Postoperative Nursing Research Articles

Munro Pressure Ulcer Risk Assessment Scale in Adult Patients Undergoing General Anesthesia in the Operating Room.

Pressure ulcers are a common complication of immobility and frequently occur in surgical patients. The occurrence of pressure ulcers is affected by many factors, such as operation time and position, anesthesia method, and postoperative nursing. The aim of this study was to investigate the Munro Pressure Ulcer Risk Assessment Scale's value in predicting acute pressure ulcers in general anesthesia patients. This case-control study included patients who underwent more than 2 hours of general anesthesia in our hospital from January 2018 to December 2020. The case group comprised 42 patients who had pressure sores in surgical compression sites within 3 days after surgery. The control group consisted of 84 patients without acute pressure sores after surgery. Baseline patient data were compared between the two groups, and a logistic multivariate model was used to analyze potential risk factors for acute pressure ulcers. The Munro Pressure Ulcer Risk Assessment Scale scores and Braden scale scores were compared between the two groups during and after surgery. A receiver operating characteristic curve was used to evaluate the clinical value of the two scales (administered at the two time points) in predicting the occurrence of acute pressure ulcers after surgery. The operation and anesthesia times of patients in the case group were longer than those in the control group (P < 0.05). The proportion of comatose patients and patients with diabetes were significantly higher in the case group. While the case group had higher Munro scores during and after surgery compared to the control group (P < 0.05), Braden scores at the corresponding time points were lower (P < 0.05). The following variables were identified as independent risk factors of acute pressure ulcers: prolonged operation time and anesthesia time, increase in Munro scores during and after operation, decrease in Braden scores during and after operation, and comatose status (P < 0.05). The area under the receiver operating characteristic curve (AUC) of the postoperative Munro score for predicting postoperative pressure ulcer risk was 0.774; the sensitivity and specificity were 67.73% and 80.58%, respectively. The AUC of the intraoperative Braden score for predicting postoperative pressure ulcer risk was 0.836, with a sensitivity of 78.95% and specificity of 78.00%. The AUC of the postoperative Braden score for predicting postoperative pressure ulcer risk was 0.809, with a sensitivity of 73.58% and specificity of 64.26% (P < 0.05). Our results indicate that the intraoperative Munro Pressure Ulcer Risk Assessment Scale is highly effective for predicting the risk of postoperative pressure ulcers in surgical patients who require general anesthesia.

Low-Rank Matrix Denoising Algorithm-Based MRI Image Diagnosis of Uterine Malignant Tumor and Postoperative Care

This paper aimed to discuss regarding diagnosis and postoperative care of uterine malignant tumor, the effect of MRI image based on low-rank matrix denoising algorithm in diagnosis, and postoperative care of uterine malignant tumor. 100 patients with uterine malignant tumor are selected for MRI examination and the MRI examination based on low-rank matrix denoising algorithm. The accuracy, sensitivity, and specificity of the two kinds of MRI are evaluated and compared by three or more experienced doctors through a double-blind method. At the same time, under the guidance of MRI image after denoising, relevant postoperative care is carried out. The results are compared with the previous results in our hospital. The results showed that the sensitivity, specificity, and accuracy of denoised MRI images in the diagnosis of uterine malignant tumors are higher than those of ordinary MRI. After denoising, the postoperative nursing guided by the MRI image effectively reduces the occurrence of postoperative complications. In postoperative nursing, the overall satisfaction of patients with nursing increases by 10.9%. Conclusion. The MRI image based on the low-rank matrix denoising algorithm has an obvious effect on diagnosis and postoperative care of uterine malignant tumor.

Application of a perioperative nursing strategy in the surgical treatment of elderly patients: a narrative review†

Abstract With the steady increase of older people in society, a progressively greater number of patients belonging to the geriatric group need surgical treatment. Since elderly patients with reduced physiological reserve and organ failure often have chronic diseases, geriatric syndrome, and other clinical problems, the perioperative nursing of elderly patients is more complicated. Therefore, we need to comprehensively consider clinical issues, such as patients’ preoperative status, surgical risks, and postoperative quality of life and life expectancy, and conduct comprehensive evaluations and holistic, individualized, and continuous nursing and therapy through the participation of interdisciplinary teams to achieve better curative effects. Here, the perioperative nursing of elderly patients is reviewed, including preoperative evaluation and nursing, intraoperative management, and postoperative nursing.

Effect of Multidisciplinary Team Collaborative Nursing Model Combined with Mind Mapping Teaching Method on Postopera-tive Complications and Mental Health of Patients with Advanced Pancreatic Cancer

Background:To analyze the effect of multidisciplinary team (MDT) collaborative nursing model combined with mind mapping teaching method on postoperative complications and mental health of patients with advanced pancreatic cancer (APC).Methods:The clinical data of 100 APC patients treated in Liaoning Cancer Hospital and Institute, Shenyang, China (Dec 2018 – Dec 2020) were retrospectively analyzed. They were randomly and equally split into group J and group Q. The patients of group J were nursed with mind mapping teaching method, while those of group Q were nursed with MDT collaborative nursing model combined with mind mapping teaching method to compare the incidence of complications, quality of life (QOL) and mental health between the two groups after nursing.Results:After nursing, the SAS, SDS and NRS scores decreased in both groups, with the notably lower scores in group Q compared with group J (P < 0.05). After nursing, the QOL scores increased in both groups, with the notably higher scores in group Q compared with group J (P < 0.05). Compared with group J, the nursing satisfaction in group Q was notably higher while the incidence of complications was notably lower (P < 0.05).Conclusion:The MDT collaborative nursing model combined with mind mapping teaching method in postoperative nursing of APC patients can improve negative emotions such as anxiety and depression, enhance the QOL, alleviate pain, reduce the incidence of postoperative complications and improve nursing satisfaction, worthy of application and promotion in clinic.

Research progress of psychological nursing in postoperative nursing of patients undergoing percutaneous coronary intervention

Research progress of psychological nursing in postoperative nursing of patients undergoing percutaneous coronary intervention

Effects of Continuous Nursing Intervention on Postoperative Rehabilitation of Patients with Craniocerebral Trauma

Objective: To study and analyze the clinical effect of continuous nursing in the process of postoperative rehabilitation for patients with craniocerebral trauma. Methods: From August 2018 to July 2021, 40 patients who came to our hospital for craniocerebral trauma treatment were randomly selected as clinical experimental research objects, and they were divided into continuous nursing group and routine nursing group. The rehabilitation of patients in the two groups before and after postoperative nursing was observed and counted. Results: Before nursing intervention, there was no significant difference in MMSE score and Fugl-Meyer score between the two groups, p &gt; 0.05. After nursing, the scores were scored again at 3 and 6 months after nursing. It was found that the two groups were improved, but the improvement range in the continuous nursing group was significantly higher than that in the routine nursing group, the difference was statistically significant (p &lt; 0.05). From the score of quality of life, the scores of physical pain, psychological function, mental health and social function in the continuous nursing group were better than those in the routine nursing group, the difference was statistically significant (p &lt; 0.05). Conclusion: Using continuous nursing measures for rehabilitation nursing of patients with craniocerebral trauma after discharge can significantly improve the quality of life of patients, restore the mental state and limb function of patients, and has significant clinical effect.

Effects of Out-of-Hospital Continuous Nursing on Postoperative Breast Cancer Patients by Medical Big Data.

This study aimed to explore the application value of the intelligent medical communication system based on the Apriori algorithm and cloud follow-up platform in out-of-hospital continuous nursing of breast cancer patients. In this study, the Apriori algorithm is optimized by Amazon Web Services (AWS) and graphics processing unit (GPU) to improve its data mining speed. At the same time, a cloud follow-up platform-based intelligent mobile medical communication system is established, which includes the log-in, my workstation, patient records, follow-up center, satisfaction management, propaganda and education center, SMS platform, and appointment management module. The subjects are divided into the control group (routine telephone follow-up, 163) and the intervention group (continuous nursing intervention, 216) according to different nursing methods. The cloud follow-up platform-based intelligent medical communication system is used to analyze patients' compliance, quality of life before and after nursing, function limitation of affected limb, and nursing satisfaction under different nursing methods. The running time of Apriori algorithm is proportional to the data amount and inversely proportional to the number of nodes in the cluster. Compared with the control group, there are statistical differences in the proportion of complete compliance data, the proportion of poor compliance data, and the proportion of total compliance in the intervention group (P < 0.05). After the intervention, the scores of the quality of life in the two groups are statistically different from those before treatment (P < 0.05), and the scores of the quality of life in the intervention group were higher than those in the control group (P < 0.05). The proportion of patients with limited and severely limited functional activity of the affected limb in the intervention group is significantly lower than that in the control group (P < 0.05). The satisfaction rate of postoperative nursing in the intervention group is significantly higher than that in the control group (P < 0.001), and the proportion of basically satisfied and dissatisfied patients in the control group was higher than that in the intervention group (P < 0.05).

Study and discussion on nursing and psychological comfort after heart valve replacement surgery: a new method to explore the nursing for patients receiving heart valve replacement surgery

In order to e xplore the clinical effects generated by the post-operative nursing and psychological comfort implemented for the patients with heart valve replacement surgery. In this study, select 50 patients receiving heart valve replacement surgery in recent one year from our hospital, and divide the patients into treatment group and control group by randomization method (each group contains 25 patients). Implement conventional nursing for 25 patients in control group, and implement post-operative nursing and psychological comfort for 25 patients in treatment group, and compare the treatment effects of two groups. The final result shown, after post-operative nursing and psychological comfort, the patients in treatment group realized an overall effective rate significantly higher than the control group; the Self-Rating Anxiety Scale (SAS) score of the treatment group was significantly lower than the control group, and the inter-group difference had statistical significance (P<0.05). Therefore, we came to the conclusion that taking reasonable and effective post-operative nursing measures and psychological comfort for the patients with heart valve replacement surgery, could effectively reduce the post-operative mortality rate and incidence of complications of the patients, reduce the anxious mood of the patient, is the key factor for success of heart valve replacement surgery and smooth recovery after the surgery, and is suitable for clinical promotion.

Postoperative care in ICU versus non-ICU after head and neck free-flap surgery: a systematic review and meta-analysis

ObjectiveAdmission to the intensive care unit (ICU) has long been considered as routine by most head and neck surgeons after microvascular free-flap transfer. This study aimed to answer the question...

A study on postoperative nursing of minimally invasive surgery for lumbar disc herniation

In order to explore the effective nursing methods and clinical therapeutic effects for patients with lumbar disc herniation after receiving minimally invasive surgery. In this study, a total of 50 patients receiving minimally invasive surgery for lumbar disc herniation in our hospital over the past year were selected and randomly divided into trial group and control group, with 25 patients in each group. Patients in control group were given routine nursing, and those in trial group were given postoperative comprehensive nursing including postoperative rehabilitation exercise, psychological nursing, diet nursing and other aspects. Visual analogue scale (VAS) was used to score the pain of patients in both groups before and after surgery; The final result shown that patients in trial group had better postoperative recovery time and hospital stays than patients in control group after nursing, with statistically significant difference (P < 0.05); the score of visual analogue scale (VAS) in trial group was better than that in control group, and with statistically significant difference (P < 0.05); the effective rate of trial group was 92.5%, compared with the 75% of control group with statistically significant difference (P < 0.05); the score of Barthel index of trial group was obviously better than that of control group, with statistically significant difference (P < 0.05). Therefore, the postoperative comprehensive nursing can not only help to improve the postoperative therapeutic effect, but also reduce the pain, accelerate the postoperative recovery and shorten the hospital stays of patients. Therefore, it shall be paid attention to and widely used in clinical practice.

Effect of Postoperative Intensive Care Unit Nursing Intervention on Patients with Cerebral Hemorrhage

Effect of Postoperative Intensive Care Unit Nursing Intervention on Patients with Cerebral Hemorrhage

Influence of Fine Nursing on Psychological State in Postoperative Nursing of Thyroid Gland

Influence of Fine Nursing on Psychological State in Postoperative Nursing of Thyroid Gland

Evaluation of the Postoperative Nursing Effect of Thoracic Surgery Assisted by Artificial Intelligence Robot.

In order to evaluate the postoperative nursing effect of artificial intelligence robot-assisted thoracic surgery, this study proposed the Da Vinci robot-assisted pulmonary lobotomy, from January to December 2014; 42 patients (15 males and 27 females, aged 33–69 years old) underwent lobectomy with the Da Vinci robot system in the chest hospital. A series of postoperative nursing was carried out. The surgical results showed that 42 patients with Da Vinci robot-assisted lobectomy had operation time of 62–225 min and blood loss of 70–300 mL. There was no intraoperative blood transfusion, the intraoperative central rate was maintained at 60–100 times/min, and the blood pressure was maintained at 90–140/60–90 mmHg. No patient was transferred to thoracotomy, and 2 patients were performed robotic wedge resection first, and then, robotic lobectomy was performed after malignant tumor was confirmed by freezing results, with relatively light postoperative pain, no infection, beautiful wound, and smooth recovery and discharge. Robot-assisted lobectomy is a new technique with advantages of less trauma, less pain, faster recovery, and safer and more thorough lymph node dissection.

Effects of comfort care on joint function, pain degree and Baird score after minimally invasive ankle fracture

Objectives: To explore the effect of comfort nursing on joint function, pain degree and Baird score after minimally invasive ankle fracture. METHODS: A total of 62 patients with minimally invasive fracture of ankle joint treated in our hospital from July 2019 to July 2020 were selected as the research subjects. According to random number method, all patients were divided into observation group and control group, with 31 cases in each group. Conventional nursing intervention was carried out in the control group and comfort nursing intervention was given in the observation group. After surgery, the recovery of bare joint function was compared between the two groups. Pain scale (VAS) was used to evaluate the degree of pain in the two groups, the Hamilton Anxiety Scale (HAMA) was used to assess patients' anxiety levels, and the comparison was made before, 3 months and 6 months after surgery. The postoperative Baird scores of the two groups were compared. The incidence of postoperative complications between the two groups was statistically analyzed and compared. The nursing satisfaction of the two groups of patients was compared. RESULTS: Compared with the control group, the number of excellent and good cases in observation group was significantly increased (P&lt;0.05), while the number of poor cases was significantly decreased (P&lt;0.05). There was no significant difference in the degree of pain and anxiety between the two groups before operation (P&gt;0.05). Compared with preoperation, the pain degree, body anxiety degree and mental anxiety degree in 2 groups at 3 and 6 months after operation were significantly decreased (P&lt;0.05); The pain score, somatic anxiety score and mental anxiety score of the observation group were significantly lower than those of the control group at 3 and 6 months after surgery (P&lt;0.05); The pain scores of observation group at 3 months and 6 months after surgery were significantly lower than those of control group (P&lt;0.05). Compared with the control group, the postoperative Baird score in observation group was significantly increased (P&lt;0.05); The incidence of pressure sores, wound infection and complications of lower extremity deep vein thrombosis in the observation group was significantly lower than that in the control group (P&lt;0.05). Compared with the control group, the nursing satisfaction of the observation group was significantly increased (P&lt;0.05). Conclusion: The postoperative nursing of patients with minimally invasive fracture of ankle joint, taking comfortable nursing can effectively improve the joint function and nursing satisfaction of patients, relieve thepain of patients, improve their prognosis, has certain advantages, worthy of further clinical promotion and application.

Preparation of Nano-Silver Dressing for Application on Postoperative Rehabilitation Nursing of Patients with Gastrointestinal Surgery

This study was to explore the effect of nursing and repairing methods of nano-silver dressing (NSD) on the postoperative rehabilitation of gastrointestinal surgery (GIS) patients. For preparation of the nano-silver dressing, ammonia water was added to the solution containing silver particles to generate ammonium nitrate, and the coating solution was then uniformly coated on the surface of the substrate layer, and pre-baked at 100–180 °C to finally obtain a medical dressing. 80 GIS patients admitted to the hospital were selected and randomly divided into the control group treated with ordinary dressing (40 cases, group OD) and the observation group treated with NSD (40 cases, group NSD). The treatment effect and postoperative recovery results of the two groups of patients were compared, and the performance of the NSD was tested. The results showed that it was found that the recovery status of patients in group NSD was better (P &lt; 0.05), and the NSD had good bacteria killing effect and microbial barrier effect. In conclusion, NSD could continue to act on the wound surface, improve the body’s immunity, and promote the rapid recovery of postoperative incisions, with obvious clinical effect.

Effectiveness of Micro-class Mobile Teaching Video Method Combined with Psycho-cardiology Nursing in Postoperative Nursing for Coronary Heart Disease Patients Underwent Percutaneous Coronary Intervention and Training

Objective. To explore the effectiveness of micro-class mobile teaching video method combined with psycho-cardiology nursing in postoperative nursing for coronary heart disease (CHD) patients underwent percutaneous coronary intervention (PCI) and training. Methods. The clinical information of 120 patients underwent PCI admitted to our hospital (12.2018-12.2020) were retrospectively analyzed, and the patients were divided into the control group and the experimental group, with 60 cases each. Psycho-cardiology nursing was performed to the control group, and the micro-class mobile teaching video method was introduced to the experimental group on this basis to compare the application effect on postoperative nursing and training. Results. After nursing intervention, LVEF levels and ADL scores of both groups were increased, of which the experimental group were much higher (P all&lt;0.05); the BNP levels and SAQ, HAMA and HAMD scores of both groups were decreased, of which the experimental group were much lower (P all&lt;0.05); the problem-solving ability and satisfaction scores of the experimental group were higher than those of the control group (P&lt;0.05); and the experimental group obtained a significantly lower incidence rate of adverse cardiac events in the between-group comparison (16.67% vs 3.33%, P&lt;0.05). Conclusion. The combined therapy conducted to CHD patients underwent PCI has a good effect in postoperative nursing and training, can improve the patients’ cardiac function, reduce the angina severity, alleviate the anxiety and depression, promote the quality of life and problem-solving ability, and lower the incidence rate of adverse cardiac events, which is worthy of promotion and application.

Application of Intensive Pain Nursing in Postoperative Nursing of Clinical Patients with Lung Cancer

Objective: The intensive pain nursing was added to the surgical nursing of lung cancer and the clinical nursing effect was discussed. Methods: 50 patients with lung cancer received in our hospital from January 2020 to June 2021. The observation group was given intensive pain nursing and the control group was given routine nursing. The clinical nursing effects of the two groups were studied. Results: The pain degree of the two groups was improved after nursing. The pain relief effect of the observation group was higher than that of the control group, and the nursing effect of the two groups was different (P &lt; 0.05). Conclusion: In the postoperative nursing of patients with lung cancer, the intervention of intensive pain nursing can relieve the pain of patients, which is worth popularizing.

Analysis Model of the Impact of Refined Intervention in Operating Room on Patients' Recovery Quality and Complications after Thoracic Surgery Based on Deep Neural Network.

To improve the nursing effect in patients after thoracic surgery, this paper proposes a refined intervention method in the operating room based on traditional operating room nursing and applies this method to the nursing of patients after thoracic surgery. Moreover, this paper improves the traditional neural network algorithm and uses the deep neural network algorithm to process test data. In addition, it includes patients accepted by the hospital as samples for test analysis and formulates detailed intervention methods for the operating room. Finally, this paper collects the corresponding test data by setting up test and control groups and visually displays the data using mathematical statistics. The statistical parameters of the experiment in this paper include the quality of recovery, complications, satisfaction score, and recovery effect. The comparative test shows that the refined intervention in the operating room based on the neural network proposed in this paper can achieve a certain effect in the postoperative nursing of thoracic surgery, effectively promote the quality of recovery, and reduce the possibility of complications.

Application Effect of Evidence-based Nursing in Postoperative Radiotherapy Nursing of Breast Cancer

Application Effect of Evidence-based Nursing in Postoperative Radiotherapy Nursing of Breast Cancer

Effect of Regular Oral Health Education on Postoperative Nursing of Patients with Periodontal Disease

Effect of Regular Oral Health Education on Postoperative Nursing of Patients with Periodontal Disease