Loading...

Table of Content

    15 December 2021, Volume 56 Issue 12
    Special Planning-Cardiovascular Nursing
    Evidence-based nursing practice of discharge planning for elderly patients with chronic heart failure
    HU Huixiu, SUN Chao, ZHANG Jie, CUI Lingling, GUO Di
    2021, 56(12):  1765-1771.  DOI: 10.3761/j.issn.0254-1769.2021.12.001
    Asbtract ( )   HTML ( )   PDF (958KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective To construct a clinical nursing practice plan of discharge planning for elderly patients with chronic heart failure based on the best evidence,and to evaluate its application effects. Methods Evidence-based methods were used to systematically retrieve and summarize the best evidence for the application of discharge planning for elderly patients with chronic heart failure. Based on the best evidence,review indicators were formulated and baseline review was conducted,and promoting and inhibiting factors were analyzed. Implementation rates of review indicators,the knowledge of nurses,and the discharge readiness and self-management ability of patients were compared before and after the application of the evidence-based practice plan. Results After the application of the evidence-based practice plan,the discharge readiness scores of patients increased from(168.74±32.26) to(192.94±21.20);the self-management scores of patients increased from(46.03±13.47) to(57.87±9.22). The knowledge scores of nurses increased from(56.67±11.00) to(71.56±15.33). Except for the review indicator 4 and 10,the implementation rate of the review indicators were all increased to more than 90%. Conclusion Evidence-based nursing practice can standardize the implementation of discharge planning,improve the knowledge of nurses,and contribute to the improvement of discharge readiness and self-management ability of elderly patients with chronic heart failure,which is beneficial for patients to cope with post-hospital rehabilitation.

    Construction and application of an individualized management scheme of fluid intake for patients with chronic heart failure
    WANG Weiyun, LIU Changhong, HUANG Yanling, TANG Yifan, TANG Xinzhi, ZHOU Ruhua, SUN Guozhen, GU Zejuan
    2021, 56(12):  1772-1777.  DOI: 10.3761/j.issn.0254-1769.2021.12.002
    Asbtract ( )   HTML ( )   PDF (1378KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective To construct an individualized management scheme of fluid intake for patients with chronic heart failure(CHF) and discuss its application effect. Methods Based on the previous results of “maximum cumulative fluid balance and number of days for CHF patients with safe volume load” and overhydration(OH) value at the time of entry,an individualized management scheme of fluid intake for patients with CHF was developed. Using the convenience sampling method,278 patients with CHF admitted to a tertiary first-class hospital in Jiangsu Province from May to October 2020 were selected. By the random number table method,the patients were randomly divided into an experimental group (139 cases) and a control group (139 cases). The experimental group adopts an individualized management scheme of fluid intake,and the control group adopts the department’s routine fluid management strategies and we evaluated the effect of the intervention. Results After the intervention,OH value,estimated plasma volume status,Clinical Congestion Scale,Thirst Distress Scale-Heart Failure,the Minnesota Living with Heart Failure Questionnaire,3-and 6-month post-discharge readmission rates in the experimental group were lower than those in the control group(P<0.05). There was no significant difference between 2 groups in 3- and 6-month post-discharge cardiac mortality (P>0.05). Conclusion The individualized management scheme of fluid intake for patients with CHF can improve volume status and quality of life,providing a basis for management of fluid intake for patients with CHF.

    The effect of nasogastric tube on postoperative pulmonary complications and prognosis in patients undergoing cardiovascular surgery
    HU Kaili, ZHOU Yanrong, LI Bingbing, WU Qiansheng, ZHANG Yanli, CHEN Yingying, CHEN Zhao
    2021, 56(12):  1778-1782.  DOI: 10.3761/j.issn.0254-1769.2021.12.003
    Asbtract ( )   HTML ( )   PDF (600KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective To investigate the effects of nasogastric tube(NGT) indwelling on postoperative pulmonary complications(PPCs) and prognosis in patients with cardiovascular surgery,in order to reduce PPCs and improve the patients’ prognoses. Methods Retrospective data of patients undergoing cardiovascular surgery in a tertiary hospital in Wuhan from July 2018 to November 2019 was conducted. The baseline data of patients in 2 groups were matched using a propensity score analysis. Results 316 patients were successfully matched,with 158 patients in the nasogastric tube indwelling group and 158 patients in the non-indwelling group. Compared with the patients in the NGT group without indwelling,the incidence of pulmonary infection,atelectasis,pneumothorax and respiratory failure was higher in the NGT group;the length of stay in the hospital and the length of stay in ICU were longer;the outcome was poor,with statistically significant differences(P<0.05). Conclusion NGT indwelling is associated with the occurrence of pulmonary complications in patients with cardiovascular surgery,and it might prolong the length of stay and affect patient’s outcome.

    A qualitative research on the characteristics of core competence of ECMO specialist nurses
    GAO Dong, HUANG Xia, JIA Peipei, HAN Li, LANG Hanxu, LU Xueping, QIAO Yue, MO Minghui, GAI Yubiao
    2021, 56(12):  1783-1788.  DOI: 10.3761/j.issn.0254-1769.2021.12.004
    Asbtract ( )   HTML ( )   PDF (943KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective To explore the core competence of ECMO specialist nurses in China and to provide standards for training ECMO specialist nurses. Methods With qualitative research methods,semi-structured interviews were conducted among 10 nurses who managed ECMO independently,3 ICU physicians,2 perfusionists and 3 head nurses. Content analysis was used to summarize and extract the theme. Results 7 themes were extracted,including professional knowledge,clinical practice ability,critical thinking ability,professional development ability,communication and coordination ability,management ability,and personal traits. Conclusion The core competences of ECMO specialist nurses are comprehensive. It is necessary to pay attention to and strengthen these 7 core competences of ECMO specialist nurses,so as to meet the needs of ECMO specialized nursing development.

    The experience of physical activities in chronic heart failure patients:a meta-synthesis of qualitative research
    MENG Yingtong, ZHUGE Wei, ZHENG Qingru, ZHANG Tingting, GE Xiaohua
    2021, 56(12):  1789-1795.  DOI: 10.3761/j.issn.0254-1769.2021.12.005
    Asbtract ( )   HTML ( )   PDF (953KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective To analyze and evaluate the experience of patients with chronic heart failure(CHF). Methods We searched databases including PubMed,Web of science,Ovid,Embase,CINAHL,PsycINFO,Cochrane Library,CNKI,SinoMed,WangFang and Vip,from their inception to June 19th 2021,to collect qualitative studies on CHF patients’ experience of physical activities. The quality of included studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies in Australia. The results were integrated by integrating methods. Results A total of 11 studies were included. 36 complete findings were grouped according to similarities to form 10 new categories. These categories resulted in 3 synthesized findings. First,the physical activity of patients with CHF were influenced by hindering and facilitating factors. Second,the physical activity brought positive and negative experience to patients with CHF. Third,strategies to improve the compliance of the physical activity in chronic heart failure patients. Conclusion The physical activity was an effective supplementary treatment for patients with CHF. Nurses should mobilize multi-channel support to overcome physical activity obstacles;pay attention to patient experience in order to provide personalized rehabilitation;provide professional physical activity habit formation interventions and improve the compliance of long-term rehabilitation.

    Nursing care of 2 patients with fulminant myocarditis with awake V-A extracorporeal membrane pulmonary oxygenation and intra-aortic balloon pump
    LIU Hongjuan, QIAO Ying, CHEN Hanrui, CUI Jiao, LUO Can, CHEN Xuemei, TANG Jing, LI Ningning
    2021, 56(12):  1796-1799.  DOI: 10.3761/j.issn.0254-1769.2021.12.006
    Asbtract ( )   HTML ( )   PDF (623KB) ( )  
    References | Related Articles | Metrics

    To summarize the nursing experience of 2 patients with fulminant myocarditis with awake V-A extracorporeal membrane pulmonary oxygenation and intra-aortic balloon pump. Nursing points:nursing care of catheter;nursing care of systemic anticoagulation;monitoring of respiratory,circulation and hemodynamics;nursing care of pain;training of myodynamia;dietary and psychological care. After treatment and nursing care,2 patients were transferred to the general ward for further treatment.

    Specialist Practice and Research
    Establishment of a quality indicator system for pelvic floor rehabilitation management
    WANG Hongyan, XIE Zhenwei, ZHANG Ke, TONG Baoqin, FENG Suwen
    2021, 56(12):  1800-1805.  DOI: 10.3761/j.issn.0254-1769.2021.12.007
    Asbtract ( )   HTML ( )   PDF (738KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective To develop a quality indicator system for pelvic floor rehabilitation management. Methods A comprehensive method,including literature review,Delphi method and analytic hierarchy process,was adopted to establish a quality indicator system for pelvic floor rehabilitation management. Results 2 rounds of expert consultations resulted in the effective response rates of 100%,with the authority coefficients of 0.950,and the coordination coefficients of 0.168 and 0.124 respectively(P<0.05). The final evaluation indicators for pelvic floor reha-bilitation management included 3 first-level indicators,9 second-level indicators,and 42 third-level indicators. Conclusion The quality evaluation indicator system for pelvic floor rehabilitation management is highly practical and scientific,which can provide references for evaluation criteria of quality in pelvic floor rehabilitation.

    Investigation on the cognition and practice of family-integrated care among medical staff in NICU
    FU Yali, ZHANG Xianhong, LI Luquan, ZHOU Mei, WEI Lu
    2021, 56(12):  1806-1811.  DOI: 10.3761/j.issn.0254-1769.2021.12.008
    Asbtract ( )   HTML ( )   PDF (827KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective To investigate the cognition and attitude of family-integrated care(FICare) among medical staff in NICU and to clarify the status of implementation,aiming at providing a reference for the construction of FICare program. Methods A total of 764 NICU medical staff from 23 grade A tertiary hospitals across 13 provinces and cities were selected between March 10th to March 30th,2021 by convenience sampling to respond to a self-designed questionnaire. Results A total of 655 valid questionnaires were collected from 5 children’s hospitals,7 women and children’s hospitals,and 11 general hospitals,with a response rate of 85.7%. The cognition scores of medical staff are(68.22±7.99) points,with the score rate of 90.96%. The attitude scores are(27.34±4.14)poins,with the score rate of 78.11%. FICare has been launched in 17 of the hospitals surveyed,but with variable practice methods. The children’s hospitals have a higher implementation rate(80.0%). The major obstacles against implementing this program include limited space in NICU,insufficient human resources,and the lack of a scientific and systematic implementation approach,etc. Conclusion Medical staff do not fully understand FICare,and it is necessary to conduct targeted and in-depth training. Hospitals with practical experience can jointly develop a scientific and standardized FICare procedure,and play a leading role in guiding and promoting its implementation in the lower-level medical institutions.

    Development and reliability and validity test of treatment compliance scale for children with autism spectrum disorder(parental version)
    WANG Jiale, YANG Qiaohong, YU Xiaoxue, YAN Jiajian
    2021, 56(12):  1812-1818.  DOI: 10.3761/j.issn.0254-1769.2021.12.009
    Asbtract ( )   HTML ( )   PDF (874KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective To develop a treatment compliance scale for children with autism spectrum disorder(ASD)(parental version),and to evaluate the reliability and validity. Methods Based on the conceptual model of drug self-management and evaluation theory of rehabilitation prescription compliance,we formed a pretest scale by literature review,interview and expert consultation. To analyze items of the scale and test the reliability and validity,we processed a survey among 290 parents of children with ASD in outpatient department of 2 tertiary hospitals and 3 children’s rehabilitation centres in Guangzhou from August 2020 to January 2021. Participants were selected by convenience sampling. Results The treatment compliance scale for children with ASD includes 2 subscales. Subscale 1 is medication compliance scale(optional),with 4 items in total. Subscale 2 is a rehabilitation treatment compliance scale,consisting of 18 items in 3 dimensions. The cumulative variance contribution rate of subscale 1 was 72.66%. Regarding Subscale 2,there are 3 common factors being extracted,with cumulative variance contribution rate of 61.71%. Subscale 1 and subscale 2 had the same content validity index(CVI) of 0.930,and CVI of each item ranged from 0.800 to 1.000. The Cronbach’s α coefficients of subscales 1 and subscale 2 were 0.870 and 0.902,and the Cronbach’s α coefficients of each dimension were 0.760~0.909. Conclusion The treatment compliance scale for children with ASD(parental version) has good reliability and validity,and it can be used to evaluate the treatment compliance of children with ASD. This scale provides scientific support for further optimization treatment and nursing of ASD children to improve the prognosis of ASD children and reduce the burden of disease.

    Nursing Education
    Development of an evaluation index system for core competence of Master of Nursing Specialist in Anesthesia
    DU Dandan, HU Huihui, ZHOU Fang, YAN Wenjing, SUN Guoxiu
    2021, 56(12):  1819-1826.  DOI: 10.3761/j.issn.0254-1769.2021.12.010
    Asbtract ( )   HTML ( )   PDF (956KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective The aim of this study was to develop an evaluation index system for core competence of Master of Nursing Specialist in Anesthesia based on the educational objectives of advanced practice nurse in China. Methods Initial indexes were generated through the literature review and semi-structured interviews. 2 rounds of expert consultations and analytic hierarchy process were conducted to establish the evaluation index for core competence of Master of Nursing Specialist in Anesthesia. Results A total of 23 experts were included in the study,the response rates of 2 rounds were both 100%,and the authority coefficients of the experts were 0.898 and 0.884. The Kendall’s coefficients of concordance for the 2 rounds of consultations were 0.146~0.235 and 0.153~0.243. Finally,the evaluation index system for core competence of Master of Nursing Specialist in Anesthesia was formed,which consists of 6 first-level indexes,23 second-level indexes and 101 third-level indexes. Conclusion The evaluation index system for core competence of Master of Nursing Specialist in Anesthesia is reasonable, scientific and reliable,which can provide a theoretical reference for the education and personal development of Master of Nursing Specialist in Anesthesia in China.

    Hospital Infection Control
    Investigation on the use and management of perioperative implants in 1225 hospitals in China
    CHEN Yuan, QIAN Qianjian, SUN Yuhong, WANG Wei, MA Yan
    2021, 56(12):  1827-1834.  DOI: 10.3761/j.issn.0254-1769.2021.12.011
    Asbtract ( )   HTML ( )   PDF (956KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective To investigate the current situation of implant use and management in 1225 hospitals in China,and to analyze the existing problems,so as to provide references for the standard management of perioperative implants,and lay a research foundation for the formulation of relevant standards. Methods In May 2021,stratified sampling method was adopted to select operating room management personnel from 1225 hospitals in China. The persons in charge were set in the provinces,autonomous regions and municipalities directly under the central government. All the persons in charge were members of the surgical equipment and materials professional group of Nursing Equipment and Materials Branch of China Medical Equipment Association. Questionnaires were made through the Questionnaire Star and distributed and collected through the WeChat group. A self-designed questionnaire was used,including general information and “Questionnaire on Current Situation of Use and Management of Perioperative Implants”. Results In terms of implant management mode,there were mainly 3 modes,namely three-level management of the equipment department,operating room and specialist group(72.73%),on-board management of the equipment department(12.24%),and self-management of the clinical use department(10.69%). There were great differences among different types of hospitals. In terms of receiving foreign devices and implants,there are still some problems,such as late delivery of suppliers and non-standard charges. In terms of implant traceability management,68.90% introduced an information system to trace the use of implants;62.29% carried out information traceability of the cleaning,disinfection and sterilization process of foreign instruments and implants;48.89% carried out scanning charge and traceability management of implants,indicating that information construction needs to be strengthened. In addition,there are many problems and safety risks in the treatment of unused implants after removal or unpacking and related training,which need to be improved. Conclusion Relevant departments and managers should improve the relevant system and process management according to the scale and actual conditions of different hospitals,strengthen the supervision of implant access,and the whole process information tracing management. Relevant standards should be established in time for non-use of implants after removal and unpacking,so as to fill the management gaps. Supervision over the implementation of existing standards should be strengthened.

    Clinical Practice
    Nursing care of a patient with coronary heart disease complicated with pseudoaneurysm after hepatopancreatduodenectomy
    ZHAO Qiaomei, HUANG Bingying, CHAI Peifei, LIANG Jiangshuyuan, XU Hongxia
    2021, 56(12):  1835-1837.  DOI: 10.3761/j.issn.0254-1769.2021.12.012
    Asbtract ( )   HTML ( )   PDF (499KB) ( )  
    References | Related Articles | Metrics

    To summarize the nursing care of a patient with coronary heart disease complicated by hepatic artery pseudoaneurysm after hepatopancreatduodenectomy. Nursing points include:to strengthen the observation and nursing care of the disease,to be alert to the occurrence of acute coronary syndrome,to pay attention to early warning sentinel bleeding,to implement nursing care during conservative treatment of hepatic artery pseudoaneurysm,and the prevention and nursing care of complications after interventional treatment. After careful treatment and nursing care,the patient recovered after 78 days of hospitalization.

    Application of relayed parenteral and enteral nutrition support assisted by digestive fluid reinfusion in the nursing care of 3 children with high flow fistula
    YANG Ying, SHENG Yu, BIAN Lanzheng, LU Yan, ZHANG Wenxian
    2021, 56(12):  1838-1842.  DOI: 10.3761/j.issn.0254-1769.2021.12.013
    Asbtract ( )   HTML ( )   PDF (688KB) ( )  
    References | Related Articles | Metrics

    To summarize the clinical nursing experience of 3 children with high flow fistula of digestive tract who underwent gastric fluid,bile fluid and intestinal fluid reinfusion combined with relay-type nutritional support. The key points of nursing include:nutritional risk screening and assessment,implementation of relay nutritional support treatment,enteral nutrition combined with digestive fluid reinfusion,fistula management and humanistic care for children and their parents. After careful treatment and nursing care,the weight of the 3 children increased steadily and their nutritional status improved gradually. All of them recovered and were discharged from hospital smoothly.

    Nursing care of a child with sitosterolemia
    CHEN Meixue, SONG Yuanzong, ZHANG Ni, LIN Qingran, CHEN Weiju
    2021, 56(12):  1843-1845.  DOI: 10.3761/j.issn.0254-1769.2021.12.014
    Asbtract ( )   HTML ( )   PDF (506KB) ( )  
    References | Related Articles | Metrics

    This article aims to summarize the experience in the nursing care of an 8-year-old child with sitosterolemia. The mainly nursing points are as follows:to formulate a personalized diet list,to restrict the intake of plant sterols and some animal sterols;to monitor the growth and development indicators and assess nutritional status;to observe and record changes in xanthomas and reduce their disturbance;to closely observe the condition to prevent complications;to strengthen psychological care for the child and family members to relieve their negative emotions;to conduct regular follow-up and continued care to improve disease management capabilities of the child and his family. After 20 months of continuous follow-up,the patient’s condition improved without any complications.

    Evidence Synthesis Research
    The effect of aerobic combined resistance exercise in children with malignant tumor:a meta-analysis
    SHEN Xiaowen, ZHENG Xiaofen, DONG Ning, ZHOU Honghua, ZHANG Huihui, ZHANG Chunmei
    2021, 56(12):  1846-1851.  DOI: 10.3761/j.issn.0254-1769.2021.12.015
    Asbtract ( )   HTML ( )   PDF (736KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective To evaluate the effect of aerobic combined resistance exercise in children with malignant tumors. Methods We searched databases including Wanfang,VIP,CNKI,CBM,Web of Science,Cochrane Library,PubMed,Embase and CINAHL,from inception to May 2021,and we included randomized controlled trials(RCTs) reporting the effectiveness of aerobic combined resistance exercise in children with malignant tumors. 2 trained researchers screened the literature,evaluated the quality and extracted the data independently,and the meta-analysis was implemented with RevMan 5.4. Results Totally 7 RCTs involving 452 children were included. The results of meta-analysis showed that after exercise intervention,the cancer-related fatigue[SMD=-1.07,95%CI(-1.60,-0.53),P<0.01] and 6-minute walk test[SMD=0.83,95%CI(0.47,1.19),P<0.01] of children in the experimental group are better than those in the control group. There were no statistically significant differences in peak oxygen uptake [SMD=-0.08,95%CI(-0.42,0.26),P=0.63] and health-related quality of life[SMD=-0.09,95%CI(-0.44,0.26),P=0.62]. Conclusion Aerobic combined with resistance exercise can alleviate cancer-related fatigue in children with malignant tumors and enhance their cardiopulmonary function. However,the conclusion of this study needs to be confirmed by further high quality research.

    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
    2021, 56(12):  1852-1859.  DOI: 10.3761/j.issn.0254-1769.2021.12.016
    Asbtract ( )   HTML ( )   PDF (998KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    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.

    A meta-synthesis of body image experience in patients with head and neck cancer
    YAO Qianqian, PU Shuying, BAI Yangjuan, LIU Li, LUO Yanfang, WEI Ping, TAN Junyang
    2021, 56(12):  1860-1867.  DOI: 10.3761/j.issn.0254-1769.2021.12.017
    Asbtract ( )   HTML ( )   PDF (1088KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective To systematically review body image experience of patients with head and neck cancer(HNC) and to provide healthcare professionals with foundations to develop interventions. Methods Qualitative studies on body image experience of HNC patients,published by December 2020,were searched in English and Chinese databases,including PubMed,Web of Science,Embase,Cochrane Library,PsyINFO,CINAHL,CNKI,Wanfang,VIP and CBM. The quality of included studies were evaluated by Joanna Briggs Institute Critical Appraisal Tool for qualitative studies. Results A total of 9 eligible studies were included. Based on the similarities of the extracted 44 findings,we concluded 7 new categories and further synthesized 3 integrated themes,including serious impact of body image change on HNC patients,various influencing factors of body image experience in HNC patients,and different coping strategies of body image issues in HNC patients. Conclusion Body image is a critical issue in HNC patients. To deal with this issue,more awareness and interventions should be given from healthcare professionals. Family supports are encouraged,with a balance with patients’ autonomy. More appropriate social and cultural attention to the body image issues in HNC patients are needed.

    A systematic review of guidelines on the management of patient-controlled analgesia in adult patients with postoperative acute pain
    ZHANG Junfeng, CAI Yingying, ZHENG Kexin, CHEN Miaoting, LIU Xingling, WU Yanni
    2021, 56(12):  1868-1875.  DOI: 10.3761/j.issn.0254-1769.2021.12.018
    Asbtract ( )   HTML ( )   PDF (1038KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective The quality evaluation and content analysis of the existing guidelines concerning management of patient-controlled analgesia(PCA) in adult patients with postoperative acute pain were conducted to provide recommendations for its management. Methods Evidence-based guidelines involving recommendations of PCA management with postoperative pain were searched in guidelines networks,websites of pain management and anaesthesiology,and databases from inception to April 2021. AGREE Ⅱ was used to appraise the quality of guidelines;the recommendations related to PCA management of postoperative pain were synthesized. Results A total of 783 pieces of the literature were initially detected,and finally 9 evidence-based guidelines were included,among which 3 were rated as A and 6 were rated as B,with the relatively high quality. 23 recommendations were extracted and summarized from 9 guidelines,involving 6 domains,namely organization management,education and training,analgesia mode selection,patient education,preoperative assessment,and postoperative monitoring and assessment. Conclusion The guidelines are of high quality in total,providing recommendations on PCA management of postoperative pain;however,the independence and applicability of the guidelines need to be improved. The recommendations of PCA management are scattered in different guidelines and lack targeted specific PCA management strategies.

    The experience of dementia patients and their relatives in advance care planning:a meta-synthesis of qualitative research
    ZHANG Lingli, LIU Dongling, WANG Zichen, LI Jiayin, LIU Xuebing, ZHANG Qiongwen
    2021, 56(12):  1876-1882.  DOI: 10.3761/j.issn.0254-1769.2021.12.019
    Asbtract ( )   HTML ( )   PDF (840KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective To conduct a meta-synthesis of the experience of dementia patients and their relatives in advance care planning(ACP) and provide evidence-based guidance for the development and implementation of ACP in dementia patients. Methods 8 databases(Web of science,PubMed,EBSCO,The Cochrane Library,Embase,CNKI,CBM,Wan Fang) were included to retrieve the literature on the experience of dementia patients and their relatives about ACP intervention from inception until August 2021. The quality of included studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies in Australia. Meta-aggregation was used to conduct the synthesis. Results 41 findings were extracted from 11 qualified studies and they were integrated into 9 categories. 4 synthesis results were summarized,including attitude of dementia patients and their families to participate in ACP,the perceived benefits of dementia patients and their families to participate in ACP,the perceived barriers of dementia patients and their families to participate in ACP,and the perceived reactions of dementia patients and their families to participate in ACP. Conclusion The successful implementation of ACP requires continuous focus on the attitude of dementia patients and their families for participation. At the same time,facing the difficulties of dementia patients participating in ACP,we should alleviate the negative influence of family members’ participation and attach importance to patient preferences and enrich the content and form of ACP to promote the development and improvement of ACP.

    Review
    Conceptual connotation and research progress of subsyndromal delirium
    GAO Yan, GAN Xiuni, YANG Ruiqi, ZHANG Chuanlai
    2021, 56(12):  1883-1888.  DOI: 10.3761/j.issn.0254-1769.2021.12.020
    Asbtract ( )   HTML ( )   PDF (788KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective Using Rodgers’ evolutionary concept analysis to interpret the concept and connotation of subsyndromal delirium. Methods CNKI,Wanfang,VIP,CBM,PubMed,Web of science,CINAHL,Embase and Psyc-INFO were searched from inception to 2021 for relevant articles. 32 articles were recruited finally. The origin of the concept of subsyndromal delirium,its attributes antecedents,preconditions and influencing factors,consequences were analyzed and combined. Results Subsyndromal delirium’s attributes antecedents were composed of 4 aspects,including a mental cognitive disorder,incomplete delirium state,dynamic fluctuation process and easy to be clinically neglected and missed diagnosis. Its prerequisites can be discussed from the internal orientation(personal physical factors,psychological factors) and external causes(environmental factors,drug factors). After the occurrence of subsyndromal delirium,it will affect the patient’s cognitive level and long-term quality of life,and increase the mortality rate. Conclusion At present,the research is not deep enough for the study of subsyndromal delirium,and its concept and diagnostic criteria have not yet formed. In the future,we should further explore subsyndromal delirium in a deep and multi-dimensional way.

    Review on the gain of caregivers of dementia patients
    XIAO Hongmei, WANG Zhiwen
    2021, 56(12):  1889-1893.  DOI: 10.3761/j.issn.0254-1769.2021.12.021
    Asbtract ( )   HTML ( )   PDF (524KB) ( )  
    References | Related Articles | Metrics

    With the rapid increase of aging population,the number of dementia patients is increasing year by year. The gain of caregivers affects the physical and mental health of caregivers of dementia patients. This paper will review the assessment tools,gain status,influencing factors and intervention status of caregivers of dementia patients,so as to provide references for exploring some controllable factors and intervention programs of the gain.

    Nursing Instruments Innovation
    Fabrication of stainless steel twist traction rings and their application in quality inspection of luminal devices cleaning
    HUANG Xiaoping, HUANG Yaokui, KE Ping
    2021, 56(12):  1894-1897.  DOI: 10.3761/j.issn.0254-1769.2021.12.022
    Asbtract ( )   HTML ( )   PDF (827KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective To invent a stainless steel twist traction ring and to discuss its effectiveness in the quality inspection of luminal devices cleaning. Methods A stainless steel twist traction ring is invented and used for inspection of the cleaning quality of luminal devices. Its effectiveness in quality inspection of luminal devices cleaning was evaluated by comparing with the effect of visual + light source magnification method,the probe gauze method,and the ATP biofluorescence method. Results In the inspection of the cleaning quality of luminal devices A,there were differences in the cleaning quality pass rates between the twist traction ring method,the visual + light source magnification method and the ATP biofluorescence method,respectively,and the differences were statistically significant(P<0.010). In the pair-wise comparisons,the visual inspection + magnification method had the highest pass rate,with a statistically significant difference in pass rate from the other 2 groups(P<0.017). There were no statistically differences in pass rates between the twist traction ring method and the ATP biofluorescence method(P>0.017). In the cleaning quality inspection of luminal devices B,there were statistically significant differences in pass rates of the 4 cleaning quality inspection methods(P<0.01),and in the pair-wise comparisons,the visual inspection + magnification method had the highest pass rate,with a statistically significant difference in pass rate from the other 3 groups(P<0.008). Conclusion The stainless steel twist traction ring method can detect unqualified devices that cannot be detected by visual + light source magnification methods in the quality inspection of luminal devices cleaning. Its detection is comparable to that of the probe gauze method and the ATP biofluorescence method. But its operation is easier and more widely applicable than the probe gauze method,and it saves money compared to the ATP biofluorescence method.

    Design and application of a fixed bracket for atomizer
    LIN Wenfeng, ZHANG Xiaohong, ZHANG Guowen, SUN Liqin, CHENG Baozhen, YU Haijuan
    2021, 56(12):  1898-1900.  DOI: 10.3761/j.issn.0254-1769.2021.12.023
    Asbtract ( )   HTML ( )   PDF (499KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective This study explored the application effects of a self-designed atomizer fixing bracket in the atomization process of patients. Methods The self-designed atomizer fixing bracket includes 4 parts with a base,a connecting pipe,a universal hose and a fixing part of the atomizer cup. 63 patients in the emergency ward of a tertiary first-class hospital in Hefei from January to June 2020 were selected as the control group;63 patients from July to December 2020 were in the test group. Patients of the test group used a self-designed atomizer fixing bracket to assist atomization process,while patients of the control group used conventional standard atomization methods for atomization treatment. The comfort of atomization,the atomization time and the number of atomization interruptions were observed in 2 groups. Results The atomization time of the test group were(23.05±2.86) min,and the atomization time of the control group were(16.46±2.31) min with statistically significant differences between the 2 groups(P<0.001). The numbers of atomization interruptions in the test group were(0.86±0.47) times,while the numbers of atomization interruptions in the control group were(1.77±0.57) times,and the difference between the 2 groups was statistically significant(P=0.013). The comfort rate of atomization in the test group was 92.06%,and the control group was 76.19%. The difference between the 2 groups was statistically significant(P=0.031). Conclusion The atomizer fixing bracket was convenient to use,which can help to improve the comfort of atomization of patients,reduce the number of interruptions of atomization,extend the time of atomization,and help improving the compliance of patients with atomization therapy.

    Overseas Knowledge
    Sinicization of the Dementia Quality of Life Scale for Older Family Carers of Patients and the test of its reliability and validity
    SUN Jing, ZHENG Xiuli, YANG Zhilan, JIANG Zhihong, LI Yanxue, KOU Jiashu
    2021, 56(12):  1901-1905.  DOI: 10.3761/j.issn.0254-1769.2021.12.024
    Asbtract ( )   HTML ( )   PDF (683KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective To test the reliability and validity of Dementia Quality of Life Scale for Older Family Carers(DQoL-OC) in Chinese version. Methods According to the modified version of Brislin retranslation model,the original DQoL-OC was translated into Chinese version. The convenience sampling method was used to survey 242 older family caregivers from outpatient and inpatient patients. 50 caregivers of them were randomly selected to retest after 30 days,and the data was collected to analyze the reliability and validity. Results The Chinese version of DQoL-OC contains 22 items with one dimension,which is consistent with the original scale. The I-CVI was 0.83~1.00;the S-CVI/UA was 0.82;the S-CVI/Ave was 0.91;the structure validity χ2/DF was 2.33;the approximate error mean square root(RM-SEA) was 0.07;the fitting goodness index(GFI) was 0.92,and Tucker-Lewis coefficient(TLI)was 0.92.The internal consistency index Cronbach’s α coefficient was 0.92;the test-retest reliability was 0.81. Conclusion The Chinese version of DQoL-OC has good reliability and validity,which can be used to evaluate the quality of life of older family caregivers of dementia patients. It can provide corresponding bases for researchers to make targeted intervention strategies for the older family caregivers.

    Bibliometric analysis on abroad studies of venous thromboembolism prevention
    ZHU Liyun, WANG Lei, XU Yuan, WANG Xiaojie, WANG Yu, TIAN Mengyuan, DENG Haibo, YANG Xu, LU Qiaodan, MA Yufen
    2021, 56(12):  1906-1910.  DOI: 10.3761/j.issn.0254-1769.2021.12.025
    Asbtract ( )   HTML ( )   PDF (717KB) ( )  
    Figures and Tables | References | Related Articles | Metrics

    Objective To analyze the situation and hot trend of venous thromboembolism(VTE) prevention abroad,in order to provide references for clinical guidelines and scientific research for nursing staff in China. Methods Core journal articles related to venous thromboembolism and prevention from Web of Science(WOS) from 2005 to 2020 were retrieved. CiteSpace software was used for the bibliometric and cluster analysis. Results The volume of papers issued in the research of VTE prevention is on the whole increasing trend. The research mainly focuses on drug prevention,physical prevention,complications observation,risk identification and VTE prevention in patients with different diseases. Among them,“precautionary duration” “intermittent pneumatic compression devices” “stroke”“anticoagulation” “clinical practice guidelines” and “oral anticoagulants” are the hot spots in the current research frontier. Conclusion The prevention of VTE is attracting the attention of scholars. It is recommended to promote the development of VTE prevention research in China and continuously improve the quality of clinical care by specifying the focus of VTE prevention research,broadening the range of VTE prevention populations,and formulating VTE preventive care guidelines.