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.

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 investigate the current status quo of health self-help behavior of elderly in a community and its influencing factors using a semi-structured interview in a qualitative study.

Methods: A phenomenological method is employed for purposive sampling and snowball sampling methods. The elderly (>60 years old), who had lived in the Minhang District of Shanghai for >5 years, with an annual residence duration ≥10 months, were selected. Data were collected in person by a semi-structured and an in-depth interview; the topics were identified according to data arrangement, analysis, and coding.

Results: A total of 10 subjects were enrolled, from Pujiang Town, Minhang District of Shanghai. The cohort constituted of 7 males and 3 females, aged 60-68 years, with an average of (63.40±9.19) years. After data arrangement and analysis, the following topics were obtained: (1) various forms of health self-help behaviors existed among elderly in the community; (2) some factors influenced the health self-help behavior among the elderly in the community; (3) a deviation was observed in the health self-help behavior among the elderly in the community.

Conclusion: The health self-help behaviors of the elderly in the community should be rectified to carry out self and the environmental establishment of the health self-help behaviors of the elderly in the community, as well as, to guide and develop the personalized health self-help behavior program.

Objective  To systematically review the effectiveness of acupoint massage versus normal treatments for acute mastitis. Methods  Databases including CNKI, Wanfang database, VIP, Pubmed, Web of science and Cochrane were searched to collect randomized controlled trials (RCTs) about acupoint massage versus normal treatments for acute mastitis from inception to October 2018. Two reviewers independently screened literature, extracted data, and assessed the risk of bias of included studies. Then meta-analysis was performed using RevMan 5.3.3 software. 

Results  A total of 16 RCTs involving 2056 patients were included. The results of meta-analysis showed that, compared with normal treatments, acupoint massage could improve the efficiency of clinical treatment [RR = 1.18, 95% CI (1.13, 1.22), P< 0.00001], shorten onset time[MD=-1.69, 95% CI (-1.89, -1.41), P<0.00001], decrease the lump size [MD=-2.64, 95% CI (-4.46, -0.82), P=0.005], and decrease the score of symptoms and signs[MD=-3.88, 95% CI (-7.50, -0.27), P=0.04]. However, there was no significant difference in recurrence rate[RR=0.41, 95% CI (0.11, 1.57), P=0.19] and cure rate[RR=11.82, 95% CI (0.50, 282.04), P=0.13]. 

Conclusion  The current evidence shows that, compared with normal treatments, acupoint massage can improve the efficiency of clinical treatment, shorten the onset time, and decrease the lump size. Due to the limited quality of included studies, more high quality studies are needed to verify the above conclusion.

With the development of modern bio-psycho-social medical model and traditional Chinese medicine (TCM) constitution theory, we gradually realize that the exploration of the constitution characteristics of insomnia is of great significance for the reveal of the origin of insomnia and the innovation of its treatment and nursing methods. This paper focused on the analysis of the investigation of TCM constitution classification of insomnia and the application of TCM constitution theory in the treatment and nursing of insomnia. Moreover, the research prospect of insomnia in TCM constitution was discussed. The purpose is to provide theoretical basis for the treatment and nursing of patients with insomnia based on analysis of constitution differentiation in the future, and to better serve the clinic.

Objective: To comprehensively evaluate the risk of recurrence after initial ischemic stroke, and to provide a relatively comprehensive reference for the prevention and control of stroke recurrence.

Methods: CNKI, VIP, Wanfang, PubMed, Web of Science, Embase and other databases were collected to investigate the status of recurrence after initial ischemic stroke, the search period of which was from the establishment of databases to March 2019. And then quality evaluation and data extraction were carried out. The overall cumulative risks of stroke recurrence at 3 months, 6 months, 1 year, 2 years and 5 years after initial ischemic stroke were calculated, and heterogeneity analysis was performed.

Results: A total of 29 studies from 19 provinces (cities, autonomous regions) in China were included. The cumulative total sample size was 22 484 cases, the cumulative recurrent sample size was 3 309 cases. The pooled cumulative risk was 4.5% (95% CI: 3.1-5.8) at 3 months, 7.8% (95% CI: 5.6-10.0) at 6 months, 13.6% (95% CI: 11.0-16.2) at 1 year, 17.5% (95% CI: 12.4-22.6) at 2 years and 30.9% (95% CI: 20.2-41.7) at 5 years after initial ischemic stroke.

Conclusions: The recurrence rate of acute ischemic stroke in China is high. It is recommended that all levels of medical and health departments strengthen the prevention and treatment of ischemic stroke recurrence to reduce the recurrence of ischemic stroke and improve the prognosis of patients.