Objective To explore the current status of nutritional literacy in maintenance hemodialysis (MHD) patients and analyze its influencing factors. Methods MHD patients in Wenjiang Hemodialysis Center of West China Hospital, Sichuan University between January and April 2022 were selected by convenient sampling method. A questionnaire survey was conducted using the Nutrition Literacy Evaluation Scale for end-stage renal disease dialysis patients, and the current status and influencing factors of nutritional literacy in MHD patients were analyzed. Results A total of 214 patients were included, with an average nutritional literacy score of 19.14±5.78 for MHD patients. Among them, there were 60 cases (28.04%) of highly likely low nutritional literacy, 124 cases (57.94%) of moderate nutritional literacy, and 30 cases (14.02%) of highly likely high nutritional literacy. The correlation test results showed that hemoglobin, albumin, cholesterol, triglyceride, calcium, phosphorus, potassium, creatinine, estimated glomerular filtration rate, and nutritional literacy scores were not correlated. The results of multiple linear stepwise regression analysis showed that education level [non-standardized partial regression coefficient (b)=1.821, 95% confidence interval (CI) (1.143, 2.498), P<0.001], age [b=−2.460, 95%CI (−4.247, −0.672), P=0.007], hypertensive kidney damage [b=2.233, 95%CI (0.428, 4.039), P=0.016] were all factors affecting the nutritional literacy of MHD patients. Conclusions In clinical work, more attention should be paid to MHD patients with low educational level, older age, and more primary diseases. And targeted interventions should be adopted to improve the level of nutritional literacy in order to improve the quality of life of MHD patients.
目的:探讨综合护理干预对头部伽玛刀治疗患者负性情绪的影响。方法: 将80例进行伽玛刀治疗的颅内病变患者随机分为干预组和对照组各40例,干预组实施综合性护理干预,包括心理护理、健康教育、社会家庭支持、伽玛刀专科护理等,对照组按伽玛刀治疗护理常规进行,分别与入院第1日及治疗前1h、治疗过程中用SAS焦虑自评量表和VAS恐惧测定量表进行评分。结果:干预组的负性情绪程度明显低于对照组,差异有统计学意义(Plt;0.01)。结论:头部伽玛刀治疗患者存在一定程度的情绪障碍,综合护理干预可明显缓解患者的负性情绪。
Objective To investigate the mediating effect of nursing intervention of sleep hygiene on insomnia in patients with liver cirrhosis. Methods One hundred and eighteen cirrhotic patients with grade-A liver function and insomnia treated between June 2012 and January 2015 were divided into control group (n=52) and intervention group (n=66) with random number table method. The control group received conventional nursing only, while the intervention group was given nursing intervention of sleep hygiene. The sleep quality of patients in the two groups on admission and discharge were surveyed and compared based on Pittsburgh sleep quality index (PSQI). The nursing effect was also compared between the two groups on discharge. Results There was no statistically significant difference in total score and scores for each factor of PSQI between the two groups of patients on admission (P>0.05). However, the total score and scores for each factor of PSQI on discharge in both groups were significantly lower than those on admission (P<0.05). Besides, the scores in the intervention group were significantly lower than those in the control group (P<0.05). The effect of nursing in the intervention group was superior to that in the control group (P<0.001). Conclusions Nursing intervention of sleep hygiene can effectively improve sleep quality in cirrhotic patients with grade-A liver function. The role of nursing intervention in the treatment of insomnia should be taken seriously.
ObjectiesTo investigate the impact of family nursing intervention on the quality of life in postoperative patients with benign prostatic hyperplasia (BPH). MethodsIn total, 60 consecutive patients who underwent BPH surgeries between December 2012 and January 2014 were enrolled and randomly assigned to receive either timely outpatient follow-ups and routine rechecks (control group) or nursing intervention of telephone call follow-ups and family visits by professional nurses (intervention group). Quality of life was assessed by international prostate symptom score (IPSS) and generic quality of life inventory-74 (GQOLI-74), and was compared before and after intervention between the two groups. ResultsThere were no statistically significant differences in GQOLI-74 scores of all dimensions at discharge between the intervention group and the control group (P>0.05). However, six months after discharge, GQOLI-74 scores of all dimensions were significantly different between the two groups (P<0.05), and were also significantly different from the scores at discharge in both groups (P<0.05). At discharge, IPSS scores were not significantly different between the two groups (P>0.05). Six months after discharge, IPSS scores of the intervention group (6.33±1.03) and the control group (7.83±0.94) were significantly different (P<0.05), and were also significantly different from the scores at discharge in the intervention group (7.93±1.31) and the control group (8.10±1.06) (P<0.05). Three patients in the control group (10.0%) were admitted into the hospital again due to bleeding, while there was no bleeding case in the intervention group. No such complications as urethrostenosis or urinary incontinence occurred in both groups. Conclusion Family nursing intervention improves effectively the quality of life in postoperative patients after surgeries for benign prostatic hyperplasia.
【摘要】 目的 探讨降低冠状动脉支架植入术后拔管所致血管迷走神经反射（vasovagal reflexs，VVR）的护理干预措施及效果。 方法 将2011年1-3月冠状动脉支架植入患者120例随机分为两组，对照组58例，试验组62例，对照组按常规方法拔管，试验组除常规方法外根据患者不同情况予针对性护理干预。 结果 120例患者中共发生VVR 10例，其中对照组发生8例，试验组发生2例。两组比较差异有统计学意义（Plt;0.05）。 结论 冠状动脉支架植入手术患者实施针对性的护理干预可有效降低血管迷走神经反射的发生，提高手术成功率。【Abstract】 Objective To investigate the nursing intervention measures and effects on reducing the vasovagal reflexs (VVRs) after the coronary stent extubation. Methods The clinical data of 120 patients who underwent coronary stenting between January and March 2011 were retrospectively analyzed. Patients were randomly divided into control group (n=58) treated with conventional coronary stent extubation and experiment group (n=62) treated with conventional coronary stent extubation and professional nursing intervention care. Results In 120 patients, VVRs occurred in 10 including 8 in the control group and 2 in the experiment group. The difference between the two groups was significant (Plt;0.05). Conclusion The coronary stent implantation with specific nursing interventions can effectively reduce the vascular vagal reflex, and leads to a higher success rate of the surgery.
Objective To evaluate the effect of nursing interventions on the medical behavior of diabetic patients. Methods We searched CMB (1978 to September 2007), CNKI (1994 to September 2007), VIP (1989 to September 2007) and Papers on Academic Conference of China (1989 to September 2007), and hand-searched relevant journals. We identified randomized controlled trials (RCTs) and quasi-RCTs of nursing interventions plus routine therapy versus simple routine therapy for diabetic patients. The methodological quality of included studies was assessed and data was extracted and analyzed by using The Cochrane Collaboration’s RevMan 4.2.10 software. Results In total, 10 RCTs and 2 quasi-RCTs were included. Two of these studies described blinding. The quality of the included trials was low. Meta-analyses showed that nursing interventions significantly improved medication compliance (RR 1.33, 95%CI 1.21 to 1.45), medical behaviors of physical therapy (RR 1.48, 95%CI 1.30 to 1.69), diet control (RR 1.54, 95%CI 1.39 to 1.71), blood glucose monitoring (RR 1.56, 95%CI 1.41 to 1.72) and regular inspection (RR 1.66, 95%CI 1.41 to 1.96) in patients with diabetes. Conclusion Nursing interventions can improve the medical behavior of diabetic patients, increase patient-controlled capacity and enhance awareness of diabetes. It is also beneficial for blood glucose control and stability.