Objective To identify the factors associated with frailty in lung transplant patients by a meta-analysis. Methods Computerized search was performed for studies on the influencing factors of frailty in lung transplant patients in the CNKI， WanFangData， VIP， CBM， PubMed， Web of Science， Embase， Elsevier ScienceDirect and CINAHL databases. The search was conducted from the time of database construction to November 2023. Literature screening， quality assessment， and data extraction were performed independently by 2 investigators， and Meta-analysis was performed using Stata 17.0 software. Results 10 cohort studies， including 1 999 patients， were finally included， and 13 influencing factors were extracted， including advanced age （OR=1.05）， female （OR=2.50）， BMI （OR=0.38）， diagnosis of primary pulmonary disease （OR=2.90）， 6MWD （OR=0.34）， and lung allocation score （OR=0.69）， FVC （OR=0.60）， pre-transplant frailty （OR=0.81）， hypoproteinemia （OR=4.12）， hemoglobin （OR=0.50）， anemia （OR=4.37）， length of ICU stay （OR=1.24）， and total length of stay （OR=1.05）. Short Physical Performance Battery is an assessment tool for frailty in lung transplant patients， with an incidence of frailty in 24% before transplantation and 50% in post-transplantation. Fried Frailty Phenotype is an assessment tool for frailty in lung transplant patients， with a pre-transplant frailty incidence of 30%. Conclusion There are many factors involved in the incidence of frailty in lung transplant patients， and nursing staff should dynamically evaluate the frailty of lung transplant patients， and give individualized and precise interventions in combination with a multidisciplinary model to improve or delay the progression of frailty.
Objective To retrieve，evaluate and summarize the best evidence of early mobilization in awake patients on extracorporeal membrane oxygenation，and to provide a reference for clinical practice. Methods UpToDate，BMJ Best Practice，Registered Nurses’ Association of Ontario，National Guideline Clearinghouse，National Institute for Health and Care Excellence，Yimaitong，Joanna Briggs Institute Library，Cochrane Library，CINAHL，PubMed，SinoMed，CNKI，Wanfang Database，Vip Database and Extracorporeal Life Support Organization Website were researched to collect the literature，including clinical guidelines，expert consensuses，evidence summaries，systematic reviews，and well-designed original studies. The time limit for retrieval was until June 2023. The quality of literature and the level of evidence were evaluated by the evaluation criteria and evidence grading system of JBI Evidence-Based Health Care Center. Results 14 pieces of the literature were included，including 2 clinical guidelines，4 expert consensuses，5 systematic reviews，2 cohort studies and 1 case series. Totally 33 pieces of evidence were summarized，covering 7 aspects：adaptation conditions for the implementation of awake ECMO，team composition，comprehensive assessment，pre-mobilization preparation，mobilization content，prevention and control of adverse events，and effect evaluation. Conclusion The study summarizes the best evidence of early mobilization in awake patients on extracorporeal membrane oxygenation. It is suggested that medical institutions establish a professional team for the early mobilization of awake ECMO patients，apply the best evidence to standardize the early mobilization process，and formulate an individualized mobilization program.
Objective To evaluate the effect of remote interventions with digital health technologies in lung transplant patients. Methods Databases，including CKNI，Wangfang，VIP，CMB，Cochrane Library，PubMed，Embase，Web of Science，Scopus and BMJ Best Practice were searched from their inception to July 2023. There were 2 researchers who independently screened and extracted the literature，and then evaluated quality of the included studies. Meta-analysis was performed using RevMan 5.2. Results 10 studies with 1 262 patients were included. The results of meta-analysis showed that compared with conventional intervention，remote intervention based on digital health technology could improve self-monitoring compliance of lung transplant patients[OR=0.64，95%CI（0.46，0.88），P=0.006]，improve quality of life including mental health status[OR=3.08，95%CI（0.41，5.74），P=0.020] and physical health status[OR=3.81，95%CI（1.19，6.43），P=0.004]. In terms of the intervention forms，the application-based remote intervention had better self-monitoring compliance，and the difference was statistically significant（P=0.007）. However，in terms of the comparison of readmission rate[OR=1.73，95%CI（0.98，3.04），P=0.060]，anxiety[OR=-0.12， 95%CI（-1.36，1.11），P=0.850]，and depression[OR=0.62，95%CI（-0.80，2.03），P=0.390]，the effect of intervention was unclear. Conclusion Remote intervention based on digital health technology can improve self-monitoring compliance and quality of life in lung transplant patients；applications are the optimal form of intervention. Limited by the quality and quantity of included studies and the heterogeneity of study results，more high-quality studies are needed to further verify the effects of digital health technology on readmission rates，anxiety and depression of lung transplant patients.
Objective To search，evaluate and summarize the best evidence of assessment and nursing for hemorrhagic cystitis patients undergoing hematopoietic stem cell transplantation，so as to provide a reference for clinical practice. Methods Evidence-based method was used to search the relevant literature according to the "6S" evidence pyramid model. The time limit for the literature search is from the inception of databases until May 30，2022. Results A total of 14 pieces of literature were included，including 1 clinical decisional support，2 guidelines，1 best practice report，3 consensuses，7 systematic reviews. Totally 23 pieces of evidence were summarized with 6 topics，including assessment of risk factors，auxiliary examination assessment，symptom assessment，lifestyle guidance，medication-based prevention，and comprehensive intervention. Conclusion This study summarizes the best available evidence for the assessment and nursing for hemorrhagic cystitis patients undergoing hematopoietic stem cell transplantation. It is recommended that health care providers should fully consider the actual situation of patients，in order to correct assessment and effective intervention.
Objective To summarize the valuable experience of the specialist nurse team in the multidisciplinary outpatient care on weight-loss. Methods The team consists of diabetes nurses,nutrition nurses,rehabilitation nurses,psychiatric nurses and traditional Chinese medicine nurses,providing a comprehensive assessment,individualized weight management and follow ups based on metabolic,nutritional and behavioral aspects for patients in outpatient setting. Results Our specialist nurse team followed 47 patients for 6 months.Body weight,total cholesterol（TC）,triglyceride（TG）,low density lipoprotein cholesterol（LDL-C） and insulin resistance index（HOMA-IR） were significantly reduced compared to baseline. Moreover,the prevalence of unhealthy lifestyle,anxiety and depression was also significantly lower than baseline（P<0.05）. Conclusion The specialized nurse team has provided the comprehensive and standard weight management for overweight or obese patients,which helps the patients to lose weight,improve anxiety,depression and metabolism state in the multidisciplinary outpatient care on weight loss.
Objective To assess the incidence and risk factors of postoperative nausea and vomiting（PONV） in liver cancer patients,and to provide references for clinical nursing intervention. Methods We used consecutive sampling method to select liver cancer patients who underwent liver resection at Zhongshan Hospital of Fudan University from October 2020 to April 2021. A total of 352 patients were prospectively studied. PONV was assessed after 2 hours,6 hours and 24 hours after surgery,respectively. Demographic data,disease information,and surgery information were collected to analyze the risk factors. Results The overall incidence of PONV in liver cancer was 48.30%（170 cases）,of which 58.82%（100 cases） developed within postoperative 2 hours,20.00%（34 cases） developed between 3-6 hours after surgery,and 21.18%（36 cases） developed between 7-24 hours after surgery. Logistic regression identified the female,length of surgery,PONV history or motion sickness history,time of portal vein occlusion≥15 min and age<60 years old as risk factors of PONV. Conclusion The incidence of PONV within 24 hours in liver cancer was high.Nurses should pay much attention to those who were female at a younger age,with longer surgery,PONV or motion sickness history,longer time of portal vein occlusion,and take preventive measures to avoid or reduce PONV.
The nursing experience of domestic long distance transportation in critically ill children with the support of extracorporeal membrane oxygenation（ECMO） was summarized,including the formulation of transport plans,transport goods,the preparation of children and notification of the target department,transferring to the ambulance stretcher,transferring to the ambulance,management of children during transferring and ECMO,handover after transport,the processing of complications and accidents,etc. Through careful planning,teamwork and targeted nursing management,all the 34 critically ill children with ECMO support arrived safely in long-distance transportation,and no child died. Finally,children were successfully taken offline and recovered and discharged.
Objective To search,evaluate and summarize the best evidence of the related operation techniques for electronic measurement of central venous pressure（CVP）. Methods According to the “6S” pyramid model,the computer literature retrieval was carried out by using evidence-based nursing method,including guidelines,recommended practices,evidence summaries,expert consensuses,randomized controlled studies,etc. The search time is from 1 January 2005 to 31 December 2020. 2 researchers independently evaluated the literature quality using the appraisal of guidelines for research and evaluation Ⅱ and the corresponding evaluation standard（2016） of JBI Evidence-based Health Care Center in Australia. Combined with the judgment of professionals,the qualified literature was extracted and graded according to JBI Evidence Pre-grading System（2014 edition）. Results A total of 28 pieces of literature were included,including 2 guidelines,4 expert consensuses,4 systematic reviews,13 randomized controlled studies,1 diagnostic test and 4 descriptive cross-sectional studies. Evidence was summarized from 7 aspects,including access selection,elimination of other interference factors,patient position,sensor zero calibration and position,analysis of waveform and accurate reading,equipment management and personnel training,and 30 pieces of best evidence were formed. Conclusion This paper summarizes the best evidence of relevant operating techniques of CVP electronic measurement,which provides an evidence basis for improving the accuracy and operation standardization of clinical CVP measurement.
