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Influence of preferred contract-altering system on contracted nurses

Xiaoxiao ZHANG ; Keying LIU ; Hongbo REN

Modern Clinical Nursing.2013;(10):53-56. doi:10.3969/j.issn.1671-8283.2013.10.018

Objective To explore the influence of preferred contract-altering system on contracted nurses to provide reference for stabilizing a team of high quality nursing.Method A scale on effort-reward unfairness(ERI)was used to investigate the ERI conditions among 348 contracted nurses before and after the enforcement of preferred contract-altering system.Results The scores on satisfaction with nursing work and the security in nursing work after the enforcement of the system were higher than before the enforcement(P<0.01).The ratio between effort and reward after the enforcement was lower than before the enforcement(P<0.01). Conclusions The preferred contract-altering system may enhance the job security and sense of belonging.It may decrease the ERI condition among contracted nurses,which are beneficial for stabilizing the nurses team,retaining talents and increasing the group’s competitiveness and vigour.

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Perioperative respiratory care in severe scoliosis patients

Xiaoxia LI ; Weiling ZHANG ; Ping XIAO ; Tianwen HUANG ; Junlin∥ YANG

Modern Clinical Nursing.2013;(10):49-52. doi:10.3969/j.issn.1671-8283.2013.10.017

Objective To investigate perioperative nursing of respiratory system in severe scoliosis patients.Methods 26 severe scoliosis patients with respiratory function training before operation were retrospected.All of them tested pulmonary function before and after training,postoperative respiratory system nursing were also taken to maintain airway unobstructed,including respiratory rate and oxygen saturation monitoring,effective pain management and respiratory complications controlling.Results The average forced vital capacity(FVC)was 45.9%and 52.1%before and after breathing exercises,the mean forced expiratory volume in one second(FEV1)was 43.8%and 48.8%before and after breathing exercises,with lung function improvement in 69.2%patients. There were two hemopneumothorax and three mild or moderate pleural effusion occurred within 10 days after surgery,but all recovered after effective treatment and nursing.Conclusions Perioperative systematic and effective training in respiratory function and airway management can improve lung function and surgical safety,reduce the incidence of postoperative pulmonary complications,and promote early rehabilitation .

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Effect of photodynamic therapy on acne

Yikun LIU ; Zhou CHEN ; Wenhai LI ; Qianxi XU ; Cheng ZHOU ; Jianzhong∥ ZHANG

Modern Clinical Nursing.2013;(10):45-46. doi:10.3969/j.issn.1671-8283.2013.10.015

Objective To investigate the curative effect of photodynamic therapy on acnes and summarize the nursing measures.Methods Twenty-four acne patients were treated with photodynamic therapy from our hospital.The nursing experience was summarized.Result Nineteen had complete recovery,3 significant improvement,and 2 mild improvement,with a total effective rate of 91.7%.Conclusion Health education on acnes,keeping the patients away from strong sunlight and instructing them to clean skin in a right way and timely treatment of complications are critical for the improvement of curative effect.

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Causes of diarrheas from kidney transplantation from donation after cardiac death and nursing strategy

Meijuan WU ; Yuan LIAO ; Jing XIAO ; Fei WANG ; Haiqing JIANG ; Xinxin∥ ZHAO

Modern Clinical Nursing.2013;(10):42-44. doi:10.3969/j.issn.1671-8283.2013.10.014

Objective To study the diarrhea causes and nursing care after kidney transplantation from donation after cardiac death(DCD).Methods The clinical data of 91 patients undergoing kidney transplantations from DCD were retrospectively analyzed from November 2011 to May 2013 in our department,to investigate the incidence of diarrhea and the causes.Results Eighty three cases contracted diarrhea in 91 recipients,with the incidence of diarrhea 91.2%.The use of immunosuppressive agents,intestinal flora,infection and bowel movement dysfunction were all related to the diarrhea.Conclusions The incidence of diarrhea is high and the causes are complex after kidney transplantation from DCD.So nurses should take the appropriate care measures to improve the quality of nursing,avoiding complications and ensuring transplant results based on a different cause of diarrhea.

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Application of implantable venous access port in tumor patients

Qiuhuan KONG ; Yushan LIU ; Yandan FENG

Modern Clinical Nursing.2013;(10):39-41. doi:10.3969/j.issn.1671-8283.2013.10.013

Objective To explore the application of implantable venous access port(IVAP)in tumor patients.Methods Overall,246 tumor patients were enrolled.The clinical application and nursing of IVAPs were reviewed retrospectively.Results IVAPs were implanted successfully in all 246 patients.Complications included thrombosis in 10 patients,infection in 6,blockage in 1 and leakage in another.IVAPs were removed from 15 patients with complications.Conclusions The prevention and management of complications in IVAP are important for the patients embedded with IVAP.

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Operative collaboration in laparoscopic live donor nephrectomy

Rong MIAO ; Min WU ; Guiyin XU

Modern Clinical Nursing.2013;(10):37-38. doi:10.3969/j.issn.1671-8283.2013.10.012

Objective To investigate the surgical collaboration in laparoscopic live donor nephrectomy.Method A retrospective analysis was made on the clinical data of 18 cases of laparoscopic live donor nephrectomy.Result All laparoscopic live donor nephrectomy were completed successfully,without severe complications caused by surgical collaboration.Conclusion The key points of successful operation are delicate mental care,sufficient preoperative preparation,good cooperation during the operation and related health education.

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Effect of clinical nursing path on the psychological status of cerebral infarction patients hospitalized for the first time

Ya LUO ; Chufeng XIE ; Meifang ZENG ; Haiyan TAN ; Jing∥ QIU

Modern Clinical Nursing.2013;(10):34-36. doi:10.3969/j.issn.1671-8283.2013.10.011

Objective To investigate the clinical nursing path on the psychological status of cerebral infarction patients hospitalized for the first time.Methods Two hundred cerebral infarction patients hospitalized for the first time were equally randomized into the observation group and control group:the former used conventional nursing method and the latter a clinical nursing path.The self-rating depression scale(SDS)and self-rating anxiety scale(SAS)were used to assess their psychological state.Results After intervention,the scores on SDS and SAS in the former group were significantly lower than those in the latter group(all P<0.05). The satisfaction rate in the former was higher than that of the control(P<0.05).Conclusion The clinical nursing path makes it possible to effectively alleviate the psychological burden of the cerebral infarction patients hospitalized for the first time and improve the patients’satisfaction with nursing working.

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Application of two placements in infant megacolon radical operation

Min WU ; Yuchan HUANG ; Yuxuan MA ; Fang ZHOU ; Dan LIAO

Modern Clinical Nursing.2013;(10):32-33. doi:10.3969/j.issn.1671-8283.2013.10.010

Objective To compare the effects of two positions in the infant megacolon radical operation.Methods Sixty infants undergoing abdominal perineal megacolon radical operation were randomly divided into the control group and the observation group in equal number.The former took the traditional lithotomy position and the latter modified suspended lithotomy position.Results The operative exposures in the observation group were much more sufficient than that of the control group(P<0.05).While adverse skin reactions in the observation group were more uncommon than those of the control group(P<0.05).Conclusion The suspended lithotomy position may provide a better exposure and result in fewer adverse skin reactions during the abdominal perineal megacolon radical operation.

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Evaluation of uncertainty in colony forming units on the disinfected skin of nurses in operation room

Ling WANG ; Suling ZHOU ; Guilan LU ; Li SHA ; Xiaoqing JIN

Modern Clinical Nursing.2013;(10):29-31. doi:10.3969/j.issn.1671-8283.2013.10.009

Objective To develop a feasible method for evaluating uncertainty in colony forming units(CFU)on the disinfected skin of nurses of operation room.Methods A nurse of operation room in a hospital involved the study.Ten spots on her disinfected hand skin were selected for evaluation of uncertainty in the acquired data and analysis of reliability of the evaluation methods,according to Technical Norms for Monitoring the Disinfection and Sterilization Quality in Hospitals in Jiangsu Province and JJF1059-1999 Evaluation and Expression of Uncertainty in Measurement.Results The CFU on the disinfected skin of nurse was(4±2)cfu/cm2, which indicated that the disinfection of the nurse's hands was not qualified.Conclusion The evaluation method by our study is reliable for evaluating the uncertainty in CFU on nurse’s disinfected hand skin.It is simple and fitful for the uncertainty evaluation of hospital disinfection effect.

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Nursing cooperation during minimally invasive cardiac surgery

Ling SONG ; Kefei JIN ; Jingjing LI ; Shuai RAN

Modern Clinical Nursing.2013;(10):26-28. doi:10.3969/j.issn.1671-8283.2013.10.008

Objective To summarize the main points of nursing the patients during small incision minimally invasive cardiac surgery.Methods Two hundred and seventy-one patients underwent small incision minimally invasive cardiac surgery during April 2010 and December 2010.The cooperative nursing was performed.Results The patients went well with the operations,with the average extracorporeal circulation time of(117.3±47.1)min and aorta blocking time of(82.6±32.1) min.All of the patients were discharged,without postoperative complications.(6.8±2.6)d.Perioperative and after discharge with no deaths.Postoperative recovery and no postoperative complications,were recovered and discharged without any complications.The postoperative hospital length of stay was(6.8±2.6)d.Conclusions The minimally invasive cardiac surgery is effective and safe.The preoperative health education and intraoperative nursing cooperation are critical for the operative success.

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