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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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      • ZHANG Pin, CHEN Jinling, Liu Jie

        Publication date:2022-06-30, DOI: 10.12209/issn2708-3845.20220630001

        Classification :Nursing-nursing management

        Abstract:This paper summarized the experience of professional management of orthopedic nursing workers, including personnel selection, determination of job responsibilities, training, assessment and daily monitoring. The professional management provide a . for orthopedic nursing workers can The professional management is critical to the advancement of specialized skills in nursing workers. It is helpful for improving cooperation between nurses and nursing works and therefore ensuring the safety and satisfaction of patients.

      • CHEN Ya, WANG Yuena, XU Yuanle

        Publication date:2022-06-30, DOI: 10.12209/issn2708-3845.20220630002

        Classification :Nursing-nursing management

        Abstract:v

      • JING Tiaoping, JIN Ping, LI Tianfeng, JIN Yuntao

        Publication date:2022-06-29, DOI: 10.12209/issn2708-3845.20220628001

        Classification :Nursing-nursing management

        Abstract:The management of specialized hospital for prevention and control of COVID-19?does appear to?be?on the?cusp?of?a new?phase, and efficient transmission of information?is?an important?precondition?for clinical practice. This paper summarized the application of modern communication technology in the specialized hospital for prevention and control of COVID-19. Involvement of modern means of communication has been improving the hospital information service system, and will play a great role in socialized management and control of infection, as well as clinical practice.

      • LI Saisai, LI Ruxue, ZHOU Ran, CHENG Jie, LI Anyi, LIANG Yajing

        Publication date:2022-06-29, DOI: 10.12209/issn2708-3845.20220628002

        Classification :Nursing-nursing psychology

        Abstract:Objective To explore the attention level and influencing factors of elderly stroke patients. Methods? From September 2019 to September 2020, 178 elderly stroke patients over 60 years old who were hospitalized in the Department of Neurosurgery and Neurology of a grade A hospital in Tangshan City, Hebei Province were selected as the research objects. Pittsburgh Sleep Quality Index (PSQI) and hospitals were used. Research tools such as the Anxiety and Depression Scale (HAD) and the Montreal Cognitive Assessment Scale (MoCA) were used for investigation and research. Use SPSS 25.0 statistical software for statistical analysis. Results? The results of the study showed that gender, drinking alcohol, sleep quality, anxiety, depression, stroke type and cognitive impairment were the main influencing factors for attention disorders in the elderly after stroke. Conclusion? This study found that the research subjects had a higher incidence of attention disorders, and older stroke patients who were men, usually drinking alcohol, poor sleep quality, anxiety, depression, and ischemic stroke with cognitive impairment were more likely to have attention dysfunction.

      • ZHANG Yuhong, ZHANG Yuxia

        Publication date:2022-06-27, DOI: 10.12209/issn2708-3845.20220627002

        Classification :Nursing-nursing management

        Abstract:The intelligent nursing and healthcare management platform focuses on the data-driving healthcare management model, advocates the core concept of "prevention is better than treatment", proposes the service concept of "pre hospital prevention, in hospital treatment and post hospital intervention", collects the whole process and all-round health-related data such as patient physiological monitoring signs, laboratory tests, disease treatment, diet and activities. By using cloud computing and artificial intelligence technology, the intelligent health care management platform aims to establish health care decision-making models, such as evaluation, prediction and intervention, and provide personalized health management services.

      • ZHOU Rong, WU Lina, WANG Fang, QIN Xiang, YAO Xin

        Publication date:2022-06-27, DOI: 10.12209/issn2708-3845.20220627001

        Classification :Nursing technology-sterilization and storage

        Abstract:Objective To investigate the influence of water of different quality on cleaning quality of reusable?medical instruments. Methods Totally 360 pieces of reusable?medical instruments were included as the research objects. According to different stratified sampling of contaminated instruments, this study conducted tap water treatment (group A, n=100), soft water treatment (group B, n=153) and pure water treatment (group C, n=107). The cleaning effect was detected by visual inspection(magnifier?with?a?light?source)and ATP bioluminescence device. Results According to the outcomes of assessment by visual inspection(including magnifier?with?a?light?source), there was no significant difference in cleaning effect between three groups (P>0.05). According to the outcomes of assessment by ATP bioluminescence, higher quality of cleaning was observed in those instruments with low level of contamination after pre-treatment(P<0.01); The cleaning effect of instrument treated with pure water was better than that of devices treated with soft water and tap water in the process of washing and rinsing(P<0.05). Conclusion The pre-treatment has an impact on the cleaning quality of reusable medical instruments, which means that better pre-treatment condition is associated with higher cleaning quality . The cleaning quality of medical instruments treated with pure water in whole process is better than that of medical instrument treated by washing and rinsing with tap water and soft water.

      • JIANG Chengyu

        Publication date:2022-06-23, DOI: 10.12209/issn2708-3845.20220623003

        Classification :Nursing-nursing management

        Abstract:This paper reviewed the studies on the compliance with medication among tuberculosis patients, including the evaluation method of treatment compliance, influencing factors and the nursing countermeasures. This review aimed to provide reference for intervention on enhancing the clinical practitioner’s awareness of tuberculosis, improving their evaluation and management ability, and preventing the emergence of MDR-resistant tuberculosis due to the failure to follow the standard medication of tuberculosis treatment. This review also presented ideas for further scientific research and clinical practice.

      • XIAO Ruirui, LIU Zidi, LIYe, WANG Huaxin, TANG Ling

        Publication date:2022-06-23, DOI: 10.12209/issn2708-3845.20220623004

        Classification :Traditional Chinese medicine nursing-TCM nursing and others

        Abstract:This paper summarized the nursing management of a patient with thecal cyst in tendon of wrist treated by acupuncture combined with TDP lamp irradiation. On the basis of nursing interventions for acupuncture and TDP lamp irradiation, preventive measures and emotion care were carried out. Acupuncture combined with TDP lamp irradiation is effective in the relief of discomfort caused by thecal cyst in tendon of wrist, and improve the recovery of wrist function.

      • LI Kaixuan, DI Youhua, ZHOU YANG, WANG XING, CHEN LEI, YAN Ruina

        Publication date:2022-06-23, DOI: 10.12209/issn2708-3845.20220623005

        Classification :Nursing-basic nursing

        Abstract:Objective To explore the appearance of multi-drug resistant Acinetobacter baumannii in clinical infection cases in the hospital from 2018 to 2010 and its biofilm formation ability, providing a theoretical research basis for in-depth understanding of bacterial biofilm infection and its drug resistance mechanism, and providing ideas and methods for clinical prevention, control and treatment. Methods The multi-drug resistant Acinetobacter baumannii isolated from the Microbiology Room of the Second Affiliated Hospital of Xi’an Medical College from March 2018 to March 2020 was collected, and the strains were identified and tested by the automatic bacterial identification instrument VITEK-2 identification and drug sensitivity analysis system. For drug susceptibility testing, Congo red medium was used to qualitatively test the biofilm-forming ability of the selected 89 beads multi-drug resistant experimental strains. The morphological and structural characteristics of multi-drug resistant Acinetobacter baumannii biofilms established on 6-well cell culture plates were qualitatively observed by scanning electron microscope. A 96-well cell culture plate and LB culture medium were used for constant temperature culture and the in vitro multi-drug resistant Acinetobacter baumannii biofilm was constructed. Crystal violet solution staining was used to determine the absorbance value, and the formation of the multi-drug resistant experimental strain biofilm was quantitatively detected. Results Qualitative detection of Congo red medium showed a positive rate of 71.91% (64/89). Most of the specimens were sourced from the ICU ward of the Department of Respiratory and Critical Care Medicine, accounting for 45.31% (29/64). Most of them were alveolar lavage fluid specimens. Most of the infected people were older than 60 years old, had certain underlying diseases, stayed in the ICU for a long time, used two or more antibiotics, and had invasive procedures such as tracheal intubation/incision. Bacterial biofilm could be formed in 96-well cell culture plate at 37°C constant temperature for 72 hours. Crystal violet staining and quantitative detection of the absorbance value with a microplate reader showed that the amount of biofilm formed after 48 hours of culture was the highest, with a positive rate of 79.78% (71/89). It was able to be used as an experimental condition for determining the biofilm formation ability of clinical multi-drug-resistant Acinetobacter baumannii. The positive multi-resistant test strains screened by Congo Red Agar medium could form bacterial biofilms on 96-well cell culture plates. Conclusion In clinical testing, multi-drug resistant Acinetobacter baumannii has strong drug resistance and is positively correlated with the ability of biofilm formation. The production of biofilm is one of the important reasons for its multi-drug resistance mechanism. The coating of pathogenic bacteria increases clinical control The difficulty of infection, the main way of transmission is contact transmission, so it is very important to do a good job in the prevention and control of nosocomial infection.

      • XU Xu, REN Guqun, SU Yuqiang, XU Yuanle, WANG Yuena

        Publication date:2022-06-23, DOI: 10.12209/issn2708-3845.20220623001

        Classification :Nursing technology-sterilization and storage

        Abstract:Objective To analyze the role and effect of continuous quality improvement in nosocomial infection prevention and control. Methods In order to improve the effect of nosocomial infection prevention and control, a set of continuous quality improvement measures had been carried out since January, 2021. Totally 500 hospitalized patients with hospital admission from January to December 2020 were selected as the control group, and 500 hospitalized patients with hospital admission from January to December 2021 were selected as the observation group, At the same time, 60 medical and nursing staffs were selected for clinical research. This study will evaluate the role and effect of continuous quality improvement in nosocomial infection prevention and control by comparing the differences in the occurrence of nosocomial infection between the two groups of patients, the scores of medical staff''s mastery of nosocomial infection related knowledge at different time points, and the differences in the satisfaction of the two groups of patients with infection prevention and control. Results The incidence of incision infection, skin infection, urinary system infection and respiratory system infection in the observation group were significantly lower than those in the control group, and the difference between the groups was statistically significant (P < 0.05). In 2020, the scores of hospital infection knowledge mastery among medical and nursing staffs in our hospital, such as safety protection, aseptic operation and occupational exposure, were significantly lower than those in 2021, with a significant difference (P < 0.01). The satisfaction of patients in the observation group was higher than that in the control group, with a significant difference (P < 0.01). Conclusion The implementation effect of continuous quality improvement measures in the prevention and control of nosocomial infection is remarkable. The implementation of this measure can not only improve the mastery of nosocomial infection related knowledge among hospital staffs, but also effectively reduce the risk of nosocomial infection.

      • DENG Jing

        Publication date:2022-06-23, DOI: 10.12209/issn2708-3845.20220623002

        Classification :Nursing technology-operation room nursing

        Abstract:Objective To evaluate the clinical teaching and training methods for newly recruited surgical nurses based on Guide to Operating Room Nursing Practice. Methods Newly recruited surgical nurses who started working from 2017 to 2019 and received traditional methods in clinical training were defined as the control group. Nurses who started working from 2020 to 2021 and trained based on Guide to Operating Room Nursing Practice were assigned as the experimental group. The theoretic knowledge level and clinical practical skills of nurses were assessed. Results Compared to the control group, the experimental group scored higher in assessment of theoretic knowledge regarding aseptic techniques, operative position, electrosurgery, isolation methods, risk management, inventory management of surgical supplies, instruments count, prevention of infection, and operating room staffing(P<0.05). Compared to the control group, the experimental group scored higher in assessment of clinical practical skills (P<0.05) except for aseptic techniques and electrosurgery. Conclusion Clinical teaching and training based on Guide to Operating Room Nursing Practice is effective to improve the theoretic knowledge level and clinical practical skills of newly recruited surgical nurses. It has become one of the best guidelines to facilitate the surgical nurse training at hospitals.

      • LIU Fei, YAN Qiuyan

        Publication date:2022-06-21, DOI: 10.12209/issn2708-3845.20220620001

        Classification :Traditional Chinese medicine nursing-surgery nursing of TCM

        Abstract:Total knee arthroplasty is an effective surgery in the treatment of end-stage arthritis. However, Postoperative pain adversely affects recovery and patients’ quality of life. There has been a wide use of Traditional Chinese Medicine (TCM) nursing technology in pain control after total knee arthroplasty, and common nursing interventions includes Chinese herbal medicine external application, auricular point pressing therapy, Tuina, moxibustion, and so on. Given the inadequacies in standardization of operation and evaluation system, it is required to enhance the evidence-based nursing practice and form an effective operation and evaluation system, aiming to promote the clinical practice of TCM nursing technology.

      • KE Ke, HE Juanfeng, WANG Wei

        Publication date:2022-06-21, DOI: 10.12209/issn2708-3845.20220620002

        Classification :Nursing-nursing psychology

        Abstract:Objective To investigate the experience of stigma among disabled elders with stroke and their primary caregivers, analyze potential reasons and measures to relieve the feeling of stigma, and provide a reference for medical workers to carry out targeted psychological care and comprehensive interventions. Methods? Phenomenological research design and semi-structural interviews were conducted on 13 disabled elders with stroke and their primary caregivers, and the collected data were analyzed with the method of Colaizzi Phenomenological analysis. Results By analyzing and sorting out the data, 3 themes and 9 sub-themes related to the experience of stigma were put forward: cognitive attribution (label recognition, abnormal behavior, attitudes of others, lack of social support), negative emotional response (guilt and remorse, anomaly discrimination, belief in suicide) and non-adaptive coping style (social withdrawal, conceal illness). Conclusion Research findings had identified varying degrees of stigma among disabled elders with stroke and their primary caregivers. Medical and social workers should pay more attention on experience of stigma among disabled elders with stroke and their primary caregivers. More efforts should be made to improve patients and their caregivers’ mental resilience and positive coping skills, and improve the recovery of physical and psychosocial function among patients and their caregivers.

      • MA Guangyu

        Publication date:2022-06-20, DOI: 10.12209/issn2708-3845.20220608003

        Classification :Traditional Chinese medicine nursing-internal medical nursing of TCM

        Abstract:Objective: to explore the effect of ear point pressing on the patients with insomnia and anxiety. Method: ear point pressing bean is a kind of traditional Chinese medicine therapy, which mainly stimulates the points on the auricle of human body to achieve the goal of treatment. Results: one patient was treated by ear point pressing with beans, the curative effect was good. Conclusion: auricular point pressing can improve insomnia and anxiety in time, and improve the quality of daily life of patients.

      • ZHANG Zehan, ZhHENG Haizhi, YAN Xiaoxia, WANG Ting

        Publication date:2022-06-20, DOI: 10.12209/issn2708-3845.20220616002

        Classification :Specialist nursing-internal medical nursing

        Abstract:目的:目前很少有关于心脏神经官能症患者患病经历体验的定性研究,本研究是确定心脏神经官能症患者面临的复杂疾病健康挑战;疾病生活体验的低谷、转折点和高潮;解决疾病生活挑战的方法。方法:用故事理论作为指导数据收集的定性框架,用故事探究法进行数据分析。结果:从故事来看,心脏神经冠能症对患者复杂健康挑战的主题是“焦虑、躯体不适、疑病、无助的痛苦”;描述疾病体验低谷、转折点和高潮的主题分别为“远离一切”、“通过生活的哲学和自我调适,不断实现走向解决得可能性”和“身心的平静、拒绝过度医疗、人际关系好转”;患者自我解决疾病生活挑战的方法是“药物治疗、学习和提升灵性”;结论:故事揭示了心脏神经官能症患者面临的疾病健康挑战以及自我应对解决疾病生活挑战的方法,为患者所面临的疾病健康挑战提供了见解、证据及新的视角,表明相较于躯体症状,这类患者的心理问题更为突出,一定要针对患者的需求给予干预,构建有效地支持系统,满足患者灵性需求,构建人文壁垒,方能直抵患者内心,解决其根本问题,而不是仅仅依赖药物治疗。

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      7, 2022

      • 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.

      • 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。

      • 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.

      • 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.

      • Ching Ting Kwok

        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.

      • Yang Ping

        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。

      • Song Ying

        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.

      • 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。

      • 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。

      • 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.

      • Hao Ieng Cheong, Aimei Mao

        Publication date:2021-01-06, DOI:10.6729/MJN.202012_19(2).002

        Classification :Specialist nursing-community nursing

        Abstract:Because of Corona Virus Disease 2019 (COVID-19) has spread worldwide, Macao responded quickly to this new infectious disease and has enacted a range of preventive strategies since January 2020, aiming to curtain imported cases as well as community transmissions. As of August 7, 2020, there were 44 imported cases, 2 import-related ones, and no community-transmitted ones in Macao, re?ecting the e?ectiveness of the preventive strategies. This article describes the measures taken by the Macao government to prevent the community transmissions, including supply of masks for all residents, disseminations of preventive measures through multiple channels, restrictions of cross-border ?ow of people, and prevention of unnecessary gatherings. These strategies received well responses from the public. However, in the context of normalization of the epidemic situation, it is necessary for the Macao government and residents to review the current strategies and identify the weaknesses so that improvement can be made. Only when continuous e?orts from the whole community are made, can Macao maintain a record of no community-transmitted cases, when there are re-surges of COVID-19 cases in the neighboring regions.

      • 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。

      • DENG Jian-hua, MA Xue-ling, ZHANG Jing, LI Jing, ZHAO Nan, ZHANG Zhi-yun, TANG Ling

        Publication date:2020-10-20, DOI:10.12209/issn2708-3845.20201020004

        Classification :Traditional Chinese medicine nursing-internal medical nursing of TCM

        Abstract: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.

      • 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。

      • 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.

      • 韩晓苇, , , and

        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.

      • Yang Ping

        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。

      • 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.

      • 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。

      • 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.

      • 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。

      • 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.

      • BAI Xiaowen, LIANG Xiaoyu, SUN Longhao, HU Fang, WANG Jingzhen

        Publication date:2020-08-12, DOI:10.12209/issn2708-3845.20200811003

        Classification :Specialist nursing-surgery nursing

        Abstract:目的 调查减重术后患者随访需求,为优化减重术后随访程序提供参考。 方法 采用半结构化访谈,对18名减重术后患者进行深入访谈。采用Colaizzi现象学研究法分析资料、提炼主题。 结果 本研究提炼出4个主题,即:特殊时期患者对随访的需求更高;随访内容的需求;随访方式需求多样;卫生服务资源需求。 结论 应进一步加强减重术后相关知识的宣力度,建立以个案护理模式和多学科管理相结合为基础的随访体系,加强医患间沟通交流,深入了解患者的需求,有针对性的提供干预措施,提高随访依从性。

    Chinese name:中西医结合护理(预印本)
    English name:Integrative Nursing Preprint
    Website:www.nursrxiv.org.cn
    Operations management:中西医结合护理杂志社
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