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Nursing care of patients with cosmetic dermatitis receiving patch test

Haiyan CHEN ; Suping GUO ; Yue ZHENG ; Sulian YANG ; Fengxian OU

Modern Clinical Nursing.2013;(11):39-41,42. doi:10.3969/j.issn.1671-8283.2013.11.012

Objective To summarize key points of nursing patients with cosmetic dermatitis during patch test.Method One hundred and forty one patients with contact dermatitis induced by cosmetics underwent patch test and the nursing care was performed. Results The top five allergens based on the positive rate ranked in descending order were potassium dichromate(43?97%),nickel sulfate (43?26%),cobalt chloride(36?17%),mixture of hydroxy benzoic acid(23?40%)and fragrance mix(20?57%).The positive suspicious cosmetics ranked in ascending order included body spray(80?00%),freckle cream(56?00%),liquid products(38?89%),cleaning supplies (31?58%)and skin care cream(25?62%).Conclusion During the cosmetic patch test for the patients with contact dermatitis,the nurses should conduct mental care,carefully observe the patients and make instructions to them on cosmetic health knowledge.

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Application of clinical nursing pathway in health education for patients undergoing percutaneous nephrolithotomy

Qijun YANG ; Jinlan CHEN ; Shunyi TAN

Modern Clinical Nursing.2014;(4):76-78,79. doi:10.3969/j.issn.1671-8283.2014.04.25

Objective To study the role of clinical nursing pathway (CNP)in health education for patients undergoing percutaneous nephrolithotomy (PCNL).Methods Ninety patients with PCNL were randomized into the observation group and the control group in equal number: the former received CNP health education and the latter routine health education while hospitalization. The two groups were compared in terms of scores on health education,satisfaction with nursing,incidence of postoperative extubation and hospital stay.Result The scores on health education,satisfaction with nursing and incidence of postoperative extubation in the observation group were all significantly higher than those of the control group (allP<0.05) and the hospital stay in the former was significantly shorter than that of the latter (P<0.05).Conclusions PCNL in use of CNP health education can promote patients’ health education quality,reduce their incidence of extubation,shorten their hospital stays and improve their satisfaction of nursing. It is worthy of clinical promotion and application.

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Effects of comfort nursing on emotions and comfort of surgical patients

Qiaoling XU ; Juan FENG ; Shaoping LI

Modern Clinical Nursing.2014;(4):53-55,56. doi:10.3969/j.issn.1671-8283.2014.04.18

Objective To explore effects of comfort nursing on anxiety, depression and comfort of surgical patients.Methods Comfort nursing was done to 128 surgical patients, including physical comfort, psychological comfort and social comfort and self-designed questionnaire was made to investigate the comfort of patients during operation. When the patients were hospitalized and after operation, patients’physical states were evaluated with self-rating depression scale(SDS)and self-rating anxiety scale(SAS).Results The score of patients’comfort was (6.5±0.2)and the SDS and SAS were lower than that of patients when hospitalized with statistical difference(P<0.05).Conclusion Comfort nursing can reduce anxiety, depression and increase comfort of surgical patients.

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Chitosan gel (Ⅲ) reduces the complications from Milligan-Morgan hemorrhoidectomy for treatment of severe mixed hemorrhoids

Xia ZHANG ; Xiaoping LI

Modern Clinical Nursing.2014;(4):20-22,23. doi:10.3969/j.issn.1671-8283.2014.04.07

Objective To explore the effect of Chitosan gel (Ⅲ) on the complications from Milligan-Morgan hemorrhoidectomy for treatment of severe mixed hemorrhoids.Methods Seventy-six patients with severe mixed hemorrhoids were randomly divided into treatment group and control group with 38 cases in each group. All patients from the two groups were treated with Milligan-Morgan hemorrhoidectomy. Then Chitosan gel (Ⅲ) was used in the treatment group. The two groups were compared in terms of curative effect, pain level, complications and hospital stay.Results There was no significant difference in the curative effect (P>0.05). But the scores on pain level, hemtochezia, infection and edema of the treatment group were all significantly lower than those of the control group (allP<0.05) and the hospital stay was significantly shorter than that of the control group (P<0.05).Conclusions In the treatment of severe mixed hemorrhoids by Milligan-Morgan hemorrhoidectomy, Chitosan gel (Ⅲ) is effective in relieving pains, reducing hemorrhage, edema and preventing infections and therefore shortens the hospital stay. In view of nursing, it is critical to perform mental care as well as close observations on complications.

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Application of evidence-based nursing combined with KAP model in health education to the parturients from suburbs

Meiping LI ; Yu XU

Modern Clinical Nursing.2014;(5):74-76,77. doi:10.3969/j.issn.1671-8283.2014.05.23

Objective To study the effect of evidence-based nursing combined with KAP model on health education to the parturients from suburbs.Methods According to problems in 200 pregnant women from suburban areas, health education was performed to them using evidence-based nursing and KAP model. The rate of access to knowledge, confidence about laboring, spontaneous participation in action to promote delivery, natural birth rate, episiotomy rate, breastfeeding rate and rate for satisfaction with midwives were compared between pre-and post-health education.Results After intervention, their access to knowledge, confidence about laboring, spontaneous participation in action to promote delivery were obviously improved than those before intervention(P<0.05). The rate of natural birth, cesarean delivery, forceps delivery and satisfaction with midwives were 66.0 %, 30.0 %, 1.0% and 94.4 %, respectively.Conclusion Evidence-based nursing and KAP model is effective in the health education to pregnant women from suburbs.

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Training of critical thinking of ICU nurses

Qingping DENG ; Minzhi WU ; Xiaoping WANG ; Haiying HUANG ; Ling LIANG

Modern Clinical Nursing.2014;(5):67-69,70. doi:10.3969/j.issn.1671-8283.2014.05.21

Objective To explore the methods for training the abitity of critical thinking of ICU nurses.Methods ICU nurses were trained in terms of knowledge training, case study, care rounds, self-reflection, case discussion, simulation training and seminars. The Chinese version of the critical thinking disposition inventory(CTDI-CV)was used before and one year after the training.Result The scores on CTDI-CV as well as the items after training were all significantly higher than that before training(P<0.05).Conclusion The knowledge and ability in critical thinking can be improved by knowledge and skills training.

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Application of kind removal silicone adhesive tape on fixing eyepatch with phototherapy for neonates

Yuelan MA

Modern Clinical Nursing.2014;(6):59-60,61. doi:10.3969/j.issn.1671-8283.2014.06.17

Objective To observe the effect of kind removal silicone adhesive tape on fixing eyepatch with phototherapy for neonates. Methods One hundred and thirty newborn undergoing phototherapy were randomly divided into control group(n=62)and experiment group (n=68). The routine adhesive tape was used to fix the eyepatches in the control group and in the experiment group 3 M kind removal silicone adhesive tape was used. The two groups were compared in terms of eyepatch falloff,skin complications and times of crying.Result The times of eyepatch falloff,rate of skin complications and times of crying in the experiment group were lower than those in the control group (P<0.05).Conclusion The application of 3 M kind removal silicone adhesive tape can significantly reduce skin injuries of newborns and improve the effect of fixation.

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Influence of peer education on sleep quality of elderly parturient women

Hongrong CAO

Modern Clinical Nursing.2014;(6):36-38,39. doi:10.3969/j.issn.1671-8283.2014.06.10

Objective To study the effects of peer education on sleep quality in the elderly parturient women.Methods One hundred and twelve elderly parturient women were divided randomly into control and intervention groups,with 56 cases in each group. The patients in control group received routine health education,while the intervention group peer education besides routine health education for 8 weeks. The two groups were compared using Pittsburg sleep quality index(PSQI)and self-rating anxiety scale (SAS).Results After intervention,the two groups were significantly developed in terms of the PSQI and SAS scores compared to post-intervention,respectively(P<0.05). In comparison of the two group,the PSQI and SAS scores in the intervention group were statistically significantly different(P<0.01).Conclusion Peer education can improve the sleep quality of the elderly parturient women and mental status.

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Effect of psychological interventions for patients with cancer pain

Shifang CUI ; Chunhong YU ; Shoubin LI ; Qing ZHAO ; Shuangli LI ; Xiaoling WANG ; Lianyin LI ; Shuangyou GAO

Modern Clinical Nursing.2014;(4):41-43,44. doi:10.3969/j.issn.1671-8283.2014.04.14

Objective To evaluate the effect of psychological interventions for patients with urnary cancer on pain and quality of life.Methods One hundred and twenty patients were randomized into research and control group.Each group contained 60 cases. The study group received regular analgesic treatment and psychological interventions.The control group received the same scheme but for psychological interventions.As LQ-C30 was applied to evaluate patients' pain intensity and quality of life respectively.Result The pain relief rate of study group acquired is different significantly from control group, as well as in a higher score in global quality of life, role function, emotional function (P<0.05).Conclusions High-quality psychological care service can improve the quality of life of patients and release cancer pain.

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Application of collaborative care model in the rehabilitation intervention of COPD patients

Weilian HUANG ; Wanhong ZHOU

Modern Clinical Nursing.2014;(5):39-41,42. doi:10.3969/j.issn.1671-8283.2014.05.12

Objective To investigate the effect of collaborative care model(CCM)on the rehabilitation of nursing intervention of COPD(chronic obstructive pulmonary disease)patients.Methods Sixty COPD patients treated in the community clinics were equally divided into control and experiment group and the former received routine nursing and the latter CCM. After nursing intervention, the two groups were compared in terms of pulmonary function and quality of life.Result After intervention, the experiment group was better in pulmonary function and the score by SF-36QOL was higher than that of the control group(P<0.001).Conclusion CCM helps the improvement of pulmonary function of COPD patients and therefore enhances the quality of life.

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