Objectives:This article aims to summarize a series of contingency management strategies of the Nursing Department in the centralized treatment of patients with coronavirus disease 2019(COVID-19).Methods:The strategies...Objectives:This article aims to summarize a series of contingency management strategies of the Nursing Department in the centralized treatment of patients with coronavirus disease 2019(COVID-19).Methods:The strategies of the Nursing Department included an early warning for prevention and control,taking functions of vertically commanding and horizontally coordinating,and reasonably allocating nursing workforce,to facilitate centralized treatment work in the in-hospital fever clinic,isolation wards and ICU,and referral and admission of critical patients.Five special groups were established in charge of training and examination,management and supervision,psychological support,logistical support,and reporting and publicity,respectively.Results:It was achieved that no deaths from critical patients and no medical staff,no other patients were infected.Conclusion:Through the implementation of these strategies,safe and efficient centralized treatment was ensured timely,orderly and sustainably.展开更多
Objectives:This study employed evidence mapping to systematically evaluate clinical practice guidelines(CPGs)for neurogenic bladder(NB)care.We aimed to identify research trends,evidence gaps,and consensus patterns to ...Objectives:This study employed evidence mapping to systematically evaluate clinical practice guidelines(CPGs)for neurogenic bladder(NB)care.We aimed to identify research trends,evidence gaps,and consensus patterns to inform evidence-based nursing practices and support the formulation of highquality CPGs.Methods:A systematic search of electronic databases and guideline repositories was conducted,included PubMed,Web of Science,Embase,Guidelines International Network(GIN),ect.Eligible NB guidelines underwent dual-researcher screening and extraction,and methodological and recommendation quality were assessed using the Appraisal of Guidelines for Research and Evaluation II(AGREE II)and Evaluation-Recommendations Excellence(AGREE-REX)instruments.Five researchers independently evaluated recommendation specificity,evidence grading systems,and implementation consistency.Discrepancies were resolved through consensus discussion or third-party arbitration.Results:Analysis of 19 CPGs(2006–2023)from 11 countries/regions revealed that 78.95%(15/19)incorporated evidence grading systems and 68.42%(13/19)specifiedrecommendation strength.The AGREE II evaluation identifiedcritical methodological deficiencies,with three domains scoring below the acceptable thresholds:Rigor of Development(41.70%),Editorial Independence(43.30%),and Applicability(30.00%).The AGREE-REX results showed moderate performance in Clinical Applicability(55.56%)and implantability(41.67%)but severe gaps in Values and Preferences(25.00%).A systematic synthesis identified40 recommendations:90%(36/40)demonstrated consensus and 10%(4/40)contradictions.These studies addressed the following six clinical themes:1)nursing assessment,2)manipulation-assisted voiding,3)behavioral therapy,4)intermittent catheterization,5)indwelling catheterization,and 6)other therapies.Conclusions:The methodologies and recommendations of the CPGs for NB in nursing demonstrated substantial variability.Therefore,there is an urgent need to improve the quality of the NB-related CPGs.More in-depth research and timely updates are required to enhance the practical utility of CPGs and narrow the gap between CPGs and clinical practice.展开更多
To the Editor,As nurse educators and researchers,we have witnessed significant digital transformations within the healthcare sector.The expansion of data ecosystems and artificial intelligence(AI)has played a crucial ...To the Editor,As nurse educators and researchers,we have witnessed significant digital transformations within the healthcare sector.The expansion of data ecosystems and artificial intelligence(AI)has played a crucial role in these developments.[1]These healthcare transformations have led to enhanced diagnosis and treatment modalities,enriched health research,advancements in medication development,and improved management of health systems.展开更多
As an appropriate technique in Traditional Chinese Medicine nursing,intradermal acupuncture involves inserting a small needle into the skin at an acupoint or within the skin to treat diseases.This fully embodies the c...As an appropriate technique in Traditional Chinese Medicine nursing,intradermal acupuncture involves inserting a small needle into the skin at an acupoint or within the skin to treat diseases.This fully embodies the characteristics of Traditional Chinese Medicine nursing techniques:simplicity,convenience,affordability,and effectiveness.Currently,intradermal acupuncture has been widely used in clinical practice.This paper introduces the history,mechanism of action,and principle of acupoint selection of intradermal acupuncture and summarizes the application of intradermal acupuncture in common internal medicine diseases to promote their dissemination and use.展开更多
BACKGROUND Radical gastrectomy(RGE)for gastric carcinoma(GC)has exerted definite therapeutic efficacy in treating patients with GC.However,a notable risk of postoperative complications(POCs)persists among middle-aged ...BACKGROUND Radical gastrectomy(RGE)for gastric carcinoma(GC)has exerted definite therapeutic efficacy in treating patients with GC.However,a notable risk of postoperative complications(POCs)persists among middle-aged and elderly patients with compromised physiological functions.Hence,developing and implementing reliable nursing interventions to optimize the comprehensive management of these patients is deemed imperative.AIM To analyze the association of multi-channel continuous nursing intervention with POCs,negative emotions(NEs),and quality of life(QoL)of patients undergoing RGE for GC.METHODS This retrospective study selected 99 patients who underwent RGE for GC in our hospital from May 2020 to May 2023.Participants were categorized into the control(n=49 cases)and research groups(n=50 cases)receiving routine and multi-channel continuous nursing care,respectively.Comparative analysis involved data on postoperative rehabilitation(time to first anal exhaust,oral feeding and ambulation,and hospital stay),complications(nausea and vomiting,delayed gastric emptying,and abdominal distension),NEs[Self-rating Anxiety(SAS)/Depression Scale(SDS)],treatment compliance,self-efficacy,and QoL[World Health Organization QoL Brief Version(WHOQOL-BREF)].RESULTS Compared to the control group,the research group demonstrated earlier first postoperative anal exhaust,oral feeding,and ambulation,shorter hospital stay,lower POC rate,and more reduced SAS and SDS scores postintervention,which was significantly lower than the baseline.The treatment compliance scores were significantly higher in the research group than in the control group in terms of medication adherence,daily exercise,reasonable diet,and regular review.Further,the research group demonstrated increased self-efficacy scores in terms of positive attitude,self-stress relief,and self-decision-making,as well as the overall score postintervention,which were higher than the control group.Moreover,the research group reported notably higher WHOQOL-BREF scores in domains such as physiology,psychology,social relations,and environment.CONCLUSION Multi-channel continuous nursing intervention prevents POCs in patients undergoing RGE for GC as well as significantly alleviates patients’NEs and boosts their QoL.展开更多
[Objectives]To explore the effectiveness of integrating ideological and political education based on the Nightingale spirit into the clinical practice curriculum for nursing interns.[Methods]A total of 90 questionnair...[Objectives]To explore the effectiveness of integrating ideological and political education based on the Nightingale spirit into the clinical practice curriculum for nursing interns.[Methods]A total of 90 questionnaires were distributed and analyzed among nursing interns and patients to evaluate multiple dimensions,including the interns satisfaction with the internship,mastery of clinical knowledge,ideological and political literacy,professional ethics,and social responsibility.[Results]The overall internship satisfaction of nursing interns reached 98.9%,indicating that the course design and teaching model were widely recognized by students.Secondly,the interns demonstrated excellent mastery of clinical knowledge,with 94.0%of students stating they had fully grasped the clinical knowledge taught during the internship,an increase of 18.6%compared to the previous cohort.In terms of ideological and political literacy,98%of students had a better understanding and application of the Nightingale spirit,an increase of 16.2%compared to the previous cohort.Additionally,the sense of professional identity was significantly enhanced,with 95.8%of students showing a stronger sense of identity and responsibility towards the nursing profession,an increase of 14.0%compared to the previous cohort.Patients also gave high evaluations of the interns performance,with 98.8%expressing satisfaction with the students attitude and performance in nursing care.[Conclusions]The curriculum model based on the integration of Nightingale spirit has effectively improved the professional quality,ideological and political quality and professional identity of nursing interns,and has been highly recognized by patients.It not only provides strong support for the practice of combining ideological and political work with professional courses in nursing education,but also provides a reference for the optimization of clinical practice teaching mode of nursing interns in the future.展开更多
BACKGROUND Diabetic foot ulcers(DFUs)present a significant healthcare challenge attributable to their high rates of disability and the limitations of applied traditional nursing approaches.Effective management is crit...BACKGROUND Diabetic foot ulcers(DFUs)present a significant healthcare challenge attributable to their high rates of disability and the limitations of applied traditional nursing approaches.Effective management is critical for uneventful health outcomes.AIM To investigate the effects of multidisciplinary team(MDT)nursing interventions and blood glucose control on the negative emotions and satisfaction of DFUhealing patients.METHODS This retrospective cohort study included 115 patients with DFUs,divided into MDT and blood glucose control intervention group(n=60)and standard care control group(n=55).The comparison factors were wound area,new granulation tissue coverage area,wound healing rate,2-hour postprandial blood glucose level,fasting plasma glucose level,Hamilton Anxiety Scale score,Hamilton Depression Scale score,and nursing satisfaction.RESULTS After 4 weeks,the average wound area reduced from 22.04±6.48 cm^(2)to 11.96±3.63 cm^(2)(P<0.05).New granulation tissue coverage area reached 52.85±18.39 cm^(2) for the intervention group and 28.39±9.94 cm^(2)(P<0.05)in the control group,respectively.The healing rate was significantly higher in the intervention group than in the control group(91.7%vs 76.4%,P<0.05).Fasting plasma glucose decreased more sharply in the intervention group(from 8.36±0.98 mmol/L to 6.91±1.23 mmol/L)than in the control group(8.41±1.05 mmol/L to 7.81±1.27 mmol/L),with the intervention group maintaining significantly lower levels(P<0.05).The intervention group demonstrated a significantly greater reduction in 2-hour postprandial blood glucose levels(11.35±2.67 mmol/L to 7.52±1.38 mmol/L)compared to the control group(11.61±3.01 mmol/L to 8.72±1.63 mmol/L;P<0.05).Hamilton Anxiety Scale and Hamilton Depression Scale scores were significantly lower in the intervention group(P<0.05).Patient satisfaction with nursing was 93.33%and 74.55%in the intervention and control groups,respectively(P<0.05).CONCLUSION MDT combined with blood glucose control enhanced healing rates and positively influenced emotional well-being and satisfaction among patients.This strategy holds potential for application in clinical practice.展开更多
Objective:To translate and adapt the dementia knowledge assessment scale(DKAS)into Sinhala version and to evaluate its psychometric properties among nursing students.Methods:A cross-sectional validation study was cond...Objective:To translate and adapt the dementia knowledge assessment scale(DKAS)into Sinhala version and to evaluate its psychometric properties among nursing students.Methods:A cross-sectional validation study was conducted in two phases:(i)translation and adaptation and(ii)evaluating psychometric properties(N=394 nursing students).Results:The DKAS was adapted to the Sinhala(Si-DKAS)version,and the content validity index(CVI=0.9)was satisfactory.Exploratory factor analysis(EFA)and confirmatory factor analysis(CFA)resulted in an 18-item Si-DKAS with a four-factor model:“care considerations,”“causes and characteristics of dementia,”“health promotion,”and“misconceptions about dementia.”The model fit indices were suboptimal(comparative fix index[CFI]=0.809 and Turker-Lewis index[TLI]=0.773),and some indices were acceptable(standardized root-mean-squared residual[SRMR]=0.040 and root-mean-squared error of approximation[RMSEA]=0.053).Internal consistency(0.7)and test-retest correlation(0.9)were acceptable.Discriminant validity was confirmed by knowledge score differences based on academic years.Conclusions:This is a valid and reliable tool for assessing knowledge of dementia among Sinhala-speaking nursing students.展开更多
Objective:This study aims to analyze the research hotspots and trends in nursing care for children with Kawasaki disease.Methods:The study utilized the CiteSpace 6.1.R6 software to visualize nursing-related research o...Objective:This study aims to analyze the research hotspots and trends in nursing care for children with Kawasaki disease.Methods:The study utilized the CiteSpace 6.1.R6 software to visualize nursing-related research on Kawasaki disease in children,drawing from articles published in the CNKI and Web of Science core collection databases from January 1,2014,to January 1,2024.Key analysis components included authors,institutions,and keywords,supported by the creation of a corresponding knowledge map.Results:Literature Publications:Over the past decade,the analysis encompassed a total of 309 Chinese articles on nursing care for children with Kawasaki disease,with an average annual publication rate of 30.9 articles.Additionally,251 foreign language articles were scrutinized,exhibiting an average annual publication rate of 25.1 articles.Author and Institution Analysis:In Chinese literature,the notable figure of Huang Rimei emerged as a prolific author,with the Children's Hospital Affiliated with Zhengzhou University standing out as a high-yielding institution.Conversely,in English literature,the prolific authors Burns and Jane C were prominent,alongside the University of California,San Diego,which emerged as a high-yielding institution.Keyword and Research Hotspots Analysis:The focal points of research in Chinese literature revolved around continuous nursing,cardiovascular complications,clinical nursing pathways,rehabilitation effects,holistic nursing,and gamma globulin.Conversely,English literature emphasized research hotspots such as cardiovascular complications,treatment modalities,diagnostic approaches,long-term management strategies,gamma globulin therapy,steroid pulse therapy,and pediatric multisystem inflammatory syndrome.Conclusions:The quantity of Chinese literature concerning nursing care for children with Kawasaki disease appears comparatively scant,underscored by an uneven distribution of issuing institutions and a lack of influence.To address this,future endeavors should prioritize bolstering collaboration across diverse regions and institutions,conducting multi-center,cross-regional research,implementing clinical nursing pathways,and augmenting the continuity of care.Conversely,the upsurge in English literature publications regarding nursing care for children with Kawasaki disease signals a burgeoning interest,primarily concentrated on treatment modalities.This trend advocates for the integration of medical and nursing care and emphasizes the importance of remaining abreast of advancements in managing Kawasaki disease in children.展开更多
BACKGROUND Given their responsibility for the well-being of individuals,nurses with advanced mental health literacy,along with strong holistic nursing competencies and professional self-efficacy,are better equipped to...BACKGROUND Given their responsibility for the well-being of individuals,nurses with advanced mental health literacy,along with strong holistic nursing competencies and professional self-efficacy,are better equipped to assess both the mental and physical health of their patients,leading to the provision of holistic nursing care.AIM To investigate the relationship between nurses’mental health literacy levels and their holistic nursing competencies,as well as their nursing professional selfefficacy.METHODS This study is cross-sectional,correlational research.The study sample consisted of a total of 261 volunteer nurses working in a training and research hospital and a state hospital between March 11,2024 and April 8,2024.Data were collected face to face with the“Descriptive Data Form”,“Mental Health Literacy Scale(MHLS)”,“Holistic Nursing Competence Scale(HNCS)”,and the“Nursing Profession Self-Efficacy Scale(NPSES)”.RESULTS The mean scale scores for the nurses were as follows:MHLS:95.88±11.67;HNCS:179.46±33.82;NPSES:64.79±11.24.A low-level positive correlation was found between the total scores of the MHLS,HNCS,and NPSES,and a moderate-level positive correlation was observed between the total scores of the HNCS and NPSES.These correlations were statistically significant(P<0.05).CONCLUSION It is recommended that initiatives be undertaken to enhance the mental health literacy and holistic nursing competencies of nurses and that similar studies be conducted with nurses in different institutions and with a larger number of nurses.展开更多
BACKGROUND Patients with schizophrenia may lack awareness of the importance of posttracheotomy care due to the impact of their condition,often showing resistance or misunderstanding of care measures.When coupled with ...BACKGROUND Patients with schizophrenia may lack awareness of the importance of posttracheotomy care due to the impact of their condition,often showing resistance or misunderstanding of care measures.When coupled with the impact of negative symptoms and the risk of complications after tracheotomy,patients may experience emotional fluctuations,restlessness,anxiety,and hostile behaviors,which pose significant challenges to nursing work.CASE SUMMARY We have reported the case of an 87-year-old male patient who was admitted to the hospital because of negative symptoms of schizophrenia and who underwent tracheotomy for severe pneumonia.In this study,we have summarized the nursing experience of a patient with negative symptoms of schizophrenia who underwent tracheotomy.The key nursing strategies included proper tracheotomy care,the management of psychiatric symptoms,a thorough assessment and implementation of enteral and parenteral nutrition,effective skincare,infection prevention,and comprehensive mental care.Individualized nursing skills helped stabilize the patient’s condition,followed by isolation and observation in a psychiatric hospital.CONCLUSION Effective postoperative tracheostomy care in patients with schizophrenia necessitates a tailored,multidisciplinary approach that addresses their psychiatric,physical,and emotional needs to achieve optimal clinical outcomes.展开更多
BACKGROUND Depression is a common psychological disorder often associated with genetic,neurobiological,and psychosocial factors.This condition is characterized by low mood and decreased conscious activity and can lead...BACKGROUND Depression is a common psychological disorder often associated with genetic,neurobiological,and psychosocial factors.This condition is characterized by low mood and decreased conscious activity and can lead to severe consequences such as suicidal thoughts.Respiratory failure,a disorder of pulmonary ventilation and gas exchange,is frequently complicated by depression,aggravating the condition and creating complications in treatment.Patients with both conditions tend to exhibit poor compliance with medical advice,resulting in adverse outcomes such as sleep disorders,arrhythmias,and electrolyte imbalances.Therefore,effective nursing interventions are crucial for improving patient outcomes.While routine nursing care can provide basic support,dedicated nursing,which involves specialized and personalized care by highly trained professionals,may offer additional benefits.AIM To examine the effect of dedicated nursing intervention on medical advice compliance and adverse event incidence in patients with depression complicated by respiratory failure.METHODS A total of 160 patients with depression complicated by respiratory failure admitted to the Second Affiliated Hospital of Soochow University from January to December 2024 were randomly categorized into a control group(n=80)receiving routine nursing care and observation group(n=80)receiving routine nursing combined with dedicated nursing care.The establishment of a specialized nursing team;the development of a personalized nursing plan;and the implementation of comprehensive care strategies targeting emotional support,sleep improvement,pulmonary function enhancement,and adherence to medical advice were included in the dedicated nursing intervention.Emotional state[evaluated using the Self-Rating Depression Scale(SDS)],sleep quality[assessed using the Pittsburgh Sleep Quality Index(PSQI)],hope level[measured using the Herth Hope Scale(HHS)],pulmonary function[comprising forced vital capacity(FVC)and forced expiratory volume in the first second(FEV1)],exercise endurance[6-minute walk distance test(6MWD)],compliance with medical advice,and incidence of adverse events were compared between the two groups.RESULTS No significant differences were observed in SDS,PSQI,HHS,FVC,FEV1,6MWD,or compliance with medical advice between the two groups(P>0.05)before the intervention.However,after the intervention,the control group exhibited significantly lower SDS and PSQI scores;higher HHS scores;greater improvements in FVC,FEV1,and 6MWD;and higher compliance with medical advice compared with the control group(P<0.05).In addition,the incidence of adverse events was significantly lower in the control group(P<0.05).CONCLUSION Dedicated nursing intervention significantly improves emotional state,sleep quality,hope level,pulmonary function,exercise endurance,and compliance with medical advice while reducing adverse events in patients with depression complicated by respiratory failure.Therefore,dedicated nursing appears to be an effective approach to enhance patient outcomes in this population.展开更多
The Interpretation of Nursing Guidelines for Intravenous Thrombolysis in Acute Ischemic Stroke offers comprehensive recommendations across five key domains:hospital organizational management,patient condition monitori...The Interpretation of Nursing Guidelines for Intravenous Thrombolysis in Acute Ischemic Stroke offers comprehensive recommendations across five key domains:hospital organizational management,patient condition monitoring,complication observation and management,positioning and mobility away from the bed,and quality assurance.These Guidelines encompass all the phases of intravenous thrombolysis care for patients experiencing acute ischemic stroke.This article aims to elucidate the Guidelines by discussing their developmental background,the designation process,usage recommendations,and the interpretation of evolving perspectives,thereby providing valuable insights for clinical practice.展开更多
Objective:To explore the effects of high-quality nursing intervention on negative emotions and quality of life in gynecological patients after laparoscopy.Methods:A total of 132 gynecological patients after laparoscop...Objective:To explore the effects of high-quality nursing intervention on negative emotions and quality of life in gynecological patients after laparoscopy.Methods:A total of 132 gynecological patients after laparoscopy were randomly divided into an observation group(n=66)and a control group(n=66)in a prospective study.The con-trol group received routine nursing care,while the observation group received high-quality nursing intervention.Anxiety,depression,quality of life,postoperative pain,self-care ability,and patient satisfaction were compared between the two groups.Results:The Self-Rating Anxiety Scale and Self-Rating Depression Scale scores were sig-nificantly lower in the observation group compared to the control group(both P<0.001).Pain scores at 6,24,48,and 72 hours post-surgery were also lower in the observation group(all P<0.001).The observation group showed significantly higher scores in physical function,general health,social function,emotional role,and mental health(all P<0.001).Furthermore,the observation group demonstrated better self-care skills,self-concept,self-care responsibility,and health knowledge(all P<0.001).Nursing satisfaction during hospitalization was significantly higher in the observation group than in the control group(P<0.05).Conclusion:High-quality nursing intervention is effective in improving depression,anxiety,postoperative pain,and quality of life in gynecological patients after laparoscopy.It also enhances self-care ability and patient satisfaction,making it worthy of clinical promotion and application.展开更多
BACKGROUND Implementing nursing interventions in patients undergoing endoscopic treatment for intestinal polyps and early stage cancer can serve as a reference for reducing the incidence of complications,accelerating ...BACKGROUND Implementing nursing interventions in patients undergoing endoscopic treatment for intestinal polyps and early stage cancer can serve as a reference for reducing the incidence of complications,accelerating the recovery process,and improving the quality of life.AIM To impact of systematic nursing intervention on recovery,complications prevention,and quality of life after endoscopic surgery for intestinal polyps.METHODS This retrospective study included 157 patients who underwent endoscopic mucosal resection or endoscopic submucosal dissection at our hospital.The patients were divided into intervention and conventional groups,with no significant differences in age,sex,or surgical methods.The intervention group received multidimensional nursing interventions,including preoperative evaluation,intraoperative cooperation,postoperative rehabilitation,psychological support and nutritional management.The conventional group received standardized care.Clinical efficacy,inflammation and infection indicators,complication rates,rehabilitation indicators,and visual analog scale(VAS)scores were compared.RESULTS On the 7th day after surgery,C-reactive protein(CRP)and white blood cell levels were lower in the intervention group than in the conventional group.Complications occurred in 9.33%of the patients in the intervention group and 23.17%in the conventional group,with significant differences in fever and abdominal distension.The intervention group had shorter first exhaust and hospitalization durations than the control group.By day 3 post-surgery,the intervention group showed lower VAS scores and reduced anxiety and depression.High-risk factors included diabetes[relative risk(RR)=2.43,95%CI:1.21-4.86],laparotomy(RR=2.86,95%CI:1.22-6.71),CRP>15 mg/L(RR=3.12,95%CI:1.54-6.33),and procalcitonin>0.5 ng/mL 1 day after surgery(RR=2.91.95%CI:1.31-6.44),while systematic nursing interventions(OR=0.40,95%CI:0.18-0.89)reduced the complication risk by 60%.CONCLUSION Multidimensional nursing interventions have clinical value in endoscopic treatment of intestinal polyps and early stage cancer,reducing complications and hospital stay.This study provides a basis for establishing patientcentered guidelines.展开更多
BACKGROUND Patients with postoperative severe acute pancreatitis(SAP)in the intensive care unit(ICU)face complex challenges arising from physiological and microenvironmental imbalances,psychological stress,and the int...BACKGROUND Patients with postoperative severe acute pancreatitis(SAP)in the intensive care unit(ICU)face complex challenges arising from physiological and microenvironmental imbalances,psychological stress,and the interaction of multiple environmental factors.Traditional nursing models inadequately address this integrated microenvironment,highlighting the need for microenvironment theory-based nursing interventions to optimize outcomes.AIM To evaluate the impact of a microenvironment theory-based nursing intervention model on the prognosis of patients with postoperative SAP in the ICU.METHODS Between January 2022 and December 2024,106 patients with SAP who were admitted to ICU of the Fourth Affiliated Hospital of Soochow University(Suzhou Dushu Lake Hospital)were randomly assigned to two groups:(1)A control group(n=53,routine care);and(2)An observation group(n=53,routine care plus microenvironment theory-based nursing).Postoperative recovery,psychological distress,disease severity,and complication rates were compared between groups.RESULTS The observation group had significantly shorter postoperative flatus,defecation,and hospital stay compared with the control group(P<0.05).The Hamilton Depression Rating Scale(17-item)and Hamilton Anxiety Rating Scale(14-item)scores in the observation group were significantly lower than those in the control group(P<0.05).The observation group had a lower Acute Physiology and Chronic Health Evaluation II score(P<0.05)compared with the control group.The postoperative complication rates were 5.66%(3/53)and 18.87%(10/53)in the observation group and control group,respectively(P<0.05).CONCLUSION In patients with SAP,the microenvironment theory-based nursing intervention model facilitated postoperative recovery,alleviated depression and anxiety,reduced disease severity,and decreased postoperative complications.展开更多
Objectives:To compare the frequency of passing scores of nursing students participating in objective structured clinical examination(OSCE)by 4 methods of fixed score,Angoff,yes/no Angoff,and 3-level Angoff.The OSCE is...Objectives:To compare the frequency of passing scores of nursing students participating in objective structured clinical examination(OSCE)by 4 methods of fixed score,Angoff,yes/no Angoff,and 3-level Angoff.The OSCE is a valid and reliable tool to evaluate the competency of nursing students.To have a fair judgment in OSCE,it is important to determine the standard setting.Methods:In this descriptive-analytical study,which was conducted in 2022,the 7-station OSCE scores and the passing rates of students were compared based on fixed score,Angoff,yes/no Angoff,and the 3-level Angoff by a panel of experts.The research population included nursing teachers(n=13)and nursing students(n=65).Due to the small number of participants,the number of samples in each of these 2 groups was equal to the total number of people in the research population.Results:Findings revealed that of the 13 nursing teachers who participated in the study,the majority were female and had a master’s degree.Among the 65 students taking part in OSCE,the majority were males.Results showed that the passing rate varied depending on the type of OSCE station and the standard-setting methods used.Differences in some cases were statistically significant(P<0.001).Conclusions:Findings suggest that the frequency of passing can vary depending on the method used.It is advisable to consider the average score from multiple methods to accurately determine the passing rate and achieve a more accurate acceptance rate.展开更多
This article summarizes the nursing experience with a patient who underwent resection of a lateral ventricle trigone meningioma via a contralateral interhemispheric approach.Key nursing measures included preoperative ...This article summarizes the nursing experience with a patient who underwent resection of a lateral ventricle trigone meningioma via a contralateral interhemispheric approach.Key nursing measures included preoperative health education and psychological care,baseline neurological assessment,and comprehensive physiological preparation.Postoperative care focused on intensive vital sign monitoring and support,comprehensive neurological evaluation and early rehabilitation,as well as a proactive strategy for preventing secondary epilepsy and controlling intracranial infection.Through active treatment and systematic nursing care,the patient achieved an uncomplicated recovery and was discharged on postoperative day 9.The successful implementation of these structured nursing interventions contributed to favorable postoperative outcomes,offering a valuable reference for the perioperative management of similar complex neurosurgical cases.展开更多
BACKGROUND Appendicitis is a common acute abdominal pain disorder.Laparoscopic appendectomy,a commonly used modality,is associated with less trauma and faster recovery than traditional open appendectomy.However,postop...BACKGROUND Appendicitis is a common acute abdominal pain disorder.Laparoscopic appendectomy,a commonly used modality,is associated with less trauma and faster recovery than traditional open appendectomy.However,postoperative recovery remains an important issue that affects rehabilitation quality and surgical results.AIM To explore the effects of rapid rehabilitation and surgical nursing care on gastrointestinal function recovery and sleep quality among patients undergoing laparoscopic appendectomy.METHODS A total of 120 patients who underwent laparoscopic appendectomy at our hospital between January 2019 and March 2024 and for whom complete clinical data were available were selected.Patients were randomly assigned to two groups(n=60 each)using the random number table method.The control group received routine nursing care,while the experimental group received rapid rehabilitation surgical nursing care;all patients continued to receive nursing care until discharge.The recovery of gastrointestinal function,length of hospital stay,complications,Pittsburgh sleep quality index,and nursing satisfaction were compared between groups.RESULTS Following the implementation of effective nursing measures,the times to bowel sound recovery,first exhaust,first defecation,and first feeding were notably shorter in the study vs control group(P<0.05).Additionally,the duration of the first postoperative activity and the length of hospital stay were significantly shorter in the study vs control group(P<0.05).Furthermore,the study group exhibited better sleep quality than the control group(P<0.05).The postoperative complication rate was significantly lower and the nursing satisfaction rate significantly higher in the study vs control group(P<0.05).CONCLUSION Rapid rehabilitation surgical nursing interventions provided to patients after laparoscopic appendectomy can accelerate their postoperative recovery,reduce the occurrence of complications,and improve their sleep quality and nursing satisfaction.展开更多
This study aims to clarify the conceptual characteristics of artifact utilization in nursing practice instruction. Five selected articles were analyzed using the concept analysis method by Walker and Avant. The attrib...This study aims to clarify the conceptual characteristics of artifact utilization in nursing practice instruction. Five selected articles were analyzed using the concept analysis method by Walker and Avant. The attributes, antecedents, and consequences of the concept were extracted from the target literature. The analysis revealed two attributes (“connecting people to people” and “connecting people to objects”);two antecedents (“recognition of artifacts” and “selection of artifacts”);and two consequences (“designing a fulfilling learning environment” and “improving the quality of education”). The concept was defined as “promoting the utilization of artifacts by recognizing and selecting them, connecting people to people and people to objects, designing a fulfilling learning environment, and improving the quality of education”.展开更多
基金Zhejiang Medical Science and Technology Plan Project(2019RC167).
文摘Objectives:This article aims to summarize a series of contingency management strategies of the Nursing Department in the centralized treatment of patients with coronavirus disease 2019(COVID-19).Methods:The strategies of the Nursing Department included an early warning for prevention and control,taking functions of vertically commanding and horizontally coordinating,and reasonably allocating nursing workforce,to facilitate centralized treatment work in the in-hospital fever clinic,isolation wards and ICU,and referral and admission of critical patients.Five special groups were established in charge of training and examination,management and supervision,psychological support,logistical support,and reporting and publicity,respectively.Results:It was achieved that no deaths from critical patients and no medical staff,no other patients were infected.Conclusion:Through the implementation of these strategies,safe and efficient centralized treatment was ensured timely,orderly and sustainably.
文摘Objectives:This study employed evidence mapping to systematically evaluate clinical practice guidelines(CPGs)for neurogenic bladder(NB)care.We aimed to identify research trends,evidence gaps,and consensus patterns to inform evidence-based nursing practices and support the formulation of highquality CPGs.Methods:A systematic search of electronic databases and guideline repositories was conducted,included PubMed,Web of Science,Embase,Guidelines International Network(GIN),ect.Eligible NB guidelines underwent dual-researcher screening and extraction,and methodological and recommendation quality were assessed using the Appraisal of Guidelines for Research and Evaluation II(AGREE II)and Evaluation-Recommendations Excellence(AGREE-REX)instruments.Five researchers independently evaluated recommendation specificity,evidence grading systems,and implementation consistency.Discrepancies were resolved through consensus discussion or third-party arbitration.Results:Analysis of 19 CPGs(2006–2023)from 11 countries/regions revealed that 78.95%(15/19)incorporated evidence grading systems and 68.42%(13/19)specifiedrecommendation strength.The AGREE II evaluation identifiedcritical methodological deficiencies,with three domains scoring below the acceptable thresholds:Rigor of Development(41.70%),Editorial Independence(43.30%),and Applicability(30.00%).The AGREE-REX results showed moderate performance in Clinical Applicability(55.56%)and implantability(41.67%)but severe gaps in Values and Preferences(25.00%).A systematic synthesis identified40 recommendations:90%(36/40)demonstrated consensus and 10%(4/40)contradictions.These studies addressed the following six clinical themes:1)nursing assessment,2)manipulation-assisted voiding,3)behavioral therapy,4)intermittent catheterization,5)indwelling catheterization,and 6)other therapies.Conclusions:The methodologies and recommendations of the CPGs for NB in nursing demonstrated substantial variability.Therefore,there is an urgent need to improve the quality of the NB-related CPGs.More in-depth research and timely updates are required to enhance the practical utility of CPGs and narrow the gap between CPGs and clinical practice.
文摘To the Editor,As nurse educators and researchers,we have witnessed significant digital transformations within the healthcare sector.The expansion of data ecosystems and artificial intelligence(AI)has played a crucial role in these developments.[1]These healthcare transformations have led to enhanced diagnosis and treatment modalities,enriched health research,advancements in medication development,and improved management of health systems.
文摘As an appropriate technique in Traditional Chinese Medicine nursing,intradermal acupuncture involves inserting a small needle into the skin at an acupoint or within the skin to treat diseases.This fully embodies the characteristics of Traditional Chinese Medicine nursing techniques:simplicity,convenience,affordability,and effectiveness.Currently,intradermal acupuncture has been widely used in clinical practice.This paper introduces the history,mechanism of action,and principle of acupoint selection of intradermal acupuncture and summarizes the application of intradermal acupuncture in common internal medicine diseases to promote their dissemination and use.
文摘BACKGROUND Radical gastrectomy(RGE)for gastric carcinoma(GC)has exerted definite therapeutic efficacy in treating patients with GC.However,a notable risk of postoperative complications(POCs)persists among middle-aged and elderly patients with compromised physiological functions.Hence,developing and implementing reliable nursing interventions to optimize the comprehensive management of these patients is deemed imperative.AIM To analyze the association of multi-channel continuous nursing intervention with POCs,negative emotions(NEs),and quality of life(QoL)of patients undergoing RGE for GC.METHODS This retrospective study selected 99 patients who underwent RGE for GC in our hospital from May 2020 to May 2023.Participants were categorized into the control(n=49 cases)and research groups(n=50 cases)receiving routine and multi-channel continuous nursing care,respectively.Comparative analysis involved data on postoperative rehabilitation(time to first anal exhaust,oral feeding and ambulation,and hospital stay),complications(nausea and vomiting,delayed gastric emptying,and abdominal distension),NEs[Self-rating Anxiety(SAS)/Depression Scale(SDS)],treatment compliance,self-efficacy,and QoL[World Health Organization QoL Brief Version(WHOQOL-BREF)].RESULTS Compared to the control group,the research group demonstrated earlier first postoperative anal exhaust,oral feeding,and ambulation,shorter hospital stay,lower POC rate,and more reduced SAS and SDS scores postintervention,which was significantly lower than the baseline.The treatment compliance scores were significantly higher in the research group than in the control group in terms of medication adherence,daily exercise,reasonable diet,and regular review.Further,the research group demonstrated increased self-efficacy scores in terms of positive attitude,self-stress relief,and self-decision-making,as well as the overall score postintervention,which were higher than the control group.Moreover,the research group reported notably higher WHOQOL-BREF scores in domains such as physiology,psychology,social relations,and environment.CONCLUSION Multi-channel continuous nursing intervention prevents POCs in patients undergoing RGE for GC as well as significantly alleviates patients’NEs and boosts their QoL.
基金Supported by 2024 Basic Research and Applied Basic Research Project in Neijiang City(2024 NJJCYJZZXR001)。
文摘[Objectives]To explore the effectiveness of integrating ideological and political education based on the Nightingale spirit into the clinical practice curriculum for nursing interns.[Methods]A total of 90 questionnaires were distributed and analyzed among nursing interns and patients to evaluate multiple dimensions,including the interns satisfaction with the internship,mastery of clinical knowledge,ideological and political literacy,professional ethics,and social responsibility.[Results]The overall internship satisfaction of nursing interns reached 98.9%,indicating that the course design and teaching model were widely recognized by students.Secondly,the interns demonstrated excellent mastery of clinical knowledge,with 94.0%of students stating they had fully grasped the clinical knowledge taught during the internship,an increase of 18.6%compared to the previous cohort.In terms of ideological and political literacy,98%of students had a better understanding and application of the Nightingale spirit,an increase of 16.2%compared to the previous cohort.Additionally,the sense of professional identity was significantly enhanced,with 95.8%of students showing a stronger sense of identity and responsibility towards the nursing profession,an increase of 14.0%compared to the previous cohort.Patients also gave high evaluations of the interns performance,with 98.8%expressing satisfaction with the students attitude and performance in nursing care.[Conclusions]The curriculum model based on the integration of Nightingale spirit has effectively improved the professional quality,ideological and political quality and professional identity of nursing interns,and has been highly recognized by patients.It not only provides strong support for the practice of combining ideological and political work with professional courses in nursing education,but also provides a reference for the optimization of clinical practice teaching mode of nursing interns in the future.
基金Supported by the Zhejiang Provincial Science and Technology Plan for Traditional Chinese Medicine,No.2025ZL594Municipal-Level Science and Technology Plan Project of Zhejiang Province,No.2023ZD039.
文摘BACKGROUND Diabetic foot ulcers(DFUs)present a significant healthcare challenge attributable to their high rates of disability and the limitations of applied traditional nursing approaches.Effective management is critical for uneventful health outcomes.AIM To investigate the effects of multidisciplinary team(MDT)nursing interventions and blood glucose control on the negative emotions and satisfaction of DFUhealing patients.METHODS This retrospective cohort study included 115 patients with DFUs,divided into MDT and blood glucose control intervention group(n=60)and standard care control group(n=55).The comparison factors were wound area,new granulation tissue coverage area,wound healing rate,2-hour postprandial blood glucose level,fasting plasma glucose level,Hamilton Anxiety Scale score,Hamilton Depression Scale score,and nursing satisfaction.RESULTS After 4 weeks,the average wound area reduced from 22.04±6.48 cm^(2)to 11.96±3.63 cm^(2)(P<0.05).New granulation tissue coverage area reached 52.85±18.39 cm^(2) for the intervention group and 28.39±9.94 cm^(2)(P<0.05)in the control group,respectively.The healing rate was significantly higher in the intervention group than in the control group(91.7%vs 76.4%,P<0.05).Fasting plasma glucose decreased more sharply in the intervention group(from 8.36±0.98 mmol/L to 6.91±1.23 mmol/L)than in the control group(8.41±1.05 mmol/L to 7.81±1.27 mmol/L),with the intervention group maintaining significantly lower levels(P<0.05).The intervention group demonstrated a significantly greater reduction in 2-hour postprandial blood glucose levels(11.35±2.67 mmol/L to 7.52±1.38 mmol/L)compared to the control group(11.61±3.01 mmol/L to 8.72±1.63 mmol/L;P<0.05).Hamilton Anxiety Scale and Hamilton Depression Scale scores were significantly lower in the intervention group(P<0.05).Patient satisfaction with nursing was 93.33%and 74.55%in the intervention and control groups,respectively(P<0.05).CONCLUSION MDT combined with blood glucose control enhanced healing rates and positively influenced emotional well-being and satisfaction among patients.This strategy holds potential for application in clinical practice.
文摘Objective:To translate and adapt the dementia knowledge assessment scale(DKAS)into Sinhala version and to evaluate its psychometric properties among nursing students.Methods:A cross-sectional validation study was conducted in two phases:(i)translation and adaptation and(ii)evaluating psychometric properties(N=394 nursing students).Results:The DKAS was adapted to the Sinhala(Si-DKAS)version,and the content validity index(CVI=0.9)was satisfactory.Exploratory factor analysis(EFA)and confirmatory factor analysis(CFA)resulted in an 18-item Si-DKAS with a four-factor model:“care considerations,”“causes and characteristics of dementia,”“health promotion,”and“misconceptions about dementia.”The model fit indices were suboptimal(comparative fix index[CFI]=0.809 and Turker-Lewis index[TLI]=0.773),and some indices were acceptable(standardized root-mean-squared residual[SRMR]=0.040 and root-mean-squared error of approximation[RMSEA]=0.053).Internal consistency(0.7)and test-retest correlation(0.9)were acceptable.Discriminant validity was confirmed by knowledge score differences based on academic years.Conclusions:This is a valid and reliable tool for assessing knowledge of dementia among Sinhala-speaking nursing students.
基金Kunming Health Science and Technology Talent Cultivation Project(Project No.:2023-Cultivation Category-00)Health Research Project of Kunming Municipal Health Commission(Project No.:2022-14-04-006)。
文摘Objective:This study aims to analyze the research hotspots and trends in nursing care for children with Kawasaki disease.Methods:The study utilized the CiteSpace 6.1.R6 software to visualize nursing-related research on Kawasaki disease in children,drawing from articles published in the CNKI and Web of Science core collection databases from January 1,2014,to January 1,2024.Key analysis components included authors,institutions,and keywords,supported by the creation of a corresponding knowledge map.Results:Literature Publications:Over the past decade,the analysis encompassed a total of 309 Chinese articles on nursing care for children with Kawasaki disease,with an average annual publication rate of 30.9 articles.Additionally,251 foreign language articles were scrutinized,exhibiting an average annual publication rate of 25.1 articles.Author and Institution Analysis:In Chinese literature,the notable figure of Huang Rimei emerged as a prolific author,with the Children's Hospital Affiliated with Zhengzhou University standing out as a high-yielding institution.Conversely,in English literature,the prolific authors Burns and Jane C were prominent,alongside the University of California,San Diego,which emerged as a high-yielding institution.Keyword and Research Hotspots Analysis:The focal points of research in Chinese literature revolved around continuous nursing,cardiovascular complications,clinical nursing pathways,rehabilitation effects,holistic nursing,and gamma globulin.Conversely,English literature emphasized research hotspots such as cardiovascular complications,treatment modalities,diagnostic approaches,long-term management strategies,gamma globulin therapy,steroid pulse therapy,and pediatric multisystem inflammatory syndrome.Conclusions:The quantity of Chinese literature concerning nursing care for children with Kawasaki disease appears comparatively scant,underscored by an uneven distribution of issuing institutions and a lack of influence.To address this,future endeavors should prioritize bolstering collaboration across diverse regions and institutions,conducting multi-center,cross-regional research,implementing clinical nursing pathways,and augmenting the continuity of care.Conversely,the upsurge in English literature publications regarding nursing care for children with Kawasaki disease signals a burgeoning interest,primarily concentrated on treatment modalities.This trend advocates for the integration of medical and nursing care and emphasizes the importance of remaining abreast of advancements in managing Kawasaki disease in children.
文摘BACKGROUND Given their responsibility for the well-being of individuals,nurses with advanced mental health literacy,along with strong holistic nursing competencies and professional self-efficacy,are better equipped to assess both the mental and physical health of their patients,leading to the provision of holistic nursing care.AIM To investigate the relationship between nurses’mental health literacy levels and their holistic nursing competencies,as well as their nursing professional selfefficacy.METHODS This study is cross-sectional,correlational research.The study sample consisted of a total of 261 volunteer nurses working in a training and research hospital and a state hospital between March 11,2024 and April 8,2024.Data were collected face to face with the“Descriptive Data Form”,“Mental Health Literacy Scale(MHLS)”,“Holistic Nursing Competence Scale(HNCS)”,and the“Nursing Profession Self-Efficacy Scale(NPSES)”.RESULTS The mean scale scores for the nurses were as follows:MHLS:95.88±11.67;HNCS:179.46±33.82;NPSES:64.79±11.24.A low-level positive correlation was found between the total scores of the MHLS,HNCS,and NPSES,and a moderate-level positive correlation was observed between the total scores of the HNCS and NPSES.These correlations were statistically significant(P<0.05).CONCLUSION It is recommended that initiatives be undertaken to enhance the mental health literacy and holistic nursing competencies of nurses and that similar studies be conducted with nurses in different institutions and with a larger number of nurses.
基金Supported by Tianjin Key Medical Discipline(Specialty)Construction Project,No.TJYXZDXK-033A。
文摘BACKGROUND Patients with schizophrenia may lack awareness of the importance of posttracheotomy care due to the impact of their condition,often showing resistance or misunderstanding of care measures.When coupled with the impact of negative symptoms and the risk of complications after tracheotomy,patients may experience emotional fluctuations,restlessness,anxiety,and hostile behaviors,which pose significant challenges to nursing work.CASE SUMMARY We have reported the case of an 87-year-old male patient who was admitted to the hospital because of negative symptoms of schizophrenia and who underwent tracheotomy for severe pneumonia.In this study,we have summarized the nursing experience of a patient with negative symptoms of schizophrenia who underwent tracheotomy.The key nursing strategies included proper tracheotomy care,the management of psychiatric symptoms,a thorough assessment and implementation of enteral and parenteral nutrition,effective skincare,infection prevention,and comprehensive mental care.Individualized nursing skills helped stabilize the patient’s condition,followed by isolation and observation in a psychiatric hospital.CONCLUSION Effective postoperative tracheostomy care in patients with schizophrenia necessitates a tailored,multidisciplinary approach that addresses their psychiatric,physical,and emotional needs to achieve optimal clinical outcomes.
基金Supported by the Second Nursing Research Project of the Humanities Nursing Professional Committee,No.RW2024PY03the Open Project of Suzhou Key Laboratory of Elderly Smart Nursing and Health Care in 2024.
文摘BACKGROUND Depression is a common psychological disorder often associated with genetic,neurobiological,and psychosocial factors.This condition is characterized by low mood and decreased conscious activity and can lead to severe consequences such as suicidal thoughts.Respiratory failure,a disorder of pulmonary ventilation and gas exchange,is frequently complicated by depression,aggravating the condition and creating complications in treatment.Patients with both conditions tend to exhibit poor compliance with medical advice,resulting in adverse outcomes such as sleep disorders,arrhythmias,and electrolyte imbalances.Therefore,effective nursing interventions are crucial for improving patient outcomes.While routine nursing care can provide basic support,dedicated nursing,which involves specialized and personalized care by highly trained professionals,may offer additional benefits.AIM To examine the effect of dedicated nursing intervention on medical advice compliance and adverse event incidence in patients with depression complicated by respiratory failure.METHODS A total of 160 patients with depression complicated by respiratory failure admitted to the Second Affiliated Hospital of Soochow University from January to December 2024 were randomly categorized into a control group(n=80)receiving routine nursing care and observation group(n=80)receiving routine nursing combined with dedicated nursing care.The establishment of a specialized nursing team;the development of a personalized nursing plan;and the implementation of comprehensive care strategies targeting emotional support,sleep improvement,pulmonary function enhancement,and adherence to medical advice were included in the dedicated nursing intervention.Emotional state[evaluated using the Self-Rating Depression Scale(SDS)],sleep quality[assessed using the Pittsburgh Sleep Quality Index(PSQI)],hope level[measured using the Herth Hope Scale(HHS)],pulmonary function[comprising forced vital capacity(FVC)and forced expiratory volume in the first second(FEV1)],exercise endurance[6-minute walk distance test(6MWD)],compliance with medical advice,and incidence of adverse events were compared between the two groups.RESULTS No significant differences were observed in SDS,PSQI,HHS,FVC,FEV1,6MWD,or compliance with medical advice between the two groups(P>0.05)before the intervention.However,after the intervention,the control group exhibited significantly lower SDS and PSQI scores;higher HHS scores;greater improvements in FVC,FEV1,and 6MWD;and higher compliance with medical advice compared with the control group(P<0.05).In addition,the incidence of adverse events was significantly lower in the control group(P<0.05).CONCLUSION Dedicated nursing intervention significantly improves emotional state,sleep quality,hope level,pulmonary function,exercise endurance,and compliance with medical advice while reducing adverse events in patients with depression complicated by respiratory failure.Therefore,dedicated nursing appears to be an effective approach to enhance patient outcomes in this population.
文摘The Interpretation of Nursing Guidelines for Intravenous Thrombolysis in Acute Ischemic Stroke offers comprehensive recommendations across five key domains:hospital organizational management,patient condition monitoring,complication observation and management,positioning and mobility away from the bed,and quality assurance.These Guidelines encompass all the phases of intravenous thrombolysis care for patients experiencing acute ischemic stroke.This article aims to elucidate the Guidelines by discussing their developmental background,the designation process,usage recommendations,and the interpretation of evolving perspectives,thereby providing valuable insights for clinical practice.
文摘Objective:To explore the effects of high-quality nursing intervention on negative emotions and quality of life in gynecological patients after laparoscopy.Methods:A total of 132 gynecological patients after laparoscopy were randomly divided into an observation group(n=66)and a control group(n=66)in a prospective study.The con-trol group received routine nursing care,while the observation group received high-quality nursing intervention.Anxiety,depression,quality of life,postoperative pain,self-care ability,and patient satisfaction were compared between the two groups.Results:The Self-Rating Anxiety Scale and Self-Rating Depression Scale scores were sig-nificantly lower in the observation group compared to the control group(both P<0.001).Pain scores at 6,24,48,and 72 hours post-surgery were also lower in the observation group(all P<0.001).The observation group showed significantly higher scores in physical function,general health,social function,emotional role,and mental health(all P<0.001).Furthermore,the observation group demonstrated better self-care skills,self-concept,self-care responsibility,and health knowledge(all P<0.001).Nursing satisfaction during hospitalization was significantly higher in the observation group than in the control group(P<0.05).Conclusion:High-quality nursing intervention is effective in improving depression,anxiety,postoperative pain,and quality of life in gynecological patients after laparoscopy.It also enhances self-care ability and patient satisfaction,making it worthy of clinical promotion and application.
文摘BACKGROUND Implementing nursing interventions in patients undergoing endoscopic treatment for intestinal polyps and early stage cancer can serve as a reference for reducing the incidence of complications,accelerating the recovery process,and improving the quality of life.AIM To impact of systematic nursing intervention on recovery,complications prevention,and quality of life after endoscopic surgery for intestinal polyps.METHODS This retrospective study included 157 patients who underwent endoscopic mucosal resection or endoscopic submucosal dissection at our hospital.The patients were divided into intervention and conventional groups,with no significant differences in age,sex,or surgical methods.The intervention group received multidimensional nursing interventions,including preoperative evaluation,intraoperative cooperation,postoperative rehabilitation,psychological support and nutritional management.The conventional group received standardized care.Clinical efficacy,inflammation and infection indicators,complication rates,rehabilitation indicators,and visual analog scale(VAS)scores were compared.RESULTS On the 7th day after surgery,C-reactive protein(CRP)and white blood cell levels were lower in the intervention group than in the conventional group.Complications occurred in 9.33%of the patients in the intervention group and 23.17%in the conventional group,with significant differences in fever and abdominal distension.The intervention group had shorter first exhaust and hospitalization durations than the control group.By day 3 post-surgery,the intervention group showed lower VAS scores and reduced anxiety and depression.High-risk factors included diabetes[relative risk(RR)=2.43,95%CI:1.21-4.86],laparotomy(RR=2.86,95%CI:1.22-6.71),CRP>15 mg/L(RR=3.12,95%CI:1.54-6.33),and procalcitonin>0.5 ng/mL 1 day after surgery(RR=2.91.95%CI:1.31-6.44),while systematic nursing interventions(OR=0.40,95%CI:0.18-0.89)reduced the complication risk by 60%.CONCLUSION Multidimensional nursing interventions have clinical value in endoscopic treatment of intestinal polyps and early stage cancer,reducing complications and hospital stay.This study provides a basis for establishing patientcentered guidelines.
文摘BACKGROUND Patients with postoperative severe acute pancreatitis(SAP)in the intensive care unit(ICU)face complex challenges arising from physiological and microenvironmental imbalances,psychological stress,and the interaction of multiple environmental factors.Traditional nursing models inadequately address this integrated microenvironment,highlighting the need for microenvironment theory-based nursing interventions to optimize outcomes.AIM To evaluate the impact of a microenvironment theory-based nursing intervention model on the prognosis of patients with postoperative SAP in the ICU.METHODS Between January 2022 and December 2024,106 patients with SAP who were admitted to ICU of the Fourth Affiliated Hospital of Soochow University(Suzhou Dushu Lake Hospital)were randomly assigned to two groups:(1)A control group(n=53,routine care);and(2)An observation group(n=53,routine care plus microenvironment theory-based nursing).Postoperative recovery,psychological distress,disease severity,and complication rates were compared between groups.RESULTS The observation group had significantly shorter postoperative flatus,defecation,and hospital stay compared with the control group(P<0.05).The Hamilton Depression Rating Scale(17-item)and Hamilton Anxiety Rating Scale(14-item)scores in the observation group were significantly lower than those in the control group(P<0.05).The observation group had a lower Acute Physiology and Chronic Health Evaluation II score(P<0.05)compared with the control group.The postoperative complication rates were 5.66%(3/53)and 18.87%(10/53)in the observation group and control group,respectively(P<0.05).CONCLUSION In patients with SAP,the microenvironment theory-based nursing intervention model facilitated postoperative recovery,alleviated depression and anxiety,reduced disease severity,and decreased postoperative complications.
基金supported by vice-chancellery for research of Bushehr University and the National Agency for Strategic Research in Medical Sciences Education(NASR)of Tehran(Code:4010071).
文摘Objectives:To compare the frequency of passing scores of nursing students participating in objective structured clinical examination(OSCE)by 4 methods of fixed score,Angoff,yes/no Angoff,and 3-level Angoff.The OSCE is a valid and reliable tool to evaluate the competency of nursing students.To have a fair judgment in OSCE,it is important to determine the standard setting.Methods:In this descriptive-analytical study,which was conducted in 2022,the 7-station OSCE scores and the passing rates of students were compared based on fixed score,Angoff,yes/no Angoff,and the 3-level Angoff by a panel of experts.The research population included nursing teachers(n=13)and nursing students(n=65).Due to the small number of participants,the number of samples in each of these 2 groups was equal to the total number of people in the research population.Results:Findings revealed that of the 13 nursing teachers who participated in the study,the majority were female and had a master’s degree.Among the 65 students taking part in OSCE,the majority were males.Results showed that the passing rate varied depending on the type of OSCE station and the standard-setting methods used.Differences in some cases were statistically significant(P<0.001).Conclusions:Findings suggest that the frequency of passing can vary depending on the method used.It is advisable to consider the average score from multiple methods to accurately determine the passing rate and achieve a more accurate acceptance rate.
文摘This article summarizes the nursing experience with a patient who underwent resection of a lateral ventricle trigone meningioma via a contralateral interhemispheric approach.Key nursing measures included preoperative health education and psychological care,baseline neurological assessment,and comprehensive physiological preparation.Postoperative care focused on intensive vital sign monitoring and support,comprehensive neurological evaluation and early rehabilitation,as well as a proactive strategy for preventing secondary epilepsy and controlling intracranial infection.Through active treatment and systematic nursing care,the patient achieved an uncomplicated recovery and was discharged on postoperative day 9.The successful implementation of these structured nursing interventions contributed to favorable postoperative outcomes,offering a valuable reference for the perioperative management of similar complex neurosurgical cases.
文摘BACKGROUND Appendicitis is a common acute abdominal pain disorder.Laparoscopic appendectomy,a commonly used modality,is associated with less trauma and faster recovery than traditional open appendectomy.However,postoperative recovery remains an important issue that affects rehabilitation quality and surgical results.AIM To explore the effects of rapid rehabilitation and surgical nursing care on gastrointestinal function recovery and sleep quality among patients undergoing laparoscopic appendectomy.METHODS A total of 120 patients who underwent laparoscopic appendectomy at our hospital between January 2019 and March 2024 and for whom complete clinical data were available were selected.Patients were randomly assigned to two groups(n=60 each)using the random number table method.The control group received routine nursing care,while the experimental group received rapid rehabilitation surgical nursing care;all patients continued to receive nursing care until discharge.The recovery of gastrointestinal function,length of hospital stay,complications,Pittsburgh sleep quality index,and nursing satisfaction were compared between groups.RESULTS Following the implementation of effective nursing measures,the times to bowel sound recovery,first exhaust,first defecation,and first feeding were notably shorter in the study vs control group(P<0.05).Additionally,the duration of the first postoperative activity and the length of hospital stay were significantly shorter in the study vs control group(P<0.05).Furthermore,the study group exhibited better sleep quality than the control group(P<0.05).The postoperative complication rate was significantly lower and the nursing satisfaction rate significantly higher in the study vs control group(P<0.05).CONCLUSION Rapid rehabilitation surgical nursing interventions provided to patients after laparoscopic appendectomy can accelerate their postoperative recovery,reduce the occurrence of complications,and improve their sleep quality and nursing satisfaction.
文摘This study aims to clarify the conceptual characteristics of artifact utilization in nursing practice instruction. Five selected articles were analyzed using the concept analysis method by Walker and Avant. The attributes, antecedents, and consequences of the concept were extracted from the target literature. The analysis revealed two attributes (“connecting people to people” and “connecting people to objects”);two antecedents (“recognition of artifacts” and “selection of artifacts”);and two consequences (“designing a fulfilling learning environment” and “improving the quality of education”). The concept was defined as “promoting the utilization of artifacts by recognizing and selecting them, connecting people to people and people to objects, designing a fulfilling learning environment, and improving the quality of education”.
