Table of Content

10 April 2022, Volume 57 Issue 7

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Research Paper

Construction and application of early enteral nutrition tolerance monitoring system for ICU patients

QUAN Yinyin, ZHANG Shuai, CHEN Juanhong, LIU Feiyue, YAO Huiping

2022, 57(7):  773-778.  DOI: 10.3761/j.issn.0254-1769.2022.07.001

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Objective To construct an early enteral nutrition tolerance monitoring system for ICU patients and to apply it into the practice. Methods The enteral nutrition tolerance score table was revised,and on this basis,the early enteral nutrition tolerance monitoring system of ICU patients was constructed to collect relevant data in real time. Using the convenient sampling method,120 patients with early enteral nutrition treated in ICU of a tertiary A hospital in Zhejiang Province from March to August 2021 were selected as the research subjects. The monitoring system was used to evaluate the tolerance to enteral nutrition of the experimental group;the revised enteral nutrition tolerance rating scale was used to evaluate the control group;the enteral nutrition scheme was dynamically adjusted according to the evaluation results. The incidence of feeding intolerance within 7 days of enteral nutrition,the target feeding rate,and the difference of albumin,serum total protein and hemoglobin concentrations between the 8th day and the 1st day of enteral nutrition were compared between the 2 groups,and the nurses’ satisfaction with the monitoring system was collected. Results The incidence of feeding intolerance in the experimental group was lower than that in the control group;the target feeding rate was higher than that in the control group;the difference of albumin,serum total protein and hemoglobin concentrations between the 8th day and the 1st day of enteral nutrition was higher than that in the control group（P<0.05）. The total average score of nurses’ satisfaction with the monitoring system was（4.51±0.31）. Conclusion The use of early enteral nutrition tolerance monitoring system for ICU patients can effectively reduce the incidence of early enteral nutrition intolerance,improve the target feeding rate and improve the nutritional status of patients. Nurses are highly satisfied with the monitoring system.

The application of a Doctor-Nurse-Patient Shared Decision-Making Assistance program in the prevention of ischemic stroke in patients with atrial fibrillation

CAO Lijun, HUANG Lihua, JIANG Jianping, ZHANG Qi, LIU Yuanhua, MIN Xuefen

2022, 57(7):  779-784.  DOI: 10.3761/j.issn.0254-1769.2022.07.002

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Objective To study the application value of the doctor-nurse-patient shared decision-making assistance program in the prevention of stroke in patients with atrial fibrillation. Methods Through literature review and expert discussion,treatment decision aid tools were constructed. The convenience sampling was adopted,and 62 atrial fibrillation patients who were willing to participate in treatment decision-making in a tertiary hospital in Zhejiang Province from April to July 2021 were selected as the research subjects. The patients were divided into a test group and a control group,with 31 patients in each group. The test group adopts the doctor-nurse-patient joint shared decision-making assistance program,and the control group adopts the conventional plan. The actual participation in treatment decision-making of the 2 groups of patients,the satisfaction of patients with participating in treatment decision-making,the conflicts of patients’ decision-making,and the INR compliance rate of the 2 groups of patients were analyzed. Results There were statistically significant differences in the degree of patients’ actual participation in treatment decision-making between 2 groups（P<0.001）.The test group was（42.26±6.38） points,and the control group was（26.48±7.31） points. There were statistically significant differences in patients’ satisfaction with participating in treatment decision-making between groups（P=0.04）. The test group was（74.68±11.68） points,and the control group was（49.68±15.26） points. There were statistical differences in the decision-making conflicts of patients between groups（P<0.001）. The test group was（24.81±6.72） points,and the control group was（45.39±8.47） points. There were statistically significant differences in the INR compliance rate of patients between 2 groups（P<0.001）. The INR compliance rate of the test group was 54.17%,and the INR compliance rate of the control group was 14.29%. Conclusion The treatment decision-making assistance for patients with atrial fibrillation in the prevention of stroke have significant clinical significance on patients’ participation in treatment decision-making,treatment decision-making satisfaction,decision-making conflict and INR compliance rate.

Expert consensus on clinical practice of injection safety in hemodialysis

Blood Purification Committee of Chinese Nursing Association, Blood Purification Committee of Shanghai Nursing Association, (Writing Committee：CHEN Jing, XIANG Jing, JIE Yanqing, WU Xiajun, ZHANG Haifen, HUANG Bihong, YANG Zhenhua, LIANG Xinrui, CAO Liyun, XIA Jinghua)

2022, 57(7):  785-790.  DOI: 10.3761/j.issn.0254-1769.2022.07.003

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Objective The aim of this work is to establish the expert consensus（hereinafter referred to as“consensus”） on clinical practice of injection safety in hemodialysis,to standardize the clinical practice of injection safety in hemodialysis and ensure patient safety during hemodialysis treatments. Methods Reviewing relevant literature and evidence-based nursing,summarizing the clinical work experience of care,we seeked for the best clinical evidence of injection safety. The consensus was performed by adjusting,modifying and perfecting each entry through three-round Delphi expert consultations and discussions. Results The consensus summarizes the latest evidence in 9 aspects,including environmental,personnel,syringes,safe administration of drugs,safe use of disinfectants,nursing practices on vascular access,specimen collection,medical waste and occupational safety,which covered all the elements and links in the hemodialysis therapy. In the three-round Delphi expert consultation and discussion,the positive coefficients were all 100% and the expert authority coefficients were all 0.928. The importance assignments were 4.38,4.45 and 4.68,respectively. The experts reached a fair degree of agreement. There were significant differences in experts’ coordination coefficients in the 3 rounds（P<0.05）. Conclusion The consensus shows certain scientific natrue,and it may provide evidence for injection safety in hemodialysis therapy in China.

Special Planning——Blood Purification Care

Establishment and practice of standard nursing procedures of hemodialysis vascular access in nursing consortium

PAN Wenjing, HE Wenxia, LIU Tongqiang, TANG Yushang, XU Yuhong, HANG Zheng, HAN Huifang, DING Zhongqin, CHEN Cheng

2022, 57(7):  791-797.  DOI: 10.3761/j.issn.0254-1769.2022.07.004

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Objective To explore the nursing effect of the establishment of standard nursing procedures of hemodialysis vascular access in the nursing consortium on arteriovenous fistula in patients with maintained hemodialysis（MHD）. Methods In this study,10 primary hemodialysis centers in the nursing consortium of our hospital were used as pilots from May 2020 to May 2021,and 5 hemodialysis centers were selected as the experimental group by the random number table method,and the remaining 5 were the control group. The experimental group was implemented with the standard nursing process of hemodialysis access established in this study,and the control group received routine arteriovenous fistula nursing. The dialysis adequacy,arteriovenous fistula complications,the self-management ability and other indicators of the 2 groups were compared before the implementation and 3 months,6 months,and 12 months after the implementation. Results 143 cases in the experimental group and 155 cases in the control group completed the study. 3 months,6 months and 12 months after implementation,the kt/V value of the experimental group was significantly higher than that of the control group（P<0.05）;6 months and 12 months after implementation,the QA,URR and self-management ability of the experimental group were significantly higher than those of the control group（P<0.05）. 12 months after the implementation,the incidence of hematoma and stenosis in the experimental group was significantly lower than that in the control group（P<0.05）. Conclusion The establishment of the standard nursing process of hemodialysis access in the nursing consortium can effectively improve the dialysis adequacy of MHD patients,improve the self-management ability of patients with arteriovenous fistula,and reduce the complications of arteriovenous fistula.

Construction and application of intradialytic exercise intervention program in maintenance hemodialysis patients with sarcopenia

CHEN Guanjie, ZHANG Hailin, YIN Lixia, DU Xiaoju, ZHANG Huipin, ZHANG Yongping, ZHOU Qifan

2022, 57(7):  798-806.  DOI: 10.3761/j.issn.0254-1769.2022.07.005

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Objective To construct an intradialytic exercise intervention program for maintenance hemodialysis （MHD） patients with sarcopenia,and to evaluate its effects. Methods We constructed an intradialytic exercise intervention program for MHD patients with sarcopenia based on evidence summary and Delphi method. 51 patients with sarcopenia who underwent hemodialysis in a tertiary hospital in Lianyungang from March to July 2021 were randomly divided into an experimental group（25 cases） and a control group（26 cases）. The experimental group was given the intradialytic exercise intervention program on the basis of routine nursing. The intradialytic exercise intervention program in MHD patients with sarcopenia includes 5 parts,including pre-exercise assessment,exercise prescription,exercise monitoring,exercise-related support,and exercise effect evaluation. While the control group was given routine nursing during dialysis. After the intervention,the differences in the prevalence of sarcopenia,skeletal muscle mass index,mid-arm muscle circumference,calf circumference,grip strength,usual gait speed and the short physical performance battery（SPPB） score between the 2 groups were compared to evaluate effects of the intervention. Results The prevalence of sarcopenia in the experimental group was lower than that in the control group（P=0.014）,and the grip strength,usual gait speed,calf circumference and the SPPB score were higher than those in the control group after the intervention（P<0.05）. Conclusion The intradialytic exercise intervention program for MHD patients with sarcopenia is scientific and reliable,and the application of this program can effectively improve the relevant indicators of sarcopenia and decrease the prevalence of sarcopenia,which can provide a reference for clinical nursing practice.

Nursing care of a patient complicated with calciphylaxis in hemodialysis treated by multidisciplinary approach

SHAO Lifang, YAN Chengli, YU Jie, XIAN Xuemei, MAO Zhuoying

2022, 57(7):  807-810.  DOI: 10.3761/j.issn.0254-1769.2022.07.006

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The nursing experience of long-term maintenance hemodialysis in a patient with rare and life-threatening calciphylaxis for more than 12 years was summarized. Nursing points include preoperative dietary care,implementation of an individualized hemodialysis nursing program,postoperative wound care,pain management,drug treatment,nutritional support,individualized calciphylaxis preventive care of end stage renal disease（ESRD） patients,etc. under the multidisciplinary approach. During the hospitalization,the patient underwent 2 operations,which lasted 25 days. The right upper limb recovered well and the patient was discharged. Dressing was regularly changed in wound stomy clinic and the wound healed completely.

Continuous renal replacement therapy embedded in extracorporeal membrane oxygenation：a review

WANG Qingyun, XIAO Sufei, LU Changqing, HE Jun, ZHOU Xingliang

2022, 57(7):  811-815.  DOI: 10.3761/j.issn.0254-1769.2022.07.007

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Extracorporeal membrane oxygenation（ECMO） combined with continuous renal replacement therapy（CRRT） can effectively improve and prevent fluid overload,remove inflammatory mediators,and improve the success rate of rescue for critically ill patients. In this review,the advantages and disadvantages of different modes of CRRT embedded in ECMO were introduced,as well as the nursing operation and risks. It was suggested that the best connection mode should be selected according to the patient’s condition in order to reduce the incidence of related complications,and to provide references for the nursing of extracorporeal membrane pulmonary oxygenation combined with CRRT.

Specialist Practice and Research

A research on the characteristics of cardiovascular health score trajectories in patients after percutaneous coronary intervention

ZHANG Rui, GAO Xueqin, LIN Ping, ZHAO Zhenjuan, WANG Yini

2022, 57(7):  816-822.  DOI: 10.3761/j.issn.0254-1769.2022.07.008

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Objective To investigate the characteristics of cardiovascular health score trajectories in patients after percutaneous coronary intervention（PCI）. Methods The convenience sampling method was used to recruit 339 acute myocardial infarction patients who underwent PCI for the first time in the cardiology department of a first-class tertiary hospital in Harbin from May to October 2019 with regular follow-up after PCI. We used the group-based trajectory model to identify the heterogeneous trajectory groups of cardiovascular health score based on the baseline,6 months and 12 months follow-up. The Cox proportional risk regression model was used to analyze the effect of trajectory groups and major adverse cardiac events（MACE）. Results 5 cardiovascular health score trajectories were identified as low-increasing group（19.8%）,medium-declining and then increasing group（24.8%）,medium-rapid increasing group（14.4%）,medium-stable group（31.9%）,high-stable group（9.1%）. Cox proportional risk regression model showed that,after adjustment for potential confounding factors（age,sex,high-density lipoprotein cholesterol and alcohol consumption）,the risk of MACE in medium-declining first and then increasing group,medium-rapid increasing group,medium-stable group and high-stable group were 0.498（P=0.033）,0.446（P=0.049）,0.403（P=0.006） and 0.259（P=0.030） times of low-increasing group,respectively. Conclusion Acute myocardial infarction patients after PCI for a year showed various cardiovascular health score trajectories;the improvement and maintainance of a high level of cardiovascular health score were negatively correlated with the risk of MACE. Medical staff can monitor the characteristics of cardiovascular health score changes dynamically,strengthen risk factor management and adopt early intervention methods to improve prognosis.

Development and application of a data table system for monitoring the quality of pediatric intravenous infusion process

HUANG Qin, ZHANG Xiaobo, GU Ying, HU Jing, KONG Meijing, FU Weijia

2022, 57(7):  823-826.  DOI: 10.3761/j.issn.0254-1769.2022.07.009

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Objective To develop a data table system for monitoring the quality of pediatric intravenous infusion process and to evaluate its clinical effectiveness. Methods The data table system was designed to monitor the whole process of intravenous infusion by automatically capturing data from administration,inspection to completion,followed by the generation of personal digital assistant（PDA） scan identification data table and infusion inspection data table. The data table system was put into use since December,2020 in a tertiary children’s hospital in Shanghai. Data collected from October to November,2020 were compared with that from March to April,2021 in terms of PDA scanning rates at the beginning and end of intravenous administration,qualified rate of the number of intravenous infusion inspection,and accuracy rate of intravenous infusion inspection timing. The Effectiveness Evaluation Scale of Clinical Nursing Information System was used to evaluate nursing managers’ satisfaction. Results The PDA scanning rate at the beginning of intravenous administration was improved from 96.76% to 99.96%（P<0.001）;the PDA scanning rate at the end of intravenous administration was improved from 97.88% to 98.82%（P<0.001）;the qualified rate of the number of intravenous infusion inspection was improved from 57.96% to 66.85%（P<0.001）;the accuracy of intravenous infusion inspection time was improved from 95.68% to 96.79%（P<0.001）. The satisfaction score of nursing managers with the data table system was（95.25±0.08）. Conclusion The development of the data table system could help nursing management departments facilitate the use of the clinical data in order to continuously improve the nursing quality and nurses’ behavior. With the help of information service,the data table system for monitoring nursing quality provided a better user experience.

The psychological experience of adolescent patients with mood disorder accompanied by non-suicidal self-injury：a qualitative study

SHANG Chaona, WANG Jianying, SONG Tao, ZHANG Junlei, ZHANG Donghong

2022, 57(7):  827-833.  DOI: 10.3761/j.issn.0254-1769.2022.07.010

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Objective To explore the psychological experience of adolescents with mood disorder committing non-suicidal self-injury,so as to provide references for clinical nurses to carry out relevant preventive interventions. Methods Phenomenology in qualitative research was adopted,and 11 convalescent adolescents with mood disorder committing non-suicidal self-injury admitted to a tertiary psychiatric hospital in Henan Province from May to July 2021 were interviewed by semi-structured interviews,and the data was analyzed by Colaizzi seven-step method. Results 4 themes were extracted. Theme 1：negative emotions and psychological pain before non-suicidal self-injury,and they longed for understanding and support. Theme 2：after non-suicidal self-injury,they had a sense of benefit and hoped for attention and love. Theme 3：parents and family give them much pressure,and they get insufficient psychological support. Theme 4：they lack coping strategies for negative emotions and long for professional help. Conclusion Clinical nurses should pay close attention to the emotional changes of adolescents with mood disorder accompanied by non-suicidal self-injury,do well in psychological dynamic assessment,build a patient-centered family intervention system,attach importance to cultivating patients’ positive coping strategies,reduce the occurrence of non-suicidal self-injury and promote their psychosomatic health.

Status quo and influencing factors of acceptance of advance care planning for young and middle-aged cancer patients

YIN Xiaotong, ZHU Lanyu, WANG You, LI Xue, WEN Na, ZHU Yafei

2022, 57(7):  834-840.  DOI: 10.3761/j.issn.0254-1769.2022.07.011

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Objective To understand the status quo of acceptance of advanced care plan（ACP） for young and middle-aged cancer patients,and to analyze its influencing factors,so as to provide the basis for the implementation and promotion of ACP. Methods The convenience sampling method was adopted from September 2020 to February 2021 to investigate a total of 426 young and middle-aged cancer inpatients by a general information questionnaire,Patient’s Advance Care Planning Acceptance Questionnaire（ACPQ）,Wake Forest Physician Trust Scale（WFPTS） and Death Attitude Profile-Revised（DAP-R）. Multiple linear stepwise regression was used to analyze the influencing factors of ACP acceptance. Results The score of ACP acceptance of 426 young and middle-aged cancer patients was（66.30±9.32）. Religious belief,course of disease,degree of pain,medical trust,and death attitude were the influencing factors of ACP acceptance of this population（P<0.05）. Conclusion The acceptance of ACP in young and middle-aged cancer patients is at the upper-middle level and it is affected by many factors. Clinical medical staff should identify the relevant factors affecting the acceptance of ACP,take standardized measures to help patients correctly face the disease and death,and improve the acceptance of ACP. It is suggested to popularize ACP knowledge and try ACP for young and middle-aged cancer patients.

Study on the status of nurses’ knowledge,attitude,practice toward ventilator-induced diaphragm dysfunction care in intensive care unit of Fujian

CHEN Yiyuan, LIN Min, HUANG Meichun, ZHANG Yixin, XU Xiaoyu, LIN Dandan, ZHUANG Yaoning

2022, 57(7):  841-845.  DOI: 10.3761/j.issn.0254-1769.2022.07.012

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Objective To investigate the current situation of nursing knowledge,attitude,practice of ICU nurses in ventilator-induced diaphragm dysfunction（VIDD） and to analyze the influencing factors. Methods A convenience sampling method was adopted to conduct a questionnaire survey to investigate ICU nurses in 11 tertiary hospitals in Fujian Province in April 2021. A self-developed questionnaire on knowledge,attitude,practice toward VIDD care was distributed for investigation. The questionnaire includes 22 items in three dimensions: knowledge, belief and behavior.Results A total of 244 nurses were surveyed. The scores of knowledge,belief,and behavior were（13.63±4.61）,（28.96±3.66）,and（13.39±5.41）,respectively,and the total score was（55.99±10.61）. The results of multiple linear regression analysis showed that there were significant differences in whether they are specialist nurses,educational background,whether they have received training,and working years,and they are influencing factors of ICU nurses’ total score of knowledge about VIDD care. Conclusion ICU nurses have better beliefs about VIDD care,but the level of knowledge and behavior needs to be improved. Specialized nurses,ICU nurses who have received relevant training,high education and long working years have a high level of VIDD nursing. In the next step,nursing administrators should pay attention to ICU nurse training,strengthen the knowledge and behavior of ICU nurses in VIDD care,and improve the level of knowledge and belief of ICU nurses about VIDD care,so as to further promote the nursing work related to VIDD prevention.

Status and risk factors of hypoglycemia in patients with acute-on-chronic liver failure

HE Na, JIANG Shuxian, ZHENG Zimei, ZHOU Zihui, JI Yongfang, CHEN Miaoxia, LI Lili

2022, 57(7):  846-852.  DOI: 10.3761/j.issn.0254-1769.2022.07.013

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Objective To understand the clinical characteristics of fasting glucose in patients with acute-on-chronic liver failure（ACLF）,and to analyze the risk factors of fasting hypoglycemia,to provide reference values that can help with the early clinical recognition and prevention of hypoglycemia. Methods The clinical data of 931 patients with ACLF hospitalized from May 2013 to December 2019 in the department of infectious diseases of a tertiary hospital in Guangzhou city,were retrospectively analyzed. ACLF patients were divided into hypoglycemic and non-hypoglycemic groups according to the fasting blood glucose levels. The demographics,clinical characteristics,comorbidities and laboratory indicators of patients in the 2 groups were compared,and the risk factors of hypoglycemia were obtained by Logistic regression analysis. Results There were 399 cases（42.86%） of hypoglycemia,including 207 cases（51.88%） of mild hypoglycemia. Binary Logistic regression analysis showed that the length of hospital stay（OR=1.008）,prothrombin time（OR=1.022） and cirrhosis（OR=1.745） were independent risk factors for hypoglycemia in patients with ACLF. Conclusion ACLF patients have a high incidence of mild hypoglycemia,longer hospital stays,longer prothrombin time,and cirrhosis which increase the risk of hypoglycemia. During clinical practice,more emphasis should be placed on screening high-risk patients via early assessment of their hypoglycemic risk,and hence provide timely interventions to reduce the occurrence of hypoglycemia.

Nursing Management

The exploration of the influencing factors of occupation fatigue of nurses

LI Mengyao, HUANG Kanghui, HU Yulian, ZHANG Yuanyuan, ZHANG Yaqing

2022, 57(7):  853-858.  DOI: 10.3761/j.issn.0254-1769.2022.07.014

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Objective This research analyzed the latent profile of occupation fatigue of nurses and discussed the influencing factors of occupation fatigue among different types. Methods Based on the Effort-Reward Imbalance Model,we used the convenience sampling method to select 551 nurses from 2 tertiary hospitals in Shanghai in December 2020. The demographic characteristics,Occupation Fatigue Exhaustion Recovery Scale and Effort-Reward Imbalance Questionnaire were used to make a cross-section survey of nurses’ occupation fatigue,and the latent profile analysis was carried out with the results of 3 explicit indexes of Occupational Fatigue Exhaustion Recovery Scale. At the same time,the influencing factors of occupational fatigue of nurses were explored by univariate analysis and ordered multi-classification logistic regression. Results The 55l nurses could be divided into 3 latent subgroups,including low fatigue and high recovery（14.5%）,medium fatigue and medium recovery（54.3%） and high fatigue and low recovery（31.2%）. The influencing factors of nurses’ occupational fatigue included total weekly working hours,work-family conflict,external effort,over commitment and reward（P<0.05）. Conclusion The occupational fatigue of nurses can be divided into 3 subgroups. The nursing managers can make individualized psychological interventions according to the influencing factors to improve the self-regulation ability of nurses,so as to reduce the degree of fatigue.

Clinical Practice

Perioperative nursing care in a patient with acute left heart failure caused by giant ball thrombus in left atrium

ZHANG Yan, XU Min, CHEN Lili, YU Ting, CHEN Na, WANG Weijian

2022, 57(7):  859-862.  DOI: 10.3761/j.issn.0254-1769.2022.07.015

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To summarize perioperative nursing care in a case with acute left heart failure caused by giant ball thrombus blocking micro orifice in left atrium. The nursing points are as follows：quickly improving pre-operative preparations,activating the emergency team of the cardiac special bank,and preparing equipment and items;during the operation,rapidly establishing extracorporeal circulation,strengthening the blood management,carrying out the phased temperature management,conducting active blood sugar management and clustered surgical infection management;management and psychological care of post-complication. The patient was well rehabilitated and discharged from the hospital 27 days after surgery.

Evidence Synthesis Research

The shared decision-making experience of elderly patients with end-stage renal disease：a systematic review and meta synthesis of qualitative studies

CUI Jinrui, XIAO Qi, KE Jian, YAN Jianjun, ZENG Tieying

2022, 57(7):  863-871.  DOI: 10.3761/j.issn.0254-1769.2022.07.016

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Objective To systematically review the shared decision-making experience of elderly patients with end-stage renal disease. Methods We searched databases including PsycINFO,PubMed,Embase,CINAHL and CNKI,CBM,WanFang Data from the inception to June 2021. 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 13 studies were included. 36 complete findings were grouped into 8 categories according to their similarities. These categories resulted in 3 synthesized findings：sharing decision-making information support and communication practices,the patient’s decision-making dilemma and psychological trajectory,risk-return competition decision and influencing factors. Conclusion Medical staff should pay attention to the decision-making experience of elderly patients with end-stage renal disease,fully consider their goals,values,and preferences,in order to promote patient-centered shared decision-making.

Meta-synthesis of qualitative research on the psychological experience of chemotherapy-induced alopecia in cancer patients

GU Yujun, ZHANG Guozeng, FENG Xianling, BAI Yang, YUE Lan, WANG Meng

2022, 57(7):  872-879.  DOI: 10.3761/j.issn.0254-1769.2022.07.017

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Objective To systematically analyze the effects of chemotherapy-induced alopecia on the psychological experience of cancer patients. Methods PubMed,Web of Science,Embase,Medline,Cochrane Library,CINAHL,PsycINFO,JBI Library,CNKI,Wanfang Data,VIP Data and China Biology Medicine disc were searched to collect qualitative research on the psychological experience of cancer patients with chemotherapy-induced alopecia. The retrieval period was from inception to September 2021. The quality of studies was evaluated according to JBI Critical Appraisal Tool for qualitative research（2016）. Meta-synthesis was applied to integrate the results. Results A total of 60 results were extracted from 14 studies. Similar results were summarized into 12 groups,and 3 integrated results were synthesized,including alopecia affecting both physical and mental health,taking active countermeasures,difficulties and challenges. Conclusion Alopecia affected mental health,physical health,and social relationships of cancer patients. Nurses should pay more attention to patients’ cognition and experience of alopecia,encourage patients to actively cope with it,and take corresponding interventions to help cancer patients overcome the troubles caused by alopecia,and thus enhance their quality of life.

Evidence summary for self volume-management in patients with chronic heart failure

LUO Zhenlan, HU Sanlian, ZHU Lingyan, XU Mengqi, RUAN Tiantian

2022, 57(7):  880-886.  DOI: 10.3761/j.issn.0254-1769.2022.07.018

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Objective To search,evaluate and summarize the best evidence of self volume-management for patients with chronic heart failure（CHF） based on the situation-specific theory of heart failure self-care. Methods The computer decision support systems,guideline websites,databases were systematically searched to collect the literature related to self volume-management in CHF patients. The retrieval period is from the establishment of databases to May 4th,2021. 2 researchers assessed the quality of the included literature independently and extracted the evidence. Results A total of 9 articles were included,including 7 clinical practice guidelines and 2 expert consensuses. A total of 13 pieces of evidence have been obtained from 3 aspects including self volume-management maintenance,symptom perception of volume overload,and volume overload management. Conclusion The best evidence should be used to help CHF patients maintain a balance of volume status,recognize changes in volume status as soon as possible,and learn some skills to respond appropriately to volume overload.

Review

Research progress on fear of cancer recurrence among family caregivers for patients with cancer

GAO Jia, SUN Yefei

2022, 57(7):  887-891.  DOI: 10.3761/j.issn.0254-1769.2022.07.019

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Fear of cancer recurrence（FCR） commonly exists among family caregivers of cancer patients,while severe fear will affect their quality of life. However,FCR of caregivers is easily ignored by clinical staff. This paper reviews the related concept,current situation,assessment tools,influencing factors and intervention measures of family caregivers’ fear of cancer recurrence,aiming to arouse the attention of clinical staff on FCR of this population,and to provide references for further study.

Overseas Knowledge

The reliability and validity test of the Chinese version of Perioperative Thirst Discomfort Scale

HUANG Chenshan, LIN Rong, CHEN Lili, CHEN Xiaohuan, CHEN Meirong, LI Hong

2022, 57(7):  892-896.  DOI: 10.3761/j.issn.0254-1769.2022.07.020

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Objective To translate the English version of Perioperative Thirst Discomfort Scale （PTDS） into Chinese,and to test the reliability and validity of the Chinese version of PTDS. Methods The English version of PTDS was translated into Chinese and back translated and modified for cultural adaptation according to the guidelines. A convenience sample of 316 perioperative patients at 4 tertiary hospitals in Fujian was investigated by the Chinese version of PTDS,in order to test its reliability and validity. Results The Cronbach’s α of the Chinese PTDS was 0.813; both the scale-level content validity index and the item-level content validity index were 1.Factor analysis showed 2 factors explaining 64.312% of the total variance. The score of PTDS was significantly associated with the thirst intensity score（r=0.681,P<0.001）. Conclusion The Chinese version of PTDS has been proved to be reliable and valid.It can be used for measuring thirst discomfort in perioperative patients.