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  • ResearchPaper
    Establishment of enteric preparation index for inpatients of endoscopy center and its obstacle factors in preparation
    DING Min, ZHANG Mei, LI Jingjing, LI Li, HUA Beiling, SHEN Yuehong
    2025, 17(4): 199-204. https://doi.org/10.3969/j.issn.1674-3768.2025.04.001
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    Objective Based on the current application status of the best evidence for bowel preparation before colonoscopy in clinical practice, to analyze the obstacle factors, so as to provide references for promoting the clinical transformation of such evidence. Methods The best evidence for bowel preparation before colonoscopy was searched in both Chinese and English databases and related websites, on this basis review indicators and review methods were determined. According to the results of the baseline review, the barriers and facilitators to introducing evidence into clinical practice were analyzed by brainstorming method. Results A total of 7 review indicators were ultimately formulated. Among them, the clinical compliance rate of 4 was less than 60%. Moreover, the main barriers included the lack of a reasonable assessment tool, bowel preparation diet management needs to be improved, colonoscopy diagnosis and treatment time is not accurately grasped,adjuvant intestinal preparation measures were not implemented. Conclusion When applying the best evidence in endoscopy wards, targeted intervention measures should be formulated considering barriers, facilitators, patient preferences and willingness, so as to promote the transformation and application of the best evidence.
  • ResearchPaper
    Current situation of successful aging in the work of olderly clinical nurses and its influencing factors
    GAO Shikai, ZHENG Minghua, CHEN Dong
    2025, 17(4): 205-210. https://doi.org/10.3969/j.issn.1674-3768.2025.04.002
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    Objective To explore the current situation of successful aging at work of olderly clinical nurses and analyze its influencing factors, so as to provide a reference to improve the condition. Methods A total of 686 olderly clinical nurses were selected from 21 hospitals in Tianjin and surveyed using a general condition questionnaire, the successful aging at work scale, transformational leadership scale, job crafting scale, career resilience scale, and workplace spirituality scale. Results The score of successful aging was (59.83±10.96) points. Linear regression analysis showed that gender, educational level, transformational leadership, job crafting, career resilience, and workplace spirituality were the influencing factors of successful aging (R2=0.582, adjusted R2=0.575,F=93.797, P＜0.001). Conclusion Successful aging of olderly clinical nurses is of a moderate level and influenced by many factors. Nursing managers should implement targeted interventions according to the influencing factors, so as to improve the level.
    • SpecializedNursing
  • SpecializedNursing
    Effects of serious game intervention in elderly patients with mild cognitive impairment combined with depressive symptom
    ZHENG Xuezhi, YANG Mengli, SUN Hui, FAN Lujia, LI Yanan, ZHU Mingfang
    2025, 17(4): 215-218. https://doi.org/10.3969/j.issn.1674-3768.2025.04.004
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    Objective To explore the application effect of serious game intervention in elderly patients with mild cognitive impairment (MCI) combined with depressive symptom. Methods Totally 102 MCI patients combined with depressive symptom and treated in our hospital between May 2023 and May 2024 were selected, and randomly divided into a control group and an observation group, each of 51. Both groups were given routine intervention, while the observation group was additionally provided with serious game intervention for 3 months. Before and after the 3-month intervention, both groups were evaluated using the geriatric depression scale(GDS), Hamilton anxiety scale (HAMA), Montreal cognitive assessment scale (MoCA),Rey auditory verbal learning test(RAVLT) and activities of daily living scale (ADL). Results After 3-month intervention, the GDS, HAMA and ADL scores of the observation group were significantly lower than that of the control group(t=6.209,P<0.001;t=10.277,P<0.001;t=5.608,P<0.001), while the MoCA scores, the instantaneous backward and forward recitation scores, as well as the RAVLT score of the former were significantly higher than the latter group(t=-3.806, P<0.001; t=-4.797, P<0.001;t=-18.656,P<0.001;t=-7.419, P<0.001). Conclusion Serious game intervention can effectively alleviate depression and anxiety in elderly MCI patients combined with depressive symptom, and improve their cognitive function.
  • SpecializedNursing
    The operating room nurses′ assessment and management of preoperative anxiety behavior in children: a qualitative study
    ZHU Chengying, XU Fangfang
    2025, 17(4): 219-223. https://doi.org/10.3969/j.issn.1674-3768.2025.04.005
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    Objective To explore the operating room nurses′ evaluation and management of preoperative anxiety in children, and provide a basis for relieving preoperative anxiety and bettering prognosis. Methods Twenty-one operating room nurses were selected from Xinhua hospital affiliated to Shanghai Jiao Tong university school of medicine using the convenience sampling and Objective sampling. They were given semi-structured in-depth interviews. Then the data were analyzed using a six-stage thematic analysis. Results Three themes were extracted, including the assessment of preoperative anxiety in children, its management, and suggestions of improvement. Conclusion In the future, it is necessary to strengthen the professional training of nurses to improve their preoperative anxiety assessment, improve non-pharmacological interventions, and rationally use preoperative sedative drugs to ensure that children′s preoperative anxiety is effectively managed.
    • PracticalExperience
  • PracticalExperience
    Nursing care of 34 elderly patients with atrial fibrillation undergoing atrioventricular node ablation combined with His-Purkinje conduction system pacing
    CHEN Ruming, KONG Jiajia, SUN Lili, QIN Lingling, LIU Xingpeng
    2025, 17(4): 224-227. https://doi.org/10.3969/j.issn.1674-3768.2025.04.006
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    The article summarized the nursing experience of 34 elderly patients with atrial fibrillation undergoing atrioventricular node ablation combined with His-Purkinje conduction system pacing. The key nursing points included accurate assessment, optimization of preoperative preparation, close monitoring to strengthen intraoperative risk pre-control, comprehensive management to promote early postoperative rehabilitation, and health education. After active treatment and careful nursing, all patients were recovered with improvement. At follow-up 6 months later, all pacemakers worked well and their symptoms of heart failure were significantly relieved.
    • NursingofTraditionalChineseMedicine
  • NursingofTraditionalChineseMedicine
    The application effect of body surface gastrointestinal pacing combined with umbilical therapy of traditional Chinese medicine on complications of enteral nutritional support among critically ill patients
    DOU Zifeng, LIU Yun, GENG Xiang, LI Qing, ZHANG Heyan
    2025, 17(4): 228-231. https://doi.org/10.3969/j.issn.1674-3768.2025.04.007
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    Objective To explore the effect of applying body surface gastrointestinal pacing combined with umbilical therapy of traditional Chinese medicine (TCM) on preventing complications of enteral nutritional support among critically ill patients, so as to provide a basis for optimizing the clinical nursing program of enteral nutritional support. Methods Totally 100 patients hospitalized in the department of critical care medicine of Jinhu county people′s hospital between July 2023 and May 2024 were selected, and divided into a control group and an observation group, each of 50, according to a random number table. The control group was promoted gastrointestinal dynamics by injecting erythromycin, while the observation group was given body surface gastrointestinal pacing combined with umbilical therapy of TCM. The differences in the incidence of high-level gastric residual volume (GRV), reflux, vomiting, flatulence and diarrhoea, as well as the achievement rate of early enteral nutrition target energy and protein level were compared between the two groups. Results The achievement rate of early enteral nutrition target energy in the observation group was significantly higher than that in the control group(χ2=4.883,P=0.027). There were statistically significant differences in serum total protein, prealbumin, and albumin levels in time, between groups and in interaction between the two groups(all P<0.05). However, there were no significant difference groups, and interaction effects in the incidence of high-level GRV, reflux, vomiting, flatulence and diarrhoea (χ2=0.071, P=0.790;χ2=0.088, P=0.766;χ2=0.102, P=0.749; χ2=0.332, P=0.564; χ2 <0.001, P=1.000). Conclusion Body surface gastrointestinal pacing combined with umbilical therapy of traditional Chinese medicine can replace erythromycin injection to promote gastrointestinal dynamics in patients with enteral nutrition support in ICU, lower the incidence of common complications of enteral nutrition support and improve the achievement rate of early enteral nutrition target energy and protein level, bettering their nutritional condition.
    • Literatureresearch
  • Literatureresearch
    The influence of decision aid on treatment decisions in patients with osteoarthritis: a Meta-analysis
    ZHOU Hui, ZHANG Qing, WU Haoyuan, CHENG Shuang, GONG Anqi, NIE Kun
    2025, 17(4): 232-236. https://doi.org/10.3969/j.issn.1674-3768.2025.04.008
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    Objective To evaluate systematically the effect of decision assistance on treatment decisions in patients with osteoarthritis. Methods Studies on treatment decision-making assistance for osteoarthritis patients were searched in the Cochrane Library, Web of Science, PubMed, Chinese National Knowledge Internet, VIP and Wanfang, with the time setting from the inception of the database till March 1, 2024. All literature was carefully reviewed based on specific inclusion and exclusion criteria, followed by data extraction and quality assessment. Moreover, the Meta-analysis was carried out using RevMan 5.3 software. Results Eleven studies involving 1 860 patients were selected. Meta-analysis revealed that decision aid can enhance decision knowledge[MD=15.17, 95%CI(5.65, 24.69), P<0.01;RR=1.40, 95%CI (1.24, 1.59), P＜0.01]. Furthermore,the decision readiness of these individuals was bettered[MD=0.27, 95%CI (0.06, 0.48), P=0.01]. Conclusion It is found that decision aid can effectively improve the level of decision knowledge, decision readiness their willingness to operate in patients with osteoarthritis, improving the quality of their decision-making.
  • Literatureresearch
    Acupoint application combined with Chinese herbal fumigation in the treatment of diabetic peripheral neuropathy: a Meta-analysis
    XIA Fangmei, XU Minfang, LI Yingchun
    2025, 17(4): 237-241. https://doi.org/10.3969/j.issn.1674-3768.2025.04.009
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    Objective To evaluate the efficacy and safety of acupoint application combined with Chinese medicine fumigation(TCM) in the treatment of diabetic peripheral neuropathy(DPN). Methods Randomized controlled trials (RCTs) on acupoint application combined with Chinese herbal fumigation in the treatment of diabetic peripheral neuropathy were searched in China National Knowledge Infrastructure(CNKI), Wanfang Data, VIP Database, PubMed and other databases. Literature screening, data extraction and quality evaluation were conducted by two researchers independently. RevMan 5.3 were applied for statistical analysis of the data. Results Twelve articles were selected, including 597 patients in the experimental group and 597 ones in the control group. The results of Meta-analysis showed that such treatment improved the total effective rate of diabetic peripheral neuropathy treatment [OR=5.42,95%CI(3.60,8.16), P＜0.001] , the traditional Chinese medicine(TCM) syndrome score[SMD=-2.68,95%CI(-4.02,-1.33),P＜0.001], and Toronto clinical scoring system score[SMD=-1.61,95%CI (-2.37,-0.85),P＜0.001]. Moreover, the sensory and motor nerve conduction velocity of the median nerve[SMD=0.78,95%CI(0.38,1.17),P＜0.001;SMD=0.76,95%CI(0.35,1.17),P＜0.001], common peroneal nerve [SMD=1.24,95%CI(0.72,1.77),P＜0.001;SMD=1.60,95%CI(0.83,2.38),P＜0.001] and tibial nerve[SMD=0.83,95%CI(0.43,1.24),P＜0.001; SMD=0.77, 95%CI(0.42,1.12),P＜0.001] of the experimental group was significantly better than those of the control group. Conclusion Acupoint application combined with Chinese medicine fumigation can improve the efficacy and nerve conduction velocity of DPN. However, large-scale, multi-center and high-quality RCTs are needed to verify the exact efficacy.
  • Literatureresearch
    Evidence summary of prevention and management of local complications after subcutaneous injections of anticoagulants
    ZHANG Weiqiang, LI Zhiqiang, ZHAN Qi, LIU Jianjian, PANG Kang, NI Chen, CUI Xutao, TIAN Hongsen
    2025, 17(4): 242-247. https://doi.org/10.3969/j.issn.1674-3768.2025.04.010
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    Objective To summarize evidence related to prevention and management of local complications of patients after subcutaneous injection of anticoagulants, so as to provide references for clinical practice. Methods The articles about prevention and management of local complications after subcutaneous injection of anticoagulants were searched from domestic and international databases, guideline websites and professional association websites, with the search time setting from January 1, 2016 to November 30, 2023. Two researchers screened and extracted data independently. Results Totally 18 articles were selected, including 2 practice recommendations, 1 evidence summary, 2 clinical decisions, 1 best clinical practice, 11 systematic reviews, and 1 expert consensus. Then 17 pieces of best evidence were summarized from 5 aspects, consisting of preparation before injection, selection of appropriate body position,selection of appropriate injection position, injection skill and treatment of complications. Conclusion The prevention and management of local complications after subcutaneous anticoagulant injection in patients is of great significance to reduce adverse outcomes in patients, and clinicians should construct an evidence-based standardized subcutaneous anticoagulant injection process.
    • Review
  • Review
    Research progress on demand and training of ECMO specialized nurses
    GUO Jixiang, LIANG Aiqun, LUO Xiaoping, BAO Hanru, PEI Kexi
    2025, 17(4): 248-253. https://doi.org/10.3969/j.issn.1674-3768.2025.04.011
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    ECMO technology is a extracorporeal technology used to rescue patients with critical cardiopulmonary failure, and nurses are an important part of the ECMO nursing team. This paper reviews the demand for ECMO specialist nurses at home and abroad, as well as their responsibilities and training methods. Moreover, the relevant suggestions were put forward according to the current status of ECMO specialist nurses in China, to serve as a reference for nursing administrators to formulate relevant training programs and policies.
  • Review
    Progress of clinical application of medicinal stick therapy in stroke survivors with sequelae
    HE Yunfang, WEI Yan
    2025, 17(4): 254-257. https://doi.org/10.3969/j.issn.1674-3768.2025.04.012
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    The medicinal stick therapy, a combination of massage, acupoint stimulation and medication herbs, is a long-established and characteristic external therapy of traditional Chinese medicine, and has an obvious therapeutic effect on various post-stroke sequelae. This paper reviews the medicinal stick therapy and its application in treating common post-stroke sequelae, such as hemiparesis, dysphagia, motor aphasia, and constipation, so as to find an effective and easy-to-operate treatment method for the treatment of patients.
  • Review
    Research progress of traditional Chinese medicine massage under the guidance of meridian tendon theory
    LIU Xinli, ZHANG Huihui, HUANG Xiaowei, DENG Jinfeng
    2025, 17(4): 258-261. https://doi.org/10.3969/j.issn.1674-3768.2025.04.013
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    This paper reviews the theory of meridian tendon, its guiding role in Chinese traditional rehabilitation, rehabilitation and application in massage, so as to provide references for future research and development of Chinese traditional rehabilitation nursing.
    • CaseNursing
  • CaseNursing
    Nursing care of a patient with infective endocarditis complicated with intracranial multiple aneurysms rupture
    XIA Wenjuan, PAN Yanhong, ZHU Lifang, ZHENG Huijuan
    2025, 17(4): 262-265. https://doi.org/10.3969/j.issn.1674-3768.2025.04.014
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    This study summarized the nursing of a patient with infective endocarditis complicated with intracranial multiple aneurysm rupture and hemorrhage. The main nursing points included active anti-infection and prevention of secondary infection, stabilization of circulatory system and maintenance of effective perfusion, early identification of the symptoms of aneurysm rupture bleeding; anticoagulant therapy to reduce the risk of bleeding; early parenteral nutrition support and individualized psychological counseling. After 16-day active treatment and careful nursing, the patient was transferred to the rehabilitation department for further treatment in stable condition.
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