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The implementation of the nursing works in the urodynamic centerd

Ruili ZHANG ; Huifan LIU ; Yan QI ; Shuqiang ZUO ; Xiaojin WANG ; Guoxian ZHANG ; Jianguo WEN

Chinese Journal of Nursing.2010;45(5):452-453. doi:10.3761/j.issn.0254-1769.2010.05.024

Urodynamic examination is a standard way for the diagnosis of lower urinary tract dysfunction. However，it is affected by many factors. In order to increase the accuracy and repeatability of urodynamic result and promote the development of urodynamic center，some improvement measures were implemented，such as strengthening nursing work，improving examinational environment，protecting patients' privacy，providing active health education and psychological nursing.

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The study of patients' positions for needle-assisted thoracoscopic sympathicotomy

Yuanyuan YE ; Lili CHEN ; Jinzhu XU ; Xiaochu WANG ; Xiaoming LIN ; Hui WU

Chinese Journal of Nursing.2010;45(5):444-446. doi:10.3761/j.issn.0254-1769.2010.05.020

Objective To explore the effect of three surgical positions on needle-assisted thoracoscopic sympathicotomy. Methods Sixty patients undergoing needle-assisted thoracoscopic sympathicotomy were divided into lateral position group，Fowler position group，and modified Fowler position group. The position of the endotracheal tube，noninvasive blood pressure (NIBP) and heart rate were monitored before and after the body position was changed. Moreover，the exposure of surgical field,operation time and comfort degree of patients were recorded. Results The operations were completed successfully under the three positions. Modified Fowler position provided better surgical field and higher comfort degree of patients. Moreover,it was convenient for operative procedure and shortened the operation duration. Conclusion During the operation of needle-assisted thoracoscopic sympathicotomy,modified Fowler position can provide better surgical exposure,enhance comfort of patients,stabilize hemodynamics and shorten operation duration.

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Safety management of 15 patients with severe pulmonary arterial hypertension treated by aerosolized iloprost

Fen GU ; Min HU ; Juan YAO ; Ying YU ; Xin JIANG ; Xiaoxia YAN ; Jie CHENG ; Xiqi XU ; Zhicheng JING

Chinese Journal of Nursing.2010;45(5):425-426. doi:10.3761/j.issn.0254-1769.2010.05.012

This paper summarizes the key points of safety management for 15 patients with severe pulmonary arterial hypertension treated by aerosolized iloprost. All patients achieved significant improvements and none of them suffered any severe side effect. Complete safety management during the therapeutic procedure improved the patients' treatment confidence and compliance,and thereafter strengthened the efficacy of treatment.

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Effects of nursing intervention on the beliefs and behavior of early detection of breast cancer among Shanghai women

Yu CHEN ; Haiou XIA ; Oakley DEBORAH ; Hongli JIA ; Wei DENG

Chinese Journal of Nursing.2010;45(5):401-404. doi:10.3761/j.issn.0254-1769.2010.004

Objective To evaluate the effects of nursing intervention on the beliefs and behavior of early detection of breast cancer. Methods Four communities in Shanghai were selected by convenient sampling process. Then these four communities were randomly assigned to intervention group and control group. One hundred and eighty women who met the criteria of this study were selected from each group by convenient sampling process.Altogether 739 women were recruited. In intervention group,a one-year nursing intervention guided by health belief model was implemented,such as health education seminars,telephone follow in the third,sixth,and ninth months,and flyers of breast health care in the sixth month. Control group only received conventional education. Results After intervention women became aware of breast cancer (B=0.210,P＜0.01),perceived more benefits from attending early breast cancer detection (B=0.105,P＜0.01),and less difficulties in attending the activities of early detection of breast cancer (B=-0.086,P＜0.05). The number of women who performed breast self-examination once per month increased and more women received clinical breast examination (OR=3.0946) and mammogram after intervention (OR=2.746). Conclusion The nursing intervention,guided by health belief model,is helpful to improve women's beliefs and behaviors of breast cancer detection.

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Relationship between symptom experiences and quality of life in liver transplant recipients

Li LAI ; Xiaoling LI ; Yanli LUO

Chinese Journal of Nursing.2010;45(5):397-400. doi:10.3761/j.issn.0254-1769.2010.05.003

Objective To describe symptom experiences and quality of life (QOL) in liver transplant recipients and explore the relationship between them,in order to provide a scientific basis and new directions for clinical assessment and intervention to improve QOL of them. Methods One hundred and thirty-seven liver transplant recipients who received liver transplantation from 1999 to 2008 were recruited in this study. They were investigated with The SF-36 Health Survey Questionnaire and Modified Transplant Symptom Occurrence and Symptom Distress Scale (MTSOSD). Results Liver transplant recipients experienced many symptoms (median 17,range 2-30). The most commen symptoms were：fatigue and drowsy,sleeplessness,mood swings,dizzy and headache,abdominal distension,and diarrhea,which distressed more than half of the recipients. Compared with a reference general population,the liver transplant recipients showed a significantly worse QOL score (P＜0.01). The result of stepwise multiple regression analysis showed that the total score of symptom experiences,surviving time after transplantation operation,family income and social support score were significant predictors of QOL. Conclusion Liver transplant recipients suffer from complex symptom experiences after transplantation operation. Symptom management is imperative to be embraced in long-term care planning for liver transplant recipients and effective symptom intervention will result in improved QOL.

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The function of Nursing station for blood delivery on the safety of clinical blood transfusion

Huafen WANG ; Fumin JIANG

Chinese Journal of Nursing.2010;45(5):450-451. doi:10.3761/j.issn.0254-1769.2010.05.023

To effectively implement "Technical manual of clinical blood transfusion ",ensure the safety of clinical blood transfusion,and decrease nursing human resources cost,a nursing station for blood delivery hospital was established. This paper introduces the environment and facility,basic setup of information-based management,organizational structure,operation and management mode of nursing station for blood delivery. With flexible work mode,standard distribution process,safe and timely distribution,and effective quality control of blood transfusion process,the nursing station for blood delivery ensured the safety and effectiveness of clinical blood utilization,strictly implemented "Technical manual of clinical blood transfusion ",made full use of human resources,relieved the stress of laboratory technicians of blood transfusion department,and improved the satisfaction rate of medical staff towards blood transfusion department.

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Practice and effect of nursing safety management for indwelling catheters

Linzhen XU ; Jiong HUANG ; Xiangying PAN ; Xuehong ZHAO

Chinese Journal of Nursing.2010;45(5):448-449. doi:10.3761/j.issn.0254-1769.2010.05.022

Objective To investigate the methods of nursing safety management for indwelling catheters. Methods The nursing safety management measures included the establishment of three-level monitoring network of safety management for indwelling catheters,standardization of 25 kinds of catheter identification cards,formulation of prevention procedure and reporting system of catheter extrusion,design of catheter management handbook,organization of training and examination on the relative skills for nurses. Results Nurses' safety awareness of indwelling catheters was strengthened. And nurses could distinguish different catheters promptly and provide efficacious and safe nursing services. There was no nursing error,nursing dispute and patient complaints towards nursing care of indwelling catheters. Conclusion The implementation of nursing safety management for indwelling catheters can ensure medical and nursing safety,and promote the continuous improvement of quality of nursing.

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Nursing cooperation in hepatectomy and splenectomy to treat liver cancer

Guifang LI ; Liping ZENG ; Li FENG

Chinese Journal of Nursing.2010;45(5):446-447. doi:10.3761/j.issn.0254-1769.2010.05.021

This paper discusses the nursing cooperation in hepatectomy and splenectomy to treat liver cancer. The nurses in the operative room should provide preoperative visit,learn the results of patients' laboratory tests,provide psychological support for the patients,open enough venous channels for the operation,observe the patients' vital signs closely and cooperate with the surgeons actively. In conclusion,the sufficient preoperational preparation,careful observation and intraoperative care,active and effective cooperation of nurses are important for the success of the operation.

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Ethical dilemma and coping strategies of nurses involving in caring dying patients

Jianhua LOU ; Meisi WU ; Hong XU ; Haiying ZHU

Chinese Journal of Nursing.2010;45(5):441-443. doi:10.3761/j.issn.0254-1769.2010.05-019

Objective To explore nurses' experiences of ethics dilemma and coping strategies involed in caring dying patients. Methods Interviews were conducted with 25 nurses from four different levels of hospitals in Shanghai. Results The ethical dilemmas that participants encountered with were derived from different standpoint and ethics decision-making between "relieve pain" and "extend life span","life value" and "insufficient medical resources","agent execution for patients' rights of being informed consent" and"medical intervention rights". Nurses' coping strategies included patiently communicating with family members to achieve agreement,failing to change family's decision then passively accepting it by self-adjustment,and following hospital rules and regulation or relying on team decision-making. Conclusion The study analyzed and discussed the reasons behind ethical dilemmas,as well as providing some suggestions on how to improve the coping abilities for nurse staffs. It can provide reference and basis for ethical decision-making.

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The systematic management of artificial airway for postoperative patients with laryngeal cancers

Hong ZHU ; Xianghong YE ; Hongmei FANG

Chinese Journal of Nursing.2010;45(5):439-440. doi:10.3761/j.issn.0254-1769-2010.05.018

This paper summarizes the systematic management of artificial airway for 36 postoperative patients with laryngeal cancers. A full-time nurse is responsible for the systematic artificial airway management to implement respiratory care,endotracheal tube care,infection prevention and control,nutritional support and health education. As a result,the incidence of fever,frequent cough,and bloody sputum was 2.12%. Pharyngeal fistula and pulmonary infection occurred in one patient,respectively. All the patients recovered well after intensive care. It is suggested that systematic artificial airway management can effectively reduce complications,improve the quality of nursing and increase patient satisfaction.

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