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1.
Clin J Oncol Nurs ; 26(6): 621-627, 2022 Nov 18.
Artigo em Inglês | MEDLINE | ID: mdl-36413714

RESUMO

BACKGROUND: Medical aid in dying (MAID) is increasingly becoming a legal option for patients with terminal illness who desire greater control over how they end their life. The majority of patients who pursue this option are those with terminal cancer. OBJECTIVES:  This article provides foundational knowledge on MAID, including key considerations for nurses practicing in states where MAID is legalized. METHODS:  Available research and data on MAID are summarized, as well as clinical recommendations for patient education, counseling, and supportive care. A case study is included to illustrate relevant concepts. FINDINGS:  MAID is becoming an accepted practice for patients with terminal cancer through increasing legislation across the United States. Nursing knowledge of critical considerations for patients with terminal cancer who choose to pursue MAID is integral to the provision of optimal clinical oncology care at the end of life.


Assuntos
Neoplasias , Suicídio Assistido , Humanos , Neoplasias/enfermagem , Neoplasias/terapia , Suicídio Assistido/psicologia
2.
Comput Math Methods Med ; 2022: 8553539, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36072767

RESUMO

Background: Cerebral hemorrhage, also known as hemorrhagic stroke, is a common clinical cerebrovascular disease, accounting for about 10%-30% of stroke, with high morbidity and mortality. Objective: To observe the effect of optimal management of hyperglycemia and intensive nursing on blood glucose control level and complications in patients with postoperative cerebral hemorrhage. Methods: One hundred and eight patients with postoperative cerebral hemorrhage comorbid with stress hyperglycemia admitted to our neurosurgery department from February 2019 to February 2022 were selected and divided into a general group of 54 cases and an optimized group of 54 cases by simple random method. The general group was managed with conventional care, while the optimized group developed optimized management of hyperglycemia for intensive care. The indexes related to blood glucose control, electrolytes, National Institutes of Health Stroke Scale (NIHSS) scores, Barthel Index (BI) scores, and time to achieve blood glucose standard, insulin pumping time, patient satisfaction, and prognosis were compared between the two groups. Results: Before intervention, there was no statistical significance in the comparison of blood glucose control-related indicators and electrolytes between the two groups (P > 0.05). After 7 d and 14 d of intervention, the fasting blood glucose and 2 h postprandial blood glucose in the two groups were lower than before, while K+ and Na+ were higher than before (P < 0.05). The blood glucose indexes at the same time point in the optimized group were found to be lower than those in the general group by statistical analysis, but electrolytes were not statistically significant when compared with the general group (P > 0.05). In the optimized group, the time to achieve blood glucose standard (6.59 ± 1.94) d and insulin pumping time (7.14 ± 1.89) d were shorter than those in the general group [(7.48 ± 2.12) d and (8.58 ± 2.14) d], insulin dosage (748.85 ± 63.61) U was less than that in the general group (923.54 ± 84.14) U, and the incidence of hypoglycemia (3.70%) was lower than that in the general group (16.67%), and the satisfaction rate (92.59%) was higher than that of the general group (77.78%), which was statistically significant (P < 0.05). Before intervention, there was no significant difference in NIHSS score and BI score between the two groups (P > 0.05). After 7 d and 14 d of intervention, the NIHSS scores of the two groups were lower than before, while the BI scores were higher than before, and the NIHSS scores of the optimized group at the same time point were all lower than those of the general group, and the BI scores were higher than those of the general group (P < 0.05). The incidence of pulmonary infection (11.11%) and rebleeding (7.41%) in the optimized group were lower than those in the general group (25.93% and 22.22%), while deep vein thrombosis, multiple organ dysfunction syndrome (MODS), and death within 28 d was not statistically significant when compared with the general group (P > 0.05). Conclusion: Optimal management of hyperglycemia and intensive nursing can effectively control the blood sugar level of patients after cerebral hemorrhage, reducing insulin dosage, and the occurrence of hypoglycemia, pulmonary infection, and rebleeding.


Assuntos
Glicemia/metabolismo , Hemorragia Cerebral/complicações , Controle Glicêmico/métodos , Hiperglicemia/terapia , Complicações Pós-Operatórias/terapia , Hemorragia Cerebral/terapia , Relação Dose-Resposta a Droga , Controle Glicêmico/enfermagem , Humanos , Hiperglicemia/complicações , Hiperglicemia/enfermagem , Insulina/administração & dosagem , Insulina/uso terapêutico , Acidente Vascular Cerebral/complicações , Acidente Vascular Cerebral/terapia
3.
BMC Public Health ; 22(1): 1735, 2022 09 13.
Artigo em Inglês | MEDLINE | ID: mdl-36100859

RESUMO

BACKGROUND: The high prevalence of childhood obesity is a concern for public health policy and practitioners, leading to a focus on early prevention. UK health visitors (HVs) are well-positioned to prevent excessive weight gain trends in pre-school children but experience barriers to implementing guideline recommended practices. This research engaged with HVs to design an intervention to strengthen their role in prevention of early childhood obesity. METHODS: We describe the processes we used to develop a behaviour change intervention and measures to test its feasibility. We conducted a systematic review to identify factors associated with implementation of practices recommended for prevention of early childhood obesity. We carried out interactive workshops with HVs who deliver health visiting services in County Durham, England. Workshop format was informed by the behaviour change wheel framework for developing theory-based interventions and incorporated systematic review evidence. As intended recipients of the intervention, HVs provided their views of what is important and acceptable in the local context. The findings of the workshops were combined in an iterative process to inform the four steps of the Implementation Intervention development framework that was adapted as a practical guide for the development process. RESULTS: Theoretical analysis of the workshop findings revealed HVs' capabilities, opportunities and motivations related to prevention of excess weight in 0-2 year olds. Intervention strategies deemed most likely to support implementation (enablement, education, training, modelling, persuasion) were combined to design an interactive training intervention. Measures to test acceptability, feasibility, and fidelity of delivery of the proposed intervention were identified. CONCLUSIONS: An interactive training intervention has been designed, informed by theory, evidence, and expert knowledge of HVs, in an area of health promotion that is currently evolving. This research addresses an important evidence-practice gap in prevention of childhood obesity. The use of a systematic approach to the development process, identification of intervention contents and their hypothesised mechanisms of action provides an opportunity for this research to contribute to the body of literature on designing of implementation interventions using a collaborative approach. Future research should be directed to evaluate the acceptability and feasibility of the intervention.


Assuntos
Promoção da Saúde , Papel do Profissional de Enfermagem , Enfermeiros de Saúde Comunitária , Obesidade Pediátrica , Criança , Pré-Escolar , Inglaterra , Promoção da Saúde/organização & administração , Humanos , Obesidade Pediátrica/enfermagem , Obesidade Pediátrica/prevenção & controle
4.
Comput Intell Neurosci ; 2022: 1179321, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36045970

RESUMO

Objective: The objective is to explore the effect of comprehensive nursing on the recovery of gastrointestinal function in patients undergoing an abdominal operation. Methods: Sixty patients undergoing abdominal surgery in our hospital from January 2019 to April 2021 were enrolled. The patients were arbitrarily assigned into control group and research group. The former group received routine nursing and the latter group received comprehensive nursing. Nursing satisfaction, gastrointestinal function, POMS-SF score, nutrition risk score, incidence of adverse reactions, and quality of life scores were compared. Results: The nursing satisfaction of the research group was higher than that of the control group, and the difference between the groups was statistically significant (P < 0.05). In terms of gastrointestinal function, the anal exhaust time eating time defecation time and bowel sound recovery time in the research group were significantly lower than those in the control group, and the difference between the groups was statistically significant (P < 0.05). In terms of POMS-SF score, the scores of tension-anxiety, depression-depression, fatigue-dullness, anger-hostility, and confusion-confusion in the research group were lower than those in the control group, while the energy-vitality score was higher than that in the control group, and the difference between the groups was statistically significant (P < 0.05). There was no significant difference in nutritional risk score among patients before nursing (P > 0.05); after nursing, the nutritional risk score decreased. Compared between the two groups, the nutritional risk score of the research group was lower when compared to the control group at 3 days, 5 days, and 7 days after nursing, and the difference between the groups was statistically significant (P < 0.05). In terms of the incidence of adverse reactions, the incidence of adverse reactions such as incision effusion, incision infection, incision dehiscence, and anastomotic leakage in the research group was lower when compared to the control group, and the difference between the groups was statistically significant (P < 0.05). Regarding quality of life scores, before nursing, there exhibited no significant difference of patients (P > 0.05); after nursing, the quality of life scores of patients decreased. Compared with the two groups, the physical function, psychological function, social function, and healthy self-cognition scores of the research group were all lower compared to the control group, and the difference between the groups was statistically significant (P < 0.05). Conclusion: Abdominal surgery patients received comprehensive care, which improved their mental health, reduced anxiety and depression levels, relieved fatigue and dullness, improved energy and vitality, and enhanced their overall mood. Meanwhile, it can also promote the recovery of gastrointestinal function in patients and reduce the incidence of adverse reactions.


Assuntos
Fadiga , Qualidade de Vida , Procedimentos Cirúrgicos do Sistema Digestório/enfermagem , Humanos
5.
Kyobu Geka ; 75(11): 924-928, 2022 Oct.
Artigo em Japonês | MEDLINE | ID: mdl-36176250

RESUMO

Since 2020, our hospital has introduced nurse practitioners( NP) into cardiovascular surgery with the aim to improve labor efficiency. A cardiovascular surgery NP has both pre- and postoperative roles. An NP is not only involved in a necessary intervention but also in an intervention as the first assistant regardless of regular or emergency surgery. By having an NP perform the work normally performed by doctors, a labor burden on doctors is reduced and care administered by the medical team is smoothened. This study reports the role of NPs in the field of cardiovascular surgery in private hospitals.


Assuntos
Procedimentos Cirúrgicos Cardiovasculares , Profissionais de Enfermagem , Papel do Profissional de Enfermagem , Procedimentos Cirúrgicos Cardiovasculares/enfermagem , Hospitais Privados , Humanos , Japão
6.
Medicine (Baltimore) ; 101(37): e30569, 2022 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-36123938

RESUMO

BACKGROUND: Postoperative nursing can improve the quality of life (QoL) and functional prognosis for lung cancer patients. The purpose of this study was to evaluate the effects of high-quality nursing on inflammation and prognosis in postoperative patients with advanced nonsmall cell lung cancer (NSCLC). METHODS: A total of 372 patients with NSCLC were enrolled between the May 2014 and June 2016. Patients were randomly received high-quality nursing (n = 192) or normal nursing (n = 180). Symptom management, QoL, hospital stay, inflammatory score, survival time, recurrence rate, symptoms, anxiety, depression scale and psychological distress were assessed at baseline and 5-year follow up. RESULTS: High-quality nursing significantly shortened hospital stay, improved postoperative inflammation, symptom management, QoL compared to patients received normal nursing. Compare with normal nursing, high-quality nursing decreased anxiety, depression scale and psychological distress for postoperative patients with advanced NSCLC. Outcomes showed that high-quality nursing increased the survival time and decreased recurrence rate for postoperative patients with advanced NSCLC. CONCLUSION: In conclusion, data in the current study indicate that high-quality nursing can decrease inflammation and improve prognosis for the postoperative patients with NSCLC.


Assuntos
Carcinoma Pulmonar de Células não Pequenas , Neoplasias Pulmonares , Carcinoma Pulmonar de Células não Pequenas/enfermagem , Carcinoma Pulmonar de Células não Pequenas/psicologia , Carcinoma Pulmonar de Células não Pequenas/cirurgia , Humanos , Inflamação , Neoplasias Pulmonares/enfermagem , Neoplasias Pulmonares/psicologia , Neoplasias Pulmonares/cirurgia , Qualidade de Vida/psicologia , Inquéritos e Questionários
7.
Enferm Clin ; 32: S54-S57, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35935732

RESUMO

Positive COVID-19 cases in Malang City, Indonesia continue to increase. Until 04 August 2021, the COVID-19 update shows 3301 positive cases with 7754 cured and 832 deaths. This study aims to identify nurses preparedness in rural area community health centers during the COVID-19 pandemic in Malang for self-control to implement health protocol. This study intends to provide insights on controlling COVID-19 spread in Malang, Indonesia. This research is a quantitative study with correlative analytic observational design and a cross-sectional approach involving 120 nurses from 16 primary health centers. The results of the bivariate analysis using gamma correlation test are: knowledge factors (p = 0.005; r = 0.35), attitude (p = 0.000; r = 0.46), means of infrastructure (p = 0.000; r = 0.54), and self-control (p = 0.000; r = 0.52) for the quarantined COVID-19 patients. Knowledge, attitude, infrastructure, and safe house factors can influence self-control for COVID-19. In rural areas, health education-as education and empowerment for patient self-control-is an effort to encourage them to obey health protocol during the pandemic. Nurse readiness and preparedness during the pandemic is crucial for strengthening the assertive behavior commitment through self-control. This ensures the community's awareness of the importance of complying with health protocols for the common good. Mental nursing intervention needs to be added as a part of psychosocial therapy for the community's social problems, primarily in reducing the pressure due to the social distancing enforcement to control and prevent COVID-19 spread.


Assuntos
COVID-19/epidemiologia , COVID-19/prevenção & controle , Centros Comunitários de Saúde/normas , Desastres , Enfermeiros de Saúde Comunitária , Pandemias , COVID-19/mortalidade , COVID-19/enfermagem , Estudos Transversais , Desastres/prevenção & controle , Humanos , Indonésia/epidemiologia , Enfermeiros de Saúde Comunitária/normas , Enfermeiros de Saúde Comunitária/tendências , Pandemias/prevenção & controle , População Rural
8.
Comput Math Methods Med ; 2022: 5400479, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35936363

RESUMO

Objective: To explore the effect of continuous psychological nursing based on the grey clustering algorithm on erectile function, bad psychological emotion, and complications in patients after transurethral resection of prostate (TURP). Methods: 98 patients who underwent TURP were randomly divided into observation and control groups (routine nursing). The observation group first used the grey clustering algorithm to evaluate the psychological intelligence, found patients with abnormal psychological behavior, and then implemented continuous psychological nursing combined with pelvic floor muscle exercise. The patients were followed up for 4 months. The International Index of Erectile Function-5 (IIEF-5), the incidence of complications, the Hamilton Depression Scale (HAMD), the Hamilton Anxiety Scale (HAMA) scores, and the nursing satisfaction were analyzed and compared between these two groups. Results: The grey clustering algorithm can accurately reflect the characteristics of patients' psychological changes. After targeted nursing, compared with the control group, the IIEF-5 in the observation group was higher [(24.87 ± 1.85) vs. (22.24 ± 1.47), P < 0.05], the incidence of total complications was lower (10.20% vs. 26.53%, P < 0.05), the score of HAMA was lower [(6.11 ± 2.57) vs. (10.98 ± 2.29), P < 0.05], the score of HAMD was lower [(6.97 ± 2.85) vs. (11.35 ± 2.19), P < 0.05], and the nursing satisfaction was higher (100% vs. 85.71%, P < 0.05). Conclusion: Mental intelligence evaluation based on the grey clustering algorithm combined with pelvic floor muscle exercise can significantly improve the rehabilitation effect of erectile function in patients after TURP, reduce the incidence of postoperative complications, and alleviate patients' anxiety and depression.


Assuntos
Algoritmos , Disfunção Erétil/psicologia , Complicações Pós-Operatórias/enfermagem , Hiperplasia Prostática/cirurgia , Enfermagem Psiquiátrica/métodos , Ressecção Transuretral da Próstata/psicologia , Ansiedade/etiologia , Ansiedade/enfermagem , Ansiedade/terapia , Análise por Conglomerados , Depressão/etiologia , Depressão/enfermagem , Depressão/terapia , Disfunção Erétil/epidemiologia , Disfunção Erétil/etiologia , Disfunção Erétil/reabilitação , Humanos , Masculino , Diafragma da Pelve/fisiologia , Complicações Pós-Operatórias/psicologia , Complicações Pós-Operatórias/terapia , Hiperplasia Prostática/psicologia , Ressecção Transuretral da Próstata/efeitos adversos , Ressecção Transuretral da Próstata/reabilitação
9.
Cell Mol Biol (Noisy-le-grand) ; 68(5): 111-116, 2022 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-36029508

RESUMO

Stroke is the leading cause of neurological problems and the third leading cause of death globally, leading to various neurological defects. Due to the importance of applying nursing and rehabilitation measures to reduce complications in these patients, a study was conducted to determine the effect of nursing and rehabilitation measures on the quality of life of patients with stroke. This two-stage experimental study (before and after) was performed on 20 patients with stroke admitted to the internal medicine department. Patients were selected by sampling method, which had inclusion criteria. Data were collected using a questionnaire based on the quality of life in four areas of physical, mental, general health, and social functioning before and after the intervention. Real-Time PCR measured the expression of Bcl2 / Bax genes. Descriptive and inferential statistics analyzed the data. The results showed that the mean quality of life scores in physical function, psychological, social position, and general health after nursing and rehabilitation measures increased significantly (p = .05). Also, the quality of life score after these measures had a significant increase compared to before (p = .05). Also, a significant increase was observed in the expression ratio of the Bcl2 / Bax genes in the study group compared to the control group, which indicates the effect of nursing and rehabilitation measures on cerebral ischemia. The findings showed that the application of nursing and rehabilitation measures positively affects various aspects of patients' quality of life with stroke. These programs should be provided while educating patients and their families to help them achieve greater independence in the future.


Assuntos
Qualidade de Vida , Reabilitação do Acidente Vascular Cerebral , Acidente Vascular Cerebral , Humanos , Proteínas Proto-Oncogênicas c-bcl-2 , Acidente Vascular Cerebral/enfermagem , Reabilitação do Acidente Vascular Cerebral/enfermagem , Inquéritos e Questionários , Proteína X Associada a bcl-2
10.
Contrast Media Mol Imaging ; 2022: 7748696, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35935326

RESUMO

Objective: This study aimed to explore the effects of individualized nursing in patients with temporomandibular disorders (TMD). Methods: From June 2019 to April 2021, 80 patients with TMD were admitted to the First Affiliated Hospital of Wenzhou Medical University. Among them, 40 patients (control group, CG) received routine nursing and 40 patients (experimental group, EG) received individualized nursing. Functional exercise compliance, pain score, maximum mouth opening, nursing satisfaction questionnaire, self-rating anxiety scale, and self-rating depression scale were investigated. Results: From June 2019 to April 2021, 81 patients with TMD were admitted to the First Affiliated Hospital of Wenzhou Medical University. Among them, 40 patients (control group) received routine care and 41 patients (experimental group) received individual care. There were no significant differences in mouth opening and pain score between the two groups before surgery (P > 0.05), but there were significant differences in mouth opening and pain score between the two groups 3 weeks after surgery. Patients' anxiety and depression were assessed by the SAS and SDS scores. Before nursing, the control group and experimental group (P < 0.05) had no significant difference. After nursing, the score of both groups decreased (P < 0.05). However, the score was lower in the experimental group, compared to the control group (P < 0.01). Conclusion: In summary, individualized nursing can improve patients' physical condition and reduce negative emotions and complications. In light of this, the study needs further verification by a large sample randomized controlled trial.


Assuntos
Ansiedade , Depressão , Transtornos da Articulação Temporomandibular , Ansiedade/psicologia , Depressão/psicologia , Humanos , Dor , Assistência Centrada no Paciente , Transtornos da Articulação Temporomandibular/enfermagem , Transtornos da Articulação Temporomandibular/psicologia
11.
Artigo em Inglês | MEDLINE | ID: mdl-35886491

RESUMO

Persistent COVID, long COVID, long-effects, long-term effects or chronic COVID are all names of a new syndrome caused by a set of multi-organ symptoms that appear after having been infected with SARS-CoV-2 [...].


Assuntos
COVID-19 , COVID-19/complicações , COVID-19/enfermagem , Humanos , SARS-CoV-2
12.
Biomed Res Int ; 2022: 4090235, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35860795

RESUMO

Based on the standards for wireless sensor system identification, the sensor node identity OID identification and the management object OID identification in the SNMP MIB are merged, and a management object OID identification coding mechanism for the SNMP-based wireless sensor system is proposed to make the node management system only. The identity, attributes, and multiple entities of the target sensor node in the wireless sensor network can be identified and managed by the node management object OID. The source of abnormal medical big data generally uses two models of multidimensional data and sliding window for detection and verification. First, the sliding window can be used to detect abnormalities. The result is that under this condition, the detection rate of medical big data is more than 95%; the effect is very good, but in different dimensions, the detection rate of four-dimensional data is 2.9% higher than that of a single-dimensional one. On the basis of the ZigBee wireless network, the terminal signal transmission of fracture treatment can be realized. On this basis, combined with the actual needs of fracture treatment, it can be built with its wireless module. The wireless network has a certain basic function. The reform of the nursing system was carried out on the basis of the safety and reliability of the nursing system, the efficiency of the nursing system was improved, and timely and safe nursing services were achieved.


Assuntos
Big Data , Fraturas Ósseas , Cuidados Pós-Operatórios , Computação em Nuvem , Fraturas Ósseas/cirurgia , Humanos , Cuidados Pós-Operatórios/enfermagem , Reprodutibilidade dos Testes , Tecnologia sem Fio
13.
JAMA ; 328(1): 27-37, 2022 07 05.
Artigo em Inglês | MEDLINE | ID: mdl-35788794

RESUMO

Importance: Improving birth outcomes for low-income mothers is a public health priority. Intensive nurse home visiting has been proposed as an intervention to improve these outcomes. Objective: To determine the effect of an intensive nurse home visiting program on a composite outcome of preterm birth, low birth weight, small for gestational age, or perinatal mortality. Design, Setting, and Participants: This was a randomized clinical trial that included 5670 Medicaid-eligible, nulliparous pregnant individuals at less than 28 weeks' gestation, enrolled between April 1, 2016, and March 17, 2020, with follow-up through February 2021. Interventions: Participants were randomized 2:1 to Nurse Family Partnership program (n = 3806) or control (n = 1864). The program is an established model of nurse home visiting; regular visits begin prenatally and continue through 2 postnatal years. Nurses provide education, assessments, and goal-setting related to prenatal health, child health and development, and maternal life course. The control group received usual care services and a list of community resources. Neither staff nor participants were blinded to intervention group. Main Outcomes and Measures: There were 3 primary outcomes. This article reports on a composite of adverse birth outcomes: preterm birth, low birth weight, small for gestational age, or perinatal mortality based on vital records, Medicaid claims, and hospital discharge records through February 2021. The other primary outcomes of interbirth intervals of less than 21 months and major injury or concern for abuse or neglect in the child's first 24 months have not yet completed measurement. There were 54 secondary outcomes; those related to maternal and newborn health that have completed measurement included all elements of the composite plus birth weight, gestational length, large for gestational age, extremely preterm, very low birth weight, overnight neonatal intensive care unit admission, severe maternal morbidity, and cesarean delivery. Results: Among 5670 participants enrolled, 4966 (3319 intervention; 1647 control) were analyzed for the primary maternal and neonatal health outcome (median age, 21 years [1.2% non-Hispanic Asian, Indigenous, or Native Hawaiian and Pacific Islander; 5.7% Hispanic; 55.2% non-Hispanic Black; 34.8% non-Hispanic White; and 3.0% more than 1 race reported [non-Hispanic]). The incidence of the composite adverse birth outcome was 26.9% in the intervention group and 26.1% in the control group (adjusted between-group difference, 0.5% [95% CI, -2.1% to 3.1%]). Outcomes for the intervention group were not significantly better for any of the maternal and newborn health primary or secondary outcomes in the overall sample or in either of the prespecified subgroups. Conclusions and Relevance: In this South Carolina-based trial of Medicaid-eligible pregnant individuals, assignment to participate in an intensive nurse home visiting program did not significantly reduce the incidence of a composite of adverse birth outcomes. Evaluation of the overall effectiveness of this program is incomplete, pending assessment of early childhood and birth spacing outcomes. Trial Registration: ClinicalTrials.gov Identifier: NCT03360539.


Assuntos
Enfermagem Domiciliar , Visita Domiciliar , Complicações na Gravidez , Criança , Pré-Escolar , Feminino , Enfermagem Domiciliar/economia , Enfermagem Domiciliar/estatística & dados numéricos , Visita Domiciliar/economia , Visita Domiciliar/estatística & dados numéricos , Humanos , Recém-Nascido de Baixo Peso , Recém-Nascido , Medicaid/economia , Medicaid/estatística & dados numéricos , Mortalidade Perinatal , Pobreza/economia , Pobreza/estatística & dados numéricos , Gravidez , Complicações na Gravidez/economia , Complicações na Gravidez/epidemiologia , Complicações na Gravidez/enfermagem , Complicações na Gravidez/prevenção & controle , Resultado da Gravidez/epidemiologia , Nascimento Prematuro/epidemiologia , Nascimento Prematuro/prevenção & controle , South Carolina/epidemiologia , Estados Unidos/epidemiologia , Adulto Jovem
15.
Comput Math Methods Med ; 2022: 4977922, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35813422

RESUMO

Objective: This study explored the effect of different nutritional nursing support on nutritional status, immune function, postoperative bowel motility, and complications in elderly patients with gastrointestinal tumors during the perioperative period. Methods: 300 patients with gastrointestinal tumors treated in the Department of Gastroenterology and anorectal surgery of Hangzhou First People's Hospital Affiliated with the Medical College of Zhejiang University from February 2018 to March 2020 were selected as the research objects in this study. Patients were divided into the early enteral nutrition (EEN) and total parenteral nutrition (TPN) groups (150 cases in each group) according to the principle of odd and even admission numbers. The patients in the EEN and TPN groups were given enteral nutrition nursing support and parenteral nutrition nursing support, respectively. The nutritional status, immune function, postoperative bowel motility, and complication rate of the two groups were evaluated 7 days after the operation. Results: The nutritional indexes decreased 3 days after the operation and gradually recovered 7 days after the operation in both groups with different nutritional nursing support. The Hb, TRF, PAB, and ALB indexes in the TPN group were significantly lower than those in the EEN group (P < 0.01). On the 7th day after the operation, the indexes of peripheral blood immunoglobulin (IgG, IgM, and IgA) were significantly lower than those in the TPN group, and T lymphocyte subsets (CD4, CD8, and CD4/CD8) demonstrated that the immunological indexes of patients in the EEN group were significantly higher than those in the TPN group (P < 0.01). In terms of intestinal peristalsis, the time of first exhaust and first defecation in the EEN group was significantly shorter than that in the TPN group (P < 0.01) during the perioperative period. Furthermore, both groups had different degrees of complications, while patients demonstrated a lower complication rate in the EEN group compared to those in the TPN group, suggesting a safer postoperative mode. The results of subgroup analysis showed that the nutritional indexes of the gastric cancer group 7 days after operation were significantly higher than those of the colorectal cancer group under EEN and TPN nutritional support modes. Conclusion: Clinical results have suggested that enteral nutrition nursing support can improve the perioperative nutritional status of elderly patients with gastrointestinal tumors by enhancing the immune function and promoting intestinal peristalsis. Meanwhile, the postoperative EEN mode reduces the rate of complications and demonstrates higher safety. Therefore, it has a high clinical application value.


Assuntos
Neoplasias Gastrointestinais , Apoio Nutricional , Idoso , Neoplasias Gastrointestinais/enfermagem , Neoplasias Gastrointestinais/cirurgia , Humanos , Estado Nutricional , Apoio Nutricional/métodos , Apoio Nutricional/enfermagem , Período Perioperatório , Resultado do Tratamento
16.
Stud Health Technol Inform ; 290: 1016-1017, 2022 Jun 06.
Artigo em Inglês | MEDLINE | ID: mdl-35673183

RESUMO

This study established a predictive model for the early detection of micro-progression of pressure injuries (PIs) from the perspective of nurses. An easy and programing-free artificial intelligence modeling tool with professional evaluation capability and it performed independently by nurses was used for this purpose. In the preliminary evaluation, the model achieved an accuracy of 89%. It can bring positive benefits to clinical care. Only the overfitting issue and image subtraction method remain to be addressed.


Assuntos
Inteligência Artificial , Lesão por Pressão , Diagnóstico Precoce , Hospitalização , Humanos , Modelos Estatísticos , Enfermeiras e Enfermeiros/psicologia , Lesão por Pressão/diagnóstico , Lesão por Pressão/enfermagem
17.
18.
Sci Data ; 9(1): 255, 2022 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-35650267

RESUMO

Advances in wearable technologies provide the opportunity to monitor many physiological variables continuously. Stress detection has gained increased attention in recent years, mainly because early stress detection can help individuals better manage health to minimize the negative impacts of long-term stress exposure. This paper provides a unique stress detection dataset created in a natural working environment in a hospital. This dataset is a collection of biometric data of nurses during the COVID-19 outbreak. Studying stress in a work environment is complex due to many social, cultural, and psychological factors in dealing with stressful conditions. Therefore, we captured both the physiological data and associated context pertaining to the stress events. We monitored specific physiological variables such as electrodermal activity, Heart Rate, and skin temperature of the nurse subjects. A periodic smartphone-administered survey also captured the contributing factors for the detected stress events. A database containing the signals, stress events, and survey responses is publicly available on Dryad.


Assuntos
COVID-19 , Enfermeiras e Enfermeiros/psicologia , Estresse Ocupacional , COVID-19/enfermagem , COVID-19/psicologia , Frequência Cardíaca , Humanos , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/prevenção & controle , Inquéritos e Questionários , Dispositivos Eletrônicos Vestíveis
19.
J Nurs Adm ; 52(6): 345-351, 2022 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-35536878

RESUMO

OBJECTIVE: The objective of this multisite study was to explore the professional and personal experiences of US nurse managers (NMs) during the COVID-19 pandemic. BACKGROUND: NMs are the most accessible and visible nurse leaders to the frontline staff during this pandemic. METHODS: Thirty-nine NMs from 5 health systems across the US participated in focus groups in this qualitative study. Data were analyzed using a constant comparative method. RESULTS: Three major themes were identified: challenges, feelings and emotions, and coping. Subthemes emerged within each major theme. CONCLUSION: NMs across the country accepted considerable responsibility at great professional and personal consequence during the pandemic. NMs experienced challenges, ethical dilemmas, and expressed negative emotions. As the usual coping strategies failed, NMs reported that they are considering alternative career choices. This work provided evidence to help senior leaders strategize about mechanisms for reducing managerial dissonance during times of stress.


Assuntos
COVID-19 , Enfermeiras Administradoras , COVID-19/epidemiologia , COVID-19/enfermagem , Humanos , Enfermeiras Administradoras/psicologia , Pandemias , Pesquisa Qualitativa , Estados Unidos/epidemiologia
20.
Nursing ; 52(6): 40-41, 2022 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-35609076
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