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Research progress on fear of falling related activity restriction of the elderly
ZHANG Yuxin, ZHANG Kaili
Chinese Journal of Nursing    2023, 58 (1): 112-116.   DOI: 10.3761/j.issn.0254-1769.2023.01.016
Abstract614)   HTML3)    PDF (554KB)(17)       Save

Fear of falling related activity restriction(FFAR) commonly exists among the elderly,and activity restriction will bring serious harmful consequences to the elderly. Existing studies have focused on falling and fear of falling,while FFAR has received little attention. This paper reviews the definition,incidence,assessment tools,adverse consequences,influencing factors,intervention methods and effects of elderly FFAR,aiming to attract clinical staff with much attention on FFAR and provide further research references.

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Concept analysis of transitional care
JI Jianlin, LU Qunfeng, YANG Liling, TANG Ping, YANG Hanlin, ZHANG Kai
Chinese Journal of Nursing    2022, 57 (3): 374-379.   DOI: 10.3761/j.issn.0254-1769.2022.03.020
Abstract1060)   HTML1)    PDF (711KB)(18)       Save

Objective To analyze the development of transitional care and its application,attributes cases,antecedents and consequences through literature review,so as to clarify the concept of transitional care in China from the perspective of nursing practice. Methods CNKI,Wanfang,PubMed,CINAHL and PsycINFO databases were searched systematically,and Rorgers evolutionary concept analysis was used as the theoretical framework for analysis and discussion. Results Transitional care had the following 5 attributes,namely patient-centered,transferring,continuity,coordination and educational support. The antecedents of transitional care included factors related to patients and their families,hospital-related factors and social factors. Quality of life,self-efficacy and length of stay in hospital were the consequences observed.The measurement indicators are mostly patients’ transition preparation,patient knowledge improvement,self-efficacy and treatment compliance. Conclusion Transitional care is a dynamic concept. With the development of the times,it is constantly updated and improved. In the future,the connotation of transitional care needs to be further expanded and analyzed in depth,which is conducive to the further development of transitional care.

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Expert consensus on safety management of transfusion connection devices for vascular access
Hospital Infection Management Committee of Chinese Nursing Association , Intravenous Therapy Committee of Chinese Nursing Association , Written by WANG Xia, SUN Zhong, ZHAO Lu, WANG Pei, MA Jingmiao, HOU Xiufeng, ZHANG Kaili, YUAN Xiaoning, WANG Lei, SUN Wenyan, GAO Fengli, WANG Huafen, SUN Hong, CAI Meng
Chinese Journal of Nursing    2022, 57 (23): 2821-2824.   DOI: 10.3761/j.issn.0254-1769.2022.23.001
Abstract3831)   HTML889)    PDF (744KB)(3629)       Save

Objective The aim is to establish an expert consensus(hereinafter referred to as "Consensus")on safety management of transfusion connection and port protection devices for vascular access,to prevent catheter related bloodstream infection and provide patients with safe,effective and standardized intravenous therapy. Methods Using evidence-based methods,according to the level of evidence,the evidence in this field was searched,evaluated and summarized,and relevant recommendations and research conclusions were extracted,and then the first draft of consensus was formed. Through a round of Delphi expert consultation and 2 rounds of expert meetings,opinions from domestic experts in many fields and disciplines were sought and integrated;the content was adjusted and the consensus was reached. Results The positive coefficient is 100%;the authoritative coefficient is 0.92;the average value of each index is more than 4;the coefficient of variation is less than 0.22. The Kendall’s harmony coefficient of the expert’s opinion is 0.35( χ2=144.44,P<0.001). A consensus recommendation on the classification and maintenance of infusion connection devices was reached. Conclusion The Consensus is scientific,which can provide a reference for the safety management of transfusion connection and port protection devices in China,and provide a basis for clinical decision-making to prevent catheter related bloodstream infection.

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