1.Research progress of APP in self-management of adolescents with chronic diseases
Chinese Journal of Modern Nursing 2022;28(7):873-877
At present, the number of adolescents with chronic diseases is increasing year by year. The quality of life of adolescents with chronic diseases has become an urgent concern for nurses. This article reviews the concepts, methods of self-management of adolescents with chronic diseases, and the advantages, status, existing problems and future improvement of self-management applications (APP) , so as to provide new ideas for the research on App-based self-management in adolescent patients with chronic diseases in China.
2.Visual analysis of nursing on venous thromboembolism of tumor patients in China based on CiteSpace
Ranxun AN ; Yuan XU ; Qiaodan LU ; Lei WANG ; Yu WANG ; Haibo DENG ; Jianhua SUN ; Liyun ZHU ; Xiaojie WANG ; Yufen MA
Chinese Journal of Modern Nursing 2023;29(6):793-798
Objective:To explore the research hotspot and trend of venous thromboembolism (VTE) nursing for tumor patients in China, so as to provide reference and inspiration for nurses to carry out nursing research and clinical practice.Methods:The academic journal papers of nursing research with VTE as the core of tumor patients were retrieved in the Chinese Biomedical Literature Database, China National Knowledge Infrastructure, WanFang Data and VIP. The retrieval time limit was from the establishment of the database to February 11, 2022. CiteSpace 5.8. R3 software was used for paper keyword co-occurrence, clustering and mutation analysis.Results:A total of 1 678 papers were included, and the number of VTE nursing papers of tumor patients in China showed an exponential growth trend. "Gynecological tumor" was the tumor type of the most frequent concern. "Perioperative period" "PICC" and "chemotherapy" were the main research scenarios. "Lung cancer" "ovarian cancer" "risk assessment" "preventive nursing" and "quality of life" were the frontiers of research.Conclusions:The VTE nursing research of tumor patients in China is on the trend of development under the guidance of demand and driven by national policies. It is suggested that Chinese nursing scholars should deepen the specific risk assessment and detailed prevention in this field, strengthen the continuous follow-up outside the hospital, and continue to promote the improvement of evidence-based nursing, quality of life and other related research. It can also be combined with foreign nursing research and domestic and foreign medical research in this field to clarify further research directions.
3.Research progress of anticoagulant medication satisfaction assessment tools
Qiaodan LU ; Lei WANG ; Haibo DENG ; Yuan XU ; Xiaojie WANG ; Jianhua SUN ; Yu WANG ; Liyun ZHU ; Ranxun AN ; Yufen MA
Chinese Journal of Modern Nursing 2023;29(17):2371-2375
Satisfaction with anticoagulant medication is an important factor affecting patients ' compliance with anticoagulant therapy and clinical efficacy. Foreign scholars have developed a variety of anticoagulant medication satisfaction assessment tools. This paper reviews the development process, main contents and application fields of anticoagulant medication satisfaction assessment tools, analyses their characteristics and limitations, so as to provide references for medical staff to select appropriate assessment tools and develop localized anticoagulant medication satisfaction assessment tools.
4.Safety of injection methods for low molecular weight heparin: an overview of systematic review
Ranxun AN ; Jianhua SUN ; Yuan XU ; Lei WANG ; Haibo DENG ; Xiaojie WANG ; Yu WANG ; Liyun ZHU ; Qiaodan LU ; Xinyi ZHOU ; Yufen MA
Chinese Journal of Modern Nursing 2023;29(29):4018-4025
Objective:To conduct an overview of systematic review of the safety of low molecular weight heparin (LMWH) injection methods.Methods:The systematic review of the safety of LMWH injection method was searched through computer on China National Knowledge Infrastructure, WanFang Data, China Biomedical Literature Service System, China Science and Technology Journal Database, PubMed, Embase, CINAHL, The Cochrane Library, Joanna Briggs Institute (JBI) System Review and Evidence Application Report Database, and Campbell Collaborative Collaboration. The search period was from the establishment of the database to December 31, 2022. AMSTAR 2 and ROBIS software were used for quality evaluation of system reviews, and the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system was used for evidence grading.Results:A total of 10 systematic reviews were included. AMSTAR 2 software evaluation showed that the methodological quality of 1 article was low and 9 articles were extremely low. The ROBIS software evaluation showed that the overall bias risk of 3 system atic reviews was low, and 7 reviews were high. The GRADE system was used to grade 47 pieces of evidence from 10 systematic reviews, including 4 pieces of medium-quality evidence, 34 pieces of low-quality evidence, and 9 pieces of extremely low-quality evidence.Conclusions:Slow injection, abdominal injection, vertical injection, and local compression for 5 minutes after injection may be beneficial for the safety of LMWH subcutaneous injection. However, high-quality original studies targeting different subgroups and injection methods still need to be conducted on a large sample to support the conclusions.
5.Cognition and participation intention of patient-reported outcomes in patients with lower limb deep vein thrombosis: a qualitative study
Ranxun AN ; Yuan XU ; Lei WANG ; Yu WANG ; Haibo DENG ; Jianhua SUN ; Xiaojie WANG ; Liyun ZHU ; Qiaodan LU ; Xinyi ZHOU ; Yufen MA
Chinese Journal of Modern Nursing 2024;30(1):95-100
Objective:To explore the cognition and intention of patients with lower limb deep vein thrombosis (DVT) to participate in patient-reported outcomes (PROs), so as to provide references for the promotion, application, and practice of PROs in lower limb DVT patients in China.Methods:This study adopted the phenomenological qualitative research method. From February to June 2023, 13 lower limb DVT patients admitted to Peking Union Medical College Hospital were selected for semi-structured in-depth interviews. Colaizzi 7-step analysis method was used for analyzing and summarizing data.Results:Thirteen patients with lower limb DVT highly recognized their own value in participating in PROs, namely health benefits, prevention of DVT complications, and reduction of disease uncertainty. Lower limb DVT patients expected to receive support from healthcare professionals, families, and portable and simplified reporting formats to promote their participation in PROs. From the patient 's own perspective, they perceived that insufficient attention to DVT caused by lack of awareness of the hazards of DVT and limited understanding of PROs made it difficult for them to participate in PROs. Conclusions:Lower limb DVT patients have a high intention to participate in PROs. The application and promotion of PROs in lower limb DVT patients in China require joint support from various sectors of society, among which strengthening effective health education for patients and their families and providing multi-channel reporting forms are the key to promoting of PROs.
6.Development of the PICC-related Thrombosis Prevention Knowledge, Attitude, and Practice Questionnaire for Nurses and its reliability and validity
Ning ZHANG ; Yuan XU ; Haibo DENG ; Lei WANG ; Liyun ZHU ; Qiaodan LU ; Ranxun AN ; Xinyi ZHOU ; Yu WANG ; Jianhua SUN ; Yufen MA ; Xiaojie WANG
Chinese Journal of Modern Nursing 2024;30(4):453-460
Objective:To construct a tool to evaluate the knowledge, attitude, and practice of nurses in the prevention of thrombosis related to peripherally inserted central catheter (PICC) .Methods:From December 2022 to April 2023, based on the theory of knowledge, attitude, and practice, a preliminary draft of the PICC-related Thrombosis Prevention Knowledge, Attitude, and Practice Questionnaire for Nurses was formed through systematic literature review, two rounds of Delphi expert consultations, and pre-survey. In May 2023, convenience sampling was used to select 573 nurses from Chinese Academy of Medical Sciences & Peking Union Medical College Hospital as the research subject for a survey to conduct item analysis, validity testing, and reliability testing on the questionnaire.Results:The final version of the PICC-related Thrombosis Prevention Knowledge, Attitude, and Practice Questionnaire for Nurses included 20 knowledge items, 10 attitude items, and 10 practice items. In the content validity of the questionnaire, the average content validity index was 0.984, the overall consensus content validity index was 0.850, and the item level content validity index was 0.857 to 1.000. Exploratory factor analysis extracted three common factors with eigenvalues>1.000, with a cumulative variance contribution rate of 64.540% and factor loadings of 0.450 to 0.908 for each item. The total Cronbach's α coefficient of the questionnaire was 0.895, the half reliability coefficient was 0.947, and the retest reliability coefficient was 0.966.Conclusions:The PICC-related Thrombosis Prevention Knowledge, Attitude, and Practice Questionnaire for Nurses has good reliability and validity, and can be used to evaluate PICC-related thrombosis prevention knowledge, attitude, and practice among nurses.
7.Progress in research on quality-sensitive indicators for prevention nursing care of venous thromboembolism
Ning ZHANG ; Yuan XU ; Liyun ZHU ; Xinyi ZHOU ; Ranxun AN ; Qiaodan LU ; Yu WANG ; Haibo DENG ; Lei WANG ; Jianhua SUN ; Yufen MA ; Xiaojie WANG
Chinese Journal of Modern Nursing 2024;30(8):1004-1009
Quality-sensitive indicators in nursing, as standards for evaluating nursing quality management, can quantitatively determine nursing outcomes. This article provides a comprehensive review of the framework and content of quality-sensitive indicators for venous thromboembolism (VTE) prevention nursing care. The indicators are discussed from three dimensions: structure, process, and outcome. The aim is to provide a reference for the future development of unified and standardized quality-sensitive indicators for VTE prevention nursing care, in order to guide clinical nurses in standardized preventive practices.
8.Progress in research on risk assessment models for cancer-associated thrombosis
Haoran SHI ; Qiaodan LU ; Yuan XU ; Xiaojie WANG ; Haibo DENG ; Lei WANG ; Jianhua SUN ; Yu WANG ; Liyun ZHU ; Ranxun AN ; Xinyi ZHOU ; Yufen MA
Chinese Journal of Modern Nursing 2024;30(8):1010-1017
Cancer-associated thrombosis (CAT) is a common complication and cause of death in cancer patients. Accurately and efficiently identifying high-risk groups for CAT using risk assessment models and implementing targeted early prevention is key. Although numerous CAT risk assessment models currently exist, their predictive capabilities vary across different populations. This article provides a comprehensive review of CAT risk assessment models and their application status, aiming to offer a reference for clinical nursing staff to understand and choose appropriate risk assessment tools.
9.Development of the Cancer-associated Thrombosis Prevention Knowledge, Attitude and Practice Questionnaire for Nurses and its reliability and validity tests
Haoran SHI ; Yuan XU ; Xiaojie WANG ; Haibo DENG ; Lei WANG ; Jianhua SUN ; Yu WANG ; Liyun ZHU ; Qiaodan LU ; Ranxun AN ; Xinyi ZHOU ; Yufen MA
Chinese Journal of Modern Nursing 2024;30(16):2124-2130
Objective:To develop the Cancer-associated Thrombosis (CAT) Prevention Knowledge, Attitude and Practice Questionnaire for Nurses, and conduct reliability and validity tests.Methods:This study was a questionnaire development study. Guided by the theory of knowledge, attitude, and practice, an initial CAT Prevention Knowledge, Attitude, and Practice Questionnaire for Nurses was formed through literature review, group discussion, two rounds of expert consultation, and pre-survey. From April to May 2023, convenience sampling was used to select 700 in-service nurses from Chinese Academy of Medical Sciences & Peking Union Medical College as the research subject, and the reliability and validity of the questionnaire were tested.Results:A total of 700 questionnaires were distributed, and 593 valid questionnaires were collected, with a valid response rate of 84.71% (593/700). The final version of the CAT Prevention Knowledge, Attitude, and Practice Questionnaire for Nurses included three dimensions of knowledge, attitude, and practice, with a total of 39 items. The scale-level content validity index ( S- CVI) was 1.000, with an average S- CVI of 0.971 and an item-level CVI (I- CVI) of 0.860 to 1.000. Exploratory factor analysis extracted a total of seven common factors, with a cumulative variance contribution rate of 77.376%. The total Cronbach's α coefficient of the questionnaire was 0.937, and the Cronbach's α coefficients for each dimension were 0.923, 0.987, and 0.979. The half reliability coefficient was 0.984. After two weeks, the reliability coefficients for each dimension of retesting were 0.959, 1.000, and 0.994. Conclusions:The CAT Prevention Knowledge, Attitude, and Practice Questionnaire for Nurses developed in this study has good reliability and validity, and can be used as an evaluation tool for the cognition of clinical nurses in CAT prevention.
10.Development of a working model of evidence-based nursing practice in deep vein thrombosis prophylaxis
Yu WANY ; Yufang HAO ; Yufen MA ; Yuan XU ; Ranxun AN ; Haibo DENG ; Lei WANG ; Xiaojie WANG ; Jianhua SUN ; Jia LIU ; Liyun ZHU ; Xinjuan WU
Chinese Journal of Nursing 2024;59(15):1804-1811
Objective To construct an evidence-based practice model for nurses in preventing deep vein thrombosis(DVT)and provide a scientific and targeted theoretical basis for nurses to carry out evidence-based nursing practice in DVT prevention.Methods Based on the previous evidence-based nursing practice project on DVT prevention after hip and knee arthroplasty,the research team used theoretical analysis and brainstorming to develop a draft of the work model.Expert meetings were organized to validate the content of the draft using the Delphi method,leading to the finalization of the evidence-based practice model for nurses in preventing DVT.Results The Knowledge-to-Action(KTA)framework was selected as the basic framework for constructing the evidence-based nursing practice model for preventing DVT.Theoretical Domain Framework,Theory of Planned Behavior,and Social Cognitive Theory were chosen to explore the influencing factors of nurses'behavior change in preventing DVT through evidence-based practice.The authority coefficient of the participating experts was 0.904,indicating high reliability.The final model consisted of 6 key components:knowledge generation,problem identification,localization and adaptation,knowledge application,sustained knowledge use,and conceptual framework for behavior change through evidence-based practice.Conclusion Based on theoretical analysis and clinical practice,this study developed an evidence-based practice model for nurses in preventing DVT using the expert meeting.The research methodology was scientific,and the content was reliable,providing a theoretical basis for nurses to engage in evidence-based nursing practice for DVT prevention.