1.Presentation of statistical table in nursing academic paper
Modern Clinical Nursing 2013;(5):86-87
The statistical table is the common presentation way in nursing academic paper? From the standard production of statistical table and combining with editing working practice, this paper analyzed the common usage errors of statistical table with examples in nursing academic papers and put forward some corresponding suggestions?
2.Improvement of the monitoring system for pressure ulcers and effects
Xiaozhou ZHOU ; Miaoli WU ; Lili ZHANG ; Huiyun ZENG ; Hui HUANG ; Mingli HUANG
Modern Clinical Nursing 2013;(5):66-69
Objective To evaluate the effects of the improved monitoring system for pressure ulcers? Method The monitoring system for pressure ulcers was improved and the measures were as follows:completing the organizational system for managing ulcers, fulfilling the regulations,revising the report form and enforcing classified nursing training? Result The accuracy rate of risk assessment and the methods for using wet dressings and negative pressure drainage were significantly improved and the effects by using decompression and skin-prevention pads were significantly better than those before improving the monitoring system(P < 0?05)?Conclusion The improved monitoring system for pressure ulcers may help to improve the clinical practice of pressure ulcers?
3.Effect of humidified heating airway on the off-line of tracheotomy postoperative patients
Modern Clinical Nursing 2013;(5):63-65
Objective To investigate the nursing effect of humidified heating airway on the off-line of tracheostomy postoperative patients.Methods Fifty six cases of off-line of tracheostomy post operative patients were randomly divided into the experiment group and control group.The experiment group was given continuous warming humidification to airway,and control group was cared by the method of micro pump continuous drip.Comfort,sputum viscosity and phlegm scab formation incidence were compared between the two groups.Results The difference of between the two groups was statistically significant in the comfort and sputum viscosity(all P < 0?05)?Treatment effect in the experiment group was obviously better than that in the control group.There was no significant difference in phlegm scab formation between the experiment group and the control group(P > 0?05).Conclusion The application of humidified heating airway to the off-line of tracheostomy postoperative patients can increase comfort,reduce sputum viscosity,and the method ean be used in clinical nursing?
4.Effect of photodynamic therapy in the treatment of perianal condyloma acuminatum
Lihua CHEN ; Jihuang XIE ; Yuhua LI ; Shuyu OU ; Fang WANG
Modern Clinical Nursing 2014;(9):32-34
Objective To investigate clinical effect of 5-aminolevulinic acid photodynamic therapy(ALA-PDT)in the treatment of perianal condyloma acuminatum.Method ALA-PDT was used to treat 56 cases of perianal condyloma acuminatum and the curative effect was observed.Result The effectiveness rate of ALA-PDT was 94.6%.The recurrence rate was 5.4%.Conclusion The following nursing measures including care observation,adequate expansion of skin during treatment and performance of postoperative health education are all important for the enhanced curative effects of ALA-PDT in treating perianal condyloma acuminatum.
5.Nursing risks in patients undergoing radio-frequency ablation during cardiac valve replacement
Jiechun CHEN ; Xiaoling LEI ; Dianye YAO ; Fengqiu GONG
Modern Clinical Nursing 2014;(9):28-31
Objective To investigate the nursing risks in the patients undergoing radio-frequency ablation surgery during cardiac valve replacement.Methods The nursing risks in 110 patients undergoing radio-frequency ablation surgery during cardiac valve replacement were summarized to include disorder of water electrolyte and acid-base balance, arrhythmia,hypothermia,skin ulcer,reduction of effective circulating blood volume,infection and so on, so as to carry out the corresponding nursing measures. Results Ventricular fibrillation occurred in 11 patients,hypothermia after rewarming on cardiopulmonary bypass in 31 patients,left atrial bleeding after aortic de-clamping in 1 patient.All the complications were successfully controlled by corresponding management. The operation time ranged from 178 mins to 310 mins and average time was(245.32±34.40)mins.Conclusion The full-scale assessments and effective nursing interventions are the key points to improve the efficiency and success of cardiac valve replacement combined with radio-frequency ablation.
6.Nursing cooperation of laparoscopic left lateral segment liver resection
Bo JIANG ; Dan CHEN ; Tiantian HE ; Shujuan XU
Modern Clinical Nursing 2014;(9):22-24
Objective To summarize the key points in surgical cooperation of laparoscopic left lateral segment liver resection. Methods The clinical data of 24 patients undergoing laparoscopic left lateral segment liver resection from March to September of 2013 were analyzed retrospectively to summarize the key points in surgical cooperation of preoperative preparation and intraoperative coordination.Result All the operations were successful with the operation mean time of(72.0±26.8)min,no intraoperative transfer or termination of the operations.Conclusion Sufficient preoperative preparation together skilled surgical nursing cooperation in laparoscopic left lateral segment liver resection is critical for the success of operation.
7.Effect of intraoperative leg massage on deep venous thrombosis of lower extremity in patients of vascular surgery department
Ling SONG ; Yao DONG ; Qi LUO ; Lin HOU ; Fen LIU ; Zhe CHEN ; Zhong CHEN
Modern Clinical Nursing 2014;(9):19-21
Objective To explore the effect of leg massage during operation on deep venous thrombosis(DVT)in patients of vascular surgery department.Methods Ninety-four DVT patients were randomized into experiment group and control group according to the computer-generated numbers ,46 cases in the latter and 48 in the former.The routine care measures were applied in the control group, while intraoperative leg massage was used in the observation group.The two groups were compared in terms of curative effect and the incidence of DVT.Result The incidences of DVT in the experiment group and the control one were 2.08%(1/48)and 15.22%(7/46)respectively, showing significant difference between them(P<0.05).Conclusion The intraoperative lag massage are significant in the reduction of DVT incidences after operation.
8.Effect of comprehensive pain management on postoperative pains and recovery of knee joint function of patients having undergoing total knee arthroplasty
Shihuan HUANG ; Shaohong LIN ; Qiongfang LU ; Min LIN ; Jianzhong JIANG
Modern Clinical Nursing 2013;(9):49-52
Objective To investigate the effects of comprehensive pain management on pains and recovery of knee function of patients who hadundergone total knee arthroplasty(TKA).Methods A total of 50 patients who had undergone single-knee TKA surgery were selected and divided into 2 groups of 25 patients each:the study group and the control group.The control group was given patient-controlled epidural analgesia while the study group was given comprehensive pain management.The two groups were compared in terms of score on pain within 7 days after operation,knee joint activity and the incidence of adverse reaction within 10 days after operation(the 1st,3rd,7th,10th day).Results Within 7 days,the scores on pain in the study were significantly lower than those in the control group(P<0.05).The scores on the knee joint activity in the study group on the 1st,3rd,7th,10th day were significantly higher than those in the control group(P<0.05)and the incidences of adverse reaction were significantly lower as well (P<0.05).Conclusion Comprehensive pain management is effective for post-surgery pain control and the hastened TKA patients, and the improved quality of life.
9.Effect of different external nasogastric tube fixations on unplanned nasogastric tube removal after radical esophagectomy for esophageal cancer
Jiudi ZHONG ; Xiuying HUANG ; Min WANG ; Meichun ZHENG
Modern Clinical Nursing 2013;(9):55-58
Objective To investigate the effects of three external nasogastric tube fixations on unplanned nasogastric tube removal after radical esophagectomy for esophageal cancer.Methods Two hundred and thirty four esophageal cancer patients who underwent radical esophagectomy with nasogastric intubation were assigned into conventional group I(n=74),conventional group II (n=79)and experiment group(n=81)using random number table.For external fixation of the nasogastric tube,the traditional group I used“3M”silk tape,the traditional group II used a white flat strap with two knots and the experiment group used anI-shaped nasal fixation tape combined with a flapping cheek fixation tape.The three groups were compared in terms of displacement of the indwelling nasogastric tube and slippage of the tube.Results The displacement rate of nasogastric tube and the rate of slippage in the experiment group were both significantly lower than those in both conventional groups I and II(all P<0.05).Conclusion TheI-shaped nasal fixation tape combined with a flapping cheek fixation tape in fixing the nasogastric tube can effectively reduce the incidence of unplanned removal of nasogastric tube and meanwhile the patients may feel comfort and satisfactory.
10.Perioperative nursing of patients with post-thoracotomy atelectasis treated with bronchoalveolar lavage combined with pulmonary insufflation
Min WANG ; Li LIU ; Jiudi ZHONG
Modern Clinical Nursing 2013;(9):46-48
Objective To summarize the perioperative nursing of patients with post-thoracotomy atelectasis treated with bronchoalveolar lavage combined with pulmonary insufflation.Methods Before operation,the nursing measures included the full preoperative preparation,full anesthesia and mental care.During the operation,the nursing focused on intensified monitoring,close cooperation with doctors in manipulation of bronchoalveolar lavage and pulmonary insufflation.After operation,the postoperative nursing was performed.Results The lung recruitments were successful in all the 12 patients.Compared to pre-operation,the arterial oxygen saturation(SaO2)and arterial oxygen partial pressure(PaO2)6 hours after treatment were significantly improved(P<0.05) while the CO2 partial pressure(PaCO2)was significantly decreased(P<0.05).There were no severe complications and no recurrence of pulmonary atelectasis.All the patients were successfully discharged.Conclusions The bronchoalveolar lavage combined with pulmonary insufflation is effective in treating post-thoracotomy atelectasis.To ensure the smooth treatment,perioperative nursing is also contributive.