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.

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.

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.

Analysis of the Emergency Rescue Nursing Intervention Effect and Rescue Success Rate for Patients with Traumatic Hemorrhagic Shock

Objective:To analyze the value of emergency rescue nursing intervention in the care of patients with traumatic hemorrhagic shock and its impact on the success rate of rescue efforts.Methods:A total of 80 patients with traumatic hemorrhagic shock were selected as samples,with the timeframe from July 2022 to July 2023.The patients were randomly divided into two groups using a random number table method.Group A received emergency rescue nursing,while Group B received routine nursing care.The success rate of rescue,rescue indicators,complication rates,and family satisfaction with nursing care were compared between the two groups.Results:The rescue success rate in Group A was higher than in Group B(P<0.05);the total blood loss in Group A was less,and the rescue time,full transportation time,and hospitalization time were shorter than in Group B(P<0.05);the complication rate of patients with traumatic hemorrhagic shock in Group A was lower than in Group B(P<0.05);the family satisfaction with emergency nursing care in Group A was higher than in Group B(P<0.05).Conclusion:Emergency rescue interventions for patients with traumatic hemorrhagic shock can reduce blood loss,shorten rescue times,and improve the success rate of shock rescue,providing a safe and effective approach.

Effect of Emergency Care Process Optimization on Rescue Efficiency of Emergency Patients

Objective: This paper discusses the impact of emergency care process optimization on the rescue efficiency of emergency patients. Methods: 102 cases of emergency patients received from January 2017 to February 2018 in our hospital were selected as research objects. According to the order of treatment, they were divided into control group and observation group. The routine nursing process was given to the control group, and the observation group was given an optimized nursing process to compare the rescue efficiency and nursing satisfaction of the two groups. Results: According to the results of the study, the nursing satisfaction of the two groups was compared. Among them, the total satisfaction of the observation group was 49, accounting for 96.07%;the control group was very satisfied with the nursing work, accounting for 82.35%. There was a significant difference in nursing satisfaction between the two groups, which was statistically significant (P<0.05). Comparing the rescue efficiency of the two groups of patients, the observation time, rescue time, infusion time and disease remission time were significantly lower than the control group, the rescue success rate was 94.11%, and the rescue success rate of the control group was 78.43%. The results have statistical significance (P < 0.05). Conclusion: The optimization of emergency nursing process can greatly improve the rescue efficiency of emergency patients, reduce the disability rate and mortality, improve the quality of nursing, and enhance the satisfaction of nursing. It is worthy of clinical promotion practice.

Optimization of emergency nursing process for the rescue of patients with chest pain in the emergency department

Background The occurrence factors of emergency chest pain are relatively complex,and the progression of the condition is fast.Within a short period of time,the condition can worsen significantly,resulting in a higher mortality rate.Therefore,conducting proactive and effective emergency rescue work within a short period of time can significantly improve the success rate of patient resuscitation.Therefore,this study will focus on exploring the research on optimizing the emergency nursing process for the rescue effectiveness of emergency chest pain patients.Methods 82 patients with emergency chest pain admitted to our hospital from January 2022 to January 2023 were selected as the subjects of this study.They were evenly divided into observation group and control group by random number table method,with 41 cases in each group.The control group was given routine nursing,and the observation group was given optimized emergency nursing process.The rescue effect,rescue efficiency,adverse events and nursing quality of the two groups were compared.Results The success rate of rescue was 100.00%in the observation group and 90.24%in the control group,which was significantly higher than that of the control group(P<0.05).The duration of rescue,emergency stay time and hospitalization time in the observation group was lower than that in the control group(P<0.05).The proportion of patients with shock,arrhythmia and heart failure was 0.00%in the observation group,which was lower than the 9.76%in the control group(P<0.05),and the nursing quality scores of emergency order and basic nursing in the observation group were higher than those in the control group(P<0.05).Conclusionss Optimized emergency nursing process can improve the rescue success rate of patients with chest pain in the emergency department,improve the rescue work efficiency,speed up the treatment of patients,and significantly reduce adverse events,which is worthy of popularization and application.

Application effect of optimized emergency nursing process in the rescue of patients with acute myocardial infarction

Background Acute myocardial infarction is a common and prevalent cardiovascular disease that can lead to serious consequences such as shock,arrhythmia,and heart failure.In dealing with acute myocardial infarction,the optimization of emergency nursing process can ensure the effectiveness and safety of rescue work,and help improve the prognosis and rehabilitation of patients.Methods 68 cases of patients with acute myocardial infarction admitted to our hospital from August 2021 to March 2023 were selected as the subjects of this study.They were randomly divided into an observation group and a control group,with 34 cases in each group.The control group received routine nursing care,while the observation group received optimized emergency nursing process based on it.the success rates of rescue,emergency efficiency,complications,and hemodynamics were compared between the two groups.ResultsThe success rate of rescue in the observation group was 100.00%,while in the control group it was 88.24%,the success rate of rescue was statistically different between the two groups(P<0.05).The observation group had shorter time intervals from onset to hospital admission,shorter door-to-activation time,shorter door-toballoon time,and reduced length of hospital stay compared to the control group(P<0.05).The total proportion of patients with complications such as arrhythmias in the observation group was 0.00%,while in the control group it was 11.76%,the difference between the two groups was statistically significant(P<0.05).The Cardi-ac output(CO)index of the observation group and the control group is lower than before the nursing intervention,and the observation group is higher than the control group.The Mean arterial pressure(MAP)index of the observation group and the control group is lower than before the nursing intervention,and the observation group is lower than the control group(P<0.05).Conclusions Optimized the emergency nursing process can improve the success rate of rescue and emergency efficiency in patients with acute myocardial infarction,reduce the occurrence of adverse complications,and improve negative emotions such as anxiety.It is worth promoting and applying.

快速反应团队工作模式对重症孕产妇抢救效率及救治结局的影响

目的:观察对重症孕产妇实施快速反应团队(RRT)工作模式的干预效果。方法:回顾性收集2021年10月-2022年10月开展常规护理模式的148例重症孕产妇临床资料纳入对照组,2022年11月-2023年11月开展RRT工作模式的152例重症孕产妇临床资料纳入观察组。比较两组抢救效率、救治结局、新生儿情况、重症孕产妇并发症。结果:观察组处理时间(22.6±4.0min)、抢救情况(10.5%)、剖宫产率(35.5%)、新生儿死亡率(0)、ICU入住率(2.0%)、住院时间(7.56±1.34d)、并发症总发生率(2.6%)均少于对照组(33.0±4.5min、18.9%、52.0%、4.1%、27.7%、10.86±3.33d、12.2%),预警情况(40.1%)、有效处理率(98.0%)、5minApagar评分(8.74±0.58分)、脐带血pH值(7.64±1.96)高于对照组(27.7%、81.8%、8.46±0.64分、4.96±1.34)(均P<0.05),两组孕产妇死亡率、新生儿1minApagar评分无差异(P>0.05)。结论:RRT工作模式可提高重症孕产妇的抢救效率,改善救治结局、新生儿情况。

群体烧伤院内紧急救援护士核心能力评价指标体系的构建

目的 构建群体烧伤院内紧急救援护士核心能力评价指标体系。方法 基于文献回顾,参考护士核心能力框架,在整体理论的指导下结合本院参与群体烧伤救治工作的实践经验,拟定评价指标初稿,2023年12月1日-2024年2月1日采用德尔菲法进行两轮专家函询,结合层次分析法计算各指标权重。结果 两轮函询问卷回收率为100%,专家权威系数为0.889,专家意见协调系数分别为0.244、0.254(P<0.05),最终形成包括烧伤专科知识、烧伤护理实践能力、应急能力、多学科协作能力、评判性思维能力5项一级指标、15项二级指标和48项三级指标的群体烧伤院内紧急救援护士核心能力评价指标体系。结论 该研究构建的群体烧伤院内紧急救援护士核心能力评价指标体系,专家意见统一,为评估紧急救援护士能力提供工具,同时为进一步优化院内紧急救援护士培训模式、建立院内紧急救援护士梯队提供参考。

重症急性胰腺炎患者急救护理流程再造及应用效果

目的:探讨重症急性胰腺炎(severe acute pancreatitis,SAP)患者急救护理流程再造及应用效果。方法:选取2019年1月—2022年1月样本医院收治的94例SAP患者作为研究对象,将2019年1月—2020年6月样本医院收治的47例SAP患者设为对照组,将2020年7月—2021年12月应用基于流程再造理论重组院内SAP急救护理流程的47例SAP患者设为研究组,比较两组患者急救效率和救治结局。结果:研究组分诊时间、候诊时间和就诊时间均短于对照组,差异有统计学意义(t=12.743、9.136、7.075,P<0.05)。研究组再入院率低于对照组,差异有统计学意义(χ^(2)=4.424,P<0.05)。死亡率比较差异无统计学意义(χ^(2)=0.261,P>0.05)。研究组满意度评分高于对照组,差异有统计学意义(t=6.231,P<0.001)。结论:对SAP患者应用基于流程再造理论重组急救护理流程,可提高SAP急救效果,改善患者救治结局。

时间目标管理联合外伤急救护理在重症颅脑外伤患者中的应用效果

目的浅析重症颅脑外伤患者中开展时间目标管理联合外伤急救护理的临床效果,以便为日后临床制定护理方案提供参考。方法抽取2021年1月至2023年1月期间在漯河市中心医院收治的重症脑外伤患者102例进行回顾性分析,依据护理措施的不同分为对照组与观察组,各51例,对照组接受常规管理联合外伤急救护理,观察组接受时间目标管理联合外伤急救护理,就两组患者急救结局(记录院前死亡、院内死亡及存活状况),抢救效率(记录入院至CT检查时间、抢救总耗时),抢救费用(抢救时的护理费用),神经功能指标[使用格拉斯哥昏迷评分法(GCS)评估]、日常活动能力(使用Barthel指数评估)及并发症(包含肢体功能障碍、吞咽功能障碍、肺部感染、电解质紊乱及发热)进行组间比较。结果观察组患者存活率(96.08%)明显高于对照组(86.27%),差异有统计学意义(P<0.05);而观察组院前死亡率(1.96%)、院内死亡率(1.96%)虽低于对照组院前死亡率(7.84%)、院内死亡率(5.88%),但差异无统计学意义(P>0.05)。观察组患者入院至CT检查时间、抢救总耗时均短于对照组,且抢救费用低于对照组,差异有统计学意义(P<0.05)。干预后,两组神经功能指标均改善,且观察组患者神经功能各项指标均高于对照组,差异有统计学意义(P<0.05)。干预后,两组日常活动能力均提高,且观察组患者日常活动能力评分均高于对照组,差异有统计学意义(P<0.05)。观察组患者并发风险低于对照组,差异有统计学意义(P<0.05)。结论时间目标管理模式与外伤急救护理相结合,可以提高重症颅脑外伤的生存率,减少患者的抢救费用、抢救时间、入院至CT检查时间,还可以促进患者的神经功能恢复,在一定程度上可以减少患者住院期间的并发症。

情景模拟教学法在护士急救能力培训中应用效果的Meta分析

目的 评价情景模拟教学法在护士急救能力培训中的应用效果。方法 检索万方、维普、CNKI、PubMed、Cochrane Library、EMBASE、Web of Science等数据库中有关情景模拟应用于护士急救培训的随机对照实验研究,筛选资料与评价文献质量后,采用Revman 5.4软件进行Meta分析。结果 共纳入4篇文献,Meta分析结果显示,情景模拟教学法可有效提高护士的急救理论和操作考核成绩、评判性思维能力、应急能力及急救能力。结论 在护士急救能力培训中采用情景模拟教学法,能丰富培训内容和方法,提高护士的临床技能,提升护理团队的综合素质。

灾害救援储备护士社会责任现状及影响因素研究

目的调查灾害救援储备护士社会责任现状,分析其影响因素。方法采用一般资料调查表、护士社会责任问卷、护士职业尊重感量表对708名灾害救援储备护士进行调查,探讨灾害救援储备护士社会责任的现状并采用多元线性回归进行影响因素分析。结果灾害救援储备护士社会责任得分为(111.91±11.36)分,社会责任与职业尊重感总分及各维度得分呈正相关(P<0.01);多元回归分析结果显示,学历、灾害救援经验及职业尊重感总分是影响灾害救援储备护士社会责任的因素(P<0.05),共解释总变异量的49.5%。结论灾害救援储备护士社会责任得分处于高水平,护理管理者应制订针对性培养方案,强化灾害救援储备护士的社会责任意识并营造关爱、尊重、支持护士的浓厚氛围,以进一步提升灾害救援储备护士社会责任水平。

心律失常射频消融术并发心脏压塞患者围手术期抢救护理的范围综述

目的对心律失常行射频消融术患者围手术期发生心脏压塞的危险因素及抢救护理进行范围综述,为完善围手术期管理、改善患者预后提供参考。方法采用Arksey和O`Malley的范围综述方法为框架,检索中国知网、中国生物医学文献数据库、维普中文科技期刊数据库、万方数据库、Cochrane Library、PubMed、Web of Science、Embase、CINAHL数据库中发表的心律失常患者行射频消融术并发心脏压塞的相关研究,检索时限为建库至2024年1月31日。对纳入文献进行筛选、汇总,并对危险因素进行归纳总结,得出针对危险因素的抢救护理对策。结果最终纳入11篇文献,研究设计以病例对照为主,多数研究纳入射频消融术中及术后发生的心脏压塞,少数研究仅纳入术中心脏压塞。心律失常患者行射频消融术围手术期并发心脏压塞的发生率为0.61%~2.3%,且不同研究中心报告发生率差异较小,影响因素主要包括患者因素、合并疾病及治疗因素、射频消融术操作相关因素、机构相关因素。抢救护理对策有(1)迅速识别,精准处置;(2)人员、设备急救准备;(3)抢救护理技术应用等。结论心律失常患者射频消融术并发心脏压塞受患者、手术操作及组织因素的影响,未来可综合现有研究结果构建心脏压塞风险预测模型,为临床早期识别风险并制订相应的预防策略提供参考。

联合一体化救治的沉浸式剧本设计提高急诊科护士情绪劳动与急救能力的效果评价

目的 探讨联合一体化救治的沉浸式剧本对急诊科护士情绪劳动与急救能力的干预效果,为提高急诊科护士情绪调节与急救能力提供新方法和新思路。方法 于2021年9月—2022年5月,将60名急诊科护士按照随机数字表法分为干预组和对照组,每组30人。对照组接受常规院内及科室护理培训,干预组在其基础上开展沉浸式剧本培训及体验演练,共4次,每次40 min,完成整体培训后,采用《杰弗逊共情量表》和《情绪劳动量表》对两组护士情绪调节水平进行评定,应用急性脑卒中患者静脉溶栓给药时间、住院时间和神经功能缺损评分评价护士急救能力。结果 干预组护士年龄(30.87±3.46)岁,本科学历27人、专科学历2人;对照组护士年龄(29.38±1.63)岁,本科学历28人、专科学历1人。干预组护士的共情量表得分均高于对照组(P<0.05);干预组护士情绪劳动评分高于对照组,表层扮演评分低于对照组,深层扮演和情绪表达评分高于对照组(P<0.05)。选择两组护士分别接诊的30名急性脑卒中溶栓患者,干预组患者的溶栓药物进入血管时间以及总住院时间较对照组患者减少,ASIA中枢损伤严重程度评分显著降低(P<0.05),干预组患者总体满意程度(96.67%)较对照组患者(63.33%)明显提升(P<0.05)。结论 沉浸式剧本联合一体化救治方案的设计与实施能有效提升急诊科护士的共情能力、情绪劳动水平及患者抢救效果,对急诊护士的综合能力提高具有临床推广意义。

流程优化急诊护理对异位妊娠抢救成功率及护理满意度的影响

目的探讨流程优化急诊护理对异位妊娠抢救成功率及护理满意度的影响。方法选取医院急诊科2021年1月至2023年10月收治的异位妊娠患者104例,随机分为观察组和对照组,各52例。对照组实施常规急诊护理,观察组实施流程优化急诊护理。结果观察组抢救成功率为98.08%,略高于对照组的94.23%(χ^(2)=1.040,P=0.308>0.05);观察组抢救时间、急诊室停留时间、住院时间均明显短于对照组(P<0.05),术中出血量明显少于对照组(P<0.05);观察组护理后的焦虑自评量表和抑郁自评量表评分均明显低于对照组(P<0.05),护理满意度明显高于对照组(P<0.05)。结论流程优化急诊护理用于异位妊娠,可显著提升抢救成功率,改善急救效果,降低患者的心理压力,并提升护理满意度。

护士主导的健康教育对PCI患者自救知识认知的影响

目的评估在院护士主导的健康教育对冠状动脉介入治疗(PCI)患者自救知识知晓率的应用效果。方法选择2023年1~4月在我院治疗的52例冠心病患者作为对照组,选择2023年5~8月在我院治疗的58例冠心病患者作为实验组。对照组实施常规健康教育干预,实验组采用在院护士主导的健康教育干预,比较两组患者PCI后自救知识的总知晓率、总正确率。结果干预后3个月,实验组的PCI后自救知识总知晓率、总正确率均显著高于对照组,差异均具有统计学意义(均P<0.05)。结论对PCI患者采用在院护士主导健康教育干预效果显著,可提升患者PCI后自救知识的知晓率。

急诊危重症病人标准化急救护理效果研究

目的:分析标准化急救护理实施于急诊危重症病人抢救中的效果。方法:选择陆军第八十集团军医院在2023年2月至8月期间急诊收治的80例患者作为研究对象,并将他们分为对照组与观察组。同时,针对两组采取不同的护理措施。通过了解两组患者抢救方面的数据,研究这两种护理模式的应用价值。结果:观察组的抢救成功率高于对照组,死亡率低于对照组,P<0.05;观察组抢救时间、心脏复苏时间及住院时间均短于对照组,P<0.05。结论:标准化急救护理可有效提高急诊危重症病人抢救效果,缩短康复时间。

创伤救护技能模拟训练在医院护生临床实践教学中的应用与效果评价

目的分析创伤救护技能模拟训练在医院护生临床实践教学中的应用效果。方法选择2021年9月至2022年9月在本院实习的护生32名,其中16名为传统带教培训(对照组),16名为创伤救护技能模拟训练培训(观察组),两组均培训3个月。对比两组护生救护能力(理论知识、操作技能、实践综合能力);对比两组对培训反馈情况(是否可提高创伤救护技能练习兴趣、是否贴合临床、是否增加救护时信心、是否提高综合救护能力、是否提高团队协助意识、是否增加与患者沟通能力等);对比两组抢救成功率。结果培训前两组救护能力无差异,培训后救护能力均明显提升,观察组理论知识、操作技能、实践综合能力评分均高于对照组(P<0.05);针对两组反馈情况可知,观察组100%护生均肯定此教学模式可提高对创伤救护技能训练的兴趣,认为此训练模式可贴合临床、增加救护时信心、提高综合救护能力、提高团队协助意识、增加与患者沟通能力者均达85%以上,而对照组患者上述项目认同率均在80%以下(P<0.05);观察组抢救成功率为100%,对照组为68.75%,观察组抢救成功率高于对照组(P<0.05)。结论通过创伤救护技能模拟训练,可以提高护生的救护技能水平,增强其学习的积极性和团队协作能力,并且能够提高抢救的成功率。