Effects of comprehensive nursing with cognitive behavioral therapy in orthodontic osteodilated arch treatment

BACKGROUND This work explored the effects of cognitive behavior therapy(CBT)-based comprehensive nursing intervention(CNI)mode in arch expansion to treat patients with orthodontic osteodilated arch(OOA).AIM To explore the application effect of CBT-based CNI model in orthodontic expansion arch treatment.METHODS Using convenient sampling method,81 patients with OOA were selected and rolled into a control group(Ctrl group,40 cases)and an observation group(Obs group,41 cases).During the treatment,patients in the Ctrl group received routine nursing intervention mode,and the those in the Obs group received CBT mode on the basis of this.Before and after intervention,the incidence of oral mucositis,the mastery rate of correct arch expansion method,self-rating anxiety scale score,soft scale index,and plaque index were compared for patients in different groups.In addition,satisfaction and complications were comparatively analyzed.RESULTS Incidence of oral mucositis in the Obs group was lower(14.6%vs 38.5%),and the mastery rate of correct arch expansion method was obviously higher(90.2%vs 55.0%)was obviously higher(all P<0.05).Meanwhile,the soft scale index and plaque index in the Obs group were much lower(P<0.05).The compliance(90.24%)and satisfaction(95.12%)in the Obs group were greatly higher(P<0.05).CONCLUSION The CBT-based CNI mode greatly improved the mastery rate of correct arch expansion method during arch expansion in treating patients with OOA and enhanced the therapeutic effect of arch expansion and the oral health of patients,improving the patient compliance.

Nursing of a patient with multiple primary cancers: A case report and review of literature

BACKGROUND Although the occurrence of multiple primary cancers(MPC)is not exceedingly common,it is not rare in clinical practice.In recent years,there has been a notable increase in its incidence.The frequent confusion between MPC and tumor metastasis or recurrence often leads to delays in diagnosis and treatment.This study aimed to enhance understanding of MPC,improve diagnostic accuracy,guide precise clinical treatment,and implement a case management nursing model(CMNM)to facilitate quick patient recovery.CASE SUMMARY A 61-year-old female patient presented with persistent upper abdominal pain lasting over 2 months.Gastroscopy revealed the presence of both gastric and duodenal cancers.Following a thorough evaluation,the patient underwent pancreaticoduodenectomy,cholecystectomy,and total gastrectomy.Post-surgery,an individualized case management nursing approach was applied,leading to a successful recovery.Three months after the surgery,follow-up examinations showed no signs of recurrence.CONCLUSION The CMNM effectively promoted rapid patient recovery,enhanced the quality of orthopedic nursing services,and accelerated postoperative recovery,ultimately leading to increased patient satisfaction with nursing care.

Assessment of the Effect of “3H” Nursing Mode on Negative Emotions and Insomnia in Patients with Enterostomy

Objective: To explore the clinical significance of “3H” nursing mode in improving negative emotions and insomnia in patients with enterostomy through a prospective cohort study. Methods: Adult patients who underwent enterostomy surgery in our gastroenterology department with negative emotions and insomnia between August 2021 and August 2022 were selected as research objects and randomly divided into “3H” nursing mode group and conventional nursing management group. For the conventional nursing group, routine standard nursing mode was adopted after enterostomy, while extra systematic “3H” nursing service on the basis of conventional nursing management was applied for its counterpart. SAS and SDS scores, Pittsburgh sleep quality index, Barthel index and nursing satisfaction were compared between the two groups. Results: SAS and SDS scores, Pittsburgh sleep quality index, Barthel index and nursing satisfaction of “3H” nursing mode group were evidently better than those of conventional nursing management group, and the difference was significant (P Conclusion: The “3H” nursing mode can effectively improve negative emotions of patients with enterostomy, such as anxiety and depression, improve their sleep quality and self-care ability in daily life, and play an important role in building a harmonious relationship between doctors and patients, nurses and patients, which is worthy of clinical application.

Research and Application of Multi-Dimensional and Three-Dimensional Teaching in Geriatric Nursing Teaching in the Context of Mass Entrepreneurship and Innovation

Purpose:Study the specific application effect of multi-dimensional and three-dimensional teaching in Geriatric Nursing teaching in the context of mass entrepreneurship and innovation.Methods:Respectively select 80 nursing undergraduates of 2015 and 80 nursing undergraduates of 2014 in our school as the research object of the experimental group and the control group.In terms of Geriatric Nursing teaching,nursing students in the control group adopt traditional classroom teaching methods to carry out,while students in the experimental group adopt multi-dimensional and three-dimensional teaching in the context of mass entrepreneurship and innovation.Then observe and compare the geriatric nursing knowledge scoring as well as theory and practice assessment results in the two groups taught with different methods.Results:It's obvious that the scoring of nursing students in the experimental group is higher than those in the control group in respect of geriatric nursing knowledge,and statistical significance exists in the between-group differences(P<0.05).The nursing students in the experimental group perform obviously better than those in the control group in terms of the results of theory,practice and comprehensive assessment as well as total score,and statistical significance exists in the between-group differences(P<0.05).Conclusion:Implementing Geriatric Nursing teaching for higher education nursing undergraduates with multi-dimensional and three-dimensional teaching in the context of mass entrepreneurship and innovation can remarkably improve nursing students'cognitive level in geriatric nursing as well as their mastery degree of theoretical,practical and comprehensive knowledge.Thus,the multi-dimensional and three-dimensional teaching mode in the context of mass entrepreneurship and innovation makes 80 nursing undergraduates of 2015 in our school direct beneficiaries,which could be popularized and applied in medical colleges.

The Study on College English Writing Based on Multi-dimensional Feed-back Mode

The study constructed a multi-dimensional feedback mode integrating teacher feedback, peer feedback and network feedback, and applied it in the teaching of College English Writing. After 16 weeks of teaching, the students in the multi-dimen-sional feedback class had significantly better overall writing scores than those in the teacher-feedback class. In terms of individual scores, multi-dimensional feedback played a better role in improving vocabulary and grammar than the class using teacher feed-back. However, there were no significant differences in the responses of writing tasks, coherence and cohesion. The study showed that most students were satisfied with the mode, believing that it was helpful to relieve writing anxiety, stimulate writing interest and improve their writing level.

Effect of precise nursing service mode on postoperative urinary incontinence prevention in patients with prostate disease

BACKGROUND Patients with benign prostatic disease often experience detrusor morphological changes and dysfunction.In severe cases,it leads to bladder detrusor dysfunction,resulting in dysuria,frequent urination,urgent urination,incomplete urination,and other symptoms including renal function injury.An operation to restore normal urination function and to control postoperative complications,as far as possible,is the most common method for benign prostatic disease.AIM To observe the effect of precise nursing service mode on postoperative urinary incontinence prevention in patients with prostate disease.METHODS In total,130 patients diagnosed with benign prostatic disease,from January 2018 to June 2021,in our hospital,were selected and divided into observation and control groups according to their treatment options.Sixty-five cases in the control group were given routine nursing mode intervention and 65 cases in the observation group received precise nursing service mode intervention.The intervention with the observation group included psychological counseling about negative emotions,pelvic floor exercises,and post-hospital discharge care.The complications of the two groups were counted,and the general postoperative conditions of the two groups were recorded.The urinary flow dynamics indexes of the two groups were detected,and differences in clinical international prostate system score(IPSS)and urinary incontinence quality of life questionnaire(I-QOL)scores were evaluated.RESULTS Postoperative exhaust time(18.65±3.23 h and 24.63±4.51 h),the time of indwelling catheter(4.85±1.08 d and 5.63±1.24 d),and hospitalization time(8.78±2.03 d and 10.23±2.28 d)in the observation group were lower than in the control group.The difference was statistically significant(P<0.05).After the operation,the maximum urinary flow rate(Qmax)increased(P<0.05),the residual urine volume(RUV)decreased(P<0.05),and the maximum closed urethral pressure(MUCP)was not statistically significant(P>0.05)compared to pre-operation.The Qmax of the observation group was higher than that of the control group,while the RUV was lower than that of the control group.There was no significant difference in MUCP between the observation and control groups(P>0.05).The I-QOL score of the two groups improved(P<0.05),and the IPSS decreased(P<0.05).After the operation,the I-QOL score of the observation group was higher than that of the control group,and the IPSS was lower than that of the control group(P<0.05).There were no significant differences in the incidence of urethral injury(1.54%and 3.08%),bladder spasm(0.00%and 1.54%),and secondary bleeding(1.54%and 4.62)between the observation and control groups(P>0.05).CONCLUSION The precise nursing service mode can reduce the incidence of postoperative urinary incontinence in patients with prostate disease,thus improving postoperative urodynamics and rehabilitation,and quality of life.

Application and effect evaluation on Acknowledge-Introduce-Duration-Explanation-Thank you(AIDET)communication mode in cataract daytime operation nursing

Background:To explore the application effect of Acknowledge-Introduce-Duration-Explanation-Thank you(AIDET)communication mode in reducing anxiety and improving the care services satisfaction of the patients.Methods:The 100 cases undergoing cataract daytime operation from February to July 2019 were divided into test group and control group.The test group conducted health education and nursing care for patients during admission,pre-operation,post-operation,and discharge according to the AIDET communication mode.And the control group was given health education and nursing care to the patients according to the traditional way of communication.Results:The difference of the socioeconomic information between these two groups showed no statistical significance.The care services satisfaction score in the test group was statistically higher than that in the control group(P<0.05).The Self-Rating Anxiety Scale(SAS)score in the test group was significantly lower than that in the control group(P<0.01).This result indicated that the patients suffered less anxiety with the AIDET mode of communication.Conclusions:The application of AIDET communication mode to the nursing service of cataract daytime operation can reduce the tension and anxiety of the patients from the treatment and improve their satisfaction to care services.

Research Progress on Effective Implementation of Whole Process Nursing Model for Patients with Cervical Cancer

Cervical cancer has a high mortality rate in clinic.This disease seriously threatens the physical and mental health and life safety of patients.At present,radical surgery is mainly used for treatment,but in order to reduce the incidence of intraoperative and postoperative complications,corresponding nursing needs to be coordinated.This time focuses on the complications after radical surgery for cervical cancer,and puts forward the nursing methods of common complications of transabdominal radical surgery for cervical cancer.In order to improve the quality of nursing and life of patients,this paper summarizes the effective implementation of the whole process nursing model after cervical cancer surgery.

Observation on the Application of“Online+Offline”Mixed Teaching Mode in Clinical Nursing Teaching

Objective:To observe the application effect of“online+offline”mixed teaching mode in clinical nursing teaching.Methods:A total of 72 clinical nursing workers,who work in PLA General Hospital and participated in the experiment from March 2019 to March 2021,were selected as the subjects of this study.According to the odd numbers assigned to the participants’names,the participants were divided into two groups:the experimental group and the control group,with 36 cases in each group.The experimental group received“online+offline”hybrid teaching,whereas the control group received traditional offline teaching.In order to evaluate the efficacy and safety of the two groups of nursing workers,their assessment scores,teaching satisfaction scores,and teaching evaluation indicators were observed.Results:The experimental group was significantly better than the control group in terms of assessment scores,teaching satisfaction scores,and teaching evaluation indicators(P<0.05).Conclusion:In clinical nursing teaching,the“online+offline”mixed teaching mode plays a unique role in improving students’scores and teaching quality;thus,it should be promoted.

On multi-dimensional vocabulary teaching mode for college English teaching

This paper analyses the major approaches in EFL （English as a Foreign Language） vocabulary teaching from historical perspective and puts forward multi-dimensional vocabulary teaching mode for college English. The author stresses that multi-dimensional approaches of communicative vocabulary teaching, lexical phrase teaching method, the grammar translation approach as well as audio-lingual method should be adopted, tasks should be designed and context be constructed to improve learners＇ vocabulary acquiring competence and language competence.

Application of "Internet+" question-based teaching mode in theteaching of characteristic nursing of Dai medicine

Objective: To explore the application effect of "Internet+" combined with question teaching method in the teachingof characteristic nursing of Dai medicine. Methods:In this paper, 103 students majoring in medical science in ourschool were selected as the research objects, and the teaching mode of "Internet+" combined with questions wasimplemented. After the course, the theory and skills of the students were assessed, and the evaluation of theteaching mode was conducted by questionnaire survey. Results: "Internet+" combined with question-basedteaching mode can improve the initiative and enthusiasm of students in learning and enhance their awareness andunderstanding of the characteristic nursing of Dai medicine. 93.2% of the students are satisfied with this teachingmethod. Conclusion:The characteristic nursing of Dai medicine belongs to one of the four traditional nationalmedicine in China. This teaching method can lay a foundation for inheriting the traditional culture and cultivatinghigh-level applied nursing talents of national medicine in the future. It is worth popularizing and applying innursing teaching.

Application Research of Clinical Nursing Teaching Model Based on PBL Mode

Objective:To explore the application effect of PBL mode in clinical nursing teaching model.Methods:40 nursing students who were internships from June 2017 to April 2018 in our hospital were selected as subjects.They were divided into two groups,the control group and the experimental group,with 20 in each group.The control group used the traditional teaching model,and the experimental group used the PBL teaching model to compare the clinical teaching effects of the two groups of nursing students.Results:There was no significant difference between the two groups of nursing students in the basic nursing knowledge,the professional practice operation under the simulated clinical operating environment and the basic nursing operation(P>0.05),in the clinical operation environment,the professional practice evaluation results of the experimental group were significantly better than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:The PBL teaching model has a good teaching effect in clinical nursing teaching,which can effectively improve the professional practice level of nursing students in the clinical environment and meet the requirements of modern clinical nursing professional ability level,therefore,the PBL mode is worthy of popularization and application in clinical nursing teaching.

Clinical Effect of Intelligent Emergency Nursing Mode in Patients with Severe Traumatic Brain Injury

Objective: Severe traumatic brain injury (sTBI) is one of the common acute and critical diseases in neurosurgery. So we aim to explore the clinical effectiveness of an intelligent emergency care model in patients with severe traumatic brain injury. Methods: Eighty patients with severe traumatic brain injury (sTBI) who were treated in Zhuji People’s Hospital of Zhejiang Province from January 2019 to December 2021 were selected as the study subjects. The patients were divided into an observation group and a control group with 40 patients in each group according to the random number table method. Patients in the control group received conventional first-aid nursing mode intervention, and the intelligent emergency nursing mode was used for the observation group based on the control group. Comparisons were conducted between the two groups on the time of arrival to the emergency room, the time from the emergency room to the operating room, Glasgow Coma Scale (GCS) score before surgery, GCS score when leaving the Intensive Care Unit (ICU), the average length of ICU stay, the average length of hospital stay, the total hospital costs. Results: The time of arrival to the emergency room, the time from the emergency room to the operating room, the average length of ICU stay, the average length of hospital stay, and the total hospital costs in the observation group were significantly lower than those in the control group, and the differences were statistically significant (All P Conclusion: Intelligent emergency nursing mode can shorten the time of sTBI rescue, the length of ICU stay, and the average length of hospital stay, reduce the total hospitalization cost, improve the prognosis, with good efficacy, reduce the total cost of hospitalization, and improve the prognosis with better efficacy.

Research on Implementation Modes of Ideological and Political Courses in Pediatric Nursing

with the continuous advancement of socialist modernization,China needs more and more talents,in particular the talents who are not only high in professional techniques,but also high in ideological and moral level and thinking ability,thus producing ideological and political courses.Along with the constant development of education cause,the professional education starts to concern on ideological and political work and integrate ideological and political courses into professional teaching.To this end,the paper explores the specific implementation path of ideological and political course mode from the perspective of pediatric nursing,describes ideological and political courses in detail and points out the requirements on the construction of ideological and political courses of pediatric nursing so as to provide reference for education of pediatric nursing and improvement of students’comprehensive quality.

Multi-dimensional database design and implementation of dam safety monitoring system

To improve the effectiveness of dam safety monitoring database systems, the development process of a multi-dimensional conceptual data model was analyzed and a logic design wasachieved in multi-dimensional database mode. The optimal data model was confirmed by identifying data objects, defining relations and reviewing entities. The conversion of relations among entities to external keys and entities and physical attributes to tables and fields was interpreted completely. On this basis, a multi-dimensional database that reflects the management and analysis of a dam safety monitoring system on monitoring data information has been established, for which factual tables and dimensional tables have been designed. Finally, based on service design and user interface design, the dam safety monitoring system has been developed with Delphi as the development tool. This development project shows that the multi-dimensional database can simplify the development process and minimize hidden dangers in the database structure design. It is superior to other dam safety monitoring system development models and can provide a new research direction for system developers.

团队模式下闭环式健康教育在老年高血压患者护理中的应用观察

目的探究团队模式下闭环式健康教育在老年高血压患者延伸护理中的应用效果,为治疗该病症提供方法。方法选取2020年3月—2023年3月新疆维吾尔自治区人民医院健康管理中心收治的老年高血压患者共计102例,采用随机数表法分为观察组(n=51)以及对照组(n=51)。对照组患者接受常规高血压护理,观察组患者在对照组相同处理的基础上接受团队模式下的闭环式健康教育,干预疗程为3个月。记录并比较2组接受干预前后的24 h平均收缩压和舒张压、自我护理能力量表(ESCA)评分以及高血压患者8项Morisky用药依从性量表(MMAS-8)评分、SF-36生活质量调查表(SF-36)评分、接受干预后研究对象在延伸护理、健康教育、操作与演示、疑问的反馈与解答层面对护理服务的满意度。结果接受干预后,2组的24 h平均收缩压和舒张压比干预前均出现降低,且观察组低于对照组(P<0.05);与此同时,2组的ESCA评分以及MMAS-8评分相比干预前均出现提升,且观察组高于对照组(P<0.05);观察组接受干预后的SF-36评分显著高于对照组,差异存在统计学意义(P<0.05);观察组在延伸护理、健康教育、操作与演示、疑问的反馈与解答领域对护理服务的满意度均高于对照组患者(P<0.05)。结论团队模式下闭环式健康教育应用于老年高血压患者延伸护理能够有效提升高血压控制效果以及患者的自我护理意识,提高患者生活质量对护理服务的满意度,具有一定临床应用价值。

护理本科生临床实习带教管理与思考——从师生双向调查结果看护理本科生临床实习带教

目的:探讨护理本科生临床实习中的管理问题。方法:以问卷星方式对护理本科生实习目标、师生相互期望和带教中的问题及困难进行双向调查。结果:带教老师最关注的是护生的实习态度和沟通能力;护生对老师的期望是通情理、有耐心、有责任心,其次是较强的专业知识;带教老师面临的最大困难是学生的实习态度问题。结论:(1)院校之间对护理本科生临床实习目标沟通较少,是影响护生实习态度的主要因素。(2)临床带教老师对老师角色认知不足,激励管理欠缺是影响教学态度的主要因素。(3)加强护理本科生临床带教管理,尤其是临床老师角色的强化和带教模式的改变是提高临床护理教学质量的根本途径。

基于“BOPPPS教学模式+课程思政理念”的混合式教学在“基础护理学”课程中的应用研究

目的探讨基于“BOPPPS教学模式+课程思政理念”的混合式教学在“基础护理学”课程中的应用效果。方法以某校护理学专业2020级和2021级的本科学生为研究对象。2020级为对照组(n=281),采用传统教学方法;2021级为试验组(n=184),采用基于BOPPPS教学模式和课程思政理念的混合式教学方式。比较两组的成绩,同时采用“自主学习问卷”和“软技能问卷”调查学生的自主学习能力和软技能。结果试验组与对照组的操作技能、理论知识和综合案例考核的成绩分别为(91.26±6.46)和(86.37±4.25)分、(78.06±4.21)和(70.62±3.26)分、(86.93±5.86)和(74.42±4.02)分。试验组与对照组学生的自主学习能力和软技能得分分别为(77.86±8.68)和(63.53±6.64)分、(137.93±18.84)和(118.28±15.12)分。试验组的考核成绩、自主学习能力和软技能得分均高于对照组(均P<0.05)。结论基于“BOPPPS教学模式+课程思政理念”的混合式教学应用于“基础护理学”教学中,提高了学生的学习成绩、自主学习能力和软技能。

ADOPT问题解决模式护理对大面积烧伤患者创面愈合及心理状态的影响

目的:探究ADOPT问题解决模式护理对大面积烧伤患者伤残接受度、创面愈合及美观满意度的影响。方法:前瞻性选择2020年1月-2022年12月笔者医院收治的患者460例大面积烧伤患者为研究对象,将2020年1月-2021年3月收治的患者纳入对照组,2021年4月-2022年12月收治的纳入观察组,对照组采用大面积烧伤后常规护理,观察组采用ADOPT问题解决模式护理,持续护理3个月。分别于干预前和干预3个月后,采用伤残接受度量表(Acceptance of disability scale,AODS)评估患者伤残接受度,采用视觉模拟评分(Visual analogue scale,VAS)评估患者创面疼痛程度,采用简明烧伤健康量表(Burn specific health scale,BSHS-A)评估患者生活质量;干预4周后,计算创面愈合率;干预3个月后,采用(Vancouver scar scale,VSS)评估患者创面愈合后瘢痕增生情况,采用美观满意度评分表评估患者美观满意度;记录创面愈合时间。结果:干预后,观察组患者AODS评分、创面覆盖率、美观满意度、BSHS-A评分均明显高于对照组,创面愈合时间明显短于对照组,VAS评分和VSS评分明显低于对照组(P<0.05)。结论:ADOPT问题解决模式能够提高大面积烧伤患者伤残接受度和美观满意度,有利于创面愈合,患者生活质量也得以显著提高。