Risk factors for secondary infection after liver failure and effect of comprehensive nursing intervention

BACKGROUND In patients with liver failure(LF),the high rate of secondary infections,which are associated with poor prognosis,highlights the clinical significance of understanding the underlying risk factors and implementing targeted intervention programs.AIM To investigate risk factors for secondary infections in patients with LF and evaluate the effectiveness of comprehensive nursing interventions.METHODS This retrospective study included 64 patients with LF,including 32 with and 32 without secondary infections.A questionnaire was used to collect data on age;laboratory parameters,including total and direct bilirubin,prothrombin time,blood ammonia,and other biochemical parameters;invasive procedures;and complications.Patients with secondary infections received comprehensive nursing intervention in addition to routine nursing care,whereas those without secondary infections received only routine nursing care to compare the effect of nursing intervention on outcomes.RESULTS The infection rate,which was not associated with age or complications,was significantly associated with biochemical parameters and invasive procedures(P<0.05).The infection rate was 61.6%in patients who had undergone invasive procedures and 32.1%in those who had not undergone invasive procedures during the hospital stay.The infection rate was also significantly associated with the type of LF(P<0.05),with the lowest rate observed in patients with acute LF and the highest rate observed in those with subacute LF.The nursing satisfaction rate was 58.3%in the uninfected group and 91.7%in the infected group,indicating significantly higher satisfaction in the infected group(P<0.05).CONCLUSION In patients with LF,the rate of secondary infections was high and associated with biochemical parameters and type of LF.Comprehensive nursing intervention can improve patient satisfaction.

Analysis of The Effect of Comprehensive Nursing Intervention on Improving Blood Sugar Levels and Treatment Compliance in Elderly Patients with Diabetes

Objective: To analyze the effect of comprehensive nursing intervention on improving blood glucose levels and treatment compliance in elderly patients with diabetes. Methods: One hundred and forty-eight elderly patients with diabetes were selected and randomly divided into a control group and an observation group, with 74 cases each. The control group received routine nursing intervention and the observation group received comprehensive nursing intervention. The blood sugar levels, treatment compliance, and nursing satisfaction of the two groups of patients before and after intervention were compared. Results: After the intervention, the fasting plasma glucose (FPG) (t = 7.729), 2 hours postprandial glucose (PPG) (t = 8.343), and HbA1c (t = 6.929) levels of patients in the observation group were significantly lower than those in the control group (P < 0.001). The observation group (71/95.95%) had a higher compliance rate than the control group (54/72.97%) (χ^(2)=14.877, P < 0.001). The comprehensive nursing satisfaction rate of the observation group (73/98.65%) was higher than that of the control group (56/75.68%) (χ^(2)=17.451, P < 0.001). Conclusion: In caring for elderly patients with diabetes, comprehensive nursing intervention effectively reduced patients’ blood sugar levels and improved treatment compliance and nursing satisfaction.

Intervention package on stress management: Improving comprehensive well-being among nurses

Objective:The main objective of this study is to investigate the effectiveness of the stress management intervention package in improving stress-related burnout.Materials and Methods:An experimental study was done on 300 nurses selected by a nonprobability convenience sampling technique and a quasi-experimental one-group pre-and posttest research design was utilized.Modified expanded nurses stress scale and self-structured three-point Likert scale on the challenges that nurses may face following stressful life events utilized to collect information.The nurses signed up for six interactive sessions on various stress-coping methods by utilizing a variety of teaching strategies such as lecture cum discussion,video slides,group work,and direct interaction with the experts to explore stress-related issues.Results:Continuous stress affects both the body and the mind,causing psychosomatic symptoms.Data found that 2%to 10%of nurses frequently suffered with physical symptoms such as exhaustion,backache,acidity,headache,shoulder stiffness,and insomnia.Following the intervention,the number of nurses who had these symptoms frequently and sometimes decreased.Previously,10%of nurses experienced emotional symptoms frequently;however,after intervention,this figure was reduced to<2%.The greatest proportion of nurses(18%)reported frequently worrying,while 1.3%expressed frequent worrying after intervention.Maximum(5%)of nurses had a tendency to eat too little or too much;this has been reduced to 0.3%after the intervention.The intervention package on stress management significantly improved nurses’Conclusion:An intervention package for stress management was helpful in lowering physical,emotional,psychological,and behavioral stress-related symptoms among nurses.

The effects of comprehensive nursing interventions on sexual functions in young and middle-aged patients with coronary stent implantation

Objective: To study the effects of comprehensive nursing interventions on sexual functions in young and middle-aged patients with coronary stent implantation. Methods: 96 cases of coronary stent implantation were randomly divided into control group and intervention group (experimental group) with each group of 48 cases. The control group received the routine nursing measures after the coronary stent implantation and the experimental group was treated by the comprehensive nursing interventions such as psychological nursing, education of sexual knowledge, playing the full enthusiasm of spouse and appropriate exercise therapy on basis of the routine nursing measures. The two groups were given the questionnaire of brief male sexual function questionnaire (BSFI), Chinese patients with premature ejaculation sexual function score (C-ISFPE) and the international index of erectile function (IIEF-5). The scores of BSFI, C-ISFPE and IIEF-5 were compared between the two groups. Results: There were 29 cases who were satisfied with sexual life on the whole (≤1), 26 cases with different degrees of premature ejaculation symptoms and 21 cases with erectile dysfunctions, which were respectively 27.08%, 30.2% and 21.87% of the total number. The scores of BSFI, C-ISFPE and IIEF-5 inthe experimental group were significantly increased after the interventions (P P IIEF-5 scores in the two groups were significantly different

Observation on the Effect of Comprehensive Nursing Intervention for Patients with Chronic Obstructive Pulmonary Disease

This study focused on the observation effect of the comprehensive nursing intervention in patients with chronic obstructive pulmonary disease.A total of 64 patients with the chronic obstructive pulmonary disease were selected as subjects.The patients were divided into two groups according to a randomized method.The observation group and the control group were the same in both groups(n=32),study time from June 2017 to August 2018,the selection of patients in the study time,the standard treatment and routine care to give way to the control group.The observation groups comprehend nursing intervention.The two groups of patients compared with nursing effects,nursing satisfaction,lung function levels before and aftercare,care adherence,hospitalization days,and satisfaction scores.The observation group was better than the control group in terms of nursing effect,nursing satisfaction,lung function level before and after nursing,nursing compliance,hospitalization days,and satisfaction score.The comprehensive nursing intervention of patients with the chronic obstructive pulmonary disease has significant effects and is worthy of further promotion and application.

Effect of Comprehensive Nursing Intervention on Intestinal Preparation Quality of Hospitalized Patients undergoing Colonoscopy

Objective:To explore the impact of comprehensive nursing intervention on the quality of intestinal preparation in the process of intestinal preparation for hospitalized patients undergoing colonoscopy.Methods:A total of 320 patients underwent colonoscopy in our department from January to June 2021.They were grouped by random number table.There were 160 cases in the control group and 160 cases in the observation group.The adverse reactions of intestinal preparation and the cleanliness of intestinal preparation were analyzed.Results:Through comprehensive nursing intervention,it can be found that the incidence of adverse reactions in the preparation of colonoscopy in the control group was 24.38%,and that in the observation group was 13.48%.The results showed that the incidence of adverse reactions in the preparation of colonoscopy was significantly lower than that in the control group(P<0.05),which indicates that the difference was statistically significant.In the control group,105 people qualified in intestinal cleanliness score(>5 points)during enteroscopy preparation,and the cleanliness qualification rate was 65.63%.In the observation group,139 people qualified in intestinal cleanliness score(>5 points)during enteroscopy preparation,and the cleanliness qualification rate was 86.88%.The cleanliness qualification rate of enteroscopy preparation was significantly higher than that of the control group,and P<0.05,which indicates that the difference was statistically significant.Conclusion:Comprehensive nursing intervention can promote the quality of preparation of patients for colonoscopy,improve the compliance of patients and improve the accuracy of examination effect.

Effect of Comprehensive Nursing Intervention in Patients with Urinary Incontinence After Radical Prostatectomy

Objective:To explore and analyze the clinical effect of comprehensive nursing intervention in patients with urinary incontinence after radical prostatectomy.Methods:84 patients with urinary incontinence after radical prostatectomy admitted to the Urology Department between May 2021 and May 2023 were included in this study.The patients were divided into a comprehensive group and a control group,with 42 cases in each group through a double-blind mechanism.The comprehensive group received comprehensive nursing care,and the control group received primary nursing care.The duration of indwelling urinary catheters and urinary incontinence;psychological performance and living conditions were compared between the two groups.Results:The duration of the indwelling urinary catheter and urinary incontinence of the patients in the comprehensive group were significantly shorter than that in the control group(P<0.05).Before nursing,there was no statistically significant difference in the anxiety,depression,and other psychological manifestations between the two groups(P>0.05);after nursing,the comprehensive group’s anxiety,depression,and other psychological manifestations of the comprehensive group were significantly lower than those of the control group(P<0.05).Before nursing,there was no statistically significant difference in the physical function,mental state,emotional state,and physical recovery of the patients between both groups(P>0.05);after nursing,the physical function,mental state,emotional state,physical recovery of the patients in the comprehensive group were significantly better than those of the control group.Besides,the living conditions of the patients in the comprehensive group were also significantly better than the control group’s(P<0.05).Conclusion:Comprehensive nursing intervention can effectively improve symptoms of urinary incontinence after radical prostatectomy,reduce inner pressure,and improve living standards.

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.

综合评估指导的中医护理干预在老年COPD患者中的应用效果

目的分析老年慢性阻塞性肺疾病(COPD)患者实施综合评估为指导的中医护理干预,对其衰弱状态、生活质量、肺功能及营养状态的影响,旨在改善老年COPD患者的衰弱状态,提高其生活质量和功能独立性,对于优化老年COPD患者的管理和护理提供依据。方法研究对象为启东市中医院呼吸内科在2021年4月—2023年3月收治且符合研究要求的COPD患者180例,基于组间基线资料具有可比性条件下将纳入患者分为对照组和观察组各90例。对照组行常规护理干预,观察组患者给予老年综合评估指导下的中医护理干预。比较观察两组患者衰弱状态、肺功能水平[第一秒用力呼气容积占用力肺活量百分比(FEV_(1)/FVC)、第一秒用力呼气容积占预计值百分比(FEV_(1)%)]、营养状况[血清总蛋白(TP)、白蛋白(ALB)水平和NRS-2002评分]以及生活质量[慢性阻塞性肺疾病评分(CAT)]变化情况。结果干预前两组患者衰弱状态分级、TP、ALB水平、NRS-2002评分、FEV_(1)/FVC、FEV_(1)%水平、CAT评分比较差异无统计学意义(P>0.05)。干预后,观察组患者衰弱状态轻于对照组,观察组TP、ALB水平高于对照组,NRS-2002评分低于对照组,观察组FEV_(1)/FVC、FEV_(1)%水平高于对照组,观察组CAT评分低于对照组,两组以上指标比较差异均有统计学意义(P<0.05)。结论老年综合评估指导下的中医护理干预策略可进一步提高患者营养水平和肺功能,最终改善患者衰弱状态,减轻COPD对生活质量的影响。

心脏超滤综合护理干预在重症心功能不全患者中的应用价值

目的探讨心脏超滤综合护理干预在重症心功能不全患者的疗效。方法选取2022年6月至2023年6月接受治疗的重症心功能不全患者44例,行心脏超滤技术。随机数字表法分为对照组和观察组,每组22例。对照组给予一般护理,观察组在对照组基础上给予综合护理。观察2组患者心功能情况、体循环血管阻力(SVR)、左心室射血分数(LVEF)、脑钠肽(BNP)及2组患者不良反应发生情况。结果观察组和对照组的总有效率分别为95.45%、72.72%,差异有统计学意义(P<0.05);护理后2组患者SVR、LVEF、BNP指标明显改善,且观察组优于对照组(P<0.05);观察组护理后满意程度高于对照组(P<0.05);观察组的不良反应发生率为4.55%,对照组为31.82%,差异有统计学意义(P<0.05)。结论综合护理干预心脏超滤技术治疗重症心功能不全患者,可以改善心功能情况,临床效果显著,有效降低不良反应发生情况,值得推广及应用。

全方位管理干预对行^(18)F-FDG PET/CT检查胃癌患者心理状态及满意度影响

目的:探讨全方位管理干预在进行^(18)F脱氧葡萄糖(FDG)正电子发射型计算机断层显像(PET)/CT检查胃癌患者中的应用效果.方法:选取2021年10月至2022年10月本院收治的123例胃癌患者为研究对象.根据干预方案将其分为研究组(n=64,采用全方位管理干预)和对照组(n=59,采用常规干预).采用统计学方法,比较两组患者图像合格率、患者心理状态和检查满意度.结果:研究组患者图像一次合格率高于对照组,差异有统计学意义(P<0.05).研究组患者情绪平稳度、依从性、生活习惯、沟通能力、自我约束评分高于对照组,差异均有统计学意义(P<0.05).研究组患者检查前、中、后检查满意度均高于对照组,差异均有统计学意义(P<0.05).结论:在胃癌患者^(18)F-FDG PET/CT检查中应用全方位管理干预,可改善患者心理状态及满意度,利于诊断检查工作的开展.

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。

综合护理在经腹部外伤性手术治疗的外伤性脾破裂患者中的应用效果

目的:探讨综合护理干预在经腹部外伤性手术治疗的外伤性脾破裂患者中的应用效果.方法:选取大连市中心医院收治的85例经腹部外伤性手术治疗的外伤性脾破裂患者为研究对象,按随机数字表法将患者分为对照组(n=42)和观察组(n=43).对照组给予常规护理措施,观察组在对照组的基础上联合使用综合护理干预.比较2组的心理状态、生活质量和并发症发生情况.结果:护理前,2组焦虑、抑郁评分比较,差异无统计学意义(P>0.05);护理后,观察组焦虑、抑郁评分均低于对照组,组间差异有统计学意义(P<0.05).护理前,2组健康调查简表(SF-36)评分比较,差异无统计学意义(P>0.05);护理后,观察组SF-36评分高于对照组,差异有统计学意义(P<0.05).观察组并发症总发生率(2.32%)低于对照组(19.04%),差异有统计学意义(P<0.05).观察组卧床时间、首次排气时间、首次进食时间、脾窝引流管留置时间、住院时间均短于对照组,组间差异有统计学意义(P<0.05).观察组总满意度(97.67%)高于对照组(83.72%),差异有统计学意义(P<0.05).结论:给予外伤性脾破裂患者综合护理能够帮助患者疏导不良情绪,提高患者生活质量,降低并发症发生率.

综合护理干预应用于康复期精神分裂症患者的效果分析

目的:分析综合护理干预应用于康复期精神分裂症患者的效果。方法:选取2020年6月—2022年8月江苏省常熟市第三人民医院收治的康复期精神分裂症患者80例作为研究对象,采用随机数字表法分为参照组与试验组,各40例。参照组实施常规护理干预,试验组实施综合护理干预。比较两组护理效果。结果:干预后,两组社会能力、社会兴趣、个人整洁及总积极因素评分高于干预前,且试验组高于参照组,差异有统计学意义(P<0.05);两组激惹、精神病表现、迟缓、抑郁及总消极因素评分低于干预前,且试验组低于参照组,差异有统计学意义(P<0.05)。干预后,两组日常生活能力、动性和交往情况、社会性活动技能评分高于干预前,且试验组高于参照组,差异有统计学意义(P<0.05)。干预后,两组心理社会评分、动力与精力评分、症状和不良反应评分低于干预前,且试验组低于参照组,差异有统计学意义(P<0.05)。结论:综合护理干预应用于康复期精神分裂症患者的效果显著,能够改善患者社会功能,提高生活质量。

综合性护理干预对冠心病合并糖尿病患者介入治疗的临床应用价值及生活质量的影响研究

目的 分析在冠状动脉粥样硬化性心脏病(以下简称冠心病)合并糖尿病患者介入治疗中实施综合性护理干预的效果。方法 方便选取2022年3月—2023年2月滕州市中医医院心血管科接受治疗的68例冠心病合并糖尿病患者为研究对象,依据抽签规则划分成两组,各34例,对照组采用常规护理,观察组采取综合性护理,对比两组的血糖、血压、水平、生活质量和并发症发生情况。结果 护理后,观察组的舒张压为(83.24±1.47)mmHg、收缩压为(136.28±2.17)mmHg,优于对照组的(90.53±2.17)、(149.57±1.46)mmHg,差异有统计学意义(t=16.217、29.629,P均<0.05)。观察组空腹血糖、餐后2 h血糖、糖化血红蛋白均低于对照组,差异有统计学意义(P均<0.05)。观察组生活质量评分高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为2.94%,低于对照组的17.65%,差异有统计学意义(P<0.05)。结论 综合性护理干预能够全面提升患者的生活质量,通过监测和管理心血管及血糖指标有效控制疾病进展,减少并发症风险,并通过教育和心理支持,提高患者自我管理能力,进一步改善生活质量。

核磁共振成像增强扫描患者在检查期间接受全方位系统护理干预的效果评价

目的:探讨核磁共振成像增强扫描患者在检查期间接受全方位系统护理的干预效果。方法:选取2023年1月—2024年1月收治的197例核磁共振成像增强扫描患者,以随机数字表法分为A组(98例)和B组(99例)。A组采用常规检查护理,B组采用常规检查护理+全方位系统护理干预。比较两组各项指标。结果:干预后两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于干预前,且B组低于A组,差异有统计学意义(P<0.05);干预后B组各项安全质量评分、护理满意度高于A组,差异有统计学意义(P<0.05);B组不良事件发生率低于A组,差异有统计学意义(P<0.05)。结论:核磁共振成像增强扫描患者在检查期间接受全方位系统护理干预,可有效改善其心理状态,提高安全质量和护理满意度,减少不良事件的发生。

基于自评-主观全面评定量表的个体化护理干预对2型糖尿病肾病患者营养状态的影响

目的探究基于自评-主观全面评定量表的个体化护理干预在2型糖尿病肾病患者中的应用价值。方法随机选取2019年5月—2022年12月淄博市中医医院接诊的80例2型糖尿病肾病患者为研究对象,根据不同护理干预方法分为对照组(n=40)、研究组(n=40)。对照组实施常规护理干预,研究组实施基于自评-主观全面评定量表的个体化护理干预。比较两组患者护理干预前及护理干预3个月后的饮食习惯量表(Eat-ing Habits Questionnaire,EHQ)评分、微型营养评价量表(Mini Nutritional Assessment,MNA)评分、生活质量评分及饮食行为依从性。结果干预后,研究组EHQ评分为(7.09±1.34)分,高于对照组的(6.31±1.21)分,差异有统计学意义(t=2.732,P<0.05)。研究组饮食行为依从性、MNA评分、生活质量评分均高于对照组,差异有统计学意义(P均<0.05)。结论2型糖尿病肾病患者实施基于自评-主观全面评定量表的个体化护理干预,可培养健康饮食习惯,提高饮食行为依从性,并改善营养状况,提高患者生活质量。

综合护理干预对子宫内膜癌合并糖尿病患者空腹血糖指标的改善效果探讨

目的探究子宫内膜癌合并糖尿病患者应用综合护理干预的临床价值。方法选取100例子宫内膜癌合并糖尿病患者,根据随机数字表法分为两组,每组50例。对照组采用常规护理,观察组采用综合护理干预。比较两组患者护理满意度、护理前后的自我管理评分及血糖指标。结果观察组护理满意度100%较对照组的88.00%高(P<0.05)。观察组护理后自我管理评分高于对照组,空腹血糖、餐后2h血糖水平均低于对照组(P<0.05)。结论子宫内膜癌合并糖尿病护理中,综合护理干预应用效果显著,可提高血糖控制效果,提升患者自我管理能力及护理满意度,值得临床推广。

综合护理干预用于尿毒症血液透析患者效果评价

目的探讨综合护理干预用于尿毒症患者血液透析的效果。方法选取医院2022年1月至12月收治的尿毒症血液透析患者113例,随机分为对照组(56例)和观察组(57例)。对照组患者予常规护理,观察组患者予综合护理干预。结果观察组手术并发症发生率为3.51%,显著低于对照组的14.29%(P<0.05)。观察组护理后尿素氮(BUN)、血清肌酐(SCr)、白细胞介素6(IL-6)、肿瘤坏死因子-α(TNF-α)水平均显著优于对照组(P<0.05)。观察组护理后汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分均显著低于对照组(P<0.05),生活质量评分显著优于对照组(P<0.05)。结论综合护理干预用于尿毒症血液透析,能降低患者的并发症发生率,改善肾功能,控制炎性指标,缓解不良情绪,提高生活质量。

喉切除术的手术配合要点及护理分析

目的 探讨喉切除术的手术配合要点及护理分析。方法 选取2018年6月至2023年6月大连理工大学附属中心医院进行喉切除患者42例。按随机数字表法分为对照组与干预组,每组21例,分别给予常规护理和综合手术配合及护理。对比两组患者的手术情况及护理满意度。结果 干预组手术时间、麻醉苏醒时间较对照组短,术中出血量小较对照组小(均P <0.05)。干预组护理满意度较对照组更高(100%vs.76.19%,P=0.017)。结论 对喉切除患者采取综合护理干预,可改善患者的手术情况,提高患者满意度。