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【Objective:】 The co-word analysis method was used to analyze narrative medical literature studied in China in the past 10 years to explore the research status in this field and lay a foundation for further research. 【Methods:】 Using "narrative medicine" as the theme term, with the limited time interval of 2013—2022 to retrieve for relevant literature in CNKI, Wanfang, and VIP databases, and include literature that meets the research standards. Bicomb2 was used to perform keyword statistics and analysis on the downloaded literature. Ucinet6.0 and Netdraw were used to draw co-occurrence analysis graphs to visualize the co-occurrence relationship between high-frequency keywords. 【Results:】 A total of 565 papers were included and 31 high-frequency keywords were extracted. The co-occurrence relationship diagrams showed that the current research hotspots of narrative medicine in China include traditional Chinese medicine, nursing, general practice, evidence-based medicine, medical ethics, hospice care, chronic diseases, cancer and other popular disciplines and diseases. Most of them were about enhancing the empathy and humanistic caring ability of medical personnel and improving doctor-patient communication to improve the doctor-patient relationship, as well as doing well in medical humanities education and cultivating narrative ability through parallel medical records and reflective writing. The research on gerontology, improving the professional identity of medical staff, integrating literature and medicine, and the impact on patients were relatively few. 【Conclusion:】 At present, narrative medicine in China has achieved many achievements in fields such as nursing, traditional Chinese medicine, general practice medicine, chronic diseases, cancer, medical humanities education, and improving doctor-patient relationships. In the future, in-depth exploration can be conducted from the use of narrative medicine in multi-disciplinary and disease fields, trying different training methods, and synchronous cultivation of teachers and students, so as to build a more comprehensive narrative medicine system.
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Objective@#To investigate the current development status quo of child healthcare by analyzing Chinese literatures on pediatric nursing teaching published over the recent five years via co-word analyzing method.@*Methods@#Literatures published between 2013-2017 and had subject headings including "pediatrics", "nursing" and "teaching" were retrieved from the Chinese National Knowledge Integrated Database, VIP website and Wanfang Data; all included literatures were analyzed via Bicomb 2; keyword co-occurrence diagram was drawn using Ucinet 6.0 and Netdraw to visualize the co-occurrence relations among high-frequent words.@*Results@#A total of 396 literatures were included and 29 high-frequency keywords were extracted. Results showed that studies on pediatric nursing teaching in China focused on the teaching mode reform, especially PBL teaching method, CBL teaching method, situational simulation teaching method, clinical pathway teaching method, etc.; literatures on undergraduates, higher vocational education and teaching quality evaluation were more than those on secondary vocational education, experimental teaching and humanistic care.@*Conclusion@#Researches about pediatric nursing have made some progress in teaching reform, teaching quality evaluation and undergraduate education in China. In the future, we can further explore appropriate teaching mode for each part, and attach more attention to researches on secondary vocational education, experimental teaching and humanistic care teaching.
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Objective To investigate the current development status quo of child healthcare by analyzing Chinese literatures on pediatric nursing teaching published over the recent five years via co-word analyzing method. Methods Literatures published between 2013-2017 and had subject headings including "pediatrics", "nursing" and "teaching" were retrieved from the Chinese National Knowledge Integrated Database, VIP website and Wanfang Data; all included literatures were analyzed via Bicomb 2; keyword co-occurrence diagram was drawn using Ucinet 6.0 and Netdraw to visualize the co-occurrence relations among high-frequent words . Results A total of 396 literatures were included and 29 high-frequency keywords were extracted. Results showed that studies on pediatric nursing teaching in China focused on the teaching mode reform, especially PBL teaching method, CBL teaching method, situational simulation teaching method, clinical pathway teaching method, etc.; literatures on undergraduates, higher vocational education and teaching quality evaluation were more than those on secondary vocational education, experimental teaching and humanistic care. Conclusion Researches about pediatric nursing have made some progress in teaching reform, teaching quality evaluation and undergraduate education in China. In the future, we can further explore appropriate teaching mode for each part, and attach more attention to researches on secondary vocational education , experimental teaching and humanistic care teaching.
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To investigate the clinical characteristics and risk factors for feeding intolerance (FI) in preterm infants and to provide evidence for early identification, effective prevention and treatment of FI. Methods: A total of 116 preterm infants were recruited in the Department of Neonatology, West China Second Hospital, Sichuan University, from July 2016 to December 2016. Self-designed "the clinical observation table for feeding intolerance of preterm infant" was used to find out the main risk factors of FI in preterm infants. Results: 1) There were 62 cases of FI. The incidence of FI in preterm infants was 53.45% (62/116). It was 44.93% (31/69) and 65.96% (31/47) for males and females, respectively, with significant difference between them (P<0.05). The incidence of FI in very low birth weight infants was 48.57% (34/70), and in the extremely low birth weight infant was 88.89% (8/9). FI in preterm infants mainly occurred in the period of being fed within 48-72 h. The symptoms included abdominal distension, gastric retention, vomiting and stomach brown color for clinical manifestations. Among them, abdominal distension was the main clinical manifestation. 2) The logistic multivariate regression analysis showed that birth weight <1 000 g (P<0.05), the use of caffeine citrate (P<0.05) and the formula feeding (P<0.05) were the main risk factors for FI. Conclusion: The incidence of FI is very high in preterm infants. Birth weight <1 000 g, the use of caffeine citrate, and formula feeding are main risk factors for FI.
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Female , Humans , Infant , Infant, Newborn , Male , China , Epidemiology , Food Intolerance , Diagnosis , Epidemiology , Infant, Premature , Risk Factors , Sex DistributionABSTRACT
Objective To analyse the status quo,hotspots and trends of researches on feeding intolerance in preterm infants from 2012 to 2016 in China by co-word analysis,in order to propose directions for future researches.Methods Related studies pub lished from November 2012 to November 2016 were obtained through searching in databases,including CNKI,Wanfang,VIP andCBM,with the keywords "preterm infant","low birth weight infant" and "feeding intolerance".Studies were selected in strict accordance with the inclusion and exclusion criteria.The co-occurrence matrix of high frequency keywords was established via Microsoft Office Excel2007,and the visual network was drawn by Ucinet6.0 and Netdraw.Results A total of 536 studies were included,and 35 high-frequency keywords were extracted.The subjects of these studies mainly were very low birth weight infants,and there were few researches on extremely low birth weight infants.The reasons and treatments for feeding intolerance,clinical efficacy,clinical manifestations,growth and development,enteral/parenteral nutrition and necrotizing enterocolitis were the focus of attention of clinicians.Conclusion There have been in-depth researches on clinical features,diagnosis standard,prevention and treatment measurement of feeding intolerance in China,further researches are needed to investigate the etiology,exact pathogenesis and biological indicators.
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Objective To analyse the status quo,hotspots and trends of researches on feeding intolerance in preterm infants from 2012 to 2016 in China by co-word analysis,in order to propose directions for future researches.Methods Related studies pub lished from November 2012 to November 2016 were obtained through searching in databases,including CNKI,Wanfang,VIP andCBM,with the keywords "preterm infant","low birth weight infant" and "feeding intolerance".Studies were selected in strict accordance with the inclusion and exclusion criteria.The co-occurrence matrix of high frequency keywords was established via Microsoft Office Excel2007,and the visual network was drawn by Ucinet6.0 and Netdraw.Results A total of 536 studies were included,and 35 high-frequency keywords were extracted.The subjects of these studies mainly were very low birth weight infants,and there were few researches on extremely low birth weight infants.The reasons and treatments for feeding intolerance,clinical efficacy,clinical manifestations,growth and development,enteral/parenteral nutrition and necrotizing enterocolitis were the focus of attention of clinicians.Conclusion There have been in-depth researches on clinical features,diagnosis standard,prevention and treatment measurement of feeding intolerance in China,further researches are needed to investigate the etiology,exact pathogenesis and biological indicators.
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Objective To investigate risk factors for feeding intolerance of preterm infants under the reactive scope model guidance, and provided empirical evidence for effective prevention and treatment of feeding intolerance in preterm infants. Methods Checked the cases of 242 preterm infants been treated in the neonatal department from August 2014 to January 2015 according to the order of admission. Through literature reviewing and expert consultation, the clinical observation table was designed based on the reactive scope model, and risk factors for feeding intolerance of preterm infants were investigated by single factor analysis and logistic regression analysis from the feeding intolerance (FI) group and non-FI group. Results The incidence of feeding intolerance in preterm infants was 33.8%(70/207), feeding intolerance in preterm infants often occurred during the period of being fed within 72 hours, and the clinical manifestations were gastric retention, abdominal distension and emesis. Single factor analysis showed that gestational age, birth weight, fetal distress, aminophylline application, intrauterine infection, breast milk feeding and twice stool interval were the related factors to the feeding intolerance. Logistic regression analysis showed that gestational age and birth weight were the protective factors of FI. Fetal distress, aminophylline application, twice stool interval >3 d were the risk factors of FI. Conclusions Gestational age and birth weight were the protective factors of FI. Fetal distress, aminophylline application, twice stool interval>3 d were the risk factors of FI.
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Objective To explore core competency of nursing students during internship in western China,and to provide reference for the nursing education.Methods 380 nursing students during internship were investigated with Competency Inventory for Registered Nurse (CIRN).Results The total score of core competency of nursing students was (136.40±31.99) points,weighted mean scores of eight dimensions was (2.36±0.51)points;the highest mean score was the dimension of legal and ethical practice (2.88±0.57)points,and the lowest mean score was the dimension of critical thinking (1.91±0.52)points.There was significant difference of core competency in students with different education background and with varied firstchoice profession.Conclusions The core competence of nursing students during internship remains at lower middle level.The nursing educators should shift their concept of nursing education to the new mode of professional competence orientation.
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Objective To describe classroom teaching quality and to develop strategy for improving teaching quality of undergraduate pediatric nursing.Methods A total of forty-six junior students drawn from a nursing college were selected as subjects for cross-sectional study.The Teacher's Lecture Practice Evaluation Form developed by Sichuan University was used to measure teaching quality.A semi-structural interview was applied to obtain information from ten nursing students.Results The overall assessment of nursing teacher's classroom lecture was (89.60±5.63) points.Items of enrichment of contents,emphasized points,proficient in contents,explanation of terms and application of professional English got high score,items of heuristic question,lecture appeal,enlighten students obtained low scores.The interview results identified problems in teaching content,teaching method,and teaching behavior.Students provided suggestions for classroom teaching.Conclusions The classroom lecture performance of pediatric nursing is satisfactory,but teaching content,teaching method,and effective teaching behavior need to be upgraded.