Daily Life Ability Score Research Articles

Application of Quantitative Assessment Strategy-Based Nursing Combined with Empathic Nursing in Patients Undergoing Tension-Free Inguinal Herniorrhaphy.

Objective This study aimed to explore the application of quantitative assessment strategy-based nursing combined with empathic nursing in patients undergoing tension-free inguinal herniorrhaphy. Methods 82 patients who underwent tension-free inguinal herniorrhaphy in our hospital from May 2020 to December 2021 were enrolled. According to the random number table method, they were divided into three groups (A, B, and C). Patients in group A received quantitative assessment strategy-based nursing combined with empathic nursing, and group B received quantitative assessment strategy-based nursing. Group C received a routine intervention. The early recovery of the three groups was observed. Heart rate (HR), oxygen saturation (SpO2), and blood pressure (BP) were recorded before entering the operating room and at the beginning of anesthesia. Mental Health Continuum-Short Form (MHC-SF, adult version) was used to assess the psychological status. The Modified Barthel Index (MBI) score of three groups at different time points was recorded. The complications of the three groups were observed. Results Compared with group C, wound healing time, ambulation time, hospital stay time, and time to resume daily activities in groups A and B were significantly shorter (all P < 0.05). At the beginning of anesthesia, HR and BP levels in the three groups were all decreased, with HR and BP levels in group A lower than those in group C and HR levels in group B lower than those in group C (all P < 0.05). After the intervention, the scores of emotional well-being, psychological well-being, and social well-being in groups A and B were higher than those in group C and the scores of psychological well-being and social well-being in group A were higher than those in group B (all P < 0.05). The daily living ability score of group A was higher than that of groups B and group C at discharge, one month after discharge, and three months after discharge, and the daily living ability score of group B was higher than that of group C at these three time points (all P < 0.05). No significant differences were observed in the incidence of complication rate among the three groups (10.71%, 14.81%, and 29.63%) (χ2 = 3.616, all P > 0.05). Conclusion Quantitative evaluation strategy-based nursing combined with empathic nursing can effectively improve the early recovery of patients undergoing tension-free inguinal herniorrhaphy, reduce their stress response, and improve their mental health and daily living ability.

KS02.6.A Application of positive psychology intervention in continuous quality improvement of nursing care for patients with intracranial tumor

Abstract Background To investigate the effect of positive psychology intervention on continuous quality improvement of nursing care for patients with intracranial tumor Material and Methods A total of 124 patients with intracranial tumor who received surgical treatment in our hospital from October 2020 to December 2021 were selected by convenience sampling method, and the patients were randomly divided into control group and intervention group.Patients in the control group received continuous quality improvement of postoperative routine care, and patients in the intervention group received positive psychological intervention based on postoperative routine care. Postoperative treatment compliance, subjective well-being and daily living ability were compared between the two groups Results The excellent compliance rate of intervention group was 95.15%, significantly higher than that of control group 83.87% (P &amp;lt; 0.05). The subjective well-being in intervention group (56.73±3.42) was significantly higher than that in control group (53.81±2.76) (P &amp;lt; 0.05). There was no significant difference in daily living ability score between 2 groups before intervention (P &amp;gt; 0.05). After intervention, the daily living ability score of the intervention group was (57.49±9.16), which was significantly higher than that of the control group and before intervention (P &amp;lt; 0.05). Conclusion Positive psychology intervention for patients with intracranial tumor can effectively improve the quality of nursing, increase the patient's treatment compliance, and improve the subjective well-being of patients and the ability of daily life is of great significance.

Clinical Efficacy of Immediate Rehabilitation Training after Coronary Artery Intervention in Patients with AMI

This paper investigates the effect of rehabilitation training on the clinical outcome and prognosis of patients with acute myocardial infarction after coronary artery intervention. There was no significant difference in daily living ability score and left ventricular ejection fraction between group A before intervention (P&gt;0.05). The score of daily living ability of group A was (76.58±3.27) significantly higher than that of group B after intervention (73.7). ±3.4) (P&lt;0.05); left ventricular ejection fraction after intervention (55.75±4.4) was significantly higher than that of group B (52.41 ±4.19) (P&lt;0.05); total satisfaction rate of patients in group A (93.02%) was significantly higher In group B (69.77%), the difference between the groups was statistically significant (P&lt;0.05); the total incidence of adverse reactions and mortality in group A (11.63%, 2.33%) was significantly lower than that in group B (53.49%, 16.28%).), the difference was statistically significant (P &lt; 0.05). In patients with acute myocardial infarction, after interventional coronary artery intervention, immediate intervention with rehabilitation training can improve left ventricular ejection fraction, improve daily living ability and nursing satisfaction, and reduce postoperative adverse reactions and death. Medical staff should be used reasonably in the clinic according to the actual situation of the patient.

Effect of Health Care and Rehabilitation Nursing and Analysis of Neurovascular Preservation of Patients Undergoing Reconstruction of Severed Finger under X-ray Image Examination

The study aimed to provide a guideline for continuous rehabilitation nursing for patients with severe finger replantation, and establish a satellite contact point for patients with severe finger replantation after discharge, so as to ensure scientific and effective rehabilitation training after discharge and explore the role of continuous rehabilitation nursing measurement in severe finger rehabilitation and neurovascular preservation. A total of 380 patients accepting neurovascular preservation finger replantation in the hand surgery department were divided into an observation group and a control group according to the number of hospitalizations. All patients underwent reconstructive surgery of severed finger. X-ray filming was used to monitor the postoperative nursing effect of neurovascular preservation of severed finger. The discharged patient information questionnaire was filled 3 days before the discharge. Then, a patient information database was established, and rehabilitation training was performed. Finally, sexual rehabilitation nursing follow-up intervention, telephone follow-up, and cross-referring intervention were carried out. Postoperative x-ray images were taken regularly to observe the recovery of reconstructed finger. There was no difference in daily life ability scores and hand function scores between the 2 groups at discharge (P > 0.05). The daily life ability scores and hand function scores of the observation group were better than those of the control group at 1 and 6 months after discharge (P < 0.05), the difference is statistically significant. As the discharge time prolonged, the daily life ability score and hand function score of the 2 groups of patients gradually increased. X-ray images showed that the replanted finger body was well developed, phalanx was in good antithesis, and there was no epiphysis. Continuous rehabilitation nursing measures should be taken after the replantation of the severed finger after neurovascular preservation, which provides standardized rehabilitation training standards for patients with replantation of severed finger after discharge, improves patient training compliance, promotes hand function recovery as soon as possible, and enables patients to return to society as soon as possible, which is worthy of clinical promotion and application.

Comparison of curative effects of minimally invasive surgery and conservative treatment for hypertensive intracerebral hemorrhage

Objective To compare the clinical effect of minimally invasive operation and conservative treatment on hypertensive intracerebral hemorrhage. Methods From January 2015 to January 2018, 85 patients with hypertensive intracerebral hemorrhagein in Gujiao Mining Area General Hospital of Xishan Coal and Electricity Group were selected.According to the treatment methods, the patients were divided into two groups: the minimally invasive operation group(n=46) and the conservative treatment group(n=39). The minimally invasive operation group was treated with minimally invasive surgery, and the conservative treatment group was treated with the conservative therapy of neurology.The clinical efficacy and hospital stay of the two groups were compared.The incidence of complications, neurological impairment score, ADL score and prognosis of the teo groups were compared. Results The total effective rate of the minimally invasive surgery group was 95.65%, which was higher than 79.49% of the conservative treatment group(χ2=5.586, P<0.05). The length of hospitalization in the minimally invasive surgery group was (8.52±2.31)d, which was significantly shorter than (11.79±3.05)d in the control group (t=5.617, P<0.05). The incidence rate of complication of the minimally invasive surgery group was 6.52%, which was lower than 25.64% of the conservative treatment group(χ2=5.955, P<0.05). After treatment, the nerve function defect score of the two groups was significantly reduced (t=9.455, 16.773, all P<0.05), the daily life ability score was significantly increased (t=8.372, 14.085, all P<0.05), which in the invasive surgery group were better than those in the conservative treatment group(t=6.974, 5.063, all P<0.05). The good prognosis rate of the minimally invasive surgery group was 67.39%(31/46), which was significantly higher than 43.59%(17/39) of the conservative treatment group (χ2=4.864, P<0.05). Conclusion Minimally invasive surgery is superior to conservative treatment in the treatment of hypertensive intracerebral hemorrhage. Key words: Cerebral hemorrhage; Hypertension; Surgical procedures, minimally invasive; Controlled clinical trial

Effect of perioperative hypothermia therapy on elderly patients with acute intestinal obstruction

Objective To investigate the effects of perioperative hypothermia therapy on immune function and nerve function recovery in elderly patients with acute intestinal obstruction. Methods From January 2010 to December 2015, 80 elderly patients with acute intestinal obstruction in the Traditional Chinese Medicine Hospital of Beilun District were selected and randomly divided into two groups, with 40 cases in each group.The control group was given conventional symptomatic treatment during operation, the observation group was given intraoperative hypothermia therapy on the basis of the control group.The CD4+ , CD8+ , CD4+ /CD8+ changes of immunoglobulin were observed in the two groups, the ESS(NIHSS) and Barthel index(daily life ability score) were compared between the two groups. Results After intervention, the CD4+ , CD8+ , CD4+ /CD8+ levels in the observation group were (35.1±2.0)%, (30.6±1.3)% and (1.9±0.3), respectively, which were higher than those in the control group[(26.0±0.9)%, (24.4±1.0)% and (1.6±0.2)], the differences between the two groups were statistically significant(t=26.242, 23.908, 5.262, all P<0.05). The IgM, IgG, IgA levels in the observation group were (1.60±0.03)g/L, (9.50±0.12)g/L, (3.90±0.20)g/L, respectively, which were higher than those in the control group[(1.30±0.02)g/L, (8.80±0.10)g/L, (1.80±0.15)g/L], there were statistically significant differences between the two groups(t=52.623, 28.342, 53.126, all P<0.05). The ESS, Barthel index in the observation group were (78.6±8.5), (77.3±6.6), respectively, which were higher than those in the control group[(59.6±6.1), (62.6±5.4)], there were statistically significant differences between two groups(t=11.486, 10.902, all P<0.05). Conclusion Hypothermia treatment can effectively reduce the effect of surgery on immune function in elderly patients with acute intestinal obstruction, promote the recovery of the nervous system, and improve the quality of life of the patients. Key words: Hypothermia, induced; Intestinal obstruction; Immunoglobulins; Aged

Effect of acupuncture combined with hyperbaric oxygen therapy on neurological function of patients with hypertensive cerebral hemorrhage

Objective To investigate the effect of acupuncture combined with hyperbaric oxygen therapy on neurological function and daily living ability of patients with cerebral hemorrhage. Methods From January 2014 to June 2017, one hundred and twenty-three patients with cerebral hemorrhage which hospitalized in the Department of Neurosurgery of Hebei Provincial Corps Hospital were selected and randomly divided into three groups: acupuncture group, acupuncture + hyperbaric oxygen group (combined group) and control group.The acupuncture group was given acupuncture on the basis of routine medical treatment after minimally invasive surgery treatment; the combined group was treated with acupuncture treatment as well as hyperbaric oxygen therapy after minimally invasive surgery; the control group was only treated with conventional medical therapy without any special treatment.The scores of nerve function defect, Fusl-Meyer motor function assessment scale, daily living ability score, cognitive function score, Glasgow coma scale at the 40th day of admission were evaluated and compared respectively, and the clinical effect were evaluated as well. Results After treatment, the NHISS score of the control group, the acupuncture group and the combined group decreased in turn.The score of Fusl-Meyer exercise function rating scale, the daily living ability score, the cognitive function score and the Glasgow coma scale were increased in turn, and the differences were statistically significant (F=276.620, 76.050, 31.770, 116.598, 33.745, P<0.01). The total effective rate of the control group, acupuncture group and combined group increased sequentially (61%, 76%, 90%), and the difference was statistically significant (χ2=18.547, P<0.01). Conclusion Acupuncture therapy for patients with cerebral hemorrhage can effectively promote the improvement of nerve function, daily living ability and prognosis.Acupuncture combined with hyperbaric oxygen can get more obvious therapeutic effect. Key words: Cerebral hemorrhage; Acupuncture; Hyperbaric oxygen; Motor function; Self-care ability

OR-002 Clinical observation of strengthened control training of knee joint on lower limb motor function in apoplexy patients

Objective On the basis of routine rehabilitation training for patients, increase the training of knee joint control, explore the effect of intensive knee joint training on the clinical efficacy of lower limb motor function in apoplexy patients, it can better improve the knee joint control ability of patients, improve the balance ability, stability and coordination of the patient's body, so that patients can recover quickly and reduce the burden on families and society.&#x0D; Methods Twenty-eight stroke patients who met the study criteria were randomly divided into treatment group and control group. Both groups of patients were treated with conventional rehabilitation. The treatment group was given strengthened control training of knee joint. The content of strengthened control training of knee joint includes bridge training, knee joint control training, and the ipsilateral lower limb weight bearing knee joint training. The training was done in 12 weeks.The lower limb function of the affected limb was assessed before and after treatment by,the Berg balance scale(BBS),the daily life ability scale(MBI),the fugl-meyer scale(FMA). Among them,the BBS was used to assess the patient's balance ability, the MBI was assessed the ability of daily living activities, and the FMA was assessed the patient's athletic ability. &#x0D; Results (1)Compared with the BBS index score before treatment, there was no significant difference between the control group and the treatment group. After 12 weeks of rehabilitation treatment, the score of the balance function of the control group increased (P&lt;0.05). The score of the function was also significantly improved (P&lt;0.05). The scores of the balance function of the control group and the treatment group after treatment were significantly higher than those of the control group, with significant difference (P&lt;0.05). (2) Compared with the FMA index score before treatment, there was no significant difference between the control group and the treatment group. After 12 weeks of rehabilitation treatment, the score of the control group was significantly improved after treatment (P&lt;0.05). The scores after treatment were also significantly improved (P&lt;0.05). Compared with the control group and the treatment group, the scores of the treatment group were significantly higher than those of the control group, with significant difference (P&lt;0.05). (3) Compared with the MBI index score before treatment, there was no significant difference between the control group and the treatment group. After 12 weeks of rehabilitation treatment, the daily living ability score of the control group increased (P&lt;0.05), and the daily life of the treatment group. The scores of life ability were also significantly improved (P&lt;0.05). Compared with the control group and the treatment group, the MBI index scores in the treatment group were significantly higher than those in the control group (P&lt;0.05). &#x0D; Conclusions On the basis of routine rehabilitation training for patients, strengthened control training of knee joint can more effectively improve the balance of lower limb function in patients with cerebral apoplexy and enhance the stability and harmony of patients,improve the walking ability of patients.

Early microsurgery via transsylvian-transinsular approach in hypertensive intracerebral hematomas in the basal ganglia

Objective To investigate the clinical value of early microsurgery of hypertensive intracerebral hematomas in the basal ganglia via transsylvian-transinsular and cortical fistula approach. Methods A retrospective study was performed on 122 cases of patients with hypertensive intracerebral hematomas in the basal ganglia who were admitted from January 2013 to December 2016.According to different surgical approaches, the patients were divided into the cortical fistula approach (CFA) group and the transsylvian-transinsular approach (TTA) group.In the CFA group, the ipsilateral left middle temporal gyrus was used as the hematoma cavity; in the TTA group, the ipsilateral lateral fissure and the upper lobe of the insular cortex reached the hematoma cavity.After the operation, the patients were examined by brain CT to determine the clearance rate of the hematoma, and the NICU admission time and the daily living ability score were compared between the two groups. Results The differences of postoperative hematoma clearance rate, NICU admission time and ADL between the two groups were statistically significant (P<0.05). Conclusion Compared with the cortical fistula approach, the transsylvian-transinsular approach has higher hematoma clearance rate, shorter NICU admission time and better prognosis, which is worth of clinical promotion. Key words: Transsylvian-transinsular approach; Cortical fistula approach; Microsurgery; Hypertension; Intracerebral hematoma; Basal ganglia

The effect of finger exercises combined with local physiotherapy on recovery of hand function in postoperative with flexor tendon injury

Objective To investigate the effect of finger exercises combined with local physiotherapy on recovery of hand function in postoperative with flexor tendon injury. Methods The data of 286 cases of flexor tendon injury who were received by emergency trauma patients during the period from January 2014 to January 2016. According to the order of admission for single finger exercise function exercise set as the experience group, and routine functional exercise set as control group, to observe the hand function recovery, the satisfaction of patients and the quality of life of patients were compared between the two groups. Results There were no statistical differences of the effective rate of treatment and the daily living ability score between the experimental group and control group in one month after the operation (P>0.05). The effective rate of treatment and the daily living ability score were 95.10% (136/143), (15.32±1.98) points in six months after the operation in the experience group, and 81.12%(116/143), (22.62±1.42) points in the control group, and there were statistical differences between two groups (χ2/t=13.35, -14.44, P<0.05). The patient satisfaction score were (88.46±2.20), (96.32±2.64) points in one and six months after the operation in the experimental group and (80.97±3.69), (87.54±2.39) points in the control group (P<0.05), and there were statistical differences between the experimental group and control group (t=20.77, 21.35, all P<0.05). Conclusions The finger exercises combined with local physiotherapy could not only improve the hand function of patients, but also improve the daily life ability of patients, and improve patient satisfaction, it is worth popularizing in clinical practice. Key words: Rehabilitation; Finger exercise; Tendon injury

Influence of the weekend professional care on the prognosis of patients with stroke

Objective To investigate the impact of the weekend professional care on the prognosis of patients with stroke. Methods Totals of 366 patients with stroke were continuously selected and divided into control group (1-2 nursing staff/10 beds, n=115) and observation group(>2 nurses/10 beds, n=251) according to proportion of nursing staff and beds on the weekend. Patients received corresponding and nursing and 3 year′s follow-up. The United States National Institutes of Health Stroke Scale (NIHSS) scores and Daily Life Ability Score (MBI) nursing before and after, Modified Rankin Scale (MRS) and 3 years mortality of 2 groups were compared. The relationship between proportion of nursing staff and beds on the weekend and NIHSS, MBI, MRS and mortality in the 3rd year of followed up period was analyzed. Results NIHSS of control group and observation group were lower than that of before treatment, while MBI scores was higher than that of before treatment; NIHSS scores of observation group in the same period was lower than that of control group while MBI score was also higher than that of control group (P<0.05). Patients rate with MRS score as 3 to 5 points and 3 years mortality of observation group were higher than that of control group (P<0.05). The proportion of nursing staff and beds at the weekend were negatively correlated with MRS and 3 years mortality and MBI scores were correlated. Conclusions The professional nursing at the weekend can effectively reduce nerve function damage degree and mortality of stroke patients, and improve the ability of daily life and prognosis of patients. Key words: Stroke; Prognosis; Professional nursing

Situation analysis of medical social support and self-perceived burden in elderly patients with chronic obstructive pulmonary diseases in Chengdu

Objective To analyze the situation of medical social support and self-perceived burden in elderly patients with chronic obstructive pulmonary diseases (COPD) in Chengdu, explore the influence of medical social support for patients with family oxygen cure. Methods A convenient sampling was conducted in 4 hospitals in Chengdu, and selected totally 124 elderly patients with COPD in January 2013 as the research object. Results Those patients' average daily life ability score was (20.19±7.10) points, 42 cases' daily life ability was normal, 44 had deficiency in daily life, 38 had obvious flaws; 16 cases received medical social support condition at a critical level, 66 at a general level, 42 in good condition; the difference of the ability of daily life between actual support and other supports was statistically significant (P 0.05). Patients with long term oxygen therapy had higher self-perceived burden than patients without oxygen therapy at home [(18.65±3.97) points vs. (17.69±6.24) points,t=6.015,P<0.05], but patients with long term oxygen therapy had better medical and social support condition than those without oxygen therapy at home [(282.11±37.47) points vs. (262.26±61.14) points,t=6.624,P<0.05]. Conclusions The level of medical and social support in elderly patients with COPD need improve. Nurses need to provide better guidance for patients with long term oxygen therapy, ensure them obtain adequate information, improve their emotional support and social interaction, enhance their medical social support condition. Key words: Aged; Pulmonary disease, chronic obstructive; Medical social support; Self-perceived burden

Clinical research on the effects of Chinese herb fumigation and washing combined with electromyographic biofeedback on stroke patients with muscle cramp on limbs

Objective We tried to observe the effects of Chinese herb fumigation and washing combined with electromyographic biofeedback on stroke patients with muscle cramp on limbs. Methods 84 patients who had muscle cramp on limbs were selected and divided into two groups randomly, namely the intervention group and the control group and both groups had 42 stroke patients. The intervention group was treated with routine treatment, Chinese herbal fumigation and washing and electromyographic biofeedback treatment. The control group received only routine treatment and electromyographic biofeedback treatment. We had compared and analyzed the Ashworth Spasticity Scale and the Daily Life Ability Score (Barthel index) of the two groups at the time of the pre therapy, two weeks after the treatment and at the end of the treatment(after four weeks), respectively. Results There were no significant differences between the two groups in Barthel index, however, there were significant differences in Ashworth Spasticity Scale scores between the two groups four weeks after treatment, t=-3.84, P<0.05. Conclusions The effect of Chinese herb fumigation and washing combining with the electromyo-graphic biofeedback treatment is better than usage of the electromyographic biofeedback treatment alone on stroke patients with muscle cramp on limbs. Key words: Chinese herb fumigation and washing; Electromyographic biofeedback treatment; Stroke; Muscle cramp