Objective To analyze the relocation stress and its influencing factors of the families of patients transferred from ICU.Methods Totally 101 ICU patients' families were recruited by convenience sampling approach from three hospitals between October and December,2016.General information questionnaire and the relocation stress scale for the families of patients transferred from ICU were used to collect data.Results The relocation stress score was 55.49±6.30.The average score of the total items was 3.25±0.55.Multiple regression analysis showed that education level of family members,family members' gender,age of patients and the time of patients staying in ICU were main factors affecting the relocation stress of the families of patients transferred from ICU(P＜0.05).Conclusion The families of patients transferred from ICU have a certain intensity of relocation stress.Family members with low education level,being female,younger age of patients and long duration of staying in ICU have relatively high relocation stress.

ICU treatment experience is the major source of patients′psychological stress as well as their relatives. Because of physical strain, sedation, invasive therapies, patients with critically ill usually tend to have some delusion, nightmare and memory loss, which cause several psychological disorder such as anxiety, fear and depression. The intensive care diary plays an important role in fill in memory gap , distinguish between delusion and reality ,make sense of illness experience, it is helpful to protect patients and their relatives from psychological disorders. Ever-growing scholars apply the intensive care diary to patients′post-ICU psychological rehabilitation. This review aim to introduce the concept, content, benefit as well as application status, provide some reference of the use in our country.

Objective To probe into the efficacy and safety of lowering the temperatures of enteral nutrition in severe craniocerebral injury patients to prevent stress ulcer,and provide reference for patients with severe craniocerebral injury to choose appropriate enteral nutrition temperature. Methods The clinical randomized controlled trial was adopted.Numbered the patients by the order of being hospitalized, then divided the 84 patients with severe craniocerebral injury who were receiving enteral nutrition into experimental group and control group with 42 cases each.The constant temperature in experimental group was 22 ℃, and that in control group was 38 ℃. Observed and compared regularly the pH levels, occult blood test of gastric juice and defecate of the two groups within 7 days. Results After different temperature enteral nutrition,pH value of gastric juice of patients at 1,4,7 days after enteral nutrition was 2.610.37,4.550.35,4.870.34 in experimental group,2.210.44,3.930.22,4.180.30 in control group,there was significant difference between two groups (t=3.856, 8.185, 8.322, all P<0.01). There was no significant difference between two groups in the positive rate of gastric occult blood test(x2=0.102,0.408, 1.332, all P>0.05). There was no significant difference in the incidence of diarrhea and diarrhea start time between two groups (x2=0.288, t=0.372, all P>0.05). Conclusions Lowering the temperature of enteral nutrition has a certain protective effect on the gastric mucosa of patients with severe craniocerebral injury,which is helpful to prevent the occurrence of stress ulcer,and does not increase the risk of diarrhea.

Objective To compare the effects of gastric residual volume (GRV) set at different thresholds on intensive care patients receiving enteral nutrition (EN),so as to inform clinical practice.Methods Controlled clinical trials involving different GRV thresholds in ICU patients undergoing EN were retrieved from multiple electronic databases (including Cochrane Library,PubMed,Ovid Medline,Web of Science,CBM,CNKI,Wanfang Data,and VIP).Quality of the retrieved studies was evaluated for data extraction,and meta-analysis was performed.Results Four randomized controlled trials and one clinically controlled trial were included in the study,with a total of 658 subjects.Results of the meta-analysis suggested no statistically significant difference between the group with GRV threshold≥250 ml and the one with GRV threshold＜250 ml in the rates of pneumonia (OR =1.19,95％ CI =0.77-1.82,P =0.43),aspiration.(OR =1.59,95％ CI =0.42-6.03,P=0.50),vomiting (OR=1.35,95％ CI=0.48-3.80,P=0.57),reflux (OR=1.29,95％ CI=0.58-2.88,P=0.53),and diarrhea (OR=1.36,95％ CI=0.87-2.13,P=0.17).Nutrient intake and several other outcome measures were unable to be included in the meta-analysis for either the scarcity of studies or inconsistency in the measures adopted,and descriptive analysis was therefore employed instead.Conclusion There was no significant difference between the two groups in terms of complications,but the group with GRV threshold≥250 ml had higher intake of EN.

Objective To understand the current situation of knowledge and practice for early activities in ICU nurses and to analyze influencing factors,in order to provide references for promoting early activities of patients.Methods General information questionnaire and investigation questionnaire for knowledge and practice for early activities were used to investigate 130 ICU nurses in three tertiary hospitals.Results The ICU nurses' knowledge score was 6.80±l.67,and the qualification rate was 55.73％;the attitude score was 20.28±2.47;the behavior score was 15.20±3.19.Multiple regression analysis showed that age and ICU specialist qualification were influencing factors for knowledge and attitude scores for early activities in ICU nurses (P＜0.01).ICU specialist qualification were influencing factors for behavior score for early activities in ICU nurses(P＜0.01).Conclusion ICU nurses have relatively better attitude for early activities of patients,knowledge should be improved,and behavior is moderate.Next steps should be enhancing learning knowledge of early activities of patients,improving recognition for early activities of patients among nurses,and promoting early activities in clinical settings.

Objective To investigate the effect of high-flow nasal cannula (HFNC) in patients with tracheal intubation after extubation.Methods We searched controlled clinical trials related to the effect of HFNC in patients with tracheal intubation after extubation among Cochrane library, PubMed, Ovid Medline, Web of Science, China Biology Medicine disc, (CBM disc), China National Knowledge Internet (CNKI), Wanfang Database and VIP Database (VIP). By literature screening, data extraction and assessment the quality, the selected papers were analyzed by RevMan 5.3 software.Results A total of 4 randomized controlled trials and 1 randomized controlled trials with a total of 1515 subjects were included in the study. According to Meta analysis, comparing with other oxygen therapy, HFNC could significantly reduce the incidence rate of hypoxemia in patients with tracheal intubation after extubation [OR=0.52,95%CI(0.35,0.79),P=0.002], the patient's comfort and tolerance were better than those of other oxygen therapy but mortality rate of ICU could not be reduced [OR=1.12,95%CI(0.67,1.88),P=0.67].Conclusions HFNC can reduce the incidence rate of hypoxemia in patients with tracheal intubation after extubation. HFNC has good comfort and is more tolerable for patients. It could not decrease mortality rate of ICU and its effect on reintubation rate for tracheal intubation patients also need further verification.

Objective:To explore the mediating effect of emotional labor between professional values and job burnout among ICU nurses, and to provide a reference for reducing ICU nurses' job burnout and motivating their work enthusiasm.Methods:From June to July 2017, 276 ICU nurses from 3 comprehensive ClassⅢ Grade A hospitals in Nanchang were selected as the subjects by convenience sampling. The General Information Questionnaire and Nurses' Emotional Labor Scale, Professional Values Scale and Job Burnout Scale were used to investigate. Structural equation model was used to explore the mediating effect of emotional labor between professional values and job burnout.Results:A total of 276 questionnaires were issued and 249 valid questionnaires. The average score of the Nurses' Emotional Labor Scale of 249 ICU nurses was (3.55±0.45) , the average score of the Professional Values Scale was (3.63±0.41) , and the dimensions scores of the emotional exhaustion, depersonalization and personal accomplishment of the Job Burnout Scale were (2.77±1.07) , (1.54±1.26) , and (3.78±1.16) . The structural equation fitting indexes were as follows: χ 2/ df=1.155, GFI=0.976, AGFI=0.942, RMSEA=0.027. Professional values and emotional labor of ICU nurses had direct predictive effect on job burnout. Professional values also used emotional labor as an intermediary variable, which indirectly affected job burnout. Conclusions:Nursing managers should pay attention to reducing the job burnout of ICU nurses by improving the level of ICU nurses' professional values and optimizing their emotional labor strategies from the individual factor level.

Objective:To investigate the current status of emotional labor of nurses in standardized training period, and to analyze the relationship between emotional labor and emotional intelligence.Methods:From May to June 2020, 312 nurses in the standardized training period were selected as the research objects, which were investigated with general information questionnaire, Emotional Labor Scale and Emotional Intelligence Scale.Results:The total score of standardized training nurses' emotional labor was (52.27±10.18) points, and the total average score of items was (3.73±0.73) points. The average scores of the three dimensions from high to low: deep acting (4.62±0.86) points, expression of genuine emotion (3.62±0.99) points and surface acting (3.42±0.95) points. There was a correlation between emotional intelligence and emotional labor. Multiple linear regression analysis showed that the emotional evaluation of others ( β value was -0.189, P<0.05) ( β value was -0.255, P<0.01). Self emotional assessment ( β value was 0.297, P<0.01) ( β value was 0.177, P<0.05). Self emotional assessment ( β value was 0.269, P<0.05), which had a positive predictive effect on emotional expression requirements. Conclusions:The emotional labor of nurses in standardized training period is at the medium level, and the deep acting score is the highest between three dimensions. Hospital managers could promote nurses to use appropriate emotional labor strategies by strengthening the cultivation of emotional intelligence during standardized training period.

Objective:To investigate the current status of emotional intelligence of standardized training nurses and explore the influencing factors.Methods:A total of 312 standardized training nurses from the Fifth Affiliated Hospital of Sun Yat-sen University and the First Affiliated Hospital of Nanchang University were investigated from May to June 2020 with general information questionnaire and Nurses′ Emotional Intelligence Scale, and analyze the influencing factors of nurses′ emotional intelligence during the standar dized training period.Results:The total score of standardized training nurses′ emotional intelligence was (59.01 ± 8.24), the scoring rate was 73.76%, and the total average score of items was (3.69 ± 0.52). The average scores of the four dimensions from low to high were: self emotion assessment (3.86 ± 0.66), self emotion management (3.67 ± 0.71), self emotion application (3.64 ± 0.67) and emotion assessment of others (3.58 ± 0.65). Multiple linear regression analysis showed that political outlook, whether it was an only child, and training time and willingness to engage in nursing work for a long time were the main influencing factors of standardized training nurses′ emotional intelligence, accounting for 32.6% of the variance.Conclusions:The emotional intelligence of standardized training nurses is at the medium level, which needs to be further improved. Hospital managers need to carry out positive intervention combined with relevant influencing factors to cultivate more excellent nursing talents for clinical practice.

Objective:To explore the mediating role of occupational benefit in the emotional intelligence and emotional labor of nurses during the standardized training period, so as to provide references for enhancing the professional adaptation potential of nurses during the standardized training period.Methods:This study was a cross-sectional study. Using the convenient sampling method, a total of 318 standardized training nurses from the Fifth Affiliated Hospital of Sun Yat-sen University and the First Affiliated Hospital of Nanchang University were selected as research objects from May to June 2020. They were investigated by general data questionnaire, Emotional Intelligence Scale, Occupational Benefit Scale and Emotional Labor Scale. Structural equation model (SEM) was used to explore the mediating effect of occupational benefit on emotional intelligence and emotional labor.Results:A total of 318 questionnaires were collected in this study, among which 312 were valid. The mean scores of items of emotional intelligence and occupational benefits of 312 nurses were (3.69±0.52) and (3.97±0.54) , respectively. The average scores of the three dimensions of emotional labor were surface acting (3.42±0.95) , emotional expression requirements (3.62±0.99) and deep acting (4.62±0.86) . There were correlations between emotional intelligence, occupational benefit and emotional labor (all P<0.05) . The structural equation model showed that the emotional intelligence and occupational benefit of nurses in the standardized training period had direct predictive effects on emotional labor, and emotional intelligence also indirectly affected emotional labor with occupational benefit as an intermediary variable. The structural equation fitting index χ 2/ df was 1.731, the goodness of fit index was 0.949, the adjusted goodness of fit index was 0.912 and the root mean square error of approximation was 0.058. Conclusions:Occupational benefit has a partial mediating effect between the emotional intelligence and emotional labor of nurses during the standardized training period. Nursing managers can take effective measures to improve the emotional intelligence level of nurses during the standardized training period, enhance the sense of occupational benefit and optimize their emotional labor performance from individual factors.