Table of Content

10 January 2022, Volume 57 Issue 1

Previous Issue    Next Issue

Research Paper

Application of rehabilitation training for four-part correction in patients undergoing surgical treatment of benign vocal cord lesions

ZHAO Chunna, HUANG Yongwang, PAN Jing, FU Dehui, ZHAO Jing, ZHUANG Piwei, YOU Haiyan, YU Jinbao, LI Kaiyue

2022, 57(1):  10-16.  DOI: 10.3761/j.issn.0254-1769.2022.01.001

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

Figures and Tables | References | Related Articles | Metrics

Objective To explore the application effect of four-part correction rehabilitation training in patients with vocal cord benign lesions. Methods A total of 106 patients with benign vocal cord lesions undergoing microsurgery under general anesthesia for the first time in the department of otolaryngology of a tertiary A hospital in Tianjin from April 2020 to March 2021 were selected and divided into an experimental group and a control group by random number table method,with 55 patients in the experimental group and 53 patients in the control group. The experimental group was given four-part correction rehabilitation training on the basis of routine nursing,and the control group received routine nursing program. The voice handicap index and multidimensional voice analysis were used for evaluation. The voice impairment index (VHI) and acoustic parameters (NHR),Shimmer,Jitter and MPT were compared and analyzed on the day of admission,the day of discharge,2 weeks and 4 weeks after surgery. Results There was no statistical significance in NHR,Shimmer,Jitter,MPT and VHI values on the day of admission and discharge between the 2 groups (P>0.05). The data of 2 weeks and 4 weeks after surgery were compared between the 2 groups,and the NHR,Shimmer,Jitter and VHI values of the experimental group were lower than those of the control group,while the MPT value was higher. The differences between the 2 groups were statistically significant (P<0.05). Conclusion Four-part correction rehabilitation training can effectively improve the subjective feeling and voice quality of patients with voice disorders after surgery for benign vocal cord lesions,help to change patients’ bad voice habits and behaviors,and promote the rehabilitation of patients.

Construction and application of shared medical appointments for patients with type 2 diabetes led by specialist nurses

LI Doudou, YAO Yao, CAO Lin, ZHENG Rendong, HE Zhiwei, YAO Ping, WANG Yalin, SUN Yu, ZHU Dengyue, LIU Chao

2022, 57(1):  17-22.  DOI: 10.3761/j.issn.0254-1769.2022.01.002

Asbtract ( )   HTML ( )   PDF (749KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To evaluate the effectiveness of the shared medical appointments (SMA) in the management of type 2 diabetes mellitus (T2DM) and its impact on self-management behavior and efficacy and quality of life led by specialist nurses. Methods 30 patients with T2DM going to the endocrine clinic of a hospital from September to December 2020 were selected to participate in the SMA. The body mass index,Summary of Diabetes Self-care Activities (SDSCA) scale and Diabetes Management Self-efficacy Scale (DMSES) and Diabetes Specific Quality of Life (DSQL) scale were compared before the intervention and 3 months after the intervention. Results After 3 months of intervention,there was no statistical significance in the control rate of blood glucose compared with that before intervention (P=0.310). Waist circumference,total cholesterol and triglycerides of the patients after the intervention were significantly lower than those before the intervention (P<0.05). The total scores and the score of each dimension (diet,foot care) in SDSCA,and the DMSES score after the intervention were higher than those before (P<0.05). After the intervention,the total scores of DSQL and the scores of physiological dimension,psychological dimension and social relationship dimension were significantly lower than those before the intervention (P<0.05). Conclusion The SMA can effectively improve the waist circumference,total cholesterol and triglycerides of diabetic patients,improve the self-management ability,self-management efficiency,and the quality of life of patients with type 2 diabetes.

Special Planning-Nursing Care of Chronic Obstructive Pulmonary Disease

Comparison of 4 balance function assessments in patients with chronic obstructive pulmonary disease

LIU Rui, ZHOU Chunlan, LIU Yuxia, ZHANG Mingyang, ZHANG Yinying, NIE Fang

2022, 57(1):  23-28.  DOI: 10.3761/j.issn.0254-1769.2022.01.003

Asbtract ( )   HTML ( )   PDF (950KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To compare the screening ability of the Timed Up and Go Test (TUG),Berg Balance Scale (BBS),Single Leg Stance (SLS) and Brief-Balance Evaluation Systems Test (Brief-BESTest) for fall risk in people with chronic obstructive pulmonary disease (COPD),and to provide references for clinical selection of appropriate screening tools for balance function. Methods From February 2020 to February 2021,a total of 86 COPD patients hospitalized in the department of respiratory and critical care medicine of a tertiary hospital in Guangdong were selected by convenience sampling method. Their balance abilities were assessed using the TUG,BBS,SLS and Brief-BESTest. Taking 3-month history of falls as the diagnostic standard,the identification ability of the 4 scales for falls was compared by Bayes discriminant analysis and the area under the receiver operating characteristic curve (AUC). Results The cross-validation accuracy of TUG,BBS,SLS and Brief-BESTest were 60.47%,68.60%,51.16% and 72.09%. The Brief-BESTest showed the biggest area under ROC curve (0.818),compared with BBS (0.758),TUG (0.686) and SLS (0.568). At the cutoff score of 14,the Brief-BESTest demonstrated a positive test accuracy of 0.786 with the sensitivity of 0.739,the specificity of 0.825. Conclusion Among the 4 balance function tests,brief-BESTest was the best at screening a history of falls in COPD patients. Brief-BESTest was recommended for clinical staff to assess balance and predict fall risk in patients with COPD.

The current status of patient reported outcomes and its influencing factors in patients with stable chronic obstructive pulmonary disease

CAI Mengqian, CUI Miaoling, NONG Ying, QIN Jinlian, MO Sucai, YANG Zhenjiao

2022, 57(1):  29-35.  DOI: 10.3761/j.issn.0254-1769.2022.01.004

Asbtract ( )   HTML ( )   PDF (869KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To analyze the influencing factors of patient reported outcomes in patients with stable chronic obstructive pulmonary disease (COPD) and the correlation with inflammatory indexes,so as to provide the reference for the early nursing intervention with the focus of patients. Methods The convenience sampling method was used to select outpatients with stable COPD from the department of respiratory clinic of a tertiary hospital in Nanning from October 2020 to July 2021. Questionnaires,including a general information questionnaire and the revised version of the Chronic Obstructive Pulmonary Disease Patient Reported Outcome Scale (mCOPD-PRO),were used to collect the results of inflammatory response indicators at the time. Results A total of 204 patients with stable COPD were included,with the mCOPD-PRO score of (1.75±0.58). Multiple regression analysis showed that the factors influencing the patient reported outcomes with stable COPD were gender,the number of comorbidities,disease duration,and lung function grading (P<0.05),which explained 10.8 % of the variance. There were positive correlations between patient reported outcomes with stable COPD and white blood cell count (WBC),neutrophil count (NEU),and eosinophil count (EOS) (P<0.05). There were negative correlations between patient reported outcomes with stable COPD and total albumin (TP) (P<0.05). Conclusion The health level of patients reported outcomes in stable COPD needs to be improved. Female patients,patients with comorbidities>3,longer duration and worse lung function reported lower levels of health. Patient reported outcomes with COPD are closely related to the levels of serum WBC,NEU,EOS and TP. Medical staff should pay more attention to patients reported outcomes and inflammatory indexes in stable COPD,and take targeted intervention measures in the early stage to improve the quality of life of patients.

The current status of exercise perception and its influencing factors in elderly patients with chronic obstructive pulmonary disease

WANG Jingjing, BAI Chenxiao, ZHANG Zeyi, YI Mo, JIA Yuanmin, CHEN Ou

2022, 57(1):  36-41.  DOI: 10.3761/j.issn.0254-1769.2022.01.005

Asbtract ( )   HTML ( )   PDF (904KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To assess the current status of exercise perception in elderly patients with chronic obstructive pulmonary disease (COPD) and to analyze the influencing factors. Methods Using a convenience sampling method,207 hospitalized elderly COPD patients from 4 tertiary hospitals in Jinan city from December 2018 to June 2019 were selected as participants. The general information questionnaire,Exercise Benefit/Barriers Scale,Breathlessness Beliefs Questionnaire,Self-efficacy Scale and Social Support Rating Scale were used for investigation. Results The total score of exercise benefits/barriers in 207 elderly COPD patients was (127.34±11.71). Exercise perception was negatively correlated with activity-related fear (r=-0.469,P<0.001),and positively correlated with both self-efficacy and social support (r=0.412,P<0.001;r=0.247,P<0.001). Multiple linear regression analysis revealed that activity-related fear,self-efficacy,social support,and the situation of physical activity prior to COPD were the influlencing factors of exercise perception. Conclusion The level of exercise perception in elderly patients with COPD needs to be improved. Strengthening exercise rehabilitation education and guidance for COPD patients and their families,helping patients eliminate or reduce their fear of physical activity,and improving their self-efficacy and ability to access and utilize social support are beneficial to improve their exercise perception.

Intervention effects of discharge preparation service on patients with chronic obstructive pulmonary diseases：a meta-analysis

ZHANG Xiaona, LI Xindan, LU Hongyan, ZHAO Jie, FENG Xiangkan

2022, 57(1):  42-48.  DOI: 10.3761/j.issn.0254-1769.2022.01.006

Asbtract ( )   HTML ( )   PDF (955KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To evaluate the effect of discharge preparation service in patients with chronic obstructive pulmonary disease (COPD) through meta-analysis. Methods A systematic search of PubMed,Cochrane Library,Web of Science,CINAHL,Embase,OVID,CNKI,CBM and Wanfang database was carried out to collect randomized controlled trials(RCTs) on discharge preparation service for COPD patients from inception to March 2021. Literature screening,information extraction and quality evaluation were conducted by 2 reviewers,and RevMan 5.2 software was adopted for meta-analysis. Results A total of 14 RCTs with 2 023 patients were finally included. The results showed that discharge preparation services reduced readmission rates [OR=0.62,95%CI(0.48,0.80),Z=3.69,P<0.001],the number of readmissions [MD=-0.57,95%CI(-0.96,-0.19),Z=2.94,P=0.003] and length of stay [MD=-1.77,95%CI (-2.78,-0.76),Z=3.42,P<0.001],and improved MMRC [MD=-0.39,95%CI(-0.70,-0.09),Z=2.56,P=0.010]. There was no significant difference in quality of life by the SGRQ [MD=-3.27,95%CI(-7.57,1.03),Z=1.49,P=0.140]. The quality of life was improved by the SOLDQ [MD=49.38,95%CI(43.11,55.65),Z=15.43,P<0.001]. There was no significant difference in reducing mortality [OR=0.90,95%CI(0.61,1.34),Z=0.50,P=0.620]. Conclusion Discharge pre-paration service can effectively reduce the readmission rate,the number of readmissions and length of stay,and improve MMRC in patients with COPD,but the impact on mortality and quality of life is still uncertain,and high-quality research is still needed for further demonstration.

Summary of best evidence of respiratory muscle training in patients with chronic obstructive pulmonary disease

YANG Xuening, LI Xue’er, WANG Song, FANG Ziyan, LIU Jing, Akimana Sandra, ZHANG Jing

2022, 57(1):  49-55.  DOI: 10.3761/j.issn.0254-1769.2022.01.007

Asbtract ( )   HTML ( )   PDF (1107KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective Through systematic evidence retrieval and literature quality evaluation,the best evidence for respiratory muscle training in patients with chronic obstructive pulmonary disease (COPD) was extracted and summarized,so as to provide research-based evidence for respiratory muscle training in the clinical settings. Methods The evidence search was performed across 17 databases and official websites systematically,including UpToDate,BMJ Best Practice,Joanna Briggs Institute Library,Cochrane Library,British National Institute for Health and Care Excellence,Registered Nurses’ Association of Ontario,Canada,British Thoracic Society,Canadian Thoracic Society,American Thoracic Society,Thoracic Society of Australia and New Zealand,Web of Science,PubMed,Embase,Sinomed,CNKI,and Wanfang Database. The guidelines,expert consensuses,evidence summaries,systematic reviews,and randomized controlled trials were included. The retrieval timeframe was ranged from the establishment date of the databases or websites to October 31,2020. All literature was independently evaluated by 2 researchers,and they determined whether the literature met the standards and then extracted the data. Results A total of 12 pieces of literature were eligible for inclusion. They were 2 guidelines,2 expert consensuses,2 evidence summaries,and 6 systematic reviews. There were 21 pieces of best evidence with 7 dimensions being summarized,namely training purposes,training subjects,training places,training plans,training methods,quality control,and effectiveness evaluation. Conclusion The best evidence of respiratory muscle training in patients with COPD was summarized. It is recommended that health care professionals should fully consider the allocation of medical resources when they apply the evidence and formulate individualized and feasible training programs based on the needs and preferences of patients.

Specialist Practice and Research

Influence of blood pressure fluctuation on operative side palm swelling in patients with radial artery compression after percutaneous coronary intervention

XIAO Dan, GUO Ting, TU Hui, LI Xin, LIU Jiawen, CHEN Hua, WEI Wenting, YI Fengyi, XIONG Xiaoyun

2022, 57(1):  56-60.  DOI: 10.3761/j.issn.0254-1769.2022.01.008

Asbtract ( )   HTML ( )   PDF (577KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To investigate the relationship between the changes of blood pressure and palmar swelling during radial artery compression in patients with radial artery percutaneous coronary intervention (PCI). Methods The patients who underwent radial artery PCI in the coronary heart disease unit of a tertiary general hospital in Nanchang from May 2018 to December 2020 were selected as the study subjects. The general data and the related indexes of decompression were analyzed retrospectively,and the blood pressure fluctuation during radial artery compression was described. Univariate regression analysis was used to analyze the influencing factors of palmar swelling on the operative side,and the blood pressure during radial artery compression was divided into nodes. The effects of different blood pressure on operative side palm swelling were analyzed by stratification,and the corresponding range of blood pressure at the highest risk of operation side palm swelling was further analyzed by trend regression. Results A total of 788 patients with radial artery PCI were included. Based on the analysis of patients’ baseline data,it was found that history of diabetes,history of hypertension,signs of heart failure and high average systolic blood pressure during radial artery compression were the risk factors of operative palmar swelling. However,multivariate stratified analysis of risk factors showed that systolic blood pressure ≥130 mmHg during radial artery compression increased the risk of ipsilateral palm swelling in patients with diabetic history (OR=1.09,P<0.001). In patients with or without heart failure signs and hypertension history,when the systolic blood pressure during radial artery compression was more than 130 mmHg,the 2 groups increased the risk of palmar swelling on the operative side. Furthermore,trend regression analysis showed that the average systolic blood pressure during radial artery compression was between 130 and 149 mmHg. Every 10 mmHg increase in systolic blood pressure had increased the risk of palmar swelling by 3.52 times[95%CI (1.37,13.22) ]. Conclusion During the period of radial artery compression,the average systolic blood pressure of patients is 130-149 mmHg,and the risk of palmar swelling on the operative side is the highest. It is suggested that clinical nurses should comprehensively consider the changes of systolic blood pressure when formulating the prevention plan for complications of palmar swelling on the operative side.

Development and application of early warning and decision support system for unplanned endotracheal extubation

XIANG Yang, NI Weilian

2022, 57(1):  61-65.  DOI: 10.3761/j.issn.0254-1769.2022.01.009

Asbtract ( )   HTML ( )   PDF (647KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To develop an intelligent early warning and decision support system for the prevention of unplanned endotracheal extubation (UEE) in adults,so as to prevent the occurrence of extubation events and ensure the safety of patients. Methods A system research and development team was set up to build a UEE early warning and decision support system with 3 modules,including evaluation,early warning,and decision-making. It was applied in the ICU of a tertiary A hospital in Tianjin in September 2020. The researchers compared the implementation rate of UEE preventive measures,the incidence rate of UEE,and the satisfaction of ICU nurses with the system before the application (March-August 2020) and after the application (September 2020-March 2021). Results Compared with the system before application,the implementation of UEE preventive measures by ICU nurses was significantly improved,including risk assessment,endotracheal intubation and fixation,analgesia and sedation observation,norms and constraints,and the differences are statistically significant (P<0.05). No UEE occurred before and after system application. The satisfaction score of ICU nurses on the system is (91.20±7.44) points,which is at a high level. Conclusion The UEE early warning and decision support system can assist ICU nurses to scientifically carry out UEE prevention,improve the implementation rate of UEE preventive measures,and ensure patient safety.

Construction and preliminary verification of the Fall Risk Assessment Scale for Inpatients in ophthalmology department

YANG Juan, LI Muling, LI Chunmei, HUANG Qinghui, LIN Shaoqin, ZHOU Hongzhen

2022, 57(1):  66-72.  DOI: 10.3761/j.issn.0254-1769.2022.01.010

Asbtract ( )   HTML ( )   PDF (883KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To construct a fall risk assessment scale for inpatients in ophthalmology department,so as to provide ophthalmology medical staff with an effective fall risk assessment tool for ophthalmology inpatients. Methods We determined the index items of the fall risk assessment scale for inpatients in ophthalmology department through literature review,Delphi method and analytic hierarchy process. The convenience sampling method was used to select 41 ophthalmic medical staff members from a tertiary A hospital in Guangzhou as the research subjects in July to August 2021,and the application effect of the constructed scale was preliminarily verified by "Ophthalmic Medical Staff Satisfaction Questionnaire". Results 2 rounds of expert consultations resulted in the effective response rates of 100%,with the authority coefficients of 0.830 and 0.855,and the kendall harmony coefficients of 0.154 and 0.225,which were statistically significant (P<0.001). Finally,the assessment scale was formed,including 4 first-level indicators,18 second-level indicators and 31 third-level indicators. The ophthal-mologists were satisfied with the fall risk assessment scale for inpatients in the ophthalmology department,and their satisfaction score was (22.02±3.47) points,which was higher than the satisfaction score of Morse Fall Scale (P<0.001). Conclusion The assessment scale constructed in this study is scientific and practical,which can provide a reference and basis for clinical ophthalmologists to accurately and effectively assess the fall risk of inpatient ophthalmology inpatients.

The status and factors associated with fear of progression in recipients of renal transplantation

LIN Weitong, LIU Lifang, WAN Jingjing, LIU Jingjing, YANG Meng, MA Hangxia

2022, 57(1):  73-78.  DOI: 10.3761/j.issn.0254-1769.2022.01.011

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

Figures and Tables | References | Related Articles | Metrics

Objective To investigate the status and factors associated with fear of progression in recipients of renal transplantation. Methods By using the convenient sampling method,221 recipients of renal transplantations were selected from February to June 2021 in a tertiary hospital in Changsha. General information questionnaire,Fear of Progression Questionnaire-Short Form,Positive Psychological Capital Questionnaire,Brief Illness Perception Questionnaire,Distress Disclosure Index were used to conduct the investigation. Results The score of fear of progression of recipients of renal transplantation was (28.13±7.87) ;51 cases (23.08%) were≥34 points;the positive psychological capital score was (124.05±21.06) ;the illness perception score was (37.67±11.10) ;the distress disclosure score was (36.09±8.98). Multiple linear regression analysis showed that illness perception and positive psychological capital were the influencing factors of fear of progression (P<0.05),which explained 35.3% of the total variation. Conclusion The incidence of fear of progression in recipients of renal transplantation is high,which is generally in the middle level. Clinicians should pay attention to the psychological status of renal transplant recipients,and reduce recipients’ illness perception,enhance patients’ positive psychological capital,and reduce their fear of disease progression.

Clinical Practice

Postoperative nursing care of 6 children with classic maple syrup urine disease undergoing liver transplantation

WANG Fang, LU Fangyan, WANG Yan

2022, 57(1):  79-82.  DOI: 10.3761/j.issn.0254-1769.2022.01.012

Asbtract ( )   HTML ( )   PDF (682KB) ( )  

References | Related Articles | Metrics

This article summarized the postoperative nursing experience of 6 children with classic maple syrup urine disease undergoing liver transplantation. Key points of nursing care included：precisely take immunosuppressants to prevent acute rejection;early rehabilitation exercises to promote the development of the nervous system;closely observe changes in the condition and do emergency care for gastrointestinal bleeding;structured skin care to reduce diaper dermatitis;provide multiple forms of support to relieve family pressure;implementation of the "Internet +" follow-up model,continuous family rehabilitation care. After careful treatment and care,the 6 children recovered and were discharged after surgery. They were followed up for 15 days to 4 months and recovered well up to now.

Academic Debate

The application of cognitive interviews in the development of Patient Experience with Nursing Care Scale

CHEN Xiao, ZHANG Yuxia

2022, 57(1):  83-88.  DOI: 10.3761/j.issn.0254-1769.2022.01.013

Asbtract ( )   HTML ( )   PDF (826KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To explore the application of cognitive interview in the development of patient experience with nursing care scale. Methods According to the conceptual framework of patient experience with nursing care,the scale was developed by interviewing and expert consultations. By purposive sampling method,23 inpatients were selected as interviewees from June to July of 2020 in a tertiary hospital in Shanghai. 3 rounds of cognitive interviews were conducted to explore the respondents’ understanding of each item and their suggestions. The items of the scale were revised according to the results of the interviews and the expert group discussions. After the revision,we used convenient sampling to select 427 inpatients who were admitted to Zhongshan Hospital of Fudan University from May to June 2021 for testing psychometric properties,and the best potential structure of the scale was formed through program analysis and exploratory factor analysis. Results The first round of results showed that 8 items were revised due to "vague and unclear sentence"; the second round of results showed that an item was revised due to "incomprehensible keywords";the third round of results showed that the respondents were able to understand all the items. The final version of the scale includes 7 dimensions,namely,admission and discharge management,information and education,emotional support,observation and treatment,safety and privacy,response needs,communication and coordination,and the cumulative variance contribution rate is 70.785%. The Cronbach’s α coefficient of the scale is 0.945,and the average content validity index is 0.959 with good reliability and validity. Conclusion Cognitive interviews are helpful to the development of patient experience with nursing care scale,which effectively guides the revision of items,and can efficiently solve the problems of understanding differences and measurement errors in the process of scale development,so as to improve the scientificity,accuracy and applicability of the scale.

Evidence Synthesis Research

The effect of 7 different exercise training in balance function of patients with diabetic peripheral neuropathy：a network meta-analysis

ZHANG Yi, WANG Xinge, LI Chunchang, WANG Huajun

2022, 57(1):  89-97.  DOI: 10.3761/j.issn.0254-1769.2022.01.014

Asbtract ( )   HTML ( )   PDF (956KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To evaluate the effect of combining exercise training in balance function of patients with diabetic peripheral neuropathy (DPN). Methods A systematic search of Chinese Biomedical Literature Database (CBM),Chinese Knowledge Infrastructure (CNKI),WanFang Database,VIP,PubMed,Embase,Scopus,Web of Science and Cochrane Library were carried out to identify randomized control trials (RCTs) about the effect of exercise training in balance function of patients with diabetic peripheral neuropathy from inception to August 2020. Literature screening,data extraction,quality evaluation were conducted independently by 2 researchers. Data was analyzed by stata 14.0 software. Results A total of 17 pieces of research involving 766 patients and 7 exercise training were included. The results of network meta-analysis indicated that the dynamic and static balance function,comprehensive balance level and lower limbs muscle strength were improved by interactive video game-based exercise training and traditional balance exercise training+instruments assistant balance exercise training+whole-body vibration training compared with routine treatment (P<0.05). The static balance function was improved using instruments assistant balance function training compared with traditional balance exercise training (P<0.01). Probability ranking indicated that the most effective exercise training was traditional balance exercise training+instruments assistant balance exercise training+whole-body vibration training. Conclusion The study showed that the best exercise training improving balance function of patients with DPN was traditional balance exercise training+instruments assistant balance exercise training+whole-body vibration training. However,more rigorous randomized control trials need to be designed in the future.

Men’s lived experiences of partner perinatal loss：a meta-synthesis of qualitative research

FU Ziman, WANG Yiting, PU Congshan, ZHANG Yingying, ZHANG Jiahua, SHAN Chunjian

2022, 57(1):  98-104.  DOI: 10.3761/j.issn.0254-1769.2022.01.015

Asbtract ( )   HTML ( )   PDF (949KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To synthesize the findings of qualitative research exploring men’s experiences of partner perinatal loss,and to provide a basis for constructing psychological interventions. Methods Literature retrieval of qualitative research on men’s experiences of partner perinatal loss was conducted in 8 databases,including SinoMed,CNKI,Web of Science,Pubmed,CINAHL,psychINFO,embase,Cochrane library,from the establishment of the databases to April 30,2021. The JBI Critical Appraisal Tool for qualitative studies from Australia was used to evaluate the methodology quality of the included research,and the meta-aggregation was used to conduct the synthesis. Results 12 qualified studies were included and integrated into 59 valuable findings. These findings were then classified into 11 categories under 5 groups,namely men’s complex emotional experience after perinatal loss,the negative changes in life,the different coping strategies,difficulties and needs,and the discovery of benefits. Conclusion Nurses should break up the stereotypes about males,pay more attention to their emotional experience in perinatal loss,and cooperate with their families to provide them with information,environment and humanistic support under the guidance of hospitals. In this way,it will be easier to reduce the males’ care burden and the negative impact of partner perinatal loss on their life,so as to promote their personal growth.

Review

Studies on adaptation of guidelines in clinical nursing practice in China: a scoping review

MAI Qiulu, WANG Junxin, YANG Dan, LI Xuejing, ZHANG Xiaoyan, HAO Yufang

2022, 57(1):  105-112.  DOI: 10.3761/j.issn.0254-1769.2022.01.016

Asbtract ( )   HTML ( )   PDF (934KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To explore the research content,theoretical framework,adaptation process,the quality of the methodology and reporting of adaptation of guidelines in the nursing field in China. Methods The literature on the theme of the guidelines adaptation in clinical practice in China was systematically searched from PubMed,Cochrane Library,CINAHL,EMBASE,Scopus,Web of Science,CNKI,Wanfang,VIP database. 2 reviewers independently screened the literature,extracted the data and assessed the quality of the adaptation of guidelines by AGREEⅡ tool and RIGHT statement. Results A total of 23 studies were included. 69.6% of the studies were published in the last 3 years,and only 7 (30.4%) of the studies reported the funding support. In terms of research themes,65.2% of the studies focused on the care of diseases and their symptoms,and only 12 (52.2%) reported the methods used in the process of adaptation,among which 7 (30.4%) used ADAPTE methods. Methodological quality evaluation results showed that the area with an average score of more than 60% out of the 6 areas included scope and purpose,participants,and clarity of expression. The area with the lowest score was editorial independence. According to the quality evaluation results of the report,the areas with an average score of >4 among the 7 areas include basic information,background and recommendation,and the lowest score is funding and conflict of interest declaration and management. Conclusion The number of studies on adaptation of guidelines in the nursing field in China is increasing obviously,but the theoretical framework based on the adaptation of guidelines and the quality of the methodology and reporting of the adaptation guidelines are poor.

Research progress on the current situation of sharps waste disposal outside health care facilities among patients with diabetes

ZHANG Wenjie, GE Juan, HAN Yuqin, LI Ruihong

2022, 57(1):  113-117.  DOI: 10.3761/j.issn.0254-1769.2022.01.017

Asbtract ( )   HTML ( )   PDF (628KB) ( )  

References | Related Articles | Metrics

Most diabetics need long-term blood glucose monitoring and insulin injections,and they produce a large amount of sharps such as lancet and insulin needle,which brings great potential harm. Therefore,the standard disposal is very important. This paper reviews the current status and the influencing factors associated with sharps waste disposal practice outside health care facilities among patients with diabetes. Meanwhile,it summarizes the interventions that can promote patients to safely dispose of sharps waste. This paper aims to provide references for nursing staff to formulate the safety management measures of sharps waste,so as to standardize the disposal of sharps waste for patients with diabetes,and to reduce the occurrence of needle stick injuries.

Research progress on nursing care for epilepsy patients from adolescents to adults

CHEN Haili, XIAO Zhitian, YE Jinghua, TIAN Xiaoqin

2022, 57(1):  118-123.  DOI: 10.3761/j.issn.0254-1769.2022.01.018

Asbtract ( )   HTML ( )   PDF (778KB) ( )  

References | Related Articles | Metrics

The transition from adolescents with epilepsy to adults is the change from parent-centered management to individual-centered management. Lack of transitional care will reduce treatment compliance,lead to poor disease control in adolescents and lower their quality of life. Good transitional care is the key to improve the self-management ability of adolescents and promote their transition successfully. This paper reviews the concept,starting time,readiness assessment tools,nursing programs and influencing factors of transition,so as to provide references for the research and development of transition for adolescents with epilepsy in China.

Nursing Instruments Innovation

Design and application of an infusion drip counter

XU Jinghua, XU Haidong, TANG Min, LIANG Jing, LI Xiaoyang, WANG Jun, ZHU Daqiao, JING Feng

2022, 57(1):  124-128.  DOI: 10.3761/j.issn.0254-1769.2022.01.019

Asbtract ( )   HTML ( )   PDF (556KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective An infusion drip counter is designed,and its application effect is evaluated. Methods An infusion drip counter was self-developed,and it consists of infusion set buckle,display,start/mode switch button,battery,buzzer,infrared sensor area,etc. In the laboratory,the infusion drip rate measured by the drip counter was compared with the infusion drip rate set by the infusion pump,in order to evaluate the accuracy of the counter. Convenience sampling method was used to recruit 200 emergency patients with infusion admitted from March to May 2020 in a tertiary hospital,and they were divided into an experimental group (n=103) and a control group (n=97) according to the seat number during the infusion. The experimental group used the drip counter for counting,and the control group used the manual counting for counting. The difference between the predicted infusion completion time and the actual infusion completion time was compared,as well as the incidence of the intravenous infusion complications such as phlebitis,extravasation,tube blockage,blood return,and the patient satisfaction rate in the 2 groups. The satisfaction rate of nurses using the drip counter was evaluated. Results In the laboratory test,the accuracy of the drip rate counting of this counter was 99.6%,and the drip rate displayed by the counter was compared with the drip rate set by the infusion pump,and the difference was not statistically significant (P=0.829). In the process of clinical application,the difference between the predicted infusion completion time and the actual infusion completion time of the experimental group was smaller than that of the control group;the incidence of blood return was lower than that of the control group;the patient satisfaction rate was higher than that of the control group;the differences were statistically significant (P<0.05). The satisfaction rate of nurses was 96.1%. Conclusion The infusion drip counter has high counting accuracy. The use of this drip counter is beneficial to control the infusion drip rate,reduce the incidence of blood return,and improve the patient’s satisfaction rate.