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Effect of multidimensional nursing on low anterior resection syndrome after sphincter preservation surgery for low rectal cancer
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作者 Zheng Ruan Qun Ye Ran Yang 《World Journal of Gastrointestinal Surgery》 2025年第10期322-330,共9页
BACKGROUND According to the Global Cancer Statistics Report,the incidence of colorectal cancer ranks third and the mortality rate ranks second worldwide among malignant tumors.AIM To explore the effects of Nursing Out... BACKGROUND According to the Global Cancer Statistics Report,the incidence of colorectal cancer ranks third and the mortality rate ranks second worldwide among malignant tumors.AIM To explore the effects of Nursing Outcomes Classification(NOC)-based multidimensional nursing on self-efficacy and symptom relief in patients with low anterior resection syndrome(LARS)following sphincter-preserving surgery.METHODS This observational study enrolled 120 patients with LARS after sphincterpreserving surgery for low rectal cancer admitted to our hospital between January 2022 and December 2024.The patients were randomly divided into a control group(n=60)that received routine nursing intervention or an observation group(n=60)that received multidimensional nursing intervention.Before and after the intervention,the Chinese version of the Self-Management Efficacy Scale for Cancer Patients(SUPPH),the LARS scoring scale,and the European Organization for Research and Treatment of Cancer Quality of Life Core Scale(EORTC QLQC30)were used to evaluate the self-efficacy,symptom relief,and quality of life of the two patient groups,and the nursing satisfaction was compared between the groups.RESULTS After the intervention,both groups showed increased scores for each item on the SUPPH and EORTC QLQ-C30 scales compared with those before the intervention,whereas the LARS score showed a decreasing trend.Compared with the control group,the scores for each item of the SUPPH and EORTC QLQ-C30 scales in the observation group were significantly higher after the intervention,while the LARS score was significantly lower(all P<0.05).Nursing satisfaction was significantly higher in the observation group than in the control group(83.33%vs 95.00%,P<0.05).CONCLUSION Multidimensional NOC-based nursing improves self-efficacy,symptoms,quality of life,and satisfaction in patients with LARS.However,further research is needed to assess its long-term and comparative effectiveness. 展开更多
关键词 Low rectal cancer SURGERY Low anterior resection syndrome multidimensional nursing SELF-EFFICACY SYMPTOMS
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Application Value of Multidimensional Rehabilitation Nursing in Schizophrenia
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作者 TIAN Chunmei 《外文科技期刊数据库(文摘版)医药卫生》 2021年第8期1090-1092,共5页
to analyze the multidimensional rehabilitation nursing during this study, and to observe the application effect in patients with schizophrenia. Methods: a total of 60 patients with schizophrenia were included as the r... to analyze the multidimensional rehabilitation nursing during this study, and to observe the application effect in patients with schizophrenia. Methods: a total of 60 patients with schizophrenia were included as the research object, and the research time was intercepted from January 2020 to January 2021. At the same time, nursing intervention was carried out in the form of grouping, with 30 patients in each group. The research group carried out work in the multi-dimensional rehabilitation nursing mode, and the reference group carried out routine nursing work. The activities of daily living and social functions of patients in the two groups were investigated before and after nursing, and the survey data were compared between the two groups. Results: there was little difference in ADL score and FAQ score between the two groups before nursing (P > 0.05);After nursing, the ADL score of the study group was significantly higher and the FAQ score was significantly lower. Compared with the reference group, the difference was statistically significant (P < 0.05). Conclusion: the application of multidimensional rehabilitation nursing to the treatment of schizophrenic patients can comprehensively improve the quality of nursing, help patients improve their self-care ability in daily life, and reduce social dysfunction. The application effect is obvious, which is worthy of wide application. 展开更多
关键词 multidimensional rehabilitation nursing SCHIZOPHRENIA application effect
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Bibliometric analysis of researches of empowerment theory applied to nursing in China
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作者 Si-Yuan Yang Li-Min Guo +2 位作者 Yuan Jia Qian Wu Fan-Jie Meng 《TMR Integrative Nursing》 2019年第4期118-124,共7页
Objective:To analysis the development trend and research focus of empowerment theory applied to Nursing in China.Methods:Literatures related to the objective were searched and collected from CNKI,WangFang,VIP and CBM,... Objective:To analysis the development trend and research focus of empowerment theory applied to Nursing in China.Methods:Literatures related to the objective were searched and collected from CNKI,WangFang,VIP and CBM,then Excel 2003 was used to setup the database and co-word matrix,SPSS 21.0 was utilized to make the visualized analysis by way of multivariate statistics analysis,cluster analysis and multidimensional scaling analysis.Results:Literatures with the number of 486 were selected out and 18 high frequency keywords were retrieved from 140 journals.Among the literatures,the first one was published in 2002,then a tremendous rising started since 2009,and reached the peak in 2017,mainly from the southern part of China,such as the province of Jiangsu,Guangdong,and Zhejiang.Regarding the content of the literatures,the research of intervention accounted for 61.32%,then the research of description came to the second at the ratio of 24.49%.What’s more,378(77.78%)were cited,154(31.69%)were funded.Conclusion:Nowadays,empowerment applied in the therapy of chronic disease is the focus and trend of the research of empowerment theory,and the psychological empowerment to nursing staff,as well as the constructed empowerment is going mature.In the future,more attention should be paid to the study and practice of empowerment theory,in order to vary the direction of research and enrich the theory. 展开更多
关键词 Empowerment theory BIBLIOMETRIC nursing Cluster analysis multidimensional scaling analysis
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Study on the Effectiveness of Multi-dimensional Continuous Nursing Model in PICC Chemotherapy for Lung Cancer Patients
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作者 LIXiumei 《外文科技期刊数据库(文摘版)医药卫生》 2022年第10期187-191,共5页
Objective: To explore the value of multi-dimensional continuous care in the treatment of lung cancer patients receiving PICC chemotherapy. Methods: A total of 80 cases of lung cancer patients receiving PICC chemothera... Objective: To explore the value of multi-dimensional continuous care in the treatment of lung cancer patients receiving PICC chemotherapy. Methods: A total of 80 cases of lung cancer patients receiving PICC chemotherapy in our department from February 2020 to January 2021 were randomly divided into observation group (n40) and control group (n40). The patients received routine nursing care. The infection rate, nursing satisfaction rate and nursing quality were compared. Results The nursing satisfaction degree was higher in the observation group than in the control group (P 0.05). The infection rate was higher in the control group than in the control group (P 0.05). The nursing quality was higher in the observation group than that in the control group (P 0.05). Conclusion: Multi-dimensional continuous care applied to PICC chemotherapy for lung cancer can reduce the infection rate of PICC, improve the survival treatment of patients, ensure the curative effect, and the effect is significant. 展开更多
关键词 PICC catheter chemotherapy lung cancer multidimensional continuity nursing
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Exploration on the Multi-dimensional Collaborative Nursing Applied to Elderly Patients with Coronary Heart Disease Complicated with Heart Failure to Explore Its Negative Emotions and Quality of Life
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作者 CAOXianhui 《外文科技期刊数据库(文摘版)医药卫生》 2022年第7期110-114,共5页
Objective: to study the implementation path of multidimensional cooperative nursing and its application value in the nursing of elderly patients with coronary heart disease (CHD) complicated with heart failure (HF). M... Objective: to study the implementation path of multidimensional cooperative nursing and its application value in the nursing of elderly patients with coronary heart disease (CHD) complicated with heart failure (HF). Methods: 120 elderly patients with CHD and HF in our hospital were randomly divided into JC group and DW group, with 60 cases in each group. Patients in JC group were given routine nursing, while patients in DW group were given multi-dimensional cooperative nursing (that is, on the basis of routine nursing, nursing interventions such as improving psychological efficacy, self-health management level, strengthening cardiac function rehabilitation guidance and improving social function were jointly carried out). Before and after nursing, the improvement effects of patients negative emotions (HAMA for anxiety and HAMD for depression), and self-health management level (ESCA), cardiac function (LVEF, CI, SV) and quality of life (SF-36) were investigated. Results: after nursing, the scores of HAMA for anxiety and HAMD for depression in DW group were lower than those in JC group (P < 0.05), while LVEF, CI and SV for cardiac function in DW group were higher than those in JC group (P < 0.05), and ESCA and SF-36 scale were higher than those in JC group (P < 0.05). Conclusion: multi-dimensional collaborative nursing, guided by the concept of finishing nursing, provides all-round nursing services for elderly CHD patients with HF from the aspects of disease cognition, psychological efficacy, self-health management level, cardiac function rehabilitation and social function, which can effectively improve patients negative emotions, disease management level, cardiac function rehabilitation and quality of life. 展开更多
关键词 coronary heart disease complicated with heart failure multidimensional collaborative nursing negative emotion and health management level quality of life
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Observation on the Application of Case-based Three-dimensional Teaching Method Guided by Evidence-Based Thought in the Teaching of Intern Nurses in the Rehabilitation Department
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作者 Qiurong Mi 《Journal of Clinical and Nursing Research》 2025年第11期199-208,共10页
Objective:To explore the effect of implementing the case-based three-dimensional teaching method guided by evidence-based thinking in the teaching of trainee nurses in the rehabilitation department.Method:Eighty nursi... Objective:To explore the effect of implementing the case-based three-dimensional teaching method guided by evidence-based thinking in the teaching of trainee nurses in the rehabilitation department.Method:Eighty nursing practice nurses who were conducting clinical practice learning in the Rehabilitation Department of Deyang People’s Hospital from June 2024 to May 2025 were selected as the research subjects.By using the controlled grouping method,the practice nurses from June 2024 to November 2024 were taken as the control group(n=40).The period from December 2024 to May 2025 was taken as the experimental group(n=40 students),the control group was taught by traditional teaching methods,and the experimental group was taught by evidence-based nursing combined with case teaching method.The clinical thinking ability,autonomous learning ability,exit assessment scores and teaching satisfaction of the two groups of intern nurses at the time of leaving the department were compared.Results:At the time of leaving the department,the scores of each dimension and the total score of clinical thinking ability of the intern nurses in the experimental group were higher than those in the control group(t=9.268,6.354,6.199)9.694,all p<0.05).At the time of leaving the department the scores of each dimension and the total score of the autonomous learning ability of the intern nurses in the experimental group were higher than those in the control group(t=6.998,7.333,5.503,5.977,22.244)all p<0.05).At the time of leaving the department the theoretical assessment scores and operational assessment scores of the experimental group were both higher than those of the control group(t=14.546,11.676,all p<0.05).At the time of graduation,the teaching satisfaction of the experimental group was higher than that of the control group(χ^(2)=7.314,p<0.05.Conclusion:The adoption of the case-based three-dimensional teaching.Rehabilitation method guided by the evidence-based ideology during the teaching process can effectively improve the clinical thinking ability,autonomous learning ability,departmental assessment results and teaching satisfaction of the intern nurses in the rehabilitation department,which is worthy of reference. 展开更多
关键词 nursing intern Evidence-based thinking Case-based multidimensional teaching method Clinical thinking ability Self-learning ability
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基于饮食、运动、睡眠、情绪、疼痛的多维循证护理对血液透析患者症状群的影响
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作者 陈静 王炎 岳晓红 《海南医学》 2026年第2期300-304,共5页
目的分析基于饮食、运动、睡眠、情绪、疼痛的多维循证护理对血液透析患者症状群的影响。方法前瞻性选取2023年2月至2024年3月于郑州大学第一附属医院实施血液透析治疗的86例患者,按随机数表法分为多维循证组和常规组各43例。常规组采... 目的分析基于饮食、运动、睡眠、情绪、疼痛的多维循证护理对血液透析患者症状群的影响。方法前瞻性选取2023年2月至2024年3月于郑州大学第一附属医院实施血液透析治疗的86例患者,按随机数表法分为多维循证组和常规组各43例。常规组采取常规护理模式,多维循证组在常规护理基础上采取基于饮食、运动、睡眠、情绪、疼痛的多维循证护理干预模式,干预时间3个月。比较两组患者干预前后的慢性疼痛[简明疼痛量表(BPI-C)]、情绪障碍[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、疲乏[Piper疲乏量表中文修订版(RPFS)]和睡眠质量[睡眠状况自评量表(SRSS)]。结果干预后,多维循证组患者的目前疼痛程度及过去24 h内最严重、最轻微和平均的疼痛程度分别为(1.65±0.42)分、(4.02±0.41)分、(1.41±0.40)分、(2.57±0.43)分,明显低于常规组的(2.53±0.44)分、(5.37±0.45)分、(2.12±0.44)分、(3.64±0.46)分,差异均有统计学意义(P<0.05);干预后,多维循证组患者的SAS、SDS、RPFS、SRSS评分分别为(47.13±3.52)分、(50.63±2.38)分、(3.77±0.85)分、(18.24±2.03)分,明显低于常规组的(53.67±2.94)分、(56.67±2.44)分、(4.19±0.78)分、(23.57±1.96)分,差异均有统计学意义(P<0.05)。结论血液透析患者实施基于饮食、运动、睡眠、情绪、疼痛的多维循证护理,可有效改善其疲乏、疼痛、睡眠障碍、情绪障碍等症状群强度。 展开更多
关键词 血液透析 多维循证护理 症状群
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血糖变异性与睡眠质量双向关联机制及多维护理干预的研究进展
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作者 钟雨欣 熊真真 《护理研究》 北大核心 2026年第3期490-496,共7页
综述睡眠质量与血糖变异性之间的交互机制及多维护理干预策略的应用,以期为精准护理实践的发展提供参考。
关键词 血糖变异性 睡眠质量 多维护理 干预策略 综述
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心理危机多维度护理配合同伴教育干预对晚期肝癌介入患者的影响
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作者 刘佩珍 赵冬梅 +1 位作者 唐安琪 耿月婷 《齐鲁护理杂志》 2026年第1期137-139,共3页
目的:探讨心理危机多维度护理配合同伴教育干预对晚期肝癌介入患者的影响。方法:选取2023年1月—2024年8月入院治疗的58例肝癌患者,采用随机抽签法分为对照组和观察组各29例,两组患者均接受常规护理,对照组采用同伴教育干预,观察组在此... 目的:探讨心理危机多维度护理配合同伴教育干预对晚期肝癌介入患者的影响。方法:选取2023年1月—2024年8月入院治疗的58例肝癌患者,采用随机抽签法分为对照组和观察组各29例,两组患者均接受常规护理,对照组采用同伴教育干预,观察组在此基础上联合实施心理危机多维度护理;比较两组干预前后心理弹性[康纳-戴维森韧性量表(CD-RISC)]、癌因性疲乏[Piper疲乏修订量表(RPFS)]、自护能力[自我护理能力测定量表(ESCA)]、生存质量[生存质量调查问卷(EORTC QLQ-C30)]及满意度。结果:干预后,两组心理弹性、自护能力、生存质量评分均高于干预前(P<0.05,P<0.01),且观察组均高于对照组(P<0.01);干预后,两组癌因性疲乏评分低于干预前(P<0.01),且观察组低于对照组(P<0.01);观察组满意度高于对照组(P=0.037)。结论:心理危机多维度护理配合同伴教育干预可有效增强晚期肝癌介入患者的心理弹性和自护能力,减轻癌因性疲乏程度,改善生存质量,提高患者满意度。 展开更多
关键词 肝癌晚期 心理危机多维度护理 同伴教育 心理弹性 癌因性疲乏 生存质量
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以患者美学需求为导向的多维度护理对甲状腺切除术后恢复的影响
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作者 杨璐璐 潘璐 辛莉 《中国美容医学》 2025年第6期60-63,共4页
目的:探究以患者美学需求为导向的多维度护理对甲状腺切除术后恢复及患者满意度的影响。方法:回顾性分析笔者医院于2020年3月-2023年3月收治的92例行甲状腺切除术的患者临床资料,根据护理方式的不同分为两组,其中对照组(n=47)采用常规护... 目的:探究以患者美学需求为导向的多维度护理对甲状腺切除术后恢复及患者满意度的影响。方法:回顾性分析笔者医院于2020年3月-2023年3月收治的92例行甲状腺切除术的患者临床资料,根据护理方式的不同分为两组,其中对照组(n=47)采用常规护理,观察组(n=45)采用以患者美学需求为导向的多维度护理,比较两组患者术后恢复情况、满意度、切口美学效果、不良情绪以及并发症发生情况。结果:观察组住院时间、住院费用少于对照组(P<0.05);观察组温哥华瘢痕量表(VSS)各项评分及总分低于对照组(P<0.05);两组护理后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均下降,观察组较对照组低(P<0.05);观察组总满意率97.78%高于对照组的82.98%(P<0.05);观察组术后并发症发生率6.66%,低于对照组的23.40%(P<0.05)。结论:以患者美学需求为导向的多维度护理可有效改善患者术后恢复情况,提升美学效果,缓解患者不良情绪,提升患者满意度,减少术后并发症,值得临床推荐。 展开更多
关键词 甲状腺切除术 美学需求 多维度护理 满意度 瘢痕
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基于目标执行理念的伴侣参与式多维度护理在乳腺癌术后化疗病人中的应用 被引量:3
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作者 杨金霞 陈梅 吴秀华 《循证护理》 2025年第1期168-172,共5页
目的:探讨基于目标执行理念的伴侣参与式多维度护理在乳腺癌术后化疗病人中的应用效果。方法:采用方便抽样方法,于2022年7月—2023年6月选取福建省某三级甲等医院80例乳腺癌术后化疗病人及配偶为研究对象,采用随机数字表法分为对照组(n=... 目的:探讨基于目标执行理念的伴侣参与式多维度护理在乳腺癌术后化疗病人中的应用效果。方法:采用方便抽样方法,于2022年7月—2023年6月选取福建省某三级甲等医院80例乳腺癌术后化疗病人及配偶为研究对象,采用随机数字表法分为对照组(n=40)和观察组(n=40)。对照组实施术后常规护理,观察组在目标执行理念指导下实施伴侣参与式多维度护理模式,比较两组病人术后心理状况、自我管理能力、睡眠质量、生活质量和并发症等。结果:干预后,两组焦虑评分、抑郁评分、自我管理能力评分、睡眠质量评分、生活质量评分、并发症发生率比较差异均有统计学意义(P<0.001)。结论:基于目标执行理念下的伴侣参与式多维度护理有助于改善乳腺癌术后化疗病人负性情绪、睡眠质量,提升自我管理能力、生活质量,降低并发症发生率。 展开更多
关键词 目标执行理念 伴侣参与 多维度护理 乳腺癌 生活质量
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多维度互动延续护理在甲状腺癌术后出院患者中的应用
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作者 付涛 包雪青 +1 位作者 夏捷 陈晶晶 《卫生职业教育》 2025年第19期154-157,共4页
目的探讨多维度互动延续护理在甲状腺癌术后出院患者中的应用效果。方法随机选择80例自愿参加研究的甲状腺癌术后出院患者作为研究对象,将其分为试验组和对照组,每组各40例。对照组采用常规延续护理方法,试验组采用多维度互动延续护理... 目的探讨多维度互动延续护理在甲状腺癌术后出院患者中的应用效果。方法随机选择80例自愿参加研究的甲状腺癌术后出院患者作为研究对象,将其分为试验组和对照组,每组各40例。对照组采用常规延续护理方法,试验组采用多维度互动延续护理。结果采用多维度互动延续护理的患者服药依从性、功能锻炼参与度、社会功能、生理功能和心理功能维度得分显著高于对照组,试验组护理人员工作压力值低于对照组,差异有统计学意义(P<0.05)。结论采用多维度互动延续护理可改善甲状腺癌术后出院患者的康复状况和Spitzer生活质量指数,降低护理人员工作压力。 展开更多
关键词 多维度互动 延续护理 甲状腺癌
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多维度协同护理在老年髋部骨折患者术后疼痛管理中的应用 被引量:9
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作者 陈露 徐李华 +3 位作者 陈文秀 张蔷 瞿自坚 何姚婷 《护理实践与研究》 2025年第3期423-428,共6页
目的探讨多维度协同护理在老年髋部骨折患者术后疼痛管理中的应用效果。方法选取2022年5—12月医院收治髋部骨折老年患者26例作为对照组,2023年1—8月医院收治的髋部骨折老年患者26例作为观察组,对照组患者采取常规骨科护理,观察组患者... 目的探讨多维度协同护理在老年髋部骨折患者术后疼痛管理中的应用效果。方法选取2022年5—12月医院收治髋部骨折老年患者26例作为对照组,2023年1—8月医院收治的髋部骨折老年患者26例作为观察组,对照组患者采取常规骨科护理,观察组患者采用多维度协同护理。比较两组患者干预前后术后疼痛控制效果、髋关节Harris评分、心理状况及生活质量评分。结果观察两组患者术前、术后24 h、术后3 d、术后7 d时的数字疼痛评分,结果显示,两组间数字疼痛评分(NRS)呈逐渐降低的趋势(P_(时间)<0.05),术后24 h、术后3 d、术后7 d时NRS评分观察组低于对照组,组间差异有统计学意义(P_(组间)<0.05),并且随观察时间延长,组间差异逐渐增大(P_(交互)<0.05)。术前,两组患者髋关节Harris评分的比较,差异无统计学意义(P>0.05);术后1个月,观察组Harris评分高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者HAMA、HAMD评分比较,差异无统计学意义(P>0.05);术后1个月,观察组HAMA、HAMD评分低于对照组,差异有统计学意义(P<0.05)。干预前,两组患者生活质量各维度评分比较,差异无统计学意义(P>0.05);术后1个月,观察组患者生活质量各维度评分高于对照组,差异有统计学意义(P<0.05)。结论将多维度协同护理应用于老年髋部骨折术后患者中,可减轻其术后疼痛程度,提升髋关节功能恢复效果,改善患者负性情绪,提高生活质量。 展开更多
关键词 多维度协同护理 老年髋部骨折 术后护理 疼痛管理 康复
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多维度协同护理平台在脊髓损伤神经源性膀胱中的应用
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作者 杨恬甜 徐静宜 +4 位作者 温艳 李玉伟 王海涛 王怡涵 杜天天 《海南医学》 2025年第16期2406-2411,共6页
目的探讨多维度协同护理平台在脊髓损伤(SCI)神经源性膀胱(NB)患者中的应用效果。方法选取2021年8月至2024年3月漯河市中心医院收治的120例SCINB患者纳入研究,采用随机抽签法分为对照组和观察组各60例。对照组患者术后施以常规性护理管... 目的探讨多维度协同护理平台在脊髓损伤(SCI)神经源性膀胱(NB)患者中的应用效果。方法选取2021年8月至2024年3月漯河市中心医院收治的120例SCINB患者纳入研究,采用随机抽签法分为对照组和观察组各60例。对照组患者术后施以常规性护理管理,观察组患者在此基础上实施多维度协同护理平台模式。比较两组患者干预前后膀胱功能指标[排尿次数、残余尿量、膀胱容量、下尿路功能症状(LUTS)]、心理状态[汉密顿焦虑、抑郁量表(HAMA、HAMD)]和间歇性导尿依从性[间歇性导尿依从性量表(ICAS)],同时比较两组患者的泌尿系统并发症发生率。结果干预后,观察组患者的膀胱容量为(430.46±18.46)m L,明显高于对照组的(297.15±18.02)m L,残余尿量、日排尿次数、LUTS评分分别为(78.65±10.54)mL、(7.68±2.37)次、(15.34±2.28)分,明显低于对照组的(110.36±15.46)m L、(12.59±3.15)次、(20.48±2.35)分,差异均有统计学意义(P<0.05);干预后,观察组患者的HAMA、HAMD评分分别为(10.39±2.24)分、(7.25±1.36)分,明显低于对照组的(15.24±2.75)分、(11.86±2.37)分,差异均有统计学意义(P<0.05);观察组患者的间歇性导尿依从性明显高于对照组,差异均有统计学意义(P<0.05);观察组患者的肾功能异常、输尿管反流发生率分别为0、0,与对照组的1.69%、1.69%比较差异无统计学意义(P>0.05),观察组患者的泌尿系统感染发生率为1.67%,明显低于对照组的13.56%,差异有统计学意义(P<0.05)。结论多维度协同护理平台能促进SCINB患者膀胱功能恢复,改善患者心理状态,提高间歇性导尿依从性,降低泌尿系统感染发生率。 展开更多
关键词 脊髓损伤 神经源性膀胱 多维度协同护理平台 膀胱功能 心理状态
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中老年脑卒中患者多维衰弱现状及影响因素分析 被引量:2
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作者 张开利 薛荣 《中国老年保健医学》 2025年第3期82-87,共6页
目的调查中老年脑卒中住院患者和多维衰弱现状及其影响因素,为临床医护人员开展衰弱干预提供参考。方法采用方便抽样法选取2022年10月至12月某三级甲等医院神经内科住院的中老年脑卒中患者为研究对象,采用一般资料调查表、Tilburg衰弱... 目的调查中老年脑卒中住院患者和多维衰弱现状及其影响因素,为临床医护人员开展衰弱干预提供参考。方法采用方便抽样法选取2022年10月至12月某三级甲等医院神经内科住院的中老年脑卒中患者为研究对象,采用一般资料调查表、Tilburg衰弱量表、Charlson共病指数量表和Barthel指数量表进行横断面研究。结果共发放问卷240份,回收有效问卷234份,多维衰弱发生率为54.7%,多维衰弱得分为(5.15±2.81)分,其中躯体衰弱(2.52±1.92)分、心理衰弱(1.55±1.18)分、社会衰弱(1.07±0.59)分,多元回归分析结果显示,脑卒中患者的年龄、文化程度、卒中严重程度、焦虑、抑郁和日常生活活动能力评分是多维衰弱的影响因素(P<0.05)。结论中老年脑卒中患者多维衰弱发生率较高,医护人员应重点关注高龄、文化程度低、卒中程度严重、并发焦虑抑郁和日常生活活动能力评分低的患者,提供针对性的预防和护理措施,阻止或延缓衰弱的发生发展。 展开更多
关键词 中老年 脑卒中 多维衰弱 衰弱 影响因素 护理
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正强化赋能教育联合多维度疼痛干预对下肢骨折患者术后睡眠的影响
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作者 杨秀峰 张金姬 +1 位作者 罗莲英 陈美燕 《世界睡眠医学杂志》 2025年第8期1784-1787,共4页
目的:探讨正强化赋能教育联合多维度疼痛干预对下肢骨折患者术后康复依从性及睡眠质量的影响。方法:选取2022年1月至2024年8月三明市第二医院收治的下肢骨折患者90例作为研究对象,按照奇偶数分组法分为对照组和观察组,每组45例。对照组... 目的:探讨正强化赋能教育联合多维度疼痛干预对下肢骨折患者术后康复依从性及睡眠质量的影响。方法:选取2022年1月至2024年8月三明市第二医院收治的下肢骨折患者90例作为研究对象,按照奇偶数分组法分为对照组和观察组,每组45例。对照组接受常规护理,观察组在常规护理基础上实施正强化赋能教育联合多维度疼痛干预。比较2组患者的康复依从性、疼痛程度、自我效能及睡眠质量。结果:观察组术后功能锻炼、按时服药、定期复查的依从性较对照组高(P<0.05);观察组患者术后视觉模拟评分(VAS)分值较对照组低,一般自我效能感量表(GSES)分值较对照组高(P<0.05);观察组患者术后在入睡时间、睡眠质量、睡眠障碍、睡眠效率、催眠药物使用、日间功能障碍等各维度的分值较对照组低(P<0.05)。结论:正强化赋能教育联合多维度疼痛干预能有效提高下肢骨折患者的术后康复依从性,减轻疼痛程度,提高自我效能感,改善睡眠质量,值得临床推广。 展开更多
关键词 下肢骨折 正强化赋能教育 多维度疼痛护理 康复依从性 睡眠质量 疼痛 自我效能 骨科
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过渡期多维综合护理策略联合常规肺康复护理对AECOPD伴呼吸衰竭患者的影响
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作者 胡敏 曹一飞 《中外医学研究》 2025年第11期98-102,共5页
目的:探讨过渡期多维综合护理策略联合常规肺康复护理对慢性阻塞性肺疾病急性加重期(AECOPD)伴呼吸衰竭患者的影响。方法:选取2022年4月—2024年2月苏州市立医院白塔院区急诊内科病房收治的102例AECOPD伴呼吸衰竭患者,采用随机数表法分... 目的:探讨过渡期多维综合护理策略联合常规肺康复护理对慢性阻塞性肺疾病急性加重期(AECOPD)伴呼吸衰竭患者的影响。方法:选取2022年4月—2024年2月苏州市立医院白塔院区急诊内科病房收治的102例AECOPD伴呼吸衰竭患者,采用随机数表法分为观察组和对照组,各51例。对照组采用常规肺康复护理,观察组在此基础上联合过渡期多维综合护理策略。比较两组患者护理前后动脉血气指标、肺功能指标、生活质量及并发症发生情况。结果:护理后,观察组氧饱和度(SaO_(2))、动脉血氧分压(PaO_(2))、用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))均高于对照组,二氧化碳分压(PaCO_(2))低于对照组,差异有统计学意义(P<0.05);护理后,观察组圣乔治呼吸问卷(SGRQ)总分低于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论:过渡期多维综合护理策略联合常规肺康复护理可以显著改善AECOPD伴呼吸衰竭患者的动脉血气指标、肺功能和生活质量,并降低并发症发生率。 展开更多
关键词 慢性阻塞性肺疾病急性加重期 呼吸衰竭 多维综合护理 肺康复护理 护理效果
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A型主动脉夹层术后多维度康复护理对患者的心肺功能及生活质量的影响
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作者 黄燕兰 何正坤 刘展琴 《中国医药指南》 2025年第23期169-172,共4页
目的分析A型主动脉夹层术后多维度康复护理的应用效果。方法根据不同护理方法,将2023年1月至2024年12月厦门大学附属第一医院心脏外科收治的85例行开胸手术A型主动脉夹层患者分为两组,对照组(n=40)予以常规护理,观察组(n=45)予以多维度... 目的分析A型主动脉夹层术后多维度康复护理的应用效果。方法根据不同护理方法,将2023年1月至2024年12月厦门大学附属第一医院心脏外科收治的85例行开胸手术A型主动脉夹层患者分为两组,对照组(n=40)予以常规护理,观察组(n=45)予以多维度康复护理,对比两组心肺功能及生活质量。结果观察组干预后左心室射血分数(LVEF)指标高于对照组(P<0.05),左心室收缩末期内径(LVEDV)、N端脑钠肽前体(NT-ProBNP)低于对照组(P<0.05);观察组干预后氧分压(PO_(2))、氧合指数(OI)、血氧饱和度(SaO_(2))高于对照组(P<0.05);观察组干预后生活质量(包括生理功能、身体角色、躯体疼痛、总体健康、生命力、社会功能、情感职能、精神健康)评分高于对照组(P<0.05)。结论A型主动脉夹层术后开展多维度康复护理,可以有效改善患者心肺功能,对患者生活质量提升具有重要意义。 展开更多
关键词 A型主动脉夹层 多维度康复护理 心肺功能 生活质量
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多维度护理在全髋关节置换术患者中的应用效果分析 被引量:1
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作者 李姝 《中国社区医师》 2025年第2期105-107,共3页
目的:分析多维度护理在全髋关节置换术患者中的应用效果。方法:将2021年1月—2024年4月于南京市红十字医院实施全髋关节置换术治疗的患者62例随机分为观察组(n=31,实施多维度护理)和对照组(n=31,实施常规护理)。对比两组护理效果。结果... 目的:分析多维度护理在全髋关节置换术患者中的应用效果。方法:将2021年1月—2024年4月于南京市红十字医院实施全髋关节置换术治疗的患者62例随机分为观察组(n=31,实施多维度护理)和对照组(n=31,实施常规护理)。对比两组护理效果。结果:观察组并发症总发生率低于对照组(P<0.05)。干预后,两组疼痛、关节畸形评分下降,日常活动与步态、关节活动评分升高,且观察组改善幅度大于对照组(P<0.05)。干预后,两组健康状态、身体功能、社会功能、心理健康评分及总分升高,且观察组高于对照组(P<0.05)。观察组护理态度、健康宣教、心理护理、护理操作、护理质量评分高于对照组(P<0.05)。结论:对全髋关节置换术患者实施多维度护理应用效果较好,能够降低并发症发生率,改善患者髋关节功能和生活质量,提高护理满意度。 展开更多
关键词 髋关节置换术 多维度护理 并发症 髋关节功能 生活质量 满意度
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