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In order to implement the requirements of the “Six satisfactions”action launched by the Beijing municipal administration of traditional Chinese medicine, to further develop the distinctive advantages of traditional Chinese medicine nursing, and to deepen the connotation of high-quality nursing services characterized by traditional Chinese medicine, many TCM hospitals have carried out the construction of TCM nursing clinic. In order to standardize the construction of traditional Chinese medicine nursing clinic, the Bureau commissioned the Beijing Municipal Engineering Office for the enhancement of nursing capacity of traditional Chinese medicine, the Beijing Center for quality control of traditional Chinese medicine technology and the Beijing Center for quality control of traditional Chinese medicine nursing care to jointly study and formulate the construction plan for the outpatient clinic of traditional Chinese medicine (trial implementation) , printed and distributed to you. Please comply. -
Objective Explore measures to avoid spilling the vaccine solution during the injection of the COVID-19 vaccine. Methods From January 29, 2021 to January 30, 2021, 990 vaccinators were selected as the experimental group by convenient sampling method, and the in-bottle exhaust method was used; 577 vaccinators were selected as the control group, and the conventional exhaust method was used. Observe the incidence of vaccine spillage in the two groups during exhaust. Results The incidence of external spilling in the experimental group was 0%, and that in the control group was 7.28%. The incidence of external spilling in the experimental group was lower than that in the control group, and the data difference between groups was statistically significant (P<0.05). Conclusion Implementing the in-bottle exhaust method in the vaccine injection can effectively reduce the incidence of liquid spills, reduce nucleic acid pollution, and ensure that the vaccine is injected at the prescribed dose. At the same time, the operation is simple and easy, which improves the nurse""s vaccination efficiency, and has a higher promotion and application value. -
To further accelerate COVID-19 mild disease patients to cure, reduce light illness to severe development, play the synergy between medical care and nursing, Beijing Administration of Traditional Chinese Medicine (TCM) commissioned the Beijing Office of TCM Nursing Capacity Improvement Project and Beijing TCM Nursing Quality Control Center to organize the specialized group to compile Nursing Specification of Integrated Traditional Chinese and Western Medicine for Mild and Common Patients with COVID-19.This specification elaborates in detail the nursing contents of integrated traditional Chinese and Western medicine for mild and common patients with COVID-19, including clinical classification, etiology and pathogenesis, prevention and control measures, nursing measures, etc. Among them, nursing measures include disease observation, medication nursing, diet nursing, emotional nursing, exercise nursing and appropriate techniques of TCM nursing. This specification is convenient for clinical nurses in various medical institutions to use for reference, and provides a reference for clinical application of integrated traditional Chinese and western medicine nursing to fight against COVID-19. -
目的 系统评价中药外敷联合西药治疗类风湿关节炎的临床效果,为其临床治疗及研究提供循证参考。方法 计算机检索中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方数据库、维普数据库(VIP)中的相关文献,对符合纳入标准的研究进行资料提取后,采用Rev Man 5.3进行Meta分析。结果 共纳入文献27篇,总样本量2481例,Meta分析结果显示,中药外敷联合西药治疗组与单纯西药治疗组相比能提高治疗效果 [OR=3.33,95%CI(2.59,4.28),Z=9.44,P<0.05],且在症状体征如晨僵时间[OR=-17.36,95%CI(-23.62,-11.10),Z=5.43,P<0.05],疼痛缓解情况 [OR=-1.34,95%CI(-2.13,-0.05),Z=3.34,P<0.05]以及实验室指标如类风湿因子[OR=-14.04,95%CI(-24.43,-6.66),Z=3.73,P<0.05]、C反应蛋白[OR=-5.90,95%CI(-8.11,-3.69),Z=5.23,P<0.05]、红细胞沉降率[OR=-6.03,95%CI(-8.26,-3.80),Z=5.29,P<0.05]方面,中药外敷联合西药治疗组均优于单纯西药治疗组,而在药物不良反应方面,两组差异无统计学意义[OR=1.14,95%CI(0.47,2.76),Z=0.30,P>0.05]。结论 国内研究显示,中药外敷联合西药治疗类风湿关节炎在缓解患者临床症状,改善患者病情方面效果显著,值得临床进一步推广与应用。
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TIAN Haitong, YU Xiaojie, LIU Zhenmei, DU Chunmei, DONG Yanyan, PAN Wenjing, XING Yuejiao, LIN Xiaomeng, JIANG Wenjie, LU Kexin
Publication date：2023-05-29， DOI: 10.12209/issn2708-3845.20230526003
Classification ：Traditional Chinese Medicine Nursing
Abstract:Objective: To summarize the experience of a patient with lung cancer complicated with insomnia treated with traditional Chinese medicine acupoint massage combined with specialized nursing care. Method: Through non-invasive traditional Chinese medicine acupoint massage technology, a certain force is used to stimulate the acupoints and meridians on the skin surface, from the surface to the inside, promoting blood circulation and nerve repair and regeneration, which can reduce the patient""s tension and anxiety, play a sedative role, and improve insomnia, By combining specialized nursing measures such as oxygen therapy, respiratory management, emotional care, and dietary management, we successfully alleviated wheezing, coughing, and expectoration. As a result, with meticulous care, the patients symptoms improved and they were discharged after 14 days. Conclusion: Summarize whether nursing methods are appropriate. Massaging acupoints can divert patient attention, alleviate pain, and improve quality of life. It is safe, non-toxic, and cost-effective.
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LIANG Yu, LI Jiahui, CAI Shuang, SUO Shuai, ZHI Shengrui, LIU Xuewei
Publication date：2023-05-29， DOI: 10.12209/issn2708-3845.20230526002
Classification ：Nursing Related Disciplines
Abstract:Objective To explore the effect of stratified teaching method in teaching newly recruited dental nurses. Methods Newly recruited nurses in Stomatology Department of hospital in the past three years were selected as the teaching objects, the stratified teaching practice was carried out for the newly recruited nurses through various methods such as improving the teaching management system, establishing the teaching faculty, formulating the teaching training plan and comprehensive teaching evaluation. Results Through stratified teaching, the teaching results showed that the daily performance and examination results of nurses in the undergraduate group, the junior college group and the technical secondary school group after practice were better than those before practice, with a statistically significant difference (P＜0.05). The performance of nurses in the undergraduate group was better than that in the junior college group and the technical secondary school group, with a statistically significant difference (P＜0.05). Conclusion In accordance with student aptitude, stratified teaching method has achieved good teaching effect and is worth popularizing in clinical teaching of stomatology.
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Publication date：2023-05-29， DOI: 10.12209/issn2708-3845.20230526001
Classification ：Nursing
Abstract:Objective: To systematically evaluate the efficacy of traditional Chinese medicine in preventing and treating hand foot syndrome caused by anti-tumor drugs. Method: PubMed, The Cochrane Library, CNKI, VIP, and WANFANG DATA were searched and included in randomized controlled trials (RCTs) that met the criteria. Two evaluators used the Jadad scale to evaluate the quality of the included literature, and meta-analysis was conducted using Revman 5.4.1 software. A total of 18 RCTs were included, with 1236 patients, including 626 in the treatment group and 610 in the control group. The quality score of the included literature is 1-3 points. The meta-analysis results showed that both oral administration of traditional Chinese medicine (OR=0.33, 95% CI (0.18, 0.61), P=0.0005) and external use of traditional Chinese medicine (OR=0.28, 95% CI (0.22, 0.37), P<0 The clinical efficacy of preventing and treating hand and foot syndrome caused by anti-tumor drugs was better than that of the control group, and the differences were statistically significant. Overall, traditional Chinese medicine [OR=0.29, 95% CI (0.23, 0.37), P<0 The clinical efficacy of preventing and treating hand and foot syndrome caused by anti-tumor drugs was better than that of the control group, and the differences were statistically significant. Conclusion: Traditional Chinese medicine has a better incidence of preventing hand foot syndrome caused by anti-tumor drugs than conventional Western medicine and placebo treatment. However, the limited and low-quality literature included in this study has affected the strength of the results.
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ZHAO Lingling, XIE Wei, HE Yanlin, XIANG Yiming, LUO Liyuan, ZHOU Yihan
Publication date：2023-05-25， DOI: 10.12209/issn2708-3845.20230525002
Classification ：Nursing Related Disciplines
Abstract:This article introduced a special auricular acupoint treatment tool bag. The tool bag is designed for effectively utilizing the space and placing various tools for auricular acupoint treatment. The special auricular acupoint treatment tool bag not only meets the operation needs, but also saves time and improves work efficiency, which is worthy of clinical application.
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ZHOU Yihan, XIE Wei, REN Xiuya, DONG Huaqian, YUAN Dan, XIANG Yiming, ZHAO Lingling, LUO Liyuan
Publication date：2023-05-25， DOI: 10.12209/issn2708-3845.20230525001
Classification ：Nursing Related Disciplines
Abstract:To design an auricular acupoint probe with adjustable probe angle, in order to detect the positive points of special parts of auricle more accurately. The probe rod is composed of a hand-held handle, a connecting rod and a probe. The characteristics of the probe are as follows: a primary angle adjusting device is provided at the connection of the hand-held handle and the connecting rod, and a secondary angle adjusting device is provided at the connecting end of the connecting rod and the probe. The probe is convenient for the operator to fix the hole in the special part of the earlobe, and is more beneficial to the operator to save force. The probe is easy to operate and suitable for all kinds of patients. It has good clinical application prospect and is worth popularizing.
-
Publication date：2023-05-24， DOI: 10.12209/issn2708-3845.20230524003
Classification ：Nursing
Abstract:Objective To explore the key points of four-handed procedure and nursing cooperation in the application of iRoot BP plus under dental microscope. Methods A total of 108 patients who underwent apical barrier surgery in our hospital from 2018 to 2019 were retrospectively selected. The apical barrier was established using iRoot BP plus under the dental microscope, and the treatment was completed with four-handed procedure. Results The four-handed procedure and related nursing cooperation were smoothly taken. Immediately after operation, X-ray films showed that the filling results reached the standard, and the treatment effect was satisfactory. The treatment time was shortened and work efficiency was improved. Conclusion The apical barrier technique with iRoot BP plus under the dental microscope requires fine, precise operation, and requires high chairside care. High-quality four-handed procedure and nursing cooperation, can improve the overall work efficiency, shorten the treatment time, thus help the doctors to complete the treatment more smoothly.
-
Publication date：2023-05-24， DOI: 10.12209/issn2708-3845.20230524002
Classification ：Nursing
Abstract:This paper summarized the nursing management for a long-term bedridden elderly patient with nasal feeding diet complicated with various diseases. During the daily oral care, the patient swallowed the mouth care straw tip (silicone foreign body) accidentally. Given the old age and poor gastrointestinal function of the patient, targeted intervention was implemented followed by precisely locating foreign body. Comprehensive nursing measures including biochemical index monitoring, medication care and prevention of complications were carried out to ensure the successful removal of the foreign body
-
Publication date：2023-05-24， DOI: 10.12209/issn2708-3845.20230524001
Classification ：Nursing
Abstract:This paper reviewed the care experience and needs of family caregivers of patients with gastrointestinal cancer. The care experience of family caregivers of patients with gastrointestinal cancer mainly included three aspects: overloaded psychological load, decreased physiological function and limited social function; the needs of caregivers were mainly concentrated in the thirst for knowledge and skills in the care of patients with digestive tract cancer and the need for emotional and social support. The care support intervention measures for family caregivers of patients with digestive tract cancer are summarized, and it is suggested that nurses should pay attention to the negative psychological problems of the caregivers and give full play to their positive psychology. It can help caregivers strengthen the social support system and meet their psychological support needs, thereby improving the quality of their care.
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RAN Lei, LI Huiyan, LI Hanshuang, FAN Jiaojiao
Publication date：2023-05-24， DOI: 10.12209/issn2708-3845.20230523003
Classification ：Nursing
Abstract:To analyze the potential causes of peritoneal dialysis-associated refractory peritonitis and summarize related nursing measures. The clinical treatment and nursing process of two cases of peritoneal dialysis-associated refractory peritonitis were retrospectively analyzed. The operating procedure of peritoneal dialysis was not strictly followed in these two patients with slim body type and hypoproteinemia, and treatment was delayed due to insufficient awareness about peritoneal dialysis -associated peritonitis. Anti-infective treatment was administrated for intra-abdominal and peripheral infection, and treatment was switched to hemodialysis as no obvious improvement of bacteriological examination results. The treatment environment, operation procedure, intestinal factor and awareness of disease were main factors influencing the peritoneal dialysis -associated refractory peritonitis, and efforts should be made to enhance the self-management skills of peritoneal dialysis patients.
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LU Wei, GENG Jiewen, LI Xin, GAO Li, SHI Lisha
Publication date：2023-05-24， DOI: 10.12209/issn2708-3845.20230523002
Classification ：Nursing Related Disciplines
Abstract:Objective To explore the influencing factors and current situation about frailty of the elderly patients in Beijing, and to provide references for further health assessment about elderly patients, in order to provide reference about choosing the right methods for nursing elderly patients and improving the quality of nursing. Methods The convenience sampling method was used to select the elderly inpatients admitted to three hospitals in Beijing from April to May 2021. Use the Tilburg frailty indicator (TFI) to investigate and assess the 200 elderly patients. Results The score of frailty in elderly patients is (5.34±2.99), about 57.99%(98/169) elderly patients were living with frailty. Lower scores of the project was “Questions related to living alone”(13.02%), “Cognition”(13.02%) and “Coping” (18.93%); Higher scores of the project was “Physical health”(68.05%), “difficulty in walking”(55.03%) and “Physical tiredness”(49.70%). The elderly patients’ “age”, “presence of two or more chronic diseases”, “life events in the last year” were related to frailty(P＜0.05). Conclusion In hospitals of Beijing, the frailty conditions are more common in elderly patients. It should be highly concerned about the elderly patients in nursing working, in order to provide nursing skills systematically and reasonably, make them adapted to the life in hospital.
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SHEN Yueyue, ZHANG Rao, ZHU Lei, XU Qian, LIU Xiaoyu, LU Yin
Publication date：2023-05-24， DOI: 10.12209/issn2708-3845.20230523001
Classification ：Nursing
Abstract:This paper reviewed the Chinese herbal medicine hot package therapy and nursing management for a patient with cold-dampness stasis type abdominal pain caused by chronic pelvic inflammatory disease. Based on the Traditional Chinese Medicine syndrome differentiation and identification of syndrome type, the Chinese herbal medicine hot package therapy combined with comprehensive interventions such as dietary care, life support, and psychological care were carried out to relieve the cold-pain symptoms and improve the recovery of the patient.
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ZHOU Jie, CHEN Hong, DENG Jianhua, LI Suqian, LI Ye, E Haiyan, TANG Ling
Publication date：2023-05-21， DOI: 10.12209/issn2708-3845.20230519002
Classification ：Nursing
Abstract:As an emerging discipline, Traditional Chinese Medicine (TCM) Nursing has been increasingly used over the last several decades, and its theoretical system, clinical, academic, scientific research, education and personnel training have made great progress, which has been inherited and developed. This paper reviewed the development of TCM nursing and provided reference for the inheritance and innovation of TCM nursing.
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ZHONG Yingying, XU Renju, ZHU Yuxuan, ZHANG Qiong
Publication date：2023-05-21， DOI: 10.12209/issn2708-3845.20230519001
Classification ：Nursing Related Disciplines
Abstract:Objective To explore the design and application effect of path-based health education form for inpatients in the Department of Rheumatology and Immunology. Methods A health education group in the Department of Rheumatology and Immunology was established. By reviewing literature, consulting experts, oriented by patient needs, and combining clinical pathways, a path-based health education form for inpatients was formulated. Homogeneous training and examination were conducted to nurses. Totally 1047 patients admitted to hospital from September 2021 to February 2022 were selected, and the patients'' health knowledge, patient satisfaction and nurses'' satisfaction with application of path-based health education form were measured. Results After the path-based health education form was used, the implementation rate of various health education including admission guidance, dietary guidance, activities, medication guidance and discharge guidance reached 100.00% during the patient''s stay in the hospital, and the satisfaction of patients and nurses was significantly improved (P＜0.01). The mastery rate of diet knowledge, activities, disease and medication knowledge were increased significantly after implementation of path-based health education form (P＜0.01). Conclusion The application of the path-based health education form in inpatients could improve the effect of health education, enhance the nursing quality, and increase working efficiency.
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MA Yan, ZHAO Yue, LIN Yuxiao, LIU Xiao, SONG Yumin
Publication date：2023-05-19， DOI: 10.12209/issn2708-3845.20230518002
Classification ：Nursing Related Disciplines
Abstract:Objective To investigate the curative effect of auricular copper scraping combined with auricular acupoint pressing on insomnia after Methylprednisolone pulse therapy for thyroid-associated ophthalmopathy. Methods Totally 82 patients diagnosed with thyroid-associated ophthalmopathy who needed hormone pulse therapy were randomly divided into control group and observation group according to numerical method, with 41 cases in each group. Patients in both groups were given methylprednisolone pulse therapy. The control group was given conventional symptomatic treatment, and the observation group was given auricular copper acupuncture scraping and auricular acupoint pressing treatment on the basis of the control group. The sleep condition, Pittsburgh Sleep Quality Index (PSQI) and Self-rating Anxiety Scale (SAS) of the two groups were compared. Results Two patients dropped out of the study. The effective rate of sleep improvement in observation group was 87.18%（34/39）, which was significantly higher than 41.46%（17/41） in control group (P < 0.05). The PSQI of the observation group was significantly lower than that of the control group (P < 0.05). The score of SAS scale in the control group was (54.95±2.30), and was (51.16±4.35) in the observation group, with a significant difference (P<0.05). Conclusion Auricular copper scraping combined with auricular acupoint pressing therapy is potentially effective to improve the sleep quality, prevent the occurrence of complications, and promote the recovery of patients with insomnia after Methylprednisolone pulse therapy for thyroid-associated ophthalmopathy.
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Publication date：2023-05-19， DOI: 10.12209/issn2708-3845.20230518001
Classification ：Nursing
Abstract:Health-related quality of life (HRQoL) is often markedly impaired in patients with peristomal irritant dermatitis. This article reviewed the etiology, nursing evaluation and intervention measures of irritant contact dermatitis in patients with enterostomy, to provide targeted and scientific basis for clinical practice of prevention and treatment of irritant dermatitis after enterostomy, reduce patients'' pain, and improve patients'' compliance and self-care ability.
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TIAN Haitong, YU Xiaojie, LIU Zhenmei, DU Chunmei, DONG Yanyan, PAN Wenjing, XING Yuejiao, LIN Xiaomeng, JIANG Wenjie, LU Kexin
Publication date：2023-05-29， DOI: 10.12209/issn2708-3845.20230526003
Classification ：Traditional Chinese Medicine Nursing
Abstract:Objective: To summarize the experience of a patient with lung cancer complicated with insomnia treated with traditional Chinese medicine acupoint massage combined with specialized nursing care. Method: Through non-invasive traditional Chinese medicine acupoint massage technology, a certain force is used to stimulate the acupoints and meridians on the skin surface, from the surface to the inside, promoting blood circulation and nerve repair and regeneration, which can reduce the patient""s tension and anxiety, play a sedative role, and improve insomnia, By combining specialized nursing measures such as oxygen therapy, respiratory management, emotional care, and dietary management, we successfully alleviated wheezing, coughing, and expectoration. As a result, with meticulous care, the patients symptoms improved and they were discharged after 14 days. Conclusion: Summarize whether nursing methods are appropriate. Massaging acupoints can divert patient attention, alleviate pain, and improve quality of life. It is safe, non-toxic, and cost-effective.
-
LIANG Yu, LI Jiahui, CAI Shuang, SUO Shuai, ZHI Shengrui, LIU Xuewei
Publication date：2023-05-29， DOI: 10.12209/issn2708-3845.20230526002
Classification ：Nursing Related Disciplines
Abstract:Objective To explore the effect of stratified teaching method in teaching newly recruited dental nurses. Methods Newly recruited nurses in Stomatology Department of hospital in the past three years were selected as the teaching objects, the stratified teaching practice was carried out for the newly recruited nurses through various methods such as improving the teaching management system, establishing the teaching faculty, formulating the teaching training plan and comprehensive teaching evaluation. Results Through stratified teaching, the teaching results showed that the daily performance and examination results of nurses in the undergraduate group, the junior college group and the technical secondary school group after practice were better than those before practice, with a statistically significant difference (P＜0.05). The performance of nurses in the undergraduate group was better than that in the junior college group and the technical secondary school group, with a statistically significant difference (P＜0.05). Conclusion In accordance with student aptitude, stratified teaching method has achieved good teaching effect and is worth popularizing in clinical teaching of stomatology.
-
Publication date：2023-05-29， DOI: 10.12209/issn2708-3845.20230526001
Classification ：Nursing
Abstract:Objective: To systematically evaluate the efficacy of traditional Chinese medicine in preventing and treating hand foot syndrome caused by anti-tumor drugs. Method: PubMed, The Cochrane Library, CNKI, VIP, and WANFANG DATA were searched and included in randomized controlled trials (RCTs) that met the criteria. Two evaluators used the Jadad scale to evaluate the quality of the included literature, and meta-analysis was conducted using Revman 5.4.1 software. A total of 18 RCTs were included, with 1236 patients, including 626 in the treatment group and 610 in the control group. The quality score of the included literature is 1-3 points. The meta-analysis results showed that both oral administration of traditional Chinese medicine (OR=0.33, 95% CI (0.18, 0.61), P=0.0005) and external use of traditional Chinese medicine (OR=0.28, 95% CI (0.22, 0.37), P<0 The clinical efficacy of preventing and treating hand and foot syndrome caused by anti-tumor drugs was better than that of the control group, and the differences were statistically significant. Overall, traditional Chinese medicine [OR=0.29, 95% CI (0.23, 0.37), P<0 The clinical efficacy of preventing and treating hand and foot syndrome caused by anti-tumor drugs was better than that of the control group, and the differences were statistically significant. Conclusion: Traditional Chinese medicine has a better incidence of preventing hand foot syndrome caused by anti-tumor drugs than conventional Western medicine and placebo treatment. However, the limited and low-quality literature included in this study has affected the strength of the results.
-
ZHAO Lingling, XIE Wei, HE Yanlin, XIANG Yiming, LUO Liyuan, ZHOU Yihan
Publication date：2023-05-25， DOI: 10.12209/issn2708-3845.20230525002
Classification ：Nursing Related Disciplines
Abstract:This article introduced a special auricular acupoint treatment tool bag. The tool bag is designed for effectively utilizing the space and placing various tools for auricular acupoint treatment. The special auricular acupoint treatment tool bag not only meets the operation needs, but also saves time and improves work efficiency, which is worthy of clinical application.
-
ZHOU Yihan, XIE Wei, REN Xiuya, DONG Huaqian, YUAN Dan, XIANG Yiming, ZHAO Lingling, LUO Liyuan
Publication date：2023-05-25， DOI: 10.12209/issn2708-3845.20230525001
Classification ：Nursing Related Disciplines
Abstract:To design an auricular acupoint probe with adjustable probe angle, in order to detect the positive points of special parts of auricle more accurately. The probe rod is composed of a hand-held handle, a connecting rod and a probe. The characteristics of the probe are as follows: a primary angle adjusting device is provided at the connection of the hand-held handle and the connecting rod, and a secondary angle adjusting device is provided at the connecting end of the connecting rod and the probe. The probe is convenient for the operator to fix the hole in the special part of the earlobe, and is more beneficial to the operator to save force. The probe is easy to operate and suitable for all kinds of patients. It has good clinical application prospect and is worth popularizing.
-
Publication date：2023-05-24， DOI: 10.12209/issn2708-3845.20230524003
Classification ：Nursing
Abstract:Objective To explore the key points of four-handed procedure and nursing cooperation in the application of iRoot BP plus under dental microscope. Methods A total of 108 patients who underwent apical barrier surgery in our hospital from 2018 to 2019 were retrospectively selected. The apical barrier was established using iRoot BP plus under the dental microscope, and the treatment was completed with four-handed procedure. Results The four-handed procedure and related nursing cooperation were smoothly taken. Immediately after operation, X-ray films showed that the filling results reached the standard, and the treatment effect was satisfactory. The treatment time was shortened and work efficiency was improved. Conclusion The apical barrier technique with iRoot BP plus under the dental microscope requires fine, precise operation, and requires high chairside care. High-quality four-handed procedure and nursing cooperation, can improve the overall work efficiency, shorten the treatment time, thus help the doctors to complete the treatment more smoothly.
-
Publication date：2023-05-24， DOI: 10.12209/issn2708-3845.20230524002
Classification ：Nursing
Abstract:This paper summarized the nursing management for a long-term bedridden elderly patient with nasal feeding diet complicated with various diseases. During the daily oral care, the patient swallowed the mouth care straw tip (silicone foreign body) accidentally. Given the old age and poor gastrointestinal function of the patient, targeted intervention was implemented followed by precisely locating foreign body. Comprehensive nursing measures including biochemical index monitoring, medication care and prevention of complications were carried out to ensure the successful removal of the foreign body
-
Publication date：2023-05-24， DOI: 10.12209/issn2708-3845.20230524001
Classification ：Nursing
Abstract:This paper reviewed the care experience and needs of family caregivers of patients with gastrointestinal cancer. The care experience of family caregivers of patients with gastrointestinal cancer mainly included three aspects: overloaded psychological load, decreased physiological function and limited social function; the needs of caregivers were mainly concentrated in the thirst for knowledge and skills in the care of patients with digestive tract cancer and the need for emotional and social support. The care support intervention measures for family caregivers of patients with digestive tract cancer are summarized, and it is suggested that nurses should pay attention to the negative psychological problems of the caregivers and give full play to their positive psychology. It can help caregivers strengthen the social support system and meet their psychological support needs, thereby improving the quality of their care.
-
RAN Lei, LI Huiyan, LI Hanshuang, FAN Jiaojiao
Publication date：2023-05-24， DOI: 10.12209/issn2708-3845.20230523003
Classification ：Nursing
Abstract:To analyze the potential causes of peritoneal dialysis-associated refractory peritonitis and summarize related nursing measures. The clinical treatment and nursing process of two cases of peritoneal dialysis-associated refractory peritonitis were retrospectively analyzed. The operating procedure of peritoneal dialysis was not strictly followed in these two patients with slim body type and hypoproteinemia, and treatment was delayed due to insufficient awareness about peritoneal dialysis -associated peritonitis. Anti-infective treatment was administrated for intra-abdominal and peripheral infection, and treatment was switched to hemodialysis as no obvious improvement of bacteriological examination results. The treatment environment, operation procedure, intestinal factor and awareness of disease were main factors influencing the peritoneal dialysis -associated refractory peritonitis, and efforts should be made to enhance the self-management skills of peritoneal dialysis patients.
-
LU Wei, GENG Jiewen, LI Xin, GAO Li, SHI Lisha
Publication date：2023-05-24， DOI: 10.12209/issn2708-3845.20230523002
Classification ：Nursing Related Disciplines
Abstract:Objective To explore the influencing factors and current situation about frailty of the elderly patients in Beijing, and to provide references for further health assessment about elderly patients, in order to provide reference about choosing the right methods for nursing elderly patients and improving the quality of nursing. Methods The convenience sampling method was used to select the elderly inpatients admitted to three hospitals in Beijing from April to May 2021. Use the Tilburg frailty indicator (TFI) to investigate and assess the 200 elderly patients. Results The score of frailty in elderly patients is (5.34±2.99), about 57.99%(98/169) elderly patients were living with frailty. Lower scores of the project was “Questions related to living alone”(13.02%), “Cognition”(13.02%) and “Coping” (18.93%); Higher scores of the project was “Physical health”(68.05%), “difficulty in walking”(55.03%) and “Physical tiredness”(49.70%). The elderly patients’ “age”, “presence of two or more chronic diseases”, “life events in the last year” were related to frailty(P＜0.05). Conclusion In hospitals of Beijing, the frailty conditions are more common in elderly patients. It should be highly concerned about the elderly patients in nursing working, in order to provide nursing skills systematically and reasonably, make them adapted to the life in hospital.
-
SHEN Yueyue, ZHANG Rao, ZHU Lei, XU Qian, LIU Xiaoyu, LU Yin
Publication date：2023-05-24， DOI: 10.12209/issn2708-3845.20230523001
Classification ：Nursing
Abstract:This paper reviewed the Chinese herbal medicine hot package therapy and nursing management for a patient with cold-dampness stasis type abdominal pain caused by chronic pelvic inflammatory disease. Based on the Traditional Chinese Medicine syndrome differentiation and identification of syndrome type, the Chinese herbal medicine hot package therapy combined with comprehensive interventions such as dietary care, life support, and psychological care were carried out to relieve the cold-pain symptoms and improve the recovery of the patient.
-
ZHOU Jie, CHEN Hong, DENG Jianhua, LI Suqian, LI Ye, E Haiyan, TANG Ling
Publication date：2023-05-21， DOI: 10.12209/issn2708-3845.20230519002
Classification ：Nursing
Abstract:As an emerging discipline, Traditional Chinese Medicine (TCM) Nursing has been increasingly used over the last several decades, and its theoretical system, clinical, academic, scientific research, education and personnel training have made great progress, which has been inherited and developed. This paper reviewed the development of TCM nursing and provided reference for the inheritance and innovation of TCM nursing.
-
ZHONG Yingying, XU Renju, ZHU Yuxuan, ZHANG Qiong
Publication date：2023-05-21， DOI: 10.12209/issn2708-3845.20230519001
Classification ：Nursing Related Disciplines
Abstract:Objective To explore the design and application effect of path-based health education form for inpatients in the Department of Rheumatology and Immunology. Methods A health education group in the Department of Rheumatology and Immunology was established. By reviewing literature, consulting experts, oriented by patient needs, and combining clinical pathways, a path-based health education form for inpatients was formulated. Homogeneous training and examination were conducted to nurses. Totally 1047 patients admitted to hospital from September 2021 to February 2022 were selected, and the patients'' health knowledge, patient satisfaction and nurses'' satisfaction with application of path-based health education form were measured. Results After the path-based health education form was used, the implementation rate of various health education including admission guidance, dietary guidance, activities, medication guidance and discharge guidance reached 100.00% during the patient''s stay in the hospital, and the satisfaction of patients and nurses was significantly improved (P＜0.01). The mastery rate of diet knowledge, activities, disease and medication knowledge were increased significantly after implementation of path-based health education form (P＜0.01). Conclusion The application of the path-based health education form in inpatients could improve the effect of health education, enhance the nursing quality, and increase working efficiency.
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MA Yan, ZHAO Yue, LIN Yuxiao, LIU Xiao, SONG Yumin
Publication date：2023-05-19， DOI: 10.12209/issn2708-3845.20230518002
Classification ：Nursing Related Disciplines
Abstract:Objective To investigate the curative effect of auricular copper scraping combined with auricular acupoint pressing on insomnia after Methylprednisolone pulse therapy for thyroid-associated ophthalmopathy. Methods Totally 82 patients diagnosed with thyroid-associated ophthalmopathy who needed hormone pulse therapy were randomly divided into control group and observation group according to numerical method, with 41 cases in each group. Patients in both groups were given methylprednisolone pulse therapy. The control group was given conventional symptomatic treatment, and the observation group was given auricular copper acupuncture scraping and auricular acupoint pressing treatment on the basis of the control group. The sleep condition, Pittsburgh Sleep Quality Index (PSQI) and Self-rating Anxiety Scale (SAS) of the two groups were compared. Results Two patients dropped out of the study. The effective rate of sleep improvement in observation group was 87.18%（34/39）, which was significantly higher than 41.46%（17/41） in control group (P < 0.05). The PSQI of the observation group was significantly lower than that of the control group (P < 0.05). The score of SAS scale in the control group was (54.95±2.30), and was (51.16±4.35) in the observation group, with a significant difference (P<0.05). Conclusion Auricular copper scraping combined with auricular acupoint pressing therapy is potentially effective to improve the sleep quality, prevent the occurrence of complications, and promote the recovery of patients with insomnia after Methylprednisolone pulse therapy for thyroid-associated ophthalmopathy.
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Publication date：2023-05-19， DOI: 10.12209/issn2708-3845.20230518001
Classification ：Nursing
Abstract:Health-related quality of life (HRQoL) is often markedly impaired in patients with peristomal irritant dermatitis. This article reviewed the etiology, nursing evaluation and intervention measures of irritant contact dermatitis in patients with enterostomy, to provide targeted and scientific basis for clinical practice of prevention and treatment of irritant dermatitis after enterostomy, reduce patients'' pain, and improve patients'' compliance and self-care ability.
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WU Xuan, GAN Ling, DING Shanshan
Publication date：2023-05-16， DOI: 10.12209/issn2708-3845.20230515006
Classification ：Nursing Related Disciplines
Abstract:Oral health is a hot issue of public concern. The cultivation of specialist dental nurses may help to alleviate the contradiction between supply and demand of oral healthcare service, and help health professionals deliver better services of oral preventive care. This paper summarized the current situation of cultivation and future of the specialist dental nurses, in order to provide reference for the development of specialist nurse training system.
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LUO Yanbin, GAO Dongqing, KOU Lin, CUI Xin
Publication date：2023-05-16， DOI: 10.12209/issn2708-3845.20230515005
Classification ：Nursing
Abstract:This paper summarized the nursing of integrated Traditional Chinese and western medicine for a patient with diabetic foot ulcer on the right foot. According to the different stage if wound healing, the Traditional Chinese Medicine external application therapy by syndrome differentiation was carried out to improve the debridement effect, help healthy tissue grow and minimize scarring. Based on the evidence-based nursing, individualized health education and nursing program were developed to improve the wound healing of the patient with diabetic foot ulcer.
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The application of Evernote in improving the quality of surgical cooperation in the general hospital
Publication date：2023-05-16， DOI: 10.12209/issn2708-3845.20230515004
Classification ：Nursing Related Disciplines
Abstract:Objective To observe the effect of Evernote in improving the quality of surgical cooperation in the general hospital, to improve the quality of surgical cooperation, improve the professional comprehensive ability of surgical nurses, and promote the standardization and homogeneity of specialized operations, which is conducive to the efficient and stable operation of the operating room. Methods The specialist team wrote surgical cooperation notes on the Evernote APP, realized the real-time and efficient update and sharing of surgical notes for general practitioners. A professional knowledge base and platform was built in the operating room, covering training courses, instruments and equipment, cutting-edge information, etc. The satisfaction with surgical cooperation and professional comprehensive ability of the surgical nurses were measured before and after implementation of Evernote APP. Results After using the APP for 1 year, the satisfaction with the quality of surgical cooperation was improved (P<0.01), and the professional comprehensive ability of the surgical nurses was improved (P<0.01). Conclusion The application of the Evernote APP in the operating room can significantly improve the quality of surgical cooperation and professional comprehensive ability of surgical nurses.
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LI Guomin, GONG Yang, FU Yanli, ZHONG Yinqin, DENG Jinfeng, LIU Ying, CHEN Jie
Publication date：2023-05-16， DOI: 10.12209/issn2708-3845.20230515003
Classification ：Nursing Related Disciplines
Abstract:Cancer patients frequently experience pain as a result of their cancer treatment. opioid-induced constipation (OIC) is a highly prevalent side effect in cancer pain sufferers that hurts their quality of life and enhances their risk of developing cardiovascular and cerebrovascular disorders. The effective prevention and treatment of OIC have vital clinical implications. This study summarized advances in the Traditional Chinese Medicine (TCM) etiology of cancer pain OIC and recent developments in external TCM treatment, and anticipations to assist as a reference for optimizing TCM interventions, as well as the cancerous pathogenesis provided by OIC, conduct a scientific investigation of pain.
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LIN Ruyu, ZHAO Huiling, BIE Yuanyuan, CHEN Qiaoling
Publication date：2023-05-16， DOI: 10.12209/issn2708-3845.20230515002
Classification ：Nursing Related Disciplines
Abstract:Objective To investigate the role of general self-efficacy in social support and resilience of physically restrained patients in ICU. Methods The purposive sampling strategy was adopted, and 221 physically restrained patients in ICU were investigated by using Connor-Davidson Resilience Scale(CD-RISC), General Self-Efficacy Scale(GSES)and Social Support Rate Scale(SSRS). Results The averaged score of CD-RISC was (51.68±9.03), the total score of SSRS was （36.47±7.79）, and total score of GSES was（23.63±4.80）. Pearson correlation analysis showed that the social support level was positively correlated to the resilience of patients （r=0.637，P＜0.001）, and self-efficacy was negatively correlated to the resilience of patients（r=0.616, P＜0.001）. Linear regression indicated the subjective support and self-efficacy as two main factors influencing the resilience(P＜0.001). The self-efficacy played a partial mediating role (38.40%) social support and resilience. Conclusion Findings showed a poor resilience of physically restrained patients in ICU, and support and self-efficacy were two main factors influencing the resilience. It is required to carry out diversified psychological interventions to improve the resilience of physically restrained patients in ICU.
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Publication date：2023-05-16， DOI: 10.12209/issn2708-3845.20230515001
Classification ：Nursing
Abstract:Objective To investigated when and how to retraining in peritoneal dialysis(PD) patients and its role in decreasing the incidence of peritonitis according to analysis of the characteristics of peritonitis in the PD center. Methods In a retrospective study, 2 years of data from 2019 before continuous quality improvement(CQI) and 2020 after CQI in our PD center were analyzed. According to analyzing the characteristics of peritonitis before CQI, when and how to retrain PD patients were put forward. The incidence and the characteristics of peritonitis were calculated and analyzed before and after CQI. Results There were 27 episodes of peritonitis in 22 out of total 99 PD patients in 2019. Totally 17 cases with peritonitis occurred for the first time and 11 of them (64.71%) occurred in their first 6 months after PD initiate. Culture-positive was in 12 episodes (among them, 7 episodes of Coagulase-negative Staphylococcus or Staphylococcus Aureus). The whole year peritonitis rate was 1 episode every 35.2 months in 2019 before CQI. The first retraining was taken in the third month after PD initiate and redirecting their behavior was made. There were 11 episodes of peritonitis in 10 patients out of 101 patients after CQI in 2020. There were 9 episodes of peritonitis occurred for the first time and 2 of them (22.22%) occurred in their first 6 months after PD initiate. The rate of culture-positive peritonitis was increased to 63.64%. In the 7 culture-positive episodes, 3 were Staphylococcus Aureus and 4 were Escherichia coli. The whole year peritonitis rate decreased to 1 episode every 108.5 months in 2020 after CQI. Conclusion First retraining in the third month after PD initiate and redirecting their behavior to reduce the risk of peritonitis was an effective program in our PD center.
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Publication date：2023-05-16， DOI: 10.12209/issn2708-3845.20230416002
Classification ：Specialist Nursing
Abstract:Objective：To investigate and analyze the influence of preoperative confidence care for fear and self-efficacy state of patients with surgery of local anaesthesia. Methods：120 patients with surgery of local anaesthesia from October 2020 to December 2022 were divided into control group 60 cases and observation group 60 cases according to the random number table.The control group were treated with routine nursing for surgery of local anaesthesia,the observation group were treated with preoperative confidence care on the intervention of control group.Then the fear situation(FVAS score)and self-efficacy state(GSES scale)before and after the intervention,patients′ satisfaction with nursing (HCAHPS scale)of two groups were compared.Results：The FVAS score and GSES score of two groups before the intervention were compared,the differences were not statistically significant(P＞0.05),the FVAS score of observation group after the intervention were lower than those of control group,the GSES score were higher than those of control group,the HCAHPS score were higher than those of control group,the differences were statistically significant(P＜0.05). Conclusion：The preoperative confidence care can significantly improve the fear and self-efficacy state of patients with surgery of local anaesthesia,the clinical satisfaction is higher,so its application value in the patients with surgery of local anaesthesia is relatively higher.
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Publication date：2023-05-12， DOI: 10.12209/issn2708-3845.20220818003
Classification ：Traditional Chinese Medicine Nursing
Abstract:Objective To explore the effect of moxibustion therapy on oral ulcer after chemotherapy.Methods Moxibustion therapy was used to treat a tumor patient with oral ulcer after chemotherapy.Results The oral ulcer of the tumor patient was cured by moxibustion therapy.Conclusion Moxibustion therapy is effective in the treatment of oral ulcer after chemotherapy, and can achieve the expected therapeutic effect, which is worthy of clinical application.
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WANG Shuang, ZHENG Hongmei, GAO Donghua, ZHAO Weiwei, PENG Dan
Publication date：2023-05-10， DOI: 10.12209/issn2708-3845.20230509003
Classification ：Nursing
Abstract:This paper summarizes the nursing experience of a patient who received endoscopic variceal ligation in the treatment of esophageal varices, including preoperative psychological care, instrument preparation, patient preparation, intraoperative care, postoperative general care, complication care and other targeted nursing measures. Through the comprehensive nursing mode, full preoperative preparation, close surgical cooperation, and meticulous postoperative care, the success of esophageal variceal ligation was guaranteed, the pain of patients was reduced, the patient''s symptoms were improved.
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WANG Shuang, ZHENG Hongmei, GAO Donghua, XU Bing, PENG Dan
Publication date：2023-05-10， DOI: 10.12209/issn2708-3845.20230509002
Classification ：Nursing
Abstract:Objective To compare the efficacy of dual-frequency dual-pulse laser lithotripsy under endoscopic retrograde cholangiopancreatography (ERCP) and traditional endoscopic mechanical lithotripsy in the treatment of patients with common bile duct stones, and summarize perioperative nursing measures. Methods From May 2018 to May 2022, the clinical data of 200 patients with common bile duct stones who underwent ERCP treatment and lithotripsy were retrospectively analyzed, of which 69 patients were treated with dual-frequency dual-pulse laser lithotripsy (Laser group) and 131 patients were treated with mechanical lithotripsy (Mechanical group), and the success rate of stone extraction, operation time, postoperative hospital stay time and complications of two groups of patients were compared. Results There was no significant difference in baseline data such as general conditions and preoperative clinical data between two groups (P＞0.05). Neither neither Laser group nor Mechanical group had reported the perioperative death case. There were no significant difference in postoperative bleeding, postoperative pancreatitis and perforation complication rates in the two groups (P＞0.05). The surgical time in the Laser group was significantly longer than that in the Mechanical group (P＜0.05). The postoperative hospital stay was shorter in the Laser group than that in the Mechanical group(P＜0.05), and the total complication rate and stone residue rate were lower in the Laser group than those in the Mechanical group (P＜0.05). Conclusion The treatment of common bile duct stones by dual-frequency dual-pulse laser lithotripsy has better efficacy and lower complication rate than traditional surgical mechanical lithotripsy, but there is still room for improvement in the operation time.
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WANG Jin, Yang Kangmei, Cao Liang, YIN Xiangqin, LI Wenshi, DONG Lijuan
Publication date：2023-05-10， DOI: 10.12209/issn2708-3845.20230509001
Classification ：Nursing Related Disciplines
Abstract:Objective To observe the clinical effect of ear-tip bloodletting combined with Kaitianmen on intractable insomnia in hemodialysis patients. Methods Totally 120 maintenance hemodialysis patients with insomnia were randomly divided into observation group and control group, 60 cases in each group. The control group was treated with conventional western medicine treatment. Based on the conventional western medicine treatment, ear-tip bloodletting combined with Kaitianmen was carried out three times a week for 4 weeks in the observation group. After the course of treatment, the sleep quality of the patients was comprehensively evaluated by Pittsburgh Sleep Quality Index(PSQI). Results There were 6 patients lost to follow-up(2 cases in the control group and 4 cases in the observation group). There was no significant difference in PSQI scores between the two groups before intervention（P＞0.05）.The PSQI scores decreased in both group after intervention, and the PSQI score in the observation group was lower than that in the control group after intervention (P＜0.01). In the comprehensive evaluation of treatment effect, the curative effect of observation group was better than control group, and the difference was statistically significant (P＜0.01). Conclusion Based on the conventional western medicine treatment, Ear-tip bloodletting combined with Kaitianmen therapy can significantly relieve the sleep disorders and improve the sleep quality of hemodialysis patients. There is no adverse reaction in the treatment process, and it is worthy of further clinical application.
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XIONG Yanjie, LIU Fang, HUANG Zhouyan, WANG Chao
Publication date：2023-05-10， DOI: 10.12209/issn2708-3845.20230508004
Classification ：Nursing Related Disciplines
Abstract:Objective To investigate pre-examination and triage managements of outpatient of the dental clinic in general hospitals during the normalization prevention and control of COVID-19 epidemic. Methods According to the relevant guidelines for epidemic prevention and control, combined with the situation of dental clinic, a series of management plans for pre-examination and triage were developed, and the changes of outpatient distribution were analyzed statistically. Results From June to August 2020, the total number of outpatients in dental clinic was 3821, among whom, 3776 (98.82%) patients had normal temperature and their epidemiological questionnaire were negative. No suspected or confirmed COVID-19 patients were appeared, and no emergency management plan was carried out in the dental clinic. Conclusion The management plan of pre-examination and triage management in dental clinic, based on epidemiological investigation and risk classification of dental treatment, was conducive to screening high-risk patients, and improve efficiency.
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LIAO Yunxia, LI Gaoye, ZHOU Xingliang, LIU Lingfang
Publication date：2023-05-10， DOI: 10.12209/issn2708-3845.20230508003
Classification ：Nursing Related Disciplines
Abstract:Objective From the perspective of nursing students, to deeply understand the cognitive experience and application views of undergraduate nursing students on their participation in clinical cardiopulmonary resuscitation(CPR) training and teaching, explore the obstacles to nursing students'' clinical CPR training and practice, and provide reference for improving the quality and practice of CPR training. Methods Using phenomenological research method, 15 undergraduate nursing interns were selected by purpose sampling, semi-structured interviews were conducted, and the research data were analyzed by Colaizzi''s seven-step method. Results: Nursing students'' CPR clinical training experience and application views could be summarized as the importance of objective feedback system devices, limited training venue and duration, unclear training intervals, desire for personalized training guidance, expectation of flexible and diverse training forms and multi-dimensional training content, first aid skills were not popularized, enhance self-efficacy, and strengthen psychological construction related to CPR application. Conclusion From a long-term perspective, it is recommended to establish a high-quality CPR training management organization structure, and to regularly train relevant knowledge including applied psychological construction to improve the practice effect of CPR training; and undertake the task of CPR popularization for patients, their families and the public community outside the hospital. , should not be restricted to individual nurses.
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XU Jia, YUAN Hongyan, HAN Yuqin
Publication date：2023-05-10， DOI: 10.12209/issn2708-3845.20230508002
Classification ：Nursing Related Disciplines
Abstract:Objective To explore the effect of teach-back method on exercise compliance and quality of life in elderly patients with hemiplegia after stroke. Method Using the convenient sampling method, a total of 80 elderly patients with hemiplegia after stroke were randomly divided into control group (n = 40) and intervention group (n = 40). The control group adopted the routine health education method, and the intervention group adopted the teach-back method on the basis of routine care. After a 3-month follow-up, the rehabilitation exercise compliance scale, National Institutes of Health Stroke Scale (NIHSS) score, Fugl-Meyer Assessment (FMA), Modified Barthel Index scale (MBI) and Stroke Specific Quality of Life Scale (SS-QOL) were used to compare the effects of exercise compliance, neurological function, limb motor function, self-care ability and quality of life between the two groups. Results The compliance rate was 85.00%(34/40)in the intervention group，which was significant higher than 72.50%(29/40)in the control group(P＜0.01). The NIHSS score decreased in both two groups after intervention, and NIHSS score in the intervention group were significantly lower than that in the control group (P＜0.01). Scores of FMA and MBI increased in both two groups after intervention, and scores of FMA and MBI in the intervention group were significantly higher than those in the control group (P＜0.01). The total score of SS-QOL in the intervention group was significantly higher than that in the control group after intervention(P＜0.05). Conclusion The application of teach-back method in health education is potentially effective to improve the patients’ compliance with limb exercise, promote healthy behavior and improve the quality of life of elderly patients with hemiplegia after stroke.
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TAN Yanmei, ZHAO Huihan, HE Yu, LING Ying, YING Yanping
Publication date：2023-05-10， DOI: 10.12209/issn2708-3845.20230508001
Classification ：Nursing Related Disciplines
Abstract:Objective To investigate the influence of different exercise guidance methods on compliance with hand grip strength training in cancer patients with peripherally inserted central catheters(PICC) placement, and to provide reference for the exercise guidance of patients with PICC placement. Methods Totally 100 patients with PICC placement were divided into intervention group and control group, with 50 cases in each group. In the control group, a hardcopy of guidance was sent to patients for guiding the hand grip strength training with a ball. In the intervention group, metronome-guided hand grip strength training was adopted. A 4-week intervention of training was conducted and patient compliance with training was evaluated during the follow-up. Results Before intervention, there was no significant difference in compliance with hand grip strength training between the two groups (P＞0.05). The rate of compliance with hand grip strength training increased in both two groups after intervention(P＜0.01), and rate of compliance in the intervention group was higher than that in the control group(P＜0.05). Conclusion The metronome-guided hand grip strength training with a ball could effectively improve the compliance of cancer patients with PICC catheterization. It could provide reference for the exercise guidance of patients with PICC catheterization.
5, 2023
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Han Yuan, Liu Qin, Wang shuaiying
Publication date：2021-01-20， DOI:10.12209/issn2708-3845.20210120001
Classification ：Specialist nursing-community nursing
Abstract:目的：本研究通过文献查阅方式，目的是从延续性护理实施现况、涵盖范围、人员现况三个方面了解我国延续性护理发展现状，为延续性护理进一步的研究提供思路和方向。方法：本文在中国知网、万方医学、重庆维普，Pubmed等网站上以“延续性护理”或“transitional care”为关键词或主题词，搜索有关国内外延续性护理的论文，选取近五年来引用次数较高的的文章。结果：实施状况：目前延续性护理开展较为普遍，延续性护理服务中心的建立取得了积极的效果。涵盖范围：延续性护理主要运用于慢性疾病护理，但近年来，延续性护理也推广至外科术后、PICC置管后、产褥期等方面。人员现况：我国延续性护理对护理人员尚未有明确要求，大多未经过专业培训，多为临床各科室护士担任。结论：我国延续性护理正在快速普及和发展，但发展过程中也存在不可忽视的问题。医院在大力推行延续性护理时，要着重解决目前存在的问题，以便更好的实施延续性护理，进而为我国人口老龄化的现状提供更好的医疗护理服务。
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ZHI Hui, XU Jingjin, LI Ye, ZHENG Wei, LIU Jinjing, TANG Ling
Publication date：2021-02-16， DOI:10.12209/issn2708-3845.20210208001
Classification ：Nursing technology-diagnosis and treatment technology
Abstract:Objective Explore measures to avoid spilling the vaccine solution during the injection of the COVID-19 vaccine. Methods From January 29, 2021 to January 30, 2021, 990 vaccinators were selected as the experimental group by convenient sampling method, and the in-bottle exhaust method was used; 577 vaccinators were selected as the control group, and the conventional exhaust method was used. Observe the incidence of vaccine spillage in the two groups during exhaust. Results The incidence of external spilling in the experimental group was 0%, and that in the control group was 7.28%. The incidence of external spilling in the experimental group was lower than that in the control group, and the data difference between groups was statistically significant (P<0.05). Conclusion Implementing the in-bottle exhaust method in the vaccine injection can effectively reduce the incidence of liquid spills, reduce nucleic acid pollution, and ensure that the vaccine is injected at the prescribed dose. At the same time, the operation is simple and easy, which improves the nurse""s vaccination efficiency, and has a higher promotion and application value.
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Li Jing, Xie Xiaolei, Zhao Nan, Song Libo, Jing Jing, Liao Juan
Publication date：2020-07-25， DOI:10.12209/issn2708-3845.20200723002
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:Objective To explore the influence of auricular point pressing with bean on insomnia in patients with coronavirus disease 2019 （COVID-19）. Method All patients with COVID-19 suffering from insomnia who were coming from the South-first-district and general-five-district inpatient wards of Jin Yintan hospital, Wu Han from February to March, 2020. Sixty-two patients were included in the study. Based on the conventional treatment, using auricular point pressing with bean in experimental group, while only using conventional treatment in control group. The auricular acupoints in one ear were selected with heart, shenmen, sympathetic, neurasthenia, upper lung, lower lung, and anti-asthma etc., twice a week for 14 days. The general information questionnaire was used to evaluate the general condition of the patients before the intervention. The insomnia severity index (ISI), self-rating Depression Scale (SDS), self-rating Anxiety Scale (SAS) and Kolcaba Comfort Scale were used to evaluate the severity of insomnia, depression, anxiety and comfort status before and after the intervention. Results In general data of patients, there was a statistically significant difference on oxygen therapy between groups (χ2= 12.579, P = 0.000). Before and after the intervention, there was a significant difference on the total score of insomnia severity index between the two groups (Z=-3.662, P=0.000). According to the stratified analysis of oxygen therapy, the total score of ISI between the two groups before and after the intervention was statistically different（t=3.877，P=0.000）. Through intra group comparison, there was a significant difference in experimental group on the total score of ISI(Z= -4.247, P = 0.000) . There was no significant difference in the scores of SDS, SAS and Kolcaba Comfort scale between the two groups before and after the intervention (P > 0.05); there was a significant difference in experimental group of anxiety scale before and after the intervention (z = -2.673, P = 0.008). Conclusion Auricular acupoint compression can effectively improve the symptoms of insomnia in covid-19 patients, and improve the anxiety caused by insomnia in covid-19 patients. Auricular acupoint compression technique is worth promoting and applying.
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Publication date：2020-10-10， DOI:10.12209/issn2708-3845.20201009003
Classification ：Nursing-nursing management
Abstract:2019年12月某市爆发了新型冠状病毒肺炎,随着疫情的进展以及危重患者的增长,越来越多危重患者除了需要新冠肺炎的治疗以外还需要其他特殊治疗,如血液净化治疗。新冠肺炎具有极强的传染性,血液净化治疗过程如何进行防护及感染控制尤为重要。本文将结合临床实践及血液净化技术相关知识,基于鱼骨图分析法,明确血液净化治疗过程中可能产生的风险,并在此基础上制定出新型冠状病毒肺炎患者安全管理策略和相关防护措施,为血液净化治疗的安全实施提供参考。
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Publication date：2021-01-07， DOI:10.12209/issn2708-3845.20210107003
Classification ：Specialist nursing-internal medical nursing
Abstract:This paper reviewed the clinical data of a patient with hydrocele of tunica vaginalis and lesions in the epididymis. In addition to the psychological care and pain control, targeted nursing interventions on dysuresia, rehabilitation guidance and health education were carried out.
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WANG Xuesong, ZHOU Yajing, YANG Yu, LI chenchen, FAN Yan, HU Shirong
Publication date：2021-02-01， DOI:10.12209/issn2708-3845.20210130002
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:Objective To Summarize the key points of acupoint massage treatment and traditional Chinese medicine nursing for a patient with constipation due to qi deficiency after stroke. Methods A patient with constipation due to qi deficiency after stroke was selected in this hospital, and comprehensive nursing measures of meridian acupoint massage combined with traditional Chinese medicine were given to the symptoms. Results The patient"s symptoms were effectively relieved after meridian acupoint massage and traditional Chinese medicine nursing. Conclusion For patients with Qi deficiency and constipation after stroke, the degree of Qi deficiency should be evaluated before treatment. In addition to the application of general therapy, attention should be paid to supplementing the deficiency treatment. Combined with traditional Chinese medicine nursing measures can effectively improve the clinical symptoms of patients and speed up recovery.
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Publication date：2021-02-07， DOI:10.12209/issn2708-3845.20210207006
Classification ：Nursing technology-diagnosis and treatment technology
Abstract:本文件规定了成人住院患者跌倒风险评估和预防的基本要求及措施。 本文件适用于各级各类医疗机构的护理人员，其他机构参照执行。
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CHEN Lin, ZHOU Jing, YAO Xueming, MA Wukai, SHEN Haiyan, HAN Shan
Publication date：2020-07-13， DOI:10.12209/issn2708-3845.20200713004
Classification ：Nursing-nursing and other disciplines
Abstract:目的 系统评价中药外敷联合西药治疗类风湿关节炎的临床效果,为其临床治疗及研究提供循证参考。方法 计算机检索中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方数据库、维普数据库(VIP)中的相关文献,对符合纳入标准的研究进行资料提取后,采用Rev Man 5.3进行Meta分析。结果 共纳入文献27篇,总样本量2481例,Meta分析结果显示,中药外敷联合西药治疗组与单纯西药治疗组相比能提高治疗效果 [OR=3.33,95%CI(2.59,4.28),Z=9.44,P<0.05],且在症状体征如晨僵时间[OR=-17.36,95%CI(-23.62,-11.10),Z=5.43,P<0.05],疼痛缓解情况 [OR=-1.34,95%CI(-2.13,-0.05),Z=3.34,P<0.05]以及实验室指标如类风湿因子[OR=-14.04,95%CI(-24.43,-6.66),Z=3.73,P<0.05]、C反应蛋白[OR=-5.90,95%CI(-8.11,-3.69),Z=5.23,P<0.05]、红细胞沉降率[OR=-6.03,95%CI(-8.26,-3.80),Z=5.29,P<0.05]方面,中药外敷联合西药治疗组均优于单纯西药治疗组,而在药物不良反应方面,两组差异无统计学意义[OR=1.14,95%CI(0.47,2.76),Z=0.30,P>0.05]。结论 国内研究显示,中药外敷联合西药治疗类风湿关节炎在缓解患者临床症状,改善患者病情方面效果显著,值得临床进一步推广与应用。
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Xie Zhenyao, Tang Rui, Zhang Jingjing
Publication date：2020-08-21， DOI:10.12209/issn2708-3845.20200821002
Classification ：Specialist nursing-surgery nursing
Abstract:Perioperative blood glucose management is closely related to the preoperative, intraoperative and postoperative blood glucose level control is one of the important objectives of perioperative blood glucose nursing management.The perioperative blood glucose in patients with diabetes care management has a lot of research reports, but in view of the different advantages and disadvantages of each management style, therefore, in this paper, the relatively mature perioperative blood sugar diabetes patients nursing management mode is summarized, to find suitable for clinical diabetes patients perioperative nursing management mode, blood sugar for surgical nursing managers of the perioperative blood glucose control patients nursing management method to provide reference for the rich types and perfect rapid rehabilitation specialist nurse surgical care system to provide the reference.
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Publication date：2021-01-06， DOI:10.6729/MJN.202012_19(2).004
Classification ：Specialist nursing-hygienic and health care
Abstract:The Macao government attaches great importance to the anti-epidemic measures of the novel coronavirus pneumonia (coronavirus disease 2019, COVID-19). It had taken steps to deal with COVID-19 even before the ?rst case was detected, and formulated stricter rules after the occurrence of several imported cases. These measures were to cut out the link of the epidemiological triangle, including: 1) controlling the infection source. Macao government quickly established a multi-sectoral response coordination team to isolate potential cases and detect cases early by closely tracing arrivals from outside Macao; 2) stopping the route of transmission. The government implemented a mask supply plan, shut down entertainment venues during the peak of the epidemic, and used public media to disseminate anti-COVID-19 information, such as maintaining social distance and frequent hand wash; 3) protecting susceptible people. The government took a series of measures to protect minors, the elderly in institutions and workers in medical institutions from infection. While Macao has done a better job in ?ghting COVID-19 than some of the neighboring regions, it is not a perfect performer. Suggestions for addressing weaknesses Macao has shown in the ?ght are o?ered in the article.
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Xu ling, Li Huafen, Wang Jianlin, Xue Minfen, Zhang Wei, Qu Zhi
Publication date：2020-06-30， DOI:10.12209/issn2708-3845.20200630001
Classification ：Traditional Chinese medicine nursing-TCM nursing and others
Abstract:Objective ToSobserveStheSeffectSof Chinese herbal immersion in prevention and treatment of hand-foot syndrome caused by apatinib. Methods From Jan 2016 to Dec 2017, 157 patients with esophageal carcinoma and intestinal carcinoma treated with apatinib were randomly divided into Chinese medicine group (n=72), in which their hands and feet were immersed in Chinese herbal liquid twice a day; and control group (n=85), in which their hands and feet were immersed in warm water twice a day. Then we compared the incidence and severity of hand-foot syndrome between the groups. Results Among all the patients the incidence of I, II and III degree hand-foot syndrome were 12.7%, 10.2% and 6.4%, respectively. The rates of I, II, III degree hand-foot syndrome in Chinese medicine group and control group were 8.3%, 6.9%, 4.2% and 16.5%, 11.0%, 10.1%, respectively, and the rate in control group was higher than that in Chinese medicine group(P=0.015). Conclusion Chinese herbal immersion could reduce the incidence and severity of hand-foot syndrome for cancer patients treated with apatinib, which was valuable to be applied in clinics.
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LI Miaomiao, XU Pengfei, LU Wei
Publication date：2020-11-04， DOI:10.12209/issn2708-3845.20201104002
Classification ：Specialist nursing-internal medical nursing
Abstract:目的 探讨腹膜透析患者容量管理行为与疾病感知、希望水平的相关性。方法 采用一般资料调查表、容量管理行为水平量表、简易疾病感知问卷及中文版Herth希望量表对135例腹膜透析患者进行问卷调查。结果 共发放问卷137份,有效问卷135份,有效率98.54%。腹膜透析患者容量管理行为水平总分(17.01±4.27)分,少吃高盐高钠食物得分最低。患者容量管理行为水平总分、限盐及容量超负荷症状监测均与疾病了解程度呈负相关(P＜0.05),腹膜透析相关容量管理与认知呈负相关(P＜0.05)。容量管理行为水平总分及其各维度均与希望水平总分、与他人保持亲密的关系呈正相关(P＜0.05),限盐及容量超负荷症状监测与采取积极的行动呈正相关(P＜0.05)。 结论 腹膜透析患者容量管理行为与疾病感知及希望水平具有相关性,应加强患者医疗及家庭的支持与关怀,依据患者实际能力与需求,针对性指导患者对容量管理的正确认知,提高疾病了解程度,促进患者主动管理行为的形成。
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Publication date：2021-02-07， DOI:10.12209/issn2708-3845.20210207004
Classification ：Nursing technology-diagnosis and treatment technology
Abstract:本文件规定了成人肠内营养支持的基本要求、操作要点、并发症护理及健康教育。 本文件适用于各级各类医疗机构的注册护士。
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Qin Guilian, Hu Xiaohong, Guo Hongbo
Publication date：2020-10-16， DOI:10.12209/issn2708-3845.20201016001
Classification ：Specialist nursing-surgery nursing
Abstract:气管插管是麻醉科医师为手术患者进行全麻术时,常用的一种维持患者气道通畅的方法,咽喉痛是气管插管全麻术后常见的气道并发症。本文从现代医学和传统中医学的干预,对气管插管全麻术后患者咽喉痛的护理进行综述,为提高气管插管全麻术后患者咽喉痛的治疗护理提供参考。
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马丽娜, 邓建华, 刘司春, 尚鹏翠, 杨明颖, 李媛媛, 牛丽丽, 吴春丽, 李玉欣
Publication date：2021-01-18， DOI:10.12209/issn2708-3845.20210114002
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:目的：报告1例老年危重症患者伴皮肤褶皱性皮炎应用于艾灸的护理病例；方法:患者住院期间采用中医治疗艾灸,根据中医经络学说原理选穴,关元、中极、气海、肾俞、大肠俞、天枢、足三里以及局部皮肤损伤处予以施灸,每天一次,每穴位3分钟,皮肤损伤处每次15分钟予以施灸。结果：实施上述中医治疗操作后,皮肤损伤面积由6×9cm2范围缩小至全部愈合,出院随访半月,未见复发。结论：中医艾灸治疗有助于老年危重患者皮肤褶皱性皮炎的愈合,疗效显著,能提高护理质量,值得临床推广应用。
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Publication date：2020-06-04， DOI:10.12209/issn2708-3845.20200602002
Classification ：Specialist nursing-physiotherapy and nursing
Abstract:Objective：To observe the effects of the combination of calming foot bath and hemodialysis on sleep quality,dialysis quality,hypersensitive c-reactive protein(hs-CRP),interleukin-6 (IL-6)and tumor necrosis factor alpha (TNF-α)in patients with sleep disorders. Methods：According to the random number table method,60 patients with maintenance hemodialysis and sleep disorder were divided into study group and control group,30 cases each. The control group was given psychological nursing care and basic blood purification treatment.The team on the basis of psychological nursing,3 times per week Hemodiafiltration (HDF) treatment and calming foot bath. Both groups were treated for 2 months. The PSQI score,K-T/V score,hs-CRP,IL-6 and TNF-α of the two groups before and after intervention were compared. Results：(1)Before intervention,the PSQI score,K-T/V score ,hs-CRP,IL-6 and TNF-α of the two groups of patients were compared,and the differences were not statistically significant(P＞0.05)；(2)After intervention,K-T/V score of patients in both groups was higher than that before intervention(P＜0.05)；the PSQI score ,hs-CRP,IL-6 and TNF-α of patients in both groups were lower than that before intervention(P＜0.05)；(3)After intervention,K-T/V score of the study group was higher than that of the control group (P＜0.05)；the PSQI score ,hs-CRP,IL-6 and TNF-α of the study group were lower than that of the control group(P＜0.05). Conclusion：The combination of calming foot bath and hemodiafiltration can improve the sleep quality,dialysis quality and immune function of hemodialysis patients.
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Publication date：2020-10-10， DOI:10.12209/issn2708-3845.20201009003
Classification ：Nursing-nursing management
Abstract:2019年12月某市爆发了新型冠状病毒肺炎,随着疫情的进展以及危重患者的增长,越来越多危重患者除了需要新冠肺炎的治疗以外还需要其他特殊治疗,如血液净化治疗。新冠肺炎具有极强的传染性,血液净化治疗过程如何进行防护及感染控制尤为重要。本文将结合临床实践及血液净化技术相关知识,基于鱼骨图分析法,明确血液净化治疗过程中可能产生的风险,并在此基础上制定出新型冠状病毒肺炎患者安全管理策略和相关防护措施,为血液净化治疗的安全实施提供参考。
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Publication date：2020-09-28， DOI:10.12209/issn2708-3845.20200928001
Classification ：Specialist nursing-stomatology nursing
Abstract:Objective To explore the experience and needs of caregivers of oral cancer patients, as to provide evidence for effective nursing services for caregivers. Methods By using the purposive sampling method,twelvecaregivers were given a semi-structured interview,and used Colaizzi’s analysis to analyse. Results Five themes were extracted including knowledge and information needs, psychological pressure, adjusting attitudes towards patient financial burden and family and social support needs. Conclusion Caregivers of oral cancer patients are facing the different kinds of problem. Nursing staff should pay attention to the needs and psychological problems of caregivers,strengthen the health education of caregivers. It is important for hospital to provide social support to reduce the financial burden of caregivers.
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CHEN Lin, ZHOU Jing, YAO Xueming, MA Wukai, SHEN Haiyan, HAN Shan
Publication date：2020-07-13， DOI:10.12209/issn2708-3845.20200713004
Classification ：Nursing-nursing and other disciplines
Abstract:目的 系统评价中药外敷联合西药治疗类风湿关节炎的临床效果,为其临床治疗及研究提供循证参考。方法 计算机检索中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方数据库、维普数据库(VIP)中的相关文献,对符合纳入标准的研究进行资料提取后,采用Rev Man 5.3进行Meta分析。结果 共纳入文献27篇,总样本量2481例,Meta分析结果显示,中药外敷联合西药治疗组与单纯西药治疗组相比能提高治疗效果 [OR=3.33,95%CI(2.59,4.28),Z=9.44,P<0.05],且在症状体征如晨僵时间[OR=-17.36,95%CI(-23.62,-11.10),Z=5.43,P<0.05],疼痛缓解情况 [OR=-1.34,95%CI(-2.13,-0.05),Z=3.34,P<0.05]以及实验室指标如类风湿因子[OR=-14.04,95%CI(-24.43,-6.66),Z=3.73,P<0.05]、C反应蛋白[OR=-5.90,95%CI(-8.11,-3.69),Z=5.23,P<0.05]、红细胞沉降率[OR=-6.03,95%CI(-8.26,-3.80),Z=5.29,P<0.05]方面,中药外敷联合西药治疗组均优于单纯西药治疗组,而在药物不良反应方面,两组差异无统计学意义[OR=1.14,95%CI(0.47,2.76),Z=0.30,P>0.05]。结论 国内研究显示,中药外敷联合西药治疗类风湿关节炎在缓解患者临床症状,改善患者病情方面效果显著,值得临床进一步推广与应用。
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WEN Caoli, LI Haiting, JIA Sansan
Publication date：2020-05-28， DOI:10.12209/issn2708-3845.NursRxiv20200528001
Classification ：Nursing-nursing management
Abstract:ABSTRACT: Objective? To explore the status quo of readiness for hospital discharge, pain degree and its correlation in patients with lumbar disc herniation (LDH). Methods? Totally 196 LDH patients were investigated with Readiness for Hospital Discharge Scale (RHDS) and Numerical Rating Scale for pain (NRS). Data obtained was analyzed by Pearson correlation analysis. Results? The total score of RHDS in LDH patients was (94.17±8.56), and average scores of each dimension from high to low was person status, excepted support and coping ability.? The score of NRS was (6.10±0.30) at hospital admission and was (1.70±0.50) 4 hours before hospital discharge, with a significant difference (t=1.892,P<0.05) . The total score of RHDS and scores of each dimension were negatively correlated with the NRS score of pain 4 hours before hospital discharge (P<0.05). Conclusions? The LDH patients had a high level of readiness for hospital discharge and a low level of pain relief before discharge. The medical staff should pay more attention to the readiness of patients with lumbar disc herniation, help them to relieve pain and promote their recovery.
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Li Jing, Xie Xiaolei, Zhao Nan, Song Libo, Jing Jing, Liao Juan
Publication date：2020-07-25， DOI:10.12209/issn2708-3845.20200723002
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:Objective To explore the influence of auricular point pressing with bean on insomnia in patients with coronavirus disease 2019 （COVID-19）. Method All patients with COVID-19 suffering from insomnia who were coming from the South-first-district and general-five-district inpatient wards of Jin Yintan hospital, Wu Han from February to March, 2020. Sixty-two patients were included in the study. Based on the conventional treatment, using auricular point pressing with bean in experimental group, while only using conventional treatment in control group. The auricular acupoints in one ear were selected with heart, shenmen, sympathetic, neurasthenia, upper lung, lower lung, and anti-asthma etc., twice a week for 14 days. The general information questionnaire was used to evaluate the general condition of the patients before the intervention. The insomnia severity index (ISI), self-rating Depression Scale (SDS), self-rating Anxiety Scale (SAS) and Kolcaba Comfort Scale were used to evaluate the severity of insomnia, depression, anxiety and comfort status before and after the intervention. Results In general data of patients, there was a statistically significant difference on oxygen therapy between groups (χ2= 12.579, P = 0.000). Before and after the intervention, there was a significant difference on the total score of insomnia severity index between the two groups (Z=-3.662, P=0.000). According to the stratified analysis of oxygen therapy, the total score of ISI between the two groups before and after the intervention was statistically different（t=3.877，P=0.000）. Through intra group comparison, there was a significant difference in experimental group on the total score of ISI(Z= -4.247, P = 0.000) . There was no significant difference in the scores of SDS, SAS and Kolcaba Comfort scale between the two groups before and after the intervention (P > 0.05); there was a significant difference in experimental group of anxiety scale before and after the intervention (z = -2.673, P = 0.008). Conclusion Auricular acupoint compression can effectively improve the symptoms of insomnia in covid-19 patients, and improve the anxiety caused by insomnia in covid-19 patients. Auricular acupoint compression technique is worth promoting and applying.
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Qin Guilian, Hu Xiaohong, Guo Hongbo
Publication date：2020-10-16， DOI:10.12209/issn2708-3845.20201016001
Classification ：Specialist nursing-surgery nursing
Abstract:气管插管是麻醉科医师为手术患者进行全麻术时,常用的一种维持患者气道通畅的方法,咽喉痛是气管插管全麻术后常见的气道并发症。本文从现代医学和传统中医学的干预,对气管插管全麻术后患者咽喉痛的护理进行综述,为提高气管插管全麻术后患者咽喉痛的治疗护理提供参考。
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Han Yuan, Liu Qin, Wang shuaiying
Publication date：2021-01-20， DOI:10.12209/issn2708-3845.20210120001
Classification ：Specialist nursing-community nursing
Abstract:目的：本研究通过文献查阅方式，目的是从延续性护理实施现况、涵盖范围、人员现况三个方面了解我国延续性护理发展现状，为延续性护理进一步的研究提供思路和方向。方法：本文在中国知网、万方医学、重庆维普，Pubmed等网站上以“延续性护理”或“transitional care”为关键词或主题词，搜索有关国内外延续性护理的论文，选取近五年来引用次数较高的的文章。结果：实施状况：目前延续性护理开展较为普遍，延续性护理服务中心的建立取得了积极的效果。涵盖范围：延续性护理主要运用于慢性疾病护理，但近年来，延续性护理也推广至外科术后、PICC置管后、产褥期等方面。人员现况：我国延续性护理对护理人员尚未有明确要求，大多未经过专业培训，多为临床各科室护士担任。结论：我国延续性护理正在快速普及和发展，但发展过程中也存在不可忽视的问题。医院在大力推行延续性护理时，要着重解决目前存在的问题，以便更好的实施延续性护理，进而为我国人口老龄化的现状提供更好的医疗护理服务。
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Xu ling, Li Huafen, Wang Jianlin, Xue Minfen, Zhang Wei, Qu Zhi
Publication date：2020-06-30， DOI:10.12209/issn2708-3845.20200630001
Classification ：Traditional Chinese medicine nursing-TCM nursing and others
Abstract:Objective ToSobserveStheSeffectSof Chinese herbal immersion in prevention and treatment of hand-foot syndrome caused by apatinib. Methods From Jan 2016 to Dec 2017, 157 patients with esophageal carcinoma and intestinal carcinoma treated with apatinib were randomly divided into Chinese medicine group (n=72), in which their hands and feet were immersed in Chinese herbal liquid twice a day; and control group (n=85), in which their hands and feet were immersed in warm water twice a day. Then we compared the incidence and severity of hand-foot syndrome between the groups. Results Among all the patients the incidence of I, II and III degree hand-foot syndrome were 12.7%, 10.2% and 6.4%, respectively. The rates of I, II, III degree hand-foot syndrome in Chinese medicine group and control group were 8.3%, 6.9%, 4.2% and 16.5%, 11.0%, 10.1%, respectively, and the rate in control group was higher than that in Chinese medicine group(P=0.015). Conclusion Chinese herbal immersion could reduce the incidence and severity of hand-foot syndrome for cancer patients treated with apatinib, which was valuable to be applied in clinics.
Virtual Special Issue
English name：Integrative Nursing Preprint
Website：www.nursrxiv.org.cn
Operations management：中西医结合护理杂志社
