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1.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799830

ABSTRACT

Nursing staff plays a crucial role in the end-stage of a patient′s life, and it is inevitable for nursing staff to face and handle problems about death. The ability to cope with death is of vital importance, which can reduce the risk of emotional distress in nurses, and assist nurses to better participate in patients' end-stage care, and improve the quality of care. This paper summarizes the definition, components, theoretical frameworks and models, assessment tools, status quo, influencing factors of the coping with death competence, and propose the corresponding intervention strategy according to the situation of our country, provide references for the future research.

2.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799829

ABSTRACT

The reflective ability of nursing staff has been paid more and more attention, nurses' reflection can promote professional competence development, which also can improve clinical practice ability, knowledge expansion ability and innovation ability. Therefore this article reviews the current situation on nurses′ reflection, the assessment tools, the modes, forms, methods and types, future prospects of clinical nurses reflective practice, in order to provide reference and basis for the relevant research on the reflection practice of clinical nursing staff in China.

3.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799828

ABSTRACT

Objective@#To explore the professional orientation of part-time nursing master, in order to provide reference for the cultivation and development of the education of part-time nursing master in China.@*Methods@#The information of colleges and universities with admission qualification in 2019 was searched, and the admission requirements and specialty orientation setting of 34 colleges and universities that enrolled part-time nursing master's degree students were investigated.@*Results@#The 24 colleges and universities set specific professional directions, mainly focusing on specialized nursing, accounting for 62.50% (15/24) of the total. Clinical work experience is not mandatory in all institutions; In central China and east China, 95.83% (23/24) and 91.67% (22/24) of the colleges and universities admitted students set their major directions respectively.@*Conclusion@#China′s part-time nursing postgraduate education is still in its initial stage, and the professional orientation of enrollment is varied but general, so it should be standardized to strengthen the direction of Traditional Chinese Medicine nursing. Educational development is not balanced among different regions, and academic exchanges and cooperation between colleges and universities should be strengthened.

4.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799827

ABSTRACT

Objective@#To test the reliability and validity of the Chinese version of the Handoff Clinical Examination Exercise (Handoff CEX).@*Methods@#The Chinese version of the Handoff CEX was composed of two parts, one to assess the nurse providing the handoff and another to assess the nurse receiving the handoff. A total of 80 handoffs was evaluated to test the reliability and validity of the Chinese version of the Handoff CEX.@*Results@#A total of 320 evaluations of handoff was obtained. The Cronbach α coefficient was 0.85 for the handoff provider, and that was 0.80 for the handoff recipient. Weighted kappa scores for provider evaluations ranged from 0.31-0.52, and that for recipient evaluations ranged from 0.35-0.55. The correlation coefficients between each factor ranged from 0.23 to 0.62, and that between each factor and the total scale ranged from 0.33 to 0.64 (P<0.05). Experienced nurses (>5 years) received significantly higher mean scores than inexperienced nurses(≤5 years) in all domains except organizational efficiency and professionalism(P<0.05).@*Conclusion@#The Chinese version of the Handoff CEX is a reliable and valid tool to assess the nursing handoff, which is useful for educators, supervisors and clinical nurses to provide training, ongoing assessment and feedback to improve the quality of handoff.

5.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799826

ABSTRACT

Objective@#To investigate and compare the attitudes of clinical nurses and nursing managers towards float nurse, and to provide references for the implementation of nurse mobile practice mode in China.@*Methods@#By stratified sampling, the survey was conducted on clinical nurses and nursing managers of 15 tertiary hospitals in 9 prefecture-level cities in Fujian.@*Results@#A total of 9 389 valid questionnaires were recovered, including 525 for nursing managers and 8 864 for clinical nurses. By comparing the attitudes between two groups, it was found that nursing managers who knew more about mobile practice were more willing to practice floating practice, including 50.86% (267/525) heard and inquired, 49.14% (258/525) willing to float, than clinical nurses who paid less attention, including 32.41% (2 873/8 864) heard and inquired, 38.87% (3 445/8 864) willing to float. Multi-factor analysis showed that among nursing managers, those with a bachelor’s degree or above was more willing to float. While among clinical nurses, young, unmarried, side, bachelor degree or above were more willing to float. On the choice of flow mode, nursing managers were inclined to float between hospitals (46.54%, 215/525), but clinical nurses were prone to community float (42.45%, 3 142/8 864). Furthermore, nursing managers had higher requirements on the professional title and seniority of float nurse, and 39.43% (207/525) believe that the professional title should be supervisor, while 81.71% (429/525) thought that length of service as a nurse should be 5 years or more.@*Conclusion@#There are differences between clinical nurses and nursing managers in such aspects as the intention of floating practice, obstacles and guarantee factors, cognition and selection of demanders, and acceptance of practice threshold. The above differences should be fully considered in the trial of the "Internet + Nursing" floating practice mode for nurses.

6.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799825

ABSTRACT

Objective@#To construct the key elements of mental care program for cancer patients based on Swanson′s caring theory.@*Methods@#Based on Swanson′s caring theory, using expert group discussion and Delphi expert inquiry, screening indicators to establish psychosocial care program for cancer patients.@*Results@#The effective recovery rates of the two rounds of expert inquiries were 100% (34/34) and 94.12% (32/34), respectively. The coefficient of authority of experts was 0.89, and the coefficient of coordination of expert opinions was 0.411. The final training system includes five first-level indicators, 17 second-level indicators and 89 third-level indicators.@*Conclusion@#The mental care program can provide reference for clinical practice.

7.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799824

ABSTRACT

Objective@#To explore the effect of pulsatile lavage on wound healing in diabetic foot ulcer patients.@*Methods@#The random number table method was used to divide 86 patients of diabetic foot ulcers into two groups with 43 patients in each group. The control group disinfected and cleaned the wound by routine methods, while the experimental group received closed pulse irrigation with sewage collection unit. The two groups were debridement, dressing selection and wound dressing in a unified way. The frequency of dressing change, time of dressing change, efficacy, cost of dressing changes, score of wound pain and wound healing were observed.@*Results@#The frequency of dressing change, dressing change time, wound healing time and total effective rate of the experimental group were (10.42±1.92) times, (12.19±2.37) min, (32.53±6.91) d and 86.04% (37/43), respectively, while those of the control group were (19.47±3.13) times, (21.65±3.99) min, (43.17±13.72) d and 51.16% (22/43), with statistically significant differences (t values were 4.545-16.127, χ2 value was 13.214, all P < 0.01). However, the cost of dressing change in the experimental group was (3 278.78±220.92) yuan, and that in the control group was (3 195.75±206.54) yuan. There was no significant difference between the two groups (t value was -1.814, P > 0.05). The pain scores were (1.47±1.09), (0.57±0.72), (0.06±0.23), (0.003±0.01) points in the experimental group at the 2nd week,the 4th week,the 6th week and the 8th week after intervention, and they were (3.83±1.16), (2.73±1.41), (1.92±1.06), (1.43±0.70) points respectively in the control group, the differences were statistically significant (Ftime=390.663, Fintergroup=76.011, Finteraction=4.210, all P < 0.01). The wound healing rates were (49.34±9.34)%, (86.26±13.33)%, (95.01±8.56)%, (97.28±3.62)% respectively in the experimental group in the 2nd week,the 4th week,the 6th week and the 8th week after intervention,while in the control group they were (26.64±5.19)%, (50.37±10.53)%, (64.84±12.27)% and (72.04±12.96)%. The differences between the two groups were statistically significant (Ftime=354.487, Fintergroup= 921.230, Finteraction =23.154, all P < 0.01).@*Conclusions@#Pulsatile lavage can effectively clean the wound, reduce the frequency of dressing change, shorten the time of dressing change and wound healing, reduce the wound pain, improve the wound healing rate of diabetic foot ulcers, and did not increase the economic burden of patients, which was worthy of clinical application.

8.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799823

ABSTRACT

Objective@#To investigate the effect of the lower extremitas abduction brace pads which is designed by our team in helping patient turnover after orthopedic femoral neck fracture, intertrochanteric fracture, femoral head replacement.@*Methods@#Using prospective cohort study to facilitate sampling From October 2016 to August 2017, in an upper third-class hospital of Jiangsu province, we selected 100 patients in Orthopedics dept. No.1 at random as the experimental group and 80 patients in dept. No.2 as the control group. Lower extremitas abduction brace pads were used in experimental group and pillows, backrests and clothes were used in control group. Comfort level, incidence of skin pressure injury, joint dislocation rate and the compliance of the two groups were compared.@*Results@#The number of patients in experimental group who rated the comfort up to 3 (feel a little pain and uncomfortable) was much higher than that in control group (OD value was 5.801, P<0.01), while which rated 1 (feel painful, unbearable and extremely uncomfortable) was lower than that of control group (OD value was 0.168 ,P<0.01) . The ratio of stress injury and dislocation were lower in experimental group (OD value was 0.126, P=0.046). There was no significant difference between two groups in the ratio of dislocation after femoral head replacement (OD value was 0.000, P=0.444) and leg deep vein thrombosis (OD value was 0.000, P=1.000).@*Conclusion@#Lower extremitas abduction brace pads can effectively improve the comfort of the patients and reduce the ratio of stress injury.

9.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799822

ABSTRACT

Objective@#To translate the Children′s International Mucositis Evaluation Scale (ChIMES) into Chinese and evaluate its psychometric charateristics in pediatric patients with acute leukemia.@*Methods@#After translation and cognitive debriefing interviews, convenience sampling was used to recruit 105 pediatric patients with acute leukemia in a Shanghai AAA pediatric hospital.@*Results@#The known-group validity was great, and criterion validity was 0.947. Through EFA, the Chinese version of ChIMES included two dimensions which accounted for 75.270% of the accumulated variance, and each item had high factor loading quantity (>0.5). Cronbach alpha was 0.826 and the split-half reliability was 0.590. Relevance between each item and total score was good, with Pearson correlation coefficient 0.424-0.900.@*Conclusion@#The Chinese version of ChIMES has been proved valid and reliable and can be practically and feasibly used in the future.

10.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799821

ABSTRACT

Objective@#To explore the effect of post-abortion care service based on Wechat follow-up on contraceptive compliance of multiple induced abortion patients, and to evaluate the satisfaction with PAC service.@*Methods@#A quasi-experimental method was adopted. A total of 300 cases of induced abortion were selected in Beijing Obstetrics and Gynecology Hospital affiliated to Capital Medical University from March 2018 to March 2019, with 150 cases from eastern branch in the experimental group and 150 cases from western branch in the control group. The control group received routine nursing care and post-abortion care service based on telephone follow-up, while the experimental group received routine nursing care and post-abortion care service based on Wechat follow-up. The missing rate of follow-up, the contraceptive method and the occurrence of unexpected pregnancy within one year after operation were collected in the two groups. Patients′ follow-up compliance and nursing satisfaction were evaluated.@*Results@#The awareness of the risk of induced abortion in the experimental group was 90.4% (120/135) higher than that in the control group 77.5% (88/111), and the difference was statistically significant (χ2 value was 9.128, P=0.010). The contraceptive consciousness of the two groups was 99.3% (134/135) and 94.6% (105/135), respectively, and the difference was not statistically significant (χ2 value was 3.256, P=0.071). There was a statistically significant difference in the missing rate of follow-up between the two groups in January, March, June, and December (χ2 value was 13.664, P=0.003). Compared with 19.8% (22/111) in the control group, 73.3% (99/135) patients in the study group chose high-efficiency contraception, the difference was statistically significant (χ2 value was 69.795, P<0.01).There were no recurring pregnancies in the experimental group within one year, compared with 6.3% (7/111) in the control group, the difference was statistically significant (χ2 value was 6.630, P=0.003). In the experimental group, the participation rate of the follow-up were (95.37±12.29)%, which were higher than that in the control group (90.77±16.49)%. The difference was statistically significant (t value was 2.438, P<0.05). The overall satisfaction score of the experimental group was 26.55 ± 2.80, which was higher than that of the control group (23.66 ± 3.32). The difference was statistically significant (t value was 7.285, P <0.01).@*Conclusion@#Post-abortion care service based on Wechat follow-up could enhance patients′ compliance and satisfaction, guide patients to choose the right contraceptive methods, reduce the rate of repeated abortion and promote female reproductive health.

11.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799820

ABSTRACT

Objective@#To analyze the correlation between pressure perception, psychological resilience, ruminant meditation and post-traumatic growth in postoperative patients with gastric cancer after gastrectomy.@*Methods@#Totally 384 patients with gastric cancer who underwent total gastrectomy or subtotal gastrectomy from January 2015 to January 2018 in 6 major hospitals in Lianyungang were selected as the subjects,who are measured at pressure perception, post-traumatic growth, post-traumatic growth and event-related ruminative.@*Results@#In postoperative patients with gastric cancer, ruminant meditation and psychological resilience all partially had mediation effect between pressure perception and post-traumatic growth (P<0.05), mediation effect was 0.34 and 0.31, accounting for 19.9% and 18.1% of the total effect. They had chain mediation effect with pressure perception and post-traumatic growth (P<0.05), mediation effect was 0.17, accounting for 10.0% of the total effect.@*Conclusion@#Psychological resilience and ruminant meditation can reduce stress perception, increase post-traumatic growth, and play a part of mediating effect and chain mediating effect between stress perception and post-traumatic growth in Patients with gastric cancer after gastrectomy.

12.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799819

ABSTRACT

Objective@#To analyze the nursing methods and effects of early rehabilitation and health management for hypertensive patients with cerebral infarction and hemiplegia.@*Methods@#Totally 86 patients with hypertension and cerebral infarction with hemiplegia were randomized to a random number table, with 43 patients in each group. The control group received routine nursing, and the observation group underwent early rehabilitation health management care, and the recovery of the two groups was compared.@*Results@#After treatment, the patient medical research committee score (MRC) in the observation group was (50.25±3.37) points, higher than the control group (40.28±3.38) points, and the Fugl-Meyer score (upper limb) of the observation was (65.44 ± 1.08) points, which was higher than that of the control group (53.38 ±1.22) points, and the Fugl-Meyer score (lower limb) was (28.15±1.13) points, significantly higher than the control group (26.52±1.17) points, the living activity ability Barthel index (88.65±4.73) was significantly higher than the control group (80.27 ±4.69)( t values were 6.571-48.536, P < 0.01). After nursing, the scores of memory and thinking, emotion, communication, mobility, daily living ability, hand function, strength and participation in the quality of life in the observation group were (74.58 ±3.27) points, (75.87 ±4.06) points, (72.31 ±5.08) points, (72.13 ±5.06) points, (69.75 ±4.41) points, (78.56 ±5.13) points, (64.17±3.50) points and (68.95±5.03) points. The scores of the observation group were significantly higher than those of the control group, which were (69.27 ±3.66) points, (66.35 ±4.17) points, (63.59±5.41) points, (58.95±4.22) points, (59.67±4.30) points, (63.49±5.07) points, (59.74±3.15) points, (54.09±5.10) points (t values were 6.144-13.701, P < 0.05).@*Conclusion@#Early rehabilitation health management and nursing for hypertensive patients with cerebral infarction and hemiplegia is helpful to improve the limb motor function and life activity ability of patients, and can significantly improve the quality of life of patients, which is worthy of promotion.

13.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799818

ABSTRACT

Objective@#To explore and analyze the effect of comprehensive nursing care in endoscopic treatment of esophageal and gastric varicose bleeding.@*Methods@#A retrospective analysis of 60 cases of patients with esophageal and gastric varicose hemorrhage admitted to the hospital was conducted. The patients were randomly divided into 30 cases of control group and 30 cases of observation group. Routine nursing and comprehensive nursing were adopted respectively to evaluate different nursing effects.@*Results@#Intraoperative and postoperative heart rate of the observation group (91.0 ± 4.0) times/min, (89.2 ± 4.2) times/min, which were lower than (98.0 ± 4.2) times/min, (94.7 ± 4.5) times/min of the control group. There was statistically significant difference (t values were 6.610, 4.894, P < 0.05). The bleeding prevention effectiveness rate of the observation group (93.33%, 28/30) was higher than the control group (73.33%, 22/30), The difference was statistically significant (χ2 value was 4.32, P < 0.05). The total nursing satisfaction rate (100.00%, 30/30) in the observation group was higher than that in the control group (86.70%, 26/30), the difference was statistically significant (χ2 value was 4.29, P< 0.05). Quality of life, disease cognition, compliance behavior, proper rest, self-protection, General Quality of life Inventory (GQOLI) score in the observation group were (33.5 ± 3.5), (21.5 ± 3.7), (32.5 ± 2.8), (21.5 ± 3.3), (22.0±4.2), (130.2 ± 17.4) points, which were higher than those in the control group (28.2 ± 3.2), (17.5 ± 2.5), (28.5 ± 3.0), (17.2 ± 3.0), (18.0 ± 3.0), and (110.2 ± 15.2) points. The differences were statistically significant (t values were 4.245-6.121, P<0.05).@*Conclusions@#Endoscopic treatment of esophageal and gastric varicose bleeding patients combined with comprehensive nursing intervention, can effectively prevent the occurrence of rebleeding, improve the quality of life of patients. The application effect is significant.

14.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799817

ABSTRACT

Objective@#To investigate the effects of health management based on the theory of protection motivation on fatigue status, neurological function recovery and life ability of stroke patients, and evaluate its clinical effects.@*Methods@#A total of 120 stroke patients admitted to the First Affiliated Hospital of Zhengzhou University from January 2018 to January 2019 were selected as subjects. Randomized digital table method was used to divided them into observation group and control group, 60 cases in each group; the control group underwent routine nursing and follow-up of neurology, and the observation group was given health management based on protection motivation theory on the basis of the control group. The Fatigue Severity Scale (FSS) was used to assess the patient's fatigue, the European Stroke Scale (ESS) was used to evaluate the patient's neurological function, the modified Barthel index was used to assess the patient's viability. The fatigue, neurological recovery, and changes in living ability were compared between the two groups before and after the nursing intervention.@*Results@#The Scores of FSS, MBI and ESS of the observation group were 45.34±8.84, 54.3±4.69 and 45.24±4.18 before intervention and 32.48±5.80, 75.50±4.93, 63.12±3.32 after intervention. The Scores of FSS, MBI and ESS of the control group was 44.97±8.47, 53.47±4.20, 43.48±5.67 before intervention and 39.59±7.43, 63.81±3.25, 55.32±3.48 after intervention. The difference after intervention between the two groups was statistically significant (t values were 15.335, 12.562, 5.843, P<0.01). The difference in the observation group before and after intervention was statistically significant (t values were 9.422, 24.133, 25.945, P<0.01). The differences in the control group before and after intervention was statistically significant (t values were 3.699, 15.082, 13.786, P<0.01).@*Conclusions@#Health management based on the theory of protection motivation is more effective than routine nursing to improve the fatigue, neurological function and life ability of stroke patients.

15.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799816

ABSTRACT

Objective@#To explore the study of synchronous disinfection of lower limbs and unilateral limb disinfection when peripheral inserted central catheters is inserted into the lower limbs of very low birth weight infants, and to find a better and safer method of puncture disinfection.@*Methods@#Total of 30 cases of children who received unilateral limb disinfection from January 2016 to February 2017 were selected as the control group, and 30 cases of children who received simultaneous disinfection of both lower limbs from March 2017 to June 2018 were selected as the experimental group, and non-random and non-synchronous control studies were conducted. The operation time, blood loss, times of placing sterile table and retained site of the two groups were analyzed retrospectively.@*Results@#The operation time of synchronous disinfection of lower limbs in the experimental group and the control group were (43.67±28.04) min, (60.33±35.40) min; the amount of blood loss were (1.64±0.90) ml, (2.34±1.50) ml, the differences were statistically significant (t values were 2.021, 2.176, P<0.05). In the control group, 76% (21/30) completed the PICC operation after laying a sterile operation table, while in the experimental group, 96% (28/30) did. In the control group, 5 cases were successfully indwelling via femoral vein, and in the experimental group, 2 cases were successfully indwelling via femoral vein.@*Conclusion@#The method of simultaneous disinfection of lower limbs increases the selection of peripheral veins, reduces the frequency of sterile table, blood loss and operation time, and reduces the number of inguinal vein puncture, which is relatively safe and effective.

16.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799815

ABSTRACT

Objective@#To evaluate the safety of clinically-indicated replacement of peripheral intravenous catheters (PIVCs) in old adults.@*Methods@#Total of 1 627 patients with peripheral intravenous catheters in emergency wards at a tertiary hospital in shanghai were recruited. Patients were randomly divided into an experimental group (817 cases) and control group (810 cases) by random digits tale method. PIVCs in the experiment were replaced only when clinical indications appeared, while PIVCs in the control group were routinely changed every 72-96 hours. Indwelling time, complications associated with PIVCs and nurse compliance were compared after indwelling peripheral intravenous catheters.@*Results@#PIVC indwelling time was (3.43±1.36) days in the experimental group, and (3.18±1.16) days in the control group ,there was significant difference between two groups (t value was 4.07, P<0.05). The incidence of phlebitis, occlusion, infiltration, and accidental removal in experimental group was 11.26% (92/817), 17.97% (146/817), 10.77% (88/817), 3.91% (32/817), while in the control group 9.88% (80/810), 15.06% (122/810), 11.23% (91/810), 3.70% (30/810). The two groups showed no statistically difference in catheter phlebitis, occlusion, infiltration, and accidental removal (χ2 values were 0.82, 2.33, 0.09, 0.05, P>0.05). The severity of phlebitis in the experiment group was higher than that in the control group, and there was significant difference between two groups (χ2 value was 20.99, P<0.05). Nurse compliance achieved in the experimental group 100.00% (817/817) was higher than that in the control group 87.65% (710/810), which showed statistically difference (χ2 value was 107.47, P<0.05).@*Conclusion@#Indwelling time in the clinically- indicated replacement group was longer than that of the routine replacement group. Peripheral intravenous catheters in old adults can be remove as clinically-indicated with a close monitoring of complications.

17.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799814

ABSTRACT

There is a high incidence of venous thrombosis in patients undergoing gynecological surgery, which causes symptoms as limbs swelling, edema and pain. Postoperative recovery of patients is delayed and financial burden is increased More seriously, the obstruction of pulmonary artery by deep venous thrombosis is fatal and always leads to the death of patients. The article provides a theoretical basis for the prevention of venous thrombosis by reviewing the risk factors and risk assessment for venous thrombosis in patients undergoing gynecological surgery and related research progress.

18.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799813

ABSTRACT

Objective@#By a statistical analysis and summary of the literature on Traditional Chinese Medicine (TCM) nursing technology published in the core nursing periodical, research the currect status of TCM nursing technology.@*Methods@#Retrieved CNKI database (CNKI) and Wanfang medical journal database,according to Chinese Journal Citation Report (2017 edition) of China Institute of science and Technology Information Research, Choose 10 core nursing periodicals and retrieve the experimental articles related to TCM nursing technology from January 1,2013 to January 1, 2019.this paper analyze time, resources, authors, fund-sponsored researches, statistical methods by bibliometrics analysis.@*Results@#A total of 624 papers were included,of which 132 were in 2013 and 124 in 2014, 103 in 2015, accounting for 57.5%. "Nursing Research" contains 227 articles, 100 "Chinese Journal of Modern Nursing, 98 "Journal of Nursing", accounting for 68.1%. The literature has been published in 28 provinces and cities, 117 in Jiangsu Province, 100 in Guangdong Province, and 89 in Shanghai, accounting for 62.6%. The source of funds for fund papers is mainly provinces and cities, accounting for 38.4%. Involving 22 TCM nursing technology operations, 762 applications, 174 acupoint massage, 113 auricular point application, 109 acupoint points, and 106 moxibustion methods, accounting for 66.3%. There are more than 120 types of diseases involved, mainly cancer, stroke, hypertension, and diabetes. There are more than 180 kinds of symptoms, mainly about pain, constipation, quality of life and so on.@*Conclusion@#TCM nursing research has made great progress, TCM nursing technology is currently widely used in clinical practice. Scientific research has also confirmed its effectiveness, but it lacks high-quality core papers. At the same time, due to the diversity of research content, there is a lack of evidence-based nursing research literature.

19.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799812

ABSTRACT

Objective@#To investigate the application of gradient cushion on prevention of supine hypotension syndrome (SHS) undergoing cesarean section.@*Methods@#450 parturients undergoing cesarean section with spinal and epidural anesthesia, aged 20-45 years, ASA Ⅰ, Ⅱor Ⅲ grades, were randomly assigned into three groups: gradient cushion group (group A), sandbag group (group B) and left-leaning-operating table group (group C), 150 cases in each. The posture intervention was alternated after completion of spinal and epidural anesthesia. Recorded the cases of SHS, and collected systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), respiratory rate (RR) and saturation of pulse oximetry (SpO2) before anesthesia, 2 min, 5 min, 10 min after anesthesia and prefetus removal from uterus. And assessed the position comfort with surgical posture comfort scale.@*Results@#The incidence of SHS in group A was 8.0%(12/150), in group B was 20.0% (30/150), and in group C was 21.3% (32/150). The rate of SHS was higher in group A than other groups (χ2 value was 8.970, 10.653, all P<0.01). The score with surgical posture comfort scale was (47.03 ± 3.01), (38.13 ± 4.70), (36.10 ± 4.04), which was higher in group A than group B or group C, and the score with surgical posture comfort scale was higher in group B than group C (t value was 27.413, 30.227, 2.542, P<0.01 or 0.05). SBP and DBP were higher in group A and group B than group C at 2 min, 5 min, 10 min after anesthesia and prefetus removal from uterus, and SBP and DBP were higher in group A than group B at 2 min, 5 min, 10 min after anesthesia and prefetus removal from uterus, HR and RR were higher in group A and group B than group C at 2 min, 5 min, 10 min after anesthesia and prefetus removal from uterus, and HR and RR were higher in group A than group B at 2 min, 5 min, 10 min after anesthesia and prefetus removal from uterus (t value was -15.842-21.117, P<0.05 or 0.01).@*Conclusion@#After spinal and epidural anesthesia, applying the gradient cushion for adjustment of position would be effective to reduce the occurrence of SHS, simple to handle, decreasing to change the position and increasing to comfort after position in cesarean section.

20.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-799811

ABSTRACT

Objective@#To explore the effect of multimodal guidance based on the concept of five senses and six senses on the sleep phase of postoperative patients with intestinal tumor.@*Methods@#A total of 110 patients with intestinal tumor after surgery from January 2018 to July 2019 in Qilu Hospital of Shandong University (Qingdao) were randomly divided into two groups, 55 patients in each group. The control group received routine daily care. Instructed, the experimental group conducted multimodal guided training based on the five senses and six senses on the basis of daily care, and continued intervention for 3 weeks. Polysomnography (PSG) was used to compare the sleep phase differences before and after intervention.@*Results@#The ratio of NREM to total sleep time, the ratio of stage 1 sleep time to total sleep time, the ratio of stage 3 sleep time to total sleep time, the ratio of stage 4 sleep time to total sleep time, and the ratio of REM to total sleep time after intervention. The number of NREM micro-wakes (Z value was -5.178--2.157, all P<0.05), the difference was statistically significant. The proportion of NREM in total sleep time, the proportion of sleep time in total sleep time, the number of NREM micro-wakes, and the number of REM micro-wakes decreased compared with the pre-intervention period; the proportion of sleep time in total sleep time in stage 3, sleep in stage 4 The proportion of time to total sleep time and the proportion of REM to total sleep time were increased compared with those before intervention (Z value was -6.029--4.064, all P<0.05), and the difference was statistically significant. In the control group, the proportion of sleep time in total sleep time was increased compared with that before intervention. The number of NREM micro-wake and the number of REM micro-wakes were lower than those before intervention (Z value was -2.948, -5.632, -2.475, all P<0.05). The difference was statistically significant.@*Conclusion@#Multimodal guided training based on the concept of five senses and six senses can effectively improve the sleep structure of patients with intestinal tumors and improve their sleep quality.

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