Journal of Integrative Nursing

Discussion on optimizing nursing rounds model based on the inheritance of traditional Chinese medicine nursing

Xue‑Jian ZHANG, Ling TANG, Jing ZHANG, Yue TANG

2021, 3(2): 53-55. doi:10.4103/jin.jin_05_20

Abstract ( 65 )

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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

2021, 3(2): 56-61. doi:10.4103/jin.jin_5_21

Abstract ( 119 )

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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.

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

2021, 3(2): 62-66. doi:10.4103/jin.jin_013_20

Abstract ( 153 )

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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.

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

2021, 3(2): 67-71. doi:10.4103/jin.jin_13_21

Abstract ( 115 )

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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.

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

2021, 3(2): 72-79. doi:10.4103/jin.jin_09_20

Abstract ( 123 )

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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.

Application of rehabilitation nursing technology in the pulmonary rehabilitation of the patients after lung cancer operation

Yuzhen XU, Lin HAN

2021, 3(2): 79-84. doi:10.4103/jin.jin_4_21

Abstract ( 66 )

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The rehabilitation nursing of lung function at home for lung cancer patients after operation can not only improve the level of lung function and the quality of life but also improve the compliance of patients with treatment and improve their psychological status. Studies have shown that respiratory training, exercise training and rehabilitation nursing techniques of Chinese medicine, such as Six-Word Qigong , Tai Chi and Baduanjin have better effects on lung function recovery in patients after lung cancer surgery. In this paper, we made review and discussion on the application of the above methods in patients with lung cancer at home after operation.

The effect of baduanjin exercise in rehabilitation for functional ankle instability: A study protocol for a randomized controlled pilot trial

Li ZHOU, Juanjuan AI, Qingwen GENG, Kuangshi LI, Yiting SUN, Ruyu YAN, Diyang LYU, Zongheng LI

2021, 3(2): 85-92. doi:10.4103/jin.jin_012_20

Abstract ( 93 )

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Introduction: Patients with functional ankle instability (FAI) have problems with joint control, balance, gait, and postural symmetry. Baduanjin is a type of traditional Chinese exercise that has been shown to be effective in treating many diseases and symptoms. However, to date, the effect of Baduanjin in patients with FAI has not been proved. This pilot trial is an assessor-blinded randomized controlled trial, and its objective is to study the efficacy and safety of Baduanjin on the rehabilitation of patients with FAI.
Methods: Seventy-two participants, who are eligible according to specified inclusion and exclusion criteria, will be randomized (in a 1:1 ratio), using a random number table, into two groups: a Baduanjin group and a conventional treatment group. The Baduanjin group will be subjected to the Baduanjin exercise in addition to the conventional treatment therapy. Participants' exercise programs will be implemented for 4 weeks (5 days a week). All participants will be assessed at baseline, and after two and 4 weeks of treatment. The surface electromyography results of the bilateral erector spinae, tibialis anterior, and peroneus longus will be the primary outcomes, while the balance function under different conditions and the level of FAI in daily life measured using the Cumberland Ankle Instability Tool will be the secondary outcomes.
Ethics and Dissemination: The trial has been approved by the Research Ethical Committee of Dongzhimen Hospital, the First Affiliated Hospital of Beijing University of Chinese Medicine (no. DZMEC-KY-2019-18), and it will follow the principles of the Consolidated Standards of Reporting Trials statements as well as the Declaration of Helsinki. The findings of this study will be submitted for publication in peer-reviewed journals. The results will also be disseminated to the participants via phone calls or e-mail.
Trial registration: Chinese Clinical Trial Register ID: ChiCTR1900021939 (March 17, 2019). http://www.chictr.org.cn/.

Nursing care of a patient with programmed cell death protein‑1 immunotherapy‑related myocarditis combined with coronary heart disease

Wen-Qi HUANG, Yan-Bing QING, Li-Fang MA, Zhang-Qi LI, Chun-Xiang SU

2021, 3(2): 93-96. doi:10.4103/jin.jin_17_21

Abstract ( 91 )

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This report introduced and summarized the nursing care experience for a senior patient with lung cancer and developed programmed cell death protein 1 (PD-1) immunotherapy-related myocarditis combined with coronary heart disease (CHD) after receiving said treatment. In this case, immune myocarditis with CHD occurred shortly after implementing the PD-1 immunotherapy, yet the patient presented no clinical symptoms. Frequent nursing attention and close observation are so required for monitoring the patient's status and updating the physicians for a swift control of the myocarditis. For this case, nursing care procedures vital for the successful recovery of the patient included condition observation, position management, pre- and postcoronary angiography care, infection prevention, hemorrhage prevention, venous access port maintenance, pain care, trachea care, psychological care, diet care, environment management, and health education. After receiving effective, successful treatment and care, the patient was discharged after 13 days of treatment with generally satisfying overall conditions.