Effectiveness of Comprehensive Nursing Management in Enhancing Blood Donation Outcomes and Donor Experience: A Comparative Study

Objective:To assess the management effect of comprehensive nursing management on blood donation services in blood stations.Methods:Sixty-four individuals who donated blood at a blood station between September 2021 and September 2023 were selected and randomly assigned into two groups of 32 each.The first group received comprehensive nursing management,while the second group received routine nursing management.Blood donation indexes and observational indexes such as adverse reactions were compared between the groups.Results:The total blood donation volume and qualified blood donation volume were higher in the first group than in the second group.The amount of discarded blood and the rate of blood discards were lower in the first group compared to the second group(P<0.05).Additionally,the adverse reaction rate in the first group was lower,the blood donation comfort scores were higher,the psychological state scores were lower,and the quality of care scores were higher than those in the second group(P<0.05).Conclusion:Comprehensive nursing management can improve the efficiency of blood donation,reduce the rate of blood discards,decrease the incidence of adverse reactions,alleviate negative psychological states of blood donors,and enhance both the comfort level of blood donation and the quality of care provided.

The Effect of Comfort Nursing on the Compliance and Efficacy of Treatment for Children with Acute Otitis Media Caused by Upper Respiratory Tract Infection

Objective:To explore and analyze the clinical effect of comfort nursing on children with acute otitis media.Methods:62 children with acute otitis media caused by upper respiratory tract infection who visited the outpatient clinic of our hospital from June 2022 to June 2023 were selected for this study.They were divided into a study group(n=31)and a control group(n=31).Children in the control group received basic care,while children in the study group received comfort nursing along with basic care.The hearing thresholds,body temperature,treatment compliance,and nursing satisfaction of the two groups of children were compared.Results:After the nursing intervention,the hearing threshold and average body temperature of the children in the study group were lower than those in the control group(P<0.05);the treatment compliance of the children in the study group was higher than that in the control group(P<0.05);the nursing satisfaction of the study group was higher than that of the control group(P<0.05).Conclusion:Comfort nursing can improve the treatment effect,treatment compliance,and nursing satisfaction of children with children with acute otitis media caused by upper respiratory tract infection.

Nurse Care and Comfort in the Puerperium of Girls/Women: Protocol for a Scoping Review

Purpose: Carrying out a scoping review to fill gaps in current knowledge regarding comfort needs in the care provided by nurses to girls/women who experience puerperium. Methods: The procedures guided by the Joanna Briggs Institute will be applied. The searches will be carried out in the Medical Literature Analysis and Retrieval System Online, Excerpta Medica Database, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature, Nursing Database, Scientific Electronic Library databases. Studies which are available in full and published in English, Spanish or Portuguese will be selected. There will be no restrictions to the study design or time frame. Two reviewers will independently screen all citations with the aid of software. The degree of agreement between the researchers will be verified by statistics that measure reliability. Through narrative descriptions, charts, and tables, we will present the results obtained. Data analysis will involve descriptive statistics, and qualitative evaluation. We will use the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist to review and write this review. Conclusion: We will summarize the main information available in the literature on the subject, aiming to obtain an overview of the practices employed, and the gaps present in knowledge that require greater attention from the scientific community.

Status quo and influencing factors of comfort with touch among nursing staff in rehabilitation department:A cross-sectional study

Objective:The objective of this study is to investigate the current status of comfort with touch among nursing staff in the rehabilitation department and analyze its influencing factors.Materials and Methods:The convenience sampling method was used to select 131 nursing staff in the rehabilitation department of 3A-level hospitals in Yunnan Province,China,from March to June 2020 to conduct a questionnaire survey.Results:The nurses’comfort with touch score of 131 clinical nurses in the rehabilitation department was 58.82±4.85.Multivariate regression analysis showed that compassion fatigue(t=‒2.968,P<0.01)and occupational social support(t=2.767,P<0.01)were the influencing factors of the physical comfort of nursing staff;average monthly income(t=‒2.160,P<0.05),occupational cognitive evaluation(t=4.924,P<0.01),and secondary traumatic stress(t=2.833,P<0.01)were the influencing factors of task-oriented contact among nursing staff;marital status(t=2.656,P<0.01)and occupational social support(t=2.078,P<0.05)were the influencing factors for private nursing comfort of nurses.Conclusion:The comfort with touch among nurses in the rehabilitation department is at a medium level.Nursing managers should pay attention to their comfort with touch.In order to promote the development of medical service,hospitals should constantly improve the security and social support of nursing practitioners from the aspects of system,management,and salary performance.

Analysis of the Effect of Comfort Care in The Perioperative Care of Patients with Hysteromyomectomy and its Influence on Self-Care Ability

Objective:To analyze the effect of perioperative comfort care for patients with hysteromyomectomy(HYS).Methods:Seventy cases of HYS patients admitted to our hospital from October 2022 to October 2023 were randomly selected and divided into Group A(control group,35 cases,conventional care)and Group B(observation group 35 cases,comfort care).The effects of the two groups before and after nursing care were compared.Results:The self-rating anxiety(SAS)scores,exercise of self-care agency(ESCA)scores,and nursing satisfaction scores at the time of discharge of Group B were better than in Group A after nursing care(P<0.05).Conclusion:Perioperative comfort care for HYS patients improved the patient’s adverse emotions,self-care ability,and nursing satisfaction.

Effects of Dual-Perspective Nursing Intervention Based on Safety and Comfort Needs on Psychological Status and Safety Quality of MRI Patients

Objective:To investigate the effect of dualperspective nursing intervention based on safety and comfort needs on the psychological status and safety quality of patients undergoing magnetic resonance imaging(MRI).Methods:A total of 100 patients who received MRI in our hospital from October 2017 to December 2019 were selected and randomly divided into two groups,50 cases for each group.Routine nursing intervention was performed in the control group,and double-perspective nursing intervention based on safety and comfort needs in addition to routine nursing was performed in the observation group.Psychological status and examination of safety quality were observed and compared between the two groups.Results:The scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were lower than those in the control group after intervention.Meanwhile,the scores of early treatment of dangerous conditions,implementation of safety measures,prevention of accidental injuries,communication of safety information,education of safety knowledge,standardized examination and awareness of self-safety management in the observation group were higher than those in the control group after intervention,and the differences were statistically significant(P<0.05).Conclusion:Dual-perspective nursing intervention based on safety and comfort needs is effective for patients undergoing MRI examination,which can improve the psychological status of patients and improve the quality of examination safety.

Application of ERAS Concept and Psychological Guidance in Nursing of Patients with Laparoscopic Urology

Objective: To explore the application and effect of the enhanced recovery after surgery (ERAS) concept combined with psychological stress intervention in laparoscopic urological surgery nursing. Methods: 100 cases of urological surgical patients according to the nursing way, each 50 cases were divided into observation group and control group, and control group routine nursing, and the observation group implement rapid rehabilitation surgery concept in combination with psychological nursing, the comparison of two groups of patients with stress index, immune function, mental health, postoperative recovery index and the effect of complications. Results: There were statistically significant differences in stress index, immune function, mental health level, postoperative recovery index and complications between the observation group and the control group after psychological nursing (P Conclusion: The concept of rapid rehabilitation surgery combined with psychological nursing can help relieve psychological stress, restore immune function, reduce psychological pressure drop, speed up rehabilitation and reduce the incidence of postoperative complications in patients undergoing laparoscopic urologic surgery. Psychological nursing plays an adjunct role in laparoscopic urological surgery, so it is worth promoting.

针对性气道护理对重症监护室患者舒适度与呼吸机相关性肺炎的影响

目的探讨针对性气道护理模式在重症监护室(ICU)患者中的应用效果。方法选择2021年1月—2022年12月医院120例ICU患者,按组间基线资料可比的原则将其分为对照组和观察组,每组60例。对照组予以常规护理,观察组采用针对性气道护理。观察两组患者护理干预前、护理干预5 d后的呼吸状况及舒适度,比较其康复进程、导管堵塞情况及呼吸机相关性肺炎(VAP)发生情况。结果观察组患者护理干预5 d后的PaO_(2)水平高于对照组,组间比较差异有统计学意义(P<0.05)。PaCO_(2)水平低于对照组,组间比较差异有统计学意义(P<0.05)。观察组患者护理干预5 d后的Kolcaba舒适状况量表(GCQ)评分高于对照组,差异有统计学意义(P<0.05)。观察组患者机械通气时间及ICU治疗时间分别为6.50±1.08 d和7.84±1.50 d,短于对照组的7.22±1.36 d和8.68±1.74 d,差异有统计学意义(P<0.05);观察组患者机械通气期间的导管堵塞程度较对照组轻,且VAP发生率低于对照组,差异均有统计学意义(P<0.05)。结论针对性气道护理模式可改善ICU患者呼吸状况及舒适度,缩短康复进程,并可减轻患者机械通气治疗期间导管堵塞程度,降低VAP发生率。

量表指导下调整护理策略对PCI患者的影响

目的探讨经皮冠状动脉介入治疗(PCI)患者采用量表指导下调整护理策略的影响。方法选取2020年1月至2022年11月接收的PCI患者102例,以随机数字表法分成干预组和对照组,每组51例。对照组给予常规护理,干预组给予量表指导下调整护理策略,比较2组生活质量、舒适度、并发症。结果干预后2组世界卫生组织生存质量测定量表简表评分升高(P<0.05),干预组较对照组升高(P<0.05);2组干预后舒适状况量表评分升高(P<0.05),干预组较对照组升高(P<0.05);干预组并发症发生率较对照组降低(P<0.05)。结论PCI患者给予量表指导下调整护理策略能够提高生活质量、舒适度,减少并发症发生。

舒适护理在口腔正畸患者护理中的应用效果分析

目的:分析舒适护理在口腔正畸患者护理中的应用效果。方法:选取2022年1—6月于南京医科大学附属口腔医院颞颌关节与颌面疼痛科行口腔正畸的患者80例作为研究对象,随机分为对照组与观察组,各40例。对照组实施常规护理,观察组实施舒适护理。比较两组护理效果。结果:护理后,两组各项生活质量评分及舒适度评分高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组满意度及口腔卫生优良率高于对照组,差异有统计学意义(P<0.05)。结论:舒适护理应用于口腔正畸患者护理中的效果显著,能够改善患者口腔卫生状况,提高生活质量、舒适度及满意度。

一种新的临时心脏起搏器置入方法及综合护理策略

目的:探讨经肘正中静脉行临时心脏起搏器置入术的可行性、安全性、舒适度和情感差异,并总结相应的综合护理策略。方法:选取2020年6月—2022年3月于我院行临时心脏起搏器置入术病人136例,采用随机数字表法分为股静脉组(F组)和肘正中静脉组(M组),各68例。统计两组病人的手术成功率、电极脱位率以及并发症发生率,并采用Kolcaba舒适状况量表(GCQ)、Zung焦虑自评量表(SAS)和Zung抑郁自评量表(SDS)进行舒适状况评价及情感评定,总结综合护理经验。结果:两组病人手术均成功,与M组比较,F组的电极脱位率和并发症发生率更高(P<0.05)。术后,与F组比较,M组GCQ评分更高(P<0.05),而SAS评分和SDS评分更低(P<0.05),相应的护理策略可以改善M组病人GCQ评分,差异均有统计学意义(P<0.05),但对F组GCQ改善不明显,差异无统计学意义(P>0.05);同时两组SAS评分和SDS评分均进一步降低,差异有统计学意义(P<0.05)。结论:与传统股静脉路径比较,经肘正中静脉置入临时心脏起搏器疗效确切,安全性更高、舒适度更佳且情绪更平稳,辅助于综合护理对病人获益更大。

舒适护理在骨科全麻手术患者术后麻醉恢复室复苏期的效果观察

目的 探讨舒适护理在骨科全麻患者术后麻醉恢复室复苏期的应用效果。方法 126例骨科全麻手术患者随机分为两组,对照组行常规护理,舒适护理组在常规护理基础上行舒适护理,比较两组的舒适度、不良护理事件。结果 舒适护理组的生理、环境、心理精神、社会文化舒适度评分均显著高于对照组(P <0.05)。舒适护理组的不良护理事件总发生率为4.76%,显著低于对照组的17.46%(P <0.05)。结论 舒适护理可提高骨科全麻手术患者麻醉恢复室复苏期舒适度,减少不良护理事件的发生。

移乘背抱护理机器人舒适性生物力学模型分析

为探索移乘背抱护理机器人人机交互力学特性与被护理人舒适性感受的潜在关联,研究显性的人机接触力相对于人体生物力学特性的映射关系,揭示影响被护理人舒适性的主要作用肌群,提出了舒适性测试试验与AnyBody背抱运动人体生物力学模型相结合的方法.从被护理人的肌肉激活程度入手,对移乘背抱护理机器人背抱运动舒适性特征进行了分析.首先,介绍了移乘背抱护理机器人典型结构工作原理并进行了运动学分析,在此基础上搭建了舒适性测试试验系统,基于主观舒适性评分规划了服务于试验的基础运动轨迹,并通过试验得到了人机主要接触部位力学信息.然后,以试验数据为边界条件构建了基于AnyBody的背抱运动人体生物力学模型,依托逆动力学仿真分析得到了肌肉激活程度,并对比舒适性测试肌肉激活程度验证了仿真模型的有效性.最后,结合人机主要接触部位受力、肌肉激活程度及主观舒适性评分综合分析了移乘背抱护理机器人背抱运动舒适性特征,明确了影响被护理人舒适性的主要作用肌群.结果表明:影响被护理人舒适性的主要作用肌群有7个,且被护理人胸部压力与腋下压力值大小分别与影响其躯干和上肢舒适性的肌肉激活程度呈正相关.可通过建立胸部压力与腋下压力值相关的加权函数有效描述不同被护理人整体舒适性特征,为移乘背抱护理机器人舒适性运动控制提供了理论依据.

团队协作式照护策略联合舒适护理对巨大子宫肌瘤术后患者的影响

目的:探讨团队协作式照护策略联合舒适护理对巨大子宫肌瘤术后患者的影响。方法:选取2023年4月—2024年4月南昌市第一医院收治的80例巨大子宫肌瘤患者,随机分为两组,各40例,对照组行常规护理,观察组行团队协作式照护策略联合舒适护理。评估两组术后康复指标、疾病认知水平、心理状态、自我效能、自护能力。结果:观察组住院时间、下床活动时间、术后清醒时间、进食时间均优于对照组,差异均有统计学意义(P<0.05)。干预后,两组疾病认知水平、一般自我效能感量表(GSES)、自我护理能力测定量表(ESCA)各项评分均高于干预前,焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均低于干预前,且观察组疾病认知水平、GSES评分均高于对照组,SDS、SAS评分均低于对照组,差异均有统计学意义(P<0.05)。结论:团队协作式照护策略联合舒适护理可缓解子宫肌瘤患者术后情绪状态,加强患者的疾病知识水平,提升自护能力,改善患者的自我效能,有利于促进身体康复。

手术室干预性护理结合舒适护理应用于行腹腔镜术患者的效果分析

目的:分析手术室干预性护理结合舒适护理应用于行腹腔镜术患者的效果。方法:选取2022年1月—2023年1月于贵州航天医院接受腹腔镜手术治疗的患者142例作为研究对象,随机分为对照组与研究组,各71例。对照组应用常规护理方法,研究组在对照组基础上给予手术室干预性护理联合舒适护理,比较两组护理效果。结果:研究组护理满意度高于对照组,下肢深静脉血栓发生率低于对照组,术后指标优于对照组,差异有统计学意义(P<0.05)。护理后,两组凝血指标、生活质量评分高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论:手术室干预性护理结合舒适护理应用于行腹腔镜术患者的效果较好,可改善凝血指标,患者恢复快,住院费用及DVT发生率低,满意度和生活质量高。

舒适护理对麻醉复苏室恢复期患者的应用效果分析

目的:分析舒适护理对麻醉复苏室恢复期患者的应用效果。方法:选取2021年4月—2023年4月于滨州医学院附属医院接受外科手术治疗并转入麻醉复苏室的86例患者作为研究对象,按照随机数字表法分为观察组和对照组,各43例。对照组给予常规护理,观察组在对照组基础上给予舒适护理。比较两组心理状态、舒适度、复苏质量以及护理满意度。结果:干预前,两组焦虑、抑郁、舒适度评分比较,差异无统计学意义(P>0.05);干预后,观察组焦虑、抑郁评分低于对照组,舒适度评分高于对照组,差异有统计学意义(P<0.05)。观察组意识清醒程度、肢体活动度评分以及复苏质量总分高于对照组,差异均有统计学意义(P<0.05)。观察组患者满意度高于对照组,差异有统计学意义(P<0.05)。结论:对麻醉复苏室恢复期患者实施舒适护理能够提高其护理满意度、舒适度以及复苏质量,降低其焦虑、抑郁情绪。

精细化护理在脑血管造影术患者中的应用效果研究

探讨脑血管造影术后患者的护理中精细化护理的应用价值。选取2022年7月—2023年7月在南方医科大学附属广东省人民医院行脑血管造影术的190例患者为研究对象,采用随机数字表法将患者分成对照组(n=90,实施常规护理)与研究组(n=100,实施精细化护理),比较两组患者疼痛及舒适度评分、并发症发生率、日常生活活动能力评分和护理满意度评分。结果显示,研究组疼痛评分较低,舒适度评分较高(P<0.05);研究组并发症发生率较低(P<0.05);研究组日常生活活动能力评分较高(P<0.05);研究组护理满意度评分较高(P<0.05)。研究发现,在脑血管造影术后采取精细化护理可缓解患者的负面情绪,减轻患者疼痛感,降低并发症的发生风险,提高患者的舒适度与生活质量,患者满意度较高。

复方桐叶烧伤油联合氦氖激光照射治疗可达龙微量泵注射所致静脉炎的疗效研究

目的:探讨复方桐叶烧伤油联合氦氖激光照射治疗可达龙微量泵注射所致静脉炎的疗效。方法:采用随机数字表法将2021年6月—2023年6月医院收治的72例可达龙微量泵注射所致静脉炎病人分为两组。两组均应用氦氖激光照射干预,对照组采用常规50%硫酸镁溶液湿敷,观察组采用复方桐叶烧伤油湿敷,5 d为1个疗程,两组病人均连续治疗2个疗程。比较两组病人干预效果、静脉炎严重程度、输液部位疼痛程度、中医证候积分、症状改善情况、舒适度及护理满意度。结果:观察组治疗总有效率高于对照组(P<0.05);两组病人干预前静脉炎严重程度、输液部位视觉模拟评分(VAS)、中医证候积分、Kolcaba舒适状况量表(GCQ)评分比较差异无统计学意义(P>0.05);观察组干预后静脉炎严重程度轻于对照组,输液部位VAS评分、中医证候积分低于对照组,GCQ评分高于对照组(P<0.05);相比于对照组,观察组疼痛缓解、红肿消退时间较短,护理满意度较高(P<0.05)。结论:可达龙微量泵注射所致静脉炎病人应用复方桐叶烧伤油联合氦氖激光照射治疗具有较好的效果,可以缓解疼痛,缩短红肿消退时间,改善临床症状,提高病人舒适度和护理满意度,具有较高的临床应用价值。

童趣+舒适+精细护理路径干预在支气管肺炎患儿雾化吸入中的效果观察

目的探讨童趣+舒适+精细护理路径干预对支气管肺炎患儿雾化吸入治疗依从性、舒适度及病情转归的影响。方法选取医院2022年6—12月收治的支气管肺炎患儿96例以及患儿父母96例为研究对象,按照组间基线资料均衡可比的原则将患儿分为观察组和对照组,观察组49例患儿给予童趣+舒适+精细护理路径干预,对照组47例患儿行常规护理干预(常规雾化吸入、用药指导、饮食指导等)。采用治疗依从性调查问卷和舒适状况量表(GCQ)评价并比较两组患儿的治疗依从性、舒适度;比较两组患儿症状缓解时间(发热、咳嗽、气促、哮鸣音);采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评价患儿父母心理状况。结果干预后,观察组患儿合理饮食、遵医用药、配合程度、健康行为维度评分高于对照组,差异有统计学意义(P<0.05);观察组患儿GCQ量表生理、心理、精神、社会文化和环境维度评分均高于对照组,差异有统计学意义(P<0.05);观察组患儿发热、咳嗽、气促、哮鸣音症状缓解时间短于对照组,差异有统计学意义(P<0.05);观察组父母的HAMD、HAMA评分低于对照组,差异有统计学意义(P<0.05)。结论童趣+舒适+精细护理路径干预不仅可有效提高患儿雾化治疗的舒适度,使患儿形成良好的治疗依从性,也可促进患儿发热、咳嗽、气促、哮鸣音等症状的恢复,改善患儿父母心理状态。

ERAS理念下的舒适护理对患者术后麻醉苏醒质量躁动情况及疼痛程度的影响

目的 探讨加速康复外科(ERAS)理念下的舒适护理对全身麻醉患者术后麻醉苏醒质量、躁动情况及疼痛程度的影响。方法 将136例全身麻醉手术患者按照随机数字表法分为对照组和研究组,每组68例。对照组患者给予常规麻醉恢复室(PACU)护理,研究组患者在对照组基础上给予ERAS理念下的舒适护理。比较两组患者麻醉苏醒质量(包括导管拔除时间、自主呼吸时间和PACU停留时间)、躁动情况、疼痛程度[采用舒适度行为量表(CBS)和疼痛视觉模拟评分法(VAS)评定]及并发症发生情况。结果 研究组患者术后导管拔除时间、自主呼吸时间早于对照组,PACU停留时间短于对照组(P<0.01)。研究组患者术后躁动率、并发症总发生率、VAS评分低于对照组,CBS评分高于对照组(P<0.05或0.01)。结论 ERAS理念下的舒适护理可改善全麻患者术后麻醉苏醒质量和躁动情况,减轻患者疼痛程度,值得临床推广。