Subjects: Nursing >> Nursing submitted time 2023-04-24
Abstract： There are more and more critically ill patients in clinic. For patients with mechanical ventilation, enteral nutrition is more in line with physiological status than parenteral nutrition,. Early enteral nutrition is an important means to assist in the treatment of critically ill patients, especially the elderly patients who need mechanical ventilation, whose condition is relatively serious, combined with their stress state, their nutritional metabolism changes greatly, body fluids and electrolytes are unbalanced, and the metabolism of protein, sugar and fat are in a disordered state. Although enteral nutrition can improve the nutritional status of patients, diarrhea, abdominal distension, constipation, reflux of stomach contents, aspiration, pipe blockage, hyperglycemia and other complications often occur. Among them, aspiration is one of the most serious complications, which can lead to aspiration pneumonia and increase the mortality of patients. This article summarizes the causes and nursing of aspiration of patients with mechanical ventilation during nasal feeding to help clinical medical staff prevent aspiration.
Peer Review Status:
Awaiting Review
Subjects: Nursing >> Nursing submitted time 2023-01-17
Abstract：
This paper summarizes the nursing experience of a patient with ultrasound endoscopy of a small probe of gastric submucosal mass, including preoperative psychological care, device preparation, patient preparation, intraoperative nursing, postoperative care and other targeted nursing measures. Through the comprehensive nursing mode, full preoperative preparation, close surgical cooperation, and meticulous postoperative care ensure the success of ultrasound endoscopy of the small probe of submucosal tumors in the stomach, reduce the pain of patients, improve patients" symptoms, and promote their recovery.
Peer Review Status:Awaiting Review
Subjects: Nursing >> Nursing submitted time 2023-01-17
Abstract： This paper summarizes the nursing experience of gastrointestinal endoscopy in an elderly patient without intubation general anesthesia, including the indications and contraindications of painless gastrointestinal endoscopy, preoperative psychological care, instrument preparation, dietary care, intraoperative nursing cooperation, postoperative nursing and other targeted nursing measures. Through the comprehensive nursing mode, full preoperative preparation, close surgical cooperation, and meticulous postoperative care ensure the success of gastrointestinal endoscopy for elderly patients without intubation under general anesthesia, reduce patient pain, improve patient diseases, and improve the diagnosis and treatment effect and nursing satisfaction of patients with digestive tract diseases.
Peer Review Status:Awaiting Review
Subjects: Nursing >> Nursing submitted time 2022-10-21
Abstract： This paper summarizes the nursing experience of a case of endoscopic six-ring lassus in the treatment of patients with esophageal varices, including preoperative psychological care, instrument preparation, patient preparation, intraoperative care, postoperative general care, complication care and other targeted nursing measures. Through the comprehensive nursing mode, full preoperative preparation, close surgical cooperation, and meticulous postoperative care, the success of esophageal variceal ligation is guaranteed, the pain of patients is reduced, the patient""s symptoms are improved, and their recovery is promoted.
Subjects: Nursing >> Nursing submitted time 2022-10-21
Abstract： In this paper, we summarize the nursing experience of a patient with colonic broad-basal adenomatous endoscopic mucosectomy, including preoperative psychological care, instrument preparation, patient preparation, intraoperative nursing, postoperative nursing and other targeted nursing measures. Through the comprehensive nursing mode of full preoperative preparation, close surgical cooperation, and meticulous postoperative care, the success of colon adenomatous polyposis endoscopic mucosectomy is guaranteed, reducing patient pain, improving patient diseases, and promoting their recovery.
Subjects: Nursing >> Nursing submitted time 2022-10-21
Abstract： This paper summarizes the nursing experience of a patient diagnosed with biliary stenosis under SpyGlass under ERCP, including preoperative psychological care, instrument preparation, patient preparation, intraoperative nursing, postoperative general nursing, complication nursing and other targeted nursing measures. Through the comprehensive nursing model, full preoperative preparation, close surgical cooperation, and meticulous postoperative care ensure the success of SpyGlass diagnosis of biliary stenosis under ERCP, reduce patient pain, improve patient diseases, and promote their recovery.
Subjects: Nursing >> Nursing submitted time 2022-09-06
Abstract：
Objective: To analyze the effect of high-quality nursing on the improvement of outpatient blood collection quality and nursing quality. Methods: A total of 130 patients who received blood collection in the blood collection room from May 2020 to May 2022 were selected as the study objects, and the random number table method was used to divide them into observation group (65 cases) and control group (65 cases), and the quality nursing care and routine nursing were implemented respectively, and the application effects of the two nursing modes were compared. Results: The success rate of blood collection in the observation group (98.5%) was significantly higher than that of the control group (89.2%), the sample pass rate (96.9%) was significantly higher than that of the control group (87.7%), the incidence of nursing disputes (0) was significantly lower than that of the control group (6.2%), the degree of puncture pain was lower than that of the control group, and the satisfaction scores of various care care were higher than those of the control group <0.05)。 Conclusion: The application of high-quality nursing services in the outpatient blood collection room can help improve the success rate of blood collection and sample pass rate, and reduce nursing disputes, alleviate patient puncture pain, and improve their nursing satisfaction.
Subjects: Nursing >> Nursing submitted time 2022-09-06
Abstract：
Objective To compare the efficacy of dual-frequency dual-pulse laser lithotripsy under ERCP and traditional endoscopic mechanical lithotripsy in the treatment of patients with common bile duct stones. Methods From May 2018 to May 2022, the clinical data of 200 patients with common bile duct stones who underwent ERCP treatment and lithotripsy at the Digestive Endoscopy Center of Dongfang Hospital of Beijing University of Traditional Chinese Medicine were retrospectively analyzed, of which 69 patients were treated with dual-frequency dual-pulse laser lithotripsy (laser group) and 131 patients were treated with mechanical lithotripsy (mechanical group), and the success rate of stone extraction, operation time, postoperative hospital stay time and complications of 2 groups of patients were compared. Results The baseline data such as general conditions and preoperative clinical data of the two groups were basically the same (P>0.05). There were no significant differences in postoperative bleeding, postoperative pancreatitis and perforation complication rates in the two groups (P>0.05). The surgical time in the laser group was significantly longer than that in the mechanical group (P<0.05), the postoperative hospital stay was shorter (P<0.05), and the total complication rate and stone residue rate were lower (P<0.05). Conclusion The treatment of common bile duct stones by dual-frequency dual-pulse laser lithotripsy has better efficacy and lower complication rate than traditional surgical mechanical lithotripsy, but there is still room for improvement in the operation time.
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