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Application of postural and rehabilitation exercise therapy in patients with lumber or cervical intervertebral disc herniation

Jie HAN ; Juan WANG ; Yuying LIU

Journal of Clinical Medicine in Practice.2017;21(18):39-42. doi:10.7619/jcmp.201718013

Objective To analyze the application value of postural and rehabilitation exercise therapy in patients with lumber or cervical intervertebral disc herniation.Methods A total of 140 patients with lumber or cervical intervertebral disc herniation were randomly divided into observation group (n =70) and control group (n =70).The control group were given conventional treatment based on acupuncture,medicine and traction while the observation group were given regular postural and rehabilitation exercise therapy on the basis of the control group.The clinical efficacy,the degree of cervical and lumbar pain,lumbar vertebral function and cervical and lumbar vertebral activity were evaluated.Results The total clinical outcomes in the observation group was significantly higher than that in the control group (87.14％ vs.72.86％,P ＜ 0.05).There was no significant difference in visual analogue score (VAS) and lumbar dysfunction index (ODI) score between the two groups before treatment (P ＞ 0.05).After treatment,the above scores were significantly decreased,and the observation group was significantly lower than the control group (P ＜ 0.05).There was no significant difference in cervical anteflexion,backward extension,lumbar flexion and extension and rotation activity between the two groups before treatment (P ＞ 0.05).After treatment,the above indices were significantly improved,and observation group was significantly higher than control group (P ＜ 0.05).Conclusion The efficacy of postural and rehabilitation exercise therapy is satisfactory in the treatment of patients with protrusion of lumber or cervical intervertebral disc.And it is of great value in relieving pain and improving the activity of cervical and lumber vertebrae.

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Risk factors of peripherally inserted central catheter-associated phlebitis in patients with lung cancer and its nursing intervention

Ying CUI

Journal of Clinical Medicine in Practice.2017;21(18):43-46. doi:10.7619/jcmp.201718014

Objective To investigate the risk factors of peripherally inserted central catheter-associated phlebitis(PICC) in patients with lung cancer and its nursing interventions.Methods A total of 60 patients with lung cancer treated with PICC in our hospital were selected as research objects,the patients were divided into phlebitis group (n =13) and non-phlebitis (n =47) according to the occurrence of phlebitis.Risk factors for phlebitis were given univariate and multivariate logistic regression analysis.Results Age,education,occupation,catheter timing,one-time success rate of catheterization,puncture vein,the puncture time of catheterization,elbow flex after catheterization,physical labor and SCL-90 scores between the two groups showed statistically significant differences (P ＜0.05).Multivariate logistic regression analysis showed that the one-time success of catheterization,education and physical labor after 3 d and low physical labor were the protective factors of phlebitis in PICC (P ＜ 0.05).Catheter on the day of chemotherapy,the activity on the third postoperative day,occupation as a farmer were risk factors for PICC associated phlebitis (P ＜ 0.05).Conclusion Intubation time,one-time success rate of puncture,activity after catheter,education,physical labor are closely related with phlebitis of lung cancer patients with PICC,and medical stuff should choose the appropriate timing,and strengthen the health education of patients.

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Effect of nursing intervention on ESCA and SF-36 scores of patients with permanent colostomy

Lijuan PENG ; Man XIONG ; Xiuqin ZHOU

Journal of Clinical Medicine in Practice.2017;21(18):47-49. doi:10.7619/jcmp.201718015

Objective To investigate the effect of nursing intervention on the scores of selfcare ability scale (ESCA) and the health survey form (SF-36) of patients with permanent colostomy.Methods A total of 90 patients with permanent colostomy were randomly divided into control group (45 cases) and observation group (45 cases),the control group received conventional nursing intervention colostomy,while patients in the observation group used extended nursing intervention,ESCA,SF-36 scores of various dimensions of the two groups were compared.Results Before the intervention,no significant difference was observed in self-care skills and self responsibility,self concept,selfcare knowledge scores in ESCA scale (P ＞ 0.05).After nursing intervention,the observation group and the control group had higher scores of four dimensions in ESCA scale (P ＜ 0.05),and the observation group was significantly higher than the control group,the differences were statistically significant (P ＜ 0.05).Before nursing intervention,physiological function,social function,emotional function,physical function,body pain,mental health,general health,vitality scores in SF-36 scale showed no significant differences (P ＞ 0.05).After nursing intervention,SF-36 scale scores in the observation group and the control group were significantly higher than intervention before (P ＜ 0.05),and SF-36 scale scores in the observation group were significantly higher than control group (P ＜ 0.05).Conclusion Extended nursing intervention can improve self-care ability and quality of life of patients with permanent colostomy.

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Risk factors of pressure ulcer in geriatric hospitalized patients in neurology department and its nursing interventions

Shumei YANG ; Xia CAI ; Wei XU ; Nana SONG

Journal of Clinical Medicine in Practice.2017;21(18):50-52,56. doi:10.7619/jcmp.201718016

Objective To investigate and analyze the risk factors of pressure ulcer in geriatric hospitalized patients in neurology department and related nursing intervention.Methods The date of 100 geriatric hospitalized patients in neurology department was retrospectively analyzed.The age,nutritional status,complications,correlated factors of medical equipments (indwelling gastric tube,urinary catheter,PICC tube,trachea intubation,ventilator tube,and electrocardiogram monitor) and Norton scale scores were evaluated.Fifty-one patients from February to December 2015 were enrolled in control group,and 49 patients from January to September 2016 were included in observation group,The control group used conventional care,while the observation group developed management processes by the pressure ulcer monitoring management team,and nurses were give personalized and predictive care measures after pressure ulcer knowledge training.The Norton scale scores,incidence rates of pressure ulcer and patients'satisfaction were compared between the two groups.Results Senile dementia,related factors of medical equipments,low BMI and anemia were independent risk factors for elderly patients with pressure ulcers.The Norton scores and incidence of pressure ulcer of the observation group were significantly lower,and satisfaction of the patients and their families was significantly higher than that of the control group (P ＜ 0.05).Conclusion Senile dementia,related factors of medical equipments,low BMI and anemia are independent risk factors of elderly patients with pressure ulcer.Monitoring and predictive care measures can effectively reduce the risk and the incidence of pressure ulcers of patients and improve satisfaction for geriatric neurology pressure ulcers in patients.

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Application of perioperative optimized nursing in patients with acute coronary artery bypass grafting

Xiaoyuan LI ; Chun LI ; Chunzhi ZHANG ; Zhihui REN ; Yue XI

Journal of Clinical Medicine in Practice.2017;21(18):53-56. doi:10.7619/jcmp.201718017

Objective To observe application of perioperative optimized nursing in patients with acute coronary artery bypass grafting and its influence on prognosis.Methods A total of 91 patients with acute coronary artery bypass grafting in our hospital were divided into observation group with 44 cases and control group with 47 cases according to the time of admission,treated by optimized nursing care and regular health care,respectively.Vascular hemodynamics indicators,Barthel index,self-rating anxiety scale(SAS),self-rating depression scale (SDS) and nursing satisfaction were observed.Results There were no significant differences in left ventricular end-diastolic diameter (LVEDD) and ejection fraction(EF) between two groups(P ＞0.05).After treatment,Barthel index scores and satisfaction were higher,and SAS and SDS scores were lower than that in the control group (P ＜ 0.05).Conclusion Optimized nursing in acute coronary artery bypass grafting can significantly promote the physical and psychological rehabilitation of patients,and improve patients'satisfaction and compliance.Therefore,it is worthy of clinical promotion in clinic.

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Application effect of 0.45％ saline for airway humidification in patients with craniocerebral injury after tracheotomy

Yaohui PENG ; Huiling WANG ; Ying CHANG ; Juan LIN ; Ling ZHANG

Journal of Clinical Medicine in Practice.2017;21(18):57-59. doi:10.7619/jcmp.201718018

Objective To investigate the effect of 0.45 ％ saline for airway humidification in patients with craniocerebral injury after tracheotomy.Methods A total of 58 patients with craniocerebral injury after tracheotomy treated in our department were as observation group,given 0.45％ saline for airway humidification.And 40 craniocerebral injury patients after tracheotomy at the same time were as control group,given sterilized saline for airway humidification.The effect of airway humidification,the rate of sputum scab formation,and the incidence of adverse reactions were compared between the two groups.Results The pH of sputum after 3,5 d of tracheotomy in the observation group was lower (P ＜ 0.05),but the effect of airway humidification and the rate of sputum scab formation in the two groups showed no statistically significant difference (P ＞ 0.05).The incidence of pulmonary infection,irritating cough and respiratory mucosal bleeding in the observation group were lower than that in the control group (P ＜ 0.05).Conclusion The 0.45％ saline solution for airway humidification is in accordance with the physiological needs of the patients,and has better wetting effect and lower incidence of adverse events.

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Application of evidence-based nursing in tracheotomy patients with severe craniocerebral injury

Juan LI ; Yang ZHANG ; Li TIAN ; Juan ZHANG

Journal of Clinical Medicine in Practice.2017;21(18):60-62. doi:10.7619/jcmp.201718019

Objective To explore the effect of evidence-based nursing in tracheotomy patients with severe craniocerebral injury.Methods A total of 100 tracheotomy patients with severe craniocerebral injury were randomly divided into two groups.The patients in the control group were given routine nursing,while the patients in the experimental group were treated with evidence-based nursing.Vital signs,blood and gas indicators,coagulation parameters,related clinical indicators,complications,disease prognosis and nursing satisfaction of family members were compared.Results Compared with the control group,the levels of MABP,HR,R,p (CO2) and BUN in the experimental group were significantly lower(P ＜ 0.01),and p (O2) level was higher than that in the control group.The time of hospitalization,ICU time,medical expenses and mucosal injury rate were significantly lower,bleeding,respiratory obstruction,tube-off and infection rates were significantly lower than that in the control group (P ＜ 0.05).The prognosis of patients and nursing satisfaction of the family members were significantly better than that of the control group (P ＜ 0.05).Conclusion Evidence-based nursing in tracheotomy patients with severe craniocerebral injury has significant effect,and it can improve nursing satisfaction.

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Effect of targeted nursing cooperation on complications of endoscopic thyroidectomy

Wen FENG ; Li CHU ; Hongmei MA ; Hongqing JU

Journal of Clinical Medicine in Practice.2017;21(18):63-65. doi:10.7619/jcmp.201718020

Objective To study effect of targeted nursing cooperation on complications of endoscopic thyroidectomy.Methods A total of 104 patients with endoscopic thyroidectomy in our hospital were divided into study group and control group by random number table method,with 52 cases in each group.Control group conducted conventional nursing for endoscopic thyroidectomy,study group conduced targeted nursing cooperation on the basis of the control group.Operation time,postoperative volume of drainage,length of hospital stay,and intraoperative complications were compared.Results No significant differences in operation time and volume of drainage between two groups were found(P ＞0.05);Incidence rate of complications and length of hospital stay were lower than that in the control group (P ＜ 0.05).Conclusion Targeted nursing can effectively reduce incidence rate of complications in endoscopic thyroidectomy,speed up the recovery,and had no significant effect on operation time and postoperative volume of drainage,so it is suitable for clinical promotion.

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Effect of targeted nursing on postoperative pain and complications in patients undergoing laparoscopic cholecystectomy

Jun DAI

Journal of Clinical Medicine in Practice.2017;21(18):66-68,87. doi:10.7619/jcmp.201718021

Objective To investigate the effect of targeted nursing on postoperative pain and complication in patients undergoing laparoscopic cholecystectomy (LC).Methods A total of 110 patients who underwent LC were divided into control group and study group by random number table method.The control group was treated with routine nursing measures while the study group applied targeted nursing intervention such as postoperative pain symptoms and complications on the basis of the control group.The visual analogue scale (VAS) was used to compare the pain scores on the 1 st,2nd and 3rd postoperative day.The postoperative complications were observed and recorded.Results The VAS score of the study group was lower than that of the control group on the 2nd and 3rd postoperative day (P ＜ 0.05).There was no significant difference in VAS score between the two groups on the 1 st postoperative day (P ＞ 0.05).The incidence of postoperative complications was 4.44％ in the study group,which was lower than 17.78％ in the control group (P ＜ 0.05).Conclusion Targeted nursing has significant effect in LC patients,which can effectively relieve pain symptoms and reduce the incidence rate of complications,so it is suitable for clinical promotion.

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Perioperative nursing for patients with localized renal cell carcinoma in T1 stage treated by preserving renal units

Huiying CHEN

Journal of Clinical Medicine in Practice.2017;21(18):69-71. doi:10.7619/jcmp.201718022

Objective To evaluate the effect of perioperative comprehensive nursing intervention for the patients with renal cell carcinoma in T1 stage treated by preserving renal units.Methods A total of 82 cases with renal cell carcinoma in T1 stage treated by preserving renal units were divided into control group (n =41) and observation group by random number table method,the control group received routine perioperative nursing,and the observation group was given comprehensive nursing intervention.Results Postoperative intestinal function recovery time,food intake time,extubation time of drainage tube,and increased degree of serum creatinine in the observation group were significantly lower than that in the observation group (P ＜ 0.05);No postoperative bleeding,incision infection and other serious complications were observed.Preoperative pathological anxiety,postoperative constipation,abdominal distension,postoperative low back pain,postoperative insomnia,blood pressure fluctuation rates were lower than that in the control group,and the differences were statistically significant(P ＜ 0.05).Conclusion Comprehensive nursing intervention can effectively improve gastrointestinal function,mental state,and rarely lead to serious complications.

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