Effect Of Comprehensive Nursing Care Research Articles

Influence of Comprehensive Nursing Care on Heart Failure Patient Management: A Systematic Review and Meta-Analysis.

Heart failure is a common chronic illness associated with high readmission rates and death. Comprehensive nursing care, management of symptoms, and psychological support are increasingly seen as critical components of successful heart failure therapy. This systematic review and meta-analysis aimed to determine the effect of comprehensive nursing care on clinical outcomes and quality of life in heart failure patients. We searched electronic databases (PubMed, PROSPERO, and Web of Science) for randomised controlled trials and observational studies on comprehensive nursing care treatments for heart failure patients. Data on readmission rates, mortality rates, and quality of life were obtained and examined. A total of 693 studies satisfied the inclusion criteria. A meta-analysis found that comprehensive nursing care reduced heart failure-related readmissions considerably when compared to conventional therapy (odds ratio [OR]: 0.77; 95% CI: 0.66-0.88, p = 0.0002). There was a significant difference in all-cause mortality (OR: 0.76; 95% CI: 0.60-0.97, p = 0.03), but comprehensive treatment enhanced quality of life and functional status (standardised mean difference -0.05, 95% CI: -0.21 to 0.10, p = 0.49). Comprehensive nursing care improves clinical outcomes and quality of life for heart failure patients. This study stresses the need to add comprehensive nurse interventions in normal heart failure treatment programmes.

Effect of comprehensive nursing care for the liver cancer patients undergoing interventional therapy in China: A systematic review and meta-analysis.

This review aims to assess the effect of comprehensive nursing care on liver cancer patients undergoing interventional therapy in China. In accordance with PRISMA guidelines, we reviewed randomized controlled trials and observational studies assessing the effect of comprehensive nursing care against standard care on liver cancer patients undergoing specific interventional therapies in China, including PubMed, Embase, CENTRAL and CINAHL till June 2023. Data synthesis was conducted using a random-effects model and reported as pooled odds ratio (OR) or mean difference (MD) or standardized mean differences (SMD). Ten Chinese studies with 1682 participants were evaluated. Comprehensive nursing care significantly enhanced patient outcomes in liver cancer treatment. Quality of life improved markedly (OR: 0.16, 95% CI: 0.06-0.41). Notable reductions were observed in anxiety (MD: -8.96, 95% CI: -11.52 to -6.40) and depression (MD: -9.47, 95% CI: -11.79 to -7.14). Patients also experienced increased physical (SMD: 1.70, 95% CI: 1.15-2.25), social (SMD: 1.65, 95% CI: 1.14-2.16) and activity scores (SMD: 1.94, 95% CI: 1.49-2.39), alongside a decrease in post-treatment complications (OR: 0.28, 95% CI: 0.21-0.37), demonstrating the multifaceted benefits of comprehensive care. Comprehensive nursing care may improve patient outcomes in liver cancer treatment, offering potential benefits in reducing the side effects of interventional therapy.

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.

Discussion on the effect of comprehensive nursing in endoscopic treatment of esophageal and gastric varicose bleeding

Objective To explore and analyze the effect of comprehensive nursing care in endoscopic treatment of esophageal and gastric varicose bleeding. Methods A retrospective analysis of 60 cases of patients with esophageal and gastric varicose hemorrhage admitted to the hospital was conducted. The patients were randomly divided into 30 cases of control group and 30 cases of observation group. Routine nursing and comprehensive nursing were adopted respectively to evaluate different nursing effects. Results Intraoperative and postoperative heart rate of the observation group (91.0 ± 4.0) times/min, (89.2 ± 4.2) times/min, which were lower than (98.0 ± 4.2) times/min, (94.7 ± 4.5) times/min of the control group. There was statistically significant difference (t values were 6.610, 4.894, P < 0.05). The bleeding prevention effectiveness rate of the observation group (93.33%, 28/30) was higher than the control group (73.33%, 22/30), The difference was statistically significant (χ2 value was 4.32, P < 0.05). The total nursing satisfaction rate (100.00%, 30/30) in the observation group was higher than that in the control group (86.70%, 26/30), the difference was statistically significant (χ2 value was 4.29, P< 0.05). Quality of life, disease cognition, compliance behavior, proper rest, self-protection, General Quality of life Inventory (GQOLI) score in the observation group were (33.5 ± 3.5), (21.5 ± 3.7), (32.5 ± 2.8), (21.5 ± 3.3), (22.0±4.2), (130.2 ± 17.4) points, which were higher than those in the control group (28.2 ± 3.2), (17.5 ± 2.5), (28.5 ± 3.0), (17.2 ± 3.0), (18.0 ± 3.0), and (110.2 ± 15.2) points. The differences were statistically significant (t values were 4.245-6.121, P<0.05). Conclusions Endoscopic treatment of esophageal and gastric varicose bleeding patients combined with comprehensive nursing intervention, can effectively prevent the occurrence of rebleeding, improve the quality of life of patients. The application effect is significant. Key words: Nursing care; Endoscopy; Esophageal and gastric varicose bleeding

Application effect of comprehensive nursing in patients with coronary heart disease

Objective To explore the effect of comprehensive nursing care on the quality of life of patients with coronary heart disease. Methods A total of 80 patients with coronary heart disease admitted to the hospital from August 2016 to May 2017 were selected and randomly divided into observation group and control group, 40 cases of each.The patients in the control group were given routine nursing, and the observation group received comprehensive nursing intervention.The nursing satisfaction and quality of life were compared between the two groups. Results Patients in the observation group were significantly more satisfied with their nursing work than those in the control group, and their scores of quality of life indicators such as physical health and mental health were all higher than those in the control group. The difference between the two groups was statistically significant (P<0.05). Conclusions Adopting comprehensive nursing method to nursing patients with coronary heart disease can not only improve patients' satisfaction with nursing, but also improve the quality of life of patients. Key words: Coronary heart disease; Comprehensive nursing; Quality of life; Nursing satisfaction degree

Effect of comprehensive nursing care on living quality and functional recovery of hip joint of patients with total hip replacement

Objective To explore the effect of comprehensive nursing care on living quality and functional recovery of hip joint of patients with total hip replacement. Methods A total of 30 patients with total hip replacement in the Fourth People's Hospital of Wuxi treated from April 2014 to October 2015 were selected for this study, who were randomly divided into two groups, 15 patients in each group.The patients of the experimental group were subjected to spinal core stability training on the basis of back muscle exercise, while the patients of the control group were given the back muscle exercise based on low back pain.The quality of life and postoperative recovery of each group were compared by the dysfunction scores. Results The back pain JOA score was used to evaluate the postoperative recovery and found that the postoperative recovery of the experimental group was superior to that of the control group(P<0.05). After being treated in different ways, the Oswestry scores of the patients of the two groups at discharge, and4, 8 and 12 weeks after discharge were both decreased, and the ADL scores were both increased, but compared with the control group, the reduced degree of Oswestry score of the experimental group was significantly lower than that of the control group, the increased degree of the ADL score was superior to that of the control group, and the differences were statistically significant (P<0.05). Conclusions Comprehensive nursing intervention can improve back pain of hip joint of patients with total hip replacement, and the quality of life of patients are simultaneously improved.It is worthy of clinical promotion. Key words: Comprehensive nursing care; Hip joint of patients with total hip replacement; Living quality

Effect of comprehensive nursing care on the healing of ulcer and nursing satisfaction rate in children with hand, foot and mouth disease

Effect of comprehensive nursing care on the healing of ulcer and nursing satisfaction rate in children with hand, foot and mouth disease

The effect of comprehensive nursing on comfort and satisfaction of patients with myocardial infarction

Objective To explore the effect of comprehensive nursing care on comfort and satisfaction of patients with myocardial infarction.Methods Sixty patients with acute myocardial infarction were randomly divided into the observation group and the control group.The control group was given routine nursing,the observation group was treated with comfortable nursing,the degrees of comfort and satisfaction of two groups were compared.Results The improvement of comforts about physiology,psychology,social culture and environment in the observation group were better than those in the control group (P＜0.05 ),and the angina frequency,the satisfaction degrees about duration of hospitalization,complications,quality of care in the observation group were obvious better than those in the conlrol group (P＜0.05 ).Conclusions Comprehensive nursingcare is beneficial to the comfort degree of myocardial infarction patients,and it can reduce angina frequency,increase satisfaction degree.That is worth popularizing. Key words: Comprehensive nursing; Myocardial infarction; Comfort degree; Satisfaction degree

Study of the Effect of comprehensive Nursing Care on the Adjustment of Children to Hospotalization

Study of the Effect of comprehensive Nursing Care on the Adjustment of Children to Hospotalization