Systematic Nursing Intervention Research Articles

Application of System Nursing in the Prevention of Postoperative Nonstructural Scoliosis in Patients With Ear Reconstruction.

To evaluate whether early systematic nursing can reduce the occurrence of postoperative nonstructural scoliosis in patients undergoing ear reconstruction. A total of 136 patients with congenital microtia who underwent ear reconstruction surgery at the Department of Plastic Surgery, Chinese Academy of Medical Sciences from, January 2022 to July 2022 were included as study subjects. They were randomly divided into a routine nursing group and a systematic nursing group. After preoperative and postoperative education, as well as continuous follow-up intervention after surgery, spinal CT three-dimensional imaging examination was performed 6 months later to measure the Cobb angle and observe the occurrence of spinal scoliosis. Compared with the routine nursing group, the incidence and severity of postoperative nonstructural scoliosis were significantly reduced in patients who received systematic nursing. Systematic nursing intervention for patients undergoing ear reconstruction can help prevent the occurrence of postoperative nonstructural scoliosis and has a positive effect on improving patient prognosis. It is worth promoting in clinical treatment.

Research progress of systematic nursing intervention on cancer-related fatigue

Research progress of systematic nursing intervention on cancer-related fatigue

Nursing Method of Patients with Severe Traumatic Brain Injury and Fracture in the Ambulance.

Craniocerebral injury accounts for 9%-21% of the injuries in all parts of the body, and the incidence rate ranks first in all types of trauma or only lower than limb fractures. This study mainly discusses the nursing methods of patients with severe traumatic brain injury and fractures in ambulances. This study is based on risk factors with moderate-to-higher association strength from retrospective studies. According to the regression coefficients of the logistic regression model, the risk factors were assigned, and the early warning score table of craniocerebral injury complicated with hyponatremia was established. The energy efficiency of the early warning score table was evaluated by case diagnostic test and ROC analysis. At the same time, risk grading is carried out, and the chi-square test is used to test the reliability of the grading standard, so as to identify the risk of hyponatremia in patients with craniocerebral injury early and screen out high-risk patients as the key observation objects of nurses. Based on the early warning score table of craniocerebral injury complicated with hyponatremia, different systematic nursing intervention measures were taken for low-risk patients and high-risk patients, and their application effects were evaluated. The clinical application effect of the systematic nursing intervention program was evaluated by the historical control research method, which provided a reference for the nursing in the ambulance to prevent other complications of patients with craniocerebral injury. The positive rate of prehospital operation can reach 64.44%, and the specific rate can reach 84.44%. 60% of the sample sought better metastatic care in terms of the purpose of using an ambulance. The systematic nursing intervention program has a certain effect on reducing the incidence of hyponatremia in patients with craniocerebral injury and shortening the hospitalization time of patients with craniocerebral injury. The early warning score of craniocerebral injury complicated with hyponatremia developed in this study is concise and practical and can provide a basis for clinical assessment of the risk of hyponatremia in patients with craniocerebral injury.

The Effect of Nursing Intervention on Patients with Inguinal Hernia and Its Influence on Self-Management Ability.

Objective To objectively evaluate the nursing quality of patients with inguinal hernia from the aspects of postoperative pain, self-discipline, and complications, the application of medical data analysis and nursing intervention in patients with inguinal hernia was discussed. Methods A total of 86 patients with inguinal hernia were selected, and the time distribution was from September 2020 to March 2021. The patients were divided into two groups: in the control group, there were 43 cases, 28 males and 15 females. There were 43 cases in the observation group, 25 males and 18 females. All selected subjects must sign the informed consent form and have the right to know the research content. The patients were diagnosed by abdominal ultrasound, and the demographic data and basic clinical data were recorded. Results A total of 86 patients were divided into two groups in this study, of which 43 patients used a routine nursing path as the control group and the other 43 patients added medical data analysis and nursing intervention as the observation group on the basis of the routine nursing path. The postoperative pain, self-discipline, complications, and patient satisfaction were compared, and the patients' satisfaction in the experimental group was significantly higher than that in the control group, while serum swelling and urine retention were significantly lower than those in the control group (p < 0.05). Conclusion According to the analysis of the routine nursing path and medical data, nursing intervention patients have more stable emotions and less postoperative pain. They can get out of bed early, reduce the occurrence of other complications, and improve the overall curative effect. Systematic nursing intervention can reduce the incidence of postoperative adverse reactions and complications. It is one of the ideal adjuvant treatments for inguinal hernia patients.

Systematic Nursing Interventions Combined with Continuity of Care in Patients with a Spinal Fracture Complicated with a Spinal Cord Injury and Its Effect on Recovery and Satisfaction.

Objective The aim of this study is to examine the application value of systematic nursing interventions combined with continuity of care in cases with a spinal fracture complicated with a spinal cord injury and its effect on recovery and satisfaction. Methods We identified ninety cases with a spinal fracture complicated with a spinal cord injury who were admitted to local hospital from May 2019 to May 2021 as research subjects and assigned them into an experimental group (systematic nursing combined with continuity of care, n = 45) and a control group (conventional nursing, n = 45) according to their admission order. The level of life of all groups between intervention was evaluated with reference to the Generic Quality of Life Inventory-74 (GQOLI-74) Rating Scale. The Hospital Anxiety and Depression (HAD) scale was used to assess the emotional status of patients before and after intervention. The complication rates, nursing outcomes, nursing satisfaction, and rehabilitation outcomes of all cases were calculated. Results The GQOLI-74 score of the experimental group was higher than that of another group (P < 0.05). Lower HAD scores of experimental group were observed than that of another group (P < 0.05). The experimental group obtained remarkably higher nursing effective rates and higher nursing satisfaction than another group (P < 0.05). Rehabilitation outcome of the experimental group outperformed that another group (P < 0.05). Conclusion The use of systematic nursing intervention combined with continuity of care for cases with spinal fracture complicated with a spinal cord injury can enhance the nursing effect, effectively relieve cases' psychological pressure, improve patients' level of life and nursing satisfaction, and contribute to the maintenance of a good nurse-patient relationship, which merits clinical promotion.

The effectiveness of budesonide nebulized inhalation combined with systematic nursing intervention in the treatment of acute asthma attacks in children

article: The effectiveness of budesonide nebulized inhalation combined with systematic nursing intervention in the treatment of acute asthma attacks in children - Minerva Pediatrics 2022 August;74(4):499-501 - Minerva Medica - Journals

Systematic nursing interventions in gastric cancer: A randomized controlled study.

BACKGROUNDScientific and effective nursing methods can effectively mitigate negative emotions in patients. Related studies have shown that systematic nursing interventions are beneficial in enhancing the self-efficacy and self-care abilities of patients and improving their physical and mental state, thereby alleviating their fatigue and improving their quality of life.AIMTo explore the effects of systematic nursing intervention on cancer-related fatigue, self-efficacy, self-nursing ability, and quality of life in gastric cancer (GC) patients during the perioperative period.METHODSIn this study, sample size was based on the multivariable scale. The sample size was 10 times the acceptable variable, with an additional 20% added to account for an expected loss of patients in follow-up for a final sample size of 168 patients. Conventional nursing measures were used in the control group, while the systematic nursing intervention Adopted Cancer Fatigue Scale (CFS), General Self-Efficacy Scale-Schwarzer (GSES), Self-Care Agency Scale (ESCA), and simple health scale (SF-36) were used in the observation group. The questionnaires were administered on admission and discharge.RESULTSAt admission, there was no statistically significant difference in the scores on each scale between the groups. At discharge, the CFS and GSES scores in the observation group were 21.56 ± 2.24 and 51.16 ± 11.71, while those in the control group were 29.61 ± 3.48 and 41.58 ± 8.54, respectively, with statistically significant differences. The ESCA score in the observation and control groups was 112.09 ± 11.72 and 97.87 ± 9.26, respectively. Moreover, the scores in all dimensions (self-concept, self-responsibility, health knowledge level, and self-care skills) in the observation group were higher than those in the control group, with statistically significant differences. The SF-36 score in the observation and control groups was 75.51 ± 3.63 and 63.24 ± 3.41, respectively, with statistically significant differences. The scores in all dimensions (mental health, vitality, physical function, physical pain, social function, emotional function, and overall health level) in the observation group were higher than those in the control group, with statistically significant differences.CONCLUSIONSystemic nursing intervention for GC patients during the perioperative period could alleviate cancer-related fatigue, improve self-efficacy and self-nursing ability, and improve quality of life, which all have clinical value.

[A Predictive Model of Resilience in Mothers of Children with Developmental Disabilities].

This structural model study was constructed and verified a hypothetical model to examine the effects of parenting stress, social resources, family resources, and positive coping on resilience among mothers of children with developmental disabilities. Data were collected using self-report structured questionnaires, from October 19 to October 30, 2018, with 214 mothers caring for children with developmental disabilities under the age of 20 years. In the fitness test results of the hypothesis model, with the fit index χ² (p) = 69.27 (< .001), and the normed fit indices (χ² = 1.87, GFI = .94, CFI = .97, NFI = .93, and TLI = .95, RMSEA = .06, SRMR = .06), this study satisfies the good fitness in standards. There are seven statistically significant paths among the 10 paths set in the hypothetical model. The explanatory power of parenting stress and social resources, which affects the family resources was 41.4%, the explanatory power of parenting stress, social resources, and family resources affecting the positive coping was 58.9%, and the explanatory power of parenting stress, social resources, family resources, and positive coping affecting resilience was 55.5%. Positive coping, family resources, and social resources of mothers of children with developmental disabilities directly affect their resilience, and parenting stress indirectly affects it. Therefore, to improve the resilience of mothers of children with developmental disabilities, it is necessary to develop a systematic nursing intervention that considers parenting stress, social resources, family resources, and positive coping.

Analysis of the clinical effect of systematic nursing intervention on pregnant women with abnormal delivery and its influence on quality of life.

article: Analysis of the clinical effect of systematic nursing intervention on pregnant women with abnormal delivery and its influence on quality of life - Minerva Surgery 2021 Dec 10 - Minerva Medica - Journals

Clinical Observation on the Effect of Systematic Nursing Intervention on Cognitive Function, Life Activity Ability, and Quality of Life of Senile Dementia Patients.

Objective To explore the influence of systematic nursing intervention on the life ability and quality of senile dementia patients. Methods Total of 82 senile dementia patients who were admitted to our hospital from January 2018 to January 2020 were divided into two groups according to the random number table, and the nursing intervention was analyzed. 41 patients in the control group were given routine nursing care, and 41 patients in the observation group were given systematic nursing intervention. Patients were assessed cognitively using the Montreal Cognitive Assessment Scale (MoCA). The Barthel index and SF-36 were used to evaluate the patients' daily activity function and quality of life. A Symptom Checklist-90-Revised (SCL-90-R) was used to assess mental distress. The Social-Adaptive Function Rating Scale (SAFE) and Social Skills Inventory (SSC) were used to evaluate the patients' social interaction ability before and after nursing intervention. Nursing satisfaction was distributed to patients in the form of a self-prepared nursing satisfaction questionnaire for scoring. Results After the nursing intervention, the MoCA scores of patients in the two groups were higher than those before the nursing intervention, and the scores in the observation group were higher than those in the control group (P < 0.05). After the nursing intervention, the Barthel index scores of patients in the two groups were higher than those before the nursing intervention, and the scores in the observation group were higher than those in the control group (P < 0.05). After the nursing intervention, the SF-36 scores of patients in the two groups were higher than those before the nursing intervention, and the scores in the observation group were higher than those in the control group (P < 0.05). After nursing intervention, the SCL-90-R scores of patients in the two groups were lower than those before nursing intervention, and the scores in the observation group were lower than those in the control group (P < 0.05). After the nursing intervention, the SAFE scores of patients in the two groups were lower than those before the nursing intervention, and the safe scores of the observation group were lower than those of the control group (P < 0.05). After the nursing intervention, the SSC scores of patients in the two groups were lower than those before the nursing intervention, and the scores in the observation group were lower than those in the control group (P < 0.05). After nursing intervention, the total satisfaction degree of the control group (80.49%) was lower than that of the observation group (97.56%) (P < 0.05). Conclusion The implementation of systematic nursing intervention is conducive to improve the cognitive function, activity of life, and quality of life of senile dementia patients who have a positive effect, and nursing satisfaction is higher.

Discharge transition experienced by older Korean women after hip fracture surgery: a qualitative study

BackgroundThis study aimed to explore older Korean women’s discharge transition experiences after hip fracture surgery.MethodsThis was a descriptive qualitative study. Face-to-face interviews following hip fracture surgery were conducted on 12 women aged 65–87 years. Data were collected 1 to 2 days before discharge and again 4 weeks after discharge following hip fracture surgery, and were analyzed using qualitative content analysis.ResultsFour main themes were identified: (1) challenge of discharge transition: unprepared discharge, transfer into other care settings, and eagerness for recovery; (2) physical and psychological distress against recovery: frail physical state and psychological difficulties; (3) dependent compliance: absolute trust in healthcare providers, indispensable support from the family, and passive participation in care; and (4) walking for things they took for granted: hope of walking and poor walking ability.ConclusionsAfter their hip fracture surgeries, older women hoped to be able to walk and perform simple daily chores they previously took for granted. Considering the physical and psychological frailty of older women undergoing hip surgery, systematic nursing interventions including collaboration and coordination with other healthcare professionals and settings are necessary to ensure the quality of continuous care during their post-surgery discharge transition. Encouraging partial weight bearing and initiating intervention to reduce fear of falling at the earliest possible time are essential to attain a stable discharge transition. Additionally, older women should be invited to participate in their care, and family involvement should be encouraged during the discharge transition period in South Korea.

Effect of Systematic Nursing Intervention on Psychological Condition, Blood Pressure Change, Self-management and Quality of Life of Patients with Obstructive Sleep Apnea Hypopnea Syndrome

Objective: To explore the influence of systematic nursing intervention on patients with bstructive sleep apnea hypopnea syndrome (OSAHS). Methods: From March 2017 to July 2018, 102 patients with OSAHS in our hospital were collected. Among them, 50 cases in Group A (GA) received routine nursing intervention. Fifty-two patients in Group B (GB) received systematic nursing intervention on the basis of GA. Before and after nursing, the psychological changes, blood pressure changes and self-management were observed and compared between the two groups. After nursing, the sleep quality, quality of life and nursing satisfaction were observed in the two groups. Results: After nursing, the anxiety of patients in GB was better than that in GA (P&lt;0.05); The depression of patients in GB was better than that in GA (P&lt;0.05); The blood pressure of patients in GB was better than that in GA (P&lt;0.05); The self-management of patients in GB was better than that in GA (P&lt;0.05); The quality of life and sleep quality of patients in GB were better than those in GA (P&lt;0.05); The nursing satisfaction of patients in GB was higher than that in GA (P&lt;0.05). Conclusion: Systematic nursing intervention can improve the psychological condition, blood pressure changes and quality of life of patients with OSAHS.

Effect of systematic nursing intervention on rehabilitation after colorectal polyps of endoscopic removal in children: A protocol for systematic review and meta-analysis.

Background:Endoscopic removal is the main method for the treatment of colorectal polyps in children. Due to the small age of children, poor coordination, postoperative sensitive postoperative response, it is not good for postoperative recovery. Systematic nursing has an advantage in promoting the postoperative recovery of children with colorectal polyps of endoscopic removal, but it is lack of evidence-based basis. The purpose of this study is to evaluate the effect of systematic nursing intervention on the rehabilitation of children after colorectal polyps of endoscopic removal.Methods:China National Knowledge Infrastructure, Wanfang, China Science and Technology Journal Database and Chinese Biomedical Literature Database, PubMed, Embase, Web of Science, and the Cochrane Library databases will be searched by computer. A randomized controlled study is searched on the application of systematic nursing intervention of children with colorectal polyps of endoscopic removal from the establishment of the database in February 2021. The language is limited to English and Chinese. The quality of the included study is independently extracted and the literature quality is evaluated by 2 researchers. The RevMan5.3 software is used to conduct meta-analysis of the included literature.Results:This study will evaluate the effect of systematic nursing intervention on the rehabilitation of children after colorectal polyps of endoscopic removal by the indexes of total effective rate, complication rate, and hospital stays.Conclusion:This study will provide reliable evidence-based basis for establishing a reasonable and effective nursing intervention for endoscopic removal of colorectal polyps in childhood.OSF Registration number:DOI 10.17605/OSF.IO/S57UX.

Adoption of Ultrasonic Imaging Diagnosis Under Machine Learning Algorithm in Treatment of Pregnancy-Induced Hypertension and Nursing

In order to study the application of doppler ultrasound in monitoring the changes of important vascular hemodynamic indexes in pregnant women with Pregnancy-induced Hypertension (PIH) during pregnancy under the Omaha systematic nursing intervention (NI), in this study, 83 PIH pregnant women were taken as the study object. First, 60 normal pregnant women were taken as the control group (CG). Ultrasonic images of the uterine artery (UA) and middle cerebral artery (MCA) were collected. The machine learning (ML) algorithm was used to detect the edge of the target vessel in the UA image. The hemodynamic indexes of UA and MCA were compared between the two groups. Then, according to the routine NI and the NI method based on the Omaha system, 83 PIH pregnant women were divided into the routine group (RG) (n = 35) and the observation group (OG) (n = 48). The differences in UA hemodynamic parameters and quality of life (QOL) scores were compared between the two groups at 6 d after surgery. The results showed that pre-pregnancy BMI, mean artery pressure (MAP), and uric acid content in the CG were significantly lower than those in the PIH group (P &lt; 0.05); the content of serum albumin in the CG was significantly higher than that in the PIH group (P &lt; 0.05); compared with Sobel operator, edge detection (ED) based on ML algorithm was more coherent; in the CG, the systolic peak velocity (PSV), acceleration index (AI), pulse index (PI), and resistance index (RI) were significantly lower than those in the PIH group (P &lt; 0.05); the values of PI and RI in MCA of CG were significantly higher than those in PIH group (P &lt; 0.05); after NI, PSV, PI, RI, and AI values in the OG were significantly lower than those in the RG (P &lt; 0.05); the health status, trunk pain, social function, emotional function, vitality, mental health, and total score of the OG were significantly higher than that of the RG (P &lt; 0.05), which indicated that ultrasonic detection based on ML algorithm can be used in monitoring the changes of hemodynamic indexes of PIH pregnant women during NI, and the NI based on the Omaha system can effectively improve the QOL of PIH pregnant women.

Systematic nursing intervention in children with viral encephalitis can help motor function recovery and reduce disability rate.

Systematic nursing intervention in children with viral encephalitis can help motor function recovery and reduce disability rate.

Effect of systematic nursing intervention on radiation-induced oral mucositis in patients with nasopharyngeal carcinoma after radiotherapy.

Effect of systematic nursing intervention on radiation-induced oral mucositis in patients with nasopharyngeal carcinoma after radiotherapy.

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

Systematic nursing intervention to improve the effect of advanced non-small cell lung cancer chemotherapy patients with cancer-induced fatigue

Objective To observe the effect of systematic nursing intervention on improving cancer-induced fatigue in patients with advanced non-small cell lung cancer undergoing chemotherapy. Methods A total of 108 cases of patients with advanced non-small cell lung cancer who were treated with chemotherapy in the hospital were selected, and the experimental design method of the same group was adopted. 54 cases of patients with traditional nursing mode from June 2015 to June 2016 were set as the control group. From July 2016 to July 2017, 54 patients who implemented systematic nursing intervention were set as the research group. The indexes of cancer-induced fatigue, quality of life and patient satisfaction were compared between the two groups before and after nursing. Results Multidimensional Fatigue Symptom Inventoy-Short Form(MFSI-SF) score of the two groups before intervention showed no statistical significance(P>0.05). After the intervention, the scores of general fatigue, physical fatigue, emotional fatigue, psychological fatigue and vitality in the study group were significantly lower than those in the control group, with statistically significant differences(P 0.05). After intervention, scores of physical function, emotional function, cognitive function, role function and social function in the study group were significantly higher than those in the control group, with statistically significant differences(P<0.05). Conclusions Systematic nursing intervention has a significant effect on improving cancer-induced fatigue and quality of life in patients with advanced non-small cell lung cancer undergoing chemotherapy, which is conducive to improving the effect of chemotherapy and worthy of clinical promotion. Key words: Systematic nursing interventions; Advanced non-small cell lung cancer; Chemotherapy; Cancer-related fatigue

Intervention effect of systematic nursing intervention on patients with critical diabetes mellitus monitored by real time dynamic blood glucose monitoring

目的 探讨系统护理干预对行实时动态血糖监测危重糖尿病患者的干预效果，为临床提供指导。 方法 选择行实时动态血糖监测的危重糖尿病患者90例为观察对象，采用随机数字表法分为两组，对照组42例应用常规护理干预，观察组48例应用系统护理干预，比较两组患者的满意度、治疗依从性、焦虑评分。 结果 观察组患者的满意度为97.92%，高于对照组的78.57%(χ2＝8.487，P<0.05)；观察组患者的治疗依从率为95.83%，高于对照组的80.95%(χ2＝5.022，P<0.05)；观察组护理后的焦虑评分为(9.52±3.20)分，低于对照组的(14.29±2.26)分(t＝8.058，P<0.05)。 结论 对行实时动态血糖监测危重糖尿病患者实施系统护理能显著缓解患者的焦虑状况，提高患者的满意度及治疗依从性。

Effects of systematic nursing intervention on calcium and phosphorus metabolism and pruritus in hemodialysis patients

Objective To explore the effects of systematic nursing intervention on calcium and phosphorus metabolism and pruritus in hemodialysis patients. Methods A total of 60 patients undergoing hemodialysis in the Department of Nephrology at Wuxi Second Hospital Affiliated to Nanjing Medical University from February to August 2017 were selected and divided into control group and observation group by random number method, with 30 cases in each group. The control group was given routine care. Dietary guidance, psychological care and comprehensive health education were implemented in the observation group on the basis of routine nursing. Diet, skin pruritus and calcium and phosphorus metabolism were compared between the two groups. Results The dietary compliance rate in the observation group (83.33%) was higher than that in the control group (60.00%) after the intervention, and the difference was statistically significant (P 0.05) . The differences in the total parathyroid hormone and serum phosphorus levels between the two groups were statistically significant (P<0.05) . The degree of pruritus, the distribution of the skin and the score of sleep disturbance in the observation group were significantly lower than those in the control group, with statistical difference (P<0.05) . Conclusions Systematic nursing plays a positive role in calcium and phosphorus metabolism and pruritus in hemodialysis patients and is worthy of promotion and application. Key words: Hemodialysis; Systematic care; Calcium and phosphorus metabolism; Pruritus