1.Effects of music nursing on PICC catheterization in premature infant
Gaoyun GONG ; Ya'nan BU ; Fuzhi SHI
Chinese Journal of Modern Nursing 2018;24(11):1312-1315
Objective To explore the effects of music nursing on relieving vasospasm and pain in premature infant during peripherally inserted central catheter (PICC), so as to provide reference for the popularization and utilization of music nursing. Methods A total of 35 premature infants with vasospasm during the course of PICC catheterization from June 2015 to January 2017 were selected as the experimental group, and given music nursing. Another 35 premature infants with vasospasm during the course of PICC catheterization between January 2014 and June 2015 were selected as the control group, and given routine nursing care. The pain degree was compared by Premature Infant Pain Profile (PIPP), and the relieving degree of vasospasm was monitored at the same time. Results After the intervention, the score of PIPP of the two groups both decreased. The PIPP score of the experimental group was (7.12±2.03), while that of the control group was (8.14±2.12), and the difference was statistically significant (t=2.600,P<0.05). In the experimental group, there were 11 cases of complete remission and 24 cases of mild remission. In the control group, there were 8 cases of complete remission, 20 cases of mild remission and 7 cases of no remission. The difference between the two groups was statistically significant (χ2=7.837,P<0.05). After the intervention, the sleep time of the children increased in both groups (P<0.05). The sleep time of the experimental group was higher than that of the control group, and the difference was statistically significant (P<0.05). Conclusions Music nursing can effectively relieve vasospasm and pain in children during PICC catheterization which is worthy of popularization and application.
2.Application effects of water and salt intake nursing intervention based on transtheoretical model in children with peritoneal dialysis
Ya'na BU ; Gaoyun GONG ; Caixiao SHI
Chinese Journal of Modern Nursing 2019;25(20):2573-2577
ObjectiveTo explore the application effects of water and salt intake nursing intervention based on transtheoretical model in children with peritoneal dialysis. MethodsTotally 96 pediatric patients undergoing peritoneal dialysis admitted in Zhengzhou Children's Hospital from March 2016 to March 2018 were selected and stratified into intervention (n=48) and control (n=48) groups. Patients in the control group received conventional nursing care, while patients in the intervention group received water and salt intake nursing derived from the transtheoretical model. The volume indicators, volume management behaviors and satisfaction of children in both groups were observed 3 months before and after nursing care in which volume management behaviors were evaluated with the volume management behavior scale and satisfaction was evaluated with our self-designed questionnaire. ResultsThe systolic pressure and ultrafiltration volume of the intervention group were lower than those of the control group, and there was statistically significant difference between the two groups (P<0.05). There was no statistically significant difference in the diastolic pressure and 24 h urine volume between the two groups before and after nursing (P> 0.05). The degree of ameliorated edema of the intervention group was better than that of the control group after nursing, and there was statistically significant difference between the two groups (P< 0.05). There was statistically significant difference between different items of the volume management behavior scale within the intervention group after nursing (P< 0.05). The patient's and family's satisfaction with nursing care in the intervention group was higher than that in the control group after nursing, and there was statistically significant difference between the two groups (P< 0.05). ConclusionsWater and salt intake nursing intervention based on transtheoretical model can improve their ability of volume management, volume status and quality of life.