Objective To explore the effect of cryo/cuff system at different durations on postoperative swelling and pain in patients with knee arthroscopy.Methods Ninety-two patients having undergone knee arthroscopy were divided into 3 groups: the study group(n=31),the control group(n=31)and the blank control group(n=30).The study group were managed with circulating cold compress therapy for 30 mins once every 8 hours 24 hours after operation,the control group with circulating cold compress therapy for 30 mins once every 8 hours 48 hours after operation and the blank control group with routine nursing.The degree of pains was assessed using visual analogue scale and the level of swelling using the difference in the shank circle between the diseased and healthy limbs.Results The study group and control group were both better than the blank group in swelling and pain control(P<0.05). The study group showed no difference in postoperative pains and swelling than the control group(P>0.05).Conclusion Postoperative knee arthroscopy,using cryo/cuff system can alleviate pains and swelling of joints,which is conducive for the early ambulation and promoted rehabilitation.

Objective To describe the clinical application of nutritional risk screening in tuberculosis department nurses, and explore the related factors that affect the clinical application of nutritional risk screening. Methods Totally 110 tuberculosis nurses were investigated about the clinical application of nutritional risk screening by self-design questionnaire. The questionnaire content totally included 20 items:general information, knowledge of nutritional risk screening ( 5 questions ) , the degree of attention to nutritional risk screening (5 questions), clinical development situation of nutritional support (5 questions) and clinical application of nutritional risk screening (5 questions).Results The nutritional risk screening score of tuberculosis department nurse was (13.200±2.841). Multiple linear regression analysis found that education background, attention to nutritional risk screening, clinical development situation of nutritional support were related factors that affect the nutritional risk screening score of tuberculosis nurses. Conclusions We should improve the ability of tuberculosis department nurse in nutritional risk screening and the consciousness of nutritional risk screening, and increase the clinical application of nutritional risk screening of tuberculosis department nurses.

Objective To investigate the application of clinical nursing pathway in perioperative care of shoulder arthroscopic surgery , in order to improve and establish the standard nursing model .Methods Totals of 45 patients admitted from January 2012 to December 2012 were served as the control group , without clinical nursing pathway.Totals of 44 patients from January 2013 to December 2013 were served as the study group with clinical nursing pathway .The hospital stay , medical expenses and patients'satisfaction were compared between the two groups .Results After appling the clinical nursing pathway , the hospital stay of the control group and the study group were (7.89 ±3.95) and (6.50 ±3.26) days.There was a significant difference between the two groups (t =2.238, P <0.05).The hospital stay of the control group and the study group before the operation were (3.02 ±2.13) and (3.08 ±1.36) days, with no significant difference (t=0.549, P>0.05). The hospital stay of the control group and the study group after the operation were (3.16 ±2.03) and (2.96 ± 1.35) days, with a statistically significant difference ( t=2.511, P<0.05).The medical expenses of the control group and the study group were (48 464.31 ±14 813.99) and (41 899.65 ±12 292.36) yuan.There was a significant difference between the two groups (t=2.272, P<0.05).The satisfaction between the two groups had a significant difference (χ2 =6.621, P<0.01).Conclusions The application of clinical nursing pathway can effectively reduce hospital duration , medical cost and improve satisfaction of patients with shoulder arthroscopic surgery , and it is a practical , feasible and effective nursing model .

Objective To share the nursing experience in young patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI). Methods The nursing process of 32 young patients with acute myocardial infarction who had PCI were reviewed and summarized. Different emphases of nursing were given according to the disease process, from the acute phase, the remission phase, to the recovery phase. Results All patients' condition tended to be stable after timely treatment and nursing care. Conclusions AMI patients have a rapid onset, rapid progress, and the pathogenesis is special. Timely and targeted nursing care can effectively alleviate the suffering of patients and promote the recovery.

Objective To evaluate the quality of evidence-based guidelines on senile functional constipation management and provide references for decision-making and the development of evidence-based guidelines suitable for China. Methods A search of Guideline International Network (GIN), National Guideline Clearinghouse (NGC), National Institute for Health and Clinical Excellence (NICE), Scottish Intercollegiate Guidelines Network (SIGN), Canadian Medical Association (CMA), New Zealand Guidelines Group (NZGG), Registered Nurses Association of Ontario (RNAO), National Health and Medical Research Council (NHMRC), American College of Gastroenterology (ACG), China Guideline Clearinghouse (CGC), Medlive website, and related websites and databases were conducted to screen the guidelines on senile functional constipation management with inclusion and exclusion criteria. Appraisal of Guidelines for Research & Evaluation Ⅱ (AGREE Ⅱ) was applied on the methodological value evaluation for searched guidelines. The overall agreement among 3 appraisers was measured by the intraclass correlation coefficient (ICC). The analysis of advices from guidelines was performed. Results A total of 5 evidence-based guidelines were included, which were all from abroad. The average scores of guidelines in six domains of AGREE Ⅱ were 97.78% (scope and purpose), 78.52% (stakeholder involvement), 79.86% (rigor of development), 89.63% (clarity of presentations), 63.89% (applicability), and 86.87% (independence) respectively. The ICC were 0.887- 0.971. Considering the overall quality evaluation, 3 of them were grade A and 2 of them were grade B. The recommendations of included guidelines were almost consistent. Conclusions The overall quality of included guidelines is high. There is no local evidence-based guideline of senile functional constipation management in China. High-quality guidelines can offer the evidence support for the development of clinical practical guideline for senile functional constipation management. Foreign guidelines should be localized before their application in the clinic in China.

Objective:To investigate the use intention of patients with coronary heart disease for mobile health and understand needs of patients for gamification design of mobile health platform, in order to improve the self-management level of patients with coronary heart disease by building a gamified mobile health platform.Methods:Using the convenient sampling method, a total of 181 hospitalized patients with coronary heart disease (CHD) in Department of Cardiology from July to September 2020 (3 hospitals in Beijing and 1 hospital in Heilongjiang Province) were selected as research objects. Questionnaire on the usage needs of mobile health platform for coronary heart disease was used to investigate them.Results:Only 8 of the 181 patients (4.42%) used cardiac mobile health, and 113 (62.43%) patients never used cardiac mobile health but would consider using it. But 60 (33.15%) patients never used cardiac mobile medical experience and said that they won' t use it in the future, and the reasons included operation, language, safety, need awareness and health concerns. Among 121 patients with coronary heart disease, the top three requirements for gamification design were human-computer interaction encouragement and company (32.23%) , completion of tasks to exchange for real prizes (30.58%) and health ranking (28.10%) .Conclusions:Based on needs of patients, an easy-to-use, scientific and readable gamified mobile health platform for coronary heart disease should be built, mobile health publicity should be increased, and the continuous use rate of the mobile health platform and the self-management of patients should be improved.

Objective:To understand the current situation and needs of nursing staff on the development of specialization in traditional Chinese medicine (TCM) nursing.Methods:In July 2020, the convenient sampling method was used to select 120 nursing staff from 7 tertiary hospitals and 1 secondary hospital in Beijing as the research objects. Through literature search, the questionnaire on the Current Situation and Needs of the Specialized Development of TCM Nursing was self-designed to conduct a questionnaire survey.Results:In this study, electronic questionnaires were used. A total of 120 questionnaires were distributed and 116 questionnaires were returned, of which 114 were valid questionnaires. The results of the survey showed that nurses supported the specialization of TCM nursing and actively practiced TCM nursing measures in their work. A total of 97.37% (111/114) of the nurses had the demand to participate in the TCM specialty certification. The main difficulties in developing the specialized development of TCM nursing were the unclear connotation of TCM nursing, the controversial positioning of the discipline, and insufficient government support.Conclusions:The development of the specialization of TCM nursing is the inevitable development of the discipline, and there is a strong demand for professional development and social demand.

Objective:To develop and evaluate the Self-rating Identification Scale for Common Syndromic Elements of Coronary Heart Disease.Methods:The item pool of the Self-rating Identification Scale for Common Syndromic Elements of Coronary Heart Disease was formed through literature review and expert consultation. Items were screened by combining frequency, correlation coefficient, Cronbach's α coefficient and factor analysis. Subjective and objective weighting was used to determine the weight of items, and diagnostic threshold was determined by receiver operator characteristic curve. Cronbach's α coefficient and factor analysis were used to test the reliability and validity of the scale.Results:The Self-rating Identification Scale for Common Syndromic Elements of Coronary Heart Disease had a total of 6 syndrome elements and 36 items. It included 3 items of blood stasis, 9 items of phlegm, 7 items of Qi stagnation, 5 items of Qi deficiency, 6 items of Yin deficiency, and 6 items of Yang deficiency, and the diagnostic thresholds were 1.000, 45.300, 36.400, 66.600, 33.900, and 30.500 respectively. The test-retest reliability coefficients of each dimension of the scale were all greater than 0.7, and the internal consistency reliability coefficients of each dimension were 0.540 to 0.848. In the factor analysis, each variable with a common factor load coefficient greater than 0.4 was extracted, and the results were completely consistent with the scale entry settings. The cumulative variance contribution rate was 53.822%.Conclusions:The reliability and validity of the Self-rating Identification Scale for Common Syndromic Elements of Coronary Heart Disease are good, and it has scientific research and clinical application value.

Objective:To evaluate the usability of gamification coronary heart disease health management platform based on WeChat, so as to provide support for self-management of coronary heart disease patients.Methods:From November to December 2022, 10 patients with coronary heart disease who were treated at Dongzhimen Hospital of Beijing University of Chinese Medicine were selected using convenience sampling. The research subjects registered for the health management platform by scanning the QR code and underwent a 2-month trial experience. Two months later, researchers collected data from the platform and used a combination of questionnaire surveys and qualitative interviews to investigate the user's experience and feedback of the research subjects, in order to evaluate the usability of the platform.Results:Within two months, the health management platform had 226 visits, an average visit time of 26 minutes, and an availability questionnaire score of (71.8±2.8). The research subjects had an acceptable attitude towards the usability of this platform, had a good overall user experience, and had also provided improvement suggestions for the platform while they gained beneficial experiences.Conclusions:The gamification coronary heart disease health management platform based on WeChat has good usability, providing a feasible means for the health management of heart disease patients, and also providing reference for other chronic disease health management projects involving lifestyle changes and incentives.

Objective:To provide a reference for in-depth application and research in the field of coronary heart disease traditional Chinese medicine (TCM) nursing. Based on the CiteSpace software, the development trend and research hotspots of the literature are displayed and analyzed in this field.Methods:The China Knowledge Network (CNKI) database was used to retrieve the literature related to the research in this field published in the past 20 years from January 1st 2001 to October 5th 2021, and CiteSpace was used to visually analyze the number of articles, research institutions, authors and keywords, and to interpret its meaning in combination with the content of the atlas.Results:The amount of research literature in this field was generally on the rise, but the cooperation between various research institutions and authors needs to be strengthened. Research hotspots mainly focused on five areas: coronary heart disease-related symptom care, the application of characteristic TCM nursing techniques, the outcome indicators of the research, the TCM health management of patients with coronary heart disease, and the application model of TCM nursing.Conclusions:It is recommended to strengthen multidisciplinary and teamwork in this field, carry out high-quality randomized controlled studies, and focus on related research on multiple nursing models, evaluation tools, and symptom management.