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Influence of dietary intervention on treatment effect and life quality of young patients with hepatitis B

Chinese Journal of Practical Nursing.2010;26(12):1-2. doi:10.3760/cma.j.issn.1672-7088.2010.04.061

Objective To explore the effect of dietary intervention on treatment effect and life quality of young patients with hepatitis B. Methods 106 cases of hepatitis B patients were randomly divided into the intervention group and the control group, each group with 53 cases. The patients in the control group were given medication treatment and conventional diet, while the intervention group was given medication treatment plus dietary intervention. The therapeutic effect and quality of life were evaluated between the two groups 30 days after the intervention. Results 29 cases in the intervention group were cured (54.72%),while only 16 cases in the control group (30.19%) were cured. The total score of life quality in the intervention group was (69.72 ± 8.42), and (55.71 ± 8.31) in the control group. Significant difference existed in subsequent dimensionality: emotional role, bodily function,bodily pain, vitality, social function, mental health and general health between the two groups. Conclusions Clinical efficacy can be improved and quality of life can be enhanced through dietary intervention in patients with hepatitis B.

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The types of Korea nurses perception of whistle-blowing: Q-methodology

Jin LIU

Chinese Journal of Practical Nursing.2010;26(10):57-58. doi:10.3760/cma.j.issn.1672-7088.2010.04.024

Objective To explore and classify the subjective opinions of nurses on whistle- blowing, and identify the subjective characteristics of each type. Methods This study applied Q -methodology, protocols which could determinate subjective opinions of nurses on histle-blowing were set up and underwent interview investigation, data of the interviews went through Q-factor analysis. Results Most nurses had a positive attitude toward whistle - blowing because it could prevent any nursing activity not based on expertise and professional ethics from causing disadvantages for patients. At the same time, however, they requested the creation of a legal framework in which whistle-blowing was done in a way to increase trust among colleagues. Meanwhile, some nurses showed resistance to whistle - blowing. Conclusions Whether whistle - blowing can reach its aims depends on nurses' attitude toward it. Most Korean nurses support whistle-blowing. Nursing activity not based on expertise and professional ethics and causing disadvantages for patients can be avoided if a legal framework is established for whistle-blowing.

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Research in effect of hand function recovery machine on hand function rehabilitation of hemiplegia patients after stroke

Yi ZHU ; Ning LI ; Yihuang GU ; Hongzhu JIN

Chinese Journal of Practical Nursing.2010;26(10):49-52. doi:10.3760/cma.j.issn.1672-7088.2010.04.022

Objective To compare the rehabilitation effect of free rehabilitation, the needle therapy and the hand function recovery machine combined with free rehabilitation on movement function, the feeling function as well as the movement pattern of newly stroke patients with hemiplegia. Methods 49 newly stroke patients were divided into the free rehabilitation group, the acupuncture group and the hand function recovery machinegroup, each group received corresponding intervention. The movement function, the feeling function as well as the movement pattern were compared among the three groups using blind method. Results Brunnstrom evaluation for hands feeling-movement function, the Fugl- Meyer evaluation score showed obvious progress compared to before the treatment, score of fine hand - function assessment of Carrshepherd showed no change. Two weeks after treatment,Brunnstrom evaluation for hands feeling-movement function and the Fugl - Meyer evaluation score showed no difference between the free rehabilitation group and the acupuncture group, but the hand function recovery machine group showed better results than the other two groups. One months after treatment,Brunnstrom evaluation for hands feeling-movement function was different among these groups, but not the Fugl-Meyer evaluation score, the hand function recovery machine group showed better results than the other two groups, still score of fine hand-function assessment of Carrshepherd showed no change. Conclusions Acupuncture, free rehabilitation, hand function recov - ery machine all make progress in hand function recovery for newly stroke patients with hemiplegia, but hand function recovery machine combined with free rehabilitation proved to be the best method. Its effect for hand intricate function needs to be enhanced.

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Effect of chewing gum on gastrointestinal function after laparoscopic abdominal surgery

Yan REN ; Xiaoyun QIN ; Xiaoyun DAI

Chinese Journal of Practical Nursing.2010;26(26):68-70. doi:10.3760/cma.j.issn.1672-7088.2010.09.074

Objective To observe the effect of chewing gum on EGG,blood motilin and anus exhausting after laparoscopic abdominal surgery. Methods 200 patients after laparoscopic cholecystectomy were randomly arranged into chewing gum group (Group G): to start chewing gum for 30 min at breakfast time on first day after operation, and also at lunch and dinner time, and stopped until the first anus exhausting, and the control group(Group C): no chewing gum. The time between endpoint of operation to first anus exhausting was recorded; blood motilin and electrogastrography (EGG)on the morning of 1,2,3 days postoperation after chewing gum was detected. Results The time between endpoint of operation to first anus exhausting was not significantly different between two groups, compared with the control group, blood motilin significantly improved on the first day and the second day,but there was no difference between two groups on 3rd day; EGG was no different in all three days between two groups. Conclusions Chewing gum doesn't improve bowel function after laparoscopic abdominal surgery.

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Study on the intervention effect of continued nursing on the quality of life of patients with chronic obstructive pulmonary disease

Lan WANG ; Suyan LIU ; Yuehao SHEN ; Yue ZHAO

Chinese Journal of Practical Nursing.2010;26(26):22-25. doi:10.3760/cma.j.issn.1672-7088.2010.09.049

Objective To explore the effect of continued nursing intervention on quality of life of patients with chronic obstructive pulmonary disease. Methods The study took use of randomized controltest. All the 130 patients who were on admission because of acute exacerbation of chronic obstructive pulmonary disease were randomly divided into the intervention group (62 cases) and the control group (68 cases). The intervention group received telephone and home follow-up for one year, and the control group was provided conventional care. Lung function, SGRQ and dyspnea degree were collected on one-month,three-month, six-month, twelve-month after intervention. Results Lung function and activity scores of SGRQ, dyspnea degree and six minutes walk test between two groups had statistical significance after intervention. Conclusions Continued nursing intervention can postpone the rate of FEV1% declining, reduce dysnea degree, decrease the frequency of acute exacerbation, increase the quality of life of COPD patients.

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Research and countermeasure in core capabilities of nurses of blood purification in 18 hospitals

Shaoru GAO ; Gangyi PENG ; Li LIU ; Cuiqing CHEN ; Li ZHANG ; Guiying LIAN ; Xuefang HUANG ; Yan LI

Chinese Journal of Practical Nursing.2010;26(26):19-21. doi:10.3760/cma.j.issn.1672-7088.2010.09.048

Objective To find out the present situation and influence factor in core capabilities of nurses that with blood purification skills in 18 hospitals, and offer reference frame for training. Methods The questionnaires were used to investigate, theresults underwent analysis. Results Among three parts of core capabilities, total score of N1-2 made the highest,the mean score was 236.75,N3 score made the lowest,the mean score was 168.00. The percent of pass in every hierarchy didn't passed 50%. Using the multiple regression to analyze the factor,N1-1 was the work experience in department of nephrology;N3 was the training time of blood purification. Conclusions Percent of pass in core capabilities of nurses of blood purification is in a low level,every hospital should follow the principle of recruitment,and regulate the training of nurses in blood purification.

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Investigation and analysis in urban residents' mental health knowledge and access to it

Yumei QI ; Shengfeng WANG ; Guihua WANG

Chinese Journal of Practical Nursing.2010;26(26):9-11. doi:10.3760/cma.j.issn.1672-7088.2010.09.045

Objective To probe into urban residents' mental health knowledge awareness in Jingmen city. Methods By means of self-compiled questionnaires, 563 community residents were surveyed about their mental health knowledge and access to it. Results For mental health- care knowledge, community residents scored a total of (42.52±8.79), among which, (15.34±3.25) points for relevant causes,(12.23±4.89) points for corresponding symptoms, and (14.92±4.26) for health behavior. Such aspects would affect a resident's awareness of mental health knowledge as the resident's education background,marriage and chronic diseases. Radio and television (48.3%), newspapers and magazines (41.4%), hospital expert advice (39.8%), and community medical services (36.1% ) were considered the better access to mental health knowledge. Conclusions Residents had considerably inadequate knowledge of mental health. Therefore, a variety of health- care education activities should be carried out to improve residents'mental health knowledge.

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Development of transportable-like multi-purpose body posture table and evaluation of its clinical application effect

Hongrong MA

Chinese Journal of Practical Nursing.2010;26(26):61-63. doi:10.3760/cma.j.issn.1672-7088.2010.09.071

Objective To introduce the development of transportable-like multi-purpose body posture tables and observe its clinical application effect. Methods The transportable-like multi-purpose body posture tables were independently designed and manufactured. 120 patients who were to receive thoracentesis were divided into the observation group (odd number) and the control group (even number), with 60 cases in each group. The control group uses the traditional method, while the observation group used the transportable-like multi-purpose body posture table during thoracentesis. Pulses,breath, the artery blood oxygen saturation degree were compared between two groups, at the same time, patient comfort levels and degree of satisfaction were also compared. Results After puncture pulse, breathing and arterial oxygen saturation increased in both groups,but showing significant difference between the two groups. Comfort and satisfaction degree of patients in the observation group was significantly better than the control group. Conclusions Portable multi-position table can reduce patient discomfort and improve patient tolerance of surgery, comfort and satisfaction degree.

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Salvage technique of cryopreserved umbilical cord blood and nursing experience

Yun WU ; Chuannan QIAO ; Jiehui CHENG ; Mei HONG

Chinese Journal of Practical Nursing.2010;26(26):15-18. doi:10.3760/cma.j.issn.1672-7088.2010.09.047

Objective To investigate the safety of infusion and effective care of cryopreserved umbilical cord blood. Methods Side effects happened during transfusion of cord blood in 78 patients of 111times of transfusion were observed and nursed. Results During intravenous transfusion way:1 case with acute hemolytic reaction; 1 case with sudden loss of consciousness and convulsions; 4 cases with severe headache, difficulty with breathing, rapid increase of blood; 46 patients with high blood pressure, heart rate or blood pressure, heart rate, 1 patient had symptoms of frequent premature beats; most of the cases have hemoglobinuria after the infusion. Transfusion of bone marrow injection of ways: 11 patients have radioactive soreness in leg, hemoglobinuria hemoglobinuria mild symptoms or no symptoms during the process of infusion. Conclusions Systemic reactions were the main side effects during intravenous transfusion of cord blood, conditions change fast and complex, Nursing should focus on preventive care and preparation,close observation and active and effective symptomatic treatment; reaction of bone marrow injection of umbilical cord blood was local pain, the focus of nursing was aseptic operation and injection time.

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Influence of comprehensive family intervention on family function among HIV-infected injection drug users

Jun ZHOU ; Honghong WANG ; Ling HUANG ; Zhangping ZHU ; Peisheng YE ; Jian HUANG

Chinese Journal of Practical Nursing.2010;26(26):12-15. doi:10.3760/cma.j.issn.1672-7088.2010.09.046

Objective To examine the effects of comprehensive family intervention on family function among HIV-infected injection drug users (IDUs). Methods Ninety-eight HIV-infected IDUs in 3 AIDS treatment sites in Hunan Province were selected by random cluster sampling and were randomly divided into the intervention group (50 cases) and the control group (48 cases). Subjects in the intervention group were given a 9-month comprehensive family intervention, while those in the control group received standard treatment and care. When the study was completed, APGAR questionnaire was used to analyze the effects of comprehensive family intervention. Results Before the intervention ,the scores of family function were not significantly different the intervention group and the control group. After the intervention, the scores of family function among the control group were(4.26± 3.73) points and the intervention group was (6.53± 4.29) points, the scores of family function were significantly different between the two groups. Conclusions The comprehensive family intervention is an effective model to improve the family function of HIV-infected injection drug users.

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