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    10 June 2024, Volume 59 Issue 11
    Research Paper
    Construction and preliminary application of an illness perception intervention program for patients with chronic obstructive pulmonary disease
    WANG Chen, TANG Ting, SUN Xiaohui, QU Mingye, CHEN Yuanyuan, LIU Kouying
    2024, 59(11):  1285-1293.  DOI: 10.3761/j.issn.0254-1769.2024.11.001
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    Objective To establish an illness perception intervention program for patients with chronic obstructive pulmonary disease(COPD) and preliminarily analyse its application effect. Methods On the basis of systematic retrieval,a draft of the illness perception intervention program for patients with COPD was formed through content analysis. From May to August 2022,after 2 rounds of expert consultation,the illness perception intervention program for patients with COPD was formed. Patients with COPD who were hospitalized in the respiratory departments of 2 hospitals in Jiangsu Province from December 2022 to January 2023 were selected as the study subjects by convenience sampling method. The experimental group was treated with the illness perception intervention program,while the control group was treated with routine nursing. The effects of the 2 groups were compared by Brief Illness Perception Questionnaire,Modified British Medical Research Council、Brief Illness Perception Questionnaire、Acceptance and Action Questionnaire Ⅱ,COPD Assessment Test,COPD Self-management Scale before and after intervention,and a month after intervention. Results The illness perception intervention program for patients with COPD included 6 intervention topics and 24 specific intervention items. In the 2 rounds of correspondence,the expert group authority coefficient was 0.81,and the Kendall coordination coefficients were 0.19 and 0.16 in the second round(all P<0.001). In the intervention study,the recruitment rate of patients was 56%;the withdrawal rate was 15%;and the high compliance rate was 80%. Repeated measures analysis of variance showed that there was an interaction effect between the scores of Acceptance and Action Questionnaire Ⅱ of the 2 groups(P<0.05). The differences in the scores of Brief Illness Perception Questionnaire,COPD Assessment Test,Self-management Scale between the 2 groups were statistically significant in terms of time effect(P<0.05),and the differences in the scores of the Brief Illness Perception Questionnaire and Acceptance and Action Questionnaire Ⅱ between the 2 groups were statistically significant in terms of main effect(P<0.05). Conclusion The established illness perception intervention program for patients with COPD is scientific,feasible and effective,and it can provide practical references for clinical healthcare workers to promote illness perception and improve negative psychology in patients with COPD.

    Application research of an mHealth-based symptom clusters management program in the nursing of chronic heart failure patients
    ZHAO Menglu, LU Xiaohong, CAO Lihua, LI Fuhai, HAN Jing, JIANG Xin, CUI Weining, ZHAO Qian, ZHANG Wenzhong
    2024, 59(11):  1294-1300.  DOI: 10.3761/j.issn.0254-1769.2024.11.002
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    Objective This study aims to investigate the application of symptom group management using a mobile health platform in managing heart failure patients during convalescence. Methods The research involved patients with chronic heart failure who were treated at a tertiary A hospital in Qingdao from June 2022 to December 2022. The experimental group consisted of 235 patients who were discharged after treatment in ward A,while the control group consisted of 235 patients who were discharged during the same period in ward B. The experimental group received an mHealth-based symptom clusters management program following routine continuous nursing and the control group was given routine continuous nursing after discharge. 6 months after the intervention,the heart function status,self-care level,and quality of life were compared between 2 groups. Results The experimental group ultimately included 232 cases,while the control group ultimately included 225 cases. Furthermore,the cardiac functional status,level of self-care,and quality of life of both the experimental group and the control group showed improvement compared to the pre-intervention period(P<0.05). The experimental group exhibited significantly better cardiac function status compared to the control group,and the experimental group demonstrated higher levels of self-care confidence,and quality of life relative to the control group(P<0.05). Conclusion The utilization of a mobile medical platform can enhance the management of heart failure patients’ symptom groups,resulting in improved disease management efficiency. This platform provides patients with a comprehensive self-management plan,ultimately enhancing their self-management abilities and overall outcomes.

    Special Planning—Hematology Diseases Care
    Development and validation of a risk prediction model for chemotherapy-induced oral mucositis in patients with hematologic malignancies
    FENG Wen, HE Xifei, ZHOU Hualu, WU Defang, WAN Ying
    2024, 59(11):  1301-1309.  DOI: 10.3761/j.issn.0254-1769.2024.11.003
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    Objective To develop a risk prediction model based on the influencing factors of chemotherapy-induced oral mucositis in patients with hematologic tumors,and to verify the effect. Methods A case-control study was conducted to retrospectively collect the data of 444 adult patients with hematological malignancies who underwent chemotherapy in the hematology department of a tertiary hospital in Wuhan from March 2021 to January 2022. Univariate analysis,collinearity diagnosis and binary logistic regression analysis were used to explore influencing factors for chemotherapy-induced oral mucositis in patients with hematologic tumors,and then a prediction model which was presented with nomogram was constructed. Receiver operating characteristic,Hosmer Lemeshow and calibration charts were used to verify the predictive effect of the model,and Bootstrap resampling method was used for internal verification of the prediction model. The clinical data of 171 patients with hematologic malignancies who underwent chemotherapy in the hematology department of 2 tertiary hospitals in Wuhan from February to October 2022 were prospectively collected for external verification. Results History of oral lesions,treatment methods,high-dose chemotherapy,vomiting,combined chemo-therapy,platelet count,and hemoglobin were independent predictive factors of chemotherapy-induced oral mucositis in patients with blood tumors. The area under the curve of the model was 0.822,and Hosmer-Lemeshow test P=0.602. After internal verification and external verification,the area under the curve of the model was 0.813 and 0.735,respectively. Hosmer-Lemeshow test were 0.115 and 0.820,respectively. These calibration charts showed that the observed results of the model were consistent with the predicted results. Conclusion The risk prediction model of chemotherapy-induced oral mucositis in hematologic tumor patients has good predictive performance and extrapolation,which is an effective screening tool to help medical staff identify the high-risk patients with chemotherapy-induced oral mucositis early.

    Usage and management of central venous vascular access in hematology departments of 48 hospitals
    YANG Miaomiao, ZHANG Jian, ZHEN Jiajing, WANG Mengchuan, CHEN Yuwen, XU Li, XIE Wenjun, ZHANG Huimin
    2024, 59(11):  1310-1318.  DOI: 10.3761/j.issn.0254-1769.2024.11.004
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    Objective To investigate the status of application of the central venous access in the departments of hematology to develop targeted administrative strategies and provide evidence for management. Methods A self-designed questionnaire was applied and convenience sampling was adopted in 93 hematology departments from 48 hospitals in 19 provinces(autonomous regions,municipalities). Results A total of 91 valid questionnaires were collected,with a valid questionnaire response rate of 97.85%. Among the 91 hematology departments,91(100%),73 (80.22%),and 68(74.73%) carried out PICC,central venous catheter,and totally implantable access port catheterization,respectively. In the evaluation of blood test indicators before central venous access,the items with a higher evaluation proportion were platelet count(100%) and D-dimer concentration(87.91%),while the evaluation proportion of other items was <85%. When PICC catheterization,97.80% of hematology departments prefer basilic vein;83.52% of hematology departments used zone insertion method;95.60% of hematology departments had a skin disinfection range of ≥20 cm;98.90% of hematology departments had catheterization under ultrasound guidance;67.03% and 96.70% of hematology departments used the intracardiac electrocardiogram method or ultrasound assisted localization,postoperative X-ray localization;12.09% and 53.85% of hematology departments carried out tunnel catheterization and blunt separation expansion techniques,respectively. In terms of maintenance of central venous access devices,82.42% of hematology departments used disposable specialized maintenance kits;61.54% of hematology departments used transparent patches to fix PICC;45.21% of hematology departments used suture to fix central venous catheters;24.18% of hematology departments used cotton swabs to disinfect infusion joints;60.44% of hematology departments did not use disposable infusion joint disinfection cap;74.73% of hematology departments used gauze compression to prevent puncture site bleeding;only 6.59% hematology departments used antibacterial dressings containing chlorhexidine to prevent puncture site infections. In terms of quality management of central venous access devices,94.51% and 86.81% of hematology departments regularly conducted quality inspections of central venous access,and collected,calculated and analyzed relevant data. 50.55% of hematology departments conducted complication risk assessments,and 10.99% of hematology departments had established information management systems for venous therapy. Conclusion The implementation rate of PICC catheterization in the hematology department was relatively high,and the insertion operation basically meets the standard requirements. The evaluation before central venous access catheterization was relatively completed,and the maintenance and management are relatively standardized. However,the evaluation of blood test indicators before the placement of central venous access urgently needs to be standardized and unified. When PICC catheterization,attention should be paid to the application of new technologies,and the information management of venous therapy needs to be improved.

    Nursing care of a child with monocytopenia and mycobacterial infection syndrome and pulmonary alveolar proteinosis
    ZHOU Weiwei, ZHOU Yushan, PAN Zhengwen, XU Liwei, ZHANG Jianli, JIN Aiyun, ZHOU Xiaoyu
    2024, 59(11):  1319-1323.  DOI: 10.3761/j.issn.0254-1769.2024.11.005
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    To summarize the nursing experience of hematopoietic stem cell transplantation for a child with monocytopenia and mycobacterium infection syndrome complicated with pulmonary alveolar proteinosis. The key aspects of nursing encompass the establishment of a multidisciplinary diagnostic and treatment team,as well as the enhancement of warehousing preparation. Fine nursing plays a pivotal role in infection prevention and control,while also promoting hematopoietic reconstruction. Vigilant monitoring of condition changes is crucial to proactively prevent cardiopulmonary failure. Moreover,an intensified management approach towards underlying diseases should be implemented alongside predictive nursing interventions. The utilization of precision medication plans allows for the observation of drug efficacy and adverse reactions. Narrative nursing serves as a foundation to alleviate the child’s inner concerns,while personalized follow-up plans ensure the continuity of high-quality care. With careful treatment and care,the child successfully underwent hematopoietic stem cell transplantation. After 41 days post-transplantation,the child was discharged from the hospital after a successful recovery. The follow-up after a month showed good progress.

    Evidence summary of exercise intervention in patients with multiple myeloma
    MA Lijun, LI Na, YIN Yuxuan, YANG Hui, LIU Wei, YAO Jing, BIE Yawen
    2024, 59(11):  1324-1331.  DOI: 10.3761/j.issn.0254-1769.2024.11.006
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    Objective To search,evaluate and summarize the relevant evidence of exercise intervention for patients with multiple myeloma,and provide references for medical staff to guide patients to carry out exercise intervention. Methods The researchers conducted a systematical search in national and international databases,relevant guideline websites and professional society websites for related clinical decisions,recommended practices,guidelines,evidence summaries,expert consensuses,and systematic reviews for exercise intervention in patients with multiple myeloma since establishment of databases to May 2023. The quality evaluation,extraction and integration for evidence were conducted independently by 2 researchers,respectively. Results A total of 13 studies,including 2 guidelines,8 systematic reviews,2 expert consensuses and 1 randomized controlled trial,were included. There were 23 pieces of best evidence with 5 dimensions,including the exercise intensity effectiveness,contraindications and indications,exercise pre-intervention evaluation,exercise intervention style and intensity,and exercise intervention management. Conclusion The study summarized the best evidence of exercise intervention for patients with multiple myeloma. It is recommended for health professionals to fully consider the clinical situations to develop more detailed personalized exercise intervention programs based on patients’ own situation.

    Exercise intervention in children with hematopoietic stem cell transplantation:a scoping review
    YAN Yinzhi, WEN Fang, WANG Min, ZHOU Xuemei, YANG Qi, WU Huifang, ZHANG Yiming
    2024, 59(11):  1331-1339.  DOI: 10.3761/j.issn.0254-1769.2024.11.007
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    Objective To systematically retrieve relevant research on the application of exercise intervention during hematopoietic stem cell transplantation for hospitalized children at home and abroad,to generalize and summarize the content of exercise intervention,the effect of intervention,and safety monitoring,with the purpose of providing reference bases for the clinical application of exercise intervention in the future. Methods In accordance with the scoping review framework,we systematically retrieved databases including Web of Science,PubMed,Scopus,Cochrane Library,Embase,CINAHL,CNKI,VIP Database,Wanfang Data and China Biomedical Literature Database,with a retrieval timeframe from database establishment to May 19,2023. Based on the criteria for inclusion and exclusion of literature,we screened,summarized,extracted,and analyzed the literature. Results A total of 17 pieces of literature were included,including 5 randomized controlled trials,9 quasi-experimental studies,and 3 mixed-method studies. There were 4 categories of exercise including aerobic,anti-gravity,resistance,and stretching;most of the exercises were of low to moderate intensity;the exercise interventions had a positive impact on muscle strength,quality of life,cardiorespiratory function,body composition,and hematological indices;the safety monitoring consisted of red blood cell,hemoglobin,and platelet counts,temperature,joint and muscle pains,as well as falls,and syringe shedding. Conclusion The application of exercise intervention is safe and feasible,with a positive effect on children with hematopoietic stem cell transplantation in muscle strength,quality of life. Medical staff should combine with the clinical situation to formulate a reasonable and unified exercise program and to carry out scientific and standardized exercise management.

    Specialist Practice and Research
    Construction of risk evaluation indicators for the occurrence of diaphragm dysfunction in ICU patients
    BAI Yunfeng, CHEN Tianchao, LIU Xinyi, FENG Yueying, LUO Hongbo, LI Zunzhu, SUN Jianhua, CAO Jing, DENG Haibo, WU Xinjuan
    2024, 59(11):  1339-1345.  DOI: 10.3761/j.issn.0254-1769.2024.11.008
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    Objective The risk evaluation indicators for the occurrence of diaphragm dysfunction in ICU patients was constructed to provide a reference for the establishment of the disease risk evaluation tools for diaphragm dysfunction. Methods The literature related to diaphragm dysfunction from CNKI,Wanfang Data,PubMed,Embase and Web of Science from the establishment of databases to November 11th,2022 was systematically searched. After the first draft was determined through the literature review method,the first draft of the indicators was revised by brainstorming,with the opinions of 10 medical and nursing experts from May to June 2023. From June to July 2023,the content and weight of risk evaluation indicators of diaphragmatic dysfunction in ICU patients were determined through expert letter inquiry and hierarchical analysis. Results 35 experts completed the first round of letter inquiry,and 34 experts completed the second round of letter inquiry. The recovery rates of the valid questionnaires in the 2 rounds of expert correspondence were 92.1% and 97.1%,respectively,and the expert authority coefficients were 0.884 and 0.904,respectively,and the Kendall harmony coefficients of all indicators were 0.356~0.570 and 0.369~0.604,respectively(all P<0.001). The final constructed risk evaluation indicators of diaphragm dysfunction in ICU patients includes 7 first-level indicators,34 secondary indicators and 34 tertiary indicators. Conclusion The risk evaluation index of diaphragm dysfunction in ICU patients constructed in this study is comprehensive,specific,scientific and applicable,which can guide medical staff to conduct early risk evaluation of diaphragm function in ICU patients,and provide references for the establishment of disease risk assessment tools for diaphragm function.

    Action research on the implement of a self-management program for patients with diabetic foot amputation
    ZHU Hongjuan, YU Hongli, WANG Qian, WANG Liwei, YUE Peng
    2024, 59(11):  1346-1352.  DOI: 10.3761/j.issn.0254-1769.2024.11.009
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    Objective Action research methodology was used in a constructed self-management program for diabetic foot amputees to continuously improve the program and ensure the smooth implementation of the program. Methods Using the action research method,from February to June,2023,the self-management program constructed by the author was continuously revised and improved through the cyclic process of “planning-action-observation-reflection” for patients with diabetic foot amputation. Results After 2 rounds of action research,the action research refined the delivery of the program and the timing of the intervention,and the level of patient self-management behaviors increased significantly(P<0.05). Conclusion Using the action research method,the researchers conducted a comprehensive analysis of the problems that existed in the process of patients’ behavioral health interventions,and adjusted the program through feedback from the patients’ hospitalization period,transition period,and home period,to ensure that the corresponding indexes at each stage could basically satisfy the patients’ self-management needs,and to improve the smooth implementation of the self-management program for patients with diabetic foot amputation.

    Status quo and influencing factors of pain crisis in advanced lung cancer patients
    DOU Liyuan, JIANG Qiuling, SHEN Wenjia, LI Xiaoping, QI Xinxin
    2024, 59(11):  1353-1359.  DOI: 10.3761/j.issn.0254-1769.2024.11.010
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    Objective To investigate the status quo of pain crisis in advanced lung cancer patients and analyze its influencing factors. Methods From August to November 2023,318 patients with advanced lung cancer were selected from 6 wards of respiratory department of a tertiary A hospital in Zhengzhou. The Numerical Rating Scale,Perceptive Social Support Scale,Self-rating Anxiety Scale and Self-rating Depression Scale were used to investigate the influencing factors of pain crisis in advanced lung cancer patients by Logistic regression. Results Among 318 patients with advanced lung cancer,102 patients had painful crisis,with the incidence rate of 32.08%. Older age and high level of social support were protective factors for pain crisis,and bone metastasis,anxiety and mild to moderate depression were risk factors for pain crisis. Conclusion The incidence of pain crisis was high in advanced lung cancer patients. Medical staff should pay attention to those with younger age,bone metastasis,low level of social support,high level of anxiety and mild to moderate level of depression,and take timely intervention measures to reduce the occurrence of pain crisis.

    Enteral and Parenteral Nutrition
    Evidence summary of prevention complications for parenteral nutritional support in hospitalized patients
    YAO Ting, GAO Yanan, XU Yaxin, XU Jun, CHEN Yamei
    2024, 59(11):  1360-1367.  DOI: 10.3761/j.issn.0254-1769.2024.11.011
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    Objective To evaluate and summarize the evidence related to the prevention of parenteral nutritional support complications in inpatients,and to provide an evidence-based basis for guiding healthcare professionals to prevent parenteral nutritional support complications in a scientific and standardized manner. Methods Computerized search was conducted in UpToDate,BMJ Best Clinical Practice,Centre for Evidence-Based Health Care database of the Joanna Briggs Institute in Australia,Ontario Registered Nurses Association website in Canada,National Institute for Health and Clinical Excellence website in the United Kingdom,Scottish Intercollegiate Guidelines Network,Guidelines International,New Zealand Guidelines Collaborative,American Society for Parenteral and Enteral Nutrition website,European Society for Clinical Nutrition and Metabolism Society website,International Practice Guidelines Registry Platform China Clinical Guidelines Repository,Medical Pulse,PubMed,Cochrane Library,Web of Science,CINAHL,Embase,China Biomedical Literature Database,CNKI,Wanfang Database,etc. The search period was from the time of database construction to October 2023. After literature screening and quality evaluation,the evidence extraction and integration were carried out. Results A total of 16 papers were included,including 3 clinical decision-making,1 evidence summary,4 guidelines,6 expert consensuses,and 2 systematic evaluations. 27 pieces of best evidence were extracted from 3 areas,namely metabolic complications,mechanical complications,and infectious complications. Conclusion This study summarized the evidence related to the prevention and management of complications of parenteral nutrition support in adult inpatients,aiming to provide an evidence-based basis for healthcare professionals to develop scientific and standardized measures for the prevention and management of complications of parenteral nutrition support.

    Nursing Management
    Construction of an evaluation index system for emergency response competency of “Internet+” nurses
    HUANG Nanxing, HU Xiaju, CHE Yunqiu, LIU Jiajia, HE Chaozhu
    2024, 59(11):  1368-1375.  DOI: 10.3761/j.issn.0254-1769.2024.11.012
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    Objective To establish a scientifically rigorous,standardized,and comprehensive evaluation index system for the emergency response competency of ‘Internet+’ nurses,and to provide references for the access,training and assessment of ‘Internet+’ nurses. Methods Between November 2022 and July 2023,a draft of the evaluation index system was developed based on theoretical analysis,literature reviews and semi-structured interviews. Delphi expert consultation and analytic hierarchy process were used to determine the evaluation index system for emergency response competence of ‘Internet+’ nurses. Results The response rates of 2 rounds were 90.48% and 100%;the opinion rates were 63.16% and 10.53%;the authority coefficients of the experts were 0.855 and 0.850;the Kendall’s coefficients of concordance were 0.175 and 0.182. Finally,the evaluation index system for emergency response competency of ‘Internet+’ nurses was formed,which consists of 4 first-level indexes (including prevention capacity,preparedness capacity,response capacity and recovery capacity),13 second-level indexes and 40 third-level indexes. Conclusion The evaluation index system for the emergency response competency of ‘Internet+’ nurses is highly scientific and practical,which has guiding significance for the access,training and assessment of ‘Internet+’ nurses.

    Sinicization of the Ethical Decision-Making Confidence Scale for nurse leaders and the test of its reliability and validity
    ZHAO Rongrong, ZHUANG Yiyu
    2024, 59(11):  1376-1381.  DOI: 10.3761/j.issn.0254-1769.2024.11.013
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    Objective The Ethical Decision-Making Confidence Scale(EDMC) was translated into Chinese,and its reliability and validity were tested. Methods The English version of EDMC was translated into Chinese and back-translated according to the Brislin model. After being reviewed by the original authors,cultural adjustments were made,and a pretest was conducted to finalize the Chinese version of the scale. To test the reliability and validity of the scale,228 nurse leaders were investigated using a convenience sampling method in a tertiary hospital in Zhejiang from April to May 2023. Additionally,20 nurse leaders were selected to provide test-retest data 2 weeks after the survey. Results The Chinese version of EDMC contained 2 dimensions,namely skill-related confidence(9 items) and behavior-related confidence(6 items). The I-CVI ranged from 0.833 to 1.000,and the S-CVI/Ave was 0.967. Exploratory factor analysis extracted 2 common factors with factor loadings ranging from 0.546 to 0.828 for each item,contributing to a cumulative variance rate of 65.449%. The Cronbach’s α coefficient of the overall scale was 0.947,and the Cronbach’s α coefficient for each dimension ranged from 0.911 to 0.919. The split-half reliability of the total scale was 0.882,and the test-retest reliability was 0.752. Conclusion The Chinese version of EDMC demonstrated good reliability and validity,making it suitable for a comprehensive evaluation of the ethical decision-making confidence of nurse leaders. It can provide corresponding bases for medical administrators to make educational plans and targeted intervention strategies.

    Intractable Diseases Care
    Nursing care of a patient with hypernatrium encephalopathy after cardiac surgery
    QIAN Yafang, JIN Xianmei, HUANG Jinying
    2024, 59(11):  1382-1384.  DOI: 10.3761/j.issn.0254-1769.2024.11.014
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    To summarize the nursing care of a patient with hypovolemic hypernatrium encephalopathy after cardiac surgery. Nursing focus:indwelling gastric tube to trans gastrointestinal combined with intravenous fluid therapy;implementing fluid management strategy with right heart protection as the core;the electrolyte changes should be closely monitored and the rate of sodium reduction should be strictly controlled;paying attention to the state of neurological function and carrying out rehabilitation training as soon as possible. After active treatment and nursing care,the patient recovered and was discharged from hospital on the 28th day after surgery.

    Nursing care of a patient with iMCD-TAFRO syndrome complicated with diffuse alveolar hemorrhage
    DONG Zhenyuan, LIN Yan, CHU Junqing, WANG Xiaohong, QIAO Wenbo, GAO Chunhua
    2024, 59(11):  1385-1389.  DOI: 10.3761/j.issn.0254-1769.2024.11.015
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    To summarize the nursing care experience of a case of idiopathic multicentric Castleman’s disease TAFRO syndrome complicated with diffuse alveolar hemorrhage. Key points of nursing:prone position ventilation with high blood risk nursing observation and bleeding prevention;early rehabilitation exercise and the reduction of the lymphedema;the optimization of transitional care to avoid unplanned returns to the ICU. The patient was transferred to the respiratory ward for further treatment after 19 days,and 33 days later,she recovered and was discharged. At 1 month of follow-up after discharge,the patient recovered well.

    Evidence Synthesis Research
    Effects of remote interventions with digital health technologies in lung transplant patients:a meta-analysis
    GUO Ge, LAN Meijuan, ZENG Fei, LIANG Jiangshuyuan, GUO Luyao, CAI Lingyun, GU Peipei, ZHU Yan
    2024, 59(11):  1389-1396.  DOI: 10.3761/j.issn.0254-1769.2024.11.016
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    Objective To evaluate the effect of remote interventions with digital health technologies in lung transplant patients. Methods Databases,including CKNI,Wangfang,VIP,CMB,Cochrane Library,PubMed,Embase,Web of Science,Scopus and BMJ Best Practice were searched from their inception to July 2023. There were 2 researchers who independently screened and extracted the literature,and then evaluated quality of the included studies. Meta-analysis was performed using RevMan 5.2. Results 10 studies with 1 262 patients were included. The results of meta-analysis showed that compared with conventional intervention,remote intervention based on digital health technology could improve self-monitoring compliance of lung transplant patients[OR=0.64,95%CI(0.46,0.88),P=0.006],improve quality of life including mental health status[OR=3.08,95%CI(0.41,5.74),P=0.020] and physical health status[OR=3.81,95%CI(1.19,6.43),P=0.004]. In terms of the intervention forms,the application-based remote intervention had better self-monitoring compliance,and the difference was statistically significant(P=0.007). However,in terms of the comparison of readmission rate[OR=1.73,95%CI(0.98,3.04),P=0.060],anxiety[OR=-0.12, 95%CI(-1.36,1.11),P=0.850],and depression[OR=0.62,95%CI(-0.80,2.03),P=0.390],the effect of intervention was unclear. Conclusion Remote intervention based on digital health technology can improve self-monitoring compliance and quality of life in lung transplant patients;applications are the optimal form of intervention. Limited by the quality and quantity of included studies and the heterogeneity of study results,more high-quality studies are needed to further verify the effects of digital health technology on readmission rates,anxiety and depression of lung transplant patients.

    Exercise rehabilitation experience of stroke patients:a qualitative meta-synthesis
    SHI Huiling, WANG Qing, JIANG Yuanyuan, ZHANG Min, DAI Yuting, JI Kangling
    2024, 59(11):  1397-1404.  DOI: 10.3761/j.issn.0254-1769.2024.11.017
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    Objective To systematically evaluate the qualitative research on the experience and feeling of elderly patients with hip fracture during rehabilitation. Methods We searched databases including the PubMed,Embase,Web of Science,Cochrane Library,CNAIHL,CNKI,Wanfang,VIP,SinoMed. The literature of qualitative research on the exercise rehabilitation experience of stroke patients from the establishment of the database to August 17,2023 was retrieved. Results A total of 59 clear research topics were extracted,and 14 new categories were formed after induction and integration,which were finally merged into 5 integrated results. Integration results 1:Perceived benefits of exercise rehabilitation. Integration results 2:Multiple driving forces of exercise rehabilitation. Integration results 3:Gradual loss of patience in long-term rehabilitation. Integrated results 4:Generating new rehabilitation needs and actively coping with them. Integrated results 5:There are many difficulties in carrying out self-rehabilitation. Conclusion During the process of exercise rehabilitation for stroke patients,medical personnel should pay attention to the patients’ actual feelings,inner needs,and the practical challenges they face in participating in exercise rehabilitation. Personalized exercise rehabilitation facilitation strategies should be developed for stroke patients,aiming for the scientific and precise advancement of exercise rehabilitation,and ultimately improving long-term rehabilitation outcomes for patients.

    Review
    Research progress on the application of 3 common types of content analysis in the qualitative studies of nursing
    LU Huazhen, JIN Yuanyuan, LI Huiling
    2024, 59(11):  1405-1409.  DOI: 10.3761/j.issn.0254-1769.2024.11.018
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    Qualitative content analysis is one of the commonly used data analysis methods in qualitative research,and it is increasingly widely used in the nursing field. This article briefly introduces the origin and development process of qualitative content analysis and the definition and background of 3 common types of content analysis. It also describes the analysis steps of the 3 common content analysis in detail by combining the latest research at home and abroad. In addition,it discusses the joint use of multiple content analysis methods. The goal of this article is to improve the understanding of qualitative content analysis among nursing staff and effectively promote the scientific,and standardized application of this method in the nursing field.