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
Objective:To study and analyze the clinical effect of continuous nursing in the process of postoperative rehabilitation for patients with craniocerebral trauma.Methods:From August 2018 to July 2021,40 patients who cam...Objective:To study and analyze the clinical effect of continuous nursing in the process of postoperative rehabilitation for patients with craniocerebral trauma.Methods:From August 2018 to July 2021,40 patients who came to our hospital for craniocerebral trauma treatment were randomly selected as clinical experimental research objects,and they were divided into continuous nursing group and routine nursing group.The rehabilitation of patients in the two groups before and after postoperative nursing was observed and counted.Results:Before nursing intervention,there was no significant difference in MMSE score and Fugl-Meyer score between the two groups,p>0.05.After nursing,the scores were scored again at 3 and 6 months after nursing.It was found that the two groups were improved,but the improvement range in the continuous nursing group was significantly higher than that in the routine nursing group,the difference was statistically significant(p<0.05).From the score of quality of life,the scores of physical pain,psychological function,mental health and social function in the continuous nursing group were better than those in the routine nursing group,the difference was statistically significant(p<0.05).Conclusion:Using continuous nursing measures for rehabilitation nursing of patients with craniocerebral trauma after discharge can significantly improve the quality of life of patients,restore the mental state and limb function of patients,and has significant clinical effect.展开更多
Objective: to study the effect of continuous nursing intervention on patients with chronic wound. Methods: the patients with chronic wounds treated in our hospital from February 2020 to August 2020 were studied. The t...Objective: to study the effect of continuous nursing intervention on patients with chronic wound. Methods: the patients with chronic wounds treated in our hospital from February 2020 to August 2020 were studied. The total number of patients was 88. The patients were divided into groups according to the random number table. The number of patients in each group was the same. The patients in the reference group received routine nursing, the patients in the observation group received continuous nursing, and the patients in the two groups received nursing intervention. The nursing effects were analyzed and compared, including pain, complications, self-care ability, nursing satisfaction, quality of life and so on. Results: in the observation group, the nursing satisfaction and complication rates were 97.73% and 4.55% respectively, pain score (0.88 ± 0.11), nursing cognition score (85.71 ± 6.88), psychological state in quality of life (17.26 ± 0.88), family support (18.18 ± 0.81), daily life (18.85 ± 0.13) and physiological function (18.85 ± 1.05).The scores of basic knowledge (82.82 ± 7.84) and preventive health care (78.34 ± 7.27) in self-care ability were significantly different between the groups (χ2 = 4.950,5.090, P = 0.026,0.024;t = 11.668, 10.219, 6.560, 6.076, 10.170, 7.882, 7.260, 6.121, P < 0.001).The implementation of continuous nursing intervention for chronic wound patients can improve the degree of pain, improve the nursing cognition, improve the quality of life and self-care ability of patients. The nursing effect is remarkable and has clinical application value.展开更多
Objective: to explore the effect of continuous nursing intervention on wound stomy and the improvement of ECSA scale score. Methods: 100 cases of rectal cancer patients in our hospital from January 2020 to January 202...Objective: to explore the effect of continuous nursing intervention on wound stomy and the improvement of ECSA scale score. Methods: 100 cases of rectal cancer patients in our hospital from January 2020 to January 2021 were collected and randomly divided into two groups. The control group received routine nursing, and the observation group received continuous nursing intervention. The score of ECSA scale and the complication rate of wound stomy were compared between the two groups. Results: the score of ECSA scale in observation group was higher than that in control group, and the incidence of complications in wound stomy was lower than that in control group, with significant difference (P < 0.05). Conclusion: the effect of continuous nursing intervention on wound ostomy and the improvement of ECSA scale score are accurate. It can improve patients' self-management ability and reduce complications of wound ostomy. It is a continuous nursing mode worthy of promotion and application.展开更多
Objective: to analyze the application value of continuous nursing and nutritional support. Methods: 90 patients with primary liver cancer who received interventional therapy from January 2021 to June 2022 in the First...Objective: to analyze the application value of continuous nursing and nutritional support. Methods: 90 patients with primary liver cancer who received interventional therapy from January 2021 to June 2022 in the First Affiliated Hospital of Nanjing Medical University were selected and divided into two groups. The control group received routine nursing, while the observation group received continuous nursing and nutritional support. The differences of each index between the two groups were compared. Results: the changes of serum total protein, albumin and quality of life scores in the observation group were higher than those in the control group (P<0.05);The satisfaction of the observation group was higher than that of the control group (P<0.05). Conclusion: the combination of continuous nursing and nutritional support has a good application effect, which can improve the total protein and albumin levels of patients and can be popularized.展开更多
Objective: to explore the application effect of continuous nursing intervention on elderly patients with diabetes. Methods: 76 cases of diabetic patients admitted to our hospital were selected as the research object. ...Objective: to explore the application effect of continuous nursing intervention on elderly patients with diabetes. Methods: 76 cases of diabetic patients admitted to our hospital were selected as the research object. According to the different nursing methods, they were divided into the continuous nursing group (40 cases) and the conventional nursing group (36 cases). The changes of blood glucose index, diet control and treatment compliance of the two groups of patients after the same time of nursing were compared. Results: after the same time of nursing, continuous nursing group patients' blood glucose index improved more obviously, diet control and treatment compliance were significantly better than conventional nursing group patients (P < 0.05). Conclusion: the implementation of continuous nursing for elderly diabetic patients can effectively help patients improve blood glucose, strengthen diet control, and make patients trust medical workers more.展开更多
Objective: the aim of this study will be to improve the physical function and quality of life of patients with stroke, in combination with continuous rehabilitation treatment, improve the efficiency of nursing and the...Objective: the aim of this study will be to improve the physical function and quality of life of patients with stroke, in combination with continuous rehabilitation treatment, improve the efficiency of nursing and the implementation of clinical effects. Methods: During the course of the experiment, patients with ischemic paralysis were selected for the purpose of this study. Between January 2020 and December 20, we received 80 patients for proper treatment in our hospital. These were divided into two groups using a random number method. This group underwent continuous rehabilitation activities and compared treatment outcomes with a group of patients who used conventional medical services. Results: from the nursing point of view, the patients in our group had statistical value in Fugle-Meyer, Bartel comparison (n < 0.05). In addition, patients with unsatisfactory symptoms in the post-doctor analysis group were evaluated by the alarm (43.4±2.5) to evaluate the degree of depression in the group (43.0 ±1.7) points, which was better than that in the control group (n < 0.05). Conclusion: the use of continuous rehabilitation measures not only improved physical function in patients with stroke, but also improved self-esteem in daily life, with coordinated body control, comprehensive care is effective and worthy of widespread use.展开更多
BACKGROUND Despite sharing similar pathogenic factors,cancer and coronary heart disease(CHD)occur in comparable populations at similar ages and possess similar susceptibility factors.Consequently,it is increasingly co...BACKGROUND Despite sharing similar pathogenic factors,cancer and coronary heart disease(CHD)occur in comparable populations at similar ages and possess similar susceptibility factors.Consequently,it is increasingly commonplace for patients to experience the simultaneous occurrence of cancer and CHD,a trend that is steadily rising.AIM To determine the impacts of continuing care on lung cancer patients with CHD following percutaneous coronary intervention(PCI).METHODS There were 94 lung cancer patients with CHD following PCI who were randomly assigned to the intervention group(n=38)and the control group(n=41).In the intervention group,continuing care was provided,while in the control group,routine care was provided.An evaluation of cardiac and pulmonary function,medication compliance,a 6-min walk test,and patient quality of life was performed.RESULTS Differences between the two groups were significant in left ventricular ejection fraction,6-min walk test,oxygen uptake,quality of life and medication compliance(P<0.05).In comparison with the control group,the enhancement in the intervention group was more significant.The intervention group had more patients with high medication compliance than the control group,with a statistically significant difference(P<0.05).CONCLUSION After undergoing PCI,lung patients with CHD could benefit from continued care in terms of cardiac and pulmonary function,medications compliance,and quality of life.展开更多
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
BACKGROUND The emergency department plays a crucial role in providing acute care to patients.Nursing interventions in this setting are essential for improving the continuity of care,enhancing patients’self-care abili...BACKGROUND The emergency department plays a crucial role in providing acute care to patients.Nursing interventions in this setting are essential for improving the continuity of care,enhancing patients’self-care abilities,and reducing psychological symp-toms.AIM To evaluate the effect of nursing interventions in the emergency department on these indicators in an emergency department.METHODS A retrospective analysis was conducted on 120 patients admitted to the emergency department between January 2022 and May 2023.The patients were divided into two groups:The control group(conventional nursing intervention)and the observation group(conventional nursing intervention+emergency department nursing intervention).The two groups were compared regarding continuity of care,self-care ability,psychological symptoms,and satisfaction with care.RESULTS The emergency department nursing interventions significantly improved the continuity of care,enhanced patients’self-care abilities,and reduced psycho-logical symptoms such as anxiety and depression.CONCLUSION Nursing interventions in the emergency department positively impact continuity of care,self-care,and psychological symptoms.However,it is important to acknowledge the limitations of this study,including the small number of studies,variable methodological quality,and the heterogeneity of the study population.Future research should address these limitations and further explore the effects of different types of nursing interventions in the emergency department.Additionally,efforts should be made to enhance the application and evaluation of these interventions in clinical practice.展开更多
To investigate the efficacy of a structured continuous nursing intervention program on clinical outcomes,self-efficacy,and sleep quality in patients diagnosed with aplastic anemia(AA).Methods:This study was a single-c...To investigate the efficacy of a structured continuous nursing intervention program on clinical outcomes,self-efficacy,and sleep quality in patients diagnosed with aplastic anemia(AA).Methods:This study was a single-center,parallel-group,randomized controlled trial.A total of 64 patients with AA,treated at our hospital’s hematology department from May 2022 to May 2025,were enrolled.Participants were randomly allocated in a 1:1 ratio to either the control group(n=32),receiving routine nursing care,or the intervention group(n=32),receiving a six-month continuous nursing intervention program in addition to routine care.The intervention program consisted of structured health education,individualized psychological support,regular telephone follow-ups,and a 24/7 online communication platform.The primary outcome was the change in the Pittsburgh Sleep Quality Index(PSQI)score from baseline to six months.Secondary outcomes included hematological parameters(hemoglobin[Hb],absolute neutrophil count[ANC],platelet count[PLT]),incidence of adverse events(infections,bleeding episodes),quality of life(assessed by the Functional Assessment of Cancer Therapy–Anemia[FACT-An]),and self-efficacy(assessed by the General Self-Efficacy Scale[GSE]).Statistical analyses were performed using independent t-tests,and chi-square tests or Fisher’s exact tests as appropriate.Results:A total of 55 patients(28 in the intervention group and 27 in the control group)completed the study.At baseline,there were no statistically significant differences in demographic data,clinical characteristics,or outcome measures between the two groups(p>0.05).After six months,the mean PSQI score in the intervention group was significantly lower than that in the control group(7.12±2.05 vs.13.49±2.88;t=−13.450;p<0.001).The intervention group also demonstrated a significantly lower incidence of infections(4/28,14.29%vs.10/27,37.04%;p=0.048)and bleeding episodes requiring intervention(3/28,10.71%vs.9/27,33.33%;p=0.042).Furthermore,patients in the intervention group reported significantly higher scores on the FACT-An(125.70±10.31 vs.109.44±12.10;t=7.934;p<0.001)and the GSE scale(29.82±4.11 vs.23.51±4.80;t=7.311;p<0.001).While hematological parameters showed a trend toward improvement in the intervention group,the differences were not statistically significant compared to the control group(p>0.05).Conclusion:The implementation of a structured continuous nursing intervention program can significantly improve sleep quality,reduce the incidence of complications,and enhance quality of life and self-efficacy in patients with aplastic anemia.This evidence-based model of care should be considered for integration into standard clinical practice for the long-term management of this patient population.展开更多
BACKGROUND: To determine whether the prehospital use of continuous positive airway pressure(CPAP) therapy is associated with a reduced rate of endotracheal intubation in patients with an acute respiratory disorder bro...BACKGROUND: To determine whether the prehospital use of continuous positive airway pressure(CPAP) therapy is associated with a reduced rate of endotracheal intubation in patients with an acute respiratory disorder brought to the emergency department(ED).METHODS: We reviewed medical records of patients with acute respiratory distress who had been treated with CPAP in the Mobile Intensive Care Unit(MICU) from January 2010 to December 2011. These records were compared with those of patients who received standardized care without CPAP in the MICU from January 2004 to December 2004. Categorical variables were summarized as frequencies and compared between groups using Fisher's exact test or the Chi-square test. Continuous variables were summarized as medians(interquartile range), and comparison between the groups was made using Wilcoxon's rank-sum test. The relationship between CPAP and intubation rate was determined using multivariable logistic regression analysis of propensity scores. The results were presented as odds ratio(OR), 95% confidence interval(CI), and P value for test effect. The adequacy of the model was calibrated using Hosmer and Lemeshow's goodness-of-fit test. P<0.05 was considered statistically significant.RESULTS: The records of 785 patients were reviewed. Of the 215 patients treated with CPAP in the MICU, 13% were intubated after admission. In contrast, of the 570 patients who did not receive CPAP, 28% were intubated after ED admission. Unadjusted logistic regression analysis showed that patients who had been treated with CPAP were less likely to be intubated than those without CPAP treatment(OR=0.37, 95% CI, 0.24–0.57, P<0.0001). With propensity scores adjusted, multivariate logistic regression analysis showed that CPAP treatment was associated with a 62% reduction of intubation(OR=0.384, 95%CI, 0.25–0.60, P≤0.0001).CONCLUSIONS: In patients with acute respiratory disorder, there was a relationship between CPAP therapy and the decreased intubation rate. CPAP therapy was feasible in prehospital management of patients with respiratory distress.展开更多
In this paper we study multi-dimensional mean-field backward doubly stochastic differential equations(BDSDEs),that is,BDSDEs whose coefficients depend not only on the solution processes but also on their law.The first...In this paper we study multi-dimensional mean-field backward doubly stochastic differential equations(BDSDEs),that is,BDSDEs whose coefficients depend not only on the solution processes but also on their law.The first part of the paper is devoted to the comparison theorem for multi-dimensional mean-field BDSDEs with Lipschitz conditions.With the help of the comparison result for the Lipschitz case we prove the existence of a solution for multi-dimensional mean-field BDSDEs with an only continuous drift coefficient of linear growth,and we also extend the comparison theorem to such BDSDEs with a continuous coefficient.展开更多
Objective: to analyze and study the influence of continuous midwifery service nursing on the rate of non drug analgesia delivery and natural delivery of primipara. Methods: 90 primiparas were randomly selected as the ...Objective: to analyze and study the influence of continuous midwifery service nursing on the rate of non drug analgesia delivery and natural delivery of primipara. Methods: 90 primiparas were randomly selected as the research object, and randomly divided into control group and observation group, with 45 cases in each group. The control group was given routine nursing, and the observation group was given continuous midwifery nursing. The effects of the two nursing methods on the choice of delivery mode, delivery process, postpartum bleeding and satisfaction of primiparas were compared. Results: the natural delivery rate in the observation group was significantly higher than that in the control group (P < 0.05). The delivery time and bleeding volume in the observation group were significantly lower than those in the control group (P < 0.05). The maternal satisfaction in the observation group was significantly higher than that in the control group (P < 0.05). Conclusion: after the intervention of continuous midwifery nursing, more primiparas choose natural delivery and complete it smoothly, which is conducive to improve the nursing satisfaction of primiparas.展开更多
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Objective:To study and analyze the clinical effect of continuous nursing in the process of postoperative rehabilitation for patients with craniocerebral trauma.Methods:From August 2018 to July 2021,40 patients who came to our hospital for craniocerebral trauma treatment were randomly selected as clinical experimental research objects,and they were divided into continuous nursing group and routine nursing group.The rehabilitation of patients in the two groups before and after postoperative nursing was observed and counted.Results:Before nursing intervention,there was no significant difference in MMSE score and Fugl-Meyer score between the two groups,p>0.05.After nursing,the scores were scored again at 3 and 6 months after nursing.It was found that the two groups were improved,but the improvement range in the continuous nursing group was significantly higher than that in the routine nursing group,the difference was statistically significant(p<0.05).From the score of quality of life,the scores of physical pain,psychological function,mental health and social function in the continuous nursing group were better than those in the routine nursing group,the difference was statistically significant(p<0.05).Conclusion:Using continuous nursing measures for rehabilitation nursing of patients with craniocerebral trauma after discharge can significantly improve the quality of life of patients,restore the mental state and limb function of patients,and has significant clinical effect.
文摘Objective: to study the effect of continuous nursing intervention on patients with chronic wound. Methods: the patients with chronic wounds treated in our hospital from February 2020 to August 2020 were studied. The total number of patients was 88. The patients were divided into groups according to the random number table. The number of patients in each group was the same. The patients in the reference group received routine nursing, the patients in the observation group received continuous nursing, and the patients in the two groups received nursing intervention. The nursing effects were analyzed and compared, including pain, complications, self-care ability, nursing satisfaction, quality of life and so on. Results: in the observation group, the nursing satisfaction and complication rates were 97.73% and 4.55% respectively, pain score (0.88 ± 0.11), nursing cognition score (85.71 ± 6.88), psychological state in quality of life (17.26 ± 0.88), family support (18.18 ± 0.81), daily life (18.85 ± 0.13) and physiological function (18.85 ± 1.05).The scores of basic knowledge (82.82 ± 7.84) and preventive health care (78.34 ± 7.27) in self-care ability were significantly different between the groups (χ2 = 4.950,5.090, P = 0.026,0.024;t = 11.668, 10.219, 6.560, 6.076, 10.170, 7.882, 7.260, 6.121, P < 0.001).The implementation of continuous nursing intervention for chronic wound patients can improve the degree of pain, improve the nursing cognition, improve the quality of life and self-care ability of patients. The nursing effect is remarkable and has clinical application value.
文摘Objective: to explore the effect of continuous nursing intervention on wound stomy and the improvement of ECSA scale score. Methods: 100 cases of rectal cancer patients in our hospital from January 2020 to January 2021 were collected and randomly divided into two groups. The control group received routine nursing, and the observation group received continuous nursing intervention. The score of ECSA scale and the complication rate of wound stomy were compared between the two groups. Results: the score of ECSA scale in observation group was higher than that in control group, and the incidence of complications in wound stomy was lower than that in control group, with significant difference (P < 0.05). Conclusion: the effect of continuous nursing intervention on wound ostomy and the improvement of ECSA scale score are accurate. It can improve patients' self-management ability and reduce complications of wound ostomy. It is a continuous nursing mode worthy of promotion and application.
文摘Objective: to analyze the application value of continuous nursing and nutritional support. Methods: 90 patients with primary liver cancer who received interventional therapy from January 2021 to June 2022 in the First Affiliated Hospital of Nanjing Medical University were selected and divided into two groups. The control group received routine nursing, while the observation group received continuous nursing and nutritional support. The differences of each index between the two groups were compared. Results: the changes of serum total protein, albumin and quality of life scores in the observation group were higher than those in the control group (P<0.05);The satisfaction of the observation group was higher than that of the control group (P<0.05). Conclusion: the combination of continuous nursing and nutritional support has a good application effect, which can improve the total protein and albumin levels of patients and can be popularized.
文摘Objective: to explore the application effect of continuous nursing intervention on elderly patients with diabetes. Methods: 76 cases of diabetic patients admitted to our hospital were selected as the research object. According to the different nursing methods, they were divided into the continuous nursing group (40 cases) and the conventional nursing group (36 cases). The changes of blood glucose index, diet control and treatment compliance of the two groups of patients after the same time of nursing were compared. Results: after the same time of nursing, continuous nursing group patients' blood glucose index improved more obviously, diet control and treatment compliance were significantly better than conventional nursing group patients (P < 0.05). Conclusion: the implementation of continuous nursing for elderly diabetic patients can effectively help patients improve blood glucose, strengthen diet control, and make patients trust medical workers more.
文摘Objective: the aim of this study will be to improve the physical function and quality of life of patients with stroke, in combination with continuous rehabilitation treatment, improve the efficiency of nursing and the implementation of clinical effects. Methods: During the course of the experiment, patients with ischemic paralysis were selected for the purpose of this study. Between January 2020 and December 20, we received 80 patients for proper treatment in our hospital. These were divided into two groups using a random number method. This group underwent continuous rehabilitation activities and compared treatment outcomes with a group of patients who used conventional medical services. Results: from the nursing point of view, the patients in our group had statistical value in Fugle-Meyer, Bartel comparison (n < 0.05). In addition, patients with unsatisfactory symptoms in the post-doctor analysis group were evaluated by the alarm (43.4±2.5) to evaluate the degree of depression in the group (43.0 ±1.7) points, which was better than that in the control group (n < 0.05). Conclusion: the use of continuous rehabilitation measures not only improved physical function in patients with stroke, but also improved self-esteem in daily life, with coordinated body control, comprehensive care is effective and worthy of widespread use.
文摘BACKGROUND Despite sharing similar pathogenic factors,cancer and coronary heart disease(CHD)occur in comparable populations at similar ages and possess similar susceptibility factors.Consequently,it is increasingly commonplace for patients to experience the simultaneous occurrence of cancer and CHD,a trend that is steadily rising.AIM To determine the impacts of continuing care on lung cancer patients with CHD following percutaneous coronary intervention(PCI).METHODS There were 94 lung cancer patients with CHD following PCI who were randomly assigned to the intervention group(n=38)and the control group(n=41).In the intervention group,continuing care was provided,while in the control group,routine care was provided.An evaluation of cardiac and pulmonary function,medication compliance,a 6-min walk test,and patient quality of life was performed.RESULTS Differences between the two groups were significant in left ventricular ejection fraction,6-min walk test,oxygen uptake,quality of life and medication compliance(P<0.05).In comparison with the control group,the enhancement in the intervention group was more significant.The intervention group had more patients with high medication compliance than the control group,with a statistically significant difference(P<0.05).CONCLUSION After undergoing PCI,lung patients with CHD could benefit from continued care in terms of cardiac and pulmonary function,medications compliance,and quality of life.
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.
基金This study was reviewed and approved by the Ethics Committee of The First Affiliated Hospital of Soochow University.
文摘BACKGROUND The emergency department plays a crucial role in providing acute care to patients.Nursing interventions in this setting are essential for improving the continuity of care,enhancing patients’self-care abilities,and reducing psychological symp-toms.AIM To evaluate the effect of nursing interventions in the emergency department on these indicators in an emergency department.METHODS A retrospective analysis was conducted on 120 patients admitted to the emergency department between January 2022 and May 2023.The patients were divided into two groups:The control group(conventional nursing intervention)and the observation group(conventional nursing intervention+emergency department nursing intervention).The two groups were compared regarding continuity of care,self-care ability,psychological symptoms,and satisfaction with care.RESULTS The emergency department nursing interventions significantly improved the continuity of care,enhanced patients’self-care abilities,and reduced psycho-logical symptoms such as anxiety and depression.CONCLUSION Nursing interventions in the emergency department positively impact continuity of care,self-care,and psychological symptoms.However,it is important to acknowledge the limitations of this study,including the small number of studies,variable methodological quality,and the heterogeneity of the study population.Future research should address these limitations and further explore the effects of different types of nursing interventions in the emergency department.Additionally,efforts should be made to enhance the application and evaluation of these interventions in clinical practice.
文摘To investigate the efficacy of a structured continuous nursing intervention program on clinical outcomes,self-efficacy,and sleep quality in patients diagnosed with aplastic anemia(AA).Methods:This study was a single-center,parallel-group,randomized controlled trial.A total of 64 patients with AA,treated at our hospital’s hematology department from May 2022 to May 2025,were enrolled.Participants were randomly allocated in a 1:1 ratio to either the control group(n=32),receiving routine nursing care,or the intervention group(n=32),receiving a six-month continuous nursing intervention program in addition to routine care.The intervention program consisted of structured health education,individualized psychological support,regular telephone follow-ups,and a 24/7 online communication platform.The primary outcome was the change in the Pittsburgh Sleep Quality Index(PSQI)score from baseline to six months.Secondary outcomes included hematological parameters(hemoglobin[Hb],absolute neutrophil count[ANC],platelet count[PLT]),incidence of adverse events(infections,bleeding episodes),quality of life(assessed by the Functional Assessment of Cancer Therapy–Anemia[FACT-An]),and self-efficacy(assessed by the General Self-Efficacy Scale[GSE]).Statistical analyses were performed using independent t-tests,and chi-square tests or Fisher’s exact tests as appropriate.Results:A total of 55 patients(28 in the intervention group and 27 in the control group)completed the study.At baseline,there were no statistically significant differences in demographic data,clinical characteristics,or outcome measures between the two groups(p>0.05).After six months,the mean PSQI score in the intervention group was significantly lower than that in the control group(7.12±2.05 vs.13.49±2.88;t=−13.450;p<0.001).The intervention group also demonstrated a significantly lower incidence of infections(4/28,14.29%vs.10/27,37.04%;p=0.048)and bleeding episodes requiring intervention(3/28,10.71%vs.9/27,33.33%;p=0.042).Furthermore,patients in the intervention group reported significantly higher scores on the FACT-An(125.70±10.31 vs.109.44±12.10;t=7.934;p<0.001)and the GSE scale(29.82±4.11 vs.23.51±4.80;t=7.311;p<0.001).While hematological parameters showed a trend toward improvement in the intervention group,the differences were not statistically significant compared to the control group(p>0.05).Conclusion:The implementation of a structured continuous nursing intervention program can significantly improve sleep quality,reduce the incidence of complications,and enhance quality of life and self-efficacy in patients with aplastic anemia.This evidence-based model of care should be considered for integration into standard clinical practice for the long-term management of this patient population.
文摘BACKGROUND: To determine whether the prehospital use of continuous positive airway pressure(CPAP) therapy is associated with a reduced rate of endotracheal intubation in patients with an acute respiratory disorder brought to the emergency department(ED).METHODS: We reviewed medical records of patients with acute respiratory distress who had been treated with CPAP in the Mobile Intensive Care Unit(MICU) from January 2010 to December 2011. These records were compared with those of patients who received standardized care without CPAP in the MICU from January 2004 to December 2004. Categorical variables were summarized as frequencies and compared between groups using Fisher's exact test or the Chi-square test. Continuous variables were summarized as medians(interquartile range), and comparison between the groups was made using Wilcoxon's rank-sum test. The relationship between CPAP and intubation rate was determined using multivariable logistic regression analysis of propensity scores. The results were presented as odds ratio(OR), 95% confidence interval(CI), and P value for test effect. The adequacy of the model was calibrated using Hosmer and Lemeshow's goodness-of-fit test. P<0.05 was considered statistically significant.RESULTS: The records of 785 patients were reviewed. Of the 215 patients treated with CPAP in the MICU, 13% were intubated after admission. In contrast, of the 570 patients who did not receive CPAP, 28% were intubated after ED admission. Unadjusted logistic regression analysis showed that patients who had been treated with CPAP were less likely to be intubated than those without CPAP treatment(OR=0.37, 95% CI, 0.24–0.57, P<0.0001). With propensity scores adjusted, multivariate logistic regression analysis showed that CPAP treatment was associated with a 62% reduction of intubation(OR=0.384, 95%CI, 0.25–0.60, P≤0.0001).CONCLUSIONS: In patients with acute respiratory disorder, there was a relationship between CPAP therapy and the decreased intubation rate. CPAP therapy was feasible in prehospital management of patients with respiratory distress.
基金supported in part by the NSF of P.R.China(11871037,11222110)Shandong Province(JQ201202)+1 种基金NSFC-RS(11661130148,NA150344)111 Project(B12023)。
文摘In this paper we study multi-dimensional mean-field backward doubly stochastic differential equations(BDSDEs),that is,BDSDEs whose coefficients depend not only on the solution processes but also on their law.The first part of the paper is devoted to the comparison theorem for multi-dimensional mean-field BDSDEs with Lipschitz conditions.With the help of the comparison result for the Lipschitz case we prove the existence of a solution for multi-dimensional mean-field BDSDEs with an only continuous drift coefficient of linear growth,and we also extend the comparison theorem to such BDSDEs with a continuous coefficient.
文摘Objective: to analyze and study the influence of continuous midwifery service nursing on the rate of non drug analgesia delivery and natural delivery of primipara. Methods: 90 primiparas were randomly selected as the research object, and randomly divided into control group and observation group, with 45 cases in each group. The control group was given routine nursing, and the observation group was given continuous midwifery nursing. The effects of the two nursing methods on the choice of delivery mode, delivery process, postpartum bleeding and satisfaction of primiparas were compared. Results: the natural delivery rate in the observation group was significantly higher than that in the control group (P < 0.05). The delivery time and bleeding volume in the observation group were significantly lower than those in the control group (P < 0.05). The maternal satisfaction in the observation group was significantly higher than that in the control group (P < 0.05). Conclusion: after the intervention of continuous midwifery nursing, more primiparas choose natural delivery and complete it smoothly, which is conducive to improve the nursing satisfaction of primiparas.
