Effect of Evidence-Based Nursing on Nutritional Status, SAS Score, SDS Score and Quality of Life in Uremic Patients with Hemodialysis

2019 ◽  
Vol 08 (05) ◽  
pp. 370-375
Author(s):  
英 罗
2021 ◽  
Vol 7 (5) ◽  
pp. 3967-3974
Author(s):  
Yuan Xue ◽  
Minxia Lu ◽  
Bingqing Lu ◽  
Yongming He

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.


2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Rongrong Dong ◽  
Huaqin Chen

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.


2021 ◽  
Vol 7 (4) ◽  
pp. 546-556
Author(s):  
Heng Yin ◽  
Cui Xia ◽  
Pengfei Xiao ◽  
Huili Ni

Objective: The aim of this study is to explore the role of nutritional nursing in the quality of life, nutritional status, and complications in elderly uremic patients receiving peritoneal dialysis (PD). Methods: We enrolled 205 uremic patients who were treated with PD in our hospital from March 2018 to April 2019 as the research subjects. Then we grouped them according to different nursing methods: 116 cases receiving nutritional nursing were assigned to the research group (RG) while the other 89 cases receiving routine nursing to the control group (CG). Clinical biochemical markers were detected by the biochemistry analyzer, the nutritional status determined by the Modified Quantitative Subjective Global Assessment (MQSGA), the anxiety and depression intensity assessed by Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS), the sleep quality assessed by the Pittsburgh Sleep Quality Index(PSQI), the nursing satisfaction level assessed by the hospital’s self-made nursing satisfaction questionnaire, and the quality of life evaluated by the Quality of Life Questionnaire (QLQ-C30 ). The complication rate in patients was monitored. Results: The improvement of clinical biochemical markers after nursing was better in RG than in CG. The decrease in the MQSGA score, SAS score, SDS score, and PSQI score after nursing was sharper in RG than in CG. Compared with CG, RG had a remarkably lower complication rate, a notably higher nursing satisfaction level, and a remarkably better quality of life. Conclusion: Nursing intervention for elderly uremic patients receiving PD can enhance the quality of life of patients, improve the nutritional status, promote the recovery from the disease, and reduce the complication rate.


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