1.Clinical effect analysis of all-inclusive nursing for patients with orthope-dic trauma
Xiaoqing WU ; Hejuan SHEN ; Xiaoxiao SHEN ; Zhijun PAN
China Modern Doctor 2014;(24):99-102
Objective To evaluate the effect of all-inclusive nursing for patients with orthopedic trauma. Methods A total of 142 patients with orthopedic trauma were randomly divided into observation group and control group,the control group underwent routine care,observation group underwent all-inclusive nursing,the nursing results were compared. Results The SDS and SAS scores of the two groups were significantly lower,but the observation group were significant-ly lower than the control group (P<0.05); The nursing satisfaction of observation group was 97.2%,significantly higher than 85.9% of the control group (P<0.05); The functional rehabilitation excellent rate of observation group was 91.5%,significantly higher than 73.2% of the control group(P<0.05);The pain and discomfort score of observation group was significantly lower than the control group,treatment attitudes,mental status,and disease was significantly higher cognitive scores (P<0.05). Conclusion The implementation of all-inclusive nursing for orthopedic trauma pa-tients can improve the physical and mental state,promote functional recovery and improve nursing satisfaction,it should be widely applied.
2.The analgesic and sedative effect of doctor-nurse cooperative care plan for emergency patients
Hejuan SHEN ; Jiwei WANG ; Yan WANG
China Modern Doctor 2015;(14):96-99
Objective To explore the analgesic and sedative effect of doctor-nurse cooperative care plan for emergency patients. Methods A total of 103 patients receiving emergency care in our hospital from January to December 2013 were included as a control group and 118 patients receiving care from January to December 2014 were included as the experimental group. The control group was given traditional health care and the experimental group was given doctor-nurse cooperative care, in which doctors and nurses learnt together, shared decision-making and communicate timely. The analgesic and sedative effect of both groups were compared as well as the average length of stay, mortality and pa-tients, nurses and doctors satisfaction. Results PSA implementation was significantly better in the experimental group than in the control group and the experimental group also had significantly lower incidence of sedation-related diseases (P<0.05). The mortality rate of patients in the experimental group was significantly lower than in the control group and the average length of stay was significantly shorter (P<0.05). Patients, attending physicians and nurses satisfaction were also significantly higher in the experiment group (P<0.05). Conclusion The doctor-nurse cooperative care plan has bet-ter analgesic and sedative effect than traditional care models and has obvious advantages in the emergency ward, thus it should be widely applied.