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    Research Paper
  • Research Paper
    CHENG Xiaoqing, YUAN Dan, CAI Yilan
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    Objective To develop a risk prediction model for psychological distress in patients with pulmonary tuberculosis, and to verify it. Methods By a convenience sampling method, 232 patients with pulmonary tuberculosis admitted to the tuberculosis department of the sixth people's hospital of Nantong City, Jiangsu Province between August 2023 and March 2024 were selected. They were divided into a modeling group (n=162) and a validation group(n=70) at a ratio of 7∶3. Logistic regression analysis was conducted to explore the risk factors of their psychological distress, and a risk prediction model was established. A nomogram was constructed for visual display, and the receiver operating characteristic(ROC) was used to test its predictive effect. Results The incidence of psychological distress was 42.67%. Logistic regression analysis showed that age, gender, course of tuberculosis, coexisting diabetes, coping style, educational level and per capita monthly income of the family were the influencing factors of psychological distress. The area under the ROC curve of the modeling group was 0.887, the sensitivity was 0.843, and the specificity was 0.801. The area under the ROC curve of the validation group was 0.831, the sensitivity was 0.874, and the specificity was 0.791. Both groups of Hosmer-Lemeshow tests showed P>0.05. Conclusion The prediction model constructed in this study has a good predictive effect and can help identify high-risk patients and provide timely intervention.
  • Research Paper
    DONG Ling, OU Yulan, LI Zeng, CHEN Qian
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    Objective To summarize the sexual life of patients after enterostomy, so as to provide references for clinical medical staff to implement intervention strategies. Methods Qualitative studies on the sexual life of patients after enterostomy were searched in such databases as PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Infrastructure, China Biology Medicine Disc, Wanfang and VIP. The quality of the articles were evaluated using JBI qualitative research quality evaluation criteria, while the results were integrated by the aggregative integration method. Results A total of 8 articles were included. They were grouped into 7 categories and integrated into 3 themes: positive and negative sexual experience, as well as lack of knowledge and information about sex. Conclusion Medical staff should pay attention to the psychological and social support of patients after enterostomy, improve the health education about sex after operation,and formulate targeted intervention strategies to improve their life quality.
  • Specialized Nursing
  • Specialized Nursing
    GUO Min, YE Xintong, YE Fengfei, WANG Xin, LUO Feng, DING Mei, GONG Huping
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    Objective To explore the effect of PERMA intervention on the self-efficacy, compliance and rehabilitation outcomes of maternal pelvic floor muscle training in pelvic floor rehabilitation treatment. Methods Using the convenience sampling method, 36 women undergoing pelvic floor rehabilitation in the first affiliated hospital of Gannan medical university between March and May 2023 were selected into the control group, while 36 counterparts treated between July and September 2023 were chosen into the observation group. Both groups were given the conventional pelvic floor rehabilitation treatment, while the observation group was additionally provided with the PERMA intervention. Before and after the intervention, the self-efficacy, compliance and rehabilitation effect were compared between the two groups. Results After the intervention, the self-efficacy, compliance and pelvic floor muscle assessment score of the observation group were significantly better than that of the control group(t=-2.372,P=0.021; Z=-3.571,P=0.001; t=-2.098,P=0.039). Moreover, the symptom relief of the former group was significantly superior to the latter(χ2=5.143,P=0.023). Conclusion The PERMA intervention can improve the self-efficacy and compliance of parturients undergoing maternal pelvic floor muscle training, relieve the symptoms of pelvic floor dysfunction, and achieve better rehabilitation effect.
  • Specialized Nursing
    ZHANG Qin, WU Jing, CHENG Ting, XIA Jing, PENG Hui, HAN Yonghong
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    Objective To explore the effect of muscle strength training combined with nutritional intervention on senile sarcopenia. Methods Totally 60 elderly sarcopenia patients admitted to the author's hospital between August 2022 and August 2023 were selected and divided into a control group of 29 and an observation group of 31, according to a random number table. Both groups were given routine nursing, while the observation group was additionally provided with muscle strength training and nutrition intervention. Then, the muscle strength, ability of daily living and physical activity were compared between the two groups. Results After 6 months of intervention, the muscle strength of the observation group was significantly higher than that of the control group(t=2.573, P=0.022), and the self-care ability and physical fitness of the former group were significantly better than the latter (t=2.201, P=0.032; t=6.384, P=0.017). Conclusion Muscle strength training and nutritional intervention can effectively improve the muscle strength, activities of daily living and physical fitness of elderly patients with sarcopenia. Therefore, such combination is worthy of clinical promotion and use.
  • Specialized Nursing
    LIU Di, ZHAO Jing, GU Mengyuan, et al
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  • Operating room nursing
  • Operating room nursing
    XIA Zhaodi, XIAO Yue, LIU Rouqing, ZHOU Jun
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    Objective To explore the application effect of failure mode and effect analysis in perioperative transport management of patients. Methods Totally 468 patients admitted to the affiliated hospital of Jinggangshan university between March and April 2024 were selected as the control group, while another 496 treated between May and June 2024 were chosen into the research group. The control group received the routine transport procedure, while the research group adopted the improved transport procedure of failure mode and effect analysis. The risk priority index of failure mode, waiting time and incidence of adverse transport events were compared between the two groups. Results The risk priority index of all failure modes and the incidence of adverse transport events in the research group were significantly lower than that of the control group (P<0.05; χ2=8.886,P=0.003), while the waiting time of the former group were significantly shorter than the latter group (t=21.530, P<0.001). Conclusion Transfer management based on failure mode and effect analysis can reduce the risk of failure mode, shorten the waiting time and reduce the incidence of adverse transport events.
  • Community Care
  • Community Care
    ZHAO Qing, WANG Liping, CAI Hongya, WANG Fang, LUO An'an, GUO Wentao
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    Objective To explore the spiritual needs of disabled elderly individuals in elderly care institutions, and to provide a theoretical basis for integrating spiritual care into their overall care. Methods A qualitative research method was used to interview 10 disabled elderly individuals in elderly care institutions. Then, thematic analysis was applied to analyze the data and identify key themes. Results Six themes were identified, including the pursuit of a comfortable status, search for the meaning of life, desire to return to social and family roles, longing for love and care, belief in survival and need for hospice care. Conclusion The spiritual needs of disabled elderly people in elderly care institutions are complex and diverse. Practitioners in elderly care organizations should address and meet the spiritual needs of disabled elderly individuals,through activating elderly care institution, the family, and social.
  • Health Education
  • Health Education
    JIA Tingting, SHI Jinghua, LUO Yana, CAO Xiaoting, WANG Yao, GUO Lixia
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    Objective To explore the effect of applying the health education precision connection system on compliance, self-management and life quality of glaucoma patients. Methods Totally 100 glaucoma patients treated in the department of glaucoma of Shanxi eye hospital between June and November 2023 were selected as the study objects. Fifty patients admitted between June and August 2023 were selected into the control group, while the rest were chosen into the observation group. Both groups were given routine nursing, while the observation group was provided with health education based on the health education precision connection system. After the intervention, the compliance, self-management ability and life quality were compared between the two groups. Results After 3 months of intervention, the compliance and life quality of the observation group were significantly better than that of the control group (t=3.202, P=0.002; t=2.555, P=0.012), while the ability of self-management was significantly superior to the latter (t=2.374, P=0.020). Conclusion The application of health education precision connection system helps to improve the compliance, self-management and life quality of glaucoma patients. Therefore, it is worthy of clinical application.
  • Literature research
  • Literature research
    LIN Liandan, LIAO Wancheng, ZHANG Kaibo
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    Objective To evaluate factors influencing the e-Health literacy of diabetic patients. Methods Studies on e-Health literacy of diabetic patients were systematically searched in domestic and foreign databases with the time setting from inception till June 30, 2024. Literature screening and data extraction were conducted by two researchers independently, and literature quality was evaluated using the cross-sectional research evaluation tool of JBI evidence-based health care center in Australia. Results A total of 14 studies were included, covering 29 influencing factors. All the factors can be summarized into three aspects of demographic sociological factors, disease-related factors, as well as Internet use and training ones. The main influencing factors were occupation, education level, monthly income, age, place of residence and course of disease, followed by marital status, type of medical insurance, mode of living, complications, self-rated health status, sources of health information, frequency of network use, and usefulness of network health information, with controversial role of the gender factor. Conclusion There are differences in the level of e-Health literacy of diabetic patients. Nursing staff can optimize nursing measures according to the contribution degree of different influencing factors, so as to improve them.
  • Investigative Journalism
  • Investigative Journalism
    GAO Yage, QU Qingrong, GAO Yaxin, JIAO Chunhui, CUI Tianjiao, WANG Bixuan
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    Objective To investigate the changes and influencing factors of social constraints among stoma patients with colorectal cancer. Methods Three days after their stoma surgery, as well as one and three months after discharge, 251 colorectal cancer patients were surveyed using the general information questionnaire, the 15-item social constraint scale(SCS-15), and the social impact scale(SIS). Results Three days after their stoma surgery, as well as one and three months after discharge, the scores of social constraints were (29.12±6.51), (28.93±6.30) and (27.96±5.66) points, respectively. It was found that the gender, family income, self-care ability for ostomy, social influence were the main influencing factors of social constraints (P<0.05). Conclusion Social constraints of stoma patients with colorectal cancer show an overall decreasing trend over time. Special attention should be paid to the social constraints in male patients with low-income, relying on family members for ostomy care and high stigma, and targeted intervention measures should be taken to relieve their social constraints and promote their physical and mental health.
  • Investigative Journalism
    SHI Qing, TANG Xuelin, ZHANG Lifang
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  • Review
  • Review
    ZHAO Mengqin, YAO Jiaying, ZHU Hui, SHEN Xinyi, WANG Junhui, CHEN Xiaomin
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    E-health literacy was significantly associated with cancer patients' ability to obtain health information and use e-health technologies. This review provided an overview of the concept and connotation, assessment tools, influencing factors and intervention strategies of e-health literacy in cancer patients, and analyzed the challenges. The aim is to provide a reference for the early identification of cancer patients with low levels of e-health literacy and personalized interventions.
  • Review
    LI Na, WEN Qian, LIU Huini, et al
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  • Review
    JIAO Jianfei, LIU Genli, DUAN Guotao, SUN Qingqing, GUAN Shumin
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    In recent years, research on pain management in pediatric orthopedic day surgery has made significant progress, including the application of multimodal analgesia strategies, optimization of local anesthesia techniques, and exploration of non-pharmacological therapies. These advances contribute to relieving postoperative pain, shortening hospital stays, and lowering complication rates of orthopedic pediatric patients, thereby enhancing their postoperative satisfaction and life quality. This article reviewed the current status of pediatric orthopedic day surgery, pain assessment, and strategies for preoperative, intraoperative, and postoperative pain management, aiming to provide a reference for pain management.