Evaluation of the Effect of Endoscopic High- Frequency Electrocoagulation Electrodesiccation of Intestinal Polyps in the Clinical Nursing Pathway

Objective: To evaluate the effect of endoscopic high-frequency electrocoagulation electrodesiccation (HFEE) of intestinal polyps in the clinical nursing pathway. Method: A total of 120 patients who underwent HFEE of intestinal polyps were randomly divided into two groups of 60 cases. The control group received conventional nursing care while the observation group received the clinical nursing pathway of HFEE. Results: The average length of hospitalization, hospitalization costs, and mastery of the three health education of the observation group was lower than that of the control group (P < 0.01). The satisfaction of care in the observation group was significantly better than the control group (P <0.01). Conclusion: The clinical care path was suitable for HFEE of intestinal polyps, which shortened the patient’s length of hospitalization, improved their awareness of health education, improved their satisfaction with care, reduced medical disputes, and promoted the good development of nurse-patient relationships .

Application of Clinical Nursing Pathway in the Peri-Treatment Period of Immunoadsorption Therapy for Rheumatic Immune Diseases

Objective: The paper aims to investigate the clinical nursing pathway (CNP) in the application of immunosorption therapy in patients with rheumatic immune disease. Methods: Convenience sampling method was used to select inpatients who received immunoadsorption therapy from January 2020 to December 2022 in the rheumatology and Immunology department of a 3A hospital in Jingzhou City. 30 patients from January 2020 to June 2021 were selected as control group, and 30 patients from July 2021 to December 2022 were selected as observation group. The control group was given routine nursing. On the basis of the control group, the observation group used a clinical nursing pathway for intervention during the perioperative period of immunosorbent therapy. The incidence of adverse reactions, patient satisfaction, and nurse satisfaction during immunosorbent therapy between the control group and the observation group were compared. Results: After intervention, the incidence of adverse reactions in the observation group was significantly lower than that in the control group, while patient satisfaction and nurse satisfaction in the observation group were significantly higher than those in the control group. The results are all statistically significant (P Conclusion: Clinical nursing pathway is beneficial to reduce the incidence of adverse reactions in patients with immunoadsorption during peri-treatment and improve the satisfaction of patients and nurses.

Application of Clinical Nursing Pathway Combined with Cluster Nursing Mode in Biologic Treatment of Rheumatoid Immune Disease Patients

Objective: To investigate the effect of clinical nursing pathway (CNP) combined with cluster nursing mode in intravenous biologic treatment of rheumatoid immune disease patients. Methods: Convenience sampling method was used to select inpatients receiving biologics treatment in Rheumatology and Immunology Department of a grade A hospital in Jingzhou city from May 2020 to April 2022. 75 patients from May 2020 to April 2021 were selected as the control group, and 75 patients from May 2021 to April 2022 were selected as the observation group. The control group was given routine care. The observation group was treated with CNP combined with cluster nursing mode on the basis of the control group, and the incidences of adverse infusion reactions, total treatment time, patient satisfaction and nurse satisfaction were compared between the two groups. Results: There were statistically significant differences between the two groups after intervention (P Conclusion: Using CNP combined with cluster nursing mode is beneficial to reduce the incidence of adverse infusion reactions in patients, shorten the total treatment time, and improve the satisfaction of patients and nurses.

Methodology for Developing a Nursing Administration Analysis System

Nursing administration requires a large volume of wide-ranging information, and nurse administrators are limited in their ability to compile and analyze information for nursing administration. The purpose of this study is to create methodology for developing a nursing administration analysis system to aid nurse administrators in performing outcome analysis. In this methodology, information required for nursing administration in the PSYCHOMS? (Psychiatric Outcome Management System, registered trademark) database is analyzed according to the individual needs of nurse administrators. It features a combination of a classification method and an extraction method for obtaining quantitative and qualitative data as information required for nursing administration, and enables nurse administrators to easily obtain analysis results that they directly need. This methodology converts the time required nurse administrators to collect and organize information into time for making considerations in order to devise strategies for improving the quality of nursing care services, and can improve the quality and efficiency of nursing administration. This may lead to an increase of the quality of nursing care services at psychiatric hospitals. This methodology is highly versatile as it can be applied in information management, not only for nursing, but for the entire psychiatric hospital.

Application of clinical pathway combined with drawing method in clinical teaching of cardiac surgery nursing

Background Nursing internship is the terminal course in nursing education. However, the long-standing nursing teaching evolves with obvious disadvantages： boring methods, lack of live Demo and unstandardized contents. Therefore, a novel method is urgently in need. Methods In this study, a total of 74 nursing interns rotating in Cardiac Surgery ward of Large Vessel, Cardiac Surgery Department, were included. Of them, 37 included from July 2016 to March 2017 were distributed to the control group trained by the traditional method; while the rest 37 included from July 2017 to March 2018 were distributed to the study group receiving a novel teaching method characteristic of using clinical pathway and drawing. Baseline characteristics such as gender, age, graduation school were matched. Both groups had an internship for 4 weeks and each subject was taught by experienced instructors like nurse practitioner or nurse-in-charge. Comprehensive assessment,including growth assessment of specialty knowledge and examinations of both theory and operation,were applied both in the beginning and by the end of the internship. Results In the growth assessment of specialty knowledge, the study group performed significantly better than the control group in both total score and sub-section score（specialty pharmacy and specialty operation）. In the final examination, the study group had a higher score in specialty operation than the control group, which was statistically significant. Conclusions Application of clinical pathway combined with drawing method significantly improves the quality of cardiac surgery nursing teaching.

临床护理路径应用于冠状动脉粥样硬化性心脏病患者介入治疗效果的meta分析

目的通过meta分析来评价临床护理路径对冠心病患者介入治疗后的效果。方法利用计算机检索Cochrane Library、Web of Science、PubMed、Embase、Medline、中国期刊全文数据库、中国生物医学服务系统、维普中文期刊全文数据库以及万方数据库中关于临床护理路径对冠状动脉粥样硬化性心脏病(以下简称“冠心病”)介入治疗效果的随机对照试验,根据纳入标准筛选出符合质量的文献,严格评价后提取数据,采用RevMan 5.2进行meta分析。结果共纳入12篇文献,均为随机对照试验,共1237例患者,meta分析结果证明:观察组住院天数少于对照组(加权均数差为-2.62,95%置信区间为-3.52~-1.72,P<0.0001);观察组住院费用少于对照组(加权均数差为-4214.30,95%置信区间为-7266.91~-1161.69,P=0.007);观察组满意率高于对照组(相对危险度(relative risk,RR)为1.17,95%置信区间为1.09~1.26,P<0.0001),(标准均数差为1.31,95%置信区间为0.43~2.18,P=0.0030);观察组尿潴留的发生率低于对照组(RR=0.41,95%置信区间为0.26~0.65,P=0.0001);观察组出血和血肿的发生率低于对照组(RR=0.37,95%置信区间为0.22~0.62,P=0.0002);观察组迷走反射的发生率低于对照组(RR=0.33,95%置信区间为0.16~0.68,P=0.0030);观察组心律失常的发生率低于对照组(RR=0.43,95%置信区间为0.32~0.58,P<0.0001);观察组心源性休克的发生率低于对照组(RR=0.52,95%置信区间为0.31~0.89,P=0.0200)。结论临床护理路径能够缩短冠心病介入治疗后患者的住院天数,减少其住院费用,提高满意度,降低相关并发症(出血和血肿、迷走反射、心律失常、心源性休克)的发生率,然而由于纳入的文献存在偏倚的风险较高,其确切效果仍需更多临床高质量随机对照试验来证实。

白内障手术患者临床护理路径的实践应用效果

目的实践临床护理路径在白内障手术患者中的应用及效果。方法将100例患者随机分为观察组(A)、对照组(B)各50例,应用临床护理路径对观察组白内障手术患者实施护理,与对照组常规护理比较住院天数、满意率、相关知识掌握情况、出院一周后复诊依从性等。结果观察组满意率、相关知识掌握、出院一周后复诊依从性明显高于对照组。结论应用临床护理路径对白内障手术患者进行有序护理、健康教育,可以减少漏项,提高教育效果及满意度,因而提高了护理质量。