Application of evidence-based nursing intervention in patients with congenital heart diseases treated by transcatheter interventional therapy

Objective To explore the application of evidence-based nursing intervention in patients with congenital heart diseases treated by transcatheter interventional therapy.Methods A total of 64 patients with congenital heart diseases who were administered in our hospital from June 2011 to July 2013 were recruited in our research.

Dysphagia and daily oral fluids among cerebrovascular stroke patients:an theory-based nursing intervention protocol

Objective:To evaluate the improvement of dysphagia and the daily amounts of oral fluids served among people who had recently experienced a cerebrovascular stroke(CVS)after applying a nursing intervention protocol.Methods:A quasi-experimental design was used to examine 60 stroke patients who were randomly and alternatively divided equally into a study group and a control group.Gugging Swallowing Screen(GUSS)and fluid balance chart were used.Within the first 24 h of a patient’s admission,expert nurses were trained in nursing intervention protocol to manage dysphagia and daily oral fluids.Results:Post-nursing intervention,the severity of dysphagia decreased among the study group more than in the control group.Additionally,the study group began taking greater amounts of fluids by the oral route than before the nursing intervention.Conclusions:A standardized nursing intervention protocol is needed to decrease the severity of dysphagia after CVS and increase the amount of daily oral fluids.The presence of a structured theory-based nursing intervention protocol for dysphagia management will greatly contribute to decreasing the consequences of dysphagia after CVS,and can also be expected to attenuate the effects of aspiration pneumonia,dehydration,and malnutrition;further,it also increases adherence to the protocol by both nurses and patients.

Effects of Dual-Perspective Nursing Intervention Based on Safety and Comfort Needs on Psychological Status and Safety Quality of MRI Patients

Objective:To investigate the effect of dualperspective nursing intervention based on safety and comfort needs on the psychological status and safety quality of patients undergoing magnetic resonance imaging(MRI).Methods:A total of 100 patients who received MRI in our hospital from October 2017 to December 2019 were selected and randomly divided into two groups,50 cases for each group.Routine nursing intervention was performed in the control group,and double-perspective nursing intervention based on safety and comfort needs in addition to routine nursing was performed in the observation group.Psychological status and examination of safety quality were observed and compared between the two groups.Results:The scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were lower than those in the control group after intervention.Meanwhile,the scores of early treatment of dangerous conditions,implementation of safety measures,prevention of accidental injuries,communication of safety information,education of safety knowledge,standardized examination and awareness of self-safety management in the observation group were higher than those in the control group after intervention,and the differences were statistically significant(P<0.05).Conclusion:Dual-perspective nursing intervention based on safety and comfort needs is effective for patients undergoing MRI examination,which can improve the psychological status of patients and improve the quality of examination safety.

The Effects of Nursing Risk Intervention on Drainage Safety after Prostatic Hyperplasia Surgery

Objective:To explore the effect of nursing risk intervention on drainage safety after prostatic hyperplasia surgery.Methods:80 patients who underwent prostatic hyperplasia surgery in our hospital(People’s Hospital of Jiangsu Province)from August 2020 to August 2021 were randomly divided into group A and group B.Patients in group A were treated with routine postoperative drainage nursing intervention,and patients in group B were given nursing risk intervention based on group A,and the intervention results of the two groups were compared.Results:Comparison of patient satisfaction:the patient satisfaction in group B(97.50%)was higher than that in group A(25.00%).Comparison of drainage tube accidents:the accident rate of group B was lower than that of group A;Comparison of patients’psychological anxiety:the psychological anxiety of patients in group B after nursing intervention was lower than that in group A.Comparison of patients’quality of life:the quality of life of patients in group B after nursing intervention was higher than that in group A.The difference was statistically significant(P<0.05).Conclusion:Clinical nursing risk intervention after prostatic hyperplasia surgery can greatly improve the safety of drainage,reduce patients’psychological anxiety and improve patients’quality of life after treatment.It has the value of clinical application and promotion.

A quality evaluation of nursing intervention studies in China's Mainland: From 1979 to 2012

Background:The number of papers published in the field of nursing practice has greatly increased in recent years in China's Mainland,yet the quality of these papers is highly variable.There has been no attempt to comprehensively estimate the overall quantity and quality of these papers.Objectives:To systematically retrieve nursing intervention studies published in simplified Chinese from 1979 to 2012,critically appraise their quality,and provide suggestions for future development.Methods:All of the papers were retrieved from China Biology Medicine disc database.The preliminary screening of retrieved publications was performed prior to conducting a rigorous quality evaluation of the remaining publications.10 characteristics would be included in consideration in quality evaluations.Results:69,150 papers were retrieved according to searching strategy.7391 of them were included after preliminary screening and appraised critically.Among the 10 characteristics considered in quality evaluations,the lowest ratings were observed for the factors of“utilisation of blind method”(13 articles),“description of loss of follow-up”(499 articles),“appropriate calculation of sample size”(511 articles)and“randomised assignment of patients to treatments”(652 articles).Conclusions:Chinese papers published in the field of nursing practice have increased over time,but improvements remain needed to ensure that thorough studies with high-quality research methodologies are being performed.Future nursing researchers should not only improve the design of their intervention studies but also clearly describe the methodology they used,especially in group randomisation,blinded research designs,and estimations of required sample sizes.

护士心理社会安全氛围的研究进展

护士作为医疗卫生领域数量最为庞大的专业人员,在“健康中国”事业发展中发挥着重要作用。随着我国人口老龄化加剧,护理人员短缺问题日益凸显,临床护士的工作压力也越来越大,这对其身心健康和护理工作质量造成了严重影响。心理社会安全氛围(psychosocial safety climate,PSC)可以为护理人员提供各类资源,缓解高压力工作对其心理健康造成的损害,有利于提高护理人员的工作投入水平。本文从护士PSC的概念、相关理论、评估工具、结局变量及干预措施等方面进行综述,并提出相应建议和对策,为探索构建系统化干预方案提供依据,以期提高护士PSC水平,促进护理队伍的建设与发展。

护理缺失研究进展

护理缺失是指护理行为的缺失,其存在必然导致护理质量降低,影响患者安全。本文就护理缺失的概念、理论模型、主要缺失内容、测评工具、不良影响及相关干预措施进行阐述,并对未来研究提出建议和展望,以期引起国内护理工作者和管理者的重视,为相关研究的开展提供借鉴和参考。

护理干预在糖尿病患者胰岛素安全注射中的应用

目的分析护理干预对糖尿病患者胰岛素安全注射的效果。方法选取2021年6月—2023年4月于池州市中医医院住院的62例糖尿病患者为研究对象,按护理方法不同分为对照组和观察组,各31例。对照组予以常规护理,观察组另加个性化技能指导护理。比较两组不良反应发生率、治疗依从率、满意度。结果观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。观察组治疗依从率高于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论有效开展个性化技能指导护理干预,可减少不良反应,提高依从率。

Reason模型在肝癌介入术病人围术期护理安全管理中的应用分析

目的:探讨Reason模型在肝癌介入术病人围术期护理安全管理中的应用效果。方法:应用Reason模型对2020年6月-2021年6月22例次肝癌介入术病人围术期护理安全不良事件进行回顾性分析,从不安全行为、不安全性前提、不安全监督、组织管理4个方面分析原因并制定解决方案,比较方案实施前后护理安全不良事件发生率。结果:实施Reason模型后肝癌介入术病人围术期护理安全不良事件发生率为0.135%,显著低于实施前的0.586%(P<0.05)。结论:基于Reason模型的管理有利于深度挖掘护理管理问题,降低护理安全不良事件发生率,有助于改变医护人员对不良事件上报的态度,保障病人安全。

疗愈环境理念下儿科门诊静脉采血研究

目的:评价基于疗愈环境理念的护理干预对门诊静脉采血患儿焦虑、恐惧状况及穿刺依从性的影响。方法:采用历史对照研究法,将2022年5月1日至6月1日及2022年7月1日至8月1日在河南省郑州市某三级甲等儿童医院进行门诊静脉采血的患儿分别设为对照组(n=63)和实验组(n=65)。对照组接受常规采血护理服务;实验组接受基于疗愈环境理念的护理干预措施。比较两组患儿采血前的焦虑、恐惧状况及采血中穿刺依从性等的差异。结果:实验组患儿的焦虑得分(t=5.212,P<0.05)、恐惧发生率(χ^(2)=7.459,P<0.05)明显低于对照组,穿刺依从性(Z=7.441,P<0.05)及一次穿刺成功率(χ^(2)=4.863,P<0.05)明显高于对照组,差异均具有统计学意义。结论:基于疗愈环境理念的护理干预能够改善门诊静脉采血患儿的焦虑、恐惧情绪,提高患儿的穿刺依从性及穿刺成功率。

全程预防性安全护理干预在小儿预防接种中的应用效果分析

目的分析全程预防性安全护理干预在小儿预防接种中的应用效果。方法选取2020年1月至2022年1月在我院行疫苗预防接种的166例小儿,根据护理干预方式的不同分为对照组(n=82)和观察组(n=84)。对照组给予常规护理干预,观察组在对照组基础上给予全程预防性安全护理干预,比较两组小儿的配合度及不良反应。结果观察组小儿接种疫苗时的总配合度为95.24%,显著高于对照组小儿的80.49%(P<0.05)。观察组的不良反应发生率为8.33%,显著低于对照组的29.27%(P<0.05)。结论全程预防性安全护理干预在小儿预防接种中的应用效果较好,可明显提升小儿配合度,降低不良反应发生率。

经皮冠状动脉介入治疗术后病人当日出院安全性研究进展

对经皮冠状动脉介入治疗术后病人当日出院情况、优势、安全性、阻碍因素进行综述,为实行经皮冠状动脉介入治疗术后当日出院模式提供参考。

消毒供应中心管理中护理安全干预机制的建立及应用效果分析

目的分析消毒供应中心管理中护理安全干预机制的建立及应用效果。方法选取2021年1—12月湖南省脑科医院消毒供应中心处理的器械1000件运用传统方式管理,纳入传统管理组。选取2022年1—12月期间本院消毒供应中心处理的器械1000件运用护理安全干预机制管理,纳入安全管理组。两组器械均由同一批(20名)工作人员消毒灭菌处理。比较两组管理效果。结果与传统管理组相比,安全管理组管理后的工作人员管理质量、管理满意率更高,器械的消毒合格率、灭菌合格率均更高,且器械引起的风险事件率更低,差异有统计学意义(P<0.05)。结论在为消毒供应中心管理时,运用护理安全干预机制管理能够提升工作人员管理质量,增强管理满意率,提高器械消毒合格率和器械灭菌合格率,且器械引起风险事件较少。

手术室儿童手术护理中安全隐患干预的应用效果

目的研究分析安全隐患干预在手术室儿童手术护理中的应用效果。方法选取我院2022年1月至2022年10月收治的70例手术患儿,均采取安全隐患干预,作为观察组(n=70);从手术室数据库中配对选取2021年3月至2021年12月收治的70例手术患儿,均采取常规护理,作为对照组(n=70)。对比两组的干预效果。结果从两组的护理质量、护理不良事件发生情况和满意度方面进行对比分析,两组在干预后,观察组的消毒感染管理、专科技术管理、环境管理和人文关怀维度评分均要明显高于对照组(P<0.05);两组在干预过程中均出现了护理不良事件,观察组总发生率(2.86%)明显低于对照组的11.43%(P<0.05);两组的满意度比较,观察组的总满意度(97.14%)显著高于对照组的85.71%(P<0.05)。结论在手术室儿童手术护理中,采取安全隐患护理干预,能够大幅度降低护理不良事件的发生风险,提升护理质量,并且患儿及家属对护理服务的满意度更高,有利于手术的顺利推进。

护理安全管理对心脏介入手术患者术后并发症的影响

目的 分析护理安全管理对心脏介入患者术后并发症的影响。方法 选择我院2019年3月至2023年3月接受心脏介入手术治疗的患者64例,按照其接受手术时间的顺序将其分为对照组30例和观察组34例,对照组患者采用常规护理模式,观察组患者采用护理安全管理。比较两组患者的并发症发生概率、心功能恢复时间和出院时间,对比两组患者的护理满意度、疾病认知水平、日常生活能力、睡眠质量以及心理状态。结果 观察组患者并发症发生概率为8.82%,对照组患者并发症发生概率为23.33%,差异有统计学意义,P <0.05;观察组患者心功能恢复时间和住院时间明显短于对照组,P <0.05;观察组患者的护理满意度评分和疾病认知水平高于对照组,P <0.05;护理后,观察组患者的SAS、SDS评分明显低于对照组,P <0.05。结论 护理安全管理应用于心脏介入手术患者中可获得良好的效果,不仅可以降低穿刺点出血血肿、心律失常、血栓、尿潴留等并发症的发生概率,还可以明显提高患者疾病认知水平,增强其疾病治疗信心,有效缓解患者的负性心理。

介入手术室管理中的要点及隐患预防分析

介入诊疗学是临床第三大学科,介入手术室则是对介入诊疗患者实施各种介入诊断与治疗手段的工作中心,人员流动比较大、涉及面广泛、工作节奏比较快等特点。在介入手术室中,任意一个环节疏忽都可能会引起严重后果,对患者的手术质量带来严重影响,甚至威胁到患者的生命安全。介入手术室护理管理当中,安全管理与患者的安全性密切相关,是管理核心内容,也是保证医疗安全的前提条件。本文通过分析目前介入手术室护理管理中的要点,并对其安全隐患予以分析,提出目前有关护理管理的预防对策,为介入手术室护理管理工作提供参考。

门诊护理综合干预对假性近视少儿患者的效果及安全性评价

目的探讨假性近视少儿患者实施门诊护理综合干预的效果及安全性。方法选取2022年3月—2023年3月本院眼科门诊接收的80例假性近视少儿患者,随机将其分为2组,给予对照组常规护理,给予研究组门诊综合干预,观察两组临床效果、并发症发生率以及护理满意度。结果研究组总有效率得比对照组更高(P<0.05)。研究组并发症发生率比对照组更低(P<0.05)。研究组总满意度比对照组更高(P<0.05)。结论假性近视少儿患者实施门诊护理综合干预可促使临床效果得到进一步提升,并可降低并发症发生率,提高护理满意度,具备推广价值。

护理安全干预对消毒供应室物品供应质量改善的效果分析

为研究护理安全干预对消毒供应室物品供应质量改善的效果,选取2020年6月—2021年6月河池市妇幼保健院消毒供应室物品(n=164)作为对照组,采用常规护理干预;选取2021年7月—2022年7月河池市妇幼保健院消毒供应室物品(n=164)作为研究组,在对照组基础上采用护理安全干预。对比两组消毒供应室物品生物监测合格率、化学监测合格率,护理质量以及临床不良事件发生率、科室满意度。结果显示,研究组消毒供应室物品生物监测合格率、化学监测合格率均高于对照组(P<0.05);研究组消毒供应室工作人员护理质量评分高于对照组(P<0.05);研究组不良事件发生率低于对照组(P<0.05);研究组满意度调查表得分高于对照组(P<0.05)。研究发现,给予消毒供应室物品护理安全干预,有助于提高物品的生物及化学监测合格率,降低不良事件发生率,提升护理质量,且总体科室满意度较高。

介入手术室的护理安全隐患及对策

目的减少和杜绝介入手术室的护理安全隐患。方法针对2008年12月—2010年12月2 123例次介入患者手术中出现的关于患者、护士两方面的安全问题导致不良事件的原因进行分析,采取相应护理对策。再对2011年1月—2012年6月2 400例次介入患者出现的护理不良事件进行归纳总结。结果采取相应护理对策后,护理安全隐患导致的不良事件较前降低。结论通过加强对介入手术室护理安全隐患的原因分析,采取相应的对策,从而更加有效的保证了介入手术的安全性,减少了护理不良事件的发生。

护理干预在肾内科住院患者安全管理中的应用

目的探讨护理干预在肾内科住院患者安全管理中的作用。方法选取在本院就诊并住院的肾内科患者258例,随机分为实验组与对照组各129例,对照组给予临床肾内科常规护理,而实验组在此基础上再施行护理干预,对2组的住院时间、满意度以及并发症发生情况进行观察记录并比较。结果实验组平均住院时间18.72 d,对照组平均住院时间26.91d,2组差异具有统计学意义(P<0.05);实验组患者对于护理工作的总满意率为96.12%,对照组总满意率为79.07%,2组差异具有统计学意义(P<0.05);实验组中跌倒、出血、压疮以及感染的并发症发生率均低于对照组,差异具有统计学意义(P<0.05)。结论对肾内科住院患者实施护理干预措施,可以有效提高患者的满意度,缩短患者的住院时间,减少并发症的发生,对于住院患者的安全管理具有重要意义。