Comfortable Nursing Research Articles

Application Effect Analysis of Comfortable Nursing Mode in Nursing Care of Elderly Patients with Pulmonary Heart Disease

Application Effect Analysis of Comfortable Nursing Mode in Nursing Care of Elderly Patients with Pulmonary Heart Disease

Application of comfort nursing combined with psychological intervention in the treatment of emergency medical patients

Objective This study's goal is to evaluate how psychological counseling and comfort nursing improve the treatment of ER patients. Between July 2019 and December 2020, 66 emergency medical patients were admitted to our hospital, and were divided into two groups: a study group (psychological intervention combined with comfort nursing, n=33 cases) and a control group (conventional nursing, n by means of a random number table) = 33 cases. Results Before breastfeeding, the two groups' self-rating depression scale (SDS) and self-rating anxiety scale (SAS) scores were compared.) After nursing, patients in the study group had a lower SDS and SAS score than those in the control group, which was statistically significant (P0.05). Combining psychological intervention with comfort nursing may help patients improve their mood while increasing nursing satisfaction and nursing effect.

Observation on the Effect of Comfortable Nursing in ICU Patients with Severe Infection

<p>Objective: this article aims to explore the effect of comfortable nursing in ICU patients with severe infection. Methods: from January 2018 to January 2019, 44 patients with severe infection were selected as research objects. They were randomly divided into observation group (n=22) and control group (n=22). The control group was given routine nursing, while the observation group was given comfortable nursing on the basis of the control group. Pittsburgh Sleep Quality Index (PSQ1), Self-rating Anxiety Scale (SAS) and the incidence of adverse reactions were observed and compared between the two groups before and after intervention. Results: the PSQI score and SAS score of the patients in the observation group were lower than those in the control group. The incidence of adverse reactions in the observation group was 4.59%, which was significantly lower than that in the control group (27.27%), and the difference between the two groups was statistically significant (P<0.05). Conclusion: comfortable nursing intervention for ICU patients with severe infection can obviously improve their sleep quality and negative emotions, and reduce the incidence of adverse reactions during hospitalization, which has clinical application value.</p>

Application of Comprehensive Nursing Combined with Comfortable Nursing in Peptic Ulcer Bleeding

Application of Comprehensive Nursing Combined with Comfortable Nursing in Peptic Ulcer Bleeding

Application of comfort nursing intervention in the nursing of senile chronic heart failure and its impact on the satisfaction of patients' nursing

Objective To explore the application of comfort nursing intervention in nursing care of elderly patients with chronic heart failure and its impact on patients' satisfaction with nursing. Methods A total of 108 patients with chronic heart failure admitted to this hospital from May 2017 to May 2018 were selected as the research objects.The patients were divided into comfort group and routine group according to the odd and even number of the end of hospitalization, 54 patients in each group.Conventional nursing mode was applied in the conventional group and comfortable nursing mode was applied in the comfortable group.After nursing intervention, the self-care ability and nursing satisfaction of the two groups were compared. Results The total score of self-care ability evaluation in the comfort group was significantly higher than that in the conventional group(P<0.05), and the scores of self-care skill, self-care consciousness, self-care concept and health knowledge were all higher than that in the conventional group(P<0.05). The nursing satisfaction of patients in the comfort group was significantly higher than that in the conventional group(P<0.05). Conclusions The application effect of comfort nursing intervention in the nursing of elderly patients with chronic heart failure is satisfactory, which can effectively improve patients' self-care ability, increase patients' trust in nursing staffs, and improve nursing satisfaction. Key words: Comfort nursing; Elderly patients; Chronic heart failure; Nursing satisfaction

The application effect of comfort nursing in the treatment of aged patients with permanent cardiac pacemaker

Objective To investigate the effect of comfort care on the complication rate of permanent cardiac pacemaker in elderly patients. Methods A total of 66 elderly patients undergoing permanent pacemaker implantation from August 2017 to August 2018 were selected as the study subjects.The patients who met the requirements of the study were numbered and randomly grouped by random sampling according to the order of admission, 33 patients with single number were enrolled in the control group and 33 patients with double number were enrolled in the study group.Patients in the control group received routine nursing, while patients in the study group received comfortable nursing.Anxiety and depression, quality of life and complications were compared between the two groups before and after nursing intervention. Results The complication rate of the study group was significantly lower than that of the control group(P<0.05). After cardiac pacemaker implantation and nursing intervention, the psychological state of patients in both groups was significantly improved, and the improvement in the study group was significantly better than that in the control group (P<0.05). The scores of PF, RP, BP, GH and VT in the study group were higher than those of the control group(P<0.05). Conclusions Comfort nursing is effective in the treatment of elderly patients with permanent cardiac pacemaker, which can effectively reduce the complication rate and promote the improvement of patients' psychological state and quality of life. Key words: Elderly patients; Pacemaker; Comfortable nursing; Complication

Care of Breast in Pregnant and Lactating Females

Abstract Background Brest feeding is an important process that’s not only important for baby nutrition but also it strengthens the relation between the mother and her baby. Female breast undergoes multiple physiological changes during pregnancy and lactation.if the female not well educated about them and how to deal with them it will be a source of great horror to the female and her family as they consider any pain or unknown change in the breast as cancer until proved otherwise. Objective To assess breast care during pregnancy and its preparation for lactation and the value of this care in preventing breast infection. Patients and Methods This is a prospective study included 85 female patients coming to breast clinic and obstetric clinic of El Demerdash Hospital from September 2017 to August 2018. 40 of them presented during the third trimester of their pregnancy and the remaining 45 presented during lactation period. Sixty –three of them were multipara, the others were primigravida. Thirty of them gave a history of problems with previous lactation. Results In our research, females who came and were followed during pregnancy were educated about the importance of breast feeding to the baby and to the mother during their visits to the obstetric clinic. They were taught how to take care of their breast preparing it for safe and comfortable nursing. 35% of them were previously suffered from breast engorgement in previous lactation but when they followed our instructions about 27% of them developed breast engorgement which relieved rapidly without progressing to further complications. Also 5% previously developed breast abscess which was avoided in current study. We had also two of our participants that had retracted nipple one of them had previous experience of lactation that stopped shortly after birth but when we reassure her and learn her how to prepare her nipples by gentle massage, lubricants and use of plastic shells after delivery she could overcome her problem and continue breast feeding. Females who came during lactation were not prepared properly during pregnancy and 44% of them suffered from breast engorgement which was relieved with proper management but one of them developed breast abscess. Conclusion Every female have to learn about the right position of nursing and how to make proper care of her breasts and when she has to seek medical advice. This will help her to adapt the act of nursing and overcome any annoying problem that she may face during this period.

Effects of comfort nursing interventions on clinical effects and negative emotions in patients receiving transurethral plasmakinetic resection of the prostate

Objective To explore the effects of comfort nursing interventions on clinical effects and negative emotions in patients receiving transurethral plasmakinetic resection of the prostate (PKRP) . Methods A total of 94 patients with benign prostatic hyperplasia (BPH) were selected and randomized into a control group (n=47) and an observation group (n=47) from May 2013 to June 2015. All the patients received PKRP. Patients in the control group received conventional nursing care, while patients in the observation group received perioperative comfort nursing interventions in addition to conventional nursing. The changes in the patients' blood pressure and heart rate were detected; SAS and SDS were used to evaluate their anxiety and depression levels post operation; relevant clinical indicators were measured and compared between the two groups to evaluate their short- and long-term clinical effects; and the incidence of complications and satisfaction were compared between the two groups. Results Compared with control group, the systolic pressure, diastolic pressure, average arterial pressure and heart rate of the oberservation group were lower, and SAS and SDS scores in the patients of the oberservation group were lower postoperatively (P<0.05) . The time of bladder irrigation, catheter indwelling, operation and hospital stay was shortened in the patients in the observation group as compared to the control group (P<0.01) . International prostate symptom score (IPSS) and residual urine volume decreased 3 months post operation, while the maximum urine flow rate and quality of life score (QLS) increased compared with preoperative conditions (P<0.05) . The satisfaction and the incidence of complications following nursing interventions were 95.74% and 12.77% for the patients in the observation group and 78.72% and 40.43% for the patients in the control group, respectively (P<0.05) . Conclusions Comfort nursing interventions can improve the psychological state of PKRP patients, enhance their short-and long-term effects and satisfaction, and reduce the incidence of related complications. Key words: Urological surgery; Anxiety; Depression; Comfort nursing; Clinical effects; Complication; Transurethral plasmakinetic resection of the prostate

Impact of Comprehensive Nursing on Proximal Humeral Fracture Treated with Locking Plate through Subacromial Small Incision

Objective:Probe into the impact of comprehensive nursingintervention on clinical efficacy of 45 cases of patients withproximal humeral fracture treated with locking plate throughsubacromial small incision. Method: equally divide 90 cases ofpatients with proximal humeral fracture into an observation groupand a control group in a random manner. Both of the two groupswere treated with locking plate through subacromial small incision.Give routine orthopedic nursing to the control group, whileimplementing comprehensive nursing intervention on the basis ofroutine orthopedic nursing to observation group, including mentalintervention, comfortable nursing, recovery nursing, etc. Comparethe nursing efficacy of the two groups. Result: operations werecompleted in small incision to cases of both groups. By adoptingConstant scoring method and ASES and through statisticaltreatment, the differences in blood loss, operation time andduration of postoperative pain of patients with those applyingtraditional internal plate fixation, replacement of the humeral headand treatment with locking plate through deltoid &amp; pectoralismajor have statistical significance (P ＜ 0.05). The duration ofpostoperative pain of patients is shortened and the blood loss isless. Conclusion: implementing the comprehensive nursingintervention to patients with proximal humeral fracture treatedwith locking plate through subacromial small incision can improvethe treatment effect, alleviate the postoperative pain, lower theoccurrence rate of complications, and improve prognosis as well aslife quality. The clinical effect is satisfying.

Effect of comfort-care theory on improving quality nursing in post-anesthesia care unit

Objective To explore methods and effects of implementing comfort nursing care in post-anesthesia care unit by using relative theories of comfort nursing. Methods In anesthesia recovery period, a series of comfort-care measures were conducted to the patients, including nursing care with improved position, relieving postoperative dry mouth by spraying lemonade, protecting body temperature and health education on early post-operation pain, and many others. Results Satisfaction of patients, anesthesiologists and surgeons were significantly improved after developing comfort nursing care in post-anesthesia care unit. Conclusions Development of comfort nursing care in post-anesthesia care unit can improve comfort degree of patients in anesthesia recovery period, reduce their psychological issues like fear and anxiety, improve their satisfaction and promote postoperative recovery. Key words: Post-anesthesia care unit; Comfort nursing care; Quality nursing

Analysis of pain control status and influencing factors in patients with silicone drainage tube after endoscopic sinus surgery

Objective To investigate the degree of pain, pain control and influencing factors of patients with silicone drainage tube after endoscopic sinus surgery, so as to provide the basis for the management of pain and comfort nursing. Methods From March to August in 2016, 102 patients undergone endoscopic sinus surgery were selected as the research objects. They were treated with silicone drainage tube within 48 h after operation. The patient's pain status and its influencing factors were assessed by the Brief Pain Scale (BPI) at 24 h and 48 h after operation. Results In 24-48 h after surgery, the most degree of pain, the lightest degree of pain, the average degree of pain, the exist degree and the overall degree of pain were significantly reduced than those in 24 h after surgery, and the differences were statistically significant (t=3.446, 4.790, 5.413, 4.758, 5.374; P<0.05) ; In 24-48 h after the surgery, the pain impact on daily life, mood, work, sleep and overall effects were significantly reduced than those in 24 h after the surgery, and the differences were statistically significant (t=2.729, 2.912, 3.260, 2.080, 2.702; P < 0.05) ; 24-48 h after operation, the overall pain state of patients with patient-controlled analgesia (PCA) (2.15±1.69) was significantly lower than that patients who did not receive the PCA (3.26±1.94) , and the difference was statistically significant (t=2.871, P=0.005) . Conclusions The pain nursing of the patients with silicone tube should not be neglected, especially in 24 h after surgery nurses should strengthen the assessment and management of pain, and pay attention to the impact of pain; For pain control, we should not use single control mode, but should focus on exploring various ways to control pain. Key words: Pain; Functional endoscopic sinus surgery; Silicone tube

A nursing protocol targeting risk factors for reducing postoperative delirium in patients following coronary artery bypass grafting: Results of a prospective before-after study

ObjectiveThe results of postoperative delirium (POD) warrant testing for prevention. The purpose of this study was to determine whether a nursing intervention targeting risk factors could decrease the incidence of POD among patients who had coronary artery bypass grafting (CABG) in China. MethodsA prospective before-after study was conducted between April 2014 and April 2015. A nursing delirium intervention protocol targeting risk factors for delirium was performed for 141 patients undergoing CABG in a cardiothoracic ICU from November 2014 to April 2015. Intervention consisted of screening for delirium risk factors, followed by targeted risk factor modification, including pain control, early catheter removal, patient orientation using the 5W1H procedure, increased family visits, minimizing care-related interruptions, comfortable nursing and monitoring for sleeping difficulties. Outcomes of the Intervention Group were compared with those of the Control Group for 137 CABG patients from April 2014 to October 2014. Delirium was assessed using the confusion assessment method for the intensive care unit (CAM-ICU). The sample size was justified by PASS2000, based on previous data of delirium incidence in our institution (30%). Main resultsDelirium incidence during the first seven postoperative days was significantly lower in the Intervention Group at 13.48% (19/141) vs. 29.93% (41/137) for the Control Group (χ2 = 11.112, P = 0.001). In addition, POD in the Intervention Group occurred between the 3rd and 6th postoperative days, while POD in the Control Group mainly occurred on the first three days postoperatively. Delirium in the Intervention Group occurred later than delirium in the Control Group (χ2 = 12.743, P < 0.001). Length of ICU stay was reduced significantly (Z = −6.026, P < 0.001). ConclusionThe application of a nursing protocol targeting risk factors in this study seems to be associated with a lower incidence of POD in patients after CABG. This finding suggests that managing the predictors properly is one of the effective strategies to prevent delirium.

Comfortable nursing during the perioperative period for patients undergoing laparoscopic-assisted radical left colectomy transanal specimen extraction

Objective To probe into the perioperative comfortable nursing methods after laparoscopic-assisted natural orifice sampling in radical operation for left colorectal cancer. Methods The study summarized the experiences of comfortable nursing during the perioperative period for 31 patients who underwent the laparoscopic-assisted radical left colectomy transanal specimen extraction with the Cai Tube.The key points of the comfortable nursing included the regular care during the perioperative period, preoperative psychological nursing, sufficient preoperative anal sphincter exercises and preparation for bowel, comfortable nursing for anal function and gastrointestinal tract and intensive education and follow-up services after discharge and so on. Results Complications such as great vascular, intestinal and parenchyma organ injuries, as well as intraoperative transfer to open surgery were not seen in the 31 cases of patients receiving LA-NOSE. All the patients had excellent postoperative recovery, with no incision complication or anus function injury, and they were discharged after rehabilitation. Conclusion LA-NOSE combined with conventional nursing and comfortable nursing can obtain satisfying clinical nursing quality. Key words: Natural tract specimens; Cai Tube; Radical left colectomy; Cooperation in the surgery; Comfortable nursing

A novel fecal stable isotope approach to determine the timing of age-related feeding transitions in wild infant chimpanzees.

Determining nutritional development in wild primates is difficult through observations because confirming dietary intake is challenging. Physiological measures are needed to determine the relative contributions of maternal milk and other foods at different ages, and time of weaning. We used fecal stable carbon and nitrogen isotopes (δ13 C, δ15 N) and fecal nitrogen concentrations (%N) from wild chimpanzees at Ngogo, Uganda, to derive physiological dietary indicators during the transition from total reliance on maternal milk to adult foods after weaning. We analyzed 560 fecal samples collected non-invasively from 48 infants, their mothers, and 6 juvenile siblings. Most infant and juvenile samples (90%) were matched to samples collected from mothers on the same day. Isotopic assessments were compared with observations of nursing and feeding. Infants ≤1 year old showed average δ15 N, δ13 C and %N ratios that were 2.0‰, 0.8‰ and 1.3% greater than their mothers, respectively, interpreted as trophic level effects. Although data collected on newborns were few, results suggest that solid foods were consumed within 2-5 months after birth. Trophic level differences decreased steadily after 1 year, which indicates a decreasing relative contribution of milk to the diet. Isotopic results indicated infants were weaned by 4.5 years old-more than a year earlier than observations of nipple contacts ceased, which revealed the occurrence of "comfort nursing." Juvenile isotopic signatures indicate no nursing overlap between siblings. Our results resemble the stable isotope differences of human babies. This study contributes to a model of chimpanzee nutritional development required to understand early life history patterns in hominins.

Effects of Clark comfortable nursing mode on self efficacy and quality of life in hospitalized patients with stroke

Objective To explore the effects of Clark comfortable nursing mode on self efficacy and quality of life in hospitalized patients with stroke. Methods This research selected 100 hospitalized patients with stroke in recovery period in department of neurology at a hospital where the author was. They were divided into control group (50 cases, usual nursing) and observation group (50 cases, Clark comfortable nursing mode) according to nursing mode. The self efficacy, quality of life, and degree of satisfaction was compared in patients of two groups on admission and 6 months after nursing care. Results The score of self efficacy (33.04±5.09) of patients in observation group was higher than that (26.73±4.75) in control group with a significant difference (t=3.726, P=0.015); the score of quality of life (40.80±5.72) of patients in observation group was higher than that (35.41±5.53) in control group with a significant difference (t=4.210, P<0.001); the degree of satisfaction (96.00%) of patients in observation group was higher than that (74.00%) in control group with a significant difference (P=0.007). Conclusions The Clark comfortable nursing mode applied to the nursing care of hospitalized patients with stroke not only can improve patients′ self efficacy and quality of life, but also can increase the degree of satisfaction of patients. Key words: Clark comfortable nursing; Self efficacy; Quality of life

Observation of Comfort Nursing in Patients with Acute Myocardial Infarction

&lt;p&gt;&lt;strong&gt;Objective:&lt;/strong&gt; To observe the effect of comfort nursing intervention in bedridden patients with acute myocardial infarction. &lt;strong&gt;Methods:&lt;/strong&gt; 96 cases of acute myocardial infarction in our hospital were randomly divided into control group and observation group. In the control group, 48 cases were treated with routine nursing intervention, while bedridden patients in the observation group were given comfort nursing intervention. Comfort index and complications of two groups were observed and compared with the postoperative comfort index and complications. &lt;strong&gt;Results:&lt;/strong&gt; The effect of patients with comfort care in observation group obviously interferes with the effect of routine nursing. The incidence of complications and mortality were significantly lower. The two groups had statistical significance (&lt;em&gt;p&lt;/em&gt; &amp;lt; 0.05). &lt;strong&gt;Conclusion:&lt;/strong&gt; Acute myocardial infarction patients with comfort care have significantly reduced rate of pain, rate of complication and mortality and trial in clinical bed time intervention.&lt;/p&gt;

The effect of comfortable nursing on the prone position lumbar surgery patients

Objective To investigate the application and effect of comfortable nursing on the prone position lumbar surgery patients. Methods A total of 90 patients were randomly divided into two groups, observation group was given comfortable routine nursing care, control group was given routine nursing. The two groups of patients with signs of life, comfort, satisfaction, and incidence of complications were compared. Results The changes of vital signs, the incidence of complications in the observation group was lower than that of the control group (P<0.05), Satisfaction with care and subjective comfort was higher than that of control group (P<0.05). Conclusions Comfortable nursing can make patients prone lumbar operation obtain physiological, psychological, social, environmental and comfortable. The patients acceptedoperation under the supine comfort, safe situation, It can ensure the operationsmoothly. Key words: Comfortable nursing; Prone position; Lumbar surgery

Application of comfortable nursing in the operating room

Objective To observe the application of comfortable nursing in the operating room. Methods 346 surgery patients were randomly divided into treatment group and control group,173 cases each group. Conventional responsibility system nursing was used in control group, the comfortable nursing was used in treatment group. Blood pressure, heart rate changes, tension and fear emotional, nursing satisfaction were compared. Results Blood pressure and heart rate changes of treatment group were better than those of control group(P<0.05), tension, fear relief(P<0.01), satisfaction survey of treatment of group were better than those of control group(P<0.01). Conclusions Application of comfortable nursing in operating room can relieve patients psychological pressure, help to complete the operation, improve nursing satisfaction. Key words: Operating room; Comfortable nursing; Satisfaction

Effect of comfortable nursing on quality of life of patients with upper gastrointestinal bleeding

Objective To explore the effect of comfortable nursing on quality of life of patients with upper gastrointestinal bleeding. Methods From October 2010 in our hospital to October 2009,63 cases of patients with acute upper digestive tract hemorrhage were selected into the treatment group,63 cases were selected at admission into the control group. Patients of two groups were given conventional hemostatic symptomatic care. Patients in treatment group were given comfortable nursing intervention based uplink. Anxiety score during hospitalization, quality of life, satisfaction score, bleeding volume were compared between the two groups. Results There were significant differences in psychological, social, physical discomfort, anxiety, satisfaction degree between the treatment and control groups (P 0.05). Conclusions Comfortable nursing for patients with hemorrhage of upper digestive tract could relieve the patient's psychological pressure, improve the quality of life, promote nurse-patient relationship. Key words: Comfortable nursing; Upper gastrointestinal bleeding; Anxiety; Satisfaction; Quality of life

Effect of Clark comfortable nursing mode on self-efficacy of patient with osteoporosis

Objective To explore the effect of Clark comfortable nursing mode on self- efficacy of patient with osteoporosis. Methods 100 patients with osteoporosis were selected and randomly divided into nursing group and control group, 50 cases in each group. Patients in the control group received routine nursing care mode and received Clark comfortable nursing care mode on the basis of routine nursing care mode in nursing group. Self-efficacy and quality of life scores and nursing satisfaction were compared before nursing and after three months of nursing. Results After 3 months nursing, GSES scale score of nursing group was significantly higher than that of before care and control group(P<0.05), the patients'daily living abilities, social skills, depression and anxiety psychological state and total score of nursing group were lower than those of before nursing and control group(P<0.05). Satisfaction of nursing care of nursing group was higher than that of control group(P<0.05). Conclusions Clark comfortable nursing mode could effectively improve self-efficacy of patients with osteoporosis, improve the quality of life of patients and nurse-patient relationship, increase satisfaction of nurse. Key words: Osteoporosis; Clark comfortable nursing; Self-Efficacy; Quality of life