1.Influence of two enteral nutrition injection methods on prognosis of acute cerebral infarction induced pseudobulbar palsy
Wenxiang XU ; Xifang ZHU ; Xiuhua WU ; Shuqin LIANG ; Lihong QU ; Jing SUN
Chinese Journal of Practical Nursing 2016;32(20):1525-1530
Objective To investigate two enteral nutrition injection methods on prognosis of patients with acute cerebral infarction (ACI) induced pseudobulbar palsy patients. Methods A total of 86 patients of ACI accompanied with dysphagia were randomly divided into the feeding pump group (n=43) and the traditional nasal feeding group (n=43). Nutritional support for both groups lasted at least more than 14 d through the feeding tube. In the first and fourteenth day data of both groups concerned with body mass index (BMI), triceps skin fold (TSF), upper arm muscle circumference of triceps (MAMC), heamoglobin (Hb), serum prealbumin (Alb), alanine transaminase(ALT), aspartate aminotransferase (AST), blood urea nitrogen (BUN), creatinine (Cr), incidence of complications, neuro-function score NIHSS and the swallowing function evaluation were collected and analyzed. Results Nutritional index Hb and Alb was (132.6±10.1) g/L and (38.2±1.4) g/L in the group of the feeding pump group, and significantly higher than (122.2±13.2) g/L and (36.3±1.5) g/L in the traditional nasal feeding group in the fourteenth day, the difference was significant (t=12.86, 12.37, P<0.05). The NHISS score was 5.2±1.0 in the feeding pump group, significantly lower than 8.9±1.1 of the traditional nasal feeding group, the difference was significant (t=-26.37, P < 0.05). The improved rate of swallowing function was 81.4% (35/43) in the feeding pump group, significantly higher than 60.5%(26/43) of the traditional nasal feeding group, the difference was significant (χ2=4.568, P < 0.05). Conclusions The use of enteral feeding pump at early stage for ACI patients with pseudobulbar palsy can improve the nutritional status, acute neurological function, swallowing function and lower the incidence of complications which is beneficial for early recovery and short-term prognosis.
2.Analysis of rumination thinking and its influencing factors in patients with benign prostatic hyperplasia
Xifang MAO ; Lengling ZHU ; Dan MA ; Bianlu JIANG
Chinese Journal of Modern Nursing 2018;24(23):2757-2761
Objective To explore rumination thinking and its influencing factors in patients with benign prostatic hyperplasia.Methods From February to August 2017,a total of 234 patients with benign prostatic hyperplasia were selected by convenient sampling method.Chinese version of Nolen-Hoeksema Ruminative Responses Scale,Self-Efficacy Scale for Managing Chronic Disease and Perceived Social Support Scale were used to collect data during waiting time.Univariate analysis and multiple linear stepwise regression analysis were used to analyze the influencing factors of rumination.Results The scores of rumination,selfefficacy and social support were (43.28 ± 8.68),(29.40 ± 6.32) and (55.48 ± 8.56) respectively.Social support,severity of disease and self-efficacy were influencing factors of rumination in benign prostatic hyperplasia patients,explaining 43.6% of the total variation.Conclusions Medical staff should regularly carry out health education for patients' families.Psychological intervention at early stage should be taken to patients with obvious symptoms.In order to reduce patient's rumination and negative emotions and improve the quality of life,intervention should be taken to improve the patient's self-efficacy.