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Issue 4,2022 Table of Contents

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  • 1  Observation of a case of mass diarrhea and related integrated traditional Chinese and western medicine nursing
    李运翠 TANG Ling LI Ye WANG Liangmin ZHAO Dandan QI Wenjing
    2022(4). DOI: 10.12209/issn2708-3845.20220429001
    [Abstract](38) [HTML](0) [PDF 360.81 K](72)
    Abstract:
    This paper summarized the illness observation and nursing experience in a case of mass diarrhea. Key issues of nursing interventions for diarrhea included illness condition observation, auricular point pressing therapy, moxibustion; psychological care; diet guidance; disinfection and protection, health education and extended care. The integrated traditional Chinese and western medicine nursing is effective to relieve the diarrhea symptoms, reduce the pain degree and improve the rehabilitation of patients.
    2  Research progress of assessment tool and prevention of incontinence-associated dermatitis
    MIAO Wenjing GUO Fengjuan CHEN Liuwen
    2022(4). DOI: 10.12209/issn2708-3845.20220428001
    [Abstract](27) [HTML](0) [PDF 382.44 K](160)
    Abstract:
    Incontinence-associated dermatitis (IAD) is a common type of irritant contact dermatitis, and accurate assessment and diagnosis are important for early prevention and treatment. Based on the reviewing the relevant studies, this paper summarized the research progress of assessment tool and prevention of incontinence-associated dermatitis, in order to provide reference for clinical nurse to improve the accuracy in diagnosis and early intervention on IAD.
    3  Application of evidence-based scene simulation combined with problem-based learning in clinical teaching of critical care for nursing students
    XI Shuangmei LI Lianhui WEI Huili GU Yanmei
    2022(4). DOI: 10.12209/issn2708-3845.20220427001
    [Abstract](32) [HTML](0) [PDF 354.05 K](56)
    Abstract:
    Objective To investigate the effect of evidence-based scene simulation combined with problem-based learning in clinical teaching of critical care for nursing students. Methods Totally 65 nursing students were randomly divided into the study group (n=33)and the control group(n=32). Conventional teaching model were adopted in clinical teaching of critical care for nursing students in the control group, and evidence-based scene simulation combined with problem-based learning were used in clinical teaching of critical care for nursing students in the study group. The theoretical examination, clinical practice skills and student satisfaction with clinical teaching were measured and compared between two groups. Results Scores of theoretical examination, clinical practice assessment and satisfaction evaluation in the study group were higher than those in the control group (P<0.05, respectively). Conclusion The evidence-based simulation combined with problem-based learning is effective to arouse students’ motivation and interest in learning English, deepen the understanding of theoretical knowledge, improve the independent problem-solving ability and enhance the clinical practice skills.
    4  The humanistic care in nursing management of patients with liver disease under the regular epidemic prevention and control
    LIU Xuejiao WANG Xuan WANG Ying DONG Jiale YI Wenhui WANG Fang
    2022(4). DOI: 10.12209/issn2708-3845.20220427002
    [Abstract](46) [HTML](0) [PDF 376.30 K](131)
    Abstract:
    Objective To investigate the effect of humanistic care in nursing management of patients with liver disease under the under the regular epidemic prevention and control of COVID-19. Methods According to the sequence of hospital admission, totally 82 patients with liver disease were divided into two groups: 41 cases in control group and 41 cases in the observation group. Patients in both control and observation group received routine care during the treatment, and those in the observation group were given humanistic nursing interventions. The Patient acceptance of humanistic care and satisfaction with nursing service were measured. Results? The satisfaction rate in the observation group was higher than that in the control group (P<0.01). The Self-rating Anxiety Scale (SAS) score decreased in both groups after intervention, and SAS score in the in the observation group was lower than that in the control group (P<0.01). Conclusion? Under the regular epidemic prevention and control of COVID-19, implementation of humanistic nursing intervention based on the hospital infection management is potentially effective in relieve anxiety and improving satisfaction degree of patients with liver disease.
    5  Research progress on
    LENG Mei LI Qi JIA Nan
    2022(4). DOI: 10.12209/issn2708-3845.20220426001
    [Abstract](39) [HTML](0) [PDF 383.50 K](46)
    Abstract:
    Nursing service is an important part of building a healthy China. According to the "Guiding Opinions on Promoting the Reform and Development of nursing", the "Internet +" hospital-community-family collaborative nursing service mode is imperative. In this review, the authors summarized the concept of "Internet +" hospital - community - family collaborative nursing service mode, application effect and application situation, to explore collaborative nursing service mode suitable to China's national conditions, to provide reference value for the "Internet + Nursing Service" policy and play a driving role for the nationwide development.
    6  Traditional Chinese Medicine nursing for patients with skin rash caused by pegylated interferon α-2a combined with ribavirin therapy of chronic viral hepatitis C
    LI Hongyan WANG Xiaojun ZHANG Lili
    2022(4). DOI: 10.12209/issn2708-3845.20220426002
    [Abstract](24) [HTML](0) [PDF 359.81 K](85)
    Abstract:
    This paper analyzed the clinical data of 5 patients with skin rash caused by pegylated?interferon?α-2a?combined?with?ribavirin?therapy of chronic viral hepatitis C. According to the clinical symptoms, patients were given internal administration of Chinese herbal medicine decoction combined with external wash of Chinese herbal medicine decoction. Comprehensive interventions including skin care, infection prevention, nutrition support and psychological nursing were carried out during the treatment.
    7  Holographic scraping therapy for a patient with type 2 diabetes mellitus of damp-heat accumulating spleen syndrome and relayed nursing management
    LI Jiao HU Hairong HUI Xinyuan LIU Sujuan
    2022(4). DOI: 10.12209/issn2708-3845.20220425001
    [Abstract](34) [HTML](0) [PDF 366.97 K](92)
    Abstract:
    To observe the effect of holographic scraping therapy in treating one case of type 2 diabetes mellitus of damp-heat accumulating spleen syndrome, and to summarize related nursing measures. The Middle-Jiao area of side-forehead zone and 1/3 Middle-Jiao area of top-forehead zone were scraped with vertical scraping technique; The surface projection areas of abdominal pancreas and spleen body were scraped with side scraping technique; The corresponding projection area of spine, pancreas and spleen on the back were scraped with side scraping technique. In each conditioning cycle, 2 holographic acupoint areas and related meridian acupoints were scraped, twice per week, five times in a cycle. The holographic scraping therapy is effective to lower blood sugar and improve the quality of life in the patient with type 2 diabetes mellitus of damp-heat accumulating spleen syndrome.
    8  PICC catheterization and maintenance for severely and critically ill patients with COVID-19 in the isolation ward
    HAN Huishan LI Naxin LYU Yuan LI Yuhua LI Yali
    2022(4). DOI: 10.12209/issn2708-3845.20220425002
    [Abstract](37) [HTML](0) [PDF 374.45 K](250)
    Abstract:
    To implement standardized protective measures and to evaluate the safety and effectiveness of peripherally inserted central venous catheter (PICC) for severely and critically ill patients with COVID-19? in the isolation ward. PICC catheterization was performed to 9 patients who were diagnosed with COVID-19 and treated in the isolation ward. These patients were all given standardized protective measures during the PICC operation. The one-time success rate of catheterization was 100.00%. There was no postoperative complications such as infection, bleeding, phlebitis, thrombosis, and no nosocomial infection occurred. The implementation of PICC catheterization in severely and critically ill patients in the isolation ward is safe and effective, and standardized protection in catheterization can effectively reduce the risk of cross-infection in hospital.
    9  Tracing the origin of Traditional Chinese Medicine exercise therapy
    ZHOU Jie CHEN Hong MA Tao MA XueLing WANG HuaXin SHU BaoZhen TANG Ling
    2022(4). DOI: 10.12209/issn2708-3845.20220422001
    [Abstract](42) [HTML](0) [PDF 447.70 K](95)
    Abstract:
    Traditional Chinese Medicine (TCM) exercise therapy is an important branch of TCM nursing. This paper summarized and combed the history origin of the TCM exercise therapy, and briefly discussed its development and application of theory in seven main historical stages. The TCM exercise therapy mainly focuses on treatment, and gradually incorporates the purpose of prevention, fitness and rehabilitation, which guides human exercise practice.
    10  Nursing management in the Mohs micrographic surgery
    ZHAO Chunshuang
    2022(4). DOI: 10.12209/issn2708-3845.20220422002
    [Abstract](38) [HTML](0) [PDF 365.39 K](173)
    Abstract:
    his paper summarized the key issues of nursing in the Mohs micrographic surgery. It is required to enhance the preoperative preparation and postoperative observation on surgical incisions. Guidance of taking observation of disease recurrence and regular check after surgery is provided. In consideration of surgical site, depth of tumor invasion, proper suture closure method and targeted nursing measures are suggest and proved to reduce the trauma caused by surgery.
    11  Nursing experience of electro-heating Bian-stone instrument in treating a case of diabetic peripheral neuropathy with warm moxibustion
    DAI Wei ZHANG Yixuan
    2022(4). DOI: 10.12209/issn2708-3845.20220418001
    [Abstract](48) [HTML](0) [PDF 278.93 K](50)
    Abstract:
    Objective: To study whether electroheating BIan-stone instrument can relieve the symptoms of limb numbness and cooling in patients with diabetic peripheral neuropathy. Methods: One patient with diabetic peripheral neuropathy was treated with routine nursing intervention and electroheating Bian-stone instrument by warm moxibustion. Results: the symptoms of limb numbness and cooling were obviously relieved Conclusion: Electroheating BIan-stone instrument can effectively relieve the symptoms of limb numbness and cooling in patients with diabetic peripheral neuropathy.
    12  Nursing experience of a patient with gallstone treated with combination of traditional Chinese and western medicine
    AN Yue
    2022(4). DOI: 10.12209/issn2708-3845.20220417002
    [Abstract](34) [HTML](0) [PDF 257.77 K](73)
    Abstract:
    This paper summarizes the experience of a patient with gallstones in the treatment process. Through the evaluation of the patient and the combined treatment of traditional Chinese and Western medicine, the clinical symptoms of patients with gallstones are significantly improved, the cure time is shortened, the pain of patients is alleviated and the satisfaction of patients is improved. It is worthy of clinical reference.
    13  Comfeel Plus transparent dressing combined with 75% alcohol solution wet compress therapy in prevention of chemotherapy-induced phlebitis
    ZHU Lei ZHANG Rao SHEN Yueyue
    2022(4). DOI: 10.12209/issn2708-3845.20220418006
    [Abstract](52) [HTML](0) [PDF 375.11 K](60)
    Abstract:
    This paper reviewed the clinical data of a patient with ovarian cancer. The patient was given intravenous drip infusion of Paclitaxel liposome and Carboplatin. The Comfeel Plus transparent dressing combined with 75% alcohol solution wet compress therapy were adopted to prevent the chemotherapy-induced phlebitis, and comprehensive nursing interventions including venous indwelling catheter maintenance, diet nursing, psychological care and health education were carried out to improve patient comfort and quality of life during treatment.
    14  Effect observation of 2% chlorhexidine gluconate solution wet compress in the treatment of PICC-related phlebitis and related nursing measures: A case report
    MA Huigai LI Ye TANG Ling E Haiyan BAI Yu
    2022(4). DOI: 10.12209/issn2708-3845.20220418007
    [Abstract](54) [HTML](0) [PDF 354.85 K](53)
    Abstract:
    The peripherally inserted central catheter (PICC) is commonly used in the clinical setting, and PICC-related phlebitis is of great concern among doctors and nurses. This paper summarized the effect observation of 2% chlorhexidine gluconate solution wet compress in the treatment of PICC-related phlebitis and related nursing measures. The 2% chlorhexidine gluconate solution with characteristics of good antibacterial effect and less skin irritation is effective to relieve the syndrome of PICC-related phlebitis.
    15  Tracing the origin of Traditional Chinese Medicine diet nursing
    WANG Yali ZHANG Kaiye TANG Ling WEI Yongchun E Haiyan JIANG Jing
    2022(4). DOI: 10.12209/issn2708-3845.20220418005
    [Abstract](43) [HTML](0) [PDF 369.35 K](98)
    Abstract:
    Traditional Chinese Medicine (TCM) diet nursing is an important branch of TCM health preservation, which is closely related to human health. TCM diet nursing is a method to study the performance of food under the guidance of TCM theory, and reasonably allocate meals according to the nature, taste, meridian and function of food, so as to maintain health and strengthen the body, prevent aging and fight aging. On the basis of thousands of years of practice, TCM diet nursing has gradually formed its unique theoretical system and effectively guided people's life practice.
    16  Investigation and analysis on fall risk assessment and fall status of the elderly people living in an island community
    HUANG Yanhong
    2022(4). DOI: 10.12209/issn2708-3845.20220418002
    [Abstract](33) [HTML](0) [PDF 398.51 K](96)
    Abstract:
    Objective? To understand the fall risk and fall status of the elderly living in an island community, to explore the influencing factors of falls, and to provide basis for the formulation of health education program. Methods The self-made general information questionnaire and the revised Fall-risk Self-assessment Questionnaire (FSQ) were used. Results? The scale had good reliability and validity for the elderly in the island community. Totally 300 participants were recruited and investigated, and the incidence of falls was 26.67%. Protective factors of falls included using walking aids, believing in that falls could be prevented and taking exercise regularly. The three main items associated with risk of falls included abnormal sensation of lower limbs, difficulty in walking faster and feeling of unstable walking sometimes. Conclusion? The high incidence of falls in the elderly in the island community is related to the poor muscle strength and balance ability of lower limbs. Community medical staff should strengthen health education, improve the elderly people’s awareness of fall prevention, and reduce the risk of falls, so as to reduce the occurrence of falls.
    17  Design and application of a gynecological drainage tube pants
    WANG Ruilian LIU Xuejiao WU Chao RUAN Yanchao LIU Shuang
    2022(4). DOI: 10.12209/issn2708-3845.20220418003
    [Abstract](34) [HTML](0) [PDF 358.68 K](54)
    Abstract:
    Clinically, drainage tubes and/or urinary catheters need to be indwelled in gynecological patients after surgery. When patients get out of bed, they often need to carry the drainage tube and/or bag by themselves or others, causing inconvenience and exposing their privacy. Therefore, the traditional pants for patients cannot meet the actual demand of patients with multiple drainage tubes who need to get out of bed. In order to solve this problem, this paper introduced a designed pair of pants for patients with gynecological indwelling drainage tube by optimizing the traditional ones. The pants not only can protect the privacy of patients, but also can fix the drainage tube and/or bag used by gynecological patients after surgery, facilitating patients' activities. In all, the pants help patients avoid the possible risks caused by multiple drainage tubes, and greatly improve the comfort of patients. They are worthy of popularization and application in the clinical nursing of gynecology.
    18  Analysis of postoperative characteristic nursing mode of hemophilic osteoarthritis
    WANG Yuchen
    2022(4). DOI: 10.12209/issn2708-3845.20220416001
    [Abstract](44) [HTML](0) [PDF 316.86 K](39)
    Abstract:
    Objective: To observe and explore the postoperative nursing precautions of hemophilic arthritis and help patients recover better. Methods: eight patients with hemophilia arthritis were treated with characteristic personalized postoperative nursing, including psychological nursing and rehabilitation guidance, routine nursing, rehabilitation training, pre discharge health care and guidance. Results:Combined with the latest clinical nursing experience and the correct nursing method, the postoperative joint mobility of such patients is significantly better than that before operation, and there are no related complications in the recovery process. Conclusion: Patients with hemophilia arthritis should be given characteristic nursing mode after operation, and individualized functional exercise and health characteristics should be given according to the actual situation of patients.
    19  Analysis and research progress of community chronic disease management model in China
    WANG Yuchen
    2022(4). DOI: 10.12209/issn2708-3845.20220416002
    [Abstract](48) [HTML](0) [PDF 366.87 K](63)
    Abstract:
    With the steady development of social economy and the gradual improvement of people"s living standards, chronic diseases have become a major public health problem that seriously threatens the health of Chinese residents and affects the national economic and social development. At present, as a basic public health service, chronic disease management in China is mainly carried out in grass-roots medical and health institutions. The main modes include comprehensive intervention, group management, self-management, confidant health management, contract management, etc. This paper will introduce and understand these main chronic disease management modes in turn, analyze their advantages and disadvantages, and finally put forward relevant suggestions, To provide reference for the development of community chronic disease management model.
    20  Nursing experience of Jiedushengji ointment combined with foam dressing in the treatment of pressure sore at the apex of gluteal fissure in a patient with dementia
    WEI Haixin BAI Yu ZHANG Nan TANG Ling
    2022(4). DOI: 10.12209/issn2708-3845.20220416003
    [Abstract](53) [HTML](0) [PDF 888.26 K](65)
    Abstract:
    This article focuses on a case of dementia patients with hip crack apex pressure sore, through the use of Jiedu shengji paste combined with foam dressing, pressure sore improved experience sharing. The patient was in a demented state and had decubitus decubitus in the sacrococcygeal region at the time of admission. In the treatment of this kind of patient, we should combine dressing change, nursing care, nutritional support and other methods to treat the patient, thus relieves the patient pain, enhances the patient quality of life.
    21  Nursing experience of three-finger clock positioning method in the maintenance of a large bag infusion port in a small port
    LIU Yunchao SHEN Hui E Haiyan ZHI Hui SUN Lei HAN Jianping LU Ying WANG Yutao
    2022(4). DOI: 10.12209/issn2708-3845.20220416004
    [Abstract](35) [HTML](0) [PDF 298.64 K](71)
    Abstract:
    This article through to one right after the resection of breast cancer patients with false weight postoperative, built into the outer court chest wall infusion port, after the third phase of chemotherapy in patients with subcutaneous fat, the skin is flabby, lead to infusion port is loose, the problems encountered in the process of nursing and treatment experience, provide reference for clinical transfusion nursing work.
    22  Nursing case report of a patient with primary insomnia and spleen deficiency with insomnia massage
    XU Meiling XU Bing
    2022(4). DOI: 10.12209/issn2708-3845.20220417001
    [Abstract](35) [HTML](0) [PDF 299.07 K](114)
    Abstract:
    The nursing case report of insomnia and massage was summarized.For one case of primary insomnia, heart and spleen deficiency, insomnia massage was treated, and the head and facial acupoints were selected to achieve the effect of reaching qi and blood and calming the mind by massaging the acupoints.The Pittsburgh Sleep Quality Index (PSQI) was clinically used to evaluate the degree of insomnia.For the treatment of primary insomnia and spleen deficiency patients, insomnia massage therapy is quite significant, it has more advantages in improving insomnia related symptoms, and the therapy is high safety, painless operation, easy to accept.To improve patients"" sleep quality and satisfaction with TCM nursing, in order to provide a reference for further promoting the application of TCM external treatment in clinical practice.
    23  Nursing Experience of the Effect of Emotional Nursing Combined with Auricular Acupressure on Intestinal Cleaning in a Case of Ordinary Colonoscopy
    KANG Hua GAO Hong ZHANG Hao SHI Yingchao
    2022(4). DOI: 10.12209/issn2708-3845.20220414003
    [Abstract](30) [HTML](0) [PDF 367.37 K](140)
    Abstract:
    Objective To investigate the effect of traditional Chinese medicine emotional nursing combined with auricular acupressure on intestinal cleansing effect of patients undergoing colonoscopy. Methods Three days before colonoscopy, the patient received emotional nursing and ear acupoint pressing treatment, and the patient was taught the method of ear acupoint pressing and instructed to take compound polyethylene glycol electrolyte powder 27.4016g with 1500ml warm water at 7:00 every night two days before colonoscopy At 4:00am on the day of colonoscopy, compound polyethylene glycol electrolyte powder 27.4016g was again taken with 1500ml warm water, and dimethylsilicone oil powder 5g was taken with 200ml warm water one hour later. The intestinal preparation Boston Scale was used to evaluate the intestinal preparation cleaning effect of a patient with ordinary colonoscopy. Results Bowel preparation Boston Scale score was 9, indicating good cleanliness. Conclusion Emotional nursing combined with auricular sticking therapy can improve the intestinal cleansing effect of patients undergoing ordinary colonoscopy, thus improving patient satisfaction and compliance.
    24  Nursing experience of a patient with insomnia due to coronary heart disease treated by Chinese medicine pillow combined with press pin
    DONG wei LI Yuye
    2022(4). DOI: 10.12209/issn2708-3845.20220415001
    [Abstract](33) [HTML](0) [PDF 299.57 K](217)
    Abstract:
    This paper summarizes the nursing experience of a case of Chinese medicine pillow combined with press needle in the treatment of coronary heart disease combined with insomnia.Through the intervention of Chinese medicine combined with traditional Chinese medicinethe insomnia symptoms were improved the quality of life was improved, and then the anxiety about coronary heart disease was reduced.
    25  Emergency nursing experience of a patient with upper gastrointestinal bleeding complicated with duodenal ulcer
    LI Chaofan
    2022(4). DOI: 10.12209/issn2708-3845.20220415002
    [Abstract](33) [HTML](0) [PDF 315.90 K](29)
    Abstract:
    To explore the effect of First Aid, observation and nursing measures on improving the success rate of rescue, reducing the complications and improving the prognosis of a case of Upper gastrointestinal bleeding complicated with peptic ulcer.The patients were evaluated urgently,and the psychological nursing and health education were carried out according to the treatment and nursing measures of Upper gastrointestinal bleeding.timely observation of patients with Upper gastrointestinal bleeding complicated with peptic ulcer syndrome and timely and effective nursing measures and nursing interventions can significantly increase the success rate of rescue, reduce mortality and reduce complications, improve the quality of life of patients.
    26  Case nursing care of patients with phlegm heat blocking lung pneumonia
    LIU Yangyang LIU Shuhong ZHAO Yan TANG Ling
    2022(4). DOI: 10.12209/issn2708-3845.20220415003
    [Abstract](31) [HTML](0) [PDF 345.58 K](93)
    Abstract:
    This paper summarizes the case nursing case of a patient with phlegm heat blocking lung pneumonia treated with Acupoint Application of traditional Chinese medicine combined with auricular bean pressing .on the basis of routine treatment and nursing , the patients were treated with acupoint application of traditional Chinese medicine combined with bean pressing at ear points .compared with the previous simple western medicine treatment,it can reduce the occurrence of many adverse reactions ,improve clinical efficacy.
    27  Nursing experience of auricular point sticking and pressing combined with five-tone therapy in improving anxiety symptoms of a patient with stable COPD
    ZHANG Liuyang WEI Yongchun DONG Yuxia WANG Liangmin SHI Mingjie ZHAO Dandan E Haiyan TANG Ling
    2022(4). DOI: 10.12209/issn2708-3845.20220415005
    [Abstract](47) [HTML](0) [PDF 334.75 K](90)
    Abstract:
    This paper summarized the nursing care of a patient with stable COPD who was treated with auricular-plaster therapy combined with five-tone therapy. The Anxiety Scale (SAS) and Pittsburgh Sleep Index Scale (PSQI) were used to evaluate the patients, and the auricular point sticking combined with pentatonic therapy and routine nursing were carried out. The anxiety symptoms of the patients were obviously improved.
    28  Nursing report on a case of chronic kidney disease Hyperuricemia gout treated with TCM plaster
    WANG Xinyue LIU Sichun LI Yuanyuan TANG Ling LI Yuxin DENG Jianhua
    2022(4). DOI: 10.12209/issn2708-3845.20220413003
    [Abstract](42) [HTML](0) [PDF 378.56 K](82)
    Abstract:
    In this paper, we studied a nursing case of a patient with chronic kidney disease Hyperuricemia gout who was treated with traditional Chinese medicine plaster. By applying Chinese medicinal plaster to patients, the technique of Chinese medicinal plaster is a non-oral method of using Chinese medicinal herbs, by stimulating meridians, acupoints, skin, mucosa, muscles, bones and muscles to achieve the goal of disease prevention and treatment. Traditional Chinese medicine Gao mo contains a variety of valuable traditional Chinese medicines, which have the effects of dredging collaterals, relieving pain, promoting blood circulation and removing blood stasis. In addition, through the combined action of constant temperature heating and medicinal power, it can make Telangiectasia and promote blood circulation, can effectively reduce the symptoms of patients with gout, good nursing effect.
    29  Nursing experience of one patient with pain after mixed hemorrhoid operation treated by TCM heat election pack combined with intradermal needle
    ZHANG Jiale WANG Liangmin DONG Yuxia WANG Yali WEI Yongchun E Haiyan TANG Ling
    2022(4). DOI: 10.12209/issn2708-3845.20220413004
    [Abstract](42) [HTML](0) [PDF 330.80 K](78)
    Abstract:
    This paper summarized the nursing care of a patient with pain after mixed hemorrhoid operation treated by TCM heat election pack combined with intradermal needle. Visual Assessment Scale (VAS) was used to assess this case. The patients were treated with Chinese traditional medicine hot bag combined with intradermal needle and routine nursing. The patient""s postoperative pain improved significantly.
    30  Research progress of clinical intervention for apnea in extremely and very preterm infants
    LU Lijun FENG Xuemo LU Yunhong
    2022(4). DOI: 10.12209/issn2708-3845.20220414001
    [Abstract](35) [HTML](0) [PDF 381.16 K](48)
    Abstract:
    Neonatal apnea is more common in extremely or very preterm infants. Influenced by a variety of comprehensive factors such as hypoplasia of receptors, electrolyte disorder, bacterial and viral infection, it is easy to lead to cerebral ischemia and hypoxia and other complications in neonates, which is the main cause of neonatal death. By using the method of literature review, induction and comparison, this paper made an analysis of clinic interventions for apnea in extremely and very preterm infants, and provided a basis for further effective intervention.
    31  Perioperative nursing of a patient with stent-graft infection and aortoesophageal fistula after thoracic endovascular aortic repair
    XIAO Lixiang SU Yunyan WU Mengya
    2022(4). DOI: 10.12209/issn2708-3845.20220414002
    [Abstract](45) [HTML](0) [PDF 374.44 K](81)
    Abstract:
    This paper summarized the perioperative nursing management of a patient with stent-graft infection and aortoesophageal fistula after thoracic endovascular aortic repair (TEVAR). Nurses had enhanced the prevention of stent-graft infection and evaluated the influence of stent implantation on trachea and esophagus before surgery. Key issues of postoperative nursing included maintaining effective circulating volume, esophageal repair management, nutrition support, functional rehabilitation exercise, psycho-social support.
    32  Application of acupoint application combined with auricular bean pressing in the treatment of a patient with phlegm heat blocking lung type
    LIU Yangyang ZHAO Yan LIU Shuhong TANG Ling
    2022(4). DOI: 10.12209/issn2708-3845.20220411001
    [Abstract](57) [HTML](0) [PDF 336.33 K](49)
    Abstract:
    This paper summarizes a nursing case of a patient with phlegm heat blocking lung pneumonia treated with Acupoint Application of traditional Chinese medicine combined with auricular bean pressing .on the basis of routine treatmen and nursing , the patients were treated with acupoint application combined with auricular bean pressing to achieve significant results.compared with the previous simple western medicine treatmen ,it can reduce the occurrence of many adverse reactions .therefore, acupoint application combined with auricular bean pressing in the treatmen of phlegm heat blocking lung pneumonia can alleviate symptoms and promote inflammatory absorption.
    33  Nursing experience of one case of rheumatoid arthritis pain with acupoint application
    LIU Yunxiao LI Suqian LU Lin
    2022(4). DOI: 10.12209/issn2708-3845.20220412001
    [Abstract](62) [HTML](0) [PDF 297.11 K](86)
    Abstract:
    Objective: To explore the effect of acupoint application nursing on patients with rheumatoid arthritis. Methods: the clinical data of a patient with rheumatoid arthritis treated in our hospital were analyzed. The patient was treated with Acupoint Application of traditional Chinese medicine nursing technology, and the nursing effect was analyzed. Results: after the intervention of acupoint application, the patient can significantly reduce the degree of pain, and the patient is satisfied with the clinical effect of acupoint application. Conclusion: Acupoint Application in patients with rheumatoid arthritis can improve pain symptoms without adverse reactions, improve nursing satisfaction rate, and play a positive role in improving the treatment prognosis of patients.
    34  Investigation on willingness of psychiatric nurses to engage in dementia nursing and influencing factors analysis
    GU Liqin JI Caifang TANG Xiaofang
    2022(4). DOI: 10.12209/issn2708-3845.20220413001
    [Abstract](60) [HTML](0) [PDF 350.47 K](47)
    Abstract:
    Objective To investigate the willingness of psychiatric nurses to engage in dementia nursing and analyze its influencing factors, in order to improve the quality of dementia care. Methods Totally 267 registered nurses in Grade 3A psychiatric hospital were investigated by self-made questionnaire, and data was analyzed by fitting a logistic regression model using a statistical package. Results? Totally 47(17.6%) nurses were willing to engage in dementia care. Motivation and interest in dementia care was main influencing factors of willingness to engage in dementia nursing. The main reasons for unwilling to engage in the nursing work of patients with dementia included: difficulty in communication with elderly dementia patients, high nursing risk and high incidence of accidents, complicated physical diseases associated with the elderly, rapid changes in the disease condition, complex illness, lack of professional ability, lack of sense of value and their own development direction, uneven pay and income. Conclusion? It is suggested to strengthen the training of psychiatric nurses on dementia related knowledge, theory and care skills, arrange nurses to care for dementia patients, change nurses" cognition of dementia nursing work, strengthen the training of nurses interested in the nursing work of dementia patients, improve their clinical working ability and? provide better nursing services for dementia patients.
    35  Application of wax therapy with Chinese herbal medicine in nursing of a patient with bone arthralgia
    LIU Lin TANG Ling LI Suqian
    2022(4). DOI: 10.12209/issn2708-3845.20220409001
    [Abstract](47) [HTML](0) [PDF 360.20 K](100)
    Abstract:
    This paper observed the effect of wax therapy with Chinese herbal medicine in nursing of a patient with bone arthralgia. After a comprehensive nursing evaluation and diagnosis, the wax therapy with Chinese herbal medicine was carried out under the guidance of Traditional Chinese Medicine theory, and nursing interventions such as basic care, dietary management, psychological care and functional exercise were enhanced during the hospitalization. The Numerical Rating Scale score on pain decreased and Barthel index score increased after treatment, indicating the efficacy of wax therapy with Chinese herbal medicine in relieving pain and improving the quality of life in the patient with bone arthralgia.
    36  Nursing care of a patient with ischemic stroke complicated with pulmonary infection by aerosol inhalation of traditional Chinese medicine
    GAO Ya LIU Guiying TANG Ling ZHOU Jie ZHANG Yanyan
    2022(4). DOI: 10.12209/issn2708-3845.20220409002
    [Abstract](48) [HTML](0) [PDF 387.73 K](63)
    Abstract:
    This paper reviewed the nursing experience of an elderly patient with ischemic cerebrovascular disease complicated with pulmonary infection. On the basis of routine treatment and nursing intervention of pulmonary infection, the traditional Chinese medicine aerosol inhalation nursing was given. The implementation of atomized inhalation of traditional Chinese medicine can obviously reduce the viscosity of sputum of patients, and reduce the number of times of daily sputum aspiration.
    37  Research progress of psychological nursing in postoperative nursing of patients undergoing percutaneous coronary intervention
    ZENG Qian TANG Yunting
    2022(4). DOI: 10.12209/issn2708-3845.20220407001
    [Abstract](45) [HTML](0) [PDF 389.34 K](96)
    Abstract:
    Patients undergoing percutaneous coronary intervention are vulnerable to develop anxiety and depression. Targeted psychological nursing interventions are required to relieve the negative emotions, improve the drug adherence, reduce the risk of complications and improve the quality of life. This paper reviewed the studies of psychological nursing in postoperative nursing of patients undergoing percutaneous coronary intervention, in order to raise medical worker’s awareness on mental problems of patients and improve the quality of nursing after PCI.
    38  Application of Baduanjin qigong exercise for community-based group of elderly individuals with chronic nonspecific low back pain
    LI Juan BAI Jianying LI Jie SHEN Yongqing QI Suwen FENG Hui-ling
    2022(4). DOI: 10.12209/issn2708-3845.20220406003
    [Abstract](56) [HTML](0) [PDF 448.16 K](161)
    Abstract:
    ABSTRACT:? Objective? The aim of this study was to assess the effectiveness of the Baduanjin qigong exercise on chronic nonspecific low back pain in community-based group of elderly population.? Methods? Totally 76 patients with chronic nonspecific low back pain were randomly divided into the experimental group(n=37)and the control group(n=39). The control group received routine care and health education about chronic nonspecific low back pain, and the experimental group received Baduanjin qigong exercise additionally. The primary and secondary outcomes measures of this trial were pain intensity and back functional disability. The Visual Analogue Scale (VAS) and the Oswestry Disability Index (ODI) questionnaires were used to obtain data, which were measured respectively before intervention and three months later.? Results? Patients in the experimental group had a greater improvement than the controls in VAS scores after a 12-week intervention of Baduanjin exercise(P<0.01). The total score of ODI , dimensional scores of Lifting, Walking and Social Life in the experimental group were lower than those in the control group(P<0.05) . Conclusion? Baduanjin qigong exercise appears to be slightly to moderately effective on relieving pain and improving function.
    39  Acupoint application and nursing for relief of low back pain in a patient with chronic kidney disease
    LIU Sichun YANG Mingying TANG Ling DENG Jianhua
    2022(4). DOI: 10.12209/issn2708-3845.20220406004
    [Abstract](41) [HTML](0) [PDF 344.26 K](167)
    Abstract:
    This paper reported the acupoint application and nursing management for relief of low back pain in a patient with chronic kidney disease. The prescription of Chinese herbal medicine used in acupoint application, operation method and cautions were introduced. A set of targeted interventions including nursing assessment, illness observation, psychological nursing and dietary guidance were carried out for relief of low back pain and improve the activity of daily living of the patient.
    40  Nursing of integrated Traditional Chinese and western medicine for a patient with gingival carcinoma treated by photodynamic therapy using bronchoscopy
    WANG Lu ZHANG Ruiyun WANG Pengfei YANG Rong CHENG Gaiping SUN Na
    2022(4). DOI: 10.12209/issn2708-3845.20220406005
    [Abstract](49) [HTML](0) [PDF 370.88 K](102)
    Abstract:
    This paper summarized the clinical data and nursing experience of a patient with gingival carcinoma treated by photodynamic therapy using bronchoscopy. Nursing plan consisted of various interventions such as basic nursing, psychological care, avoiding sunlight, illness observation, pain control, dietary care, Traditional Chinese Medicine nursing technique and health guidance before discharge. On the basis of clinical treatment, individualized nursing of integrated Traditional Chinese and western medicine is effective to improve the therapeutic effect, reduce the risk of post-operative complications and improve the patient satisfaction and post-operative quality of life.
    41  Risk assessment of incontinence-related dermatitis in critically ill patients and analysis of related graded nursing measures
    ZHUANG Haiyan ZHANG Yuanyuan XIONG Meifeng
    2022(4). DOI: 10.12209/issn2708-3845.20220406001
    [Abstract](40) [HTML](0) [PDF 403.56 K](145)
    Abstract:
    Objective To study and analyze the risk assessment and graded nursing measures of incontinence-related dermatitis (IAD) in critically ill patients. Methods From February 2017 to February 2020, 80 critically ill patients with fecal and/or urinal incontinence who received treatment in hospital ICU were included in this study. The patients were divided into observation group and control group according to computer random number table method, with 40 cases in each group. The control group received routine skin care, and the observation group received IAD risk assessment and graded nursing intervention on the basis of the control group. The differences in the occurrence of IAD, rehabilitation, psychological status and complications between the two groups were analyzed. In addition, the difference between the two groups in the changes of self-esteem was analyzed. Results The total incidence of IAD in observation group was significantly lower than that of the control group (P < 0.05). The healing time of skin lesions in the observation group was shorter than that in the control group, and the recurrence rate after healing was lower than that in the control group (P < 0.05). After intervention, the positive emotional score of the observation group was higher than that of the control group, while the negative emotional score of the observation group was lower than that of the control group (P < 0.05). The total incidence of complications in observation group was lower than control group (P < 0.05).The Rosenberg self-esteem scale(RSES) scores of the observation group and the control group were increased after intervention, and scores in the observation group were higher than those in the control group (P < 0.05). Conclusion Risk assessment and graded nursing of IAD in critically ill patients can reduce the risk of IAD to a certain extent, promote the early recovery of patients, and effectively reduce the incidence of complications.
    42  Teaching design and study of the characteristic module of maternal and infant nursing based on
    HOU Xiaoni LIU Hong XU Yang CHEN Yanting MA Yuqi JIN Ningning
    2022(4). DOI: 10.12209/issn2708-3845.20220406002
    [Abstract](44) [HTML](0) [PDF 408.33 K](106)
    Abstract:
    Objective To form a maternal and infant nursing teaching plan based on" high-level, innovative and challenging" and improve overall teaching quality of obstetrics and gynecology nursing. Methods Taking the curriculum of Puerperium Management as an example, guided by the core competence of midwives and " high-level, innovative and challenging", the research group analyzed the nursing teaching documents and collected postpartum maternal-infants nursing-related literature, guidelines and evidence-based recommendations issued by authoritative organizations at home and abroad. After two rounds discussion, a teaching design was established. Results The teaching content of puerperium management is divided into 2 modules. The first teaching content is postpartum women's care, including the physical and mental changes of puerperium women and related nursing management. The length of time in teaching a theoretical class is 2 hours, and learning objectives are nursing in different periods of postpartum, the identification and assessment of abnormal problems and the multiple attributes of confinement nursing. The second teaching content is breastfeeding, including breastfeeding preparation and consultation, early promotion of breastfeeding strategies, nursing of common breastfeeding problems. The length of time in teaching a practice class is 4 hours, and learning objectives focus on breastfeeding problem assessment and resolution, non-violent communication skills and evidence-based thinking training. The learning process includes self-directed learning, case discussions, and flipped classrooms. The evaluation methods include knowledge assessment, oral presentation, breastfeeding simulation consultation and guidance, and review assignments. Conclusion Fully excavate non-high-risk maternal and infant nursing teaching advanced, high-level and challenging degree, highlight thinking and ability training, which has reference significance for obstetrics and gynecology nursing teaching.
    43  Construction and practice of the outpatient clinic with Traditional Chinese Medicine appropriate nursing technology
    KONG Hui WAN Changxiu ZHOU Feng
    2022(4). DOI: 10.12209/issn2708-3845.20220401001
    [Abstract](57) [HTML](0) [PDF 327.53 K](134)
    Abstract:
    This paper summarized the management experience in construction and practice of the outpatient clinic with Traditional Chinese Medicine(TCM) appropriate nursing technology. Issues about management on patient attendance, outpatient treatment prescription, diagnosis and treatment area, process of visiting doctor and nursing quality were analyzed. The establishment of outpatient clinic helps achieve the closed-loop management of TCM preventive treatment of disease, consisting of health management, education and intervention, and aiming to provide better quality of TCM nursing.