Effect of eCASH Nursing Model on Life Self-care Ability, Physical Function, Psychological Function and Cognitive Function of Critical Patients in EICU

2021 ◽  
Vol 7 (5) ◽  
pp. 3243-3250
Author(s):  
Lili Lin ◽  
Danhong Pan
Keyword(s):  
Cognitive Function ◽  
Physical Function ◽  
Self Care ◽  
Nursing Intervention ◽  
Control Group ◽  
Observation Group ◽  
Psychological Function ◽  
Significant Difference ◽  
Critical Patients ◽  
The Impact

To explore and analyze the impact of Emergency Intensive Care Unit (EICU) critical care patients using eCASH nursing mode intervention on patients’ cognitive function, psychological function, physical function and life self-care ability. Randomly selected 142 critically ill patients in our hospital’s EICU ward from January 2018 to October 2019 as study subjects, and grouped them according to the time of admission. 71 patients in the observation group were intervened by the eCASH nursing model, and 71 patients in the control group received regular nursing intervention. Recording the cognitive, psychological, physical and other functions and self-care ability of the two groups of patients. Before nursing, the Bl score of critical patients in the observation group was compared with the control group (P> 0.05). After the intervention of the observation group patients accepted eCASH nursing model, the Bl score was obviously higher than the control group (P <0.05). According to the SCL-90 table scores, there is no significant difference in the scores of each dimension between the two groups before nursing (P> 0.05). Compare before and after nursing and score except for obsessive compulsive disorder and psychosis (P> 0.05). According to the SCL-90 scale score, there is no significant difference in the scores of each dimension between the two groups before nursing (P <0.05). According to the comparison of the two groups of data after nursing, somatization, anxiety, depression, fear, hostility, paranoia and SCL-90 total score in the observation group were significantly lower than that of control group (P <0.05). Before nursing, the cognitive level of the two groups was compared (P> 0.05). After nursing, the HDS score of the observation group was higher than that of the control group (P <0.05). The CM-PPT score was compared, and the data of the two groups before nursing was compared (P> 0.05). The score of observation group after receiving eCASH nursing was higher than that of control group (P <0.05). The study confirmed that eCASH nursing model for EICU critical patients as early as possible has a significant effect on improving patients ’cognitive function, mental state, physical function, etc. At the same time, it can improve patients’ self-care ability in life and is worthy of promotion.

Electronic self-report assessment for cancer: Results of a multisite randomized trial.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. 9008-9008
Author(s):  
Donna Lynn Berry ◽  
Fangxin Hong ◽  
Barbara Halpenny ◽  
Qian Wang ◽  
Ann H. Partridge ◽  
...  
Keyword(s):  
Web Sites ◽  
Self Care ◽  
Symptom Distress ◽  
Self Report ◽  
Control Group ◽  
Cell Transplant ◽  
Cancer Therapies ◽  
Significant Difference ◽  
Distress Scale ◽  
The Impact

9008 Background: Attending to symptoms and side effects promotes safe and effective delivery of cancer therapies. Providing focus to the patient’s report in the clinic can efficiently address the most important concerns, without extending visit times. The web-based electronic self report assessment for cancer (ESRA-C) and clinician summary has been shown to improve patient-clinician communication about symptoms and quality of life issues (SQI). The purpose of this trial was to evaluate the impact of an enhanced ESRA-C intervention (ESRA-C INT) on symptom outcomes. Methods: Patients (planned N=702) with all cancer types treated in stem cell transplant, medical oncology and radiation oncology at two comprehensive cancer centers used ESRA-C to self-report SQI during and after new anti-cancer therapy, with summary reports delivered to clinicians. Patients were randomized to standard ESRA-C (control) or ESRA-C INT adding the opportunity to self-monitor SQI between clinic visits and receive self-care SQI management education, plus custom coaching on how to report SQI to clinicians, all delivered via a secure web sites. We analyzed the intervention effect on Symptom Distress Scale (SDS) scores using a two-sided t-test and multivariate linear regression, adjusting for pre-selected covariates, including baseline SDS, age, service, and work status. Results: Among 757 patients (increased N due to involuntary attrition), demographic variables were balanced between groups except age (t=2.13; p=.03) with a younger INT group (mean 1.97 year difference). Of the 562 patients who completed final reports, the control group reported significantly higher SDS scores (t= 1.98; p = .048). A significant interaction between study group and age was observed; significantly lower SDS scores were found in the ESRA-C INT group among patients > 50 years (-1.95; p=.002), and no significant difference among patients < 50. Conclusions: Adding self-care and communication coaching to ESRA-C, a system to allow self-report and clinician notification of SQI, reduced symptom distress in a large sample of patients during and after active cancer treatment compared with ESRA-C alone. Patients over the age of 50, in particular, may benefit from the intervention.

scholarly journals Effect of Comprehensive Nursing Intervention on Intestinal Preparation Quality of Hospitalized Patients undergoing Colonoscopy

2021 ◽  
Vol 5 (6) ◽  
pp. 28-31
Author(s):  
Yingfeng Huang ◽  
Li Liu ◽  
Fang Fang
Keyword(s):  
Adverse Reactions ◽  
Nursing Intervention ◽  
Hospitalized Patients ◽  
Control Group ◽  
Observation Group ◽  
The Difference ◽  
Qualification Rate ◽  
The Impact ◽  
Intestinal Preparation

Objective: To explore the impact of comprehensive nursing intervention on the quality of intestinal preparation in the process of intestinal preparation for hospitalized patients undergoing colonoscopy. Methods: A total of 320 patients underwent colonoscopy in our department from January to June 2021. They were grouped by random number table. There were 160 cases in the control group and 160 cases in the observation group. The adverse reactions of intestinal preparation and the cleanliness of intestinal preparation were analyzed. Results: Through comprehensive nursing intervention, it can be found that the incidence of adverse reactions in the preparation of colonoscopy in the control group was 24.38%, and that in the observation group was 13.48%. The results showed that the incidence of adverse reactions in the preparation of colonoscopy was significantly lower than that in the control group (P < 0.05), which indicates that the difference was statistically significant. In the control group, 105 people qualified in intestinal cleanliness score (> 5 points) during enteroscopy preparation, and the cleanliness qualification rate was 65.63%. In the observation group, 139 people qualified in intestinal cleanliness score (> 5 points) during enteroscopy preparation, and the cleanliness qualification rate was 86.88%. The cleanliness qualification rate of enteroscopy preparation was significantly higher than that of the control group, and P < 0.05, which indicates that the difference was statistically significant. Conclusion: Comprehensive nursing intervention can promote the quality of preparation of patients for colonoscopy, improve the compliance of patients and improve the accuracy of examination effect.

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.

Effects of health education based on mobile platform on cognitive function and quality of life of children with pneumonia

2021 ◽  
Vol 7 (6) ◽  
pp. 6529-6539
Author(s):  
Yang Lu ◽  
Xi Ying
Keyword(s):  
Quality Of Life ◽  
Cognitive Function ◽  
Health Education ◽  
Clinical Symptoms ◽  
Nursing Intervention ◽  
Mobile Platform ◽  
Control Group ◽  
Observation Group ◽  
Early Recovery

Objective: To explore the effects of health education based on mobile platform on cognitive function and quality of life of children with pneumonia. Methods: Eighty parents with pneumonia admitted to our hospital from March 2018 to March 2020 were selected as the research subjects. The parents of the control group received routine nursing intervention, and the parents of the observation group received health education intervention based on the mobile platform. After nursing, the nursing effect of the two groups was compared. The cognitive function and quality of life of the two groups were compared after nursing. The time of cough, dyspnea, shortness of breath and lung rales were compared between the two groups. The incidence of rash, abdominal pain, dizziness and headache and parents' satisfaction with nursing were compared between the two groups. Results: Compared with the control group, the nursing effective rate of the observation group was significantly increased (P<0.05). The scores of cognitive function and quality of life in observation group were significantly higher than those in control group (P<0.05). Compared with the control group, the disappearance time of clinical symptoms in the observation group was significantly decreased (P<0.05). The satisfaction of parents in the observation group was significantly higher than that in the control group (P<0.05). Conclusion: Health education based on mobile platform can effectively improve the cognitive function and quality of life of children with pneumonia, contribute to the early recovery of children, and has high clinical application value.

Effects of Continuous Nursing Intervention on Exercise Tolerance and Rehospitalization Rate in Patients with Chronic Heart Failure

2021 ◽  
Vol 7 (4) ◽  
pp. 347-352
Author(s):  
Xiao-Li Sun ◽  
Zhao-Yun Shi ◽  
Na Wang
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Exercise Tolerance ◽  
Nursing Intervention ◽  
Walking Distance ◽  
Control Group ◽  
Observation Group ◽  
Rehospitalization Rate ◽  
Sf 36 ◽  
Significant Difference

Objective To observe the effect of continuous nursing intervention on exercise tolerance and rehospitalization rate in patients with chronic heart failure. Methods 134 patients with chronic heart failure admitted to our hospital were divided into two groups, routine nursing intervention group (control group) and continuous nursing intervention group (observation group), with 67 cases in each group. The resting and peak heart rate (HR), systolic blood pressure (SBP) and diastolic blood pressure (DBP) of the two groups were recorded. The change of 6min walking distance, modified European Heart Failure Self-Care Behavior Scale (EHFSCB-9) and quality of life (SF-36) of the two groups were compared before and after intervention, and moreover, rehospitalization rate of heart failure of two groups 6 months after discharge was compared between the two groups. Results: Before intervention, there was no significant difference between the two groups (P>0.05). After intervention, there was no significant difference in resting and peak HR, SBP and DBP between the two groups and those before intervention (P>0.05). Further comparison between the two groups showed that there was no significant difference in resting and peak HR, SBP and DBP between the observation group and the control group (P>0.05). After intervention, 6min walking distance and SF-36 scale scores (role physical, physiological function, physical pain, energy, health status, social function, mental health and emotional function) were increased in the two groups (P<0.05). Further comparison between the two groups showed that 6min walking distance and SF-36 scale scores (except somatic pain score and role physical score) in the observation group were higher than those in the control group (P<0.05), and the EHFSCB-9 scores in the two groups decreased gradually after intervention (P<0.05). Further comparison between the two groups showed that the EHFSCB-9 scores in the observation group (except low salt diet score and taking medicine based on doctor's advice score) were lower than those in the control group (P<0.05). The rehospitalization rate of heart failure within 6 months after discharge was 11.91% in the observation group, significantly lower than 25.37% in the control group, and the difference was significant (P<0.05). Conclusion: Continuous nursing intervention can strengthen the self-care ability of patients with chronic heart failure, improve exercise tolerance and quality of life, and reduce the rehospitalization rate to heart failure within 6 months.

Orem’s Self-Care Model with Multiple Sclerosis Patients’ Balance and Motor Function

2019 ◽  
Vol 33 (1) ◽  
pp. 46-54
Author(s):  
Ardashir Afrasiabifar ◽  
Zahra Mehri ◽  
Hamid Reza Ghaffarian Shirazi
Keyword(s):  
Multiple Sclerosis ◽  
Motor Function ◽  
Intervention Group ◽  
Self Care ◽  
Nursing Intervention ◽  
Control Group ◽  
Care Model ◽  
Significant Difference ◽  
The Mean ◽  
Multiple Sclerosis Patients

Orem’s self-care model has been introduced as a nursing model to empower participants with chronic diseases. This study aims to investigate the effectiveness of nursing interventions using Orem’s self-care model with multiple sclerosis participants’ balance and motor function. Sixty-three participants with multiple sclerosis were randomly assigned to intervention and control groups. The nursing intervention using Orem’s self-care model was performed for eight sessions of 45–60 minutes in the intervention group. In the intervention group, a significant increase (improvement) was observed in the mean scores of balance before (17.09 ± 1.97) and after the intervention (33.75 ± 6.01). A significant decrease (improvement) was observed in the mean of motor functions before (4.12 ± 0.34) and after the intervention (1.59 ± 0.71) ( p = 0.001). However, no significant difference existed in the mean scores of balance ( p = 0.10) and motor function in the control group ( p = 0.20). The nursing intervention using Orem’s self-care model improved balance and motor function of participants with multiple sclerosis.

scholarly journals Efficacy of hyperbaric oxygen combined with escitalopram in depression and its effect on cognitive function

2021 ◽  
Vol 37 (4) ◽  
Author(s):  
Kun Mi ◽  
Qiang Guo ◽  
Bao-yan Xu ◽  
Man Wang ◽  
Hao Bi
Keyword(s):  
Cognitive Function ◽  
Hyperbaric Oxygen ◽  
Depression Scale ◽  
Control Group ◽  
Hamilton Depression Scale ◽  
Observation Group ◽  
Creative Commons ◽  
Significant Difference ◽  
Hamd Score ◽  
Icd 10

Objective: To investigate the efficacy of hyperbaric oxygen (HBO) combined with escitalopram in patients with depression and its effect on cognitive function. Methods: From 2016 to 2018, seventy patients with depression aged 18-65 years treated in Affiliated Hospital of Hebei University were selected. Seventy patients with depression meeting the diagnostic criteria of ICD-10 were selected and randomly divided into control group and observation group using a random number table, with 35 patients in each group. The control group was treated with escitalopram, while the observation group was additionally treated with HBO on this basis. The patients were assessed using the Hamilton Depression Scale (HAMD) and Montreal Cognitive Assessment Scale (MoCA) before treatment and two, four and six weeks after treatment. Results: Two weeks after treatment, HAMD score showed a statistically significant difference between the two groups (P < 0.05). No statistically significant differences were found in HAMD score between the two groups four and six weeks after treatment (P > 0.05). Four and six weeks after treatment, MoCA score presented statistically significant differences between the two groups (P < 0.05). Conclusion: Escitalopram combined with HBO in the treatment of depression presents rapid efficacy and a certain effect in improving cognitive function. doi: https://doi.org/10.12669/pjms.37.4.3993 How to cite this:Mi K, Guo Q, Xu BY, Wang M, Bi H. Efficacy of hyperbaric oxygen combined with escitalopram in depression and its effect on cognitive function. Pak J Med Sci. 2021;37(4):---------. doi: https://doi.org/10.12669/pjms.37.4.3993 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.

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 Clinical Study on Effect of Solution Focused Approach on the Complications, Pain, Sleep, and Quality of Life in Patients with Hepatocellular Carcinoma Undergoing TACE

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Chunjie Ma ◽  
Yuexian Ma ◽  
Sidi Lu ◽  
Dan Li ◽  
Yan Wang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hepatocellular Carcinoma ◽  
Pain Perception ◽  
Nursing Intervention ◽  
Control Group ◽  
Observation Group ◽  
Relieve Pain ◽  
Significant Difference ◽  
Solution Focused

Objective. The objective of this study is to explore the effect of solution focused approach (SFA) on the complications, pain, sleep, and quality of life in patients with hepatocellular carcinoma undergoing transcatheter arterial chemoembolization (TACE). Methods. Total of 106 patients with hepatocellular carcinoma who underwent TACE in our hospital from July 2019 to June 2020 were selected. According to the admission time, they were divided into the control group (n = 53) and the observation group (n = 53). The control group implemented routine nursing intervention, and the observation group implemented SFA on the basis of the control group. The clinical data, complications, pain, sleep status, and quality of life scores were compared between the two groups. Results. The total incidence of complications in the observation group (16.98%) was lower than that in the control group (33.96%) ( P < 0.05 ). There was no significant difference in the score of pain perception between the two groups ( P > 0.05 ). The scores of sleep status in the observation group were lower than those in the control group ( P < 0.05 ). The quality of life scores in the observation group was higher than that in the control group ( P < 0.05 ). Conclusion. SFA can effectively reduce the complications, relieve pain, improve sleep status, and improve the quality of life in patients with hepatocellular carcinoma undergoing TACE.

scholarly journals MyLung: A mHealth Assistive System to Empower Patients with COPD (Preprint)

2020 ◽  
Author(s):  
Abc Xyz
Keyword(s):  
Behavioral Intention ◽  
Self Efficacy ◽  
Care Management ◽  
Intervention Group ◽  
Self Care ◽  
Control Group ◽  
Systems Research ◽  
Significant Difference ◽  
The Impact ◽  
Awareness Level

BACKGROUND Chronic Obstructive Pulmonary Disease (COPD) is one of those progressive diseases that deteriorate lung functions. When patients cannot breathe, nothing else in their lives matter. The breathlessness has negative implications on patients’ lives that lead to physical and psychological limitations. The physical limitations impede daily life activities that are essential for patients with COPD. Psychological limitations are manifested in anxiety that results from the emotional response to breathlessness. Because patients with COPD are always overwhelmed by anxiety and depression, they are less motivated to engage in self-care and education intervention. Moreover, the lack of relevant and updated information about the causes and consequences of the disease can exacerbate the problems of health literacy, information accessibility, and medical adherence. OBJECTIVE The objective of this study is to design an innovative mHealth app system called “MyLung” that provides a complete solution to increase self-awareness and to promote better self-care management. This IT artifact includes three integrative modules that are novel: education, risk reduction, and monitoring. METHODS The utility and effectiveness of the assistive mobile-based technology are evaluated using mixed methods approach. The study combines quantitative and qualitative research methods to thoroughly understand how the assistive mobile-based technology can influence patients’ behavioral intention to change their lifestyle. Thirty patients were assigned in two groups (intervention group and control group). The results from the quantitative analysis introduced several follow-up interviews using a qualitative study RESULTS The results of the quantitative study provide significant evidence that the design of MyLung leads to change in awareness level, self-efficacy and behavioral intention for patients with COPD. T- tests reveal significant difference before and after using mobile based app for awareness level (M = 3.28 versus 4.56, t(10) = 6.062, p < 0.001), self-efficacy (M = 3.11 versus 5.56, t(10) = 2.96, p = 0.014) and behavioral intention (M = 2.91versus 4.55, t(10) = 3.212, p = 0.009). In the same vein, independent sample t-tests reveal significant difference between groups in awareness level (M = 4.56 versus 3.31, t(19) = 4.80, p < 0.001) and self- efficacy (M = 5.56 versus 3.66, t(19) = 2.8, p < 0.012). Integrating findings from quantitative and qualitative strands introduces inferences that describe the impact of the design in a comprehensive view. These inferences are referred in this study as “meta-inferences”. CONCLUSIONS The objective of this research is to empower patients with COPD with assistive mobile-based technology that helps increase awareness levels and to engage patients in self-care management activities. The assistive technology aims to inform patients about the risk factors of COPD, and to improve access to relevant information. Meta-inferences that are emerged from the research outputs contribute to chronic management information systems research by helping us gain more complete understanding of the potential impacts of this proposed mobile-based design on patients with chronic disease.

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