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 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.

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 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 Effect of Psychological Intervention on Emotion of Patients with Tumor Radiotherapy

2021 ◽  
Vol 5 (5) ◽  
pp. 172-176
Author(s):  
Chao Wang ◽  
Bo Xiang ◽  
Bo Han
Keyword(s):  
Immune Function ◽  
Psychological Intervention ◽  
Nursing Intervention ◽  
Control Group ◽  
Observation Group ◽  
Nursing Satisfaction ◽  
Widespread Application ◽  
Self Rating ◽  
Clinical Nursing ◽  
The Difference

Objective: To explore the emotional impact of psychological nursing intervention on patients with malignant tumor radiotherapy, and further verify the specific application value of this nursing model in the oncology department. Methods: A total of 129 patients with tumor radiotherapy admitted to our hospital from June 2018 to June 2021 were selected as subjects, and they were divided into control group and observation group by random number method. Among them, 64 cases in the control group received routine clinical nursing. 65 cases in the observation group received psychological nursing intervention. Then, the clinical nursing effect, self-rating anxiety scale (SAS) score, self-rating depression scale (SDS) score, immune function level change condition and clinical nursing satisfaction were compared under the two nursing modes, in order to fully verify the clinical application value of psychological nursing intervention mode for patients with cancer radiotherapy. Results: Comparing the clinical indexes of the two groups, SDS and SAS scores of the observation group were significantly lower than those of the control group. In terms of nursing satisfaction, the observation group is 96.92% and the control group is 90.62%, the difference was significant, and had clinical statistical significance (P < 0.05); After the comprehensive evaluation of the immune function of the two groups, it was found that the observation group was significantly better than the control group, and the difference between the two groups was statistically significant (P < 0.05). Conclusion: In the mode of psychological nursing, medical staff can carry out precise psychological nursing intervention and nutritional nursing for patients according to the specific conditions and treatment process of patients, which can greatly promote the psychological stability of patients, significantly reduce patients’ negative emotions. In addition, the scientific implementation of psychological nursing intervention in the treatment of tumor radiotherapy patients can effectively strengthen the improvement of the immune function of patients, which has a very important application value to improve the physical function of patients, promotes the patient’s body rehabilitation, and is worth in the field of widespread application.

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.

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.

scholarly journals Nursing Effect of Standardized Nursing Intervention in Endoscopic Examination of Patients with Gastric Ulcer Complicated with Diabetes

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Xue Hu
Keyword(s):  
Gastric Ulcer ◽  
Negative Emotion ◽  
Nursing Intervention ◽  
Endoscopic Examination ◽  
Psychological State ◽  
Control Group ◽  
Nursing Interventions ◽  
Observation Group ◽  
Nursing Satisfaction ◽  
The Difference

Objective: To explore the nursing effect of standardized nursing interventions in endoscopic examination of patients with gastric ulcer complicated with diabetes. Methods: 90 patients with gastric ulcer complicated with diabetes who were treated in our hospital from May 2018 to May 2019 were selected and randomly divided into 2 groups, each containing 45. The control group received routine nursing, and the observation group performed standardized nursing intervention on the basis of the control group. The control group received conventional nursing, and the observation group performed standardized nursing intervention on the basis of the control group. After nursing, the two groups of patients were compared for their psychological state and nursing satisfaction. Results: After nursing, the HAMD and HAMA scores of the two groups were lower than before the nursing, and the observation group was lower than the control group, the difference was statistically significant(P<0.05). Conclusion: Standardized nursing intervention can alleviate the negative emotion of endoscopic examination of patients with gastric ulcer complicated with diabetes, which is conducive to the smooth progress of the examination.

scholarly journals Relation between treatment duration and temperature factors in rheumatoid arthritis

2016 ◽  
Author(s):  
Jolanta Pauk ◽  
Agnieszka Wasilewska ◽  
Justyna Chwiećko ◽  
Izabela Domysławska ◽  
Stanisław Sierakowski ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Ankle Joint ◽  
Control Group ◽  
Disease Course ◽  
Joint Function ◽  
Significant Difference ◽  
Duration Of Disease ◽  
Chronic Autoimmune Disease ◽  
Late Stages ◽  
Temperature Factors

Introduction: Rheumatoid arthritis (RA) is a chronic autoimmune disease which results in the loss of joint function and several deformities. The aim of the study was to evaluate the influence of duration of the disease and prescribed treatment on the temperature of RA joints. Methods: The evaluation was carried out on 30 patients with rheumatoid arthritis and 30 typical subjects as a control group. Thermograms were taken using thermograph camera. Results: Statistically significant difference was found for ankle joint temperature between the group of patients treated for more than 10 years and healthy subjects. Conclusions: The observations indicate that mean temperature of the skin above the ankle joint tends to decrease with rising duration of disease course. Progression of a RA leads to an erosive destruction in ankle joint in late stages of a disease.

Effect of Comprehensive Nursing Intervention on Postpartum Psychological and Neurological Rehabilitation of Pregnant Patients with Encephalopathy

2021 ◽  
Vol 7 (5) ◽  
pp. 2657-2667
Author(s):  
Bo Zheng ◽  
Zhaoxia Wu ◽  
Pengfei Xiao ◽  
Xiulan Liu ◽  
Rui Huang
Keyword(s):  
Rating Scale ◽  
Brain Mri ◽  
Nursing Intervention ◽  
Control Group ◽  
Neurological Rehabilitation ◽  
Nursing Satisfaction ◽  
Residual Rate ◽  
Self Rating ◽  
Significant Difference ◽  
Before And After

To explore the effect of comprehensive nursing intervention on postpartum psychological and neurological rehabilitation of pregnant patients with encephalopathy. 102 patients who were diagnosed as preeclampsia or eclampsia and confirmed as reversible posterior leukoencephalopathy syndrome (RPLS) by brain MRI from January 2015 to September 2019 in our hospital were collected. In research group (RG), patients (n=57) were treated with comprehensive nursing intervention mode, while patients (n=45) were treated with traditional nursing intervention mode in control group (CG). In the two groups, the psychological and neurological rehabilitation were observed before and after intervention. By examining the biochemical indexes in the two groups before and after the treatment, it was found that the biochemical indexes were significantly reduced after the intervention, but there was no significant difference in the indexes of lactate dehydrogenase (LDH) and uric acid (UA) between the two groups before and after the treatment. In the two groups, the psychological mood was compared by the rating scale. After the intervention, the anxiety and depression were relieved in the two groups, and the scores of the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) of RG were lower than those of CG (P<0.05). After treatment and nursing, the neurological damage of RPLS in both groups was improved, but the residual rate of headache in RG was lower than that in CG (P<0.05). The incidence of maternal and infant adverse outcomes in RG was lower than that in CG (P<0.05). According to statistics, the patients’ nursing compliance and nursing satisfaction in RG were higher than those in CG (P<0.05). Comprehensive nursing intervention can significantly improve the adverse emotions of pregnant patients with encephalopathy and promote the rehabilitation of neurological function, so it has a high degree of nursing satisfaction.

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.

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