Nursing Science

Journal Information
ISSN / EISSN : 2168-5657 / 2168-5614
Published by: Hans Publishers (10.12677)
Total articles ≅ 519
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俊张 金
Published: 1 January 2022
Nursing Science, Volume 11, pp 366-375; https://doi.org/10.12677/ns.2022.113061

Abstract:
Objective: To systematically evaluate the effect of intra-abdominal pressure monitoring on enteral nutrition complications in critically ill patients. Methods: Literatures concerning the effect of intra-abdominal pressure monitoring on enteral nutritional complications in critically ill patients were searched in these databases, including PubMed, Web of Science, EMbase, Cochrane library, CNKI, WanFang, CBM and VIP from inception to 31 September 2019. Meta analysis was performed by using RevMan 5.3 software. Results: A total of 10 randomized controlled trials were included. Meta-analysis results showed that intra-abdominal pressure monitoring can reduce diarrhea (RR = 0.53, 95% CI: 0.42~0.66, P < 0.01), abdominal distension ( RR = 0.38, 95% CI: 0.26~0.57, P < 0.01), vomiting ( RR = 0.44, 95% CI: 0.33~0.59, P < 0.01), bowel sounds decreased or disappeared ( RR = 0.52, 95% CI: 0.34~0.80, P < 0.01), gastrointestinal bleeding ( RR = 0.60, 95% CI: 0.39~0.92, P = 0.02), reduce the length of hospital stay ( MD = −4.88, 95% CI: −7.08~−2.69, P < 0.01), mechanical ventilation time ( MD = −2.77, 95% CI: −4.44~−1.10, P < 0.01), APACHE-II score ( MD = −5.08, 95% CI: −7.44~−2.71, P < 0.01). Conclusion: Existing evidence shows that intra-abdominal pressure monitoring can help reduce diarrhea, abdominal distention, vomiting, bowel sounds decreased or disappeared, and gastrointestinal bleeding in critically ill patients. Length of hospital stay, mechanical ventilation time, and APACHE-II score were reduced in critically ill patients, but more high-quality studies are needed to corroborate the findings.
赵 丹
Published: 1 January 2022
Nursing Science, Volume 11, pp 59-63; https://doi.org/10.12677/ns.2022.111011

Abstract:
Objective: To explore the application effect of case management in diabetes nursing. Methods: 100 patients with type 2 diabetes who received treatment in our hospital from December 2020 to August 2021 were selected as the research object, and were divided into control group and observation group according to random number method, with 50 cases in each group. The control group received routine nursing, and the observation group received case management nursing intervention. Blood glucose related indicators, self-management ability indicators and quality of life indicators of patients in the two groups were compared before and 3 months after intervention. Results: Before intervention, there were no significant differences in FPG, 2hPBG, HbAlc and other blood glucose indexes between the two groups (P > 0.05). After 3 months of intervention, there were statistically significant differences in FPG, 2hPBG, HbAlc and other blood glucose indicators between 2 groups (P 0.05). After 3 months of intervention, there were statistically significant differences in self-management ability indicators such as healthy diet, regular exercise, foot care and blood glucose monitoring between 2 groups (P 0.05). After 3 months of intervention, there were statistically significant differences in quality of life indicators between 2 groups (P < 0.05). Conclusion: Using case management nursing intervention can improve patients’ blood glucose related indicators, improve patients’ self-management ability and quality of life.
张 磊
Published: 1 January 2022
Nursing Science, Volume 11, pp 237-244; https://doi.org/10.12677/ns.2022.112042

Abstract:
Purpose: To understand the oral health status of rural residents in X County, Shaanxi Province and their knowledge of oral health care, and to investigate the incidence of dental caries and periodontal disease among rural residents in X County, Shaanxi Province, and take this as a basis to guide the oral prevention and health care of rural residents in this area. Method: According to the survey method of the fourth National Epidemiological Survey of Oral Health, the subjects were divided into four age groups: 35~44, 45~54, 55~64 and 65~74. The total sample size was 1258. The survey was divided into oral health status survey and oral health questionnaire survey. The detection rate of gingival bleeding, dental calculus and periodontal pocket was used as statistical index of periodontal disease. Result: The total incidence rate of dental caries was 92.2%, the number of caries examined was 7.87, the detection rate of gingival bleeding was 88.8%, the detection rate of dental calculi was 96.5%, the edentulous rate was 2.5%, and the restoration rate of denture was 29.8%. Conclusion: The incidence of dental caries, gingival bleeding, the detection rate of dental calculus and the total edentulous rate were higher than those of the fourth National Oral Health Epidemiological sampling Survey, the tooth loss rate was high and the restoration rate of denture was also high. The prevention and treatment of oral health of rural residents should be strengthened, improving the oral medical conditions of rural residents.
鸣叶 凤
Published: 1 January 2022
Nursing Science, Volume 11, pp 406-410; https://doi.org/10.12677/ns.2022.113068

Abstract:
Objective: To analyze the influencing factors of pulmonary infection in ICU patients and the corresponding nursing measures. Methods: 90 patients hospitalized in ICU of our hospital from February 2021 to March 2022 were selected by simple random sampling. 45 patients with pulmonary infection were included in the study group, and 45 patients without pulmonary infection were included in the control group. Firstly, the culture results of lower respiratory tract samples (sputum, aspirate through trachea intubation or bronchoalveolar lavage fluid) from patients with pulmonary infection were analyzed, and the risk factors of pulmonary infection in ICU patients were analyzed by binary logistic regression. Results: Age, duration of glucocorticoid use, previous basic medical history and types of antibiotics were the key influencing factors of pulmonary infection in ICU patients. Conclusion: Pulmonary infection in ICU patients is related to many factors. Hormone and antibiotics monitoring, high-frequency nursing and other measures should be implemented in clinic.
辉黄 文
Published: 1 January 2022
Nursing Science, Volume 11, pp 416-420; https://doi.org/10.12677/ns.2022.113070

Abstract:
Objective: To explore the effect of multi-dimensional collaborative nursing model in intensive care unit. Methods: The study was carried out from January 2021 to April 2022. 90 patients were randomly selected from the nursing patients in the intensive care unit of a hospital as the research object. They were divided into control group (routine nursing) and research group (multi-dimen- sional collaborative nursing) according to the enrollment order. The nursing effects under different nursing methods were compared and analyzed. Results: Before nursing, there was no significant difference in SAS and SDS scores between the two groups (P > 0.05). After nursing, the improvement effect of the study group was significantly better than that of the control group (P < 0.05). The nursing satisfaction of the two groups was evaluated from the aspects of psychological nursing, nursing skills, popularization of knowledge and improvement of collaborative ability. The results showed that the scores of the study group were significantly higher than those of the control group (P < 0.05). Conclusion: Using multi-dimensional collaborative nursing model to care patients in intensive care unit can effectively improve patients’ negative emotions, improve nursing effect and obtain high patient satisfaction.
群黄 艳
Published: 1 January 2022
Nursing Science, Volume 11, pp 429-433; https://doi.org/10.12677/ns.2022.113073

Abstract:
Objective: To analyze the effect of targeted nursing in the elderly patients with debilitating dysphagia. Methods: 90 senile patients with dysphagia hospitalized in the geriatrics department of a hospital from January 2021 to April 2022 were selected as the research objects. They were randomly divided into the control group and the observation group. The elderly in the control group received routine oral care intervention, and the elderly in the observation group received targeted nursing intervention, with 45 cases in each group. The dysphagia, weakness and complications of the two groups were compared. Results: Before nursing intervention, there was no significant difference in the scores of dysphagia and fried asthenia between the two groups (P > 0.05). After nursing intervention, the recovery score of dysphagia in the observation group was significantly higher than that in the control group (P 0.05). During the nursing period, the incidence of complications in the observation group was 11.11%, significantly lower than 28.89% in the control group (P < 0.05). Conclusion: The implementation of targeted nursing care for elderly patients with debilitating dysphagia can improve the recovery effect of dysphagia, reduce the occurrence of complications, and is conducive to the prognosis.
菁赵 菁
Published: 1 January 2022
Nursing Science, Volume 11, pp 359-365; https://doi.org/10.12677/ns.2022.113060

Abstract:
Objective: Discuss the application effect of Ideological and Political Theory Education integrated into the third level of core socialist values in Community Nursing. Methods: Ideological and Political Theory Education was incorporated into the course of Community Nursing among junior college students of grade 2020. It includes the construction of ideological and political case resource database, improving teachers’ ideological and political teaching ability, enriching teaching methods and reforming assessment methods. Students’ feedback was investigated after this course. Results: The 753 students held positive attitudes towards teachers’ professional quality, teaching objectives, teaching content, teaching process, teaching strategies, and teaching effects. Conclusion: The Ideological and Political Theory Education focuses on the combination of professional knowledge and skills with the training of socialist core values. The ideological and political work runs through the whole process of education and teaching, which improves the students’ professional attitude towards Community Nursing, and sets up a good personal values for the students.
艺张 晓
Published: 1 January 2022
Nursing Science, Volume 11, pp 347-353; https://doi.org/10.12677/ns.2022.113058

Abstract:
Diabetes is a group of metabolic diseases caused by the joint action of heredity and environment. It is one of the most common chronic diseases in the world, and it is a serious threat to people’s health. Hydrogen medicine is in a vigorous development stage. Hydrogen has the effects of anti-inflammatory, anti-oxidation, anti apoptosis and regulating signal pathways. In recent years, hydrogen has been proved to play a role in the prevention and treatment of many diseases including diabetes. At present, hydrogen medicine is in a vigorous development stage. This article mainly summarizes four aspects of the development of hydrogen medicine, the role of hydrogen molecules and their basic research and clinical research in diabetes, so as to provide new ideas for further research on hydrogen in the prevention and treatment of diabetes.
然韦 怡
Published: 1 January 2022
Nursing Science, Volume 11, pp 339-346; https://doi.org/10.12677/ns.2022.113057

Abstract:
Objective: To explore the application effect of continuous care based on wechat platform in patients after percutaneous coronary intervention (PCI). Methods: A total of 84 patients with coronary heart disease who underwent PCI in the Department of Cardiology, The Second Affiliated Hospital of Shandong First Medical University from November 2021 to January 2022 were selected as the study subjects and divided into observation group and control group, with 42 patients in each group. The control group was given routine continuous care, and the observation group was given continuous intervention strategy based on wechat. The self-management behavior and quality of life of the two groups were statistically compared before surgery, one month and three months after surgery. Results: After intervention, the SAQ scores of physical activity limitation, angina attack frequency, treatment satisfaction and disease cognition in the observation group were higher than those before intervention, with statistical significance (P < 0.05). SAQ scores of the control group before and after intervention had no statistical significance except physical activity limitation ( P > 0.05). After intervention, the scores of CHD self-management behavior scale, bad hobby management, emotional cognitive management and treatment compliance management in the observation group were statistically significant ( P < 0.05). Conclusions: The application of continuous intervention strategies based on wechat has a good effect, which is of great significance for improving the treatment compliance with PCI, improving the quality of life of patients and reducing the incidence of adverse cardiovascular events.
萍于 建
Published: 1 January 2022
Nursing Science, Volume 11, pp 319-323; https://doi.org/10.12677/ns.2022.113054

Abstract:
Private hospitals are an important part of China’s medical and health service system. They play an indispensable role in alleviating the operation pressure of public hospitals and improving China’s medical and health market. As private hospitals undertake the important task of treating patients and saving people and ensuring people’s health and life safety, how to improve the clinical medical care level of private hospitals has become the focus of the hospital itself and the society. Clinical nurse is the core factor that determines the level of clinical care in the hospital, which affects the quality of clinical service and clinical treatment effect of the hospital. By establishing the training system of clinical nurses, scientifically promoting the training of clinical nurses, and enhancing the professional quality and professional ability of clinical nurses, it can effectively promote the improvement of the clinical medical level of private hospitals, and enable private hospitals to better implement their mission and responsibility of treating patients and saving people and serving the health of the masses. Based on the author’s own practical work experience and learning understanding, this paper first analyzes the necessity of establishing the training system of clinical nurses in private hospitals from different angles, and then puts forward some exploratory suggestions on the establishment of the training system of clinical nurses in private hospitals, mainly taking a private hospital as an example.
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