Analysis on Emotional Control and Life Quality of Patients with Continuous Blood Purification and Catheter-Related Bloodstream Infection by Cluster Nursing Model combined with Psychological Intervention

2021 ◽  
Vol 7 (4) ◽  
pp. 628-634
Author(s):  
Fan Sun ◽  
Xuan Cao ◽  
Tingwen Ke ◽  
Qian Ding ◽  
Jingjing Wang
Keyword(s):  
Psychological Intervention ◽  
Control Level ◽  
Life Quality ◽  
Nursing Intervention ◽  
Emotional Control ◽  
Nursing Satisfaction ◽  
Sf 36 ◽  
Group A ◽  
Group B

To study the effect of cluster nursing model combined with psychological intervention on emotional control and life quality of patients with continuous blood purification (CBP) and catheter-related bloodstream infection (CRBSI). 126 patients with CBP catheterization treated in our hospital (November 2018-November 2019) were chosen as the study subjects, and randomly split into group A and group B, 63 cases in each group. Group B adopted routine nursing while group A received cluster nursing model with psychological intervention to compare the emotional control level and life quality between the two groups. No obvious differences in sex ratio, age, BMI, smoking history, drinking history, marital status, disease types, catheter indwelling time and catheter position were found between the two groups(P>0.05). After nursing intervention, MPV and CD62-P in group A were obviously lower while PLT value was obviously higher compared with group B (P<0.001). CRBSI occurred later in group A compared with group B after intervention (P<0.001), and CRBSI duration was shorter compared with group B (P<0.001). The CECS scores in both groups after intervention were obviously higher, and CECS score in group A after nursing intervention was obviously higher compared with group B(P<0.001). SF-36 scores in both groups after nursing intervention were obviously higher, and SF-36 score in group A after intervention was higher compared with group B (P<0.001). The total nursing satisfaction in group A was obviously higher compared with group B (P<0.05). Cluster nursing model combined with psychological intervention can enhance emotional control level of patients with CBP catheterization, shorten the CRBSI duration, improve the life quality and nursing satisfaction, with obvious effect, deserving reference and promotion.

Effect of Continuing Nursing on Self-Care Ability and Nursing Satisfaction of Patients with Rectal Cancer Undergoing Colostomy

2021 ◽  
Vol 7 (5) ◽  
pp. 2513-2521
Author(s):  
Wenlong Sheng ◽  
Jimei An
Keyword(s):  
Mental Health ◽  
Rectal Cancer ◽  
Nursing Care ◽  
Life Quality ◽  
Self Care ◽  
Care Group ◽  
Nursing Satisfaction ◽  
Group A ◽  
Group B

To determine the effect of continuing nursing on self-care ability and nursing satisfaction of patients undergoing resection of rectal cancer (RC), a total of 130 patients undergoing resection of RC who were diagnosed and treated in our hospital from April 2018 to May 2019 were enrolled. Among them, 62 patients nursed under the routine nursing mode for advanced RC were assigned to Group A, and other 68 patients nursed under continuing nursing mode based on the routine nursing for patients undergoing resection of RC were assigned to Group B. The two groups were compared in mental health, emotional state, life quality, and self-care ability before and after nursing care during hospitalization and after 2 months of follow-up visit, and they were also compared in nursing satisfaction, status on discharge, and complications. After nursing care. Group B got notably lower scores of self-rating anxiety scale (SAS) ans self-rating depression scale (SDS) than Group A (both P<0.001), and showed much better compliance than Group A (P<0.001). The quality of life scale (QOL-C30) scores in physical health, mental health, material life, and social function of Group B were all notably higher than those of Group A (all P<0.001). Additionally, after nursing care. Group B got notably higher scores of self-care ability than Group A (all P<0.001), and showed notably higher nursing satisfaction than Group A (P<0.05). Group B experienced shorter hospitalization than Group A, but there was no significant difference between them during the periods of 10 d-15 d, 16 d-21 d and 22 d-3 Od (all P>0.05). Moreover, after nursing care, the incidence of complications in Group B was notably lower than that in Group A (P<0.05). Continuing nursing can provide better results of improving the emotion and life quality of patients undergoing resection of RC based on routine nursing, and it can reduce the occurrence of postoperative complications on such patients to a certain extent.

scholarly journals Effect of nursing intervention via a chatting tool on the rehabilitation of patients after Total hip Arthroplasty

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Jing Luo ◽  
Xiaohua Dong ◽  
Jing Hu
Keyword(s):  
Quality Of Life ◽  
Health Survey ◽  
Nursing Intervention ◽  
Functional Independence ◽  
Harris Hip Score ◽  
Joint Function ◽  
Sf 36 ◽  
Group A ◽  
Group B

Abstract Background Nursing intervention following discharge is a long-term rehabilitation process that is essential for improving hip joint function and quality of life in affected patients. This study aimed to assess the effect of nursing intervention via WeChat on the rehabilitation of patients after total hip arthroplasty (THA). Methods We conducted a retrospective analysis of 232 patients who underwent THA at our hospital from January 2013 to October 2015. Of the 232 patients, 114 received nursing intervention via telephone (Group A), and 118 received nursing intervention via WeChat (Group B). Furthermore, the Harris hip score and Short-Form 36 (SF-36) health survey score were used to evaluate hip joint function and quality of life in patients in the two groups at discharge and 1, 3 and 6 months following discharge. Moreover, the functional independence measure was applied to assess the recovery of joint function in the patients. Results No significant difference was observed in the Harris hip score and the SF-36 health survey score between the two groups at discharge and 1 month following discharge (p > 0.05). However, the Harris hip score and SF-36 health survey score were lower in group A than in group B at 3 and 6 months following discharge (p < 0.05). Furthermore, no obvious difference was observed in terms of functional independence between the two groups at discharge (p > 0.05). However, more individuals were completely independent in group B than in group A at 1, 3 and 6 months following discharge (p < 0.05). Conclusions Nursing intervention via WeChat can improve the effect of rehabilitation after THA and promote the recovery of joint function in patients.

scholarly journals Effect of Narrative Nursing Intervention Based on Targeted Nursing Intervention on Anxiety and Nursing Satisfaction of Patients with Malignant Tumors Undergoing Chemotherapy

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Huixia Xu ◽  
Guoping Xu ◽  
Ying Liu ◽  
Xuejing Mu ◽  
Yang Liu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Malignant Tumors ◽  
Nursing Intervention ◽  
Depression And Anxiety ◽  
Tumor Patients ◽  
Nursing Satisfaction ◽  
Scale Scores ◽  
Group A ◽  
Group B

Objective. To explore the effect of narrative nursing intervention based on targeted nursing intervention on anxiety and nursing satisfaction of patients with malignant tumors undergoing chemotherapy. Methods. 120 malignant tumor patients treated with chemotherapy in our hospital from January 2019 to January 2020 were selected as the research objects and randomly divided into group A and group B, with 60 cases in each group. The targeted nursing intervention was performed to group B, and the targeted nursing intervention centering on narrative nursing was performed to group A, so as to compare their distress thermometer (DT) scale scores, depression and anxiety scale scores, Medical Coping Modes Questionnaire (MCMQ) scores, Functional Assessment of Cancer Therapy-General (FACT-G) scores for quality of life, and nursing satisfaction. Results. After nursing intervention, group A obtained 5.00 ± 1.20 points in the DT score, which were significantly lower than group B ( P < 0.05 ); and group A achieved significantly lower depression and anxiety scale scores ( P < 0.001 ), better MCMQ scores ( P < 0.05 ), and higher FACT-G scores ( P < 0.05 ) and nursing satisfaction ( P < 0.05 ) than group B. Conclusion. The targeted nursing intervention based primarily on narrative nursing can greatly reduce negative emotions, alleviate anxiety, and improve confidence in treatment and quality of life for malignant tumor patients undergoing chemotherapy, with higher nursing satisfaction, which should be promoted and applied in the practice.

Comprehensive Nursing can Relieve the Negative Emotions of Patients undergoing Breast Cancer Resection and Reduce Postoperative

2021 ◽  
Vol 7 (5) ◽  
pp. 4234-4243
Author(s):  
Xiaoxia Lv ◽  
Lihua Wang ◽  
Yan Zhai
Keyword(s):  
Breast Cancer ◽  
Postoperative Complications ◽  
Quality Score ◽  
Cancer Resection ◽  
Upper Limb Function ◽  
Sf 36 ◽  
Group A ◽  
Group B ◽  
Nursing Quality

To explore the effect of comprehensive nursing on adverse emotions and postoperative complications of breast cancer patients undergoing mastectomy. Altogether 180 patients who received treatment in our hospital from May 2017 to May 2019 were selected as the research participants and divided into group A and group B. Among them, 100 cases in group A received comprehensive nursing, 80 cases in group B received routine nursing. The surgical indications, upper limb function, serum NGF, TK1 and CA15-3 expression level, VAS score, SAS, SDS score, quality of life SF-36 score were detected, and the incidence rate of postoperative complications and nursing quality score were compared. Compared with group B, group A had less postoperative bed time, intraoperative blood loss, length of hospital stay, better recovery of upper limb function, lower expression levels of serum NGF, TK1 and CA15-3, lower VAS score, SAS and SDS score, higher quality of life SF-36 score, lower incidence of postoperative complications and higher nursing quality score. Comprehensive nursing can relieve the negative emotions of patients undergoing breast cancer resection and reduce the incidence of postoperative complications.

scholarly journals Gamification as an entrepreneur well-being intervention: A study protocol for a single-blinded randomised controlled trial

2021 ◽  
Author(s):  
Waqar M. Naqvi
Keyword(s):  
Controlled Trial ◽  
Life Quality ◽  
Well Being ◽  
Likert Scale ◽  
Control Group ◽  
Group A ◽  
Measuring Scale ◽  
Group B ◽  
Randomised Controlled

Abstract Entrepreneurs usually work for long hours resulting in exhaustion, stress, and burnout. The prevalent symptoms of burnout are reduced levels of physical and mental energy, reduced job efficiency and diminished productivity. Therefore, it is important to improve the health of entrepreneurs. Gamification has a positive relationship with improvements in health and well-being as it influences positive experiences and satisfaction. This trial aims to study how 30-minutes of virtual reality game use via Kinect Azure and Oculus platforms 3-times per week, for 4 weeks, relates to differences in entrepreneur stress, burnout, subjective life quality, and downstream firm performance. We will recruit entrepreneurs over the age of 18 for the gamification analysis. Analysis of previous power using G*Power will determine the sample size. We will divide the participants into 3 groups, wherein Group A will undergo gamification on the Kinect platform, Group B will undergo the Oculus Quest intervention, and Group C will be the control group. We will conduct the study at two sites, one at the HuMen research. The outcome measures include a five-point Likert scale for measuring entrepreneurial stress, burnout-measuring scale (BMS) for burnout, five-point Likert scale for performance and SF-12 for Quality of life. Since current strains pave ways to future accomplishment, entrepreneurs' eudemonic well-being might particularly relate to forward-looking challenge stressors and burnouts. The results will provide an insight into how gamification could help entrepreneurs to deal with work stress and maintain high well-being.

scholarly journals Effect of the WeChat Platform Health Management and Refined Continuous Nursing Model on Life Quality of Patients with Acute Myocardial Infarction after PCI

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Meifang Xu ◽  
Xiaofang Yang ◽  
Lin Liu ◽  
Yunlang Dai ◽  
Mingzhu Xu ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Research Group ◽  
Health Management ◽  
Reference Group ◽  
Medication Compliance ◽  
Life Quality ◽  
Nursing Satisfaction ◽  
Sf 36

The purpose was to explore the effect of the WeChat platform health management and refined continuous nursing model on life quality of patients with acute myocardial infarction (AMI) after PCI. 100 AMI patients treated in the cardiovascular medicine of the First Affiliated Hospital of Soochow University from June 2018 to June 2019 were selected as the study subjects and randomly divided into research group and reference group, with 50 cases in each group. The reference group received routine nursing after PCI, while the research group received WeChat platform health management and continuous refined nursing. There were no significant differences in sex ratio, age, BMI, complications, education level, and residence between the two groups of patients ( P > 0.05 ). The MPR values of patients in the two groups after intervention were significantly higher than those before intervention ( P < 0.05 ), and the MPR value in the research group after intervention was significantly higher than that in the reference group ( P < 0.05 ). The SF-36 scores of patients in the two groups after intervention were significantly higher than those before intervention ( P < 0.001 ), and the SF-36 score in the research group after intervention was higher than that in the reference group ( P < 0.001 ). The emotional, physical, and economic dimensions of patients in the research group after intervention were significantly lower than those in the reference group ( P < 0.001 ). The HAMA and HAMD scores of patients in the research group after intervention were significantly lower than those in the reference group ( P < 0.001 ). The nursing satisfaction score of patients in the research group was significantly higher than that in the reference group ( P < 0.001 ). The total incidence of complications of patients in the research group after intervention was significantly lower than that in the reference group ( P < 0.05 ). The WeChat platform health management and refined continuous nursing model can effectively improve the medication compliance of patients after PCI, improve the life quality, alleviate depression and anxiety, and reduce postoperative complications, with a definite effect, which is worthy of promotion and application.

scholarly journals Quality of life, clinical outcomes and safety of early prophylactic levothyroxine administration in patients with Graves' hyperthyroidism undergoing radioiodine therapy: a randomized controlled study

2016 ◽  
Vol 174 (4) ◽  
pp. 491-502 ◽  
Author(s):  
David Taïeb ◽  
Claire Bournaud ◽  
Marie-Claude Eberle ◽  
Bogdan Catargi ◽  
Claire Schvartz ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Endpoint ◽  
Radioiodine Therapy ◽  
Controlled Study ◽  
Thyroid Function Tests ◽  
Randomized Controlled ◽  
Sf 36 ◽  
Group A ◽  
Group B

ObjectiveWhile radioiodine therapy is commonly used for treating Graves' disease, a prolonged and clinical hypothyroidism may result in disabling symptoms leading to deterioration of quality of life (QoL) of patients. Introducing levothyroxine (LT4) treatment in the early post-therapeutic period may be an interesting approach to limit this phenomenon.MethodsA multicenter, prospective, open-label randomized controlled trial enrolled 94 patients with Graves' hyperthyroidism randomly assigned to the experimental group (n=46) (group A: early prophylactic LT4treatment) or the control group (n=48) (group B: standard follow-up). The primary endpoint was the 6-month QoL. The secondary endpoints were other QoL scores such as Graves' ophthalmopathy (GO) outcomes, thyroid function tests and safety.ResultsThe primary endpoint at 6 months was achieved: the mental composite score (MCS) of Short Form 36 (SF-36) was significantly higher in group A compared to group B (P=0.009). Four other dimension scores of the SF-36 and four dimension scores of the thyroid-specific patient-reported outcome (ThyPRO) significantly differed between the two groups, indicating better QoL in group A. After adjustment for variables, the early LT4administration strategy was found as an independent factor for only two scores of SF-36: the MCS and the general health (GH) score. There were no differences in GO, final thyroid status and changes in the anti-TSH receptor antibodies (TRAbs) levels between the two groups. No adverse cardiovascular event was reported.ConclusionEarly LT4administration post-radioactive iodine (RAI) could represent a safe potential benefit for patients with regard to QoL. The optimal strategy taking into account administered RAI activities and LT4treatment dosage and timing remains to be determined.

scholarly journals Clinical Observation on the Effect of Systematic Nursing Intervention on Cognitive Function, Life Activity Ability, and Quality of Life of Senile Dementia Patients

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Yuan Zheng ◽  
Xiaoyan Xu ◽  
Birong Zheng
Keyword(s):  
Quality Of Life ◽  
Cognitive Function ◽  
Senile Dementia ◽  
Nursing Intervention ◽  
Control Group ◽  
Observation Group ◽  
Nursing Satisfaction ◽  
Dementia Patients ◽  
Sf 36

Objective. To explore the influence of systematic nursing intervention on the life ability and quality of senile dementia patients. Methods. Total of 82 senile dementia patients who were admitted to our hospital from January 2018 to January 2020 were divided into two groups according to the random number table, and the nursing intervention was analyzed. 41 patients in the control group were given routine nursing care, and 41 patients in the observation group were given systematic nursing intervention. Patients were assessed cognitively using the Montreal Cognitive Assessment Scale (MoCA). The Barthel index and SF-36 were used to evaluate the patients’ daily activity function and quality of life. A Symptom Checklist-90-Revised (SCL-90-R) was used to assess mental distress. The Social-Adaptive Function Rating Scale (SAFE) and Social Skills Inventory (SSC) were used to evaluate the patients’ social interaction ability before and after nursing intervention. Nursing satisfaction was distributed to patients in the form of a self-prepared nursing satisfaction questionnaire for scoring. Results. After the nursing intervention, the MoCA scores of patients in the two groups were higher than those before the nursing intervention, and the scores in the observation group were higher than those in the control group P < 0.05 . After the nursing intervention, the Barthel index scores of patients in the two groups were higher than those before the nursing intervention, and the scores in the observation group were higher than those in the control group P < 0.05 . After the nursing intervention, the SF-36 scores of patients in the two groups were higher than those before the nursing intervention, and the scores in the observation group were higher than those in the control group P < 0.05 . After nursing intervention, the SCL-90-R scores of patients in the two groups were lower than those before nursing intervention, and the scores in the observation group were lower than those in the control group P < 0.05 . After the nursing intervention, the SAFE scores of patients in the two groups were lower than those before the nursing intervention, and the safe scores of the observation group were lower than those of the control group P < 0.05 . After the nursing intervention, the SSC scores of patients in the two groups were lower than those before the nursing intervention, and the scores in the observation group were lower than those in the control group P < 0.05 . After nursing intervention, the total satisfaction degree of the control group (80.49%) was lower than that of the observation group (97.56%) P < 0.05 . Conclusion. The implementation of systematic nursing intervention is conducive to improve the cognitive function, activity of life, and quality of life of senile dementia patients who have a positive effect, and nursing satisfaction is higher.

scholarly journals CT-Guided Pulsed Radiofrequency at Different Voltages in the Treatment of Postherpetic Neuralgia

2020 ◽  
Vol 14 ◽  
Author(s):  
Zhenkai Han ◽  
Tao Hong ◽  
Yuanyuan Ding ◽  
Shimeng Wang ◽  
Peng Yao
Keyword(s):  
Quality Of Life ◽  
Visual Analog Scale ◽  
Postherpetic Neuralgia ◽  
Pulsed Radiofrequency ◽  
Analog Scale ◽  
Ct Guided ◽  
Sf 36 ◽  
Group A ◽  
Group B

BackgroundPostherpetic neuralgia (PHN) is a form of long-lasting neuropathic pain that can severely affect patients’ quality of life. Pulsed radiofrequency (PRF) has been proven to be effective in treating PHN, but the optimal radiofrequency parameters are still not well defined. This retrospective study aimed to compare the efficacy and safety of CT-guided PRF at three different voltages for the treatment of PHN patients.MethodsThis study included 109 patients with PHN involving the thoracic dermatome who were treated in the Department of Pain Management of Shengjing Hospital, China Medical University, from January 2017 to May 2019. They were divided into three groups based on the PRF voltage used: group A (45 V), group B (55 V), and group C (65 V). The PRF therapy (voltage 45, 55, and 65 V) was performed in all patients by targeting the thoracic dorsal root ganglion. After surgery, patients were followed at 3 days, 1 month, 3 months, 6 months, and 12 months. Observation at each follow-up included basic patient characteristics, visual analog scale (VAS), 36-Item Short Form Health Survey (SF-36) scores, patient satisfaction, complications, and side effects.ResultsVisual analog scale scores decreased and SF-36 scores increased for all patients in the three groups at each post-operative time point (1, 3, 6, and 12 months; all P &lt; 0.01). Pain relief, improvement in quality of life, and overall satisfaction were more significant for patients in group C than for those in groups A and B at the 3-, 6-, and 12-month follow-ups (all P &lt; 0.05). Patients in group B had lower VAS scores and higher overall satisfaction levels than those in group A (both P &lt; 0.01). A small number of patients from each group (n ≤ 3) experienced mild intraoperative and post-operative complications, which bore no relationship with group assignment (all P &gt; 0.05). At post-operative day 3, patients in group C had skin numbness affecting a larger area than patients in the other two groups (both P &lt; 0.05), but the differences were no longer statistically significant at day 30 after the operation. All patients experienced a drop in numbness area of more than 30% after surgery.ConclusionCompared with PFR at 45 and 55 V, PFR at 65 V had superior efficacy in treating PNH, with a favorable safety profile.

scholarly journals Analysis of Cardiovascular Fitness, Sleep Quality, Depression, Fatigue, and Quality of Life among Individuals with Respect to the Glycated Hemoglobin Level in Type 2 Diabetes Mellitus

2019 ◽  
Vol 25 (3-4) ◽  
pp. 155-161
Author(s):  
Swetank Pathak ◽  
Shweta Shenoy
Keyword(s):  
Quality Of Life ◽  
Sleep Quality ◽  
Glycated Hemoglobin ◽  
Life Quality ◽  
Cardiovascular Fitness ◽  
Quality Of Sleep ◽  
Duration Of Diabetes ◽  
Group A ◽  
Group B

<b><i>Background:</i></b> Diabetes as a metabolic disorder can affect the various systems of the body, resulting in a decrease in cardiovascular fitness, sleep quality, and life quality that can lead to depression and fatigue. <b><i>Aim:</i></b> We analyzed cardiovascular fitness, sleep quality, depression, fatigue, and quality of life among individuals with a glycated hemoglobin (HBA1C) level &#x3e;6.5% and ≤6.5%, as well as the relationship among glycated hemoglobin, maximal oxygen consumption (VO<sub>2</sub>max), obesity, sleep quality, depression, and duration of diabetes. <b><i>Method:</i></b> HBA1C (mean: 5.90 ± 0.93%) was studied in a total of 70 subjects (mean age: 62.37 ± 7.5 years). The 2 study groups were as follows: group A, HBA1C &#x3e;6.5%, and group B, HBA1C ≤6.5%. BMI, VO<sub>2</sub>max, quality of sleep and life, depression, and fatigue were assessed in both groups. <b><i>Results:</i></b> There was a statistically significant difference between the groups at a significance level of <i>p</i> &#x3c; 0.001. Group A had a lower cardiovascular fitness, a poor sleep quality, and increased depression compared to group B. A statistically significant negative linear correlation was found between VO<sub>2</sub>max and glycated hemoglobin, and a significant positive linear correlation was found between glycated hemoglobin and duration of diabetes, poor quality of sleep, and depression for all subjects, which was insignificant in the groups. <b><i>Conclusions:</i></b> A long duration of diabetes and an increased glycemic status may influence cardiovascular fitness, sleep quality, and life quality, leading to depression and fatigue.

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