Intensive Care Unit Safety Management Procedures in Computed Tomography Examination of Tracheal Intubation Patients

2020 ◽  
Vol 10 (12) ◽  
pp. 2814-2819
Author(s):  
Qionghua Chen ◽  
Deyuan You ◽  
Qingquan Lai ◽  
Yuqi Liu ◽  
Xuri Sun ◽  
...  
Keyword(s):  
Tracheal Intubation ◽  
Safety Management ◽  
Control Group ◽  
Management Process ◽  
Observation Group ◽  
Nursing Satisfaction ◽  
Ct Examination ◽  
Compliance Behavior ◽  
Management Procedures ◽  
Significant Difference

Objective: To explore the application effect and nursing strategy of comprehensive safety management process in CT examination of ICU patients with tracheal incubation and general tuberculosis. Methods: A total of 52 patients with tracheal incubation and general pulmonary tuberculosis who underwent CT examination in our hospital were selected as the research objects, and they were divided into control group and observation group according to the random number table method, with 26 cases in each group. The control group adopted the traditional nursing mode, and the observation group applied the integrated safety management process based on the control group. The general conditions, nursing satisfaction, comfort, compliance behavior, and anxiety scores of the two groups during the CT examination were compared. Results: The change rate of CT vital signs in the observation group (19.23%) was significantly lower than that in the control group (46.15%), and the scan completion rate (100.00%) was significantly higher than that in the control group (84.62%). The satisfaction score and comfort score of the observation group after inspection were significantly higher than those of the control group, and the differences were statistically significant (P < 0.05). There was no significant difference in the anxiety scores between the two groups of patients before the examination (P > 0.05); the anxiety scores of the two groups after the examination were significantly lower than those before the examination; the anxiety score of the observation group after the examination was significantly lower than that of the control group. There was statistical significance (P < 0.05). The Grade 1 coordination rate in the observation group (69.23%) was significantly higher than that in the control group (57.65%), and the difference was statistically significant (P < 0.05). Conclusions: The combined application of comprehensive safety management procedures in CT examination of ICU tracheal intubation patients can effectively improve the patient's nursing satisfaction, comfort, safety and compliance behavior, and improve patient anxiety, which is worthy of clinical promotion and application.

Effects of comfort care on joint function, pain degree and Baird score after minimally invasive ankle fracture

2021 ◽  
Vol 7 (6) ◽  
pp. 6597-6608
Author(s):  
Rui Yao ◽  
Yongxin Huo ◽  
Yanyan Tang
Keyword(s):  
Minimally Invasive ◽  
Ankle Joint ◽  
Ankle Fracture ◽  
Nursing Intervention ◽  
Anxiety Score ◽  
Control Group ◽  
Observation Group ◽  
Joint Function ◽  
Nursing Satisfaction ◽  
Significant Difference

Objectives: To explore the effect of comfort nursing on joint function, pain degree and Baird score after minimally invasive ankle fracture. METHODS: A total of 62 patients with minimally invasive fracture of ankle joint treated in our hospital from July 2019 to July 2020 were selected as the research subjects. According to random number method, all patients were divided into observation group and control group, with 31 cases in each group. Conventional nursing intervention was carried out in the control group and comfort nursing intervention was given in the observation group. After surgery, the recovery of bare joint function was compared between the two groups. Pain scale (VAS) was used to evaluate the degree of pain in the two groups, the Hamilton Anxiety Scale (HAMA) was used to assess patients' anxiety levels, and the comparison was made before, 3 months and 6 months after surgery. The postoperative Baird scores of the two groups were compared. The incidence of postoperative complications between the two groups was statistically analyzed and compared. The nursing satisfaction of the two groups of patients was compared. RESULTS: Compared with the control group, the number of excellent and good cases in observation group was significantly increased (P<0.05), while the number of poor cases was significantly decreased (P<0.05). There was no significant difference in the degree of pain and anxiety between the two groups before operation (P>0.05). Compared with preoperation, the pain degree, body anxiety degree and mental anxiety degree in 2 groups at 3 and 6 months after operation were significantly decreased (P<0.05); The pain score, somatic anxiety score and mental anxiety score of the observation group were significantly lower than those of the control group at 3 and 6 months after surgery (P<0.05); The pain scores of observation group at 3 months and 6 months after surgery were significantly lower than those of control group (P<0.05). Compared with the control group, the postoperative Baird score in observation group was significantly increased (P<0.05); The incidence of pressure sores, wound infection and complications of lower extremity deep vein thrombosis in the observation group was significantly lower than that in the control group (P<0.05). Compared with the control group, the nursing satisfaction of the observation group was significantly increased (P<0.05). Conclusion: The postoperative nursing of patients with minimally invasive fracture of ankle joint, taking comfortable nursing can effectively improve the joint function and nursing satisfaction of patients, relieve thepain of patients, improve their prognosis, has certain advantages, worthy of further clinical promotion and application.

scholarly journals Effect Observation of Process Diabetes Group Nursing on Patients with Diabetes Mellitus

2021 ◽  
Vol 5 (5) ◽  
pp. 104-107
Author(s):  
Menghu Zhang
Keyword(s):  
Fasting Blood Glucose ◽  
Control Group ◽  
Observation Group ◽  
Nursing Satisfaction ◽  
Diabetes Group ◽  
Satisfaction Rate ◽  
Total Satisfaction ◽  
Compliance Behavior ◽  
Patients With Diabetes ◽  
T Values

Objective: Discuss the clinical effect of the process diabetes nurse group in the treatment of diabetes patients. Methods: A total of 58 patients with diabetes who received treatment in our hospital from January 2021 to June 2021 were selected, and the 58 patients were divided into two groups by random number table. In one group, 29 patients were treated with process diabetes group nursing, which was recorded as the observation group; in the other group, 29 patients were treated with conventional care, which was recorded as the control group. Nursing satisfaction, compliance behavior of patients, and adverse incidence were analyzed. Results: After nursing, the data of the two groups were summarized. The score of compliance behavior in the observation group was 91.23 ± 4.56, which was significantly better than that in the control group (75.13 ± 5.23). The t values of the score of compliance behavior were 12.4952, P < 0.05. The qualified rate of fasting blood glucose in the observation group was 100 %, which was significantly higher than that in the control group (62.07 %), P < 0.05. According to the questionnaire analysis, there were 18 patients in the observation group who were very satisfied, 8 patients who were satisfied and 3 patients who were not satisfied, with a total satisfaction rate of 89.66%, and in the control group, there were 4 patients who were very satisfied, 15 patients who were satisfied and 10 patients who were not satisfied, with a total satisfaction rate of 65.52%. The control group was significantly inferior to the observation group, and P< 0.05 was regarded as statistically significant. Conclusion: Adopting the process of diabetes group nursing can effectively enhance the compliance behavior of patients, and effectively control the blood sugar index of patients, and improve the satisfaction degree of patients.

scholarly journals The effect of clinical hierarchical nursing intervention on patients with acute non-variceal upper gastrointestinal bleeding

2021 ◽  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Nursing Intervention ◽  
Comfort Level ◽  
Control Group ◽  
Observation Group ◽  
Nursing Satisfaction ◽  
Significant Difference ◽  
Upper Gastrointestinal

Introduction: Acute non-variceal upper gastrointestinal bleeding has high risk of rebleeding, severely affecting patients’ life. While this risk of rebleeding can be effectively reduced via targeted clinical hierarchical nursing intervention. Object: To investigate the effect of clinical hierarchical nursing intervention on patients with acute non-variceal upper gastrointestinal bleeding (ANVUGIB). Design: Randomized controlled study. Methods: A total of 150 ANVUGIB patients treated in the Department of Gastroenterology in our hospital from January 2017 to October 2020 were selected and equally divided into two groups according to random number table method. The control group received routine care for ANVUGIB, including routine health education, health monitoring, medication care, etc. The nursing staff in the intervention group were divided into four different levels: senior, intermediate, junior and assistant nursing staff, and they were assigned with different responsibilities and nursing contents. The baseline conditions of the two groups of patients were compared, and the evaluation indexes include: incidence of bleeding-related complications during hospitalization, rebleeding situation within 1 month after discharge, quality of life, medical compliance, mastery rate of disease knowledge, comfort level, and nursing satisfaction. Results: There was no significant difference in the basic condition between the two groups (p > 0.05), showing comparability. The incidence of complications and rebleeding during hospitalization in the observation group were both 4.00%, which were significantly lower than those in the control group (χ2 = 6.996, 4.127, p < 0.05). After nursing intervention during hospitalization, the scores of physiological function, physiological functioning, body pain, general health, vitality, social function, mental health and emotional function of ANVUGIB patients in the observation group were significantly higher than those in the control group at discharge (p < 0.05). In addition, the mastery rate of disease knowledge, comfort level and nursing satisfaction of ANVUGIB patients in the observation group were significantly higher than those in the control group (p < 0.05). Although the compliance rate in the observation group was higher than that in the control group, no significant difference was found (p > 0.05). Conclusion: Clinical nursing intervention can significantly reduce the incidence of complications and rebleeding in patients with acute non-variceal upper gastrointestinal bleeding, and improve their quality of life, comfort level and nursing satisfaction.

Gastrointestinal Decompression on Computed Tomography Examination for Patients with Craniocerebral Injury

2021 ◽  
Vol 11 (7) ◽  
pp. 1963-1966
Author(s):  
Limei Bai
Keyword(s):  
Computed Tomography ◽  
Success Rate ◽  
Tissue Injury ◽  
Ct Scanning ◽  
Control Group ◽  
Observation Group ◽  
Craniocerebral Injury ◽  
Ct Examination ◽  
Examination Time ◽  
Significant Difference

Objective: Patients with craniocerebral injury usually accompanied by intracranial hypertension and vomiting, which affect the effect of CT scanning. The aim of this study was to discuss the application effects of gastrointestinal decompression on computed tomography (CT) examination for patients with craniocerebral injury. Methods: A total of 80 patients with craniocerebral injury in our hospital were randomly selected and divided into control and observation groups, 40 cases in each group. The observation group was given gastrointestinal decompression before the CT examination, while the control group received routine examination. The success rate of CT examination, CT scanning effect, examination, and complication during scanning were recorded and compared in two groups. Results: The one-time success rate (100.0%) of CT examination was 100.0% (40/40) in the observation group was significantly higher than the rate in the control group (82.5%, P = 0.034). The CT examination clearly showed in the types of craniocerebral injury, the brain tissue injury, the ventricular compression and the midline displacement. The CT examination time of observation group was shorter than that of control group (P < 0.001), while there was no significant difference in the whole examination time spent on both gastrointestinal decompression operation and CT examination between the two groups (P = 0.301). In the observation group, there was only 1 case of retching, and no cases of vomiting or aspiration during scanning. The incidence of various complications in observation group was significantly lesser than the incidence in control group (P = 0.034). Conclusions: Continue gastrointestinal decompression can significantly reduce the incidence of vomiting and other complication in patients with craniocerebral injury during CT examination, reduce the CT examination time, and improve the success rate of one-time scanning.

Analysis on Nursing Effect of Octreotide on Acute Pancreatitis

2021 ◽  
Vol 7 (4) ◽  
pp. 300-307
Author(s):  
Chenxia Wu ◽  
Li He
Keyword(s):  
Acute Pancreatitis ◽  
Clinical Symptoms ◽  
Nursing Intervention ◽  
Effective Rate ◽  
Occurrence Rate ◽  
Control Group ◽  
Observation Group ◽  
Clinical Value ◽  
Nursing Satisfaction ◽  
Satisfaction Scale

To explore the clinical value of octreotide therapy and nursing intervention in patients with acute pancreatitis. 120 patients with acute pancreatitis admitted to the Department of Digestive Medicine from June 2018 to August 2019 were selected. Two groups of patients were treated with octreotide. They were randomly divided into observation group (intensive nursing intervention) and control group (routine nursing) with 60 patients in each group. Compared with the control group (81.67%), the total effective rate (93.33%) was higher in the observation group (P<0.05%); After treatment, C reactive protein, lactate dehydrogenase, WBC and hemodiastase of patients in the observation group were better than those in the control group (P<0.05); compared with the control group (18.33%), the occurrence rate of hypoglycemia in the observation group (6.67%) was lower (P<0.05%); At the same time, the Nursing Satisfaction Scale of the observation group (95.00%) was higher than that of the control group (78.33%), (P<0.05%). Patients with acute pancreatitis treated with octreotide and strengthened nursing intervention can obtain more obvious therapeutic effect, so that the clinical symptoms and related laboratory indicators of patients have been significantly improved. At the same time, the clinical value was significant with a lower occurrence rate of hypoglycemia and higher nursing satisfaction scale.

scholarly journals Sequential butylphthalide therapy combined with dual antiplatelet therapy in the treatment of acute cerebral infarction

2020 ◽  
Vol 36 (4) ◽  
Author(s):  
Xuewen Wo ◽  
Jinyan Han ◽  
Jiajia Wang ◽  
Xinmin Wang ◽  
Xiaoying Liu ◽  
...  
Keyword(s):  
Plasma Level ◽  
Cerebral Infarction ◽  
Antiplatelet Therapy ◽  
Adverse Reactions ◽  
Dual Antiplatelet Therapy ◽  
Acute Cerebral Infarction ◽  
Control Group ◽  
Observation Group ◽  
Significant Difference ◽  
Better Than

Objective: To observe the clinical efficacy of sequential butylphthalide therapy combined with dual antiplatelet therapy in the treatment of elderly patients with acute cerebral infarction (ACI). Methods: One hundred and twenty-two elderly patients with ACI who were admitted to the department of neurology of our hospital at May 2016-August 2018 were selected grouped into a control group and an observation group by random number table method, 61 in each group. On the basis of conventional treatment, the patients in the control group were given dual antiplatelet therapy (aspirin enteric-coated tablets + clopidogrel bisulfate tablets), while the patients in the observation group were given sequential butylphthalide therapy on the basis of the control group. The clinical effects of the two groups were compared after four weeks of treatment, and the changes of National Institutes of Health Stroke Scale (NIHSS), ADL score, plasma 3-mercaptopyruvate sulphurtransferase (3-MST) and Amyloid β42 (Aβ42) levels and the occurrence of adverse reactions during treatment were recorded. Results: The clinical efficacy of the observation group was better than that of the control group (P<0.05). There was no significant difference in NIHSS and ADL scores between the two groups before treatment (P>0.05). After treatment, the NIHSS and ADL scores of the observation group were better than those of the control group (P<0.05). There was no significant difference in plasma levels of 3-MST and AB42 between the two groups before treatment (P>0.05). The level of plasma 3-MST in the observation group was higher than that in the control group, and the level of plasma Aβ42 was lower than that in the control group (P<0.05). No serious adverse reactions occurred during the treatment period in both groups. Conclusion: Butylphthalide sequential therapy combined with dual antiplatelet therapy is effective in the treatment of elderly ACI. It can effectively improve the plasma level of 3-MST and decrease the plasma level of Aβ42, which is conducive to improving the living ability and neurological function of patients and has high safety. doi: https://doi.org/10.12669/pjms.36.4.1831 How to cite this:Wo X, Han J, Wang J, Wang X, Liu X, Wang Z. Sequential butylphthalide therapy combined with dual antiplatelet therapy in the treatment of acute cerebral infarction. Pak J Med Sci. 2020;36(4):---------. doi: https://doi.org/10.12669/pjms.36.4.1831 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Observations on the Application of Nursing Risk Management in the Care of Critically Ill Patients in the Respiratory Unit

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Yannan Sun
Keyword(s):  
Risk Management ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Treatment Satisfaction ◽  
Clinical Symptoms ◽  
Statistical Significance ◽  
Management Model ◽  
Control Group ◽  
Observation Group ◽  
Significant Difference

 Objective: Investigate the effectiveness of nursing risk management in the care of critically ill patients in the respiratory unit. Methods: Among the critically ill respiratory patients admitted to our hospital between May 2019 and April 2020, 78 patients were randomly selected and divided into an observation group and a control group, each consisting of 39 patients. In the observation group, a nursing risk management model was implemented, i.e., patients' clinical symptoms were observed at any time to monitor their treatment satisfaction and the effectiveness of their care and routine care was implemented for the control group. Results: The heart rate, respiratory rate, and pH of patients in the observation group were more stable than those in the control group, and their respiratory status was better, with differences in data. There was also significant statistical significance (P<0.05). The incidence of patient-provider disputes, unplanned extubation, and unplanned events were lower in the observation group compared to the control group, and their data difference was statistically significant (P<0.05). The treatment satisfaction as well as the total effective rate of patients in the observation group was also much higher than that of the control group, and there was also a statistically significant difference in the data (P<0.05). Conclusion: The nursing risk management model has a significant therapeutic effect in the care of critically ill respiratory patients. Therefore, it is worth popularizing to use in the clinical nursing of respiratory critical patients.

scholarly journals Efficacy of carprostol tromethamine combined with mifepristone in the treatment of uterine fibroids

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Jun Wang ◽  
Xian Zhang
Keyword(s):  
Estrogen Receptor ◽  
Progesterone Receptor ◽  
Treatment Effect ◽  
Uterine Fibroids ◽  
Operation Time ◽  
Clinical Treatment ◽  
Control Group ◽  
Observation Group ◽  
Significant Difference ◽  
Better Than

【Abstract】Objective: To investigate the clinical efficacy of carboprost tromethamine combined with mifepristone in the treatment of uterine fibroids. METHODS: A total of 66 patients with uterine fibroids admitted to our hospital between April 2018 and January 2019 were selected as subjects. According to the two different treatment methods, patients were divided equally. The observation group and the control group, each group of 33 people. The oxytocin drug treatment was medicated to the control group, and the prostaglandin tromethamine combined with mifepristone was medicated to the observation group. The treatment effect, adverse reaction, operation, and uterine muscle before and after surgery were observed in these two groups. Tumor tissue progesterone receptor and estrogen receptor levels. Results: The clinical treatment effect of the observation group was 93.94%, and the clinical treatment effect of the control group was 60.61%. The clinical treatment effect of the observation group was significantly higher than that of the control group; also the incidence of adverse reactions in the observation group in terms of rash, fatigue, nausea and vomiting was much lower than the control group, and could observe a significant difference. Finally in observation group, the amount of intraoperative blood loss, operation time and hospitalization time were better than those of the control group. The progesterone receptor and estrogen receptor levels in the uterine fibroid tissue after surgery should also be better than the control group, it is worth to make further comparison. Conclusion: Carprostol tromethamine combined with mifepristone is effective in the treatment of uterine fibroids and can be further developed.

scholarly journals Application of quality control circle in the treatment of moderate cancer pain in inpatients

2020 ◽  
Vol 50 (5) ◽  
pp. 581-585
Author(s):  
Yehuan Liu ◽  
Beibei Lin
Keyword(s):  
Quality Of Life ◽  
Quality Control ◽  
Cancer Pain ◽  
Pain Control ◽  
Management Tool ◽  
Control Group ◽  
Observation Group ◽  
Patients With Cancer ◽  
Significant Difference

Abstract Context Pain is one of the most common and intolerable symptoms in cancer patients. But cancer pain control is still negative in China. Objectives This paper explores the application of quality control circle in the treatment of cancer pain in inpatients to improve the quality of life of patients with cancer pain. Method Established a quality control circle group to analyze the current status of cancer pain control in inpatients with moderate cancer pain, set goals, formulate corresponding countermeasures and implement and review them in stages. The plan-do-check-act method was cyclically applied. The Brief Pain Inventory was used to evaluate the cancer pain status of patients with cancer pain hospitalized before (January to April 2016) and after (September to December 2016) the implementation of quality control circle activities. Results The pain control effect of the observation group was significantly better than that of the control group. The mean (standard deviation) of pain severity and pain interference in the observation group were significantly lower than those in the control group (6.21 [2.86] vs 4.31 [2.25], 10.54 [4.10] vs 7.25 [3.77]). There was significant difference after the implementation of quality control circle (P &lt; 0.01). Conclusion Quality control circle activities are used to manage patients with cancer pain, to improve the situation of pain control and to improve the quality of life of patients. This management tool and method is worthy of clinical promotion and application.

Application and Statistical Health Analysis of Predictive Nursing in Orthopedic Nursing

2019 ◽  
Vol 9 (8) ◽  
pp. 1547-1552
Author(s):  
Fuqin Bao ◽  
Dapeng Wang ◽  
Hongyan Zhao ◽  
Bo Xu
Keyword(s):  
Preventive Measures ◽  
Control Group ◽  
Nursing Interventions ◽  
Observation Group ◽  
Nursing Satisfaction ◽  
Effective Manner ◽  
Orthopedic Care ◽  
The Difference ◽  
Nursing Guidelines ◽  
And Control

Objective: To investigate the application of predictive nursing guidelines in orthopedic care based on medical imaging and health statistics. Methods: 140 patients were divided into two groups: observation and control. The patients in the control group received routine nursing. The patients in the observation group received the guidance of predictive nursing on the basis of routine nursing. The nursing effects of the two groups were observed. Results: After the implementation of nursing interventions, the complication rate was 4.3% in the observation group and 20.0% in the control group. The difference between the groups was statistically significant (P < 0.05). The satisfaction rate was 97.1%, and the nursing satisfaction of the control group was 90.0%. The difference between the groups was statistically significant (P < 0.05). Discussion: Through observation of patient satisfaction and treatment, especially in orthopedics, patients are differentiated according to different diseases, and predictive care can effectively prevent complications. Conclusion: Predictive care provides preventive measures by comprehensively understanding and comprehensively assessing the patient's condition and developing care measures in a timely and effective manner.

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