Pub Date : 2020-04-06DOI: 10.3760/CMA.J.CN115682-20191027-03866
Q. Hao, Lifang Wang
Objective To compare the prognostic efficacy of CRB-65 (Confusion, Uremia, Respiratory, BP, Age 65 Years) , BAP-65 (BUN, Altered Mental Status, Pulse, and Age 65 years) and DECAF (Extended MRC Dyspnea Score, Eosinopenia, Consolidation, Acidaemia, and Atrial Fibrillation) scoring systems in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) . Methods Clinical data, CRB-65, BAP-65 and DECAF scoring rubrics of 181 AECOPD patients hospitalized in the Department of Respiratory Medicine, the First Affiliated Hospital of Zhengzhou University from January 2017 to December 2018 were retrospectively collected. According to the outcomes, the patients were divided into stable disease group (patients discharged, n=121) and critically ill group (patients transferred to ICU or died, n=60) . The clinical data and scores were compared between the two groups. The sensitivity, specificity and accuracy of CRB-65, BAP-65 and DECAF scoring systems in predicting the prognosis of the patients was calculated with the death and admission into ICU as the observation endpoints. The receiver operating characteristic curves (ROC) of the three scoring systems were drawn, and the area under the curve (AUC) was calculated to identify the best cut-off point in predicting the prognosis. Results The acute exacerbation frequency, CRB-65 score, DECAF score, and BAP-65 score in the past year in the critically ill group were higher than those in the stable disease group (t=-4.899, -31.748, -34.611, 7.227; P<0.001) . The best cutoff points of CRB-65 score, BAP-65 score and DECAF score for predicting the patients' outcome were ≥3, ≥Ⅲ, ≥3 (sensitivity=70.00%, 81.67%, 90.00%; specificity=61.16%, 77.69%, 83.47%; accuracy=64.09%, 79.00%, 85.63%) . The AUC of DECAF score, BAP-65 score and CRB-65 score for predicting the prognosis of AECOPD patients was 0.811 (95%CI: 0.845-0.948) , 0.774 (95%CI: 0.707-0.869) , and 0.669 (95%CI: 0.595-0.779) , and the AUC of DECAF score for predicting the prognosis of AECOPD patients was higher than those of BAP-65 score and CRB-65 score (Z=3.891, 4.799; P=0.026, 0.005) . Conclusions CRB-65, BAP-65 and DECAF scores are of certain clinical value in predicting the prognosis of AECOPD patients. Among them, DECAF has the highest predictive efficacy, while CRB-65 is faster and more convenient. Key words: Pulmonary disease, chronic obstructive; Acute exacerbation; Clinical score; Prognostic efficacy; Prognosis
{"title":"Application of three kinds of scoring system for prognostic evaluation of patients with acute exacerbation of chronic obstructive pulmonary disease","authors":"Q. Hao, Lifang Wang","doi":"10.3760/CMA.J.CN115682-20191027-03866","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20191027-03866","url":null,"abstract":"Objective \u0000To compare the prognostic efficacy of CRB-65 (Confusion, Uremia, Respiratory, BP, Age 65 Years) , BAP-65 (BUN, Altered Mental Status, Pulse, and Age 65 years) and DECAF (Extended MRC Dyspnea Score, Eosinopenia, Consolidation, Acidaemia, and Atrial Fibrillation) scoring systems in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) . \u0000 \u0000 \u0000Methods \u0000Clinical data, CRB-65, BAP-65 and DECAF scoring rubrics of 181 AECOPD patients hospitalized in the Department of Respiratory Medicine, the First Affiliated Hospital of Zhengzhou University from January 2017 to December 2018 were retrospectively collected. According to the outcomes, the patients were divided into stable disease group (patients discharged, n=121) and critically ill group (patients transferred to ICU or died, n=60) . The clinical data and scores were compared between the two groups. The sensitivity, specificity and accuracy of CRB-65, BAP-65 and DECAF scoring systems in predicting the prognosis of the patients was calculated with the death and admission into ICU as the observation endpoints. The receiver operating characteristic curves (ROC) of the three scoring systems were drawn, and the area under the curve (AUC) was calculated to identify the best cut-off point in predicting the prognosis. \u0000 \u0000 \u0000Results \u0000The acute exacerbation frequency, CRB-65 score, DECAF score, and BAP-65 score in the past year in the critically ill group were higher than those in the stable disease group (t=-4.899, -31.748, -34.611, 7.227; P<0.001) . The best cutoff points of CRB-65 score, BAP-65 score and DECAF score for predicting the patients' outcome were ≥3, ≥Ⅲ, ≥3 (sensitivity=70.00%, 81.67%, 90.00%; specificity=61.16%, 77.69%, 83.47%; accuracy=64.09%, 79.00%, 85.63%) . The AUC of DECAF score, BAP-65 score and CRB-65 score for predicting the prognosis of AECOPD patients was 0.811 (95%CI: 0.845-0.948) , 0.774 (95%CI: 0.707-0.869) , and 0.669 (95%CI: 0.595-0.779) , and the AUC of DECAF score for predicting the prognosis of AECOPD patients was higher than those of BAP-65 score and CRB-65 score (Z=3.891, 4.799; P=0.026, 0.005) . \u0000 \u0000 \u0000Conclusions \u0000CRB-65, BAP-65 and DECAF scores are of certain clinical value in predicting the prognosis of AECOPD patients. Among them, DECAF has the highest predictive efficacy, while CRB-65 is faster and more convenient. \u0000 \u0000 \u0000Key words: \u0000Pulmonary disease, chronic obstructive; Acute exacerbation; Clinical score; Prognostic efficacy; Prognosis","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1315-1319"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41950710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-06DOI: 10.3760/CMA.J.CN115682-20191210-04522
Wei Song, Shuxian Liu
Objective To explore the effects of feedforward control on cancellation rate in femtosecond laser assisted cataract surgery. Methods From March 2018 to March 2019, we selected patients with femtosecond laser assisted cataract surgery in Cataract Operating Room at Beijing Tongren Hospital of Capital Medical University as subjects by convenience sampling. A total of 267 patients with femtosecond laser assisted cataract surgery from March 2018 to September 2018 were in control group; a total of 319 patients with femtosecond laser assisted cataract surgery from October 2018 to March 2019 were in observation group. Patients of control group carried out routine nursing for cataract day surgery. On the basis of that in control group, observation group implemented feedforward control management. We compared the day's surgery cancellation rate and patient satisfaction of between two groups. Results On the same day, the surgery cancellation rates of patients of observation group and control group were 4.1% (13/319) and 14.2% (38/267) with a statistical difference (χ2=17.615, P<0.01) . The patient satisfaction of observation group and control group was 97.3% (288/296) and 92.1% (222/241) with a statistical difference (χ2=7.468, P<0.01) . Conclusions Application of feedforward control in femtosecond laser assisted cataract day surgery of Ophthalmology Department can effectively reduce the day's surgery cancellation rate and hospital waste of resources, and improve patient satisfaction. Key words: Feedforward control; Femtosecond laser; Cataract; Surgery cancellation rate; Satisfaction
{"title":"Effects of feedforward control on cancellation rate in femtosecond laser assisted cataract surgery","authors":"Wei Song, Shuxian Liu","doi":"10.3760/CMA.J.CN115682-20191210-04522","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20191210-04522","url":null,"abstract":"Objective \u0000To explore the effects of feedforward control on cancellation rate in femtosecond laser assisted cataract surgery. \u0000 \u0000 \u0000Methods \u0000From March 2018 to March 2019, we selected patients with femtosecond laser assisted cataract surgery in Cataract Operating Room at Beijing Tongren Hospital of Capital Medical University as subjects by convenience sampling. A total of 267 patients with femtosecond laser assisted cataract surgery from March 2018 to September 2018 were in control group; a total of 319 patients with femtosecond laser assisted cataract surgery from October 2018 to March 2019 were in observation group. Patients of control group carried out routine nursing for cataract day surgery. On the basis of that in control group, observation group implemented feedforward control management. We compared the day's surgery cancellation rate and patient satisfaction of between two groups. \u0000 \u0000 \u0000Results \u0000On the same day, the surgery cancellation rates of patients of observation group and control group were 4.1% (13/319) and 14.2% (38/267) with a statistical difference (χ2=17.615, P<0.01) . The patient satisfaction of observation group and control group was 97.3% (288/296) and 92.1% (222/241) with a statistical difference (χ2=7.468, P<0.01) . \u0000 \u0000 \u0000Conclusions \u0000Application of feedforward control in femtosecond laser assisted cataract day surgery of Ophthalmology Department can effectively reduce the day's surgery cancellation rate and hospital waste of resources, and improve patient satisfaction. \u0000 \u0000 \u0000Key words: \u0000Feedforward control; Femtosecond laser; Cataract; Surgery cancellation rate; Satisfaction","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1302-1305"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42709855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-06DOI: 10.3760/CMA.J.CN115682-20190712-02492
Qian Huang, Weiling Huang, Huiling Chen, Baozhu Ji, Baozhi Su, Hui Li, Cuiliu Lin
Objective To explore the effects of quality-sensitive indicators in the management of disinfection supply room. Methods The management model modified based on quality-sensitive indicators was applied in the Disinfection Supply Room of the Second Affiliated Hospital of Fujian Medical University since October 2016. The pass rate of the instrument inspection and the quality indicators of the disinfection supply room before and after modification were compared. Results The pass rates of instrument inspection and Bowie-Dictest in the disinfection supply room after modification were better than those before modification (P<0.01) . After modification, the qualification of the disinfection supply room in terms of instrument recovery, washing, packaging, item distribution and sterilization was better than that before modification (P<0.05) . Conclusions In the prevention of nosocomial infection in the disinfection supply room, the application of quality-sensitive indicators can effectively improve the qualification in instrument recovery, washing, packaging and sterilization, thus ensuring the quality of device disinfection. Key words: Quality control; Central Sterile Supply Department; Quality of work; Device disinfection; Quality-sensitive indicator
{"title":"Effects of quality-sensitive indicators in the management of disinfection supply room","authors":"Qian Huang, Weiling Huang, Huiling Chen, Baozhu Ji, Baozhi Su, Hui Li, Cuiliu Lin","doi":"10.3760/CMA.J.CN115682-20190712-02492","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190712-02492","url":null,"abstract":"Objective \u0000To explore the effects of quality-sensitive indicators in the management of disinfection supply room. \u0000 \u0000 \u0000Methods \u0000The management model modified based on quality-sensitive indicators was applied in the Disinfection Supply Room of the Second Affiliated Hospital of Fujian Medical University since October 2016. The pass rate of the instrument inspection and the quality indicators of the disinfection supply room before and after modification were compared. \u0000 \u0000 \u0000Results \u0000The pass rates of instrument inspection and Bowie-Dictest in the disinfection supply room after modification were better than those before modification (P<0.01) . After modification, the qualification of the disinfection supply room in terms of instrument recovery, washing, packaging, item distribution and sterilization was better than that before modification (P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000In the prevention of nosocomial infection in the disinfection supply room, the application of quality-sensitive indicators can effectively improve the qualification in instrument recovery, washing, packaging and sterilization, thus ensuring the quality of device disinfection. \u0000 \u0000 \u0000Key words: \u0000Quality control; Central Sterile Supply Department; Quality of work; Device disinfection; Quality-sensitive indicator","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1341-1343"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44967844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-06DOI: 10.3760/CMA.J.CN115682-20190821-03004
Shuqin Song, L. Cheng, Yan Zhan
The sense of stigma is common in young and middle-aged diabetic patients, which greatly affects their quality of life. This article reviews the concepts related to stigma, the current status of stigma in young and middle-aged diabetic patients at home and abroad, the influencing factors and their effects on patients, aiming to provide a theoretical basis for the intervention of stigma in young and middle-aged diabetic patients. Key words: Review; Young and middle-aged; Diabetes; Stigma
{"title":"Research progress on stigma in young and middle-aged diabetic patients","authors":"Shuqin Song, L. Cheng, Yan Zhan","doi":"10.3760/CMA.J.CN115682-20190821-03004","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190821-03004","url":null,"abstract":"The sense of stigma is common in young and middle-aged diabetic patients, which greatly affects their quality of life. This article reviews the concepts related to stigma, the current status of stigma in young and middle-aged diabetic patients at home and abroad, the influencing factors and their effects on patients, aiming to provide a theoretical basis for the intervention of stigma in young and middle-aged diabetic patients. \u0000 \u0000Key words: \u0000Review; Young and middle-aged; Diabetes; Stigma","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1392-1396"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43425212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-06DOI: 10.3760/CMA.J.CN115682-20190917-03374
L. Fu, Xia Feng, Danying Qiu, Xiaofen Yu, Xiaomin Chen
Objective To explore the influencing factors of pain control among abdominal surgery patients with the enhanced recovery after surgery (ERAS) so as to provide a basis for improving pain control. Methods From May 2018 to November 2018, we selected 15 abdominal surgery patients with ERAS in Hepatobiliary and Pancreatic Surgery at Zhejiang Provincial People's Hospital by purposive sampling. Semi-structured interview was carried out with the method of phenomenology in qualitative research. Colaizzi 7-step analysis was used in data analysis to conclude themes. Results By interview data analysis, a total of 5 themes that had influences on pain control were concluded: activity-related pain and pain management after removing patient-controlled analgesia (PCA) ; adverse reaction related to pain management; recognition of patients and their family members on pain or pain treatment; information support for pain treatment; influence of non-medical service on patient satisfaction with pain control. Conclusions We should explore the operation mode of acute pain service organization suitable for our country. Muti-disciplinary team should be used for abdominal surgery patients to strengthen the management of activity-related pain and removing PCA, prevention and treatment for adverse reaction related to pain treatment, information support for pain treatment, and improve the recognition of patients and their family members on pain or pain treatment, and pay attention to the influence of non-medical service on patient satisfaction with pain control so as to improve pain control. Key words: Pain, postoperative; Pain management; Enhanced recovery after surgery; Abdominal surgery; Qualitative research; Phenomenology
{"title":"Influencing factors of pain control among abdominal surgery patients with the enhanced recovery after surgery","authors":"L. Fu, Xia Feng, Danying Qiu, Xiaofen Yu, Xiaomin Chen","doi":"10.3760/CMA.J.CN115682-20190917-03374","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190917-03374","url":null,"abstract":"Objective \u0000To explore the influencing factors of pain control among abdominal surgery patients with the enhanced recovery after surgery (ERAS) so as to provide a basis for improving pain control. \u0000 \u0000 \u0000Methods \u0000From May 2018 to November 2018, we selected 15 abdominal surgery patients with ERAS in Hepatobiliary and Pancreatic Surgery at Zhejiang Provincial People's Hospital by purposive sampling. Semi-structured interview was carried out with the method of phenomenology in qualitative research. Colaizzi 7-step analysis was used in data analysis to conclude themes. \u0000 \u0000 \u0000Results \u0000By interview data analysis, a total of 5 themes that had influences on pain control were concluded: activity-related pain and pain management after removing patient-controlled analgesia (PCA) ; adverse reaction related to pain management; recognition of patients and their family members on pain or pain treatment; information support for pain treatment; influence of non-medical service on patient satisfaction with pain control. \u0000 \u0000 \u0000Conclusions \u0000We should explore the operation mode of acute pain service organization suitable for our country. Muti-disciplinary team should be used for abdominal surgery patients to strengthen the management of activity-related pain and removing PCA, prevention and treatment for adverse reaction related to pain treatment, information support for pain treatment, and improve the recognition of patients and their family members on pain or pain treatment, and pay attention to the influence of non-medical service on patient satisfaction with pain control so as to improve pain control. \u0000 \u0000 \u0000Key words: \u0000Pain, postoperative; Pain management; Enhanced recovery after surgery; Abdominal surgery; Qualitative research; Phenomenology","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1261-1266"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44224994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-06DOI: 10.3760/CMA.J.CN115682-20190528-01869
Hong-yan Qi, Li-ju Jin, Qiang Li, Ping-gui Zhang
Objective To explore the effects of nursing based on the concept of enhanced recovery after surgery (ERAS) on joint function and quality of life of patients after hip replacement. Methods A total of 350 patients after hip replacement who were treated in Suining Municipal Hospital of TCM from January 2015 to December 2018 were selected and they were randomly divided into the conventional group and the ERAS group, with 175 cases in each group. The conventional group was given conventional nursing intervention while the ERAS group was given ERAS-based nursing intervention. The extubation time, ambulation time, hospital stay, Harris score, quality of life (SF-36) score and hospitalization medical expenses in the two groups were compared. Results The extubation time, ambulation time and hospital stay in the ERAS group were respectively (30.2±10.4) min, (1.2±0.6) d and (10.7±3.2) d, all significantly shorter than those in the conventional group, the differences were statistically significant (t=12.975, 14.349, 9.586; P<0.01) . The Harris score of patients in the ERAS group was (87.2±5.5) points and that in the conventional group was (81.6±6.3) points, the difference between the two groups was statistically significant (t=8.858, P<0.01) . The general health of SF-36 scale of patients in the ERAS group in the ERAS group was (81.35±5.81) points and that in the conventional group was (74.17±5.16) points, the difference between the two groups was statistically significant (t=12.223, P<0.01) . The laboratory fees, bed fees, nursing expenses, medicine expenses and total hospitalization expenses of the ERAS group were all lower than those in the conventional group, the differences were statistically significant (P<0.01) . Conclusions ERAS-based nursing intervention has a good clinical effect on the rehabilitation of patients after hip replacement. It can significantly improve hip function, promote the rehabilitation process and improve the quality of life. Key words: Arthroplasty, replacement, hip; Quality of life; Rehabilitation nursing; Enhanced recovery after surgery; Hip replacement; Joint function
目的探讨基于ERAS (enhanced recovery after surgery)理念的护理对髋关节置换术后关节功能及生活质量的影响。方法选取2015年1月至2018年12月在睢宁市中医院行髋关节置换术治疗的患者350例，随机分为常规组和ERAS组，每组175例。常规组给予常规护理干预，ERAS组给予基于erass的护理干预。比较两组患儿拔管时间、下床时间、住院时间、Harris评分、生活质量(SF-36)评分及住院医疗费用。结果ERAS组拔管时间、下床时间、住院时间分别为(30.2±10.4)min、(1.2±0.6)d、(10.7±3.2)d，均显著短于常规组，差异有统计学意义(t=12.975、14.349、9.586;P < 0.01)。ERAS组Harris评分为(87.2±5.5)分，常规组Harris评分为(81.6±6.3)分，两组比较差异有统计学意义(t=8.858, P<0.01)。ERAS组患者一般健康SF-36评分中ERAS组为(81.35±5.81)分，常规组为(74.17±5.16)分，两组比较差异有统计学意义(t=12.223, P<0.01)。ERAS组化验费、床位费、护理费、药费、住院总费用均低于常规组，差异均有统计学意义(P<0.01)。结论基于erass的护理干预对髋关节置换术后患者的康复具有良好的临床效果。可显著改善髋关节功能，促进康复进程，提高生活质量。关键词:髋关节置换术;生活质量;康复护理;增强术后恢复;髋关节置换;关节功能
{"title":"Effects of enhanced recovery after surgery nursing on joint function and quality of life of patients after hip replacement","authors":"Hong-yan Qi, Li-ju Jin, Qiang Li, Ping-gui Zhang","doi":"10.3760/CMA.J.CN115682-20190528-01869","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190528-01869","url":null,"abstract":"Objective \u0000To explore the effects of nursing based on the concept of enhanced recovery after surgery (ERAS) on joint function and quality of life of patients after hip replacement. \u0000 \u0000 \u0000Methods \u0000A total of 350 patients after hip replacement who were treated in Suining Municipal Hospital of TCM from January 2015 to December 2018 were selected and they were randomly divided into the conventional group and the ERAS group, with 175 cases in each group. The conventional group was given conventional nursing intervention while the ERAS group was given ERAS-based nursing intervention. The extubation time, ambulation time, hospital stay, Harris score, quality of life (SF-36) score and hospitalization medical expenses in the two groups were compared. \u0000 \u0000 \u0000Results \u0000The extubation time, ambulation time and hospital stay in the ERAS group were respectively (30.2±10.4) min, (1.2±0.6) d and (10.7±3.2) d, all significantly shorter than those in the conventional group, the differences were statistically significant (t=12.975, 14.349, 9.586; P<0.01) . The Harris score of patients in the ERAS group was (87.2±5.5) points and that in the conventional group was (81.6±6.3) points, the difference between the two groups was statistically significant (t=8.858, P<0.01) . The general health of SF-36 scale of patients in the ERAS group in the ERAS group was (81.35±5.81) points and that in the conventional group was (74.17±5.16) points, the difference between the two groups was statistically significant (t=12.223, P<0.01) . The laboratory fees, bed fees, nursing expenses, medicine expenses and total hospitalization expenses of the ERAS group were all lower than those in the conventional group, the differences were statistically significant (P<0.01) . \u0000 \u0000 \u0000Conclusions \u0000ERAS-based nursing intervention has a good clinical effect on the rehabilitation of patients after hip replacement. It can significantly improve hip function, promote the rehabilitation process and improve the quality of life. \u0000 \u0000 \u0000Key words: \u0000Arthroplasty, replacement, hip; Quality of life; Rehabilitation nursing; Enhanced recovery after surgery; Hip replacement; Joint function","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1349-1353"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42814866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-06DOI: 10.3760/CMA.J.CN115682-20191210-04515
Xingli Xin, Shu-Hwa Lin, Meiyi Miao, Chun-Ling Mu, Ye Lu
Objective To explore the effects of transcutaneous electric nerve stimulation (TENS) combined with cognitive behavior intervention in the elderly coronary disease patients with hypertension. Methods From May 2017 to May 2019, we selected 90 elderly coronary disease patients with hypertension in the Second Affiliated Hospital of Harbin Medical University as subjects by convenience sampling. All of patients were divided into control group and observation group with the method of random number table, 45 cases in each group. Control group carried out cognitive behavior intervention, while observation group implemented the TENS combined with cognitive behavior intervention. We compared the angina pectoris symptom control, blood pressure control and the self-perceived burden with the Self-perceived Burden Scale (SPBS) of patients between two groups. Results After intervention, the effective rate of angina pectoris control of observation group was higher than that of control group with a statistical difference (P<0.05) ; the diastolic pressure and systolic pressure of observation group were lower than those of control group with statistical differences (P<0.05) ; the score of SPBS of patients in control group was higher than that in control group also with a statistical difference (P<0.001) . Conclusions TENS combined with cognitive behavior intervention for elderly coronary disease patients with hypertension contributes to angina pectoris symptom control and reducing the blood pressure as well as self-perceived burden. Key words: Aged; Transcutaneous electric nerve stimulation; Cognitive behavior intervention; Coronary disease; Self-perceived burden
{"title":"Application of transcutaneous electric nerve stimulation combined with cognitive behavior intervention in the elderly coronary disease patients with hypertension","authors":"Xingli Xin, Shu-Hwa Lin, Meiyi Miao, Chun-Ling Mu, Ye Lu","doi":"10.3760/CMA.J.CN115682-20191210-04515","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20191210-04515","url":null,"abstract":"Objective \u0000To explore the effects of transcutaneous electric nerve stimulation (TENS) combined with cognitive behavior intervention in the elderly coronary disease patients with hypertension. \u0000 \u0000 \u0000Methods \u0000From May 2017 to May 2019, we selected 90 elderly coronary disease patients with hypertension in the Second Affiliated Hospital of Harbin Medical University as subjects by convenience sampling. All of patients were divided into control group and observation group with the method of random number table, 45 cases in each group. Control group carried out cognitive behavior intervention, while observation group implemented the TENS combined with cognitive behavior intervention. We compared the angina pectoris symptom control, blood pressure control and the self-perceived burden with the Self-perceived Burden Scale (SPBS) of patients between two groups. \u0000 \u0000 \u0000Results \u0000After intervention, the effective rate of angina pectoris control of observation group was higher than that of control group with a statistical difference (P<0.05) ; the diastolic pressure and systolic pressure of observation group were lower than those of control group with statistical differences (P<0.05) ; the score of SPBS of patients in control group was higher than that in control group also with a statistical difference (P<0.001) . \u0000 \u0000 \u0000Conclusions \u0000TENS combined with cognitive behavior intervention for elderly coronary disease patients with hypertension contributes to angina pectoris symptom control and reducing the blood pressure as well as self-perceived burden. \u0000 \u0000 \u0000Key words: \u0000Aged; Transcutaneous electric nerve stimulation; Cognitive behavior intervention; Coronary disease; Self-perceived burden","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1364-1367"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70011479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective To study changes of pollution conditions of the new dental unit waterlines. Methods By means of random sampling, 7 new dental chair units of the same brand were selected. Of which, 5 dental chair units (DCU) were supplied with water after centralized treatment of municipal water and 2 dental chair units were supplied with independent water storage tanks. From the first day of clinical use, water samples of three-way syringes and high-speed dental handpieces and mouthwashes were continuously collected for bacterial culture and the number of colonies was counted. Results A total of 343 water samples were collected. There was a statistically significant difference in the number of colonies in the water samples from the outlet of three-way syringes and high-speed dental handpieces after the waterlines was rinsed for 2 min before treatment (P 0.05) . Waterline washing could significantly reduce the number of colonies in the waterlines (P 0.05) . The number of colonies in the new DUWLs could exceed the recommended standard in the guideline on the second day of clinical use and the number of colonies increased significantly compared with that on the first day (P<0.05) . Conclusions In clinical work, no matter what kind of water supply method is used, in addition to waterline washing according to regulations, DUWLs should be disinfected daily. Key words: Microbial contamination; Colony; Dental chair unit
{"title":"Monitoring of pollution conditions of the new dental unit waterlines","authors":"Chun-li Wang, Yuting Niu, Q. Lu, Meng Han, Yingying Li, Xiu′e Li","doi":"10.3760/CMA.J.CN115682-20191126-04310","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20191126-04310","url":null,"abstract":"Objective \u0000To study changes of pollution conditions of the new dental unit waterlines. \u0000 \u0000 \u0000Methods \u0000By means of random sampling, 7 new dental chair units of the same brand were selected. Of which, 5 dental chair units (DCU) were supplied with water after centralized treatment of municipal water and 2 dental chair units were supplied with independent water storage tanks. From the first day of clinical use, water samples of three-way syringes and high-speed dental handpieces and mouthwashes were continuously collected for bacterial culture and the number of colonies was counted. \u0000 \u0000 \u0000Results \u0000A total of 343 water samples were collected. There was a statistically significant difference in the number of colonies in the water samples from the outlet of three-way syringes and high-speed dental handpieces after the waterlines was rinsed for 2 min before treatment (P 0.05) . Waterline washing could significantly reduce the number of colonies in the waterlines (P 0.05) . The number of colonies in the new DUWLs could exceed the recommended standard in the guideline on the second day of clinical use and the number of colonies increased significantly compared with that on the first day (P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000In clinical work, no matter what kind of water supply method is used, in addition to waterline washing according to regulations, DUWLs should be disinfected daily. \u0000 \u0000 \u0000Key words: \u0000Microbial contamination; Colony; Dental chair unit","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1320-1324"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43442313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-06DOI: 10.3760/CMA.J.CN115682-20190915-03338
Weiping Liu, Yufeng Liu, Zhi-wei Wang
Objective To explore the effects of web-based self-management model on preventing renal vein thrombosis (RVT) in patients with nephrotic syndrome (NS) . Methods Totally 126 NS patients hospitalized in the First Affiliated Hospital of Zhengzhou University from June 2017 to June 2018 were selected by convenient sampling and divided into conventional management group (n=64) and web-based self-management group (n=62) by random draw. Patients in the conventional management group received routine discharge guidance, while patients in the web-based self-management group received comprehensive web-based self-management based on routine nursing, including education webpage, WeChat group, and SMS and phone alerts based on the telecommunications network. The incidence of RVT in the two groups was collected in the outpatient clinic 6 months after discharge. The Self-Efficacy Scale and Health Promoting Lifestyle Profile (HPLP-II) were used to evaluate the self-management efficacy and health behavior of the two groups on the day of discharge and 6 months after discharge. Results One cases of RVT occurred in the web-based self-management group (1 case was lost to follow-up) , and 8 cases of RVT occurred in the conventional management group (4 cases were lost to follow-up) . The incidence of RVT in the web-based self-management group was 1.64%, lower than 13.33% in the conventional management group, and the differences were statistically significant (χ2=6.008; P=0.014) . The scores of two dimensions as well as the total self-efficacy scores increased in both groups 6 months after discharge, and those of the web-based self-management group were higher than those of the conventional management group, and the differences were statistically significant (P< 0.01) . Compared with the day of discharge, the scores in different HPLP-II dimensions increased in both groups 6 months post discharge, and the differences were statistically significant (P< 0.01) . The scores of the web-based self-management group were higher than those of the conventional management group, and the differences were statistically significant (P< 0.01) . Conclusions The web-based self-management model can reduce the incidence of RVT in NS patients, and improve their self-efficacy, health behavior and self-management out of hospital. Key words: Nephrotic syndrome; Renal vein thrombosis; Self-management; Health behavior; Prevention; Web
{"title":"Effects of web-based self-management model on preventing renal vein thrombosis in patients with nephrotic syndrome","authors":"Weiping Liu, Yufeng Liu, Zhi-wei Wang","doi":"10.3760/CMA.J.CN115682-20190915-03338","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190915-03338","url":null,"abstract":"Objective \u0000To explore the effects of web-based self-management model on preventing renal vein thrombosis (RVT) in patients with nephrotic syndrome (NS) . \u0000 \u0000 \u0000Methods \u0000Totally 126 NS patients hospitalized in the First Affiliated Hospital of Zhengzhou University from June 2017 to June 2018 were selected by convenient sampling and divided into conventional management group (n=64) and web-based self-management group (n=62) by random draw. Patients in the conventional management group received routine discharge guidance, while patients in the web-based self-management group received comprehensive web-based self-management based on routine nursing, including education webpage, WeChat group, and SMS and phone alerts based on the telecommunications network. The incidence of RVT in the two groups was collected in the outpatient clinic 6 months after discharge. The Self-Efficacy Scale and Health Promoting Lifestyle Profile (HPLP-II) were used to evaluate the self-management efficacy and health behavior of the two groups on the day of discharge and 6 months after discharge. \u0000 \u0000 \u0000Results \u0000One cases of RVT occurred in the web-based self-management group (1 case was lost to follow-up) , and 8 cases of RVT occurred in the conventional management group (4 cases were lost to follow-up) . The incidence of RVT in the web-based self-management group was 1.64%, lower than 13.33% in the conventional management group, and the differences were statistically significant (χ2=6.008; P=0.014) . The scores of two dimensions as well as the total self-efficacy scores increased in both groups 6 months after discharge, and those of the web-based self-management group were higher than those of the conventional management group, and the differences were statistically significant (P< 0.01) . Compared with the day of discharge, the scores in different HPLP-II dimensions increased in both groups 6 months post discharge, and the differences were statistically significant (P< 0.01) . The scores of the web-based self-management group were higher than those of the conventional management group, and the differences were statistically significant (P< 0.01) . \u0000 \u0000 \u0000Conclusions \u0000The web-based self-management model can reduce the incidence of RVT in NS patients, and improve their self-efficacy, health behavior and self-management out of hospital. \u0000 \u0000 \u0000Key words: \u0000Nephrotic syndrome; Renal vein thrombosis; Self-management; Health behavior; Prevention; Web","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1286-1291"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43659150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-06DOI: 10.3760/CMA.J.CN115682-20190929-03534
Yuhua Chen, Guiqing Yu, Bing Li, Zhan Song
Objective To explore application values of action research practice in the out-of-hospital health management of patients with rectal cancer stoma. Methods According to the convenience sampling method, 46 patients with rectal cancer stoma who were admitted to Nanyang Central Hospital of Henan Province from March 2017 to March 2018 before the implementation of the action research practice were selected as the control group and 46 patients with rectal cancer stoma who were admitted from April 2018 to April 2019 after the implementation of the action research practice were selected as the observation group. The control group was given routine nursing after surgery while the observation group was given action research practice nursing after surgery. Hamilton Anxiety Scale (HAMA) , Hamilton Depression Scale (HAMD) , Exercise of Self-Care Agency Scale (ESCA) and MOS 36-Item Short-Form Health Survey (SF-36) were used before and after implementation to compare the implementation effects between the two groups. Results After nursing, scores of HAMA and HAMD in the observation group were respectively (15.65±10.31) points and (17.41±9.25) points, both lower than those in the control group and the differences were statistically significant (t=2.181, 2.384; P<0.05) . After nursing, the total score of ESCA of the observation group and the control group were respectively (114.96±20.45) points and (100.28±16.80) points and the difference was statistically significant (t=3.762, P<0.05) . After nursing, the overall health of SF-36 scale was (19.11.±5.08) points in the observation group and (17.11±4.12) points in the control group and the difference was statistically significant (t=2.074, P<0.05) . Conclusions Carrying out action research practice for out-of-hospital health management of patients with rectal cancer stoma can alleviate negative emotions and improve self-care ability and quality of life of patients, which has relatively high clinical application value. Key words: Rectal Neoplasms; Stoma; Action research practice; Health management; Anxiety; Depression; Self-care ability; Quality of life
{"title":"Application of action research practice in the out-of-hospital health management of patients with rectal cancer stoma","authors":"Yuhua Chen, Guiqing Yu, Bing Li, Zhan Song","doi":"10.3760/CMA.J.CN115682-20190929-03534","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190929-03534","url":null,"abstract":"Objective \u0000To explore application values of action research practice in the out-of-hospital health management of patients with rectal cancer stoma. \u0000 \u0000 \u0000Methods \u0000According to the convenience sampling method, 46 patients with rectal cancer stoma who were admitted to Nanyang Central Hospital of Henan Province from March 2017 to March 2018 before the implementation of the action research practice were selected as the control group and 46 patients with rectal cancer stoma who were admitted from April 2018 to April 2019 after the implementation of the action research practice were selected as the observation group. The control group was given routine nursing after surgery while the observation group was given action research practice nursing after surgery. Hamilton Anxiety Scale (HAMA) , Hamilton Depression Scale (HAMD) , Exercise of Self-Care Agency Scale (ESCA) and MOS 36-Item Short-Form Health Survey (SF-36) were used before and after implementation to compare the implementation effects between the two groups. \u0000 \u0000 \u0000Results \u0000After nursing, scores of HAMA and HAMD in the observation group were respectively (15.65±10.31) points and (17.41±9.25) points, both lower than those in the control group and the differences were statistically significant (t=2.181, 2.384; P<0.05) . After nursing, the total score of ESCA of the observation group and the control group were respectively (114.96±20.45) points and (100.28±16.80) points and the difference was statistically significant (t=3.762, P<0.05) . After nursing, the overall health of SF-36 scale was (19.11.±5.08) points in the observation group and (17.11±4.12) points in the control group and the difference was statistically significant (t=2.074, P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000Carrying out action research practice for out-of-hospital health management of patients with rectal cancer stoma can alleviate negative emotions and improve self-care ability and quality of life of patients, which has relatively high clinical application value. \u0000 \u0000 \u0000Key words: \u0000Rectal Neoplasms; Stoma; Action research practice; Health management; Anxiety; Depression; Self-care ability; Quality of life","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1331-1335"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46277527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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