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In order to implement the requirements of the “Six satisfactions”action launched by the Beijing municipal administration of traditional Chinese medicine, to further develop the distinctive advantages of traditional Chinese medicine nursing, and to deepen the connotation of high-quality nursing services characterized by traditional Chinese medicine, many TCM hospitals have carried out the construction of TCM nursing clinic. In order to standardize the construction of traditional Chinese medicine nursing clinic, the Bureau commissioned the Beijing Municipal Engineering Office for the enhancement of nursing capacity of traditional Chinese medicine, the Beijing Center for quality control of traditional Chinese medicine technology and the Beijing Center for quality control of traditional Chinese medicine nursing care to jointly study and formulate the construction plan for the outpatient clinic of traditional Chinese medicine (trial implementation) , printed and distributed to you. Please comply. -
Objective Explore measures to avoid spilling the vaccine solution during the injection of the COVID-19 vaccine. Methods From January 29, 2021 to January 30, 2021, 990 vaccinators were selected as the experimental group by convenient sampling method, and the in-bottle exhaust method was used; 577 vaccinators were selected as the control group, and the conventional exhaust method was used. Observe the incidence of vaccine spillage in the two groups during exhaust. Results The incidence of external spilling in the experimental group was 0%, and that in the control group was 7.28%. The incidence of external spilling in the experimental group was lower than that in the control group, and the data difference between groups was statistically significant (P<0.05). Conclusion Implementing the in-bottle exhaust method in the vaccine injection can effectively reduce the incidence of liquid spills, reduce nucleic acid pollution, and ensure that the vaccine is injected at the prescribed dose. At the same time, the operation is simple and easy, which improves the nurse""s vaccination efficiency, and has a higher promotion and application value. -
To further accelerate COVID-19 mild disease patients to cure, reduce light illness to severe development, play the synergy between medical care and nursing, Beijing Administration of Traditional Chinese Medicine (TCM) commissioned the Beijing Office of TCM Nursing Capacity Improvement Project and Beijing TCM Nursing Quality Control Center to organize the specialized group to compile Nursing Specification of Integrated Traditional Chinese and Western Medicine for Mild and Common Patients with COVID-19.This specification elaborates in detail the nursing contents of integrated traditional Chinese and Western medicine for mild and common patients with COVID-19, including clinical classification, etiology and pathogenesis, prevention and control measures, nursing measures, etc. Among them, nursing measures include disease observation, medication nursing, diet nursing, emotional nursing, exercise nursing and appropriate techniques of TCM nursing. This specification is convenient for clinical nurses in various medical institutions to use for reference, and provides a reference for clinical application of integrated traditional Chinese and western medicine nursing to fight against COVID-19. -
目的 系统评价中药外敷联合西药治疗类风湿关节炎的临床效果,为其临床治疗及研究提供循证参考。方法 计算机检索中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方数据库、维普数据库(VIP)中的相关文献,对符合纳入标准的研究进行资料提取后,采用Rev Man 5.3进行Meta分析。结果 共纳入文献27篇,总样本量2481例,Meta分析结果显示,中药外敷联合西药治疗组与单纯西药治疗组相比能提高治疗效果 [OR=3.33,95%CI(2.59,4.28),Z=9.44,P<0.05],且在症状体征如晨僵时间[OR=-17.36,95%CI(-23.62,-11.10),Z=5.43,P<0.05],疼痛缓解情况 [OR=-1.34,95%CI(-2.13,-0.05),Z=3.34,P<0.05]以及实验室指标如类风湿因子[OR=-14.04,95%CI(-24.43,-6.66),Z=3.73,P<0.05]、C反应蛋白[OR=-5.90,95%CI(-8.11,-3.69),Z=5.23,P<0.05]、红细胞沉降率[OR=-6.03,95%CI(-8.26,-3.80),Z=5.29,P<0.05]方面,中药外敷联合西药治疗组均优于单纯西药治疗组,而在药物不良反应方面,两组差异无统计学意义[OR=1.14,95%CI(0.47,2.76),Z=0.30,P>0.05]。结论 国内研究显示,中药外敷联合西药治疗类风湿关节炎在缓解患者临床症状,改善患者病情方面效果显著,值得临床进一步推广与应用。
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ZHANG Lijun, CAO Lei, E haiyan, TANG Ling, ZHEN Naihua
Publication date：2022-05-23， DOI: 10.12209/issn2708-3845.20220523001
Classification ：Specialist nursing-community nursing
Abstract:Traditional Chinese Medicine(TCM) nursing technology has unique advantage in life cultivation and health preservation, chronic disease management and other areas. The community nurses’ awareness of TCM nursing technology remains to be improved. There is an increasing need for TCM nursing among community dwellers in China. However, the promotion and practice of TCM nursing technology provided by community nurses are influenced by the inconsistent standards of medical costs, level of community-based nursing service and other issues. This paper briefly summarized the Application status and thinking of TCM nursing technology in community nursing, in order to provide reference for the community-based promotion and practice.
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Publication date：2022-05-23， DOI: 10.12209/issn2708-3845.20220523002
Classification ：Specialist nursing-surgery nursing
Abstract:This paper summarized the nursing management of a patient with renal cell carcinoma with tumor thrombus extension into the vena cava combined with atrial fibrillation. Key issues of nursing included illness observation, medication guidance, skin care, prevention and nursing of lower limb vein thrombosis, nutrition support, psychological care, and so on.
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Publication date：2022-05-20， DOI: 10.12209/issn2708-3845.20220520001
Classification ：Specialist nursing-gynecology and obstetrics nursing
Abstract:Stress urinary incontinence (SUI) is a disease characterized by involuntary urination with increased abdominal pressure during strenuous activities, sneezing, or coughing. The disease is a considerable threat to the quality of life of its patients. This study aims to overview the pathogenesis and nursing intervention of female SUI, thereby providing a reference for relevant clinical work and the promotion of healthy aging.
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Publication date：2022-05-18， DOI: 10.12209/issn2708-3845.20220518002
Classification ：Nursing-nursing pedagogy
Abstract:Objective To investigate the bundled care on prevention of lower extremity deep venous thrombosis (DVT) in patients undergoing surgery for cerebral hemorrhage. Methods Totally 40 patients undergoing surgery for cerebral hemorrhage were randomly divided into the control group and observation group, with 20 cases in each group. The control group received routine care during the treatment period, and the observation group was given a bundled care program. The incidence lower extremity DVT was compared between two groups, and patient satisfaction with nursing service was evaluated. Results The incidence of lower extremity DVT in the observation group was lower than that in the control group（P＜0.05）. The satisfaction rate in the observation group was higher than that in the control group（P＜0.05）. Conclusion The bundled care program is potentially effective to reduce the risk of lower extremity DVT and improve the satisfaction of patients undergoing surgery for cerebral hemorrhage.
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Publication date：2022-05-18， DOI: 10.12209/issn2708-3845.20220518001
Classification ：Nursing-nursing management
Abstract:Objective To evaluate the mind map mode in the quality improvement of nursing handovers for critically ill patients with respiratory diseases. Methods Totally 54 critically ill patients with respiratory diseases were randomly divided into the observation group and the control group, with 27 cases in each group. Patient in both observation group and control group received routine care during the treatment period, and a mind map mode was applied in the nursing handovers in the observation group. The incidence of complications and quality of nursing handovers were measured and compared between groups. Results The unqualified rates of nursing handovers, risk assessment, health education and nursing document writing in the observation group were lower than those in the control group （P＜0.05）. The incidence of complications in the observation group was lower than that in the control group, but no significant difference was found（P＞0.05）. Conclusion The mind map mode is potentially effective to improve the quality of nursing handovers for critically ill patients with respiratory diseases.
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GUO Huihui, XING Ying, JIN Yue, FANG Rui
Publication date：2022-05-18， DOI: 10.12209/issn2708-3845.20220518003
Classification ：Specialist nursing-surgery nursing
Abstract:Objective To observe the effect of PDCA cycle in improving the awareness rate of health education among elderly interventional patients. Methods From January to April of 2021, 70 elderly patients undergoing interventional therapy were recruited as the research objects (post-activity group). The PDCA cycle method was adopted in the postoperative health education for elderly patients with interventional therapy. Another 70 patient receiving routine health education after interventional therapy were included as the pre-activity group. The patient awareness of health education, treatment compliance, mental status, sleep quality and quality of life were measure and compared between Pre-activity group and Post-activity group. Results The awareness rate of patient health knowledge in the post-activity group was significantly higher than that in the pre-activity group (97.14% vs. 64.29%, P<0.05). The accuracy of oral medication time, regular follow-up monitoring rate, rate of identifying mistakes after PCI and correct lifestyle rate in the post-activity group were significantly higher than those in the pre-activity group(P<0.01). The scores of Patient Health Questionnaire-9(PHQ-9) and Pittsburgh Sleep Quality Index(PSQI) in the post-activity group were significantly lower than those in the pre-activity group(P<0.01). The score of Quality of life SF-36 questionnaire (SF-36) in the post-activity group wasgnificantly higher than those in the pre-activity group(P<0.01). Conclusion? The application of PDCA cycle in postoperative health education can increase the patient awareness and compliance with health knowledge, improve lifestyles, relieve the anxiety and depression, improve overall sleep quality and quality of life, and provide rehabilitation for elderly patients undergoing interventional therapy.
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Publication date：2022-05-17， DOI: 10.12209/issn2708-3845.20220516001
Classification ：Specialist nursing-internal medical nursing
Abstract:As an important approach of rehabilitation, the respiratory rehabilitation training is effective to reduce the damage to the lung function and relieve the symptoms of respiratory disorder, thereby improving the quality of life and self-care ability of patients with stable chronic obstructive pulmonary disease. This paper summarized the research progress of respiratory rehabilitation training in patients with stable chronic obstructive pulmonary disease, and provided reference for the further research and clinical practice.
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Publication date：2022-05-13， DOI: 10.12209/issn2708-3845.20220512001
Classification ：Specialist nursing-stomatology nursing
Abstract:This paper summarizes the nursing experience of a patient with chemotherapy-associated oral mucositis treated with Chinese herbal mouthwash combined with moxibustion. Firstly, risk assessment and grading were performed; then the herbal mouthwash combined with moxibustion treatment was combined with comprehensive nursing interventions such as personalized diet regulation, emotional care, health guidance and continuation care, in order to reduce the patient''s ulcer pain, accelerate ulcer healing, improve his quality of life and enhance his treatment compliance.
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QIU Deyuan, DUAN Junfang, LI Ping, QIN Xiaocui, WANG Huihui, ZHANG Yingying, CHEN Menghan
Publication date：2022-05-13， DOI: 10.12209/issn2708-3845.20220512002
Classification ：Specialist nursing-surgery nursing
Abstract:Objective To explore the application effect of quality control circle (QCC) activities in improving the implementation rate of deep vein thrombosis (DVT) prevention in patients undergoing urological surgery. Methods From July 2020 to December 2020, 125 cases of urology surgery patients with lack of management of DVT were investigated. The causes were analyzed according to the investigation results, and the improvement plan was established and implemented based on evidence. The implementation condition of DVT prevention in another 125 cases of urology surgery patients was evaluated after QCC activities. Results The implementation rate of DVT prevention increased from 62.40% before implementation of QCC activities to 97.60％ after implementation of QCC activities, with a significant difference (P<0.05). Conclusion Application of QCC management tool can improve the management standard of DVT prevention in patients undergoing urological surgery and effectively reduce the incidence of DVT.
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WANG Huaxin, DAI Hui, TANG Ling, ZHAO Jialu
Publication date：2022-05-13， DOI: 10.12209/issn2708-3845.20220512003
Classification ：Specialist nursing-internal medical nursing
Abstract:Objective To investigate the effect of continuous nursing intervention on medication safety in elderly patients with chronic diseases. Methods Totally 100 elderly patients with chronic diseases were randomly divided into the observation group and control group, with 100 cases in each group. Patient in the control group received routine discharge guidance and follow-up, and those in the observation group were given continuous nursing intervention. The medication safety and rehospitalization situation were analyzed at 6 month after discharge form hospital. A questionnaire survey was conducted to measure the compliance and satisfaction of patients after discharge form hospital. Results The rates of unauthorized increase, decrease, withdrawal and missing of medication in the observation group were lower than those in the control group（P＜0.05, respectively）. The re-hospitalization rate in the observation group was lower than that in the control group (4.00% vs. 18.00%, P＜0.05). The scores of satisfaction evaluation about dietary, rehabilitation exercise, hospital reexamination and hygiene in the observation group were higher than those in the control group（P＜0.01）. The satisfaction rate in the observation group was higher than those in the control group（P＜0.05）. Conclusion The continuous nursing intervention is potentially effective to improve the medication safety and treatment compliance after discharge from hospital in elderly patients with chronic diseases.
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WANG Jiajing, E Haiyan, WEI Yongchun, DONG Yuxia, QIN Shasha
Publication date：2022-05-13， DOI: 10.12209/issn2708-3845.20220512004
Classification ：Traditional Chinese medicine nursing-gynecology and obstetrics nursing of TCM
Abstract:This paper reviewed the clinical data of a patient with anismus, and summarized the treatment and nursing experience based on the doctor-nurse-patient integration mode. Under the doctor-nurse-patient integration mode, the targeted treatment including biofeedback therapy and Traditional Chinese Medicine prescription were provided by the doctor. Based on the syndrome differentiation, massage at Baliao acupoint combined and Chinese herbal medicine hot compress were carried out by the nurse. The patient was activity engaged in treatment and nursing program. Treatment and nursing based on doctor-nurse-patient integration mode is effective in relieving symptom of constipation and improve the treatment compliance and rehabilitation of the patient with anismus.
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SHI Mingjie, WANG Liangmin, LIU Jing, ZHAO Dandan, ZHANG Zhiyan, BAI Mei
Publication date：2022-05-12， DOI: 10.12209/issn2708-3845.20220509004
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:To summarize the nursing experience of a patient with wind-heat lung heat, cough and fever by using the "supplementing" and "purging" of cupping to mobilize the body""s qi, shorten the course of disease, improve the clinical symptoms and achieve good nursing effect, summarize and organize to provide nursing experience for such patients and improve nursing effect.
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E Haiyan, Wang Yali, TANG Ling, WEI Yongchun, JIANG Jing, DONG Yuxia
Publication date：2022-05-12， DOI: 10.12209/issn2708-3845.20220509003
Classification ：Nursing-nursing pedagogy
Abstract:With the progress of medicine, great changes have taken place in intravenous infusion technology. This paper summarizes the development process of intravenous therapy in China from the aspects of the origin of intravenous infusion technology, the innovation of static therapy tools, the construction of professional team, norms and standards, in order to improve the safety, scientificity and effectiveness of intravenous infusion and maintain the life channel of patients.
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LI Jiao, HU Hairong, LI Meilian, JIA Zongyi
Publication date：2022-05-12， DOI: 10.12209/issn2708-3845.20220511001
Classification ：Specialist nursing-surgery nursing
Abstract:Postoperative delirium is a common complication affecting the rehabilitation of patients undergoing surgery for the femoral neck fracture, This paper introduced the relevant assessment of delirium, combed the elderly femoral neck fracture from several aspects the influence factors of postoperative delirium, and summarized the prevention and nursing measures of postoperative delirium, in order to provide the reference for the prevention of postoperative delirium and improvement of postoperative rehabilitation in the elderly patients with femoral neck fracture.
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LIAO Ke, YANG Li, LAI Chunyan, ZHAO Lijuan
Publication date：2022-05-10， DOI: 10.12209/issn2708-3845.20220509001
Classification ：Specialist nursing-pediatric nursing
Abstract:Objective To explore the effect of nursing project management for prolonging the indwelling time of peripheral intravenous indwelling needle in neonates. Based on the analysis of potential problems such as catheter loss, phlebitis, liquid extravasation and tube blockage in the infusion treatment using peripheral venous indwelling needle, a nursing project management was carried out. Aiming at prolong the indwelling time to 72 hours, countermeasures from aspects of human, material, method and environment were analyzed and carried out, and usage of intravenous indwelling needle in neonates was systematically managed according to the standard procedure. Results The qualified rate of reaching target indwelling time increased from 33.10% before implementation of nursing project management to 71.56% after implementation of nursing project management. Conclusion The application of nursing project management can effectively prolong the indwelling time of peripheral intravenous indwelling needle in neonates, which is worthy of promotion in clinical practice.
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ZHANG Lijun, CAO Lei, E haiyan, TANG Ling, ZHEN Naihua
Publication date：2022-05-23， DOI: 10.12209/issn2708-3845.20220523001
Classification ：Specialist nursing-community nursing
Abstract:Traditional Chinese Medicine(TCM) nursing technology has unique advantage in life cultivation and health preservation, chronic disease management and other areas. The community nurses’ awareness of TCM nursing technology remains to be improved. There is an increasing need for TCM nursing among community dwellers in China. However, the promotion and practice of TCM nursing technology provided by community nurses are influenced by the inconsistent standards of medical costs, level of community-based nursing service and other issues. This paper briefly summarized the Application status and thinking of TCM nursing technology in community nursing, in order to provide reference for the community-based promotion and practice.
-
Publication date：2022-05-23， DOI: 10.12209/issn2708-3845.20220523002
Classification ：Specialist nursing-surgery nursing
Abstract:This paper summarized the nursing management of a patient with renal cell carcinoma with tumor thrombus extension into the vena cava combined with atrial fibrillation. Key issues of nursing included illness observation, medication guidance, skin care, prevention and nursing of lower limb vein thrombosis, nutrition support, psychological care, and so on.
-
Publication date：2022-05-20， DOI: 10.12209/issn2708-3845.20220520001
Classification ：Specialist nursing-gynecology and obstetrics nursing
Abstract:Stress urinary incontinence (SUI) is a disease characterized by involuntary urination with increased abdominal pressure during strenuous activities, sneezing, or coughing. The disease is a considerable threat to the quality of life of its patients. This study aims to overview the pathogenesis and nursing intervention of female SUI, thereby providing a reference for relevant clinical work and the promotion of healthy aging.
-
Publication date：2022-05-18， DOI: 10.12209/issn2708-3845.20220518002
Classification ：Nursing-nursing pedagogy
Abstract:Objective To investigate the bundled care on prevention of lower extremity deep venous thrombosis (DVT) in patients undergoing surgery for cerebral hemorrhage. Methods Totally 40 patients undergoing surgery for cerebral hemorrhage were randomly divided into the control group and observation group, with 20 cases in each group. The control group received routine care during the treatment period, and the observation group was given a bundled care program. The incidence lower extremity DVT was compared between two groups, and patient satisfaction with nursing service was evaluated. Results The incidence of lower extremity DVT in the observation group was lower than that in the control group（P＜0.05）. The satisfaction rate in the observation group was higher than that in the control group（P＜0.05）. Conclusion The bundled care program is potentially effective to reduce the risk of lower extremity DVT and improve the satisfaction of patients undergoing surgery for cerebral hemorrhage.
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Publication date：2022-05-18， DOI: 10.12209/issn2708-3845.20220518001
Classification ：Nursing-nursing management
Abstract:Objective To evaluate the mind map mode in the quality improvement of nursing handovers for critically ill patients with respiratory diseases. Methods Totally 54 critically ill patients with respiratory diseases were randomly divided into the observation group and the control group, with 27 cases in each group. Patient in both observation group and control group received routine care during the treatment period, and a mind map mode was applied in the nursing handovers in the observation group. The incidence of complications and quality of nursing handovers were measured and compared between groups. Results The unqualified rates of nursing handovers, risk assessment, health education and nursing document writing in the observation group were lower than those in the control group （P＜0.05）. The incidence of complications in the observation group was lower than that in the control group, but no significant difference was found（P＞0.05）. Conclusion The mind map mode is potentially effective to improve the quality of nursing handovers for critically ill patients with respiratory diseases.
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GUO Huihui, XING Ying, JIN Yue, FANG Rui
Publication date：2022-05-18， DOI: 10.12209/issn2708-3845.20220518003
Classification ：Specialist nursing-surgery nursing
Abstract:Objective To observe the effect of PDCA cycle in improving the awareness rate of health education among elderly interventional patients. Methods From January to April of 2021, 70 elderly patients undergoing interventional therapy were recruited as the research objects (post-activity group). The PDCA cycle method was adopted in the postoperative health education for elderly patients with interventional therapy. Another 70 patient receiving routine health education after interventional therapy were included as the pre-activity group. The patient awareness of health education, treatment compliance, mental status, sleep quality and quality of life were measure and compared between Pre-activity group and Post-activity group. Results The awareness rate of patient health knowledge in the post-activity group was significantly higher than that in the pre-activity group (97.14% vs. 64.29%, P<0.05). The accuracy of oral medication time, regular follow-up monitoring rate, rate of identifying mistakes after PCI and correct lifestyle rate in the post-activity group were significantly higher than those in the pre-activity group(P<0.01). The scores of Patient Health Questionnaire-9(PHQ-9) and Pittsburgh Sleep Quality Index(PSQI) in the post-activity group were significantly lower than those in the pre-activity group(P<0.01). The score of Quality of life SF-36 questionnaire (SF-36) in the post-activity group wasgnificantly higher than those in the pre-activity group(P<0.01). Conclusion? The application of PDCA cycle in postoperative health education can increase the patient awareness and compliance with health knowledge, improve lifestyles, relieve the anxiety and depression, improve overall sleep quality and quality of life, and provide rehabilitation for elderly patients undergoing interventional therapy.
-
Publication date：2022-05-17， DOI: 10.12209/issn2708-3845.20220516001
Classification ：Specialist nursing-internal medical nursing
Abstract:As an important approach of rehabilitation, the respiratory rehabilitation training is effective to reduce the damage to the lung function and relieve the symptoms of respiratory disorder, thereby improving the quality of life and self-care ability of patients with stable chronic obstructive pulmonary disease. This paper summarized the research progress of respiratory rehabilitation training in patients with stable chronic obstructive pulmonary disease, and provided reference for the further research and clinical practice.
-
Publication date：2022-05-13， DOI: 10.12209/issn2708-3845.20220512001
Classification ：Specialist nursing-stomatology nursing
Abstract:This paper summarizes the nursing experience of a patient with chemotherapy-associated oral mucositis treated with Chinese herbal mouthwash combined with moxibustion. Firstly, risk assessment and grading were performed; then the herbal mouthwash combined with moxibustion treatment was combined with comprehensive nursing interventions such as personalized diet regulation, emotional care, health guidance and continuation care, in order to reduce the patient''s ulcer pain, accelerate ulcer healing, improve his quality of life and enhance his treatment compliance.
-
QIU Deyuan, DUAN Junfang, LI Ping, QIN Xiaocui, WANG Huihui, ZHANG Yingying, CHEN Menghan
Publication date：2022-05-13， DOI: 10.12209/issn2708-3845.20220512002
Classification ：Specialist nursing-surgery nursing
Abstract:Objective To explore the application effect of quality control circle (QCC) activities in improving the implementation rate of deep vein thrombosis (DVT) prevention in patients undergoing urological surgery. Methods From July 2020 to December 2020, 125 cases of urology surgery patients with lack of management of DVT were investigated. The causes were analyzed according to the investigation results, and the improvement plan was established and implemented based on evidence. The implementation condition of DVT prevention in another 125 cases of urology surgery patients was evaluated after QCC activities. Results The implementation rate of DVT prevention increased from 62.40% before implementation of QCC activities to 97.60％ after implementation of QCC activities, with a significant difference (P<0.05). Conclusion Application of QCC management tool can improve the management standard of DVT prevention in patients undergoing urological surgery and effectively reduce the incidence of DVT.
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WANG Huaxin, DAI Hui, TANG Ling, ZHAO Jialu
Publication date：2022-05-13， DOI: 10.12209/issn2708-3845.20220512003
Classification ：Specialist nursing-internal medical nursing
Abstract:Objective To investigate the effect of continuous nursing intervention on medication safety in elderly patients with chronic diseases. Methods Totally 100 elderly patients with chronic diseases were randomly divided into the observation group and control group, with 100 cases in each group. Patient in the control group received routine discharge guidance and follow-up, and those in the observation group were given continuous nursing intervention. The medication safety and rehospitalization situation were analyzed at 6 month after discharge form hospital. A questionnaire survey was conducted to measure the compliance and satisfaction of patients after discharge form hospital. Results The rates of unauthorized increase, decrease, withdrawal and missing of medication in the observation group were lower than those in the control group（P＜0.05, respectively）. The re-hospitalization rate in the observation group was lower than that in the control group (4.00% vs. 18.00%, P＜0.05). The scores of satisfaction evaluation about dietary, rehabilitation exercise, hospital reexamination and hygiene in the observation group were higher than those in the control group（P＜0.01）. The satisfaction rate in the observation group was higher than those in the control group（P＜0.05）. Conclusion The continuous nursing intervention is potentially effective to improve the medication safety and treatment compliance after discharge from hospital in elderly patients with chronic diseases.
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WANG Jiajing, E Haiyan, WEI Yongchun, DONG Yuxia, QIN Shasha
Publication date：2022-05-13， DOI: 10.12209/issn2708-3845.20220512004
Classification ：Traditional Chinese medicine nursing-gynecology and obstetrics nursing of TCM
Abstract:This paper reviewed the clinical data of a patient with anismus, and summarized the treatment and nursing experience based on the doctor-nurse-patient integration mode. Under the doctor-nurse-patient integration mode, the targeted treatment including biofeedback therapy and Traditional Chinese Medicine prescription were provided by the doctor. Based on the syndrome differentiation, massage at Baliao acupoint combined and Chinese herbal medicine hot compress were carried out by the nurse. The patient was activity engaged in treatment and nursing program. Treatment and nursing based on doctor-nurse-patient integration mode is effective in relieving symptom of constipation and improve the treatment compliance and rehabilitation of the patient with anismus.
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SHI Mingjie, WANG Liangmin, LIU Jing, ZHAO Dandan, ZHANG Zhiyan, BAI Mei
Publication date：2022-05-12， DOI: 10.12209/issn2708-3845.20220509004
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:To summarize the nursing experience of a patient with wind-heat lung heat, cough and fever by using the "supplementing" and "purging" of cupping to mobilize the body""s qi, shorten the course of disease, improve the clinical symptoms and achieve good nursing effect, summarize and organize to provide nursing experience for such patients and improve nursing effect.
-
E Haiyan, Wang Yali, TANG Ling, WEI Yongchun, JIANG Jing, DONG Yuxia
Publication date：2022-05-12， DOI: 10.12209/issn2708-3845.20220509003
Classification ：Nursing-nursing pedagogy
Abstract:With the progress of medicine, great changes have taken place in intravenous infusion technology. This paper summarizes the development process of intravenous therapy in China from the aspects of the origin of intravenous infusion technology, the innovation of static therapy tools, the construction of professional team, norms and standards, in order to improve the safety, scientificity and effectiveness of intravenous infusion and maintain the life channel of patients.
-
LI Jiao, HU Hairong, LI Meilian, JIA Zongyi
Publication date：2022-05-12， DOI: 10.12209/issn2708-3845.20220511001
Classification ：Specialist nursing-surgery nursing
Abstract:Postoperative delirium is a common complication affecting the rehabilitation of patients undergoing surgery for the femoral neck fracture, This paper introduced the relevant assessment of delirium, combed the elderly femoral neck fracture from several aspects the influence factors of postoperative delirium, and summarized the prevention and nursing measures of postoperative delirium, in order to provide the reference for the prevention of postoperative delirium and improvement of postoperative rehabilitation in the elderly patients with femoral neck fracture.
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LIAO Ke, YANG Li, LAI Chunyan, ZHAO Lijuan
Publication date：2022-05-10， DOI: 10.12209/issn2708-3845.20220509001
Classification ：Specialist nursing-pediatric nursing
Abstract:Objective To explore the effect of nursing project management for prolonging the indwelling time of peripheral intravenous indwelling needle in neonates. Based on the analysis of potential problems such as catheter loss, phlebitis, liquid extravasation and tube blockage in the infusion treatment using peripheral venous indwelling needle, a nursing project management was carried out. Aiming at prolong the indwelling time to 72 hours, countermeasures from aspects of human, material, method and environment were analyzed and carried out, and usage of intravenous indwelling needle in neonates was systematically managed according to the standard procedure. Results The qualified rate of reaching target indwelling time increased from 33.10% before implementation of nursing project management to 71.56% after implementation of nursing project management. Conclusion The application of nursing project management can effectively prolong the indwelling time of peripheral intravenous indwelling needle in neonates, which is worthy of promotion in clinical practice.
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Publication date：2022-05-10， DOI: 10.12209/issn2708-3845.20220509002
Classification ：Nursing-nursing and other disciplines
Abstract:Medical device-related pressure injuries (MDRPI) is an common type of pressure injuries and a?major?nurse-sensitive?outcome in the clinical setting. This paper gave a brief summary of patient and iatrogenic risk assessment and prevention of medical device-related pressure injuries, in order to provide reference for prevention and treatment on MDRPI.
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Comprehensive nursing interventions for a case of typhoid fever complicated with intestinal bleeding
LI Yuncui, HU Hairong, TANG Ling, PENG Dan, QI Wenjing
Publication date：2022-05-06， DOI: 10.12209/issn2708-3845.20220505002
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:To summarize the comprehensive nursing experience in a case of typhoid fever complicated with intestinal bleeding. Based on the nursing risk assessment, comprehensive nursing interventions including guidelines on rest and exercise programs, disinfection protection, psychological nursing, observation and nursing of high fever, observation and nursing of diarrhea, diet nursing and continuous nursing were carried out. omprehensive nursing interventions were implemented to relieve the symptoms of diarrhea, relieve the pain of the patients, shorten the course of the disease, and prevent cross-infection of the disease.
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LI Yuncui, TANG Ling, HU Hairong, Peng Dan, Qi Wenjing
Publication date：2022-05-05， DOI: 10.12209/issn2708-3845.20220505001
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:Summarize the whole process of nursing intervention case management in patients with systemic lupus-causing eye nerve paralysis. Responsible nurses are involved throughout the process, using the National Institutes of Health Stroke Scale (NIHSS) to assess the degree of vision of patients, to give patients dietary care, psychological care, continuing care and other routine nursing interventions, ear needle joint ear cavity pressure intervention and nursing effect evaluation. The patient''s left eyelid sagging symptoms improved and he was discharged from the hospital. Follow-up for 1 week, 2 weeks and 1 month after discharge. And continue outpatient ear cavity pressure intervention, once a week, for 2 consecutive weeks. After 1 month of discharge, the sagging of the left eyelid was successfully reversed and the field of vision returned to normal.
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YANG Jinrui, LIU AI, CUI Yangfang, WANG Yanke
Publication date：2022-05-05， DOI: 10.12209/issn2708-3845.20220410001
Classification ：Traditional Chinese medicine nursing-surgery nursing of TCM
Abstract:Objective To analyze the emergency treatment and clinical nursing of 42 patients with traumatic fracture. Methods select our hospital from 2020 to 2021 as the research object of 42 cases of traumatic fracture patients, the diagnosis and treatment at the same time, in a timely manner to carry out the effective emergency treatment in patients with severe measures, such as surgical debridement and pressure bandage hemostasis, after waiting for remission of patients were randomly divided into two groups, in view of the common postoperative pain and limb swelling, The observation group received conventional nursing treatment, and the control group was compared with the observation group based on the treatment with Chinese medicine application and acupoint application of Chinese medicine. Results all 42 patients underwent surgical treatment, postoperative corresponding nursing response, and the nursing effect of the control group was significantly better than the observation group. Conclusion Correct emergency treatment combined with professional postoperative nursing guidance can improve the effect of diagnosis and treatment, and application of Chinese medicine and acupoint application after first aid treatment is more conducive to the recovery of traumatic fracture patients.
5, 2022
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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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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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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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Li Jing, Xie Xiaolei, Zhao Nan, Song Libo, Jing Jing, Liao Juan
Publication date：2020-07-25， DOI:10.12209/issn2708-3845.20200723002
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:Objective To explore the influence of auricular point pressing with bean on insomnia in patients with coronavirus disease 2019 （COVID-19）. Method All patients with COVID-19 suffering from insomnia who were coming from the South-first-district and general-five-district inpatient wards of Jin Yintan hospital, Wu Han from February to March, 2020. Sixty-two patients were included in the study. Based on the conventional treatment, using auricular point pressing with bean in experimental group, while only using conventional treatment in control group. The auricular acupoints in one ear were selected with heart, shenmen, sympathetic, neurasthenia, upper lung, lower lung, and anti-asthma etc., twice a week for 14 days. The general information questionnaire was used to evaluate the general condition of the patients before the intervention. The insomnia severity index (ISI), self-rating Depression Scale (SDS), self-rating Anxiety Scale (SAS) and Kolcaba Comfort Scale were used to evaluate the severity of insomnia, depression, anxiety and comfort status before and after the intervention. Results In general data of patients, there was a statistically significant difference on oxygen therapy between groups (χ2= 12.579, P = 0.000). Before and after the intervention, there was a significant difference on the total score of insomnia severity index between the two groups (Z=-3.662, P=0.000). According to the stratified analysis of oxygen therapy, the total score of ISI between the two groups before and after the intervention was statistically different（t=3.877，P=0.000）. Through intra group comparison, there was a significant difference in experimental group on the total score of ISI(Z= -4.247, P = 0.000) . There was no significant difference in the scores of SDS, SAS and Kolcaba Comfort scale between the two groups before and after the intervention (P > 0.05); there was a significant difference in experimental group of anxiety scale before and after the intervention (z = -2.673, P = 0.008). Conclusion Auricular acupoint compression can effectively improve the symptoms of insomnia in covid-19 patients, and improve the anxiety caused by insomnia in covid-19 patients. Auricular acupoint compression technique is worth promoting and applying.
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Publication date：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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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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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).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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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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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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DENG Jian-hua, MA Xue-ling, ZHANG Jing, LI Jing, ZHAO Nan, ZHANG Zhi-yun, TANG Ling
Publication date：2020-10-20， DOI:10.12209/issn2708-3845.20201020004
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:To further accelerate COVID-19 mild disease patients to cure, reduce light illness to severe development, play the synergy between medical care and nursing, Beijing Administration of Traditional Chinese Medicine (TCM) commissioned the Beijing Office of TCM Nursing Capacity Improvement Project and Beijing TCM Nursing Quality Control Center to organize the specialized group to compile Nursing Specification of Integrated Traditional Chinese and Western Medicine for Mild and Common Patients with COVID-19.This specification elaborates in detail the nursing contents of integrated traditional Chinese and Western medicine for mild and common patients with COVID-19, including clinical classification, etiology and pathogenesis, prevention and control measures, nursing measures, etc. Among them, nursing measures include disease observation, medication nursing, diet nursing, emotional nursing, exercise nursing and appropriate techniques of TCM nursing. This specification is convenient for clinical nurses in various medical institutions to use for reference, and provides a reference for clinical application of integrated traditional Chinese and western medicine nursing to fight against COVID-19.
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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：2020-10-10， 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：2020-06-04， 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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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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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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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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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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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
