Effect of Quality Nursing Intervention on the Efficacy of Treating Hypertrophic Burn Scars with Asiaticoside Cream Ointment and Nursing Satisfaction

2021 ◽  
Vol 7 (5) ◽  
pp. 4296-4303
Author(s):  
Xu Kun ◽  
Liu Xin ◽  
Libing Qing
Keyword(s):  
Clinical Efficacy ◽  
Rating Scale ◽  
Negative Emotions ◽  
Nursing Intervention ◽  
Effective Rate ◽  
General Information ◽  
Nursing Satisfaction ◽  
Group A ◽  
Group B ◽  
Hamilton Rating Scale

Objective. To explore the effect of quality nursing intervention on the efficacy of treating hypertrophic burn scars with asiaticoside cream ointment and nursing satisfaction. Methods. A total of 80 patients with hypertrophic burn scars treated in our hospital from January 2019 to January 2021 were retrospectively analyzed and divided into group A (conventional nursing) and group B (quality nursing) according to the different nursing modes, with 40 cases each. All patients were treated with the asiaticoside cream ointment, and after nursing intervention, the effect of different nursing modes on the patients’ clinical efficacy and nursing satisfaction was scientifically evaluated. Results. No statistical differences in patients’ general information were observed (P>0.05); the overall effective rate of treatment was obviously lower in group A than in group B (77.5% vs 95%, P<0.05); after nursing, the Vancouver Scar Scale (VSS) scores of patients in both groups were significantly lower than before (P<0.05), and the VSS scores after nursing of group B were significantly lower than those of group A (P<0.05); after nursing, the Hamilton Rating Scale for Depression (HAMD) scores and Hamilton Rating Scale for Anxiety (HAMA) scores were obviously lower in group B than in group A (P<0.05); and the overall satisfaction with nursing was significantly higher in group B than in group A (P<0.05). Conclusion. Performing quality nursing for patients with hypertrophic burn scars who accepted the asiaticoside cream ointment treatment can effectively promote clinical efficacy, reduce the negative emotions of patients, and improve the satisfaction with nursing.

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.

scholarly journals Clinical Efficacy and Safety of Joint Butylphthalide and Human Albumin Treatment of PTCI

2018 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Jinjian Yang ◽  
Deqin Geng
Keyword(s):  
Clinical Efficacy ◽  
Barthel Index ◽  
Conventional Treatment ◽  
Effective Rate ◽  
Human Albumin ◽  
Efficacy And Safety ◽  
Nihss Score ◽  
Group A ◽  
Ginkgo Leaf Extract ◽  
Group B

Objective: To observe the clinical efficacy and safety of butylphthalide joint human albumin in the treatment of the progress of type in acute cerebral infarction(PTCI). Methods: 120 patients with PTCI in Department of Neurology of Shuyang People’s Hospital were used to observe the efficacy. These patients were all treated by routine medicine including anti-platelet, statins, edaravone, ginkgo leaf extract and dipyridamole after admission. According to whether used butylphthalide and(or) human albumin in the treatment of PTCI, the patients were divided into A group 30 cases, B group 45 cases, and C group 45 cases.Patients of group C were given conventional treatment. Group B were given conventional treatment and human albumin injection(5g, ivgtt, qd, 3 days in a course); Group A were treated with butylphthalide (first,with butylphthalide and sodium chloride injection 100ml, ivgtt, for 7d, then with butylphthalide soft capsules 0.2g, tid, for 21d ), human albumin(5g, ivgtt, qd, for 3d) and routine medicine. The change of NIHSS score, Barthel Index, and mRS of three groups respectively during progress,1 week, 2 weeks and 90 days after progress were observed and analyzed. Results: NIHSS score, Barthel Index, and mRS of group A, group B and group C all showed no statistically significant (all p > 0.05) on 1 week after treatment; NIHSS score and mRS of group A were both lower than group B and group C on 2 weeks and 90 days after treatment, and both of them showed statistically significant (p<0.05);  Barthel Index of group A was higher than group B and group C on 90 days after treatment,it showed statistically significant (p<0.05); The total effective rate of group A（96.7%） > group B（88.9%） > group C（77.8%),showed statistically significant (p<0.05). Conclusions: Butylphthalide joint human albumin treatment of PTCI has good therapeutic effect and safety, it is useful to clinical promotion and further research.

scholarly journals Clinical Efficacy and Safety Profile of Lurasidone Comparing with Risperidone: Randomized, Open Label, Clinical Study

2021 ◽  
pp. 20-27
Author(s):  
V. Sreedhar ◽  
L. Reddenna ◽  
T. Rajavardhana ◽  
J. Thippe Rudra ◽  
E. Pavan Kumar ◽  
...  
Keyword(s):  
Adverse Drug Reactions ◽  
Clinical Efficacy ◽  
Safety Profile ◽  
Negative Symptoms ◽  
Rating Scale ◽  
Efficacy And Safety ◽  
Drug Reactions ◽  
Function Test ◽  
Group A ◽  
Group B

There are diverse studies which afford evidences that risperidone is as effective as second generation antipsychotics in treating positive symptoms and more effective in treatment of negative symptoms. This study is intended to find the clinical efficacy and safety profile of lurasidone comparing with risperidone, a drug in common use nowadays. Patients aged between 18 to 60yrs, Patients with new onset of symptoms who fulfil the ICD-10 criteria for a primary diagnosis of schizophrenia and Patients having a total PANSS score of ≥80 including a score ≥4 (moderate) on two or more of positive subscale at baseline. Patients with acute exacerbation of schizophrenia who remained drug free for at least last 6 months also included. Demographic data of the patients were collected. Baseline investigations like BP, complete blood count, lipid profile, blood sugar, renal function test and liver function test were done. Severity of schizophrenia at baseline was assessed using positive and negative symptoms scale (PANSS). Patients were randomized by using computer generated random table in 1:1 ratio as group A and group B, with 25 patients in each group. The efficacy of group A and group B was analysed by applying rating scale Positive and negative syndrome scale (PANSS) at the end of 4 and 6 weeks. Adverse drug reactions were recorded and monitored by interviewing with patients, by physical examination and also by necessary lab investigations at the end of 6 weeks. Patients were insisted to maintain a diary to note any new occurrence of adverse drug reactions in between the follow up period. Suspected adverse drug reactions were documented in predesigned reporting form. In PANSS positive scale both groups had significant decrease in PANSS score both at week 4 and week 6 (p<0.05). Lurasidone is as equally efficacious as risperidone in reducing PANSS score, but produces less metabolic syndrome and other adverse effects than risperidone.

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.

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 Effect of acupuncture TENS versus conventional TENS on post cesarean section incision pain

2018 ◽  
Vol 7 (9) ◽  
pp. 3738
Author(s):  
Priti A. Mehendale ◽  
Mayur T. Revadkar
Keyword(s):  
Pain Intensity ◽  
Rating Scale ◽  
Control Group ◽  
P Value ◽  
Random Allocation ◽  
Lower Segment Caesarean Section ◽  
Post Operative Pain ◽  
Group A ◽  
Group B ◽  
Pain Rating Scale

Background: There is evidence regarding beneficial use of Transcutaneous Electrical Nerve Stimulation (TENS) on post Lower Segment Caesarean Section (LSCS) incision pain. However, efficacy of different types of TENS following C section pain has not yet been explored adequately.Methods: 96 women who had recently undergone LSCS were included for the study. The subjects were in the age group of 20 to 40 years (25.84±3.96); having pain intensity 4 or more on Numerical Pain Rating Scale (NPRS). They were divided into three groups by random allocation method; namely Group A: Acupuncture (Low/Motor) TENS, Group B: Conventional (High/Sensory) TENS and Group C: Control group. Group A and B received specific type of TENS twice a day for 15 minutes. Control group C did not receive any TENS intervention. All subjects received standard post-operative medications and physiotherapy. Pain intensity was recorded on NPRS pre and post intervention.Results: Both Acupuncture TENS and Conventional TENS significantly decreased post-operative pain intensity as compared to control group (p value <0.0001).Conclusions: Both, acupuncture and conventional TENS are equally effective in reducing post LSCS incision pain at a strong and non-painful intensity.

scholarly journals A prospective study of lornoxicam as pre-emptive analgesic in abdominal surgeries in tertiary care hospital in Salem, India

2017 ◽  
Vol 6 (7) ◽  
pp. 1778
Author(s):  
Mohammed Ziauddin Sarkhil ◽  
Hemant Kumar Dutt ◽  
Rajaram S.
Keyword(s):  
Rating Scale ◽  
Tertiary Care ◽  
Open Appendectomy ◽  
Care Hospital ◽  
Pain Rating ◽  
Pain Scores ◽  
Analgesic Regimen ◽  
Group A ◽  
Group B ◽  
Pain Rating Scale

Background: Preemptive analgesia, involves the introduction of an analgesic regimen before the onset of noxious stimuli, with the goal of preventing sensitization of the nervous system to subsequent stimuli that could amplify pain.Methods: To determine the efficacy and safety of Lornoxicam when administered preemptively by using Wong-Baker FACES Pain Rating scale. The patients undergoing abdominal surgery were randomly categorized into group A and B of 25 each. Group A- Received Lornoxicam 8mg (1ml) one hour before surgery. Group B- Not received any analgesic before surgery. Primary measurement of the efficacy was done by using Wong-Baker Faces Pain Rating Scale at 2, 4, 8, 12 and 24 hour. All parameters were analyzed by using student t test.Results: Surgeries which were included in the study are hernia repair, open appendectomy, laparoscopic (appendectomy, cholecystectomy). Reduction in pain scores at 12th hourly and 24th hourly pain scores (<0.05) was significant. Tramadol usage decreased significantly with laparoscopic surgeries.Conclusions: In this study we could demonstrate that lornoxicam when used preemptively reduces the pain score slightly and reduces the requirement of post-operative analgesics significantly.

scholarly journals Clinical efficacy of different dosage forms containing vitamin D: design and study outcomes of a randomized, comparative clinical trial

2020 ◽  
Vol 7 (3) ◽  
pp. 176
Author(s):  
Nidhi Sapkal ◽  
Gaurav Chhaya ◽  
Milan Satya ◽  
Dhara Shah
Keyword(s):  
Vitamin D ◽  
Clinical Efficacy ◽  
Dosage Forms ◽  
Oral Solution ◽  
Blood Levels ◽  
Open Label ◽  
Soft Gelatin Capsules ◽  
25 Hydroxy Vitamin D ◽  
Group A ◽  
Group B

<p class="abstract"><strong>Background:</strong> Different dosage forms of vitamin D like tablets, soft gelatin capsules, oral granules, powders, solutions and thin films are available. The objective of the present study was to evaluate and compare the clinical efficacy of three different dosage forms of vitamin D3 namely, orally disintegrating strips, oral granules and oral solution.</p><p class="abstract"><strong>Methods:</strong> An open label, single centre, prospective, randomized, parallel group, comparative study was conducted for a period of 4 months. The study participants were divided into three groups (A, B, C) and received the respective treatments (orally disintegrating strips, n=20; granules, n=20; oral nano solution, n=10) for the study period. The estimation of blood levels of 25-hydroxy vitamin D [25(OH)D<sub>3</sub>] in all the subjects at day 0, 60 and 120 was carried out.</p><p class="abstract"><strong>Results:</strong> The normalization level of 25(OH)D<sub>3 </sub>achieved by the subjects in group A, group B and group C was 100%, 83.3% and 90% respectively after 90 days. Comparison of 25(OH)D<sub>3 </sub>level in all three groups showed significant increase at day 60. The levels were maintained at day 90 and 120 even after drastic reduction in dosage in Group A and group C. On day 120, the dose reduction was in the order of group A&gt;group C&gt;group B.</p><p class="abstract"><strong>Conclusions: </strong>All the three formulations showed increase in the level of 25(OH)D<sub>3. </sub>It can be concluded that oral disintegrating strips of 25(OH)D<sub>3</sub> are clinically more efficient than other conventional dosage forms.</p>

Application of Peppermint Water Spray Combined With Cucumber Slice External Application or Lip Balm and Conventional Dipping in ICU Dry Mouth Patients

2021 ◽  
Vol 7 (5) ◽  
pp. 1428-1434
Author(s):  
Yang Gao ◽  
Liang Li ◽  
Qingyun Peng ◽  
Yahui Yang ◽  
Huifen Xu ◽  
...  
Keyword(s):  
Effective Rate ◽  
Salivary Secretion ◽  
The Self ◽  
Dry Mouth ◽  
Water Spray ◽  
External Application ◽  
Self Evaluation ◽  
Evaluation Scores ◽  
Group A ◽  
Group B

to analyze the effect of peppermint water spray combined with external application of cucumber slice or lip balm and conventional dipping in patients with dry mouth in intensive care unit (ICU). Methods: 120 patients with secondary xerostomia in our hospital from January 2018 to December 2019 were selected as the subjects. According to the different treatment methods, the patients were divided into A group (Peppermint water spray combined with cucumber slices for external application), group B (Peppermint water spray combined with lip gloss smear), group C (cotton swab dipped in normal saline), 40 cases in each group, and the saliva secretion and dry mouth before and after intervention in three groups were compared between the three groups. The degree of self-evaluation score and the evaluation of throat comfort and satisfaction after intervention. Results: after the intervention, the self-evaluation scores of salivary secretion and dry mouth degree of patients in group A and B were significantly higher than those before the intervention (P < 0.01), the self-evaluation scores of salivary secretion and dry mouth degree of patients in group A were significantly higher than those in group B and C (P < 0.01), and the self-evaluation scores of salivary secretion and dry mouth degree of patients in group B were significantly higher than those in group C (P < 0.01). After intervention, the total effective rate of improvement of throat comfort in group A was 87.50%, which was significantly higher than 40.00% in group B and 0.00% in group C (P < 0.01). The total effective rate of improvement of throat comfort in group B was significantly higher than that in group C (P < 0.01). 97.50% of the patients in group A were significantly higher than 72.50% in group B and 2.50% in group C (P < 0.01), and the patients in group B were significantly higher than those in group C (P < 0.01). Conclusion: homemade peppermint water spray combined with external application of cucumber spray can effectively improve the symptoms of dry mouth and throat discomfort in patients with ICU, improve their satisfaction with treatment, and is conducive to the recovery of patients’ diseases, which is worthy of clinical promotion and application.

scholarly journals Efficacy of Bloodletting Therapy in Patients with Chronic Idiopathic Urticaria: A Randomized Control Trial

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Biru Ma ◽  
Xiuhua Chen ◽  
Yudan Liang ◽  
Weiquan Ouyang ◽  
Boyan Tang ◽  
...  
Keyword(s):  
Treatment Phase ◽  
Placebo Treatment ◽  
Effective Rate ◽  
Chronic Idiopathic Urticaria ◽  
Intention To Treat ◽  
Parallel Group ◽  
Bloodletting Therapy ◽  
Group A ◽  
Randomized Control ◽  
Group B

Objective. To assess the efficacy of bloodletting therapy (acupoint pricking and cupping) in patients with chronic idiopathic urticaria (CIU) in a randomized, control, parallel-group trial. Methods. A total of 174 patients with CIU enrolled from March 2018 to October 2019 were randomized into three groups: group A treated with bloodletting therapy and ebastine, group B treated with placebo treatment (acupoint pseudopricking and cupping) and ebastine, and group C treated with ebastine only. The intention-to-treat analysis was conducted, and the primary outcome was the effective rate of UAS7 score being reduced to 7 or below after treatment phase. Results. The effective rates at the end of treatment phase were different among the three groups ( P < 0.05 ), which were 73.7% in group A, 45.6% in group B, and 42.9% in group C. Multiple analysis indicated differences between groups A and B ( P < 0.0125 ) and groups A and C ( P < 0.0125 ) and no difference between groups B and C ( P > 0.0125 ). No severe bloodletting therapy-related adverse events were observed. Conclusions. In this study on patients with CIU, one month of bloodletting therapy combined with ebastine is clinically beneficial compared with placebo treatment combined with ebastine and treatment with ebastine only. Thus, bloodletting therapy can be an effective complementary treatment in CIU. This trial is registered with ChiCTR1800015294.

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