临床护理研究 Pub Date : 2023-07-28 DOI: 10.26689/jcnr.v7i4.5154

Ben Niu, Lan Li

{"title":"Study on the Clinical Efficacy of Megestrol Acetate Dispersible Tablets in Adjuvant Treatment of Acute Leukemia","authors":"Ben Niu, Lan Li","doi":"10.26689/jcnr.v7i4.5154","DOIUrl":"https://doi.org/10.26689/jcnr.v7i4.5154","url":null,"abstract":"Objective: To analyze the clinical efficacy of megestrol acetate dispersible tablets in the adjuvant treatment of acute leukemia. Methods: 80 patients with acute leukemia admitted from December 2021 to December 2022 were randomly divided into two groups. The control group underwent chemotherapy, and the observation group took megestrol acetate dispersible tablets and underwent chemotherapy. The effect of the treatments were evaluated by analyzing the albumin (Alb) and prealbumin (Palb) indicators, and the adverse reactions were observed. Results: There was no significant difference in Alb and Palb indexes between the two groups before treatment (P > 0.05). After treatment, Alb and Palb indexes in the observation group were greater than those in the control group (P < 0.05). The incidence of adverse reactions in the control group was 20.00%, which was significantly higher than the observation group (5.00%), with P < 0.05. Conclusion: The combination of megestrol acetate dispersible tablets and chemotherapy is more effective in treating patients with acute leukemia, and the Alb and Palb indexes can be optimized. Besides, there are fewer adverse reactions, which means that the treatment is relatively safe.","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45249733","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

Research on the Effect of Comprehensive Intervention in the Clinical Treatment of Patients with Type 2 Diabetes Mellitus 综合干预在2型糖尿病临床治疗中的作用研究

临床护理研究 Pub Date : 2023-07-28 DOI: 10.26689/jcnr.v7i4.5177

Shuying Jing, Yanru Peng, Nawei Xu

{"title":"Research on the Effect of Comprehensive Intervention in the Clinical Treatment of Patients with Type 2 Diabetes Mellitus","authors":"Shuying Jing, Yanru Peng, Nawei Xu","doi":"10.26689/jcnr.v7i4.5177","DOIUrl":"https://doi.org/10.26689/jcnr.v7i4.5177","url":null,"abstract":"Objective: This study aims to explore the value of comprehensive intervention in the clinical treatment of patients with type 2 diabetes mellitus complicated with hypertension. Methods: 90 patients with type 2 diabetes and hypertension were selected and divided into a control group and an intervention group according to the random number table method, with 45 cases in each group. The control group received conventional treatment, and the intervention group received comprehensive intervention on the basis of the control group, including a diet plan, an exercise program, scientific treatment, regular monitoring, and psychological counseling. The blood sugar, blood pressure, and other indicators of the two groups were compared. Results: After 5 months of intervention, the fasting blood glucose, postprandial 2 h blood glucose, glycosylated blood glucose protein, diastolic blood pressure, systolic blood pressure, mean arterial pressure, and other indicators of the intervention group were significantly lower than the control group (P < 0.05), and the rate of decrease was significantly greater than that of the control group (P < 0.05). Conclusion: Comprehensive intervention for patients with type 2 diabetes mellitus and hypertension helps in controlling blood sugar and lowering blood pressure, with clinical significance.","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44405997","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

Mediating Effect of Perceived Organizational Support on the Resilience and Mental Health of ICU Nurses 组织支持感知对ICU护士心理弹性和心理健康的中介作用

临床护理研究 Pub Date : 2023-07-27 DOI: 10.26689/jcnr.v7i4.5018

Rui Song, Yurong Hao, Juan Li, Xing Yang, Jie Liu, Li-hua Chen

{"title":"Mediating Effect of Perceived Organizational Support on the Resilience and Mental Health of ICU Nurses","authors":"Rui Song, Yurong Hao, Juan Li, Xing Yang, Jie Liu, Li-hua Chen","doi":"10.26689/jcnr.v7i4.5018","DOIUrl":"https://doi.org/10.26689/jcnr.v7i4.5018","url":null,"abstract":"Objective: To investigate the mediating effect of organizational support on the relationship between resilience and anxiety-depression-stress by researching ICU nurses. Methods: A total of 675 ICU nurses in Shaanxi Province were surveyed using the organizational support scale, the resilience evaluation scale for medical staff, and the Depression-Anxiety-Stress Scale (DASS-21). Results: The resilience of ICU nurses had significant correlation with the level of organizational support (r = 0.448, P < 0.01), but was negatively correlated with depression (r = -0.238, P < 0.001), anxiety (r = -0.287, P < 0.01), and stress (r = -0.213, P < 0.01); the level of organizational support of ICU nurses was also negatively correlated with depression (r = -0.452, P < 0.01), anxiety (r = -0.410, P < 0.01), and stress (r = -0.490, P < 0.01). The sense of organizational support played a mediating role between the resilience of ICU nurses and their depression-anxiety-stress, the mediating effect accounted for 78% of the total effect. Conclusion: The perceived organizational support and resilience is an important external protective factor for the mental health and ability of ICU nurses. The management departments should continue to pay attention to the mental health of ICU nurses, take effective measures to improve the sense of organizational support and resilience of nurses, and ensure the good mental health of ICU nurses.","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69072742","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

Feasibility of Tiotropium Bromide Treatment in Patients with Asthma-COPD Overlap Syndrome and its Effect on Lung Function 噻托溴铵治疗哮喘-慢阻肺重叠综合征的可行性及对肺功能的影响

临床护理研究 Pub Date : 2023-07-27 DOI: 10.26689/jcnr.v7i4.5025

L. Sheng

{"title":"Feasibility of Tiotropium Bromide Treatment in Patients with Asthma-COPD Overlap Syndrome and its Effect on Lung Function","authors":"L. Sheng","doi":"10.26689/jcnr.v7i4.5025","DOIUrl":"https://doi.org/10.26689/jcnr.v7i4.5025","url":null,"abstract":"Objective: To explore the feasibility of tiotropium bromide therapy and its effect on the lung function of patients with asthma-COPD overlap syndrome (ACOS). Method: The 58 subjects selected in this study were all ACOS patients admitted to our hospital (Hohhot First Hospital) from October 2020 to October 2022. They were grouped according to the random number table method and divided into a control group (29 cases) and an observation group (29 cases). The control group received routine treatment plus salmeterol-fluticasone powder inhalation treatment, and the observation group received tiotropium bromide treatment. The relevant indicators of the two groups were compared. Results: The total clinical effective rate of the observation group was significantly higher than that of the control group. Besides, the forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1) levels, and ACT scores of the two groups increased after treatment, with the observation group having better results than the control group. The residual volume-total lung capacity ratio (RV/TLC), acute exacerbation frequency, and CAT scores all decreased, with the observation group showing smaller values than the control group. The difference between the results of both groups were significant (P < 0.05) Conclusion: Tiotropium bromide has a significant clinical effect in the treatment of ACOS patients and can effectively improve the lung function of patients.","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":"22 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41305206","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 Study of the Triage of Patients with Non-Traumatic Acute Abdomen 非创伤性急腹症患者分型的定性研究

临床护理研究 Pub Date : 2023-07-27 DOI: 10.26689/jcnr.v7i4.5176

Zhongqing Yang, Juqing Ke, Huandi Zhao

{"title":"A Qualitative Study of the Triage of Patients with Non-Traumatic Acute Abdomen","authors":"Zhongqing Yang, Juqing Ke, Huandi Zhao","doi":"10.26689/jcnr.v7i4.5176","DOIUrl":"https://doi.org/10.26689/jcnr.v7i4.5176","url":null,"abstract":"Objective: To explore the work experience of medical staff in the emergency department of a general hospital in the triage of patients with non-traumatic acute abdomen to formulate corresponding intervention measures and branch evaluation tools. Methods: With descriptive phenomenology as the research method, semi-structured interviews were conducted with the medical staff in a tertiary hospital in Nanjing from February 1st to 10th, 2023, and Colaizzi seven-step analysis was used to analyze the data. Results: A total of 17 emergency medical staff were interviewed in this study. Four themes were derived from the analysis of the data: the etiology of acute abdomen is complex, so it is difficult to categorize them: acute abdomen requires immediate treatment, but the treat will be delayed if the categorization is inaccurate; the high pressure of nurses and the accuracy in categorizing the patients are problems that should be addressed. Conclusion: The categorization of patients with non-traumatic acute abdomen is challenging. Therefore, it is necessary to carry out corresponding intervention and formulate appropriate departmental evaluation tools to improve the accuracy of categorization of patients with acute abdomen.","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41679857","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

Lipoid Pneumonia Caused by Diesel Aspiration: A Case Report and Literature Review 柴油机吸入性脂蛋白肺炎1例报告及文献复习

临床护理研究 Pub Date : 2023-07-27 DOI: 10.26689/jcnr.v7i4.5095

Fei Tian, Fei Jiang, Xingguang Qu, Jinglan Liu, Shengmin Gui, Liu Min, Chaxiang Li, Zhaohui Zhang, Zuyang Xi

{"title":"Lipoid Pneumonia Caused by Diesel Aspiration: A Case Report and Literature Review","authors":"Fei Tian, Fei Jiang, Xingguang Qu, Jinglan Liu, Shengmin Gui, Liu Min, Chaxiang Li, Zhaohui Zhang, Zuyang Xi","doi":"10.26689/jcnr.v7i4.5095","DOIUrl":"https://doi.org/10.26689/jcnr.v7i4.5095","url":null,"abstract":"Diesel poisoning is a rare clinical condition. On September 27, 2021, a 55-year-old male who mistakenly inhaled 20 mL of diesel through a siphon was admitted to our hospital. The main symptoms were cough and asthma. Chest computed tomography (CT) showed both lungs scattered with patchy consolidation, ground-glass shadow, exudation, and pleural effusion. After 61 days of lung rehabilitation training and other supportive treatment, including oxygen therapy, postural drainage, ventilator support, bronchoalveolar lavage, hemoperfusion, continuous renal replacement therapy (CRRT), hormones, and antibiotics, the patient’s condition improved, and the patient was discharged. Through literature review, we found that lung consolidation, ground-glass shadow, nodular lesions, and pleural effusion can be observed on chest images of patients with lipoid pneumonia, with severe cases showing diffuse lesions involving both lungs, possibly secondary to respiratory failure. Children with acute critical illness deteriorates rapidly and have poor prognosis, whereas adults or patients with chronic poisoning have better prognosis after active treatment.","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48547994","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 on the Quality of Life of Elderly Nurses in Two Selected Elderly Care Institutions in Shandong Province 山东省两家养老机构老年护理人员生活质量研究

临床护理研究 Pub Date : 2023-07-27 DOI: 10.26689/jcnr.v7i4.5125

Qinghua Ji

引用次数: 0

Analysis of the Role of Nursing Intervention in Operating Room in the Prevention of Incision Infection in Orthopedic Aseptic Surgery 手术室护理干预在预防骨科无菌手术切口感染中的作用分析

临床护理研究 Pub Date : 2023-07-27 DOI: 10.26689/jcnr.v7i4.5155

Haiyan Tang

{"title":"Analysis of the Role of Nursing Intervention in Operating Room in the Prevention of Incision Infection in Orthopedic Aseptic Surgery","authors":"Haiyan Tang","doi":"10.26689/jcnr.v7i4.5155","DOIUrl":"https://doi.org/10.26689/jcnr.v7i4.5155","url":null,"abstract":"Objective: To explore and analyze the role of nursing in the operating room in the prevention of incision infection in aseptic orthopedic surgery. Methods: 68 patients that underwent aseptic orthopedic surgery in our hospital from January 2021 to December 2022. They were divided into a research group (n = 34) and a control group (n = 34) by the random number table method. The patients in the control group received conventional nursing intervention in the operating room, and the patients in the study group received the optimized and modified nursing intervention in the operating room; then, the related indicators of nursing intervention of the two groups were compared. Results: The incidence of incision infection in the study group was lower than that of the control group (P < 0.05); the average duration of surgery and length of stay the study group were lower than those in the control group (P < 0.05); the stress response indexes of patients in the study group were lower than those in the control group 24 hours after operation (P < 0.05); the degree of satisfaction of the patients in the study group to the services provided by the nursing staff was significantly higher than that of the control group (P < 0.05). Conclusion: High-quality nursing intervention in the operating room for aseptic orthopedic surgery patients can significantly reduce the incidence of incision infection, reduce the stress response caused by surgery, shorten the duration of surgery and length of stay, and improve nursing satisfaction, which makes it worthy of popularization.","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42448051","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

The Efficacy and Safety of Dinoprostone Vaginal Insert for Labor Induction Following Optimization of Standard Operating Procedure: A Retrospective Study in China 优化标准操作程序后应用地诺前列酮阴道内固定片引产的疗效和安全性：中国的回顾性研究

临床护理研究 Pub Date : 2023-07-27 DOI: 10.26689/jcnr.v7i4.5053

P. Jin, B. Yin

{"title":"The Efficacy and Safety of Dinoprostone Vaginal Insert for Labor Induction Following Optimization of Standard Operating Procedure: A Retrospective Study in China","authors":"P. Jin, B. Yin","doi":"10.26689/jcnr.v7i4.5053","DOIUrl":"https://doi.org/10.26689/jcnr.v7i4.5053","url":null,"abstract":"Background: The study aimed to assess the efficacy and safety of dinoprostone vaginal insert in labor induction following optimization of standard operating procedure (SOP) and to discover independent predictors of vaginal delivery. Methods: This study comprised 551 pregnant women who required cervical ripening with dinoprostone before induction of labor. Using univariate and multivariate analyses, independent predictors of vaginal delivery were identified. Results: 443 of the 551 women (80.4%) gave birth vaginally. Vaginal delivery was predicted by maternal age (24–30 vs. < 24, P < 0.001; 30–35 vs. < 24, P = 0.03), gestational age (P = 0.005), birth weight (P < 0.001), parity (P = 0.001), pre-pregnancy BMI (P < 0.001), premature rupture of membranes (P = 0.001), meconium-stained amniotic fluid (P < 0.001), fundal height (P < 0.001) and the Bishop score (P < 0.001). None of the women exhibited severe postpartum hemorrhage. Conclusions: The maternal age, gestational age, birth weight, parity, body mass index, premature membrane rupture, amniotic fluid contamination, fundal height, and the Bishop score were independent predictors of vaginal delivery. These may guide the clinical use of dinoprostone for induction of labor.","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44599842","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

Research on the Intervention of Internet+ Health Education Model on Hemodialysis Patients with Psychological Distress 互联网+健康教育模式对血液透析患者心理困扰的干预研究

临床护理研究 Pub Date : 2023-07-27 DOI: 10.26689/jcnr.v7i4.5048

Youlan Gong, X. Chen, L. Ran, H. Chan, Li Guo, Yanmei Liu, Jianmin Zhang, Dan Liu, Jing Li

{"title":"Research on the Intervention of Internet+ Health Education Model on Hemodialysis Patients with Psychological Distress","authors":"Youlan Gong, X. Chen, L. Ran, H. Chan, Li Guo, Yanmei Liu, Jianmin Zhang, Dan Liu, Jing Li","doi":"10.26689/jcnr.v7i4.5048","DOIUrl":"https://doi.org/10.26689/jcnr.v7i4.5048","url":null,"abstract":"Objective: To observe the status quo of patients’ psychological distress, and to explore the effect of Internet+ health education model (IHEM) on patients who experienced psychological distress during their first hemodialysis treatment, with the goal of reducing their psychological distress and improving their quality of life. Methods: IHEM was conducted on 120 first-time hemodialysis patients for 3 months while a distress thermometer and a list of questionnaires were used to screen patients and provide corresponding psychological intervention. The incidence rate of psychological distress was analyzed statistically to explore the difference in psychological distress at various periods. Results: The incidence rate (score ≥ 4) of psychological distress in first-time hemodialysis patients was 46.67%, and their distress was mainly rooted in physical, emotional, practical problems (economy, time, and energy), etc. Through IHEM, the psychological distress scores of the patients decreased to 3.29 ± 1.02 at one month after their discharge, and the incidence rate was 32.14%; the psychological distress scores of the patients were 2.29 ± 1.02 at 3 months after their discharge, and the incidence rate was 21.14%. The difference before and after the intervention was statistically significant (P < 0.05). Conclusion: A psychological distress thermometer can timely detect the degree and causes of psychological distress among first-time hemodialysis patients, and the use of IHEM may significantly alleviate the psychological distress among hemodialysis patients.","PeriodicalId":64151,"journal":{"name":"临床护理研究","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48446648","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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