1.Effect of nursing intervention on complications and compliance of cancer patients with PICC
Meiqing LI ; Jiafen SHI ; Cuilian ZOU ; Shaofeng YANG
Chinese Journal of Practical Nursing 2011;27(11):20-22
Objective To probe into the effect of nursing intervention on complications and compliance of cancer patients with PICC. Methods 86 tumor patients selected from June 2007 to June 2010were randomly divided into the intervention group and the control group with 43 patients in each group. After the two groups of patients were diagnosed they were treated with routine care, the intervention group wasgiven additional comprehensive nursing interventions aiming at PICC complications and compliance. The complications and treatment compliance of the patients were analyzed. Results Compared with the control group, the rate of full compliance significantly improved and the rate of partial compliance significantly decreased in the intervention group. At the same time, compared with the control group, the incidence rate of phlebitis, catheter-related bloodstream infection and catheter blockage and catheter off of the intervention group were significantly lower. Conclusions Nursing intervention for cancer patients with PICC can reduce complications and improve treatment compliance of them and is of great clinical significance.
2.The efect of nutritional support with low carbohydrate formula in patients with pulmonary disease and respiratory failure
Jiafen XU ; Wanying SHI ; Wenguo JIANG ; Bin LI ;
Parenteral & Enteral Nutrition 1997;0(04):-
Objective: To evaluate the effect of nutritional support with low carbohydrate formula (Pulmocare, Abbott, America) in patients with pulmenary disease and respiratory failure. Methods: 60 patients were randomly divided into control group and study group. The study group was given Pulmocare and the control group was given Ensure (standard enteral nutrition,Abbott, America). The lipidemia, serum protein, PaCO 2 ,PaO 2 ,VO 2 ,VCO 2 and RQ were measured before and after therapy. Results: The patients' nutritional status of the two groups was improved significantly. The index of artery blood gas analysis was significantly improved( P
3.Evaluation of left ventricular segmental and global myocardial systolic function after trans-coronary alcohol septal ablation for hypertrophic obstructive cardiomyopathy by 2D speckle tracking imaging:long-term follow-up study
Jiafen ZHANG ; Fujian DUAN ; Shi CHEN ; Shubin QIAO ; Hao WANG ; Xiuzhang Lü
Chinese Journal of Ultrasonography 2012;(12):1013-1016
Objective To evaluate the left ventricular segmental and global systolic myocardial function of the hypertrophic obstructive cardiomyopathy (HOCM) before and after transcoronary ablation of septal hypertrophy (TASH).Methods Twenty-six consecutive patients with HOCM were analysed by two-dimensional speckle tracking imaging (STI) before and after TASH.The left ventricular global and segmental systolic longitudinal strains and circumferential strain were measured.Results In the HOCM patients,the global and segmental longitudinal strains were lower than the healthy population before TASH.One week after TASH,a significant reduction of left ventricular outflow tract (LVOT) gradients occurred (P < 0.001).The global and the alcohol-treated septal segmental longitudinal strains also decreased significantly[(-12.5±1.7)% vs (-13.6± 1.6)%,P<0.01;(-11.2±2.8)% vs (-12.6±3.1)%,P < 0.001].During 1 year follow-up after TASH,the mean NYHA function class improved after TASH (P < 0.001) and the left ventricular outflow tract (LVOT) gradients and septal thickness decreased (P <0.001).The left ventricular global longitudinal systolic strain was increased [(-14.7 ± 2.0) % vs (-13.6 ±1.6) %,P <0.01],and this was correlated with the decrease of the LVOT gradients (r =0.579,P <0.01).The alcohol-treated septal segments showed unchanged average longitudinal strain over time,while in the anterolateral and the anterior segments,the average longitudinal systolic strain increased (P <0.05).The basal and medial segments also showed increased average longitudinal systolic stain.However,the left ventricular circumferential strain had no changes after TASH.Conclusions TASH can significantly decrease the LVOT gradients and improve NYHA functional class with the increase of the left ventricular global and segmental longitudinal systolic function.