Table of Content

20 December 2022, Volume 57 Issue 24

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Research Paper

Evidence application review and obstacle factors analysis for prevention of deep venous thrombosis after joint replacement

WANY Yu, XU Yuan, DENG Haibo, WANG Xiaojie, SUN Jianhua, MA Yufen, PANG Dong, YANG Xu, ZHU Liyun, LIU Jia, CAO Haiying, SHANG Gaopeng, CAO Jing, WU Xinjuan

2022, 57(24):  2949-2956.  DOI: 10.3761/j.issn.0254-1769.2022.24.001

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Objective To carry out evidence-based nursing for the prevention of deep vein thrombosis（DVT） in patients after joint replacement，to formulate review indicators，to analyze the obstacles and promoting factors in the practice of evidence-based nursing，and to formulate action strategies. Methods Based on the Knowledge to Action framework as the theoretical guidance，a total of 24 pieces of evidence for DVT prevention nursing in patients after joint replacement in suitable clinical situations were included；6 examination criteria and 33 examination indexes were formulated；the preventive behavior of nurses was observed on-site with patients as a unit. Furthermore，based on the results of the baseline review，brainstorming was used to analyze the barriers and facilitators in evidence-based practice，and action strategies were formulated. Results Totally 24 pieces of best evidence were included. According to the best evidence，33 examination indexes and 6 examination criteria were established. The clinical compliance rate of the 6 examination criteria ranges from 0% to 100%. Among them，there is room for improvement in health education（0），mechanical prevention（62%），pharmacological prevention（81%） and quality control（21%）. Obstacle factors include the lack of tools and nursing processes，lack of knowledge，insufficient attention，busy work，as well as low understanding and low participation. Facilitating factors include strong organizational leadership，medical team cooperation，sufficient equipment，etc. Accordingly，corresponding action strategies have been formulated. Conclusion Based on evidence and clinical experience，we formulated the scientific，appropriate and maneuverable indicators. At present，there is a certain gap between the evidence for the prevention of deep vein thrombosis in patients after joint replacement，and we should fully utilize these facilitating factors，overcome obstacles，implement improving measures，and promote the effective application of evidence.

Special Planning——Maternal Mental Health Care

Effects of positive psychological interventions on maternal labor fear and general well-being

YAN Meiqin, YAN Gaohui, REN Yonglian, CAO Xinyue, FEI Yeshan

2022, 57(24):  2957-2963.  DOI: 10.3761/j.issn.0254-1769.2022.24.002

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Objective To investigate the effect of PERMA model-based positive psychological interventions on maternal labor fear and overall well-being of pregnant women. Methods From September to November 2021，118 pregnant women who received regular obstetrical check-up in a tertiary A specialized hospital in Shanxi Province were selected as the research subjects，and they were divided into an experimental group with 59 cases and a control group with 59 cases according to the sequence of filing. The experimental group was given the positive psychological intervention based on PERMA model on the basis of the control group. The control group received routine health education. The levels of fear of childbirth and general well-being were compared between the 2 groups before and after the intervention. Results 57 subjects in the experimental group and 59 in the control group completed the study. After the intervention，the score of Wijma Delivery Expectancy Questionnaire（W-DEQ） in the experimental group was（46.21±4.04） points，which was significantly lower than that in the control group of（63.02±2.43） points. The score of General Well-Being Schedule（GWBS） was（80.07±3.02） points，which was significantly higher than that in the control group of（71.32±3.18） points. The differences were statistically significant（P<0.001）. 7 days after the delivery，the W-DEQ score of the experimental group was（36.07±5.02） points，which was significantly lower than it in the control group of（57.32±2.30） points；the GWBS score of（85.88±3.31） points was significantly higher than it in the control group of（72.59±3.20） points. The differences were statistically significant（P<0.001）. Conclusion The formulation process of the nursing intervention program based on PERMA model is rigorous and scientific with clinical practicability. The interventions are interesting and entertaining to some extent，which meet the psychological needs of contemporary pregnant women，and can effectively help clinical nursing staff reduce the fear of childbirth and improve the overall well-being of pregnant women.

Construction and application of a grief counseling programme for women undergoing pregnancy termination due to fetal anomaly

LIU Lu, WANG Weihong, SUN Shiwen, QIAN Jialu, YU Xiaoyan

2022, 57(24):  2964-2970.  DOI: 10.3761/j.issn.0254-1769.2022.24.003

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Objective This study aims to construct a grief counseling programme for women undergoing termination of pregnancy due to fetal anomaly（TOPFA） and apply the programme to clinical practice，so as to provide references for future work. Methods Through qualitative research and literature research，a grief counseling programme was drafted and constructed. From March to April 2021，19 experts were consulted using Delphi method，and a grief counseling programme for pregnant women with fetal anomaly was formed. From June 2021 to November 2021，the convenience sampling was used to select pregnant women with fetal malformation in an obstetrics and gynecology hospital in Hangzhou as the research subjects. The experimental group was given the grief counseling programme on the basis of routine care，while the control group was given routine care. Perinatal Grief Scale（PGS） was used to evaluate the application effect of the programme. Results The effective recovery rates of the questionnaire were 90.48% and 100%，the expert authority coefficients were 0.845 and 0.861，and Kendall harmony coefficients were 0.323 and 0.262（P<0.001）. Finally，the established grief counseling programme for women with fetal anomaly included 6 first-level items and 34 second-level items. The increase of PGS score in the experimental group was 1.50（-7.75，16.50） which is lower than that in the control group of 16.00（11.00，29.50），Z=-2.123（P<0.05）. Conclusion The grief counseling programme constructed in this study is scientific and practical，and the programme could reduce their grief level a month after the delivery. The programme can be popularized and applied after further verification.

A qualitative study on the experience of farewell ceremony based on perinatal care for women with perinatal loss of fetus

XU Ping, WANG Xuan, SHAN Chunjian, TIAN Yingying, PU Congshan, WANG Yiting, GONG Ting, YAO Lu

2022, 57(24):  2971-2976.  DOI: 10.3761/j.issn.0254-1769.2022.24.004

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Objective To deeply understand the inner feelings of farewell ceremony on pregnant women with perinatal loss of fetus. Methods A descriptive qualitative approach was conducted and a total of 15 women experiencing perinatal loss were enrolled for semi-structural in-depth interviews between March 2020 to March 2021 from a tertiary A obstetrics and gynecology hospital in Nanjing. The Colaizzi method was used to analyze the data. Results 3 themes were extracted，namely needs of farewell ceremony，the interweaving of complex emotions，change of perceived social support. Conclusion The farewell ceremony based on hospice care can help mothers reasonably release their negative emotions of perinatal loss，help them relieve stress，anxiety，ease the pain of loss，reduce the occurrence of the depression. Nursing staff should pay attention to perinatal maternal psychological needs，and help them face and accept the reality of the loss with professional technology and means，and ultimately realize the healthy development of family.

Evidence summary of non-pharmacological interventions for maternal postpartum depression

SHA Lijuan, ZHANG Aixia, FAN Xuemei, CONG Shengnan, WANG Rui, SUN Xiaoqing, ZHU Zhu, ZHOU Hui

2022, 57(24):  2977-2984.  DOI: 10.3761/j.issn.0254-1769.2022.24.005

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Objective To retrieve，evaluate and summarize the best evidence of non-pharmacological interventions for maternal postpartum depression and to provide references for clinical practice. Methods According to the top-down principle of the evidence-based resource 6S model，a systematic search of domestic and foreign databases and websites was conducted on the intervention of postpartum depression，including relevant clinical decision reports，best practices，guidelines，evidence summaries，systematic reviews，and expert consensuses. The search time limit was from the establishment of the databases to March 2022. A supplementary search was performed for randomized controlled trials published between September 2019 and March 2022. There were 2 researchers who evaluated the quality of the literature，extracted and summarized the evidence according to the subject. Results Totally 15 articles were involved，including 1 best practice，3 guidelines，2 expert consensuses and 9 systematic reviews. Finally，28 pieces of best evidence about iatrophysics，psychological interventions，exercise interventions，other interventions，and intervention implementation and monitoring were summarized. Conclusion Non-pharmacological interventions for maternal postpartum depression have various forms and rich contents. Appropriate intervention plans should be made according to the actual situation and the willingness of parturients，and the process of interventions should be well monitored.

Research progress on spiritual concern for couples with recurrent spontaneous abortion

LIU Siyu, YU Liling, NAKATSUKA Mikiya

2022, 57(24):  2985-2990.  DOI: 10.3761/j.issn.0254-1769.2022.24.006

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Spiritual concern refers to the gentle and loving spiritual care provided by health care providers to fearful and vulnerable patients. This article reviews the research progress on spiritual concern in patients with recurrent spontaneous abortion. Contents，timing，intervention methods，and the effects of the implementation were mainly explained. The article also made relevant recommendations in order to provide references for further research and practice in China.

Specialist Practice and Research

Cognitive impairment and its influencing factors in patients transferred from ICU

OUYANG Yanyan, WANG Xiaoxia, CHEN Jing, XIE Shaofei, JIN Caiyun

2022, 57(24):  2991-2996.  DOI: 10.3761/j.issn.0254-1769.2022.24.007

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Objective To analyze the cognitive impairment and its influencing factors in patients transferred from ICU. Methods The convenience sampling method was used to investigate patients in ICU of a tertiary hospital in Fujian Province from January to August 2021. A general data questionnaire，Montreal Cognitive Assessment and Richards-Campbell Sleep Questionnaire were used to collect data to clarify the occurrence of cognitive impairment in patients transferred from ICU. Logistic regression was used to analyze the influencing factors of cognitive impairment. Results The incidence of cognitive impairment was 38.18%（84/220） in 220 patients who were transferred from ICU. Logistic regression analysis showed that age，education level，frequency of delirium and RCSQ score were independent influencing factors of cognitive impairment in patients transferred from ICU（P<0.05）. Conclusion Patients transferred from ICU have a high incidence of cognitive impairment，which is affected by a variety of factors. During clinical practice，nursing staff should pay attention to high-risk patients，and actively explore effective preventive measures to reduce the incidence of cognitive impairment.

Deep vein thrombosis of lower extremity in ICU patients in plateau area：a cross-sectional study

SUN Lijuan, LI Yuemei, PAN Shiqin, ZHANG Chengbin, LIU Juanli, LI Xiaofang, DONG Shouyun

2022, 57(24):  2997-3003.  DOI: 10.3761/j.issn.0254-1769.2022.24.008

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Objective To investigate the status of deep venous thrombosis（DVT） of lower limbs in ICU patients in plateau area，and to analyze its influencing factors. Methods The convenience sampling method was adopted to select ICU patients in a tertiary A hospital in Qinghai Province from May to October 2020 as research subjects. The general demographic data and clinical data of the patients were collected. Doppler color ultrasound was used to diagnose the venous thrombosis of both lower limbs in ICU patients. The independent risk factors of DVT in ICU patients were analyzed. Results A total of 192 patients were investigated. The incidence of DVT in ICU patients was 10.42%. Univariate analysis showed that gender，ethnicity，age，altitude of residence，diagnosis，Acute Physiology and Chronic Health Evaluation Ⅱ，APTT，urea nitrogen and C-reactive protein were associated with lower extremity DVT，and the differences were statistically significant（all P<0.05）. The results of multivariate analysis showed that female（OR=9.094，95%CI 2.035~40.639，P=0.004），ethnic minorities（OR=5.510，95%CI 1.082~28.052，P=0.040），the altitude of residence 2 000~2 500 m（OR=4.395，95%CI 1.433~44.572，P=0.021），APTT>37.05 s（OR=6.727，95%CI 1.117~40.496，P=0.037），C-reactive protein >3.07 mg/L（OR=9.545，95%CI 1.403~64.945，P=0.021） were independent risk factors for DVT in ICU patients. Conclusion Early screening of DVT should be carried out for patients admitted to ICU，and the ICU patients who are female，ethnic minority with APTT>37.05 s and C-reactive protein>3.07 mg/L at altitude of 2 000~2 500 m should be regarded as the focus group of concern for DVT.

Analysis of influencing factors and impact path of asthma control in school-age children

JIA Yuanmin, YI Mo, WANG Jingjing, ZHANG Zeyi, WANG Haixia, CHEN Ou

2022, 57(24):  3004-3010.  DOI: 10.3761/j.issn.0254-1769.2022.24.009

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Objective From the aspects of parenting style and medication adherence，the influencing factors of asthma symptom control level of school-age children and the impact path of influencing factors were analyzed，so as to provide a basis for the formulation of targeted nursing intervention programs. Methods Using convenient sampling method，from December 2020 to September 2021，we investigated school-age asthmatic children and their parents in pediatric respiratory outpatient departments and wards of 3 tertiary hospitals in Jinan，Shandong province，using the General Demographic Questionnaire，Short-Egna Minnen av Barndoms Uppfostran-Chinese（s-EMBU-C），Medication Adherence Questionnaire and Childhood Asthma Control Test（C-ACT）. Univariate analysis，Pearson correlation analysis and multiple linear stepwise regression analysis were used to analyze the data，and the structural equation model was established. Results A total of 211 school-age children with asthma were enrolled. The score of C-ACT was（19.15±4.27），and the uncontrolled rate was 43.6%（92 cases）. The results of influencing factor analysis showed that the parenting style，medication adherence and asthma history of first-degree relatives were the influencing factors of symptom control level in school-age children with asthma（P<0.05）. Pathway analysis results showed that medication adherence played a partially mediating role between positive parenting style and asthma symptom control level（ES=0.395），with 95%CI（0.273，0.540），accounting for 54.6% of the total effect. The medica-tion adherence played a partially mediating role between negative parenting style and asthma symptom control level（ES=-0.435），with 95%CI（-0.598，-0.254），accounting for 58.8% of the total effect. Conclusion The symptom con-trol of school-age children with asthma is poor. Clinical doctors and nurses should pay attention to the influence of parenting style on children’s symptom control level，guide parents to adopt positive parenting styles，and improve children’s medication compliance，so as to improve their symptom control level.

Qualitative analysis on the status and factors of the fear of physical activity in school-age obese children with asthma and their parents

YIN Yue, CAI Qian, LUO Wen, CHEN Xiao, DONG Gaiqin, HANG Lin, LIAO Yuexia, CHEN Yuying

2022, 57(24):  3011-2016.  DOI: 10.3761/j.issn.0254-1769.2022.24.010

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Objective To explore the experience and feelings of school-age obese children with asthma and their parents on fear of physical activity based on fear-avoidance model，in order to provide a basis for the construction of targeted exercise intervention programs for children with asthma. Methods From October 2021 to January 2022，the purposive sampling was used to select 13 cases of school-age obese asthmatic children and their parents for semi-structured in-depth interviews in the pediatric asthma outpatient department of a tertiary A hospital in Yangzhou City. Data was analyzed by Colaizzi phenomenon analyzing methods. Results Combined with the fear-avoidance model，3 themes are summarized，including the unscientific cognition of physical activity（physical activity can induce a variety of uncomfortable symptoms；parents can’t tell if discomfort after physical activity is an acute attack of asthma；some parents are over-alert to obesity and force children to physical activity）；the way to deal with the fear of physical activity（children actively avoid physical activity；parents limit children’s physical activity）；the adverse consequences of fear of physical activity（the increasing sedentary behavior affects the exercise endurance of children，further aggravating their obesity and fear of physical activity；communication between children and peers was reduced，triggering a sense of inferiority，further aggravating the fear of physical activity）. Conclusion The experience and feelings of fear of physical activity in school-age children with obesity and asthma and their parents were more complex with some unscientific cognitions. In clinical practice，measures should be taken to improve the cognitive level of children and their parents on appropriate and moderate physical activity，avoid excessive vigilance on exercise，reduce fear of physical activity，and promote scientific physical activity in children.

Community Care

Comparative study of sarcopenia screening tools in community elderly patients with multiple chronic conditions

HUANG Qian, XU Huiping, ZHANG Yan, LIU Yanjin, GUO Yuru, LI Huijing, SUN Yifang, SHI Muhua, WANG Xin

2022, 57(24):  3017-3021.  DOI: 10.3761/j.issn.0254-1769.2022.24.011

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Objective To compare the effect of the finger-ring test and the calf circumference on screening for sarcopenia in the elderly patients with multiple chronic conditions（MCCs）in the communities. Methods Convenience sampling method was used. From February to May 2022，330 elderly patients with MCCs in 15 communities in Zhengzhou City，Henan Province were selected and evaluated by finger-ring test and calf circumference respectively. Based on the diagnostic standard for sarcopenia proposed by Asian Working Group for Sarcopenia in 2019（AWGS 2019），we used SPSS26.0 software to calculate the sensitivity，specificity and predicted value. Receiver operating characteristic curve（ROC） was also drawn to calculate the area under curve（AUC）. Additionally，the optimal cut-of value for calf circumference screening tool was determined by calculating Youden index. Results Totally 320 elderly patients with MCCs were included；the incidence of sarcopenia was 20.63%；the incidences of sarcopenia obtained by the finger-ring test and calf circumference were 28.13% and 21.25%，respectively. The sensitivity of 2 screening tools in community sarcopenia were 68.2%，73.0%，while the specificity were 82.3%，80.0%. Additionally，the area under ROC were 0.752，0.810. The best cut-off for calf circumference was less than 34.5cm for men and less than 33.5cm for women. Conclusion Calf circumference is more sensitive and accurate in screening for sarcopenia in the elderly patients with MCCs in the community.

Clinical Practice

Nursing care of a case of pregnancy with myasthenia gravis pre-crisis state

CHEN Yanqin, YANG Hongyan, CHEN Yuanyuan, XU Jianfeng, WEI Hui

2022, 57(24):  3022-3025.  DOI: 10.3761/j.issn.0254-1769.2022.24.012

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To conclude the nursing experience of a case of pregnancy with myasthenia gravis pre-crisis state. Main nursing points include：to strengthen the observation，early identification of myasthenia before crisis state，to strengthen incentive care for the prevention of myasthenia crisis；to conduct phased implementation of respiratory rehabilitation nursing；to strengthen health guidance to prevent disease recurrence. The patient was hospitalized for 29 days，with no occurrence of myasthenia crisis. The dyspnea was significantly improved，and the patient recovered and was discharged.

Nursing care of a child with Kabuki syndrome complicated with idiopathic pulmonary hemosiderosis

XIE Chang, LIU Fang

2022, 57(24):  3026-3029.  DOI: 10.3761/j.issn.0254-1769.2022.24.013

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To summarize the nursing experience of a case of Kabuki syndrome complicated with idiopathic pulmonary hemosiderosis caused by heterozygous mutation of H3 lysine 4 methylase. Key points of nursing include：to choose the appropriate respiratory support treatment to improve the symptoms of anoxia；to carry out the deoxygenation training in a timely manner after the improvement of anoxia to promote the recovery of respiratory function；to strengthen airway management to control pulmonary infection；to conduct blood transfusion and iron supplementation as soon as possible to correct anemia；to carry out hormone shock therapy to avoid adverse drug reactions；to select reasonable feeding methods to promote the recovery of the disease；to carry out family participatory nursing care to improve the quality of life of the child after discharge. After 42 days of related treatment and nursing，the lung condition of the child improved，and the child was discharged smoothly.

Nursing care of a newborn with congenital left ventricular aneurysm

TANG Xiaomin, ZHU Jihua, SHI Fengshuang, ZHANG Zewei, GAO Qiang, XIE Chunlu

2022, 57(24):  3030-3033.  DOI: 10.3761/j.issn.0254-1769.2022.24.014

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To summarize the perioperative nursing experience of a child with congenital left ventricular aneurysm. Key points of preoperative nursing include controlling blood pressure strictly to prevent cardiac rupture，monitoring heart rate and rhythm closely to prevent heart failure，early identifying and treating thromboembolic symptoms. Main points of postoperative nursing include strengthening the management of early sedation and analgesia，strictly controlling the intake and output volume to maintain left ventricular function，maintaining the stability of internal environment to prevent arrhythmia，enhancing home care guidance. After careful treatment and nursing care，the child was discharged smoothly. A month after discharge，the outpatient follow-up showed that the cardiac function of the child was stable while the growth and development was normal.

Early postoperative sequential enteral nutrition management in 2 children with idiopathic biliary perforation

YANG Ying, BIAN Lanzheng, SHENG Yu, PAN Fang, CHEN Lizhen

2022, 57(24):  3034-3037.  DOI: 10.3761/j.issn.0254-1769.2022.24.015

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To summarize the management experience of early postoperative sequential enteral nutrition in 2 children with idiopathic biliary perforation. Key points of nursing included establishing a special nutrition management team，strengthening nutrition screening and evaluation，formulating individualized parenteral nutrition plan，starting the early sequential enteral nutrition support process during the perioperative period，strengthening feeding tolerance assessment. Digestive fluid reinfusion was implemented，and percutaneous endoscopic gastrostomy management was strengthened；regular follow-up and continuous home enteral nutrition nursing were carried out. After careful treatment and nursing care，the nutritional status of the 2 children was significantly improved and they recovered smoothly. The growth and development were normal at the 6-month follow-up after discharge.

Evidence Synthesis Research

Summary of the best evidence of artificial airway endotracheal tube cuff management in ICU adult patients

SHU Yue, BI Mengmeng, ZHANG Chao, GONG Yanyan, LI Zhixin, ZHOU Tiantian, LI Xingru, LIU Xiaoyu, XIE Wenguang

2022, 57(24):  3038-3045.  DOI: 10.3761/j.issn.0254-1769.2022.24.016

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Objective To search，evaluate，and summarize the best evidence of endotracheal tube cuff management in adult ICU patients，and to provide a reference for clinical practice and standard formulation. Methods We searched UpToDate，BMJ Best Practice，Guidelines International Network（GIN），National Guideline Clearinghouse（NGC），Joanna Briggs Institute（JBI），Cochrane Library，PubMed，Embase，Web of Science，CINAHL，National Institute for Health and Care Excellence（NICE），China Clinical Guidelines Library，Yimaitong，Wanfang Database，China Biology Medicine（CBM），CNKI on artificial airway endotracheal tube cuff management in ICU adult patients，including clinical decision-making，guidelines，systematic reviews and expert consensuses published from January 2012 to February 2022. There were 4 researchers who evaluated the quality of the included articles and 2 researchers extracted evidence from the articles that met the quality standards. Results A total of 22 articles were included，including 3 clinical decision-makings，7 guidelines，3 expert consensuses，and 9 systematic reviews. 29 pieces of best evidence were summarized，including artificial airway evaluation，endotracheal tube cuff selection，cuff inflating method，cuff inflating time，cuff pressure regulation，cuff leakage evaluation，removal of secretions from the cuff，and cuff leakage test. Conclusion The best evidence of artificial airway endotracheal tube cuff management in ICU adult patients provides evidence-based evidence for clinical healthcare professionals. Scientific management of artificial airway endotracheal tube cuffs in ICU adults helps to reduce the incidence of ventilator-associated pneumonia.

Summary of the best evidence for the preventive strategies of unplanned endotracheal extubation in children with mechanical ventilation

LIANG Junli, XUE Shan, LIU Lei, JIN Yinghui, YIN Yanling, WANG Yingwei, WEI Shuyan, LI Laiyou

2022, 57(24):  3046-3053.  DOI: 10.3761/j.issn.0254-1769.2022.24.017

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Objective Through systematic evidence retrieval and literature quality evaluation，the best evidence on the preventive strategies of unplanned extubation of tracheal tubes in pediatric intensive care units （PICU） was extracted and summarized，so as to provide research-based evidence for clinical practice. Methods The literature related to the preventive strategies of unplanned extubation of endotracheal intubation in children with mechanical ventilation were systematically searched in domestic and foreign computer decision support systems，guide networks，databases and websites of relevant societies. The retrieval time limit is from January 2010 to January 2022. The literature types cover clinical decision-making，clinical practice guidelines，evidence summaries，systematic evaluations and expert consensuses. 5 different types of publications were retrieved and evaluated by 4 experts. Results A total of 14 publications were included，involving 6 guidelines，2 expert consensuses，6 systematic reviews. 25 pieces of best evidence of preventive strategies in 6 aspects，namely risk factors，tracheal intubation and airway management，sedation evaluation and management，analgesia evaluation and management，delirium monitoring and prevention，and PICU human resources and facilities were summarized. Conclusion The best evidence summarized in this study provides an evidence-based basis for the prevention of unplanned extubation of tracheal intubation in children with PICU mechanical ventilation. Before applying the evidence，medical workers should evaluate the clinical situation and obstacle factors，so as to promote the effective and safe transformation of the evidence into clinical practice.

Review

A review of micro-credentials in nursing education

YANG Qing, LI Suya, TIAN Chong, ZENG Tieying

2022, 57(24):  3054-3058.  DOI: 10.3761/j.issn.0254-1769.2022.24.018

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With the development of Internet technology，micro-credentials，as an innovative competency-based and result-oriented education，are supplementary certification models. It is not only a flexible credentialing of nursing professional competencies，but also can promote the circulation of certificates. Micro-credentials can make up for the shortcomings of traditional education certification models and meet the continuing professional development of the nursing. We summarized the development of micro-credentials and its application in nursing，and further discussed its implications，in order to provide scientific evidence for promoting the application and development of micro-credentials in nursing.