Effect Of Nursing Intervention Research Articles

Effect of personalized nursing intervention on biofeedback therapy of children with functional constipation

Objective To explore the effect of nursing intervention on the biofeedback effect of functional constipation in children. Methods A total of 112 children (4-16 years old) who were diagnosed with functional constipation in the Department of Pediatric Surgery of the First Affiliated Hospital of Zhengzhou University were randomly divided into the experimental group (54 cases) and the control group (53 cases). Children in the experimental group were treated with biofeedback training and personalized nursing intervention for functional constipation in children. The control group used biofeedback combined with traditional nursing intervention to treat functional constipation in children. The WHO-5 (World Health Organization′s five physical and mental health) scales were used to compare the effects of the two groups and were followed up for 3-6 months. Results A total of 107 children completed the study, 54 in the experimental group and 53 in the control group. There were no significant differences in the scores of the WHO-5 scale and clinical symptoms between the two groups before the intervention (P>0.05). After intervention, the total score of WHO-5 in the experimental group was (21.69± 2.28), the total score of clinical symptoms was (6.56±1.16), the total score of WHO-5 in the control group was (17.85±3.189), and the total score of clinical symptoms was (9.04±2.121). The difference was significant (t=-7.146, t=7.491, P<0.01). Conclusion Personalized nursing intervention can enhance the effect of biofeedback training on children and adolescents with functional constipation and improve their quality of life. Key words: Nursing intervention; Functional constipation in children; Biofeedback

Relationships between the Advanced Nursing Process quality and nurses' and patient' characteristics: A cross-sectional study.

AimThis study aimed to assess (a) nurses' knowledge and their attitude towards the Advanced Nursing Process—nursing assessment, diagnoses, interventions, outcomes, (b) the quality of the Advanced Nursing Process and (c) relationships with patient characteristics.DesignA cross‐sectional, descriptive correlational study was performed.MethodsNinety‐two registered nurses and ninety nursing records of six hospital wards were included. In January 2016, a knowledge test, a self‐assessment tool for measuring nurses' attitude (PND) and the Quality of Diagnoses, Interventions and Outcomes Revised instrument (Q‐DIO R) were applied. The correlations between nurses' knowledge, attitude, patient characteristics, organizational factors and the Advanced Nursing Process quality were investigated.ResultsNurses demonstrated low levels of knowledge, positive attitudes and an average Advanced Nursing Process quality. Accurate nursing diagnoses were strong and highly significantly related to effective nursing interventions and better nursing‐sensitive patient outcomes. A higher proportion of registered nurses was related to better nursing outcomes.

Effect of comprehensive thermal insulation measures on body tempreture and stress index in patients with low body mass index of thoracic surgery

Objective To investigate the changes of body temperature and the effect of nursing intervention in patients with low body mass index (BMI<18.5 kg/m2) during thoracic surgery. Methods Sixty patients with low BMI who underwent thoracic surgery in the Operating Department of the 4th Hospital of Hebei Medical University from June 2016 to December 2018 were randomly divided into observation group and control group, with 30 cases in each group. In addition, 30 patients with normal BMI (18.5-23.0 kg/m2) who underwent thoracic surgery in the same period were selected as the normal group. The observation group adopted comprehensive thermal insulation measures during the operation, and the control group and the normal group adopted routine insulation measures. The patient's body temperature of three groups was compared at each time point: entering operation room, disinfection, body cavity exploration , cutting specimens, closing the chest, suture skin and exiting operation time. the occurrence of adverse reactions during surgery, the blood coagulation index and lactic acid in the peripheral blood before and at the end of surgery, and the peripheral blood inflammatory factor levels were also compared. Results There were no significant differences in body temperature between the three groups (P>0.05) . During the operation, the body temperature of the three groups decreased, and the recovery from the chest was restored. There were significant differences in body temperature between the three groups (P 0.05) . The coagulation and stress indexes of the observation group and the control group were significantly different from those of the normal group (P 0.05) . The coagulation, lactic acid and stress indexes of the three groups were significantly different before and after surgery (P<0.05) . There was a statistically significant difference in interleukin-6 (IL-6) levels before and after surgery (F=134.241, P< 0.001) ; there was an interaction between the intervention and the time, and the difference was statistically significant (Finteraction=12.202, P<0.001) . There were significant differences between the three groups in the interleukin-10 (IL-10) level group (between group F=7.792, P < 0.001) ; the difference of IL-10 levels before and after surgery was statistically significant (Ftime=112.121, P< 0.001) ; There was an interaction between the intervention and the time, and the difference was not statistically significant (Finteraction=2.990, P=0.055) . Conclusions Compared with patients with normal BMI thoracic surgery, patients with low BMI have abnormal blood coagulation and stress indicators before surgery, and are more likely to have intraoperative blood pressure drop and adverse reactions. Comprehensive intraoperative warming measures can effectively prevent hypothermia in patients with low BMI. Key words: Body mass index; Thoracic surgery; Body temperature; Coagulation function; Stress index

Effect of the sleep nursing intervention on sleep status and gross motor development of infants

Objective To explore the effect of sleep nursing intervention on infants' sleep status and gross motor development. Methods Eighty-nine normal infants aged 8-9 months were randomly divided into two groups: experimental group (n=45) and control group (n=44). The control group received general family nursing intervention, while the experimental group received sleep nursing intervention.The whole intervention lasted for 56 consecutive natural days.Before and after the intervention, polysomnography (PSG) was used to monitor the electrophysiology during sleep, and Gesell development assessment scale was used to assess the gross motor development of the subjects. Results There were no significant difference in sleep duration ((79.6±15.0)min, (78.3±20.4)min), REM sleep ((28.3±5.9)%, (28.2±9.0)%), NREM sleep((71.2±3.6)%, (72.6±5.1)%), deep sleep ((13.0±2.7)%, (13.6±3.7)%), sleep latency ((9.1±3.6)min, (8.7±2.9)min)and sleep efficiency ((78.6±1.9)%, (84.4±5.5)%)before and after the intervention in the control group (all P>0.05). The sleep duration ((82.7±13.4) min, (95.6±12.1) min), the proportion of deep sleep((10.4±4.7)%, (16.6±3.0)%), the proportion of NREM period((74.9±1.6)%, (76.9±1.0)%), the sleep efficiency((82.3±2.6)%, (89.4±3.7)%) in the experimental group were significantly different before and after the intervention(P<0.05). The differences value of the total sleep duration, NREM sleep proportion, deep sleep proportion and sleep efficiency before and after the intervention in the experimental group were significantly higher than those in the control group (P<0.05). The difference value of gross motor development between the two groups before and after intervention was statistically significant (test group (6.0±3.0), control group (2.0±1.5), t=4.687, P<0.05). Conclusion Sleep nursing intervention can improve the proportion of deep sleep in infants and improve the development level of gross exercise.The community health service can make sleep nursing intervention plan according to different families and infants' psychological development to optimize infants' deep sleep and promote the level of gross motor development. Key words: Sleep; Family nursing; Gross motor development

Effect of preventive nursing intervention on reducing the incidence of postural aneurysm after anaesthesia in thyroid patients

目的 探析预防性护理干预在预防和减少甲状腺患者全身麻醉术后体位综合征发生的效果。 方法 选择2017年7月至2018年7月在温州医科大学附属第一医院接受甲状腺全身麻醉手术患者90例为研究对象，根据入院先后分成研究组和对照组各45例；对照组开展常规护理干预，研究组同时开展预防性护理干预护理，对比分析两组术后体位综合征发生情况，并评估患者护理满意度。 结果 研究组术后恶心呕吐、头晕头痛、肌肉酸痛、颈椎疼痛的发生率为分别11.11%、6.67%、4.44%、8.89%，分别低于对照组的31.11%、22.22%、42.22%、35.56%，均差异有统计学意义(χ2＝5.404、4.406、17.950、9.257，均P<0.05)；研究组护理满意度为97.78%，显著高于对照组的84.45%，差异有统计学意义(χ2＝4.939，P<0.05)。 结论 在甲状腺全身麻醉手术中对患者开展预防性护理干预，可有效减少术后体位综合征发生率，促进患者康复，提高患者护理满意度。

The effect of fine nursing intervention in improving the negative emotion and quality of life of maintenance hemodialysis patients

Objective To explore the effect of fine nursing intervention on improving negative emotion and quality of life in patients with maintenance hemodialysis. Methods A total of 106 cases of maintenance hemodialysis patients who were enrolled in this hospital from February 2017 to February 2018 were randomly divided into control group and observation group according to the random number table method, 53 cases in each group.During hemodialysis, the patients in the control group were given routine clinical nursing interventions for hemodialysis, and the patients in the observation group were given Refined nursing intervention based on routine nursing interventions.The quality of life, adherence to treatment, social support, social avoidance, and distress scores were compared between the two groups before and after intervention. Results Before the nursing intervention, there was no significant difference in KDQOL-SFTM(Kidney Disease and Quality of Life Short Form) scores between the two groups (P>0.05). The KDQOL-SFTM score in the observation group was (65.18±10.57) points, which was higher than that in the control group (59.27±10.24) points, and the difference was statistically significant(P 0.05). The SAS (Self-Rating Anxiety Scale) and SDS (Self-Rating Depression Scale) scores of the two groups after nursing were lower than those before nursing. Compared with the control group, the reduction in the study group was more significant, and the difference was statistically significant (P<0.05). After intervention, SSRS (Social Support Rating Scale) scores of both groups were higher than before intervention, and the study group was higher than the control group, with statistically significant differences (P<0.05). Social Avoidance and Distress Scale scores of both groups were lower than before intervention, and the research group was lower than the control group, with statistically significant differences (P<0.05). Conclusions Refined nursing intervention for patients undergoing maintenance hemodialysis can effectively improve their quality of life, improve treatment compliance, and help patients return to society, which is worthy of clinical promotion. Key words: Maintenance hemodialysis; Refined nursing intervention; Quality of life; Negative emdotion; Social avoidance

Effect of standardized nursing intervention on sleep quality and cardiac function in patients with chronic heart failure

Objective To evaluate the effects of standardized nursing on the sleep quality and cardiac function of CHF (chronic heart failure) patients. Methods A total of 96 patients with CHF were randomly divided into control group and intervention group according to the random number table.Patients in the control group received routine cardiology nursing, patients in the intervention group received standardized nursing intervention.The Pittsburgh sleep quality index (PSQI) was used to evaluate the sleep quality of patients in the two groups before and after nursing.The 6 minutes walking test was carried out to determine the walking distance. Results Before the implementation of nursing, there was no significant difference in the scores of PSQI evaluation dimensions between the two groups(P>0.05). After the implementation of nursing, PSQI scores of patients in the intervention group were lower than those in the control group, with statistically significant differences (P<0.05). Before nursing, the 6-minutes walking distance of patients in the intervention group was(352.90±41.40) meters, and the difference was not statistically significant compared with(349.80±40.90) meters in the control group(P<0.05). Conclusion The implementation of standardized nursing intervention can improve the sleep quality of CHF patients and the 6-minutes walking test distance, which plays an important role in the improvement of patients' rehabilitation and quality of life. Key words: Chronic heart failure; Standardized nursing; Sleep quality

CN86 - The effects of progressive muscle relaxation and mindfulness meditation on fatigue, coping styles, and quality of life in breast cancer patients receiving adjuvant paclitaxel regimen: An assessor blinded, three-arm randomized controlled trial

BackgroundThis study aimed to examine the effects of progressive muscle relaxation (PMR) and mindfulness-based stress reduction (MBSR) on fatigue, coping styles and quality of life (QOL) in breast cancer patients receiving adjuvant paclitaxel regimen. MethodsParticipants (stages 1-3) were randomly assigned to either a 12-week (PMR) (n=31), MBSR (n=32) interventions or control group (CG) (n=29). Participants in the intervention groups were instructed on PMR and MBSR, the steps of interventions were recorded a voice recorder, and were asked to listen the recorded audio files during exercises. Participants in the intervention groups continued PMR or MBSR 20min. each day, totally 12 weeks at their home. The CG received only a single time attention placebo education (15min.) on breast cancer before paclitaxel regimen. No intervention was applied to neither the interventions nor the control group until the follow-up assessment (week 14). Data collection tools included Patient Information Form, Brief Fatigue Inventory (BFI), Brief COPE, and the Functional Living Index-Cancer (FLIC). The data were collected at three time points including at baseline, week 12, and week 14. To analyze data repeated measures ANOVA and Kruskal Wallis tests were used. ResultsThe BFI scores were significantly decreased in the MBSR, PMR groups when compared with the CG at week 12 and week 14 (p<.05). The use of emotional support, use of instrumental support, venting, positive reframing, and planning sub-dimension scores of Brief COPE were significantly higher in the MBSR, and PMR groups than the CG at week 12 and week 14 (p<.05). Besides, the humor and acceptance sub-dimension scores of Brief COPE were significantly higher in the MBSR, and PMR groups than the CG at week 14 (p<.05). Regarding FLIC, QOL scores, there were no significant differences between the groups at week 12 and week 14 (p>.05). ConclusionsA brief, PMR and MBSR are simple and effective nursing interventions, initiated concurrently with adjuvant paclitaxel regimen that can be used to manage fatigue, and improve coping styles in patients with breast cancer. Legal entity responsible for the studyThe authors. FundingHacettepe University, Scientific Research Projects Coordination Unit (project THD-2018-17089). DisclosureAll authors have declared no conflicts of interest.

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

Nursing research progress on frozen gait of patients with Parkinson disease

With the aggravation of social problems of aging population, the incidence of Parkinson disease is increasing year by year, and the frozen gait symptoms of patients with Parkinson disease seriously affect the safety of the patients. This paper reviews the existing studies at home and abroad, and introduces the pathogenesis, assessment tools and effective nursing interventions of the frozen gait of patients with Parkinson disease so as to provide reference for nursing and rehabilitation of Parkinson disease patients with frozen gait. Key words: Review; Nursing care; Parkinson disease; Frozen gait; Research progress

Effect of systematic nursing intervention on prognosis of patients with IgA nephropathy

Objective To investigate the effect of systematic nursing intervention on the prognosis of patients with IgA nephropathy. Methods A total of 137 IgA nephropathy patients admitted by this department from June 2016 to August 2017 were randomly selected.According to different nursing methods, the patients were divided into routine nursing group with 68 cases and systematic nursing group with 69 cases. Results There were statistically significant differences in Hb, ALB, traditional Chinese medicine (TCM) syndrome score and MIS score between the two groups(P<0.05). Hb and ALB indexes of patients in systematic nursing group were significantly higher than those in routine nursing group.TCM syndrome score and MIS score were significantly lower than those of the routine nursing group.The scores of emotional function, cognitive function and physiological function in the systematic nursing group were significantly higher than those in the routine nursing group(P<0.05). Compliance and satisfaction of patients in system nursing group were significantly higher than those in routine nursing group(P<0.05). Conclusions Systematic nursing scheme for IgA nephropathy patients has good clinical application effect, which can effectively improve patients' satisfaction with the compliance of nursing and nursing effect. Key words: IgA nephropathy; Progression; Nursing; Effect

Evaluation on application effect of psychological nursing intervention on patients with traumatic endophthalmitis

Background: To explore the application effect of psychological nursing intervention in patients with traumatic endophthalmitis. Methods: A total of 90 patients with traumatic endophthalmitis admitted to our hospital from August 2018 to April 2019 were selected as study objects and randomly divided into observation group and control group, with 45 cases in each group. The control group received routine nursing care, and the observation group performed psychological nursing intervention on the basis of the control group. The scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS) and nursing satisfaction degree were compared before and after nursing treatment in two groups. Results: The scores of SAS and SDS of the observation group were better than those of the control group. The score of the nursing satisfaction degree of the observation group was higher than that of the control group, showing statistically significant difference (P&lt;0.05). Conclusions: Psychological nursing intervention can improve the physical and mental condition of patients with traumatic endophthalmitis, reduce their negative emotions such as anxiety and depression, and improve the satisfaction of nursing. It is worthy of clinical promotion.

Comprehensive nursing intervention in the treatment of bacterial vaginosis nursing analysis

Objective To explore the effect of comprehensive nursing intervention in the treatment of bacterial vaginosis. Methods A total of 100 cases of bacterial vaginosis diagnosed and treated by the department of gynaecology in this hospital from January 2017 to January 2018 were selected. Patients were divided into conventional nursing group and comprehensive nursing group according to different nursing methods implemented during the treatment period, with 50 cases in each group. Routine nursing and comprehensive nursing intervention were carried out respectively to compare the clinical effect, adverse reactions, psychological state, health knowledge awareness rate and nursing satisfaction of the two groups. Results The total effective rate of patients in the conventional care group was 84%, while that in the comprehensive care group was 96%. The comprehensive care group was higher than the conventional care group, and the differences were statistically significant(P<0.05). The incidence of adverse reactions was 14% in the conventional care group and 4% in the comprehensive care group. The comprehensive care group was lower than the conventional care group, and the difference was statistically significant(P<0.05). The SAS and SDS scores of patients in the comprehensive care group were lower than those in the conventional care group, and the differences were statistically significant(P<0.05). The awareness rate of health education was 66% in the conventional care group and 84% in the comprehensive care group. The comprehensive care group was higher than the conventional care group, and the difference was statistically significant(P<0.05). The nursing satisfaction of patients in the conventional care group was 86%, and that of the comprehensive care group was 98%. The comprehensive care group was higher than the conventional care group, and the difference was statistically significant(P<0.05). Conclusions Comprehensive nursing intervention in the treatment of bacterial vaginosis nursing effect is ideal, is conducive to improve the clinical efficacy, reduce the rate of adverse reactions, improve the patients' bad psychological state, improve the health education awareness rate and nursing satisfaction of patients at the time of discharge, it is suggested to vigorously promote the clinical nursing work. Key words: Comprehensive nursing intervention; Bacterial vaginal disease; Treatment; Nursing

Influence of extended nursing based on WeChat platform on sleep and quality of life of patients with chronic heart failure

Objective To explore the effects of extended nursing intervention based on WeChat platform on sleep and quality of life of chronic heart faliure(CHF) patients. Methods Totally 124 CHF patients were randomly divided into control group and experimental group.Control group accepted usual discharge nursing, while the experimental group accepted extended nursing based on WeChat platform for 3 months.In front of the hospital nursing intervention and intervention for 3 months after the Pittsburgh Sleep Quality Index scale (PSQI) and Minnesota Living with Heart Failure Questionnaire (MLWHFQ) Questionnaire survey was carried out on the patient. Results After 3 months of nursing intervention, the sleep quality and life quality of patients in the observation group were better than those in the control group, and the differences were statistically significant (P<0.05). Conclusions Extended nursing intervention based on WeChat platform can improve the sleep quality and life quality of patients, which is worthy of clinical promotion. Key words: WeChat platform; Chronic heart failure; Extended nursing

Efficacy of relaxation therapy as an effective nursing intervention for post-operative pain relief in patients undergoing abdominal surgery: A systematic review and meta-analysis.

This systematic review and meta-analysis was conducted with the aim of assessing the efficacy of relaxation techniques for pain relief in patients undergoing abdominal surgery. The electronic search of the PubMed, Scopus, Cochrane Central Register of Controlled Trials (CENTRAL) and Google Scholar databases was performed for studies in the English language published up to May, 2019. A total of 12 studies were included in the review and 7 in the meta-analysis. In total, 4 relaxation techniques were utilized in the included studies: Jaw relaxation, Benson's relaxation, progressive muscle relaxation (PMR) and systematic relaxation. Of the 12 included, 10 studies demonstrated statistically significant pain relief in the relaxation group as compared to the controls. The data of 422 patients in the relaxation group and 424 patients in the control group were pooled for a meta-analysis, which indicated that patients undergoing abdominal surgery had significantly greater pain relief following relaxation therapy as compared to the controls [random: standardized mean difference (SMD), −1.15; 95% CI, −2.04 to −0.26; P<0.00001). The overall quality of the studies was not high. On the whole, despite trials demonstrating the benefits of relaxation therapy for immediate pain relief in patients post-abdominal surgery, there is lack of high-quality scientific evidence substantiating its routine use. There is a need for more robust randomized control trials (RCTs) utilizing standardized relaxation protocols to provide further evidence on this subject.

Adolescent cancer survivors' experiences of supportive care needs: A qualitative content analysis.

Supportive care is an important strategy that can help cancer survivors manage changes and problems during their follow-up care. Identifying patients' care needs is one of the primary steps of the nursing process to plan effective nursing interventions. The aim of this study was to explore adolescent cancer survivors' supportive care needs. Purposeful sampling was adopted to select 49 participants from hospitals to participate in face-to-face, semistructured interviews. The qualitative content analysis method was conducted for data analysis. Ten subcategories and four main categories - empathetic care, information about survival period, instrumental support, and cooperation in care - were extracted from the data. These four categories formed a major theme, "supportive care", as the primary healthcare need. This study highlights that supportive care should be developed collaboratively by family and healthcare providers to meet the needs of adolescent cancer survivors. Survivors' strengths and limitations should be identified, and then supportive care can be provided, such as giving appropriate information, enabling survivors to access supportive networks, and improving survivors' confidence and autonomy with their self-management.

Effect of individualized diet nursing intervention on prognosis, MNA and MNA-SF scores of elderly patients with chronic heart failure

Objective To explore and analyze the effects of individualized dietary nursing intervention on prognosis and MNA (Mini Nutritional Score) and MNA-SF (Modified Mini Nutritional Score) score in elderly patients with chronic heart failure. Methods A total of 100 elderly patients with chronic heart failure admitted to our hospital from February 2016 to February 2017 were selected and divided into observation group and control group according to random number table, 50 cases in each group. Patients in the control group were given routine nursing intervention, patients in the observation group were given personalized diet nursing intervention on the basis of patients in the control group.Serum albumin and prealbumin, MNA-SF and MNA scores, hospitalization indexes and efficacy were observed and recorded in the two groups before and after intervention. Results There was no significant difference in serum albumin between the two groups before intervention (P>0.05). Serum albumin of the two groups was significantly higher after intervention than before intervention (P 0.05). Serum prealbumin was significantly higher in the two groups after intervention than before intervention (P 0.05). MNA-SF was significantly higher in the two groups after intervention than before intervention (P 0.05). MNA of the two groups was significantly higher after intervention than before intervention (P<0.05). However, MNA in the observation group was significantly higher than that in the control group (P<0.05). The length of stay, readmission rate and mortality in observation group were significantly lower than those in control group (P<0.05), while the readmission time was significantly higher than the control group (P<0.05). After rank-sum test, the difference between the two groups was statistically significant (U=9.438, P=0.000). The total effective rate of the observation group was significantly higher than that of the control group, and the difference was statistically significant (χ2=5.761, P=0.007). Conclusion Individualized dietary nursing intervention can effectively improve nutritional status, prognosis, MNA and MNA-SF scores of elderly patients with chronic heart failure. Key words: Personalized care; Old age; Chronic heart failure; Nutrition

Current nursing status of diabetes mellitus with alzheimer’s disease

The occurrence of alzheimer's disease is closely related to diabetes.When diabetic patients suffer from long-term poor blood glucose control, repeated hypoglycemia and other problems, central nervous system and cerebrovascular diseases will occur, accelerating the occurrence of alzheimer's disease.In this paper, the current and effective nursing interventions for diabetes mellitus with alzheimer's disease were summarized to reduce the incidence of complications and improve the quality of life of patients. Key words: Diabetic mellitus; Alzheimer's disease; Current nursing status

Effect of holistic nursing intervention on patients with acute mastitis treated by incision and drainage

Objective To explore the effect of holistic nursing intervention on patients with acute mastitis treated by incision and drainage. Methods From January of 2017 to January of 2019, 55 patients with acute mastitis treated by incision and drainage in Breast and Thyroid Surgery, Shaoxing People's Hospital were selected and received holistic nursing intervention. Patients' scores on pain grade and psychological status (SAS、SDS) before and after intervention were compared. Results The hospitalization time of the 55 patients was (14.27±2.51) d, the healing time was (13.21±2.47) d, and the incidence of breast fistula was 7.27% (4/55) . After nursing intervention, the pain score was significantly less than that before nursing intervention (P<0.05) ; the SAS and SDS scores decreased significantly (P< 0.05) . Conclusions Holistic nursing intervention can effectively alleviate the pain of patients with acute mastitis after incision and drainage, and improve patients' negative affect. Key words: Acute mastitis; Incision and drainage; Pain; Negative emotion; Holistic nursing

Effect of parenting stress, self-esteem and parent-child interaction in parents of children with allergic rhinitis on self-esteem of children: Analysis of Actor-partner Interdependence Model.

It is important to focus on the early identification of factors that promote children's self-esteem, to foster the healthy development of children with allergic rhinitis. This study aimed to identify the effects of parents' parenting stress, self-esteem, and parent-child interaction on the self-esteem of children with allergic rhinitis. Structural equation modeling was used to verify the conceptual model. This study was conducted on 656 children with symptoms of allergic rhinitis and their parents who participated in the 8th Panel Study on Korean Children (PSKC). Data collection involved a questionnaire on parents' parenting stress, self-esteem, parent-child interaction and self-esteem of children. Secondary data from the PSKC were analyzed using Actor-partner Interdependence Model. Data were analyzed using SPSS-WIN Version 20.0 and AMOS Version 20.0. In the high self-esteem group, the father's parenting stress had a partner effect on the mother's self-esteem, while the mother's self-esteem affected her parent-child interaction, which in turn affected the child's self-esteem. In the low self-esteem group, the father's parenting stress affected the mother's self-esteem, the father's self-esteem had a partner effect on the mother's parent-child interaction, and the mother's self-esteem had an indirect effect on the child's self-esteem. This study was conducted to provide basic data to help understand the interactions among variables related to the self-esteem of children with allergic rhinitis. The findings indicate that the model has utility in developing effective nursing intervention to promote self-esteem of children with allergic rhinitis.