Application Of Comprehensive Nursing Intervention Research Articles

Application of comprehensive nursing intervention in preventing senile inpatients with debilitating syndrome.

Application of comprehensive nursing intervention in preventing senile inpatients with debilitating syndrome.

Effect of Perioperative Comprehensive Nursing Intervention on Transcatheter Arterial Chemoembolization in Patients with Primary Hepatic Carcinoma.

Objective To study and analyze the effect of perioperative comprehensive nursing intervention on transcatheter arterial chemoembolization (TACE) in patients with primary hepatic carcinoma (PHC). Methods One hundred and ten patients with PHC diagnosed in our hospital from May 2019 to January 2022 were randomly selected and divided into a control group (n = 55) and an observation group (n = 55) by random number sorting according to odd and even numbers. Patients in the control group received conventional nursing interventions and those in the observation group received comprehensive nursing interventions. The two groups were compared in terms of surgical status, quality of life (QoL), and nursing satisfaction. Results The operation time, postoperative bed rest time, and hospital stay in the observation group were significantly (P < 0.05) shorter than those in the control group; the observation group had significantly (P < 0.05) higher scores of quality of life, including somatic function, emotional function, role function, social function, and cognitive function than the control group; chemotherapy adverse reactions including fever, abdominal pain, urinary retention, and gastrointestinal reactions in the observation group were significantly less than those in the control group (P < 0.05); the total incidence of complications in the observation group was significantly (P < 0.05) lower than that in the control group. The total satisfaction with nursing care in the observation group was significantly (P < 0.05) higher than that in the control group. Conclusion The perioperative application of comprehensive nursing intervention in TACE for patients with PHC aids in the smooth operation, improves patients' QoL, lowers the risk of chemotherapy reactions and complications, and enhances patient satisfaction and nursing quality. These advantages justify a wider perioperative application of comprehensive nursing intervention in TACE clinical practice.

Application of comprehensive nursing intervention in acute treatment of patients with closed pelvic fracture combined with hemorrhagic shock.

Application of comprehensive nursing intervention in acute treatment of patients with closed pelvic fracture combined with hemorrhagic shock.

Application of comprehensive nursing intervention in perioperative nursing of esophageal cancer

Objective To explore the effect of comprehensive nursing intervention in perioperative nursing of esophageal cancer. Methods A total of 78 patients with esophageal cancer who were operated on in the Second Affiliated Hospital of Xi'an Jiaotong University from January 2016 to December 2018 were selected by purposive sampling method. All the selected patients were divided into control group and experimental group, with 39 cases in each. The control group received general routine nursing, while the experimental group received comprehensive nursing intervention during perioperative period. The satisfaction, complication rate, quality of life and anxiety state of the two groups were compared. Results After the intervention, the patients' satisfaction in the experimental group was higher than that in the control group, the incidence of complications was lower than that in the control group, the quality of life score was higher than that in the control group, the anxiety score was lower than that in the control group, and the differences were statistically significant (P<0.05) . Conclusions Comprehensive nursing intervention can reduce the incidence of complications, improve the quality of life and alleviate anxiety of patients after esophageal cancer surgery, which is worthy of clinical reference. Key words: Esophageal neoplasms; Perioperative; Quality of life; Comprehensive nursing intervention

Perioperative Nursing Care Experience of a Case of Postoperative Recurrent Grade II-I Left Frontal Astrocytoma

Objective: To investigate the effect and value of perioperative nursing intervention on postoperative recurrent grade II-I left frontal astrocytoma. Method: Nursing care procedures: left frontal lobe of the patient was occupied by a large space. Clinical teaching of nursing was strengthened. Preoperative, intraoperative and postoperative care and ward patrol were enhanced. Close attention was paid on consciousness, pupil, vital signs, body temperature, lungs condition, cranial and nerve function of the patient. Extra care was taken in keeping the incision clean and dry. Blood diffusion condition in wound was observed. Active cooperation with doctor was taken to prevent occurrence of pulmonary infection, urinary tract infection, pressure ulcer and other complication. Results: After operation, the patient had stable condition, clear mind and consciousness. There was no occurrence of epilepsy but intracranial hemorrhage. Pneumatosis was relieved. There was no infection and other complication. Conclusion: Application of comprehensive nursing intervention could effectively improve quality of life of patient and reduce incidence of postoperative complication in patients with brain tumor.

Analysis on Effects of Comprehensive Nursing Care Applied in Interventional Therapy for Patients with Liver Cirrhosis and Liver Cancer

This study aimed to investigate the effects of comprehensive nursing intervention in interventional therapy for patients with liver cirrhosis and liver cancer. Overall, 512 liver cirrhosis patients complicated with liver cancer receiving interventional therapy in the Department of Oncology of the Second Hospital of Dalian Medical University (Dalian, China) from March 2010 to March 2016 were retrospectively analyzed. Patients were divided into observation group (n=310) and control group (n=202). Comprehensive nursing intervention was applied to observation group and conventional nursing care was applied to control group. The degrees of satisfaction before and after nursing intervention, quality-of-life scores, incidences of postoperative complications and survival rates at 20 months after operation of the two groups were compared. The degree of great satisfaction in observation group was significantly higher than that in control group (P<0.001). The quality-of-life scores of the patients in observation group were obviously higher than those in control group (P<0.001). The incidence of postoperative complications in observation group was significantly lower than that in control group (P<0.001). The survival rates in observation group was significantly higher than that in control group (P=0.035). The application of comprehensive nursing intervention in the interventional therapy for liver cirrhosis and liver cancer can notably improve the life quality of the patients, lower the incidence of postoperative complications and increase the survival rate, which is worthy of clinical popularization and application.

Comprehensive nursing intervention combined with routine nursing care in patients with ICU blood purification and its effect on prognosis

Objective To explore the effect of comprehensive nursing intervention combined with routine nursing in patients with severe ICU (intensive care unit) blood purification and its influence on prognosis. Methods From April 2014 to March 2017, 82 patients with ICU blood purification admitted to the hospital were selected and randomly divided into two groups with 41 cases each.Patients in the control group were treated with routine nursing, and patients in the research group were treated with combined comprehensive nursing intervention.The nursing effect and prognosis of the two groups were compared. Results After treatment, the indexes of MAP, HR, Scr, BUN, AST and ALT of the study group were significantly better than those of the control group, with statistically significant differences (P>0.05). APACHE Ⅱ score all time points of the study group were significantly better than the control group, and the differences were statistically significant (P<0.05). Conclusions The combined application of comprehensive nursing intervention and routine nursing in patients with severe ICU blood purification is conducive to improving the nursing effect and improving the prognosis of patients. Key words: Comprehensive nursing intervention; Routine nursing care; ICU; Blood purification; Prognosis

Effect of comprehensive intervention on perioperative delirium in elderly patients with hip fracture

Objective To study the effect of comprehensive intervention on perioperative prevention of delirium in elderly patients with hip fracture. Methods According to the random number table method, 82 cases of elderly patients with hip fracture undergoing surgery from April 2016 to December 2017 in our hospital were divided into control group and experimental group. The patients in the control group received routine orthopedic nursing interventions, and the patients in the experimental group were given comprehensive nursing intervention on the basis of routine care. The perioperative delirium, complications and hospitalization time of the two groups were investigated.The changes of pain and sleep quality before and after intervention were observed. Results The incidence of delirium before discharge in the experimental group was lower than that in the control group, and the difference was statistically significant (P<0.05). In the experimental group, the first and last delirium severity score (DRS), duration of delirium and hospitalization time were lower than those in the control group, and the differences were statistically significant (P<0.05). The visual analogue scale (VAS) and Pittsburgh sleep quality index (PSQI) score of the experimental group were lower than those of the control group after intervention, and the differences were statistically significant (P<0.05). Conclusion Perioperative application of comprehensive nursing intervention in elderly patients with hip fracture can help to reduce and prevent the occurrence of delirium, shorten the length of hospital stay, reduce the risk of complications, reduce the degree of pain and improve the quality of sleep. Key words: Elderly hip fracture; Perioperative period; Comprehensive intervention; Delirium

Application of comprehensive nursing intervention in preventing complicated sympathetic storms in patients with acute myocardial infarction by coronary intervention

Objective To explore the effect of comprehensive nursing intervention in the prevention of sympathetic storms in patients with acute myocardial infarction. Methods A total of 101 cases of patients with acute myocardial infarction who underwent coronary intervention in our hospital from June 2014 to June 2017 were selected as the subjects of this study.All the patients were divided into control group(n=50) and observation group(n=51) by random number table method.The control group was treated with routine perioperative care, and the observation group was given comprehensive nursing intervention on the basis of routine nursing.The improvement of mood state, adverse reaction and sympathetic storm were evaluated and compared in different stages between the two groups. Results There was no significant difference in the scores of negative emotions (SAS, SDS) between the two groups (P> 0.05). SAS and SDS of control group had no significant change during hospitalization, 20 minutes before surgery and 24 hours after surgery.SAS and SDS scores of the observation group were lower than those of the control group 20 minutes before surgery and 24 hours after surgery.The difference had statistical significance (P<0.05). After nursing, the occurrence rate of sympathia storm risk events such as elevated blood pressure, tachycardia, pulse elevated and stenocardia of the observation group during perioperative period were lower than those of the control group, and the differences were statistically significant(P<0.05). During perioperative period, the incidence of sympathetic storm in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05). Conclusions Comprehensive nursing intervention has a significant effect on the prevention of coronary intervention in patients with acute myocardial infarction.It can effectively adjust the emotional state of patients, reduce blood pressure and heart rate fluctuation, reduce the incidence of sympathetic storm, and improve surgical prognosis. Key words: Acute myocardial infarction; Comprehensive nursing intervention; Coronary intervention; Sympathetic storm

Application of comprehensive nursing intervention in the intravenous thrombolysis and arterial embolectomy of aged patients with acute myocardial infarction

Objective To explore the application effect of comprehensive nursing intervention in the intravenous thrombolysis and arterial embolectomy of aged patients with acute myocardial infarction. Methods Totally 72 cases of aged patients with myocardial infarction admitted in our hospital from September 2013 to September 2015 were selected as the research object. Patients were divided into the control group and the study group by random number table method, with 36 cases in each group. Patients in the study group received comprehensive nursing in intravenous thrombolysis, while patients in the control group received routine nursing. The nursing effect was compared between two groups. Results The incidence rate of complications in the study group was 1.11%, and it was significantly lower than 30.56% in the control group (P<0.05) ; the time from admission to thrombolysis in the study group was shorter than that in the control group (P<0.05) . Conclusions Comprehensive nursing intervention in the intravenous thrombolysis and arterial embolectomy of aged patients with acute myocardial infarction can significantly shorten the time from admission to thrombolysis, and reduce the incidence of adverse reactions, so it is worth promoting. Key words: Aged; Acute myocardial infarction; Intravenous thrombolysis; Arterial embolectomy; Comprehensive nursing

Application of comprehensive nursing intervention to improve mothers breastfeeding skill in China

Application of comprehensive nursing intervention to improve mothers breastfeeding skill in China

Application of comprehensive nursing intervention on the management of blood su-gar of the patients with insulinoma

Objective To explore the application value of comprehensive nursing intervention on the management of blood sugar of the patients with insulinoma. Methods A total of 50 cases of patients with insulinoma in our hospital from August 2010 to December 2015 were selected as the research objects and were divided into observation group and control group according to their orders of admission, 25 cases in each group.The control group received conventional nursing intervention, while the observation group received comprehensive nursing intervention.The mean of blood sugar for 24 hours, the standard deviation, the maximum of blood sugar, the minmum of blood sugar, the maximum amplitude range, the occurance of hypoglycemia and the duration time of the two groups were recorded by CGMS. Results The average blood sugar of the observation group was (4.94±1.39)mmol/L, which was significantly higher than that (t=4.263, P<0.05)of the control group.The standard deviation and the maximum amplitude range of the observation group was (1.36±0.45) and (6.58±3.14)mmol/L respectively, which were signicantly lower than that of the control group(t=4.179、6.924, P<0.05). Conclusion The blood sugar can be better controlled by providing comprehensive nursing intervention to insulinoma patients on the basis of conventional nursing. Key words: Insulinoma; The management of blood sugar; Comprehensive nursing intervention; Hypoglycemia

Application of comprehensive nursing intervention in children with severe burns

Objective To investigate the effect of comprehensive nursing intervention and evaluate its role in the entire clinical course of in the treatment of children with severe burns. Methods A total of 60 children with 1-5 years old with clinical diagnosis of severe burns were randomly divided into experimental group and control group by random digits table method, 30 cases in each group. The control group received routine burn care. The experimental group received comprehensive nursing interventions on the basis of routine burn care and the intervention time covered the entire course of treatment. During hospitalization, the recovery and family social system were evaluated by anxiety scales and social support scales combined with the cure rate and hospitalization of children. Results Before intervention, the score of Anxiety Rating Scale was high in both groups of families, while Social Support Scale was lower, the difference was not statistically significant between the two groups (P>0.05). After intervention, the score of Anxiety Rating Scale and was Social Support Scale were (52.31±7.81), (31.52±5.48)points in the experimental group, and (62.51±6.52), (23.62±5.62) points in the control group, and there were significant differences (t=5.491 3, 5.512 5, P<0.01). The length of stay was (18.34±3.58) d in the experimental group, and (21.82±4.23) d in the control group, and there was significant difference(t=3.439 6, P<0.05). The cure rate was 93.33% (28/30) in the experimental group, and 56.67%(17/30) in the control group, and there was significant difference(χ2=10.755 6, P<0.05). Conclusions The comprehensive nursing intervention can provide comprehensive refinement of the overall care in children and their families, promote physical and psychological rehabilitation of children with severe burns, and repair their family and social support systems. The comprehensive nursing intervention has far-reaching implications for the rehabilitation of children with severe burns. Key words: Comprehensive nursing intervention; Children with severe burns; Anxiety Rating Scale; Social Support Scale

Application of comprehensive nursing intervention on locking plate internalfixation to cure elderly with intertrochanter fracture of femur

Objective To explore the application of comprehensive nursing intervention on locking plate internal fixation to cure elderly intertrochanter fracture of femurand its clinical efficacy.Methods Eighty elderly participated during the period of October 2011 to October 2012 and had been divided into two groups randomly on average：experimental group and control group.The control group was given routine care while the experimental group accepted comprehensive nursing intervention, and then we compared two group ’ s clinical efficacy and nursing satisfaction.Results The percent of goodrate were 90.0%for clinical efficacy and 95.0%for nursing satisfaction in the experimental group, which were higher than the control group; and the postoperative complications were 12.5%, less than the control group, the differences were statistically significant （χ2 =4.02,4.59,5.16, respectively;P〈0.05）.Conclusions Perioperative period comprehensive nursing intervention can contribute clinical efficacy and nursing satisfaction and decrease complications during period of elderly utilized locking plate internalfixation. Key words: Elderly; Intertrochanter fracture of femur; Plate internalfixation; Comprehensive nursing intervention

The effect of comprehensive nursing intervention on the operation response and sat-isfaction of patients with tubal dredge surgery

Objective To investigate the clinical application of comprehensive nursing intervention on patients with tubal dredge surgery and observe the operation response and patients＇and satisfaction. Methods From January 2013 to February 2013 in our hospital 120 patients with tubal dredge surgery were randomly divided into the experimental group and the control group. Patients in the control group re- ceived routine postoperative nursing, the comprehensive nursing intervention was adopted in the experimental group. Anxiety, pain and satis- faction were compared between two groups. Results There were statistically significant differences in postoperative pain levels and patients＂ satisfaction after operation. After intervention anxiety level of the two groups was significantly decreased, that of the experimental group was more significant （ P 〈 0.05 ） . Conclusions Comprehensive nursing intervention can improve the patientsj operation respond and satisfaction. Key words: Comprehensive nursing intervention; Tubal dredge surgery; Operation respond; Satisfaction

Application of nursing intervention in the treatment of neonatal respiratory distress syndrome through continuous pressuring oxygen using the stuffy nose device of the simply nasal continuous positive airway pressure

Objective To explore the clinical efficacy of application of comprehensive nursing intervention in the treatment of neonatal respiratory distress syndrome (NRDS) through continuous pressuring oxygen using the stuffy nose device of the simply nasal continuous positive airway pressure (CPAP). Methods Ninety-two NRDS children from September 2012 to April 2013 were chosen and were divided into the control group and the observation group according to the retrospective analysis, each with 46 cases. The control group received the continuous pressuring oxygen using the stuffy nose device of the simply nasal CPAP, and the observation group received the comprehensive nursing intervention on the basis of the control group. The results of blood gas, the improvement time of chest X-ray, hospitalization time and the occurrence of complications were compared between two groups. Results The PaO2 was (10.96±2.37) kPa in the observation group, and was higher than (8.79±2.41) kPa in the control group; the PaCO2 was (5.32±1.04) kPa in the observation group, and was lower than (6.42±1.10) kPa in the control group, and the differences were statistically significant (t=4.253, 4.702, respectively; P<0.05). The improvement time of chest X-ray and hospitalization time were respectively (1.22±0.23), (10.07±1.19) d in the observation group, and were (3.25±0.41), (18.25±1.21) d in the control group, and the differences were statistically significant (t=5.052, 4.875, respectively; P<0.05). The incidence rate of complication was 10.87% in the observation group, and was 30.43% in the control group, and the difference was statistically significant (χ2=4.326, P<0.05). Conclusions Application of the continuous pressuring oxygen using the stuffy nose device of the simply nasal CPAP is very effective in treating the NRDS, and can quickly improve the clinical symptoms in children after the comprehensive nursing intervention, and can shorten the rehabilitation time, and increase the safety, and was worthy of clinical promotion and application. Key words: Neonatal respiratory distress syndrome; Stuffy nose; Nasal continuous positive airway pressure; Nursing intervention

Application of comprehensive nursing intervention in patients with non-muscle invasive bladder transitional cell carcinoma

Objective To find out the efficacy of postoperative care of patients with non-muscle invasive bladder transitional cell carcinoma and to provide effective interventions for the treatment and rehabilitation of patients after surgery .Methods 109 patients with non-muscle invasive bladder transitional cell carcinoma were randomly divided into the observation group （59 cases） and the control group （50 cases）.The control group was cared with the measures included postoperative general nursing intervention , bladder irrigation, intravesical chemotherapy , postoperative complication nursing .Based on these nursing interventions , the observation group was treated with integrated care measures .Patients’ quality of life, mental state and depression were assessed by the Short Form 36 （ SF-36 ） , Self-rating Anxiety Scale （ SAS ） and Self-rating Depression Scale （ SDS）, respectively.Nursing satisfaction was investigated by self-made questionnaire. Results Two groups of patients were successfully operated .The postoperative follow-up period was （ 26 .1 ±7.8） months.Recurrence rate of the observation group and the control group were 20.3%（12/59） and 18.0%（9/50）, respectively, showed no significant difference （χ2 =1.237,P〉0.05）.Postoperative incidence of adverse events of observation group and the control group were 25.4% （15/59） and 30.0% （15/50）, respectively, showed no significant difference （χ2 =2.301,P〉0.05）.The SF-36 scores of TH, RP, MH, VT, RE, SF for the observation group were significantly higher （ t =4.596,5.028,5.137,5.918,7.009, 6.402, respectively;P〈0.05） than those in the control group .After integrated care measures , the SDS and SAS scores of both groups were significantly lower than before （t=5.891,4.013, respectively;P〈0.05）.And the SDS and SAS scores in the observation group were significantly lower than those in the control group （ t=3.815,4.202, respectively;P〈0.05）.Satisfaction with nursing for the observation group was 93.2%（55/59） and 72.0% （36/50） for the control group.There was a significant difference （U =4.716,P 〈0.05）. Conclusions Integrated care measures can effectively improve the quality of life , mental status, and nursing satisfaction of patients with non-muscle invasive bladder transitional cell carcinoma after surgery . Key words: Non-muscle invasive bladder cancer; Comprehensive nursing intervention; Quality of life; Nursing satisfaction

Application of comprehensive nursing intervention based on protection motivation theory in community elderly patients with hypertension

Objective To apply the nursing intervention based on the protection motivation theory in community elderly patients with hypertension , in order to establish a health behavior and to control bloodpressure and enhance better quality of life .Methods Using the random number table method , 144 elderly patients with hypertension were randomly divided into control group and intervention group .The intervention group received comprehensive nursing intervention based on protection motivation theory .The physiological index, health behavior and the scores of protection motivation questionnaire for elderly patients with hypertension were compared between the control group and the intervention group .Results Before the intervention , the physiological index , health behavior and the scores of protection motivation questionnaire for elderly patients with hypertension between groups had no significant difference （P〉0.05）.For the intervention group after 6-month-intervention, the systolic blood pressure was（ 136.85 ±15.32 ） mmHg, the diastolic blood pressure was （80.78 ±10.54） mmHg, the cholesterol level was （4.49 ±0.83） mmol/L, the score of self-efficacy was （18.03 ±1.75） and the score of susceptibility was （18.32 ±3.04）.Those values and scores in the control group were （139.28 ±13.44）mmHg, （89.25 ±8.78） mmHg, （5.33 ±0.91） mmol/L, （7.24 ±1.04）, （16.82 ±1.97） and （16.56 ±4.22）.The differences between groups were statistically significant （t=1.35, 5.17, 4.98, 3.36, 3.69, 2.11, respectively;P 〈0.05 ）.After 6 months of comprehensive nursing intervention , the physiological index , health behavior and the scores of protection motivation questionnaire for elderly patients with hypertension were statistically significant （ P 〈0.05）.Conclusions Comprehensive nursing intervention based on protection motivation theory can promote the health behavior of community elderly hypertensive patients and can effectively control high blood pressure and improve patients ’ quality of life. Key words: Elderly; Hypertension; Community nursing; Protection motivation theory; Comprehensive nursing intervention

Effect of comprehensive nursing intervention on clinical efficacy of the combination of PCI and tirofiban in patients with acute STEMI

Objective To investigate and discuss the clinical efficacy and nursing experience of the combination of tirofiban and percutaneous coronary intervention (PCI) in patients with acute ST-segment elevation myocardial infarction (STEMI).Methods A total of 80 patients with acute STEMI who had undergone the combination of PCI and tirofiban in our hospital were selected and randomly divided into the control group (routine nursing) and the observation group (comprehensive nursing intervention),with 40 patients in each group.The blood flow perfusion thrombolysis in myocardial infarction trial (TIMI)classification,the resolution of ST-segment,and complications in the two groups were observed and compared.Results The effect rate of blood perfusion in the observation group was significantly higher that in the control group (95.0％ vs 65.0％),and the difference was statistically significant (x2 =11.25,P ＜ 0.05).The resolution rate of ST segment obviously increased in the observation group compared with the control group (85.0％ vs 65.0％),and the difference was statistically significant (x2 =4.27,P ＜ 0.05).The incidence of complications was significantly decreased in the observation group compared with the control group (7.5％ vs 25.0％),with statistical difference between the two groups (x2 =4.50,P ＜ 0.05).Conclusions For patients with acute STEMI who had undergone the combination of PCI,the effective application of comprehensive nursing intervention in the perioperative period can significantly improve the clinical efficacy and reduce the incidence of complications,which should be worthy of clinical promotion. Key words: Percutaneous coronary intervention; Nursing; Tirofiban; Myocardial infarction