Application of Structured Health Education and Combined 5A Nursing Model in Self-control of Vulnerable Chronic Diseases: Take Coronary Heart Disease as an Example

Objective:To explore the intervention effect of the Structured Health Education course and 5A nursing model for self-control of elderly patients with coronary heart disease.Methods:Using the random sampling method,124 elderly CAD patients admitted to the First Affiliated Hospital of Bengbu Medical University were randomly divided into an experimental group and a control group.The control group line routine health education,experimental group take structured health education combined with 5A nursing before and after the intervention using a coronary heart disease assessment questionnaire,coronary heart disease self-control scale evaluation of two groups of intervention,compare two groups before and after intervention blood pressure,blood sugar,body mass index,lipid index level and complications within 8 months after discharge.Results:After the course intervention,the disease cognition and self-behavior of the experimental group were higher than that of the control group,and the differences were statistically significant(all P<0.1).Conclusion:This course is suitable for elderly patients with coronary heart disease.The 5A model improves the cognitive and management ability of elderly patients to a certain extent,which is worthy of clinical application.

Application Value of High-Quality Nursing Intervention in Patients with Cirrhotic Ascites

Objective:To study the application value of high-quality nursing intervention in patients with cirrhotic ascites.Methods:From February 2018 to February 2020,80 patients with cirrhotic ascites,treated in Yancheng No.1 People’s Hospital,were selected as the subjects for this study.The patients were divided into two groups based on the type of nursing intervention:a routine group and an observation group,with 40 cases in each group.The routine group received routine nursing,and the observation group received high-quality nursing intervention on the basis of routine nursing.The nursing effects and adverse reactions of the two groups were observed and compared.Results:The total effective cases in the observation group were 39 cases,with a total effective rate of 97.5%;the total effective cases in the routine group were 33 cases,with a total effective rate of 82.5%.The total effective rate of the observation group was significantly higher than that of the routine group(P<0.05).In the routine group,there were eight cases of adverse reactions,in which the incidence of adverse reactions was 20.0%,whereas there were only two cases of adverse reactions in the observation group,in which the incidence of adverse reactions was 5.0%.The incidence of adverse reactions in the observation group was significantly lower than that in the routine group(P<0.05).Conclusion:The application of high-quality nursing intervention in patients with cirrhotic ascites can improve the nursing effect and reduce the occurrence of adverse reactions;thus,it should be popularized in clinical settings.

Effect of High-Quality Nursing on Patients with Hemorrhagic Fever with Renal Syndrome

Objective:To explore and analyze the effect of high-quality nursing on patients with epidemic hemorrhagic fever with renal syndrome.Methods:Ninety patients with epidemic hemorrhagic fever with renal syndrome treated in Huyi District People’s Hospital from October 2021 to January 2022 were randomly divided into an experimental group and a control group,with 45 cases in each group.The control group received routine nursing and the experimental group received high-quality nursing.The effect of routine nursing and high-quality nursing were compared and analyzed based on the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),the degree of satisfaction with nursing care,and the patients’quality of life.Results:Before nursing,there was no significant difference in the patients’psychological state between the two groups(P>0.05);after nursing,there was significant difference in the patients’psychological state between the two groups(P<0.05);the degree of satisfaction with nursing care of the experimental group was significantly higher than that of the control group(P<0.05);comparing the quality of life of the two groups,the quality-of-life score of the control group was significantly lower than that of the experimental group(P<0.05).Conclusion:For patients with epidemic hemorrhagic fever with renal syndrome,high-quality nursing can significantly and effectively improve their psychological state,level of satisfaction with nursing care,and quality of life.

Effects of high-quality neurosurgical nursing care on improving clinical nursing quality

BACKGROUND With continuous advancements in medical technology,neurosurgical nursing is constantly developing and improving to provide higher-quality nursing services.AIM To explore the effects of different types of high-quality nursing care on clinical nursing quality and patient satisfaction in neurosurgical nursing.METHODS Eighty patients who received neurosurgical treatment in the Affiliated Hospital of Southwest Medical University from June to December 2020 were selected as study participants and categorised into study and control groups.The study group comprised 40 patients who received 4 different types of high-quality nursing care,whereas the control group comprised 40 patients who received conventional nursing care.After a specific period,nursing satisfaction levels and adverse event and complication rates were compared between the two groups.RESULTS Satisfaction with high-quality care was higher than that with conventional care,and high-quality health services and regional services showed the highest satisfaction levels,with an average score of 12 on the Glasgow scale.The satisfaction levels of the study and control groups were 75%and 57%,respectively,with a statistically significant difference(t=7.314,P<0.05).During the nursing period,the adverse event and complication rates were the highest in patients with level III pathology grade and those who underwent neurosurgery(40.02%and 85.93%,respectively),and the difference was statistically significant.CONCLUSION In neurosurgical nursing,employing appropriate high-quality nursing methods can effectively reduce adverse event and complication rates in patients,thereby improving the quality of nursing care and increasing clinical nursing value.

移动护理平台在输液港连接便携式5-Fu泵居家化疗患者中的应用

目的 互联网技术的成熟和普及使得以互联网为依托对患者实行远程护理教育和管理成为现实。居家化疗逐渐成为一种新趋势。本研究通过构建移动居家护理平台并评估该平台用于输液港连接便携式5-Fu泵居家化疗和随访护理管理患者的安全性和应用效果。方法 选择2018年1—12月本院内科消化道病区住院治疗的358例晚期结直肠癌患者作为研究对象,按照便携式5-Fu化疗泵持续输注执行地点分为实验组(居家治疗组,140例)和对照组(院内治疗组,218例)两组。比较两组患者5-Fu化疗泵用药执行情况、输液相关不良事件和患者生活质量。结果 两组患者的5-Fu泵所给药物浓度和化疗泵完成输注时间比较,差异均无统计学意义(P>0.05);两组患者的堵管发生率和针头脱出率比较,差异均无统计学意义(P>0.05);实验组患者在总体健康状况方面评分比较显著高于对照组,差异具有统计学意义(P<0.05);实验组患者在躯体功能、角色功能、情绪功能、认知功能和社会功能等5个维度方面评分均显著高于对照组,差异具有统计学意义(P<0.05);实验组患者在疲倦、恶心与呕吐、疼痛、气促、失眠、食欲丧失、便秘、腹泻、经济困难等9个方面评分均显著低于对照组,差异具有统计学意义(P<0.05)。结论 应用便携式5-Fu泵化疗患者居家护理管理平台,为便携式5-Fu泵居家化疗患者提供了有序、专业的延续护理,提升患者生活质量,降低医疗费用,缓解紧张的医疗资源。这种以互联网作为依托的移动平台护理管理模式值得在临床上进一步推广。

“5+4”暖链式动态护理在前置胎盘剖宫产中预防低体温的效果

目的探究“5+4”暖链式动态护理在前置胎盘剖宫产中预防低体温的效果。方法选取2021年1月至2022年6月在宝鸡市妇幼保健院行前置胎盘剖宫产术的168例产妇作为研究对象,按随机数表法分为对照组和研究组各84例。对照组产妇实施常规保温措施,研究组产妇实施“5+4”暖链式动态护理措施,比较两组产妇的体温、寒战及低体温发生情况。结果干预后,研究组产妇麻醉后30 min及术后30 min的体温分别为(36.70±0.12)℃、(36.50±0.20)℃,明显高于对照组产妇的(35.75±0.23)℃、(35.50±0.35)℃,差异均有统计学意义(P<0.05);研究组产妇的低体温发生率为0,明显低于对照组的7.14%,寒战发生率为3.57%,明显低于对照组的11.90%,差异均有统计学意义(P<0.05)。结论“5+4”暖链式动态护理方案可以明显提高前置胎盘剖宫产产妇的体温,降低围术期低体温及寒战的发生风险,促进产妇预后。

Translation and Validation of Malay Version 5-Items Brief Illness Perception Questionnaire, BIP-Q5 towards COVID-19 among Malaysian Nurses

Introduction: Currently, own individual perception is recognized as one of the important factors in the prevention of disease, including coronavirus disease, COVID-19. Given the massive impact of COVID-19 on all population’s life, including nurses as one of the main health services providers in the country, this study aims to translate and validate the Malay Version 5-Items Brief Illness Perception Questionnaire, BIP-Q5 towards COVID-19 among Malaysian nurses. Materials and Methods: Forward and backward translations and pretesting of the BIP-Q5 to Malay were conducted among nurses, subject matter experts, and language professionals. The validations process was elicited through an online cross-sectional study involving 56 nurses based on a ~10:1 subject-to-items ratio sample size estimations. Results: The principal component analysis (PCA) revealed one best component with eigenvalues more than one, confirming the questionnaire’s original version. There are five items within the single component, and all are with weightage of over 43%. The scree plot supported the findings, which showed that at least one factors are suitable to be retained. The overall Cronbach’s α coefficient was 0.7 and the intraclass correlation coefficient was 0.659. The Kaiser-Meyer-Olkin was 0.655, and Bartlett’s test of sphericity p-value was Conclusion: This study showed that the translated Malay Version 5-Items Brief Illness Perception Questionnaire, BIP-Q5 has a good psychometric property, and is a valid and reliable tool to be used to measure illness perceptions towards COVID-19 among Malaysian nurses.

生大黄联合5-氟尿嘧啶治疗急性胰腺炎的护理

目的 通过对生大黄联合5-氟尿嘧啶治疗急性胰腺炎的观察分析,进一步提高急性胰腺炎的护理质量。方法 重点观察治疗组及对照组的胃肠道症状、精神状态及相关并发症,分别予以相关治疗及护理。结果 治疗组胃肠道症状发生率显著高于对照组,但精神状态及并发症无显著差异。结论 应用生大黄联合5-氟尿嘧啶治疗急性胰腺炎时,应着重胃肠道的护理。

5-氨基酮戊酸光动力疗法治疗肛周-肛管尖锐湿疣护理体会

目的探讨5-氨基酮戊酸光动力疗法治疗肛周-肛管尖锐湿疣患者的护理方法。方法对30例肛周-肛管尖锐湿疣患者进行光动力治疗,密切观察治疗各阶段的精心护理对临床疗效的影响。结果经3次治疗后27例患者皮损完全消退,恢复正常黏膜结构;3例肛管、肛周均受累的患者在治疗4周后复发,经再次治疗未见复发。结论加强光动力治疗前、中、后的各项护理,有助于取得较好的疗效。

5-氨基酮戊酸光动力疗法治疗肛周尖锐湿疣的疗效观察及护理

目的观察5-氨基酮戊酸光动力疗法(5-aminolevulinic acid photodynamic therapy,ALA-PDT)治疗肛周部位尖锐湿疣的疗效,并探讨其护理经验。方法采用ALA-PDT对56例肛周尖锐湿疣患者进行治疗,观察其治疗效果。结果本组患者治疗有效率94.6%,复发率为5.4%。结论治疗中使皮肤充分扩展,做好观察护理;术后做好健康教育对提高肛周尖锐湿疣的治疗效果具有重要意义。

预防5-氟尿嘧啶化疗所致静脉炎综合护理措施的研究

目的评价应用综合护理措施预防5-氟尿嘧啶(5-Fu)化疗所致静脉炎的效果。方法 594例患者分为对照组92例、治疗组502例。对照组常规输液,治疗组在5-Fu静脉输注前采用0.2%奴夫卡因10 ml静脉注射、新鲜芦荟叶外敷、静脉留置套管针、3μm精细过滤避光输液器输注、生理盐水100 ml化疗后快速静脉输注、健康教育等措施。结果对照组发生静脉炎39例(42.39%),治疗组发生静脉炎79例(14.94%),治疗组静脉炎发生率明显低于对照组(P<0.05);治疗组静脉炎严重程度较对照组明显减轻(P<0.05)。结论采用化疗前静脉注射0.2%奴夫卡因联合芦荟局部外敷、静脉留置套管针等综合护理措施对5-Fu化疗所致静脉炎有明显的预防作用。

5-氨基酮戊酸-光动力疗法治疗尖锐湿疣150例疗效观察和护理体会

目的观察5-氨基酮戊酸-光动力(5-aminolevulinic acid photodamic therapy,ALA-PDT)疗法治疗尖锐湿疣的疗效,探讨最佳护理方案。方法将入选患者随机分为常规护理组(149例)和综合护理组(150例),两组均予5-氨基酮戊酸-光动力疗法治疗,在此基础上,常规护理组仅进行常规护理,综合护理组进行全面、细致和人性化的综合护理措施。两组均随访半年,并判定疗效。结果综合护理组中143例(95.33%)完全缓解,5例(3.33%)部分缓解,2例(1.33%)无反应,随访半年,14例(9.79%)复发;常规护理组依次为135例(90.60%)、8例(5.37%)、6例(4.03%)和25例(18.52%)。两组的完全缓解率相比,差异无统计学意义(P>0.05),但综合护理组的复发率显著低于常规护理组,差异有统计学意义(P<0.05)。结论采用ALA-PDT疗法治疗尖锐湿疣时宜采用全面、细致和人性化的综合护理措施。

5-氟尿嘧啶化疗致口腔黏膜炎对生活质量的影响

目的调查5-氟尿嘧啶连续泵化疗致口腔黏膜炎的现状,针对性采取护理措施,以提高患者的生活质量。方法各疗程化疗开始时到化疗后15 d时,对50例患者进行调查,采用口腔黏膜炎分度标准及日常生活观察指标,观察和评估口腔黏膜炎的程度和对日常生活的影响。结果50例5-氟尿嘧啶连续泵化疗致口腔黏膜炎发生14例,Ⅰ度6例,Ⅱ度4例,Ⅲ度3例,Ⅳ度1例;口腔黏膜炎不同程度影响患者进食、交流、睡眠,降低了患者生活质量。结论5-氟尿嘧啶连续泵化疗患者易发生口腔黏膜炎,严重影响患者生活质量,通过预防和对症护理,可以减少不适感觉。

预防5-氟脲嘧啶化疗所致静脉炎的护理措施

目的评价应用系列护理措施预防5-氟脲嘧啶化疗所致静脉炎的效果。方法259例患者分为对照组92例、治疗组167例。对照组按常规输液治疗,治疗组采用5-氟脲嘧啶静滴前以0.2%奴夫卡因10ml静推、3μm精细过滤避光输液器输注、鲜芦荟叶外敷、生理盐水100ml化疗后快速静滴、健康教育等措施。结果对照组发生静脉炎共39例(42.39%),治疗组发生静脉炎共20例(11.98%),治疗组静脉炎发生率明显低于对照组(P<0.01)。结论采取以化疗前静推0.2%奴夫卡因的系列护理措施对5-氟脲嘧啶化疗所致静脉炎有明显的预防作用。

综合护理在5-氨基酮戊酸动力疗法治疗寻常型痤疮中的应用

目的探究与分析5-氨基酮戊酸动力疗法治疗寻常型痤疮的综合护理观察。方法选取哈尔滨医科大学附属第一医院2014年4月~2016年4月收治的120例寻常型痤疮患者,采取随机数字表法分为对照组与观察组,每组各60例,对照组仅给予常规护理,观察组给予综合护理,对比两组患者临床疗效、不良反应、皮肤外观满意度及焦虑抑郁情绪变化。结果对照组的总有效率为80.00%,观察组的总有效率为91.67%,观察组的总有效率明显高于对照组,差异具有统计学意义（P〈0.05）。对照组不良反应发生率为26.67%,观察组不良反应发生率为15.00%,观察组不良反应发生率明显低于对照组,差异有统计学意义（P〈0.05）。对照组的满意度为68.33%,观察组的满意度为90.00%,观察组较对照组相比满意度明显升高,差异有统计学意义（P〈0.05）。两组患者护理前SAS及SDS评分比较,差异无统计学意义（P〉0.05）。两组患者护理后较护理前相比SAS及SDS评分均降低,观察组较对照组上述评分降低更加显著,差异有统计学意义（P〈0.05）。结论将综合护理应用于5-氨基酮戊酸动力疗法治疗寻常型痤疮的临床工作中,可提高疗效,降低不良反应,提高患者对皮肤的满意度,同时缓解了患者焦虑抑郁情绪。

5-氨基酮戊酸光动力疗法联合二氧化碳激光清疣洗剂治疗尖锐湿疣的护理

目的探讨5-氨基酮戊酸光动力疗法(ALA-PDT)联合二氧化碳激光、清疣洗剂三阶段治疗尖锐湿疣患者的护理方法。方法对126例尖锐湿疣患者采用三阶段治疗法,密切观察治疗各阶段的精心护理对临床疗效的影响。结果经1～2个疗程的治疗后,治愈率为90.4%,复发率为6.3%。结论周密细致地护理和指导,有助于提高ALA-PDT三阶段治疗尖锐湿疣的疗效。

G-CSF预防泵注5-Fu所致口腔溃疡的效果观察

目的观察重组人粒细胞集落刺激因子(G-CSF)预防性处理泵5-注氟尿嘧啶(5-Fu)化疗导致的口腔溃疡的疗效。方法应用G-CSF对泵注5-Fu的化疗患者实施口腔溃疡的预防性处理。结果实验组口腔黏膜反应程度明显较对照组轻,且无不良反应。结论 G-CSF含漱能有效预防泵注5-Fu化疗引起的口腔溃疡。

奈达铂联合5-Fu治疗头颈部肿瘤5例护理体会

目的通过对5例头颈部肿瘤化疗患者的护理,提高患者的生存质量。方法针对患者肿瘤的特殊性和共同特点,予相应的心理护理、用药过程护理、化疗药物毒副作用的护理、饮食护理、口腔护理和健康教育。结果 1例鼻咽癌患者化疗后出现Ⅱ度骨髓抑制,予重组集落细胞刺激因子150μg皮下注射,24 h后复查血常规,白细胞上升;5例患者情绪稳定,善于沟通,达到良好的治疗效果。结论奈达铂治疗指数高,毒副作用相比顺铂小,减轻了患者精神压力和对化疗的恐惧感,同时加强了口腔局部并发症的护理,改变了不良卫生习惯,消除口腔异味,增加了患者的自信心,提高了患者的生存质量。

以自我管理为导向的5A护理模式在宫颈上皮内瘤样病变患者中的应用

目的:探讨以自我管理为导向的5A护理模式在宫颈上皮内瘤样病变(CIN)患者治疗中的应用效果。方法:选取2014年4月~2017年1月我院收治的CIN并行宫颈锥形电切术(LEEP)治疗的患者83例作为研究对象,采用随机字母表法分为观察组41例与对照组42例,对照组采用常规护理;观察组采用以自我管理为导向的5A护理模式,对比两组患者自我管理效能、情绪状态与生活质量。结果:观察组患者干预后自我管理效能评分明显高于对照组(P<0.05);观察组患者干预后焦虑、抑郁评分均明显低于对照组(P<0.05);观察组患者躯体、角色、认知、情绪、社会各维度评分均明显高于对照组(P<0.05)。结论:以自我管理为导向的5A护理模式能够提高CIN患者自我管理效能,改善情绪状态与生活质量。

两种静脉置管途径行5-Fu微量泵灌注化疗的临床观察

目的观察2种不同部位的静脉穿刺置管行5-Fu微量泵灌注化疗的差异。方法将100例患者随机分成2组：颈外静脉穿刺置管组（50例）和前臂静脉穿刺置管组（50例）,观察比较2组患者的5-Fu微量泵灌注速度,发生静脉炎、渗漏、套管卷折和脱出情况。结果2组患者5-Fu微量泵灌注速度无显著性差异（P〉0.05）;颈外组与前臂组发生静脉炎及渗漏情况有显著性差异（P〈0.001或P〈0.05）;套管卷折发生率则颈外组较前臂组略有增多;前臂组发生套管脱出1例,颈外组无发生脱出例数。结论颈外静脉置管行5-Fu微量泵灌注化疗总体上优于前臂静脉置管。对要求外周静脉置管化疗者,建议操作者首选颈外静脉穿刺置管,也可依具体情况选择合适部位进行穿刺。