To summarize the nursing experience of a patient with diabetic nephropathy who underwent xenogeneic islet transplantation after kidney transplantation. The key points of nursing mainly include：establishing a multidisciplinary diagnosis and treatment team before surgery，improving relevant examinations and preparations，and ensuring the safety of surgery；postoperative dynamic anticoagulant therapy and bleeding observation and nursing to prevent rejection and infection. The goal-oriented blood glucose management was implemented in the whole process，and systematic health education and personalized psychological nursing were carried out.After careful specialized nursing，the patient recovered on the 26th day of hospitalization and was discharged from hospital. Up to now，the patient has completely separated from exogenous insulin treatment.
Objective The purpose is to translate the Hematology Information Needs Questionnaire（HINQ） into Chinese，and to test its reliability and validity. Methods The cross-cultural adaption guide of Beaton was used to translate the scale. The reliability and validity of the HINQ were tested through a survey of 362 patients with hematologic neoplasms in a tertiary specialized hospital in Tianjin by convenience sampling from October to December 2021. Results 345 valid questionnaires were collected. The Chinese version of the scale included 7 dimensions of disease（with 10 items），treatment（with 19 items），etiology（with 3 items），sleep and physical changes（with 6 items），self-care（with 7 items），medical tests and prognosis（with 11 items），psycho-social aspect（with 6 items），with a total of 62 items. In exploratory factor analysis，the cumulative variance contribution of 7 common factors was 73.963%. The item-level content validity index of the Chinese HINQ is 0.830~1.000，the scale-level content validity index is 0.949；Cronbach’s α coefficient for the overall scale was 0.986，and the Cronbach’s α coefficients of each dimension ranged from 0.903~0.976； the test-retest reliability of the total scale was 0.896，and the split half reliability coefficient was 0.917. Conclusion The scale has good reliability and validity，and it can be used as an assessment tool for the information needs of patients with hematologic neoplasms.
Objective To investigate the status and factors associated with fear of progression in recipients of renal transplantation. Methods By using the convenient sampling method,221 recipients of renal transplantations were selected from February to June 2021 in a tertiary hospital in Changsha. General information questionnaire,Fear of Progression Questionnaire-Short Form,Positive Psychological Capital Questionnaire,Brief Illness Perception Questionnaire,Distress Disclosure Index were used to conduct the investigation. Results The score of fear of progression of recipients of renal transplantation was (28.13±7.87) ;51 cases (23.08%) were≥34 points;the positive psychological capital score was (124.05±21.06) ;the illness perception score was (37.67±11.10) ;the distress disclosure score was (36.09±8.98). Multiple linear regression analysis showed that illness perception and positive psychological capital were the influencing factors of fear of progression (P<0.05),which explained 35.3% of the total variation. Conclusion The incidence of fear of progression in recipients of renal transplantation is high,which is generally in the middle level. Clinicians should pay attention to the psychological status of renal transplant recipients,and reduce recipients’ illness perception,enhance patients’ positive psychological capital,and reduce their fear of disease progression.
To summarize the nursing points of early complications in 14 cases after parental living intestine transplantation and to provide references for clinical nursing. Key points of nursing：to set up an interdisciplinary cooperation team and carry out targeted treatment and nursing care according to the different characteristics of early postoperative complications;to predictively assess and prevent anastomotic vascular thrombosis;to early detect bleeding and actively assist in hemostasis treatment;to monitor infection signs and carry out infection controlling strategies strictly;to strengthen the management of transplanted enterostomy and the monitoring of rejection,and alert to acute rejection. Among transplant recipients in this group,there were 5 cases of bleeding,5 cases of infection,2 cases of acute rejection,1 case of giving up treatment,1 case of death within 30 days after transplantation. With timely and accurate monitoring,treatment and nursing care,12 cases survived and had perfect digestion and absorption function. In（20.58±5.79） d after the transplantation,the patients were out of parenteral nutrition and returned to normal oral feeding gradually.
Objective To design and develop a two-dimensional informationalized nursing dashboard for clinical nurses’ decision-making in general wards,so as to solve the manual identification of patients’ important information and cross-space communication,providing nurses with accurate and intuitive information display and communication channels.Methods The information items of the two-dimensional informationalized nursing dashboard were confirmed by current situation investigation,literature search and expert meeting. Data were automatically acquired from the hospital information platform,and then were analyzed,classified and presented. After used by nurses in general wards in our hospital for half a year,its effects were evaluated using interview method.Results The nursing informationalized dashboard extracted key information from two dimensions（whole wards and single patient）,including 62 items in four categories,namely 15 items of patient data,37 items of nursing evaluation,9 items of nursing tasks,and 1 item of remark information. It realized the direct reading and real-time updating of data,improved working efficiency of nurses and brought positive psychological feelings to nurses.Conclusion The two-dimensional informationalized nursing dashboard can realize automatic information transmission,resource sharing and change the inherent clinical nursing working mode,which is practical and innovative.
