Pub Date : 2016-12-01DOI: 10.1016/j.cnre.2016.11.008
Lin Yang , Xin-Man Wang , Xiao-Lin Zuo , Shang-Qun Gong , Fan-Jie Meng
Objective
To evaluate the effect of the clinical nursing pathway applied to functional exercise in patients with hip replacements before and after the operation.
Methods
The China National Knowledge Infrastructure (CNKI), WanFang Data, Chinese science and technology journal database (VIP), PubMed, Web of Science, EMBASE, CBM and the Cochrane Library (2015-5) were searched for randomized controlled trials (RCTs) on clinical nursing pathways for functional exercise in patients with hip replacements before and after surgery from June 2015 to January 2010. The references included in the literature were also retrieved. To meet the literature standard, 2 reviewers independently selected and extracted data according to the inclusion criteria and assessed the risks of bias. RevMan 5.3 software was used in this meta-analysis. The quality of evidence was evaluated using grade profiler3.6 software, the level recommended for grading.
Results
A total of 15 RCTs and 1248 patients were included. The meta-analysis showed that, in the clinical nursing path group, the Harris score of hip function [SMD = 3.35, 95%CI (2.53, 4.16), P < 0.00001] and incidence of thrombosis embolism [RR = 0.28, 95%CI (0.15, 0.53), P < 0.0001], pulmonary infection [RR = 0.33, 95%CI (0.14, 0.82), P = 0.02], urinary retention [RR = 0.22, 95%CI (0.09, 0.52), P = 0.0005], constipation [RR = 0.20, 95%CI (0.10, 0.40), P < 0.00001], patients' satisfaction for nursing care [RR = 1.26, 95%CI (1.17, 1.36), P < 0.00001] and shortened hospitalization times [SMD = −1.91, 95%CI (−2.39, −1.43), P < 0.0001]were statistically significantly better than those in the control group. However, in reducing joint dislocations [RR = 0.25, 95%CI (0.05, 1.15), P = 0.08], pressure ulcers [RR = 0.25, 95%CI (0.03, 2.19), P = 0.21], and incidence of complications [RR = 0.42, 95%CI (0.15, 1.12), P = 0.08], there was no statistically significant difference between the two groups. Funnel plot analysis of the average length of stay showed that there might be some publication bias in the literature. The GRADE evaluation results showed that the level of Harris scores for hip function was moderate and the incidence of thrombosis, urinary retention and satisfaction of patients regarding nursing were low, and the rest of the factors analyzed were very low.
Conclusions
The effect of the clinical nursing pathway applied to functional exercises in patients with hip replacements before and after surgery was significantly better than that of routine nursing. However, it was restricted by the evaluation grade of the research results and the standardization and uniformity of the research. The results of the above study need to be verified by more high-q
目的评价临床护理路径在髋关节置换术患者术前术后功能锻炼中的应用效果。方法检索中国知网(CNKI)、万方数据、中国科技期刊数据库(VIP)、PubMed、Web of science、EMBASE、CBM、Cochrane Library(2015-5)，检索2015年6月- 2010年1月髋关节置换术患者术前术后功能锻炼临床护理路径的随机对照试验(RCTs)。还检索了文献中包含的参考文献。为满足文献标准，2名审稿人根据纳入标准独立选择和提取资料，并评估偏倚风险。meta分析采用RevMan 5.3软件。使用grade profiler3.6软件评估证据质量，这是推荐的评分级别。结果共纳入15项随机对照试验，1248例患者。meta分析显示，临床护理路径组患者髋关节功能Harris评分[SMD = 3.35, 95%CI (2.53, 4.16)， P <[0.00001]和血栓栓塞发生率[RR = 0.28, 95%CI (0.15, 0.53)， P <0.0001)、肺部感染(RR = 0.33, 95%可信区间(0.14,0.82),P = 0.02),尿潴留(RR = 0.22, 95%可信区间(0.09,0.52),P = 0.0005),便秘(RR = 0.20, 95%可信区间(0.10,0.40),P & lt;0.00001]，患者护理满意度[RR = 1.26, 95%CI (1.17, 1.36)， P <0.00001]缩短住院时间[SMD = - 1.91, 95%CI (- 2.39， - 1.43)， P <0.0001]均显著优于对照组。但在减少关节脱位[RR = 0.25, 95%CI (0.05, 1.15)， P = 0.08]、压疮[RR = 0.25, 95%CI (0.03, 2.19)， P = 0.21]、并发症发生率[RR = 0.42, 95%CI (0.15, 1.12)， P = 0.08]方面，两组差异无统计学意义。平均住院时间的漏斗图分析显示，文献中可能存在一定的发表偏倚。GRADE评价结果显示Harris评分髋关节功能水平为中等，血栓发生率、尿潴留发生率和患者对护理的满意度较低，其余分析因素均很低。结论临床护理路径应用于髋关节置换术患者术前术后功能锻炼的效果明显优于常规护理。但受研究成果评价等级和研究的规范性、统一性等因素的制约。上述研究的结果需要更多高质量的rct来验证。
{"title":"Systematic evaluation of the clinical nursing pathway with the GRADE approach applied to functional exercise in patients with hip replacements before and after surgery","authors":"Lin Yang , Xin-Man Wang , Xiao-Lin Zuo , Shang-Qun Gong , Fan-Jie Meng","doi":"10.1016/j.cnre.2016.11.008","DOIUrl":"10.1016/j.cnre.2016.11.008","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the effect of the clinical nursing pathway applied to functional exercise in patients with hip replacements before and after the operation.</p></div><div><h3>Methods</h3><p>The China National Knowledge Infrastructure (CNKI), WanFang Data, Chinese science and technology journal database (VIP), PubMed, Web of Science, EMBASE, CBM and the Cochrane Library (2015-5) were searched for randomized controlled trials (RCTs) on clinical nursing pathways for functional exercise in patients with hip replacements before and after surgery from June 2015 to January 2010. The references included in the literature were also retrieved. To meet the literature standard, 2 reviewers independently selected and extracted data according to the inclusion criteria and assessed the risks of bias. RevMan 5.3 software was used in this meta-analysis. The quality of evidence was evaluated using grade profiler3.6 software, the level recommended for grading.</p></div><div><h3>Results</h3><p>A total of 15 RCTs and 1248 patients were included. The meta-analysis showed that, in the clinical nursing path group, the Harris score of hip function [SMD = 3.35, 95%<em>CI</em> (2.53, 4.16), <em>P</em> < 0.00001] and incidence of thrombosis embolism [RR = 0.28, 95%<em>CI</em> (0.15, 0.53), <em>P</em> < 0.0001], pulmonary infection [RR = 0.33, 95%<em>CI</em> (0.14, 0.82), <em>P</em> = 0.02], urinary retention [RR = 0.22, 95%<em>CI</em> (0.09, 0.52), <em>P</em> = 0.0005], constipation [RR = 0.20, 95%<em>CI</em> (0.10, 0.40), <em>P</em> < 0.00001], patients' satisfaction for nursing care [RR = 1.26, 95%<em>CI</em> (1.17, 1.36), <em>P</em> < 0.00001] and shortened hospitalization times [SMD = −1.91, 95%<em>CI</em> (−2.39, −1.43), <em>P</em> < 0.0001]were statistically significantly better than those in the control group. However, in reducing joint dislocations [RR = 0.25, 95%<em>CI</em> (0.05, 1.15), <em>P</em> = 0.08], pressure ulcers [RR = 0.25, 95%<em>CI</em> (0.03, 2.19), <em>P</em> = 0.21], and incidence of complications [RR = 0.42, 95%<em>CI</em> (0.15, 1.12), <em>P</em> = 0.08], there was no statistically significant difference between the two groups. Funnel plot analysis of the average length of stay showed that there might be some publication bias in the literature. The GRADE evaluation results showed that the level of Harris scores for hip function was moderate and the incidence of thrombosis, urinary retention and satisfaction of patients regarding nursing were low, and the rest of the factors analyzed were very low.</p></div><div><h3>Conclusions</h3><p>The effect of the clinical nursing pathway applied to functional exercises in patients with hip replacements before and after surgery was significantly better than that of routine nursing. However, it was restricted by the evaluation grade of the research results and the standardization and uniformity of the research. The results of the above study need to be verified by more high-q","PeriodicalId":57172,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cnre.2016.11.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54076766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-01DOI: 10.1016/j.cnre.2016.07.001
Yu-Mei Wang , Li-Juan Xiong , Yi Ma , Xing-Lian Gao , Wen-Fang Fu
Objective
To develop a scientific and reasonable competency evaluation index system for operating room nurses (ORN) in order to provide a tool for selecting, training and evaluating operating room nurses in China.
Methods
A multiple-method approach including in-depth interviews and the Delphi and Analytic Hierarchy Process (AHP) was used. Eighteen interviews were undertaken to explore the components of ORN competencies, and then 30 operating room experts were consulted to gain consensus. Finally, the AHP was adopted to determine the relative weights of competency elements, thus increasing the accuracy of the results.
Results
Results of the interviews suggested that there were 32 items of ORN core competency. Results of the DHP (Delphi and AHP) revealed 22 ORN core competencies in four dimensions, such as specialized knowledge, professional ability, personality and self-motivation. The weights of these four dimensions were 0.477, 0.138, 0.256, and 0.128, respectively.
Conclusions
The construction of an ORN core competency evaluation index system in this study contained not only explicit competence but also implicit competence, which reflected the requirements for operating room nurses comprehensively in China. In particular, as the system presented the specialized features of an operating room, it would be of great importance for both nurses and hospitals.
{"title":"Construction of competency evaluation measures for operating room nurses","authors":"Yu-Mei Wang , Li-Juan Xiong , Yi Ma , Xing-Lian Gao , Wen-Fang Fu","doi":"10.1016/j.cnre.2016.07.001","DOIUrl":"10.1016/j.cnre.2016.07.001","url":null,"abstract":"<div><h3>Objective</h3><p>To develop a scientific and reasonable competency evaluation index system for operating room nurses (ORN) in order to provide a tool for selecting, training and evaluating operating room nurses in China.</p></div><div><h3>Methods</h3><p>A multiple-method approach including in-depth interviews and the Delphi and Analytic Hierarchy Process (AHP) was used. Eighteen interviews were undertaken to explore the components of ORN competencies, and then 30 operating room experts were consulted to gain consensus. Finally, the AHP was adopted to determine the relative weights of competency elements, thus increasing the accuracy of the results.</p></div><div><h3>Results</h3><p>Results of the interviews suggested that there were 32 items of ORN core competency. Results of the DHP (Delphi and AHP) revealed 22 ORN core competencies in four dimensions, such as specialized knowledge, professional ability, personality and self-motivation. The weights of these four dimensions were 0.477, 0.138, 0.256, and 0.128, respectively.</p></div><div><h3>Conclusions</h3><p>The construction of an ORN core competency evaluation index system in this study contained not only explicit competence but also implicit competence, which reflected the requirements for operating room nurses comprehensively in China. In particular, as the system presented the specialized features of an operating room, it would be of great importance for both nurses and hospitals.</p></div>","PeriodicalId":57172,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cnre.2016.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54076342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-01DOI: 10.1016/j.cnre.2016.11.003
Si-Mu Li , Xiao-Rong Li , Dan Yang , Nai-Wei Xu
All types of frequent natural disasters, which seriously threaten the safety of human life and property, have become a great challenge all over the world. The dangerous and changeable environment in emergency rescue demands higher requirements for competency of the nurses who respond to a disaster. Disaster nursing combines medical science, sociology, psychology, and other disciplines; thus, it has become a comprehensive interdisciplinary branch of nursing. Disaster nursing has just recently been introduced to our country and is still in the stage of exploration. Nurses comprise the largest rescue force on disaster relief teams; therefore, disaster nursing competency is influential on the disaster response and recovery of victims after a disaster. Thus, this paper defines the concepts and elements of disaster nursing, including disaster nursing skill requirements and architectural framework. It will provide an important contribution to improving the overall level and comprehensive quality of disaster nursing competency of nurses in China.
{"title":"Research progress in disaster nursing competency framework of nurses in China","authors":"Si-Mu Li , Xiao-Rong Li , Dan Yang , Nai-Wei Xu","doi":"10.1016/j.cnre.2016.11.003","DOIUrl":"10.1016/j.cnre.2016.11.003","url":null,"abstract":"<div><p>All types of frequent natural disasters, which seriously threaten the safety of human life and property, have become a great challenge all over the world. The dangerous and changeable environment in emergency rescue demands higher requirements for competency of the nurses who respond to a disaster. Disaster nursing combines medical science, sociology, psychology, and other disciplines; thus, it has become a comprehensive interdisciplinary branch of nursing. Disaster nursing has just recently been introduced to our country and is still in the stage of exploration. Nurses comprise the largest rescue force on disaster relief teams; therefore, disaster nursing competency is influential on the disaster response and recovery of victims after a disaster. Thus, this paper defines the concepts and elements of disaster nursing, including disaster nursing skill requirements and architectural framework. It will provide an important contribution to improving the overall level and comprehensive quality of disaster nursing competency of nurses in China.</p></div>","PeriodicalId":57172,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cnre.2016.11.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54076586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-01DOI: 10.1016/j.cnre.2016.11.001
Wen-Fu Cheng, Ti-Yu Zhao, Yue Guo
This article introduces the concept and mode of narrative education in addition to the application of narrative education in clinical nursing education. A summary is presented of the application of narrative education in this clinical nursing context from several aspects, including providing a display platform and various other teaching forms for the teachers' use, promoting the professional quality of teachers and students, and facilitating the teaching of abstract concepts.
{"title":"Research progress on narrative education in clinical nursing education","authors":"Wen-Fu Cheng, Ti-Yu Zhao, Yue Guo","doi":"10.1016/j.cnre.2016.11.001","DOIUrl":"10.1016/j.cnre.2016.11.001","url":null,"abstract":"<div><p>This article introduces the concept and mode of narrative education in addition to the application of narrative education in clinical nursing education. A summary is presented of the application of narrative education in this clinical nursing context from several aspects, including providing a display platform and various other teaching forms for the teachers' use, promoting the professional quality of teachers and students, and facilitating the teaching of abstract concepts.</p></div>","PeriodicalId":57172,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cnre.2016.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54076466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-01DOI: 10.1016/j.cnre.2016.11.002
Wang-Yang Lu , Miao-Ling Cui
This article reviews the hope level of chronic non-malignant diseases patients and its influencing factors. We also introduced to the concept of hope level, related theory of hope, measuring tools and the basic strategy of improving the hope level of chronic non-malignant diseases patients. We proposed that we should better understand and apply the theory of hope to make targeted nursing intervention measures for different patients.
{"title":"Research progress at hope level in patients with chronic non-malignant diseases","authors":"Wang-Yang Lu , Miao-Ling Cui","doi":"10.1016/j.cnre.2016.11.002","DOIUrl":"10.1016/j.cnre.2016.11.002","url":null,"abstract":"<div><p>This article reviews the hope level of chronic non-malignant diseases patients and its influencing factors. We also introduced to the concept of hope level, related theory of hope, measuring tools and the basic strategy of improving the hope level of chronic non-malignant diseases patients. We proposed that we should better understand and apply the theory of hope to make targeted nursing intervention measures for different patients.</p></div>","PeriodicalId":57172,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cnre.2016.11.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54076524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-01DOI: 10.1016/j.cnre.2016.11.005
Xiao-Ping Jiang , Li Yan , Xian-Lan Zheng , Xian Liu , Xiao-Qiong Wei
Objective
To develop a new curriculum for a master's degree in nursing and provide a reference for nursing education in China.
Methods
After a comprehensive literature review and item consolidation, an expert panel developed the initial version of the master's degree program objective and curriculum. A three-round Delphi study was subsequently conducted to revise and validate the curriculum.
Results
Twenty-six experts participated in the evaluation and validation process. The authority coefficient was 0.88, and the Kendall coordination coefficient was statistically significant (χ2 test, P < 0.01). The final training objective contained 9 items, covering knowledge, skills and humanistic quality. The final established curriculum contained 22 courses, including 5 public compulsory courses, 5 specialized basic compulsory courses and 12 elective courses for professional development.
Conclusions
The present study provided an operational curriculum for a master's degree in nursing in China.
{"title":"Development and evaluation of a new curriculum based on the Delphi method for master of nursing programs in China","authors":"Xiao-Ping Jiang , Li Yan , Xian-Lan Zheng , Xian Liu , Xiao-Qiong Wei","doi":"10.1016/j.cnre.2016.11.005","DOIUrl":"10.1016/j.cnre.2016.11.005","url":null,"abstract":"<div><h3>Objective</h3><p>To develop a new curriculum for a master's degree in nursing and provide a reference for nursing education in China.</p></div><div><h3>Methods</h3><p>After a comprehensive literature review and item consolidation, an expert panel developed the initial version of the master's degree program objective and curriculum. A three-round Delphi study was subsequently conducted to revise and validate the curriculum.</p></div><div><h3>Results</h3><p>Twenty-six experts participated in the evaluation and validation process. The authority coefficient was 0.88, and the Kendall coordination coefficient was statistically significant (<em>χ</em><sup><em>2</em></sup> test, <em>P</em> < 0.01). The final training objective contained 9 items, covering knowledge, skills and humanistic quality. The final established curriculum contained 22 courses, including 5 public compulsory courses, 5 specialized basic compulsory courses and 12 elective courses for professional development.</p></div><div><h3>Conclusions</h3><p>The present study provided an operational curriculum for a master's degree in nursing in China.</p></div>","PeriodicalId":57172,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cnre.2016.11.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54076675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-12-01DOI: 10.1016/j.cnre.2016.11.004
Jing-Hua Shi , Lu Liu , Ya-Qin Li
Objective
The aim of this study was to examine the reliability and validity of an indicator system for assessing the quality of ophthalmic nursing.
Methods
A questionnaire-based study was performed for 218 individuals in clinical nursing management using this indicator system. The resulting data were compiled and analyzed using Excel 2003 and SPSS 13.0, and tests of reliability and validity were conducted.
Results
The indicator system yielded an overall Cronbach's ɑ value of 0.948, a test-retest reliability of 0.793, 3-dimensional Cronbach's ɑ values of 0.870–0.930, and a content validity of 0.92. Exploratory factor analysis was then performed to extract three common factors, which generated a cumulative contribution rate of 54.04%. The load range of each factor was 0.43–0.83.
Conclusions
The indicator system for evaluating the quality of ophthalmic nursing has favorable reliability and validity, which means that it is a suitable clinical tool for assessing the quality of ophthalmic nursing.
{"title":"Reliability and validity of an indicator system for assessing the quality of ophthalmic nursing","authors":"Jing-Hua Shi , Lu Liu , Ya-Qin Li","doi":"10.1016/j.cnre.2016.11.004","DOIUrl":"10.1016/j.cnre.2016.11.004","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study was to examine the reliability and validity of an indicator system for assessing the quality of ophthalmic nursing.</p></div><div><h3>Methods</h3><p>A questionnaire-based study was performed for 218 individuals in clinical nursing management using this indicator system. The resulting data were compiled and analyzed using Excel 2003 and SPSS 13.0, and tests of reliability and validity were conducted.</p></div><div><h3>Results</h3><p>The indicator system yielded an overall Cronbach's ɑ value of 0.948, a test-retest reliability of 0.793, 3-dimensional Cronbach's ɑ values of 0.870–0.930, and a content validity of 0.92. Exploratory factor analysis was then performed to extract three common factors, which generated a cumulative contribution rate of 54.04%. The load range of each factor was 0.43–0.83.</p></div><div><h3>Conclusions</h3><p>The indicator system for evaluating the quality of ophthalmic nursing has favorable reliability and validity, which means that it is a suitable clinical tool for assessing the quality of ophthalmic nursing.</p></div>","PeriodicalId":57172,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cnre.2016.11.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54076638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-09-01DOI: 10.1016/j.cnre.2016.06.018
Zhi-Min Shi , Gui-Hong Lin , Qing Xie
Objective
To investigate the effects of music therapy on mood, language, behavior, and social skills in children with autism.
Methods
A literature search was conducted using the following Chinese databases: the China National Knowledge Infrastructure (CNKI), Wanfang Data, the Chinese Biomedical Literature (CBM) Database, and the VIP Chinese Science and Technology Periodicals Database. The search terms were “autistic children” or “children with autism” and “music therapy” or “music treatment.” Studies of randomized controlled trials (RCTs) were included, and each publication included was assessed for quality. A meta-analysis was conducted using RevMan 5.1.
Results
Publications were selected based on the inclusion and exclusion criteria. Six research articles describing RCTs were included; the total sample size was 300 patients. The results of meta-analysis showed that music therapy improved mood [Risk ratio (RR) = 3.02, 95% confidence interval (CI) = 1.93–4.11, Z = 5.45, P < 0.000 01] and behavior (RR = 7.36, 95% CI = 4.28–10.44, Z = 4.69, P = 0.000 01) in children with autism. Additionally, music therapy improved language (RR = 4.05, 95% CI = 3.38–4.73, Z = 11.71, P = 0.000 01), sensory perception (RR = 4.62, 95% CI = 1.55–7.69, Z = 2.95, P = 0.003), and social skills (RR = 4.66, 95% CI = 1.90–7.42, Z = 3.31, P = 0.000 9) in children with autism.
Conclusions
Music therapy can improve mood, language, sensory perception, behavior, and social skills in children with autism.
目的探讨音乐治疗对自闭症儿童情绪、语言、行为和社交技能的影响。方法采用中国知网(CNKI)、万方数据、中国生物医学文献数据库(CBM)和维普中国科技期刊数据库进行文献检索。搜索词是“自闭症儿童”或“自闭症儿童”和“音乐治疗”或“音乐治疗”。纳入随机对照试验(RCTs)的研究，并对纳入的每份出版物进行质量评估。采用RevMan 5.1进行meta分析。结果根据纳入标准和排除标准选择出版物。纳入6篇描述rct的研究文章;总样本量为300名患者。meta分析结果显示，音乐治疗改善情绪[风险比(RR) = 3.02, 95%可信区间(CI) = 1.93-4.11, Z = 5.45, P <[0.0001]和行为(RR = 7.36, 95% CI = 4.28-10.44, Z = 4.69, P = 0.0001)。此外，音乐治疗改善了自闭症儿童的语言(RR = 4.05, 95% CI = 3.38-4.73, Z = 11.71, P = 0.000 01)、感觉知觉(RR = 4.62, 95% CI = 1.55-7.69, Z = 2.95, P = 0.003)和社交技能(RR = 4.66, 95% CI = 1.90-7.42, Z = 3.31, P = 0.000 9)。结论音乐治疗可以改善自闭症儿童的情绪、语言、感觉知觉、行为和社交技能。
{"title":"Effects of music therapy on mood, language, behavior, and social skills in children with autism: A meta-analysis","authors":"Zhi-Min Shi , Gui-Hong Lin , Qing Xie","doi":"10.1016/j.cnre.2016.06.018","DOIUrl":"10.1016/j.cnre.2016.06.018","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the effects of music therapy on mood, language, behavior, and social skills in children with autism.</p></div><div><h3>Methods</h3><p>A literature search was conducted using the following Chinese databases: the China National Knowledge Infrastructure (CNKI), Wanfang Data, the Chinese Biomedical Literature (CBM) Database, and the VIP Chinese Science and Technology Periodicals Database. The search terms were “autistic children” or “children with autism” and “music therapy” or “music treatment.” Studies of randomized controlled trials (RCTs) were included, and each publication included was assessed for quality. A meta-analysis was conducted using RevMan 5.1.</p></div><div><h3>Results</h3><p>Publications were selected based on the inclusion and exclusion criteria. Six research articles describing RCTs were included; the total sample size was 300 patients. The results of meta-analysis showed that music therapy improved mood [Risk ratio (<em>RR</em>) = 3.02, 95% confidence interval (<em>CI</em>) = 1.93–4.11, <em>Z</em> = 5.45, <em>P</em> < 0.000 01] and behavior (<em>RR</em> = 7.36, 95% <em>CI</em> = 4.28–10.44, <em>Z</em> = 4.69, <em>P</em> = 0.000 01) in children with autism. Additionally, music therapy improved language (<em>RR</em> = 4.05, 95% <em>CI</em> = 3.38–4.73, <em>Z</em> = 11.71, <em>P</em> = 0.000 01), sensory perception (<em>RR</em> = 4.62, 95% <em>CI</em> = 1.55–7.69, <em>Z</em> = 2.95, <em>P</em> = 0.003), and social skills (<em>RR</em> = 4.66, 95% <em>CI</em> = 1.90–7.42, <em>Z</em> = 3.31, <em>P</em> = 0.000 9) in children with autism.</p></div><div><h3>Conclusions</h3><p>Music therapy can improve mood, language, sensory perception, behavior, and social skills in children with autism.</p></div>","PeriodicalId":57172,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cnre.2016.06.018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54076302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-09-01DOI: 10.1016/j.cnre.2016.10.002
Fang Wang, Li Yuan, Zhen-Zhen Xiong, Rao Li
With the rapid development of medical departments in recent years, nursing subspecialization has increased in prominence and performance. This highly subspecialized division of labor system not only improves the quality of nursing care but also promotes the development of nursing science. Today, developing nursing subspecialization has become the direction and strategy for the development of clinical nursing practice in many countries.
{"title":"Research progress in nursing subspecialization","authors":"Fang Wang, Li Yuan, Zhen-Zhen Xiong, Rao Li","doi":"10.1016/j.cnre.2016.10.002","DOIUrl":"10.1016/j.cnre.2016.10.002","url":null,"abstract":"<div><p>With the rapid development of medical departments in recent years, nursing subspecialization has increased in prominence and performance. This highly subspecialized division of labor system not only improves the quality of nursing care but also promotes the development of nursing science. Today, developing nursing subspecialization has become the direction and strategy for the development of clinical nursing practice in many countries.</p></div>","PeriodicalId":57172,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cnre.2016.10.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54076401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-09-01DOI: 10.1016/j.cnre.2016.06.012
Yong-Le Shi, Ji-Ping Li
This paper reviews the concept, research condition and research progress of hierarchical division in nursing ladder management in China; points out the problem and outlook of this area.
本文综述了护理阶梯管理中层级划分的概念、研究现状及研究进展;指出了该领域存在的问题和发展前景。
{"title":"Research progress of hierarchical division in nursing ladder management in China","authors":"Yong-Le Shi, Ji-Ping Li","doi":"10.1016/j.cnre.2016.06.012","DOIUrl":"10.1016/j.cnre.2016.06.012","url":null,"abstract":"<div><p>This paper reviews the concept, research condition and research progress of hierarchical division in nursing ladder management in China; points out the problem and outlook of this area.</p></div>","PeriodicalId":57172,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cnre.2016.06.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54076271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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