Objective: To investigate the application effect of refined nursing care in the care for elderly patients with reflux esophagitis. Methods: Following the difference in nursing style, 84 cases of elderly patients with ...Objective: To investigate the application effect of refined nursing care in the care for elderly patients with reflux esophagitis. Methods: Following the difference in nursing style, 84 cases of elderly patients with reflux esophagitis admitted to our hospital from May 2022 to May 2023 were randomly grouped into a control group and a research group, with 42 cases each. The control group was given conventional nursing care and the research group was given refined nursing care. The psychological state and treatment adherence of the two groups of patients after the nursing intervention were compared. Results: After the nursing intervention, the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of the research group were lower than those of the control group (P < 0.05). The treatment compliance of the research group was better than the control group (P < 0.05). Conclusion: The implementation of refined nursing care for elderly patients with reflux esophagitis exhibited a significant effect on improving the patient’s psychological state, treatment compliance, and rehabilitation.展开更多
BACKGROUND Cerebral infarction is a local or extensive necrosis of brain tissue.Subsequently,the corresponding neurological deficits appear.The incidence of cerebrovascular diseases in China is increasing gradually.Af...BACKGROUND Cerebral infarction is a local or extensive necrosis of brain tissue.Subsequently,the corresponding neurological deficits appear.The incidence of cerebrovascular diseases in China is increasing gradually.After the onset of cerebrovascular disease,the most common sequelae include movement disorders,language disorders,and cognitive dysfunction.AIM To investigate the effect of early refined nursing program on the prognosis of middle-aged and elderly patients with cerebral infarction combined with cognitive dysfunction.METHODS A retrospective study was conducted to divide 60 patients with cerebral infarction and cognitive impairment into an experimental group(n=32)and a control group(n=28).The experimental group received early intensive care every day,and the control group received daily routine care.The scores of the Mini-Mental State Examination(MMSE)and the Trail Making Test(TMT),as well as the latency and amplitude of the event-related potential P300,were used as main indicators to evaluate changes in cognitive function,and changes in BDNF,TGF-β,and GDNF expression were used as secondary indicators.RESULTS Both groups experienced notable enhancements in MMSE scores,with the experi-mental group demonstrating higher scores than the control group(experimental:28.75±2.31;control:25.84±2.87).Moreover,reductions in TMT-A and TMT-B scores were observed in both groups(experimental:TMT-A 52.36±6.18,TMT-B 98.47±10.23;control:TMT-A 61.48±7.92,TMT-B 112.63±12.55),with the experimental group displaying lower scores.P300 Latency decreased(experimental:270.63 ms±14.28 ms;control:285.72 ms±16.45 ms),while amplitude increased(experimental:7.82μV±1.05μV;control:6.35μV±0.98μV)significantly in both groups,with superior outcomes in the experimental cohort.Additionally,the levels of the growth factors BDNF,TGF-β1,and GDNF surged(experimental:BDNF 48.37 ng/mL±5.62 ng/mL,TGF-β152.14 pg/mL±4.28 pg/mL,GDNF 34.76 ng/mL±3.89 ng/mL;control:BDNF 42.58 ng/mL±4.73 ng/mL,TGF-β146.23 pg/mL±3.94 pg/mL,GDNF 30.25 ng/mL±2.98 ng/mL)in both groups,with higher levels in the experimental group.CONCLUSION For middle-aged and elderly patients with cerebral infarction and cognitive dysfunction,early refined nursing can significantly improve their cognitive function and prognosis.展开更多
Objective: to explore the effect of refined nursing on self-management and quality of life of cancer patients undergoing chemotherapy. Methods: a total of 180 tumor patients undergoing chemotherapy in our hospital fro...Objective: to explore the effect of refined nursing on self-management and quality of life of cancer patients undergoing chemotherapy. Methods: a total of 180 tumor patients undergoing chemotherapy in our hospital from March 2019 to June 2020 were selected, and 80 cases were randomly selected as the case of this study. 80 cases were randomly divided into two groups. According to the needs of the study, two groups of patients were treated differently. The control group provided routine care while the observation group provided refined care. The self-management ability and quality of life of the two groups of patients were investigated and statistically analyzed. Results: the implementation of refined care for cancer chemotherapy patients can improve their health knowledge, self-concept, self-care responsibility, self-care skills, and can effectively improve the patient's physical function, role function, cognitive function, emotional function and social function, with a significant difference between the two groups (p < 0.05). Conclusion: the application effect of refined nursing in cancer chemotherapy patients is good, which is mainly manifested in the improvement of patients' self-management ability and quality of life.展开更多
Objective: to explore and analyze the application value of refined nursing in the resuscitation period of gynecological laparoscopic surgery under general anesthesia. Methods: based on the sample analysis method, the ...Objective: to explore and analyze the application value of refined nursing in the resuscitation period of gynecological laparoscopic surgery under general anesthesia. Methods: based on the sample analysis method, the patients receiving gynecological laparoscopic surgery under general anesthesia in our hospital were selected as the subjects of the study. A total of 74 samples were selected from February 2019 to February 2021. According to the difference of nursing plan in the recovery period, the selected patients were divided into control group and observation group, with 37 patients in each group. The patients were given routine nursing and refined nursing intervention respectivey. The clinical indexes and nursing satisfaction of the enrolled patients were observed and compared. Results: the spontaneous breathing time, recovery time, residence time in resuscitation room and extubation time (14.67±4.05) in the observation group were significantly better than those in the control group (P < 0.05). At the same time, the nursing satisfaction of the observation group was significantly higher than that of the control group (97.5%: 78.0%). There was a significant difference in the data (P < 0.05). Conclusion: refined nursing is an ideal nursing mode for patients undergoing gynecological laparoscopic surgery under general anesthesia, which can significantly improve the clinical indicators of patients, and play a positive role in improving the evaluation of nursing quality, which is worthy of popularization.展开更多
Objective: to analyze the effect of fine nursing intervention in elderly patients with pneumonia. Methods: from June 2018 to June 2020, 80 elderly patients with pneumonia were randomly divided into two groups with 40 ...Objective: to analyze the effect of fine nursing intervention in elderly patients with pneumonia. Methods: from June 2018 to June 2020, 80 elderly patients with pneumonia were randomly divided into two groups with 40 cases in each group. The control group was given routine care;The experimental group was given refined nursing intervention, and the nursing effect of the two groups was compared. Results: after nursing, the levels of PaO2, FVC and FEV1 in the experimental group were higher than those in the control group, while the levels of PaCO2 and hs-CRP were lower than those in the control group, with statistical significance (P < 0.05). The improvement time and hospital stay of the experimental group were shorter than those of the control group, and the difference was statistically significant (P<0.05). Conclusion: refined nursing intervention has high application value for elderly patients with pneumonia. It can effectively improve the pulmonary function and blood gas index level of patients, accelerate the improvement of cough and sputum symptoms, and shorten the hospital stay.展开更多
Objective: to explore the clinical effect of meticulous resuscitation nursing intervention in postanesthesia care unit (PACU) for children undergoing laryngeal mask anesthesia. Methods: a total of 800 children who rec...Objective: to explore the clinical effect of meticulous resuscitation nursing intervention in postanesthesia care unit (PACU) for children undergoing laryngeal mask anesthesia. Methods: a total of 800 children who received surgical treatment in our hospital and required general anesthesia with laryngeal mask airway were randomly selected as the research object. The time span was from January to December 2019. The children were randomly divided into the control group and the observation group, n=400. The control group was given routine anesthesia and resuscitation nursing intervention in PACU, while the observation group was given refined resuscitation nursing intervention in PACU. Through the number of related complications of children during PACU, the influence value of refined resuscitation care on children after laryngeal mask anesthesia was summarized. Results: the incidence of complications in PACU in the observation group was lower than that in the control group, with statistical significance (P < 0.05). Conclusion: for pediatric laryngeal mask anesthesia in postoperative PACU, meticulous nursing measures can effectively control the incidence of complications and successfully complete the treatment, which is worthy of clinical promotion.展开更多
Objective: to study the application effect of refined operating room nursing in patients undergoing coronary artery bypass surgery (off-pump). Methods: 100 patients undergoing coronary artery bypass surgery without ca...Objective: to study the application effect of refined operating room nursing in patients undergoing coronary artery bypass surgery (off-pump). Methods: 100 patients undergoing coronary artery bypass surgery without cardiopulmonary bypass were selected and divided into groups according to a certain way. The number of patients in each group was controlled at 50 cases, of which the observation group was given intensive nursing in operating room, while the control group was given routine nursing. The data between groups were compared. Results: compared with the control group, the hemodynamic indexes of the observation group were significantly lower at 30min after operation, and the serum IL-6 of the observation group was significantly lower at the end of operation and at the 1st day after operation, and the scores of bad emotions in the observation group were significantly lower at the 1st day after operation, P < 0.05;the clinical indexes, hemodynamic indexes 30min before operation, preoperative serum IL-6, preoperative adverse emotions and the incidence of adverse events in the operating room were compared between the two groups, P > 0.05. Conclusion: the application of refined operating room nursing in patients undergoing off-pump coronary artery bypass surgery has an ideal nursing effect.展开更多
Objective: to analyze the application of fine nursing in general surgery of operating room, and to discuss the effect of preventing infection of surgical incision. Methods: 72 cases of subjects were randomly included ...Objective: to analyze the application of fine nursing in general surgery of operating room, and to discuss the effect of preventing infection of surgical incision. Methods: 72 cases of subjects were randomly included from March 2019.to May 2020.All of them was patients undergoing general surgery. The patients were divided into two groups by the odd-even numbering method. One group received conventional nursing as the control group, and the other group received refined nursing as the intervention group. Results: incidence of surgical incision infection and average hospitalization time in the intervention group were significantly lower than those in the control group (P < 0.05). Conclusion: in the development of general surgery in the operating room, taking fine nursing measures can have a positive effect on the prevention of incision infection;its application value is significant, suitable for popularization and promotion.展开更多
Objective: To analyze the application of refined nursing management in children with acute bronchitis and its effect on lung function. Methods: 80 children with acute bronchitis were selected from January 2019 to Sept...Objective: To analyze the application of refined nursing management in children with acute bronchitis and its effect on lung function. Methods: 80 children with acute bronchitis were selected from January 2019 to September 2020 in our hospital. They were randomly divided into two groups with 40 cases in each group. The patients in the control group were given routine nursing, while the refined nursing management group was established and implemented refined nursing management. The pulmonary function, hospitalization time and satisfaction degree were compared after nursing between the two groups. Results: the lung function of the refined nursing management group was higher than that of the control group, the hospitalization time was lower than that of the control group, and the satisfaction degree was higher than that of the control group (P < 0.05). Conclusion: refined nursing management is effective in nursing children with acute bronchitis, which can improve lung function, increase satisfaction and reduce hospitalization time.展开更多
文摘Objective: To investigate the application effect of refined nursing care in the care for elderly patients with reflux esophagitis. Methods: Following the difference in nursing style, 84 cases of elderly patients with reflux esophagitis admitted to our hospital from May 2022 to May 2023 were randomly grouped into a control group and a research group, with 42 cases each. The control group was given conventional nursing care and the research group was given refined nursing care. The psychological state and treatment adherence of the two groups of patients after the nursing intervention were compared. Results: After the nursing intervention, the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of the research group were lower than those of the control group (P < 0.05). The treatment compliance of the research group was better than the control group (P < 0.05). Conclusion: The implementation of refined nursing care for elderly patients with reflux esophagitis exhibited a significant effect on improving the patient’s psychological state, treatment compliance, and rehabilitation.
文摘BACKGROUND Cerebral infarction is a local or extensive necrosis of brain tissue.Subsequently,the corresponding neurological deficits appear.The incidence of cerebrovascular diseases in China is increasing gradually.After the onset of cerebrovascular disease,the most common sequelae include movement disorders,language disorders,and cognitive dysfunction.AIM To investigate the effect of early refined nursing program on the prognosis of middle-aged and elderly patients with cerebral infarction combined with cognitive dysfunction.METHODS A retrospective study was conducted to divide 60 patients with cerebral infarction and cognitive impairment into an experimental group(n=32)and a control group(n=28).The experimental group received early intensive care every day,and the control group received daily routine care.The scores of the Mini-Mental State Examination(MMSE)and the Trail Making Test(TMT),as well as the latency and amplitude of the event-related potential P300,were used as main indicators to evaluate changes in cognitive function,and changes in BDNF,TGF-β,and GDNF expression were used as secondary indicators.RESULTS Both groups experienced notable enhancements in MMSE scores,with the experi-mental group demonstrating higher scores than the control group(experimental:28.75±2.31;control:25.84±2.87).Moreover,reductions in TMT-A and TMT-B scores were observed in both groups(experimental:TMT-A 52.36±6.18,TMT-B 98.47±10.23;control:TMT-A 61.48±7.92,TMT-B 112.63±12.55),with the experimental group displaying lower scores.P300 Latency decreased(experimental:270.63 ms±14.28 ms;control:285.72 ms±16.45 ms),while amplitude increased(experimental:7.82μV±1.05μV;control:6.35μV±0.98μV)significantly in both groups,with superior outcomes in the experimental cohort.Additionally,the levels of the growth factors BDNF,TGF-β1,and GDNF surged(experimental:BDNF 48.37 ng/mL±5.62 ng/mL,TGF-β152.14 pg/mL±4.28 pg/mL,GDNF 34.76 ng/mL±3.89 ng/mL;control:BDNF 42.58 ng/mL±4.73 ng/mL,TGF-β146.23 pg/mL±3.94 pg/mL,GDNF 30.25 ng/mL±2.98 ng/mL)in both groups,with higher levels in the experimental group.CONCLUSION For middle-aged and elderly patients with cerebral infarction and cognitive dysfunction,early refined nursing can significantly improve their cognitive function and prognosis.
文摘Objective: to explore the effect of refined nursing on self-management and quality of life of cancer patients undergoing chemotherapy. Methods: a total of 180 tumor patients undergoing chemotherapy in our hospital from March 2019 to June 2020 were selected, and 80 cases were randomly selected as the case of this study. 80 cases were randomly divided into two groups. According to the needs of the study, two groups of patients were treated differently. The control group provided routine care while the observation group provided refined care. The self-management ability and quality of life of the two groups of patients were investigated and statistically analyzed. Results: the implementation of refined care for cancer chemotherapy patients can improve their health knowledge, self-concept, self-care responsibility, self-care skills, and can effectively improve the patient's physical function, role function, cognitive function, emotional function and social function, with a significant difference between the two groups (p < 0.05). Conclusion: the application effect of refined nursing in cancer chemotherapy patients is good, which is mainly manifested in the improvement of patients' self-management ability and quality of life.
文摘Objective: to explore and analyze the application value of refined nursing in the resuscitation period of gynecological laparoscopic surgery under general anesthesia. Methods: based on the sample analysis method, the patients receiving gynecological laparoscopic surgery under general anesthesia in our hospital were selected as the subjects of the study. A total of 74 samples were selected from February 2019 to February 2021. According to the difference of nursing plan in the recovery period, the selected patients were divided into control group and observation group, with 37 patients in each group. The patients were given routine nursing and refined nursing intervention respectivey. The clinical indexes and nursing satisfaction of the enrolled patients were observed and compared. Results: the spontaneous breathing time, recovery time, residence time in resuscitation room and extubation time (14.67±4.05) in the observation group were significantly better than those in the control group (P < 0.05). At the same time, the nursing satisfaction of the observation group was significantly higher than that of the control group (97.5%: 78.0%). There was a significant difference in the data (P < 0.05). Conclusion: refined nursing is an ideal nursing mode for patients undergoing gynecological laparoscopic surgery under general anesthesia, which can significantly improve the clinical indicators of patients, and play a positive role in improving the evaluation of nursing quality, which is worthy of popularization.
文摘Objective: to analyze the effect of fine nursing intervention in elderly patients with pneumonia. Methods: from June 2018 to June 2020, 80 elderly patients with pneumonia were randomly divided into two groups with 40 cases in each group. The control group was given routine care;The experimental group was given refined nursing intervention, and the nursing effect of the two groups was compared. Results: after nursing, the levels of PaO2, FVC and FEV1 in the experimental group were higher than those in the control group, while the levels of PaCO2 and hs-CRP were lower than those in the control group, with statistical significance (P < 0.05). The improvement time and hospital stay of the experimental group were shorter than those of the control group, and the difference was statistically significant (P<0.05). Conclusion: refined nursing intervention has high application value for elderly patients with pneumonia. It can effectively improve the pulmonary function and blood gas index level of patients, accelerate the improvement of cough and sputum symptoms, and shorten the hospital stay.
文摘Objective: to explore the clinical effect of meticulous resuscitation nursing intervention in postanesthesia care unit (PACU) for children undergoing laryngeal mask anesthesia. Methods: a total of 800 children who received surgical treatment in our hospital and required general anesthesia with laryngeal mask airway were randomly selected as the research object. The time span was from January to December 2019. The children were randomly divided into the control group and the observation group, n=400. The control group was given routine anesthesia and resuscitation nursing intervention in PACU, while the observation group was given refined resuscitation nursing intervention in PACU. Through the number of related complications of children during PACU, the influence value of refined resuscitation care on children after laryngeal mask anesthesia was summarized. Results: the incidence of complications in PACU in the observation group was lower than that in the control group, with statistical significance (P < 0.05). Conclusion: for pediatric laryngeal mask anesthesia in postoperative PACU, meticulous nursing measures can effectively control the incidence of complications and successfully complete the treatment, which is worthy of clinical promotion.
文摘Objective: to study the application effect of refined operating room nursing in patients undergoing coronary artery bypass surgery (off-pump). Methods: 100 patients undergoing coronary artery bypass surgery without cardiopulmonary bypass were selected and divided into groups according to a certain way. The number of patients in each group was controlled at 50 cases, of which the observation group was given intensive nursing in operating room, while the control group was given routine nursing. The data between groups were compared. Results: compared with the control group, the hemodynamic indexes of the observation group were significantly lower at 30min after operation, and the serum IL-6 of the observation group was significantly lower at the end of operation and at the 1st day after operation, and the scores of bad emotions in the observation group were significantly lower at the 1st day after operation, P < 0.05;the clinical indexes, hemodynamic indexes 30min before operation, preoperative serum IL-6, preoperative adverse emotions and the incidence of adverse events in the operating room were compared between the two groups, P > 0.05. Conclusion: the application of refined operating room nursing in patients undergoing off-pump coronary artery bypass surgery has an ideal nursing effect.
文摘Objective: to analyze the application of fine nursing in general surgery of operating room, and to discuss the effect of preventing infection of surgical incision. Methods: 72 cases of subjects were randomly included from March 2019.to May 2020.All of them was patients undergoing general surgery. The patients were divided into two groups by the odd-even numbering method. One group received conventional nursing as the control group, and the other group received refined nursing as the intervention group. Results: incidence of surgical incision infection and average hospitalization time in the intervention group were significantly lower than those in the control group (P < 0.05). Conclusion: in the development of general surgery in the operating room, taking fine nursing measures can have a positive effect on the prevention of incision infection;its application value is significant, suitable for popularization and promotion.
文摘Objective: To analyze the application of refined nursing management in children with acute bronchitis and its effect on lung function. Methods: 80 children with acute bronchitis were selected from January 2019 to September 2020 in our hospital. They were randomly divided into two groups with 40 cases in each group. The patients in the control group were given routine nursing, while the refined nursing management group was established and implemented refined nursing management. The pulmonary function, hospitalization time and satisfaction degree were compared after nursing between the two groups. Results: the lung function of the refined nursing management group was higher than that of the control group, the hospitalization time was lower than that of the control group, and the satisfaction degree was higher than that of the control group (P < 0.05). Conclusion: refined nursing management is effective in nursing children with acute bronchitis, which can improve lung function, increase satisfaction and reduce hospitalization time.
