This paper summarized the integrated nursing of traditional Chinese and western medicine for a patient undergoing percutaneous coronary intervention (PCI) supported by intra-aortic balloon pump(IABP) ...for cardiogenic shock acute caused by anterior myocardial infarction. Key issues of nursing included symptomatic nursing, acupoint application, auricular point pressing therapy, oral care with Chinese herbal medicine were carried during the treatment period. The integrated nursing measures were potentially effective to improve the patient’s satisfaction and reduce the risk of complications. (本文总结1例急性前壁心肌梗死致心源性休克患者行急诊经皮穿刺冠状动脉内支架植入术(PCI)及行主动脉内球囊反搏(IABP)后的中西医结合护理方案, 包括对症护理、穴位贴敷、耳穴压豆、中药口腔护理等。中西医结合护理方案能有效提升患者的舒适度, 减少并发症的发生风险。)
This study aimed to describe the learning of the practicum in multi-tasking and shadowing practice for nursing students before the establishment of the clinical practices of each nursing area (the ...practices). Participants were 61 third-grade nursing students at one university: 7 male students and 54 female students. Data were the reports handed after the practices and were analyzed using a qualitative descriptive method from the viewpoint that “What did the nursing students learn throw the practices? ”Research participants were 29 students (47.5%) among the 61 students. Results of the learning outcomes through the practices were 7 categories as follows: 1) requirements for independence as a nurse, 2) practical thinking to manage multi-tasking, 3) building relationships among the team-nursing staff, 4) management the team members and the system of the ward, 5) accurate information exchange among the nursing team and multi-disciplinary professional team, 6) offering patient-centered nursing approaches, 7) defining self-challenges or tasks for future nursing practices.We could obtain these learning for 3rd grade students that the other studies obtained for 4th grade. Furthermore, we thought the outcome that each category connected “offering patient-centered nursing approaches”.
Objectives The study evaluates the Integrated Comprehensive Care (ICC) program, a novel health system integration initiative that coordinates home care and hospital-based clinical services for ...patients undergoing major thoracic surgery relative to traditional home care delivery. Methods A pilot retrospective cohort analysis compared the intervention cohort (ICC), composed of all patients undergoing major thoracic surgery in the 2012/2013 fiscal year with a control cohort who underwent surgery in the year prior to the initiation of ICC. Length of stay, hospital costs, readmission and emergency room visit data were stratified by degree and approach of resection and compared using univariate logistic regression analysis. Results A total of 331 ICC patients and 355 Control patients were enrolled. Hospital stay was significantly shorter in VATS ICC patients (Sub-lobar median 3 versus 4 days, p =0.013; Lobar median 4 versus 5 days, p =0.051) but not for open resections. The frequency of ER visits within 60 days of surgery was lower for all stratification groups in the ICC cohort, except for VATS sub-lobar (25.7% Control versus 13.9% ICC, p =0.097). There were no significant differences in sixty-day readmission frequency in any sub-cohort. The mean in-patient case cost was significantly lower for ICC VATS sub-lobar resections ($8505.39 versus $11,038.18, p =0.007), with the other resection types trending lower for ICC but non-significant. Conclusions A hospital based, post-discharge, patient-centered program could potentially result in shorter hospital stay, fewer readmission and ER visits, cost savings and no increase in adverse post-discharge outcomes after major thoracic surgery.
PDF
