Objective:To investigate the effective nursing measures of early application of nasoenteric tube for enteral nutrition in critically ill patients in ICU,and to summarize the nursing experience.Methods:The study was ca...Objective:To investigate the effective nursing measures of early application of nasoenteric tube for enteral nutrition in critically ill patients in ICU,and to summarize the nursing experience.Methods:The study was carried out in June 2023–November 2023.62 samples of ICU critically ill patients were selected,all of whom used enteral nutrition by mesenteric tube and were grouped into an observation group(n=31)and a control group(n=31)by using the numerical table randomization method.The patients in the control group were basic nursing interventions,and the patients in the observation group were comprehensive quality care,comparing the nutritional indexes,complication rates,and nursing satisfaction between the two groups.Results:All nutritional indicators of the observation group were higher than those of the control group after nursing intervention(P<0.05);the complication rate of the observation group was lower than that of the control group(P<0.05);the nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:Comprehensive quality nursing care during the early application of a gastroenteric tube for enteral nutrition in critically ill patients in the ICU can improve nutritional indexes,reduce the incidence of complications and improve nursing satisfaction.展开更多
This study focused on the development and evaluation of the implementation of a preceptorship program adapted to ICU practice in the Ab.-T.region to provide preceptors with tools to support novice nurses.This action r...This study focused on the development and evaluation of the implementation of a preceptorship program adapted to ICU practice in the Ab.-T.region to provide preceptors with tools to support novice nurses.This action research was made possible with the involvement of the centers,preceptors,and novice nurses throughout the development and implementation of the program.This approach enabled participants to take ownership of the training content and fully utilize various tools.The program was implemented throughout the CISSS,where this study was subsequently carried out.Several novices mentioned that the program reinforced their sense of security and made them feel more equipped to handle complex care situations.The preceptors said they were better equipped to offer clinical support and novices were better prepared to work in the ICU.It is important to evaluate the development of the novice nurses’skills following their participation in this program and the long-term impact of this preceptorship.展开更多
Objective： The associations between social support and burnout were explored in ICU nurses of Shanghai. Methods： We performed a cross-sectional study of 356 ICU nurses by applying random cluster sampling. Data were ...Objective： The associations between social support and burnout were explored in ICU nurses of Shanghai. Methods： We performed a cross-sectional study of 356 ICU nurses by applying random cluster sampling. Data were collected using self-reported questionnaires under the instruction of trained investigators. Data on emotional exhaustion, depersonalisation and feelings of low personal accomplishment etc. were collected, calculated and analyzed. Results： The participants had a mean age of 26.96 years （SD 4.07）. The mean value （M） and stand- ard deviation （SD） of emotional exhaustion was M=31.85, SD=8.38, those of depersonalisation was M= 11.69, SD= 5.54 and those of feelings of low personal accomplishment was M= 19. 79, SD = 7.02. The high degree of emotional exhaustion （EE）, depersonalisation （DP）, and lack of personal accomplishment （PA） were revealed to be 76.4%, 39.6%, and 94.9%, respectively. The major influencing factors of emotional exhaustion included support from co-workers（b=0. 343, t = 1.98, P=0. 049）, taking leave（b=-1. 182, t=-3. 747, P=0. 001）, requisition of work（b=-l. 41, t=-2. 369, P=0. 018）, and supervisor support（b=-0. 524, t=-3. 926, P=0. 001）. The major influencing factors of depersonalisation were support from the supervisor（b=-0. 333, t=-4. 146, P=0.001）, age（b=-0. 89, t=-2. 272, P= 0. 024） and requisition of work（b=-0. 148, t=-2. 124, P=0. 034）. There was a positive co-relationship between personal accomplishment and supervisor support. Conclusions： Supervisor support, age, and requisition of work were the major influencing factors of depersonalisation. In addition, supervisor support plays an important role in low personal accomplishment. Further research should focus on supervisor support, co-worker support, time on leave, and requisition of work associated with emotional exhaustion.展开更多
目的:探讨神经肌肉电刺激(neuromuscular electrical stimulation,NMES)联合循证护理在ICU获得性衰弱(ICU-acquired weakness,ICU-AW)患者中的应用价值。方法:选取2021年8月-2023年8月南平市第一医院收治的98例ICU-AW患者。根据随机数...目的:探讨神经肌肉电刺激(neuromuscular electrical stimulation,NMES)联合循证护理在ICU获得性衰弱(ICU-acquired weakness,ICU-AW)患者中的应用价值。方法:选取2021年8月-2023年8月南平市第一医院收治的98例ICU-AW患者。根据随机数表法将其分为观察组和对照组,各49例。对照组给予常规护理,观察组给予NMES联合循证护理。比较两组干预后肌力、日常生活能力、病情严重程度、睡眠情况,时间指标及不良事件。结果:干预后,观察组ICU-AW发生率和急性生理与慢性健康状况量表Ⅱ(acute physiology and chronic health status scaleⅡ,APACHEⅡ)评分均低于对照组,医学研究委员会(Medical Research Council,MRC)评分和Barthel评分均高于对照组,差异有统计学意义(P<0.05)。观察组机械通气时间和ICU治疗时间均短于对照组,匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分低于对照组,差异有统计学意义(P<0.05)。两组均无严重不良事件发生。结论:NMES联合循证护理可以改善ICU-AW患者的肌力和功能,降低ICU-AW发生率、缩短机械通气时间和ICU治疗时间,并改善睡眠质量,且未发生严重不良事件。展开更多
Intensive care unit(ICU)needs professional nursing staff with high professionalism to ensure the quality of nursing work and ensure patient's safety.However,low-age nurses play an important role in the ICU care te...Intensive care unit(ICU)needs professional nursing staff with high professionalism to ensure the quality of nursing work and ensure patient's safety.However,low-age nurses play an important role in the ICU care team.In this study the authors reviewed the relevant literature,summarized the basic characteristics and training methods of ICU low-grade nurses,and analyzed the insecure factors and management strategies of ICU low-grade nurses.展开更多
文摘Objective:To investigate the effective nursing measures of early application of nasoenteric tube for enteral nutrition in critically ill patients in ICU,and to summarize the nursing experience.Methods:The study was carried out in June 2023–November 2023.62 samples of ICU critically ill patients were selected,all of whom used enteral nutrition by mesenteric tube and were grouped into an observation group(n=31)and a control group(n=31)by using the numerical table randomization method.The patients in the control group were basic nursing interventions,and the patients in the observation group were comprehensive quality care,comparing the nutritional indexes,complication rates,and nursing satisfaction between the two groups.Results:All nutritional indicators of the observation group were higher than those of the control group after nursing intervention(P<0.05);the complication rate of the observation group was lower than that of the control group(P<0.05);the nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:Comprehensive quality nursing care during the early application of a gastroenteric tube for enteral nutrition in critically ill patients in the ICU can improve nutritional indexes,reduce the incidence of complications and improve nursing satisfaction.
文摘This study focused on the development and evaluation of the implementation of a preceptorship program adapted to ICU practice in the Ab.-T.region to provide preceptors with tools to support novice nurses.This action research was made possible with the involvement of the centers,preceptors,and novice nurses throughout the development and implementation of the program.This approach enabled participants to take ownership of the training content and fully utilize various tools.The program was implemented throughout the CISSS,where this study was subsequently carried out.Several novices mentioned that the program reinforced their sense of security and made them feel more equipped to handle complex care situations.The preceptors said they were better equipped to offer clinical support and novices were better prepared to work in the ICU.It is important to evaluate the development of the novice nurses’skills following their participation in this program and the long-term impact of this preceptorship.
文摘Objective： The associations between social support and burnout were explored in ICU nurses of Shanghai. Methods： We performed a cross-sectional study of 356 ICU nurses by applying random cluster sampling. Data were collected using self-reported questionnaires under the instruction of trained investigators. Data on emotional exhaustion, depersonalisation and feelings of low personal accomplishment etc. were collected, calculated and analyzed. Results： The participants had a mean age of 26.96 years （SD 4.07）. The mean value （M） and stand- ard deviation （SD） of emotional exhaustion was M=31.85, SD=8.38, those of depersonalisation was M= 11.69, SD= 5.54 and those of feelings of low personal accomplishment was M= 19. 79, SD = 7.02. The high degree of emotional exhaustion （EE）, depersonalisation （DP）, and lack of personal accomplishment （PA） were revealed to be 76.4%, 39.6%, and 94.9%, respectively. The major influencing factors of emotional exhaustion included support from co-workers（b=0. 343, t = 1.98, P=0. 049）, taking leave（b=-1. 182, t=-3. 747, P=0. 001）, requisition of work（b=-l. 41, t=-2. 369, P=0. 018）, and supervisor support（b=-0. 524, t=-3. 926, P=0. 001）. The major influencing factors of depersonalisation were support from the supervisor（b=-0. 333, t=-4. 146, P=0.001）, age（b=-0. 89, t=-2. 272, P= 0. 024） and requisition of work（b=-0. 148, t=-2. 124, P=0. 034）. There was a positive co-relationship between personal accomplishment and supervisor support. Conclusions： Supervisor support, age, and requisition of work were the major influencing factors of depersonalisation. In addition, supervisor support plays an important role in low personal accomplishment. Further research should focus on supervisor support, co-worker support, time on leave, and requisition of work associated with emotional exhaustion.
文摘目的:探讨神经肌肉电刺激(neuromuscular electrical stimulation,NMES)联合循证护理在ICU获得性衰弱(ICU-acquired weakness,ICU-AW)患者中的应用价值。方法:选取2021年8月-2023年8月南平市第一医院收治的98例ICU-AW患者。根据随机数表法将其分为观察组和对照组,各49例。对照组给予常规护理,观察组给予NMES联合循证护理。比较两组干预后肌力、日常生活能力、病情严重程度、睡眠情况,时间指标及不良事件。结果:干预后,观察组ICU-AW发生率和急性生理与慢性健康状况量表Ⅱ(acute physiology and chronic health status scaleⅡ,APACHEⅡ)评分均低于对照组,医学研究委员会(Medical Research Council,MRC)评分和Barthel评分均高于对照组,差异有统计学意义(P<0.05)。观察组机械通气时间和ICU治疗时间均短于对照组,匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分低于对照组,差异有统计学意义(P<0.05)。两组均无严重不良事件发生。结论:NMES联合循证护理可以改善ICU-AW患者的肌力和功能,降低ICU-AW发生率、缩短机械通气时间和ICU治疗时间,并改善睡眠质量,且未发生严重不良事件。
文摘Intensive care unit(ICU)needs professional nursing staff with high professionalism to ensure the quality of nursing work and ensure patient's safety.However,low-age nurses play an important role in the ICU care team.In this study the authors reviewed the relevant literature,summarized the basic characteristics and training methods of ICU low-grade nurses,and analyzed the insecure factors and management strategies of ICU low-grade nurses.
