Objective: To examine the daily life care, spiritual comfort, and fall safety care needs of the elderly in urban and rural areas of Tangshan, along with their influencing factors. Methods: From August 2022 to April 20...Objective: To examine the daily life care, spiritual comfort, and fall safety care needs of the elderly in urban and rural areas of Tangshan, along with their influencing factors. Methods: From August 2022 to April 2023, an investigation was conducted among urban and rural elderly individuals aged over 75 years in Tangshan City using the Activities of Daily Living Scale, the Revised Community Elderly Fall Risk Assessment Tool, and the Loneliness Scale. Results: The study included 750 urban and 740 rural elderly individuals aged over 75 years. Matrix analysis revealed a significant proportion of fall safety care needs across various daily life and spiritual care requirements. Multiple factor analysis indicated that advanced age, lower education levels, a greater number of chronic diseases, and lower levels of family and social support were associated with higher care demands among the elderly in both urban and rural areas. These differences were statistically significant (P < 0.05). Conclusion: The elderly in urban and rural areas demonstrate a high demand for fall safety care. Particular attention should be given to individuals with lower education levels, those who are widowed, those with multiple chronic diseases, and those with low levels of family and social support to better meet the diverse care needs of this population.展开更多
BACKGROUND Patients with colorectal cancer may need postoperative nursing to improve prognosis,and conventional nursing is not effective.Clinical research is needed to explore nursing methods that can more effectively...BACKGROUND Patients with colorectal cancer may need postoperative nursing to improve prognosis,and conventional nursing is not effective.Clinical research is needed to explore nursing methods that can more effectively improve postoperative conditions on colorectal cancer patients undergoing colostomy.AIM To explore the effect of internet multiple linkage mode-based extended care combined with in-hospital comfort care on colorectal cancer patients undergoing colostomy.METHODS Data from 187 patients with colostomy treated in our hospital from May 2019 to March 2022 were collected and divided into three groups,A(n=62),B(n=62)and C(n=63),according to different intervention methods.Group A received internet multiple linkage mode-based extended care combined with in-hospital comfort care.Group B received internet multiple linkage mode-based extended care.Group C received usual care intervention.Complications were compared among the three groups.The stoma self-efficacy scale,Hamilton Anxiety Scale,RESULTS The complication rate of group A,B and C(16.13%,20.97%and 60.32%,respectively)was significantly different(all P<0.05).The incidence of complications in groups A and B was lower than that in group C,and there was no significant difference between groups A and B(P>0.05).After intervention,the scores of ostomy care,social contact,diet choice,confidence in maintaining vitality,confidence in self-care of ostomy,confidence in sexual life,confidence in sexual satisfaction and confidence in physical labor in the three groups were all higher than before intervention,and the scores of groups A and B were higher than those of group C,with statistical significance(P<0.05).The Hamilton Anxiety Scale and Hamilton Depression Scale scores of the three groups after intervention were lower than those before intervention.The scores of groups A and B were lower than those of group C,and the score of group A was lower than that of group B,all with statistical significance(all P<0.05).There was a statist-ically significant difference in cancer-induced fatigue among the three groups(P<0.05).After intervention,the scores of physical health,psychological health,social health and mental health of the three groups were lower than before the intervention.The scores of group A and B were lower than that of group C;and the score of group A was lower than that of group B,all with statistical significance(all P<0.05).CONCLUSION Internet multiple linkage mode-based extended care combined with in-hospital comfort care can effectively improve self-efficacy,bad mood,cancer-related fatigue and life quality of colorectal cancer patients undergoing colostomy.展开更多
Patients who undertake cardiac surgery usually manifest discomforts. Comfort care plays an im- portant role in the postoperative management of a cardiac surgery patient. Methods A self-made General Com- fort Scale was...Patients who undertake cardiac surgery usually manifest discomforts. Comfort care plays an im- portant role in the postoperative management of a cardiac surgery patient. Methods A self-made General Com- fort Scale was used to evaluate the discomfort factors of 156 adult patients who underwent cardiac surgery in our department of Guangdong General Hospital from January to April 2014. All patients had open chest cardiac sur- gery under general anesthesia and cardiopulmonary bypass. The reasons for the discomfort were collected and the appropriate comfort cares were implemented. Results Our data showed that the main factors influencing the comfort of surgical patients included pain, thirst, hunger, nausea, vomit, abdominal distension, sleeping disorder, postural discomfort, surrounding and psychological causes etc. Among the 156 adult patients, 153 patients com- plained of thirst, 141 patients felt painful, 96 patients felt hungry, and 67 patients had sleeping disorders. These discomfort factors affected the treatment and rehabilitation of patients. Conclusions Basic and specific comfort and appropriate nursing cares should be carried out to alleviate the discomfort factors such as sleep disorder, pain and endotracheal intubation, which could protect patients＇ benefit and promote their rehabilitation.展开更多
Purpose: Carrying out a scoping review to fill gaps in current knowledge regarding comfort needs in the care provided by nurses to girls/women who experience puerperium. Methods: The procedures guided by the Joanna Br...Purpose: Carrying out a scoping review to fill gaps in current knowledge regarding comfort needs in the care provided by nurses to girls/women who experience puerperium. Methods: The procedures guided by the Joanna Briggs Institute will be applied. The searches will be carried out in the Medical Literature Analysis and Retrieval System Online, Excerpta Medica Database, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature, Nursing Database, Scientific Electronic Library databases. Studies which are available in full and published in English, Spanish or Portuguese will be selected. There will be no restrictions to the study design or time frame. Two reviewers will independently screen all citations with the aid of software. The degree of agreement between the researchers will be verified by statistics that measure reliability. Through narrative descriptions, charts, and tables, we will present the results obtained. Data analysis will involve descriptive statistics, and qualitative evaluation. We will use the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist to review and write this review. Conclusion: We will summarize the main information available in the literature on the subject, aiming to obtain an overview of the practices employed, and the gaps present in knowledge that require greater attention from the scientific community.展开更多
Objective: to explore the value of comfort nursing in femoral neck fracture nursing. Methods: 58 patients with femoral neck fracture from August 2020 to August 2021 were selected to give patients comfortable nursing i...Objective: to explore the value of comfort nursing in femoral neck fracture nursing. Methods: 58 patients with femoral neck fracture from August 2020 to August 2021 were selected to give patients comfortable nursing intervention, and compare the pain degree, anxiety status and quality of life before and after the intervention. Results: better pain degree, anxiety status, and quality of life after the intervention than before the intervention (P <0.05).Conclusion: the effect of femoral neck fracture is beneficial to improve pain and anxiety and quality of life.展开更多
Objective: in order to improve the clinical nursing level of elderly patients in anorectal surgery, this study analyzed the effect of comfort care on these patients. Methods: 60 elderly patients with anorectal surgery...Objective: in order to improve the clinical nursing level of elderly patients in anorectal surgery, this study analyzed the effect of comfort care on these patients. Methods: 60 elderly patients with anorectal surgery admitted to our hospital in 2020 were randomly selected and evenly divided into the control group (conventional nursing method) and the observation group (comfortable nursing intervention), and the nursing effects of the two groups of patients were compared. Results: comfortable nursing intervention was applied to the elderly patients in anorectal surgery, which significantly improved their nursing satisfaction, the incidence of complications and the average hospitalization time, as compared with the conventional group (P < 0.05). Conclusion: comfortable nursing intervention can significantly improve the nursing safety and satisfaction of elderly patients undergoing anorectal surgery and assist in accelerating the rehabilitation progress.展开更多
Objective: the experiment will investigate different nursing forms for hypertension, and compare the effect and difference between conventional nursing and comfort nursing. Methods: 122 inpatients with hypertension fr...Objective: the experiment will investigate different nursing forms for hypertension, and compare the effect and difference between conventional nursing and comfort nursing. Methods: 122 inpatients with hypertension from January 2019 to February of the following year were selected for the study and divided into 2 groups with envelopes. 61 subjects in the control group received regular care. The study group of 61 cases received comfortable nursing and summarized the nursing effect. Results: the results of quality of life scores of the comparison group and the research group were relatively low, and there was a difference between the two groups, indicating that they were both clinically and statistically significant (P < 0.05). Conclusion: comfort care should be the first choice in hypertension care, and the implementation effect of this plan is excellent.展开更多
Objective: to analyze the effect of comfort nursing in neurology nursing. To explore its clinical value. Methods: 102 patients admitted to our hospital from May 2020 to December 2020 were selected as research objects....Objective: to analyze the effect of comfort nursing in neurology nursing. To explore its clinical value. Methods: 102 patients admitted to our hospital from May 2020 to December 2020 were selected as research objects. The patients were divided into control group and study group according to the principle of single and double number according to the time of admission. There are 51 people in each group. Patients in the control group were given clinical routine nursing mode;On the basis of routine nursing, the patients in the study group;The implementation of comfort care model;The nursing effect of two groups of patients under different nursing modes was compared. Results: through data analysis;The indexes of the patients in the study group were better than those in the control group. The difference between the two groups was statistically significant (P < 0.05). Conclusion: through the implementation of comfortable nursing mode in neurology department;Can effectively improve the treatment effect of patients;Improve the comfort and quality of life of patients in hospital;The satisfaction of nursing care is improved.展开更多
Objective: to study the value of comfort nursing in elderly patients with pulmonary heart disease. Methods: 100 elderly patients with pulmonary heart disease who were admitted to the Department of Geriatrics, the Firs...Objective: to study the value of comfort nursing in elderly patients with pulmonary heart disease. Methods: 100 elderly patients with pulmonary heart disease who were admitted to the Department of Geriatrics, the First Affiliated Hospital of Medical College of Zhejiang University from January 2019 to December 2019 were divided into group A and group B by random computer table method. Comfort care was performed in group A, while routine care was performed in group B. The nursing effects of the two groups were mainly compared. Results: ① the nursing satisfaction of group A was higher than that of group B, the difference between the two groups was P < 0.05. ② there was significant difference in hospitalization time and hospitalization expenses between group A and group B (P < 0.05). Conclusion: the implementation of comfortable nursing in the nursing of elderly patients with pulmonary heart disease is helpful to improve patients' satisfaction with nursing and reduce the actual hospitalization time and expenses of patients.展开更多
Objective: the experiment will provide a convenient treatment method for the treatment of children's respiratory tract infection, the treatment of clinical diseases and the improvement of dependence on them. Metho...Objective: the experiment will provide a convenient treatment method for the treatment of children's respiratory tract infection, the treatment of clinical diseases and the improvement of dependence on them. Methodologies: the experimental samples of children with respiratory tract infection received from June 2019 to September 2020 were selected as research objects. The selective classification of computer system enables us to objectively group 120 children participating in the experiment. When the Group uses conventional nursing methods, it will provide comfortable nursing and compare the nursing results. Results: from the qualitative point of view, 95.0% (57/60) of the observation group took care of the sick children, while 85.0% (51/60) of the control group had statistical significance (P < 0.05). At the same time, in the investigation of the timing of stopping clinical symptoms, the results of this group for sick children are higher than those of the control group, and the difference is statistically significant in nature. Finally, the satisfaction of family members with children in this group was 96.7% (58/60), significantly higher than that of the control group of 83.3% (50/60), the difference was statistically significant. The bottom line: comfortable care improves the feasibility of clinical care, and also helps families understand the child's rehabilitation, treatment stage, and improve the sick relationship, thus building trust and value.展开更多
Discharging patients directly to home from the intensive care unit(ICU)is becoming a new trend.This review examines the feasibility,benefits,challenges,and considerations of directly discharging ICU patients.By analyz...Discharging patients directly to home from the intensive care unit(ICU)is becoming a new trend.This review examines the feasibility,benefits,challenges,and considerations of directly discharging ICU patients.By analyzing available evidence and healthcare professionals'experiences,the review explores the potential impacts on patient outcomes and healthcare systems.The practice of direct discharge from the ICU presents both opportunities and complexities.While it can potentially reduce costs,enhance patient comfort,and mitigate complications linked to extended hospitalization,it necessitates meticulous patient selection and robust post-discharge support mechanisms.Implementing this strategy successfully mandates the availability of home-based care services and a careful assessment of the patient's readiness for the transition.Through critical evaluation of existing literature,this review underscores the significance of tailored patient selection criteria and comprehensive post-discharge support systems to ensure patient safety and optimal recovery.The insights provided contribute evidence-based recommendations for refining the direct discharge approach,fostering improved patient outcomes,heightened satisfaction,and streamlined healthcare processes.Ultimately,the review seeks to balance patientcentered care and effective resource utilization within ICU discharge strategies.展开更多
Objective:To explore and analyze the effect of comfort nursing in patients with chronic obstructive pulmonary disease(COPD)complicated with respiratory failure.Methods:60 patients with COPD and respiratory failure who...Objective:To explore and analyze the effect of comfort nursing in patients with chronic obstructive pulmonary disease(COPD)complicated with respiratory failure.Methods:60 patients with COPD and respiratory failure who were admitted to the Department of Respiratory Medicine of our hospital from May 2020 to May 2023 were selected as subjects of this study,and they were divided into comfort group and reference group by odd and even number draw method,with 30 cases in each group.The comfort group received comfort nursing,and the reference group received general nursing.The lung function performance and living conditions were compared between the groups.Results:Before the intervention,there was no statistically significant difference(P>0.05)in terms of lung functions such as forced expiratory volume in the first second(FEV1),forced vital capacity(FVC),and the ratio FEV1/FVC between the groups;after the intervention,the lung functions of the comfort group were significantly better than those in the reference group(P<0.05).Before the intervention,there was no statistically significant difference(P>0.05)between the groups in terms of mental state,physical function,social situation,and spiritual aspects;after the intervention,the mental state,physical function,social situation,and spiritual aspects of the comfort group were significantly better than those of the reference group(P<0.05).Conclusion:Comfort nursing care for COPD patients with respiratory failure can improve their lung function and quality of life,and achieve ideal nursing effects.展开更多
Objective:The aim of the authors is to clarify the concept of comfort at the end-of-life in order to support understandings of fundamental nursing care needed at this stage of healthcare.Methods:The Walker and Avant f...Objective:The aim of the authors is to clarify the concept of comfort at the end-of-life in order to support understandings of fundamental nursing care needed at this stage of healthcare.Methods:The Walker and Avant framework was applied to develop a deeper understanding of the concept of comfort at the end of life.Results:Five defining attributes of comfort in the end-of-life were identified and they are having a peaceful home-life environment,trust and consolation,proximity and social-cultural support,alleviation of suffering,and a process of integrated intervention by nurses.Conclusions:At the end-of-life patients commonly experience physical,psychological,social-cultural,and environmental discomfort.Patients’families also encounter significant challenges.However,their comfort needs are often secondary to that of the patient.Additionally,a lack of clarity exists regarding the holistic meaning of comfort at the end-of-life,which can largely be confined to understandings of physical comfort for the patient,with a limited understanding of addressing family/caregivers’needs.Therefore,this concept analysis may provide some guidance in this regard and also provides support toward a more integrated understanding of the concept.展开更多
基金Model Study on the Care Effectiveness of Intergenerational Care for Disabled Elderly in Rural Areas under the Background of Silver Age(School level Project Y24-08)。
文摘Objective: To examine the daily life care, spiritual comfort, and fall safety care needs of the elderly in urban and rural areas of Tangshan, along with their influencing factors. Methods: From August 2022 to April 2023, an investigation was conducted among urban and rural elderly individuals aged over 75 years in Tangshan City using the Activities of Daily Living Scale, the Revised Community Elderly Fall Risk Assessment Tool, and the Loneliness Scale. Results: The study included 750 urban and 740 rural elderly individuals aged over 75 years. Matrix analysis revealed a significant proportion of fall safety care needs across various daily life and spiritual care requirements. Multiple factor analysis indicated that advanced age, lower education levels, a greater number of chronic diseases, and lower levels of family and social support were associated with higher care demands among the elderly in both urban and rural areas. These differences were statistically significant (P < 0.05). Conclusion: The elderly in urban and rural areas demonstrate a high demand for fall safety care. Particular attention should be given to individuals with lower education levels, those who are widowed, those with multiple chronic diseases, and those with low levels of family and social support to better meet the diverse care needs of this population.
基金Supported by Clinical Teaching Base of Jiangsu Medical Vocational College,No.20219141.
文摘BACKGROUND Patients with colorectal cancer may need postoperative nursing to improve prognosis,and conventional nursing is not effective.Clinical research is needed to explore nursing methods that can more effectively improve postoperative conditions on colorectal cancer patients undergoing colostomy.AIM To explore the effect of internet multiple linkage mode-based extended care combined with in-hospital comfort care on colorectal cancer patients undergoing colostomy.METHODS Data from 187 patients with colostomy treated in our hospital from May 2019 to March 2022 were collected and divided into three groups,A(n=62),B(n=62)and C(n=63),according to different intervention methods.Group A received internet multiple linkage mode-based extended care combined with in-hospital comfort care.Group B received internet multiple linkage mode-based extended care.Group C received usual care intervention.Complications were compared among the three groups.The stoma self-efficacy scale,Hamilton Anxiety Scale,RESULTS The complication rate of group A,B and C(16.13%,20.97%and 60.32%,respectively)was significantly different(all P<0.05).The incidence of complications in groups A and B was lower than that in group C,and there was no significant difference between groups A and B(P>0.05).After intervention,the scores of ostomy care,social contact,diet choice,confidence in maintaining vitality,confidence in self-care of ostomy,confidence in sexual life,confidence in sexual satisfaction and confidence in physical labor in the three groups were all higher than before intervention,and the scores of groups A and B were higher than those of group C,with statistical significance(P<0.05).The Hamilton Anxiety Scale and Hamilton Depression Scale scores of the three groups after intervention were lower than those before intervention.The scores of groups A and B were lower than those of group C,and the score of group A was lower than that of group B,all with statistical significance(all P<0.05).There was a statist-ically significant difference in cancer-induced fatigue among the three groups(P<0.05).After intervention,the scores of physical health,psychological health,social health and mental health of the three groups were lower than before the intervention.The scores of group A and B were lower than that of group C;and the score of group A was lower than that of group B,all with statistical significance(all P<0.05).CONCLUSION Internet multiple linkage mode-based extended care combined with in-hospital comfort care can effectively improve self-efficacy,bad mood,cancer-related fatigue and life quality of colorectal cancer patients undergoing colostomy.
基金Supported by Guangdong Provincial Department of Science and Technology(No:2015A020210061)
文摘Patients who undertake cardiac surgery usually manifest discomforts. Comfort care plays an im- portant role in the postoperative management of a cardiac surgery patient. Methods A self-made General Com- fort Scale was used to evaluate the discomfort factors of 156 adult patients who underwent cardiac surgery in our department of Guangdong General Hospital from January to April 2014. All patients had open chest cardiac sur- gery under general anesthesia and cardiopulmonary bypass. The reasons for the discomfort were collected and the appropriate comfort cares were implemented. Results Our data showed that the main factors influencing the comfort of surgical patients included pain, thirst, hunger, nausea, vomit, abdominal distension, sleeping disorder, postural discomfort, surrounding and psychological causes etc. Among the 156 adult patients, 153 patients com- plained of thirst, 141 patients felt painful, 96 patients felt hungry, and 67 patients had sleeping disorders. These discomfort factors affected the treatment and rehabilitation of patients. Conclusions Basic and specific comfort and appropriate nursing cares should be carried out to alleviate the discomfort factors such as sleep disorder, pain and endotracheal intubation, which could protect patients＇ benefit and promote their rehabilitation.
文摘Purpose: Carrying out a scoping review to fill gaps in current knowledge regarding comfort needs in the care provided by nurses to girls/women who experience puerperium. Methods: The procedures guided by the Joanna Briggs Institute will be applied. The searches will be carried out in the Medical Literature Analysis and Retrieval System Online, Excerpta Medica Database, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature, Nursing Database, Scientific Electronic Library databases. Studies which are available in full and published in English, Spanish or Portuguese will be selected. There will be no restrictions to the study design or time frame. Two reviewers will independently screen all citations with the aid of software. The degree of agreement between the researchers will be verified by statistics that measure reliability. Through narrative descriptions, charts, and tables, we will present the results obtained. Data analysis will involve descriptive statistics, and qualitative evaluation. We will use the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist to review and write this review. Conclusion: We will summarize the main information available in the literature on the subject, aiming to obtain an overview of the practices employed, and the gaps present in knowledge that require greater attention from the scientific community.
文摘Objective: to explore the value of comfort nursing in femoral neck fracture nursing. Methods: 58 patients with femoral neck fracture from August 2020 to August 2021 were selected to give patients comfortable nursing intervention, and compare the pain degree, anxiety status and quality of life before and after the intervention. Results: better pain degree, anxiety status, and quality of life after the intervention than before the intervention (P <0.05).Conclusion: the effect of femoral neck fracture is beneficial to improve pain and anxiety and quality of life.
文摘Objective: in order to improve the clinical nursing level of elderly patients in anorectal surgery, this study analyzed the effect of comfort care on these patients. Methods: 60 elderly patients with anorectal surgery admitted to our hospital in 2020 were randomly selected and evenly divided into the control group (conventional nursing method) and the observation group (comfortable nursing intervention), and the nursing effects of the two groups of patients were compared. Results: comfortable nursing intervention was applied to the elderly patients in anorectal surgery, which significantly improved their nursing satisfaction, the incidence of complications and the average hospitalization time, as compared with the conventional group (P < 0.05). Conclusion: comfortable nursing intervention can significantly improve the nursing safety and satisfaction of elderly patients undergoing anorectal surgery and assist in accelerating the rehabilitation progress.
文摘Objective: the experiment will investigate different nursing forms for hypertension, and compare the effect and difference between conventional nursing and comfort nursing. Methods: 122 inpatients with hypertension from January 2019 to February of the following year were selected for the study and divided into 2 groups with envelopes. 61 subjects in the control group received regular care. The study group of 61 cases received comfortable nursing and summarized the nursing effect. Results: the results of quality of life scores of the comparison group and the research group were relatively low, and there was a difference between the two groups, indicating that they were both clinically and statistically significant (P < 0.05). Conclusion: comfort care should be the first choice in hypertension care, and the implementation effect of this plan is excellent.
文摘Objective: to analyze the effect of comfort nursing in neurology nursing. To explore its clinical value. Methods: 102 patients admitted to our hospital from May 2020 to December 2020 were selected as research objects. The patients were divided into control group and study group according to the principle of single and double number according to the time of admission. There are 51 people in each group. Patients in the control group were given clinical routine nursing mode;On the basis of routine nursing, the patients in the study group;The implementation of comfort care model;The nursing effect of two groups of patients under different nursing modes was compared. Results: through data analysis;The indexes of the patients in the study group were better than those in the control group. The difference between the two groups was statistically significant (P < 0.05). Conclusion: through the implementation of comfortable nursing mode in neurology department;Can effectively improve the treatment effect of patients;Improve the comfort and quality of life of patients in hospital;The satisfaction of nursing care is improved.
文摘Objective: to study the value of comfort nursing in elderly patients with pulmonary heart disease. Methods: 100 elderly patients with pulmonary heart disease who were admitted to the Department of Geriatrics, the First Affiliated Hospital of Medical College of Zhejiang University from January 2019 to December 2019 were divided into group A and group B by random computer table method. Comfort care was performed in group A, while routine care was performed in group B. The nursing effects of the two groups were mainly compared. Results: ① the nursing satisfaction of group A was higher than that of group B, the difference between the two groups was P < 0.05. ② there was significant difference in hospitalization time and hospitalization expenses between group A and group B (P < 0.05). Conclusion: the implementation of comfortable nursing in the nursing of elderly patients with pulmonary heart disease is helpful to improve patients' satisfaction with nursing and reduce the actual hospitalization time and expenses of patients.
文摘Objective: the experiment will provide a convenient treatment method for the treatment of children's respiratory tract infection, the treatment of clinical diseases and the improvement of dependence on them. Methodologies: the experimental samples of children with respiratory tract infection received from June 2019 to September 2020 were selected as research objects. The selective classification of computer system enables us to objectively group 120 children participating in the experiment. When the Group uses conventional nursing methods, it will provide comfortable nursing and compare the nursing results. Results: from the qualitative point of view, 95.0% (57/60) of the observation group took care of the sick children, while 85.0% (51/60) of the control group had statistical significance (P < 0.05). At the same time, in the investigation of the timing of stopping clinical symptoms, the results of this group for sick children are higher than those of the control group, and the difference is statistically significant in nature. Finally, the satisfaction of family members with children in this group was 96.7% (58/60), significantly higher than that of the control group of 83.3% (50/60), the difference was statistically significant. The bottom line: comfortable care improves the feasibility of clinical care, and also helps families understand the child's rehabilitation, treatment stage, and improve the sick relationship, thus building trust and value.
文摘Discharging patients directly to home from the intensive care unit(ICU)is becoming a new trend.This review examines the feasibility,benefits,challenges,and considerations of directly discharging ICU patients.By analyzing available evidence and healthcare professionals'experiences,the review explores the potential impacts on patient outcomes and healthcare systems.The practice of direct discharge from the ICU presents both opportunities and complexities.While it can potentially reduce costs,enhance patient comfort,and mitigate complications linked to extended hospitalization,it necessitates meticulous patient selection and robust post-discharge support mechanisms.Implementing this strategy successfully mandates the availability of home-based care services and a careful assessment of the patient's readiness for the transition.Through critical evaluation of existing literature,this review underscores the significance of tailored patient selection criteria and comprehensive post-discharge support systems to ensure patient safety and optimal recovery.The insights provided contribute evidence-based recommendations for refining the direct discharge approach,fostering improved patient outcomes,heightened satisfaction,and streamlined healthcare processes.Ultimately,the review seeks to balance patientcentered care and effective resource utilization within ICU discharge strategies.
文摘Objective:To explore and analyze the effect of comfort nursing in patients with chronic obstructive pulmonary disease(COPD)complicated with respiratory failure.Methods:60 patients with COPD and respiratory failure who were admitted to the Department of Respiratory Medicine of our hospital from May 2020 to May 2023 were selected as subjects of this study,and they were divided into comfort group and reference group by odd and even number draw method,with 30 cases in each group.The comfort group received comfort nursing,and the reference group received general nursing.The lung function performance and living conditions were compared between the groups.Results:Before the intervention,there was no statistically significant difference(P>0.05)in terms of lung functions such as forced expiratory volume in the first second(FEV1),forced vital capacity(FVC),and the ratio FEV1/FVC between the groups;after the intervention,the lung functions of the comfort group were significantly better than those in the reference group(P<0.05).Before the intervention,there was no statistically significant difference(P>0.05)between the groups in terms of mental state,physical function,social situation,and spiritual aspects;after the intervention,the mental state,physical function,social situation,and spiritual aspects of the comfort group were significantly better than those of the reference group(P<0.05).Conclusion:Comfort nursing care for COPD patients with respiratory failure can improve their lung function and quality of life,and achieve ideal nursing effects.
文摘Objective:The aim of the authors is to clarify the concept of comfort at the end-of-life in order to support understandings of fundamental nursing care needed at this stage of healthcare.Methods:The Walker and Avant framework was applied to develop a deeper understanding of the concept of comfort at the end of life.Results:Five defining attributes of comfort in the end-of-life were identified and they are having a peaceful home-life environment,trust and consolation,proximity and social-cultural support,alleviation of suffering,and a process of integrated intervention by nurses.Conclusions:At the end-of-life patients commonly experience physical,psychological,social-cultural,and environmental discomfort.Patients’families also encounter significant challenges.However,their comfort needs are often secondary to that of the patient.Additionally,a lack of clarity exists regarding the holistic meaning of comfort at the end-of-life,which can largely be confined to understandings of physical comfort for the patient,with a limited understanding of addressing family/caregivers’needs.Therefore,this concept analysis may provide some guidance in this regard and also provides support toward a more integrated understanding of the concept.
