ABSTRACT
OBJECTIVE: To analyze the nursing effects of situation-background-assessment-recommendation (SBAR) handover combined with detailed nursing intervention on patients with contagious diseases. METHODS: A total of 106 patients with infectious diseases who were hospitalized from April 2018 to April 2020 were selected and randomly divided into a control group (n=53, SBAR handover model) and an experimental group (n=53, SBAR handover model, combined with detailed nursing intervention) based on a random number table method. The nursing quality, professional recognition of nursing staff, patients' psychological status, and the quality of life of patients between the two groups were compared. The visual analogue scale (VAS) scores, hospital stay, gastrointestinal recovery time, and complication rate of the two groups were recorded and compared at 24 h and 72 h after intervention. RESULTS: Scores for comprehensive nursing quality of doctors, nursing managers, nursing staff, and patients in the experimental group witnessed a greater rise than before (P<0.05). Patients' social status, development prospects, mental health, and professional recognition in the experimental group garnered more of a superior outcome than the control group (P<0.05). Both the Self-Rating Anxiety Scale (SAS) score and Self-Rating Depression Scale (SDS) scores dramatically decreased after intervention (P>0.05), with lower scores in the experimental group in contrast to the control group (P<0.05). Patients in the experimental group enjoyed a better quality of life than those in the control group (P<0.05). More patients were satisfied with the nursing in the experimental group (94.34%) in comparison with the control group (81.13%) (P<0.05). The experimental group experienced better outcomes in terms of 24 h, 48 h, and 72 h VAS scores, hospital stay, and gastrointestinal recovery time, and the incidence of complications than the control group (P<0.05). CONCLUSIONS: SBAR handover model combined with detailed nursing intervention can ease negative emotions of patients with infections, optimize their life qualities and nursing satisfaction, and enhance comprehensive nursing performance and professional recognition.
ABSTRACT
OBJECTIVE: To compare the effect of ropivacaine in different concentrations under ultrasound guidance on lumbar muscle nerve blocking in elderly patients undergoing hip replacement surgery. METHODS: 60 elderly patients underwent hip replacement in our hospital over a period of April to December of 2019 were equally randomized into control and observation groups, with 30 each. Patients in the control group and observation group received 0.5% and 0.25% ropivacaine to block psoas muscle nerve, respectively. The anesthetic effect of ropivacaine at different concentrations was evaluated by time of sensory block onset and recovery and time of motor block onset and regression, blood pressure, heart rate, visual analogy scale, and postoperative nerve blocking degree. RESULTS: The onset time of sensory and motor block in the observation group was dramatically higher than that in the control group (P < 0.05), while the recovery time of sensory and motor was significantly shorter than that of the control group (P < 0.05). The heart rate in the observation group was notably lower than that in the control group, while the average blood pressure was remarkably higher (P < 0.05). After surgery, the degree of nerve block in the observation group was much lower compared with the control group (P < 0.05), while no marked difference in the visual analogue scale in the control group before and after surgical intervention was observed (P > 0.05). CONCLUSION: The 0.25% ropivacaine method has distinctive advantages over 0.50% ropivacaine psoas nerve anesthesia in hip replacement surgery in elderly patients.
