Xiufen Bao, Li Zhang, Yanfei Du, Feng Yan, Shuping Sun, Haiyan Wu
{"title":"以证据为基础的护理干预，护理并发肿瘤的心衰患者。","authors":"Xiufen Bao, Li Zhang, Yanfei Du, Feng Yan, Shuping Sun, Haiyan Wu","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Context: </strong>In clinical practice, heart failure with concurrent tumors is relatively rare, and surgical intervention is the primary treatment. However, most patients have poor physical function and metabolic capacity, making them less tolerant of surgical trauma. Strengthening perioperative nursing care is therefore particularly important.</p><p><strong>Objective: </strong>The study aimed to analyze the clinical effects of and patient satisfaction with evidence-based nursing interventions on perioperative conditions and quality of life for heart-failure patients with concurrent tumors, with the goal of identifying the optimal nursing model for these patients.</p><p><strong>Design: </strong>The research team conducted a randomized, controlled clinical trial.</p><p><strong>Setting: </strong>The study took place at the First People's Hospital of Lin'an District in Hangzhou City, Zhejiang Province, China.</p><p><strong>Participants: </strong>Participants were 100 heart-failure patients with concurrent tumors who had been admitted to the hospital between July 2021 and July 2022.</p><p><strong>Interventions: </strong>The research team divided participants into two groups based on their admission times with 50 participants in each group: (1) a control group, who received routine nursing care, and (2) an intervention group, who received an evidence-based nursing intervention.</p><p><strong>Outcome measures: </strong>The research team: (1) examined perioperative conditions, (2) measured changes in plasma levels of brain natriuretic peptide (BNP), (3) evaluated quality of life, and (4) assessed nursing satisfaction nursing satisfaction.</p><p><strong>Results: </strong>No significant differences existed in the groups' demographic and clinical characteristics, indicating comparability. Compared to the control group, the intervention group's: (1) operation time (P = .021), ascending aorta occlusion time (P = .032), turnaround time of cardiopulmonary bypass (P = .040) were significantly shorter; (2) plasma BNP levels were significantly lower at postoperative days 3 (P = .036) and 7 (P = .022); (3) scores for quality of life-physiological (P = .007), emotional (P = .008), social (P = .013), and role (P = .011) function-were significantly higher; and (4) nursing satisfaction was significantly higher (P = .004).</p><p><strong>Conclusions: </strong>The adoption of evidence-based nursing interventions in clinical settings, especially for heart-failure patients with concurrent tumors, can yield significant effects, improving patient outcomes and enhancing quality of life and nursing satisfaction.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evidence-Based Nursing Interventions in Care of Heart-failure Patients With Concurrent Tumors.\",\"authors\":\"Xiufen Bao, Li Zhang, Yanfei Du, Feng Yan, Shuping Sun, Haiyan Wu\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Context: </strong>In clinical practice, heart failure with concurrent tumors is relatively rare, and surgical intervention is the primary treatment. However, most patients have poor physical function and metabolic capacity, making them less tolerant of surgical trauma. Strengthening perioperative nursing care is therefore particularly important.</p><p><strong>Objective: </strong>The study aimed to analyze the clinical effects of and patient satisfaction with evidence-based nursing interventions on perioperative conditions and quality of life for heart-failure patients with concurrent tumors, with the goal of identifying the optimal nursing model for these patients.</p><p><strong>Design: </strong>The research team conducted a randomized, controlled clinical trial.</p><p><strong>Setting: </strong>The study took place at the First People's Hospital of Lin'an District in Hangzhou City, Zhejiang Province, China.</p><p><strong>Participants: </strong>Participants were 100 heart-failure patients with concurrent tumors who had been admitted to the hospital between July 2021 and July 2022.</p><p><strong>Interventions: </strong>The research team divided participants into two groups based on their admission times with 50 participants in each group: (1) a control group, who received routine nursing care, and (2) an intervention group, who received an evidence-based nursing intervention.</p><p><strong>Outcome measures: </strong>The research team: (1) examined perioperative conditions, (2) measured changes in plasma levels of brain natriuretic peptide (BNP), (3) evaluated quality of life, and (4) assessed nursing satisfaction nursing satisfaction.</p><p><strong>Results: </strong>No significant differences existed in the groups' demographic and clinical characteristics, indicating comparability. Compared to the control group, the intervention group's: (1) operation time (P = .021), ascending aorta occlusion time (P = .032), turnaround time of cardiopulmonary bypass (P = .040) were significantly shorter; (2) plasma BNP levels were significantly lower at postoperative days 3 (P = .036) and 7 (P = .022); (3) scores for quality of life-physiological (P = .007), emotional (P = .008), social (P = .013), and role (P = .011) function-were significantly higher; and (4) nursing satisfaction was significantly higher (P = .004).</p><p><strong>Conclusions: </strong>The adoption of evidence-based nursing interventions in clinical settings, especially for heart-failure patients with concurrent tumors, can yield significant effects, improving patient outcomes and enhancing quality of life and nursing satisfaction.</p>\",\"PeriodicalId\":1,\"journal\":{\"name\":\"Accounts of Chemical Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":16.4000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Accounts of Chemical Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"\",\"RegionNum\":1,\"RegionCategory\":\"化学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CHEMISTRY, MULTIDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"3","ListUrlMain":"","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}
Evidence-Based Nursing Interventions in Care of Heart-failure Patients With Concurrent Tumors.
Context: In clinical practice, heart failure with concurrent tumors is relatively rare, and surgical intervention is the primary treatment. However, most patients have poor physical function and metabolic capacity, making them less tolerant of surgical trauma. Strengthening perioperative nursing care is therefore particularly important.
Objective: The study aimed to analyze the clinical effects of and patient satisfaction with evidence-based nursing interventions on perioperative conditions and quality of life for heart-failure patients with concurrent tumors, with the goal of identifying the optimal nursing model for these patients.
Design: The research team conducted a randomized, controlled clinical trial.
Setting: The study took place at the First People's Hospital of Lin'an District in Hangzhou City, Zhejiang Province, China.
Participants: Participants were 100 heart-failure patients with concurrent tumors who had been admitted to the hospital between July 2021 and July 2022.
Interventions: The research team divided participants into two groups based on their admission times with 50 participants in each group: (1) a control group, who received routine nursing care, and (2) an intervention group, who received an evidence-based nursing intervention.
Outcome measures: The research team: (1) examined perioperative conditions, (2) measured changes in plasma levels of brain natriuretic peptide (BNP), (3) evaluated quality of life, and (4) assessed nursing satisfaction nursing satisfaction.
Results: No significant differences existed in the groups' demographic and clinical characteristics, indicating comparability. Compared to the control group, the intervention group's: (1) operation time (P = .021), ascending aorta occlusion time (P = .032), turnaround time of cardiopulmonary bypass (P = .040) were significantly shorter; (2) plasma BNP levels were significantly lower at postoperative days 3 (P = .036) and 7 (P = .022); (3) scores for quality of life-physiological (P = .007), emotional (P = .008), social (P = .013), and role (P = .011) function-were significantly higher; and (4) nursing satisfaction was significantly higher (P = .004).
Conclusions: The adoption of evidence-based nursing interventions in clinical settings, especially for heart-failure patients with concurrent tumors, can yield significant effects, improving patient outcomes and enhancing quality of life and nursing satisfaction.
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
分享
京公网安备 11010802042870号
京ICP备2023020795号-1
求助内容：
应助结果提醒方式：
扫码关注我们
