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Summary and Considerations in the Nursing Care of Patients with Progressive Familial Intrahepatic Cholestasis
Ni Zhang,
Yuanzong Song,
Meixue Chen,
Lingli Cai,
Manli Liu,
Weiwei Wang,
Qingran Lin
Issue:
Volume 9, Issue 5, October 2020
Pages:
310-315
Received:
3 August 2020
Accepted:
13 August 2020
Published:
19 August 2020
Abstract: Background: Progressive familiar intrahepatic cholestasis (PFIC) is a group of rare cholestatic liver diseases whose main features are itching, jaundice and even liver failure. Many studies have been reported in clinical reports, but the care of PFIC is rarely described. Purpose: To provide a summary and recommendations for the setup of strategies for PFIC patient care. Material and methods: A non-systematic review of PFIC nursing research until July 12, 2020. Use online search engines (PubMed, Medline, Embase, Web of Science, and CINAHL) to find PFIC nursing-related content, sort and summarize nursing-related content. Results: As a rare disease, there is limited research in PFIC nursing. The main care measures of PFIC including nursing interventions and evaluation tools. Nursing intervention is divided into general symptom care and nursing care of postoperative complications. Evaluation tools mainly focus on quality of life assessment and evaluation of itching. Conclusions: Nurses should pay attention to the use of scales when caring for PFIC patients, and observe whether specific nursing measures can help improve patients’ quality of life. PFIC nursing interventions and evaluation tools should be tailored according to PFIC clinical manifestation. A multidisciplinary collaborative approach is encouraged for proper management and tailoring therapy according to clinical manifestation.
Abstract: Background: Progressive familiar intrahepatic cholestasis (PFIC) is a group of rare cholestatic liver diseases whose main features are itching, jaundice and even liver failure. Many studies have been reported in clinical reports, but the care of PFIC is rarely described. Purpose: To provide a summary and recommendations for the setup of strategies ...
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Hydrocolloidal Dressings Reduce Adverse Reactions Induced by Injection of Azarcytidine: A Clinical Observation Study
Fuxiang Luo,
Jiaxin Wang,
Yu Ding,
Yangshen He,
Chunli Wang,
Tiantian Xiao
Issue:
Volume 9, Issue 5, October 2020
Pages:
316-319
Received:
3 August 2020
Accepted:
14 August 2020
Published:
25 August 2020
Abstract: To investigate the effect of hydrocolloid dressings on reducing complications associated with azarcytidine injection. Methods: Twenty patients with myelodysplastic syndrome were included in the self-controlled study. The group settings were as follows: Experimental group A: Hydrocolloidal dressing was used alone after injection. Experimental group B: 50% magnesium sulfate topical. Experimental group C: blank control group. Pain, anxiety and depression scores, and complications of subcutaneous ecchymosis, subcutaneous induration, subcutaneous swelling and skin erythema were compared in each group. Results: Both the hydrocolloid dressings and 50% magnesium sulfate external application can reduce the local pain and reduce the occurrence of adverse emotions (A vs. C, P=0.000, P=0.000, P=0.000; B vs. C, P=0.000, P=0.092, P=0.044). Hydrocolloid dressings can effectively reduce the occurrence of skin ecchymosis, subcutaneous scleroma, subcutaneous swelling and skin erythema (X2=8.12, X2=8.12, X2=6.667, X2=3.956). P<0.01, P<0.01, P<0.022, P<0.047). Conclusion: The external application of hydrocolloid dressing can significantly reduce the occurrence of skin related complications and patients' adverse emotions after azarcytidine injection, with definite curative effect and strong application. It is an efficient and convenient nursing method.
Abstract: To investigate the effect of hydrocolloid dressings on reducing complications associated with azarcytidine injection. Methods: Twenty patients with myelodysplastic syndrome were included in the self-controlled study. The group settings were as follows: Experimental group A: Hydrocolloidal dressing was used alone after injection. Experimental group ...
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Assessing the Effect of Personalized Nursing on Thrombolytic Hemodialysis Patients After Arteriovenous Fistula Occlusion
Huixia Yu,
Xiutin Li,
Jian Li,
Yi Yang,
Guanmin Wu,
Guiyan Wen
Issue:
Volume 9, Issue 5, October 2020
Pages:
320-323
Received:
7 August 2020
Accepted:
18 August 2020
Published:
31 August 2020
Abstract: Objective: To assess the effect of personalized nursing on thrombolytic hemodialysis patients after arteriovenous fistula occlusion. Methods: 92 patients who undergoing arteriovenous fistula in the hospital were invited to join our study. The time of they receive the treatment is from May 2015 to July 2020. In study beginning, the patients were randomly assigned to the control group (n = 46) and an intervention group (n = 46). The two groups receive different nursing intervention. The control group receive common nursing intervention. On the other hand, the intervention group patients receive personalized nursing intervention in treatment process. Result: In basic patient information, the patient basic status are similar [20 (47.6%) vs 23 (54.8%), 38.14±9.12 vs 37.88±10.07, 1.41±0.75 vs 1.37±0.69], that the gender, age and number of thrombolysis are not statistical significance (p > 0.05). In thrombolysis success rate research, the intervention group has higher thrombolysis success rate than that of control group [38 (90.5%) vs 32 (76.2%), p = 0.016]. In patient satisfaction research result, more intervention group patients make very well assessment than that of control group patients [19 (45.2%) vs 10 (23.8%), p < 0.005]. Conclusion: the personalized nursing intervention not only increase thrombolysis success rate but also improve the patient satisfaction in arteriovenous fistula occlusion.
Abstract: Objective: To assess the effect of personalized nursing on thrombolytic hemodialysis patients after arteriovenous fistula occlusion. Methods: 92 patients who undergoing arteriovenous fistula in the hospital were invited to join our study. The time of they receive the treatment is from May 2015 to July 2020. In study beginning, the patients were ran...
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Towards an All-Day Assignment of a Mobile Service Robot for Elderly Care Homes
Frank Bahrmann,
Stefan Vogt,
Catharina Wasic,
Elmar Graessel,
Hans-Joachim Boehme
Issue:
Volume 9, Issue 5, October 2020
Pages:
324-332
Received:
7 August 2020
Accepted:
20 August 2020
Published:
3 September 2020
Abstract: Due to the demographic change in many industrial nations, the proportion of the older population is increasing. With this increase, the number of people who are dependent on outpatient or inpatient care is also rising across the board. Against this background, digital assistive systems could play an important role for improving the situation within those sectors. Therefore, the proposed novel approach describes a possible all-day use of a mobile assistive robot within an inpatient geriatric care facility, which should both relieve the staff and provide a therapeutic and entertaining contribution for the residents. The design of the components of the robot platform required for all-day use was carried out in an iterative development process. This process was started by convening a focus group, which first analyzed the requirements and then critically questioned the current status and actual benefits. Additionally, the accompanying occupational therapists and care assistants (N = 6) answered questionnaires after each of the 32 completed assignments, which were intended to draw attention to existing weaknesses and positive aspects. The main focus was to answer the question of how an assistive robot can be used meaningfully within an inpatient geriatric care facility with the means of the current state of science and whether this platform is perceived as support by the groups of people concerned. Due to the predominantly positive response to this question, the concept presented here for all-day use could be realized. Even if the response and operational capability were predominantly positive, there are still wishes from the staff and residents. These demands cannot yet be guaranteed with the current state of science to the required high degree of robustness under real world conditions. Consequently, the components identified as still in development or conceptually conceived require further research in the respective fields.
Abstract: Due to the demographic change in many industrial nations, the proportion of the older population is increasing. With this increase, the number of people who are dependent on outpatient or inpatient care is also rising across the board. Against this background, digital assistive systems could play an important role for improving the situation within...
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Relationship Between Knowledge, Preventive Practices and Fear from COVID-19 among Middle Aged and Older Adults: During the Novel Coronavirus Outbreak
Sally Mohammed Elsayed Ibrahim,
Marwa Abdelhamid Mohammed Mahmoud
Issue:
Volume 9, Issue 5, October 2020
Pages:
333-346
Received:
25 August 2020
Accepted:
10 September 2020
Published:
21 September 2020
Abstract: Background: New virus infections outbreaks among people are always a public health problem. For the COVID-19, it may have physical, psychological, and social consequences that affect on individuals. One of these psychological consequences is fear. Older adults, especially with chronic health conditions are extremely vulnerable to COVID-19. So, individuals must have good COVID-19 knowledge and preventive practices to combat this fear and prevent the spread of infection. Aim: Determine the relationship between knowledge, preventive practices, and fear from COVID-19 among middle aged and older adults: during the novel coronavirus outbreak. Design: A descriptive cross-sectional correlational research design was used in this study. Setting: The study was carried out at Temai Elamdid health insurance outpatient clinics that affiliated to the Egyptian Ministry of Health. Subjects: A convenience sample of 185 patients attending the previous study setting. Tools: Four tools were used in this study; demographic and clinical data structured interview schedule, COVID-19 knowledge structured interview schedule, COVID-19 preventive practices structured interview schedule and fear from COVID-19 scale. Results: It was noticed that more than two fifth of middle aged adults and more than one third of older adults had satisfactory COVID-19 preventive practices, Furthermore, more than one third of middle aged adults and one third of older adults had good COVID-19 knowledge with statistically significant difference was found between two groups. Also, Significant relation was found between both COVID-19 knowledge and preventive practices and fear from COVID-19 among the study subjects (P=0.000). In the same direction, there was statistically significant difference between middle aged adults and older adults regarding COVID-19 knowledge and preventive practices and higher level of COVID-19 fear (P=0.000). Conclusion: Older adults had a significant lower score of COVID-19 knowledge and preventive practices and higher level of COVID-19 fear than middle aged adults as strong negative correlation between fear from COVID-19 and either COVID-19 knowledge & preventive practices was found. Recommendations: Educational programs should be developed and implemented by nurses in different care settings to increase their awareness about COVID-19.
Abstract: Background: New virus infections outbreaks among people are always a public health problem. For the COVID-19, it may have physical, psychological, and social consequences that affect on individuals. One of these psychological consequences is fear. Older adults, especially with chronic health conditions are extremely vulnerable to COVID-19. So, indi...
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Nursing Care of a Patient with Cervical Spinal Cord Injury Without Fracture and Dislocation: A Case Report
Meixue Chen,
Zhaofu Wang,
Yaping Fan,
Ningjun Wan,
Ni Zhang,
Qingran Lin,
Weiju Chen
Issue:
Volume 9, Issue 5, October 2020
Pages:
347-353
Received:
16 August 2020
Accepted:
31 August 2020
Published:
21 September 2020
Abstract: Cervical spinal cord injury without fracture and dislocation (CSCIWFD) is a severe disabling injury with acute illness, slow recovery, and many complications that significantly increase patients’ pain and the difficulty of disease management. We introduce the nursing care of a 52-year-old man with multiple complications of CSCIWFD caused by a car accident. Nursing mainly focused on posture and safety, nutritional support, respiratory management, limb function training, medication, psychological nursing, and actively preventing and managing complications such as central fever, obstinate hyponatremia, klebsiella pneumoniae infection, venous thrombosis, and pressure ulcers, among others. The nurses closely observed the patient's condition, strictly managed his 24-hour access volume, and regularly evaluated his treatment and nursing effects. In addition to superior treatment and nursing, we should invite multidisciplinary cooperation for diagnosis and treatment and encourage family members to participate in disease management, which improves patient’s later functional recovery and his quality of life. After 53 days of hospitalization, the patient’s condition gradually stabilized, he and his family members were satisfied with the treatment and nursing results, and he was transferred to another hospital for rehabilitation. The prognosis of patients with CSCIWFD is closely related to the quality of nursing. Personalized comprehensive care is of great significance to reduce and timely control complications and promote patients' recovery.
Abstract: Cervical spinal cord injury without fracture and dislocation (CSCIWFD) is a severe disabling injury with acute illness, slow recovery, and many complications that significantly increase patients’ pain and the difficulty of disease management. We introduce the nursing care of a 52-year-old man with multiple complications of CSCIWFD caused by a car a...
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Application Value of Evidence-based Nursing in Patients with Multiple Myeloma and Evaluation of Nursing Quality
Zhu Xianglian,
Wang Chunli
Issue:
Volume 9, Issue 5, October 2020
Pages:
354-358
Received:
23 August 2020
Accepted:
18 September 2020
Published:
28 September 2020
Abstract: Objective to explore the application value and quality of evidence-based nursing in patients with multiple myeloma. Methods A total of 92 patients with multiple myeloma from December 2016 to December 2019 were selected as observation objects, and they were divided into control group 46 and observation group 46 according to the order of admission. The control group was given routine nursing care, and the observation group was given evidence-based nursing care. The bone pain relief rate, Pittsburgh Sleep Quality Score (PSQI), anxiety self-rating scale (SAS) score, depression self-rating scale (SDS) score and nursing quality were compared between the two groups. Results: The relief rate of bone pain in the observation group was higher than that in the control group (P <0.05). The quality of sleep, sleep time, sleep time, sleep efficiency, sleep disorders, daytime dysfunction scores and PSQI total scores in the observation group were lower than those in the control group after nursing (P <0.05). P <0.05); SAS and SDS scores in the observation group were lower than those in the control group after nursing (P <0.05). After the implementation of evidence-based nursing, the quality of basic nursing, specialist nursing, critical care, ward management, and health education nursing care of nursing staff was higher than that before implementation (P <0.05). Conclusion Applying evidence-based nursing to patients with multiple myeloma can improve bone pain relief, improve sleep quality, reduce anxiety and depression, and improve the quality of care.
Abstract: Objective to explore the application value and quality of evidence-based nursing in patients with multiple myeloma. Methods A total of 92 patients with multiple myeloma from December 2016 to December 2019 were selected as observation objects, and they were divided into control group 46 and observation group 46 according to the order of admission. T...
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Discussion on the Accommodation Infection Prevention-control of the Supportive Medical Team Assigned to Hubei During COVID-19 Outbreak
Quan Jiang,
Jiewei Huang,
Xianzhong Wu,
Xiaohong Mo,
Piao Ye
Issue:
Volume 9, Issue 5, October 2020
Pages:
359-364
Received:
5 September 2020
Accepted:
21 September 2020
Published:
28 September 2020
Abstract: Objective To summarize the infection prevention and control experiences in the resident of medical team giving support to Wuhan, and to provide some reference for our same occupations. Methods Based on the previous experience of supporting Wuhan medical teams and combined with the actual situation of our own medical team, we carried out the prevention and control of resident infection from six aspects, including the establishment of infection control team, training for control knowledge, resident layout, standardizing entry and exit processes, personnel behavior management, personnel health management. Results By the time of April 10, 2020, 172 members of our medical team had been fighting in Wuhan for 50 days and nights, in the face of the COVID-19 public health emergency, the medical team protected the members and there were no cases of medical staff infection. Conclusion In the novel coronavirus pneumonia affected area, it is effectively to prevent the occurrence of infection and personal infection in medical teams through a series of feasible prevention and control measures. At the same time, we found that many members of the medical team had mental health problems. Early psychological crisis intervention training is helpful for medical team members to better fight against the epidemic.
Abstract: Objective To summarize the infection prevention and control experiences in the resident of medical team giving support to Wuhan, and to provide some reference for our same occupations. Methods Based on the previous experience of supporting Wuhan medical teams and combined with the actual situation of our own medical team, we carried out the prevent...
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Continuous Quality Improvement in Preoperative Preparation Management of Patients Undergoing Interventional Surgery
Xianzhong Wu,
Jiancong Chen,
Wencai Yang,
Feifeng Qiu
Issue:
Volume 9, Issue 5, October 2020
Pages:
365-369
Received:
23 August 2020
Accepted:
5 October 2020
Published:
12 October 2020
Abstract: Objective: To explore the application effect of continuous quality improvement in preoperative preparation management of patients undergoing interventional surgery. Methods: Set up a continuous quality improvement (CQI) group consisting of the head nurse of the interventional operation room, the nurse, the interventional physician, and the head nurse of the interventional ward. A total of 3099 patients undergoing elective interventional surgery from January to December 2017 were selected as the control group, and 4,048 patients undergoing elective interventional surgery from January to December 2018 as improved group, which preoperative preparation was carried out after the implementation of continuous quality improvement measures. The current problems existing in the preoperative preparation were analyzed retrospectively, formulation and implementation of improvement measures. The qualified rate of preoperative preparation before and after CQI was statistically obtained. In addition, a third-party satisfaction survey was conducted and 200 valid questionnaires were collected to obtain the satisfaction of the two groups of patients. Results: The pass rate of preoperative preparation was increased from 58.02% to 87.18%, and patient satisfaction was also improved in improved group, with statistically significant difference between the two groups (P < 0.05). Conclusion: The application of CQI in preoperative preparation management can improve the pass rate of preoperative preparation, optimize the quality of preoperative nursing, and also improve patient satisfaction.
Abstract: Objective: To explore the application effect of continuous quality improvement in preoperative preparation management of patients undergoing interventional surgery. Methods: Set up a continuous quality improvement (CQI) group consisting of the head nurse of the interventional operation room, the nurse, the interventional physician, and the head nur...
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Experience on the Protection and Management of PICC Patients in the Department of Hematology During COVID-19 Epidemic
Issue:
Volume 9, Issue 5, October 2020
Pages:
370-375
Received:
12 September 2020
Accepted:
12 October 2020
Published:
16 October 2020
Abstract: Objective Discuss the prevention and control measures of the Department of Hematology and standardize the PICC catheter maintenance procedures during the outbreak of corona virus disease. Method Understand the severity of COVID-19, interpret relevant documents of the Ministry of Health and hospital prevention and control requirements, formulate prevention and control measures and improve the PICC catheter maintenance process during the epidemic, and provide special prevention care for 527 patients admitted to our department during the epidemic, provide PICC catheter maintenance for205 hospitalized patients with catheters, and nursing 21 patients with related complications due to delayed maintenance of Catheter care. Result There was no infection in both doctors and patients during the epidemic; a total of 707 patients’ catheters maintenance were completed and 17 cases were extubation, of which 3 cases were unplanned remove, and the symptoms of 21 cases of catheter-related complications were improved. Conclusion During the epidemic, strict prevention and control measures can effectively implement epidemic prevention and control, standardize PICC catheter maintenance procedures, and strengthen catheter assessment may reduce incidence of PICC catheter complications. Staying in Laminar flow room can protect Hematology patients.
Abstract: Objective Discuss the prevention and control measures of the Department of Hematology and standardize the PICC catheter maintenance procedures during the outbreak of corona virus disease. Method Understand the severity of COVID-19, interpret relevant documents of the Ministry of Health and hospital prevention and control requirements, formulate pre...
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An Academic Model for Building Effective Faculty Teams to Promote Excellence in Nursing Education
Sally Cantwell,
Melissa Neville Norton,
Valerie Gooder,
Susan Thornock
Issue:
Volume 9, Issue 5, October 2020
Pages:
376-383
Received:
24 September 2020
Accepted:
10 October 2020
Published:
16 October 2020
Abstract: As a result of the national movement to advance nurses at the doctoral level, and the concurrent shortage of nursing faculty, the role of the DNP prepared nurse in the academic setting continues to evolve. At our School of Nursing, the need to define, understand and utilize the various faculty roles led to the development and implementation of an Academic Model for Nursing Education. This mixed-method research study was conducted to identify the factors that contribute to an effective culture in academia. The findings from the survey and focus groups indicated our model had a positive association on instructional design, teaching, administrative processes, adjustments of college tenure and promotion, clinical partnerships, shared faculty teaching loads, and succession planning. Focus group findings included the unanticipated benefits of improved faculty engagement, empowerment, collaboration, and faculty mentoring. Our academic practice model is reflective of the changes already occurring in collaborative clinical pathways in healthcare systems. The expected benefits of our academic practice model and those occurring in healthcare share comparable outcomes. These may include improving nursing scholarship, patient and student outcomes, strengthening the position of nursing in organizations and the broader community through enhanced leadership, providing parity with other healthcare disciplines, and improving the overall image of nursing [1]. Our Academic Model for Nursing Education is reflective of current healthcare practices, addresses the nurse faculty shortage while promoting faculty collaboration and job satisfaction.
Abstract: As a result of the national movement to advance nurses at the doctoral level, and the concurrent shortage of nursing faculty, the role of the DNP prepared nurse in the academic setting continues to evolve. At our School of Nursing, the need to define, understand and utilize the various faculty roles led to the development and implementation of an A...
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Comparing Perception About Nursing Profession Among Degree, Diploma and Associate Nursing Students and Factors Influencing Enrolment in the Nursing Programs
Hisabu Kidane Gebremedhin,
Zerabruk Tesfamariam Kidane,
Eyasu Habte Tesfamariam
Issue:
Volume 9, Issue 5, October 2020
Pages:
384-393
Received:
16 July 2020
Accepted:
12 August 2020
Published:
26 October 2020
Abstract: Background: The variations between the perception of the profession of nursing and the reality of practice can lead to problems in student attrition or result in disappointment with a career in nursing after a new graduate enters practice. Objective: To assess and compare Nurses’ Perception among Associate, Diploma and Degree nursing students about Nursing profession and factors influencing enrolment in the nursing programs in Eritrea. Methods: Institution based quantitative cross sectional study design was used. 403 intended study participants was selected from about 700 population using a multi stage systematic sampling method from the Bachelors of Science in Nursing, Diploma and Associate nursing students in the School of Nursing, Asmara College of Health Sciences and School of Associate Nurses (Mendefera, Barentu and Ghindae). Data collection was carried out using a pre structured questionnaire. The collected data was entered using CSPro version 6.3 and SPSS version 22.00 for further analysis. ANOVA and Odds ratio was calculated for perception difference and related factors. A p-value < 0.05 was considered to be statistically significant. Results: The response rate was 92.06%, 371 students. 228 (61.5%) females and 143 (38.5%) were males. 190 (51.2%) associates, 128 (34.5%) diploma and 53 (14.3%) were degree nursing students. The tenet of public image and practice got significant difference among the three groups of nursing students, Values subscale revealed no significant differences. When controlling for demographic effect, practice and public image were significantly different among the groups. Associate nursing students’ perception found significant difference in their view of the public image of nursing. In the seven out of the 14 factors influencing enrolment in the nursing programs significant association was found among the nursing students with their perception to the nursing profession. Conclusion: Associate nursing students have positive perception towards the profession and motivation to enroll than BSN and Diploma.
Abstract: Background: The variations between the perception of the profession of nursing and the reality of practice can lead to problems in student attrition or result in disappointment with a career in nursing after a new graduate enters practice. Objective: To assess and compare Nurses’ Perception among Associate, Diploma and Degree nursing students about...
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