American Journal of Nursing Science最新文献

{"title":"The Effectiveness of Using Breathing Exercise on Sleep Quality Among Hospitalized Patients","authors":"Eman Fadl Abd El Khalik, M. M. A. Elbaky, N. Ahmed, Sahar Hamza Taha Moursy","doi":"10.11648/j.ajns.20200904.28","DOIUrl":"https://doi.org/10.11648/j.ajns.20200904.28","url":null,"abstract":"Sleep disturbance among hospitalized patients has many factors especially at critical care units. Daily breathing exercises as pursed lip breathing (PLB) and diaphragmatic breathing improves sleep quality and reduces the occurrence of delirium. Aim of the study Evaluate the effectiveness of using breathing exercise on sleep quality among hospitalized patients. Design quasi experimental design. Sample A purposive sample including 152 patients were divided into four equal groups two from the Medical ward (study and control) 38 patients each group and two form the Medical Intensive Care Unit (MICU) (study and control) 38 each group at Minia university hospital. Results majority of the groups were male; all patients were in the middle age. (39% and 44.7%) of the medical ward groups (study and control) and (52.6% and 44.7%) respectively of the MICU groups had sever sleep problem. But after applying breathing exercise for 5 continuous days, the study groups (44.7%) of the medical ward and (50%) of the MICU had great sleep quality. Majority of study group’s patients at the medical ward and MICU had no Confusion,” with percentage (60.5% and 52.6%) respectively which mean no presence of delirium. Conclusion breathing exercise had significance effect on improving sleeping quality and reduce the occurrence of delirium among the study groups than the control groups.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128217557","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}

{"title":"Effect of Postoperative Exercise Program on Knee Physical Function Among High Tibial Osteotomy Patients","authors":"H. Elkady, N. Ahmed, S. Hussien, Marwa Ali","doi":"10.11648/j.ajns.20200904.27","DOIUrl":"https://doi.org/10.11648/j.ajns.20200904.27","url":null,"abstract":"Background: High tibial osteotomy is preferential treatment for patients with knee osteoarthritis. Strengthening exercise program helps post (HTO) patients achieve greater functioning during sport, recreation, and activities of daily living after surgery. Objective: To examine the effect of postoperative exercise program on knee physical function among high tibial osteotomy patients. Method: Design: quasi experimental research design. Setting: Department of Orthopedic Surgery and orthopedic Outpatient Clinic at Assiut University Hospital. Sample: A purposive sample of 60 adult patients undergoing high tibial osteotomy were included in our study. Method: Knee Outcome Survey Activities of Daily Living Scale and Lysholm knee scoring scale were used. Results: A highly statistically significant improvement of knee Function score and Lysholm knee score (<0.001**) among patients with high tibial osteotomy. Conclusion: Application of exercise program had a statistically significant effect on improvement physical function of knee among the study group than among the control group. Recommendations: Successful postoperative exercises should be practiced for each patient undergoing high tibial osteotomy in order to improving physical function of the knee.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121299176","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}

{"title":"Nursing Care of an Extremely Preterm Infant with Sodium Taurocholate Cotransporting Polypeptide Deficiency: A Case Report","authors":"Ni Zhang, Yuan-zong Song, Weiju Chen, Meixue Chen, Lingli Cai, L. Deng, Lilan He, Qingran Lin","doi":"10.11648/j.ajns.20200904.26","DOIUrl":"https://doi.org/10.11648/j.ajns.20200904.26","url":null,"abstract":"Sodium taurocholate cotransporting polypeptide (NTCP) is a protein encoded by the solute carrier family 10 member 1 gene and expressed in the basolateral membrane of the hepatocyte to uptake conjugated bile acids from the plasma. This study reported an extremely premature infant (EPI) with NTCP deficiency (NTCPD). The patient presented with jaundice, persistently elevated total bile acids, 25-(OH)-VitD deficiency, and cleft palate. Nursing care mainly focused on disease surveillance, jaundice care, nutrition, kangaroo mother care, and psychological care. In response to 5 months of the nursing care, the infant’s weight reached 3.324 kg, the jaundice was alleviated, and the infant gained the ability to suck milk. However, his TBA levels were abnormally elevated, and 25-(OH)-VitD was still deficient when the patient was discharged from hospital. The nurses taught the patient’s parents the importance of monitoring liver function and trace elements during a routine outpatient visit. Telephone follow-up 1 year later showed that the patient was in good health with no obvious clinical manifestations. This article reports our experiences in caring for an EPI with NTCPD. To the best of our knowledge, this is the first case report worldwide in NTCPD nursing care.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124468782","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}

{"title":"Nursing Experience of CT Examination in a Case of Critical Elderly Male Patients with Neck Injury: A Case Report","authors":"S. Liang, Xueke Wen, Y. Chi, Yongguang Chen, Lin Qiu, Chunliu Luo","doi":"10.11648/j.ajns.20200904.25","DOIUrl":"https://doi.org/10.11648/j.ajns.20200904.25","url":null,"abstract":"We present a 63-years-old male who are accidentally fell down while riding a bicycle and was inserted into his neck by a 4cm thick bamboo pole on the morning of August 30, 2019. In rescue process, patient’s mental status is bad, that the patient's state of mind is in tension, fear, anxiety and restlessness. the patient takes out stitches on September 9, 10 days rehabilitation hospital discharge. As the patient had pale complexion, slightly shortness of breath, temporarily stable vital signs, and multiple blood scabs formed throughout the body, he underwent neck CT plain scan, enhancement, 3D reconstruction, chest CT plain scan, enhancement and 3D reconstruction. After that, the patient was sent to operating room, he received suitable treatment. Furthermore, the sharing of patient information was a great help in this rescue. The local hospital provides enough patient information to our CT examine. the difficulty of this rescue lies in whether the patient can complete CT examination smoothly. In nursing aspect, we not only fixed the patient's body position and keep the patient's breathing open to prevent secondary injury but also provide psychological counseling and comfort to patients so that we ensure that the mental health of the patient is good.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"415 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133713728","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}

{"title":"Application of CSHA Frailty Index and Clinical Frailty Scale in Geriatric Assessment of Elderly Males in China","authors":"Liyun Chu, Chunhua Shi","doi":"10.11648/j.ajns.20200904.22","DOIUrl":"https://doi.org/10.11648/j.ajns.20200904.22","url":null,"abstract":"People at an advanced age often live with multiple chronic diseases as well as disabilities. To access the health condition of elderly persons, various models have been used in developed countries in the West. However, it is not known how these models apply to the elderly in Asian developing countries. This study investigated the application of the Clinical Frailty Scale-09, a widely used method in patient assessment in Western countries, to older adults living in mainland China. Two hundred and ten elderly males were assessed for their health conditions using a list of variables by the Canadian Study of Health and Aging to construct the 70-item CSHA Frailty Index. The obtained Frailty Indices were compared with the scores of The Clinical Frailty Scale-09 for the same sample group. The assessment revealed the changing pattern in the health condition of the sampled population. Compared to the group aged 65-74 years old, the Frailty Index and the Clinical Frailty Scale increased in the groups aged 75-84 and 85-89 years old. The greatest increase was in the group aged ≥90 years old. The scores of the Frailty Index and the Clinical Frailty Scale-09 correlate with each other. These findings suggest that the Frailty Index and Clinical Frailty Scale-09 provide reliable assessment of the health condition of elderly Chinese males.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"142 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115814894","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}

{"title":"Effect of Mindfulness-decompression on Stresspsychology and Sleep of Heterogeneous Hematopoietic Stem Cell Transplantation Donors","authors":"Deng Jinqing, Hu Guohua, W. Chunli, Wu Xiafen","doi":"10.11648/j.ajns.20200904.24","DOIUrl":"https://doi.org/10.11648/j.ajns.20200904.24","url":null,"abstract":"Objective: To investigate the effect of mindfulness decompression on psychological status and sleep quality of allogeneic hematopoietic stem cell transplantation donors. Methods: From January 2017 to June 2019, 86 donors of allogeneic hematopoietic stem cell transplantation in our hospital were selected and divided into the control group and observation group with 43 cases in each group according to random numbertable method. The control group received routine nursing during the perioperative period, while the observation group received psychological intervention of mindfulminant decompression on the basis of routine nursing. Before and after the intervention, the emotional state and sleep quality of the donors were evaluated by the self-rating anxiety scale (SAS), self-rating depression Scale (SDS) and Pittsburgh Sleep Quality Index (PSQI). Results: The preoperative SAS, SDS and PSQI scores were not significantly different. (P>0.05). however, the post treamtment score of SAS, SDS and PSQI in observation group were significantly lower than the control group (P<0.05). Conclusion: Mindfulness decompression can significantly improve preoperative anxiety and depression of allogeneic hematopoietic stem cell transplantation donors, and improve sleep quality, which is worth popularizing in clinical practice.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125935087","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}

{"title":"Analysis on Related Factors and Nursing Interventions of Vasovagal Syncope During Ultrasound-guided PICC","authors":"Ying Li, Jinai He, Mengying Qi, Shanquan Li, Yutong Li, Guohua Huang, Zuyan Fan, Qiufeng Li","doi":"10.11648/j.ajns.20200904.23","DOIUrl":"https://doi.org/10.11648/j.ajns.20200904.23","url":null,"abstract":"Purpose: To investigate the causes and the nursing interventions of vasovagal syncope (VVS) during ultrasound-guided Modified Seldinger Technique (MST) PICC catheterization. Methods: Clinical data (medical records, demographic data, diagnosis, local vascular compression situation, B-mode ultrasound-recorded catheter/vessel ratio and the occurrence time, symptoms and treatment of syncope) of 14 patients diagnosed as vasovagal syncope during ultrasound-guided PICC catheterization at three hospitals in Guangdong province from September 2018 to September 2019 were collected for this retrospective analysis. Results: There were 3091 cases of ultrasound-guided MST PICC catheterization in the venous catheter outpatient clinics of the 3 hospitals from September 2018 to October 2019 with 14 cases (0.45%) of intraoperative vasovagal syncope, all cancer patients (5 males, 9 females) with a mean age 45± 3.8. They all received PICC for the first time and were under mental stress during the operation. Among the 14 patients (2 mild, 7 moderate, 5 severe), 8 had multiple lymphadenectasis in the neck and clavicular areas of the catheterization side, which resulted in different degree of venous compression and difficulty in insertion; 5 had catheter/vessel ratio over 45%. 2 cases of VVS occurred when the patients were asked to turn their heads against shoulders on to the puncture side; 10 occurred when using B-mode ultrasound probe to examine the jugular vein; 2 occurred when pulling out the catheter sheath. Conclusion: The related factors of vasovagal syncope during ultrasound-guided PICC catheterization include overcompression and avulsion on blood vessels and mental stress. Therefore, it is recommended to implement psychological interventions before surgery, reduce compression and avulsion of the vascular access during catheterization, and improve practitioners’ abilities in vessel selection (vessels with a catheter/vessel ratio less than 45%) and catheterization skills to eliminate the incidence of vasovagal syncope during PICC catheterization.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129682004","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}

{"title":"The Application of Online Consultant Mode in Postpartum Maternity and Infant at Home in COVID-19 Pandemic","authors":"Zhili Chen, Lin Wang, Jiali Chen","doi":"10.11648/j.ajns.20200904.21","DOIUrl":"https://doi.org/10.11648/j.ajns.20200904.21","url":null,"abstract":"Objective: To explore the effects of providing guidance postpartum maternity and infant at home by online consultation mode under the situation of COVID-19 pandemic. Methods: The International Board Certified Lactation Consultants (IBCLC) developed the procedure of online consultation for the maternity and infant during the COVID-19 pandemic, used WeChat mini program to provide health education and guidance for postpartum maternity and their families, and monitored their conditions through the follow-up visits. Results: During the pandemic period of COVID-19 from January 20th to April 30th, 2020, Transitional Care Department of the authors' hospital used the WeChat mini program to provide health education and guidance for a total of 105 cases of patients, of which 8 cases were advised to consult relevant specialties online and 8 cases were recommended to visit hospital. The remaining 89 cases of patients had their medical problems solved effectively through a total of 177 times of online counseling. The satisfaction of maternity and their families on the online consulting service reached 98.63%. Conclusion: Under the situation of the COVID-19 pandemic, the application of the online consultant mode meets the medical needs of the maternity and infant at home; avoids the risk of cross-infection caused by face-to-face communication; and ensure the health of the patients and their families.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127133179","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}

{"title":"A Study on the Knowledge of SBAR of Clinical Nurses in Hospital Blood Glucose Management","authors":"N. Jiang, Xixi Luo, Y. Zhou, Jiewei Huang, Wane Zhao, Qian Liu, Yanli Yang, Shanying Zhang, Xiulan Deng","doi":"10.11648/j.ajns.20200904.19","DOIUrl":"https://doi.org/10.11648/j.ajns.20200904.19","url":null,"abstract":"Objective: To investigate the clinical nurses' knowledge of SBAR's (Situation, Background, Assessment, Recommendation) blood glucose management in a large hospital of Guangzhou and to provide a basis for the training and promotion of SBAR's blood glucose management knowledge in the hospital. Methods: 100 clinical nurses from a large hospital of Guangzhou were selected as the research objects. Data were collected by means of questionnaire survey to investigate and analyze the clinical nurses' knowledge of SBAR's management of blood glucose. Results: The awareness rate of SBAR in clinical nurses was 42.55%. The awareness rate of SBAR in the management of blood glucose in hospital was 23.40%, and the clinical significance of SBAR in the management of high and low blood glucose was 39.36%. With the improvement of educational background, professional title and working years, the scores of nurses on SBAR related knowledge gradually increased, and the higher education background had a significant impact on SBAR related knowledge (P < 0.05). The scores of nurses who received SBAR training were higher than those who did not received (P < 0.01). The knowledge most desired by clinical nurses in the management of in-hospital blood glucose was analyzed by SBAR (61.43%), and the clinical significance of SBAR in the management of non-endocrine blood glucose (50%). Conclusion: clinical nurses' knowledge of SBAR management of blood glucose in the hospital is relatively inadequate, and unified norms and standards should be formulated in terms of SBAR model analysis of high and low blood glucose and timely treatment.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114367855","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}

{"title":"Application Strategy of Staged Nursing Intervention After the Surgery of Huge Rotator Cuff Tears Under the Arthroscopy","authors":"Hong Zhang, Liya Xu, S. Lin, Xiaoyan Wang, Cuiqing Liu","doi":"10.11648/j.ajns.20200904.20","DOIUrl":"https://doi.org/10.11648/j.ajns.20200904.20","url":null,"abstract":"Objective: To explore the application of staged nursing intervention after the surgery of huge rotator cuff tear under the arthroscopy, and to evaluate the impact on patients' postoperative rehabilitation. Methods: A total of 25 patients who underwent arthroscopic surgery for large rotator cuff tears in our hospital from January 2018 to December 2019 were selected. The intervention group used a staged nursing program to intervene, and Selected 25 patients who only received routine nursing intervention during the same period as the control group. The constant-murley shoulder function score, UCLA score, SF-36 quality of life score, and nursing satisfaction score were compared between the two groups after 6 months. Results: There was no statistically significant in the difference in the scores of pain, functional activity, shoulder joint mobility, and muscle strength of the constant-murley shoulder function score between the observation group and the control group before surgery (P > 0.05). The pain, functional activities, shoulder joint mobility and muscle strength scores of the observation group were significantly higher than those of the control group 6 months after surgery (P < 0.05), and the UCLA score and SF-36 score of the observation group 6 months after surgery were significantly higher than the control group (P < 0.05), and the nursing satisfaction score of the observation group was significantly higher than that of the control group (P < 0.05). Conclusion: Staged nursing intervention can significantly improve the Shoulder joint functional rehabilitation process and quality of life of patients who post operation of huge rotator cuff tears, and improve nursing satisfaction.","PeriodicalId":344042,"journal":{"name":"American Journal of Nursing Science","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132713357","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}