Expert consensus on diagnosis and treatment of ulcerative colitis with integrated traditional Chinese and Western medicine:A nursing perspective

Ulcerative colitis(UC)is a chronic nonspecific intestinal inflammatory disease of unclear etiology,characterized by continuous and diffuse inflammatory changes of colorectal mucosa.In recent years,the incidence rate of UC in China has increased year by year,but there is no effective cure method in Western medicine.Traditional Chinese medicine treatment based on syndrome differentiation has the unique advantages of simplicity,convenience,effectiveness,and low cost.Therefore,integration of Chinese and Western medicine has become an important strategy for UC diagnosis and treatment,and has made significant progress in UC.On the basis of learning from a number of consensuses at home and abroad,combined with Chinese research results and the actual clinical situation of traditional Chinese and Western medicine,the UC group of the Chinese Association of Integrative Medicine has formulated the expert consensus on the diagnosis and treatment of UC with integrated traditional Chinese and Western medicine.In this consensus,the pathogenesis,etiology and pathogenesis,diagnosis,integrated traditional Chinese and Western medicine treatment,and chronic disease management with integrated traditional Chinese and Western medicine for UC were recommended by experts.This article interprets the consensus from the perspective of nursing in order to provide reference basis for clinical nursing workers.

Measurement of combined flap thickness for reconstruction of decubitus ulcer using computed tomography

BACKGROUND Various reconstruction options have been introduced to treat decubitus ulcers.A combined flap that takes advantage of the fasciocutaneous and muscle flaps has been proven to be effective in reconstructing decubitus ulcers in previous studies.However,no studies have measured combined flap thickness.This is the first study to demonstrate the superiority of the combined flap by measuring its thickness using enhanced abdominopelvic computed tomography(APCT).AIM To evaluate combined flap modality as a useful reconstruction option for decubitus ulcers using measurements obtained through APCT.METHODS Fifteen patients with paraplegia who underwent combined flap surgery for reconstruction of decubitus ulcers between March 2020 and December 2021 were included.The defects in the skin and muscle components were reconstructed separately.The inner gluteus muscle flap was split and manipulated to obliterate dead space.The outer fasciocutaneous flap was transposed to cover the muscle flap and opening of the decubitus ulcer.Subsequently,we performed enhanced APCT at 3 wk and 6 mo postoperatively to measure the flap thickness.RESULTS The mean flap thickness was 32.85±8.89 mm at 3 wk postoperatively and 29.27±8.22 mm at 6 mo postoperatively.The flap thickness was maintained without any major complications such as contour deformities or recurrence.CONCLUSION Although there was a significant decrease in flap thickness as measured by APCT,the combined flap provided sufficient padding and maintained its thickness even at 6 mo after reconstruction,suggesting that the combined flap modality may be a useful reconstruction option for patients with paraplegic decubitus ulcers.

Comparative Observation on Nursing Effect of Nursing Intervention and Routine Nursing in Patients with Renal Calculi and Gastric Ulcer and the Impacts on Epidermal Growth Factor

Objective: To explore the comparative observation on nursing effect of nursing intervention and routine nursing in patients with renal calculi and gastric ulcer and the impacts on epidermal growth factor. Methods: A total of 72 patients with renal calculi and gastric ulcer were selected and treated in our hospital from January 2018 to December 2018. They were divided into the observation group and the control group, 36 for each. Comprehensive nursing intervention was implemented in the observation group, whereas routine nursing was implemented in the control group. The level of epidermal growth factor, nursing satisfaction, renal calculi recurrence rate, average hospital stay and postoperative blood loss were compared between the two groups after nursing. Results: There was no significant difference in the level of epidermal growth factor between the two groups before nursing (P > 0.05), while after nursing, the level in the observation group was higher compared with the control group, and the difference between the two groups was significant (P Conclusion: With regard to patients with renal calculi and gastric ulcer, comprehensive nursing intervention can improve nursing satisfaction and quality of patients’ lives, reduce calculi recurrence rate, and increase the level of epidermal growth factor, which has clinical application value.

Development of an accurate nursing program based on function in chronic venous leg ulcers:protocol for matching function status with nursing interventions using the Delphi survey

Objective: Venous leg ulceration(VLU) is one of the complications of lower extremity venous reflux and reflux disorder of severe diseases, with many adverse effects on patient’s work and life. Nowadays, more and more patients with VLU accept wound care in community setting. Clinical nurses generally take care of the patients based on their own experiences. Healing in VLU is an incredibly complex process, which puzzles even experts. The majority of general nurses do not have this level of expertise, especially those nurses serving in community. Function is the basis of nursing activities. Patients always show different clinical manifestations and selfcare abilities due to various function states, which cannot be reflected completely by the existing nursing practice. How to describe nursing practice standardized in order to demonstrate the effectiveness of interventions and facilitate interdisciplinary communication is another urgent problem. Therefore, the aim of this project is to develop an accurate nursing program based on function in chronic venous leg ulcers, which can both satisfy the needs of patients and promote nursing revolution.Methods: This study will use International Classification of Functioning Disability and Health as a framework to choose suitable functions and to filter function classification standards of chronic venous leg ulcers through evidence-based systematic research.Nursing interventions related to VLU are selected based on Nursing Interventions Classification, adding other nursing activities by methods of evidence-based systematic review and clinical observation. Then, nursing interventions and function status are matched through steering committee. Finally, the Delphi survey method is adopted to make nursing program native and scientific.Conclusions: This study is expected to be very significant and meaningful in using standardized nursing terminology. The nursing program established could better meet the needs of both patients with chronic venous leg ulcers and clinical nurses, promoting the development of wound specialist and standardized nursing language.

Application of Nursing Risk Management in Nursing of Severe Peptic Ulcer Bleeding

Objective: To assess and compare the clinical application value of nursing risk management in the diagnosis and treatment of severe peptic ulcer bleeding. Methods: A total of 70 patients with severe peptic ulcer bleeding were selected as the research objects, randomly divided into observation group and control group, 35 cases for each. The nursing risk management and conventional nursing management were implemented for the two groups, respectively. The success rate of hemostasis, average length of stay, cure rate, complication rate, dyspnea rate, nursing dispute rate, SAS score, and SDS score were compared between the two groups. Patients’ satisfaction with nursing quality was also compared. Results: After the implementation of two different nursing management methods, all the above-mentioned metrics were better in the observation group than in the control group, and the differences were statistically significant (P < 0.01 or P < 0.05). Conclusion: The application of nursing risk management in the nursing intervention process of patients with severe peptic ulcer bleeding can effectively reduce the probability of nursing risk events, increase the cure rate, shorten the patient’s hospital stay, but also improve the patients’ psychological state and increase the patient’s satisfaction with nursing quality, which is worth clinical promotion.

Traditional Chinese Medicine Nursing Protocols for Gastric ulcer(peptic ulcer)

Objective Gastric ulcer( peptic ulcer) is one of the most common digestive system diseases. This paper aimed to summarize the common syndromes of gastric ulcer( peptic ulcer),and to discuss related Traditional Chinese Medicine nursing interventions and health guidance.

Nursing care for diabetic toe ulcers:A case series report and literature review

This paper reports the treatment of eight cases with toe ulcers.The eight patients received nursing treatments,including debridement,dressings,decompression,anti-fungal management,and education from specialist nurses.The patients were also given drugs to control glucose,nourish the nerve,and improve blood circulation of the lower extremities.The toe ulcers of the eight diabetic patients healed after 42e168 days[average 85±36 days].Thus far,few studies have focused on diabetic toe ulcers.Timely identification of risk factors and regular toe care could decrease the prevalence of toe ulcers and shorten the recovery time in patients with diabetic mellitus.Hence,these patients must be diagnosis and treated early.Results suggest that feet,particularly toes,should be inspected and cared for regularly in diabetic patients.

The Misunderstanding and New Nursing Progress of Pressure Ulcers

In recent years, many foreign and domestic scholars have made a further study on the risk factors, high-risk groups, prevention and nursing of pressure ulcers. For all reasons such as clinical nursing workers and managers, new progresses can＇ t be well applied, and simultaneously pressure ulcers are misunderstood to some extent. These conditions are not conducive to the prevention and nursing of pressure ulcers and the improvement of patients＇ life quality and nursing service quality. Therefore, it is necessary to keep away from the misunderstanding, know well new progresses and reduce the incidence of pressure ulcers.

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.

Nursing Effect of Standardized Nursing Intervention in Endoscopic Examination of Patients with Gastric Ulcer Complicated with Diabetes

Objective:To explore the nursing effect of standardized nursing interventions in endoscopic examination of patients with gastric ulcer complicated with diabetes.Methods:90 patients with gastric ulcer complicated with diabetes who were treated in our hospital from May 2018 to May 2019 were selected and randomly divided into 2 groups,each containing 45.The control group received routine nursing,and the observation group performed standardized nursing intervention on the basis of the control group.The control group received conventional nursing,and the observation group performed standardized nursing intervention on the basis of the control group.After nursing,the two groups of patients were compared for their psychological state and nursing satisfaction.Results:After nursing,the HAMD and HAMA scores of the two groups were lower than before the nursing,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion:Standardized nursing intervention can alleviate the negative emotion of endoscopic examination of patients with gastric ulcer complicated with diabetes,which is conducive to the smooth progress of the examination.

Nursing Effects of Medical Treatment Combination on Patients at High Risk of Developing Pressure Ulcers at Rural Homes

Objective:To explore the nursing effects of medical treatment combination on patients at high risk of developing pressure ulcers at rural homes.Methods:From January 2018 to December 2018,86 patients at high risk of developing pressure ulcers at rural homes who were in Wenjiang Hospital were randomly divided into a control group and an observed group.The control group received the routine publicity and education and visiting,while the observed group adopted the cooperative nursing model of medical treatment combination.Then compare the healing status and nursing satisfaction of the two groups.Results:Of the 43 patients with pressure ulcers in the observed group,18 had been in the second stage of pressure ulcers and 16 had been healed;14 had been in the third stage of pressure ulcers and 8 had been healed;11 had been in the fourth stage of pressure ulcers and 5 had been healed.The nursing satisfaction of the patients in the observed group was 95.35%.Conclusion:Conducting medical treatment combination on patients at high risk of developing pressure ulcers at rural homes can effectively improve the patients’and their families’awareness of pressure ulcer nursing,standardize their nursing behaviour,help recover the patients themselves and promote the patients’satisfaction.

Nurses’ Knowledge, Attitudes and Practice regarding Pressure Ulcers Prevention and Treatment

Pressure ulcers (PU) are one of the most common hospital-acquired problems that occur in patients with mobility limitations. Such wounds can produce pain and deterioration of the underlying condition. Sometimes, they can be life-threatening, and their treatment can impose a financial burden on both the patient’s family and society. Nurses’ knowledge, attitude, and practice are the most important weapons to fight this preventable burden of PU among patients with impaired mobility. The purpose of this study was to assess nurses’ knowledge, attitude, and practice regarding PU prevention and treatment at Clinique Prince Louis Rwagasore (CPLR) in Bujumbura, Burundi. A cross-sectional study design was used. Convenience sampling was used to invite all 28 qualified nurses and nurses’ aids who work in the services where critically ill patients are admitted to participate. A questionnaire was created, and underwent evaluation of face validity before using it to collect data which was analysed using SPSS 21.0. Results revealed that nurses’ knowledge and practice scores were low as participants scored less than 50% on the six knowledge items and the six practice items. However, the attitude scores were greater than 65% on the five items used to evaluate attitude. A strong negative correlation was found between nurses’ knowledge and their attitude scores (r = ?0.479, p = 0.015). Education level was negatively associated with nurses’ knowledge and practice scores of PU prevention and treatment. A high attitude score did not correlate with a higher practice score which might be explained by low knowledge scores (less than 50% on knowledge items). Continuous professional development (CPD) was recommended to improve nurses’ knowledge scores and implementation of PU preventive practices at CPLR.

超声指导下的护理方案预防ECMO运转期患儿压疮的效果

目的评估将不同护理方案,即传统防压疮护理干预、超声指导下的护理方案联合传统防压疮护理干预,分别予以体外膜肺氧合(extracorporeal membrane oxygenation,ECMO)运转期患儿后,对其各观察指标的影响。方法郑州大学附属儿童医院2020年6月至2022年6月收治的ECMO运转期患儿60例,通过随机分组得到对照组、观察组,每组均包含30例患儿。对照组中,男、女患儿例数分别为18、12;年龄5~14岁(10.74±1.63)岁;心血管疾病7例,呼吸系统疾病5例,胃肠系统疾病4例,外科疾病8例,其他病症6例。观察组中,男、女患儿例数分别为16、14;年龄5~13(10.72±1.55)岁;心血管疾病8例,呼吸系统疾病6例,胃肠系统疾病3例,外科疾病9例,其他病症4例。入组后,对照组予以传统防压疮护理干预,观察组予以超声指导下的护理方案联合传统防压疮护理干预。护理至出院,通过观察指标的数据评估对比不同护理干预方案的护理效果。采用t检验、χ^(2)检验。结果观察组压疮发生率6.67%(2/30)低于对照组26.67%(8/30),住院时间[(14.71±2.59)d]、血管活性药物使用时间[(15.34±2.38)h]、ECMO支持时间[(8.91±2.51)d]均短于对照组[(20.38±3.39)d、(23.55±2.45)h,(12.05±3.54)d],组间比较差异均有统计学意义(χ^(2)=4.320,t=7.280、13.165、3.963,均P<0.05)。护理至出院,观察组生活质量调查表(Short Form 36,SF-36)评分(社会功能、躯体功能、心理功能、角色功能)分别为(86.64±5.48)分、(82.28±5.41)分、(82.54±5.51)分、(84.17±5.48)分,均高于对照组[(74.35±5.61)分、(73.59±5.37)分、(71.41±5.48)分、(70.21±5.53)分],组间比较差异均有统计学意义(t=5.584、5.584、7.845、9.821,均P<0.05)。护理至出院,对照组、观察组抑郁自评量表(Self-Rating Depression Scale,SDS)、焦虑自评量表(Self-Rating Anxiety Scale,SAS)评分[(48.27±4.64)分和(41.28±3.51)分,(42.10±4.79)分和(33.59±3.57)分]相比于护理前[(52.49±4.33)分和(49.35±2.61)分,(51.67±4.29)分和(48.64±2.48)分]均降低,且观察组低于对照组(均P<0.05)。护理至出院,观察组患儿家属满意度评分(健康宣教、环境舒适、护士态度、护理操作及治疗效果)分别为(16.22±2.47)分、(17.28±2.45)分、(16.48±2.72)分、(18.36±1.12)分、(18.01±1.51)分,高于对照组[(14.18±2.58)分、(15.66±2.51)分、(13.56±2.59)分、(12.28±2.33)分、(13.40±2.61)分],组间比较差异均有统计学意义(t=3.128、2.530、4.258、12.882、8.374,均P<0.05)。观察组治疗依从性高于对照组[90.00%(27/30)比73.33%(22/30)],差异有统计学意义(χ^(2)=4.320,P=0.038)。结论ECMO运转期患儿采用超声指导下的护理方案能够缩短恢复时间,改善心理状态,提高生活质量,增加治疗依从性及家属满意度,避免压疮发生。

基于回馈理论的健康教育结合饮食调护对Hp阳性消化性溃疡患者溃疡愈合情况及健康行为的影响

目的探究基于回馈理论的健康教育结合饮食调护在幽门螺旋杆菌(Hp)阳性消化性溃疡患者中的应用效果。方法选取2019年7月至2021年4月收治的80例Hp阳性消化性溃疡患者为研究对象,根据不同护理方案将其分为对照组和观察组,各40例。两组患者均给予常规护理,对照组在常规护理基础上加施饮食调护,观察组在对照组基础上加施基于回馈理论的健康教育。比较两组的干预效果。结果观察组的溃疡愈合总有效率高于对照组(P<0.05)。干预1个月后,观察组的健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)各维度评分均高于对照组(P<0.05)。观察组的Hp清除率高于对照组(P<0.05);干预1个月后,观察组的胃动素(MTL)、胃泌素(GAS)水平均低于对照组(P<0.05)。结论基于回馈理论的健康教育结合饮食调护在Hp阳性消化性溃疡患者中的应用效果显著。

溃疡性结肠炎中西医治疗及护理研究进展

溃疡性结肠炎是由免疫介导的炎症性肠病,临床症状为反复发作的腹泻、腹痛及黏液脓血便。中西医诊疗各有所长,探索行之有效的中西医结合治疗和护理方法对提高溃疡性结肠炎疗效有着积极意义。本研究总结中西医诊疗溃疡性结肠炎的研究现况及临床护理进展,以期为临床进一步提升溃疡性结肠炎的诊疗质量提供一定的理论依据。

基于IDEAS的多元化护理对溃疡性结肠炎患者生活质量及满意度的影响

目的探究基于IDEAS的多元化护理模式对溃疡性结肠炎患者生活质量及满意度的影响。方法方便选取2018年9月—2023年9月盐城市第三人民医院消化内科收治的84例溃疡性结肠炎患者作为研究对象,以随机数表法分为两组,对照组(42例)实行常规护理,观察组(42例)实行基于IDEAS的多元化护理模式。比较两组生活质量评分及护理满意度。结果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)。观察组护理总满意率远高于对照组,差异有统计学意义(P<0.05)。结论基于IDEAS的多元化护理模式对溃疡性结肠炎护理效果具有积极影响,利于提高患者生存质量与护理满意度。

个体化饮食护理在慢性胃溃疡患者护理中的效果

目的探究对慢性胃溃疡患者实施个体化饮食护理的效果。方法选择2022年1月至2023年5月就诊于本院治疗的106例慢性胃溃疡患者,随机分为实验组(53例)和常规组(53例),分别进行个体化饮食护理和常规护理,对比两组患者临床症状消除时间、并发症发生率及生活质量。结果实验组患者烧灼感、反酸、腹痛等症状消失时间较常规组更短(均P<0.05);实验组并发症发生率为3.77%,低于常规组的16.98%(P<0.05);实验组患者的生活质量评分高于常规组(P<0.05)。结论对慢性胃溃疡患者实施个体化饮食护理,可以有效降低并发症发生率,更快缓解疾病症状,促进患者胃功能恢复。

饮食护理应用于胃十二指肠溃疡患者的效果分析

目的:分析饮食护理应用于胃十二指肠溃疡患者的效果。方法:选取2021年6月—2022年5月滕州市中心人民医院收治的胃十二指肠溃疡患者200例作为研究对象,采用随机数字法分为研究组与对照组,各100例。对照组实施常规护理,研究组实施饮食护理干预。比较两组护理效果。结果:研究组治疗有效率高于对照组,差异有统计学意义(P=0.011)。护理后,两组体质量及血清白蛋白、转铁蛋白、血红蛋白水平高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05)。护理后,两组躯体功能、心理功能、社会功能、物质生活评分高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05)。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,差异有统计学意义(P<0.05)。结论:饮食护理干预应用于胃十二指肠溃疡患者的效果显著,能够改善患者营养指标,提高生活质量,缓解负性情绪。

中药灌肠治疗溃疡性结肠炎指南共识质量评价与内容分析

目的评价中药灌肠治疗溃疡性结肠炎(ulcerative colitis,UC)临床实践指南(clinical practice guidelines,CPGs)和专家共识的质量,并对推荐的中药灌肠方案进行内容一致性分析。方法检索主要中英文数据库和医脉通、SIGN、NICE、WHO等指南网站及数据库,检索时限为建库至2023年11月1日。汇总分析中药灌肠相关推荐内容,并采用AGREE-China、RIGHT和JBI工具分别评价CPGs和专家共识的质量。结果最终纳入2部CPGs和5部专家共识。内容分析结果表明:各CPGs和专家共识中中药灌肠推荐意见存在不一致,未详细报告证据等级和推荐强度。结肠宁、锡类散和康复新液以及血竭、复方黄柏、青黛、乌梅和三七等是不同CPGs和共识中推荐频率相对较高的方剂和中药。AGREE-China 5个领域的总得分(报告率)分别为:(62.86±29.82)分、(76.07±23.29)分、(30.00±31.74)分、(85.24±17.53)分和(14.29±34.99)分。其中,4篇强推荐、2篇弱推荐和1篇不推荐。RIGHT评价结果显示:CPGs报告项目占45.71%、未报告占44.29%、部分报告(不适用)占10.00%。JBI评价结果显示:专家共识整体质量较高。结论我国中药灌肠治疗UC相关CPGs和共识整体方法学质量有待进一步加强,不同CPG和共识中药灌肠治疗UC相关推荐内容不全面且证据基础不足。期待后期国内研究者整合现有CPG和共识证据,制定全面规范的本土化中药灌肠治疗UC的循证指南,提高适用性,正确指导临床和护理合理选择灌肠中药,发挥中药灌肠疗护UC的特色优势。

基于聚焦解决模式的护理干预结合分期饮食指导对Hp阳性溃疡性结肠炎患者再生黏膜功能学成熟度、营养状态、主观幸福感的影响

目的探究基于聚焦解决模式的护理干预结合分期饮食指导在幽门螺旋杆菌(Hp)阳性溃疡性结肠炎患者中的应用效果。方法将96例Hp阳性溃疡性结肠炎患者根据护理方案分为对照组与观察组,各48例。对照组接受常规护理结合分期饮食指导,观察组在对照组护理方案基础上加施基于聚焦解决模式的护理干预。比较两组的干预效果。结果干预2周后,观察组的前列腺素E2(PGE2)、表皮生长因子(EGF)水平高于对照组(P<0.05)。干预2周后,观察组的血清白蛋白(ALB)、转铁蛋白(TRF)、血红蛋白(HB)水平高于对照组(P<0.05)。干预2周后,观察组的纽芬兰纪念大学幸福度量表(MUNSH)评分高于对照组,焦虑自评量表(SAS)评分低于对照组(P<0.05)。结论基于聚焦解决模式的护理干预结合分期饮食指导可改善Hp阳性溃疡性结肠炎患者的营养状态及焦虑状态,提升再生黏膜功能学成熟度及主观幸福感。