Observation of the Clinical Effects of Detailoriented Nursing in Health Checkups at a Health Management Center

Objective:To observe the clinical effects of detail-oriented nursing in health checkups at a health management center.Methods:A total of 240 individuals undergoing health checkups at the hospital’s health management center from June 2023 to June 2024 were enrolled and randomly divided into two groups according to a random number table method.The control group received routine nursing care,while the observation group received detail-oriented nursing care,with 120 cases in each group.Differences in checkup quality and nursing risk incidence were compared.Results:The form submission rate,project completion rate,and one-time checkup completion rate in the observation group were higher than those in the control group,while the checkup time was shorter(P<0.05).The incidence of nursing risks such as item loss,falls,and patient-nurse disputes was lower in the observation group compared to the control group(P<0.05).Conclusion:Applying detail-oriented nursing in health checkups at a health management center can effectively improve checkup quality and reduce the occurrence of nursing risks.

Application Effect of Feedforward Control in Outpatient Blood Specimen Management

Objective:To analyze the application effect of feedforward control in outpatient blood specimen management.Methods:1,200 patients who had their venous blood collected in outpatient phlebotomy room of our hospital's outpatient clinic from January 2021 to April 2021 were selected as study subjects and divided into 600 cases in the control group and 600 cases in the observation group.The two groups of patients were compared in terms of their satisfaction with the staff,the efficiency of the nurses and the quality of nursing care,turnaround time before specimen analysis,the rejection rate of the blood specimens,and the time of result reporting.Results:After the implementation of feedforward control,patients'satisfaction with staff,nurses work efficiency and quality of care,turnaround time before specimen analysis,specimen rejection rate,and result reporting time in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:The application of feedforward control in the management of outpatient blood specimens has significant effect,which effectively improves patients'satisfaction,enhances the efficiency of nurses and the quality of nursing care,shortens the turnaround time of specimens before analysis and the reporting time of results,and reduces the rejection rate of specimens.

Effect of the Application of Health Management in Nursing on Osteoarthropathy

Objective:To explore the effect of the application of health management in nursing on osteoarthropathy.Methods:Fifty patients with osteoarthropathy in our hospital were randomly selected and recruited for the current study from January 2018 to January 2020.They were divided into group A and group B according to the random number table method.group A(25 cases)received routine nursing,while group B(25 cases)received health management in nursing on the basis of the treatment given to group A.Joint function index,quality of life and nursing satisfaction were compared between the two groups.Results:The index of joint function in group B was higher than that in group A,the quality of life in group B was higher than that in group A,and the nursing satisfaction in group B was higher than that in group A(P<0.05).Conclusion:For patients with osteoarthropathy,the application of health management can effectively improve joint function and improve the quality of life.The effect is ideal and the method is worthy of wide application.

The Application of Layered Progressive Teaching Method in Nursing Teaching of Health Management Centre

Objective:To explore the clinical effect of the layered progressive teaching method in the process of nursing teaching in the health management centre.Methods:100 nursing students in the health management centre of our hospital were randomly divided into two groups from April 2018 to April 2019,in which students of the control group were treated with routine teaching,while those of the experimental group were treated with layered progressive teaching.Then,the teaching effect of the two groups was compared and analysed.Results:The assessment results of nursing students in the two groups were compared,in which the theoretical knowledge scores and practical operation scores of nursing students in the experimental group were(94.34±2.33)and(90.45±2.20)respectively.By contrast,the score of students in the control group was lower and the difference between the two groups was not significant(P<0.50).The teaching effect of students in the experimental group is more significant.Conclusion:During the process of nursing teaching in the Health Management Centre,the progressive teaching method showed a significant clinical effect and could effectively enhance students’scores.Therefore,it is positively significant for clinical development.

Application of Nursing Risk Management in Assisted Reproductive Nursing

Objective: discuss and analyze the application effects of nursing risk management in assisted reproductive nursing. Methodology: this research was carried out by selecting 384 IVF-ET (In-vitro fertilization and embryo transfer) patients admitted by certain hospital during February 2016 to February 2018 as research objects, who are classified into general group and research group at random by numbering all randomly, with 192 objects per group for comparing adverse event rate and nursing quality of patients in these two groups. Result: the adverse event rate of patients in research group is 4.17%, while that in general group is 10.94%, with the adverse event rate in research group lower than that in general group (P < 0.05);the overall scores of nursing quality in research group is (96.37±9.37), while that in general group is (79.34±8.25), with the overall score in research group significantly higher than that in general group (P < 0.05);the nursing satisfaction of research group and general group are 95.31% and 84.38% respectively, with the satisfaction in research group significantly higher than that in general group (P < 0.05). Conclusion: in assisted reproductive nursing, the application of nursing risk management plays a critical role, which can not only reduce the adverse event rate, but also effectively improve the nursing quality of patients, as well as improve the nursing satisfaction of patients, thus being proven that nursing risk management shall be widely applied in clinical nursing.

Effectiveness of enhanced recovery after surgery in the perioperative management of patients with bone surgery in China

BACKGROUND Enhanced recovery after surgery(ERAS)was introduced in China in 2007.Over time,the scope of ERAS has expanded from abdominal surgery to orthopedics,urology and other fields.Continuous development and research has contributed to progress of ERAS in China.In 2019,to promote the application of ERAS in bone tumor surgery,we formed the“Consensus of Experts on Perioperative Management of Accelerated Rehabilitation in Major Surgery of Bone Tumors in China”.AIM To evaluate the effect of enhanced recovery after bone tumor surgery in perioperative management in China.METHODS One hundred and seven patients who underwent bone tumor surgery at the Second Affiliated Hospital of Xi’an Jiaotong University between May 2019 and April 2021 were randomized into a study group(53 cases)and a control group(54 cases).The study group adopted the ERAS protocol and the control group adopted conventional care.Main outcome measures included postoperative length of stay(LOS),postoperative complications,mortality,and 30-d readmission rates.Secondary outcomes included postoperative visual analog scale(VAS)score of pain,number of blood transfusions,drainage volume in 24 h after operation,patient satisfaction 30 d after discharge,VAS score at 30 d after discharge,and daily standing walking time.RESULTS There were no significant differences in the baseline data,clinical features and surgical site between the two groups.The LOS in the study group with the ERAS protocol was 7.72±3.34 d compared with 10.28±4.27 d in the control group who followed conventional care.The incidence of postoperative nausea and vomiting(PONV)in the study group was 19%and 37%in the control group.The VAS scores of pain on postoperative day 1(POD1)and POD3 in the study group were 4.79±2.34 and 2.79±1.53 compared with 5.28±3.27 and 3.98±2.27 in the control group.The drainage volume in 24 h after the operation was 124.36±23.43 mL in the study group and 167.43±30.87 mL in the control group.The number of blood transfusions in the study group was also lower.The patient satisfaction rate was higher in the study group than in the control group.CONCLUSION The ERAS protocol in the perioperative period of bone tumor surgery can decrease LOS,PONV,and postoperative pain,blood transfusion and 24-h drainage,improve patient satisfaction and accelerate recovery.

Development and application of an online testing system for clinical nurses

The online assessment is a new examination system which has a broad application in many research fields such as medical science and has been proved to be effective,reliable,and robust.The aim of this study was to establish an online testing system for clinical nurses and to assess its effectiveness compared with traditional paper-based tests in China.A randomized controlled trial was performed,a total of 1802 nurses were recruited and randomly assigned to take either the paper-formatted test or the online test.Then the paper quality,examinee's performance and nurses'assessments of online testing system were evaluated.The results shown that online assessment system for clinical nurses had a comparable examination effects with traditional paper-based format,and the nurse spoke highly of its effectiveness and efficiency.These data suggest that online nursing assessments should be considered a dependable replacement for paper test.

Time Management of the Clinical Nurses at Public Hospital in Bangladesh

Nursing is a very intense and focused career, so picking the right time and its proper management can help to relieve personal stress, manage tasks properly and achieve patients and organizational outcome. Objective: This study aimed to explore perceived time management skill of the clinical nurses. Methods: This was a descriptive correlational study design using simple random sampling. A total of 77 clinical nurses working in Mugda Medical College Hospital, Dhaka, Bangladesh were selected as study participants. The data were collected through structure questionnaire which consisted of demographic questionnaire and five dimensions of Time Management Skill Questionnaire (TMSQ). Results: The overall mean score of time management skill was 2.63 (SD = 0.28) reflecting a medium level of nurses perceived time management skill. The results also revealed that nurses age (r = 0.39, p = 0.000), monthly income (r = 0.294, p = 0.017) and service experience (r = 0.248, p = 0.030) were statistically significant correlated with nurses’ perceived time management skill. Conclusion: The outcome of this research would add to develop a strategy for nurse administrators to take an initiative for how nurses could improve the time management and utilize their limited time effectively. It specifies that proper time management can influence to provide quality care and achieving organizational goal.

改良正念减压疗法在原发性肝癌切除术患者中的应用

目的探究改良正念减压疗法在原发性肝癌(primary liver cancer,PLC)切除术患者中的应用。方法选取2020年5月至2022年5月北京市和平里医院收治的160例PLC患者作为研究对象,按照随机数字表法分为对照组(n=80)和研究组(n=80)。对照组采用风险管理护理模式,研究组在对照组基础上联合改良正念减压疗法干预,比较两组患者干预前后癌症疲乏量表(cancer fatigue scale,CFS)评分、中文版压力知觉量表(Chinese perceived stress scale,CPSS)评分、心理弹性水平、疼痛程度、心理应激程度和满意度。结果研究组患者干预后躯体疲乏、情感疲乏、认知疲乏CPSS评分均显著低于对照组(均P<0.05),坚韧性、自强、乐观评分和疼痛改善程度均显著优于对照组(均P<0.05)。两组患者干预后焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)评分较干预前均显著降低(均P<0.05),且研究组患者干预后SAS和SDS评分均显著低于对照组(均P<0.05)。两组患者干预后CFS各项评分均较干预前显著降低(均P<0.05),且研究组降低幅度显著大于对照组(均P<0.05)。研究组患者的干预满意度显著高于对照组(P<0.05)。结论采取风险管理护理模式联合改良正念减压疗法干预PLC患者,能显著降低术后并发症发生率,缓解患者疼痛、疲乏感和心理应激反应,减轻患者的知觉压力并有效改善患者的心理弹性,提升生活质量。

全方位管理干预对行^(18)F-FDG PET/CT检查胃癌患者心理状态及满意度影响

目的:探讨全方位管理干预在进行^(18)F脱氧葡萄糖(FDG)正电子发射型计算机断层显像(PET)/CT检查胃癌患者中的应用效果.方法:选取2021年10月至2022年10月本院收治的123例胃癌患者为研究对象.根据干预方案将其分为研究组(n=64,采用全方位管理干预)和对照组(n=59,采用常规干预).采用统计学方法,比较两组患者图像合格率、患者心理状态和检查满意度.结果:研究组患者图像一次合格率高于对照组,差异有统计学意义(P<0.05).研究组患者情绪平稳度、依从性、生活习惯、沟通能力、自我约束评分高于对照组,差异均有统计学意义(P<0.05).研究组患者检查前、中、后检查满意度均高于对照组,差异均有统计学意义(P<0.05).结论:在胃癌患者^(18)F-FDG PET/CT检查中应用全方位管理干预,可改善患者心理状态及满意度,利于诊断检查工作的开展.

临床护理干预用于白内障合并青光眼效果观察

目的探讨临床护理干预在白内障合并青光眼护理中的应用效果。方法选取医院2022年12月至2023年12月收治的白内障合并青光眼患者60例,随机分为观察组和对照组,各30例。两组患者均予常规护理服务,观察组患者增加临床护理干预。结果观察组患者的术后复发率为0,显著低于对照组的33.33%(P<0.05)。护理后,观察组患者的眼压为(14.35±1.50)mmHg,显著低于对照组的(18.50±2.10)mmHg;视力为0.75±0.01,显著高于对照组的0.50±0.02(P<0.05)。观察组患者的住院费用、住院天数、焦虑程度、生活质量均显著优于对照组(P<0.05)。结论临床护理干预应用于白内障合并青光眼的护理可有效改善患者的眼压及视力,降低术后复发率,减少住院费用,缩短住院天数,缓解焦虑,提高生活质量。

无痛肠镜检查中风险管理对护理质量的影响

[目的]分析无痛肠镜检查中风险管理对护理质量的提升作用.[方法]回顾性分析2023年3月—2024年3月接受无痛肠镜检查的100例患者临床资料,按随机数字表法分对照组(n=50,给予常规管理干预)和观察组(n=50,给予风险管理干预).比较两组护理质量、风险事件发生率、生命体征异常波动发生率情况.[结果]干预后,观察组护理服务、护理应急能力、护理应用效果、护理水平评分明显高于对照组(P<0.05),总风险事件发生率及总生命体征异常波动发生率均显著低于对照组(P<0.05).[结论]风险管理在无痛肠镜检查中的应用具有较佳的临床效果,护理质量明显提升,风险事件以及生命体征异常波动发生率降低.

6S管理模式在眼科门诊护理管理中的应用评价

目的评价6S管理模式在眼科门诊临床护理管理中的应用效果及价值。方法建立6S管理小组,采用便利抽样法,选取2022年1月至2023年1月天津市眼科医院门诊护理人员48名进行问卷调查,采用随机数字表法分为观察组与对照组,各24名。对照组采取常规护理管理,观察组在对照组基础上采取6S管理模式。统计2组干预前后护理质量评分、护士临床沟通能力、眼科门诊患者满意度。结果干预后观察组环境秩序、服务态度、护理安全、仪器设备管理评分均高于对照组,差异有统计学意义(P<0.001);干预后观察组护患基本语言沟通能力、护患基本非语言沟通能力、团队沟通能力、情感支持能力、情感感知能力、困难情景沟通能力得分均高于对照组,差异有统计学意义(P<0.05);观察组患者满意度评分高于对照组,差异有统计学意义(P<0.05)。结论眼科门诊应用6S管理模式,可显著提升临床护理服务质量,增强护士临床沟通能力,提高患者对眼科门诊护理工作的满意度,让更多的患者获得优质的医疗服务。

集束化护理在消化内镜治疗胃溃疡出血患者中的应用效果

目的分析集束化护理干预对消化内镜治疗胃溃疡出血患者临床症状及睡眠质量的影响。方法选取2021年7月—2022年7月贵港市人民医院消化科采用消化内镜治疗胃溃疡出血患者96例,采用抽签法将其分为对照组(n=48)与观察组(n=48)。对照组采用常规护理措施干预,观察组采用集束化护理干预措施。对比2组患者的症状改善情况、睡眠质量、心理状态、生活质量及胃功能指标(胃泌素、胃蛋白酶)。结果观察组患者干预7、14、30 d后睡眠质量均高于对照组(P<0.05)。干预后,观察组患者心理状态评分优于对照组(P<0.05)。干预后,观察组生活质量评分高于对照组(P<0.05)。干预后,观察组胃泌素为(135.42±14.15)ng/mL和胃蛋白酶为(126.19±12.72)μg/mL水平均高于对照组的(116.79±12.33)ng/mL、(115.83±12.15)μg/mL,差异均有统计学意义(P<0.05)。结论集束化护理干预在消化内镜治疗胃溃疡出血患者中应用效果良好,可以有效改善患者的睡眠质量和心理状态,对提高患者生活质量具有积极作用,同时改善患者胃功能。

植入式心电事件监测仪在房颤中的应用及进展

心房颤动(房颤)是一种以心房激活不协调和心房收缩无效为特征的室上性心律失常,发病率高,常并发卒中、心力衰竭和心动过速致心功能降低诱发心肌病等不良事件,给患者及家庭造成巨大负担。综合管理房颤至关重要,可有效降低房颤病死率、致残率及改善预后。但传统心电图监测大概率漏诊了无症状及阵发性房颤。植入式心电事件监测仪(insertable cardiac monitor,ICM)作为新一代监测工具,可弥补传统心律监测工具缺点,提供实时心律监测心电图并为使用者提供警报。ICM已广泛应用于医学各领域,临床主要应用于不明原因晕厥患者,近年其适应证研究逐渐扩展到房颤监测,但在临床实践中仍未受到重视。结合相关文献,该文就ICM在房颤中的应用及最新研究进展进行综述,结合优缺点进行评估,让医师在临床实践中重视其应用,以期为管理房颤提供帮助。

影像护理一体化管理模式应用效果的meta分析

目的采用meta分析的方法探讨影像护理一体化管理的应用效果。方法计算机检索中国知网、维普数据库、万方数据库等,检索时间为建库至2022年7月,收集影像护理一体化管理应用于临床的相关研究,按一定标准筛选文献并完成偏倚风险评价及资料提取,采用Stata 15.0软件进行meta分析。结果共纳入19篇研究,包括3664例患者,其中影像护理一体化管理组1832例,常规管理组1832例。Meta分析结果显示,与常规管理组相比,影像护理一体化管理能有效提高影像检查准备完好率(OR=0.19,95%CI:0.11~0.33)、报告发放及时率(OR=0.08,95%CI:0.02~0.32)、穿刺成功率(OR=0.25,95%CI:0.14~0.44)、患者满意度(OR=0.10,95%CI:0.06~0.16),降低重复扫描率(OR=0.22,95%CI:0.15~0.32)、对比剂渗透率(OR=0.13,95%CI:0.08~0.22)、金属漏检率(OR=0.21,95%CI:0.07~0.60),缩短候诊时间(SMD=-0.66,95%CI:-0.84~-0.48)。结论护理一体化管理能有效提高影像科检查效率、护理质量及患者满意度。

创伤救护技能模拟训练在医院护生临床实践教学中的应用与效果评价

目的分析创伤救护技能模拟训练在医院护生临床实践教学中的应用效果。方法选择2021年9月至2022年9月在本院实习的护生32名,其中16名为传统带教培训(对照组),16名为创伤救护技能模拟训练培训(观察组),两组均培训3个月。对比两组护生救护能力(理论知识、操作技能、实践综合能力);对比两组对培训反馈情况(是否可提高创伤救护技能练习兴趣、是否贴合临床、是否增加救护时信心、是否提高综合救护能力、是否提高团队协助意识、是否增加与患者沟通能力等);对比两组抢救成功率。结果培训前两组救护能力无差异,培训后救护能力均明显提升,观察组理论知识、操作技能、实践综合能力评分均高于对照组(P<0.05);针对两组反馈情况可知,观察组100%护生均肯定此教学模式可提高对创伤救护技能训练的兴趣,认为此训练模式可贴合临床、增加救护时信心、提高综合救护能力、提高团队协助意识、增加与患者沟通能力者均达85%以上,而对照组患者上述项目认同率均在80%以下(P<0.05);观察组抢救成功率为100%,对照组为68.75%,观察组抢救成功率高于对照组(P<0.05)。结论通过创伤救护技能模拟训练,可以提高护生的救护技能水平,增强其学习的积极性和团队协作能力,并且能够提高抢救的成功率。

“六顶思维帽”思维模式在气管切开患者气道湿化护理管理中的应用效果

目的探讨“六顶思维帽”思维模式在气管切开患者气道湿化护理管理中的应用效果。方法选取2021年1月至2023年6月安阳市人民医院收治的60例气管切开患者,按随机抽签法分为对照组和研究组,各30例。两组均接受气管切开手术治疗,对照组接受常规护理,研究组在对照组基础上接受“六顶思维帽”思维模式的气道湿化护理管理。比较两组痰液黏稠度、湿化效果、并发症、护理工作效率。结果护理第14天,研究组痰液黏稠度小于对照组(P<0.05),气道湿化满意率高于对照组(P>0.05),并发症发生率低于对照组(P<0.05),护理人员工作效率高于对照组(P<0.05)。结论“六顶思维帽”思维模式可改善气管切开患者痰液黏稠度,提高湿化效果,降低并发症发生率,提高护理工作效率。

心理护理对初产妇产后抑郁情绪、睡眠质量及护理满意度的影响

目的:探究心理护理对初产妇产后抑郁情况、睡眠质量以及护理满意度的影响。方法:选取2021年7月至2023年3月泉州市第一医院产科收治的初产妇80例作为研究对象,按照掷骰子的方式随机分为观察组和对照组,每组40例。观察组接受常规护理联合心理护理,对照组接受常规护理,对比2组产妇护理前后抑郁情绪、睡眠质量以及护理满意度差异。结果:护理前2组产妇的抑郁情绪评分、匹兹堡睡眠质量指数得分、生命质量量表得分比较,差异均无统计学意义(均P>0.05);护理后观察组产妇抑郁情绪评分、匹兹堡睡眠质量指数得分均低于对照组,生命质量量表得分高于对照组,差异均有统计学意义(均P<0.05);护理后观察组产妇满意率及满意度均分均高于对照组,差异均有统计学意义(均P<0.05)。结论:对初产妇开展心理护理有助于改善产妇抑郁情绪,提高产妇的睡眠质量及生命质量,且有助于调节初产妇的护理满意度,具有一定的临床推广运用价值。

医护一体化模式用于关节置换术患者护理效果观察

目的探讨医护一体化模式在骨科护理中的应用效果。方法选取医院骨科病区2020年10月至2021年10月收治的骨科关节置换术患者76例,随机分为对照组和观察组,各38例。对照组患者采用常规护理,观察组患者采用医护一体化护理。结果观察组患者预约等待、异常反馈、执行医嘱、平均住院时间均显著低于对照组(P<0.05),且医-护-患满意度明显高于对照组(P<0.05)。结论医护一体化模式用于骨科关节置换术护理,有利于提升医护间的配合度和医疗护理质量,缩短患者的康复时间,提高医-护-患满意度。