Effects of high-quality neurosurgical nursing care on improving clinical nursing quality.

With continuous advancements in medical technology, neurosurgical nursing is constantly developing and improving to provide higher-quality nursing services. To explore the effects of different types of high-quality nursing care on clinical nursing quality and patient satisfaction in neurosurgical nursing. Eighty patients who received neurosurgical treatment in the Affiliated Hospital of Southwest Medical University from June to December 2020 were selected as study participants and categorised into study and control groups. The study group comprised 40 patients who received 4 different types of high-quality nursing care, whereas the control group comprised 40 patients who received conventional nursing care. After a specific period, nursing satisfaction levels and adverse event and complication rates were compared between the two groups. Satisfaction with high-quality care was higher than that with conventional care, and high-quality health services and regional services showed the highest satisfaction levels, with an average score of 12 on the Glasgow scale. The satisfaction levels of the study and control groups were 75% and 57%, respectively, with a statistically significant difference (t = 7.314, P < 0.05). During the nursing period, the adverse event and complication rates were the highest in patients with level III pathology grade and those who underwent neurosurgery (40.02% and 85.93%, respectively), and the difference was statistically significant. In neurosurgical nursing, employing appropriate high-quality nursing methods can effectively reduce adverse event and complication rates in patients, thereby improving the quality of nursing care and increasing clinical nursing value.

Li XR ，Luo QL 《World Journal of Clinical Cases》

The Clinical Value of High-Quality Nursing in Concurrent Radiotherapy and Chemotherapy after Glioma Surgery and Its Influence on the Stress Indicators Cor, ACTH, and CRP.

The purpose of this study is to explore the clinical value of high-quality nursing in concurrent radiotherapy and chemotherapy after glioma surgery and its influence on the stress indicators such as cortisol (Cor), adrenocorticotrophic hormone (ACTH), and C-reactive protein (CRP). A total of 94 glioma patients diagnosed and treated in our hospital were randomly divided into a research group and a control group, with 47 cases in each group. Both groups of patients were given concurrent radiotherapy and chemotherapy. On this basis, patients in the control group were given basic care, while patients in the research group were given a combination of basic care and high-quality care. The nursing satisfaction and adverse reactions of the two groups were compared. The pain degree and the levels of stress indicators Cor, ACTH, and CRP at different time points were compared between the two groups. The sleep quality, bad mood, and quality of life before and after nursing were compared between the two groups. After nursing, the nursing satisfaction of the research group (95.74%) was higher than that of the control group (80.85%), and the difference between the two groups was statistically significant (X 2 = 11.678, P < 0.05). There was no significant difference between patients in the Visual Analogue Scale (VAS) score and the levels of stress indicators Cor, ACTH, and CRP at the T1 time point between the two groups (P > 0.05). With the passage of time, the levels of Cor and ACTH of the two groups showed an upward trend. At T4, the increased levels of Cor and ACTH in the research group were less than those in the control group, and the difference was statistically significant (P < 0.05). The VAS scores and CRP levels of the two groups showed an upward trend at T1 and T2 and a downward trend at T3 and T4. And, at T4, the decrease in CRP level of the research group was greater than that in the control group, and the difference was statistically significant (P < 0.05). Before nursing, there was no statistically significant difference between two groups of patients in the time to fall asleep, sleep time, number of awakenings, SAS score, self-rating depression scale (SDS) score, quality of life index scores, and total scores (P > 0.05). After nursing, the time to fall asleep and the number of awakenings in the two groups of patients showed an upward trend, and the increase in the control group was higher (P < 0.05). The sleep time of the two groups showed a downward trend, and the degree of decline in the control group was higher (P < 0.05). After nursing, the SAS score and SDS score of the two groups of patients decreased ( ∗ P < 0.05), and the decrease in the research group was more obvious (# P < 0.05). After nursing, the scores of all indicators of the quality of life and the total score of the two groups increased and the score of the research group increased more significantly (P < 0.05). After nursing, the control group had 5 cases of gastrointestinal reactions, 7 cases of bone marrow suppression, 6 cases of leukopenia, 6 cases of thrombocytopenia, and 10 cases of dizziness and nausea. In the research group, there were 1 case of gastrointestinal reaction, 2 cases of bone marrow suppression, 1 case of leukopenia, 1 case of thrombocytopenia, and 2 cases of dizziness and nausea. The difference between the two groups was statistically significant (P < 0.05). Glioma patients are given high-quality care during the course of concurrent radiotherapy and chemotherapy, which can reduce the pain and bad mood of the patient, reduce the stress response of the patient, and improve the quality of sleep and the quality of life of the patient, thereby improving nursing satisfaction and patients compliance, reducing adverse reactions, and having a good prognosis.

Fang H ，Hu S ，Liang S ，Yao G ... -  《-》

Effects of nursing care in fast-track surgery on postoperative pain, psychological state, and patient satisfaction with nursing for glioma.

The brain is the most complex organ in the human body. Treatment for a glioma always involves a multi-disciplinary team. Nursing care in fast-track surgery or enhanced recovery after surgery is such kind of work implemented by an interdisciplinary team to provide services to patients to improve their outcomes. To explore the effects of nursing care in fast-track surgery on postoperative pain, psychological state, and patient satisfaction with nursing for glioma. From June 2018 to June 2020, 138 patients who underwent operation for glioma at Cancer Hospital Affiliated to Chongqing University were selected. They were categorized into groups according to different nursing care that they received. Of them, 69 patients receiving nursing care in fast-track surgery were included in an experimental group, and 69 patients receiving conventional postoperative nursing were included in a control group. Visual analogue scale was used to evaluate postoperative pain in the two groups immediately after the operation and at 3 d after the operation. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate the psychological status of patients immediately after operation and on the 3rd postoperative day. A self-made satisfaction scale for patient satisfaction with nursing was used to evaluate and compare patient satisfaction with nursing between the two groups. Time to excretion, time to out-of-bed activities, and length of hospital stay were significantly shorter in the observation group than in the control group (P < 0.05). There was no significant difference in duration of operative time or intraoperative bleeding between the two groups (P > 0.05). There was no significant difference in postoperative pain score between the two groups (P > 0.05). The pain score was significantly lower in the observation group than in the control group at 3 d after the operation (P < 0.05). There was no significant difference in postoperative SAS or SDS score between the two groups (P > 0.05). SAS and SDS scores were significantly lower in the observation group than in the control group at 3 d after operation (P < 0.05). The rate of patient satisfaction with nursing was 94.2% in the observation group, which was significantly higher than that (81.2%) of the control group (P < 0.05). Nursing care in fast-track surgery can relieve postoperative pain, anxiety, and depression, and improve patient satisfaction with nursing in patients with glioma, which is worthy of clinical application.

Deng YH ，Yang YM ，Ruan J ，Mu L ，Wang SQ ... -  《World Journal of Clinical Cases》

Effects of ADOPT-Based Breathing Training Combined with Continuous Nursing on Quality of Life, Mental Health, and Self-Efficacy in Lung Cancer Patients Undergoing Chemotherapy: Based on a Retrospective Cohort Study.

Considering the poor effect of routine nursing program on patients with lung cancer after chemotherapy, a retrospective cohort study was conducted to elucidate the effects of respiratory training based on ADOPT mode combined with continuous nursing on quality of life, mental health, and self-efficacy in patients undergoing lung cancer chemotherapy. Sixty patients with lung cancer admitted in our hospital from January 2019 to April 2021 were selected. Patients in both groups received ADOPT breathing training. Patients who underwent routine nursing were assigned into control group (n = 30) and patients with continuous nursing were set as study group (n = 30). The differences in nursing satisfaction, self-management efficacy, quality of life score, mental health, family care index, and self-transcendence scale scores of patients with lung cancer were determined. First of all, we compared the baseline data of the two groups, and there was no statistical difference. In the comparison of nursing satisfaction between the two groups, 24 cases in the study group were very satisfied, 5 cases were satisfied, 1 case was general, and the satisfaction rate was 100%, whereas in the control, 14 cases were very satisfied, 8 cases were satisfied, 4 cases were not satisfied, and the satisfaction rate was 86.67%. Compared to the control, the nursing satisfaction was higher in the study group (P < 0.05). There exhibited no significant difference in the sense of self-management efficacy between the two on the day of admission (P > 0.05). After nursing, the scores of self-management efficacy were higher in the study group, compared to the control (P < 0.05). In contrast to control, the scores of self-management efficacy at discharge and 1, 3, and 6 months after discharge were higher in the study group (P < 0.05). In terms of the scores of quality of life of patients with lung cancer, on the day of admission, no significant difference exited (P > 0.05). The scores of quality of life at discharge and 1, 3, and 6 months after discharge of the study group were higher compared to the control (P < 0.05). In the comparison of mental health, there was no significant difference between the two groups on the day of admission (P > 0.05), but the scores of anxiety and depression in the two groups decreased after nursing, and the scores of anxiety and depression in the study group at discharge and 1 month, 3 months, and 6 months after discharge were lower than those in the control group (P < 0.05). In terms of the family care index, there was no significant difference between the two groups at admission (P > 0.05), but after nursing, the family care index of the two groups increased, and the family care index at discharge and 1, 3, and 6 months after discharge was greater in the study group (P < 0.05). In terms of the score of self-transcendence scale, there exhibited no significant difference on the day of admission (P > 0.05), but the score of self-transcendence scale of the two groups increased after nursing. Furthermore, compared to the control, the score of self-transcendence scale at discharge and 1 month, 3 months, and 6 months after discharge in the study group was higher (P < 0.05). Patients undergoing lung cancer chemotherapy using ADOPT-based breathing training combined with continuous nursing can effectively facilitate the overall quality of life of lung cancer chemotherapy patients, promote the mental health and self-efficacy of patients with lung cancer chemotherapy, and then reduce the medical burden of patients. The nursing model based on ADOPT breathing training combined with continuous nursing is worthy to be applied in the rehabilitation of patients with lung cancer.

Mou J ，Zheng S 《-》

The Effect and Influence of the Responsibility System Rehabilitation Nursing Model in the Nursing of Patients with Ischemic Stroke.

Shi W ，Liu F ，Yuan M ，Liu H ... -  《ALTERNATIVE THERAPIES IN HEALTH AND MEDICINE》