Application of horticulture therapy as a health intervention for elderly people in nursing homes:a scoping review

Objective:To review the scope of interventional studies on horticultural therapy(HT)applied to elderly people in nursing institutions to support the efficient implementation of HT among this target group.Methods:In accordance with the scoping review framework proposed by the Joanna Briggs Institute(JBI),the Pub Med,JSTOR,Web of Science,CNKI,and Wanfang databases were searched.Data from the retrieved literature were summarized and analyzed.Results:In all,18 studies were included in this review.The target population groups of interventions included self-supporting elderly people,cognitively impaired elderly people,elderly people with negative emotions,and elderly people with frailty living in nursing institutions.HT interventions,including planting,craft activities,derivative activities,and outdoor viewing activities,are implemented indoors,outdoors,or in mixed settings.The most common duration of the intervention was 8 weeks,the most common frequency was once per week,and the most common session duration was 60 min.Conclusions:The measurements used in HT interventions included assessments of physical,psycho-mental,and social health;quality of life;and activity effects.Future studies should include partially dependent groups and completely dependent groups of elderly individuals,interventions that last at least 6 months,scientifically designed activity intensity and safety-guarantee plans,and outcomeevaluation indicators such as compliance and intervention benefits.

Analysis of The Effect of Comprehensive Nursing Intervention on Improving Blood Sugar Levels and Treatment Compliance in Elderly Patients with Diabetes

Objective: To analyze the effect of comprehensive nursing intervention on improving blood glucose levels and treatment compliance in elderly patients with diabetes. Methods: One hundred and forty-eight elderly patients with diabetes were selected and randomly divided into a control group and an observation group, with 74 cases each. The control group received routine nursing intervention and the observation group received comprehensive nursing intervention. The blood sugar levels, treatment compliance, and nursing satisfaction of the two groups of patients before and after intervention were compared. Results: After the intervention, the fasting plasma glucose (FPG) (t = 7.729), 2 hours postprandial glucose (PPG) (t = 8.343), and HbA1c (t = 6.929) levels of patients in the observation group were significantly lower than those in the control group (P < 0.001). The observation group (71/95.95%) had a higher compliance rate than the control group (54/72.97%) (χ^(2)=14.877, P < 0.001). The comprehensive nursing satisfaction rate of the observation group (73/98.65%) was higher than that of the control group (56/75.68%) (χ^(2)=17.451, P < 0.001). Conclusion: In caring for elderly patients with diabetes, comprehensive nursing intervention effectively reduced patients’ blood sugar levels and improved treatment compliance and nursing satisfaction.

Sleep quality in middle-aged and elderly hemodialysis patients:Impact of a structured nursing intervention program

BACKGROUND Poor sleep quality is common among hemodialysis patients and can significantly impact their well-being.This study aimed to evaluate the effectiveness of a structured nursing intervention program in improving sleep quality in middleaged and elderly hemodialysis patients.AIM To evaluate the impact of nursing intervention on sleep quality in hemodialysis patients.METHODS This cross-sectional study was conducted in a tertiary hospital,the First Affiliated Hospital of Nanchang University,in 2023.This study included 105 middle-aged and elderly hemodialysis patients aged≥45 years who underwent maintenance hemodialysis for at least 3 mo,utilizing the Pittsburgh Sleep Quality Index(PSQI)to identify poor sleepers.Those identified underwent a 12-wk nursing intervention program focusing on education,relaxation techniques,and counseling.Post-intervention,sleep quality was reassessed using the PSQI.RESULTS The study found that 68.6%of hemodialysis patients were poor sleepers.Following the 12-wk nursing intervention program,there was a significant decrease in the mean global PSQI score from 8.9±3.2 to 5.1±2.7(P<0.001),indicating improved sleep quality.This demonstrated the effectiveness of the structured nursing intervention in enhancing sleep quality for middle-aged and elderly hemodialysis patients.CONCLUSION The structured nursing intervention program focusing on sleep hygiene education,relaxation techniques,and counseling effectively improved sleep quality among middle-aged and elderly hemodialysis patients.The significant decrease in the mean global PSQI score post-intervention indicates the positive impact of tailored nursing interventions in addressing poor sleep quality in this patient population.These findings emphasize the importance of implementing targeted nursing interventions to enhance the quality of life for hemodialysis patients by addressing the prevalent issue of poor sleep quality.

Nursing observation of transradial coronary intervention combined with tirofiban hydrochloride for acute coronary syndrome in elderly patients

Background As the most effective approach in treatment of revascularization in coronary perfusion for acute coronary syndromes（ACSs）, percutaneous coronary intervention（PCI） can also increase the risk of detachment of thrombus and embolism of distal microcirculation. Tirofiban hydrochloride is a reversible antagonist of platelet glycoprotein Ⅱb / Ⅲa receptor, which can inhibit platelet aggregation quickly. However,it may also increase the risk of bleeding when in combination with other anti-thrombus drugs. It is important in medication observation for charge nurse when using Ⅱ b / Ⅲ a receptor inhibitor. Methods For 116 elderly patients with ACS who had transradial coronary interventional therapy combined with tirofiban hydrochloride,we conducted medication care, nursing observation of hemorrhage, nursing of puncture of upper limb,postoperative adverse cardiovascular events, observation of myocardial perfusion, blood flow and health education. Results A total of 10 patients had mild bleeding, no serious bleeding, and 2 with major adverse cardiac event（MACE）. Conclusions Tirofiban hydrochloride after PCI can significantly reduce cardiovascular events in acute coronary syndromes, but there is an increased risk of bleeding. It showed that strengthen inspection, closely observe condition and detecting bleeding in time after PCI can significantly reduce postoperative complications for charge nurses.

基于老年综合评估的路径式护理干预对老年骨质疏松患者生活质量的影响研究

目的在改善老年骨质疏松患者生活质量的干预过程中引入老年综合评估(CGA),探讨路径式综合护理干预对患者生活质量的影响。方法选取2014年8月-2016年1月在我院骨科住院的骨质疏松老年患者98例,随机分为对照组和干预组各49例,对照组实施常规骨科专科护理,CGA组在骨科专科护理基础上实施路径化的CGA护理干预和随访,在干预前和干预6个月后,采用世界卫生组织生活质量量表对两组患者进行测评,比较两组患者干预前后生活质量效果及对治疗护理工作的满意度。结果路径式综合护理干预后,CGA组在生理领域、心理领域、独立性领域、社会关系领域、环境领域、精神支柱/个人信仰/宗教领域、总体生活质量方面等各个方面评分及出院后6个月CGA组患者对治疗护理满意度与对照组比较均明显提高,差异有统计学意义(P<0.05)。结论将CGA纳入临床综合护理干预路径,对老年骨质疏松症患者施行个性化护理干预,能够提高患者的生活质量。

部队离退休老干部抑郁情绪的相关因素调查及护理干预

目的探讨驻京部队离退休老干部抑郁情绪的相关因素,以制定科学有效的护理干预措施。方法采用问卷调查,对干部门诊就诊的500名离退休老年患者抑郁情绪的相关因素进行调查。结果500名受试者中,有轻度抑郁者23.0%(115/500),中度抑郁者6.4%(32/500),重度抑郁者1.6%(8/500);配偶健在的患者抑郁情绪的发生率明显低于再婚和丧偶寡居者;离退休的年限及生活满意度都是引发老年人抑郁情绪的重要因素。结论注重对丧偶寡居者、刚刚离退休和生活满意度较低的老年患者的心理护理,正确认识和重视抑郁情绪的发生,采取积极的护理干预措施,减轻抑郁情绪对身心的不良影响。

综合护理干预对老年慢性阻塞性肺疾病患者治疗依从性的影响

目的探讨综合干预对老年慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者治疗依从性的影响。方法自制调查问卷对80例COPD患者治疗中存在的问题进行调查,对调查发现的COPD患者存在的认知误区及健康教育的难点采取针对性的综合干预。结果综合干预后COPD患者急性发作次数、感冒次数、生存质量评分均明显下降,差异有统计学意义(P<0.01);吸烟人数、行炊人数明显减少;康复治疗、家庭氧疗、吸入治疗等人数明显增加,差异有统计学意义(P<0.01)。结论 积极综合护理干预可提高COPD患者治疗依从性,改善生存质量,减少复发。

护理干预对老年股骨骨折术后恢复的意义

目的探讨护理干预改善老年股骨骨折患者术后恢复的临床效果。方法将接受手术治疗的老年股骨骨折患者100例随机分为干预组和对照组各50例,对照组给予围手术期常规护理,研究组在常规护理的基础上给予干预护理,比较两组患者的膝关节功能恢复情况、FIM评分、首次下床时间、出院时间以及护理满意度。结果干预组患者膝关节功能恢复情况显著优于对照组(P<0.01)。干预组和对照组患者术前FIM评分分别为(57.8±6.3)分和(56.9±6.8)分,组间差异无统计学(P>0.05);术后3周分别为(84.3±8.2)分和(77.6±7.1)分,组间差异有统计学意义(P<0.01)。干预组患者首次下床时间和出院时间显著短于对照组(P<0.05,P<0.01),护理满意度显著高于对照组(P<0.05)。结论应用护理干预可以有效改善老年股骨骨折患者的术后康复情况,具有重要的临床推广价值。

全程护理干预在高龄腹腔镜结直肠癌根治术中的应用

目的探讨全程护理干预在高龄腹腔镜结直肠癌根治术中的应用效果。方法将2011年3月～2013年10月在我院行腹腔镜结直肠癌根治术的62例高龄患者纳入研究，2011年3月～2012年5月的3l例为对照组按常规护理，2012年6月-2013年10月的31例为观察组，在常规护理基础上实施全程护理干预，比较两组患者的焦虑、血压、心率变化情况及对护理工作的满意度。结果干预前两组患者焦虑自评量表（Self—Bating Anxiety Scales，SAS）评分、血压、心率情况无差异（P〉0．05），干预后观察组的SAS评分下降，血压、心率保持稳定，满意度为100％，与对照组比较均有统计学意义（P〈0．01）。结论在高龄腹腔镜结直肠癌根治术中实施全程护理干预，能减轻患者的焦虑情绪，使血压、心率保持稳定，保证手术的顺利完成。有效地提高患者对护理工作的满意度。

护理干预对老年患者术后谵妄影响的研究

目的：探讨护理干预对老年全麻术后谵妄患者治疗中的作用。方法：将80例61~85岁之间,全麻老年患者分为护理干预组（40例）,常规治疗组（40例）。结果：两组患者经过护理干预组与常规治疗组比较差异有显著性（P〈0.05）。结论：护理干预后老年患者术后谵妄例数减少,病程缩短,住院日减少,护理干预为老年患者术后迅速康复奠定基础。

骨科高龄颈椎病患者术后认知功能障碍的护理干预

目的探讨骨科高龄颈椎病患者术后认知功能障碍的临床特点及综合护理干预措施。方法对19例术后出现认知功能障碍的高龄颈椎病患者(>60岁)进行分析,讨论综合护理干预措施的重要作用。结果所有患者在出现异常神经症状3～11d后,逐渐恢复,痊愈出院。结论积极的护理干预可有效改善骨科高龄患者颈椎病术后认知功能,促进其认知功能的恢复。

护理干预对老年肥胖高血压患者糖代谢的影响

目的探讨护理干预对伴糖耐量异常的肥胖高血压病患者的影响。方法2003年起在我院门诊就诊的高血压且伴糖耐量异常的老年患者176例，分为干预组80例和对照组96例，经3～3．5年的护理干预及跟踪随访，将两组患者基本状况、临床生化指标、依从性及新发生糖尿病和心血管病的发生情况进行比较。结果干预组的依从性均明显高于对照组（P〈0．01），在体重指数、腰围、餐后2h血糖及胰岛素、胰岛素抵抗指数方面均较对照组明显降低（P〈0．01）；干预组2型糖尿病和心血管病的发生率也明显低于对照组。结论有效的护理干预对伴糖耐量异常的肥胖高血压病患者有着显著作用，有利于病情的控制，防止其进一步的发展，并能有效是降低2型糖尿疾病和心血管病的发生。

护理干预对改善高龄LC术后患者舒适度的作用

目的通过护理干预提高高龄LC术后患者的舒适度。方法将120例行LC的高龄患者随机分为对照组60例与观察组60例。对照组按传统方法进行护理,观察组进行舒适护理。结果观察组不良反应发生率明显低于对照组(P<0.01),患者舒适度明显高于对照组(P<0.01),两组患者术后出血发生率比较,差异无统计学意义(P>0.05)。结论舒适护理模式在高龄LC患者中的应用,能有效消除患者的紧张、焦虑心理,使患者处于最佳身心状态,可较大程度提高患者的舒适度。

护理干预在减少老年慢性心力衰竭反复发作中的应用

目的探讨护理干预对老年慢性心力衰竭患者的反复发作的预防效果。方法选取80例老年慢性心力衰竭衰竭患者为研究对象,随机分为观察组和对照组各40例。对照组采用常规护理模式,观察组对患者服药依从性,睡眠,情绪进行护理干预。随访6个月,比较两组患者睡眠质量,焦虑、抑郁评分及心力衰竭复发情况。结果观察组PSQI,SAS,SDS评分改善情况显著优于对照组(P<0.05)。6个月随访期间观察组治疗完全遵从比例高于对照组(P<0.05)。观察组心衰复发人数显著低于对照组(P<0.05)。结论护理干预可改善老年慢性心力衰竭患者的睡眠质量,降低焦虑、抑郁评分,有效提高治疗依从性,降低慢性心力衰竭复发。

老年HIV感染/AIDS患者的心理分析及护理干预

目的:了解老年HIV/AIDS患者的心理特点,提供相应的护理干预,消除不良心理反应。方法:利用艾滋病检测咨询中心,了解老年HIV/AIDS患者的心理特点,采取有关护理干预:帮助老年HIV/AIDS患者获得家庭、社会的支持,正确对待疾病,消除不良心理反应。结果:通过护理干预,除6例已死亡外,21例AIDS患者消除了消极心理,保持平和心态,坚持抗病毒治疗,6例HIV携带者能正确对待疾病,遵指导做好预防措施、定期检查。结论:老年HIV/AIDS患者存在严重不良心理反应,及时予相应护理干预,能帮助他们获得家庭支持、社会支持,消除消极心理,提高生活质量,延长生命。

精细化护理干预对高龄急性肾损伤患者的影响

目的:探讨精细化护理干预对高龄急性肾损伤患者的影响。方法:将80例高龄急性肾损伤患者随机分为研究组和对照组各40例,对照组给予常规护理,研究组在此基础上给予精细化护理干预,比较两组临床疗效、肾功能指标、生存率及护理满意度。结果:研究组总有效率明显高于对照组(P<0.05);两组护理后血清肌酐(Scr)、尿素氮(BUN)及24 h尿量明显优于护理前(P<0.05),且研究组患者Scr、BUN水平均低于对照组(P<0.05),24 h尿量明显多于对照组(P<0.05);研究组生存率及护理满意度明显高于对照组(P<0.05)。结论:对高龄急性肾损伤患者给予精细化护理干预,疗效显著,可明显促进患者肾功能恢复,提高生存率和护理满意度。

手术室舒适护理模式对老年股骨头置换患者心理及心率的影响

目的:观察分析手术室舒适护理模式对老年股骨头置换患者的心理情绪及心率的影响。方法:选取60例老年股骨头置换患者为研究对象,随机分为观察组和对照组各30例,对照组采用手术室常规护理模式,观察组采用舒适护理模式。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价心理状况,监测并观察麻醉前及麻醉后心率波动范围,比较上述指标在2组患者中的差异,分析2种护理模式的效果。结果:2组患者术前1 d SAS和SDS评分无显著性差异,在不同护理模式下均顺利完成手术,术中未出现大出血、骨水泥漏等严重并发症。观察组麻醉前及麻醉完全苏醒后心率波动范围的差值也显著低于对照组(P<0.05),术后1 d观察组患者SAS和SDS评分显著低于对照组(P<0.05)。结论:手术室舒适护理模式可降低患者术后的焦虑、抑郁等负性心理情绪,可避免术前及术后患者心率波动范围过大,维持心率稳定。

护理干预对全麻老年骨科手术患者体温的影响

目的观察护理干预对全麻老年骨科手术患者体温的影响。方法 80名全麻下行骨科手术的老年患者被随机分成对照组(I组,n=40)和综合保温组(II组,n=40)。I组不进行额外的保温措施,II组使用综合保温护理。监测麻醉前、切皮时、切皮后30、60、90min患者的鼻咽温和记录术后患者寒颤发生情况。结果两组患者切皮后30、60、90min的鼻咽温和术后寒颤发生率差异有统计学意义(P<0.05)。结论使用综合保温护理有利于减少患者体温降低、术后寒颤发生率和促进术后康复。

老年冠心病联合介入诊疗临床护理研究

目的认识老年人行冠心病联合介入诊疗(指同一次操作中实施并完成的介入项目超过1项)存在的问题并提出护理对策。方法对连续住院的拟行冠心病联合介入诊疗的69例病例按年龄分为老年组(年龄≥65岁)与普通组(年龄18～65岁)。术前充分讨论拟定个体联合介入方案,制定手术并发症及不良反应防治预案。比较以下指标:年龄、成功率、并发症、病死率、费用、操作时间、透视时间、造影剂用量。结果两组成功率、并发症和病死率基本相同,但老年组的费用、操作和透视时间及造影剂用量明显增多。结论谨慎施行联合介入诊疗方案老年组与普通组能取得相同的手术效果,并发症和病死率增加不明显。老年组手术费用高、操作和透视时间长及造影剂用量大。护理对策:高度重视老年造影剂肾脏损害的预防;手术前对患者进行全面的病情评估;加强围手术期的护理。

目标管理护理干预模式在老年慢性阻塞性肺疾病患者中的应用

目的:探讨目标管理护理干预模式对老年慢性阻塞性肺疾病患者睡眠质量、心理健康状况、肺功能及疾病自我护理能力的影响。方法:选取2020年1月至2021年6月收治的110例老年慢性阻塞性肺疾病患者,分为对照组和干预组各55例。对照组患者应用常规护理模式,干预组患者应用目标管理护理干预模式,两组护理周期均为2个月。采用重复测量方差分析法比较两组护理前、护理1个月、护理2个月后睡眠质量、心理健康状况得分差异性。采用卡方检验,独立样本t检验比较两组护理2个月后肺功能和自我护理能力的得分差异。结果:护理前,两组的匹兹堡睡眠质量指数,汉密尔顿焦虑量表和抑郁量表评分差异均无统计学意义(P>0.05)。护理1个月、2个月后,干预组匹兹堡睡眠质量指数,汉密尔顿焦虑量表和抑郁量表评分均低于对照组,差异有统计学意义(P<0.05)。两组的匹兹堡睡眠质量指数,汉密尔顿焦虑量表和抑郁量表评分均随干预时间的变化而变化,干预方法与干预时间之间存在交互效应(P<0.05)。此外,护理2个月后,干预组肺功能分级<Ⅲ级率及疾病自我护理能力评分高于对照组,差异有统计学意义(P<0.05)。结论:目标管理护理干预模式能够增强老年慢性阻塞性肺疾病患者自我保健意识,提高患者自我护理能力,改善患者睡眠质量、心理健康状况,促进疾病康复。