1.To analyze the risk factors of tetany in patients with hyperventilation syndrome
Daofeng YOU ; Qiuge QIAO ; Bing XIE ; Xiangming JIANG ; Ying CHEN
Tianjin Medical Journal 2016;44(6):763-765
Objective To explore the risk factors causing tetany in patients with hyperventilation syndrome. Meth?ods A total of 103 patients with hyperventilation syndrome treated in our hospital were included in this study. According to whether there was tetany, patients were divided into tetany group and non-tetany group. Values of gender, age, electrolyte, pH and p(CO2) were analysed between two groups. The factors of P<0.1 were engaged in binary Logistic regression. Logistic regression (Forward Wald) was used to analyze the risk factors of tetany in patients with hyperventilation syndrome. Re?sults In 103 patients there were 70 patients with tetany (68%), 33 patients without tetany(32%). The serum K+, serum phos?phorus and p(CO2) values were significantly lower in tetany group than those of non-tetany group (P<0.01), while the pH value was significantly higher in tetany group than those of non-tetany group (P<0.01). There were no significant differences in gen?der, age, serum Na+, serum Cl-, serum calcium (bound calcium and ionized calcium), ionized calcium and serum Mg2+levels be?tween two groups (P>0.05). It was revealed that the younger age, the lower level of the serum K+, serum phosphorus and p(CO2) were the risk factors of tetany through binary Logistic regression analysis. Conclusion The risk factors of tetany in patients with hyperventilation syndrome include younger age, lower level of serum K+and serum phosphorus and reduced p(CO2).
2.Risk factors about stress urinary incontinence in female and the development of pelvic floor muscle ;rehabilitation
Lei SHI ; Lianxia GENG ; Yanping ZHANG ; Qiuge QIAO
Chinese Journal of Modern Nursing 2016;22(10):1477-1480
Urinary incontinence is a common disease of women. Approximately there are two billion patients with urinary incontinence globally, SUI accounts for almost 1/2 of urinary incontinence. Stress urinary incontinence not only affects women′s health and limits the patients′ daily behavior and physical activity, resulting in anxiety, depression, etc. In view of the high prevalence of SUI, the high impact rate and low rate of diagnosis and treatment, the clinical medical professionals need to understand the relevant contents of SUI. This review will summarize the risk factors about stress urinary incontinence and the development of pelvic floor muscle rehabilitation. We hope to provide reference for clinical practice.
3.Application effect of hip muscle training on female patients with stress urinary incontinence
Lei SHI ; Ran HU ; Yanping ZHANG ; Qiuge QIAO ; Yidan ZHANG ; Lianxia GENG
Chinese Journal of Modern Nursing 2017;23(3):408-411
Objective To explore the application effects of hip muscle training on female patients with stress urinary incontinence (SUI).Methods Totally 48 female patients with mild to moderate SUI were recruited in this study from the Second Hospital of Hebei Medical University from January to November 2015 by using purposive sampling method. According to the random number table,the participants were divided into the intervention group (n=24) and the control group (n=24). Patients in the intervention group received resisted hip muscle exercise,including the hip internal rotation and hip external rotation. Patients in the control group received conventional pelvic floor muscle exercise (PFME). The intervention lasted for 12 weeks,and the application effects were evaluated by the questionnaire of urinary incontinence quality of life (I-QOL) and the urine pad test before the intervention,eight weeks,and 12 weeks after the intervention.Results After the intervention,the urine leakage was significantly decreased,and the I-QOL score was increased (P<0.05). Although the urine leakage had no statistical difference between two groups (P>0.05),the total I-QOL scores and the scores of social barriers dimension were higher inr the intervention group compared with that in the control group (P<0.05). But on the dimension of limited behavior and the psychological impact,there were no statistical differences between two groups (P>0.05).Conclusions Resisted hip muscle training can effectively decrease the urine leakage and improve the quality of life of female patients with mild to moderate SUI.
4.Application of comfort clinostatism in radiofrequency ablation of patients with liver cancer
Qiuge QIAO ; Daofeng YOU ; Huajie TAO ; Yehong KONG ; Huimin WANG
Chinese Journal of Modern Nursing 2016;22(12):1729-1732,1733
Objective To study the effect of the intervention procedure of comfort clinostatism on the related complications and feelings of patients with liver cancer who underwent RFA .Methods The patients were divided into intervention group (448 cases) and control group (264 cases).The control group patients who received treatment from June 2012 to December 2013 were treated without nursing intervention , and doctors designed the clinostatism and accomplished the treatment.The intervention group patients who received treatment from January 2014 to June 2015 were treated with nursing intervention .The special nurse would accomplish the treatment beyond the procedure of comfort clinostatism.The complications were observed and recorded.Psychological feeling were evaluated by the patients themselves.The charge nurse would tabulated data .Results In the intervention group , the degrees of the data significantly were improved which consisted of psychological anxiety , the degree of psychological anxiety , the length of time to maintain the same posture , and the incidence of complications . Besides, the overall satisfaction of patients was significantly improved (P<0.01).Conclusions The process oriented, standardizing and hommizational procedure of the comfortable clinostatism can effectively avoid the common complications , enhance the relationship between doctors and patients , and raise the overall satisfaction of patients.
5.Application of process decision program chart in female patients with neurogenic urinary incontinence and indwelling catheter after stroke
Qiuge QIAO ; Yumin LI ; Limei TANG ; Lei SHI ; Fang LIU ; Daofeng YOU
Chinese Journal of Modern Nursing 2016;22(30):4394-4399
Objective To determine the influences of quality control method of process decision program chart ( PDPC ) on preventing complications related to indwelling catheter in female patients with neurogenic urinary incontinence after stroke. Methods We selected 94 female patients with neurogenic urinary incontinence after the first stroke. A total of 48 patients without accepting PDPC interventions from January 2014 to January 2015 were selected as control group. A total of 46 patients accepting systematic PDPC interventions from February 2015 to January 2016 were selected as intervention group. Patients in control group were provided with nursing care based on the nursing requirements of the indwelling catheter in Basic Nursing Science. Patients in intervention group were provided with nursing care according to the process of PDPC. And then, we compared the catheter related complications of patients between two groups and the self-evaluation of nurses. Results The incidence of complications including urinary tract infection and urethral injury in intervention group was lower than that in control group with a significant difference ( P<0.05) . After the PDPC method was carried out, the self-evaluation involving responsibility, work enthusiasm, and self-confidence of nurses was significantly improved. Conclusions The application of PDPC in female patients with neurogenic urinary incontinence and indwelling catheter after stroke not only can reduce the incidence of complications, effectively improve nursing quality, but also can expand nurses′ thinking, hoisting their abilities to solve problems and improve their self-evaluations.