1 Introduction With the development of modern medicine,the growth of the social demand for nursing,and the gradual improvement of the concept and connotation of lifelong nursing education,continuing nursing education(...1 Introduction With the development of modern medicine,the growth of the social demand for nursing,and the gradual improvement of the concept and connotation of lifelong nursing education,continuing nursing education(CNE),as a key form of lifelong nursing education,has received wide attention and played an important role worldwide.CNE is a kind of lifelong education of nursing science on the basis of continuing展开更多
Objective:To evaluate the effect of continuing nursing on self-care ability of diabetic patients.Methods:Meta-analysis was used to search multiple Chinese and English databases,and relevant randomized controlled trial...Objective:To evaluate the effect of continuing nursing on self-care ability of diabetic patients.Methods:Meta-analysis was used to search multiple Chinese and English databases,and relevant randomized controlled trials were collected.After reviewing the literature quality,RevMan 5.2 software was used for data analysis.Results:A total of 8 randomized controlled trials(RCTs)were included.The results showed that the self-care ability of the continuing care observation group was significantly higher than that of the control group [WMD = 17.88,95%CI(17.30,18.47),P<0.001].Conclusion:Continuing nursing shows superiority in improving self-care ability of diabetic patients.展开更多
Objective:To systematically evaluate the effect of continuous nursing on the psychological status of rectal cancer patients undergoing stoma.Methods:Five databases including China HowNet,Chongqing Weipu Chinese Scienc...Objective:To systematically evaluate the effect of continuous nursing on the psychological status of rectal cancer patients undergoing stoma.Methods:Five databases including China HowNet,Chongqing Weipu Chinese Science and Technology Database,Wanfang Database,Embase and PubMed were searched.Randomized controlled trials were collected on the effect of continuing nursing on the psychological status of rectal cancer patients undergoing stoma.The searching time was from the establishment of the database to March 30,2019.RevMan 5.3 software was used to analyze the bias risk of the study after two researchers independently screened the researchers,extracted the data and evaluated the bias risk of the study.Results:A total of 15 studies were included.Meta-analysis showed that the continuing nursing group improved anxiety[MD=-10.89,95%CI(-13.52,-8.26),P<0.00001],depression[MD=-4.78,95%CI(-5.77,-3.80,P<0.00001],fear[MD=-6.06,95%CI(-7.70,-4.43),P<0.00001],hostile[MD=-7.00,95%CI(-13.62,-0.38),P=0.04<0.05],somatization[MD=-7.63,95%CI(-13.49,-1.77),P=0.01<0.05].The self-care ability[MD=38.24,95%CI(35.38,41.11),P<0.00001]was superior to the routine nursing group.Conclusion:Continuous nursing has more advantages than routine nursing,and it can improve the negative psychological state of rectal cancer patients undergoing stoma.Due to the limitations of the quantity and quality of the included studies,the above conclusions need to be verified by more high-quality studies.展开更多
BACKGROUND Gastric cancer predominantly affects the elderly,who face significant challenges due to high postoperative complications and stress.These challenges include co-morbidities,reduced physiological reserves,and...BACKGROUND Gastric cancer predominantly affects the elderly,who face significant challenges due to high postoperative complications and stress.These challenges include co-morbidities,reduced physiological reserves,and increased risks of infections and delayed healing.Traditional postoperative care often falls short in addressing these issues effectively.Enhanced recovery after surgery(ERAS)principles have revolutionized surgical care by reducing stress and promoting recovery through a holistic approach.ERAS emphasizes preoperative optimization,intraoperative care,and postoperative rehabilitation tailored to patient needs.Despite its recog-nized benefits,the impact of continuity nursing care within the ERAS framework on elderly gastric cancer patients remains underexplored.This study examines the influence of ERAS-based continuity nursing care on postoperative satisfaction,inflammation,stress,and quality of life in elderly patients undergoing gastric cancer resection.AIM To investigate the effects of ERAS-based continuity nursing care on postoperative satisfaction,inflammation,stress,and quality of life in elderly gastric cancer pa-tients.METHODS A retrospective cohort analysis was conducted on 322 elderly patients who under-went gastric cancer resection between January 2020 and January 2022.Patients were assigned to a routine care group(n=156)or an ERAS-control(ERAS-C)group(n=166).Data collected included demographic information,inflammatory and stress markers,satisfaction scores using the patient satisfaction questionnaire-18,and quality of life measured using the European Organi-zation for Research and Treatment of Cancer 22-item quality of life questionnaire specific to gastric cancer.RESULTS The ERAS-C group exhibited significantly lower postoperative interleukin-6 levels than the routine care group(12.97±4.02 pg/mL vs 14.37±3.86 pg/mL;P=0.002).This finding indicates that the ERAS-C group experienced reduced inflammation.The ERAS-C group also had a higher cluster of differentiation(CD)4:CD8 ratio than the routine care group(2.34±0.35 vs 2.13±0.61;P<0.001),suggesting the former’s enhanced immune response.Postoperative stress markers,including norepinephrine,cortisol,and aldosterone,were significantly lower in the ERAS-C group than in the routine care group(P<0.05 for all).Compared with the routine care group,the ERAS-C group showed increased nursing satisfaction scores(80.36±7.24 vs 75.23±7.03;P<0.001)and improved quality of life indicators,such as reduced dysphagia and pain,(P<0.05).The ERAS-C group also experienced fewer complic-ations than the routine care group(5.42%vs 11.54%,P=0.048).CONCLUSION Continuity nursing care within the ERAS framework significantly enhances postoperative outcomes for elderly gastric cancer patients by reducing inflammation,stress,and complications while improving satisfaction and qua-lity of life.展开更多
Objective:To evaluate the effectiveness of continuous nursing interventions in elderly patients with COPD in the stable phase and frailty.Methods:Sixty elderly patients with COPD in the stable phase and frailty,treate...Objective:To evaluate the effectiveness of continuous nursing interventions in elderly patients with COPD in the stable phase and frailty.Methods:Sixty elderly patients with COPD in the stable phase and frailty,treated between January 2024 and August 2024,were selected as the study subjects.Patients were randomly divided into two groups(30 each)using a drawing method.Patients who drew a black token were assigned to the intervention group and received continuous nursing interventions,while those who drew a red token were assigned to the nursing group and received standard nursing care.The quality of care between the groups was compared.Results:Pulmonary function indicators in the intervention group were significantly better than those in the nursing group(P<0.05).Immune function in the intervention group was also significantly higher than in the nursing group(P<0.05).Before the intervention,there was no significant difference in self-care ability between the two groups(P>0.05).However,post-intervention,both groups showed improved self-care abilities,with the intervention group scoring significantly higher than the nursing group(P<0.05).Similarly,before the intervention,there was no significant difference in quality-of-life scores(P>0.05),but post-intervention,both groups exhibited increased scores,with the intervention group outperforming the nursing group significantly(P<0.05).Conclusion:Continuous nursing interventions significantly improve outcomes in elderly patients with COPD in the stable phase and frailty,warranting broader implementation.展开更多
Objective:To explore nursing measures for elderly patients with chronic obstructive pulmonary disease(COPD)and analyze the effect of continuous nursing pathways on improving the accuracy of aerosol use.Methods:From Ap...Objective:To explore nursing measures for elderly patients with chronic obstructive pulmonary disease(COPD)and analyze the effect of continuous nursing pathways on improving the accuracy of aerosol use.Methods:From April 2023 to April 2024,76 elderly COPD patients admitted to our hospital were randomly selected for nursing research.They were divided into two groups using a computer double-blind method,with 38 patients in each group.The control group received routine nursing,while the observation group applied the continuous nursing pathway.The nursing effects of the two groups were investigated and compared,including(1)aerosol accuracy;(2)cardiopulmonary function;(3)subjective well-being and self-care ability;(4)quality of life;and(5)nursing satisfaction.Results:Compared with the control group,the observation group had a significantly higher accuracy rate of aerosol use(P<0.05).Before nursing,there were no significant differences in cardiopulmonary function indicators,MUNSH scores,and ESCA scores between the two groups(P>0.05).After nursing,the patient's cardiopulmonary function improved significantly,and their subjective well-being and self-care ability increased.The observation group was significantly better than the control group in all the above indicators(P<0.05).The quality of life scores of the observation group were significantly higher than those of the control group(P<0.05).Conclusion:In the nursing of elderly patients with chronic obstructive pulmonary disease,the application of the continuous nursing pathway can effectively improve the accuracy of aerosol use and improve patients'cardiopulmonary function.展开更多
BACKGROUND Radical gastrectomy(RGE)for gastric carcinoma(GC)has exerted definite therapeutic efficacy in treating patients with GC.However,a notable risk of postoperative complications(POCs)persists among middle-aged ...BACKGROUND Radical gastrectomy(RGE)for gastric carcinoma(GC)has exerted definite therapeutic efficacy in treating patients with GC.However,a notable risk of postoperative complications(POCs)persists among middle-aged and elderly patients with compromised physiological functions.Hence,developing and implementing reliable nursing interventions to optimize the comprehensive management of these patients is deemed imperative.AIM To analyze the association of multi-channel continuous nursing intervention with POCs,negative emotions(NEs),and quality of life(QoL)of patients undergoing RGE for GC.METHODS This retrospective study selected 99 patients who underwent RGE for GC in our hospital from May 2020 to May 2023.Participants were categorized into the control(n=49 cases)and research groups(n=50 cases)receiving routine and multi-channel continuous nursing care,respectively.Comparative analysis involved data on postoperative rehabilitation(time to first anal exhaust,oral feeding and ambulation,and hospital stay),complications(nausea and vomiting,delayed gastric emptying,and abdominal distension),NEs[Self-rating Anxiety(SAS)/Depression Scale(SDS)],treatment compliance,self-efficacy,and QoL[World Health Organization QoL Brief Version(WHOQOL-BREF)].RESULTS Compared to the control group,the research group demonstrated earlier first postoperative anal exhaust,oral feeding,and ambulation,shorter hospital stay,lower POC rate,and more reduced SAS and SDS scores postintervention,which was significantly lower than the baseline.The treatment compliance scores were significantly higher in the research group than in the control group in terms of medication adherence,daily exercise,reasonable diet,and regular review.Further,the research group demonstrated increased self-efficacy scores in terms of positive attitude,self-stress relief,and self-decision-making,as well as the overall score postintervention,which were higher than the control group.Moreover,the research group reported notably higher WHOQOL-BREF scores in domains such as physiology,psychology,social relations,and environment.CONCLUSION Multi-channel continuous nursing intervention prevents POCs in patients undergoing RGE for GC as well as significantly alleviates patients’NEs and boosts their QoL.展开更多
Objective:To analyze the nursing effect of implementing continuous nursing combined with knowledge,attitude,and practice(KAP)intervention under the guidance of interactive goal-setting theory for patients with gestati...Objective:To analyze the nursing effect of implementing continuous nursing combined with knowledge,attitude,and practice(KAP)intervention under the guidance of interactive goal-setting theory for patients with gestational diabetes mellitus(GDM).Methods:A total of 68 patients with GDM who were admitted to the hospital between December 2021 and December 2023 were selected and randomly divided into two groups using a random number table.The combined group(34 cases)received continuous nursing combined with KAP intervention under the premise of interactive goal-setting theory,while the conventional group(34 cases)received routine nursing care.Blood glucose control,health behavior scores,and other indicators were compared between the two groups.Results:After nursing,the blood glucose level in the combined group was lower than that in the conventional group,and the scores for health behavior and self-management ability were higher than those in the conventional group(P<0.05).Conclusion:Combined nursing can improve blood glucose control in patients with GDM,standardize their health behaviors,and cultivate their self-management skills.展开更多
BACKGROUND Percutaneous hepatobiliary drainage(PTCD)is an effective method for the treatment of biliary obstruction and other diseases,but postoperative complications are still one of the important problems faced by p...BACKGROUND Percutaneous hepatobiliary drainage(PTCD)is an effective method for the treatment of biliary obstruction and other diseases,but postoperative complications are still one of the important problems faced by patients.Continuous nursing is a comprehensive nursing model that plays an important role in postoperative recovery.The purpose of this study was to investigate the effect of continuous nursing on the incidence of complications in patients after PTCD surgery through meta-analysis and to evaluate its efficacy and safety.AIM To evaluate the effect of extended nursing on the incidence of complications in discharged patients after percutaneous transhepatic biliary drainage(PTBD).METHODS Randomized controlled studies on PTBD postdischarge extended care were identified in the CNKI,Wanfang,VIP,CBM,PubMed,Cochrane Library,Embase,Web of Science,and other databases.The quality of the included studies was evaluated using the Joanna Briggs Institute of Australia literature quality evaluation tool,and a meta-analysis of the included studies was performed with RevMan 5.4 software.RESULTS Finally,9 studies were included,with a total sample size of 854 patients(425 patients in the control group and 429 patients in the intervention group).Meta-analysis revealed that extended care effectively reduced biliary tract infection(RR:0.42,95%CI:0.30-0.57),puncture wound infection(RR:0.19,95%CI:0.06-0.65),catheter protrusion or displacement in discharged patients after PTBD(RR:0.31,95%CI:0.18-0.54),catheter blockage(RR:0.23,95%CI:0.13-0.42),skin infection around the drainage tube(RR:0.30,95%CI:0.12-0.77),and catheter-related readmissions(RR:0.34,95%CI:0.18-0.65)(P<0.05).CONCLUSION Compared with conventional discharge care,extended care can effectively reduce the occurrence of complications such as biliary tract infection,puncture wound infection,catheter prolapse or displacement,catheter blockage,skin infection around the drainage tube,and catheter-related readmission in discharged patients after PTBD.展开更多
BACKGROUND Joint replacement is a common treatment for older patients with high incidences of hip joint diseases.However,postoperative recovery is slow and complications are common,which reduces surgical effectiveness...BACKGROUND Joint replacement is a common treatment for older patients with high incidences of hip joint diseases.However,postoperative recovery is slow and complications are common,which reduces surgical effectiveness.Therefore,patients require long-term,high-quality,and effective nursing interventions to promote rehabilitation.Continuity of care has been used successfully in other diseases;however,little research has been conducted on older patients who have undergone hip replacement.AIM To explore the clinical effect of continuous nursing on rehabilitation after discharge of older individuals who have undergone joint replacement.METHODS A retrospective analysis was performed on the clinical data of 113 elderly patients.Patients receiving routine nursing were included in the convention group(n=60),and those receiving continuous nursing,according to various methods,were included in the continuation group(n=53).Harris score,short form 36(SF-36)score,complication rate,and readmission rate were compared between the convention and continuation groups.RESULTS After discharge,Harris and SF-36 scores of the continuation group were higher than those of the convention group.The Harris and SF-36 scores of the two groups showed an increasing trend with time,and there was an interaction effect between group and time(Harris score:F_(intergroup effect)=376.500,F_(time effect)=20.090,Finteraction effect=4.824;SF-36 score:F_(intergroup effect)=236.200,Ftime effect=16.710,Finteraction effect=5.584;all P<0.05).Furthermore,the total complication and readmission rates in the continuation group were lower(P<0.05).CONCLUSION Continuous nursing could significantly improve hip function and quality of life in older patients after joint replacement and reduce the incidence of complications and readmission rates.展开更多
Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary a...Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary angiography and stent implantation.Methods:Ninety patients who underwent percutaneous coronary angiography and stent implantation in our hospital from April 2022 to April 2023 were selected and randomly divided into the control group(45 cases),in which routine nursing support was carried out during the treatment process,and the observation group(45 cases),in which continuous precision nursing model was carried out during the treatment process.Comparisons were made between the two groups of patients on their KAP,cardiac function,and quality of life during recovery.Results:There was no difference in the left ventricular ejection fraction(LVEF),cardiac output(CO),and cardiac index(CI)levels before intervention.After the intervention,the levels of cardiac function in the observation group were higher than those of the control group(P<0.05).There was no difference in the Exercise of Self-Care Agency(ESCA)self-care ability scale scores before the intervention.After the intervention,the observation group had higher ESCA scores than the control group(P<0.05).Conclusion:Implementation of a continuous precision nursing model in the care of patients undergoing percutaneous coronary angiography and stent implantation improved the patient’s cardiac function,and KAP,and promoted recovery.展开更多
Objective:to study the effect of continuous nursing intervention in patients with chronic obstructive pulmonary disease(COPD).Methods:In this paper,56 COPD patients were selected and grouped by drawing lots,with 28 ca...Objective:to study the effect of continuous nursing intervention in patients with chronic obstructive pulmonary disease(COPD).Methods:In this paper,56 COPD patients were selected and grouped by drawing lots,with 28 cases in each group.The study group underwent continuous nursing intervention,while the control group underwent conventional care,and the parameters of both groups of patients were compared.Results:Compared with the control group,the patients in the study group had a significantly higher forced expiratory volume in one second to forced vital capacity ratio(FEV1/FVC),a significantly lower COPD Assessment Test(CAT)score,and Hamilton Depression(HAM-D)score,and a significantly higher 6-Minute Walk Test(6WMT)score after nursing care.Besides,their self-care ability score and SaO_(2)were significantly higher,while their PaCO_(2)and coagulation indexes were significantly lower(P<0.05).Conclusion:Continuous nursing intervention is beneficial for COPD patients.展开更多
Objective: to explore the nursing effect of continuous nursing on hemodialysis patients with chronic renal failure. Methods: the patients who underwent hemodialysis in our hospital from July 3, 2020 to February 5, 202...Objective: to explore the nursing effect of continuous nursing on hemodialysis patients with chronic renal failure. Methods: the patients who underwent hemodialysis in our hospital from July 3, 2020 to February 5, 2022 were selected as the research objects. 60 cases in total, and continued nursing. The effect of contrast. Results: After treatment, patients anxiety and quality of life were significantly improved. Conclusion: Continuous nursing for the above patients can improve their quality of life, which is worth popularizing.展开更多
Objective: to explore the effect of continuous nursing care for hand burn scar plastic surgery patients. Methods: from February 2021 to February 2022, 108 cases of burn scar plastic surgery in our hospital were divide...Objective: to explore the effect of continuous nursing care for hand burn scar plastic surgery patients. Methods: from February 2021 to February 2022, 108 cases of burn scar plastic surgery in our hospital were divided into the improvement group (continuous nursing) and the reference group (routine nursing), and the nursing effects were compared. Results: the hand function, daily physiological ability and quality of life of the improved group were better than those of the improved group (P < 0.05). Conclusion: continuous nursing can improve the prognosis of patients with hand burn scar plastic surgery.展开更多
Objective: To analyze the clinical application effect of TCM nursing technology in the rehabilitation nursing of cerebral infarction. Methods: A total of 70 patients with cerebral infarction who participated in nursin...Objective: To analyze the clinical application effect of TCM nursing technology in the rehabilitation nursing of cerebral infarction. Methods: A total of 70 patients with cerebral infarction who participated in nursing in our hospital were selected. The research time was from January 2020 to January 2022. The 70 samples were divided into groups according to the random number table method, of which 35 samples represented the control group and 35 samples represented the inquiry group. The control group was given routine intervention, and the nursing effect, incidence of adverse events, neurological deficit score, daily living ability and patient satisfaction were evaluated. At first, the inquiry group adopted continuous nursing intervention, followed by traditional Chinese medicine nursing technology, and made statistics and evaluation on neurological deficit score, nursing effect, daily living ability, incidence of adverse events, quality of life and patient satisfaction. Then, the nursing effect, incidence of adverse events, neurological deficit score, daily living ability, patient satisfaction and quality of life of the study group and the control group were compared, and the actual effect and clinical value of TCM nursing technology in clinical nursing of patients with cerebral infarction in convalescence were clarified. Results: The neurological deficit score of the two groups showed that the neurological deficit score of the study group was lower than that of the control group, that is, the neurological recovery of the study group was better than that of the control group, P < 0.05. Incidence of adverse events in the two groups: The statistical results show that the incidence of adverse events in the control group is higher than that in the inquiry group (P < 0.05). Activity of daily living: After comparing the activity of daily living between the inquiry group and the control group, the score of the former is higher, P < 0.05. Nursing effect: After statistics and comparison of some data, the nursing effective rate of the control group was significantly lower than that of the inquiry group (P < 0.05). After comparing the quality of life, the scores of psychological quality, health cognition and life function of the two groups were significantly higher in the study group (P < 0.05). Patient satisfaction was compared: the satisfaction of the control group was lower than that of the inquiry group, and there was a significant difference (P < 0.05). Conclusion: The application of traditional Chinese medicine nursing technology in the rehabilitation nursing of cerebral infarction has obvious clinical application effect and safety. After nursing, patients' neurological function and daily living ability are obviously improved, and the quality of life is generally improved. The satisfaction of patients' families is high, which is worthy of being widely used for reference in clinical nursing.展开更多
Objective: to explore the effect of continuous nursing on quality of life of patients with obstructive sleep apnea syndrome. Methods: from January 2019 to January 2021, 80 patients with obstructive sleep apnea syndrom...Objective: to explore the effect of continuous nursing on quality of life of patients with obstructive sleep apnea syndrome. Methods: from January 2019 to January 2021, 80 patients with obstructive sleep apnea syndrome as the research object, the patients randomly divided into normal group and the continuation of nursing group and routine group of routine nursing, continue nursing group and routine nursing in combination with the continuation of care, compared two groups of discharge attendance rate again, and compare the nursing before and after the quality of life of patients. Results: the rate of discharge re-visit was 2.50% in the continuing care group and 20% in the conventional care group, and there was a statistical difference between the two groups (P < 0.05). After nursing, the quality of life in the continuing nursing group was better than that in the conventional group (P < 0.05). Conclusion: routine nursing combined with continuous nursing for obstructive sleep apnea syndrome can reduce the rate of discharge re-visit and improve the quality of life, which is worth promoting.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
BACKGROUND Stroke is the leading cause of adult lifelong disability worldwide.A stroke is an acute cerebrovascular disease with a variety of causes and corresponding clinical symptoms.Around 75%of surviving stroke pat...BACKGROUND Stroke is the leading cause of adult lifelong disability worldwide.A stroke is an acute cerebrovascular disease with a variety of causes and corresponding clinical symptoms.Around 75%of surviving stroke patients experience impaired nerve function,and some suffer from traumatic fractures,which can lead to special care needs.AIM To determine the effect of timing theory continuous care,with resistance training,on the rehabilitation and mental health of caregivers and stroke patients with traumatic fractures.METHODS Between January 2017 to March 2021,we selected 100 hospital admissions with post-stroke hemiplegia complicated with a traumatic fracture.Two participant groups were created:(1)Control group:given resistance training;and(2)Observation group:given timing theory continuous care combined with resistance training.The degree of satisfaction and differences in bone and phosphorus metabolism indexes between the two groups were compared.The self-perceived burden scale(SPBS)and caregiver burden questionnaire were used to evaluate the psychological health of patients and caregivers.The Harris hip function score,ability of daily living(ADL)scale,and global quality of life questionnaire(GQOL-74)were used to evaluate hip function,ability of daily living,and quality of life.RESULTS Data were collected prior to and after intervention.Alkaline phosphatase(ALP),osteocalcin,and vitamin D3 in the observation group and control group increased after intervention(P<0.05),and carboxy-terminal peptide of type I collagenβSpecial sequence(β-CTX)decreased(P<0.05).ALP and osteocalcin in the observation group were higher than in the control group(P<0.05).There was no significant difference inβ-CTX and vitamin D3 between the two groups(P>0.05).The SPBS score of the observation group was lower and the ADL score was higher than the control group.The burden score was lower and the Harris hip function and GQOL-74 scores were higher than that of the control group(P<0.05).The observation group’s satisfaction rating was 94.00%,which was higher than the rating from the control group(P<0.05).CONCLUSION Timing theory continuous nursing with resistance training can reduce hip dysfunction in stroke patients with a traumatic fracture and enhance quality of life and mental health of patients and caregivers.展开更多
Background:The Transitional Care Model(TCM)for nursing care has yet to be implemented in China despite its success in Western countries.However,rapid social changes have demanded an upgrade in the quality of nursing c...Background:The Transitional Care Model(TCM)for nursing care has yet to be implemented in China despite its success in Western countries.However,rapid social changes have demanded an upgrade in the quality of nursing care;in 2010,the Chinese government has acknowledged the need to implement the TCM in China.Objective:This study has the following objectives:(1)perform a thorough review of the literature regarding the development and implementation of the TCM in China's Mainland within the past 5 years;(2)provide a comprehensive discussion of the current status,problems,and strategies related to the implementation of the TCM in China's Mainland;and(3)suggest strategies pertaining to the future of the TCM in China.Design:The current pertinent literature is systematically reviewed.Data sources:Systematic and manual searches in computerized databases for relevant studies regarding the TCM led to the inclusion of 26 papers in this review.Review methods:Abstracts that satisfied the inclusion criteria were reviewed independently by the two authors of this manuscript,and discrepancies were resolved through discussion.The same reviewers independently assessed the paper in its entirety for selected abstracts.Results:The present English literature reviewrevealed a paucity of updated information about the development and implementation of the TCM in China's Mainland.Nevertheless,the dramatic growth of the TCM in the past 5 years has had a vital impact within the society and in nursing development.This review also revealed numerous issues regarding the focus of the TCM.Overall implications for practiceandrecommendations for future researchare discussed.Conclusion:Despite the potential of this nursing model to have a successful and beneficial impact in China's Mainland,it remains an under-researched topic.Further research on education and training as well as premium policies for nurses under the TCM are needed.展开更多
BACKGROUND Lung cancer is a malignant tumor with high morbidity and mortality among cancers.Surgery is currently one of the primary methods of treating lung cancer.Although it can slow down the progression of the dise...BACKGROUND Lung cancer is a malignant tumor with high morbidity and mortality among cancers.Surgery is currently one of the primary methods of treating lung cancer.Although it can slow down the progression of the disease by removing the lesion,this invasive surgery inevitably damages the integrity of the patient’s chest.Moreover,the patient’s pulmonary function may have a low compensatory capacity after surgery,causing various respiratory diseases such as atelectasis,respiratory function decline,and even serious cardiovascular disease.All of these have great negative impacts on the surgical effect and the prognosis of patients.With the continuous exploration and development of nursing,continuous nursing and respiratory exercise nursing have been gradually applied in the nursing of patients after lung cancer surgery,and have achieved good nursing results.AIM To investigate the effect of continuous nursing combined with respiratory exercise nursing on the pulmonary function of postoperative patients with lung cancer.METHODS A total of 80 patients with lung cancer who underwent surgery in our hospital from January 2021 to December 2021 were selected as the study subjects.All subjects were randomly divided into the control group(n=40 cases)and the experimental group(n=40 cases).Patients with lung cancer in the control group were given conventional nursing after surgery,while the experimental group was given continuous nursing combined with respiratory exercise nursing based on conventional nursing.The recovery of pulmonary function and respiratory symptoms was observed before and after 3 mo of intervention in both groups.The pulmonary function parameters,blood gas analysis,MD Anderson Symptom Inventory-lung cancer module(MDASI-LC)scores,incidence of pulmonary complications,and Morisky compliance scores were compared between the two groups before and after 3 mo of intervention.RESULTS There was no significant difference in pulmonary function and blood gas analysis between the two groups before intervention(P>0.05).3 mo after the intervention,the pulmonary function parameters in the experimental group(SpO2,VC,MVV,FEV1,FEV1%pred,and FEV1/FVC)were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in blood gas analysis between the two groups before intervention(P>0.05).PaO2 in the experimental group was significantly higher than that in the control group,and PaCO_(2) was significantly lower than that in the control group 3 mo after the intervention.The difference had statistical significance(P<0.05).3 mo after the intervention,the MDASI score of respiratory symptoms in the experimental group was significantly lower than that in the control group(P<0.05),and the incidence of pulmonary complications was lower than that in the control group(P<0.05).In addition,the treatment compliance and nursing satisfaction of patients in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).CONCLUSION Continuous nursing combined with respiratory exercise nursing can significantly accelerate the recovery of respiratory function in postoperative lung cancer patients,reduce the incidence of postoperative complications of lung cancer as well as improve the treatment compliance of patients.展开更多
文摘1 Introduction With the development of modern medicine,the growth of the social demand for nursing,and the gradual improvement of the concept and connotation of lifelong nursing education,continuing nursing education(CNE),as a key form of lifelong nursing education,has received wide attention and played an important role worldwide.CNE is a kind of lifelong education of nursing science on the basis of continuing
文摘Objective:To evaluate the effect of continuing nursing on self-care ability of diabetic patients.Methods:Meta-analysis was used to search multiple Chinese and English databases,and relevant randomized controlled trials were collected.After reviewing the literature quality,RevMan 5.2 software was used for data analysis.Results:A total of 8 randomized controlled trials(RCTs)were included.The results showed that the self-care ability of the continuing care observation group was significantly higher than that of the control group [WMD = 17.88,95%CI(17.30,18.47),P<0.001].Conclusion:Continuing nursing shows superiority in improving self-care ability of diabetic patients.
文摘Objective:To systematically evaluate the effect of continuous nursing on the psychological status of rectal cancer patients undergoing stoma.Methods:Five databases including China HowNet,Chongqing Weipu Chinese Science and Technology Database,Wanfang Database,Embase and PubMed were searched.Randomized controlled trials were collected on the effect of continuing nursing on the psychological status of rectal cancer patients undergoing stoma.The searching time was from the establishment of the database to March 30,2019.RevMan 5.3 software was used to analyze the bias risk of the study after two researchers independently screened the researchers,extracted the data and evaluated the bias risk of the study.Results:A total of 15 studies were included.Meta-analysis showed that the continuing nursing group improved anxiety[MD=-10.89,95%CI(-13.52,-8.26),P<0.00001],depression[MD=-4.78,95%CI(-5.77,-3.80,P<0.00001],fear[MD=-6.06,95%CI(-7.70,-4.43),P<0.00001],hostile[MD=-7.00,95%CI(-13.62,-0.38),P=0.04<0.05],somatization[MD=-7.63,95%CI(-13.49,-1.77),P=0.01<0.05].The self-care ability[MD=38.24,95%CI(35.38,41.11),P<0.00001]was superior to the routine nursing group.Conclusion:Continuous nursing has more advantages than routine nursing,and it can improve the negative psychological state of rectal cancer patients undergoing stoma.Due to the limitations of the quantity and quality of the included studies,the above conclusions need to be verified by more high-quality studies.
文摘BACKGROUND Gastric cancer predominantly affects the elderly,who face significant challenges due to high postoperative complications and stress.These challenges include co-morbidities,reduced physiological reserves,and increased risks of infections and delayed healing.Traditional postoperative care often falls short in addressing these issues effectively.Enhanced recovery after surgery(ERAS)principles have revolutionized surgical care by reducing stress and promoting recovery through a holistic approach.ERAS emphasizes preoperative optimization,intraoperative care,and postoperative rehabilitation tailored to patient needs.Despite its recog-nized benefits,the impact of continuity nursing care within the ERAS framework on elderly gastric cancer patients remains underexplored.This study examines the influence of ERAS-based continuity nursing care on postoperative satisfaction,inflammation,stress,and quality of life in elderly patients undergoing gastric cancer resection.AIM To investigate the effects of ERAS-based continuity nursing care on postoperative satisfaction,inflammation,stress,and quality of life in elderly gastric cancer pa-tients.METHODS A retrospective cohort analysis was conducted on 322 elderly patients who under-went gastric cancer resection between January 2020 and January 2022.Patients were assigned to a routine care group(n=156)or an ERAS-control(ERAS-C)group(n=166).Data collected included demographic information,inflammatory and stress markers,satisfaction scores using the patient satisfaction questionnaire-18,and quality of life measured using the European Organi-zation for Research and Treatment of Cancer 22-item quality of life questionnaire specific to gastric cancer.RESULTS The ERAS-C group exhibited significantly lower postoperative interleukin-6 levels than the routine care group(12.97±4.02 pg/mL vs 14.37±3.86 pg/mL;P=0.002).This finding indicates that the ERAS-C group experienced reduced inflammation.The ERAS-C group also had a higher cluster of differentiation(CD)4:CD8 ratio than the routine care group(2.34±0.35 vs 2.13±0.61;P<0.001),suggesting the former’s enhanced immune response.Postoperative stress markers,including norepinephrine,cortisol,and aldosterone,were significantly lower in the ERAS-C group than in the routine care group(P<0.05 for all).Compared with the routine care group,the ERAS-C group showed increased nursing satisfaction scores(80.36±7.24 vs 75.23±7.03;P<0.001)and improved quality of life indicators,such as reduced dysphagia and pain,(P<0.05).The ERAS-C group also experienced fewer complic-ations than the routine care group(5.42%vs 11.54%,P=0.048).CONCLUSION Continuity nursing care within the ERAS framework significantly enhances postoperative outcomes for elderly gastric cancer patients by reducing inflammation,stress,and complications while improving satisfaction and qua-lity of life.
文摘Objective:To evaluate the effectiveness of continuous nursing interventions in elderly patients with COPD in the stable phase and frailty.Methods:Sixty elderly patients with COPD in the stable phase and frailty,treated between January 2024 and August 2024,were selected as the study subjects.Patients were randomly divided into two groups(30 each)using a drawing method.Patients who drew a black token were assigned to the intervention group and received continuous nursing interventions,while those who drew a red token were assigned to the nursing group and received standard nursing care.The quality of care between the groups was compared.Results:Pulmonary function indicators in the intervention group were significantly better than those in the nursing group(P<0.05).Immune function in the intervention group was also significantly higher than in the nursing group(P<0.05).Before the intervention,there was no significant difference in self-care ability between the two groups(P>0.05).However,post-intervention,both groups showed improved self-care abilities,with the intervention group scoring significantly higher than the nursing group(P<0.05).Similarly,before the intervention,there was no significant difference in quality-of-life scores(P>0.05),but post-intervention,both groups exhibited increased scores,with the intervention group outperforming the nursing group significantly(P<0.05).Conclusion:Continuous nursing interventions significantly improve outcomes in elderly patients with COPD in the stable phase and frailty,warranting broader implementation.
文摘Objective:To explore nursing measures for elderly patients with chronic obstructive pulmonary disease(COPD)and analyze the effect of continuous nursing pathways on improving the accuracy of aerosol use.Methods:From April 2023 to April 2024,76 elderly COPD patients admitted to our hospital were randomly selected for nursing research.They were divided into two groups using a computer double-blind method,with 38 patients in each group.The control group received routine nursing,while the observation group applied the continuous nursing pathway.The nursing effects of the two groups were investigated and compared,including(1)aerosol accuracy;(2)cardiopulmonary function;(3)subjective well-being and self-care ability;(4)quality of life;and(5)nursing satisfaction.Results:Compared with the control group,the observation group had a significantly higher accuracy rate of aerosol use(P<0.05).Before nursing,there were no significant differences in cardiopulmonary function indicators,MUNSH scores,and ESCA scores between the two groups(P>0.05).After nursing,the patient's cardiopulmonary function improved significantly,and their subjective well-being and self-care ability increased.The observation group was significantly better than the control group in all the above indicators(P<0.05).The quality of life scores of the observation group were significantly higher than those of the control group(P<0.05).Conclusion:In the nursing of elderly patients with chronic obstructive pulmonary disease,the application of the continuous nursing pathway can effectively improve the accuracy of aerosol use and improve patients'cardiopulmonary function.
文摘BACKGROUND Radical gastrectomy(RGE)for gastric carcinoma(GC)has exerted definite therapeutic efficacy in treating patients with GC.However,a notable risk of postoperative complications(POCs)persists among middle-aged and elderly patients with compromised physiological functions.Hence,developing and implementing reliable nursing interventions to optimize the comprehensive management of these patients is deemed imperative.AIM To analyze the association of multi-channel continuous nursing intervention with POCs,negative emotions(NEs),and quality of life(QoL)of patients undergoing RGE for GC.METHODS This retrospective study selected 99 patients who underwent RGE for GC in our hospital from May 2020 to May 2023.Participants were categorized into the control(n=49 cases)and research groups(n=50 cases)receiving routine and multi-channel continuous nursing care,respectively.Comparative analysis involved data on postoperative rehabilitation(time to first anal exhaust,oral feeding and ambulation,and hospital stay),complications(nausea and vomiting,delayed gastric emptying,and abdominal distension),NEs[Self-rating Anxiety(SAS)/Depression Scale(SDS)],treatment compliance,self-efficacy,and QoL[World Health Organization QoL Brief Version(WHOQOL-BREF)].RESULTS Compared to the control group,the research group demonstrated earlier first postoperative anal exhaust,oral feeding,and ambulation,shorter hospital stay,lower POC rate,and more reduced SAS and SDS scores postintervention,which was significantly lower than the baseline.The treatment compliance scores were significantly higher in the research group than in the control group in terms of medication adherence,daily exercise,reasonable diet,and regular review.Further,the research group demonstrated increased self-efficacy scores in terms of positive attitude,self-stress relief,and self-decision-making,as well as the overall score postintervention,which were higher than the control group.Moreover,the research group reported notably higher WHOQOL-BREF scores in domains such as physiology,psychology,social relations,and environment.CONCLUSION Multi-channel continuous nursing intervention prevents POCs in patients undergoing RGE for GC as well as significantly alleviates patients’NEs and boosts their QoL.
文摘Objective:To analyze the nursing effect of implementing continuous nursing combined with knowledge,attitude,and practice(KAP)intervention under the guidance of interactive goal-setting theory for patients with gestational diabetes mellitus(GDM).Methods:A total of 68 patients with GDM who were admitted to the hospital between December 2021 and December 2023 were selected and randomly divided into two groups using a random number table.The combined group(34 cases)received continuous nursing combined with KAP intervention under the premise of interactive goal-setting theory,while the conventional group(34 cases)received routine nursing care.Blood glucose control,health behavior scores,and other indicators were compared between the two groups.Results:After nursing,the blood glucose level in the combined group was lower than that in the conventional group,and the scores for health behavior and self-management ability were higher than those in the conventional group(P<0.05).Conclusion:Combined nursing can improve blood glucose control in patients with GDM,standardize their health behaviors,and cultivate their self-management skills.
文摘BACKGROUND Percutaneous hepatobiliary drainage(PTCD)is an effective method for the treatment of biliary obstruction and other diseases,but postoperative complications are still one of the important problems faced by patients.Continuous nursing is a comprehensive nursing model that plays an important role in postoperative recovery.The purpose of this study was to investigate the effect of continuous nursing on the incidence of complications in patients after PTCD surgery through meta-analysis and to evaluate its efficacy and safety.AIM To evaluate the effect of extended nursing on the incidence of complications in discharged patients after percutaneous transhepatic biliary drainage(PTBD).METHODS Randomized controlled studies on PTBD postdischarge extended care were identified in the CNKI,Wanfang,VIP,CBM,PubMed,Cochrane Library,Embase,Web of Science,and other databases.The quality of the included studies was evaluated using the Joanna Briggs Institute of Australia literature quality evaluation tool,and a meta-analysis of the included studies was performed with RevMan 5.4 software.RESULTS Finally,9 studies were included,with a total sample size of 854 patients(425 patients in the control group and 429 patients in the intervention group).Meta-analysis revealed that extended care effectively reduced biliary tract infection(RR:0.42,95%CI:0.30-0.57),puncture wound infection(RR:0.19,95%CI:0.06-0.65),catheter protrusion or displacement in discharged patients after PTBD(RR:0.31,95%CI:0.18-0.54),catheter blockage(RR:0.23,95%CI:0.13-0.42),skin infection around the drainage tube(RR:0.30,95%CI:0.12-0.77),and catheter-related readmissions(RR:0.34,95%CI:0.18-0.65)(P<0.05).CONCLUSION Compared with conventional discharge care,extended care can effectively reduce the occurrence of complications such as biliary tract infection,puncture wound infection,catheter prolapse or displacement,catheter blockage,skin infection around the drainage tube,and catheter-related readmission in discharged patients after PTBD.
基金Hebei Provincial Medical Science Research Key Project Plan,No.20181057.
文摘BACKGROUND Joint replacement is a common treatment for older patients with high incidences of hip joint diseases.However,postoperative recovery is slow and complications are common,which reduces surgical effectiveness.Therefore,patients require long-term,high-quality,and effective nursing interventions to promote rehabilitation.Continuity of care has been used successfully in other diseases;however,little research has been conducted on older patients who have undergone hip replacement.AIM To explore the clinical effect of continuous nursing on rehabilitation after discharge of older individuals who have undergone joint replacement.METHODS A retrospective analysis was performed on the clinical data of 113 elderly patients.Patients receiving routine nursing were included in the convention group(n=60),and those receiving continuous nursing,according to various methods,were included in the continuation group(n=53).Harris score,short form 36(SF-36)score,complication rate,and readmission rate were compared between the convention and continuation groups.RESULTS After discharge,Harris and SF-36 scores of the continuation group were higher than those of the convention group.The Harris and SF-36 scores of the two groups showed an increasing trend with time,and there was an interaction effect between group and time(Harris score:F_(intergroup effect)=376.500,F_(time effect)=20.090,Finteraction effect=4.824;SF-36 score:F_(intergroup effect)=236.200,Ftime effect=16.710,Finteraction effect=5.584;all P<0.05).Furthermore,the total complication and readmission rates in the continuation group were lower(P<0.05).CONCLUSION Continuous nursing could significantly improve hip function and quality of life in older patients after joint replacement and reduce the incidence of complications and readmission rates.
文摘Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary angiography and stent implantation.Methods:Ninety patients who underwent percutaneous coronary angiography and stent implantation in our hospital from April 2022 to April 2023 were selected and randomly divided into the control group(45 cases),in which routine nursing support was carried out during the treatment process,and the observation group(45 cases),in which continuous precision nursing model was carried out during the treatment process.Comparisons were made between the two groups of patients on their KAP,cardiac function,and quality of life during recovery.Results:There was no difference in the left ventricular ejection fraction(LVEF),cardiac output(CO),and cardiac index(CI)levels before intervention.After the intervention,the levels of cardiac function in the observation group were higher than those of the control group(P<0.05).There was no difference in the Exercise of Self-Care Agency(ESCA)self-care ability scale scores before the intervention.After the intervention,the observation group had higher ESCA scores than the control group(P<0.05).Conclusion:Implementation of a continuous precision nursing model in the care of patients undergoing percutaneous coronary angiography and stent implantation improved the patient’s cardiac function,and KAP,and promoted recovery.
文摘Objective:to study the effect of continuous nursing intervention in patients with chronic obstructive pulmonary disease(COPD).Methods:In this paper,56 COPD patients were selected and grouped by drawing lots,with 28 cases in each group.The study group underwent continuous nursing intervention,while the control group underwent conventional care,and the parameters of both groups of patients were compared.Results:Compared with the control group,the patients in the study group had a significantly higher forced expiratory volume in one second to forced vital capacity ratio(FEV1/FVC),a significantly lower COPD Assessment Test(CAT)score,and Hamilton Depression(HAM-D)score,and a significantly higher 6-Minute Walk Test(6WMT)score after nursing care.Besides,their self-care ability score and SaO_(2)were significantly higher,while their PaCO_(2)and coagulation indexes were significantly lower(P<0.05).Conclusion:Continuous nursing intervention is beneficial for COPD patients.
文摘Objective: to explore the nursing effect of continuous nursing on hemodialysis patients with chronic renal failure. Methods: the patients who underwent hemodialysis in our hospital from July 3, 2020 to February 5, 2022 were selected as the research objects. 60 cases in total, and continued nursing. The effect of contrast. Results: After treatment, patients anxiety and quality of life were significantly improved. Conclusion: Continuous nursing for the above patients can improve their quality of life, which is worth popularizing.
文摘Objective: to explore the effect of continuous nursing care for hand burn scar plastic surgery patients. Methods: from February 2021 to February 2022, 108 cases of burn scar plastic surgery in our hospital were divided into the improvement group (continuous nursing) and the reference group (routine nursing), and the nursing effects were compared. Results: the hand function, daily physiological ability and quality of life of the improved group were better than those of the improved group (P < 0.05). Conclusion: continuous nursing can improve the prognosis of patients with hand burn scar plastic surgery.
文摘Objective: To analyze the clinical application effect of TCM nursing technology in the rehabilitation nursing of cerebral infarction. Methods: A total of 70 patients with cerebral infarction who participated in nursing in our hospital were selected. The research time was from January 2020 to January 2022. The 70 samples were divided into groups according to the random number table method, of which 35 samples represented the control group and 35 samples represented the inquiry group. The control group was given routine intervention, and the nursing effect, incidence of adverse events, neurological deficit score, daily living ability and patient satisfaction were evaluated. At first, the inquiry group adopted continuous nursing intervention, followed by traditional Chinese medicine nursing technology, and made statistics and evaluation on neurological deficit score, nursing effect, daily living ability, incidence of adverse events, quality of life and patient satisfaction. Then, the nursing effect, incidence of adverse events, neurological deficit score, daily living ability, patient satisfaction and quality of life of the study group and the control group were compared, and the actual effect and clinical value of TCM nursing technology in clinical nursing of patients with cerebral infarction in convalescence were clarified. Results: The neurological deficit score of the two groups showed that the neurological deficit score of the study group was lower than that of the control group, that is, the neurological recovery of the study group was better than that of the control group, P < 0.05. Incidence of adverse events in the two groups: The statistical results show that the incidence of adverse events in the control group is higher than that in the inquiry group (P < 0.05). Activity of daily living: After comparing the activity of daily living between the inquiry group and the control group, the score of the former is higher, P < 0.05. Nursing effect: After statistics and comparison of some data, the nursing effective rate of the control group was significantly lower than that of the inquiry group (P < 0.05). After comparing the quality of life, the scores of psychological quality, health cognition and life function of the two groups were significantly higher in the study group (P < 0.05). Patient satisfaction was compared: the satisfaction of the control group was lower than that of the inquiry group, and there was a significant difference (P < 0.05). Conclusion: The application of traditional Chinese medicine nursing technology in the rehabilitation nursing of cerebral infarction has obvious clinical application effect and safety. After nursing, patients' neurological function and daily living ability are obviously improved, and the quality of life is generally improved. The satisfaction of patients' families is high, which is worthy of being widely used for reference in clinical nursing.
文摘Objective: to explore the effect of continuous nursing on quality of life of patients with obstructive sleep apnea syndrome. Methods: from January 2019 to January 2021, 80 patients with obstructive sleep apnea syndrome as the research object, the patients randomly divided into normal group and the continuation of nursing group and routine group of routine nursing, continue nursing group and routine nursing in combination with the continuation of care, compared two groups of discharge attendance rate again, and compare the nursing before and after the quality of life of patients. Results: the rate of discharge re-visit was 2.50% in the continuing care group and 20% in the conventional care group, and there was a statistical difference between the two groups (P < 0.05). After nursing, the quality of life in the continuing nursing group was better than that in the conventional group (P < 0.05). Conclusion: routine nursing combined with continuous nursing for obstructive sleep apnea syndrome can reduce the rate of discharge re-visit and improve the quality of life, which is worth promoting.
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BACKGROUND Stroke is the leading cause of adult lifelong disability worldwide.A stroke is an acute cerebrovascular disease with a variety of causes and corresponding clinical symptoms.Around 75%of surviving stroke patients experience impaired nerve function,and some suffer from traumatic fractures,which can lead to special care needs.AIM To determine the effect of timing theory continuous care,with resistance training,on the rehabilitation and mental health of caregivers and stroke patients with traumatic fractures.METHODS Between January 2017 to March 2021,we selected 100 hospital admissions with post-stroke hemiplegia complicated with a traumatic fracture.Two participant groups were created:(1)Control group:given resistance training;and(2)Observation group:given timing theory continuous care combined with resistance training.The degree of satisfaction and differences in bone and phosphorus metabolism indexes between the two groups were compared.The self-perceived burden scale(SPBS)and caregiver burden questionnaire were used to evaluate the psychological health of patients and caregivers.The Harris hip function score,ability of daily living(ADL)scale,and global quality of life questionnaire(GQOL-74)were used to evaluate hip function,ability of daily living,and quality of life.RESULTS Data were collected prior to and after intervention.Alkaline phosphatase(ALP),osteocalcin,and vitamin D3 in the observation group and control group increased after intervention(P<0.05),and carboxy-terminal peptide of type I collagenβSpecial sequence(β-CTX)decreased(P<0.05).ALP and osteocalcin in the observation group were higher than in the control group(P<0.05).There was no significant difference inβ-CTX and vitamin D3 between the two groups(P>0.05).The SPBS score of the observation group was lower and the ADL score was higher than the control group.The burden score was lower and the Harris hip function and GQOL-74 scores were higher than that of the control group(P<0.05).The observation group’s satisfaction rating was 94.00%,which was higher than the rating from the control group(P<0.05).CONCLUSION Timing theory continuous nursing with resistance training can reduce hip dysfunction in stroke patients with a traumatic fracture and enhance quality of life and mental health of patients and caregivers.
文摘Background:The Transitional Care Model(TCM)for nursing care has yet to be implemented in China despite its success in Western countries.However,rapid social changes have demanded an upgrade in the quality of nursing care;in 2010,the Chinese government has acknowledged the need to implement the TCM in China.Objective:This study has the following objectives:(1)perform a thorough review of the literature regarding the development and implementation of the TCM in China's Mainland within the past 5 years;(2)provide a comprehensive discussion of the current status,problems,and strategies related to the implementation of the TCM in China's Mainland;and(3)suggest strategies pertaining to the future of the TCM in China.Design:The current pertinent literature is systematically reviewed.Data sources:Systematic and manual searches in computerized databases for relevant studies regarding the TCM led to the inclusion of 26 papers in this review.Review methods:Abstracts that satisfied the inclusion criteria were reviewed independently by the two authors of this manuscript,and discrepancies were resolved through discussion.The same reviewers independently assessed the paper in its entirety for selected abstracts.Results:The present English literature reviewrevealed a paucity of updated information about the development and implementation of the TCM in China's Mainland.Nevertheless,the dramatic growth of the TCM in the past 5 years has had a vital impact within the society and in nursing development.This review also revealed numerous issues regarding the focus of the TCM.Overall implications for practiceandrecommendations for future researchare discussed.Conclusion:Despite the potential of this nursing model to have a successful and beneficial impact in China's Mainland,it remains an under-researched topic.Further research on education and training as well as premium policies for nurses under the TCM are needed.
文摘BACKGROUND Lung cancer is a malignant tumor with high morbidity and mortality among cancers.Surgery is currently one of the primary methods of treating lung cancer.Although it can slow down the progression of the disease by removing the lesion,this invasive surgery inevitably damages the integrity of the patient’s chest.Moreover,the patient’s pulmonary function may have a low compensatory capacity after surgery,causing various respiratory diseases such as atelectasis,respiratory function decline,and even serious cardiovascular disease.All of these have great negative impacts on the surgical effect and the prognosis of patients.With the continuous exploration and development of nursing,continuous nursing and respiratory exercise nursing have been gradually applied in the nursing of patients after lung cancer surgery,and have achieved good nursing results.AIM To investigate the effect of continuous nursing combined with respiratory exercise nursing on the pulmonary function of postoperative patients with lung cancer.METHODS A total of 80 patients with lung cancer who underwent surgery in our hospital from January 2021 to December 2021 were selected as the study subjects.All subjects were randomly divided into the control group(n=40 cases)and the experimental group(n=40 cases).Patients with lung cancer in the control group were given conventional nursing after surgery,while the experimental group was given continuous nursing combined with respiratory exercise nursing based on conventional nursing.The recovery of pulmonary function and respiratory symptoms was observed before and after 3 mo of intervention in both groups.The pulmonary function parameters,blood gas analysis,MD Anderson Symptom Inventory-lung cancer module(MDASI-LC)scores,incidence of pulmonary complications,and Morisky compliance scores were compared between the two groups before and after 3 mo of intervention.RESULTS There was no significant difference in pulmonary function and blood gas analysis between the two groups before intervention(P>0.05).3 mo after the intervention,the pulmonary function parameters in the experimental group(SpO2,VC,MVV,FEV1,FEV1%pred,and FEV1/FVC)were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in blood gas analysis between the two groups before intervention(P>0.05).PaO2 in the experimental group was significantly higher than that in the control group,and PaCO_(2) was significantly lower than that in the control group 3 mo after the intervention.The difference had statistical significance(P<0.05).3 mo after the intervention,the MDASI score of respiratory symptoms in the experimental group was significantly lower than that in the control group(P<0.05),and the incidence of pulmonary complications was lower than that in the control group(P<0.05).In addition,the treatment compliance and nursing satisfaction of patients in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).CONCLUSION Continuous nursing combined with respiratory exercise nursing can significantly accelerate the recovery of respiratory function in postoperative lung cancer patients,reduce the incidence of postoperative complications of lung cancer as well as improve the treatment compliance of patients.
