Comprehensive Nursing Group Research Articles

Application of detailed nursing management intervention in neurosurgical nursing.

In the contemporary healthcare environment, optimizing patient care strategies is of importance, particularly in neurosurgical environments. While traditional nursing methods have the foundation of patient care, there exists a growing recognition of the potential benefits of comprehensive nurse management. Despite this acknowledgment, there remains a gap in understanding the comparative effectiveness of comprehensive nurse management versus traditional approaches in reducing postoperative psychological stress, enhancing patient satisfaction, and promoting adherence in neurosurgical patients. This study compares the efficacy of comprehensive nurse management against traditional methods in facilitating the postoperative recovery of neurosurgical patients. Taking the traditional nursing management and detailed nursing management of neurosurgical patients in a municipal neurosurgical hospital from March 2021 to March 2022 as an example, the neurosurgery was divided into 50 patients in the detailed nursing management group and 50 patients in the traditional nursing management group. In the clear nursing management group, there were 50 patients, 20 male patients, with an average age of 58.7 ± 3.8 years, and 30 female patients, with an average age of 60.4 ± 4.3 years; In the traditional nursing management group, there were 50 patients, 26 male patients, with an average age of 59.7 ± 3.7 years, and 24 female patients, with an average age of 59.4 ± 3.9 years; Among the 100 patients, there were 60 cases of cerebral infarction, 25 cases of intracerebral hemorrhage and 15 cases of other neurosurgical diseases. Hundred neurosurgical patients were divided into two groups: comprehensive nursing management group and traditional nursing management group. The results showed that the comprehensive treatment effect of patients with detailed nursing management was better than that of the routine nursing group. At the same time, the complications were reduced, and the patient's satisfaction was higher. Through retrospective analysis and investigation of patients, this paper discusses the clinical application of a detailed nursing management model in neurosurgery, which can reduce the probability of infection and other complications and improve the quality of life and treatment effect of patients.

Effect of Nanoknife Ablation Therapy in Patients with Pancreatic Cancer

This study was established to explore the therapeutic effect of nanoknife ablation in the treatment of pancreatic cancer with comprehensive perioperative nursing. The clinical data of 92 patients with pancreatic cancer who underwent nanoknife ablation surgery in The First Affiliated Hospital, Sun Yat-sen University and Sun Yat-sen University Cancer Center from January 2015 to December 2018 were retrospectively studied. These 92 patients were randomly and equally divided into a group with comprehensive perioperative nursing care and a group with routine nursing care. After the intervention period, the satisfaction with the nursing, serum albumin, total protein, and hemoglobin levels, length of hospital stay, and incidence of postoperative complications were compared between the two groups. Meanwhile, blood biochemical indicators and related immune indicators of 30 patients in the comprehensive nursing group were analyzed and compared between before and after the operation. Results: The hospitalization time of patients in the routine care group was significantly longer than that in the comprehensive care group (P < 0.05). Meanwhile, the levels of albumin, total protein, and hemoglobin in the serum of patients in the comprehensive care group were significantly higher than those in the routine care group (P < 0.05). All patients exhibited a certain increase in serum amylase level on the day after the operation, which then gradually decreased. There was no statistically significant difference in myocardial enzyme indexes at different time points before and after the operation. The glycoprotein antigen tumor markers carbohydrate antigen (CA)-19-9 and CA-242 increased on the 1st day after surgery, and gradually decreased thereafter. This study indicated that the safety of nanoknife ablation in patients with pancreatic cancer is relatively high. In addition, there is a clear clinical effect of comprehensive nursing care in the perioperative period, which can effectively improve the levels of albumin, total protein, and hemoglobin, shorten the hospitalization time, and reduce the incidence of postoperative complications. Such nursing care also relieved the tumor-related immunosuppression after surgery and significantly decreased the levels of tumor markers.

Effects of Different Nursing Modes on Immune Function and Renal Function in Patients with Renal Calculus Undergoing Percutaneous Nephrolithotomy.

This study aimed to explore the effects of different nursing modes on immune function and renal function in patients with renal calculus and on percutaneous nephrolithotomy (PCNL). A total of 160 patients with kidney stone who were admitted to our hospital from January 2017 to January 2023 were retrospectively selected and equally divided into routine and comprehensive nursing groups. Both groups were treated with percutaneous nephrolithotomy, but the patients in the routine nursing group were treated with usual care, whereas the patients in the comprehensive nursing group were treated with comprehensive nursing. The levels of serum T lymphocyte subsets were detected by flow cytometry, the levels of serum immune indicators and renal function indicators in the two groups were measured and the incidence of postoperative complications and nursing satisfaction were recorded. The levels of serum blood urea nitrogen, creatinine, kidney injury molecule and CD8+ cell subsets in the comprehensive nursing group were lower than those in the routine nursing group (p < 0.05), whereas the CD4+ cell subsets, CD4+:CD8+ ratio, and immunoglobulins (Ig)A, IgG and IgM levels were significantly higher than those in the routine nursing group (p < 0.05). The incidence of postoperative complications in the comprehensive nursing group was 2.50% (2/80), which was significantly lower than that in the routine nursing group (13.75%, 11/80), and the difference was statistically significant (χ2 = 6.782, p = 0.009). Nursing satisfaction in the comprehensive nursing group was 96.25% (77/80), which was significantly higher than that in the routine nursing group (85.00%, 68/80; χ2 = 5.959, p = 0.015). The comprehensive nursing mode can effectively reduce the influence of PCNL on T cell subsets, immunoglobulin levels in patients with renal calculus, damage to renal function and complications; Can improve patients' satisfaction with nursing; And promote postoperative recovery.

Randomized trial of the application value of comprehensive nursing intervention in the perioperative period of ruptured bleeding of ectopic pregnancy.

The purpose of this study was to explore the value of comprehensive nursing intervention in the perioperative period of ruptured bleeding of ectopic pregnancy. From January 2015 to January 2020, 164 patients with rupture and bleeding of ectopic pregnancy who needed laparoscopic treatment in the department of gynecology at our hospital were selected and randomly divided into the basic nursing group and the comprehensive nursing group, with 82 cases each. During the perioperative period, comprehensive nursing intervention or basic nursing intervention were performed, and the nursing effects of the two nursing interventions were compared. The disappearance time of abdominal pain, the time to get out of bed, and the length of hospitalization in the comprehensive nursing group were significantly shorter than those in the basic nursing group (P<0.05). After surgery, blood sugar levels, aldosterone, cortisol, C-reactive protein (CRP), and IL-6 in the two groups were significantly higher than those before surgery (P<0.05), but there was no statistically significant difference between the groups (P>0.05). After the operation, the proportion of patients with Visual Analogue Scale (VAS) scores of 7-10 in the comprehensive nursing group was significantly lower than that in the basic nursing group (P<0.05). Before the intervention, the Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) scores of the two groups were compared, and the difference was not statistically significant (P>0.05). After the intervention, the HAMA and HAMD scores of the comprehensive nursing group were significantly lower than those of the basic nursing group (P<0.05). The fallopian tube recanalization rate of patients in the comprehensive care group was significantly higher than that of the basic care group (P<0.05), and the complication rate was significantly lower than that of the basic care group (P<0.05). In summary, a comprehensive nursing program during the perioperative period can improve the treatment effect and significantly shorten the recovery time of patients, which is worthy of clinical promotion.

Nursing cooperation in children oral cavity operation under general anesthesia during daytime

Objective To summarize the nursing cooperation of children oral cavity operation under general anesthesia during daytime. Methods In the operating room of the hospital from April 2017 to May 2018, 70 cases were randomly selected from the children who received general anesthesia surgery during the day. According to different nursing coordination methods, they were divided into the control group (routine nursing group) and the experimental group (comprehensive nursing coordination group), with 35 cases each.The nursing effects of the two groups were analyzed retrospectively. Results The cooperation degree of the experimental group was higher than that of the control group, the incidence of adverse reactions was lower than that of the control group, and the satisfaction of family members was higher than that of the control group, with statistically significant differences (P<0.05). Conclusion Comprehensive nursing cooperation in children's oral cavity surgery during daytime general anesthesia can improve the cooperation degree of children, reduce the incidence of adverse reactions, and thus improve the satisfaction of family members. Key words: Children; Oral disease; General anesthesia during daytime; Nursing

Comprehensive nursing intervention in the treatment of bacterial vaginosis nursing analysis

Objective To explore the effect of comprehensive nursing intervention in the treatment of bacterial vaginosis. Methods A total of 100 cases of bacterial vaginosis diagnosed and treated by the department of gynaecology in this hospital from January 2017 to January 2018 were selected. Patients were divided into conventional nursing group and comprehensive nursing group according to different nursing methods implemented during the treatment period, with 50 cases in each group. Routine nursing and comprehensive nursing intervention were carried out respectively to compare the clinical effect, adverse reactions, psychological state, health knowledge awareness rate and nursing satisfaction of the two groups. Results The total effective rate of patients in the conventional care group was 84%, while that in the comprehensive care group was 96%. The comprehensive care group was higher than the conventional care group, and the differences were statistically significant(P<0.05). The incidence of adverse reactions was 14% in the conventional care group and 4% in the comprehensive care group. The comprehensive care group was lower than the conventional care group, and the difference was statistically significant(P<0.05). The SAS and SDS scores of patients in the comprehensive care group were lower than those in the conventional care group, and the differences were statistically significant(P<0.05). The awareness rate of health education was 66% in the conventional care group and 84% in the comprehensive care group. The comprehensive care group was higher than the conventional care group, and the difference was statistically significant(P<0.05). The nursing satisfaction of patients in the conventional care group was 86%, and that of the comprehensive care group was 98%. The comprehensive care group was higher than the conventional care group, and the difference was statistically significant(P<0.05). Conclusions Comprehensive nursing intervention in the treatment of bacterial vaginosis nursing effect is ideal, is conducive to improve the clinical efficacy, reduce the rate of adverse reactions, improve the patients' bad psychological state, improve the health education awareness rate and nursing satisfaction of patients at the time of discharge, it is suggested to vigorously promote the clinical nursing work. Key words: Comprehensive nursing intervention; Bacterial vaginal disease; Treatment; Nursing

Nursing interventions in depressed children with low serum levels of BDNF.

The purpose of this study was to investigate the correlation between brain-derived neurotrophic factor (BDNF) in serum and depression in children, and explore the effects of different nursing protocols on patients with low levels of BDNF. We recruited 128 children with depression and 50 healthy subjects. Compared with healthy controls, the mRNA and protein levels of BDNF in serum were lower in children with depression (p<0.01). We selected 60 depressed children with low BDNF and randomly divided them in two groups: comprehensive nursing (n=30) and regular nursing (n=30). Compared to healthy children, there was a significant increase in Hamilton depression (HAMD) scores in patients with depression in childhood (p<0.01). After treatment, BDNF protein expression was higher in the comprehensive nursing group than that in the regular nursing group (p<0.05). Also, the HAMD score in the comprehensive nursing group was significantly lower than that in the regular nursing group (p<0.05). Compliance to treatment and quality of life after treatment improved in the comprehensive nursing group compared with the regular nursing group (p<0.05). Overall, a decrease in BDNF expression is closely correlated with depression, and comprehensive nursing care can significantly ameliorate the depression symptoms in pediatric patients, increase the BDNF expression, and improve compliance and quality of life. These results provide theoretical and practical significance for clinical nursing care of patients with depression in childhood.

Effects of comprehensive nursing care on the maternal and neonatal health status of puerperal period

Objective To investigate the effects of comprehensive nursing care on the maternal and neonatal health status ofpuerperal period. Methods 134 cases of maternal accepted comprehensive care which called comprehensive care group; 167 cases received the routine nursing care which called the routine care group. The maternal and neonatal health status of the two groups was compared, and using the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) to evaluate psychological situation of the mothers. The psychological situation was compared. Results The incidence of maternal complications of comprehensive nursing group was 23.13%, which was significantly lower than 40.12% of the routine care group (χ2=9.768, P<0.01). The incidence of neonatal complications of comprehensive nursing group was 31.35%, which was significantly lower than49.71% of the routine care group (χ2=10.318, P<0.01). There was no difference in psychological evaluation of the two groups before hospital. The score of SAS and SDS of the comprehensive nursing group were (40.01±2.33) and (43.17±1.93), which were significantly lower than(47.31±4.33) and (51.63±2.49) of the routine care group (t=8.093, 5.681; P<0.01). Conclusions The comprehensive nursing can reduce maternal and neonatal complications, and can obviously improve the psychological status of patients, which make the comprehensive nursing care a better obstetric nursing mode. Key words: Nursing; Maternal puerperal period; Maternal and neonatal; Complication

The application research of comprehensive nursing in bronchial asthma

Objective To study the clinical application of comprehensive nursing in patients with bronchial asthma. Methods A total of 78 cases of bronchial asthma were randomly divided into comprehensive nursing group and control group with 39 cases in each group. The patients in comprehensive nursing group were given comprehensive nursing intervention to deal with the main problem during nursing practice, the control group was given routine nursing of respiratory diseases. Results Compared to control group,the patients symptoms in comprehensive nursing group were improved better, as well as the master of related knowledge. But the asthmatic recurrence rate and length of hospital stay of comprehensive nursing group were lower than those of control group. Conclusions The comprehensive nursing system could scientificly solve the nursing problems of patients with bronchial asthma, decrease recurrence rate and complications appearance of bronchial asthma, improve the clinical treatment effect and the prognosis of patients. Key words: Comprehensive nursing; Bronchial asthma; Nursing

Nursing strategy after percutaneous external transpedicle fixation combined with vertebral screw in the treatment of thoracolumbar vertebral fracture

Objective To explore nursing strategy after percutaneous external transpedicle fixation combined with vertebral screw in the treatment of thoracolumbar vertebral fracture.Methods 60 patients with thoracolumbar vertebral fracture in our hospital from December 2011 to December 2013 were selected and divided into basic nursing group and comprehensive nursing group according to their diagnostic order.Compared complications and satisfaction rate in two groups.Results Incidences of puncture pain,stenttract infection and fixation loose in comprehensive nursing group were 6.67％,3.33％ and 6.67％,those in basic nursing group were 33.33％,30.00％ and 36.67％.Satisfaction rate in comprehensive nursing group was higher than that in basic nursing group (93.33％ vs.63.33％,P ＜ 0.05).Conclusions Comprehensive nursing strategy in patients with thoracolumbar vertebral fracture undergoing percutaneous external transpedicle fixation combined with vertebral screw can significantly decrease the occurrence of complication,improve treatment safety,and greatly shorten the recovery time,with high patients' satisfaction rate,worthy of promotion. Key words: Percutaneous external transpedicle fixation; Thoracolumbar spine; Fracture; Bone transplantation; Nursing strategy

Influence of comprehensive nursing intervention on treatment compliance and quality of life of patients with breast cancer

Objective To analyze the influence of the comprehensive nursing intervention on the treatment compliance and the quality of life in patients with breast cancer.Methods 126 cases of breast cancer were divided into the routine nursing group and the comprehensive nursing group,63 cases in each group.The treatment adherence and the quality of life were compared.Results On the comprehensive nursing group,the treatment rate (96.67％),the psychological function (59.54 ± 5.43),the social function (57.32 ± 2.23),and the quality of life (81.57 ± 8.43) were significantly higher than those on the routine nursing group (P ＜ 0.05).Conclusion The comprehensive nursing intervention could effectively improve the treatment compliance of patients and their quality of life. Key words: Comprehensive nursing intervention; Breast cancer; Treatment compliance; Quality of life

Effect of comprehensive nursing on the depressive emotion and quality of life among patients with congestive heart failure

Objective To investigate the effects of comprehensive nursing on the depressive emotion and quality of life among patients with congestive heart failure. Methods 58 patients with congestive heart failure were randomly divided into comprehensive nursing group and the control group.The control group was given routine nursing, the comprehensive nursing group was given body care, life care and psychological care based upon routine nursing. The depressive emotion and quality of life (QOL) of two groups was evaluated with Zung self-rating depression scale(SDS) and 36-items short form health survey (SF-36) scale and then underwent subsequent t test. Results compared with the control group, comprehensive nursing could reduce the score of self-rating depression scale and increase the score of QOL. Conclusions The result indicates that comprehensive nursing has an important role in improvement of depressive emotion and quality of life of patients with congestive heart failure. Key words: Comprehensive nursing; Congestive heart failure; Quality of life

Effect of comprehensive nursing on small area of diabetic foot ulcer

Objective To study comprehensive nursing meassures for small area of diabetic foot ulcer. Methods A total of 58 patients with small area of diabetic foot ulcer in our department were divided into two groups.The comprehensive nursing group (CN group,30 cases) adopted comprehensive nursing and treatment as follows, surgical dcbridement, infrared radiation of wound surface,sprinkling of growth factors(bFGF and rhEGF),covered by hydrocolloid dressing(Algoplaque).The control group(28cases) received hydropathic compress with 0.5% povidone iodine or 5% furacillin solution.Wound heal-ing progreasion,average healing time and the positive rate of wound germiculture of the two groups were observed. Results The average healing time of the CN group was (29.6±9.4)d,which was shorter than that of the control group,( 39.2±13.5 )d, P < 0.05. Statistical difference existed in the positive rate of wound germiculture at the 7th day and the 14th day between the two groups (P < 0.05). Conclusions Routine medical treatment and general nursing measures plus surgical debridement,infrared radiation of wound sur-face,sprinkling of growth factors and hydrocolloid dressing possess facilitative healing effect for small area of diabetic foot ulcer. Key words: Diabetic foot ulcer, Wound surface; Nursing

Influence of comprehensive nursing intervention on clinical effect of patients with non-invasive mechanical ventilation with BiPAP mode

Objective To investigate the treatment effects of comprehensive nursing intervention on patients with chronic obstructive pulmonary disease(COPD) treated by non-invasive mechanical ventilation with BiPAP mode. Methods 96 patients with diagnosed COPD and using non-invasive mechanical ven- tilation with BiPAP mode were randomly divided into the control group (46 cases) which was treated with routine measures and the comprehensive nursing intervention group (50 cases) which adopted comprehen- sive nursing intervention according to experimental design. The frightening degree, incidence rate of com- plications and clinical treatment effect by ventilator were compared between the two groups. Results Pa- tients compliance with treatment and clinical treatment effect by ventilator in the comprehensive nursing in- tervention group was better than that of the control group. The frightening degree and incidence rate ofcomplications were lower than those of the control group (P < 0.01 ). Conclusions Comprehensive nurs-ing intervention with non-invasive mechanical ventilation with BiPAP mode can improve the treatmentcompliance of COPD patients,reduce complications followed by non-invasive mechanical ventilation andreach the prospective treatment effect. Key words: BiPAP; Non-invasive mechanical ventilation; Nursing intervention