BACKGROUND Programmed comprehensive nursing was adopted for intensive care unit(ICU)children following severe cardiac surgery to improve respiratory function and delirium incidence.AIM To explore how programmed compre...BACKGROUND Programmed comprehensive nursing was adopted for intensive care unit(ICU)children following severe cardiac surgery to improve respiratory function and delirium incidence.AIM To explore how programmed comprehensive nursing impacts respiratory func-tion and delirium incidence in ICU children post cardiac surgery.METHODS Between January 2022 and January 2024,180 pediatric patients from the Chil-dren’s Hospital of Nanjing were admitted to the ICU after cardiac surgery and randomly grouped.The control group comprised 90 patients and received routine nursing care.The observation group comprised 90 patients and received program-med comprehensive nursing.Both groups received continuous nursing care until discharge.Their respiratory function,incidence of delirium,and clinical outcomes were compared.The memory state and sleep quality of both groups were com-pared.RESULTS The incidence of delirium was 5.56%in the observation group when admitted to ICU,which was lower than that in the control group(20.00%;P<0.05).The observation group demonstrated higher peak expiratory flow rate,respiratory frequency,deep breathing volume,and tidal volume in the ICU compared with the control group.Additionally,the observation group showed higher sleep depth,sleep latency,night awakening,return to sleep,and sleep quality com-pared with the control group(P<0.05).CONCLUSION Programmed comprehensive nursing in ICU patients following severe cardiac surgery can reduce the impact on respiratory function,improve sleep quality,and alleviate postoperative delirium,showing significant promise for clinical application.展开更多
目的探讨交叉韧带损伤膝关节镜术后患者开展精细化护理联合程序化护理管理对其关节功能恢复及生活质量的影响。方法于2022年4月—2023年4月采集病例资料入档,对象为医院收治的膝关节交叉韧带损伤患者,共计纳入60例,随机数表法分组为对...目的探讨交叉韧带损伤膝关节镜术后患者开展精细化护理联合程序化护理管理对其关节功能恢复及生活质量的影响。方法于2022年4月—2023年4月采集病例资料入档,对象为医院收治的膝关节交叉韧带损伤患者,共计纳入60例,随机数表法分组为对照组与观察组两组,每组各30例。对照组接受精细化护理,观察组在精细化护理理念上开展程序化管理;观察对比两组视觉模拟评分法(visual analog scales,VAS)、Lysholm膝关节功能量表(Lysholmknee scale,LKS)、膝关节活动度、日常生活活动能力量表(Activities of Daily Living Scale,ADL)、护理满意度。结果干预后,两组VAS评分均呈下降趋势,且观察组较对照组更低(P<0.05);治疗后,两组LKS评分大幅度升高,且观察组较对照组更高(P<0.05);干预后,两组膝关节屈伸度数均明显升高,且观察组升高幅度更大(P<0.05);干预后,两组ADL评分均明显提高,且观察组较对照组更高(P<0.05);两组患者满意度对比(P>0.05),均高于90%。结论精细化护理联合程序化护理用于交叉韧带损伤膝关节镜术后患者,可有效缓解膝关节疼痛,改善膝关节活动度及促进关节功能恢复,且对改善其生活质量发挥积极作用,取得满意的护理效果。展开更多
文摘BACKGROUND Programmed comprehensive nursing was adopted for intensive care unit(ICU)children following severe cardiac surgery to improve respiratory function and delirium incidence.AIM To explore how programmed comprehensive nursing impacts respiratory func-tion and delirium incidence in ICU children post cardiac surgery.METHODS Between January 2022 and January 2024,180 pediatric patients from the Chil-dren’s Hospital of Nanjing were admitted to the ICU after cardiac surgery and randomly grouped.The control group comprised 90 patients and received routine nursing care.The observation group comprised 90 patients and received program-med comprehensive nursing.Both groups received continuous nursing care until discharge.Their respiratory function,incidence of delirium,and clinical outcomes were compared.The memory state and sleep quality of both groups were com-pared.RESULTS The incidence of delirium was 5.56%in the observation group when admitted to ICU,which was lower than that in the control group(20.00%;P<0.05).The observation group demonstrated higher peak expiratory flow rate,respiratory frequency,deep breathing volume,and tidal volume in the ICU compared with the control group.Additionally,the observation group showed higher sleep depth,sleep latency,night awakening,return to sleep,and sleep quality com-pared with the control group(P<0.05).CONCLUSION Programmed comprehensive nursing in ICU patients following severe cardiac surgery can reduce the impact on respiratory function,improve sleep quality,and alleviate postoperative delirium,showing significant promise for clinical application.
文摘目的探讨交叉韧带损伤膝关节镜术后患者开展精细化护理联合程序化护理管理对其关节功能恢复及生活质量的影响。方法于2022年4月—2023年4月采集病例资料入档,对象为医院收治的膝关节交叉韧带损伤患者,共计纳入60例,随机数表法分组为对照组与观察组两组,每组各30例。对照组接受精细化护理,观察组在精细化护理理念上开展程序化管理;观察对比两组视觉模拟评分法(visual analog scales,VAS)、Lysholm膝关节功能量表(Lysholmknee scale,LKS)、膝关节活动度、日常生活活动能力量表(Activities of Daily Living Scale,ADL)、护理满意度。结果干预后,两组VAS评分均呈下降趋势,且观察组较对照组更低(P<0.05);治疗后,两组LKS评分大幅度升高,且观察组较对照组更高(P<0.05);干预后,两组膝关节屈伸度数均明显升高,且观察组升高幅度更大(P<0.05);干预后,两组ADL评分均明显提高,且观察组较对照组更高(P<0.05);两组患者满意度对比(P>0.05),均高于90%。结论精细化护理联合程序化护理用于交叉韧带损伤膝关节镜术后患者,可有效缓解膝关节疼痛,改善膝关节活动度及促进关节功能恢复,且对改善其生活质量发挥积极作用,取得满意的护理效果。
