Comfortable Nursing Research Articles

Application of waist pillow in defecation of bedridden patients in emergency department

Objective To explore the efficacy of self-designed waist pillow combined with plastic toilet in bedridden patients in emergency department. Methods From August 2013 to February 2014, 90 bedridden patients in emergency department were divided into the observation group 1, the observation group 2 and the control group by random digits table with 30 cases in each group. Patients in the observation group 1 lied in the suprine position, and elevating head of bed 15 to 30 degrees, with pillow under the waist, and plastic toilet under the buttocks. Patients in the observation group 2 used the same method as that of the observation group 1, except that they did not use waist pillow. The control group lied in the suprine position, only used plastic toilet. The defecation and other related items were compared between the three groups. Results The observation group 1 was better than those of the observation group 2 and the control group in preventing pressure ulcers, urine leakage and backflow, comfort degree, worrying degree, defecation difficulty degree. Conclusions Application of waist pillow and plastic toilet in bedridden patients in emergency department could reduce the skin damage, and let patients defecate smoothly, which was in accordance with the connotation of comfort nursing. Key words: Defecate; Body position; Emergency bedridden patients; Waist pillow

Comparative study of perception between nurses and patients during the process of mechanical ventilation

Objective To investigate the differences of all discomfort perceived by patients and with mechanical ventilation and nursing care. Methods A total number of 220 patients admitted to ICU accepted mechanical ventilation, and 68 nurses with over 1 year experience conducting ventilation were investigated on their perception with self-designed questionnaires. Results The total score of patients′ comfort was (48.956±7.136), of which physiological comfort was (27.816±4.158), psychological comfort (14.475±4.335), society comfort (8.141±3.895), while total patients′ comfort score of nurses′ perception was (59.110±9.002), of which physiological comfort was (30.089±4.637), psychological comfort (11.032±4.076). The perception between nurses and patients had statistically differences (t=-8.512, -3.618, -6.708, -5.165, respectively; P<0.05). Conclusions The inconformity of perception between patients and nurses affects both evaluation of patients′ discomfort and nursing care. Nurses should access discomfort of patients precisely in order to provide comfortable nursing. Key words: Mechanical ventilation; Nurse; Perception; Patient; Influencing factor

Application of comfort nursing in gynecologic patients with laparoscopic operation

Objective To explore the application of comfort nursing in gynecological patients with laparoscopic operation, which to provide a comfortable, safe environment for patients undergoing gynecologic laparoscopic operation, make them be in good mood, improve the patient's recovery rate. Methods From January 2010 to December 2011 in the hospital 120 patients with gynecologic laparoscopic operation were randomly divided into the observation and the control groups, 60 cases in each group. Patients in the observation group were given comfort nursing, in the control group were given conventional nursing. In- hospital situation and satisfaction with nurses were compared between two groups. Results Gastrointestinal function recovery time, off- bed time, hospital stay of patients in the observation group were significantly lower than those of control group, there were significant differences(P< 0.05). Satisfaction with nurses of the observation group was higher than that of control group(96.67% vs 83.33%, P<0.05). Conclusions Comfortable nursing for gynecologic patients with laparoscopic operation, not only could significantly shorten the recovery time of gastrointestinal function, off- bed time and hospital stay, but also significantly improve patient satisfaction with health workers, Which not only could reduce the patient's pain and economic burden, create a good doctor- patient relationship, which is worth the clinical promotion. Key words: Comfort care; Laparoscopy; Operation; Postoperative recovery; Satisfaction

Application of the point massage in alleviating the postoperative pain of ureteroscopy laser lithotripsy patients

Objective To explore the effect of the point massage on alleviating the postoperative pain of ureteroscopy laser lithotripsy patients .Methods Eighty ureteroscopy laser lithotripsy patients without the postoperative analgesia pump were chosen and divided into the control group and the observation group according to the random number table , each with 40 cases.The control group received the comfortable nursing , and the observation group received the point massage combined with the comfortable nursing .The degree of postoperative pain was assessed by the visual analog scale （ VAS ） , and the patients ’ satisfaction of nursing work was compared between two groups .Results The difference of the VAS score between two groups before the operation was not statistically significant（P〉0.05）.The scores of VAS on the first, second day after the operation and before discharging were respectively （3.98 ±1.121）,（1.18 ±0.747）,（0.83 ±0.781） in the observation group, and were lower than （5.08 ±1.457）,（3.08 ±1.228）,（1.78 ±1.097） in the control group, and the differences were statistically significant （t =3.785,8.361,4.461, respectively; P〈0.05）.The percent of patients with satisfaction was 92.5% in the observation group, and was 72.5% in the control group, and the difference was statistically significant（Z=-2.316,P〈0.05）.Conclusions Application of the point massage combined with the comfortable nursing can effectively alleviate the postoperative pain of ureteroscopy laser lithotripsy patients , and improve the patients ’ satisfaction of nursing work . Key words: Ureteroscopy laser lithotripsy; Pain; Point massage; Comfortable nursing

The application effect of comfortable nursing in obstetrics and gynecology surgical

Objective To study the application effect of comfortable nursing in obstetrics and gynecology surgical.Methods In our hospital from April 2012 to April 2013 120 cases of surgical patients in the obstetrics and gynecology department were selected and divid-ed into two groups randomly：group A with routine nursing, B group of patients were treated with comfortable nursing on the basis of group A. Postoperative complications, pain and satisfaction were compared between two groups.Results The analgesic efficient of group B patients （0-） was 95.0%, significantly higher than that of group A patients （76.7%） , P〈0.05; nursing satisfaction scores, nursing quality score in the group B were significantly higher than those in the group A, P〈0.05;the incidence of postoperative complications of group A was 13.3%, that was 5.0%in the group B, the difference was statistically significant P〈0.05.Conclusion For patients with gynecologi-cal surgery, the comfortable nursing can effectively alleviate the physical pain of patients, promote physical and mental comfort, reduce com-plications and improve patients’satisfaction with nursing care, it is worthy of popularization and application. Key words: Comfortable nursing; Gynecology and obstetrics surgery; Analgesia; Quality of care

Investigation on demand of the perioperative nursing in patients with coronary heart disease

Objective To understand the demand of the perioperative nursing in patients with coronary heart disease , and analyze the tendency of nursing demand in different patients to improve the level of nursing . Methods The study was divided into two stages , and 148 patients were surveyed by the self-designed questionnaire on the demand of the operative nursing , and the data were collected and analyzed at the first stage;64 patients were chosen and received the nursing intervention according to the nursing demand screened , and the clinical effect was evaluated at the second stage .Results The age was correlated to the nursing demand including the health education nursing , live nursing , psychological nursing , rest and sleep nursing , excretion nursing in 148 patients before the operation （r=0.476-0.745, P〈0.05）; the economic status was related to the nursing demand including the health education nursing , live nursing, safe nursing, psychological nursing （r=0.539-0.735, P〈0.05）; the education was correlative with the nursing demand including the health education nursing, live nursing, safe nursing, the time and cost of hospitalization nursing , rest and sleep nursing （P 〈0.05）; the severity of disease was associated with the operation , complication, postoperative treatment and comfortable degree of bed , psychological nursing , rest and sleep nursing , excretion nursing and pain nursing （P〈0.05）.The age was correlated to the nursing demand including the anesthesia nursing , the language of comfort nursing , the skin touch nursing （ r=0.783,0.754,0.734, respectively;P〈0.05） during the operation;the economic status was related to the nursing demand of equipment preparation （ r=0.674,P〈0.05）;the education was correlative with the nursing demand including background music and language comfort （r=0.649,0.689, respectively;P〈0.05）;the severity of disease was associated with the nursing demand of＆amp;nbsp;anesthesia （r=0.693,P〈0.05）.The age was correlated to the nursing demand including the hygiene nursing , sleep nursing, health education nursing after the operation （r=0.683,0.876,0.776, respectively;P〈0.05）;the economic status was related to the nursing demand of health education nursing （r=0.678,P〈0.05）; the education was correlative with the nursing demand of oral nursing （r=0.769,P〈0.05）;the severity of disease was associated with the nursing demand including the health education nursing , diet nursing （r=0.656,0.598, respectively;P〈0.05）.The satisfaction was （97.3 ±5.3） in the intervention group, and was （88.9 ±8.7） in the control group, and the difference was statistically significant （t=25.562,P〈0.01）.Conclusions The individualized treatment plan is made to confirm the nursing demand according to the general condition of different patients during the perioperative period , and the targeted nursing service is further carried out so as to improve the level and quality of nursing . Key words: Coronary heart disease; Needs assessment; Perioperative nursing

Perioperative application of comfortable nursing schema in patients undergoing modified radical mastectomy with immediate breast reconstruction surgery

Objective To explore the effect of comfortable nursing schema in patients undergoing modified radical mastectomy with immediate breast reconstruction surgeu.Methods From March 2011 to December 2013,we established comfortable nursing measures according to causes of postoperative discomfort in different stages for patients who had received modified radical mastectomy followed by immediate breast reconstruction surgery.Results There were four causes of perioperative discomfort in 22 patients who had received modified radical mastectomy with immediate breast reconstruction surgery,including psychological,physical,social and environmental factors.Conclusions Perioperative implementation of comfortable nursing schema in patients undergoing modified radical mastectomy with immediate breast reconstruction surgery significantly improves the comfort level of patients,is helpful to rehabilitation,reflects self-worth of nurses,tightens the relationship between nurses and patients,ameliorates patients and their families' satisfaction on nursing service,and might further enhance social influence of hospital. Key words: Comfortable nursing; Modified radical mastectomy with immediate breast reconstruction surgery; Application

Study on postoperative effect of comfortable nursing in senile cataract patients

Objective To study the effect of comfortable nursing to postoperative effect after cataract operations in elderly patients.Methods 64 elderly patients with cataracts from our hospital were divided into two groups evenly an observation group and a control group.The observation group took comfortable nursing after the cataract surgery during the period of September 2012 to September 2013.The control group was given routine nursing from September 2009 to September 2010.This case study compared two groups of patients for their postoperative visual acuity with overall averages for quality of life,patient satisfaction and complications.Results The postoperative average vision value,the quality of life scores and patient satisfaction of the observation group patients were (0.67 ± 0.19),(94.6± 4.2) and 96.9％ respectively,significantly higher than those of control group,(0.48 ± 1.24),(81.7 ± 5.3) and 81.3％,showing statistical significant difference,P ＜ 0.05.Length of hospital stay in patients of observation group was (4.6 ± 1.7) d,notably shorter than that of the control group (7.6 ± 2.0) d; difference was statistically significant,P ＜ 0.05.The complication incidence of observation group such as elevated intraocular pressure,the crystals fall off,corneal edema aud anterior chamber hemorrhage were 3.1％,0,12.5％ and 0,lower than those of control group (9.4％,9.4％,34.4％,12.5％),P ＜ 0.05.Conclusion The implementation of comfort nursing for senile cataract patients in the hospital shortens the hospitalization time of patients and reduces the occurrence of postoperative complications and improve the patients' quality of life and satisfaction. Key words: Comfortable nursing; Senile cataract; Postoperative effect

The effect of comfortable nursing on comfort of gynaecology clinic operation patients

Objective To explore the application effect of comfortable nursing in the gynecology chnic operation.Methods A total of 200 cases of gynecological clinic operation patients were divided into the observation group and the control group according to different nursing methods,the control group was given routine nursing,the observation group was received comfortable nursing,and nursing effect was compared between two groups.Results Heart rate,systolic blood pressure,blood glucose,cortisol and SAS score 1 h before the operation in the observation group were significantly lower than those in the control group (P ＜ 0.05).Physiological,psychological,social,and cultural aspects of the comfort degree in the observation group were significantly higher than those in the control group (P ＜ 0.05).Nursing satisfaction in the observation was significantly higher than that in the control group (P ＜ 0.05).Conclusions Comfortable nursing can reduce preoperative surgical stress,improve comfort and satisfactions. Key words: Comfortable nursing ; Gynecological operation ; Comfort ; Surgical stress ;

Application of comfortable nursing in perioperation of pregnant women with heart failure underwent cesarean section surgery

Objective To evaluate the effect of comfortable nursing on the pregnant women with heart failure in the perioperative period .Methods Eighty-two patients were randomly divided into the observation group and the control group , each with 42 cases.The observation group received the comfortable nursing , and the control group received the routine nursing .The hospitalization days , the degree of anxiety and the maternal satisfaction were compared in two groups .Results The hospitalization days were （ 10 ±3.2 ） d in the observation group , and were less than （ 14 ±2 .7 ） d in the control group , and the difference was statistically significant （t=23.625, P0.05）.Conclusions Comfortable nursing on the pregnant women with heart failure in the perioperative period can improve the nursing effect and maternal satisfaction . Key words: Cesarean section; Perioperative period; Comfortable nursing; Heart failure

Evaluation on effect of comfortable nursing in percutaneous coronary intervention for patients with acute myocardium infarction

Objective To observe the application effect of comfortable nursing in percutaneous coronary intervention for patients with acute myocardium infarction.Methods 112 patients with acute myocardium infarction receiving the treatment of percutaneous coronary intervention were randomly divided into the observation group and the control group,each group including 56 cases.The control group was given conventional nursing,and the observation group was given comfortable nursing.Hospitalization time,nursing satisfaction degree,psychological status before and after treatment and life quality for patients in two groups were evaluated.Results The nursing satisfaction degree,nursing effect and life quality for 56 patients in the observation group were higher evidently than those in the control group.And the average hospitalization time of the observation group was lower than that of the control group.The comparison between two groups had statistical significance.Conclusions Comfortable nursing in percutaneous coronary intervention for patients with acute myocardium infarction can evidently improve medical quality,and can provide strong guarantee for the life and safety of patients. Key words: Comfortable nursing; Acute myocardium infarction; Percutaneous coronary intervention

Effectiveness of the comfort nursing on the parents of children with laryngopharyngeal surgery

Objective To explore the effectiveness of comfort nursing on the parents of children with laryngopharyngeal surgery.Methods Forty-seven parents were admitted for the study,they were divided into the control group(23 cases) and the experimental group(24 cases).The control group accepted routine nursing,while the experimental group accepted comfort nursing based upon routine nursing.The SAS,SDS scores and satisfaction degree were compared between the two groups.Results After the treatment,the SAS and SDS scores of all the parents got better compared with those before treatment.The differences were obvious.While the experimental group had a better improvement than the control group.Also the satisfaction degree of the experimental group was better than that of the control group.Conclusions Comfort nursing can relieve the discomfort and anxiety of the children patients and their parents,improve the adverse emotional state of them,promote recovery of children and improve the nursing quality. Key words: Comfort nursing; Laryngophrynx; Operation; Children

Efficacy of lower cut off value of serum prostate specific antigen in diagnosis of prostate cancer

Indications of prostate biopsy are high serum prostate specific antigen (PSA) value and or abnormal digital rectal examination (DRE) findings. Although serum PSA value of 4 ng/ml is the most commonly used threshold for recommending prostate biopsy, significant proportion of men harbor prostate cancer even when their serum PSA values are less than 4.0 ng/ml. Therefore present study was designed to determine the performance status of serum PSA in lower cut-off values. This hospital based prospective study was conducted in the Department of Urology of Bangabandhu Sheikh Mujib Medical University (BSMMU) and Comfort Nursing Home Pvt. Ltd, Dhaka from July 2009 to October 2010. Two hundred six male patients aged over 50 years having lower urinary tract symptoms (LUTS) and serum PSA more than 2.5 ng/ml were prepared for prostate biopsy. Trans rectal ultrasound (TRUS) guided biopsy was done. The test statistics used to analyze the data were descriptive statistics, sensitivity, specificity, positive and negative predictive value, ROC curve. For all analytical tests, the level of significance was set at 0.05 and p < 0.05 was considered significant. In 2.5-4 serum PSA range, 28.26% (13 out of 46) of all malignancy were found, which would be missed if we take cut off value 4. At 2.5 PSA cut-off, Sensitivity 91.3%, Specificity 14.37%, PPV 23.46%, NPV 85.18%, Efficacy 31.55%. At 4 PSA cut-off value, Sensitivity 71.73%, Specificity 46.25%, PPV 27.73%, NPV 85.05%, Efficacy 51.94%. So it can be concluded that, for early diagnosis of prostate cancer cut-off value of serum PSA of 2.5 ng/ml can be recommended as an indication for prostate biopsy.

Application of comfort nursing in patients with replantation of severed fingers

Objective To investigate application effect of comfort nursing in patients with plantation of severed fingers.Methods Retrospective analysis was used to investigate influencing factors of comfort for 89 patients with replantation of severed fingers who had received comfort nursing.Self-designed questionnaire,self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to compare patients' satisfaction,anxiety and depression before and after comfort care.Results Patients with different gesture,environment,blood circulation of replanted figures,relieving pain and smoking,diet guidance,functional exercise and psychological factors had different degree of comfort (x2 =3.25,4.03,2.25,4.28,3.08,3.75,3.01,respectively; P ＜ 0.05).Multivariate logistic regression analysis showed that patients' comfort was mainly influenced by gesture,blood circulation of replanted figures,environment,relieving pain and smoking,psychological factors,diet guidance and functional exercise (x2 =22.202,5.720,5.234,6.189,7.911,9.019,6.218,respectively; P ＜ 0.05).SAS and SDS scores were (45.38 ± 6.37) and (47.16 ± 5.16)after comfort nursing,lower than (55.82 ± 6.29) and (53.83 ± 7.26) before comfort nursing,and the differences were statistically significant (t =3.735,3.261,respectively; P ＜ 0.05).Patients' satisfaction was 89.89％ before and improved to 98.88％ after,and the difference was statistically significant (x2 =2.946,P ＜ 0.05).Conclusions Comfort nursing mode can effectively reheve patients' psychological pressure,improve patients'degree of satisfaction with nursing,so as to improve the effect of clinical nursing. Key words: Anxiety; Depression; Comfort nursing; Replantation of severed fingers; Influencing factor; Satisfaction

Application of comfortable nursing in patients after portal-azygous disconnection

Objective To investigate the application and evaluate the clinical effect of comfortable nursing in patients after portal-azygous disconnection.Methods 42 patients undergoing portal-azygous disconnection were randomly divided into the experiment group (n=21) and the control group (n=21) at equal number.In the control group,we used the traditional nursing.While the experiment group received the comfortable nursing.The effect was compared between the two groups by the degree conditions of comfort and patients' degree of satisfaction.Results The difference was also statistically significant between two groups (P＜ 0.01).The degree of comfort and patients' degree of satisfaction were much higher in experiment group than those in control.Conclusion Comfortable nursing is very effective in enhancing degree of comfort and patients' degree of satisfaction,and can promote patients' recovery,and increase the quality of care.It is worth recommending clinically. Key words: Comfortable nursing; Portal-azygous disconnection; Splenectomy; Degree of comfort; Patients' degree of satisfaction

Effect of cucumber to moisten lips to alleviate xerostomia in patients with gastrointestinal decompression

Objective To explore the effect of cucumber to moisten lips to alleviate xerostomia in patients with gastrointestinal decompression. Methods 180 patients were consecutively recruited at the department of gastric & intestinal surgery of the affiliated hospital of Guilin medical univemity from August 2010 to December 2011,they were randomly divided into the observation group and the control group,80 in each group.The observation group was given cucumber to moisten their lips besides conventional care,and the control group was only given conventional care.Finally we compared the two groups,and display difference between them in comfort degree of oral cavity. Results The comfort degree and oral cavity conditions of the observation group were better than those of the control group. Conclusions Giving cucumber to moisten lips can alleviate xerostomia and improve comfort level in patients with gastrointestinal decompression. Key words: Gastrointestinal decompression; Xerostomia; Comfort nursing; Cucumber

The effect of comprehensive nursing on comfort and satisfaction of patients with myocardial infarction

Objective To explore the effect of comprehensive nursing care on comfort and satisfaction of patients with myocardial infarction.Methods Sixty patients with acute myocardial infarction were randomly divided into the observation group and the control group.The control group was given routine nursing,the observation group was treated with comfortable nursing,the degrees of comfort and satisfaction of two groups were compared.Results The improvement of comforts about physiology,psychology,social culture and environment in the observation group were better than those in the control group (P＜0.05 ),and the angina frequency,the satisfaction degrees about duration of hospitalization,complications,quality of care in the observation group were obvious better than those in the conlrol group (P＜0.05 ).Conclusions Comprehensive nursingcare is beneficial to the comfort degree of myocardial infarction patients,and it can reduce angina frequency,increase satisfaction degree.That is worth popularizing. Key words: Comprehensive nursing; Myocardial infarction; Comfort degree; Satisfaction degree

Introducing Fecal Stable Isotope Analysis in Primate Weaning Studies

This research investigates the potential of a new, noninvasive method for determining age of weaning among primates using stable carbon and nitrogen isotope ratios in feces. Analysis of stable isotope ratios in body tissues is a well-established method in archeology and ecology for reconstructing diet. This is the first study to investigate weaning in primates using fecal stable isotope ratios. Diets of a single François' langur (Trachypithecus francoisi) mother-infant pair at the Toledo Zoo are reconstructed using this technique to track changes in infant suckling behavior over the weaning period. Stable isotope ratios in feces are sampled instead of more traditional samples such as bone or hair to enable daily, noninvasive snapshots of weaning status. Isotopic assessments of weaning status are compared to visual assessments to identify any discordance between the two. Three measurements documented the transition from breast milk to solid foods: stable carbon isotope ratios (δ(13)C), stable nitrogen isotope ratios (δ(15)N), and nitrogen content of feces (%N). It appears that solid foods were introduced at approximately 2 months of infant age, but that nursing continued into the 12th month, when sample collection ceased. Stable isotope data exposed a much longer weaning period than what was expected based on previously published data for captive langurs, and clarified visual estimates of weaning status. This reflects the method's sensitivity to suckling at night and ability to distinguish actual nursing from comfort nursing. After testing this method with zoo animals, it can readily be applied among wild populations. An isotopic approach to weaning provides a new, accurate, and biologically meaningful assessment of interbirth intervals, and facilitates a better understanding of mother-infant interactions. Both of these outcomes are critical for developing successful conservation strategies for captive and wild primates.

Effects of comfortable nursing on the painless tubal ligation

Objective To investigate the effects of comfortable nursing on the painless tubal ligation.Methods Four hundred cases accepted painless tubal ligation were randomly divided into two groups.Control group was received routine nursing,and observation group was given comfortable nursing based on routine nursing.Anxiety and patients' satisfaction were observed in both groups.Results Anxiety were relieved after surgery in both groups,and that in observation group was significantly better than that in control group (P＜0.05).The degree of patients' satisfaction was significantly higher in observation than that in control group (P＜0.05).Conclusions Comfortable nursing can effectively improve the anxiety of patients with painless tubal ligation and the satisfaction to the care work. Key words: Comfortable nursing; Painless; Tubal ligation

The effect of comfort nursing on the gynecologic patients with chemotherapy

Objective To observe the effect of comfort nursing on the gynecologic patients with chemotherapy.Methods A total of 148 cases of gynecological cancer patients were divided into comfort nursing group(CCG)(n=78)and the usual nursing group(UCG)(n = 70).The sleep quality,uncomfortable reaction,and self-care ability in two groups were observed and compared.Results The sleep quality of patients in the CCG was better than that of the UCG(P ＜ 0.05).The loss of appetite and nausea and vomiting symptoms inthe CCG were milder than that of the UCG(P ＜ 0.05).The self-care ability in the CCG was stronger than that of the UCG(P ＜ 0.05).Conclusions Comfort nursing can improve the sleep quality,reduce the loss of appetite,nausea and vomiting symptoms,and improve self-care ability and quality of life,promote the rehabilitation of patients. Key words: Comfort nursing; Chemotherapy; Cancer