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Effect of moxibustion combined with five-element music therapy on postoperative pain relief after mixed hemorrhoid operation
Li-Yuan Wang, Hai-Yun Gai, Yu Wen, Ming-Hui Ma
January-March 2020, 2(1):22-26
Objective: To investigate the effect of moxibustion combined with five-element music therapy on the postoperative pain relief of patients undergoing surgical operation for mixed hemorrhoid with damp-heat syndrome. Methods: Totally, 159 patients meeting the inclusion criteria were assigned to the control group, study group 1, and study group 2, with 53 cases in each group. All patients received routine care after surgical treatment, including acupoint application and Chinese herbal fumigation. In addition, patients in the study group 1 received moxibustion, and those in the study group 2 were given moxibustion combined with five-element music therapy. The degree of postoperative pain was evaluated using visual analog scale (VAS). Results: There was no significant difference in VAS score on pain during dressing changes among three groups (P > 0.05). After 3, 5, and 7 days of intervention, there was a significant difference in VAS score on pain at rest among three groups (P < 0.001), and VAS score in the study group 2 was lower than that in the study group 1 and the control group after 3 and 5 days of intervention, respectively (P < 0.05). Conclusion: Moxibustion combined with five-element music therapy is effective to relieve the postoperative pain of patients undergoing a surgical operation for mixed hemorrhoids with damp-heat syndrome.
  9,959 156 -
Physical restraint using, autonomy, ethics among psychiatric patients in nursing practice in China
Jun-Fang Zeng, Hong-Tao Cai, Wei-Ming Li, Cai-Mei Zou
July-September 2020, 2(3):97-102
The application of physical restraint for patients represents ethical dilemmas for psychiatric nurses in terms of maintaining the safety of all (clients and staff) while at the same time curtailing the individual's autonomy. This article aimed to provide a sound knowledge of ethical positions and strategies for psychiatric nurses to address ethical issues of physical restraint according to the ethical principles of autonomy, beneficence, nonmaleficence, and ethical theories. Given that nursing workforce was limited and workload among psychiatric nurses was heavy, physical restraint was one of the coercive interventions managing aggressive behavior. In relation to address ethical dilemmas, it was proposed to acquire informed consent of physical restraint from the individuals and provide person-centered care. Effective communication and negotiation with patients could help to strike a balance between patients' autonomy and nurses' accountability when using physical restraint. In addition, guidelines and targeted intervention strategies need to be developed to regulate and reduce the implementation of restraint. Finally, a collaboration among nurses, psychiatrists, and families is essential to protect patients' autonomy concerning physical restraint use.
  9,299 295 -
Teaching traditional Chinese medicine classics to clinical nurses: Taking Treatise on Cold Damage for example
Ling Tang, Jing Liu, Jing-Jin Xu, Xue-Ling Ma
January-March 2021, 3(1):1-4
  7,343 92 -
Analysis of status quo and research progress in nursing care for different typed coronavirus disease 2019: A literature review
Bing-Rui Wei, Dian Francis Savellano, Cui-Huan Hu
October-December 2020, 2(4):160-171
At present, patients with coronavirus disease 2019 (COVID-19) are showing a surge in the world, to explore the clinical characteristics, treatment, and care of different types of COVID-19. The authors reviewed the existing literature, selected, and analyzed the diagnosis and treatment records of 11 patients with COVID-19 who were initially cured, including patient information, clinical manifestations, auxiliary examination results, treatment principles, nursing evaluation, nursing goals, nursing diagnosis, and nursing measures, and found clinical similarities and differences in the care of different types of patients. Among them, nine patients recovered and discharged after receiving treatment, and two died. As there is no specific medicine, only symptomatic treatment and supportive treatment can be given. Eleven common nursing measures and special nursing measures of different levels were carried out for patients diagnosed with mild, common, severe, and critical illnesses, and different treatment methods were given according to the severity of signs and symptoms. By summarizing the similarities and differences of clinical nursing interventions, we hope to help improve the quality of care for patients diagnosed with COVID-19.
  4,944 116 -
Application of empowerment education in health education for cancer patients
Yan Peng, Lin Han, Fang-Fang An, Li Li, Yue-Li Hou
January-March 2021, 3(1):46-50
Empowerment education aims to stimulate the intrinsic motivation of patients and make them pay more attention to their own health so as to control the disease. This paper expounds the concept, theoretical framework, implementer, object, implementation steps, forms, and evaluation methods of empowerment education for cancer patients, in order to provide practical guidance for clinical workers.
  4,265 77 -
Impact of the emigration of nurses on health care delivery system in selected hospitals, Benin-City, Edo State, Nigeria
Olaolorunpo Olorunfemi, David Idenyi Agbo, Omotayo Mercy Olorunfemi, Esther Odogho Okupapat
July-September 2020, 2(3):110-115
Background: Globally, there is a high demand for nurses, resulting in migration from low-to high-income countries. The emigration of nurses is the act of leaving one's own country to settle permanently in another country, leading to a shortage in the number of nurses in their home countries. Consequently, this study aims to assess the impact of the emigration of nurses on the health-care delivery system in Nigeria. Materials and Methods: A descriptive cross-sectional survey was conducted with a stratified sampling technique to select 270 nurses from three selected hospitals in Benin-city Edo state. A self-structured questionnaire with open and Likert scale questions were used as an instrument to assess the Impact of the Emigration of nurses on the Health Care Delivery System. Data collected were analyzed using tables, percentages, means, standard deviation and t-test. Results: The result showed a mean score of 1.59 ± 0.92 impacts of the emigration of nurses on health-care delivery system and identified how to reduce it. The study also showed that there is no significant difference between gender and reason for emigration among nurses (t = 3.84, P ≤ 0.001). Conclusion: The emigration of nurses is severely affecting the health care delivery system in the country. Recently, the Nursing and Midwifery Council of Nigeria gave the directive for training schools to increase their training capacity and number of students' intake to cushion the effect, and this study shows that this palliative can only be a short time measure, and however will encourage more nurses traveling abroad on the long run. Therefore, the hospital managers and government should provide a conducive working environment, better remuneration, attractive retirement benefit, and other incentives as a push in factor for nurses to stay back in their home countries.
  3,391 163 -
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
April-June 2020, 2(2):33-39
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.
  2,171 169 -
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
April-June 2020, 2(2):40-49
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.
  2,154 142 -
Evaluation and analysis of the effect of continuing education on nurses' physical restraint knowledge, attitude, and behavior
Luo Yang, Ling Tang, Hong Guo, Yan-Ling Shen, Li Li, Qing-Xia Liu, Hai-Yan Wang, Yan-Juan Liu
January-March 2020, 2(1):11-17
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.
  2,030 156 -
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
April-June 2020, 2(2):50-54
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.
  2,045 131 -
A bibliometric analysis of nursing research in COVID-19 in China
Ke Peng, Qiu-Lu Mai, Mei-Qi Meng, Dou Wang, Xiao-Yan Zhang, Yu-Fang Hao
July-September 2020, 2(3):116-122
Objective: The objective of this study is to analyze the current status of nursing research in COVID-19 through literature metrology and provide ideas and references for further research. Methods: The search terms such as “novel coronavirus/COVID-19” and “nursing” were used to search the nursing-related papers published in China National Knowledge Infrastructure, Wanfang Data, VIP Data, SinoMed, Web of Science, and PubMed from October 1, 2019, to March 30, 2020. The bibliometric methods and related software were used for analysis. Results: A total of 234 articles were included from 48 journals, and core journals accounted for 61.1%. There were five nursing literature topics and 14 document types. There is a cooperative relationship between six institutions. Keywords include nursing staff, nursing management, and protection. Conclusions: The opening of journal green channels and the establishment of database columns will help the spread of anti-epidemic academic results. The topics of nursing literature include clinical nursing, nursing management, prevention and control, nursing education, and social surveys. Nursing literature types focus on cross-sectional research and experience summary; the cooperation between researchers and research institutions has begun to take shape, and it is recommended to strengthen the research on iatrogenic injuries and nurse training in future nursing research.
  1,936 148 -
The relationship between diabetes-related distress and self-management in empty-nest elderly patients with type 2 diabetes mellitus: The mediating effect of self-efficacy
Hui-Wen Xu, Yuan Yuan, Lin Liu, En Takashi, Kitayama Akio, Xin Li
July-September 2020, 2(3):103-109
Objective: The aim of this study is to investigate the mediating effect of self-efficacy between diabetes-related distress and self-management in empty-nest elderly patients with type 2 diabetes mellitus (T2DM). Methods: A total of 347 empty-nest elderly patients with T2DM from Jiangsu Province Hospital of Chinese Medicine and Affiliated Hospital of Yangzhou University were investigated by a self-designed General Information Questionnaire, the Self-efficacy for diabetes, the Diabetes Distress Scale, and the summary of diabetes self-care activities. Diabetes-related distress and diabetes self-management were tested for correlation analysis with self-efficacy. Meditational analyses were conducted to test the hypothesized mediating effects of diabetes self-efficacy as an intervention variable between diabetes distress and self-management. Results: About 68.59% of patients suffered from diabetes-related distress. The results of bivariate correlations revealed that self-efficacy was negatively correlated with diabetes-related distress (r =–0.627, P < 0.01) and positively correlated with self-management (r = 0.356, P < 0.01). The relationship effects of diabetes distress on self-management were fully mediated by self-efficacy. Conclusions: Diabetes-related distress prevails in empty-nest elderly patients with T2DM. Self-efficacy plays a mediate role between diabetes-related distress and self-management. Psychological intervention is contributed to reducing diabetes-related distress.
  1,911 145 -
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
April-June 2020, 2(2):78-80
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.
  1,867 120 -
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
April-June 2020, 2(2):55-60
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.
  1,815 164 1
Home-based treatment and nursing plan of a patient diagnosed with mild-to-common coronavirus disease 2019
Bing-Rui Wei, Dian Francis Savellano, Cui-Huan Hu
January-March 2020, 2(1):27-31
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.
  1,759 175 -
Sleep disturbance in patients with cancer
Mohammed Al Maqbali
October-December 2020, 2(4):153-159
Patients diagnosed with cancer often experience sleep disturbance in the form of poor sleep patterns or insomnia that can start on diagnosis and continue until the end of the individual's life. The aim of this review is to discuss current definitions and theories of sleep disturbance, its prevalence, the underlying physiological and psychological correlates, measurement scales, and possible intervention and management strateg?ies. Equally important, regular assessment is worthwhile for sleep disturbance and quality of life among cancer patients. Therefore, it is advisable for health-care professionals to conduct regular assessment of sleep disturbance for cancer patients and provide appropriate management.
  1,807 118 -
Studies of nursing in acute mastitis in China: Bibliometric analysis
Hui Ju, Ling Tang, Hong Guo
January-March 2020, 2(1):1-6
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.
  1,761 133 -
Rehabilitation nursing for an earthquake survivor with severe polytrauma: A case report and literature review
Chun-Yi Xu, Fang Tang
July-September 2020, 2(3):149-152
The aim of this article is to summarize the experience of rehabilitation nursing of one case of severe polytrauma caused by earthquake. The key points of the rehabilitation nursing include body posture nursing, orthopedic rehabilitation nursing, pulmonary function rehabilitation nursing, bladder rehabilitation nursing, nutritional support, and psychological rehabilitation nursing. Through the comprehensive rehabilitation nursing interventions, satisfactory outcomes were obtained, and the patient was successfully recovered and discharged after 2 months.
  1,617 126 -
Comprehensive evaluation method of epidemic prewarning and treatment for COVID-19 in general hospitals
Wei Luan, Dong-Ping Zhu, Wei-Ren Shi, Jin Li
April-June 2020, 2(2):81-84
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.
  1,637 84 -
Medical assistance in fighting against COVID-19 in Wuhan, China: A frontline nurse's experience and lessons learned
Qian-Qian Li, Feng-Li Gao
April-June 2020, 2(2):85-88
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.
  1,594 114 -
Discussion on optimizing nursing rounds model based on the inheritance of traditional Chinese medicine nursing
Xue-Jian ZHANG, Ling TANG, Jing ZHANG, Yue TANG
April-June 2021, 3(2):53-55
  1,559 148 -
Nursing emergency management practice of COVID-19 in a traditional Chinese medicine hospital
Jing Zhang, Jian-Hua Deng, Ling Tang, Xiao-Jia Wang
April-June 2020, 2(2):68-72
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.
  1,484 128 -
Efficacy of compound Bai Yu San in treating diabetic skin ulcer
Yun-Xia Ge, Xiao-Rong Liu, Bei Wang, Yong Zhang, Jia-Jia Tong, Dou-Dou Li
January-March 2020, 2(1):7-10
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.
  1,481 117 -
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
April-June 2020, 2(2):93-96
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.
  1,454 114 -
The effects of enteral nutrition in the bowel preparation in patients with diabetes mellitus
Xiu-Li Ou, Yu-Zhen Chen, Min Zhang, Li-Zhen Lyu
January-March 2020, 2(1):18-21
Objective: The objective of the study was to investigate the effect of enteral nutrients in diabetic patients with fibrocolonoscopy. Materials and Methods: A total of 58 diabetic patients undergoing fibrocolonoscopy from January 2017 to December 2017 were included as the traditional bowel preparation group. The patients took traditional semi-flow diet and catharsis as intestinal preparation and were given health education. Sixty patients treated with fibrocolonoscopy from July to December in 2018 were included as the enteral nutrition group and received enteral nutrients and catharsis as intestinal preparation and were given modified health education. The incidence of hypoglycemia during intestinal preparation was compared between the two groups. Results: A total of 20 (34.48%) patients in the traditional bowel preparation group had hypoglycemia (including asymptomatic hypoglycemia) during bowel preparation, with the total frequency of 40. The blood glucose level fluctuated between 1.7 and 3.9 mmol/L. Only five patients in the enteral nutrition group had hypoglycemia (including asymptomatic hypoglycemia) during bowel preparation. The incidence of hypoglycemia was lower in the enteral nutrition group than that in the traditional bowel preparation group (χ2 = 4.937, P = 0.026). Conclusion: The enteral nutrients as diet for fibrocolonoscopy bowel preparation and strengthening health education could reduce the incidence of hypoglycemia in patients with diabetes during bowel preparation and ensure patient safety.
  1,454 112 -