Channel: Nursing Research http://journal23.magtechjournal.com/Jwk3_gjyyws EN-US http://journal23.magtechjournal.com/Jwk3_gjyyws/EN/1007-1245/current.shtml http://journal23.magtechjournal.com/Jwk3_gjyyws 1007-1245 http://journal23.magtechjournal.com/Jwk3_gjyyws/EN/10.3760/cma.j.issn.1007-1245.2021.06.029 Objective To investigate the influencing factors and improvement measures of "missing the optimal time window for thrombolysis" in patients with acute ischemic stroke (AIS). Methods A total of 180 patients with AIS admitted in our hospital from March 2019 to March 2020 were selected, among them 36 patients (20.00%) received treatment within 3.5 h after onset (timely treatment group), and 144 patients (80.00%) received treatment over 3.5 h after onset (delayed treatment group). The clinical data of patients were collected by questionnaire survey. The main influencing factors of "missing the optimal time window for thrombolysis" were analyzed, and the improvement measures were determined accordingly. Results Multivariate logistic regression analysis showed that the influencing factors of "missing the optimal time window for thrombolysis" for AIS patients were living together with their families, the first hospital, initial symptoms as not fluent speech, blurred vision, and disturbance of consciousness, the mode of transportation, the cognitive score of stroke related knowledge of patients and their families (all P<0.05). Conclusions The average visit time of AIS patients is longer, the visit rate within 3.5 h is lower, and there is still a serious phenomenon of "missing the optimal time window for thrombolysis". In clinical practice, we should strengthen nursing strategies, improve the ability of patients and their families to recognize the initial symptoms of AIS, to finally shorten the treatment time, so that patients with AIS can be treated with thrombolysis as soon as possible.]]> http://journal23.magtechjournal.com/Jwk3_gjyyws/EN/10.3760/cma.j.issn.1007-1245.2021.06.030 Objective To observe the current situation of humanistic care needs of elderly patients with primary liver cancer undergoing interventional therapy, and to analyze the influencing factors. Methods Eighty-six elderly patients with primary liver cancer who received interventional therapy in our hospital from January 2018 to August 2019 were selected as the research objects. The self-made humanistic care demand questionnaire was used to investigate the current situation of humanistic care needs of all the selected patients. According to the survey results, the selected patients were divided into high humanistic care demand group and low humanistic care demand group. All patients were investigated with self-made baseline data questionnaire. The baseline data of patients with primary liver cancer were collected, and all factors that may affect the demand for humanistic care were included. The single factor and multi factor analysis were carried out to analyze the factors leading to the high demand for humanistic care in elderly patients with primary liver cancer undergoing interventional therapy. Results According to the survey, 23 cases (26.74%) had high demand for humanistic care. The results of single factor and multiple logistic regression analysis showed that women, more hospitalization times, children as the main caregivers, poor awareness of primary liver cancer knowledge, and poor family support function were all influencing factors of higher demand for humanistic care in patients with primary liver cancer (all OR>1, P<0.05). Conclusion Women, more hospitalization times, children as the main caregivers, poor awareness of primary liver cancer knowledge, and poor family support function may be the important factors leading to the increase of humanistic care needs of elderly patients with primary liver cancer during interventional treatment, and early intervention should be given.]]> http://journal23.magtechjournal.com/Jwk3_gjyyws/EN/10.3760/cma.j.issn.1007-1245.2021.06.031 Objective To explore the understanding of ultrasonic examination in patients, to provide a theoretical basis for the development of health education plan for ultrasonic examination patients. Methods From April 5, 2020 to April 30, 2020, 130 patients who came to our hospital for ultrasonic examination were enrolled with the convenient sampling method. The knowledge awareness, knowledge sources, and the most recognized education methods of ultrasound examination were investigated. Results The awareness rate of ultrasound examination was 60.62%,incomplete knowledge acquisition. The sources of knowledge were oral education of medical staff, mobile network, and previous experience, accounting for 78.46% (102/130), 61.54% (80/130) and 60.00% (78/130) respectively. The most recognized educational needs were oral education, written notice, and mobile network, accounting for 68.46% (89/130), 67.69% (88/130), 66.92% (87/130) respectively. The awareness score on ultrasound examination in patients with higher education background was better than that in patients with lower education background [(14.46±2.35) points vs.(8.74±2.23) points], that in re-examination patients was better than that in initial examination patients [(12.80±3.24) points vs.(8.91±3.02) points] (both P<0.05). Conclusions The awareness rate of ultrasonic examination related knowledge is low. It is necessary to carry out targeted examination knowledge education for patients before examination, oral explanation combined with written notice is more acceptable, especially for those with lower education background, more attention should be paid. At the same time, we should not neglect to acquire knowledge from mobile websites, paying attention to content review before publishing on the website.]]> http://journal23.magtechjournal.com/Jwk3_gjyyws/EN/10.3760/cma.j.issn.1007-1245.2021.06.032 Objective To observe the effect of hormone in the treatment of renal tubular acidosis caused by Sjogren syndrome, and to summarize nursing measures. Methods Fifty-nine patients with renal tubular acidosis caused by Sjogren syndrome who were admitted in our hospital from July 2017 to July 2019 were selected as the subjects of this study. All patients were treated with low-dose of cyclophosphamide combined with methotrexate, while targeted nursing measureswere carried out. The treatment compliance and adverse reactions (hypokalemia, malnutrition, hypocalcemia) of patients before and after treatment were compared. Results The rate of complications after treatment was 11.9% (7/59), which was lower than that before treatment [40.7% (24/59)] (P<0.05). The treatment compliance after treatment was 98.3% (58/59), which was higher than that before treatment [88.1% (52/59)] (P<0.05). The incidence of adverse reactions was 3.4% (2/59). Conclusion The clinical manifestations of renal tubular acidosis caused by Sjogren syndrome are complicated. The use of low-dose of cyclophosphamide combined with methotrexate treatment, supplemented by targeted nursing measures, can improve the patients' body function and reduce the occurrence of adverse reactions.]]> http://journal23.magtechjournal.com/Jwk3_gjyyws/EN/10.3760/cma.j.issn.1007-1245.2021.06.033 Objective To analyze the influencing factors of catheter displacement in peritoneal dialysis patients, and to provide guidance for the prevention of catheter displacement. Methods The clinical data of 173 cases of peritoneal dialysis patients treated in our hospital from January 2018 to February 2020 were retrospectively analyzed. The incidence of catheter displacement within 4 weeks after peritoneal dialysis catheterization was statistically analyzed. The general data of patients, including age, gender, primary diseases, incision location, constipation, body mass index, and catheter type were recorded. The influencing factors of catheter displacement were analyzed by univariate and multivariate analysis. Results Within 4 weeks after peritoneal dialysis catheterization, 14 out of 173 patients had catheter displacement, with the incidence of 8.09%. There was no statistically significant difference in age, gender, primary diseases, or body mass index between patients with and without catheter displacement (all P>0.05), but there were statistically significant differences in incision location, incidence of constipation, and catheter type (all P<0.05). Multivariate logistic regression model was established after logistic regression analysis. It was found that the right umbilical incision, constipation, and tube insertion were the influencing factors of catheter displacement in peritoneal dialysis patients (all OR>1, P<0.05). Conclusion Right umbilical incision, constipation, and curved tube placement will increase the risk of catheter displacement in peritoneal dialysis patients. Reasonable intervention should be implemented to reduce the incidence of catheter displacement.]]> http://journal23.magtechjournal.com/Jwk3_gjyyws/EN/10.3760/cma.j.issn.1007-1245.2021.06.034 http://journal23.magtechjournal.com/Jwk3_gjyyws/EN/10.3760/cma.j.issn.1007-1245.2021.06.035 Objective To investigate the effect of vacuum sealing drainage combined with targeted nursing on angiogenesis in diabetic foot ulcer area. Methods A total of 116 patients with diabetic foot ulcer (DFU) admitted from July 2017 to October 2019 were selected as the research objects and were randomly divided into observation group and control group with 58 cases in each group. The control group was given conventional debridement, and the observation group was given vacuum sealing drainage (VSD) combined with targeted nursing on the basis of the control group. The differences of wound healing time, wound healing rate, wound angiogenesis index, SAS and SDS scores between the two groups were compared. Results The wound healing time of the observation group was significantly shorter than that of the control group [(16.12±2.66) d vs.(20.54±2.72) d], and the wound healing rate was significantly higher than that of the control group [(65.26±10.45)% vs.(38.98±11.26)%] (both P<0.05). There were no statistically significant differences in wound angiogenesis indexes between the two groups before treatment (all P>0.05); after 3, 5, 7 days of treatment, the expressions of VEGF, VEGFR, CD105, MMP9 protein in wound tissue of the observation group were significantly higher than those of the control group and those after treatment (all P<0.05). There were no statistically significant differences in SAS and SDS scores between the two groups (both P>0.05); after treatment, SAS and SDS scores in the observation group were (44.68±5.50) points, (42.56±5.52) points, which were significantly lower than those in the control group [(50.21±5.45) points, (52.16±5.47) points] (both P<0.05). Conclusion VSD can regulate the expression of VEGF, CD105, and other angiogenesis molecular factors in diabetic foot ulcer wound, promote angiogenesis of ulcer wound; combined with targeted nursing, it can relieve anxiety and depression of patients, shorten the healing time of DFU wound, and improve the wound repair rate.]]> http://journal23.magtechjournal.com/Jwk3_gjyyws/EN/10.3760/cma.j.issn.1007-1245.2021.06.036 Objective To explore the effect of multiple continuous nursing on the cardiac rehabilitation of patients with coronary heart disease undergoing percutaneous coronary interventional therapy. Methods A total of 144 patients with coronary heart disease undergoing percutaneous coronary intervention in the department of cardiology of our hospital from January to December 2018 were randomly divided into two groups, 72 cases in each group. On the basis of routine health education, the continuous nursing group members used wechat, telephone, and patient health club to continue nursing for patients in the observation group, while the control group received routine health education. The compliance behavior, incidence of cardiovascular events, readmission rate, risk factors, patient satisfaction of the two groups at 3 months, 6 months, and 12 months after discharge were compared. Results The compliance behavior scores in the observation group at 3 months, 6 months, and 12 months after PCI were (6.05±0.85) points, (6.12±0.80) points, (5.97±0.88) points, which were significantly higher than those in the control group [(5.35±1.05) points, (5.15±1.12) points, (4.55±1.25) points] (all P<0.05). There were no statistically significant differences in the incidence of cardiovascular events and readmission rate between the two groups at 3 months after PCI (both P>0.05); there were statistically significant differences in the incidence of cardiovascular events and readmission rate between the two groups at 6, 12 months after PCI (all P<0.05). There was no statistically significant difference in risk factor control between the two groups at 3 months after PCI (P>0.05); there were no statistically significant differences in risk factor control between the two groups at 6, 12 months after PCI (all P<0.05). The total satisfaction rates in the observation group at 3 months, 6 months, and 12 months after PCI were 94.4%, 91.7%, 97.2%, which were significantly higher than those in the control group (86.1%, 83.3%, 80.6%) (all P<0.05). Conclusion The effect of multiple continuous nursing on the restoration of coronary heart disease after percutaneous coronary intervention is good, which should be popularized.]]> http://journal23.magtechjournal.com/Jwk3_gjyyws/EN/10.3760/cma.j.issn.1007-1245.2021.06.037 Objective To explore the effect of predictive nursing for patients with hypertensive intracerebral hemorrhage. Methods From February 2019 to May 2020, 94 patients with hypertensive intracerebral hemorrhage were selected as the research objects. The patients were randomly divided into two groups, the control group and the observation group, with 47 cases in each group. The control group was given routine nursing care, while the observation group was given predictive nursing, psychological nursing, diet nursing, prevention and nursing of complications, to reduce the incidence of pulmonary infection, constipation, hyperpyrexia, pressure sores, and other complications as far as possible. The treatment effect, quality of life improvement, and complications of the two groups were compared. Results After the implementation of nursing intervention, the NIHSS score and Barthel score of the two groups were significantly different from those before nursing (all P<0.05); the NIHSS score of the observation group was lower than that of the control group [(15.78±4.14) vs.(27.23±4.11)] (P<0.05), the Barthel score of the observation group was higher than that of the control group [(75.18±5.11) vs.(65.23±5.09)] (P<0.05); the scores of physical function, mental function, social function, material life of GQOLI-74 in the observation group were (87.23±7.57), (87.15±10.24), (88.23±9.13), (88.03±7.18), respectively, which were higher than those in the control group [(78.01±6.23), (75.22±8.23), (78.15±9.05), (79.22±7.22)] (all P<0.05). The rates of complications of the observation group and the control group were 6.38% (3/47) and 23.40% (11/47), respectively, with statistically significant difference between the two groups (P<0.05). Conclusion After the implementation of predictive nursing, the neurological function of patients with hypertensive intracerebral hemorrhage is significantly improved, the ability of daily life and quality of life are significantly improved, and the occurrence of complications is reduced, which helps patients obtain a good prognosis.]]> http://journal23.magtechjournal.com/Jwk3_gjyyws/EN/10.3760/cma.j.issn.1007-1245.2021.06.038 Objective To analyze the effect of swallowing rehabilitation training on swallowing function and quality of life of stroke patients with swallowing dysfunction. Methods A total of 50 patients from June 2017 to December 2020 were included in this study. The research objects were randomly divided into control group and experimental group by computer, 25 cases in each group. The control group received conventional nursing method, and the experimental group received swallowing rehabilitation training method on the basis. Their results were compared. Results After nursing, the swallowing dysfunction score of the experimental group (20.36±1.01) was significantly lower than that of the control group (31.28±1.21) (P<0.05); the scores of quality of life (physiological function, psychological function, social relationship, and material life) of the experimental group were higher than those of the control group (all P<0.05); the total nursing satisfaction of the experimental group was higher than that of the control group [92% (23/25) vs.60% (15/25)] (P<0.05). Conclusion The use of swallowing rehabilitation training measures can produce a positive effect on stroke patients with swallowing dysfunction, which is worthy of promotion.]]> http://journal23.magtechjournal.com/Jwk3_gjyyws/EN/10.3760/cma.j.issn.1007-1245.2021.06.039 Objective To investigate and analyze the status of training and implementation about nosocomial infection prevention knowledge and skills of support staff in medical institutions, so as to make effective measures to reduce the incidence of nosocomial infection. Methods Totally 497 support staff in medical institutions of Guangzhou were selected by convenient sampling and were investigated with the self-designed nosocomial infection prevention knowledge and skills questionnaire from April to May 2019 to assess their trained rate, mastering rate, carrying out rate of nosocomial infection prevention knowledge and skills, and adequate supplying rate of supporting facility. Results In the total of 497 support staff, there were 76.66% (381/497) older than forty, 85.11% (423/497) were female, 87.73% (436/497) had education degree equal to or below senior middle school, 48.09% (239/497) had working experience shorter than 5 years; 73.24% (364/497) had received standardized training, 37.02% (184/497) considered that the training by nurses was better; the cumulative person-time that didn't know well about hand hygiene, cleaning disinfection, medical waste classification, and pricking wound management were 11.86% (59/497), 31.79% (158/497), 11.67% (58/497), 4.42% (22/497); the cumulative person-time that didn't do well about hand hygiene, tool hygiene, medical waste classification, and work-clothes hygiene were 6.24% (31/497), 11.47% (57/497), 10.26% (51/497), 51.11% (254/497); the rates of persons that could not get convenient wash facilities, enough hand-disinfection solution, gloves were 14.28% (71/497), 9.06% (45/497), 14.49% (72/497); 95.5% (42/44) of recommendations were about more training. Conclusion The hospital support staff personnel structure need to be optimized, more systematic and standardized training about nosocomial infection prevention knowledge and skills should be provided, more convenient hygiene facilities and enough hygiene appliances in their working also should be provided.]]>