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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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CUI Liu, LI Yuye, DOU Jinjie, ZHANG Li, TANG Ling, E Haiyan
Publication date：2023-02-04， DOI: 10.12209/issn2708-3845.20230202003
Classification ：Traditional Chinese Medicine Nursing
Abstract:This paper summarizes the nursing experience of auricular acupressure combined with auricular pressure applied to a patient with primary dysmenorrhea. Under the guidance of TCM theory, auricular acupressure combined with auricular pressure was applied to primary dysmenorrhea based on symptom and pain assessment. It effectively improved the patient""s symptoms and signs of dysmenorrhea and further improved the patient""s quality of life and clinical satisfaction of nursing care.
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WANG Jingjing, ZHOU Jie, MA Hailian, LI Na, QIAO Xinli, MA Shanshan, TANG Ling, ZHANG Tingting
Publication date：2023-02-04， DOI: 10.12209/issn2708-3845.20230202001
Classification ：Specialist Nursing
Abstract:This paper summarizes a case of endotracheal intubation complicated with severe pneumonia patient nasogastric feeding enteral nutrition solution nursing intervention measures, mainly from the endotracheal intubation, enteral nutrition nursing and prevention of aspiration and other aspects of nursing intervention, in order to control infection, improve the patient""s pneumonia situation, reduce the occurrence of complications.
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ZHANG Xiaotong, CAI Weimin, LIU Shuhua
Publication date：2023-02-04， DOI: 10.12209/issn2708-3845.20230203003
Classification ：Traditional Chinese Medicine Nursing
Abstract:目的：总结1例脓毒症休克合并胃肠功能障碍的护理过程，为此类疾病重症患者的护理提供中医的参考思路。方法：通过脓毒症病患者入院经查体、消化检查，循环检查，感染，西医明确诊断脓毒症休克，急性肠胃炎，中医诊断脱病，阳气欲脱、痰浊闭阻证。在整体治疗过程中给予胃肠功能管理，抗感染、补液升压、调节菌群失调，肛周皮肤管理，中医情志护理措施。结果：患者胃肠功能恢复，病情平稳，转至普通病房继续治疗。结论：中医综合护理干预过程中采用传统的医学理论与方法对患者采取中医护理特色技术方法，养护结合，在调理的同时对严重脓毒症胃肠功能障碍患者进行护理干预，有意于临床效果的提高和自主功能的恢复。
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LIU Ai, FENG Ying, TONG Lu, ZUO Lin, ZHAO LiNa, LI Yue, YAN Hong
Publication date：2023-02-03， DOI: 10.12209/issn2708-3845.20230129001
Classification ：Nursing Technology
Abstract:Since the outbreak of COVID-19 in 2019, the severe situation of the epidemic has drawn wide attention from people around the world. The emergency department, as an important gateway of epidemic prevention and control in hospitals, bears important prevention and control responsibilities and is the sentinel of hospitals. Our hospital emergency department attaches great importance since the outbreak of epidemic prevention and control work, according to COVID - 19 related system and the prevention and control guidelines released by the national health committee and bureau of TCM. Combined with our hospitals epidemic prevention and control work reality and geographical characteristics of the emergency department, we always implement the policy of prevention first and strengthen prevention and control management, and especially design the emergency department "cluster" management measures. The prevention of novel coronavirus by means of reforming the diagnosis and treatment environment, formulation of the prevention and control system and procedures, pre-screening, personnel training, cleaning and disinfection, and supervision of prevention and control has certain reference value for the prevention and control of the new coronavirus.
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YANG Liu, WANG Hao, YI Qiong, YANG Xiufang
Publication date：2023-02-02， DOI: 10.12209/issn2708-3845.20230131005
Classification ：Traditional Chinese Medicine Nursing
Abstract:目的：通过对肝肾阴虚型干眼症患者采用中药热奄包配合睑板腺按摩治疗，探索中药热奄包配合睑板腺按摩对缓解干眼症不适症状的效果。方法：选取2020年1月-2020年8月我院收治共100例肝肾阴虚型干眼症患者作为此次的调查对象，采用随机分组方式，将100例病患分为试验组与对照组，每组各50例。试验组采用中药热奄包配合睑板腺按摩及常规治疗方法，对照组仅采用常规的治疗方法，两组病患都进行为期3个疗程的治疗。对比两组病患的治疗效果及疗效评分等相关指标。结果：通过对比两组施加中药热奄包配合睑板腺按摩干预和不施加干预的病患治疗效果率和评分，试验组治疗效果明显优于对照组，且疗效评分更高，差异具有统计学意义（P<0.05）。结论：在缓解肝肾阴虚型干眼症患者疼痛等不适症状时，采用中药热奄包配合睑板腺按摩治疗方法能够有效提高疗效，帮助病患改善眼部情况，快速恢复健康。
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Publication date：2023-02-02， DOI: 10.12209/issn2708-3845.20230131004
Classification ：Traditional Chinese Medicine Nursing
Abstract:The Outline of the National Nursing Development Plan (2021-2025) clearly states that it is necessary to strengthen the training of TCM nursing talents and effectively improve the ability of TCM nursing services. The fundamental of the development of TCM nursing is to train TCM nursing talents. The training mode of TCM nursing talents is also one of the hot issues in clinical research. Based on the high quality and practicality of the training of TCM nursing talents, our hospital has innovated the new mode of "medical and nursing integration" training of TCM nursing talents, and actively explored the path of sustainable development of TCM nursing in an all-round and multi-dimensional way by taking theoretical teaching, follow-up visits, and skill training as the path, looking for new development space for TCM nursing, and improving the level of TCM nursing technology and service ability, Patients feel the unique charm and advantages of traditional Chinese medicine nursing, while protecting the health of patients.
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CHI ChunLi, SHEN Jianlin, GUO Hailing, ZHENG Shanshan, ZHAO Sisi, YIN jing
Publication date：2023-02-02， DOI: 10.12209/issn2708-3845.20230131007
Classification ：Nursing
Abstract:本文总结1例神经根型颈椎病合并2型糖尿病患者的护理体会。该患者因过度劳累低头后颈部疼痛酸胀，头痛头晕伴右上肢放射痛症状逐渐加重，曾因头晕在家中摔倒，双足底有“踩棉感”收入院，通过中西医对症治疗及护理的干预， 患者头痛、头晕症状缓解并且血糖控制良好，减轻了患者的焦虑，提高了患者的生活质量。
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SUN Lingyun, PENG Rongyan, LIU Jiaxi, YAN Yunzi, YANG Yufei, ZHAO Nan
Publication date：2023-02-02， DOI: 10.12209/issn2708-3845.20230201007
Classification ：Traditional Chinese Medicine Nursing
Abstract:Objective To systematically evaluate the efficacy and current application of emotional nursing of Traditional Chinese Medicine(TCM) in psychosomatic rehabilitation for early-stage colorectal cancer(CRC) patients after radical surgery, so as to provide reference for clinical practice and future research. Methods CNKI, VIP, Wanfang, Embase, Pubmed, Conchrane database were retrieved, and the randomized controlled clinical trial of TCM emotional nursing on psychosomatic rehabilitation early-stage CRC patients after radical surgery from 2010 to 2022 was collected. The literatures that met the inclusion and exclusion criteria were selected for data extraction and quality evaluation. Meta analysis was conducted through RevMan5.3 statistical software. Results Totally 13 studies were included, and 1034 patients were enrolled. Meta-analysis results showed that TCM emotional nursing could significantly reduce the scores of anxiety (SAS) and depression (SDS) of patients after intervention compared with conventional nursing, and could improve the quality of life, sleep, pain of patients, and improve the compliance and satisfaction of nursing and cancer treatment. Conclusion TCM emotional nursing could promote the psychosomatic rehabilitation of early-stage CRC patients after radical surgery, but it still needs to further improve the quality of research, optimize and integrate the nursing practice process and details, and strive to obtain higher level of evidence, so as to better help patients benefit.
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Publication date：2023-02-01， DOI: 10.12209/issn2708-3845.20230201005
Classification ：Specialist Nursing
Abstract:Objective To explore the effect of case management in patients with gastrointestinal cancer chemotherapy during COVID-19. Methods According to the COVID-19 prevention and control guidelines issued by the National Health and Health Commission, the case management of gastrointestinal cancer patients with chemotherapy was carried out through a multidisciplinary system. The study data from August 1, 2022 to September 30, 2020 are selected as the observation values, and the study date from June 1, 2012- July 31, 202022 as the reference values. The completion rate of chemotherapy and nursing satisfaction were compared between the two groups. Results From August 1 to September 30, 2022, the completion rate of chemotherapy was increased by 6.51%, and the nursing satisfaction was improved by 6.01%. Conclusion During the epidemic period, through the implementation of the whole case management of gastrointestinal cancer chemotherapy patients, on the basis of epidemic prevention and control, to ensure the orderly and standardized chemotherapy, improve the quality of clinical care.
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Publication date：2023-02-01， DOI: 10.12209/issn2708-3845.20230201004
Classification ：Nursing
Abstract:Chest bi heartache because of evil bi heart collaterals, qi and blood is caused by, chest pain, even chest pain, shortness of breath, wheezing can not lie as the main clinical manifestations, the disease in the heart, clinical to mutton or left chest attack tightness, pain as the main manifestation of a disease, in the clinical incidence is very high. Coronary atherosclerosis heart disease, angina pectoris, myocardial infarction in modern medicine, can belong to the category of this evidence. The incidence of chest pain and heartache disease is increasing year by year, which has seriously harmed human physical and mental health. TCM nursing takes holistic nursing as the core, and determines the nursing principles under the guidance of syndrome differentiation, so as to implement targeted TCM nursing for patients, make its clinical treatment effectiveness, physical and mental health level and quality of life be improved, and play its due role in the prevention and treatment of chest pain and heartache disease. This paper analyzes the current situation of TCM nursing application, summarizes the existing problems, and analyzes the future research progress.
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LI Xueyan, LIU Shuhua, YANG Siwen, LIU Hongjin
Publication date：2023-02-01， DOI: 10.12209/issn2708-3845.20230201003
Classification ：Nursing Technology
Abstract:总结1例老年化脓性胆囊炎术后气管插管患者合并肺损伤脱离有创呼吸机困难，在实施改良俯卧位通气后成功脱离有创呼吸机的护理经验。老年化脓性胆囊炎术后合并肺损伤患者俯卧位通气在治疗和护理过程中的效果，确保患者俯卧位通气前后的安全及预防并发症，促进康复。通过生命体征的严密观察、镇静镇痛的管理、改良俯卧位实施全过程管理、俯卧位吸痰时浅吸痰的护理、预防压力性损伤的护理，预防导管堵塞及管路滑脱的护理对患者和家属的心理护理，为老年化脓性胆囊炎术后合并肺损伤患者尽快脱离有创呼吸机治疗。经过精心的治疗与护理，本例实施改良俯卧位通气在老年化脓性胆囊炎术后合并肺损伤患者成功脱离呼吸机辅助通气，术后第10天文丘里吸氧，氧浓度40%、氧流量8L/分，血氧饱和度100%，神志清楚，病情稳定转至外科病房继续治疗，恢复效果良好。
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LI Jing, CAO Hongjing, LI Ning, LI Yueru, TIAN Zhijun
Publication date：2023-02-01， DOI: 10.12209/issn2708-3845.20230201001
Classification ：Nursing
Abstract:Through the construction of "one certificate and one product" specialized nursing demonstration ward carried out by our hospital, establishes a Chinese medicine nursing service brand that highlights the characteristics of the elderly. Construct and implement the practice of Total Quality Management (TQM) model in specialized demonstration wards. further improves the level of specialized nursing services, and improves the comprehensive nursing quality of nursing staff. To enable patients to obtain standardized, professional and homogeneous nursing services and improve patient satisfaction.
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LI Han, HAN Jianping, LI Ying, REN Yaxing, CAO Wenjie, LI Shuyue, YANG Yuwei, WANG Jing
Publication date：2023-02-01， DOI: 10.12209/issn2708-3845.20230131003
Classification ：Nursing
Abstract:to summarize a case of acute myocardial infarction (Ami) who was treated with emergency PCI after intravenous thrombolytic therapy. During the treatment, nursing intervention was carried out for the patients with severe pain due to myocardial ischemia, to enhance the patient""s own comfort. And the implementation of patients with cardiac rehabilitation care, so as to ease the patients during the treatment of excessive reaction to improve the treatment effect. This article reviews the first aid measures and nursing measures of 1 patient with acute myocardial infarction, and summarizes the relevant nursing experience.
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Publication date：2023-02-01， DOI: 10.12209/issn2708-3845.20230131001
Classification ：Specialist Nursing
Abstract:总结1例顽固性喉头水肿且持续人工辅助通气的重症患者成功脱机拔管的个案护理。通过制定顽固性喉头水肿脱机拔管的应急预案及流程,积极准确落实各项护理措施,密切观察病情变化,做好人工气道机械通气管理、用药护理、营养支持、基础护理以及健康教育等。经过个性化医疗和护理干预措施,最终患者成功脱机拔管、痊愈出院。
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ZHANG Fengyao, GAO Chunli, ZHANG Ning, YUE Yuzi, SHENG Yana, TANG Ling, ZhOU Jie
Publication date：2023-01-31， DOI: 10.12209/issn2708-3845.20230130005
Classification ：Nursing
Abstract:The treatment and care of stressful injuries remains a challenge for clinical caregivers, and this article will provide a brief analysis and exchange of experiences in the application of nutritional interventions combined with nursing techniques for a case of unstagulated stress injury. Through the application of appropriate nutritional interventions combined with nursing techniques, pressure injuries are promoted to improve wounds and create better conditions for wound healing.
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Publication date：2023-02-02， DOI: 10.12209/issn2708-3845.20230131004
Classification ：Traditional Chinese Medicine Nursing
Abstract:The Outline of the National Nursing Development Plan (2021-2025) clearly states that it is necessary to strengthen the training of TCM nursing talents and effectively improve the ability of TCM nursing services. The fundamental of the development of TCM nursing is to train TCM nursing talents. The training mode of TCM nursing talents is also one of the hot issues in clinical research. Based on the high quality and practicality of the training of TCM nursing talents, our hospital has innovated the new mode of "medical and nursing integration" training of TCM nursing talents, and actively explored the path of sustainable development of TCM nursing in an all-round and multi-dimensional way by taking theoretical teaching, follow-up visits, and skill training as the path, looking for new development space for TCM nursing, and improving the level of TCM nursing technology and service ability, Patients feel the unique charm and advantages of traditional Chinese medicine nursing, while protecting the health of patients.
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ZHANG Fengyao, GAO Chunli, ZHANG Ning, YUE Yuzi, SHENG Yana, TANG Ling, ZhOU Jie
Publication date：2023-01-31， DOI: 10.12209/issn2708-3845.20230130005
Classification ：Nursing
Abstract:The treatment and care of stressful injuries remains a challenge for clinical caregivers, and this article will provide a brief analysis and exchange of experiences in the application of nutritional interventions combined with nursing techniques for a case of unstagulated stress injury. Through the application of appropriate nutritional interventions combined with nursing techniques, pressure injuries are promoted to improve wounds and create better conditions for wound healing.
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WANG Xiaodi, GUO Jing, ZHI Hui
Publication date：2023-01-31， DOI: 10.12209/issn2708-3845.20230130003
Classification ：Specialist Nursing
Abstract:This article reviews the nursing experience of a patient with limb arteriosclerosis obliterans who can relieve limb pain by using traditional Chinese medicine nursing techniques, thus improving the quality of life and getting the maximum recovery, which is worthy of clinical promotion and application.
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Gao Qian Qian, PEI Xiaolu, QU Zhicheng, LIU Xinrui, ZHANG Yuanyuan, DONG Yanting, GENG Shenghua
Publication date：2023-01-31， DOI: 10.12209/issn2708-3845.20230128008
Classification ：Specialist Nursing
Abstract:This article summarizes the nursing intervention measures of a patient with septic shock with multiple organ dysfunction syndrome, mainly from the aspects of mechanical ventilation nursing, drug care, pipeline nursing, skin care and emotional nursing, to improve the symptoms and various vital signs of patients and reduce the occurrence of complications.
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LIU Ai, Tong Lu, ZHAO Zitong, ZUO Lin, FENG Ying, QUAN Zhiqin, MING Yue
Publication date：2023-01-31， DOI: 10.12209/issn2708-3845.20230129002
Classification ：Nursing Technology
Abstract:Objective To explore the application value of professional and safe transport nursing mode in the hospital transport of emergency critical patients. Methods 80 in-hospital transfer patients from March 2021 to August 2021 were selected as the routine group. The adverse events occurred in the transfer of acute and critical patients were investigated to find out the potential safety hazards during the transfer, update the transfer handover form, and carry out transfer training for nurses. The patients before transfer were fully evaluated, the instruments and personnel before transfer were prepared, and the professional and safe transfer nursing mode was adopted for transfer. 80 in-hospital transport patients admitted from September 2021 to March 2022 were selected as the study group. Through the intervention of professional and safe transfer nursing mode, the total incidence of adverse events during transfer and the transfer time in hospital were counted. Results the total incidence of adverse events in the study group was lower than that in the control group (P < 0.05). The average transit time in the study group was shorter than that in the control group (P < 0.05). Conclusion the application of professional and safe transport nursing mode in the process of safe transport of critically ill patients can further reduce the risk of adverse events, shorten the transport time, and improve the transport safety rate.
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Clinical Study on Treatment of 48 Cases of Hyperplasia of Mammary Glands with Rutongyu Medicine Film
HAN Jianping, LI Ying, HOU Pengxiao, ZHANG Ning, REN Yaxing, LIU Haihan, DAI Wei, ZHANG Chunyan, YUE Yuzi, LI Yiliang, TANG Ling
Publication date：2023-01-30， DOI: 10.12209/issn2708-3845.20230128007
Classification ：Traditional Chinese Medicine Nursing
Abstract:Objective: To observe the clinical effect of Rutongyu medicine film on breast hyperplasia. Methods: 96 patients with breast hyperplasia were randomly divided into treatment group (48 cases) and control group (48 cases). The treatment group was treated with Rutongyu film, and the control group was treated with small gold tablets orally. The medication time was 2 menstrual cycles. The VAS score of breast pain, the days of breast pain, and the maximum diameter of breast target mass were compared between the two groups before and after treatment, and the clinical efficacy was summarized and evaluated. Results: The total effective rate of the treatment group was 89.58%, which was significantly higher than 68.75% of the control group (P<0.01). After treatment, VAS score of breast pain, days of breast pain, and maximum diameter of target mass in the two groups were significantly improved compared with those before treatment (P<0.05), and the improvement in the treatment group was better than that in the control group (P<0.05). Conclusion: Rutongyu medicine film can effectively treat breast hyperplasia, relieve pain and reduce breast mass.
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Publication date：2023-01-30， DOI: 10.12209/issn2708-3845.20230124001
Classification ：Traditional Chinese Medicine Nursing
Abstract:Objective：One case of post-stroke constipation was treated by point massage and massage, which proved the effectiveness of massage and massage in the treatment of post-stroke constipation. Methods：A case of post-stroke constipation was selected and treated with massage manipulation such as thumb-end-point method and thumb-kneading method at Tianshu , Daheng , Dachangshu and Zhigou. Results：After 7 days of treatment, the constipation symptoms of the patients were significantly improved in terms of pain, defecation frequency, defecation character and defecation time.Conclusions：Post-stroke constipation can be treated by massage and massage along acupoints.
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ZHENG Naihua, WANG Xiaomin, LIU Guiying, YANG Dongmei
Publication date：2023-01-30， DOI: 10.12209/issn2708-3845.20230119001
Classification ：Nursing Technology
Abstract:肠内营养作为临床患者营养支持的首选途径。经鼻肠管进行肠内喂养有其方法上的优势性，被临床工作者所青睐。由此产生的鼻肠管置管方法的探讨日益激烈。床旁超声的兴起为鼻肠管的置入带来了福音，其可视化、无创伤、精准、实时性等特点对肠管的置入提供了辅助保障，增加了置管成功率，减轻了患者的置管痛苦。掌握置管过程中不同部位超声的不同影像资料判断方法，更准确的利用超声进行辅助判断肠管置入位置以及超声辅助下置管方法和技巧的探讨成为临床工作者的热门话题。本文综述了现阶段超声辅助肠管置入法的技巧及方法，旨在为临床提供参考，进一步为床旁超声辅助于鼻肠管的置入提供思路。
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WANG Cuiying, SUN Lei, TANG Ling, CHANG Shilei, LIU Tianhao, SHEN Hui, XIE Yingdong, ZHANG Xiangju, DONG Wei
Publication date：2023-01-30， DOI: 10.12209/issn2708-3845.20230129003
Classification ：Nursing
Abstract:This article summarized the nursing experience of a case of insomnia treated by auricular point sticking combined with stellate ganglion block. The conclusions reached: the combination of auricular point sticking and stellate ganglion block in the treatment of insomnia, combined with careful care before, during and after the treatment, not only can improve the treatment effect and reduce the recurrence rate, under the guidance of TCM syndrome differentiation nursing theory, adopt united auricular point sticking intervention, at the same time, cooperate the routine nursing interventions such as diet, emotion and life can achieve the goal of alleviating clinical symptoms, Auricular point sticking combined with stellate ganglion block in the treatment of insomnia can significantly improve the quality of sleep and has obvious effect on insomnia.
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GAO Wei, PEI Xiaolu, WANG Guiqian, GUO Bingjie, AN Ran, WANG Shuang
Publication date：2023-01-29， DOI: 10.12209/issn2708-3845.20230129007
Classification ：Nursing
Abstract:急诊科是急危重症患者诊疗的重要平台，在急诊科护理工作中，危重症患者常因检查或治疗的需要进行院内转运，转运过程虽短，但由于治疗环境的改变，转运过程中治疗、护理资源的缺乏，可能导致不良事件的发生，如何有效减少急诊危重症患者院内转运过程不良事件发生是临床急需解决的难题，本文对急诊危重症患者院内转运过程中不良事件的发生情况、风险因素分析以及护理干预策略进行综述如下。
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HOU Pengxiao, LI Ying, SUN Lei, REN Yaxing, HAN Jianping
Publication date：2023-01-29， DOI: 10.12209/issn2708-3845.20230128006
Classification ：Nursing
Abstract:Intestinal obstruction is one of the common acute abdominal diseases in the Department of general surgery, which refers to the inability of intestinal contents to move normally and pass smoothly through the intestinal tract caused by various reasons. Abdominal pain is one of the typical symptoms of intestinal obstruction, the degree of abdominal pain and intermittent long myopic obstruction site varies slowly and rapidly. At present, the treatment of intestinal obstruction and abdominal pain mainly includes non-surgical treatment and surgical treatment. The non-surgical treatment includes traditional Chinese medicine nursing, western medicine nursing and integrated traditional Chinese and Western medicine nursing. Integrated traditional Chinese and Western medicine nursing is a nursing model characterized by both symptomatic western medicine nursing, quick effect and traditional Chinese medicine nursing to cure the cause and long-term maintenance. This paper expounds the progress of non-surgical nursing of patients with intestinal obstruction by integrated traditional Chinese and Western medicine, and summarizes the advantages of integrated traditional Chinese and Western medicine nursing intervention.
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GENG Shenghua, PENG Wei, LIU Xinrui, XIE Mengdi, DONG Yanting, GAO Qianqian, ZHANG Qingchen
Publication date：2023-01-29， DOI: 10.12209/issn2708-3845.20230128005
Classification ：Nursing
Abstract:心电图在临床诊疗护理中为患者病情的诊断，提供了重要的依据。近年来，在急诊科护士进行分诊的临床实践中，绝大多数就诊患者表现出胸痛症状，可见胸痛患者在急诊就诊患者中占有相当大的比重[1]。由于急诊科分诊护士的临床经验，知识水平，综合素质参差不一，加之急诊科患者病情重、病情复杂，因此对急诊科分诊护士的分诊能力提出了较高的要求。有研究[2]显示，急诊科分诊护士对胸痛患者优先实施心电图检查并判读心电图，能够对分诊的质量和效率，以及对胸痛患者的诊治，起到非常重要的作用。因此本文对心电图知识在急诊护士预检分诊，经外周静脉置入中心静脉导管（PICC）置管尖端定位以及急危重症护理等方面的研究现状进行综述,从而为推动心电图知识在急诊护士中的应用提供一定的参考。
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ZHANG Fengyao, ZHANG Ning, GAO Chunli, HAN JianPing, YUE Yuzi, SUN Lei, TANG Ling
Publication date：2023-01-29， DOI: 10.12209/issn2708-3845.20230128004
Classification ：Nursing
Abstract:To discuss the clinical effect of applying Western medicine to strengthen pain care in the postoperative patient care of clinical lung cancer chemotherapy, this article will analyze and exchange experience on the application of Western medicine in a patient with postoperative pain after lung cancer chemotherapy. Through the application of appropriate TCM physiotherapy techniques combined with Western routine nursing care, patients can promote cancer pain response after chemotherapy and prompt the prognosis of patients.
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LIU Yunchao, GUO Lian, WANG Nannan, WANGYutao, SUN Lei
Publication date：2023-01-29， DOI: 10.12209/issn2708-3845.20230128003
Classification ：Nursing
Abstract:Objective To observe the effect of thumbtack needling combined with auricular acupoint pressing pills in the treatment of postoperative pain of appendicitis. Methods Summarize a record of a patient with acute appendicitis after operation who was treated with thumbtack needling and auricular acupoint pressing pills. Results Thumbtack needling together with auricular acupoint pressing pills can relieve the pain of acute appendicitis after operation. Conclusion In the treatment of acute appendicitis after operation, the combination of thumbtack needling and auricular acupoint pressing pills can significantly improve the postoperative pain, reduce the pain of patients, shorten the length of hospital stay, improve the patient''s satisfaction, which is worthy of clinical reference and promotion.
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SHEN Hui, DONG wei, WANG Cuiying, ZHANG Xiangju, LIU Tianhao, CHANG Shilei, XIE Yingdong, SUN Lei
Publication date：2023-01-29， DOI: 10.12209/issn2708-3845.20230128002
Classification ：Nursing
Abstract:Objective To explore the effect of nursing intervention on patients with lumbar disc herniation and low back pain who found that blood sugar was elevated before treatment. Methods A patient with lumbar disc herniation and low back pain with elevated blood sugar was selected, and the blood sugar monitoring before and after treatment was compared, and health education on life, diet and exercise was carried out. Scale comparison. Results In patients with lumbar disc herniation combined with low back pain and elevated blood sugar, after nursing intervention, the patient""s pain was relieved, and the blood sugar decreased, which could be maintained at a stable level, which improved the patient""s satisfaction and improved the patient""s quality of life!
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DONG wei, SUN Lei, SHEN Hui, WANG Cuiying, ZHANG Xiangju, LIU Tianhao, CHANG Shilei, XIE Yingdong
Publication date：2023-01-29， DOI: 10.12209/issn2708-3845.20230128001
Classification ：Nursing
Abstract:This paper summarizes the nursing experience of outpatient treatment of a patient with lumbar disc herniation. Through the intervention of paravertebral nerve block and peri-treatment nursing, the patient""s pain symptoms were improved, the patient""s anxiety was alleviated, and the patient""s quality of life was improved.
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LI JING HUAN, GAO WEI, YAO WEI HAI, LI XIANG, ZHANG QING CHEN
Publication date：2023-01-29， DOI: 10.12209/issn2708-3845.20230129008
Classification ：Nursing
Abstract:Emergency department pre-examination and triage: it is to use scientific methods to classify patients, quickly identify urgent, dangerous, serious patients, so that they get timely and effective treatment, reduce the occurrence of patient death or disability. With the development of chest pain centers, the requirements for acute chest pain is further improved. Nursing staff play an important role in the emergency care of patients with acute chest pain, but the lack of acute chest pain care triage standards and the lack of appropriate triage tools for acute chest pain care have troubled the emergency care of patients with acute chest pain. Fast and correct emergency pre-examination and triage is the guarantee of timely and effective treatment of patients. At present, there are a large number of emergency patients in China and pre-examination and triage takes a long time. However, safe and effective emergency pre-examination and triage can quickly identify acute and critical patients, improve the efficiency of emergency operation and ensure the safety of patients. This review reviews the triage of acute chest pain in order to provide reference for improving the quality of the triage.
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WANG Shuang, PENG Wei, WANG Jing, QIAO Shouang, YANG Jianpan, JIA Jingyu, HOU Kai, LI Jinghuan
Publication date：2023-01-29， DOI: 10.12209/issn2708-3845.20230129005
Classification ：Specialist Nursing
Abstract:At present, PICC catheterization is a safe and effective catheterization technique that is very common in clinical patients, in the clinical treatment of tumor chemotherapy, long-term intravenous drip, parenteral nutrition support and the need for input will occur catheter blockage, phlebitis, infection, puncture site bleeding, exudate, catheter rupture, catheter slippage, rupture, displacement, local skin allergy and other complications, hyperosmolar and irritating drugs can be treated with PICC for adjuvant treatment, with simple operation, safe and reliable, long indwelling time and other advantages. It is widely used in clinical practice. However, there will be many complications in the process of use, which not only cause physical pain and psychological burden of patients, such as the condition is not effectively controlled and may lead to unplanned extubation, which will affect the normal use of the catheter and the smooth progress of the patient""s treatment, and will also cause a certain economic burden to the patient, so the use needs to attract the attention of clinical nursing staff. This article summarizes the prevention of complications and nursing measures caused by various causes during the use of PICC.
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ZHAO Jingtao, XIE Hongmei, ZHANG Tong, ZHAO Nan
Publication date：2023-01-29， DOI: 10.12209/issn2708-3845.20230129006
Classification ：Nursing
Abstract:This article will summarize the nursing care experience of a patient of head and neck squamous cell carcinoma (HNSCC) develops immune-related Myositis after receiving Pembrolizumab treatment. Nursing points include: nursing care on bilateral ptosis and dysphagia, the patient’s safety management and psychological nursing, health education on corticosteroids
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Publication date：2023-01-13， DOI: 10.12209/issn2708-3845.20230111001
Classification ：Specialist nursing-surgery nursing
Abstract:Postoperative gastrointestinal dysfunction is a common complication of laparoscopic surgery for colorectal diseases. This paper introduced the applicaition of Zusanli acupoint acupuncture, Zusanli acupoint injection with vitamin B1 and practice of gum chewing in improving the postoperative recovery of gastrointestinal function, and provided reference for postoperative recovery nursing of patients with laparoscopic surgery.
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TANG Fengrong, ZHANG Xinping, WU Weipeng, TU Shengwen, ZHU Guohong
Publication date：2023-01-13， DOI: 10.12209/issn2708-3845.20230111003
Classification ：Specialist nursing-community nursing
Abstract:Objective To investigate the psychological?stress?and experience of elderly patients under the COVID-19 epidemic, and to provide reference for establishment of targeted interventions. Methods The phenomenological methodology was used in the study. An Semi-structure interview was conducted with 8 elderly patients with COVID-19, and the theme was extracted by Colaizzi’s 7-step analysis method. Results Four themes were extracted: emotional reaction of elderly patients after COVID-19 diagnosis, cognitive reaction of elderly patients after COVID-19 diagnosis, behavior reaction of elderly patients after COVID-19 diagnosis, and physiological reaction elderly patients after COVID-19 diagnosis. Conclusion There were multiple needs among elderly patients under the COVID-19 epidemic, and their reaction to psychological?stress?should be taken into consideration. Well-designed and individualized health education and psychological support should be provided by online and offline services, in order to relieve the anxiety level and enhance the confidence of elderly patients.
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ZHANG Xuan, PEI Qiuping, YOU Jiaojiao, HUANG Shuai
Publication date：2023-01-13， DOI: 10.12209/issn2708-3845.20230111002
Classification ：Specialist nursing-gynecology and obstetrics nursing
Abstract:Objective To understand the willingness and influencing factors of participating in early screening among ethnic minority patients with breast cancer in rural areas. Methods Between January 2022 and June 2022, a phenomenological research method was conducted and 12 patients with breast cancer were selected for a semi-structured retrospective interview, and the Colaizzi phenomenological data analysis method was used for analysis. Results Four main themes were extracted: lack of correct understanding of breast cancer; Lack of awareness of early screening and self-examination; Single access to get breast cancer information; Reasons for reluctance to screen. Conclusion The participation in early screening was not optimistic among ethnic minority patients with breast cancer in rural areas. Relevant health departments should strengthen the popularization of breast cancer knowledge and improve the participation rate of early screening among ethnic minority women in rural areas, and improve the awareness of medical treatment for women, thereby reducing the mortality.
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Publication date：2023-01-09， DOI: 10.12209/issn2708-3845.20230108002
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:This paper reviewed the literature on the intervention of Traditional Chinese Medicine nursing in the rehabilitation of facial paralysis in recent five years, and summarized the etiology analysis, treatment methods, Traditional Chinese Medicine nursing strategies, etc., so as to provide references for clinical nursing practice and scientific research of peripheral facial paralysis in the future.
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LIN Zhiyuan, YE Cijun, DENG Jiaqi, ZHANG Yuanyuan, LI Yuanzhao, LIN Yanling
Publication date：2023-01-09， DOI: 10.12209/issn2708-3845.20230108003
Classification ：Specialist nursing-surgery nursing
Abstract:Objective To analyzed the hygienic test and benefit analysis of traditional sterilized hand towel and disposable sterile toilet paper before surgical hand disinfection. Methods? From October 2021 to November 2021, the sanitary examination of surgeons and nurses after surgical hand disinfection was selected as the research object, and 100 people were selected according to different professional titles, including 50 doctors and 50 nurses, by self-control method. Control group: in the first week, traditional sterilized hand towels were used for hand-drying, and hygienic tests were performed after surgical hand disinfection. Experimental group: In the second week at the same time, the same people were required to use disposable sterile toilet paper to dry their hands and hygienic tests were performed after surgical hand disinfection. The hygiene and benefits of the two groups were evaluated. Results There was no significant difference in the results of hygienic tests between the two groups. In terms of material cost, the cost of sterilized hand towel was higher than disposable sterile toilet paper. Conclusion? The application of disposable sterile toilet paper before surgical hand disinfection has no influence on the hygienic test of surgical hand disinfection, which can effectively reduce operating costs and save manpower in the operating room.
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JIANG Jing, WANG Yali, WEI Yongchun, DONG Yuxia, E Haiyan, TANG Ling
Publication date：2023-01-09， DOI: 10.12209/issn2708-3845.20230108001
Classification ：Specialist nursing-surgery nursing
Abstract:Objective To systematically evaluate the clinical effect of acupoint application in the treatment of postoperative pain of mixed. Methods The CNKI, VIP, Wanfang Data, CBM and PubMed databases were searched by computer. Randomized controlled trials (RCTs) on the efficacy of acupoint application in the treatment of postoperative pain of mixed were included. The?retrieval?time?was?from?the?establishment?of?each?database?to December 2021. A literature screening, quality evaluation and data extraction were independently conducted by two reviewers in accordance with the inclusion and exclusion criteria. A Meta analysis was then carried out using RevMan 5.3 software. Results In total, 6 RCTs involving 532 patients were included in the meta-analysis. The Meta analysis showed that?effective rate of pain control in the study group was higher than that in the control group (RR = 1.03，95%CI[1.02, 1.15]，P = 0.0001). The Visual Analogue Scale of pain in the in the study group was lower than that in the control group at 1 day(MD =?1.32，95%CI[?2.33, ?0.31], P = 0.01), 3 days (MD = ?1.64， 93% CI[?2.51, ?0.76]，P=0.002) and 5 days (MD = ?1.32, 95%CI[?1.89, ?0.75], P < 0.00001) after surgery. Conclusion The implementation of acupoint application could relieve the postoperative pain of patients undergoing surgical treatment for mixed hemorrhoids. However, given the low quality of included research methodology and small sample size, more efforts should be paid on large sample size and multi-centered clinical randomized control trails, especially studies concerning the long-term intervention efficacy.
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QIAO XinLi, MA HaiLian, LI Na, CHEN Hong, TANG Ling, ZHANG Ning, WANG JingJing, ZHANG TingTing, ZHOU Jie
Publication date：2023-01-06， DOI: 10.12209/issn2708-3845.20230105002
Classification ：Specialist nursing-internal medical nursing
Abstract:This paper summarized the nursing measures for a patient with chronic obstructive pulmonary disease complicated with type II respiratory failure treated by sequential non-invasive positive pressure ventilation via nasal high-flow oxygen therapy. Nursing interventions were carried out in the following ways: non-invasive positive pressure ventilation, medication nursing, enteral nutrition support, pipeline maintenance, skin care and psychological nursing and other issues. Efforts were made to improve the respiratory failure status and various vital signs, control of carbon dioxide retention and reduce the occurrence of complications. By providing patients with a constant, adjustable, high-speed breathing gas mixture formed from air and oxygen, it was aimed to crush the gas left in the nasal cavity, oral cavity and pharynx, and significantly reduce the amount of carbon dioxide inhaled during the next inhalation. The application of sequential treatment with transnasal high-flow oxygen therapy has achieved positive therapeutic results in patients with hypoxic respiratory failure.
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HE Shu, YU Chunguang, LI Jiaji, CUI Kaiyue, CHEN Kun, DI Xiaowei
Publication date：2023-01-06， DOI: 10.12209/issn2708-3845.20230105001
Classification ：Specialist nursing-surgery nursing
Abstract:Gastric tube placement is a common clinical procedure. During the catheterization process, the gastric tube may enter the trachea by mistake, presenting symptoms such as choking, dyspnea, cyanosis and so on. Occasionally, patients have atypical symptoms, which are easily ignored in clinical practice, bringing great safety risks to the operation. This paper reported a case of gastric tube misplacement into the trachea using tetracaine gel as lubricant before gastrointestinal surgery, analyzed the causes and summarized the preventive and nursing measures, and reviewed the new methods, new techniques and relatively rare complications of gastric tube placement. The lubricant with anesthetic effect should be used carefully when placing gastric tube. The application of new technology can improve the success rate of gastric tube placement.
1, 2023
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Han Yuan, Liu Qin, Wang shuaiying
Publication date：2021-01-20， DOI:10.12209/issn2708-3845.20210120001
Classification ：Specialist nursing-community nursing
Abstract:目的：本研究通过文献查阅方式，目的是从延续性护理实施现况、涵盖范围、人员现况三个方面了解我国延续性护理发展现状，为延续性护理进一步的研究提供思路和方向。方法：本文在中国知网、万方医学、重庆维普，Pubmed等网站上以“延续性护理”或“transitional care”为关键词或主题词，搜索有关国内外延续性护理的论文，选取近五年来引用次数较高的的文章。结果：实施状况：目前延续性护理开展较为普遍，延续性护理服务中心的建立取得了积极的效果。涵盖范围：延续性护理主要运用于慢性疾病护理，但近年来，延续性护理也推广至外科术后、PICC置管后、产褥期等方面。人员现况：我国延续性护理对护理人员尚未有明确要求，大多未经过专业培训，多为临床各科室护士担任。结论：我国延续性护理正在快速普及和发展，但发展过程中也存在不可忽视的问题。医院在大力推行延续性护理时，要着重解决目前存在的问题，以便更好的实施延续性护理，进而为我国人口老龄化的现状提供更好的医疗护理服务。
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ZHI Hui, XU Jingjin, LI Ye, ZHENG Wei, LIU Jinjing, TANG Ling
Publication date：2021-02-16， DOI:10.12209/issn2708-3845.20210208001
Classification ：Nursing technology-diagnosis and treatment technology
Abstract:Objective Explore measures to avoid spilling the vaccine solution during the injection of the COVID-19 vaccine. Methods From January 29, 2021 to January 30, 2021, 990 vaccinators were selected as the experimental group by convenient sampling method, and the in-bottle exhaust method was used; 577 vaccinators were selected as the control group, and the conventional exhaust method was used. Observe the incidence of vaccine spillage in the two groups during exhaust. Results The incidence of external spilling in the experimental group was 0%, and that in the control group was 7.28%. The incidence of external spilling in the experimental group was lower than that in the control group, and the data difference between groups was statistically significant (P<0.05). Conclusion Implementing the in-bottle exhaust method in the vaccine injection can effectively reduce the incidence of liquid spills, reduce nucleic acid pollution, and ensure that the vaccine is injected at the prescribed dose. At the same time, the operation is simple and easy, which improves the nurse""s vaccination efficiency, and has a higher promotion and application value.
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Li Jing, Xie Xiaolei, Zhao Nan, Song Libo, Jing Jing, Liao Juan
Publication date：2020-07-25， DOI:10.12209/issn2708-3845.20200723002
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:Objective To explore the influence of auricular point pressing with bean on insomnia in patients with coronavirus disease 2019 （COVID-19）. Method All patients with COVID-19 suffering from insomnia who were coming from the South-first-district and general-five-district inpatient wards of Jin Yintan hospital, Wu Han from February to March, 2020. Sixty-two patients were included in the study. Based on the conventional treatment, using auricular point pressing with bean in experimental group, while only using conventional treatment in control group. The auricular acupoints in one ear were selected with heart, shenmen, sympathetic, neurasthenia, upper lung, lower lung, and anti-asthma etc., twice a week for 14 days. The general information questionnaire was used to evaluate the general condition of the patients before the intervention. The insomnia severity index (ISI), self-rating Depression Scale (SDS), self-rating Anxiety Scale (SAS) and Kolcaba Comfort Scale were used to evaluate the severity of insomnia, depression, anxiety and comfort status before and after the intervention. Results In general data of patients, there was a statistically significant difference on oxygen therapy between groups (χ2= 12.579, P = 0.000). Before and after the intervention, there was a significant difference on the total score of insomnia severity index between the two groups (Z=-3.662, P=0.000). According to the stratified analysis of oxygen therapy, the total score of ISI between the two groups before and after the intervention was statistically different（t=3.877，P=0.000）. Through intra group comparison, there was a significant difference in experimental group on the total score of ISI(Z= -4.247, P = 0.000) . There was no significant difference in the scores of SDS, SAS and Kolcaba Comfort scale between the two groups before and after the intervention (P > 0.05); there was a significant difference in experimental group of anxiety scale before and after the intervention (z = -2.673, P = 0.008). Conclusion Auricular acupoint compression can effectively improve the symptoms of insomnia in covid-19 patients, and improve the anxiety caused by insomnia in covid-19 patients. Auricular acupoint compression technique is worth promoting and applying.
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Xie Zhenyao, Tang Rui, Zhang Jingjing
Publication date：2020-08-21， DOI:10.12209/issn2708-3845.20200821002
Classification ：Specialist nursing-surgery nursing
Abstract:Perioperative blood glucose management is closely related to the preoperative, intraoperative and postoperative blood glucose level control is one of the important objectives of perioperative blood glucose nursing management.The perioperative blood glucose in patients with diabetes care management has a lot of research reports, but in view of the different advantages and disadvantages of each management style, therefore, in this paper, the relatively mature perioperative blood sugar diabetes patients nursing management mode is summarized, to find suitable for clinical diabetes patients perioperative nursing management mode, blood sugar for surgical nursing managers of the perioperative blood glucose control patients nursing management method to provide reference for the rich types and perfect rapid rehabilitation specialist nurse surgical care system to provide the reference.
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Publication date：2020-10-10， DOI:10.12209/issn2708-3845.20201009003
Classification ：Nursing-nursing management
Abstract:2019年12月某市爆发了新型冠状病毒肺炎,随着疫情的进展以及危重患者的增长,越来越多危重患者除了需要新冠肺炎的治疗以外还需要其他特殊治疗,如血液净化治疗。新冠肺炎具有极强的传染性,血液净化治疗过程如何进行防护及感染控制尤为重要。本文将结合临床实践及血液净化技术相关知识,基于鱼骨图分析法,明确血液净化治疗过程中可能产生的风险,并在此基础上制定出新型冠状病毒肺炎患者安全管理策略和相关防护措施,为血液净化治疗的安全实施提供参考。
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Publication date：2021-01-06， DOI:10.6729/MJN.202012_19(2).004
Classification ：Specialist nursing-hygienic and health care
Abstract:The Macao government attaches great importance to the anti-epidemic measures of the novel coronavirus pneumonia (coronavirus disease 2019, COVID-19). It had taken steps to deal with COVID-19 even before the ?rst case was detected, and formulated stricter rules after the occurrence of several imported cases. These measures were to cut out the link of the epidemiological triangle, including: 1) controlling the infection source. Macao government quickly established a multi-sectoral response coordination team to isolate potential cases and detect cases early by closely tracing arrivals from outside Macao; 2) stopping the route of transmission. The government implemented a mask supply plan, shut down entertainment venues during the peak of the epidemic, and used public media to disseminate anti-COVID-19 information, such as maintaining social distance and frequent hand wash; 3) protecting susceptible people. The government took a series of measures to protect minors, the elderly in institutions and workers in medical institutions from infection. While Macao has done a better job in ?ghting COVID-19 than some of the neighboring regions, it is not a perfect performer. Suggestions for addressing weaknesses Macao has shown in the ?ght are o?ered in the article.
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CHEN Lin, ZHOU Jing, YAO Xueming, MA Wukai, SHEN Haiyan, HAN Shan
Publication date：2020-07-13， DOI:10.12209/issn2708-3845.20200713004
Classification ：Nursing-nursing and other disciplines
Abstract:目的 系统评价中药外敷联合西药治疗类风湿关节炎的临床效果,为其临床治疗及研究提供循证参考。方法 计算机检索中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方数据库、维普数据库(VIP)中的相关文献,对符合纳入标准的研究进行资料提取后,采用Rev Man 5.3进行Meta分析。结果 共纳入文献27篇,总样本量2481例,Meta分析结果显示,中药外敷联合西药治疗组与单纯西药治疗组相比能提高治疗效果 [OR=3.33,95%CI(2.59,4.28),Z=9.44,P<0.05],且在症状体征如晨僵时间[OR=-17.36,95%CI(-23.62,-11.10),Z=5.43,P<0.05],疼痛缓解情况 [OR=-1.34,95%CI(-2.13,-0.05),Z=3.34,P<0.05]以及实验室指标如类风湿因子[OR=-14.04,95%CI(-24.43,-6.66),Z=3.73,P<0.05]、C反应蛋白[OR=-5.90,95%CI(-8.11,-3.69),Z=5.23,P<0.05]、红细胞沉降率[OR=-6.03,95%CI(-8.26,-3.80),Z=5.29,P<0.05]方面,中药外敷联合西药治疗组均优于单纯西药治疗组,而在药物不良反应方面,两组差异无统计学意义[OR=1.14,95%CI(0.47,2.76),Z=0.30,P>0.05]。结论 国内研究显示,中药外敷联合西药治疗类风湿关节炎在缓解患者临床症状,改善患者病情方面效果显著,值得临床进一步推广与应用。
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WANG Xuesong, ZHOU Yajing, YANG Yu, LI chenchen, FAN Yan, HU Shirong
Publication date：2021-02-01， DOI:10.12209/issn2708-3845.20210130002
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:Objective To Summarize the key points of acupoint massage treatment and traditional Chinese medicine nursing for a patient with constipation due to qi deficiency after stroke. Methods A patient with constipation due to qi deficiency after stroke was selected in this hospital, and comprehensive nursing measures of meridian acupoint massage combined with traditional Chinese medicine were given to the symptoms. Results The patient"s symptoms were effectively relieved after meridian acupoint massage and traditional Chinese medicine nursing. Conclusion For patients with Qi deficiency and constipation after stroke, the degree of Qi deficiency should be evaluated before treatment. In addition to the application of general therapy, attention should be paid to supplementing the deficiency treatment. Combined with traditional Chinese medicine nursing measures can effectively improve the clinical symptoms of patients and speed up recovery.
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LI Miaomiao, XU Pengfei, LU Wei
Publication date：2020-11-04， DOI:10.12209/issn2708-3845.20201104002
Classification ：Specialist nursing-internal medical nursing
Abstract:目的 探讨腹膜透析患者容量管理行为与疾病感知、希望水平的相关性。方法 采用一般资料调查表、容量管理行为水平量表、简易疾病感知问卷及中文版Herth希望量表对135例腹膜透析患者进行问卷调查。结果 共发放问卷137份,有效问卷135份,有效率98.54%。腹膜透析患者容量管理行为水平总分(17.01±4.27)分,少吃高盐高钠食物得分最低。患者容量管理行为水平总分、限盐及容量超负荷症状监测均与疾病了解程度呈负相关(P＜0.05),腹膜透析相关容量管理与认知呈负相关(P＜0.05)。容量管理行为水平总分及其各维度均与希望水平总分、与他人保持亲密的关系呈正相关(P＜0.05),限盐及容量超负荷症状监测与采取积极的行动呈正相关(P＜0.05)。 结论 腹膜透析患者容量管理行为与疾病感知及希望水平具有相关性,应加强患者医疗及家庭的支持与关怀,依据患者实际能力与需求,针对性指导患者对容量管理的正确认知,提高疾病了解程度,促进患者主动管理行为的形成。
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Publication date：2021-01-07， DOI:10.12209/issn2708-3845.20210107003
Classification ：Specialist nursing-internal medical nursing
Abstract:This paper reviewed the clinical data of a patient with hydrocele of tunica vaginalis and lesions in the epididymis. In addition to the psychological care and pain control, targeted nursing interventions on dysuresia, rehabilitation guidance and health education were carried out.
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Xu ling, Li Huafen, Wang Jianlin, Xue Minfen, Zhang Wei, Qu Zhi
Publication date：2020-06-30， DOI:10.12209/issn2708-3845.20200630001
Classification ：Traditional Chinese medicine nursing-TCM nursing and others
Abstract:Objective ToSobserveStheSeffectSof Chinese herbal immersion in prevention and treatment of hand-foot syndrome caused by apatinib. Methods From Jan 2016 to Dec 2017, 157 patients with esophageal carcinoma and intestinal carcinoma treated with apatinib were randomly divided into Chinese medicine group (n=72), in which their hands and feet were immersed in Chinese herbal liquid twice a day; and control group (n=85), in which their hands and feet were immersed in warm water twice a day. Then we compared the incidence and severity of hand-foot syndrome between the groups. Results Among all the patients the incidence of I, II and III degree hand-foot syndrome were 12.7%, 10.2% and 6.4%, respectively. The rates of I, II, III degree hand-foot syndrome in Chinese medicine group and control group were 8.3%, 6.9%, 4.2% and 16.5%, 11.0%, 10.1%, respectively, and the rate in control group was higher than that in Chinese medicine group(P=0.015). Conclusion Chinese herbal immersion could reduce the incidence and severity of hand-foot syndrome for cancer patients treated with apatinib, which was valuable to be applied in clinics.
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马丽娜, 邓建华, 刘司春, 尚鹏翠, 杨明颖, 李媛媛, 牛丽丽, 吴春丽, 李玉欣
Publication date：2021-01-18， DOI:10.12209/issn2708-3845.20210114002
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:目的：报告1例老年危重症患者伴皮肤褶皱性皮炎应用于艾灸的护理病例；方法:患者住院期间采用中医治疗艾灸,根据中医经络学说原理选穴,关元、中极、气海、肾俞、大肠俞、天枢、足三里以及局部皮肤损伤处予以施灸,每天一次,每穴位3分钟,皮肤损伤处每次15分钟予以施灸。结果：实施上述中医治疗操作后,皮肤损伤面积由6×9cm2范围缩小至全部愈合,出院随访半月,未见复发。结论：中医艾灸治疗有助于老年危重患者皮肤褶皱性皮炎的愈合,疗效显著,能提高护理质量,值得临床推广应用。
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Publication date：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.
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Qin Guilian, Hu Xiaohong, Guo Hongbo
Publication date：2020-10-16， DOI:10.12209/issn2708-3845.20201016001
Classification ：Specialist nursing-surgery nursing
Abstract:气管插管是麻醉科医师为手术患者进行全麻术时,常用的一种维持患者气道通畅的方法,咽喉痛是气管插管全麻术后常见的气道并发症。本文从现代医学和传统中医学的干预,对气管插管全麻术后患者咽喉痛的护理进行综述,为提高气管插管全麻术后患者咽喉痛的治疗护理提供参考。
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Publication date：2020-06-04， DOI:10.12209/issn2708-3845.20200602002
Classification ：Specialist nursing-physiotherapy and nursing
Abstract:Objective：To observe the effects of the combination of calming foot bath and hemodialysis on sleep quality,dialysis quality,hypersensitive c-reactive protein(hs-CRP),interleukin-6 (IL-6)and tumor necrosis factor alpha (TNF-α)in patients with sleep disorders. Methods：According to the random number table method,60 patients with maintenance hemodialysis and sleep disorder were divided into study group and control group,30 cases each. The control group was given psychological nursing care and basic blood purification treatment.The team on the basis of psychological nursing,3 times per week Hemodiafiltration (HDF) treatment and calming foot bath. Both groups were treated for 2 months. The PSQI score,K-T/V score,hs-CRP,IL-6 and TNF-α of the two groups before and after intervention were compared. Results：(1)Before intervention,the PSQI score,K-T/V score ,hs-CRP,IL-6 and TNF-α of the two groups of patients were compared,and the differences were not statistically significant(P＞0.05)；(2)After intervention,K-T/V score of patients in both groups was higher than that before intervention(P＜0.05)；the PSQI score ,hs-CRP,IL-6 and TNF-α of patients in both groups were lower than that before intervention(P＜0.05)；(3)After intervention,K-T/V score of the study group was higher than that of the control group (P＜0.05)；the PSQI score ,hs-CRP,IL-6 and TNF-α of the study group were lower than that of the control group(P＜0.05). Conclusion：The combination of calming foot bath and hemodiafiltration can improve the sleep quality,dialysis quality and immune function of hemodialysis patients.
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Publication date：2020-10-10， DOI:10.12209/issn2708-3845.20201009003
Classification ：Nursing-nursing management
Abstract:2019年12月某市爆发了新型冠状病毒肺炎,随着疫情的进展以及危重患者的增长,越来越多危重患者除了需要新冠肺炎的治疗以外还需要其他特殊治疗,如血液净化治疗。新冠肺炎具有极强的传染性,血液净化治疗过程如何进行防护及感染控制尤为重要。本文将结合临床实践及血液净化技术相关知识,基于鱼骨图分析法,明确血液净化治疗过程中可能产生的风险,并在此基础上制定出新型冠状病毒肺炎患者安全管理策略和相关防护措施,为血液净化治疗的安全实施提供参考。
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Publication date：2020-09-28， DOI:10.12209/issn2708-3845.20200928001
Classification ：Specialist nursing-stomatology nursing
Abstract:Objective To explore the experience and needs of caregivers of oral cancer patients, as to provide evidence for effective nursing services for caregivers. Methods By using the purposive sampling method,twelvecaregivers were given a semi-structured interview,and used Colaizzi’s analysis to analyse. Results Five themes were extracted including knowledge and information needs, psychological pressure, adjusting attitudes towards patient financial burden and family and social support needs. Conclusion Caregivers of oral cancer patients are facing the different kinds of problem. Nursing staff should pay attention to the needs and psychological problems of caregivers,strengthen the health education of caregivers. It is important for hospital to provide social support to reduce the financial burden of caregivers.
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CHEN Lin, ZHOU Jing, YAO Xueming, MA Wukai, SHEN Haiyan, HAN Shan
Publication date：2020-07-13， DOI:10.12209/issn2708-3845.20200713004
Classification ：Nursing-nursing and other disciplines
Abstract:目的 系统评价中药外敷联合西药治疗类风湿关节炎的临床效果,为其临床治疗及研究提供循证参考。方法 计算机检索中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方数据库、维普数据库(VIP)中的相关文献,对符合纳入标准的研究进行资料提取后,采用Rev Man 5.3进行Meta分析。结果 共纳入文献27篇,总样本量2481例,Meta分析结果显示,中药外敷联合西药治疗组与单纯西药治疗组相比能提高治疗效果 [OR=3.33,95%CI(2.59,4.28),Z=9.44,P<0.05],且在症状体征如晨僵时间[OR=-17.36,95%CI(-23.62,-11.10),Z=5.43,P<0.05],疼痛缓解情况 [OR=-1.34,95%CI(-2.13,-0.05),Z=3.34,P<0.05]以及实验室指标如类风湿因子[OR=-14.04,95%CI(-24.43,-6.66),Z=3.73,P<0.05]、C反应蛋白[OR=-5.90,95%CI(-8.11,-3.69),Z=5.23,P<0.05]、红细胞沉降率[OR=-6.03,95%CI(-8.26,-3.80),Z=5.29,P<0.05]方面,中药外敷联合西药治疗组均优于单纯西药治疗组,而在药物不良反应方面,两组差异无统计学意义[OR=1.14,95%CI(0.47,2.76),Z=0.30,P>0.05]。结论 国内研究显示,中药外敷联合西药治疗类风湿关节炎在缓解患者临床症状,改善患者病情方面效果显著,值得临床进一步推广与应用。
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WEN Caoli, LI Haiting, JIA Sansan
Publication date：2020-05-28， DOI:10.12209/issn2708-3845.NursRxiv20200528001
Classification ：Nursing-nursing management
Abstract:ABSTRACT: Objective? To explore the status quo of readiness for hospital discharge, pain degree and its correlation in patients with lumbar disc herniation (LDH). Methods? Totally 196 LDH patients were investigated with Readiness for Hospital Discharge Scale (RHDS) and Numerical Rating Scale for pain (NRS). Data obtained was analyzed by Pearson correlation analysis. Results? The total score of RHDS in LDH patients was (94.17±8.56), and average scores of each dimension from high to low was person status, excepted support and coping ability.? The score of NRS was (6.10±0.30) at hospital admission and was (1.70±0.50) 4 hours before hospital discharge, with a significant difference (t=1.892,P<0.05) . The total score of RHDS and scores of each dimension were negatively correlated with the NRS score of pain 4 hours before hospital discharge (P<0.05). Conclusions? The LDH patients had a high level of readiness for hospital discharge and a low level of pain relief before discharge. The medical staff should pay more attention to the readiness of patients with lumbar disc herniation, help them to relieve pain and promote their recovery.
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Li Jing, Xie Xiaolei, Zhao Nan, Song Libo, Jing Jing, Liao Juan
Publication date：2020-07-25， DOI:10.12209/issn2708-3845.20200723002
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:Objective To explore the influence of auricular point pressing with bean on insomnia in patients with coronavirus disease 2019 （COVID-19）. Method All patients with COVID-19 suffering from insomnia who were coming from the South-first-district and general-five-district inpatient wards of Jin Yintan hospital, Wu Han from February to March, 2020. Sixty-two patients were included in the study. Based on the conventional treatment, using auricular point pressing with bean in experimental group, while only using conventional treatment in control group. The auricular acupoints in one ear were selected with heart, shenmen, sympathetic, neurasthenia, upper lung, lower lung, and anti-asthma etc., twice a week for 14 days. The general information questionnaire was used to evaluate the general condition of the patients before the intervention. The insomnia severity index (ISI), self-rating Depression Scale (SDS), self-rating Anxiety Scale (SAS) and Kolcaba Comfort Scale were used to evaluate the severity of insomnia, depression, anxiety and comfort status before and after the intervention. Results In general data of patients, there was a statistically significant difference on oxygen therapy between groups (χ2= 12.579, P = 0.000). Before and after the intervention, there was a significant difference on the total score of insomnia severity index between the two groups (Z=-3.662, P=0.000). According to the stratified analysis of oxygen therapy, the total score of ISI between the two groups before and after the intervention was statistically different（t=3.877，P=0.000）. Through intra group comparison, there was a significant difference in experimental group on the total score of ISI(Z= -4.247, P = 0.000) . There was no significant difference in the scores of SDS, SAS and Kolcaba Comfort scale between the two groups before and after the intervention (P > 0.05); there was a significant difference in experimental group of anxiety scale before and after the intervention (z = -2.673, P = 0.008). Conclusion Auricular acupoint compression can effectively improve the symptoms of insomnia in covid-19 patients, and improve the anxiety caused by insomnia in covid-19 patients. Auricular acupoint compression technique is worth promoting and applying.
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Qin Guilian, Hu Xiaohong, Guo Hongbo
Publication date：2020-10-16， DOI:10.12209/issn2708-3845.20201016001
Classification ：Specialist nursing-surgery nursing
Abstract:气管插管是麻醉科医师为手术患者进行全麻术时,常用的一种维持患者气道通畅的方法,咽喉痛是气管插管全麻术后常见的气道并发症。本文从现代医学和传统中医学的干预,对气管插管全麻术后患者咽喉痛的护理进行综述,为提高气管插管全麻术后患者咽喉痛的治疗护理提供参考。
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Xu ling, Li Huafen, Wang Jianlin, Xue Minfen, Zhang Wei, Qu Zhi
Publication date：2020-06-30， DOI:10.12209/issn2708-3845.20200630001
Classification ：Traditional Chinese medicine nursing-TCM nursing and others
Abstract:Objective ToSobserveStheSeffectSof Chinese herbal immersion in prevention and treatment of hand-foot syndrome caused by apatinib. Methods From Jan 2016 to Dec 2017, 157 patients with esophageal carcinoma and intestinal carcinoma treated with apatinib were randomly divided into Chinese medicine group (n=72), in which their hands and feet were immersed in Chinese herbal liquid twice a day; and control group (n=85), in which their hands and feet were immersed in warm water twice a day. Then we compared the incidence and severity of hand-foot syndrome between the groups. Results Among all the patients the incidence of I, II and III degree hand-foot syndrome were 12.7%, 10.2% and 6.4%, respectively. The rates of I, II, III degree hand-foot syndrome in Chinese medicine group and control group were 8.3%, 6.9%, 4.2% and 16.5%, 11.0%, 10.1%, respectively, and the rate in control group was higher than that in Chinese medicine group(P=0.015). Conclusion Chinese herbal immersion could reduce the incidence and severity of hand-foot syndrome for cancer patients treated with apatinib, which was valuable to be applied in clinics.
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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。
Virtual Special Issue
English name：Integrative Nursing Preprint
Website：www.nursrxiv.org.cn
Operations management：中西医结合护理杂志社
