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Development of the Medical Adhesive Related Skin Injury Risk Assessment Scale in Cancer Patients and the test of its reliability and validity
YUE Lan, XU Yan, LI Zhen, YANG Changyong, GU Yujun, WANG Meng, LI Leilei
Chinese Journal of Nursing    2022, 57 (8): 964-969.   DOI: 10.3761/j.issn.0254-1769.2022.08.011
Abstract515)   HTML1)    PDF (818KB)(9)       Save

Objective To develop a Medical Adhesive Related Skin Injury Risk Assessment Scale in Cancer Patients,and to test its reliability and validity. Methods The scale was compiled on the basis of literature analysis,group discussion and 2 rounds of expert consultations. Using the convenient sampling method,a total of 306 patients in departments of oncology of 3 tertiary A hospitals in Henan Province from March to July 2021 were selected for questionnaire survey to test the reliability and validity of the scale. Results The scale includes 7 dimensions,including patient factors,disease history,laboratory examination,skin status,adhesive properties,treatment cycle and catheter maintenance factors,with a total of 25 items. 7 common factors were extracted by exploratory factor analysis,and the cumulative variance contribution rate was 77.52%;the load values of each item in its common factor were 0.63~0.96;the content validity index at the scale level was 0.91,and the content validity index at the item level was 0.81~1.00. The area under the operating characteristic curve of the scale for predicting the risk of medical adhesive related skin injury in cancer patients was 0.87(P<0.001,95%CI :0.72~0.83);the cut-off value was 27.50 points. The Cronbach’s α coefficient was 0.81 and the half reliability was 0.55. Conclusion The risk assessment scale constructed by this study has good reliability and validity,and it can be used to assess the risk of medical adhesive related skin injury in cancer patients.

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Meta-synthesis of qualitative research on the psychological experience of chemotherapy-induced alopecia in cancer patients
GU Yujun, ZHANG Guozeng, FENG Xianling, BAI Yang, YUE Lan, WANG Meng
Chinese Journal of Nursing    2022, 57 (7): 872-879.   DOI: 10.3761/j.issn.0254-1769.2022.07.017
Abstract426)   HTML0)    PDF (1103KB)(4)       Save

Objective To systematically analyze the effects of chemotherapy-induced alopecia on the psychological experience of cancer patients. Methods PubMed,Web of Science,Embase,Medline,Cochrane Library,CINAHL,PsycINFO,JBI Library,CNKI,Wanfang Data,VIP Data and China Biology Medicine disc were searched to collect qualitative research on the psychological experience of cancer patients with chemotherapy-induced alopecia. The retrieval period was from inception to September 2021. The quality of studies was evaluated according to JBI Critical Appraisal Tool for qualitative research(2016). Meta-synthesis was applied to integrate the results. Results A total of 60 results were extracted from 14 studies. Similar results were summarized into 12 groups,and 3 integrated results were synthesized,including alopecia affecting both physical and mental health,taking active countermeasures,difficulties and challenges. Conclusion Alopecia affected mental health,physical health,and social relationships of cancer patients. Nurses should pay more attention to patients’ cognition and experience of alopecia,encourage patients to actively cope with it,and take corresponding interventions to help cancer patients overcome the troubles caused by alopecia,and thus enhance their quality of life.

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