Table of Content

20 January 2022, Volume 57 Issue 2

Previous Issue    Next Issue

Research Paper

Effect of Return-to-Family intervention on rehabilitation efficacy of breast cancer patients

SONG Pengjuan, LIU Jun’e, CHEN Shaohua, LIU Juan, LIU Fang

2022, 57(2):  133-139.  DOI: 10.3761/j.issn.0254-1769.2022.02.001

Asbtract ( )   HTML ( )   PDF (891KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To explore the effect of “Return-to-Family” intervention program on rehabilitation effects of breast cancer survivors. Methods A total of 70 breast cancer survivors were recruited by convenient sampling in Breast Surgery Department and Breast Nursing Clinic of a tertiary hospital in Beijing. They were divided into a control group and an intervention group,and each group has 35 patients. In the intervention group,the program of “Return-to-Family” intervention was carried out. In the control group,the routine care was provided. The effectiveness of the intervention program was assessed before and after intervention by the function of shoulder joint and arm at affected side,the Disabilities of the Arm,Shoulder and Hand questionnaire（Quick-DASH）,the Cancer Rehabilitation Evaluation System-Short Form（CARES-SF）,the Family Adaptability and Cohesion Evaluation Scales （FACES）. Results After intervention,the total scores of the function of shoulder joint and arm at affected side,the FACES in the intervention group were higher than those in the control group and those before intervention（P< 0.05）. The total scores of the Quick-DASH and the CARES-SF in the intervention group were lower than those in the control group and those before intervention（P<0.05）. Conclusion “Return-to-Family” intervention benefits the improvement of upper limb function,quality of life,family function for breast cancer patients,and help breast cancer survivors return to family smoothly.

Study on the effects of different temperature swelling fluid on the rehabilitation of patients after lower extremity varicose veins surgery

JIN Caiyun, CHEN Jing, ZHANG Caixin, OUYANG Yanyan, ZHU Meilin, LI Shuman, CHEN Xing

2022, 57(2):  140-145.  DOI: 10.3761/j.issn.0254-1769.2022.02.002

Asbtract ( )   HTML ( )   PDF (825KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To investigate the rehabilitation effect of swelling fluid cold therapy at different temperatures on patients with lower extremity varicose veins（LEVV） under epidural anesthesia and local swelling anesthesia. Methods 101 patients undergoing epidural anesthesia and local swelling LEVV in a tertiary A hospital in Fuzhou for vascular surgery from December 2019 to March 2021 were selected as study subjects by convenient sampling method. They were randomly divided into 3 groups according to random numbers,namely test group A with 34 cases provided with 4~9 ℃ of swelling fluid,test group B with 34 cases provided with 10~15 ℃ of swelling fluid,the control group with 33 cases provided with 18~24 ℃ of swelling fluid. The rehabilitation of surgical limb pain value,ecchymosis area,the number of hematoma occurrence and complications in the 3 days of the 3 groups were observed. Results The differences of baseline data between the 3 groups were not statistically significant（P>0.05）;the pain scores of the 2 test groups were lower than those of the control group（P<0.05）. The skin ecchymosis area on the 3rd day after the surgery in the 2 test groups was lower than it in the control group with statistically significant differences（P=0.001）. There was no significant difference in the hematoma of the 3 groups on postoperative 3rd day（P=0.278） and no adverse reactions occurred in the 3 groups. Conclusion Intraoperative cold treatment with 4~9 ℃ or 10~15 ℃ swelling fluid in patients with LEVV can reduce the pain and ecchymosis area of postoperative 3 d.

Special Planning—Mental Health Care

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

2022, 57(2):  146-150.  DOI: 10.3761/j.issn.0254-1769.2022.02.003

Asbtract ( )   HTML ( )   PDF (742KB) ( )  

Figures and Tables | References | Related Articles | Metrics

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.

Effect of sensorimotor training in elderly patients with schizophrenia

JIANG Jufang, LU Jiangbo, PEI Jianqin, QIAN Wei, GUO Linping, TANG Qunhua

2022, 57(2):  151-157.  DOI: 10.3761/j.issn.0254-1769.2022.02.004

Asbtract ( )   HTML ( )   PDF (1085KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To explore the intervention effect of sensorimotor training on self-efficacy and activity of daily living（ADL） of elderly patients with schizophrenia. Methods 60 patients were divided into 2 groups according to their admission number. Patients whose last admission number was even number were assigned to the experimental group（n=30）,and the patients with odd number were assigned to the control group（n=30）. The experimental group received 10-week and 30-time sensorimotor training including 4 training modules based on the routine training and health education,whereas the control group received routine training and health education. Mini-mental State Examination（MMSE） was used to assess cognitive level of patients;the self-efficacy of patients was evaluated by General Self-efficacy Scale（GSES）;Nurses’ Observation Scale for Inpatient Evaluation（NOSIE） was adopted to evaluate the condition and behavioral disorder of patients;Modified Barthel Index（MBI） was used to assess the ability of daily living of patients. Those scales were all used before and after the intervention. Results 10 weeks after the intervention,the scores of GSES in the experimental group were higher than those in the control group,among which the scores of orientation,memory,attention and calculation were significantly higher than those before the intervention. The factor scores of social ability,social interest and personal tidiness in NOSIE were significantly higher than those in the control group,while the factor scores of irritability,psychotic manifestations,withdrawal and depression in NOSIE were significantly lower than those in the control group. Scores of MBI were significantly higher than those in the control group except for defecation factor（P<0.05）. Conclusion The sensorimotor training can improve the level of self-efficacy and the ability of ADL in elderly patients with schizophrenia.

Intervention effects of rehabilitation training of mode of human occupation on self-efficacy and stigma of schizophrenia patients

YUAN Shuilian, WU Zhenhong, ZHANG Qian, LI Yang, LI Jiangchan, GUO Longrun, SU Jianning

2022, 57(2):  158-164.  DOI: 10.3761/j.issn.0254-1769.2022.02.005

Asbtract ( )   HTML ( )   PDF (1119KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To explore the intervention effects of rehabilitation training of mode of human occupation （MOHO） on self-efficacy and stigma of convalescent schizophrenic patients. Methods 103 inpatients with schizophrenia were randomly divided into a research group（53 cases） and a control group（50 cases）. The study group received a rehabilitation training of MOHO on the basis of anti-psychotic treatment and routine nursing, 5 times a week for 8 weeks. The control group received a routine rehabilitation training on the basis of anti-psychotic treatment and routine nursing. Before and after the intervention,the general self-efficacy scale（GSES） and the stigma scale for patients with mental illness（SSMI-C） were used to evaluate the effect of the intervention. Results The results of intra group comparison showed that GSES was（15.46±2.74） before intervention and（17.92 ±2.42） after intervention. Before the intervention,the total score of stigma was（52.12±7.53）,discrimination was （21.36±6.83）,disease concealment was （17.28±4.45）,positive effect was（13.48±3.81）;after the intervention,the total score of stigma was （41.66±4.95）,discrimination was（16.84±4.02）,disease concealment was （14.18±2.75）,and positive effect was（10.64±2.38）. The difference was statistically significant（P<0.001）. The comparison results within the control group showed that the post test score of self-efficacy was higher than the pretest score,and there was no significant difference in GSES score,total score of stigma,discrimination,disease concealment and positive effect factor score（P>0.05）. After the intervention,the GSES score of the research group was higher than that of the control group,and the total score and each dimension score of stigma were lower than those of the control group（P<0.001）. Conclusion The rehabilitation training of MOHO can effectively reduce the level of stigma and improve the sense of self-efficacy.

A qualitative study on the growth of psychiatric nurses after night shift traumatic event

GONG Bei, LI Lihua, SHAO Hua, LI Huiping, HUANG Hongyou

2022, 57(2):  165-169.  DOI: 10.3761/j.issn.0254-1769.2022.02.006

Asbtract ( )   HTML ( )   PDF (819KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To explore the growth of psychiatric nurses after experiencing traumatic event during the night shifts,in order to provide targeted interventions and guidance for them at different stages,and to provide training directions for newly graduated nurses by managers or interveners. Methods 12 psychiatric nurses who experienced traumatic events during the night shifts in a tertiary hospital in Guangdong Province from March to July 2020 were interviewed by grounded theory method. Based on Strauss and Corbin grounded theories,open login,axial login and selective login were conducted for continuous comparison and analysis for data. Results This study found that psychiatric nurses experienced 3 different stages after experiencing night shift traumatic event,including stress period,adjustment period,and growth period. Conclusion The growth of psychiatric nurses after night shift traumatic event is a dynamic process. Managers or interveners can carry out targeted interventions and guidance according to different stages,and encourage them to prepare relevant knowledge and skills in advance during the early training of newly graduated nurses.

Research progress on the assessment tools and nursing interventions of the quality of life for patients with bipolar disorder

ZHAO Wei, WANG Yuling, LIU Zhihua, ZHANG Junfeng

2022, 57(2):  170-175.  DOI: 10.3761/j.issn.0254-1769.2022.02.007

Asbtract ( )   HTML ( )   PDF (841KB) ( )  

References | Related Articles | Metrics

At present,the quality of life of patients with bipolar disorder（BD） is relati-vely low,and because of the special nature of their lack of insight,few nursing interventions have been carried out in China for them. This article reviews the latest studies on quality of life in patients with BD,including the current status of their quality of life,assessment tools,and nursing interventions to improve quality of life. It is recommended that evidence-based nursing interventions should be developed and implemented in clinical practice and community setting. The effective nursing interventions that are suitable for China’s clinical reality and can improve the BD patients quality of life should be further explored,so as to provide bases for the construction of systematic intervention programs.

Specialist Practice and Research

The investigation of fatigue development trajectory in patients with acute myocardial infarction

GONG Li, LIN Xi, DONG Mingqi, DU Jinlei, ZHU Fan, JIANG Jianping, ZHAO Hongxing, SHAO Shengwen

2022, 57(2):  176-181.  DOI: 10.3761/j.issn.0254-1769.2022.02.008

Asbtract ( )   HTML ( )   PDF (907KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To explore the fatigue development trajectory and influencing factors of postoperative patients with acute myocardial infarction（AMI）. Methods From December 2019 to January 2021,206 patients with first AMI in the cardiology department of a tertiary hospital in Huzhou were selected by convenience sampling method. The multidimensional fatigue scale-20 was used to investigate the patient’s fatigue level on the second day after admission and 1,2,4 months after discharge,and the latent class growth model and single factor analysis were used for data processing. Results It is recognized that the fatigue trajectory of AMI patients is divided into 3 potential categories,namely,the obvious improvement group（15.2%）,the slow remission group（62.8%）,and the continuous fatigue group（22.0%）;single factor analysis shows that the 3 trajectory categories are different with statistical significance in gender （χ²=29.384,P<0.001）,marital status （χ²=6.774,P=0.034）,number of comorbidi-ties（χ²=27.131,P<0.001） and cardiac function classification（χ²=20.416,P<0.001）. Conclusion The fatigue of most patients with AMI can be improved within 4 months from acute admission to discharge. There is group heterogeneity in fatigue trajectory. Medical staff should formulate staged and specific full-course nursing interventions according to different trajectory categories.

The incidence and risk factors of postoperative nausea and vomiting in liver cancer

ZHOU Haiying, ZHANG Yuxia, CHEN Xiao, ZHANG Qi, ZHU Yan, YU Jingxian

2022, 57(2):  182-187.  DOI: 10.3761/j.issn.0254-1769.2022.02.009

Asbtract ( )   HTML ( )   PDF (741KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To assess the incidence and risk factors of postoperative nausea and vomiting（PONV） in liver cancer patients,and to provide references for clinical nursing intervention. Methods We used consecutive sampling method to select liver cancer patients who underwent liver resection at Zhongshan Hospital of Fudan University from October 2020 to April 2021. A total of 352 patients were prospectively studied. PONV was assessed after 2 hours,6 hours and 24 hours after surgery,respectively. Demographic data,disease information,and surgery information were collected to analyze the risk factors. Results The overall incidence of PONV in liver cancer was 48.30%（170 cases）,of which 58.82%（100 cases） developed within postoperative 2 hours,20.00%（34 cases） developed between 3-6 hours after surgery,and 21.18%（36 cases） developed between 7-24 hours after surgery. Logistic regression identified the female,length of surgery,PONV history or motion sickness history,time of portal vein occlusion≥15 min and age<60 years old as risk factors of PONV. Conclusion The incidence of PONV within 24 hours in liver cancer was high.Nurses should pay much attention to those who were female at a younger age,with longer surgery,PONV or motion sickness history,longer time of portal vein occlusion,and take preventive measures to avoid or reduce PONV.

Development and validation of an assessment scale of discharge planning demand for hospitalized elderly patients

HU Huixiu, SUN Chao, ZHANG Jie, CUI Lingling, GUO Di

2022, 57(2):  188-192.  DOI: 10.3761/j.issn.0254-1769.2022.02.010

Asbtract ( )   HTML ( )   PDF (890KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To develop an assessment scale of discharge planning demand for hospitalized elderly patients,and to test its reliability and validity. Methods The assessment scale draft was constructed by the literature analysis method and 2 rounds of Delphi consultations. The data of 242 hospitalized elderly patients was collected from October 2020 to July 2021,and the content validity,inter-rater reliability and predictive validity of the scale for unplanned readmission within 31 days were further tested. Results The scale contains 34 items in 9 dimensions. The content validity index of the scale was 0.933;the area under the ROC curve was 0.975;the confidence interval of 95% was 0.958~0.992（P<0.001）;the optimal critical value was 5.5;the corresponding sensitivity was 0.972 and specificity was 0.903;the inter-rater reliability was 0.951. Conclusion The scale of discharge planning demand for hospitalized elderly patients has good reliability and validity,and it can be used in clinical practice to assist in the identification and prediction of high-risk elderly patients for unplanned readmission.

Modification and effect evaluation of prediction of orogastric tube insertion length in premature infants

XIE Shuaihua, YANG Qin, WU Xuhong, JIANG Yan, LI Yewen, ZHOU Jia, LI Wei, HEI Mingyan

2022, 57(2):  193-196.  DOI: 10.3761/j.issn.0254-1769.2022.02.011

Asbtract ( )   HTML ( )   PDF (509KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To modify the insertion length of orogastric tube placement in premature infants and to evaluate its effect. Methods A total of 306 premature infants undergoing orogastric tube insertion in the Neonatal Center of a tertiary A hospital in Beijing were selected as the study subjects. 155 premature infants undergoing orogastric tube insertion from August 2019 to April 2021 were selected as the test group,and 151 premature infants from March 2018 to July 2019 were in the control group. The effects of different predicting methods on the correct placement rate of the orogastric tube tip,drainage volume before gastrointestinal decompression,number of vomiting episodes,and the total time of gastrointestinal decompression were compared in 2 groups. Results The correct placement rate of orogastric tube tip was 85.81% in the test group and 15.23% in the control group,and the difference was statistically significant（P<0.001）. The drainage volume 3 days before gastrointestinal decompression in the test group was higher than that in the control group,and the difference was statistically significant（t=14.38,t=15.78,t=11.06,all,P<0.001）. The incidence rate of vomiting during gastrointestinal decompression in the test group was lower than that in the control group（χ²=7.05）,and the difference was statistically significant（P=0.008）. The total time of gastrointestinal decompression was shorter than that in the control group（t=12.74）,and the difference was statistically significant（P<0.001）. Conclusion The modified method of predicting insertion length of orogastric tube in premature infants can improve the accuracy of optimal placement for the orogastric tube tip,avoid misplacement of the orogastric tube,and improve the effect of gastrointestinal decompression.

Community Care

Construction and validation of a prediction model for the risk of cognitive frailty among the elderly in a community

CHEN Yingyong, ZHANG Zhengmin, ZUO Qianqian, LIANG Jiayi, GAO Yulin

2022, 57(2):  197-203.  DOI: 10.3761/j.issn.0254-1769.2022.02.012

Asbtract ( )   HTML ( )   PDF (906KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To establish and validate a risk prediction model for cognitive frailty in community elderly. Methods 526 elderly people taking physical examinations were recruited in a community health service center in Guangzhou by convenience sampling from August 2020 to July 2021. They were divided into a modeling group （368 cases） and a validation group（158 cases）. Data were collected by a general information questionnaire and cognitive frailty assessment tools. Logistic regression was used to determine the influencing factors,and R software was used to establish a nomogram model for predicting the risk of cognitive frailty. Bootstrap method was used for internal validation of the model,and the validation group was used for external validation. C statistic and calibration curve were used to evaluate the prediction performance of the model. Results The model variables included IADL,self-rated health,daytime mental state,the number of chronic diseases,age,nutritional status and physical exercise. The AUROC of the model was 0.920（95%CI：0.892~0.947）,the best cutoff value was 0.401;the sensitivity was 79.7%;the specificity was 89.1%;The C statistics of internal and external validation were 0.910 （95%CI：0.863~0.936） and 0.850（95%CI：0.785~0.915）,respectively;calibration curve and Brier score showed good fit. Conclusion The prediction model has a good degree of discrimination and calibration,which can intuitively and easily screen the elderly at high risk of cognitive frailty in the community,and provide references for early screening and intervention.

Clinical Practice

Nursing care of a patient with huge space occupying of cardiac non-Hodgkin’s lymphoma

DAI Zhen, SHAO Lewen, LI Shaoling

2022, 57(2):  204-207.  DOI: 10.3761/j.issn.0254-1769.2022.02.013

Asbtract ( )   HTML ( )   PDF (646KB) ( )  

References | Related Articles | Metrics

To summarize the nursing experience of a patient with huge space occupying of cardiac non-Hodgkin lymphoma. The key points of nursing include：monitoring and volume management of circulatory system,predictive nursing of percutaneous ventricular septal biopsy,nursing of individual chemotherapy complications,rehabilitation guidance during acute heart failure in bed,risk management of cross-hospital transport,and individual psychological nursing. After careful multidisciplinary treatment and nursing care,the patient was getting better;the heart tumor was smaller than before;the cardiac function increased from level Ⅳ to Ⅱ;no chest tightness,shortness of breath and discomfort were reported after walking on the ground for 30 min.

Nursing care of a child with hepatolenticular degeneration complicated with renal failure undergoing liver transplantation

LU Lu, LU Fangyan, ZHANG Wanying, YAO Caiping

2022, 57(2):  208-211.  DOI: 10.3761/j.issn.0254-1769.2022.02.014

Asbtract ( )   HTML ( )   PDF (606KB) ( )  

References | Related Articles | Metrics

To summarize the nursing experience of a child with hepatolenticular degeneration complicated by renal failure undergoing liver transplantation. The main points of nursing include strict monitoring of kidney function,good anticoagulation management,timely adjustment of treatment plans,personalized rehabilitation and diet guidance,strict implementation of disinfection and isolation measures throughout the process,close monitoring of transplanted liver function,and provision of a hospital-family-social support system. After careful treatment and care,the child was discharged on foot 55 days after the operation. The patient was followed up for 6 months and recovered well.

Nursing care of a child with acute lymphoblastic leukemia complicated with inguinal necrotizing fasciitis

LIN Guangyan, XIONG Jun, WEI Ping, WU Yujie

2022, 57(2):  212-214.  DOI: 10.3761/j.issn.0254-1769.2022.02.015

Asbtract ( )   HTML ( )   PDF (505KB) ( )  

References | Related Articles | Metrics

To summarize the nursing experience of a case of acute lymphoblastic leukemia complicated with inguinal necrotizing fasciitis. Nursing points include：to fully evaluate the wound condition,a variety of debridement methods combined with the removal of wound necrotic tissue;the negative pressure technique of wound perfusion was used to control wound infection;secondary wound suture was performed as soon as possible;the use of wet dressings to promote residual wound healing;scientific management of urine and feces to avoid contamination of the wound;personalized nutrition solution is prepared to provide adequate nutrition support. After active treatment and careful nursing care,the patient’s condition was stable. 83 days later,the wound healed and the second stage chemotherapy was continued.

Evidence Synthesis Research

Evidence summary for nonpharmacological interventions in promoting gastrointestinal function recovery after gastrointestinal malignancies surgery

GAO Honglian, WANG Chunmei, WANG Xiaomin, XU Lina, WANG Ruizhi, LI Shuyan, LI Teng, LI Xingguo

2022, 57(2):  215-222.  DOI: 10.3761/j.issn.0254-1769.2022.02.016

Asbtract ( )   HTML ( )   PDF (960KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To comprehensively retrieve and analyze the relevant evidence of non-pharmacological interventions in promoting the recovery of gastrointestinal function after gastrointestinal malignant tumor surgery,and to summarize the best evidence. Methods According to the 6S model of evidence-based resources,computerized search in websites and databases such as UpToDate,Cochrane clinical answers,National Guideline Clearing house,the National Institute for Health and Care Excellence,New Zealand Guidelines Group,Yimaitong,Cochrane Library,PubMed,CNKI,Wanfang Data,VIP,was conducted to collect relevant clinical decisions,guidelines,expert consensuses,evidence summaries,and systematic reviews on non-pharmaceutical interventions in promoting gastrointestinal function recovery after gastrointestinal malignant tumor surgery. 3 researchers evaluated the quality of the included literature independently,and combined the professional judgment to standardize the literature information extraction. Results A total of 15 articles were included,including 4 articles on clinical decision-making,1 guideline,3 expert consensuses,and 7 systematic reviews. 12 pieces of the best evidence were formed,including topics such as multimodal intervention,preventive gastrointestinal decompression,early postoperative activities,chewing gum,drinking coffee,and acupuncture therapy. Conclusion Medical staff can follow the best evidence to formulate intervention programs to promote the recovery of gastrointestinal function for patients with gastrointestinal malignant tumors after surgery,and promote evidence-based practice.

Summary of the best evidence for the prevention and management of peristomal moisture-associated skin damage in adults

DONG Shan, YUAN Ling, CHEN Qiuju, WU Ling, WEI Min, ZHANG Qianwen

2022, 57(2):  223-229.  DOI: 10.3761/j.issn.0254-1769.2022.02.017

Asbtract ( )   HTML ( )   PDF (918KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To retrieve the relevant evidence for the prevention and management of peristomal moisture-associated skin damage（PMASD） in adults,and to summarize the best evidence to provide a reference for formulating a scientific and reasonable skin care plan around the stoma. Methods According to the top-down principle of the evidence-based resource 6S model,a systematic search of domestic and foreign databases and websites was conducted on the prevention and management of PMASD in adults,including clinical practice guidelines,best clinical practice information manuals,evidence summaries,expert consensuses,systematic reviews,and standards. The search time limit was from the establishment of the databases to May 2021. 2 trained researchers in systematic evidence-based knowledge evaluated the quality of the literature,combined with professional judgment,selected the literature that met the inclusion and exclusion criteria,and extracted the evidence. Results A total of 14 articles were included,including 1 clinical decision support article,3 guidelines,1 standard,3 evidence summaries,3 systematic reviews,and 3 expert consensuses. The best evidence includes 20 recommendations in 6 aspects,namely positioning,evaluation,cleaning,selection and use of ostomy care products,skin care around the ostomy,and health education and the follow-up. Conclusion This study summarizes the best evidence for the prevention and management of PMASD in adults,and provides evidence-based references for clinical medical staff to carry out the application of targeted evidence.

Effects of immersive virtual reality-based cognitive training for people with cognitive impairment：a systematic review

WANG Kairong, WEI Wanrui, MA Jingya, LI Zheng

2022, 57(2):  230-236.  DOI: 10.3761/j.issn.0254-1769.2022.02.018

Asbtract ( )   HTML ( )   PDF (994KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To evaluate the impact of immersive virtual reality（IVR）-based cognitive training on the cognitive function,activity of daily living（ADL） and negative emotion for people with subjective cognitive decline （SCD）,mild cognitive impairment（MCI） or Alzheimer’s disease（AD）. Methods 11 electronic databases,such as PubMed,Embase,CINAHL etc.,and clinical trials registry platforms were searched for related articles published in English and Chinese from inception until April 27th,2021. We retrieved randomized controlled trials or quasi-experience studies focused on IVR-based cognitive training in adults with SCD,MCI or AD. Literature search,study selection,data extraction and methodological quality evaluation were conducted by 2 researchers independently. Meta-analysis was performed by RevMan 5.4. Results 8 studies involving 406 patients were included. Meta-analysis indicated that IVR-based cognitive training significantly enhanced the overall cognition[SMD=0.37,95%CI（0.15,0.60）,P=0.001],short-term memory[SMD=0.62,95%CI（0.19,1.04）,P=0.005] and ADL [SMD=0.84,95%CI（0.57,1.11）,P<0.001] in people with MCI or AD. However,after IVR-based cognitive training,effects on executive function[SMD=-0.24,95%CI（-0.56,0.08）,P=0.140] and long-term memory[SMD=0.00,95%CI（-0.42,0.41）,P=0.990] were not statistically significant in people with MCI or AD,and effects on negative emotion was unclear. Moreover,there was a paucity of intervention studies on IVR-based cognitive training for SCD. Conclusion This meta-analysis suggests that IVR-based cognitive training can provide positive influences on cognitive function and ADL in people with MCI or AD. Due to limited quantity and different interventions of the included studies,more studies with larger sample sizes are required to verify the above conclusions. Moreover,more studies are needed to explore the effects of IVR-based cognitive training for people with SCD.

Evidence summary for self-management of lymphedema in breast cancer patients

WEI Xiaoxia, FU Xin, SHEN Aomei, WANG Yujie, ZHANG Lichuan, LU Qian

2022, 57(2):  237-244.  DOI: 10.3761/j.issn.0254-1769.2022.02.019

Asbtract ( )   HTML ( )   PDF (961KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To retrieve,evaluate and summarize the best evidence of self-management of lymphedema of breast cancer patients’,and to provide references for education and evaluation of self-management of patients. Methods We searched relevant guideline networks and association websites,as well as PubMed,Web of Science,Embase,CINAHL,CNKI,VIP,Wanfang,CBM and other databases to collect relevant guidelines,expert consensuses,best practices and recommended practices related to self-management of lymphedema in breast cancer patients published from January 1,2011 to May 31,2021. 2 researchers evaluated the quality of various literature,and extracted relevant evidence from the included literature. Results A total of 24 articles were included,including 7 guidelines,6 expert consensuses,3 best practices and 8 recommended practices. Finally,28 pieces of best evidence including 8 dimensions were summarized,namely learning about lymphedema,exercise,maintaining a healthy weight,protecting the affected limb,promoting lymphatic circulation,self-monitoring,psychological adjustment and role adaptation. Conclusion This study summarized the best evidence of breast cancer patients’ self-management of lymphedema,which can provide references for medical staffs to conduct self-management guidance for patients and dynamically evaluate their self-management status,so as to effectively prevent or control lymphedema.

Review

Research progress on peer support for parents of premature infants

ZHANG Jiaxin, ZHENG Qiaomu, ZHOU Jingxin, HUA Wenzhe

2022, 57(2):  245-250.  DOI: 10.3761/j.issn.0254-1769.2022.02.020

Asbtract ( )   HTML ( )   PDF (768KB) ( )  

References | Related Articles | Metrics

Peer support refers to emotional,appraisal,informational support provided by social networking partners with empirical knowledge and similar personalities to address the health problems of a population. As a part of social support,peer support has been applied in adults with chronic diseases. This article reviews the research progress on peer support for parents of premature infants,focusing on its content,modalities,and the challenges and difficulties in program development and implementation. Based on the current status,we raised the recommendations of improving parents’ access to peer support and avoiding potential psychological harm to parents. The results of this review could provide a reference for further research and practice on peer support for parents of premature infants in China.

Research progress on transition readiness of children with inflammatory bowel disease

SUN Suya, CHEN Yamei, LIN Mengyue, CHEN Weixian, BO Jin, LIU Xiaohong, HUANG Yan

2022, 57(2):  251-256.  DOI: 10.3761/j.issn.0254-1769.2022.02.021

Asbtract ( )   HTML ( )   PDF (705KB) ( )  

References | Related Articles | Metrics

The transition period from children with inflammatory bowel disease（IBD） to adults is an important stage that affects their long-term quality of life. However,most children with IBD have a low degree of readiness during the transition period,which seriously affects the prognosis and quality of life of children. This paper reviews the research progress on the domestic and foreign status of transition readiness for children with IBD,influencing factors,defects and intervention strategies. Suggestions,shortcomings in current research and practice are put forward,aiming to carry out relevant research for our country in the future and provide references to improve the transition readiness of children with IBD to adults.