Nursing Mode Research Articles

Clinical Effect of Predictive Nursing Mode in Hepatolithiasis Surgery

Clinical Effect of Predictive Nursing Mode in Hepatolithiasis Surgery

Observation on the Effect of Routine Nursing and Emergency Nursing Mode on Prevention of Risk of Gynecological Nursing

Observation on the Effect of Routine Nursing and Emergency Nursing Mode on Prevention of Risk of Gynecological Nursing

Application of Comprehensive Nursing Mode in Patients with Acute Ischemic Stroke After Intra-arterial Intervention

Objective: To explore the application of comprehensive nursing mode in patients with acute ischemic stroke after intra-arterial intervention. Methods: 218 patients with acute ischemic stroke undergoing interventional surgery from January 2019 to December 2019 were randomly divided into a control group (routine nursing mode，n=109) and a study group (comprehensive nursing mode，n=109). The control group adopts conventional nursing mode, such as basic nursing, life nursing, safety nursing, etc. The research group adopts the comprehensive nursing mode. Before the implementation of nursing measures, the patients' vital signs, state of consciousness, operation process and mental state are comprehensively evaluated to understand the actual needs of the patients. In the course of patient care, through real-time observation and evaluation, in a multidisciplinary cooperative mode to implement integrated care. According to the National Institutes of Health Stroke Scale (NIHSS), the two groups of patients were scored respectively after intervention and 1 week after intervention in order to compare the neurological function of them. Results: The NIHSS score of the study group 1 week after intervention was lower than that of the control group, and the difference was statistically significant (P < 0.05). Patients in the study group achieved better clinical rehabilitation effect than those in the control group. Conclusion: The comprehensive nursing mode can improve the prognosis of patients, which is worthy of promotion in clinical practice.

Application of Humanized Nursing in Uterine Artery Embolization for Patients of Uterine Fibroids

Background: Uterine artery embolization (UAE) has been widely used to treat uterine fibroids in recent years, which is less invasive and preserving the patient's uterus. Anyway, the patient could still have negative emotions in the perioperative period because of pain, vaginal bleeding, psychological stress, or other factors. High-quality humanized nursing is needed to improve patients’ situations. Object: To analyze the application and effect of humanized nursing in UAE for patients of uterine fibroids. Method: 90 patients with uterine fibroids admitted to our hospital from November 2019 to November 2020 were selected and divided into two groups according to a random drawing. The patients in the control group were given traditional nursing care. The patients in the observation group were given humanized nursing mode on this basis. The anxiety and depression degree before being discharged from hospital, satisfaction with different nursing modes, QOL score, amenorrhea, anemia, infection, arterial thrombosis, and other adverse conditions of the two groups were investigated. Result: The QOLS of the observation group after nursing were significantly higher than those of the control group, and the differences were statistically significant (<i>P</i> < 0.05). The score of HAMA and HAMD of the observation group was significantly higher than that of the control group, and the differences were statistically significant (<i>P</i> < 0.05). The satisfaction of the observation group was significantly higher than that of the control group, and the differences were statistically significant (<i>P</i> < 0.05). The rate of adverse complications of the observation group was significantly lower than that of the control group, and the differences were statistically significant (<i>P</i> < 0.05). Conclusion: The application of a humanized nursing model for the care of patients with UAE for uterine fibroids can effectively alleviate and eliminate negative perioperative emotions and significantly improve depression, which in turn is conducive to improving their postoperative quality of life, with high patient satisfaction and fewer cases of adverse reactions, with a high degree of safety, and is worth promoting in the clinic.

Effect of Cluster Nursing Mode Combined with Blood Pressure Regulation on Surgical Tolerance of Patients with Esophageal Cancer and Hypertension

Objective: To explore the effect of the cluster nursing mode combined with blood pressure regulation on the surgical tolerance of patients with esophageal cancer and hypertension. Methods: The clinical data of 86 patients with esophageal cancer and hypertension treated in our hospital (February 2016–February 2017) were retrospectively analyzed. The patients were randomly split into research group and reference group, with 43 cases in each group. The reference group received routine nursing, while the research group received cluster nursing combined with blood pressure regulation. The SBP, DBP and heart rates at D1 (at admission), D2 (2 h before surgery) and D3 (2 h after surgery) were compared between the two groups. In addition, the surgical tolerance, ESCA scores at 1 month after discharge, personality and behavior characteristics before and after intervention, and incidence of postoperative complications were also compared between the two groups. Results: With no obvious difference in SBP, DBP and heart rates at D1 between the two groups (P > 0.05), the SBP, DBP and heart rates at D2 and D3 in the research group were obviously lower compared with the reference group (P < 0.001). With no obvious difference in the number of patients with surgical tolerance of Grades I, II and III after intervention between two groups (P > 0.05), the number of patients with surgical tolerance of Grade IV in the research group was significantly higher than that in the reference group (P < 0.05). The scores of self-concept, self-care skills, self-care responsibility and health knowledge in the research group at 1 month after discharge were obviously higher compared with the reference group (P < 0.001). The scores of EPQ-L (lie), EPQ-P (psychoticism) and EPQ-N (neurosism) after intervention in both groups were obviously lower compared with those before intervention (P < 0.001), and the scores of EPQ-L, EPQ-P and EPQ-N after intervention in the research group were significantly lower than those in the reference group (P < 0.001). The total incidence of postoperative complications in the research group was significantly lower compared with the reference group (P < 0.05). Conclusion: Cluster nursing combined with blood pressure regulation can significantly improve the surgical tolerance of patients with esophageal cancer and hypertension and enhance the self-care ability after surgery, with obvious therapeutic effect, which is worthy of promotion and application.

Application Effect Analysis of Early Rehabilitation Nursing Mode in Patients with Cerebral Infarction

Application Effect Analysis of Early Rehabilitation Nursing Mode in Patients with Cerebral Infarction

Analysis of clinical effect of humanized nursing mode on patients with hypertensive cerebral hemorrhage.

Analysis of clinical effect of humanized nursing mode on patients with hypertensive cerebral hemorrhage.

Study on the effect of high-quality nursing intervention mode on the improvement of emotional status of breast cancer patients.

Study on the effect of high-quality nursing intervention mode on the improvement of emotional status of breast cancer patients.

Application effect of high-quality nursing management mode in outpatient treatment of chronic laryngopharyngitis by atomization inhalation.

Application effect of high-quality nursing management mode in outpatient treatment of chronic laryngopharyngitis by atomization inhalation.

Study on the effect of predictive nursing mode on treatment and rehabilitation of neurosurgical intensive care patients.

Study on the effect of predictive nursing mode on treatment and rehabilitation of neurosurgical intensive care patients.

Application Value Analysis of Collaborative Nursing Mode in Cardiology Department

Application Value Analysis of Collaborative Nursing Mode in Cardiology Department

Effect of Stroke Unit Nursing Mode on the Prognosis of Patients with Ischemic Stroke

Effect of Stroke Unit Nursing Mode on the Prognosis of Patients with Ischemic Stroke

Research on Stroke Rehabilitation Nursing Mode with Senior Nurses as Bond

Objective To explore the effect of rehabilitation nursing model for stroke patients with senior nurses. Methods From October 2017 to October 2018, 46 stroke patients with hemiplegia in community hospitals were selected. 23 stroke patients in community who were willing to accept rehabilitation nursing service package were included in the observation group. The elderly nurses in sinking community were the leading nurses in rehabilitation nursing and home rehabilitation nursing guidance. Community stroke patients without rehabilitation nursing package were selected as control group. Community nurses were the leading nurses in rehabilitation nursing and home-based rehabilitation nursing. The incidence of pressure sores, aspiration rate, accuracy rate of anti-spasm posture placement, and mastery rate of intermittent catheterization technique were compared between the two groups. Results After the intervention, the incidence of pressure ulcer and aspiration rate in the observation group were significantly lower than those in the control group (P &lt; 0.05). The accuracy of anti-spasm posture placement and the mastery rate of intermittent catheterization were significantly higher in the observation group than in the control group (P &lt; 0.05). Conclusion Stroke rehabilitation nursing model with senior nurses as a link has certain effect on rehabilitation nursing of stroke patients in community by strengthening the training, learning and guidance of rehabilitation nursing knowledge and skills of community nurses. Nurses in community hospitals have strengthened two-way linkage, which is of research value, but they are now voluntarily selected in the community. The number of patients choosing rehabilitation care packages is still relatively small, the number of senior nurses in sinking communities is relatively small, and there is still a lot of work to be done to achieve real results. This is a long-term project, which requires time and experience precipitation. Key words Senior nurses; Link; Stroke; Rehabilitation nursing

Effect of continuous nursing mediated by new media on disease control and drug use of elderly diabetic patients

Objective To explore the guiding value of continuous nursing mediated by new media in elderly patients with diabetes mellitus and its influence on disease control and drug use. Methods From July 2018 to July 2019, 110 elderly patients with diabetes were randomly selected and treated in Longhua District People's Hospital of Shenzhen. According to different nursing modes, they were divided into research group and control group, with 55 cases each.The research group applied the continuous nursing mediated by new media, while the control group applied the conventional nursing mode in the hospital.The disease control, blood glucose level, glycation index and medication compliance of the two groups were evaluated and compared, and the nursing effect of the research group was analyzed. Results The disease control condition of the study group was better than that of the control group.Compared with the control group, the blood glucose level and glycation index of the research group decreased significantly.The medication compliance of the research group was higher than that of the control group, and the difference was statistically significant (P<0.05). The research group's approval rate for improving medication compliance and improving disease self-management ability was 100%. Conclusions The clinical application of continuous media care to elderly patients with diabetes can effectively control the disease, achieve the goal of rapid blood sugar lowering, improve medication compliance, and patients have high evaluation of nursing effect. Key words: Senile diabetes; New media; Continuous care; Disease control; Medication compliance

Application of time-based nursing mode in patients with newly diagnosed type 2 diabetes mellitus

Objective To explore the effects of time-based nursing mode on acceptance and action, healthy empowerment cognition in patients with newly diagnosed type 2 diabetes mellitus (T2DM) . Methods Using convenience sampling method, a total of 129 patients with newly diagnosed T2DM who were diagnosed and hospitalized in the Department of Endocrinology of the First Affiliated Hospital of Xinjiang Medical University were selected from January to December 2018. According to the admission time of patients, the 62 cases who were admitted in odd month were included in the routine nursing group, and the 67 cases who were admitted in even month were included in the time-based nursing group. Patients in the routine nursing group received routine nursing for patients with diabetes, while based on the routine nursing and the principle of do the right thing at the right time, patients in the time-based nursing group received health education, exercise management and retrospective guidance in three time areas from 9∶00 to 11∶00, 16∶00 to 17∶00 and 19∶00 to 21∶00. The degree of acceptance and action, healthy empowerment cognition was investigated and compared between two groups on admission and discharge by Chinese version of Acceptance and Action Diabetes Questionnaire (AADQ) and Health Empowerment Scale. Results There was no significant difference in Chinese version of AADQ score on admission between the two groups (P>0.05) ; on discharge, the Chinese version of AADQ score in two groups were reduced than those on admission, and the AADQ score in the time-based nursing group was lower than that in the routine nursing group, and the differences were statistical (P 0.05) ; compared with that at admission, the score of the time-based nursing group increased, and the difference was statistically significant (P<0.01) ; at discharge, the scores of each dimension of Health Empowerment Scale in the time-based nursing group were higher than those in the routine nursing group, the differences were statistical (P<0.01) . Conclusions Time-based nursing mode can improve the levels of acceptance and action, healthy empowerment cognition in patients with newly diagnosed T2DM, and improve the acceptance degree of the disease and self-consciousness. Key words: Diabetes mellitus, type 2; Time-based nursing; Acceptance and action; Healthy empowerment cognition

Effects of Comprehensive Nursing on Anxiety Score, Incidence of Pressure Ulcers and Nursing Satisfaction in Elderly Patients with Femoral Neck Fracture

Objective: To explore the effect of comprehensive nursing on anxiety score, incidence of pressure ulcers and nursing satisfaction in elderly patients with femoral neck fracture. Methods: A total of 110 elderly patients with femoral neck fractures admitted to our hospital from February 2019 to February 2020 were randomly selected and divided into a study group and acontrol group with 55 cases in each group. The patients in the latter group adopted the traditional nursing mode while the patients in the former group mainly adopted the comprehensive nursing mode in a timely manner. During the observation of the nursing results of patients, the Harris score of hip function was used to evaluate the postoperative nursing effect and an obvious result was gotten. Besides, the self-rating anxiety scale was used to effectively evaluate the psychological state of patients. The occurrence of pressure ulcers was observed, and the specific nursing conditions of the two groups of patients were effectively compared and analyzed. Results: The Harris score of hip function and anxiety score of patients in the study group before surgery and at the time of discharge were more significant than those in the control group, and the incidence of complications was significantly lower than those in the control group (P < 0.05). The incidence of pressure ulcers in the study group was 2.07% and 14.57%in the control group. It is easy to see that the incidence of pressure ulcers in the study group was significantly lower than that in the control group, and the difference between the two groups was statistically significant (P<0.05). Conclusion: The comprehensive nursing method for elderly patients with femoral neck fracture exerts a beneficial effect on joint function and psychological rehabilitation of patients after femoral neck surgery, and the incidence of pressure ulcers is obviously reduced.

Analysis of the Effect of Bedside Nursing Mode in Treatment of Traumatic Optic Neuropathy with Optic Nerve Decompression

Objective: To explore the effect of bedside work-based nursing mode on psychological stress response and quality of life of patients undergoing nasal endoscopic optic nerve decompression for traumatic optic neuropathy. Methods: Thirty patients with traumatic optic neuropathy were selected from our hospital from March 2016 to October 2019. All patients underwent nasal endoscopic optic nerve decompression and were grouped according to the order of admission. The control group received routine nursing intervention and the observation group had 15 Cases were given bedside nursing intervention based on the control group. The depression (SDS), anxiety (SAS), postoperative quality of life (SF-36) scores, and postoperative clinical effects were compared between the two groups at admission and discharge. Results: The SDS and SAS scores of the observation group at the time of discharge were lower than those of the control group, and the differences were statistically significant (P < 0.05). The clinical effect of the observation group was better than the control group, and the total effective rate of the observation group was 93.33% (14/15) which was higher than the 80.00% (12/15) of the control group, the difference was statistically significant (P < 0.05). SF-36 scores of physiological function, physical function, emotional function, social function, etc. in the observation group were higher than those in the control group, and the difference was statistically significant. (P < 0.05). Conclusion: Treatment of traumatic optic neuropathy with bedside work-based nursing mode by nasal endoscopic optic nerve decompression has significant effects, which can improve their psychological stress response and quality of life with high safety.

Effect of Predictive Nursing on Preventing from Bone Cement Implantation Syndrome in Hemiarthroplasty

This study is to explore the effect of predictive nursing mode on preventing from bone cement implantation syndrome in hemiarthroplasty. 55 patients who were performed with bone cement hemiarthroplasty in our hospital from January 2018 to December 2018 were selected. These patients were divided into conventional group (n=25) and predictive nursing mode group (n=30) according to nursing modes. Then the systolic pressure (SBP), diastolic blood pressure (DBP), heart rate (HR) and oxyhemoglobin saturation (SpO₂) of the two groups of patients were compared 10min before injection of bone cement (T1), at the time of implantation of bone cement (T2), and 10min after injection of bone cement respectively (T3). The occurrence situation of respiratory distress, arrhythmia, dizziness, chest distress, panic, nausea, vomiting and shock for the two groups of patients in the surgery were compared. There was no significant difference for the comparison of the data including age, cardiac function, etc. of the patients between the conventional group and predictive nursing mode group. However, SBP and DBP of the intervention group at the time of T1, T2 and T3 were higher than that of the conventional group (P<0.05). Additionally, HR and SpO₂ of the intervention group at the time of T1, T2 and T3 were higher than that of the conventional group (P<0.05). As for the comparison of the evaluation indexes of bone cement for the two groups of patients in the surgery, the occurrence situation of hypotension, hyoxemia and RDS for the intervention group were apparently lower than that for the conventional group (P<0.05). As for the comparison of the intraoperative discomfort for the two groups of patients, the occurrence situation of dizziness, chest distress, panic, vomiting, nausea and shock of the intervention group were lower than that of the conventional group. The predictive nursing mode can be used for early intervention so as to relieve and avoid the occurrence of bone cement implantation syndrome in hemiarthroplasty, therefore it is worthy of being promoted for application. Suspected BCIS should be treated with aggressive resuscitation and supportive care. Prevention of BCIS includes identification of high-risk patients, preoperatively optimizing patient risk factors and comorbidities, and good communication with the surgical team.

Application of Nursing Quality Index Management in Reducing the Infection of Tunnel-Cuffed Hemodialysis Catheter

Objective: To explore how the nursing quality management reduces the infection of tunneled-cuffed hemodialysis catheter (TCC). Methods: The TCC infection rate from January 1st to December 31th was used as the baseline data, and the TCC infection rate from January 2014 to December 2017 was used for annual comparison. Through the nursing quality index management mode, the TCC infection rate was compared quarterly, annually and year by year by taking the measures of joint ward checking, optimizing nursing process, analyzing the root cause of infection cases and formulating countermeasures. Results: The Centre has been implementing the management of nursing quality indicators since 2014. TCC infection rate is an important part of Quality of Nursing Index Management. The comparison between 2013 and 2014 (X2 = 4.20, P = 0.04) was P < 0.05, which was statistically significant. TCC infection rate dropped from 1.19‰ in 2013 to 0.51‰ in 2017. The number of TCC patients and indwelling catheter days increased year by year from 2013 to 2017, but the rate of TCC infection decreased year by year. Conclusion: The nursing quality index management can effectively reduce the incidence of TCC infection.

Effect of Nursing on Patients with Primary Liver Cancer before and after Transcatheter Arterial Embolization

The aim of the present study was to observe and analyze the nursing effect on primary liver cancer before and after transcatheter arterial embolization. About 200 patients with advanced primary liver cancer who had been treated in the Second People’s Hospital of Huai’an were selected as research subjects. All of them were subjected to transcatheter arterial embolization. During perioperative period, nursing was carried out for patients and the patients were explained with the method, purpose, results and cautions about the treatment. Moreover, psychological nursing intervention, dietary intervention, auxiliary examination were performed. The postoperative puncture site and operated limb situations were observed and recorded for medication guidance. In this study, all patients were well-treated. Adverse reactions noted after treatment mainly were liver area pain, digestive tract reaction, fever, which were relatively mild and effectively improved with timely medical measures, with no severe complications. Comparison of quality of life score and mental status score before and after nursing showed significant improvement. To guarantee a smooth and successful implementation of transcatheter arterial embolization for patients with primary liver cancer, the key is to develop a scientific and comprehensive nursing mode to improve curative effect.