1.Clinical research about effect of microminiature water balloon combined with misoprostol per rectum for delivery of full-term pregnancy
Baoying LI ; Houling PANG ; Dehua LIAN
Chinese Journal of Practical Nursing 2008;24(33):1-3
Objective To investigate the effect of microminiature water halloon combined with misoprostol per rectum for delivery of full-term pregnancy. Methods 305 full-term pregnant women with planned delivery were divided into three groups at random.The observation group (n=99) was given microminiature water balloon combined with misoprostol per rectum.The first control group (n=96) was only given misoprostol per rectum. The second control group (n=110) was given 0.5% oxytocin in a continuous infusion.Their results were taken a com-parative study,including the cervical ripening,dilivery process,delivery ways and the condition of the newbom. Results The observation group was better than other groups for cervical ripening(P<0.00).Tune from induction to the onset of regular contraction activity of the uterus in the observation group was significantly shorter than other groups (P<0.00).The rates of cesarean section and the total stage of lahor between the observation and the first control group were not statistically significant(P>0.05),but they were significantly different from the second con-trol group.There were no significant differences among the groups in neonatal asphyxia and amount of postpartum blood loss. Conclusions The efficiency of microminiature water balloon combined with misoprostol per rectum for delivery of full-tarm pregnancy was better than other groups.It has a short delivery process and shows no side effects on both mother and fetus,which is worthy of popularizing in obstetrics.
2.A study about the handling methods of local tissue damage induced by venous fluorouradl exosmosis
Yan LV ; Dehua LIAN ; Xia FANG ; Liee YANG
Chinese Journal of Practical Nursing 2008;24(32):5-7
Objective To explore the nursing efficacy of handling methods for local tissue damage in-duced by venous fluorouracil exosmosis. Methods 64 cancer patients who were used fluorouracil had 300 venous exosmosis cases,these were divided into two groups randomly with 150 cases in each group.In the exper-imental group, lidocaine plus dexamethasone acetate were used for wet compress for 12~24 hours continuously, then cold dressing for 12~24 hours discontinuously.In the control group, lidocaine plus dexamethasone acetate were used for local block,then cold dressing for 12~24 hours discontinuously. Results The time of local swelling reduction was shorter(P<0.01 ), the condition of subcutaneous hemorrhage was lighter(P<0.05),the recovery time of subcutaneous stasis of blood was shorter (P<0.01) in the experimental group than that in the control group. Conclusions It can reduce patients' pain and local swelling by using lidocaine plus dexam-ethasone acetate for continuouswet compress plus discontinuous cold dressing to treat venous fluorouracil exos-mosis.Patients were willing to accept it and it can avoid the pain and damage induced by local block.
3.Study on the Influencing Factors of Information Processing of Diabetic Patients in Online Health Community
Journal of Medical Informatics 2024;45(9):32-36,56
Purpose/Significance To explore the characteristics and influencing factors of information processing behavior of diabetic pa-tients in online health communities.Method/Process Based on the dual processing theory,a model of influencing factors for information pro-cessing of diabetic patients in online health community is constructed,and the model construction methods,questionnaire design,data collec-tion and model testing methods are expounded.Result/Conclusion The results show that information demand,information quality and self-ef-ficacy affect the heuristic and systematic processing behaviors of diabetic patients in online health community,emotional support and risk per-ception affect the heuristic processing behaviors of diabetic patients in online health community.
4.Influence of continuing early development supporting care on the intelligence development of premature infants
Yan LI ; Yan HUANG ; Zhichun LI ; Yanchun LIU ; Dehua LIAN
Chinese Journal of Modern Nursing 2014;20(1):18-21
Objective To study the influence of continuing early development supporting care on the intelligence development of premature infants .Methods A total of 137 cases of premature infants transferred into NICU at the same time were chosen and randomly divided into the intervention group ( n=69 ) and the control group (n=68).On the basis of conventional early development supporting care , the intervention group received continuing early development supporting care which included full evaluation of premature infants ’ development needs , establishing family follow-up electronic archives , thematic knowledge and skill training and development supporting rehabilitation training , while the control group only returned to the hospital to review assessment on a regular basis after discharge .Results The parenting knowledge and skills of mothers in the intervention group was better than those in the control group , and the difference was statistically significant ( H=13.05,P<0.05).Until the 12th month of the follow-up, the developmental quotient(DQ) of adaptability, big movement, fine movement, language, and social contact were respectively (96.7 ±2.7),(95.2 ±2.3), (96.5 ±2.1),(97.8 ±2.2),(97.3 ±2.4) in the intervention group, and (92.3 ±2.9),(91.2 ±2.5), (92.4 ±2.3),(95.1 ±2.8),(93.2 ±2.7)in the control group,and the differences were statistically significant (t=9.193,9.748,10.898,6.281,9.397, respectively; P <0.01).The incidence of cerebral palsy in the intervention group was lower than that in the control group , and the difference was statistically significant ( H=18.76,P <0.05).Conclusions The continuing early development supporting care can promote infants ’ intelligence development , and improve their prognosis and quality of life .
5.Effect of comfort nursing based on teamwork on the outcome of patients undergone laparoscopic myomectomy of hysteromyoma
Xiujun SUN ; Mei ZHANG ; Zhengling LI ; Yanli GUO ; Dehua LIAN
Chinese Journal of Modern Nursing 2014;20(8):916-919
Objective To investigate the effect of comfort nursing based on teamwork on patients after laparoscopic myomectomy of hysteromyoma .Methods One hundred and fifty-six patients who chose laparoscopic myomectomy of hysteromyoma were randomly divided in the intervention group and the control group, each with 78 cases.The control group received conventional nursing while the intervention group received comfort nursing including preoperative interactive supervision , intranperative comfort nursing and postoperative visits.Effect of nursing was compared between two groups .Results The operation time , called the eye opening after the operation , called the open fist time and the tracheal extubation time was respectively ( 52.63 ±7.25 ) min, (18.62 ±1.65)min, (22.15 ±1.32)min and (25.37 ±1.52)min in the intervention group, shorter than (58.72 ±7.31)min,(23.05 ±1.72)min,(25.67 ±1.38)min and(29.62 ±1.56)min in the control group, and the differences were statistically significant ( t=5.224 ,16.415 ,16.279 ,17.233 , respectively;P<0.01).The pain score 12, 24, 48 and 72 h after operation was respectively (4.32 ±1.42),(3.29 ±1.27), (2.37 ±1.05),(1.25 ±1.02)in the intervention group, lower than(5.47 ±1.52),(4.56 ±1.31),(3.56 ± 1.08),(1.82 ±1.05)in the control group, and the differences were statistically significant (t=4.883,6.147, 6.977 ,3.439 , respectively; P <0.05 ) .The time of first being out of bed was ( 12.35 ±3.17 ) h in the intervention group and ( 17.52 ±3.23 ) h in the control group , with statistically significant difference ( t =10.089,P<0.05).Sleep time 24, 48 and 72 h after surgery as well as hospitalization time was respectively (5.72 ±2.31)h,(6.55 ±1.58)h,(7.87 ±1.25)h and (7.13 ±1.28)d in the intervention group, better than (17.52 ±3.23)h,(3.59 ±2.35)h,(5.37 ±1.63)h,(6.58 ±1.27)h and(8.67 ±1.59)d in the control group, and the differences were statistically significant ( t =5.709,4.591,6.393,6.663, respectively; P <0.01).The incidence of complication was 6.41%in the intervention group, and 24.36%in the control group, with statistically significant difference (χ2 =9.652 ,P<0.05 ) .Conclusions Comfort nursing for patients after laparoscopic myomectomy of hysteromyoma can improve their surgical compliance , shorten operation time and awakening time , reduce postoperative complications and enhance surgical effect .