Integrated Medical Care and the Continuous 4C Nursing Model to Improve Nursing Quality and Clinical Treatment of Patients with Acute Stroke: Based on a Retrospective Case-Control Study

Effect of refined management in operating room nursing on surgical efficiency and nursing satisfaction during laparoscopic radical resection of colon cancer

AIM

To assess the effect of refined management in the operating room nursing on surgical efficiency and nursing satisfaction during laparoscopic radical resection of colon cancer.

METHODS

In this retrospective study, 100 patients with laparoscopic radical resection of colon cancer were enrolled into this study. There were 51 patients who received refined management (the observation group) and 49 patients who received routine nursing intervention (the control group). The effect of refined management in the operating room nursing was evaluated by comparing the surgical efficiency, quality of care ratings, pain scores, and the nursing satisfaction between the two groups.

RESULTS

The preoperative preparation time, surgical time, intraoperative bleeding volume, and time to first postoperative defecation in the observation group were all less than those in the control group after nursing intervention (all P<0.05). The observation group had higher scores than the control group in five categories: operating room environment and safety, drug and instrument management, hygiene and sterilization, nursing records, and nursing professionalism (all P<0.05). The numerical rating scale (NRS) pain scores of the patients in the observation group were lower than those of the control group at 12, 24, and 48 hours postoperatively (all P<0.05). The rate of satisfaction in the observation group was 96.1%. This was higher than the 91.8% in the control group (P<0.05). The multivariate regression analysis demonstrated that refined management intervention is an independent factor for patients' prognosis.

CONCLUSION

The implementation of a refined management model in the operating room is effective in improving the quality of surgical care and surgical efficiency, and increasing patient satisfaction with nursing staff.

Clinical Pathway for Enhanced Recovery in the Management of Non-Variceal Upper Gastrointestinal Bleeding: A Randomized Controlled Trial

Purpose

To explore the effects of the clinical pathway on the outcomes of patients with non-variceal upper gastrointestinal bleeding.

Materials and Methods

Randomized controlled trial. The study was conducted in two medical centers in China from 1 June 2022 to 31 December 2022. Patients with a diagnosis of non-variceal upper gastrointestinal bleeding who provided written informed consent were consecutively assigned to the intervention group. The patients in the intervention group were treated using the clinical pathway, while the control group received routine care and follow-up. Time, cost, complications, and prognostic indicators were analyzed. Intentional-to-treat analysis and per-protocol analysis were used for data analysis.

Results

A total of 114 eligible patients with non-variceal upper gastrointestinal bleeding were randomly divided into two groups and included in the intention-to-treat analysis. In addition, 106 patients were included in the per-protocol analysis. The median age of the 106 patients was 57 years (range, 18-92 years) and 83.0% were male. There were no significant differences between groups regarding the baseline characteristics. The intervention group demonstrated a statistically significantly shorter length of stay, lower hospital cost (ie, cost during hospitalization, cost in the emergency room, and cost in the ward), significantly fewer cases of complications, and a higher level of patient satisfaction when compared with the control group. There was no significant difference between the two groups in the rates of transfusion, repeat endoscopy, rebleeding readmission, and mortality.

Conclusion

The implementation of the clinical pathway for patients with non-variceal upper gastrointestinal bleeding may help improve patient outcomes and satisfaction.

Trial Registration Number

ChiCTR2200060316.

Registration Link

https://www.chictr.org.cn/.

Clinical Significance of Protective Motivation Intervention Nursing on Functional Recovery of Patients after Hip Arthroplasty

Objective

To explore the clinical significance of protective motivation intervention nursing on functional recovery of patients after hip arthroplasty.

Methods

Sixty patients after hip arthroplasty treated in our hospital from February 2019 to April 2021 were selected. The patients were randomly divided into the control group and the research group. The routine nursing mode was adopted in the control group, and the protective motivation intervention nursing mode was adopted in the research group. Nursing satisfaction, FIM score, Harris hip function score, WOMAC score, Barthel index score, and quality of life score were compared between the two groups.

Results

The nursing satisfaction of the research group was higher than that of the control group, and there are statistically significant differences between the groups (P < 0.05). The FIM scores of the research group at discharge and 1 month, 3 months, and 6 months after discharge were significantly higher than those in the control group. The Harris hip function score of the research group was significantly higher than that of the control group at discharge and 1 month, 3 months, and 6 months after discharge. The WOMAC scores of the research group at discharge and 1 month, 3 months, and 6 months after discharge were significantly lower than those in the control group, and the difference was statistically significant (P < 0.05). The scores of the Barthel index at discharge and 1 month, 3 months, and 6 months after discharge in the research group were significantly higher than those in the control group. The scores of physiological function, psychological function, social function, and health self-cognition in the research group were significantly lower than those in the control group, and the difference was statistically significant (P < 0.05).

Conclusion

The nursing model of protective motivation intervention for patients after hip arthroplasty can effectively improve the function of hip joint, improve the quality of life, promote the establishment of harmonious nurse-patient relationship, and play a positive role in improving the prognosis of patients.