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Evidence summary of limb management in transradial coronary intervention
TAN Junyang, MA Fang, HU Qiulan, ZHOU Hang, ZHU Zheng, MA Xueqin, BAI Yangjuan
Chinese Journal of Nursing    2022, 57 (13): 1572-1578.   DOI: 10.3761/j.issn.0254-1769.2022.13.006
Abstract755)   HTML8)    PDF (1269KB)(77)       Save

Objective The best evidence on the limb management of transradial coronary intervention was retrieved,evaluated and integrated to provide evidence-based support for clinical practice. Methods By an evidence-based approach,the literature was searched according to the ‘6S’ pyramid of evidence model,with a timeframe of the database establishment to June 2021. Research team members independently evaluated the quality of the various types of the literature,extracted information that met the criteria,and graded each piece of evidence. Results A total of 11 papers were involved,including 3 guidelines,6 systematic reviews and 2 expert consensuses. The final summary of 21 pieces of best evidence on the management of the limb of transradial coronary intervention covers 4 topics,including preoperative preparation and assessment,postoperative handover and observation,postoperative compression and decompression,activity occasion and patterns. Conclusion This study provides the best evidence for the limb management of the transradial coronary intervention. When translating the evidence,the best evidence should be selected in relation to hospital characteristics and clinical scenarios,in order to improve the quality of perioperative care of the radial artery puncture limb and enhance the comfort and safety of patients.

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A meta-synthesis of body image experience in patients with head and neck cancer
YAO Qianqian, PU Shuying, BAI Yangjuan, LIU Li, LUO Yanfang, WEI Ping, TAN Junyang
Chinese Journal of Nursing    2021, 56 (12): 1860-1867.   DOI: 10.3761/j.issn.0254-1769.2021.12.017
Abstract275)   HTML0)    PDF (1088KB)(4)       Save

Objective To systematically review body image experience of patients with head and neck cancer(HNC) and to provide healthcare professionals with foundations to develop interventions. Methods Qualitative studies on body image experience of HNC patients,published by December 2020,were searched in English and Chinese databases,including PubMed,Web of Science,Embase,Cochrane Library,PsyINFO,CINAHL,CNKI,Wanfang,VIP and CBM. The quality of included studies were evaluated by Joanna Briggs Institute Critical Appraisal Tool for qualitative studies. Results A total of 9 eligible studies were included. Based on the similarities of the extracted 44 findings,we concluded 7 new categories and further synthesized 3 integrated themes,including serious impact of body image change on HNC patients,various influencing factors of body image experience in HNC patients,and different coping strategies of body image issues in HNC patients. Conclusion Body image is a critical issue in HNC patients. To deal with this issue,more awareness and interventions should be given from healthcare professionals. Family supports are encouraged,with a balance with patients’ autonomy. More appropriate social and cultural attention to the body image issues in HNC patients are needed.

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