Conventional Nursing Care Research Articles

Evidence-Based Nursing Model in Interventional Thrombolysis for Acute Lower Extremity Arterial Embolism.

Acute lower extremity arterial embolism (AE) is a serious clinical emergency, and, if not treated in time, it can easily lead to limb ischemia and necrosis and eventually facing amputation, which seriously damages patients' physical and mental health. In the past, the conventional drug thrombolytic therapy had slow and limited efficacy, and the best time for treatment is easily delayed, while arterial dissection and thrombectomy treatment, although fast, is traumatic and has many complications, which is not easily accepted by patients. The aim of this study was to investigate the value of evidence-based care model in the application of interventional thrombolysis for acute lower limb arterial embolism. Seventy-two patients with acute lower limb arterial embolism who underwent interventional thrombolysis treatment received by the Department of Vascular Surgery of our hospital from July 2016 to December 2021 were randomly divided into a control group (given conventional nursing services) and a quality group (given full quality nursing services) to compare the effect of nursing services in the two groups. The results showed that the postoperative psychological status of patients in the quality group was significantly better than that of patients in the control group (P < 0.05). The total incidence of postoperative adverse events and the total treatment efficiency of the quality group were better than those of the control group (P < 0.05). The efficacy of quality nursing care in patients with acute lower extremity arterial embolism is more desirable than conventional nursing care and is recommended. The site of vascular occlusion after bypass surgery can be clarified when angiography is performed after thrombolytic therapy, which can help secondary surgical intervention to prolong the time to patency. The efficacy of quality nursing care in patients with acute lower extremity arterial embolism is more desirable than that of conventional nursing care and is recommended.

Effects of a continuous nursing care model on elderly patients with total hip arthroplasty: a randomized controlled trial.

Continuous nursing care (CNC) is an extended service based on meeting the needs of discharged patients for post-discharge treatment and rehabilitation. This research aimed to investigate the effects of CNC on older patients with total hip arthroplasty and to offer a scientific basis for improving the prognosis. A total of 134 patients with total hip arthroplasty were randomly divided into the control group (n = 67) and the intervention group (n = 67). The control group was treated by conventional nursing care and the intervention group was treated by CNC. Harris hip score, Barthel index, the activities of daily living (ADL) scale, self-rating depression scale (SDS) and self-rating anxiety scale (SAS) in these two groups were evaluated. Demographic characteristics between groups were analyzed by unpaired t test. The observation indexes between groups were assessed by two-way ANOVA test followed by Tukey's multiple comparisons test. The scores of Harris hip score, Barthel index, ADL, SDS and SAS in the intervention group after intervention and after follow-up were better than the intervention group before intervention (all p < 0.01). Meanwhile, the scores of Harris hip score, Barthel index, ADL, SDS and SAS in the intervention group were better than the control group both after intervention and after follow-up (all p < 0.01). In conclusion, CNC showed better efficacy than conventional nursing care in promoting hip joint function recovery, improving quality of life and alleviating anxiety and depression for older patients with total hip arthroplasty.

Clinical practice of Best Practice Nursing Care Standards for Older Adults with Fragility Hip Fracture: A propensity score matched analysis

BackgroundFragility hip fracture (FHF) is a significant cause of morbidity and mortality in older adults. In 2018, Best Practice Nursing Care Standards for Older Adults with Fragility Hip Fracture (NSOF) were released by The International Collaboration of Orthopaedic Nursing (ICON). However, there are only limited clinical data about the application of this standard in clinical practice in China. AimsTo determine the clinical practice effect of the NSOF. MethodsA retrospective single-centre cohort study was performed from January 2016 to June 2020. Patients were divided into the standardized nursing care group (SN group) and the conventional nursing care group (CN group) depending on whether they were cared for according to the NSOF criteria. The propensity score matched (PSM) analysis was conducted in this study. The perioperative and follow-up outcomes between the two groups were analyzed. ResultsA total of 204 patients diagnosed with FHF were included in the study. After a 1:1 matching, 56 cases were identified in the SN group as well as the CN group. Patients in the SN group had significantly shorter preoperative wait times for surgery (17.4 ± 4.6 vs. 24.4 ± 7.6 h, p < 0.05) and a higher proportion of individuals performing exercise within 24 h after surgery (94.6% vs. 66.1%, p < 0.05). Notably, patients in the SN group also had a significantly shorter length of stay than those in the CN group (9.4 ± 3.1 vs. 14.2 ± 5.1 days, p < 0.05). At the 6-month follow-up, the incidence of refracture was significantly lower (3.6% vs. 14.3%, p < 0.05), and the timed up and go mobility index was improved in the SN group compared to the CN group (20.3 ± 1.7 vs. 24.6 ± 2.2 s, p < 0.05). ConclusionThis study showed that application of the NSOF resulted in a significant improvement in the treatment of older adults patients with FHF.

Function of a Psychological Nursing Intervention on Depression, Anxiety, and Quality of Life in Older Adult Patients With Osteoporotic Fracture

Osteoporotic fracture is a serious complication of osteoporosis. The long-term therapy process and the heavy restriction to physical activities give rise to a psychological burden on osteoporotic fracture patients, especially older adult patients. Psychological nursing interventions significantly alleviate negative emotional reactions in cancer patients. This research aimed to investigate the function of psychological nursing interventions in the reduction of depression and anxiety and the improvement of quality of life in older adult patients with osteoporotic fracture. Osteoporotic fracture patients (n=106) were divided into control group (n=53) or intervention group (n=53). In the control group, the participants were given conventional nursing care. In the intervention group, the participants were given psychological nursing interventions. Anxiety, depression, and quality of life were evaluated and compared between the two groups. After 5weeks of psychological nursing intervention, the anxiety and depression scores significantly decreased in the intervention group. The Mental Function in Quality of Life Questionnaire of the European Foundation for Osteoporosis score also decreased in the intervention group. Psychological nursing interventions alleviate anxiety and depression in older adult osteoporotic fracture patients and enhance their mental function.

Effect of individualized psychological intervention on negative emotion and sleep quality of patients after bladder cancer surgery: a randomized controlled trial.

BackgroundBladder surgery has a negative impact on patients’ mental health, sleep quality. Conventional nursing interventions failed to meet the clinical needs. Therefore, this parallel-group RCT was performed to assess the effect of individualized psychological intervention on patients’ negative emotions and sleep quality after bladder cancer surgery.MethodsPatients with bladder cancer admitted to our hospital (from September 2018 to October 2020) and underwent surgical treatment were selected as the research objects. They were randomly allocated to a parallel control group or observation group based on a computer-generated random numbers table. Because our study included behavioral intervention, blinding was not possible for participants and care givers. The control group received conventional nursing care, and the observation group received strengthened individualized psychological intervention under the nursing measures of the control group. Sleep quality, anxiety, depression, nursing compliance, and the occurrence of bladder spasm were compared between the two groups.ResultsSeventy-eight eligible patients were included and randomly divided in two groups (n=39 for each group). The intervention procedure was completed without losses and exclusions of patients after randomization. Before the intervention, the Pittsburgh Sleep Quality Index Scale and the anxiety and depression scores were comparable between the two groups (P>0.05). After the intervention, the data of the two groups were significantly improved. The sleep quality, sleep time, sleep efficiency, the time to fall asleep, hypnotic drugs, sleep disorders, daytime dysfunction, anxiety score, and depression score of the observation group were lower than those of the control group, with significant differences (P<0.05). The total nursing compliance rate of the observation group reached 100.00%, which was higher than the control group. The difference between the groups was significant (P<0.05). There was no significant difference in the incidence of bladder spasm between the two groups (P>0.05).ConclusionsIndividualized psychological intervention applied to bladder cancer surgery can effectively improve patients’ negative emotions and improve their sleep quality.Trial registrationChinese Clinical Trial Registry ChiCTR2100046468.

Effects of Six Sigma methodology on depression and anxiety of patients with end-stage renal disease.

Depression and anxiety are common psychological conditions in end-stage renal disease (ESRD) patients and contribute to poor quality of life and increased mortality. Six Sigma methodology is a novel method of hospital management. The aim of the present study was to determine whether Six Sigma methodology could reduce the incidence of depression and anxiety in ESRD patients. ESRD patients undergoing hemodialysis from March 2018 to February 2020 were enrolled in the study. They were divided into the control group or study group according to whether they received conventional nursing care or Six Sigma methodology, respectively. Data on patients' demographic characteristics were retrospectively collected. The conditions of depression and anxiety were assessed by the Self-Rating Depression Scale and the Self-Rating Anxiety Scale, and the severity of depression and anxiety was defined according to the scores of the scales. Univariable and multivariable logistic regression analyses were used to determine the risk factors of depression and anxiety at discharge in ESRD patients and the effects of Six Sigma methodology on them. A total of 251 patients were retrospectively enrolled in the study, with 112 patients in the control group and 139 patients in the study group. There were no significant differences in the collected demographic characteristics between the two groups. Six Sigma methodology was shown to relieve mild and moderate depression and anxiety at discharge; however, severe depression and anxiety was hardly affected by Six Sigma methodology. The results from multivariable logistic regression analysis identified Six Sigma methodology as an important protective factor of psychological conditions at discharge. Depression and anxiety status at admission and older age are also independent risk factors for anxiety at discharge in ESRD patients. Marital status may also play a role in the incidence of depression. Six Sigma methodology is significantly useful to reduce the incidence of mild and moderate depression and anxiety at discharge, and should be extended to improve psychological conditions in ESRD patients.

Effects of Midwifery Care on Mode of Delivery, Duration of Labor and Postpartum Hemorrhage of Elderly Parturients.

Background:We aimed to explore the influence of midwifery care on the mode of delivery (MOD), duration of labor and postpartum hemorrhage (PPH) of elderly parturients.Methods:A total of 165 elderly parturients admitted to Tongde Hospital of Zhejiang Province, China from May 2018 to Aug 2019 were allocated into a study group (n=85, midwifery care) and a control group (n=80, conventional nursing care). Visual analogue scale (VAS) was employed to estimate the pain of parturients, and self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were employed to evaluate the anxiety and depression status. The satisfaction of patients on nursing care was scored by a self-made satisfaction questionnaire.Results:The parturients in the study group presented higher spontaneous vaginal delivery (SVD) rate (P < 0.05), and had shortened duration of first and second stages of labor and total duration of labor (P < 0.05). The incidence of both PPH and neonatal asphyxia in the study group was lower than that in the control group (both P < 0.05). The VAS, SAS and SDS scores in the study group were significantly lower than those in the control group (P < 0.05), and the patients’ satisfaction in the study group was significantly higher (P < 0.05).Conclusion:Midwifery care is effective for the delivery of elderly parturients, which significantly improves VSD rate, shortens duration of labor, reduces incidence of PPH and neonatal asphyxia, as well as relives labor pain, anxiety and depression, and increases satisfaction of parturients.

The Clinical Effect of Psychological Nursing on Patients Undergoing Coronary Angiography Based on Gold Nanoparticle Contrast Agents.

To study the clinical effect of psychological nursing on cardiovascular patients undergoing coronary angiography. Sixty cardiovascular patients in our hospital who needed coronary angiography were randomly divided into two groups (30 in each group); contrast agents based on gold nanoparticles were used for all patients. The experimental group received psychological nursing alongside conventional nursing care, and the control group received only conventional nursing care. The two groups were compared for ease of receiving coronary angiography, medical imaging, anxiety, depression, blood pressure, heart rate, efficacy, and patient satisfaction. A gold nanoparticle contrast agent has very low toxicity to cardiovascular endothelial cells, good biocompatibility, and a metabolic effect in vivo. Compared to the control group, the coronary angiography in the experimental group was easier; the medical images were clearer; patients' anxiety, depression, blood pressure, and heart rate decreased; and curative effect and patient satisfaction were higher. Psychological nursing may significantly improve the psychological and physical condition of cardiovascular patients undergoing coronary angiography, effectively improve the efficacy as well as satisfaction of patients, and has obvious application value in clinical treatment. Similarly, gold nanoparticle contrast agents have important value in the clinical application of coronary angiography.

Effects of Early Comprehensive Psychological Interventions on Negative Emotions in Patients with Facial Spasm Undergoing Microvascular Decompression

Purpose: This study was undertaken to assess the effects of early psychological interventions on negative emotions in patients with facial spasm undergoing microvascular decompression. Methods: A total of 164 cases of patients with facial spasm undergoing microvascular decompression were included in the study. They were randomly divided into two groups: the patients in the control group (81 cases) were given conventional nursing care and the patients in the experimental group (83 cases) were given early comprehensive psychological interventions including cognitive therapy, behavior therapy and supportive therapy. All participants were evaluated with the Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS) before and after the nursing interventions. Results: Before intervention, the SAS and SDS scores of patients in experimental group were 51.70±9.49 and 44.99±10.25, respectively, they were 50.92±10.25 and 44.27± 9.93 in control group. No significant (p>0.05) differences in SAS and SDS scores were found before nursing interventions. After intervention, the SAS and SDS scores of patients in experimental group were 34.33±9.56 and 29.55±7.64. The SAS and SDS scores were 40.65±12.06 and 35.36 ± 8.66 in control group. Patients receiving early comprehensive psychological interventions got much lower SAS and SDS scores than those in the control group and the differences between them were statically significant (p<0.05). Conclusion: The results from this study and published data support the conclusion that early comprehensive psychological intervention is beneficial to alleviate the negative emotions and promote mental health in patients with hemifacial spasms undergoing microvascular decompression. However, further extensive work will be required to study more in depth.

Evaluation of the Value of Nursing Intervention Guidance in Controlling the Fatigue Level of Patients with Breast Cancer

To investigate the effect of the continuous nursing intervention model on postoperative fatigue levels and quality of life in breast cancer patients. A total of 112 patients with breast cancer who received radiotherapy and chemotherapy in the oncology department of our hospital from January 2018 to January 2020 were collected and randomly divided into the observation group (n=56) and the control group (n=56). The general clinical data of the two groups were comparable. Patients in the control group were instructed with conventional nursing interventions, while those in the observation group were given continuous nursing management in addition to conventional nursing care, and their mastery of nursing management health, quality of life and changes in cancer-related fatigue status were assessed by the selfadministered questionnaires, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30, and the revised piper fatigue scale, respectively. The results showed that only 35 (62.50 %) patients in the control group were completely compliance, 4 (7.14 %) were partially compliance, and 17 (30.36 %) were non-compliance, while 48 (85.71 %) were completely compliance, 6 (10.71%) were partially compliance, and 2 (3.58 %) were non-compliance in the observation group, the difference between the two groups was statistically significant (p<0.05). After nursing, the quality of life scores of patients in the control group and the observation group were significantly improved, and the revised piper fatigue scale scores decreased significantly, the quality of life of the patients and the cancer related fatigue in the observation group was more significantly improved than that in the control group, and the difference was statistically significant (p<0.05). In the nursing intervention of breast cancer patients, the continuous intervention model can improve the life and mental state of breast cancer patients significantly, to improve their quality of life, alleviate the symptoms of cancer-related fatigue, and promote the rehabilitation of breast cancer patients.

The effectiveness of delivery ball use versus conventional nursing care during delivery of primiparae.

Objective:To analyze the clinical effect of delivery ball and free position delivery nursing in primipara delivery.Methods:Total 110 primipara who were admitted to the department of gynecology and obstetrics of our hospital from August 2017 to August 2018 were included in the study. They were randomly divided into an observation group and a control group, 55 each group. The control group adopted conventional nursing measures, while the observation group adopted delivery ball combined with free position midwifery nursing on the basis of conventional nursing. The pain degree, comfort degree, pregnancy outcome and sense of delivery control were compared between the two groups.Results:The number of puerperae with grade 0 and 3 labor pain in the two groups had no statistically significant difference (P>0.05). The number of puerperae with grade 1 and 2 had significant difference (P<0.05). As to the comparison of the delivery mode between the two groups, there were 9 cases of cesarean delivery and 46 cases of vaginal delivery in the observation group; there were 19 cases of cesarean delivery and 36 cases of vaginal delivery in the control group; the differences had statistical significance (P<0.05). In the comparison of the birth process time of the vaginal delivery puerperae, the time of the first and second stages of labor in the observation group was shorter than that in the control group, and the differences were statistically significant (P<0.05); there was no difference in the time of the third stage of labor between the two groups (P>0.05). The amount of hemorrhage of the observation group 2 hours after labor was 172.50±40.60 mL and that of the control group was 224.45±32.80 mL; the difference between the two groups was statistically significant (P<0.05). The sense of delivery control of the puerperae who suffered vaginal delivery was compared between the two groups using Labor Agentry Scale (LAS); the sense of delivery control of the observation group was stronger than that of the control group, and the differences had statistical significance (P<0.05).Conclusion:In the delivery of primipara, delivery ball combined with free position delivery can help the primipara relieve pain, improve comfort degree, reduce the amount of postpartum hemorrhage, shorten the duration of various stages of labor, and improve the delivery outcome. It has a high clinical promotion value.

Effects of buccal green tea ice on preventing oral mucositis in patients undergoing radiotherapy for nasopharyngeal carcinoma

Objective To observe the effects of buccal green tea ice on preventing and controlling radioactive oral mucositis caused by radiotherapy for nasopharyngeal carcinoma. Methods In this single-blind quasi-experiment, totally 160 patients diagnosed with nasopharyngeal carcinoma by histopathology or cytology and treated in the Department of Oncology, Taizhou People's Hospital from April 2014 to April 2018 were selected by convenient sampling and randomized into control (n=41) , buccal ice (n=40) , green tea mouthwash (n=40) and buccal green ice tea (n=39) groups. Since radiotherapy, patients in the control group received conventional nursing care; patients in the buccal ice group received buccal ice; patients in the green tea mouthwash group received green tea mouthwash; and patients in the buccal green tea ice group received buccal green tea ice. The incidence of oral mucosa response and pain grading were compared among the four groups. Results The incidence rates of oral mucosa response after radiotherapy were 85.37%, 97.50%, 92.50% and 79.49% in control, buccal ice, green tea mouthwash and buccal green ice tea groups. The incidence rates of oral mucosa response 1 week after radiotherapy were 100.00%, 72.50%, 77.50% and 66.67% in control, buccal ice, green tea mouthwash and buccal green ice tea groups and there was statistically significant difference between the four groups (P<0.05) . There was statistically significant difference in the pain levels 1 week after radiotherapy between the four groups (P<0.05) . Totally 41 cases (100.0%) in the control group, 35 (87.5%) in the ice group, 39 (97.5%) in the green tea group and 26 (66.7%) in the buccal green tea ice group suffered pain 1 week after radiotherapy. Conclusions Buccal green tea ice can effectively alleviate the severity of oral mucositis in patients undergoing radiotherapy for nasopharyngeal carcinoma, reduce their pain, ameliorate their clinical symptoms, and prevent radioactive oral mucositis caused by nasopharyngeal carcinoma. Key words: Nasopharyngeal neoplasms; Radiotherapy; Pain; Radioactive oral mucositis; Green tea; Ice

Application of group psychotherapy in young and middle-aged patients undergoing maintenance hemodialysis

Objective To explore the effects of group psychotherapy on posttraumatic growth (PTG) , anxiety and depression of young and middle-aged patients undergoing maintenance hemodialysis (MHD) and to provide a reference for improving patients' PTG and reducing their negative emotion. Methods Totally 78 patients with end-stage renal disease undergoing regular hemodialysis in the Hemodialysis Center of a Class III Grade A hospital in Harbin between April and December 2018 were selected by convenient sampling and randomized divided into control (n=38) and experimental (n=40) groups. Patients in the control group received conventional nursing care and follow-up visits, while patients in the experimental group underwent group psychotherapy for 2 months. Chinese Posttraumatic Growth Inventory (PTGI) , Self-Anxiety Scale (SAS) and Self-Depression Scale (SDS) were used to assess PTG, anxiety and depression of the two groups before and after intervention. A t test was conducted to compare the scores before and after intervention. Results At last, a total of 36 patients in the experimental group and 37 patients in the control group completed the study. After group psychotherapy, the PTGI score of the experimental group was (85.89±11.02) , higher than (73.55±9.14) of the control group, and there was statistically significant difference between the two groups (P<0.05) . The SAS and SDS scores of the experimental group were (47.23±5.18) and (40.38±8.34) , lower than (55.38±6.28) and (44.16±7.09) of the control group, and there were statistically significant differences between the two groups (P<0.05) . Conclusions Group psychotherapy can improve the PTG of young and middle-aged patients undergoing MHD, and reduce their anxiety and depression, which is worthy promoting in clinical practice. Key words: Dialysis; Young and middle-aged; Group psychotherapy; Posttraumatic growth; Anxiety; Depression

Effects of solution-focused approach on negative emotion and gastrointestinal symptom in patients with hepatogenic diarrhea

Objective To explore the effects of solution-focused approach on negative emotion and gastrointestinal symptom in patients with hepatogenic diarrhea. Methods Totally 86 patients with hepatogenic diarrhea admitted in the First Affiliated Hospital of Zhengzhou University from January to December 2018 were selected using convenient sampling and divided into control (n=39) and observation (n=47) groups according to the time of admission. Patients in the control group received conventional nursing care, while patients in the observation group received 5-step intervention based on solution-focused approach. Self-Anxiety Scale (SAS) , Self-Depression Scale (SDS) and Gastrointestinal Symptom Rating Scale (GSRS) were used to assess the effects of intervention. Results After intervention, the SAS, SDS and GSRS scores of the observation were lower than those of the control group, and there were statistically significant differences between the two groups (P<0.05) . The top 5 gastrointestinal symptoms in both groups were stomachache, poor stool output, frequent defecation, loose stools and fecal urgency. The incidence of sour regurgitation, abdominal pain, flatulence, poor stool output and frequent defecation, loose stools and fecal urgency was reduced after intervention in the observation group, and there were statistically significant differences between the two groups (P<0.05) . Conclusions Solution-focused approach can ameliorate negative emotions such as anxiety and depression as well as gastrointestinal symptoms in patients with hepatogenic diarrhea, which is worthy promoting in clinical practice. Key words: Anxiety; Depression; Hepatogenic diarrhea; Gastrointestinal; Solution-focused approach

Effects of chewing gum on gastrointestinal function in patients with intraspinal tumors after surgery

Objective To explore the effects of chewing gum on recovery of gastrointestinal function in patients with intraspinal tumors after surgery. Methods Totally 214 patients with intraspinal tumors treated in the Neurosurgical Ward of Spinal Cord and Spine of Beijing Tiantan Hospital, Capital Medical University from May 2018 to May 2019 were selected and divided into control (n=107) and observation (n=107) groups. Patients in the control group received conventional anti-constipation care, including postoperative dietary guidance, abdominal massage guidance and rehabilitation training, while patients in the observation group chewed 2 pieces of gum four times a day, each time for 10-15 min after awaking from anesthesia on the basis of conventional nursing care. Both groups received interventions for 7 d. The incidence of constipation and abdominal distension, time of first defecation and oral comfort scores after 7 d postoperatively. Results The incidence rate of constipation and abdominal distension was 7.48% and 15.89% in the observation group, lower than 25.23% and 37.38% in the control group, and there were statistically significant differences between the two groups (χ2=12.331, 12.650; P<0.05) . The time of first defecation was (19.22±5.64) h in the observation group, earlier than (27.08±6.61) in the control group, and there was statistically significant difference between the two groups (t=-9.366, P<0.05) . The oral comfort score after 7 d postoperatively was (8.59±1.13) in the observation group, higher than (5.12±2.66) in the control group, and there was statistically significant difference between the two groups (t=-12.420, P<0.05) . Conclusions Chewing gum can accelerate the recovery of gastrointestinal function in patients with intraspinal tumors after surgery and improve their oral comfort. Key words: Intraspinal neoplasms; Perioperative nursing; Fast track surgery; Gastrointestinal function; Gum

Effect of intervention model based on empowerment theory on self-efficacy and self-acceptance of patients with permanent enterostomy

Objective To explore the effect of empowerment-based intervention model on and of patients undergoing permanent enterostomy. Methods By purposive sampling, a total of 100 colorectal cancer patients undergoing permanent enterostomy operation in the First Affiliated Hospital of Zhengzhou University from January to December of 2018 were selected as the research objects. The 50 patients admitted from January to June of 2018 were taken as the control group while the other 50 patients admitted from July to December of 2018 were taken as the experimental group. During intervention, there were 7 patients lost in the control group and 43 valid questionnaire retrieved; in the experimental group, 2 patients were lost and 48 valid questionnaires were retrieved. The control group was given conventional nursing care while the experimental group was given the nursing intervention formulated based on the empowerment theory. Stoma Self-Efficacy Scale (SSES) and Self-Acceptance Questionnaire (SAQ) were used to assess the patients. Results After intervention, the total score of SSES, the dimension scores of stoma care and social self-efficacy of the experimental group were higher than those of the control group, with statistical significances (P<0.05) . After intervention, the total score of SAQ and the score of self-acceptance dimension in the experimental group were higher than those in the control group, and the differences were statistically significant (P<0.05) . Conclusions The intervention based on empowerment theory can improve the self-management efficacy and level of patients with permanent enterostomy. It is suggested that it should be popularized in clinical practice. Key words: Colorectal neoplasms; Empowerment theory; Permanent enterostomy; Self-efficacy; Self-acceptance

Application of chronic disease trajectory model nursing in chronic obstructive pulmonary disease

Objective To explore the application value of trajectory nursing of chronic diseases in patients with chronic obstructive pulmonary disease (COPD) . Methods By convenience sampling, a total of 69 COPD patients at the stable stage after treatment in Shangqiu First People's Hospital from January 2016 to January 2018 were selected as research objects, and a total of 66 patients completed the research. According to the communities they belonged to, they were divided into the observation group (n=31) and control group (n=35) . BODE index (B: body mass index; O: airway obstruction; D: dyspnea; E: exercise endurance) was counted in both groups. The patients' COPD disease trajectory in the observation group were evaluated by their scores in BODE and were divided into different stages: 1-2 points were stage I, 3-4 points were stage Ⅱ, 5-7 points were stage Ⅲ, 8-10 points were stage Ⅳ and for those at different stages were given different nursing care with different focus and the control group was given conventional continuous nursing care. The intervention lasted for 3 months, the two groups were compared in their score change status in COPD Assessment Test (CAT) , BODE index, Zarit Burden Interview (ZBI) . Results Before intervention, there was no statistical difference in the two groups' CAT scores, BODE index, and ZBI scores (P>0.05) . After intervention, the CAT score and BODE index, ZBI score in the observation group were lower than the control group with statistical significance (P<0.05) . Conclusions Chronic disease trajectory model is conducive to reducing COPD patients' clinical symptoms and the main caregivers' burden. Key words: Lung disease, chronic obstructive; Chronic disease trajectorymodel; Quality of life; Caregiver burden

Effect of nursing intervention based on Roy adaptation model in patients with acute exacerbation of chronic obstructive pulmonary disease

Objective To investigate the improving effect of nursing intervention based on Roy adaptation model on sleep condition of patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) . Methods A total of 118 patients with AECOPD admitted to Department of Respiratory Medicine, the First Affiliated Hospital of Zhengzhou University from July 2016 to May 2018 were selected by stratified sampling method. They were divided into observation group and control group according to random number table method, with 59 cases in each group. The control group was given conventional nursing care, while the observation group was given nursing intervention based on Roy adaptation model on the basis of the conventional nursing care. Before and after the intervention, Self-rating Anxiety Scale (SAS) , Self-rating Depression Scale (SDS) , Social Support Rating Scale (SSRS) , the Pittsburgh Sleep Quality Index (PSQI) were used to evaluate negative emotions, social support, sleep quality and quality of life of the patients. After the intervention, the nursing satisfaction of the two groups was compared. Results After 2 weeks of intervention, the scores of SAS (26.33±4.72) and SDS (43.17±6.29) of the observation group were lower than those before intervention; the score of SSRS (34.21±6.95) was higher than that before intervention, and the observation group were all better than the control group, the differences were statistically significant (P<0.05) . After intervention, the PSQI scores of the observation group (5.01±1.27) and the control group (6.33±1.74) were statistically different (t=4.707, P<0.05) . The overall satisfaction of the patients in the observation group was 93.33% and that in the control group was 77.97%. There was a significant difference between the two groups (P<0.05) . Conclusions Compared with conventional nursing, nursing intervention based on Roy adaptation model can better improve the negative emotions and social support of AECOPD patients, and improve sleep and nursing satisfaction. Key words: Lung disease, chronic obstructive; Quality of life; Roy adaptation mode; Quality of sleep

Effect of group self-affirmation training on stigma in rectal cancer patients with colostomy

Objective To explore the intervention effects of the group self-affirmation training on the stigma in the rectal cancer patients with colostomy. Methods By convenience sampling, 89 rectal cancer patients with colostomy in Yancheng Third People's Hospital from April 2017 to April 2018 were selected and divided into the experimental group (n=45) and control group based on the random number table (n=44) .The experimental group received group self-affirmation training on the basis of the conventional nursing care while the control group received the conventional nursing care. The self-designed General Information Questionnaire, Social Impact Scale (SIS) , Self-Esteem Scale (SES) were used to evaluate the stigma and level of self-esteem before and after intervention. Results Before intervention, the two groups had no statistical difference in the scores of stigma (t=-0.323, P=0.747) and level of self-esteem (t=-0.270, P=0.788) ; after intervention the experimental group had lower scores than the control group in stigma (t=-3.008, P<0.01) and higher scores than the control group in self-esteem (t=4.033, P<0.01) with statistical significance. Conclusions Group self-affirmation training can reduce the stigma of rectal cancer patients with colostomy and improve their self-esteem. Key words: Rectal neoplasms; Colostomy; Stigma; Group self-affirmation training; Self-esteem; Social influence

Application of mindfulness-based stress reduction in patients with non-small-cell lung cancer under chemotherapy

Objective To explore the effect of mindfulness-based stress reduction (MBSR) on cancer-related fatigue and mental status of patients with non-small-cell lung cancer (NSCLC) who receive chemotherapy. Methods By convenience sampling, 67 patients with NSCLC receiving chemotherapy in the First People's Hospital of Lianyungang in Jiangsu Province were selected from June 2017 to December 2018 in this study. According to their admission time, they were divided into the observation group (n=34) and control group (n=33) . Conventional nursing care was given for the control group, apart from that, the MBSR exercise was adopted for the observation group, once a week and 8 times in total. Cancer Fatigue Scale (CFS) , Self-rating Anxiety Scale (SAS) , and Self-Rating Depression Scale (SDS) were used to compare the scores of their cancer fatigue, anxiety and depression between the two groups. Results Finally, 31 patients in the observation group and 32 patients in the control group completed the study. Before intervention, there was no statistical difference in CFS and each dimensional score in CFS, SAS and SDS scores between the two groups (P>0.05) ; after 8 weeks' intervention of MBSR, the CFS score and each dimensional score in CFS, SAS and SDS scores of the observation group were lower than those of the control group, and the differences were statistically significant (P<0.05) . Conclusions MBSR can effectively improve the NSCLC patients' cancer-related fatigue and reduce the level of anxiety and depression. Key words: Neoplasms, non-small-cell lung; Cancer-related fatigue; Mindfulness-based stress reduction; Anxiety; Depression