Objective:To analyze the value of continuous care for patients with hypertensive intracerebral hemorrhage(HICH).Methods:A total of 80 patients with HICH who visited our hospital from January 2024 to December 2024 were...Objective:To analyze the value of continuous care for patients with hypertensive intracerebral hemorrhage(HICH).Methods:A total of 80 patients with HICH who visited our hospital from January 2024 to December 2024 were selected as samples and randomly divided into two groups.The observation group received continuous care,while the control group received routine care.The Functional Independence Measure(FIM),Symptom Checklist-90(SCL-90),and complications were compared between the two groups.Results:The FIM score of the observation group was higher than that of the control group(P<0.05).The SCL-90 score of the observation group was lower than that of the control group(P<0.05).The incidence of HICH complications in the observation group was lower than that in the control group(P<0.05).Conclusion:The application of continuous care in HICH nursing can enhance patients’independent living skills outside the hospital,optimize their psychosocial adaptation,and is safe and efficient.展开更多
BACKGROUND:Pulse indicated continuous cardiac output(PiCCO)has largely replaced Swan-Ganz catheterization in shock patients.However,whether PiCCO monitoring can improve outcomes of shock patients,such as mortality,len...BACKGROUND:Pulse indicated continuous cardiac output(PiCCO)has largely replaced Swan-Ganz catheterization in shock patients.However,whether PiCCO monitoring can improve outcomes of shock patients,such as mortality,length of hospital stay,duration of mechanical ventilation,or laboratory parameters,remains unknown.METHODS:This retrospective cohort study included patients with shock in the intensive care unit(ICU)from January 2013 to January 2020.Patients were divided into PiCCO group and non-PiCCO group based on treatment with PiCCO monitoring or not.Demographic characteristics,Acute Physiology and Chronic Health Evaluation(APACHE)II scores,quick Sequential Organ Failure Assessment(qSOFA)scores,14-day mortality,and N-terminal pro-B-type natriuretic peptide(NT-proBNP)levels at 0,1,3 and 7 days after onset of shock,duration of mechanical ventilation,length of hospital stay and hospitalization costs were compiled and analyzed using propensity score matching(PSM).RESULTS:Real-world analysis of 1,583 ICU patients suff ering shock after propensity score matching revealed that 14-day mortality did not differ between PiCCO and non-PiCCO groups(36.2%vs.32.6%,P=0.343).Duration of mechanical ventilation,hospital stay,and hospitalization costs were also similar between the two groups(P>0.05).No diff erences in changes of NT-proBNP levels on days 0,1,3,and 7 as compared to baseline were noted between the two groups(P>0.05).CONCLUSIONS:The results of our real-world indicate that PiCCO monitoring may not shorten the duration of mechanical ventilation,length of hospital stay,or reduce hospitalization costs,nor will it bring survival benefi ts to ICU patients suff ering shock.展开更多
Diabetes mellitus affects people worldwide,and management of its acute complications or treatment-related adverse events is particularly important in critically ill patients.Previous reports have confirmed that hyperg...Diabetes mellitus affects people worldwide,and management of its acute complications or treatment-related adverse events is particularly important in critically ill patients.Previous reports have confirmed that hyperglycemia can increase the risk of mortality in patients cared in the intensive care unit(ICU).In addition,severe and multiple hypoglycemia increases the risk of mortality when using insulin or intensive antidiabetic therapy.The innovation of continuous glucose monitoring(CGM)may help to alert medical caregivers with regard to the development of hyperglycemia and hypoglycemia,which may decrease the potential complications in patients in the ICU.The major limitation of CGM is the measurement of interstitial glucose levels rather than real-time blood glucose levels;thus,there will be a delay in the treatment of hyperglycemia and hypoglycemia in patients.Recently,the European Union approved a state-of-art artificial intelligence directed loop system coordinated by CGM and a continuous insulin pump for diabetes control,which may provide a practical way to prevent acute adverse glycemic events related to antidiabetic therapy in critically ill patients.In this mini-review paper,we describe the application of CGM to patients in the ICU and summarize the pros and cons of CGM.展开更多
BACKGROUND Despite sharing similar pathogenic factors,cancer and coronary heart disease(CHD)occur in comparable populations at similar ages and possess similar susceptibility factors.Consequently,it is increasingly co...BACKGROUND Despite sharing similar pathogenic factors,cancer and coronary heart disease(CHD)occur in comparable populations at similar ages and possess similar susceptibility factors.Consequently,it is increasingly commonplace for patients to experience the simultaneous occurrence of cancer and CHD,a trend that is steadily rising.AIM To determine the impacts of continuing care on lung cancer patients with CHD following percutaneous coronary intervention(PCI).METHODS There were 94 lung cancer patients with CHD following PCI who were randomly assigned to the intervention group(n=38)and the control group(n=41).In the intervention group,continuing care was provided,while in the control group,routine care was provided.An evaluation of cardiac and pulmonary function,medication compliance,a 6-min walk test,and patient quality of life was performed.RESULTS Differences between the two groups were significant in left ventricular ejection fraction,6-min walk test,oxygen uptake,quality of life and medication compliance(P<0.05).In comparison with the control group,the enhancement in the intervention group was more significant.The intervention group had more patients with high medication compliance than the control group,with a statistically significant difference(P<0.05).CONCLUSION After undergoing PCI,lung patients with CHD could benefit from continued care in terms of cardiac and pulmonary function,medications compliance,and quality of life.展开更多
BACKGROUND Breast cancer is among the most common malignancies worldwide.With progress in treatment methods and levels,the overall survival period has been prolonged,and the demand for quality care has increased.AIM T...BACKGROUND Breast cancer is among the most common malignancies worldwide.With progress in treatment methods and levels,the overall survival period has been prolonged,and the demand for quality care has increased.AIM To investigate the effect of individualized and continuous care intervention in patients with breast cancer.METHODS Two hundred patients with breast cancer who received systemic therapy at The First Affiliated Hospital of Hebei North University(January 2021 to July 2023)were retrospectively selected as research participants.Among them,134 received routine care intervention(routing group)and 66 received personalized and continuous care(intervention group).Self-rating anxiety scale(SAS),self-rating depression scale(SDS),and Functional Assessment of Cancer Therapy-Breast(FACT-B)scores,including limb shoulder joint activity,complication rate,and care satisfaction,were compared between both groups after care.RESULTS SAS and SDS scores were lower in the intervention group than in the routing group at one and three months after care.The total FACT-B scores and five dimensions in the intervention group were higher than those in the routing group at three months of care.The range of motion of shoulder anteflexion,posterior extension,abduction,internal rotation,and external rotation in the intervention group was higher than that in the routing group one month after care.The incidence of postoperative complications was 18.18%lower in the intervention group than in the routing group(34.33%;P<0.05).Satisfaction with care was 90.91% higher in the intervention group than in the routing group(78.36%;P<0.05).CONCLUSION Personalized and continuous care can alleviate negative emotions in patients with breast cancer,quicken rehabilitation of limb function,decrease the incidence of complications,and improve living quality and care satisfaction.展开更多
BACKGROUND Children with critical acute abdominal conditions often undergo intestinal stoma surgery.AIM To explore the impact of a visual mobile terminal-based extended care model on caregiver competence for children ...BACKGROUND Children with critical acute abdominal conditions often undergo intestinal stoma surgery.AIM To explore the impact of a visual mobile terminal-based extended care model on caregiver competence for children with enterostomies.METHODS One hundred twenty children with enterostomies and their caregivers in a children's hospital in Beijing were divided into a control group and a study group.The control group(60 cases)received traditional telephone follow-up for continuity of care,while the study group(60 cases)used a visualization mobile terminal-based care model.The incidence of stoma-related complications,caregiver burden scale,and competence scores of children with stoma were compared between the two groups.RESULTS The primary caregiver burden score in the study group(37.22±3.17)was significantly lower than that in the control group(80.00±4.47),and the difference was statistically significant(P<0.05).Additionally,the caregiving ability score of the study group(172.08±3.49)was significantly higher than that of the control group(117.55±4.28;P<0.05).The total incidence of complications in the study group(11.7%,7/60)was significantly lower compared to the control group(33.3%,20/60;χ2=8.086,P=0.004).CONCLUSION The visual mobile terminal-based care model reduces caregiver burden,improves home care ability,lowers the incidence of complications and readmission rates,and supports successful second-stage reduction surgery for children with enterostomies.展开更多
Objective:To analyze the impact of continuous quality care on HAMA,HAMD score,and quality of life in patients with acute myocardial infarction.Methods:The 100 patients with acute myocardial infarction admitted to our ...Objective:To analyze the impact of continuous quality care on HAMA,HAMD score,and quality of life in patients with acute myocardial infarction.Methods:The 100 patients with acute myocardial infarction admitted to our hospital from January 2020 to January 2021 were selected and divided into control and observation groups according to the random number table method,with 50 patients in each group.Patients in the control group were given routine care after discharge,and patients in the observation group received continuous quality care intervention to compare the changes in HAMA,HAMD and quality of life scores before and after care between the two groups.Results:Lower HAMA,HAMD scores and higher quality of life scores compared to care in the observation group,and the difference between groups before and after care was significant(P<0.05).Conclusion:Continuous quality care can effectively reduce anxiety and depression in AMI patients and improve quality of life,which deserves clinical application.展开更多
Objective:To explore the significance of continuing care in improving self-care ability and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 60 COPD patients treated in o...Objective:To explore the significance of continuing care in improving self-care ability and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 60 COPD patients treated in our department between June 2023 and June 2024 were randomly divided into control and observation groups.The control group received routine care,while the observation group received additional continuing care.Self-care ability and quality of life were compared between the two groups.Results:After the intervention,the observation group demonstrated higher self-care ability and quality of life scores compared to the control group(P<0.05).Conclusion:Continuing care for COPD patients has a positive impact on enhancing self-care ability and improving quality of life,making it worth recommending.展开更多
Objective： This article introduces the concepts of mobile information technology and continuous care, develops a systematic review of the application of mobile information technology for continuous care in patients w...Objective： This article introduces the concepts of mobile information technology and continuous care, develops a systematic review of the application of mobile information technology for continuous care in patients with hypertension from three aspects： mobile communication technology, internet technology, health management platform, and puts forward the existing questions, influence and the research prospect of the application of mobile information tech- nology using in hypertension continuous care, in order to provide evidence for the application of mobile information technology in continuous care for hypertension patients in clinical practice.展开更多
Objective: to establish the sensitivity index system for elderly care and the application value of this index in the process of continuing care for elderly diabetes patients. Methods: a total of 64 patients with senil...Objective: to establish the sensitivity index system for elderly care and the application value of this index in the process of continuing care for elderly diabetes patients. Methods: a total of 64 patients with senile diabetes who were admitted to our hospital for treatment from April 2018 to October 2018 were selected as the research object of this paper. They were randomly assigned to the reference group and the research group. The reference group was given routine nursing intervention. The study group used a geriatric care sensitivity index system to carry out continuous care interventions. The two groups of elderly diabetic patients in the disease awareness and other conditions were compared. Results: after the intervention, the scores of DK, SDSCA, SF-36 and nursing satisfaction of middle-aged and elderly diabetic patients in the study group were much higher than those in the reference group (P < 0.05). Conclusion: continued care of elderly diabetes in the geriatric care sensitivity index system can play a very positive role in improving the management behavior, awareness and quality of life of the patients themselves.展开更多
Objective: to analyze the continuation of nursing care in the operation of ureteral calculi.Methods: a total of 69 patients were selected after ureteral calculi in our hospital, all of whom went to our hospital from J...Objective: to analyze the continuation of nursing care in the operation of ureteral calculi.Methods: a total of 69 patients were selected after ureteral calculi in our hospital, all of whom went to our hospital from July 2020 to July 2021.According to computer randomization, control group: implement general care, accounting for 49.28%;observation group: implement continuous care, accounting for 50.72%.To explore the practical role of two groups.Results: the observation group was better than the control group in all aspects (P <0.05).Conclusion: continuous nursing promotes the treatment effect of ureterolithiasis patients, so it is worth popularizing.展开更多
Breast cancer patients may need to receive long-term chemotherapy after surgery. How to effectively carry out continuous nursing intervention during the interval of chemotherapy has an important impact on meeting the ...Breast cancer patients may need to receive long-term chemotherapy after surgery. How to effectively carry out continuous nursing intervention during the interval of chemotherapy has an important impact on meeting the needs of different levels of patients and improving the quality of continuous nursing. This paper reviews a large number of materials, summarizing the application of continuous nursing in the intermittent period of postoperative chemotherapy of breast cancer patients from three aspects: the needs and significance, nursing forms and nursing care of breast cancer patients during the intermittent period of chemotherapy. The aim is to provide theoretical basis for the nursing of clinical breast cancer patients during the interval of chemotherapy.展开更多
Objective:The purpose of this study was to evaluate the effect of continuous care on postpartum anxiety in primipara mothers in China.Methods:A quasi-experimental,non-equivalent control group design was employed.The i...Objective:The purpose of this study was to evaluate the effect of continuous care on postpartum anxiety in primipara mothers in China.Methods:A quasi-experimental,non-equivalent control group design was employed.The initial screening involved 120 primipara women from two hospitals in Shandong Province.Based on the inclusion criteria,60 eligible primipara mothers were selected to participate in the study.Results:The findings indicated that continuous care significantly reduced the anxiety levels of primipara mothers,as shown by a marked decrease in the scores on a researcher-developed anxiety scale.Conclusion:Continuous care has been proven to be an effective intervention for alleviating postpartum anxiety in Chinese primipara mothers and has a positive impact on their mental health and postpartum recovery.展开更多
Objective: for patients after bleeding ligation, the implementation of esophageal variceal bleeding treatment patients, after the discharge of the implementation of the relevant continuous nursing management mode of a...Objective: for patients after bleeding ligation, the implementation of esophageal variceal bleeding treatment patients, after the discharge of the implementation of the relevant continuous nursing management mode of application value. Methods: the clinical effect of continuous nursing care for postoperative patients after holistic treatment of esophagus was effectively improved. A total of 80 patients who were hospitalized in our hospital from January 2019 to January 2020 were selected as the research subjects and divided into the conventional group (conventional nursing), the observation group (continuous nursing) and 40 cases in each group. The overall nursing effects of patients in the two groups in the implementation of self-care management ability and nursing satisfaction were comprehensively analyzed. Results: two groups of patients after ligation of esophageal variceal bleeding were compared and the value of continuous nursing care was implemented after discharge. The scores of self-management ability and nursing satisfaction in the observation group were significantly better than those in the routine group. The data of the two groups were statistically significant (P < 0.05). Conclusion: through the analysis of patients after esophageal variceal bleeding surgery, the implementation of related continuous nursing measures can effectively improve the self-management ability of patients after ligation of esophageal variceal bleeding and the clinical nursing effect of satisfaction nursing treatment. It is helpful to promote the smooth development of nursing treatment and improve the prognosis of patients with good application value.展开更多
Objective: to explore the application effect of continuous nursing model in puerperal health care. Methods: 80 cases of puerperal primiparas admitted to our hospital from February 2018 to February 2019 were selected a...Objective: to explore the application effect of continuous nursing model in puerperal health care. Methods: 80 cases of puerperal primiparas admitted to our hospital from February 2018 to February 2019 were selected as the research object, and the primiparas were divided into experimental group and reference group according to the different nursing working modes, with 40 cases in each group. The reference group implemented the conventional basic care model, while the experimental group implemented the continuous care model in the puerperium care. The complications of primiparas and the difference in Edinburgh postpartum depression score between the two groups were compared. Results: the incidence of complications of primipara in the experimental group was significantly lower than that in the reference group, and the postpartum depression score in Edinburgh was significantly lower than that in the reference group. There was a significant difference in nursing indicators between the two groups, with statistical significance (P<0.05). Conclusion: primiparas have very high utilization value in puerperium health care, which can significantly improve various functions of parturients, reduce the incidence of postpartum complications, improve psychological status, strengthen the prognosis effect, and can be popularized and applied in clinical practice.展开更多
Objective: to study the effect of continuous breastfeeding on self-care ability and treatment effect in elderly patients with chronic heart failure. Methods: the 100 elderly patients with chronic heart failure treated...Objective: to study the effect of continuous breastfeeding on self-care ability and treatment effect in elderly patients with chronic heart failure. Methods: the 100 elderly patients with chronic heart failure treated in university internal medicine from January 2019 to March 2020 were divided into control and observation groups. There were 50 cases in each group. The control group was given ordinary breastfeeding. The observation group was given continuous care according to the control group. Results: patients in the observation group had good self-care ability, good treatment efficiency, good patient satisfaction, good quality of life in the observation group, high dependence after breastfeeding, low incidence of adverse events, and statistically significant differences (P <0.05). Conclusion: continuous breastfeeding has a significant effect in elderly patients with chronic heart failure. It can significantly improve the patients' self-healing ability, effectively improve the quality of life, have high patient satisfaction and dependence, and significantly reduce the incidence of adverse events. It is a safe and effective treatment method with important clinical value and deserves recommendation.展开更多
Objective: to evaluate the effectiveness of the continuous improvement of nursing quality in uterine fibroids care. Methods: the study range from January 2020 to July 2021, choose to our hospital gynecology of uterine...Objective: to evaluate the effectiveness of the continuous improvement of nursing quality in uterine fibroids care. Methods: the study range from January 2020 to July 2021, choose to our hospital gynecology of uterine fibroids patients for the research goal, statistics of 136 cases according to computer random distribution method, control group accept routine care, observation group to take nursing quality continuous improvement scheme, evaluation of the quality of life, psychological status and clinical care quality score. Results: the quality of life scores in the observation group were significantly higher than the control group (P <0.05), the psychological status score was insignificant, and the anxiety and depression scores were significantly lower than the control group, with statistical results P <0.05. Conclusion: the continuous nursing quality of uterine fibroids patients can not only achieve a high level of nursing services, but also further improve the quality of life and treatment mood, which is worth clinical application.展开更多
Objective: to observe the application effect of intravenous therapy nursing group in continuous care of patients discharged from hospital with PICC catheter. Methods: seventy patients with PICC catheter discharged fro...Objective: to observe the application effect of intravenous therapy nursing group in continuous care of patients discharged from hospital with PICC catheter. Methods: seventy patients with PICC catheter discharged from our hospital from May 2018 to May 2020 were selected as the object, and the patients were randomly divided into two groups by dice method. The control group received conventional continuous care, and the observation group received intravenous therapy nursing intervention. The effects of the two methods on the patients were compared. Results: the number of cases of adverse conditions in the observation group was less than that in the control group, and the difference between groups was significant (P < 0.05). Conclusion: patients discharged with PICC catheterization should carry out continuous nursing according to the nursing group of intravenous therapy, reduce the influence of adverse factors on patients, and prolong the indwelling time.展开更多
Medications are beneficial for curing or managing acute and chronic illnesses. Medications typically have positive outcomes, although older people are prone to drug-related problems. Community-dwelling seniors are at ...Medications are beneficial for curing or managing acute and chronic illnesses. Medications typically have positive outcomes, although older people are prone to drug-related problems. Community-dwelling seniors are at particularly high risk of polypharmacy, as they tend to receive many prescriptions over time and from different care providers. Continuing-care facility admission presents an excellent opportunity for a comprehensive medication review. A research study was conducted to describe and compare medications taken by community-dwelling seniors prior to and following admission to a continuing-care facility. This pilot project involved data being gathered from the charts of deceased residents, as required by a University Health Research Ethics Board, who had been cared for at one large local continuing-care facility. The facility administrators also approved this study, in part to evaluate their policy to conduct a medication review for all new residents within six weeks of entry. This study revealed a slight but statistically significant reduction in the number of medications following this review. Other issues such as medication interactions and required dosage changes were addressed by this medication review. Although this study was confined to one continuing-care facility and a small number of residents, the findings suggest medication reviews would be beneficial upon admission to all continuing-care facilities, and annually perhaps through other means for older persons living in the community.展开更多
Background： The world is facing increasing pressure with the continuous growth of the older population. Older patients are usually discharged with complex medical problems, high stress and vulnerability, and these fa...Background： The world is facing increasing pressure with the continuous growth of the older population. Older patients are usually discharged with complex medical problems, high stress and vulnerability, and these factors place the elderly at risk for poor outcomes. Purpose： The present review summarizes a method for providing appropriate and affordable health services by nursing professionals to meet older patient＇s health care needs during their transitional period which is defined as a period from discharge after hospitalization for a major disorder to recovery in a home setting. Summary： Older patients with chronic diseases need seamless health care during a transitional period-a highly stressful and vulnerable period for them. Nurse professionals can conduct decent discharge planning to assist older patients with transitional problems through continuous healthcare. This review summarized the need of continuing care for older patients during the transitional period, the definition of discharge planning, the conceptual framework of discharge planning, and the professionals involved in discharge planning. It also highlighted the problems of discharge planning and follow-up intervention implementation in the mainland of China. Clinical implications： Inadequate discharge planning and follow-up were leading factors associ- ated with the readmission of discharged older patients. Further nursing-led discharge planning should be reinforced in China.展开更多
文摘Objective:To analyze the value of continuous care for patients with hypertensive intracerebral hemorrhage(HICH).Methods:A total of 80 patients with HICH who visited our hospital from January 2024 to December 2024 were selected as samples and randomly divided into two groups.The observation group received continuous care,while the control group received routine care.The Functional Independence Measure(FIM),Symptom Checklist-90(SCL-90),and complications were compared between the two groups.Results:The FIM score of the observation group was higher than that of the control group(P<0.05).The SCL-90 score of the observation group was lower than that of the control group(P<0.05).The incidence of HICH complications in the observation group was lower than that in the control group(P<0.05).Conclusion:The application of continuous care in HICH nursing can enhance patients’independent living skills outside the hospital,optimize their psychosocial adaptation,and is safe and efficient.
文摘BACKGROUND:Pulse indicated continuous cardiac output(PiCCO)has largely replaced Swan-Ganz catheterization in shock patients.However,whether PiCCO monitoring can improve outcomes of shock patients,such as mortality,length of hospital stay,duration of mechanical ventilation,or laboratory parameters,remains unknown.METHODS:This retrospective cohort study included patients with shock in the intensive care unit(ICU)from January 2013 to January 2020.Patients were divided into PiCCO group and non-PiCCO group based on treatment with PiCCO monitoring or not.Demographic characteristics,Acute Physiology and Chronic Health Evaluation(APACHE)II scores,quick Sequential Organ Failure Assessment(qSOFA)scores,14-day mortality,and N-terminal pro-B-type natriuretic peptide(NT-proBNP)levels at 0,1,3 and 7 days after onset of shock,duration of mechanical ventilation,length of hospital stay and hospitalization costs were compiled and analyzed using propensity score matching(PSM).RESULTS:Real-world analysis of 1,583 ICU patients suff ering shock after propensity score matching revealed that 14-day mortality did not differ between PiCCO and non-PiCCO groups(36.2%vs.32.6%,P=0.343).Duration of mechanical ventilation,hospital stay,and hospitalization costs were also similar between the two groups(P>0.05).No diff erences in changes of NT-proBNP levels on days 0,1,3,and 7 as compared to baseline were noted between the two groups(P>0.05).CONCLUSIONS:The results of our real-world indicate that PiCCO monitoring may not shorten the duration of mechanical ventilation,length of hospital stay,or reduce hospitalization costs,nor will it bring survival benefi ts to ICU patients suff ering shock.
文摘Diabetes mellitus affects people worldwide,and management of its acute complications or treatment-related adverse events is particularly important in critically ill patients.Previous reports have confirmed that hyperglycemia can increase the risk of mortality in patients cared in the intensive care unit(ICU).In addition,severe and multiple hypoglycemia increases the risk of mortality when using insulin or intensive antidiabetic therapy.The innovation of continuous glucose monitoring(CGM)may help to alert medical caregivers with regard to the development of hyperglycemia and hypoglycemia,which may decrease the potential complications in patients in the ICU.The major limitation of CGM is the measurement of interstitial glucose levels rather than real-time blood glucose levels;thus,there will be a delay in the treatment of hyperglycemia and hypoglycemia in patients.Recently,the European Union approved a state-of-art artificial intelligence directed loop system coordinated by CGM and a continuous insulin pump for diabetes control,which may provide a practical way to prevent acute adverse glycemic events related to antidiabetic therapy in critically ill patients.In this mini-review paper,we describe the application of CGM to patients in the ICU and summarize the pros and cons of CGM.
文摘BACKGROUND Despite sharing similar pathogenic factors,cancer and coronary heart disease(CHD)occur in comparable populations at similar ages and possess similar susceptibility factors.Consequently,it is increasingly commonplace for patients to experience the simultaneous occurrence of cancer and CHD,a trend that is steadily rising.AIM To determine the impacts of continuing care on lung cancer patients with CHD following percutaneous coronary intervention(PCI).METHODS There were 94 lung cancer patients with CHD following PCI who were randomly assigned to the intervention group(n=38)and the control group(n=41).In the intervention group,continuing care was provided,while in the control group,routine care was provided.An evaluation of cardiac and pulmonary function,medication compliance,a 6-min walk test,and patient quality of life was performed.RESULTS Differences between the two groups were significant in left ventricular ejection fraction,6-min walk test,oxygen uptake,quality of life and medication compliance(P<0.05).In comparison with the control group,the enhancement in the intervention group was more significant.The intervention group had more patients with high medication compliance than the control group,with a statistically significant difference(P<0.05).CONCLUSION After undergoing PCI,lung patients with CHD could benefit from continued care in terms of cardiac and pulmonary function,medications compliance,and quality of life.
基金Supported by Zhangjiakou Science and Technology Plan Project,No.2322112D.
文摘BACKGROUND Breast cancer is among the most common malignancies worldwide.With progress in treatment methods and levels,the overall survival period has been prolonged,and the demand for quality care has increased.AIM To investigate the effect of individualized and continuous care intervention in patients with breast cancer.METHODS Two hundred patients with breast cancer who received systemic therapy at The First Affiliated Hospital of Hebei North University(January 2021 to July 2023)were retrospectively selected as research participants.Among them,134 received routine care intervention(routing group)and 66 received personalized and continuous care(intervention group).Self-rating anxiety scale(SAS),self-rating depression scale(SDS),and Functional Assessment of Cancer Therapy-Breast(FACT-B)scores,including limb shoulder joint activity,complication rate,and care satisfaction,were compared between both groups after care.RESULTS SAS and SDS scores were lower in the intervention group than in the routing group at one and three months after care.The total FACT-B scores and five dimensions in the intervention group were higher than those in the routing group at three months of care.The range of motion of shoulder anteflexion,posterior extension,abduction,internal rotation,and external rotation in the intervention group was higher than that in the routing group one month after care.The incidence of postoperative complications was 18.18%lower in the intervention group than in the routing group(34.33%;P<0.05).Satisfaction with care was 90.91% higher in the intervention group than in the routing group(78.36%;P<0.05).CONCLUSION Personalized and continuous care can alleviate negative emotions in patients with breast cancer,quicken rehabilitation of limb function,decrease the incidence of complications,and improve living quality and care satisfaction.
基金Supported by Project of the Health Bureau of the Logistics and Security Department of the Central Military Commission,No.145BHQ090003076XMilitary Family Planning Special Fund,No.21JSZ18.
文摘BACKGROUND Children with critical acute abdominal conditions often undergo intestinal stoma surgery.AIM To explore the impact of a visual mobile terminal-based extended care model on caregiver competence for children with enterostomies.METHODS One hundred twenty children with enterostomies and their caregivers in a children's hospital in Beijing were divided into a control group and a study group.The control group(60 cases)received traditional telephone follow-up for continuity of care,while the study group(60 cases)used a visualization mobile terminal-based care model.The incidence of stoma-related complications,caregiver burden scale,and competence scores of children with stoma were compared between the two groups.RESULTS The primary caregiver burden score in the study group(37.22±3.17)was significantly lower than that in the control group(80.00±4.47),and the difference was statistically significant(P<0.05).Additionally,the caregiving ability score of the study group(172.08±3.49)was significantly higher than that of the control group(117.55±4.28;P<0.05).The total incidence of complications in the study group(11.7%,7/60)was significantly lower compared to the control group(33.3%,20/60;χ2=8.086,P=0.004).CONCLUSION The visual mobile terminal-based care model reduces caregiver burden,improves home care ability,lowers the incidence of complications and readmission rates,and supports successful second-stage reduction surgery for children with enterostomies.
文摘Objective:To analyze the impact of continuous quality care on HAMA,HAMD score,and quality of life in patients with acute myocardial infarction.Methods:The 100 patients with acute myocardial infarction admitted to our hospital from January 2020 to January 2021 were selected and divided into control and observation groups according to the random number table method,with 50 patients in each group.Patients in the control group were given routine care after discharge,and patients in the observation group received continuous quality care intervention to compare the changes in HAMA,HAMD and quality of life scores before and after care between the two groups.Results:Lower HAMA,HAMD scores and higher quality of life scores compared to care in the observation group,and the difference between groups before and after care was significant(P<0.05).Conclusion:Continuous quality care can effectively reduce anxiety and depression in AMI patients and improve quality of life,which deserves clinical application.
基金Baoding Science and Technology Bureau Project“Study on the Impact of Continuing Care on Self-Care Ability and Quality of Life in COPD Patients”(Project No.2441ZF276)。
文摘Objective:To explore the significance of continuing care in improving self-care ability and quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 60 COPD patients treated in our department between June 2023 and June 2024 were randomly divided into control and observation groups.The control group received routine care,while the observation group received additional continuing care.Self-care ability and quality of life were compared between the two groups.Results:After the intervention,the observation group demonstrated higher self-care ability and quality of life scores compared to the control group(P<0.05).Conclusion:Continuing care for COPD patients has a positive impact on enhancing self-care ability and improving quality of life,making it worth recommending.
文摘Objective： This article introduces the concepts of mobile information technology and continuous care, develops a systematic review of the application of mobile information technology for continuous care in patients with hypertension from three aspects： mobile communication technology, internet technology, health management platform, and puts forward the existing questions, influence and the research prospect of the application of mobile information tech- nology using in hypertension continuous care, in order to provide evidence for the application of mobile information technology in continuous care for hypertension patients in clinical practice.
文摘Objective: to establish the sensitivity index system for elderly care and the application value of this index in the process of continuing care for elderly diabetes patients. Methods: a total of 64 patients with senile diabetes who were admitted to our hospital for treatment from April 2018 to October 2018 were selected as the research object of this paper. They were randomly assigned to the reference group and the research group. The reference group was given routine nursing intervention. The study group used a geriatric care sensitivity index system to carry out continuous care interventions. The two groups of elderly diabetic patients in the disease awareness and other conditions were compared. Results: after the intervention, the scores of DK, SDSCA, SF-36 and nursing satisfaction of middle-aged and elderly diabetic patients in the study group were much higher than those in the reference group (P < 0.05). Conclusion: continued care of elderly diabetes in the geriatric care sensitivity index system can play a very positive role in improving the management behavior, awareness and quality of life of the patients themselves.
文摘Objective: to analyze the continuation of nursing care in the operation of ureteral calculi.Methods: a total of 69 patients were selected after ureteral calculi in our hospital, all of whom went to our hospital from July 2020 to July 2021.According to computer randomization, control group: implement general care, accounting for 49.28%;observation group: implement continuous care, accounting for 50.72%.To explore the practical role of two groups.Results: the observation group was better than the control group in all aspects (P <0.05).Conclusion: continuous nursing promotes the treatment effect of ureterolithiasis patients, so it is worth popularizing.
文摘Breast cancer patients may need to receive long-term chemotherapy after surgery. How to effectively carry out continuous nursing intervention during the interval of chemotherapy has an important impact on meeting the needs of different levels of patients and improving the quality of continuous nursing. This paper reviews a large number of materials, summarizing the application of continuous nursing in the intermittent period of postoperative chemotherapy of breast cancer patients from three aspects: the needs and significance, nursing forms and nursing care of breast cancer patients during the intermittent period of chemotherapy. The aim is to provide theoretical basis for the nursing of clinical breast cancer patients during the interval of chemotherapy.
文摘Objective:The purpose of this study was to evaluate the effect of continuous care on postpartum anxiety in primipara mothers in China.Methods:A quasi-experimental,non-equivalent control group design was employed.The initial screening involved 120 primipara women from two hospitals in Shandong Province.Based on the inclusion criteria,60 eligible primipara mothers were selected to participate in the study.Results:The findings indicated that continuous care significantly reduced the anxiety levels of primipara mothers,as shown by a marked decrease in the scores on a researcher-developed anxiety scale.Conclusion:Continuous care has been proven to be an effective intervention for alleviating postpartum anxiety in Chinese primipara mothers and has a positive impact on their mental health and postpartum recovery.
文摘Objective: for patients after bleeding ligation, the implementation of esophageal variceal bleeding treatment patients, after the discharge of the implementation of the relevant continuous nursing management mode of application value. Methods: the clinical effect of continuous nursing care for postoperative patients after holistic treatment of esophagus was effectively improved. A total of 80 patients who were hospitalized in our hospital from January 2019 to January 2020 were selected as the research subjects and divided into the conventional group (conventional nursing), the observation group (continuous nursing) and 40 cases in each group. The overall nursing effects of patients in the two groups in the implementation of self-care management ability and nursing satisfaction were comprehensively analyzed. Results: two groups of patients after ligation of esophageal variceal bleeding were compared and the value of continuous nursing care was implemented after discharge. The scores of self-management ability and nursing satisfaction in the observation group were significantly better than those in the routine group. The data of the two groups were statistically significant (P < 0.05). Conclusion: through the analysis of patients after esophageal variceal bleeding surgery, the implementation of related continuous nursing measures can effectively improve the self-management ability of patients after ligation of esophageal variceal bleeding and the clinical nursing effect of satisfaction nursing treatment. It is helpful to promote the smooth development of nursing treatment and improve the prognosis of patients with good application value.
文摘Objective: to explore the application effect of continuous nursing model in puerperal health care. Methods: 80 cases of puerperal primiparas admitted to our hospital from February 2018 to February 2019 were selected as the research object, and the primiparas were divided into experimental group and reference group according to the different nursing working modes, with 40 cases in each group. The reference group implemented the conventional basic care model, while the experimental group implemented the continuous care model in the puerperium care. The complications of primiparas and the difference in Edinburgh postpartum depression score between the two groups were compared. Results: the incidence of complications of primipara in the experimental group was significantly lower than that in the reference group, and the postpartum depression score in Edinburgh was significantly lower than that in the reference group. There was a significant difference in nursing indicators between the two groups, with statistical significance (P<0.05). Conclusion: primiparas have very high utilization value in puerperium health care, which can significantly improve various functions of parturients, reduce the incidence of postpartum complications, improve psychological status, strengthen the prognosis effect, and can be popularized and applied in clinical practice.
文摘Objective: to study the effect of continuous breastfeeding on self-care ability and treatment effect in elderly patients with chronic heart failure. Methods: the 100 elderly patients with chronic heart failure treated in university internal medicine from January 2019 to March 2020 were divided into control and observation groups. There were 50 cases in each group. The control group was given ordinary breastfeeding. The observation group was given continuous care according to the control group. Results: patients in the observation group had good self-care ability, good treatment efficiency, good patient satisfaction, good quality of life in the observation group, high dependence after breastfeeding, low incidence of adverse events, and statistically significant differences (P <0.05). Conclusion: continuous breastfeeding has a significant effect in elderly patients with chronic heart failure. It can significantly improve the patients' self-healing ability, effectively improve the quality of life, have high patient satisfaction and dependence, and significantly reduce the incidence of adverse events. It is a safe and effective treatment method with important clinical value and deserves recommendation.
文摘Objective: to evaluate the effectiveness of the continuous improvement of nursing quality in uterine fibroids care. Methods: the study range from January 2020 to July 2021, choose to our hospital gynecology of uterine fibroids patients for the research goal, statistics of 136 cases according to computer random distribution method, control group accept routine care, observation group to take nursing quality continuous improvement scheme, evaluation of the quality of life, psychological status and clinical care quality score. Results: the quality of life scores in the observation group were significantly higher than the control group (P <0.05), the psychological status score was insignificant, and the anxiety and depression scores were significantly lower than the control group, with statistical results P <0.05. Conclusion: the continuous nursing quality of uterine fibroids patients can not only achieve a high level of nursing services, but also further improve the quality of life and treatment mood, which is worth clinical application.
文摘Objective: to observe the application effect of intravenous therapy nursing group in continuous care of patients discharged from hospital with PICC catheter. Methods: seventy patients with PICC catheter discharged from our hospital from May 2018 to May 2020 were selected as the object, and the patients were randomly divided into two groups by dice method. The control group received conventional continuous care, and the observation group received intravenous therapy nursing intervention. The effects of the two methods on the patients were compared. Results: the number of cases of adverse conditions in the observation group was less than that in the control group, and the difference between groups was significant (P < 0.05). Conclusion: patients discharged with PICC catheterization should carry out continuous nursing according to the nursing group of intravenous therapy, reduce the influence of adverse factors on patients, and prolong the indwelling time.
文摘Medications are beneficial for curing or managing acute and chronic illnesses. Medications typically have positive outcomes, although older people are prone to drug-related problems. Community-dwelling seniors are at particularly high risk of polypharmacy, as they tend to receive many prescriptions over time and from different care providers. Continuing-care facility admission presents an excellent opportunity for a comprehensive medication review. A research study was conducted to describe and compare medications taken by community-dwelling seniors prior to and following admission to a continuing-care facility. This pilot project involved data being gathered from the charts of deceased residents, as required by a University Health Research Ethics Board, who had been cared for at one large local continuing-care facility. The facility administrators also approved this study, in part to evaluate their policy to conduct a medication review for all new residents within six weeks of entry. This study revealed a slight but statistically significant reduction in the number of medications following this review. Other issues such as medication interactions and required dosage changes were addressed by this medication review. Although this study was confined to one continuing-care facility and a small number of residents, the findings suggest medication reviews would be beneficial upon admission to all continuing-care facilities, and annually perhaps through other means for older persons living in the community.
文摘Background： The world is facing increasing pressure with the continuous growth of the older population. Older patients are usually discharged with complex medical problems, high stress and vulnerability, and these factors place the elderly at risk for poor outcomes. Purpose： The present review summarizes a method for providing appropriate and affordable health services by nursing professionals to meet older patient＇s health care needs during their transitional period which is defined as a period from discharge after hospitalization for a major disorder to recovery in a home setting. Summary： Older patients with chronic diseases need seamless health care during a transitional period-a highly stressful and vulnerable period for them. Nurse professionals can conduct decent discharge planning to assist older patients with transitional problems through continuous healthcare. This review summarized the need of continuing care for older patients during the transitional period, the definition of discharge planning, the conceptual framework of discharge planning, and the professionals involved in discharge planning. It also highlighted the problems of discharge planning and follow-up intervention implementation in the mainland of China. Clinical implications： Inadequate discharge planning and follow-up were leading factors associ- ated with the readmission of discharged older patients. Further nursing-led discharge planning should be reinforced in China.
