Table of Content

31 July 2018, Volume 4 Issue 7

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Traditional Chinese Medicine Nursing Protocols for Fever Caused by Exogenous Pathogens(Upper Respiratory Infection)

Editorial Board of Nursing of Integrated Traditional Chinese and Western Medicine

2018, 4(7):  1-6.  DOI: 10.11997/nitcwm.201807001

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Fever caused by exogenous pathogens, also called upper respiratory infection(URI), refers to a classification of exogenous diseases induced by invasion of six pathogenic factors into the body leading to disharmony between nutrient Qi and defensive Qi and imbalance of Yin and Yang. As an extremely common symptom or sign, it is frequently seen in various processes of acute and chronic diseases. In recent years, traditional Chinese medicine(TCM)has achieved a certain efficacy in the treatment of fever caused by exogenous pathogens, such as modified formulae, Chinese patent drugs, self-made formulae, acupuncture, moxibustion and so on. This article mainly explored the key points of common syndromes, TCM nursing methods and health guidance of fever caused by exogenous pathogens, in order to further develop the advantages of TCM, improve its efficacy and standardize its nursing behavior.

Analysis on influencing factors of health care needs on combination of medical service and old-age care among elderly people in Changchun

WANG Shuangyan,LV Jing,LIU Xin,ZHANG Changchun,JIANG Zhijie,GUO Ben,GAO Xitong

2018, 4(7):  7-10.  DOI: 10.11997/nitcwm.201807002

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Objective To investigate the health needs on medical service and old-age care among elderly people in Changchun, and to analyze influencing factors affecting the development of medical service and old-age care. Methods 〓A questionnaire survey was conducted to community residents aged 60 years old and above in Changchun. Results 〓Totally 354 valid questionnaires included for the analysis. There were 72.03% of elderly people who were aware of the combination of medical service and old-age care, and 56.21% of elderly people with needs of medical service and old-age care. There was a significant different in health care need of elderly residents with different gender, age group, education level and occupational level, respectively(P<0.01). Conclusion 〓The health care needs of elderly residents in Changchun were at medium level. The mode of combining medical service and old-age care is required to be popularized among community elderly people.

Application of Six Sigma management to improve awareness of health education in caregivers of patients undergoing enteral nutrition

CAO Shuyu,CHEN hua,HUANG Yingchun

2018, 4(7):  11-14.  DOI: 10.11997/nitcwm.201807003

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Objective To investigate the effect of Six Sigma management on awareness of health education in caregivers of patients with enteral nutrition. Methods 〓To find out the potential factors of low awareness of health education among caregivers of patients with enteral nutrition. The corresponding measures were carried out to improve the health education flow. The awareness of health education among caregivers of patients with enteral nutrition was evaluated before(n=60, recruited between April, 2017 and May, 2017)and after implementation of Six Sigma management(n=60, recruited between October, 2017 and November, 2017). Results 〓The awareness rate of health education among caregivers of patients with enteral nutrition increased from 61.67%(37/60)before implementation of Six Sigma management to 86.67%(52/60)after implementation of Six Sigma management, with a significant difference(P<0.05). Conclusion By regulating the health education flow, the Six Sigma management is an effective tool to improve the awareness of health education among caregivers of patients with enteral nutrition.

The effect of continued care on medication adherence and pain self-efficacy of homebound patients with cancer pain

LIU Juan,XU Jing,HE Yanyan,WANG Qiaoyue,DONG Jingjing

2018, 4(7):  15-18.  DOI: 10.11997/nitcwm.201807004

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Objective To investigate the effect of continued care on medication adherence and pain self-efficacy of homebound patients with cancer pain. Methods 〓Totally 106 advanced cancer patients with moderate to severe cancer pain were assigned to the control group(n=53)and the intervention group(n=53). Patients of both two groups received routine health education before discharge from hospital, and those of the intervention group were given continued care interventions including creating the official account, telephone follow-up, taking part in teleconference, filling out self-control scale. The medication adherence and pain self-efficacy of patients at home were evaluated. Results 〓The score of 8-item Morisky Medication Adherence Scale(MMAS-8)in the intervention group was higher than that of controls(7.58±0.59 vs. 4.92±0.87, P<0.01). The score of Chronic Pain Self-Efficacy Scale(CPSS)was(69.93±15.57)in the intervention group and was(53.61±16.20)in the control group, with a significant difference(P<0.01). Conclusion 〓The continued care interventions are effective to improve the medication adherence and pain self-efficacy of homebound patients with cancer pain.

Effect of expressive writing on negative emotions and benefit finding of breast cancer patients with chemotherapy

ZHOU Xia,GU Lili

2018, 4(7):  19-22.  DOI: 10.11997/nitcwm.201807005

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Objective To investigate the expressive writing intervention on negative emotions and benefit finding of breast cancer patients with chemotherapy. Methods 〓Sixty-two breast cancer patients undergoing chemotherapy from November, 2015 to November, 2016 were selected as the control group. Sixty-two breast cancer patients undergoing chemotherapy from December, 2016 to December, 2017 were selected as the observation group. Patients of both two groups received routine care during chemotherapy, and those in the observation group were given expressive writing intervention. The levels of negative emotions and benefit finding of patients were assessed before and after the nursing intervention. Results 〓The score of Hospital Anxiety and Depression Scale(HADS)in the observation group were lower than that of the control group after 1 month of nursing(P<0.01). Patients of the observation group achieved a higher score of Benefit Finding Scale(BFS)compared with that of controls(P<0.01). Conclusion 〓The expressive writing intervention can effectively relieve negative emotions and increase the level of benefit finding in breast cancer patients with chemotherapy.

Practice of nursing service mode under regional medical alliance for patients with permanent enterostomy

XU Jingjing,QIU Xiaoxi,WANG Hui,GONG Haoling

2018, 4(7):  23-26.  DOI: 10.11997/nitcwm.201807006

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Objective To investigate the effect of nursing service mode under regional medical alliance for patients with permanent enterostomy. Methods 〓Totally 70 patients with permanent enterostomy were selected by convenient sampling method. The regional health service system(Jiangsu rehabilitation medical group)was established and consisted of 4 secondary hospitals, 8 community health service centers and 3 old-age care facilities which were organized unitedly by Zhenjiang First People's Hospital. Two enterostomal therapists and 1 wound therapist from Zhenjiang First People's Hospital, as well as 12 specialized nurses in ostomy, were selected as talent resources to set a good example directly to community and family health, so as to provide quality care services to community and family. The self-efficacy of patients was evaluated by the Stoma Self-Efficacy Scale(SSES). The quality of nursing service was assessed before and after implementation of nursing service mode under regional medical alliance. Results 〓The score of SSES at 3 and 6 months after discharge was higher than that at 3 days before discharge(P<0.01). There was an increased score of nursing quality assessment after implementation of nursing service mode under regional medical alliance(P<0.05). Conclusion 〓The nursing service mode under regional medical alliance is potentially effective to improve the quality of management in patients with permanent enterostomy. It is an reasonable way of sharing specialized nursing resources.

Study on the efficacy of Knowledge-Attitude-Behavior mode on improving the compliance of vaginal douching in patients with locally advanced cervical carcinoma after radiotherapy

ZHANG Xiaoyun,SHAN Huiping,CHEN Xiaohong,ZHU Jiahao,HU Qunchao,GU Ke

2018, 4(7):  27-31.  DOI: 10.11997/nitcwm.201807007

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Objective To investigate the effect of Knowledge-Attitude-Behavior mode on improving the compliance of vaginal douching in patients with locally advanced cervical carcinoma(LACC)after radiotherapy. Methods 〓Totally 120 LACC patients were assigned to the observation group and the control group, with 60 cases in each group. The routine health education was adopted in the control group, and the Knowledge-Attitude-Behavior mode was carried out in the observation group. General adherence scale and compliance questionnaire were used to evaluate the knowledge and related behaviors of patients at 1 and 6 months after discharge. Results 〓Patients in the observation group achieved higher scores in compliance to vaginal douching behaviors compared with those in the control group at 1 month after discharge(P<0.05), except for the item “stop douching when self-reported symptoms getting worse”. The score of compliance to vaginal douching was higher in the observation group than that in the control group at 6 month after discharge(P<0.05). Patients in the observation group achieved higher scores of vaginal douching knowledge compared with those in the control group at 6 months after discharge(P<0.05). Conclusion 〓The Knowledge-Attitude-Behavior mode can effectively improve the compliance of vaginal douching in LACC patients after radiotherapy.

Application of family-based collaborative nursing in diagnosis and treatment of children with asthma

LIU Lina,JIAN Ying,XU Shidi,HUA Ke

2018, 4(7):  32-34.  DOI: 10.11997/nitcwm.201807008

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Objective To evaluate the family-based collaborative nursing in the diagnosis and treatment of children with asthma. Methods 〓Totally 84 cases of children with asthma were divided into the study group and control group, with 42 cases in each group. Both two groups received routine nursing measures, and the study group was given family-based collaborative nursing interventions. The treatment compliance of children, disease awareness of parents, frequency of asthma attacks and treatment in emergency were compared between two groups. Results 〓There were significant differences in treatment compliance rate and disease awareness rate between two groups(88.10% vs. 57.14%, P<0.05; 97.62% vs. 71.43%, P<0.05). There was a lower frequency of asthma attacks and treatment in emergency in the study group compared with that in the control group(P<0.05). Conclusion 〓Application of family-based collaborative nursing can help to improve the parents' awareness on asthma and treatment compliance in children. It can also reduce the frequency of asthma attacks in children with asthma.

Optimization of neonatal immunization management system based on KANO model

LIU Ying,GAO Yuanmeng,CHEN Bingqiu,SHI Jingnan,ZHANG Ge,ZHAO Fang

2018, 4(7):  35-40.  DOI: 10.11997/nitcwm.20180709

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Objective To optimize the neonatal immunization management system based on the KANO model, and to evaluate its practical use. Methods 〓A KANO model based questionnaire about health needs on neonatal immunization management system was designed by using Delphi method, and a questionnaire survey was conducted to 643 parents whoes newborns were born in institutions for childbirth. The health needs of parents on neonatal immunization system management were analyzed based on results of KANO model. Improvement measures were carried out including multi-department collaboration on developing standards and contraindications for vaccination, individualized management of immunization planning scheme, timely administration of vaccination, safe injection management, and epidemic-prevention station-hospital-community integrated management. The related indexes such as vaccination rate of hepatitis B vaccine within 24 hours after birth, first time of vaccination, vaccination rate of hepatitis B vaccine before discharge, incidence of vaccine suspected-adverse reactions, coefficient in loss of bacillus Calmette-Guerin vaccine and satisfactory degree of parents were assessed before and after implementation of modified neonatal immunization management system. Results 〓There were 17 items of expected quality and 3 items of attractive quality(integrated management, individualized vaccination plan and immunization service under special conditions)generated by using KANO model. The timely vaccination was the most key quality attributes in importance(97.18%), and the safe injection was the most key quality attributes in satisfaction(89.26%). The vaccination rate of hepatitis B vaccine within 24 hours after birth was increased from 90.66% before implementation of management system to 95.33% after implementation of management system. The first time of vaccination among newborns with special conditions decreased form(9.90±2.23)days to(3.30±1.49)days, and vaccination rate of hepatitis B vaccine before discharge increased from 75.00% to 96.43%, with a significant difference(P<0.05). There was an decreased coefficient in loss of bacillus Calmette-Guerin vaccine(4.40 vs. 1.70, P<0.05)and decreased incidence of vaccine suspected-adverse reactions(18.33‰ vs. 5.00 ‰, P<0.05). The satisfactory rate of parents on vaccination service was improved from 81.00% to 93.00 %(P<0.05). Conclusion 〓The neonatal immunization management system based on the KANO model is effective to ensure the timeliness of vaccination and community participation. It helps to form a people-oriented integrated service model, improve parents' trust in health service, and effectively promote the competitive advantage of the hospital.

Individualized education on standardized use of an insulin pen

XU Wei,GONG Jinghua,ZHANG Liya

2018, 4(7):  41-44.  DOI: 10.11997/nitcwm.2018070010

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Objective To evaluate the effect of the individualized education on standardized use of an insulin pen. Methods 〓Totally 118 diabetic patients with insulin injection were assigned to the control group(n=53)and the observation group(n=65). The routine education method was adopted in the control group, and the individualized education method was applied in the observation group. The knowledge and practice of using insulin pens were assessed among patients. Results 〓There were 52 patients in the control group and 63 patients in the observation with completed follow-up. There was an obvious improvement in safe use of insulin pens among patients in both two groups. Compared with patients in the control group, patients in the observation group were more knowledgeable about safe use of insulin pen, including period of validity, storage method, insulin injection site rotation, infection time, removing air bubbles from the syringe, and so on, with significant differences(P<0.05). Conclusion 〓The individualized education can ensure the safe use of an insulin pen and improve the treatment compliance in diabetic patients with insulin injection.

Establishment of health records for outpatients with cosmetic injections by the Delphi method

CHEN Yun,SHI Lei

2018, 4(7):  45-49.  DOI: 10.11997/nitcwm.201807011

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Objective To investigate the construction of health records for outpatients with cosmetic injections. Methods 〓Two rounds of consultation to 20 experts by Delphi method were carried out, and the evaluating indicators of the health records for outpatients with cosmetic injections were determined. Results 〓 This study achieved a high positive coefficient and the authority coefficient, and the variation coefficient and coordination coefficient were accepted by the requirements of the statistical analysis. The questionnaire returns-ratio was 90.00%(18/20)and 100.00%(18/18)respectively. The expert authority coefficient was(0.818±0.057), and the conformity coefficient of experts's opinion was 0.205 in first round of consultation and 0.260 in second round consultation. The five contents of health records were established including informed consent, evaluation before injection, injection record, health education and follow-up after injection. Conclusion 〓The aim of establishing the health records for outpatients with cosmetic injections is to improve the quality of nursing management in cosmetic surgery. This formed health record may reduce the risk of complications and improve the satisfactory degree of people undergoing cosmetic injections.

Effect of hot compress of Shufusan combined with acupoint injection at Zusanli on recovery of gastrointestinal function in patients with abdominal surgery

YANG Yong,ZHANG Ying,YANG Lianzhao,MA Qiuping,HU Yanning

2018, 4(7):  50-52.  DOI: 10.11997/nitcwm.201807012

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Objective To investigate the effect of hot compress of Shufusan combined with acupoint injection at Zusanli(ST36)on recovery of gastrointestinal function in patients with abdominal surgery. Methods 〓Totally 60 patients undergoing the abdominal surgery were assigned to the observation group and the control group, with 30 cases in each group. Patients of both two groups received routine care after the surgery, and those in the observation group were given hot compress of Shufusan combined with acupoint injection at Zusanli(ST36). The peristaltic sound recovery time, anal exhaust time and duration of gastrointestinal decompression were assessed and compared between two groups. Results 〓Patients of the observation group had earlier time of peristaltic sound recovery time and anal exhaust compared with those in the control group(P<0.05). The duration of gastrointestinal decompression was shorter in the observation group than that in the control group(P<0.05). Conclusion 〓The hot compress of Shufusan combined with acupoint injection at Zusanli is potentially effective to improve the rehabilitation of gastrointestinal function after abdominal surgery.

Application of cumin fomentation combined with abdominal massage in treatment of opioid-induced constipation

ZENG Wei,HE Qun,JIANG Nan,HUANG Xiaoxue,CHEN Honghui,CHEN Zelan

2018, 4(7):  53-55.  DOI: 10.11997/nitcwm.201807013

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Objective To investigate the effect of cumin fomentation combined with abdominal massage in treatment of opioid-induced constipation. Methods 〓Totally 50 advanced cancer patients with opioid-induced constipation were assigned to the observation group and the control group, with 25 cases in each group. Patients of both two groups received routine nursing, and those in the observation group were given cumin fomentation combined with abdominal massage. The clinical effect of interventions on relieving constipation and time of first defecation were compared between two groups. Results 〓The overall response rate was 92.00%(23/25)in the observation group and was 56.00%(14/25)in the control group, with a significant difference(P<0.05). Patients of the observation group had a earlier time of first defecation compared with those in the control group(P<0.01). Conclusion 〓The cumin fomentation combined with abdominal massage is potentially effective to relieve the opioid-induced constipation.

Effect of acupoint application combined with enema and oral administration of traditional Chinese medicine on symptom remission and quality of life in patients with stage 3-5 chronic kidney disease

JU Yangqin,HUANG Ping,DONG Juan,YAN Hong

2018, 4(7):  56-58.  DOI: 10.11997/nitcwm.201807014

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Objective To investigate the effect of acupoint application combined with enema and oral administration of traditional Chinese medicine(TCM)on symptom remission and quality of life in patients with stage 3-5 chronic kidney disease(CKD). Methods 〓Totally 52 patients with stage 3-5 CKD who received non-dialytic treatment were assigned into the control group and the observation group, with 26 cases in each group. Patients of both groups received comprehensive treatment including kidney protection, blood pressure control and correction of anemia. In the observation group, combined therapies of acupoint application, enema and oral administration of TCM were carried out. The clinical symptom remission was assessed 10 days after treatment. The quality of life was evaluated by short form 36 health survey questionnaire(SF-36). Results 〓Compared with patients in the control group, patients in the observation group received a better symptom remission after treatment(P<0.05). The scores of five dimensions of SF-36 scale were higher in the observation group than those in the control group after intervention(P<0.05). Conclusion 〓The combined therapies of acupoint application, TCM enema and oral administration is potentially effective to relieve the clinical symptoms like fatigue, soreness and weakness of waist and knees of patients with stage 3-5 CKD, and improve the quality of life during treatment.

Effects of ginger moxibustion combined with rehabilitation gymnastics on joint function of patients with ankylosing spondylitis

JIANG Cuiling,HAN Shuyin

2018, 4(7):  59-62.  DOI: 10.11997/nitcwm.201807015

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Objective To investigate the effect of ginger moxibustion combined with rehabilitation gymnastics on joint function of patients with ankylosing spondylitis(AS). Methods 〓Totally 40 AS patients were assigned to the observation group(n=20)and the control group(n=20). Patients in both two groups received routine care and functional training during treatment, and those in the observation group were given ginger moxibustion combined with rehabilitation gymnastics. The serum level of C-reactive protein(CRP)and erythrocyte sedimentation rate(ESR)were measured before and three months after intervention. The thoracic Range of Motion(ROM), Visual Analogue Scale(VAS)on pain during night, Bath Ankylosing Spondylitis Disease Activity Index(BASDAI)and Bath Ankylosing Spondylitis Functional Index(BASFI)were assessed and compared between two groups. Results 〓At three months after treatment, the level of CRP and ESR were lower in the observation group than those in the control group(P<0.01). Patients in the observation group had a better improvement of thoracic ROM compared with that of controls(P<0.01). The scores of VAS, BASDAI and BASFI were decreased in both two groups at three months after treatment, and were lower in the observation group than those in the control group(P<0.01). Conclusion 〓The ginger moxibustion combined with rehabilitation gymnastics is potentially effective to improve the joint function of AS patients.

Effect of moxibustion combined with foot-bath on cancer-related fatigue of patients undergoing chemotherapy for gastrointestinal cancer

TANG Minfang,LU Yun

2018, 4(7):  63-66.  DOI: 10.11997/nitcwm.201807016

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Objective To investigate the effect of moxibustion combined with traditional Chinese medicine(TCM)foot-bath on cancer-related fatigue(CRF)of patients undergoing chemotherapy for gastrointestinal cancer. Methods 〓Totally 95 patients undergoing chemotherapy for gastrointestinal cancer were assigned to the control group(n=48)and the observation group(n=47). Patients of both two groups received routine care and aerobic exercise during chemotherapy, and those of the observation group were given moxibustion combined with TCM foot-bath. The CRF degree and sleep quality of patients were evaluated before and after the intervention. Results After 16 weeks of intervention, patients of the observation group achieved lower scores of Brief Fatigue Inventory(2.35±3.27 vs. 3.82±4.36, P<0.01)and Pittsburgh Sleep Quality Index(6.08±5.21 vs. 9.49±3.72, P<0.01)compared with those of the control group. Conclusion The combined therapy of moxibustion and TCM foot-bath is effective to relieve the CRF and improve the sleep quality of patients undergoing chemotherapy for gastrointestinal cancer.

Evaluation of Chinese medicine bath to reduce body temperature of children with wind-heat common cold

WANG Lihua,XU Hong

2018, 4(7):  67-68.  DOI: 10.11997/nitcwm.201807017

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Objective To investigate the effect of Chinese medicine bath in reducing body temperature of children with wind-heat common cold. Methods 〓Totally 60 children with wind-heat common cold were assigned to the observation group and the control group, with 30 cases in each group. The warm water bath was used to reduce body temperature of children in the control group, while the Chinese medicine bath was adopted in the observation group. The body temperature was measured at 30, 60, 90 and 120 min after intervention. Results 〓There was no significant difference in body temperature between two groups at 30 min after intervention(P>0.05). Compared with the warm water bath, the Chinese medicine bath showed a better effect on body temperature reduction at 60, 90 and 120 min after intervention(P<0.05). Conclusion 〓Chinese medicine bath is potentially effective to reduce the body temperature of children with wind-heat common cold.

Application and research progress of traditional Chinese medicine in nursing of phlegm-dampness constitution and hypertension

CHEN Feng,WANG Yiping,LIU LI,YANG Xue,CHEN Lanlan

2018, 4(7):  69-72.  DOI: 10.11997/nitcwm.201807018

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The phlegm-dampness constitution is one of the main constitutional types of hypertension in traditional Chinese medicine(TCM). This paper reviewed the nursing management in nursing of phlegm-dampness constitution and hypertension, including dietary intervention, sports and exercise, emotion-regulating strategies, special techniques of TCM.

Research progress of MOTOmed viva2 movement training combined with acupoint ironing with Chinese herbs in treatment of muscle spasm after stroke

LI Lianchun,WU Chunhua

2018, 4(7):  73-75.  DOI: 10.11997/nitcwm.201807019

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The muscle spasm is a common complication of post-stroke hemiplegia, and is featured with upper limb flexor spasms and lower limb extensor muscle spasms. It seriously affects the motor function and activity of daily life in patients after stroke. The cuttent treatment methods usually include high doses of oral medication, acupuncture, hyperbaric oxygen therapy, kinesitherapy, traditional Chinese medicine decoction. However, these therapies have relatively high complications and low tolerance of patients. MOTOmed Viva2 movement training combined with acupoint ironing with Chinese herbs shows a good effect in treatment of muscle spasm after stroke. With advantages of being easy to use, less adverse reactions and high compliance of patients, it can effectively improve the body movement function of patients.

A qualitative research on experience of patients with gynecological tumors at different stages on peripherally inserted central catheterization

DUAN Jingrui,JIANG Wujia,CAI Yinghua,REN Xiaomin,LI Li

2018, 4(7):  76-79.  DOI: 10.11997/nitcwm.201807020

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Objective To investigate the experience of patients with gynecological tumors at different stages on peripherally inserted central catheterization(PICC). Methods 〓The phenomenological methodology was applied to semi-structured interview with 10 patients with gynecological tumors undergoing PICC. Results 〓Six themes were extracted, including fear and tension, physical discomfort, skin allergy, perceived benefit, inconvenience in maintenance and economic pressure. Conclusion It is required to establish a individualized, whole-process and continuing nursing for patients with gynecological tumors according to their experience at different stages on PICC.

Investigation and analysis on patients' satisfaction in a specialist cancer hospital

WANG Jingru,ZHANG Yingli,MENG Xuehui

2018, 4(7):  80-82.  DOI: 10.11997/nitcwm.201807021

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Objective To investigate the patients' satisfaction in a specialist cancer hospital. Methods 〓A questionnaire based survey was conducted in 240 outpatients and 360 inpatients selected by stratified random sampling method in the Zhejiang Cancer hospital. The questionnaire assessed 6 dimensions which were service quality, service efficiency, service attitude, medical complaints, hospital environment and medical personnel integrity, totally 21 items. Results 〓According to the survey, the outpatient and inpatient satisfaction was in a good level. The highest score of outpatient satisfaction was(92.17±12.88)points(doctors' service attitude), and the lowest was(80.75±5.28)points(convenience of complaint channels). The highest score of inpatient satisfaction was(90.94±12.83)points(admission and discharge), and the lowest was(76.02±18.47)points(food supply in the canteen). Conclusion 〓The hospital administrators should focus on improving the patient's experience in the aspects of hardware facilities, convenience, and meals, consultation and complaints, and the formulation of a targeted patient satisfaction improvement scheme to improve patient satisfaction.

A qualitative study on career development of undergraduate nurses in public hospitals

WANG Xiuxia,CHAO Lihong,ZHAO Huiying

2018, 4(7):  83-87.  DOI: 10.11997/nitcwm.201807022

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Objective To describe the career development of full-time bachelor degree nurses in public hospitals of Jiangsu. Methods 〓A purposive sampling method was used to recruit 16 full-time bachelor degree nurses and focus group interviews were conducted. Ground theory was used for data analysis. Results 〓Eight themes regarding career development were extracted, including personal objective factors, objective factors of hospital, personal subjective factors, unit practice, peer's influence, the value of a nurse, relevant policies and continue to learn. Conclusion 〓More attention should be paid on career development needs of nurses with full-time bachelor degree. Nursing managers should make targeted policies to broaden the career development of nurses with higher education level.

Risk factors of catheter-related bloodstream infections in cancer patients with diabetes

YAO Shaoqin,WANG Lili,CHEN Xiaoju,CHEN Tang

2018, 4(7):  88-91.  DOI: 10.11997/nitcwm.201807023

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Objective To investigate the incidence of peripherally inserted central catheter(PICC)-related bloodstream infections in cancer patients with diabetes, and to analyze related high risk factors. Methods 〓Totally 60 cancer patients with diabetes received PICC catheterization for chemotherapy, their clinical data were collected and analyzed. Results 〓There were 25(41.67%)cases of PICC-related complications observed during treatment, in which 7 cases were PICC-related bloodstream infections. The season issue(OR=31.754, 95% CI: 7.134~115.377), frequency of changing dressing(OR=29.701, 95% CI: 6.882~121.083), administration of special drugs(OR=178.341, 95% CI: 53.187~986.089)were risk factors of PICC-related bloodstream infections, and the education level(OR=0.018, 95% CI: 0.001~0.647)was the protective factor of PICC-related bloodstream infections. Conclusion 〓The season issue, frequency of changing dressing, administration of special drugs and education level were associated with the PICC-related bloodstream infections in cancer patients with diabetes. It is required to enhance the health education and disease awareness of patients and their family members.

Investigation and analysis of physical fitness and living behaviors of nursing students

LIU Shan,LI Sisheng,HUANG Lihua,MA Rong

2018, 4(7):  92-95.  DOI: 10.11997/nitcwm.201807024

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Objective To investigate and analyze the physical fitness and living behaviors of nursing students. Methods 〓The undergraduate students majoring in nursing in Chengdu University of Traditional Chinese Medicine were grouped by gender. The literature review, questionnaire survey and physical fitness test were conducted to nursing students, and outcomes of the physical fitness test were statistically analyzed. Results 〓There was no significant difference in physical fitness test outcomes between the freshman students and sophomore students, and there was a trend of decline in physical fitness in junior and senior students. The test outcomes of the freshman and the sophomore students were better than those of the junior and senior group, with a significant difference(P<0.05). In terms of gender issue, the female students had a good rate of 20.36%, which was higher than 11.60% of boys. Conclusion 〓Given the trend of decline in physical fitness in junior and senior students, it is required to emphasize the health consciousness, living behavior and rational diet in undergraduate nursing students. More sports activities and facilities should be provided to improve the health status of undergraduate nursing students.

Investigate into the current situation of intravenous infusion therapy among inpatients in a certain hospital

HUANG Yuejuan,TAN Qianqian,HUANG Xiaochuan,YU Yanmei

2018, 4(7):  96-98.  DOI: 10.11997/nitcwm.201807025

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Objective To investigate the current situation of intravenous infusion therapy among inpatients in a certain hospital. Methods 〓Totally 907 inpatients from 29 clinical departments were investigated cross-sectionally about the selection of infusion felicities, fixing and maintaining of catheter in the puncture site, complication of the puncture site, property of the infused drugs, conjunction of the infusion terminals, nurses’ working lifetime. Results 〓The scalp needle and vein-detained needle were most frequently used in 907 patients, accounting for 65.27% and 30.31% respectively. The opisthenar(66.81%)and forearm(13.23%)were two main sites of puncture. There were 58 cases of disqualified maintenance of catheter. The incidence f catheter-related complication was 6.35%, in which 13 cases with drug extravasation. The indwelling catheter was mainly used for infusion of nutrient supplements(37.82%), antibiotic agents(30.65%)and traditional Chinese drugs preparations(14.11%). Conclusion 〓It must be emphasized by nursing supervisor as to the training, the safety and quality control, of intravenous infusion, in order to ensure the safety of intravenous infusion therapy among inpatients.

Application of the double-film fixation method in fixation of central venous catheter

SUN Qiuxiang,LIU Xiaohong,ZHU Min,ZHANG Jing,KONG Lingyu,PENG Yanxiang

2018, 4(7):  99-101.  DOI: 10.11997/nitcwm.201807026

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Objective To compare the application efficacy of the single-film and double-film fixation methods in fixation of central venous catheter(CVC). Methods 〓Totally 84 patients with CVC were assigned to the control group and the study group, with 42 cases in each group. The CVC was fixed by suture and single-film technique in the control. The suture and double-film technique was used to fix the CVC in the study group. The incidence of central line-associated bloodstream infection(CLABSI), rate of catheter dislocation, time cost in the direct care and material cost were measured and compared between two groups. Results 〓There was no significant difference in incidence of CLABSI between two groups(1.18‰ vs. 1.23‰, P>0.05). The rate of catheter dislocation was 2.38%(1/42)in the study group and was 11.90%(5/42)in the control group, with a significant difference(P<0.05). It cost less time of the direct care and less money of materials in the study group than that in the control group(P<0.05). Conclusion The suture and double-film technique is effective to prevent the CVC dislocation and reduce related time and material costs.

Application of video laryngoscope-assisted gastric tube insertion in patients with dysphagia

HUANG Haizhu,CHAO Qifang

2018, 4(7):  102-104.  DOI: 10.11997/nitcwm.201807027

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Objective To evaluate the application efficacy of video laryngoscope-assisted gastric tube insertion in patients with dysphagia. Methods 〓Totally 46 patients with dysphagia requiring gastric tube insertion were assigned to the control group and the study group, with 23 cases in each group. The routine method of gastric tube insertion was adopted in the control group, and the laryngoscope-assisted gastric tube insertion was performed in the study group. The one-time success rate of insertion and duration of insertion were observed and compared between two groups. Results 〓The one-time success rate of insertion was higher in the study group than that in the control groups(P<0.05), It cost less time of insertion in the study group than that in the control group(P<0.05). Conclusion 〓The video laryngoscope, characterized by high rate of insertion, short insertion time and less pain, is an effective aid to gastric tube insertion in patients with dysphagia.

Application of disused breathing bag in nursing care of urination among boys in the recovery period after general anesthesia

GU Changye,YOU Yuetong

2018, 4(7):  105-107.  DOI: 10.11997/nitcwm.201807028

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Objective To explore the application of disused breathing bag in nursing care of urination among boys in the recovery period after general anesthesia. Methods 〓Totally 380 children aged 3-11 years old were involved and randomly divided into the observation group(n=198)and the control group(n=182)in this study. They underwent surgeries under intratracheal anesthesia or laryngeal mask anesthesia, but without catheterization. The children were picked by the nursing staff or their parents to urinate after they had micturition desire in control group. In observation group, the nursing staff asked whether they had micturition desire or not initiatively, and encouraged them to take urination in the bed. At the same time, a disused breathing bag was used to cover the penis for urine collection. Results 〓The proportion of children with bed-wetting, crying, contaminated wounds and intravenous indwelling needle withdrawal in observation group were significantly lower than those in the control group, with a significant difference(P<0.05). Conclusion 〓The use of disused breathing bag to collect urine, which can reduce the occurrence of accidents in PACU, reduce the nursing workload, and improve the comfort level of children.

Application of the improved method of turning head to prevent PICC tip into the internal jugular vein

GENG Hongmei,WANG Lingling,BAO Yonghua

2018, 4(7):  108-110.  DOI: 10.11997/nitcwm.201807029

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Objective To evaluate the improved method of turning head in preventing peripherally inserted central catheter(PICC)tip into the internal jugular vein. Methods 〓Totally 379 patients undergoing PICC catheterization were assigned to the control group(n=190)and the observation group(n=189). The routine turning head method was used to prevent misplaced catheter tip into the internal jugular vein, and the improved method of turning head was applied in observation group. Results 〓The incidence of misplaced catheter into jugular vein was lower in observation group than that of controls(4.76% vs. 10.53%, P<0.05). Conclusion 〓The improved method of turning head may prevent the misplaced PICC tip into the internal jugular vein, which in turn improves the one-time success rate of puncture.

The preparation and preservation of autogenous semitendinosus and gracilis tendons in arthroscopy-assisted anterior cruciate ligament reconstruction

CHEN Mingying

2018, 4(7):  111-113.  DOI: 10.11997/nitcwm.201807030

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Objective To investigate the preparation and preservation methods of autogenous semitendinosus and gracilis tendons in arthroscopy-assisted anterior cruciate ligament(ACL)reconstruction. Methods 〓Totally 325 patients with arthroscopy-assisted ACL reconstruction using autogenous semitendinosus and gracilis tendons were included in this study. The autogenous tendons were prepared and preserved with a pretensioning device. Results 〓The ACL reconstruction surgery of 325 patients was completed successfully, and all patients received a satisfactory recovery of knee joint function. Conclusion 〓The nurse specialist should familiarize the preparation and preservation methods of autogenous semitendinosus and gracilis tendons, in order to ensure the success of arthroscopy-assisted ACL reconstruction.

The effect of throat spray of Kangfuxin solution on relieving the discomfort of pharynx in patients undergoing gastrointestinal decompression

WEI Jianhong,ZOU Xiaolan

2018, 4(7):  114-117.  DOI: 10.11997/nitcwm.201807031

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Objective To investigate the effect of throat spray of Kangfuxin solution on relieving the discomfort of pharynx in patients undergoing gastrointestinal decompression for acute pancreatitis. Methods 〓Totally 80 patients undergoing gastrointestinal decompression for acute pancreatitis were assigned to the control group and the observation group, with 40 cases in each group. The control group received aerosol inhalation of dexamethasone solution, and the observation group was given throat spray of Kangfuxin solution. To assess discomfort of pharynx at day of catheterization, 2 days after catheterization, day of catheter withdrawal and 2 days after catheter withdrawal, and to compare the oropharyngeal complications, unplanned catheter withdrawal and satisfactory degree of patients between two groups. Results 〓At 2 days after catheterization and the day of catheter withdrawal, there were fewer patients in the observation group with hoarseness, foreign body sensation, difficulty in sputum excretion, limited neck movement compared with those of the control group(P<0.05). The Visual Analogue Scale(VAS)on pain was lower in the observation group than that of controls at 2 days after catheterization, day of catheter withdrawal and 2 days after catheter withdrawal(P<0.05). The incidence of oropharyngeal complications was lower in the observation group than that of controls(P<0.05). Patients of the observation group were more satisfied with the safety and convenience of the intervention(P<0.05). There was no unplanned catheter withdrawal observed in both two groups(P>0.05). Conclusion 〓The throat spray of Kangfuxin solution is effective to relieve the discomfort of pharynx in patients undergoing gastrointestinal decompression for acute pancreatitis.

Application of the mirabilite hot compression bag made by Nano-cotton fabric in patients with acute pancreatitis

ZHANG Guizhen,HUA Yafang,WANG Lan,ZHANG Suhua,JIAN Ruimei

2018, 4(7):  118-121.  DOI: 10.11997/nitcwm.201807032

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Objective To evaluate the application of mirabilite hot compression bag made by Nano-cotton fabric for patients with acute pancreatitis. Methods 〓Totally 60 patients with acute pancreatitis were assigned to the intervention group and the control group, with 30 cases in each group. Patients of both two groups received routine care during treatment. The normal mirabilite compression bag was used in the control group, while the mirabilite hot compression bag made by Nano-cotton fabric was adopted in the intervention group. Results 〓There was no case of death observed in this study. The time to abdominal pain relief, time to peristalsis recovery, length of hospital stays and time to serum amylase recovery were all shorter in the intervention group than those in the control group(P<0.05). Patients of the intervention group felt more comfortable about hot compression compared with those of the control group(90.00% vs. 30.00%, P<0.05). Conclusion 〓The mirabilite hot compression bag made by Nano-cotton fabric has a good applicability for patients with acute pancreatitis.

Application of comprehensive nursing interventions in patients with chronic periodontitis

ZHANG Nianbao,LIN Lin

2018, 4(7):  123-125.  DOI: 10.11997/nitcwm.201807034

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Objective To evaluate the application efficacy of comprehensive nursing interventions in patients with chronic periodontitis. Methods 〓Totally 86 patients with chronic periodontitis were divided into the control group(n=41)and the observation group(n=45). Patients of the control group were given video-based oral hygiene education at the first visit to dental clinic, and those of the observation group were given comprehensive nursing interventions including psychological care and interactive oral hygiene education. The plaque index(PLI)and gingival index(GI)were assessed and compared between two groups. Results 〓The PLI and GI were decreased after treatment compared with those at the first visit to dental clinic(P<0.05), and were lower in the observation group than those in the control group(P<0.05). Conclusion 〓Comprehensive nursing interventions can improve the oral hygiene of patients and improve the effect of periodontal treatment.

Nursing interventions based on fast-track surgery for patients undergoing transurethral resection of prostate

CHEN Qingfeng

2018, 4(7):  126-129.  DOI: 10.11997/nitcwm.201807035

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Objective To investigate the effect of nursing interventions based on fast-track surgery for patients undergoing transurethral resection of prostate(TURP). Methods 〓Totally 86 patients with TURP were divided into the control group and the observation group according to the sequence of admission, with 43 cases in each group. The control group received routine nursing and the observation group was given nursing interventions based on fast-track surgery. The postoperative rehabilitation, bladder symptom scores and satisfactory degree on nursing service were evaluated and compared between two groups. Results 〓The time of catheter withdrawal, anus exhausting time and the time to ambulation in the observation group were shorter in the observation group than those of the control group(P<0.01). The score of bladder symptom in the observation group was lower than that of controls at 6 h, 24 h and 48 h after operation respectively(P<0.01). The satisfaction rate of patients was higher in the observation group than that of patients in the control group(P <0.05). Conclusion 〓The nursing intervention based on fast-track surgery is effective to relieve the postoperative symptoms of bladder spasm in patients with TURP, and to promote postoperative recovery.

Study of nurse-led peer education on knowledge and self-management level among mothers of infants and children with fever

JIA Yuzhen,PAN Jingmei

2018, 4(7):  130-133.  DOI: 10.11997/nitcwm.201807036

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Objective To investigate the effect of nurse-led peer education on knowledge and self-management level among mothers of infants and children with fever. Methods 〓Totally 137 mothers of infants and children with fever were selected by cluster random sampling and divided into the control group(n=67)and the study group(n=70). The regular health education on knowledge and management of fever was performed in the control group, and the nurse-led peer education was carried out in the study group. The knowledge and self-management level of mothers on fever were evaluated before and three days after training. Results 〓The accurate rate of assessment on fever knowledge was improved in both two groups after training(P<0.05). Mothers of infants and children in the study group achieved higher accurate rate of assessment on axillary temperature, frequency of temperature measurement, relationship between fever and infection, slight fever, hyperpyrexia and risk factors of convulsion compared with those of controls(P<0.05). The score of self-management assessment was improved in both two groups after training, and was higher in the study group than that of controls(P<0.05). Conclusion 〓The nurse-led peer education is effective to improve the knowledge and self-management level of mothers of infants and children with fever

Nutrition risk screening and collaborative nutrition support in patients with radiotherapy and chemotherapy for esophageal cancer

WANG Miaomiao,MA Li,MA Yannan

2018, 4(7):  134-137.  DOI: 10.11997/nitcwm.201807037

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Objective To evaluate the nutrition risk screening and collaborative nutrition support in patients with radiotherapy and chemotherapy for esophageal cancer. Methods 〓Totally 60 patients with concurrent radiotherapy and chemotherapy for esophageal cancer were assigned to the observation group and the control group, with 30 cases in each group. Patients of both two groups received nutrition risk screening before treatment. During concurrent radiotherapy and chemotherapy, the routine nutrition intervention was adopted in the control group, and the collaborative nutrition support was carried out in the observation group. The levels of nutritional indexes and complications induced by radiotherapy and chemotherapy were observed and compared between two groups at 4 weeks after the intervention. Results 〓Patients of the observation group achieved a better improvement in levels of hemoglobin, prealbumin, lymphocyte counts and total protein compared with those of patients in the control group(P<0.01). The main complications included radiation pneumonitis, radiation esophagitis, vomit and myelosuppression, and there was no significant difference in the complication rate between two groups(P>0.05). Conclusion 〓The collaborative nutrition support based on the nutrition risk screening is effecfive to improve the nutritional status of patients during concurrent radiotherapy and chemotherapy for esophageal cancer.

Application of extended nursing based on WeChat platform in postoperative rehabilitation of patients with colorectal cancer

ZHANG Liqun,SHI Dan,XING Qiaoying,GAO Liying,REN Wei

2018, 4(7):  138-141.  DOI: 10.11997/nitcwm.201807038

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Objective To investigate the effect of extended nursing based on WeChat platform on postoperative rehabilitation of patients with colorectal cancer. Methods 〓Totally 96 patients with colorectal cancer were divided into the control group and the observation group, with 48 cases in each group. The follow-up by telephone was carried out in the control group, and the extended nursing based on WeChat platform was adopted in the observation group. The rehabilitation indexes such as dietary compliance and defecation function were assessed after discharge. The satisfactory degree of patients was evaluated and compared between two groups. Results 〓Patients in f the observation group achieved a better dietary compliance and defecation function compared with those in the control group(P<0.05). The satisfaction rate was 91.67%(44/48)in the observation group and was 68.75%(33/48)in the control group, with a significant difference(P<0.05). Conclusion 〓The extended nursing based on WeChat platform is potentially effective to improve the compliance of patients, which in turn improves the postoperative rehabilitation.

Implementing changes in clinical practice to improve the participation rate of recreation therapy among psychiatric patients

DING Fengqin,LIN Lijun

2018, 4(7):  142-144.  DOI: 10.11997/nitcwm.201807039

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Objective To evaluate the measures and implementing efficacy of modified clinical practice on participation rate of recreation therapy among psychiatric patients. Methods 〓The participation situation of recreation therapy among psychiatric patients from two clinical wards was assessed in March, 2017. The potential reasons of low participation rate were analyzed and modified interventions were provided, including tidying wards, doing health exercises, playing tug-of-war game and making handcrafted flowers. Results 〓The participation rate in May, 2017 was higher than that in March, 2017(75.01% vs. 36.95%, P<0.05). Conclusion 〓Implementing changes in clinical practice is effective to improve the participation rate of recreation therapy among psychiatric patients.

Effect of Kangfuxin solution in prevention and treatment of radiotherapy-induced skin and mucosa reaction of patients with cervical cancer and related nursing management

ZHU Zhenfeng,WU Xia

2018, 4(7):  145-148.  DOI: 10.11997/nitcwm.201807040

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Objective To investigate the effect of perineal washing with Kangfuxin solution in prevention and treatment of radiotherapy-induced skin and mucosa reaction of patients with cervical cancer, and to summarize related psychological nursing measures. Methods 〓Totally 128 cervical cancer patients undergoing radiotherapy were assigned to the observation group and the control group, with 64 cases in each group. Patients in the control group received perineal washing with normal saline to prevent radiotherapy-induced skin and mucosa reaction, and those in the observation group were given perineal washing with Kangfuxin solution. In addition, the targeted psychological nursing was carried out in the observation group. The degree of perineal skin damage and pain were assessed at dose of 30 Gy and end of radiotherapy. The sleep quality and anxiety status of patients were compared between two groups. Results 〓Patients of the observation group had a less severity of perineal skin damage and lower pain degree compared with those in the control group at dose of 30 Gy and end of radiotherapy, respectively(P<0.05). After intervention, patients of the observation group achieved a better improvement of Pittsburgh Sleep Quality Index(PSQI)and Self-rating Anxiety Scale(SAS)compared with those of controls(P<0.05). Conclusion 〓The perineal washing with Kangfuxin solution is effective to prevent the radiotherapy-induced skin and mucosa reaction of patients with cervical cancer. It is also required to carry out psychological intervention to improve the sleep quality and mental status of patients during treatment.

Nursing safety management of noradrenaline infusion through peripheral venous catheter

SU Yan

2018, 4(7):  149-150.  DOI: 10.11997/nitcwm.201807041

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The noradrenaline infusion may contribute to the perfusion of vital organs in shock patients. However, the extravasation of noradrenaline can cause a variety of complications. This study reviewed the clinical data and nursing managements of noradrenaline infusion through peripheral venous indwelling catheter in 44 shock patients, in order to provide reference for nursing safety management in emergency care.

Nursing experience of patients with burn injuries caused by gunpowder explosion

WAN Xiaona,LI Mengxing,LIN Fei,LI Huaqiang,JIANG Enshe,SUN Kunxia

2018, 4(7):  151-152.  DOI: 10.11997/nitcwm.201807042

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This study summarized the nursing management of patients with burn injuries caused by the gunpowder explosion in a fireworks factory. Patients with burn-blast combined injuries were transfered to the hospital, and received compressive nursing interventions such as airway management, wound surface care, nutrition support and psychological care.

The role of first-line nurses as ward internal auditors in evaluation of clinical practice ability

ZHANG Liuliu,WU Bing,LIU Jianhong

2018, 4(7):  153-155.  DOI: 10.11997/nitcwm.201807043

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Objective To investigate the first-line nurses as internal auditors in improving clinical practice ability of nurses. Methods 〓As the internal auditors, first-line nurses were responsible for the clinical practice ability assessment and evaluation. The satisfactory degree of nurses was surveyed by self-designed questionnaire after the examination. Results 〓The passing rate of the examination was 100.00%, and the examination score averaged(86.70±12.10)points. Nurses showed a high degree of satisfaction with the test form and test contents in the clinical practice training. Conclusion 〓The model of first-line nurses as internal auditors fully explores the ability of the first-line nurses to scheme, observe, supervise, communicate, coordinate and study independently, effectively improving the nurses' clinical practice ability.

Application of emergency response plan template in clinical skills training of emergency nurses

ZHENG Guiling,LI Huihui,HAN Ting,TANG Yujie

2018, 4(7):  156-159.  DOI: 10.11997/nitcwm.201807044

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Objective To investigate the emergency response plan template in clinical skills training among emergency nurses. Methods 〓Totally 40 emergency nurses receiving standardized training were assigned to the control group(n=20)and the study group(n=20). The routine teaching method was adopted in the control group, and the modified teaching method based on emergency response plan template was performed in the study group. Results 〓Nurses of the study group spent less time in epinephrine use and rescue of myocardial infarction compared with that of nurses in the control group(P<0.05). The score of emergency skills assessment in the study group was higher than that of controls(P<0.05). Conclusion 〓The emergency response plan template, as a supportive training tool, can improve the emergency assessment and emergency response capability of nurses.

Application of PDCA cycle to improve the quality of materials management in emergency medical rescue

ZHANG Xiaofeng,WU Jin,CHEN Li

2018, 4(7):  160-163.  DOI: 10.11997/nitcwm.201807045

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Objective To investigate the effect of PDCA cycle to improve the quality of materials management in emergency medical rescue. Methods 〓The quality assessment group was set up, and the materials for emergency medical rescue was managed using PDCA cycle. The completion rate of materials, satisfaction degree of nursing staff and duration of materials verification were compared before and after implementation of PDCA cycle. Results 〓There was an increased score of assessment in materials inspection and a decreased time of selecting targeted materials after implementation of PDCA cycle(P<0.01). The completion rate of materials was increased from 92.00% before implementation of PDCA cycle to 100.00% after implementation of PDCA cycle(P<0.05). The nursing staffs were more satisfied with the materials management by using PDCA cycle(P<0.01). It cost(15.40±3.91)minutes in materials verification after implementation of PDCA cycle, which was shorter than(23.21±3.72)minutes before implementation of PDCA cycle(P<0.01). Conclusion 〓PDCA cycle is an effective tool to improve the quality of materials management in emergency medical rescue.

Hand hygiene in medical workers and nosocomial infection control

WANG Wenxia

2018, 4(7):  164-166.  DOI: 10.11997/nitcwm.201807046

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Objective To investigate the hand hygiene in medical personnel and nosocomial infection control. Methods 〓Totally 82 medical workers receiving routine hand hygiene management from July, 2016 to December, 2016 were included as the control group, another 85 medical workers receiving continuous hand hygiene management from January, 2017 to June, 2017 were included as the observation group. The hand hygiene compliance of medical workers was assessed. The incidence of nosocomial infection was observed. The relationship between hand hygiene compliance and nosocomial infection was analyzed. Results 〓The hand hygiene compliance of doctors and nurse at each checkpoint was higher than that of controls, with a significant difference(P<0.05). The hand hygiene compliance of logistics workers in the observation group was higher than that of controls at checkpoint before contacting with patients and sterilization operation respectively, with a significant difference(P<0.05). The rate of nosocomial infection was 0.50% of 400 patients selected between July, 2016 and December, 2016, and was 2.25% of 400 patients selected between January, 2017 and June, 2017, with a significant difference(P<0.05). The hand hygiene compliance was negatively related with the nosocomial infection rate(r=-0.915, P=0.008). Conclusion 〓It is required to continuously enhance the hand hygiene compliance of medical workers, which in turn could reduce the risk of nosocomial infection.

Investigation on the cognition and attitude of nursing students to nurses' standardized training system

HUNAG Huaping,LI Guirong,WANG Haiyan

2018, 4(7):  167-170.  DOI: 10.11997/nitcwm.201807047

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Objective To investigate the cognition and attitude of nursing students to nurses' standardized training system, and to provide the basis for improving relevant policies. Methods 〓A convenient sampling method was used to recruit nursing students. A survey based on the self-designed questionnaire was conducted to 230 recruited nursing students. SPSS 23.0 software was used to analyze the collected data. Results 〓A total of 190 nursing students completed the questionnaire, and the effective collection rate was 82.61%(190/230). The results showed that the awareness of nursing students to nurses' standardized training policies was dominated by“partial understanding”. In terms of attitudes to nurses' standardized training, there were statistically differences on hospital-related policies, quality of teachers and general attitudes toward training between nursing students with different educational level(P<0.05). Conclusion 〓It is necessary to increase publicity through multiple channels due to low awareness of nursing students to nurses' standardized training. More efforts should be made to improve supporting policies, motivate nursing students, and promote the overall quality of the nurse team.

The experience of nursing students with objective structured clinical examination in department of oncology: a qualitative study

DONG Yunya,HU Shaohua

2018, 4(7):  171-174.  DOI: 10.11997/nitcwm.201807048

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Objective To investigate the experience of nursing students with objective structured clinical examination(OSCE)in department of oncology. Methods 〓The phenomenological methodology was applied to semi-structured interview with 11 nursing students who took part in the OSCE in department of oncology. Data analysis was performed by Colaizzi's method. Results 〓Three themes were extracted, including lack of awareness on OSCE form, complex of psychological feelings at first time of participation, diversity in experience of OSCE. Conclusion 〓The OSCE is approved as an effective tool of evaluating clinical comprehensive skills of nursing students. The hospital managers should make OSCE normalized by enhancing the systematic training and establishing teams of standardized patients and OSCE examiners, in order to improve the quality of clinical teaching and practice.

Application of case-based learning and problem-based learning in clinical teaching of nursing of diabetes based on syndrome differentiation

LIU Youfang,CHENG Ning

2018, 4(7):  175-178.  DOI: 10.11997/nitcwm.201807049

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Objective To investigate application efficacy of the case-based learning(CBL)combined with problem-based learning(PBL)in clinical teaching of nursing of diabetes based on syndrome differentiation. Methods 〓Totally 30 nursing students with internship between July, 2015 and February, 2016 were included as the control group, another 30 nursing students with internship between July, 2016 and February, 2017 were enrolled as the study group. The routine teaching method was performed in the control group, and the combination method of CBL and PBL was used in clinical teaching of nursing of diabetes based on syndrome differentiation. The clinical teaching efficacy and recognition of students were assessed. Results 〓Nursing students in the study group achieved higher scores of theory examination and practice skills compared with those in the control group(P<0.05). Compared with the routine teaching method, the combination method of CBL and PBL had a higher high acceptance level of students from the perspective of interest in learning, acceptability, creativity, practicability, flexibility(P<0.01). Conclusion The combination method of CBL and PBL can improve the clinical teaching efficacy of nursing of diabetes based on syndrome differentiation.

Investigation into self-learning ability and implantation of quality control circle activity among undergraduate nursing students

LI Shenmei,GAO Minyi,LI Zhihong,HUANG Mei,YANG Liping,CHEN Qiuyu

2018, 4(7):  179-181.  DOI: 10.11997/nitcwm.201807050

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Objective To investigate the influential factors of self-learning ability and implantation of quality control circle(QCC)activity among undergraduate nursing students. Methods 〓A questionnaire-based survey was conducted among 70 undergraduate nursing students selected by convenience sampling method. Results 〓Totally 62 valid questionnaires were collected for further analysis. The findings showed that 90.32% students considered the poor self-control as the main personal factor influencing the self-learning ability, 75.81% students thought lacking of attention from parents as the main family factor, and 74.19% believed low frequency of internship arrangement as the main practical factor. There were 79.03% students unfamiliar with the QCC activity, and 87.10% of them acquired QCC knowledge form internet. Conclusion 〓School and hospital administrators should make great efforts to promote the implementation of the QCC activity, establish an problem-solving environment for students, and to stimulate their interest and enthusiasm in learning professional courses.

Traditional Chinese medicine nursing for pemphigus vulgaris with hormone-related complication complicated with severe depression: a case report

SHI Meiqin,HE Shenghong

2018, 4(7):  182-184.  DOI: 10.11997/nitcwm.201807051

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This paper reviewed the nursing experience of traditional Chinese medicine(TCM)in patients with pemphigus vulgaris who developed secondary hypertension, diabetes, severe fatty liver, lung bacterial infection, gynecological fungal infection, chronic insomnia, and severe depression. The highlights of TCM nursing were as follows: knowledge of TCM compatibility education, methods of TCM decoction, moxibustion care, dietary guidance, and mental care. After two months of treatment and nursing, the patient's wound surface completely healed, dose of hormones therapy was maintained to a low level, and the physical status is well.

Nursing for primary hypofibrinogenemia combined ovarian teratoma: a case report

ZHU Huaidi

2018, 4(7):  185-186.  DOI: 10.11997/nitcwm.201807052

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This paper reviewed nursing experience of a patient with primary hypofibrinogenemia combined with ovarian teratoma. Nursing measures mainly included the preoperative preparation, establishment of intravenous lines, fibrinogen and cryoprecipitate transfusion, vital sign mornitroing, evaluation of hemorrhage, emphasis of chief complaint, treatment of complications, health education and discharge guidance.

Nursing management of severe skin hypersensitivity after peripherally inserted central catheterization: a case report

LIU Yunzhou

2018, 4(7):  187-188.  DOI: 10.11997/nitcwm.201807053

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A peripherally inserted central catheter(PICC)is a form of intravenous access which can avoid tissue damage caused by extravasation of cancer chemotherapeutic drugs. However, the PICC-related complications, such as phlebitis, catheter blockage, hypersensitivity reactions and so on, may influence the treatment efficacy. This study summarized the clinical data and nursing management of severe skin hypersensitivity after PICC catheterization in one patient. Nursing measures included evaluation of illness, drug administration, dietary guidance and psychological care.

Review on clinical application of six different types of oral laxatives for bowel preparation

LI Chunjian,PAN Rongmei

2018, 4(7):  189-191.  DOI: 10.11997/nitcwm.201807054

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The Bowel preparation is essential for successful colonoscopy examination and related surgical treatment, and the most important factor is the bowel preparation agent used. This paper reviewed the clinical application of 6 types of oral laxatives for bowel preparation.

An overview of the research status on the elderly people's attitude toward death at home and abroad

LUO Jing,LUO Yuru,JU Mei

2018, 4(7):  192-198.  DOI: 10.11997/nitcwm.201807055

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This article focused on the achievements and research status of elderly people's attitude toward death at home and abroad, and also summarized and compared the studies on the concept, connotation, influencing factors, models and evaluation tools of death attitudes among domestic and foreign researchers. The aim of this article is to raise the awareness and attention of domestic medical workers on the attitude towards death in the elderly, and pay attention to the death attitude of the very old persons near the end of the life, in order to improve the palliative and terminal care system.

Research progress of emergency care of patients suffering from dog-bite injuries

JU Yunjuan

2018, 4(7):  199-201.  DOI: 10.11997/nitcwm.201807056

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Rabies is a preventable viral disease of mammals most often transmitted through the bite of a rabid animal. The rabies virus infects the central nervous system, ultimately causing disease in the brain and death. The timely clean up and disinfection of the wound, injection of human immunoglobulins and rabies vaccine were key issues to prevent the rabies. In addition, the health education on rabies prevention is highly recommended to increase the awareness of people, so as to prevent rabies to a great extent.

Research status of social support in improving medication compliance of empty-nesters with hypertension in the community of underdeveloped cities

LU Liuying,CHEN Ling,YANG Yong,WEI Yujuan,WANG Wenguang,YANG Lianzhao

2018, 4(7):  202-205.  DOI: 10.11997/nitcwm.201807057

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This study mainly reviewed the research status of social support in improving medication compliance of empty-nesters with hupertension in the community of underdeveloped cities, in order to provide a theoretical foundation for medication compliance of empty-nesters with hypertension and further studites.

Overview of Roy's adaptation model in evaluation of resilience in patients with hematologic malignancies

JI Juan,NIU Qiaohong,SU Xin,YANG Yao

2018, 4(7):  206-209.  DOI: 10.11997/nitcwm.201807058

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Tumors of the hematopoietic tissues or hematopoietic malignancies are tumors that affect the blood, bone marrow, lymph, and lymphatic system, including acute and chronic leukemia, malignant lymphoma, multiple myeloma, myelodysplastic syndrome, and so on. The emotional status, disease awareness, treatment adherence are key issues in treatment and rehabilitation of patients with hematopoietic malignancies. This paper summarized the basic content of Roy's adaptation model. It also reviewed the related content of resilience of patients with hematologic malignancies from six aspects, including first-level assessment, second-level evaluation, diagnosis, formulation of goals, measures and evaluation, in order to assist patients to achieve effective adaptation and improve the mental health of patients with malignant tumor.