Comprehensive Nursing Research Articles

Relationships among Nursing Skill Mix, Missed Nursing Care, and Adverse Events in Small and Medium-Sized Hospital Comprehensive Nursing Care Wards

Relationships among Nursing Skill Mix, Missed Nursing Care, and Adverse Events in Small and Medium-Sized Hospital Comprehensive Nursing Care Wards

Combination of Perioperative Comprehensive Nursing and Early Postoperative Nutritional Intervention Promotes Recovery and Immune Function of Patients Undergoing Thoracoscopic Radical Resection of Lung Cancer

This study aimed to explore the effects of perioperative comprehensive nursing combined with early postoperative nutritional intervention on the postoperative recovery and immune function of patients undergoing thoracoscopic radical resection of lung cancer. The study included 116 patients at the People’s Hospital of Danyang from March 2020 to March 2023. Patients in the control group received routine nursing + routine intravenous nutrition, while those in the study group received perioperative comprehensive nursing + early enteral nutrition. The study group presented a shorter time for getting out of bed, anal exhaust, first feeding, and hospitalization than the control group. In the study group, the levels of forced vital capacity and expiratory volume in one second exceeded than those in the control group; the Hamilton Anxiety Scale and Hamilton Depression Scale scores were lower; the total protein, prealbumin, and albumin levels were higher; and the CD3+, CD4+, and CD4+/CD8+ levels were higher, while CD8+ levels were lower. The study group presented a lower incidence of complications than the control group, and the SF-36 scores were higher. Overall, perioperative comprehensive nursing combined with early postoperative nutritional intervention can accelerate postoperative recovery and promote the immune function of patients undergoing thoracoscopic radical resection of lung cancer.

Research Progress on Rehabilitation of Children with Spastic Cerebral Palsy

Spastic cerebral palsy is a classification of pediatric cerebral palsy, in China and even the world has a high incidence rate, the disease can lead to central motor injury, limited functional activity, posture development disorders and other symptoms. At present, there is no clinical treatment can be completely its root treatment, mainly by drug treatment and rehabilitation training combined methods for treatment. This paper mainly introduces the common rehabilitation techniques of spasm cerebral palsy rehabilitation, which are common in sports therapy, physical factor therapy, traditional Chinese medicine rehabilitation techniques and joint comprehensive rehabilitation nursing, and the latter have robotics, vibration therapy, cord blood stem cell transplantation. In order to provide reference suggestions and research ideas for the study of the rehabilitation of children with spastic cerebral palsy.

Influence of Stepwise Nutrition Management Plus Comprehensive Nursing on Nutritional Status and Physical Fitness in Patients with Esophageal Carcinoma

Esophageal carcinoma is one of the most common digestive tract malignancies and poses a serious health threat to patients. This study discussed the influence of stepwise nutrition management and comprehensive nursing on esophageal carcinoma patients, which can shed light on the future clinical treatment of esophageal carcinoma. A total of 107 esophageal carcinoma patients admitted to our hospital between July 2022 and June 2023 were divided into a control group (n = 54) that received conventional care and an experimental group (n = 53) that received stepwise nutrition management along with comprehensive care. The postoperative rehabilitation time and clinical efficacy of the two groups were statistically analyzed, and differences in nutritional status and physical fitness before and after care were determined. The results showed that the experimental group had a faster first postoperative anal exhaust, bowel movement, ambulation, and anastomotic healing time than the control group (P < 0.05). No marked intergroup difference was identified in the overall response rate (P > 0.05). In addition, better nutritional status and physical fitness were observed in the experimental group than in the control group (P < 0.05). The experimental group exhibited a lower incidence of adverse reactions (P < 0.05) than the control group. These findings demonstrated the vital role of stepwise nutrition management in combination with comprehensive nursing for esophageal carcinoma patients.

Effects of High-Quality Comprehensive Nursing Combined with Longxue Tongluo Capsules on Rescue of Nerve Function in Acute Stroke Patients

To assess the effects of high-quality comprehensive nursing in combination with Longxue Tongluo capsules on the rescue effect and nerve function of acute stroke patients, 120 patients admitted to the emergency department of our hospital from January 2020 to December 2021 were separated into a control group and a study group at random. The control group received conventional treatment and routine emergency care. Based on the control group, the study group was given Longxue Tongluo capsules and high-quality comprehensive nursing. The receive-diagnosis time and diagnosing-treatment time of the study group were shorter relative to the control group, and the rescue success rate and total effective rate were higher. The National Institutes of Health Stroke Scale score in the study group presented lower when compared to the control group, and the activity of daily living score in the study group presented higher when compared to the control group. Relative to the control group, the nursing satisfaction of patients in the study group was better. In conclusion, high-quality comprehensive care combined with Longxue Tongluo capsules can promote the rescue effect, improve nerve function, and promote the ability of daily living activities of acute stroke patients.

Nursing Specialists Training at Universidad de Ciencias Médicas de La Habana

Introduction: the academic training process for nursing professionals in the organizational form of the specialties has shown in recent years a rapid development that becomes a transformative element that promotes higher links in the development and consolidation of Nursing as a science. Objective: characterize the training of Nursing specialists at the University of Medical Sciences of Havana. Methods: observational, descriptive, retrospective study. The primary source for data collection was the databases of the Postgraduate Directorate of the UCMH. Results: six nursing specialty training programs developed in nine faculties of Medical Sciences and a Postgraduate Study Center, with 19 teaching scenarios, were included. The specialty of comprehensive community nursing is the one with the largest number of training settings, with a total of 103 residents, of which 56,3 % are in their first year of training. The specialties of comprehensive community and intensive nursing and emergency are the ones with the highest student enrollment. Of the total number of professors that make up the faculty, 37,6 % are graduates and 24,5 % are nursing specialists. 14,1 % have a scientific degree and 66,2 % have a master's degree in science. 29 (11,0 %) are full professors, 163 (61,9 %) are assistant professors, 55 (21,0 %) are assistants, and 16 (6,1 %) are instructors. Assistant professors represent more than 50 % of the total faculty in all nursing specialties. Of the total number of teachers, 37 have doctorate degrees in particular sciences and 174 have master's degrees in sciences related to training. Conclusions. Postgraduate nursing training at UCMH was characterized by the development of six specialties in several training centers, with a faculty with a high teaching and research level.

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.

Nursing Experience of Traditional Chinese Medicine Comprehensive Nursing Combined with Fasting Therapy in Paraplegic Patients

This study aims to explore the application and experience of traditional Chinese medicine comprehensive nursing combined with fasting therapy in the care of paraplegic patients. By reviewing the clinical situation of paraplegic patients who underwent traditional Chinese medicine fasting therapy from May 2022 to July 2023, and observing the changes in their quality of life through combined traditional Chinese medicine comprehensive nursing. The results show that the combination of traditional Chinese medicine comprehensive nursing and fasting therapy has a positive effect on the care of paraplegic patients.

Effects of comprehensive functional nursing on functional recovery and quality of life in patients with spinal cord injury.

This study evaluated the effects of comprehensive functional nursing on functional recovery and quality of life in patients with spinal cord injuries (SCIs). A total of 214 patients with SCIs treated in our hospital from October 2019 to October 2021 were included in the retrospective analysis and divided into a general care group (n = 107) and a comprehensive care group (n = 107), based on the care that they received. Patients in the general care group received general functional nursing, whereas those in the comprehensive care group received a comprehensive functional nursing intervention. The Rivermead Mobility Index (RMI), Barthel Index (BI), and Berg Balance Score (BBS) were used to evaluate patient neurobehavioral ability before and after nursing. Changes in cardiopulmonary function indexes, left ventricular end-diastolic dimension (LVEDD), left ventricular end-systolic dimension (LVESD), vital capacity (VC), forced expiratory volume in 1 second (FEV1), FEV1/FVC, and maximal voluntary ventilation (MVV) were measured before and after nursing. The number of micturition, maximum micturition volume, bladder volume, residual urine volume, and lower urinary tract symptom (LUTS) score were recorded, and the improvement in bladder function were measured before and after nursing. The Hamilton Anxiety Scale (HAMA) and Beck Depression Inventory (BDI) scores were used to evaluate patients' emotional state. After nursing, the RMI, BI, BBS score, FEV1, FEV1/FVC, MVV, maximum micturition volume, bladder volume, and SF-36 scores of the comprehensive care group were significantly higher than those of the general care group, and the LVEDD, LVESD, micturition time, residual urine volume, and LUTS, HAMA, and BDI scores of the comprehensive care group were significantly lower than those of the general care group. In patients with SCIs, comprehensive functional nursing can promote the recovery of neurocognition, bladder function, and cardiorespiratory function, and improve their quality of life. Comprehensive functional nursing is worthy of clinical application.

Retracted: Study on Ultrasonographic Diagnosis and Postoperative Comprehensive Nursing of Rectal Cancer in Preoperative Staging.

[This retracts the article DOI: 10.1155/2022/7671169.].

Effect of comprehensive nursing methods in postoperative ICU of children with CHD.

To explore effect of comprehensive nursing in postoperative ICU of children with CHD. The subjects were 50 cases of children with CHD treated in our hospital: 25 cases in the control group: routine nursing, and 25 cases in the observation group: comprehensive nursing intervention. The effective rate of 92.00% in the observation group was significantly higher. The serum-free calcium value (1.07 ± 0.11) mmol/L of the observation group on the first day after surgery was significantly lower, and the observation group's creatine phosphate, the daily average dosage of creatine phosphate per unit body weight was significantly higher. 96.00% of patients in the observation group were significantly higher in nursing satisfaction. The complication rate of 8.00% in observation group was significantly lower. In order to successfully complete the operation schedule and improve the postoperative recovery effect of children, high requirements are placed on nursing staff. The comprehensive nursing method used in the postoperative ICU of children with CHD can reduce the incidence of postoperative complications and improve nursing satisfaction.

Changes of wound area and inflammatory factors in diabetic foot patients after comprehensive nursing of traditional Chinese medicine.

The aim of this study is to analyze the application effect of traditional Chinese medicine (TCM) comprehensive nursing in diabetic foot patients. 230 patients with diabetic foot admitted to Third people's Hospital of Haikou from January 2019 to April 2022 were classified as two groups, which consisted of a control group (n = 95) and an experimental group (n = 135). The control group took routine nursing intervention, while the experimental group took TCM comprehensive nursing intervention. The effect of intervention was compared by inflammatory factors (B-FGF, EGF, VEGF, and PDGF), wound area, self-rated anxiety scale (SAS), and self-rated depression scale (SDS). After nursing, the levels of B-FGF, EGF, VEGF, and PDGF were higher in the experimental group (all p < 0.05). The total effective rate of diabetic foot recovery in the experimental group was 94.87% (74/78), higher than 87.67% (64/73) in the control group (p = 0.026). After nursing, the scores of SAS and SDS in the experimental group were lower than those in the control group (all p < 0.05). The application of TCM comprehensive nursing in diabetic foot patients can greatly change the levels of B-FGF, EGF, VEGF, and PDGF in wound tissue, promote the healing of ulcer surface, improve patients' anxiety and depression, and enhance the quality of life of patients.

Effect of nanomaterial assisted comprehensive nursing on the recovery of patients with meniscus injury after knee arthroscopy

To explore the clinical effect of comprehensive nursing intervention on meniscus injury patients undergoing knee arthroscopy. Ninety-one patients with meniscus injuries were selected as research subjects from January 2019 to June 2021 and were divided into a control group (n = 45) and an observation group (n = 46). All patients received routine nursing intervention and wounds were treated with nano-silver antibacterial gel. The observation group received a comprehensive nursing intervention. Based on routine nursing, the rehabilitation effect of the two groups was compared. Meniscus pain, knee function, mental state, and postoperative complications of the two groups were analyzed. Before nursing, there were no significant differences in VAS score, knee joint function, and mental state between the two groups (P &gt;0.05). After comprehensive nursing, the Lysholm score and Tegner score of the observation group were higher than the control group, while the VAS score, SAS, and SDS score were lower than the control group (P &lt;0.05). After comprehensive nursing, the patient’s knee function recovery and the incidence of postoperative complications were significantly reduced. The patient satisfaction with nursing was higher and the overall nursing effect was better than the control group (P &gt;0.05). Comprehensive nursing applied in arthroscopic surgery for patients with knee meniscus injury had a good recovery effect and reduced pain.

Clinical Promotion of Comfort Nursing Combined with Comprehensive Nursing in the Treatment of Severe Stroke Patients with Diabetes in ICU.

To investigate the application value of comprehensive nursing combined with comfort nursing for severe stroke patients with diabetes in the intensive care unit (ICU), as well as its effect on the incidence of pressure ulcers and aspiration. Between March 2019 and March 2021, 123 severe stroke patients with diabetes who were treated at our hospital were randomly assigned to one of two groups: the control group (n = 61) or the study group (n = 62). The control group received normal care, but the research group received comprehensive nursing as well as comfort nursing. The two patient groups were compared in terms of the effects of the clinical application. The two groups did not differ significantly in general data (P > 0.05). The shorter ICU monitoring and extubation times, the lower incidence of pressure ulcers, aspiration, and nosocomial infections, and higher self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores and a lower MOS 36-item short-form health survey (SF-36) score were all observed in the research group when compared to the control group (P < 0.05). For severe stroke patients with diabetes in the ICU, comprehensive nursing combined with comfort nursing has a promising effect, significantly, lowering the risk of pressure ulcers, aspiration, and nosocomial infections, accelerating physical recovery, enhancing mental state, and ensuring a better prognosis, deserving general clinical promotion.

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.

Observation of the effectiveness of whole course of comprehensive nursing in clinical care after the surgery for benign prostatic hyperplasia

This study discussed the effect of whole course of comprehensive nursing after the operation for benign prostatic hyperplasia (BPH). Eighty-six patients with BPH who were to undergo prostatic hyperplasia surgery were divided into a control group and a study group based on therapeutic method. 43 patients in each group were postoperatively given usual care in the control group and comprehensive nursing in the study group. The mental status, prostate symptoms, quality of life, complications and degree of satisfaction were compared before and after the interventions. The mental status, prostate symptoms, and quality of life (QOL) of the patients were relatively similar (p &gt; 0.05) before the intervention. The scores of self-rating anxiety scale (SAS), self-rating depression scale (SDS), international prostate symptom scale (IPSS) and QOL of patients in the study group were significantly lower than those in the control group after the intervention (p &lt; 0.05). The incidence of complications in the study group was 4.65%, which was significantly lower than that of the control group at 18.60% (p &lt; 0.05), while the satisfaction rate in the study group was 95.35%, which was significantly higher than that of the control group at 69.77% (p &lt; 0.05) . The whole course of comprehensive nursing after the operation for BPH surgery was effective in improving patients’ mental status, promoting the recovery of prostate, improving patients’ quality of life, reducing the incidence of complications, and improving patients’ satisfaction.

Retracted: Clinical Promotion of Comfort Nursing Combined with Comprehensive Nursing in the Treatment of Severe Stroke Patients with Diabetes in ICU.

[This retracts the article DOI: 10.1155/2023/1593651.].

Efficacy of Paroxetine Combined with Comprehensive Psychological Nursing in Patients with Coronary Heart Disease Complicated with Depression

Efficacy of Paroxetine Combined with Comprehensive Psychological Nursing in Patients with Coronary Heart Disease Complicated with Depression

Retracted: Efficacy Analysis of Comprehensive Nursing in the Care of Ovarian Carcinoma Treated with Paclitaxel Combined with Nedaplatin.

[This retracts the article DOI: 10.1155/2022/9398823.].

Retracted: Effectiveness of Comprehensive Nursing in Hemodialysis of Patients with Chronic Renal Failure and the Impact on Their Quality of Life.

[This retracts the article DOI: 10.1155/2022/1399650.].