Effect of care intervention with a health education form for breastfeeding on breast distension,pain,and lactation in postpartum mothers

BACKGROUND Breastfeeding not only meets the nutritional needs of newborn growth and development but also promotes uterine contraction and discharge of lochia,which helps in maternal recovery.However,some mothers experience abnormal lactation and breast swelling due to a lack of breastfeeding knowledge,painful cesarean incisions,anesthesia,negative emotions,and other factors,resulting in a reduced breastfeeding rate,which adversely affects neonatal and maternal health.AIM To explore the effects of care intervention with a health education form for breastfeeding on breastfeeding-related conditions.METHODS In this study,207 mothers with postpartum breast pain and difficulty lactating were selected and divided into intervention and control groups using a random number table.Both groups of mothers were provided with basic nursing and related treatment measures after delivery.The intervention group additionally received care intervention with a health education form for breastfeeding.The scores of lactation volume,breast distension and pain,breastfeeding rate,breastfeeding self-efficacy,treatment effect,and complication rate of the two groups were compared.RESULTS After treatment,the breast pain score of the intervention group was significantly lower than that of the control group,while the lactation score,score of Breastfeeding Self-Efficacy Scale Short Form scale,parent-child communication score,maternal-infant interaction score,total score of maternal-infant communication,and breastfeeding rate of the intervention group were significantly higher than those of the control group.After intervention,the overall therapeutic effect of the intervention group was better than that of the control group,and the complication rate of the intervention group was lower than that of the control group.CONCLUSION Breastfeeding health education and nursing intervention combined with basic clinical treatment have good clinical effects in managing postpartum breast distension and pain and increasing lactation yield.

Impact of Optimizing Emergency Nursing Processes on Resuscitation Success in Patients with Acute Chest Pain

Objective:To analyze the effect of optimizing the emergency nursing process in the resuscitation of patients with acute chest pain and the impact on the resuscitation success rate.Methods:66 patients with acute chest pain received by the emergency department of our hospital from January 2022 to December 2023 were selected as the study subjects and divided into two groups according to the differences in the emergency nursing process,i.e.,33 patients receiving routine emergency care were included in the control group,and 33 patients receiving the optimization of emergency nursing process intervention were included in the observation group.Patients’resuscitation effect and satisfaction with nursing care in the two groups were compared.Results:The observation group’s consultation assessment time,reception time,admission to the start of resuscitation time,and resuscitation time were shorter than that of the control group,the resuscitation success rate was higher than that of the control group,and the incidence of adverse events was lower than that of the control group,with statistically significant differences(P<0.05);and the observation group’s satisfaction with nursing care was higher than that of the control group,with statistically significant differences(P<0.05).Conclusion:Optimization of emergency nursing process intervention in the resuscitation of acute chest pain patients can greatly shorten the rescue time and improve the success rate of resuscitation,with higher patient satisfaction.

Analysis of the Significance of Key Points of Patient Interventional Psychological Care and Pain Care

Interventional therapy has become increasingly popular in clinical practice due to advancements in medical technology.However,patients often experience psychological and physiological pressure due to its invasive nature.The management of patient discomfort and tension is crucial to ensure effective treatment.Psychological and pain management are essential components of interventional therapy,as they significantly impact patient recovery and prognosis.This article discussed the importance of interventional psychological and pain care for patients,starting with the development and spread of interventional therapy.The significance of providing high-quality nursing services to patients and improving their quality of life was also discussed.

Effects of comprehensive nursing with cognitive behavioral therapy in orthodontic osteodilated arch treatment

BACKGROUND This work explored the effects of cognitive behavior therapy(CBT)-based comprehensive nursing intervention(CNI)mode in arch expansion to treat patients with orthodontic osteodilated arch(OOA).AIM To explore the application effect of CBT-based CNI model in orthodontic expansion arch treatment.METHODS Using convenient sampling method,81 patients with OOA were selected and rolled into a control group(Ctrl group,40 cases)and an observation group(Obs group,41 cases).During the treatment,patients in the Ctrl group received routine nursing intervention mode,and the those in the Obs group received CBT mode on the basis of this.Before and after intervention,the incidence of oral mucositis,the mastery rate of correct arch expansion method,self-rating anxiety scale score,soft scale index,and plaque index were compared for patients in different groups.In addition,satisfaction and complications were comparatively analyzed.RESULTS Incidence of oral mucositis in the Obs group was lower(14.6%vs 38.5%),and the mastery rate of correct arch expansion method was obviously higher(90.2%vs 55.0%)was obviously higher(all P<0.05).Meanwhile,the soft scale index and plaque index in the Obs group were much lower(P<0.05).The compliance(90.24%)and satisfaction(95.12%)in the Obs group were greatly higher(P<0.05).CONCLUSION The CBT-based CNI mode greatly improved the mastery rate of correct arch expansion method during arch expansion in treating patients with OOA and enhanced the therapeutic effect of arch expansion and the oral health of patients,improving the patient compliance.

Pain and Care： Interventions in Daily Nursing Practice

Pain is a common symptom in humans, which differs significantly depending on their status of health. This review lists the specific features of pain that are necessary for its evaluation and treatment by the health professionals. Extensive review of the recent literature was conducted in electronic databases （PubMed, Medline and Iatrotek） and scientific journals in Greek and English. Pain is perceived as any uncomfortable feeling, and emotional experience that occurs anywhere in the body when there is some kind of injury. The assessment of pain in humans is a complex and demanding process. Pain should be treated early with appropriate pharmaceutical or other treatment. Each pain has a different cause and treatment. The objective of health professionals＇ interventions is to cure or at least reduce pain and to relieve those who are in pain.

The effect of the application of cold on hematoma, ecchymosis, and pain at the catheter site in patients undergoing percutaneous coronary intervention

Objective: This study was conducted to determine the effect of the application of cold on hematoma,ecchymosis,and pain in patients undergoing percutaneous coronary intervention.Methods: It is a quasi-experimental study with a control group.A total of 200 patients (100 in the control group and 100 in the experimental group) were included in the research.In the experimental group,a cold pack was applied to the bottom of the sandbag for the first 15 min after withdrawing the femoral arterial catheter.Both groups were assessed and followed up at the first 15th minute and 4th,48th and 72 nd h.Results: After the femoral arterial catheter was withdrawn,ecchymosis and hematoma were smaller and pain was less in the experimental group at the catheter entry site compared to the control group,and the difference was statistically significant (P < 0.01).Conclusion: It was determined that the application of cold reduced the formation of hematomas,ecchymoses and pain in patients after the withdrawal of the femoral arterial catheter.

Cancer Pain with Standardized Nursing

Background: The incidence of cancer pain in patients with malignant tumors is relatively high, and pain control is poor, which is closely related to many factors, especially the nursing way. Objective: To explore the effect of standardized nursing model on pain control in patients with malignant tumors. Methods: 50 patients with malignant tumors treated in the Affiliated Hospital of Chengde Medical College from January to December in 2021 were randomly divided into 25 cases in the control group and 25 cases in the observation group. The pain control and medication compliance of the two groups were compared. Results: There was no difference in the corresponding score of admission pain between the two groups (P > 0.05), and the pain score of the observation group was lower than that of the control group (P P Conclusion: Standardized cancer pain nursing can ease the pain of patients, and the medication compliance is better.

Nonpharmacological pain management practices among nurses working in multiple centers in Saudi Arabia: A cross-sectional study

Objective:The aim of the study was to investigate the prevalence,and determinants,of nonpharmacological pain management practices among nurses in multiple settings.Materials and Methods:A cross-sectional examination was conducted involving 324 nurses from 16 hospitals in Hai’l,Saudi Arabia.Participants completed a self-reported survey utilizing established tools to assess the frequency of nonpharmacological pain management interventions utilization and identify associated barriers.Data analysis was performed using SPSS version 29.0.Results:Nonpharmacological pain management practices were found to be utilized“sometimes,”with a score of 2.89±0.48.Commonly employed techniques included placing patients in comfortable positions and providing a tranquil environment.Gender was the sole demographic factor significantly affecting the use of these techniques(P<0.001),with female nurses demonstrating higher utilization.Barriers to implementation varied based on the hours of recent pain management education(P=0.004),with prevalent barriers including nurse shortages,multiple responsibilities,heavy workloads,and nurse fatigue.Conclusion:The study reveals moderate utilization of nonpharmacological pain management approaches,primarily focusing on patient positioning and creating a calm environment.Female nurses exhibited higher adoption rates of these techniques.Barriers to implementation,such as nurse shortages and heavy workloads,were influenced by recent pain management education.Consequently,enhancing education and fostering supportive work environments are crucial for surmounting these barriers and promoting pain management awareness among nurses.

优化型流程式护理干预对老年颅脑损伤患者的康复效果的观察

目的观察优化型流程式护理干预对老年颅脑损伤患者康复效果的影响,为治疗该病症提供方法。方法选取2022年1月—2023年7月启东市中医院神经外科收治的83例老年中重型颅脑损伤患者作为研究对象,按随机信封法将患者分为流程式干预组(n=41)和常规组(n=42)。2组患者均给予相同的基础治疗,流程式干预组患者接受优化型流程式护理干预,常规组患者接受常规护理,2组均连续干预3个月。比较2组患者生活能力评分、肢体活动评分、康复进程指标和并发症发生情况。结果干预后,流程式干预组患者的Barthel指数和Fugl-Meyer运动功能量表评分均高于常规组,首次下床活动时间、机械通气时间、昏迷时间、住院天数、住院费用均少于常规组,并发症总发生率低于常规组,差异均有统计学意义(P<0.05)。结论优化型流程式护理干预在老年颅脑损伤患者的康复过程中可促进患者日常生活能力恢复,促进康复进程,减少并发症发生,具有一定的临床应用价值。

综合护理干预对乳腺纤维瘤手术患者心理状态及切口美观度的影响

目的:分析综合护理干预对乳腺纤维瘤手术患者心理状态、术后疼痛及切口美观度的影响。方法:选取2018年7月-2023年2月笔者医院行乳腺纤维瘤手术的105例患者为研究对象,根据护理干预方法的不同分为对照组51例(实施常规护理)和观察组54例(实施综合护理干预)。对比两组心理状态[焦虑自评量表(Self-rating anxiety scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)]、术后疼痛程度[视觉模拟评分法(Visual analogue scale,VAS)]、切口美观度[温哥华瘢痕量表(Vancouver scar scale,VSS)、患者瘢痕评估量表(Patient scar assessment scale,PSAS)]以及护理满意度。结果:出院前,两组SAS、SDS、VAS评分均降低,且观察组低于对照组(P<0.05);术后6个月,观察组VSS、PASA评分均高于对照组(P<0.05);观察组的护理满意度为98.15%,高于对照组的82.35%(P<0.05)。结论:应用综合护理干预可有效改善乳腺纤维瘤手术患者负面情绪,减轻术后疼痛程度,提高切口美观度以及护理满意度。

中西医结合护理干预在剖宫产术后疼痛中的应用

目的观察中西医结合护理干预在剖宫产术后疼痛中的应用效果。方法选取2022年4月至2023年9月江西省妇幼保健院收治的110例剖宫产产妇为研究对象,采用随机数字表法分为对照组和观察组,每组55例。对照组应用常规围手术期护理干预,观察组应用中西医结合护理干预。比较两组患者的疼痛情况、泌乳情况、母乳喂养成功率、术后住院时间及满意度。结果观察组术后6、12、24、48 h疼痛评分均低于对照组,差异有统计学意义(P<0.05);观察组术后12、24、48 h疼痛评分均低于本组术后6 h,对照组术后24、48 h疼痛评分均低于本组术后6 h,差异有统计学意义(P<0.05);观察组的泌乳时间早于对照组,差异有统计学意义(P<0.05);观察组产后24、48 h泌乳量多于对照组,差异有统计学意义(P<0.05);观察组的术后住院时间短于对照组,差异有统计学意义(P<0.05);观察组的母乳喂养成功率及护理满意度均高于对照组,差异有统计学意义(P<0.05)。结论中西医结合护理干预可有效减轻剖宫产产后术后疼痛,并促进泌乳及提升母乳喂养成功率,缩短住院时间,提升护理满意度。

癌痛规范化干预流程对肺癌患者疼痛及睡眠质量的效果研究

目的:探究使用癌痛规范化干预流程对肺癌患者疼痛及睡眠质量的效果。方法:选取2023年1月至2024年1月厦门大学附属第一医院肿瘤内科收治的肺癌患者80例作为研究对象,按随机数字表法分为对照组和观察组,每组40例。对照组患者使用常规护理,观察组患者使用癌痛规范化干预流程,使用视觉模拟量表(VAS)、匹兹堡睡眠质量指数量表(PSQI)、焦虑自评量表(SAS)和抑郁自评量表(SDS)比较2组患者护理前后疼痛情况、睡眠质量以及焦虑抑郁情况。结果:干预后,观察组VAS评分、PSQI评分、SAS评分、SDS评分低于对照组患者(P<0.05)。结论:对肺癌患者使用癌痛规范化干预流程可以减少患者疼痛,提高睡眠质量,降低焦虑抑郁情绪,值得推广。

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。

优质护理干预在风湿性心脏病手术患者中对术后疼痛的影响研究

目的研究优质护理干预在风湿性心脏病手术患者中对术后疼痛的影响。方法选取2020年7月—2023年6月本院收治的风湿性心脏病手术患者262例为研究对象,随机分为对照组和观察组,每组131例。其中,对照组采用常规护理,观察组采用优质护理干预,对比手术指标、疼痛指标以及心理状态评分。结果观察组手术指标、疼痛指标以及心理状态评分优于对照组(P<0.05)。结论优质护理干预对于风湿性心脏病手术的成功和患者的康复至关重要。通过全面、个性化的护理,可以有效地降低手术风险,预防并发症的发生,并提供患者所需的支持和关怀。

无缝隙流程化闭环模式在血管外科介入手术患者中的应用效果研究

探讨无缝隙流程化闭环模式在血管外科介入手术患者中的应用效果。选择血管外科接受介入手术的150例患者作为研究对象,将其分为对照组和实验组,每组各75例患者。比较两组患者的手术指标、护理前后的疼痛评分、消极情绪、护理水平以及护理满意度。结果表明,与对照组相比,实验组的手术准备、手术时长以及术后住院时间均显著缩短,护理后疼痛和负面情绪得分均显著降低(P<0.05),实验组的护理质量和护理满意度显著高于对照组(P<0.05),说明无缝隙流程化闭环模式可以显著提升患者的手术效果和护理质量,缓解其疼痛和消极情绪,在确保手术安全的前提下优化患者的护理体验。

计划行为干预理论联合疼痛分级护理改善下肢创伤性骨折术后患者疼痛及睡眠质量的疗效观察

目的:探究计划行为干预理论联合疼痛分级护理改善下肢创伤性骨折术后患者疼痛及睡眠质量的疗效。方法:选取2023年5月1日至2023年11月1日福建省福州市第二医院创伤骨科收治的下肢创伤性骨折手术患者206例作为研究对象。以随机抽取编号分组方式分为对照组和观察组,每组103例。对照组实施常规护理,观察组在对照组基础上实施计划行为干预理论联合疼痛分级护理。比较2组患者疼痛[视觉模拟评分法(VAS)]、匹兹堡睡眠质量指数(PSQI)量表评分,术后第3天运动恐惧、下肢深静脉血栓形成(DVT)发生率以及住院时间。结果:术后第3天,观察组疼痛VAS及PSQI评分均低于对照组,术后第3天运动恐惧、DVT发生率低于对照组,住院时间短于对照组,差异均有统计学意义(均P<0.05)。结论:计划行为干预理论联合疼痛分级护理能有效减轻下肢创伤性骨折手术患者术后的疼痛程度,降低术后运动恐惧、DVT发生率,有效改善睡眠质量,能够促进患者术后康复。

急救流程干预联合应急预案改善急诊脊柱骨折预后及睡眠的研究

目的:探究采取急诊流程干预联合应急预案对急诊脊柱骨折患者预后及睡眠改善作用。方法:选取2022年9月至2023年9月三明市第二医院急诊科收治的脊柱骨折患者96例作为研究对象,随机分为对照组和观察组,每组48例。对照组开展常规护理,观察组开展急诊流程干预联合应急预案。从疼痛程度、失眠程度、主观睡眠质量评估2组干预效果。结果:干预后观察组视觉模拟评分(VAS)相比对照组更低(P<0.05);观察组失眠严重程度指数量表(ISI-C)评分相比对照组降低(P<0.05);观察组匹兹堡睡眠质量指数(PSQI)比对照组更低(P<0.05)。结论:急诊脊柱骨折患者采取急诊流程干预联合应急预案能明显减轻疼痛程度,缓解失眠症状,提高睡眠质量。

疼痛管理联合优化护理干预在肝癌患者免疫治疗中的应用研究

目的:探讨疼痛管理联合优化护理干预在肝癌患者免疫治疗中的应用效果.方法:选取2020年2月至2022年5月在本院进行免疫治疗的85例肝癌患者为研究对象.依据护理干预措施,将其分为观察组(n=43,予以疼痛管理联合优化护理干预)和对照组(n=42,予以优化护理干预).比较两组疼痛视觉拟量表(VAS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、肝癌生活质量测定表(QLICP-LI)评分.结果:干预后,两组VAS评分均下降,并且观察组比对照组低,差异均有统计学意义(P<0.05);两组SDS、SAS评分均显著降低,并且观察组较对照组低,差异均有统计学意义(P<0.05);两组QLICP-LI评分均上升,并且观察组比对照组高,差异均有统计学意义(P<0.05).结论:在肝癌免疫治疗患者中实施疼痛管理联合优质化护理干预,可有效降低患者疼痛感,改善心理消极情绪,提高生活质量.

基于时机理论的护理干预结合循证式癌痛护理对肺癌患者NRS评分及睡眠质量的影响

目的:分析肺癌患者应用基于时机理论的护理干预结合循证式癌痛护理对其疼痛及睡眠质量的影响。方法:选取2022年2月至2023年2月福建中医药大学附属宁德市中医院肿瘤科收治的肺癌患者78例作为研究对象,随机分组为对照组和观察组,每组39例。对照组实施常规性护理干预,观察组实施基于时机理论的护理干预结合循证式癌痛护理,观察2组的疼痛评分及生命质量、睡眠质量。结果:护理后,观察组的疼痛评分低于对照组,观察组的生命质量评分均高于对照组,观察组的睡眠质量评分均优于对照组(P<0.05)。结论:肺癌患者应用基于时机理论的护理干预结合循证式癌痛护理对其疼痛及睡眠质量有积极的影响,极大地缓解了疼痛程度,改善了睡眠质量,进而提高了生命质量。

正强化护理联合共情护理对急诊静脉输液患儿的影响

目的 综合探讨急诊静脉输液患儿采用正强化护理干预联合共情护理对焦虑情绪、疼痛程度及依从性的影响。方法 选取2020年5月—2022年5月在医院治疗的急诊静脉输液患儿共计122例作为研究对象,按照组间基本特征具有可比性的原则分为观察组与对照组,每组61例,对照组给予常规护理干预,观察组在对照组的基础上给予正强化护理干预联合共情护理干预,比较两组患儿干预前后的焦虑情绪、疼痛程度、输液依从性、家长满意程度及不良反应发生情况。结果 干预前,两组患儿焦虑情绪障碍筛查表(SCARED)评分比较差异无统计学意义(P>0.05);干预后,观察组患儿SCARED评分低于对照组,组间比较差异有统计学意义(P<0.05)。干预前,两组患儿Wong-Baker面部表情量表(WongBaker)、患儿疼痛评估量表(FLACC)评分比较差异无统计学意义(P>0.05);干预后,观察组患儿Wong-Baker、FLACC评分低于对照组,组间比较差异有统计学意义(P<0.05)。观察组患儿输液依从性高于对照组,组间比较差异有统计学意义(P<0.05)。观察组患儿家长对输液技术、输液沟通、输液服务、输液环境评分高于对照组,组间比较差异有统计学意义(P<0.05)。观察组患儿不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论 正强化护理干预联合共情护理应用于急诊静脉输液患儿干预中,可改善焦虑情绪,降低疼痛程度,提高输液依从性及家长满意程度,减少不良反应。