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An overview of systematic reviews on efficacy of nonpharmacological management of preoperative anxiety in adult patients undergoing elective surgery
BAO Lei, ZHU Liqun, TANG Weiding, CHEN Jixiang, ZHOU Yingfeng, HAN Xiaoyun, SHU Fangfang, CAO Songmei, ZHUANG Ruo, YIN Ting
Chinese Journal of Nursing    2022, 57 (4): 493-501.   DOI: 10.3761/j.issn.0254-1769.2022.04.017
Abstract420)   HTML1)    PDF (1098KB)(18)       Save

Objective To overview the systematic reviews on efficacy of non-pharmacological management of preoperative anxiety in adult patients undergoing elective surgery. Methods In August 2021,CNKI,VIP Full-text database,Wanfang Full-text Database,China Biomedical Literature Database and Joanna Briggs Institute,the Cochrane Library,PubMed,Embase,CINAHL,and psycINFO databases were searched to collect systematic reviews or meta-analysis on the efficacy of non-pharmacological management of preoperative anxiety in adult patients undergoing elective surgery. 2 researchers screened systematic reviews and extracted the data independently. AMSTAR 2 scale and GRADE system were used to assess the quality of included systematic reviews. Results A total of 19 systematic reviews were included. The evaluation results showed that the methodological quality of 2 pieces of the literature was low and the methodological quality of 17 was critically low. Evidence for 9 non-pharmaceutical management interventions was evaluated. The results showed that optimization of preoperative management and application of non-pharmaceutical techniques had positive effects on preventing or alleviating preoperative anxiety. However,the grade of evidence quality is not high,and only a piece of evidence is intermediate. Conclusion Non-pharmacological management may relieve preoperative anxiety relatively. However,the methodological quality and evidence quality of the study are low,so it is necessary to use evidence carefully and carry out more standardized and rigorous studies.

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Summary of best evidence of medication administration in patients with swallowing disorders
FEI Chaoting, LIU Yi, ZHU Liqun, ZHUANG Ruo, SUI Sheng, HUANG Xianfeng, ZHU Zhuzhi, ZHANG Yanhong
Chinese Journal of Nursing    2021, 56 (12): 1852-1859.   DOI: 10.3761/j.issn.0254-1769.2021.12.016
Abstract527)   HTML4)    PDF (998KB)(29)       Save

Objective To retrieve,appraise and summarize the best evidence of medication management in patients with swallowing disorders. Methods Using the method of evidence-based nursing for swallowing disorders patients,the problem of standard management of taking medicine was put forward. Evidence-based nursing methods were used to search UpToDate,BMJ,JBI,Cochrane Library,Ontario Registered Nurses Association of Canada,British National Institute of Clinical Medicine Guide Library,Scottish Intercollegiate Guidelines Network,National Guideline Clearinghouse,Guidelines International Network,Canadian Medical Association,American Heart Association/American Stroke Association,PubMed,CINAHL,UK NEWT website,Chinese Biology Medical literature database,Yimaitong,China Knowledge Network and other databases including all relevant documents from the date of database establishment to January 2021,covering clinical recommended practice,guideline,evidence summary,systems evaluation,expert consensus. The retrieved literature was evaluated by 3 researchers,and the literature that met the quality standards was extracted for evidence. Results A total of 12 pieces of literature were included,including 2 clinical decisions,2 guidelines,6 evidence summaries,and 2 expert consensused. The best evidence was summarized in 8 areas,including education and training of health care personnel,pre-medication screening and evaluation,multidisciplinary collaboration,compensatory methods,selection of oral solid dosage forms,administration of crushing drugs,gastrointestinal nutrition tube administration,and monitoring and recording of medication effects. Conclusion This study summarized the evidence of the normative management of medication for patients with swallowing disorders,so as to provide evidence-based bases for medical institutions to establish the practice standard of medication procedures for patients with swallowing disorders,and to ensure the safety of medication for patients.

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