Analysis of the Effect of Intensive Nursing Care on Improving Sleep Quality During the Perioperative Period of Severed Finger Reimplantation

Objective:To investigate the clinical effect of perioperative intensive nursing on patients who underwent severed finger reimplantation and its influence on sleep quality.Methods:62 patients who underwent severed finger reimplantation between January 2023 and December 2023 were included.They were divided into two groups:the observation group(n=31)and the control group(n=31).The control group received basic nursing interventions,while the observation group received intensive nursing care.The comparison parameters included visual analog pain score(VAS),incidence of vascular crises,length of hospitalization,Pittsburgh Sleep Quality Index(PSQI),Hamilton Depression Score(HAM-D),Hamilton Anxiety Score(HAM-A),and patient satisfaction.Results:Postoperative VAS score,incidence of vascular crisis,hospitalization time,PSQI score,and HAM-A and HAM-D scores of the observation group were lower than those of the control group(P<0.05).Meanwhile,the patient satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion:Perioperative intensive nursing care for patients undergoing severed finger reimplantation demonstrates significant benefits.It reduces postoperative pain,lowers the incidence of vascular crises,shortens hospitalization durations,enhances sleep quality,alleviates negative emotions,and improves nursing satisfaction.These findings underscore the importance and applicability of such care practices.

The Impact of Patient Education on the Nursing Care of Perioperative Patients in the Interventional Catheterization Room

Objective:To explore and analyze the effect of implementing a precise education model on the nursing care of perioperative patients in the interventional catheterization room.Methods:We selected 70 patients who were going to undergo surgical intervention in our hospital from August 2020 to December 2022 as the subjects for this study through random sampling.The patients were divided into a control group and an observation group,with 35 cases in each group.The control group underwent basic nursing intervention,and the observation group was given precise patient education.The nursing effects of both groups were observed.Results:After the intervention,all compliance indicators of the observation group were better than those of the control group(P<0.05).Besides,the incidence of complications in the observation group(2.86%)was lower than that of the control group(17.14%)with P<0.05.Furthermore,the patient satisfaction of the observation group(97.14%)was higher than that of the control group(82.86%),with P<0.05.Conclusion:A precise propaganda and education model facilitates the nursing of perioperative patients in the interventional catheterization room.Therefore,this practice should be popularized.

Progress in research on the application of nursing models for breast cancer patients during the perioperative period

Nursing models at home and abroad for breast cancer patients during the perioperative period were screened, including eight types of models： the nursing model guided by self-care theory, the plan-do-check-act cycle combined with the four-in-one model, the peer support nursing model, the nursing model guided by transcultural theory, the multidisciplinary cooperative nursing model, the knowledge-attitude-practice nursing model, the safe nursing management model, and the case nursing model. These models were analyzed and described with the aim of providing a reference for the clinical breast surgery nursing staff in China and for promoting the development of nursing in China for breast cancer the perioperative period.

Effect of Nursing Intervention in Operating Room for Patients with Gastric Cancer during Anesthesia Recovery Period

Objective: To analyze the effect of nursing intervention in operating room for gastric cancer patients in anesthesia recovery period. Methods: From June 2021 to December 2021, 78 patients who underwent gastric cancer surgery in our hospital were selected for research. Combined with the random number table method, they were divided into the control group (providing routine nursing care in operating room) and the observation group (providing nursing intervention in operating room) with 39 patients in each group respectively. The body temperature of the two groups during operation, during abdominal closure and after operation, the time of leaving anesthesia room, extubation, postoperative wakefulness and hospitalization, degree of satisfaction with nursing work was compared. Results: Compared with the control group, the body temperature in the observation group tended to be more normal during operation, during abdominal closure and after operation (P 0.05). The time of leaving anesthesia room, extubation, postoperative wakefulness and hospitalization in the observation group were shorter than those in the control group (P 0.05). The satisfaction degree of the observation group with nursing work was higher than that of the control group (P 0.05). Conclusion: Nursing intervention in operating room is effective for gastric cancer patients in anesthesia recovery period, which can maintain their perioperative temperature stability, promote their postoperative recovery and enhance their satisfaction with nursing work. It is worth adopting.

Psychological intervention based on social cognitive theory: Treating pain, anxiety, and depression in perioperative patients

BACKGROUND Surgery is an effective method for treating certain diseases.Factors such as disease,preoperative fear and tension,surgical stress,postoperative pain,and related complications directly affect the smooth progression and outcome of surgery.Patients may experience a series of psychological and physiological changes during the perioperative period,resulting in anxiety and depression,which may reduce the pain threshold and worsen their prognosis.METHODS We enrolled 200 patients who underwent surgical care at The First People’s Hospital of Lin’an District,Hangzhou between January and December 2023.They were categorized into a routine intervention group(n=103)and a psychological intervention group(n=97),based on the intervention strategies used.Various assessment tools,including the self-rating anxiety scale(SAS),the self-rating depression scale(SDS),and the Connor–Davidson Resilience scale,were used to measure patients’negative states and emotions.The pre-and post-intervention scores for these metrics in the two groups were then analyzed.RESULTS In the psychological intervention group,the SAS and SDS scores(31.56±5.18 and 31.46±4.57,respectively)were significantly reduced compared to the routine intervention group(P<0.05).The visual analog scale pain scores at 12 and 24 hours after intervention(6.85±1.21,4.24±0.72)were notably higher than those in the routine intervention group(P<0.05).The psychological intervention group also demonstrated superior scores in perseverance(36.08±3.29),self-reliance(22.63±2.91),optimism(11.42±1.98),and resilience(70.13±5.37),compared to the routine intervention group(P<0.05).Additionally,the psychological intervention group’s confrontation score(23.16±4.29)was higher(P<0.05).This group also reported lower scores in avoidance(9.28±1.94)and yielding(6.19±1.92)(P<0.05).Lastly,the Short Form 36 Health Survey scores were significantly higher in the psychological intervention group,indicating a better quality of life(P<0.05).CONCLUSION Psychological intervention measures based on SCT can effectively alleviate pain,anxiety,and depression in periop-erative patients.

Impact of the Rapid Recovery Concept on Complications and Patient Quality of Life in the Perioperative Nursing of Robot-Assisted Radical Oesophageal Cancer

Aim: This study evaluates the impact of Enhanced Recovery After Surgery (ERAS) nursing on postoperative complications and quality of life in patients undergoing robot-assisted minimally invasive esophagectomy (RAMIE). Methods: A total of 150 patients who underwent RAMIE from January 2020 to January 2022 at our hospital were randomly assigned to either the observation group or the control group, with 75 patients in each. The control group received standard perioperative management and nursing care, while the observation group was treated with ERAS nursing strategies. Interventions continued until discharge, and outcomes such as postoperative complications, quality of life, and nutritional status were compared between the groups. Results: The observation group exhibited a significantly lower incidence of postoperative adverse reactions compared to the control group (P ionally, all dimension scores of the Short-Form 36 Health Survey (SF-36), including the total score, were higher in the observation group (P < 0.05). Furthermore, the Nutritional Risk Screening (NRS) scores for impaired nutritional status and disease severity, along with the total NRS score, were significantly lower in the observation group compared to the control group (P Conclusion: Implementing ERAS nursing in the perioperative care of patients undergoing RAMIE is associated with reduced postoperative complications and enhanced postoperative quality of life and nutritional status. .

Application of the Modality of Multiple Disciplinary Team for a Perioperative Patient with Suspected Novel Coronavirus Pneumonia and Cervical Spine Fracture in Nursing

With the explosive spread of novel coronavirus pneumonia, a major public major public health emergency has been declared around the world. Our country has come to a crucial stage of “external defense input, internal defense rebound” and strict quarantine measures are taken in all ports of entry throughout the country. Operations on patients with cervical spine during the quarantine, which not only increases the risk of surgical treatment, but also increases the difficulty of perioperative nursing. The objective is to explore the result of application of the modality of multiple disciplinary team for a perioperative patient with suspected novel coronavirus pneumonia and cervical spine fracture in nursing. The patient’s condition and nursing measures are studied and discussed from various specialist angle through the multidisciplinary team established by the isolation ward, orthopedics department, emergency department, anesthesiology department, operating room, rehabilitation department, psychology department and so on, and the overall and personalized surgical and nursing planning is formed through interdisciplinary advice. The nursing experience is summarized in this paper.

Perioperative nursing of a newborn with Beckwith-Wiedemann syndrome

Objective:To explore the perioperative nursing of a newborn with Beckwith-Wiedemann syndrome.Methods:We observed the blood glucose of the child and prevent infection of omphalocele before transpor tation and before the operation;after the operation,we performed airway nursing,blood glucose monitoring,urination observation,and tumor marker monitoring;finally,at the time of discharge from the hospital,we provided health education.Results:After a series of perioperative nursing measures,the child was discharged smoothly from hospital 34 d after operation.Conclusions:Beckwith-Wiedemann syndrome is a rare congenital malformation.Timely and accurate observation and evaluation of the child during perioperative period and targeted nursing measures can effectively reduce or avoid the occurrence of postoperative complications.

Perioperative Nursing Care Experience of a Case of Postoperative Recurrent Grade Ⅱ-Ⅰ Left Frontal Astrocytoma

Objective:To investigate the effect and value of perioperative nursing intervention on postoperative recurrent grade II-I left frontal astrocytoma.Method:Nursing care procedures:left frontal lobe of the patient was occupied by a large space.Clinical teaching of nursing was strengthened.Preoperative,intraoperative and postoperative care and ward patrol were enhanced.Close attention was paid on consciousness,pupil,vital signs,body temperature,lungs condition,cranial and nerve function of the patient.Extra care was taken in keeping the incision clean and dry.Blood diffusion condition in wound was observed.Active cooperation with doctor was taken to prevent occurrence of pulmonary infection,urinary tract infection,pressure ulcer and other complication.Results:After operation,the patient had stable condition,clear mind and consciousness.There was no occurrence of epilepsy but intracranial hemorrhage.Pneumatosis was relieved.There was no infection and other complication.Conclusion:Application of comprehensive nursing intervention could effectively improve quality of life of patient and reduce incidence of postoperative complication in patients with brain tumor.

Study of Problems Arising during Perioperative Care of Postoperative Endophthalmitis

Purpose:.To discuss the problems in perioperative nursing care for patients with postoperative infectious endophthalmitis.Methods: The medical records of 34 patients(35 eyes) presenting with infectious endophthalmitis at Zhongshan Ophthalmic Center,.Sun Yat-sen University between April 2002 and December 2013 were collected to analyze preoperative and postoperative nursing care for endophthalmitis after ocular surgery.Results:Thirty-four patients(35 eyes) developed complications of infectious endophthalmitis after surgery..Thirty-three cases were successfully cured and only one patient(1 eye) was untreated due to Pseudomonas aeruginosa infection.Conclusion: Perioperative nursing care plays a pivotal role in preventing and controlling the incidence and development of postoperative infectious endophthalmitis.

Study of the Effect of Preoperative Dietary Intervention on Gastrointestinal Reaction of Microparticle TACE

Objective:To evaluate the effect of preoperative dietary intervention on the gastrointestinal reaction of microparticle transcatheter arterial chemoembolization(TACE).Methods:A total of 60 patients with primary liver cancer who were treated in our hospital from January 2018 to October 2018 were selected for this study.The random sampling method was used to divide the patients into an intervention group(30 cases)and a control group(30 cases).The control group received routine intervention,whereas the intervention group received optimized nursing intervention.The incidence of gastrointestinal reactions,the vomiting frequency,the average vomiting volume,the incidence of stomach discomfort,the quality of life,and the anxiety and depression indicators of both groups were compared.Results:The results of all indicators of the intervention group were better than those of the control group.The incidence of gastrointestinal reactions in the intervention group was 13.9%,which was lower than 43.3%of the control group.The scores of QLQ-C30 of the intervention group were higher than those of the control group;the SAS and SDS scores in the intervention group were lower than those of the control group.Conclusion:Preoperative dietary intervention can reduce the incidence of gastrointestinal reactions of microparticle TACE and improve the symptoms of gastric discomfort among patients.

Effect of Psychological Nursing Combined with Health Education on the Quality of Life of Patients with Lung Cancer

Objective:To analyze the effect of psychological nursing combined with health education on the quality of life of patients with lung cancer.Methods:80 patients with lung cancer admitted to our hospital’s Department of Cardiothoracic Surgery from January 2022 to December 2022 were selected as the research objects.Those who received basic nursing care from January to June were classified as the reference group,and those who received psychological nursing and health education from July to December were classified as the combination group,with 40 cases in each group.The combination group was given psychological nursing and health education;the reference group was given primary nursing care.The negative emotions experienced,the nursing satisfaction,the pain levels 1-7 days after operation,and the quality of life of both groups were compared.Results:Before the intervention,there was no statistically significant difference in the negative emotions between the two groups of patients(P>0.05);after the intervention,the combination group experienced significantly less negative emotions compared to the control group(P<0.05).Besides,the nursing satisfaction evaluation indicators such as targeted measures,nursing effects,individualized treatment,and level of professionalism of the combination group were significantly better than those in the reference group(P<0.05).There was no significant difference in the pain level of both groups of patients 1 day after surgery(P>0.05);however,in 3d and 7d after the surgery,the combination group experienced significantly less pain than the reference group(P<0.05).The social skills,physical pain,health status,physiological function,and other quality of life scores in the combined group were significantly higher than those in the reference group(P<0.05).Conclusion:Psychological nursing and health education can improve the quality of life of patients with lung cancer.

Perioperative management of postoperative sigmoid colon cancer complicated by a large abdominal wall defect:A case report

BACKGROUND Large abdominal wall defect(LAWD)measures>20 cm in width.LAWD can easily lead to intestinal necrosis,peritonitis,other complications,and even mul-tiple organ dysfunction syndrome.Multiple intestinal fistulas are high-flow fis-tulas that can cause severe water–electrolyte imbalance and malnutrition,as well as inflammation,high metabolic status,and chronic intestinal failure caused by intestinal fluid corrosion in tissues around the orifice fistulas.CASE SUMMARY This article summarizes the nursing experience of a patient with sigmoid carci-noma who has LAWD with multiple intestinal fistula due to repeated operations for postoperative complications.The key points of care:Scientific assessment of nutritional status,dynamic adjustment of nutritional support programmes,com-prehensive adoption of enteral nutrition,parenteral nutrition and combined nut-rition of enteral and parenteral;taking good care of abdominal wall defects and intestinal fistulas;continuous flushing of the abdominal drainage tube and low negative pressure drainage;prevention of venous thrombosis;strengthening of physical exercise;implementation of positive psychological interventions.CONCLUSION After more than 7 months of careful care,the patient's physical fitness has been well recovered,local inflammation is well controlled,which wins the opportunity for the operation,and the postoperative recovery is good.

纽曼护理模式对恢复期脑卒中患者康复程度Barthel指数及主要照顾者潜能激发效果的影响

目的探讨纽曼护理模式对恢复期脑卒中患者康复程度、Barthel指数及其主要照顾者潜能激发效果的影响.方法将122例脑卒中恢复期患者按随机数字表法分为观察组和对照组,每组61例,均进行改善脑部血液循环、稳定斑块、抗血小板等对症治疗,在此基础上对照组给予常规护理干预,观察组给予纽曼护理模式护理干预,观察3个月.干预前后采用脑卒中影响量表评定康复效果,改良Barthel指数计分法评定生活活动能力,生活质量综合评定问卷评定生活质量,家庭功能评定量表评定家庭功能,比较两组康复依从性、康复意愿状况及满意度.结果干预后两组脑卒中影响量表及改良Barthel指数、生活质量综合评定问卷评分均较干预前显著升高,且观察组评分显著高于对照组(P<0.05或0.01);观察组干预后家庭功能评定量表各维度评分显著低于对照组(P<0.01),康复意愿、依从性评分显著高于对照组(P<0.01),患者满意度(93.4%)显著高于对照组(72.1%).结论采用纽曼护理模式对康复期脑卒中患者进行综合、动态护理干预,能显著提升患者的日常生活能力、自理能力、生活质量及家庭功能,提高康复意愿、依从性和满意度,有利于促进患者的康复,早日实现回归社会,值得在临床工作中推广应用.

Application Research of Perioperative Clinical Pathway Based on Accelerated Rehabilitation Surgery Strategy in Patients with ERCP

Objective:To explore the effects of perioperative clinical pathway of accelerated rehabilitation surgery strategy in patients undergoing cholangiopancreatography(ERCP).Methods:Randomly selected 40 patients undergoing ERCP from our hospital which is People's Hospital,Jingjiang City,for research,and divided the patients into two groups.The 20 patients who were given conventional education methods were set as the reference group,and the 20 patients who were given perioperative clinical pathway care with accelerated rehabilitation surgery strategies were the research group,where the clinical nursing effect of the two groups was statistically compared.Results:According to clinical observation and statistics,the study group's postoperative time to eat for the first time,time to get out of bed,hospitalization time,and surgical blood loss were better than those of the reference group,P<0.05;the anxiety and depression scores of the study group were lower than those after nursing in the reference group,P<0.05;the incidence of complications in the study group was lower than that in the reference group,and patient satisfaction was higher than that in the reference group,where both P<0.05.Conclusion:The application of perioperative clinical pathway care based on the strategy of accelerated rehabilitation surgery can achieve significant results in ERCP patients,which can effectively improve the surgical indicators of patients and reduce the risk of complications.

The impact of individualized care after artificial knee replacement surgery for patients with valgus deformity of the knee

Objective:To evaluate the perioperative nursing of total knee arthroplasty for patients with valgus deformity of the knee.Methods:Seventy-six patients who underwent surgical treatment were enrolled in the study from March 2014 to March 2018.The patients in the control group were treated with routine nursing.The experimental group was treated not only with routine nursing but also with health education,psychological care,family social support,and other nursing intervention.Hospital for special surgery and Pittsburgh sleep quality index were used to evaluate the effect of nursing intervention on patients after operation.Results:All the index scores of the experimental group were lower than those of the control group(P<0.05),indicating that the function of the diseased limb and the patient's sleep status improved significantly after the intervention.Conclusions:Individualized nursing can improve the recovery of limb function and improve the patients'quality of life.It is very effective for nurses to implement individualized nursing measures for patients after surgery.

快速康复理念下家庭参与式护理模式在 肺结节围术期患者护理中的应用

目的观察肺结节围术期护理中实施快速康复理念下家庭参与式护理模式的效果。方法选取行手术治疗的肺结节患者180例,采取随机数字表法分为对照组和观察组,每组90例。对照组患者应用常规护理,观察组实施快速康复理念下家庭参与式护理模式。比较2组患者术后时间结局指标、术前焦虑情况、家庭负担及术后训练积极性。结果观察组患者胸管留置时间及住院总时间均短于对照组,差异有统计学意义(P<0.05);干预后,观察组患者阿姆斯特丹术前焦虑与信息量表(APAIS)及疾病家庭负担量表(FBS)得分低于对照组,差异有统计学意义(P<0.05);观察组患者术后训练积极度水平高于对照组,差异有统计学意义(P<0.05)。结论实施快速康复理念下家庭参与式护理模式有利于促进肺结节手术患者早期康复,缓解患者术前焦虑情况,减轻家庭负担,提高患者术后康复训练积极性。

颈动脉支架植入术患者围手术期血压管理的最佳证据总结

目的检索、评价并总结国内外关于颈动脉支架植入术(carotid artery stenting,CAS)患者围手术期血压管理的最佳证据,以期为临床实践提供参考。方法按照“6S”金字塔模型系统检索国内外数据库有关CAS患者围手术期血压管理的相关文献,文献类型包括临床决策、指南、专家共识及系统评价,检索时限为建库至2023年4月18日。由2名研究者独立进行文献质量评价及证据提取。结果共纳入7篇文献,包括2篇临床决策、3篇指南和2篇专家共识,围绕血压管理原则、术前血压管理、术中血压管理和术后血压管理4个方面总结出23条证据。结论该研究总结了CAS患者围手术期血压管理的最佳证据,证据总体质量较高。建议医护人员针对不同人群制订适宜的个体化的血压管理方案,以更好地促进患者的血压管理。

老年髋部骨折患者围术期营养管理最佳证据总结

目的检索老年髋部骨折患者围术期营养管理的相关证据,并对最佳证据进行总结。方法检索中国知网(CNKI)、UpToDate、英国国家卫生与临床示范研究所(NICE)、Cochrane Library、苏格兰大学校际指南协作网(SIGN)、美国国立临床诊疗指南数据库、中国医脉通指南网、PubMed、维普生物医学期刊数据库、ovid(Embase)、中华医学期刊全文数据库、中国生物医学文献和万方医学网中关于老年髋部骨折患者围术期营养管理的临床决策、指南、证据总结、系统评价、专家共识等相关文献,检索时限为2015年1月—2023年9月。结果本研究共纳入13篇文献,包括5篇指南、4篇专家共识、4篇系统评价,从营养支持目标、营养评估与筛查、术前营养支持、术后营养支持、营养干预原则、饮食管理6个方面共汇总出32条最佳证据。结论本研究总结了老年髋部骨折患者围术期营养管理的最佳证据,可帮助医护人员更好地对老年髋部骨折患者实施有效的围术期营养管理。

营养支持链式管理在胃癌围术期患者中的应用

目的探讨围术期营养支持链式管理对胃癌患者术后营养状况及营养知信行水平的影响。方法将胃癌患者162例按住院时间分为对照组82例(2021年6—12月入院)、干预组80例(2022年1—6月入院)。对照组实施常规围术期营养管理,干预组实施营养支持链式管理,术后1个月比较2组患者的营养状况及营养知识知信行水平。结果干预组术后1个月总蛋白<60 g/L占比为5.00%,低于对照组的14.63%;干预组术后1个月白蛋白<35 g/L占比为3.75%,低于对照组的13.41%;干预组术后1个月体质量指数(BMI)正常范围者占比83.75%,高于对照组的59.75%,差异有统计学意义(P<0.05)。干预组术后1个月营养知识、支持态度、支持行为维度得分以及营养知信行总分均高于对照组,差异有统计学意义(P<0.05)。结论围术期实施营养支持链式管理能有效增加患者营养摄取量,改善胃癌患者术后营养状况,提升患者营养知信行水平和生活质量。