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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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GONG Wenjing, LIU Lili, WANG Yuzhen
Publication date：2022-09-20， DOI: 10.12209/issn2708-3845.20220920001
Classification ：Specialist nursing-community nursing
Abstract:ABSTRACT: Objective? To investigate the intervention effect of nursing based on shared decision making (SDM) in maintenance period of comprehensive detumescence therapy (CDT)for lower-extremity lymphedema, and to investigate its influence on patient self-management skills. Methods? Totally 27 patients were randomly divided into two groups on even or odd numbers according to the order of hospitalization: control group? (n = 14) included the patients with odd numbers and observation group? (n = 13) included the patients with even numbers. In the control group, lymphedema therapist implemented CDT for lower-extremity lymphedema, 10 days as a course of treatment, two consecutive courses. Self-identification of symptoms and signs of lymphedema and basic routine nursing measures were carried out during hospitalization. Before discharge, patients were educated with knowledge about skin care, lymphatic drainage, use of pressure gradient socks and functional exercise during the maintenance period of CDT treatment. In addition to routine care, nursing interventions based on a five-step process of shared decision making were carried out in the observation group during hospitalization and within 3 months after discharge. The patient self-management skills and satisfaction with nursing service were evaluated at discharge time, 1 month and 3 months after discharge. Results? Scores of Self-management Behavior Assessment Scale and Newcastle Satisfaction with Nursing Scale (NSNS) decreased at 1 month and 3 months after discharge, and scores of the observation group were significantly higher than those of the control group(P＜0.01). Conclusion? The application of SDM-based nursing interventions in maintenance period of CDT for lower-extremity lymphedema is effective to improve patient satisfaction, enhance the ability of home self-management and compliance, reduce the occurrence of recurrence and complications, and improve the quality of life of patients.
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Publication date：2022-09-20， DOI: 10.12209/issn2708-3845.20220920002
Classification ：Specialist nursing-surgery nursing
Abstract:Objective To evaluate the effect of a refined nursing model based on two-way nursing quality feedback on the postoperative mental resilience of patients with facial vascular malformation. Methods A total of 165 patients with facial vascular malformation were randomly divided into control group (n = 82) and study group (n = 83). Routine nursing was used in the control group, while two-way quality feedback nursing was used in the study group. The levels of mental resilience by Connor-Davidson Resilience Scale (CD-RISC), chronic disease stigma by Stigma Scale for Chronic Illness (SSCI) and patient satisfaction by self-made questionnaire were compared between the two groups. Results The score of CD-RISC in the study group was significantly higher than that in the control group (81.73±2.48 vs. 64.15±3.88, P＜0.01). The score of SSCI in the study group was lower than that in the control group (44.88±5.68 vs. 69.14±6.92, P＜0.01). The score of satisfaction evaluation in the study was higher than that of the control group (95.01±4.05 vs. 80.49±6.32, P＜0.01). Conclusion In facial vascular malformation patients, two-way quality feedback nursing model can effectively improve the level of mental resilience, reduce the stigma of chronic illness, and improve patients’ satisfaction, which is worthy of clinical application and promotion.
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Publication date：2022-09-20， DOI: 10.12209/issn2708-3845.20220906001
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:This paper reports and analyzes the process of applying auricular point pressing pill to treat a patient with chronic renal failure renal puncture dysuria and traditional Chinese medicine characteristic nursing, and discusses the effect of auricular point pressing pill on relieving the symptoms of chronic renal failure renal puncture dysuria and the nursing effect. The results showed that the auricular point pressing pill had a prominent effect on dysuria in patients with chronic renal failure undergoing renal puncture.
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Publication date：2022-09-20， DOI: 10.12209/issn2708-3845.20220919001
Classification ：Specialist nursing-oncology nursing
Abstract:This paper summarized the experience of clinical nursing of a patient with multiple osteochondromas-induced pseudoaneurysm. Key issues of nursing included risk assessment, prevention of hemorrhage, psychological care, body position management, prevention of complications and functional exercise. Diversified nursing based on multidisciplinary team ensures the success of surgical treatment and shows a positive effect on prevention of complications.
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DONG Yuxia, WEI Yongchun, NIU Shaohui, LIU Jinjing, E Haiyan, ZHI Hui, WANG Yali, TANG Ling, QIN Shasha
Publication date：2022-09-16， DOI: 10.12209/issn2708-3845.20220915001
Classification ：Traditional Chinese medicine nursing-TCM nursing and others
Abstract:This paper summarized the nursing experience of a case of lower extremity arteriosclerosis obliterans treated with Chinese herbal ointment and massage combined with intradermal acupuncture. Based on the nursing evaluation on pain, skin temperature, intermittent claudication, arteriopalmus of dorsalis pedis artery and other indicators, the application of Chinese herbal ointment and massage combined with intradermal acupuncture is effective to relieve the symptom of the lower-limb ischemia.
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LIU Jinjing, NIU Shaohui, ZHI Hui, ZHEN Wen
Publication date：2022-09-16， DOI: 10.12209/issn2708-3845.20220915002
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:Objective To investigate the effect of Traditional Chinese Medicine (TCM) acupoint application in relief of symptoms in patients with peripheral deep venous thrombosis of the lower extremity (LEDVT). Methods Totally 60 patients with peripheral LEDVT were divided into the control group and study group, with 30 cases in each group. The control group received the routine treatment and nursing, and the study group received TCM acupoint application on the basis of routine treatment and nursing. The changes of edema degree, leg circumference and pain degree in the two groups were observed. Results Better outcomes of pain relief and edema regression were observed in the study group than those in the control group after treatment（P＜0.05）. There was no significant difference in lower limb circumferences between two groups after treatment（P＞0.05）. Conclusion TCM acupoint application is safe and effective in relief of symptoms in patients with peripheral LEDVT.
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WANG Shuang, ZHANG Rongwang, YAO Na, ZHANG Chunshuang, PENG Dan
Publication date：2022-09-16， DOI: 10.12209/issn2708-3845.20220910001
Classification ：Nursing technology-operation room nursing
Abstract:This paper summarizes the nursing experience of a patient diagnosed with biliary stenosis under SpyGlass under ERCP, including preoperative psychological care, instrument preparation, patient preparation, intraoperative nursing, postoperative general nursing, complication nursing and other targeted nursing measures. Through the comprehensive nursing model, full preoperative preparation, close surgical cooperation, and meticulous postoperative care ensure the success of SpyGlass diagnosis of biliary stenosis under ERCP, reduce patient pain, improve patient diseases, and promote their recovery.
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FANG Xiaomei, LIU Huanping, WANG Ting
Publication date：2022-09-15， DOI: 10.12209/issn2708-3845.20220914002
Classification ：Specialist nursing-surgery nursing
Abstract:This paper summarized the nursing measures for four patients with acute pancreatitis after lower extremity endovascular intervention, and provided a reference for the postoperative nursing of vascular intervention surgery. Key issues of nursing included psychological care, preoperative hydration, guidance of dietary, observation of illness condition, prevention of complications, nutrition support and medication care. There are two severe cases of acute pancreatitis, one of which eventually died due to multiple organ failure, and the other was cured after drug treatment. In addition, two mild cases of acute pancreatitis, which were cured after drug treatment. As rare angiographic complication, acute pancreatitis is not easy to be detected early. The possibility of acute pancreatitis must be considered when a patient presents with abdominal pain, elevated creatinine, or multiple organ failure following an interventional procedure. Early detection and diagnosis, and timely treatment are beneficial to improve the cure rate of postoperative complications.
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CHEN Haiyan, FANG Lina, FANG Xiaomei
Publication date：2022-09-15， DOI: 10.12209/issn2708-3845.20220914001
Classification ：Traditional Chinese medicine nursing-surgery nursing of TCM
Abstract:This paper summarized the experience of Traditional Chinese Medicine(TCM) assisted treatment combined with psychological care for a very elderly patient with a arterial embolisms of the lower extremities. A standard procedure of disinfection, isolation and pain management was carried out before surgery. Based on the monitoring of postoperative condition, TCM acupoint application, acupoint sticking and pressing therapy and psychological care were carried out to relieve the postoperative pain and constipation.
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ZHI Hui, LIU Jinjing, GUO Jing, WANG Xiaodi, TONG Fenfei, ZHENG Wen, E Haiyan, TANG Ling
Publication date：2022-09-13， DOI: 10.12209/issn2708-3845.20220913001
Classification ：Specialist nursing-internal medical nursing
Abstract:Objective To investigate the effects of integrated Traditional Chinese and Western medicine nursing on treatment outcome, quality of life and prognosis of high-risk patients with diabetic foot, and provide evidence for more reasonable nursing intervention program. Methods From January 2021to January 2022, 200 patients with type 2 diabetes mellitus were screened; 40 high-risk patients with diabetic foot were eligible and randomly divided in to observation group and control group, with 20 cases in each group. The control group received routine care during the treatment, and those in the observation group received integrated traditional Chinese and Western medicine intervention based on routine care. The treatment outcome, patient quality of life and prognosis of disease were compared between two groups. Results The overall effective rate in the observation group was higher than that in the control group (P＜0.05). According to the outcome of General Quality of Life Inventory-74(GQOL-74) assessment, the improvement rate in the observation group was 85.00%（17/20）, showing no significant difference compared with 65.00%（13/20） in the control group (P＞0.05). The incidences of foot infections and foot ulcers in the observation group were lower than those in the control group (P＜0.05). Three cases of amputation were reported in the control group. Conclusion The integrated Traditional Chinese and Western medicine nursing showed positive effect on treatment outcome, patient quality of life and prognosis of disease, and the effect of integrative nursing intervention was superior to routine nursing.
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Application of Rosenthal effect in clinical teaching and training of newly recruited surgical nurses
Publication date：2022-09-13， DOI: 10.12209/issn2708-3845.20220913002
Classification ：Nursing-nursing pedagogy
Abstract:Objective To evaluate the Rosenthal effect in clinical teaching and training of newly recruited surgical nurses. Methods Totally 60 newly recruited surgical nurses were divided into two groups: the control group (n = 30) and the observation group (n = 30). The members of the control group received routine clinical teaching and training. A Study of Rosenthal Effect was carried out on the group members, teachers, head nurses and full-time teachers of the observation group, aiming to increase the teachers'' sense of investment and initiative, drive the newly recruited nurses'' learning motivation and improving their self-confidence. In the third and sixth month, all the newly recruited nurses were tested in theoretical knowledge and practical skills, and psychology and feedback from teachers was measures. Results There were significant differences in the time effect and inter group effect of the scores of theoretical test, practice assessment, professional identity and retention intention and satisfaction with teaching between the two groups（P＜0.05）. Conclusion Rosenthal Effect is conducive to improve the professional identity and investment of newly recruited surgical nurses, and reduce their turnover intention. It is of great significance to stabilize the operating room nursing staff and promote the construction of new nurses'' specialization.
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ZHAO Nan, LI Jing, ZHAO Jingtao
Publication date：2022-09-13， DOI: 10.12209/issn2708-3845.20220808001
Classification ：Nursing-nursing management
Abstract:Objective: This study aims to provide a reference for the quality management of nursing documents in TCM hospitals, by investigating and analyzing the quality status of nursing documents for critical patients in TCM hospitals in Beijing.Methods: This study adopted cluster sampling method to select 38 third-level and second-level TCM hospitals and integrated traditional Chinese and Western medicine hospitals in Beijing as the survey subjects, and selected archived medical records from January 1st to October 31st, 2020. Each hospital will extract 5 nursing records of critical patients, and exclude medical records with less than 3 days recording. Finally, the quality of the selected 175 nursing records were investigated, and the quality defects discovered were analyzed.Results: The average score of writing quality of 175 nursing records was 82.12 points. And the quality defects occurred 917 times, including 76 times(8.29%) quality defects in ADL Assessment Scale and 106 times (11.56%) quality defects in Temperature Chart, and quality defects occurred most up to 720 times(78.52%) in Nursing Record Sheet. Nursing record defects mainly appears in 6 areas: incorrect recording of time limit, lack of specialized nursing connotation, nonstandard TCM technology records, untidy handwriting, nonstandard signatures, and other problems.Conclusion: The overall quality of nursing documents for critical patients in Beijing TCM hospitals has been improved. Critical patients’ nursing document quality defects still occur frequently, and the types of quality defects are complex. Improvements should be made from instituting standards in detail, implementing tabular electronic medical records, and strengthening the training of nurses’ comprehensive capabilities. The management department should attach great importance to the quality of nursing document writing and analyze reasons for the defects and take effective measures.
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LIU Jing, WANG Liangmin, SHI Mingjie, MA Mingming, ZHAO Dandan, ZHANG Zhiyan, BI Wen, ZHOU Wenwen
Publication date：2022-09-13， DOI: 10.12209/issn2708-3845.20220818004
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:This article summarizes the 1 cases of elderly patients with chronic obstructive pulmonary disease stabilization during the stay in hospital using back cupping therapy for the treatment of cough and expectoration acupoints in nursing experience, including nursing evaluation, back cupping acupoints in operating methods and matters needing attention, along with diet nursing and Psychological nursing, rehabilitation nursing, such as conventional Chinese medicine nursing, effectively improve the symptoms, nursing effect is better, to sum up to provide reference for clinical TCM nursing.
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WANG Shuang, ZHENG Hongmei1, ZHENG Hongmei, GAO Donghua, PENG Dan
Publication date：2022-09-13， DOI: 10.12209/issn2708-3845.20220908001
Classification ：Specialist nursing-internal medical nursing
Abstract:In this paper, we summarize the nursing experience of a patient with colonic broad-basal adenomatous endoscopic mucosectomy, including preoperative psychological care, instrument preparation, patient preparation, intraoperative nursing, postoperative nursing and other targeted nursing measures. Through the comprehensive nursing mode of full preoperative preparation, close surgical cooperation, and meticulous postoperative care, the success of colon adenomatous polyposis endoscopic mucosectomy is guaranteed, reducing patient pain, improving patient diseases, and promoting their recovery.
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WANG Shuang, ZHENG Hongmei, GAO Donghua, ZHAO Weiwei, PENG Dan
Publication date：2022-09-13， DOI: 10.12209/issn2708-3845.20220827001
Classification ：Specialist nursing-internal medical nursing
Abstract:This paper summarizes the nursing experience of a case of endoscopic six-ring lassus in the treatment of patients with esophageal varices, including preoperative psychological care, instrument preparation, patient preparation, intraoperative care, postoperative general care, complication care and other targeted nursing measures. Through the comprehensive nursing mode, full preoperative preparation, close surgical cooperation, and meticulous postoperative care, the success of esophageal variceal ligation is guaranteed, the pain of patients is reduced, the patient""s symptoms are improved, and their recovery is promoted.
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GONG Wenjing, LIU Lili, WANG Yuzhen
Publication date：2022-09-20， DOI: 10.12209/issn2708-3845.20220920001
Classification ：Specialist nursing-community nursing
Abstract:ABSTRACT: Objective? To investigate the intervention effect of nursing based on shared decision making (SDM) in maintenance period of comprehensive detumescence therapy (CDT)for lower-extremity lymphedema, and to investigate its influence on patient self-management skills. Methods? Totally 27 patients were randomly divided into two groups on even or odd numbers according to the order of hospitalization: control group? (n = 14) included the patients with odd numbers and observation group? (n = 13) included the patients with even numbers. In the control group, lymphedema therapist implemented CDT for lower-extremity lymphedema, 10 days as a course of treatment, two consecutive courses. Self-identification of symptoms and signs of lymphedema and basic routine nursing measures were carried out during hospitalization. Before discharge, patients were educated with knowledge about skin care, lymphatic drainage, use of pressure gradient socks and functional exercise during the maintenance period of CDT treatment. In addition to routine care, nursing interventions based on a five-step process of shared decision making were carried out in the observation group during hospitalization and within 3 months after discharge. The patient self-management skills and satisfaction with nursing service were evaluated at discharge time, 1 month and 3 months after discharge. Results? Scores of Self-management Behavior Assessment Scale and Newcastle Satisfaction with Nursing Scale (NSNS) decreased at 1 month and 3 months after discharge, and scores of the observation group were significantly higher than those of the control group(P＜0.01). Conclusion? The application of SDM-based nursing interventions in maintenance period of CDT for lower-extremity lymphedema is effective to improve patient satisfaction, enhance the ability of home self-management and compliance, reduce the occurrence of recurrence and complications, and improve the quality of life of patients.
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Publication date：2022-09-20， DOI: 10.12209/issn2708-3845.20220920002
Classification ：Specialist nursing-surgery nursing
Abstract:Objective To evaluate the effect of a refined nursing model based on two-way nursing quality feedback on the postoperative mental resilience of patients with facial vascular malformation. Methods A total of 165 patients with facial vascular malformation were randomly divided into control group (n = 82) and study group (n = 83). Routine nursing was used in the control group, while two-way quality feedback nursing was used in the study group. The levels of mental resilience by Connor-Davidson Resilience Scale (CD-RISC), chronic disease stigma by Stigma Scale for Chronic Illness (SSCI) and patient satisfaction by self-made questionnaire were compared between the two groups. Results The score of CD-RISC in the study group was significantly higher than that in the control group (81.73±2.48 vs. 64.15±3.88, P＜0.01). The score of SSCI in the study group was lower than that in the control group (44.88±5.68 vs. 69.14±6.92, P＜0.01). The score of satisfaction evaluation in the study was higher than that of the control group (95.01±4.05 vs. 80.49±6.32, P＜0.01). Conclusion In facial vascular malformation patients, two-way quality feedback nursing model can effectively improve the level of mental resilience, reduce the stigma of chronic illness, and improve patients’ satisfaction, which is worthy of clinical application and promotion.
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Publication date：2022-09-20， DOI: 10.12209/issn2708-3845.20220906001
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:This paper reports and analyzes the process of applying auricular point pressing pill to treat a patient with chronic renal failure renal puncture dysuria and traditional Chinese medicine characteristic nursing, and discusses the effect of auricular point pressing pill on relieving the symptoms of chronic renal failure renal puncture dysuria and the nursing effect. The results showed that the auricular point pressing pill had a prominent effect on dysuria in patients with chronic renal failure undergoing renal puncture.
-
Publication date：2022-09-20， DOI: 10.12209/issn2708-3845.20220919001
Classification ：Specialist nursing-oncology nursing
Abstract:This paper summarized the experience of clinical nursing of a patient with multiple osteochondromas-induced pseudoaneurysm. Key issues of nursing included risk assessment, prevention of hemorrhage, psychological care, body position management, prevention of complications and functional exercise. Diversified nursing based on multidisciplinary team ensures the success of surgical treatment and shows a positive effect on prevention of complications.
-
DONG Yuxia, WEI Yongchun, NIU Shaohui, LIU Jinjing, E Haiyan, ZHI Hui, WANG Yali, TANG Ling, QIN Shasha
Publication date：2022-09-16， DOI: 10.12209/issn2708-3845.20220915001
Classification ：Traditional Chinese medicine nursing-TCM nursing and others
Abstract:This paper summarized the nursing experience of a case of lower extremity arteriosclerosis obliterans treated with Chinese herbal ointment and massage combined with intradermal acupuncture. Based on the nursing evaluation on pain, skin temperature, intermittent claudication, arteriopalmus of dorsalis pedis artery and other indicators, the application of Chinese herbal ointment and massage combined with intradermal acupuncture is effective to relieve the symptom of the lower-limb ischemia.
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LIU Jinjing, NIU Shaohui, ZHI Hui, ZHEN Wen
Publication date：2022-09-16， DOI: 10.12209/issn2708-3845.20220915002
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:Objective To investigate the effect of Traditional Chinese Medicine (TCM) acupoint application in relief of symptoms in patients with peripheral deep venous thrombosis of the lower extremity (LEDVT). Methods Totally 60 patients with peripheral LEDVT were divided into the control group and study group, with 30 cases in each group. The control group received the routine treatment and nursing, and the study group received TCM acupoint application on the basis of routine treatment and nursing. The changes of edema degree, leg circumference and pain degree in the two groups were observed. Results Better outcomes of pain relief and edema regression were observed in the study group than those in the control group after treatment（P＜0.05）. There was no significant difference in lower limb circumferences between two groups after treatment（P＞0.05）. Conclusion TCM acupoint application is safe and effective in relief of symptoms in patients with peripheral LEDVT.
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WANG Shuang, ZHANG Rongwang, YAO Na, ZHANG Chunshuang, PENG Dan
Publication date：2022-09-16， DOI: 10.12209/issn2708-3845.20220910001
Classification ：Nursing technology-operation room nursing
Abstract:This paper summarizes the nursing experience of a patient diagnosed with biliary stenosis under SpyGlass under ERCP, including preoperative psychological care, instrument preparation, patient preparation, intraoperative nursing, postoperative general nursing, complication nursing and other targeted nursing measures. Through the comprehensive nursing model, full preoperative preparation, close surgical cooperation, and meticulous postoperative care ensure the success of SpyGlass diagnosis of biliary stenosis under ERCP, reduce patient pain, improve patient diseases, and promote their recovery.
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FANG Xiaomei, LIU Huanping, WANG Ting
Publication date：2022-09-15， DOI: 10.12209/issn2708-3845.20220914002
Classification ：Specialist nursing-surgery nursing
Abstract:This paper summarized the nursing measures for four patients with acute pancreatitis after lower extremity endovascular intervention, and provided a reference for the postoperative nursing of vascular intervention surgery. Key issues of nursing included psychological care, preoperative hydration, guidance of dietary, observation of illness condition, prevention of complications, nutrition support and medication care. There are two severe cases of acute pancreatitis, one of which eventually died due to multiple organ failure, and the other was cured after drug treatment. In addition, two mild cases of acute pancreatitis, which were cured after drug treatment. As rare angiographic complication, acute pancreatitis is not easy to be detected early. The possibility of acute pancreatitis must be considered when a patient presents with abdominal pain, elevated creatinine, or multiple organ failure following an interventional procedure. Early detection and diagnosis, and timely treatment are beneficial to improve the cure rate of postoperative complications.
-
CHEN Haiyan, FANG Lina, FANG Xiaomei
Publication date：2022-09-15， DOI: 10.12209/issn2708-3845.20220914001
Classification ：Traditional Chinese medicine nursing-surgery nursing of TCM
Abstract:This paper summarized the experience of Traditional Chinese Medicine(TCM) assisted treatment combined with psychological care for a very elderly patient with a arterial embolisms of the lower extremities. A standard procedure of disinfection, isolation and pain management was carried out before surgery. Based on the monitoring of postoperative condition, TCM acupoint application, acupoint sticking and pressing therapy and psychological care were carried out to relieve the postoperative pain and constipation.
-
ZHI Hui, LIU Jinjing, GUO Jing, WANG Xiaodi, TONG Fenfei, ZHENG Wen, E Haiyan, TANG Ling
Publication date：2022-09-13， DOI: 10.12209/issn2708-3845.20220913001
Classification ：Specialist nursing-internal medical nursing
Abstract:Objective To investigate the effects of integrated Traditional Chinese and Western medicine nursing on treatment outcome, quality of life and prognosis of high-risk patients with diabetic foot, and provide evidence for more reasonable nursing intervention program. Methods From January 2021to January 2022, 200 patients with type 2 diabetes mellitus were screened; 40 high-risk patients with diabetic foot were eligible and randomly divided in to observation group and control group, with 20 cases in each group. The control group received routine care during the treatment, and those in the observation group received integrated traditional Chinese and Western medicine intervention based on routine care. The treatment outcome, patient quality of life and prognosis of disease were compared between two groups. Results The overall effective rate in the observation group was higher than that in the control group (P＜0.05). According to the outcome of General Quality of Life Inventory-74(GQOL-74) assessment, the improvement rate in the observation group was 85.00%（17/20）, showing no significant difference compared with 65.00%（13/20） in the control group (P＞0.05). The incidences of foot infections and foot ulcers in the observation group were lower than those in the control group (P＜0.05). Three cases of amputation were reported in the control group. Conclusion The integrated Traditional Chinese and Western medicine nursing showed positive effect on treatment outcome, patient quality of life and prognosis of disease, and the effect of integrative nursing intervention was superior to routine nursing.
-
Application of Rosenthal effect in clinical teaching and training of newly recruited surgical nurses
Publication date：2022-09-13， DOI: 10.12209/issn2708-3845.20220913002
Classification ：Nursing-nursing pedagogy
Abstract:Objective To evaluate the Rosenthal effect in clinical teaching and training of newly recruited surgical nurses. Methods Totally 60 newly recruited surgical nurses were divided into two groups: the control group (n = 30) and the observation group (n = 30). The members of the control group received routine clinical teaching and training. A Study of Rosenthal Effect was carried out on the group members, teachers, head nurses and full-time teachers of the observation group, aiming to increase the teachers'' sense of investment and initiative, drive the newly recruited nurses'' learning motivation and improving their self-confidence. In the third and sixth month, all the newly recruited nurses were tested in theoretical knowledge and practical skills, and psychology and feedback from teachers was measures. Results There were significant differences in the time effect and inter group effect of the scores of theoretical test, practice assessment, professional identity and retention intention and satisfaction with teaching between the two groups（P＜0.05）. Conclusion Rosenthal Effect is conducive to improve the professional identity and investment of newly recruited surgical nurses, and reduce their turnover intention. It is of great significance to stabilize the operating room nursing staff and promote the construction of new nurses'' specialization.
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ZHAO Nan, LI Jing, ZHAO Jingtao
Publication date：2022-09-13， DOI: 10.12209/issn2708-3845.20220808001
Classification ：Nursing-nursing management
Abstract:Objective: This study aims to provide a reference for the quality management of nursing documents in TCM hospitals, by investigating and analyzing the quality status of nursing documents for critical patients in TCM hospitals in Beijing.Methods: This study adopted cluster sampling method to select 38 third-level and second-level TCM hospitals and integrated traditional Chinese and Western medicine hospitals in Beijing as the survey subjects, and selected archived medical records from January 1st to October 31st, 2020. Each hospital will extract 5 nursing records of critical patients, and exclude medical records with less than 3 days recording. Finally, the quality of the selected 175 nursing records were investigated, and the quality defects discovered were analyzed.Results: The average score of writing quality of 175 nursing records was 82.12 points. And the quality defects occurred 917 times, including 76 times(8.29%) quality defects in ADL Assessment Scale and 106 times (11.56%) quality defects in Temperature Chart, and quality defects occurred most up to 720 times(78.52%) in Nursing Record Sheet. Nursing record defects mainly appears in 6 areas: incorrect recording of time limit, lack of specialized nursing connotation, nonstandard TCM technology records, untidy handwriting, nonstandard signatures, and other problems.Conclusion: The overall quality of nursing documents for critical patients in Beijing TCM hospitals has been improved. Critical patients’ nursing document quality defects still occur frequently, and the types of quality defects are complex. Improvements should be made from instituting standards in detail, implementing tabular electronic medical records, and strengthening the training of nurses’ comprehensive capabilities. The management department should attach great importance to the quality of nursing document writing and analyze reasons for the defects and take effective measures.
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LIU Jing, WANG Liangmin, SHI Mingjie, MA Mingming, ZHAO Dandan, ZHANG Zhiyan, BI Wen, ZHOU Wenwen
Publication date：2022-09-13， DOI: 10.12209/issn2708-3845.20220818004
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:This article summarizes the 1 cases of elderly patients with chronic obstructive pulmonary disease stabilization during the stay in hospital using back cupping therapy for the treatment of cough and expectoration acupoints in nursing experience, including nursing evaluation, back cupping acupoints in operating methods and matters needing attention, along with diet nursing and Psychological nursing, rehabilitation nursing, such as conventional Chinese medicine nursing, effectively improve the symptoms, nursing effect is better, to sum up to provide reference for clinical TCM nursing.
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WANG Shuang, ZHENG Hongmei1, ZHENG Hongmei, GAO Donghua, PENG Dan
Publication date：2022-09-13， DOI: 10.12209/issn2708-3845.20220908001
Classification ：Specialist nursing-internal medical nursing
Abstract:In this paper, we summarize the nursing experience of a patient with colonic broad-basal adenomatous endoscopic mucosectomy, including preoperative psychological care, instrument preparation, patient preparation, intraoperative nursing, postoperative nursing and other targeted nursing measures. Through the comprehensive nursing mode of full preoperative preparation, close surgical cooperation, and meticulous postoperative care, the success of colon adenomatous polyposis endoscopic mucosectomy is guaranteed, reducing patient pain, improving patient diseases, and promoting their recovery.
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WANG Shuang, ZHENG Hongmei, GAO Donghua, ZHAO Weiwei, PENG Dan
Publication date：2022-09-13， DOI: 10.12209/issn2708-3845.20220827001
Classification ：Specialist nursing-internal medical nursing
Abstract:This paper summarizes the nursing experience of a case of endoscopic six-ring lassus in the treatment of patients with esophageal varices, including preoperative psychological care, instrument preparation, patient preparation, intraoperative care, postoperative general care, complication care and other targeted nursing measures. Through the comprehensive nursing mode, full preoperative preparation, close surgical cooperation, and meticulous postoperative care, the success of esophageal variceal ligation is guaranteed, the pain of patients is reduced, the patient""s symptoms are improved, and their recovery is promoted.
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Publication date：2022-09-06， DOI: 10.12209/issn2708-3845.20220905002
Classification ：Specialist nursing-oncology nursing
Abstract:This paper observed the effect of acupoint application in relief of abdominal pain and distension in a patient with pancreatic cancer, and summarized related nursing measures. Under the guidance of Traditional Chinese Medicine(TCM) nursing by syndrome differentiation, Chinese herbal medicine granules external application at Shenque acupoint (CV 8) was performed. Comprehensive interventions including dietary nursing, emotional care and life support care were carried out during the treatment. Guided by the TCM meridian theory, the acupoint application is effective way of external therapy in treating the internal illness by stimulating the relevant acupoints.
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DENG Jianhua, LIYuxin, LI Mengya, WU Chunli, TIAN Chenchen, HU Fangfang
Publication date：2022-09-06， DOI: 10.12209/issn2708-3845.20220905001
Classification ：Specialist nursing-internal medical nursing
Abstract:This paper summarized the literature of application of moxibustion therapy for patients with chronic renal failure. Moxibustion therapy is able to slowing the progression of renal function, improve the regulation of immune function, reduce the urinary protein. As a Traditional Chinese Medicine characteristic nursing technology, the moxibustion therapy shows advantages in slowing the progress of the renal failure.
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WANG Xue, CAO Hong jing, LI Ning, CHEN Siyu, REN Lixin, SONG Meijia
Publication date：2022-09-02， DOI: 10.12209/issn2708-3845.20220901003
Classification ：Specialist nursing-internal medical nursing
Abstract:Objective To investigate the effect of predictive nursing strategies on preventing side effects of azacitidine in patients with high-risk myelodysplastic syndrome. Methods? Totally 40 patients undergoing subcutaneous injection therapy with azacitidine for high-risk myelodysplastic syndrome were randomly divided into the observation group and control group, with 20 cases in each group. Routing nursing management including posture nursing, oral care, psychological care and nursing of adverse reactions was carried out in the control group. In the observation group, a special nursing team was set up to enhance the predictive nursing interventions such as nutrition support, prevention of infection and hemorrhage, and so on. The side effects of azacitidine therapy were observed analyzed. Results The incidence of adverse reactions in the observation group was significantly lower than that in the control group (10.00% vs. 45.00%, P＜0.05). Conclusion? For those patients undergoing subcutaneous injection therapy with azacitidine for high-risk myelodysplastic syndrome, the predictive nursing is potentially effective to reduce the incidence of adverse drug reactions.
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ZHENG Ruiwen, CHEN Hong, HE Jing, XU Jingjin, ZHANG Jing, TANG Ling
Publication date：2022-09-02， DOI: 10.12209/issn2708-3845.20220901001
Classification ：Traditional Chinese medicine nursing-surgery nursing of TCM
Abstract:This paper summarized the effect of stone needle therapy combined with Traditional Chinese Medicine (TCM) collapse stains in the treatment of acute mastitis during lactation. On the basis of risk assessment and routine nursing, a TCM external treatment, stone needle therapy combined with TCM collapse stains, was performed according to the TCM syndrome differentiation. The TCM external treatment is effective in relief of inflammation, local pain and symptoms of redness on the skin in patients with acute mastitis during lactation.
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Publication date：2022-09-02， DOI: 10.12209/issn2708-3845.20220901002
Classification ：Traditional Chinese medicine nursing-pediatric nursing of TCM
Abstract:This paper observed the effect of unblocking stuffy orifice and scraping technique in a child with allergic rhinitis of Qi deficiency of lung and spleen Key issues of nursing assessment, routine nursing, acupoint selection, operation method and precautions of scraping technique were summarized. According to the syndrome differentiation of Traditional Chinese Medicine (TCM), unblocking stuffy orifice and scraping technique was used in the corresponding parts, in order to relieve the clinical symptoms. The unblocking stuffy orifice and scraping technique is safe, free of side effects and easy to be accepted by children.
9, 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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Li Jing, Xie Xiaolei, Zhao Nan, Song Libo, Jing Jing, Liao Juan
Publication date：2020-07-25， DOI:10.12209/issn2708-3845.20200723002
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:Objective To explore the influence of auricular point pressing with bean on insomnia in patients with coronavirus disease 2019 （COVID-19）. Method All patients with COVID-19 suffering from insomnia who were coming from the South-first-district and general-five-district inpatient wards of Jin Yintan hospital, Wu Han from February to March, 2020. Sixty-two patients were included in the study. Based on the conventional treatment, using auricular point pressing with bean in experimental group, while only using conventional treatment in control group. The auricular acupoints in one ear were selected with heart, shenmen, sympathetic, neurasthenia, upper lung, lower lung, and anti-asthma etc., twice a week for 14 days. The general information questionnaire was used to evaluate the general condition of the patients before the intervention. The insomnia severity index (ISI), self-rating Depression Scale (SDS), self-rating Anxiety Scale (SAS) and Kolcaba Comfort Scale were used to evaluate the severity of insomnia, depression, anxiety and comfort status before and after the intervention. Results In general data of patients, there was a statistically significant difference on oxygen therapy between groups (χ2= 12.579, P = 0.000). Before and after the intervention, there was a significant difference on the total score of insomnia severity index between the two groups (Z=-3.662, P=0.000). According to the stratified analysis of oxygen therapy, the total score of ISI between the two groups before and after the intervention was statistically different（t=3.877，P=0.000）. Through intra group comparison, there was a significant difference in experimental group on the total score of ISI(Z= -4.247, P = 0.000) . There was no significant difference in the scores of SDS, SAS and Kolcaba Comfort scale between the two groups before and after the intervention (P > 0.05); there was a significant difference in experimental group of anxiety scale before and after the intervention (z = -2.673, P = 0.008). Conclusion Auricular acupoint compression can effectively improve the symptoms of insomnia in covid-19 patients, and improve the anxiety caused by insomnia in covid-19 patients. Auricular acupoint compression technique is worth promoting and applying.
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Xie Zhenyao, Tang Rui, Zhang Jingjing
Publication date：2020-08-21， DOI:10.12209/issn2708-3845.20200821002
Classification ：Specialist nursing-surgery nursing
Abstract:Perioperative blood glucose management is closely related to the preoperative, intraoperative and postoperative blood glucose level control is one of the important objectives of perioperative blood glucose nursing management.The perioperative blood glucose in patients with diabetes care management has a lot of research reports, but in view of the different advantages and disadvantages of each management style, therefore, in this paper, the relatively mature perioperative blood sugar diabetes patients nursing management mode is summarized, to find suitable for clinical diabetes patients perioperative nursing management mode, blood sugar for surgical nursing managers of the perioperative blood glucose control patients nursing management method to provide reference for the rich types and perfect rapid rehabilitation specialist nurse surgical care system to provide the reference.
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Publication date：2020-10-10， DOI:10.12209/issn2708-3845.20201009003
Classification ：Nursing-nursing management
Abstract:2019年12月某市爆发了新型冠状病毒肺炎,随着疫情的进展以及危重患者的增长,越来越多危重患者除了需要新冠肺炎的治疗以外还需要其他特殊治疗,如血液净化治疗。新冠肺炎具有极强的传染性,血液净化治疗过程如何进行防护及感染控制尤为重要。本文将结合临床实践及血液净化技术相关知识,基于鱼骨图分析法,明确血液净化治疗过程中可能产生的风险,并在此基础上制定出新型冠状病毒肺炎患者安全管理策略和相关防护措施,为血液净化治疗的安全实施提供参考。
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LI Miaomiao, XU Pengfei, LU Wei
Publication date：2020-11-04， DOI:10.12209/issn2708-3845.20201104002
Classification ：Specialist nursing-internal medical nursing
Abstract:目的 探讨腹膜透析患者容量管理行为与疾病感知、希望水平的相关性。方法 采用一般资料调查表、容量管理行为水平量表、简易疾病感知问卷及中文版Herth希望量表对135例腹膜透析患者进行问卷调查。结果 共发放问卷137份,有效问卷135份,有效率98.54%。腹膜透析患者容量管理行为水平总分(17.01±4.27)分,少吃高盐高钠食物得分最低。患者容量管理行为水平总分、限盐及容量超负荷症状监测均与疾病了解程度呈负相关(P＜0.05),腹膜透析相关容量管理与认知呈负相关(P＜0.05)。容量管理行为水平总分及其各维度均与希望水平总分、与他人保持亲密的关系呈正相关(P＜0.05),限盐及容量超负荷症状监测与采取积极的行动呈正相关(P＜0.05)。 结论 腹膜透析患者容量管理行为与疾病感知及希望水平具有相关性,应加强患者医疗及家庭的支持与关怀,依据患者实际能力与需求,针对性指导患者对容量管理的正确认知,提高疾病了解程度,促进患者主动管理行为的形成。
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Publication date：2021-01-06， DOI:10.6729/MJN.202012_19(2).004
Classification ：Specialist nursing-hygienic and health care
Abstract:The Macao government attaches great importance to the anti-epidemic measures of the novel coronavirus pneumonia (coronavirus disease 2019, COVID-19). It had taken steps to deal with COVID-19 even before the ?rst case was detected, and formulated stricter rules after the occurrence of several imported cases. These measures were to cut out the link of the epidemiological triangle, including: 1) controlling the infection source. Macao government quickly established a multi-sectoral response coordination team to isolate potential cases and detect cases early by closely tracing arrivals from outside Macao; 2) stopping the route of transmission. The government implemented a mask supply plan, shut down entertainment venues during the peak of the epidemic, and used public media to disseminate anti-COVID-19 information, such as maintaining social distance and frequent hand wash; 3) protecting susceptible people. The government took a series of measures to protect minors, the elderly in institutions and workers in medical institutions from infection. While Macao has done a better job in ?ghting COVID-19 than some of the neighboring regions, it is not a perfect performer. Suggestions for addressing weaknesses Macao has shown in the ?ght are o?ered in the article.
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CHEN Lin, ZHOU Jing, YAO Xueming, MA Wukai, SHEN Haiyan, HAN Shan
Publication date：2020-07-13， DOI:10.12209/issn2708-3845.20200713004
Classification ：Nursing-nursing and other disciplines
Abstract:目的 系统评价中药外敷联合西药治疗类风湿关节炎的临床效果,为其临床治疗及研究提供循证参考。方法 计算机检索中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方数据库、维普数据库(VIP)中的相关文献,对符合纳入标准的研究进行资料提取后,采用Rev Man 5.3进行Meta分析。结果 共纳入文献27篇,总样本量2481例,Meta分析结果显示,中药外敷联合西药治疗组与单纯西药治疗组相比能提高治疗效果 [OR=3.33,95%CI(2.59,4.28),Z=9.44,P<0.05],且在症状体征如晨僵时间[OR=-17.36,95%CI(-23.62,-11.10),Z=5.43,P<0.05],疼痛缓解情况 [OR=-1.34,95%CI(-2.13,-0.05),Z=3.34,P<0.05]以及实验室指标如类风湿因子[OR=-14.04,95%CI(-24.43,-6.66),Z=3.73,P<0.05]、C反应蛋白[OR=-5.90,95%CI(-8.11,-3.69),Z=5.23,P<0.05]、红细胞沉降率[OR=-6.03,95%CI(-8.26,-3.80),Z=5.29,P<0.05]方面,中药外敷联合西药治疗组均优于单纯西药治疗组,而在药物不良反应方面,两组差异无统计学意义[OR=1.14,95%CI(0.47,2.76),Z=0.30,P>0.05]。结论 国内研究显示,中药外敷联合西药治疗类风湿关节炎在缓解患者临床症状,改善患者病情方面效果显著,值得临床进一步推广与应用。
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WANG Xuesong, ZHOU Yajing, YANG Yu, LI chenchen, FAN Yan, HU Shirong
Publication date：2021-02-01， DOI:10.12209/issn2708-3845.20210130002
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:Objective To Summarize the key points of acupoint massage treatment and traditional Chinese medicine nursing for a patient with constipation due to qi deficiency after stroke. Methods A patient with constipation due to qi deficiency after stroke was selected in this hospital, and comprehensive nursing measures of meridian acupoint massage combined with traditional Chinese medicine were given to the symptoms. Results The patient"s symptoms were effectively relieved after meridian acupoint massage and traditional Chinese medicine nursing. Conclusion For patients with Qi deficiency and constipation after stroke, the degree of Qi deficiency should be evaluated before treatment. In addition to the application of general therapy, attention should be paid to supplementing the deficiency treatment. Combined with traditional Chinese medicine nursing measures can effectively improve the clinical symptoms of patients and speed up recovery.
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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：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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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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Qin Guilian, Hu Xiaohong, Guo Hongbo
Publication date：2020-10-16， DOI:10.12209/issn2708-3845.20201016001
Classification ：Specialist nursing-surgery nursing
Abstract:气管插管是麻醉科医师为手术患者进行全麻术时,常用的一种维持患者气道通畅的方法,咽喉痛是气管插管全麻术后常见的气道并发症。本文从现代医学和传统中医学的干预,对气管插管全麻术后患者咽喉痛的护理进行综述,为提高气管插管全麻术后患者咽喉痛的治疗护理提供参考。
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Publication date：2020-06-04， DOI:10.12209/issn2708-3845.20200602002
Classification ：Specialist nursing-physiotherapy and nursing
Abstract:Objective：To observe the effects of the combination of calming foot bath and hemodialysis on sleep quality,dialysis quality,hypersensitive c-reactive protein(hs-CRP),interleukin-6 (IL-6)and tumor necrosis factor alpha (TNF-α)in patients with sleep disorders. Methods：According to the random number table method,60 patients with maintenance hemodialysis and sleep disorder were divided into study group and control group,30 cases each. The control group was given psychological nursing care and basic blood purification treatment.The team on the basis of psychological nursing,3 times per week Hemodiafiltration (HDF) treatment and calming foot bath. Both groups were treated for 2 months. The PSQI score,K-T/V score,hs-CRP,IL-6 and TNF-α of the two groups before and after intervention were compared. Results：(1)Before intervention,the PSQI score,K-T/V score ,hs-CRP,IL-6 and TNF-α of the two groups of patients were compared,and the differences were not statistically significant(P＞0.05)；(2)After intervention,K-T/V score of patients in both groups was higher than that before intervention(P＜0.05)；the PSQI score ,hs-CRP,IL-6 and TNF-α of patients in both groups were lower than that before intervention(P＜0.05)；(3)After intervention,K-T/V score of the study group was higher than that of the control group (P＜0.05)；the PSQI score ,hs-CRP,IL-6 and TNF-α of the study group were lower than that of the control group(P＜0.05). Conclusion：The combination of calming foot bath and hemodiafiltration can improve the sleep quality,dialysis quality and immune function of hemodialysis patients.
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Publication date：2020-10-10， DOI:10.12209/issn2708-3845.20201009003
Classification ：Nursing-nursing management
Abstract:2019年12月某市爆发了新型冠状病毒肺炎,随着疫情的进展以及危重患者的增长,越来越多危重患者除了需要新冠肺炎的治疗以外还需要其他特殊治疗,如血液净化治疗。新冠肺炎具有极强的传染性,血液净化治疗过程如何进行防护及感染控制尤为重要。本文将结合临床实践及血液净化技术相关知识,基于鱼骨图分析法,明确血液净化治疗过程中可能产生的风险,并在此基础上制定出新型冠状病毒肺炎患者安全管理策略和相关防护措施,为血液净化治疗的安全实施提供参考。
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Publication date：2020-09-28， DOI:10.12209/issn2708-3845.20200928001
Classification ：Specialist nursing-stomatology nursing
Abstract:Objective To explore the experience and needs of caregivers of oral cancer patients, as to provide evidence for effective nursing services for caregivers. Methods By using the purposive sampling method,twelvecaregivers were given a semi-structured interview,and used Colaizzi’s analysis to analyse. Results Five themes were extracted including knowledge and information needs, psychological pressure, adjusting attitudes towards patient financial burden and family and social support needs. Conclusion Caregivers of oral cancer patients are facing the different kinds of problem. Nursing staff should pay attention to the needs and psychological problems of caregivers,strengthen the health education of caregivers. It is important for hospital to provide social support to reduce the financial burden of caregivers.
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CHEN Lin, ZHOU Jing, YAO Xueming, MA Wukai, SHEN Haiyan, HAN Shan
Publication date：2020-07-13， DOI:10.12209/issn2708-3845.20200713004
Classification ：Nursing-nursing and other disciplines
Abstract:目的 系统评价中药外敷联合西药治疗类风湿关节炎的临床效果,为其临床治疗及研究提供循证参考。方法 计算机检索中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方数据库、维普数据库(VIP)中的相关文献,对符合纳入标准的研究进行资料提取后,采用Rev Man 5.3进行Meta分析。结果 共纳入文献27篇,总样本量2481例,Meta分析结果显示,中药外敷联合西药治疗组与单纯西药治疗组相比能提高治疗效果 [OR=3.33,95%CI(2.59,4.28),Z=9.44,P<0.05],且在症状体征如晨僵时间[OR=-17.36,95%CI(-23.62,-11.10),Z=5.43,P<0.05],疼痛缓解情况 [OR=-1.34,95%CI(-2.13,-0.05),Z=3.34,P<0.05]以及实验室指标如类风湿因子[OR=-14.04,95%CI(-24.43,-6.66),Z=3.73,P<0.05]、C反应蛋白[OR=-5.90,95%CI(-8.11,-3.69),Z=5.23,P<0.05]、红细胞沉降率[OR=-6.03,95%CI(-8.26,-3.80),Z=5.29,P<0.05]方面,中药外敷联合西药治疗组均优于单纯西药治疗组,而在药物不良反应方面,两组差异无统计学意义[OR=1.14,95%CI(0.47,2.76),Z=0.30,P>0.05]。结论 国内研究显示,中药外敷联合西药治疗类风湿关节炎在缓解患者临床症状,改善患者病情方面效果显著,值得临床进一步推广与应用。
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WEN Caoli, LI Haiting, JIA Sansan
Publication date：2020-05-28， DOI:10.12209/issn2708-3845.NursRxiv20200528001
Classification ：Nursing-nursing management
Abstract:ABSTRACT: Objective? To explore the status quo of readiness for hospital discharge, pain degree and its correlation in patients with lumbar disc herniation (LDH). Methods? Totally 196 LDH patients were investigated with Readiness for Hospital Discharge Scale (RHDS) and Numerical Rating Scale for pain (NRS). Data obtained was analyzed by Pearson correlation analysis. Results? The total score of RHDS in LDH patients was (94.17±8.56), and average scores of each dimension from high to low was person status, excepted support and coping ability.? The score of NRS was (6.10±0.30) at hospital admission and was (1.70±0.50) 4 hours before hospital discharge, with a significant difference (t=1.892,P<0.05) . The total score of RHDS and scores of each dimension were negatively correlated with the NRS score of pain 4 hours before hospital discharge (P<0.05). Conclusions? The LDH patients had a high level of readiness for hospital discharge and a low level of pain relief before discharge. The medical staff should pay more attention to the readiness of patients with lumbar disc herniation, help them to relieve pain and promote their recovery.
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Li Jing, Xie Xiaolei, Zhao Nan, Song Libo, Jing Jing, Liao Juan
Publication date：2020-07-25， DOI:10.12209/issn2708-3845.20200723002
Classification ：Traditional Chinese medicine nursing-internal medical nursing of TCM
Abstract:Objective To explore the influence of auricular point pressing with bean on insomnia in patients with coronavirus disease 2019 （COVID-19）. Method All patients with COVID-19 suffering from insomnia who were coming from the South-first-district and general-five-district inpatient wards of Jin Yintan hospital, Wu Han from February to March, 2020. Sixty-two patients were included in the study. Based on the conventional treatment, using auricular point pressing with bean in experimental group, while only using conventional treatment in control group. The auricular acupoints in one ear were selected with heart, shenmen, sympathetic, neurasthenia, upper lung, lower lung, and anti-asthma etc., twice a week for 14 days. The general information questionnaire was used to evaluate the general condition of the patients before the intervention. The insomnia severity index (ISI), self-rating Depression Scale (SDS), self-rating Anxiety Scale (SAS) and Kolcaba Comfort Scale were used to evaluate the severity of insomnia, depression, anxiety and comfort status before and after the intervention. Results In general data of patients, there was a statistically significant difference on oxygen therapy between groups (χ2= 12.579, P = 0.000). Before and after the intervention, there was a significant difference on the total score of insomnia severity index between the two groups (Z=-3.662, P=0.000). According to the stratified analysis of oxygen therapy, the total score of ISI between the two groups before and after the intervention was statistically different（t=3.877，P=0.000）. Through intra group comparison, there was a significant difference in experimental group on the total score of ISI(Z= -4.247, P = 0.000) . There was no significant difference in the scores of SDS, SAS and Kolcaba Comfort scale between the two groups before and after the intervention (P > 0.05); there was a significant difference in experimental group of anxiety scale before and after the intervention (z = -2.673, P = 0.008). Conclusion Auricular acupoint compression can effectively improve the symptoms of insomnia in covid-19 patients, and improve the anxiety caused by insomnia in covid-19 patients. Auricular acupoint compression technique is worth promoting and applying.
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Qin Guilian, Hu Xiaohong, Guo Hongbo
Publication date：2020-10-16， DOI:10.12209/issn2708-3845.20201016001
Classification ：Specialist nursing-surgery nursing
Abstract:气管插管是麻醉科医师为手术患者进行全麻术时,常用的一种维持患者气道通畅的方法,咽喉痛是气管插管全麻术后常见的气道并发症。本文从现代医学和传统中医学的干预,对气管插管全麻术后患者咽喉痛的护理进行综述,为提高气管插管全麻术后患者咽喉痛的治疗护理提供参考。
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Xu ling, Li Huafen, Wang Jianlin, Xue Minfen, Zhang Wei, Qu Zhi
Publication date：2020-06-30， DOI:10.12209/issn2708-3845.20200630001
Classification ：Traditional Chinese medicine nursing-TCM nursing and others
Abstract:Objective ToSobserveStheSeffectSof Chinese herbal immersion in prevention and treatment of hand-foot syndrome caused by apatinib. Methods From Jan 2016 to Dec 2017, 157 patients with esophageal carcinoma and intestinal carcinoma treated with apatinib were randomly divided into Chinese medicine group (n=72), in which their hands and feet were immersed in Chinese herbal liquid twice a day; and control group (n=85), in which their hands and feet were immersed in warm water twice a day. Then we compared the incidence and severity of hand-foot syndrome between the groups. Results Among all the patients the incidence of I, II and III degree hand-foot syndrome were 12.7%, 10.2% and 6.4%, respectively. The rates of I, II, III degree hand-foot syndrome in Chinese medicine group and control group were 8.3%, 6.9%, 4.2% and 16.5%, 11.0%, 10.1%, respectively, and the rate in control group was higher than that in Chinese medicine group(P=0.015). Conclusion Chinese herbal immersion could reduce the incidence and severity of hand-foot syndrome for cancer patients treated with apatinib, which was valuable to be applied in clinics.
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BAI Xiaowen, LIANG Xiaoyu, SUN Longhao, HU Fang, WANG Jingzhen
Publication date：2020-08-12， DOI:10.12209/issn2708-3845.20200811003
Classification ：Specialist nursing-surgery nursing
Abstract:目的 调查减重术后患者随访需求,为优化减重术后随访程序提供参考。 方法 采用半结构化访谈,对18名减重术后患者进行深入访谈。采用Colaizzi现象学研究法分析资料、提炼主题。 结果 本研究提炼出4个主题,即：特殊时期患者对随访的需求更高；随访内容的需求；随访方式需求多样；卫生服务资源需求。 结论 应进一步加强减重术后相关知识的宣力度,建立以个案护理模式和多学科管理相结合为基础的随访体系,加强医患间沟通交流,深入了解患者的需求,有针对性的提供干预措施,提高随访依从性。
Virtual Special Issue
English name：Integrative Nursing Preprint
Website：www.nursrxiv.org.cn
Operations management：中西医结合护理杂志社
