1.Current status of continuous care for children with chronic diseases in public hospitals in Chongqing
Zijuan WANG ; Hongyao LENG ; Zhanmei ZHANG ; Xianlan ZHENG
Chinese Journal of Modern Nursing 2023;29(16):2223-2227
Objective:To investigate the status of continuous care for children with chronic diseases in public hospitals in Chongqing, so as to provide references for improving the quality of continuous care for children with chronic diseases.Methods:This study is a cross-sectional study. From April to May 2022, a total of 66 managers from 66 departments of 50 hospitals in Chongqing were selected as the research objects by the purposive sampling method. The Implementation of Transitional Care for Children's Chronic Diseases in Medical and Health Institutions Questionnaire was used to investigate the implementation, management status and managers' evaluation of continuous care for children with chronic diseases. A total of 66 questionnaires were distributed in this study, and 66 valid questionnaires were collected, with an effective recovery rate of 100.00% (66/66) .Results:Among 50 hospitals, 29 provided transitional care items for children with chronic diseases. The continuous care of children with chronic diseases had many problems, such as single content and form, low utilization rate of information platform, no standardized evaluation system and quality management program, and low satisfaction of continuous care for children with chronic diseases.Conclusions:Public hospitals in Chongqing have launched continuous care for children with chronic diseases, but the breadth and depth are limited, and there are still shortcomings in form, content, and effectiveness evaluation. In the future, it is necessary to further expand the content and form of continuous care for children with chronic diseases, establish standardized continuous care evaluation indicators, and improve the quality of continuous care for children with chronic diseases.
2.Effectiveness and safety of pharmacological interventions for hospitalized neonatal pain :an overview of systematic review and meta-analysis
Qiao SHEN ; Zhengli WANG ; Hongyao LENG ; Xufei LUO ; Xianlan ZHENG
China Pharmacy 2022;33(16):2022-2027
OB JECTIVE To conduct overview of the systematic revi ew(SR)/meta-analysis for the effectiveness and safety of pharmacological interventions for hospitalized neconatal pain , and to provide evidence-based reference for neonatal pain management. METHODS CNKI,CBM,Wanfang,VIP,PubMed,Embase,the Cochrane Library ,Web of Science ,CINAHL and Google Scholar were searched for SR/meta-analysis of pharmacological interventions for hospitalized neonatal pain. The search period was from Nov. 1st,2016-Nov. 1st,2021. After literature screening and data extraction ,AMSTAR 2 scale was used to evaluate the methodological quality of the included literature ,and GRADE method was used to assess the evidence quality of the outcome of the include d literature . A su mmary analysis was then conducted. RESULTS Totally 36 outcome indexes of 7 SR/ meta-analysis were included. Five studies were of moderate quality,and two were very poor according to AMSTAR 2 scale. GRADE results showed that among 36 outcome indexes,there were 7 moderate-quality indexes (19.44%),low-quality indexes (61.11%),and 7 critically-low-quality indexes (19.44%). The main reason for downgrading the quality of evidence was impr ecision of results (71.74%). CONCLUSIONS Opioids c an significantly reduce t he pain score of mechanically ventilated neonates but may increase hypotension. Acetaminophen can significantly reduce pain scores during eye examinations and postoperative morphine consumption with no adverse reaction report. However ,its analgesic effect on procedural pain is less than glucose and sucrose. Lidocaine and prilocaine and tetracaine may relieve venipuncture and lumbar puncture pain but lidocaine and prilocaine may increase the risk of adverse reaction. Clonidine can reduce neonatal mechanical ventilation pain with no adverse reaction report. It is suggested that neonatal pediatricians should use analgesic drugs selectively based on clinical judgment and pain assessment results.