Objective: to explore the application effect of pain grading nursing strategy in patients with pelvic fracture. Methods: from February 1, 2020 to January 31, 2022, 76 patients with pelvic fracture were selected and in...Objective: to explore the application effect of pain grading nursing strategy in patients with pelvic fracture. Methods: from February 1, 2020 to January 31, 2022, 76 patients with pelvic fracture were selected and included in this study. Taking the method of rolling dice as the grouping standard, they were divided into two groups, namely the reference group (38 cases) and the research group (38 cases). Patients in the reference group were given the conventional nursing mode, and patients in the research group were given the pain grading nursing strategy on this basis. Record the nursing effects of the two groups of patients, and analyze and discuss them. Results: compared with before nursing, the pain scores of the two groups of patients after nursing were lower, and the score of the experimental group was more ideal: (4.57 ± 0.40). Compared with before nursing, the indexes of pain stress in the two groups changed obviously after nursing. Seven days after nursing, the indexes in the experimental group were lower than those in the reference group, namely, substance P (SP) (6.51 ± 0.19) μ g/ml, prostaglandin E2 (PGE2) (130.25 ± 15.21) pg/ml and neuropeptide Y (NPY). After nursing, compared with the reference group, the scores of various functional disorders in the experimental group were lower, and complications were less. Conclusion: the application of pain grading nursing strategy for patients with pelvic fracture is effective, which can not only quickly relieve the pain and discomfort of patients, but also reduce the occurrence of complications and promote the early recovery of related functions.展开更多
BACKGROUND Endoscopic submucosal dissection(ESD)has become a widely accepted,minimally invasive treatment for gastrointestinal submucosal tumors.It has been reported that humanistic nursing care with graded psychologi...BACKGROUND Endoscopic submucosal dissection(ESD)has become a widely accepted,minimally invasive treatment for gastrointestinal submucosal tumors.It has been reported that humanistic nursing care with graded psychological interventions can effectively enhance patients’physical activity in patients,reduce postoperative complications,and improve their postoperative quality of life.AIM To investigate the effects of combining humanistic care with graded psychological support on nursing satisfaction and quality of life in patients undergoing ESD for gastrointestinal submucosal tumors.METHODS A retrospective analysis was conducted on the clinical data of 180 patients who underwent ESD surgery for gastrointestinal submucosal tumors at our hospital between March 2021 and February 2023.Patients were allocated into groups based on the nursing care they received:The control group,which received routine care(n=90),and the observation group,which was subjected to humanistic nursing care in combination with graded psychological support(n=90).Patient anxiety and depression were assessed using the self-rating anxiety scale(SAS)and self-rating depression scale(SDS).Quality of life was evaluated using the shortform 36 health survey,and additional indications such as time to first food intake,surgery duration,length of hospital stay,nursing satisfaction,and adverse reactions were also recorded.Data was analyzed using SPSS22.0,with t-tests employed for continuous variables andχ2 tests for categorical data.RESULTS Patients in the observation group experienced significantly shorter times to first postoperative meal,surgery,and hospital stay compared to the control group.After the intervention,the SAS score of the observation group was 43.17±5.68,and the SDS score was 41.57±6.52,both significantly lower than those of the control group,with SAS score of 52.38±5.21 and SDS score of 51.23±8.25.In addition,the observation group scored significantly higher in daily living,physical function,psychological well-being,and social functioning(80.01±6.39,83.59±6.89,81.69±5.34,and 85.23±6.05,respectively).Moreover,the observation group also exhibited higher satisfaction and selfefficacy scores and a lower incidence of adverse reactions compared to the control group(P<0.05).CONCLUSION For patients undergoing ESD for gastrointestinal submucosal tumors,humanistic nursing care in combination with graded psychological nursing care significantly shorten the times to first postoperative meal,surgery,and hospital stay,effectively alleviates anxiety and depression,improves quality of life and nursing satisfaction,and mitigate the incidence of adverse reactions.展开更多
Negative emotional and psychological problems are very common in non-psychiatric patients, which affect the clinical outcome and quality of life of patients. Psychological nursing intervention can effectively adjust p...Negative emotional and psychological problems are very common in non-psychiatric patients, which affect the clinical outcome and quality of life of patients. Psychological nursing intervention can effectively adjust patients’ negative emotions such as depression and anxiety and improve their quality of life. It is worth popularizing and applying. The nursing models of graded psychological nursing, hierarchical psychological nursing and step-by-step psychological nursing enable nurses to adopt progressive nursing intervention methods for patients with different degrees of psychological problems. The methods and models of psychological nursing intervention in non-psychiatric department were summarized in order to better carry out psychological nursing intervention in non-psychiatric department.展开更多
Objective: to analyze the effect of graded nursing according to the severity of illness in the management of psychiatric patients. Methods: from January 2020 to January 2021, 50 patients with mental illness who were t...Objective: to analyze the effect of graded nursing according to the severity of illness in the management of psychiatric patients. Methods: from January 2020 to January 2021, 50 patients with mental illness who were treated in our hospital were selected as the research object. According to the difference of nursing measures, the patients were divided into conventional nursing group (n=26, conventional nursing intervention) and graded nursing group (n=24, graded nursing intervention). The overall nursing situation and adverse events of the two groups were compared. Results: compared with the conventional nursing group, the nursing quality of the graded nursing group was improved, while the complaint rate and nursing error rate were decreased (P<0.05). Compared with the conventional nursing group, the incidence of adverse events such as self-injury, wounding, destruction of objects, escape, aspiration or cough in the graded nursing group was significantly reduced (P<0.05). Conclusion: the implementation of graded care for psychiatric patients with different conditions can reduce the occurrence of nursing loopholes and adverse events, improve the quality of care, and eliminate disputes between medical staff and patients.展开更多
Objective: To explore the feasibility of the nurse’ s prescription right in China, to develop the requirements for the qualification of the ap-plicant for the prescription right of nurse, and to determine the content...Objective: To explore the feasibility of the nurse’ s prescription right in China, to develop the requirements for the qualification of the ap-plicant for the prescription right of nurse, and to determine the content of certain prescriptions in the specific circumstances. Methods: Literature review on the relevant articles/material with the contents of the nurse’ s right of prescription home and a-broad. Semi-structured depth interview method was used to interview 18 experts on whether the nurses can participate in the graded nursing decision and whether nurses with certain ability can make the decision. Using the self-made questionnaire“Nur-ses involved in graded nursing decision-recognition questionnaire”, 553 nurses completed questionnaires on willingness to nurse decision-making grading. Using the analytic hierarchy process, the 23 experts’ judgment on the main body of the graded nurs-ing was rated. Using semi-structured depth interview method, 17 experts were interviewed on the graded nursing quality assess-ment and training outline. The form of expert personal judgment and the“grading nursing qualification experts predict question-naire”were used as a preliminary designing tool, 32 experts were asked to predict the graded nursing quality. The relatively im-portant factors that might promote implementation of right of Chinese nurse prescribing weights setting were obtained by analytic hierarchy process. Using Delphi method, 2 rounds of consultation to 291 experts/times were performed, and determined its con-tent on the fields of graded nursing decision, nurses’ job description, decision making nurse in graded nursing work process and related management system, decision-making main body of clinical nursing, nurse authority of prescription application qualifi-cation, clinical nurses, diabetes specialist nurses, tumor specialist nurses, nurses in emergency department, community nurses in certain circumstances writing prescription, and nursing undergraduate added with nurse authority of prescription related courses. Results: The physician is not considered to be the best decision-making main body of clinical nursing work and graded nurs-ing, nurses can participate in the work of decision-making. The qualification of hierarchical decision-making nurse and nurse prescribing applicants have been determined. The hierarchical nursing decision-making nurses’ position description and training outline have been compiled. Experts suggest that clinical nurses with certain qualifications should be given the rights of some prescription form ( independent prescription, prescription, prescription protocol extension) to prescribe specific drugs in high fe-ver, hypoglycemia, hypertension, anaphylactic shock and other 11 specific circumstances. The nurses of the diabetes should be given the right of prescribing sulfonylureas, biguanides, glucosidase inhibitor, and protamine zinc insulin, and the right to write the prescription and consultation for part of medical equipment, health education, and four routine tests, which contains blood sugar monitoring, urine glucose monitoring, glycosylated hemoglobin assay, and oral glucose tolerance test. Tumor specialist nurses should be given the right to write the prescription of 7 specific circumstances including blood routine tests, electrocardio-gram, blood biochemistry and other 9 laboratory tests, constipation, phlebitis, and cancer pain, and the right of 5 tumor emer-gency prescription including chemotherapy drug allergy, hemorrhagic shock, acute upper gastrointestinal bleeding. Nurses in e-mergency department with certain qualification should be given the right to prescribe specific drugs in 15 circumstances which include cardiac arrest, ventricular fibrillation, and acute cardiogenic chest pain. Community nurses with certain qualification should be given the right to write the prescriptions on 14 contents including disinfection and cleaning, sterile infusion type, and wound care products. Experts suggest that nursing undergraduate education in China should be added with 2 courses which are prescription rights related laws and regulations and nursing intervention, and that pharmacology course should be supplemented with related course in order to adapt to the implementation of nurse prescribing rights. Conclusions: China’ s nurses with certain qualification or after special training have the ability to accept and should be given the right of prescriptions in certain circumstance within the scope of their work.展开更多
Objectives： To gain a better understanding of nurse burnout and work-family conflict for nurses and to help the hospital prepare for hospital grade reevaluation.Methods： This study is a cross-sectional study, and 95...Objectives： To gain a better understanding of nurse burnout and work-family conflict for nurses and to help the hospital prepare for hospital grade reevaluation.Methods： This study is a cross-sectional study, and 95 nurses participated. The questionnaires included MBI and Carlson work-family conflict questionnaires, and the data were analyzed using SPSS 17.Results： A total of 71.6% of nurses worked over 8 h per day during the last two months before the reevaluation. The total score of burnout of nurses was 66.84 ± 12.60, and the proportion of heavy work burnout was 44.2%. The personal accomplishment takes the heaviest portion（80.0%）. The total score of work-family conflict is 55.19 ± 9.27. The scores of work-to-family conflict are all higher than that of family-to-work conflict. The time dimension had the highest score.Conclusions： During the preparation period, nurses suffered from a heavy workload and intense job burnout, and many aspects of work-family conflict existed.展开更多
Objective: to explore the clinical impact and effect of applying safety management nursing and risk early warning in the treatment of orthopedic patients. Methods: according to the order of admission, 300 patients who...Objective: to explore the clinical impact and effect of applying safety management nursing and risk early warning in the treatment of orthopedic patients. Methods: according to the order of admission, 300 patients who received treatment in the Department of Orthopedics of our hospital from January 2019 to January 2020 were selected and divided into the observation group and the control group. The patients in the observation group were given ward safety management care, while the patients in the control group were given routine ward care management mode. The scores of two groups of patients on different care management were compared. Results: the patients' scores of the observation group receiving safety management nursing were far higher than those of the control group receiving routine management, and the data difference between the two groups was statistically significant (P < 0.05). Conclusion: the implementation of safety management nursing in orthopedic wards can effectively reduce the risk early warning, greatly improve the nursing effect and patient safety, and urge them to recover as soon as possible.展开更多
文摘Objective: to explore the application effect of pain grading nursing strategy in patients with pelvic fracture. Methods: from February 1, 2020 to January 31, 2022, 76 patients with pelvic fracture were selected and included in this study. Taking the method of rolling dice as the grouping standard, they were divided into two groups, namely the reference group (38 cases) and the research group (38 cases). Patients in the reference group were given the conventional nursing mode, and patients in the research group were given the pain grading nursing strategy on this basis. Record the nursing effects of the two groups of patients, and analyze and discuss them. Results: compared with before nursing, the pain scores of the two groups of patients after nursing were lower, and the score of the experimental group was more ideal: (4.57 ± 0.40). Compared with before nursing, the indexes of pain stress in the two groups changed obviously after nursing. Seven days after nursing, the indexes in the experimental group were lower than those in the reference group, namely, substance P (SP) (6.51 ± 0.19) μ g/ml, prostaglandin E2 (PGE2) (130.25 ± 15.21) pg/ml and neuropeptide Y (NPY). After nursing, compared with the reference group, the scores of various functional disorders in the experimental group were lower, and complications were less. Conclusion: the application of pain grading nursing strategy for patients with pelvic fracture is effective, which can not only quickly relieve the pain and discomfort of patients, but also reduce the occurrence of complications and promote the early recovery of related functions.
文摘BACKGROUND Endoscopic submucosal dissection(ESD)has become a widely accepted,minimally invasive treatment for gastrointestinal submucosal tumors.It has been reported that humanistic nursing care with graded psychological interventions can effectively enhance patients’physical activity in patients,reduce postoperative complications,and improve their postoperative quality of life.AIM To investigate the effects of combining humanistic care with graded psychological support on nursing satisfaction and quality of life in patients undergoing ESD for gastrointestinal submucosal tumors.METHODS A retrospective analysis was conducted on the clinical data of 180 patients who underwent ESD surgery for gastrointestinal submucosal tumors at our hospital between March 2021 and February 2023.Patients were allocated into groups based on the nursing care they received:The control group,which received routine care(n=90),and the observation group,which was subjected to humanistic nursing care in combination with graded psychological support(n=90).Patient anxiety and depression were assessed using the self-rating anxiety scale(SAS)and self-rating depression scale(SDS).Quality of life was evaluated using the shortform 36 health survey,and additional indications such as time to first food intake,surgery duration,length of hospital stay,nursing satisfaction,and adverse reactions were also recorded.Data was analyzed using SPSS22.0,with t-tests employed for continuous variables andχ2 tests for categorical data.RESULTS Patients in the observation group experienced significantly shorter times to first postoperative meal,surgery,and hospital stay compared to the control group.After the intervention,the SAS score of the observation group was 43.17±5.68,and the SDS score was 41.57±6.52,both significantly lower than those of the control group,with SAS score of 52.38±5.21 and SDS score of 51.23±8.25.In addition,the observation group scored significantly higher in daily living,physical function,psychological well-being,and social functioning(80.01±6.39,83.59±6.89,81.69±5.34,and 85.23±6.05,respectively).Moreover,the observation group also exhibited higher satisfaction and selfefficacy scores and a lower incidence of adverse reactions compared to the control group(P<0.05).CONCLUSION For patients undergoing ESD for gastrointestinal submucosal tumors,humanistic nursing care in combination with graded psychological nursing care significantly shorten the times to first postoperative meal,surgery,and hospital stay,effectively alleviates anxiety and depression,improves quality of life and nursing satisfaction,and mitigate the incidence of adverse reactions.
文摘Negative emotional and psychological problems are very common in non-psychiatric patients, which affect the clinical outcome and quality of life of patients. Psychological nursing intervention can effectively adjust patients’ negative emotions such as depression and anxiety and improve their quality of life. It is worth popularizing and applying. The nursing models of graded psychological nursing, hierarchical psychological nursing and step-by-step psychological nursing enable nurses to adopt progressive nursing intervention methods for patients with different degrees of psychological problems. The methods and models of psychological nursing intervention in non-psychiatric department were summarized in order to better carry out psychological nursing intervention in non-psychiatric department.
文摘Objective: to analyze the effect of graded nursing according to the severity of illness in the management of psychiatric patients. Methods: from January 2020 to January 2021, 50 patients with mental illness who were treated in our hospital were selected as the research object. According to the difference of nursing measures, the patients were divided into conventional nursing group (n=26, conventional nursing intervention) and graded nursing group (n=24, graded nursing intervention). The overall nursing situation and adverse events of the two groups were compared. Results: compared with the conventional nursing group, the nursing quality of the graded nursing group was improved, while the complaint rate and nursing error rate were decreased (P<0.05). Compared with the conventional nursing group, the incidence of adverse events such as self-injury, wounding, destruction of objects, escape, aspiration or cough in the graded nursing group was significantly reduced (P<0.05). Conclusion: the implementation of graded care for psychiatric patients with different conditions can reduce the occurrence of nursing loopholes and adverse events, improve the quality of care, and eliminate disputes between medical staff and patients.
基金supported by the Shanxi Science and Technology Development Fund(No.2009041063-02)
文摘Objective: To explore the feasibility of the nurse’ s prescription right in China, to develop the requirements for the qualification of the ap-plicant for the prescription right of nurse, and to determine the content of certain prescriptions in the specific circumstances. Methods: Literature review on the relevant articles/material with the contents of the nurse’ s right of prescription home and a-broad. Semi-structured depth interview method was used to interview 18 experts on whether the nurses can participate in the graded nursing decision and whether nurses with certain ability can make the decision. Using the self-made questionnaire“Nur-ses involved in graded nursing decision-recognition questionnaire”, 553 nurses completed questionnaires on willingness to nurse decision-making grading. Using the analytic hierarchy process, the 23 experts’ judgment on the main body of the graded nurs-ing was rated. Using semi-structured depth interview method, 17 experts were interviewed on the graded nursing quality assess-ment and training outline. The form of expert personal judgment and the“grading nursing qualification experts predict question-naire”were used as a preliminary designing tool, 32 experts were asked to predict the graded nursing quality. The relatively im-portant factors that might promote implementation of right of Chinese nurse prescribing weights setting were obtained by analytic hierarchy process. Using Delphi method, 2 rounds of consultation to 291 experts/times were performed, and determined its con-tent on the fields of graded nursing decision, nurses’ job description, decision making nurse in graded nursing work process and related management system, decision-making main body of clinical nursing, nurse authority of prescription application qualifi-cation, clinical nurses, diabetes specialist nurses, tumor specialist nurses, nurses in emergency department, community nurses in certain circumstances writing prescription, and nursing undergraduate added with nurse authority of prescription related courses. Results: The physician is not considered to be the best decision-making main body of clinical nursing work and graded nurs-ing, nurses can participate in the work of decision-making. The qualification of hierarchical decision-making nurse and nurse prescribing applicants have been determined. The hierarchical nursing decision-making nurses’ position description and training outline have been compiled. Experts suggest that clinical nurses with certain qualifications should be given the rights of some prescription form ( independent prescription, prescription, prescription protocol extension) to prescribe specific drugs in high fe-ver, hypoglycemia, hypertension, anaphylactic shock and other 11 specific circumstances. The nurses of the diabetes should be given the right of prescribing sulfonylureas, biguanides, glucosidase inhibitor, and protamine zinc insulin, and the right to write the prescription and consultation for part of medical equipment, health education, and four routine tests, which contains blood sugar monitoring, urine glucose monitoring, glycosylated hemoglobin assay, and oral glucose tolerance test. Tumor specialist nurses should be given the right to write the prescription of 7 specific circumstances including blood routine tests, electrocardio-gram, blood biochemistry and other 9 laboratory tests, constipation, phlebitis, and cancer pain, and the right of 5 tumor emer-gency prescription including chemotherapy drug allergy, hemorrhagic shock, acute upper gastrointestinal bleeding. Nurses in e-mergency department with certain qualification should be given the right to prescribe specific drugs in 15 circumstances which include cardiac arrest, ventricular fibrillation, and acute cardiogenic chest pain. Community nurses with certain qualification should be given the right to write the prescriptions on 14 contents including disinfection and cleaning, sterile infusion type, and wound care products. Experts suggest that nursing undergraduate education in China should be added with 2 courses which are prescription rights related laws and regulations and nursing intervention, and that pharmacology course should be supplemented with related course in order to adapt to the implementation of nurse prescribing rights. Conclusions: China’ s nurses with certain qualification or after special training have the ability to accept and should be given the right of prescriptions in certain circumstance within the scope of their work.
文摘Objectives： To gain a better understanding of nurse burnout and work-family conflict for nurses and to help the hospital prepare for hospital grade reevaluation.Methods： This study is a cross-sectional study, and 95 nurses participated. The questionnaires included MBI and Carlson work-family conflict questionnaires, and the data were analyzed using SPSS 17.Results： A total of 71.6% of nurses worked over 8 h per day during the last two months before the reevaluation. The total score of burnout of nurses was 66.84 ± 12.60, and the proportion of heavy work burnout was 44.2%. The personal accomplishment takes the heaviest portion（80.0%）. The total score of work-family conflict is 55.19 ± 9.27. The scores of work-to-family conflict are all higher than that of family-to-work conflict. The time dimension had the highest score.Conclusions： During the preparation period, nurses suffered from a heavy workload and intense job burnout, and many aspects of work-family conflict existed.
文摘Objective: to explore the clinical impact and effect of applying safety management nursing and risk early warning in the treatment of orthopedic patients. Methods: according to the order of admission, 300 patients who received treatment in the Department of Orthopedics of our hospital from January 2019 to January 2020 were selected and divided into the observation group and the control group. The patients in the observation group were given ward safety management care, while the patients in the control group were given routine ward care management mode. The scores of two groups of patients on different care management were compared. Results: the patients' scores of the observation group receiving safety management nursing were far higher than those of the control group receiving routine management, and the data difference between the two groups was statistically significant (P < 0.05). Conclusion: the implementation of safety management nursing in orthopedic wards can effectively reduce the risk early warning, greatly improve the nursing effect and patient safety, and urge them to recover as soon as possible.
