International Journal of General Practice Nursing

Application of Proactive Risk Intervention Combined with Meticulous Nursing in Neonates with Respiratory Distress Syndrome

2025-09-12T13:38:25+08:00

Objective: To analyze the value of proactive risk intervention combined with meticulous nursing in neonates with respiratory distress syndrome (NRDS). Methods: 62 NRDS neonates who visited the hospital from August 2024 to August 2025 were selected as samples and randomly divided into groups. Group A received proactive risk intervention combined with meticulous nursing, while Group B received routine intervention. Treatment indicators, blood gas indicators, respiratory rate, heart rate, SNAP-II score, and complications were compared between the two groups. Results: The oxygen inhalation time, mechanical ventilation time, time to restore body temperature, and hospitalization time in Group A were shorter than those in Group B (P < 0.05). The arterial oxygen partial pressure (PaO2), oxygen saturation (SaO2), and carbon dioxide partial pressure (PaCO2) in Group A were better than those in Group B (P < 0.05). The respiratory rate, heart rate, and SNAP-II score in Group A were better than those in Group B (P < 0.05). The complication rate of NRDS in Group A was lower than that in Group B (P < 0.05). Conclusion: NRDS neonates who received proactive risk intervention combined with meticulous nursing had stable heart rate and respiratory rate, improved blood gas indicators, shortened disease duration, and were highly effective and feasible.

Qualitative Research on Flight Nurses’ Training Needs for Air Transport of Emerging and Virulent Infectious Diseases

2025-09-12T13:38:23+08:00

Objective: To explore the characteristics of flight nurses’ training needs for nursing management of air transport of emerging and virulent infectious diseases, and to provide a reference for the transport training of infectious disease patients. Methods: Based on purposive sampling, 17 flight nurses were selected for semi-structured interviews, and data were collected, sorted, and analyzed using the grounded theory paradigm. Results: Four themes were summarized: theoretical knowledge related to emerging and virulent infectious diseases, participation in infectious disease management practices, and training content needs, including knowledge, skills, and personal traits. Conclusion: Flight nurses are in the stage of experience accumulation in the management of emerging and virulent infectious diseases, and they lack theoretical knowledge and practical abilities regarding virulent infectious diseases. Establishing a comprehensive training system, combined with regular drills and assessment feedback, will effectively improve flight nurses’ emergency response capabilities and mission execution efficiency, ensuring the smooth progress of missions and the safety of personnel.

A Review of Risk Factors Analysis and Bundle Prevention and Control Strategies for Pediatric PICC Catheter-related Bloodstream Infections

2025-09-12T13:38:10+08:00

The peripherally inserted central catheter (PICC) for children is widely used in clinical treatment due to its advantages, such as long-term indwelling and convenient operation. However, the incidence of catheter-related bloodstream infection (CRBSI) is significantly higher than that in adults, which seriously threatens the lives of children and increases the medical burden. This paper systematically reviews the risk factors and prevention and control strategies of PICC-CRBSI in children. Studies have shown that the high incidence of CRBSI in children is closely related to the following factors: the children’s own factors, operation and management factors, and pathogen diversity. Aiming at the above risks, the article puts forward a bundled prevention and control strategy, including professional training of personnel, strengthening aseptic technology, standardizing catheter maintenance, and establishing an infection monitoring and early warning mechanism. Through the synergistic effect of multi-dimensional intervention measures, the incidence of CRBSI can be effectively reduced, providing an evidence-based basis for the safe management of vascular access in children. This paper aims to provide a systematic prevention and control framework for clinical practice and calls for further research to optimize strategies and reduce CRBSI-related complications in children.

Analysis of the Impact of Pre-hospital Emergency Rescue Mode on the Prognosis of Patients with Acute Heart Failure

2025-09-12T13:38:19+08:00

The emergency department is the first stop for inpatients in almost all departments of a hospital, and it treats patients with relatively critical conditions. Among them, acute heart failure is a relatively serious type of coronary heart disease, often caused by atherosclerosis. Acute heart failure requires initial diagnosis, initial treatment, and thrombolytic therapy in pre-hospital care. After a rapid assessment and emergency treatment of the patient’s condition, they are transferred to the cardiac care unit (CCU) for subsequent in-depth treatment. Patients with acute heart failure are very prone to situations such as death due to the condition during the transfer to the emergency department. If the treatment methods of medical staff are incorrect, the treatment is not timely, and the transfer operation efficiency is low during the pre-hospital rescue and transfer process, it will lead to the delay of the patient’s condition treatment.

Study on the Application of Stepwise Nursing Intervention in Abdominal Distension after Enteral Nutrition for Elderly Bedridden Patients

2025-09-12T13:38:18+08:00

Objective: To explore the effect of stepwise nursing intervention in abdominal distension after enteral nutrition for elderly bedridden patients. Methods: Seventy elderly bedridden patients who received enteral nutrition and developed abdominal distension in the hospital from April 2024 to April 2025 were selected and divided into an observation group (n=35) and a control group (n=35) based on differences in nursing methods. The control group received routine nursing intervention, while the observation group received stepwise nursing intervention. After the same nursing duration, the self-care ability, psychological status, nursing effect, gastrointestinal function, and nursing satisfaction of the two groups were compared. Results: After nursing, the self-care ability scores of both groups increased significantly, and the improvement in each dimension of the observation group was better than that of the control group (P < 0.05). After nursing, the SDS and SAS scores of the observation group were significantly lower than those of the control group, and the time for abdominal distension relief and anal exhaust was significantly shorter than that of the control group (P < 0.05). After nursing, the four indicators of GAS, MOT, neuropeptide Y, and substance P in the observation group were significantly higher than those in the control group (P < 0.05). The total satisfaction rate of patients in the observation group was significantly higher than that in the control group (P < 0.05). Conclusion: Stepwise nursing intervention can significantly improve the self-care ability and nursing satisfaction of elderly bedridden patients, improve their psychological status and gastrointestinal function, shorten the time of exhaust, and accelerate the relief of abdominal distension.

The Impact of De-escalation Technique Intervention on Violent Events in Patients with Schizophrenia

2025-09-12T13:38:16+08:00

Objective: To evaluate the effect of de-escalation technique intervention on the prevention and treatment of violent events in schizophrenia (SCH). Methods: 120 patients with SCH who were admitted to the hospital from January 2024 to December 2024 were selected. Based on the time of admission, the reference group consisted of 60 patients admitted from January to June 2024, who received routine intervention. The experimental group consisted of 60 patients admitted from July to December 2024, who received the de-escalation technique intervention. Both groups were evaluated using the Chinese version of the Broset Violence Checklist (BVC) to compare the incidence of violent behavior and BVC risk levels before and after intervention. Results: The incidence of violent events in the experimental group was lower than that in the reference group, and the violence risk level was lower than that in the reference group (P < 0.05). Conclusion: Adopting the de-escalation technique intervention for patients with SCH can prevent violent events, reduce patients’ violence risk level, and improve their disease symptoms and quality of life.

Practice and Analysis of “Being Patient-oriented” Cancer Patient Management Model in Oncology Center of One Private Hospital

2025-09-12T13:38:08+08:00

Background: In the current Chinese medical environment, the doctor-patient relationship is not harmonious, patient satisfaction is not optimistic, and there are more problems for cancer patients. Under the circumstances, in order to increase patients’ satisfaction, suggest providing a “patient-oriented” services model. Many healthcare organizations have used patient satisfaction survey (PSS) measures such as Net Promoter Score (NPS), Consumer Quality Index (CQI), or Hospital Consumer Assessment of HealthCare Providers and Systems (HCAHPS) to monitor staff performance quality. In this study, the author has used annual aggregated NPS scores and patient interview results to assess changes in quality of oncology service delivery over a two-year period, and by doing so, to infer the success or failure of improvement interventions in response to these NPS and patient interview data. Methods: A single-center retrospective review of NPS scores over 2023–24 was conducted in the department of oncology in one private hospital in Beijing. Following receipt of each year’s NPS results, specific interventions for service improvements had been implemented. Increases in NPS scores over time were interpreted as indicating the success of such intervention(s), whereas NPS decreases were interpreted as failed interventions. Meanwhile, results of patient interviews increase over time, presenting the success of interventions; the opposite result indicates failed interventions. Results: A progressive trend of rising NPS scores was documented. All NPS single questions have increased the satisfaction rate. A progressive trend of rising patient interview results was listed, and questions have increased satisfaction. Conclusion: These results strongly suggest the success of improvement interventions in the department based on NPS score results and patient interview results. The study concludes that NPS scores and patient interview results can provide valuable administrative guidance for the introduction of clinical service improvement interventions.

The Effect of Empowerment Education-Based Pulmonary Rehabilitation Exercise on Pulmonary Rehabilitation in Elderly Hospitalized Patients with Chronic Obstructive Pulmonary Disease (COPD)

2025-09-12T13:38:21+08:00

Objective: To explore the application effect of lung rehabilitation exercise based on empowerment education on lung rehabilitation of elderly patients with chronic obstructive pulmonary disease (COPD) during hospitalization. Methods: Elderly patients with COPD admitted to the First Hospital of Hohhot from June 2024 to December 2024 were selected and divided into an intervention group (50 cases, receiving conventional treatment and nursing + lung rehabilitation exercise based on empowerment education) and a control group (50 cases, receiving conventional treatment and nursing) using the random number table method. The lung function, exercise endurance, and dyspnea scores of the two groups were compared and analyzed. Results: After 14 days of nursing, the lung function of the intervention group was higher than that of the control group (P < 0.05). There was no difference in exercise endurance between the intervention group and the control group (P > 0.05). The dyspnea score of the intervention group was lower than that of the control group (P < 0.05). Conclusion: Lung rehabilitation exercise based on empowerment education has a definite therapeutic effect, which can improve lung function, exercise endurance, and dyspnea symptoms in elderly patients with COPD.

Analysis of Risk Factors Associated with Obstructive Sleep Apnea Based on a Classification Tree Model

2025-09-12T13:38:14+08:00

Objectives: To explore the effects of various factors on the risk of obstructive sleep apnea (OSA) based on a classification tree model, in order to provide a scientific basis for the prevention of OSA in high-risk groups. Methods: Patients from the outpatient department, inpatient department, and physical examination center of the First Affiliated Hospital of Guilin Medical University who were treated for OSA-related symptoms from 2010 to 2022 were continuously included as study subjects. All study subjects received overnight polysomnographic monitoring (PSG), and were divided into the OSA group and control group based on PSG monitoring results. The demographic characteristics, lifestyle, blood pressure index, and laboratory index of the two groups were compared and analyzed. An undersampling method was applied to the OSA group to generate a case group, and the case group and control group were used as research objects to construct a classification tree model to screen the risk factors of OSA, and a cross-validation method and ROC curve were used to evaluate the model. Results: There were 1053 subjects after undersampling, including 517 in the case group and 536 in the control group. Compared with the control group, the age, male prevalence rate, smoking rate, and alcohol consumption rate of the case group were increased, and the levels of UA, TG, CHOL, LDLc, and FPG were increased, while the levels of HDLc were decreased, with statistical significance (P < 0.05). A total of 7 explanatory variables affecting OSA were included in the classification tree model, which were obesity, smoking history, age, drinking history, hypertension, abnormal glucose metabolism, and gender, among which obesity was the most important influencing factor. The re-substitution estimators and cross-validation estimators of the model were 0.192 and 0.200, respectively, and the standard errors were both 0.012. The area under the receiver operating characteristic (ROC) curve (AUC) value was 0.880 (95%CI:0.860~0.901), indicating that the model had a good prediction effect. Conclusions: (1) The main influencing factors of OSA were obesity, smoking history, age, drinking history, hypertension, abnormal glucose metabolism, and gender. (2) Although men are an independent risk factor for OSA, in the context of no obesity and no smoking history, people should pay more attention to pre-menopausal women with hypertension with OSA-related symptoms and middle-aged and elderly women above the age of perimenopause without a history of alcohol consumption. (3) Among the metabolic diseases associated with OSA, glucose metabolism abnormalities may be the most important, and this association is independent of the confounding effects of obesity and metabolic syndrome.

Research Progress on the Treatment of Hypertension Combined with Coronary Heart Disease with Amlodipine and Atorvastatin Calcium Tablets

2025-09-12T13:38:11+08:00

Hypertension combined with coronary heart disease, as a common chronic disease, often coexists, which has a significant impact on patients’ health and quality of life. As a compound preparation, amlodipine and atorvastatin calcium tablets have shown significant efficacy in the treatment of hypertension combined with coronary heart disease in recent years. This study systematically analyzes the pharmacological characteristics, clinical treatment effect, and safety of amlodipine and atorvastatin calcium tablets. The research points out that this compound preparation can significantly regulate blood pressure, optimize myocardial blood supply, and thus effectively reduce the occurrence of adverse cardiovascular events.