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.

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.

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. .

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.

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.

Application of Clinical Nursing Pathway in the Peri-Treatment Period of Immunoadsorption Therapy for Rheumatic Immune Diseases

Objective: The paper aims to investigate the clinical nursing pathway (CNP) in the application of immunosorption therapy in patients with rheumatic immune disease. Methods: Convenience sampling method was used to select inpatients who received immunoadsorption therapy from January 2020 to December 2022 in the rheumatology and Immunology department of a 3A hospital in Jingzhou City. 30 patients from January 2020 to June 2021 were selected as control group, and 30 patients from July 2021 to December 2022 were selected as observation group. The control group was given routine nursing. On the basis of the control group, the observation group used a clinical nursing pathway for intervention during the perioperative period of immunosorbent therapy. The incidence of adverse reactions, patient satisfaction, and nurse satisfaction during immunosorbent therapy between the control group and the observation group were compared. Results: After intervention, the incidence of adverse reactions in the observation group was significantly lower than that in the control group, while patient satisfaction and nurse satisfaction in the observation group were significantly higher than those in the control group. The results are all statistically significant (P Conclusion: Clinical nursing pathway is beneficial to reduce the incidence of adverse reactions in patients with immunoadsorption during peri-treatment and improve the satisfaction of patients and nurses.

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.

Redefining the concept of professionalism in nursing:an integrative review

Objective:In today’s world with sweeping changes,nurses are responsible for providing high-quality and cost-benefit care,which would almost be impossible unless they achieve their high professional status.To date,no precise and comprehensive definition of professionalism in nursing has been evidently proposed.In fact,many of the previously proposed definitions are either complicated or ambiguous.Moreover,there is no consensus in the literature on an exhaustive definition for“a professional nurse.”The present study aimed to illustrate the concept of professionalism in nursing and identify its defining characteristics.Methods:In this study,concept analysis was conducted using Whittemore et al.’s method for the integrated review.A comprehensive search of electronic,scientific databases including Eric,PubMed,Scopus,Web of Science,EBSCO,PsychoINFO,Embass,MagIran,IranDoc,SID,and IRANMEDEX was carried out using the keywords such as professionalism,professional behavior,nursing professionalism(NP),professional attribute,and nursing.Results:In the present study,a comprehensive search of 11 electronic databases retrieved 5738 articles.Then,2837 duplicate articles were removed by endnote(version 8).Based on a preliminary examination of the titles and abstracts as well as the inclusion and exclusion criteria,1517 articles were excluded.In addition,137 articles were removed for scientific reasons.Finally,52 articles in English and Persian were selected.Content analysis of the articles revealed four major themes,namely,individual prerequisite,professional prerequisite,appropriate structure,and socio-individual factors.Conclusions:Professionalism in nursing is a major,multidimensional concept according to the literature that included individual prerequisites,professional prerequisites,appropriate structures,and socio-individual factors.In fact,professionalism in nursing comprises a wide range of personal characteristics,self-regulation,professional values,striving to acquire and enhance professional expertise,professional interactions,social,professional,and legal responsibility,and creation of a sense of belonging,and professional development.

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.

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.

Resilience in new nurses:a qualitative study

Objectives:To explore the resilience experience of new nurses and how new nurses develop and apply resilience strategies to cope with the difficulties during the transition period.Methods:A descriptive qualitative research method was on data acquired using data semi-structured interviews with 12 new nurses aged 20-26 years whose working time was more than 12 months but less than 24 months.Results:Analysis of the data could determine participants adopting resilience strategies to withstand difficulties and challenges in transition period.This period consisted of three main phases:"self-protection,""undertaking challenges,"and"planning future."The first-line nurse managers'feedback and flexible shift scheduling paid a vital part in promoting the resilience development of new nurses.Conclusions:Recognizing the importance of understanding and developing the resilience of new nurses in the transition period could greatly reduce the turnover rate and alleviate the shortage of nurses in global nursing workforce.

全程麻醉护理一体化模式联合预见性护理对小儿麻醉复苏期的影响

目的 探讨全程麻醉护理一体化模式联合预见性护理对小儿麻醉复苏期的影响。方法 前瞻性纳入湖南省儿童医院2021年9月至2022年8月收治的116例拟行心脏手术治疗的患儿进行随机对照研究,通过随机双盲抽签法将其分为对照组与观察组,各58例。对照组接受全程麻醉护理一体化模式护理干预,观察组接受全程麻醉护理一体化模式联合预见性护理干预。比较两组手术结束即刻(L1)、入复苏室即刻(L2)、麻醉清醒时(L3)患者麻醉复苏期体征水平;两组麻醉复苏情况及复苏期间并发症发生情况。结果 整体分析发现,两组心率、平均动脉压时间、组间、交互作用比较,差异有统计学意义(P<0.05),进一步两两比较:组内比较,两组组内各时点麻醉复苏期体征水平比较,差异有统计学意义(P<0.05);组间比较,观察组各时点心率、平均动脉压均高于对照组,差异有统计学意义(P<0.05)。观察组自主呼吸恢复时间、自主睁眼时间、拔管时间、出复苏室时间均短于对照组(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论 全程麻醉护理一体化模式联合预见性护理有助于稳定小儿麻醉复苏期体征水平,促进小儿麻醉复苏期恢复,且可降低复苏期间并发症发生率。

新入职护士过渡期不同阶段职场适应的真实体验

目的探索新入职护士在过渡期不同阶段职场适应的工作体验,了解其在护理岗位适应过程中面临的各种压力、情感体验及行为形成,进一步探索并优化新入职护士培训方案的相关内容。方法本研究采用现象学研究方法,于2023年3-6月在西安交通大学第一附属医院对20名新入职护士进行半结构式深入访谈,并使用Colaizzi 7步分析法对访谈内容进行整理分析。结果提炼得出4个主题和9个亚主题,分别为职业认知(入职1个月)(工作环境不熟悉、角色转化困难、职业认同困扰)、学习适应(2~3个月)(岗位能力不足、自我否定、)、融入环境(4~6个月)(缺乏专科知识、缺乏组织归属感、)、职业胜任(7~12个月)(预警和应对突发事件能力不足、岗位不确定性所致的焦虑)。结论新入职护士过渡期的规范化培训对其职业适应及职业发展至关重要,护理管理者可通过了解新护士过渡期不同阶段职场适应的工作体验,优化培训方案,增加新护士职业认同、心理健康的相关培训,帮助新护士尽早适应临床工作。

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。

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。

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。

基于医护一体化理念的护理干预在日间腹腔镜患者围手术期的应用

目的探讨医护一体化理念的护理干预在日间腹腔镜患者围手术期的应用价值。方法选取新疆医科大学第一附属医院2022年6月至2023年6月接受日间腹腔镜手术治疗的160例患者作为研究对象,按照随机数字表法将其分为对照组和试验组,各80例。对照组采取医护管理模式,试验组采取医护一体化护理。观察比较两组住院情况、疼痛、心理状态、不良反应、术后恢复、生活质量情况及护理效果。结果试验组住院时间短于对照组,1 d住院率高于对照组,2 d住院率低于对照组(P<0.05);护理后,两组视觉模拟评分法评分低于护理前,且试验组低于对照组(P<0.05);试验组不良反应总发生率低于对照组(P<0.05);试验组术后肛门排气时间、早期下床时间及术后饮食恢复时间均短于对照组(P<0.05);两组情绪功能、生理功能、生活活力评分高于护理前,且试验组高于对照组(P<0.05);试验组护理就医体验感评分及手术效果满意率高于对照组(P<0.05)。结论医护一体化护理干预在日间腹腔镜患者围手术期具有较高应用价值,值得推广。

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。

快速康复外科护理理念用于甲状腺手术患者围术期价值分析

目的探讨快速康复外科护理理念用于甲状腺手术患者围术期护理中的价值。方法选择医院2020年6月至2022年6月收治的进行手术治疗的双侧结节性甲状腺肿患者46例,随机分为对照组和观察组,各23例。对照组患者予常规围术期护理模式,观察组患者予快速康复外科护理理念指导下围术期护理。结果观察组患者麻醉苏醒时间、术后住院天数、术后视觉模拟量表(VAS)评分、护理满意度评分均显著优于对照组(P<0.05)。观察组患者的术后并发症发生率为4.35%,显著低于对照组的30.43%(P<0.05)。结论快速康复外科护理理念用于甲状腺手术患者,能改善患者的预后,减少并发症,提升患者的护理满意度。