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Objective To investigate the effect of bundled nursing strategy in the nursing of postoperative patients with tumors of the parotid gland. Methods A total of 68 patients with parotid gland tumors admitted to our hospital from January 2022 to December 2023 were randomly divided into two groups (control group and observation group), with 34 patients in each group. The control group received routine care, while the observation group received bundled care. The facial nerve function by House-Brackmann facial grading systems, negative emotion by Self-rating Anxiety Scale and Self-rating Depressing Scale, quality of life scores by short-form questionnaire, masticatory function, incidence of postoperative complications and patient satisfaction with nursing service were measure and compared between two groups. Results The score of House-Brackmann facial grading systems in the observation group was lower than that in the control group at 6 months after surgery (P＜0. 05). Scores of SAS and SDS decreased in both control group and observation group after intervention, and scores of SAS and SDS in the observation group were lower than those in the control group (P＜0. 05). Higher scores of SF-36 subscales were associated with bundled care in the observation group (P＜0. 05). Patients in the observation group had a better outcome of masticatory efficiency assessment and higher level of nursing satisfaction compared with those in the control group (P＜0. 05). There was a case of infection, 3 cases of Temporary facial paralysis and 1 case of salivary fistula observed in the control group. Conclusion Bundled nursing could effectively accelerate the postoperative wound healing and facial nerve function recovery, reduced the occurrence of postoperative complications, and improve patient satisfaction and quality of life. (目的 观察腮腺肿瘤术后集束化护理策略实施效果。方法 68例腮腺肿瘤患者随机分为对照组和观察组, 各34例。对照组实施常规护理, 观察组在对照组基础上实施集束化护理策略。评估两组干预后面神经功能恢复情况、焦虑抑郁状态、生活质量和咀嚼功能, 比较两组护理满意度和并发症发生情况。结果 观察组术后6个月House-Brackmann面神经功能分级标准(H-B)评分低于对照组(P＜0. 05)。干预后, 两组患者焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均降低, 且观察组评分改善优于对照组(P＜0. 05)。干预后, 两组生活质量升高, 且观察组简明健康状况调查问卷各维度评分优于对照组(P＜0. 05)。观察组术后咀嚼效率显著高于对照组(P＜0. 05); 观察组患者护理服务满意度对照组(P＜0. 05); 观察组未发生并发症, 对照组发生感染1(2. 94%)例、暂时性面瘫3(8. 82%)例、涎瘘1(2. 94%)例。结论 集束化护理策略的实施有助于促进腮腺肿瘤术后创面的愈合及面神经功能的恢复, 降低并发症风险, 改善患者不良心理状态, 提高生活质量。)

Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease, and quality of life of COPD patients can be severely impaired with increasing severity of disease. As a kind of exercise in Traditional medicine, Baduanjin Qigong is an aerobic exercise which is suitable for elderly patients. It can improve the cardiopulmonary function of patients and is conducive to the rehabilitation of COPD. This article summarized the effective intervention of Baduanjin Qigong exercise therapy on elderly patients with COPD in stable stage, and provided reference for modify the exercise prescription for elderly patients with CODP. (慢性阻塞性肺疾病(COPD)是临床老年患者常见呼吸系统疾病, 严重影响老年患者的生活质量。八段锦动作柔和缓慢, 属于有氧运动, 且不受场地限制, 适用于老年患者, 可改善其心肺功能, 有利于COPD的康复。本研究从老年COPD稳定期患者开展八段锦运动锻炼的效果、作用机制及运动方案进行综述, 以期为老年COPD患者运动处方的修订提供参考。)

Myasthenia gravis is a rare autoimmune disease, mainly manifested as muscle weakness and fatigue. Nursing is an important part of the treatment of myasthenia gravis and has an important impact on the rehabilitation of the disease. This paper mainly discusses the effect of clinical nursing on the rehabilitation of myasthenia gravis, and summarizes the advanced experience of nursing at home and abroad for clinical nursing reference. (重症肌无力是一种罕见的自身免疫性疾病, 主要表现为肌肉无力和疲劳。护理干预在症肌无力患者的病情康复中有着重要作用。本文对症肌无力临床护理研究进展进行综述, 旨在为制定更优质的症肌无力护理方案提供参考。)

This paper summarized the postoperative nursing management of a child with spastic cerebral palsy. The child received selective posterior rhizotomy followed by preoperative examination and preparation. In addition to the interventions on postoperative pain, constipation and infection, a rehabilitation exercise program was carried out to improve the comprehensive recovery of the child after surgery. (本文总结1例痉挛型脑瘫患儿的术后护理体会。患儿入院后完善相关检查和术前准备, 采用选择性脊神经后根切断术治疗, 术后做好疼痛、便秘、感染等护理干预, 根据恢复期制定康复方案, 指导患儿及家属进行康复锻炼, 促使其全面康复。)

This paper reviewed the effect observation and nursing measures of Tongbi exercise in relief of rheumatoid arthritis pain in a patient. The Tongbi exercise was carried out under the guidance of basic theory of Traditional Chinese Medicine (TCM) and its procedure and precautions were highlighted. Other nursing interventions included guidance for daily living, TCM diet therapy, emotional care. Tongbi exercise is potentially effective to promote blood circulation, dredge collaterals, relieve pain and improving joint function. (本文总结1例类风湿关节炎(RA)患者行通痹操缓解关节疼痛的效果及护理措施, 包括通痹操功能锻炼的操作步骤、注意事项以及生活指导、中医食疗、情志护理等常规护理方法。通痹操具有舒经活血、通络止痛、改善关节功能的作用, 能有效减轻患者关节疼痛, 提高患者日常生活能力。)

This paper reviewed the effect observation and nursing measures of Tongbi exercise in relief of rheumatoid arthritis pain in a patient. The Tongbi exercise was carried out under the guidance of basic theory of Traditional Chinese Medicine (TCM) and its procedure and precautions were highlighted. Other nursing interventions included guidance for daily living, TCM diet therapy, emotional care. Tongbi exercise is potentially effective to promote blood circulation, dredge collaterals, relieve pain and improving joint function. (本文总结1例类风湿关节炎(RA)患者行通痹操缓解关节疼痛的效果及护理措施, 包括通痹操功能锻炼的操作步骤、注意事项以及生活指导、中医食疗、情志护理等常规护理方法。通痹操具有舒经活血、通络止痛、改善关节功能的作用, 能有效减轻患者关节疼痛, 提高患者日常生活能力。)

Objective To explore the effect of exercise intervention for arthralgia in patients with knee osteoarthritis. Methods Totally 80 patients with knee osteoarthritis recruited were selected as the research objects. Patients were divided into observation group (n=29) and control group(n=51). The control group was given oral administration of Glucosamine Sulfate, Jintiage Capsules and external application of diclofenac diethylamine emulsion. In the observation group, on the basis of the control group, the bone arthritis exercise was used for intervention. The disease awareness, Body Mass Index (BMI), Visual Analogue Scale (VAS) score, WOMAC score and clinical syndrome quantitative score of the two groups were observed and recorded. Results After 12 weeks of treatment, the cognitive function scores of 2 groups were significantly increased, and cognitive function score in observation group were higher than that in the control group (P＜0. 05). The VAS score, WOMAC score and clinical syndrome quantification score in two groups were significantly decreased, and lower outcomes of VAS, WOMAC and clinical syndrome quantification were found in the observation group compared with those in the control group(P＜0. 01). The overall effective rate in the observation group was higher than that in the control group (P＜0. 01). Conclusion The application of exercise intervention for arthralgia is potentially effective to increase patient’s awareness, relieve the knee pain, improve the function of the knee joint and relieve the clinical symptoms of patients. (目的 探讨“骨痹操”锻炼在膝骨关节炎患者中的应用效果。方法 选取80例膝骨关节炎患者为研究对象, 分为观察组29例和对照组51例。对照组给予口服硫酸氨基葡萄糖和金天格胶囊、外用双氯芬酸二乙胺乳胶剂; 观察组在对照组的基础上采用“骨痹操”锻炼进行干预。观察并记录2组患者的认知度、BMI值、VAS评分、西安大略大学和麦克马斯特大学骨关节炎指数(WOMAC)评分及临床证候量化评分。结果 治疗12周后, 2组患者认知功能评分均增加, 且观察组的认知状况评分明显高于对照组(P＜0. 05)。2组患者VAS评分、WOMAC评分及临床证候量化评分均降低, 且观察组VAS评分、WOMAC评分和临床证候量化评分低于对照组, 差异有统计学意义(P＜0. 01)。观察组总有效率高于对照组, 差异有统计学意义(P＜0. 01)。结论 运用“骨痹操”锻炼对膝骨关节炎患者进行干预, 能明显提高患者认知度, 减轻患膝疼痛, 改善膝关节功能, 缓解患者临床症状。)