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Objective:To investigate the influence of collaborative psychological nursing on the quality of life and psychology of non-Hodgkin lymphoma (NHL) patients and their caregivers.Methods:Eighty NHL patients and 80 caregivers in the Affiliated Hospital of Inner Mongolia Medical University from February 2018 to February 2019 were selected, and the patients were divided into observation group 1 (40 patients) and control group 1 (40 patients) according to the random number table method, and the caregivers were divided into observation group 2 (40 caregivers) and control group 2 (40 caregivers). Control group 1 was given routine nursing, and observation group 1 was given collaborative psychological nursing on the basis of routine nursing. The World Health Organization Quality of Life (WHOQOL)-BREF was used to compare the quality of life of two groups of patients and two groups of caregivers. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to compare the psychological states of two groups of patients and two groups of caregivers.Results:Compared with control group 1, the observation group 1 had lower SAS and SDS scores after nursing [(40±6) points vs. (44±6) points, t = 5.12, P = 0.014; (46±4) points vs. (52±4) points, t = 3.22, P = 0.031] and higher WHOQOL-BREF scores [(87.2±2.1) points vs. (65.0±2.5) points, t = 8.55, P = 0.018]. Compared with control group 2, the observation group 2 had lower SAS and SDS scores after nursing [(37±4) points vs. (40±4) points, t = 3.21, P = 0.021; (44±4) points vs. (49±3) points, t = 2.37, P = 0.032] and higher WHOQOL-BREF scores [(84.0±2.5) points vs. (79.5±2.7) points, t = 3.28, P=0.015]. Compared with before nursing, SAS and SDS of each group decreased after nursing, while WHOQOL-BREF scores increased, and all differences were statistically significant (all P < 0.05). Conclusions:Collaborative psychological nursing can effectively improve the quality of life and mental resilience score of NHL patients and their caregivers.
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Objective:To construct a training program to improve the psychological nursing ability of clinical nurses, so as to provide a strong guarantee for the clinical development of psychological nursing.Methods:By consulting the literature, related books and investigating the curriculum of nursing colleges, the first draft of the training program was drawn up. Four departments of Cardiovascular Medicine of the Second Xiangya Hospital of Central South University from May to August 2019 were recruited and 64 nurses were trained. After the training, the training program was revised again. After two rounds of training and modification, the second draft of the training program was formed, and then Delphi method was used to conduct two rounds of expert consultation on the second draft of the training program.Results:The positive coefficients of experts in the two rounds of consultation were 94.1% and 96.7% respectively, and the average authority coefficient of experts was 0.81. The final training contents included 5 first-class indexes, 18 second-class indexes and 45 third-class indexes. The coefficient of variation of each item of training contents was 0.06-0.23, and the coefficient of variation of training methods and training duration of each part was 0.06-0.17.Conclusions:The training program is scientific, reasonable, detailed and practical, which can provide guarantee for improving the psychological nursing ability of clinical nurses.
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Objetivo: verificar quais são os fatores associados à resiliência entre os enfermeiros que prestam assistência hospitalar frente à pandemia de COVID-19. Método: revisão integrativa, realizada nas bases de dados Cumulative Index to Nursing and Allied Health Literature, Literatura Latino-Americana e do Caribe em Ciências da Saúde e Medical Literature Analysis and Retrieval System Online. A busca ocorreu em maio de 2022, e foram selecionados 32 estudos. A análise das informações sucedeu de forma descritiva, confrontando os achados pertinentes. Resultados: variáveis que impactaram foram: idade; experiência no trabalho; escolaridade; exposição ao estresse; habilidades pessoais para lidar com situações críticas e estressantes. Conclusão: a literatura apresenta fatores associados que impactam na resiliência, permitindo elucidar as variáveis. Além do mais, subsidia o enfermeiro a se aprimorar, criando estratégias de enfrentamento e facilitando sua adaptação aos desafios da vida e do trabalho, principalmente na prestação da assistência segura.
Objective: to verify which factors are associated with resilience among nurses who provide hospital care in the face of the COVID-19 pandemic. Method: an integrative review, carried out in the Cumulative Index to Nursing and Allied Health Literature, Latin American and Caribbean Literature in Health Sciences and Medical Literature Analysis and Retrieval System Online databases. The search took place in May 2022, and 32 studies were selected. Information analysis took place in a descriptive way, confronting the relevant findings. Results: variables that impacted were: age; work experience; education; exposure to stress; personal skills to deal with critical and stressful situations. Conclusion: the literature presents associated factors that impact resilience, allowing the variables to be elucidated. In addition, it supports nurses to improve, creating coping strategies and facilitating their adaptation to challenges of life and work, especially in providing safe care.
Objetivo: verificar qué factores están asociados a la resiliencia entre los enfermeros que brindan atención hospitalaria frente a la pandemia de la COVID-19. Método: revisión integradora, realizada en las bases de datos Cumulative Index to Nursing and Allied Health Literature, Latin American and Caribbean Literature in Health Sciences y Medical Literature Analysis and Retrieval System Online. La búsqueda se realizó en mayo de 2022 y se seleccionaron 32 estudios. El análisis de la información se realizó de forma descriptiva, confrontando los hallazgos relevantes. Resultados: las variables que impactaron fueron: edad; Experiencia laboral; enseñanza; exposición al estrés; habilidades personales para hacer frente a situaciones críticas y estresantes. Conclusión: la literatura presenta factores asociados que impactan la resiliencia, lo que permite dilucidar las variables. Además, ayuda a las enfermeras a mejorar, creando estrategias de afrontamiento y facilitando su adaptación a los desafíos de la vida y del trabajo, especialmente en la prestación de cuidados seguros.
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Humans , Resilience, Psychological , COVID-19/nursing , Hospitals , Nurses/psychology , Nursing CareABSTRACT
Objective To learn the true experiences of clinical nursing leaders like the head of nursing department and head nurses of a hospital in their implementation and management of narrative care for reference in effective implementation. Methods This study used purposive sampling and snowball sampling of phenomenological research methods. 13 nursing managers were selected from 3 tertiary hospitals in Jiangsu and Hebei province for a semi-structure interview. The interview focused on implementation of such care. Results Following four themes emerged from original interview materials. Namely, the team building experience of narrative care (led by the hospital leader, the establishment of the nursing psychology committee, and the formation of the department narrative nursing team), nurse training of narrative care (phased training, test of learning effects, and qualifications of psychological counselors ), practical management of narrative care (encouragement first, and pressure as auxiliary means), and evaluation of nursing managers on the narrative care (active role, difficulties in implementation). Conclusions As an effective way of psychological nursing care, narrative nursing deserves nationwide application. Success of the application depends on emphasis and support of nursing managers who are expected to pay high attention and promote narrative nursing with teamwork power, so as to develop the narrative care ability of nurses.
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Objective@#To investigate the effect of clinical psychological nursing intervention on negative emotion and quality of life in patients with palliative treatment of digestive tract malignancies.@*Methods@#From June 2016 to June 2018, 100 patients with palliative treatment of digestive tract malignancies admitted to the first people′s hospital of Tianmen city as subjects. According to the random number table, patients were divided into control group and observation group, with 50 in each group. The control group received routine nursing intervention and the observation group received clinical psychological nursing intervention.The Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA), and Quality of Life Measurement Scale (EORTC QLQ-C30) were used to assess the mental state and quality of life of patients, and the differences of the above indicators before and after intervention were compared.@*Results@#After intervention, the HAMD score and HAMA scores in the observation group were (11.22±1.97) and (8.31±1.77), those scores in the control group were (14.58±2.16) and (9.35±2.49), the difference was statistically significant (t=8.008, 2.367, all P<0.05). After the intervention, the scores of role function, emotional function, fatigue, pain, appetite loss and overall quality of life in the observation group were (68.74±25.93), (72.41±21.70), (47.28±15.66), (30.08±12.10), (26.70±9.13) and (76.85±19.66); however, the socres mentioned above were (57.42±26.35), (62.16±21.52), (56.44±14.90), (37.25±15.18), (30.44±9.30), (67.93±20.75) in the control group. The scores role function, emotional function and overall quality of life were significantly increased in the observation group compared to the control group, while fatigue, pain and appetite loss scores were significantly decreased in the observation group compared to the control group (t=1.999-2.950, all P<0.05).@*Conclusions@#Patients with palliative treatment of digestive tract malignant tumors have obvious negative emotions. Clinical psychological nursing intervention can effectively alleviate negative emotions and improve quality of life. It can be used as an auxiliary method during palliative treatment of malignant tumors of digestive tract.
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Objective To investigate the effect of clinical psychological nursing intervention on negative emotion and quality of life in patients with palliative treatment of digestive tract malignancies. Methods From June 2016 to June 2018 , 100 patients with palliative treatment of digestive tract malignancies admitted to the first people′s hospital of Tianmen city as subjects. According to the random number table, patients were divided into control group and observation group, with 50 in each group. The control group received routine nursing intervention and the observation group received clinical psychological nursing intervention.The Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA), and Quality of Life Measurement Scale (EORTC QLQ-C30) were used to assess the mental state and quality of life of patients, and the differences of the above indicators before and after intervention were compared. Results After intervention, the HAMD score and HAMA scores in the observation group were (11.22±1.97) and (8.31±1.77), those scores in the control group were (14.58±2.16) and (9.35±2.49), the difference was statistically significant (t=8.008, 2.367, all P<0.05). After the intervention, the scores of role function, emotional function, fatigue, pain, appetite loss and overall quality of life in the observation group were (68.74±25.93), (72.41±21.70), (47.28±15.66), (30.08±12.10), (26.70±9.13) and (76.85±19.66);however, the socres mentioned above were (57.42±26.35), (62.16±21.52), (56.44±14.90), (37.25±15.18), (30.44±9.30), (67.93±20.75) in the control group. The scores role function, emotional function and overall quality of life were significantly increased in the observation group compared to the control group, while fatigue, pain and appetite loss scores were significantly decreased in the observation group compared to the control group (t=1.999-2.950, all P＜0.05). Conclusions Patients with palliative treatment of digestive tract malignant tumors have obvious negative emotions. Clinical psychological nursing intervention can effectively alleviate negative emotions and improve quality of life. It can be used as an auxiliary method during palliative treatment of malignant tumors of digestive tract.
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Objetivo: Establecer el estado del arte relacionado con el proceso de adaptación del paciente a la ostomía, determinado a partir de la atención ofrecida por parte del profesional de enfermería. Metodología: Revisión documental, durante los meses de mayo a Julio de 2015, con rastreo en diferentes fuentes bibliográficas, buscando artículos científicos originales, publicados entre el año 2010- 2015 referenciados en revistas indexadas nacionales e internacionales y bases de datos. Resultados: El proceso de afrontamiento y adaptación comienza con la valoración de la situación donde incluye el impacto psicológico, el estoma como fuente de estrés en la cual priman las estrategias de la realidad corporal, el apoyo y educación del profesional de enfermería. Conclusión: Para una buena recuperación y afrontamiento de la persona ostomizada es fundamental que se sienta incluida en la sociedad, que el profesional en Enfermería aborde no solo al paciente para su mejoría, sino también a su familia y todo el entorno al cual pertenece para que se establezca unas acciones dirigidas al cuidado humano y holístico, brindando educación sobre manejo, cuidado y aceptación, y así contribuir en su rehabilitación
Objective: To establish the state of the art related to the process of adaptation to the ostomy patient, determined from the care offered by the nurse. Methodology: Document Review, during the months of May to July 2015, with tracking different literature sources, looking for original scientific articles, published between 2010- 2015 referenced in national and international refereed journals and databases. Results: coping and adaptation process begins with the assessment of the situation which includes the psychological impact, the stoma as a source of stress in which prevail strategies corporal reality, support and professional nursing education. Conclusion: For a good recovery and coping with ostomy person is essential to feel included in society, the professional Nursing address not only the patient for improvement, but also his family and the whole environment which belongs to Ostomy, Adaptation, Nursing care: some actions aimed at human and holistic care, providing management education, care and acceptance, thus contributing to their rehabilitation Keywords is established
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HumansABSTRACT
Objective To evaluate the effect of psychological nursing intervention on the quality of life of AIDS patients.Methods The experimental studies about the influence of psychological nursing intervention on the quality of life of AIDS patients were systematically retrieved in the following databases:PubMed,Web of Science,Cochrane Library,Chinese biomedical literature database (CBM),China journal full text database (CNKI),Wanfang database and VIP Chinese science and technology periodical database (VIP).The SF-36 scale scores in 8 dimensions were combined with Review Manager 5.3,the weighted mean difference and 95％ CI of the value of the combined effects were calculated.Results In addition to the dimension of physiological function,the differences in weighted mean of the remaining seven dimensions of SF-36 scales were significant,among which the average score of physiological function increased to 6.48,but the average score of emotional function increased up to 19.90.It can be considered that in addition to the dimension of physiological function,the score of the other dimensions were improved after the psychological nursing intervention.The results of sensitivity analysis showed that the differences in weighted means of the eight dimensions of SF-36 scale were significant,indicating that the quality of life of the observation group was higher than that of the control group.Conclusion Psychological nursing intervention can improve the quality of life of AIDS patients,and it is suggested to use it in clinical practice.
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Objective To evaluate the effect of psychological nursing intervention on the quality of life of AIDS patients.Methods The experimental studies about the influence of psychological nursing intervention on the quality of life of AIDS patients were systematically retrieved in the following databases:PubMed,Web of Science,Cochrane Library,Chinese biomedical literature database (CBM),China journal full text database (CNKI),Wanfang database and VIP Chinese science and technology periodical database (VIP).The SF-36 scale scores in 8 dimensions were combined with Review Manager 5.3,the weighted mean difference and 95％ CI of the value of the combined effects were calculated.Results In addition to the dimension of physiological function,the differences in weighted mean of the remaining seven dimensions of SF-36 scales were significant,among which the average score of physiological function increased to 6.48,but the average score of emotional function increased up to 19.90.It can be considered that in addition to the dimension of physiological function,the score of the other dimensions were improved after the psychological nursing intervention.The results of sensitivity analysis showed that the differences in weighted means of the eight dimensions of SF-36 scale were significant,indicating that the quality of life of the observation group was higher than that of the control group.Conclusion Psychological nursing intervention can improve the quality of life of AIDS patients,and it is suggested to use it in clinical practice.
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Objective To explore the clinical application of omeprazole combined with psychological nursing intervention in the treatment of peptic ulcer. Methods 80 patients with peptic ulcer treated in our hospital from April 2014 to October 2016 were selected, and randomly divided into control group and experimental group, 40 patients in each group. The control group was treated with omeprazole, amoxicillin and tinidazole, and the experimental group was treated with psychological nursing intervention based on the treatment of the control group. Both groups were treated for four weeks in a row. The clinical efficacy and the recurrence rate after treatment were followed up to half a year after treatment in two groups were compared. Results After four weeks of treatment, the total effective rate in experimental group was 92.5％, which was significantly higher than that in the control group (P<0.05). After six months of follow-up, the recurrence rate of patients in the experimental group was significantly lower than that in the control group, and the difference was statistically significant (P<0.05). Conclusion Patients with peptic ulcer treated with omeprazole combined with psychological nursing intervention, the effect is significant, relieve the patient's clinical symptoms, effectively improve the clinical cure rate of peptic ulcer recurrence rate is low, high security, is worth popularization and application in clinic.
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This paper introduces the implementation method of humanistic care nursing in the concrete work process,and puts forward some thoughts on the humanistic care nursing process,such as setting up the nursing concept with the patient-oriented;To establish the management norms of humanistic care;To develop the humanistic care model,ward or hospital,etc.In the future work will continue to deepen the connotation of humanistic care,and do a good humanistic care services.
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Objective:To explore role of patient-centered psychological nursing intervention (PCPNI)for improving sleep quality of patients with coronary heart disease (CHD).Methods:A total of 118 CHD patients were selected from our department.According to odd and even hospitalization number match principle,patients were divided into routine nursing group (n=58)and psychological nursing group (n=60,received PCPNI based on routine nursing). Scores of Pittsburgh sleep quality index (PSQI),Zung's self-rating anxiety scale (SAS),self-rating depression scale (SDS)and the medical outcomes study 36-item short-form heath survey (SF-36)before and after nursing were com-pared between two groups.Results:Compared with before nursing,after nursing,there were significant reductions in incidence rate of insomnia,scores of SAS and SDS and sleep latency,and significant rise in sleep efficiency and actual sleep time,P =0.001 all;compared with routine nursing group after nursing,there were significant reduc-tions in incidence rate of insomnia (48.28% vs.20.00%),scores of SAS [(42.31±7.06)scores vs.(35.62±6.14) scores]and SDS [(45.01 ±6.23)scores vs.(37.12 ± 5.14)scores]and sleep latency [(39.24 ±6.48)min vs. (28.51±6.23)min],and significant rise in sleep efficiency [(66.48±6.59)% vs.(73.26±8.15)%],actual sleep time [(5.14±0.84)h vs.(5.89±0.92)h]and each dimension score of SF-36,P =0.001 all.Conclusion:Patient-centered psychological nursing intervention possesses significant effect for improving sleep quality of CHD patients, it can reduce negative influence of negative emotions and finally improve quality of life.
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Objective To analyze the effect of psychological care intervention combined with aspirin and tigrine in patients with acute myocardial infarction and its effect on quality of life. Methods A total of 82 patients with acute myocardial infarction were enrolled in our hospital from March 2016 to April 2017. The patients were divided into control group by random number table method and 41 patients in the experimental group. The patients in the control group were treated with aspirin and tigrilil. The study group increased the psychological nursing intervention on the basis of routine treatment, and analyzed the clinical symptom remission rate, complication rate and quality of life of the two groups. Results The remission rate and quality of life of the clinical group were significantly higher than those of the control group, and the complication rate was significantly lower than that of the control group (P<0.05). Conclusion The treatment of patients with acute myocardial infarction with psychological care combined with aspirin and tiereliluo treatment, can improve the clinical symptoms of remission rate, reduce complications, but also improve the quality of life, worthy of clinical application.
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Objective:To explore role of patient-centered psychological nursing intervention (PCPNI)for improving sleep quality of patients with coronary heart disease (CHD).Methods:A total of 118 CHD patients were selected from our department.According to odd and even hospitalization number match principle,patients were divided into routine nursing group (n=58)and psychological nursing group (n=60,received PCPNI based on routine nursing). Scores of Pittsburgh sleep quality index (PSQI),Zung's self-rating anxiety scale (SAS),self-rating depression scale (SDS)and the medical outcomes study 36-item short-form heath survey (SF-36)before and after nursing were com-pared between two groups.Results:Compared with before nursing,after nursing,there were significant reductions in incidence rate of insomnia,scores of SAS and SDS and sleep latency,and significant rise in sleep efficiency and actual sleep time,P =0.001 all;compared with routine nursing group after nursing,there were significant reduc-tions in incidence rate of insomnia (48.28% vs.20.00%),scores of SAS [(42.31±7.06)scores vs.(35.62±6.14) scores]and SDS [(45.01 ±6.23)scores vs.(37.12 ± 5.14)scores]and sleep latency [(39.24 ±6.48)min vs. (28.51±6.23)min],and significant rise in sleep efficiency [(66.48±6.59)% vs.(73.26±8.15)%],actual sleep time [(5.14±0.84)h vs.(5.89±0.92)h]and each dimension score of SF-36,P =0.001 all.Conclusion:Patient-centered psychological nursing intervention possesses significant effect for improving sleep quality of CHD patients, it can reduce negative influence of negative emotions and finally improve quality of life.
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Objective To analyze the effect of psychological care intervention combined with aspirin and tigrine in patients with acute myocardial infarction and its effect on quality of life. Methods A total of 82 patients with acute myocardial infarction were enrolled in our hospital from March 2016 to April 2017. The patients were divided into control group by random number table method and 41 patients in the experimental group. The patients in the control group were treated with aspirin and tigrilil. The study group increased the psychological nursing intervention on the basis of routine treatment, and analyzed the clinical symptom remission rate, complication rate and quality of life of the two groups. Results The remission rate and quality of life of the clinical group were significantly higher than those of the control group, and the complication rate was significantly lower than that of the control group (P<0.05). Conclusion The treatment of patients with acute myocardial infarction with psychological care combined with aspirin and tiereliluo treatment, can improve the clinical symptoms of remission rate, reduce complications, but also improve the quality of life, worthy of clinical application.
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Objective To investigate the effects of labetalol, Magnesium Sulfate, psychological intervention combined with the clinical effect of treatment of gestational hypertension. Methods According to the different treatment and nursing intervention mode of 120 cases of hypertension patients in January 2015 to 2017 year in January in our hospital for diagnosis and treatment of pregnancy groups: control group with routine nursing intervention in the observation group, Magnesium Sulfate +, Magnesium Sulfate + + mode labetalol psychological nursing intervention; the detailed records of the two groups of patients with clinical curative effect, complications, etc. the situation, and the related data for comparative analysis of labetalol, Magnesium Sulfate, psychological intervention combined with the clinical effect of treatment of gestational hypertension. Results The psychological nursing mode of labetalol + Magnesium Sulfate (observation group) intervention effect in patients with hypertension during pregnancy is better than the Magnesium Sulfate + routine nursing (control group) the clinical intervention effect, clinical symptoms improved better than the control group, the complication rate was lower than the control group, nursing satisfaction was higher than the control group, the difference was statistically significant (P<0.05). Conclusion Patients with gestational hypertension selection effect of labetalol + Magnesium Sulfate +psychological nursing intervention significantly, can effectively improve the clinical symptoms and reduce the incidence of complications.
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Objective And effect of psychological intervention observation and analysis of iron combined with erythropoietin in the treatment of anemia in hemodialysis patients and the effect of. Methods 110 cases of Shaoxing Hospital of Traditional Chinese Medicine in anemic hemodialysis patients with January 2015 to February 2016 underwent diagnosis and treatment as the research object of the study, all the patients were randomly divided into 2 groups, respectively for the test group and control group, 2 groups of 55 cases. The control group was treated with erythropoietin receptor activator and psychological intervention treatment, experimental group was treated with ferrous succinate combined with erythropoietin receptor activator for treatment, but also psychological nursing intervention, observation and comparison of the symptoms of anemia, 2 groups of patients after treatment of adverse reaction etc. Results The experimental group patients with red blood cells, serum ferritin, hemoglobin and hematocrit were significantly higher than control group, the difference was statistically significant (P<0.05); side effects in test group than in the control group, the difference was statistically significant (P<0.05). Conclusion Iron combined with erythropoietin treatment in anemic hemodialysis was more effective at the same time, then the implementation of the corresponding psychological intervention, can reduce the adverse reactions in patients with symptoms, improve the safety of the treatment, and has high applicationvalue.
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Objective To explore the effects of interest-induced and psychological intervention in pediatric operating room nursing.Methods Totally 150 cases of children undergoing surgery in our hospital were recruited and randomly divided into the experimental group(n=75)and the control group(n=75).The experimental group received routine care as well as interest-induced and psychological intervention in anesthesia induction room.The control group only received routine care.The children's anxiety degree,anesthesia induction cooperation and parent satisfaction were measured.Results The scores of anesthesia induction cooperation and anxiety in the experimental group were significantly lower than those in the control group (P＜0.05 for both),and parent satisfaction in the experimental group was significantly higher than that in the control group(P＜0.05).Conclusion The interest-induced and psychological intervention in pediatric operating room nursing can effectively alleviate preoperative anxiety,promote anesthesia induction cooperation and increase parent satisfaction.
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Objective To explore the clinical effect of psychological nursing pathway for patients with hepatocellular carcinoma (HCC) who are receiving 125I particle implantation therapy.Methods A total of 130 HCC patients,who were scheduled to receive 125I particle implantation therapy,were randomly and equally divided into the study group and the control group with 65 patients in each group.Traditional routine psychological nursing method was conducted for patients of the control group,while routine psychological nursing that was based on psychological nursing pathway was carried out for patients of the study group.The patient's conditions of both groups were evaluated by using self-rating anxiety scale (SAS),trait coping style questionnaire (TCSQ) and the quality of life assessment scale (SF-36).The results were statistically analyzed with t test.Results After nursing intervention,SAS scores of the study group and the control group were (43.76±6.25) and (46.16±7.19) points respectively,the difference between the two groups was statistically significant (t=-3.92,P＜0.001).The PC and NC values of the TCSQ score in the study group were (41.61±4.82) points and (20.53±5.88) points respectively,while those in the control group were (37.32±4.62) and (22.80±6.93) respectively,the differences between the two groups were statistically significant (t=5.944 and t=-3.316 respectively,P＜0.01).One month after discharge,the mental health scores of the study group and the control group were (74.58±8.68) points and (71.53±8.16) points respectively,the emotion function scores were (79.46±10.05) points and (75.13±15.09) points respectively,and the differences in both mental health score and emotion function score between the two groups were statistically significant (P＜0.05).Conclusion Standardized psychological nursing pathway can make nurses more clear about the content of psychological nursing work and enable nurses to actively plan and complete psychological nursing care measures,so that patients can get prospective,individual and comprehensive psychological care to alleviate his or her negative emotion,and to improve the quality of life.
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Objective To evaluate the effect of hierarchical psychological nursing model during the period of chemotherapy for breast cancer patients so as to provide references for psychological nursing for the patients. Methods Ninety-four patients to undergo first chemotherapy after mastectomy during April to September 2016 were included in the study, subject to the inclusion standards of patient health questionaire-9 (PHQ-9) by depression screening scale≥5 and/or by generalized anxiety scale (GAD-7)≥5before the chemotherapy. 46 cases during April to June 2016 were assigned into the control group and the rest 48 during July to September 2016 into the experimental group:The former were treated with routine mental care and the latter with hierarchical psychological nursing after investigation with functional assessment of cancer therapy-breast (FACT-B). The two groups were compared in terms of depression, anxiety and life quality at the time points of pre-chemotherapy, the 3rd, 5th and 8th chemotherapy. Results The scores of experimental group and anxiety and the control group at the time points in main effect between group, interactive effect and time main effect were with statrstal significance (P<0.05, P<0.001). After mental intervention, the life quality in the experimental group increased and depression score decreased with the time going (P<0.05, P<0.001). Conclusions The implementation of hierarchical psychological nursing can reduce the negative emotions of patients, improve the quality of life, physical condition, social/family status, emotional status, and additional attention dimension. It is better than ordinary psychological nursing.