Objective:To analyze the effect of optimizing the emergency nursing process in the resuscitation of patients with acute chest pain and the impact on the resuscitation success rate.Methods:66 patients with acute chest ...Objective:To analyze the effect of optimizing the emergency nursing process in the resuscitation of patients with acute chest pain and the impact on the resuscitation success rate.Methods:66 patients with acute chest pain received by the emergency department of our hospital from January 2022 to December 2023 were selected as the study subjects and divided into two groups according to the differences in the emergency nursing process,i.e.,33 patients receiving routine emergency care were included in the control group,and 33 patients receiving the optimization of emergency nursing process intervention were included in the observation group.Patients’resuscitation effect and satisfaction with nursing care in the two groups were compared.Results:The observation group’s consultation assessment time,reception time,admission to the start of resuscitation time,and resuscitation time were shorter than that of the control group,the resuscitation success rate was higher than that of the control group,and the incidence of adverse events was lower than that of the control group,with statistically significant differences(P<0.05);and the observation group’s satisfaction with nursing care was higher than that of the control group,with statistically significant differences(P<0.05).Conclusion:Optimization of emergency nursing process intervention in the resuscitation of acute chest pain patients can greatly shorten the rescue time and improve the success rate of resuscitation,with higher patient satisfaction.展开更多
Objectives: Comprehensive nursing assessment,as the first step in the nursing process,involves the systematic and constant data gathering to facilitate the development of the patient-specific nursing process.The aim o...Objectives: Comprehensive nursing assessment,as the first step in the nursing process,involves the systematic and constant data gathering to facilitate the development of the patient-specific nursing process.The aim of this study is to determine the effects of applying an assessment form based on the health functional patterns on nursing student's attitude and skills in developing nursing process.Methods: A randomized controlling design was conducted.Of 84 undergraduate nursing students,42 students were allocated to the intervention or control group.In clinical education,a patient assessment form based on Gordon's functional health patterns was applied to help students in the intervention group to develop nursing process,while the control group received traditional methods.The data were gathered using a demographic information questionnaire,skills in nursing process development checklist,and attitudes towards nursing process questionnaire.Results: The average scores for students' attitude and skills in developing nursing process in the intervention group were greater than those of the control group.Conclusion: Applying nursing assessment using the patient assessment form based on Gordon's functional health patterns can improve the students' learning in developing nursing process.展开更多
<strong>Background:</strong> Nursing is considered a science in the making that recognizes the nursing process (NP) as the scientific and methodological tool to provide care. The NP is composed of five sta...<strong>Background:</strong> Nursing is considered a science in the making that recognizes the nursing process (NP) as the scientific and methodological tool to provide care. The NP is composed of five stages of which the assessment is the first and fundamental to identify the health problems of the people. This research aimed to evaluate a pedagogical didactic strategy that is based on situated constructivism, the Based-Problem Learning (BPL), in order to improve significant learning. <strong>Methods:</strong> Quantitative research with an explanatory scope, was transversal, and it was applied to 30 students of the first year of the nursing career at the Faculty of Higher Studies Iztacala, National Autonomous University of Mexico. The sample was chosen considering the inclusion criteria. Data were collected using a Likert-type instrument validated in a previous investigation. <strong>Results: </strong>The average value obtained from the Likert scale to evaluate the intervention was 103.4, the highest score was 135 and the lowest was 83, which reflects that it was evaluated as good and particularly good. The grade given to the teacher as an agent of the ZPD, was between agree and totally agree, the highest percentages scored at 93%, since it provoked challenge in their thinking, and favored interaction among classmates. <strong>Conclusions:</strong> The application of the <em>in situ</em> teaching strategy, BPL favored significant learning of the assessment stage, the students were able to carry out the assessment in the hospital, the experience contributed to generate significant learning when students face real scenarios, which showed the effectiveness of the method.展开更多
<strong>Background: </strong>Inflammatory Bowel Disease is a term that covers intestinal diseases, including ulcerative colitis and Crohn’s disease. Due to the condition of chronic and complex disease, th...<strong>Background: </strong>Inflammatory Bowel Disease is a term that covers intestinal diseases, including ulcerative colitis and Crohn’s disease. Due to the condition of chronic and complex disease, the disease requires specialized nursing care and management in the context of a multi-disciplinary approach. As a guarantee of quality nursing care, it is essential to carry out the nursing process. Considering the commitment to assist the patient with Crohn’s disease, the nurse, through the nursing consultation, is able to diagnose the patient’s needs, proceed to the prescription of care and later evaluate the interventions, having the opportunity to develop work aimed at improving the quality of life of these patients. <strong>Objective:</strong> To describe the nursing process in a patient with Crohn’s disease. <strong>Methods:</strong> Exploratory case report study, carried out at the outpatient clinic for inflammatory bowel diseases of a public hospital in the countryside of the state of S<span style="white-space:nowrap;">ã</span>o Paulo, from June 2019 to October 2019. Data collection was performed through anamnesis, physical examination and analysis of medical records. <strong>Results:</strong> Female patient, 34 years old, diagnosed with Crohn’s disease. With the completion of the nursing process, it was possible to identify five nursing diagnoses and the elaboration of interventions and outcomes. The nursing evaluation was continuous and the patient adhered to the proposed interventions. <strong>Final considerations:</strong> The systematization and organization of the work of the nursing team proved to be essential for quality care, with efficiency and effectiveness, guaranteeing the patient comfort, general well-being and good rehabilitation.展开更多
Background: Improvement of patient care in any hospital depends primarily on the quality of nursing care. Nursing care is enhanced by the nursing process, which outlines the nursing activities to be provided for a pat...Background: Improvement of patient care in any hospital depends primarily on the quality of nursing care. Nursing care is enhanced by the nursing process, which outlines the nursing activities to be provided for a patient. Methods and Materials: A cross sectional design employing quantitative methods was conducted in Njombe RRH in December 2021. Quantitative data were collected from nurses and midwives from all wards by simple random sampling techniques using a sample-size calculator. SPSS version 26.0 was used to analyse data whereby a p-value of 0.05 was considered a decision mark for the significance of the result;Chi-square and Logistic regression respectively were used to find out the association and its strength between variables. Result: Majority of the respondents, 41 (85.4%), had inadequate knowledge and 33 (68.8%) found them people with a negative attitude to the nursing process. Significantly, there is an association between knowledge and clinical utilization (AOR 2.24;95% CI: 1.6 - 2.5;P 0.04), attitude and clinical utilization (AOR 4.32;95% CI: 1.8 - 3.7;P Conclusion: A knowledge gap in relation to the utilization of the nursing process and a negative attitude were noted to be associated significantly with the utilization of the nursing process among nurses and midwives. It is recommended on-job training, supportive supervision, and Value Clarification and Attitude Transformation (VCAT) are the best interventions to address the knowledge gap and negative attitudes respectively.展开更多
Background Acute myocardial infarction is a common and prevalent cardiovascular disease that can lead to serious consequences such as shock,arrhythmia,and heart failure.In dealing with acute myocardial infarction,the ...Background Acute myocardial infarction is a common and prevalent cardiovascular disease that can lead to serious consequences such as shock,arrhythmia,and heart failure.In dealing with acute myocardial infarction,the optimization of emergency nursing process can ensure the effectiveness and safety of rescue work,and help improve the prognosis and rehabilitation of patients.Methods 68 cases of patients with acute myocardial infarction admitted to our hospital from August 2021 to March 2023 were selected as the subjects of this study.They were randomly divided into an observation group and a control group,with 34 cases in each group.The control group received routine nursing care,while the observation group received optimized emergency nursing process based on it.the success rates of rescue,emergency efficiency,complications,and hemodynamics were compared between the two groups.ResultsThe success rate of rescue in the observation group was 100.00%,while in the control group it was 88.24%,the success rate of rescue was statistically different between the two groups(P<0.05).The observation group had shorter time intervals from onset to hospital admission,shorter door-to-activation time,shorter door-toballoon time,and reduced length of hospital stay compared to the control group(P<0.05).The total proportion of patients with complications such as arrhythmias in the observation group was 0.00%,while in the control group it was 11.76%,the difference between the two groups was statistically significant(P<0.05).The Cardi-ac output(CO)index of the observation group and the control group is lower than before the nursing intervention,and the observation group is higher than the control group.The Mean arterial pressure(MAP)index of the observation group and the control group is lower than before the nursing intervention,and the observation group is lower than the control group(P<0.05).Conclusions Optimized the emergency nursing process can improve the success rate of rescue and emergency efficiency in patients with acute myocardial infarction,reduce the occurrence of adverse complications,and improve negative emotions such as anxiety.It is worth promoting and applying.展开更多
Objective: to optimize the overall effect of emergency nursing procedures for patients with chest pain. Methods: patients were divided into groups by random number table method, that is: comparison group, exploration ...Objective: to optimize the overall effect of emergency nursing procedures for patients with chest pain. Methods: patients were divided into groups by random number table method, that is: comparison group, exploration group, 80 of them were selected for study and analysis in the emergency chest pain patients treated in the hospital, 80 people were equally divided into two groups. The number of people in each group is 40. The nursing method used by patients in the comparison group was routine nursing, while the nursing method used by patients in the exploration group was optimized emergency nursing process. Some clinical symptoms and clinical data of two groups of patients with different nursing methods were analyzed and compared to judge the merits and demerits of nursing methods. Results: the rescue time of the exploratory group was shorter than that of the comparison group, the triage time of the exploratory group was shorter than that of the comparison group, and the hospitalization time of the exploratory group was shorter than that of the comparison group, and there were differences in data comparison (P < 0.05). In the comparison of nursing satisfaction score, the inquiry group was higher than the comparison group (P < 0.05), and the differences were of comparative significance. The incidence of adverse events in exploration group was significantly lower than that in control group (P < 0.05). In the comparison of treatment efficiency, patients in the exploration group were significantly higher than those in the comparison group (P < 0.05), and the difference was statistically significant. Conclusion: timely optimization of emergency nursing process for patients with emergency chest pain can improve the first aid effect and rescue efficiency of patients, shorten the hospitalization and bed time of patients, worthy of clinical attention.展开更多
Objective: to analyze the effect of optimizing the emergency nursing process in the emergency nursing of myocardial infarction, and to evaluate the impact on the prognosis and clinical related indexes of patients. Met...Objective: to analyze the effect of optimizing the emergency nursing process in the emergency nursing of myocardial infarction, and to evaluate the impact on the prognosis and clinical related indexes of patients. Methods: taking 70 patients with myocardial infarction diagnosed and treated in the emergency department of our hospital as the research object, the patients were evenly divided into two groups by digital double-blind method. The name of the group was the reference group (n = 35) and the experimental group (n = 35). The research date was from July 2019 to July 2021.The experimental group implemented the optimized emergency nursing process in the first aid process, and the reference group implemented the conventional emergency nursing process in the first aid process. After the study, the nursing quality, nursing effect, emotional state, first aid indicators, prognosis and complications of each group were compared. Results: the total effective rate of nursing in the experimental group was 94.29%, which was significantly higher than that in the reference group (77.14%) (P < 0.05);In the experimental group, the time from reception to ECG, the time from reception to administration, the time of triage evaluation, the time of emergency stay, the time of emergency balloon expansion and the time of first aid were significantly shorter (P < 0.05);The incidence of complications in the experimental group was 5.71%, which was significantly lower than that in the reference group (22.86%) (P < 0.05).The scores of nursing quality in the experimental group were significantly higher than those in the reference group (P < 0.05);The scores of Barthel and CQQC in the experimental group were significantly higher than those in the control group (P < 0.05);Conclusion: the effect of optimizing emergency nursing process in the nursing of patients with myocardial infarction is ideal, which can significantly improve the nursing effect, improve the first aid index, improve the first aid quality and reduce the risk of complications. It has significant clinical application value and can be popularized in clinic.展开更多
Objective: to analyze the effect of optimizing emergency nursing process on the rescue of patients with chest pain. Methods: a total of 62 patients with emergency chest pain admitted to our hospital from July 2020 to ...Objective: to analyze the effect of optimizing emergency nursing process on the rescue of patients with chest pain. Methods: a total of 62 patients with emergency chest pain admitted to our hospital from July 2020 to June 2021 were randomly selected. They were divided into the control group (even number of beds) with emergency nursing and the observation group (odd number of beds) with optimized emergency nursing process. There were 31 patients in each group, and the effects after the intervention were compared. Results: after the intervention, the time spent in the rescue process of the patients in the observation group was lower than that of the control group (P < 0.05), and the hospitalization time was lower than that of the control group (P < 0.05). Meanwhile, the incidence of adverse events was also lower than that of the control group (P < 0.05), and the PaCO2 level of the patients in the observation group was significantly lower than that of the control group (P < 0.05);The PaO2 level in the observation group was higher than that in the control group (P < 0.05);The quality of life score was higher than that of the control group (P < 0.05);The satisfaction was higher than that of the control group (P < 0.05);The rescue success was also higher than that of the control group (P < 0.05). Conclusion: for emergency chest pain patients, the application of optimized emergency nursing process has a significant effect in improving the rescue success rate, reducing the incidence of adverse events, reducing the length of hospital stay, and improving the quality of life.展开更多
Objective: to explore the relationship between the effect of chemotherapy on tumor through chemotherapy nursing. Methods: 100 cases of patients undergoing oncology chemotherapy were randomly divided into the control g...Objective: to explore the relationship between the effect of chemotherapy on tumor through chemotherapy nursing. Methods: 100 cases of patients undergoing oncology chemotherapy were randomly divided into the control group and the experimental group, the contrast group of 50 patients for routine nursing, the experimental group of 50 patients with chemotherapy nursing way. Observe the nursing outcomes of the two groups. Result: the incidence of adverse events and satisfaction rate in the experimental group were better than those in the control group (P < 0.05). There was no significant difference in the level of physical fitness between the two groups before chemotherapy (P < 0. 05), and it decreased significantly after the first and second chemotherapy (P < 0. 01), but the decrease rate of the experimental group was smaller than that of the control group. Conclusion: the incidence of adverse events can be effectively reduced and the satisfaction level of patients can be improved after chemotherapy nursing for the patients undergoing chemotherapy in the internal medicine of oncology. Therefore, it has important clinical value and promotion significance to carry out tumor chemotherapy for patients undergoing internal oncology chemotherapy.展开更多
Objective: to explore the application value of standardized nursing process of PICC in patients with tumor undergoing chemotherapy and catheterization. Methods: cases were selected from January 2019 to December 2020. ...Objective: to explore the application value of standardized nursing process of PICC in patients with tumor undergoing chemotherapy and catheterization. Methods: cases were selected from January 2019 to December 2020. Case type: PICC catheter for tumor chemotherapy;Total cases: 82;Grouping method: random envelope method;Group: reference group and observation group;Number of groups: 41;Nursing methods: routine nursing and standardized nursing process of PICC;Comparative items: nursing satisfaction, complications and phlebitis. Results: the nursing satisfaction of the observation group and the reference group was 97.56% and 8.48% respectively, with significant difference (χ2 = 6.1157). The incidence of complications in the observation group and the reference group was 7.32% and 24.39% respectively, with significant difference (χ2 = 4.4794). The incidence of phlebitis in the observation group (grade 0: 73.17%, grade 1-2: 24.39%, grade 3-4: 2.44%) was lower than that in the reference group (grade 0: 34.15%, grade 1-2: 48.78%, grade 3-4: 17.07%). there was a significant difference between the groups (χ2 = 12.5550, 5.2564, 4.9865), with statistical significance (P < 0.05). Conclusion: the implementation of PICC standardized nursing process for tumor chemotherapy patients can improve the incidence of phlebitis and reduce complications. The nursing effect is significant, which is worthy of clinical reference.展开更多
Objective: to explore the value of optimizing the emergency nursing process in improving the rescue efficiency of emergency critically ill patients. Methods: 100 emergency critically ill patients in our hospital from ...Objective: to explore the value of optimizing the emergency nursing process in improving the rescue efficiency of emergency critically ill patients. Methods: 100 emergency critically ill patients in our hospital from March 2020 to February 2021 were selected and randomly divided into groups. 50 cases in the conventional first aid group were given nursing routine, while 50 cases in the emergency care process group were given emergency care flow optimization. The satisfaction, rescue time and rescue success rate of the two groups were compared. Results: the satisfaction degree of the emergency nursing process group was higher than that of the conventional first aid group, the rescue time was shorter than that of the conventional first aid group, and the rescue success rate was higher than that of the conventional first aid group (P < 0.05). Conclusion: the optimization of emergency nursing process for emergency critically ill patients can achieve better results, and can improve the success rate of rescue and patient satisfaction.展开更多
Objective: to observe the effect of whole process nursing intervention in the nursing of patients with Sicca syndrome. Methods: 42 patients from June 2020 to May 2021 were taken as the analysis objectives, and they we...Objective: to observe the effect of whole process nursing intervention in the nursing of patients with Sicca syndrome. Methods: 42 patients from June 2020 to May 2021 were taken as the analysis objectives, and they were randomly divided into the first group (general nursing intervention) and the second groups (whole-process nursing intervention) according to the admission number. Results: (1) in the comparison of quality of life and emotional state scores of the first group and the second group, the scores of the first group were 75.36±4.28 (points) and 50.38±4.19 (points) respectively, and the scores of the second group were 89.63±4.55 (points) and 39.85±3.76 (points) respectively (t = 18.813, P = 0.000). (2) In the comparison of satisfaction and complication rate between the first group and the second group, the first group were 76.19% and 33.33% respectively, and the second group were 95.23% and 4.76% respectively (χ2 = 8.691, P = 0.000). There was a difference between the two groups. Conclusion: the effect of whole course nursing intervention in the nursing of patients with Sicca syndrome is excellent and worthy of recommendation.展开更多
Objective: to implement the whole process follow-up nursing intervention in the continuous quality improvement of vascular access in maintenance hemodialysis and observe the application effect. Methods: the selected p...Objective: to implement the whole process follow-up nursing intervention in the continuous quality improvement of vascular access in maintenance hemodialysis and observe the application effect. Methods: the selected personnel were selected from dialysis patients who received treatment in our hospital in recent one year ( January 2021- January 2022), and were given whole process follow-up nursing intervention. Results: after the corresponding nursing intervention, hemodialysis was carried out smoothly, the level of coagulation indexes showed a good trend, and the incidence of complications was low, which further promoted the improvement of their quality of life. Conclusion: in the continuous quality improvement of vascular access in maintenance hemodialysis, the application value of whole process follow-up nursing is obvious. It plays a positive role in improving the treatment effect and improving the medical experience of patients, which is worthy of popularization.展开更多
Objective:Discuss the clinical effect of the process diabetes nurse group in the treatment of diabetes patients.Methods:A total of 58 patients with diabetes who received treatment in our hospital from January 2021 to ...Objective:Discuss the clinical effect of the process diabetes nurse group in the treatment of diabetes patients.Methods:A total of 58 patients with diabetes who received treatment in our hospital from January 2021 to June 2021 were selected,and the 58 patients were divided into two groups by random number table.In one group,29 patients were treated with process diabetes group nursing,which was recorded as the observation group;in the other group,29 patients were treated with conventional care,which was recorded as the control group.Nursing satisfaction,compliance behavior of patients,and adverse incidence were analyzed.Results:After nursing,the data of the two groups were summarized.The score of compliance behavior in the observation group was 91.23±4.56,which was significantly better than that in the control group(75.13土5.23).The t values of the score of compliance behavior were 12.4952,P<0.05.The qualified rate of fasting blood glucose in the observation group was 100%,which was significantly higher than that in the control group(62.07%),P<0.05.According to the questionnaire analysis,there were 18 patients in the observation group who were very satisfied,8 patients who were satisfied and 3 patients who were not satisfied,with a total satisfaction rate of 89.66%,and in the control group,there were 4 patients who were very satisfied,15 patients who were satisfied and 10 patients who were not satisfied,with a total satisfaction rate of 65.52%.The control group was significantly inferior to the observation group,and P<0.05 was regarded as statistically significant.Conclusion:Adopting the process of diabetes group nursing can effectively enhance the compliance behavior of patients,and effectively control the blood sugar index of patients,and improve the satisfaction degree of patients.展开更多
The clinical decision support system makes electronic health records(EHRs)structured,intelligent,and knowledgeable.The nursing decision support system(NDSS)is based on clinical nursing guidelines and nursing process t...The clinical decision support system makes electronic health records(EHRs)structured,intelligent,and knowledgeable.The nursing decision support system(NDSS)is based on clinical nursing guidelines and nursing process to provide intelligent suggestions and reminders.The impact on nurses’work is mainly in shortening the recording time,improving the quality of nursing diagnosis,reducing the incidence of nursing risk events,and so on.However,there is no authoritative standard for the NDSS at home and abroad.This review introduces development and challenges of EHRs and recommends the application of the NDSS in EHRs,namely the nursing assessment decision support system,the nursing diagnostic decision support system,and the nursing care planning decision support system(including nursing intervene),hoping to provide a new thought and method to structure impeccable EHRs.展开更多
Introduction: In the 1990s, the development of highly active combination antiretroviral therapy in the treatment of AIDS was highlighted. The great benefit generated by the use of this treatment was the prolongation o...Introduction: In the 1990s, the development of highly active combination antiretroviral therapy in the treatment of AIDS was highlighted. The great benefit generated by the use of this treatment was the prolongation of survival of the people who got this disease, since it is no longer considered fatal, becoming a chronic condition. Objective: To identify the prevalence of the nursing diagnosis Lack of Adherence, its defining characteristics and related factors in people living with AIDS, to investigate the association between them and the prevalence rates. Methods: Cross-sectional study with 113 patients in a hospital in northeastern Brazil. For data analysis, the test of Pearson chi-square and Fisher’s exact test were used, and also calculated the prevalence rates. Results: Lack of Adherence diagnosis was present in 69% of the sample investigated. The defining characteristics and related factors that are statistically associated with that diagnosis were: lack of adherence behavior, missing scheduled appointments, complications related to development, insufficient skills to implement the system and complex treatment system. The first two characteristics had the highest chances for the development of this diagnosis. Conclusion: The study showed that the diagnostic studied was prevalent in these patients and 3 characteristics and 2 factors showed significant association.展开更多
Background: The incidence of cancer pain in patients with malignant tumors is relatively high, and pain control is poor, which is closely related to many factors, especially the nursing way. Objective: To explore the ...Background: The incidence of cancer pain in patients with malignant tumors is relatively high, and pain control is poor, which is closely related to many factors, especially the nursing way. Objective: To explore the effect of standardized nursing model on pain control in patients with malignant tumors. Methods: 50 patients with malignant tumors treated in the Affiliated Hospital of Chengde Medical College from January to December in 2021 were randomly divided into 25 cases in the control group and 25 cases in the observation group. The pain control and medication compliance of the two groups were compared. Results: There was no difference in the corresponding score of admission pain between the two groups (P > 0.05), and the pain score of the observation group was lower than that of the control group (P P Conclusion: Standardized cancer pain nursing can ease the pain of patients, and the medication compliance is better.展开更多
Objective: to analyze the effect of continuous midwifery nursing and routine nursing on vaginal trial labor. Methods: the sample size was 90 cases, all of which were pregnant women with scar uterus. They were randomly...Objective: to analyze the effect of continuous midwifery nursing and routine nursing on vaginal trial labor. Methods: the sample size was 90 cases, all of which were pregnant women with scar uterus. They were randomly divided into control group and observation group. Routine intervention was applied in the control group, and continuous midwifery intervention was applied in the whole process of observation group. Results: observation group were significantly better, P < 0.05. Conclusion: the whole process of continuous midwifery nursing effect is better.展开更多
文摘Objective:To analyze the effect of optimizing the emergency nursing process in the resuscitation of patients with acute chest pain and the impact on the resuscitation success rate.Methods:66 patients with acute chest pain received by the emergency department of our hospital from January 2022 to December 2023 were selected as the study subjects and divided into two groups according to the differences in the emergency nursing process,i.e.,33 patients receiving routine emergency care were included in the control group,and 33 patients receiving the optimization of emergency nursing process intervention were included in the observation group.Patients’resuscitation effect and satisfaction with nursing care in the two groups were compared.Results:The observation group’s consultation assessment time,reception time,admission to the start of resuscitation time,and resuscitation time were shorter than that of the control group,the resuscitation success rate was higher than that of the control group,and the incidence of adverse events was lower than that of the control group,with statistically significant differences(P<0.05);and the observation group’s satisfaction with nursing care was higher than that of the control group,with statistically significant differences(P<0.05).Conclusion:Optimization of emergency nursing process intervention in the resuscitation of acute chest pain patients can greatly shorten the rescue time and improve the success rate of resuscitation,with higher patient satisfaction.
基金The present article is the result of a research project approved by the Research Deputy of Hamedan University of Medical Sciences with financial support of the deputy under number 9505122620 and Code of Ethics: IRUMSHA.1395.103
文摘Objectives: Comprehensive nursing assessment,as the first step in the nursing process,involves the systematic and constant data gathering to facilitate the development of the patient-specific nursing process.The aim of this study is to determine the effects of applying an assessment form based on the health functional patterns on nursing student's attitude and skills in developing nursing process.Methods: A randomized controlling design was conducted.Of 84 undergraduate nursing students,42 students were allocated to the intervention or control group.In clinical education,a patient assessment form based on Gordon's functional health patterns was applied to help students in the intervention group to develop nursing process,while the control group received traditional methods.The data were gathered using a demographic information questionnaire,skills in nursing process development checklist,and attitudes towards nursing process questionnaire.Results: The average scores for students' attitude and skills in developing nursing process in the intervention group were greater than those of the control group.Conclusion: Applying nursing assessment using the patient assessment form based on Gordon's functional health patterns can improve the students' learning in developing nursing process.
文摘<strong>Background:</strong> Nursing is considered a science in the making that recognizes the nursing process (NP) as the scientific and methodological tool to provide care. The NP is composed of five stages of which the assessment is the first and fundamental to identify the health problems of the people. This research aimed to evaluate a pedagogical didactic strategy that is based on situated constructivism, the Based-Problem Learning (BPL), in order to improve significant learning. <strong>Methods:</strong> Quantitative research with an explanatory scope, was transversal, and it was applied to 30 students of the first year of the nursing career at the Faculty of Higher Studies Iztacala, National Autonomous University of Mexico. The sample was chosen considering the inclusion criteria. Data were collected using a Likert-type instrument validated in a previous investigation. <strong>Results: </strong>The average value obtained from the Likert scale to evaluate the intervention was 103.4, the highest score was 135 and the lowest was 83, which reflects that it was evaluated as good and particularly good. The grade given to the teacher as an agent of the ZPD, was between agree and totally agree, the highest percentages scored at 93%, since it provoked challenge in their thinking, and favored interaction among classmates. <strong>Conclusions:</strong> The application of the <em>in situ</em> teaching strategy, BPL favored significant learning of the assessment stage, the students were able to carry out the assessment in the hospital, the experience contributed to generate significant learning when students face real scenarios, which showed the effectiveness of the method.
文摘<strong>Background: </strong>Inflammatory Bowel Disease is a term that covers intestinal diseases, including ulcerative colitis and Crohn’s disease. Due to the condition of chronic and complex disease, the disease requires specialized nursing care and management in the context of a multi-disciplinary approach. As a guarantee of quality nursing care, it is essential to carry out the nursing process. Considering the commitment to assist the patient with Crohn’s disease, the nurse, through the nursing consultation, is able to diagnose the patient’s needs, proceed to the prescription of care and later evaluate the interventions, having the opportunity to develop work aimed at improving the quality of life of these patients. <strong>Objective:</strong> To describe the nursing process in a patient with Crohn’s disease. <strong>Methods:</strong> Exploratory case report study, carried out at the outpatient clinic for inflammatory bowel diseases of a public hospital in the countryside of the state of S<span style="white-space:nowrap;">ã</span>o Paulo, from June 2019 to October 2019. Data collection was performed through anamnesis, physical examination and analysis of medical records. <strong>Results:</strong> Female patient, 34 years old, diagnosed with Crohn’s disease. With the completion of the nursing process, it was possible to identify five nursing diagnoses and the elaboration of interventions and outcomes. The nursing evaluation was continuous and the patient adhered to the proposed interventions. <strong>Final considerations:</strong> The systematization and organization of the work of the nursing team proved to be essential for quality care, with efficiency and effectiveness, guaranteeing the patient comfort, general well-being and good rehabilitation.
文摘Background: Improvement of patient care in any hospital depends primarily on the quality of nursing care. Nursing care is enhanced by the nursing process, which outlines the nursing activities to be provided for a patient. Methods and Materials: A cross sectional design employing quantitative methods was conducted in Njombe RRH in December 2021. Quantitative data were collected from nurses and midwives from all wards by simple random sampling techniques using a sample-size calculator. SPSS version 26.0 was used to analyse data whereby a p-value of 0.05 was considered a decision mark for the significance of the result;Chi-square and Logistic regression respectively were used to find out the association and its strength between variables. Result: Majority of the respondents, 41 (85.4%), had inadequate knowledge and 33 (68.8%) found them people with a negative attitude to the nursing process. Significantly, there is an association between knowledge and clinical utilization (AOR 2.24;95% CI: 1.6 - 2.5;P 0.04), attitude and clinical utilization (AOR 4.32;95% CI: 1.8 - 3.7;P Conclusion: A knowledge gap in relation to the utilization of the nursing process and a negative attitude were noted to be associated significantly with the utilization of the nursing process among nurses and midwives. It is recommended on-job training, supportive supervision, and Value Clarification and Attitude Transformation (VCAT) are the best interventions to address the knowledge gap and negative attitudes respectively.
文摘Background Acute myocardial infarction is a common and prevalent cardiovascular disease that can lead to serious consequences such as shock,arrhythmia,and heart failure.In dealing with acute myocardial infarction,the optimization of emergency nursing process can ensure the effectiveness and safety of rescue work,and help improve the prognosis and rehabilitation of patients.Methods 68 cases of patients with acute myocardial infarction admitted to our hospital from August 2021 to March 2023 were selected as the subjects of this study.They were randomly divided into an observation group and a control group,with 34 cases in each group.The control group received routine nursing care,while the observation group received optimized emergency nursing process based on it.the success rates of rescue,emergency efficiency,complications,and hemodynamics were compared between the two groups.ResultsThe success rate of rescue in the observation group was 100.00%,while in the control group it was 88.24%,the success rate of rescue was statistically different between the two groups(P<0.05).The observation group had shorter time intervals from onset to hospital admission,shorter door-to-activation time,shorter door-toballoon time,and reduced length of hospital stay compared to the control group(P<0.05).The total proportion of patients with complications such as arrhythmias in the observation group was 0.00%,while in the control group it was 11.76%,the difference between the two groups was statistically significant(P<0.05).The Cardi-ac output(CO)index of the observation group and the control group is lower than before the nursing intervention,and the observation group is higher than the control group.The Mean arterial pressure(MAP)index of the observation group and the control group is lower than before the nursing intervention,and the observation group is lower than the control group(P<0.05).Conclusions Optimized the emergency nursing process can improve the success rate of rescue and emergency efficiency in patients with acute myocardial infarction,reduce the occurrence of adverse complications,and improve negative emotions such as anxiety.It is worth promoting and applying.
文摘Objective: to optimize the overall effect of emergency nursing procedures for patients with chest pain. Methods: patients were divided into groups by random number table method, that is: comparison group, exploration group, 80 of them were selected for study and analysis in the emergency chest pain patients treated in the hospital, 80 people were equally divided into two groups. The number of people in each group is 40. The nursing method used by patients in the comparison group was routine nursing, while the nursing method used by patients in the exploration group was optimized emergency nursing process. Some clinical symptoms and clinical data of two groups of patients with different nursing methods were analyzed and compared to judge the merits and demerits of nursing methods. Results: the rescue time of the exploratory group was shorter than that of the comparison group, the triage time of the exploratory group was shorter than that of the comparison group, and the hospitalization time of the exploratory group was shorter than that of the comparison group, and there were differences in data comparison (P < 0.05). In the comparison of nursing satisfaction score, the inquiry group was higher than the comparison group (P < 0.05), and the differences were of comparative significance. The incidence of adverse events in exploration group was significantly lower than that in control group (P < 0.05). In the comparison of treatment efficiency, patients in the exploration group were significantly higher than those in the comparison group (P < 0.05), and the difference was statistically significant. Conclusion: timely optimization of emergency nursing process for patients with emergency chest pain can improve the first aid effect and rescue efficiency of patients, shorten the hospitalization and bed time of patients, worthy of clinical attention.
文摘Objective: to analyze the effect of optimizing the emergency nursing process in the emergency nursing of myocardial infarction, and to evaluate the impact on the prognosis and clinical related indexes of patients. Methods: taking 70 patients with myocardial infarction diagnosed and treated in the emergency department of our hospital as the research object, the patients were evenly divided into two groups by digital double-blind method. The name of the group was the reference group (n = 35) and the experimental group (n = 35). The research date was from July 2019 to July 2021.The experimental group implemented the optimized emergency nursing process in the first aid process, and the reference group implemented the conventional emergency nursing process in the first aid process. After the study, the nursing quality, nursing effect, emotional state, first aid indicators, prognosis and complications of each group were compared. Results: the total effective rate of nursing in the experimental group was 94.29%, which was significantly higher than that in the reference group (77.14%) (P < 0.05);In the experimental group, the time from reception to ECG, the time from reception to administration, the time of triage evaluation, the time of emergency stay, the time of emergency balloon expansion and the time of first aid were significantly shorter (P < 0.05);The incidence of complications in the experimental group was 5.71%, which was significantly lower than that in the reference group (22.86%) (P < 0.05).The scores of nursing quality in the experimental group were significantly higher than those in the reference group (P < 0.05);The scores of Barthel and CQQC in the experimental group were significantly higher than those in the control group (P < 0.05);Conclusion: the effect of optimizing emergency nursing process in the nursing of patients with myocardial infarction is ideal, which can significantly improve the nursing effect, improve the first aid index, improve the first aid quality and reduce the risk of complications. It has significant clinical application value and can be popularized in clinic.
文摘Objective: to analyze the effect of optimizing emergency nursing process on the rescue of patients with chest pain. Methods: a total of 62 patients with emergency chest pain admitted to our hospital from July 2020 to June 2021 were randomly selected. They were divided into the control group (even number of beds) with emergency nursing and the observation group (odd number of beds) with optimized emergency nursing process. There were 31 patients in each group, and the effects after the intervention were compared. Results: after the intervention, the time spent in the rescue process of the patients in the observation group was lower than that of the control group (P < 0.05), and the hospitalization time was lower than that of the control group (P < 0.05). Meanwhile, the incidence of adverse events was also lower than that of the control group (P < 0.05), and the PaCO2 level of the patients in the observation group was significantly lower than that of the control group (P < 0.05);The PaO2 level in the observation group was higher than that in the control group (P < 0.05);The quality of life score was higher than that of the control group (P < 0.05);The satisfaction was higher than that of the control group (P < 0.05);The rescue success was also higher than that of the control group (P < 0.05). Conclusion: for emergency chest pain patients, the application of optimized emergency nursing process has a significant effect in improving the rescue success rate, reducing the incidence of adverse events, reducing the length of hospital stay, and improving the quality of life.
文摘Objective: to explore the relationship between the effect of chemotherapy on tumor through chemotherapy nursing. Methods: 100 cases of patients undergoing oncology chemotherapy were randomly divided into the control group and the experimental group, the contrast group of 50 patients for routine nursing, the experimental group of 50 patients with chemotherapy nursing way. Observe the nursing outcomes of the two groups. Result: the incidence of adverse events and satisfaction rate in the experimental group were better than those in the control group (P < 0.05). There was no significant difference in the level of physical fitness between the two groups before chemotherapy (P < 0. 05), and it decreased significantly after the first and second chemotherapy (P < 0. 01), but the decrease rate of the experimental group was smaller than that of the control group. Conclusion: the incidence of adverse events can be effectively reduced and the satisfaction level of patients can be improved after chemotherapy nursing for the patients undergoing chemotherapy in the internal medicine of oncology. Therefore, it has important clinical value and promotion significance to carry out tumor chemotherapy for patients undergoing internal oncology chemotherapy.
文摘Objective: to explore the application value of standardized nursing process of PICC in patients with tumor undergoing chemotherapy and catheterization. Methods: cases were selected from January 2019 to December 2020. Case type: PICC catheter for tumor chemotherapy;Total cases: 82;Grouping method: random envelope method;Group: reference group and observation group;Number of groups: 41;Nursing methods: routine nursing and standardized nursing process of PICC;Comparative items: nursing satisfaction, complications and phlebitis. Results: the nursing satisfaction of the observation group and the reference group was 97.56% and 8.48% respectively, with significant difference (χ2 = 6.1157). The incidence of complications in the observation group and the reference group was 7.32% and 24.39% respectively, with significant difference (χ2 = 4.4794). The incidence of phlebitis in the observation group (grade 0: 73.17%, grade 1-2: 24.39%, grade 3-4: 2.44%) was lower than that in the reference group (grade 0: 34.15%, grade 1-2: 48.78%, grade 3-4: 17.07%). there was a significant difference between the groups (χ2 = 12.5550, 5.2564, 4.9865), with statistical significance (P < 0.05). Conclusion: the implementation of PICC standardized nursing process for tumor chemotherapy patients can improve the incidence of phlebitis and reduce complications. The nursing effect is significant, which is worthy of clinical reference.
文摘Objective: to explore the value of optimizing the emergency nursing process in improving the rescue efficiency of emergency critically ill patients. Methods: 100 emergency critically ill patients in our hospital from March 2020 to February 2021 were selected and randomly divided into groups. 50 cases in the conventional first aid group were given nursing routine, while 50 cases in the emergency care process group were given emergency care flow optimization. The satisfaction, rescue time and rescue success rate of the two groups were compared. Results: the satisfaction degree of the emergency nursing process group was higher than that of the conventional first aid group, the rescue time was shorter than that of the conventional first aid group, and the rescue success rate was higher than that of the conventional first aid group (P < 0.05). Conclusion: the optimization of emergency nursing process for emergency critically ill patients can achieve better results, and can improve the success rate of rescue and patient satisfaction.
文摘Objective: to observe the effect of whole process nursing intervention in the nursing of patients with Sicca syndrome. Methods: 42 patients from June 2020 to May 2021 were taken as the analysis objectives, and they were randomly divided into the first group (general nursing intervention) and the second groups (whole-process nursing intervention) according to the admission number. Results: (1) in the comparison of quality of life and emotional state scores of the first group and the second group, the scores of the first group were 75.36±4.28 (points) and 50.38±4.19 (points) respectively, and the scores of the second group were 89.63±4.55 (points) and 39.85±3.76 (points) respectively (t = 18.813, P = 0.000). (2) In the comparison of satisfaction and complication rate between the first group and the second group, the first group were 76.19% and 33.33% respectively, and the second group were 95.23% and 4.76% respectively (χ2 = 8.691, P = 0.000). There was a difference between the two groups. Conclusion: the effect of whole course nursing intervention in the nursing of patients with Sicca syndrome is excellent and worthy of recommendation.
文摘Objective: to implement the whole process follow-up nursing intervention in the continuous quality improvement of vascular access in maintenance hemodialysis and observe the application effect. Methods: the selected personnel were selected from dialysis patients who received treatment in our hospital in recent one year ( January 2021- January 2022), and were given whole process follow-up nursing intervention. Results: after the corresponding nursing intervention, hemodialysis was carried out smoothly, the level of coagulation indexes showed a good trend, and the incidence of complications was low, which further promoted the improvement of their quality of life. Conclusion: in the continuous quality improvement of vascular access in maintenance hemodialysis, the application value of whole process follow-up nursing is obvious. It plays a positive role in improving the treatment effect and improving the medical experience of patients, which is worthy of popularization.
文摘Objective:Discuss the clinical effect of the process diabetes nurse group in the treatment of diabetes patients.Methods:A total of 58 patients with diabetes who received treatment in our hospital from January 2021 to June 2021 were selected,and the 58 patients were divided into two groups by random number table.In one group,29 patients were treated with process diabetes group nursing,which was recorded as the observation group;in the other group,29 patients were treated with conventional care,which was recorded as the control group.Nursing satisfaction,compliance behavior of patients,and adverse incidence were analyzed.Results:After nursing,the data of the two groups were summarized.The score of compliance behavior in the observation group was 91.23±4.56,which was significantly better than that in the control group(75.13土5.23).The t values of the score of compliance behavior were 12.4952,P<0.05.The qualified rate of fasting blood glucose in the observation group was 100%,which was significantly higher than that in the control group(62.07%),P<0.05.According to the questionnaire analysis,there were 18 patients in the observation group who were very satisfied,8 patients who were satisfied and 3 patients who were not satisfied,with a total satisfaction rate of 89.66%,and in the control group,there were 4 patients who were very satisfied,15 patients who were satisfied and 10 patients who were not satisfied,with a total satisfaction rate of 65.52%.The control group was significantly inferior to the observation group,and P<0.05 was regarded as statistically significant.Conclusion:Adopting the process of diabetes group nursing can effectively enhance the compliance behavior of patients,and effectively control the blood sugar index of patients,and improve the satisfaction degree of patients.
基金This project was supported by the Development and application of nursing decision support system based on artificial intelligence(No.2019ZD006).
文摘The clinical decision support system makes electronic health records(EHRs)structured,intelligent,and knowledgeable.The nursing decision support system(NDSS)is based on clinical nursing guidelines and nursing process to provide intelligent suggestions and reminders.The impact on nurses’work is mainly in shortening the recording time,improving the quality of nursing diagnosis,reducing the incidence of nursing risk events,and so on.However,there is no authoritative standard for the NDSS at home and abroad.This review introduces development and challenges of EHRs and recommends the application of the NDSS in EHRs,namely the nursing assessment decision support system,the nursing diagnostic decision support system,and the nursing care planning decision support system(including nursing intervene),hoping to provide a new thought and method to structure impeccable EHRs.
文摘Introduction: In the 1990s, the development of highly active combination antiretroviral therapy in the treatment of AIDS was highlighted. The great benefit generated by the use of this treatment was the prolongation of survival of the people who got this disease, since it is no longer considered fatal, becoming a chronic condition. Objective: To identify the prevalence of the nursing diagnosis Lack of Adherence, its defining characteristics and related factors in people living with AIDS, to investigate the association between them and the prevalence rates. Methods: Cross-sectional study with 113 patients in a hospital in northeastern Brazil. For data analysis, the test of Pearson chi-square and Fisher’s exact test were used, and also calculated the prevalence rates. Results: Lack of Adherence diagnosis was present in 69% of the sample investigated. The defining characteristics and related factors that are statistically associated with that diagnosis were: lack of adherence behavior, missing scheduled appointments, complications related to development, insufficient skills to implement the system and complex treatment system. The first two characteristics had the highest chances for the development of this diagnosis. Conclusion: The study showed that the diagnostic studied was prevalent in these patients and 3 characteristics and 2 factors showed significant association.
文摘Background: The incidence of cancer pain in patients with malignant tumors is relatively high, and pain control is poor, which is closely related to many factors, especially the nursing way. Objective: To explore the effect of standardized nursing model on pain control in patients with malignant tumors. Methods: 50 patients with malignant tumors treated in the Affiliated Hospital of Chengde Medical College from January to December in 2021 were randomly divided into 25 cases in the control group and 25 cases in the observation group. The pain control and medication compliance of the two groups were compared. Results: There was no difference in the corresponding score of admission pain between the two groups (P > 0.05), and the pain score of the observation group was lower than that of the control group (P P Conclusion: Standardized cancer pain nursing can ease the pain of patients, and the medication compliance is better.
文摘Objective: to analyze the effect of continuous midwifery nursing and routine nursing on vaginal trial labor. Methods: the sample size was 90 cases, all of which were pregnant women with scar uterus. They were randomly divided into control group and observation group. Routine intervention was applied in the control group, and continuous midwifery intervention was applied in the whole process of observation group. Results: observation group were significantly better, P < 0.05. Conclusion: the whole process of continuous midwifery nursing effect is better.
