Objective The scope of related research on ethical conflicts in the interprofessional collaboration in nursing was reviewed，so as to summarize the obstacles and coping strategies that lead to ethical conflicts in interprofessional collaboration and provide references for promoting nurse engagement in interprofessional collaboration. Methods Based on the methodological framework of the scope review，we systematically searched domestic and foreign databases including the Cochrane Library，CINAHL，Embase，PubMed，Web of Science，CNKI，VIP，Wanfang and SinoMed. The time limit for database retrieval was from the establishment of each database to March 2023. The selected studies were summarized and analyzed. Results Totally 13 articles published between 1991 and 2022 were included. The obstacle factors that lead to ethical conflicts in nurse engagement of interprofessional collaboration can be divided into 3 categories，including personal factors（insufficient professional knowledge，differences in professional values），interprofessional factors（imbalanced power between professions，lack of respect and collaboration between cooperators） and environmental factors（insufficient resources and staffing，high-intensity workload，and high-pressure work environment）. At the same time, in view of these 3 aspects, it puts forward some countermeasures, such as enhancing professional knowledge，strengthening interprofessional education，improving understanding and cooperation among medical workers in different wards，providing medical practitioners with a team-based，ethical work environment that facilitates interprofessional collaborations and open dialogues. Conclusion It is of great significance for nurses to get involved in interprofessional collaborations，in order to ensure high-quality nursing services. Further studies are needed for the development of education and the core competency framework construction for interprofessional collaborations in nursing. More attention should be paid to develop the organizational atmosphere at the same time，so as to continuously improve nurse’ capabilities in interprofessional collaborations.
Objective To develop a self-assessment scale for medication literacy in patients with coronary heart disease comorbidity diabetes and to test its reliability and validity. Methods According to medication literacy theory model，the initial scale was formed through literature review，the qualitative interview and expert inquiry. Cognitive interview was used to optimize the expression of item text. 421 patients with coronary heart disease comorbidity diabetes in a tertiary hospital in Zhejiang province from November 2022 to April 2023 were selected to investigate the reliability and validity of the scale by convenience sampling. Results The self-assessment scale of drug literacy for coronary heart disease comorbidity diabetes mellitus included 23 items in 5 dimensions including acquisition，understanding，communication，evaluation and calculation. The total Cronbach’s α coefficient of the scale was 0.911；the retest reliability was 0.948；the average content validity index was 0.997；the correlation coefficients between each dimension and total score of the scale and the calibration scale ranged from 0.485 to 0.926. The exploratory factor analysis was employed to extract 5 common factors，and the cumulative variance contribution rate was 73.753%. Confirmatory factor analysis showed that the scale factor structure was stable. Conclusion The scale has good reliability and validity，and it can be used as an effective tool to evaluate the self-rated medication literacy level of patients with coronary heart disease comorbidity diabetes.
Objective To analyze the effect of somatosensory movement combined with percutaneous acupoint electrical stimulation rehabilitation nursing program on rehabilitation training after neck lymph node dissection for thyroid cancer. Methods The convenient sampling method was used to select 90 patients with thyroid cancer who were admitted to the head and neck surgery department of a tertiary A hospital in Zhejiang Province from May 2021 to January 2022 after neck lymph node dissection. According to the random number table method，they were divided into a test group and a control group，with 45 patients in each group. The test group implemented so-matosensory movement combined with percutaneous acupoint electrical stimulation rehabilitation nursing program，and patients in the control group received routine rehabilitation nursing training，with a total duration of 12 weeks. The differences of the neck range of motion，shoulder joint function assessment and cancer patients’ quality of life between the 2 groups before the intervention and at the 1st，4th and 12th weeks after the intervention were com-pared. Results Before the intervention，there was no significant difference between the 2 groups in the scores of the functional dimension and symptom dimension in the cervical range of motion，shoulder function rating scale and the quality of life scale for cancer patients（P>0.05）. At the 1st，4th and 12th weeks after the intervention，there was an interaction effect between the 2 groups in the scoring time of the functional dimension and symptom di-mension in the cervical range of motion，shoulder function rating scale and the quality of life scale for cancer pa-tients（P<0.05）. Conclusion Somatosensory exercise combined with percutaneous acupoint electrical stimulation re-habilitation nursing program can improve the neck mobility and neck shoulder joint function of patients with thy-roid cancer after surgery，and improve the quality of life.
Objective To describe the change trajectory of cardiac rehabilitation information needs and self-management in patients undergoing percutaneous coronary intervention （PCI） at different time points，and to explore the correlation between them. Methods A longitudinal study was conducted. From June 2021 to January 2022，186 PCI patients who met the criteria were enrolled in the cardiology ward and cardiovascular clinic of a tertiary A hospital in Jiangxi Province. General information questionnaire，the Cardiac Rehabilitation Information Needs Scale and Coronary Heart Disease Self-Management Behavior Rating Scale were employed for follow-up at 1 day before surgery，3 days after surgery，and 1，3，and 6 months after discharge to evaluate the patients’ cardiac rehabilitation information needs and self-management behavior. Results 165 cases were finally included. The total demand for cardiac rehabilitation information and the scores of each dimension in perioperative PCI patients showed an overall upward trend，but the demand for diagnosis and treatment reached the peak before surgery and within 1 month after discharge，showing a dynamic change overall. Within 6 months after discharge，the total demand for cardiac rehabilitation information，self-management and scores of each dimension of PCI patients showed an overall downward trend，but the demand for risk factor management showed an upward trend within 3 months after discharge. Within 6 months after discharge，self-management，daily life management and medical disease management of PCI patients showed a downward trend，while emotional cognitive management showed an upward trend. There was a positive correlation between them at 1 month after discharge（r=0.185，P<0.05），and a negative correlation between them at 6 months after discharge（r=-0.174，P<0.05）. Conclusion The information needs，self-management and dimensions of cardiac rehabilitation in patients with PCI change dynamically during perioperative period and within 6 months after discharge. The self-management of PCI patients was positively correlated with the total demand for cardiac rehabilitation information at 1 month after discharge，and negatively correlated at 6 months after discharge. It is suggested that medical staff should strengthen the follow-up management of patients and meet the needs of patients in all aspects of disease rehabilitation，which can further improve the self-management ability of patients and help to reduce the rate of cardiovascular events and readmission.
To summarize the nursing experience of an adolescent with early repolarization syndrome who had implanted a subcutaneous implantable cardioverter defibrillator（ICD） and experiences frequent ventricular fibrillation. The main nursing care were as follows：recognizing a ventricular fibrillation attack and emergency care；risk prevention and handling in transportation；prevention of iatrogenic infection and strengthening protective isolation；promoting the recovery of brain function；personalized health education；pre-hospital first aid skills training for families. After careful treatment and nursing，the patient did not recur arrhythmia，and heart function had improved significantly，and the pulmonary inflammation disappeared. No medical-acquired infections occurred during hospitalization. The patient’s motor ability and language expression ability recovered to the baseline，and was discharged on the 20th day of admission. A month after discharge，the patient recovered well and could study and live normally.
Objective To construct a perioperative management program for breast reconstruction with deep inferior epigastric perforator flap with breast cancer，and to provide references for clinical practice. Methods The databases at home and abroad were searched to obtain the relevant literature，and the perioperative management program of breast reconstruction with inferior epigastric artery perforator flap for breast cancer was preliminarily constructed. 3 rounds of expert inquiries were conducted by Delphi method from October 2022 to January 2023 to determine the final content of the program. 14 patients who received breast reconstruction with deep inferior epigastric perforator flap in a tertiary hospital in Zhejiang Province from January to May in 2023 were selected as application subjects to implement the modified program and evaluate the clinical effect. Results A total of 15 experts completed 3 rounds of consultation. In the third round of consultation，the Kendall’s concordance coefficient of the importance of the first-level indicators was 0.347（P<0.05）；the Kendall’s concordance coefficients of the importance of the second and third-level indicators were 0.388 and 0.200（P<0.001）；the coefficient of variation of each indicator was 0~0.224. The final program included 3 first-level indicators，18 second-level indicators and 67 third-level indicators. The incidence of flap complications in 14 patients decreased by 11.9%. Conclusion The perioperative management program of breast reconstruction with deep inferior epigastric perforator flap for breast cancer is preliminarily applied in clinical practice，which is scientific，reliable and practical，and it can provide references for clinical nursing.
Objective To extract，evaluate and summarize the relevant evidence of thirst management of patients with oral tracheal intubation in ICU，and to provide evidence bases for medical staff for scientific management. Methods The BMJ Best Practice，CINAHL，Cochrane Library，Clinical Trials，Embase，PubMed，UpToDate，Web of Science，Guidelines International Network（GIN），National Guideline Clearinghouse（NGC），National Institute for Health and Clinical Excellence（NICE），Joanna Briggs Institute（JBI），Registered Nurses’ Association of Ontario（RNAO），Scottish Intercollegiate Guidelines Network（SIGN），CNKI，SinoMed，Wan Fang database，VIP database and Yimaitong Guidelines Network were systematically searched for clinical decisions，evidence summaries，guidelines，recommended practices，expert consensuses，systematic reviews，and randomized controlled trials and the retrieval time limit is from the establishment of the database to November 20，2022. 2 researchers who were trained in evidence-based nursing independently evaluated the quality of the literature，and extracted and summarized the evidence in combination with expert suggestions. Results A total of 17 articles were included，including 4 clinical decisions，1 evidence summary，4 systematic reviews，and 8 randomized controlled trials. 26 pieces of best evidence were summarized on the management of thirst in ICU patients undergoing oral tracheal intubation，including 4 aspects：identification of risk factors for thirst，evaluation，intervention，and evaluation of the effectiveness of intervention measures. Conclusion The best evidence summarized in this study can provide evidence-based bases for clinical medical staff to manage the thirst symptoms of patients with oral tracheal intubation in ICU. When applying evidence，medical staff should correctly use the evidence in combination with the patient’s wishes and specific clinical situations to solve the patient’s thirst problem.
Objective The current situation of disaster preparedness ability of clinical nurses in general hospitals was investigated and analyzed，and the possible factors affecting the disaster preparedness ability of nurses were discussed，so as to provide theoretical basis for carrying out targeted training to improve the disaster preparedness ability of nurses and guiding the dispatch of disaster rescue nurses. Methods From August to September 2022，with convenience sampling method and general information questionnaire and Readiness Estimate and Deploy Ability Index，clinical nurses from 2 to 3 tertiary general hospitals in each region were selected to conduct questionnaire survey. Results A total of 1 048 valid questionnaires were collected，and the total score of clinical nurses’ disaster preparedness ability was （118.71±29.17） scores，and the average score of each item was（3.21±0.79） scores. The scores of the items of identity were generally higher than those of the items of disaster rescue ability. Among the 6 dimensions of the scale，disaster care ability scored the lowest，with only（2.64±1.04） points. Nurses’ working years，educational background，batch treatment experience，confidence in completing diversified tasks and the unit’s normal first-aid training mechanism were the possible factors influencing clinical nurses’ disaster preparedness ability（P<0.05）. Conclusion In this study，nurses’ disaster preparedness ability was at a medium level，and the scores of various dimensions and items of disaster preparedness ability were significantly different. Affected by various factors，nursing managers should attach importance to the training of nurses’ disaster preparedness ability，establish an evaluation，hierarchical training and assessment mechanism，and continuously improve nurses’ comprehensive ability to deal with emergencies.
Objective To explore the effect of information-motivation-behavioral（IMB） model on self-efficacy of fathers of late preterm infants in support of breastfeeding. Methods A total of 86 fathers of late preterm infants who were transferred to the neonatology department immediately after delivery in a tertiary A hospital in Taiyuan City from October 2021 to February 2022 were conveniently selected as the research objects. According to the length of hospitalization，43 fathers from December 2021 to February 2022 were selected as the experimental group. 43 fathers from October to November 2021 were used as a control group. The experimental group received IMB model based on routine nursing，and the control group received routine nursing. The scores of self-efficacy of paternal breastfeeding support and exclusive breastfeeding rate were compared between the 2 groups at different time points. The scores of breastfeeding knowledge，behavior and attitude of the 2 groups were compared，as well as the incidence of insufficient lactation. Results The self-efficacy scores of fathers supporting breastfeeding in the experimental group were higher than those in the control group at discharge and 1 month after discharge，and the difference was statistically significant（P<0.001）. With the extension of time，the self-efficacy scores of each group increased gradually. The scores of fathers’ breastfeeding knowledge and behavior at discharge in the experimental group were higher than those in the control group；the incidence of maternal insufficient lactation in the experimental group was lower than that in the control group；the exclusive breastfeeding rate of preterm infants at 40 weeks，3 months and 6 months of adjusted gestational age was higher than that in the control group；the difference was statistically significant（P<0.05）. Conclusion Nursing intervention based on IMB model can effectively improve the self-efficacy and scores of breastfeeding knowledge，behavior and attitude of fathers of late preterm infants to support breastfeeding，reduce the pressure of fathers to take care of mothers and preterm infants，so as to increase the rate of exclusive breastfeeding of premature infants.
Objective To evaluate the puerperal fatigue status of women at advanced maternal age and to explore its influencing factors. Methods This study included 210 women at advanced maternal age who were reviewed on 42 days postpartum at 4 hospitals in Jinan from December 2019 to October 2020，and clinical data was collected by the General Information Questionnaire，Fatigue Scale，Pittsburgh Sleep Quality Index，Anxiety Self-Rating Scale，Edinburgh Postpartum Depression Scale，and Social Support Rating Scale. Univariate analysis and multiple linear regression were used to analyze the factors influencing the occurrence of puerperal fatigue in women at advanced maternal age. Results The fatigue score during the puerperium for women at advanced maternal age was（6.84±3.11），and the prevalence of fatigue was 94.61%. Multiple linear regression analysis revealed that pregnancy and childbirth history，delivery mode，anxiety，depression，sleep quality，and social support were the main factors influencing their level of fatigue（P<0.05）. Conclusion The puerperal fatigue level of women at advanced maternal age is at a high level. Healthcare workers should pay more attention to the assessment of fatigue levels during the puerperium and provide accurate and individualized postpartum psychological and physiological care.
Objective To construct a training program of sexual health care for patients with cervical cancer for gynecological oncology nurses,and provide references for the theoretical research and clinical practice of improving the sexual health care ability of gynecological oncology nurses for patients with cervical cancer. Methods Based on literature review and qualitative interview,the first draft of a letter inquiring about the training program of sexual health care on cervical cancer patients for gynecological oncology nurses was formulated. From September to December 2020,15 gynecological oncology medical experts,gynecological oncology nursing experts and sexual science experts from 4 provinces and cities of Beijing,Tianjin,Shanghai and Jilin Province were interviewed by Delphi experts for 2 rounds to formulate the training program of sexual health care on cervical cancer patients for gynecological oncology nurses. Results The effective recovery rates of 2 rounds of expert consultations were 93.75% and 100%. The authority coefficients of the authority coefficients were 0.843 and 0.853.The Kendall’ W was 0.429 and 0.326. The coefficient of variation of items in the second round was 0~0.115,and the full score rate is 20%~100%.The constructed training program of sexual health care on cervical cancer patients for gynecological oncology nurses consists of 3 parts,among which the training content includes 6 first-level indicators,16 second-level indicators,48 third-level indicators,and 6 training methods and 6 assessment methods. Conclusion The process of constructing training program of sexual health care on cervical cancer patients for gynecological oncology nurses is authentic and reliable,with distinctive specialty features,various training methods and assessment methods,which can meet the needs of sexual health care training for gynecological oncology nurses,and can promote the scientific and standardized development of sexual health care.
Objective To establish the rehabilitation program of external diaphragm pacer and to explore its preventive effect on ventilator-induced diaphragmatic dysfunction（VIDD） in patients with ICU non-invasive mechanical ventilation. Methods Through the literature review,group meeting and pre-experiment,a program was formulated to prevent VIDD in patients with non-invasive ventilation in ICU. Patients with non-invasive ventilation were conveniently selected from September 2020 to June 2021 in a respiratory intensive care unit of a tertiary hospital in Henan province. They were divided into 2 groups by random number table method. On the basis of routine nursing care,the experimental group was given the external diaphragm pacer training program,and the control group was given routine nursing program. The incidence of VIDD,diaphragm thickness score,diaphragm displacement and blood gas analysis were compared between 2 groups after the intervention. Results A total of 74 patients were included with 10 cases fallen off,and finally 64 cases were included with 32 cases in the experimental group and 32 cases in the control group. After the intervention,the incidence of VIDD was 6.25% in the experimental group,while that was 43.75% in the control group. The difference between 2 groups was statistically significant（P=0.001）. Conclusion The external diaphragm pacer rehabilitation program can reduce the incidence of VIDD and improve diaphragm and respiratory function in patients with ICU non-invasive mechanical ventilation.
This article summarizes the postoperative nursing experiences of 7 patients with Stanford type A aortic dissection with superior mesenteric artery ischemia. Nursing points include dynamic monitoring of abdominal symptoms and signs;anticoagulant therapy to prevent postoperative thrombosis;prevention and care of complications;providing nutritional support to promote recovery;moderately moving limbs and providing rehabilitation exercise guidance. After careful treatment and care, 7 patients were discharged from the hospital.
Objective To investigate the current status of grip strength level in elderly patients with mechanical ventilation in ICU,and to explore its influencing factors. Methods The convenient sampling method was adopted to select 218 elderly mechanical ventilation patients in ICU of a tertiary hospital in Zhejiang Province as the research subjects from January 2020 to December,and researchers completed the cross-sectional study by using a general information questionnaire,an electronic grip strength device,and the Nutrition Risk Scaling 2002. Multivariate linear regression was used to analyse the factors influencing the grip strength level of elderly patients with mechanical ventilation. Results The average grip strength level of elderly patients with mechanical ventilation in ICU was（13.8±4.7） kg. Multivariate linear regression analysis showed that gender,age,exercise mode,time of sedative drugs,and score of Nutrition Risk Scaling 2002 were the main factors influencing their grip strength level（P<0.05）. Conclusion Grip strength levels were relatively low in elderly patients with mechanical ventilation in ICU. Grip strength levels were lower in patients with mechanical ventilation who were female,elderly,previously unexercised,the time of using sedation medication for >5 d,and the score of Nutrition Risk Scaling 2002≥3. Nursing staff should strengthen the dynamic evaluation of grip strength in patients with mechanical ventilation and control the related influencing factors.
Objective To construct a scientific and practical training system for cardiac rehabilitation nurses,and to provide references for the training of cardiac rehabilitation nursing talents. Methods Based on Taylor’s model,the training system of cardiac rehabilitation nurses was preliminarily drawn up based on literature review and focus group discussion. Delphi expert inquiry method was used to conduct 2 rounds of expert inquiry by 20 experts in the field. Results The effective recovery rate of 2 rounds of expert letter inquiries was 100%,and the authoritative coefficient of the second round of letter inquiries to experts was 0.925. The final established cardiac rehabilitation nurse training system includes 4 parts,namely training objectives,training content,training management,and assessment and evaluation. Among them,training objectives include 3 first-level indicators and 22 second-level indicators;training content includes 15 first-level indicators and 73 second-level indicators;training management includes 6 first-level indicators and 11 second-level indicators;assessment and evaluation include 3 first-level indicators and 10 second-level indicators. Conclusion The construction process of cardiac rehabilitation nurses training system is scientific and reasonable,which can provide references for cardiac rehabilitation nurse training.
Objective To search,evaluate and integrate the relevant evidence for sexual health management in breast cancer patients,and to provide references for clinical practice. Methods We searched CNKI,CBM,UpToDate,PubMed,Cochrane Library,Joanna Briggs Institute,CINAHL,National Guideline Clearinghouse,National Comprehensive Cancer Network,American Society of Clinical Oncology,European Society for Medical Oncology for relevant clinical decisions,guidelines,systematic reviews,evidence summaries and expert consensuses. The retrieval period is from the establishment of databases to February 10,2022. Results A total of 17 articles were enrolled,including 4 clinical decisions,5 guidelines,4 expert consensuses and 4 systematic reviews. Totally 33 pieces of best evidence were summarized from 7 aspects,namely screening and evaluation,psychological intervention,instrumental and exercise intervention,non-hormone therapy,hormone therapy,related reproduction and training and follow-up. Conclusion This study summarized the best evidence for sexual health management in breast cancer patients. In clinical practice,nurses can personalize the application of evidence according to clinical situation and patients’ wishes to improve breast cancer patients’ sexual health.
Objective To design a birthing chair to support women with standing position during labor，and to evaluate its effectiveness on correcting occipital posterior position. Methods The birthing chair is composed of 7 components，such as the back of the chair，holding components，seat，standing pedal，et al. 100 women were selected from a hospital in Hangzhou between August and December 2020. They were randomly divided into an experimental group（n=50） and a control group（n=50）. Women in the experimental group were given the birthing chair and it was used to correct the occipital posterior position with the instruction of midwives，while women in the control group were applied the traditional position change method （lateral position + lateral prone position） to correct occipital posterior position. Indicators include the correction rate of occipital posterior position，mode of delivery and incidence of adverse events. Results The correction rate of occipital posterior position in the experimental group （86%） was significantly higher than that in the control group（56%），and the difference between 2 groups was statistically significant（P=0.001）. The rate of natural birth（88%） in the experimental group was higher than that in the control group（66%），while the rate of vaginal assisted delivery（4%） was lower than that in the control group （16%），and the rate of cesarean section（8%） was lower than that in the control group（18%）. The difference between 2 groups was statistically significant（P=0.009）. Conclusion The birthing chair to support women with standing position during labor can effectively correct the occipital posterior position，and increase natural birth rate. It is a convenient and safe birthing tool，which can improve women’s childbirth experience.
Objective To establish a hospital-community-home three-level linkage palliative care service model （hereinafter referred to as palliative care service model） for patients with advanced tumor,and to promote the development of regional palliative care. Methods On the basis of the literature research and expert group meeting,the initial draft of the palliative care service model was constructed. 20 palliative care experts were invited to conduct 2 rounds of correspondence to revise the items. The constructed palliative care service model was preliminary applied in 10 cases of tumor patients. Results The effective recovery rates of 2 rounds of question-naires are 100%. The second round of expert judgment coefficients was 0.84;the degree of familiarity of the experts was 0.91;the degree of authority was 0.93;the Kendall harmonic coefficient was 0.086~ 0.193. The finally formed palliative care service model includes 7 first-level indicators（model purpose,implementation agency,organiza-tional structure and time limitation,job responsibilities and requirements,implementation methods,core service content,evaluation and continuous improvement）,24 second-level indicators,30 third-level indicators and 19 fourth-level indicators. Conclusion The palliative care service model constructed in this study is comprehensive and scien-tific,and it can provide references for the whole-process care model of patients with advanced tumors in the region.
Objective To understand the status and training needs of humanistic nursing training for nurses,so as to provide bases for the development of humanistic nursing training programs and targeted humanistic nursing in-service training for nurses. Methods From August to September 2021,2 3707 nurses from 28 provinces were investigated by convenient sampling. A self-designed questionnaire was used and launched through the platform of Wenjuanxing. Results 99.71% of nurses had participated in at least a humanistic nursing training;54.61% of nurses had 26 training experiences;the training rate and demand rate of 26 humanistic nursing training contents were 74.63%~98.30% and 88.75%~96.35%,respectively. The main ways for nurses to participate in training were pre-job training（77.08%）,stratified core competence training（73.56%）,and hospital public training（72.92%）. The training forms mainly included theoretical teaching（85.96%）,video learning（72.61%）,and case teaching（64.17%）. The majority of trained teachers were nursing managers （89.19%）. Single training form （49.42%）,lack of targeted content（46.78%）,unsystematic training courses（37.47%）,weak training teachers（36.87%） are the main problems existing in the current training. 95.02% of the nurses thought that it was necessary to establish systematic and standardized humanistic nursing practice ability training courses for clinical nurses;87.93% of the nurses thought that it was necessary to carry out humanistic nursing specialized nurse training;46.19% of the nurses chose the training mode of theory and practice. 93.54% of nurses hope to receive theoretical knowledge training online. Conclusion Humanistic nursing in-service training of nurses in China has a wide range of training content,high training rate,and great training demand. The training courses,training forms,and training teachers should be further advanced. It is urgent to standardize the humanistic nursing in-service training program and construct a humanistic nursing training mode to improve the training effect.
Freezing of gait（FOG） is common in patients with Parkinson’s disease（PD）. The incidence of FOG in PD patients in China is close to 50%. In order to effectively respond to and control FOG,it is important to choose scientific and effective assessment tools for objective and accurate evaluation. The application status of the common assessment tools for FOG in patients with PD at present is introduced in this review,in order to explore the advantages and disadvantages of these tools,so as to provide the basis for the selection of the best evaluation tools for patients.
Objective To evaluate the effect of threshold-pressure inspiratory muscle training on pulmonary rehabilitation and quality of life in asthma patients by meta-analysis. Methods We searched the Cochrane Library,PubMed,Embase,Web of Science,Wanfang,CNKI,VIP,and CBM databases for randomized controlled trial studies on the effects of inspiratory muscle training on pulmonary rehabilitation and quality of life in patients with asthma. The search time is from the establishment of databases to January 6,2021. After the quality evaluation,meta-analysis was performed using RevMan 5.3 software. Results A total of 10 publications including 456 patients were included,and the meta-analysis showed that threshold-pressure inspiratory muscle training improved patients’ forced vital capacity[SMD=0.90,95%CI（0.68,1.11）,P<0.001],forced expiratory volume in a second[SMD=0.62,95%CI（0.41,0.83）,P<0.001],peak expiratory flow [WMD=0.32,95%CI（0.01,0.62）,P=0.040],maximum voluntary ventilation[WMD=11.89,95%CI（6.42,17.37）,P<0.001],and maximum inspiratory pressure[SMD=29.76,95%CI（18.15,41.36）,P<0.001],reduced their dyspnea[SMD=-0.51,95%CI（-0.95,-0.06）,P<0.001],and increased their 6-min walk distance[WMD=77.13,95%CI（24.58,129.67）,P=0.004]. However,the difference in improving their quality of life was not statistically significant[SMD=1.21,95%CI（-2.11,4.52）,P=0.480]. Conclusion Threshold-pressure inspiratory muscle training can significantly improve patients’ lung function indicators,enhance respiratory muscle strength,reduce dyspnea,and increase 6-min walking distance in asthmatic patients,but the effect in improving quality of life is not significant,and more clinical high-quality studies need to further verify its effectiveness.
Cardiac rehabilitation can help to reduce the total mortality of 13%~24% of patients and 31% of the hospital readmission rate within one year in the secondary prevention of cardiovascular disease. It's the first-level recommendation for cardiovascular disease prevention,but patients always have low compliance. The emergence of virtual reality technology has helped to break the limitations of traditional cardiac rehabilitation time,location and traffic,and to increase the participation of patients in cardiac rehabilitation,which has become an auxiliary means of cardiac rehabilitation. This article reviews the development,technical types,using methods,precautions and application effects of virtual reality technology in cardiac rehabilitation,and provides a reference for the development of virtual reality technology in cardiac rehabilitation in our country.
Objective To develop a Gout Patient Self-management Scale and to test its reliability and validity. Methods Based on self-management theory,literature review and semi-structured interview,the provisional Gout Patient Self-management Assessment Scale was formed by Delphi technique and pilot investigation. Totally 260 gout patients were recruited to perform the item analysis for the provisional scale. Other 317 gout patients were investigated to test the reliability and validity of the final scale. Results The Gout Patient Self-management Assessment Scale consisted of 41 items in 4 dimensions. The Cronbach’s α coefficient of the total scale was 0.962;split-half reliability coefficient was 0.842;2-week test-retest reliability was 0.904. 4 common factors were extracted by exploratory analysis and the cumulative variance contribution rate was 60.779%. The content validity index（S-CVI） of the total scale was 0.905. Conclusion The Gout Patient Self-management Assessment Scale is a reliable and valid scale for measuring the self-management ability of gout patients.
Objective To translate and revise the Quality of Oncology Nursing Care Scale（QONCS） into Chinese,then to assess the reliability and validity of the Chinese version of the Quality of Oncology Nursing Care Scale（C-QONCS）.Methods Standard forward-back translation techniques were used in the translation of the QONCS according to the Brislin translation model. Cross-cultural revision of the translated QONCS was carried out through group discussion and pilot test. Totally 612 patients with advanced cancer were recruited and investigated using general information questionnaire and the C-QONCS by convenient sampling,and its reliability and validity were assessed.Results The C-QONCS had 5 dimensions：being supported and confirmed（16 items）,spiritual caring（6 items）,sense of belonging（5 items）,being valued（4 items）,being respected（3 items）. The Cronbach’s a coefficient for the overall scale was 0.946,and ranging from 0.735 to 0.928 for each domain. Split-half reliability was 0.879 for the overall scale,and 0.683~0.864 for each domain. Test-retest reliability was 0.867 for the overall scale,and 0.837~0.889 for each domain. Analysis of content validity of the C-QONCS indicated that I-CVl was at least 0.86,S-CVl was 0.97.Conclusion The reliability and validity of C-QONCS are satisfactory and well meet the requirements of psychological measurement,indicating C-QONCS is a reliable and valid instrument in the context of Chinese culture,and can be used to assess the quality of oncology nursing care.
Objective To construct a nursing education knowledge system on dementia suitable for geriatric practicing nurses,and to provide reference for developing targeted training programs.Methods Based on literature research,semi-structured interviews and group discussion,the first draft of inquiry questionnaire was established. Delphi method was used to conduct two rounds of consultation with 21 experts in dementia-related fields.Results Response rate of two rounds of consultation was 100%, respectively. Experts’ authority coefficient was 0.900,judgment coefficient and familiarity coefficient was 0.820,and the coefficients of concordance were 0.425,0.256 for two levels of indicator. The final knowledge system consisted of six first-level indicators, and 81 second-level indicators.Conclusion The nursing education knowledge system on dementia for geriatric practicing nurses was scientific and practical, which can provide reference for making training programs on dementia.
