Table of Content

10 July 2022, Volume 57 Issue 13

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Special Planning—Cardiovascular Nursing

Construction and application of a volume management program in vulnerable phase for patients with heart failure

CHEN Hua, XIONG Xiaoyun, SUN Xinglan, XIAO Dan, TU Hui, YI Fengyi, WEI Wenting, LIU Jiawen, SONG Yujie

2022, 57(13):  1541-1547.  DOI: 10.3761/j.issn.0254-1769.2022.13.001

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Objective To construct a volume management program based on Information-Knowledge-Attitude-Practice（IKAP） theory and to discuss its application effect for patients with heart failure in vulnerable phase. Methods The 4 process and capacity management architecture based on IKAP theory were constructed by the expert group discussion method. Using the convenience sampling method,94 patients with heart failure from May to October 2021 were selected as the experimental group,and the same number of patients from May to October 2020 were selected as the control group,both of whom were admitted to a tertiary first-class hospital in the city of Nanchang. The experimental group received the volume management program based on IKAP theory,and the control group received the routine care of the department. Finally,we evaluated the effect of the intervention. Results 94 patients in the experimental group and 92 patients in the control group were finally collected. There were statistically significant differences in self-care ability,weight management ability,B-type natriuretic peptide level,dry body mass compliance rate and readmission rate between 2 groups after the intervention（P<0.05）. Conclusion The volume management program based on IKAP theory can improve self-care ability,weight management ability and dry body mass compliance rate of vulnerable patients with heart failure,and reduce B-type natriuretic peptide level and readmission rate in vulnerable phase.

Construction of a risk prediction model for gastrointestinal complications in patients after cardiac surgery and its prediction effect

LI Mengdie, ZHANG Linhong, XIA Dongsheng, CHU Weili, ZHAO Yingying

2022, 57(13):  1548-1554.  DOI: 10.3761/j.issn.0254-1769.2022.13.002

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Objective To establish a risk prediction model for gastrointestinal complications in adult patients after cardiac surgery,and to verify the prediction effect. Methods A total of 798 patients after the cardiac surgery were selected as research subjects by convenience sampling method from October 2019 to May 2021 in Zhengzhou city,Henan province. The patients were divided into an occurrence group （n=70） and a nonoccurrence group （n=728） according to whether gastrointestinal complications occurred after the operation. Data of the 2 groups was compared to determine the potential risk factors,and Logistic regression analysis was performed to construct the prediction model. The area under the receiver operating characteristic curve（AUC） was used to test the prediction effect of the model. A total of 122 patients hospitalized in the same hospital from June 2021 to August 2021 were selected to verify the model. Results 6 risk factors were included in this study,namely preoperative medication （OR=2.995）,preoperative ADL score（OR=0.989）,aortic occlusion time（OR=1.737）,use of intra-aortic balloon pump（IABP）（OR=2.372）,the first time of eating（OR=1.795）,and ADL score of being transferred out of ICU（OR=0.986）. The model formula：logit（P）=-2.224+1.097 × preoperative medication+0.552 × aortic occlusion time+0.864 × use of IABP+0.585 × the first time of eating-0.014 × ADL scores when transferred out of ICU-0.011 × preoperative ADL scores. The ROC curve of this model was 0.788,with the sensitivity of 0.857,the specificity of 0.594,and the Youden index is 0.451.The model verification results showed that the sensitivity was 0.700;the specificity was 0.815;the accuracy was 86.90%. Conclusion The risk prediction model had satisfactory prediction,which can provide references for clinical staff to evaluate the gastrointestinal complications of patients after cardiac surgery.

Intervention mapping in medication adherence in patients with acute coronary syndrome combined with moderate to severe chronic kidney disease

PAN Peipei, XU Wenxian, YANG Yeqin, ZHOU Hao, LU Zhongqiu

2022, 57(13):  1555-1561.  DOI: 10.3761/j.issn.0254-1769.2022.13.003

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Objective An intervention strategy was developed based on an intervention map to investigate its effect on medication adherence in patients with acute coronary syndrome combined with moderate to severe chronic kidney disease. Methods A convenience sampling method was used to select 101 patients with acute coronary syndrome combined with moderate-to-severe chronic kidney disease admitted to the cardiology department of a tertiary hospital in Wenzhou from September 2020 to April 2021,and they were selected as study subjects and randomly divided into a test group and a control group. The test group used the medication intervention strategy developed by the intervention mapping,and the control group used the conventional medication strategy. The medication adherence,quality of life and rehospitalization due to cardiovascular events were compared between the 2 groups. Results A total of 97 patients completed the study with 48 in the test group and 49 in the control group. There were no significant differences in medication adherence scores and 36 concise health status survey scales scores between the two groups at discharge and 1 month after discharge（P>0.05）,and the scores were higher in the test group at both 3 months and 6 months after discharge（P<0.05）. The readmission rates for cardiovascular events 6 months after discharge between the 2 groups were compared,and the difference was statistically significant （P<0.05）,and the Cox proportional risk model showed that the risk of rehospitalization was relatively lower in the test group（HR=0.430,95%CI=0.187~0.990）. Conclusion Medication intervention strategies developed by inter-vention mapping can improve medication adherence,quality of life and clinical prognosis in patients with acute coronary syndrome combined with moderate-to-severe chronic kidney disease.

Formulation and application of a cardiovascular specialty nursing training program focusing on secondary prevention of coronary heart disease

LI Qingyin, WU Xinjuan, YAN Lin, ZHENG Yimei, YE Jing, DENG Haibo, ZHAI Haixin, JIANG Lin, LI Zheng, DING Yanming, ZHAO Qinqin, WU Daozhi

2022, 57(13):  1562-1566.  DOI: 10.3761/j.issn.0254-1769.2022.13.004

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Objective To formulate a cardiovascular specialty nursing training program focusing on secondary prevention of coronary heart disease（CHD）,and to evaluate its effectiveness. Methods Totally 30 cardiovascular nurses were enrolled from 15 tertiary hospitals for training,and the training effect was evaluated in a comprehensive and long-term basis. Results Trainees scored higher in the CHD secondary prevention test after training than before,and the difference was statistically significant（P<0.001）. The training program was well implemented by the trainees in clinical practice phase. After 1 year follow-up for secondary prevention of CHD,the good control rates of blood pressure and blood lipid in patients were significantly increased（P<0.001）;the compliance of secondary prevention drugs was more than 86%;the quality of life and mental health were significantly improved（P<0.001）. Conclusion The cardiovascular specialty nursing training program focusing on secondary prevention of CHD can significantly improve the level of theory,knowledge and skills of cardiovascular nurses,promote the effective implementation of secondary prevention in clinical practice,and benefit patents with CHD.

Postoperative anticoagulation nursing practice of a patient with heart failure treated by the combined therapy of extracorporeal life support

WANG Ziwei, HU Yaling, HUANG Jinying

2022, 57(13):  1567-1571.  DOI: 10.3761/j.issn.0254-1769.2022.13.005

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To summarize the postoperative anticoagulation nursing practice of a patient with heart failure treated with ECMO,CRRT and the implantable left ventricular assist device. Key points of care were as following. To begin with,we assessed the anticoagulant risk of patients in advance,and set up an anticoagulant nursing team as needed,which adapts the multidisciplinary team care mode to take care of patients. Then,we made anticoagulation targets by stages and adjusted anticoagulation strategies dynamically. Next,we monitored coagulation function closely to guard against delayed bleeding,as well as implementing target blood pressure management and focusing on tissue perfusion. Doctors and nurses evaluated patients cooperatively to adjust pump flow speed timely. In the end,we enhanced the knowledge relative to disease of patient by Medical Decision-Making Sharing. Through careful nursing care and treatment,the patient recovered and was discharged after 59 days.

Evidence summary of limb management in transradial coronary intervention

TAN Junyang, MA Fang, HU Qiulan, ZHOU Hang, ZHU Zheng, MA Xueqin, BAI Yangjuan

2022, 57(13):  1572-1578.  DOI: 10.3761/j.issn.0254-1769.2022.13.006

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Objective The best evidence on the limb management of transradial coronary intervention was retrieved,evaluated and integrated to provide evidence-based support for clinical practice. Methods By an evidence-based approach,the literature was searched according to the ‘6S’ pyramid of evidence model,with a timeframe of the database establishment to June 2021. Research team members independently evaluated the quality of the various types of the literature,extracted information that met the criteria,and graded each piece of evidence. Results A total of 11 papers were involved,including 3 guidelines,6 systematic reviews and 2 expert consensuses. The final summary of 21 pieces of best evidence on the management of the limb of transradial coronary intervention covers 4 topics,including preoperative preparation and assessment,postoperative handover and observation,postoperative compression and decompression,activity occasion and patterns. Conclusion This study provides the best evidence for the limb management of the transradial coronary intervention. When translating the evidence,the best evidence should be selected in relation to hospital characteristics and clinical scenarios,in order to improve the quality of perioperative care of the radial artery puncture limb and enhance the comfort and safety of patients.

Research progress of risk perception assessment tools for cardiovascular disease

GUO Zhiting, MAO Yue, ZHANG Yuping, DING Chuanqi, JIN Jingfen

2022, 57(13):  1579-1584.  DOI: 10.3761/j.issn.0254-1769.2022.13.007

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Cardiovascular disease risk perception is the basis for individuals to adopt health promotion behaviors,and it is crucial to implement the primary prevention strategy of cardiovascular disease and reduce the incidence of cardiovascular disease. This paper reviews the content,characteristics and application of risk perception assessment tools for cardiovascular disease at home and abroad from the perspectives of their universality and specificity. On the basis of further defining the concept of risk perception,it is suggested to develop risk perception assessment tools for cardiovascular disease and conduct localized validation studies,providing a basis for follow-up risk communication and risk intervention by medical staff.

The sinicization of the European Heart Failure Self-care Behaviour Scale for Caregivers and the test of its reliability and validity

WANG Kaixuan, LI Peiyu, WANG Wenyuan, WANG Siyi, SHI Xiaohan, LIU Zhimei

2022, 57(13):  1585-1590.  DOI: 10.3761/j.issn.0254-1769.2022.13.008

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Objective To translate the European Heart Failure Self-care Behaviour Scale for Caregivers （EHFScBS-C） into Chinese,and to test its reliability and validity. Methods The English version of EHFScBS-C was translated into Chinese and back translated according to the Brislin model. The Chinese version of the scale was determined after cross-cultural adaptation and pre-experiment. A convenience sample of 336 caregivers of patients with chronic heart failure in outpatient settings of 3 tertiary hospitals in Shandong Province were investigated. The test-retest data of 34 caregivers were collected by the follow-up of telephone or Wechat. The reliability and validity of the scale were evaluated. Results The Chinese version of EHFScBS-C contained 9 items. Exploratory factor analysis showed that a total of 2 factors were extracted explaining 67.453% of the total variance,namely caregiver’s contributions to self-care related to medical issues and caregiver’s contributions to self-care related to lifestyle. Confirmatory factor analysis supported the hypothesis of first-order two-factor model,and all fitting indexes were at acceptable level. The item-level content validity index of the Chinese version of EHFScBS-C was 0.83~1.00,and the scale-level content validity index was 0.97. The Cronbach’s α coefficient of the total scale was 0.873,and the test-retest reliability of the total scale was 0.858. Conclusion The Chinese version of EHFScBS-C has good reliability and validity,and it can be used as a reliable tool to evaluate caregiver contributions to heart failure self-care.

Specialist Practice and Research

Qualitative study on the dyadic experience of patients with young-onset dementia and their caregivers

KANG Yichen, LIU Wenlin, DING Ding, WANG Junqiao, ZHAO Qianhua, WANG Jing

2022, 57(13):  1591-1598.  DOI: 10.3761/j.issn.0254-1769.2022.13.009

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Objective This study is to explore the dyadic experiences of patients with young-onset dementia （YOD） and their primary caregivers. We aim to explore their interactions,challenges,and needs in order to provide empirical evidence for the development of precision intervention and supportive system for this population. Methods We purposively selected 12 dyads of persons with YOD and their primary caregivers and conducted in-depth semi-structured interviews with the dyads during the period between Jan to June 2021. We adopted conventional content analysis and dyadic qualitative analysis approach to analyze and synthesize the data. Results 4 major themes emerged as multiple challenges（daily life experiences,social interaction changes,a lack of social awareness of the disease,and role maladaptation）,stigma（self-conflict,personhood,a lack of sense of security,and perceptions of stigma in the socio-cultural context）,a lack of supportive resource and social vulnerability （the lack of knowledge of the disease,the lack of formal care provision,the lack of appropriate social support）,and available individual and social coping strategies（person-centered care,stress relief,and decreased social discrimination on YOD）. Conclusion The dyadic experiences of persons with YOD and their caregivers are unique and variant. There is an urgent need for family,community,health care system and the public to stay connected and provide substantial support for this population. Researchers need to actively conduct multi-disciplinary research to understand the needs and challenges of this population to develop tailored interventions to improve their experiences,quality of life and assist them move through to the later stage of their life.

Establishment of a nursing quality evaluation indicator system for dysphagia patients after stroke

GUO Yuanli, MA Keke, GUO Lina, DONG Xiaofang, YANG Caixia, LÜ Peihua, GAO Huanhuan

2022, 57(13):  1599-1604.  DOI: 10.3761/j.issn.0254-1769.2022.13.010

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Objective To establish a nursing quality evaluation indicator system for patients with dysphagia after stroke,and to provide a basis for clinical nursing quality evaluation. Methods The research group established the first draft of dysphagia patients nursing quality evaluation based on the framework of the three-dimensional “structure-process-result” quality management model by literature review and brainstorming method. From March to May 2021, the first draft was revised by 2 rounds of expert consultations through Delphi technique. The final nursing quality evaluation system and indicators weight were analyzed by analytic hierarchy process. Results 2 rounds of consultations were completed by 21 experts. The questionnaire recovery rates were 100% and 95.23%;the expert authority coefficients were 0.958 and 0.964,respectively. Kendell harmony coefficients were 0.216 and 0.340 （P<0.001）. The mean value of importance of each indicator ranged from 3.9 to 5.0. The final nursing quality indicators of stroke dysphagia included 3 first-level indicators,9 second-level indicators （human resource allocation,equipment and facilities,management system,nursing evaluation,nursing practice,health education,follow-up management,nurse outcome,patient outcome） and 35 third-level indicators. Conclusion The nursing evaluation indicators system of stroke patients with dysphagia are scientific,reasonable,comprehensive and targeted,and it can provide references for nursing quality evaluation of stroke patients with dysphagia.

Development and psychometric test of the Behavioral Decision-making Scale for Stroke Patients

LIN Beilei, ZHANG Zhenxiang, MEI Yongxia, WANG Wenna, WANG Panpan, TANG Qilan, GUO Jun, ZHANG Weihong

2022, 57(13):  1605-1610.  DOI: 10.3761/j.issn.0254-1769.2022.13.011

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Objective To develop and test the reliability and validity of the Behavioral Decision-making Scale for stroke patients. Methods The conceptual structure was defined based on theory analysis. The literature review and semi-structured interview were conducted to build the items pool. The initial scale was formed after expert consultations;the cognitive interview was conducted to test and adjust the items. Then,327 stroke patients were conveniently investigated from February to October 2020,and the data was used to test the reliability and validity of the scale. Results The scale consisted of 30 items,4 dimensions,with a cumulative variance contribution of 64.408%. The 4 dimensions were named as “behavioral change motivation”,“behavioral change intention”,“decision factors”,and “decision balance”. The content validity index of the total scale was 0.800-1.000;the Cronbach’s alpha coefficient was 0.934,the half reliability was 0.797,and the 2-week retest reliability was 0.833. Conclusion The Behavior Decision-making Scale has good reliability and validity,and it can be used as a valid tool to assess health behavior decision making in stroke patients.

Construction and preliminary application of Symptom Assessment Scale for Donors of Allogeneic-Hematopoietic Stem Cell Transplantation

LI Hangting, WU Xiaolian, WANG Lina, QIU Yiling, ZHU Minfang

2022, 57(13):  1611-1617.  DOI: 10.3761/j.issn.0254-1769.2022.13.012

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Objective To develop a Symptom Assessment Scale for Donors of Allogeneic-Hematopoietic Stem Cell Transplantation（Allo-HSCT） and its reliability and validity were tested. Methods Based on the literature reviews and semi-structured interviews,the item pool of the scale was developed. The initial scale was formed through 2 rounds of Delphi consultations. Through the pre-survey of 30 donors,the descriptive definition of each item and the reference standard of symptom severity was clarified,and the clinical test scale was formed. A questionnaire survey was conducted on 178 Allo-HSCT donors who admitted to the departments of hematology in 5 tertiary hospitals in Zhejiang Province from January to December 2021 to test the reliability and validity of the scale. Results The Symptom Assessment Scale for Donors of Allo-HSCT included 21 items,and the exploratory factor analysis extracted 7 common factors,and the cumulative variance contribution rate was 67.794%. The content validity index of each item was 0.830~1.000,and the content validity index of the scale was 0.884. Cronbach’s α coefficient,retest reliability and half reliability were 0.811,0.755 and 0.730,respectively. Conclusion The Symptom Assessment Scale for Donors of Allo-HSCT developed in this study has good reliability and validity,and it can be used for symptom assessment of related population.

Clinical Practice

Perioperative nursing care of a child with otrnithine transcarbamlase deficiency undergoing liver transplantation

WANG Fang, LU Fangyan

2022, 57(13):  1618-1622.  DOI: 10.3761/j.issn.0254-1769.2022.13.013

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To summarize the perioperative nursing experience of a child with ornithine transcarbamlase deficiency after liver transplantation. Key points of nursing care：blood purification care were taken in the acute stage of high blood ammonia;predictive care were adopted during the remission period of high blood ammonia;early sequential anticoagulation treatment was carried out and supplemented by bleeding observation and nursing;early progressive rehabilitation training were taken to promote the growth and development of the child;psychological counseling was applied through the whole process to relieve the negative emotions of the child and their parents;personalized discharge guidance and continuous rehabilitation care were provided. After 20 days of treatment and care,the child recovered and was discharged,followed up for 4 months and recovered well up to now.

Nursing care of a patient with full-thickness abdominal wound dehiscence undergoing enteral nutrition through jejunostomy

DAI Wenqing, XIN Xia, JIN Xianzhen, FAN Hui, QIAO Lina

2022, 57(13):  1623-1627.  DOI: 10.3761/j.issn.0254-1769.2022.13.014

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To summarise the care of a patient with a full abdominal incisional laceration who underwent enteral nutrition through jejunostomy. The key points of care included active fight against infection and intravenous hyper-nutrient therapy;dynamic assessment of the wound,negative pressure flushing to drain the exudate;stoma and surrounding skin management to prevent moist dermatitis;whole-course nutritional risk assessment and enteral nutrition through jejunostomy;multi-modal analgesia to reduce the pain symptoms of the patient;stage psychological intervention to positively guide the patient’s understanding of the disease; formulation of a discharge instruction manual and adherence to the full follow-up plan. After 91 days,the wound of the patient healed completely,during which the patient was given total enteral nutrition during the household period with good nutritional condition. The intestinal rejection was performed with good effects and patient satisfaction.

Evidence Synthesis Research

Effect of telemedicine on prevention of pressure injury among community-dwelling patients with spinal cord injury：a systematic review

CHEN Guilian, WANG Yingmin, WANG Tong, ZHONG Lirong, HE Xinghui, JIA Mengmeng, LI Kun

2022, 57(13):  1627-1633.  DOI: 10.3761/j.issn.0254-1769.2022.13.015

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Objective To systematically review the effect of telemedicine on the prevention of pressure injury among community-dwelling patients with spinal cord injury,and to provide evidence-based bases for future research. Methods Both Chinese and English databases（CBM,CNKI,WanFang,VIP,Cochrane Library,PubMed,Embase,Web of Science,Scopus,ProQuest and BMJ Best Practice） were searched from their inception to August 2021. 2 researchers evaluated the quality of the included articles,and the meta-analysis was performed by RevMan 5.3 software. Results A total of 14 articles were included （9 randomized controlled trials and 5 quasi-experimental studies）,with totally 1 582 community-dwelling patients with spinal cord injury. The results of meta-analysis showed that telemedicine can decrease the incidence of pressure injury in community-dwelling patients with spinal cord injury [RR=0.29,95%CI（0.20,0.43）,P<0.001],improve the quality of life[SMD=0.94,95%CI（0.19,1.68）,P=0.010] and satisfaction[SMD=0.86,95%CI（0.58,1.13）,P<0.001],and the incidence of adverse events caused by pressure injury did not increase significantly[RR=0.50,95%CI（0.20,1.27）,P=0.140]. Conclusion The current evidence shows that telemedicine could decrease the incidence of pressure injury,improve quality of life and satisfaction in community-dwelling patients with spinal cord injury,proving that telemedicine is safe and feasible. Due to the limited quality and quantity of included articles,the above conclusion needs to be verified by more high-quality studies.

Evidence summary for thrombosis prevention of autogenous arteriovenous fistula in maintenance hemodialysis patients

SHEN Peng, LI Hong, GUO Jue, WANG Aiping, QIAO Jinhong

2022, 57(13):  1634-1640.  DOI: 10.3761/j.issn.0254-1769.2022.13.016

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Objective To search,evaluate and summarize the best evidence for thrombosis prevention of arteriovenous fistula（AVF） in hemodialysis patients,and to provide references for improving the long-term survival rate of autologous AVF. Methods According to the guidance of evidence-based nursing methods,we searched BMJ Best Clinical Practice,UpToDate,JBI Library,Cochrane Library,DynaMed,Agency for Healthcare Research and Quality and other guideline databases,National Kidney Foundation and other professional associations,PubMed and other comprehensive databases for the related studies on the prevention of autologous AVF thrombosis in hemodialysis patients. The evidence-based team extracted,summarized and evaluated the evidence. Results A total of 14 pieces of the literature were included through literature search,including 5 clinical decisions,6 guidelines,2 expert consensuses,and 1 systematic evaluation. Totally 34 pieces of evidence were selected,including assessment,monitoring and screening,standardized use of AVF,personnel qualification and training,health education,and intradialytic hypotension management,based on evidence-based evidence extraction and opinions of clinical professionals. Conclusion This study summarizes the best evidence for AVF thrombosis prevention and provides a reference for medical staff in dialysis centers. Through the clinical application of evidence,we can make the monitoring and maintenance of autologous arteriovenous fistula work better,and the quality of nursing care can be improved.

Meta-synthesis of qualitative research on the experience of elderly patients with chronic disease participating in telemedicine

XIONG Jiaming, YU Hongyu, SU Jin, ZHAO Zhuorui, YANG Qiaohong

2022, 57(13):  1641-1648.  DOI: 10.3761/j.issn.0254-1769.2022.13.017

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Objective To systematically review and synthesize the experiences of elderly patients with chronic diseases participating in telemedicine,in order to provide references for improving the accessibility and experience of telemedicine for elderly patients. Methods We searched databases,including PubMed,Embase,Cochrane Library,Web of Science,Scopus,CINIHL,ProQuest,CNKI,WanFang data VIP and SinoMed,for the qualitative research on the attitude and experience of elderly patients with chronic diseases in using telemedicine. The retrieval time limit is from January 2000 to March 2022. We use the standardized qualitative research evaluation tool developed by the Joanna Briggs Institute to evaluate the quality of the literature. Results A total of 22 studies were included. 92 research results were summarized into 12 categories and 3 synthesized findings according to their similarities. The 3 findings are the good experience,poor experience,and the preference and expectation of telemedicine treatment in elderly patients with chronic diseases. Conclusion The adaptive experience of elderly patients with chronic diseases participating in telemedicine treatment is diversified. It is necessary to improve the telemedicine care service system from the perspectives of telemedicine devices,hospitals,communities,families and individuals,and improve the accessibility and experience of elderly patients with chronic diseases using telemedicine care services.

Review

Research progress of concept mapping in evidence transformation and application projects

ZHANG Xiao-yan, YIN Yiyi, ZHENG Liping, HAO Yufang

2022, 57(13):  1649-1654.  DOI: 10.3761/j.issn.0254-1769.2022.13.018

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How to identify the perspectives of stakeholders has always been the critical topic of evidence transformation and application projects. Concept mapping provides a framework for addressing related research problems related to stakeholders. This review introduces the concept and implementation steps of concept mapping and its application status in evidence transformation and application projects,including identifying research problems and research needs,exploring barriers and facilitators,selecting and tailoring implementation strategies,and developing conceptual frameworks and measurement tools. This review also summarizes the application prospect of concept mapping to promote the application of concept mapping in the domestic evidence transformation and application research.

Progress on the application of ambient intelligence in the field of nursing

DONG Jing, ZHUANG Yiyu

2022, 57(13):  1655-1659.  DOI: 10.3761/j.issn.0254-1769.2022.13.019

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Ambient intelligence is a new technology that emphasizes the intelligent interaction between environment and human,which provides the possibility for the development of new intelligence in the field of nursing. This paper introduces the definition,development background and application status of ambient intelligence in the field of international nursing,including awareness monitoring,decision support,ward management,life assistance,prevention of elder abuse. It sums up the current situation and the prospect of the application,analyzing its challenges in technology,ethics,financial difficulties and equipment dependence. The purpose of this study is to provide references for the application of ambient intelligence in the field of nursing in China.

Overseas Knowledge

Validity and reliability of the Chinese version of the Decisional Engagement Scale in family members of patients with intracranial cancers

WANG Liping, LIN Bo, HOU Ming, ZU Baifa, LI Ping

2022, 57(13):  1660-1665.  DOI: 10.3761/j.issn.0254-1769.2022.13.020

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Objective To test the reliability and validity of Decisional Engagement Scale for family members of cancer patients（DES-10） in Chinese version. Methods The Chinese version of DES-10 was translated,back translated and modified for cultural adaptation according to Brislin translation model. From September 2021 to January 2022,222 family members of patients with intracranial tumor in Urumqi were selected by convenience sampling,and 30 family members of them were randomly selected to retest after 2 weeks to test the reliability and validity of the scale. Results The Chinese version of the scale has 10 items. The exploratory factor analysis extracted 4 common factors,and the cumulative variance contribution rate was 84.078%. The Cronbach’s α coefficient of the scale was 0.850;the split-half reliability was 0.819;the test-retest reliability was 0.809. The Item-level Content Validity Index was 0.833~1.000;the Scale-level Content Validity Index was 0.900. The confirmatory factor analysis showed：χ²/df=2.967,Goodness Fit Index=0.929,Comparative Fit Index=0.956,Normed Fit Index=0.936,Tucker-Lewis Index=0.929,Incremental Fit Index=0.957,Root Mean Square Error of Approximation=0.094. Conclusion The Chinese version of DES-10 has good reliability and validity. It could be used as an effective tool to evaluate the medical decisional engagement for family members of cancer patients.