Shuting He’s research while affiliated with Tianjin First Central Hospital and other places

This study was aimed to explore the application value of ultrasound-guided peripherally inserted central catheter (PICC) combined with predictive nursing in the treatment of large-area severe burns. 88 patients with large-area severe burns who visited hospital were chosen as the research objects. They were randomly divided into the observation group and the control group, with 44 cases in each. The patients in the observation group were treated with ultrasound-guided PICC combined with predictive nursing, while those in the control group were treated with traditional PICC and nursing methods. Then, the anxiety of patients was compared between groups by the Self-rating Anxiety Scale (SAS), while the depression was compared by the Self-rating Depression Scale (SDS). The pain of the patients was analyzed by the McGill Pain Questionnaire (MPQ), and a self-made nursing satisfaction questionnaire was adopted to evaluate the nursing satisfaction. The surgery-related indicators of the patients were detected and recorded (the success rate of one-time puncture, the success rate of one-time catheter placement, incidence of complications, heart rate, blood pressure, etc.). The success rates of one-time puncture (93% vs. 86%) and of catheter placement (95% vs. 81%) in the observation group were significantly higher than those in the control group, P

Background Burn mainly refers to the damage caused by high temperature to the skin and mucous membrane tissue. Seriously, it causes damage to the subcutaneous tissue or subcutaneous mucous membrane, which is easy to induce infection and poses a threat to the life safety of patients.For patients with deep burns, surgical removal of damaged skin and mucosal tissue, Postoperative,immediate coverage of surgical wounds,avoid infection due to body fluid and energy loss with related tissue necrosis.The clinical treatment period for critical burn patients is longer and high incidence of postoperative complications.The corresponding nursing intervention while undergoing treatment can help to eliminate the impact of the bad psychological state on the patients, improve the treatment compliance, and reduce the occurrence of complications. Objective Evaluation of the value of predictive health intervention in preventing thrombosis associated with Peripherally Inserted Central Catheter (PICC) via peripheral vein in critically ill burn patients Methods Select 90 patients with severe burn treated by PICC infusion from January 2019- February 2021, Group by reference to intervention methods, with 45 using conventional health intervention (control group) and another 45 using predictive health interventions (observation group). The incidence of pulmonary and wound infection, the incidence of adverse events associated with PICC catheterization and wound healing time were recorded in the two groups. The degree of pain was evaluated by visual simulation (VAS) score, and the differences of platelet, D- dimer (D-D) and hemodynamics were detected in the two groups Results The incidence of pulmonary infection, PICC associated thrombus and total adverse events in the observation group was lower, and higher rate of functional recovery,but less wound healing time with control group,which had statistical significance (P<0.05) .Incidence of wound infection, incidence of catheter blockage, incidence of unplanned extubation,the difference was not statistically significant (P>0.05) .Comparison before intervention/The pain score decreased at 7 ck 14d> 21d (P<0.05), and the observation group was lower than the control group (P<0.05) .Intervention of the 7d, 14d two sets all platelet elevation (P< 0.05) ,but D-D concentration decreases (P< 0.05) .Intervention of the 7d> 14d two sets was increased of the intrathoracic blood volume index (ITBVI) (P<0.05) , but extravascular lung water index (EVLWI) and mean arterial pressure (MAP) the difference was not statistically significant (P>0.05). Conclusions Predictive health intervention can reduce the pain degree of critically burned patients, reduce the incidence of adverse events such as infection and PICC-related thrombosis, and promote wound recovery.