BACKGROUND Cesarean hemorrhage is one of the serious complications,and short-term massive blood transfusion can easily cause postoperative infection and physical stress response.However,predictive nursing intervention...BACKGROUND Cesarean hemorrhage is one of the serious complications,and short-term massive blood transfusion can easily cause postoperative infection and physical stress response.However,predictive nursing intervention has important clinical significance for it.AIM To explore the effect of predictive nursing intervention on the stress response and complications of women undergoing short-term mass blood transfusion during cesarean section(CS).METHODS A clinical medical record of 100 pregnant women undergoing rapid mass blood transfusion during sections from June 2019 to June 2021.According to the different nursing methods,patients divided into control group(n=50)and observation group(n=50).Among them,the control group implemented routine nursing,and the observation group implemented predictive nursing intervention based on the control group.Moreover,compared the differences in stress res-ponse,complications,and pain scores before and after the nursing of pregnant women undergoing rapid mass blood transfusion during CS.RESULTS The anxiety and depression scores of pregnant women in the two groups were significantly improved after nursing,and the psychological stress response of the observation group was significantly lower than that of the control group(P<0.05).The heart rate and mean arterial pressure(MAP)of the observation group during delivery were lower than those of the control group,and the MAP at the end of delivery was lower than that of the control group(P<0.05).Moreover,different pain scores improved significantly in both groups,with the observation group considerably less than the control group(P<0.05).After nursing,complications such as skin rash,urinary retention,chills,diarrhea,and anaphylactic shock in the observation group were 18%,which significantly higher than in the control group(4%)(P<0.05).CONCLUSION Predictive nursing intervention can effectively relieve the pain,reduce the incidence of complications,improve mood and stress response,and serve as a reference value for the nursing of women undergoing rapid mass transfusion during CS.展开更多
Objective To describe the preoperative factors of prolonged intensive care unit length of stay after coronary artery bypass grafting. Methods From 1997 to 2009, 1318 patients underwent isolated CABG in our hospital. R...Objective To describe the preoperative factors of prolonged intensive care unit length of stay after coronary artery bypass grafting. Methods From 1997 to 2009, 1318 patients underwent isolated CABG in our hospital. Retrospective analysis was performed on these cases. Univariate and multivariate analyses展开更多
Objective The rate of post-operative complications has been increased with the changes in patients’age,prolonged duration,more severe and diffused lesions,and more patients with complications in recent years. We try ...Objective The rate of post-operative complications has been increased with the changes in patients’age,prolonged duration,more severe and diffused lesions,and more patients with complications in recent years. We try to identify the risk factors associated with prolonged stay in the intensive care unit (ICU) after coronary artery bypass graft surgery (CABG) . Methods 1623 patients who received CABG surgery in Beijing Anzhen Hospital展开更多
Objective: combined with the data of orthopedic patients, to analyze the clinical effect of predictive nursing for orthopedic patients. Methods: the clinical data of 240 patients who were treated in our orthopedic dep...Objective: combined with the data of orthopedic patients, to analyze the clinical effect of predictive nursing for orthopedic patients. Methods: the clinical data of 240 patients who were treated in our orthopedic department from January to December 2020 were selected. According to random sampling, 240 patients were divided into observation group and control group according to different nursing methods. The control group was treated with our conventional orthopedic nursing intervention, and the observation group was combined with predictive nursing on the basis of conventional nursing. After clinical treatment and nursing, the pain score and complications of the two groups of patients were analyzed and compared. Results: after the intervention of clinical nursing measures, 4 cases of complications occurred in the observation group, the pain score was 1.08±0.92 points, better than the control group and the difference was obvious. Conclusion: the nursing needs of orthopedic patients are relatively special, through the clinical development of predictive nursing can achieve good results, can contribute to the normal recovery of patients, at the same time to control the complications have significant effects.展开更多
Objective: To clarify the relationship between total hip arthroplasty and nursing cooperation, and to focus on predictive nursing intervention. Methods: All the patients included in this study were elderly people, who...Objective: To clarify the relationship between total hip arthroplasty and nursing cooperation, and to focus on predictive nursing intervention. Methods: All the patients included in this study were elderly people, who received the surgical treatment proposed by the research institute, and the influence of predictive nursing cooperation on the treatment was made clear. Results: After the nursing, there was no risk event, and the treatment situation was better. With the ideal indicators, the patients medical experience was improved, and their satisfaction was increased. Conclusion: The application of predictive nursing in the perioperative period of this kind of operation can give full play to the cooperative effect, not only prevent the risk events, but also guarantee the long-term curative effect.展开更多
Objective: to conduct a comprehensive and in-depth research and analysis on the practical application of predictive nursing and evidence-based nursing in anesthesia patients in the operating room. Methods: fifty eight...Objective: to conduct a comprehensive and in-depth research and analysis on the practical application of predictive nursing and evidence-based nursing in anesthesia patients in the operating room. Methods: fifty eight patients who underwent surgery in our hospital from 2017 to 2019 were selected as the subjects of this study. All patients were divided into two groups by random average grouping. Predictive nursing was adopted for the patients in the control group, while evidence-based nursing was adopted for each patient in the experimental group. The recovery time and complications of patients in the operating room in the two groups were comprehensively analyzed and studied. Results: there was no significant difference in recovery time and VAS score between the two groups. The probability of complications in the experimental group was lower than that in the reference group. Conclusion: evidence based nursing and predictive nursing can play a positive role in the rehabilitation of anesthesia patients in the operating room. After the completion of evidence-based nursing, the probability of complications is relatively low. In practice, it is also necessary to select appropriate nursing methods in combination with the actual situation and needs of patients.展开更多
Objective: to observe the practical effect of predictive nursing in the 1-3 year-old childrens immunization nursing. Methods: a total of 114 children aged 1-3 years were enrolled in the study and divided into group ①...Objective: to observe the practical effect of predictive nursing in the 1-3 year-old childrens immunization nursing. Methods: a total of 114 children aged 1-3 years were enrolled in the study and divided into group ①: Control group and group ②: Observation group. Routine nursing and predictive nursing were administered respectively. Results: the data in Table 1-5 all indicate that the data obtained from the nursing methods in the observation group are more satisfactory (P < 0.05). Conclusion: predictive nursing is helpful to improve the coordination degree and comfort level of immunization for children aged 1-3 years old, reduce the incidence of stress reaction, and improve the cognitive level and satisfaction of family members.展开更多
Objective: to observe the effect of the predictive nursing method in the nursing process of parturient with shoulder dystocia. Methods: 68 cases of parturients with shoulder dystocia in our department from April 2018 ...Objective: to observe the effect of the predictive nursing method in the nursing process of parturient with shoulder dystocia. Methods: 68 cases of parturients with shoulder dystocia in our department from April 2018 to June 2020 were taken as observation objects, and divided into observation group and control group. The observation group adopted predictive nursing, while the control group used conventional nursing, and the effects of the two nursing methods were compared. Results: the incidence of shoulder dyspsia was 2.94% in the observation group and 26.47% in the control group (χ2 = 23.198, P = 0.000), and the results were different. Conclusion: predictive nursing method is effective in nursing for parturient with shoulder dystocia, which can be popularized.展开更多
Objective: to study the effect of predictive nursing on reducing bleeding after vaginal delivery. Methods: from May 2020 to May 2021, 52 cases of expectant mothers who were admitted to the obstetrics department of our...Objective: to study the effect of predictive nursing on reducing bleeding after vaginal delivery. Methods: from May 2020 to May 2021, 52 cases of expectant mothers who were admitted to the obstetrics department of our hospital were enrolled as the study subjects. All the women chose vaginal delivery as the delivery mode and received clinical care. The included subjects were divided into two groups by random number table method. There were differences in the way of nursing between the two groups. One group was given routine delivery care as observation group A, and the other group was given predictive care as observation group B. The postpartum bleeding was compared between the two groups. Results: in the comparison of blood loss and bleeding rate at 2h postpartum and 24h postpartum, the blood loss in observation group B was less than that in observation group A, and the bleeding rate was lower than that in observation group A, with statistical significance (P < 0.05). Conclusion: in order to reduce postpartum bleeding and reduce the risk of bleeding, it can be seen that the application of predictive nursing is of significant application value.展开更多
BACKGROUND Influenza in children is a major cause of morbidity and mortality worldwide.Nervous system diseases are a factor relating to increased mortality rate.However, reports of how these underlying diseases contri...BACKGROUND Influenza in children is a major cause of morbidity and mortality worldwide.Nervous system diseases are a factor relating to increased mortality rate.However, reports of how these underlying diseases contribute to the death of children with influenza are rare.CASE SUMMARY A 4-year-old-girl developed type A influenza-related encephalopathy(IAE) with seizures, acute disorder of consciousness, and intracranial hypertension(cerebrospinal fluid pressure: 250 mm H2O), and the Dandy-Walker variant was found by her first magnetic resonance imaging(MRI) when admission. Three days later, she suddenly presented anisocoria, acute pulmonary edema, and coma, and the later MRI found that she had compressed brainstem, oblongata "Zlike folding", and swelling bilateral basal ganglia. After admission, the patient were tested for routine and special biomarkers and underwent neuroimaging and neuroelectrophysiology examinations as well as Oseltamivir and intravenous immunogloblin treatments. When predicting that unstable intracranial structures detected by MRI might have disastrous consequences in the progression of IAE,she was transferred into the pediatric intensive care unit and underwent continuous assessment of clinical condition while she did not have instability of basic vital signs;at the same time, her parents were fully informed about the risk and prognosis. Although she was ultimately dead from brain stem failure, the parents expressed understanding and did not trigger a doctor-patient conflict.CONCLUSION In case of finding an unstable intracranial structure, intensive care should be given to IAE patient and their clinical condition should be monitored continuously.展开更多
文摘BACKGROUND Cesarean hemorrhage is one of the serious complications,and short-term massive blood transfusion can easily cause postoperative infection and physical stress response.However,predictive nursing intervention has important clinical significance for it.AIM To explore the effect of predictive nursing intervention on the stress response and complications of women undergoing short-term mass blood transfusion during cesarean section(CS).METHODS A clinical medical record of 100 pregnant women undergoing rapid mass blood transfusion during sections from June 2019 to June 2021.According to the different nursing methods,patients divided into control group(n=50)and observation group(n=50).Among them,the control group implemented routine nursing,and the observation group implemented predictive nursing intervention based on the control group.Moreover,compared the differences in stress res-ponse,complications,and pain scores before and after the nursing of pregnant women undergoing rapid mass blood transfusion during CS.RESULTS The anxiety and depression scores of pregnant women in the two groups were significantly improved after nursing,and the psychological stress response of the observation group was significantly lower than that of the control group(P<0.05).The heart rate and mean arterial pressure(MAP)of the observation group during delivery were lower than those of the control group,and the MAP at the end of delivery was lower than that of the control group(P<0.05).Moreover,different pain scores improved significantly in both groups,with the observation group considerably less than the control group(P<0.05).After nursing,complications such as skin rash,urinary retention,chills,diarrhea,and anaphylactic shock in the observation group were 18%,which significantly higher than in the control group(4%)(P<0.05).CONCLUSION Predictive nursing intervention can effectively relieve the pain,reduce the incidence of complications,improve mood and stress response,and serve as a reference value for the nursing of women undergoing rapid mass transfusion during CS.
文摘Objective To describe the preoperative factors of prolonged intensive care unit length of stay after coronary artery bypass grafting. Methods From 1997 to 2009, 1318 patients underwent isolated CABG in our hospital. Retrospective analysis was performed on these cases. Univariate and multivariate analyses
文摘Objective The rate of post-operative complications has been increased with the changes in patients’age,prolonged duration,more severe and diffused lesions,and more patients with complications in recent years. We try to identify the risk factors associated with prolonged stay in the intensive care unit (ICU) after coronary artery bypass graft surgery (CABG) . Methods 1623 patients who received CABG surgery in Beijing Anzhen Hospital
文摘Objective: combined with the data of orthopedic patients, to analyze the clinical effect of predictive nursing for orthopedic patients. Methods: the clinical data of 240 patients who were treated in our orthopedic department from January to December 2020 were selected. According to random sampling, 240 patients were divided into observation group and control group according to different nursing methods. The control group was treated with our conventional orthopedic nursing intervention, and the observation group was combined with predictive nursing on the basis of conventional nursing. After clinical treatment and nursing, the pain score and complications of the two groups of patients were analyzed and compared. Results: after the intervention of clinical nursing measures, 4 cases of complications occurred in the observation group, the pain score was 1.08±0.92 points, better than the control group and the difference was obvious. Conclusion: the nursing needs of orthopedic patients are relatively special, through the clinical development of predictive nursing can achieve good results, can contribute to the normal recovery of patients, at the same time to control the complications have significant effects.
文摘Objective: To clarify the relationship between total hip arthroplasty and nursing cooperation, and to focus on predictive nursing intervention. Methods: All the patients included in this study were elderly people, who received the surgical treatment proposed by the research institute, and the influence of predictive nursing cooperation on the treatment was made clear. Results: After the nursing, there was no risk event, and the treatment situation was better. With the ideal indicators, the patients medical experience was improved, and their satisfaction was increased. Conclusion: The application of predictive nursing in the perioperative period of this kind of operation can give full play to the cooperative effect, not only prevent the risk events, but also guarantee the long-term curative effect.
文摘Objective: to conduct a comprehensive and in-depth research and analysis on the practical application of predictive nursing and evidence-based nursing in anesthesia patients in the operating room. Methods: fifty eight patients who underwent surgery in our hospital from 2017 to 2019 were selected as the subjects of this study. All patients were divided into two groups by random average grouping. Predictive nursing was adopted for the patients in the control group, while evidence-based nursing was adopted for each patient in the experimental group. The recovery time and complications of patients in the operating room in the two groups were comprehensively analyzed and studied. Results: there was no significant difference in recovery time and VAS score between the two groups. The probability of complications in the experimental group was lower than that in the reference group. Conclusion: evidence based nursing and predictive nursing can play a positive role in the rehabilitation of anesthesia patients in the operating room. After the completion of evidence-based nursing, the probability of complications is relatively low. In practice, it is also necessary to select appropriate nursing methods in combination with the actual situation and needs of patients.
文摘Objective: to observe the practical effect of predictive nursing in the 1-3 year-old childrens immunization nursing. Methods: a total of 114 children aged 1-3 years were enrolled in the study and divided into group ①: Control group and group ②: Observation group. Routine nursing and predictive nursing were administered respectively. Results: the data in Table 1-5 all indicate that the data obtained from the nursing methods in the observation group are more satisfactory (P < 0.05). Conclusion: predictive nursing is helpful to improve the coordination degree and comfort level of immunization for children aged 1-3 years old, reduce the incidence of stress reaction, and improve the cognitive level and satisfaction of family members.
文摘Objective: to observe the effect of the predictive nursing method in the nursing process of parturient with shoulder dystocia. Methods: 68 cases of parturients with shoulder dystocia in our department from April 2018 to June 2020 were taken as observation objects, and divided into observation group and control group. The observation group adopted predictive nursing, while the control group used conventional nursing, and the effects of the two nursing methods were compared. Results: the incidence of shoulder dyspsia was 2.94% in the observation group and 26.47% in the control group (χ2 = 23.198, P = 0.000), and the results were different. Conclusion: predictive nursing method is effective in nursing for parturient with shoulder dystocia, which can be popularized.
文摘Objective: to study the effect of predictive nursing on reducing bleeding after vaginal delivery. Methods: from May 2020 to May 2021, 52 cases of expectant mothers who were admitted to the obstetrics department of our hospital were enrolled as the study subjects. All the women chose vaginal delivery as the delivery mode and received clinical care. The included subjects were divided into two groups by random number table method. There were differences in the way of nursing between the two groups. One group was given routine delivery care as observation group A, and the other group was given predictive care as observation group B. The postpartum bleeding was compared between the two groups. Results: in the comparison of blood loss and bleeding rate at 2h postpartum and 24h postpartum, the blood loss in observation group B was less than that in observation group A, and the bleeding rate was lower than that in observation group A, with statistical significance (P < 0.05). Conclusion: in order to reduce postpartum bleeding and reduce the risk of bleeding, it can be seen that the application of predictive nursing is of significant application value.
基金Supported by the Medical Science and Technology Research Foundation of Guangdong,China,No.A2019373the Innovative Project of Children’s Research Institute,Guangzhou Women and Children’s Medical Center,China,No.Pre-NSFC-2018-004 and Pre-NSFC-2018-008
文摘BACKGROUND Influenza in children is a major cause of morbidity and mortality worldwide.Nervous system diseases are a factor relating to increased mortality rate.However, reports of how these underlying diseases contribute to the death of children with influenza are rare.CASE SUMMARY A 4-year-old-girl developed type A influenza-related encephalopathy(IAE) with seizures, acute disorder of consciousness, and intracranial hypertension(cerebrospinal fluid pressure: 250 mm H2O), and the Dandy-Walker variant was found by her first magnetic resonance imaging(MRI) when admission. Three days later, she suddenly presented anisocoria, acute pulmonary edema, and coma, and the later MRI found that she had compressed brainstem, oblongata "Zlike folding", and swelling bilateral basal ganglia. After admission, the patient were tested for routine and special biomarkers and underwent neuroimaging and neuroelectrophysiology examinations as well as Oseltamivir and intravenous immunogloblin treatments. When predicting that unstable intracranial structures detected by MRI might have disastrous consequences in the progression of IAE,she was transferred into the pediatric intensive care unit and underwent continuous assessment of clinical condition while she did not have instability of basic vital signs;at the same time, her parents were fully informed about the risk and prognosis. Although she was ultimately dead from brain stem failure, the parents expressed understanding and did not trigger a doctor-patient conflict.CONCLUSION In case of finding an unstable intracranial structure, intensive care should be given to IAE patient and their clinical condition should be monitored continuously.
