1.Effects of patient-participating nursing mode in day-care chemotherapy patients
Peijun ZHENG ; Haofen XIE ; Songjing REN ; Qinhong XU
Chinese Journal of Modern Nursing 2018;24(12):1383-1386
Objective To explore the effects of patient-participating nursing mode in improving the nursing quality for chemotherapy patients in day-care ward. Methods A total of 80 cases of chemotherapy patients in the Day-care Ward of Ningbo First Hospital from April to September 2017 were selected and randomly divided into control group and observation group, with 40 patients in each group. Routine nursing care was applied in the control group. On the basis of routine nursing, patient-participating nursing mode was applied in the experimental group. The safety of intravenous chemotherapy (venous exudation and phlebitis), patient satisfaction and quality of life of the two groups were observed and compared. Results The incidences of phlebitis, venous exudation and patient satisfaction of the control group were 22.5%, 5.0% and 80.0% respectively. Those of the observation group were 15.0%, 0% and 97.5% respectively, and the differences were statistically significant (P< 0.05). After the application of patient-participating nursing mode, the patients in the observation group were superior to the control group in their overall condition, body, role, cognition, emotion and social support. The scores of fatigue, insomnia, loss of appetite, diarrhea and constipation were lower than those of the control group, and the differences were statistically significant (P<0.05). There were no statistical differences in the incidences of nausea and vomiting, pain and shortness of breath (P> 0.05). Conclusions Patient-participating nursing mode is conducive to improve the safety and effectiveness of intravenous chemotherapy, reduce the adverse reactions of chemotherapy, and improve patient satisfaction and quality of life to some extent.
2.Effects of personalized nutritional intervention on the nutritional risks and quality of life for patients with prostatic neoplasms and endocrine therapy
Weihong WANG ; Yihong SONG ; Mengmeng YI ; Lanlan ZHANG ; Tingting YU ; Haofen XIE ; Bo FENG ; Songjing REN
Chinese Journal of Modern Nursing 2017;23(11):1465-1469
Objective To investigate the effect of personalized nutritional intervention on the nutritional risks and quality of life for patients with prostatic neoplasms and endocrine therapy.Methods Totally 136 patients with prostatic neoplasms who were admitted and treated in the day care ward of Ningbo First Hospital between August and October 2016 were selected, and equally and randomly divided into an observation group and a control group. Patients in the control group received conventional diet nursing, while patients in the observation group were screened for nutritional risks, and received step-by-step and personalized nutritional intervention and followed up by nurses based on the nutritional protocols made by both nurses and nutritionists. Patients in the two groups were then compared in the incidence of nutritional risks, laboratory nutrition indicators and life quality at admission and 8 weeks later.Results There was no statistically significant differences between the incidences of nutritional risks before and after the intervention (χ2=0.052,1.952;P>0.05), the observation group's prealbumin (PA), serum albumin (ALB) and hemoglobin (Hb) were (29.01± 6.37)g/L, (1.20±3.41)g/L and (12.36±1.78)g/dL, respectively, higher than those of the control group (P<0.05); and there were statistically significant differences between the patients in the two groups in their overall health condition, somatic function, role function, cognitive function, emotional function, fatigue,ache, diarrhea and financial difficulty (P<0.05).Conclusions Personalized nutritional intervention helps to improve the nutritional status and life quality of patients with prostatic neoplasms and endocrine therapy.