Effect of high-quality nursing on neurological function psychological moods quality of life of elderly patients with stroke

Objectives

The primary objective of the present investigation was to meticulously examine the efficacy of high-quality nursing care (HQN) on neurological restoration, amelioration of adverse psychological states, and augmentation of quality of life in geriatric patients diagnosed with acute cerebral infarction (ACI).

Methods

A cohort of 240 patients, afflicted by ACI and admitted to our healthcare institution between February 2020 and March 2023, were incorporated into this longitudinal prospective analysis. Employing a random number table methodology, the patient cohort was bifurcated into a control group (n = 120) receiving conventional care and an observation group (n = 120) receiving HQN. Comparisons were conducted between the two cohorts concerning neurological functionality [as quantified by the National Institutes of Health Stroke Scales (NIHSS) and Barthel Index (BI) scores], psychological wellbeing [utilizing the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores], overall quality of life [assessed via the Generic Quality of Life Inventory-74 (GQOLI-74) scores], and self-perceived burden [evaluated through the Self-Perceived Burden Scale (SPBS)]. Further assessments included patient satisfaction and incidence of complications, both in the pre- and post-interventional phases.

Results

Post-intervention, the observation group demonstrated superior outcomes compared to the control group, as evidenced by diminished NIHSS and SPBS scores and elevated BI metrics. Moreover, SAS and SDS scores in both groups manifested a decline post-intervention; however, the decrement was statistically more pronounced in the observation group (P < 0.05). Similarly, all dimensions of GQOLI-74 showed an upward trend in both cohorts, yet the increase was significantly more substantial in the observation group (P < 0.05). Furthermore, the observation group exhibited a reduced frequency of complications coupled with heightened levels of nursing satisfaction.

Conclusion

The implementation of HQN in the geriatric population afflicted by ACI markedly enhances neurological recuperation, attenuates adverse psychological states, and ameliorates overall quality of life. The intervention is also associated with a diminution in complication rates and an increase in nursing satisfaction, thereby substantiating its clinical utility.

Effects of high-quality nursing care on quality of life, survival, and recurrence in patients with advanced nonsmall cell lung cancer

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.

The Effect of Nursing Management of Patients Undergoing Interventional Therapy for Liver Cancer Compared with Standard Care on Patient-Reported Outcomes

BACKGROUND

To investigate the efficacy of individualized symptom management based on patients' self-reports during interventional therapy (IT) for liver cancer.

METHODS

Patients with liver cancer who received IT at First Affiliated Hospital of ****** University from April to August 2019 were apportioned to either an intervention or control group (n = 70 each). The control group received routine nursing care and the intervention group received a nursing management program. The severity of specific symptoms, as measured by the Karnofsky Performance Scale (KPS), and satisfaction with nursing care, were analyzed.

RESULTS

Compared to the control group, patients given individualized management experienced significantly less severe pain, nausea, anxiety, and fatigue (p < .05). The scores for KPS and satisfaction with care were both significantly improved in the intervention group than in the control group (p < .05).

CONCLUSION

This high-quality nursing management program predicated on patients' self-reports is worthy of clinical application and popular adoption.

Effect of high-quality nursing on psychological status and prognosis of patients undergoing brain tumor surgery

OBJECTIVE

To investigate the effect of high-quality nursing on psychological status and prognosis of patients undergoing brain tumor surgery.

METHODS

One hundred and ten patients undergoing brain tumor surgery were divided into control group (n=55, receiving routine nursing) and observation group (n=55, receiving high-quality nursing). The psychological status (Hamilton Anxiety Rating Scale (HAMA) and Hamilton Depression Rating Scale (HAMD)), quality of life (Generic Quality of Life Inventory-74 Scale (GQOLI-74)), prognosis (Glasgow Outcome Scale (GOS)), self-efficacy (Strategies Used by People to Promote Health Scale (SUPPH)) and complications of patients in both groups were recorded and compared.

RESULTS

After intervention, scores of HAMA and HAMD in both groups decreased, while scores of GOS, GQOLI-74 and SUPPH in both groups increased (all P<0.05). Compared with the control group, scores of HAMA and HAMD in the observation group were lower after intervention, while scores of GOS, GQOLI-74 and SUPPH were higher (all P<0.05). There was no significant difference in mortality between the two groups (P>0.05). The overall complication rate in the observation group was lower than that in the control group during hospitalization (P<0.05).

CONCLUSION

Perioperative high-quality nursing for patients undergoing brain tumor surgery can significantly alleviate the adverse psychological states, reduce the complication rate and improve the postoperative self-efficacy and quality of life.

High-quality nursing can reduce the incidence of adverse events in esophageal cancer patients after operation in the intensive care unit and improve postoperative rehabilitation

OBJECTIVE

This research aimed at observing the effect of applying high-quality nursing in the intensive care unit (ICU) to esophageal cancer (EC) patients after radical resection.

METHODS

From January 2015 to February 2020, 155 EC patients who underwent radical resection were divided into the control group (CG; n=77) and the observation group (OG; n=78). The CG was given conventional nursing intervention, and the OG was given high-quality nursing intervention. The scores of the visual analogue scale (VAS), clinical related indexes, complications, self-rating anxiety scale (SAS), self-rating depression scale (SDS), nursing satisfaction and SF-36 of patients were compared.

RESULTS

After nursing, compared with the CG, the duration of the indwelling drainage tube, time to getting out of bed, recovery of bowel sounds and hospitalization in the OG was shorter, and the incidence of postoperative complications was less. In addition, after nursing, the VAS, SAS and SDS scores of patients in both groups decreased, and these indexes in the OG decreased more than those in the CG. Patients were investigated upon discharge, and it was revealed that the nursing satisfaction of patients in the OG was obviously better than that in the CG. Three months after the operation, the scores of general health (GH), mental health (MH), role-physical (RP), role emotional (RE) and vitality (VT) of patients in the OG were higher than those in the CG.

CONCLUSION

High-quality nursing exerts a better effect in the ICU for patients who underwent EC surgery; it can reduce pain and adverse events and promote rehabilitation.

Effect of high-quality nursing on negative emotions and hope levels of patients undergoing oral and maxillofacial surgery

OBJECTIVE

To investigate the effect of high-quality nursing on negative emotions and hope levels after oral and maxillofacial surgery (OMS).

METHODS

A prospective study involving 120 patients who underwent OMS from December 2018 to January 2020 was conducted. The study subjects were classified into a study group and control group with 60 in each, using a random number table. Routine nursing was applied in the control group, while the study group was given high-quality nursing. Psychological status, hope levels, quality of life (QOL), complications and satisfaction rate were compared between patients in the two groups before and after intervention.

RESULTS

After intervention, the scores of HAMA (Hamilton Anxiety Rating Scale) and HAMD (Hamilton Depression Rating Scale) of the two groups were both significantly reduced, and the decrease was significantly greater in the study group (all P<0.05). After intervention, the scores of Herth Hope Index (HHI) and Generic quality of life Inventory-74 (GQOLI-74) in the two groups were both elevated, and the increase was significantly greater in the study group (all P<0.01). As compared with the control group, the total incidence of complications in study group was significantly lower (P=0.04), while the satisfaction rate with nursing was higher (P=0.032).

CONCLUSION

High-quality nursing, with low incidence of complications and high overall satisfaction rate, can significantly relieve adverse emotions and promote QOL after OMS.

Analysis of effect of high-quality nursing on pain of emergency orthopedic trauma patients and related factors affecting postoperative pain

OBJECTIVE

The purpose of this study is to analyze the influencing factors of postoperative pain in patients presenting with emergency orthopedic trauma, and to determine the effect of high-quality nursing on pain.

METHODS

In this prospective study, 78 emergency orthopedic trauma patients were randomized into the research group for high-quality nursing and the control group for routine emergency nursing. The two groups were compared with respect to pain degree, pain resolution time, related clinical indexes, pre- and post-treatment joint range of motion (ROM) and psychological state, as well as nursing satisfaction and complications. Univariate analysis and Logistic regression were carried out to analyze the influencing factors of pain following fractures.

RESULTS

Compared with before operation (at baseline), the visual analogue scale (VAS) scores decreased gradually from 1 to 7 days postoperatively in both groups, and were lower in the research group than in the control group in the same time period (all P<0.05). Logistic regression analysis revealed that male, anxiety and/or depression as well as general family support were the major factors affecting postoperative pain in patients with traumatic fractures (P<0.05). Patients in the research group showed significantly less pain resolution time and evidently shorter time of hospitalization and fracture healing than the control group (all P<0.01). Compared with the baseline, ROM scores increased significantly in both groups after intervention, and were higher in the research group than in the control group; Hamilton anxiety (HAMA) and Hamilton depression (HAMD) scores reduced remarkably in the two series, and were even lower in the research group (all P<0.05). In comparison with the control group, the nursing satisfaction was higher and the incidence of complications was lower in the research group (both P<0.05).

CONCLUSIONS

Gender, psychological state and family supportive attitudes have certain effects on postoperative pain degree of emergency orthopedic trauma patients. High-quality nursing can relieve postoperative pain degree and adverse psychological state of patients, with fewer complications, higher satisfaction and shorter hospitalization time.

Effect of high-quality nursing on negative psychological moods and quality of life of elderly patients with hypertension

OBJECTIVE

This study was designed to determine the effect of high-quality nursing on negative psychological moods and quality of life of elderly patients with hypertension.

METHODS

In this prospective research, 89 hypertensive elderly patients were divided via random number table method, into a control group (n=44) with routine basic nursing and a research group (n=45) with high-quality nursing. The two groups were compared with respect to psychological status, quality of life, self-management ability and blood pressure control, as well as medication compliance and complications, before and after intervention.

RESULTS

Scores of Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD) decreased in both groups after intervention, and the reduction was more significant in the research group (both P<0.05). After intervention, scores of various dimensions of generic quality of life inventory-74 (GQOLI-74), self-management ability and Morisky medication compliance scale (MMAS) increased in both groups, and the increase was more evident in the research group (all P<0.05). Systolic blood pressure (SBP) and diastolic blood pressure (DBP) decreased in both groups after intervention, with lower parameters in the research group (both P<0.05). The total incidence of complications in the research group was lower than that in the control group (P<0.05).

CONCLUSION

High-quality nursing for elderly hypertensive patients can significantly relieve their negative emotions and improve their quality of life, with a low incidence of complications.