The Journal of practical nursing最新文献

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Application of Six Sigma management in reducing the misdiagnosis rate of acute abdomen pre-examination in emergency department 六西格玛管理在降低急诊科急腹症预检误诊率中的应用
The Journal of practical nursing Pub Date : 2020-04-01 DOI: 10.3760/CMA.J.CN211501-20190819-02355
Hongyan Zan, Xianping Xie, Xiaomei Tan, Hong Yuan
{"title":"Application of Six Sigma management in reducing the misdiagnosis rate of acute abdomen pre-examination in emergency department","authors":"Hongyan Zan, Xianping Xie, Xiaomei Tan, Hong Yuan","doi":"10.3760/CMA.J.CN211501-20190819-02355","DOIUrl":"https://doi.org/10.3760/CMA.J.CN211501-20190819-02355","url":null,"abstract":"Objective \u0000To explore the effect of the Six Sigma management in reducing the pre-examination and triage error rate of emergency acute abdominal diseases. \u0000 \u0000 \u0000Methods \u0000Data of 367 misdiagnosed patients in Emergency Department of Shanxi Bethune Hospital from January to June 2018 were collected. Six Sigma management method was applied to the management of emergency acute abdomen triage. After analyzing the causes of errors, improvement measures were formulated and implemented.A total of 118 patients who were triaged from September 2018 to February 2019 were taken as the intervention group to evaluate the effect. \u0000 \u0000 \u0000Results \u0000After the implementation of Six Sigma management, the errors of acute abdomen diagnosis were significantly reduced from 9.92%(367/3 698) to 2.80%(118/4 219), and there was a significant difference before and after the implementation (χ2 value was 174.082, P < 0.05). \u0000 \u0000 \u0000Conclusions \u0000The application of Six Sigma management method can effectively reduce the misdiagnosis rate of emergency acute abdomen triage and realize standardized management of acute abdomen triage, which has the value of popularization and application. \u0000 \u0000 \u0000Key words: \u0000Six Sigma theory; Acute abdominal diseases; Emergency pre-examination and triage; Error rate","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"51 1","pages":"757-760"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89397869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A qualitative research on fatigue cognition and coping experience in elderly patients with chronic obstructive pulmonary disease 老年慢性阻塞性肺疾病患者疲劳认知及应对经验的定性研究
The Journal of practical nursing Pub Date : 2020-04-01 DOI: 10.3760/CMA.J.CN211501-20190508-01271
Zhenxia Zhang, Hongyan Shao
{"title":"A qualitative research on fatigue cognition and coping experience in elderly patients with chronic obstructive pulmonary disease","authors":"Zhenxia Zhang, Hongyan Shao","doi":"10.3760/CMA.J.CN211501-20190508-01271","DOIUrl":"https://doi.org/10.3760/CMA.J.CN211501-20190508-01271","url":null,"abstract":"Objective \u0000To investigate the cognition and coping experience of fatigue in elderly patients with chronic obstructive pulmonary disease (COPD), so as to provide basis and research basis for the preparation of fatigue intervention measures for elderly patients with COPD. \u0000 \u0000 \u0000Methods \u0000Qualitative research interview was used to conduct face-to-face and in-depth communication with 12 elderly patients with COPD under the guidance of pre-prepared interview outline. The 7-step Colaizzi analysis method was used to analyze the transcript of the interview and extract the theme and representative statements. \u0000 \u0000 \u0000Results \u0000Fatigue cognition could be summarized into five themes:fatigue symptoms were often accompanied by drowsiness, fatigue, anxiety, poor sleep, memory loss and other symptoms; there was no definite time point for the appearance of fatigue symptoms; breathing difficulties, limited activities, mental and psychological disorders and deficient social support were the main causes of fatigue; family accidents, seasonal variation, the occurrence of complications and relapses of the malady were the aggravating factors of fatigue symptoms; fatigue affects the patient′s ability to move, social circle and life motivation. Coping experiences could be summarized into three themes: strengthen self-management and ask for help; take the initiative to learn and improve the level of self-care; emotional disorder, negative response. \u0000 \u0000 \u0000Conclusions \u0000There are obvious fatigue symptoms in elderly patients with COPD. Affected by many factors, such as disease factors, self-perceived burden level, family support and social support level, most patients have insufficient fatigue cognition and lack of coping ability. Medical staff should fully understand the fatigue cognition and coping experience of such patients and implement effective intervention programs to improve the coping ability of patients. \u0000 \u0000 \u0000Key words: \u0000Aged; Pulmonary disease, chronic obstructive; Fatigue cognition; Coping experience; Qualitative research","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"44 1","pages":"752-757"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87531429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of acupoint massage combined with high frequency repetitive transcranial magnetic stimulation on post-stroke depression and quality of life 穴位按摩联合高频重复经颅磁刺激对脑卒中后抑郁及生活质量的影响
The Journal of practical nursing Pub Date : 2020-04-01 DOI: 10.3760/CMA.J.CN211501-20190905-02528
Wang Shuiyu, Si Aibing, Manas K Dan, W. Xuemei
{"title":"Effect of acupoint massage combined with high frequency repetitive transcranial magnetic stimulation on post-stroke depression and quality of life","authors":"Wang Shuiyu, Si Aibing, Manas K Dan, W. Xuemei","doi":"10.3760/CMA.J.CN211501-20190905-02528","DOIUrl":"https://doi.org/10.3760/CMA.J.CN211501-20190905-02528","url":null,"abstract":"Objective \u0000To investigate the effects of acupoint massage combined with high-frequency repetitive transcranial magnetic stimulation on post-stroke depression and quality of life. \u0000 \u0000 \u0000Methods \u0000A total of 169 patients with post-stroke depression who were admitted to the Department of Neurological Intensive Care Unit of Zhengzhou University First Affiliated Hospital from June 2017 to June 2019 were selected as the research subjects. The patients were divided into observation group (85 cases) and control group (84 cases) by random number table method. The control group was treated with high frequency repetitive transcranial magnetic stimulation, and the observation group was treated with high frequency repetitive transcranial magnetic stimulation combined with acupoint massage, high frequency repetitive transcranial magnetic stimulation 5 times a week, 28 minutes each time, 8 weeks of intervention, acupoint massage once a day, 1-2 minutes each acupoint, 8 weeks of intervention. The state of depression and the improvement of quality of life were observed, and the adverse reactions were recorded. \u0000 \u0000 \u0000Results \u0000The total effective rate of depressive symptoms improvement in the observation group was 83.53% (71/85), which was higher than that of the control group 70.24% (59/84), the difference was statistically significant (χ2 value was 4.204, P 0.05). \u0000 \u0000 \u0000Conclusions \u0000Acupoint massage combined with high-frequency repetitive transcranial magnetic stimulation has a effective in the treatment of post-stroke depression, which can significantly improve the depression status and quality of life. \u0000 \u0000 \u0000Key words: \u0000Acupoint massage; High frequency repetitive transcranial magnetic needling; Stroke; Depression; Quality of life","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"38 1","pages":"746-751"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73876670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Effect of rewarming and homeostasis of groin-mediated forced-air warming system in patients with hypothermia after cardiopulmonary bypass 腹股沟介导的强制空气加热系统对体外循环后低温患者再温和体内平衡的影响
The Journal of practical nursing Pub Date : 2020-04-01 DOI: 10.3760/CMA.J.CN211501-20190524-01443
Yanmei Liu, Yang‐hui Xu, Jiahai Shi, Jinfeng Wang
{"title":"Effect of rewarming and homeostasis of groin-mediated forced-air warming system in patients with hypothermia after cardiopulmonary bypass","authors":"Yanmei Liu, Yang‐hui Xu, Jiahai Shi, Jinfeng Wang","doi":"10.3760/CMA.J.CN211501-20190524-01443","DOIUrl":"https://doi.org/10.3760/CMA.J.CN211501-20190524-01443","url":null,"abstract":"Objective \u0000To investigate the rewarming effect of groin-mediated forced-air warming system in patients with hypothermia after cardiopulmonary bypass. \u0000 \u0000 \u0000Methods \u0000A total of 100 hypothermia patients after cardiopulmonary bypass were divided into observation group and control group with 50 cases each by random digits table method. Patients in control group received pelma-mediated forced-air warming system, observation group carried out groin-mediated forced-air warming system. The levels of bladder temperature, axillary temperature and lactate concentration were monitored at 10 min (T10), 30 min (T30), 60 min (T60), 90 min (T90) after rewarming in two groups, rewarming time and drainage volume at 90 min after rewarming between two groups was also compared. \u0000 \u0000 \u0000Results \u0000Bladder temperature in observation group were (34.44±0.98), (35.44±1.12), (36.71±1.16), (37.60±1.45) ℃ at T10, T30, T60, T90, axillary temperature were (34.30±1.85), (35.31±1.36), (36.38±1.57), (37.28±1.72) ℃, bladder temperature and axillary temperature in control group were (34.18±1.56), (36.91±1.61), (37.70±1.29), (37.40±1.10) ℃ and (34.45±1.03), (36.30±1.25), (37.70±1.23), (37.19±1.31) ℃, respectively. There was no significant difference in bladder temperature and axillary temperature at T10 and T90 (P>0.05), however, the bladder temperature and axillary temperature was significantly decreased in observation group compared to control group at T30 and T60 (t value was 5.309, 4.073, P 0.05), however, the lactate concentration was significantly decreased in observation group compared to control group at T60 and T90 (t value was 7.276, 8.640, P<0.01), in addition, there were crossover effect of time and grouping factor in lactate concentration (F value was 36.034, P<0.01). Drainage volume at 90 min after rewarming were (95.44±15.24) ml in observation group, (106.08±25.56) ml in control group, the difference was significant between two groups (t value was 2.528, P<0.05). \u0000 \u0000 \u0000Conclusions \u0000Groin-mediated forced-air warming system can effectively and uniformly rewarming the body temperature of patients with hypothermia after cardiopulmonary bypass and served as a potential rewarming strategy. \u0000 \u0000 \u0000Key words: \u0000Cardiopulmonary bypass; Forced-air rewarming; Bladder temperature; Axillary temperature","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"2 1","pages":"736-740"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81388279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of resilience and cognitive evaluation on quality of life of burn patients 恢复力和认知评价对烧伤患者生活质量的影响
The Journal of practical nursing Pub Date : 2020-04-01 DOI: 10.3760/CMA.J.CN211501-20191009-02821
Panpan Zhang, Shigeng Zhang, A. Zhang
{"title":"Effects of resilience and cognitive evaluation on quality of life of burn patients","authors":"Panpan Zhang, Shigeng Zhang, A. Zhang","doi":"10.3760/CMA.J.CN211501-20191009-02821","DOIUrl":"https://doi.org/10.3760/CMA.J.CN211501-20191009-02821","url":null,"abstract":"Objective \u0000To understand the status of life quality, resilience and disability acceptance of burn patients, and to explore the impact of mental resilience and disability acceptance on the quality of life. \u0000 \u0000 \u0000Methods \u0000Connor-Davidson Resilience Scale (CD-RISC), Acceptance of Disability Scale (ADS) and Burn Specific Health Scale-Brief (BSHS-B) were used to carry out questionnaire survey for a total of 315 burned patients who were in rehabilitation phase. \u0000 \u0000 \u0000Results \u0000For burned patients, the total score of resilience was 57.12±14.34, the total score of disability acceptance was 78.20 ±9.99, and the total score of quality of life was 128.29 ±37.26. The correlation analysis showed that the total score of resilience was positively correlated with quality of life for burned patients (r value was 0.646, P<0.01); the total score of disability acceptance was positively correlated with the total score of quality of life for burned patients (r value was 0.846, P < 0.01). Multiple stepwise regression showed that the total score of disability acceptance, severity of burn, sleep state, ability and endurance of negative emotions were the main predictors of the quality of life for burned patients. \u0000 \u0000 \u0000Conclusions \u0000Great attention should be paid to the quality of life of burned patients, and psychological problems of high-risk patients should be found as soon as possible and reasonable intervention should be given to improve the resilience and disability acceptance of patients, so as to improve their quality of life. \u0000 \u0000 \u0000Key words: \u0000Burns; Quality of life; Resilience; Cognitive evaluation","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"60 1","pages":"778-784"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82037492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Rare Genetic Dissorder: Crouzon Syndrome 罕见遗传疾病:克鲁宗综合征
The Journal of practical nursing Pub Date : 2020-04-01 DOI: 10.21088/ijpn.2347.7083.8120.6
G. Tomar
{"title":"Rare Genetic Dissorder: Crouzon Syndrome","authors":"G. Tomar","doi":"10.21088/ijpn.2347.7083.8120.6","DOIUrl":"https://doi.org/10.21088/ijpn.2347.7083.8120.6","url":null,"abstract":"","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"29 1","pages":"33-39"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73603100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of Structured Teaching Programme on Knowledge Regarding Artificial Nutrition for Terminally Ill Cancer Patients 癌症晚期患者人工营养知识结构化教学方案的有效性
The Journal of practical nursing Pub Date : 2020-04-01 DOI: 10.21088/ijpn.2347.7083.8120.3
Sharun Nv
{"title":"Effectiveness of Structured Teaching Programme on Knowledge Regarding Artificial Nutrition for Terminally Ill Cancer Patients","authors":"Sharun Nv","doi":"10.21088/ijpn.2347.7083.8120.3","DOIUrl":"https://doi.org/10.21088/ijpn.2347.7083.8120.3","url":null,"abstract":"","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"62 1","pages":"17-23"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84929058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Study to Assess the Effectiveness of Planned Teaching Programme on Knowledge Regarding Thermoregulation of Neonate Among Mothers in Selected Rural Areas 评价农村地区母亲新生儿体温调节知识计划教学方案效果的研究
The Journal of practical nursing Pub Date : 2020-04-01 DOI: 10.21088/ijpn.2347.7083.8120.1
Amol wasekar
{"title":"A Study to Assess the Effectiveness of Planned Teaching Programme on Knowledge Regarding Thermoregulation of Neonate Among Mothers in Selected Rural Areas","authors":"Amol wasekar","doi":"10.21088/ijpn.2347.7083.8120.1","DOIUrl":"https://doi.org/10.21088/ijpn.2347.7083.8120.1","url":null,"abstract":"","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"123 17 1","pages":"9-12"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75941948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Buerger Allen Exercise and Skin Perfusion Pressure: The Significance in Compromised Peripheral Circulation 运动与皮肤灌注压:外周循环受损的意义
The Journal of practical nursing Pub Date : 2020-04-01 DOI: 10.21088/ijpn.2347.7083.8120.5
Shrikant K. Nair
{"title":"Buerger Allen Exercise and Skin Perfusion Pressure: The Significance in Compromised Peripheral Circulation","authors":"Shrikant K. Nair","doi":"10.21088/ijpn.2347.7083.8120.5","DOIUrl":"https://doi.org/10.21088/ijpn.2347.7083.8120.5","url":null,"abstract":"","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"23 1","pages":"29-31"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77868419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application progress of implantable upper arm central venous access port 植入式上臂中心静脉通路的应用进展
The Journal of practical nursing Pub Date : 2020-04-01 DOI: 10.3760/CMA.J.CN211501-20190703-01858
Fei Liu, Yingxin Wang
{"title":"Application progress of implantable upper arm central venous access port","authors":"Fei Liu, Yingxin Wang","doi":"10.3760/CMA.J.CN211501-20190703-01858","DOIUrl":"https://doi.org/10.3760/CMA.J.CN211501-20190703-01858","url":null,"abstract":"Upper arm central venous access port refers to the port implanted through the peripheral vein of the upper arm by surgeon and peripherally inserted central catheter nurse cooperation. It can provide a new way for patients requiring long-term infusion therapy but it has not been widely used in China. This article introduces the targeted patients, operation process, maintenance and use, daily life notes, common complications and advantages of arm port, to provide reference for the wide application of arm port. \u0000 \u0000 \u0000Key words: \u0000Implantable venous access port; Upper arm; Vascular access; Specialist nurse; Progress","PeriodicalId":22999,"journal":{"name":"The Journal of practical nursing","volume":"8 1","pages":"796-800"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89635034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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