Effect of evidence-based nursing care on treatment compliance and quality of life in elderly patients with peptic ulcer

Some patients with severe dysphagia need to undergo percutaneous endoscopic gastrostomy (gastrostomy feeding), which improves nutrition but leads them to feel they are not living like human beings. The KT (Kuchi-kara Taberu, or ingesting orally in Japanese) index was developed in order to comprehensively assess and intervene in problems with eating and swallowing. We present three cases where the KT index improved quality of life after gastrostomy feeding. Through continued nursing care using the KT index, the patient in Case 1 was able to eat orally again; the patient in Case 2 could eat a piece of jelly and communicate a little; and the patient in Case 3 was able to ingest a small amount of food orally, with support from her husband. Thus, the feeding support provided by the KT index radar chart improves quality of life, even after the implementation of gastrostomy feeding. Further studies are needed to investigate how the KT index best helps elderly patients with severe dysphagia live like human beings while taking into account the perspectives of patients and their family members.

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Effect of evidence-based nursing on quality of life and nutritional indicators in patients with gastric ulcer

World Chinese Journal of Digestology ◽

10.11569/wcjd.v26.i12.724 ◽

2018 ◽

Vol 26 (12) ◽

pp. 724-728

Author(s):

Chun-Hong Luo ◽

Qi-Jun Zhang

Keyword(s):

Quality Of Life ◽

Gastric Ulcer ◽

Evidence Based ◽

Evidence Based Nursing

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Effect of Evidence-Based Nursing Care Guidelines on the Quality of Care of Patients in Neurosurgical Intensive Care Units

The Journal of Qazvin University of Medical Sciences ◽

10.32598/jqums.24.1.6 ◽

2020 ◽

Vol 24 (1) ◽

pp. 56-67

Author(s):

Zahra Tayebi Myaneh ◽

◽

Maryam Azadi ◽

Seyedeh Zahra Hosseinigolafshani ◽

Farnoosh Rashvand ◽

...

Keyword(s):

Intensive Care ◽

Quality Of Care ◽

Intensive Care Units ◽

Nursing Care ◽

Evidence Based ◽

Neurosurgical Intensive Care ◽

Care Guidelines ◽

The Mean ◽

Evidence Based Nursing

Background: Evidence-based nursing care guidelines are important tools for increasing the quality of nurses’ clinical work. Objective: The aim of this study was to investigate the effect of implementing evidence-based nursing care guidelines on the quality of care of patients admitted to the Neurosurgical Intensive Care Units (NICUs). Methods: This is a quasi-experimental study on 54 nurses in NICUs of hospitals affiliated to Qazvin University of Medical Sciences selected using a convenience sampling technique and divided into two groups of intervention and control. The intervention included the teaching of evidence-based nursing guidelines and their implementation by the nurses. Before and two months after the intervention, the demographic characteristics and the quality of nurses’ patient care in both groups was evaluated by using a demographic form and a standard checklist with 37 items designed based on the standards of practice for All Registered Nurses (ANA). Data were analyzed in SPSS software using descriptive statistics (Mean±SD), and paired t-test, independent t-test and chi-square test. Findings: The mean score of nursing care quality in the two groups was not significantly different before intervention (P>0.05). After intervention, the mean score was 25.11±6.2 in the intervention group and 20.29±5.3 in the control group, and the difference was statistically significant (P<0.05). Conclusion: Implementation of evidence-based nursing care guidelines can improve the quality of nursing care. Therefore, it is recommended that the teaching of evidence-based nursing care guidelines should be on the agenda of the hospitals’ education unit and related departments.

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Effectiveness of Family Function in Quality of Life in Elderly Patients: An Evidence Based Case Report

Muhammadiyah Journal of Geriatric ◽

10.24853/mujg.1.2.52-57 ◽

2021 ◽

Vol 1 (2) ◽

pp. 52

Author(s):

Muhammad Sobri Maulana

Keyword(s):

Quality Of Life ◽

Elderly Patients ◽

Chronically Ill ◽

The Elderly ◽

Evidence Based ◽

Literature Searching ◽

Family Function ◽

Based Medicine

Background: Geriatric care is an important part in healthcare and are sometimes neglected. Family caregivers figures assume a key role in postponing and potentially forestalling standardization of chronically ill elderly patients. The role of family function in depression has been demonstrated from earlier studies, however, the part of family function in quality of life the elderly has not concentrated widely. Objective: To evaluate the connection between family function and quality of life. Methods: Literature searching was conducted through PubMed, Science Direct and Embase. Critical appraisal using appraisal sheet for prognosis from Oxford Center for Evidence Based Medicine in 2011. Results: One article was found with good validity showed that direct relationship between family function and quality of life is not associated. However, if depression is present it plays as a strong mediator between family function and quality of life. Conclusion: Family function mediated with depression plays an important role in quality of life in elderly patients.

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Application of Evidence-based Nursing Intervention Combined with PBL Teaching Model in Nursing of Acute Myocardial Infarction and Its Effects on Quality of Life and Satisfaction of Patients

Tobacco Regulatory Science ◽

10.18001/trs.7.5.1.170 ◽

2021 ◽

Vol 7 (5) ◽

pp. 3967-3974

Author(s):

Yuan Xue ◽

Minxia Lu ◽

Bingqing Lu ◽

Yongming He

Keyword(s):

Quality Of Life ◽

Myocardial Infarction ◽

Self Care ◽

Teaching Model ◽

Evidence Based ◽

Nursing Satisfaction ◽

Teaching Mode ◽

Before And After ◽

Evidence Based Nursing

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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Effectiveness of implementing evidence based practices guidelines regarding blood transfusion on quality of nursing care and patients' safety in Pediatric Units

Journal of Nursing Education and Practice ◽

10.5430/jnep.v10n10p33 ◽

2020 ◽

Vol 10 (10) ◽

pp. 33

Author(s):

Orban Ragab Bayoumi ◽

Nahed Saied Mohamed El-Nagger

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Blood Transfusion ◽

Nursing Care ◽

Evidence Based ◽

Before And After ◽

Evidence Based Nursing ◽

Quality Of Nursing ◽

Nurses Knowledge

Background and objective: The new trend that widely accepted in health care institutions is to implement an evidence-based practice. Health facilities frequently integrate standards of practice that reveal current best evidence to increase patients’ outcomes and consequently decrease hospital cost. Transfusion of blood is a cornerstone in managing many critically ill children. However, nurses have a chief role in transfusing blood and their knowledge and performance are important for them to transfuse blood safely and efficiently. Aim: Evaluate the effectiveness of implementing evidence based nursing practices guidelines on quality of nursing care and patients' safety as regards blood transfusion to improve transfusion practices and ensure safety.Methods: A quasi-experimental design. Settings: This study was conducted at Pediatric Intensive Care Unit, Neonatal Intensive Care Unit, Emergency Room, Medical and Surgical Wards, Hematology/Oncology Units in Children Hospital affiliated to Ain Shams University Hospitals. Sample: A convenience sample composed of 95 pediatric nurses, whom were willingness to participate in the study and 78 children whom were receiving blood transfusion. Tools: I. A Self-Administered Questionnaire Sheet to assess nurses’ knowledge regarding blood transfusion; II. Child’s Medical Record to collect data about child’s health status; III. An Observational Competence Checklist to assess the quality of actual nurses’ practices about Blood Transfusion; and IV. Evidence Based Nursing Practices Guidelines of Blood Transfusion that was described the EBNP guidelines that provide a standardized approach for transfusion (before and after).Results: The studied nurses’ knowledge and practices regarding to blood transfusion were improved and reflected a highly significant differences before and after guidelines implementation.Conclusions: The present study concluded that studied nurses showed an improvement in their knowledge and practices regarding blood transfusion after implementation of evidence based nursing practices guidelines. Recommendation: It is essential that all nurses who administer blood transfusion for children should complete periodic in-services training programs to keep them up to date regarding to safe and efficient administration of blood transfusion.

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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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Implementasi Evidence Based Nursing pada Pasien dengan Stroke Non-Hemoragik: Studi Kasus

Jurnal Endurance ◽

10.22216/jen.v4i3.4421 ◽

2019 ◽

Vol 4 (3) ◽

pp. 601

Author(s):

Filya Kharti Gempitasari ◽

Feni Betriana

Keyword(s):

Glasgow Coma Scale ◽

Oxygen Saturation ◽

Nursing Care ◽

Clinical Syndrome ◽

Evidence Based ◽

Coma Scale ◽

Level Of Consciousness ◽

Evidence Based Nursing

Stroke is a clinical syndrome which is characterized by loss of brain function acutely and can lead to death. Patients with stroke often experience declining of consciousness which lead to decreasing the quality of life. To reach the good outcome of nursing care, it is needed to implement evidence-based nursing. This case study is the implementation of evidence-based nursing by providing murrotal therapy and head-up positioning 30 degree to increase patient’s level of consciousness and oxygen saturation. The murrotal therapy was implemented for seven days and head-up positioning 30 degree was implemented for three days. After each implementation, the patient was evaluated by assessing the Glasgow Coma Scale (GCS) and oxygen saturation. The results showed an increasing of the level of consciousness after murrotal therapy was given from GCS 7 in the first day of implementation to GCS 11 in the 7th day. Oxygen saturation increased for 1.5% in average. To reach optimal outcome, implementation of evidence-based nursing in providing nursing care is highly recommended. Stroke merupakan suatu sindrom klinis yang ditandai dengan hilangnya fungsi otak secara akut dan dapat menimbulkan kematian. Pasien dengan stroke seringkali mengalami penurunan kesadaran sehingga menyebabkan kualitas hidup menurun. Untuk mencapai hasil perawatan yang baik, diperlukan implementasi evidence-based nursing. Studi kasus ini merupakan implementasi evidence-based nursing dengan memberikan terapi murrotal dan pengaturan posisi kepala head-up 30 derajat untuk meningkatkan tingkat kesadaran dan saturasi oksigen pada pasien dengan stroke. Terapi murrotal diaplikasikan selama tujuh hari dan pengaturan posisi kepala head-up 30 derajat diaplikasikan selama tiga hari. Setelah setiap intervensi yang dilakukan, pasien dievaluasi dengan penilaian Glasgow Coma Scale (GCS) dan saturasi oksigen. Hasil menunjukkan bahwa terdapat peningkatan kesadaran pasien setiap hari setelah dilakukan terapi murotal dari GCS 7 pada hari ke-1 menjadi GCS 11 pada hari ke-7. Saturasi oksigen mengalami peningkatan rata-rata 1,5%. Untuk mencapai hasil perawatan yang optimal, penerapan evidence-based nursing dalam memberikan asuhan keperawatan sangat direkomendasikan.

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