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Telehealth intervention in the continuous nursing of patients with lung transplantation:a scoping review
HU Shujing, WANG Yi, GAO Bao, ZHU Hong, YANG Dongxia, QI Xingyu, SUN Jing
Chinese Journal of Nursing    2023, 58 (14): 1773-1779.   DOI: 10.3761/j.issn.0254-1769.2023.14.015
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Objective To identify the specific interventions,content elements and application effects of telehealth,so as to provide the guidance for future research. Methods The literature was retrieved from PubMed,Embase,Cochrane Library,Web of Science,CNKI,Wanfang,and CBM databases. The included studies were summarized and analyzed. The search time was from the establishment of the databases to January 5th,2023. Results A total of 29 articles were included. The intervention forms included application,portable electronic device,network communication software,and website. The content elements included remote monitoring,education,rehabilitation,outpatient,psychological and cognitive intervention. The outcome types were mainly physiological indicators,psychological indicators,self-management,clinically outcome,and feasibility. Conclusion The main forms of continuous nursing are mobile applications and portable electronic devices. Comprehensive content and rich functions of devices are more favored by patients. Telehealth intervention is feasible,safe,and effective. Medical workers can further broaden the service of continuous nursing for patients with lung transplantation by remote technology. In the future,studies on telehealth intervention are still needed to promote the health of patients and improve the outcomes of patients.

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Exercise intervention in the rehabilitation of patients with lung transplantation:a scoping review
WANG Ruiting, SUN Jing, WEI Changyun, PENG Fucong, YANG Luo, ZHANG Bei, HU Shujing, LIU Hongxia
Chinese Journal of Nursing    2022, 57 (6): 680-687.   DOI: 10.3761/j.issn.0254-1769.2022.06.006
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Objective To identify the specific intervention content,methods and effects of exercises,so as to provide the guidance for future research.Methods A literature search was performed in the CNKI,Wanfang,CBM,the Cochrane Library,PubMed and Embase to identify relevant studies. The included studies were summarized and analyzed.Results Totally 25 studies were included,of which 9 were randomized controlled trials and 16 were quasi-experimental studies. The results showed that exercise methods can be divided into 3 categories,namely aerobic exercise,resistance exercise and flexibility exercise. The intensity of exercise was mostly low to moderate. The frequency of exercise was mostly 3~5 times per week,lasting for 30-60 minutes per session. The results showed that exercises had positive effects on respiratory function,exercise ability,quality of life and mental health of lung transplant patients.Conclusion Exercise intervention is holistic,dynamic and comprehensive,with a positive effect on lung transplant patients. Future research should focus on exploring the best exercise intervention strategies,formulating standardized and unified evaluation standards,and formulating scientific,applicable and standardized exercise training programs for lung transplant patients based on the condition and physical function of lung transplant patients.

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Care needs in lung transplant recipients at home:a meta-synthesis of qualitative research
HU Shujing, SUN Jing, PENG Fucong, WANG Ruiting, WEI Changyun, GUO Xuejie, LIU Hongxia
Chinese Journal of Nursing    2021, 56 (10): 1576-1583.   DOI: 10.3761/j.issn.0254-1769.2021.10.022
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Objective To systematically review and synthesize qualitative studies on the care needs of lung transplant recipients at home and to provide evidence-based guidance for the development of educational programs and the implementation of continuous care. Methods We searched databases including PubMed,Embase,Web of Science,Cochrane Library,CINAHL,ProQuest,CNKI,Wanfang Data,VIP and CBM from inception to August 2020,to collect qualitative studies exploring the care needs of lung transplant recipients at home. The Joanna Briggs Institute Critical Appraisal Tool for qualitative studies in Australia(2016 edition) was used to evaluate the quality of included studies. The results were synthesized by integrating methods. Results A total of 11 studies were included,with 60 complete research findings grouped into 11 categories by their similarities. 4 integrated findings were synthesized,namely informational needs,physiological needs,psychological and spiritual needs,and societal needs. Conclusion The care needs of lung transplant recipients at home were diverse and special. Transplantation teams should pay more attention to the care needs of this population,and provide education,monitoring,pulmonary rehabilitation,and social support for discharged recipients,in order to improve the self-management ability and their quality of life.

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