Evidence-based nursing interventions: fostering quality of life

Objective. To explore the application of evidence-based nursing (EBN) intervention combined with PBL teaching mode in acute myocardial infarction (AMI) nursing and the effects on quality of life (QOL) and satisfaction of patients. Methods. Ninety AMI patients enrolled in our hospital (January 2019-January 2021) were chosen as the study subjects and equally randomized into group M and group N. Group N received conventional nursing, and group M received EBN combined with PBL teaching mode. The cardiac function indexes, self-care ability, disease awareness and nursing satisfaction were compared between the two groups. The self-care ability was scored by the Exercise of Self-Care Agency Scale (ESCA). The QOL of both groups before and after intervention was scored by the Generic Quality of Life lnventory-74 (GQOLI-74). The emotional state before and after intervention was evaluated by the Hospital Anxiety and Depression Scale (HAD). Results. After nursing, cardiac function indexes were markedly higher in group M than group N (P<0.001). Compared with group N, group M achieved notably higher ESCA scores (P<0.001), higher awareness of disease knowledge (P<0.001) and higher nursing satisfaction (P<0.05). After intervention, the GQOLI-74 score in group M was obviously higher while the HAD score was lower compared with group N (P<0.001). Conclusion. The implementation of EBN combined with PBL teaching model in AMI patients can effectively improve nursing satisfaction and QOL as well as alleviate the negative emotions, so as to create a harmonious nurse-patient relationship. Therefore, it is worth applying and promoting.

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Application of Functional Exercise Nursing Plan Based on Evidence-based Nursing After Hip Replacement

Journal of Clinical and Nursing Research ◽

10.26689/jcnr.v4i3.1210 ◽

2020 ◽

Vol 4 (3) ◽

Author(s):

Rongrong Dong ◽

Huaqin Chen

Keyword(s):

Quality Of Life ◽

Hip Replacement ◽

Harris Hip Score ◽

Control Group ◽

Evidence Based ◽

Functional Exercise ◽

The Difference ◽

Evidence Based Nursing ◽

Experimental Group

Objective: To explore the effect of functional exercise nursing plan based on evidence-based nursing in patients after hip replacement. Methods: A total of 150 patients who underwent hip replacement in the orthopedic second ward of our hospital during the research period from January 2010 to January 2020 were selected as the research object. The random number expression method was applied to achieve grouping of patients. Among them, the control group received conventional rehabilitation treatment; the experimental group guided rehabilitation exercises according to the functional exercise nursing plan after hip replacement, and the rehabilitation conditions of the two groups were compared. Results: Compared with the patients in the control group, the bed time (7.45 ± 2.10) days and average hospital stay (15.84 ± 3.29) of the experimental group were relatively shorter. The incidence of complications in the experimental group and the control group was 6.67% and 16.00%, which are significantly different. The difference in Harris hip score before surgery was small, and the difference when discharge and after discharge was gradually increased, showing a better care effect in the experimental group. There was no significant difference in preoperative quality of life scores between the two groups before surgery (P > 0.05). The life quality of the experimental group was significantly higher than that of the control group at discharge, 1 month after discharge and 3 months after discharge, and showed most significantly after 3 months. Conclusion: The effect of functional exercise nursing plan based on evidence-based nursing in patients after hip replacement is remarkable, which can promote the recovery of patients, improve the quality of life, reduce the hospitalization time, reduce the incidence of postoperative complications, and has a positive significance in promoting clinical development in China.

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Caregivers' and relatives' grief in intensive care unit: a literature review on nursing practices

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1061 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

E Monaco ◽

D Gregori ◽

M Martinato

Keyword(s):

Quality Of Life ◽

Intensive Care ◽

Review Process ◽

Nursing Interventions ◽

Evidence Based ◽

Intensive Care Nurses ◽

Grief Support ◽

Long Term Consequences

Abstract Introduction The sudden and unexpected nature, which often characterizes death in intensive care, complicates the processing of the loss by relatives and caregivers increasing the risk of complicated grief (CG). Due to the high social impact and long-term consequences on the quality of life of relatives and caregivers, intensive care nurses should ensure evidence-based grief support interventions. This review aims to identify nursing interventions for the management of the bereavement of relatives and caregivers and to assess their effectiveness, relatives' and caregivers' satisfaction and prevention of CG. Methods Research was performed in CINAHL, PubMed, Psycinfo and Scopus databases with no limits on study design and publication timespan. The population included relatives or caregivers of patients died in intensive care unit. Results 14 studies met inclusion criteria. Two studies show that the communication of the bad news through dialogue between the team and relatives/caregivers can reduce, in the latter, the levels of anxiety and depression and the incidence of post-traumatic stress disorder. The quality study by Kentish-Barnes et al. (2017) shows that subjects perceived support in receiving a letter of condolence, but the RCT of the same author concludes that those who received the letter were more exposed to the risk of CG. Four studies claim that follow-up meetings facilitate the process of adaptation to loss by providing relatives/caregivers the opportunity to clarify the circumstances of death. Finally, two studies report that the events of commemoration arouse positive emotions in family members. Conclusions The review process has identified only a small number of evidences on the effectiveness of nursing interventions, preventing the possibility of providing recommendations or guidelines. Further research is needed and it should consist of RCTs of high methodological quality. Key messages Due to the long-term consequences of the sudden death on the quality of life of relatives and caregivers, intensive care nurses should ensure evidence-based grief support interventions. The review process has identified only a small number of evidences on the effectiveness of nursing interventions, preventing the possibility of providing recommendations or guidelines.

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Influence of Evidence-based Nursing on Quality of Life and Nursing of Patients with Gastric Ulcer

10.47939/mh.v2i10.78 ◽

2021 ◽

Keyword(s):

Quality Of Life ◽

Gastric Ulcer ◽

Evidence Based ◽

Evidence Based Nursing

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Palliative Wound, Ostomy, and Continence Care

Oxford Textbook of Palliative Nursing ◽

10.1093/med/9780190862374.003.0019 ◽

2019 ◽

pp. 251-284

Author(s):

Charles P. Tilley ◽

Mei R. Fu ◽

Jana M. Lipson

Keyword(s):

Quality Of Life ◽

Symptom Management ◽

Functional Performance ◽

Well Being ◽

Nursing Interventions ◽

Evidence Based ◽

Patient Centered ◽

Evidence Based Guidelines ◽

Care Nursing

Palliative wound, ostomy, and continence care is a nascent area of palliative care nursing, with little research and few evidence-based guidelines to guide practice. The majority of patients at end of life will suffer from a wound, ostomy, or continence malady, requiring specialist-level consultation with a wound, ostomy, and continence nurse (WOC nurse). Palliative wound, ostomy, and continence care emphasizes an interprofessional, patient-centered approach to alleviate suffering and promote well-being and quality of life through the preservation or restoration of functional performance. A combination of evidence-based wound, ostomy, and continence nursing interventions and advanced symptom management science is the hallmark of this nursing specialty.

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