Optimization of nursing interventions for postoperative mental status recovery in patients with cerebral hemorrhage

BACKGROUND Hypertensive cerebral hemorrhage(HCH),the most common chronic diseases,has become a topic of global public health discussions.AIM To investigate the role of rehabilitative nursing interventions in optimizing the postoperative mental status recovery phase and to provide clinical value for future rehabilitation of patients with HCH.METHODS This randomized controlled study included 120 patients with cerebral HCH who were contained to our neurosurgery department between May 2021–May 2023 as the participants.The participants have randomly sampled and grouped into the observation and control groups.The observation group received the rehabilitation nursing model,whereas the control group have given conventional nursing.The conscious state of the patients was assessed at 7,14,21,and 30 d postoperatively.After one month of care,sleep quality,anxiety,and depression were compared between the two groups.Patient and family satisfaction were assessed using a nursing care model.RESULTS The results showed that the state of consciousness scores of the patients in both groups significantly increased(P<0.05)after surgical treatment.From the 14th day onwards,differences in the state of consciousness scores between the two groups of patients began to appear(P<0.05).After one month of care,the sleep quality,anxiety state,and depression state of patients were significantly better in the observation group than in the control group(P<0.05).Satisfaction with nursing care was higher in the observation group than in the control group(P<0.05).CONCLUSION The rehabilitation nursing model has a more complete system compared to conventional nursing,which can effectively improve the postoperative quality of life of patients with cerebral hemorrhage and improve the efficiency of mental state recovery;however,further analysis and research are needed to provide more scientific evidence.

Impact of Optimizing Emergency Nursing Processes on Resuscitation Success in Patients with Acute Chest Pain

Objective:To analyze the effect of optimizing the emergency nursing process in the resuscitation of patients with acute chest pain and the impact on the resuscitation success rate.Methods:66 patients with acute chest pain received by the emergency department of our hospital from January 2022 to December 2023 were selected as the study subjects and divided into two groups according to the differences in the emergency nursing process,i.e.,33 patients receiving routine emergency care were included in the control group,and 33 patients receiving the optimization of emergency nursing process intervention were included in the observation group.Patients’resuscitation effect and satisfaction with nursing care in the two groups were compared.Results:The observation group’s consultation assessment time,reception time,admission to the start of resuscitation time,and resuscitation time were shorter than that of the control group,the resuscitation success rate was higher than that of the control group,and the incidence of adverse events was lower than that of the control group,with statistically significant differences(P<0.05);and the observation group’s satisfaction with nursing care was higher than that of the control group,with statistically significant differences(P<0.05).Conclusion:Optimization of emergency nursing process intervention in the resuscitation of acute chest pain patients can greatly shorten the rescue time and improve the success rate of resuscitation,with higher patient satisfaction.

Whole-process case management effects on mental state and selfcare ability in patients with liver cancer

BACKGROUND Regarding the incidence of malignant tumors in China,the incidence of liver cancer ranks fourth,second only to lung,gastric,and esophageal cancers.The case fatality rate ranks third after lung and cervical cancer.In a previous study,the whole-process management model was applied to patients with breast cancer,which effectively reduced their negative emotions and improved treatment adherence and nursing satisfaction.METHODS In this single-center,randomized,controlled study,60 randomly selected patients with liver cancer who had been admitted to our hospital from January 2021 to January 2022 were randomly divided into an observation group(n=30),who received whole-process case management on the basis of routine nursing mea-sures,and a control group(n=30),who were given routine nursing measures.We compared differences between the two groups in terms of anxiety,depression,the level of hope,self-care ability,symptom distress,sleep quality,and quality of life.RESULTS Post-intervention,Hamilton anxiety scale,Hamilton depression scale,memory symptom assessment scale,and Pittsburgh sleep quality index scores in both groups were lower than those pre-intervention,and the observation group had lower scores than the control group(P<0.05).Herth hope index,self-care ability assessment scale-revision in Chinese,and quality of life measurement scale for patients with liver cancer scores in both groups were higher than those pre-intervention,with higher scores in the observation group compared with the control group(P<0.05).CONCLUSION Whole-process case management can effectively reduce anxiety and depression in patients with liver cancer,alleviate symptoms and problems,and improve the level of hope,self-care ability,sleep quality,and quality of life,as well as provide feasible nursing alternatives for patients with liver cancer.

Whole-Process Pollution Control for Cost-Effective and Cleaner Chemical Production A Case Study of the Tungsten Industry in China

In this research,a methodology named whole-process pollution control(WPPC)is demonstrated that improves the effectiveness of process optimization.This methodology considers waste/emission treatment as a step of the whole production process with respect to the minimization of cost and environmental impact for the whole process.The following procedures are introduced in a WPPC process optimization:①a material and energy flow investigation and optimization based on a systematic understanding of the distribution and physiochemical properties of potential pollutants;②a process optimization to increase the utilization efficiency of different elements and minimize pollutant emissions;and③an evaluation to reveal the effectiveness of the optimization strategies.The production of ammonium paratungstate was chosen for the case study.Two factors of the different optimization schemes-namely the cost-effectiveness factor and the environmental impact indicator-were evaluated and compared.This research demonstrates that by considering the nature of potential pollutants,technological innovations,economic viability,environmental impacts,and regulation requirements,WPPC can efficiently optimize a metal production process.

Dynamic Optimization of Caregiver Schedules Based on Vital Sign Streams

Hospital facilities use a collection of heterogeneous devices, produced by many different vendors, to monitor the state of patient vital signs. The limited interoperability of current devices makes it difficult to synthesize multivariate monitoring data into a unified array of real-time information regarding the patients state. Without an infrastructure for the integrated evaluation, display, and storage of vital sign data, one cannot adequately ensure that the assignment of caregivers to patients reflects the relative urgency of patient needs. This is an especially serious issue in critical care units (CCUs). We present a formal mathematical model of an operational critical care unit, together with metrics for evaluating the systematic impact of caregiver scheduling decisions on patient care. The model is rich enough to capture the essential features of device and patient diversity, and so enables us to test the hypothesis that integration of vital sign data could realistically yield a significant positive impact on the efficacy of critical care delivery outcome. To test the hypothesis, we employ the model within a computer simulation. The simulation enables us to compare the current scheduling processes in widespread use within CCUs, against a new scheduling algorithm that makes use of an integrated array of patient information collected by an (anticipated) vital sign data integration infrastructure. The simulation study provides clear evidence that such an infrastructure reduces risk to patients and lowers operational costs, and in so doing reveals the inherent costs of medical device non-interoperability.

Annealing Harmony Search Algorithm to Solve the Nurse Rostering Problem

A real-life problem is the rostering of nurses at hospitals.It is a famous nondeterministic,polynomial time(NP)-hard combinatorial optimization problem.Handling the real-world nurse rostering problem(NRP)constraints in distributing workload equally between available nurses is still a difficult task to achieve.The international shortage of nurses,in addition to the spread of COVID-19,has made it more difficult to provide convenient rosters for nurses.Based on the literature,heuristic-based methods are the most commonly used methods to solve the NRP due to its computational complexity,especially for large rosters.Heuristic-based algorithms in general have problems striking the balance between diversification and intensification.Therefore,this paper aims to introduce a novel metaheuristic hybridization that combines the enhanced harmony search algorithm(EHSA)with the simulated annealing(SA)algorithm called the annealing harmony search algorithm(AHSA).The AHSA is used to solve NRP from a Malaysian hospital.The AHSA performance is compared to the EHSA,climbing harmony search algorithm(CHSA),deluge harmony search algorithm(DHSA),and harmony annealing search algorithm(HAS).The results show that the AHSA performs better than the other compared algorithms for all the tested instances where the best ever results reported for the UKMMC dataset.

Effect of Emergency Care Process Optimization on Rescue Efficiency of Emergency Patients

Objective: This paper discusses the impact of emergency care process optimization on the rescue efficiency of emergency patients. Methods: 102 cases of emergency patients received from January 2017 to February 2018 in our hospital were selected as research objects. According to the order of treatment, they were divided into control group and observation group. The routine nursing process was given to the control group, and the observation group was given an optimized nursing process to compare the rescue efficiency and nursing satisfaction of the two groups. Results: According to the results of the study, the nursing satisfaction of the two groups was compared. Among them, the total satisfaction of the observation group was 49, accounting for 96.07%;the control group was very satisfied with the nursing work, accounting for 82.35%. There was a significant difference in nursing satisfaction between the two groups, which was statistically significant (P<0.05). Comparing the rescue efficiency of the two groups of patients, the observation time, rescue time, infusion time and disease remission time were significantly lower than the control group, the rescue success rate was 94.11%, and the rescue success rate of the control group was 78.43%. The results have statistical significance (P < 0.05). Conclusion: The optimization of emergency nursing process can greatly improve the rescue efficiency of emergency patients, reduce the disability rate and mortality, improve the quality of nursing, and enhance the satisfaction of nursing. It is worthy of clinical promotion practice.

Application effect of optimized emergency nursing process in the rescue of patients with acute myocardial infarction

Background Acute myocardial infarction is a common and prevalent cardiovascular disease that can lead to serious consequences such as shock,arrhythmia,and heart failure.In dealing with acute myocardial infarction,the optimization of emergency nursing process can ensure the effectiveness and safety of rescue work,and help improve the prognosis and rehabilitation of patients.Methods 68 cases of patients with acute myocardial infarction admitted to our hospital from August 2021 to March 2023 were selected as the subjects of this study.They were randomly divided into an observation group and a control group,with 34 cases in each group.The control group received routine nursing care,while the observation group received optimized emergency nursing process based on it.the success rates of rescue,emergency efficiency,complications,and hemodynamics were compared between the two groups.ResultsThe success rate of rescue in the observation group was 100.00%,while in the control group it was 88.24%,the success rate of rescue was statistically different between the two groups(P<0.05).The observation group had shorter time intervals from onset to hospital admission,shorter door-to-activation time,shorter door-toballoon time,and reduced length of hospital stay compared to the control group(P<0.05).The total proportion of patients with complications such as arrhythmias in the observation group was 0.00%,while in the control group it was 11.76%,the difference between the two groups was statistically significant(P<0.05).The Cardi-ac output(CO)index of the observation group and the control group is lower than before the nursing intervention,and the observation group is higher than the control group.The Mean arterial pressure(MAP)index of the observation group and the control group is lower than before the nursing intervention,and the observation group is lower than the control group(P<0.05).Conclusions Optimized the emergency nursing process can improve the success rate of rescue and emergency efficiency in patients with acute myocardial infarction,reduce the occurrence of adverse complications,and improve negative emotions such as anxiety.It is worth promoting and applying.

Application of Whole-Process Management in Day Surgery for Endometrial Polyp

Objective:To explore the effect of whole-process management model in nursing management of endometrial polyp day surgery.Methods:266 patients that underwent endometrial polyp day surgery from January to December 2022 were selected for this study,and they were separated into an observation group(131 patients)and a control group(135 patients);the clinical data of the two groups were compared.Results:After intervention,the scores of Hamilton Anxiety Scale(HAM-A)of the patients in the observation group were lower than those in the control group(P<0.05).The rate of postoperative complications in the observation group was lower than that in the control group(P<0.05),and the satisfaction degree of the patients in the observation group was higher than that in the control group(P<0.05).Conclusion:The application of the whole-course management model in endometrial polyp day surgery can alleviate patients’anxiety,ensure the quality and safety of day surgery nursing,and improve patients’satisfaction.

优化型流程式护理干预对老年颅脑损伤患者的康复效果的观察

目的观察优化型流程式护理干预对老年颅脑损伤患者康复效果的影响,为治疗该病症提供方法。方法选取2022年1月—2023年7月启东市中医院神经外科收治的83例老年中重型颅脑损伤患者作为研究对象,按随机信封法将患者分为流程式干预组(n=41)和常规组(n=42)。2组患者均给予相同的基础治疗,流程式干预组患者接受优化型流程式护理干预,常规组患者接受常规护理,2组均连续干预3个月。比较2组患者生活能力评分、肢体活动评分、康复进程指标和并发症发生情况。结果干预后,流程式干预组患者的Barthel指数和Fugl-Meyer运动功能量表评分均高于常规组,首次下床活动时间、机械通气时间、昏迷时间、住院天数、住院费用均少于常规组,并发症总发生率低于常规组,差异均有统计学意义(P<0.05)。结论优化型流程式护理干预在老年颅脑损伤患者的康复过程中可促进患者日常生活能力恢复,促进康复进程,减少并发症发生,具有一定的临床应用价值。

四川省精神专科护士系统培训对提升护理人员一般自我效能感及心理弹性的效果评价

目的评估四川省精神专科护士培训对其一般自我效能感、心理弹性及其各维度(坚韧、自强和乐观)的提升效果。方法采用自身前后对照试验设计,对2023年9—11月参加四川省精神专科护士培训班的57名护士进行系统培训,包括理论教学、临床实践、团体督导、主题沙龙等多个模块,共500学时。在培训前和培训后采用一般自我效能感量表(GSES)和中文版Connor-Davidson心理弹性量表(CD-RISC)对精神专科护士进行测量。结果与培训前比较,培训后护士的GSES得分和CD-RISC得分差异有统计学意义(P<0.05),其中坚韧、自强和乐观3个维度差异有统计学意义(P<0.05)。结论本研究通过系统培训,提升了精神专科护士的自我效能感和心理弹性,证明培训方案有效。

优化溶栓护理流程联合超早期个性化护理对急性脑梗死溶栓患者康复效果及并发症的影响

目的探讨优化溶栓护理流程联合超早期个性化护理应用于急性脑梗死溶栓患者的临床效果。方法80例急性脑梗死溶栓患者随机分为两组,参照组予以常规护理,观察组予以优化溶栓护理流程联合超早期个性化护理干预,比较两组的康复效果和并发症。结果护理后,观察组的NIHSS评分低于参照组,Barthel评分高于参照组,并发症总发生率低于参照组(P<0.05)。结论优化溶栓护理流程联合超早期个性化护理可明显提高急性脑梗死溶栓患者的康复效果,降低并发症发生风险。

卧床患者便携式护理服优化设计

通过广泛市场调研和深入实地走访,全方位分析卧床患者对于服装各部位功能的实际需求。在充分调研的基础上,致力于针对便携式护理服进行创新性设计。从面料的精心挑选、结构的合理规划到工艺的细致打磨全面展开优化分析。着重增加舒适度与便捷性设计,力求最大程度满足患者对服用舒适性的渴望,以及护理人员操作的便捷性需求。优化后的设计方案在舒适性、功能性与便携性方面均有显著提升,不仅能够切实改善患者的生活品质,使该群体感受到更多关怀与温暖,而且极大地方便了护理人员,使其日常工作更加高效和轻松。这一设计为医养理疗行业的服装选择提供参考,同时也可供相关服装生产企业借鉴。

优化护理理念在肾癌根治术患者围术期治疗中的应用及满意度分析

目的探究肾癌根治术患者围术期治疗中,采用优化护理理念的效果。方法随机选取2021年1月—2022年12月吉林省肿瘤医院接诊的100例肾癌根治术患者为研究对象,以随机数表法分为对照组(常规护理干预)和研究组(优化护理理念干预),每组50例,分析两组患者生活质量评分、疼痛评分、遵医行为、情绪评分和满意度。结果研究组患者生活质量评分高于对照组,差异有统计学意义(P<0.05)。研究组患者疼痛评分低于对照组,差异有统计学意义(P<0.05)。研究组患者遵医行为优于对照组,差异有统计学意义(P<0.05)。研究组患者情绪评分比对照组低,差异有统计学意义(P<0.05)。研究组的护理服务满意度(98.00%)高于对照组(86.00%),差异有统计学意义(χ^(2)=4.891,P<0.05)。结论以优化护理理念干预肾癌根治术患者的效果优异,能提高围术期治疗效果,减少不良并发症发生,提高患者生活质量,满意度等和缓解患者肢体疼痛。

柔性管理理论在优化急诊护理管理中的应用效果分析

目的探究柔性管理理论在优化急诊护理管理中的应用效果。方法选取2021年1月—2023年12月江都人民医院急诊科的27名护理人员为研究对象,依据不同管理方式分为两组,2021年1月—2022年6月实施常规护理管理为对照组,2022年7月—2023年12月实施基于柔性管理理论护理管理为研究组,对比不同管理方式护理人员的满意度以及护理管理效果。结果研究组护理人员满意度为92.59%(25/27),高于对照组的70.37%(19/27),差异有统计学意义(χ^(2)=4.418,P<0.05);研究组护理管理效果评分均优于对照组,差异有统计学意义(P均<0.05)。结论实施基于柔性管理理念的护理管理护理人员工作在急诊科室的护理管理优化中,可以提高护理人员工作积极性与护理质量,提高工作人员满意度,降低不良事件发生率,提升护理工作的效率及工作安全性。

疼痛管理联合优化护理干预在肝癌患者免疫治疗中的应用研究

目的:探讨疼痛管理联合优化护理干预在肝癌患者免疫治疗中的应用效果.方法:选取2020年2月至2022年5月在本院进行免疫治疗的85例肝癌患者为研究对象.依据护理干预措施,将其分为观察组(n=43,予以疼痛管理联合优化护理干预)和对照组(n=42,予以优化护理干预).比较两组疼痛视觉拟量表(VAS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、肝癌生活质量测定表(QLICP-LI)评分.结果:干预后,两组VAS评分均下降,并且观察组比对照组低,差异均有统计学意义(P<0.05);两组SDS、SAS评分均显著降低,并且观察组较对照组低,差异均有统计学意义(P<0.05);两组QLICP-LI评分均上升,并且观察组比对照组高,差异均有统计学意义(P<0.05).结论:在肝癌免疫治疗患者中实施疼痛管理联合优质化护理干预,可有效降低患者疼痛感,改善心理消极情绪,提高生活质量.

中日机构养老设施介护单元典型案例调研及优化策略研究

针对目前市场上的机构养老设施普遍存在资源配置与结构错位、改造难和转型难、护理模式与空间不对位、空间设置不符合老人的使用需求等问题。本文以日本介护单元案例调研为基础,从介护单元规模、功能、布局、流线、空间设计等多个方面,对日本介护单元的相关基础研究进行梳理,选取四个中日介护单元的代表性案例从单元规模与功能配置、平面布局与流线组织、空间层级与护理模式、空间适老化设计四个方面进行详细对比。在此基础上从配置、运营、护理、空间四个方面提出优化策略,为机构养老设施空间优化与可持续运营提供支持与参考。

基于急救护理质量构建急性心肌梗死患者急救流程护理方案及其急救效果初探

目的 研究基于急救护理质量构建急性心肌梗死患者急救流程护理方案及其急救效果。方法 本研究以2020年1月—2021年12月在新疆医科大学第一附属医院进行治疗的急诊心肌梗死患者150例作为研究对象,新疆医科大学第一附属医院于2021年开展基于流程优化构建急救护理环节管理,其中2020年(对照组)以及2021年(观察组)各入选75例,比较两组患者的抢救情况、心功能指标、不良心脑血管事件发生情况、护理服务能力、护理满意度进行比较。结果 观察组患者的抢救成功率(χ^(2)=5.372,P=0.020)显著高于对照组,急诊停留时间(t=5.264,P=0.000)、完成首份心电图时间(t=16.583,P=0.000)、完成肌钙蛋白检查时间(t=17.881,P=0.000)、住院时间(t=4.849,P=0.000)显著低于对照组,观察组患者治疗后10天、3个月以及6个月的LVEF、LVED显著优于对照组(P<0.05);观察组患者的治疗后6个月内发生心肌梗死复发、靶血管血运重建、心力衰竭发生率显著低于对照组;观察组对于护理人员专业知识评分(t=14.375,P=0.000)、快速反应能力评分(t=4.300,P=0.000)、医护配合评分(t=10.171,P=0.000)显著高于对照组,观察组患者的护理满意度显著高于对照组(P<0.05)。结论 基于本院实际情况的护理质量评价体系的构建,对于急性心肌梗死患者急救效果的提升具有积极的意义,建议临床推广。

以ORTCC模型构建的优化护理模式在消化内科内镜黏膜下剥离术中的应用效果

目的 探讨以ORTCC模型构建的优化护理模式在消化内科内镜黏膜下剥离术(ESD)中的应用效果。方法 选取2020年2月至2022年3月在我院消化内科内镜诊疗中心接受ESD治疗的153例患者为研究对象,按照分层随机化法将其分为试验组(n=77)与对照组(n=76)。对照组采用常规护理模式,试验组采用以ORTCC模型构建的优化护理模式。比较两组的手术相关指标、疼痛度、生活质量、并发症发生情况及焦虑抑郁情绪。结果 试验组的内镜置入时间、手术时间及住院时间短于对照组,术中出血量、医疗费用少于对照组(P<0.05)。术后12、24 h,试验组的视觉模拟评分法(VAS)评分低于对照组(P<0.05)。试验组的生活质量核心量表(QOL-C30)各维度评分均高于对照组(P<0.05)。试验组的并发症总发生率低于对照组(P<0.05)。干预后,两组的焦虑、抑郁评分均低于干预前,且试验组低于对照组(P<0.05)。结论 以ORTCC模型构建的优化护理模式可缩短ESD手术时间,降低术中出血量及并发症发生率,改善患者的生活质量及心理状态。

护理流程优化路径下的早期康复护理对心肌梗死患者自我效能与生活能力的影响

目的分析护理流程优化路径下的早期康复护理在急性心肌梗死患者中的应用效果。方法88例急性心肌梗死患者随机分为对照组(常规护理)和观察组(护理流程优化路径下的早期康复护理),比较两组的干预效果。结果护理后,观察组的GSES评分、BI评分、护理满意度均高于对照组,住院时间短于对照组,6 min步行距离长于对照组(P<0.05)。结论护理流程优化路径下的早期康复护理应用于急性心肌梗死患者的效果显著。