International Journal of General Practice Nursing

Research on the Effectiveness of High-Quality Nursing in the Treatment of Pleural Effusion with Closed Thoracic Drainage

Cuifang Liu — Fri, 06 Jun 2025 16:49:20 +0800

Objective: To explore the effectiveness of high-quality nursing applied to the treatment of pleural effusion with closed thoracic drainage. Methods: From March 2024, the hospital began to collect case data on the treatment of pleural effusion with closed thoracic drainage. By March 2025, a total of 72 cases were included and randomly grouped using a computer system. One group of 36 cases received routine nursing as the reference group, and another group of 36 cases received high-quality nursing as the experimental group. The drainage volume, complications, and nursing satisfaction were compared between the two groups. Results: The daily drainage volume, drainage time, and hospital stay in the experimental group were significantly lower than those in the reference group (P < 0.05). The incidence of complications in the experimental group was 11.11%, which was significantly lower than 27.78% in the reference group (P < 0.05). The nursing satisfaction in the experimental group was 94.44%, which was significantly higher than 66.67% in the reference group (P < 0.05). Conclusion: The application of high-quality nursing in the treatment of pleural effusion with closed thoracic drainage can significantly reduce drainage time and volume, with fewer complications and higher overall nursing satisfaction. It can be further promoted in nursing practice.

Generation Mechanism and Optimization Path of Nurses’ Willingness to Participate in China’s “Internet+Nursing Service” Model: A Cross-National Comparative Study Based on Multicenter Data

Li Yang, Limin Zhang, Meiqing Kuang, Jiali Li — Fri, 06 Jun 2025 16:52:18 +0800

Background: Under the dual pressures of a global aging population and rising burden of chronic diseases, digital healthcare services have emerged as a core strategy for healthcare system transformation. Developed countries have established three paradigms: technology-driven transformation, institutional innovation, and payment incentive breakthroughs to shift nursing services from an “institution-centered” model to a “network ecosystem.” China faces more severe challenges: By 2021, the population aged 60 and above reached 264 million, with 44 million elderly individuals with partial or total functional impairments. However, the nurse-to-population ratio remains low at 3.18 per 1,000 people, exacerbating supply-demand imbalances. In response, China has piloted “Internet Plus Nursing Services”, connecting nurses and patients through an “online application, offline service” model to optimize resource allocation and meet home-based nursing needs. Aim: This study used Boolean operators to systematically search the literature in five databases. Based on the literature base, the authors conducted a survey of nurses in a tertiary hospital in Guangzhou City on their intention to participate in Internet home nursing care, and further comprehensively analyzed the influencing mechanisms of the nurses’ willingness to participate in home nursing care services in the typical countries and China in the past five years. Results: Findings indicate that Chinese nurses’ willingness to participate is influenced by factors such as professional title, education, income, marital status, and service perception. However, domestic studies suffer from methodological limitations, including imperfect measurement tools, small sample sizes, and insufficient regional representation, with most research focusing on general nurse populations rather than region-specific groups. Conclusion: As direct implementers of “Internet Plus Nursing Services”, nurses’ participation willingness and behavior are critical to service quality and industry development. Future research should develop multidimensional measurement tools, expand cross-regional sample sizes, and explore influencing factors in context-specific ways to provide scientific evidence for policymaking and standardized development. At the policy level, China must balance “innovation encouragement” and “regulated development”, reduce regional disparities in rules, and promote a transition toward a data-driven nursing ecosystem.

Research on Emergency Nursing Strategies for Patients with Acute Myocardial Infarction

Hui Yang, Na Wang, Xiaolei Tang — Fri, 06 Jun 2025 16:53:56 +0800

Background: Acute myocardial infarction (AMI) demands timely and effective intervention to prevent severe complications and improve patient outcomes. However, differences in emergency nursing protocols can affect the success of treatment. Therefore, evaluating the effectiveness of an optimized comprehensive emergency nursing model, which includes advanced assessment methods and individualized care strategies, is crucial for enhancing treatment protocols. Objective: This study aimed to assess the impact of a comprehensive emergency nursing model on patients diagnosed with acute myocardial infarction (AMI) within the cardiology department, focusing on optimizing rescue efficiency and patient outcomes. Methods: This retrospective study analyzed data from 90 AMI patients admitted to the hospital between January and December 2024. The study was conducted within the cardiology department of our hospital. The patients were divided into two groups: an intervention group (n=45) and a control group (n=45). The intervention group received care under the comprehensive, optimized emergency nursing model, while the control group received standard emergency care. Evaluation parameters included rescue time, clinical outcomes, and patient satisfaction with nursing care. Results: No significant differences in baseline characteristics were found between the two groups. However, the intervention group (n=45) demonstrated significantly shorter rescue times compared to the control group (n=45) in all measured parameters, including triage assessment time (7.49 ± 1.29 vs. 12.49 ± 2.18 minutes) and total emergency time (28.37 ± 3.14 vs. 48.64 ± 5.65 minutes), with P-values < 0.001. Additionally, the intervention group showed significantly lower rates of clinical complications, including heart failure (4.44% vs. 17.78%) and recurrent myocardial infarction (2.22% vs. 17.78%), and higher patient satisfaction across all parameters, with P-values < 0.001. These findings demonstrate the effectiveness of the comprehensive emergency nursing model in enhancing AMI care. Conclusion: The comprehensive emergency nursing model significantly improved rescue efficiency, reduced complications, and increased patient satisfaction in AMI care, demonstrating its clinical effectiveness.

Analysis of the Application of Comprehensive Nursing Intervention in the Clinical Treatment of Acute Mastitis in Lactating Mothers

Minxiang Wei, Mengmeng Qi — Fri, 06 Jun 2025 16:55:28 +0800

Objective: To explore the effect of comprehensive nursing intervention on acute mastitis in lactating mothers. Methods: 80 patients with mastitis during lactation were divided into a control group and an observation group. The control group received routine nursing, while the observation group received comprehensive nursing. The efficacy was observed. Results: The psychological status and symptom recovery of the observation group were better than those of the control group, and the incidence of complications was lower than that of the control group (P < 0.05). Conclusion: Effective nursing measures for acute mastitis during lactation have a positive impact on prognosis and recovery. Comprehensive nursing intervention can promote the improvement of psychological status and reduce the incidence of complications.

Importance of Specialized Nursing Care in Adrenal Venous Sampling

Xianman Wang, Fengju Chen, Jianling Li, Zhonglan Gao, Xiaoge Zhong — Fri, 06 Jun 2025 16:57:08 +0800

Objective: To explore the key nursing points before, during, and after adrenal venous sampling. Methods: A total of 147 patients with primary aldosteronism (PA) underwent adrenal venous sampling (AVS) via catheter insertion through the elbow vein (median cubital vein, basilic vein, or cephalic vein) to determine the appropriate treatment plan. Results: 145 patients successfully completed AVS, while 2 patients failed in right adrenal venous sampling due to adrenal vein rupture and hematoma formation. Among the 147 patients, 121 were punctured through the median cubital vein, 10 through the cephalic vein, and 16 through the basilic vein. In 3 cases where the cephalic vein was initially punctured, the guidewire could not be inserted into the vein, requiring a switch to the basilic vein for successful insertion. Conclusion: Preoperative reasonable arrangement of operation time and strengthening of psychological nursing care, seamless cooperation with surgeons during the operation, and prioritizing puncture of the median cubital vein or basilic vein, with a puncture needle direction favoring the basilic vein during median cubital vein puncture, can significantly reduce operation time. This effectively avoids discomfort, such as back pain, caused by prolonged surgery. Postoperative observation of the patient’s condition and specialized nursing care can effectively reduce the occurrence of complications.

The Impact of Postpartum Urinary Incontinence on the Quality of Life, Stigma, and Postpartum Depression of Postpartum Women in Quanshan and Daqinjia Community Health Services Center

Mengzhen Zhang, Anna Liza Alfonso — Fri, 06 Jun 2025 16:58:37 +0800

Background: This study aimed to investigate the prevalence of PPUI, factors influencing it, and its association with quality of life, stigma, and postpartum depression. PPUI is generally linked to a low quality of life and poor mental health, though related studies from China are limited. Methods: The study involved postpartum women within 6 months in two communities of Zhaoyuan City. A quantitative, descriptive design was used, assessing PPUI, quality of life, stigma, and postpartum depression using the ICIQ-SF, I-QOL, SIS, and EPDS scales. Data collection included personal and postpartum life information. Results: The prevalence of PPUI was 31.37%. Women with PPUI had significantly lower quality of life and higher stigma compared to those without PPUI, with severity linked to worse outcomes (P < 0.001). While the impact on postpartum depression was not statistically significant (P = 0.59), moderate PPUI was associated with higher depression scores (P = 0.003). Multivariate analysis showed that PPUI severity significantly affected quality of life, stigma, and postpartum depression (Wilk’s Lambda = 0.494, P < 0.001). Women with moderate incontinence reported the worst quality of life, highest stigma, and more severe depression symptoms. Conclusion: Postpartum urinary incontinence significantly impacts quality of life and stigma, with moderate symptoms linked to increased postpartum depression. Early intervention and support from family and community are crucial for recovery. Strengthening pelvic floor training, raising public awareness, and reducing stigma are recommended. Further studies should explore the relationship between PPUI and postpartum depression and develop interventions to improve quality of life.

Path Analysis of the Influence of Self-Esteem Level on Disease-Related Stigma in Patients with Chronic Hepatitis B

Dezhen Cui, Peixiang Chen, Shan OuYang — Fri, 06 Jun 2025 17:00:13 +0800

This study aimed to investigate the pathways by which self-esteem affects stigma in patients with chronic hepatitis B (CHB). A survey was conducted on 201 hospitalized CHB patients at the department of infectious diseases in a tertiary hospital in Guangzhou. Data were collected using various scales and analyzed with SPSS 24.0. The findings indicated that 66.2% of patients experienced severe stigma. Self-esteem was positively correlated with stigma and its dimensions (r = 0.175–0.341, P < 0.05), emerging as a significant factor influencing stigma scores, negative self-evaluation, perceived humiliation, and secondary discrimination. Further analysis revealed that self-esteem indirectly affected stigma by mediating coping styles, perceived social support, and disease cognition. This study elucidates the mechanism of self-esteem in shaping stigma among CHB patients and provides a theoretical basis for targeted interventions.