Alternative therapies in health and medicine最新文献

{"title":"Foot Reflexology for Pain and Anxiety Associated with Chest Tube Removal in Patients After Coronary Artery Bypass Graft: A Randomized Controlled Trial.","authors":"Elif Budak Ertürk, Mevlüde Karadağ","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Reflexology is a method used to control the pain and anxiety associated with chest tube removal in patients undergoing cardiovascular surgery.</p><p><strong>Primary study objective: </strong>This study aimed to identify the effect of foot reflexology applied before chest tube removal on pain and anxiety levels in patients with coronary artery bypass graft surgery.</p><p><strong>Methods/design: </strong>This study was a randomized controlled clinical trial.</p><p><strong>Setting: </strong>This study was conducted in the cardiovascular surgery intensive care unit of the Baskent University Ankara Hospital.</p><p><strong>Participants: </strong>Patients, who underwent coronary artery bypass graft surgery, were randomly assigned either to the reflexology group or the control group (n = 28 individuals/group).</p><p><strong>Intervention: </strong>The reflexology group received foot reflexology for 30 minutes in two sessions (first postoperative day and before chest tube removal).</p><p><strong>Primary outcome measures: </strong>The primary outcomes of the surgery were pain, evaluated using a Numeric Pain-Rating Scale; and anxiety, evaluated using the Profile of Mood States Scale Tension-Anxiety Subscale. Pain and anxiety were determined on the first (before and after the reflexology) and second postoperative days (before and after the reflexology and immediately, 15 min, 1 hour (only pain level) after chest tube removal).</p><p><strong>Results: </strong>The mean pain scores of the control and intervention groups were similar during chest tube removal, 15 minutes after, and 1 hour after (P > .05). Although mean anxiety scores were comparable after chest tube removal in both groups (P > .05), a significant difference was found 15 minutes later (P < .05). The increase in pain (P = .0001) and anxiety (P = .032) levels before and after the removal was significantly less in the intervention group compared to the control group, based on pain and anxiety scores.</p><p><strong>Conclusion: </strong>Foot reflexology significantly reduced the increase in pain and anxiety during chest tube removal in patients with coronary artery bypass graft surgery.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142556911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Siravedha and Knee Osteoarthritis: A Case Report.","authors":"Sanjeev Sharma, Suman Sharma, Manorma Singh, Rahul Sharma","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Knee osteoarthritis is a degenerative disease resulting from wear and tear of the articular cartilage. Siravedha is an Ayurvedic surgical procedure of therapeutic blood-letting to manage various diseases including painful musculoskeletal conditions.</p><p><strong>Case report: </strong>A female patient aged 51 years came to the hospital in the outpatient department of Shalya Tantra (surgery) in the month of June, 2022. She had complaints of pain and swelling in her left knee for six months with difficulty in walking, squatting, and going up and down stairs. Diagnosis was made using the 2016 American College of Rheumatology criteria and knee radiographs. The patient was diagnosed with left knee osteoarthritis of grade II (Kellgren and Lawrence osteoarthritis grading). She was previously treated with non-steroidal anti-inflammatory drugs and physiotherapy in a private hospital with slight relief. Initially, only oral Ayurvedic medicines were prescribed for one month. The patient reported minimal relief in symptoms. All oral medications were stopped. After obtaining written consent and completing diagnostic labs, therapeutic blood-letting by Siravedha was planned and executed. The outcomes of treatment were assessed with the Knee Injury and Osteoarthritis Outcome Score, goniometric readings, and findings of knee radiographs.</p><p><strong>Result and discussion: </strong>Marked improvement was observed in range of motion of the knee joint and also in the Knee Injury and Osteoarthritis Outcome Scores with a positive impact on quality of life. Sustainability of relief in the follow-up period is suggestive of the fact that Siravedha has a role in alleviating the symptoms and progression of the ailment.</p><p><strong>Conclusion: </strong>Siravedha was found to be effective in knee osteoarthritis in terms of reducing pain and improving range of motion obviating the need for oral medication. This case report provides the first ever evidence on efficacy of Siravedha in knee osteoarthritis and may also serve as a lead for future research.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142556913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stratified Nursing Based on ICNSS Score: Study on the Impact of Complications and Rehabilitation Effects in Patients with Acute Myocardial Infarction Complicated by Heart Failure.","authors":"Kai Wang, Yuhua Xiao, Chao Fu","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To analyze the application effects of stratified nursing based on the ICNSS score and its influence on complications and rehabilitation effects in patients with Acute Myocardial Infarction (AMI) complicated by Heart Failure (HF).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A retrospective analysis was conducted on clinical data of 97 patients with AMI complicated by HF admitted to Xingtai Central Hospital between January 2021 and January 2023. All patients met the inclusion and exclusion criteria. Patients were divided into a control group (n=47) and an observation group (n=50) based on different nursing interventions received. The control group received routine nursing interventions, while the observation group received stratified nursing interventions based on the ICNSS score. The comparison between the two groups involved Cardio Care Unit (CCU) treatment duration, psychological status Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), cardiac function indicators Creatine Kinase (CK), Left Ventricular End-Diastolic Diameter (LVEDD), Left Ventricular Ejection Fraction (LVEF), Cardiac Output (CO), quality of life (SF-36), occurrence of nursing complications, and nursing satisfaction.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;1. CCU treatment duration and psychological status: After treatment, the SAS and SDS scores and CCU treatment duration in the observation group were significantly lower than those in the control group (P &lt; .05). 2. Cardiac function indicators: After treatment, the CK and LVEDD levels in the observation group were significantly higher than those in the control group, while LVEF and CO levels were significantly lower than those in the control group (P &lt; .05). 3. Quality of life: After treatment, the physiological function, physical function, mental status, and social relationship scores in the observation group were significantly higher than those in the control group (P &lt; .05). 4. Occurrence of nursing complications: The occurrence rate of nursing complications in the control group was 17.02%, while in the observation group, it was 2.00%, significantly lower than that in the control group (P &lt; .05). 5. Nursing satisfaction: The nursing satisfaction in the control group was 78.72%, whereas in the observation group, it was 94.00%, significantly higher than that in the control group (P &lt; .05).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Stratified nursing based on the ICNSS score demonstrates significant application effects in patients with AMI complicated by HF. Compared to routine nursing interventions, stratified nursing based on the ICNSS score further reduces CCU treatment duration, alleviates negative psychological emotions, improves cardiac function, and effectively controls and reduces the risk of complications. Moreover, this approach significantly enhances nursing satisfaction for both patients and their families, contributing significantly to promoting harmony in doctor-patient relationships, and dese","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142455860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of PLGF and EZH2 Expression in Placenta Tissue on GDM Placental Structure and Pregnancy Outcome.","authors":"Jianfen Hong, Yifeng Chen","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To explore the relationship between the expression of placental growth factor (PLGF) and Zeste homolog enhancer 2 (EZH2) in placental tissues of women with gestational diabetes (GDM), placental function, and pregnancy outcome.</p><p><strong>Methods: </strong>Select 100 women with GDM diagnosed in our hospital from January 2019 to May 2020 as the GDM group and 100 women with normal pregnancy at the same time as the control group. Detection and analysis of the expression levels of PLGF and EZH2 proteins in placental tissue after delivery of the two components. Observation of the expression of different PLGF and EZH2 proteins using an electron microscope, and analyze the ultrastructural changes in placental tissue of women with GDM. Finally, assess the differences in pregnancy outcomes.</p><p><strong>Results: </strong>The expression intensity of PLGF protein in the GDM group was higher than that in the control group (P < .001), and the expression intensity of EZH2 protein in the GDM group was lower than that in the control group (P < .001); the positive rate of PLGF protein in the GDM group was 67.00% higher than that of the control group 35.00% (P < .001), the positive rate of EZH2 protein in the GDM group was 15.00% lower than 33.00% in the control group (P = .003); the placental ultrastructural change rate of PLGF-positive GDM women was 71.64% higher than that in the negative expression group 45.45 % (P = .011); the placental ultrastructural change rate of EZH2 protein-positive GDM mothers was 33.33% lower than that of negative expression of A mixed 68.24% (P = .01); the incidence of premature infants (26.87%) and fetal respiratory distress (13.43%) in the PLGF-positive GDM group, the rate was higher than that in the negative expression group (9.09%, 0%) (P = .027, .04); the incidence of preterm infants in the EZH2 protein-positive GDM group (0.00%) was lower than that in the negative expression group (24.71%) (P = .03).</p><p><strong>Conclusion: </strong>The expression of PLGF is up-regulated and the expression of EZH2 is down-regulated in the placental tissue of GDM women, which causes ultrastructural changes in the placental tissue and increases the incidence of preterm birth and fetal respiratory distress to a certain extent.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139705735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of fecal collection device in Intensive Care Unit Patients with fecal incontinence Receiving Extracorporeal Membrane Oxygenation: A Comparison Cohort Study.","authors":"Xingliang Zhou, Qingyun Wang, Zhi He, Sufei Xiao, Weiqing Ruan","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to assess the effectiveness of fecal collection devices in preventing incontinence-associated dermatitis (IAD) and reducing skin care time in ICU patients with fecal incontinence undergoing Extracorporeal Membrane Oxygenation (ECMO).</p><p><strong>Methods: </strong>A nonrandomized comparison cohort (quasi-experimental) study with pre-post comparison was carried out in a general intensive care unit. 85 bedridden patients receiving ECMO with fecal incontinence (FI) in a general intensive care unit between June 2017 and May 2022 participated in the study and separated into two groups according to the fecal collection device they received. 40 were assigned to the Control group (structured IAD preventive care protocol alone) and 45 to the Intervention group (structured IAD preventive care protocol plus application of fecal collection device). The status of IAD was assessed using the Incontinence Associated Dermatitis Intervention Tool (IAD-IT). Fecal consistency was evaluated via the Bristol Stool Scale. Outcome measures included the nursing time for skin care and the incidence of IAD, and bleeding complications between the two groups during the period.</p><p><strong>Results: </strong>Participants in the Intervention group had fewer IAD occurrences than participants in the Control group (13.33% vs. 52.50%, P < .05). The patients in the Intervention group significantly reduced skincare time (63.30±14.09 min in the Control group versus 28.44±2.04 min in the Intervention group, P < .01). There was 3 turning complications for bleeding in the Intervention group and 11 in the Control group and had a significant reduction in urning complications(3 vs.11, P = .022).</p><p><strong>Conclusions: </strong>Applying a fecal collection device may reduce skincare time and reduce occurrences of IAD and bleeding related to turning position for skin care in ICU patients with FI associated with diarrhea receiving ECMO Support.This study offers a more efficient way to use the fecal collection device in ECMO patients.Future research needs to focus on the perianal skin in ECMO patients regarding fecal collection devices connected to continuous low-negative-pressure suction devices.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139705809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Construction and Application of Standardised Process Nursing Programme in the Management of Enteral Nutrition in Critically Ill Patients.","authors":"Caixia Zhao, Lili Hou, Jing Li, Ruru Zhao, Shan Zhang, Caizhen Huang, Wenjing Wu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To observe the effect of implementing standardized flow management in enteral nutrition therapy for critically ill patients.</p><p><strong>Methods: </strong>We selected 241 critically ill patients admitted to our hospital from January 2020 to January 2023. Patients with enteral nutrition without standard process management were set as the control group (n = 109), while those with enteral nutrition and standard process management were set as the observation group (n = 132). The total protein, albumin, prealbumin, and hemoglobin were compared between the two groups on the 7th and 14th day of nutritional therapy. Immune indicators (IgM, IgA, and IgG), NUTRIC score, and the incidence of infectious complications were compared between the two groups.</p><p><strong>Results: </strong>On the 7th and 14th day of treatment, the total protein, albumin, prealbumin, hemoglobin, and immune indicators in the observation group were higher than those in the control group, and the differences were statistically significant (P < .05). On the 7th and 14th day of treatment, the NUTRIC score of the observation group was higher than that in the control group, with a statistically significant difference (P < .05). The incidence of infectious complications in the observation group was lower than that in the control group, and the difference was statistically significant (P < .05).</p><p><strong>Conclusion: </strong>Implementing standardized process management of EN for critically ill patients improves total protein, albumin, prealbumin, hemoglobin, immune indexes, NUTRIC score, and nutritional status, while reducing the incidence of infectious complications. These findings offer valuable insights for clinical practice and advocate for practical application.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139705814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Goal-Directed, Evidence-Based Care Reduces the Incidence of Perioperative Stress Injury.","authors":"Xiaoqiu Yang, Xuhui Huang","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the clinical impact of goal-oriented, evidence-based nursing in preventing perioperative stress injuries.</p><p><strong>Methods: </strong>A total of 380 patients undergoing surgery were allocated into either the control or study group. The study group received goal-oriented, evidence-based nursing, while the control group received routine nursing care. Various perioperative indicators, including operating time, position change time, intraoperative bleeding, and length of hospitalization, were assessed and compared between the two groups. Additionally, the Mini-Nutritional Assessment (MNA) score, Munro score, incidence of stress injuries, and nursing satisfaction rate were compared. Patients with perioperative pressure sores (PS) were further evaluated using the Pressure Ulcer Healing Score (PUSH), Braden Stress Injury Scale (Braden), visual analogue scale of pain (VAS), and wound healing time.</p><p><strong>Results: </strong>The study group exhibited higher MNA levels during and after the operation, while Munro levels were lower compared to the control group (P < .05). The study group demonstrated a shorter length of stay and quicker body position changes than the control group. Incidence of pressure sores (PS) was lower in the study group, accompanied by higher nursing satisfaction. PS patients in the study group had lower VAS and PUSH scores, higher Braden scores, and shorter wound healing times than those in the control group.</p><p><strong>Conclusion: </strong>This study highlights the efficacy of goal-oriented, evidence-based nursing in reducing perioperative stress injuries, advocating its adoption for improved care and patient outcomes. However, the single-center design limits generalizability, necessitating further validation. Ultimately, this approach signifies a step forward in nursing practice, promising better patient recovery and satisfaction.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139705815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research on Nursing Intervention of Qing Dai Cream Walking Jar on Pruritic Discomfort in Patients with Common Psoriasis.","authors":"Hui Chen, Liping Zhang, Rui Tang, Fang Liu, Xiaoping Li","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Qing Dai cream is a Chinese medicine that helps relieve the symptoms of psoriasis vulgaris. However, its mechanism hasn't been illustrated well.</p><p><strong>Objective: </strong>To evaluate the effectiveness and comfortableness of Qing Dai cream walking jar as a nursing intervention for patients with psoriasis vulgaris.</p><p><strong>Methods: </strong>Seventy-six patients with vulgar psoriasis admitted to our hospital from February 2020 to February 2021 who met the criteria according to the including and exclusion criteria were screened as this study's subjects. According to the randomized number and double-blind principle, all of them were separated into 2 groups, the subjects in the control group were provided with conventional care, while the subjects in the observation group were joint Qing Dai cream walking jar on this basis. The quality of life and the degree of skin lesions of the patients after the intervention were comprehensively evaluated compared and observed.</p><p><strong>Results: </strong>Compared to the control group, the psoriasis lesion area and severity index (PASI) score after the intervention was remarkably lower in the observation group (P < .05) while the symptom scores, itching degree, itching frequency, duration, lesion area, sleep condition, and self-conscious condition degrees were significantly lower in the observation group (P < .05). The observed group showed a significant effect, effective, and the overall effective rate of 57.89% (22/38), 36.84%, and 94.74% were all significantly more than those of the control group after intervention (P < .05). After the intervention, the scores of dermatological disease quality of life index (DLQI), the subjective symptoms, daily life, work and study, and interpersonal relationships in the observation group were all significantly lower than those in the control group, P < .05. In the intervention, the satisfaction, total satisfaction of 65.79% (25/38), and 97.37% were statistically significantly higher than that of the control group, P < .05.</p><p><strong>Conclusion: </strong>The Qing Dai cream walking jar is effective in improving patients' clinical symptoms, relieving their pruritus discomfort, and promoting the repair of skin lesions, to improve their quality of life and satisfaction.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139705854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence-Based Nursing Interventions in Care of Heart-failure Patients With Concurrent Tumors.","authors":"Xiufen Bao, Li Zhang, Yanfei Du, Feng Yan, Shuping Sun, Haiyan Wu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Context: </strong>In clinical practice, heart failure with concurrent tumors is relatively rare, and surgical intervention is the primary treatment. However, most patients have poor physical function and metabolic capacity, making them less tolerant of surgical trauma. Strengthening perioperative nursing care is therefore particularly important.</p><p><strong>Objective: </strong>The study aimed to analyze the clinical effects of and patient satisfaction with evidence-based nursing interventions on perioperative conditions and quality of life for heart-failure patients with concurrent tumors, with the goal of identifying the optimal nursing model for these patients.</p><p><strong>Design: </strong>The research team conducted a randomized, controlled clinical trial.</p><p><strong>Setting: </strong>The study took place at the First People's Hospital of Lin'an District in Hangzhou City, Zhejiang Province, China.</p><p><strong>Participants: </strong>Participants were 100 heart-failure patients with concurrent tumors who had been admitted to the hospital between July 2021 and July 2022.</p><p><strong>Interventions: </strong>The research team divided participants into two groups based on their admission times with 50 participants in each group: (1) a control group, who received routine nursing care, and (2) an intervention group, who received an evidence-based nursing intervention.</p><p><strong>Outcome measures: </strong>The research team: (1) examined perioperative conditions, (2) measured changes in plasma levels of brain natriuretic peptide (BNP), (3) evaluated quality of life, and (4) assessed nursing satisfaction nursing satisfaction.</p><p><strong>Results: </strong>No significant differences existed in the groups' demographic and clinical characteristics, indicating comparability. Compared to the control group, the intervention group's: (1) operation time (P = .021), ascending aorta occlusion time (P = .032), turnaround time of cardiopulmonary bypass (P = .040) were significantly shorter; (2) plasma BNP levels were significantly lower at postoperative days 3 (P = .036) and 7 (P = .022); (3) scores for quality of life-physiological (P = .007), emotional (P = .008), social (P = .013), and role (P = .011) function-were significantly higher; and (4) nursing satisfaction was significantly higher (P = .004).</p><p><strong>Conclusions: </strong>The adoption of evidence-based nursing interventions in clinical settings, especially for heart-failure patients with concurrent tumors, can yield significant effects, improving patient outcomes and enhancing quality of life and nursing satisfaction.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139943689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Impact of 'Admission-Discharge-Family Follow-up' Health Education on Insulin Injection Effectiveness and Compliance in Diabetes Patients.","authors":"Siyu Lu, Xing-Chi He, Honghong Jiang, Fang Li","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the impact of comprehensive health education on insulin therapy outcomes in diabetic patients.</p><p><strong>Methods: </strong>A total of 130 diabetes mellitus patients admitted to our hospital between January 2020 and January 2023 were enrolled. We used a randomization method to divide participants into two groups, one of which received the \"admission-discharge-home follow-up\" comprehensive health education program and the other which did not. They were randomly divided into an observation group and a control group (65 patients in each). The control group received conventional education, while the observation group received additional one-stop health education involving \"admission-discharge-family follow-up.\" Various parameters, including 2-hour postprandial blood glucose (2hPG), fasting plasma glucose (FPG), glycated hemoglobin (HbA1c), insulin injection compliance, insulin standard injection mastery, and quality of life (assessed using the Insulin Therapy Related Quality of Life Questionnaire, ITR-QOL-CV), were compared between the two groups.</p><p><strong>Results: </strong>The study's key findings highlight the significant effects of a comprehensive health education program on key outcomes such as improving insulin injection compliance, improving glycemic control, and improving quality of life in patients with diabetes. Before the intervention, 2hPG, FPG, and HbA1c levels were similar in both groups (P > .05). Following the intervention, these indicators decreased in both groups, with significantly lower levels observed in the observation group (P < .05). Insulin injection compliance was comparable between the groups before the intervention (P > .05), but it increased in both groups post-intervention, with higher compliance observed in the observation group (P < .05). Similarly, scores from the insulin standard injection mastery questionnaire and ITR-QOL-CV were enhanced in both groups after the intervention, with higher scores in the observation group compared to the control group (P < .05).</p><p><strong>Conclusion: </strong>The implementation of one-stop health education involving \"admission-discharge-family follow-up\" led to improved insulin injection effectiveness, blood glucose control, compliance, insulin standard injection mastery, and overall quality of life in diabetic patients. These significant improvements have important clinical implications for patients with diabetes, as more efficient and consistent use of insulin injections will help to better control blood sugar levels, reducing patients' symptoms and risk of complications. For health care providers, these findings underscore the importance of providing comprehensive health education programs to improve outcomes and overall care for patients with diabetes.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139943693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}