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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.
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OBJECTIVE: To explore the application effect of detailed nursing intervention in neonatal septicemia. METHODS: Altogether 60 neonates of neonatal septicemia admitted to our hospital from November 2019 to October 2020 were selected as the research participants, and all the children have received routine treatment, among which 30 neonates received routine nursing intervention as the regular group, and the remaining 30 received detailed nursing intervention as the detail group. The clinical effects, improvement of clinical symptoms, length of stay, and guardian satisfaction were compared, and the levels of serum inflammatory factors (TNF-α, IL-6 and IL-17) and immune function indicators (CD4+, CD8+) before and after nursing intervention were detected. RESULTS: The total effective rate in the detail group was higher than that in the regular group (P < 0.05). Compared with the regular group, the temperature stabilization time, blood culture turning negative time, improvement time of milk rejection and hospital stay in the detail group were significantly shortened (P < 0.05). The guardian satisfaction score in the detail group was higher than that in the regular group (P < 0.05). After nursing, the levels of TNF-α, IL-6 and IL-17 decreased in both groups, and the levels of these three in the detail group were lower than those in the regular group (P < 0.05). After nursing, CD4+/CD8+ of children in both groups increased, and CD4+/CD8+ in the detail group and regular group were higher than those in the regular group (P < 0.05). CONCLUSION: The adoption of detailed nursing modes in the treatment of neonatal septicemia can further improve the treatment effect, shorten the hospital stay and the improvement time of clinical symptoms, reduce the incidence of complications, improve the nursing satisfaction of guardians, reduce the inflammation of the body and improve the immune function of the body.
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Objective@#To analyze the effect of detail nursing in enteral nutrition in patients with severe craniocerebral injury.@*Methods@#A total of 96 patients with severe craniocerebral injury admitted to ICU department were divided into 2 groups of 48 cases according to the Stochastic numerical table method. Both groups were treated with enteral nutrition. During the treatment, the control group was given routine care, and the observation group was given detailed nursing, and the two groups were compared.@*Results@#The incidence of abdominal distension, constipation and diarrhea in the observation group was 4.17% (2/48) and 2.08% (1/48) lower than 16.67% (8/48) and 16.67% (8/48) in the control group, the difference was statistically significant (χ2=4.019, 4.414, P<0.05). The Glasgow Coma Scale (GCS) score was 9.45±1.42, which was significantly higher than 7.19±1.36 of the control group (t=7.963, P<0.05). Compared with the control group, the serum total protein (62.67±3.69) g/L, serum albumin (35.56±2.08) g/L, and peripheral lymphocyte count (1.68±0.15)×109 were significantly higher than (59.15±3.55) g/L, (31.62±2.17) g/L, (1.49±0.26)×109 in the control group (t=4.763, 9.081, 4.385, P<0.05).@*Conclusion@#During the period of enteral nutrition therapy for patients with severe craniocerebral injury, detailed nursing is helpful to reduce the related complications, improve the degree of illness, and improve the nutritional status of the body.
ABSTRACT
Objective To analyze the effect of detail nursing in enteral nutrition in patients with severe craniocerebral injury. Methods A total of 96 patients with severe craniocerebral injury admitted to ICU department were divided into 2 groups of 48 cases according to the Stochastic numerical table method. Both groups were treated with enteral nutrition. During the treatment, the control group was given routine care, and the observation group was given detailed nursing, and the two groups were compared. Results The incidence of abdominal distension, constipation and diarrhea in the observation group was 4.17% (2/48) and 2.08% (1/48) lower than 16.67% (8/48) and 16.67% (8/48) in the control group, the difference was statistically significant ( χ2=4.019, 4.414, P<0.05). The Glasgow Coma Scale (GCS) score was 9.45 ± 1.42, which was significantly higher than 7.19 ± 1.36 of the control group (t=7.963, P<0.05). Compared with the control group, the serum total protein (62.67±3.69) g/L, serum albumin (35.56±2.08) g/L, and peripheral lymphocyte count (1.68 ± 0.15)×109 were significantly higher than (59.15 ± 3.55) g/L, (31.62 ± 2.17) g/L, (1.49 ± 0.26)×109 in the control group (t=4.763, 9.081, 4.385, P<0.05). Conclusion During the period of enteral nutrition therapy for patients with severe craniocerebral injury, detailed nursing is helpful to reduce the related complications, improve the degree of illness, and improve the nutritional status of the body.
