Objective:To analyze the application effect of hierarchical group responsibility system of holistic nursing in Department of Gastroenterology.Methods:655 patients in our hospital from August 2020 to January 2021 were ...Objective:To analyze the application effect of hierarchical group responsibility system of holistic nursing in Department of Gastroenterology.Methods:655 patients in our hospital from August 2020 to January 2021 were selected as the research objects.They were randomly divided into experimental group(328 cases)and control group(327 cases)to explore nursing satisfaction,nursing quality score and clinical symptoms before and after nursing.Results:In the experimental group,266 cases(81.10%)were very satisfied,33 cases(10.06%)were satisfied and 29 cases(8.84%)were dissatisfied.The total number of satisfied cases(very satisfied+satisfied)was 299 cases(91.16%);In the control group,167 cases(51.07%)were very satisfied,63 cases(19.27%)were satisfied,97 cases(29.66%)were dissatisfied,and 230 cases(70.34%)were satisfied.The nursing satisfaction of the experimental group was significantly higher than that of the control group;The nursing quality score of the experimental group was(91.67±0.66),and that of the control group was(71.66±0.88),which was significantly higher than that of the control group;The clinical symptom score of the experimental group was(2.42±0.32),and that of the control group was(4.66±1.11),which was significantly better than that of the control group.Conclusion:The application of hierarchical group responsibility holistic nursing mode in gastroenterology department can not only improve the nursing satisfaction of patients,but also improve the quality of nursing,promote the good development of patients'condition,and provide a comfortable treatment environment for patients,which is worthy of clinical promotion.展开更多
Enhanced recovery after surgery (ERAS), a series of evidence-based optimization measures during the perioperative period, to reduce patients’ physical and psychological traumatic stress responses, to reduce complicat...Enhanced recovery after surgery (ERAS), a series of evidence-based optimization measures during the perioperative period, to reduce patients’ physical and psychological traumatic stress responses, to reduce complications, to shorten the length of hospital stay, to reduce the risk of readmission and mortality, and ultimately to promote rapid patient resuscitation, is adopted. The negative emotional experience of patients may aggravate the surgical stress response, interfere with the endocrine system and nervous system, cause the imbalance of internal environment, and have a negative impact on the surgical effect. This paper uses the concept of ERAS in combination with psychological stress interventions, perioperative psychological nursing instruction, reduces the laparoscopic surgery in patients with psychological stress reaction on the immune function of cells, improves the body’s immune function, improves the body of bacteria such as vitamin attack resistance, reduces the risk of complications such as infection, and accelerates the process of patient rehabilitation. Here is the report.展开更多
目的分析专科护理门诊实施责任制整体护理对留置外周静脉植入的中心静脉导管(peripherally inserted central catheter,PICC)相关性皮肤损伤患者的影响。方法便利选取2023年1月—2024年5月广州市南沙区人民医院收治的84例留置PICC导管...目的分析专科护理门诊实施责任制整体护理对留置外周静脉植入的中心静脉导管(peripherally inserted central catheter,PICC)相关性皮肤损伤患者的影响。方法便利选取2023年1月—2024年5月广州市南沙区人民医院收治的84例留置PICC导管相关性皮肤损伤患者为研究对象,根据不同的护理方法分为两组,各42例。对照组实施常规护理,研究组实施责任制整体护理。比较两组皮肤损伤程度、皮肤瘙痒程度、皮肤损伤的愈合时间、不良反应发生率、负性情绪和护理满意度。结果研究组急性皮肤损伤量表评分、瘙痒症状评估量表评分均低于对照组,皮肤损伤的愈合时间短于对照组,差异有统计学意义(P均<0.05)。研究组不良反应发生率为4.76%(2/42),低于对照组的19.05%(8/42),差异有统计学意义(χ^(2)=4.086,P<0.05)。研究组焦虑自评量表评分和抑郁自评量表评分均低于对照组,差异有统计学意义(P均<0.05)。研究组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论责任制整体护理应用于留置PICC导管相关性皮肤损伤患者中,能够改善患者的皮肤损伤程度和瘙痒程度,进一步缩短愈合时间,有效减轻患者的负性情绪,减少不良反应的发生,提高患者的护理满意度。展开更多
文摘Objective:To analyze the application effect of hierarchical group responsibility system of holistic nursing in Department of Gastroenterology.Methods:655 patients in our hospital from August 2020 to January 2021 were selected as the research objects.They were randomly divided into experimental group(328 cases)and control group(327 cases)to explore nursing satisfaction,nursing quality score and clinical symptoms before and after nursing.Results:In the experimental group,266 cases(81.10%)were very satisfied,33 cases(10.06%)were satisfied and 29 cases(8.84%)were dissatisfied.The total number of satisfied cases(very satisfied+satisfied)was 299 cases(91.16%);In the control group,167 cases(51.07%)were very satisfied,63 cases(19.27%)were satisfied,97 cases(29.66%)were dissatisfied,and 230 cases(70.34%)were satisfied.The nursing satisfaction of the experimental group was significantly higher than that of the control group;The nursing quality score of the experimental group was(91.67±0.66),and that of the control group was(71.66±0.88),which was significantly higher than that of the control group;The clinical symptom score of the experimental group was(2.42±0.32),and that of the control group was(4.66±1.11),which was significantly better than that of the control group.Conclusion:The application of hierarchical group responsibility holistic nursing mode in gastroenterology department can not only improve the nursing satisfaction of patients,but also improve the quality of nursing,promote the good development of patients'condition,and provide a comfortable treatment environment for patients,which is worthy of clinical promotion.
文摘Enhanced recovery after surgery (ERAS), a series of evidence-based optimization measures during the perioperative period, to reduce patients’ physical and psychological traumatic stress responses, to reduce complications, to shorten the length of hospital stay, to reduce the risk of readmission and mortality, and ultimately to promote rapid patient resuscitation, is adopted. The negative emotional experience of patients may aggravate the surgical stress response, interfere with the endocrine system and nervous system, cause the imbalance of internal environment, and have a negative impact on the surgical effect. This paper uses the concept of ERAS in combination with psychological stress interventions, perioperative psychological nursing instruction, reduces the laparoscopic surgery in patients with psychological stress reaction on the immune function of cells, improves the body’s immune function, improves the body of bacteria such as vitamin attack resistance, reduces the risk of complications such as infection, and accelerates the process of patient rehabilitation. Here is the report.
文摘目的分析专科护理门诊实施责任制整体护理对留置外周静脉植入的中心静脉导管(peripherally inserted central catheter,PICC)相关性皮肤损伤患者的影响。方法便利选取2023年1月—2024年5月广州市南沙区人民医院收治的84例留置PICC导管相关性皮肤损伤患者为研究对象,根据不同的护理方法分为两组,各42例。对照组实施常规护理,研究组实施责任制整体护理。比较两组皮肤损伤程度、皮肤瘙痒程度、皮肤损伤的愈合时间、不良反应发生率、负性情绪和护理满意度。结果研究组急性皮肤损伤量表评分、瘙痒症状评估量表评分均低于对照组,皮肤损伤的愈合时间短于对照组,差异有统计学意义(P均<0.05)。研究组不良反应发生率为4.76%(2/42),低于对照组的19.05%(8/42),差异有统计学意义(χ^(2)=4.086,P<0.05)。研究组焦虑自评量表评分和抑郁自评量表评分均低于对照组,差异有统计学意义(P均<0.05)。研究组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论责任制整体护理应用于留置PICC导管相关性皮肤损伤患者中,能够改善患者的皮肤损伤程度和瘙痒程度,进一步缩短愈合时间,有效减轻患者的负性情绪,减少不良反应的发生,提高患者的护理满意度。
