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1.
Surg Innov ; 31(3): 274-285, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38468453

RESUMO

OBJECTIVE: To study the value of high-quality care in operating room during operation of patients with rectal cancer and the effect of this nursing model on postoperative rehabilitation. METHODS: This study recruited 72 patients with rectal cancer, including 36 in the control group and 36 in the observation group. Patients in the control group received routine care, and those in the observation group received high-quality care in operating room. RESULTS: The anxiety score (5.50 ± .77 vs 10. 08 ± 1.13), stress score (6.97 ± .60 vs 8.61 ± .99), and depression score (4.02 ± .65 vs 5.50 ± .91) in the observation group were less than the control group after treatment (P < .05). The measured values of diastolic blood pressure (73.19 ± 1.96 vs 86.13 ± 2.0), systolic blood pressure (121.08 ± 1.62 vs 130.63 ± 2.84), heart rate (73.05 ± 1.63 vs 87.11 ± 2.91) and adrenaline E(E) (58.40 ± 3.02 vs 61.42 ± 3.86) in the observation group were less than the control group after treatment (P < .05). The cooperation degree (94.44 vs 75.00) in the observation group was greater than the control group, but the operation time (308.47 ± 9.92 vs 339.47 ± 12.70), postoperative intestinal function recovery time (16.30 ± 1.14 vs 30.94 ± 2.10) and length of stay (10.47 ± 1.85 vs 13.33 ± 1.95) were all shorter than the control group (P < .05). The nasopharyngeal temperature in the observation group was greater than the control group at 30 minutes during operation (36.16 ± .50 vs 35.19 ± .40) and after operation, and fear score (2.22 ± .42 vs 3.63 ± .72) was less than the control group (P < .05). CONCLUSION: The application of high-quality care in the operating room during rectal cancer surgery has a significantly good clinical outcome.


Assuntos
Neoplasias Retais , Humanos , Neoplasias Retais/cirurgia , Feminino , Masculino , Pessoa de Meia-Idade , Salas Cirúrgicas/normas , Idoso , Adulto , Complicações Pós-Operatórias , Cuidados Pós-Operatórios/normas
2.
Pak J Med Sci ; 40(3Part-II): 499-504, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38356798

RESUMO

Objective: To evaluate the impact and clinical effect of high-quality nursing intervention on the quality of life of elderly cataract patients and its clinical effect. Methods: This is a clinical comparative study. One hundred and twenty elderly cataract patients admitted to Tianjin Medical University Eye Hospital for surgical treatment were recruited and randomly divided into two groups: the control and experimental group, with 60 cases in each group from January 15, 2021 to January 15, 2022. Patients in the control group were given conventional nursing care in the perioperative period, while those in the experimental group were given high-quality nursing intervention in the perioperative period. The differences in anxiety (SAS) scores, depression (SDS) scores, intraocular pressure (IOP) recovery, the incidence of surgical complications and satisfaction before and after treatment between the two groups were compared and analyzed. Results: No statistically significant difference was observed between the two groups in physical functioning, psychological functioning, social functioning and material life status scores before intervention(P>0.05). After the intervention, the above indicators improved significantly in the experimental group compared to the control group, with statistically significant differences (P=0.00). Moreover, SAS and SDS decreased significantly in the experimental group compared to the control group, with statistically significant differences(P=0.00). Conclusions: High-quality nursing intervention improves various benefits in the treatment of elderly cataract patients, such as effectively reducing intraocular pressure, ameliorating patients' quality of life, lowering the incidence of postoperative complications, and improving patient satisfaction.

3.
Am J Transl Res ; 15(11): 6495-6504, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38074825

RESUMO

OBJECTIVE: This study was designed to explore the clinical value of high-quality nursing in patients with emergency trauma undergoing surgical debridement and suture and its effects on pain relief. METHODS: The clinical data of 181 patients with emergency trauma who received surgical debridement and suture in Shangrao Municipal Hospital from January 2020 to December 2021 were analyzed retrospectively. Among them, patients who received routine nursing were assigned to a control group (n=85), and those who received high-quality nursing were assigned to an observation group (n=96). The neurologic rating scale (NRS) was adopted to evaluate the pain in the two groups before operation and at 1 d, 3 d, and 7 d after the operation. The rescue time and examination time in the two groups were recorded and analyzed, and the effective rescue rate and postoperative complications of the two groups were compared. In addition, the MOS 36-item short-form health survey (SF-36) was employed to evaluate the quality of life (QoL) of the two groups, and a self-designed nursing satisfaction questionnaire was adopted to evaluate and compare the nursing satisfaction in the two groups. The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate the status of anxiety and depression. In addition, independent risk factors for poor prognosis were analyzed by multivariate logistic regression. RESULTS: Before surgery and at 1 d after surgery, the NRS scores of the two groups were not significantly different, while at 3 d and 7 d after surgery, the NRS scores decreased significantly in both groups, and the observation group exhibited significantly lower NRS scores than the control group on these two days. There was no significant difference in the SAS and SDS scores between the two groups before nursing, while after nursing, the scores decreased significantly in both groups, and the decreases in the observation group were more significant than those of the control group. The observation group consumed a significantly shorter rescue time and examination time than the control group, and the observation group showed a significantly higher effective rescue rate than the control group. In addition, the observation group demonstrated a lower incidence of complications than the control group after surgery, and a higher QoL score than the control group. Moreover, the observation group exhibited a higher nursing satisfaction rate than the control group. Age, time from injury to medical treatment, and injury site were risk factors impacting the prognosis of patients, and age was an independent risk factor for prognosis. CONCLUSION: In patients with emergency trauma undergoing surgical debridement and suture, high-quality nursing can substantially contribute to lower pain, shorter rescue time, higher success rate of rescue, better QoL, and nursing satisfaction, and fewer complications. Therefore, high-quality nursing is worthy of clinical application.

4.
Front Neurol ; 14: 1259737, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37909031

RESUMO

Objectives: The primary objective of the present investigation was to meticulously examine the efficacy of high-quality nursing care (HQN) on neurological restoration, amelioration of adverse psychological states, and augmentation of quality of life in geriatric patients diagnosed with acute cerebral infarction (ACI). Methods: A cohort of 240 patients, afflicted by ACI and admitted to our healthcare institution between February 2020 and March 2023, were incorporated into this longitudinal prospective analysis. Employing a random number table methodology, the patient cohort was bifurcated into a control group (n = 120) receiving conventional care and an observation group (n = 120) receiving HQN. Comparisons were conducted between the two cohorts concerning neurological functionality [as quantified by the National Institutes of Health Stroke Scales (NIHSS) and Barthel Index (BI) scores], psychological wellbeing [utilizing the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores], overall quality of life [assessed via the Generic Quality of Life Inventory-74 (GQOLI-74) scores], and self-perceived burden [evaluated through the Self-Perceived Burden Scale (SPBS)]. Further assessments included patient satisfaction and incidence of complications, both in the pre- and post-interventional phases. Results: Post-intervention, the observation group demonstrated superior outcomes compared to the control group, as evidenced by diminished NIHSS and SPBS scores and elevated BI metrics. Moreover, SAS and SDS scores in both groups manifested a decline post-intervention; however, the decrement was statistically more pronounced in the observation group (P < 0.05). Similarly, all dimensions of GQOLI-74 showed an upward trend in both cohorts, yet the increase was significantly more substantial in the observation group (P < 0.05). Furthermore, the observation group exhibited a reduced frequency of complications coupled with heightened levels of nursing satisfaction. Conclusion: The implementation of HQN in the geriatric population afflicted by ACI markedly enhances neurological recuperation, attenuates adverse psychological states, and ameliorates overall quality of life. The intervention is also associated with a diminution in complication rates and an increase in nursing satisfaction, thereby substantiating its clinical utility.

5.
Am J Transl Res ; 15(5): 3394-3402, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37303649

RESUMO

PURPOSE: To analyze the application value of the high-quality nursing service system in the care management of malignancies. METHODS: 116 patients with malignancies treated in the Harbin Medical University Cancer Hospital between December 2019 and June 2022 were retrospectively enrolled. This included 56 patients who received routine care (regular group) and 60 patients treated by high-quality care (high-quality group). Complications, mental state (Self-Rating Depression/Anxiety Scale, SDS/SAS), pain severity (Visual Analogue Scale, VAS), cancer-related fatigue (Piper Fatigue Scale, PFS), and quality of life (Generic Quality of Life Inventory-74, GQOL-74) were collected from both groups for comparative analysis. Factors influencing quality of life in patients with malignancies were identified using the multivariate linear regression model. RESULTS: Patients treated by the high-quality nursing service system experienced fewer complications than those cared by routine care. The high-quality group showed a significantly reduced SDS, SAS, VAS, and PFS score and elevated GQOL-74 scores after nursing compared with the baseline (before nursing) and the regular group. The multivariate linear regression model showed that the type of care had a significant impact on patients' quality of life. CONCLUSIONS: The high-quality nursing service system has a higher application value in the care management of malignancies than routine nursing. This can reduce complications, relieve patients' anxiety, depression, pain degree and cancer-related fatigue, and boost their quality of life, with high clinical popularization prospects.

6.
Am J Transl Res ; 14(7): 4812-4820, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35958504

RESUMO

OBJECTIVE: To explore the effect of fast-track surgery (FTS) based high quality nursing on orthopedic trauma. METHODS: In this retrospective study, 94 patients who received orthopedic trauma surgery in our hospital from December 2018 to November 2020 were included. The patients were assigned to a research group (n=47) or a control group (n=47) according to which nursing method they received. The control group received routine nursing, while the research group also received FTS-based high-quality nursing. Perioperative situation, quality of life score (SF-36) before and after operation, incidence of complications, pain score (VAS) at different time periods after operation, and nursing satisfaction were compared between the two groups. RESULTS: There was no significant difference in operation time or blood loss between groups (P>0.05). The time to getting out of bed for the first time, time to drainage tube removal, and length of hospital stay in the research group were shorter than those in the control group (P<0.001). Repeated measurement analysis of variance revealed that the VAS score of the research group was lower than that of the control group at 1 h, 3 h, 6 h, 24 h and 48 h after operation (P<0.05). Intra-group comparison manifested that the VAS scores of both groups decreased at 1 h, 3 h, 6 h, 24 h and 48 h after operation (P<0.05). Comparison at different time points revealed that the difference was statistically significant (P<0.05). The incidence of complications in the research group (4.26%) was lower than that in the control group (17.02%; P<0.05). The satisfaction rate of nursing in the research group (93.62%) was higher than that in the control group (78.72%; P<0.05). After intervention, the level of superoxide dismutase (SOD) and glutathione (GSH) in both groups decreased with a lesser decrease in the research group. The contents of reactive oxygen species (ROS) and malondialdehyde (MDA) in groups after intervention were higher than those before intervention with a milder increase in the research group. CONCLUSION: FTS mode can shorten the recovery time, reduce the degree of pain and the reduce the time of analgesia. It also promotes the recovery and shortens the hospital stay of patients, and improves their quality of life, with high satisfaction. This may be related to an expeditedd surgical process and reduced oxidative stress response of patients undergoing surgery under the rapid recovery surgical model.

7.
Am J Transl Res ; 14(5): 3472-3480, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35702086

RESUMO

OBJECTIVE: To determine the effects of high-quality nursing on negative emotions, treatment compliance, and complications of peripherally inserted central catheter (PICC) placement in patients with leukemia. METHODS: A total of 87 patients with leukemia treated in our hospital from May 2018 to May 2020 were retrospectively enrolled and their clinical data were analyzed. The patients were assigned to a routine group (n=40) and a high-quality group (n=47) based on different nursing schemes. The self-rating depression scale (SDS) and self-rating anxiety scale (SAS) were used to compare the negative emotional changes in patients of the two groups, and the visual analogue scale (VAS) was used to analyze the degree of pain. The two groups were compared in treatment compliance, quality of life, incidence of complications of PICC placement, and nursing satisfaction. RESULTS: After intervention, the high-quality group got significantly lower SDS and SAS scores than the routine group (both P<0.05). Compared with the routine group, the high-quality group showed higher treatment compliance and nursing satisfaction, experienced higher quality of life (all P<0.05), with also a lower total incidence of complications of PICC placement (P<0.01). CONCLUSION: For patients with leukemia, high-quality nursing can substantially improve their psychological state, treatment compliance and nursing satisfaction, and reduce the incidence of complications of PICC placement.

8.
Clin Nurs Res ; 31(6): 1100-1106, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35450451

RESUMO

BACKGROUND: To investigate the efficacy of individualized symptom management based on patients' self-reports during interventional therapy (IT) for liver cancer. METHODS: Patients with liver cancer who recieved IT from April to August 2019 were assigned to either the intervention (n=70) or control group (n=70). The control group received routine nursing care and the intervention group received a nursing management program. The severity of specific symptoms, as measured by the Karnofsky Performance Scale (KPS), and satisfaction with nursing care, were analyzed. RESULTS: Compared to the control group, patients given individualized management experienced significantly less severe pain, nausea, anxiety, and fatigue (p < .05). The scores for KPS and satisfaction with care were both significantly improved in the intervention group than in the control group (p < .05). CONCLUSION: This high-quality nursing management program predicated on patients' self-reports is worthy of clinical application and popular adoption.


Assuntos
Fadiga , Neoplasias Hepáticas , Ansiedade , Humanos , Neoplasias Hepáticas/terapia , Náusea , Medidas de Resultados Relatados pelo Paciente
9.
Am J Transl Res ; 14(3): 1721-1728, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35422909

RESUMO

OBJECTIVE: To analyze the effect of high-quality nursing service in the delivery room on puerperae and newborns. METHODS: Clinical data of 100 puerperae who came to our hospital for delivery were analyzed in this retrospective study. The puerperae were divided into an observation group (50 cases) and a control group (50 cases) according to the nursing model they received. The observation group was given high-quality nursing, and the control group was given routine nursing. The levels of blood glucose and blood pressure, scores of Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS), delivery mode, nursing satisfaction and perinatal health status were recorded and compared. RESULTS: After childbirth, the SAS and SDS scores in the observation group were significantly lower than those in the control group (both P<0.05). The amniotic fluid index of the observation group was increased significantly (P<0.001). The total nursing satisfaction of the observation group was higher than that of the control group (t=14.324, P<0.001). The health status of neonates in the observation group was better than that in the control group (χ2=4.762, P=0.029). After intervention, the levels of blood glucose and blood pressure in the observation group were lower than those in the control group (both P<0.05). CONCLUSION: High-quality nursing for puerperae in the delivery room improves their negative psychological emotions, which is of significance for delivery and nursing work.

10.
Am J Transl Res ; 14(3): 1652-1662, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35422953

RESUMO

OBJECTIVE: To evaluate the effects of high-quality nursing intervention on negative emotions, postoperative complications and gastrointestinal function of patients underwent gastric cancer (GC) surgery. METHODS: From November 2017 to February 2019, a total of 164 GC patients who underwent operative treatment in our hospital were selected as the research subjects. Thereinto, 86 patients were given high-quality nursing intervention (research group, RG), and the other 78 received routine nursing intervention (control group, CG). The hospitalization time, expenses and the incidence of postoperative complications were compared between the two groups. After operation, the gastrointestinal function, negative emotions, postoperative pain, quality of life, nursing satisfaction, and ESCA and PSQI scores were compared between the two groups. RESULTS: The hospitalization time was significantly shorter and expenses were obviously lower in patients of the RG than those in the CG. The incidence of postoperative complications in the RG was obviously lower than that in the CG. The gastrointestinal function indexes (time to anal exhaust, time to defecation, time to start eating, recovery time of bowel sounds, indwelling time of gastric tube, time of getting out of bed) of patients in the RG were obviously better. The SAS, SDS, PSQI scores and VAS scores at 24 h after operation of patients in the RG were obviously lower than those in the CG. The score of quality of life, scores of ESCA and nursing satisfaction of patients in the RG were obviously higher than those in the CG. CONCLUSION: High-quality nursing intervention can dramatically improve negative emotions, reduce postoperative complications, ameliorate sleep quality, enhance self-care ability, relieve postoperative pain and improve quality of life and nursing satisfaction for patients undergoing GC surgery.

11.
Am J Transl Res ; 14(1): 304-310, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35173847

RESUMO

OBJECTIVE: To observe the effect of high-quality nursing on puerperants with gestational hypertension. METHODS: In this study, 144 puerperants with gestational hypertension admitted to our hospital were included and divided into a research group and a control group according to the nursing method. The control group (n = 72) adopted the routine nursing and the observation group (n = 72) adopted the high-quality nursing. The rate of postpartum hemorrhage, the incidence of eclampsia, the amount of 1 d-postpartum hemorrhage, the quality of life (QOL), the psychological states, and the nursing satisfaction were compared between the two groups. RESULTS: The rate of postpartum hemorrhage, the incidence of eclampsia, and the amount of 1 d-postpartum hemorrhage of the patients in the observation group were significantly lower than those in the control group (all P < 0.05). After intervention, the scores of psychological states in both groups decreased, which dropped more in the observation group (all P < 0.05). The scores of physical function, overall health, social function, and emotional role in the observation group were significantly higher than those in the control group (all P < 0.05). The patients' satisfaction on nursing in the observation group was significantly higher than that in the control group (P < 0.05). CONCLUSION: High-quality nursing has certain advantages in improving postpartum hemorrhage and QOL in puerperants with gestational hypertension. It can also improve patients' negative emotions, life quality, and nursing satisfaction.

12.
Am J Transl Res ; 13(11): 13084-13092, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34956527

RESUMO

OBJECTIVE: This study was designed to determine the effect of high-quality nursing on patients with gestational diabetes mellitus (GDM). METHODS: A total of 114 patients diagnosed with GDM in our hospital between December 2016 and December 2018 were enrolled, and assigned to a high-quality group (HQ group; n=64) and a normal group (Nor group; n=50). Patients in the HQ group were nursed under the high-quality nursing mode, while those in the Nor group were nursed under the routine nursing mode. The following items of all patients were determined: Blood glucose index, serum lipids index, insulin resistance index, mental health level, treatment compliance, total effective rate of diabetes mellitus treatment, incidence of adverse reactions, and satisfaction. RESULTS: Compared with the Nor group, the HQ group showed higher levels of fasting blood glucose, 2-hour postprandial blood glucose, total cholesterol, triglyceride, low-density lipoprotein-cholesterol, and lower levels of high-density lipoprotein-cholesterol, and also showed lower Homa IR and incidence of adverse reactions, with lower Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD) scores, and showed higher treatment compliance, total effective rate of diabetes mellitus treatment, and overall satisfaction. CONCLUSION: High-quality nursing can effectively improve the blood glucose level and psychological state of patients with GDM, and contributes to higher treatment compliance.

13.
Am J Transl Res ; 13(11): 13209-13215, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34956542

RESUMO

OBJECTIVE: This research was aimed to evaluate the impact of high-quality nursing (HQN) plus respiratory training on treatment compliance, pulmonary function (PF) and quality of life (QoL) of patients with chronic obstructive pulmonary disease (COPD). METHODS: We retrospectively analyzed 89 COPD patients who were treated at the affiliated Nanhua Hospital from February 2019 to February 2021. Among them, 40 cases received drug treatment and breathing training as the control group, and 49 cases were supplemented with HQN as the experimental group on the basis of the control group. The changes in PF, quality of life and compliance were compared between the two groups. RESULTS: Vital capacity (VC) and alveolar ventilation (VA) increased in both cohorts after treatment (P < 0.05), and increased more significantly in experimental group compared with control group (P < 0.05). Experimental group also presented markedly higher total effective rate and noticeably lower scores of symptoms, activities and disease impact on daily life than control group (P < 0.05). CONCLUSIONS: HQN plus respiratory training can effectively improve the PF, efficacy and QoL of patients with COPD.

14.
Am J Transl Res ; 13(10): 11851-11859, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34786114

RESUMO

OBJECTIVE: This research aimed at observing the effect of applying high-quality nursing in the intensive care unit (ICU) to esophageal cancer (EC) patients after radical resection. METHODS: From January 2015 to February 2020, 155 EC patients who underwent radical resection were divided into the control group (CG; n=77) and the observation group (OG; n=78). The CG was given conventional nursing intervention, and the OG was given high-quality nursing intervention. The scores of the visual analogue scale (VAS), clinical related indexes, complications, self-rating anxiety scale (SAS), self-rating depression scale (SDS), nursing satisfaction and SF-36 of patients were compared. RESULTS: After nursing, compared with the CG, the duration of the indwelling drainage tube, time to getting out of bed, recovery of bowel sounds and hospitalization in the OG was shorter, and the incidence of postoperative complications was less. In addition, after nursing, the VAS, SAS and SDS scores of patients in both groups decreased, and these indexes in the OG decreased more than those in the CG. Patients were investigated upon discharge, and it was revealed that the nursing satisfaction of patients in the OG was obviously better than that in the CG. Three months after the operation, the scores of general health (GH), mental health (MH), role-physical (RP), role emotional (RE) and vitality (VT) of patients in the OG were higher than those in the CG. CONCLUSION: High-quality nursing exerts a better effect in the ICU for patients who underwent EC surgery; it can reduce pain and adverse events and promote rehabilitation.

15.
Am J Transl Res ; 13(10): 11958-11965, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34786128

RESUMO

OBJECTIVE: To analyze the risk factors of moderate and severe depression and to study the effect of high quality nursing on alleviating negative emotions and improving quality of life of patients with advanced lung cancer. METHOD: A total of 100 patients with advanced lung cancer were collected from our hospital. According to the SDS score before the nursing, the patients with SDS score ≤62 and >52 were enrolled in the mild depression group, and those with SDS score >62 were enrolled in the moderate, severe depression group. The risk factors that make mild depression develop into moderate/severe depression were studied. The patients were randomly divided into a control group (n = 50) and an observation group (n = 50). The patients in both groups were given routine nursing, and those in the observation group received high quality nursing on the basis of routine nursing. The QOL-C30 was used to evaluate the changes in quality of life. The SDS (Self-Rating Depression Scale) and SAS (Self-rating Anxiety Scale) were used for assessing the degree of anxiety and depression. The incidence of complications and the nursing satisfaction of patients were observed. RESULTS: The multi-factor Logistic regression results showed that gender (OR: 3.398, 95% CI: 1.020-11.324), course of disease (OR: 0.676, 95% CI: 0.562~0.814), educational level (OR: 2.073, 95% CI: 1.165-3.688), and family income (OR: 1.676, 95% CI: 9.020) were the influence factors of moderate and severe depression. The QOL-30 score in the observation group was higher than those in the control group after nursing, and the changes in the observation group were significantly greater than those in the control group (P<0.05). After nursing, the observation group had much lower SAS and SDS scores and significantly greater changes than the control group (P<0.5). The total incidence of complications in the control group was statistically greatly higher than that in the observation group (P<0.05). The nursing satisfaction in the control group was statistically much lower than that in the observation group (P<0.5). CONCLUSIONS: Gender, course of disease, educational level, and family income are independent influencing factors of moderate and severe depression. High quality nursing can effectively improve the anxiety and depression, and quality of life of patients, which is worthy of being popularized clinically.

16.
Am J Transl Res ; 13(10): 11974-11980, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34786130

RESUMO

OBJECTIVE: To investigate the effect of high-quality nursing on psychological status and prognosis of patients undergoing brain tumor surgery. METHODS: One hundred and ten patients undergoing brain tumor surgery were divided into control group (n=55, receiving routine nursing) and observation group (n=55, receiving high-quality nursing). The psychological status (Hamilton Anxiety Rating Scale (HAMA) and Hamilton Depression Rating Scale (HAMD)), quality of life (Generic Quality of Life Inventory-74 Scale (GQOLI-74)), prognosis (Glasgow Outcome Scale (GOS)), self-efficacy (Strategies Used by People to Promote Health Scale (SUPPH)) and complications of patients in both groups were recorded and compared. RESULTS: After intervention, scores of HAMA and HAMD in both groups decreased, while scores of GOS, GQOLI-74 and SUPPH in both groups increased (all P<0.05). Compared with the control group, scores of HAMA and HAMD in the observation group were lower after intervention, while scores of GOS, GQOLI-74 and SUPPH were higher (all P<0.05). There was no significant difference in mortality between the two groups (P>0.05). The overall complication rate in the observation group was lower than that in the control group during hospitalization (P<0.05). CONCLUSION: Perioperative high-quality nursing for patients undergoing brain tumor surgery can significantly alleviate the adverse psychological states, reduce the complication rate and improve the postoperative self-efficacy and quality of life.

17.
BMC Oral Health ; 21(1): 602, 2021 11 23.
Artigo em Inglês | MEDLINE | ID: mdl-34814908

RESUMO

PURPOSE: The aim of this study was to assess the effect of high-quality nursing based on the concept of childlike interest in children with cleft lip and palate following operation on healing time, degree of pain, psychological state, quality of life, and the occurrence of complications. METHODS: A series of 62 children with cleft lip and palate was treated in our hospital from January 2019 to March 2021. The patients were randomly divided into observation group (31 cases, given high-quality nursing based on childlike interest) and control group (31 cases, given routine nursing intervention). The healing time and hospital stay of the two groups were recorded. The degree of pain, psychological state and quality of life of the two groups before and after intervention were compared, and the occurrence of complications was closely monitored. RESULTS: Compared with the control group, the healing time and hospital stay of the study group were significantly shorter after the intervention (P < 0.05). Before the intervention, no significant difference was identified in pain score between the two groups (P < 0.05), after the intervention, however, the pain score of the study group was significantly lower compared with the control group (P < 0.05). Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS) scores of the two groups were comparable before intervention (P > 0.05), while after intervention the SDS and SAS scores of the two groups were lower than those before treatment. Compared with the control group, the SDS and SAS scores of the study group were remarkably lower (P < 0.05). Before the intervention, the quality of life scores of the two groups were comparable (P > 0.05), while after the intervention, the scores of quality of life in the two groups were associated with lower outcomes. Compared with the control group, the scores of quality of life in the study group were significant lower (P < 0.05). After the intervention, there were evident fewer incidence of complications in the study group compared to the control group (P < 0.05). CONCLUSIONS: High quality nursing based on childlike interest exerted beneficial outcomes in terms of shortening the healing time and hospital stay, reducing the degree of pain and complications, as well as improving the psychological state and quality of life of children harboring cleft lip and palate. Additionally, its high safety feature contributes to the wide application for clinical practice.


Assuntos
Fenda Labial , Fissura Palatina , Criança , Fenda Labial/cirurgia , Fissura Palatina/cirurgia , Humanos , Pais , Qualidade de Vida
18.
Am J Transl Res ; 13(8): 9722-9728, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34540101

RESUMO

OBJECTIVE: To investigate the effect of high-quality nursing on negative emotions and hope levels after oral and maxillofacial surgery (OMS). METHODS: A prospective study involving 120 patients who underwent OMS from December 2018 to January 2020 was conducted. The study subjects were classified into a study group and control group with 60 in each, using a random number table. Routine nursing was applied in the control group, while the study group was given high-quality nursing. Psychological status, hope levels, quality of life (QOL), complications and satisfaction rate were compared between patients in the two groups before and after intervention. RESULTS: After intervention, the scores of HAMA (Hamilton Anxiety Rating Scale) and HAMD (Hamilton Depression Rating Scale) of the two groups were both significantly reduced, and the decrease was significantly greater in the study group (all P<0.05). After intervention, the scores of Herth Hope Index (HHI) and Generic quality of life Inventory-74 (GQOLI-74) in the two groups were both elevated, and the increase was significantly greater in the study group (all P<0.01). As compared with the control group, the total incidence of complications in study group was significantly lower (P=0.04), while the satisfaction rate with nursing was higher (P=0.032). CONCLUSION: High-quality nursing, with low incidence of complications and high overall satisfaction rate, can significantly relieve adverse emotions and promote QOL after OMS.

19.
Am J Transl Res ; 13(5): 4749-4759, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34150055

RESUMO

OBJECTIVE: This study was designed to determine the effect of high-quality nursing intervention on negative emotions, quality of life and activities of daily living (ADL) of elderly patients with Parkinson's disease (PD). METHODS: Totally 115 elderly PD patients treated in our hospital from March 2018 to September 2019 were selected as the research participants. According to different nursing intervention methods, they were divided into two groups. The research group (RG) (65 cases) received high-quality nursing intervention, while the control group (CG) (50 cases) received routine nursing intervention. The adverse reactions, negative emotions, quality of life, ADL, PSQI, MDRSPD scores and nursing satisfaction were compared between the two groups. RESULTS: After nursing intervention, the incidence of adverse reactions in the RG was dramatically lower than that in the CG. Before nursing intervention, there was no marked difference in the scores of quality of life, ADL and MDRSPD between the two groups. But after nursing, those scores in the RG were markedly higher than those in the CG. Before nursing intervention, there was no remarkable difference in SAS, SDS and PSQI scores between both groups, but after that, the scores of the RG were obviously lower than those of the CG. After nursing intervention, the nursing satisfaction of patients in the RG was dramatically higher than that in the CG. CONCLUSION: High-quality nursing intervention for elderly PD patients can dramatically improve their negative emotions, quality of life and ADL, and promote recovery of motor function.

20.
Am J Transl Res ; 13(5): 4928-4938, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34150077

RESUMO

OBJECTIVE: This study was designed to investigate the effect of high-quality nursing (HQN) intervention on psychological emotion, quality of life (QOL) and nursing satisfaction of patients with nasopharyngeal carcinoma (NPC) undergoing radiotherapy. METHODS: Fifty-eight NPC patients receiving radiotherapy in our hospital between August 2017 and February 2019 were selected and divided into two groups according to different nursing intervention models. Among them, the control group (CG; 28 cases) was given routine nursing intervention, while the research group (RG; 30 cases) was treated with HQN intervention. The efficacy and the incidence of adverse reactions of the two groups were evaluated. Health knowledge awareness rate, psychological mood, QOL, sleep quality and nursing satisfaction were compared between CG and RG. RESULTS: RG presented significantly higher efficacy and notably lower incidence of adverse reactions than CG after 3 months of nursing intervention. Patients in RG acquired evidently higher knowledge awareness rate regarding radiotherapy, dietary, adverse reaction prevention, self-care and functional exercise than those in RG (P < 0.05). In comparison with CG, the scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) as well as Pittsburgh Sleep Quality Index (PSQI) in RG were evidently lower, while the Short-Form 36 Item Health Survey (SF-36) scores and nursing satisfaction were statistically higher. CONCLUSIONS: HQN intervention is high-performing in NPC patients undergoing radiotherapy, which can effectively improve the curative effect, reduce the incidence of adverse reactions, enhance patients' health knowledge awareness rate while relieving their bad emotions and improving their QOL, sleep quality and nursing satisfaction.

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