BACKGROUND The intervention value of a drug-psycho-social-skill model on medication compliance and cognitive ability in patients with chronic schizophrenia was unknown.AIM To explore the intervention value of a drug-p...BACKGROUND The intervention value of a drug-psycho-social-skill model on medication compliance and cognitive ability in patients with chronic schizophrenia was unknown.AIM To explore the intervention value of a drug-psycho-social-skill model on medication compliance and cognitive ability in patients with chronic schizophrenia.METHODS Overall,98 out-patients and in-patients with chronic schizophrenia treated in our hospital from February 2022 to January 2023 were included and randomly divided into the study(50 patients)and control groups(48 patients).For 3 months,the control group was treated with conventional drugs,and the research group with a comprehensive intervention model of drug-psychology-society-skills.Data were obtained for the mini mental assessment scale(MMSE),Montreal cognitive assessment scale(MoCA),positive and negative symptom scale,insight and treatment attitude scale,cognitive ability scale and social skills[personal and social function scale(PSP)].The adverse reactions were observed.RESULTS After the intervention,the MMSE and MoCA scores improved in both groups.MoCA scores in the study group(26.58±3.21)were significantly(P<0.05)higher than those in the control group(24.68±3.02),MMSE scores were not significantly higher.Post-intervention,positive and negative symptom scores improved in both groups,and the positive and negative symptom scores in the study group[(12.01±2.58)and(32.51±2.11)]were significantly(P<0.05)different than those in the control group[(14.54±2.33)and(33.74±2.55)].Post-intervention,insight and treatment attitudes questionnaire scores of both groups were improved and compared with the control group(7.97±3.02),the study group(13.56±6.35)had significantly(P<0.05)higher scores.Post-intervention,the MATRICS consensus cognitive battery score of both groups was improved and compared with the control group(38.44±6.23),the score of the study group was significantly(P<0.05)increased(43.51±6.01).Post-intervention,the PSP score of the study group(78.38±6.63)was significantly(P<0.05)higher than that of the control group(74.52±7.01).During the intervention period,the incidence of adverse reactions in the study group was 6.25%,not significantly different from that in the control group(8.33%).During the intervention,both groups experienced adverse reactions,with no significant difference between groups(P>0.05).CONCLUSION The comprehensive intervention model based on drug-psychology-society-skills has obvious intervention effects on patients with chronic schizophrenia,which improves their cognitive ability and reduces their positive and negative symptoms.Simultaneously,it improves the self-knowledge of patients,improves their attitude toward treatment,effectively promotes the recovery of patients'social functions,and is safe.Therefore,it is worthy of being vigorously promoted and widely used in clinics.展开更多
AIM:To investigate the effects of school-basedcomprehensive intervention on myopia development inelementary school children.METHODS:As a part of the Wenzhou Epidemiologyof Refraction Error Study,there were 1524 partic...AIM:To investigate the effects of school-basedcomprehensive intervention on myopia development inelementary school children.METHODS:As a part of the Wenzhou Epidemiologyof Refraction Error Study,there were 1524 participatingelementary students(730 girls,47.9%)in grades 1 to3 from three campuses of one school,aged 7.3±0.9y,who were examined twice every year for a 2.5y follow upperiod.Comprehensive intervention and other reminderswere given at school every semester for the interventiongroup.The control group did not receive comprehensiveintervention and did not have reminders of it.RESULTS:There were 651 students in the interventiongroup[mean age 7.3±0.9y;294(45.2%)girls]and 737students in the control group[mean age 7.2±0.9y;346(46.9%)girls].Overall mean myopia progression duringthe 2.5y follow-up was-0.49±1.04 diopters(D)in theintervention group and-0.65±1.08 D in the control group(P=0.004).The majority that not get myopia at baselinespherical equivalent(SE≤-1.0 D).Their mean myopiaprogression during the 2.5y follow-up was-0.37±0.89 Din the intervention group and-0.51±0.93 D in the controlgroup(27.5%reduction,P=0.009);Overall,mean axiallength elongation was less in the intervention group(0.56±0.32 mm)than in the control group(0.61±0.38 mm,10.5%reduction,P=0.009).The percentage of close reading distance(<30 cm)in the intervention group was less than in the control group(73.4%vs 76.2%,P<0.001),the percentage of everyday perform eye exercises in the intervention group was more than in the control group(27.8%vs 20.7%,P<0.001)30mo later.CONCLUSION:The comprehensive intervention program at elementary school has a significant alleviating effect on myopia progression for children during the 2.5y follow-up,especially for those non-myopia at baseline.展开更多
Objective: to study the effect of a midwife-led comprehensive intervention in late pregnancy on maternal self-efficacy and delivery outcomes.Methods: the samples were selected from August 2021 to December 2021, and a ...Objective: to study the effect of a midwife-led comprehensive intervention in late pregnancy on maternal self-efficacy and delivery outcomes.Methods: the samples were selected from August 2021 to December 2021, and a total of 100 samples were randomly divided into the control group and the observation group. The application value of the third-pregnancy comprehensive intervention led by midwives was analyzed.Results: the natural delivery rate was higher than the control group (P <0.05);lower (P <0.05);Lower self-efficacy and social support scores in the control group (P <0.05): lower GAD-7 and PHQ-9 (P <0.05);lower GQOL-74 scores than the control group (P <0.05). Conclusion: the comprehensive nursing intervention in the field, improve the cognition of natural delivery, improve the natural delivery rate, promote the effective improvement of maternal self-efficacy and social support evaluation, reduce the influence of postpartum bad mood, optimize the overall quality of life, has high clinical application value.展开更多
Objective:This study aims to explore the value of comprehensive intervention in the clinical treatment of patients with type 2 diabetes mellitus complicated with hypertension.Methods:90 patients with type 2 diabetes a...Objective:This study aims to explore the value of comprehensive intervention in the clinical treatment of patients with type 2 diabetes mellitus complicated with hypertension.Methods:90 patients with type 2 diabetes and hypertension were selected and divided into a control group and an intervention group according to the random number table method,with 45 cases in each group.The control group received conventional treatment,and the intervention group received comprehensive intervention on the basis of the control group,including a diet plan,an exercise program,scientific treatment,regular monitoring,and psychological counseling.The blood sugar,blood pressure,and other indicators of the two groups were compared.Results:After 5 months of intervention,the fasting blood glucose,postprandial 2 h blood glucose,glycosylated blood glucose protein,diastolic blood pressure,systolic blood pressure,mean arterial pressure,and other indicators of the intervention group were significantly lower than the control group(P<0.05),and the rate of decrease was significantly greater than that of the control group(P<0.05).Conclusion:Comprehensive intervention for patients with type 2 diabetes mellitus and hypertension helps in controlling blood sugar and lowering blood pressure,with clinical significance.展开更多
Objective: to explore the improvement of life quality and lung function before and after exercise therapy combined with family comprehensive intervention in the rehabilitation treatment of COPD patients in stable peri...Objective: to explore the improvement of life quality and lung function before and after exercise therapy combined with family comprehensive intervention in the rehabilitation treatment of COPD patients in stable period. Methods: this study was carried out on 200 patients with stable COPD admitted by the respiratory department of Wudang district people's hospital of Guiyang (January 2019 to January 2021). They were randomly divided into control group (exercise therapy) and treatment group (exercise therapy + family comprehensive intervention). The quality of life, lung function and other indicators of patients before and after intervention were evaluated to determine the practical value of the combined rehabilitation treatment scheme. Results: the scores of all items of quality of life scale in the treatment group were higher than those in the control group (P < 0.05);The data of pulmonary function indexes in the treatment group were significantly improved and changed significantly, which was better than that in the control group (P < 0.05). Conclusion: in the rehabilitation treatment of patients with COPD in stable period, the effect of combined therapy is relatively significant, that is, exercise therapy + family comprehensive intervention. Patients can achieve a strong sustained treatment intervention, their quality of life and lung function are improved, to achieve the improvement of the prognosis of patients.展开更多
Objective: to evaluate the satisfaction of the cases of knee replacement. Methods: a total of 70 knee replacement cases participated in this study. The first case was admitted in May 2019, and the last case was admitt...Objective: to evaluate the satisfaction of the cases of knee replacement. Methods: a total of 70 knee replacement cases participated in this study. The first case was admitted in May 2019, and the last case was admitted in July 2019. All the subjects were divided into two groups, including 34 in group A and 36 in group B. In the centralized care mode, one group administered routine form care (Group B) and the other group performed a comprehensive pain intervention (Group A). The treatment efficacy and satisfaction, bad mood, pain, comfort, and quality of survival scores were compared between pre-and post-treatment 70 patients. Results: in the comparison of the treatment effect, the results in group A is significantly better than those in group B, with large differences (P <0.05). The comparison of nursing satisfaction data showed that group A was at a high level with a statistic of P <0.05. In Group A, the bad mood score and pain score were significantly lower than in group B, and the comfort score and quality of survival score were significantly higher than in group B, with P <0.05, showing significant differences between the data. Conclusion: in the centralized care mode, the comprehensive pain intervention for patients with knee replacement has a good treatment effect and high satisfaction. This method is very effective and worth application.展开更多
Orthodontic osteodilated arch treatment represents a pivotal approach in dental orthodontics to address dental crowding and misalignment.Integrating cognitive behavioral therapy(CBT)into comprehensive nursing interven...Orthodontic osteodilated arch treatment represents a pivotal approach in dental orthodontics to address dental crowding and misalignment.Integrating cognitive behavioral therapy(CBT)into comprehensive nursing interventions(CNI)aims to address these issues holistically.This editorial explores the effectiveness of CBTbased CNI in improving patient outcomes in orthodontic care.Innovations in remote CBT delivery,such as virtual reality,have also shown potential in reducing pain,anxiety,and depression,emphasizing CBT's adaptability in orthodontic settings.The findings underscore the importance of integrating psychological support into orthodontic care to enhance patient adherence,satisfaction,and overall treatment success.The editorial advocates for a holistic approach that combines psychological and physiological care,highlighting the transformative potential of CBT-based interventions in orthodontic treatment.展开更多
Objective: To examine the effects of comprehensive nursing interventions on maternal and infant outcomes in pregnant women diagnosed with gestational diabetes mellitus (GDM). Methods: A quasi-experimental design was e...Objective: To examine the effects of comprehensive nursing interventions on maternal and infant outcomes in pregnant women diagnosed with gestational diabetes mellitus (GDM). Methods: A quasi-experimental design was employed, involving 60 pregnant women with GDM who were purposively selected and randomly allocated into experimental and control groups, each comprising 30 participants. The experimental group received comprehensive nursing interventions and pregnancy monitoring, while the control group received standard nursing care. Data collection was conducted using demographic questionnaires, pregnancy indicators, and maternal-infant outcome measurement tools. The collected data were analyzed using Microsoft Excel and the Statistical Package for Social Sciences (SPSS). Results: The findings indicated significant improvements in fasting blood glucose, postprandial blood glucose, amniotic fluid index, and neonatal birth weight in the experimental group compared to the control group. However, no statistically significant differences were observed in body mass index (BMI) or pregnancy weight gain. Comprehensive nursing interventions were associated with a significant reduction in maternal complications, including polyhydramnios, postpartum hemorrhage, and preeclampsia, as well as neonatal complications such as neonatal pneumonia, macrosomia, and hypoglycemia. Conclusion: Comprehensive nursing interventions have a positive impact on maternal and neonatal outcomes in pregnant women with GDM.展开更多
Objective: To analyze the effect of comprehensive nursing intervention on improving blood glucose levels and treatment compliance in elderly patients with diabetes. Methods: One hundred and forty-eight elderly patient...Objective: To analyze the effect of comprehensive nursing intervention on improving blood glucose levels and treatment compliance in elderly patients with diabetes. Methods: One hundred and forty-eight elderly patients with diabetes were selected and randomly divided into a control group and an observation group, with 74 cases each. The control group received routine nursing intervention and the observation group received comprehensive nursing intervention. The blood sugar levels, treatment compliance, and nursing satisfaction of the two groups of patients before and after intervention were compared. Results: After the intervention, the fasting plasma glucose (FPG) (t = 7.729), 2 hours postprandial glucose (PPG) (t = 8.343), and HbA1c (t = 6.929) levels of patients in the observation group were significantly lower than those in the control group (P < 0.001). The observation group (71/95.95%) had a higher compliance rate than the control group (54/72.97%) (χ^(2)=14.877, P < 0.001). The comprehensive nursing satisfaction rate of the observation group (73/98.65%) was higher than that of the control group (56/75.68%) (χ^(2)=17.451, P < 0.001). Conclusion: In caring for elderly patients with diabetes, comprehensive nursing intervention effectively reduced patients’ blood sugar levels and improved treatment compliance and nursing satisfaction.展开更多
In the evolving landscape of Tourette’s syndrome(TS)treatment,behavioral therapies have emerged as essential to address the comorbid psychological issues,as well as motor and vocal tics.This editorial comments on the...In the evolving landscape of Tourette’s syndrome(TS)treatment,behavioral therapies have emerged as essential to address the comorbid psychological issues,as well as motor and vocal tics.This editorial comments on the study by Wang et al,which showed that cognitive-behavioral therapy(CBT)combined with habit reversal training significantly improved anxiety and tic severity in children with TS.We highlight the current status and future perspectives of behavioral interventions such as CBT,and comprehensive behavioral intervention for tics,demonstrating their efficacy in alleviating TS symptoms and improving patients'quality of life.Recognizing the multifaceted nature of TS,our discussion integrates empirical evidence from various studies to provide a comprehensive perspective on the role of behavioral therapy in the management of this complex condition.This editorial concludes by emphasizing the need for innovative strategies that may address the limitations of existing treatments and advocates a multidisciplinary approach that combines behavioral,pharmacological,and neurobiological interventions to improve outcomes for patients with TS.展开更多
Objective:This study aims to investigate the impact of early intervention on neuropsychological development in children with autism and attention deficit hyperactivity disorder(ADHD),providing effective intervention s...Objective:This study aims to investigate the impact of early intervention on neuropsychological development in children with autism and attention deficit hyperactivity disorder(ADHD),providing effective intervention strategies for clinical practice.Methods:A total of 130 children with autism and ADHD who visited the hospital between June 2023 and June 2024 were selected as study subjects and randomly divided into an intervention group and a control group,with 65 children in each group.The intervention group received a one-year early comprehensive intervention,including behavioral therapy,cognitive training,and family guidance,while the control group only received routine medical care.The neuropsychological development assessment scale was used to evaluate both groups before and after the intervention to compare changes in their neuropsychological development levels.Results:Children in the intervention group showed significant improvements in cognitive function,social skills,language ability,and attention concentration,with an average improvement score of 23.5 points.Children in the control group did not show significant improvements in these areas,with an average improvement score of only 5.8 points.The difference between the two groups was statistically significant(P<0.05).Conclusion:Early comprehensive intervention has a significant promoting effect on the neuropsychological development of children with autism and ADHD.Targeted behavioral therapy,cognitive training,and family guidance can effectively enhance children’s cognitive,social,language,and attention abilities,laying a solid foundation for their future overall development.Therefore,it is recommended to actively promote and apply early intervention strategies in clinical practice.展开更多
Diabetic foot(DF)is one of the most common complications of diabetes and is associated with high morbidity,disability,lethality and low cure-rate.The clinical diagnosis and treatment of DF need to be standardized.The ...Diabetic foot(DF)is one of the most common complications of diabetes and is associated with high morbidity,disability,lethality and low cure-rate.The clinical diagnosis and treatment of DF need to be standardized.The Chinese Diabetic Foot Cell and Interventional Therapy Technology Alliance has released six editions of guidelines and standards for clinical diagnosis and interventional treatment of DF,which filled the gap in the domestic DF treatment standard and played an important role in improving the level of diagnosis and treatment in China.In line with the latest developments in diagnosis and treatment,the Alliance,along with other 89 institutions,developed and issued the new edition based on the sixth edition to help standardize the clinical diagnosis and treatment of DF in China.展开更多
BACKGROUND This work explored the effects of cognitive behavior therapy(CBT)-based comprehensive nursing intervention(CNI)mode in arch expansion to treat patients with orthodontic osteodilated arch(OOA).AIM To explore...BACKGROUND This work explored the effects of cognitive behavior therapy(CBT)-based comprehensive nursing intervention(CNI)mode in arch expansion to treat patients with orthodontic osteodilated arch(OOA).AIM To explore the application effect of CBT-based CNI model in orthodontic expansion arch treatment.METHODS Using convenient sampling method,81 patients with OOA were selected and rolled into a control group(Ctrl group,40 cases)and an observation group(Obs group,41 cases).During the treatment,patients in the Ctrl group received routine nursing intervention mode,and the those in the Obs group received CBT mode on the basis of this.Before and after intervention,the incidence of oral mucositis,the mastery rate of correct arch expansion method,self-rating anxiety scale score,soft scale index,and plaque index were compared for patients in different groups.In addition,satisfaction and complications were comparatively analyzed.RESULTS Incidence of oral mucositis in the Obs group was lower(14.6%vs 38.5%),and the mastery rate of correct arch expansion method was obviously higher(90.2%vs 55.0%)was obviously higher(all P<0.05).Meanwhile,the soft scale index and plaque index in the Obs group were much lower(P<0.05).The compliance(90.24%)and satisfaction(95.12%)in the Obs group were greatly higher(P<0.05).CONCLUSION The CBT-based CNI mode greatly improved the mastery rate of correct arch expansion method during arch expansion in treating patients with OOA and enhanced the therapeutic effect of arch expansion and the oral health of patients,improving the patient compliance.展开更多
Objective: to analyze the preventive effect of comprehensive nursing intervention on falls in hospitalized elderly patients with mental disorders. Methods: 100 elderly patients with mental disorders in our hospital fr...Objective: to analyze the preventive effect of comprehensive nursing intervention on falls in hospitalized elderly patients with mental disorders. Methods: 100 elderly patients with mental disorders in our hospital from January 2018 to January 2019 were selected as research objects and randomly divided into control group and treatment group, with 50 cases in each group. The control group was given routine nursing while the treatment group was given comprehensive nursing intervention. After the study, the incidence rates of the two groups were compared and analyzed. Results: the incidence of falls in the treatment group was significantly lower than that in the control group (p < 0.05). Conclusion: comprehensive nursing intervention for hospitalized elderly patients with mental disorders is helpful to reduce the incidence of falls and ensure the safety of patients' lives. It is worthy of promotion.展开更多
Objective: to explore the effect of comprehensive nursing intervention on the quality of life of patients with chronic gastritis and peptic ulcer. Methods: 118 patients with chronic gastritis and peptic ulcer treated ...Objective: to explore the effect of comprehensive nursing intervention on the quality of life of patients with chronic gastritis and peptic ulcer. Methods: 118 patients with chronic gastritis and peptic ulcer treated in our hospital from October 2019 to September 2020 were randomly selected for RCT study. They were randomly divided into optimization group (comprehensive nursing intervention) and reference group (general nursing), and the changes of quality of life were compared. Results: the quality of life in the optimization group was better than that in the reference group (P < 0.05);The satisfaction of nursing service in the optimization group was higher than that in the reference group (P < 0.05). Conclusion: the quality of life of patients with chronic gastritis and peptic ulcer has been greatly improved after comprehensive nursing intervention, which has the value of promotion.展开更多
Objective: to explore the effect of comprehensive nursing intervention on knee osteoarthritis pain. Methods: the object of this study is knee osteoarthritis, 78 cases in total, divided into two groups, the application...Objective: to explore the effect of comprehensive nursing intervention on knee osteoarthritis pain. Methods: the object of this study is knee osteoarthritis, 78 cases in total, divided into two groups, the application of routine nursing as the reference group, and the application of comprehensive nursing intervention is as the research group, compare the nursing effect. Results: the scores of knee function, pain, morning stiffness, psychological state, quality of life and nursing satisfaction in the study group were better than those in the reference group (P<0.05). Conclusion: comprehensive nursing intervention of knee osteoarthritis has significant effect, not only helps to relieve pain, but also can improve the function of knee joint, eliminate negative emotions, improve the quality of life, patients are satisfied with the evaluation, can be widely used in clinical.展开更多
Objective: to clarify the advantages of comprehensive nursing intervention in the care of severe patients in intensive care unit (ICU). Methods: 80 ICU patients in our hospital were randomly divided into 2 groups (con...Objective: to clarify the advantages of comprehensive nursing intervention in the care of severe patients in intensive care unit (ICU). Methods: 80 ICU patients in our hospital were randomly divided into 2 groups (control group, 40 patients received basic nursing;observation group 40 cases received comprehensive nursing intervention), and comparison. Results: the observation group had obvious advantages in nursing error events, nursing staff work quality score and patient satisfaction, presenting P<0.05. Conclusion: the promotion of comprehensive nursing intervention has greatly made up for the omissions existing in the previous nursing work, and it is very suitable for ICU high-risk departments.展开更多
Objective:To explore the impact of comprehensive nursing intervention on the quality of intestinal preparation in the process of intestinal preparation for hospitalized patients undergoing colonoscopy.Methods:A total ...Objective:To explore the impact of comprehensive nursing intervention on the quality of intestinal preparation in the process of intestinal preparation for hospitalized patients undergoing colonoscopy.Methods:A total of 320 patients underwent colonoscopy in our department from January to June 2021.They were grouped by random number table.There were 160 cases in the control group and 160 cases in the observation group.The adverse reactions of intestinal preparation and the cleanliness of intestinal preparation were analyzed.Results:Through comprehensive nursing intervention,it can be found that the incidence of adverse reactions in the preparation of colonoscopy in the control group was 24.38%,and that in the observation group was 13.48%.The results showed that the incidence of adverse reactions in the preparation of colonoscopy was significantly lower than that in the control group(P<0.05),which indicates that the difference was statistically significant.In the control group,105 people qualified in intestinal cleanliness score(>5 points)during enteroscopy preparation,and the cleanliness qualification rate was 65.63%.In the observation group,139 people qualified in intestinal cleanliness score(>5 points)during enteroscopy preparation,and the cleanliness qualification rate was 86.88%.The cleanliness qualification rate of enteroscopy preparation was significantly higher than that of the control group,and P<0.05,which indicates that the difference was statistically significant.Conclusion:Comprehensive nursing intervention can promote the quality of preparation of patients for colonoscopy,improve the compliance of patients and improve the accuracy of examination effect.展开更多
Objective: to explore the clinical effect of comprehensive nursing intervention for patients with acute pancreatitis. Methods: a total of 64 patients with acute pancreatitis admitted to our hospital from May 2019 to A...Objective: to explore the clinical effect of comprehensive nursing intervention for patients with acute pancreatitis. Methods: a total of 64 patients with acute pancreatitis admitted to our hospital from May 2019 to April 2020 were selected for the study. Among them, the control group was given routine nursing care and the treatment group was given comprehensive nursing intervention model, with 32 patients in each group. The following indicators were compared: (1) Length of hospital stay;(2) Recovery time of gastrointestinal tract;(3) The occurrence of complications;(4) Satisfaction with nursing work. Results: compared with the control group, the treatment group had shorter hospital stay, faster recovery of gastrointestinal function, fewer complications and higher nursing satisfaction (P < 0.05). Conclusion: the implementation of comprehensive nursing intervention model for patients with acute pancreatitis has significant nursing effect, which can promote the patients to recover quickly and discharge from hospital. It can also reduce complications and improve nursing satisfaction. It is worthy of further application and promotion.展开更多
Objective: to explore the application effect of comprehensive nursing intervention in patients with diabetic retinopathy. Methods: 86 patients with diabetic retinopathy admitted to our hospital were randomly selected ...Objective: to explore the application effect of comprehensive nursing intervention in patients with diabetic retinopathy. Methods: 86 patients with diabetic retinopathy admitted to our hospital were randomly selected as the research object. RCT was carried out from July 2019 to June 2020, and they were randomly divided into improved group (comprehensive nursing intervention) and preset group (general nursing), and the nursing effects of the two groups were compared. Results: The improvement of sight and living standard in the improved group was better than that in the preset group (P < 0.05). The blood glucose compliance rate of the improved group was higher than that of the preset group (P < 0.05). Conclusion: the application of comprehensive nursing intervention in diabetic retinopathy patients can improve their living standard by improving their eyesight, and the level of blood sugar control is good. It is advocated to apply it.展开更多
文摘BACKGROUND The intervention value of a drug-psycho-social-skill model on medication compliance and cognitive ability in patients with chronic schizophrenia was unknown.AIM To explore the intervention value of a drug-psycho-social-skill model on medication compliance and cognitive ability in patients with chronic schizophrenia.METHODS Overall,98 out-patients and in-patients with chronic schizophrenia treated in our hospital from February 2022 to January 2023 were included and randomly divided into the study(50 patients)and control groups(48 patients).For 3 months,the control group was treated with conventional drugs,and the research group with a comprehensive intervention model of drug-psychology-society-skills.Data were obtained for the mini mental assessment scale(MMSE),Montreal cognitive assessment scale(MoCA),positive and negative symptom scale,insight and treatment attitude scale,cognitive ability scale and social skills[personal and social function scale(PSP)].The adverse reactions were observed.RESULTS After the intervention,the MMSE and MoCA scores improved in both groups.MoCA scores in the study group(26.58±3.21)were significantly(P<0.05)higher than those in the control group(24.68±3.02),MMSE scores were not significantly higher.Post-intervention,positive and negative symptom scores improved in both groups,and the positive and negative symptom scores in the study group[(12.01±2.58)and(32.51±2.11)]were significantly(P<0.05)different than those in the control group[(14.54±2.33)and(33.74±2.55)].Post-intervention,insight and treatment attitudes questionnaire scores of both groups were improved and compared with the control group(7.97±3.02),the study group(13.56±6.35)had significantly(P<0.05)higher scores.Post-intervention,the MATRICS consensus cognitive battery score of both groups was improved and compared with the control group(38.44±6.23),the score of the study group was significantly(P<0.05)increased(43.51±6.01).Post-intervention,the PSP score of the study group(78.38±6.63)was significantly(P<0.05)higher than that of the control group(74.52±7.01).During the intervention period,the incidence of adverse reactions in the study group was 6.25%,not significantly different from that in the control group(8.33%).During the intervention,both groups experienced adverse reactions,with no significant difference between groups(P>0.05).CONCLUSION The comprehensive intervention model based on drug-psychology-society-skills has obvious intervention effects on patients with chronic schizophrenia,which improves their cognitive ability and reduces their positive and negative symptoms.Simultaneously,it improves the self-knowledge of patients,improves their attitude toward treatment,effectively promotes the recovery of patients'social functions,and is safe.Therefore,it is worthy of being vigorously promoted and widely used in clinics.
基金Supported by National Natural Science Foundation of China(No.81873683)。
文摘AIM:To investigate the effects of school-basedcomprehensive intervention on myopia development inelementary school children.METHODS:As a part of the Wenzhou Epidemiologyof Refraction Error Study,there were 1524 participatingelementary students(730 girls,47.9%)in grades 1 to3 from three campuses of one school,aged 7.3±0.9y,who were examined twice every year for a 2.5y follow upperiod.Comprehensive intervention and other reminderswere given at school every semester for the interventiongroup.The control group did not receive comprehensiveintervention and did not have reminders of it.RESULTS:There were 651 students in the interventiongroup[mean age 7.3±0.9y;294(45.2%)girls]and 737students in the control group[mean age 7.2±0.9y;346(46.9%)girls].Overall mean myopia progression duringthe 2.5y follow-up was-0.49±1.04 diopters(D)in theintervention group and-0.65±1.08 D in the control group(P=0.004).The majority that not get myopia at baselinespherical equivalent(SE≤-1.0 D).Their mean myopiaprogression during the 2.5y follow-up was-0.37±0.89 Din the intervention group and-0.51±0.93 D in the controlgroup(27.5%reduction,P=0.009);Overall,mean axiallength elongation was less in the intervention group(0.56±0.32 mm)than in the control group(0.61±0.38 mm,10.5%reduction,P=0.009).The percentage of close reading distance(<30 cm)in the intervention group was less than in the control group(73.4%vs 76.2%,P<0.001),the percentage of everyday perform eye exercises in the intervention group was more than in the control group(27.8%vs 20.7%,P<0.001)30mo later.CONCLUSION:The comprehensive intervention program at elementary school has a significant alleviating effect on myopia progression for children during the 2.5y follow-up,especially for those non-myopia at baseline.
文摘Objective: to study the effect of a midwife-led comprehensive intervention in late pregnancy on maternal self-efficacy and delivery outcomes.Methods: the samples were selected from August 2021 to December 2021, and a total of 100 samples were randomly divided into the control group and the observation group. The application value of the third-pregnancy comprehensive intervention led by midwives was analyzed.Results: the natural delivery rate was higher than the control group (P <0.05);lower (P <0.05);Lower self-efficacy and social support scores in the control group (P <0.05): lower GAD-7 and PHQ-9 (P <0.05);lower GQOL-74 scores than the control group (P <0.05). Conclusion: the comprehensive nursing intervention in the field, improve the cognition of natural delivery, improve the natural delivery rate, promote the effective improvement of maternal self-efficacy and social support evaluation, reduce the influence of postpartum bad mood, optimize the overall quality of life, has high clinical application value.
文摘Objective:This study aims to explore the value of comprehensive intervention in the clinical treatment of patients with type 2 diabetes mellitus complicated with hypertension.Methods:90 patients with type 2 diabetes and hypertension were selected and divided into a control group and an intervention group according to the random number table method,with 45 cases in each group.The control group received conventional treatment,and the intervention group received comprehensive intervention on the basis of the control group,including a diet plan,an exercise program,scientific treatment,regular monitoring,and psychological counseling.The blood sugar,blood pressure,and other indicators of the two groups were compared.Results:After 5 months of intervention,the fasting blood glucose,postprandial 2 h blood glucose,glycosylated blood glucose protein,diastolic blood pressure,systolic blood pressure,mean arterial pressure,and other indicators of the intervention group were significantly lower than the control group(P<0.05),and the rate of decrease was significantly greater than that of the control group(P<0.05).Conclusion:Comprehensive intervention for patients with type 2 diabetes mellitus and hypertension helps in controlling blood sugar and lowering blood pressure,with clinical significance.
文摘Objective: to explore the improvement of life quality and lung function before and after exercise therapy combined with family comprehensive intervention in the rehabilitation treatment of COPD patients in stable period. Methods: this study was carried out on 200 patients with stable COPD admitted by the respiratory department of Wudang district people's hospital of Guiyang (January 2019 to January 2021). They were randomly divided into control group (exercise therapy) and treatment group (exercise therapy + family comprehensive intervention). The quality of life, lung function and other indicators of patients before and after intervention were evaluated to determine the practical value of the combined rehabilitation treatment scheme. Results: the scores of all items of quality of life scale in the treatment group were higher than those in the control group (P < 0.05);The data of pulmonary function indexes in the treatment group were significantly improved and changed significantly, which was better than that in the control group (P < 0.05). Conclusion: in the rehabilitation treatment of patients with COPD in stable period, the effect of combined therapy is relatively significant, that is, exercise therapy + family comprehensive intervention. Patients can achieve a strong sustained treatment intervention, their quality of life and lung function are improved, to achieve the improvement of the prognosis of patients.
文摘Objective: to evaluate the satisfaction of the cases of knee replacement. Methods: a total of 70 knee replacement cases participated in this study. The first case was admitted in May 2019, and the last case was admitted in July 2019. All the subjects were divided into two groups, including 34 in group A and 36 in group B. In the centralized care mode, one group administered routine form care (Group B) and the other group performed a comprehensive pain intervention (Group A). The treatment efficacy and satisfaction, bad mood, pain, comfort, and quality of survival scores were compared between pre-and post-treatment 70 patients. Results: in the comparison of the treatment effect, the results in group A is significantly better than those in group B, with large differences (P <0.05). The comparison of nursing satisfaction data showed that group A was at a high level with a statistic of P <0.05. In Group A, the bad mood score and pain score were significantly lower than in group B, and the comfort score and quality of survival score were significantly higher than in group B, with P <0.05, showing significant differences between the data. Conclusion: in the centralized care mode, the comprehensive pain intervention for patients with knee replacement has a good treatment effect and high satisfaction. This method is very effective and worth application.
基金Basic Science Research Program Through the National Research Foundation of Korea Funded by the Ministry of Education,No.NRF-RS-2023-00237287 and No.NRF-2021S1A5A8062526Local Government-University Cooperation-Based Regional Innovation Projects,No.2021RIS-003.
文摘Orthodontic osteodilated arch treatment represents a pivotal approach in dental orthodontics to address dental crowding and misalignment.Integrating cognitive behavioral therapy(CBT)into comprehensive nursing interventions(CNI)aims to address these issues holistically.This editorial explores the effectiveness of CBTbased CNI in improving patient outcomes in orthodontic care.Innovations in remote CBT delivery,such as virtual reality,have also shown potential in reducing pain,anxiety,and depression,emphasizing CBT's adaptability in orthodontic settings.The findings underscore the importance of integrating psychological support into orthodontic care to enhance patient adherence,satisfaction,and overall treatment success.The editorial advocates for a holistic approach that combines psychological and physiological care,highlighting the transformative potential of CBT-based interventions in orthodontic treatment.
文摘Objective: To examine the effects of comprehensive nursing interventions on maternal and infant outcomes in pregnant women diagnosed with gestational diabetes mellitus (GDM). Methods: A quasi-experimental design was employed, involving 60 pregnant women with GDM who were purposively selected and randomly allocated into experimental and control groups, each comprising 30 participants. The experimental group received comprehensive nursing interventions and pregnancy monitoring, while the control group received standard nursing care. Data collection was conducted using demographic questionnaires, pregnancy indicators, and maternal-infant outcome measurement tools. The collected data were analyzed using Microsoft Excel and the Statistical Package for Social Sciences (SPSS). Results: The findings indicated significant improvements in fasting blood glucose, postprandial blood glucose, amniotic fluid index, and neonatal birth weight in the experimental group compared to the control group. However, no statistically significant differences were observed in body mass index (BMI) or pregnancy weight gain. Comprehensive nursing interventions were associated with a significant reduction in maternal complications, including polyhydramnios, postpartum hemorrhage, and preeclampsia, as well as neonatal complications such as neonatal pneumonia, macrosomia, and hypoglycemia. Conclusion: Comprehensive nursing interventions have a positive impact on maternal and neonatal outcomes in pregnant women with GDM.
文摘Objective: To analyze the effect of comprehensive nursing intervention on improving blood glucose levels and treatment compliance in elderly patients with diabetes. Methods: One hundred and forty-eight elderly patients with diabetes were selected and randomly divided into a control group and an observation group, with 74 cases each. The control group received routine nursing intervention and the observation group received comprehensive nursing intervention. The blood sugar levels, treatment compliance, and nursing satisfaction of the two groups of patients before and after intervention were compared. Results: After the intervention, the fasting plasma glucose (FPG) (t = 7.729), 2 hours postprandial glucose (PPG) (t = 8.343), and HbA1c (t = 6.929) levels of patients in the observation group were significantly lower than those in the control group (P < 0.001). The observation group (71/95.95%) had a higher compliance rate than the control group (54/72.97%) (χ^(2)=14.877, P < 0.001). The comprehensive nursing satisfaction rate of the observation group (73/98.65%) was higher than that of the control group (56/75.68%) (χ^(2)=17.451, P < 0.001). Conclusion: In caring for elderly patients with diabetes, comprehensive nursing intervention effectively reduced patients’ blood sugar levels and improved treatment compliance and nursing satisfaction.
文摘In the evolving landscape of Tourette’s syndrome(TS)treatment,behavioral therapies have emerged as essential to address the comorbid psychological issues,as well as motor and vocal tics.This editorial comments on the study by Wang et al,which showed that cognitive-behavioral therapy(CBT)combined with habit reversal training significantly improved anxiety and tic severity in children with TS.We highlight the current status and future perspectives of behavioral interventions such as CBT,and comprehensive behavioral intervention for tics,demonstrating their efficacy in alleviating TS symptoms and improving patients'quality of life.Recognizing the multifaceted nature of TS,our discussion integrates empirical evidence from various studies to provide a comprehensive perspective on the role of behavioral therapy in the management of this complex condition.This editorial concludes by emphasizing the need for innovative strategies that may address the limitations of existing treatments and advocates a multidisciplinary approach that combines behavioral,pharmacological,and neurobiological interventions to improve outcomes for patients with TS.
文摘Objective:This study aims to investigate the impact of early intervention on neuropsychological development in children with autism and attention deficit hyperactivity disorder(ADHD),providing effective intervention strategies for clinical practice.Methods:A total of 130 children with autism and ADHD who visited the hospital between June 2023 and June 2024 were selected as study subjects and randomly divided into an intervention group and a control group,with 65 children in each group.The intervention group received a one-year early comprehensive intervention,including behavioral therapy,cognitive training,and family guidance,while the control group only received routine medical care.The neuropsychological development assessment scale was used to evaluate both groups before and after the intervention to compare changes in their neuropsychological development levels.Results:Children in the intervention group showed significant improvements in cognitive function,social skills,language ability,and attention concentration,with an average improvement score of 23.5 points.Children in the control group did not show significant improvements in these areas,with an average improvement score of only 5.8 points.The difference between the two groups was statistically significant(P<0.05).Conclusion:Early comprehensive intervention has a significant promoting effect on the neuropsychological development of children with autism and ADHD.Targeted behavioral therapy,cognitive training,and family guidance can effectively enhance children’s cognitive,social,language,and attention abilities,laying a solid foundation for their future overall development.Therefore,it is recommended to actively promote and apply early intervention strategies in clinical practice.
文摘Diabetic foot(DF)is one of the most common complications of diabetes and is associated with high morbidity,disability,lethality and low cure-rate.The clinical diagnosis and treatment of DF need to be standardized.The Chinese Diabetic Foot Cell and Interventional Therapy Technology Alliance has released six editions of guidelines and standards for clinical diagnosis and interventional treatment of DF,which filled the gap in the domestic DF treatment standard and played an important role in improving the level of diagnosis and treatment in China.In line with the latest developments in diagnosis and treatment,the Alliance,along with other 89 institutions,developed and issued the new edition based on the sixth edition to help standardize the clinical diagnosis and treatment of DF in China.
基金The research was reviewed and approved by the Review Committee of Hospital of Chengdu University of Traditional Chinese Medicine(Approval No.NSH-23-319).
文摘BACKGROUND This work explored the effects of cognitive behavior therapy(CBT)-based comprehensive nursing intervention(CNI)mode in arch expansion to treat patients with orthodontic osteodilated arch(OOA).AIM To explore the application effect of CBT-based CNI model in orthodontic expansion arch treatment.METHODS Using convenient sampling method,81 patients with OOA were selected and rolled into a control group(Ctrl group,40 cases)and an observation group(Obs group,41 cases).During the treatment,patients in the Ctrl group received routine nursing intervention mode,and the those in the Obs group received CBT mode on the basis of this.Before and after intervention,the incidence of oral mucositis,the mastery rate of correct arch expansion method,self-rating anxiety scale score,soft scale index,and plaque index were compared for patients in different groups.In addition,satisfaction and complications were comparatively analyzed.RESULTS Incidence of oral mucositis in the Obs group was lower(14.6%vs 38.5%),and the mastery rate of correct arch expansion method was obviously higher(90.2%vs 55.0%)was obviously higher(all P<0.05).Meanwhile,the soft scale index and plaque index in the Obs group were much lower(P<0.05).The compliance(90.24%)and satisfaction(95.12%)in the Obs group were greatly higher(P<0.05).CONCLUSION The CBT-based CNI mode greatly improved the mastery rate of correct arch expansion method during arch expansion in treating patients with OOA and enhanced the therapeutic effect of arch expansion and the oral health of patients,improving the patient compliance.
文摘Objective: to analyze the preventive effect of comprehensive nursing intervention on falls in hospitalized elderly patients with mental disorders. Methods: 100 elderly patients with mental disorders in our hospital from January 2018 to January 2019 were selected as research objects and randomly divided into control group and treatment group, with 50 cases in each group. The control group was given routine nursing while the treatment group was given comprehensive nursing intervention. After the study, the incidence rates of the two groups were compared and analyzed. Results: the incidence of falls in the treatment group was significantly lower than that in the control group (p < 0.05). Conclusion: comprehensive nursing intervention for hospitalized elderly patients with mental disorders is helpful to reduce the incidence of falls and ensure the safety of patients' lives. It is worthy of promotion.
文摘Objective: to explore the effect of comprehensive nursing intervention on the quality of life of patients with chronic gastritis and peptic ulcer. Methods: 118 patients with chronic gastritis and peptic ulcer treated in our hospital from October 2019 to September 2020 were randomly selected for RCT study. They were randomly divided into optimization group (comprehensive nursing intervention) and reference group (general nursing), and the changes of quality of life were compared. Results: the quality of life in the optimization group was better than that in the reference group (P < 0.05);The satisfaction of nursing service in the optimization group was higher than that in the reference group (P < 0.05). Conclusion: the quality of life of patients with chronic gastritis and peptic ulcer has been greatly improved after comprehensive nursing intervention, which has the value of promotion.
文摘Objective: to explore the effect of comprehensive nursing intervention on knee osteoarthritis pain. Methods: the object of this study is knee osteoarthritis, 78 cases in total, divided into two groups, the application of routine nursing as the reference group, and the application of comprehensive nursing intervention is as the research group, compare the nursing effect. Results: the scores of knee function, pain, morning stiffness, psychological state, quality of life and nursing satisfaction in the study group were better than those in the reference group (P<0.05). Conclusion: comprehensive nursing intervention of knee osteoarthritis has significant effect, not only helps to relieve pain, but also can improve the function of knee joint, eliminate negative emotions, improve the quality of life, patients are satisfied with the evaluation, can be widely used in clinical.
文摘Objective: to clarify the advantages of comprehensive nursing intervention in the care of severe patients in intensive care unit (ICU). Methods: 80 ICU patients in our hospital were randomly divided into 2 groups (control group, 40 patients received basic nursing;observation group 40 cases received comprehensive nursing intervention), and comparison. Results: the observation group had obvious advantages in nursing error events, nursing staff work quality score and patient satisfaction, presenting P<0.05. Conclusion: the promotion of comprehensive nursing intervention has greatly made up for the omissions existing in the previous nursing work, and it is very suitable for ICU high-risk departments.
文摘Objective:To explore the impact of comprehensive nursing intervention on the quality of intestinal preparation in the process of intestinal preparation for hospitalized patients undergoing colonoscopy.Methods:A total of 320 patients underwent colonoscopy in our department from January to June 2021.They were grouped by random number table.There were 160 cases in the control group and 160 cases in the observation group.The adverse reactions of intestinal preparation and the cleanliness of intestinal preparation were analyzed.Results:Through comprehensive nursing intervention,it can be found that the incidence of adverse reactions in the preparation of colonoscopy in the control group was 24.38%,and that in the observation group was 13.48%.The results showed that the incidence of adverse reactions in the preparation of colonoscopy was significantly lower than that in the control group(P<0.05),which indicates that the difference was statistically significant.In the control group,105 people qualified in intestinal cleanliness score(>5 points)during enteroscopy preparation,and the cleanliness qualification rate was 65.63%.In the observation group,139 people qualified in intestinal cleanliness score(>5 points)during enteroscopy preparation,and the cleanliness qualification rate was 86.88%.The cleanliness qualification rate of enteroscopy preparation was significantly higher than that of the control group,and P<0.05,which indicates that the difference was statistically significant.Conclusion:Comprehensive nursing intervention can promote the quality of preparation of patients for colonoscopy,improve the compliance of patients and improve the accuracy of examination effect.
文摘Objective: to explore the clinical effect of comprehensive nursing intervention for patients with acute pancreatitis. Methods: a total of 64 patients with acute pancreatitis admitted to our hospital from May 2019 to April 2020 were selected for the study. Among them, the control group was given routine nursing care and the treatment group was given comprehensive nursing intervention model, with 32 patients in each group. The following indicators were compared: (1) Length of hospital stay;(2) Recovery time of gastrointestinal tract;(3) The occurrence of complications;(4) Satisfaction with nursing work. Results: compared with the control group, the treatment group had shorter hospital stay, faster recovery of gastrointestinal function, fewer complications and higher nursing satisfaction (P < 0.05). Conclusion: the implementation of comprehensive nursing intervention model for patients with acute pancreatitis has significant nursing effect, which can promote the patients to recover quickly and discharge from hospital. It can also reduce complications and improve nursing satisfaction. It is worthy of further application and promotion.
文摘Objective: to explore the application effect of comprehensive nursing intervention in patients with diabetic retinopathy. Methods: 86 patients with diabetic retinopathy admitted to our hospital were randomly selected as the research object. RCT was carried out from July 2019 to June 2020, and they were randomly divided into improved group (comprehensive nursing intervention) and preset group (general nursing), and the nursing effects of the two groups were compared. Results: The improvement of sight and living standard in the improved group was better than that in the preset group (P < 0.05). The blood glucose compliance rate of the improved group was higher than that of the preset group (P < 0.05). Conclusion: the application of comprehensive nursing intervention in diabetic retinopathy patients can improve their living standard by improving their eyesight, and the level of blood sugar control is good. It is advocated to apply it.
