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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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Safe management strategy for nursing of emergency interventional surgery in the catheterization room
Publication date：2021-03-08， DOI: 10.12209/issn2708-3845.20210305002
Classification ：Specialist nursing-internal medical nursing
Abstract:ABSTRACT: This paper analyzed the characteristics and safety management issues of emergency interventional surgery which conducted in the catheterization room, and briefly discussed the key points in safe management of adverse nursing events during the period of emergency interventional surgery. The safe management strategies were elaborated from the perspectives of enhancing the awareness of foreseeability, ensuring the human resource, training of perioperative cooperative ability, raising awareness of incidences, regulating document writing and keeping safe in intrahospital transport, in order to ensure safety during the period of emergency interventional surgery and improve quality of special nursing.
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JIN Fangfang, SU Yunyan, HU Yuexiu, WU Mengya
Publication date：2021-03-08， DOI: 10.12209/issn2708-3845.20210305001
Classification ：Specialist nursing-surgery nursing
Abstract:This paper summarized the perioperative nursing management of an osteoporosis patient undergoing second operation for Stanford type A aortic dissection. An individualized health assessment and interventions of controlling of heart rate and blood pressure were carried out before operation. The safe management strategies and medication care were implemented for osteoporosis. Catheter was placed after surgery and coordinated management of respiratory tract was carried out. Postoperative interventions also included nursing of neurological symptoms and enteral nutrition support.
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Publication date：2021-03-08， DOI: 10.12209/issn2708-3845.20210305003
Classification ：Nursing-nursing management
Abstract:Case report is a common form of medical papers. Case nursing is a case report of a case or a type of disease that nurses have personally taken care of in clinical practice. Nursing case competitions promote and upgrade clinical nursing specialties through the way of promoting learning. Connotation, improve the quality of nursing service. This article will summarize the concept and origin of case report, TCM case report, nursing case report, nursing case competition, etc., and then highlight the guiding significance of nursing case report to clinical work and the importance of nursing case competition in clinical practice.
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CHEN Hong, ZHANG Jing, TANG Ling
Publication date：2021-03-04， DOI: 10.12209/issn2708-3845.20210301005
Classification ：Traditional Chinese medicine nursing-TCM nursing and others
Abstract:随着中医药标准化进程的不断推进,《中医护理方案》和《中医护理常规技术操作规程》在全国中医医疗机构作为行业内现行的最具权威的标准被广泛应用。但是其在临床应用中仍存在一些问题,限制了其进一步发展。中西医结合护理是中医辨证施护与西医护理的有机结合,体现出中西医各自优势互补的特点,推动中西医结合护理的规范化发展显得尤为重要。本文对推动中西医结合护理的规范化发展,从而提升中西医结合护理服务水平和质量进行了探讨。
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Publication date：2021-03-04， DOI: 10.12209/issn2708-3845.20210226001
Classification ：Nursing-basic nursing
Abstract:Objective To investigate the medication deviation of elderly patients with osteoporosis fracture in the hospital-family transition period, and to provide a new basis for clinical reduction of postoperative medication deviation in patients with osteoporosis to optimize the nursing measures. Methods A total of 12 patients who were treated in Huzhou First People"s Hospital of Zhejiang Province from March 2020 to May 2020 with medication deviation during the hospital family transition period after osteoporotic fracture surgery were selected as the research subjects by objective sampling method.The research adopts phenomenological research method, conducts semi-structured interviews with patients, and gives recordings at the same time. According to Colaizzi"s seven-step analysis method, the data are analyzed, summarized and the theme is extracted. Results During the hospital-family transition period, the factors of drug deviation in patients with osteoporosis and fracture after surgery can be summarized into four themes: lack of confidence in the efficacy of drugs, misunderstanding of drugs, maladjustment to the habit of taking drugs for a long time, and worry about the current situation. Conclusion There are many reasons for drug deviation in elderly patients with osteoporosis fracture in the hospital-family transition period, so proactive measures should be taken to intervene in the hospital-family transition period to prevent drug deviation and adverse drug events, so as to reduce the recurrence rate of osteoporosis fracture.
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XU Manli, HU Yuexiu, SU Yunyan
Publication date：2021-03-04， DOI: 10.12209/issn2708-3845.20210303002
Classification ：Specialist nursing-surgery nursing
Abstract:This paper summarized the perioperative nursing management for a patient with Stanford type A aortic dissection combined with uremia. Disease condition monitoring and basic nursing were carried out before surgery. Postoperative nursing interventions were blood pressure monitoring, respiratory care, prevention of hemorrhage, care for continuous veno-venous hemofiltration, dietary management.
-
Publication date：2021-03-04， DOI: 10.12209/issn2708-3845.20210303001
Classification ：Specialist nursing-gynecology and obstetrics nursing
Abstract:ABSTRACT: Objective? To explore the effect of transitional care based on time-sensitive incentive theory on self-efficacy and self-management ability of women with postpartum hemorrhage. Methods? A total of 112 pregnant women with postpartum hemorrhage who gave birth in the hospital from February 2018 to May 2019 were selected and divided into two groups according to the random number table method, each with 56 cases. The control group implemented routine postpartum care, and the observation group implemented transitional care based on time-sensitive incentive theory. The self-efficacy before and after nursing, changes in self-management ability and the incidence of complications were compared between the two groups. Results The general self-efficacy score of the observation group after 3 months of nursing was higher than that of the control group (P＜0.05). The scores of self-concept, self-care skills, self-care consciousness of responsibility, health knowledge level and total score of exercise of self-care agency scale in the observation group were higher than those in the control group (P＜0.01). There was no significant difference in complication rate between two groups(P＞0.05). Conclusion Transitional care based on the time-sensitive incentive theory can enhance self-efficacy and self-management ability of women with postpartum hemorrhage.
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Publication date：2021-03-03， DOI: 10.12209/issn2708-3845.20210222001
Classification ：Nursing-nursing management
Abstract:"Three points of treatment, seven points of nursing", nursing in the treatment of patients occupy a pivotal position, resource management is an important part of nursing management, nursing team management will directly affect the stability of the nursing team, and then affect the overall development of the hospital. In recent years, with the improvement of standards and the aravation of the aging of the population, people have higher and higher requirements for the quality of life, pay more attention to their own health status, and have more and more robust demands for medical services and higher and higher requirements for service quality. At the same time, private hospitals attract more and more patients with their exquisite medical technology, high-quality service quality and free medical treatment time. Meanwhile, private hospitals are under increasing pressure, and the shortage of resources for nurses in private hospitals is becoming increasingly prominent. Dynamic resources management emerges in the nursing management.In this paper, the dynamic management of nursing resource recruitment, with the purpose of a full range of training and transfer the nurse resources rationally, to achieve the optimal use, the optimal distribution and optimal service, thereby alleviating private hospitals the deficiency of nursing resource, improve the ability of handling emergency manpower deployment, improve nurses"" satisfaction and patient satisfaction, improve service quality, eventually improve the market competitiveness, improve the efficiency of the hospital.
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DAI Li, WU Rongzhen, KAN Xiaorui, GUO Juan
Publication date：2021-03-02， DOI: 10.12209/issn2708-3845.20210302001
Classification ：Specialist nursing-internal medical nursing
Abstract:新型冠状病毒肺炎（以下简称新冠肺炎）疑似病例再确诊之前需要隔离观察，隔离病房可能存在新冠肺炎患者，护士需要熟悉病房布局，做好相关防护，严格做好消毒隔离措施，加强临床护理，对患者的临床症状给予积极护理干预，使用电子信息化技术减少接触，通过采取有效护理措施，预防交叉感染。
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Publication date：2021-03-02， DOI: 10.12209/issn2708-3845.20210301003
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:Objective: to explore the effect of moxibustion combined with medicine in the treatment of non-staging pressure sore. Methods: a case of 22 × 26 cm decubitus in sacrococcygeal region was collected and treated with Moxibustion and medicated rub. Results: the wound healing cycle was shortened. Conclusion: Moxibustion treatment can not stage pressure sore, can shorten the days of pressure injury wound healing, for clinical nursing pressure sore to provide a new effective means and basis.
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WU Lunhui, PU Lingli, CONG Qianqian
Publication date：2021-03-02， DOI: 10.12209/issn2708-3845.20210301008
Classification ：Specialist nursing-internal medical nursing
Abstract:Objective To investigate the effect of specialist nurse-led continuing care on self-management skills and blood-glucose control in elderly diabetic patients. Methods Totally 80 elderly patients with type 2 diabetic mellitus were randomly divided into the study group and control group, with 40 cases in each group. All patients received community-based chronic disease management during follow-up, and those in the study group received the specialist nurse-led continuing care. The levels of HbA1c, Fasting Plasma Glucose (FPG), 2-hour postprandial blood glucose(2hPG), and scores of the Self-efficacy for Diabetes(SED) and Summary of Diabetes Self-Care Activities Questionnaire (SDSCA) were compared between two groups after a 6-month follow-up. Results At 6-month follow-up, a better improvement in HbA1c, FPG and 2hPG were found in the study group compared with those in the control group (P＜0.05). Scores of SED and SDSCA in study group were higher than those of control group at 6-month follow-up (P＜0.01). Conclusion Specialist nurse-led continuing care is effective to enhance the self-management skills and blood-glucose control efficacy in elderly diabetic patients.
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Publication date：2021-03-02， DOI: 10.12209/issn2708-3845.20210225002
Classification ：Specialist nursing-surgery nursing
Abstract:Objective: To summarize the nursing experience of a patient with hip trauma caused by a car accident. Method: Under the guidance of the "TIME" principle of wound management, use new dressings to care and treat contaminated wounds and observe and record the effects. Results: On August 2nd, the pressure ulcer wound was changed for the first time. The wound area was about 16cm×20cm. When the dressing was changed on August 11, the wound surface was pink tissue, and the wound area was about 13cm×13cm. The wound surface was healed. No complications such as urinary tract infection and lung infection occurred, and the patient""s anxiety was alleviated. Conclusion: The use of new dressings to care for contaminated wounds has a significant effect, alleviates the suffering of patients, and improves the quality of life of patients.
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Huanze LI, Hongfang CHEN, , , Yue LIU, Jiayi WANG, Luyu ZHANG
Publication date：2021-03-01， DOI: 10.12209/issn2708-3845.20210301001
Classification ：Nursing-nursing pedagogy
Abstract:Objective: The objective of this study is to explore the mediating role of professional commitment of undergraduate nursing students between positive psychological capital and learning burnout. Methods: A cluster sampling method was used to survey 442 students of a bachelor's degree in freshman to junior in a medical college in Shaanxi Province. Results: Professional commitment was positively related to positive psychological capital (r=0.487, P<0.01), while positive psychological capital and professional commitment were negatively related to learning burnout (r= -0.456, r= -0.411, P all <0.01). There are certain mediating effects of professional commitment in relationship between positive psychological capital and learning burnout. The mediating effect value of professional commitment is - 0.0651, accounting for 16.05% of the total effect. Conclusion: Nursing educators in medical colleges and universities should focus on developing and training the positive psychological capital of undergraduate nursing students, thereby enhancing and stabilizing their professional commitment level and reducing the risk of learning burnout.
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Xin-Ge WANG, Yu-Qiong WEN, Guangdong Academy of Medical Sciences, Li-Xia LIN, Hong CUI
Publication date：2021-03-01， DOI: 10.12209/issn2708-3845.20210301002
Classification ：Specialist nursing-internal medical nursing
Abstract:Objective: To investigate the relationship between resilience, illness uncertainty and sleep quality in patients with type 2 diabetes mellitus (T2DM). Methods: This cross-sectional study was conducted from September, 2019 to August, 2020 from a tertiary hospital in Guangzhou, China. Totally, 205 participants completed questionnaires concerning demographic characteristics, Pittsburgh Sleep Quality Index (PSQI), Mishel Uncertainty in Illness Scale (MUIS), and Connor-Davidson Resilience Scale (CD-RISR) were collected by convenience sampling. Multiple hierarchical regression analysis was used to evaluate the interaction of illness uncertainty, resilience, and sleep quality. The mediating role of resilience was also tested. Results: The total score of illness uncertainty was (94.68±11.19) in T2DM patients, which was proved in the medium level. There was a significant negative correlation between the total CD-RISR score and total MUIS score (r=-0.716, P<0.01); there was a significant negative correlation between the total CD-RISR score and total PISQ score (r= -0.806, P<0.01); total MUIS score was positively correlated with PISQ score (r=0.872, P<0.01). Psychological resilience could partially mediate the association between sleep quality and the level of illness uncertainty, and the mediating effect was 0.293, accounting for 34.20% of the total effect. Conclusion: Patients with T2DM have a moderate level of illness uncertainty, and it was negatively correlated with mental resilience level and positively associated with sleep quality. Medical staff should strengthen psychological intervention for T2DM patients to reduce the sense of uncertainty.
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Miao-Qing ZHUANG, Hong-Fang CHEN, Huan-Ze LI
Publication date：2021-03-01， DOI: 10.12209/issn2708-3845.20210301004
Classification ：Nursing-nursing pedagogy
Abstract:Objective: To understand the current situation of clinical practice training for nursing master's degree postgraduates, and discuss the necessity of implementing the “dual specialty” training mode for nursing master's degree postgraduates in China. Methods: Phenomenological research method was used to conduct semi-structured in-depth interviews with 10 nursing master's degree graduates, and the data were analyzed by Colaizzi 7-step analysis method. Results: Four topics were extracted: the objective of clinical practice training for nursing master degree postgraduates was not specific; the cultivation direction is not refined; the ability of clinical practice is weak; the research direction is not consistent with the required position. Conclusion: Implementing special double training mode can solve nursing professional master degree postgraduate education lacking the ability to service the needs of society, graduate students and the existing problems of specialist nurse training and the cultivation of “heavy science, light clinical practice” status quo and the effective way of guiding graduate students career planning, so the implementation of special “double” training mode is necessary.
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Safe management strategy for nursing of emergency interventional surgery in the catheterization room
Publication date：2021-03-08， DOI: 10.12209/issn2708-3845.20210305002
Classification ：Specialist nursing-internal medical nursing
Abstract:ABSTRACT: This paper analyzed the characteristics and safety management issues of emergency interventional surgery which conducted in the catheterization room, and briefly discussed the key points in safe management of adverse nursing events during the period of emergency interventional surgery. The safe management strategies were elaborated from the perspectives of enhancing the awareness of foreseeability, ensuring the human resource, training of perioperative cooperative ability, raising awareness of incidences, regulating document writing and keeping safe in intrahospital transport, in order to ensure safety during the period of emergency interventional surgery and improve quality of special nursing.
-
JIN Fangfang, SU Yunyan, HU Yuexiu, WU Mengya
Publication date：2021-03-08， DOI: 10.12209/issn2708-3845.20210305001
Classification ：Specialist nursing-surgery nursing
Abstract:This paper summarized the perioperative nursing management of an osteoporosis patient undergoing second operation for Stanford type A aortic dissection. An individualized health assessment and interventions of controlling of heart rate and blood pressure were carried out before operation. The safe management strategies and medication care were implemented for osteoporosis. Catheter was placed after surgery and coordinated management of respiratory tract was carried out. Postoperative interventions also included nursing of neurological symptoms and enteral nutrition support.
-
Publication date：2021-03-08， DOI: 10.12209/issn2708-3845.20210305003
Classification ：Nursing-nursing management
Abstract:Case report is a common form of medical papers. Case nursing is a case report of a case or a type of disease that nurses have personally taken care of in clinical practice. Nursing case competitions promote and upgrade clinical nursing specialties through the way of promoting learning. Connotation, improve the quality of nursing service. This article will summarize the concept and origin of case report, TCM case report, nursing case report, nursing case competition, etc., and then highlight the guiding significance of nursing case report to clinical work and the importance of nursing case competition in clinical practice.
-
CHEN Hong, ZHANG Jing, TANG Ling
Publication date：2021-03-04， DOI: 10.12209/issn2708-3845.20210301005
Classification ：Traditional Chinese medicine nursing-TCM nursing and others
Abstract:随着中医药标准化进程的不断推进,《中医护理方案》和《中医护理常规技术操作规程》在全国中医医疗机构作为行业内现行的最具权威的标准被广泛应用。但是其在临床应用中仍存在一些问题,限制了其进一步发展。中西医结合护理是中医辨证施护与西医护理的有机结合,体现出中西医各自优势互补的特点,推动中西医结合护理的规范化发展显得尤为重要。本文对推动中西医结合护理的规范化发展,从而提升中西医结合护理服务水平和质量进行了探讨。
-
Publication date：2021-03-04， DOI: 10.12209/issn2708-3845.20210226001
Classification ：Nursing-basic nursing
Abstract:Objective To investigate the medication deviation of elderly patients with osteoporosis fracture in the hospital-family transition period, and to provide a new basis for clinical reduction of postoperative medication deviation in patients with osteoporosis to optimize the nursing measures. Methods A total of 12 patients who were treated in Huzhou First People"s Hospital of Zhejiang Province from March 2020 to May 2020 with medication deviation during the hospital family transition period after osteoporotic fracture surgery were selected as the research subjects by objective sampling method.The research adopts phenomenological research method, conducts semi-structured interviews with patients, and gives recordings at the same time. According to Colaizzi"s seven-step analysis method, the data are analyzed, summarized and the theme is extracted. Results During the hospital-family transition period, the factors of drug deviation in patients with osteoporosis and fracture after surgery can be summarized into four themes: lack of confidence in the efficacy of drugs, misunderstanding of drugs, maladjustment to the habit of taking drugs for a long time, and worry about the current situation. Conclusion There are many reasons for drug deviation in elderly patients with osteoporosis fracture in the hospital-family transition period, so proactive measures should be taken to intervene in the hospital-family transition period to prevent drug deviation and adverse drug events, so as to reduce the recurrence rate of osteoporosis fracture.
-
XU Manli, HU Yuexiu, SU Yunyan
Publication date：2021-03-04， DOI: 10.12209/issn2708-3845.20210303002
Classification ：Specialist nursing-surgery nursing
Abstract:This paper summarized the perioperative nursing management for a patient with Stanford type A aortic dissection combined with uremia. Disease condition monitoring and basic nursing were carried out before surgery. Postoperative nursing interventions were blood pressure monitoring, respiratory care, prevention of hemorrhage, care for continuous veno-venous hemofiltration, dietary management.
-
Publication date：2021-03-04， DOI: 10.12209/issn2708-3845.20210303001
Classification ：Specialist nursing-gynecology and obstetrics nursing
Abstract:ABSTRACT: Objective? To explore the effect of transitional care based on time-sensitive incentive theory on self-efficacy and self-management ability of women with postpartum hemorrhage. Methods? A total of 112 pregnant women with postpartum hemorrhage who gave birth in the hospital from February 2018 to May 2019 were selected and divided into two groups according to the random number table method, each with 56 cases. The control group implemented routine postpartum care, and the observation group implemented transitional care based on time-sensitive incentive theory. The self-efficacy before and after nursing, changes in self-management ability and the incidence of complications were compared between the two groups. Results The general self-efficacy score of the observation group after 3 months of nursing was higher than that of the control group (P＜0.05). The scores of self-concept, self-care skills, self-care consciousness of responsibility, health knowledge level and total score of exercise of self-care agency scale in the observation group were higher than those in the control group (P＜0.01). There was no significant difference in complication rate between two groups(P＞0.05). Conclusion Transitional care based on the time-sensitive incentive theory can enhance self-efficacy and self-management ability of women with postpartum hemorrhage.
-
Publication date：2021-03-03， DOI: 10.12209/issn2708-3845.20210222001
Classification ：Nursing-nursing management
Abstract:"Three points of treatment, seven points of nursing", nursing in the treatment of patients occupy a pivotal position, resource management is an important part of nursing management, nursing team management will directly affect the stability of the nursing team, and then affect the overall development of the hospital. In recent years, with the improvement of standards and the aravation of the aging of the population, people have higher and higher requirements for the quality of life, pay more attention to their own health status, and have more and more robust demands for medical services and higher and higher requirements for service quality. At the same time, private hospitals attract more and more patients with their exquisite medical technology, high-quality service quality and free medical treatment time. Meanwhile, private hospitals are under increasing pressure, and the shortage of resources for nurses in private hospitals is becoming increasingly prominent. Dynamic resources management emerges in the nursing management.In this paper, the dynamic management of nursing resource recruitment, with the purpose of a full range of training and transfer the nurse resources rationally, to achieve the optimal use, the optimal distribution and optimal service, thereby alleviating private hospitals the deficiency of nursing resource, improve the ability of handling emergency manpower deployment, improve nurses"" satisfaction and patient satisfaction, improve service quality, eventually improve the market competitiveness, improve the efficiency of the hospital.
-
DAI Li, WU Rongzhen, KAN Xiaorui, GUO Juan
Publication date：2021-03-02， DOI: 10.12209/issn2708-3845.20210302001
Classification ：Specialist nursing-internal medical nursing
Abstract:新型冠状病毒肺炎（以下简称新冠肺炎）疑似病例再确诊之前需要隔离观察，隔离病房可能存在新冠肺炎患者，护士需要熟悉病房布局，做好相关防护，严格做好消毒隔离措施，加强临床护理，对患者的临床症状给予积极护理干预，使用电子信息化技术减少接触，通过采取有效护理措施，预防交叉感染。
-
Publication date：2021-03-02， DOI: 10.12209/issn2708-3845.20210301003
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:Objective: to explore the effect of moxibustion combined with medicine in the treatment of non-staging pressure sore. Methods: a case of 22 × 26 cm decubitus in sacrococcygeal region was collected and treated with Moxibustion and medicated rub. Results: the wound healing cycle was shortened. Conclusion: Moxibustion treatment can not stage pressure sore, can shorten the days of pressure injury wound healing, for clinical nursing pressure sore to provide a new effective means and basis.
-
WU Lunhui, PU Lingli, CONG Qianqian
Publication date：2021-03-02， DOI: 10.12209/issn2708-3845.20210301008
Classification ：Specialist nursing-internal medical nursing
Abstract:Objective To investigate the effect of specialist nurse-led continuing care on self-management skills and blood-glucose control in elderly diabetic patients. Methods Totally 80 elderly patients with type 2 diabetic mellitus were randomly divided into the study group and control group, with 40 cases in each group. All patients received community-based chronic disease management during follow-up, and those in the study group received the specialist nurse-led continuing care. The levels of HbA1c, Fasting Plasma Glucose (FPG), 2-hour postprandial blood glucose(2hPG), and scores of the Self-efficacy for Diabetes(SED) and Summary of Diabetes Self-Care Activities Questionnaire (SDSCA) were compared between two groups after a 6-month follow-up. Results At 6-month follow-up, a better improvement in HbA1c, FPG and 2hPG were found in the study group compared with those in the control group (P＜0.05). Scores of SED and SDSCA in study group were higher than those of control group at 6-month follow-up (P＜0.01). Conclusion Specialist nurse-led continuing care is effective to enhance the self-management skills and blood-glucose control efficacy in elderly diabetic patients.
-
Publication date：2021-03-02， DOI: 10.12209/issn2708-3845.20210225002
Classification ：Specialist nursing-surgery nursing
Abstract:Objective: To summarize the nursing experience of a patient with hip trauma caused by a car accident. Method: Under the guidance of the "TIME" principle of wound management, use new dressings to care and treat contaminated wounds and observe and record the effects. Results: On August 2nd, the pressure ulcer wound was changed for the first time. The wound area was about 16cm×20cm. When the dressing was changed on August 11, the wound surface was pink tissue, and the wound area was about 13cm×13cm. The wound surface was healed. No complications such as urinary tract infection and lung infection occurred, and the patient""s anxiety was alleviated. Conclusion: The use of new dressings to care for contaminated wounds has a significant effect, alleviates the suffering of patients, and improves the quality of life of patients.
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Huanze LI, Hongfang CHEN, , , Yue LIU, Jiayi WANG, Luyu ZHANG
Publication date：2021-03-01， DOI: 10.12209/issn2708-3845.20210301001
Classification ：Nursing-nursing pedagogy
Abstract:Objective: The objective of this study is to explore the mediating role of professional commitment of undergraduate nursing students between positive psychological capital and learning burnout. Methods: A cluster sampling method was used to survey 442 students of a bachelor's degree in freshman to junior in a medical college in Shaanxi Province. Results: Professional commitment was positively related to positive psychological capital (r=0.487, P<0.01), while positive psychological capital and professional commitment were negatively related to learning burnout (r= -0.456, r= -0.411, P all <0.01). There are certain mediating effects of professional commitment in relationship between positive psychological capital and learning burnout. The mediating effect value of professional commitment is - 0.0651, accounting for 16.05% of the total effect. Conclusion: Nursing educators in medical colleges and universities should focus on developing and training the positive psychological capital of undergraduate nursing students, thereby enhancing and stabilizing their professional commitment level and reducing the risk of learning burnout.
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Xin-Ge WANG, Yu-Qiong WEN, Guangdong Academy of Medical Sciences, Li-Xia LIN, Hong CUI
Publication date：2021-03-01， DOI: 10.12209/issn2708-3845.20210301002
Classification ：Specialist nursing-internal medical nursing
Abstract:Objective: To investigate the relationship between resilience, illness uncertainty and sleep quality in patients with type 2 diabetes mellitus (T2DM). Methods: This cross-sectional study was conducted from September, 2019 to August, 2020 from a tertiary hospital in Guangzhou, China. Totally, 205 participants completed questionnaires concerning demographic characteristics, Pittsburgh Sleep Quality Index (PSQI), Mishel Uncertainty in Illness Scale (MUIS), and Connor-Davidson Resilience Scale (CD-RISR) were collected by convenience sampling. Multiple hierarchical regression analysis was used to evaluate the interaction of illness uncertainty, resilience, and sleep quality. The mediating role of resilience was also tested. Results: The total score of illness uncertainty was (94.68±11.19) in T2DM patients, which was proved in the medium level. There was a significant negative correlation between the total CD-RISR score and total MUIS score (r=-0.716, P<0.01); there was a significant negative correlation between the total CD-RISR score and total PISQ score (r= -0.806, P<0.01); total MUIS score was positively correlated with PISQ score (r=0.872, P<0.01). Psychological resilience could partially mediate the association between sleep quality and the level of illness uncertainty, and the mediating effect was 0.293, accounting for 34.20% of the total effect. Conclusion: Patients with T2DM have a moderate level of illness uncertainty, and it was negatively correlated with mental resilience level and positively associated with sleep quality. Medical staff should strengthen psychological intervention for T2DM patients to reduce the sense of uncertainty.
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Miao-Qing ZHUANG, Hong-Fang CHEN, Huan-Ze LI
Publication date：2021-03-01， DOI: 10.12209/issn2708-3845.20210301004
Classification ：Nursing-nursing pedagogy
Abstract:Objective: To understand the current situation of clinical practice training for nursing master's degree postgraduates, and discuss the necessity of implementing the “dual specialty” training mode for nursing master's degree postgraduates in China. Methods: Phenomenological research method was used to conduct semi-structured in-depth interviews with 10 nursing master's degree graduates, and the data were analyzed by Colaizzi 7-step analysis method. Results: Four topics were extracted: the objective of clinical practice training for nursing master degree postgraduates was not specific; the cultivation direction is not refined; the ability of clinical practice is weak; the research direction is not consistent with the required position. Conclusion: Implementing special double training mode can solve nursing professional master degree postgraduate education lacking the ability to service the needs of society, graduate students and the existing problems of specialist nurse training and the cultivation of “heavy science, light clinical practice” status quo and the effective way of guiding graduate students career planning, so the implementation of special “double” training mode is necessary.
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HUANG Tianwen, CHEN Xiaoling, TAN Yunjuan, PENG Li, LIU Qiaoli, HE Cuihuan, CHEN Lifen, CHENG Shouzheng
Publication date：2021-03-01， DOI: 10.3761/j.issn.0254-1769.2015.02.005
Classification ：Specialist nursing-surgery nursing
Abstract:Objective To evaluate the effect of pain management quality indicators on improving the quality of pain management in orthopedic departments. Methods Pain management quality indicators were developed,which consisted of accuracy of pain assessment,timeliness rate of pain observation,efficiency of pain management,qualified rate of pain management records and patients" satisfaction with pain control. The indicators were applied in the orthopedic department and data were analyzed regularly to improve the quality of pain management continuously. Results After application of pain management quality indicators,the accuracy rate of pain assessment increased from 92.31% to 95.45%,the timeliness rate of pain observation increased from 89.74% to 97.73%,the qualified rate of pain management records increased from 90.00% to 97.50% ,the efficiency of pain management increased from 87.50% to 92.50%,and patient" satisfaction with pain control increased from 93.33% to 96.67%. Pain status which was assessed by pain evaluation ratio for each patient was included in medical records. Conclusion The application of pain management quality indicators can achieve the standardization and normalization of pain management,improve the quality of pain control,and provide data for continuous quality improvement of pain management.
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Publication date：2021-03-01， DOI: 10.3761/j.issn.0254-1769.2012.01.009
Classification ：Specialist nursing-internal medical nursing
Abstract:目的 探讨综合康复护理措施对老年慢性阻塞性肺疾病(COPD)患者肺功能的影响。 方法 对63例老年COPD患者 在常规治疗的同时进行呼吸功能、运动、营养、心理等康复护理,并在干预前、干预后6个月进行肺功能测定。 结果 实施综合 康复护理后,患者干预前、后6min步行试验及肺功能监测指标比较结果显示,肺功能得到明显改善(P＜0.01)。 结论 综合康复护理措施能有效改善老年COPD患者肺功能,延缓病情进展。
3, 2021
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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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Olaolorunpo OLORUNFEMI, , , and
Publication date：2020-09-10， DOI:10.12209/issn2708-3845.20200910003
Classification ：Nursing-basic nursing
Abstract:Background Self-medication among student nurses is the use of medicines without doctor’s prescription. This practice is a global phenomenon and potential contributor to human resistance to most drugs characteristic with many health challenges. Despite the high knowledge on the complication of self-medication, studies showed that most student nurses still practice self-medication. Aims To assess the reasons for increase in self-medication and control measures among student nurses in school of nursing, University of Benin Teaching Hospital, Edo State, Nigeria. Materials and Methods A descriptive cross-sectional survey was conducted with stratified simple random sampling technique to select 90 student nurses from three different levels in school of nursing, University of Benin Teaching Hospitals in Benin-City, Edo State. A self-structured questionnaire with open and Likert scale questions used as instrument was administered to assess the reasons for increase in self-medication and the control measures. Data collected were analyzed using tables, percentages, means, standard deviation and t-test for inferential statistics at 0.05 level of significance, through Statistical Package for Social Sciences software. Results The result showed the reasons for increase in self-medication and how to reduce its occurrence. It also showed that, the gender of the student nurses is statistically related to the reasons why they practice self-medication (t=6.82, P=? 0.001). Conclusion Self-medication can be reduced among student nurses by empowering the law enforcement agencies against self-medication, improving the availability of essential and quality drugs in school clinics, and inclusion of all student nurses in health insurance scheme program, where they can enjoy the benefit of paying only 10% of the treatment charges.
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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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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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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：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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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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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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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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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。
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
