1.Perception of artificial airway suction from patients and nurses: a literature review
Guihua HAO ; Jiale HU ; Leilei YU ; Hong RUAN
Chinese Journal of Practical Nursing 2014;30(4):51-53
Objective To study the perception of patients and nurses for the artificial airway suction,in order to provide theoretical reference for building the artificial airway suction clinical practice guidelines.Methods CNKI,Wanfang,VIP,Pubmed,Science direct databases were searched for papers of patients and/or nurses' perception over the limited period of 2005 to 2013.The retrieved papers were analyzed.Results Nineteen eligible papers were identified.Extract relevant contents found the majority of patients retained the memory of that airway suction,mainly for pain,choking,suffocation,and eager to get the relevant knowledge and information.There were few researches on nurses' subjective feeling about airway suction.Conclusion We should pay attention to the perception of patients,while strengthening the research on nurses' perception of artificial airway suction and improve communication with patients,in order to relieve their discomfort experience,and could be helpful for the building of airway suction clinical practice guidelines.
2.Content analysis of clinical practice guidelines for adult pre-anesthesia assessment
Xuejiao ZHAO ; Jiale HU ; G.GAY BEVERLY ; Hong RUAN
The Journal of Clinical Anesthesiology 2018;34(5):463-467
Objective Analyze current clinical practice guidelines related to pre-anesthesia as-sessment to provide a resource for healthcare providers (or institutions)seeking protocols of their own.Methods National and international guideline databases were searched along with healthcare or-ganizations and associations.Content analysis method was used to analyze clinical practice guidelines searched from internet and obtained in the database search.Results Five clinical practice guidelines were included.A total of 39 items related to pre-anesthesia assessment were identified and when divid-ed into 3 essential areas:1)past history and present medical,2)physical examination,and 3)labora-tory examination.There is no guidance to general anesthesia currently in China.Pre-anesthesia testing in the presence of specific clinical characteristics was recommended.Conclusion We should develop local clinical practice guidelines of preanesthesia assessment with consideration of the actual medical situations in China.
3.Risk of Hematologic Malignancies in Patients with Inflammatory Bowel Disease: A Meta-Analysis of Cohort Studies
Xiaoshuai ZHOU ; Qiufeng ZHANG ; Dongying WANG ; Zhiyi XIANG ; Jiale RUAN ; Linlin TANG
Gut and Liver 2024;18(5):845-856
Background/Aims:
Inflammatory bowel disease (IBD) may contribute to the development of hematologic malignancies. In this study, the potential relationship between IBD and hematologic malignancies was investigated.
Methods:
We searched the PubMed, Web of Science, Embase, and Cochrane Library databases for all cohort studies comparing the incidence of hematologic malignancies in non-IBD populations with that in IBD patients, and we extracted relevant data from January 2000 to June 2023 for meta-analysis.
Results:
Twenty cohort studies involving 756,377 participants were included in this study. The results showed that compared with the non-IBD cohort, the incidence of hematologic malignancies in the IBD cohort was higher (standardized incidence ratio [SIR]=3.05, p<0.001). According to the specific types of IBD, compared with the non-IBD patients, the incidences of hematologic malignancies in ulcerative colitis patients (SIR=2.29, p=0.05) and Crohn's disease patients (SIR=3.56, p=0.005) were all higher. In the subgroup analysis of hematologic malignancy types, compared with the control group, the incidences of non-Hodgkin's lymphoma (SIR=1.70, p=0.01), Hodgkin's lymphoma (SIR=3.47, p=0.002), and leukemia (SIR=3.69, p<0.001) were all higher in the IBD cohort.
Conclusions
The incidence of hematologic malignancies, including non-Hodgkin's lymphoma, Hodgkin's lymphoma, and leukemia is higher in patients with IBD (ulcerative colitis or Crohn's disease) than in non-IBD patients.
4.Risk of Hematologic Malignancies in Patients with Inflammatory Bowel Disease: A Meta-Analysis of Cohort Studies
Xiaoshuai ZHOU ; Qiufeng ZHANG ; Dongying WANG ; Zhiyi XIANG ; Jiale RUAN ; Linlin TANG
Gut and Liver 2024;18(5):845-856
Background/Aims:
Inflammatory bowel disease (IBD) may contribute to the development of hematologic malignancies. In this study, the potential relationship between IBD and hematologic malignancies was investigated.
Methods:
We searched the PubMed, Web of Science, Embase, and Cochrane Library databases for all cohort studies comparing the incidence of hematologic malignancies in non-IBD populations with that in IBD patients, and we extracted relevant data from January 2000 to June 2023 for meta-analysis.
Results:
Twenty cohort studies involving 756,377 participants were included in this study. The results showed that compared with the non-IBD cohort, the incidence of hematologic malignancies in the IBD cohort was higher (standardized incidence ratio [SIR]=3.05, p<0.001). According to the specific types of IBD, compared with the non-IBD patients, the incidences of hematologic malignancies in ulcerative colitis patients (SIR=2.29, p=0.05) and Crohn's disease patients (SIR=3.56, p=0.005) were all higher. In the subgroup analysis of hematologic malignancy types, compared with the control group, the incidences of non-Hodgkin's lymphoma (SIR=1.70, p=0.01), Hodgkin's lymphoma (SIR=3.47, p=0.002), and leukemia (SIR=3.69, p<0.001) were all higher in the IBD cohort.
Conclusions
The incidence of hematologic malignancies, including non-Hodgkin's lymphoma, Hodgkin's lymphoma, and leukemia is higher in patients with IBD (ulcerative colitis or Crohn's disease) than in non-IBD patients.
5.Risk of Hematologic Malignancies in Patients with Inflammatory Bowel Disease: A Meta-Analysis of Cohort Studies
Xiaoshuai ZHOU ; Qiufeng ZHANG ; Dongying WANG ; Zhiyi XIANG ; Jiale RUAN ; Linlin TANG
Gut and Liver 2024;18(5):845-856
Background/Aims:
Inflammatory bowel disease (IBD) may contribute to the development of hematologic malignancies. In this study, the potential relationship between IBD and hematologic malignancies was investigated.
Methods:
We searched the PubMed, Web of Science, Embase, and Cochrane Library databases for all cohort studies comparing the incidence of hematologic malignancies in non-IBD populations with that in IBD patients, and we extracted relevant data from January 2000 to June 2023 for meta-analysis.
Results:
Twenty cohort studies involving 756,377 participants were included in this study. The results showed that compared with the non-IBD cohort, the incidence of hematologic malignancies in the IBD cohort was higher (standardized incidence ratio [SIR]=3.05, p<0.001). According to the specific types of IBD, compared with the non-IBD patients, the incidences of hematologic malignancies in ulcerative colitis patients (SIR=2.29, p=0.05) and Crohn's disease patients (SIR=3.56, p=0.005) were all higher. In the subgroup analysis of hematologic malignancy types, compared with the control group, the incidences of non-Hodgkin's lymphoma (SIR=1.70, p=0.01), Hodgkin's lymphoma (SIR=3.47, p=0.002), and leukemia (SIR=3.69, p<0.001) were all higher in the IBD cohort.
Conclusions
The incidence of hematologic malignancies, including non-Hodgkin's lymphoma, Hodgkin's lymphoma, and leukemia is higher in patients with IBD (ulcerative colitis or Crohn's disease) than in non-IBD patients.
6.Risk of Hematologic Malignancies in Patients with Inflammatory Bowel Disease: A Meta-Analysis of Cohort Studies
Xiaoshuai ZHOU ; Qiufeng ZHANG ; Dongying WANG ; Zhiyi XIANG ; Jiale RUAN ; Linlin TANG
Gut and Liver 2024;18(5):845-856
Background/Aims:
Inflammatory bowel disease (IBD) may contribute to the development of hematologic malignancies. In this study, the potential relationship between IBD and hematologic malignancies was investigated.
Methods:
We searched the PubMed, Web of Science, Embase, and Cochrane Library databases for all cohort studies comparing the incidence of hematologic malignancies in non-IBD populations with that in IBD patients, and we extracted relevant data from January 2000 to June 2023 for meta-analysis.
Results:
Twenty cohort studies involving 756,377 participants were included in this study. The results showed that compared with the non-IBD cohort, the incidence of hematologic malignancies in the IBD cohort was higher (standardized incidence ratio [SIR]=3.05, p<0.001). According to the specific types of IBD, compared with the non-IBD patients, the incidences of hematologic malignancies in ulcerative colitis patients (SIR=2.29, p=0.05) and Crohn's disease patients (SIR=3.56, p=0.005) were all higher. In the subgroup analysis of hematologic malignancy types, compared with the control group, the incidences of non-Hodgkin's lymphoma (SIR=1.70, p=0.01), Hodgkin's lymphoma (SIR=3.47, p=0.002), and leukemia (SIR=3.69, p<0.001) were all higher in the IBD cohort.
Conclusions
The incidence of hematologic malignancies, including non-Hodgkin's lymphoma, Hodgkin's lymphoma, and leukemia is higher in patients with IBD (ulcerative colitis or Crohn's disease) than in non-IBD patients.
7.Content analysis of clinical practice guidelines on artificial airway humidification in adult patients
Xiangying HU ; Leilei YU ; Jiale HU ; Hong RUAN
Chinese Journal of Modern Nursing 2016;22(5):627-631
Objective To analyze clinical practice guidelines related to humidification of adults with an artificial airway and summarize clinical practice key points of adults with artificial airway humidification, so as to provide the reference for clinical practice. Methods Content analysis method was used to analyze the content of clinical practice guidelines searched from Internet. Results A total of 20 clinical practice guidelines were obtained, and 8 of them abroad and 1 (mechanical ventilation practice guidelines) of them at home were included after screening. A total of 11 items related to artificial airway humidification of adult patients were identified from 4 periods including evaluation, preparation, implementation and evaluation. Conclusions Guidelines related to artificial airway humidification are less than that abroad. Although the existing clinical practice guidelines can help to guide humidification of adults with artificial airway, researchers and clinical nurses should develop local clinical evidence-based practices on humidification of adults with artificial airway by considering the actual medical situations in China and the best evidences.
8.Status and analysis of patient educational materials publication from domestic and abroad anesthesia associations
Lin YANG ; Jiale HU ; Hong RUAN
Chinese Journal of Modern Nursing 2018;24(3):293-296
Objective To understand the status of patient educational materials publication from domestic and abroad anesthesia associations, so as to provide evidence for improvement of local educational materials.Methods In November 2016, we searched and screened the educational materials for patient with general anesthesia provided by domestic and abroad anesthesia associations. The education materials and information of associations were collected and analyzed by QSR Nvivo 8.0 software.Results A total of 12 anesthesia associations from 8 countries were involved, which provided various forms of materials. Content analysis revealed 16 themes, in which there were 3 themes mentioned by all of the associations, while 3 themes only mentioned by less than half of the associations.Conclusions Numerous anesthesia associations from different countries issued a variety of educational materials in various forms, and more associations are encouraged to participate in releasing online materials in the future. Most of the educational content can reach a consensus, while a small amount of content need further research to verify necessity of education in the future. The anesthesiology association of China only issued one patient educational material for anesthesia patients, which need to be further improved on abundance of content, ultimately, develop an educational material suitable for local patient.
9.Clinical characteristics and oral care needs of perioperative patients with oral cancer
ZHENG Yaowen ; JIANG Lili ; HU Jiale ; RUAN Hong
Journal of Prevention and Treatment for Stomatological Diseases 2018;26(12):799-803
The treatment of oral cancer patients mainly involves surgery in combination with radiotherapy and chemotherapy. This paper reviews the clinical features of perioperative patients with oral cancer, including oral flora imbalance, oral complications after radiotherapy and chemotherapy, the presence of oral incisions (and flaps), special dietary needs, and airway management. In connection with the above characteristics, this article analyzes the necessity of three aspects of oral care to improve the patient’s comfort and prevent pulmonary and surgical site infections, with the goal of providing a reference for oral care research on patients undergoing oral cancer surgery and laying a foundation for the construction of comprehensive oral care programs during the perioperative period for patients with oral cancer.
10. A qualitative research on the experience of oral hygiene care of perioperative oral cancer patients
Yaowen ZHENG ; Lili JIANG ; Jiale HU ; Hong RUAN
Chinese Journal of Practical Nursing 2019;35(21):1646-1650
Objective:
To understand the real experience of oral hygiene care of perioperative oral cancer patients.
Methods:
Qualitative descriptive research was adopted. Semi-structure in depth interviews were conducted among 17 postoperative oral cancer patients. NVivo 11 was used to manage and sort out the original data, data was analyzed with the content analysis of Colaizzi.
Results:
Six themes regarding oral hygiene care was extracted, including the diversity of methods of oral hygiene and the care provider, patients have limited knowledge about oral hygiene care and the relative education is lacking, the change of function, structure and the degree of comfort of mouth impact the oral hygiene care, patients