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Rehabilitation behavior of limb function in postoperative breast cancer patients based on the theory of planned behavior:a qualitative research
TONG Jingtao, WANG Ying, NI Ping, YANG Xueke, WU Meiliyang, ZENG Ying, XIA Ying, XIA Wenlin
Chinese Journal of Nursing    2022, 57 (6): 711-717.   DOI: 10.3761/j.jissn.0254-1769.2022.06.010
Abstract897)   HTML3)    PDF (972KB)(27)       Save

Objective To explore the true perception of patients with breast cancer who participated the rehabilitation exercise of limb function.Methods Using the purposive sampling method,18 postoperative breast cancer patients admitted in a tertiary hospital in Wuhan,China,from February 2021 to March 2021 were recruited for semi-structured interviews based on the theory of planned behavior. Collected data were analyzed to summarize the main themes by the Colaizzi phenomenological method(7 steps).Results The true experience of postoperative breast cancer patients on the rehabilitation behavior of limb function can be summarized as 3 themes. Behavioral attitude:negative emotions following stress,rehabilitation behaviors that are systematically underestimated,and the value of reconstructing the image of women. Subjective normative measurement:influence of social roles,peer effect,and medical staff support. Perceived behavior control:the confinement of the comfort zone,and the needs of the rehabilitation environment.Conclusion The behavior of limb function rehabilitation in postoperative breast cancer patients is affected by the behavioral attitude,subjective norms measurement and perceived behavioral control. From the perspective of patients,medical staff should correct cognitive bias in rehabilitation behavior of breast cancer patients. Negative cognition needs to be avoided through positive belief factors. Meanwhile,multiple sources of support should be highlighted to stimulate patients’ sense of self-management,create a rich rehabilitation environment,and promote the improvement of breast function rehabilitation behavior of postoperative breast cancer patients.

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Evidence summary of patient identification
XU Rong,WANG Hui,YANG Weimei,WANG Lan,YANG Xueke,XIAO Yaru,CHEN Yushuang,QU Xi,DAI Ling,QU Jia
Chinese Journal of Nursing    2021, 56 (6): 921-928.   DOI: 10.3761/j.issn.0254-1769.2021.06.021
Abstract1034)   HTML8)    PDF (940KB)(31)       Save

Objective We searched,evaluated and integrated the best evidence of patients’ identification,so as to provide bases for formulating the management standards of patients’ identification. Methods According to the "6S" model,we used the evidence-based nursing method to search the relevant literature. Johns Hopkins evidence classification system was used to grade the evidence,and we also used AGREEⅡ(2017 version) and JBI evidence-based health care center’s document quality evaluation standard and evidence recommendation system(2014 version) to evaluate the quality of various studies and the level of evidence recommendations. Results A total of 23 articles were included,including 3 guidelines,1 clinical decision-making,8 expert consensuses,4 recommended practices,3 evidence summaries,1 systematic evaluation,2 government reports and 1 hospital standard. Finally,42 pieces of best evidence are summarized. Conclusion The leaderships of medical institutions should manage the patients’ identification scientifically according to the actual conditions of different places and hospitals. They should focus on controlling the timing of identification,strengthening the management of special groups and strengthening the quality control. Meantime,the application personnel also need to continuously update the evidence to improve the hospital safety management by applying the best evidence.

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