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A survey of pediatric ICU nurses’ cognition,attitude and practice on daily sedation interruption
ZHOU Hongqin, CHEN Xiuping, ZHU Jihua, XIA Shanshan, JIN Chendi, SHENG Meijun, LUO Feixiang, XIE Wangfang, ZUO Zelan, HU Jing, LIU Lili, PU Kai
Chinese Journal of Nursing    2022, 57 (9): 1100-1104.   DOI: 10.3761/j.issn.0254-1769.2022.09.011
Abstract489)   HTML1)    PDF (659KB)(8)       Save

Objective To investigate the cognition,attitude and practice of pediatric ICU nurses on daily sedation interruption(DSI),and to provide references for clinical training. Methods Convenience sampling was used to conduct a questionnaire survey among 298 pediatric ICU nurses in 7 tertiary A children hospitals in China in July 2021. The general information questionnaire,questionnaires of knowledge,attitude,and behavior on DSI were self-designed. Results In terms of the cognition of 298 pediatric nurses on DSI,their knowledge score was 4(2,4) out of 10,and a total of 157 nurses(52.68%) said they did not know well or had never heard of DSI. In terms of attitude,their recognition score was 32(27,34) out of 40,and 217 nurses(72.82%) were willing to implement DSI,and 258 nurses(86.58%) wanted systematic training. In practice of nurses,221(74.16%) have not received relevant training,and 159 nurses(53.35%) never or rarely performed DSI. Conclusion Pediatric ICU nurses have a poor grasp of knowledge on DSI,while their recognition toward DSI is high. Their practice needs to be strengthened. Nursing managers should pay full attention to the training needs of pediatric ICU nurses and carry out systematic training on DSI basic knowledge and practical skills,so as to improve DSI practice level of nurses.

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Nursing care of a child with anterior mediastinal lymphoma complicated with severe airway obstruction
XIE Wangfang, LOU Xiaofang, ZHU Jihua, XU Bin
Chinese Journal of Nursing    2021, 56 (2): 269-271.   DOI: 10.3761/j.issn.0254-1769.2021.02.019
Abstract351)   HTML0)    PDF (506KB)(26)       Save

The rescue and nursing of a child with anterior mediastinal lymphoma complicated with severe airway obstruction were summarized. The operations include rigorous observation and monitoring of the child’s condition,rapid and effective application of extracorporeal membrane oxygenation under cardiopulmonary resuscitation;close observation of the child’s vital signs during extracorporeal membrane oxygenation,dynamic assessment of airway obstruction symptoms. After careful treatment and nursing,the extracorporeal membrane oxygenation machine was successfully evacuated after 70.5 hours of operation. The child returned to a stable condition on the 7th day of admission and was transferred to the department of hematology for continuous specialized treatment.

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