With the development of minimally invasive gynecological technology,hysteroscopic surgery has been widely used in the treatment of gynecological diseases due to its advantages of rapid recovery and minimal trauma.From...With the development of minimally invasive gynecological technology,hysteroscopic surgery has been widely used in the treatment of gynecological diseases due to its advantages of rapid recovery and minimal trauma.From the perspective of patients undergoing hysteroscopic surgery,this paper explores the influence of their psychological security on quality of life,analyzes the mediating effect of social support,and puts forward specific countermeasures and suggestions.The purpose is to improve the psychological security and quality of life of patients undergoing hysteroscopic surgery,and provide reference for the subsequent development of hysteroscopic surgery.展开更多
Esophageal cancer is one of the common malignant tumors worldwide,and nutritional support during its treatment is of great significance for improving patients’quality of life and treatment outcomes.This paper aims to...Esophageal cancer is one of the common malignant tumors worldwide,and nutritional support during its treatment is of great significance for improving patients’quality of life and treatment outcomes.This paper aims to explore the application effect of full-course nutritional management in patients with esophageal cancer undergoing radiotherapy.Using a randomized controlled trial design,patients were randomly divided into an experimental group and a control group in a 1:1 ratio.The experimental group received full-course nutritional management,while the control group received routine care.Statistical analysis showed that the degree of weight loss in the experimental group after radiotherapy was significantly lower than that in the control group(P<0.05),the improvement in nutritional status was more obvious,and the incidence of radiotherapy-related adverse reactions was also significantly lower than that in the control group(P<0.05).It can be seen that full-course nutritional management can effectively improve the nutritional status of patients with esophageal cancer undergoing radiotherapy,reduce radiotherapy adverse reactions,and enhance patients’quality of life and treatment effects[1].It has important clinical application value and is worthy of promotion in clinical practice.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
The present study aimed to clarify the current status and awareness of psychological preparation for children undergoing medical procedures in pediatric nursing in Japan as compared with that in Germany. An original q...The present study aimed to clarify the current status and awareness of psychological preparation for children undergoing medical procedures in pediatric nursing in Japan as compared with that in Germany. An original questionnaire about the current status and awareness of psychological preparation for children in hospitals was distributed by mail to nurses’ working on Japanese pediatric wards in 2010. The same questionnaire, translated into German, was distributed to nurses working on German pediatric wards via the internet in 2010. A large majority of respondents strongly agreed that children have a right to informed consent. German nurses expressed a longer-term viewpoint on the effects of preparation than Japanese nurses. Japanese nurses recognized a greater need for improvement in their duties than German nurses. The results suggest that we should consider our own country’s nursing practices and need for improvement, but also learn from studies of other countries to address each culture and medical situation appropriately.展开更多
Background Prior randomized trials have shown reduced bleeding with bivalirudin compared with unfractionated heparin （UFH） in patients undergoing percutaneous coronary intervention （PCI）. However, it is not known ...Background Prior randomized trials have shown reduced bleeding with bivalirudin compared with unfractionated heparin （UFH） in patients undergoing percutaneous coronary intervention （PCI）. However, it is not known if this benefit is also present when UFH doses are more tightly controlled （as measured by activated clotting time, ACT）.展开更多
Dear Editor, In 2011, Son et al. （2011） reported that the forced expression of selected transcription factors is sufficient to convert mouse and human fibroblasts into induced motor neurons （iMNs）. The authors use...Dear Editor, In 2011, Son et al. （2011） reported that the forced expression of selected transcription factors is sufficient to convert mouse and human fibroblasts into induced motor neurons （iMNs）. The authors used three factors （Ascll, Brn2, and Mytll） to convert fibroblasts into neuronal-like ceils. After confirming that the cells had neuronal morphology, but with absence of motor neuron markers, eight candidate transcription factors were added, which participate in various stages of motor neuron specification. As expected, a significant number of motor cells emerged with known characteristics of cultured embryonic motor neurons.展开更多
Objective To evaluate the impact of early intensive rehabilitation care in adults undergoing cardiac surgery.Methods This was a quasi-experimental study using assessor blinding in 252 cardiac surgery patients recruite...Objective To evaluate the impact of early intensive rehabilitation care in adults undergoing cardiac surgery.Methods This was a quasi-experimental study using assessor blinding in 252 cardiac surgery patients recruited from Fuwai Hospital.Participants awaiting cardiac surgery were divided into the experiment group and the control group.The control group received routine rehabilitation care postoperatively,including the exercise training,deep breathing exercises,nutrition direction,medication instruction,psychological education,pain management and sleep conditioning.展开更多
Background: In China,the number of patients diagnosed with end-stage renal disease has increased rapidly in recent years.Patients undergoing dialysis treatment often experience psychosocial challenges,such as death an...Background: In China,the number of patients diagnosed with end-stage renal disease has increased rapidly in recent years.Patients undergoing dialysis treatment often experience psychosocial challenges,such as death anxiety,which may potentially cause patients to withdraw from treatment.Nephrology nurses and other practitioners who provide direct care to patients undergoing hemodialysis must understand how these challenges are perceived by patients and affect their daily lives.Aim: This article investigated the psychological trajectory and life experiences of hemodialysis patients to provide complementary guidance for nurses and healthcare practitioners.Method: This study utilized a qualitative descriptive phenomenological design.Data were collected by conducting semistructured interviews and analyzed by content analysis.Data were collected through indepth interviews from May to December 2014.The questions were designed to reveal the life experiences and perspectives of hemodialysis patients.Participants were selected by convenience sampling approach and recruited from outpatients receiving treatment in a blood-purification center in Jiangsu Province,China.Results: Twenty-three participants were recruited.Three stages were extracted from the interview data:(1) afraid stage,(2) adapted stage,and (3) depression stage.Accordingly,three corresponding stages of physiological status were identified: (1) induced stage,(2) stable stage,and (3) severe complications or approaching-end-of-life stage.Conclusions: Patients undergoing dialysis exhibited differing psychological statuses at different physical stages.Thus,nurses must assess the psychophysiological symptoms of patients and design individual care plans for each stage.Future studies should focus on developing stage-specific nursing-care protocols.展开更多
Malignant pleural mesothelioma （MPM） is a rare but rapidly deadly disease （1）. Macroscopic complete resection （MCR） is the goal of surgery （2）. MCR seems to have the most significant impact on survival in pati...Malignant pleural mesothelioma （MPM） is a rare but rapidly deadly disease （1）. Macroscopic complete resection （MCR） is the goal of surgery （2）. MCR seems to have the most significant impact on survival in patients undergoing multimodality treatment for MPM. The role of surgical resection in the management of MPM remains controversial. The selection criterion to perform either extrapleural pneumonectomy （EPP） or extended/radical pleurectomy/ decortication （PD） rely not only on the cardio-pulmonary status of the patient, tumor stage and intraoperative findings but is strongly dependent also on surgeons＇ decision and philosophy. This is reflected by a recent survey of opinions and beliefs among 802 thoracic surgeons, in which EPP was believed to be more effective than PD （3）. Nonetheless, either surgery might achieve MCR.展开更多
In the HORIZONS-AMI （Harmonizing Outcomes with RevasculariZatiON and Stents in Acute Myocardial Infarction） trial, 3,602 patients undergoing primary percutaneous coronary intervention （PCI） for ST-segment elevatio...In the HORIZONS-AMI （Harmonizing Outcomes with RevasculariZatiON and Stents in Acute Myocardial Infarction） trial, 3,602 patients undergoing primary percutaneous coronary intervention （PCI） for ST-segment elevation myocardial infarction （STEMI） treated with bivalirudin had lower bleeding and mortality rates, but higher acute stent thrombosis rates compared with heparin ＋ a glycoprotein Ⅱ b/Ⅲ a inhibitor （GPI）. Subse- quent changes in primary PCI, including the use of potent P2Y_12 inhibitors, frequent radial intervention, and pre-hospital medication administration, were incorporated into the EUROMAX （European Ambulance Acute Coronary Syndrome Angiography） trial, which assigned 2,218 patients to bivalirudin versus heparin ±GPI before primary PCI.展开更多
Background Current guidelines for the treatment of ST-segment elevation myocardial infarction recommend a door-to-bal- loon time of 90 minutes or less for patients undergoing primary percutaneous coronary interventi...Background Current guidelines for the treatment of ST-segment elevation myocardial infarction recommend a door-to-bal- loon time of 90 minutes or less for patients undergoing primary percutaneous coronary intervention （PCI）. Door-to-balloon time has become a performance measure and is the focus of regional and national quality-im- provement initiatives. However, it is not known whether national improvements in door-to-balloon times have been accompanied by a decline in mortality.展开更多
Background:Patie nts un dergo ing hemodialysis experie nces some symptoms.Pruritus,an xiety,and sleep quality are three of the most com mon symptoms.Eve n though some pharmacological treatme nts use to cope with these...Background:Patie nts un dergo ing hemodialysis experie nces some symptoms.Pruritus,an xiety,and sleep quality are three of the most com mon symptoms.Eve n though some pharmacological treatme nts use to cope with these symptoms,they are still experie need by the patie nts at a high level.Aim:This study aimed to determine the effect of lavender oil aromatherapy on pruritus,anxiety,and sleep quality of patients undergoing hemodialysis.Method:This randomized con trolled study was carried out betwee n December 2019 and March 2020.Eighty of 895 eligible patients were included in the study.Aromatherapy inhalation and massage together applied to the patients for six weeks.5D-Itch Scale,State Anxiety Inventory(SAI),and Richard Campbell Sleep Questio nn aire(RCSQ)were used for data collecti on.IBM SPSS 25.0 were used for statistical an alysis.Mann-Whit ney U,Wilcox on sig ned-ra nks test,and repeated measures-ANOVA tests were used to compare the difference between the groups and simple regression analysis to investigate the relationship between the dependent and independent variables.Results:Most of the patients were male(57.5%)and aged between 41 and 55 years(52.5%).There was significant difference in the mean scores of SAI(Pretest:44.02±5.33,Post-test:35.40±4.52,P=0.003),5D-Itch scale(Pretest:9.80±2.04,Post-test:7.00±2.31,P=0.001),and RCSQ(Pretest:17.11±40.30,Post-test:58.55±33.74,P=0.002)with in time in the in terve ntio n group.There was a statistically significant differenee between the groups regarding the mean scores of SAI(Intervention:35.40±4.52,Control:46.84±4.62,P=0.003),5D-Itch scale(Intervention:7.00±2.31,Control:8.96±2.05,P=0.004),and RCSQ(Intervention:58.55±33.74,Control:19.93±28.36,P=0.001)after the intervention.Conclusion:After six-weeks intervention,lavender aromatherapy was found an effective way to reduce pruritus,anxiety and to improve the sleep quality of patients undergoing hemodialysis.展开更多
Objective: the experiment will carry out perioperative comfortable nursing care for patients with meningioma, and further help patients to improve the outcome of surgical treatment. Methods: in order to obtain relativ...Objective: the experiment will carry out perioperative comfortable nursing care for patients with meningioma, and further help patients to improve the outcome of surgical treatment. Methods: in order to obtain relatively accurate results, patients undergoing meningioma surgery were selected as the basic objects of investigation. Patients are randomly classified, and after each group is classified, different treatment methods are adopted. The first group mainly adopts conventional nursing methods, and the second one adopts more humanized and comfortable nursing methods, and the results are compared. According to the patient's related physical performance indicators and the situation to analyze. Analysis shows that the experimental group is obviously lower than the control group in the final result, which meets the needs of our experiment in the incidence and complications of concurrent diseases, and has statistical significance. The control of bad emotions is better, with great difference and statistical significance (P < 0.05). At the same time, in the control of intracranial pressure level, the observation group was (192.5±4.2) mmH2O and the control group was (218.6±6.9) mmH2O, the difference was statistically significant. Conclusion: the application of comfortable nursing concept in perioperative nursing care of patients undergoing meningioma surgery has remarkable curative effect, which can help relieve patients' bad mood, reduce intracranial pressure and improve the safety of surgical treatment, and has clinical popularization value.展开更多
Objective: to study the clinical value of predictive nursing model in patients with hepatolithiasis undergoing operation. Methods: 68 patients who needed hepatolithiasis surgery in our hospital from January 2019 to Ja...Objective: to study the clinical value of predictive nursing model in patients with hepatolithiasis undergoing operation. Methods: 68 patients who needed hepatolithiasis surgery in our hospital from January 2019 to January 2020 were selected as the research object, and they were randomly divided into the research group and the reference group, with 34 patients in each group. They were given predictive nursing and routine nursing respectively, and then the nursing situation of the patients was fully analyzed. Results: through the comparative analysis of hospital stay and bed rest time after nursing, it was found that the time of the reference group was significantly shorter than that of the research group leader (P<0.05). Moreover, the incidence of complications and the residual rate of hepatolithiasis in the study group were significantly lower than those in the reference group. Conclusion: in the nursing of hepatolithiasis, the predictive nursing method has very significant significance in the prognosis of patients' therapeutic effect, and has a great promotion effect on patients' physical recovery.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
To summarize the nursing experience of a case of pulmonary embolism who underwent pulmonary exploration and pulmonary artery dilation after thrombolysis. Key points of nursing: Patients were given oral and subcutaneou...To summarize the nursing experience of a case of pulmonary embolism who underwent pulmonary exploration and pulmonary artery dilation after thrombolysis. Key points of nursing: Patients were given oral and subcutaneous low-molecular-weight heparin for anticoagulation, followed by intravenous thrombolysis and short-term interventional operation. During the whole process, patients had a high risk of bleeding and may have serious complications. In addition, patients had less relevant nursing experience in the past. However, with the cooperation of medical care, the patient's condition was stable and improved after 8 days of specialized and individualized treatment.展开更多
Chang’e 5 probe has entered its critical phase of AIT.Units,except the lander,are undergoing thermal test.The flight model of Chang’e 5 is composed of an orbiter,a return capsule,a lander and an ascent unit.The ther...Chang’e 5 probe has entered its critical phase of AIT.Units,except the lander,are undergoing thermal test.The flight model of Chang’e 5 is composed of an orbiter,a return capsule,a lander and an ascent unit.The thermal tests on the ascent unit,the lander-as-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 To explore the therapeutic effect of preoperative external lumbar drainage in Hunt and Hess grade Ⅰ～Ⅲ patients with subarachnoid hemorrhage (SAH) undergoing early surgery for intracranial aneurysms. Metho...Objective To explore the therapeutic effect of preoperative external lumbar drainage in Hunt and Hess grade Ⅰ～Ⅲ patients with subarachnoid hemorrhage (SAH) undergoing early surgery for intracranial aneurysms. Methods 101 cases of gradeⅠ～Ⅲ patients according to the classification of Hunt and Hess展开更多
文摘With the development of minimally invasive gynecological technology,hysteroscopic surgery has been widely used in the treatment of gynecological diseases due to its advantages of rapid recovery and minimal trauma.From the perspective of patients undergoing hysteroscopic surgery,this paper explores the influence of their psychological security on quality of life,analyzes the mediating effect of social support,and puts forward specific countermeasures and suggestions.The purpose is to improve the psychological security and quality of life of patients undergoing hysteroscopic surgery,and provide reference for the subsequent development of hysteroscopic surgery.
文摘Esophageal cancer is one of the common malignant tumors worldwide,and nutritional support during its treatment is of great significance for improving patients’quality of life and treatment outcomes.This paper aims to explore the application effect of full-course nutritional management in patients with esophageal cancer undergoing radiotherapy.Using a randomized controlled trial design,patients were randomly divided into an experimental group and a control group in a 1:1 ratio.The experimental group received full-course nutritional management,while the control group received routine care.Statistical analysis showed that the degree of weight loss in the experimental group after radiotherapy was significantly lower than that in the control group(P<0.05),the improvement in nutritional status was more obvious,and the incidence of radiotherapy-related adverse reactions was also significantly lower than that in the control group(P<0.05).It can be seen that full-course nutritional management can effectively improve the nutritional status of patients with esophageal cancer undergoing radiotherapy,reduce radiotherapy adverse reactions,and enhance patients’quality of life and treatment effects[1].It has important clinical application value and is worthy of promotion in clinical practice.
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.
文摘The present study aimed to clarify the current status and awareness of psychological preparation for children undergoing medical procedures in pediatric nursing in Japan as compared with that in Germany. An original questionnaire about the current status and awareness of psychological preparation for children in hospitals was distributed by mail to nurses’ working on Japanese pediatric wards in 2010. The same questionnaire, translated into German, was distributed to nurses working on German pediatric wards via the internet in 2010. A large majority of respondents strongly agreed that children have a right to informed consent. German nurses expressed a longer-term viewpoint on the effects of preparation than Japanese nurses. Japanese nurses recognized a greater need for improvement in their duties than German nurses. The results suggest that we should consider our own country’s nursing practices and need for improvement, but also learn from studies of other countries to address each culture and medical situation appropriately.
文摘Background Prior randomized trials have shown reduced bleeding with bivalirudin compared with unfractionated heparin （UFH） in patients undergoing percutaneous coronary intervention （PCI）. However, it is not known if this benefit is also present when UFH doses are more tightly controlled （as measured by activated clotting time, ACT）.
基金2013 Six Peak Talents in Jiangsu Province,Project No.WSN-022333 Key Talents of Science and Technology in Jiangsu Province,Project No.BRA2012094+1 种基金Scientific Project of Traditional Chinese Medicine of Jiangsu Province,Project No.LZ131952011 Project of Scientific Technology and Social Development in Yangzhou,Project No.YZ2011084
文摘Dear Editor, In 2011, Son et al. （2011） reported that the forced expression of selected transcription factors is sufficient to convert mouse and human fibroblasts into induced motor neurons （iMNs）. The authors used three factors （Ascll, Brn2, and Mytll） to convert fibroblasts into neuronal-like ceils. After confirming that the cells had neuronal morphology, but with absence of motor neuron markers, eight candidate transcription factors were added, which participate in various stages of motor neuron specification. As expected, a significant number of motor cells emerged with known characteristics of cultured embryonic motor neurons.
文摘Objective To evaluate the impact of early intensive rehabilitation care in adults undergoing cardiac surgery.Methods This was a quasi-experimental study using assessor blinding in 252 cardiac surgery patients recruited from Fuwai Hospital.Participants awaiting cardiac surgery were divided into the experiment group and the control group.The control group received routine rehabilitation care postoperatively,including the exercise training,deep breathing exercises,nutrition direction,medication instruction,psychological education,pain management and sleep conditioning.
文摘Background: In China,the number of patients diagnosed with end-stage renal disease has increased rapidly in recent years.Patients undergoing dialysis treatment often experience psychosocial challenges,such as death anxiety,which may potentially cause patients to withdraw from treatment.Nephrology nurses and other practitioners who provide direct care to patients undergoing hemodialysis must understand how these challenges are perceived by patients and affect their daily lives.Aim: This article investigated the psychological trajectory and life experiences of hemodialysis patients to provide complementary guidance for nurses and healthcare practitioners.Method: This study utilized a qualitative descriptive phenomenological design.Data were collected by conducting semistructured interviews and analyzed by content analysis.Data were collected through indepth interviews from May to December 2014.The questions were designed to reveal the life experiences and perspectives of hemodialysis patients.Participants were selected by convenience sampling approach and recruited from outpatients receiving treatment in a blood-purification center in Jiangsu Province,China.Results: Twenty-three participants were recruited.Three stages were extracted from the interview data:(1) afraid stage,(2) adapted stage,and (3) depression stage.Accordingly,three corresponding stages of physiological status were identified: (1) induced stage,(2) stable stage,and (3) severe complications or approaching-end-of-life stage.Conclusions: Patients undergoing dialysis exhibited differing psychological statuses at different physical stages.Thus,nurses must assess the psychophysiological symptoms of patients and design individual care plans for each stage.Future studies should focus on developing stage-specific nursing-care protocols.
文摘Malignant pleural mesothelioma （MPM） is a rare but rapidly deadly disease （1）. Macroscopic complete resection （MCR） is the goal of surgery （2）. MCR seems to have the most significant impact on survival in patients undergoing multimodality treatment for MPM. The role of surgical resection in the management of MPM remains controversial. The selection criterion to perform either extrapleural pneumonectomy （EPP） or extended/radical pleurectomy/ decortication （PD） rely not only on the cardio-pulmonary status of the patient, tumor stage and intraoperative findings but is strongly dependent also on surgeons＇ decision and philosophy. This is reflected by a recent survey of opinions and beliefs among 802 thoracic surgeons, in which EPP was believed to be more effective than PD （3）. Nonetheless, either surgery might achieve MCR.
文摘In the HORIZONS-AMI （Harmonizing Outcomes with RevasculariZatiON and Stents in Acute Myocardial Infarction） trial, 3,602 patients undergoing primary percutaneous coronary intervention （PCI） for ST-segment elevation myocardial infarction （STEMI） treated with bivalirudin had lower bleeding and mortality rates, but higher acute stent thrombosis rates compared with heparin ＋ a glycoprotein Ⅱ b/Ⅲ a inhibitor （GPI）. Subse- quent changes in primary PCI, including the use of potent P2Y_12 inhibitors, frequent radial intervention, and pre-hospital medication administration, were incorporated into the EUROMAX （European Ambulance Acute Coronary Syndrome Angiography） trial, which assigned 2,218 patients to bivalirudin versus heparin ±GPI before primary PCI.
基金Funded by the National Cardiovascular Data Registry of the American College of Cardiology Foundation
文摘Background Current guidelines for the treatment of ST-segment elevation myocardial infarction recommend a door-to-bal- loon time of 90 minutes or less for patients undergoing primary percutaneous coronary intervention （PCI）. Door-to-balloon time has become a performance measure and is the focus of regional and national quality-im- provement initiatives. However, it is not known whether national improvements in door-to-balloon times have been accompanied by a decline in mortality.
文摘Background:Patie nts un dergo ing hemodialysis experie nces some symptoms.Pruritus,an xiety,and sleep quality are three of the most com mon symptoms.Eve n though some pharmacological treatme nts use to cope with these symptoms,they are still experie need by the patie nts at a high level.Aim:This study aimed to determine the effect of lavender oil aromatherapy on pruritus,anxiety,and sleep quality of patients undergoing hemodialysis.Method:This randomized con trolled study was carried out betwee n December 2019 and March 2020.Eighty of 895 eligible patients were included in the study.Aromatherapy inhalation and massage together applied to the patients for six weeks.5D-Itch Scale,State Anxiety Inventory(SAI),and Richard Campbell Sleep Questio nn aire(RCSQ)were used for data collecti on.IBM SPSS 25.0 were used for statistical an alysis.Mann-Whit ney U,Wilcox on sig ned-ra nks test,and repeated measures-ANOVA tests were used to compare the difference between the groups and simple regression analysis to investigate the relationship between the dependent and independent variables.Results:Most of the patients were male(57.5%)and aged between 41 and 55 years(52.5%).There was significant difference in the mean scores of SAI(Pretest:44.02±5.33,Post-test:35.40±4.52,P=0.003),5D-Itch scale(Pretest:9.80±2.04,Post-test:7.00±2.31,P=0.001),and RCSQ(Pretest:17.11±40.30,Post-test:58.55±33.74,P=0.002)with in time in the in terve ntio n group.There was a statistically significant differenee between the groups regarding the mean scores of SAI(Intervention:35.40±4.52,Control:46.84±4.62,P=0.003),5D-Itch scale(Intervention:7.00±2.31,Control:8.96±2.05,P=0.004),and RCSQ(Intervention:58.55±33.74,Control:19.93±28.36,P=0.001)after the intervention.Conclusion:After six-weeks intervention,lavender aromatherapy was found an effective way to reduce pruritus,anxiety and to improve the sleep quality of patients undergoing hemodialysis.
文摘Objective: the experiment will carry out perioperative comfortable nursing care for patients with meningioma, and further help patients to improve the outcome of surgical treatment. Methods: in order to obtain relatively accurate results, patients undergoing meningioma surgery were selected as the basic objects of investigation. Patients are randomly classified, and after each group is classified, different treatment methods are adopted. The first group mainly adopts conventional nursing methods, and the second one adopts more humanized and comfortable nursing methods, and the results are compared. According to the patient's related physical performance indicators and the situation to analyze. Analysis shows that the experimental group is obviously lower than the control group in the final result, which meets the needs of our experiment in the incidence and complications of concurrent diseases, and has statistical significance. The control of bad emotions is better, with great difference and statistical significance (P < 0.05). At the same time, in the control of intracranial pressure level, the observation group was (192.5±4.2) mmH2O and the control group was (218.6±6.9) mmH2O, the difference was statistically significant. Conclusion: the application of comfortable nursing concept in perioperative nursing care of patients undergoing meningioma surgery has remarkable curative effect, which can help relieve patients' bad mood, reduce intracranial pressure and improve the safety of surgical treatment, and has clinical popularization value.
文摘Objective: to study the clinical value of predictive nursing model in patients with hepatolithiasis undergoing operation. Methods: 68 patients who needed hepatolithiasis surgery in our hospital from January 2019 to January 2020 were selected as the research object, and they were randomly divided into the research group and the reference group, with 34 patients in each group. They were given predictive nursing and routine nursing respectively, and then the nursing situation of the patients was fully analyzed. Results: through the comparative analysis of hospital stay and bed rest time after nursing, it was found that the time of the reference group was significantly shorter than that of the research group leader (P<0.05). Moreover, the incidence of complications and the residual rate of hepatolithiasis in the study group were significantly lower than those in the reference group. Conclusion: in the nursing of hepatolithiasis, the predictive nursing method has very significant significance in the prognosis of patients' therapeutic effect, and has a great promotion effect on patients' physical recovery.
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To summarize the nursing experience of a case of pulmonary embolism who underwent pulmonary exploration and pulmonary artery dilation after thrombolysis. Key points of nursing: Patients were given oral and subcutaneous low-molecular-weight heparin for anticoagulation, followed by intravenous thrombolysis and short-term interventional operation. During the whole process, patients had a high risk of bleeding and may have serious complications. In addition, patients had less relevant nursing experience in the past. However, with the cooperation of medical care, the patient's condition was stable and improved after 8 days of specialized and individualized treatment.
文摘Chang’e 5 probe has entered its critical phase of AIT.Units,except the lander,are undergoing thermal test.The flight model of Chang’e 5 is composed of an orbiter,a return capsule,a lander and an ascent unit.The thermal tests on the ascent unit,the lander-as-
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 To explore the therapeutic effect of preoperative external lumbar drainage in Hunt and Hess grade Ⅰ～Ⅲ patients with subarachnoid hemorrhage (SAH) undergoing early surgery for intracranial aneurysms. Methods 101 cases of gradeⅠ～Ⅲ patients according to the classification of Hunt and Hess
