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Effect of a traditional Chinese medicine theory-based mobile app on improving symptoms in patients with type 2 diabetes mellitus: A randomized controlled trial
Huiwen XU, Yuan YUAN, Li YANG, En TAKASHI, Akio KITAYAMA
Journal of Integrative Nursing    2021, 3 (3): 97-105.   doi: 10.4103/jin.jin_19_21
Abstract6)      PDF(pc) (604KB)(5)      
Objective: The aim of this study was to evaluate the effect of the Traditional Chinese Medicine (TCM) theory-based mobile app on improving symptoms in patients with type 2 diabetes mellitus (T2DM) in China.
Materials and Methods: A randomized controlled trial was conducted. Ninety?seven patients with T2DM were enrolled and they were randomized into the control group and the experimental group. The control group was given usual diabetes education and follow-up with telephone call, while the experimental group was followed up by using the TCM theory-based mobile app. After 6-month intervention, the diabetic symptom scores, the blood glucose levels, and self?management ability of the two groups were compared. 
Results: Compared with intervention before, the levels of fasting blood glucose (FBG), 2-h postprandial blood glucose (2hPG), and glycated hemoglobin (HbA1c) decreased in the control group (9.28 ± 3.05 vs. 8.26 ± 2.73 mmol/L, 12.65 ± 4.18 vs. 10.65 ± 3.79 mmol/L, and 8.78% ±1.76% vs. 7.96% ±1.47%, respectively, all P < 0.05) and also decreased in the experimental group (8.36 ± 2.64 vs. 7.35 ± 2.45 mmol/L, 11.50 ± 4.29 vs. 9.85 ± 2.71 mmol/L, and 8.64% ±2.04% vs. 7.29% ±1.56%, respectively, all P < 0.05) after 6?month intervention, while the summary of diabetes self-care activities (SDSCAs) scale scores after 6?month intervention increased significantly in the control group (35.20 ± 14.68 vs. 44.78 ± 10.21, P < 0.05) and the experimental group (32.16 ± 13.21 vs. 50.37 ± 10.06, P < 0.05). After 6-month intervention, the diabetic symptom scores (18.16 ± 2.74 vs. 22.18 ± 4.77) and HbA1c (7.29 ± 1.56% vs. 7.96% ±1.47%) were lower, and SDSCA scale scores (50.37 ± 10.06 vs. 44.78 ± 10.21) were higher in the experimental group than the control group (all P < 0.05). 

Conclusion: The mobile app based on TCM theory can effectively improve diabetes-related symptoms in patients with T2DM and help control their blood glucose as well as enhance their self-management ability.

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Comparison of in‑vial exhaust method versus conventional exhaust method in the injection of COVID‑19 vaccine
Jingjin XU, Hui ZHI, Ye LI, Jinjing LIU, Wen ZHENG, Ling TANG
Journal of Integrative Nursing    2021, 3 (3): 106-109.   doi: 10.4103/jin.jin_28_21
Abstract10)      PDF(pc) (752KB)(4)      
Objective: The objective of the study was to compare the application effects of in-vial exhaust method and conventional exhaust method in the process of coronavirus disease 2019 vaccine injection.
Materials and Methods: Using convenient sampling method, 102 vaccines were selected as experiment group during the process of vaccine injection, and the in-vial exhaust method was used. One hundred and five vaccines were selected as the control group and the conventional exhaust method was adopted. The incidence of vaccine solution spillage and exhausting time in the two groups during exhaust were observed.

Results: The incidence of solution spillage in the experiment group was lower than that in the control group (0 vs. 6.67%, P < 0.05). The exhausting time of the experiment group was shorter than that of the control group ([15.12 ± 4.43] s vs. [22.74 ± 6.53] s, P < 0.05). 

Conclusion: Implementing the in-vial exhaust method in the vaccine injection can effectively reduce the incidence of solution spillage, reduce nucleic acid contamination, and ensure that the vaccine is injected at the prescribed dose. Moreover, the operation is simple and easy, which improves the nurse’s vaccination efficiency, and has a higher promotion and application value.

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Analysis of licensure examination anxiety and its influencing factors among undergraduate nursing students
Doreen Asantewa ABEASI, Frank Bediako AGYEI
Journal of Integrative Nursing    2021, 3 (3): 110-106.   doi: 10.4103/jin.jin_33_21
Abstract8)      PDF(pc) (512KB)(2)      
Background: Examination anxiety is a concern for educational policymakers because of the impact it can have on the overall outcome of the performance of the candidates who partake in such examinations.

Aim: The aim of this study is to determine the examination anxiety level of students of Nursing and Midwifery College, Agogo, and Presbyterian University College and to evaluate the factors affecting them. 

Materials and Methods: A total of 160 undergraduate nursing students comprising 80 degree and 80 diploma students were conveniently sampled for the study. The study was conducted in September 2019 using a descriptive cross-sectional design. The Westside Test Anxiety Scale was used to measure examination anxiety among the participants. A researcher-designed questionnaire in which participants responded to a three-point Likert scale was used to assess factors influencing examination anxiety.

Results: The findings of the study showed that test anxiety was higher among the diploma candidates (M = 3.60) than the degree candidates (M = 2.95) and the difference was statistically significant (P = 0.024). Demographic characteristics such as age (P = 0.009), sex (P = 0.003), study hours per day (P = 0.001) were found to be significantly associated with test anxiety. The factors found to influence examination anxiety among students were volume of materials to study (P = 0.044), level of preparation (P = 0.005) perceived difficulty of the questions (P = 0.033) and myth about examinations (P = 0.000). The perceived importance of the examination (P = 0.057) and schedule of the exams (P = 0.68) did not influence examination anxiety.

Conclusion: Candidates for the licensure examination organized by the Nursing and Midwifery Council of Ghana should be assessed for test anxiety and offered the necessary psychological support where necessary.
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Discussion on optimizing nursing rounds model based on the inheritance of traditional Chinese medicine nursing
Xue‑Jian ZHANG, Ling TANG, Jing ZHANG, Yue TANG
Journal of Integrative Nursing    2021, 3 (2): 53-55.   doi: 10.4103/jin.jin_05_20
Abstract24)      PDF(pc) (409KB)(18)      
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Operations of school health program assessment at selected secondary schools in Egor Local Government Area, Benin City, Nigeria
Eunice Amaechi OSIAN, Osagumwenro IGBINOBA, Olaolorunpo OLORUNFEMI, Monday Ugiagbe AGBONKPOLOR
Journal of Integrative Nursing    2021, 3 (2): 56-61.   doi: 10.4103/jin.jin_5_21
Abstract26)      PDF(pc) (545KB)(17)      
Background: School health program (SHP) is the most cost-effective investment a nation can make to simultaneously improve education and health conditions of her citizen. In spite of this, the adoption of SHP in developing countries is still below set standard. Therefore, this study assesses the operations of SHP in secondary schools in Egor Local Government Area (LGA), Benin City, Nigeria.
Materials and Methods: A descriptive cross-sectional survey was conducted with accidental sampling method to select 56 school health teachers from secondary schools in Egor LGA. A self-structured instrument was used to collect data based on the research objectives. Data collected were analyzed using percentages, means, and standard deviation.
Results: This study showed that despite high level of the program awareness, the actualization of its objective was found to be poor, and this was found to be related with the lack of government support, lack of needed personnel and materials, lack of effective supervision of the program and inappropriate funding.
Conclusion: In-service training on SHP should be provided to enhance the skills needed for implementation of SHP. The government should provide needed materials and equipment and employ competent health personnel to take charge of the school health services, and other policymakers should mobilize and strengthen SHP and education activities at the state.
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Control effect of structured skin care plan of integrated Chinese and Western medicine in elderly patients with incontinence‑associated dermatitis
Jian‑Hua DENG, Xiu‑Li LI, Li‑Li NIU, Yuan‑Yuan LI, Jing ZHANG, Ling TANG
Journal of Integrative Nursing    2021, 3 (2): 62-66.   doi: 10.4103/jin.jin_013_20
Abstract37)      PDF(pc) (577KB)(26)      
Objective: The objective of this study is to explore the clinical effects of structured skin care plan of integrated Chinese and Western medicine in intervening elderly patients with incontinence-associated dermatitis (IAD).
Materials and Methods: Totally, 66 elderly patients with IAD were randomly divided into the experiment group (32 cases) and control group (34 cases). The control group was given routine nursing care, while the experiment group was given a structured skin care plan. The observational course was 2 weeks. The treatment efficiency and healing time were compared between the two groups.
Results: After 2-week intervention, the total effective rate of the experiment group was higher than that of the control group (97.1% vs. 78.1%, X2 = 3.913, P = 0.048). The skin assessment tool score of the experiment group was lower than that of the control group (0.56 ± 1.58 vs. 1.75 ± 2.46, Z = ?2.401, P = 0.016). The healing time of the experiment group was shorter than that of the control group (7.29 ± 4.76 days vs. 10.69 ± 6.36 days, Z = ?2.280, P = 0.026).
Conclusion: The structured skin care plan of integrated Chinese and Western medicine showed a good effect in elderly IAD patients, and provided a reference for clinical treatment and care of elderly patients with IAD.
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Analysis of risk factors for lymphedema of the lower limbs after endometrial cancer surgery and suggestions for prevention and treatment
Qian ZHANG, Li-Xiu LIU
Journal of Integrative Nursing    2021, 3 (2): 67-71.   doi: 10.4103/jin.jin_13_21
Abstract27)      PDF(pc) (580KB)(22)      
Objective: The objective of this study is to investigate the risk factors for the occurrence of lower limb lymphedema in patients with endometrial cancer after surgery and to make recommendations for prevention and treatment.
Materials and Methods: We retrospectively reviewed the clinical data of 135 patients with endometrial cancer treated in the Department of Gynecology of the Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine from January 2013 to December 2019 and analyzed the risk factors of lower limb lymphedema in patients with endometrial cancer after surgery using single factor analysis and multi-factor logistic regression analysis.
Results: The incidence of postoperative lower limb lymphedema in patients with endometrial cancer was 11.11%. The results of one-way Chi-square test analysis showed that body mass index (BMI), surgical method, number of lymph node dissection, and radiotherapy were related to the occurrence of lower limb lymphedema, and multi-factor logistic analysis showed that BMI (odds ratio [OR] = 6.207), number of lymph node dissection (OR = 4.223), and radiotherapy (OR = 8.081) were the risk factors for lower limb lymphedema after endometrial cancer surgery.
Conclusion: Patients with endometrial cancer with BMI ≥25 kg/m2, high number of lymph node dissection, and postoperative radiotherapy are more likely to develop lower limb lymphedema, and they should be given priority attention and timely preventive and curative measures.

 

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Effect of structured education program on physiological and psychosocial outcomes in type 2 diabetes patients: A randomized controlled trial
Qianqian ZHOU, Xiaorong LIU, Jianing LI, Jinlan YAO, Qingqing LOU
Journal of Integrative Nursing    2021, 3 (2): 72-79.   doi: 10.4103/jin.jin_09_20
Abstract26)      PDF(pc) (659KB)(21)      
Objective: This study was conducted to compare the effect of structured education program versus traditional diabetes education on insulin injection technique as well as physiologically and psychosocially related outcomes in adults with Type 2 diabetes.
Materials and Methods: This study was a randomized controlled trial. Totally, 71 Type 2 diabetes patients of using the insulin pen were enrolled and randomly divided into the intervention group (n = 36) and the control group (n = 35) according to random number table method. Patients in the intervention group received structured education program, while patients in the control group received traditional diabetes education. The levels of glycosylated hemoglobin (HbA1c), blood glucose, and lipids were monitored before and 3 months after intervention, and the insulin injection techniques, diabetes distress, and diabetes self-management skills between groups were assessed after 3 months.
Results: Finally, 65 participants (intervention group: n = 33, control group: n = 32) finished the study. After the intervention, HbA1c was lower (7.42 ± 0.80 vs. 8.35 ± 1.40, P = 0.002), fasting blood glucose (FBG) was lower (7.27 ± 1.06 vs. 9.40 ± 3.16, P < 0.001), and postprandial blood glucose (PBG) was lower (10.33 ± 2.20 vs. 12.77 ± 4.94, P = 0.012) in the intervention group than in the control group. No statistically significance was identified between the two groups in scores of Diabetes Distress Scale and summary of diabetes self-care activities.
Conclusion: Patients with Type 2 diabetes received structured education program, with greater improvements achieved in HbA1c, FBG, PBG, and measures about insulin injection techniques compared to the traditional education group, but there was no significant difference in diabetes distress or self-management behavior between groups.
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Effect of health locus of control on the quality of life among hemodialysis patients
Mahdi MOSHKI, Jahanshir TAVAKOLIZADEH, Mohammad Vahedian SHAHROODI, Mahmoud NABIANSANI, Atefeh DEHNOALIAN
Journal of Integrative Nursing    2021, 3 (1): 5-11.   doi: 10.4103/jin.jin_56_20
Abstract60)      PDF(pc) (668KB)(63)      

Objective: The purpose of this study was to determine the effect of health locus of control on the quality of life on hemodialysis patients.

Materials and Methods: This study is a randomized controlled trial. Participants were 78 dialysis patients among 17–70 years old including 39 cases in the training program and 39 cases in control groups. Kidney disease quality of life-short form and the health locus of control scale-form A were used. Questionnaires were completed before and 8 weeks after the intervention by two groups.

Results: The results of the paired t-test showed that the mean scores of physical component summary, mental component summary, and components of renal disease in the test group increased significantly after the intervention. There was also a significant difference between the test and control groups only about powerful others.

Conclusion: The education based on health locus of control can have a positive effect on the life quality of hemodialysis patients.

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The impacts of resilience on the association between illness uncertainty and sleep quality among patients with type 2 diabetes mellitus
Xin‑Ge WANG, Yu‑Qiong WEN, Hui‑Bing KUANG, Li‑Xia LIN, Hong CUI
Journal of Integrative Nursing    2021, 3 (1): 12-18.   doi: 10.4103/jin.jin_59_20
Abstract49)      PDF(pc) (644KB)(40)      
Objective: The objective was to investigate the relationship between resilience, illness uncertainty, and sleep quality in patients with type 2
diabetes mellitus (T2DM).
Methods: This cross?sectional study was conducted from September 2019 to August 2020 from a tertiary hospital in Guangzhou, China. Totally, 205 participants completed questionnaires concerning demographic characteristics, Pittsburgh sleep quality index, Mishel uncertainty in illness scale (MUIS), and Connor–Davidson Resilience Scale (CD-RISR) were collected by convenience sampling. Multiple hierarchical regression
analysis was used to evaluate the interaction of illness uncertainty, resilience, and sleep quality. The mediating role of resilience was also tested.
Results: The total score of illness uncertainty was 94.68 ± 11.19 in T2DM patients, which was proved in the medium level. There was a significant negative correlation between the total CD-RISR score and total MUIS score (r = 0.716, P < 0.01); there was a significant negative
correlation between the total CD-RISR score and total PISQ score (r = 0.806, P < 0.01); total MUIS score was positively correlated with PISQ score (r = 0.872, P < 0.01). Psychological resilience could partially mediate the association between sleep quality and the level of illness uncertainty, and the mediating effect was 0.293, accounting for 34.20% of the total effect.
Conclusion: Patients with T2DM have a moderate level of illness uncertainty, and it was negatively correlated with mental resilience level and positively associated with sleep quality. Medical staff should strengthen psychological intervention for T2DM patients to reduce the sense of uncertainty.
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Scientific publications in nursing journals from East Asia: A survey of literature
Zhi-Chen LIU, Ya-Lou PU, Yong-Hua WANG, Li GAO, Jing WANG, Bao-Hua CAO
Journal of Integrative Nursing    2021, 3 (1): 19-24.   doi: 10.4103/jin.jin_51_20
Abstract38)      PDF(pc) (944KB)(33)      
Background: East Asia is one of the most important economy and research force in the world. However, the trend of published articles in various areas of East Asia has not been reported.
Methods: We used PubMed and Web of Science databases to search for articles published from China, South Korea, and Japan in 59 nursing journals, from January 2008 to December 2017.
Results: The results indicated that Journal of Clinical Nursing is the most popular journal in East Asia and the number of articles published in China has shown a steady upward trend, surpassing Japan and South Korea (from 204 in 2008 to 320 in 2017). South Korea has increased rapidly since 2013 (from 65 in 2013 to 144 in 2017).
Conclusion: We conclude that China is the most influenced country with the largest number of articles in the field of nursing in East Asia. It is worth noting that the number of articles published in Japan has been slowly declining since 2015.
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Mediating effect of undergraduate nursing students’ professional commitment on positive psychological capital and learning burnout
Huanze LI, Hongfang CHEN, Miaoqing ZHUANG, Yue LIU, Jiayi WANG, Luyu ZHANG
Journal of Integrative Nursing    2021, 3 (1): 25-29.   doi: 10.4103/jin.jin_01_20
Abstract53)      PDF(pc) (726KB)(56)      
Objective: The objective of this study is to explore the mediating role of professional commitment of undergraduate nursing students between positive psychological capital (PsyCap) and learning burnout.
Materials and Methods: A cluster sampling method was used to survey 442 students of a bachelor’s degree in freshman to the junior
in a medical college in Shaanxi Province.
Results: Professional commitment was positively related to positive PsyCap (= 0.487, P < 0.01), while positive PsyCap and professional commitment were negatively related to learning burnout (r = 0.456, r = 0.411, P all < 0.01). There are certain mediating effects of professional commitment in the relationship between positive PsyCap and learning burnout. The mediating effect value of professional commitment is - 0.065, accounting for 16.08% of the total effect.
Conclusion: Nursing educators in medical colleges and universities should focus on developing and training the positive PsyCap of undergraduate nursing students, thereby enhancing and stabilizing their professional commitment level and reducing the risk of learning burnout.
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Sleep disturbance in patients with cancer
Mohammed AL MAQBALI
Journal of Integrative Nursing    2020, 2 (4): 153-159.   doi: 10.4103/jin.jin_48_20
Abstract72)      PDF(pc) (493KB)(76)      
Patients diagnosed with cancer often experience sleep disturbance in the form of poor sleep patterns or insomnia that can start on diagnosis and continue until the end of the individual’s life. The aim of this review is to discuss current definitions and theories of sleep disturbance, its prevalence, the underlying physiological and psychological correlates, measurement scales, and possible intervention and management strategies. Equally important, regular assessment is worthwhile for sleep disturbance and quality of life among cancer patients. Therefore, it is advisable for health-care professionals to conduct regular assessment of sleep disturbance for cancer patients and provide appropriate management.
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Analysis of status quo and research progress in nursing care for different typed coronavirus disease 2019: A literature review
Bing‑Rui WEI, Dian Francis SAVELLANO, Cui‑Huan HU
Journal of Integrative Nursing    2020, 2 (4): 160-171.   doi: 10.4103/jin.jin_37_20
Abstract65)      PDF(pc) (546KB)(90)      
At present, patients with coronavirus disease 2019 (COVID-19) are showing a surge in the world, to explore the clinical characteristics, treatment, and care of different types of COVID-19. The authors reviewed the existing literature, selected, and analyzed the diagnosis and treatment records of 11 patients with COVID-19 who were initially cured, including patient information, clinical manifestations, auxiliary examination results, treatment principles, nursing evaluation, nursing goals, nursing diagnosis, and nursing measures, and found clinical similarities and differences in the care of different types of patients. Among them, nine patients recovered and discharged after receiving treatment, and two died. As there is no specific medicine, only symptomatic treatment and supportive treatment can be given. Eleven common nursing measures and special nursing measures of different levels were carried out for patients diagnosed with mild, common, severe, and critical illnesses, and different treatment methods were given according to the severity of signs and symptoms. By summarizing the similarities and differences of clinical nursing interventions, we hope to help improve the quality of care for patients diagnosed with COVID-19.
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Construction of nursing standard of integrated traditional Chinese and Western medicine for patients with COVID‑19 (mild and common) in Beijing based on Delphi method
Jing ZHANG, Xue‑Ling MA, Jian‑Hua DENG, Jing LI, Zhi‑Yun ZHANG, Ling TANG
Journal of Integrative Nursing    2020, 2 (4): 172-178.   doi: 10.4103/jin.jin_54_20
Abstract49)      PDF(pc) (545KB)(74)      

Objective: The objective of this study is to establish a nursing standard of integrated traditional Chinese and Western medicine for patients with COVID-19 (mild and common) in Beijing, to provide reference for clinical nursing of patients with COVID-19 (mild and common).

Methods: Through online communication meeting with nurses who are in the frontline of anti-epidemic, clinical investigation, literature research, and expert demonstration meeting are carried out to prepare the draft of the standard, and the Delphi method is applied to determine the standard of integrated traditional Chinese and Western medicine care for patients with COVID-19 (mild and common) in Beijing.

Results: The nursing standard of integrated traditional Chinese and Western medicine for patients with COVID-19 (mild and common) was established, which included 5 first-level indicators, 14 second-level indicators and 60 third-level indicators. After two rounds of Delphi method, the positive coefficients of experts were 96% and 83%, the authoritative coefficients of experts were 0.89 and 0.91, and the Kendalls coefficient of concordance (W) of experts were 0.12, 0.09, 0.10, 0.13 (P < 0.05) and 0.44, 0.43, 0.37, 0.39 (P < 0.05).

Conclusion: The standard of integrated traditional Chinese and Western medicine nursing for patients with COVID-19 (mild and common) in Beijing constructed by the Delphi method is scientific and practical, which provides a reference for clinical application of integrated traditional Chinese and Western medicine nursing to fight against COVID-19 infection.

 

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Assessing the reasons for increase in self‑medication and control measures among student nurses in University of Benin Teaching Hospital, Edo State, Nigeria
Olaolorunpo OLORUNFEMI, Sarah Olayinka FALEKE, Omotayo Mercy OLORUNFEMI, Vitalis OKAFOR, Uche Gift EMIARE
Journal of Integrative Nursing    2020, 2 (4): 179-185.   doi: 10.4103/jin.jin_46_20
Abstract73)      PDF(pc) (528KB)(65)      

Background: Self-medication among student nurses is the use of medicines without doctor’s prescription. This practice is a global phenomenon and potential contributor to human resistance to most drugs, associated with different types of health challenges. Despite the high knowledge on the complication of self-medication, studies showed that most student nurses still practice selfmedication.

Aims: The aim of this study was to assess the reasons for increase in selfmedication and and find ways on how to curbing the menace among student nurses in the School of Nursing, University of Benin Teaching Hospital, Edo State, Nigeria.

Materials and Methods: A descriptive crosssectional survey was conducted with stratified simple random sampling technique to select ninety student nurses from three different levels in the School of Nursing, University of Benin Teaching Hospital in Benin City, Edo State. A selfstructured questionnaire with opentype and Likerttype scale questions used as instrument to assess the reasons for increase in selfmedication and the possible control measures. Data collected were analyzed using tables, percentages, means, standard deviation, and t-test for inferential statistics at 0.05 level of significance, through Statistical Package for the Social Sciences software.

Results: The result showed the reasons for increase in selfmedication and how to reduce its occurrence. It also showed that the gender of the student nurses is statistically related to the reasons why they practice selfmedication (t = 6.82, P 0.001).

Conclusion: Selfmedication can be reduced among student nurses by empowering the law enforcement agencies against selfmedication, improving the availability of essential and quality drugs in school clinics, and inclusion of all student nurses in National Health Insurance Scheme (NHIS) program, where they can enjoy the benefit of paying only 10% of the treatment charges.

 

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Physical restraint using, autonomy, ethics among psychiatric patients in nursing practice in China
Jun-Fang ZENG, Hong-Tao CAI, Wei-Ming LI, Cai-Mei ZOU
Journal of Integrative Nursing    2020, 2 (3): 97-102.   doi: 10.4103/jin.jin_29_20
Abstract79)      PDF(pc) (501KB)(110)      
The application of physical restraint for patients represents ethical dilemmas for psychiatric nurses in terms of maintaining the safety of all (clients and staff) while at the same time curtailing the individual's autonomy. This article aimed to provide a sound knowledge of ethical positions and strategies for psychiatric nurses to address ethical issues of physical restraint according to the ethical principles of autonomy, beneficence, nonmaleficence, and ethical theories. Given that nursing workforce was limited and workload among psychiatric nurses was heavy, physical restraint was one of the coercive interventions managing aggressive behavior. In relation to address ethical dilemmas, it was proposed to acquire informed consent of physical restraint from the individuals and provide person-centered care. Effective communication and negotiation with patients could help to strike a balance between patients' autonomy and nurses' accountability when using physical restraint. In addition, guidelines and targeted intervention strategies need to be developed to regulate and reduce the implementation of restraint. Finally, a collaboration among nurses, psychiatrists, and families is essential to protect patients' autonomy concerning physical restraint use.
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The relationship between diabetes‑related distress and self‑management in empty‑nest elderly patients with type 2 diabetes mellitus: The mediating effect of self‑efficacy
Hui‑Wen XU, Yuan YUAN, Lin LIU, En TAKASHI, Kitayama AKIO, Xin LI
Journal of Integrative Nursing    2020, 2 (3): 103-109.   doi: 10.4103/jin.jin_11_20
Abstract70)      PDF(pc) (717KB)(114)      
Objective: The aim of this study is to investigate the mediating effect of self-efficacy between diabetes-related distress and self-management in empty-nest elderly patients with type 2 diabetes mellitus (T2DM).
Methods: A total of 347 empty-nest elderly patients with T2DM from Jiangsu Province Hospital of Chinese Medicine and Affiliated Hospital of Yangzhou University were investigated by a self-designed General Information Questionnaire, the Self-efficacy for diabetes, the Diabetes Distress Scale, and the summary of diabetes self-care activities. Diabetes-related distress and diabetes self-management were tested for correlation analysis with self-efficacy. Meditational analyses were conducted to test the hypothesized mediating effects of diabetes self-efficacy as an intervention variable between diabetes distress and self-management.
Results: About 68.59% of patients suffered from diabetes-related distress. The results of bivariate correlations revealed that self-efficacy was negatively correlated with diabetes-related distress (r =–0.627, P < 0.01) and positively correlated with self-management (r = 0.356, P < 0.01). The relationship effects of diabetes distress on self-management were fully mediated by self-efficacy.
Conclusions: Diabetes-related distress prevails in empty-nest elderly patients with T2DM. Self-efficacy plays a mediate role between diabetes-related distress and self-management. Psychological intervention is contributed to reducing diabetes-related distress.
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Impact of the emigration of nurses on health care delivery system in selected hospitals, Benin‑City, Edo State, Nigeria
Olaolorunpo OLORUNFEMI, David Idenyi AGBO, Omotayo Mercy OLORUNFEMI, Esther Odogho OKUPAPAT
Journal of Integrative Nursing    2020, 2 (3): 110-115.   doi: 10.4103/jin.jin_42_20
Abstract101)      PDF(pc) (579KB)(129)      
Background: Globally, there is a high demand for nurses, resulting in migration from low-to high-income countries. The emigration of nurses is the act of leaving one's own country to settle permanently in another country, leading to a shortage in the number of nurses in their home countries. Consequently, this study aims to assess the impact of the emigration of nurses on the health-care delivery system in Nigeria.
Materials and Methods: A descriptive cross-sectional survey was conducted with a stratified sampling technique to select 270 nurses from three selected hospitals in Benin-city Edo state. A self-structured questionnaire with open and Likert scale questions were used as an instrument to assess the Impact of the Emigration of nurses on the Health Care Delivery System. Data collected were analyzed using tables, percentages, means, standard deviation and t-test.
Results: The result showed a mean score of 1.59 ± 0.92 impacts of the emigration of nurses on health-care delivery system and identified how to reduce it. The study also showed that there is no significant difference between gender and reason for emigration among nurses (t = 3.84, P ≤ 0.001).
Conclusion: The emigration of nurses is severely affecting the health care delivery system in the country. Recently, the Nursing and Midwifery Council of Nigeria gave the directive for training schools to increase their training capacity and number of students' intake to cushion the effect, and this study shows that this palliative can only be a short time measure, and however will encourage more nurses traveling abroad on the long run. Therefore, the hospital managers and government should provide a conducive working environment, better remuneration, attractive retirement benefit, and other incentives as a push in factor for nurses to stay back in their home countries.
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A bibliometric analysis of nursing research in COVID‑19 in China
Ke PENG, Qiu‑Lu MAI, Mei‑Qi MENG, Dou WANG, Xiao‑Yan ZHANG, Yu‑Fang HAO
Journal of Integrative Nursing    2020, 2 (3): 116-122.   doi: 10.4103/jin.jin_32_20
Abstract84)      PDF(pc) (1228KB)(107)      
Objective: The objective of this study is to analyze the current status of nursing research in COVID-19 through literature metrology and provide ideas and references for further research.
Methods: The search terms such as “novel coronavirus/COVID-19” and “nursing” were used to search the nursing-related papers published in China National Knowledge Infrastructure, Wanfang Data, VIP Data, SinoMed, Web of Science, and PubMed from October 1, 2019, to March 30, 2020. The bibliometric methods and related software were used for analysis.
Results: A total of 234 articles were included from 48 journals, and core journals accounted for 61.1%. There were five nursing literature topics and 14 document types. There is a cooperative relationship between six institutions. Keywords include nursing staff, nursing management, and protection.
Conclusions: The opening of journal green channels and the establishment of database columns will help the spread of anti-epidemic academic results. The topics of nursing literature include clinical nursing, nursing management, prevention and control, nursing education, and social surveys. Nursing literature types focus on cross-sectional research and experience summary; the cooperation between researchers and research institutions has begun to take shape, and it is recommended to strengthen the research on iatrogenic injuries and nurse training in future nursing research.
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Effect of flapping-meridians combined with thunder-fire moxibustion on upper limb dysfunction after stroke
Feng‑Guang GUAN, Qiu‑Lu JI, Yue‑Qing JIANG, Zhuo‑Mei ZHUANG, Xiao‑Qin LIAN
Journal of Integrative Nursing    2020, 2 (3): 123-128.   doi: 10.4103/jin.jin_6_20
Abstract66)      PDF(pc) (1018KB)(78)      
Objective: The objective of the study is to explore the effect of flapping-meridians combined with thunder-fire moxibustion in the treatment of upper limb dysfunction after stroke.
Materials and Methods: This randomized, single-blind, controlled trial included 140 patients with stroke. According to the random number table, the patients were divided into four groups: the control group (receiving conventional nursing alone), the intervention group 1 (receiving conventional nursing combined with flapping-meridians), the intervention group 2 (receiving conventional nursing combined with thunder-fire moxibustion), and the intervention group 3 (receiving conventional nursing, flapping-meridians, and thunder-fire moxibustion). All four groups were intervened 4 weeks, 6 days a week. The outcome indicators (Fugl-Meyer Assessment of the upper extremity and body mass index of shoulder abduction, elbow extension, and wrist flexion) were assessed at the beginning and the end of treatment.
Results: The effect of the intervention group 3 was better than that of the intervention group 2, intervention group 1, and control group (P < 0.05).
Conclusion: The flapping-meridians combined with thunder-fire moxibustion can significantly improve the upper limb motor function and muscle strength of stroke patients with hemiplegia, and its effect is better than that of single treatment.
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The effects of health Qigong Baduanjin on the prevention, treatment, and recovery of COVID‑19
Yi‑Zhen HAN, Meng‑Wei FU, Zi‑Jie CHEN, Fei‑Hong REN, Dan‑Dan XIE, Jing‑Lei LI, Si‑Yu ZHAO, Qian SHEN
Journal of Integrative Nursing    2020, 2 (2): 33-39.   doi: 10.4103/jin.jin_27_20
Abstract164)      PDF(pc) (494KB)(171)      
To summarize the application and modern studies on health Qigong Baduanjin by domestic and foreign scholars, combined them with clinical practice of mobile hospital in Wuhan, we explore the prevention, treatment, and recovery of Baduanjin in the war against COVID 19. On the basis of studying ancient classics, such as Huangdi’s Internal Classic, and the concrete exercise methods of Baduanjin, we propose three ideas: prevention before disease onset, promoting healing during illness, and strengthening the body after recovery. We aimed to give full play to Baduanjin in the battle against COVID 19 to popularize correct prevention and health knowledge for the patients and the healthy as well as to provide a reference for medical workers to use Traditional Chinese Medicine to prevention and treatment.
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Traditional Chinese medicine nursing protocols for COVID-19
Mei‑Zhen LIN, Qiao‑Mei WU, Yu LIU, Zhong‑De ZHANG, Gang‑Yi PENG, Chang‑Xiu WAN, Xiao‑Pan WANG, Ying‑Rui MA, Ping XIONG, Hui‑Chao CHEN, Qiu‑Ying DENG, Li‑Li DENG, Ding‑Rong QIU, Lin WEI, Jiu‑Hong YOU, Yang‑Chen LIU, Guang‑Qing ZHANG, Li‑Xia KOU, Ming‑Ming XU, Yu‑Mei CHEN, Yin‑Qin ZHONG, Xiao‑Qin LU, Han‑Jiao LIU, Jin ZHOU, Hong YE, Xiao‑Zhen GONG, Shi‑Miao LUO, Xi‑Yan HU
Journal of Integrative Nursing    2020, 2 (2): 40-49.   doi: 10.4103/jin.jin_23_20
Abstract72)      PDF(pc) (553KB)(115)      
In order to facilitate nurses to understand the key points of COVID-19's common syndromes, master the key points of nursing with syndrome differentiation, use the advantages of traditional Chinese medicine (TCM) nursing characteristics, standardize TCM nursing behavior, and improve the TCM nursing effect, through the search of relevant information, combined with the clinical practice experience of more than 1 month of front-line anti-epidemic nursing staff, the TCM nursing protocols for COVID-19 (draft) were formed. After four rounds of expert consultation and discussion, and 15 times of collation and revision, the final version of TCM nursing protocols for COVID-19 was formed. The TCM nursing protocols for COVID-19 include the following five parts: key points of common syndromes, nursing for common symptoms/syndromes, TCM special nursing, healthy guidance, and difficulties in nursing; it is scientific and practical, and can provide clinical guidance for nursing of patients with COVID-19.
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The application of feedforward control in the nursing emergency management of COVID-19
Zhao Jia WANG, Yan Rong SUN, Jing ZHANG, Hui JU, Ling TANG
Journal of Integrative Nursing    2020, 2 (2): 50-54.   doi: 10.4103/jin.jin_17_20
Abstract124)      PDF(pc) (520KB)(96)      
Objective: To explore the application of feedforward control in the nursing emergency management of COVID-19.
Methods: The feedforward control theory was applied to the emergency management of COVID-19 nursing, including grasping the latest epidemic information, preparing for the early stage, formulating nursing workflow, implementing flexible management, standardizing isolation and protection measures, unifying nursing document record format, and implementing humanistic care.
Results: During the period of support to Wuhan, the nursing work in the isolated area was orderly, the nursing staff's job satisfaction was high, no nursing errors and hospital infections occurred.
Conclusion: Efficient feedforward control in the nursing emergency management that could avoid work blindness to a certain extent and play a guiding role in maintaining the normal operation of treatment and nursing work and protecting the safety of patients and medical staff in the ward during the epidemic period of COVID-19.
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The psychological experience of Chinese nurses in support of COVID-19 frontline: A qualitative study
Ju‑Hong PEI, Hai‑Xia CHEN, Xing‑Lei WANG, Rui‑Ling NAN, Xin‑Man DOU, Xian PENG
Journal of Integrative Nursing    2020, 2 (2): 55-60.   doi: 10.4103/jin.jin_24_20
Abstract194)      PDF(pc) (522KB)(184)      
Objective: The objective of the study is to explore the real psychological experience of the frontline support nurses in fight against COVID-19, so as to provide a reference basis for targeted intervention and ensure the mental health of the frontline support nurses.
Methods: The objective sampling method was used to conduct semi-structured interviews with 9 frontline support nurses fighting COVID-19, and the interview contents were analyzed using Colaizzi's 7-step method.
Results: The psychological experience of frontline support nurses in fight against COVID-19 can be summarized into four themes: The coexistence of negative psychological experience and positive psychological experience (tension, anxiety, fear, and depression); psychological pressure; many factors that affect the negative psychological experience (the stimulation of the external environment, the care of family members, the guidance of network public opinion); and solid support system (good family support and rich social support).
Conclusion: Although frontline support nurses have negative emotions and bear great psychological pressure, they all have a high sense of professional responsibility. Therefore, managers should pay attention to their psychological experience and provide targeted assistance to them.

 

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Studies of nursing in acute mastitis in China: Bibliometric analysis
Hui JU, Ling TANG, Hong GUO
Journal of Integrative Nursing    2020, 2 (1): 1-6.   doi: 10.4103/jin.jin_1_20
Abstract163)      PDF(pc) (737KB)(167)      

Objective: To analyze the research hotspots of nursing related to lactation acute mastitis in China and provide guidance and reference for nursing researchers.

Methods: Papers from China National Knowledge Infrastructure, Wanfang Data, VIP Data, and SinoMed are collected. All papers were imported into Noteexpress software in the form of bibliography to check again and delete duplicate references. The remaining literature was screened by reading the title and abstract and finally included by reading the full text. The paper’s information was analyzed using SPSS 22.0.

Results: 1275 papers are searched and 531 papers are included at last. Periodical literature accounted for the highest proportion, 96.80%. Moreover, the journal with the largest number of entries is China Health Care and Nutrition. In 2007, the number of literatures related to acute mastitis nursing began to increase rapidly, and the most articles were published in Henan. Among the literature types, the majority are literatures expert experience. Only 18 literature reports were funded.

Conclusions: Papers on acute mastitis nursing are increasing year by year and gradually become a research hotspot. However, the development of this study is uneven in different regions, with little financial support, and randomized controlled trials are still to be carried out.

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Efficacy of compound Bai Yu San in treating diabetic skin ulcer
Yun-Xia GE, Xiao-Rong LIU, Bei WANG, Yong ZHANG, Jia-Jia TONG, Dou-Dou LI
Journal of Integrative Nursing    2020, 2 (1): 7-10.   doi: 10.4103/jin.jin_7_20
Abstract78)      PDF(pc) (586KB)(185)      

Objective: To assess the efficacy of compound Bai Yu San (CBYS) as a new treatment option, in healing diabetic skin ulcer.

Materials and Methods: A total of 64 diabetic patients with skin ulcer were enrolled and randomly assigned to experimental group (n = 33) and control group (n = 31). In the control group, normal saline (NS) was used to cleanse the wound. After debridement, the wound was dressed with modern materials. In the experimental group, the NS-cleansed wound was dressed with CBYS. The infection rate, healing rate, treatment cost, and patient satisfaction between the two groups were compared. Results: On the 35th day after treatment, the infection rate and healing rate showed no between-group difference (P > 0.05); the experimental group showed lower treatment cost and higher satisfaction than the control group (P < 0.05).

Conclusion: As a new treatment option for diabetes-induced skin ulcer, CBYS can effectively control the infection, promote the healing, reduce treatment cost, and increase patient satisfaction. Dressing with CBYS can be clinically replicated in the treatment of diabetic skin ulcer.

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Evaluation and analysis of the effect of continuing education on nurses’ physical restraint knowledge, attitude, and behavior
Luo YANG, Ling TANG, Hong GUO, Yan-Ling SHEN, Li LI, Qing-Xia LIU, Hai-Yan WANG, Yan-Juan LIU
Journal of Integrative Nursing    2020, 2 (1): 11-17.   doi: 10.4103/jin.jin_4_20
Abstract171)      PDF(pc) (630KB)(180)      

Objective: The objective of the study is to construct a training course for physical restraint (PR) evidence-based practice project and apply it to verify its effect.

Methods: A total of 162 nurses from five departments of a general hospital in Beijing were trained to compare the PR knowledge, attitudes, and behaviors of nurses before and after training.

Results: The nurses were satisfied with the overall curriculum; the total scores of PR’ knowledge, attitude and behavior of nurses after training were higher than before, and the difference was statistically significant (P < 0.05); the total scores of nurses who received evidence-related training before this training were higher than those of nurses who did not receive relevant training, and the difference was statistically significant (P < 0.05).

Conclusion: Continuing education can effectively improve nurses’ knowledge, attitude, and behavior level of PR, ensure patient safety, and promote physical and psychological rehabilitation of patients.

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Home-based treatment and nursing plan of a patient diagnosed with mild-to-common coronavirus disease 2019
Bing-Rui WEI, Dian Francis SAVELLANO, Cui-Huan HU
Journal of Integrative Nursing    2020, 2 (1): 27-31.   doi: 10.4103/jin.jin_8_20
Abstract199)      PDF(pc) (767KB)(212)      

To date, there are no known specific antiviral medicines recommended for coronavirus disease 2019 (COVID-19). The treatment mainly focuses on the improvement of the immunity of the individual and the application of palliative treatment. A case of a patient diagnosed with mild COVID-19 and then later developed common COVID-19 which was treated and closely monitored at home will be presented. The patient was advised for self-quarantine with several prescribed medications. Nursing home and self-care advice were given to the patient, including a change of lifestyle for the duration of the isolation, medication advice, symptomatic care, change of diet, how to monitor the progress of the disease, psychological care, and follow-up instructions. During the course of the nursing plan, the patient showed significant improvements, and normal life functions were restored. On February 05, 2020, novel coronavirus nucleic acid test showed negative after re-examination; the patient was cured. Therefore, providing adequate nursing plan for home-based self-care treatment can effectively cure mild and common cases of COVID-19.

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Analysis of Adaptation Process of Evidence-Based Interventions by Taking Post-Stroke Dysphagia Screening As an Example--Based on a Series of Empirical Studies
Xiao-Yan ZHANG, Jun-Qiang ZHAO, Shang-Qian GAO, Li-Jiao YAN, Xue-Jing LI, Jing-Ya MA, Yu-Fang HAO
Journal of Integrative Nursing    2019, 1 (3): 123-131.   doi: 10.35437/intnur.issn.2663-4481.2019.01.03.01
Accepted: 10 September 2019
Online available: 15 November 2019

Abstract196)      PDF(pc) (384KB)(248)      

Background: Evidence-based interventions (EBIs) are frequently adapted or modified during the implementation process to meet the needs of the target context, public health professionals, or health practitioners. However, little is known about how the EBIs of the same clinical problem at a different time (sustainability) and a different setting (scalability) should be adapted to facilitate implementation. To address this gap, this research aims to analyze the adaptations process of EBIs by taking post-stroke dysphagia screening as an example based on a series of empirical studies.

Methods: We reviewed three best practice implementation projects of post-stroke dysphagia identification and management in mainland China, and conducted a comparative analysis of three projects of dysphagia screening practical decision-making according to core elements of evidence-based nursing (EBN).

Results: We identified the core elements of EBN that influence decision-making in each best practice implementation project. The decision-making of screening time and tool for dysphagia in the three projects varied. Project 1: Post-stroke dysphagia was screened using Water Swallow Test (WST) before the first intake of liquid or food. Project 2: A sustainability study based on project 1, post-stroke dysphagia was screened using Standardized Swallowing Assessment (SSA) before the first intake of liquid or food, within 24 hours of admission. Project 3: A community scalability study based on project 2, post-stroke dysphagia was screened using Water Swallow Test (WST) before the first intake of liquid or food, within 24 hours after referral.

Conclusions: Adaption of EBIs needs to fully consider the best available external evidence from systematic research, clinical expertise, patient preferences, as well as context.

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Investigation and Analysis on the Physical and Mental Health Status of Intern Nurses in a Hospital, Gansu Province
Dong-Mei YAN, Dan-Lin LI, Hui-Hui ZHAO, Meng-Yao SHI
Journal of Integrative Nursing    2019, 1 (3): 138-142.   doi: 10.35437/intnur.issn.2663-4481.2019.01.03.03
Online available: 15 November 2019

Abstract230)      PDF(pc) (379KB)(245)      

Objective: To analyze the investigation results of mental health Symptom Checklist-90 (SCL-90) of nursing interns (hereinafter referred to as nursing students) in a hospital in Gansu Province, to comprehensively and objectively understand the mental health status of nursing students, in order to provide the basis of maintaining and improving the mental health level of nursing students.

Methods: Totally 121 nursing interns were surveyed using SCL-90, and statistical analysis was performed using SPSS19.0.

Results: The mental health status of nursing students in a hospital in Gansu Province is higher than that of normal adults in China. The scores of the six factors (somatization, obsessive-compulsive symptoms, depression, anxiety, horror, and psychosis) are higher (P<0.01). Compared with the group norm, the four factors of somatization, obsessive-compulsive symptoms, terror, and anxiety are higher (P<0.01), but they are better than the mental health status of college students in China (except for somatic symptoms) (P<0.01).

Conclusion: The mental health status of nursing students is poor and needs attention. Interventions can be taken to alleviate psychological problems of nursing students, thoroughly improve their anxiety and depression, and thus improve their health.

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Correlation of Treatment Compliance, Treatment Attitude and Belief, and Quality of Life in Community Hypertensive Patients
Xiao-Jiao LIU, Hong-Fang CHEN, Jia-Mei LI, Yuan LYU, Sheng-Rui ZHU, Huan-Ze LI
Journal of Integrative Nursing    2019, 1 (3): 143-150.   doi: 10.35437/intnur.issn.2663-4481.2019.01.03.04
Abstract230)      PDF(pc) (385KB)(279)      

Objective: To explore the relationship between treatment compliance, treatment attitude and belief, and quality of life in patients with hypertension in the community, and to provide evidence for improving their quality of life.

Methods: A convenient sampling method was used to survey 250 patients with hypertension who met the inclusion criteria using the General Questionnaire, Treatment compliance, Treatment Attitudes and Beliefs, and Quality of Life Scale.

Results: The total score of treatment compliance of hypertension patients in the community was (91.678±11.431), treatment attitude and belief score (70.407±9.008), quality of life score (113.599±13.511), Pearson correlation analysis showed that the treatment compliance of hypertension patients was positively correlated with quality of life (r=0.433, P<0.01), and treatment attitude and belief were positively correlated with quality of life (r=0.463, P<0.01).

Conclusion: The quality of life of patients with hypertension in the community is related to treatment compliance and treatment attitudes and beliefs.

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Five-Tone Therapy Plus Head and Face Massage Relieves Insomnia of Patients with Heart and Spleen Deficiency
Ming-Hui MA, Hai-Yun GAI, Ya-E NIE, Cai-Yun CUI, Zhen WANG
Journal of Integrative Nursing    2019, 1 (3): 151-156.   doi: 10.35437/intnur.issn.2663-4481.2019.01.03.05
Abstract242)      PDF(pc) (511KB)(250)      

Objective: To explore the therapeutic effect of five-element music therapy based on syndrome differentiation plus head and face massage in relieving insomnia of patients with heart and spleen deficiency.  

Methods: Sixty patients with heart and spleen deficiency were divided into control group and test group, 30 cases each. The control group received routine treatment and nursing. The experimental group was given five-element music therapy plus head and face massage on the basis of the control group, once a day, 15 minutes/time, 5 times/week, and continuous observation for 4 weeks. The Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality before and after intervention.

Results: After 30 days, the total effective rate of the experimental group was 86.67%, which was higher than the total effective rate of 76.67% in control group (P<0.05). There were significant differences in the time of sleep, sleep quality, sleep efficiency and PSQI score between the two groups (P<0.05).

Conclusion: Five-tone therapy based on syndrome differentiation combined with head and face massage can effectively improve the sleep quality of patients with heart and spleen deficiency, prolong sleep time, with no adverse reactions, so it is worthy of clinical application.

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Analysis of the Influence of Probiotics on Intestinal Micro-ecology and Related Diseases
Luo YANG, Hong GUO, Yan-Ling SHEN, Li LI, You-Hua LIU, Dan ZHAO, Hai-Yan WANG, Shao-Hua GONG, Xiao-Ping YI
Journal of Integrative Nursing    2019, 1 (3): 163-169.   doi: 10.35437/intnur.issn.2663-4481.2019.01.03.07
Online available: 15 November 2019

Abstract263)      PDF(pc) (369KB)(195)      

Probiotics are a kind of living microorganisms added into food or drug,which are beneficial to our health. Probiotics can regulate the balance of microecosystem in intestine. Recently, people have paid more attention to the effect on the intestinal microecology. This article mainly made a review on the mechanism and application of probiotics.

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Journal of Integrative Nursing Vol. 1 No. 3 2019
Journal of Integrative Nursing    0, (): 1-.  
Abstract74)           
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An Analysis of the Application of the Suggestions of Clinical Practice Guideline for Ostomy Care in China: A Cross-Sectional Investigation
Jing WANG, Shu-Jin YUE, Dong-Qun XUE, Zi-Pan WANG, Yu LI, Zhi-Qi CHEN, Dong-Qin KANG, Qi LIU
Journal of Integrative Nursing    2019, 1 (1): 9-20.   doi: 10.35437/intnur.issn.2663-4481.2019.01.01.02
Accepted: 18 April 2019

Abstract350)      PDF(pc) (405KB)(414)      

Background: Clinical practice guidelines refer to the guidance provided by the expert system to help medical staff and patients decide on appropriate treatments for a specific clinical situation, mainly including guidelines based on expert consensus and evidence-based guidelines. Since there is no research and clinical application of a specific stoma guidance in China. It is of great significance to understand the application status of the recommended guidelines and the influencing factors in promoting the development of stoma care.

Purpose: To investigate the application status of recommended clinical practice guidelines for stoma nursing in China, and to analyse the reasons for the knowledge and application of recommendations.

Methods: The Questionnaire on the Application of Recommendations in Clinical Practice Guidelines for Ostomy Nursing was adopted.

Results: We collected 195 questionnaires and 183 valid questionnaires were available. ①The average knowledge rate of a total of 31 recommendations was 73.65%. The main reasons for unknown were insufficient dissemination and lack of training. ②The average application rate of the 31 recommendations was 58.08%. The overall satisfaction rate of people who used them was high. The main reasons for not applying recommendations were complex.

Conclusions: Different levels of recommendations awareness and application are different. There is a lack of evidence-based guidelines for clinical practice in ostomy nursing in the field of stoma care in China, which limits the scientific development of stoma care to a certain extent. However, this study provides reference for the future construction of a guidebook adapted to our country's localization.

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The Application of the Complementary and Alternative Therapies in Relieving Insomnia for Cancer Patients
Juan LIAO, Bu-Xin HAN, Ling TANG, Dong CAO, Nan ZHAO
Journal of Integrative Nursing    2019, 1 (1): 21-26.   doi: 10.35437/intnur.issn.2663-4481.2019.01.01.03
Accepted: 20 April 2019

Abstract338)      PDF(pc) (391KB)(312)      

Objective: To observe the curative effect of mini-needle therapy combined with traditional Chinese Medicine (TCM) five elements music in relieving insomnia caused by qi stagnation of liver in patients with advanced cancer.

Method: According to the principle of randomization, with meeting the inclusion criteria, the 60 patients who were diagnosed as insomnia caused by liver qi stagnation were randomly divided into the control group and the intervention group. The intervention group (30 individuals treated with mini-needle therapy combined with TCM five elements music), the control group (30 individuals who were treated with single mini-needle therapy), the body buried needle 24 hours/time, 5 times for a course of treatment, interval of 2 days between 2 courses, a total of 8 needles embedded.  Pittsburgh sleep quality index (PSQI) scores of 2 groups were analyzed using SPSS 19.0 statistical software.

Results: The total effective rate was 86.1% in the intervention group, and 75.9% in the control group, the difference was statistically significant between 2 groups (P<0.05). The comparison of the PSQI score between the 2 groups pro-post treatment showed that there were statistically significant differences (P<0.05). The reduction rate of PSQI in the intervention group was 31.7%, indicating that 31.7% was effective, while 23.1% in the control group was ineffective. 

Conclusion: The mini-needle therapy combined with TCM five elements music could relieve insomnia caused by qi stagnation of liver in patients with advanced cancer. 

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Nursing Based on Syndrome Differentiation Combined with Auricular Plaster Therapy in Alleviating Insomnia
Ning WANG, Shu-Li MA, Xi LI, Li-Xia YANG
Journal of Integrative Nursing    2019, 1 (1): 27-34.   doi: 10.35437/intnur.issn.2663-4481.2019.01.01.04
Abstract257)      PDF(pc) (442KB)(346)      

Objective: To observe the effect of auricular point pressing combined with nursing bsed on syndrome differentiation in the treatment of insomnia patients.

Methods: Totally 92 patients with insomnia were randomly divided into the observation group given auricular point pressing combined with nursing care based on syndrome differentiation and the control group treated with auricular point pressing alone. The improvement of Pittsburgh Sleep Quality Index (PSQI), TCM Syndrome Score and nursing satisfaction were compared between the 2 groups.

Results The time effect of PSQI total score and six factors in both groups were statistically significant (P<0.05). The time effect, interaction effect and inter-group effect of subjective sleep quality, PSQI total score were statistically significant (P<0.05); the four inter-group factors of sleep quality, sleep latency, sleep duration and daytime function were statistically significant (P<0.05). The total score of TCM syndromes in the observation group was lower than that in the control group (P<0.05), and the satisfaction rate in the observation group higher than that in the control group (80.43% vs. 60.86%, P<0.05).

Conclusion  Auricular point pressing combined with nursing based on syndrome differentiation can effectively improve the sleep quality of insomnia patients, and has significant advantages in improving TCM syndromes, as well as gained higher nursing satisfaction from patients.

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Investigation on the Clinical Readiness of Nurses' Evidence-based Practice in a 3A-Level General Hospital in Beijing
Luo YANG, Hong GUO, Yan-Ling SHEN, Li LI, You-Hua LIU, Dan ZHAO, Hai-Yan WANG, Shao-Hua GONG, Xiao-Ping YI
Journal of Integrative Nursing    2019, 1 (1): 1-8.   doi: 10.35437/intnur.issn.2663-4481.2019.01.01.01
Accepted: 10 April 2019

Abstract391)      PDF(pc) (405KB)(379)      

Objective: To understand the evidence-based practice readiness of developing evidence application projects in a 3A-level general hospital in Beijing, to identify barriers to evidence-based practice and to promote the successful application of evidence.

Methods: All the clinical nurses who are going to participate in the application units of the evidence-based practice project are selected as the survey objects, and the self-made “Basic Information Questionnaire” and “Clinical Readiness to Evidence-based Nursing Assessment (CREBNA)” are used to conduct the survey. The total amounts and subscales are calculated. The factors that influence the score of the total scale were scored and analyzed.

Results: The CREBNA total score was (119.87±19.18), the evidence subscale score was (47.94±8.54), the organizational environmental subscale score was (36.09±6.11), and the facilitator subscale score was (35.83±7.56). Univariate analysis showed that the total score of the scale was related to years of work, scientific research experience, knowledge of evidence-based care, and participation in evidence-based practice.

Conclusion: The current evidence-based practice preparation situation is good. It is feasible to carry out evidence-based practice activities in the hospital. The follow-up development plan should be made based on the corresponding obstacle factors.

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