Effect of continued nursing support on speech intelligibility and the quality of life in postoperative patients with tongue cancer / 中国实用护理杂志

Objective@#To research and analysis the effect of continued nursing support on speech intelligibility and the quality of life in postoperative patients with tongue cancer.@*Methods@#A total of 80 patients treated in our hospital with tongue cancer from May 2014 to August 2016 were selected and randomly divided into the intervention group and the control group in accordance with the convenience sampling method, 40 cases in each group. All patients received the same health guidance education after discharge according to care routine.At the same time, the patients in the intervention group received the continued nursing support. Intervention effects were observed in two groups by using the Chinese speech intelligibility test table and the University of Washington Quality of Life Questionnaire (UW-QOLv4).@*Results@#One day before the operation, the speech intelligibility (94.8±4.9) scores, the survival quality (1 076.3±51.9) scores in the intervention group compared to the scores (96.0±3.2, 1 084.7±46.5) in the control group,there were no statistical difference (t=-1.297,-0.762, both P>0.05). Two weeks after the operation, there were also no statistical difference (t=1.136,P>0.05) on the speech intelligibility scores between the intervention group (33.7±3.1) and the control group(32.9±3.2). One month,three months and six months after the operation, the scores in the intervention group(61.2±2.7,79.5±4.3,90.9±2.4 respectively) were much higher than that in the control group(49.6±2.4,63.6±3.8, 78.6±3.5) with significant difference (t=20.309,17.524,18.331, all P<0.05).Six months after the operation,the scores in the intervention group(786.4±67.1) were much higher than that in the control group (597.6±58.2) with significant difference(t=13.443,P<0.05).@*Conclusions@#The implementation of continued nursing support can effectively improve speech intelligibility and the quality of postoperative survival in patients with tongue cancer.

Applications and effect evaluations of continued nursing care in functional rehabilitation after limbs intra-articular fracture operation / 中国实用护理杂志

Objective To explore the influences of continued nursing care on the recovery of intra-articular fractures of joint function of limbs and the quality of life after operation. Methods A total of 493 intra-articular fracture of limbs postoperative patients,who were discharged from our department from January 2015 to December 2016,were randomly divided into observation group and reference group.After operation,the reference group used self-management mode to practice joint functional exercise,while the observation group uses continued nursing mode to guide physical therapy to recover joint functions.After they discharged 12 weeks,we compared these two groups of patients with satisfaction of nursing care,joint function recovery and quality of life. Results After 12 weeks of operation, in observation group, the patients' joint function recovery rate was close to 79.27%(195/246), which was significantly higher than the rates 55.47%(137/247)in reference group,the difference was statistically significant(χ2=32.947,P<0.01). Respectively, the physiological function score,vigor score, mental health score, physiology role score, body pain score, health condition score, social function score and health score of the observation group in the quality of life assessment were (72.66 ± 4.41), (89.27 ± 4.10), (93.01 ± 3.05), (88.03 ± 3.19), (91.68±3.99),(76.78±4.86),(79.11±4.68),(85.57±7.07).The scores of control groups were(65.71±3.41),(64.02±4.51),(61.43±4.29),(66.49±4.52),(64.24±4.30),(62.02±6.24),(62.94±4.50),(65.02±7.72).The comparative difference of the two groups has statistical significance (t=12.48- 60.15, P<0.05). Meanwhile,in the satisfaction rate of nursing care,the great satisfaction rate of observation group(70.73%, 174/246) was much higher than reference group (37.65%, 93/247), the difference was statistically significant (χ2=59.789, P<0.01). Conclusion Offered outside continued nursing care to the intra-articular fracture of limbs postoperative patients can effectively improve the joint function of patients,their qualities of life and can considerably increase satisfaction of nursing care. Thus,it should to be clinically promoted.

Application of continued nursing in long-term nasal feeding to elderly patients / 现代临床护理

Objective To observe the effect of continued nursing on the long-term nasal feeding to elderly patients after discharge.Methods Toally 60 elderly discharged patients between January 2014 to December 2014 were evenly divided into observation and control groups with radom digit table the control group received routine nursing before discharge and after it and the observation group received continued nursing.The two groups were compared in terms of nasal feeding-induced complication,nursing satisfaction,care capability of patients' caregivers.Result The complication rate in the observation group was significantly lower,the nursing satisfaction was significantly higher and the care capability of caregivers were significantly better as compared to those of the control group (P ＜0.05).Conclusion Continued nursing can improve nursing satisfaction,train the care capacity of caregivers,reduce the complications for the old patients who need long-term nasal feeding after discharge.

Effect of continued nursing on postoperative outcomes of discharged patients with chronic suppurative otitis media / 现代临床护理

Objective To investigate the effect of continued nursing on postoperative outcomes of discharged patients with chronic suppurative otitis media.Methods Toally 198 discharged patients were randomized into the control group (n=98) and the observation group (n=100).The patients in both groups received normal health education and additionally the continued nursing was used in the observation group for health education by way of phone call follow-up,on-the-spot consultation and QQ consultation.The mastery of related knowledge and skills,incidence of secondary tympanic membrane and readmission rate were compared.Results Six months after discharge,the observation group was significantly better than those the control group in the mastery of related knowledge and skills (P＜0.05).The incidence of secondary tympanic membrane perforation was not statistically significant between the groups(P＞ 0.05).The readmission rate at the second week and the third week between the two groups had no statistically significant difference (P＞ 0.05).However,the readmission rate at the first,second,third and sixth month were statistically different (P＜0.05).Conclusion Continued nursing to the postoperative discharged patients with chronic suppurative otitis media can improve the follow-up rate after discharge and self-nursing capacity,and as a result promote their recovery.

"Effect of ""in-and out-hospital"" continued nursing care mode on emotional state and health behavior of breast cancer patients undergoing chemotherapy after radical mastectomy" / 现代临床护理

Objective To explore the effect of in-and out-hospital continued nursing care on emotional state and health behavior of breast cancer patients undergoing chemotherapy after radical mastectomy.Methods Forty breast cancer patients undergoing radical chemotherapy in the oncology department of our hospital during March 2012 to February 2014 were put into the study group and another forty patients from the same department during March 2014 to February 2016 into the control group.The control group received traditional nursing care,while the study group in-and out-hospital continued nursing care mode.The health promotion lifestyle assessment scale (HPLP-Ⅱ),self rating anxiety scale (SAS) and self rating depression scale (SDS) were used for the evaluation before intervention and 2 months after the intervention.Results After intervention,there were no significant differences in the total scores on health behaviors and the dimensions,anxiety and depression (P＞0.05).Two moths after intervention,the scores on health behaviors and the dimensions in the study were all significantly higher than those in the control group and the scores on anxiety and depression were significantly lower (P＜0.05).Conclusion The in-and out-hospital continued nursing mode is beneficial for the breast cancer patients undergoing chemotherapy after radical mastectomy to adjust their emotions and improve their health behaviors.

Effect of continued self-efficacy health education after discharge on patients with benign prostatic hyperplasia / 现代临床护理

Objective To explore the effect of continued self-efficacy health education after discharge on patients with benign prostatic hyperplasia. Methods Toally 100 patients with benign prostatic hyperplasia during January to December 2015 were equally assigned to control group and observation group by random digit table:the former was treated with discharge instructions and the latter with discharge instruction plus self-efficacy health education. The two groups were compared before intervention and 6 weeks after intervention in terms of health behavior and self-management ability. Results Before intervention, there were no significant differences between the groups in health behavior and total score of self-management ability as well as the scores on its dimensions (P>0.05). After intervention, however, the total scores on health behavior and self-efficacy ability as well as the scores on the dimensions in the observation group were significantly higher than those of the control group (all P<0.01). Conclusion Post-discharge continued self-efficacy health education can be effective in improving their health behavior and self-management ability, which can promote their recovery.

Conhecimento teórico-prático de enfermeiras sobre eletrocardiograma / Theoretical practical nursing knowledge on electrocardiogram / Conocimiento teórico-práctico de las enfermeras en electrocardiograma

Para a obtenção de um traçado eletrocardiográfico satisfatório regras devem ser seguidas, pois um grande número de fatores técnicos podem alterar a qualidade e acurácia do registro, possibilitando falsos diagnósticos e intervenções desnecessárias. Desta forma foi realizado esse estudo com o objetivo de identificar o conhecimento dos enfermeiros das Unidades de Terapia Intensiva e Cardiologias sobre o eletrocardiograma de 12 derivações. Trata-se de estudo transversal quantitativo, realizado em um Hospital Escola no Recife/PE. A coleta de dados foi realizado entre janeiro e fevereiro de 2010, através de um formulário estruturado e os dados obtidos analisados através dos programas Epi Info versão 6. O maior índice de acertos foi relacionado à descrição da preparação para a realização do ECG (87,7%), enquanto os menores foram aqueles referentes às posições dos eletrodos precordiais (1,1%). Tais resultados permitiram identificar o déficit de conhecimento sobre os aspectos conceituais e práticos do ECG.

To obtain a satisfactory electrocardiographic track, rules must be followed, seeking quality and accuracy of the registration and avoiding false diagnoses and unnecessary interventions. This is a cross-sectional survey developed in order to identify the knowledge of nurses on electrocardiograms. The sample consisted of 47 nurses of Intensive Care Units and a Teaching Hospital of Cardiology in Recife/PE. Data collection was performed between January/February 2010, by application of a structured questionnaire. The program?s higher rate of correct answers was related to the description of the preparation performing the ECG (87.7%), whereas the smaller ones are related to the positions of precordial electrodes (1.1%). These results show that knowledge of nurses investigated on theoretical and practical aspects of the ECG require further studies. KEYWORDS: Electrocardiography. Knowledge. Continued nursing education.

Para obtener un electrocardiograma satisfactorio, es necesario seguir las normas, buscando calidad y exactitud del registro y evitar falsos diagnósticos e intervenciones innecesarias. Se trata de un estudio transversal desarrollado con el fin de identificar los conocimientos de las enfermeras en el electrocardiograma. La muestra estuvo conformada por 47 enfermeras de unidades de cuidados intensivos y un Hospital Escuela de Cardiología en Recife/PE. La recolección de datos se realizó entre enero/febrero de 2010, mediante la aplicación de un cuestionario estructurado. Los programas de mayor tasa de respuestas correctas se relacionaron con la descripción de la preparación para la realización del ECG (87,7%), mientras que las más pequeñas están relacionadas con las posiciones de los electrodos precordiales (1,1%). Estos resultados muestran que se requiere profundizar el conocimiento de las enfermeras investigadas en los aspectos teóricos y prácticos de la ECG.

Effect of continued nursing on postpartum breastfeeding within 6 months / 现代临床护理

Objective To explore the effect of continued nursing on postpartum breastfeeding within 6 months. Methods Two hundred and twenty parturient women were randomly divided into the observation group and the control group using random digits table. The control group received breastfeeding knowledge education and nursing skills instruction. The observation group was given continued nursing and breastfeeding guidance . The two groups were compared in terms of breastfeeding rates at 1 , 2 , 3 , 4 , 5 , 6 months . Result The breastfeeding rates of the observation group were significantly higher than those of the control group at each time point ( all P < 0 . 05 ) . Conclusion According to reasons why the parturient women don′t breastfeed , they are given continued nursing and detailed solutions after discharge , to make them confident in breast feeding and improving breastfeeding rate within six months after delivery .

Application of continued nursing education manual in surgical nursing / 现代临床护理

Objective To investigate the effect of continued nursing education manual on surgical nursing education.Methods A continued nursing education manual was designed and applied to surgical nursing education.The effects were assessed by comparing the nursing training results before and after intervention by the manual in terms of nursing theory test,nursing techniques test.Results After the application of manual,the training coverage rate increased from 94.59%to 100.00%(P<0.05),the pass rate of theory test increased from 87.57%to 94.21%(P<0.05),and the pass rate of nursing skills test increased from 90.27%to 96.14%(P<0.05). Conclusion The continued nursing education manual is effective in improving the educational effect of surgical nursing.

Study on the intervention effect of continued nursing on the quality of life of patients with chronic obstructive pulmonary disease / 中国实用护理杂志

Objective To explore the effect of continued nursing intervention on quality of life of patients with chronic obstructive pulmonary disease. Methods The study took use of randomized controltest. All the 130 patients who were on admission because of acute exacerbation of chronic obstructive pulmonary disease were randomly divided into the intervention group (62 cases) and the control group (68 cases). The intervention group received telephone and home follow-up for one year, and the control group was provided conventional care. Lung function, SGRQ and dyspnea degree were collected on one-month,three-month, six-month, twelve-month after intervention. Results Lung function and activity scores of SGRQ, dyspnea degree and six minutes walk test between two groups had statistical significance after intervention. Conclusions Continued nursing intervention can postpone the rate of FEV1% declining, reduce dysnea degree, decrease the frequency of acute exacerbation, increase the quality of life of COPD patients.