Objective:To explore the role of narrative medicine in cultivating the humanistic spirit of respiratory medicine interns.Methods:Thirty interns were selected,all of whom were received by the respiratory department of ...Objective:To explore the role of narrative medicine in cultivating the humanistic spirit of respiratory medicine interns.Methods:Thirty interns were selected,all of whom were received by the respiratory department of our hospital from September 2023 to June 2024 and underwent narrative medicine teaching.Scores on narrative medicine knowledge,empathy ability,humanistic care ability,and teaching recognition were compared before and after the internship.Results:Compared to before the internship,the interns’scores on narrative medicine knowledge were significantly higher after the internship,as were their empathy and humanistic care scores(P<0.05).Among the 30 interns,25 expressed interest in narrative medicine,and 29 were willing to continue with the narrative medicine teaching model.Conclusion:The application of narrative medicine in respiratory medicine internship teaching is highly effective.It cultivates the humanistic spirit of interns,improves their empathy and humanistic care abilities,and is worthy of wider implementation.展开更多
Objective:To explore and analyze the application effect of participatory teaching method in the standardized training of respiratory medicine residents.Methods:The study period was from May 2022 to May 2023.20 doctors...Objective:To explore and analyze the application effect of participatory teaching method in the standardized training of respiratory medicine residents.Methods:The study period was from May 2022 to May 2023.20 doctors in the standardized training of respiratory medicine residency in our hospital were taken as research subjects and grouped into the participatory group(n=10)and the routine group(n=10)by using the random number lottery method.The participatory group practised participatory teaching methods,and the routine group practised routine teaching methods.The results of discharge assessment,teaching evaluation,and mini-Clinical Evaluation Exercise(mini-CEX)assessment were compared between the groups.Results:The theoretical assessment,operational assessment,and total scores of the participatory group were significantly higher than those of the routine group,and the difference was statistically significant(P<0.05).The teaching evaluation of independent learning,theoretical mastery,teamwork,clinical thinking,communication,and learning interest of the participatory group was significantly higher than that of the routine group,and the difference was statistically significant(P<0.05).The mini-CEX assessments of history inquiry,organizational effectiveness,professionalism,physical examination,clinical diagnosis,communication skills,and overall clinical competence of the participatory group were significantly better than those of the routine group,and the difference was statistically significant(P<0.05).The teaching satisfaction of the participatory group was significantly higher than that of the routine group,the difference was statistically significant(P<0.05).Conclusion:Participatory teaching methods can improve the overall level of doctors in the respiratory medicine residency standardized training,and the teaching satisfaction is improved.展开更多
Objective: to observe the clinical intervention effect of comprehensive nursing intervention in critical patients of respiratory medicine.Methods: from March 2020 to March 2021,72 critically ill patients received by t...Objective: to observe the clinical intervention effect of comprehensive nursing intervention in critical patients of respiratory medicine.Methods: from March 2020 to March 2021,72 critically ill patients received by the respiratory department included routine care into the control group;and included comprehensive care into the observation group to compare the intervention effect of different nursing methods.Results: after nursing, 21 patients had effective effect and 14, and the treatment efficiency was significantly higher than the control patients (P <0.05), the arterial oxygen pressure and carbon dioxide decreased (P <0.05) and the nursing satisfaction and quality of life in the observation group (P <0.05).Conclusion: the clinical value has improved patients' symptoms, achieved high patient satisfaction, significantly improved their quality of life and had good clinical promotion.展开更多
Antimicrobial drugs are a kind of synthetic chemical drugs, mainly by obstructing DNA cyclosase, so the bacterial DNA is destroyed, so as to achieve the purpose of treatment. They are widely used in clinical practice....Antimicrobial drugs are a kind of synthetic chemical drugs, mainly by obstructing DNA cyclosase, so the bacterial DNA is destroyed, so as to achieve the purpose of treatment. They are widely used in clinical practice. Such drugs have the advantages of small adverse reactions, wide body dispersion, and wide antibacterial spectrum. However, in recent years, there is more abuse of antibiotics, and some antimicrobial drugs are also unreasonable, leading to many adverse reactions in patients, which affect the final treatment effect and is not conducive to the health of patients.展开更多
Objective: to analyze the specific effect of emergency nursing intervention for severe patients in respiratory medicine. Methods: the subjects of this experimental study were mainly 40 severe patients admitted to our ...Objective: to analyze the specific effect of emergency nursing intervention for severe patients in respiratory medicine. Methods: the subjects of this experimental study were mainly 40 severe patients admitted to our hospital from January to June in 2021. All patients were from the department of respiratory Medicine. The patients were randomly divided into control group and experimental group, and the condition of patients in each group was basically the same. At the same time, in clinical terms, patients in the control group mainly adopted the conventional nursing mode, while patients in the researcher adopted the emergency nursing intervention mode for long-term observation of patients, so as to obtain relatively intuitive experimental results. Results: adopting the mode of emergency nursing intervention, the patient nursing satisfaction of the study group was significantly higher, and the effect of intervention was significantly improved, which was of great value to the rapid discharge of patients. Conclusion: in the clinical aspect of respiratory medicine, we can consider the use of scientific and reasonable emergency nursing intervention mode, which is of great significance to improve the life of patients and enable patients to appear early. It is also popularized in the clinical aspect and can help patients to leave the hospital early.展开更多
The study was to analyze the application of PDCA cycle in the clinical teaching of respiratory department during the outbreak of COVID-19.The teaching content focused on the prevention,control,diagnosis and treatment ...The study was to analyze the application of PDCA cycle in the clinical teaching of respiratory department during the outbreak of COVID-19.The teaching content focused on the prevention,control,diagnosis and treatment of COVID-19.Methods:Thirty clinical interns who entered the Department of Respiratory Medicine in our hospital from June 2020 to December 2020 were selected as the research objects and were randomly divided into two groups.The control group adopted traditional teaching methods and the experimental group adopted PDCA cycle.The teaching effect of the two group was compared.Results:The experimental group that used the PDCA cycle method had significantly higher theoretical knowledge,treatment skills,and comprehensive quality evaluation of COVID-19 than the traditional teaching method of the control group.Conclusion:The application of the PDCA cycle method in clinical teaching activities can improve the teaching process during the outbreak of COVID-19 and help improve the overall quality of clinical interns.展开更多
Objective: To study the countermeasures of nosocomial infection in elderly patients with respiratory diseases. Methods 132 elderly people from 2019 to 1 to January 2020 to January 2020 in 2019 were divided into 66 and...Objective: To study the countermeasures of nosocomial infection in elderly patients with respiratory diseases. Methods 132 elderly people from 2019 to 1 to January 2020 to January 2020 in 2019 were divided into 66 and 66, based on prevention and compared in two different ways. Results: there were 36 cases, 28 cases and 2 cases in the prevention group who were satisfied, satisfied and dissatisfied with nursing services;32 cases, 25 cases and 9 cases in the control group;the results showed that the nosocomial infection rate in the prevention group was 3.0%, which was the same as the control group. Compared with 19.7%, there is a significant difference (P<0.05). Conclusion: preventive nursing can effectively reduce nosocomial infection of inpatients, improve nursing quality, and make patients satisfied with it. It is a recommended nursing plan.展开更多
Objective: to treat patients with acute severe asthma by means of respiratory medicine, and to analyze the clinical effect and curative effect. Methods: a total of 70 acute severe asthma patients treated in our hospit...Objective: to treat patients with acute severe asthma by means of respiratory medicine, and to analyze the clinical effect and curative effect. Methods: a total of 70 acute severe asthma patients treated in our hospital were selected and divided into two groups according to the treatment method, 35 in each group, serving as the observation group and the control group respectively. The control group adopted the traditional method, and the observation group received comprehensive respiratory system intervention. The efficacy of the two methods, as well as the data of blood gas and lung function indicators before and after treatment, were compared. Results: after treatment, statistical analysis was used to analyze the data. Compared with the control group (82.86%), the total treatment effective rate of the observation group (97.14%) was at a high level, and the difference was significant (P<0.05). After treatment, the coronary CO2 (PaCO2) of the observation group (57.26±3.19) mmHg (1mmHg0.133kPa) was lower than that of the control group (67.95+6.13) mmHg, and the blood oxygen saturation (SaO2) (81.36±8.95 )mmHg was at a high level compared with the control group (71.63±6.19)mmHg, and the blood oxygen saturation (SaO2) (93.69±5.26)% was at a high level compared with the control group (81.06±3.95)%, and the difference was statistically significant significance (P<0.05). After treatment, the respiratory flow rate (PEF), forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) of the two groups were measured respectively. 0.16)L, (1.49±0.31), and compared with the control data (251.39±69.79)L/min, (2.36±0.11)L, (1.30±0.26)L, the differences were statistically significant (P<0.05). Conclusion: the clinical effect of comprehensive therapy of respiratory department on acute severe asthma patients is ideal, and it can improve their blood gas and lung function.展开更多
Objective: In respiratory medicine, we aims to analyze the effect of PDCA circulation in this measure. Methods: 78 patients with respiratory disease in our hospital were selected as samples, and the patients were divi...Objective: In respiratory medicine, we aims to analyze the effect of PDCA circulation in this measure. Methods: 78 patients with respiratory disease in our hospital were selected as samples, and the patients were divided into control group and observation group respectively. Different interventions were taken to observe the effect obtained by the patients. Results: The study showed that the observation group had significantly better health knowledge mastery, compliance, nursing quality, quality of life and psychological status (P 0.05). Conclusion: For patients with respiratory diseases, PDCA cycle high-quality nursing intervention measures should be adopted, which can significantly improve their psychological state, improve their quality of life and satisfaction, strengthen their health knowledge and nursing compliance, and the clinical application effect is very significant..展开更多
Objective: to study the effect of nursing intervention on critically ill patients in respiratory medicine. Methods: the 100 patients in this study were all critically ill patients who received treatment. The admission...Objective: to study the effect of nursing intervention on critically ill patients in respiratory medicine. Methods: the 100 patients in this study were all critically ill patients who received treatment. The admission dates were from January 2018 to January 2019. The patients were assigned to groups by the digital allocation method. They were divided into two groups, and they were named as observation group (number of cases: 50) and control group (number of cases: 50), the nursing intervention was implemented in the observation group, and the patients in the control group adopted the routine nursing mode, and the nursing effectiveness and negative psychological scores were compared between the groups. Results: compared with the control group, the nursing effective rate of the observation group had a statistical advantage (P<0.05). Before nursing, the differences in the negative psychological scores of depression and anxiety between the two groups were small, and there was no statistical difference. The significance of learning pair (P>0.05), after nursing, the depression and anxiety negative psychological scores of the observation group and the control group were significantly different, and the observation group had a comparative advantage (P<0.05). Conclusion: the nursing intervention method was adopted to implement nursing for critically ill patients in respiratory medicine, and the nursing effect was obvious. Therefore, nursing intervention can be used as an effective nursing method for critically ill patients in respiratory medicine.展开更多
Objective: to explore the clinical effect of nursing intervention on severe patients in respiratory medicine. Methods: 58 severe respiratory medicine patients in our hospital were randomly selected and divided into tw...Objective: to explore the clinical effect of nursing intervention on severe patients in respiratory medicine. Methods: 58 severe respiratory medicine patients in our hospital were randomly selected and divided into two groups, 29 people in each group, divided into observation group and control group. The two groups adopted different nursing methods, adopted routine care for the observation group, and comprehensive nursing intervention was implemented for the observation group to compare the differences between the two groups. Results: by comparing the treatment effect of the two groups, the treatment effect was better. Conclusion: by observing nursing intervention for respiratory patients, nursing intervention is very effective in improving patients.展开更多
To evaluate the curative effect of nursing intervention for critically ill patients in respiratory department. Methods A total of 182 critically ill patients admitted to the respiratory department of our hospital from...To evaluate the curative effect of nursing intervention for critically ill patients in respiratory department. Methods A total of 182 critically ill patients admitted to the respiratory department of our hospital from August 2020 to August 2022 were randomly divided into group A and group B, with 91 patients in each group. Group A received routine nursing measures of our hospital, group B received comprehensive nursing intervention based on group A, intervention for 3 weeks. The psychological status, nursing effect, complications and nursing satisfaction of the two groups before and after intervention were compared. Results Before intervention, there were no significant differences in SAS scores between the two groups (P > 0.05). After intervention, SAS and SDS scores of group B were significantly lower than those of group A (P < 0.05). The total clinical effective rate of group B (98.90%) was significantly higher than that of group A (89.01%) (P < 0.05). After interventional treatment, the complication rate of group B was lower than that of group A (17.58%) (P < 0.05). After intervention, the nursing satisfaction of group A was (81.31%), and the overall nursing satisfaction of group B was (98.90%) (P < 0.05). Conclusion Nursing intervention for critically ill patients in respiratory department can effectively improve patients mental state, reduce the incidence of complications and improve patients satisfaction, which has certain clinical application value.展开更多
Objective: to analyze the effect of standardized health education in respiratory medicine nursing. Methods: the patients who were treated in the respiratory department of our hospital from August 2019 to August 2020 w...Objective: to analyze the effect of standardized health education in respiratory medicine nursing. Methods: the patients who were treated in the respiratory department of our hospital from August 2019 to August 2020 were selected as the research objects. 40 patients were randomly selected and divided into control group and observation group. The two groups of patients' mastery of disease health knowledge before and after nursing were compared;The compliance and living standards of the two groups of patients before and after nursing were investigated;Nursing satisfaction was scored. Results: the score of health knowledge mastery in the observation group was higher than that in the control group (P < 0.05). The health score and quality of life score of the observation group were higher than those of the control group (P < 0.05). The score of the observation group was higher than that of the control group (P < 0.05). Conclusion: standardized health education in the nursing process of respiratory medicine can improve patients' understanding of their own diseases, improve patients' compliance, effectively improve patients' quality of life, and improve nursing satisfaction. Therefore, it should be promoted in clinical nursing.展开更多
Explore the early clinical diagnosis and treatment of chronic obstructive pulmonary disease (COPD) combined with chronic obstructive pulmonary disease and respiratory failure in respiratory medicine. The method is as ...Explore the early clinical diagnosis and treatment of chronic obstructive pulmonary disease (COPD) combined with chronic obstructive pulmonary disease and respiratory failure in respiratory medicine. The method is as follows: from June 2020 to June 2021, nearly 200 patients with chronic obstructive pulmonary disease and respiratory failure in our hospital will be randomly divided into the experimental group (n=100) and the control group (n=100). The control group first carried out conventional therapy, and then the trial work group carried out bi-level non-invasive positive pressure ventilation based on conventional therapy. Trial conclusion: the clinical medical technical indicators and other data of the trial working group were higher than those of the control group. The use of horizontal non-invasive positive pressure ventilation in the clinical treatment of patients with chronic obstructive pulmonary disease and respiratory failure has obvious clinical therapeutic effects, especially for large-scale treatment of patients with chronic obstructive pulmonary disease and respiratory failure in early clinical medical applications.展开更多
With the increasing awareness of genetics in respiratory medicine and improvements in molecular diagnostic techniques,many complicated and rare diseases in respiratory medicine can be diagnosed.Most respiratory diseas...With the increasing awareness of genetics in respiratory medicine and improvements in molecular diagnostic techniques,many complicated and rare diseases in respiratory medicine can be diagnosed.Most respiratory diseases have no specific phenotype.However,the clinical spectrum of monogenic diseases in respiratory medicine varies,from pulmonary disease to other inherited disorders that involve the lung.The genes that mediate some of these diseases have been identified.Certain monogenic diseases remain poorly characterized clinically.Because of the specificity of the phenotype of respiratory disease,a future challenge will be to correlate the phenotype and genotype and understand its phenotypic variability.With the development of precision medicine,research on monogenic disorders has been intensive and vigorous.In this article,we provide a brief clinical introduction to monogenic diseases in pediatrics.展开更多
Member of Political Bureau of Central Committee of CPC, Vice Premier of State Council concurrently Minister of Health, General Command of National Protecting and Treating Severe Acute Respiratory Syndrome ( SARS) Head...Member of Political Bureau of Central Committee of CPC, Vice Premier of State Council concurrently Minister of Health, General Command of National Protecting and Treating Severe Acute Respiratory Syndrome ( SARS) Headquarters Vice premier WU Yi cordially met the well-known TCM specialists, and held a symposium with them. Sixteen specialists including WANG Yong-yan, CHEN Ke-ji, LI Fu-ren, JIAO Shu-de, HE Pu-ren, LIU展开更多
Objective: to observe the harm of sleep nursing to the sleep and life quality of respiratory patients. Methods: 90 cases of respiratory medicine patients admitted to the hospital from June 2019 to December 2020 were s...Objective: to observe the harm of sleep nursing to the sleep and life quality of respiratory patients. Methods: 90 cases of respiratory medicine patients admitted to the hospital from June 2019 to December 2020 were selected as research objects, and they were divided into observation group and control group according to random number table method, with 45 cases in each group. Patients in the control group were given basic care, while patients in the observation group were given sleep nursing. Pittsburgh Sleep Quality Index (PSQI) scores were compared between the two groups before and after the intervention. Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS) were used to compare the changes of depression and anxiety symptoms of the two groups, and SF-36 was used to compare the improvement of life quality of the two groups. Results: after the intervention, the scores of PSQI, SAS and SDS in the observation group were significantly lower than those in the control group, while the scores of SF-36 were significantly higher than those in the control group. The observation group had stronger sleep quality, improved anxiety and depression, and higher quality of life. The difference between the two groups was statistically significant. Conclusion: the application of sleep nursing in respiratory medicine patients can effectively improve the patients' sleep quality, anxiety and depression, thus improving the patients' quality of life and promoting their early recovery, which is worthy of clinical medical marketing promotion.展开更多
Objective: to explore the clinical effect of different nursing intervention modes for severe patients in respiratory medicine. Methods: the method was used 2018.01~2020.05. For the study period, 79 cases of severe pat...Objective: to explore the clinical effect of different nursing intervention modes for severe patients in respiratory medicine. Methods: the method was used 2018.01~2020.05. For the study period, 79 cases of severe patients in respiratory department of our hospital during this period were selected as the research objects. According to the double-blind method, the group was divided into the conventional group (n = 39) and research group (n = 40), the patients who took routine nursing were divided into routine group and those who took comprehensive nursing were classified into study group. Results: the study group 1s forced expiratory volume, APACHE Ⅱ Compared with the conventional group, the blood gas index of the study group was lower than that of the conventional group (P < 0.05) (PaCO2, PaO2) The improvement range was more obvious, P < 0.05;the satisfaction of the study group was significantly higher than that of the conventional group, P < 0.05. Conclusion: compared with routine nursing, comprehensive nursing for severe patients in respiratory medicine department has better effect, which can improve blood gas index, reduce hospitalization period, enhance ventilation function and has high patient satisfaction, which is worthy of clinical promotion.展开更多
Objective: to analyze the common nursing problems and nursing countermeasures of elderly inpatients in respiratory department. Methods: 74 elderly patients in respiratory department were randomly divided into control ...Objective: to analyze the common nursing problems and nursing countermeasures of elderly inpatients in respiratory department. Methods: 74 elderly patients in respiratory department were randomly divided into control group (routine nursing) and observation group (for nursing intervention), 37 cases in each group, and the nursing results were compared. Results: the incidence of psychological problems (29.72% vs 72.97%), medication problems (8.10% vs 35.13%), diet problems (5.40 vs 27.02%), skin problems (10.81% vs 35.13%) and daily nursing problems (13.51% vs 37.83%) in the observation group were significantly lower than those in the control group. When there were significant differences in data comparison, P < 0.05. Conclusion: there are many nursing problems in respiratory medicine, so we need to choose scientific nursing countermeasures according to the actual situation of the department, so as to improve the quality of nursing service. The application effect of nursing intervention is good, which can be popularized in clinic.展开更多
文摘Objective:To explore the role of narrative medicine in cultivating the humanistic spirit of respiratory medicine interns.Methods:Thirty interns were selected,all of whom were received by the respiratory department of our hospital from September 2023 to June 2024 and underwent narrative medicine teaching.Scores on narrative medicine knowledge,empathy ability,humanistic care ability,and teaching recognition were compared before and after the internship.Results:Compared to before the internship,the interns’scores on narrative medicine knowledge were significantly higher after the internship,as were their empathy and humanistic care scores(P<0.05).Among the 30 interns,25 expressed interest in narrative medicine,and 29 were willing to continue with the narrative medicine teaching model.Conclusion:The application of narrative medicine in respiratory medicine internship teaching is highly effective.It cultivates the humanistic spirit of interns,improves their empathy and humanistic care abilities,and is worthy of wider implementation.
文摘Objective:To explore and analyze the application effect of participatory teaching method in the standardized training of respiratory medicine residents.Methods:The study period was from May 2022 to May 2023.20 doctors in the standardized training of respiratory medicine residency in our hospital were taken as research subjects and grouped into the participatory group(n=10)and the routine group(n=10)by using the random number lottery method.The participatory group practised participatory teaching methods,and the routine group practised routine teaching methods.The results of discharge assessment,teaching evaluation,and mini-Clinical Evaluation Exercise(mini-CEX)assessment were compared between the groups.Results:The theoretical assessment,operational assessment,and total scores of the participatory group were significantly higher than those of the routine group,and the difference was statistically significant(P<0.05).The teaching evaluation of independent learning,theoretical mastery,teamwork,clinical thinking,communication,and learning interest of the participatory group was significantly higher than that of the routine group,and the difference was statistically significant(P<0.05).The mini-CEX assessments of history inquiry,organizational effectiveness,professionalism,physical examination,clinical diagnosis,communication skills,and overall clinical competence of the participatory group were significantly better than those of the routine group,and the difference was statistically significant(P<0.05).The teaching satisfaction of the participatory group was significantly higher than that of the routine group,the difference was statistically significant(P<0.05).Conclusion:Participatory teaching methods can improve the overall level of doctors in the respiratory medicine residency standardized training,and the teaching satisfaction is improved.
文摘Objective: to observe the clinical intervention effect of comprehensive nursing intervention in critical patients of respiratory medicine.Methods: from March 2020 to March 2021,72 critically ill patients received by the respiratory department included routine care into the control group;and included comprehensive care into the observation group to compare the intervention effect of different nursing methods.Results: after nursing, 21 patients had effective effect and 14, and the treatment efficiency was significantly higher than the control patients (P <0.05), the arterial oxygen pressure and carbon dioxide decreased (P <0.05) and the nursing satisfaction and quality of life in the observation group (P <0.05).Conclusion: the clinical value has improved patients' symptoms, achieved high patient satisfaction, significantly improved their quality of life and had good clinical promotion.
文摘Antimicrobial drugs are a kind of synthetic chemical drugs, mainly by obstructing DNA cyclosase, so the bacterial DNA is destroyed, so as to achieve the purpose of treatment. They are widely used in clinical practice. Such drugs have the advantages of small adverse reactions, wide body dispersion, and wide antibacterial spectrum. However, in recent years, there is more abuse of antibiotics, and some antimicrobial drugs are also unreasonable, leading to many adverse reactions in patients, which affect the final treatment effect and is not conducive to the health of patients.
文摘Objective: to analyze the specific effect of emergency nursing intervention for severe patients in respiratory medicine. Methods: the subjects of this experimental study were mainly 40 severe patients admitted to our hospital from January to June in 2021. All patients were from the department of respiratory Medicine. The patients were randomly divided into control group and experimental group, and the condition of patients in each group was basically the same. At the same time, in clinical terms, patients in the control group mainly adopted the conventional nursing mode, while patients in the researcher adopted the emergency nursing intervention mode for long-term observation of patients, so as to obtain relatively intuitive experimental results. Results: adopting the mode of emergency nursing intervention, the patient nursing satisfaction of the study group was significantly higher, and the effect of intervention was significantly improved, which was of great value to the rapid discharge of patients. Conclusion: in the clinical aspect of respiratory medicine, we can consider the use of scientific and reasonable emergency nursing intervention mode, which is of great significance to improve the life of patients and enable patients to appear early. It is also popularized in the clinical aspect and can help patients to leave the hospital early.
基金Jiangsu Medical Vocational College Educational Reform Project(L201910)。
文摘The study was to analyze the application of PDCA cycle in the clinical teaching of respiratory department during the outbreak of COVID-19.The teaching content focused on the prevention,control,diagnosis and treatment of COVID-19.Methods:Thirty clinical interns who entered the Department of Respiratory Medicine in our hospital from June 2020 to December 2020 were selected as the research objects and were randomly divided into two groups.The control group adopted traditional teaching methods and the experimental group adopted PDCA cycle.The teaching effect of the two group was compared.Results:The experimental group that used the PDCA cycle method had significantly higher theoretical knowledge,treatment skills,and comprehensive quality evaluation of COVID-19 than the traditional teaching method of the control group.Conclusion:The application of the PDCA cycle method in clinical teaching activities can improve the teaching process during the outbreak of COVID-19 and help improve the overall quality of clinical interns.
文摘Objective: To study the countermeasures of nosocomial infection in elderly patients with respiratory diseases. Methods 132 elderly people from 2019 to 1 to January 2020 to January 2020 in 2019 were divided into 66 and 66, based on prevention and compared in two different ways. Results: there were 36 cases, 28 cases and 2 cases in the prevention group who were satisfied, satisfied and dissatisfied with nursing services;32 cases, 25 cases and 9 cases in the control group;the results showed that the nosocomial infection rate in the prevention group was 3.0%, which was the same as the control group. Compared with 19.7%, there is a significant difference (P<0.05). Conclusion: preventive nursing can effectively reduce nosocomial infection of inpatients, improve nursing quality, and make patients satisfied with it. It is a recommended nursing plan.
文摘Objective: to treat patients with acute severe asthma by means of respiratory medicine, and to analyze the clinical effect and curative effect. Methods: a total of 70 acute severe asthma patients treated in our hospital were selected and divided into two groups according to the treatment method, 35 in each group, serving as the observation group and the control group respectively. The control group adopted the traditional method, and the observation group received comprehensive respiratory system intervention. The efficacy of the two methods, as well as the data of blood gas and lung function indicators before and after treatment, were compared. Results: after treatment, statistical analysis was used to analyze the data. Compared with the control group (82.86%), the total treatment effective rate of the observation group (97.14%) was at a high level, and the difference was significant (P<0.05). After treatment, the coronary CO2 (PaCO2) of the observation group (57.26±3.19) mmHg (1mmHg0.133kPa) was lower than that of the control group (67.95+6.13) mmHg, and the blood oxygen saturation (SaO2) (81.36±8.95 )mmHg was at a high level compared with the control group (71.63±6.19)mmHg, and the blood oxygen saturation (SaO2) (93.69±5.26)% was at a high level compared with the control group (81.06±3.95)%, and the difference was statistically significant significance (P<0.05). After treatment, the respiratory flow rate (PEF), forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1) of the two groups were measured respectively. 0.16)L, (1.49±0.31), and compared with the control data (251.39±69.79)L/min, (2.36±0.11)L, (1.30±0.26)L, the differences were statistically significant (P<0.05). Conclusion: the clinical effect of comprehensive therapy of respiratory department on acute severe asthma patients is ideal, and it can improve their blood gas and lung function.
文摘Objective: In respiratory medicine, we aims to analyze the effect of PDCA circulation in this measure. Methods: 78 patients with respiratory disease in our hospital were selected as samples, and the patients were divided into control group and observation group respectively. Different interventions were taken to observe the effect obtained by the patients. Results: The study showed that the observation group had significantly better health knowledge mastery, compliance, nursing quality, quality of life and psychological status (P 0.05). Conclusion: For patients with respiratory diseases, PDCA cycle high-quality nursing intervention measures should be adopted, which can significantly improve their psychological state, improve their quality of life and satisfaction, strengthen their health knowledge and nursing compliance, and the clinical application effect is very significant..
文摘Objective: to study the effect of nursing intervention on critically ill patients in respiratory medicine. Methods: the 100 patients in this study were all critically ill patients who received treatment. The admission dates were from January 2018 to January 2019. The patients were assigned to groups by the digital allocation method. They were divided into two groups, and they were named as observation group (number of cases: 50) and control group (number of cases: 50), the nursing intervention was implemented in the observation group, and the patients in the control group adopted the routine nursing mode, and the nursing effectiveness and negative psychological scores were compared between the groups. Results: compared with the control group, the nursing effective rate of the observation group had a statistical advantage (P<0.05). Before nursing, the differences in the negative psychological scores of depression and anxiety between the two groups were small, and there was no statistical difference. The significance of learning pair (P>0.05), after nursing, the depression and anxiety negative psychological scores of the observation group and the control group were significantly different, and the observation group had a comparative advantage (P<0.05). Conclusion: the nursing intervention method was adopted to implement nursing for critically ill patients in respiratory medicine, and the nursing effect was obvious. Therefore, nursing intervention can be used as an effective nursing method for critically ill patients in respiratory medicine.
文摘Objective: to explore the clinical effect of nursing intervention on severe patients in respiratory medicine. Methods: 58 severe respiratory medicine patients in our hospital were randomly selected and divided into two groups, 29 people in each group, divided into observation group and control group. The two groups adopted different nursing methods, adopted routine care for the observation group, and comprehensive nursing intervention was implemented for the observation group to compare the differences between the two groups. Results: by comparing the treatment effect of the two groups, the treatment effect was better. Conclusion: by observing nursing intervention for respiratory patients, nursing intervention is very effective in improving patients.
文摘To evaluate the curative effect of nursing intervention for critically ill patients in respiratory department. Methods A total of 182 critically ill patients admitted to the respiratory department of our hospital from August 2020 to August 2022 were randomly divided into group A and group B, with 91 patients in each group. Group A received routine nursing measures of our hospital, group B received comprehensive nursing intervention based on group A, intervention for 3 weeks. The psychological status, nursing effect, complications and nursing satisfaction of the two groups before and after intervention were compared. Results Before intervention, there were no significant differences in SAS scores between the two groups (P > 0.05). After intervention, SAS and SDS scores of group B were significantly lower than those of group A (P < 0.05). The total clinical effective rate of group B (98.90%) was significantly higher than that of group A (89.01%) (P < 0.05). After interventional treatment, the complication rate of group B was lower than that of group A (17.58%) (P < 0.05). After intervention, the nursing satisfaction of group A was (81.31%), and the overall nursing satisfaction of group B was (98.90%) (P < 0.05). Conclusion Nursing intervention for critically ill patients in respiratory department can effectively improve patients mental state, reduce the incidence of complications and improve patients satisfaction, which has certain clinical application value.
文摘Objective: to analyze the effect of standardized health education in respiratory medicine nursing. Methods: the patients who were treated in the respiratory department of our hospital from August 2019 to August 2020 were selected as the research objects. 40 patients were randomly selected and divided into control group and observation group. The two groups of patients' mastery of disease health knowledge before and after nursing were compared;The compliance and living standards of the two groups of patients before and after nursing were investigated;Nursing satisfaction was scored. Results: the score of health knowledge mastery in the observation group was higher than that in the control group (P < 0.05). The health score and quality of life score of the observation group were higher than those of the control group (P < 0.05). The score of the observation group was higher than that of the control group (P < 0.05). Conclusion: standardized health education in the nursing process of respiratory medicine can improve patients' understanding of their own diseases, improve patients' compliance, effectively improve patients' quality of life, and improve nursing satisfaction. Therefore, it should be promoted in clinical nursing.
文摘Explore the early clinical diagnosis and treatment of chronic obstructive pulmonary disease (COPD) combined with chronic obstructive pulmonary disease and respiratory failure in respiratory medicine. The method is as follows: from June 2020 to June 2021, nearly 200 patients with chronic obstructive pulmonary disease and respiratory failure in our hospital will be randomly divided into the experimental group (n=100) and the control group (n=100). The control group first carried out conventional therapy, and then the trial work group carried out bi-level non-invasive positive pressure ventilation based on conventional therapy. Trial conclusion: the clinical medical technical indicators and other data of the trial working group were higher than those of the control group. The use of horizontal non-invasive positive pressure ventilation in the clinical treatment of patients with chronic obstructive pulmonary disease and respiratory failure has obvious clinical therapeutic effects, especially for large-scale treatment of patients with chronic obstructive pulmonary disease and respiratory failure in early clinical medical applications.
文摘With the increasing awareness of genetics in respiratory medicine and improvements in molecular diagnostic techniques,many complicated and rare diseases in respiratory medicine can be diagnosed.Most respiratory diseases have no specific phenotype.However,the clinical spectrum of monogenic diseases in respiratory medicine varies,from pulmonary disease to other inherited disorders that involve the lung.The genes that mediate some of these diseases have been identified.Certain monogenic diseases remain poorly characterized clinically.Because of the specificity of the phenotype of respiratory disease,a future challenge will be to correlate the phenotype and genotype and understand its phenotypic variability.With the development of precision medicine,research on monogenic disorders has been intensive and vigorous.In this article,we provide a brief clinical introduction to monogenic diseases in pediatrics.
文摘Member of Political Bureau of Central Committee of CPC, Vice Premier of State Council concurrently Minister of Health, General Command of National Protecting and Treating Severe Acute Respiratory Syndrome ( SARS) Headquarters Vice premier WU Yi cordially met the well-known TCM specialists, and held a symposium with them. Sixteen specialists including WANG Yong-yan, CHEN Ke-ji, LI Fu-ren, JIAO Shu-de, HE Pu-ren, LIU
文摘Objective: to observe the harm of sleep nursing to the sleep and life quality of respiratory patients. Methods: 90 cases of respiratory medicine patients admitted to the hospital from June 2019 to December 2020 were selected as research objects, and they were divided into observation group and control group according to random number table method, with 45 cases in each group. Patients in the control group were given basic care, while patients in the observation group were given sleep nursing. Pittsburgh Sleep Quality Index (PSQI) scores were compared between the two groups before and after the intervention. Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS) were used to compare the changes of depression and anxiety symptoms of the two groups, and SF-36 was used to compare the improvement of life quality of the two groups. Results: after the intervention, the scores of PSQI, SAS and SDS in the observation group were significantly lower than those in the control group, while the scores of SF-36 were significantly higher than those in the control group. The observation group had stronger sleep quality, improved anxiety and depression, and higher quality of life. The difference between the two groups was statistically significant. Conclusion: the application of sleep nursing in respiratory medicine patients can effectively improve the patients' sleep quality, anxiety and depression, thus improving the patients' quality of life and promoting their early recovery, which is worthy of clinical medical marketing promotion.
文摘Objective: to explore the clinical effect of different nursing intervention modes for severe patients in respiratory medicine. Methods: the method was used 2018.01~2020.05. For the study period, 79 cases of severe patients in respiratory department of our hospital during this period were selected as the research objects. According to the double-blind method, the group was divided into the conventional group (n = 39) and research group (n = 40), the patients who took routine nursing were divided into routine group and those who took comprehensive nursing were classified into study group. Results: the study group 1s forced expiratory volume, APACHE Ⅱ Compared with the conventional group, the blood gas index of the study group was lower than that of the conventional group (P < 0.05) (PaCO2, PaO2) The improvement range was more obvious, P < 0.05;the satisfaction of the study group was significantly higher than that of the conventional group, P < 0.05. Conclusion: compared with routine nursing, comprehensive nursing for severe patients in respiratory medicine department has better effect, which can improve blood gas index, reduce hospitalization period, enhance ventilation function and has high patient satisfaction, which is worthy of clinical promotion.
文摘Objective: to analyze the common nursing problems and nursing countermeasures of elderly inpatients in respiratory department. Methods: 74 elderly patients in respiratory department were randomly divided into control group (routine nursing) and observation group (for nursing intervention), 37 cases in each group, and the nursing results were compared. Results: the incidence of psychological problems (29.72% vs 72.97%), medication problems (8.10% vs 35.13%), diet problems (5.40 vs 27.02%), skin problems (10.81% vs 35.13%) and daily nursing problems (13.51% vs 37.83%) in the observation group were significantly lower than those in the control group. When there were significant differences in data comparison, P < 0.05. Conclusion: there are many nursing problems in respiratory medicine, so we need to choose scientific nursing countermeasures according to the actual situation of the department, so as to improve the quality of nursing service. The application effect of nursing intervention is good, which can be popularized in clinic.
