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.

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.

Holistic care for patients with severe coronavirus disease 2019: An expert consensus

Objective:To standardize the holistic care for patients with severe coronavirus disease 2019(COVID-19)in China.Methods:The consensus was preliminarily formed by combining relevant literature findings and frontline medical working experiences,and it was eventually confirmed by five rounds of online discussions and expert consultations.Results:This consensus included nursing assessment,nursing priorities,nursing goals,and thirteen key points of nursing procedures such as oxygen therapy and respiratory nursing,etc.Conclusion:This scientific and practical consensus guideline can provide clinical guidance on the holistic nursing care of patients with severe COVID-19.

Nurses' experiences with health care in pain clinics: A qualitative study

Background: Recent research has focused on the effectiveness of different treatment regimens in pain clinics,where a call for more multifaceted treatment has been highlighted.Less attention has been paid to improvements within pain clinics,and how registered nurses-who usually play a key role-perceive and experience the accessibility,treatment options and follow-up offers at public pain clinics.Objective: The overall aim was to explore and describe how nurses experience health care provided to patients with chronic non-cancer pain at pain clinics.Methods: We used 10 individual interviews with nurses working at 10 different public pain clinics in Norway.The interviews were analyzed using qualitative content analysis.Results: One theme was developed from the content analysis: "Nurses' striving to provide whole-person care in pain clinics." The nurses experienced allocation of limited resources as challenging,especially when the dilemma between accepting new patients from the waiting list and offering follow-up to existing patients became apparent.Multifaceted treatment was perceived as vital,although resources,priorities,and theoretical understanding of pain within the team were challenging.Conclusions: The needs for multifaceted and integrated treatments in chronic pain management were obvious,although this approach appeared to be too demanding of resources and time.Stronger cooperation between pain clinics in specialist care and health care providers in primary care to ensure better patient flow and treatment is required.Emphasis is placed on coherent theoretical approaches to pain management within the team in the pain clinics to ensure whole person care.

Nurses’ Care Approach (NCAp): Connecting Differences to Islamic Believer Patients in the Arab World

Background: Nursing care approaches may vary from one patient to another. In the nursing profession, nurses are imbibed with the attributes of multicultural care competencies that would empower the nurses to be adaptive and mindful of how they provide and go with their carative nursing managements. This would entail that the non-Muslim nurses must be aware and be sensitive enough in their approaches and communicative exchanges with their Muslim patients. Objective: The study aims to identify the care approaches given by non-Muslim nurses working in the Arab world and how they elicit and provide a universal approach in caring Muslim patients. Methods: The study utilized a mixed methodology, specifically the explanatory sequential design, which involved a descriptive-comparative quantitative research design and eidetic qualitative research design. Results: Based on the result with the highest mean 3.63%, the respondents strongly agree that the non-Muslim nurse is aware of her own culture, 3.60% strongly agree that the non-Muslim Nurse does not discriminate the decisions of the patients regardless of gender, race, culture or belief and 3.58% still strongly agree that the non-Muslim nurse encourages patients to communicate as need arises. Here are three themes emerged from the study: understanding and respect of cultures, caring across borders, and caring calmness. In connecting the differences, non-Muslim nurses must be aware of their own culture, must not discriminate the decisions of the patients regardless of gender, race, culture or belief and must encourages patients to communicate as need arises. Conclusion: Knowing and understanding the scope of nursing practice with a high regard of respect to patients without discrimination will promote and provide holistic, safe and high-quality nursing care.

Infection control and prevention in burn victims:The role of nurses

Burn injury is a major public health concern,with an estimated 180,000 deaths each year associated with burn-related infections.The majority of these occur in low-and middle-income countries,and almost two-thirds occur in the World Health Organization African and South-East Asia Regions.There is a risk of an escalation of burn injury site infections if nurses who are directly involved in burn care do not develop a mechanism to mitigate this risk in the coming years.Hence,this study aims at explaining what burn injuries are and how nurses can prevent the occurrence of infection among burn victims.This review analyzed published studies using keywords such as burn injury,infection in burn patients,and nurses’involvement in infection prevention and control(IPC)on search engines such as PubMed,Science Direct,and Google Scholar.The literature was retrieved and reviewed for eligibility to capture just the variables indicated in this seminar objective;the date range chosen in the literature search was from 2015 to 2023.The study found that many patients die from burn injuries as a result of exposure to infection and most nurses are not adequately informed about infection control.The study also found that nurses’responsibilities include proper hand hygiene,wound care,the use of personal protective equipment,antibiotic medication,cleaning the patient’s surroundings,and preventing patient cross-contamination.Burn injuries pose a significant risk to patients,necessitating infection control and prevention.Therefore,nurses in burn units should be informed on IPC practices and also educate patients,families,and coworkers on their importance.

糖尿病患儿的整体护理效果分析

目的探究整体护理对糖尿病患儿的应用价值。方法选取2022年6月—2023年7月滕州市中心人民医院收治的50例糖尿病患儿为研究对象,通过随机数表法将其分为常规组与研究组,各25例。常规组开展常规护理,而研究组开展整体护理,对比两组血糖、护理满意度。结果护理后,研究组空腹血糖、餐后2 h血糖、糖化血红蛋白水平低于常规组,差异有统计学意义(P均<0.05)。与常规组相比,研究组护理满意度更高,差异有统计学意义(P<0.05)。结论针对糖尿病患儿,整体护理模式效果显著,能够明显改善患儿的血糖指标,有效提升患儿家属的满意度。

多模式促排痰护理联合全人照护管理在支气管肺炎氧疗患儿中的应用

目的探讨支气管肺炎氧疗患儿采用多模式促排痰护理联合全人照护管理的效果。方法选取2017年8月至2019年2月郑州市妇幼保健院接收的86例支气管肺炎氧疗患儿,以随机数字表法分为干预组(n=43,多模式促排痰护理联合全人照护管理干预)与对照组(n=43,常规护理干预),对两组排痰时间、排痰量、肺功能[第1秒用力呼气容积(FEV_1)、最大呼气流速(PEF)]、症状消失情况、生活质量[儿童生活质量测定量表(PedsQL 4.0)]进行比较。结果干预组排痰时间较对照组更短,排痰量更多,差异有统计学意义(P<0.05);干预后两组FEV_1、PEF均有所提高,且干预组高于对照组,差异有统计学意义(P<0.05);干预组症状消失时间较对照组更短,差异有统计学意义(P<0.05);干预后两组PedsQL 4.0评分均提高(P<0.05),且干预组高于对照组,差异有统计学意义(P<0.05)。结论支气管肺炎氧疗患儿给予多模式促排痰护理联合全人照护管理干预能够促进痰液排出,缩短排痰时间,促进肺功能恢复及症状消失,提升生活质量。

整体护理在慢性盆腔炎患者护理中的应用对提升患者身心健康的价值

目的探究整体护理在慢性盆腔炎患者护理中的应用效果及对提升身心健康的价值。方法选取90例慢性盆腔炎患者,根据随机数字表法分为对照组与观察组,每组45例。观察组采用整体护理,对照组采用常规护理。对比两组护理满意度、生活质量及心理情绪。结果观察组护理满意度97.78%高于对照组的84.44%,差异有统计学意义(P<0.05)。观察组生活质量评分高于对照组,差异有统计学意义(P<0.05)。干预后两组慌乱、紧张、压抑、愤怒情绪评分低于干预前,且观察组明显低于对照组,差异有统计学意义(P<0.05)。结论整体护理应用于慢性盆腔炎患者中,可提升护理满意度,提高生活质量,缓解负性情绪,值得临床推广。

日本社区养老服务与设施发展历程探索及启示

社区型养老服务与设施具有良好的社会与经济效益,也是我国养老事业未来发展的重点。日本的社区型养老服务历经20余年演进,探索出具有特色的设施体系,其近年的发展基于区域统括护理的理念,提升服务与设施设置的灵活性和人性化程度。文章回顾日本养老政策的发展历程,梳理社区养老服务模式与小规模多功能设施出现的背景及特点,分析区域统括护理体系的概念与发展现状,探讨日本经验对我国社区养老服务特别是乡村地区养老设施发展带来的启示。

医护患三维团队互助式护理模式对食管癌患者整体照护成效探析

目的:分析医护患三维团队互助式护理模式对食管癌患者整体照护成效,为此类特殊群体的优质照护提供循证支撑。方法:选取我院在2022年1月至2023年10月接诊收治的100例食管癌患者作为研究对象,借助数字表随机化分组,各组命名为观察组和对照组,每组各50例。其中,对照组实施常规性护理方案,观察组实施三维团队互助式护理模式。在干预前及干预后第2 w末,两组患者均接受生活质量量表、护理效果评价表以及满意度量表测评。结果:观察组患者干预后的生理功能、心理状态、社会关系等维度的生活质量评分高于对照组,差异有统计学意义(P<0.05)。观察组干预后在病情控制、营养状况、心理支持、家属参与度等方面的护理效果评分均高于对照组,差异有统计学意义(P<0.05)。观察组患者对服务态度、护理技能、沟通交流、环境设施等方面的满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论:食管癌患者引入医护患三维团队互助式护理模式,能提高患者的生活质量,且能提高护理效果,并提高患者对护理服务的满意度水平。

农村医养结合服务分级整合体系构建——基于M村的经验研究

随着人口老龄化进程的加快,我国农村养老问题日益突出。医养结合被广泛认为是积极应对人口老龄化的重要举措。基于整体性治理理论的分级整合分析框架,结合京郊M村的医养结合实践,本研究构建了纵横交织的农村医养结合服务分级整合体系,以期为相关研究提供理论与实践参考。在纵向上,需求、供给和整合三个程度分级子系统揭示了医养结合的运行机制。在横向上,自主型、辅助型和依附型三种医养结合的供给方式可有效满足农村养老需求。因此,农村医养结合服务分级整合体系的构建为有效解决我国农村养老问题提供了一个可行路径。

整体手术护理对腹腔镜下胆囊切除术后患者干预的疗效观察

目的 探究行腹腔镜下胆囊切除术(LC)患者执行整体手术护理服务的价值。方法 本研究选择医院2022年4月至2023年12月接收的72例行LC治疗的患者实施研究,随机分为两组,其中对照组纳入36例以常规护理为主,观察组纳入36例以实施整体手术护理为主,观察并比较两组并发症发生情况、康复效果等临床指标。结果 相比对照组,观察组并发症发生率5.56%降低(P <0.05),首次排气时间(28.17±5.26)h、首次下床活动时间(14.62±1.24)h、住院时间(4.64±0.56)h均大幅缩短(P <0.05),术后24 h、48 h、72 h疼痛程度大幅下降(P <0.05)。护理前两组SAS、SDS评分、应对方式数据对比(P> 0.05),护理后,两组患者SAS、SDS评分均比护理前改善,且观察组SAS、SDS评分低于对照组(P <0.05),观察组患者的消极评分比对照组低,积极评分比对照组高,观察组应对方式优于对照组(P <0.05)。结论 在腹腔镜下胆囊切除患者护理中开展整体手术护理可改善心理状态及疼痛程度,应对患者以积极方式应对疾病、治疗及护理,值得借鉴与学习。

整体护理与协同护理共干预模式在肠道微生态调控治疗ASD患儿中的应用

目的:探讨整体护理与协同护理共干预模式在肠道微生态调控治疗自闭症谱系障碍(ASD)患儿中的应用效果。方法:选取2022年1月1日~2024年3月31日住院接受治疗的64例ASD患儿为研究对象。将患儿随机分为观察组和对照组各32例,对照组采用常规护理,观察组采用整体护理与协同护理共干预模式;采用儿童孤独症行为量表(ABC)、儿童孤独症评定量表(CARS)及家属满意度调查表进行评价,比较干预前后效果。结果:干预后,观察组ABC各维度评分及总分、CARS总分均低于对照组(P<0.01);观察组家属护理满意度优于对照组(P<0.05)。结论:整体护理与协同护理共干预模式可提高肠道微生态调控治疗ASD患儿的临床效果,帮助患儿回归社会,改善生活质量,提高家属护理满意度。

糖尿病酮症酸中毒整体护理干预方法的效果

目的探讨对糖尿病酮症酸中毒患者给予整体护理干预后获得的临床效果。方法选取潍坊滨海经济开发区人民医院于2021年2月—2023年4月收治的80例糖尿病酮症酸中毒患者为研究对象。以投掷硬币法分为两组,参照组(40例)给予常规基础护理;研究组(40例)在参照组基础上,给予整体护理干预;对比两组患者的护理满意度评分、负性情绪评分。结果研究组的护患关系评分、护患沟通评分、心理护理评分、宣传教育评分以及总体满意度评分均高于参照组,差异有统计学意义(P均<0.05);护理后,与参照组比较,研究组患者的负性情绪评分更低,差异有统计学意义(P<0.05)。结论临床对糖尿病酮症酸中毒患者合理展开整体护理干预,可显著缓解患者系列负性情绪,将患者的护理满意度提升,促进糖尿病酮症酸中毒患者的良好预后。

整体护理对老年重症肺炎患者生活质量及护理满意度的影响分析

目的 探究在老年重症肺炎患者中实施整体护理的效果。方法 方便选取2021年6月—2022年12月江苏省南京市东南大学附属中大医院接诊的96例重症肺炎老年患者为研究对象,根据护理方法的不同将其分为对照组和观察组,各48例。对照组行常规护理,观察组行整体护理。对比两组自我护理能力、生活质量以及护理满意度。结果 观察组自护能力评分高于对照组,差异有统计学意义(P<0.05)。观察组生活质量评分高于对照组,差异有统计学意义(P<0.05)。观察组护理满意度为97.92%(47/48),高于对照组的83.33%(40/48),差异有统计学意义(χ^(2)=4.414,P<0.05)。结论 对于老年重症肺炎患者,采取整体护理能够系统性、全面地改善患者的生活质量和自护能力,护理满意度更高。

基于KANO模型的全程关怀护理对头颈部肿瘤病人心境、生命质量及满意度的影响

目的:探讨基于KANO模型的全程关怀护理对头颈部肿瘤病人心理状态、生命质量及满意度的影响。方法:便利选取华中科技大学同济医学院附属协和医院头颈外科2021年5月—2023年5月收治的240例头颈部肿瘤病人为研究对象,采用随机数字表法分为对照组和试验组,各120例。对照组病人实施常规护理干预,试验组在此基础上基于KANO模型调查病人关怀护理需求,并实施全程关怀护理策略。干预前后采用简式简明心境问卷(POMS-SF)和癌症病人生命质量测定量表(EORCT QLQ-C30)对两组病人心理状态和生存质量进行测评,采用自制护理满意度问卷调查病人护理满意度。结果:干预后,试验组POMS-SF负性维度(紧张-焦虑、抑郁-沮丧、愤怒-敌意、疲乏-迟钝、迷惑-混乱)评分均低于对照组,正性维度(精力-活力)评分则高于对照组,差异均有统计学意义(P<0.05);干预后,试验组EORCT QLQ-C30功能领域和总体健康状况评分均高于对照组,症状领域评分则低于对照组,差异均有统计学意义(P<0.001);试验组病人基础护理、健康教育、沟通交流、人文关怀4个方面护理满意度评分均高于对照组,差异均有统计学意义(P<0.001)。结论:基于KANO模型开展全程关怀护理策略,可有效改善头颈部肿瘤病人心理状态,提高病人生存质量及护理满意度。

护士分层级管理在妇科护理管理中的应用价值分析

目的:分析护士分层级管理在妇科护理管理中的应用效果。方法:选取2023年1—12月贵阳市乌当区人民医院妇科在岗护士24名为研究对象,根据护士分层级管理的实施时间分组,2023年1—6月期间实行常规护理管理(实施前),管理床位100张,2023年7—12月实行护士分层级管理(实施后),管理床位100张。对比护士分层级管理实施前后护理质量管理评分、患者满意度评分。结果:实施后,健康教育、整体护理、护理操作、基础护理、病室管理评分均高于实施前,患者对于护士心理支持、服务态度、关爱患者、技术水平评分均高于实施前(P<0.05)。结论:护士分层级管理可进一步提高妇科护理质量和患者满意度。

基于6s管理理论下整体护理干预在呼吸循环衰竭患者体外膜肺氧合治疗中的应用效果

目的:探讨基于6s管理理论下的整体护理干预,在呼吸循环衰竭(RCF)患者体外膜肺氧合(ECMO)治疗中的应用效果.方法:选取2020年12月至2023年3月在本院进行ECMO治疗的116例RCF患者为研究对象.依据护理模式将其分为观察组(n=60,给予基于6s管理理论下的整体护理)和对照组(n=56,给予常规护理).采取统计学方法,比较两组患者血气分析指标、肺功能及并发症发生率.结果:干预后,观察组患者动脉血氧分压(PaO_(2))值高于对照组,动脉血二氧化碳分压(PaCO_(2))值低于对照组,差异均有统计学意义(P<0.05).干预后,观察组患者用力肺活量(FVC)、第1秒用力呼气容积(FEV1)及第1秒用力呼气容积与用力肺活量的比值(FEV1/FVC)均高于对照组,差异均有统计学意义(P<0.05).观察组患者并发症发生率低于对照组,差异有统计学意义(P<0.05).结论:基于6s管理理论下的整体护理,更有利于改善ECMO治疗的RCF患者血气分析指标及肺功能,提高患者治疗安全性,改善患者预后.

三级康复整体护理方案对脑卒中偏瘫患者运动功能康复的影响

目的:探索三级康复整体护理方案对于脑卒中偏瘫患者运动功能康复的影响。方法:将129例脑卒中患者随机分为护理组、康复组和对照组各43例,三组患者常规内科治疗,康复组在此基础上接受三级康复治疗,护理组在康复组的基础上给予三级康复整体护理。在脑卒中发病后2周内、1个月末、3个月末及6个月末采用Fugl-Meyer运动功能评定量表评价患者的肢体运动功能。结果:护理组在1个月末、3个月末及6个月末的运动功能评分明显优于对照组,3个月末与6个月末的运动功能评分优于康复组(P均<0.05);护理组患者各阶段运动功能评分的差值明显高于对照组,3个月末与入选时和6个月末与入选时的运动功能评分差值高于康复组(P均<0.05)。结论:实施三级康复整体护理方案能够有效地促进脑卒中偏瘫患者运动功能恢复。