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    Development of health science popularization works for the prevention of deep vein thrombosis in patients after joint replacement
    WANG Yu, XU Yuan, DENG Haibo, WANG Lei, WANG Xiaojie, HAO Yufang, ZHU Liyun, LIU Jia, SUN Jianhua, AN Ranxun, MA Yufen, WU Xinjuan
    Chinese Journal of Nursing    2024, 59 (6): 699-705.   DOI: 10.3761/j.issn.0254-1769.2024.06.008
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    Objective To develop evidence-based health science popularization works for the prevention of deep vein thrombosis(DVT) in patients after joint replacement. Methods In this study,guided by the Guideline International Network patient guideline formulation manual and Patient Education Materials Assessment Tool,we conducted semi-structured interviews to clarify the health science themes. These themes were matched with relevant evidence,and the relevant evidence recommendation items for each theme were refined. It is translated into easily understandable language and other forms. 12 representatives(doctor,nurse,patient,science popularization expert and evidence-based methodology expert) conducted an external review of the quality of these science popularization works. Results Prevention of post-operative DVT,patients’ main concerns and the most urgent need for action were extracted from a total of 6 scientific topics. After the matching with 22 pieces of evidence,a health education content system for the prevention of DVT after total joint arthroplasty was created. According to the system framework and evidence,as well as the preferences and needs of patients,a popular science manual and popular science video were created,with the final external review rate of 94%~100% and the coefficient of variation of 0~0.101. The revised health science works for the prevention of DVT after joint replacement included popular science manuals-trifolds and popular science videos. The copyright of both popular science manuals(copyright number:Guozuo Dengzi-2022-L-10159159) and popular science videos(copyright number:Guozuo Dengzi-2022-I-10162339) have been registered. Conclusion The method of developing science popularization works on the prevention of DVT in patients after joint replacement is scientific. It can provide a methodological reference for the development of other science popularization works.

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    Nursing guidelines for intravenous thrombolysis in acute ischemic stroke
    Internal Medicine Nursing Committee of Chinese Nursing Association , Xuanwu Hospital Capital Medical University , Writing Committee:CHANG Hong, ZHANG Su, FAN Kaiting, ZHAO Jie, TIAN Siying)
    Chinese Journal of Nursing    2023, 58 (1): 10-14.   DOI: 10.3761/j.issn.0254-1769.2023.01.001
    Abstract4529)   HTML726)    PDF (963KB)(4087)       Save

    Objective To develop an intravenous thrombolysis nursing guideline for acute ischemic stroke as a guiding tool for the implementation of intravenous thrombolysis for acute ischemic stroke,and to provide a reference for the practice and management of nursing in the standardization of thrombolytic therapy. Methods According to the method of evidence-based nursing practice guidelines,the draft of intravenous thrombolysis nursing guidelines for acute ischemic stroke was constructed. The draft guidelines were reviewed by experts using the catalogue of Clinical Guidelines Research and Evaluation System Ⅱ. According to the results and suggestions of expert review,the guidelines were modified to form the formal guidelines. Results The recommendations included 5 aspects,namely hospital organization management,disease observation,observation and treatment of complications,posture and bed-leaving activities,and quality management. Conclusion The guidelines for intravenous thrombolysis nursing in acute ischemic stroke are evidence-based guidelines based on the best evidence,clinical practice and the judgment of professionals,and can be used as a practical basis for clinical medical staff to make scientific decisions on intravenous thrombolysis therapy in patients with acute ischemic stroke.

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    Expert consensus on parenteral nutrition safety infusion
    Chinese Medical Association of Parenteral and Enteral Nutrition Nursing Group, (Writing Committee:LI Suyun, SHAO Xiaoping, TANG Xiaoli, YE Xiang-hong, CHEN Yongyi, YAN Rong, LIU Yunfang, KONG Shanshan, XIONG Zhaoyu, XIONG Ziwei, MI Yuan-yuan, HUANG Haiyan, SHI Wenjia, WU Beiwen)
    Chinese Journal of Nursing    2022, 57 (12): 1421-1426.   DOI: 10.376/j.issn.0254-1769.2022.12.002
    Abstract4945)   HTML182)    PDF (969KB)(885)       Save

    Objective To form an expert consensus on parenteral nutrition safety infusion, and standardize the operation process of clinical parenteral nutrition safety infusion,so as to reduce the parenteral nutrition complications. Methods On the basis of the evidence-based method,we searched the high level evidence about the parenteral nutrition safety infusion in databases such as UpToDate,BMJ Best Practice,National Institute for Health and Care Excellence,Guidelines International Network,National Guideline Clearinghouse,Registered Nurses' Association of Ontario,Scottish Intercollegiate Guidelines Network,European Society for Clinical Nutrition and Metabolism,American Society for Parenteral and Enteral Nutrition,Chinese Society for Parenteral and Enteral Nutrition,China Guide Network,Joanna Briggs Institute,China Biomedical Literature Network,VIP,Wanfang,CNKI,PubMed,Web of Science,Scopus,Embase. The retrieval period is from the establishment of the databases to January 2021. Studies were evaluated and collected; relevant recommendations and research results were selected to form the draft of the expert consensus. Experts were invited to complete 2 rounds of Delphi expert consultations and 2 rounds of expert meetings. Each item was revised and improved through 2 rounds of Delphi expert consultations and expert meetings,and the final draft of the consensus was formed. Results The positive coefficient of experts in the 2 rounds of correspondence consultations were 100%; the expert authority coefficients were 81.00% and 89.50% respectively,and the coordination coefficients of expert opinions were 0.13 and 0.15 respectively. Finally,the consensus summarizes the latest evidence on 4 aspects of multidisciplinary team formation,evaluation,operation norms,and complication management. Conclusion The establishment of the consensus can provide a reference for the standardization of safe infusion of parenteral nutrition in clinical practice to ensure patient safety and improve service quality.

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    Clinical practice guideline for nursing management of iodinated contrast media extravasation
    Internal Medicine Nursing Committee of Chinese Nursing Association, Writing Committee:MAO Yanjun, ZHANG Su, ZHANG Hongmei
    Chinese Journal of Nursing    2021, 56 (7): 1008-1008.   DOI: 10.3761/j.issn.0254-1769.2021.07.008
    Abstract3903)   HTML437)    PDF (1216KB)(3956)       Save

    Objective To develop “clinical practice guideline(CPG) for nursing management of iodinated contrast media extravasation(ICME)” and to provide a reference for reducing the incidence and standardizing the management of ICME. Methods The CPG for nursing management of ICME strictly followed the method of developing evidence-based nursing practice guideline. The draft of this CPG was appraised according to Appraisal of Guidelines Research and Evaluation Ⅱ(AGREE Ⅱ),and then it was finalized based on the results and suggestions of expert reviews. Results Recommendations for the constructed CPG included 4 aspects of risk factors,prevention methods,management principles,and quality improvement in ICME. Conclusion The “CPG for nursing management of ICME” was an evidence-based guideline based on the best evidence,Chinese clinical reality,and professional judg-ment,and it can provide practice bases for scientific clinical decision making by radiology and clinical medical staff.

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      Prevention and treatment of pressure ulcers/injuries : clinical practice guideline 2019( Chinese version )
    Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline Translation Group
    Chinese Journal of Nursing    2020, 55 (supplement): 176-182.  
    Abstract4874)      PDF (904KB)(3759)       Save
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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
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    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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    Expert consensus on risk assessment and prevention of venous thromboembolism in general surgical patients
    The Surgical Nursing Committee of Chinese Nursing Association, The Nursing Group of Chinese Society of Surgery of Chinese Medical Associaton, (Writing Committee:MA Yufen, XU Yuan, WANG Xiaojie, DENG Haibo, WANG Lei, SUN Jianhua, LIU Ge, GUO Yaping, GENG Qian, WANG Yu, ZHU Liyun, LU Qiaodan, AN Ranxun)
    Chinese Journal of Nursing    2022, 57 (4): 444-448.   DOI: 10.3761/j.issn.0254-1769.2022.04.009
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    Objective To explore the expert consensus on risk assessment and preventive nursing of venous thromboembolism(VTE) in general surgical patients. Methods This consensus was drafted through a systemic literature review on VTE prevention and the interviews of nursing experts. The draft was thereafter reviewed by a total of experts in related fields,and it was finalized after 2 rounds of expert consultation. Results 4 domains with 26 components were established through a modified Delphi method. The effective recovery of the ques-tionnaire was 100%;the expert judgment coefficient was 0.960;the familiarity was 0.912;the authority coefficient was 0.936. The Kendall coefficients of the first and second level topics in the 2 rounds were 0.149 and 0.261,and 0.122 and 0.203,respectively,with statistically significant differences(P<0.05). The consensus includes risk factors for VTE in general surgical patients,risk assessment,risk response,education and quality control,and it is applicable to perioperative patients of general surgery. Conclusion The consensus was based on the recommendations of 25 clinical nursing experts. The results are scientific,rigorous and authoritative,and can provide guidance for clinical nursing staff in the prevention and control of VTE in general surgical patients.

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    The development of a patient guideline on non-pharmacological management of gestational diabetes mellitus
    Center for Evidence-based Nursing, Fudan University, (Writing Committee:XING Nianlu, ZHOU Yingfeng, CHEN Shuyu, FANG Yuan, LI Li, GU Yanhong, ZHAO Minhui, PAN Xiuhong)
    Chinese Journal of Nursing    2024, 59 (6): 662-668.   DOI: 10.3761/j.issn.0254-1769.2024.06.003
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    Objective To construct a patient guideline for the non-pharmacological management of gestational diabetes mellitus(GDM) to provide decision support for the self-management of patients with GDM. Methods Utilizing evidence-based methods,health problems were identified through literature analysis,personal interviews,and on-site investigations. Systematic search was conducted on domestic and international guideline websites,professional association websites,and comprehensive databases. The quality of evidence was graded according to the GRADE system. The Evidence-to-Decision(EtD) framework was employed to summarize the evidence,leading to the initial formulation of recommendations. These recommendations were then refined,and the consensus was achieved through a round of expert consensus meetings and 2 rounds of Delphi method for expert correspondence,resulting in the final draft of the patient guideline. Results The core content of the patient guideline encompasses 5 aspects:screening and diagnosis of GDM,prenatal management,labor and delivery management,neonatal hypoglycemia management,and postpartum management. Conclusion This patient guideline,developed through a rigorous process,takes into account patients’ preferences,and it is scientifically sound,acceptable,operable,and readable. It can provide a foundation for decision-making in the self-management of patients with GDM.

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    Expert consensus on enteral feeding nursing for patients with severe neurological diseases
    Intensive Care Committee of Chinese Nursing Association, Beijing Society of Parenteral and Enteral Nutrition Nursing Group, (Writing Committee: LIU Fang, GAO Lan, WANG Xiaoying, WANG Yujiao, DENG Qiuxia, MIAO Fengru, ZHANG Xiaomei, SUN Rui, SUN Hong, GUO Shuli)
    Chinese Journal of Nursing    2022, 57 (3): 261-264.   DOI: 10.3761/j.issn.0254-1769.2022.03.001
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    Objective To form an expert consensus of enteral feeding and nursing care for patients with severe neurological diseases,and to promote the standardized,safe and effective implementation of enteral feeding by neuro intensive nursing personnel,so as to provide effective nutritional support for patients. Methods The evidence in this field was searched,evaluated and summarized to extract the recommendations related to enteral feeding in patients with severe neurological diseases. The first draft of consensus was formed. Through 2 rounds of Delphi expert consultations and expert demonstration meetings,the expert suggestions were analyzed,modified and improved to form the final draft of consensus. Results The positive coefficient of inquiry experts was 100%;the coefficient of expert judgment was 0.93;the degree of familiarity was 0.88;the coefficient of authority was 0.91. The concordance coefficient of Kendall was 0.256~0.278,which was statistically significant(P<0.05). The final consensus included the evaluation of enteral feeding care for patients with several neurological illness,selection of feeding methods,nutrient solution infusion,identification and care of complications,and indicators for terminating tube feeding. Conclusion This consensus provides guidance for clinical nursing practice and quality control of enteral feeding in critically ill patients.

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    Expert consensus on postoperative pulmonary rehabilitation nursing for lung transplant patients
    Respiratory Nursing Committee of Zhejiang Nursing Association(Writing Committee:ZENG Fei, LAN Meijuan, LIANG Jiangshuyuan, GU Peipei, CAI Lingyun, GUO Luyao)
    Chinese Journal of Nursing    2024, 59 (1): 10-14.   DOI: 10.3761/j.issn.0254-1769.2024.01.001
    Abstract522)   HTML7)    PDF (1272KB)(75)       Save

    Objective To form the expert consensus on postoperative pulmonary rehabilitation nursing for lung transplant patients,standardize the nursing care of pulmonary rehabilitation after lung transplantation in medical institutions,and promote the early postoperative rehabilitation of lung transplant patients. Methods The clinical guideline,expert consensus,systematic review,evidence summary and original research on postoperative pulmonary rehabilitation of lung transplant patients were comprehensively searched in domestic and foreign databases. The time limit for retrieval was from the establishment of databases until February 2023. The draft of the Consensus was formed based on clinical practice experience. From April to June 2023,17 experts were invited to conduct 2 rounds of expert consultation,in order to revise and improve the content of the first draft,and then conduct expert demonstration,and finally form the final draft of the consensus. Results Totally 16 experts responded,and the expert positive coefficient was 94.12%. The effective recovery rates of the 2 rounds of expert consultation were both 100%;the expert authority coefficients were both 0.941;the judgment coefficients were both 0.963;and the familiarity degree were both 0.900. The Kendall coefficients of the 2 rounds of expert consultation were 0.133 and 0.123,respectively,which were statistically significant. The consensus includes 13 themes,involving the formation and management of a pulmonary rehabilitation team, fluid management, mechanical ventilation,sequential assisted ventilation,respiratory function exercise,airway clearance,pain management,exercise management,nutritional support,immunosuppressive management,prevention and control of pulmonary complications,psychological support,and follow-up management. Conclusion The consensus is highly scientific,and can provide references and bases for clinical nursing staff to carry out pulmonary rehabilitation for lung transplant patients.

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    Expert consensus on clinical application of intravenous midline catheter

    Project Group of Nursing Branch of China Research Hospital Association
    Chinese Journal of Nursing    2020, 55 (supplement): 43-50.  
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    Chinese expert consensus on cardiac rehabilitation nursing care
    Geriatric Nursing Committee of Chinese Nursing Association, Committee of Cardiac Rehabilitation and Prevention of Chinese Association of Rehabi-litation Medicine, Organ Rehabilitation Committee of Chinese Elder Health Care Association, Writing Committee: SHEN Lin, MENG Xiaoping, CHEN Xiaoming, ZHU Liyue, WANG Mei, CAO Yingjuan
    Chinese Journal of Nursing    2022, 57 (16): 1937-1941.   DOI: 10.3761/j.issn.0254-1769.2022.16.003
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    Objective To form the Chinese expert consensus on cardiac rehabilitation nursing care,so as to standardize the work related to cardiac rehabilitation nursing. Methods The first draft was initially formed,based on a comprehensive review of domestic and foreign cardiac rehabilitation guidelines,expert consensuses,systematic reviews,original research and other literature,as well as related disease diagnosis and treatment plans,management consensuses and related literature. Results The draft was thereafter reviewed by a total of 37 experts in related fields. This consensus was finalized after 3 rounds of discussions and modifications. The expert consensus covers the following 4 topics,namely the work goals of cardiac rehabilitation nursing care,the qualifications,training,core competencies and responsibilities of cardiac rehabilitation nursing care,the components of cardiac rehabilitation nursing care,and quality control of cardiac rehabilitation nursing care,and the safety management of cardiac rehabilitation patients. Conclusion The consensus was formed on the basis of comprehensive expert opinions and relevant guidelines,consensuses and clinical research on cardiac rehabilitation,which can provide guidance for medical institutions to carry out cardiac rehabilitation nursing practice.

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    Nursing care for adult patients with oxygen therapy
    Internal Medicine Nursing Committee of Chinese Nursing Association
    Chinese Journal of Nursing    2020, 55 (supplement): 5-9.  
    Abstract5860)      PDF (684KB)(7265)       Save
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    Expert consensus on the implementation and removal of protective restraints in psychiatry
    Mental Health Professional Committee of Chinese Nursing Association, Writing Committee:CAI Zhuang, XU Dongmei, GAO Jing, GU Jianing, ZHANG Mengqian, LUO Wei, LI Xiaoyu, CHEN Yangjie, ZHANG Weidong, GAO Dongfang, YUAN Mingshun
    Chinese Journal of Nursing    2022, 57 (2): 146-150.   DOI: 10.3761/j.issn.0254-1769.2022.02.003
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    Objective To form an expert consensus on the implementation and removal of psychiatric protective restraints,and to standardize the related contents of the implementation and removal of psychiatric protective restraints. Methods According to the level of evidence,the evidence-based method was used to retrieve,evaluate and summarize the evidence in the field. The recommendations and research conclusions for the implementation and removal of the psychiatric medical protective restraints were extracted,and the rough consensus was formed. Through 2 rounds of enquiry and 2 experts discussion meetings,the final version of the consensus was formed by combining with the expert opinions,adjusting,modifying and perfecting the first draft. Results The positive coefficients of experts in the 2 rounds of correspondence consultation were 100%;the degree of authority of experts was 0.90;the mean value of importance of each index was>3.5,and the coefficient of variation was less than 0.25,and the expert Kendall harmony coefficient was 0.146 and 0.166,respectively (all P<0.01). Finally,a consensus was reached on the recommendation of 10 parts,including the application group of psychiatric restraints,premise and principle,objective,key points of assessment,basic requirements,record sheet,flow chart,intervention strategies in the implementation process,ethical issues and risks,and suggestions. Conclusion The consensus provides guidance for the practice of psychiatric protective restraints and makes psychiatric restraints more standardized.

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    Expert consensus on pulmonary rehabilitation nursing of chronic respiratory diseases
    GONG Yucui, CHEN Jieya, LI Pingdong, ZHANG Guolong, ZENG Qiuxuan, LI Jiaying
    Chinese Journal of Nursing    2020, 55 (5): 709-709.   DOI: 10.3761/j.issn.0254-1769.2020.05.013
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    Objective To standardize an expert consensus on pulmonary rehabilitation nursing of chronic respiratory diseases. Methods On the basis of literature review,5 experts were interviewed and 19 experts were consulted to establish the primary and secondary themes. 10 nursing experts in this field were invited to conduct peer review on the draft consensus to modify and improve the consensus content. Results After expert consultations,14 first-level themes and 40 second-level themes were established. The value of Ca(judgment coefficient),Cs(familiarity coefficient) and Cr(authority coefficient) were 0.895,0.839 and 0.867,which indicated the expert consultation have high authority and credibility. The Kendall coefficients of first-round expert consultation were 0.121 and 0.151,and they were 0.205 and 0.149 in the second round(P<0.05). In the first-round expert consultation,the coefficients of variation of the first and second themes were 0.197 and 0.200,and in the second round,they were 0.202 and 0.237. They were all less than 0.25,indicating that the expert’s judgment results were relatively consistent. Conclusion As this consensus was developed based on 19 clinical nursing professionals from across the country,it is scientific and authoritative. This consensus can not only benefit to clinical nursing practice,but also lay the foundation for the development of guideline,and it still needs further theoretical and empirical research verification.

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    Expert consensus on management of palliative care wards in Hunan province
    Hunan Cancer Hospital,Hospice Care Professional Committee of Hunan Nursing Association , (Writing Committee:HUANG Cong, SHEN Boyong, CHEN Yongyi)
    Chinese Journal of Nursing    2023, 58 (16): 1960-1963.   DOI: 10.3761/j.issn.0254-1769.2023.16.007
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    Objective To form an expert consensus on management of palliative care wards (hereinafter referred to as the expert consensus) and to standardize the development,construction,management and other processes of palliative care wards in Hunan Province. Methods According to evidence-based methods,the literature related to the construction and management of hospice care wards was systematically searched in domestic and foreign guide websites or databases,with a search period from the establishment of the databases to January 2021. The relevant recommendation opinions were evaluated,extracted,and summarized to form a consensus draft. Through a round of expert consultations and 2 rounds of expert argumentation meetings,expert opinions were combined to modify and improve the content of each item to form an expert consensus final draft. Results The expert consensus includes 7 aspects,including environmental management,facilities and equipment management,personnel management,process management,infection prevention and control,safety management,quality evaluation and improvement. Conclusion The expert consensus can provide guidance for the standardization and institutionalization of the management of palliative care wards,and plays an active role in promoting the development of palliative care wards in Hunan Province.

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    Expert consensus on venous catheter maintenance
    Intravenous Therapy Committee of Chinese Nursing Association , Writing Committee:SUN Hong , CHEN Lifen, GUO Caixia, YANG Qiaofang, LI Xuying, ZHAO Gaiting, MEI Ganhong, CHEN Ying, XING Hong, FENG Bilong, WANG Lei
    Chinese Journal of Nursing    2019, 54 (9): 1334-1342.   DOI: 10.3761/j.issn.0254-1769.2019.09.011
    Abstract6881)   HTML1450)    PDF (1148KB)(6741)       Save

    Objective To standardize the maintenance of clinical venous catheter,so as to reduce the catheter related complications,prolong the service life of catheter and reduce medical cost.Methods The consensus was formed through literature searching,interview with key stakeholders,and repeated expert discussion meetings.Results The consensus summarized the latest evidence in six chapters covering all aspects of catheter maintenance,such as flushing and locking tube,dressing replacement and catheter maintenance,infusion joint,catheter removal,education and training,and infection control.Conclusion Items in this consensus are concise and easy to implement,and the new content can supplement and perfect the existing norms and standards to a certain extent,which is helpful to solve clinical problems and guide clinical practice.

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     Standard of nursing care for inpatients with physical restraint
    Nursing Administration Committee of Chinese Nursing Association
    Chinese Journal of Nursing    2020, 55 (supplement): 28-30.  
    Abstract5579)      PDF (465KB)(7547)       Save
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    Expert consensus on perioperative urosepsis nursing of patients with intracavitary surgery for urinary tract calculi
    Urology Branch of Guangdong Medical Association, (Writing Committee:SUN Hongling, LIU Lihuan, LIU Chunxiang, MA Xiaoyin, ZHANG Min, ZHANG Suying, HUANG Jingye, ZHONG Wen, LIU Yongda, ZENG Guohua
    Chinese Journal of Nursing    2022, 57 (8): 914-917.   DOI: 10.3761/j.issn.0254-1769.2022.08.003
    Abstract1602)   HTML191)    PDF (780KB)(835)       Save

    Objective To establish a consensus on perioperative urospesis nursing of patients with intracavitary surgery for urinary tract calculi. Methods A consensus developing group was established,and the first edition of the "Expert consensus on perioperative urosepsis nursing of patients with intracavitary surgery for urinary tract calculi"(hereinafter referred to as the "consensus") was formed after a large amount of literature review and collation,online expert consultation and group discussion. Domestic medical experts from urology,minimally invasive operating rooms and intensive care units were invited to discuss and revise the "consensus" for 2 rounds,and then peer review was conducted,and finally the "consensus" was completed. Results The final version of the "consensus" comprises 3 major sections,namely the preoperative,intraoperative and postoperative,which covers high-risk factors,prevention,identification,condition monitoring and nursing intervention,with a total of 21 items. The positive coefficients for the 2 rounds of consultations were 100%. The coefficients of judgment,familiarity and authority in the 2 rounds of consultations were 0.975,0.960 and 0.968,respectively. In the 2 rounds of expert consultations,the importance assignments of each items were(4.847±0.304) and(4.888±0.212),and the overall Kendall’s coefficients were 0.232 and 0.287,respectively. Conclusion The "consensus" integrates the suggestions of multidisciplinary experts with a certain degree of practicality,representativeness and scientificity. It can provide guidance for clinical nursing practice of patients with perioperative urosepsis of intracavitary surgery for urinary tract calculi.

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    Experts consensus on the nursing practice for incontinence-related dermatitis in adults
    Experts Consensus on the Nursing Practice for Incontinence related Dermatitis in Adults Group
    Chinese Journal of Nursing    2020, 55 (supplement): 100-105.  
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    Chinese Journal of Nursing    2020, 55 (supplement): 15-19.  
    Abstract3280)      PDF (801KB)(3500)       Save
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      Expert consensus on PICC insertion technology under ultrasound guidance
    Intravenous Infusion Professional Committee of Shanghai Nursing Association
    Chinese Journal of Nursing    2020, 55 (supplement): 143-149.  
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    Expert consensus on clinical practice of allergen skin prick test in children
    Pediatric RespiratoryGroup of Pediatric Nursing Alliance of National Children Medical Center, Writing Committee: WANG Zijuan, LIU Yulin, LIU Enmei
    Chinese Journal of Nursing    2020, 55 (10): 1520-1520.   DOI: 10.3761/j.issn.0254-1769.2020.10.013
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    Objective Skin Prick Test (SPT) is widely used in clinical practice,however,standard guidelines still remain blank. The establishment of an expert consensus of clinical practice in children can fill the gap of clinical practice guidelines to some extent,and provide references for the clinical operation of SPT in China. Methods In this study,we formulated clinical problems through the literature review and experts experience. The clinical problems were revised and improved through consensus meetings. Results The final consensus was formulated on indications,contraindications,applicable population,operation steps,interpretation of results,clinical manifestations and treatment measures of allergic reactions,frequently asked questions of SPT operation,etc. It is recommended that children’s allergen SPT is suitable for people aged 0-18 years. If children are suspected to be sensitized to one or several allergens,the allergen SPT can be conducted on one or both forearms due to different skin areas of children at different ages. Conclusion The consensus is highly operable with certain clinical value.

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      2020 Guideline for prevention of device-related pressure injury
    Stoma, Wound, and Incontinence Nursing Committee of Chinese Nursing Association
    Chinese Journal of Nursing    2020, 55 (supplement): 115-121.  
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    An expert consensus on high-risk nursing procedures and protection from aerosol-generated respiratory infectious diseases
    Nursing Department of Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, Nursing Department of Peking Union Medical College Hospital, Surgery Nursing Committee of Chinese Nursing Association(Writing Committee:WANG Hui, WU Xinjuan, MA Yufen, HU Luhong)
    Chinese Journal of Nursing    2020, 55 (12): 1784-1784.   DOI: 10.3761/j.issn.0254-1769.2020.12.004
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    Objective To establish a consensus on the protection of high-risk nursing procedures of aerosol transmission in respiratory infectious diseases. Methods The consensus was preliminarily formed through combining relevant literature and the work experience of clinical nursing experts,and it was eventually confirmed by 2 rounds of Delphi expert consultations and expert meetings. Results The consensus included basic requirements for protec-tion and highlights of protection on 6 nursing procedures of high risk of aerosol transmission in respiratory infec-tious diseases. The basic requirements contained 3 aspects,including environmental control,personal protection,mana-gement and control. 6 nursing procedures were listed as following:oxygen inhalation,mechanical ventilation,sputum suction,atomization inhalation,throat swab collection,and cardiopulmonary resuscitation. Conclusion This scientific consensus was conducive to provide clinical guidance for the protection of aerosol-generating nursing procedures.

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    Consensus on medical protocol prescription for blood glucose monitoring in adult inpatients with hyperglycemia
    MO Yongzhen, ZHAO Fang, YUAN Li, XING Qiuling, ZHANG Mingxia, ZHAO Chunyan
    Chinese Journal of Nursing    2019, 54 (8): 1142-1146.   DOI: 10.3761/j.issn.0254-1769.2019.08.004
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    Objective To establish expert consensus on medical protocol prescription for blood glucose monitoring in hospitalized adult patients with hyperglycemia. Methods Targeting key issues in blood glucose monitoring among hospitalized adult patients with hyperglycemia,literatures at home and abroad were retrieved,and clinical experience of medical and nursing experts were taken into consideration,to design expert questionnaire. Each item was revised and improved through two rounds of Delphi expert consultation and expert meeting. Results Consensus on medical protocol prescription included four aspects:prescription for blood glucose monitoring,glycemic control goals,health education for blood glucose monitoring,and quality control for blood glucose monitoring. Conclusion The consensus has strong reliability and practicability,which is helpful to guide development of clinical systematic and standardized monitoring program,improve quality of clinical management,lay a solid foundation for the development of nurses’ prescription in China.

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      Expert consensus on clinical application of disposable absorbent care products for adults with incontinence
    Nursing Branch of Chinese Research Hospital Association
    Chinese Journal of Nursing    2020, 55 (supplement): 106-110.  
    Abstract238)      PDF (703KB)(494)       Save
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    Expert consensus on diaper dermatitis nursing care for infants and toddlers/Pediatric Nursing Profressional Committee,Beijing Nursing Association
    ZHANG Linqi, LI Yang, SONG Nan, YANG Qin, MENG Jingwen, SUN Jing, JIN Huiyu
    Chinese Journal of Nursing    2020, 55 (8): 1169-1169.   DOI: 10.3761/j.issn.0254-1769.2020.08.008
    Abstract2323)   HTML245)    PDF (973KB)(1439)       Save

    Objective To formulate an expert consensus on diaper dermatitis nursing care for infants and toddlers,and to standardize the clinical nursing practice. Methods Literature searching/reviews and expert discussion meetings were used to formulate the main contents of the consensus. The consensus was then revised by 2 rounds of Delphi expert consultations and expert meetings. Results The final expert consensus on diaper dermatitis nursing care for infants and toddlers included 3 aspects of diaper dermatitis nursing care(evaluation,prevention/nursing care,treatment of infection),and a total of 31 items. Conclusion Items in expert consensus on diaper dermatitis nursing care for infants and toddlers are concise and easy to implement,and the consensus is helpful to guide clinical practice of diaper dermatitis nursing care.

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    Nursing practice guideline for multiple myeloma
    Internal Medicine Nursing Committee of Chinese Nursing Association, Writing Committee:WEI Lili, WU Xinjuan
    Chinese Journal of Nursing    2020, 55 (5): 721-721.   DOI: 10.3761/j.issn.0254-1769.2020.05.016
    Abstract1320)   HTML152)    PDF (1140KB)(1066)       Save

    Objective To develop evidence-based clinical practice guideline(CPG) for multiple myeloma patients,and to provide references for improving clinical practice and promote the clinical outcome of patients. Methods Based on the theoretical framework of JBI evidence-based health care model,this guideline was formulated strictly in accordance with the methodology of developing evidence-based CPG. After a draft guideline was developed,it was appraised according to AGREE(Appraisal of Guidelines Research and Evaluation) Instrument. Then the CPG was finalized based on evaluation results and the advice of experts. Results The recommendations of the CPG involved the care for patients with anemia and bleeding,kidney injury,bone injury,infection prevention,chemotherapy toxicity,hematopoietic stem cell transplantation,amyloidosis,hyperviscosity and so on. Conclusion This nursing practice guideline for multiple myeloma was constructed on the basis of best evidence,Chinese clinical practice and professional judgments,which can provide valuable references for nursing decision-making on multiple myeloma patients care.

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    Chinese Journal of Nursing    2021, 56 (12): 1911-1920.  
    Abstract751)      PDF (1747KB)(1539)       Save
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    Integrative nursing experience of a case with chronic refractory wound formation caused by drug extravasation
    ZHANG Yuanyuan, LONG Xiuhong, LÜ Chan, LI Xian, WANG Yi, HUANG Lanying, TU Huiqiong, QIN Huijuan
    Chinese Journal of Nursing    2024, 59 (7): 808-811.   DOI: 10.3761/j.issn.0254-1769.2024.07.006
    Abstract777)   HTML6)    PDF (774KB)(43)       Save

    To sum up integrative nursing experience of a case with chronic refractory wound formation caused by drug extravasation. The essentials of integrative nursing are:structured nursing intervention of “assessment-management-treatment” based on the Triangle of Wound Assessment;determination of the timing for integrative nursing according to the theory of TCM sores and ulcers;implementation of copper board scraping method to promote circulation of qi and blood;use of Huo-long Comprehensive Moxibustion Therapy to promote muscle regeneration. With the help of the cooperation of the multidisciplinary specialist nursing team,the wound was completely healed after 59 days of integrated traditional Chinese and Western medicine nursing interventions.

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    Work guideline for needle-free insulin injection to diabetics
    Diabetes Nursing Committee of Chinese Nursing Association, Writing Commitee:ZHAO Fang, ZHANG Mingxia, WU Quanying
    Chinese Journal of Nursing    2020, 55 (5): 722-722.   DOI: 10.3761/j.issn.0254-1769.2020.05.017
    Abstract2462)   HTML389)    PDF (1042KB)(1900)       Save

    Objective To establish a nursing guideline for needle-free injection to diabetics. Methods The nursing problems in the needle-free insulin injection process were listed based on systematic literature research and references to experts’ clinical experience. A questionnaire to experts was designed. Based on Delphi Technique and expert meeting results,each item was modified and improved after objective evidence and expert opinions were summarized. Results A consensus was reached on 4 major themes: needle-free injection procedure,common problems and solutions,quality control and management,and health education. Conclusion Work guidelines for needle-free insulin injection to diabetics can provide the clinical nursing staff with some references on implementation of needle-free insulin injections.

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    Chinese Journal of Nursing    2020, 55 (5): 766-768.   DOI: 10.3761/j.issn.0254-1769.2020.05.0027
    Abstract3989)   HTML1105)    PDF (516KB)(2509)       Save
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    Application and progress of knowledge graphs in dietary management of patients with chronic diseases
    YAN Yu, GONG Shu, DUAN Difei, MA Dengyan
    Chinese Journal of Nursing    2024, 59 (6): 753-757.   DOI: 10.3761/j.issn.0254-1769.2024.06.016
    Abstract867)   HTML9)    PDF (729KB)(70)       Save

    Diet is an important modifiable factor affecting the onset,progression and prognosis of chronic diseases. However,the complexity and long-term nature of diet management of chronic diseases usually brings great challenges to patients. Knowledge graph uses semantic technology to standardize the representation,extraction,fusion and reasoning of massive knowledge,so that it has the characteristics of knowledge visualization and reasoning support. It helps users to obtain relevant knowledge conveniently,quickly and accurately,and provides a new idea and method for diet management of patients with chronic diseases. This study aims to comprehensively review the relevant literature at home and abroad,elaborate on the concept,development and application of knowledge graph in diet management of patients with chronic diseases,and put forward prospects,in order to provide references for the diet management of patients with chronic diseases.

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    A network analysis and nursing implications of core symptoms and symptom clusters in head and neck cancer patients
    LIU Meizi, AN Ran, WU Zitong, GAO Fei, CHEN Wenfeng
    Chinese Journal of Nursing    2024, 59 (7): 828-834.   DOI: 10.3761/j.issn.0254-1769.2024.07.009
    Abstract589)   HTML6)    PDF (1307KB)(37)       Save

    Objective To investigate the prevalence and severity of symptoms and to construct symptom networks in head and neck cancer patients during treatment to identify core symptoms and symptom clusters. Methods 366 patients who were hospitalized in 3 tertiary hospitals in Changsha were selected using convenience sampling from March to October 2022 and asked to complete the M.D. Anderson Symptom Inventory-Head & Neck. Exploratory factors analysis was used to extract the symptom clusters,and R packages were used to construct the symptom severity network and symptom clusters network. The centrality indexes of the networks,including strength,closeness,and betweenness,were analyzed to identify core symptoms and core symptom cluster. Results The most common symptoms in head and neck cancer patients during treatment were dry mouth (93.44%),fatigue(89.07%),loss of appetite(86.34%),and difficulty swallowing or chewing(85.79%),and the most severe symptoms were dry mouth,loss of appetite,oral or pharyngeal mucus,and difficulty swallowing or chewing. 4 symptom clusters were extracted,namely oral-pharyngeal,gastrointestinal,emotional-sleep,and sickness-sensing behavioral,which could explain 67.415% of the total variance. In the symptom severity network,oral or pharyngeal mucus(rs=9.60) was a symptom with the highest strength. In the symptom clusters network,oral or pharyngeal mucus(rs=1.20),nausea(rs=1.00),fatigue(rs=1.10),and drowsiness(rs=0.97) were the symptoms with the highest strength across 4 symptom clusters. Conclusion Oral or pharyngeal mucus,nausea,fatigue,and drowsiness are the core symptoms of symptom clusters in head and neck cancer patients during treatment. Oral-pharyngeal symptom cluster is the core symptom cluster. It is recommended that clinical staff should develop interventions based on the core symptoms and symptom cluster to implement precise symptom management and improve symptom management efficiency.

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      Group standard for the prevention and treatment of chemotherapy extravasation
    Oncology Nursing Committee of Chinese Nursing Association
    Chinese Journal of Nursing    2020, 55 (supplement): 33-35.  
    Abstract951)      PDF (429KB)(770)       Save
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      Expert consensus on nursing of prone position ventilation in severe adult patients
    Nursing Expert Consensus Group of Prone Position V entilation In Severe Adult Patients
    Chinese Journal of Nursing    2020, 55 (supplement): 150-155.  
    Abstract962)      PDF (1782KB)(757)       Save
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    Chinese Journal of Nursing    2018, 53 (1): 5-5.  
    Abstract4812)      PDF (247KB)(4526)       Save
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    Expert consensus on surgical isolation techniques for lung malignancies
    WEI Yongting, CHUAI Wenjuan, CHEN Tinghui, WU Xiuhong, WANG Feng
    Chinese Journal of Nursing    2020, 55 (9): 1359-1359.   DOI: 10.3761/j.issn.0254-1769.2020.09.015
    Abstract1461)   HTML189)    PDF (959KB)(743)       Save

    Objective To form the expert consensus on surgical isolation techniques for lung malignancies.Methods By retrieving international and national literature and interviewing relevant personnel,we formulated the first draft of a consensus on surgical isolation techniques for lung malignancies and the enquiry form. Experts are selected nationwide to conduct a round of letter consultation and a round of on-site demonstration. The corresponding items were modified in accordance with the opinions of the experts,and the level of evidence and recommendation level were marked and then a final consensus was formed.Results A total of 18 thoracic surgery experts and nursing experts from tumor surgery rooms were selected;the expert authority coefficient was 0.87;expert importance of each item was 4.92±0.23;coefficient of variation was 0.09 to 0.16. The feasibility was 4.54±0.65;coefficient of variation was 0.12 to 0.19. Expert coordination coefficient was 0.249(P<0.001). The consensus includes qualifications of operating room nurses,preoperative evaluation,surgical equipment and instruments,protection of incisions,surgical cavity exploration,management of device dressings,tumor resection,tumor removal,concurrent surgery and reconstruction surgery,use of irrigation fluid,and inventory. The above 11 aspects are applicable to traditional open surgery,small incision surgery and thoracoscopic surgery.Conclusion This consensus is based on the surgical isolation techniques for lung malignancies with detailed operating specifications for each aspect,which is easy for the surgical staff to implement and can guide clinical practice.

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    The effect of reducing frequency of gastric residual volume monitoring on enteral nutrition in ICU patients
    YU Kunrong, LI Fan, HOU Qingmin, XU Yingzhen, LI Xiaorong, MA Jun, CHEN Yan, GUAN Yuxia
    Chinese Journal of Nursing    2024, 59 (5): 582-587.   DOI: 10.3761/j.issn.0254-1769.2024.05.010
    Abstract273)   HTML13)    PDF (940KB)(52)       Save

    Objective To evaluate the effect of reducing frequency of gastric residual volume monitoring on enteral feeding-related complication and caloric intake in ICU patients. Methods Patients who admitted to medical ICU,respiratory ICU and emergency ICU of a tertiary A teaching hospital in Beijing during October 2020 to January 2023 and undergoing mechanical ventilation and continuous enteral feeding via nasogastric tube in 24~48 hours were enrolled. According to the random number table method,they were divided into a control group and an intervention group,with 52 cases in each group. Gastric residual volume was monitored daily 12h after enteral nutrition initiation in the intervention group,and every 4 hours in the control group. The enteral feeding-related complication and caloric intake of the 2 groups were recorded after enteral nutrition initiated and until 7th day in ICU. Results 52 cases completed the study in each group respectively. During the first 7 days,the incidence of vomiting and the maximum of gastric residual volume in the experimental group were higher than those in the control group,with no statistically significant differences. No nasogastric tube occlusion was observed in any patients in either group. Compared to the control group,both the caloric intake of 7th day in ICU and the proportion of patients achieving calorie target on 7th day in ICU were significantly higher in the experimental group,with statistically significant differences. Conclusion Reducing the frequency of gastric residual volume monitoring to once a day could significantly increase caloric intake of patients without an increase in enteral feeding-related complication.

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