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Nursing perspective of expert consensus for diagnosis and treatment of colorectal cancer with integrated traditional Chinese and Western medicine 专家共识的护理视角下大肠癌中西医结合诊治
Q4 Nursing Pub Date : 2022-04-01 DOI: 10.4103/jin.jin_1_22
Shuhong Liu, Ling Tang, Yanan Zhao, J. Huo, Yan Zhao, Kang Yan, Baoya Zhao
As one of the most common malignant tumors in the world, colorectal cancer (CRC) is accompanied by a variety of symptoms in the process of disease development and treatment, which seriously affect the functional state and quality of life of patients. In China, comprehensive intervention measures of traditional Chinese medicine (TCM) play an indispensable role in the treatment and rehabilitation of CRC. In order to further standardize and improve the treatment and management of CRC by medical staff, the Chinese Association of Integrative Medicine issued the “Expert Consensus for Diagnosis and Treatment of Colorectal Cancer with Integrated Traditional Chinese and Western Medicine” in August 2021. This paper interprets this consensus in detail from the perspective of nursing, focusing on the common understanding of the pathogenesis of CRC, TCM diagnosis and syndrome differentiation, integrated traditional Chinese and Western medicine nursing, TCM characteristic therapies, etc., with a view to deepening the understanding and practical application of the consensus among clinical doctors and nurses and improving the level of diagnosis, treatment, and nursing of CRC.
结直肠癌(CRC)作为世界上最常见的恶性肿瘤之一,在疾病发展和治疗过程中伴有多种症状,严重影响患者的功能状态和生活质量。在中国,中医药综合干预措施在结直肠癌的治疗和康复中发挥着不可或缺的作用。为了进一步规范和完善医护人员对结直肠癌的治疗和管理,中国中西医结合学会于2021年8月发布了《中西医结合诊治结直肠癌专家共识》。本文从护理学的角度对这一共识进行详细解读,重点从对结直肠癌发病机制、中医诊断辨证、中西医结合护理、中医特色疗法等方面的共同认识,以期加深临床医护人员对这一共识的理解和实际应用,提高结直肠癌的诊断、治疗和护理水平。
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引用次数: 0
Midwives' utilization of nonpharmacological pain relief measures for labor pain management: A descriptive cross-sectional study 助产士利用非药物镇痛措施进行分娩疼痛管理:一项描述性横断面研究
Q4 Nursing Pub Date : 2022-04-01 DOI: 10.4103/jin.jin_27_22
I. Ojong, A. Nsemo, M. Agba
Objectives: This study sought to examine midwives' utilization of nonpharmacological pain relief measures in labor pain management and to test the relationship between midwives' knowledge and utilization of nonpharmacological pain relief measures for labor pain management in secondary health facility in Calabar, Cross River State, Nigeria. Materials and Methods: A descriptive cross-sectional design was used for the study. The study was rooted in Katherine Kolcaba's Comfort theory. Totally, 67 participants were recruited for the study using the purposive sampling technique. A self-made structured questionnaire was used to obtain participants' information on knowledge, utilization, and predictors of nonpharmacological pain relief measures. Results: Although 41 (61.2%) of the participants had knowledge about nonpharmacological pain relief measures, few did not know some of the cognitive-behavioral and environmental measures in labor pain management. There was 35.8% (24/67) for utilization of cognitive-behavioral measures and 55.2% (37/67) for psychological/emotional measures for labor pain management by respondents, respectively. Fifty (74.6%) of respondents agreed that predictors such as lack of knowledge, lack of updates and training, work experience, best practice guidelines, and equipment were hindrances to utilization. There was statistically significance in relationship between the level of knowledge and utilization of nonpharmacological pain relief measures (r = 0.6, P < 0.05). Conclusion: The utilization of nonpharmacological measures for labor pain management is low, thus it is recommended that frequent education, training updates on effective labor pain management, provision of clinical guidelines on labor pain management, and enrichment of midwifery training curriculum are imperative to ensure quality labor pain management and positive health outcome.
目的:本研究旨在调查助产士在分娩疼痛管理中使用非药物镇痛措施的情况,并测试助产士的知识与尼日利亚克罗斯河州卡拉巴尔二级卫生机构分娩疼痛管理中使用非药物镇痛措施之间的关系。材料与方法:本研究采用描述性横断面设计。这项研究植根于凯瑟琳·科尔卡巴的舒适理论。采用有目的抽样技术,共招募了67名参与者。采用自制的结构化问卷,了解参与者对非药物镇痛措施的知识、使用情况和预测因素。结果:41名(61.2%)的参与者了解非药物镇痛措施,但很少有人不知道分娩疼痛管理中的认知行为和环境措施。有35.8%(24/67)的受访者使用认知行为措施,55.2%(37/67)的受访者使用心理/情绪措施来管理分娩疼痛。50(74.6%)的受访者同意,缺乏知识、缺乏更新和培训、工作经验、最佳实践指南和设备等预测因素是利用的障碍。患者对非药物镇痛措施的认知程度与使用程度之间存在统计学意义(r = 0.6, P < 0.05)。结论:非药物措施对分娩疼痛管理的利用率较低,因此建议经常进行有效分娩疼痛管理的教育和培训,提供分娩疼痛管理的临床指南,丰富助产培训课程,以确保分娩疼痛管理的质量和积极的健康结果。
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引用次数: 0
Operational procedures of auricular point sticking technology 耳穴贴敷技术操作规程
Q4 Nursing Pub Date : 2022-04-01 DOI: 10.4103/jin.jin_11_22
Hong Chen, Shanshan Liu, Kexin Liu, Su-yan Li, Ling Tang
As an external treatment technique of traditional Chinese medicine (TCM), auricular point sticking, which is rooted in holographic biology theory and TCM viscera and meridian theory, is a safe and effective treatment method. This article introduces the technology overview and development process. The auricular point sticking technique for constipation is taken as an example to specify the basic requirements, assessment, operational points, acupoint selection and matters needing attention during the implementation of the auricular acupressure technique, providing a reference for the operating procedures of this technique in the clinical treatment of other diseases such as insomnia, diarrhea, colds, hypertension, headache, and dysmenorrhea.
耳穴贴敷作为一种中医外治技术,是一种安全有效的治疗方法,它根植于全息生物学理论和中医脏腑经络理论。本文介绍了该技术的概况和开发过程。以耳穴贴敷治疗便秘为例,详细说明耳穴贴敷技术实施过程中的基本要求、考核、操作要点、取穴及注意事项,为耳穴贴敷技术在临床治疗失眠、腹泻、感冒、高血压、头痛、痛经等其他疾病时的操作规程提供参考。
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引用次数: 0
I must eat what I want: A roadblock to type 2 diabetes management 我必须吃我想吃的:2型糖尿病管理的一个障碍
Q4 Nursing Pub Date : 2022-04-01 DOI: 10.4103/jin.jin_58_21
O. Akpor, S. Abegunde, O. Olorunfemi, O. Abiodun
Globally, type 2 diabetes mellitus (T2DM) is considered as one of the most common diseases, which is associated with irreversible risk factors such as age, gene, race, ethnicity, and reversible factors such as diet, physical activity, and smoking. Noncompliance to dietary regimen is the major factors for rapidly rising incidence of T2DM among developing countries. Recently, elevated HbA1c level has also been considered as one of the leading risk factors for developing microvascular and macrovascular complications. Improvement in the elevated HbA1c level can be achieved through diet management; thus, this study found that improvement in patients' dietary knowledge, attitude toward, and compliance to diet regimen will promote a better control of the disease. In conclusion, the stakeholders (health-care providers, health facilities, agencies involved in T2DM care) should educate the patients on the importance of dietary modification in the disease management. Similarly, there is a need for nurses and other health care professionals to advocate and promote a better holistic management that will encourage patients participation and family involvement in the care.
在全球范围内,2型糖尿病(T2DM)被认为是最常见的疾病之一,它与年龄、基因、种族、民族等不可逆风险因素以及饮食、身体活动和吸烟等可逆因素有关。不遵守饮食方案是发展中国家2型糖尿病发病率迅速上升的主要因素。近年来,HbA1c水平升高也被认为是发生微血管和大血管并发症的主要危险因素之一。升高的HbA1c可通过饮食管理得到改善;因此,本研究发现,改善患者的饮食知识、饮食态度和对饮食方案的依从性将促进疾病的更好控制。总之,利益相关者(卫生保健提供者、卫生设施、参与2型糖尿病护理的机构)应教育患者了解饮食调整在疾病管理中的重要性。同样,护士和其他保健专业人员也需要倡导和促进更好的整体管理,以鼓励患者和家庭参与护理。
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引用次数: 0
Psychological experience of infected individuals during the pandemic: A qualitative meta-synthesis 大流行期间受感染个体的心理体验:定性综合
Q4 Nursing Pub Date : 2022-04-01 DOI: 10.4103/jin.jin_65_21
Yao Bian, H. Yuan, W. Kunaviktikul
The purpose of this review is to integrate the psychological experience of infected individuals during the pandemic. The spread of the pandemic has led to psychological and emotional impacts on patients. A qualitative synthesis is needed to identify, appraise, and integrate the available qualitative findings to provide an evidence for the development of interventions. A meta-aggregation approach was used to analyze studies published in English from January 2020 to August 2021. The JBI Qualitative Assessment and Review Instrument was used to assess the methodological quality of included studies. The ConQual system was used to establish the dependability and credibility in the synthesized findings. Six phenomenological studies and one narrative inquiry with an overall quality score of 70%–100% were included. The research findings from 87 participants in eligible studies were aggregated into three categories based on similarity of meaning. Two synthesized findings were generated and rated as moderate based on the ConQual score. The synthesized findings suggested that participants had psychological distress such as fear, anxiety, loneliness, and uncertainty, but they accepted the fact of being infected and tried to adjust themselves using some self-coping strategies, such as diverting attention from disease, seeking help from professional counselors, relying on religious beliefs, and participating in religious activities. They would like to learn more about infections and diseases and needed more informational support from health-care professionals. They were looking forward to recovery from the disease.
本综述的目的是整合大流行期间受感染个体的心理体验。大流行的传播给患者带来了心理和情感上的影响。需要进行定性综合,以确定、评价和整合现有的定性研究结果,为制定干预措施提供证据。采用元聚合方法分析了2020年1月至2021年8月期间发表的英文研究。采用JBI定性评估和回顾工具评估纳入研究的方法学质量。使用征服系统来建立综合结果的可靠性和可信性。包括6项现象学研究和1项叙事调查,总体质量得分为70%-100%。来自87名符合条件的研究参与者的研究结果根据意义的相似性被汇总为三类。产生了两个综合结果,并根据征服评分被评为中等。综合研究结果表明,参与者有恐惧、焦虑、孤独和不确定等心理困扰,但他们接受了被感染的事实,并试图通过一些自我应对策略来调整自己,如转移对疾病的注意力、寻求专业咨询师的帮助、依靠宗教信仰、参加宗教活动。他们希望更多地了解感染和疾病,并需要保健专业人员提供更多信息支持。他们期待着从疾病中康复。
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引用次数: 1
Investigation on the status quo of nurses' cognition on patient safety culture in a hospital of Traditional Chinese Medicine 某中医医院护士对患者安全文化认知现状的调查
Q4 Nursing Pub Date : 2022-01-01 DOI: 10.4103/jin.jin_16_21
Lin Han, Yuzhen Xu, Yu-qing Hou
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引用次数: 0
Referral and counter-referral practices in obstetric emergencies among health-care providers in selected health facilities in Plateau state, Nigeria 在尼日利亚高原州选定的保健设施中,保健提供者在产科急诊中的转诊和反转诊做法
Q4 Nursing Pub Date : 2022-01-01 DOI: 10.4103/jin.jin_29_22
A. Nsemo, SamuelMahan Zakka Malau, I. Ojong
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引用次数: 1
Nursing perspective of expert consensus on the diagnosis and treatment of cerebral infarction with integrated traditional Chinese and Western medicine 护理专家对中西医结合诊治脑梗死的共识
Q4 Nursing Pub Date : 2022-01-01 DOI: 10.4103/jin.jin_8_22
Ling Tang, Gui-jian Liu, Shirong Hu, E. Haiyan, Yanyan Zhang, Yu Yang, Jing Zhang
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引用次数: 0
Skin damage due to personal protective equipment among nursing staff in a dedicated coronavirus disease-2019 hospital of tribal India 在印度部落2019冠状病毒病专用医院,护理人员因个人防护设备造成皮肤损伤
Q4 Nursing Pub Date : 2022-01-01 DOI: 10.4103/jin.jin_42_21
Avatarkishan Jaisinghani, Vikas Gupta, A. Chauhan
Background: Nursing staff are at much greater risk of infection (Ebola virus diseases and severe acute respiratory syndrome) due to their exposure to highly infectious bodily fluids and droplet nuclei and the need for personal protective equipment (PPE) to reduce the transmission risk. Aim: The present study was conducted to estimate the prevalence of skin injuries and their types due to PPE usage among nursing staff in tribal India. Materials and Methods: This descriptive cross-sectional study was conducted in the dedicated coronavirus disease-2019 (COVID-19) hospital for a period of 4 months among 144 nursing staff wearing Grade 2 and 3 PPE kits. Study subjects were approached through social networking websites and survey questionnaires (Google forms) according to relevant guides, and research literature was used to collect the details regarding baseline, duty, and skin injury characterization. Chi-square test was used to find the association between skin injury and baseline or duty characteristics, and the association was significant at a P < 0.05. Results: It was observed that 54.7% of nursing staff were working for 6 or more hours and 16.5% of subjects were wearing the PPE kit for 5 or more hours per day. Skin injury was reported by 86.3% of the subjects after using PPE. Skin injuries among nurses were statistically significant with their current place of stay and daily duty hours (P < 0.05). Conclusion: In this study, it was found that 86.3% of subjects had suffered from skin injuries by using PPE while caring for COVID-19 patients during duty hours, so an effective preventive measure should be adopted.
背景:护理人员由于接触高传染性体液和飞沫核以及需要个人防护装备以减少传播风险,因此感染(埃博拉病毒病和严重急性呼吸系统综合征)的风险要大得多。目的:本研究旨在估计印度部落护理人员因使用个人防护装备而造成的皮肤损伤的发生率及其类型。材料与方法:本研究在2019冠状病毒病(COVID-19)专用医院进行为期4个月的描述性横断面研究,研究对象为144名佩戴二级和三级防护用品的护理人员。根据相关指南通过社交网站和调查问卷(Google表格)接触研究对象,并使用研究文献收集基线、职责、皮肤损伤特征等详细信息。采用卡方检验发现皮肤损伤与基线或工作特征之间存在显著相关性,P < 0.05。结果:54.7%的护理人员每天工作6小时及以上,16.5%的受试者每天佩戴防护用品5小时及以上。使用PPE后皮肤损伤发生率为86.3%。护士皮肤损伤与住院地点、每日值班时间差异有统计学意义(P < 0.05)。结论:本研究发现,86.3%的受试者在值班时间照顾COVID-19患者时使用PPE造成皮肤损伤,应采取有效的预防措施。
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引用次数: 0
Research progress in core body temperature measurement during target temperature management 目标体温管理中核心体温测量的研究进展
Q4 Nursing Pub Date : 2022-01-01 DOI: 10.4103/jin.jin_40_21
Gui-fang Liu, Yanyan Zhang, Ling Tang
Core body temperature (CBT) is increasingly attracting attention as crucial data during target temperature management (TTM). Accurate and continuous measurement of human CBT can effectively identify and monitor central high fever, and provide a basis for the effective implementation during TTM, which is therefore of great significance for human health care and disease monitoring. The reliable core measurement sites are nasopharynx, esophagus, bladder, rectum, pulmonary artery, etc., but the measurement methods in these sites are all invasive. At present, the medical field is more inclined to noninvasive data collection methods through monitoring an appropriate site (such as forehead, mouth, or axilla) depending on clinical circumstances, so as to ensure the comfort and security of patients to the greatest extent. This review will provide reference choosing more safe and accurate temperature measurement methods for patients during TTM by reviewing the sites and accuracy of invasive and noninvasive CBT measurements.
核心体温(CBT)作为靶温管理(TTM)中的关键数据越来越受到关注。准确、连续地测量人体CBT可以有效地识别和监测中枢性高热,为TTM期间的有效实施提供依据,因此对人类卫生保健和疾病监测具有重要意义。可靠的核心测量部位是鼻咽部、食道、膀胱、直肠、肺动脉等,但这些部位的测量方法都是有创的。目前,医疗领域更倾向于根据临床情况,通过监测合适的部位(如额头、口腔、腋窝)进行无创数据采集,最大程度地保证患者的舒适度和安全性。本综述通过对有创和无创CBT测量的位置和准确性进行综述,为TTM患者选择更安全、准确的体温测量方法提供参考。
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引用次数: 0
期刊
Journal of Integrative Nursing
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