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    20 November 2022, Volume 57 Issue 22
    Special Planning—Neonatal Nursing Care
    Evidence-based practice in out-hospital management of breast milk for hospitalized neonates
    HUANG Xiaoxia, FENG Xiaofang, HU Sisi, CHEN Shuang, SUN Caixia
    2022, 57(22):  2693-2699.  DOI: 10.3761/j.issn.0254-1769.2022.22.001
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    Objective To apply the best evidence for out-hospital management of breast milk in hospitalized neonates to clinical practice and to evaluate its effects. Methods We used the method of evidence-based nursing to obtain the best evidence. From September 2021 to February 2022,the evidence was applied to the clinical practice through 4 steps,including evidence acquisition,baseline evaluation,evidence introduction,and after-effect evaluation. The incidence of breast milk-related infection,nurses and maternal women’s cognitive level of out-hospital management about breast milk,the implementation rate of review items about maternal women were compared before and after the application of evidence-based practice. Results We finally included 21 pieces of evidence,with a total of 18 review indicators. The incidence of breast milk-related infection decreased from 5.81% to 0(P=0.026);the scores of nurses and maternal women on out-hospital management of breastfeeding increased from(70.1±5.4) and(55.8±8.3) to(87.6±5.0) and(74.5±6.2)(t=10.606,P<0.001;t=8.055,P<0.001);except for items 8,13,and 16,the compliance of out-hospital management review indicators for breastfeeding increased to more than 80%. Conclusion Evidence-based practice can standardize the correct operation of family members’ breast milk collection,storage,and transportation,thereby reducing the risk of breast milk contamination and ensuring the quality and safety of breast milk.

    Effects of kangaroo mother care on the parenting pressure and parenting sense of competence of mothers of premature infants with non-invasive mechanical ventilation
    LIU Yanhong, LI Shengling, CUI Huimin, WANG Xiaoyan, SUN Caixia
    2022, 57(22):  2700-2706.  DOI: 10.3761/j.issn.0254-1769.2022.22.002
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    Objective To explore effects of kangaroo mother care on the parenting pressure and parenting sense of competence of mothers of premature infants with non-invasive mechanical ventilation. Methods The convenience sampling method was adopted to select 64 mothers and preterm infants with non-invasive mechanical ventilation who were born and admitted to the NICU of a tertiary A comprehensive hospital in Yinchuan from March 2019 to May 2020 as the research subjects. They were divided into an experimental group and a control group with 32 cases in each group by random number table method. In addition to routine development supportive care,after the vital signs were stable on the 7th day of hospitalization,the experimental group was treated with kangaroo mother care once a day for 2 hours and it lasted for 7 days. The control group was treated with routine development supportive care. On the 7th and 14th day of hospitalization,and at the age of 2nd,4th and 6th month of premature infants with non-invasive mechanical ventilation,the Parenting Stress Index-Short Form and Parenting Sense of Competence Scale were used to evaluate the parenting stress and parenting sense of competence of mothers of premature infants with non-invasive mechanical ventilation respectively. Results There was no significant difference in scores of the Parenting Stress Index-Short Form and Parenting Sense of Competence Scale between the 2 groups before the intervention(P>0.05). After the intervention,the total score of the Parenting Stress Index-Short Form of the mothers in the experimental group were lower on the 14th day of hospitalization and at the age of 2nd,4th and 6th month than those in the control group,while the total score of Parenting Sense of Competence Scale were higher,and the differences were statistically significant(P<0.05). Conclusion Kangaroo mother care can reduce the parenting pressure of mothers of premature infants with non-invasive mechanical ventilation and improve their parenting sense of competence within 6 months after delivery.

    Special Planning-Neonatal Nursing Care
    Construction of neonatal hospice care service system
    CHEN Xiaofei, CHEN Shuohui, LI Mengting, SHEN Qianqian, LUO Feixiang, CHENG Xiaoying
    2022, 57(22):  2707-2713.  DOI: 10.3761/j.issn.0254-1769.2022.22.003
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    Objective To construct the hospice care service system for neonates for clinical practice guidance. Methods Based on humanistic nursing theory and comfortable nursing theory,a consultation questionnaire was developed via literature review and qualitative research during September to November 2020,and was distributed to 25 experts from 7 provinces and cities for Delphi expert consultation and neonatal hospice care service system construction. Results The questionnaire recovery rates of the 2 rounds of expert consultations were 100%;the expert authority coefficient was 0.852;Kendall’s concordance coefficients were 0.124~0.212 and 0.111~0.204 respectively (all P<0.001);the variation coefficients of the 2 rounds of item importance score were 0~0.34,0.07~0.24,and the variation coefficients of feasibility score were 0~0.39,0.08~0.24,respectively. The neonatal hospice care service system was formed with 4 first-level items,12 second-level items,and 38 third-level items,including multidisciplinary team cooperation,intervention timing,service recipients,service content. Conclusion The neonatal hospice care service system is scientific and feasible,which can provide certain guidance for the clinical practice of neonatal hospice care.

    Special Planning—Neonatal Nursing Care
    Investigation and analysis of factors related to colostrum feeding of premature infants in NICU
    CHEN Xiaochun, GAO Ying, MIN Yuxiao
    2022, 57(22):  2714-2721.  DOI: 10.3761/j.issn.0254-1769.2022.22.004
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    Objective To investigate the status of colostrum feeding of hospitalized premature infants in NICU and to explore the influencing factors. Methods From January 2020 to December 2021,851 premature infants who were born in the obstetrics department and admitted to NICU of a tertiary hospital in Wenzhou,Zhejiang province were selected as research subjects. According to whether colostrum feeding within 7 days after birth,they were divided into a colostrum feeding group and a non-colostrum feeding group. According to the proportion of colostrum feeding amount,the colostrum feeding group was divided into 3 groups,namely high,medium and low,and the colostrum feeding rate and influencing factors of premature infants were analyzed. Results A total of 374 premature infants(43.95%) received colostrum feeding. Among them,126 cases(33.69%) were fed with low proportion colostrum feeding,183 cases(48.93%) with medium,65 cases(17.38%) with high. Binary logistic regression analysis showed that the protective factors of colostrum feeding were education by neonatology nurses>2 times(OR=1.846),father’s support of breastfeeding(OR=1.349),education by obstetric nurses >2 times(OR=2.467) and mothers pump-ing milk≥12 times within 24 hours after delivery(OR=2.724). Maternal education level of junior middle school or below(OR=0.278) and maternal health problems(OR=0.462) were risk factors(P<0.05). Multiple logistic regression showed that,compared with the low and high proportion of colostrum feeding groups,the protective factors of premature infants receiving high proportion colostrum feeding were the mothers pumping milk≥12 times within 24 hours after delivery(OR=3.647),education by obstetric nurses >2 times(OR=1.906) and education by neonatology nurses >2 times(OR=1.535). Compared with the low and medium proportion colostrum feeding groups,the protective factors of preterm infants receiving medium proportion colostrum feeding were the mothers pumping milk ≥12 times within 24 hours after delivery(OR=2.995) and father’s support of breastfeeding(OR=1.203). Conclusion The colostrum feeding rate of hospitalized premature infants in NICU was low. Clinical medical staff should pay attention to the colostrum education of the families of premature infants separated from mother and infant,and assist mothers to establish regular milk pumping behavior after delivery.

    Comparison of transcutaneous bilirubin determination results in different sites of children with hyperbilirubinemia in NICU
    HOU Dongqin, LI Junwen, XIE Linjuan, WANG Yuemei, LIU Xuan, LUO Ling, CHEN Qin
    2022, 57(22):  2722-2727.  DOI: 10.3761/j.issn.0254-1769.2022.22.005
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    Objective To explore the accuracy and reliability of transcutaneous bilirubin(TcB) determination results at different body surface sites in children with hyperbilirubinemia in NICU before,during and after blue light therapy under different total serum bilirubin(TSB) concentrations. Methods Based on convenience sampling,children with hyperbilirubinemia who were admitted to NICU of a tertiary A hospital in Chengdu from March to October,2021 were selected as the investigation subjects,and TcB of forehead,eyebrows,scapula,sternum,back and buttocks were measured in turn within 15 minutes before collecting TSB samples. Paired sample t-test,Pearson correlation analysis,Bland-Altman consistency analysis,sensitivity,specificity and Youden index were used to evaluate the accuracy and reliability of TcB detection results before,during and after blue light therapy under different TSB concentrations. Results 196 children were included,and 310 groups of paired data between TSB and TcB detection results were obtained. Among them,there were 131 groups before blue light therapy,78 groups during blue light therapy and 101 groups after blue light therapy. There were 212 groups with TSB<15 mg/dl(1 mg/dl=17.1 μmol/L),83 groups with TSB<20 mg/dl and 15 groups with TSB>20 mg/dl. Before blue light therapy,there is the good accuracy of TcB in forehead,eyebrow and sternum. During blue light therapy,the accuracy of TcB in the area covered by eyebrows is better;after blue light therapy,TcB results of forehead,scapula,eyebrows and back are more accurate. When TSB<15 mg/dl,the TcB of forehead,scapula,eyebrow and sternum is more accurate and reliable;when 15 mg/dl≤TSB≤20 mg/dl,the results of TcB in the center of eyebrow and sternum are more accurate and reliable;however,when TSB>20 mg/dl,the accuracy and reliability of TcB in all body surface parts are poor. Conclusion The accuracy and reliability of TcB determination results in different parts of children with hyperbilirubinemia in NICU are different in different treatment periods and TSB concentration. When TSB>20 mg/dl,TcB is not recommended as a reference for clinical decision-making.

    Review on non-nutritive breast sucking promoting oral feeding of premature infants
    LI Liling, HU Xiaojing
    2022, 57(22):  2728-2732.  DOI: 10.3761/j.issn.0254-1769.2022.22.006
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    Premature infants with immature physiological function often delay discharge due to poor oral feeding ability. This paper summarized the importance of promoting oral feeding of premature infants,the role of non-nutritive breast sucking in promoting oral feeding,the implementations and precautions of non-nutritive breast sucking. The difficulties and challenges that may exist by developing non-nutritive breast sucking in China were also presented in this review. The corresponding suggestions were advanced to provide references for clinical improvement of oral feeding strategies of premature infants.

    Specialist Practice and Research
    A qualitative study on the experience of clinical decision-making for restrictive episiotomy in midwives
    LIU Huahua, CHEN Zhifang, GU Jinli, LI Xiaoqin, LI Lin, WU Rongrong, ZHANG Feng
    2022, 57(22):  2733-2737.  DOI: 10.3761/j.issn.0254-1769.2022.22.007
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    Objective To explore the experience and influencing factors of midwife’s clinical decision-making of episiotomy,in order to provide suggestions and bases for midwives’ clinical decision-making and promote safe delivery. Methods Using phenomenological research method and maximum difference sampling,13 midwives were selected from 4 hospitals in Jiangsu Province to conduct semi-structured in-depth interviews from October to December 2021. Colaizzi 7-step analysis method was adopted for inductive analysis and theme extraction. Results A total of 3 themes and 9 sub-themes were extracted. Theme 1:decision-making motivation(dominance of professional knowledge,concept of reducing trauma in childbirth,maternal needs and short-term & long-term benefits,neonatal safety). Theme 2:promotion in decision-making(peers’ support and supervision,puerpera’s cooperation and self-reflection). Theme 3:obstacles in decision-making(limitation of autonomy,interference from traumatic events). Conclusion Clinical decision-making on episiotomy for midwives is a complex and varied process. In clinical practice,midwives need to play the role of health promoter and protector to ensure the safety and effectiveness of midwifery services.

    Latent profile analysis of reproductive concerns among female thyroid cancer patients at reproductive age
    GAO Wenjun, HUANG Hui, TIAN Fengmei, TAN Liping, ZHENG Li
    2022, 57(22):  2738-2744.  DOI: 10.3761/j.issn.0254-1769.2022.22.008
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    Objective This article aims to classify reproductive concern characteristics among female thyroid cancer patients at reproductive age,and to explore the characteristics of various types of reproductive concerns among patients. Methods A total of 195 female thyroid cancer patients at reproductive age from a tertiary first-class hospital in Suzhou city were enrolled as investigation subjects via convenience sampling methodology. General information questionnaire and Reproductive Concerns After Cancer scale(RCAC) were utilized as the investigating tools. Results The characteristics of reproductive concerns among female thyroid cancer patients at reproductive age were sub-grouped to 3 potential categories,namely low reproductive concern group-self-health worry(28.7%),moderate reproductive concern group-high infertility acceptance group(41.5%),and high reproductive concern group-high infertility acceptance group(29.8%). Multivariate logistic regression outputs demonstrated that age,education level,child numbers,auxiliary treatment and primary caregivers were influencing factors regarding to reproductive concerns among female thyroid cancer patients at reproductive age. Conclusion The reproductive concerns among female thyroid cancer patients at reproductive age had apparent classification characteristics. Medical staff should carry out psychological counseling and information support for different types of patients following relevant influencing factors to reduce the level of reproductive anxiety among the patients.

    Community Care
    Analysis on the status and influencing factors of diet self-efficacy of the elderly in nursing homes
    LIU Haiyan, CHEN Li, NING Yanhua, JIANG Ting, LÜ Xiongxiong, LI Meiman, GUO Yahong, KONG Weijuan
    2022, 57(22):  2745-2749.  DOI: 10.3761/j.issn.0254-1769.2022.22.009
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    Objective To investigate the current status and influencing factors of diet self-efficacy among the elderly in nursing homes. Methods We used the convenience sampling method to select 350 older adults in 3 nursing homes in Yinchuan from August 2020 to December, using a General Information Questionnaire,Nutrition Knowledge and Attitude Questionnaire,Micro Nutrition Assessment Scale,and Diet Self-Efficacy Scale to conduct a questionnaire survey. The random forest model combined with multiple linear regression was used to analyze the influencing factors of diet self-efficacy. Results The total score of diet self-efficacy of the elderly in nursing homes was(54.98±8.04) points,and the scoring rate was 68.6%,with an average score of(3.43±0.50) points for all items. The random forest sorting showed that the top 5 factors affecting diet self-efficacy were nutrition attitude, exercise time, nutrition knowledge,nutrition status,and highest education. The multiple linear regression analysis results showed that nutrition knowledge, nutrition attitude,nutrition status,exercise time,education,and previous occupation were the influencing factors of diet self-efficacy,which were similar to the random forest results. Conclusion The diet self-efficacy of the elderly in nursing homes is moderate. Nutrition attitudes,knowledge,nutrition status, exercise time,and highest education are essential factors affecting diet self-efficacy. Nurses should comprehensively consider the above factors to develop elderly nursing plans to promote their diet self-management confidence and ability, thereby ameliorating their nutritional status.

    Hospital Infection Control
    Investigation of nursing practice for the prevention and control of catheter-associated urinary tract infection in ICUs of 179 tertiary hospitals
    LIU Chenxia, WANG Xia, SHAO Xin, LIU Juyuan, CAI Meng
    2022, 57(22):  2750-2757.  DOI: 10.3761/j.issn.0254-1769.2022.22.010
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    Objective To explore the current status of nursing practice in the prevention and control of catheter-associated urinary tract infection(CAUTI) in ICUs of tertiary hospitals in 26 provinces(municipalities/autonomous regions),and find out the existing weaknesses to better guide clinical nursing practice. Methods Using the convenient sampling method and self-designed “Questionnaire on the Current Nursing Practice for the Prevention and Control of Catheter-associated Urinary Tract Infection”,the survey was conducted on nurses in 368 ICUs in 179 tertiary hospitals in 26 provinces(municipalities/autonomous regions) from September 22 to 30,2021. The questionnaire includes 3 parts,namely the basic situation of the ICU,relevant systems,processes and training and key aspects of CAUTI prevention and control. Results A total of 436 questionnaires were collected,with 368 valid questionnaires and an efficiency of 84.40%. Among them,330(89.67%) respondents reported that they routinely monitored CAUTI data in ICUs. However,only 212(57.61%) filled in the incidence of CAUTI in the previous year,with a median of 0.86‰. In the urinary catheter indwelling process,218(59.24%) ICUs had a catheter indwelling checklist;silicone catheter is routinely used in 203(55.16%) ICUs;360(97.83%) ICUs had disinfection specifications,and the cleaning and disinfectant before urinary catheter placement is mainly povidone-iodine solution containing 1 000~2 000 mg/L of available iodine(89.95%). In the urinary catheter maintenance process,245 (66.58%) ICUs had a checklist of bundled measures;237(64.40%) ICUs had a reminder sheet/system for daily review of the necessity of indwelling urinary catheters;258(70.11%) ICUs routinely replaced the drainage device once a week;168(45.65%) ICUs cleaned the urethra with iodine preparations;57(15.49%) ICUs had bladder irrigation routinely;292(79.35%) ICUs clamped urinary catheter for bladder function training before extubation. There were statistically significant differences in continuous improvement measures,improvement projects in the last 3 years and methods for collecting a small amount of urine culture specimens for CAUTI in the ICUs(P<0.05). Conclusion At present,the relevant systems and processes to prevent CAUTI in ICUs have been improved,but the prevention and control measures in the urinary catheter indwelling and maintenance processes need to be further refined and standardized. It is recommended to further strengthen the relevant training and assessment of CAUTI prevention and control to reduce the incidence of CAUTI effectively.

    Clinical Practice
    Nursing care of enteric duplication cysts with recurrent gastrointestinal bleeding and abdominal cocoon:a case report
    ZHU Huidi, LI Yan, LI Beibei, XU Qiaoying, JIANG Yuehong
    2022, 57(22):  2758-2761.  DOI: 10.3761/j.issn.0254-1769.2022.22.011
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    To summarize the nursing experience of an adult case of enteric duplication cysts with recurrent gastrointestinal bleeding and abdominal cocoon. Key points of nursing include early-warning care for occult hypovolemic shock before surgery;risk prevention and management during intestinal preparation for double-balloon enteroscopy;dynamic observation of the syndrome of abdominal pain and watching out of volvulus. Postoperative bundle management of early inflammatory bowel obstruction guided by goal-oriented selection was implemented. After discharge,the patient was included in the special case database,and the extended care and follow-up work will be done. The patient was discharged 25 days after the operation and recovered well and gained weight during the 3-month follow-up.

    Evidence Synthesis Research
    Effect of conservative oxygen therapy in ICU patients:a Meta-analysis
    JIANG Qiuping, JIANG Rong, CHEN Jing, REN Pei
    2022, 57(22):  2762-2768.  DOI: 10.3761/j.issn.0254-1769.2022.22.012
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    Objective To compare the effect of conservative oxygen therapy and conventional oxygen therapy in ICU patients. Methods Databases,including PubMed,Web of Science,Embase,Cochrane Library,CNKI,Wanfang,VIP,and CBM,were searched to collect randomized controlled trials about the effect of conservative oxygen therapy on mortality of ICU patients from inception to March 31,2022. After 2 researchers independently screened the literature,extracted the data and evaluated the bias risks of the included study,RevMan 5.3 software was used for Meta-analysis. Results A total of 9 studies were included,with 5 767 patients. Compared with conventional oxygen therapy,the results of meta-analysis showed that conservative oxygen therapy could reduce the short-term mortality of ICU patients[OR=0.79,95%CI(0.65,0.96),P=0.020] and shock[OR=0.33,95%CI(0.16,0.69),P=0.003],liver insufficiency[OR=0.26,95%CI(0.10,0.72),P=0.009] and ICU acquired weakness[OR=0.50,95%CI(0.26,0.93),P=0.030]. However,there were no significant differences in 90 d mortality,incidence of new infection,duration of mechanical ventilation,length of ICU stay and length of hospital stay(P>0.05). Conclusion Existing evidence suggests that conservative oxygen therapy can reduce short-term mortality in ICU patients and the incidence of shock,liver insufficiency,and ICU acquired weakness. However,whether it has advantages in 90 d mortality,new infections,and length of hospital stay remains to be further explored.

    Best evidence summary on perioperative management of patients with aortic dissection
    ZHOU Yanrong, WU Qiansheng, WANG Xiaoxiao, WANG Lan, WANG Hui
    2022, 57(22):  2769-2776.  DOI: 10.3761/j.issn.0254-1769.2022.22.013
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    Objective To retrieve,evaluate and summarize the best evidence of perioperative management for patients with aortic dissection. Methods According to the“6S” model,we used evidence-based nursing method to retrieve the relevant literature,including clinical decisions,guidelines,evidence summaries,expert consensuses,systematic reviews,etc. The retrieval time limit was from the database construction to January 24,2022. There were 2 researchers who evaluated the quality of the literature,and extracted recommendations and research conclusions from the included literature. Results Totally 24 articles were involved,including 8 clinical decisions,4 guidelines,8 expert consensuses,2 systematic reviews,1 cohort study and 1 case-control study. Finally,15 pieces of best evidence about risk factors assessment,illness monitoring,vital signs management,pain mangagement,lifestyle mangagement,drug taking,transport and follow-up were summarized. Conclusion The best evidence for perioperative management of patients with aortic dissection summarized in this study is scientific and practical to a certain extent,which can provide evidence-based bases for medical staff to carry out the targeted evidence application,so as to better guide clinical practice and ensure patient safety.

    Evidence summary for postoperative home rehabilitation nursing in elderly patients with hip fracture
    ZHANG Mi, ZHOU Chunlan, WU Yanni, BAO Liangxiao, WANG Run, ZHAO Huihui, YANG Lingli, LIN Xiaolu
    2022, 57(22):  2777-2783.  DOI: 10.3761/j.issn.0254-1769.2022.22.014
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    Objective To retrieve relevant evidence of the postoperative home rehabilitation nursing for elderly patients with hip fracture,and provide evidence for clinical nurses to formulate home rehabilitation nursing pro-grams. Methods The relevant evidence of postoperative home rehabilitation nursing for elderly patients with hip fracture was systematically searched from domestic and foreign databases and websites,including clinical decision-making,guidelines,systematic reviews,expert consensuses and evidence summaries,and the search time limit is from the establishment of the databases to Oct.31,2021. There were 2 researchers who evaluated the quality of various literature and extracted recommendations and research conclusions from the included literature. Results A total of 15 articles were involved,including 3 articles on clinical decision-making,3 guidelines,2 systematic reviews,5 expert consensuses,2 evidence summaries. 27 pieces of the best evidence were formed on suitable population,discharge plan,rehabilitation assessment,rehabilitation expectation,exercise strategy,intensive training,health education and health follow-up. Conclusion The best evidence summary for postoperative home rehabilitation nursing in elderly patients with hip fracture was summarized. When applying the evidence,health care professionals should fully consider the specific clinical setting and formulate individualized rehabilitation nursing plans based on the needs and preferences of patients.

    The perception and feeling of nursing staff in advance care planning:a Meta-synthesis of qualitative research
    WEI Lirong, LIU Yun, BIAN Jiping, WANG Yanan, WANG Shen
    2022, 57(22):  2784-2790.  DOI: 10.3761/j.issn.0254-1769.2022.22.015
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    Objective To conduct a meta-synthesis of the perception and feeling of nursing staff in advance care planning(ACP) from the perspective of nursing staff,and provide guidance for the development and implementation of ACP in China. Methods We searched databases including PubMed,Web of Science,the Cochrane Library,Embase,CINAHL,CNKI,Wan Fang,VIP and CBM. The above databases were included to retrieve the literature on the perception and feeling of nursing staff in advance care planning from inception until July 2022. JBI Critical Appraisal Tool for qualitative studies in Australia was used to evaluate the quality of included studies,and meta-synthesis was used to summarize and integrate results. Results A total of 9 studies were included;32 themes were extracted;8 categories were summarized and 3 synthesis results were obtained,namely the perception of nursing staff in ACP,the perceived benefits of nursing staff in ACP,and realistic dilemmas of ACP from the perspective of nursing staff. Conclusion The implementation of ACP is affected by patients,diseases,social support and other aspects. Multidisciplinary cooperation is needed to promote the implementation of ACP.

    Review
    Research progress of health-related quality of life assessment tools for patients with deep vein thrombosis
    LU Qiaodan, WANG Lei, DENG Haibo, XU Yuan, WANG Xiaojie, SUN Jianhua, ZHU Liyun, AN Ranxun, ZHOU Xinyi, WANG Yu, MA Yufen
    2022, 57(22):  2791-2795.  DOI: 10.3761/j.issn.0254-1769.2022.22.016
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    This paper reviews the existing assessment tools,outlines the development process,main contents,and application status of universal and disease-specific health-related quality of life assessment tools for patients with DVT,analyzes the characteristics and limitations of existing tools,and aims to provide references for clinical selection of appropriate assessment tools and for the development of health-related quality of life assessment tools for patients with DVT in accordance with the cultural background of China.

    Research progress of home care services for patients after orthopaedic surgery in China under the background of Internet
    ZHANG Yaqin, LÜ Mengmeng, LI Chunhong, LI Xuemin, SHEN Xingwei, TIAN Yajing, GONG Hongyue
    2022, 57(22):  2796-2801.  DOI: 10.3761/j.issn.0254-1769.2022.22.017
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    The Internet home care service for patients after orthopaedic surgery has the advantages of convenience,immediacy and flexibility. This article reviews the implementation mode,content form,quality management,and implementation effect of home care services for patients after orthopaedic surgery,and provides a reference for building a home care platform for patients after orthopaedic surgery and improving the quality of home care.

    Application progress of palliative care consultation in critically ill patients
    DENG Cunqing, HAO Yanping, PENG Meifang
    2022, 57(22):  2802-2806.  DOI: 10.3761/j.issn.0254-1769.2022.22.018
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    The combination of ICU and palliative care is helpful to improve the quality of life of ICU patients and reduce excessive medical treatment. ICU palliative care consultation is a shared care practice centered on end-of-life patients and their families in ICU,which helps to control patients’ symptoms,clarify treatment goals,make end-of-life decisions and refer to palliative care. It is an effective way to integrate palliative care and ICU. This article reviews the concept,content,implementation effect and obstacles of palliative care consultation in ICU,so as to provide references for the development of palliative care consultation in domestic ICU.

    Application progress of computer-tailored health intervention of elderly people
    LIU Qingcai, ZHAO Yinan, ZHANG Hongyu, LI Xiaoyang, FENG Hui
    2022, 57(22):  2807-2810.  DOI: 10.3761/j.issn.0254-1769.2022.22.019
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    Unhealthy behaviours substantially impact the physical and mental health and quality of life of the elderly. The computer-tailored intervention has the characteristics of strong interaction,low cost and wide coverage,and has played an active role in the health behavior change of the elderly. This paper summarizes the theory,application forms,application effects and limitations of computer-tailored intervention in health intervention for the elderly,and provides a reference for further application of computer-tailored intervention to improve the health behavior of the elderly.

    Overseas Knowledge
    The reliability and validity of the translated Chinese version of Fall Risk Perception Questionnaire for Patients
    BAO Guanjun, ZHU Lin, LIU Yuanfei, YAO Meiqi
    2022, 57(22):  2811-2816.  DOI: 10.3761/j.issn.0254-1769.2022.22.020
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    Objective The Fall Risk Perception Questionnaire for Patients(FRPQ) was translated into Chinese,and its cultural adjustment,reliability and validity were tested,so as to provide technical support for patients’ perceived fall risk assessment. Methods Through translation,retranslation,cultural adjustment and pre-investigation of the English version of the FRPQ,the items of the Chinese version were determined. Using convenient sampling method,360 patients from a hospital in Zhejiang Province and a hospital in Shandong Province were selected to test the reliability and validity of the scale. Results The Chinese FRPQ contains 3 dimensions,which are consistent with environmental factor(13 items),personal-mobility factor(8 items) and personal-chronic condition factor(5 items). The content validity index of the total scale was 0.867;the average content validity index was 0.909;the content validity index of each item was 0.860~1.000. Exploratory factor analysis used the principal component analysis to extract 3 common factors with a cumulative variance contribution rate of 64.229%. The Chinese version of the Morse Fall Scale was used as the calibration standard,and the calibration standard correlation validity was 0.577. The Cronbach’s alpha coefficient of the scale was 0.942 and the split-half reliability was 0.808. Conclusion The Chinese version of FRPQ has good reliability and validity,and it can be used for the self-assessment of falls risk perception of patients,providing a new idea for clinical fall prevention.