Background: Pain management for term newborns undergoing clustered painful procedures has not been tested. Kangaroo Care (chest-to-chest, skin-to-skin position of infant on mother) effectively reduces pain o...Background: Pain management for term newborns undergoing clustered painful procedures has not been tested. Kangaroo Care (chest-to-chest, skin-to-skin position of infant on mother) effectively reduces pain of single procedures, but its effect on pain from clustered procedures is not known. Aim: The aim was to test Kangaroo Care’s effect on pain in one term infant who received clustered painful procedures while determining feasibility of the Kangaroo Care intervention. Design, Setting, and Participant: A case study design was used with one healthy term newborn who received two heel sticks and one injection in one session in the mother’s postpartum room. Method: Heart rate and oxygen saturation (recorded from Massimo Pulse Oximeter every 30 seconds), crying time (total seconds of crying on videotape) and behavioral state (using Anderson Behavioral State Scoring system every 30 seconds) were measured before (5 minutes), during (10.5 minutes) and after (30 minutes) the three clustered painful procedures in a newborn who was in Kangaroo Care during all observations. One staff nurse administered the clustered procedures. Results: Heart rate increased sequentially with each heelstick, oxygen saturation remained unchanged, sleep predominated, and crying was minimal throughout the procedures. Conclusion: Kangaroo Care appeared to reduce pain from clustered painful procedures and can be further tested.展开更多
Accelerated rehabilitation surgery (ERAS) can promote postoperative recovery and reduce postoperative complications by minimizing surgically related stress, and its efficacy and safety in acute aortic dissection surge...Accelerated rehabilitation surgery (ERAS) can promote postoperative recovery and reduce postoperative complications by minimizing surgically related stress, and its efficacy and safety in acute aortic dissection surgery have been demonstrated. However, due to the particularity of acute aortic dissection, studies on the application of accelerated rehabilitation surgery in acute aortic dissection are relatively rare and there are great differences among different studies. This study adopts the method of evidence-based nursing practice accelerate rehabilitation cluster of surgical nursing strategy developed and applied to the patients with primary acute aortic dissection and adopts “accelerate rehabilitation cluster of surgical nursing strategy” and “accelerated rehabilitation cluster of surgical nursing strategies in patients with acute aortic dissection in clinical intervention”, the new nursing concept and organic combination of traditional nursing measures, using the optimal cluster nursing intervention mode, to explore the safety, effectiveness and feasibility of the intervention mode in the perioperative period of the original acute aortic dissection in patients’ cluster intervention, to accelerate the rehabilitation surgery in acute aortic dissection in the clinical care to provide a scientific basis for the operation.展开更多
Objective: To study the clinical value of positive pressure infusion joint combined with cluster nursing intervention in invasive blood pressure monitoring of critically ill patients. Methods: A total of 56 patients w...Objective: To study the clinical value of positive pressure infusion joint combined with cluster nursing intervention in invasive blood pressure monitoring of critically ill patients. Methods: A total of 56 patients who underwent invasive blood pressure monitoring from August 2020 to November 2021 were included and divided into a control group and a research group. The application effect of positive pressure infusion joint combined with cluster nursing intervention was analyzed. Results: The use of positive pressure infusion joint combined with bundle nursing measures in invasive blood pressure monitoring in patients with severe trauma had a significant effect on improving the physical and mental state of patients, and further optimized the incidence of complications (P < 0.05). Based on the development of cluster nursing measures, the emotional state of patients with severe trauma at the stage of invasive blood pressure monitoring was effectively improved, and the further implementation of related nursing content better optimized the adverse emotions of patients with anxiety and depression (P < 0.05). The development of positive pressure infusion joint combined with cluster nursing measures has important value in improving patients condition, further optimizing the efficiency of disease intervention, and promoting the improvement effect of patients physiological state (P < 0.05). Through the analysis of blood pressure and heart rate index data in the monitoring stage, the research results better confirmed that the development of positive pressure infusion joint combined with cluster nursing measures has a good value in improving patients heart rate and blood pressure indicators (P < 0.05);Cluster nursing measures combined with positive pressure infusion joint can further improve the quality of life of patients with severe blood pressure monitoring. Through the intervention of the condition and the targeted implementation of nursing quality, the quality of life score of patients is effectively optimized (P < 0.05). Discussion: In the stage of invasive blood pressure monitoring for critically ill patients, when positive pressure infusion joints are used, cluster nursing intervention measures should be jointly carried out, which can effectively guarantee the improvement of patients mood, optimize the quality of life after recovery, and improve rehabilitation efficiency, which has the value of promotion.展开更多
Objective: to consider the practical value of cluster nursing intervention mode in the prevention of neonatal iatrogenic skin injury. Methods: the 100 children received by the neonatal department between June, 2020 an...Objective: to consider the practical value of cluster nursing intervention mode in the prevention of neonatal iatrogenic skin injury. Methods: the 100 children received by the neonatal department between June, 2020 and June 2021 were freely divided into experimental group (cluster of nursing intervention) and control group (routine care intervention) with 50 children in each group. Next we need to compare the 2 groups of children with iatrogenic skin injury rate, patients family satisfaction and other indicators of change. Results: the rate of iatrogenic skin injury was 2.00% and 12.00% respectively in the experimental group and the control group, and 96.00% and 82.00% respectively in the nursing satisfaction of the family members. The difference between the two indexes was significant (p 0.05). Conclusion: for the prevention and control of neonatal iatrogenic skin injury diseases, the practical application effect of choosing the cluster nursing intervention mode is very prominent. It can achieve certain prevention and control purposes and play a positive role in avoiding conflicts between nurses and patients and improving the satisfaction of childrens families, so it has strong clinical application value.展开更多
Objective: to explore the intervention effect of cluster nursing in ICU patients with ventilator associated pneumonia, and the impact on patients' nursing satisfaction. Methods: ICU patients with ventilator associ...Objective: to explore the intervention effect of cluster nursing in ICU patients with ventilator associated pneumonia, and the impact on patients' nursing satisfaction. Methods: ICU patients with ventilator associated pneumonia admitted to our hospital from September 2019 to August 2020 were randomly selected as the research objects and randomly divided into group C and group X, with 42 cases in each group. Patients in Group X received routine nursing intervention, and patients in Group C received cluster nursing intervention. The effect of nursing and patient satisfaction were mainly explored and compared. Results: after nursing intervention, PaO2 and SpO2 group C indicators were higher than in the X group, PaCO2 index is lower than X group, nursing satisfaction is significantly higher than group C X group, appeared statistical difference (P < 0.05). Conclusion: for patients with ventilator associated pneumonia in ICU, cluster nursing during treatment can better guarantee the recovery effect of patients, improve nursing satisfaction, and improve the nurs-patient relationship, which is worthy of clinical promotion.展开更多
Background: Considering the importance of getting the right patient at the right location to maintain and optimize quality of life of inflammatory arthritis patients, appropriate referral by general practitioners is e...Background: Considering the importance of getting the right patient at the right location to maintain and optimize quality of life of inflammatory arthritis patients, appropriate referral by general practitioners is essential. This study aims to assess the effect and cost effectiveness of different referral strategies for inflammatory arthritis in primary care patients. Methods: This study follows a cluster randomized controlled trial design. General practitioners from primary care centers in Southwest-The Netherlands are randomly assigned to either one of the two strategic interventions for referring adult patients who are in the opinion of the general practitioner suspected of inflammatory arthritis: 1) Standardized digital referral algorithm based on existing referral models PEST, CaFaSpA and CARE;2) Triage by a rheumatologist in the local primary care center. These interventions will be compared to a control group, e.g. usual care. The primary outcome is the percentage of patients diagnosed with inflammatory arthritis by the rheumatologist. Secondary outcomes are quality of life as a patient reported outcome, work participation and healthcare costs. These data, including demographic and clinical parameters, are prospectively collected at baseline, three, six, and twelve months. Discussion: If this study can demonstrate improvements in appropriate referrals to the rheumatologist, thereby improving cost-effectiveness, there is sufficient supporting evidence to implement one of the referral strategies as a standard of care. Finally, with these optimization strategies a higher quality of care can be achieved, that might be of value for all patients with arthralgia. Trial Registration: NCT03454438, date of registration: March 5, 2018. Retrospectively registered: https://clinicaltrials.gov/ct2/show/NCT03454438?term=NCT03454438&draw=1&rank=1.展开更多
Breathlessness, fatigue, and anxiety are distressing symptoms for patients with advanced lung cancer, however, they are not relieved by palliative RT and are often viewed as neglected areas of clinical practice. This ...Breathlessness, fatigue, and anxiety are distressing symptoms for patients with advanced lung cancer, however, they are not relieved by palliative RT and are often viewed as neglected areas of clinical practice. This paper aims to review def initions of, and explore patients' experiences of, breathlessness, fatigue, and anxiety. Further, it will outline existing approaches, both pharmacological and non-pharmacological, to treat them. Current treatments and perceptions of these symptoms will be discussed in the context of Hong Kong health care service. The review of literature also shows that breathlessness, fatigue and anxiety appears to have similar emotional origins. A contemporary approach of using a common pyschoeducational intervention to treat these symptoms together as a cluster in end of life care will be discussed.展开更多
目的对比分析2012—2022年中国学术期刊网络出版总库(CNKI)和Web of Science(WOS)数据库中脑卒中延续护理领域的研究差异。方法分别以CNKI和WOS数据库2012年1月1日至2022年12月31日收录的脑卒中延续护理领域文献为研究对象,应用CiteSpac...目的对比分析2012—2022年中国学术期刊网络出版总库(CNKI)和Web of Science(WOS)数据库中脑卒中延续护理领域的研究差异。方法分别以CNKI和WOS数据库2012年1月1日至2022年12月31日收录的脑卒中延续护理领域文献为研究对象,应用CiteSpace可视化软件对纳入文献进行分析,以确定国内外脑卒中延续护理相关研究的发展脉络及研究热点和研究趋势,并分析其差异。结果国内外对脑卒中延续护理方面的研究差异较大,国内的研究者中心性不高,主要研究团队相对分散,彼此间联系不够紧密,国外部分作者中心性相对较高,研究团队相对集中,但彼此之间合作也不够紧密。国内发文机构比较多,发文量最多的机构为郑州大学护理与健康学院,但各个机构间的合作不够紧凑。国外发文量最多的机构为多伦多大学,机构之间合作紧密,其中凯撒医院具有较高的影响力。国内的研究热点主要集中在对个体尤其是老年患者生理、心理及遵医依从性方面的影响,倾向于干预结果。国外研究热点更多地关注脑卒中患者的二级预防及治疗措施方面,探讨如何更好地从源头促进脑卒中患者的康复,倾向于过程及措施方面。国内的研究前沿主要集中在通过多媒体互联网平台来提高恢复期、偏瘫患者的自理能力等方面;国外的研究前沿集中在从源头切断病因更好地提高脑卒中患者的生存质量,减轻预后护理负担,但是对于脑卒中延续护理平台的选择依旧是趋于传统。结论脑卒中延续护理领域正处在快速发展阶段,我国应进一步加大研究力度,拓宽合作领域,聚焦相关研究热点及前沿,从国外研究中汲取精华,以更好地促进我国脑卒中延续护理的发展。展开更多
背景症状群是指2种或2种以上的症状同时发生且互相影响,目前不同研究调查所得的胃癌患者化疗症状群不尽相同,存在一定的异质性,不利于症状群的管理和干预。目的对胃癌患者化疗期间症状群的相关研究进行范围综述,以确定症状群的种类和构...背景症状群是指2种或2种以上的症状同时发生且互相影响,目前不同研究调查所得的胃癌患者化疗症状群不尽相同,存在一定的异质性,不利于症状群的管理和干预。目的对胃癌患者化疗期间症状群的相关研究进行范围综述,以确定症状群的种类和构成及其研究现状,为今后症状群研究提供参考。方法以范围综述报告的PRISMA扩展版清单为方法学框架,计算机检索PubMed、Web of Science、Medline、CINAHL、中国知网、万方数据知识服务平台、维普网和中国生物医学文献数据库中有关胃癌患者化疗期间症状群的相关研究,检索时限为建库至2023-05-24。提取和分析纳入文献的信息内容。结果共纳入12篇文献,症状群的研究方法包括症状的评估方法和症状群的提取分析。胃癌患者在化疗期间涉及20种症状群,化疗前即可出现病感症状群、情绪症状群、消化道症状群、胃癌特异症状群和神经系统相关性症状群。第1次化疗后,还会出现肢体相关症状群、形象改变症状群和能量缺乏症状群。第3次化疗后,症状群的类型和构成最为复杂。第6次化疗后,则会出现化疗相关症状群。结论胃癌患者在化疗期间存在多种症状群,并随化疗阶段进展发生动态变化。未来可探索胃癌患者特异性症状评估工具,结合症状网络分析等先进分析技术,以早期准确识别症状群,构建精准化的症状管理方案。展开更多
文摘Background: Pain management for term newborns undergoing clustered painful procedures has not been tested. Kangaroo Care (chest-to-chest, skin-to-skin position of infant on mother) effectively reduces pain of single procedures, but its effect on pain from clustered procedures is not known. Aim: The aim was to test Kangaroo Care’s effect on pain in one term infant who received clustered painful procedures while determining feasibility of the Kangaroo Care intervention. Design, Setting, and Participant: A case study design was used with one healthy term newborn who received two heel sticks and one injection in one session in the mother’s postpartum room. Method: Heart rate and oxygen saturation (recorded from Massimo Pulse Oximeter every 30 seconds), crying time (total seconds of crying on videotape) and behavioral state (using Anderson Behavioral State Scoring system every 30 seconds) were measured before (5 minutes), during (10.5 minutes) and after (30 minutes) the three clustered painful procedures in a newborn who was in Kangaroo Care during all observations. One staff nurse administered the clustered procedures. Results: Heart rate increased sequentially with each heelstick, oxygen saturation remained unchanged, sleep predominated, and crying was minimal throughout the procedures. Conclusion: Kangaroo Care appeared to reduce pain from clustered painful procedures and can be further tested.
文摘Accelerated rehabilitation surgery (ERAS) can promote postoperative recovery and reduce postoperative complications by minimizing surgically related stress, and its efficacy and safety in acute aortic dissection surgery have been demonstrated. However, due to the particularity of acute aortic dissection, studies on the application of accelerated rehabilitation surgery in acute aortic dissection are relatively rare and there are great differences among different studies. This study adopts the method of evidence-based nursing practice accelerate rehabilitation cluster of surgical nursing strategy developed and applied to the patients with primary acute aortic dissection and adopts “accelerate rehabilitation cluster of surgical nursing strategy” and “accelerated rehabilitation cluster of surgical nursing strategies in patients with acute aortic dissection in clinical intervention”, the new nursing concept and organic combination of traditional nursing measures, using the optimal cluster nursing intervention mode, to explore the safety, effectiveness and feasibility of the intervention mode in the perioperative period of the original acute aortic dissection in patients’ cluster intervention, to accelerate the rehabilitation surgery in acute aortic dissection in the clinical care to provide a scientific basis for the operation.
文摘Objective: To study the clinical value of positive pressure infusion joint combined with cluster nursing intervention in invasive blood pressure monitoring of critically ill patients. Methods: A total of 56 patients who underwent invasive blood pressure monitoring from August 2020 to November 2021 were included and divided into a control group and a research group. The application effect of positive pressure infusion joint combined with cluster nursing intervention was analyzed. Results: The use of positive pressure infusion joint combined with bundle nursing measures in invasive blood pressure monitoring in patients with severe trauma had a significant effect on improving the physical and mental state of patients, and further optimized the incidence of complications (P < 0.05). Based on the development of cluster nursing measures, the emotional state of patients with severe trauma at the stage of invasive blood pressure monitoring was effectively improved, and the further implementation of related nursing content better optimized the adverse emotions of patients with anxiety and depression (P < 0.05). The development of positive pressure infusion joint combined with cluster nursing measures has important value in improving patients condition, further optimizing the efficiency of disease intervention, and promoting the improvement effect of patients physiological state (P < 0.05). Through the analysis of blood pressure and heart rate index data in the monitoring stage, the research results better confirmed that the development of positive pressure infusion joint combined with cluster nursing measures has a good value in improving patients heart rate and blood pressure indicators (P < 0.05);Cluster nursing measures combined with positive pressure infusion joint can further improve the quality of life of patients with severe blood pressure monitoring. Through the intervention of the condition and the targeted implementation of nursing quality, the quality of life score of patients is effectively optimized (P < 0.05). Discussion: In the stage of invasive blood pressure monitoring for critically ill patients, when positive pressure infusion joints are used, cluster nursing intervention measures should be jointly carried out, which can effectively guarantee the improvement of patients mood, optimize the quality of life after recovery, and improve rehabilitation efficiency, which has the value of promotion.
文摘Objective: to consider the practical value of cluster nursing intervention mode in the prevention of neonatal iatrogenic skin injury. Methods: the 100 children received by the neonatal department between June, 2020 and June 2021 were freely divided into experimental group (cluster of nursing intervention) and control group (routine care intervention) with 50 children in each group. Next we need to compare the 2 groups of children with iatrogenic skin injury rate, patients family satisfaction and other indicators of change. Results: the rate of iatrogenic skin injury was 2.00% and 12.00% respectively in the experimental group and the control group, and 96.00% and 82.00% respectively in the nursing satisfaction of the family members. The difference between the two indexes was significant (p 0.05). Conclusion: for the prevention and control of neonatal iatrogenic skin injury diseases, the practical application effect of choosing the cluster nursing intervention mode is very prominent. It can achieve certain prevention and control purposes and play a positive role in avoiding conflicts between nurses and patients and improving the satisfaction of childrens families, so it has strong clinical application value.
文摘Objective: to explore the intervention effect of cluster nursing in ICU patients with ventilator associated pneumonia, and the impact on patients' nursing satisfaction. Methods: ICU patients with ventilator associated pneumonia admitted to our hospital from September 2019 to August 2020 were randomly selected as the research objects and randomly divided into group C and group X, with 42 cases in each group. Patients in Group X received routine nursing intervention, and patients in Group C received cluster nursing intervention. The effect of nursing and patient satisfaction were mainly explored and compared. Results: after nursing intervention, PaO2 and SpO2 group C indicators were higher than in the X group, PaCO2 index is lower than X group, nursing satisfaction is significantly higher than group C X group, appeared statistical difference (P < 0.05). Conclusion: for patients with ventilator associated pneumonia in ICU, cluster nursing during treatment can better guarantee the recovery effect of patients, improve nursing satisfaction, and improve the nurs-patient relationship, which is worthy of clinical promotion.
文摘Background: Considering the importance of getting the right patient at the right location to maintain and optimize quality of life of inflammatory arthritis patients, appropriate referral by general practitioners is essential. This study aims to assess the effect and cost effectiveness of different referral strategies for inflammatory arthritis in primary care patients. Methods: This study follows a cluster randomized controlled trial design. General practitioners from primary care centers in Southwest-The Netherlands are randomly assigned to either one of the two strategic interventions for referring adult patients who are in the opinion of the general practitioner suspected of inflammatory arthritis: 1) Standardized digital referral algorithm based on existing referral models PEST, CaFaSpA and CARE;2) Triage by a rheumatologist in the local primary care center. These interventions will be compared to a control group, e.g. usual care. The primary outcome is the percentage of patients diagnosed with inflammatory arthritis by the rheumatologist. Secondary outcomes are quality of life as a patient reported outcome, work participation and healthcare costs. These data, including demographic and clinical parameters, are prospectively collected at baseline, three, six, and twelve months. Discussion: If this study can demonstrate improvements in appropriate referrals to the rheumatologist, thereby improving cost-effectiveness, there is sufficient supporting evidence to implement one of the referral strategies as a standard of care. Finally, with these optimization strategies a higher quality of care can be achieved, that might be of value for all patients with arthralgia. Trial Registration: NCT03454438, date of registration: March 5, 2018. Retrospectively registered: https://clinicaltrials.gov/ct2/show/NCT03454438?term=NCT03454438&draw=1&rank=1.
文摘Breathlessness, fatigue, and anxiety are distressing symptoms for patients with advanced lung cancer, however, they are not relieved by palliative RT and are often viewed as neglected areas of clinical practice. This paper aims to review def initions of, and explore patients' experiences of, breathlessness, fatigue, and anxiety. Further, it will outline existing approaches, both pharmacological and non-pharmacological, to treat them. Current treatments and perceptions of these symptoms will be discussed in the context of Hong Kong health care service. The review of literature also shows that breathlessness, fatigue and anxiety appears to have similar emotional origins. A contemporary approach of using a common pyschoeducational intervention to treat these symptoms together as a cluster in end of life care will be discussed.
文摘目的对比分析2012—2022年中国学术期刊网络出版总库(CNKI)和Web of Science(WOS)数据库中脑卒中延续护理领域的研究差异。方法分别以CNKI和WOS数据库2012年1月1日至2022年12月31日收录的脑卒中延续护理领域文献为研究对象,应用CiteSpace可视化软件对纳入文献进行分析,以确定国内外脑卒中延续护理相关研究的发展脉络及研究热点和研究趋势,并分析其差异。结果国内外对脑卒中延续护理方面的研究差异较大,国内的研究者中心性不高,主要研究团队相对分散,彼此间联系不够紧密,国外部分作者中心性相对较高,研究团队相对集中,但彼此之间合作也不够紧密。国内发文机构比较多,发文量最多的机构为郑州大学护理与健康学院,但各个机构间的合作不够紧凑。国外发文量最多的机构为多伦多大学,机构之间合作紧密,其中凯撒医院具有较高的影响力。国内的研究热点主要集中在对个体尤其是老年患者生理、心理及遵医依从性方面的影响,倾向于干预结果。国外研究热点更多地关注脑卒中患者的二级预防及治疗措施方面,探讨如何更好地从源头促进脑卒中患者的康复,倾向于过程及措施方面。国内的研究前沿主要集中在通过多媒体互联网平台来提高恢复期、偏瘫患者的自理能力等方面;国外的研究前沿集中在从源头切断病因更好地提高脑卒中患者的生存质量,减轻预后护理负担,但是对于脑卒中延续护理平台的选择依旧是趋于传统。结论脑卒中延续护理领域正处在快速发展阶段,我国应进一步加大研究力度,拓宽合作领域,聚焦相关研究热点及前沿,从国外研究中汲取精华,以更好地促进我国脑卒中延续护理的发展。
文摘背景症状群是指2种或2种以上的症状同时发生且互相影响,目前不同研究调查所得的胃癌患者化疗症状群不尽相同,存在一定的异质性,不利于症状群的管理和干预。目的对胃癌患者化疗期间症状群的相关研究进行范围综述,以确定症状群的种类和构成及其研究现状,为今后症状群研究提供参考。方法以范围综述报告的PRISMA扩展版清单为方法学框架,计算机检索PubMed、Web of Science、Medline、CINAHL、中国知网、万方数据知识服务平台、维普网和中国生物医学文献数据库中有关胃癌患者化疗期间症状群的相关研究,检索时限为建库至2023-05-24。提取和分析纳入文献的信息内容。结果共纳入12篇文献,症状群的研究方法包括症状的评估方法和症状群的提取分析。胃癌患者在化疗期间涉及20种症状群,化疗前即可出现病感症状群、情绪症状群、消化道症状群、胃癌特异症状群和神经系统相关性症状群。第1次化疗后,还会出现肢体相关症状群、形象改变症状群和能量缺乏症状群。第3次化疗后,症状群的类型和构成最为复杂。第6次化疗后,则会出现化疗相关症状群。结论胃癌患者在化疗期间存在多种症状群,并随化疗阶段进展发生动态变化。未来可探索胃癌患者特异性症状评估工具,结合症状网络分析等先进分析技术,以早期准确识别症状群,构建精准化的症状管理方案。
