Medical Nursing Care Research Articles

Nursing Implementation of Ineffective Breathing Patterns in Toddlers with Acute Respiratory Infection: A Case Study

Acute Respiratory Infection is an upper and lower respiratory tract infection that attacks the throat, nose and lungs at mild to severe levels lasting approximately 14 days. This study uses a case study method in the form of a description of the nursing care process in patients in accordance with the theory and contains a discussion of nursing actions that occur in the field. This study was conducted for 3 days with a total of 3 visits to patients starting from 15-17 May 2023, data obtained from interviews, observations, physical examinations. This study uses the concept of nursing care starting from assessment, appointment of nursing diagnoses, provision of nursing interventions, nursing implementation and nursing evaluation carried out for 3 days. the instrument used is the surgical medical nursing care assessment format. The results obtained by Baby D that he was less congested after being given nebulizer therapy, pulse: 160x/min, Temperature: 36.70C, respiration rate: 55x/min, Spo2: 99%, baby D still looks a little tight, using a breathing apparatus (nasal cannula), the client's general condition has improved slightly. It is expected that clients and families maintain and improve health by implementing a healthy lifestyle and utilizing existing health facilities for health control to accelerate recovery, so that the problem of Ineffective Breathing Patterns in clients with Acute Respiratory Tract Infection can be resolved.

Research on care preferences for the elderly and influencing factors in Zhejiang Province: A statistical and geographical approach.

The aging of the population is becoming an increasingly severe issue. How can we develop caring services for the elderly and promote healthy aging? Investigating care preferences is an essential step in addressing this issue. A self-designed questionnaire was employed to collect data online. The impact of personal circumstances on care preferences was ascertained using the chi-squared test and multivariate logistic regression. An optimal parameters-based geographical detector was introduced to examine the influence of spatially heterogeneous regional factors on care preferences. The online survey produced 1178 valid questionnaires. Home-based elderly care was the preference of 91.9% of respondents, followed by community-based care and medical-nursing care; institutional care was the least preferred alternative. Age, education, living style, and health states of the elderly significantly influenced the preferred care option. When compared to home-based elderly care, older respondents (odds ratio [OR] = 3.776) preferred institutional care, highly educated respondents preferred community-based care (higher education: OR = 5.206; secondary education: OR = 3.049) and medical-nursing care (higher education: OR = 4.484); the elderly living alone (OR = 0.101) excluded institutional care, and the elderly living with their children excluded non-family care method of institutional care (OR = 0.031) and medical-nursing care (OR = 0.391). Regional medical resources and old-age security significantly affect the preferences of the elderly (q-statistic [q] > 0.5); local economic development significantly affects community-based care (q > 0.6); the availability of financial subsidies significantly affects home-based care and medical-nursing care (q > 0.9); and the availability of institutional resources significantly affects the preference for institutional care (q > 0.8). We found that it is necessary to improve the level of medical care given by non-family members and care facilities, vigorously develop new methods of elderly care, promote humanistic care in non-family care settings, and increase available regional medical resources, financial subsidies, and social security. This study integrates economic and social perspectives to examine and analyze retirement willingness, thereby broadening the scope of social surveys and research methodologies, and offering valuable insights with potential directive implications.

Medical nursing care of gastrointestinal tumour patients during chemotherapy

Objectifs : La présente recherche menée auprès de patients atteints d’un cancer gastro-intestinal étudiait les effets escomptés des interventions infirmières sur a) le respect du traitement par les patients, b) leur satisfaction à l’égard des soins infirmiers et c) la santé physique, par exemple la fonction pulmonaire. Méthodologie : Tous les patients (60 personnes) ayant reçu de la chimiothérapie au service de médecine traditionnelle chinoise du First Affiliated Hospital of Soochow University, ont été répartis en deux groupes égaux. Aux patients du groupe 1, on a administré les soins usuels planifiés; les patients du groupe 2 ont bénéficié d’interventions infirmières fondées sur des données probantes. Résultats : Les résultats montrent que le respect du traitement était meilleur dans le groupe 2 que dans le groupe témoin (p=0,01). De plus, on a observé un degré de satisfaction plus élevé à l’égard des services infirmiers (p =0,01) et une amélioration de la fonction pulmonaire (p=0,01). Le respect du traitement a fait diminuer la proportion d’infections secondaires dans le groupe 2 (p =0,05). Conclusion : Les résultats montrent que des interventions infirmières de qualité permettent d’améliorer la fonction pulmonaire, de réduire le stress, de bonifier les plans de traitement et de réduire le nombre d’infections secondaires.

Medical nursing care of gastrointestinal tumour patients during chemotherapy.

This research with gastrointestinal cancer patients analyzed the expected outcomes of nursing interventions on a) patient adherence to treatment; b) patient satisfaction with nursing care; and c) health of body conditions such as lung function. All patients (60 individuals) who underwent chemotherapy at The First Affiliated Hospital of Soochow University, Department of Traditional Chinese Medicine, were divided into two equal groups. Group 1 received planned care and Group 2 received evidence-based nursing interventions. The results showed that treatment adherence was higher in Group 2 than in the control group (p = 0.01). In addition, there was a higher rating by patients for the quality of nursing care (p = 0.01), as well as a higher score obtained for lung function (p = 0.01). Treatment adherence resulted in a decrease in the secondary infection rate in Group 2 (p = 0.05). The results showed that quality nursing intervention is effective for lung function improvement, stress level reduction, treatment plans, and a reduction of secondary infections.

A Nursing Approach Toward Family Caregivers of Older Patients Suffering from Stroke at Home

Older patients who have experienced a stroke often suffer from after-effects and stay at home for long periods of time while undergoing treatment. In order for patients to continue living at home, they need not only appropriate medical nursing care but also support from their families. This study examined nursing approaches for family caregivers to enable older patients who have experienced a stroke to continue living at home while being cared for by their families. The Japanese Ichushi-Web database was searched, and 58 studies were analyzed. Two findings were obtained. The first was that one of the success factors for home care is getting a good grasp of family caregiving ability. This consists of “understanding of the high significance of existence of the family caregivers” and “recognizing the need to maintain and improve good family relationships”. The second was to provide specific support to ensure family caregivers’ abilities that can help with continued home care. This consists of “providing knowledge about illness and disability and teaching appropriate caregiving skills”, “providing emotional support and decision-making support for family caregivers” and “strengthening multidisciplinary cooperation and effective use of social resources”. With the community-based integrated care system underway, the results of this study on securing family caregiving abilities may contribute to improving the quality of life of older patients suffering from stroke living at home. Keywords: older patients with stroke, living at home, family caregiving ability, nursing approach

Study on Mongolian Medical Nursing Care of Patients with Lumbar Intervertebral Disc Protrusion

Study on Mongolian Medical Nursing Care of Patients with Lumbar Intervertebral Disc Protrusion

Smart Medical Nursing Care Unit based on Internet of Things for Emergency Healthcare

Recently, the development and integration of various sensor control with smart intelligent unit is used in medical field through IoT. However, there is still a lot of space for growth in the medical and health industry's use of new technology. The traditional nurse care unit is managed through medical staffs, and the expanding medical demands creates the hospital’s patients records to be updated inefficiently. Since this is now an urgent need, developing a realistic, smart medical nursing care unit at low cost with a system capable of facilitating the effective and convenient administration of medical staff has taken a new significance. The proposed framework, conducted in the analysis to monitor medical records and activities of the emergency care unit patients, functions as a nurse and gives patients the nurse care satisfaction. The patients' actual location may be obtained for the first time by cloud computing based smart system. The precise location of the patient is critical to rescue the patient in emergency situation. This research work illustrates that the intelligent nurse care unit is the main phase called Smart Medical Nursing Care (SMNC). It contains several sensor units and by the combination of many sensors in the sensor module, it takes very less reaction time to connect or communicate both sides i.e., between patients and medical staffs.

健康老龄化背景下医养结合发展困境与对策研究——基于江西省调研

健康老龄化背景下医养结合发展困境与对策研究——基于江西省调研

Joint wound healing using polymeric dressing of chitosan/strontium-doped titanium dioxide with high antibacterial activity

Treatment against bacterial infection is of great significance for joint wound healing in medical nursing care. Thus, it is urgent to develop efficient antibacterial agent with excellent wound healing capability. In this research, a two-step strategy was employed for the development of novel chitosan scaffold reinforced by strontium doped TiO2 nanoparticles (CS/Sr-TiO2). The antibacterial activity of CS/Sr-TiO2 against Escherichia coli, and Staphylococcus aureus were evaluated with the zone of inhibition method. Wound healing properties of CS/Sr-TiO2 were tested in rabbit joint wound, and the Sr-doping is able to achieve a high wound healing rate near 93% after 12 days. Hence the results strongly demonstrate that the CS/Sr-TiO2 nanocomposites may be the promising materials for wound healing application in nursing care with enhanced antibacterial activity and high biocompatibility.

Implementation of quality management systems in public health: The experience of the Department of Urology, University General Hospital of Heraklion, University of Crete, Medical School

Introduction-Objective: Assessing the quality of health service provision at a Department level is difficult and needs to be documented. Documentation is achieved by certification. In spite of the increasing trend for more specialized quality standards, ISO 9001:2015 is the most widespread one. The Directorate of the Department of Urology of the University General Hospital of Heraklion, in cooperation with the Hospital Administration proceeded to study/ install the quality management system (QMS) according to ISO 9001:2015 for the provision by the Department of Urology and its Special Units (Non-Invasive Urology-Lithotripsy & Cystoscopy-Urodynamics) of diagnostic, therapeutic and nursing services as well as for the production of scientific work, research activity and provision of educational services. The procedure was implemented in July 2017 through the Special Account for Research of the University of Crete; using funds from a specific program set up for the development of the Department of Urology. To the best of our knowledge, this is the first case of certification of a Urological Department in a Public Hospital in Greece. The purpose of this study is to present the initial experience/results from the implementation of a QMS according to ISO 9001:2015 at our Department. Material and Methods: The procedure was initiated by providing medical-nursing and administrative staff with self-assessment questionnaires and special forms for problem-filling and improvement suggestions. All forms were filled in anonymously. All data gathered were processed by our quality management consultant. The results were presented to the parties involved in an open meeting at the Department and formed the basis for the QMS design. Through a 12-month strenuous workout with meetings about every 15 days, a QMS consisting of 14 procedures, two working instructions, 17 forms, and 13 administrative nursing protocols was set up. The system included 24 forms provided by the Ministry of Health and 29 clinical nursing protocols issued by the local Health Region. The staff was systematically trained in keeping them up and, with suggestions/ corrective actions the QMS was improved. Results: Through patient satisfaction questionnaires, the Department was rated with 9.1/10 (reception/stay), 9.8/10 (medical follow up), 9.3/10 (nursing care) and 9.2/10 (general service). With the implementation of the QMS, quality indicators related to medical-nursing care (drop-fall rates, fever rates, admission severity-related mortality, etc.) are monitored. Through staff meetings the progress of indicators is presented and actions are being taken aiming at improvements. The operation of the Department has been parameterized and co-perception has been conquered. By implementing a QMS, future goals have also been set: a) Higher staff participation rate problems/suggestions for improvement recording, b) Monitoring achievement of research objectives through standardized procedures, c) Higher satisfaction score achievement, d) Certification according to EN 15224, in order to introduce the of clinical risk concept by adopting scientifically registered protocols in daily diagnostic/ therapeutic practice. Conclusions: Certification of the QMS of a Urological Department in a Public Hospital is difficult but feasible. It can be successful despite organizational-technical difficulties/lack of resources. The benefits are many, such as enhancing organizational structure efficiency and improving communication within/outside the hospital.

The Association between Work Stressors, Knowledge about Aging, Burnout, and Job Satisfaction among Nursing Home Activity Directors

ABSTRACTOlder nursing home (NH) residents’ quality of life is influenced by medical-nursing care, occupational and recreational activities, and interaction with staff. The aim of the study was to explore associations between Activity directors’ (ADs) work stressors (conflict, ambiguity, autonomy, work overload), knowledge about aging, burnout and job satisfaction (N = 149). Multiple regressions revealed that different factors had an impact on burnout and job satisfaction. Age, job seniority, conflict, work overload, and knowledge about aging were associated with burnout, whereas conflict, work overload, and autonomy were associated with job satisfaction. The importance of work conditions and recommendations for training are discussed.

Influence of evidence-based nursing on quality of life and negative emotions for young and middle-aged patients with angina pectoris

Objective To study the effects of evidence-based nursing on quality of life and negative emotions in young and middle-aged patients with angina pectoris. Methods From August 2014 to August 2015, 102 angina pectoris patients, who were treated in cardiology department, were recruited and divided randomly into experimental group and control group. The patients of experimental group were treated with evidence-based nursing, while the patients of control group were treated with medical routine nursing care. Results Psychological status, the sleep quality, social activities and physical function scores in experimental group were higher than those in control group, with statistical significance (P<0.05). The effective rate of experimental group was 96.1%, while the control group was 70.6%, there was a significant difference between the two groups(P<0.05). Conclusions Evidence-based nursing in patients with angina pectoris, can improve effective rate and the knowledge level of clinical nurses, and reduce the patients′ pain, so it is worth promoting. Key words: Evidence-based nursing; Angina pectoris; Clinical effect

Bilateral spastic paresis without the ability to walk

Developmental disorders and severe damage to major parts of the brain cause loss of motor, sensor, cognitive and mental function. These disorders cannot be medically treated in a sufficiently curative manner and are likely to develop into severe disability in children and adults. Medical nursing care and treatment aims to achieve the best possible quality of life by a lack of pain, ability to communicate, autonomy, and activities of daily life. As part of the team neuro-orthopedic surgeons have to analyze the orthostatic effects of motor functional disorders in order to set up a treatment plan that includes preventive and palliative treatment options by movement therapy, orthotic, medicinal, and surgical interventions. Pain and severe progressive deformities, such as contracture of extremity joints, hip dislocation, and spinal deformity must be prevented as far as possible. Activities of daily life should be enhanced by balancing and promoting muscle power and stabilizing weak and unstable parts of the body when possible.

Application of the modality of APN continuous shift arrangement on nursing care

Objective The objective is to discuss the effect of applying the APN continuous shift arrangement of medical nursing care. Methods We modified the traditional duty arrangement modality in 18 departments of the hospital and performed the APN continuous method. The duty timeslice, times and duration of handover, and satisfaction degree of doctors and patients toward the nursing care were compared between the two modalities. Results The APN continuous shift arrangement had less times and duration of handover but higher satisfaction degree of doctors and patients comparing with traditional arrangement modality. Conclusions The APN continuous shift arrangement of medical nursing care is beneficial for the convenience of patients and the reasonable use of nursing human resource in hospital. It has significant advantages on ensuring the safety of patients and on improving the quality of nurse service. Key words: APN continuous shift arrangement; Duration of handover; Nursing

Effect of an early intervention programme on low birthweight infants with cerebral injuries

To determine the effect of an early intervention programme (EIP) on low birthweight infants with cerebral injuries. Subjects were 23 high-risk low birthweight infants (periventricular leukomalacia 15, intraventricular haemorrhage 5, both 3) receiving care in the neonatal intensive care unit (NICU) at Nagasaki University Hospital. Subjects were randomly assigned to the EIP group (n = 12) or the control group (n = 11). Participants in the EIP group received a Neonatal Behavioral Assessment scale (NBAS)-based intervention combined with developmental support designed to enhance the infants' development and the quality of the parent-infant relationship. The control group received routine medical nursing care without the EIP. The EIP began prior to discharge from the NICU and lasted until 6 months of corrected age. All children were examined on the NBAS preintervention and again at 44 weeks postconceptional age. Maternal anxiety status (STAI) and maternal feelings of confidence in dealing with her baby (LCC) were measured pre and postintervention. Mental and motor development was assessed postintervention using the Bayley Scale of Infant Development. Orientation and State Regulation of infant behavioural profiles, the STAI and LCC scores significantly improved in the EIP group (mean difference (95% CI): Orientation 0.7 (0.4, 1.1), State Regulation 0.9 (0.3, 1.5), STAI -5.5 (- 9.1, -1.9, LCC 5.3 (4.2, 6.5)), but not in the control group. Bayley mental developmental index (MDI) score in the EIP group was higher than in the control group, but there was no significant difference between the two groups (mean difference (95% CI): MDI 8.5 (- 0.8, 17.8), PDI 6.7 (- 1.9, 15.4)). The EIP has beneficial effects on neonatal neurobehavioural development and maternal mental health of low birthweight infants with cerebral injuries. This evidence suggests that short-term changes in maternal mental health and infant neurobehaviour promoted by an EIP may serve to initiate a positive interaction between parents and infants.

Use of a numeric visual analog anxiety scale among patients undergoing colorectal surgery.

The aim of this study was to evaluate the utility of a Numeric Visual Analog Anxiety Scale (NVAAS) as a potentially accurate and efficient way to determine presurgery anxiety among patients undergoing colorectal surgery. A secondary aim was to determine the relationship between NVAAS ratings of anxiety and postsurgery pain. Thirty-six patients scheduled for colorectal surgery were asked to rate their state anxiety on the NVAAS and to complete the State-Trait Anxiety Inventory (STAI). The NVAAS correlated significantly with STAI-state anxiety (0.64, p <.0001). The NVAAS measure of presurgery anxiety also correlated significantly with STAI-trait anxiety (0.46, p <.005) and postsurgery Visual Analog Scale pain ratings (0.35, p <.038). The NVAAS appears to be a valid and sensitive measure of anxiety among patients undergoing colorectal surgery. The NVAAS also has the advantage of being convenient and easy to use at bedside, increasing its clinical utility in medical nursing care.

Medical Nursing Care of Patients with Peptic Ulcers

Medical Nursing Care of Patients with Peptic Ulcers

Medical Nursing Care of Patients with Peptic Ulcers

Medical Nursing Care of Patients with Peptic Ulcers