Comprehensive Nursing Measures Research Articles

Effects of comprehensive care measures based on the HAPA model on self-care, neurotransmitters and clinical outcomes in cerebral infarction patients.

Cerebral infarction is induced by cerebral artery occlusion, resulting in ischemia, hypoxia, necrosis of brain cells in the corresponding blood supply area, and then dysfunction. Health action process approach (HAPA) model emphasizes the proposal and practice of health behavior as a whole and uses self-monitoring and encouraging ultimately developed health behavior. The present study explores the effects of comprehensive nursing measures of HAPA model on neurotransmitters, self-care ability and clinical outcomes of cerebral infarction patients. One hundred and ten patients with cerebral infarction diagnosed and treated in our hospital from July 2020 to February 2022 were included as the subjects. The subjects were randomly grouped as the control (55 patients) and the study group (55 patients) and received conventional nursing measures and additional comprehensive nursing measures of HAPA model, respectively. The patients were tested for changes in self-care ability, nerve damage [myelin basic protein (MBP), S100B, glial fibrillary acidic protein (GFAP), neuron-specific enolase (NSE)] and neurotransmitter indexes [acid-soluble protein (Asp), neuropeptide Y (NPY), substance P (SP), glutamate (Glu)], respectively. The patients were considered as the good prognosis group (47 cases) and poor prognosis group (63 cases) according to the prognosis after comprehensive care. The logistic regression model was used to analyze the risk factors affecting the poor prognosis of patients with cerebral infarction. After nursing, China Stroke Scale (CSS) score, the Fugl Meyer Rating Scale (FMA) score and Barthel index were significantly higher in both groups than before nursing, and all indexes were significantly higher in the study group than in the control group (p< 0.05). The length of hospital stay was significantly shorter in the study group than in the control group (p< 0.05). Compared with before nursing, the health knowledge, self-care skills, self-responsibility and self-concept of two groups were strongly increased after nursing, and the study group had much higher indexes than the control group (p< 0.05). After nursing, the levels of MBP, S100B, GFAP, NSE, Asp, NPY, SP and Glu in both groups were largely decreased, and more significant decrease was found in the study group (p< 0.05). Age, body mass index (BMI), hypertension history, coronary heart disease history and National Institutes of Health Stroke Score (NIHSS) score after treatment were significantly different between the good and poor prognosis groups (p< 0.05). The prognosis of patients in the study group was 52.73%, which was significantly higher than 32.73% in the control group (p< 0.05). Age, hypertension history, and post-treatment NIHSS score were independent risk factors related to poor prognosis by logistic multiple regression analysis (p< 0.05). Comprehensive care measures of HAPA model may be used with advantage to improve the self-care ability, reduce the degree of neurological damage, and improve neurological function in cerebral infarction patients. Age, hypertension history, and NIHSS score after treatment were all risk factors related to poor prognosis.

Perioperative nursing measures and effect of colorectum polyp treated by colonoscopy

Objective To analyze the perioperative nursing measures of patients with colorectal polyp treated by colonoscopy.Methods eighty patients with colorectal polyps admitted to our hospital were selected as the subjects of the study, which started in March 2019 and ended in March 2022. All patients were treated with colonoscopy after entering the hospital. All patients were randomly divided into routine group and experimental group by touching red and blue balls. The patients touching red balls were treated as routine group (40 cases), and the patients touching blue balls were treated as experimental group (40 cases). The patients in routine group were given routine perioperative nursing, and the patients in experimental group were given comprehensive perioperative nursing. Hamilton Depression Scale (HAMD) scores, Hamilton Anxiety Scale (HAMA) scores and SF-36 scores were compared in each group before and after intervention. Complications; Compliance; Satisfaction. Results After intervention, the scores of HAMD and HAMA in the two groups were lower than before, and the scores of HAMD and HAMA in the experimental group were lower than those in the conventional group (P<0.05).After intervention, the scores of quality of life in the two groups were higher than before, and the scores of quality of life in the experimental group were higher than that in the conventional group (P<0.05).The total incidence of complications in experimental group and conventional group were 5.00% and 22.50%, respectively (P<0.05).The total compliance of experimental group and conventional group was 95.00% and 75.00% respectively (P<0.05).The total satisfaction of patients in experimental group and conventional group was 92.50% and 75.00% respectively (P<0.05).Conclusion Perioperative comprehensive nursing measures for patients with colorectal polyp during colonoscopy treatment can improve negative emotions, reduce complications, improve compliance and quality of life, patients with high satisfaction, can play a certain application effect.

Application of Deep Neural Network Factor Analysis Model in Operating Room Management Nursing Analysis of Postoperative Infection Nursing after Thoracic Surgery.

Thoracic surgery is the main surgical method for the treatment of respiratory diseases and lung diseases, but infections caused by improper care are prone to occur during the operation, which can induce pulmonary edema and lung injury and affect the effect of the operation and the subsequent recovery. Therefore, it is necessary to control the disease in time and adopt more scientific and comprehensive nursing measures. Based on the neural network algorithm, this paper constructs a neural network-based factor analysis model and applies the operating room management nursing to postoperative infection nursing after thoracic surgery and verifies the effect through the neural network model. The statistical parameters in this article mainly include the postoperative infection rate of thoracic surgery, patient satisfaction, postoperative rehabilitation effect, and complications. Through statistical analysis, it can be known that operating room management and nursing can play an important role in postoperative infection nursing after thoracic surgery, effectively reducing postoperative infection nursing after thoracic surgery, and improving the recovery effect of patients after infection.

Perioperative nursing principles guided by the concept of enhanced recovery after surgery†

Abstract Objective To explore the clinical effect of perioperative nursing guided by the concept of enhanced recovery after surgery and summarize them. Methods Pubmed, Chinese National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database (CBM), Wanfang Database, and VIP Database were searched to obtain the relevant literature involving enhanced recovery after surgery (ERAS) guidance, obtain the effective clinical data, review the reports in literature, and obtain the effective scheme. Results Compared with the traditional nursing program, perioperative nursing principles guided by the concept of ERAS provide more accurate nursing care to patients and reduce the occurrence of intraoperative stress events through comprehensive nursing measures such as preoperative pre-rehabilitation measures, intraoperative body temperature and fluid management, postoperative analgesia, prevention of nausea and vomiting, early mobilization, catheter nursing, and better out-of-hospital follow-up. Conclusions Perioperative nursing principles guided by the concept of ERAS can significantly reduce the incidence of perioperative complications, shorten the hospital stay of patients, and promote postoperative rehabilitation of patients. The transformation and implementation of this concept can bring significant benefits to hospitals, medical care, and patients.

Clinical observation of comprehensive nursing measures in improving angina symptoms in patients with coronary heart disease.

Clinical observation of comprehensive nursing measures in improving angina symptoms in patients with coronary heart disease.

Effects of comprehensive nursing measures on septic shock patients' resuscitation related index in ICU

Objective To discuss the effects of comprehensive nursing measures on ICU septic shock patients' resuscitation related index at different time points, in order to summarize the most optimum nursing measures. Methods A total of 86 septic shock patients who were treated in ICU of Beijing Tongren Hospital Affiliated to Capital Medical University were selected as research objects, and divided them into observation group which was adopted comprehensive nursing model and control group which was adopted normal nursing model according to coin toss random method, with 43 cases in each group. Patients' heart rate (HR) , mean arterial pressure (MAP) , cardiac output index (CI) and oxygen saturation of mixed venose blood (SvO2) at 0 h (T0) , 3 h (T1) and 6 h (T2) were compared between the two groups. Serum C reactive protein (CRP) was detected before and after intervention, and the curative effect was evaluated. The data in this study were collated and analyzed by statistical software SPSS 23.0. Results Compared with control group, effective rate of the observation group was 86.05%, and the difference had statistical significance (P 0.05) , but SvO2 and CI increased significantly in T1 and T2, and the differences were statistically significant (P 0.05) . The SvO2 and CI in the observation group were higher than those of the control group in time of T1 and T2, and the differences were statistically significant (P 0.05) . After intervention, the CRP in the observation group (5.14±1.23) mg/L was lower than that in the control group (7.56±1.35) mg/L (P<0.05) . Conclusions Comprehensive nursing measures can relatively improve the prognosis of patients with septic shock in ICU ward, improve the level of CRP, and have less influence on the hemodynamics. Key words: Nursing care; Intensive care units; Shock, septic; Resuscitation

AB034. The application of comprehensive nursing measures to prevent catheter-associated urinary tract infection in urological patients

Section 1: definition of CAUTI & Introduction of epidemiology of CAUTI: catheter-associated urinary tract infection means after patients with indwelling catheter or occurred within 48 hours of urinary tract infection when pull out urethral catheter. UTI is one of the most common nosocomial infection. The 70–80% caused by indwelling catheter. There are 12–16% inpatients of adult hospital need to use indwelling catheter sometime after admission. Section 2: which harm can be caused by CAUTI: (I) prolong hospital stay; (II) increase hospitalization costs; (III) aggravate the disease. Section 3: diagnostic criteria of CAUTI: (I) clinical manifestation: the urge to urinate frequently, urgency to urinate and painful urination; (II) laboratory examination: routine urinalysis and bacterial cultivation. Section 4: risk factors of CAUTI: (I) the time of indwelling catheter; (II) high risk group; (III) susceptible link; (IV) hand hygiene. Section 5: prevention strategy of CAUTI: take comprehensive nursing measures to prevent catheter-associated urinary tract infection in urological patients. Section 6: summary.

Analysis of the effect of comprehensive nursing measures applicated in lobectomy under three thoracoscopy

目的 探讨综合护理措施对三孔胸腔镜下肺叶切除术患者的应用效果。 方法 选取120例三孔胸腔镜下肺叶切除术患者，将其按照随机数字表法分为观察组和对照组，每组60例，对照组给予常规护理措施，观察组给予综合护理措施，观察并比较两组患者下床时间、术后平均住院时间、医疗费用、护理满意度及并发症发生情况。 结果 观察组术后平均住院时间[(7.84±1.21)d]、下床时间[(63.14±9.09)min]及住院费用[(5.23±1.01)万元]均显著短于、少于对照组[(11.23±1.32)d，(76.79±9.15)min，(6.88±1.13)万元](t＝14.664、8.197、8.433，均P 0.05)。 结论 采用综合护理措施对三孔胸腔镜下肺叶切除术患者进行干预可以显著提高患者的满意度，促进患者恢复，降低术后并发症发生率，值得临床推广。

Application of wound triangular tools assessment and nursing care for the patients with mucocutaneous separation of temporary enterostomy

Objective To analyze the characteristics of mucocutaneous separation of temporary enterostomy, and to explore the application of wound triangular tools assessment and corresponding nursing strategies for the patients with mucocutaneous separation of temporary enterostomy. Methods 42 patients with mucocutaneous separation of temporary enterostomy from May 2014 to November 2015 were retrospective1y analyzed. Comprehensive nursing measures were taken according to the characteristics of mucocutaneous separation and the wound triangular assessment tools. Results Of forty-two cases, twenty-two cases with superficial mucocutaneous separation healed in 3 to 7 days. Twenty cases with deep mucocutaneous separation healed in 7 to 15 days were healed. Conclusions The use of wound triangular tools assessment can effectively promote the healing of the mucocutaneous separation of temporary enterostomy, and improve the life quality of patients after operation. Key words: Nursing care; Wound triangular tools assessment; Temporary enterostomy; Mucocutaneous separation

Etiology analysis and comprehensive nursing measures of ventilator associated pneumonia

呼吸机相关性肺炎（VAP）是指患者机械通气48 h后发生的肺炎，是一类严重的医院感染，据国内文献报道VAP发生率为18%～60%，病死率为25%～76%［1］。本科针对VAP发生的病因采取了强化综合护理措施，收到了明显的效果，VAP千日发生率从2012年的48.8降到了2013年的28.7，现将护理对策报告如下。

Comprehensive nursing measures for pregnant women with bronchial asthma

Objective To observe the effect of comprehensive nursing measures on pregnant women with bronchial asthma.Methods Through design of own control,25 pregnant women with bronchial asthma weren ursed with comprehensive nursing measures,includingmental nursing,airwaynursing and fetal monitoring and so on.The frequency and duration of asthmatic attack and fetal heart rate fetal movement were recordedon admission and prior to discharge.Results Nursed by comprehensive measures.the frequency and duration of asthmatic attack decreased whereas the fetal heart rate and fetal m ovement prior to dischargeincre ased when compared with that of admission,whose differeneeshowed statistical significa nce(P＜0.05,P＜0.01).Catwlusitm Comprehensive nursing measures could help pregnant wonlen relieve bronchial asthma and protect the fetuses from embarrassment,which was proved to be an effective and easy method to nurse the pregnant women with bronchial asthma. Key words: Pregnant woman; Bronchial asthma; Comprehensive meagures; Nursing