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Objective To study the clinical application effect of risk preventive nursing on children with pneumonia and their rehabilitation. Methods One hundred children with pneumonia admitted to Xiaoyi People's Hospital from March 2016 to March 2017 for treatment were enrolled. Among them, 45 cases from March the 1st to August the 1st in 2016 were treated with conventional nursing (conventional nursing group), while 55 cases from August the 2nd, 2016 to March the 1st, 2017 were taken cared by the risk prevention nursing (risk prevention group). The levels of tumor necrosis factor-α (TNF-α), interleukins (IL-6, IL-8) were examined on admission and discharge in the two groups by enzyme-linked immunosorbent assay (ELISA); the time length for clinical symptoms to disappear, rehabilitation effect, hospitalization time, family members' satisfaction and incidence of complications were observed in the two groups. Results No statistically significant differences were detected in serum TNF-α, IL-6 and IL-8 levels between the two groups before nursing (all P > 0.05).The levels of inflammatory factors at discharge in both groups were lower than those at admission, the levels of TNF-α, IL-6 and IL-8 in the children of risk prevention group were significantly lower than those in the conventional nursing group discharge [TNF-α (μg/L): 16.54±7.13 vs. 22.78±9.12, IL-6 (ng/L): 9.25±5.48 vs. 15.11±7.01, IL-8 (μg/L): 4.08±2.16 vs. 7.69±3.56, all P < 0.05]. The duration for clinical symptoms to disappear and duration of hospital stay in the risk prevention group were significantly shorter than those in the conventional nursing group [cough stopping time (days): 6.87±2.54 vs. 10.35±3.08, duration of rale disappearance (days): 7.01±2.13 vs. 10.87±3.25, fever recovery time (days): 6.25±2.64 vs. 8.76±3.58, duration of asthma relief (days): 7.59±3.17 vs. 10.26±3.26, duration of hospital stay (days): 8.16±1.86 vs. 13.25±3.64, all P < 0.05]. The total effective rate and family members' satisfaction in the risk prevention group were significantly higher than those in the conventional nursing group [total effective rate: 94.54% (52/55) vs. 77.78% (35/45), family members' satisfaction: 96.36% (53/55) vs. 84.44% (38/45), both P < 0.05]. The incidence of complications in the risk prevention group was obviously lower than that in the conventional nursing group [5.45% (3/55) vs. 46.67% (21/45), P < 0.05]. Conclusion Risk prevention nursing can reduce the incidence of inflammatory reaction, improve the family members' satisfaction with nursing, and promote the children recovery process.
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Objective To discuss the clinical application value of Omaha system-based targeting nursing care for patients with hepatocellular carcinoma (HCC) who were treated with transcatheter arterial chemoembolization (TACE).Methods A total of 60 advanced HCC patients,who were planned to receive TACE,were prospectively and randomly divided into the control group (n=30) and the observation group (n=30).Routine nursing mode was adopted for the patients in the control group,while Omaha system nursing model was employed for the patients in the observation group.The patients of the observation group were evaluated with Omaha system at the time of admission,the key common problems were screened out and targeted nursing measures were employed.Meanwhile,on the days of admission and discharge all the patients of both groups were asked to fill in the forms of Hamilton depression scale (HAMD-17),Hamilton anxiety scale (HAMA),social support rating scale (SSQ) and numerical pain rating scale (NRS);and the degrees of depression,anxiety,social support and pain were respectively assessed.Results Both nursing modes could improve the degrees of depression and anxiety as well as the social support system of HCC patients,but the curative effect of these two aspects in the observation group were obviously better than those in the control group (P＜0.05).No statistically significant difference in the improvement of pain degree existed between the two nursing models,but Omaha system-based targeting nursing mode could alleviate the patient's pain to a certain extent.Conclusion For patients with advanced HCC,Omaha system-based targeting nursing care can alleviate the patient's negative emotion and promote the patients to establish effective social support system,this nursing mode is superior to conventional nursing mode.Therefore,Omaha system-based targeting nursing has great application potential in clinical practice.
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Objective To study the influence of high quality nursing mode on the quality of life in endoscopic retrograde cholangiopancreatography (ERCP) patients. Methods A total of 292 patients with ERCP were randomly divided into control group and observation group with 146 cases in each group by the randomized block design method. The control group was given the conventional nursing care. The observation group was given the high quality nursing care based on the conventional nursing care. The score of Quality of Life of the World Health Organization (WHOQOL- 100), Quality of Life Index of Gastrointestinal Tract (GIQLI), Hamilton Anxiety Scale (HAMA), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Visual Analogue Scale(VAS) before and after nursing care were observed and compared. The difference impact of two kinds of nursing mode on nursing quality between two groups was evaluated. Results WHOQOL-100 score in the observation group after treatment, including physiology and psychology and environment and social relations state such as grading, was respectively (59.3 ± 6.0), (61.8 ± 7.2), (60.3 ± 6.2), (62.8 ± 7.3) points and GIQLI index included self-conscious symptom and body physiological status and daily and social activities,such as state of emotional and psychological and the overall score, was respectively (79.8±4.9), (19.8±1.8), (14.7±1.9), (19.2±2.8), (105.7±6.6) points, which was (50.9±6.3), (52.5±6.7), (51.4±5.6), (53.4±7.1), (67.2±4.8), (15.6±1.9), (10.2±1.8), (16.3±2.3), (94.4 ± 6.2) points in control group, the difference between two groups was statistically significantly(t=1.876-2.327, P<0.05). HAMA score and SAS scores and SDS score and VAS score in the observation group after nursing was respectively (24.28 ± 4.78), (29.48 ± 6.54), (30.55 ± 7.32), (4.55 ± 1.18) points and respectively (36.68 ± 5.39), (41.72 ± 6.03), (42.65 ± 7.21), (6.07 ± 1.17) points in the control group, the difference between two groups was statistically significantly(t=2.876-4.012, P<0.05). Conclusions High quality nursing mode of ERCP in patients with perioperative patients of psychological and physiological all have different degrees of improvement and is suitable for popularization and application in clinic.