临床护理研究最新文献

{"title":"Application Status of Enhanced Recovery After Surgery in Perioperative Nursing of Neurosurgery","authors":"Ying-kʿai Wu, Yuqing Liang, Hao Chen, Lixia Xue","doi":"10.26689/jcnr.v6i6.4407","DOIUrl":"https://doi.org/10.26689/jcnr.v6i6.4407","url":null,"abstract":"Enhanced recovery after surgery (ERAS) is a strategy of perioperative management aimed to accelerate the rehabilitation of patients through various optimized perioperative managements as well as ongoing adherence to a patient-focused, multidisciplinary, and multimodal approach. ERAS is a good reflection of the perioperative value-based care, which has been widely applied in many surgical fields and shown quick recovery and low morbidity when applied on patients. However, there is a lack of attention on ERAS in neurosurgery. This review aims to describe the current application status of ERAS in neurosurgery and to provide readers with the commonly accepted principles in the perioperative nursing of neurosurgery.","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47517648","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":"Use of Danzhi Xiaoyao Powder in the Treatment of Diseases by Chief Physician Wang Defen: Case Examples","authors":"Ying Luo","doi":"10.26689/jcnr.v6i5.4282","DOIUrl":"https://doi.org/10.26689/jcnr.v6i5.4282","url":null,"abstract":"Danzhi Xiaoyao powder was first introduced by Xue Ji, a Ming Dynasty physician, in the “Summary of Internal Medicine.” It is primarily used for treating the syndrome of liver depression transforming into heat and is widely used in the treatment of dermatology, internal medicine, gynecology, and other multi-system diseases. This medical prescription is aptly dispensed, its detoxification effect is strong, and it is a representative medical prescription for soothing the liver, strengthening the spleen and stomach, as well as eliminating heat stagnation. Chief Physician Wang Defen inherited the academic experience of the fifth batch of nationally known Chinese medicine experts, under the guidance of Professor Ji Haiwang, a notable Chinese medicine practitioner in Shaanxi Province and Professor Shi Bingyin, a renowned endocrinologist. Through follow-up studies, the various methods and empirical prescriptions of Danzhi Xiaoyao powder applied by Chief Physician Wang Defen in the treatment of common clinical diseases are summarized. They have been proven to have conclusive efficacy, thus providing guidance and reference for the dialectical treatment using traditional Chinese medicine.","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49249742","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 Level of Expression and Diagnostic Value of Biomarkers in Tuberculous Pleurisy","authors":"Lin Wang, Ying Qi, Suhong Qi","doi":"10.26689/jcnr.v6i5.4301","DOIUrl":"https://doi.org/10.26689/jcnr.v6i5.4301","url":null,"abstract":"Objective: Observe and analyze the clinical significance of the differences in the expression levels of sCD163, haptoglobin and cytokines. Methods: 120 patients with tuberculous pleural effusion diagnosed in our hospital from January 2019 to December 2021 were randomly selected as the experimental group. On the other hand, 40 patients with non-tuberculous pleural effusion admitted in the same period were selected as the control group. The expression levels of sCD163, haptoglobin and cytokines were observed and analyzed. Results: The expression levels of sCD163 (?g/mL), haptoglobin (g/L), IL-6 (pg/mL) and IL-12 (pg/mL) of the control group were 31.26 ± 14.12, 32.14 ± 18.79, 401.23 ± 24.36 and 1.32 ± 0.14, respectively. As for the experimental group, the expression levels of sCD163 (?g/mL), haptoglobin (g/L), IL-6 (pg/mL) and IL-12 (pg/mL) were 74.12 ± 14.78, 113.25 ± 19.45, 612.12 ± 36.98 and 4.12 ± 0.56 respectively, and p < 0.05 which shows that the data was statistically significant. Conclusion: The level of inflammatory cytokines in the pleural fluid of tuberculous pleural effusion patients are higher, which can be used for the diagnosis of auxiliary tuberculous pleurisy. Tuberculous pleural effusion patients has a significantly increased expression levels of sCD163 and haptoglobin in the pleural fluid. The combination of sCD163 and haptoglobin in the diagnosis of tuberculous pleural effusion has higher clinical diagnostic value, and sCD163 and haptoglobin are not interfered by inflammatory factors in the diagnosis of tuberculous pleural effusion","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42954139","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":"Clinical Efficacy of Dienogest and Levonorgestrel-Releasing Intrauterine System in the Treatment of Adenomyosis","authors":"Yang Xu, Li Li, Guixia Yang","doi":"10.26689/jcnr.v6i5.4213","DOIUrl":"https://doi.org/10.26689/jcnr.v6i5.4213","url":null,"abstract":"Objective: To compare the clinical efficacy and adverse reactions of dienogest and levonorgestrel-releasing intrauterine system in the treatment of adenomyosis. Methods: A total of 60 cases of adenomyosis admitted to Dezhou Women and Children’s Hospital from January 2020 to October 2021 were selected and randomly divided into two groups (Group A and Group B), which were initiated on dienogest and levonorgestrel-releasing intrauterine system, respectively. The therapeutic effects and adverse reactions of the two groups were analyzed. Results: After 6 months of treatment, the uterine volume in the LNG-IUS group reduced slightly compared with that before treatment, with no statistical significance (p > 0.05), while that in the DNG group increased slightly compared with that before treatment, with no statistical significance (p > 0.05). After 6 months of treatment, the hemoglobin of patients in both groups increased compared with that before treatment; there was no significant difference in the DNG group (p > 0.05), but there was significant difference in the LNG-IUS group (p < 0.01). After 6 months of treatment, the VAS scores of the two groups were significantly lower than those before treatment (p < 0.01); the serum CA125 level in both groups decreased significantly compared with that before treatment (p < 0.01). Conclusion: Mirena (levonorgestrel-releasing intrauterine system) has better therapeutic effect on adenomyosis and fewer adverse reactions than deinogest.","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43263747","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 Research of Detailed Nursing of Tuberculous Meningitis Patients","authors":"W. Yuan, Dandan Yang, Zhang Li, Chuo Guo, Xinyi Ye, Min Zheng","doi":"10.26689/jcnr.v6i5.4354","DOIUrl":"https://doi.org/10.26689/jcnr.v6i5.4354","url":null,"abstract":"Objective: To explore the application effect of detailed nursing in tuberculous meningitis nursing. Methods: A total of 52 patients with tuberculous meningitis who were admitted to our hospital from May 2019 to February 2022 were selected as the research objects, and divided into 25 patients in the control group and 27 patients in the study group according to the random table method, and the compliance, quality of life, recurrence, nursing satisfaction, depression, anxiety and PSQI scores of the two groups were observed and analyzed. Results: In the study group, the number of patients with complete compliance, partial compliance and non-compliance were 13, 11 and 3, respectively, and the compliance rate was 88.89%. In the control group, the number of patients with complete compliance, partial compliance and non-compliance were 11, 5 and 9, respectively, and the compliance rate was 67.86 %, and P < 0.05 was considered statistically significant. The quality-of-life score of the control group was 48.36 ± 2.24, which was lower than that of the study group, 50.23 ± 2.12, (P < 0.05). The rate of recurrence of the control group was 36.00%, which was significantly higher than 7.41% in the study group (P < 0.05). There was no significant statistical difference between the SAS, SDS, and PSQI scores of the two groups before nursing, (P > 0.05). After nursing, both groups showed a decrease in SDS and SAS scores, with the study group showing significantly lower scores than the control group (P < 0.001). Besides, the PSQI dimension scores and total score in the study group were lower than those in the control group (P < 0.001). Moreover, the nursing satisfaction of the patients in the study group was significantly higher than that in the control group (93.02% > 71.79%), (P < 0.05). Conclusion: A full range of detailed care is not only helpful for accurate diagnosis and treatment of patients, but also helps to create a satisfactory hospital environment for patients. Results from this study showed that detailed nursing care for patients with tuberculous meningitis shows a significant positive effect and should be applied in clinical practices.","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43449203","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":"Study on Application Effect of 6S Management Mode in Infection Control Management of Fangcang Shelter Hospital of National Exhibition and Convention Center","authors":"T. Sun, Ning Han, Ni Li, Zhi Zan, Dongxian Zhang","doi":"10.26689/jcnr.v6i5.4317","DOIUrl":"https://doi.org/10.26689/jcnr.v6i5.4317","url":null,"abstract":"Objective: In 2022, a pneumonia caused by novel coronavirus broke out in Shanghai. A large number of medical personnel were deployed nationwide to support the Fangcang Shelter Hospital of National Exhibition and Convention Center (Shanghai). Because the of the underdeveloped infrastructure and the disorganized layout process, the phenomenon of infection among medical personnel was rampant given the highly contagious nature of the Omicron variant. This paper discusses the effect of 6S management in infection control management of Fangcang Shelter Hospital of National Exhibition and Convention Center (Shanghai). Methods: A series of 6S management practices were carried out based on the evaluation of the control management of Fangcang Shelter Hospital of National Exhibition and Convention Center (Shanghai) during the anti-epidemic period, and the effect of the implementation of 6S management was studied based on the rapport among team members and the overall control system process, the management of wearing and stripping channels, the time of wearing protective articles and the psychological and emotional changes of the team members. Results: After the implementation of 6S management mode, the management of dressing room, epidemic prevention materials, and occupational protection awareness and infection control safety were significantly improved. More than 95.5% of the team members believed that improving the working environment in the shelter increased the confidence of victory in the fight against the epidemic, reduced the preparations before entering and leaving the cabin, improved the work efficiency and ensured occupational safety. It ensures the realization of the goal of “zero infection” and is set as a benchmark of control work of Fangcang Shelter Hospital of National Exhibition and Convention Center (Shanghai). Conclusion: The application of 6S management mode to the shelter infection control management can create and maintain a good working environment in the shelter, promote the implementation effect of various systems and processes of infection control, reduce the potential infection risk in the shelter and improve the efficiency of infection control management.","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46021896","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":"Clinical Observation on the Treatment of Early Pre-Eclampsia Abortion with the Combination of Enhanced “Shou Tai Wan” Soup and Progesterone","authors":"Yao Chen, Yu Cao, Huifang Li","doi":"10.26689/jcnr.v6i5.4330","DOIUrl":"https://doi.org/10.26689/jcnr.v6i5.4330","url":null,"abstract":"Objective: To investigate the clinical efficacy of the combination of enhanced “Shou Tai Wan” soup and progesterone in the treatment of early pre-eclampsia miscarriage. Methods: 86 patients with early pre-eclampsia miscarriage in our hospital from July 2021 to July 2022 were selected and randomly divided into two groups of 43 cases each. The control group was treated with progesterone, while the study group was treated with an addition of enhanced “Shou Tai Wan” soup. The treatment effects of the two groups and the changes in the inflammatory factor levels and sex hormone levels before and after the treatment were observed. Results: INF-? and Il-2 were lower and IL-4 was higher in the study group than in the control group after treatment (p-value < 0.05); the total effective rate of treatment was higher in the study group (95.35%) than in the control group (74.42%), (p-value < 0.05); the levels of P, E2 and ?-hCG were higher in the study group than in the control group after treatment (p-value < 0.05). Conclusion: The combined application of enhanced “Shou Tai Wan” soup and progesterone in patients with early preterm abortion is more effective by improving the patients’ sex hormone levels and reducing the level of inflammatory factors, which is conducive to the improvement of the treatment effect and worthy of promotion.","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43209337","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":"Cultivation Path of Compound Talents in Ophthalmic Diagnosis, Treatment, and Nursing Based on Artificial Intelligence","authors":"Hongyan Xu, Jiaxin Chen, Tingting Tang, Shouhua Yang","doi":"10.26689/jcnr.v6i5.4387","DOIUrl":"https://doi.org/10.26689/jcnr.v6i5.4387","url":null,"abstract":"Artificial intelligence can effectively improve the efficiency and accuracy of medical diagnosis, clinical data analysis, medical image recognition, treatment plan decision-making, etc. It has broad application prospects in the ophthalmic diagnosis, treatment, and nursing industry. However, the application of artificial intelligence in the ophthalmic diagnosis and nursing industry in China started relatively late, and there are insufficient ophthalmic diagnosis and nursing personnel who are familiar with artificial intelligence technologies. In order to promote the modernization of ophthalmic medicine in China and accelerate the development of a high-quality and modern medical education system, it is necessary to train a new generation of compound ophthalmic medical talents who are skilled in artificial intelligence and develop an advanced talent training model that meets the needs of the ophthalmic profession and the society. Based on the application status and development prospects of artificial intelligence in the ophthalmology industry, this paper analyzes the current medical education model in ophthalmology, examines the path of cultivating compound talents in ophthalmic diagnosis, treatment, and nursing, as well as proposes suggestions for developing a high-quality and modern medical education system.","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44165241","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":"Anti-Anxiety Effects of Prelimbic 5-HT4 Receptors in the Rat Model of Parkinson’s Disease: Evidence from Behavioral and Electrophysiological Study","authors":"Yu-ming Zhang, N. Bai, Hui Wang, J. Wang","doi":"10.26689/jcnr.v6i5.4363","DOIUrl":"https://doi.org/10.26689/jcnr.v6i5.4363","url":null,"abstract":"Objective: Clinical and laboratory studies have demonstrated that prelimbic (PrL) and serotonin-4 (5-HT4) receptors may have the key role in regulating anxiety. However, the pathophysiology of anxiety in Parkinson’s disease (PD) remains obscure. In this research, the effects of PrL 5-HT4 receptors on anti-anxiety behaviors in hemiparkinsonian rats were investigated. Methods: PD model rats were used as the research subjects, starting with behavioral changes, from the point of view of electrophysiology, the regulatory effect of PrL 5-HT4 receptors on PD-related anxiety and the possible mechanism were explored. Results: Anxiety-like behaviors were induced via MFB lesion in rats. Intra-PrL injection of 5-HT4 receptors agonist RS67333 induced anti-anxiety effects in both sham and PD group. In the sham group, PrL administration of 5-HT4 receptors antagonist SB204070 produce anti-anxiety effects, but in the PD group, the expression of anxiety-like behavior was increased. Compared to the sham group, the effective dose of the behavioral effects of the two drugs in the PD group was obviously higher. Electrophysiological data suggested that PrL administration of RS67333 (SB204070) increased (decreased) the ?ring activities of ?-aminobutyric acid (GABA) neurons in both groups. Compared with rats in sham group, lesioned rats had a shorter duration of the excitation (inhibition) effects on firing activities of GABA neurons. Conclusion: PrL 5-HT4 receptors regulate anxiety behaviors in PD rats, and its mechanism may be related to the down-regulation of expression or function of PrL 5-HT4 receptors in PD.","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41697217","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":"Preserving Spontaneous Breathing Without Intubation and Endotracheal Intubation with One Lung Ventilation in Single-hole Thoracoscopic Bulla Suture","authors":"Hefei Li, Pei Liu, Yanhong Shang, Zhi-min Guo, Biao Zhang, Kuo Xiao, Qiang Guo, Xianyi Liu","doi":"10.26689/jcnr.v6i5.4310","DOIUrl":"https://doi.org/10.26689/jcnr.v6i5.4310","url":null,"abstract":"Objective: To explore the situation of patients and the compare the effect between two methods, which are preserving spontaneous breathing without intubation and endotracheal intubation with one lung ventilation in the single-hole thoracoscopic bulla suture. Method: 42 patients who received single-hole thoracoscopic pulmonary bullae suture in our hospital from January 2020 to December 2021 were selected as the study subjects, including 19 patients who underwent endotracheal intubation and one lung ventilation as the control group and 23 patients who underwent single-hole thoracoscopic pulmonary bullae suture without intubation as the study group. The relevant indexes, postoperative general conditions, complications and pneumothorax recurrence of the two groups were analyzed and observed. Results: In the control group, the scores of anesthesia time (points), resuscitation time (points), surgical visual field score (points), surgical time (points), and surgical bleeding volume (points) were 20.8 ± 4.6, 19.9 ± 7.9, 1.7 ± 0.5, 44.9 ± 7.9, and 11.4 ± 2.4 respectively. In the study group, the scores of anesthesia time (points), resuscitation time (points), surgical visual field score (points), surgical time (points), and scores of surgical bleeding (points) were 17.9 ± 4.3, 15.4 ± 3.4, 1.9 ± 0.4, 48.4 ± 7.1, 10.9 ± 2.2, respectively. There was no statistical difference in surgical visual field score, surgical time and surgical bleeding whereas there was a statistical difference between anesthesia time and resuscitation time. In the control group after operation, VAS score at 6 hours after operation, SaO2 (%) after operation, PaCO2 (mmHg) after operation, drainage volume (ML) after operation, feeding time (H) after operation, retention time of thoracic tube after operation (H), WBC (109) on the first day after operation, hospitalization time (d), and total hospitalization cost (RMB 1000) were 2.1 ± 0.7, 98.2 ± 1.4, 42.4 ± 4.9, 139.1 ± 23.1, 6.9 ± 1.6, 37.1 ± 5.4, 7.9 ± 2.1, 6.6 ± 1.3, and 2.6 ± 0.3 respectively. As for the study group, the VAS score at 6 hours after operation, SaO2 (%) after operation, PaCO2 (mmHg) after operation, drainage volume (ML) after operation, feeding time (H) after operation, retention time of thoracic tube after operation (H), WBC (109) on the first day after operation, hospitalization time (d), and total hospitalization cost (RMB 1000) were 1.9 ± 0.4, 97.9 ± 1.2, 42.8 ± 5.1, 151.8 ± 21.9, 4.3 ± 1.4, 15.3 ± 2.6, 5.2 ± 2.3, 4.2 ± 1.2, and 1.8 ± 0.4 respectively. Among them, there were no significant differences in visual analog scale (VAS) score at 6 hours after operation, SaO2 after operation and PaCO2 after operation between the two groups, but there were significant differences in other factors. The complication rate of the control group was 36.84%, which was significantly higher than that of the study group (4.35%), with statistical difference. The recurrence rate of the control group was 21.05%, which was not significantl","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43220075","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}