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Investigation and Countermeasures of Psychological Status of Outpatient Guide Nurses During the Outbreak of COVID-19 Pandemic
Meihua Zhong,
Lin Wang,
Xiaojin Liu,
Jinghui Zhang
Issue:
Volume 9, Issue 4, August 2020
Pages:
186-189
Received:
28 April 2020
Accepted:
18 May 2020
Published:
3 June 2020
Abstract: Objective Investigation and countermeasures of psychological status of outpatient guide nurses under epidemic situation of COVID-19. Methods The group focus interview method was used to collect data onto 9 outpatient guide nurses in our hospital, the content of the data mainly focuses on the psychological feelings of the guide nurses under the epidemic situation, colorize analysis method was used to analyze the interview data. Results In the case of COVID-19, the guide nurses quickly adapted to the current situation, actively served each patient their families, and did well in preview and triage, consultation, and epidemic prevention and control education and so on, after they had experienced worry, fear, anxiety, nervousness, reluctance to go to work, and the contradiction and hesitation in triage. Conclusion COVID-19 outbreak, the mental health status of outpatient guide nurses needs to pay close attention to, to do a good job of the work process guidelines on COVID-19, strengthen protection knowledge and skills training, ensure that the protective supplies are adequate, give humanistic care and offer psychological intervention, to provide a powerful psychological support for the nurses in the triage work, so as to contribute to the epidemic prevention and control of hospitals and countries.
Abstract: Objective Investigation and countermeasures of psychological status of outpatient guide nurses under epidemic situation of COVID-19. Methods The group focus interview method was used to collect data onto 9 outpatient guide nurses in our hospital, the content of the data mainly focuses on the psychological feelings of the guide nurses under the epid...
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Assessing the Influence of Quality Improvement Methods to Improve the Success Rate of Peripheral Venous Indwelling Needle
Yanhua Shi,
Xiaolan Wang,
Quan Jiang,
Weirong Li,
Huiling Liu,
Mengying Qi
Issue:
Volume 9, Issue 4, August 2020
Pages:
190-192
Received:
27 April 2020
Accepted:
25 May 2020
Published:
3 June 2020
Abstract: Objective: To assess the influence of Quality improvement methods to improve the success rate of peripheral venous indwelling needle. Methods: 1613 patients were invested to join our study, they provided 2472 cases of peripheral venous indwelling needle. The time of they received services is from March 2019 to December 2019. They were divided into a control group (participant: n = 595, case: n = 1035) and an intervention group (participant: n =1018, case: n = 1437) according to this time, that patients were invested to join control group who receive services between March 2019 and June 2019, intervention group participants’ service time is between June 2019 and December 2019. The control group participants receive routine care model in the PIVC process. About collection, the information includes the success rate of PIVC, complications situation and indwelling time of PIVC. Result: The success rate of PIVC assessment from researcher’s report, they record the result of patient’s PIVC. Intervention group has higher success rate than that of control group (71.95% vs 49.57%). Most complications were happened in PIVC process. it shows the research result of mainly 4 kinds of complication in the table, the result contains seepage, blocking pipe, take off the tube and phlebitis. In overall, intervention group patients have less complications cases and lower incidence of complications in each kind of complication, except as phlebitis result (p = 0.369). Conclusion: the quality improvement methods can improve the success rate of PIVC and reduce the complications cases of PIVC.
Abstract: Objective: To assess the influence of Quality improvement methods to improve the success rate of peripheral venous indwelling needle. Methods: 1613 patients were invested to join our study, they provided 2472 cases of peripheral venous indwelling needle. The time of they received services is from March 2019 to December 2019. They were divided into ...
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The Application of Seamless Nursing to Patients with Nephrotic Syndrome
Yingxue Zhong,
Qingqing Zhai
Issue:
Volume 9, Issue 4, August 2020
Pages:
193-195
Received:
29 April 2020
Accepted:
18 May 2020
Published:
3 June 2020
Abstract: Objective: To assess the application of seamless nursing to patients with nephrotic syndrome. Methods: 88 nephrotic syndrome patients agree to join our study, they were diagnosed as nephrotic syndrome in the hospital from May 2018 to October 2019. The participants were randomly assigned the participants to two groups, that include control group (n = 44) and intervention group (n = 44). We provide conventional nursing service to the control group participants in the treatment process. Also, intervention group participants receive seamless nursing services. Our researchers collected anxiety information and depression information by questionnaires which include Self-Rating Anxiety Scale (SAS) and Self-rating depression scale (SDS). In addition, we collect the information was associated with participants characteristics from hospital database and participant satisfaction of satisfaction questionnaire. Result: In depression- and anxiety- research result, the two groups have similar assessment result in SAS and SDS of before the nursing, they are not statistical significance. However, the result of after the nursing is different in SDS and SAS. The intervention group participants have better performance in SAS and SDS result (34.21±1.26 vs 44.21±3.83, 32.37±2.81 vs 46.51±5.7). In patient satisfaction research, all participants have good satisfaction assessment for nursing service (95.5% & 77.3%). But intervention group has obviously improvement in our research result. In intervention group assessment, most assessment are very well (n = 24). Conclusion: The seamless nursing has strongly improvement to depression and anxiety of patient, and patient satisfaction.
Abstract: Objective: To assess the application of seamless nursing to patients with nephrotic syndrome. Methods: 88 nephrotic syndrome patients agree to join our study, they were diagnosed as nephrotic syndrome in the hospital from May 2018 to October 2019. The participants were randomly assigned the participants to two groups, that include control group (n ...
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Effect of Abdominal Massage on Feeding Intolerance of Premature Infants
Xin Jin,
Lilan He,
Shiyi Zhang,
Chuanrui Zhu
Issue:
Volume 9, Issue 4, August 2020
Pages:
196-199
Received:
3 May 2020
Accepted:
25 May 2020
Published:
3 June 2020
Abstract: Aim: To evaluate the improvement of feeding intolerance to premature infants by abdominal massage. Method: From January 2018 to January 2020, the basic data of 72 premature infants in the NICU of our hospital were collected by retrospective method, which was divided into an experimental group and control group, 36 cases ineach group. The infants in the experimental group received such intervention of abdominal massage with daily fixed time and fixed frequency, and the control group without abdominal massage. The gestational age, birth weight, sex was not statistically significant in the two groups. The outcome indexes of the two groups were evaluated including the length of stay, the weight beginning oral feeding, the weight reaching total oral feeding, the weight at discharge, transition time, time to recover to birth weight, the daily weight gain, gastric residue. Results: Data analysis by SPSS24.0 showed that the weight beginning oral feeding (P = 0.012), weight reaching total oral feeding (P = 0.014) and the mean times of gastric residue in the experimental group was statistically significant. But there was no significant difference in the length of stay, the weight at discharge, transition time, time to recover to birth weight, and the daily weight gain. Conclusion: Intervention of abdominal massage might promote the weight gain and improve the feeding intolerance in premature infants.
Abstract: Aim: To evaluate the improvement of feeding intolerance to premature infants by abdominal massage. Method: From January 2018 to January 2020, the basic data of 72 premature infants in the NICU of our hospital were collected by retrospective method, which was divided into an experimental group and control group, 36 cases ineach group. The infants in...
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The Application Value of the Follow-up Platform of Breast Specialty Combined with Individualized Therapy Book in Breast Cancer Patients
Wan Tang,
Yuhua Ma,
Xiuli Wei
Issue:
Volume 9, Issue 4, August 2020
Pages:
200-203
Received:
3 May 2020
Accepted:
22 May 2020
Published:
3 June 2020
Abstract: Objective: To assess the application value of the follow-up platform of breast specialty combined with individualized therapy book in breast cancer patients. Methods: in our study, total participants have 180 who are diagnosed as breast cancer from November 2018 to December 2019, the control group has 90 participants who provide their reports in follow-up, and the intervention group has 90 participants, they provide their data in follow-up. The control group participants receive conventional follow-up. The intervention group participants receive the follow-up platform and individualized therapy book. Our researchers collect the data by interview and questionnaires, the data include compliance assessment, range of motion of shoulder after operation, patient satisfaction, relevant knowledge of patient assessment, life quality, anxiety assessment, and depression assessment. The questionnaires of our study follow as: Function Assessment of Cancer Therapy-Breast (FACT-B), Self-Rating Anxiety Scale (SAS), Self-rating depression scale (SDS), and other simple questionnaires. Result: The characteristics of two group are similar as the analysis results are not statistical significance (p = 0.091, p = 0.757, p = 0.425 p = 0.326). The range of motion of the shoulder research indicates the range of motion of the shoulder in follow-up. In particular, intervention group participants have more good range of motion of the shoulder in our research than that of control group. In patient satisfaction, most intervention group participants provide ‘very well’ assessment in satisfaction research, it has more those assessments than that of control group (n = 81 vs n = 54). Conclusion: The follow-up platform and the individualized therapy book improve the patient recovery rate, patient compliance, patient satisfaction, quality of life, mental health, and their degree of related information mastery after related operation of breast cancer.
Abstract: Objective: To assess the application value of the follow-up platform of breast specialty combined with individualized therapy book in breast cancer patients. Methods: in our study, total participants have 180 who are diagnosed as breast cancer from November 2018 to December 2019, the control group has 90 participants who provide their reports in fo...
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Survey on Handling Telephone Consultations at a Kampo Outpatient Clinic in Japan - Difficult Consultations and Their Handling by Outpatient Nurses
Jun Koike,
Takao Namiki,
Hisashi Fujita,
Yoshiro Hirasaki
Issue:
Volume 9, Issue 4, August 2020
Pages:
204-210
Received:
4 May 2020
Accepted:
28 May 2020
Published:
4 June 2020
Abstract: Aim: In order to clarify how nurses respond to telephone consultations in a Kampo medicine outpatient clinic, a fact-finding survey was conducted on the difficulties involved in handling telephone calls. Methods: The subjects were two outpatient nurses. The contents of consultations that the nurse could not handle alone were extracted from the descriptive data of the telephone calls that each nurse was not able to handle and categorized. Guidelines developed in conjunction with physicians were introduced to clarify and address the causes of the difficulty. One year later, we again administered the telephone response survey so as to compare the results with those of the first survey. Results: Telephone consultations that were difficult for nurses to handle were classified into four categories: 1) consultations about physical disorders, 2) questions about prescribed Kampo medicines, 3) reports and questions based on the patient's own judgment, and 4) questions about treatment and hospitalization. The questions about Kampo medicines related to their "continued administration" and "mix-ups of drugs," and the questions based on patients’ self-judgments related to the "reduction of" or "change in" Kampo medicines. One year later, the number of such cases declined to less than half, and no telephone consultations were made within one week after the first visit. Conclusion: As a result of the creation and introduction of guidelines in consultation with physicians, outpatient nurses are now able to answer questions and receive fewer phone calls after patients’ first visits.
Abstract: Aim: In order to clarify how nurses respond to telephone consultations in a Kampo medicine outpatient clinic, a fact-finding survey was conducted on the difficulties involved in handling telephone calls. Methods: The subjects were two outpatient nurses. The contents of consultations that the nurse could not handle alone were extracted from the desc...
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Effects of Comprehensive Nursing on Anxiety Score, Incidence of Pressure Ulcers and Nursing Satisfaction in Elderly Patients with Femoral Neck Fracture
Issue:
Volume 9, Issue 4, August 2020
Pages:
211-214
Received:
11 May 2020
Accepted:
27 May 2020
Published:
4 June 2020
Abstract: Objective: To explore the effect of comprehensive nursing on anxiety score, incidence of pressure ulcers and nursing satisfaction in elderly patients with femoral neck fracture. Methods: A total of 110 elderly patients with femoral neck fractures admitted to our hospital from February 2019 to February 2020 were randomly selected and divided into a study group and acontrol group with 55 cases in each group. The patients in the latter group adopted the traditional nursing mode while the patients in the former group mainly adopted the comprehensive nursing mode in a timely manner. During the observation of the nursing results of patients, the Harris score of hip function was used to evaluate the postoperative nursing effect and an obvious result was gotten. Besides, the self-rating anxiety scale was used to effectively evaluate the psychological state of patients. The occurrence of pressure ulcers was observed, and the specific nursing conditions of the two groups of patients were effectively compared and analyzed. Results: The Harris score of hip function and anxiety score of patients in the study group before surgery and at the time of discharge were more significant than those in the control group, and the incidence of complications was significantly lower than those in the control group (P < 0.05). The incidence of pressure ulcers in the study group was 2.07% and 14.57%in the control group. It is easy to see that the incidence of pressure ulcers in the study group was significantly lower than that in the control group, and the difference between the two groups was statistically significant (P<0.05). Conclusion: The comprehensive nursing method for elderly patients with femoral neck fracture exerts a beneficial effect on joint function and psychological rehabilitation of patients after femoral neck surgery, and the incidence of pressure ulcers is obviously reduced.
Abstract: Objective: To explore the effect of comprehensive nursing on anxiety score, incidence of pressure ulcers and nursing satisfaction in elderly patients with femoral neck fracture. Methods: A total of 110 elderly patients with femoral neck fractures admitted to our hospital from February 2019 to February 2020 were randomly selected and divided into a ...
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Application of Medical Nursing Integrated Nursing Mode in Patients Undergoing Laparoscopic Roux-en-Y Gastric Bypass Bariatric Surgery
Li Zhang,
Shuqing Yu,
Xiuli Wei,
Lina Wu,
Lilian Gao
Issue:
Volume 9, Issue 4, August 2020
Pages:
215-219
Received:
14 May 2020
Accepted:
29 May 2020
Published:
8 June 2020
Abstract: Purpose: To explore the effect of medical nursing integrated nursing mode on the quality of care of patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB) bariatric surgery. Methods: A total of 60 patients from January 2018 to December 2018 were enrolled as the control group, and 60 patients from January 2019 to December 2019 were enrolled as the intervention group. In the control group, patients were cared by the routine nursing mode. In the intervention group, medical nursing integrated nursing mode was adopted in addition to the routine LRYGB nursing process. The waiting time of preoperative examination, preoperative HAMA and SDS scores, postoperative complication rates, time indicators of nursing quality and patient satisfaction in the two groups were collected and compared. Results: The waiting time of preoperative examination was shortened (P<0.05), preoperative anxiety and depression were reduced (P<0.05), the complication rates of postoperative bleeding, infection, wound pain and abdominal distension were reduced (P<0.05), the time indicators of nursing quality were shortened (P<0.05) and patient satisfaction was improved in the intervention group compared to the control group (P<0.05). Conclusions: Application of medical nursing integrated nursing mode in patients undergoing LRYGB bariatric surgery can alleviate the negative emotions of anxiety and depression before surgery, reduce the postoperative complication rates, improve the quality of care and patient satisfaction.
Abstract: Purpose: To explore the effect of medical nursing integrated nursing mode on the quality of care of patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB) bariatric surgery. Methods: A total of 60 patients from January 2018 to December 2018 were enrolled as the control group, and 60 patients from January 2019 to December 2019 were enroll...
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A Study on the Knowledge of SBAR of Clinical Nurses in Hospital Blood Glucose Management
Nijun Jiang,
Xixi Luo,
Yan Zhou,
Jiewei Huang,
Wane Zhao,
Qiang Liu,
Yanli Yang,
Shanying Zhang,
Xiulan Deng
Issue:
Volume 9, Issue 4, August 2020
Pages:
220-224
Received:
17 May 2020
Accepted:
4 June 2020
Published:
17 June 2020
Abstract: Objective: To investigate the clinical nurses' knowledge of SBAR's (Situation, Background, Assessment, Recommendation) blood glucose management in a large hospital of Guangzhou and to provide a basis for the training and promotion of SBAR's blood glucose management knowledge in the hospital. Methods: 100 clinical nurses from a large hospital of Guangzhou were selected as the research objects. Data were collected by means of questionnaire survey to investigate and analyze the clinical nurses' knowledge of SBAR's management of blood glucose. Results: The awareness rate of SBAR in clinical nurses was 42.55%. The awareness rate of SBAR in the management of blood glucose in hospital was 23.40%, and the clinical significance of SBAR in the management of high and low blood glucose was 39.36%. With the improvement of educational background, professional title and working years, the scores of nurses on SBAR related knowledge gradually increased, and the higher education background had a significant impact on SBAR related knowledge (P < 0.05). The scores of nurses who received SBAR training were higher than those who did not received (P < 0.01). The knowledge most desired by clinical nurses in the management of in-hospital blood glucose was analyzed by SBAR (61.43%), and the clinical significance of SBAR in the management of non-endocrine blood glucose (50%). Conclusion: clinical nurses' knowledge of SBAR management of blood glucose in the hospital is relatively inadequate, and unified norms and standards should be formulated in terms of SBAR model analysis of high and low blood glucose and timely treatment.
Abstract: Objective: To investigate the clinical nurses' knowledge of SBAR's (Situation, Background, Assessment, Recommendation) blood glucose management in a large hospital of Guangzhou and to provide a basis for the training and promotion of SBAR's blood glucose management knowledge in the hospital. Methods: 100 clinical nurses from a large hospital of Gua...
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Application Strategy of Staged Nursing Intervention After the Surgery of Huge Rotator Cuff Tears Under the Arthroscopy
Hong Zhang,
Liya Xu,
Sujuan Lin,
Xiaoyan Wang,
Cuiqing Liu
Issue:
Volume 9, Issue 4, August 2020
Pages:
225-230
Received:
21 May 2020
Accepted:
4 June 2020
Published:
17 June 2020
Abstract: Objective: To explore the application of staged nursing intervention after the surgery of huge rotator cuff tear under the arthroscopy, and to evaluate the impact on patients' postoperative rehabilitation. Methods: A total of 25 patients who underwent arthroscopic surgery for large rotator cuff tears in our hospital from January 2018 to December 2019 were selected. The intervention group used a staged nursing program to intervene, and Selected 25 patients who only received routine nursing intervention during the same period as the control group. The constant-murley shoulder function score, UCLA score, SF-36 quality of life score, and nursing satisfaction score were compared between the two groups after 6 months. Results: There was no statistically significant in the difference in the scores of pain, functional activity, shoulder joint mobility, and muscle strength of the constant-murley shoulder function score between the observation group and the control group before surgery (P > 0.05). The pain, functional activities, shoulder joint mobility and muscle strength scores of the observation group were significantly higher than those of the control group 6 months after surgery (P < 0.05), and the UCLA score and SF-36 score of the observation group 6 months after surgery were significantly higher than the control group (P < 0.05), and the nursing satisfaction score of the observation group was significantly higher than that of the control group (P < 0.05). Conclusion: Staged nursing intervention can significantly improve the Shoulder joint functional rehabilitation process and quality of life of patients who post operation of huge rotator cuff tears, and improve nursing satisfaction.
Abstract: Objective: To explore the application of staged nursing intervention after the surgery of huge rotator cuff tear under the arthroscopy, and to evaluate the impact on patients' postoperative rehabilitation. Methods: A total of 25 patients who underwent arthroscopic surgery for large rotator cuff tears in our hospital from January 2018 to December ...
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The Application of Online Consultant Mode in Postpartum Maternity and Infant at Home in COVID-19 Pandemic
Zhili Chen,
Lin Wang,
Jiali Chen
Issue:
Volume 9, Issue 4, August 2020
Pages:
231-234
Received:
23 May 2020
Accepted:
8 June 2020
Published:
20 June 2020
Abstract: Objective: To explore the effects of providing guidance postpartum maternity and infant at home by online consultation mode under the situation of COVID-19 pandemic. Methods: The International Board Certified Lactation Consultants (IBCLC) developed the procedure of online consultation for the maternity and infant during the COVID-19 pandemic, used WeChat mini program to provide health education and guidance for postpartum maternity and their families, and monitored their conditions through the follow-up visits. Results: During the pandemic period of COVID-19 from January 20th to April 30th, 2020, Transitional Care Department of the authors' hospital used the WeChat mini program to provide health education and guidance for a total of 105 cases of patients, of which 8 cases were advised to consult relevant specialties online and 8 cases were recommended to visit hospital. The remaining 89 cases of patients had their medical problems solved effectively through a total of 177 times of online counseling. The satisfaction of maternity and their families on the online consulting service reached 98.63%. Conclusion: Under the situation of the COVID-19 pandemic, the application of the online consultant mode meets the medical needs of the maternity and infant at home; avoids the risk of cross-infection caused by face-to-face communication; and ensure the health of the patients and their families.
Abstract: Objective: To explore the effects of providing guidance postpartum maternity and infant at home by online consultation mode under the situation of COVID-19 pandemic. Methods: The International Board Certified Lactation Consultants (IBCLC) developed the procedure of online consultation for the maternity and infant during the COVID-19 pandemic, used ...
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Application of CSHA Frailty Index and Clinical Frailty Scale in Geriatric Assessment of Elderly Males in China
Issue:
Volume 9, Issue 4, August 2020
Pages:
235-238
Received:
3 June 2020
Accepted:
22 June 2020
Published:
28 June 2020
Abstract: People at an advanced age often live with multiple chronic diseases as well as disabilities. To access the health condition of elderly persons, various models have been used in developed countries in the West. However, it is not known how these models apply to the elderly in Asian developing countries. This study investigated the application of the Clinical Frailty Scale-09, a widely used method in patient assessment in Western countries, to older adults living in mainland China. Two hundred and ten elderly males were assessed for their health conditions using a list of variables by the Canadian Study of Health and Aging to construct the 70-item CSHA Frailty Index. The obtained Frailty Indices were compared with the scores of The Clinical Frailty Scale-09 for the same sample group. The assessment revealed the changing pattern in the health condition of the sampled population. Compared to the group aged 65-74 years old, the Frailty Index and the Clinical Frailty Scale increased in the groups aged 75-84 and 85-89 years old. The greatest increase was in the group aged ≥90 years old. The scores of the Frailty Index and the Clinical Frailty Scale-09 correlate with each other. These findings suggest that the Frailty Index and Clinical Frailty Scale-09 provide reliable assessment of the health condition of elderly Chinese males.
Abstract: People at an advanced age often live with multiple chronic diseases as well as disabilities. To access the health condition of elderly persons, various models have been used in developed countries in the West. However, it is not known how these models apply to the elderly in Asian developing countries. This study investigated the application of the...
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Analysis on Related Factors and Nursing Interventions of Vasovagal Syncope During Ultrasound-guided PICC
Ying Wu,
Jinai He,
Mengying Qi,
Shanquan Li,
Yutong Li,
Guohua Huang,
Zuyan Fan,
Qiufeng Li
Issue:
Volume 9, Issue 4, August 2020
Pages:
239-243
Received:
6 June 2020
Accepted:
20 June 2020
Published:
28 June 2020
Abstract: Purpose: To investigate the causes and the nursing interventions of vasovagal syncope (VVS) during ultrasound-guided Modified Seldinger Technique (MST) PICC catheterization. Methods: Clinical data (medical records, demographic data, diagnosis, local vascular compression situation, B-mode ultrasound-recorded catheter/vessel ratio and the occurrence time, symptoms and treatment of syncope) of 14 patients diagnosed as vasovagal syncope during ultrasound-guided PICC catheterization at three hospitals in Guangdong province from September 2018 to September 2019 were collected for this retrospective analysis. Results: There were 3091 cases of ultrasound-guided MST PICC catheterization in the venous catheter outpatient clinics of the 3 hospitals from September 2018 to October 2019 with 14 cases (0.45%) of intraoperative vasovagal syncope, all cancer patients (5 males, 9 females) with a mean age 45± 3.8. They all received PICC for the first time and were under mental stress during the operation. Among the 14 patients (2 mild, 7 moderate, 5 severe), 8 had multiple lymphadenectasis in the neck and clavicular areas of the catheterization side, which resulted in different degree of venous compression and difficulty in insertion; 5 had catheter/vessel ratio over 45%. 2 cases of VVS occurred when the patients were asked to turn their heads against shoulders on to the puncture side; 10 occurred when using B-mode ultrasound probe to examine the jugular vein; 2 occurred when pulling out the catheter sheath. Conclusion: The related factors of vasovagal syncope during ultrasound-guided PICC catheterization include overcompression and avulsion on blood vessels and mental stress. Therefore, it is recommended to implement psychological interventions before surgery, reduce compression and avulsion of the vascular access during catheterization, and improve practitioners’ abilities in vessel selection (vessels with a catheter/vessel ratio less than 45%) and catheterization skills to eliminate the incidence of vasovagal syncope during PICC catheterization.
Abstract: Purpose: To investigate the causes and the nursing interventions of vasovagal syncope (VVS) during ultrasound-guided Modified Seldinger Technique (MST) PICC catheterization. Methods: Clinical data (medical records, demographic data, diagnosis, local vascular compression situation, B-mode ultrasound-recorded catheter/vessel ratio and the occurrence ...
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Effect of Mindfulness-decompression on Stresspsychology and Sleep of Heterogeneous Hematopoietic Stem Cell Transplantation Donors
Deng Jinqing,
Huang Guohua,
Wang Chunli,
Wu Xiafen
Issue:
Volume 9, Issue 4, August 2020
Pages:
244-247
Received:
19 June 2020
Accepted:
28 June 2020
Published:
28 June 2020
Abstract: Objective: To investigate the effect of mindfulness decompression on psychological status and sleep quality of allogeneic hematopoietic stem cell transplantation donors. Methods: From January 2017 to June 2019, 86 donors of allogeneic hematopoietic stem cell transplantation in our hospital were selected and divided into the control group and observation group with 43 cases in each group according to random numbertable method. The control group received routine nursing during the perioperative period, while the observation group received psychological intervention of mindfulminant decompression on the basis of routine nursing. Before and after the intervention, the emotional state and sleep quality of the donors were evaluated by the self-rating anxiety scale (SAS), self-rating depression Scale (SDS) and Pittsburgh Sleep Quality Index (PSQI). Results: The preoperative SAS, SDS and PSQI scores were not significantly different. (P>0.05). however, the post treamtment score of SAS, SDS and PSQI in observation group were significantly lower than the control group (P<0.05). Conclusion: Mindfulness decompression can significantly improve preoperative anxiety and depression of allogeneic hematopoietic stem cell transplantation donors, and improve sleep quality, which is worth popularizing in clinical practice.
Abstract: Objective: To investigate the effect of mindfulness decompression on psychological status and sleep quality of allogeneic hematopoietic stem cell transplantation donors. Methods: From January 2017 to June 2019, 86 donors of allogeneic hematopoietic stem cell transplantation in our hospital were selected and divided into the control group and observ...
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Nursing Experience of CT Examination in a Case of Critical Elderly Male Patients with Neck Injury: A Case Report
Sihua Liang,
Xueke Wen,
Yanan Chi,
Yongguang Chen,
Lin Qiu,
Chunliu Luo
Issue:
Volume 9, Issue 4, August 2020
Pages:
248-251
Received:
16 June 2020
Accepted:
1 July 2020
Published:
13 July 2020
Abstract: We present a 63-years-old male who are accidentally fell down while riding a bicycle and was inserted into his neck by a 4cm thick bamboo pole on the morning of August 30, 2019. In rescue process, patient’s mental status is bad, that the patient's state of mind is in tension, fear, anxiety and restlessness. the patient takes out stitches on September 9, 10 days rehabilitation hospital discharge. As the patient had pale complexion, slightly shortness of breath, temporarily stable vital signs, and multiple blood scabs formed throughout the body, he underwent neck CT plain scan, enhancement, 3D reconstruction, chest CT plain scan, enhancement and 3D reconstruction. After that, the patient was sent to operating room, he received suitable treatment. Furthermore, the sharing of patient information was a great help in this rescue. The local hospital provides enough patient information to our CT examine. the difficulty of this rescue lies in whether the patient can complete CT examination smoothly. In nursing aspect, we not only fixed the patient's body position and keep the patient's breathing open to prevent secondary injury but also provide psychological counseling and comfort to patients so that we ensure that the mental health of the patient is good.
Abstract: We present a 63-years-old male who are accidentally fell down while riding a bicycle and was inserted into his neck by a 4cm thick bamboo pole on the morning of August 30, 2019. In rescue process, patient’s mental status is bad, that the patient's state of mind is in tension, fear, anxiety and restlessness. the patient takes out stitches on Septemb...
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Nursing Care of an Extremely Preterm Infant with Sodium Taurocholate Cotransporting Polypeptide Deficiency: A Case Report
Ni Zhang,
Yuanzong Song,
Weiju Chen,
Meixue Chen,
Lingli Cai,
Lijing Deng,
Lilan He,
Qingran Lin
Issue:
Volume 9, Issue 4, August 2020
Pages:
252-257
Received:
17 June 2020
Accepted:
7 July 2020
Published:
17 July 2020
Abstract: Sodium taurocholate cotransporting polypeptide (NTCP) is a protein encoded by the solute carrier family 10 member 1 gene and expressed in the basolateral membrane of the hepatocyte to uptake conjugated bile acids from the plasma. This study reported an extremely premature infant (EPI) with NTCP deficiency (NTCPD). The patient presented with jaundice, persistently elevated total bile acids, 25-(OH)-VitD deficiency, and cleft palate. Nursing care mainly focused on disease surveillance, jaundice care, nutrition, kangaroo mother care, and psychological care. In response to 5 months of the nursing care, the infant’s weight reached 3.324 kg, the jaundice was alleviated, and the infant gained the ability to suck milk. However, his TBA levels were abnormally elevated, and 25-(OH)-VitD was still deficient when the patient was discharged from hospital. The nurses taught the patient’s parents the importance of monitoring liver function and trace elements during a routine outpatient visit. Telephone follow-up 1 year later showed that the patient was in good health with no obvious clinical manifestations. This article reports our experiences in caring for an EPI with NTCPD. To the best of our knowledge, this is the first case report worldwide in NTCPD nursing care.
Abstract: Sodium taurocholate cotransporting polypeptide (NTCP) is a protein encoded by the solute carrier family 10 member 1 gene and expressed in the basolateral membrane of the hepatocyte to uptake conjugated bile acids from the plasma. This study reported an extremely premature infant (EPI) with NTCP deficiency (NTCPD). The patient presented with jaundic...
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Effect of Postoperative Exercise Program on Knee Physical Function Among High Tibial Osteotomy Patients
Hesham Abd El-Rahim Elkady,
Nagwa Mohamed Ahmed,
Shimaa Hussien,
Marwa Ali
Issue:
Volume 9, Issue 4, August 2020
Pages:
258-266
Received:
21 June 2020
Accepted:
7 July 2020
Published:
17 July 2020
Abstract: Background: High tibial osteotomy is preferential treatment for patients with knee osteoarthritis. Strengthening exercise program helps post (HTO) patients achieve greater functioning during sport, recreation, and activities of daily living after surgery. Objective: To examine the effect of postoperative exercise program on knee physical function among high tibial osteotomy patients. Method: Design: quasi experimental research design. Setting: Department of Orthopedic Surgery and orthopedic Outpatient Clinic at Assiut University Hospital. Sample: A purposive sample of 60 adult patients undergoing high tibial osteotomy were included in our study. Method: Knee Outcome Survey Activities of Daily Living Scale and Lysholm knee scoring scale were used. Results: A highly statistically significant improvement of knee Function score and Lysholm knee score (<0.001**) among patients with high tibial osteotomy. Conclusion: Application of exercise program had a statistically significant effect on improvement physical function of knee among the study group than among the control group. Recommendations: Successful postoperative exercises should be practiced for each patient undergoing high tibial osteotomy in order to improving physical function of the knee.
Abstract: Background: High tibial osteotomy is preferential treatment for patients with knee osteoarthritis. Strengthening exercise program helps post (HTO) patients achieve greater functioning during sport, recreation, and activities of daily living after surgery. Objective: To examine the effect of postoperative exercise program on knee physical function a...
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The Effectiveness of Using Breathing Exercise on Sleep Quality Among Hospitalized Patients
Eman Fadl Abd El Khalik,
Marwa Mohammad Abd Elbaky,
Naglaa Ahmed Ahmed,
Sahar Hamza Taha Moursy
Issue:
Volume 9, Issue 4, August 2020
Pages:
267-275
Received:
19 May 2020
Accepted:
3 July 2020
Published:
22 July 2020
Abstract: Sleep disturbance among hospitalized patients has many factors especially at critical care units. Daily breathing exercises as pursed lip breathing (PLB) and diaphragmatic breathing improves sleep quality and reduces the occurrence of delirium. Aim of the study Evaluate the effectiveness of using breathing exercise on sleep quality among hospitalized patients. Design quasi experimental design. Sample A purposive sample including 152 patients were divided into four equal groups two from the Medical ward (study and control) 38 patients each group and two form the Medical Intensive Care Unit (MICU) (study and control) 38 each group at Minia university hospital. Results majority of the groups were male; all patients were in the middle age. (39% and 44.7%) of the medical ward groups (study and control) and (52.6% and 44.7%) respectively of the MICU groups had sever sleep problem. But after applying breathing exercise for 3 continuous days, the study groups (44.7%) of the medical ward and (50%) of the MICU had great sleep quality. Majority of study group’s patients at the medical ward and MICU had no Confusion,” with percentage (60.5% and 52.6%) respectively which mean no presence of delirium. Conclusion breathing exercise had significance effect on improving sleeping quality and reduce the occurrence of delirium among the study groups than the control groups.
Abstract: Sleep disturbance among hospitalized patients has many factors especially at critical care units. Daily breathing exercises as pursed lip breathing (PLB) and diaphragmatic breathing improves sleep quality and reduces the occurrence of delirium. Aim of the study Evaluate the effectiveness of using breathing exercise on sleep quality among hospitaliz...
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Construction and Evaluation of the E-clinic Service System in Baoan District, Shenzhen, China
Wei Wang,
Weiping Tang,
Yali Luo,
Naling Zhu,
Liling Wang
Issue:
Volume 9, Issue 4, August 2020
Pages:
276-280
Received:
14 June 2020
Accepted:
3 July 2020
Published:
23 July 2020
Abstract: Objective To construct the regional elimination of mother-to-child transmission (EMTCT) clinic (E-clinic) service system and evaluate its effect. Methods Since November 2018, the E-clinic service system has been established in the obstetric clinic of 18 maternal and child health (MCH) providers in Baoan District, Shenzhen, China, forming a regional service system. In E-clinics obstetricians take care of pregnant women with hepatitis B virus (HBV) infection for complete perinatal services and infectious disease management. Before and after the implementation of the E-clinic service system, the changes of HBV screening rate among pregnant women, HBV infected mothers DNA detection rate, mothers with high viral load (> 2 × 106 IU/mL) antiviral therapy (ART) rate and HBV MTCT rate were analyzed. Results From July 2018 to March 2020, there were 162,036 registered pregnant women and 7,358 HBV infected mothers in Baoan District, Shenzhen, including 1,179 mothers with high viral load. The HBV screening rate among pregnant women, HBV infected mothers follow up rate, HBV infected mothers DNA detection rate and ART rate were 97.6% (124,311/127,379), 99.0% (5,742/5,801), 82.8% (4,805/5,801) and 70% (687/982) respectively, which were higher than 95.9% (33,247/34,657), 93.1% (1,449/1,557), 49.3% (767/ 1,557) and 21.3% (42/197) before the implementation of the E-clinic service system. The differences were statistically significant (P < 0.001). The HBV MTCT rate decreased from 0.35% (12/3471) to 0% (0/317) after the implementation of the E-clinic service system, and the difference was no statistically significant (P>0.05). Conclusions The E-clinic service system of Baoan District in Shenzhen integrates antenatal care (ANC) and ART, improves the management of HBV infection during pregnancy, further reduces the HBV MTCT, and provides experience for other regions to manage infectious diseases during pregnancy.
Abstract: Objective To construct the regional elimination of mother-to-child transmission (EMTCT) clinic (E-clinic) service system and evaluate its effect. Methods Since November 2018, the E-clinic service system has been established in the obstetric clinic of 18 maternal and child health (MCH) providers in Baoan District, Shenzhen, China, forming a regional...
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Nursing Intervention of Nonstop Minimally Invasive Tricuspid Valve Forming with Simultaneous Atrial Flutter After Secondary Cardiac Surgery: A Case Report
Zhilian Huang,
Yuxiu Qian,
Lihuan Hou,
Xiaoshen Zhang,
Chengfeng Huang,
Hailing Huang
Issue:
Volume 9, Issue 4, August 2020
Pages:
281-284
Received:
6 July 2020
Accepted:
17 July 2020
Published:
28 July 2020
Abstract: We discuss the nursing intervention of nonstop minimally invasive tricuspid valve forming with simultaneous atrial flutter after secondary cardiac surgery. Patient is a 50-years-old male who undergoing repair of atrial septal defect by central thoracotomy with extracorporeal circulation as atrial septal defect in the 30 years ago require repair of atrial septal defect by central thoracotomy with extracorporeal circulation again as residual shunt after repair. In patient checking report of January 2019, it indicated that in the case of no obvious inducement patients appear palpitation, palpitation, is persistent. Base on admission dynamic electrocardiogram, it indicated: (1) Persistent atrial flutter (2) second degree atrioventricular block with junctional escape (3) severe tricuspid regurgitation. In result of operation, we successfully completed the operation, and the patient had no complications after the operation. The surgical procedure was to perform electrophysiological mapping of the right atrium, establish extracorporeal circulation, surgical bipolar radiofrequency ablation, and tricuspid valve formation. Base on result of this operation, effective implementation of prospective nursing interventions can reduce the risk of surgery. In addition, in operation process, as the operation involves a large number of instruments and equipment and surgical personnel, the position of equipment and the rationality of personnel station will influence the result of operation.
Abstract: We discuss the nursing intervention of nonstop minimally invasive tricuspid valve forming with simultaneous atrial flutter after secondary cardiac surgery. Patient is a 50-years-old male who undergoing repair of atrial septal defect by central thoracotomy with extracorporeal circulation as atrial septal defect in the 30 years ago require repair of ...
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Psychosocial Factors and Their Relationship to Work Amongst Workers in the Financial Sector
Roberta Zaninelli do Nascimento,
Milva Maria Figueiredo de Martino,
Isabel Cristina Kowal Olm Cunha,
Cyro Rego Cabral Junior
Issue:
Volume 9, Issue 4, August 2020
Pages:
285-289
Received:
13 June 2020
Accepted:
29 June 2020
Published:
30 July 2020
Abstract: Introduction: The evolution of work characteristics and the work sector may bring physical and psychological consequences to the health of workers. Objective: To analyze the demand for control amongst workers in the financial sector. Method: This was an exploratory, cross-sectional, quantitative study, which included 39 workers from a company in the financial sector based in São Paulo. We used the short form of the Demand-Control-Support Questionnaire (DCSQ). Results: There was a prevalence of low demand and control amongst the 39 workers interviewed. The mean age was 30 years. The results obtained by categorization demonstrated that the coexistence of low demand and low control were present amongst the workers of this financial sector and it is known that the interaction of two factors, termed passive work and intermediate health risk, are considered to induce a decline in the general activities of an individual. Conclusion: The presence of psychosocial factors at the workplace may favor apathy at work, a lack of interest and low production.
Abstract: Introduction: The evolution of work characteristics and the work sector may bring physical and psychological consequences to the health of workers. Objective: To analyze the demand for control amongst workers in the financial sector. Method: This was an exploratory, cross-sectional, quantitative study, which included 39 workers from a company in th...
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Effect of Recombinant Human Interleukin-11 on Oral Mucositis Associated with Allogeneic Hematopoietic Stem Cell Transplantation
Xiuling Chen,
Yu Ding,
Fuxiang Luo,
Chunli Wang
Issue:
Volume 9, Issue 4, August 2020
Pages:
290-294
Received:
16 July 2020
Accepted:
28 July 2020
Published:
30 July 2020
Abstract: Background: Hematopoietic stem cell transplantation gives new life to malignant hematologic patient. However, oral mucositis caused by graft-versus-host disease affects the quality of life of patients. Objective: To observe the efficacy of recombinant human interleuko-11 in the treatment of allogeneic hematopoietic stem cell transplantation associated with oral mucositis. Methods: 54 patients requires an allogeneic hematopoietic stem cell transplantation in patients with hematological clinical observation research, the control group was 0.05% acetic acid chloride solution is folinic acid joint and diluent containing wash, the experimental group on the basis of the join recombinant human interleukin - 11 atomization and contain gargle, comparing curative effect, the ulcer healing time and pain, anxiety and depression scores, as well as oral infections. Results: the efficacy of recombinant human interleukin-11 treatment group was better than that of control group (X2=4.43; P = 0.035); Nebulized inhalation and gargle containing recombinant human interleuk-11 significantly reduced the mean healing days of oral ulcers (Experimenta group A vs. control group C, P=0.05, P=0.004, P=0.000). Experimental group B vs. control group C, P=0.045, P=0.005, P=0.000) and can reduce the occurrence of pain and bad mood. Conclusion: recombinant human interleukin-11 is effective in the treatment of oral mucositis associated with allogeneic hematopoietic stem cell transplantation. It can effectively shorten the course of disease and reduce the incidence of oral infection, anxiety and depression while reducing the pain of patients.
Abstract: Background: Hematopoietic stem cell transplantation gives new life to malignant hematologic patient. However, oral mucositis caused by graft-versus-host disease affects the quality of life of patients. Objective: To observe the efficacy of recombinant human interleuko-11 in the treatment of allogeneic hematopoietic stem cell transplantation associa...
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E-learning During COVID-19 Pandemic: Obstacles Faced Nursing Students and Its Effect on Their Attitudes While Applying It
Gehan Mohamed Abd El-Hamed Diab,
Nahid Fouad Elgahsh
Issue:
Volume 9, Issue 4, August 2020
Pages:
295-309
Received:
25 July 2020
Accepted:
7 August 2020
Published:
17 August 2020
Abstract: Background: E-learning is the use of the internet and its related devices for educational purposes without geographical restrictions, especially after the outbreak of the coronavirus pandemic, which led to a disruption of education in the classrooms in Egypt and around the world. Teaching and learning via the internet is a novel experience for most teachers and students. Aim: to investigate the effect of obstacles faced nursing students on their attitudes towards e-learning while applying it during COVID-19 pandemic. Design: A descriptive correlational research design. Setting: The study was conducted at Faculty of Nursing, Menoufia University, Egypt. Subjects: A stratified random sample technique was employed for the selection of 30% from the students in each of the four academic years enrolled in Faculty of Nursing, Menoufia University during the academic year 2019/2020. Tools: Interviewing questionnaire, attitude towards e-learning scale, and obstacles of e-learning questionnaires. Results: The results revealed that overall, 61.6% of students had negative attitudes towards e-learning. There was the highest level of total obstacles present among academic students in the first year were (67.6%) and the lowest level of total obstacles present among academic students in the fourth year was (55.7%) that faced nursing students during using e-learning. the most common dimensions of obstacles to e-learning were infrastructure and technology, technical and management support, and instructors' characteristics (87.1%, 85.2%, and 82.9%, respectively). Conclusions: There was a high statistically significant negative correlation between obstacles facing nursing students, and their attitudes toward e-learning. Recommendations: The Board Directors of the Faculty of Nursing must take the necessary measures to improve electronic learning and teaching during the closure. Also, a systematic strategy should be followed to implement e-learning since it is a new experience for Menoufia University.
Abstract: Background: E-learning is the use of the internet and its related devices for educational purposes without geographical restrictions, especially after the outbreak of the coronavirus pandemic, which led to a disruption of education in the classrooms in Egypt and around the world. Teaching and learning via the internet is a novel experience for most...
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