Background Both midline catheters (MCs) and peripherally inserted central catheters (PICCs) can cause catheter‐related bloodstream infection (CRBSI), but the prevalence associated with each is not clear. Objective To compare the risk of CRBSI between MCs and PICCs with a meta‐analysis. Methods The Web of Science Core Collection, PubMed, Scopus, Embase, The Cochrane Library and ProQuest were searched. All studies comparing the risk of CRBSI between MCs and PICCs were included. Selected studies were assessed for methodological quality using the Downs and Black checklist. Two authors independently assessed the literature and extracted the data. A fixed effects model was used to generate estimates of CRBSI risk in patients with MCs versus PICCs. Publication bias was evaluated, and meta‐analyses were conducted with RevMan 5.3. Results A total of 167 studies were identified. Ten studies were collected, involving 33,322 patients. The prevalence of CRBSI with MCs and PICCs was 0.58% (40/6,900) and 0.48% (127/26,422), respectively. Meta‐analysis showed that the prevalence of CRBSI was not significantly different between MCs and PICCs (RR = 0.77, 95% CI: 0.50–1.17, p = .22). While the result showed that the prevalence of CRBSI with MCs was lower than that with PICCs (RR = 0.55, 95% CI: 0.33–0.92, p = .02) after poor‐quality studies were removed. The sensitivity analysis shows that the results from this meta‐analysis are fair in overall studies and non‐poor‐quality studies. All studies have no significant publication bias. Conclusions This study provides the first systematic assessment of the risk of CRBSI between MCs and PICCs and provides evidence for the selection of appropriate vascular access devices for intravenous infusion therapy in nursing. The prevalence of CRBSI was not significantly different between them.
In order to explore the curative effect of early enteral nutrition nursing on patients with severe acute pancreatitis and the improvement of patients’ mental health and inflammation levels, this paper compares the curative effect of early enteral nutrition nursing and traditional care on patients with severe acute pancreatitis and the improvement effects of patients’ mental health and inflammation levels through controlled trials. Moreover, this paper combines statistical methods for data processing and visually expresses data through statistical graphs and statistical tables. Through the comparison of experiments, it can be seen that the improvement effect in all aspects of patients in the test group is significantly higher than that in the control group. Finally, through the analysis of the test results, it can be known that the use of early enteral nutrition nursing for patients with acute severe acute pancreatitis has a certain effect in improving their nutritional status, regulating immune function, and promoting mental health.
Background: The purpose of this study was to investigate the quality of life among adult liver transplantation patients and to explore the relationship between social support and quality of life in patients. Methods: This descriptive study contain 105 patients who underwent liver transplantation. The general information questionnaire, social support rating scale (SSRS), and post-liver transplant quality of life questionnaire (pLTQ) were used. The data analysis was conducted using SPSS 18.0 software, and independent t test, ANOVA, Pearson and correlation analysis were implemented. Results: The total score of social support in adult liver transplant patients was 45.35 ± 7.31, including subjective support dimension (26.84 ± 4.13), objective support (11.42 ± 3.40), and utilization of social support (7.09 ± 2.12). The total score of quality of life in adult liver transplant patients was 138.08 ± 26.31, including anxious (37.23 ± 9.86), physical function (26.60 ± 5.51), emotional function (21.23 ± 4.35), financial (12.59 ± 4.80), healthcare (24.89 ± 5.27), and complications (15.55 ± 3.38). The total score of social support was positively correlated with the total score of quality of life (r = 0.313), anxious (r = 0.299), physical function (r = 0.255), emotional function (r = 0.215), healthcare (r = 214), and complications (r = 217). Objective support was positively correlated with total score of quality of life (r = 0.246), anxious (r = 0.209), emotional function (r = 0.210) and complications (r = 0.293). Subjective support was positively correlated with total score of quality of life (r = 0.361), anxious (r = 0.404), physical function (r = 0.305), economy (r = 0.281), healthcare (r = 0.199), and complications (r = 0.238). Conclusions: There is a positive correlation between social support and quality of life after adult liver transplantation.
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