Analysis of Humanistic Nursing Care in Regulating the Emotion, Satisfaction, and Sleep Quality of Inpatients with Hematologic Neoplasms

Objective:To explore the clinical application value of humanistic nursing care in the treatment of hematologic neoplasm inpatients.Methods:Fifty-two patients with hematologic neoplasms admitted to a hospital from May 2019 to February 2022 were selected as the research subjects.According to a random number table,they were divided into two groups:the control group(n=25,routine clinical nursing)and the observation group(n=27,humanistic nursing care).The negative emotion score,nursing satisfaction,and sleep quality were compared between the two groups under different nursing modes.Results:The SAS and SDS scores before and after nursing were compared between the two groups.There was no significant difference between the two groups before nursing(p>0.05).However,the SDS and SAS scores in the two groups after nursing were lower than those before nursing,in which the observation group was slightly lower than the control group,and the difference was statistically significant(p<0.001).In terms of nursing satisfaction,it was as high as 96.29%in the observation group,whereas in the control group,the satisfaction rate was only 72.00%;the PSQI scores were compared between the two groups before and after nursing,and there was no significant difference between the two groups before nursing(p>0.05).However,the PSQI scores and total score of the observation group after nursing were lower than those of the control group(p<0.001).Conclusion:In the clinical treatment of patients with hematologic neoplasms,the implementation of humanistic nursing care can significantly improve patients’anxiety,depression,other negative emotions,sleep quality,and nursing satisfaction,all of which have significance in promoting the prognosis of patients and improving their quality of life.

Knowledge and Attitudes of Oncology Nurses Toward Clinical Trials-A Secondary Publication

Purpose:The purpose of this study was to identify the knowledge and attitudes of oncology nurses toward clinical trials and to provide evidence for the development of clinical trial education programs for oncology nurses.Methods:The study was conducted on 142 nurses who had more than six months of nursing experience working with cancer patients at a tertiary hospital in Seoul,Korea.A structured questionnaire was used to measure the knowledge and attitudes of oncology nurses toward clinical trials.Results:The participants scored an average of 15.03±3.52 out of 19 in terms of knowledge about clinical trials.In terms of attitudes toward clinical trials,the participants scored an average of 5.91±1.37 out of 8.There was a significant positive correlation between the knowledge and attitudes of the participants toward clinical trials(r=0.23,P=0.007).Conclusion:This study found that there was a relationship between the knowledge and attitudes of oncology nurses toward clinical trials.To improve the competency of oncology nurses and provide high-quality care to patients participating in clinical trials,more systematic and sustainable education is required.

Effects of cooperative nursing and patient education on postoperative infection and self-efficacy in gastrointestinal tumors

BACKGROUND Gastrointestinal tumors have a high incidence rate.The application value of the cooperative nursing care system of medical care has received widespread attention in recent years.However,there are few studies on the value of the joint application of collaborative nursing care and self-efficacy education.AIM To explore the effect of cooperative nursing care management/self-efficacy education on postoperative infection and self-efficacy in gastrointestinal tumor surgery patients.METHODS A total of 102 patients with gastrointestinal tumors treated in our hospital from October 2018 to February 2020 were selected and divided into a conventional group(n=51)and a combined group(n=51)according to the nursing plan.The routine group adopted routine nursing,and the joint group adopted the medical care cooperative responsibility system nursing management combined with selfefficacy education.The self-efficacy scores,coping style scores,self-experience burden scores,and postoperative complication rates of the two groups before and after intervention were counted.RESULTS After intervention,the daily life behavior management,cognitive symptom management,and disease management scores of the two groups were higher than those before the intervention,and those of the combined group were higher than those of the conventional group(all P=0.000).After the intervention,the positive response scores of the two groups were higher than those before the intervention,the negative response scores were lower than those before the intervention,and the combined group was better than the conventional group(all P=0.000).After the intervention,the two groups’emotional,economic,and physical factor scores were lower than those before the intervention,and the combined group was lower than the conventional group(all P=0.000).The incidence of infection in the combined group(1.96%)was lower than that in the conventional group(15.69%)(P=0.036).CONCLUSION Cooperative nursing care management and self-efficacy education improved the physical and mental states of gastrointestinal cancer surgery patients,change the response to disease,and reduce the risk of postoperative infection.

Effectiveness of integrated nursing interventions for fatigue in patients with advanced cancer:a systematic review of randomized controlled trials

Objective:To evaluate the effectiveness of integrated nursing interventions for fatigue in patients with advanced cancer.Methods:Medline,Pubmed,Embase,CINAHL,Web of Science,and the Cochrane Library were searched systematically till June 2017.A systematic review was conducted to collect randomized controlled trials(RCTs)reporting on the effect of nurse-driven interventions to improve fatigue in patients with advanced cancer.Quality assessment was conducted using the Cochrane Collaboration’s risk of bias tool.Results:Six RCTs involving 736 adult participants were included.The fatigue intensity was improved significantly by nursing interventions.The analyzed results revealed significant improvements in the intervention group:less than 3 months(standard mean difference[SMD]=?0.33,95%confidence interval[CI][?0.48,?0.19],P<0.01)and more than or equal to 3 months(SMD=?0.40,95%CI[?0.57,?0.24],P<0.01).Four studies with a moderate risk of bias were judged,and the remaining studies were at high risk of bias.Conclusions:The results indicate that integrated nursing interventions may relieve fatigue in patients with advanced cancer.However,due to the high risk of bias in most of the included studies and the diversity of interventions,the results and implementation process should be carefully monitored.

Relevant nursing measures for the adverse reactions associated with chimeric antigen receptor T cells(CAR-T) immunotherapy: a systematic review of case reports

Objective: Cytokine release syndrome (CRS) and tumor lysis syndrome (TLS) that occur after chimeric antigen receptor T (CAR-T) cells are reinfused, which severely affect the survival and prognosis of patients. Although several articles have reported on the care of CAR-T cell immunotherapy, the quality of the study and the effectiveness of holistic nursing interventions have not been systematically reviewed. The purpose of this study was to systematically evaluate the existing holistic nursing interventions of CAR-T cell immunotherapy. Methods: A literature search for keywords was performed in PubMed, EMBASE, the Cochrane Library, CNKI, CBM, and Wanfang Data from its inception until January 2018. Studies were deemed eligible if they comprised patients with tumor receiving CAR-T cell immunotherapy, described the holistic nursing process, and were published in Chinese and English. Results: A total of 6 articles on holistic nursing interventions of CAR-T cell immunotherapy are reported, and the nursing methods and results of each article are analyzed. The quality of the studies included was medium. All nursing measures were considered effective. Conclusions: Holistic nursing programs reduce the incidence of CRS and TLS and improve the quality of life of cancer patients.

Analysis of Nursing Care Concept: Perspective of the Person Submitted to Care

This study aimed to analyze the concept of nursing care to patients with breast cancer on chemotherapy treatment, according to the perspective of the person submitted to care. The study followed the conceptual analysis methodology proposed by Walker and Avant according to Waldow, and it was developed through consultation to SCOPUS and CINAHL databases. The selection was carried out by inclusion and exclusion criteria, constituting a sample of 7 articles. There have been identified the main uses of the risk concept, defining attributes, antecedents and consequences of the concept. The evaluation of the concept and nursing care to breast cancer patient on chemotherapy treatment allowed a broader understanding of the phenomenon, with emphasis on the skills and competencies in nursing care dispensed to woman on chemotherapy treatment for breast cancer.

以脑梗死为首发症状的卵巢癌患者围手术期护理

总结1例以脑梗死为首发症状的卵巢癌患者围手术期护理体会。针对患者病情危重复杂,围手术期易诱发血栓和出血,术后并发症风险增加,患者心理康复、肢体康复等问题,组建多学科合作团队全程管理;术前充分评估病情,制订护理计划;做好桥接抗凝期间用药护理;积极预防肺栓塞及新发脑梗死;采用中药灌肠法预防术后肠梗阻;鼓励家属参与患者心理护理,促进康复。通过积极治疗和护理,患者于术后第9天顺利出院。术后随访6个月,恢复良好。

下咽-食道同时性多原发癌伴Ⅲ度喉梗阻患者围手术期护理

总结1例下咽-食道同时性多原发癌伴Ⅲ度喉梗阻患者围手术期护理体会。针对患者气道高风险、病情进展迅速、肺部感染、全身营养状态差、运动功能衰弱等问题,采取气道梗阻风险预警及应急处理,阶段化实施肺保护性策略,以目标为导向的术前预康复营养管理,低负荷小强度个体化抗阻运动改善虚弱促进患者康复等措施。经过34 d的积极治疗与护理,患者病情稳定出院,出院后随访1个月,患者状态良好。

脑肿瘤患者围术期深静脉血栓非药物预防的循证护理实践

目的 探讨基于最佳证据的脑肿瘤患者围术期深静脉血栓(DVT)非药物预防方法并评价其应用效果。方法 以“基于证据的持续质量改进模式”为指导,于2021年4-9月,按照证据获取、现状审查、证据引入和效果评价4个阶段将循证实践应用于脑肿瘤围术期患者,比较循证实践应用前后患者DVT发生率等指标的变化。结果 总结19条静脉血栓非药物预防证据并把证据转化为34条审查指标开展循证实践,脑肿瘤围术期DVT预防审查指标执行率及护士DVT相关知识、态度、行为水平明显提高,其中知识、行为维度差异具有统计学意义(P<0.05)。DVT发生率由10.75%降低到4.05%(P=0.020),患者知识得分由(14.00±2.14)分提高至(22.00±2.87)分(P<0.001)。结论 通过开展脑肿瘤围术期DVT非药物预防的循证实践,能有效改善临床实践环境,培养护士循证理念,提高其DVT预防知识、态度及临床措施依从性,提升患者预防知识水平,降低临床DVT发生率。

基于健康信念模式下社区前列腺癌筛查远程管理方案的构建及应用

目的 构建基于健康信念模式下社区前列腺癌筛查远程管理方案,并验证其应用价值。方法 构建基于健康信念模式下前列腺癌筛查远程管理方案,应用于2021年12月-2022年3月我院在社区筛查的86例前列腺癌初筛阳性患者的健康管理(观察组),与2021年8-11月83例患者(对照组)进行历史对照。对照组接受社区医院的常规健康教育,综合医院电话随访;观察组在对照组的基础上,实施基于健康信念模式的前列腺癌筛查远程管理。比较2组患者就诊率、就诊间隔时间、前列腺癌确诊率、下尿路症状、疾病知识知晓水平及健康促进生活方式,记录观察组患者管理程序使用数据和使用满意度。结果 初筛阳性患者就诊率由30.12%提升到58.13%,就诊间隔时间由(12.5±7.1)d缩短到(10.5±6.7)d, 2组比较差异均有统计学意义(P<0.05);观察组前列腺癌确诊率为6.98%,高于对照组的2.41%,观察组程序随访反馈率达89.64%,程序使用满意度高于90%。结论 本研究构建的前列腺癌筛查远程管理方案能为社区患者提供科学、高效的健康管理,提高患者就诊率,促进前列腺癌患者的早诊早治。

消化道肿瘤患者参与“互联网+护理服务”意愿现状及影响因素分析

目的探讨消化道肿瘤患者参与“互联网+护理服务”意愿现状及其影响因素,为促进“互联网+护理服务”在消化道肿瘤领域的有效应用提供参考依据。方法选取2023年7月-11月我科收治的200例消化道肿瘤患者为研究对象,采用“互联网+护理服务”意愿调查问卷对其进行调查。结果消化道肿瘤患者参与“互联网+护理服务”意愿总分为(52.81±6.16)分,处于中等水平。多元线性回归分析结果显示,居住地、主要照顾者、经济来源、家庭月收入是消化道肿瘤患者参与“互联网+护理服务”意愿的影响因素(P<0.05)。结论消化道肿瘤患者参与“互联网+护理服务”意愿水平有待提高,未来应重点关注县区及以下居住地、家庭经济收入低的患者,拓宽宣传范围,以满足更多患者的线上护理服务需求。

胃癌围术期病人预后营养指数纵向变化规律及应用的研究进展

对胃癌病人的预后营养指数概念及影响因素、围术期纵向变化规律、营养干预对预后营养指数的影响及其在术前与术后的应用价值进行综述,旨在为临床医护人员精准应用营养监测指标、进一步完善胃癌营养管理方案提供参考。

头颈部肿瘤患者家庭抗逆力的潜在剖面分析及其影响因素

目的 了解头颈部肿瘤患者家庭抗逆力特征的分类,并分析不同类别的影响因素。方法 采用便利抽样,选取2021年12月-2022年12月上海质子重离子医院接受治疗的316例头颈部肿瘤患者为研究对象,采用自编一般资料调查问卷和家庭弹性评定量表中文简化版(FRAS-C)分别收集患者一般资料和家庭抗逆力资料。采用潜在剖面分析识别家庭抗逆力特征得类别,采用多元logistic回归分析不同类别的影响因素。结果 头颈部肿瘤患者家庭抗逆力特征分为3个类别:低家庭抗逆力型(10.8%)、高抗逆力-低资源利用型(24.0%)和中等家庭抗逆力型(65.2%)。文化程度、家庭年收入、是否与照顾者同住、子女个数和病程是头颈部肿瘤患者家庭抗逆力不同类别的影响因素(P<0.05)。结论 头颈部肿瘤患者家庭抗逆力特征存在异质性,医护人员可在了解患者社会人口学和疾病特征基础上预判家庭抗逆力特征,针对患者需求提供相应的护理服务,帮助成功应对肿瘤疾病。

临床护士乳腺癌筛查保护动机现状及影响因素分析

目的调查安徽省临床护士乳腺癌筛查保护动机现状,并分析其影响因素。方法于2022年9-10月采用便利抽样法选取安徽省864名临床护士作为研究对象,采用一般资料调查表、乳腺癌意识量表、健康信念量表、护士组织支持感量表和乳腺癌筛查保护动机量表进行调查,并对数据进行分析。结果864名临床护士乳腺癌筛查保护动机总分为(53.51±6.87)分,条目均分为(3.15±0.40)分。乳腺癌意识得分、健康信念得分、护士组织支持感得分与乳腺癌筛查保护动机得分均呈正相关(r分别为0.264、0.362、0.178,均P<0.01)。多元回归分析结果显示,亲属是否患乳腺癌、乳腺癌意识、健康信念和护士组织支持感是乳腺癌筛查保护动机的影响因素,共解释乳腺癌筛查保护动机总变异的19.8%。结论临床护士乳腺癌筛查保护动机处于中等水平,有待进一步提升。医院管理者应注重提高临床护士乳腺癌预防意识,改善健康信念水平,给予临床护士充足的组织支持,进而提高其乳腺癌筛查保护动机水平。

患者自我报告结局在胃癌患者中的应用进展

对患者自我报告结局(PROs)在胃癌患者照护领域的应用现状进行综述,包括胃癌PROs概述、评估工具及临床应用3个方面,旨在为临床决策及制定相应措施提供参考。

头颈癌患者身体意象研究的范围综述

目的 对国内外头颈癌患者身体意象相关研究进行范围综述。方法 检索PubMed、Web of Science、Embase、The Cochrane Library、CINAHL、中国知网、万方数据库、维普中文科技期刊数据库的相关文献,检索时限为建库至2023年4月10日,并对纳入文献进行讨论分析。结果 共纳入33篇文献。结果显示,头颈癌患者身体意象的影响因素包括社会人口学特征、疾病治疗因素、心理和行为因素、其他因素。身体意象评估工具主要从身体意象相关的情感认知、生理功能、社会活动来进行评估。研究中头颈癌患者的干预措施主要包括美容修复技术、皮肤伪装计划、运动疗法、认知行为干预、表达性写作、积极心理干预。结论 身体意象的影响因素还需进一步探讨,未来研究应选择科学的评估工具,并在此基础上开展干预性研究,改善头颈癌患者身体意象水平。

肺癌化疗患者住院期间体力活动水平和症状群的相关性分析

目的:了解肺癌化疗患者的运动意愿及体力活动水平,并分析患者体力活动水平与症状群的相关性。方法:2022年6—8月,采用一般资料调查表、国际体力活动问卷、中文版安德森症状评估量表、修订版肺癌特异性症状模块对上海市肺科医院住院的232例肺癌化疗患者进行横断面调查。共回收有效问卷229份,有效回收率为98.71%。采用探索性因子分析提取症状群的种类,通过Spearman秩相关分析探讨体力活动水平与症状群的关系。结果:调查显示,肺癌化疗患者存在6个症状群,分别为:呼吸道症状群、睡眠相关症状群、心理症状群、消化道症状群、肺癌特异性症状群和恶病质症状群。中强度体力活动水平与心理症状群及恶病质症状群呈负相关(r=-0.153、-0.159,P值均<0.05);步行体力活动水平与呼吸道症状群、睡眠相关症状群、心理症状群及肺癌特异性症状群呈负相关(r=-0.257、-0.222、-0.284、-0.181,P值均<0.05);总体力活动水平与呼吸道症状群、睡眠相关症状群、心理症状群及恶病质症状群呈负相关(r=-0.252、-0.218、-0.304、-0.132,P值均<0.05)。结论:肺癌化疗患者的体力活动水平与症状群呈负相关,体力活动水平高的患者其症状群负担较轻,建议根据患者的体力活动水平及症状负担进行个性化运动处方设计,健康教育和运动指导,提高患者体力活动水平,从而减轻症状负担。

肿瘤病人化疗诱导周围神经病变非药物管理最佳证据总结

目的:遴选并总结化疗诱导周围神经病变(CIPN)非药物管理的最佳证据,为临床实践提供指引。方法:利用“6S”循证资源模型自上而下系统检索国内外证据,检索时限为2012年1月1日—2022年10月28日。选取相关文献类型评价标准对文献质量进行评价,并由已参加循证护理相关知识培训人员进行证据提取及汇总。结果:共选入文献13篇,包括临床指南2篇、专家共识4篇、临床决策1篇、系统评价6篇。形成的最佳证据包括评估、危险因素、预防措施、不良反应护理和健康教育5个方面,共纳入16条推荐意见。结论:形成的肿瘤CIPN病人非药物管理最佳证据,可为医护人员预防和缓解CIPN提供参考和指引。

头颈部肿瘤患者放射性皮炎预防及管理的最佳证据总结

目的 系统检索、评价和总结头颈部肿瘤患者放射性皮炎预防及管理的最新最佳证据,为临床制定个性化的皮肤管理方案提供循证依据。方法 计算机检索各指南及专业协会网站、Cochrane图书馆、JBI循证护理数据库、PubMed、CINAHL、Web of Science Core Collection、Embase、中国知网、维普数据库、万方数据库、中国生物医学文献数据库中所有关于头颈部肿瘤放射性皮炎预防及管理的文献,包括指南、专家共识、系统评价、最佳实践信息册等。检索时间为建库至2023年8月23日。结果 共纳入22篇文献,包括1篇指南、4篇专家共识、17篇系统评价或meta分析。从头颈部肿瘤患者放射性皮炎的发病率、危险因素、临床表现、评估监测、健康教育、日常护理、预防及治疗措施、感染控制、管理策略9个方面总结出43条证据。结论 头颈部肿瘤患者放射性皮炎预防及管理的最佳证据为医疗保健人员制定个性化皮肤管理方案提供循证依据,临床实践过程中需结合具体情境和患者个人意愿选择证据。