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    Special Planning
  • Special Planning
    Summary of the best evidence for perioperative enteral nutrition in patients with gastric cancer
    QI Yi, TAN Yan, LI Xuying, LI Hua, LIU Jiahui
    2025, 17(1): 1-7. https://doi.org/10.3969/j.issn.1674-3768.2025.01.001
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    Objective To search and summarize the best evidence of perioperative enteral nutrition in patients with gastric cancer. Methods The relevant evidence of perioperative enteral nutrition for gastric cancer patients was searched in Chinese and English databases at home and abroad, with the search period setting from inception to June 2022. Results A total of 19 articles were screened out, including 1 clinical decision, 8 guidelines, 4 systematic reviews, 4 expert consensuses and 2 evidence summaries. Then, 24 pieces of evidence were summarized, covering the 7 aspects of nutritional risk assessment, indications, preoperative nutrition support, energy target needs, nutritional preparation selection, enteral nutrition pathway and postoperative nutrition support. Conclusion It is suggested that all hospitals should establish a multidisciplinary team of nutrition,implement nutritional risk screening, and formulate an individualized enteral nutrition intervention plan for patients with gastric cancer.
  • Special Planning
    The effect of "visiting-based" treatment model in the outpatient day treatment center on patients with targeted therapy of malignant breast tumor
    ZHANG Xujie, ZHANG Duo, LI Miqi, JIANG Min, SHANG Weiwei
    2025, 17(1): 8-10. https://doi.org/10.3969/j.issn.1674-3768.2025.01.002
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    Objective To explore the application effect of "visiting-based" treatment mode in outpatient day treatment center on patients with the targeted therapy of breast cancer. Methods One hundred breast cancer patients treated between October 2020 and December 2021 were selected into a control group, while another 100 patients treated between January 2022 to April 2023 were chosen into an observation group. The control group was given traditional targeted therapy in the ward, while the observation group was provided with "visiting-based" treatment model in outpatient day treatment center. Then the treatment cost, treatment duration, waiting time for treatment, incidence of adverse reactions and patient satisfaction were compared between the two groups. Results The observation group exhibited significantly lower treatment cost, shorter treatment duration and waiting time before treatment compared to the control group(t=19.139, P<0.001; t=38.169, P<0.001; t=15.236, P<0.001). Moreover, the patient satisfaction of the observation group was significantly higher than that of the control group(χ2=7.792, P=0.006). Conclusion The "visiting-based" treatment model can significantly lower the medical cost and better the quality of medical service. Future efforts should be focused on its optimizing and promoting.
  • Special Planning
    A qualitative study on the rehabilitation exercise experience and needs of patients with nasopharyngeal carcinoma undergoing radiotherapy
    HE Xingyue, HUANG Yalian, FANG Yanchun
    2025, 17(1): 11-16. https://doi.org/10.3969/j.issn.1674-3768.2025.01.003
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  • Special Planning
    Nursing cooperation of 42 cases of holoimage-guided robot-assisted laparoscopic resection of renal hilar tumor
    LI Qiao, CHEN Hong
    2025, 17(1): 17-19. https://doi.org/10.3969/j.issn.1674-3768.2025.01.004
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    This article summarized the nursing cooperation experience of 42 cases of holoimage-guided robot-assisted laparoscopic resection of renal hilar tumor. Before the operation, the holographic image reconstruction was fully studied for good preparation. During the operation, patients′ positions and surgical layout were standardized, with detailed surgical cooperation. Vital signs observation and instrument disposal management were performed after the operation. All 42 patients completed the operation successfully without conversion to laparotomy. Their laparoscopic resection lasted 90~120 min, with the intraoperative blood loss of 80~150 mL. All patients were of stable intraoperative vital signs and recovered well postoperatively.
    • Specialized Nursing
  • Specialized Nursing
    Development of a health literacy scale for patients after weight loss metabolism surgery and testing its reliability and validity
    WANG Dan, GONG Xia, SHI Hui, YANG Yang
    2025, 17(1): 20-24. https://doi.org/10.3969/j.issn.1674-3768.2025.01.005
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    Objective To develop a health literacy scale for patients after weight loss metabolism surgery and test its reliability and validity. Methods The initial version of the scale was constructed after literature review, semi-structured interviews, expert inquiries, and pre-surveys. Then 278 postoperative patients undergoing weight loss and metabolism surgery in gastrointestinal departments of two grade-A tertiary hospitals in Hubei province between December 2023 and April 2024 were selected and surveyed. Thus, the reliability and validity of the scale were tested. Results The scale constructed included three dimensions of health knowledge and concepts, healthy lifestyle and behavior, and health skills, covering 20 items. The content validity of the scale is 0.824, and that of the items of 0.835~0.882. Moreover, the total Cronbach′s alpha, the half fold reliability and the test-retest reliability of the scale was 0.856, 0.894 and 0.911, respectively. Exploratory factor analysis extracted three co-factors, with a cumulative variance contribution rate of 67.65%. Conclusion The health literacy scale for post weight loss metabolic surgery patients is scientific and practical, with good validity and reliability, which can provide guidance for the evaluation of health literacy in post weight loss metabolic surgery patients.
  • Specialized Nursing
    Qualitative study on the experience of emergency department nurses with delayed urination during working
    QIN Junmei, SHEN Li, CAI Libai, DOU Luhang
    2025, 17(1): 25-28. https://doi.org/10.3969/j.issn.1674-3768.2025.01.006
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    Objective To understand the experience and feelings of nurses in emergency department (ED) about delayed urination during working, so as to provide references for formulating corresponding intervention strategies. Methods A descriptive study was used. Fifteen ED nurses were selected using purpose sampling and conducted semi-structured in-depth interviews. The data were collected and analyzed, while themes were extracted using the Colaizzi 7-step data analysis method. Results Three themes and seven sub-themes were identified, including delayed urination having multiple effects on ED nurses (obvious self-discomfort, affecting work efficiency and increasing anxiety), delayed urination resulting from various factors (cognitive deficiency and environmental restriction), opposite attitudes to delayed urination (negative coping and positive coping). Conclusion The delayed urination of ED nurses results from internal cognitive deficiency and external environmental constraints. Therefore, nursing management should be fully aware of the harm of delayed urination to the physical and mental health of ED nurses, and take targeted measures to solve the problem.
  • Specialized Nursing
    Effects of depth of sputum aspiration on airway secretion clearance and blood pressure among patients with hypertensive intracerebral hemorrhage after tracheotomy
    FENG Mingzhen, WANG Li, WEN Kun, LIU Miao
    2025, 17(1): 29-32. https://doi.org/10.3969/j.issn.1674-3768.2025.01.007
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    Objective To explore the effect of sputum aspiration depth on airway secretion clearance and blood pressure among patients with hypertensive intracerebral hemorrhage. Methods Totally 108 patients with hypertensive intracerebral hemorrhage and treated in auother′s hospital between March 2020 and April 2023 were selected, and divided into a control group and an observation group, each of 54, according to a random number table. The control group underwent conventional superficial sputum aspiration after surgery, while the observation group underwent deep sputum aspiration. The blood oxygen saturation, brain tissue oxygen saturation, sputum sound and blood pressure were compared between the two groups before and after sputum aspiration. Results There were no significant differences between the 2 groups in the blood oxygen saturation and brain tissue oxygen saturation in the time effect, intergroup effect and interaction effect (all P>0.05). The improvement of sputum singing in the observation group was significantly greater than that of the control group(t=6.301, P<0.001). Moreover, after sputum aspiration, the systolic blood pressure and diastolic blood pressure of the observation group were significantly higher than that of the control group(t=2.101, P=0.038; t=2.159, P=0.033). Conclusion Deep sputum aspiration is more conducive to the removal of airway secretions, while shallow sputum aspiration helps to keep the blood pressure at a stable level.
  • Specialized Nursing
    Construction of a transitional nursing plan for stroke survivors with dysphagia based on health empowerment
    LI Ran, JIA Liuying, XIE Xinyi, WANG Xiaojun, JIANG Yingying, YANG Changyong
    2025, 17(1): 33-37. https://doi.org/10.3969/j.issn.1674-3768.2025.01.008
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    Objective To establish a transitional nursing plan for stroke survivors with dysphagia based on the theory of health empowerment. Methods The draft of transitional nursing plan for stroke survivors with dysphagia was constructed after literature review based on the theoretical framework of health empowerment, and semi-structured interviews. Then two rounds of letter consultation were conducted using the Delphi method, to revise and establish the final version. Results A total of 15 experts were consulted on the two rounds of letter consultation, with the effective recovery rates of 86.67% and 100%. Moreover, the expert authority coefficients were 0.906 and 0.910, and the Kendall harmony coefficients were 0.235 and 0.320, respectively. The final scale consisted of 5 first-level, 11 second-level and 24 third-level indicators. Conclusion The scale constructed in this study is scientific and reliable, systematic and practical.
  • Specialized Nursing
    Qualitative study on influencing factors of inhaled medication compliance in patients with chronic obstructive pulmonary disease
    WANG Jieying, SHEN Lili, HAO Haiqin
    2025, 17(1): 38-41. https://doi.org/10.3969/j.issn.1674-3768.2025.01.009
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    Objective To analyze the factors influencing inhalation medication compliance in patients with chronic obstructive pulmonary disease (COPD). Methods Twenty COPD patients admitted to respiratory department of Yancheng first people′s hospital between April and August 2023 were selected using the purposive sampling. They were given a semi-structured interview, and the data were extracted and summarized themes using the content analysis. Results A total of 5 themes were extracted, which were insufficient disease cognition, poor perception of drug benefit, influence of self-efficacy and drug belief, heavy economic burden, and insufficient external support system. Conclusion Medication compliance of COPD patients is influenced by multiple factors. Medical staff should pay attention to patients′ individual conditions and feelings of drug use, improve relevant supporting systems to better their compliance with accurate management.
    • Nursing Management
  • Nursing Management
    Establishment of evaluation index system for core competence of inflammatory bowel diseases nurses
    LI Jing, SHANG Chongzhen, ZHAO Xiaohui, CHEN Buji
    2025, 17(1): 42-47. https://doi.org/10.3969/j.issn.1674-3768.2025.01.010
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    Objective To establish an evaluation index system for the core competence of nurses in the department of inflammatory bowel diseases(IBD), and to provide references for the training of IBD specialist nurses. Methods After literature review on based on IBD nurses′ core competence and semi-structured interviews, a preliminary system was formed. The final version was established using the Delphi method and hierarchy analysis. Results The positive coefficient of experts in the rounds of letter consultation were both 100.00%, with the coefficient of expert authority of 0.863 and 0.877, respectively. The Kendall harmony coefficients of the two rounds were 0.193~0.385 and 0.217~0.427, respectively. The final system consisted of 5 first-level, 15 second-level and 67 third-level indexes. Conclusion The evaluation system established in this study is scientific, comprehensive and reliable, which can provide references for the training and evaluation of IBD nurses.
    • nvestigative Journalism
  • nvestigative Journalism
    The mediating effect of family resilience between family intimacy and post-traumatic growth in patients with permanent stoma
    HU Ziyan, ZHOU Tingting, GAO Weiwei
    2025, 17(1): 48-52. https://doi.org/10.3969/j.issn.1674-3768.2025.01.011
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    Objective To analyze the mediating effect of family resilience between family intimacy and post-traumatic growth in patients with permanent stoma. Methods Convenient sampling method was used to select 232 patients who underwent permanent stoma in the author′s hospital between June 2021 and June 2023. They were surveyed using a general data questionnaire, family resilience assessment scale(FRAS), family cohesion scale(FCS) and post-traumatic growth inventory(PTGI). Results The FRAS score of patients with permanent stoma was(168.27±43.01) points. The FRAS score was positively correlated with the FCS and PTGI score(r=0.760, P＜0.001;r=0.804, P＜0.001). Moreover, the FCS score was positively correlated with PITG score(r=0.824, P＜0.001). The family resilience played a partial mediating effect between family cohesion and post-traumatic growth with a mediation effect value of 0.352, accounting for 44% of the total effect. Conclusion The patient′s family resilience is below the average level, and plays a partial mediating role between family cohesion and post-traumatic growth. Therefore, the medical staff should actively evaluate family resilience of patients to improve their post-traumatic growth level.
  • nvestigative Journalism
    The mediating effect of core self-evaluation between perceived professional benefits and work engagement among psychiatric clinical nurses
    WU Yingyu, WANG Wenjuan, XIAO Yuan, CHEN Yuping, WANG Yajing
    2025, 17(1): 53-57. https://doi.org/10.3969/j.issn.1674-3768.2025.01.012
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    Objective To explore the mediating effect of core self-evaluation between perceived professional benefits and work engagement among psychiatric clinical nurse, so as to provide references to improve their work engagement. Methods Between November and December 2023, 232 psychiatric clinical nurses in Qingdao mental health center were selected and surveyed using a general information questionnaire, the questionnaire of nurses′ perceived professional benefits(QNPPB), core self-evaluations scale(CSES) and the utrecht work engagement scale(UWES). SPSS 26.0 and Process 4.1 macro programs were used for statistical analysis. Results The total scores of QNPPB, CSES and UWES were (123.96±15.27), (36.05±6.85) and (41.07±15.42) points, respectively. The QNPPB score was positively correlated to the CSES and UWES scores(r=0.599, P＜0.001;r=0.610, P＜0.001). Moreover, the CSES score was of positive correlation with the UWES score(r=0.885, P＜0.001). Core self-evaluation played a partial mediating role between nurses′ sense of professional benefit and job engagement, accounting for 79.508% of the total effect. Conclusions Core self-evaluation plays a mediating role between nurses′ perceived professional benefits and work engagement of clinical nurses in psychiatric department. It is suggested that nursing managers can improve their job involvement by improving their sense of professional benefit and core self-evaluation.
    • Review
  • Review
    Progress in the application of remote cardiac rehabilitation in patients with coronary heart disease
    FENG Yinong, LI Bin
    2025, 17(1): 58-62. https://doi.org/10.3969/j.issn.1674-3768.2025.01.013
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    Remote cardiac rehabilitation is the combination of advanced artificial intelligence technology and medical Internet of things devices, which is of great significance to patients needing cardiac rehabilitation. This paper reviewded its current application, introduced related intelligent devices and their effects, as well as its advantages and disadvantages, so as to provide references for its future application.
    • Case Nursing
  • Case Nursing
    Nursing care of a case of gastric cancer complicated with toxic epidermal necrolysis after radical surgery
    XU Huili, LI Yan
    2025, 17(1): 63-66. https://doi.org/10.3969/j.issn.1674-3768.2025.01.014
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