Nursing Experience of Vena Cava Filter Combined with Catheter Thrombolysis in the Treatment of Deep Venous Thrombosis of Lower Limbs

Objective — To observe the curative effect of urokinase catheter thrombolysis in treating deep venous thrombosis of lower limbs after implantation of vena cava filter and explore nursing measures and nursing points. Methods — Perioperative nursing of 30 deep venous thrombosis patients with catheter thrombolysis treatment were summarized retrospectively. Results — 30 patients were conducted with catheter pumped urokinase to treat venous thrombus, and the swelling and pain of limbs disappeared. No patient had pulmonary embolism or hemorrhage. Conclusion — When we use urokinase catheter thrombolysis to treat deep venous thrombosis, a comprehensive preparation such as health education, psychological nursing, close observation on patients’ condition, proper fixation of catheter, nursing of thrombolytic drugs and prevention of infection can reduce the occurrence of complications and promote the patients rehabilitation.

Evaluation and Analysis of the Satisfaction Degree of the Intelligent Outpatient Clinic of Tianjin 3A Grade Hospitals Based on the KANO Model

Objective — Based on the Kano model, we investigated the outpatients' satisfactions with the functions of the intelligent outpatient clinic of 3A Grade hospital in Tianjin, to improve the function of the intelligent outpatient clinic. Methods — Based on the Kano model, a questionnaire was designed to investigate the satisfaction and expectation of Tianjin outpatients with the use of intelligent outpatient clinic. A survey was conducted on 384 outpatients to determine the functions of the intelligent outpatient clinic. Results — Among the 14 intelligent outpatient service, 11 (79%) are attractive quality, 3 (21%) are one-dimensional quality, and there are no must-be quality. In the quadrant diagram, there are 3 requirements in the dominant area and 11 requirements in the retention area. There are three high satisfying attributes: convenience of multifunctional payment method, convenience of reservation registration and security of multiple payment methods. There is an unsatisfying function: the information pushed by WeChat platform. Conclusion — The intelligent outpatient clinic function has been satisfied by most patients, but it hasn’t been fully popularized. It is necessary to improve the payment security, the order waiting and other attractive quality, to optimize the medical experience of the intelligent clinic and improve patients' satisfaction.

Experience of 4 Cases of Treatment of Gynecomastia from Dialectical Analysis of Liver and Kidney

The author adopts the method of syndrome differentiation and treatment in Chinese medicine based on the treatment of 4 cases of gynecomastia from dialectical analysis of liver and kidney. The report is as follows.

The Application and Research of Humanistic Care in Operation Room

Objective — To conduct studies on the application effect of humanistic care in the operation room. Methods — A total of 90 patients who received surgical treatment in our hospital from January 2021 to May 2021 were selected and divided into experimental group and control group based on the order of admission, with 45 patients in each group. The patients in the control group were treated with routine surgical nursing, and the patients in the experimental group were treated with humanistic care on the basis of routine surgical nursing. Comparison was made in the application effect of the two groups. Results — The scores of Self-Rating Depression Scale and Self-Rating Anxiety Scale in two groups demonstrated significant decreasing. The scores of the Self-Rating Depression Scale and Self-Rating Anxiety Scale were significantly reduced in the two groups after psychological nursing intervention. Conclusions — Effective humanistic care can not only contributes to the relief of anxiety or depression and other unhealthy emotions of patients, but also serves as an important way to maintain a good doctor-patient relationship. Humanistic care has certain application value in clinical applications.

Research and Practice of Performance Appraisal of Specialist Nursing Staff

The performance appraisal of specialist nurses is an important part of hospital human resource management, and it is also a necessary path to promote the professional development of specialist nurses. Based on the analysis and discussion of the framework design of the performance appraisal system for specialist nurses, this paper studies and discusses the design safeguard measures of the performance appraisal system for specialist nurses, in order to effectively improve the scientific performance of the specialist nurses’ performance appraisal system. Level, lay a good foundation for the improvement of the professional nursing staff's work level and the sustainable development of the hospital.

Observation on the Nursing Effect of Prone Position Ventilation Applied to Children with Respiratory Failure

Objective — To compare the effects of two prone position ventilation methods on children with respiratory failure, to obtain a safer and more effective way to guide clinical nursing work. Methods — 48 cases of children who were admitted to the intensive care unit of our hospital from February 2018 to August 2019 and applied mechanical ventilation were divided into groups based on a random number table. The odd numbers were included in the experimental group (continuous prone position ventilation group, the duration of continuous prone position exceeded 12 hours, a total of 25 cases). The even numbers were included in the control group (intermittent prone position ventilation group, prone position for 3 hours at a time, alternating with supine position and lateral position, total prone position duration 12 hours, a total of 23 cases). Oxygenation index (OI), PH value, arterial partial pressure of carbon dioxide (PCO2), arterial partial pressure of oxygen (PO2) at 24h, 48h, 72h of the two groups of children, as well as their ventilator use time and ICU hospital stay were compared. Results — Continuous prone position ventilation and intermittent prone position ventilation have no statistical significance on arterial blood carbon dioxide partial pressure (PaCO2), arterial blood oxygen partial pressure (PaO2), ventilator duration, ICU length of stay in children with respiratory failure (P>0.05), but with the increase of the total length of the prone position, when reaching more than 36 hours, the trend of oxygenation index (OI) of the experimental group and the control group can be seen to decline. Conclusion — In this study, by comparing the effects of two prone position ventilation modes, it was found that intermittent prone position ventilation and continuous prone position ventilation had no difference in the treatment of children with respiratory failure. When children are treated in continuous prone and intermittent prone positions, the total prone position can last up to 36 hours, which can effectively improve the clinical treatment effect. In view of the characteristics of pediatric patients and the difficulty in nursing critically ill patients with tracheal intubation, it is recommended that pediatric patients can use intermittent prone ventilation to complete treatment when the cumulative time in the prone position reaches more than 36 hours.

Application of Video Demonstration and Education in the Recovery Period of Infants with Congenital Diaphragmatic Hernia after Discharge

Objective — To explore the application effect of video demonstration and education in the recovery period of infants with diaphragmatic hernia after discharge. Methods — 59 infants with congenital diaphragmatic hernia admitted to our department from January 2019 to December 2020 were selected as the research objects, and were divided into the control group and the study group according to the time of video demonstration and education. The control group was given routine discharge education and nursing; the study group was given video demonstration and education on the basis of routine nursing. The respiratory symptoms and weight changes of the two groups of infants, the Perceived Stress Scale (PSS) of the parents of the two groups of infants, and the mastery of nursing knowledge of the two groups of parents were compared. Results — Respiratory complications in the observation group were less than those in the control group; the weight of the infants on the day of discharge and one month after discharge was higher than that in the control group. The difference was statistically significant (P<0.05). The perceived pressure of parents in the observation group after discharge was lower than that in the control group; the parents of the observation group had higher knowledge of nursing than the control group. The difference was statistically significant (P<0.05). Conclusion — Video health education and education by broadcasting videos can effectively improve the mental health of the mothers of infants and reduce the incidence of complications. It is worthy of clinical use.

An Overview of Nursing Practice and Optimization Strategies for Epidemic Infectious Diseases — Taking COVID-19 As an Example

This paper combines the author's experience in the nursing practice of patients with COVID-19 at the Xiaogan Central Hospital in Hubei Province, and analyses the response strategies for epidemic infectious diseases. It is hoped that this paper will provide some guidance and help in the response to epidemic infectious diseases.

The Influence of Humanistic Care on the Mental Health and Behavior of Family Members of Pediatric Patients

The purpose of this paper is to observe and analyze the impact of humanistic care on the mental health and behavior of family members of pediatric patients. The methods used are as follows. A total of 188 hospitalized children (188 cases of family members of children) admitted to the pediatrics department of this hospital (from April 2018 to April 2019) were selected. In accordance with random number table method, they were divided into the control group (using routine nursing methods) and the experimental group (using humanistic care nursing methods on the basis of the control group). There were 94 cases in each group. Statistics was used to analyze the total satisfaction rate, the incidence of nurse-patient disputes, the average hospitalization time of the patients and the anxiety scores of the family members of the children before and after nursing in the two groups. The results were as follows. The anxiety scores of the family members of the two groups of children before nursing were not statistically significant (P> 0.05). After nursing, the anxiety scores of the family members of the experimental group were significantly lower than that of the control group (P <0.05). The total satisfaction rate of the family members of the children in the experimental group was significantly higher than that in the control group (P <0.05). And the incidence of nurse-patient disputes in the experimental group was significantly lower than that in the control group (P <0.05). The average hospitalization time of the children in the experimental group was significantly shorter than that in the control group (P <0.05). The conclusion is that humanistic care has a significant effect on the mental health and behavior of the family members of pediatric patients.

Application Research of the Moist Wound Theory in Chronic Wound Nursing

Objective — To explore the application value of observation of moist wound theory in chronic wound care. Methods — From February 2019 to May 2020, a total of 96 patients with chronic wounds were treated in this hospital. The patients were divided into two groups based on the two-color ball method, with 48 cases in each group. Routine wound nursing (48 patients, the control group) and moist wound theory (48 patients, the experimental group) were used to compare the wound healing between the two groups. Results — The wound healing rate of 48 patients in the experimental group was significantly higher than that in the control group, and there was a significant difference (P<0.05). The incidence of chronic wound complications (wound pain, wound infection, tissue adhesion) of 48 patients in the experimental group was significantly lower than that in the control group, and there was a significant difference (P<0.05). Conclusion — The application of moist wound theory in chronic wound nursing can promote the rehabilitation of patients with chronic wounds, improve the rate of wound healing, reduce the incidence of complications, and improve the patients' nursing efficacy.