Objective: Severe traumatic brain injury (sTBI) is one of the common acute and critical diseases in neurosurgery. So we aim to explore the clinical effectiveness of an intelligent emergency care model in patients with...Objective: Severe traumatic brain injury (sTBI) is one of the common acute and critical diseases in neurosurgery. So we aim to explore the clinical effectiveness of an intelligent emergency care model in patients with severe traumatic brain injury. Methods: Eighty patients with severe traumatic brain injury (sTBI) who were treated in Zhuji People’s Hospital of Zhejiang Province from January 2019 to December 2021 were selected as the study subjects. The patients were divided into an observation group and a control group with 40 patients in each group according to the random number table method. Patients in the control group received conventional first-aid nursing mode intervention, and the intelligent emergency nursing mode was used for the observation group based on the control group. Comparisons were conducted between the two groups on the time of arrival to the emergency room, the time from the emergency room to the operating room, Glasgow Coma Scale (GCS) score before surgery, GCS score when leaving the Intensive Care Unit (ICU), the average length of ICU stay, the average length of hospital stay, the total hospital costs. Results: The time of arrival to the emergency room, the time from the emergency room to the operating room, the average length of ICU stay, the average length of hospital stay, and the total hospital costs in the observation group were significantly lower than those in the control group, and the differences were statistically significant (All P Conclusion: Intelligent emergency nursing mode can shorten the time of sTBI rescue, the length of ICU stay, and the average length of hospital stay, reduce the total hospitalization cost, improve the prognosis, with good efficacy, reduce the total cost of hospitalization, and improve the prognosis with better efficacy.展开更多
Cervical cancer has a high mortality rate in clinic.This disease seriously threatens the physical and mental health and life safety of patients.At present,radical surgery is mainly used for treatment,but in order to r...Cervical cancer has a high mortality rate in clinic.This disease seriously threatens the physical and mental health and life safety of patients.At present,radical surgery is mainly used for treatment,but in order to reduce the incidence of intraoperative and postoperative complications,corresponding nursing needs to be coordinated.This time focuses on the complications after radical surgery for cervical cancer,and puts forward the nursing methods of common complications of transabdominal radical surgery for cervical cancer.In order to improve the quality of nursing and life of patients,this paper summarizes the effective implementation of the whole process nursing model after cervical cancer surgery.展开更多
Objective: to analyze the application of routine nursing for patients to prevent nursing risk and increase the application value of emergency nursing mode in it. Methods: During the period of diagnosis and treatment f...Objective: to analyze the application of routine nursing for patients to prevent nursing risk and increase the application value of emergency nursing mode in it. Methods: During the period of diagnosis and treatment from March 1, 2020 to March 1, 2021, 40 gynecological patients in our hospital were divided into two groups by double-blind method, with 20 cases in each group. The control group was given routine nursing alone, and the experimental group was given emergency nursing mode on the basis of routine nursing. After the end of nursing, the nursing satisfaction of the two groups of patients was observed, and the incidence of complications and nursing errors was compared. Results: after implementing different nursing modes for the two groups of patients, patients in the experimental group had higher satisfaction than those in the control group, at the same time, the complication rate and nursing error rate were lower in the experimental group. The results of the two groups of patients were compared, and the differences were significant and statistically significant (P < 0.05). Conclusion: the application of routine nursing and emergency nursing mode has good application value in the prevention of gynecological nursing risk, can effectively reduce the occurrence of nursing risk events, but also can improve the nursing satisfaction of patients, it is worth using.展开更多
Objective: to study the application value of midwives in nursing uterus scar delivery room. Methods: 100 cases of pregnant women with scar uterus admitted to our hospital since 2019 were selected as the experimental o...Objective: to study the application value of midwives in nursing uterus scar delivery room. Methods: 100 cases of pregnant women with scar uterus admitted to our hospital since 2019 were selected as the experimental objects, and these people were divided into two groups according to their age. There are 50 people in each group. The first group was treated by routine methods, and the midwives were nursing the parturients. The second group used the original routine treatment model based on the new standardized care, and compared the production process and the time consumed by the two parturients. Results: No matter the production time or the success rate of production, the second group is significantly better than the first group, with mathematical statistical significance. This method has a better application value in the current clinical aspects, and can also have a good experience. It has a positive effect on improving the success rate of vaginal labor trial and shortening the time of labor, and is worthy of promotion and application in clinical nursing work.展开更多
Objective: to explore the application of fine nursing in the nursing work of patients with blood tumor, which affects the psychological state and quality of life of patients, and analyze its clinical practicability. M...Objective: to explore the application of fine nursing in the nursing work of patients with blood tumor, which affects the psychological state and quality of life of patients, and analyze its clinical practicability. Methods: from July 2018 to July 2020, 82 patients with hematological tumor admitted to our hospital were included in the study. There were 41 patients in each method and each group, and the patients were randomly divided into control group and experimental group. General nursing was selected in the control group, advanced nursing was selected in the experimental group. After the completion of nursing, the mental state of patients in the two groups was evaluated and the differences between the groups were analyzed. Results: SDS and SAS scores of patients in the experimental group were improved compared with those in the two groups before treatment, and the improvement of patients in the experimental group was better, with significant differences in data (P < 0.05). Conclusion: the application of fine nursing for patients with blood tumor nursing, improve the patient's mental state, let patients understand the basic knowledge of blood tumor, has positive significance for the recovery of patients. It has high application value and is worth popularizing.展开更多
Objective: effect of cooperative nursing model on prognosis of diabetic patients. Methods: 50 elderly patients with diabetes who received treatment in our hospital from October 2019 to October 2020 were included in th...Objective: effect of cooperative nursing model on prognosis of diabetic patients. Methods: 50 elderly patients with diabetes who received treatment in our hospital from October 2019 to October 2020 were included in the study. Grouping is completed by applying random number table method. Routine care and cooperative care were provided in the routine group and experimental group. A comparative study was conducted based on the individual ability and psychological emotions of two groups of patients. Results: the observation index results of patients in the experimental group were significantly better than those in the conventional group, and the index differences after intervention were statistically significant (p < 0.05). Conclusion: the collaborative nursing model for elderly patients with diabetes has a high value, can effectively improve the overall prognosis of patients, is worthy of promotion.展开更多
Objective: to study the value of comfort nursing in elderly patients with pulmonary heart disease. Methods: 100 elderly patients with pulmonary heart disease who were admitted to the Department of Geriatrics, the Firs...Objective: to study the value of comfort nursing in elderly patients with pulmonary heart disease. Methods: 100 elderly patients with pulmonary heart disease who were admitted to the Department of Geriatrics, the First Affiliated Hospital of Medical College of Zhejiang University from January 2019 to December 2019 were divided into group A and group B by random computer table method. Comfort care was performed in group A, while routine care was performed in group B. The nursing effects of the two groups were mainly compared. Results: ① the nursing satisfaction of group A was higher than that of group B, the difference between the two groups was P < 0.05. ② there was significant difference in hospitalization time and hospitalization expenses between group A and group B (P < 0.05). Conclusion: the implementation of comfortable nursing in the nursing of elderly patients with pulmonary heart disease is helpful to improve patients' satisfaction with nursing and reduce the actual hospitalization time and expenses of patients.展开更多
Objective: in the nursing management of type 2 diabetes, the individualized nursing mode was applied for intervention and its application effect and nursing satisfaction were analyzed. Methods: 100 patients with type ...Objective: in the nursing management of type 2 diabetes, the individualized nursing mode was applied for intervention and its application effect and nursing satisfaction were analyzed. Methods: 100 patients with type 2 diabetes were randomly divided into the control group and the observation group. The control group with type 2 diabetes patients chose the general nursing mode for intervention, and the observation group with type 2 diabetes patients used the personalized nursing mode for intervention. On this basis, the blood glucose level, application effect, health behavior, self-care ability and nursing satisfaction of the two groups of diabetes patients were compared. Results: after carrying out different nursing interventions for the two groups of diabetes patients, after comprehensive evaluation of them, it can be seen from the comparison of relevant data that the control of blood sugar level of patients in the observation group is better than that of the control group, and the application efficiency is significantly higher than that of the control group, and the health behavior and self-care ability of patients are at a higher level, which also improves the nursing satisfaction (P < 0.05). Conclusion: for patients with type 2 diabetes, the introduction of personalized nursing mode in their nursing process can help patients achieve better blood sugar control effect, change their views from the ideological level, promote the formation of good living habits, enhance the patients self-management ability, and improve the nurse patient relationship, and enhance nursing satisfaction.展开更多
Objective: To explore the clinical value of safe transfer nursing model in hospital transfer of critically ill patients in emergency department. Methods: 850 critically ill patients admitted to the emergency departmen...Objective: To explore the clinical value of safe transfer nursing model in hospital transfer of critically ill patients in emergency department. Methods: 850 critically ill patients admitted to the emergency department of the central hospital were selected as the observation group (the implementation of safe transport care model), 660 critically ill patients admitted to the emergency department of the central hospital from April to December 2019 were selected as the control group (the use of regular car escort), and the occurrence of adverse events, transit time and satisfaction of patients' families were compared between the two groups. Results: the total incidence rate of adverse events in the observation group was 1.76%, which was significantly lower than that in the control group (10.00%) (P < 0.05). The time taken for external examination, including ultrasound, CT and X-ray, in the observation group was (26.12±3.11) min, time taken for transfer to specialized department (21.18±3.13) min and time taken for transfer to interventional room (5.32±1.19) min, which were significantly shorter than those in the control group (34.25±4.27), (25.33±3.07) min and (6.16±1.32) min, with statistical significance (P < 0.05). The scores of nurse-patient communication, care in transit, and treatment in the department and the total score in the observation group were (21.52±5.32), (34.56±7.13), (25.34±6.32) and (76.35±11.26) respectively, which were significantly higher than those in the control group (20.33±4.78), (32.33±6.25), (22.33±6.41) and (73.62±11.09), with statistical significance (P < 0.05). Conclusion: the safe transfer nursing model has high clinical value in the hospital transfer of critically ill patients in emergency department, which can effectively reduce the risk of adverse events, shorten the transfer time and improve the satisfaction of patients' families.展开更多
Objective: to observe the effect of rehabilitation nursing model on the quality of life and blood pressure control of elderly patients with hypertension. Methods: In this experiment, 100 elderly patients with hyperten...Objective: to observe the effect of rehabilitation nursing model on the quality of life and blood pressure control of elderly patients with hypertension. Methods: In this experiment, 100 elderly patients with hypertension were selected as the research object, and these patients who were treated in our hospital from December 2020 to March 2021 were randomly divided into two groups. The observation group (n=50) received rehabilitation care, and the control group (n=50) received routine care. The changes of quality of life and psychological status of the two groups of patients before and after care were compared. Results: compared with pre-care and post-care systolic and diastolic blood pressure levels of the two groups of patients were significantly reduced, but the decrease in the observation group was more significant (P < 0.05). The scores of physiological function, psychological function, mental health and social function of the patients in the observation group were higher than those in the control group (P < 0.05). Results: 92.45% in the observation group was higher than 71.70% in the control group, and the difference in nursing satisfaction between the two groups was significant (p < 0.05). Conclusion: the application of rehabilitation nursing model in the nursing process of elderly patients with hypertension can improve their quality of life and effectively control blood pressure, so it is worthy of clinical application.展开更多
Objective: to coordinate the effect of nursing mode applied to nursing in cardiology department. Methods: 100 patients in the department of cardiology in our hospital from July 2019 to July 2020 were selected as the r...Objective: to coordinate the effect of nursing mode applied to nursing in cardiology department. Methods: 100 patients in the department of cardiology in our hospital from July 2019 to July 2020 were selected as the research objects. There were 50 patients in the control group and 50 patients in the observation group. Among them, in the control group, ordinary care nursing was adopted, while in the observation group, ordinary care nursing was combined with collaborative nursing, and the effects before and after nursing were compared between the two groups. Results: comparing the two groups of patients after nursing, the observation group's self-care ability and living ability are better than the control group's, and the observation group's recovery and hospitalization time are also better than the control group's, and the observation group's satisfaction is higher, and the difference is statistically significant (P<0.05). Conclusion: The application of collaborative nursing mode in cardiology nursing can improve patients' cognitive ability, self-care ability and living ability, and get good satisfaction.展开更多
Objective To explore the specific application effect of clinical nursing path nursing mode in the process of nursing work in pediatric ward.Methods 80 pediatric patients in our hospital from May 2020 to may 2021 were ...Objective To explore the specific application effect of clinical nursing path nursing mode in the process of nursing work in pediatric ward.Methods 80 pediatric patients in our hospital from May 2020 to may 2021 were randomly divided into two groups with 40 cases in each group.Among them, the patients in the control group chose the basic nursing mode, and the patients in the experimental group applied the clinical nursing path mode on the basis of the nursing in the control group.Through nursing, the nursing satisfaction and clinical compliance of the two groups were compared.Results in terms of nursing satisfaction, the experimental group (97.50%) was higher than the control group (87.50%). There was significant difference between the two groups (P < 0.05);The clinical compliance of the experimental group (95.00%) was higher than that of the control group (80.00%). There was significant difference between the two groups (P < 0.05).Conclusion the application of clinical nursing pathway model in pediatric ward can significantly improve the satisfaction and compliance of children, promote the rehabilitation of children, and reduce the contradiction between doctors and patients. It is worthy to be popularized and used in clinic.展开更多
Objective: to explore and analyze the nursing effect of predictive nursing mode on patients undergoing hepatolithiasis surgery. Methods 50 cases of patients undergoing hepatolithiasis surgery in our hospital were take...Objective: to explore and analyze the nursing effect of predictive nursing mode on patients undergoing hepatolithiasis surgery. Methods 50 cases of patients undergoing hepatolithiasis surgery in our hospital were taken as cases. The grouping was completed by the random number table method. The routine group provided routine care, and the observation group provided predictive care. The postoperative recovery of the patients was then compared. Results: the recovery rate of the observation group by predictive nursing was 93%, and the recovery rate of the conventional nursing group by routine nursing was 81%. The recovery rate of the two groups was significantly different (P < 0.05). Conclusion: predictive nursing can effectively improve the postoperative recovery rate of patients with hepatolithiasis operation, which is worthy of extensive clinical application.展开更多
Objective: to analyze the comprehensive effect of humanized nursing mode in the nursing of neonatal pneumonia. Methods: 50 cases of neonatal pneumonia treated in our hospital were randomly divided into control group a...Objective: to analyze the comprehensive effect of humanized nursing mode in the nursing of neonatal pneumonia. Methods: 50 cases of neonatal pneumonia treated in our hospital were randomly divided into control group and observation group. The control group received routine nursing and the observation group received humanized nursing mode. The nursing effects of the two groups were counted. Results: the nursing effect of newborns in the observation group was better than that in the control group (P < 0.05).Conclusion: due to the high particularity of newborns in the process of nursing, not only the families of newborns will have higher nursing requirements for nurses, but also unnecessary doctor-patient friction will be caused if the clinical symptoms of newborns do not improve after nursing. And when the newborn falls ill, because the newborn is younger, the emotion of the newborn family members will be more excited. In the process of pneumonia nursing, we should integrate the humanized nursing mode, so as to avoid the newborn family members having unnecessary cognition to the nursing staff, improve the clinical nursing mode and ensure the nursing quality of the newborn.展开更多
Objective: to study the clinical value of nutrition standardized nursing model for head and neck radiotherapy patients. Methods: 84 cases of head and neck radiotherapy in our hospital from August 2019 to August 2020 w...Objective: to study the clinical value of nutrition standardized nursing model for head and neck radiotherapy patients. Methods: 84 cases of head and neck radiotherapy in our hospital from August 2019 to August 2020 were selected and randomly divided into control group (routine nursing) and observation group (standardized nutritional nursing). The nutritional index and nursing satisfaction were analyzed. Results: after nursing, the nutritional index of the observation group was better than that of the control group, with significant difference (P < 0.05). Compared with the control group, the nursing satisfaction of the observation group was significantly different (P < 0.05). Conclusion: through the implementation of nutrition standardized nursing measures for patients with head and neck radiotherapy, good clinical application effect can be obtained, the nutritional status of patients can be improved, and the nursing satisfaction degree can be improved, which is worthy of clinical application.展开更多
Objective: to analyze the role of psychological nursing mode in the preoperative bowel clearing management of patients with colorectal cancer and intestinal obstruction. Methods: a total of 100 patients with colorecta...Objective: to analyze the role of psychological nursing mode in the preoperative bowel clearing management of patients with colorectal cancer and intestinal obstruction. Methods: a total of 100 patients with colorectal cancer complicated with intestinal obstruction admitted to our hospital from March 2020 to February 2021 were included in the randomized group. The control group received routine preoperative intestinal irrigation management and had no difference with the seamless nursing model group. For nursing model, complications were compared between the two groups. Results: the incidence of postoperative infection and bleeding in the seamless nursing model group was lower than that in the control group. Conclusion: the smooth nursing mode and effect of patients with colorectal cancer and intestinal obstruction are accurate, can reduce complications, and is worthy of popularization and application.展开更多
Objective: to analyze the effects of family involvement in WeChat communication and nursing mode on health cognition and blood glucose in elderly patients with type 2 diabetes. Methods: from January 2019 to December 2...Objective: to analyze the effects of family involvement in WeChat communication and nursing mode on health cognition and blood glucose in elderly patients with type 2 diabetes. Methods: from January 2019 to December 2020, 110 elderly patients with type 2 diabetes were admitted to our hospital, including 55 patients. The control group received routine nursing care, and the observation group received nursing care under the family participation WeChat communication nursing mode. Results: the study showed that the awareness of diet, blood glucose monitoring, first aid for hypoglycemia and insulin injection in the observation group were 90.91%, 92.73%, 89.09% and 94.55%, which were significantly higher than the health awareness of the control group, with significant differences (P < 0.05). After nursing, the fasting blood glucose level and HbA1c level in observation group were (5.62±0.51) mmol/L and (7.28±0.65) %, which were significantly lower than those in control group, with significant differences (P < 0.05). Conclusion: family participation WeChat communication nursing mode for elderly patients with type 2 diabetes can improve their health awareness and effectively reduce their blood glucose level, which is worthy of clinical promotion and application.展开更多
Objective: to analyze the effect of the new obstetric nursing mode in reducing the cesarean section rate. Methods: 280 cases of puerpera in our hospital from August 2017 to August 2019 were selected as the research ob...Objective: to analyze the effect of the new obstetric nursing mode in reducing the cesarean section rate. Methods: 280 cases of puerpera in our hospital from August 2017 to August 2019 were selected as the research object, according to the nursing methods, the puerpera were divided into the research group and the ordinary group;the ordinary group adopted the conventional nursing method, the research group adopted the new obstetric nursing mode, and the labor process time and delivery mode of the two groups were compared. Results: compared with the conventional nursing group, the new obstetric nursing mode has less labor process more than 12 hours, higher natural labor rate and lower cesarean section rate (P < 0.05). Conclusion: the new obstetric nursing mode can achieve natural productivity and lower cesarean section rate after clinical application and the effect is better.展开更多
BACKGROUND Patients with benign prostatic disease often experience detrusor morphological changes and dysfunction.In severe cases,it leads to bladder detrusor dysfunction,resulting in dysuria,frequent urination,urgent...BACKGROUND Patients with benign prostatic disease often experience detrusor morphological changes and dysfunction.In severe cases,it leads to bladder detrusor dysfunction,resulting in dysuria,frequent urination,urgent urination,incomplete urination,and other symptoms including renal function injury.An operation to restore normal urination function and to control postoperative complications,as far as possible,is the most common method for benign prostatic disease.AIM To observe the effect of precise nursing service mode on postoperative urinary incontinence prevention in patients with prostate disease.METHODS In total,130 patients diagnosed with benign prostatic disease,from January 2018 to June 2021,in our hospital,were selected and divided into observation and control groups according to their treatment options.Sixty-five cases in the control group were given routine nursing mode intervention and 65 cases in the observation group received precise nursing service mode intervention.The intervention with the observation group included psychological counseling about negative emotions,pelvic floor exercises,and post-hospital discharge care.The complications of the two groups were counted,and the general postoperative conditions of the two groups were recorded.The urinary flow dynamics indexes of the two groups were detected,and differences in clinical international prostate system score(IPSS)and urinary incontinence quality of life questionnaire(I-QOL)scores were evaluated.RESULTS Postoperative exhaust time(18.65±3.23 h and 24.63±4.51 h),the time of indwelling catheter(4.85±1.08 d and 5.63±1.24 d),and hospitalization time(8.78±2.03 d and 10.23±2.28 d)in the observation group were lower than in the control group.The difference was statistically significant(P<0.05).After the operation,the maximum urinary flow rate(Qmax)increased(P<0.05),the residual urine volume(RUV)decreased(P<0.05),and the maximum closed urethral pressure(MUCP)was not statistically significant(P>0.05)compared to pre-operation.The Qmax of the observation group was higher than that of the control group,while the RUV was lower than that of the control group.There was no significant difference in MUCP between the observation and control groups(P>0.05).The I-QOL score of the two groups improved(P<0.05),and the IPSS decreased(P<0.05).After the operation,the I-QOL score of the observation group was higher than that of the control group,and the IPSS was lower than that of the control group(P<0.05).There were no significant differences in the incidence of urethral injury(1.54%and 3.08%),bladder spasm(0.00%and 1.54%),and secondary bleeding(1.54%and 4.62)between the observation and control groups(P>0.05).CONCLUSION The precise nursing service mode can reduce the incidence of postoperative urinary incontinence in patients with prostate disease,thus improving postoperative urodynamics and rehabilitation,and quality of life.展开更多
Objective: to explore the application effect of high-quality nursing management mode in nursing management of nephrology department. Methods: 80 patients in the department of nephrology of our hospital were randomly d...Objective: to explore the application effect of high-quality nursing management mode in nursing management of nephrology department. Methods: 80 patients in the department of nephrology of our hospital were randomly divided into control group and observation group. The selected time range is from April 2021 to April 2022. The control group adopted conventional nursing mode, while the observation group adopted high-quality nursing management mode on the basis of conventional nursing. The incidence of adverse events, nursing quality score and patients' satisfaction with nursing were compared between the two groups. Results: the incidence of adverse events in the observation group was 5.0%, which was significantly lower than that in the control group (χ2 = 6.3154). In the observation group, the scores of isolation disinfection (95.32 ± 3.31), rescue items (96.33 ± 4.31), nursing document writing (93.62 ± 2.31), graded nursing (93.52 ± 4.31) and safety of nursing quality (94.42 ± 4.31), data patients' satisfaction with nursing in the observation group was 95.0%, significantly higher than that in the control group (χ2 = 6.3161, P < 0.05). Conclusion: the adverse events in the nursing of patients in nephrology department are closely related to the nursing mode. As a new nursing mode, high-quality nursing can reduce the occurrence of adverse events, encourage patients to recognize the clinical nursing work in nephrology department, and play an important role in improving the quality of nursing work in nephrology department.展开更多
文摘Objective: Severe traumatic brain injury (sTBI) is one of the common acute and critical diseases in neurosurgery. So we aim to explore the clinical effectiveness of an intelligent emergency care model in patients with severe traumatic brain injury. Methods: Eighty patients with severe traumatic brain injury (sTBI) who were treated in Zhuji People’s Hospital of Zhejiang Province from January 2019 to December 2021 were selected as the study subjects. The patients were divided into an observation group and a control group with 40 patients in each group according to the random number table method. Patients in the control group received conventional first-aid nursing mode intervention, and the intelligent emergency nursing mode was used for the observation group based on the control group. Comparisons were conducted between the two groups on the time of arrival to the emergency room, the time from the emergency room to the operating room, Glasgow Coma Scale (GCS) score before surgery, GCS score when leaving the Intensive Care Unit (ICU), the average length of ICU stay, the average length of hospital stay, the total hospital costs. Results: The time of arrival to the emergency room, the time from the emergency room to the operating room, the average length of ICU stay, the average length of hospital stay, and the total hospital costs in the observation group were significantly lower than those in the control group, and the differences were statistically significant (All P Conclusion: Intelligent emergency nursing mode can shorten the time of sTBI rescue, the length of ICU stay, and the average length of hospital stay, reduce the total hospitalization cost, improve the prognosis, with good efficacy, reduce the total cost of hospitalization, and improve the prognosis with better efficacy.
基金Self-funded scientific research project of Guangxi Zhuang Autonomous Region Health Committee(No.:Z20190973).
文摘Cervical cancer has a high mortality rate in clinic.This disease seriously threatens the physical and mental health and life safety of patients.At present,radical surgery is mainly used for treatment,but in order to reduce the incidence of intraoperative and postoperative complications,corresponding nursing needs to be coordinated.This time focuses on the complications after radical surgery for cervical cancer,and puts forward the nursing methods of common complications of transabdominal radical surgery for cervical cancer.In order to improve the quality of nursing and life of patients,this paper summarizes the effective implementation of the whole process nursing model after cervical cancer surgery.
文摘Objective: to analyze the application of routine nursing for patients to prevent nursing risk and increase the application value of emergency nursing mode in it. Methods: During the period of diagnosis and treatment from March 1, 2020 to March 1, 2021, 40 gynecological patients in our hospital were divided into two groups by double-blind method, with 20 cases in each group. The control group was given routine nursing alone, and the experimental group was given emergency nursing mode on the basis of routine nursing. After the end of nursing, the nursing satisfaction of the two groups of patients was observed, and the incidence of complications and nursing errors was compared. Results: after implementing different nursing modes for the two groups of patients, patients in the experimental group had higher satisfaction than those in the control group, at the same time, the complication rate and nursing error rate were lower in the experimental group. The results of the two groups of patients were compared, and the differences were significant and statistically significant (P < 0.05). Conclusion: the application of routine nursing and emergency nursing mode has good application value in the prevention of gynecological nursing risk, can effectively reduce the occurrence of nursing risk events, but also can improve the nursing satisfaction of patients, it is worth using.
文摘Objective: to study the application value of midwives in nursing uterus scar delivery room. Methods: 100 cases of pregnant women with scar uterus admitted to our hospital since 2019 were selected as the experimental objects, and these people were divided into two groups according to their age. There are 50 people in each group. The first group was treated by routine methods, and the midwives were nursing the parturients. The second group used the original routine treatment model based on the new standardized care, and compared the production process and the time consumed by the two parturients. Results: No matter the production time or the success rate of production, the second group is significantly better than the first group, with mathematical statistical significance. This method has a better application value in the current clinical aspects, and can also have a good experience. It has a positive effect on improving the success rate of vaginal labor trial and shortening the time of labor, and is worthy of promotion and application in clinical nursing work.
文摘Objective: to explore the application of fine nursing in the nursing work of patients with blood tumor, which affects the psychological state and quality of life of patients, and analyze its clinical practicability. Methods: from July 2018 to July 2020, 82 patients with hematological tumor admitted to our hospital were included in the study. There were 41 patients in each method and each group, and the patients were randomly divided into control group and experimental group. General nursing was selected in the control group, advanced nursing was selected in the experimental group. After the completion of nursing, the mental state of patients in the two groups was evaluated and the differences between the groups were analyzed. Results: SDS and SAS scores of patients in the experimental group were improved compared with those in the two groups before treatment, and the improvement of patients in the experimental group was better, with significant differences in data (P < 0.05). Conclusion: the application of fine nursing for patients with blood tumor nursing, improve the patient's mental state, let patients understand the basic knowledge of blood tumor, has positive significance for the recovery of patients. It has high application value and is worth popularizing.
文摘Objective: effect of cooperative nursing model on prognosis of diabetic patients. Methods: 50 elderly patients with diabetes who received treatment in our hospital from October 2019 to October 2020 were included in the study. Grouping is completed by applying random number table method. Routine care and cooperative care were provided in the routine group and experimental group. A comparative study was conducted based on the individual ability and psychological emotions of two groups of patients. Results: the observation index results of patients in the experimental group were significantly better than those in the conventional group, and the index differences after intervention were statistically significant (p < 0.05). Conclusion: the collaborative nursing model for elderly patients with diabetes has a high value, can effectively improve the overall prognosis of patients, is worthy of promotion.
文摘Objective: to study the value of comfort nursing in elderly patients with pulmonary heart disease. Methods: 100 elderly patients with pulmonary heart disease who were admitted to the Department of Geriatrics, the First Affiliated Hospital of Medical College of Zhejiang University from January 2019 to December 2019 were divided into group A and group B by random computer table method. Comfort care was performed in group A, while routine care was performed in group B. The nursing effects of the two groups were mainly compared. Results: ① the nursing satisfaction of group A was higher than that of group B, the difference between the two groups was P < 0.05. ② there was significant difference in hospitalization time and hospitalization expenses between group A and group B (P < 0.05). Conclusion: the implementation of comfortable nursing in the nursing of elderly patients with pulmonary heart disease is helpful to improve patients' satisfaction with nursing and reduce the actual hospitalization time and expenses of patients.
文摘Objective: in the nursing management of type 2 diabetes, the individualized nursing mode was applied for intervention and its application effect and nursing satisfaction were analyzed. Methods: 100 patients with type 2 diabetes were randomly divided into the control group and the observation group. The control group with type 2 diabetes patients chose the general nursing mode for intervention, and the observation group with type 2 diabetes patients used the personalized nursing mode for intervention. On this basis, the blood glucose level, application effect, health behavior, self-care ability and nursing satisfaction of the two groups of diabetes patients were compared. Results: after carrying out different nursing interventions for the two groups of diabetes patients, after comprehensive evaluation of them, it can be seen from the comparison of relevant data that the control of blood sugar level of patients in the observation group is better than that of the control group, and the application efficiency is significantly higher than that of the control group, and the health behavior and self-care ability of patients are at a higher level, which also improves the nursing satisfaction (P < 0.05). Conclusion: for patients with type 2 diabetes, the introduction of personalized nursing mode in their nursing process can help patients achieve better blood sugar control effect, change their views from the ideological level, promote the formation of good living habits, enhance the patients self-management ability, and improve the nurse patient relationship, and enhance nursing satisfaction.
文摘Objective: To explore the clinical value of safe transfer nursing model in hospital transfer of critically ill patients in emergency department. Methods: 850 critically ill patients admitted to the emergency department of the central hospital were selected as the observation group (the implementation of safe transport care model), 660 critically ill patients admitted to the emergency department of the central hospital from April to December 2019 were selected as the control group (the use of regular car escort), and the occurrence of adverse events, transit time and satisfaction of patients' families were compared between the two groups. Results: the total incidence rate of adverse events in the observation group was 1.76%, which was significantly lower than that in the control group (10.00%) (P < 0.05). The time taken for external examination, including ultrasound, CT and X-ray, in the observation group was (26.12±3.11) min, time taken for transfer to specialized department (21.18±3.13) min and time taken for transfer to interventional room (5.32±1.19) min, which were significantly shorter than those in the control group (34.25±4.27), (25.33±3.07) min and (6.16±1.32) min, with statistical significance (P < 0.05). The scores of nurse-patient communication, care in transit, and treatment in the department and the total score in the observation group were (21.52±5.32), (34.56±7.13), (25.34±6.32) and (76.35±11.26) respectively, which were significantly higher than those in the control group (20.33±4.78), (32.33±6.25), (22.33±6.41) and (73.62±11.09), with statistical significance (P < 0.05). Conclusion: the safe transfer nursing model has high clinical value in the hospital transfer of critically ill patients in emergency department, which can effectively reduce the risk of adverse events, shorten the transfer time and improve the satisfaction of patients' families.
文摘Objective: to observe the effect of rehabilitation nursing model on the quality of life and blood pressure control of elderly patients with hypertension. Methods: In this experiment, 100 elderly patients with hypertension were selected as the research object, and these patients who were treated in our hospital from December 2020 to March 2021 were randomly divided into two groups. The observation group (n=50) received rehabilitation care, and the control group (n=50) received routine care. The changes of quality of life and psychological status of the two groups of patients before and after care were compared. Results: compared with pre-care and post-care systolic and diastolic blood pressure levels of the two groups of patients were significantly reduced, but the decrease in the observation group was more significant (P < 0.05). The scores of physiological function, psychological function, mental health and social function of the patients in the observation group were higher than those in the control group (P < 0.05). Results: 92.45% in the observation group was higher than 71.70% in the control group, and the difference in nursing satisfaction between the two groups was significant (p < 0.05). Conclusion: the application of rehabilitation nursing model in the nursing process of elderly patients with hypertension can improve their quality of life and effectively control blood pressure, so it is worthy of clinical application.
文摘Objective: to coordinate the effect of nursing mode applied to nursing in cardiology department. Methods: 100 patients in the department of cardiology in our hospital from July 2019 to July 2020 were selected as the research objects. There were 50 patients in the control group and 50 patients in the observation group. Among them, in the control group, ordinary care nursing was adopted, while in the observation group, ordinary care nursing was combined with collaborative nursing, and the effects before and after nursing were compared between the two groups. Results: comparing the two groups of patients after nursing, the observation group's self-care ability and living ability are better than the control group's, and the observation group's recovery and hospitalization time are also better than the control group's, and the observation group's satisfaction is higher, and the difference is statistically significant (P<0.05). Conclusion: The application of collaborative nursing mode in cardiology nursing can improve patients' cognitive ability, self-care ability and living ability, and get good satisfaction.
文摘Objective To explore the specific application effect of clinical nursing path nursing mode in the process of nursing work in pediatric ward.Methods 80 pediatric patients in our hospital from May 2020 to may 2021 were randomly divided into two groups with 40 cases in each group.Among them, the patients in the control group chose the basic nursing mode, and the patients in the experimental group applied the clinical nursing path mode on the basis of the nursing in the control group.Through nursing, the nursing satisfaction and clinical compliance of the two groups were compared.Results in terms of nursing satisfaction, the experimental group (97.50%) was higher than the control group (87.50%). There was significant difference between the two groups (P < 0.05);The clinical compliance of the experimental group (95.00%) was higher than that of the control group (80.00%). There was significant difference between the two groups (P < 0.05).Conclusion the application of clinical nursing pathway model in pediatric ward can significantly improve the satisfaction and compliance of children, promote the rehabilitation of children, and reduce the contradiction between doctors and patients. It is worthy to be popularized and used in clinic.
文摘Objective: to explore and analyze the nursing effect of predictive nursing mode on patients undergoing hepatolithiasis surgery. Methods 50 cases of patients undergoing hepatolithiasis surgery in our hospital were taken as cases. The grouping was completed by the random number table method. The routine group provided routine care, and the observation group provided predictive care. The postoperative recovery of the patients was then compared. Results: the recovery rate of the observation group by predictive nursing was 93%, and the recovery rate of the conventional nursing group by routine nursing was 81%. The recovery rate of the two groups was significantly different (P < 0.05). Conclusion: predictive nursing can effectively improve the postoperative recovery rate of patients with hepatolithiasis operation, which is worthy of extensive clinical application.
文摘Objective: to analyze the comprehensive effect of humanized nursing mode in the nursing of neonatal pneumonia. Methods: 50 cases of neonatal pneumonia treated in our hospital were randomly divided into control group and observation group. The control group received routine nursing and the observation group received humanized nursing mode. The nursing effects of the two groups were counted. Results: the nursing effect of newborns in the observation group was better than that in the control group (P < 0.05).Conclusion: due to the high particularity of newborns in the process of nursing, not only the families of newborns will have higher nursing requirements for nurses, but also unnecessary doctor-patient friction will be caused if the clinical symptoms of newborns do not improve after nursing. And when the newborn falls ill, because the newborn is younger, the emotion of the newborn family members will be more excited. In the process of pneumonia nursing, we should integrate the humanized nursing mode, so as to avoid the newborn family members having unnecessary cognition to the nursing staff, improve the clinical nursing mode and ensure the nursing quality of the newborn.
文摘Objective: to study the clinical value of nutrition standardized nursing model for head and neck radiotherapy patients. Methods: 84 cases of head and neck radiotherapy in our hospital from August 2019 to August 2020 were selected and randomly divided into control group (routine nursing) and observation group (standardized nutritional nursing). The nutritional index and nursing satisfaction were analyzed. Results: after nursing, the nutritional index of the observation group was better than that of the control group, with significant difference (P < 0.05). Compared with the control group, the nursing satisfaction of the observation group was significantly different (P < 0.05). Conclusion: through the implementation of nutrition standardized nursing measures for patients with head and neck radiotherapy, good clinical application effect can be obtained, the nutritional status of patients can be improved, and the nursing satisfaction degree can be improved, which is worthy of clinical application.
文摘Objective: to analyze the role of psychological nursing mode in the preoperative bowel clearing management of patients with colorectal cancer and intestinal obstruction. Methods: a total of 100 patients with colorectal cancer complicated with intestinal obstruction admitted to our hospital from March 2020 to February 2021 were included in the randomized group. The control group received routine preoperative intestinal irrigation management and had no difference with the seamless nursing model group. For nursing model, complications were compared between the two groups. Results: the incidence of postoperative infection and bleeding in the seamless nursing model group was lower than that in the control group. Conclusion: the smooth nursing mode and effect of patients with colorectal cancer and intestinal obstruction are accurate, can reduce complications, and is worthy of popularization and application.
文摘Objective: to analyze the effects of family involvement in WeChat communication and nursing mode on health cognition and blood glucose in elderly patients with type 2 diabetes. Methods: from January 2019 to December 2020, 110 elderly patients with type 2 diabetes were admitted to our hospital, including 55 patients. The control group received routine nursing care, and the observation group received nursing care under the family participation WeChat communication nursing mode. Results: the study showed that the awareness of diet, blood glucose monitoring, first aid for hypoglycemia and insulin injection in the observation group were 90.91%, 92.73%, 89.09% and 94.55%, which were significantly higher than the health awareness of the control group, with significant differences (P < 0.05). After nursing, the fasting blood glucose level and HbA1c level in observation group were (5.62±0.51) mmol/L and (7.28±0.65) %, which were significantly lower than those in control group, with significant differences (P < 0.05). Conclusion: family participation WeChat communication nursing mode for elderly patients with type 2 diabetes can improve their health awareness and effectively reduce their blood glucose level, which is worthy of clinical promotion and application.
文摘Objective: to analyze the effect of the new obstetric nursing mode in reducing the cesarean section rate. Methods: 280 cases of puerpera in our hospital from August 2017 to August 2019 were selected as the research object, according to the nursing methods, the puerpera were divided into the research group and the ordinary group;the ordinary group adopted the conventional nursing method, the research group adopted the new obstetric nursing mode, and the labor process time and delivery mode of the two groups were compared. Results: compared with the conventional nursing group, the new obstetric nursing mode has less labor process more than 12 hours, higher natural labor rate and lower cesarean section rate (P < 0.05). Conclusion: the new obstetric nursing mode can achieve natural productivity and lower cesarean section rate after clinical application and the effect is better.
基金Supported by Nursing Scientific Research Project Fund of Nursing Society of Guangdong Province,No.gdhlxueh2019zx218Shenzhen Bao’an District Science and Technology Plan,No.20200515053525001.
文摘BACKGROUND Patients with benign prostatic disease often experience detrusor morphological changes and dysfunction.In severe cases,it leads to bladder detrusor dysfunction,resulting in dysuria,frequent urination,urgent urination,incomplete urination,and other symptoms including renal function injury.An operation to restore normal urination function and to control postoperative complications,as far as possible,is the most common method for benign prostatic disease.AIM To observe the effect of precise nursing service mode on postoperative urinary incontinence prevention in patients with prostate disease.METHODS In total,130 patients diagnosed with benign prostatic disease,from January 2018 to June 2021,in our hospital,were selected and divided into observation and control groups according to their treatment options.Sixty-five cases in the control group were given routine nursing mode intervention and 65 cases in the observation group received precise nursing service mode intervention.The intervention with the observation group included psychological counseling about negative emotions,pelvic floor exercises,and post-hospital discharge care.The complications of the two groups were counted,and the general postoperative conditions of the two groups were recorded.The urinary flow dynamics indexes of the two groups were detected,and differences in clinical international prostate system score(IPSS)and urinary incontinence quality of life questionnaire(I-QOL)scores were evaluated.RESULTS Postoperative exhaust time(18.65±3.23 h and 24.63±4.51 h),the time of indwelling catheter(4.85±1.08 d and 5.63±1.24 d),and hospitalization time(8.78±2.03 d and 10.23±2.28 d)in the observation group were lower than in the control group.The difference was statistically significant(P<0.05).After the operation,the maximum urinary flow rate(Qmax)increased(P<0.05),the residual urine volume(RUV)decreased(P<0.05),and the maximum closed urethral pressure(MUCP)was not statistically significant(P>0.05)compared to pre-operation.The Qmax of the observation group was higher than that of the control group,while the RUV was lower than that of the control group.There was no significant difference in MUCP between the observation and control groups(P>0.05).The I-QOL score of the two groups improved(P<0.05),and the IPSS decreased(P<0.05).After the operation,the I-QOL score of the observation group was higher than that of the control group,and the IPSS was lower than that of the control group(P<0.05).There were no significant differences in the incidence of urethral injury(1.54%and 3.08%),bladder spasm(0.00%and 1.54%),and secondary bleeding(1.54%and 4.62)between the observation and control groups(P>0.05).CONCLUSION The precise nursing service mode can reduce the incidence of postoperative urinary incontinence in patients with prostate disease,thus improving postoperative urodynamics and rehabilitation,and quality of life.
文摘Objective: to explore the application effect of high-quality nursing management mode in nursing management of nephrology department. Methods: 80 patients in the department of nephrology of our hospital were randomly divided into control group and observation group. The selected time range is from April 2021 to April 2022. The control group adopted conventional nursing mode, while the observation group adopted high-quality nursing management mode on the basis of conventional nursing. The incidence of adverse events, nursing quality score and patients' satisfaction with nursing were compared between the two groups. Results: the incidence of adverse events in the observation group was 5.0%, which was significantly lower than that in the control group (χ2 = 6.3154). In the observation group, the scores of isolation disinfection (95.32 ± 3.31), rescue items (96.33 ± 4.31), nursing document writing (93.62 ± 2.31), graded nursing (93.52 ± 4.31) and safety of nursing quality (94.42 ± 4.31), data patients' satisfaction with nursing in the observation group was 95.0%, significantly higher than that in the control group (χ2 = 6.3161, P < 0.05). Conclusion: the adverse events in the nursing of patients in nephrology department are closely related to the nursing mode. As a new nursing mode, high-quality nursing can reduce the occurrence of adverse events, encourage patients to recognize the clinical nursing work in nephrology department, and play an important role in improving the quality of nursing work in nephrology department.
