Objective: to analyze the effect of mobile interventional nursing on pressure ulcer prevention in childrens intensive care unit. Methods: taking the children in the intensive care unit of our hospital as the observati...Objective: to analyze the effect of mobile interventional nursing on pressure ulcer prevention in childrens intensive care unit. Methods: taking the children in the intensive care unit of our hospital as the observation object, the patients were randomly divided into control group and observation group. The control group received routine nursing intervention, and the observation group received mobile interventional nursing. The effects of different nursing modes on the prevention of pressure ulcer, childrens satisfaction with nursing work, and quality of life were observed. Results: the incidence of pressure ulcer in the observation group was lower than that in the control group (p<0.05). The satisfaction of the observation group was higher than that of the control group (p<0.05). The quality of life score of the observation group was higher than that of the control group (p<0.05). Conclusion: in the nursing of children in intensive care unit, mobile interventional nursing for children is conducive to improving the nursing effect, reducing the rate of pressure ulcer, improving the satisfaction of children with nursing work, and improving the quality of life of children during treatment.展开更多
Objective:To analyze the effect of interventional nursing on the therapeutic effect,negative emotion and quality of life of patients undergoing cardiovascular and cerebrovascular interventional therapy.Methods:Eighty-...Objective:To analyze the effect of interventional nursing on the therapeutic effect,negative emotion and quality of life of patients undergoing cardiovascular and cerebrovascular interventional therapy.Methods:Eighty-four patients who received cardio-cerebral vascular interventional therapy in a hospital during January 2024–December 2024 were selected,and were divided into the control group and the observation group by the mean score method,each with 42 cases.The control group was given standardized perioperative care,and the observation group was given interventional nursing intervention on this basis.The two groups were compared in terms of clinical efficacy,negative emotion score,incidence of related complications,quality of life score and nursing satisfaction.Results:The total effective rate of treatment of patients in the observation group(95.24%)was significantly higher than that of the control group(78.57%),and the difference was statistically significant(P<0.05);before nursing care,the difference between SDS and SAS scores of patients in the two groups was insignificant(P>0.05);after nursing care,the scores of various indexes of the two groups were significantly reduced and the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05);the patients in the observation group had more negative moods than those in the control group;the complication rate of patients in the observation group(2.38%)was significantly lower than that of the control group(19.04%),and the difference was statistically significant(P<0.05);the quality of life scores of patients in the observation group were higher than that of the control group,and the difference was statistically significant(P<0.05);the satisfaction rate of patients’nursing care in the observation group was 97.62%,which was higher than that of the control group(78.57%),and the difference was statistically significant(P<0.05).The difference is statistically significant(P<0.05).Conclusion:The implementation of interventional nursing intervention for patients with cardiovascular and cerebrovascular interventional therapy can further enhance the clinical therapeutic effect,improve the negative emotions of patients’anxiety and depression,reduce the risk of related complications,improve the quality of life of patients,and obtain higher satisfaction.展开更多
BACKGROUND Owing to age-related physiological declines,elderly patients undergoing radical gastrectomy(RG)often experience physical and psychological challenges.Hence,appropriate nursing strategies need to be identifi...BACKGROUND Owing to age-related physiological declines,elderly patients undergoing radical gastrectomy(RG)often experience physical and psychological challenges.Hence,appropriate nursing strategies need to be identified for optimizing patient outcomes.AIM To evaluate the effects of the Neuman Systems Model-guided stepped care intervention(NGSC)model on postoperative physical and psychological recovery in elderly patients with gastric cancer who underwent RG.METHODS In total,80 elderly patients(≥65 years old)who underwent RG at the Shanxi Fenyang Hospital between January 2023 and June 2024 were included and randomly divided as follows:Control group(n=40,those receiving conventional stepped care intervention);observation group(n=40,those receiving NGSC).Postoperative recovery indices,anxiety/depression scores(Self-Rating Anxiety Scale/Self-Rating Depression Scale),quality of life(36-item short form health survey),and adverse event rates were compared between the groups.RESULTS Compared with the control group,the observation group presented significantly shorter recovery times for first bowel sounds,ambulation,flatus,oral intake,catheter removal,and hospitalization(all P<0.05).Notably,in the observation group,Self-Rating Anxiety Scale/Self-Rating Depression Scale scores and the adverse event rate were significantly lower(all P<0.05),whereas 36-item short form health survey scores were higher(P<0.05),compared with those in the control group.CONCLUSION Overall,the findings of this study show that the proposed NGSC model accelerates postoperative recovery,alleviates psychological distress,improves quality of life,and reduces complications in elderly patients with gastric cancer who underwent RG,presenting potential for clinical application.展开更多
Introduction: Laryngeal carcinoma accounts for 13.9% of head and neck tumors, and squamous cell carcinoma is the main pathological type. At present, the treatment of laryngeal cancer is mainly surgical treatment or po...Introduction: Laryngeal carcinoma accounts for 13.9% of head and neck tumors, and squamous cell carcinoma is the main pathological type. At present, the treatment of laryngeal cancer is mainly surgical treatment or postoperative radiotherapy. The surgery is delicate, complex, time-consuming and traumatic. Postoperative patients are prone to dysphagia, leading to an increase in the incidence of malnutrition. Malnutrition can cause a series of negative effects, including weight loss, increased incidence of infection, reduced tolerance of anti-tumor treatment, and extended length of hospital stay. Therefore, how to effectively improve the nutritional status of laryngeal cancer patients through nursing intervention has become an important topic of nursing research. Objective: Investigate the effect of individualized nutrition intervention care combined with swallowing training on postoperative nutritional status in patients with laryngeal cancer. Methods: A total of 120 consecutive patients who underwent laryngeal surgery at our hospital for the first time between May 2018 and May 2021 were selected for the study and equally divided into the control group and the study group by the random number table method, with 60 patients in each group. Patients in the control group were given swallowing function training and health counseling, and the study group adopted individualized nutrition intervention care based on the control group. The nutritional status, swallowing function, and quality of life (QOL) of the patients were assessed using the Patient-generated Subjective Global Assessment (PG-SGA), MD Anderson Dysphagia Inventory (MDADI), and Quality of Life Questionnaire-Core30 (QLQ-C30) before the intervention and three months after the intervention. Results: Before the intervention, the scores of MDADI, PG-SGA, and QLQ-C30 were not significantly different between the two groups (P > 0.05), and three months after the intervention, the scores of MDADI and QLQ-C30 increased and the score of PG-SGA decreased in the study group, with significant differences (P 0.05). At three months after the intervention, patients in the study group had higher scores on MDADI, QLQ-C30 and lower scores on PG-SGA than the control group, with significant differences (P Conclusion: Combining individualized nutrition intervention care with swallowing training improves the postoperative nutritional status, swallowing function, and QOL of patients with laryngeal cancer.展开更多
Objective:to study the effect of pharmaceutical care on the pharmaceutical compliance of patients with hyperlipidemia.Methods:158 patients with hyperlipidemia were selected and randomly divided into observation group ...Objective:to study the effect of pharmaceutical care on the pharmaceutical compliance of patients with hyperlipidemia.Methods:158 patients with hyperlipidemia were selected and randomly divided into observation group and control group with 79 cases each.The two groups of personnel were observed in clinical medicine.For the observation group to carry out pharmaceutical care intervention,for the control group,it is to give routine hospital medication consultation,to carry out actual analysis of its situation,and to compare the compliance of medication and the change of blood lipid of the two groups of personnel.Results:before the intervention,there was no statistically significant difference in medication compliance score between the two groups(P>0.05).For the investigation and intervention of the patients in the observation group,the overall score of medication compliance in 1 month,6 months and 12 months was significantly higher than that in the control group,and the difference was statistically significant(p<0.05).After the comparison of the high density and low density of triglyceride,total cholesterol and lipoprotein cholesterol between the two groups before the intervention,there was no statistical significance(P>0.05).Compared with the control group,the patients in the observation group with low density of triacylglycerol,total cholesterol and lipoprotein cholesterol who had been intervened for one month,six months and twelve months were all on the low side.Compared with the control group,the patients with high density of lipoprotein cholesterol had no significant difference(p<0.05).Conclusion:The pharmaceutical service intervention can effectively improve the drug dependence of patients with hyperlipidemia,so as to help the patients'blood lipids return to normal state.展开更多
Objective: to study the effect of emergency care intervention in CPR patients. Methods: the study subjects were mainly 60 patients with CPR admitted between January and June 2021, and all patients were randomly divide...Objective: to study the effect of emergency care intervention in CPR patients. Methods: the study subjects were mainly 60 patients with CPR admitted between January and June 2021, and all patients were randomly divided into two groups, with 30 cases each. The nursing satisfaction of the two groups, the changes in arterial pressure and heart rate after care were analyzed while comparing the degree of coma and neurological function. Results: for patients with CPR, the mode of emergency care intervention played a very important role in improving the satisfaction of patients' nursing care. Meanwhile, the arterial pressure and heart rate of patients were found that emergency care had a very good effect, and the coma degree and neurological function were significantly improved. Conclusion: patients with cardiopulmonary resuscitation, using good emergency care intervention, has very important effect for postoperative rehabilitation, also suggest to take appropriate emergency care mode in clinical aspects, to improve coma degree and neurological function, improve the quality of care, can be used in clinical aspects.展开更多
Objective: to explore the impact of maternal postpartum early breast care intervention on breast feeding. Methods: 220 pregnant women were randomly selected from the obstetrics and gynecology department of the hospita...Objective: to explore the impact of maternal postpartum early breast care intervention on breast feeding. Methods: 220 pregnant women were randomly selected from the obstetrics and gynecology department of the hospital to become the study subjects, and the study subjects need to be divided into two groups, and 110 control group and observation group are formed after the division. In nursing control group maternal using the combination of conventional content and breast feeding guidance, in nursing observation group maternal on the basis of the content of the early breast nursing intervention nursing content, compared with the two groups of maternal nursing five indicators: the first time of milk secretion, milk volume, breast abdominal pain, maternal delivery within 42d of breast feeding status, milk deposition incidence. Results: after increasing the early breast care measures to the nursing measures implemented in the control group, the five indicators were significantly better than the control group, and the comparison between the data was significant and statistically significant (P <0.05). Conclusion: in maternal postpartum nursing work, can increase on the basis of routine nursing early breast nursing intervention measures, can speed up the time of maternal milk secretion and increase the milk volume, also can greatly reduce the incidence of breast swelling pain and reduce maternal pain, especially can significantly improve breast feeding rate and promote the healthy growth of the newborn. At the same time, it also significantly improved the nursing satisfaction and promoted the better development of the hospital.展开更多
Exercise is established as a supportive care intervention during and after various cancer treatment modalities.1,2 Documented benefits include improvements in health-related fitness,physical functioning,some symptoms/...Exercise is established as a supportive care intervention during and after various cancer treatment modalities.1,2 Documented benefits include improvements in health-related fitness,physical functioning,some symptoms/side effects,psychosocial functioning,and quality of life.1,2 Exercise has not been established,however,as a treatment for any type of cancer in any clinical oncology setting.2 This special topic of the Journal of Sport and Health Science(JSHS)is dedicated to research on“Exercise as a cancer treatment”.The special topic sought preclinical,observational,or clinical studies examining the effects of exercise after a cancer diagnosis on a cancer outcome(e.g.,cell/tumor growth,tumor response,disease recurrence,progression,death from cancer).It includes 6 original articles and an invited opinion article.展开更多
BACKGROUND Patients with left ventricular assist devices(LVADs)are at increased risk for recurrent gastrointestinal bleeding(GIB)and repeat endoscopic procedures.We assessed the frequency of endoscopy for GIB in patie...BACKGROUND Patients with left ventricular assist devices(LVADs)are at increased risk for recurrent gastrointestinal bleeding(GIB)and repeat endoscopic procedures.We assessed the frequency of endoscopy for GIB in patients with LVADs and the impact of endoscopic intervention on preventing a subsequent GIB.AIM To evaluate for an association between endoscopic intervention and subsequent GIB.Secondary aims were to assess the frequency of GIB in our cohort,describe GIB presentations and sources identified,and determine risk factors for recurrent GIB.METHODS We conducted a retrospective cohort study of all patients at a large academic institution who underwent LVAD implantation from January 2011–December 2018 and assessed all hospital encounters for GIB through December 2019.We performed a descriptive analysis of the GIB burden and the outcome of endoscopic procedures performed.We performed multivariate logistic regression to evaluate the association between endoscopic intervention and subsequent GIB.RESULTS In the cohort of 295 patients,97(32.9%)had at least one GIB hospital encounter.There were 238 hospital encounters,with 55.4%(132/238)within the first year of LVAD implantation.GIB resolved on its own by discharge in 69.8%(164/235)encounters.Recurrent GIB occurred in 55.5%(54/97)of patients,accounting for 59.2%(141/238)of all encounters.Of the 85.7%(204/238)of encounters that included at least one endoscopic evaluation,an endoscopic intervention was performed in 34.8%(71/204).The adjusted odds ratio for subsequent GIB if an endoscopic intervention was performed during a GIB encounter was not significant(odds ratio 1.18,P=0.58).CONCLUSION Patients implanted with LVADs whom experience recurrent GIB frequently undergo repeat admissions and endoscopic procedures.In this retrospective cohort study,adherence to endoscopic guidelines for performing endoscopic interventions did not significantly decrease the odds of subsequent GIB,thus suggesting the uniqueness of the LVAD population.A prospective study is needed to identify patients with LVAD at risk of recurrent GIB and determine more effective management strategies.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 nursing effect of psychological and life nursing interventions in elderly patients with schizophrenia. Methods: 68 elderly patients with schizophrenia admitted to our hospital from August 201...Objective: to explore the nursing effect of psychological and life nursing interventions in elderly patients with schizophrenia. Methods: 68 elderly patients with schizophrenia admitted to our hospital from August 2019 to August 2020 were randomly selected as the research object, and randomly divided into the project group (psychological care + life care) and the general group (routine care), and the nursing effect was compared. Results: the recovery effect of psychosis in the project group was better than that in the general group (P < 0.05). The mental health level of the project group was better than that of the general group (p < 0.05). Conclusion: psychological and life care intervention can effectively relieve the symptoms of elderly patients with schizophrenia and improve their mental health level, which is worthy of promotion.展开更多
Among the 135 million births in 2020,0.6 million were extremely preterm(<28 weeks’gestation),and 1.4 million were very preterm(between 28 and<32 weeks’gestation)[1].Intraventricular hemorrhage(IVH)remains a ma...Among the 135 million births in 2020,0.6 million were extremely preterm(<28 weeks’gestation),and 1.4 million were very preterm(between 28 and<32 weeks’gestation)[1].Intraventricular hemorrhage(IVH)remains a major concern for these infants,particularly those<29 weeks’gestation[2].Midline head positioning(MHP)is a widely adopted intervention in care bundles for IVH prevention in preterm infants.However,high-quality evidence supporting the efcacy and efectiveness of MHP for IVH prevention is lacking.Here,we summarize the issues with the existing evidence on MHP,including its widespread adoption in care bundles on the basis of poor quality of evidence,and highlight the urgent need for a defnitive trial to determine the causal role,if any,of MHP in IVH prevention.展开更多
文摘Objective: to analyze the effect of mobile interventional nursing on pressure ulcer prevention in childrens intensive care unit. Methods: taking the children in the intensive care unit of our hospital as the observation object, the patients were randomly divided into control group and observation group. The control group received routine nursing intervention, and the observation group received mobile interventional nursing. The effects of different nursing modes on the prevention of pressure ulcer, childrens satisfaction with nursing work, and quality of life were observed. Results: the incidence of pressure ulcer in the observation group was lower than that in the control group (p<0.05). The satisfaction of the observation group was higher than that of the control group (p<0.05). The quality of life score of the observation group was higher than that of the control group (p<0.05). Conclusion: in the nursing of children in intensive care unit, mobile interventional nursing for children is conducive to improving the nursing effect, reducing the rate of pressure ulcer, improving the satisfaction of children with nursing work, and improving the quality of life of children during treatment.
文摘Objective:To analyze the effect of interventional nursing on the therapeutic effect,negative emotion and quality of life of patients undergoing cardiovascular and cerebrovascular interventional therapy.Methods:Eighty-four patients who received cardio-cerebral vascular interventional therapy in a hospital during January 2024–December 2024 were selected,and were divided into the control group and the observation group by the mean score method,each with 42 cases.The control group was given standardized perioperative care,and the observation group was given interventional nursing intervention on this basis.The two groups were compared in terms of clinical efficacy,negative emotion score,incidence of related complications,quality of life score and nursing satisfaction.Results:The total effective rate of treatment of patients in the observation group(95.24%)was significantly higher than that of the control group(78.57%),and the difference was statistically significant(P<0.05);before nursing care,the difference between SDS and SAS scores of patients in the two groups was insignificant(P>0.05);after nursing care,the scores of various indexes of the two groups were significantly reduced and the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05);the patients in the observation group had more negative moods than those in the control group;the complication rate of patients in the observation group(2.38%)was significantly lower than that of the control group(19.04%),and the difference was statistically significant(P<0.05);the quality of life scores of patients in the observation group were higher than that of the control group,and the difference was statistically significant(P<0.05);the satisfaction rate of patients’nursing care in the observation group was 97.62%,which was higher than that of the control group(78.57%),and the difference was statistically significant(P<0.05).The difference is statistically significant(P<0.05).Conclusion:The implementation of interventional nursing intervention for patients with cardiovascular and cerebrovascular interventional therapy can further enhance the clinical therapeutic effect,improve the negative emotions of patients’anxiety and depression,reduce the risk of related complications,improve the quality of life of patients,and obtain higher satisfaction.
文摘BACKGROUND Owing to age-related physiological declines,elderly patients undergoing radical gastrectomy(RG)often experience physical and psychological challenges.Hence,appropriate nursing strategies need to be identified for optimizing patient outcomes.AIM To evaluate the effects of the Neuman Systems Model-guided stepped care intervention(NGSC)model on postoperative physical and psychological recovery in elderly patients with gastric cancer who underwent RG.METHODS In total,80 elderly patients(≥65 years old)who underwent RG at the Shanxi Fenyang Hospital between January 2023 and June 2024 were included and randomly divided as follows:Control group(n=40,those receiving conventional stepped care intervention);observation group(n=40,those receiving NGSC).Postoperative recovery indices,anxiety/depression scores(Self-Rating Anxiety Scale/Self-Rating Depression Scale),quality of life(36-item short form health survey),and adverse event rates were compared between the groups.RESULTS Compared with the control group,the observation group presented significantly shorter recovery times for first bowel sounds,ambulation,flatus,oral intake,catheter removal,and hospitalization(all P<0.05).Notably,in the observation group,Self-Rating Anxiety Scale/Self-Rating Depression Scale scores and the adverse event rate were significantly lower(all P<0.05),whereas 36-item short form health survey scores were higher(P<0.05),compared with those in the control group.CONCLUSION Overall,the findings of this study show that the proposed NGSC model accelerates postoperative recovery,alleviates psychological distress,improves quality of life,and reduces complications in elderly patients with gastric cancer who underwent RG,presenting potential for clinical application.
文摘Introduction: Laryngeal carcinoma accounts for 13.9% of head and neck tumors, and squamous cell carcinoma is the main pathological type. At present, the treatment of laryngeal cancer is mainly surgical treatment or postoperative radiotherapy. The surgery is delicate, complex, time-consuming and traumatic. Postoperative patients are prone to dysphagia, leading to an increase in the incidence of malnutrition. Malnutrition can cause a series of negative effects, including weight loss, increased incidence of infection, reduced tolerance of anti-tumor treatment, and extended length of hospital stay. Therefore, how to effectively improve the nutritional status of laryngeal cancer patients through nursing intervention has become an important topic of nursing research. Objective: Investigate the effect of individualized nutrition intervention care combined with swallowing training on postoperative nutritional status in patients with laryngeal cancer. Methods: A total of 120 consecutive patients who underwent laryngeal surgery at our hospital for the first time between May 2018 and May 2021 were selected for the study and equally divided into the control group and the study group by the random number table method, with 60 patients in each group. Patients in the control group were given swallowing function training and health counseling, and the study group adopted individualized nutrition intervention care based on the control group. The nutritional status, swallowing function, and quality of life (QOL) of the patients were assessed using the Patient-generated Subjective Global Assessment (PG-SGA), MD Anderson Dysphagia Inventory (MDADI), and Quality of Life Questionnaire-Core30 (QLQ-C30) before the intervention and three months after the intervention. Results: Before the intervention, the scores of MDADI, PG-SGA, and QLQ-C30 were not significantly different between the two groups (P > 0.05), and three months after the intervention, the scores of MDADI and QLQ-C30 increased and the score of PG-SGA decreased in the study group, with significant differences (P 0.05). At three months after the intervention, patients in the study group had higher scores on MDADI, QLQ-C30 and lower scores on PG-SGA than the control group, with significant differences (P Conclusion: Combining individualized nutrition intervention care with swallowing training improves the postoperative nutritional status, swallowing function, and QOL of patients with laryngeal cancer.
文摘Objective:to study the effect of pharmaceutical care on the pharmaceutical compliance of patients with hyperlipidemia.Methods:158 patients with hyperlipidemia were selected and randomly divided into observation group and control group with 79 cases each.The two groups of personnel were observed in clinical medicine.For the observation group to carry out pharmaceutical care intervention,for the control group,it is to give routine hospital medication consultation,to carry out actual analysis of its situation,and to compare the compliance of medication and the change of blood lipid of the two groups of personnel.Results:before the intervention,there was no statistically significant difference in medication compliance score between the two groups(P>0.05).For the investigation and intervention of the patients in the observation group,the overall score of medication compliance in 1 month,6 months and 12 months was significantly higher than that in the control group,and the difference was statistically significant(p<0.05).After the comparison of the high density and low density of triglyceride,total cholesterol and lipoprotein cholesterol between the two groups before the intervention,there was no statistical significance(P>0.05).Compared with the control group,the patients in the observation group with low density of triacylglycerol,total cholesterol and lipoprotein cholesterol who had been intervened for one month,six months and twelve months were all on the low side.Compared with the control group,the patients with high density of lipoprotein cholesterol had no significant difference(p<0.05).Conclusion:The pharmaceutical service intervention can effectively improve the drug dependence of patients with hyperlipidemia,so as to help the patients'blood lipids return to normal state.
文摘Objective: to study the effect of emergency care intervention in CPR patients. Methods: the study subjects were mainly 60 patients with CPR admitted between January and June 2021, and all patients were randomly divided into two groups, with 30 cases each. The nursing satisfaction of the two groups, the changes in arterial pressure and heart rate after care were analyzed while comparing the degree of coma and neurological function. Results: for patients with CPR, the mode of emergency care intervention played a very important role in improving the satisfaction of patients' nursing care. Meanwhile, the arterial pressure and heart rate of patients were found that emergency care had a very good effect, and the coma degree and neurological function were significantly improved. Conclusion: patients with cardiopulmonary resuscitation, using good emergency care intervention, has very important effect for postoperative rehabilitation, also suggest to take appropriate emergency care mode in clinical aspects, to improve coma degree and neurological function, improve the quality of care, can be used in clinical aspects.
文摘Objective: to explore the impact of maternal postpartum early breast care intervention on breast feeding. Methods: 220 pregnant women were randomly selected from the obstetrics and gynecology department of the hospital to become the study subjects, and the study subjects need to be divided into two groups, and 110 control group and observation group are formed after the division. In nursing control group maternal using the combination of conventional content and breast feeding guidance, in nursing observation group maternal on the basis of the content of the early breast nursing intervention nursing content, compared with the two groups of maternal nursing five indicators: the first time of milk secretion, milk volume, breast abdominal pain, maternal delivery within 42d of breast feeding status, milk deposition incidence. Results: after increasing the early breast care measures to the nursing measures implemented in the control group, the five indicators were significantly better than the control group, and the comparison between the data was significant and statistically significant (P <0.05). Conclusion: in maternal postpartum nursing work, can increase on the basis of routine nursing early breast nursing intervention measures, can speed up the time of maternal milk secretion and increase the milk volume, also can greatly reduce the incidence of breast swelling pain and reduce maternal pain, especially can significantly improve breast feeding rate and promote the healthy growth of the newborn. At the same time, it also significantly improved the nursing satisfaction and promoted the better development of the hospital.
基金supported by the Canada Research Chairs Programa Foundation Grant from the Canadian Institutes of Health Research (No. 159927)
文摘Exercise is established as a supportive care intervention during and after various cancer treatment modalities.1,2 Documented benefits include improvements in health-related fitness,physical functioning,some symptoms/side effects,psychosocial functioning,and quality of life.1,2 Exercise has not been established,however,as a treatment for any type of cancer in any clinical oncology setting.2 This special topic of the Journal of Sport and Health Science(JSHS)is dedicated to research on“Exercise as a cancer treatment”.The special topic sought preclinical,observational,or clinical studies examining the effects of exercise after a cancer diagnosis on a cancer outcome(e.g.,cell/tumor growth,tumor response,disease recurrence,progression,death from cancer).It includes 6 original articles and an invited opinion article.
基金Supported by National Institute of Diabetes and Digestive and Kidney Diseases,No.T32DK007740 and No.K08DK120902.
文摘BACKGROUND Patients with left ventricular assist devices(LVADs)are at increased risk for recurrent gastrointestinal bleeding(GIB)and repeat endoscopic procedures.We assessed the frequency of endoscopy for GIB in patients with LVADs and the impact of endoscopic intervention on preventing a subsequent GIB.AIM To evaluate for an association between endoscopic intervention and subsequent GIB.Secondary aims were to assess the frequency of GIB in our cohort,describe GIB presentations and sources identified,and determine risk factors for recurrent GIB.METHODS We conducted a retrospective cohort study of all patients at a large academic institution who underwent LVAD implantation from January 2011–December 2018 and assessed all hospital encounters for GIB through December 2019.We performed a descriptive analysis of the GIB burden and the outcome of endoscopic procedures performed.We performed multivariate logistic regression to evaluate the association between endoscopic intervention and subsequent GIB.RESULTS In the cohort of 295 patients,97(32.9%)had at least one GIB hospital encounter.There were 238 hospital encounters,with 55.4%(132/238)within the first year of LVAD implantation.GIB resolved on its own by discharge in 69.8%(164/235)encounters.Recurrent GIB occurred in 55.5%(54/97)of patients,accounting for 59.2%(141/238)of all encounters.Of the 85.7%(204/238)of encounters that included at least one endoscopic evaluation,an endoscopic intervention was performed in 34.8%(71/204).The adjusted odds ratio for subsequent GIB if an endoscopic intervention was performed during a GIB encounter was not significant(odds ratio 1.18,P=0.58).CONCLUSION Patients implanted with LVADs whom experience recurrent GIB frequently undergo repeat admissions and endoscopic procedures.In this retrospective cohort study,adherence to endoscopic guidelines for performing endoscopic interventions did not significantly decrease the odds of subsequent GIB,thus suggesting the uniqueness of the LVAD population.A prospective study is needed to identify patients with LVAD at risk of recurrent GIB and determine more effective management strategies.
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 nursing effect of psychological and life nursing interventions in elderly patients with schizophrenia. Methods: 68 elderly patients with schizophrenia admitted to our hospital from August 2019 to August 2020 were randomly selected as the research object, and randomly divided into the project group (psychological care + life care) and the general group (routine care), and the nursing effect was compared. Results: the recovery effect of psychosis in the project group was better than that in the general group (P < 0.05). The mental health level of the project group was better than that of the general group (p < 0.05). Conclusion: psychological and life care intervention can effectively relieve the symptoms of elderly patients with schizophrenia and improve their mental health level, which is worthy of promotion.
文摘Among the 135 million births in 2020,0.6 million were extremely preterm(<28 weeks’gestation),and 1.4 million were very preterm(between 28 and<32 weeks’gestation)[1].Intraventricular hemorrhage(IVH)remains a major concern for these infants,particularly those<29 weeks’gestation[2].Midline head positioning(MHP)is a widely adopted intervention in care bundles for IVH prevention in preterm infants.However,high-quality evidence supporting the efcacy and efectiveness of MHP for IVH prevention is lacking.Here,we summarize the issues with the existing evidence on MHP,including its widespread adoption in care bundles on the basis of poor quality of evidence,and highlight the urgent need for a defnitive trial to determine the causal role,if any,of MHP in IVH prevention.
