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The best evidence summary for the prevention of catheter related skin injuries in cancer patients with PICC
LIU Jing, LIU Chunfang, LI Xiuchuan, ZHANG Qi, YANG Xuening, LI Xueer, FANG Ziyan, ZHANG Jing
Chinese Journal of Nursing    2022, 57 (16): 1987-1994.   DOI: 10.3761/j.issn.0254-1769.2022.16.011
Abstract1210)   HTML0)    PDF (1098KB)(3)       Save

Objective To retrieve,evaluate,integrate the evidence of catheter related skin injuries prevention practices in cancer patients with PICC from home and abroad,and then summarize the relevant best evidence to provide evidence-based practice for clinical standardized management of catheter related skin injuries. Methods Evidence on prevention of catheter related skin injuries in cancer patients with PICC was systemically retrieved in the websites and databases,namely the BMJ Best Practice,UpToDate,Guidelines International Network,National Guideline Clearinghouse,National Institute for Health and Care Excellence,Scottish Intercollegiate Guidelines Network,Registered Nurses Association of Ontario,Intravenous Nurses Society,National Comprehensive Cancer Network,Oncology Nursing Society,medlive,Cochrane Library,Joanna Briggs Institute,PubMed,Embase,CINAHL,Taiwan academic literature database,CNKI,WanFang,VIP,SinoMed,including clinical decision-making,guidelines,evidence summaries,best practice,recommended practice,systematic reviews,expert consensuses,and government documents. The literature retrieval period was from the database construction to September 12,2021. The guidelines were individually evaluated by 4 experts,and the remaining literature was independently evaluated by 2 researchers. The literature that met the criteria was extracted and graded. Finally,the expert group integrated the evidence and summarized the evidence topics. Results A total of 12 articles were involved,including 1 government document,3 guidelines,4 evidence summaries,3 expert consensuses,and 1 systematic review. Finally,7 evidence topics and 26 pieces of best evidence were formed,including assessment,skin cleaning and antisepsis,dressing selection,operation and securement techniques,skin protection at PICC insertion site,patient education,supervision and training. Conclusion The best evidence of catheter related skin injuries in cancer patients with PICC can provide resources preparation for clinical transformation and offer nurses clinical decision-making for scientific and effective nursing practice. Specialist nurses should reasonably choose the best evidence for localized application,and constantly update the best evidence,standardize nursing practice,and ensure the safety of patients.

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Summary of best evidence of respiratory muscle training in patients with chronic obstructive pulmonary disease
YANG Xuening, LI Xue’er, WANG Song, FANG Ziyan, LIU Jing, Akimana Sandra, ZHANG Jing
Chinese Journal of Nursing    2022, 57 (1): 49-55.   DOI: 10.3761/j.issn.0254-1769.2022.01.007
Abstract747)   HTML8)    PDF (1107KB)(35)       Save

Objective Through systematic evidence retrieval and literature quality evaluation,the best evidence for respiratory muscle training in patients with chronic obstructive pulmonary disease (COPD) was extracted and summarized,so as to provide research-based evidence for respiratory muscle training in the clinical settings. Methods The evidence search was performed across 17 databases and official websites systematically,including UpToDate,BMJ Best Practice,Joanna Briggs Institute Library,Cochrane Library,British National Institute for Health and Care Excellence,Registered Nurses’ Association of Ontario,Canada,British Thoracic Society,Canadian Thoracic Society,American Thoracic Society,Thoracic Society of Australia and New Zealand,Web of Science,PubMed,Embase,Sinomed,CNKI,and Wanfang Database. The guidelines,expert consensuses,evidence summaries,systematic reviews,and randomized controlled trials were included. The retrieval timeframe was ranged from the establishment date of the databases or websites to October 31,2020. All literature was independently evaluated by 2 researchers,and they determined whether the literature met the standards and then extracted the data. Results A total of 12 pieces of literature were eligible for inclusion. They were 2 guidelines,2 expert consensuses,2 evidence summaries,and 6 systematic reviews. There were 21 pieces of best evidence with 7 dimensions being summarized,namely training purposes,training subjects,training places,training plans,training methods,quality control,and effectiveness evaluation. Conclusion The best evidence of respiratory muscle training in patients with COPD was summarized. It is recommended that health care professionals should fully consider the allocation of medical resources when they apply the evidence and formulate individualized and feasible training programs based on the needs and preferences of patients.

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