scholarly journals Analysis of Systematic Nursing Intervention on High-altitude Pulmonary Edema

2015 ◽  
Vol 4 (3) ◽  
pp. 7
Author(s):  
Xiaofeng Wang

<strong>Objective:</strong> To analyze the effect of a nursing intervention program in patients with high altitude pulmonary edema, and to provide a guideline for clinical nursing work. <strong>Methods:</strong> A total of 52 cases of patients suffering from high-altitude pulmonary edema were divided into two groups. The control group was given routine nursing intervention, while the experimental group was given a systematic nursing intervention. The disappearance of cyanosis and pulmonary rales in both groups of patients over time were compared and the results were statistically analyzed. <strong>Results:</strong> In the experimental group, both cyanosis and pulmonary rales disappeared faster compared the routine group. The comparison between patients in both groups was significantly different (<em>p</em> &lt; 0.05). The level of anxiety among patients of the experimental group is also significantly lower than the patients in the control group (<em>p</em> &lt; 0.05). In both groups, the difference was not significant (<em>p </em>&gt; 0.05) before treatment and the clinical symptom score of the experimental group was significantly lower than that in the control group (<em>p </em>&lt; 0.05). <strong>Conclusion:</strong> It is effective to implement a systematic nursing intervention program in caring for patients with high-altitude pulmonary edema and it is suitable for clinical application.

1996 ◽  
Vol 81 (2) ◽  
pp. 922-932 ◽  
Author(s):  
A. Podolsky ◽  
M. W. Eldridge ◽  
R. S. Richardson ◽  
D. R. Knight ◽  
E. C. Johnson ◽  
...  

Ventilation-perfusion (VA/Q) mismatch has been shown to increase during exercise, especially in hypoxia. A possible explanation is subclinical interstitial edema due to high pulmonary capillary pressures. We hypothesized that this may be pathogenetically similar to high-altitude pulmonary edema (HAPE) so that HAPE-susceptible people with higher vascular pressures would develop more exercise-induced VA/Q mismatch. To examine this, seven healthy people with a history of HAPE and nine with similar altitude exposure but no HAPE history (control) were studied at rest and during exercise at 35, 65, and 85% of maximum 1) at sea level and then 2) after 2 days at altitude (3,810 m) breathing both normoxic (inspired Po2 = 148 Torr) and hypoxic (inspired Po2 = 91 Torr) gas at both locations. We measured cardiac output and respiratory and inert gas exchange. In both groups, VA/Q mismatch (assessed by log standard deviation of the perfusion distribution) increased with exercise. At sea level, log standard deviation of the perfusion distribution was slightly higher in the HAPE-susceptible group than in the control group during heavy exercise. At altitude, these differences disappeared. Because a history of HAPE was associated with greater exercise-induced VA/Q mismatch and higher pulmonary capillary pressures, our findings are consistent with the hypothesis that exercise-induced mismatch is due to a temporary extravascular fluid accumulation.


2013 ◽  
Vol 690-693 ◽  
pp. 1305-1309
Author(s):  
Wen Hua Li

Objective observation of Tibetan medicine rhodiola on high altitude Pulmonary edema in rats and HIF-1a expression changes. Method Will 50 only male SD rats randomly divided into 5 group , are often oxygen control group (Xi'an , altitude 5m ), acute hypoxia control group (Xi'an , altitude 5m ), acute hypoxia Group (naqu , elevation 4500m ), rhodiola acclimatization control group ( Xi'an , altitude 5m ), rhodiola altitude acclimatization group (naqu, elevation 4500m ) , light and electron microscopic observation of lung tissue samples , immunohistochemical detection of various groups of lung tissue HIF-la expression, RT-PCR method detection altitude hypoxia group animal lungs HIF-la mRNA expression changes. Results Acute hypoxia group lung tissue microstructure and Ultrastructure of a discernible high altitude pulmonary edema, and after the Tibetan medicine rhodiola after high altitude pulmonary edema is significantly reduced, ( as in Figure 123456). Lung tissue within the immunohistochemical detection not see HIF-la protein expression, RT-PCR detection SD big rat intraperitoneal injection of rhodiola extract 40g BGE/kg, 2h open back began to rise 4h, peak, after declining 24h, basically back to their normal control group , level rhodiola medicine acclimatization group HIF a 1 am RNA expression are clearly higher than the atmospheric oxygen control group and acute hypoxia group (p < 0.01). Conclusions Tibetan medicine rhodiola on lung tissue HIF-lamRNA expression of conducive to reduce hypoxic rats high altitude pulmonary edema.


2018 ◽  
Vol 1 (3) ◽  
pp. 98
Author(s):  
Yangyang Zhao ◽  
Jingyi Yang ◽  
Zhenyao Wang ◽  
Yingru Chen

objective: to explore the effect of detail nursing intervention on headache and negative emotion in patients with subarachnoid hemorrhage. Methods: the clinical data of 100 cases of subarachnoid hemorrhage from January 2015 to January 2017 of neurosurgery in our hospital were randomly divided into the control group and the experimental group, Detail nursing intervention inexperimental group, Comparison of two groups of clinical nursing effects. Results the duration of hospitalization and headache in the experimental group were shorter than those in the control group. Fewer headaches than control group (P<0.05) Less headache than control group (p<0.05). Results: the results of SAS and SDS scores were signifcantly lower than those in the control group (p<0.05) after nursing in the experimental group. Conclusion: the patients with subarachnoid hemorrhage receive detailed nursing intervention;contribute to the alleviation of their headache symptoms, Relieves the patient of negative emotional problems


2021 ◽  
Vol 5 (5) ◽  
pp. 172-176
Author(s):  
Chao Wang ◽  
Bo Xiang ◽  
Bo Han

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.


1970 ◽  
Vol 1 (1) ◽  
Author(s):  
Kang Yuehua

Objective: To explore the impact of human nursing on emergency success rate and satisfaction in emergency department nursing. Methods: 146 cases of emergency patients were collected from February 2015 to July 2016 in our hospital. The patients were randomly divided into control group and experimental group (73 cases). The patients in the control group were treated by routine nursing method. The patients in the experimental group nursing intervention was performed on the basis of humanized care in the control group, and the success rate and satisfaction of the two groups were observed. Results: The success rate of emergency treatment (93.2%) in the experimental group was significantly higher than that in the control group (79.5%), the difference was statistically significant (P < 0.05).After the nursing group, the satisfaction rate 91.8%) was significantly higher than that of the control group (65.8%), which was statistically significant (P < 0.05). Conclusion: Human care in emergency department nursing can effectively improve the success rate of emergency and patient satisfaction.


PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0253728
Author(s):  
Li Xiaobin ◽  
Xie Jinglong ◽  
Zhao Fang ◽  
Wang Chenchen ◽  
Yang Kailun

The purpose of this study was to investigate the effect of the HXBM408 bacteria on the diversity of rat intestinal bacteria and the metabolism of soybean isoflavones. The control group was administered sterilized water and daidzein by gavage for 7 days. Conversely, the experimental group was administered HXBM408 solution and daidzein by gavage for 7 days. The content of the daidzein metabolite equol in rat feces in the experimental group was significantly higher than that in the control group (P < 0.05) on the 7th and 14th days. However, the content of daidzein and its metabolites in feces was not significantly different (P > 0.05). On the 7th day, the relative abundance of Streptococcus in the feces of the experimental group was significantly higher than that of the control group (P < 0.05), but the difference disappeared over time (P > 0.05). In the intestinal digesta of rats, the proteobacteria of the experimental group was significantly lower than those of the control group (P < 0.05). HXBM408 can increase the degradation ability of soybean isoflavones in a short period after ingestion, increase the number of beneficial intestinal flora, and improve the structure of the flora.


2021 ◽  
Author(s):  
Rong Huang ◽  
Na Wu ◽  
Ye Wang ◽  
Hui Jiang ◽  
Li Zhang ◽  
...  

Abstract Purpose To examine the effects of Orem’s self-care theory-based continuous nursing intervention on self-care ability and PICC related complications and adverse events rates of female patients with cancer in the intermission of chemotherapy.Methods A quasi-experimental study was adopted. Totally 130 female patients with cancer were recruited from October 2017 to March 2019 at a tertiary maternal hospital in Shanghai. They were randomly divided into the experimental group (n=65) and the control group (n=65). The experimental group accepted nursing intervention based on Orem’s self-care theory, which had five sessions, while the control group accepted routine intervention. The exercise of self-care agency (ESCA) and the rates of PICC related complications and adverse events were compared by Chi square test and two‐sample t test between two groups through IBM SPSS 20.0 statistics software.Results The results showed that before the intervention, the baseline of two groups did not differ significantly. After the intervention, four dimensions and total scores of ESCA in the experimental group were significantly improved compared with those in the control group (p < 0.05), and the rates of PICC related complications and adverse events were significantly decreased in the experimental group compared with those in the control group (p < 0.05).Conclusions Orem’s self-care theory-based continuous nursing intervention was effective in improving self-care ability and decreasing the rates of PICC related complications and adverse events. Consequently, using the intervention program for patients with PICC during the intermission of chemotherapy is recommended.


2015 ◽  
Vol 4 (3) ◽  
pp. 16
Author(s):  
Yun Wu

<strong>Objective:</strong> To observe the clinical symptoms of diabetes patients with high blood pressure, highlighting the influence and application value of nursing intervention on diabetic patients with hypertension. <strong>Methods: </strong>The data of 80 cases of diabetic patients with high blood pressure in our hospital from December 2011 to January 2011 were retrospectively analyzed. The patients were randomly divided into the experiment group and the control group. There were 40 patients of each group. Both patient groups were treated by the same means, subsequently, the control group were given routine nursing, while the experimental group were given programmed nursing to conduct care intervention. Finally, both clinical nursing effects were compared. <strong>Results:</strong> The numbers of patients with curative effect evaluation in the experimental group were marked higher than the control group patients. In terms of nursing satisfaction, the number of satisfied patients was larger than the control group, and the difference of the two groups was statistical significance (<em>p</em> &lt; 0.05). <strong>Conclusion:</strong> Nursing intervention can strengthen the therapeutic effect of drugs, help to improve the cognitive ability of diabetic patients clinically which also improves the quality of life of the patients.


2019 ◽  
Vol 2 (4) ◽  
pp. 1
Author(s):  
Fu’an Wang

Objective: To explore the application effect of PBL mode in clinical nursing teaching model. Methods: 40 nursing students who were internships from June 2017 to April 2018 in our hospital were selected as subjects. They were divided into two groups, the control group and the experimental group, with 20 in each group. The control group used the traditional teaching model, and the experimental group used the PBL teaching model to compare the clinical teaching effects of the two groups of nursing students. Results: There was no significant difference between the two groups of nursing students in the basic nursing knowledge, the professional practice operation under the simulated clinical operating environment and the basic nursing operation (P>0.05), in the clinical operation environment, the professional practice evaluation results of the experimental group were signifcantly better than those of the control group, and the difference was statistically signifcant (P<0.05). Conclusion: The PBL teaching model has a good teaching effect in clinical nursing teaching, which can effectively improve the professional practice level of nursing students in the clinical environment and meet the requirements of modern clinical nursing professional ability level, therefore, the PBL mode is worthy of popularization and application in clinical nursing teaching.


2020 ◽  
Author(s):  
Yanli Zhao ◽  
Lining Si ◽  
Qifu Long ◽  
Derui Zhu ◽  
Guoping Shen ◽  
...  

Abstract Background: High altitude pulmonary edema (HAPE) is a severe form of acute mountain sickness (AMS). The results of existing studies have shown that the onset of HAPE has obvious ethnic specificity and personal susceptibility, suggesting that the occurrence of HAPE is related to genetic factors. Therefore, six polymorphisms on MIR17HG were selected to investigate the effect of mutations on MIR17HG on HAPE in Chinese Han population.Materials and Methods: 487 healthy participants (244 participants had high altitude pulmonary edema, as the case group; and 243 participants had no symptoms of HAPE, as the control group) were genotyped via the Agena MassARRAY, and the relationship between polymorphisms on MIR17HG and HAPE risk was evaluated using a χ2 test with an odds ratio (OR) and 95% confidence intervals (CIs) in multiple genetic models.Results: In the allele model, we observed that lower risk (OR = 0.74, 95%CI: 0.56 - 0.98, p = 0.036) of the A allele for rs7318578 on the MIR17HG compared with the people with the C allele. Logistic regression analysis of four models for all selected MIR17HG SNPs between cases and controls showed significant differences for rs7318578 (OR = 0.74, 95%CI: 0.56 – 0.98, p = 0.037) and rs17735387 (OR = 1.51, 95%CI: 1.03 – 2.21, p = 0.036) in the HAPE population.Conclusion: rs7318578 and rs17735387 on MIR17HG were associated with the genetic susceptibility of HAPE in Chinese Han population.


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