Optimization of nursing interventions for postoperative mental status recovery in patients with cerebral hemorrhage

BACKGROUND Hypertensive cerebral hemorrhage(HCH),the most common chronic diseases,has become a topic of global public health discussions.AIM To investigate the role of rehabilitative nursing interventions in optimizing the postoperative mental status recovery phase and to provide clinical value for future rehabilitation of patients with HCH.METHODS This randomized controlled study included 120 patients with cerebral HCH who were contained to our neurosurgery department between May 2021–May 2023 as the participants.The participants have randomly sampled and grouped into the observation and control groups.The observation group received the rehabilitation nursing model,whereas the control group have given conventional nursing.The conscious state of the patients was assessed at 7,14,21,and 30 d postoperatively.After one month of care,sleep quality,anxiety,and depression were compared between the two groups.Patient and family satisfaction were assessed using a nursing care model.RESULTS The results showed that the state of consciousness scores of the patients in both groups significantly increased(P<0.05)after surgical treatment.From the 14th day onwards,differences in the state of consciousness scores between the two groups of patients began to appear(P<0.05).After one month of care,the sleep quality,anxiety state,and depression state of patients were significantly better in the observation group than in the control group(P<0.05).Satisfaction with nursing care was higher in the observation group than in the control group(P<0.05).CONCLUSION The rehabilitation nursing model has a more complete system compared to conventional nursing,which can effectively improve the postoperative quality of life of patients with cerebral hemorrhage and improve the efficiency of mental state recovery;however,further analysis and research are needed to provide more scientific evidence.

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.

Nursing model of midwifery and postural and psychological interventions:Impact on maternal and fetal outcomes and negative emotions of primiparas

BACKGROUND Primiparas are usually at high risk of experiencing perinatal depression,which may cause prolonged labor,increased blood loss,and intensified pain,affecting maternal and fetal outcomes.Therefore,interventions are necessary to improve maternal and fetal outcomes and alleviate primiparas’negative emotions(NEs).AIM To discusses the impact of nursing responsibility in midwifery and postural and psychological interventions on maternal and fetal outcomes as well as primiparas’NEs.METHODS As participants,115 primiparas admitted to Quanzhou Maternity and Child Healthcare Hospital between May 2020 and May 2022 were selected.Among them,56 primiparas(control group,Con)were subjected to conventional midwifery and routine nursing.The remaining 59(research group,Res)were subjected to the nursing model of midwifery and postural and psychological interventions.Both groups were comparatively analyzed from the perspectives of delivery mode(cesarean,natural,or forceps-assisted),maternal and fetal outcomes(uterine inertia,postpartum hemorrhage,placental abruption,neonatal pulmonary injury,and neonatal asphyxia),NEs(Hamilton Anxiety/Depressionrating Scale,HAMA/HAMD),labor duration,and nursing satisfaction.RESULTS The Res exhibited a markedly higher natural delivery rate and nursing satisfaction than the Con.Additionally,the Res indicated a lower incidence of adverse events(e.g.,uterine inertia,postpartum hemorrhage,placental abruption,neonatal lung injury,and neonatal asphyxia)and shortened duration of various stages of labor.It also showed statistically lower post-interventional HAMA and HAMD scores than the Con and pre-interventional values.CONCLUSION The nursing model of midwifery and postural and psychological interventions increase the natural delivery rate and reduce the duration of each labor stage.These are also conducive to improving maternal and fetal outcomes and mitigating primiparas’NEs and thus deserve popularity in clinical practice.

The Construction of Integrated Nursing Model Prevention of Oxaliplatin Chemotherapy-Induced Peripheral Nerve Injury

Objective: To investigate the effect of the integrated nursing model in the prevention of chemotherapy-induced peripheral injury. Methods: A total of 60 tumor patients receiving oxaliplatin for 1 - 6 cycles of chemotherapy from January to September 2023 were selected. 30 patients were selected from January to March and divided into the control group, and 30 patients were selected from July to 9 as the experimental group. The control group received conventional chemotherapy nursing, while the experimental group received integrated nursing. Anxiety, peripheral nerve toxicity stage and quality of life score were compared between the two groups before and after intervention. Results: After intervention, the scores of the self-rating Anxiety Scale (SAS) and the total scores of the oxaliplatin Levi specific sensory neurotoxicity scale in the experimental group were significantly lower than those in the control group, and the differences were statistically significant (P< 0.05);The Quality of Life Scale (FACT-G) score of cancer patients was higher than that of control group, and the difference was statistically significant (P< 0.05). Conclusion: The integrated nursing model can effectively reduce the anxiety of patients, reduce the incidence of peripheral nerve injury and improve the quality of life of patients.

Effect of Nursing Intervention Based on Caprini Risk Assessment Scale for Venous Thromboembolism in Perioperative Patients with Liver Cancer

Objective:To explore the effect of nursing intervention based on Caprini risk assessment scale for venous thromboembolism(VTE)in perioperative patients with liver cancer.Methods:A total of 128 hepatocellular cancer(HCC)patients who were hospitalized in our department from January 2021 to March 2022 and met the research criteria were selected.According to odd and even numbers in the order of inclusion,64 cases were divided into two groups:a control group and an observation group.The control group received routine nursing intervention during perioperative period,while the observation group received nursing intervention based on Caprini risk assessment scale for VTE.The incidence of VTE and complications were compared between the two groups.Results:The incidence of VTE and postoperative complications in the observation group were lower than those in the control group(P<0.05).Conclusion:Nursing intervention based on Caprini risk assessment scale for VTE can reduce the incidence of perioperative deep vein thrombosis and complications in patients with liver cancer;thus,it is worthy of clinical application.

Effect of Group Intervention Combined with Massage Nursing on Patients with Lymphedema

Objective:To evaluate and analyze the clinical effect of group intervention combined with massage nursing in patients with lymphedema.Methods:The time span of this study was selected from October 2017 to December 2020.A total of 496 patients with lymphedema after breast cancer surgery were included.They were divided into study group and control group according to the difference of nursing intervention scheme.The control group was given basic nursing,and the study group was given Satya group intervention combined with massage nursing.The indicators of the two groups were compared and analyzed.Results:Compared with the two groups at different time points,the study group had more advantages(P<0.05).Compared with the recurrence rate of lymphedema in the two groups,the study group had more advantages(P<0.05);Compared with the sads score and SES score after nursing intervention,the study group had more advantages(P<0.05).Conclusion:The clinical effect of group intervention combined with massage nursing in patients with lymphedema is significant,which can be promoted in all levels of medical institutions.

Nursing team management and construction from the perspective of psychological contract

The psychological contract is a set of personal beliefs about the reciprocal obligations and rights established in an exchange relationship,and high-level fulfillment of psychological contract helps the development of a team.This study summarizes the concept and theoretical basis of psychological contract,the influencing factors and intervention status of nurse psychological contract,and constructs a psychological contract intervention model to provide reference and reference for better construction and management of nursing teams.

基于KANO模型的护理干预在早期肺癌患者术后的应用效果观察

目的探究早期肺癌患者术后护理中采用基于KANO模型护理干预的临床效果。方法选取2022年1月至2022年12月漯河医学高等专科学校第二附属医院收治的68例肺癌术后患者为研究基础病例,采用病历号随机抽签模式分为研究组(n=34)、对照组(n=34)。对照组患者采用一般性术后护理干预,研究组患者采用基于KANO模型的护理干预,比较两组患者并发症发生率、营养状况指标、生活质量。结果研究组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。两组护理干预后前白蛋白(PA)、转铁蛋白(TFN)、血清白蛋白(ALB)、体质量指数(BMI)水平均高于护理前,且研究组患者营养状况指标高于对照组,差异有统计学意义(P<0.05)。两组护理干预后生活质量评分均高于护理前,且研究组患者生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论早期肺癌患者术后采用基于KANO模型的护理干预可降低并发症发生率,改善机体营养状况,提高生活质量,值得应用。

介入专科护士岗位胜任力模型的构建

目的 构建介入室专科护士岗位胜任力模型。方法2023年3月至2024年3月,组建课题小组,查阅国内外文献,运用德尔菲法对7名护理专家、9名医疗专家进行2轮问卷函询。结果 2轮函询问卷的有效回收率均为100%。经过16名专家2轮咨询,构建了4个一级指标及28个二级指标。结论 探索专科护士岗位胜任力模型构建,构建结果可信,具有一定的科学性和适用性,但指标体系仍需在实践中不断验证、修改、完善。

知信行护理模式结合细节化干预在胃癌根治术患者围手术期的应用效果分析

目的:探讨知信行护理模式结合细节化干预在胃癌根治术患者围手术期的应用价值.方法:选取2022年1月至2023年5月本院收治的89例胃癌根治术患者为研究对象.根据护理方式将其分为观察组(n=46,采用知信行护理模式结合细节化干预)和对照组(n=43,采用常规护理干预).采用统计学方法,比较两组患者临床指标、胃肠功能恢复情况及并发症总发生率.结果:干预后,观察组患者尿管留置时间、首次下床活动时间、住院时间均短于对照组,差异均有统计学意义(P<0.05).干预后,观察组患者肛门排气时间、排便时间均短于对照组,差异均有统计学意义(P<0.05).干预后,观察组患者并发症总发生率(1/46,1.89%)低于对照组(6/43,13.94%),差异有统计学意义(P<0.05).结论:知信行护理模式结合细节化干预,可促进胃癌根治术围手术期患者身体及胃肠功能恢复,降低并发症发生风险.

基于OPT的标准化流程干预在慢性鼻窦炎伴鼻息肉手术患者中的应用

目的 探讨基于结局现状对照(outcome-present state test, OPT)模型的标准化流程干预在慢性鼻窦炎伴鼻息肉手术患者中的应用效果。方法 选取2022年9月-2023年9月于本院接受鼻内镜鼻窦手术治疗的慢性鼻窦炎伴鼻息肉患者86例为研究对象,按照入院顺序进行分组,将2022年9月-2023年2月入院的41例患者设为对照组,2023年3月-9月入院的45例患者设为观察组。对照组行常规护理干预,观察组行基于OPT模型的标准化流程干预。比较2组Lund-Kennedy鼻内镜评分、鼻腔鼻窦结局测试22条(sino-nasal outcome test-22,SNOT-22)、术后并发症发生情况。结果 术后4周,观察组Lund-Kennedy、SNOT-22评分、术后并发症发生率均低于对照组(t=2.102,P=0.039;t=2.431,P=0.017;χ2=4.174,P=0.041)。结论 基于OPT模型的标准化流程干预可提高手术效果,促进患者康复,改善患者生活质量。

妇科肿瘤患者心理护理干预模式规范化程序的实施

目的 评价一般护理与心理护理在妇科肿瘤患者对心境状态、睡眠等影响效果。方法 将2022年11月至2023年11月期间江苏省徐州市妇幼保健院确诊的90例妇科肿瘤患者纳为研究对象,进行分组研究。使用随机法选择45例患者命名为观察组(心理护理干预模式规范化程序),另45例患者命名为对照组(一般护理)。评价心理护理与一般护理对患者心境状态、睡眠的影响。结果 护理前,两组紧张、抑郁、慌乱等POMS评分对比,差异无统计学意义(均P> 0.05);护理后,两组紧张、抑郁、慌乱等心境状态量表(POMS)指标得分较护理前均降低,且观察组低于对照组(均P <0.05);观察组睡眠时间、睡眠质量、睡眠障碍、睡眠效率等匹兹堡睡眠质量评分量表(PSQI)指标评分均低于对照组(均P <0.05)。结论 癌症是危及人类身心健康的重要疾病,尤其是妇科肿瘤,对女性生理、心理影响较大。情绪对疾病预后改善较为直接,因而辅以护理干预措施具有重要作用。试验通过实施心理护理规范化程序使患者恐惧、失望、忧郁等心境状态得到改善,客观公正认识肿瘤并积极配合护理实施,减轻生活影响,保持良好睡眠质量。由此可见,妇科肿瘤患者施行心理护理干预模式规范化程序利于改善不良心境,提高睡眠质量,且满意率占比高,护理作用显著。

基于PERMA模式的护理干预对门诊肺结核患者心理状态及遵医行为的影响

目的分析对门诊肺结核患者采取幸福模型(PERMA)模式进行护理后对其心理状态及遵医行为的作用。方法选取2023年2月至2024年2月医院门诊收治的80例肺结核患者,按随机数字表法分为常规组与研究组,各40例。常规组采用常规护理干预,研究组采用基于PERMA模式的护理干预。对比两组认知度、自我护理能力、自我感受负担感、正念水平、心理状态及遵医行为的影响。结果干预后,研究组认知度高于常规组(P<0.05);研究组自我护理能力高于常规组(P<0.05);研究组遵医行为优于常规组(P<0.05);研究组正念水平优于常规组(P<0.05);研究组心理状态优于常规组(P<0.05);研究组自我感受负担感评分低于常规组(P<0.05)。结论对于门诊肺结核患者给予PERMA模式的护理干预,有助于提升患者正念水平、自我护理能力及认知度,对改善患者自我感受负担感、心理状态及遵医行为具有积极影响。

多元化干预联合零缺陷护理模式在颅脑损伤急诊手术患者中的应用效果

目的:分析多元化干预联合零缺陷护理模式在颅脑损伤急诊手术患者中的应用效果。方法:选取2022年1月—2023年6月于赣南医学院第一附属医院接受急诊颅脑损伤手术治疗的患者78例作为研究对象,随机分为对照组与观察组,各39例。对照组给予常规护理,观察组给予多元化干预联合零缺陷护理模式。比较两组Barthel指数、健康调查简表评分、并发症发生情况及护理满意度。结果:干预后,两组Barthel指数高于干预前,观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组心理健康、社会功能、精力和躯体健康评分高于干预前,观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P=0.042);观察组护理满意度高于对照组,差异有统计学意义(P=0.025)。结论:多元化干预联合零缺陷护理模式能提高患者的生活活动能力及生活质量,降低并发症发生率,提高满意度。

心理资本干预模型的团体护理对乳腺癌改良根治术患者负面情绪及自我效能干预的效果

目的 探究在对乳腺癌改良根治术患者护理过程中实施心理资本干预模型的团体护理对于改善患者负面情绪以及提升自我效能的作用。方法 在2022年2月至2022年12月本院乳腺癌改良根治术患者中抽选43例为对照组,2023年1月至2023年6月选择同类型病例43例为观察组,对照组治疗期间开展常规护理支持,观察组开展心理资本干预模型的团体护理。针对患者在术后恢复期间负面情绪、自我效能以及心理弹性等方面改善情况进行分析。结果 对比患者负面情绪,干预前BDI、BAI评分两组差异无统计学意义(P> 0.05),干预后观察组低于对照组,差异有统计学意义(P <0.05)。对比两组自我效能,在SUPPH量表评分方面,干预前两组差异无统计学意义(P> 0.05),干预后观察组各维度评分均高于对照组,差异有统计学意义(P <0.05)。对比两组心理弹性,观察组在CD-RISC量表评分上,干预后各维度评分均高于对照组,差异有统计学意义(P <0.05)。对比两组治疗期间生活质量,在QOL-BREF量表评分上,干预前两组差异无统计学意义(P> 0.05),干预后观察组评分高于对照组,差异有统计学意义(P <0.05)。对比患者恢复期间并发症发生率,观察组低于对照组,差异有统计学意义(P <0.05)。结论 在对乳腺癌改良根治术患者护理过程中开展心理资本干预模型的团体护理可以改善患者负面情绪,增加患者自我效能以及心理弹性,提升患者在恢复期间生活质量,降低并发症发生率,有助于患者恢复。

基于列线图的女性乳腺癌患者再发第二原发性甲状腺癌风险预测模型的构建和验证

目的分析女性乳腺癌患者再发第二原发性甲状腺癌(SPTC)的影响因素,构建列线图风险预测模型并验证其有效性。方法回顾性分析2015年1月至2020年1月在新疆医科大学附属肿瘤医院确诊的456例乳腺癌女性患者的临床资料。按照7∶3比例将患者分为训练集(320例)和验证集(136例);训练集根据患者有无发生SPTC将其分为再发SPTC组(160例)和未再发SPTC组(160例)。分析女性乳腺癌患者再发SPTC的影响因素,构建列线图预测模型;验证集用于外部验证;模型评估采用受试者操作特征(ROC)曲线、校准曲线和决策曲线分析。结果再发SPTC组和未再发SPTC组体重指数(BMI)、焦虑或抑郁、甲状腺基础疾病、乳腺癌最大肿瘤原发部位、分子分型、雌激素受体状态、孕激素受体(PR)状态、Ki-67计数和淋巴结转移比较,差异有统计学意义(P<0.05)。BMI(OR=2.085)、焦虑或抑郁(OR=2.176)、甲状腺基础疾病(OR=6.525)、PR状态(OR=3.387)是女性乳腺癌患者再发SPTC的危险因素(P<0.05);Ki-67计数(OR=0.987)和淋巴结转移(OR=0.376)为保护因素(P<0.05)。ROC曲线结果显示,训练集和验证集的曲线下面积分别为0.755和0.824;训练集和验证集的校准曲线总体趋势接近理想曲线;在0.22~0.88阈值范围内,模型表现为正的净效益。结论根据影响因素构建的女性乳腺癌患者再发SPTC风险列线图预测模型具有较好的临床预测效能,可为开展早期临床评估及实施个性化护理干预提供理论依据。

家长介导干预在孤独症谱系障碍儿童康复中应用的研究进展

阐述家长介导干预在孤独症谱系障碍中应用的相关理论模型,综述家长介导干预相关方法的研究现状,分析对孤独症谱系障碍儿童实施家长介导干预的影响因素,并提出了相关建议,旨在为临床医护人员开展家长介导干预提供参考。

基于信息-动机-行为模型的护理干预对造口患者并发症及生活质量的影响

目的探讨与分析基于信息-动机-行为(IMB)模型的护理干预对造口患者并发症及生活质量的影响。方法选择2021年5月—2023年4月本院进行结直肠癌行肠造口患者84例作为研究对象,根据1∶1随机电脑抽签分配原则把患者分为IMB组42例与常规组42例。常规组给予常规护理干预,IMB组在常规组护理的基础上给予基于IMB模型的护理干预,IMB组与常规组护理观察时间为3个月,观察与记录IMB组与常规组患者并发症、生活质量、心理状况、自我管理能力评分变化情况。结果IMB组护理3个月期间的腹腔脓肿、肠梗阻、肺部感染、造口感染等并发症发生率为4.8%,与常规组的19.0%相比降低更多(P<0.05)。IMB组护理3个月期间的遵医依从性为100.0%,与常规组的90.5%相比提高更多(P<0.05)。护理3个月后IMB组的症状识别、症状处理、处理后评价等自我管理能力评分与常规组相比提高更多(P<0.05)。IMB组与常规组护理3个月后的焦虑评分与抑郁评分与护理前相比都有统计学意义的降低(P<0.05),护理3个月后IMB组的焦虑评分、抑郁评分与常规组对比降低(P<0.05)。护理3个月后IMB组的总生活质量量表、症状子量表、症状量表、功能量表评分都与常规组相比提高(P<0.05)。结论基于IMB模型的护理干预在造口患者的应用能提高遵医依从性,缓解焦虑与抑郁情绪,提高患者自我管理能力,从而可有效减少患者并发症的发生,促进提高患者的预后生活质量。

问题解决模式配合分级阶段性护理干预在上消化道出血患者中的应用

目的:探讨问题解决模式(又称ADOPT模式)配合分级阶段性护理干预在上消化道出血患者中的应用效果。方法:将2021年10月1日~2022年11月30日收治的45例上消化道出血患者作为对照组,接受分级阶段性护理干预,将2022年12月1日~2023年12月31日收治的45例上消化道出血患者作为干预组,接受分析ADOPT模式配合分级阶段性护理干预;比较两组止血效果(包括住院期间出血次数、止血时间)、胃肠功能恢复时间、正常饮食恢复时间、住院时间和干预前后营养状况指标(包括血红蛋白、白蛋白、血清总蛋白)、自我管理能力[应用成年人健康自我管理能力测评量表(AHSMSRS)]、生活质量[应用世界卫生组织生活质量测评量表简表(WHOQOL-BREF)]、并发症发生情况。结果:干预组止血时间、住院期间出血次数、胃肠功能恢复时间、正常饮食恢复时间、住院时间均优于对照组(P<0.01);出院前,两组AHSMSRS评分、WHOQOL-BREF评分及营养状况指标水平均高于护理前(P<0.05),且干预组高于对照组(P<0.05,P<0.01);干预组并发症发生率与对照组比较差异无统计学意义(P>0.05)。结论:对上消化道出血患者在治疗的同时实施分析ADOPT模式配合分级阶段性护理干预能缩短止血时间,减少出血次数,促进胃肠功能和正常饮食的恢复,改善营养状况、自我管理能力及生活质量。

PERMA模式护理干预对急诊经皮冠脉介入术后患者运动恐惧和心理弹性的效果

目的探讨PERMA模式护理干预对急性心肌行经皮冠脉介入(PCI)术后患者运动恐惧和心理弹性的影响。方法选取160例急诊PCI术后患者为研究对象,随机分为对照组(80例)和观察组(80例)。对照组予以常规护理,观察组在常规护理的基础上实施基于PERMA模式护理干预。在入院第2天和干预6周后采用运动恐惧量表和心理弹性量表进行效果评价。结果护理干预6周后,观察组TSK-Heart-C量表的害怕受伤、自身功能下降、避免运动、感知到心脏危险4个得分及总分均明显降低,且观察组干预6周后的总分低于对照组,P<0.05。护理干预6周后,观察组CD-RISC量表中坚韧、自强、乐观维度得分及总分均增加,P均<0.05,且观察组上述得分均高于对照组,P<0.01。结论PERMA模式护理干预可以有效的降低患者运动恐惧程度,提高心理弹性水平,对改善急诊PCI术后患者心脏康复具有重要意义。