Objective: to study the clinical effect of cluster management to prevent complications in patients with multiple myeloma after PICC catheterization. Methods: fifty-eight PICC patients with multiple myeloma admitted to...Objective: to study the clinical effect of cluster management to prevent complications in patients with multiple myeloma after PICC catheterization. Methods: fifty-eight PICC patients with multiple myeloma admitted to our hospital from January 2021 to January 2022 participated in this study, and they were divided into study group and reference group by means of average distribution. Patients in the reference group were given routine nursing mode, and patients in the study group were intervened by cluster management. The quality of life, the use effect of PICC catheter, the probability of complications and the utilization rate of PICC catheter were compared between the two groups. Results: compared with the reference group, the patients in the study group had a longer catheter life cycle (P < 0.05), a shorter hospital stay (P < 0.05), a higher catheter utilization rate (P < 0.05) and a lower complication rate (P < 0.05). After the intervention, the social adaptability, psychological function and physiological function of the patients in the two groups were improved, compared with those before the intervention. The effect of cluster management in the study group was more obvious than that of routine nursing in the reference group (P < 0.05). Conclusion: the application of cluster management mode in the intervention of PICC patients with multiple myeloma can effectively improve the quality of life of patients, improve the use of catheters, and avoid catheter-related complications, which can be widely popularized in clinic.展开更多
BACKGROUND Sepsis is a serious infectious disease caused by various systemic inflammatory responses and is ultimately life-threatening.Patients usually experience depression and anxiety,which affect their sleep qualit...BACKGROUND Sepsis is a serious infectious disease caused by various systemic inflammatory responses and is ultimately life-threatening.Patients usually experience depression and anxiety,which affect their sleep quality and post-traumatic growth levels.AIM To investigate the effects of sepsis,a one-hour bundle(H1B)management was combined with psychological intervention in patients with sepsis.METHODS This retrospective analysis included 300 patients with sepsis who were admitted to Henan Provincial People’s Hospital between June 2022 and June 2023.According to different intervention methods,the participants were divided into a simple group(SG,n=150)and combined group(CG,n=150).H1B management was used in the SG and H1B management combined with psychological intervention was used in the CG.The changes of negative emotion,sleep quality and post-traumatic growth and prognosis were compared between the two groups before(T0)and after(T1)intervention.RESULTS After intervention(T1),the scores of the Hamilton Anxiety scale and Hamilton Depression scale in the CG were significantly lower than those in the SG(P<0.001).Sleep time,sleep quality,sleep efficiency,daytime dysfunction,sleep disturbance dimension score,and the total score in the CG were significantly lower than those in the SG(P<0.001).The appreciation of life,mental changes,relationship with others,personal strength dimension score,and total score of the CG were significantly higher than those of the SG(P<0.001).The scores for mental health,general health status,physiological function,emotional function,physical pain,social function,energy,and physiological function in the CG were significantly higher than those in the SG(P<0.001).The mechanical ventilation time,intensive care unit stay time,and 28-d mortality of the CG were significantly lower than those of the SG(P<0.05).CONCLUSION H1B management combined with psychological intervention can effectively alleviate the negative emotions of patients with sepsis and increase their quality of sleep and life.展开更多
This study explores the application value of Zhao Shi Lei-huo-jiu in managing common postoperative gastrointestinal symptom clusters following rectal cancer surgery,under the framework of the Enhanced Recovery After S...This study explores the application value of Zhao Shi Lei-huo-jiu in managing common postoperative gastrointestinal symptom clusters following rectal cancer surgery,under the framework of the Enhanced Recovery After Surgery(ERAS)concept.By detailing the development,core elements,and application of ERAS in colorectal surgery,combined with the historical origins,unique techniques,and mechanisms of Zhao Shi Lei-huo-jiu,this paper highlights the innovation of integrating traditional Chinese medicine treatments with modern surgical recovery principles.Through a rigorously designed research process,rectal cancer postoperative patients were selected as research subjects,and the data collection and implementation steps were explicitly outlined.The study results provide scientific evidence for the practical efficacy and advantages of Zhao Shi Lei-huo-jiu in postoperative rehabilitation for rectal cancer,offering significant practical implications for guiding clinical practice and promoting early patient recovery.展开更多
This article introduces several of the more significant service delivery innovations and their resulting accomplishments instigated by Dongguan Library(thereafter abbreviated as DGL) in recent years. The textual expos...This article introduces several of the more significant service delivery innovations and their resulting accomplishments instigated by Dongguan Library(thereafter abbreviated as DGL) in recent years. The textual exposition of this paper is based on a case study of DGL by this author about its user-centered vision, mission, immediate objectives and the exhibited service performance within a contextual environment of collegial support from its professional peers. After a five-year period of intensive efforts on such focused professional development and practice, DGL has completed its information service mapping and information delivery for the entire municipality of Dongguan on a 7-day and twentyfour-hour(7/24) basis. This singular feast of accomplishment seems to suggest the moral that any significant development of scale of a municipal library has to be in keeping pace closely with the progress of the society at large in general and with the changing information demands of its local clientele in particular.展开更多
文摘Objective: to study the clinical effect of cluster management to prevent complications in patients with multiple myeloma after PICC catheterization. Methods: fifty-eight PICC patients with multiple myeloma admitted to our hospital from January 2021 to January 2022 participated in this study, and they were divided into study group and reference group by means of average distribution. Patients in the reference group were given routine nursing mode, and patients in the study group were intervened by cluster management. The quality of life, the use effect of PICC catheter, the probability of complications and the utilization rate of PICC catheter were compared between the two groups. Results: compared with the reference group, the patients in the study group had a longer catheter life cycle (P < 0.05), a shorter hospital stay (P < 0.05), a higher catheter utilization rate (P < 0.05) and a lower complication rate (P < 0.05). After the intervention, the social adaptability, psychological function and physiological function of the patients in the two groups were improved, compared with those before the intervention. The effect of cluster management in the study group was more obvious than that of routine nursing in the reference group (P < 0.05). Conclusion: the application of cluster management mode in the intervention of PICC patients with multiple myeloma can effectively improve the quality of life of patients, improve the use of catheters, and avoid catheter-related complications, which can be widely popularized in clinic.
基金Supported by Key R&D and Promotion Special Project(Science and Technology Research)in Henan Province in 2023,No.232102310089.
文摘BACKGROUND Sepsis is a serious infectious disease caused by various systemic inflammatory responses and is ultimately life-threatening.Patients usually experience depression and anxiety,which affect their sleep quality and post-traumatic growth levels.AIM To investigate the effects of sepsis,a one-hour bundle(H1B)management was combined with psychological intervention in patients with sepsis.METHODS This retrospective analysis included 300 patients with sepsis who were admitted to Henan Provincial People’s Hospital between June 2022 and June 2023.According to different intervention methods,the participants were divided into a simple group(SG,n=150)and combined group(CG,n=150).H1B management was used in the SG and H1B management combined with psychological intervention was used in the CG.The changes of negative emotion,sleep quality and post-traumatic growth and prognosis were compared between the two groups before(T0)and after(T1)intervention.RESULTS After intervention(T1),the scores of the Hamilton Anxiety scale and Hamilton Depression scale in the CG were significantly lower than those in the SG(P<0.001).Sleep time,sleep quality,sleep efficiency,daytime dysfunction,sleep disturbance dimension score,and the total score in the CG were significantly lower than those in the SG(P<0.001).The appreciation of life,mental changes,relationship with others,personal strength dimension score,and total score of the CG were significantly higher than those of the SG(P<0.001).The scores for mental health,general health status,physiological function,emotional function,physical pain,social function,energy,and physiological function in the CG were significantly higher than those in the SG(P<0.001).The mechanical ventilation time,intensive care unit stay time,and 28-d mortality of the CG were significantly lower than those of the SG(P<0.05).CONCLUSION H1B management combined with psychological intervention can effectively alleviate the negative emotions of patients with sepsis and increase their quality of sleep and life.
文摘This study explores the application value of Zhao Shi Lei-huo-jiu in managing common postoperative gastrointestinal symptom clusters following rectal cancer surgery,under the framework of the Enhanced Recovery After Surgery(ERAS)concept.By detailing the development,core elements,and application of ERAS in colorectal surgery,combined with the historical origins,unique techniques,and mechanisms of Zhao Shi Lei-huo-jiu,this paper highlights the innovation of integrating traditional Chinese medicine treatments with modern surgical recovery principles.Through a rigorously designed research process,rectal cancer postoperative patients were selected as research subjects,and the data collection and implementation steps were explicitly outlined.The study results provide scientific evidence for the practical efficacy and advantages of Zhao Shi Lei-huo-jiu in postoperative rehabilitation for rectal cancer,offering significant practical implications for guiding clinical practice and promoting early patient recovery.
文摘This article introduces several of the more significant service delivery innovations and their resulting accomplishments instigated by Dongguan Library(thereafter abbreviated as DGL) in recent years. The textual exposition of this paper is based on a case study of DGL by this author about its user-centered vision, mission, immediate objectives and the exhibited service performance within a contextual environment of collegial support from its professional peers. After a five-year period of intensive efforts on such focused professional development and practice, DGL has completed its information service mapping and information delivery for the entire municipality of Dongguan on a 7-day and twentyfour-hour(7/24) basis. This singular feast of accomplishment seems to suggest the moral that any significant development of scale of a municipal library has to be in keeping pace closely with the progress of the society at large in general and with the changing information demands of its local clientele in particular.
