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e of the behavior change theory can effectively improve patient's compliance behaviors, change their knowledge, attitudes as well as their personal habits, keep their glucose and lipid metabolism indicators under control and reduce the risks of cardiovascular disease. Therefore, it is worth being applied in clinical settings.
To explore the effect of Guijiaosan Shenque acupoint paste on the obesity, endocrine, and TCM symptom scores of obese polycystic ovary syndrome (PCOS) patients with phlegm-dampness block.
From January 2020 to December 2020, 80 PCOS patients with phlegm-dampness block were recruited as the study cohort and randomly divided into a research group (RG) or a control group (CG), with 40 cases in each group. The CG was treated with herbal decoctions according to syndrome differentiation, while the RG was administered Guijiaosan paste at the Shenque acupoint in addition to the treatment administered to the CG. The body weight indexes, endocrine function, insulin resistance indexes, TCM syndrome scores, and safety index changes were compared between the two groups before and after the treatment.
Compared with the CG, the body weight indexes, endocrine function, insulin resistance indexes, and TCM syndrome scores in the RG were significantly improved (P<0.05), and there was no significant difference in the safety indexes between the two groups before the treatment (P>0.05).
The application of Guijiaosan paste at the Shenque acupoint can effectively improve the obesity and endocrine functions of obese patients with PCOS and improve their clinical symptoms, so it is worthy of clinical promotion.
The application of Guijiaosan paste at the Shenque acupoint can effectively improve the obesity and endocrine functions of obese patients with PCOS and improve their clinical symptoms, so it is worthy of clinical promotion.
To investigate the nursing effect of deep or shallow sputum suction in the treatment of patients without cough response.
A total of 144 patients receiving mechanical ventilation without an effective cough reaction were randomly divided into two groups deep suction group (n=73) and shallow suction group (n=71). Heart rate, breathing, blood pressure, analgesia and sedation score, residual sputum volume, frequency of suction, sputum volume, improvement of phlegm sound, airway bleeding and oxygen before and after intervention were observed. Partial pressure, partial pressure of carbon dioxide and oxygenation index were used to evaluate the effect of two sputum suction methods on patients without an effective cough response.
In our study, the fluctuation of vital signs in the deep suction group was significantly higher than that in the shallow suction group. There was a statistical significance between the two groups in the vital signs after nursing intervention (P < 0.05), this mainly manifested in the hs not effectively clean the airway of patients without a cough response; therefore, patients with a weak cough response need deep sputum suction.
Deep sputum suction has a great effect on the vital signs of patients, but there is not a serious effect on the vital signs. Shallow sputum suction does not effectively clean the airway of patients without a cough response; therefore, patients with a weak cough response need deep sputum suction.
To explore the influences of Hiao's double-C nursing model combined with pain care on postoperative satisfaction with pain control and complications in patients with mixed hemorrhoids.
A total of 80 patients with mixed hemorrhoids admitted to our hospital from January 2019 to October 2020 were selected as the study subjects, and they were divided into a regular group (n = 43) and a combined group (n = 37) based on different nursing methods. The regular group was treated with routine nursing care, while the combined group was treated with Hiao's double-C nursing model combined with pain care. The degrees of pain, duration of pain, satisfaction with pain control, quality of life and complications were compared between the two groups.
At 6 h, 24 h and 72 h after surgery, the combined group had markedly lower visual analogue scale (VAS) scores and a noticeably shorter duration of pain than that of the regular group (
< 0.05). Compared with the regular group, the combined group scored significantly lower on pain experience and expectation, and influences of pain on emotions, body and life, and significantly higher on satisfactions with pain control education and pain control or relief and overall satisfaction (
< 0.05). After intervention, the scores of quality of life, and physical, social and psychological functions were elevated in both groups (
< 0.05), and the aforementioned scores in the combined group were significantly higher than those in the regular group (
< 0.05). The incidence rate of complications in the combined group was notably lower than that in the regular group (8.11% vs. 41.86%,
< 0.05).
Hiao's double-C nursing model combined with pain care can effectively improve postoperative degrees of pain, satisfaction with pain control and complications, and duration of pain.
Hiao's double-C nursing model combined with pain care can effectively improve postoperative degrees of pain, satisfaction with pain control and complications, and duration of pain.
This study analyzed the predictive value of peripheral blood mononuclear cells' (PBMCs) miR-374a-5p in deep vein thrombosis (DVT) after total hip arthroplasty in the elderly.
There was a total of 112 elderly patients that underwent elective total hip arthroplasty in our hospital and were enrolled as the research subjects. According to the color Doppler ultrasound of lower limbs 5 d postoperatively, subjectswere classified into thrombosis group (n=31) and non-thrombosis group (n=81). We detected the expression levels of miR-374a-5p in PBMCs and plasma D-dimer of the two groups of patients 1 d before surgery, and 1 d, 3 d, and 5 d after surgery, and analyzed the predictive value, and the correlation between miR-374a-5p and plasma D-dimer for DVT by ROC curve.
The relative expression of miR-374a-5p in PBMCs and plasma D-dimer of the two groups 1 d, 3 d, and 5 d after surgery were higher than those on the 1 d before surgery (
), and the indexes of thrombus-group-patients were higher than those in the non-te, which is likely to be abiologic indicator for the early diagnosis and treatment of DVT.
To analyze the therapeutic effect of digestive endoscopy tunneling technology on upper gastrointestinal muscularis propria tumors.
A total of 120 patients with upper gastrointestinal tumors in the muscularis propria treated in our hospital in the past two years were recruited as the study cohort. They were treated using the digestive endoscopic tunneling technique, specifically, endoscopic submucosal tunneling tumor resections, and their clinical data, surgical conditions, pathological results, incidences of complications (CR), and anxiety scores were recorded. A postoperative follow-up was conducted on the patients.
A total of 122 tumors were removed from 120 patients, including two patients who had two tumors each. The largest diameter among the tumors was 4.2 cm, and the average diameter was (2.01±1.56) cm. There were 86 tumors located in the superficial layer of the muscularis propria and 36 pieces in the deep layer. No significant differences were found in the patients' clinical data (P > 0.05).ogy can effectively improve the surgical success rate of patients with upper gastrointestinal muscularis propria tumors, reduce the probability of CR, and reduce patients' psychological pressure. It has significant effects in the treatment of upper gastrointestinal muscularis propria tumors and should be widely applied in clinical practice.
Digestive endoscopy tunnel technology can effectively improve the surgical success rate of patients with upper gastrointestinal muscularis propria tumors, reduce the probability of CR, and reduce patients' psychological pressure. It has significant effects in the treatment of upper gastrointestinal muscularis propria tumors and should be widely applied in clinical practice.
This study aimed to explore the application effect of clinical nursing pathway model in elderly patients with hypertension and cerebral infarction.
A total of 106 elderly patients with hypertension and cerebral infarction were recruited and divided into a control group (n=51) and a test group (n=55). Both groups of patients received conventional care, and the test group was given additional care if clinical nursing pathway. The blood pressure indexes, knowledge of stroke, nursing satisfaction, neurological deficit, and activity of daily living (ADL) of the two groups of patients were observed.
After nursing care, the scores of Stroke Knowledge Questionnaire (SKQ) and Barthel index (BI) increased in both groups, and they were significantly higher in the test group than in the control group. The scores of systolic blood pressure (SBP), diastolic blood pressure (DBP) and National Institutes of Health Stroke Scale (NIHSS) decreased significantly in both groups after nursing, and they were lower in the test group than the control group. In addition, patients in the test group exhibited higher nursing satisfaction than the control group, as well as higher rates of blood pressure control at discharge, two months, four months and six months after discharge.
The application of clinical nursing pathway can improve the disease cognition and quality of life of elderly patients with hypertension and cerebral infarction, and promote their recovery.
The application of clinical nursing pathway can improve the disease cognition and quality of life of elderly patients with hypertension and cerebral infarction, and promote their recovery.
This study analyzed the effects of bundled nursing combined with peer support on psychological state and self-efficacy of cervical cancer patients undergoing chemotherapy.
A total of 86 patients with cervical cancer undergoing chemotherapy who were hospitalized from July 2019 to July 2020 were enrolled as study subjects. see more According to the method of a random number table, the selected patients were divided into a control group and an observation group and each group contained 43 patients. The control group was treated with bundled nursing care, while the observation group underwent combining treatment of both bundled nursing as well as education supported by peers. The changes of psychological state, self-efficacy and health-related quality of life of patients before and after nursing intervention were compared.
The scores of depression and anxiety in two groups were remarkably decreased after intervention compared with prior-treatment, and the range of decrease in the observation group was critically grel status of cervical cancer patients with chemotherapy, and improve their self-efficacy and quality of life, which are all worthy of clinical promotion.
To explore the risk factors for recurrence of atrial fibrillation (AF) in patients after radiofrequency ablation and construction of a targeted nomogram prediction model.
A prospective cohort study design was used to select 312 patients who were separated into two groups; a recurrence group (n = 79) and a non-recurrence group (n = 233) with or without AF, who underwent radiofrequency ablation for the first time between January 2017 and December 2017, with a completed a 12-month follow-up after surgery. The recurrence of AF within 12 months after follow-up was recorded. The nomogram prediction model was established. The original data were resampled using the Bootstrap method. The recurrence risk after resampling was predicted using a nomogram model. The calibration curve and ROC curve of the nomogram model were established. The predicted calibration degree and discrimination degree of the nomogram model were evaluated with the Hosmer-Lemeshow deviation test and area under the curve.
The 12-month follow-up showed that a total of 79 patients (25.
