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.

Impact of a High-Quality Nursing Model on Patient Outcomes in Rheumatology:A Randomized Controlled Study

Objective:To enhance the overall nursing effectiveness in the rheumatology and immunology department,explore specific strategies to improve nursing quality using a high-quality care model,and develop a comprehensive nursing system.Methods:A total of 120 hospitalized patients with rheumatoid arthritis from 2022 to January 2024 were selected.These patients were randomly divided into two groups:an observation group(60 patients)and a control group(60 patients).The control group received conventional nursing care,which included creating a good care environment,providing drug guidance,and offering psychological support.In the observation group,a high-quality nursing model was implemented with a focus on meeting the specific needs of the patients.The two groups were compared in terms of complication rates,treatment compliance,nurse-patient disputes,patient satisfaction with nursing care,sleep quality(PSQI score),and pain levels(VAS score).Results:The incidence of complications in the observation group was 3.33%,significantly lower than that of the control group,with a statistically significant difference(P<0.05).Nursing compliance in the observation group was 100%,and patient satisfaction was 96.67%,both higher than in the control group,with a statistically significant difference(P<0.05).Additionally,the VAS pain score in the observation group decreased to 2.12±1.89,and the PSQI sleep quality score decreased to 6.89±0.33,both lower than in the control group,with statistically significant differences(P<0.05).Conclusion:Focusing on the needs of patients through a high-quality nursing model provides targeted care that improves overall nursing effectiveness for patients with rheumatoid arthritis.This approach enhances patient satisfaction with nursing care,increases treatment compliance,reduces the incidence of complications and nurse-patient disputes,improves sleep quality,and alleviates pain.This model holds significant value for broader applications.

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 nursing on surgical site wound infections after colostomy in patients with colorectal cancer

BACKGROUND Colostomy is important in the treatment of colorectal cancer.However,surgical site wound infections after colostomy seriously affect patients’physical recovery and quality of life.AIM To investigate the ability of high-quality nursing care to prevent surgical site wound infections and reduce post-colostomy complications in patients with co-lorectal cancer.METHODS Eighty patients with colorectal cancer who underwent colostomy at our hospital between January 2023 and January 2024 were selected as research subjects.The random number table method was used to divide the participants into control and research groups(n=40 each).The control group received routine nursing care,while the research group received high-quality nursing care.The differences in indicators were compared between groups.RESULTS The baseline characteristics did not differ between the research(n=40)and control(n=40)groups(P>0.05).The incidences of wound infection,inflam-mation,and delayed wound healing were significantly lower in the research(5.00%)vs control(25.00%)group(P=0.028).The incidence of postoperative complications,including fistula stenosis,fistula hemorrhage,fistula prolapse,peristome dermatitis,urinary retention,pulmonary infection,and intestinal ob-struction,was significantly lower in the research(5.00%)vs control(27.50%)group(P=0.015).In addition,the time to first exhaust(51.40±2.22 vs 63.80±2.66,respectively;P<0.001),time to first bowel movement(61.30±2.21 vs 71.80±2.74,respectively;P<0.001),and average hospital stay(7.94±0.77 vs 10.44±0.63,respectively;P<0.001)were significantly shorter in the research vs control group.The mean Newcastle satisfaction with nursing scale score was also significantly higher in the research(91.22±0.96)vs control(71.13±1.52)group(P<0.001).CONCLUSION High-quality nursing interventions can effectively reduce the risk of wound infections and complications in patients undergoing colostomy,promote their postoperative recovery,and improve their satisfaction with the nursing care received.

Partner profile of pregnant women who have obstetric prenatal high risk in a university hospital south of Brazil

This study aimed to relate the social and obstetric risk factors presented by pregnant women who underwent high risk prenatal in a southern Brazil hospital unit. This is a quantitative research. The data collection was conducted from January to September 2012, where 12 high-risk pregnancies and nine companions with diversified social and obstetric conditions were seen. The analysis was by simple statistics. Pregnant women social profile results indicated that predominant age group was 31 to 40 years old;all had some degree of education;84% Catholic;75% of pregnant women were accompanied by someone of their choice during high risk prenatal care;and 50% of the choices were for her spouse;half of these pregnant women have a professional occupation. Obstetrics findings demonstrated that the majority of women were not planning on the pregnancy, only 17% started prenatal care in the first trimester, 42% had already presented risk in previous pregnancy, 58% of women were classified as high risk due to fetal abnormalities. Given these findings, it is clear that high-risk pregnancy as a period involving several factors, including social and obstetric that, when connected, can compromise the process of gestating for both the mother and the fetus.

护理干预对羊膜腔穿刺介入性产前诊断的效果

目的探讨护理干预对羊膜腔穿刺介入性产前诊断的效果。方法将本院2022年2—3月接受羊膜腔穿刺介入性产前诊断的100例孕妇纳入对照组,采取常规护理;将2023年2—3月接受羊膜腔穿刺介入性产前诊断的100例孕妇纳入观察组,采取综合护理。比较两组干预效果。结果干预前,两组焦虑和抑郁评分对比差异无统计学意义(P>0.05);干预后,观察组焦虑和抑郁评分低于对照组(P<0.05)。干预前,两组自护能力无统计学差异(P>0.05);干预后,观察组自护能力高于对照组(P<0.05)。干预后,观察组患者满意度高于对照组(P<0.05)。两组并发症发生率对比差异无统计学意义(P>0.05)。结论妊娠期孕妇介入性产前诊断时实施综合护理可以缓解患者负性情绪,提高患者自护能力和患者满意度。

全程化护理联合情志护理在孕妇羊水穿刺中应用效果

目的探究全程化护理联合情志护理对提高孕妇羊水穿刺配合度的效果。方法选择2021年2月至2023年2月期间在濮阳市妇幼保健院进行羊水穿刺孕妇82例,使用随机数表法分为对照组及观察组,各41例。对照组进行常规护理,观察组进行全程化护理联合情志护理,对比两组配合度、生命指征(舒张压、收缩压、心率)、不良情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、护理满意度、并发症发生率。结果观察组配合度(97.56%)高于对照组(78.05%),差异有统计学意义(P<0.05)。护理后,两组舒张压、收缩压均有所降低,对照组心率升高,且对照组舒张压、收缩压、心率高于观察组,差异有统计学意义(P<0.05)。护理后,两组不良情绪评分均有所降低,且观察组SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。对照组护理满意度(73.17%)低于观察组(95.12%),差异有统计学意义(P<0.05)。观察组并发症发生率(2.44%)低于对照组(21.95%),差异有统计学意义(P<0.05)。结论对进行羊水穿刺孕妇实施全程化护理联合情志护理,可提高配合度,减轻患者心理压力,改善患者不良情绪,提高护理满意度,降低并发症发生率。

共情护理策略结合萨提亚沟通模式在高龄产妇围产期中的应用价值

目的研究共情护理策略结合萨提亚沟通模式在高龄产妇围产期的应用及对产妇产前焦虑抑郁、产程及分娩结局的影响。方法将2022年7月至2023年7月入院分娩的98例≥35岁产妇作为研究对象,经简单化随机分为常规组和研究组,每组49例。常规组围产期给予常规护理,并加以共情护理策略干预,研究组在常规组基础上结合萨提亚沟通模式干预。比较干预前、产前焦虑自评量表(SAS)与抑郁自评量表(SDS)分数变化,产程,干预前后自我效能感[一般自我效能感量表(GSES)]变化,分娩结局以及护理满意度。结果干预后,2组SAS和SDS评分均下降(P<0.05),且研究组显著低于常规组(P<0.05);研究组第一、第二及总产程均显著低于常规组(P<0.05);干预后,2组的GSES评分均显著升高(P<0.05),且研究组高于常规组(P<0.05);干预后,2组分娩结局[围产儿情况(新生儿平均体重、新生儿5 min内Apgar评分、新生儿窒息情况与胎儿窘迫)和产妇情况(产后出血与胎盘早剥)]差异无统计学意义(P>0.05);干预后,研究组护理满意度显著高于常规组(P<0.05)。结论共情护理策略结合萨提亚沟通模式应用于高龄产妇围产期,可明显改善产妇产前焦虑抑郁情绪及自我效能,改善产程,提高护理满意度。

门诊产前检查及宣教对妊娠期糖尿病孕妇血糖水平及健康认知的改善作用

目的探讨门诊产前检查及宣教对妊娠期糖尿病孕妇血糖水平及健康认知的改善作用。方法在2021年10月至2023年10月,选取80例在卫生院建档的妊娠期糖尿病患者,在入选的80例患者中以随机数字表法为依据进行随机分组,每组40例。两组患者均实施产前检查,对照组在产前检查时实施常规健康宣教,观察组在产前检查时实施综合性健康宣教。关于两组的血糖指标、自我护理能力(ESCA)量表、舒适状况量表(GCQ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数(PSQI)、世界卫生组织生存质量测定简表(WHOQOL-BREF)、新生儿Apgar评分作比较。结果护理后,观察组的空腹血糖、餐后2 h血糖均低于对照组(均P<0.05)。护理后,观察组的ESCA评分、GCQ评分、WHOQOL-BREF评分均高于对照组,观察组的SAS评分、SDS评分、PSQI评分均低于对照组(均P<0.05)。观察组新生儿在出生后1 min、5 min时的新生儿Apgar评分均较对照组更高(P<0.05)。结论在妊娠期糖尿病患者产前检查实施综合性健康宣教可有效增强患者自护能力,有利于保证血糖控制效果,并提升舒适度,改善其心理、睡眠及生活质量,降低新生儿窒息发生风险。

激励式护理联合产前分娩预演对无痛分娩产妇产程时间、母婴不良结局的影响

目的对无痛分娩产妇实施激励式护理、产前分娩预演联合干预方案,探索分析联合干预对产程时间、母婴不良结局的影响。方法选取南平市建阳第一医院2022年6月至2024年6月开展的无痛分娩产妇239例,以随机数表法分为对照组(n=120)、观察组(n=119)。其中对照组单纯采取常规护理干预,在此基础上观察组采取激励式护理、产前分娩预演联合干预,探索分析不同干预模式的临床应用效果,即不同产程时间、心理状态、自我管控能力、不良妊娠结局发生率以及剖宫产率。结果观察组干预后第一、二、三产程时间及总产程时间均短于对照组(均P<0.05);观察组焦虑自评量表评分(SAS)、抑郁自评量表评分(SDS)、母婴不良妊娠结局发生率、剖宫产率均低于对照组(均P<0.05);干预后观察组胎心监护、自我防护、遵医行为、日常生活行为与自我管控能力总评分均高于对照组(P<0.05)。结论激励式护理、产前分娩预演联合干预可有效缩短无痛分娩产妇产程时间,改善其心态的同时,加强自我管控能力,有效降低剖宫产率,有利于降低母婴不良结局的发生概率。

正强化理论护理联合产前全程护理在妊娠期糖尿病患者中的应用效果

目的:观察正强化理论护理联合产前全程护理在妊娠期糖尿病(GDM)患者中的应用效果。方法:回顾性分析2022年1月至2023年2月该院收治的92例GDM患者的临床资料,根据护理方案不同将其分为观察组与对照组各46例。对照组给予产前全程护理,观察组在对照组基础上联合正强化理论护理,比较两组护理前后心理压力[妊娠压力量表(PPS)]评分、自我护理能力[自我护理能力测定量表(ESCA)]和不良妊娠结局发生率。结果:护理后,两组PPS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,观察组自我责任感、自我护理技能、自我概念和健康知识水平等ESCA评分均高于对照组,差异有统计学意义(P<0.05);观察组不良妊娠结局发生率为6.52%(3/46),低于对照组的23.91%(11/46),差异有统计学意义(P<0.05)。结论:正强化理论护理联合产前全程护理应用于GDM患者可提高自我护理能力评分,降低心理压力评分和不良妊娠结局发生率,效果优于单纯产前全程护理。

产前扮亲法全程陪护对孕妇选择分娩方式及妊娠结局的作用研究

目的分析产前扮亲法全程陪护对孕妇选择分娩方式及妊娠结局的作用。方法选取某市三级甲等医院2022年5月—2023年5月分娩的96例孕妇作为研究对象,采取随机数字表法将孕妇分为对照组(n=48)和观察组(n=48),对照组实施常规护理干预,观察组实施产前扮亲法全程陪护,比较两种不同的护理方式对孕妇选择分娩方式、分娩情况及妊娠结局的影响。结果观察组顺产率高于对照组,组间差异有统计学意义(P<0.05)。观察组产程时间短于对照组,术中出血量少于对照组,VAS评分低于对照组,组间差异有统计学意义(P<0.05)。观察组不良妊娠结局发生率低于对照组,组间差异有统计学意义(P<0.05)。结论产前扮亲法全程陪护具备较强的针对性,可有效降低产妇剖宫产率,缩短孕妇产程时间,降低其术中出血量及疼痛情况,并减少不良妊娠结局发生率,具备较高的推广应用价值。

基于信息-动机-行为技能模型的护理干预在超重/肥胖育龄期妇女孕前保健中的应用效果

目的探讨基于信息-动机-行为技能(IMB)模型的护理干预在超重/肥胖育龄期妇女孕前保健中的应用效果。方法选取在本院婚育综合服务中心行孕前常规体检的92名超重/肥胖育龄期妇女为研究对象,按照随机数字表法分为两组,各46名。对照组采用常规护理,试验组采用基于IMB模型的护理干预。对比两组干预前后的外周血生物标志物水平、负性情绪、自我护理能力和生存质量。结果43名对照组和44名试验组的研究对象坚持了3个月的护理干预模式。干预后,试验组的血糖水平、胰岛素水平、胰岛素抵抗指数、总三酰甘油、总胆固醇、体质量指数、体脂率、焦虑自评量表评分和抑郁自评量表评分均低于干预前,且试验组低于对照组,差异有统计学意义(P<0.05)。干预后,试验组的自我护理能力量表各维度和生存质量测定量表各维度得分均高于干预前,且试验组高于对照组,差异有统计学意义(P<0.05)。结论经过IMB模型的护理干预后,孕前超重/肥胖妇女的外周血生物标志物水平明显改善,自我护理能力和生存质量显著提高,表明IMB模型可有效改变研究对象的身心健康,值得在临床进一步推广与应用。

孕妇心理状态测评

目的了解孕妇的焦虑、抑郁情绪反应及其影响因素。方法采用非随机方便样本 ,由孕妇自行填写CES D和SAI量表 ,使用SPSS进行方差分析、t 检验、多因素线性相关分析和回归分析。结果中期孕妇的心理反应显著强于早期和晚期孕妇。阅读保健资料可以减轻孕妇的焦虑和抑郁程度。被调查孕妇中 ,5 1%的孕妇存在轻度焦虑 ,3 2 %存在抑郁情绪 ;焦虑和抑郁间存在显著正相关 (r=0 .76 6 2 ,P <0 .0 0 1)。结论提高孕妇的认知水平 。

聚焦解决模式在产前焦虑孕妇心理护理中的运用

[目的]探讨聚焦解决模式在产前焦虑孕妇心理护理中的应用效果。[方法]选择焦虑评分≥50分的孕妇80例,随机分为对照组和观察组各40例,对照组实施常规心理护理,观察组实施以聚焦解决模式为依据的心理护理。[结果]干预后,观察组孕妇焦虑评分显著低于干预前(P<0.01);并低于对照组(P<0.01);两组孕妇在分娩方式、产后出血量、新生儿评分、疼痛感受及泌乳初始时间等方面比较差异均有统计学意义(P<0.01)。[结论]以聚焦解决模式为基础的心理护理能够为初产妇提供很好的心理支持,明显减轻焦虑,改善分娩结局。

超声引导下经腹脐静脉穿刺术的护理

目的:总结超声引导下经腹脐静脉穿刺术的护理要点。方法:分析749例因各种原因行超声引导下经腹脐静脉穿刺术的孕妇的临床资料,做好术前、术中、术后及并发症的护理工作。结果:穿刺成功737例(占98.5%)。手术并发症主要为穿刺点渗血、胎儿心动过缓、子宫收缩。结论:做好术前准备及术前的心理护理,术中密切配合,术中术后加强并发症的观察及防范,是提高脐静脉穿刺成功率、减少手术并发症的重要护理措施。

改进式产前健康教育对改善产妇分娩认知的效果分析

目的探讨改进式产前健康教育在改善产妇产时认知行为及分娩结局中的效果。方法将在本院定期产检的初产妇128例,按照数字表法分为对照组66例和试验组62例,对照组给予常规护理模式,试验组给予改进式健康教育。比较2组产妇认知行为、分娩方式、产后2小时出血量、新生儿Apgar评分等改变。结果试验组产妇健康知晓率显著高于对照组(79.03%/46.97%),差异显著(P<0.05);试验组产妇心理状况及产时应对行为积分明显高于对照组(P<0.05);试验组产妇自然分娩例数明显多于对照组(P<0.05);试验组产妇产后2小时出血量及总产程时间少于对照组,差异显著(P<0.05);试验组产妇满意率高于对照组(95.16%/78.79%),差异显著(P<0.05)。结论孕晚期采用改进式产前健康教育可有效促进孕妇产时认知行为,改善分娩结局。

《妊娠期糖尿病临床护理实践指南》推荐意见专家共识

[目的]对《妊娠期糖尿病临床护理实践指南》草案中推荐意见的内容和推荐强度达成共识。[方法]通过目的抽样法,纳入13名临床专家和方法学专家,采用共识形成会议法结合定量论证的方法,就指南中的推荐意见及推荐强度达成共识。[结果]通过共识形成会议法,最终删除8条推荐意见,对7条推荐意见进行了修改,最终纳入69条推荐意见。经过专家定量论证,57条推荐意见为强推荐,12条推荐意见为弱推荐。[结论]共识形成会议法和专家定量论证为指南推荐意见达成共识提供了决策建议和决策依据,最终纳入的推荐意见具有较好的临床适用性。

羊膜腔穿刺术224例患者的护理

目的探讨B超引导下羊膜腔穿刺术的术前、术中、术后的护理措施。方法对224例行该手术的孕妇在术前、术中、术后各期进行相应的护理措施。结果所有孕妇均能一次穿刺成功,无流产、感染等并发症。结论B超引导下羊膜腔穿刺术是一种简便、安全、易行的检查方法,但细致、周到的护理是手术成功的重要保证。