Co-word clustering analysis for nursing safety management research focuses by PubMed

Objective： To analyze hot research areas and the present research status of nursing safety management in PubMed. Methods： PubMed was searched using ＂safety management＂ for the literature on nursing safety management. BICOMB 2.0 and SPSS 20.0 software were used to analyze high-frequency keywords and conduct co-word clustering analysis. Results： We searched for totally 2353 articles related to our topic and extracted 19 high-frequency keywords （27.50%）. Five research focuses were concluded, including： study on nursing safety culture; team work to promote nursing safety; practice of nursing safety management; workplace violence against nursing staffs; nursing safety and quality evaluation standard. Conclusion： Analysis of the hotspots of nursing safety management in the past 10 years will contribute to understanding the research emphases and trend of development, and provide reference for the study and practice of nursing safety management.

Research status and hotspots of economic evaluation in nursing by co-word clustering analysis

Objective:The aim of this study is to discover research status and hotspots of economic evaluation(EE)in nursing area using co-word cluster analysis.Methods:Medical Subject Heading(MeSH)term“cost–benefit analysis”was searched in PubMed and nursing journals were limited by the function of filter.The information of author,country,year,journal,and keywords of collected paper was extracted and exported to Bicomb 2.0 system,where high-frequency terms and other data could be further mined.SPSS 19.0 was used for cluster analysis to generate dendrogram.Results:In all,3,020 articles were found and 10,573 MeSH terms were detected;among them,1,909 were MeSH major topics and generated 42 high-frequency terms.The consequence of dendrogram showed seven clusters,representing seven research hotspots:skin administration,infection prevention,education program,nurse education and management,EE research,neoplasm patient,and extension of nurse function.Conclusions:Nursing EE research involved multiple aspects in nursing area,which is an important indicator for decision-making.Although the number of papers is increasing,the quality of study is not promising.Therefore,further study may be required to detect nurses’knowledge of economic analysis method and their attitude to apply it into nursing research.More nursing economics course could carry out in nursing school or hospitals.

Prevention of central venous catheter-related infection in ICU with cluster nursing intervention: a meta-analysis

Objective:To systematically evaluate the clinical effects of cluster nursing intervention in preventing central venous catheter-related infection in intensive care unit.Methods:A randomized controlled study was searched from China National Knowledge Internet(CNKI),Wanfang,Chinese Scientific Journals Database(VIP),Chinese Biomedical Literature Service System(SinoMed),PubMed,Embase and Cochrane library databases from the establishment to May 1,2020.Two reviewers independently evaluated and cross checked the quality of the study.Revman 5.3 was used to conduct the meta-analysis.Results:A total of 21 randomized controlled trials with 6,030 patients were included.Meta-analysis showed that the incidence of central venous catheter-related infection(relative risk(RR)=0.29,95%confidence interval(CI)[0.23,0.37]),the incidence of catheter plugging(RR=0.25,95%CI[0.16,0.39])and catheter prolapse(RR=0.18,95%CI[0.11,0.29])were significantly different between the two groups.Conclusion:Cluster nursing intervention could prevent central venous catheter-related infection in intensive care unit.

Application of Clinical Nursing Pathway Combined with Cluster Nursing Mode in Biologic Treatment of Rheumatoid Immune Disease Patients

Objective: To investigate the effect of clinical nursing pathway (CNP) combined with cluster nursing mode in intravenous biologic treatment of rheumatoid immune disease patients. Methods: Convenience sampling method was used to select inpatients receiving biologics treatment in Rheumatology and Immunology Department of a grade A hospital in Jingzhou city from May 2020 to April 2022. 75 patients from May 2020 to April 2021 were selected as the control group, and 75 patients from May 2021 to April 2022 were selected as the observation group. The control group was given routine care. The observation group was treated with CNP combined with cluster nursing mode on the basis of the control group, and the incidences of adverse infusion reactions, total treatment time, patient satisfaction and nurse satisfaction were compared between the two groups. Results: There were statistically significant differences between the two groups after intervention (P Conclusion: Using CNP combined with cluster nursing mode is beneficial to reduce the incidence of adverse infusion reactions in patients, shorten the total treatment time, and improve the satisfaction of patients and nurses.

Effect of Cluster Nursing in Preventing Urinary Tract Infection in Postoperative Patients with Indwelling Urinary Catheter

Objective:This paper expounds and analyzes the effect of cluster nursing in preventing urinary tract infection in postoperative patients with indwelling urinary catheter.Methods:A total of 400 postoperative patients with indwelling urinary catheter,treated in Yancheng No.1 People’s Hospital in recent two years,were recruited as research subjects.The patients were equally divided into group A and group B,with 200 patients in each group,and all received routine anti-infectives.The patients in group A(200 cases)received routine nursing.On the basis of group A,cluster nursing was implemented for patients in group B(200 cases).Results:The indwelling time of urinary catheter,the disappearance time of bladder irritation symptoms,and the probability of urinary tract infection were compared between both groups,which showed that the nursing effect of group B was better than that of group A(P<0.05).Conclusion:The implementation of cluster nursing in postoperative patients with indwelling urinary catheter can improve the deficiency of routine nursing,consolidate the treatment effect,and reduce the complication rate of urinary tract infection.

A study on clinical nursing research trends and hotspots based on bibliometric analysis

Objective: This study was conducted to understand the trends and research hotspots of clinical nursing in China and abroad, thereby to provide guidance for nursing practice and studies.Methods: We retrieved clinical nursing literature(excluding literature related to psychological nursing and traditional Chinese medicine nursing) cited in Wanfang Data(www.wanfangdata.com.cn) and PubMed between 2007 and 2015 and subsequently performed bibliometric analyses on article volume,journal, clustering of high-frequency keywords, and co-occurrence of keywords.Results: A total of 10374 publications, excluding those related to psychological nursing, were retrieved via a PubMed search. The literature displayed a rising trend in terms of annual publication volume. The journal distribution of clinical nursing publications overall was consistent with Bradford's Law. The main contents of clinical nursing literature between 2007 and 2009 included:(1) studies on effects of the midwife and midwifery methods for natural childbirth;(2) studies on emergency nursing care;(3)studies on dementia care;(4) studies on bandage dressing in trauma nursing; and(5) studies on quality of life in cancer patients nursing. The main contents of clinical nursing literature between 2010 and 2012 included:(1) studies on obstetric nurse-patient relationships;(2) studies on patients' medical team in stroke nursing;(3) studies on cancer nursing methods;(4) studies on nursing patients with trauma related to urinary incontinence; and(5) studies on the quality of life of caregivers of dementia patients.The main contents of clinical nursing literature between 2013 and 2015 included(1) studies on skin care and bandaging in trauma nursing;(2) studies on evidence-based nursing in AIDS care;(3) studies on nurses' role in obstetric nurse-patient relationships; studies on cancer nursing methods;(4) studies on nursing for Alzheimer's disease and dementia; and(5) studies on caregivers and nursing of stroke patients. A Wanfang Data search retrieved a total of 85570 publications, whose volume also exhibited an annual rising trend, in particular with regard to those in core journals. However, percentage of total publication volume, mean cited frequency per article, and total ranking of clinical nursing publications overall displayed a decreasing trend. The main contents of clinical nursing literature between 2007 and 2009 included:(1) diabetes nursing;(2) nursing for cancer;(3) nursing for senility-related diseases;(4)nursing in the event of complications;(5) nursing for hypertension;(6) studies on quality of life after nursing interventions;(7) chemotherapy nursing;(8) studies on compliance after nursing interventions;(9) constipation nursing; and(10) nursing for stroke patients. The main contents of clinical nursing literature between 2010 and 2012 included:(1) diabetes nursing;(2) nursing for cancer;(3) nursing for senility-related diseases;(4) studies on quality of life after nursing interventions;(5) nursing in the event of complications;(6) nursing for hypertension;(7) prevention nursing;(8) perioperative nursing;(9)pain nursing; and(10) studies on compliance after nursing interventions. The main contents of clinical nursing literature between 2013 and 2015 included:(1) diabetes nursing;(2) nursing in the event of complications;(3) cancer nursing;(4) studies on quality of life after nursing interventions;(5) nursing for stroke patients;(6) nursing for the elderly;(7) studies on compliance after nursing interventions;(8)nursing for hypertension;(9) constipation nursing; and(10) prevention nursing.Conclusions: Clinical nursing research in China is in a rapid development stage as defined by Price's law whereby there is a rapid growth in publication volume. By comparison, clinical nursing research in developed countries is in the stable development stage or maturation phase, which is characterized by a flat curve of publication volume and stable development rate. There is a gap of 25-30 years between China and these countries in terms of the growth phases of clinical nursing literature.

A bibliometric analysis of research on nursing models in countries other than China

Objectives＂ To deepen our understanding of the status quo and to identify the hot topics and develop- mental trends of research on nursing models in countries other than China in the most recent decade. Methods： The study subjects were the publications retrieved from the PubMed database using the MeSH terms of ＂Models, Nursing＂. Bibliographic item co-occurrence mining system （BICOMS） software was used for conventional bibliometric analysis of publications during two time periods, 2005-2009 and 2010-2014. The number of published journal articles, journal distribution, authors of publications, country of origin of journals, and language of publications were analyzed to establish a high-frequency keyword profile and co-occurrence matrix. Graphical clustering toolkit （gCLUTO） software was applied for two-way clustering analysis and visualized analysis. Results： A total of 1472 journal articles with a key theme of nursing models were retrieved for final analysis, including 771 published during 2005-2009 and 701 during 2010-2014. The bibliometric analysis revealed that publications other than China concerning nursing models were mostly concentrated in the United States and the United Kingdom and that the number of relevant publications has been continuously decreasing. The two-way clustering analysis showed that there were mainly four types of research themes in the relevant publications in countries other than China during 2005-2009, i.e., nursing education and theoretical research, clinical nursing and psychological care, nursing administration, and models of nursing education, whereas there were five types during 2010-2014, i.e., nursing theories and clinical nursing practice, nursing administration models and assessments of nurses＇ knowledge and skills, community nursing administration models, nursing human resource management, and nursing education models and approaches. Conclusions： Research on nursing models in countries other than China is relatively mature and stable with a broader view, but it has shown a declining trend in recent years. It emphasizes both theory and practice, with research content tending to be structured into four modules, i.e., nursing education, administration, clinical practice, and theoretical research. Community nursing models may become a key research direction in the international research on nursing models in the future.

Research spot and trend of integrative nursing in breast diseases based on data mining

Objective:To explore the development status,research hotspots and future development trend of traditional Chinese medicine nursing in the field of breast diseases by the bibliometric method.Methods:using CNKI,Wanfang,VIP and SINOMED databases as data sources,the literature related to breast traditional Chinese medicine nursing were obtained by keyword search,and BICOMB 2.01 was used to extract and count the information such as publication year,keywords and so on,and the word matrix was formed.SPSS 21.0 was used to cluster the extracted keywords.Results:a total of 839 articles were included,which came from 348 journals and 48 high-frequency words.Four main research topics were formed by keyword clustering:TCM nursing of breast cancer,TCM nursing of breast abscess/mass,TCM nursing of postpartum breast,TCM nursing of acute mastitis.Conclusion:the TCM nursing literature in the field of breast disease is increasing rapidly,but theoverall quality of the published literature is low,so more scientific and standardized TCM nursing original research is urgently needed.

Bibliometric analysis of researches of empowerment theory applied to nursing in China

Objective:To analysis the development trend and research focus of empowerment theory applied to Nursing in China.Methods:Literatures related to the objective were searched and collected from CNKI,WangFang,VIP and CBM,then Excel 2003 was used to setup the database and co-word matrix,SPSS 21.0 was utilized to make the visualized analysis by way of multivariate statistics analysis,cluster analysis and multidimensional scaling analysis.Results:Literatures with the number of 486 were selected out and 18 high frequency keywords were retrieved from 140 journals.Among the literatures,the first one was published in 2002,then a tremendous rising started since 2009,and reached the peak in 2017,mainly from the southern part of China,such as the province of Jiangsu,Guangdong,and Zhejiang.Regarding the content of the literatures,the research of intervention accounted for 61.32%,then the research of description came to the second at the ratio of 24.49%.What’s more,378(77.78%)were cited,154(31.69%)were funded.Conclusion:Nowadays,empowerment applied in the therapy of chronic disease is the focus and trend of the research of empowerment theory,and the psychological empowerment to nursing staff,as well as the constructed empowerment is going mature.In the future,more attention should be paid to the study and practice of empowerment theory,in order to vary the direction of research and enrich the theory.

Bibliometric analysis of nursing studies on Corona Virus Disease 2019 in China

Objective:To analysis the current status and research focus of Corona Virus Disease 2019(COVID-19)nursing research in China.Methods:China National Knowledge Infrastructure(CNKI),WanFang,Chinese Scientific Journals Database(VIP)and Chinese Biomedical Literature Service System(SinoMed)databases were searched for the literatures on COVID-19 nursing published from January 1,2020,to May 15,2020.The Bibliographic Items Co-occurrence Matrix Builder was used to perform bibliometric analysis on journals,authors,keywords,etc.of the articles,and SPSS 23.0 was utilized to cluster analysis of high-frequency keywords.Results:A total of 458 related articles and 429 first authors were extracted.There articles were published most in the journal of Chinese General Practice Nursing(12.25%).33 high-frequency keywords were extracted such as“COVID-19”,“nurse”,etc.,accounting for 50.19%of the total frequency.Co-word cluster analysis obtained four research hotspots:the psychological status and psychological care of medical staff fighting COVID-19;the nursing strategy of critically ill patients with COVID-19 and the psychological experience of nurses against COVID-19;operating room emergency management and infection prevention during epidemic;the triage management of novel coronavirus infection in fever clinic.Conclusion:The psychological status,the nursing strategy on critically ill patients,the psychological experience of nurses,operating room emergency management and infection prevention,the triage management of novel coronavirus infection in fever clinic had become hot topics when facing the COVID-19 epidemic.

Bibliometrics analysis of applied nursing personnel training in China

Objective:To make a visual analysis of literature metrology on the training of applied nursing talents in China,to clarify the research hotspots and development trends,and to provide basic information for the education and teaching reform of applied nursing talents in China.Methods:The literature related to the training of applied nursing talents in China was retrieved from CNKI,Wanfang,Weipu database.NoteExpress was used for removing duplicates,and Bicomb2.0 was used to extract key fields and generate word matrix,which was imported into gCluto1.0 for double cluster analysis.Results:Finally,675 articles met the inclusion and exclusion criteria,the number of articles is increasing yearly.39 high-frequency keywords,such as practice teaching and 9 core authors such as Song Mei are extracted.The results of double cluster analysis showed that the research topics included five aspects:nursing education reform;training of applied nursing talents at different levels;quality of practical teaching;practice teaching reform and laboratory management;application-oriented nursing personnel training mode.Conclusion:The reform and practice of application-oriented nursing talents training in our country are developing continuously,and has gradually received great attention from universities,the local governments and national government departments.The research focuses on the reform of training mode of applied nursing talents at different levels,practice teaching reform,laboratory management and other aspects,which can provide a reference for the reform and practice of applied nursing talents training in China.

基于战略坐标图的我国“互联网+护理服务”研究主题分析

目的:分析国内“互联网+护理服务”研究主题和发展态势,以期为“互联网+护理服务”高质量、可持续发展提供参考。方法:以“互联网+护理服务”为主题,检索建库至2022年12月期间中国知网收录的文献,使用文献计量学分析软件BICOMB进行计量分析,使用统计分析软件SPSS进行聚类分析,绘制研究主题战略坐标图,揭示核心主题及其发展态势。结果:共纳入327篇文献,论文发文量快速增加,期刊分布相对集中。通过关键词聚类出9大研究主题,其中核心且成熟的主题是“互联网+护理服务”护患体验、“互联网+护理服务”护患双方认知意愿需求以及老年慢性病延续护理;核心不成熟主题是“互联网+护理服务”质量;待发展主题是上门服务、“互联网+护理服务”现状及影响因素、“互联网+护理服务”风险防控以及护士培训。结论:国内“互联网+护理服务”研究目前处于快速发展阶段,受到众多研究者的关注。各研究主题发展阶段不同,逐渐向“互联网+护理服务”内涵发展。研究者应关注热点主题的进展,进一步推动风险防控、质量评价等发展潜力主题的研究。

本科实习护生人格的聚类分析及其对职业认同的影响研究

目的通过聚类分析识别本科实习护生的人格类型,并分析其对职业认同的影响。方法2021年10月至12月采用便利抽样法对山东省3所医院的293名本科实习护生进行职业认同问卷和大五人格量表调查。结果聚类分析显示,本科实习护生共存在3种人格类型,弹性型(17.06%)、困扰型(45.05%)及开放型(37.88%)。回归分析显示,与开放型相比,弹性型是本科实习护生职业认同感的保护因素(P<0.01),而困扰型是其危险因素(P<0.01)。结论本科实习护生的人格类型存在弹性型、困扰型及开放型3种,困扰型表现出较低的职业认同感,值得护理管理者关注。

集束化口腔护理管理对降低鼻咽癌调强放疗患者放射性口腔黏膜反应的效果

目的评估集束化口腔管理方案对日间鼻咽癌调强放疗患者放射性口腔黏膜(RTOM)反应的影响。方法选取2021年1—12月医院日间治疗的200例鼻咽癌调强放疗患者为研究对象,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100例,对照组给予常规护理,观察组在此基础上采用集束化口腔管理。对比两组患者口腔黏膜炎、口干及口咽疼痛程度、生活质量和药物使用依从性变化。结果干预后,观察组患者发生口腔黏膜炎严重程度低于对照组,组间比较差异有统计学意义(P<0.05);观察组患者发生口干、口咽疼痛评分低于对照组,组间比较差异有统计学意义(P<0.05)。干预前,观察组和对照组患者在生理功能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康8个维度的评分比较差异无统计学意义(P>0.05)。干预后,观察组患者生理功能、生理职能、一般健康状况、精力、社会功能、情感职能和精神健康7个维度得分均高于对照组,躯体疼痛维度得分低于对照组,差异均具有统计学意义(P<0.05)。干预后,观察组患者口腔用药依从性高于对照组,差异有统计学意义(P<0.05)。结论对鼻咽癌调强放疗患者实施集束化口腔管理方案可有效延缓和降低放射性口腔黏膜反应的发生,同时也能缓解在治疗过程中的口干、口咽疼痛问题,从而提升患者的生活质量和口腔用药依从性。

基于循证的集束化护理对服用非典型抗精神病药的女性精神分裂症患者代谢的影响

目的探讨基于循证的集束化护理干预对服用非典型抗精神病药的女性精神分裂症患者代谢的影响。方法将服用非典型抗精神病药(氯氮平、奥氮平)的女性精神分裂症患者120例,按数字随机法分为干预组和对照组各60例。对照组实施精神分裂症常规护理,干预组除常规护理外增加基于循证的改善代谢异常的集束化护理,所有被试在干预前及干预后第1、2、6、12个月末均完成体质量指数(BMI)、糖脂指标[糖化血红蛋白(HbAlc)、空腹血糖(FBG)、餐后2 h血糖(2hPG)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL)、高密度脂蛋白(HDL)]、一般自我效能感量表(GSES)的测评,出院时完成护理质量满意度调查表。结果对照组干预后2、6、12个月末BMI、腰臀比较干预前升高(P<0.05),干预组干预后第6、12个月末BMI、腰臀比低于对照组(P<0.05)。对照组干预后第2、6、12个月末FBG、2hPG、HbAlc、TG、TC、HDL均较干预前升高,LDL降低(P<0.05),干预组干预后第2、6、12个月末FBG、2hPG、HbAlc、TG、TC、HDL均低于对照组,LDL高于对照组(P<0.05)。干预后第6、12个月末,干预组GSES评分均较干预前升高(P<0.01),且干预组GSES评分均高于对照组(P<0.01);出院时干预组护理质量满意度评分高于对照组(P<0.01)。结论基于循证的集束化护理干预可改善服用非典型抗精神病药的女性精神分裂症患者的代谢指标,提高自我效能及对护理质量的满意度。

集束化护理在ANCA相关性血管炎肾损害患者中的应用

目的探讨集束化护理在抗中性粒细胞胞质抗体(ANCA)相关性血管炎肾损害患者中的应用效果。方法前瞻性选取2022年1月至2023年6月郑州大学第一附属医院收治的110例ANCA相关性血管炎肾损害患者作为研究对象,按随机数表法分为观察组和对照组各55例。对照组患者采用常规护理,观察组患者在常规护理的基础上给予集束化护理。两组患者均护理至出院,比较两组患者护理前和出院时的血压、平均动脉压、血红蛋白(Hb)和C反应蛋白(CRP)水平和肾功能恢复情况[包括尿素氮(BUN)、血清肌酐(CR)、尿β_(2)-微球蛋白(β_(2)-MG)、胱抑素C(Cys-C)、肾小球滤过率(GFR)情况];比较两组患者护理前和出院时的汉密尔顿抑郁量表(HAMD)评分变化;出院时,统计两组患者的不良反应发生率,并采用自制调查问卷调查两组患者出院时的护理满意度。结果出院时,两组患者的收缩压、舒张压、平均动脉压、Hb、CRP均下降,且观察组明显低于对照组,差异均有统计学意义(P<0.05);出院时,两组患者的Cys-C、GFR均升高,且观察组患者的Cys-C、GFR分别为(792.12±43.83)μg/L、(33.32±4.36)g/L,明显高于对照组的(666.94±57.94)μg/L、(32.34±4.35)g/L,BUN、CR、β_(2)-MG均降低,且观察组患者的BUN、CR、β_(2)-MG分别为(4.02±1.33)mmol/L、(328.25±120.55)mmol/L、(0.14±0.04)mmol/L,明显低于对照组的(4.95±2.73)mmol/L、(420.42±130.38)mmol/L、(0.44±0.04)mmol/L,差异均有统计学意义(P<0.05);出院时,两组患者的HAMD评分均降低,且观察组患者的HAMD为(13.24±1.05)分,明显低于对照组的(26.24±3.19)分,差异均有统计学意义(P<0.05);观察组患者的不良反应发生率为10.91%,明显低于对照组的43.64%,护理满意度为98.18%,明显高于对照组的70.91%,差异均有统计学意义(P<0.05)。结论集束化护理应用于ANCA相关性血管炎肾损害患者中,能够控制患者的血压,改善肾功能,改善患者抑郁情绪,同时有助于减少不良反应发生率,提高患者满意度。

近十年国内护理人员应对突发公共卫生事件研究热点的共词聚类分析

目的利用共词聚类分析2013至2022年我国护理人员在应对突发公共卫生事件方面的研究热点,总结归纳护理人员应对突发公共卫生事件的现状,为后期开展相关研究提供借鉴与帮助。方法检索中国知网、万方数据、维普数据库,自2013年1月1日至2022年12月31日,在篇名、关键词、摘要中含有“护理人员”“护士”“突发公共卫生事件”“公共卫生应急”“公共卫生突发事件”“突发性公共卫生事件”的文献,通过COOC13.4软件去除重复发表文献,通过阅读题目、摘要或全文,去除与主题不符、内容无关的文献,再次利用COOC13.4软件进行词频分析,提取高频主题词,导入gCLUTO软件进行共词聚类分析。结果共纳入文献748篇,提取34个高频主题词,占总频次累计百分比的39.36%,经共词聚类分析共总结出4个研究热点,分别为:护理人员应急救援能力的研究;护理人员突发公共卫生事件教育培训的研究;突发公共卫生事件中护理管理方面的研究;护理人员突发公共卫生事件的心理研究。结论近10年来我国护理人员应对突发公共卫生事件在应急救援能力、教育培训、护理管理、心理研究等方面均有长足的进步,但整体研究质量有待进一步提升。未来可对国外相关文献进行检索,同时加强理论框架及科研方法的运用,以期提高科研质量,促进我国该领域相关研究发展。

集束化护理策略在神经重症气管插管患者围拔管期的应用效果

目的 探究集束化护理策略在神经重症气管插管患者围拔管期的应用效果。方法 选取2021年1~12月宁夏医科大学总医院神经重症监护病房(NCU)收治的83例患者作为对照组,另选取2022年1~12月收治的120例患者作为研究组。在围拔管期,对照组和研究组分别采用常规护理和集束化护理策略。比较2组的拔管成功率、恢复时间和拔管后不良反应发生率。结果 研究组的拔管成功率高于对照组,拔管后不良反应总发生率低于对照组(P均<0.05)。研究组的通气功能改善时间早于对照组,机械通气治疗时间、带管至拔管时间、NCU入住时间和总住院时间均短于对照组(P均<0.05)。结论 在NCU患者围气管拔管期应用集束化护理策略,可提高拔管成功率,降低拔管后不良反应发生率,缩短其恢复时间。

集束化护理对防治脑出血术后下肢深静脉血栓及缓解负性情绪的应用效果分析

目的:探讨集束化护理在预防脑出血术后患者下肢深静脉栓塞及缓解负性情绪方面的应用效果,为临床护理提供依据。方法:选取2018年11月—2020年3月广西医科大学第一附属医院收治的118例脑出血患者作为研究对象,根据入院的先后顺序将其分为对照组和实验组,每组各59例。对照组患者采用常规护理,实验组患者在常规护理基础上实施集束化护理干预。比较两组患者下肢深静脉血栓发生率、心理状态[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分]、D-二聚体水平及护理满意度情况。结果:实验组患者下肢深静脉血栓发生率明显低于对照组,差异有统计学意义(χ^(2)=4.867,P<0.05)。干预后,实验组患者SAS评分、SDS评分均明显低于对照组,差异有统计学意义(t=4.985、5.012,P<0.05)。干预后,实验组患者D-二聚体水平明显低于对照组,差异有统计学意义(t=4.586,P<0.05)。实验组患者护理满意度明显高于对照组,差异有统计学意义(χ^(2)=8.768,P<0.05)。结论:对脑出血术后患者实施集束化护理干预,可预防患者下肢深静脉血栓,改善患者负性情绪,降低D-二聚体浓度,提高患者护理满意度。

PowerPICC导管全程集束化护理管理在神经外科重症监护病房中的应用

目的探讨PowerPICC全程集束化护理管理在神经外科重症监护病房中的应用效果。方法选取2021年8月—2022年11月医院收治的神经外科重症监护病房的住院患者120例为研究对象,根据组间基本资料具有可比性的原则将患者分为对照组65例和观察组55例。对照组患者接受常规护理;观察组患者接受PowerPICC导管全程集束化护理管理。干预结束后,对比两组患者的穿刺次数、一次性穿刺到位率、一次性置管成功率、导管留置时间、治疗过程中不良事件(导管堵塞、机械性静脉炎、导管相关性血流感染、非计划性拔管)发生率、患者出院时对护理服务、环境设施、住院舒适的满意度评分以及综合满意度评分。结果观察组患者的平均穿刺次数低于对照组,一次性穿刺到位率、一次性置管成功率、导管留置时间均高于对照组,差异有统计学意义(P<0.05)。患者对护理服务、环境设施、住院舒适的满意度以及综合满意度评分均高于对照组,差异有统计学意义(P<0.05)。治疗期间观察组患者的不良事件(导管堵塞、机械性静脉炎、导管相关性血流感染、非计划性拔管)与对照组比较组间差异无统计学意义(P>0.05)。结论PowerPICC全程集束化护理管理能够提高一次性成功置管率,延长导管留置时间,提升了患者对医疗服务的满意度。