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Study on the construction and application of nutrition management and nursing practice plan for young pulmonary tuberculosis patients
FANG Xuee,MAO Yanjun,CHEN Danping,WU Ying,TANG Jing
Chinese Journal of Nursing    2021, 56 (7): 965-971.   DOI: 10.3761/j.issn.0254-1769.2021.07.001
Abstract1350)   HTML3)    PDF (915KB)(11)       Save

Objective To construct the practice plan of nutrition management and nursing for young pulmonary tuberculosis(YPT) patients and to evaluate its effect. Methods The final draft of the plan was formed through the current investigation,literature research and expert meeting. YPT patients admitted to the hospital from April 1 to June 30,2019,served as the control group and received routine nutritional care;YPT patients admitted from August 1 to October 30,2019 were allocated into an intervention group,and the evidence-based and clinical needs nutrition management nursing practice program was implemented. The differences in nutritional status,immune function,and quality of life were compared between the 2 groups. Results The weight change of the intervention group in the first and third months of discharge was better than that of the control group(P<0.05).The immune function,total scores of specific dimensions and quality of life in the intervention group were better than those of the control group in 3 months after discharge from the hospital(P<0.05),and there was no statistical difference between the 2 groups in physiological,psychological and social dimensions(P>0.05). Conclusion Nutritional management and nursing practice programs for YPT patients can improve weight,immune function,quality of life,and promote recovery.

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Nursing care of 2 patients with fulminant myocarditis with awake V-A extracorporeal membrane pulmonary oxygenation and intra-aortic balloon pump
LIU Hongjuan, QIAO Ying, CHEN Hanrui, CUI Jiao, LUO Can, CHEN Xuemei, TANG Jing, LI Ningning
Chinese Journal of Nursing    2021, 56 (12): 1796-1799.   DOI: 10.3761/j.issn.0254-1769.2021.12.006
Abstract363)   HTML0)    PDF (623KB)(4)       Save

To summarize the nursing experience of 2 patients with fulminant myocarditis with awake V-A extracorporeal membrane pulmonary oxygenation and intra-aortic balloon pump. Nursing points:nursing care of catheter;nursing care of systemic anticoagulation;monitoring of respiratory,circulation and hemodynamics;nursing care of pain;training of myodynamia;dietary and psychological care. After treatment and nursing care,2 patients were transferred to the general ward for further treatment.

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Implementation and effect evaluation of pulmonary extension nursing plan for patients transferred out of ICU
WU Xiaowen, ZHANG Xuejing, TANG Jing, Lü Lulu
Chinese Journal of Nursing    2019, 54 (12): 1810-1814.   DOI: 10.3761/j.issn.0254-1769.2019.12.009
Abstract654)   HTML0)    PDF (1121KB)(19)       Save

Objective To reduce the unplanned ICU readmission rate of patients due to pulmonary infection after surgery. Methods We established ICU-ward extension nursing team. With reference to the expert consensus on multidisciplinary perioperative airway management in China(2018 edition),through lung assessment of high risk factors among patients transferred out of ICU,individualized pulmonary nursing plan was formed,specialized and systematic lung care was performed,procedure risk screening mechanism was established and implemented. Based on standard airway grading management,effect evaluation and quality control of pulmonary nursing from four aspects were performed before and after transfer to ensure effects of extension nursing,and reduce ICU readmission rate due to pulmonary infection. Results The ICU readmission rate due to pulmonary infection in the experimental group and the control group were 0% and 11.06%,respectively. Conclusion Through the implementation of pulmonary extension nursing plan for patients transferred out of ICU,we can provide continuous lung management for patients transferred to the general ward,reduce ICU readmission rate,and achieve nursing goals of improving clinical indicators and patient experience.

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