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A qualitative study on the experience of caregiving and coping among parents of adolescents with non-suicidal self-injury
XIE Meixiang, LI Huiping, SUN Chunyan, WANG Li, SHAO Hua, LIU Xiaoyu, CAI Minyi, CUI Hong
Chinese Journal of Nursing    2023, 58 (18): 2238-2244.   DOI: 10.3761/j.issn.0254-1769.2023.18.009
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Objective To describe and analyze the experience of parents of non-suicidal self-injury(NSSI) adolescents in caregiving and coping,and to provide a basis for developing family support programs. Methods It was a descriptive phenomenological study. Purposive sampling was used to select 19 parents of NSSI adolescents who sought medical treatment at a tertiary hospital in Guangzhou from August to October 2022. Face-to-face semi-structured interviews were conducted,and the Colaizzi 7-step analysis method was used to summarize and refine the themes. Results 4 core themes were identified:parents of NSSI adolescents experienced various negative emotions in caregiving,including helplessness,confusion,panic,self-blame,anger,and grief;parents created a positive family environment through acquiring relevant knowledge,improving communication,and increasing companion time;some parents lacked effective coping strategies and tended to use violent communication,strict prohibitions,or indulgence as a single strategy;external support was insufficient,and parents hoped to receive more help from schools,hospitals,and communities. Conclusion Parents of NSSI adolescents experienced complex negative emotions,and attempted to create a positive family environment to reduce their adolescent’s NSSI behavior. However,they still lacked effective coping strategies and hoped to receive more external support. Healthcare professionals should provide emotional support and positive guidance to parents,explore effective family intervention strategies,and collaborate with families,schools,and communities to promote the physical and mental health of adolescents.

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Construction of comprehensive nursing scheme of intestinal blind intubation for ischemic stroke patients
SUN Can, HU Yue, SHAN Ping, GUAN Ying, SUN Chun
Chinese Journal of Nursing    2022, 57 (6): 703-710.   DOI: 10.3761/j.issn.0254-1769.2022.06.009
Abstract629)   HTML1)    PDF (1166KB)(17)       Save

Objective The study aimed to construct a multidisciplinary,scientific,and standard comprehensive nursing scheme of intestinal blind intubation for patients with ischemic stroke.Methods Literature review,semi-structured interview,observational survey,and Delphi technique were used to construct the scheme. Semi-structured interview and observational survey were used from August to September 2020. 15 experts from clinical nursing,clinical medicine,and intensive medicine were consulted in 2 rounds of Delphi experts consultation from September to December 2020.Results After interviewing 20 experts and observing 7 cases,more than 100,000 words of textual materials and 325 minutes of videos were formed. After the analysis of materials,5 core categories and 18 categories were sorted out. 2 rounds of Delphi experts consultation were carried out,and the effective recovery rate of the questionnaire was 100%. The Delphi expert authority coefficients were 0.787 and 0.795,and the coordination coefficients were 0.112 and 0.367(P<0.01). The coefficient of variation of each item in the second round was 0~0.12,and the full score frequency was 20%~100%. Finally,the comprehensive nursing scheme was constructed,which included 5 first-level indicators (roles and functions,standard service,core operation specification,emergency plan,and mode implementation path),15 second-level indicators,and 43 third-level indicators.Conclusion The comprehensive nursing scheme for ischemic stroke patients was scientific,specific,and practical,which could provide references for the promotion and application of the technique of intestinal blind intubation.

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