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Summary of best evidence for prevention and management of medical adhesive-related skin injury in neonates
ZHANG Juan, HE Jiao, LUO Li, ZHANG Lan, HAN Yanhong
Chinese Journal of Nursing    2022, 57 (8): 1008-1012.   DOI: 10.3761/j.issn.0254-1769.2022.08.018
Abstract628)   HTML1)    PDF (660KB)(21)       Save

Objective To retrieve and obtain relevant evidence on the prevention and management of medical adhesive-related skin injury(MARSI) in neonates to guide clinical practice. Methods We searched UpToDate,BMJ Best Practice,Guidelines International Network(GIN),National Guideline Clearinghouse(NGC),Registered Nurses Association of Ontario (RNAO),Medlive,Joanna Briggs Institute (JBI),Cochrane Library,Embase,PubMed,Science Direct,CNKI to collect relevant guidelines,recommended practice,evidence summaries,systematic reviews and expert consensuses published form January 1,2011 to February 18,2021. There were 2 researchers who evaluated the quality of the literature and extracted evidence according to the Australian JBI Centre for Evidence-Based Health Care’s literature evaluation criteria and evidence grading system. Results A total of 10 articles were included,including 2 guidelines,2 evidence summaries,2 systematic reviews,4 expert consensuses. A total of 18 pieces of best evidence were collected,mainly involving 5 aspects of skin assessment,skin protection,employment choices,operation methods,management and training. Conclusion This study summarized the best evidence for the prevention and management of MARSI in neonates. It suggests that the nursing administrators should take the actual situation into consideration to formulate relevant nursing measures in clinical practice. We should solve the problem of MARSI in neonates in a scientific way,which can reduce the occurrence of skin injury and improve nursing quality.

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A survey of non-psychiatric inpatients suicides from 45 general hospitals in Hubei Province,China
DING Xiaoping, HU Deying, WAN Qing, LIU Yilan, WANG Shujie, HAN Yanhong, LU Ruifei, MAO Shiqing, XU Ke
Chinese Journal of Nursing    2019, 54 (6): 861-867.   DOI: 10.3761/j.issn.0254-1769.2019.06.011
Abstract366)   HTML0)    PDF (1082KB)(7)       Save

Objective To understand the characteristics and influencing factors of suicidal behaviors of non-psychiatric inpatients in general hospitals in Hubei Province.Methods Using stratified-typical-target sampling method,50 general hospitals in Hubei Province were selected according to the ratio of 1∶1. All adverse event reporting system databases received between January 1st,2015,and December 31st,2017 were collected and analyzed to identify any events that involved suicide or suicide attempts occurred in the above hospitals.Results Totally 169 cases of non-psychiatric inpatients suicides were reported in 45 general hospitals. The incidence of inpatients suicidal behaviors in general hospitals was 3.48/100,000 admissions,the incidence of inpatients suicidal behaviors in secondary hospitals was 1.10 times higher than that in tertiary hospitals. Inpatients whose age≥60,with primary or junior high school education,unemployed or peasants,suffering from malignant tumors or chronic diseases,were more likely to commit suicide. Suicidal behaviors in hospitalized patients were more common in the spring,at 00:00-07:59 and within 1 week,mainly in the ward. The main suicide way was jumping from the buildings. The suicide completion rate was as high as 49.1%. Eleven hospitals had serious medical disputes due to suicide. The causes of suicide were mainly physical illness,family relationship,and family economy.Conclusion The incidence of inpatients suicidal behaviors in general hospitals is high. Administrators should provide training for healthcare providers on characteristics and influencing factors of inpatients suicidal behaviors,to improve focus and attention of healthcare providers towards suicide among inpatients.

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