International Journal of General Practice Nursing

Analysis of the Effectiveness and User Acceptance of Smart Wearable Devices in the Management of Chronic Diseases in the Elderly

Qinhu Zhang — 2025-03-10

Objective: To explore the application effect of smart wearable devices in the management of elderly chronic diseases and their user acceptance, with a view to providing new technical support for the health management of elderly patients with chronic diseases. Methods: In this study, a randomized crossover controlled trial design was adopted, and 500 elderly chronic disease patients in Xi’an City were selected as the study subjects during the period from January 2023 to January 2024, and the study subjects were randomly divided into 250 each in the control group and the observation group. The study was divided into two phases of 8 weeks each, with a 4-week washout period in the middle. In the first phase, the control group used traditional health monitoring methods and the observation group used smartwatches with physiological monitoring functions for daily health data monitoring; in the second phase, the two groups switched roles, i.e., the control group used smart wearable devices and the observation group returned to traditional monitoring methods. Through questionnaires, interviews, and physiological data collection, the application effect and user acceptance of smart wearable devices were evaluated. The study data included patients’ physiological indicators such as heart rate, blood pressure, and sleep quality, as well as patients’ satisfaction, frequency of use, and adherence to smart wearable devices. Results: In the first stage, patients in the observation group who used smartwatches had significantly higher accuracy in heart rate, blood pressure, blood glucose, and sleep quality monitoring than those in the control group (P < 0.05). The observation group’s satisfaction score (out of 5) with the smartwatch was significantly higher than the control group’s (P < 0.05). The frequency of smart wearable device use and adherence were also significantly higher in the observation group than in the control group (P < 0.05). After the second phase of role-swapping, the original control group showed improved monitoring accuracy and adherence during the smart device use phase, whereas the original observation group showed a decrease in these indicators after returning to traditional monitoring methods, but user satisfaction and adherence remained higher than they had been in the first phase. Conclusion: Smart wearable devices have significant application effects in the management of chronic diseases in the elderly, can effectively improve patients’ health management compliance and satisfaction, and have a high degree of user acceptance. Therefore, smart wearable devices are expected to become an important tool for the health management of elderly chronic disease patients.

Study on the Impact of Respiratory Function Training and Preventive Nursing Pathway on the Prognosis of Patients with Stable COPD

Yaran Li — 2025-03-10

Objective: This study aims to explore the impact of respiratory function training and preventive nursing pathways on the prognosis of patients with stable chronic obstructive pulmonary disease (COPD), providing a scientific basis for clinical nursing. Methods: Eighty-six patients with stable COPD from May 6, 2022, to May 6, 2023, were selected and divided into a novel group and a traditional group, with 43 patients in each group. The novel group received respiratory function training and a preventive nursing pathway, while the traditional group received routine nursing. Observation indicators included lung function indicators (forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), FEV1/FVC ratio), dyspnea severity, 6-minute walking distance, quality of life (CAT questionnaire score), and the number of acute exacerbations and hospitalizations. SPSS 21.0 software was used for statistical analysis. Results: The novel group performed significantly better than the traditional group in FEV1, FVC, and FEV1/FVC ratio (P < 0.05). Patients in the novel group had reduced dyspnea severity, increased 6-minute walking distance, decreased quality of life scores, and reduced acute exacerbations and hospitalizations (P < 0.05). Conclusion: Respiratory function training and preventive nursing pathways can significantly improve lung function, dyspnea severity, exercise tolerance, and quality of life of patients with stable COPD, and reduce the number of acute exacerbations and hospitalizations, which has important clinical significance.

Research on Nursing Methods and Psychological Intervention for Scar Repair

Yanbing Liu — 2025-03-10

Scar repair involves not only the application of medical techniques but also the consideration of the patient’s psychological state. Through appropriate nursing measures, wound healing can be effectively promoted, complications can be reduced, and hypertrophic scarring can be prevented. Psychological intervention, by alleviating negative emotions such as anxiety and depression, improves patient compliance with treatment and enhances self-management abilities, thereby promoting recovery. Research indicates that the combination of nursing interventions and psychological counseling helps improve the overall recovery experience for patients, facilitating scar repair physiologically while also providing psychological support, thus enhancing the patient’s quality of life. The multidisciplinary collaboration model offers a comprehensive treatment plan, further optimizing the scar repair process.

Observation on the Effect of Implementing Comprehensive Nursing Interventions for Cardiothoracic Surgery Patients

Tingting Li — 2025-03-10

Objective: To observe the rehabilitation effect of cardiothoracic surgery patients after the implementation of comprehensive nursing intervention. Methods: Eighty patients who underwent cardiothoracic surgery in a hospital from April 2023 to March 2024 were selected and divided into the control group (n=40) and the observation group (n=40) according to the method of randomized numerical table, with the control group adopting conventional nursing interventions and the observation group implementing comprehensive nursing interventions. Comparison of respiratory function, complication rate, and quality of life (QOL) score indexes in the two groups. Results: Comparing the respiratory function of the two groups, the ratio of the 1st second exertion respiratory volume to the exertion lung capacity of the patients in the observation group (0.57 ± 0.01)%, Exertion respiratory volume at 1st second (1.45 ± 0.04)L, (2.54 ± 0.31)L, and partial pressure of oxygen (94.03 ± 5.17)mmHg were higher than those of the control group (0.41 ± 0.02)%, (90.12 ± 5.28)L, (2.29 ± 0.28)L, and (94.03 ± 5.17)mmHg, and partial pressure of carbon dioxide of the observation group patients (36.55 ± 3.15)mmHg was lower than that of the control group (41.47 ± 3.23) mmHg. The difference was statistically significant (P < 0.05); 1 case of lower limb deep vein thrombosis occurred in the observation group, lung infection in the observation group, with a total incidence rate of 5.00%, and 1 case of incision infection in the control group. In the control group, there were 2 cases of postoperative bleeding, 3 cases of cardiac arrhythmia, 3 cases of lower limb deep vein thrombosis, and 1 case of pulmonary infection, with a total incidence rate of 22.50%, and the difference between the groups was statistically significant (P < 0.05); the scores of social function, physical function, emotional function, physical function, mental health, general health, vitality, and physical pain in each dimension of the patients in the observation group were significantly higher than those in the control group, and the difference was statistically significant (P < 0.05). Conclusion: The implementation of comprehensive nursing interventions for cardiothoracic surgery patients can effectively improve patients’ pulmonary function indexes, reduce the risk of related complications, and improve patients’ quality of life, which is worth promoting.

Analysis of the Causes of Hypoglycemic Reactions in Patients with Diabetic Nephropathy during the Peri-dialysis Period

Zhenzhen Hao — 2025-03-10

Objective: To provide clinical evidence for controlling the incidence of hypoglycemia in patients with diabetic nephropathy during the peri-dialysis period by analyzing the causes of hypoglycemic reactions in diabetic patients during this period in the hospital. Methods: A total of 56 patients with diabetic nephropathy in the peri-dialysis period (i.e., glomerular filtration rate eGFR < 15ml/(min*1.73 m²) up to three months after dialysis) who received outpatient, inpatient, and hemodialysis treatments in the hospital from June 2022 to December 2023 were selected as the research subjects. The occurrence of hypoglycemia in the non-dialysis period and the initial dialysis period of the patients was collected (hypoglycemia was judged according to Whipple’s triad as follows. Clinical manifestations: symptoms such as palpitation, sweating, blurred vision, dizziness, etc.; Blood glucose index ≤ 3.9 mmol/L; Hypoglycemic symptoms were relieved after sugar supply or food supplementation. The nutritional status, diabetes duration, fasting blood glucose (FBG), random blood glucose (RBC), glycated albumin (GA), glycated hemoglobin (HbAlc), blood cell analysis, renal function, regular diet, body mass index (BMI), oral hypoglycemic drugs, and injection hypoglycemic drugs of the patients with hypoglycemia were monitored. The influencing factors of hypoglycemia in the non-dialysis stage and the initial dialysis stage were analyzed respectively. Results: The incidence of hypoglycemia in patients in the non-dialysis stage was 5.3%, and that in the initial dialysis stage was 21%. The incidence of hypoglycemia in these two stages was negatively correlated with nutritional status, regular diet, fasting blood glucose (FBG), random blood glucose (RBC), glycated albumin (GA), glycated hemoglobin (HbAlc), and the dosage of hypoglycemic drugs, and was positively correlated with anemia and albumin (ALB). Among them, in the initial dialysis stage, glycated albumin (GA), random blood glucose (RBC), anemia, the dosage of injected hypoglycemic drugs, and the eating situation on the day of dialysis could predict the occurrence of hypoglycemic reactions. Conclusion: The incidence of hypoglycemic reactions in the initial dialysis stage was significantly higher than that in the non-dialysis stage, especially the hypoglycemia that occurred during the dialysis process seriously affected the dialysis effect of patients. Therefore, by improving the nutritional status of patients, regular diet, improving anemia, monitoring random blood glucose (RBC), glycated albumin (GA), and timely adjusting the dosage of hypoglycemic drugs, the occurrence of hypoglycemic reactions in patients with diabetic nephropathy during the peri-dialysis period can be minimized.

Construction and Application of Ideological and Political Case Base in Pediatric Nursing Clinical Teaching

Yunshan Liao — 2025-03-10

Objective: To establish the ideological and political case database of pediatric clinical nursing teaching, integrate the ideological and political concept of the curriculum into the clinical practice teaching, and provide teaching materials for cultivating pediatric nursing talents with comprehensive quality. Methods: Collect pediatric clinical nursing cases with ideological and political elements through consulting Wanfang and CNKI databases and the Internet. Through the expert demonstration, the formation of the course ideological and political case database. Through the combination of online and offline teaching methods, ideological and political elements are incorporated into clinical nursing teaching. Results: Six chapters of pediatric nursing ideological and political cases were preliminarily constructed, and the pediatric nursing clinical teaching case database containing six ideological and political elements achieved good results in the clinical practice training of nursing interns in 2025. Conclusion: The construction and application of an ideological and political case bank in pediatric nursing clinical teaching is conducive to improving the willingness of nursing students care, humanistic care ability and learning effect; it helps nursing students to establish correct values and improve students professional quality and recognition, with high clinical promotion and application value.

Clinical Analysis of Effective Prevention and Control of Hospital-Acquired Infections in Fever Outpatient Clinics

Xing Wang — 2025-03-10

Objective: To explore the key role of fever clinics in the prevention and control of hospital-acquired infections. Methods: To summarize the implementation of the infectious disease reporting process, standardized operating procedures, infection monitoring system, disinfection and isolation measures, and medical waste management system in a general hospital in Zhangjiagang City, Jiangsu Province, since the establishment of the fever outpatient clinic. Through retrospective analysis, the study compared the changes in the incidence of hospital infections, patient satisfaction, and healthcare personnel satisfaction before and after the establishment of the fever clinic and explored the important role of the fever clinic in improving the hospital infection prevention and control capacity and service quality. Results: Since the establishment of the fever clinic, the incidence of hospital infections has significantly decreased to 8.0%, patient satisfaction has increased to 96.0%, and healthcare personnel satisfaction has increased to 92.3%, compared with 36.0%, 72.0%, and 69.2% before the establishment of the fever clinic, and all the indexes in 2023 were significantly better than those in 2006, and the statistical analysis showed that this improvement was significant (P < 0.05). Conclusion: By assigning professional infection control nurses to be responsible for the care of central venous catheters in ICUs, the risk of catheter-related bloodstream infections in patients can be significantly reduced. This measure is essential to ensure the smooth progress of the treatment process and improve the prognostic status of patients.

Application Effect of Cardiac Rehabilitation Nursing in Patients with Myocardial Infarction after Interventional Surgery

Peng Sun — 2025-03-10

Objective: To explore the application effect of cardiac rehabilitation nursing in patients with myocardial infarction after interventional surgery. Method: 82 patients who underwent myocardial infarction intervention surgery in the hospital from June 2022 to June 2023 were randomly divided into an observation group and a control group, with 41 patients in each group. Among them, the control group received routine care, while the observation group received cardiac rehabilitation care based on routine care. The cardiac function indicators and quality of life scores of the two groups of patients were compared. Result: The postoperative left ventricular ejection fraction (LVEF) and 6-minute walking distance of the observation group were higher than those of the control group, and the left ventricular end diastolic diameter (LVEDD) was smaller than that of the control group (P < 0.05). The quality of life scores of the observation group were higher than those of the control group (P < 0.05). Conclusion: Cardiac rehabilitation nursing can effectively improve cardiac function, enhance quality of life, and reduce the incidence of adverse cardiovascular events in patients with myocardial infarction after interventional surgery, and thus is worthy of clinical promotion and application.

Analysis of the Impact of Transitional Care on Self-Care Ability and Health Behaviors of Patients with Chronic Obstructive Pulmonary Disease

Jingjing Wang — 2025-03-10

Objective: To explore the impact of transitional care on self-care ability and health behaviors of patients with chronic obstructive pulmonary disease (COPD). Methods: A total of 156 COPD patients were collected and divided into a novel group and a traditional group, with 78 patients in each group. The novel group received transitional care, while the traditional group received routine care. The observed indicators included lung function parameters, dyspnea severity, self-care ability, and health behaviors. Results: After intervention, the FEV1 of the novel group increased from 1.25 ± 0.32 L to 1.68 ± 0.35 L, and the FVC increased from 2.56 ± 0.45 L to 2.98 ± 0.48 L. The mMRC grade improved significantly. The self-care ability score increased from 55.23 ± 6.35 to 82.45 ± 7.21, and the health behavior score increased from 52.18 ± 5.82 to 78.63 ± 6.95. The readmission rate was 12.82% in the novel group and 28.21% in the traditional group. There were statistically significant differences between the groups (P <0.05). Conclusion: Transitional care significantly improves self-care ability and health behaviors of COPD patients, reduces readmission rates, and has important clinical significance. It is worthy of promotion.