消化内镜科分诊的护理探讨

[目的]总结消化内镜科分诊的护理工作经验。[方法]对病人的身体状况进行有效评估,检查前需要仔细阅读检查申请单有效降低检查风险;加强与病人的沟通工作、心理护理和了解病人当前病情情况。对病人检查前的准备工作的完成状况有所了解的基础上合理安排检查时间,做好健康教育,护理结束后对病人发放调查问卷,进行护理质量调查。[结果]调查问卷显示,病人的满意程度达到90%以上。[结论]消化内镜科分诊护理工作非常重要,保证病人所有检查的顺利完成,提高了病人对护理工作的满意度。     

运动-心理-睡眠护理干预结合正念音乐干预对胶质瘤患者疲乏程度、睡眠质量、疾病自我感受负担的影响

目的 探讨运动-心理-睡眠护理干预结合正念音乐干预在胶质瘤患者中的应用效果。方法 选择2019年1月至2021年2月收治的82例胶质瘤患者为研究对象,按照随机数字表法将其分为对照组与观察组,各41例。对照组接受常规护理,观察组在对照组基础上实施运动-心理-睡眠护理干预结合正念音乐干预。比较两组的干预效果。结果 干预后,观察组的躯体疲乏、认知疲乏、情感疲乏评分均低于对照组,差异具有统计学意义（P<0.05）。干预后,观察组的PSQI评分低于对照组,GSES评分高于对照组,差异具有统计学意义（P<0.05）。干预后,观察组的身体负担、情感负担、经济负担评分均低于对照组,差异具有统计学意义（P<0.05）。结论 运动-心理-睡眠护理干预结合正念音乐干预可减轻胶质瘤患者的疲乏程度与疾病自我感受负担,也能提高睡眠质量及自我效能感,值得推广。     

Music as a nursing intervention: effects of music listening on blood pressure, heart rate, and respiratory rate in abdominal surgery patients

Contradictory results have been presented on how music listening affects patients' blood pressure, heart rate, and respiratory rate. The aim of the present study was to evaluate the effects of music listening on blood pressure, heart rate, and respiratory rate on operation day, and on the first, second, and third postoperative days in abdominal surgery patients. Using a quasi-experimental pretest-post-test design, 168 abdominal surgery patients were assigned every second week to the music group (n=83) or to the control group (n=85) for 25 months. In the music group, the respiratory rate was significantly lower after intervention on both the first and second postoperative days compared with the control group. A significant reduction in systolic blood pressure was demonstrated in the group that received music compared with the control group on both the first and second postoperative days. Evaluation of the long-term effects of music on physiological factors showed that the respiratory rate in the music group was significantly lower compared with the control group. Nurses should offer music listening to surgery patients because of its potential benefit.     

护理干预在行消化道手术病人切口感染预防中的作用

[目的]探讨护理干预预防消化道手术病人切口感染的效果。[方法]对2008年6月—2010年6月在本院行消化道手术的356例病人进行术前、术后护理干预,包括加强营养支持、心理护理、做好肠道准备、注意切口护理和合理应用抗生素等。[结果]术后15例发生切口感染,切口感染率为4.2%。术后切口感染与病人全身健康状况、医务人员素质及应用抗生素等方面有着重要关系。[结论]在临床护理工作中,可以通过改善全身状况、充分做好肠道准备、合理应用抗生素、严密观察病情、注意切口护理等干预方式,降低术后切口感染率。     

护理干预在行消化道手术病人切口感染预防中的作用

[目的]探讨护理干预预防消化道手术病人切口感染的效果.[方法]对2008年6月-2010年6月在本院行消化道手术的356例病人进行术前、术后护理干预,包括加强营养支持、心理护理、做好肠道准备、注意切口护理和合理应用抗生素等.[结果]术后15例发生切口感染,切口感染率为4.2%.术后切口感染与病人全身健康状况、医务人员素质及应用抗生素等方面有着重要关系.[结论]在临床护理工作中,可以通过改善全身状况、充分做好肠道准备、合理应用抗生素、严密观察病情、注意切口护理等干预方式,降低术后切口感染率.     

The effect of music on discomfort experienced by intensive care unit patients during turning: A randomized cross‐over study

Cooke M, Chaboyer W, Schluter P, Foster M, Harris D, Teakle R. International Journal of Nursing Practice 2010; 16 : 125–131
The effect of music on discomfort experienced by intensive care unit patients during turning: A randomized cross‐over study Research consistently demonstrates that intensive care unit (ICU) patients experience pain, discomfort and anxiety despite analgesic and sedative use. The most painful procedure reported by critically ill patients is being turned. Music diminishes anxiety and discomfort in some populations; however, its effect on critically ill patients remains unknown. This research aimed to identify the effect of music on discomfort experienced by ICU patients during turning using a single blind randomized cross‐over design. Seventeen post‐operative ICU patients were recruited and treatment order randomized. Discomfort and anxiety were measured 15 min before and immediately after two turning procedures. Findings indicated that listening to music 15 min before and during turning did not significantly reduce discomfort or anxiety. Pain management might effectively be addressing discomfort and anxiety experienced during turning. Given previous studies have identified turning as painful, current results are promising and it might be useful to determine if this is widespread.     

机械通气病人实施音乐干预的效果研究

[目的]了解音乐干预降低机械通气病人焦虑水平以及稳定机械通气病人生理指标的效果.[方法]将150例机械通气病人随机分为音乐组、耳机组、空白组,采用中国版状态-特质焦虑量表(C-STAI)对3组病人干预前后的焦虑水平进行测试,定时记录心率、呼吸和血压.[结果]音乐组、耳机组干预前后C-STAI得分差值差异均有统计学意义(P＜0.001);音乐组干预前后心率、呼吸、收缩压和舒张压变化均有统计学意义(P≤0.001).[结论]音乐干预与戴耳机均有降低机械通气病人焦虑水平的作用,且音乐的作用更显著;音乐可以稳定机械通气病人心率、呼吸、血压.     

心理护理干预对咯血患者焦虑与并发症的影响

目的:探讨心理护理干预对咯血患者焦虑与并发症的影响。方法:选取2017年11月至2019年1月在苏州大学附属第二医院急诊综合病房治疗的62例咯血患者为研究对象。采用国际随机字母表法将患者分成研究组和对照组,各31例。对照组采用常规护理,研究组在常规护理基础上联合心理护理干预。根据焦虑自评量表(Self-rating Anxiety Scale,SAS)评估两组患者的焦虑及并发症发生情况。结果:护理后,两组患者SAS评分明显下降,且研究组患者SAS评分明显低于对照组;研究组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:心理护理干预能够有效缓解咯血患者焦虑情绪,降低并发症发生率,值得在临床中推广应用。     

Music intervention study in abdominal surgery patients: Challenges of an intervention study in clinical practice

Evidence‐based nursing requires carefully designed interventions. This paper discusses methodological issues and explores practical solutions in the use of music intervention in pain management among adults after major abdominal surgery. There is a need to study nursing interventions that develop and test the effects of interventions to advanced clinical nursing knowledge and practice. There are challenges in carrying out intervention studies in clinical settings because of several interacting components and the length and complexity of the causal chains linking intervention with outcome. Intervention study is time‐consuming and requires both researchers and participants' commitment to the study. Interdisciplinary and multiprofessional collaboration is also paramount. In this study, patients were allocated into the music group, in which patients listened to music 30 minutes at a time, or the control group, in which patients did not listen to any music during the same period.     

综合护理干预在女性结核性盆腔炎病人中的应用效果

[目的]观察综合护理干预在女性结核性盆腔炎病人中的应用效果。[方法]将184例女性结核性盆腔炎病人分为对照组和观察组,对照组给予常规护理,观察组在常规护理的基础上给予综合护理干预,观察两组病人疼痛评分、焦虑评分、抑郁评分情况及对疾病认知程度。[结果]干预后观察组病人疼痛、焦虑及抑郁评分明显低于对照组,观察组病人对疾病认知程度(88.04%)明显高于对照组(59.78%),观察组治疗依从性优于对照组,经比较差异均有统计学意义(P0.05)。[结论]综合护理干预能有效缓解病人疼痛,缓解病人焦虑、抑郁情绪,提高病人对疾病知识知晓率及治疗依从性。     

预见性护理干预对门诊无痛内镜心血管疾病 患者负面情绪及血氧饱和度的影响

目的 探讨预见性护理干预对门诊无痛内镜心血管疾病患者负面情绪及血氧饱和度的影响.方法 选取该院收治的拟行无痛内镜检查的心血管疾病患者98例作为研究对象,遵循随机、均等原则分为观察组和对照组各49例.其中,对照组采用常规护理干预,观察组在对照组基础上采用预见性护理干预.观察两组患者负面情绪、BP、HR、SpO2情况以及并发症发生率.结果 护理后,两组SAS、SDS评分显著低于护理前(P<0.05),且观察组显著低于对照组(P<0.05);两组检查前、检查后SBP、DBP、HR、SpO2比较,差异无统计学意义(P>0.05);对照组检查中显著高于检查前、检查后(P<0.05),显著高于观察组检查前、检查中、检查后(P<0.05);观察组并发症发生率为10.20%显著低于对照组的26.53%(P<0.05).结论 预见性护理干预可有效缓解门诊无痛内镜心血管疾病患者负面情绪,并保持血氧饱和度(SpO2)稳定.     

预防性护理干预对脑卒中患者留置尿管并发症发生的影响

目的探讨预防性护理干预对脑卒中患者留置尿管并发症发生的影响。方法选择2010年1月～2011年12月本院收治的脑卒中留置导尿管患者258例,随机分为对照组128例与观察组130例。对照组患者采取常规护理方法,观察组患者在常规护理的基础上分析患者发生并发症的原因,有针对性地采取预防性护理干预措施预防并发症的发生。比较两组患者留置尿管后并发症发生情况,患者及家属对护理服务满意度情况。结果观察组患者留置尿管后并发症发生率明显低于对照组,患者及家属对护理服务质量满意度明显高于对照组,两组比较,均P<0.05,差异具有统计学意义。结论根据脑卒中患者留置尿管后尿液外漏、尿路感染、尿管堵塞、尿管脱落等并发症发生的原因,采取针对性的预防性护理干预措施,能预防脑卒中患者留置尿管并发症的发生,从而减轻患者的痛苦,提高患者生活质量及满意度。     

综合护理干预在类风湿关节炎病人行云克治疗中的应用研究

[目的]探讨综合护理干预在类风湿关节炎病人行云克治疗中的应用效果。[方法]将2011年5月—2014年5月使用云克治疗的类风湿关节炎病人200例分为观察组(102例)和对照组(98例)，观察组实施综合护理干预，对照组实施常规护理干预。干预后根据病人的病情进展随访1个月~3个月，比较两组病人干预前后疼痛、疲乏、焦虑、抑郁及生活质量。[结果]观察组干预前后疼痛、疲乏视觉模拟评分(VAS)、焦虑、抑郁评分、简明健康调查问卷(SF 36)评分比较差异有统计学意义(P <0.05)；对照组疼痛评分、焦虑评分及 SF 36量表中的生理职能、躯体疼痛、精神健康、总体健康干预前后比较差异有统计学意义(P <0.05)；两组干预后疼痛、疲乏 VAS 评分、焦虑、抑郁、SF 36评分比较差异有统计学意义(P <0.05)。[结论]对使用云克治疗类风湿关节炎的病人实施综合护理干预，可减轻病人临床症状，改善生活质量。