【摘要】 目的 探討健康教育路徑在下腔靜脈濾器（inferior vena cava filter，VCF）置入術患者中的應用效果。 方法 2008年1月－2010年5月，將62例VCF置入術患者隨機分為觀察組（32例）和對照組（30例），觀察組采用健康教育路徑進行健康教育，對照組患者采用常規健康教育。 結果 觀察組患者的健康教育達標率明顯高于對照組（Plt;0.05），焦慮發生率明顯低于對照組。 結論 應用健康教育路徑對VCF置入術患者實施，能提高患者對健康知識的掌握程度和效果，促進患者早日康復；同時可強化護患溝通，和諧護患關系。【Abstract】 Objective To investigate the effect of health education pathway in patients treated with placement of inferior vena cava filter (VCF). Methods Sixty-two patients treated with placement of inferior VCF from January 2008 to May 2010 were randomly divided into experimental group (n=32) and control group (n=30). Health education pathway and routine general way were adopted respectively to treat patients in the experimental group and the control group. Results Standard-achieving rate of the health education in the experimental group was significantly higher than that in the control group (Plt;0.05), and the incidence of anxiety was also lower in the experimental group. Conclusion Health education pathway for patients treated with placement of inferior VCF can increase the patients’ health care knowledge, lessen patients’ anxiety, and strengthen the nurse-patient communication and harmonious relations.
Objective To identify the potential categories of postoperative ileus (POI) after transforaminal lumbar interbody fusion (TLIF) and their influencing factors, so as to provide references for developing targeted nursing strategies. Methods Patients who underwent TLIF in the Department of Orthopedics, Army Medical University between August 2023 and January 2024 were conveniently selected. Data on patients’ general information, medical history, and preoperative, intraoperative, and postoperative conditions were collected through questionnaires and medical record reviews. Latent class analysis was used to categorize the gastrointestinal symptoms of POI, and multinomial logistic regression was applied to analyze the influencing factors. Results A total of 435 patients were included. The gastrointestinal symptoms of POI were classified into three latent categories: high abdominal pain and bloating class (204 cases), high nausea and vomiting class (46 cases), and weak gastrointestinal response class (185 cases). Multinomial logistic regression analysis showed that history of gastric disease (P=0.006) and time to first postoperative anal exhaust (P<0.001) were influencing factors for patients presenting with high abdominal pain and bloating symptoms. History of gastric disease (P<0.001) and low postoperative hemoglobin level (P=0.008) were influencing factors for patients presenting with high nausea and vomiting symptoms. Conclusions POI after TLIF can be categorized into three types: high abdominal pain and bloating class, high nausea and vomiting class, and weak gastrointestinal response class. Nurses should pay attention to the impact of gastric disease history, anemia, and postoperative flatus time on gastrointestinal function, strive to shorten preoperative fasting time, protect gastric mucosa, strengthen perioperative blood management, and adopt multimodal approaches to promote the recovery of gastrointestinal motility, thereby reducing the incidence of POI after lumbar fusion surgery.
Objective To summarize the best evidence for prevention and management of joint dislocation after total hip arthroplasty (THA) and provide evidence-based support for reducing the occurrence of joint dislocation after THA. Methods The databases and websites related to prevention and management of joint dislocation after THA were searched, mainly including clinical decisions, guidelines, expert consensuses, evidence summaries, systematic reviews. The search period was from January 1, 2020 to April 30, 2025. Results Finally, 12 articles were included, including 2 guidelines, 4 systematic reviews, 4 clinical decisions, and 2 evidence summaries. The 5 dimensions of evaluation, preventive measures, early dislocation identification, daily activity recommendations, and health education were summarized and organized into 25 pieces of evidence. Conclusions The overall quality of the evidence related to the prevention and management of joint dislocation after THA summarized in this study is good. Medical staff should selectively apply the evidence based on clinical situations to develop safe, scientific, and personalized anti-dislocation plans for patients, in order to reduce the occurrence of joint dislocation and improve patient prognosis.