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.
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.
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.
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.
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 Kendall’s 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.