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Table of Content
10 July 2020, Volume 2 Issue 2
    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
    2020, 2(2):  33-39.  doi:10.4103/jin.jin_27_20
    Abstract ( 157 )   PDF (494KB) ( 159 )  
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    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.
    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
    2020, 2(2):  40-49.  doi:10.4103/jin.jin_23_20
    Abstract ( 68 )   PDF (553KB) ( 108 )  
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    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.
    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
    2020, 2(2):  50-54.  doi:10.4103/jin.jin_17_20
    Abstract ( 119 )   PDF (520KB) ( 86 )  
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    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.
    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
    2020, 2(2):  55-60.  doi:10.4103/jin.jin_24_20
    Abstract ( 183 )   PDF (522KB) ( 173 )  
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    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.

     

    The psychological status investigation on the nursing staff in a 3A-level hospital during the prevalence of COVID-19 and the analysis of its influencing factors
    Hai-Xia CHEN, Ju-Hong PEI, Xing-Lei WANG, Rui-Ling NAN, Xin-Man DOU
    2020, 2(2):  61-67.  doi:10.4103/jin.jin_25_20
    Abstract ( 110 )   PDF (565KB) ( 86 )  
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    Objective: The objective of the study is to investigate the psychological status of nursing staff both working on nonfront line and on the front line during the epidemic period of COVID-19 and to analyze the influencing factors related to mental health state, as well as to provide targeted psychological intervening measures for nursing staff in the face of this major public health event.
    Methods: We used data from January 28, 2019, to February 08, 2020, on the number of cases who worked in the 3A-level hospital as nonfront-line nurses (n = 29, 54%) and those who worked in Wuhan infectious hospital as the front-line supporters (n = 25, 46%) came from the 3A-level hospital. The participants completed the symptom checklist 90, and the researchers recorded data on demographics, psychological status, and the influencing factors.
    Results: In our baseline scenario, we estimated that the total symptom index was 1.676 ± 0.654 for nurses who worked on the front line, 1.260 ± 0.304 for those who worked as the front-line reserve nurses, and was 1.486 ± 0.647 for those who worked as the nonfront-line nurses. The results of correlation analysis show that the factors related to the psychological status of nurses include age, professional title, marital status, and family support; different factors have different effects on psychological status.
    Conclusion: In the face of major public health emergencies, both front-line nursing staff and nonfront-line staff are confronted with different degrees of psychological stress, so effective psychological support should be given to improve the working efficiency and enthusiasm of nurses.
    Nursing emergency management practice of COVID-19 in a traditional Chinese medicine hospital
    Jing ZHANG, Jian-Hua DENG, Ling TANG, Xiao-Jia WANG
    2020, 2(2):  68-72.  doi:10.4103/jin.jin_31_20
    Abstract ( 72 )   PDF (476KB) ( 62 )  
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    Nursing work is an integral part of hospital work. Under the challenge of the COVID-19 epidemic, it is particularly important to establish a timely and efficient nursing management system. The nursing department of our hospital used the theory and method of feedforward control to formulate the emergency plan for epidemic prevention and control and to conduct drills. The plan includes the establishment of the emergency management system for epidemic nursing and key prevention and control positions, rational allocation of human resources, and strengthening personnel training, so as to ensure the efficient operation of nursing epidemic prevention and control work and provide a reference for nursing management mode during the epidemic.
    Management strategy of prevention and control of nosocomial infection of COVID-19 in blood purification center
    Mo SU, Wan‑Ning JIA, Wen‑Wen HE, Zhi‑Min CAI, Hai-Yan WANG, Liu YANG
    2020, 2(2):  73-77.  doi:10.4103/jin.jin_30_20
    Abstract ( 115 )   PDF (571KB) ( 85 )  
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    There are many patients in the blood purification center who need maintenance hemodialysis to maintain life. Those patients generally have low resistance and are easily exposed to coronavirus because they go back and forth the hospital and residence three times a week and closely contact with family, caregivers, community personnel, people in various means of transportation, medical staff, and other patients visiting hospital. Therefore, the blood purification center has become a high-risk environment for the spread of COVID-19 infection. In view of this, our center quickly responded to the formulation and implementation of infection prevention and control measures suitable for the characteristics of the blood purification center and continuous renal replacement therapy (CRRT) emergency plan for fever and suspected patients. According to these measures, we have a positive effect on preventing and controlling nosocomial infection in the blood purification center.
    Coping with the COVID‑19 pandemic: Strategies for controlling nosocomial infections in the observation area in a general hospital in China
    Feng‑Li GAO, Shu DING, Juan CAI
    2020, 2(2):  78-80.  doi:10.4103/jin.jin_34_20
    Abstract ( 79 )   PDF (436KB) ( 82 )  
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    This study shared experiences in implementing infection prevention and control strategies in an observation area to minimize nosocomial infections of COVID?19 in a 3A?level general hospital in China, including area division, human resources and teamwork, instructions for infection control, and the establishment of workflow management groups in the operation center. These experiences will be helpful to countries, especially developing countries, who are fighting against COVID?19 now and other infectious diseases in the future to control nosocomial infections.

    Comprehensive evaluation method of epidemic prewarning and treatment for COVID-19 in general hospitals
    Wei LUAN, Dong‑Ping ZHU, Wei‑Ren SHI, Jin LI
    2020, 2(2):  81-84.  doi:10.4103/jin.jin_12_20
    Abstract ( 63 )   PDF (474KB) ( 90 )  
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    In recent years, due to frequent occurrence of public health emergencies, outbreaks of major infectious diseases represented by COVID-19 have brought great harm to the lives and health of people. General hospitals are indispensable in disease prevention and control. The study analyzed a comprehensive evaluation method of epidemic prewarning and treatment for COVID?19 in general hospitals through literature review and provided a reference for constructing urban public health prewarning and treatment system.

    Medical assistance in fighting against COVID-19 in Wuhan, China: A frontline nurse’s experience and lessons learned
    Qian‑Qian LI, Feng‑Li GAO
    2020, 2(2):  85-88.  doi:10.4103/jin.jin_35_20
    Abstract ( 91 )   PDF (456KB) ( 99 )  
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    This article shared personal experiences of encountering challenges during the work at the frontline fighting against COVID-19 in Wuhan, China, and found solutions and suggestions to overcome the challenges during the period, including solutions to address challenges encountered during work, suggestions for smooth communication among different parties, and suggestions for optimizing work regulations and workflow and establishing behavior habits and professional knowledge and practices. These experiences would be helpful for health?care workers to fight against the pandemic.

    Management experience of care workers during epidemic prevention and control of COVID-19
    Na CHENG, Run‑Xi TIAN, Nan TONG, Qing GONG,
    2020, 2(2):  89-92.  doi:10.4103/jin.jin_19_20
    Abstract ( 111 )   PDF (461KB) ( 91 )  
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    Since the rapid spread of COVID?19, our hospital has actively implemented the idea of “preventing the coronavirus from entering.” We paid close attention to details, rapidly carried out personnel and material management at all levels, and strived to do a good job in the prevention and control of the epidemic, so as to achieve zero infection. Patients’ carers are an important part of quality care. Lacking of protection knowledge of infectious diseases would increase the risk of nosocomial infection. Therefore, our nursing department set up a team of epidemic prevention and control management. The team made the revision on contingency plans and care management regulations during the outbreak of COVID?19, strengthened epidemic prevention and control knowledge training, carried out the supervision inspection work, and paid attention to humanized management measures to provide an important guarantee for victory over the COVID?19.

    A case report of attending to one critically ill patient with COVID-19
    Ya‑Rong CHEN, Gui‑Ling ZHAO, Pei‑Fen MA, Fu‑Rong LIU, Xin‑Man DOU
    2020, 2(2):  93-96.  doi:10.4103/jin.jin_26_20
    Abstract ( 102 )   PDF (385KB) ( 85 )  
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    The outbreak of COVID-19 in Wuhan began to spread rapidly in December 2019. It is highly infectious and widely spread. This article summarizes the care experience of one critically ill COVID?19 patient, including the strict implementation of protective measures, avoiding infection, precautions for high?risk caring of tracheal intubation, giving psychological care, improving the coordination, the importance of vital signs, food intake and excretion, and how to reduce the risk of infection during sample collection, as well as strengthening discharge guidance.