving the quality of life for parents., Methods: This is a single-center retrospective study. From July 2021 to December 2022, 44 CTEV children who undergoing Ponseti treatment in our hospital who received continuous nursing and telehealth education via WeChat (experimental group). In addition, during January 2020 to June 2021, 44 children with CTEV treated with Ponseti in our hospital who received routine nursing and traditional health education were selected as the control group. The incidence of complications, parental care burden and parental quality of life were compared between the two groups., Results: There was no significant difference in the demographic characteristics of patients and parents between the two groups, and the groups were comparable ( p > 0.05). The incidence of complications including plaster loosens, plaster falling off, pressure ulcer was significantly lower in the intervention group compared to the control group ( p < 0.05). Parents in the intervention group experienced significantly lower care burdens compared to those in the control group ( p < 0.05). The quality of life of parents in the intervention group was significantly higher than that for the control group ( p < 0.05). There were significant differences in the incidence of complications, the care burden of parents and the quality of life of parents between the two groups., Conclusion: This study found that continuous nursing and telehealth education via WeChat group during Ponsetis treatment of children with CTEV can effectively reduce complications, reduce the care burden of parents and improve the quality of life of parents. This method is simple and convenient, especially worthy of application and promotion in medically underdeveloped areas., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Wang, Lin, Lin, Xu and Chen.)

Background: Breast cancer is among the most common malignancies worldwide. With progress in treatment methods and levels, the overall survival period has been prolonged, and the demand for quality care has increased., Aim: To investigate the effect of individualized and continuous care intervention in patients with breast cancer., Methods: Two hundred patients with breast cancer who received systemic therapy at The First Affiliated Hospital of Hebei North University (January 2021 to July 2023) were retrospectively selected as research participants. Among them, 134 received routine care intervention (routing group) and 66 received personalized and continuous care (intervention group). Self-rating anxiety scale (SAS), self-rating depression scale (SDS), and Functional Assessment of Cancer Therapy-Breast (FACT-B) scores, including limb shoulder joint activity, complication rate, and care satisfaction, were compared between both groups after care., Results: SAS and SDS scores were lower in the intervention group than in the routing group at one and three months after care. The total FACT-B scores and five dimensions in the intervention group were higher than those in the routing group at three months of care. The range of motion of shoulder anteflexion, posterior extension, abduction, internal rotation, and external rotation in the intervention group was higher than that in the routing group one month after care. The incidence of postoperative complications was 18.18% lower in the intervention group than in the routing group (34.33%; P <0.05). Satisfaction with care was 90.91% higher in the intervention group than in the routing group (78.36%; P <0.05)., Conclusion: Personalized and continuous care can alleviate negative emotions in patients with breast cancer, quicken rehabilitation of limb function, decrease the incidence of complications, and improve living quality and care satisfaction., Competing Interests: Conflict-of-interest statement: Dr. Kong has nothing to disclose., (©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.)

Aim: This study aimed to identify the current situation of interprofessional collaboration for gestational diabetes mellitus (GDM) management in Japan including the professionals involved, the collaboration methods employed, and the barriers perceived by nurses and midwives. Methods: This nationwide cross‐sectional survey of 1,046 total hospitals facilitating childbirth in Japan used an original 60‐item questionnaire to investigate GDM management practice through interprofessional collaboration. The questionnaire required one responder to be a midwife or nurse who was familiar with the management practices for GDM women in their respective hospitals. Quantitative data were analyzed using descriptive statistics, and framework analysis was conducted for qualitative data collected by open‐ended questions. Results: All 308 respondents (response rate 29.4%) were included. The professionals included in interprofessional collaboration were limited, and the only strategy used for interprofessional collaboration by a majority (91.5%) of hospitals was medical charts. There were 50.8% of hospitals that provided postpartum GDM follow‐ups and 54.5% of hospitals that did not engage in external collaboration for GDM management. The barriers to interprofessional collaboration extracted were seven categories and 23 subcategories, which were aligned within the following units of analysis: individual, team, organization, and community. Conclusions: This survey shows that interprofessional collaboration, including support for GDM postpartum follow‐up in Japan remains insufficient. Furthermore, nurses and midwives perceive numerous barriers to interprofessional collaboration for continuous GDM management at the individual, team, organizational and community levels. [ABSTRACT FROM AUTHOR]

Background and Aims: Existing evidence suggests that text message interventions can help people to reduce their alcohol consumption. However, studies with alcohol‐dependent patients are lacking. In this study a 1‐year automatic mobile phone‐based short messaging service (SMS) intervention on alcohol consumption in patients after alcohol detoxification in hospital was compared with treatment as usual. Design Multi‐center, randomized, controlled, two parallel‐group, observer‐blinded trial. Setting and Participants: Primary and secondary care: four hospitals and community (1 million residents, 7600 km2 area in Germany). A total of 462 patients with alcohol dependence (ICD‐10) were included during inpatient detoxification treatment. Patients were randomly assigned (1 : 1) to an SMS intervention and treatment as usual (SMS + TAU; n = 230; mean age: 45.4 years; 22.6% women) or TAU alone (n = 232 mean age: 44.5 years; 22.8% women). Planned, automated messages were sent to patients over 1 year to record assistance needs. A 'yes' or missing response triggered a telephone call from a hospital therapist. Outcome was assessed by an independent survey center. Measurements: The primary end‐point was a three‐category alcohol consumption measure covering months 10–12 after discharge: abstinence, non‐heavy drinking, heavy drinking [men > 60 g/day; women > 40 g/day equal to World Health Organization (WHO) criteria: high risk and very high risk, mean consumption]. Secondary end‐points were number of abstinent days over 12 months and frequency of abstinence. Results: The arms differed primarily in the heavy drinking category (intervention group 22.2%, TAU‐only group 32.3%) in months 9–12. This is reflected by an odds ratio (OR) = 1.68, 95% confidence interval (CI) = 1.11–2.54, P = 0.015 for heavy drinking versus non‐heavy drinking/abstinence. No difference between treatments was found with respect to any drinking versus abstinence (OR = 1.13). These results were confirmed by models adjusting for randomization strata. Conclusions: In Germany, a 12‐month mobile phone short messaging service‐based intervention enhanced the reduction in heavy drinking for 1 year in routine care among adults with alcohol dependence discharged from inpatient alcohol detoxification. [ABSTRACT FROM AUTHOR]

In order to meet the ever-increasing needs of health care, as well as helping patients who need continuous care after being discharged from the hospital and making modern medical technology better serve humans, the design of electronic medical records for continuous care patients, especially those with malignant tumors, is investigated. In the research process, the idea of Browser/Server (B/S) framework is adopted, and the corresponding electronic medical record system is designed based on the targets and the overall structure of the system; afterward, the black-box testing and white-box testing are carried out to test the functions, reliability, and stability of the designed electronic medical record system; in addition, combined with other research results, the feasibility of the design is proved. It can be seen that the electronic medical record system designed for patients who need continuous care in the study is absolutely feasible, which can be further researched and improved with the development of electronic medical records; therefore, it would make greater contributions to both patients and hospitals in the future. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: In patients with gout, suboptimal management refers to a lack of disease knowledge, low treatment compliance, and inadequate control of serum uric acid (SUA) levels. Several studies have shown that continuous care is recommended for disease management in patients with gout. However, in China, the continuous care model commonly used for patients with gout requires significant labor and time costs, and its efficiency and coverage remain low. Mobile health (mHealth) may be able to address these issues., Objective: This study aimed to explore the impact of mHealth-based continuous care on improving gout knowledge and treatment compliance and reducing SUA levels., Methods: This study was a single-center, single-blind, and parallel-group randomized controlled trial. Participants were recruited at the West China Hospital of Sichuan University in Chengdu, China, between February 2021 and July 2021 and were randomly assigned to the intervention and control groups. The intervention group received continuous care via an mHealth app, which includes modules for health records, 24 weeks of gout-related health education materials, and interactive support. The control group received routine continuous care, including face-to-face health education, paper-based health education materials consistent with the content for the intervention group, and telephone consultations initiated by the patient. Follow-up was conducted at 6 months. Participants' gout knowledge levels and treatment compliance were measured at baseline and the 12th and 24th weeks, and participants' SUA levels were measured at baseline and the 24th week. The intention-to-treat principle and a generalized estimating equation model were used to test the effect of the intervention., Results: Overall, 258 potential participants underwent eligibility assessments, and 120 were recruited and randomized into the intervention (n=60, 50%) and control (n=60, 50%) groups. Of the 120 participants, 93 (77.5%) completed the 24-week study. The 2 groups had no significant differences in sociodemographic or clinical characteristics, and the baseline measurements were comparable (all P>.05). Compared with the control group, the intervention group exhibited a significant improvement in gout knowledge levels over time (β=0.617, 95% CI 0.104-1.129; P=.02 and β=1.300, 95% CI 0.669-1.931; P<.001 at the 12th and 24th weeks, respectively). There was no significant difference in treatment adherence between the 2 groups at the 12th week (β=1.667, 95% CI -3.283 to 6.617; P=.51), while a statistical difference was observed at the 24th week (β=6.287, 95% CI 1.357-11.216; P=.01). At the 24th week, SUA levels in both the intervention and control groups were below baseline, but there was no significant difference in SUA changes between the 2 groups (P=.43)., Conclusions: Continuous care based on the mHealth app improved knowledge levels and treatment compliance among patients with gout. We suggest incorporating this intervention modality into standard continuous care for patients with gout., (© Ying Wang, Yanling Chen, Yuqing Song, Hong Chen, Xin Guo, Ling Ma, Huan Liu. Originally published in JMIR mHealth and uHealth (https://mhealth.jmir.org).)

Objective: To explore the effect of a video teach-back method on continuous family nursing care of stroke patients., Methods: Stroke patients hospitalized in our hospital between March 2020 and March 2023 who met the inclusion criteria were randomly divided into an intervention group ( n  = 45), who received routine health education plus video teach-back training of caregivers, and a control group ( n  = 45), who received routine health education only. The effects on nursing-related variables were compared between the two groups., Results: Total scores representing the caring ability of caregivers in the intervention group increased significantly over time relative to baseline and were higher than those of the control group. Scores representing the care burden of caregivers in the intervention group decreased significantly over time and were lower than those of the control group., Conclusion: The teach-back method combined with video education improves the nursing ability of family caregivers and can improve the self-care ability of stroke patients., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Wang, Feng, Zhu, Sun, Zhang, Wang, Luo, Shen, Fang, Zhang and Cui.)

In a society in constant change, education emerges, in a systemic paradigm, as an instrument capable of building a system of values, allowing the acquisition of knowledge and skills necessary for the exercise of citizenship. In this sense, with a view to the evolution of self-knowledge at the level of postgraduate education, this article presents critical reflection, as the methodology used in an optional course in Continuing Care. Anchored in references, it contributes to the construction of skills that enable a professional exercise based on an increasingly differentiated action, with a view to the development of a specialized clinical practice in Community Nursing. This strategy made it possible to envision decision-making processes in complex situations in contexts of continuous care, seeking to systematize new learning / intervention perspectives, considering alternatives and options. It was valued by students, mobilizing for it the theoretical conception, by reference to the development of knowledge in nursing, considering the diversity and uniqueness of their individual interests. [ABSTRACT FROM AUTHOR]

To explore the effect of continuous nursing intervention on children with pneumonia, survival status and nurse-patient relationship, 90 patients with paediatric pneumonia admitted to the Hebei Hengshui People's Hospital from May 2017 to June 20, 2017 were divided into the regular group and the continuous group according to the order of admission. Each group had 45 children. The routine group received general care and the continuity group received continuous care and compared with the previous group to observe the correlation between the nursing effect, clinical symptom improvement time, quality of life, satisfaction and complications of the two groups. The probability of effectiveness in the continuous group was 95.55 %, which is higher than the other group's 75.55 %. The two groups were meaningful (X2=4.094, p<0.05); the duration of body temperature decline in the continuous group (1.75±0.65), cough remission time (4.24±1.12), lung rales remission time (4.15±0.89) and shortness of breath relief (2.65±0.65) were less than the routine group temperature drop time (2.85±0.95), cough relief time (5.95±1.85), lung rales remission time (5.68±1.25) and shortness of breath relief (3.45±0.75). The time changes in the 2 groups were increased (p<0.05); before the nursing, the living conditions of the 2 groups were small (p>0.05). After the nursing, the above factors were increased in both groups (p<0.05), and the continuous group improved better (p<0.05). The satisfaction degree of the two groups was 41 (91.11 %), 33 (73.33 %), the difference between the 2 groups was large (p<0.05); the side effects during the 2 groups of care 8.89, 26.67 %; the two groups had a change (p<0.05). Continuous care helps children with pneumonia to improve disease, reduce the time of pain, reduce medical disputes, reduce heart muscle and lung failure, and is worthy of application. [ABSTRACT FROM AUTHOR]

Introduction: Considering the importance maternal care, this study aimed at exploring the concept of continuous care and its dimensions in prenatal, perinatal, and postnatal periods. Methods: This was a content analysis qualitative study that was performed using semi-structured in depth interviews. Conventional content analysis method was used for data analysis simultaneously data gathering. Different strategies were adopted for ensuring the accuracy and the rigor of the findings such as prolonged engagement with the data and external peer check. The setting of the study was healthcare, hospital and instruction centers of Kashan University of Medical Sciences. The participants included eighteen midwives and five physicians, who had different official positions. Results: The participants’ experiences revealed five concepts for the concept of continuous midwifery-led care, which included continuity, the process of care, education and informing, management, and professionalism. Continuity had 3 categories including continuous physical access, continuity of care in different time periods and continuity of a psycho-emotional relationship. Philosophy of continuous care, home care provision and accountability of the process of care were the process of care categories. Continued promotion, target groups of educations, ethics, rights, backing up, implementation of program documentation and follow-up were other categories. Conclusions: Continuous midwifery-led prenatal, perinatal, and postnatal care is a multidimensional and important concept. Given the differences in health infrastructures of different countries as well as the unique characteristics of pregnancy, higher priorities are recommended for continuous midwifery-led care and its dimensions.

Introduction: Child's hospitalization for surgery is a source of anxiety for the child and the family that persists for a long time after discharge. Therefore, it is necessary to provide appropriate solutions in this regard. This study aimed to investigate the effect of implementation of continuous care model on anxiety in mothers of children discharged from pediatric units of educational hospitals of Isfahan University of Medical Sciences in 2016. Materials and Methods: In this quasi-experimental study, 64 mothers of children hospitalized in surgical units were categorized in two groups (experimental and control). The intervention was a continuous care model including orientation, sensitization, follow up, and evaluation stages. We used Spielberg's Anxiety Questionnaire to assess mothers' anxiety before, 1 week, and 1 month after the intervention. Data were analyzed using descriptive statistics, (t-test and analysis of variance) using the Statistical Package for the Social Sciences version 16. Results: The results of the study showed that the mean anxiety scores of the experimental group were 58.9, 36, and 31.4, respectively, before, 1 week, and 1 month after the intervention (P < 0.001). These scores were 57.5, 55.8, and 49.7, respectively, for the control group. t-test results showed that the mean anxiety scores of the experimental group were significantly less than that of the control group at 1 week and 1 month after the intervention. Conclusions: Based on the results, use of the continuous care model led to a decrease in mothers' anxiety during their children's discharge from the pediatric surgery units. Therefore, we suggest the implementation of this model in pediatric units.

Background: We aimed to observe the effect of extended care on improving motor function and activities of daily living of stroke-induced hemiplegic patients., Methods: Patients clinically diagnosed as stroke with hemiplegia and hospitalized in the Neurology Department at Tianjin Haibin People's Hospital, China from 2019 to 2020 were selected. One hundred twenty patients were enrolled and randomly divided into the intervention group (60 patients) and the control group (60 patients). The control group was given routine rehabilitation treatment and care. Based on routine rehabilitation treatment and care, the intervention group was given transitional care. After discharge, the patients were followed up. Barthel indexes (BIs) were collected to evaluate the activities of daily living of patients. The Fugl-Meyer Motor Function Assessment (FMA) was adopted to evaluate the patients' motor function., Results: There was no statistically significant difference in the total BI scores between the two groups of patients at the two time points before intervention and at discharge. The total scores of the intervention group were higher than those of the control group after 1 month and 3 months of discharge, and the difference was statistically significant ( P <0.05). There was no statistically significant difference in total FMA scores between the two groups of patients before intervention, indicating comparability. After 3 months of discharge, the total FMA score of the intervention group patients was higher than that of the control group, and the differences were statistically significant ( P <0.05)., Conclusion: Continuous care can effectively improve motor function and daily living ability of stroke patients with hemiplegia., (Copyright© 2024 Li et al. Published by Tehran University of Medical Sciences.)

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

All women should be allowed and encouraged to bring a loved one, friend, or doula to their birth without financial or cultural barriers. Continuous labor support offers benefits to mothers and their babies with no known harm. [ABSTRACT FROM AUTHOR]

Background: To analyze and summarize the effect of continuous care on the life quality and control of asthma of pediatric patients with asthma discharged from multiple hospitals. Methods: Retrospective analysis was carried out on 172 pediatric patients with asthma aged between 6 and 11 yr old randomly selected from those admitted to five hospitals between January 2014 and December 2015. Among these 172 patients, only 86 (intervention group) received the continuous care between January 2015 and December 2015, while the rest (control group) did not receive from January 2014 and December 2014. Results: After the patients in the intervention group were discharged from the hospital, the ratio of practical forced expiratory volume in one second (FEV1) to the expected FEV1 at the 12th month was (90.28±10.35)%, and the ratio of peak expiratory flow to the expected value was (84.24±3.43)%, respectively higher than those [(82.73±8.86)% and (75.80±4.67)%] in the control group. Regarding pediatric asthma quality of life questionnaire (PAQLQ) between the intervention group and the control group, the difference had statistical significance (Z=-7.254, P

Aim to explore the concept of continuous care and its dimensions in the prenatal, perinatal, and postnatal periods based on the experiences of midwives, gynaecologists, obstetricians, pregnant women and their husbands. Design a qualitative study that was part of a large scale action research which aimed to develop, use and test a continuous midwifery-led care model. Data collection and analysis were performed concurrently through undertaking semi-structured interviews and using the conventional content analysis approach. Setting healthcare centres and hospitals affiliated to Kashan University of Medical Sciences, Kashan, Iran. Participants 21 women following a recent pregnancy, five husbands, 18 midwives, and five physicians who had different official positions. Findings the participants’ experiences revealed five concepts for continuous midwifery-led care which included continuity, the process of care, education and informing, management, and professionalism. Each of these five concepts consisted of several categories. Conclusion and implication for practice according to the study participants, continuous midwifery-led prenatal, perinatal, and postnatal care is a multidimensional and important concept. Given the differences in the health infrastructures of different countries as well as the unique characteristics of pregnancy, higher priorities are recommended to be given to continuous midwifery-led care and its dimensions. [ABSTRACT FROM AUTHOR]

Call centers are a central coordination hub for remote health services and telemedicine. Recently, also telecare providers use call centers to support the remote care of seniors living independently. Although we know that the quality of the interaction between caregiver and senior care recipient is important, there is a gap in our knowledge as to how ICT solutions can support this interaction through a call center model. In this paper, we describe a case study of a modern call center designed to provide services for independent living, primarily for seniors. The case study gives us new insight into how service providers envision ICT support for independent living in the future. We discuss our findings from interviews, observations and design workshops in light of relevant literature about independent living and call centers. We conclude with a set of directions for future ICT for call centers to support independent living of seniors. These tools should: 1) support continuity of care instead of episodes of care, 2) support caregiving activities in addition to medical triage activities, 3) support 'technical caregiving' i.e. remote use, testing and maintenance of technology at home, and 4) support call center operators in leading ad hoc and emergent coordination in distributed teams. [ABSTRACT FROM AUTHOR]

Introduction: Child's hospitalization for surgery is a source of anxiety for the child and the family that persists for a long time after discharge. Therefore, it is necessary to provide appropriate solutions in this regard. This study aimed to investigate the effect of implementation of continuous care model on anxiety in mothers of children discharged from pediatric units of educational hospitals of Isfahan University of Medical Sciences in 2016. Materials and Methods: In this quasi-experimental study, 64 mothers of children hospitalized in surgical units were categorized in two groups (experimental and control). The intervention was a continuous care model including orientation, sensitization, follow up, and evaluation stages. We used Spielberg's Anxiety Questionnaire to assess mothers' anxiety before, 1 week, and 1 month after the intervention. Data were analyzed using descriptive statistics, (t-test and analysis of variance) using the Statistical Package for the Social Sciences version 16. Results: The results of the study showed that the mean anxiety scores of the experimental group were 58.9, 36, and 31.4, respectively, before, 1 week, and 1 month after the intervention (P < 0.001). These scores were 57.5, 55.8, and 49.7, respectively, for the control group. t-test results showed that the mean anxiety scores of the experimental group were significantly less than that of the control group at 1 week and 1 month after the intervention. Conclusions: Based on the results, use of the continuous care model led to a decrease in mothers' anxiety during their children's discharge from the pediatric surgery units. Therefore, we suggest the implementation of this model in pediatric units. [ABSTRACT FROM AUTHOR]

The main aspect for investigation at the foundation of this study is knowledge and understanding of continuous health care units as inter-organizational networks. Thus, a phenomenological methodology was adopted. Two major units of significance (themes) were identified: (1) obstacles in the continuous health care network related to difficult connection to the Hospital sector and (2) professionals lack of specific training. However, the main inferences and conclusions of this study refer to the importance of continuous care in the health and social service sectors. Some implications, limitations and suggestions for future investigation in the area of public management are also presented.

Background: The increasing digitalization of society is having an impact on medicine. People increasingly use digital devices and services for various purposes (e.g., sports, security, convenience). Ubiquity, a strong degree of connectivity and high context sensitivity are creating intelligent environments that generate data about individuals. Suitable evaluation algorithms can extract information about the personal health status that can be used for diagnostics and treatment. Gamification methods allow patients to be more actively involved in their recovery, which can have a positive effect on adherence. Particularly in the field of rehabilitation medicine, which often affects and interacts with the personal living environment, the use of this information can make a difference., Objective: Using specific examples of the application of assistive health technologies and intelligent environments in rehabilitation medicine, the current state of development is presented and the possible future research directions and needs for action in this field are presented in a practical way., Material and Methods: Three exemplary research projects introduce the topic, are embedded in the current state of research and allow a projection into the future against the background of many years of experience., Results: The reported projects show not only the technical feasibility but also individually the medical effectiveness of interventions., Conclusion: Finally, an analysis of the barriers that have so far prevented a more intensive use of the technologies and how these might be countered is carried out., (© 2022. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.)

Background The ultimate ambient-intelligent care room contains numerous sensors and devices to monitor the patient, sense and adjust the environment and support the staff. This sensor-based approach results in a large amount of data, which can be processed by current and future applications, e.g., task management and alerting systems. Today, nurses are responsible for coordinating all these applications and supplied information, which reduces the added value and slows down the adoption rate. The aim of the presented research is the design of a pervasive and scalable framework that is able to optimize continuous care processes by intelligently reasoning on the large amount of heterogeneous care data. Methods The developed Ontology-based Care Platform (OCarePlatform) consists of modular components that perform a specific reasoning task. Consequently, they can easily be replicated and distributed. Complex reasoning is achieved by combining the results of different components. To ensure that the components only receive information, which is of interest to them at that time, they are able to dynamically generate and register filter rules with a Semantic Communication Bus (SCB). This SCB semantically filters all the heterogeneous care data according to the registered rules by using a continuous care ontology. The SCB can be distributed and a cache can be employed to ensure scalability. Results A prototype implementation is presented consisting of a new-generation nurse call system supported by a localization and a home automation component. The amount of data that is filtered and the performance of the SCB are evaluated by testing the prototype in a living lab. The delay introduced by processing the filter rules is negligible when 10 or fewer rules are registered. Conclusions The OCarePlatform allows disseminating relevant care data for the different applications and additionally supports composing complex applications from a set of smaller independent components. This way, the platform significantly reduces the amount of information that needs to be processed by the nurses. The delay resulting from processing the filter rules is linear in the amount of rules. Distributed deployment of the SCB and using a cache allows further improvement of these performance results. [ABSTRACT FROM AUTHOR]