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Table of Content
30 June 2023, Volume 5 Issue 2
    Accessible and low‑ to zero‑cost remedy: Traditional medicine use during pregnancy and labor
    Modupe Motunrayo ADAMOLEKUN, Oluwaseyi Abiodun AKPOR, Oghenerobor Benjamin AKPOR, Oluwakemi Elizabeth ADEOLA, Olusola Bolaji ADEWALE
    2023, 5(2):  75-80.  doi:10.4103/jin.jin_85_22
    Abstract ( 27 )   PDF (483KB) ( 19 )  
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    Traditional medicine (TM) has played an essential part in maternity services around the world, which has led to increased utilization among pregnant women. Herbs, herbal preparations, and completed herbal products are examples of TMs that contain active substances such as plant parts or other plant components that are thought to have therapeutic advantages. This study review aimed to identify the herbs commonly used, reasons for use, and effect of use, to make adequate recommendations on herbal medicine use as a remedy for pregnancy and labor. Incorporating evidence from reviews, personal correspondence, and diaries, this study demonstrates that about 80% of people used TM such as herbal remedies for sickness diagnosis, prevention, treatment, and promotion of general well-being. Due to its accessibility, cost, and availability, TM is usually used by expectant mothers. Examples of TM used in pregnancy and labor include honey, aloe, raspberry, jute mallow, and hibiscus leaves. It is important to note that its use in pregnancy and labor can be beneficial or harmful to both mother and child. Lack of standardization, financial risk, lack of safety, and effectiveness are challenges to TM. There is a need of creating awareness of the safe use and effects of TM in pregnancy and labor through the provision of health education programs for women in the community.

    Heart failure symptom burden, dietary intake, and inflammation: An integrative review of the literature
    Erica DAVIS, Sandra DUNBAR, Melinda HIGGINS, Kathryn WOOD, Erin FERRANTI, Alanna MORRIS, Brittany BUTTS
    2023, 5(2):  81-92.  doi:10.4103/jin.jin_26_23
    Abstract ( 32 )   PDF (694KB) ( 16 )  
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    Heart failure (HF) is characterized by high symptom burden including, but not limited to fatigue, dyspnea, and edema. Up to 21.5% of HF patients experience significant depressive symptoms, much higher than 7.1% in adults without HF. Diet, metabolites, and other inflammatory mechanisms have gained notable attention in recent studies for contributions to symptoms in HF. Symptoms for black adults (B/As) with HF are often influenced by lifestyle factors, which may influence their higher mortality rates; few studies address these factors. Distinguishing the links between key elements with diet, inflammation, and symptoms may bring clarity for new dietary strategies in HF clinical care. The purpose of this integrative review is to examine the existing literature regarding relationships among physiologic pathways in HF along with physical and emotional symptoms in the context of inflammation, dietary intake, tumor necrosis factor-alpha (TNF-a), a biomarker of inflammation, and trimethylamine-N-Oxide (TMAO). Based on available evidence, inflammation may be a key link between physical symptoms, diet, depression, TMAO, and TNF-a in persons with HF and warrants further examination to clarify pathological links to solidify evidence for better guidance with dietary modifications. The literature reviewed in this study demonstrates that more work is needed to examine dietary planning, social support, and differences between men and women in the B/A community. Results of this literature review call attention to the essential, personalized care needs related to symptom monitoring and dietary planning which is expected to decrease symptom burden in the HF population.

    Diabetes self-management education: Benefits and challenges
    Ibironke Cecilia OJO, Elizabeth Olufunmilayo OJO, Simeo Kayode OLUBIYI
    2023, 5(2):  93-101.  doi:10.4103/jin.jin_105_22
    Abstract ( 24 )   PDF (565KB) ( 18 )  
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    Diabetes mellitus has spread throughout many nations of the world and is now a serious threat. A lack of patient self-management has been linked to this drain on global health. The consequences of diabetic patients' poor self-management have increased a variety of complications and lengthened hospital stays. Poor information and skill acquisition have been linked to poor self-management. Participating in a co-operative approach known as diabetes self-management education will help diabetes patients who want to successfully self-manage their condition and any associated conditions. Information is one of the most important components of a diabetes management strategy. In conclusion, numerous studies have shown that patients with diabetes have poor self-management skills and knowledge in all areas, making training in diabetes self-management necessary to minimize the complications that may result from diabetes mellitus among the patients. This review discussed the severity of diabetes mellitus, diabetes self-management, and the benefits and challenges of diabetes self-management, which may aid individuals in understanding the significance of diabetes self-management and how it relates to diabetes self-care.

    Intensive care environment: Perspective of relatives of critically ill patient sustained by health technology
    Chinomso Ugochukwu NWOZICHI, Olaolorunpo OLORUNFEMI
    2023, 5(2):  102-107.  doi:10.4103/jin.jin_117_22
    Abstract ( 24 )   PDF (848KB) ( 14 )  
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    The intensive care unit (ICU) is a complex setting by nature, and some have described it as bizarre due to its numerous sirens that sound when anything is dangerous, constant activity, equipment, bright lights, and high fatality rate. The demands placed on nurses to care for critically ill patients in this environment frequently prevent nurses and other health-care professionals from acknowledging the feelings of patient's relatives or family caregivers, resulting in a hostile environment from the patient's relative's perspective. When a patient's family enters the ICU, they feel that hospital administrators do little to nothing to alleviate their discomfort and fear. Despite research demonstrating the importance of providing a homely environment for patients' families, In Nigeria ICU is still far behind how a conventional ICU environment should be structured to accommodate patient's relations in the unit. The goal of this study was to look at the patient's relative's perspective on providing care for a critically ill patient in an ICU, with a focus on the unit's complexity and overall experience. Based on the findings of this study, we recommend that hospital administrators ensure that the environment of the upcoming ICU is designed to meet the needs of patient's relatives by addressing identified environmental concerns, like caring neglect, by providing a friendly and stress-free environment.

    Pediatric thermal burn injury: A retrospective analysis from pediatric care institutes, Eastern India
    Kartik Chandra MANDAL, Sourav ROY, Pankaj Kumar HALDER, Partha CHAKRABORTY, L. NEILASANO, Debasree GUHA
    2023, 5(2):  108-114.  doi:10.4103/jin.jin_4_23
    Abstract ( 22 )   PDF (589KB) ( 17 )  
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    Objective: Pediatric burns pose difficult healthcare issues in underdeveloped nations. Due to the scarcity of pediatric burn care facilities and qualified burn-care staff, patients are frequently referred from a rural hospital. This study explores the burn-treatment approach that could be used in rural hospitals in the absence of a dedicated pediatric burn care facility.
    Materials and Methods: A retrospective analysis of clinical data of 199 children who received treatment for burn-injury in an isolated general surgical ward. Wound debridement under anesthesia at the earliest was the cornerstone of the treatment plan for this cohort. Until the wounds healed, the treatment was repeated every alternate day. The patient's demographic data, number of surgical dressings, length of hospital stay, and outcome were analyzed.
    Results: The mean age of the patients was 51.68 ± 23.79 months. The male-female ratio was 1.45:1. The survival rate was 99.00%. The disability rate was 4.52%. Univariate logistic regression identified the age group, total body surface area affected, depth of the wound, and time of intervention as statistically significant variables (P < 0.05) predicting the disfigurement. Multivariate logistic regression identified the time intervals between surgical intervention and injury as an important predictor of morbidity. In addition, delayed presentation and delayed intervention led to a longer hospital stay, and more interventions than the early intervention cohort.
    Conclusions: Early debridement accelerates recovery and lessens the need for future skin grafts or contracture procedures. This approach can be used in rural hospitals as well because pediatric burns can be manageable in an isolated general ward.

    The impact of nurses’ organizational commitment on their perceptions of the work environment: Strong mediating effect of the psychological contract
    Pengxiang ZUO, Cengceng LU, Jing ZHOU, Ming HOU, Xiaohui JIAO
    2023, 5(2):  115-121.  doi:10.4103/jin.jin_118_22
    Abstract ( 24 )   PDF (841KB) ( 17 )  
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    Objective: The objective is to assess the direct and indirect effects of nurses' organizational commitment (OC) on their work environment perceptions (WEP) and the role of the psychological contract (PC).
    Methods: A cross-sectional quantitative study of 3047 registered nurses in four Chinese hospitals was conducted. The Essentials of Magnetism II (Chinese version), OC, and PC scales were used in the study, and the structural equation modeling was used to assess the connections among variables.
    Results: The results showed that OC was positively correlated with WEP (r = 0.561, P < 0.001), and PC was negatively correlated with the WEP (r =  0.717, P < 0.001), and OC (r =  0.739, P < 0.001). Nurses' PC played a strong mediating role between OC and WEP, accounting for 87.64% of the total effect. Besides, PC played an important role in creating a healthy work environment.
    Conclusions: The exploration of the relationships among WEP, PC, and OC provides new insights for hospital managers to build a better work environment for nurses, which is conducive to maintaining a stable nurse team and providing high-quality nursing services for patients.

    Training needs in intravenous infusion care for children in China: A cross-sectional study
    Jingjing LI, Jiaxin FANG, Liu HAN, Junhan YANG, Xueyan FAN, Dahua ZHANG
    2023, 5(2):  122-131.  doi:10.4103/jin.jin_97_22
    Abstract ( 27 )   PDF (661KB) ( 17 )  
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    Aim: This study aims to evaluate demands for general and pharmacological knowledge and training related to intravenous (IV) therapy among pediatric nurses.
    Materials and Methods: This multicentric cross-sectional study involved 12,707 pediatric nurses from 100 hospitals in China. A questionnaire was used to assess information about IV drug administration training received, and the demands for pharmacology-related knowledge, and corresponding methods of acquisition. A generalized linear model using Logit link function was employed to assess relationships between factors and multivariate analysis was conducted.
    Results: More than 99% of participants showed their training demands for IV therapy training. Pediatric nurses' demands and methods for acquiring IV therapy knowledge and the knowledge related to IV therapy pharmacology have significant differences in social demographic factors, previous knowledge, whether they have received training or not, and other factors (all P < 0.05). Received a needlestick injury in the past month (P = 0.007) and knowledge acquired through in-hospital or out-of-hospital training (P = 0.039) were factors that reduced the demands for methods to acquire further pharmacology-related knowledge of IV therapy. Working in internal medicine (P = 0.025) and not having experienced a needlestick injury in the past year (P = 0.007) reduced the demands for IV therapy knowledge. Attended hospital (P = 0.007) or departmental meetings (P = 0.009), being pediatric primary nurses (P = 0.044), and studied special IV guidelines (P = 0.006) reduced the desire for methods to acquire IV therapy knowledge.
    Conclusion: There was a high demand for greater general and pharmacological knowledge related to IV therapy among pediatric nurses. Resources should be coordinated to provide ongoing training to nurses to improve the quality of IV care.

    Early warning systems for enteral feeding intolerance in patients with stroke
    Guiying LIU, Yanyan ZHANG, Ling TANG
    2023, 5(2):  132-137.  doi:10.4103/jin.jin_121_22
    Abstract ( 25 )   PDF (649KB) ( 15 )  
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    Objective: The objective of this study was to construct an early warning system (EWS) to facilitate risk assessment, early identification, and appropriate treatment of enteral nutrition feeding intolerance (FI) in patients with stroke, so as to provide a reference for risk classification standards and interventions toward a complete EWSs for nursing care of stroke.
    Materials and Methods: Based on evidence and clinical nursing practice, a structured expert consultation method was adopted on nine experts over two rounds of consultation. Statistical analysis was used to determine the early warning index for FI in patients with stroke.
    Results: The expert authority coefficient was 0.89; the coefficients of variation for the two rounds of consultation were 0.088–0.312 and 0.096–0.214, respectively. There were significant differences in the Kendall's concordance coefficient (P < 0.05). Finally, 22 items in five dimensions of patient age, disease, treatment, biochemical, and enteral nutrition-related factors were identified.
    Conclusion: The early warning index for FI in patients with a history of stroke is valid and practical. It provides a reference for the early clinical identification of FI risk.

    Impact of designed infection control educational program on nurses’ knowledge and compliance with standard precautions at maternity hospitals
    Fatma ZAGHLOUL-MAHMOUD, Mohamed GAMAL-MOSTAFA, Walaa MAHMOUD-ABDEL-RAHMAN
    2023, 5(2):  138-144.  doi:10.4103/jin.jin_120_22
    Abstract ( 22 )   PDF (727KB) ( 17 )  
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    Objectives: This study aimed to assess the nurses' knowledge and compliance with infection control standard precautions and evaluate the impact of the designed infection control educational program on nurses' knowledge and compliance with standard precautions at the maternity hospital.
    Materials and Methods: A quasi-experimental one-group pretest-posttest design was used on convenient sample of 60 nurses working at Obstetrics and Gynecological hospital in Cairo University Hospital, Kasr El Ainy, who received “designed infection control educational program” for 6 months. The data were collected through the questionnaire comprising demographics, knowledge, and compliance with standard precautions questionnaire. The nurses' knowledge and compliance score were compared before and after intervention.
    Results: The studied nurses had higher level of knowledge (85.3%) and compliance (92.8%) regarding infection control standard precautions after the educational program compared to before the program. The results revealed statistically significant difference between before and after the program regarding nurses' knowledge score (15.5 ± 2.9 vs. 17.1 ± 1.6, P < 0.001) and compliance score (58.5 ± 13.2 vs. 74.3 ± 5.1, P < 0.001). In addition, there was insignificant relation between nurses' knowledge and compliance with standard precautions both before (r = 0.952, P = 0.474) and after educational program (r = 0.164, P = 0.223).
    Conclusion: The nurses' level of knowledge and compliance regarding infection control standard precautions was significantly improved after the program. Therefore, it is recommended that periodical educational programs regarding the standard precautions of infection control are essential for nurses at maternity hospital.

    Prevalence of social media addiction among nursing students
    Marwa Mamdouh SHABAN, Nagah Mahmoud ABDOU, Mahmoud Magdy EID, Mostafa Ahmed IBRAHIM, Mohammed Saad El Dean METWALY, Mohamed Abdeltwab SAYED, Youmna Magdy Abdulwahab MANSOUR, Fatma Saad RAMADAN
    2023, 5(2):  145-150.  doi:10.4103/jin.jin_127_22
    Abstract ( 28 )   PDF (588KB) ( 15 )  
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    Objective: The objective of this study was to assess the prevalence and level of social media addiction among nursing students in the Faculty of Nursing, Cairo University.
    Materials and Methods: A descriptive cross-sectional research design was conducted on samples of 340 students at the Faculty of Nursing, Cairo University. Data were collected through demographic background information sheet and Social Networking Addiction Scale.
    Results: All the students were addicted as 6.76% were severely addicted and 60.59% and 32.65% were moderately and mildly addicted, respectively. Significant relations were found between social media addiction and students' age (χ2 = 11.331, P = 0.003), educational level (χ2 = 20.239, P = 0.003), and grade point average (χ2 = 19.378, P = 0.013).
    Conclusion: Internet addiction was prevalent among all students but at different levels, so early screening of students for Internet addiction using the Internet Addiction Scale is important to provide early treatment and prevent hazards to health.

     

    Operating procedures of traditional Chinese medicine breast massage
    Jingjin XU, Hong CHEN, Jing ZHANG, Jiaji LI, Ye LI, Ling TANG
    2023, 5(2):  151-154.  doi:10.4103/jin.jin_27_23
    Abstract ( 24 )   PDF (516KB) ( 15 )  
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    Traditional Chinese medicine breast massage, also known as breast Tuina or manual expression of breast milk, is a technique of using certain manipulations to act on specific positions or acupoints of the breast to promote blood and lymphatic circulation of breast and facilitate the discharge of stagnant milk. This technique is widely used in China to treat breastfeeding problems such as breast engorgement, mastitis, and postpartum hypogalactia. In this article, we introduce the definition and standardization process of breast massage, elaborate the operating procedures of breast massage in detail, and summarize and discuss the current situation of its clinical application, so as to provide a reference for its wide application and in-depth research.

    Technical operation specification for cupping therapy
    Yongchun WEI, Yali WANG, Haiyan E, Kaiye ZHANG, Ling TANG
    2023, 5(2):  155-160.  doi:10.4103/jin.jin_24_23
    Abstract ( 24 )   PDF (545KB) ( 13 )  
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    Cupping, as one of the characteristic therapies of traditional Chinese medicine, has been applied for more than 2000 years and has a unique curative effect in clinic. With the evolution of the times, the types and operation techniques of cupping method are also iterating. In the process of its inheritance and development, cupping technology is also known by more and more people. Starting from the development and efficacy of cupping method, this paper introduces the clinical operation steps and precautions of cupping method in detail, and lists the representative diseases such as lumbar muscle strain, herpes zoster, and ankylosing spondylitis, to provide reference for clinical application.