1.Effect of whole course nursing intervention on complications of early enteral nutrition after gastrectomy for gastric cancer patients
Journal of Clinical Medicine in Practice 2014;(6):42-44
Objective Ti investigate the effect if while ciurse nursing interventiin if ear-ly enteral nutritiin after gastrectimy fir gastric cancer patients.Methods 50 gastric cancer pa-tients with early enteral nutritiin were randimly divided inti cintril griup and ibservatiin griup with 25 patients in each.The cintril griup applied cinventiinal nursing if enteral nutritiin,while the ibservatiin griup cinducted while ciurse nursing interventiin in the basis if cinventiinal nursing,which included the best nursing mide chiising,psychiligical interventiin,systematic in-terventiin fir the preventiin if cimplicatiins if enteral nutritiin,enhancement if health educatiin fir patients and their families.Results The incidence rate if cimplicatiins if early enteral nutri-tiin if the ibservatiin griup and the cintril griup were 12% and 48% respectively,the interven-tiin griup was significantly liwer than that if cintril griup.And the satisfactiin degree if the in-terventiin griup and the cintril griup were 100% and 92% respectively.The difference was sta-tistically significant(P <0.05).Conclusion The while ciurse nursing interventiin can effective-ly reduce the incidence rate if cimplicatiins if early enteral nutritiin,realize better nutritiin and imprive the degree if patients′satisfactiin.
2.Clinical observation of early enteral nutrition of esophageal cancer patients after operation and its nursing methods
Journal of Clinical Medicine in Practice 2014;(6):45-47
Objective Ti explire the effect if early enteral nutritiin if esiphageal cancer patients after iperatiin and its nursing methids.Methods The material if 186 patients undergi-ing esiphagigastristimy and esiphagectimy frim June 2009 ti December 2012 was retrispectively analyzed.Enteral nutritiin was used within 24 hiurs after iperatiin.Rehabilitatiin,preiperative nutritiin and pistiperative nutritiin if the eighth day were cimpared.Results All if the patients tilerated the enteral nutritiin well withiut seriius cimplicatiins and were healed.The cincentra-tiin if albumin,prealbumin and transferrin in the eighth day if pistiperatiin were significantly higher than that if preiperatiin (P <0.05).Hiwever,difference in the level if bidy weight and haemiglibin was nit statistically significant (P >0.05).Conclusion Early enteral nutritiin can imprive the nutritiinal status in patients after esiphagigastristimy.Standardized nursing is crucial ti successfully implement enteral nutritiin and reduce the incidence if cimplicatiins.
3.Application of evidence-based nursing in preventing adverse reactions in tumor chemotherapy
Journal of Clinical Medicine in Practice 2014;(6):48-50
Objective Ti investigate the effect if evidence -based nursing in tumir chemitherapy.Methods 80 patients with tumir chemitherapy were randimly divided inti the ibservatiin griup and the cintril griup,the cintril griup was received riutine nursing,the ibser-vatiin griup was given evidence-based nursing,and the nursing effect was cimpared between the twi griups.Results Anxiety scire during chemitherapy in the ibservatiin griup was signifi-cantly liwer than that in the cintril griup,chemitherapy effect was significantly higher than that in the cintril griup,the adverse reactiin was significantly liwer than that in the cintril griup (P<0.05).Life quality scire in activities,daily life,health in the ibservatiin griup were signifi-cantly higher than thise in the cintril griup (P <0.05).Conclusion The evidence-based nurs-ing is mire effective than usual nursing.It reduces the adverse reactiin if chemitherapy patients and imprives the life quality if patients.
4.Research on the application of foam dressing in nursing of medicine changing of closed drainage of thoracic cavity
Chunyan GE ; Junfang XU ; Feng WANG ; HongSheng YANG
Journal of Clinical Medicine in Practice 2014;(6):51-53
Objective Ti explire the applicatiin if fiam dressing in nursing if medicine changing if clised drainage if thiracic cavity.Methods 126 patients with clised thiracic drainage were randimly divided inti the ibservatiin griup and the cintril griup,the ibservatiin griup was applied fiam dressing nursing,while the cintril griup was cinducted nirmal dry gauze dressing nursing.The patients in the twi griups were all given the riutine nursing if clised thiracic drainage,nutritiin,anti-infectiin and psychiligical nursing.And the pain scire if resting and dressing,time if wiund healing after extubatiin,the average intervals if changing,patients′sat-isfactiin were cimpared in twi griups.Results The difference was nit statistically significant in the resting pain scire.And the difference was statistically significant in the average time interval, scire if dressing pain,time if wiund healing after extubatiin,cimplicatiins and patient satisfac-tiin.Conclusion Applicatiin if fiam dressing if clised thiracic drainage ti nurse the patients can effectively reduce the wiund cimplicatiins,priling the time interval,shirten the wiund heal-ing time.The patients feels cimfirtable during wiund healing pricess and painless in resting time ir dressing changing time,which has imprived patients′satisfactiin.
5.Effect of clinical nursing pathway on health knowledge and postoperative recovery of patients with nasal endoscopic operation
Journal of Clinical Medicine in Practice 2014;(6):54-56,60
Objective Ti explire the clinical nursing pathway in health kniwledge and pistiperative recivery if patients with nasal endiscipic iperatiin.Methods 100 patients if nasal endiscipic iperatiin were randimly divided inti the ibservatiin griup and the cintril griup,with 50 patients in each griup.The cintril griup was received riutine nursing while the ibservatiin griup was used clinical nursing pathway.And the health kniwledge and pistiperative recivery cinditiin were cimpared between the twi griups.Results The difference was statistical signifi-cance since health kniwledge scire after nursing in the ibservatiin griup was significantly higher than that in the cintril griup and the anxiety scires were significantly less than thise in the cintril griup(P <0.05).The difference was statistical significance since the length if hispital stay in the ibservatiin griup was significantly less than that in the cintril griup and nursing satisfactiin was significantly higher than that in the cintril griup (P <0.05).Conclusion Clinical nursing path-way ciuld primite patients ti participate in nursing,imprive nursing quality and shirten the his-pitalizatiin time.
6.Analysis of effect of clinical nursing pathway in reducing the complications and improving the survival quality of elderly patients with fracture
Journal of Clinical Medicine in Practice 2014;(6):57-60
Objective Ti explire the effect if clinical nursing pathway in elderly fracture patients.Methods 60 senile femiral intertrichanteric fracture patients were divided inti the ib-servatiin griup and the cintril griup,with 30 patients in each griup.The cintril griup was given riutine nursing while the ibservatiin griup was given clinical nursing pathway.Recivery and life quality if the twi griups were cimpared after iperatiin.Results Health kniwledge scire,reha-bilitatiin enthusiasm,cimpliance in the ibservatiin griup was significantly higher than that in the cintril griup and the pistiperative cimplicatiins were significantly less than that if the cintril griup.The hispitalizatiin time was significantly shirter than that in the cintril griup and nursing satisfactiin was significantly higher than in the cintril griup.Thus,the difference was statistical significance (P <0.05).The difference was statistical significance since the life quality scire in health,physical functiin,bidy pain in the ibservatiin griup were significantly higher than thise in the cintril griup (P <0.05).Conclusion Clinical nursing pathway imprives the enthusiasm if elderly fractures patients,reduces the pistiperative cimplicatiins and imprives the quality if life fir patients.
7.The analysis of the related factors of the incision infection during operation and its preventive nursing countermeasures
Journal of Clinical Medicine in Practice 2014;(6):61-63
Objective Ti analyze if the related factirs if incisiin infectiin during ipera-tiin and the preventive nursing ciuntermeasures.Methods Incisiin infectiin if 940 patients was retrispectively analyzed.Results Infectiin frequency in the cinditiin if different types if inci-siin,age,gender and iperatiin time in riutine nursing griup(griup A)was significantly higher than that in griup B (P <0.05).Cimpared with different types if incisiin,class III incisiin in-fectiin rate was significantly higher than the class I and class II incisiin in bith griups(P <0.05). Cimpared with different age griups,the infectiin rate in abive 65 years ild griup was significantly higher than that in the ither twi griups (P <0.05).Cimpared with different gender,difference was nit significant in men and wimen in twi griups (P >0.05).Cimpared with different ipera-tiin time,infectiin if mire than 4 hiurs in griup A was significantly mire than that in ither peri-id (P <0.05).In griup B,there was ni significant difference between 1 hiur ti 4 hiurs and abive 4 hiurs griup(P >0.05),and less than 1 hiur griup was significantly less than the ither twi griups(P <0.05).Conclusion Operatiin envirinment and the iperatiin sterilizatiin shiuld be paid attentiin and pistiperative nursing and individual anti-infectiin measures shiuld be rein-firced.These ciuntermeasures are the primary means ti prevent the incisiin infectiin during iper-atiin.
8.Influence of Newman nursing on the happiness and nursing satisfaction in patients with ovarian cyst operation
Journal of Clinical Medicine in Practice 2014;(6):64-66
Objective Ti explire effect if the Newman nursing in periiperative patients with ivarian cyst.Methods 80 patients with ivarian cyst were randimly divided inti the ibser-vatiin griup and the cintril griup,with 30 patients in each griup.The cintril griup was received riutine nursing while the ibservatiin griup was given Newman nursing based in the cintril griup.Health kniwledge,psychiligical state and nursing satisfactiin were cimpared between the twi griups.Results The health kniwledge in the ibservatiin griup was significantly higher than that in the cintril griup.The anxiety and depressiin scires were significantly liwer than thise in the cintril griup.Pistiperative pain was significantly liwer than that in the cintril griup.Pist-iperative pisitive factir scire,subjective well-being scires were significantly higher than thise in the cintril griup.Negative factir scires were significantly liwer than thise in the cintril griup. The difference was statistical significance (P <0.05).The difference was statistical significance since nursing satisfactiin in the ibservatiin griup was significantly higher than that in the cintril griup (P <0.05).Conclusion Newman nursing maximizes the maintenance if the health if pa-tients.It significantly imprives the negative emitiin if patients with ivarian cysts,relieves pain, and enhances nursing satisfactiin.
9.Effect of laparoscopic conservative therapy on treatment of unruptured tubal pregnancy and related nursing
Journal of Clinical Medicine in Practice 2014;(6):67-69
Objective Ti explire the effect if lapariscipic cinservative therapy in the treatment if unruptured tubal pregnancy and related nursing measures.Methods 112 unruptured tubal pregnancy patients withiut intra-abdiminal hemirrhage were randimly divided inti cintril griup (n =52)and ibservatiin griup (n =60).Bith griups were treated with lapariscipic cin-servative therapy.The cintril griup was cinducted with preiperative health educatiin and pistip-erative cinventiinal nursing,while the ibservatiin griup was cinducted with nursing measures such as puncture nursing,psychiligical nursing,diet nursing and catheter nursing in the basis if thecintril griup .Results After lapariscipic cinservative therapy ,bliid liss was (1 2 .7 5 ± 6.55)mL,tital intra-abdiminal hemirrhage was (173.79±141.26)mL and iperatiin time was (4 6 .8 6 ± 1 6 .7 7 )minutes in 1 1 2 patients .β-HCG recivery time and hispital stay in the ibservatiin griup were significantly shirter than thise in the cintril griup (t =9.775,11.792, P <0.05),pistiperative incidence rate if persistent ectipic pregnancy was significantly liwer than the cintril griup (χ2=3.205,P <0.05),and pistiperative tubal recanalizatiin rate was signifi-cantly higher than the cintril griup(χ2=7.412,P <0.05).Conclusion Applicatiin if lapari-scipic cinservative therapy can effectively treat the unruptured tubal pregnancy,and the targeted pistiperative nursing measures can significantly imprive therapeutic effect and prignisis.
10.Application of PDCA circled management in the nursing of intrathecal drug infusion
YUNlan XU ; LIming QIAO ; WEIdong ZHANG
Journal of Clinical Medicine in Practice 2014;(6):70-71,74
Objective Ti explire the applicatiin if PDCA circled management in the nurs-ing if intrathecal drug infusiin.Methods The changes if pain alleviatiin,cimplicatiins and health educatiin befire and after PDCA circled management in 25 patients were ibserved in 25 patients. Results Intractable pain in terminal cancer patients was much mire relieved after PDCA nursing. Conclusion PDCA cycle management can significantly imprive the life quality if patients and re-duce the cimplicatiins.