Objective: To evaluate influence of solution-focused nursing for severe acute pancreatitis patients in Double Filtration Plasmapheresis. Methods: 260 patients were invited join our study who were diagnosed as acute pancreatitis, they undergoing Double Filtration Plasmapheresis from January 2015 to September 2019. The participants assigned randomly into the intervention group and control group. The control group patient receive traditional nursing services in treatment process. Also, the intervention group patient receive solution-focused nursing services. Additionally, we collected the data from all participants, the data included anxiety information, depression information, self-care ability, self-management effectiveness, Serum amylase, Urine amylase, tumor necrosis factor-α and interleukin-6. The used questionnaires include Self-Rating Anxiety Scale (SAS), Self-rating depression scale (SDS), exercise of self-care agency (ESCA) and Chronic Disease Self Efficacy Scales Stanfor (SESC). Result: The intervention group had greater score in SDS and SAS, but the gap of improvement between intervention group and control group was not big. In 4 domains of ESCA, all improvements were undistinguished in control group. Besides, the self-management ability improvement of two groups was slightly in the result, but intervention group had greater performance than that of control group in all domains. Conclusion: The solution focused nursing improve the outcome of DFPP treatment with AP patient in Chinese hospital. The improvement included 4 domains in the result, such as mental health (anxiety & depression), self-care ability, self-management ability and recovery status. But the simple size was limit the accuracy of results.
Objective: To assess the Influence of Comfortable nursing for therapeutic plasma exchange treatment of severe hepatitis patient. Methods: 92 patients who were diagnosed as severe hepatitis from July 2017 to July 2018 were invited to join our study. We were randomly assigned the participants to the control group (n = 46) and the intervention group (n = 46), control group receive traditional nursing services and intervention group had additional comfortable care services. our researchers collected anxiety information and depression information by questionnaires which include Self-Rating Anxiety Scale (SAS) and Self-rating depression scale (SDS). Additionally, patient satisfaction and comfort level was collected by other questionnaires. Result: In the satisfaction research, intervention group had higher score of satisfaction assessment than that of control group [45 (97.8%) vs 39 (84.8%)]. In comfort level research, the intervention group had more 0 level assessment in our research result (n = 23). In result of SAS and SDS, the intervention group had greater improvement than that of control group in the SDS and SAS as the result of intervention group lowered scores even more. Conclusion: the comfortable care improve the outcome of therapeutic plasma exchange on severe hepatitis patient. In particular, the comfortable care greatly improve anxiety status and comfort level in the treatment process of therapeutic plasma exchange.
Objective: Research on nursing method of artificial liver support system applied in severe hepatitis patients. Methods: Selected 50 severe hepatitis patients in our hospital during the period of January 2018 and January 2019, observed and analyzed the clinical intervention effect of all treated by artificial liver support system cooperating with related nursing methods. Results: After the treatment, the clinical symptoms and abdominal distension of the patients were relieved, whose spirit took a turn for the better and the jaundice subsided. Among these patients, 68% got improved enough to be released, 26.00% gave up for financial concerns and 6.00% died. Before and after treatment, the patients’ PT and PTA improved obviously, and the difference were quite a lot (P<0.05), while ALT and ALB showed few without any statistical significance (P>0.05). Conclusion: During the treatment and intervention of severe hepatitis patients with artificial liver support system, effective nursing interventions are needed, mainly including completely preoperative, intraoperative and postoperative care so as to ensure the treatment effect and promote the recovery of intervention, which has remarkable significance to clinical development.
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