Objective To analyze the effect of sleep-promoting intervention bundles(SLEEP-MAD)on sleep quality of mechanically ventilated patients in intensive care unit(ICU).Methods A total of 100 mechanically ventilated patients admitted to the ICU of Nantong Sixth People's Hospital from January 2020 to December 2022 were selected as research objects.They were divided into control group and observation group by random number table method,with 50 cases in each group.The control group was given routine ICU nursing,and the observation group was given SLEEP-MAD intervention nursing.ICU environmental stressor scale(ICUESS)score,immune function related indexes and Richards Campbell sleep questionnaire(RCSQ)score were compared between the two groups.Results Before nursing,there were no significant differences in the ICUESS score,immune function related indexes or RCSQ score between the two groups(P>0.05).After nursing,the ICUESS score was decreased and immune function related indexes and RCSQ score were increased in both groups;the ICUESS score was in the observation group was lower than that in the control group and immune function related indexes and RCSQ score in the observation group were higher than those in the control group(P<0.05).Conclusion SLEEP-MAD intervention can effectively reduce environmental fear,improve sleep quality,immune function and prognosis in patients with mechanical ventilation in ICU.

Dietary intervention is essential as a primary prevention measure for cardiovascular diseases. Nurses master scientific dietary guidance methods, which can help reduce the risk of cardiovascular diseases in high-risk groups and reduce the medical burden of cardiovascular diseases. This paper reviews the classification of intermittent fasting, its impact on cardiovascular risk factors, its possible mechanisms for preventing cardiovascular diseases, its safety and compliance, and suggestions on domestic cardiovascular research. In order to provide references for future research in China.

Corona virus disease 2019 (COVID-19) patients with trauma are at high risk of venous thromboembolism (VTE), which must be taken seriously in the therapeutic processes. Hypercoagulable state is induced by 2019 novel coronavirus (2019-nCoV) in many ways, such as increasing the level of inflammatory factors and fibrinogen, and inducing endothelial cell injury. The venous wall injuries from trauma and operation directly or indirectly trigger off the exogenous coagulation pathway and the microcirculation can be damaged at the same time, which may initiate the exogenous pathway of VTE. Immobilization of limbs and forced bed rest during the treatment of traumatic patients will slow venous blood flow. Chronic non-communicable diseases such as diabetes in the elderly were independent risk factors for VTE. Furthermore, the persistent fever, severe lung disease, respiratory failure, sepsis and invasive technology application add the risk of VTE and the difficulty of treatment. In order to help effective prevention VTE of for COVID-19 patients with trauma, the authors put forward relevant technical suggestions for prevention and nursing of VTE to provide basis for nursing work during pandemic of COVID-19.

OBJECTIVE: To investigate the law of auditory remodeling by studying the Cortical Auditory Evoked Potential in a group of post-lingually deaf adults in the early stage of the cochlear implant use. METHOD: Ten post-lingually deaf adults implanted with PULSAR ci 100 of Medel device ranged from 19 to 52 years old with duration of deafness from 3 months to 23 years.were involved. Their P1-N1-P2 responses to /ba/ at around 60-70 dB SPi and open-set speech recognition scores of mono-syllabic words were recorded at 1. 3 and 6 months after the switch-on of cochlear implants. RESULT: Six out of 10 typical waveforms of Pl-N1-P2 were obtained. The other I were with atypical waveforms. The group with atypical waveform was characterized by long duration and early onset of deafness. There was no significant difference regarding either the amplitude or the latency of each peak at the 3 data collection time points. There was significant difference among the 3 data collection time points about the speech recognition scores with the highest score at the 6th month of switch on. There was no significant correlation between the peak of the CAEP and speech recognition score. CONCLUSION In the first 6 months of cochlear implant use in the post-lingually deaf adults, the duration and the onset age of deafness played important role in respect of the presence and waveform morphology of the CAEPs. It needs at least 6 months for the central auditory system to make use of the audio input from the cochlear implant.
Adult ; Cochlear Implantation ; Cochlear Implants ; Evoked Potentials, Auditory ; Female ; Hearing Loss, Sensorineural ; physiopathology ; rehabilitation ; Humans ; Middle Aged ; Treatment Outcome ; Young Adult