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Table of Content
15 February 2022, Volume 22 Issue 2
Special Planning
Analysis of the status quo of the trustworthiness of nursing qualitative research and its improvement technology
WANG Honghong, ZHAO Di, ZHAO Xiaomin, XIAO Xueling
Chinese Nursing Management. 2022, 22 (2):  161-166.  DOI: 10.3969/j.issn.1672-1756.2022.02.001
Abstract ( 352 )   PDF (3215KB) ( 106 )  
bjective: To analyze the status trustworthiness of current qualitative studies. Methods: We systematically searched two databases (CNKI and WangFang Data) for the qualitative studies published in 5 Chinese Science Citation Database (CSCD) nursing journals in the recent 5 years. Based on the standards for reporting qualitative studies, we included and analyzed the studies meeting our inclusion criteria. Results: We obtained 389 qualitative studies and found that 94.9% of the included qualitative articles reported one or more methods to address the rigor of the research. The most common method was member check and triangulation. Compared with the standard of qualitative research reports, the current use of techniques for improving the trustworthiness of qualitative research is a literal and simple description, the reporting of techniques for improving the trustworthiness of qualitative research is not standardized, and the reporting of existing qualitative research design and data analysis methods is insufficient clear. Conclusion: Based on these issues, we illustrates the commonly used strategies for boosting trustworthiness of qualitative studies with examples. We advocate the researchers to deeply understand standards for reporting qualitative study and strategies to improve the trustworthiness to ensure that the strategies will be adopted through the whole process of the research to improve the research quality.
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The perspectives and practice status quo of Advance Care Planning among medical professionals
SHENG Yu, WANG Xinru
Chinese Nursing Management. 2022, 22 (2):  166-171.  DOI: 10.3969/j.issn.1672-1756.2022.02.002
Abstract ( 218 )   PDF (2250KB) ( 177 )  
Objective: To explore the perspectives and practice status quo of Advance Care Planning (ACP) among medical professionals. Methods: The phenomenological research method was used. Semi-structured interviews were conducted with 11 medical staff in two tertiary hospitals, a community health service center and a hospice hospital in Beijing from September to November 2021. Data were analyzed by using Colaizzi's 7-step analysis method. Results: There are 4 themes and 9 sub-themes emerged from the interview data. The four themes were: (1) ACP is still in its infancy in China, and clinical practice is still in the trial stage; (2) medical professionals do not have enough knowledge of the ACP concept, but hold a positive attitude towards the significance of ACP; (3) the communication time, ability of medical professionals and the actual situation of patients are the keys to ACP practice; (4) traditional cultural concepts, inadequate medical investment and policy are the barriers to the current practice of ACP. Conclusion: It is necessary to pay attention to the perspectives and practical ability of ACP among medical professionals. We should further explore culturally appropriate ACP practice strategies based on the problems and dilemmas found in this study, so as to promote the implementation of ACP by medical professionals in the future.
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Professional resilience development model in junior nurses: a grounded theory study
LI Xianhong, SHEN Yan, XIAN Yajing, PAN Si, ZHOU Jing
Chinese Nursing Management. 2022, 22 (2):  172-179.  DOI: 10.3969/j.issn.1672-1756.2022.02.003
Abstract ( 264 )   PDF (3037KB) ( 139 )  
Objective: To explore the constructive process and influencing factors of nursing professional resilience development in junior nurses. Methods: Semi-structured interviews were conducted among 17 junior nurses, and Charmaz's constructing grounded theory paradigm was used to guide the data collection and data analysis. Results: The Pine Tree Model (PTM), a nursing professional resilience development model in junior nurses, was constructed. This model presented that the essence of the nursing professional resilience development was the nursing profession growing process with four developmental paths: high level resilience-profession path, medium-high level resilience-career path, medium-low level resilience-job path and low level resilience-resignation path. Moreover, five themes and 16 sub-themes affecting nursing professional resilience were identified. Conclusion: The development of nursing professional resilience is a multilevel and dynamic process, which is influenced by individual attributes, professional attributes, interpersonal relationships, institutional level factors and social level factors. This study provides a conceptual framework for the development of nursing professional resilience measurement, and also provides a theoretical preference to improve the professional resilience level and retention rate among junior nurses.
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Nurses' attitudes and suggestions on nursing quality supervision: a qualitative study
HU Meihua, WANG Tongyu, QIU Cuiling, QI Yi, TAN Yan, ZHOU Jingfeng, LI Xuying
Chinese Nursing Management. 2022, 22 (2):  179-183.  DOI: 10.3969/j.issn.1672-1756.2022.02.004
Abstract ( 292 )   PDF (2179KB) ( 77 )  
Objective: The attitude and suggestions of hospital nurses to nursing quality supervision were analyzed in order to provide reference and basis for clinical development of reasonable nursing supervision mode and construction of scientific nursing quality evaluation system. Methods: The phenomenological research method was applied. Semi-structured in-depth interviews were conducted with 14 nurses in a tertiary hospital in Changsha from March to May 2021. Data were analyzed using the Colaizzi's 7-step analysis method. Results: Nurses' attitudes toward nursing quality supervision were summarized into 2 themes: recognition of the importance of quality supervision and idealized supervision standards. Nurses' suggestions on nursing quality supervision were reflected by 4 themes: inspectors should be professional, objective and fair; supervision should be diversified; the results of supervision should give feedback on time and guide for improvement; humanistic care should be integrated into the supervision process. Conclusion: Nurses recognized the importance of nursing quality supervision. They also agreed that some supervision criteria were too idealistic. Supervisors should improve their own ability, provide timely feedback on supervision results and offer humanistic supervision. Moreover, nursing managers should develop supervision evaluation indexes in accordance with the clinical reality.
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A qualitative research on cervical cancer screening behavior and its barrier factors among HIV-positive women
GU Can, WANG Luyao, LIN Shuxian, LIU Zixuan, LUO Yang
Chinese Nursing Management. 2022, 22 (2):  184-189.  DOI: 10.3969/j.issn.1672-1756.2022.02.005
Abstract ( 222 )   PDF (2571KB) ( 75 )  
Objective: To explore cervical cancer screening behavior and its barriers among HIV-positive women. Methods: Phenomenological research method was employed. Using the purposive sampling method, totally 15 HIV-positive women were recruited in two HIV clinics of the infectious diseases hospitals from two cities of Hunan province. These women were semi-structured interviewed from August 2019 to January 2020. The data was categorized and analyzed by Colaizzi's 7-step method. Results: There were 3 themes and 9 sub-themes, including neglected cervical cancer risk screening (lack of attention to cervical cancer risk among HIV-positive women, and lack of education by medical staff on cervical cancer prevention and treatment among HIV-positive women); HIV infection-related obstacles to cervical cancer screening (fear of being rejected by non-HIV-designated hospitals, fear of being discriminated against, fear of information leakage of HIV infection due to screening, physical weakness related to HIV infection, pessimism related to HIV infection); expectations (enrollment of cervical cancer screening in HIV clinics, participation in screening with patients). Conclusion: The current status of cervical cancer screening in HIV-positive women is not optimistic, and there are specific barriers to participation in cervical cancer screening for this group. The results of this study provide a reference for promoting the participation of this group in screening. Medical staff in HIV clinics should carry out health education related to cervical cancer prevention and treatment for this group, and may consider providing gynecological health examination services in HIV clinics to improve the participation of this group in screening.
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Research Papers
Symptoms intrusiveness situation and the influencing factors in patients with Malignant Fungating Wounds
LIU Xin, LIN Hua, ZHANG Ting, LIAO Zhaoyu, SHEN Ling, YUAN Shanshan
Chinese Nursing Management. 2022, 22 (2):  190-195.  DOI: 10.3969/j.issn.1672-1756.2022.02.006
Abstract ( 186 )   PDF (3075KB) ( 60 )  
Objective: To investigate the level of symptom intrusiveness in patients with Malignant Fungating Wounds and analyze the influencing factors. Methods: From January 2019 to May 2021, 132 patients with Malignant Fungating Wounds were selected as the research subjects by convenience sampling method in a tertiary grade A hospital in Nanning. The general information questionnaire and the Symptom Intrusiveness Rating Scale and other tools were used to evaluate the level of symptom intrusiveness of patients with Malignant Fungating Wounds. Using multiple linear regression to analyze the influencing factors. Results: The total score of symptom intrusiveness in patients with Malignant Fungating Wounds was (55.42±14.21). The scores of the dimensions were functional status (19.50±4.73), social relationship (17.50±6.12), mental health (18.42±4.55). Multiple linear regression results showed that gender, wound exudation amount, wound odor, wound itching, dressing change frequency and psychological distress were the influencing factors of symptom intrusiveness of patients with Malignant Fungating Wounds (P<0.05), accounted for 79.7% of the total variation. Conclusion: Patients with Malignant Fungating Wounds have higher symptom intrusiveness level. Nurses should pay attention to the patient's wound or tumor-related symptoms, to help patients manage their symptoms, guide patients to actively deal with existing symptoms and illnesses, give psychological support and counseling, improve patients' quality of life.
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Construction of predictive model of Inattentional Blindness in nursing
YANG Jing, FANG Qian, LENG Anming, LUO Meimei, MENG Tingting, LI Dejie, ZOU Min
Chinese Nursing Management. 2022, 22 (2):  196-200.  DOI: 10.3969/j.issn.1672-1756.2022.02.007
Abstract ( 192 )   PDF (2451KB) ( 37 )  
Objective: To analyze the relationship between perceptual load, attentional set, negative emotion and nursing Inattentional Blindness (IB) by establishing a predictive model of the influencing factors of IB in nursing. Methods: From June to July 2020, 976 nurses from three tertiary general hospitals in Guiyang were selected by convenience sampling method. The status and the influencing factors of nurses' IB were investigated. The structural equation model was used to analyze the roles of nurses' perceptual load, attentional set and negative emotions in the emerging of nursing IB. Results: Attentional set, perceptual load, and negative emotions positively affected IB, with an interpretation rate of 70.2%. The total effect of perceptual load on IB was 0.435, the direct effect was 0.196, and mediation effect was 0.239, accounting for 54.9%. The total effect of attentional set on IB was 0.434, direct effect was 0.234, and mediation effect was 0.200, accounting for 46.1%. Conclusion: Perceptual load, attentional set and negative emotions are the direct influencing factors of nursing IB, while negative emotions play an intermediary effect between perceptual load, attentional set and the occurrence of IB in nursing, and have a positive correlation predictive effect. The results of this study provide a theoretical basis for the targeted prevention of the occurrence of nursing IB in the future.
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The effect of visual art therapy on cognitive impairment and negative emotion of elderly patients with breast cancer
HAO Ting, LI Hongmei, ZHANG Jun, YANG Qihui, YANG Jia
Chinese Nursing Management. 2022, 22 (2):  201-206.  DOI: 10.3969/j.issn.1672-1756.2022.02.008
Abstract ( 191 )   PDF (3161KB) ( 107 )  
Objective: To analyze the effect of visual art therapy on Chemotherapy-Related Cognitive Impairment and negative emotions in elderly patients with breast cancer. Methods: Totally 84 elderly patients with breast cancer chemotherapy were divided into control group (n=43) and intervention group (n=41) according to the order of admission. The control group received conventional chemotherapy health education, and the intervention group received visual art therapy. The general information questionnaire, the Functional Assessment of Cancer Therapy-Cognitive Function (FACT-Cog), and the Hospital Anxiety and Depression Scale (HADS) were used for assessment pre- and post-intervention. Results: After intervention, FACT-Cog score of elderly breast cancer patients in intervention group was higher than that of control group, and HADS score was significantly lower than that of control group (P<0.05). Conclusion: Visual art therapy can improve the cognitive function of elderly breast cancer patients and reduce their negative emotions.
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Investigation on caregiver burden and its influencing factors in patients with Systemic Lupus Erythematosus
LI Xiangfeng, WANG Xinru, WANG Duoduo, WANG Qingyan, ZHANG Chunyan
Chinese Nursing Management. 2022, 22 (2):  207-212.  DOI: 10.3969/j.issn.1672-1756.2022.02.009
Abstract ( 201 )   PDF (3125KB) ( 91 )  
Objective: To analyze the family caregiver burden and its influencing factors of Systemic Lupus Erythematosus (SLE) patients, provide a reference for reducing the burden of patients families. Methods: Totally 138 family caregivers of SLE patients from a tertiary grade A hospital were conveniently sampled and investigated by Zarit Caregiver Burden Interview, the Barthel index of ADL, SLEDAI?-?2000, Family Inventory of Life Events and Changes, and Family Inventory of Resources for Management. Multivariate stepwise regression analysis was used to analyze the influencing factors of caregiver burden. Results: The family caregiver burden of SLE patients was 31.00 (22.00, 43.25). The influencing factors included caregiver occupation, household income, family life events, family control and health status of family members (P<0.05). Conclusion: The burden of the SLE patients' caregivers was mainly light to moderate. Medical staff should make a holistic assessment of the patient's family so as to reduce the caregivers burden and promote the physical and mental health and quality of life of both patients and caregivers.
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Status quo and influencing factors of stigma in patients with oral cancer flap transplantation
CAO Yaling, CUI Jinrui, HU Qin, LI Lei, YANG Jing, TIAN Siwei
Chinese Nursing Management. 2022, 22 (2):  213-216.  DOI: 10.3969/j.issn.1672-1756.2022.02.010
Abstract ( 165 )   PDF (2306KB) ( 55 )  
Objective: To investigate the status quo and influencing factors of stigma in patients with oral cancer flaps transplantation. Methods: 105 patients with oral cancer flap transplantation were investigated using general data questionnaire, Social Impact Scale (SIS), General Self-Efficacy Scale (GSES), and Rosenberg Self-Esteem Scale (RSES) and analyzed the influencing factors. Results: The average score of SIS was 2.13±0.44, and 84.8% (89 cases) of the patients had a moderate or high level stigma. General self-efficacy and self-esteem of patients with oral cancer flap transplantation were independent factors of stigma. Conclusion: Patients with oral cancer flap transplantation had high level stigma, and the recovery and reconstruction of oral function after surgery is needed. Medical staff should guide patients to take a positive attitude to improve stigma.
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Effects of different saline flushing frequency on the blocking rate and indwelling time of Peripheral Venous Catheter in young children
SONG Lei, WU Xiaoning, GENG Wenzhen, ZHAO Lin, JIANG Wenbin, WANG Qian, HU Song, WEI Lili
Chinese Nursing Management. 2022, 22 (2):  217-222.  DOI: 10.3969/j.issn.1672-1756.2022.02.011
Abstract ( 404 )   PDF (2729KB) ( 61 )  
Objective: To compare the effects of normal saline flushing (q24h vs q12h) on maintaining the patency and indwelling time of the Peripheral Venous Catheter (PVC) in children aged 1 to 3 years. Methods: We selected hospitalized children aged 1-3 years in 3 hospitals from April to June 2021. Using sealed envelope method, they were divided into q24h group (n=115) and q12h group (n=117) and given to pulse tube flushing or positive pressure sealing tube respectively according to different frequency (q24h vs q12h). We compared the incidence of tube blocking and indwelling time of PVC between the two groups. Results: Intentional analysis (ITT) showed that the tube blocking rate of PVC in q24h group and q12h group were 10.4% and 8.5%, respectively, with no statistical significance (P>0.05), and the difference was -1.9% (95%CI: -9.4%~5.6%), indicating that the non-inferior flushing effect of q24h was higher than that of q12h. The indwelling time of PVC in the q24h group and q12h group was (63.74±19.72) h and (68.43±19.52) h, respectively, with no significant difference (P>0.05). Conclusion: In the q24h group, normal saline flushing can maintain the patency of PVC in children aged 1 to 3 years, save costs and reduce the workload of nurses without affecting their indwelling time, and provide a basis for the maintenance of intravenous PVC in young children.
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Nursing Safety
Research progress on the management of clinical alarm of electrocardiogram monitor in Intensive Care Unit
WANG Lei, SONG Caiping
Chinese Nursing Management. 2022, 22 (2):  223-227.  DOI: 10.3969/j.issn.1672-1756.2022.02.012
Abstract ( 298 )   PDF (1836KB) ( 78 )  
Nurses are the direct caregivers of patients in Intensive Care Units (ICU) and the direct recipients of clinical alerts, and delayed response or missed alerts would affect the quality of care and safety of patients seriously. The frequency of clinical alarms of electrocardiogram monitor in ICU, the related responses of nurses, and the hazards, assessment tools and management improvement measures of clinical alarms were reviewed to provide references for further researches on clinical alarm of electrocardiogram monitor in ICU, and to improve the management of clinical alarm of electrocardiogram monitor in ICU in China.
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The effect of dietary improvement on improving the safety and effectiveness of swallowing in patients with Dysphagia After Stroke
LYU Mengju, LIU Junjie, LI Xuelin, REN Min, KAN Yuwen
Chinese Nursing Management. 2022, 22 (2):  228-233.  DOI: 10.3969/j.issn.1672-1756.2022.02.013
Abstract ( 165 )   PDF (3122KB) ( 57 )  
Objective: To explore the effect of dietary improvement based on food grade criteria on safety and efficacy of swallowing in patients with Dysphagia After Stroke (DAS). Methods: Convenience sampling was used to select the patients with DAS in the neurology department of a grade A hospital in Chongqing from February 2021 to July 2021. Patients hospitalized in the first 3 months were assigned into the control group (n=39), and those hospitalized in the latter 3 months were assigned into the experimental group (n=39). The participants in the experimental group were with dietary modifications based on food grade quantitative standard, and those in the control group were with regular diet. The incidence of symptoms related to swallowing safety and effectiveness were compared during feeding for three consecutive days. Results: The incidence of choking, sound quality change, and reduction in blood oxygen saturation ≥3% in the experimental group was lower than that in the control group (P<0.05), there was no difference in the incidence of cyanosis (P>0.05) , no asphyxia was observed in both groups. The incidence of oral and pharyngeal food residues in the experimental group was lower than that in the control group (P<0.05), and there was no difference in the incidence of incomplete lip closure and secondary swallowing between the two groups (P>0.05). Conclusion: Dietary improvement based on food grading criteria is benefit to improve the safety and efficacy of swallowing in patients with DAS.
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Data mining and analysis of unplanned extubation in adult inpatients
SHEN Mingyan, FENG Zhixian, CHEN Xiang, ZHANG Yundi
Chinese Nursing Management. 2022, 22 (2):  233-237.  DOI: 10.3969/j.issn.1672-1756.2022.02.014
Abstract ( 215 )   PDF (2163KB) ( 153 )  
Objective: To discover the potential associations between the unplanned extubation and other factors in adult inpatients, and to provide reference for the prevention plans of unplanned extubation. Methods: Totally 42 024 items data from 618 patients with unplanned extubation in a tertiary grade A hospital in Hangzhou from January 2016 to December 2020 were collected. Apriori algorithm was used for data mining, chi-square test was used to evaluate the validity of the obtained potential association rules, and the strong association rules were formed combining with the opinions of experts and the results of data analysis. Results: A total of 13 pairs of strong association rules were formed. The high-risk predictors in unplanned extubation in adult inpatients include: male, conscious state, with smoking history, no occupation, no restraint, with low-risk catheter, non-venous catheter, single catheter fixation, night time, the working years of nurse on duty were 1-3 years. Conclusion: More attention should be paid to the male, those with smoking history, non-employment, and unconstrained, and the management of nighttime, low-risk catheters, and non-venous catheters, and training for low-age nurses also are important.
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Human Resource
The occupational fatigue of nurses in operating rooms in the tertiary hospitals in China
QIAN Wenjing, ZHANG Yaqing, QIAN Qianjian
Chinese Nursing Management. 2022, 22 (2):  238-244.  DOI: 10.3969/j.issn.1672-1756.2022.02.015
Abstract ( 224 )   PDF (4323KB) ( 66 )  
Objective: To explore the status and influencing factors of occupational fatigue of nurses in operating rooms in China. Methods: A total of 1122 nurses from nine tertiary hospitals in eastern, central and western China were recruited using convenient sampling. They were investigated with general questionnaire, occupational fatigue exhaustion recovery scale and job content scale. Results: Job demand, job control, daily overtime hours, monthly total income, daily sleep time, social support, marital status, position and region accounted for 32.4% of the variation of acute fatigue. Job demand, job control, daily overtime hours, region and social support accounted for 24.2% of the variation of chronic fatigue. Job demand, job control, daily overtime hours, region, social support, daily sleep time, work pattern and position accounted for 26.5% of the variation of intershift recovery. Conclusion: Managers should develop tailored interventions to alleviate the occupational fatigue of nurses in operating rooms and promote their physical and mental health, so as to ensure the safety of patients and improve the nursing quality.
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Post-Traumatic Growth among nurses: a scoping review
WANG Mingjing, WANG Limin, LU Caihong, ZHU Mingyuan
Chinese Nursing Management. 2022, 22 (2):  245-250.  DOI: 10.3969/j.issn.1672-1756.2022.02.016
Abstract ( 238 )   PDF (2018KB) ( 277 )  
Objective: To understand the research status of Post-Traumatic Growth among nurses and the main influencing factors. Methods: The scoping review was conducted under the framework proposed by Arksey and O'Malley, we searched the studies about nurses' Post-Traumatic Growth in PubMed, Web of Science, Cochrane Library, CNKI, WanFang Data, VIP and CBM. Two researchers independently screened and extracted data. Results: Totally 33 literature were included and published from 2008 to 2021. The included research showed that nurses experienced different levels of Post-Traumatic Growth after direct or indirect trauma. The main influencing factors could be summarized into five aspects: sociodemographic factors, trauma related factors, psychological related factors, coping styles and social support. Conclusion: In the future, it is necessary to standardize the use of Post-Traumatic Growth measurement tools and further explore the controversial factors affecting Post-Traumatic Growth. Managers can promote nurses to adopt effective coping styles and give good social support to achieve nurses' Post-Traumatic Growth.
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Application of disease diagnosis related grouping in nursing manpower and performance management
LIU Kui, JIANG Li, YANG Shumei, DONG Xunan, YAN Jinghong
Chinese Nursing Management. 2022, 22 (2):  250-254.  DOI: 10.3969/j.issn.1672-1756.2022.02.017
Abstract ( 149 )   PDF (2635KB) ( 70 )  
Objective: To test the feasibility of disease diagnosis related grouping in nursing manpower and performance management. Methods: The "nursing unit" which is the core content of the health service supplying side was the main research object in the present study. Information in first page of 106 253 patients' medical records from 51 departments in a hospital from September 2019 to September 2020 were classified and summarized. The DRG evaluation model was developed with the rank sum ratio method combined CN-DRG grouping scheme. Results: The evaluation of nursing performance by disease diagnosis related grouping showed that 2 departments (3.92%) were on the excellent level, 36 (70.59%) on the good level and 13 (25.49%) on the general level. When DRG was included, 16 departments (31.37%) were on the excellent level (31.37%), 31 (60.78%) in the good level, and 4 departments (7.85%) were in the general level. The maximum RSR change of departments was 15, the minimum was 1, and the average change was 8.6. The results were statistically significant (F=108.336, P=0.013). Conclusion: DRG can promote the formation of nursing performance and scientific management mode of human resources. We should establish performance compensation mechanism on the basis of ensuring nursing quality. Besides, DRG in nursing performance management should be paid more attention to.
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Evidence-based Nursing
Meta-integration of studies on self-dietary management in hemodialysis patients
LIU Xueqin, LIU Xiaohui, ZHANG Ying, WEI Wei, WU Yaqi, JIANG Xiao
Chinese Nursing Management. 2022, 22 (2):  255-261.  DOI: 10.3969/j.issn.1672-1756.2022.02.018
Abstract ( 199 )   PDF (4671KB) ( 63 )  
Objective: To systematically evaluate and integrate the findings of qualitative studies of dietary management experience in hemodialysis patients, in order to provide references for targeted dietary interventions for hemodialysis patients. Methods: The qualitative studies related to dietary management in hemodialysis patients from CNKI, VIP, Wan Fang Date, CMB, PubMed, Embase, Web of Science and the Cochrane Library were searched from inception to October 2021. The quality evaluation and data extraction were carried out, and meta-aggregation and integration method was used to interpret and summarize the data. Results: A total of 11 articles were included, 63 results were extracted and summarized into 10 categories, and 4 integrated results were obtained, including patients' attitudes towards dietary management, the effect of dietary management on patients, patient needs and changes needed, challenges of dietary management. Conclusion: The dietary management affects the hemodialysis patients in their bodies and minds, daily and social life and so on, and there are many challenges for patients in the dietary management. More attention should paid to the process of dietary management, and more targeted professional supports are expected to help patients to improve the effectiveness of diet management.
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Effect of Intermittent Pneumatic Compression therapy on Breast Cancer-Related Lymphedema: a systematic review
QIU Chujin, SONG Yuqing, JIANG Yan
Chinese Nursing Management. 2022, 22 (2):  261-267.  DOI: 10.3969/j.issn.1672-1756.2022.02.019
Abstract ( 187 )   PDF (4014KB) ( 61 )  
Objective: To evaluate the effectiveness of Intermittent Pneumatic Compression therapy in the prevention and treatment of Breast Cancer-Related Lymphedema. Methods: We searched the Cochrane Library, Medline (Ovid), Embase (Ovid), Web of Science, CBM, CNKI, WanFang Data, and VIP databases for randomized controlled trials on Intermittent Pneumatic Compression therapy for the prevention and treatment of Breast Cancer-Related Lymphedema from the time of database construction to June 2021. Two researchers conducted quality evaluation and data extraction. Meta-analysis was performed on studies that met the criteria. Results: A total of 13 randomized controlled trials were included. Meta-analysis results showed that Intermittent Pneumatic Compression therapy had a significant effect on preventing Breast Cancer-Related Lymphedema, but there was no significant difference in the degree of lymphedema and improvement in joint mobility of the affected limbs between the intervention and control groups. Conclusion: Intermittent Pneumatic Compression therapy can effectively prevent the occurrence of Breast Cancer-Related Lymphedema, but it has no obvious advantageous effect in treating lymphedema, improving the mobility of affected limbs and patients' subjective feelings.
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Best evidence summary of non-pharmacological interventions for sleep disorders in dementia patients
LI Ce, XIAO Hongmei, LI Liyu, WANG Zhiwen
Chinese Nursing Management. 2022, 22 (2):  268-273.  DOI: 10.3969/j.issn.1672-1756.2022.02.020
Abstract ( 151 )   PDF (4245KB) ( 76 )  
Objective: To obtain and summarize the best evidence on non-pharmacological interventions for sleep disorders in dementia patients. Methods: We searched and analyzed guidances, systematic reviews and original studies from relevant guidance databases including those of professional associations. Results: Thirty one articles were included in the study. Three dimensions including evaluation, interventions and guidance for caregivers with 29 items of evidence were summarized. Conclusion: Most evidence at the moment are achieved from foreign studies and thus need to be further localized in China. High-quality original studies are needed to guide best practice in the future.
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Indicators for comprehensive evaluation of health management in patients with chronic heart failure: an evidence summary
XU Xiaolu, XU Cuirong, TANG Weihong, TAN Yaru, HAO Tiantian, ZHOU Bingying, ZHANG Meiling
Chinese Nursing Management. 2022, 22 (2):  274-281.  DOI: 10.3969/j.issn.1672-1756.2022.02.021
Abstract ( 159 )   PDF (4888KB) ( 59 )  
Objective: To summarize the best evidence of indicators for comprehensive evaluation of health management in patients with chronic heart failure. Methods: A systematic review was performed utilizing NGC, SIGN, PubMed, Web of Science, CINAHL, the Cochrane Library, CNKI, WanFang and CBM Database from inception to January 2021. The clinical guidelines, expert consensus, systematic review and original studies that met the standards were included, screened and extracted, and the literature quality was evaluated. Results: A total of 22 studies were included. Based on the framework of health ecology model, all the evidence is summarized into 35 pieces focused on four aspects: individual patients, medical and health services, social environment and health economics, and 17 pieces were recommended for grade A and 18 pieces were recommended for grade B. Conclusion: The effectiveness of health management in patients with chronic heart failure can be evaluated based on evidence to promote the development of health management models.
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Healthcare Associated Infection
Current status of healthcare-associated infection control work in 44 hospitals in Gansu province
YANG Yahong, ZHANG Haojun, ZHU Tengfei, WEI Li, HUANG Rong, HUANG Xun, ZHOU Pengcheng, XI Yinghua
Chinese Nursing Management. 2022, 22 (2):  281-285.  DOI: 10.3969/j.issn.1672-1756.2022.02.022
Abstract ( 159 )   PDF (2697KB) ( 109 )  
Objective: To reveal the current status of healthcare-associated infection control work in national autonomous areas of western China and provide a basis for formulating appropriate policies to improve its healthcare-associated infection control work. Methods: This is a cross-sectional study design. Multi-stage cluster random sampling was used. According to ethnic characteristics, 22 medical institutions in national autonomous areas and 22 medical institutions in non national autonomous areas in Gansu province were selected for on-site investigation and field inspection. Surveys and field investigations on the general situation of their medical institutions, the demographic information of hospital infection management staff, and the development of hospital infection management work were conducted. Results: There was no statistically significant difference in the demographic information of full-time and part-time staff in hospital infection management department between national autonomous areas and non national autonomous areas. However, there were deficiencies in some key infection prevention and control measures in medical institutions in national autonomous areas, including the lack of full-time staff, the lack of professional skills for full-time staff, not participating in the consultation of infectious diseases in the hospital, and no microbiology labs among 45.45% of medical institutions in those regions. Conclusion: Healthcare-associated infection control work in medical institutions in national autonomous areas requires urgent attention. Human resources, basic infection control work, and basic infection control facilities are key areas that could be improved.
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Study on nosocomial infection management of Digestive Endoscopy Center based on SHEL model
LI Li, MIN Yue, BAI Dongmei, ZHOU Bin, SHAN Shujuan
Chinese Nursing Management. 2022, 22 (2):  286-290.  DOI: 10.3969/j.issn.1672-1756.2022.02.023
Abstract ( 202 )   PDF (3059KB) ( 76 )  
Objective: To explore the effects of the implementation of hospital infection management at digestive endoscopy center based on SHEL model. Methods: The purpose sampling method was adopted. Totally 85 staff members from Digestive Endoscopy Center of a tertiary grade A hospital in Jilin Province were included. The period from April 2020 to December 2020 was the control stage. The period from January 2021 to September 2021 was the intervention stage. We carried out the identification, analysis and treatment of nosocomial infection management issues in the department from the aspects of software, hardware, environment, liveware (SHEL mode). Nosocomial infection management quality index and patient satisfaction were compared between the two stages. Results: There were no nosocomial infection event related to endoscopic treatment in both stages. The frequency of occupational exposure in the intervention stage was 50% lower than that in the control stage. The quality indexes of staff training participation rate, occupational protection qualified rate, hand hygiene compliance rate, endoscope cleaning and disinfection qualified rate, environmental surface cleaning and disinfection rate, supervision and management rate and patient satisfaction in the intervention stage were significantly improved compared with the control stage (P<0.05). Conclusion: Nosocomial infection management based on SHEL model can effectively enhance the quality of hospital infection management in Digestive Endoscopy Center. It is worthy of clinical application to promote the safety of medical staff and patients and improve patients' medical experience.
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Investigation and analysis of surgical instrument pretreatment in medical institutions of Hainan province
WAN Xincui, ZHOU Shuping, YU Shiwa, XU Chenyun, MA Chanjuan, CHEN Jing
Chinese Nursing Management. 2022, 22 (2):  290-293.  DOI: 10.3969/j.issn.1672-1756.2022.02.024
Abstract ( 132 )   PDF (2178KB) ( 41 )  
Objective: To analyze the status of surgical instrument pretreatment in medical institutions of Hainan province. Methods: Using stratified random sampling method, we selected 46 hospitals in February 2020 to investigate the implementation of institutional pretreatment, the establishment of relevant systems and procedures, delivery time of surgical instruments to Central Sterile Supply Department (CSSD) after use, and pretreatment methods. Results: Totally 46 hospitals all implemented surgical instrument pretreatment. There were no significant differences in the time when surgical instruments were centrally processed by CSSD and delivered to CSSD after use (P>0.05). There were statistically significant differences in the establishment of relevant pretreatment and recycling systems among different levels of hospitals (P<0.05). Tertiary hospitals had a higher implementation rate of establishing relevant pretreatment and recovery systems than secondary hospitals. Conclusion: The pretreatment systems and procedures of surgical instruments in Hainan province need to be improved.
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Advanced Nursing Practice
A literature review of application status of upright positions in the second stage of labour and prospects for future research
ZANG Yu, LU Hong
Chinese Nursing Management. 2022, 22 (2):  294-298.  DOI: 10.3969/j.issn.1672-1756.2022.02.025
Abstract ( 165 )   PDF (1775KB) ( 62 )  
Management of birth positions in the second stage of labour can optimize birth outcomes and improve the quality of midwifery services. This paper reviewed the application status of upright positions in the second stage of labour and explored the main issues in implementing upright positions. It is expected to provide a reference for successful implementation and promotion of upright positions.
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The effects of individualized lifestyle management based on IMB model in patients with Polycystic Ovary Syndrome
SHI Li, LUO Liyan, SONG Donghong
Chinese Nursing Management. 2022, 22 (2):  299-305.  DOI: 10.3969/j.issn.1672-1756.2022.02.026
Abstract ( 136 )   PDF (3352KB) ( 110 )  
Objective: To investigate the effects of individualized lifestyle intervention based on Information-Motivation-Behavioral (IMB) model in the patients with Polycystic Ovary Syndrome (PCOS). Methods: A total of 84 patients with PCOS in Reproductive Medicine Centre in a tertiary grade A hospital were divided into experimental group (n=42) and control group (n=42) with convenient sampling method. The patients in the control group were provided routine lifestyle intervention, while patients in the experimental group were treated with the individualized lifestyle intervention based on the IMB model. Patient Body Mass Index (BMI), waist to hip ratio, fat weight, body fat rate, skeletal muscle weight and quality of life level were investigated at the time of grouped, the third month after discharge. Results: After intervention, the BMI, waist to hip ratio, fat weight and body fat rate in the experimental group were lower than the control group (P<0.05), and the score of quality of life in the experiment group were higher than the control group (P<0.05). Conclusion: The individualized lifestyle intervention based on IMB model can effectively reduce the patient BMI, waist to hip circumference ratio, fat weight, body fat ratio, and improve patients' quality of life. It can provide a new path for clinical management of PCOS patients as well.
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Application and effects evaluation of palliative care in the emergency department in a tertiary hospital
KE Juqing, YUAN Ling, HUANG Yixuan, ZHOU Yujie, DONG Shan
Chinese Nursing Management. 2022, 22 (2):  305-309.  DOI: 10.3969/j.issn.1672-1756.2022.02.027
Abstract ( 223 )   PDF (2195KB) ( 113 )  
Objective: To explore the feasibility of palliative care applied in the emergency department of a tertiary hospital. Methods: A multidisciplinary emergency hospice care team was established. A total of 64 emergency hospice patients from January 2020 to May 2021 were recruited according to the standards of emergency hospice care. The emergency hospice care service program was developed including acute symptom control, comfort care, psychological care, family support and grief counseling. The satisfaction degree and the degree of needs meeting were evaluated. Results: The needs of pain management, dyspnea symptom control and psychological support ranked the highest. The average score of emergency hospice patient satisfaction was 99.23 points and the average score of patient’s family satisfaction rate was 99.85 points, both higher than average score of Emergency Department satisfaction (96.41 points). Conclusion: The implementation of emergency hospice care alleviates the physical and mental pain of patients, improves the quality of life of patients, optimizes the critical rescue resources, and increases the experience for the development of emergency hospice care.
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Research progress on assessment tools of Post-Thrombotic Syndrome in children
YANG Haifan, TIAN Lingyun, LI Wan, TAN Xin, GAO Yijing, LI Yinglan
Chinese Nursing Management. 2022, 22 (2):  310-313.  DOI: 10.3969/j.issn.1672-1756.2022.02.028
Abstract ( 172 )   PDF (1772KB) ( 65 )  
This article reviewed the prevalence and assessment tools of Post-Thrombotic Syndrome (PTS) in children. It is expected to provide references for the development and application of assessment tools for PTS among children in China, and provide support for scientific and accurate evaluation and management of pediatric PTS.
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Research progress on Post-Traumatic Stress Disorder in family members of ICU patients
MAO Shirou, LU Huijuan
Chinese Nursing Management. 2022, 22 (2):  314-317.  DOI: 10.3969/j.issn.1672-1756.2022.02.029
Abstract ( 216 )   PDF (1773KB) ( 91 )  
Based on the review of the status quo of Post-Traumatic Stress Disorder in family members of ICU patients at home and abroad, this article summarized the influencing factors from the aspects of demography, psychology and behavior, and introduced the intervention measures including mindfulness intervention and ICU diary. It is expected to provide a reference for the future domestic research and nursing practice of Post-Traumatic Stress Disorder in family members of ICU patients.
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Research progress on oral health management of stroke patients with upper limb dysfunction
YU Jie, LI Juan, LIU Jiru, TIAN Fang, XUE Juan, LIU Jialing
Chinese Nursing Management. 2022, 22 (2):  318-320.  DOI: 10.3969/j.issn.1672-1756.2022.02.030
Abstract ( 173 )   PDF (1784KB) ( 58 )  
This paper described and summarized the oral health of domestic and foreign stroke patients with upper limb dysfunction from two aspects including the oral health of those patients and how upper limb dysfunction after stroke could affect oral health both physiologically and psychologically. Recommendations concerning patient care, caregiver management, nursing management and social management were put forward to provide scientific guidance for oral care of patients with upper limb dysfunction after stroke in China.
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