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Objective:To investigate the current situation of clinical practice of cancer chemotherapy-related gastrointestinal symptoms (CGIS) management among oncology nurses in Ningxia, and to explore the correlation between CGIS management and nurses′ knowledge and attitude and medical and nursing cooperation, so as to provide evidence for improving the clinical practice of cancer patients CGIS management among oncology nurses in Ningxia.Methods:This was a cross-sectional study. From January 25 to 31, 2021, the general data questionnaire and the questionnaire of clinical practice of CGIS management for cancer patients were used to survey 289 nurses in oncology department in Ningxia.Results:The scores of medical and nursing cooperation, CGIS knowledge, attitude, and CGIS management clinical practice activities of nurses in oncology department were (24.94 ± 3.20), (20.19 ± 3.82), (52.19 ± 6.17) and (129.93 ± 36.33) points, respectively. Among the scores of CGIS management clinical practice activities, gastrointestinal symptoms evaluation dimension scored the lowest, and the highest was CGIS health education dimension. There was a significant positive correlation between the scores of clinical practice of CGIS management of cancer patients and the scores of knowledge and attitude of oncology nurses ( r values were 0.225-0.293, all P<0.05). Conclusions:The clinical practice of cancer patients′CGIS management by oncology nurses needs to be improved, especially the evaluation of cancer patients′CGIS by oncology nurses. Nursing managers should formulate the activity guide of CGIS management clinical practice as soon as possible, strengthen the training of nurses′ relevant knowledge, and provide nurses with appropriate evaluation tools to improve the clinical practice of CGIS management.
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Objective:To promote the evidence application of the "Expert Consensus on Nursing Care for Prevention of Adult Oral Tracheal Intubation Unplanned Extubation" and verify its effectiveness.Methods:This was a quasi-experimental study. A total of 31 ICU nurses from Tianjin Teda Hospital were trained by workshops, in order to help promote the evidence transformation. With the evidence application model of the JBI Evidence-Based Health Care Center, we reviewed the measures for mechanically ventilated patients before and after intervention (51 cases at baseline and 77 cases at second review).Results:No unplanned extubation occurred during the period of two rounds of evidence review, the implementation rate of 9 review indicators had improved, and 6 of them showed statistically significant differences. indicator 1 increased from 3.92% (2/51) to 100.00% (77/77),indicator 3 increased from 86.27% (44/51) to 100.00% (77/77), indicator 5 increased from 27.45% (14/51) to 100.00% (77/77), indicator 7 increased from 45.10% (23/51) to 70.13% (54/ 77), indicator 8 increased from 50.98% (26/51) to 100.00% (77/77), indicator 9 increased from 45.10% (23/51) to 77.92 % (60/77), the difference was all statistically significant ( χ2 values were 8.02-119.87, all P<0.05). Conclusions:The "Expert Consensus on Nursing Care for Prevention of Adult Oral Tracheal Intubation Unplanned Extubation" can provide guidelines for clinical nursing practice. While preventing unplanned extubation, it can standardize nurses' behavior and promote medical-nursing cooperation.
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Objective To explore the nursing measures in blue laser endoscopy. Methods Endoscopy was performed in 102 patients. The nursing was done including preoperative preparation, nurse's coordination for different mode of endoscpy, postoperative nursing and so on. Result The endoscopy for the 102 patients was successfully done,the time ranging between 10~25 min,averaged 13.85 min.No complications were found. Conclusion The nursing measures including careful preoperative preparation,intraoperative cooperation and postoperative nursing are key to the successful detection and diagnosis of diseases by blue laser endoscopy.
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Objective:To investigate the effect of PDCA management combined with brainstorming on the nursing cooperation degree and adverse events in digestive endoscopy therapy.Methods: 500 patients received digestive endoscopy were divided into control group (n=250) and observation group (n=250) according to the number table method. The patients of control group received routine nursing care of digestive endoscopy room, and the patients of observation group adopted PDCA management method combined with brainstorming method to carry out nursing analysis and research. The nursing cooperation degree and adverse events of two groups were observed and researched. Results: The total effective rate of observation group was significantly higher than that of control group (x2=10.28, P<0.05). SAS score of observation group was significantly lower than that of control group (t=12.54, P<0.05). And the nursing satisfaction degree of observation group was significantly higher than that of control group (x2= 26.08, P<0.05). And the complication of observation group was significantly lower than that of control group (x2=16.33, P<0.05). Besides, the incidence of adverse events of observation group was significantly lower than that of control group (x2=16.10,P<0.05).Conclusion: PDCA management combined with brainstorming can effectively enhance the nursing cooperation degree and reduce the adverse events of patients who received digestive endoscopy therapy.
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Objective To explore the nursing cooperation ofpre-hospital emergency trauma and hospital treatment intelligent network operation system seamless docking. Methods 56 cases of traumatic patients had surgical treatment in the hospital from July 1,2016 to November 30,2016 had pre-hospital emergency trauma hospital treatment intelligent network operation system (TPEITS) applied in emergency saving, at the same time of pre-hospital first aid, by CT and ultrasound B checking hospital appointments was finished with TPEITS system to open checking green channel and shorten the checking waiting time of patients. When the booking checking, operating room and emergency personnel appointment was finished through TPEITS system, open the green channel of the surgery, shorten the surgery patients waiting time,and in pre-hospital and hospital emergency care coordination were applied. Effective treatment time (patients disease onset to surgery time), rescue success rate, length of hospital stay and patients′satisfaction of the patients were statistically analyzed.And 32 cases of emergency trauma patients had normal pre-hospital emergency, hospital surgical treatment and nursing from February 1, 2016 to June 30,2016 were taken as control group.TPEITS system and regular pattern effective treatment time, rescue success rate, length of hospital stay and patients′ satisfaction, etc were compared. Results Effective treatment time and hospital stay of TPEITS system were(42.26±5.47)min and(36.45±9.85)d respectively,which were shorter than the(78.53±16.78)min and(48.28±12.55)d of regular pattern.And rescue success rate and patients′satisfaction of TPEITS system were 94.64%(53/56)and 92.86%(52/56) respectively,which were higher than the 75.00%(24/32)and 68.75%(22/32)of regular pattern(x2=5.500, 8.846, P<0.05). Conclusions Pre- hospital emergency trauma combined with hospital treatment intelligent network operation system seamless docking with good nursing can shorten the emergency response time, shorten the operation prepare time, improve the rescue effect and patient satisfaction,therefore,it worth clinical promotion.
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Objective To explore the nursing cooperation in use of lung inflation system for video-assisted thoracoscopic surgery (VATS) for spontaneous pneumothorax. Method The key nursing points in nursing 42 patients with spontaneous pneumothorax undergoing VATS were analyzed. Results The operations were all successful. One patient contracted lower left atelectasis but it was cured after the tracheal tube was re-adjusted. On day one, there were two cases of gas leakage during thoracic closed drainage:one was of diffuse pulmonary bulla, and the gas leakage stopped on the second day; In the other cases, the gas leakage stopped 2 days after the tube was withdrawn by 3cm probably because the drainage tube was inserted too deep at the beginning. 6-30 months follow-ups showed no recurrence of pneumothorax in the operated site. Conclusions The lung inflation system is safe during VATS for spontaneous pneumothorax. Careful preoperative preparation of the equipment and skillful nursing cooperation at all procedures are critical for the success of VATS.
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Objective To discuss on nursing of patients multiple- patient burn- blast combined injury, the cooperation of processes and quality control. Methods For 35 cases of burn- blast combined injury, emergency plan was initiated immediately, including staffing allocation, supplies allocation, nursing quality control and monitoring the inpatient areas, etc. Results 35 cases of burn- blast combined injury acquired immediate treatment of burn shock and nursing. Rescue rate of multiple- patient burn blast arrived 77.14%(27/35), with no case of nursing complication. Conclusions Timely allocation of nursing staff, rational quantity and structure, forceful organization and coordination, complete and timely supplies, correct quality control of emergence nursing and beneficial solutions are keys to ensure successive nursing of intensive patients of burn-blast combined injury, and also reflection of nursing quality guarantee.
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Objective To summarize the experience of nursing cooperation for immediate breast reconstruction with the latissimus dorsi myocutaneous flap. Methods Twenty breast cancer patients underwent modified radical surgery with intraoperative immediate application of the latissimus dorsi myocutaneous flap in combination with the same period breast prosthesis for breast reconstruction. The nursing measures included preoperative preparation and mental support, intraoperative active cooperation, position care, sustaining of body temperature and strict aseptic and disease-free technology. Results All the breast cancer patients lived through breast cancer modified radical immediate breast reconstruction. No flap necrosis occurred , neither did obvious complications. The operations were satisfactory. Conclusion The key to the breast reconstruction for the breast cancer patients exists in preoperative psychological nursing , intraoperative strict aseptic and disease-free technology , the proper operation position and the correct use of instruments and equipment.
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Objective To introduce the surgical cooperation in finger-guided modified Nuss operation. Methods Forty-six patients with pectus excavatum (PE) underwent the finger-guided modified Nuss operation during September 2013 to August 2015. We retrospectively reviewed the surgical data and sumed up the key points for nursing cooperation. Results All the operations were successful. One patient developed preumothorax and chest subcutaneous emphysema;one patient developed pleural effusion. There was no bar shifting in the follow-ups. Conclusions Enough preoperative preparation and good doctor nurse cooperation are critical for the success of operations.
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[Summary] From November 2013 to March 2014, 3D laparoscopic operations were carried out in 14 cases in the department of urology of our hospital .The operation went smoothly , without conversions to laparotomy .The operation time was 54-466 min, with an average of 180 min.The intraoperative blood loss was 5 -400 ml, with an average of 70 ml.No pressure sores or operation complications occurred.The medical staff participating in the operation generally felt a good 3D vision, without sense of vertigo.We deem that during urological operations which have different operation postures , it is very important to protect both laparoscopic system and operation area from pollution .Timely and properly wearing 3D glasses, application of one-eye-detection method for lens sharpness , and the switching between 2D and 3D modes can reduce and relieve visual fatigue .
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Objective To identify the potential risks in the process of nursing care for children with tracheal foreign body removal and improve the skills and the process, to promote the quality of nursing care and the success rate of tracheal foreign body removal. Methods The failure mode and effect analysis (FMEA) were used to analyze the potential risks in children with tracheal foreign body removal, preoperative, intraoperative and postoperative care, and to find out the possible risks in each medical treatment. For pediatric venous puncture technology was not skilled, surgical position placement inappropriate (especially in the case of foreign body removal surgery posture), surgical instruments and equipment management, intraoperative nursing cooperation and observation of the disease, postoperative transfer and other aspects of the transfer of training and improvement. Results The medical risk value (RPN) in the treatment of pediatric tracheal foreign body removal in the process of nursing in the control group was reduced from 1 284.2 to 213.2 of the experimental group. The average value of doctors' satisfaction was increased from 79.33% in the control group to 93.33%in the experimental group, P<0.05, the difference was statistically significant. Conclusions The use of FMEA in the treatment of pediatric tracheal foreign body removal surgery care and medical risk management improve the quality of surgical care and help improve the success rate of tracheal foreign body removal. It also ensures the safety of the children in the operation process and improves the quality of nursing work.
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Objective To summarize the nursing experience during removing the upper gastrointestinal foreign bodies in special patients by painless endoscopy. Method Retrospective analysis was done to investigate the clinical records on endoscopy for removing the upper gastrointestinal foreign bodies in 69 special patients. Result The foreign bodies in 67 patients were removed by endoscopy successfully, without severe complications such as bleeding and perforation; one patient was removed with duodenum lateral telescope; one patient turned for sugery . Conclusion Sufficient preoperative preparation and skilled surgical nursing cooperation are promising for the successful removal of upper gastrointestinal foreign bodies in special patients.
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Objective To explore the cooperation of video electroencephalogram (VEEG) and nursing in the use of correcting iatrogenic refractory epilepsy in children.Methods We implemented the following nursing measures:making an appointment to understand the patients' history and seizures; controlling the condition of VEEG seriously to reduce the interference of potential difference; performing the recording of the background wave of the VEEG with eyes test,hyperventilation,flash stimulation and other evoked tests; giving experiment to induce seizure,such as vertical test,hot water stimulation and so on,which was according to the characteristics of children with seizures; informing the parents and children to review the VEEG and perfect the relevant inspection to correct the diagnosis of epilepsy clearly.Results 5 patients in 9 cases had corrected the diagnosis and classification of epilepsy.2 cases who had been diagnosed as BECT (benign childhood epilepsy with centrotemporal spikes) appeared new type of seizure in the course of disease,then we diagnosed the variant of BECT,according to the characteristics of VEEG.2 cases were excluded the diagnosis of epilepsy.Conclusions During application of VEEG in the use of correcting iatrogenic refractory epilepsy in children,we should pay attention to the communication with children and parents,strictly implement monitoring standard,give testing stimulation according to characteristics of children,so that we can get real and satisfying monitoring results.
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Objective To investigate the nursing cooperation in clinical application of RetCamⅢ wide-field digital pediatric retinal imaging system.Methods 119 patients were given pointed nursing guidance while they underwent RetCamⅢ wide-field digital pediatric retinal imaging system examination.Results All patients accomplished the examination.29 cases had adverse reactions after using mydriatic.27 cases felt discomfort during the examination.22 cases appeared adverse reactions after examination,but relieved after nursing cooperation and guidance.Conclusions RetCamⅢ wide-field digital pediatric retinal imaging system is a rapid,safe and effective method for pediatric fundus examination.Favorable nursing cooperation and guidance is the guarantee of accurate and effective examination and harmonious relationship between doctor-nurse-patient.
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Objective To summarize the key points in surgical cooperation of laparoscopic left lateral segment liver resection. Methods The clinical data of 24 patients undergoing laparoscopic left lateral segment liver resection from March to September of 2013 were analyzed retrospectively to summarize the key points in surgical cooperation of preoperative preparation and intraoperative coordination.Result All the operations were successful with the operation mean time of(72.0±26.8)min,no intraoperative transfer or termination of the operations.Conclusion Sufficient preoperative preparation together skilled surgical nursing cooperation in laparoscopic left lateral segment liver resection is critical for the success of operation.
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Objective To explore the points of nursing cooperation during double pedicle of forehead flap for repair of mouth scar contracture deformity.Methods The psychological nursing,equipment and instrument preparation,cooperation of instrument nurses and circuit nurses were summarized in 15 cases of an expanded forehead flap for repair of mouth scar contracture.Results The operation process was smooth,all the flaps survived,repair effect was good,no complications occurred.Conclusions Burn plastic surgery specialist nurses in operation room giving careful preoperative visit and nursing risk assessment can alleviate the psychological pressure of the patients,reduce the defects of nursing.Close cooperation during operation and effective environmental management is critical for successful completion of operation.
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Objective To investigate the nursing experience during posterior cruciate ligament(PCL)reconstruction using LRAS artificial ligament under arthroscopy.Method The experience in nursing 51 cases of PCL reconstruction using LARS artificial ligament under arthroscopy from 2009 to 2012 was retrospectively summarized.Results It showed that KDC score of the 39 cases was excellent and 12 cases good,with the excellent and good rate of 100.0%.The average operation duration was(70.0±6.0)min and the average blood lose(50±3.6)ml.Conclusion Sufficient preparation before operation,much familiarity with LARS artificial ligament,skilled and accurate surgical cooperation are important factors for the success of PCL reconstruction using LARS artificial ligament under arthroscopy.
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Objective To investigate nursing cooperation during gastric coronary vein embolization procedure with NBCA glue. Methods Perioperative nuusing experience in 36 hepatic cirrhosis patients complicated with esophagus-gastric fundus vein varicose rupture and hemorrhea who had undergone gastric coronary vein embolization procedure was retrospectively summarized. Results Operations in all 36 cases had been successful,with no severe complication due to inadequate nursing cooperation. Conclusions Gastric coronary vein embolization operation utilizing NBCA glue is a safe and effective method of hemostasis,skilled and elaborative nursing cooperation is an important component ensuring a smooth and effective operation.
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ObjectiveTo explore the points of nursing cooperation during hand-assisted thoracoscopic surgery for simultaneous operation of bilateral lung metastasectomy.Methods The preoperative preparation,nursing cooperation during the surgery,the cleaning and maintenance of surgical instruments and equipment after operation were retrospectively summarized in 72 patients who underwent hand-assisted thoracoscopic surgery for simultaneous treatment of bilateral pulmonary metastases. ResultsAll the procedures of surgery were smooth.No patients were converted to thoracotomy or died of surgery. Conclusions It is an important challenge for nursing quality in the operation room and the cleaning and maintenance of surgical instruments and equipment in carrying out hand-assisted thoracoscopic surgery.The skilled nursing cooperation and standardized operating procedures could improve the quality of intraoperative nursing cooperation.It could ensure the smooth process of simultaneous operation of bilateral lung metastasectomy.
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@#Objective To report the experience of nursing during operation on spina bifida and related diseases.Methods 168 patients with spina bifida and related diseases undergoing spine surgery in the hospital from October, 1989 to October, 2008 were reported. They were 76 males and 92 females, the averaged age was 5.6 years old (from 1 month to 23 years old). There were two follow-ups one month and 6 months to 2 years after operation. Results According to the second follow-up, the neural function improved in 123 cases, didn't change in 32 cases, and deteriorated in 13 cases. Nursing experience included: carefully observed the patients, especially managed respiratory tract and blood pressure; prepared good conditions for surgon to protect the neural function; sponge cushion for the pressured positions.Conclusion Perfect preparation of nursing can facilitate spine surgery on spina bifida and related diseases.