Effects of high-quality neurosurgical nursing care on improving clinical nursing quality

BACKGROUND With continuous advancements in medical technology,neurosurgical nursing is constantly developing and improving to provide higher-quality nursing services.AIM To explore the effects of different types of high-quality nursing care on clinical nursing quality and patient satisfaction in neurosurgical nursing.METHODS Eighty patients who received neurosurgical treatment in the Affiliated Hospital of Southwest Medical University from June to December 2020 were selected as study participants and categorised into study and control groups.The study group comprised 40 patients who received 4 different types of high-quality nursing care,whereas the control group comprised 40 patients who received conventional nursing care.After a specific period,nursing satisfaction levels and adverse event and complication rates were compared between the two groups.RESULTS Satisfaction with high-quality care was higher than that with conventional care,and high-quality health services and regional services showed the highest satisfaction levels,with an average score of 12 on the Glasgow scale.The satisfaction levels of the study and control groups were 75%and 57%,respectively,with a statistically significant difference(t=7.314,P<0.05).During the nursing period,the adverse event and complication rates were the highest in patients with level III pathology grade and those who underwent neurosurgery(40.02%and 85.93%,respectively),and the difference was statistically significant.CONCLUSION In neurosurgical nursing,employing appropriate high-quality nursing methods can effectively reduce adverse event and complication rates in patients,thereby improving the quality of nursing care and increasing clinical nursing value.

Value of combining targeted emergency nursing with psychological nursing in children with febrile convulsions

BACKGROUND Febrile convulsions are a common pediatric emergency that imposes significant psychological stress on children and their families.Targeted emergency care and psychological nursing are widely applied in clinical practice,but their value and impact on the management of pediatric febrile convulsions are unclear.AIM To determine the impact of targeted emergency nursing combined with psychological nursing on satisfaction in children with febrile convulsions.METHODS Data from 111 children with febrile convulsions who received treatment at Nantong Maternal and Child Health Care Hospital between June 2021 and October 2022 were analyzed.The control group consisted of 44 children who received conventional nursing care and the research group consisted of 67 children who received targeted emergency and psychological nursing.The time to fever resolution,time to resolution of convulsions,length of hospital stays,Pittsburgh Sleep Quality Index,patient compliance,nursing satisfaction of the parents,occurrence of complications during the nursing process,and parental anxiety and depression were compared between the control and research groups.Parental anxiety and depression were assessed using the Hamilton Rating Scale for Depression(HAMD)and the Hamilton Rating Scale for Anxiety(HAMA).RESULTS The fever resolution,convulsion disappearance,and hospitalization times were longer in the control group compared with the research group(P<0.0001).The time to falling asleep,sleep time,sleep quality,sleep disturbance,sleep efficiency,and daytime status scores were significantly better in the research group compared with the control group(P<0.0001).The HAMD and HAMA scores for parents of children in the research group were lower than the scores in the control group after nursing(P<0.05).Compliance with treatment of children in the research group was higher than in the control group(P<0.05).Parental satisfaction with nursing in the research group was higher than in the control group(P<0.05).The total complication rate of children in the control group was higher than in the research group(P<0.05).CONCLUSION Combining psychological nursing with targeted emergency nursing improved the satisfaction of children’s families and compliance with treatment and promoted early recovery of clinical symptoms and improvement of sleep quality.

Impact of a High-Quality Nursing Model on Patient Outcomes in Rheumatology:A Randomized Controlled Study

Objective:To enhance the overall nursing effectiveness in the rheumatology and immunology department,explore specific strategies to improve nursing quality using a high-quality care model,and develop a comprehensive nursing system.Methods:A total of 120 hospitalized patients with rheumatoid arthritis from 2022 to January 2024 were selected.These patients were randomly divided into two groups:an observation group(60 patients)and a control group(60 patients).The control group received conventional nursing care,which included creating a good care environment,providing drug guidance,and offering psychological support.In the observation group,a high-quality nursing model was implemented with a focus on meeting the specific needs of the patients.The two groups were compared in terms of complication rates,treatment compliance,nurse-patient disputes,patient satisfaction with nursing care,sleep quality(PSQI score),and pain levels(VAS score).Results:The incidence of complications in the observation group was 3.33%,significantly lower than that of the control group,with a statistically significant difference(P<0.05).Nursing compliance in the observation group was 100%,and patient satisfaction was 96.67%,both higher than in the control group,with a statistically significant difference(P<0.05).Additionally,the VAS pain score in the observation group decreased to 2.12±1.89,and the PSQI sleep quality score decreased to 6.89±0.33,both lower than in the control group,with statistically significant differences(P<0.05).Conclusion:Focusing on the needs of patients through a high-quality nursing model provides targeted care that improves overall nursing effectiveness for patients with rheumatoid arthritis.This approach enhances patient satisfaction with nursing care,increases treatment compliance,reduces the incidence of complications and nurse-patient disputes,improves sleep quality,and alleviates pain.This model holds significant value for broader applications.

Analysis of the Effectiveness of Targeted Nursing in Children with Severe Viral Encephalitis Complicated with Respiratory Failure

Objective:To explore and analyze the effectiveness of targeted nursing in children with severe viral encephalitis complicated with respiratory failure.Methods:From April 2021 to April 2023,74 children with severe viral encephalitis complicated with respiratory failure admitted to the Department of Pediatrics of our hospital were selected as the research objects and divided into the target group(n=37)and the reference group(n=37).Targeted nursing was given to the target group,while general nursing was given to the reference group.Physical rehabilitation,motor scores,and lung function were compared between the groups.Results:The recovery time of limb abnormalities,convulsions,abnormal consciousness,and cranial nerve disorders in the target group was significantly better than that in the reference group(P<0.05).The motor function,joint activity and pain,sensory function,and total score of the target group were significantly lower than those of the reference group(P<0.05).After the intervention,lung function indicators including VC(vital capacity),FVC(forced vital capacity),and MVV(maximum voluntary ventilation)of the target group were better than those of the reference group(P<0.05).Conclusion:Targeted nursing can shorten the recovery period of severe viral encephalitis complicated with respiratory failure in children,speed up the recovery of motor function,and improve lung function.This nursing model has a significant application effect in children with severe viral encephalitis complicated with respiratory failure.

Observation on the Application Effect of Targeted Infusion Safety Nursing in Inpatients with Cancer

Objective:To study the clinical effect of targeted infusion safety nursing during infusion of inpatients with cancer.Methods:From January 1,2020,to January 1,2023,a total of 6,614 infusion patients were treated in The First Affiliated Hospital of Wenzhou Medical University,and 300 inpatients with cancer were selected as the research objects and randomly divided into the observation group and the control group,with 150 patients in each group.The control group received routine infusion nursing,and the observation group received targeted infusion safety nursing.The targeted infusion safety nursing was judged by comparing the nursing quality assessment,incidence of adverse events,patient compliance,and patients’mastery of infusion knowledge between the two groups.clinical effect.Results:After the targeted infusion safety nursing was given to the patients in the observation group,the patients in this group recognized the nursing quality,and the statistical score was higher than that in the control group;the incidence of adverse events in the observation group was lower than that in the control group.The compliance of the observation group was higher than that of the control group.The mastery of health knowledge in the observation group was also higher than that in the control group and the difference was statistically significant(P<0.02).Conclusion:After implementing targeted infusion safety nursing for inpatients with cancer,it can effectively prevent the occurrence of adverse events,improve patient compliance,and increase the mastery of relevant knowledge of patients.

Effect of Targeted Nursing Based on Basic Living Care on Patients With Chronic Gastric Ulcer

Objective:To explore the effect of targeted nursing based on basic living care on patients with chronic gastric ulcer.Method:Ninety patients with chronic gastric ulcer treated in our hospital from August 2018 to August 2019 were selected and divided into observation group(n=45)and control group(n=45)randomly.The control group was given routine care.On the basis of the control group,the observation group was given targeted care based on basic living care.Compare the compliance behavior in two groups.Results:After the intervention,the compliance score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The use of targeted care based on basic living care for patients with chronic gastric ulcer can improve their compliance behavior,which is worthy of clinical application.

Application Value of High-Quality Nursing Intervention in Patients with Cirrhotic Ascites

Objective:To study the application value of high-quality nursing intervention in patients with cirrhotic ascites.Methods:From February 2018 to February 2020,80 patients with cirrhotic ascites,treated in Yancheng No.1 People’s Hospital,were selected as the subjects for this study.The patients were divided into two groups based on the type of nursing intervention:a routine group and an observation group,with 40 cases in each group.The routine group received routine nursing,and the observation group received high-quality nursing intervention on the basis of routine nursing.The nursing effects and adverse reactions of the two groups were observed and compared.Results:The total effective cases in the observation group were 39 cases,with a total effective rate of 97.5%;the total effective cases in the routine group were 33 cases,with a total effective rate of 82.5%.The total effective rate of the observation group was significantly higher than that of the routine group(P<0.05).In the routine group,there were eight cases of adverse reactions,in which the incidence of adverse reactions was 20.0%,whereas there were only two cases of adverse reactions in the observation group,in which the incidence of adverse reactions was 5.0%.The incidence of adverse reactions in the observation group was significantly lower than that in the routine group(P<0.05).Conclusion:The application of high-quality nursing intervention in patients with cirrhotic ascites can improve the nursing effect and reduce the occurrence of adverse reactions;thus,it should be popularized in clinical settings.

Effect of High-Quality Nursing on Patients with Hemorrhagic Fever with Renal Syndrome

Objective:To explore and analyze the effect of high-quality nursing on patients with epidemic hemorrhagic fever with renal syndrome.Methods:Ninety patients with epidemic hemorrhagic fever with renal syndrome treated in Huyi District People’s Hospital from October 2021 to January 2022 were randomly divided into an experimental group and a control group,with 45 cases in each group.The control group received routine nursing and the experimental group received high-quality nursing.The effect of routine nursing and high-quality nursing were compared and analyzed based on the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),the degree of satisfaction with nursing care,and the patients’quality of life.Results:Before nursing,there was no significant difference in the patients’psychological state between the two groups(P>0.05);after nursing,there was significant difference in the patients’psychological state between the two groups(P<0.05);the degree of satisfaction with nursing care of the experimental group was significantly higher than that of the control group(P<0.05);comparing the quality of life of the two groups,the quality-of-life score of the control group was significantly lower than that of the experimental group(P<0.05).Conclusion:For patients with epidemic hemorrhagic fever with renal syndrome,high-quality nursing can significantly and effectively improve their psychological state,level of satisfaction with nursing care,and quality of life.

Economic Growth Expectation Targets,Elastic Constraints,and High-Quality Economic Development

Based on the panel data of 30 provinces(autonomous regions,municipalities)in China from 2006 to 2019,the empirical study finds that the target values of economic growth expectation can promote high-quality economic development,and there is an inverted U-shaped relationship between elastic target constraints and high-quality economic development.The elastic constraints can reduce the investment rate and improve the total factor productivity(TFP),which promotes high-quality economic development,but its mediating effect accounts for a small proportion.With the improvement of the marketization degree,the inhibiting effect of elastic constraints on high-quality economic development reduces.The analysis of the heterogeneity between the new or old normal and the levels of economic development shows that in the future,developed regions should set high target values and low elastic constraints,and underdeveloped regions should set high elastic constraints on the target values of economic growth expectation.

针对性康复护理对肩袖损伤行关节镜手术患者术后肩关节功能恢复及护理满意度的影响

目的 分析针对性康复护理对肩袖损伤行关节镜手术患者术后肩关节功能恢复及护理满意度的影响。方法 选取2020年6月至2023年6月于厦门大学附属中山医院接受关节镜手术治疗的肩袖损伤患者100例,根据随机数字表法分为两组,对照组(50例)采取常规护理方法,观察组(50例)在此基础上施以针对性康复护理干预,对比两组的肩关节功能(欧美肩关节评分系统C-M)、生活质量(SF-36)、并发症发生率及护理满意度。结果 术后5个月时,观察组的C-M评分、SF-36评分均较对照组高(P <0.05);观察组并发症发生率较对照组更低(4.00%vs. 16.00%,P <0.05);观察组护理满意度较对照组更高(98.00%vs. 82.00%,P <0.05)。结论 将针对性康复护理用于肩袖损伤行关节镜手术患者,能使其肩关节功能得到更好恢复,减少并发症发生,提高生活质量与护理满意度。

针对性护理干预在腹腔镜下全子宫切除术中的应用效果

目的:分析针对性护理干预应用于腹腔镜下全子宫切除术中的效果。方法:选取2022年3月—2023年3月滨州医学院附属医院收治的80例择期行腹腔镜下全子宫切除术患者作为研究对象。随机分为研究组和对照组,各40例。对照组采用常规护理,研究组在对照组护理基础上进行针对性护理。比较两组术后恢复情况、护理满意度及并发症发生率等。结果:研究组住院时间短于对照组,首次下床时间早于对照组,差异有统计学意义(P<0.05)。干预后,两组抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分均低于干预前,且研究组低于对照组,差异有统计学意义(P<0.05)。研究组护理总满意度显著高于对照组,差异有统计学意义(P<0.05)。研究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:针对性护理干预在腹腔镜下全子宫切除术治疗患者中的应用获得了较为显著的效果,有效促进预后,改善负性情绪,有利于降低并发症发生。

手术室针对性护理在血管外科介入手术预防老年患者迷走神经反射的应用效果

探讨手术室针对性护理在血管外科介入手术中预防老年患者迷走神经反射的应用效果。将接受血管外科介入手术的500例≥65岁的患者按照住院先后顺序分为对照组和观察组。对照组采用围术期常规护理,观察组在对照组的基础上采用手术室针对性护理,比较两组患者术中迷走神经反射的发生率。对比分析结果显示,观察组术中迷走神经反射发生率显著低于对照组(P<0.05);观察组术后疼痛程度、抑郁焦虑情绪、术后护理满意度均显著优于对照组(P<0.05),说明采用手术室针对性护理可降低血管外科介入手术老年患者迷走神经反射发生率,减轻其生理应激反应,缓解患者的不良心理状态。

基于德尔菲法构建心脏骤停后患者目标体温管理护理方案

目的为心脏骤停后复苏患者实施目标体温管理(targeted temperature management,TTM)构建科学规范,推广性强的综合护理方案。方法成立研究小组,在前期循证研究的基础上开展小组头脑风暴形成心脏骤停后患者TTM护理方案初稿,通过2轮德尔菲专家函询,对方案条目进行修改完善补充,确定最终方案。结果2轮专家函询的问卷回收率分别为88%和100%,专家权威系数为0.93;第2轮函询条目的重要性及可操作性评价的变异系数分别为0~0.18、0~0.13,肯德尔和谐系数分别为0.089、0.105,差异具有统计学意义(P<0.05)。最终方案包括准备阶段、低温诱导阶段、体温维持阶段、复温阶段、正常体温控制阶段5个一级条目,16个二级条目,45个三级条目。结论本研究专家积极性及权威程度较高,专家意见协调程度较好,构建的心脏骤停后患者TTM护理方案具有可靠性、针对性和可行性。

FOCUS-PDCA程序在心力衰竭患者容量管理中的应用

目的探索FOCUS-PDCA两阶段持续质量改进程序在心内科心力衰竭患者容量管理中的应用效果。方法选择2023年1-12月该院心内科收治的45例心力衰竭患者为研究对象,分为对照组和试验组。对照组采用原流程;试验组采用基于FOCUS-PDCA程序改进后的新流程,即以容量状态平衡控制为目标,以医生、护士、患者、物品、管理为视角,提出6项主要举措,建立质量不断改进的工作机制。收集患者治疗10 d减容量,入院时、治疗10 d患者N末端B型钠尿肽前体(NT-proBNP)水平,出院30 d再入院率、容量管理重点护理措施规范执行率、住院期间再发急性心力衰竭等资料进行比较。结果试验组治疗10 d减容量明显高于对照组(P<0.05)。入院时和治疗10 d后,两组间NT-proBNP水平比较,差异均无统计学意义(P>0.05)。出院后,试验组出院30 d再入院率为0.0%,明显低于对照组的17.4%(P<0.05)。住院期间,试验组重点护理措施规范执行率为95.5%,高于对照组的69.6%(P<0.05)。住院期间,试验组中0例(0.0%)患者再发急性心力衰竭,对照组中4例(17.4%)患者再发急性心力衰竭,两组比较,差异有统计学意义(P<0.05)。结论FOCUS-PDCA程序有效提升了临床对心力衰竭患者容量平衡状态的管理能力,形成质量持续改进的工作机制,具有较好的推广和应用价值。

前瞻性靶向护理对老年脑胶质瘤患者术后血清创伤标记物及精神心理状态的影响

目的探究前瞻性靶向护理干预措施对老年脑胶质瘤患者术后血清创伤性标记物及术后精神心理状态的影响。方法采用随机对照研究方法,选取2021年11月—2023年11月于上海市静安区中心医院重症医学科进行治疗的94例老年脑胶质瘤术后患者,根据入院编号单双号,采用随机信封抽签原则将纳入对象分为观察组(n=47)与对照组(n=47)。患者均在全麻下行手术治疗,观察组予前瞻性靶向护理干预措施,对照组予以神经外科围手术期常规护理,2组干预观察时间均为14 d。分别于干预前后检测并比较2组患者血清应激反应指标[促肾上腺皮质激素(ACTH)、皮质醇(Cs)]水平、氧化损伤指标[肌红蛋白(MYo)、缺血修饰清蛋白(IMA)、八廓环磷酰胺(TAC)]水平、血清疼痛指标[皮质醇(Cor)、白细胞介素-6(IL-6)、前列腺素E2(PGE2)]水平;同时采用美国国立卫生研究院卒中量表(NIHSS)、世界卫生组织生活质量简表(QOL-BREF)量表、汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评估并比较2组患者神经功能缺损程度、生活质量情况、抑郁及焦虑程度。结果干预14 d,2组患者血清Cor、IL-6、PGE2、IMA、MYo、Cs、ACTH均明显低于同组干预前(P<0.01),且观察组较对照组更低(P<0.01);而2组患者血清TAC均明显高于同组干预前,且观察组较对照组更高(P<0.01);2组HAMA、HAMD、NIHSS评分均明显低于同组干预前(P<0.01),且观察组较对照组更低(P<0.01);而2组QOL-BREF评分均明显高于同组干预前(P<0.01),且观察组较对照组更高(P<0.01)。结论前瞻性靶向护理干预措施可能有效改善老年脑胶质瘤患者术后的心理应激反应,缓解其术后精神心理状态,同时可明显减轻手术创伤对患者的疼痛程度,减轻氧化应激损伤,有助于促进患者提高生活质量。

肝癌切除手术患者目标导向性血糖监测的证据总结

目的检索并总结肝癌切除手术患者目标导向性血糖监测相关证据,为临床提供指导依据。方法应用PICO程式结构化临床问题,检索中国指南网,美国指南网,英国国家临床医学研究所指南库,国际指南图书馆,英格兰学院间指南网,UpToDate,BMJ,Cochrane Library,PubMed,Web of Science,EMbase,CINAHL,中国生物医学数据库,中国知网,万方医学数据库。采用相关评价工具对纳入的文献进行质量评价。结果共纳入文献15篇,包括指南6篇,专家共识3篇,原始研究6篇,总结出18条审查指标,包括多学科团队构建、术前评估及健康教育、监测方法、术前/术中/术后目标导向性血糖监测措施、异常血糖处理、术后交接及管理等内容。结论本研究总结了肝癌切除手术患者目标导向性血糖监测的最佳证据,为规范临床血糖监测及控制,降低血糖异常事件及并发症发生率,加速术后康复提供循证依据。

目标教学法结合PDCA循环在呼吸科规培护士临床教学中的应用

目的探讨目标教学法结合计划(plan)、执行(do)、检查(check)和处理(act)(PDCA)管理模式在呼吸内科规培护士临床教学中的应用价值。方法选取2021年1月—2022年12月进入呼吸内科轮转的64名规培护士作为研究对象,根据入科时间分为对照组和试验组,各32名。对照组采用传统临床教学模式,试验组采用目标教学法结合PDCA管理临床教学模式。对比2组规培护士的考核评分、出科综合素质评分及满意度评分。结果试验组的操作成绩[(96.05±1.57)分],高于对照组[(94.91±1.51)分],差异有统计学意义(P<0.05)。试验组规培护士的沟通协调、专业知识、专业技能、安全意识、解决问题应急能力评分高于对照组,差异均有统计学意义(P<0.05)。试验组满意度平均分为(92.31±1.31)分,高于对照组的(91.07±0.59)分,差异有统计学意义(P<0.05)。结论目标教学法结合PDCA管理临床教学模式有助于提高呼吸内科规培护士的临床操作水平,利于高素质护理人才的培养,同时提升了规培护士的满意度。

针对性心理护理对肛周坏死性筋膜炎合并糖尿病患者心理状态及生活质量的影响

目的分析肛周坏死性筋膜炎合并糖尿病患者应用针对性心理护理的临床效果。方法选取2021年1月至2023年1月我科收治的80例肛周坏死性筋膜炎合并糖尿病患者,按随机数字表法分为观察组(40例)和对照组(40例),对照组采用常规护理,观察组患者在常规护理基础上分析患者心理特征后予以针对性心理护理。比较两组患者干预前后抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、生活质量(生理状况、情感状况、社会/家庭状况、功能状况)改善情况及患者满意度。结果两组空腹血糖、糖化蛋白护理后均降低且观察组更低(P<0.05);护理后,两组SDS、SAS评分均降低且观察组更低(P<0.05);观察组总满意度高于对照组(P<0.05)。结论通过分析肛周坏死性筋膜炎合并糖尿病患者的心理特征并予以针对性心理护理能明显改善患者不良心理,并有利于提高患者生活质量和满意度。

针对性护理在胃癌化疗患者护理中的应用效果分析

目的:分析针对性护理在胃癌化疗患者护理中的应用效果。方法:选取2022年8月—2023年8月于徐州市中心医院化疗的胃癌患者80例作为研究对象,随机分为对照组和研究组,各40例。对照组实施常规护理,研究组实施针对性护理。比较两组护理满意度、心理状态、生活质量。结果:研究组护理总满意度高于对照组,差异有统计学意义(P=0.002)。护理前,两组焦虑、抑郁、生活质量评分比较,差异无统计学意义(P>0.05);护理后,两组焦虑、抑郁评分低于护理前,且研究组低于对照组,两组生活质量评分高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论:针对性护理在胃癌化疗患者护理中的应用效果显著,可改善患者负面情绪,提高生活质量和护理满意度。

应用目标策略性干预的婴幼儿消化道出血患儿护理质量评价指标的建立与应用

目的:观察应用目标策略性干预的婴幼儿消化道出血患儿护理质量评价指标的建立与应用效果。方法:前瞻性选择2019—2021年儿科诊治的消化道出血婴幼儿166例作为研究对象。依据随机数列表法将所有病人分为对照组(常规护理干预)和观察组(行护理质量评价指标下的目标策略性干预),各83例。比较2组总有效率、出血停止时间、输血量、再出血率、住院时间及护理前后血红蛋白水平(Hb)、血细胞比容(Hct)水平、患儿家长不良情绪和护理满意度。结果:观察组总有效率高于对照组(P<0.05)。观察组出血停止时间、输血量、再出血率、住院时间均小于对照组(P<0.05)。护理3 d后,2组Hb、Hct水平均高于护理前(P<0.05),观察组Hb、Hct水平均明显高于对照组(P<0.01)。护理3 d后,2组患儿家长SDS评分与SAS评分均高于护理前(P<0.05),观察组SDS评分与SAS评分均明显低于对照组(P<0.01);观察组基础护理、护理安全、病房管理、护理文书在内的护理质量评分均明显低于对照组(P<0.01)。观察组护理总满意度高于对照组(P<0.05)。ROC曲线结果显示,护理总有效率+不良情绪+护理质量+护理满意度,四者联合用于评价目标策略性干预对婴幼儿消化道出血患儿护理质量的ROC为0.671,Cut-off值为2.003,灵敏度1.000,特异度0.275,阳性预测值0.525,阴性预测值1.000,约登指数0.275(P<0.05)。结论:目标策略性干预护理模式可提高婴幼儿消化道出血整体治疗有效率,促进患儿早期出血停止,降低二次出血率,改善贫血状态,缓解患儿家长的不良情绪,极高整理护理满意度。目标策略性干预护理模式临床应用优势明显。