Application of psychological intervention in intensive care unit nursing for patients with severe acute pancreatitis

BACKGROUND Severe acute pancreatitis(SAP)is a familiar critical disease in the intensive care unit(ICU)patients.Nursing staff are important spiritual pillars during the treatment of patients,and in addition to routine nursing,more attention needs be paid to the patient’s psychological changes.AIM To investigate the effects of psychological intervention in ICU patients with SAP.METHODS One hundred ICU patients with SAP were hospitalized in the authors’hospital between 2020 and 2023 were selected,and divided into observation and control groups per the hospitalization order.The control and observation groups received routine nursing and psychological interventions,respectively.Two groups are being compared,using the Self-rating Anxiety Scale(SAS),Self-Determination Scale(SDS),Acute Physiology and Chronic Health Evaluation(APACHE)Ⅱ,and 36-item Short Form Health Survey(SF-36)scores;nursing satisfaction of patients;ICU care duration;length of stay;hospitalization expenses;and the incidence of complications.RESULTS After nursing,the SDS,SAS,and APACHEⅡ scores in the experimental group were significantly lower than in the control group(P<0.05).The SF-36 scores in the observation group were significantly higher than those in the control group(P<0.05).The nursing satisfaction of patients in the experimental group was 94.5%,considerably higher than that of 75.6% in the control group(P<0.05).The ICU care duration,length of stay,and hospitalization expenses in the observation group were significantly lower than those in the control group,and the incidence of complications was lower(P<0.05).CONCLUSION For patients with SAP,the implementation of standardized psychological intervention measures can effectively alleviate adverse psychological conditions.

The Application of Psychological Nursing in Pediatric Clinical Nursing

Objective:To study the application effect of psychological nursing in pediatric clinical nursing.Method:100 pediatric patients who underwent treatment in our hospital from January 2019 to December 2020 were selected as the research subjects.They were randomly divided into a control group and an observation group,with 50 cases in each group.The control group received routine nursing care,while the observation group received psychological care based on routine nursing care.The nursing compliance,incidence of adverse events,and parental satisfaction of the two groups of pediatric patients were compared and analyzed.Result:Through psychological nursing intervention,it was found that the observation group had better nursing compliance,incidence of adverse events,and parental satisfaction than the control group,P<0.05,the differences are statistically significant.Conclusion:The application of psychological nursing in pediatric clinical nursing can improve the compliance of pediatric care,reduce the incidence of adverse events,enhance parental satisfaction,and have clinical promotion and application value.

Impact of an emergency department nursing intervention on continuity of care, self-care, and psychological symptoms

BACKGROUND The emergency department plays a crucial role in providing acute care to patients.Nursing interventions in this setting are essential for improving the continuity of care,enhancing patients’self-care abilities,and reducing psychological symp-toms.AIM To evaluate the effect of nursing interventions in the emergency department on these indicators in an emergency department.METHODS A retrospective analysis was conducted on 120 patients admitted to the emergency department between January 2022 and May 2023.The patients were divided into two groups:The control group(conventional nursing intervention)and the observation group(conventional nursing intervention+emergency department nursing intervention).The two groups were compared regarding continuity of care,self-care ability,psychological symptoms,and satisfaction with care.RESULTS The emergency department nursing interventions significantly improved the continuity of care,enhanced patients’self-care abilities,and reduced psycho-logical symptoms such as anxiety and depression.CONCLUSION Nursing interventions in the emergency department positively impact continuity of care,self-care,and psychological symptoms.However,it is important to acknowledge the limitations of this study,including the small number of studies,variable methodological quality,and the heterogeneity of the study population.Future research should address these limitations and further explore the effects of different types of nursing interventions in the emergency department.Additionally,efforts should be made to enhance the application and evaluation of these interventions in clinical practice.

Analysis of the Significance of Key Points of Patient Interventional Psychological Care and Pain Care

Interventional therapy has become increasingly popular in clinical practice due to advancements in medical technology.However,patients often experience psychological and physiological pressure due to its invasive nature.The management of patient discomfort and tension is crucial to ensure effective treatment.Psychological and pain management are essential components of interventional therapy,as they significantly impact patient recovery and prognosis.This article discussed the importance of interventional psychological and pain care for patients,starting with the development and spread of interventional therapy.The significance of providing high-quality nursing services to patients and improving their quality of life was also discussed.

Impacts of fighting against COVID-19 on critical care nurses'psychological and physical health:a literature review

Objective:To provide insight into the effects of the coronavirus disease(COVID-19)pandemic on the physical and psychological health of critical care nurses in adult units.Methods:A systematic search through the CINAHL,MEDLINE,and EMbase databases were performed.Studies that addressed“critical care nurses,”“COVID-19,”“physical effect,”and“psychological effect”from different perspectives were reviewed.Results:A total of 42 ar ticles were reviewed based on 2 aspects:critical care nurses'psychological and physical health.Negative emotions were the most common conditions:fear,anxiety,depression,and post-traumatic stress disorder(PTSD).Burnout,falling ill and having thoughts of self-harm,fatigue,physical burden,sleeping disorders,and chronic work overload also adversely affected the nurses'health.The nurses'health deteriorated because of the changes in the unfamiliar working environment and processes,colossal workload and chronic exhaustion,worries about themselves and their families,social response,and witnessing the death toll.Conclusions:Critical care nurses experienced adverse effects of the institutional reaction,social response,and individuals'reply to the COVID-19 pandemic upon their psychological and physical health.Suppor ting services and preparation for other unprecedented situations should be sustainably available.

The psychological status investigation on the nursing staff in a 3A‑level hospital during the prevalence of COVID‑19 and the analysis of its influencing factors

Objective:The objective of the study is to investigate the psychological status of nursing staff both working on nonfront line and on the front line during the epidemic period of COVID‑19 and to analyze the influencing factors related to mental health state,as well as to provide targeted psychological intervening measures for nursing staff in the face of this major public health event.Methods:We used data from January 28,2019,to February 08,2020,on the number of cases who worked in the 3A‑level hospital as nonfront‑line nurses(n=29,54%)and those who worked in Wuhan infectious hospital as the front‑line supporters(n=25,46%)came from the 3A‑level hospital.The participants completed the symptom checklist 90,and the researchers recorded data on demographics,psychological status,and the influencing factors.Results:In our baseline scenario,we estimated that the total symptom index was 1.676±0.654 for nurses who worked on the front line,1.260±0.304 for those who worked as the front‑line reserve nurses,and was 1.486±0.647 for those who worked as the nonfront‑line nurses.The results of correlation analysis show that the factors related to the psychological status of nurses include age,professional title,marital status,and family support;different factors have different effects on psychological status.Conclusion:In the face of major public health emergencies,both front‑line nursing staff and nonfront‑line staff are confronted with different degrees of psychological stress,so effective psychological support should be given to improve the working efficiency and enthusiasm of nurses.

The Clinical Effects of Psychological Nursing in the Pediatric Intensive Care Unit

Objective:To explore the effects of psychological nursing in the pediatric intensive care unit.Methods:110 cases of intensive care of children from January 2014 to January 2015 were selected and randomly divided into the observation group(n=55)and the control group(n=55).The children of the control group were given usual nursing care,the patients of the observation group were given psychological nursing.On two groups of patients before and after the intervention of the SAS scores and SDS scores、compliance、parents care quality satisfaction are compared.Results:Before intervention,the observation group of patients and the control group of patients with SAS scores and SDS scores difference no statistical significance(P>0.05),and after the intervention,the observation group patients'scores of SAS and SDS were significantly better than the control group,and the observation group below the control group(P<0.05).The observation group of compliance rate was 96.36%,and the control group of compliance rate was 69.09%,it below the observation(P<0.05).Parents care quality satisfaction of observation group was obviously better than that of control group with that difference is statistically significant(P<0.05).Conclusion:psychological nursing measures used in pediatric intensive care unit has certain feasibility and is worth popularizing clinically.

Psychological needs of parents of children with complicated congenital heart disease after admitting to pediatric intensive care unit: A questionnaire study

BACKGROUND Parents of children with complicated congenital heart disease(CHD)have different needs after surgery.Little literature reports the impact factors for psychological needs of parents of children with complicated CHD.AIM To investigate the status quo of the needs of parents of children after surgery for complex CHD,and analyze the influencing factors,in order to provide a theoretical basis for formulating corresponding nursing countermeasures.METHODS A modified Chinese version of the Critical Care Family Needs Inventory(MCCFNI)was used to select 200 parents of children with complex CHD after surgery within 72 h after admission to the intensive care unit in our hospital to conduct an online questionnaire survey.The aim was to understand the needs of parents in relation to the following five aspects:The support from medical staff,comfort of the parents themselves,the acquisition of information,their closeness to the children,and assurance of the child’s condition.RESULTS Parents of children with complex CHD had a higher degree of demand,especially in terms of condition assurance,acquisition of information,and closeness to the children.The age,education level,and residence of the parents were related to the five dimensions of the needs of parents of children with complex CHD who had undergone surgery.CONCLUSION In practice,nurses should formulate corresponding nursing strategies based on the different cultural and social backgrounds of parents of children after complex CHD surgery to meet their different needs,and improve satisfaction.These findings provide a theoretical basis for constructing a family participatory nursing model for children in the intensive care unit in the future.

Study of Psychological Resilience among Health Care Professionals, in Ibn Sina Hospital/Rabat/Morocco

Psychological resilience is the ability to maintain personal and professional wellbeing in the face of on-going work stress and adversity. The aim is to investigate the state of the psychological resilience of Health Care Professionals (HCP) and the potential risk factors. The study that we conducted carries out a sample of 230 persons (150 nurses and 80 doctors) belonging to the different services of Ibn Sina Hospital of Rabat/Morocco, using two scales. One is a questionnaire containing most of the socio-demographic characteristics, and clinical characteristics. The second is the Dispositional Resilience Scale-15 (DRS15). Otherwise, our results indicate a relatively low rate of resilience of health staff practicing at Ibn Sina Hospital in Rabat/Morocco. 81% of HCP have “low resilience”, 16% have shown “moderate resilience” and only 3% are in the “good resilience” range, based on analyzes of resilience scale results DSR15. The results of the DRS15 validation study indicate a positive correlation between engagement, control and challenge, as well as improved inter and intra-item correlation. Our study also indicates a statistically significant relationship between resilience and socio-economic difficulties of HCP. Sex, marital status, seniority, work schedule and medical history are risk factors. Indeed, women are more resilient than men, single people are more vulnerable than married couples, and new recruits are less resistant than older ones. In addition, the 12/36 continuous work schedule has a protective factor for HCP. These results go in the same direction as those found by some studies. Thus, the results of our study are encouraging and can be used for decision-making in this case.

Impact of specialized nursing outpatient case management on postcoronary artery bypass grafting patients

BACKGROUND Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events(MACE)and require readmission after Coronary Artery Bypass Grafting(CABG)surgery.This is often attributed to patients'unhealthy lifestyles and dietary habits,inadequate understanding of the disease,and poor disease management compliance.Thus,searching for more targeted nursing intervention models that can enhance patients'self-management abilities and reduce the risk of readmission after CABG surgery is significant.AIM To observe the impact of specialized nursing outpatient case management on patients after CABG surgery.METHODS A total of 103 patients who underwent CABG surgery in our hospital between April 2021 and April 2022 comprised the study sample.The patients were divided into two groups using an odd-even number grouping method.The control group received routine nursing care,while the case management group received specialized nursing outpatient case management.The differences in psychological status,adherence to medical treatment,self-care ability,knowledge mastery,quality of life scores,and the occurrence rate of MACE were compared between the two groups.RESULTS After the intervention,the case management group had lower scores on the selfrating depression scale and self-rating anxiety scale and lower MACE rate,as well as higher scores for adherence to a healthy diet,medication adherence,good lifestyle habits,regular exercise,and timely follow-up,higher scores on the Coronary Heart Disease Self-Management Scale,higher scores for managing adverse habits,symptoms,emotional cognition,emergency response,disease knowledge,general lifestyle,and treatment adherence,higher scores for understanding coronary heart disease,recognizing the importance of medication adherence,understanding selfcare points after CABG surgery,and being aware of post-CABG precautions,higher scores for physical well-being,disease condition,general health,social-psychological well-being,and work-related aspects(P<0.05).CONCLUSION Specialized nursing outpatient case management can enhance patient adherence to medical treatment,knowledge mastery,psychological well-being,and overall quality of life in patients after CABG surgery.

Characteristics of Patients with Decreased Cognitive Function Undergoing Treatment for Acute Exacerbation of Chronic Heart Failure—Basic Survey for Standardization of Nursing to Prevent Discontinuation of Treatment

The purpose of this study is to clarify the characteristics of patients with decreased cognitive function undergoing treatment for acute exacerbation phase of chronic heart failure as a basic survey with a view to the standardization of nursing to prevent discontinuation of treatment of patients with declining cognitive function in the acute exacerbation phase of chronic heart failure. As the first stage of the research, using the interview guide created based on the background of discontinuation of treatment and symptomatic monitoring from 33 target literature sources, seven certified chronic heart failure nurses and 15 certified dementia nurses were given semi-structured interviews. Data obtained from the interviews was analyzed by qualitative induction. As a result, we obtained opinions/views on 8 situations namely, “cognitive function at hospitalization”, “characteristics at hospitalization, “characteristics when receiving examinations, procedures or treatment”, “characteristics of course of treatment”, “characteristics related to difficulties in grasping the symptoms of chronic heart failure and indices of deterioration”, “characteristics when using diuretics”, “characteristics concerning compliance with dietary restrictions” and “support required for discharge from hospital” concerning patients with declining cognitive function. In the future, it is necessary to prepare nursing protocols incorporating these contents for standardization of nursing.

人文关怀护理模式联合程序护理在肝癌患者中的应用

目的:探讨人文关怀护理模式联合程序护理在肝癌患者中的应用效果。方法:选取2021年1月1日~12月31日肝胆胰脾外科收治的80例肝癌患者,随机分为对照组和干预组各40例,对照组给予常规护理干预,干预组在对照组基础上采用人文关怀护理模式联合程序护理,两组均开展为期1个月的干预。比较两组心理状态[采用汉密顿抑郁量表(HAMD)和汉密顿焦虑量表(HAMA)]、并发症、生活质量[采用生活质量量表(QOL)评分]。结果:干预后,两组HAMD、HAMA评分均低于干预前(P<0.01),且干预组低于对照组(P<0.01);干预组术后并发症总发生率低于对照组(P<0.05);干预后,干预组QOL各项目评分均高于对照组(P<0.01)。结论:人文关怀护理模式联合程序护理不仅能有效改善肝癌患者术后心理状态,还可降低术后并发症发生率,提高自我管理能力。

护患沟通技巧联合心理护理在肺功能检查患者中的应用

目的:探讨护患沟通技巧联合心理护理在肺功能检查患者中的应用效果。方法:选取2020年1月1日~2022年12月1日109例行肺功能检查患者为研究对象,随机分为对照组54例和研究组55例,对照组实施常规护理,研究组实施护患沟通技巧联合心理护理;比较两组检查时间、肺通气完成情况,护理前后心理状态[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)]、肺功能[包括第一秒用力呼气容积(FEV_(1))、FEV_(1)/FVC%]、生活质量[采用生命质量测定量表(QLQ-C30)]及护理满意度。结果:研究组检查时间、肺通气完成率优于对照组(P<0.01);护理后,两组SAS、SDS评分低于护理前(P<0.05),且研究组低于对照组(P<0.01);护理后,两组FEV_(1)、FEV_(1)/FVC%、QLQ-C30评分均优于护理前(P<0.05,P<0.01),且研究组优于对照组(P<0.05);研究组护理满意度高于对照组(P<0.05)。结论:将护患沟通技巧联合心理护理应用于肺功能检查患者中,可有效缩短检查时间,提高肺通气完成率,改善患者负性情绪和肺功能,从而提高生活质量和护理满意度。

分级心理护理联合认知行为护理在心脏瓣膜手术患者中的应用效果

目的:观察分级心理护理联合认知行为护理在心脏瓣膜手术患者中的应用效果。方法:回顾性分析2021年7月至2022年6月在本院接受心脏瓣膜手术治疗的86例患者的临床资料,根据护理方法不同分为观察组和对照组,每组43例。对照组采用常规护理,观察组在对照组基础上采用分级心理护理联合认知行为护理,比较两组心理韧性、自我护理能力及生命质量。结果:护理后,两组中文心理韧性量表、自我护理能力测定量表及生活质量综合评定问卷-74评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用分级心理护理联合认知行为护理,可提高心脏膜手术患者的心理韧性、自我护理能力及生命质量,其护理效果优于单纯常规护理。

高等护理专业设置心理护理方向的必要性与可行性

自整体护理理念引入我国以来,心理护理作为护理程序的一部分,越来越受到重视,在临床实践、学术研究、理论构建等方面取得了一定进展,政府也专门批准设立国家心理健康和精神卫生防治中心。公众尤其是疾病患者对心理护理的需求也在不断增加。但在大学阶段护理专业的人才培养中,心理护理教育学时投入少,教学内容与临床实践脱节,医院内开展的心理护理培训质量不高,存在明显的供需矛盾。因此,在部分高等医学院校中设置护理专业心理护理方向,有利于缩短护生进入临床后针对心理护理的培训时间,提升心理护理质量,同时顺应新时代护理教育改革发展的趋势。本文建议以社会需求为导向,确定心理护理方向的人才培养模式;以岗位胜任力为核心,设置专业课程体系;以保证教学质量为目的,打造专兼结合的师资队伍。旨在为高校心理护理人才培养提供一种思路,为国家提升护理质量和建设社会心理服务体系提供有益探索。

ICU身体约束患者心理弹性水平及影响因素的路径分析

目的描述ICU身体约束患者心理弹性水平,并探讨其影响因素。方法采用一般资料调查表、心理弹性量表、社会支持评定量表、一般自我效能感量表、医学应对方式问卷、艾森克人格问卷中文简版,选取2021年12月-2022年12月入住福建省某三级甲等医院重症医学科的301例身体约束患者进行调查,采用结构方程模型分析各因素的影响路径。结果ICU身体约束患者心理弹性总分为(53.17±17.41)分,自我效能得分为(25.16±7.96)分,社会支持得分为(38.93±15.12)分,医学应对方式总分为(44.15±15.21)分,艾森克人格总分为(23.68±2.98)分。ICU身体约束患者心理弹性总分与社会支持总分呈正相关(r=0.585,P<0.001),与自我效能总分呈正相关(r=0.545,P<0.01),与医学应对方式面对维度呈正相关(r=0.602,P<0.01),与屈服、回避维度呈负相关(r=-0.567,P<0.01;r=-0.627,P<0.01),与人格特征内外向维度呈正相关(r=0.326,P<0,01),与神经质、精神质和掩饰性得分呈负相关(r=-0.395,P<0.01;r=-0.338,P<0.01;r=-0.362,P<0.01)。构建的模型拟合度良好,其中社会支持对心理弹性存在正向直接效应和间接效应(β=0.546,P<0.001;β=0.267,P<0.001),自我效能对心理弹性存在正向直接效应(β=0.218,P=0.005),医学应对中面对的应对方式对心理弹性存在直接正向效应(β=0.415,P=0.005)、回避的应对方式对心理弹性存在直接负向效应(β=-0.216,P=0.007)、屈服的应对方式对心理弹性存在直接负向效应(β=-0.431,P<0.001);人格特征对心理弹性具有负向影响(β=-0.606,P<0.001)。结论ICU身体约束患者的心理弹性总体水平偏低。社会支持、自我效能、应对方式、人格特征是ICU身体约束患者心理弹性的重要影响因素,可从这4项因素切入针对性干预提高身体约束患者的心理弹性水平。

出院准备计划+安宁疗护模式对肿瘤晚期患者及主要照顾者的影响

目的 探讨出院准备计划+安宁疗护模式对肿瘤晚期患者及主要照顾者的影响。方法 选择2022年1月至12月江南大学附属医院收治的120例肿瘤晚期患者及其家属为研究对象,根据随机数字表法将其分为参照组和研究组,患者各60例,家属各60名。参照组行常规护理+出院准备计划,研究组在参照组的基础上增加安宁疗护干预。观察两组心理状态及主要照顾者心理应激和生活质量变化情况。结果 干预后,两组抑郁自评量表、焦虑自评量表评分均低于干预前,且研究组低于参照组,差异有统计学意义(P<0.05);两组主要照顾者家属应激量表评分均低于干预前,且研究组低于参照组,差异有统计学意义(P<0.05);两组主要照顾者生活质量量表评分均高于干预前,且研究组高于参照组,差异有统计学意义(P<0.05)。结论 出院准备计划+安宁疗护用于肿瘤晚期患者,可有效改善患者及其主要照顾者负面情绪,提高照顾者生活质量。

心理资本在实习护生共情能力和人文关怀能力间的中介效应

目的探讨心理资本在共情能力与人文关怀能力间的中介效应。方法采用便利抽样法选取河北省高职院校实习护生753例,采用心理资本量表、人际反应指针量表、关怀能力量表进行问卷调查。结果实习护生的心理资本与人文关怀能力之间存在显著正相关关系(r=0.445,P<0.01),实习护生的共情能力与人文关怀能力之间存在显著正相关关系(r=0.672,P<0.01)。心理资本作为共情能力与人文关怀能力的中介变量,发挥部分中介作用,中介效应值为0.162,占总效应的22%。结论医药卫生类院校和实习医院可从提高实习护生的心理资本及共情能力入手,采取有效手段提高护生的人文关怀能力,持续提升护理队伍的服务质量及患者满意度。

基于知信行模式的3H护理在慢性阻塞性肺疾病急性加重期患者中的应用

目的探究基于知信行模式的3H护理在慢性阻塞性肺疾病急性加重期(AECOPD)患者中的应用价值。方法选取医院2019至2022年收治的73例AECOPD患者作为研究对象,随机分为观察组(n=37)和对照组(n=36)。对照组采用常规护理方式,观察组采用基于知信行模式的3H护理,比较2组患者心理弹性、生活质量、自护能力、自我效能。结果干预后2组患者心理弹性、生活质量、自护能力、自我效能得分较干预前均有升高(P<0.05),且观察组更高(P<0.05);结论相比于应用常规护理,应用基于知信行模式的3H护理对于AECOPD患者而言,更能提升心理韧性、改善生活质量、提升自护能力、提高自我效能,适合在临床推广使用。

磁共振成像检查中关键失效点溯源预控干预后睡眠质量的观察

目的:分析磁共振成像(MRI)检查中关键失效点溯源预控干预睡眠质量及疲劳度的影响。方法:选取2021年6月至2023年6月福建医科大学附属泉州第一医院收治的MRI检查患者84例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组42例。对照组开展常规护理,观察组开展关键失效点溯源预控干预。比较2组的睡眠质量、睡眠参数、疲劳度及心理应激。结果:在催眠药物、睡眠障碍、睡眠效率及日间功能障碍评分上,观察组低于对照组(P<0.05)。观察组较于对照组,其睡眠潜伏期、觉醒次数更低,总睡眠时间更长(P<0.05)。在疲劳严重程度量表(FSS)评分、汉密尔顿焦虑量表(HAMA)评分及汉密尔顿抑郁量表(HAMD)评分方面,观察组均低于对照组(P<0.05)。结论:关键失效点溯源预控干预有利于改善MRI检查患者的睡眠质量及睡眠参数,减轻疲劳度和心理应激反应,临床可进一步推广应用。