-
Public’s Knowledge, Attitude and Practice towards COVID-19 in the Normalization Stage of Plague Prevention and Control: A Cross-sectional Survey in China
Junlan Yan,
Minna Zhang,
Xueyan Liu,
Peiru Zhou,
Jiewei Huang,
Kaiming Ye
Issue:
Volume 10, Issue 1, February 2021
Pages:
1-7
Received:
6 December 2020
Accepted:
23 December 2020
Published:
4 January 2021
Abstract: Background: COVID-19 has been declared a global public health emergency, posing a serious threat to the life and health of the general public. So the aim of this study is to investigate the ability of plague prevention of residents about COVID-19 in the normalization stage of epidemic prevention and control in China, thereby providing reference information for relevant institutions to formulate targeted health education measures. Methods: We designed the KAP for COVID-19 Prevention and Control questionnaire partly based on the COVID-19 prevention and control guidelines published by the National Health Commission of China. The questionnaire was distributed through the Questionnaire Star online survey platform between June 28 and June 31, 2020. Convenience and snowball sampling methods were used to collect data. The questionnaire link was first sent to subjects through online social platforms such as WeChat and QQ, where they were invited to send the link to their families, colleagues, and friends. Results: The survey involved 314 members of the public. Questionnaire scores were 9.90±1.967 (range: 0~14), 22.97±2.90 (range: 5~25), and 37.64±5.30 (range: 9~45) for participant COVID-19 prevention and control knowledge, attitude and practice, respectively. More than 80% of the participants had good knowledge of the core symptoms, incubation and isolation periods, and three major preventive measures of COVID-19, but only 31.8% of them answered correctly on the main transmission routes of COVID-19. There were errors when they were asked about the treatment measures, with 27.7% of participants believing that using Vedicilin (an oral antiviral liquid) and gargling brackish water can prevent COVID-19. More than 95% of participants believed that the normalization stage of epidemic prevention still requires personal protective measures. Of the participants, 60~64% were able to perform basic preventive behaviors such as wearing a mask when going out, washing hands at home, and going out less frequently, 52.6% could always comply with cough etiquette, and 40.8% could always follow the seven-step hand washing method. Conclusions: During the normalization stage of the COVID-19 plague prevention, the public had incomplete knowledge on latest prevention strategies Although belief was evident, behavioral compliance still needs to be improved. Relevant government departments or medical institutions need to relay relevant knowledge to those in blind spots, and to guide the public to maintain participation in effective and science-based prevention of the novel coronavirus.
Abstract: Background: COVID-19 has been declared a global public health emergency, posing a serious threat to the life and health of the general public. So the aim of this study is to investigate the ability of plague prevention of residents about COVID-19 in the normalization stage of epidemic prevention and control in China, thereby providing reference inf...
Show More
-
Application of a Multidisciplinary Dysphagia and Nutrition Management System to Improve Safe Eating in Hospitalized Geriatric Patients
Guiyan Wen,
Huixia Yu,
Qiugui Huang,
Xiulan Deng,
Dongxiu Liang
Issue:
Volume 10, Issue 1, February 2021
Pages:
8-12
Received:
2 December 2020
Accepted:
14 December 2020
Published:
12 January 2021
Abstract: This study aimed to explore the value of a multidisciplinary dysphagia and nutrition management system for the improvement of safe eating in hospitalized geriatric patients. We assembled a multidisciplinary team, consisting of a geriatric care team, a medical team, a rehabilitation team, professionals from the imaging center, and dietitians. Using the dysphagia and nutrition management system, we screened and assessed swallowing and eating dysfunction in geriatric patients admitted to our inpatient department and then provided instructions and swallowing exercises for patients with dysphagia. We measured the detection rate of patients with dysphagia and incidence of aspiration pneumonia. By applying the dysphagia and nutrition management system developed by our multidisciplinary team, the detection rate of patients with dysphagia increased significantly. Interventions of patients with dysphagia significantly decreased the incidence of aspiration pneumonia (P<0.05) and improved their nutritional status. Our multidisciplinary dysphagia and nutrition management system increased the detection rate of patients with dysphagia, improved safe eating, Prevention of aspiration and effective reduction of aspiration pneumonia in elderly patients. At present, the application of multidisciplinary cooperative swallowing and eating nursing system in the feeding safety of hospitalized elderly patients is relatively few, hoping to play a certain reference or guiding role in the clinical work of nursing peers.
Abstract: This study aimed to explore the value of a multidisciplinary dysphagia and nutrition management system for the improvement of safe eating in hospitalized geriatric patients. We assembled a multidisciplinary team, consisting of a geriatric care team, a medical team, a rehabilitation team, professionals from the imaging center, and dietitians. Using ...
Show More
-
A Comparative Analysis of Lower Extremity Joint Pain and the Risk of Falling in Elderly Patients
Issue:
Volume 10, Issue 1, February 2021
Pages:
13-16
Received:
2 December 2020
Accepted:
14 December 2020
Published:
12 January 2021
Abstract: Background: It is well known that chronic lower limb joint pain in elderly patients is closely related to the risk of falls. Understanding the relationship between pain and the risk of falling could help prevent it. Objective: To investigate the correlation between the location and degree of lower extremity joint pain and the risk of falling among newly admitted elderly patients in the Department of Rheumatology, to search for personalized care countermeasures to prevent elderly patients from falling, and to improve the safety of elderly inpatients in the Department of Rheumatology. Method: A total of 214 elderly patients admitted to the Department of Rheumatology with different lower extremity joint pains were evaluated for the location and degree of their joint pain and their risk of falling. After which, an analysis was done to determine the correlation between the location and degree of lower extremity joint pain and the risk of falling and provide targeted nursing countermeasures to prevent falling. Results: By grading the patients’ pain levels, assessing their risk of falling, and taking corresponding nursing countermeasures to prevent falling, 214 elderly patients with different lower extremity joint pains did not fall during their stay in the hospital. Conclusion: Through pain assessment and fall risk assessment and analysis, targeted measures can be taken to effectively prevent falls and reduce the occurrence of accidental injuries among elderly patients.
Abstract: Background: It is well known that chronic lower limb joint pain in elderly patients is closely related to the risk of falls. Understanding the relationship between pain and the risk of falling could help prevent it. Objective: To investigate the correlation between the location and degree of lower extremity joint pain and the risk of falling among ...
Show More
-
Insulin-Injection-related Needle-stick Injuries Among Clinical Nurses at a Tertiary-Care Hospital in China
Zhiqi Luo,
Na Li,
Jiewei Huang,
Xueyan Liu,
Peiru Zhou
Issue:
Volume 10, Issue 1, February 2021
Pages:
17-23
Received:
26 December 2020
Accepted:
6 January 2021
Published:
12 January 2021
Abstract: Needle-stick injuries (NSIs) are the main type of occupational injury experienced by health-care workers worldwide. They are widely reported in the literatures, but there have been few studies of insulin-injection-related NSIs. This study aimed to determine the prevalence of and risk factors for insulin-injection-related NSIs among clinical nurses working at a Chinese tertiary-care hospital. Methods: We used a questionnaire to investigate the incidence of and risk factors for insulin injection-related NSIs in a tertiary-care hospital in Guangzhou, China. The study involved 576 nurses from various departments, including endocrinology, internal medicine other than endocrinology, surgery, and obstetrics and gynecology. Results: Approximately half (54%) of the participants reported having >5-years of experience in clinical nursing, and 66.3% reported that they had received training on injection safety at work. While 16.0% of the nurses had experienced an insulin-injection-related NSI before, 58.7% of them did not report it to the relevant hospital department. When NSIs occurred, 69.6% of nurses were not wearing gloves, and 75% of the needles had been contaminated by patients. The largest proportion (34.8%) of the NSIs occurred when the needle cap was being re-attached after an injection. Multivariate logistic analysis showed that participation in training (odds ratio [OR]=0.605) and being a diabetes specialist nurse (OR=1.814) were independent factors related to the incidence of insulin-injection-related NSI. Conclusion: Insulin-injection-related NSIs are common among clinical nurses. Hospital management departments need to improve their training of nurses in preventing and handling NSIs, provide appropriate safety equipment, and implement simpler procedures for reporting NSIs.
Abstract: Needle-stick injuries (NSIs) are the main type of occupational injury experienced by health-care workers worldwide. They are widely reported in the literatures, but there have been few studies of insulin-injection-related NSIs. This study aimed to determine the prevalence of and risk factors for insulin-injection-related NSIs among clinical nurses ...
Show More
-
Application of Comprehensive Nursing Mode in Patients with Acute Ischemic Stroke After Intra-arterial Intervention
Peng Zhang,
Min Xie,
Xiao Yong Dai
Issue:
Volume 10, Issue 1, February 2021
Pages:
24-27
Received:
24 December 2020
Accepted:
11 January 2021
Published:
18 January 2021
Abstract: Objective: To explore the application of comprehensive nursing mode in patients with acute ischemic stroke after intra-arterial intervention. Methods: 218 patients with acute ischemic stroke undergoing interventional surgery from January 2019 to December 2019 were randomly divided into a control group (routine nursing mode，n=109) and a study group (comprehensive nursing mode，n=109). The control group adopts conventional nursing mode, such as basic nursing, life nursing, safety nursing, etc. The research group adopts the comprehensive nursing mode. Before the implementation of nursing measures, the patients' vital signs, state of consciousness, operation process and mental state are comprehensively evaluated to understand the actual needs of the patients. In the course of patient care, through real-time observation and evaluation, in a multidisciplinary cooperative mode to implement integrated care. According to the National Institutes of Health Stroke Scale (NIHSS), the two groups of patients were scored respectively after intervention and 1 week after intervention in order to compare the neurological function of them. Results: The NIHSS score of the study group 1 week after intervention was lower than that of the control group, and the difference was statistically significant (P < 0.05). Patients in the study group achieved better clinical rehabilitation effect than those in the control group. Conclusion: The comprehensive nursing mode can improve the prognosis of patients, which is worthy of promotion in clinical practice.
Abstract: Objective: To explore the application of comprehensive nursing mode in patients with acute ischemic stroke after intra-arterial intervention. Methods: 218 patients with acute ischemic stroke undergoing interventional surgery from January 2019 to December 2019 were randomly divided into a control group (routine nursing mode，n=109) and a study group ...
Show More
-
Assessment of Competencies’ Level of Critical and Intensive Care Unites Nurses at King Abdulaziz Medical City and King Abdullah Specialized Children Hospital
Issue:
Volume 10, Issue 1, February 2021
Pages:
28-35
Received:
24 December 2020
Accepted:
12 January 2021
Published:
22 January 2021
Abstract: Critical Care Nursing reflects a holistic approach in caring of patients, critical care nurses are registered nurses who are trained and skilled to practice critical care nursing for critically ill patients, she carries out independent interventions and collaborates patient care activities to address life-threatening situations that will meet patient’s physical, psychological, cultural and spiritual needs. The aim of the study was to explore competence levels of intensive care unit nurses and related socio demographic characteristics. Setting: the study was conducted at all Intensive and Critical Care Units, King Abdulaziz Medical City and King Abdullah Specialized Children Hospital. Sample: Representative convenient sample of 233 intensive and critical care unit nurses were included in the study. Tools: Intensive and Critical Care Nursing Competence Scale (ICCN- CS-1) was used for the purpose of the study, it is a self-assessment questionnaire consisting of two main basic competence; clinical competence and professional competence with a total of 140 items; each basic competence comprises four essential sub domains; knowledge, skills, attitude and value and experience base. Results of the study revealed that majority of the studied nurses has excellent total level of competency, with highest percent of the studied nurses who have good competency level related to knowledge base and there was a significant difference between total competency level of the studied nurses and their working unit and years of experience in the current Unit. Recommendation: Adding of more than one data collection method to avoid subjectivity of self-assessment scale results.
Abstract: Critical Care Nursing reflects a holistic approach in caring of patients, critical care nurses are registered nurses who are trained and skilled to practice critical care nursing for critically ill patients, she carries out independent interventions and collaborates patient care activities to address life-threatening situations that will meet patie...
Show More
-
Evaluate the Efficacy of Novel Nursing Management Method Including Both Preparation Services and Continuity of Care in Elderly Patients with Aspiration Pneumonia
Xiulan Deng,
Yan Zhou,
Yanli Yang,
Nijun Jiang,
Xizhi Zhang,
Ruiying Huang,
Shanying Zhang,
Xingdong Cai,
Jiewei Huang
Issue:
Volume 10, Issue 1, February 2021
Pages:
36-40
Received:
22 December 2020
Accepted:
7 January 2021
Published:
25 January 2021
Abstract: Objective: The concept of discharge preparation services originated from the continuum of care and referral system first established in the United States in 1910. Extended care is a series of nursing care activities to ensure continuity and coordination of care for patients in different health care settings. Guidance to reduce or prevent the deterioration of the health status of patients with chronic diseases. The aim of our study was to evaluate the efficacy of discharge preparation service and extended care in elderly patients with aspiration pneumonia. Methods: A total of 40 elderly patients with aspiration pneumonia who were hospitalized in the respiratory and critical care department of a tertiary care hospital from February 2017 to February 2019 were enrolled in this study and divided into two groups. Patients in the control group received conventional nursing interventions while patients in observation group received specific chronic disease management including discharge preparation service and continuity of care. Patients' satisfaction with nursing services, their ability to take care of themselves in daily life one month after discharge, and the number of hospital readmissions within one year after discharge were documented and compared between two groups. Results: Our study suggested that patients’ satisfaction with nursing services and their self-care capabilities one month after discharge were significantly higher in the observation group compared to the control group (P<0.05). Meanwhile, the number of readmissions within one year after discharge was significantly decreased in the observation group than in the control group (P<0.05). Conclusion: The chronic disease management model including specific discharge preparation service and extended care provided patients with better nursing services and resulted in better prognosis.
Abstract: Objective: The concept of discharge preparation services originated from the continuum of care and referral system first established in the United States in 1910. Extended care is a series of nursing care activities to ensure continuity and coordination of care for patients in different health care settings. Guidance to reduce or prevent the deteri...
Show More
-
Physical Assessment Techniques Performed by Jordanian Registered Nurses (RNs): Survey Study
Issue:
Volume 10, Issue 1, February 2021
Pages:
41-48
Received:
12 January 2021
Accepted:
19 January 2021
Published:
28 January 2021
Abstract: Within the nursing curriculum, there is a growing concern about unnecessary content. Since content overload is a growing issue, the content of undergraduate nursing curriculum must be evaluated rigorously as reflected in the nursing literature. In the creation of quality client care in nursing practice, recognizing challenges to performing physical examination techniques among nurses produces a more thorough assessment. This research aimed to investigate the physical assessment techniques performed by Jordanian RNs practicing in both selected public and privet health sectors to gain better understanding of the skills required by graduates of nursing programs in Jordan. A descriptive research design of 138 Jordanian registered nurses working in different practice units using questionnaire was used. The Jordanian registered nurses reported the frequency in which they performed 30 physical assessment techniques. Different statistical methods utilized to analyze the data collected. The results indicated that the Jordanian registered nurses’ performance frequency of the selected physical assessment techniques was high. However, there were statistical differences evident regarding the type of healthcare sector, Gender & work experience variables. The results were in favor in registered nurses working in the public sector, females & registered nurses with less than ten years of experience. However, there were no statistical differences evident regarding the practice unite variable. A registered nurse must understand how to execute a broad range of techniques to carry out a thorough physical assessment, however the complexity of assessment is not inevitably characterized by the specific techniques applied. And if several of these physical assessment techniques are seldom carried out by registered nurses beyond their specific practice unit, the question arises whether it is suitable to incorporate them in the nursing curriculum.
Abstract: Within the nursing curriculum, there is a growing concern about unnecessary content. Since content overload is a growing issue, the content of undergraduate nursing curriculum must be evaluated rigorously as reflected in the nursing literature. In the creation of quality client care in nursing practice, recognizing challenges to performing physical...
Show More
-
Intraoperative Nursing Care of Patients Undergoing Transcatheter Aortic Valve Replacement via Femoral Artery Approach
Xuanjing Li,
Shengqi Wang,
Fan Yang,
Jian Yu,
Xianzhen Huang,
Wenying Li
Issue:
Volume 10, Issue 1, February 2021
Pages:
49-54
Received:
16 January 2021
Accepted:
23 January 2021
Published:
28 January 2021
Abstract: Objective: Intend to explore the main points of intraoperative nursing care of patients with aortic valve stenosis undergoing transcatheter aortic valve replacement through femoral artery approach, summarize the scientific and effective nursing methods in operation. Methods: The intraoperative nursing methods of 9 patients undergoing transcatheter aortic valve replacement through femoral artery approach in our hospital from November 2019 to January 2021 were analyzed retrospectively. These methods include preoperative preparation, transmission of operative consumables, invasive blood pressure monitoring, use of high pressure syringe and temporary pacemaker, nursing of balloon dilatation and valve release, observation and nursing of intraoperative complications, postoperative nursing and so on. Results: The success rate of transcatheter aortic valve replacement was 100% in 9 patients who underwent transcatheter aortic valve replacement through femoral artery approach. In addition, the average operation time was 194.1 minutes. Besides, 1 case was implanted with middle valve, 1 case was protected by coronary artery, and 1 case was rescued during postoperative transportation. Moreover, no serious operative complications such as valve stent shedding, perivalvular leakage, coronary artery occlusion, stroke and malignant arrhythmia occurred in 9 patients. Conclusion: Full preoperative preparation, familiarity with the whole operation process and key steps, proficiency in the use of high pressure syringe and temporary pacemaker and nursing cooperation during balloon dilatation and valve release are the key to the successful completion of the operation in transfemoral approach transcatheter aortic valve replacement. Through active and effective intraoperative nursing, the operative quality of transfemoral artery approach transcatheter aortic valve replacement can be improved effectively, the operative time can be shortened, and the occurrence of intraoperative complications can be reduced, and the life safety of patients can be guaranteed.
Abstract: Objective: Intend to explore the main points of intraoperative nursing care of patients with aortic valve stenosis undergoing transcatheter aortic valve replacement through femoral artery approach, summarize the scientific and effective nursing methods in operation. Methods: The intraoperative nursing methods of 9 patients undergoing transcatheter ...
Show More
-
Application of Humanized Nursing in Uterine Artery Embolization for Patients of Uterine Fibroids
Huijuan Cai,
Lirong Mo,
Xiaojuan Liao
Issue:
Volume 10, Issue 1, February 2021
Pages:
55-58
Received:
23 January 2021
Accepted:
30 January 2021
Published:
9 February 2021
Abstract: Background: Uterine artery embolization (UAE) has been widely used to treat uterine fibroids in recent years, which is less invasive and preserving the patient's uterus. Anyway, the patient could still have negative emotions in the perioperative period because of pain, vaginal bleeding, psychological stress, or other factors. High-quality humanized nursing is needed to improve patients’ situations. Object: To analyze the application and effect of humanized nursing in UAE for patients of uterine fibroids. Method: 90 patients with uterine fibroids admitted to our hospital from November 2019 to November 2020 were selected and divided into two groups according to a random drawing. The patients in the control group were given traditional nursing care. The patients in the observation group were given humanized nursing mode on this basis. The anxiety and depression degree before being discharged from hospital, satisfaction with different nursing modes, QOL score, amenorrhea, anemia, infection, arterial thrombosis, and other adverse conditions of the two groups were investigated. Result: The QOLS of the observation group after nursing were significantly higher than those of the control group, and the differences were statistically significant (P < 0.05). The score of HAMA and HAMD of the observation group was significantly higher than that of the control group, and the differences were statistically significant (P < 0.05). The satisfaction of the observation group was significantly higher than that of the control group, and the differences were statistically significant (P < 0.05). The rate of adverse complications of the observation group was significantly lower than that of the control group, and the differences were statistically significant (P < 0.05). Conclusion: The application of a humanized nursing model for the care of patients with UAE for uterine fibroids can effectively alleviate and eliminate negative perioperative emotions and significantly improve depression, which in turn is conducive to improving their postoperative quality of life, with high patient satisfaction and fewer cases of adverse reactions, with a high degree of safety, and is worth promoting in the clinic.
Abstract: Background: Uterine artery embolization (UAE) has been widely used to treat uterine fibroids in recent years, which is less invasive and preserving the patient's uterus. Anyway, the patient could still have negative emotions in the perioperative period because of pain, vaginal bleeding, psychological stress, or other factors. High-quality humanized...
Show More
-
Effects of Quality Control Circle Activities for Intravenous Cannula Placement Using Deming Cycle Management: A Case-Controlled Study
Yahui Zhao,
Huiling Liu,
Qingqing Zhai,
Mengying Qi,
Xiaolan Wang,
Yanhua Shi
Issue:
Volume 10, Issue 1, February 2021
Pages:
59-63
Received:
3 November 2020
Accepted:
9 February 2021
Published:
23 February 2021
Abstract: The present study aimed to explore the effectiveness of quality control circle (QCC) activities under the guidance of the Deming cycle Management for improving intravenous (IV) cannula placement. A total of 1,035 patients who underwent IV cannula placement from March 2019 to June 2019 in the Department of Hepatobiliary Surgery and Department of Renal and Thoracic Surgery of our hospital were enrolled as the control group, and 1,437 patients who underwent IV cannula placement in the same places as above but from July 2019 to December 2019 were enrolled as the test group. A between-group comparison was performed on intangible and tangible outcomes (duration of IV cannula placement, complications, patient awareness rate of maintenance knowledge of IV cannula, patient satisfaction rate with nursing staff, nurse skills in IV cannula infusion, and maintenance). After QCC activities were implemented, the scores of 11 QCC members in the five aspects of QCC technique application, communication and coordination, sense of responsibility and honor, motivation, and problem-solving ability all improved compared with those before the activities (p < 0.05), and the duration of IV cannula placement in the test group was 70.22 ±48.33 h, which was longer (p < 0.05) than the 60.59±41.9 h of the control group. The test group had a significantly lower (p < 0.05) rate of complications (12.9%, 12.6%, and 1.3% for extravasation, phlebitis, and cannula obstruction, respectively) than the control group (30.0%, 11.4%, and 4.1% for blood oozing, phlebitis, and cannula obstruction respectively); the patient awareness rate of maintenance knowledge of IV cannula and patient satisfaction rate with nursing staff in the test group were 90% and 96.3%, respectively, which were significantly higher (p < 0.05) than the 82.4% and 81.5% in the control group. The scores of nurse skills in IV cannula infusion and maintenance in the test group were 90.5 ±1.3 and 93.6 ±2.0, respectively, which were significantly higher (p < 0.05) than the 85.5 ±2.7 and 81 ±1.0 in the control group. The implementation of QCC activities under the guidance of the Deming cycle Management in IV cannula placement improves the ability of the department’s nursing team to identify, analyze, and solve problems, which is favorable for continuous improvement of nursing quality, leading to an elongated duration of IV cannula placement, reduced rate of complications, and improved patient satisfaction rate with nursing services.
Abstract: The present study aimed to explore the effectiveness of quality control circle (QCC) activities under the guidance of the Deming cycle Management for improving intravenous (IV) cannula placement. A total of 1,035 patients who underwent IV cannula placement from March 2019 to June 2019 in the Department of Hepatobiliary Surgery and Department of Ren...
Show More
-
Meta-analysis of Risk Factors for Mortality in Patients with Acinetobacter Baumannii Bloodstream Infection
Xu Han,
Haiyan Huang,
Weitao Lv,
Wanxian Lu
Issue:
Volume 10, Issue 1, February 2021
Pages:
64-70
Received:
7 February 2021
Accepted:
17 February 2021
Published:
23 February 2021
Abstract: Background: Patients with Acinetobacter baumannii bloodstream infection (ABBI) have a poor prognosis and high mortality. Early identification of risk factors for death in patients with ABBI, and appropriate prevention and control measures are extremely important to reduce the mortality. Objective: To systematically evaluate the risk factors of ABBI, which provide evidence for reducing the incidence and mortality of patients. Methods: The published articles and reference works on prognosis risk factors in patients with ABBI were retrieved from inception to January 2021 in the following databases: PubMed, Web of Science, Embase, CNKI, Wanfang and VIP. Those studies that met the inclusion criteria were perform quality evaluation and data analysis. Meta-analysis was performed by the statistical software Stata13.0. Results: A total of 24 articles were included, including 1 203 patients in the death group and 1 319 patients in the survival group. Among the 24 included study factors, 15 showed statistically significant differences(P<0.01), including: age (MD=0.19, 95%CI: 0.08~0.30, P<0.01), APACHE II (MD=0.48, 95%CI: 0.06~0.91, P=0.03), ICU admission (OR=1.91, 95%CI: 1.12~3.26, P=0.02), shock (OR=4.28, 95% CI: 1.05~17.49, P=0.04), septic shock (OR=8.36, 95%CI: 3.71~18.82, P<0.01), renal damage (OR=1.57, 95%CI: 1.19~2.07, P<0.01), diabetes (OR=1.31,95%CI: 1.03~1.68, P=0.03), malignant tumor (OR=1.56, 95%CI: 1.02~2.37, P=0.04 ), liver disease (OR=1.93, 95%CI: 1.25~3.00, P<0.01), hormonal used (OR=5.46, 95%CI: 3.12~9.56, P<0.01), immunosuppression (OR=2.73, 95%CI: 1.82~4.1, P<0.01 ), mechanical ventilation (OR=3.17, 95%CI: 2.34~4.29, P<0.01), deep vein catheterization (OR=2.02, 95%CI: 1.56~2.61, P<0.01), indwelling urinary catheter (OR =2.53, 95%CI: 1.66~3.84, P<0.01), indwelling gastric tube (OR=1.79, 95%CI: 1.21~2.65, P<0.01). Conclusion: The severity of the patient's underlying disease, using of hormones and immunosuppressants, and various invasive operations were the main risk factors for high mortality in ABBI patients. It was necessary to focus on older patients, dynamically monitor the APACHE II score, carefully evaluate the effect of hormone and immunosuppressant application, and strictly control the indications of invasive operation or treatment.
Abstract: Background: Patients with Acinetobacter baumannii bloodstream infection (ABBI) have a poor prognosis and high mortality. Early identification of risk factors for death in patients with ABBI, and appropriate prevention and control measures are extremely important to reduce the mortality. Objective: To systematically evaluate the risk factors of ABBI...
Show More
-
Impact of Continuous Nursing Intervention on Quality of Life in Patients with Acute Leukemia
Guilan Xiao,
Fenfang Zhou
Issue:
Volume 10, Issue 1, February 2021
Pages:
71-74
Received:
15 January 2021
Accepted:
11 February 2021
Published:
23 February 2021
Abstract: Objective: To assess impact of continuous nursing intervention on quality of life in patients with acute leukemia. Methods: the valid data was collected from 202 patients during July 2019 to February 2021. In the early stages of the study, participants were randomly assigned to either an intervention or a control group. Control group participants received common nursing intervention during treatment. In another group, the participants who received additional continuous nursing intervention based on common nursing intervention were defined as the intervention group. The data included age, sex, education, marital status, duration of illness, number of treatments, quality of life assessments, and physical functioning status. Result: All results of characteristic were no significant difference between control group and intervention group. In addition, after carrying out nursing intervention, control group participants had better improvement in some indexes of quality-of-life, such as Physiological, Social/family, and Emotional. However, comparing with control group, function, leukemia specific module, and total score were significant difference in intervention group (p < 0.05). Also, we observed that intervention group participants had better physical functional status after carrying out nursing intervention, their physical functional status assessment was significant higher compare with control group participants. Conclusion: continuous nursing intervention can improve quality of life and physical function in patients with acute leukemia in long term. compared with common nursing intervention, continuous nursing intervention is more likely to improve patients by changing their behavior so that patients' quality of life and physical function are imperceptibly improved over the long term.
Abstract: Objective: To assess impact of continuous nursing intervention on quality of life in patients with acute leukemia. Methods: the valid data was collected from 202 patients during July 2019 to February 2021. In the early stages of the study, participants were randomly assigned to either an intervention or a control group. Control group participants r...
Show More
-
Effect of Group Continuous Nursing Intervention Model on Serum Biochemical Parameters, GSES Assessment, DSQL Assessment and Satisfaction of Diabetic Patients
Issue:
Volume 10, Issue 1, February 2021
Pages:
75-81
Received:
19 January 2021
Accepted:
12 February 2021
Published:
23 February 2021
Abstract: Objective: To assess effect of group continuous nursing intervention model on serum biochemical parameters, general self-efficacy scale (GSES) assessment, Diabetes Specific Quality of Life Scale (DSQL) assessment and satisfaction of diabetic patients. Methods: A total of 150 patients with type 2 diabetes who were admitted from June 2017 to October 2019 at the First Affiliated Hospital of Jinan University were randomly selected as the research subjects. They were divided into intervention group and control group (75 cases each group) according to the mode of health nursing intervention. Control group patients received common nursing intervention, and intervention group patients received group continuous nursing intervention. We collected the valid data from the changes of serum biochemical level, self-efficacy, diabetes specific quality of life and clinical nursing satisfaction were observed before and after the intervention. Result: In serum indicators, the results were not significantly different before nursing intervention (P> 0.05), and these indicators of the intervention group were significantly lower compare with the control group (P < 0.05). before nursing intervention, the GSES assessment of the two groups of patients were not statistically significant (P> 0.05), and the GSES assessment of the two groups of patients were significantly increased after nursing intervention, but the GSES assessments of the patients in the intervention group were significantly higher than those of the control group (P < 0.05). In diabetes specific quality of life assessment, The DSQL evaluation of the patients in the intervention group after nursing intervention was significantly higher than the control group (P < 0.05). After nursing intervention, the clinical nursing satisfaction of patients in the intervention group reached 98.67%, which was significantly higher than that in the control group (81.33%), and the comparison between groups was statistically significant (P < 0.05). Conclusion: group continuous nursing intervention can significantly improve serum indicators, diabetes specific quality of life, self-efficacy, and clinical nursing satisfaction.
Abstract: Objective: To assess effect of group continuous nursing intervention model on serum biochemical parameters, general self-efficacy scale (GSES) assessment, Diabetes Specific Quality of Life Scale (DSQL) assessment and satisfaction of diabetic patients. Methods: A total of 150 patients with type 2 diabetes who were admitted from June 2017 to October ...
Show More
-
Application of Individualized Nursing Intervention in the Nursing of Patients Who Were Treated in Department of Rheumatism and Immunology
Issue:
Volume 10, Issue 1, February 2021
Pages:
82-85
Received:
18 January 2021
Accepted:
13 February 2021
Published:
25 February 2021
Abstract: Objective: To assess application of individualized nursing intervention in the nursing of patients who were treated in department of rheumatism and immunology. Method: From May 2018 to December 2020, we collected valid data from 78 patients with rheumatic immune disease. According to nursing intervention type, we assigned participants to intervention groups and control group, that control group participants received common nursing intervention, and intervention group participants received individualized nursing intervention. In this study, we collect the data from patients’ medical records and questionnaires, the questionnaires include medical treatment compliance research and satisfaction research. Result: In patient characteristics research, gander factors were significant different among control group and intervention group, but other factors are similar as their results were not statistically significant. As for medical treatment compliance assessment, intervention group had better assessment compare with control group in the treatment. Although most assessments of two group participants were great satisfaction, participants in the intervention group were more satisfied with the individualized nursing intervention. Conclusion: individualized nursing intervention had better effect that was significantly higher than common nursing intervention. Base on the result of this study, individualized nursing intervention not only improve medical treatment compliance of patients with rheumatic immune disease but also increase satisfaction rate in treatment.
Abstract: Objective: To assess application of individualized nursing intervention in the nursing of patients who were treated in department of rheumatism and immunology. Method: From May 2018 to December 2020, we collected valid data from 78 patients with rheumatic immune disease. According to nursing intervention type, we assigned participants to interventi...
Show More
-
Influencing Factors of Hospitalization Costs in Adult Patients with Bronchiectasis
Yanxiu Lei,
Lineng Zhou,
Yanli Yang,
Ting Li
Issue:
Volume 10, Issue 1, February 2021
Pages:
86-90
Received:
15 January 2021
Accepted:
15 February 2021
Published:
26 February 2021
Abstract: Objective: To explore Influencing factors of hospitalization costs in adult patients with bronchiectasis. Methods: The data were collected from public hospitals in China between May 2016 and December 2019, the information collected includes the following: total hospitalization cost, age, sex, blood routine, length of stay, and complications. Result: A total of 462 effective cases were collected in this study, including 234 males (50.65%) and 228 females (49.35%). In hospitalization costs, single total hospitalization cost is 13610.87 yuan per capita, among them the quartile is 7453.50 yuan, the median is 9893.51 yuan, upper quartile is 14153.62 yuan. Base on the proportion of hospitalization costs in adult patients with bronchiectasis, the drug cost was the highest (40.53%), the test cost was the second (20.59), and the nursing cost was the lowest (2.59%). In results of univariate analysis of cases with different characteristics, chronic obstructive pulmonary disease (COPD), smoking history, age, duration of hospitalization, and the percentage of neutrophils were statistical significance (p < 0.05). independent factors. Conclusion: independent factors of hospitalization costs in adult patients with bronchiectasis included hospitalization duration, smoking history, COPD, and high neutrophil percentage. Therefore, medical staffs should control and avoid those factors in treatment of adult patients with bronchiectasis.
Abstract: Objective: To explore Influencing factors of hospitalization costs in adult patients with bronchiectasis. Methods: The data were collected from public hospitals in China between May 2016 and December 2019, the information collected includes the following: total hospitalization cost, age, sex, blood routine, length of stay, and complications. Result...
Show More
-
Application of Psychological Nursing Intervention to Patients with Leukemia Chemotherapy
Issue:
Volume 10, Issue 1, February 2021
Pages:
91-94
Received:
16 January 2021
Accepted:
15 February 2021
Published:
26 February 2021
Abstract: Background: In leukemia chemotherapy, leukemia is considered one of the most important diseases in medical field. Also, nursing intervention has been shown to be one of key factors as it can improve the mood of depression and anxiety of patients. Objective: To assess application of psychological nursing intervention to patients with leukemia chemotherapy. Methods: This study is a horizontal comparative, that we assess the application of psychological nursing intervention to patients with leukemia chemotherapy by comparison of mental status of patients and their satisfaction. we collected valid data from 138 patients with leukemia chemotherapy. We randomly assigned patients to two groups: the control group received conventional nursing intervention, and the intervention group received psychological nursing intervention on the basis of conventional nursing intervention. Besides, the data were collected from medical records of patient and some questionnaire, the questionnaire contrasted Self-Rating Anxiety Scale (SAS), Self-rating depression scale (SDS) and satisfaction assessment questionnaire. Result: In patient characteristics, there were no significant differences in age, gender and course factors between the two groups [38.69±15.21 vs 40.90±11.87, 26 (66.7%) vs 37 (94.9%), 5.25±5.01 vs 6.05±5.26, p > 0.05]. Additionally, the intervention group had lower assessments of SDS and SAS compare with control group, it means that intervention group had better mental health after carrying out nursing intervention (41.5±8.82 vs 53.4±10.44, 49.65+9.45 vs 40.25+5.11). base on satisfaction assessment, intervention group had 97.1% of satisfaction rate, it was significant differences for satisfaction rate of control group (97.1% vs 85.5%, p < 0.05). Conclusion: psychological nursing intervention had better effect in improvement of mental health in treatment of the patients with leukemia chemotherapy.
Abstract: Background: In leukemia chemotherapy, leukemia is considered one of the most important diseases in medical field. Also, nursing intervention has been shown to be one of key factors as it can improve the mood of depression and anxiety of patients. Objective: To assess application of psychological nursing intervention to patients with leukemia chemot...
Show More
-
Risk Factors for Fracture Events in Maintenance Hemodialysis Patients
Issue:
Volume 10, Issue 1, February 2021
Pages:
95-97
Received:
18 January 2021
Accepted:
15 February 2021
Published:
26 February 2021
Abstract: Objective: To explore risk factors for fracture events in maintenance hemodialysis patients. Methods: The study population was obtained from the hospital in patient database in China. There were 654 eligible patients with hemodialysis from 2018 – 2020. Other patient-related variables collected include gender, age, history of hypertension, history of diabetes mellitus, dialysis age, active vitamin D, hemoglobin, serum albumin, total cholesterol, triglyceride, serum corrected calcium. The primary outcome was any factors of fracture. Patients were followed until complete treatment or death. Besides, we performed subgroup analyses and used generalized linear models to assess interaction effects in logistic regressions. To clarify the relationship between fracture and risk factors, logistic regression was used. Result: By comparing non-fracture group and fracture group, we found that some factors were significantly difference, including gender, age, active vitamin D, and albumin (p = 0.001, p = 0.001, p < 0.001, p < 0.001). base on multivariate Logistic regression analysis of fracture occurrence in hemodialysis patients, older age, female, and low albumin were independent risk factors for fracture (p < 0.05). Also, the use of active vitamin D is a protective factor for fractures (p < 0.05). Conclusion: the risk factors for fracture events in maintenance hemodialysis patients included older age, female, low albumin, and active vitamin D.
Abstract: Objective: To explore risk factors for fracture events in maintenance hemodialysis patients. Methods: The study population was obtained from the hospital in patient database in China. There were 654 eligible patients with hemodialysis from 2018 – 2020. Other patient-related variables collected include gender, age, history of hypertension, history o...
Show More
-
Analysis on P Wave Morphology for PICC Placement Guided by Intracardiacelectrogram in Chinese Elderly Patients
Ying Wu,
Guohua Huang,
Jinai He,
Qiufeng Li,
Yutong Li
Issue:
Volume 10, Issue 1, February 2021
Pages:
98-101
Received:
20 January 2021
Accepted:
15 February 2021
Published:
26 February 2021
Abstract: Objective: PICC can effectively protect upper extremity veins. It can reduce repetitive puncture and the incidence of phlebitis, relieve the pain, and improve the quality of life for those with long-term intravenous infusion, repeated infusion of stimulant drugs and blood products, and poor peripheral superficial vein conditions etc.. Successful PICC tip positioning can effectively avoid catheter-related complications during clinical care. If the catheter tip is misplaced, it may cause malfunction and related complications, such as venous thrombosis, bacteremia, arrhythmia, and heart valve injury etc. To investigate the correlation and clinical significance of monitoring P-wave characteristics, especially the occurrence of double peaks for precise tip positioning of peripherally inserted central catheter (PICC) guided by intracardiacelectrogram (IEGM). Methods: Enrolled 116 PICC patients (age≥60, no heart diseases) in our hospital. Conducted retrospective analysis on patients’ medical records, PICC catheterization data, IEGM-guided positioning records and nursing records. Observed and recorded patients’ P-wave changes (peaked P wave, bi-directional P wave and double-peaked P wave) at different catheter tip positions by real-time IEGM, and then analyzed the case number and positioning accuracy. Used chest X-ray to determine whether the catheter tip had reached the ideal position, the tracheal carina to the cavo-atrial junction (CAJ). Results: Among 116 patients (63 males, 53 females), bidirectional P waves were detected in 112 of them (96.55%) in ECG Lead II; 63 with peaked P waves (53.3%); 49 with double-peaked P waves but no peaked P waves (42.2%), meaning bidirectional P waves were seen when fed in the catheter and returned to double peaks when the catheter was withdrawn; 4 with no significant changes (3.4%). Chest X-ray proved that 49 of 49 cases with double-peaked P waves reached the ideal catheterization position (100% in accuracy), and 43 of 69 cases with peaked P waves succeeded as well (68.2% in accuracy). Conclusions: Double-peaked P waves in IEGM-guided PICC positioning for elderly patients can be considered as an indicator of the catheter tip entering the CAJ and supplementary support of peaked P wave and bidirectional P wave guidance for catheterization.
Abstract: Objective: PICC can effectively protect upper extremity veins. It can reduce repetitive puncture and the incidence of phlebitis, relieve the pain, and improve the quality of life for those with long-term intravenous infusion, repeated infusion of stimulant drugs and blood products, and poor peripheral superficial vein conditions etc.. Successful PI...
Show More
-
Factors Influencing the Incidence of Hypoglycemia in Diabetic Hemodialysis Patients
Hongyan Peng,
Rui Cao,
Yaping Huang,
Chazhen Li
Issue:
Volume 10, Issue 1, February 2021
Pages:
102-105
Received:
18 January 2021
Accepted:
23 February 2021
Published:
28 February 2021
Abstract: Objective: To explore factors influencing the incidence of hypoglycemia in diabetic hemodialysis patients. Methods: we recorded the valid data from 557 patient from May 2017 to February 2021. This study consists of 3 steps, including collecting step, screening step and analysis step. In collecting step, our mainly task was collecting the data from the eligible patients. In screening step, we assigned patients to hypoglycemia and non-hypoglycemia based on whether they had a hypoglycemic event or not. Also, we will exclude ineligible patient data at this stage. In analysis step, we use software to analyze the data, and analyze related factors by multivariate Logistic regression analysis. Result: Compared with non- hypoglycemia group, we found that four factor of hypoglycemia group affect hypoglycemia event, they were significantly difference, including albumin, BMI, age, and hs-CRP (p < 0.05). Other factors were no significantly difference between hypoglycemia group and non- hypoglycemia group. In further analysis, the result displays that albumin, BMI, age, and hs-CRP were independent risk factors for hypoglycemia event (p < 0.05). Conclusion: albumin, BMI, age, and hs-CRP were impact factors of hypoglycemia in diabetic hemodialysis patients. Furthermore, the independent risk factors of hypoglycemia event included albumin, BMI, age, and hs-CRP. Of those, albumin and BMI can be control or affected by drugs or patient behaviors.
Abstract: Objective: To explore factors influencing the incidence of hypoglycemia in diabetic hemodialysis patients. Methods: we recorded the valid data from 557 patient from May 2017 to February 2021. This study consists of 3 steps, including collecting step, screening step and analysis step. In collecting step, our mainly task was collecting the data from ...
Show More
-
Impact of Nursing Activity Group Model on Health Education of Patients with Drugs
Xiuting Li,
Guiyan Wen,
Yingfeng Huang,
Huixia Yu
Issue:
Volume 10, Issue 1, February 2021
Pages:
106-109
Received:
22 January 2021
Accepted:
23 February 2021
Published:
28 February 2021
Abstract: Objective: To assess impact of nursing activity group model on health education of patients with drugs. Methods: This study is a retrospective study, that we collected the data before and after the establishment of the nursing action group, and evaluated the effect of establishing the nursing action group by comparing the data. We performed this study in a general tertiary hospital from January 2019 to December 2020. There were 2 stages in the study. At stage 1 (January 2019 - December 2019), we carried out common nursing model in daily work. At stage 2 (July 2020 - December 2020), we implemented usual measures and the countermeasures of nursing activity group themed at improving health education of drug. Using the assessment of medication compliance, satisfaction of patient and drug cognition of patients, we compared the changes of patients’ health education before and after the interventions to evaluate the effect of nursing activity group model. Result: Most of assessments were significant difference between two group, that health education of gastroenterology drugs of nurse and training on drug using on nurses had significant improvement after carry out nursing activity group model. In patients’ assessment of medication compliance and satisfaction, there was only a small increase in patient satisfaction by carrying out nursing activity group model, but patients were observed to be improved significantly during carrying out nursing activity group. Conclusion: Nursing activity group model can improve medication compliance of patients, satisfaction of patients, and drug cognition of nurses.
Abstract: Objective: To assess impact of nursing activity group model on health education of patients with drugs. Methods: This study is a retrospective study, that we collected the data before and after the establishment of the nursing action group, and evaluated the effect of establishing the nursing action group by comparing the data. We performed this st...
Show More
-
Effect of Psychological Nursing Intervention on Child Patients Who Received Circumcision
Issue:
Volume 10, Issue 1, February 2021
Pages:
110-113
Received:
25 January 2021
Accepted:
23 February 2021
Published:
28 February 2021
Abstract: Objective: To assess effect of psychological nursing intervention on child patients who received circumcision. Methods: We collected 112 valid data from child patients (younger than 14 years old), the patients who received circumcision from April 2017 to October 2020. Base on the type of nursing intervention patients receive, the patients were assigned to two groups: Control group participants (n = 62) received common nursing intervention before circumcision, and intervention group participants (n = 50) received psychological nursing intervention before circumcision. After circumcision, we collected the data from medical records and questionnaire, the questionnaires included Self-Rating Anxiety Scale (SAS), Self-rating depression scale (SDS) and satisfaction assessment questionnaire. Result: By comparing control group and intervention group, the patient characteristics were no significantly different in this study, including age, patient number who undergoing postoperative complications, operation time and anesthesia method (p > 0.05). Compared with control group participants, intervention group participants had better outcome in anxiety assessment and depression assessment, and their results were significantly different after carry out nursing intervention (p < 0.05). Compared with the participants who received common nursing and their family, the participants who received psychological nursing intervention and their family had higher satisfaction rate after circumcision (67.13% vs 92.54% and 65.34% vs 95.15%). Conclusion: psychological nursing intervention improve mental health of child patients who received circumcision, that it had better effect compare with common nursing intervention.
Abstract: Objective: To assess effect of psychological nursing intervention on child patients who received circumcision. Methods: We collected 112 valid data from child patients (younger than 14 years old), the patients who received circumcision from April 2017 to October 2020. Base on the type of nursing intervention patients receive, the patients were assi...
Show More
-
Effect of ERAS Combined with Low-frequency Pulsed Electronic Bladder Therapy Instrument on Patients Who Received PPH
Zhenxin Zhang,
Junyi Yu,
Tianying Pang
Issue:
Volume 10, Issue 1, February 2021
Pages:
114-117
Received:
26 January 2021
Accepted:
23 February 2021
Published:
28 February 2021
Abstract: Objective: To assess effect of enhanced recovery after surgery (ERAS) combined with low-frequency pulsed electronic bladder therapy instrument on patients who received procedure for prolapse and hemorrhoids (PPH). Methods: rom January 2020 to December 2020, we collected valid data from 172 patients. According to the random number table method, the participants were divided into intervention group and control group, 86 cases in each group. We provided traditional nursing intervention to control group participants during non-surgery period. In addition, we provided ERAS combined with low-frequency pulsed electronic bladder therapy instrument to intervention group participants. Result: intervention group had better outcome in time of first exhaust, time of activity out of bed, and time of hospital stay compare with control group, that the results were significantly different (p < 0.05). In degree of wound pain of patient, NRS scores in preoperative, six hours after surgery, and 24 hours after surgery were lower in intervention compare with control group, that the results were significantly different. Conclusion: RAS combined with low-frequency pulsed electronic bladder therapy instrument can reduce wound pain of patient, and it speeds patient recovery, promotes early urination after surgery, reduces the risk of urinary retention, and shortens the length of hospital stay.
Abstract: Objective: To assess effect of enhanced recovery after surgery (ERAS) combined with low-frequency pulsed electronic bladder therapy instrument on patients who received procedure for prolapse and hemorrhoids (PPH). Methods: rom January 2020 to December 2020, we collected valid data from 172 patients. According to the random number table method, the ...
Show More
